It is possible that lack of confirmation of all these suspect cases (200 maybe) is due to the presence of a new strain of bird flu (perhaps the Uva Lake strain). We'll know soon.
I find it interesting that such a huge outbreak in suspect cases in not being covered in the media. Perhaps, the idea is not to spook the financial markets.
Egypt
$this->bbcode_second_pass_quote('', 'A')lthough the number of hospitalized patients continues to accelerate on a daily basis, there have been no announcements of confirmed cases in over a week. Although these admissions follow announcements of new poultry cases, they may represent increased awareness due to government announcement for early treatment, coupled with daily media reports of new confirmed H5N1 outbreaks in poultry (see satellite map on poultry outbreaks).
However, as seen in the first paragraphs, the specifics on the admissions are not always given, and the number of patients transferred to the Abbassia Fever Hospital in Cairo has not been announced. Media reports indicate some patients are being re-tested, but since these patients are being placed on Tamiflu, re-tests will likely confirm the negative result, including patients who have been tested early. Moreover, some fatal cases, like one of the members of the Gharbiya cluster test negative, even though there was little doubt that they were fatality infected with H5N1, as was seen in the fatal infections of two H5N1 positive family members.
The sequences of the new infections may also be a concern. The outbreak in Romania just over a month ago was due to the Uva Lake strain, which has become dominant in Europe. Since it was also in Kuwait, it is likely in Saudi Arabia and Egypt this year. Testing for this new strain, which hasn’t been reported in Egypt previously, may be limiting detection in patients.
Thus, the continue acceleration of admitted patients remains a cause for concern. More information on patient’s symptoms, as well as transfers to the Abbassia hospital would be useful.