“…Extensive evolutionary genetic analysis has indicated that East Asia has been the major source of H9N2 in the Middle East area [17]. Circulation of H9N2 viruses in the Middle East and Northern Africa since the year 2000 has been frequently reported in Israel, Jordan, Lebanon, Saudi Arabia, the United Arab Emirates, Kuwait, Iraq and Libya, where inactivated vaccines have been implemented in some countries to combat H9N2-associated disease of economical importance in poultry [5,8,17,36]. Nevertheless, isolation of H9N2 virus from poultry has not yet been reported from Egypt, whereas the endemic status of H5N1 virus in poultry in Egypt with frequent, and occasionally fatal, transmissions to the human population since 2006 is well known [3].…”