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H5N1/H1N1 Co-Infection In
Dead Egyptian Suspected
From Patricia Doyle
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:promed@promedmail.org>promed@promedmail.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. - Mod.CP
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 

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