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### Viewing cable 10CAIRO338, Egypt: H5N1 Update - February 2010

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Reference ID | Created | Released | Classification | Origin
--- | --- | --- | --- | ---
10CAIRO338 | 2010-02-21 14:02 | 2011-01-28 00:12 | UNCLASSIFIED//FOR OFFICIAL USE ONLY | Embassy Cairo

`

    VZCZCXRO8929
    RR RUEHAST RUEHDH RUEHHM RUEHLN RUEHMA RUEHPB RUEHPOD RUEHSL RUEHTRO
    DE RUEHEG #0338 0521415
    ZNR UUUUU ZZH
    R 211411Z FEB 10 ZFF6
    FM AMEMBASSY CAIRO
    TO RUEHC/SECSTATE WASHDC 0343
    INFO ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE
    RUEHPH/CDC ATLANTA GA

` `

    UNCLAS CAIRO 000338

    SENSITIVE
    SIPDIS
    DEPT FOR NEA/ELA
    DEPT FOR OES/IHB

    E.O. 12958: N/A
    TAGS: TBIO KFLU PGOV EAGR EAID EG
    SUBJECT: Egypt: H5N1 Update - February 2010

    ¶1. (SBU) Key Points

    --Egypt's Ministry of Health (MoH) has confirmed 12 human cases of
    H5N1 (avian influenza) in 2010, with three fatalities.

    --In the wake of efforts to combat H1N1 (swine flu), MoH will
    increase its public awareness H5N1 influenza programs for health
    care providers to ensure they remain vigilant in detecting avian
    influenza.

    --MoH is exploring the possibility of testing deceased H1N1 (swine
    flu) cases for the H5N1 virus.

    ¶2. (SBU) Ministry of Health (MoH) Executive Director for Disease
    Surveillance Dr. Samir Refaey told ESTH officer on February 10 that
    Egypt has confirmed 10 H5N1 human cases this year - four in January
    and six so far in for February (two more cases were announced on
    February 20, bringing the current total to 12 cases).  The most
    recent avian influenza fatality occurred on February 10th, the
    third for 2010.  Noting the recent spate of H5N1 cases, he pointed
    out that during the same time frame in 2009 (January and February),
    Egypt reported 17 avian influenza cases and that the MoH expected
    the increase for the winter season.  Egypt is the only country to
    have confirmed human H5N1 cases in 2010.

    ¶3. (SBU) Refaey expressed concern with the increasing amount of
    time taking avian influenza patients to seek treatment in hospitals
    after the onset of virus-like symptoms (the majority of this year's
    cases have taken more than four days from the beginning of symptoms
    to hospitalization).  He speculated that following the intense
    focus on H1N1 throughout most of 2009, many private care facilities
    - where H5N1 patients initially visit - were not screening for
    avian influenza.  MoH also suspects that patients have not been
    forthcoming in discussing their medical history, especially about
    their exposure to poultry - an automatic indicator to check for the
    avian influenza virus.  In response to ESTH officer's inquiry about
    the growing number of adults contracting the virus this year
    (compared to 2009, when children 0-10 years old were the main
    victims), Refaey stated the MoH was aware of this development but
    did not have any definitive answer at this point. Refaey admitted
    that for many health care providers, H1N1 may have supplanted H5N1
    as the most worrisome influenza strain circulating across the
    country.

    ¶4. (SBU) To respond to the growing number of H5N1 cases, MoH plans
    to revitalize its public awareness programs for health care
    providers - doctors, nurses, technicians - to ensure they quickly
    identify and treat avian influenza cases.  Refaey asserted that
    surveillance and detection programs may have grown "fatigued" from
    battling H1N1 but MoH would redistribute information and lead
    training sessions to re-emphasize H5N1's status as a national
    priority.  He also highlighted a recently announced MoH plan to
    test all severe cases of pneumonia in rural areas - where many H5N1
    cases emerge - for both H1N1 and H5N1. Pneumonia is a respiratory
    condition that normally afflicts H5N1 patients.  Increased testing
    for pneumonia may lead to improved detection for avian influenza
    cases.

    ¶5. (SBU) Egypt has confirmed approximately 270 H1N1 deaths since
    the virus first appeared last year in 2009.  Refaey stated that MoH
    plans to begin testing all of the victims for H5N1 but did not
    provide details as to when this might begin.  The potential
    intermingling of H5N1 and H1N1 is one of MoH's greatest health
    concerns.
    SCOBEY

`