Abstract

Highly pathogenic avian influenza A(H5N1) has ravaged the Egyptian poultry population. Ninety human cases, including 27 fatalities have been recorded by 30 December, 2009. However, epidemiological information on the infection in humans in Egypt is scarce. We analysed the first three years of highly pathogenic avian influenza A(H5N1) in Egypt between 20 March 2006 and 31 August 2009) and found that more cases occurred in females than males, especially in 2006 and 2007. Women in the age group 20-39 years had the greatest tendency to be infected. It took an average of one day and 18 hours to seek medical assistance in patients who recovered and of six days in fatal cases. Children sought treatment much earlier than adults. On average, a patient died 11 days after the onset of symptoms. Exposure to infected poultry remained the most important risk factor.

Highlights

  • On 17 February 2006, highly pathogenic avian influenzaA(H5N1) was first reported in the poultry population inEgypt [1]

  • The virus is endemic in the Egyptian poultry population

  • We considered all laboratory-confirmed human cases of avian influenza

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Summary

Introduction

On 17 February 2006, highly pathogenic avian influenzaA(H5N1) was first reported in the poultry population inEgypt [1]. A(H5N1) was first reported in the poultry population in. The infection had affected at least 21 governorates forcing over 1.5 million individuals to loose their source of livelihood [1]. 370 backyard poultry flocks, 850 farms, and four zoos have been affected, and more than 36 million birds (mainly chickens) have died or have been culled in Egypt at an enormous cost to the country [1]. The virus is endemic in the Egyptian poultry population. The first human case of avian influenza A(H5N1) in. December 2009), the statistics of human infection and fatalities continue to rise. 90 human cases (approximately one fifth of the total global count), including 27 fatalities (approximately one eleventh of the global count) have been recorded in Egypt as of 30

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