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|Paradigm Shift Intervention Monitoring
Confirmed Toddler In Beheira Egypt This Week
The above comments describe the second confirmed H5N1 toddler from Beheira this week (see updated map). There have been 11 confirmed H5N1 cases in Egypt in 2009, and 10 of the 11 have been toddlers. To date, none have died, and only one of the 11 cases was initially described as critical. Instead these cases have been mild and do not appear to involve pneumonia. The lone adult case was only symptomatic for four days.
The high frequency and concentration of patients between the ages of 1 ½ and 2 ½ once again raises concerns that prior outbreaks involved large number of victims who developed protective immunity. Consequently, almost all bird flu cases this year involve toddlers. In the prior three years, only 6 of 51 confirmed cases were toddlers. In 2009 the number is 10/11.
The high number of H5n1 confirmed toddlers in 2009 is an increasing cause for concern.