# 5484
The World Health Organization has released updates on human H5N1 infections from three countries this morning. Some of these are cases we’ve heard about earlier, but are only now being confirmed.
First stop, Bangladesh which appears to confirm a case I wrote about on March 16th (see Bangladesh: 2nd Bird Flu Case In Two Days).
Avian influenza - situation in Bangladesh - update
11 April 2011 - The Ministry of Health and Family Welfare, Government of the People's Republic of Bangladesh has confirmed a new case of human infection with avian influenza A(H5N1) virus.
The case is a 2 years old male from Kamalapur, Dhaka. He developed symptoms on 1 March. He visited the influenza sentinel surveillance site on 9 March where he was sampled. He completely recovered.
Detailed epidemiological investigation and contact follow up was conducted by a team from the Institute of Epidemiology Disease Control and Research (IEDCR), the International Centre for Diarrhoeal Disease Research, Bangladesh ( ICDDRB) and WHO Bangladesh, and no further cases were identified.
The investigation into the source of infection indicate that the case had exposure to sick poultry. Although the case is from the same locality as the previous case they had no direct contact with each other.
The case was confirmed as being infected with A(H5N1) by the Institute of Epidemiology Disease Control and Research (IEDCR).
Next stop, Cambodia which I reported on April 6th (see Cambodia: 4th Bird Flu Fatality Of 2011).
Avian influenza – situation in Cambodia - update 2
11 April 2011 - The Ministry of Health (MoH) of the Kingdom of Cambodia has announced a confirmed case of human infection with avian influenza A(H5N1) virus.
The case was an 11 year old girl from Steung Trang district, Kampong Cham Province. She developed symptoms on 22 March, was initially treated by local villagers with no effect and was admitted to a local hospital on 29 March. Further treatment at the local hospital was ineffective and she was referred to a regional hospital where she died within four hours of admission on 31 March.
There have been reports of poultry die off in her village. The girl is the fourteenth person in Cambodia to become infected with the H5N1 virus and the twelfth to die from complications of the disease. All four cases of H5N1 infections in humans in Cambodia this year have been fatal.
All contacts of the case have been tested and are negative for A/H5N1 influenza virus.
Last stop is Egypt, which has been very busy this year with human H5N1 cases. Last week in Egypt: 4 New Bird Flu Cases, I wrote:
The newshounds on FluTrackers are aware of several more possible cases listed on the Egyptian Ministry of Health’s web page, although not yet confirmed to the WHO yet.
Today we get confirmation on 4 new cases.
Avian influenza - situation in Egypt - update 50
11 April 2011 - The Ministry of Health of Egypt has announced four new confirmed cases of human infection with avian influenza A(H5N1) virus.
The first case is a 20 years old female from Behaira Governorate. She developed symptoms on 14 March and was hospitalized on 19 March. She was in a critical condition and died on 28 March.
The second case is a two years old female from Menofeya Governorate. She developed symptoms on 26 March and was hospitalized on 27 March. She is still under treatment and in a stable condition.
The third case is a 55 year old female from Behaira Governorate. She developed symptoms on 20 March and was hospitalized on 22 March. She recovered and was discharged on 5 April.
The fourth case is a 1 year old male from Fayoum Governorate He developed symptoms on 20 March and was hospitalized on 28 March. He is still under treatment and in a stable condition.
All the cases received oseltamivir treatment at the time of hospitalization.
Investigations into the source of infection indicate that the cases had exposure to sick and/or dead poultry suspected to have avian influenza.
The cases were confirmed by the Egyptian Central Public Health Laboratories, a National Influenza Center of the WHO Global Influenza Surveillance Network.
Of the 141 cases confirmed to date in Egypt, 46 have been fatal
It should be noted that as of April 8th the Egyptian Ministry of Health (MOH) website lists 142 total cases, and 47 fatalities.
So at least one more case appears to be in the pipeline.
