(There is some confusion over the translation from Arabic of this article. The last I have heard, is that it IS a mistranslation. So don’t panic  folks. However we wouldn’t be surprised because we are expecting it. )


A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases

Date: Sun 30 Aug 2009
Source: AlMasry AlYoum [in Arabic trans. Hussain Ayoub, paraphrased  
and edited]

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

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.

[Byline: Mohamed Soliman]

Communicated by:
ProMED-mail 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]

[see also:
Avian influenza, human (111): Egypt, 84th & 85th cases, WHO 20090901.3079
Influenza pandemic (H1N1) 2009 (14): case count 20090722.2599
Avian influenza (24): Saudi Arabia, China (Tibet), Bangladesh 20080129.0373


• First confirmed fatality from H1N1 (Link)

• Not swine flu (Link)

• The control of Nonmedis A-H1N1 (translated) (Link)

• Hokkaido HCW dies from H1N1 (Link)
• Dire Numbers of sick/hospitalized forecast for Japan by Ministry (Link)

Papua New Guinea
• 47 dead, 2,000 sick in PNG disease outbreak  (Link)
• WHO working with PNG authorities to combat cholera outbreak (Link)
• PNG: 80 dead from influenza, 7 dead from cholera now (Link)
• 102 Deaths (Link)
• Papua New Guinea – 177 Deaths (at least), Thousands Sick (Link)
• Team ready for Menyamya ops (Link)
• National Radio RNZ just announced influenza, cholera and shigella (Link)
•  PNG closes in on cause of flu and dysentery that’s claimed 80 lives (Link)

• Portugal reports second highest flu incidence rate in Europe (Link)

United States
• MO: Alton school has H1N1 flu case (Link)
• MS: Kiln girl’s death caused by swine flu (Link)
• NC: Signs of H1N1 hit Craven County schools (Link)
• WY: Flu cases begin to arrive in county (Link)
• KS: Wichita Student Tests Positive For H1N1 (Link)
• TX: Schools near Ft. Hood & Waco, flu-related absentees (Link)
• GA: Nine swine flu cases confirmed in Coweta (Link)
• NC: Flu at Wake Forest (Link)
• Iowa: IDPH Subject of Internet Rumor: Department issues clarification (Link)
• Iowa Officials Say No Quarantine for Swine Flu (Link)
• MA passes Pandemic Response Bill 2028 (Link)
• Elmo joins H1N1 flu fight (Link)
• NV: 10 swine flu deaths confirmed in Southern Nevada (Link)
• TX: Cameron County Man With H1N1 Flu Dies (Link)
• GA: H1N1 keeps hospitals busy (Link)
• Nebraska – Lancaster Cy – Catholic HS – 17% of student out with flu (Link)
• Palm Beach paramedics to learn to give flu shots (Link)
• CA: Four more Inland swine flu deaths reported (Link)

• Swine flu: 10 things you need to know (Link)
• Top 5 Ways College Kids Will Get Swine Flu (Link)

• H1N1 Pandemic Virus Does Not Mutate Into ‘Superbug’ In Lab Study (Link) (Link)

• NY Times editorial on swine flu (Link)