Thanks for the post, I just saw it also, but did not see any info on outcome of case...

Commentary H5N1 Bird Flu Confirmed in Patient and Poultry in Djibouti Recombinomics Commentary May 11, 2006 The health ministry said that virology tests from samples of an infected person taken last month were positive for the virulent strain of the flu virus, which had also affected three domestic fowl. "Tests from a person suffering from flu-like symptoms on April 27 were positive for the disease," it said. "Three domestic hens were also affected by the virus." The ministry said the tests were carried out with the collaboration of the World Health Organisation at a laboratory in Cairo. The above confirmation of H5N1 bird flu in a patient in Djibouti raise additional concerns about the spread of H5N1 in people and poultry, and the failure to detect H5N1 in adjacent countries.  Wild bird die-offs in adjacent southwest Yemen have been reported many times as have outbreaks in Ethiopia, Somalia, and Kenya.  H5N1 has been repeatedly denied, but H5N1 confirmation in Sudan, Egypt, Jordan, Israel, Iraq, and Iran raises significant credibility issues. Similar credibility issues have become obvious due to reports from wildlife and wetland conservation groups as well as DEFRA.  The groups, like countries adjacent to Djibouti have repeated cited negative bird flu data with no positive LPAI results to validate the collection and testing methodologies employed. These groups then use te false negatives to deny the transmission and transport of H5N1 by wild birds, although dozens of countries in Europe, the Middle East, and Africa have reported H5N1 for the first time.  Included in the list of countries in Africa that confirmed H5N1 are Egypt, Sudan, Nigeria, Niger, Cameroon, Burkina Faso, and Ivory Coast. Media Link http://www.recombinomics.com/News/05110604/H5N1_Djibouti.html

Interesting reference as we all follow the spread of BF     Global Population Density Map

I agree Jhetta - it would be interesting to see such a map.  I found one for livestock but not for poultry.  (I'll have to look around a little more....)

Siblings of Djibouti bird flu case tested: WHO
by Stephanie Nebehay
A 2-year-old girl in Djibouti, the first confirmed human bird flu case in sub-Saharan Africa, was in stable condition on Friday while three siblings had tests for possible infection, the World Health Organization said.

Djibouti Health Minister Abdallah Abdillahi Miguil said on Thursday in remarks broadcast on state television that the girl had tested positive for the H5N1 virus.

The WHO, a United Nations agency, has accepted as valid the results from the girl's sample tested by a U.S. laboratory based in Egypt, according to WHO spokeswoman Maria Cheng.

"Three of her siblings are undergoing investigation for possible infection. Their samples have been sent to the same laboratory," Cheng told Reuters in Geneva.

"They have flu-like symptoms," she said.

The family lives in a poor, rural area of the tiny country near the border with Somalia and kept chickens, Cheng said.

The minister said the virus had been detected in three birds. Cheng said laboratory results were awaited on the samples from the sick poultry. "There has not been a huge die-off of chickens," she added.

The WHO had sent supplies of the anti-viral Tamiflu, by Swiss drugmaker Roche, as well as personal protective equipment to try to prevent the spread of the deadly virus, Cheng said.

"We will send a support team if and when requested by the health ministry," she added. Such teams usually include epidemiologists and experts in infection control.

The girl's symptoms began on April 23 and tests were conducted by the U.S. Naval Medical Research Unit 3 (NAMRU-3) in Cairo on May 10, Cheng said.

The girl remains under medical care in stable condition, Cheng said, adding: "She still has persistent symptoms, presumably fever and respiratory problems."

The WHO's office in Djibouti was helping authorities tighten disease surveillance in the region, where outbreaks of dengue fever can complicate diagnosis, according to Cheng.

The WHO has confirmed 13 cases of bird flu in Egypt, including five fatalities, where outbreaks began in March.

In all, the WHO says there have been 208 cases in 10 countries, including Djibouti, since late 2003, and 115 deaths.

Bird flu remains essentially an animal disease, but experts fear that the virus could mutate into a form that passes easily among humans, potentially triggering a pandemic in which millions could die.
http://news.yahoo.com/s/nm/20060512/ts_nm/birdflu_djibouti_who_dc;_ylt=A0SOwlmiWWREKn4AqiFZ.3QA;_ylu=X3oDMTA5aHJvMDdwBHNlYwN5bmNhdA--

I wonder how long the gap was between the first child showing symptoms and the other children showing same.