Indonesia and Egypt report cases of H5N1 in humans

19.01.2012

The Ministry of Health of Indonesia has announced one new confirmed case of human infection with avian influenza A(H5N1) virus.

The case is a 5 year-old female from Jakarta Province. She was identified by a surveillance team during an investigation in the area on 7 January 2012 and was referred to a hospital. On 13 January 2012, she had breathing difficulties. Her condition deteriorated and she died on 16 January 2012.

Epidemiological investigation indicated that she was a family contact of case 183, and frequently had direct contact with the same pigeons as that case, and the same household environment.

Surveillance of other contacts has not identified further cases.

Of the 184 cases confirmed to date in Indonesia, 152 have been fatal.

The Ministry of Health and Population of Egypt has notified WHO of two cases of human infection with avian influenza A (H5N1) virus.‪

The first case is a 2 year-old female from Cairo Governorate. She visited Helwan Fever Hospital as an outpatient on 30 October 2011 with symptoms of influenza-like-illness (ILI). The case was confirmed by RT-PCR at the Central Public Health Laboratory through periodic testing of samples collected from ILI outpatients from sentinel ILI surveillance sites. The epidemiological team investigated the case after confirmation of the laboratory test. Retrospective investigation through data collected from her family identified a positive history of exposure to backyard poultry. Samples from the case have been sent to the US Naval Medical Research Unit No. 3 (NAMRU-3) for further sequencing.

The second case is a 31 year-old male from Fayium governorate. He developed symptoms on 1 January 2012, received oseltamivir on 14 January 2012 and is still hospitalised under the critical care unit. The case was confirmed by the Central Public Health Laboratory, a National Influenza Center of the WHO Global Influenza Surveillance Network.

Epidemiological investigations into both the cases indicated that they had exposure to backyard poultry.

Of the 159 cases confirmed to date in Egypt, 55 have been fatal.