- Hello Jeff - As I said on your program over two years
ago, the next great flu pandemic would be a mixture/combination of H5N1
and H1N1. Well, the beginning of that very recombination, so often
mentioned by Dr. Henry Niman, has just been reported in a dead Egyptian
man. This would mean, of course, that the vaccines now being prepared
for an A-H1N1 pandemic would be USELESS. The H5N1 component
is not being factored into the six different vaccines under development/production
now. So, if the the two viruses in this dead patient have recombined
and gotten loose, we could be in for a long, dark winter.
- H5N1/H1N1 Virus Co-Infection - Egypt: ex Saudi Arabia
Suspected REQUEST FOR INFORMATION
- Source: AlMasry AlYoum [in Arabic trans. Hussain Ayoub,
paraphrased and edited]
- By Mohamed Soliman
- A sample taken from a 28 year-old man who arrived at
the port of Safaga from Saudi Arabia after performing Umrah [pilgrimage]
has tested positive for [both] bird and swine flu [that is, presumably
avian influenza (H5N1) virus and pandemic (H1N1) 2009 virus infections].
He was immediately detained and held in isolation in a hospital in Hurghada.
- Mohammad Rifai, director-general of preventative medicine,
stated that this case is the 3rd in 2 days. [The other 2 are a 35-year-old
Italian tourist also retained at the hospital in Hurghada and] another
pilgrim, 30 years old, who has been detained in Safaga Central Hospital.
Rifai pointed out that a sample from a 38-year-old citizen has tested negative.
- Another 2 cases have been detained in Mansoura fever
hospital on suspicion of similar illness.
- 5 cases, including 4 children, suspected of having contracted
"bird flu" infection [presumably avian influenza (H5N1) virus
infection] have been detained in Mansoura Chest hospital.
- Communicated by ProMED-mail <mailto:email@example.com>firstname.lastname@example.org
- Does the director-general of preventative medicine mean
this case is the 3rd in 2 days of *dual* infection? Unless both *viruses*
were detected in the patient, not simply positive antibody results, this
would be inconclusive, since Egypt has reported cases of H5N1 throughout
2009, and this person may have had a mild infection before leaving for
Saudi Arabia. Saudi Arabia has reported 285 cases (no deaths) of H1N1
in 2009 -- see last case count of 22 July in ProMED ref. below -- but it
is also possible that the Egyptian pilgrim(s) could have caught H1N1 from
a pilgrim from another H1N1-infected country.- Mod.JW
- If this report is confirmed it raises the prospect of
the potential evolution by genome subunit reassortment of a highly transmissible
influenza virus like the pandemic (H1N1) 2009 virus with the enhanced virulence
of the avian (H5N1) virus. Further information is awaited confirmatory
or not, by laboratory analysis, of the occurrence of dual infection. -
- Port Safaga, in the Red Sea Governorate (El Bahr El Ahmar),
can be located on the HealthMap/ProMED-mail interactive map of Egypt at
http://healthmap.org/r/00KC>. - Sr.Tech.Ed.MJ
- Patricia A. Doyle DVM, PhD Bus Admin, Tropical Agricultural
Economics Univ of West Indies Please visit my "Emerging Diseases"
message board at:http://www.emergingdisease.org/phpbb/index.php Also
my new website:http://drpdoyle.tripod.com/ Zhan le Devlesa tai sastimasa
Go with God and in Good Health