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<div class=3DSection1>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>24
June 2009<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><st1:City
w:st=3D"on"><st1:place w:st=3D"on"><span style=3D'font-size:9.0pt;mso-bidi-=
font-size:
  14.0pt;font-family:Arial;color:black'>Cairo</span></st1:place></st1:City>=
<span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'mso-bidi-font-size:14.=
0pt;
font-family:Arial;color:black'>Six African Nations now confirm Novel Influe=
nza
A/H1N1: <st1:country-region w:st=3D"on">Ethiopia</st1:country-region>, <st1=
:country-region
w:st=3D"on">Tunisia</st1:country-region>, <st1:country-region w:st=3D"on">C=
ote
 d&#8217;Ivoire</st1:country-region>, S. Africa, <st1:country-region w:st=
=3D"on">Morocco</st1:country-region>
and <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">Egypt</st1:place=
></st1:country-region><o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>Today&#8217;s
update from the World Health Organization (WHO) added<span
style=3D'mso-spacerun:yes'>&nbsp; </span>initial confirmed cases of the nov=
el
Influenza A/H1N1 from three more African nations: Ethiopia (2 cases), Tunis=
ia
(2 cases), and Cote d&#8217;Ivoire (2 cases).<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Three additional African nations
previously reporting cases were: <st1:country-region w:st=3D"on">Egypt</st1=
:country-region>
(40 cases), <st1:country-region w:st=3D"on">Morocco</st1:country-region> (9
cases), and <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">South Af=
rica</st1:place></st1:country-region>
(1 case). There is no reason to expect that the spread of this novel virus =
in
Africa will not eventually be as widespread as in the <st1:country-region
w:st=3D"on">Americas</st1:country-region>, Europe, and <st1:place w:st=3D"o=
n">Asia</st1:place>.
<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>The
Ethiopian Federal Ministry of Health (FMoH) press release June 19 from <st1=
:City
w:st=3D"on">Addis Ababa</st1:City> stated that the two patients confirmed as
positive for this novel virus were a 16 year-old and a 17 year-old who retu=
rned
home to Addis from a cultural exchange program in the <st1:country-region
w:st=3D"on"><st1:place w:st=3D"on">USA</st1:place></st1:country-region>.
Confirmation was performed at the US CDC Atlanta. Both young women have
recovered from their illness. The full press release can be found at: <a
href=3D"http://www.moh.gov.et/images/stories/h1n1_press_release.pdf">www.mo=
h.gov.et/images/stories/h1n1_press_release.pdf</a><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><st1:country-region
w:st=3D"on"><st1:place w:st=3D"on"><span style=3D'font-size:9.0pt;mso-bidi-=
font-size:
  14.0pt;font-family:Arial;color:black'>Ethiopia</span></st1:place></st1:co=
untry-region><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>
reports having stockpiled enough anti-influenza oral therapy with oseltamiv=
ir
(Tamiflu) in coordination with the WHO, and is in the process of distributi=
ng
the antivirals across the nation. A specific hospital, St. Paulos, has been
designated to admit passengers suspected of having this novel influenza upon
arrival at the Bole International airport in Addis. Ethiopian Airlines <span
class=3DGramE>crew have</span> also been reported by the Federal MoH to hav=
e had
training in the detection and reporting of symptomatic cases of influenza-l=
ike
illness.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>Overall,
today&#8217;s WHO global update on confirmed counts of infections due to th=
is
virus included 55,867 cases including 238 fatalities. The largest number of
cases and deaths have been reported to WHO from the <st1:country-region w:s=
t=3D"on">USA</st1:country-region>
(21,449 cases with 87 deaths) and <st1:country-region w:st=3D"on"><st1:place
 w:st=3D"on">Mexico</st1:place></st1:country-region> (7,847 cases with 115
deaths).<span style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></=
p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>Predictably,
the number of cases in <st1:place w:st=3D"on">Africa</st1:place> will only
increase along with the initial fatalities and the challenges to the public
health and economic infrastructures. <span
style=3D'mso-spacerun:yes'>&nbsp;</span><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>Daniel
R. Lucey MD, <st1:stockticker w:st=3D"on">MPH</st1:stockticker><o:p></o:p><=
/span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>EROne
Institutes, Department of Emergency Medicine<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><st1:place
w:st=3D"on"><st1:PlaceName w:st=3D"on"><span style=3D'font-size:9.0pt;mso-b=
idi-font-size:
  14.0pt;font-family:Arial;color:black'>Washington</span></st1:PlaceName><s=
pan
 style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color=
:black'>
 <st1:PlaceType w:st=3D"on">Hospital</st1:PlaceType> <st1:PlaceType w:st=3D=
"on">Center</st1:PlaceType></span></st1:place><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>Adjunct
Professor of Microbiology and Immunology<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><st1:place
w:st=3D"on"><st1:City w:st=3D"on"><span style=3D'font-size:9.0pt;mso-bidi-f=
ont-size:
  14.0pt;font-family:Arial;color:black'>Georgetown University Medical Cente=
r</span></st1:City><span
 style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color=
:black'>,
 <st1:State w:st=3D"on">Washington</st1:State></span></st1:place><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>,
DC<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>Website
for this posting (requires IE): <a href=3D"http://www.bepast.org/">www.BePa=
st.org</a><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:=
black'>e-mail:DRL23@Georgetown.edu<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-layout-grid-align:none;text-autospace:non=
e'><span
style=3D'font-size:9.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-bi=
di-font-family:
"Times New Roman"'><o:p>&nbsp;</o:p></span></p>

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