Indonesian Human Cases: Nov 3 to Dec 4, 2007

[AlaskaDenise]

Re: Indonesian Human Cases Nov 3+

Commentary at

http://www.recombinomics.com/News/11..._Clusters.html

Commentary

Another Suspect H5N1 Cluster in Riau Indonesia
Recombinomics Commentary
November 9, 2007

A baby, 8 months old, initials MG, is treated, suspected for bird flu in Pekanbaru Hospital, , RSUD Arifin Achmad, Riau Sumatra.

The child has high fevers , 40 celsius, difficulty with breathing. Admitted in this hospital at 11 / 8; coming from another hospital: Permata Hati in Duri.

It is a neighbour of Muhammad Nabi who died recently, who is confirmed positive now. Report says it is known the baby had contact with Muhammad.

Samples are taken for testing in Jakarta Laborarory from Ministry of Health.

The above summary translation of local media reports on patients in Riau in the north Sumatra region of Indonesia continues to suggest that the efficiency of transmission of H5N1 to humans in Indonesia is increasing.

Neither of the above cases has been officially confirmed, but local media indicates that one (MN) has been confirmed locally. This fatal case was an employee at the hospital where confirmed H5N1 patients were recently treated (earlier two additional HCW's were suspected cases). The WHO confirmed cases in Indonesia have been clustering in Riau, and in Tangerang (the four most recent confirmed cases, 12M, 5M 3M, 30F, were from Tangerang), which is adjacent to Jakarta.

Recently, there was a suspect cluster in Riau. The index case died with bird flu symptoms, but was not tested. Her daughter also died and initial media reports indicated she tested positive locally. However, H5N1 was not confirmed in addition test(s), so neither fatal infection is listed as an official case.

The latest cluster from Riau involves neighbors. Thus, there are two suspect cluster involving four patients and three of the four have died.

More detail on these suspect cases which form suspect clusters would be useful.


.

[Gert van der Hoek]

Re: Indonesian Human Cases Nov 3+

More from Republika:

Pasien Meninggal di RSUD Pekanbaru Positif Flu Burung

The Patient who died in RSUD Pekanbaru Positive Bird Flu

No machinetranslation available

Report says confirmation by telephone from Balitbankes, this is the laboratory of Dep of Health in Jakarta.

This confirmed patient is Muhammad Nabi (31), who died shortly after arrival in Pekanbaru Hospital on tuesday 11 - 6.

http://republika.co.id/online_detail.asp?id=313239&kat_id=23

Edit: Other reports say Muhammad is an administrative hospital employee, and is neighbour of a boy, suspected to have bird flu.

[Commonground]

Re: Indonesian Human Cases Nov 3+

NEW CASE

Mother Hold Chicken Dead
Baby Age 8 Months Stated Suspect Flu Burung
09 Nov 2007 11:28 wib

Pekanbaru (RiauInfo) - Person baby aged 8 months berinial MB resident Duri, now stated suspect flu burung and to be treated in isolation room RSUD Arifin Achmad, Pekanbaru. Condition quite oarah (no definition. parah = serious) with temperature body as high as 40 degree celsius and experiene crowded to breath.

MB to be treated in RSUD Arifin Achmad since Thursday night (8/11) past. Before to be treated in RSUD Arifin Achmad he have a chance to be handled in a house sick in Duri. But because feverish tidaknjuga descend he then referred to RSUD Arifin Achmad. Observe condition of late he alleged suspect flu burung.

Ketua (Chief) Team Penanganan Flu Burung RSUD Arifin Achmad dr Azizman, to journalist admit situation baby age 8 months was stated suspect flu burung. "We already get Swap mucous throat and blood to be sent to Balitbangdes Depkes in Jakarta," clear.

He commented from information the family referred to before baby that to suffer fever, her mother had handled a chicken that died. Through hold chicken that immediately take hold of her child. "So therefore not there is contact with chicken but through her mother," say he more.

From diagnosis that already done, baby aforementioned certainly resemble sufferer flu burung. Temperature of the body very high and leukositnya descend drastic become 3,400. "We already give Tamiflu to baby aforementioned," jelasnya.

http://www.riauinfo.com/main/news.php?c=6&id=3011

[Commonground]

Re: Indonesian Human Cases Nov 3+

Alert - 6 New Cases - Riau

[Important: bin = "son of", so these children below may be the "son of" the following person....or the previous person listed]


MB Positive, Six Residents Duri Others Suspect Flu Burung
Friday, 09, November 2007 15:49

Tommorow, WHO and Depkes Descend To Riau

Pekanbaru - Baby who has the initials MB (8 bin [?] ) resident Duri, that night this enter to space diagnostic flu burung RSUD Arifin Achmad Pekanbaru already was stated positive suffer from virus flu burung.

Information recently startled disclose that there is six resident Duri Regency Bengkalis, Riau when now assigned as suspect flu burung. Each NB (8,5 bin), U (41 yr), LI (23 yr), AI (4,8 bin), MR (2 yr) and SM (23 yr). Three amoung resident this Avian Influenza, MR and SM already be handled team medical in RSUD Arifin Achmad and whereas three other NB, U and LI still in journey from Duri towards Pekanbaru.

According to information Kasubdis Pelayanan Health and Gize Dinas Health Province Riau H Burhanuddin Agung, sixth resident Duri now was stated suspect because to possess symptoms that the same with characteristics patient flu burung.

However when connected with patient flu burung MN origin Duri that recently died world Tuesday (6/11) past, team handling flu burung not yet be able to determine from where source/origin virus that infected toward six residents suspect flu burung source town same this.

"To six patients suspect now confess not ever had contact pysical body with MN, maybe contact with poultry, now still we investigate," clear Burhanuddin reply riautoday.com some a short time past, Friday (9/11).

With total suspects that sufficient many now in time that not too exceedingly long motivate/cause side Department Health RI and team Dari World Health Organization (WHO) immediately go down to Riau," express Burhanuddin.

http://www.riautoday.com/new/index.php?option=com_content&task=view&id=3355&Itemid=1

[Gert van der Hoek]

Re: Indonesian Human Cases Nov 3+

No machinetranslation here

According to this report from Riau Info, the six patients had contact with the deceased Muhammad Nabi.

MB (8 months), U (41), I (23), AI (5) that is MB sister, M (20) aunt of MB and SM (23) neighbour Muhammad Nasbih.

All are treated now in isolation space of Pekanbaru Hospital, suffering from "high fever and crowded breath".

http://www.riauinfo.com/main/news.php?c=6&id=3019

[Commonground]

Re: Indonesian Human Cases Nov 3+

Odd. Good thing I typed in the time stamp of the first article. Same time stamp. I think the whole article has been rewritten, because Lima is "5" and the first article says "6". I will have to go and translate this "newer version".....

This is what the same article says now:

MN Positif, Lima Warga Duri Lainnya Suspect Flu Burung
Friday, 09 November 2007 15:49

RSUD Arifin Achmad Pekanbaru, selanjutnya AI (2 thn), RM (5 thn), MR (20 thn), SM (23 th). AI, RM dan MB merupakan kakak beradik dan MR bibi mereka sedangkan SM merupakan tetangga MN. Sementara itu U (41 thn) dan LI (32 thn) yang merupakan kedua orang tua ketiga bocah tersebut dinyatakan under investigasi.

http://www.riautoday.com/new/index.php?option=com_content&task=view&id=3355&Itemid=1

[Commonground]

Re: Indonesian Human Cases Nov 3+

Rewritten article. This is a whole different article with the exact same time stamp.

MN Positive, Five Resident Duri Other Suspect Flu Burung
Friday, 09 November 2007 15:49

Tomorrow WHO and Depkes descend to Riau
Pekanbaru - MN patient suspect flu burung origin Duri that died on Tuesday (6/11) past positive suffer from virus flu burung.

In addition to those five residents Duri other was stated suspect flu burung, individually Baby who has the initials MB (8 months) who this evening enter to room diagnostic flu burung RSUD Arifin Achmad Pekanbaru, after that/furthermore AI (2), RM (5), MR (20), SM (23). AI, RM and MB form older sibling having a younger brother or sister and MR Aunt them whereas SM form neighbor MN. For the moment that U (41) and LI (32) that form second person mature third child aforementioned stated under investigation.

According to official statement Kasubdis Pelayanan Health and Gizi Dinas Health Province Riau H Burhanuddin Agung, fifth resident Duri now was stated suspect due to the fact that have symptoms that equal with characteristics patient flu burung.


However when connected with patient flu burung MN origin Duri thich recently died world Tuesday (6/11) past, team handling flu burung not yet be able determine from where original source virus that infected five resident suspect flu burung origin city this.

"All five patient suspect now admit not have contact physically with MN, possible contact with poultry, now still we investigate," clear Burhanuddin reply riautoday.com a few hour past, Friday (9/11).

With total suspect that enough/sufficient many now in when that not too long motivate/cause side Department Health RI and team from World Health Organization (WHO) descend immediately to Riau. "Yah, tomorrow team from WHO and Depkes will descend to Riau," say Burhanuddin.

http://www.riautoday.com/new/index.php?option=com_content&task=view&id=3355&Itemid=1

[Commonground]

Re: Indonesian Human Cases Nov 3+

Suspected Cluster

AI & RM are older siblings of MB (8 months)
MR is the Aunt.
SM is a neighbor of Mohamad Nabi.

[Commonground]

Re: Indonesian Human Cases Nov 3+

These must be the parents:

For the moment that U (41) and LI (32) that form second person mature third child aforementioned stated under investigation.

[HenryN]

Re: Indonesian Human Cases Nov 3+

Commentary at

http://www.recombinomics.com/News/11090702/H5N1_Riau_Clusters_Grow.html

[HenryN]

Re: Indonesian Human Cases Nov 3+

Latest version



Tomorrow, WHO and Department of Health Turun to RiauLaporan on the Echo of Setara redaksi@riautoday.com

Pekanbaru -- MN the patient suspect bird flu from the Thorn that died last Tuesday (6/11) positive contracted the bird flu virus.

In the meantime five residents of the other Thorn were stated suspect bird flu, respectively the Baby have the initials MB (8 bln) that this night entered space of bird flu diagnostics of RSUD Arifin Achmad Pekanbaru, furthermore AI (2 thn), RM (5 thn), Mr (20 thn), SM (23 th).AI, RM and MB was the sibling older brother and Mr their aunt whereas SM was the neighbour MN. Sementara Itu U (41 thn) and LI (32 thn) that was the two parents of the three children was stated under investigation.

According to information of Kasubdis Pelayanan Kesehatan and the Dinas Kesehatan Nutrient of the Province Riau H Burhanuddin Agung, the five residents of this Thorn were stated suspect because of having the sign that was the same as the characteristics of the bird flu patient.

However when being connected with the MN bird flu patient from the Thorn that finally had died last Tuesday (6/11), the team of the handling of bird flu still could not confirm from where from the virus that was spread to five residents suspect bird flu from this same city.The five 'patients suspect this claimed never physical contact with MN, possibly contact with the poultry, this was still being investigated by us', explained Burhanuddin answered riautoday.com several moments ago, on Friday (9/11).

With the number suspect that enough this in time that was not too long caused the Department's side of the RI Health and the team from the World Health Organization (WHO) descended directly to Riau.

Yes', tomorrow the team from WHO and the Department of Health will descend to Riau', said Burhanuddin.(hnr)


</PRE>

[HenryN]

Re: Indonesian Human Cases Nov 3+

On Friday, November 09 2007 13:43:00
the Baby eight months Suspect Burung
Flu
Pekanbaru-RoL -- the male Baby was eight months old have the initials MG, was the resident of the Thorn, Kabupaten Bengkalis, of Riau was appointed to was expected (suspect) avian influenza and currently was treated in space the Daerah isolation of Public Hospital bird flu (RSUD) Arifin Achmad, Pekanbaru.
"These pre-schoolers were reconciliation from the Hati Jewel clinic, Duri," said Tim Doctor Penaggulangan Flu Burung RSUD Arifin Achmad Chairman, Azizman Saad in Pekanbaru, on Friday.
Before being sick, these pre-schoolers had it was known carried out contact with the patient died that just was appointed by the positive patient bird flu, Muhammad Nabi, the resident Simpang Garoga, Duri, of Kabupaten Bengkalis, Riau.
"These pre-schoolers were the neighbour from Muhammad Nabi, the patient died that just was stated positive avian influenza by Balitbangkes Department of Health Jakarta," said Azizman.
Nevertheless the team of the doctor could not give some sort conclusions concerning the possibility of the spread, because still must be waiting for results of the research of Balitbangkes, the Department of Health.
He added, this pre-school body currently bersuhu 40 levels celcius, and breathed totalling 60 times per the minute, nevertheless he named this condition not yet including critical.
These pre-schoolers entered RSUD Arifin Achmad on Thursday night (8/11) after beforehand in treated in the Permata Hati Clinic, Duri.
On this day the team of the doctor will send the sample wiped off nose mucus and the throat as well as this pre-school blood to Balitbangkes Departemen of the Health, Jakarta to confirm whether he was positive or negative H5N1.
In the meantime, the pre-school neighbour, Muhammad Nabi (31) that died in RSUD Arifin Achmad, on Tuesday (6/11) were stated positive flu burung. between/abi

http://republika.co.id/online_detail.asp?id=313240&kat_id=23

[Commonground]

Re: Indonesian Human Cases Nov 3+

QDT & Dictionary Translatlion

Dinkes (Health Dept.) and Disnak (Animal Husbandry Agency) Are Summoned Hearing
Friday, 09 November 1007 16:09

Do Not Take Serious and Not At all Transparent Matter Flu Burung

Pekanbaru - Dinas Health and Dinas Peternakan Province Riau was rated not serious and not transparent in handling flu burung in Riau. Due to the fact that in time close now Commission B and Commission D DPRD Province Riau will immediately schedule summoning hearing with both agencies aforementioned. According to member Commission B Azir Alimuddin, his side will quickly carry out hearing with Dinas Peternakan Province Riau. Commission B feel/perceive very angry because Disnak only acted when there is case(s) flu burung that appear in lapangan. However/in fact with a number of victims flu burung imperative Disnak quickly listen attentively in ability procedure.

"Example by confining a area that become endemic and ban livestock poultry in settlement resident. During this/As long as/ seek aforementioned not be visible they have a certain attitude that virus flu burung just like virus-virus usual/ordinary that does not cause worry," explicit Azwir this morning, Friday (9/11) respond riautoday.com.

Meanwhile members Commission D Mukti sanjaya also say his side will immediately summon Dinas Health Province Riau. According to him Diskes for a long time not transparent. Concerning this in connection with matter of patient suspect flu burung that kept secret. "Fundamentally impression be/is that shut-to cover up because Diskese issue condition patient them actually/in fact," clear Mukti more.

In see fact that there is where found a number of casualties died result flu burung this explain attitute/demeanor DPRD regarding/with respect to government. Because that strive for hearing in time near now certainly be wisdom/policy which precise.

http://www.riautoday.com/new/index.php?option=com_content&task=view&id=3356&Itemid=1

[Commonground]

Re: Indonesian Human Cases Nov 3+

TT Version of Post #75

Dinkes and Disnak Dipanggil Hearing
on Friday, on November 09 2007 16:09
Tidak Serius and Not Transparan Soal of Flu of Burung
Laporan Yusuf
redaksi@riautoday.com Pekanbaru -- the Kesehatan Service and the Service of Peternakan Provinsi Riau were it was thought not serious and not transparent in the handling of bird flu in Riau.
Because of that in the near future the B Commission and the Commission of D DPRD Provinsi Riau immediately will schedule pemanggilan (hearing) in a second manner this service.
According to the B Azir Alimuddin commission member, his side immediately will do hearing Officially Peternakan Provinsi Riau.
The B commission felt furious because Disnak only acted if having the case of bird flu that stuck up in the field.
In fact with several bird flu casualties, must him Disnak fast preceptive in taking the policy of the handling.
For example with melokalisasi an area that became endemic and banned poultry livestock breeding in the settlement of the resident.
Uptil now these efforts did not appear, meerka have an attitude that the bird flu virus only like common viruses that did not worry, explained Azwir this morning, on Friday (9/11) menawab riautoday.com.

In the meantime the D Mukti Sanjaya commission member also said his side will immediately call the Kesehatan Service of the Riau Province.
According to him, Diskes during not transparent.
This in connection with the condition for the patient suspect bird flu that was kept secret.
The main thing is 'seemed to there are those that was covered up by Diskese the matter' of the 'condition' for the 'actual patient', explained Mukti again.
By seeing the available reality where being gotten by several casualties died resulting from this bird flu, clarified the DPRD attitude towards the government.
Because of that efforts hearing in the near future indeed became the exact policy.

[HenryN]

Re: Indonesian Human Cases Nov 3+

Word for word translation snip from Kompas:


The aforementioned child is neighbour from Muhammad Nabi patient died

new just declare positive avian influenza by Depkes Jakarta, said Azzizman.

http://www.kompas.com/ver1/Kesehatan/0711/09/133120.htm

Nothing from Dep of Health yet or Komnasfbpi pon their websites.


Note: Depkes is short for Departemen Kesehatan = Department of Health.

<TABLE cellSpacing=0 cellPadding=0 width=666 border=0><TBODY><TR><TD>The baby eight months Suspect Burung Flu



Pekanbaru, on Friday - The male baby was eight months old have the initials MG, the resident of the Thorn, Kabupaten Bengkalis, of Riau, was appointed to was expected (suspect) avian influenza and currently was treated in space the Daerah isolation of Public Hospital bird flu (RSUD) Arifin Achmad, Pekanbaru.
"These pre-schoolers were reconciliation from the Hati Jewel clinic, Duri," said Tim Doctor Penaggulangan Flu Burung RSUD Arifin Achmad Chairman, Azizman Saad in Pekanbaru, on Friday. Before being sick, these pre-schoolers had it was known carried out contact with the patient died that just was appointed by the positive patient bird flu, Muhammad Nabi, the resident Simpang Garoga, Duri, of Kabupaten Bengkalis, Riau.
"These pre-schoolers were the neighbour from Muhammad Nabi, the patient died that just was stated positive avian influenza by Balitbangkes Department of Health Jakarta," said Azizman. Nevertheless the team of the doctor could not give some sort conclusions concerning the possibility of the spread, because still must be waiting for results of the research of Balitbangkes, the Department of Health.

He added, this pre-school body currently bersuhu 40 levels celcius, and breathed totalling 60 times per the minute, nevertheless he named this condition not yet including critical. These pre-schoolers entered RSUD Arifin Achmad on Thursday night (8/11) after beforehand in treated in the Permata Hati Clinic, Duri.
On this day the team of the doctor will send the sample wiped off nose mucus and the throat as well as this pre-school blood to Balitbangkes Departemen of the Health, Jakarta to confirm whether he was positive or negative H5N1. In the meantime, the pre-school neighbour, Muhammad Nabi (31) that died in RSUD Arifin Achmad, on Tuesday (6/11) were stated positive bird flu. (Antara/An)

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