Another H5N1 Case in Nabarouh Egypt
Recombinomics Commentary
March 12, 2007
Hassan el-Bushra, regional adviser for communicable disease surveillance for the World Health Organisation, said Ibrahim had started to show symptoms on Wednesday and was hospitalised a day later with a high fever. He was receiving the antiviral drug Tamiflu. "We do not wish illness to anyone but we are happy that people are reporting symptoms earlier," Bushra said.
a child called Mohamed Mahmoud Ibrahim (4 years) from Nabarouh district Dakahlia Governate.
The above media report and translation describes the latest confirmed case in Egypt. Both cases are the same age and from the same region. Both cases also appear to be relatively mild. The prior case has already been discharged.
The last three confirmed cases in Egypt appear to be mild. Sequences from the two earlier cases fail to identify M230I. In contrast, most prior cases in Egypt this season had M230I, and all cases with M230I were fatal.
The most recent sequence, A/Egypt/1902-NAMRU3/2007 is similar to a recent chicken isolate, A/chicken/Egypt/1300-NAMRU-3/2007 isolated from the adjacent governorate, Gharbiya, raising the possibility of a milder H5N1 in circulation in the Nile Delta.
More information on the sequence of the most recent confirmed case would be useful.
Media sources
Phylogenetic Trees