Indonesia - Family in Karo suspected of having bf

[Bruce]

Re: Indonesia - Family in Karo suspected of having bf

Three suspected bird flu patients die in Medan Apriadi Gunawan, The Jakarta Post, Medan
Three suspected bird flu patients have died in North Sumatra during the past week, with the latest victim passing away in a Medan hospital Wednesday morning.
According to the North Sumatra Bird Flu Prevention Team, the three victims, all from Kubu Simbelang village in Karo regency, died several days after being admitted to hospitals in Medan.
The team said three other suspected bird flu patients are currently being treated at Adam Malik Hospital in Medan.
Nur Rasyid Lubis, the head of North Sumatra's Suspected Bird Flu Patient Management team, said Wednesday the three dead victims had eaten chicken together.
Several days after eating the chicken, "the first suspected victim, Fuji Ginting, experienced breathing problems and a high fever. The same symptoms were also suffered by the two other victims, Anta Ginting and Roy Karo-Karo", Nur said.
Anta, 29, died at Adam Malik Hospital on Wednesday morning, while Roy, 18, died at the same hospital Tuesday. Roy's father, Fuji, 40, passed away May 4 at Elisabeth Hospital.
Nur, who is also deputy director of medical services at Adam Malik, said the hospital did everything in its power to treat the patients, but was unable to save them.
North Sumatra Health Office chief Fatni Sulani said the office was investigating the cases and had sent blood samples from the three to Jakarta for testing.
"We expect the results of the blood tests to be completed in the next two weeks. For the meantime, the three victims are still suspected, not positive, bird flu patients," Fatni said.
She said that North Sumatra has not had a confirmed case of bird flu in humans.
"So far, the bird flu virus in North Sumatra has only affected fowl. Thirteen regencies/cities have been put on bird flu alert after the virus was found in local birds," Fatni said.
She said the cities on bird flu alert included Binjai, Deli Serdang, Langkat and Medan.
North Sumatra Husbandry Office head Rahim Siregar said Wednesday his office had added Karo regency to the list of bird flu prone areas in the province.
"Fowl in North Sumatra have been affected by bird flu since July 2005, but there have been no confirmed cases in humans," Rahim said.
http://www.thejakartapost.com/detailnational.asp?fileid=20060511.G02&irec=3

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

http://www.metrotvnews.com/berita.asp?id=16468


One of the patients suspect bird flu that was treated in RSUP Adam the Owner, Medan, North Sumatra.
(Metro the TV)
Metrotvnews.com, Medan: the Condition two patients terindikasi bird flu in Adam's space of the isolation of the central Public Hospital the Owner, Medan, North Sumatra, it was reported still was critical.
Beforehand, three people from the same family died with the indication was infected by the bird flu virus.
The two patients that was critical this each being named Reneita Boru Ginting that just aged one half of the year and Boni Karokaro, the adolescent was 15 years old.
Both of them were treated since three days set after being reconciled from RSU Kabanjahe.
Reneita and Boni were villagers the Simbelang Fortification, the Subdistrict of three bows, of the Karo Land Regency, North Sumatra.
Deputy Director RSUP Adam the Owner, M. Nurrasyid said, the two patients experienced critical since last Wednesday (10/5).
Their condition was in part marked in a hot manner the temperature of the body that fluctuated quickly.
The two patients also suffered difficult pneumonia was accompanied by the cough that became the characteristics of the infection of the bird flu virus of the beginning.
Beforehand, three people from the same family died after could undergo the maintenance two days in RSUP Adam the Owner.

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Casualties was killed Bird Flu Karo Tertular through Manure
In an orderly manner Irawan Nurrachman - detikcom
<!--IMAGE --><EMBED align=right src=""http://ad.detik.com/images/peristiwa/prs-relion240x400.swf width=240 height=400 type=application/x-shockwave-flash border="0">Jakarta - the Family that was killed it was suspected resulting from bird flu in the Karo Regency, North Sumatra (North Sumatra) evidently liked to work the soil. They often bought manure from Binjai and Langkat, the area that his poultry was stated positive affected avian influenza (AI).

Nah, from manure so was suspected the source of the spread happened. "Yes tertular diindikasi from manure." Because the only one Link Only from there, because they his place was clean, not positive (AI), said Menkes Siti Fadilah Supari.

Menkes stated that ended the signing MoU between the Department of Health, the Minister Of State for the PAN, and BPKP concerning Good government In the Department of Health Building, Street HR Rasuna Said, Southern Jakarta, on Thursday (11/5/2006).

According to him, the Karo Land in Medan was the territory that his poultry was negative AI. "After was massaged-massaged evidently the family liked to work the soil and use manure that was made from Binjai and Langkat that were the positive place of bird flu in 2005," he explained.

So, further Menkes, the Department of Health will hold investigation to research from where from this deadly virus. "Officially Livestock Breeding and the Department of Agriculture already there and checked." Hopefully today could be known, said Menkes.

As being reported, three patients Suspect Bird flu died in Karo, Medan. The three of them were Roy Karo-Karo (19), died on May 9 2006. Praised Br Ginting (the mother Roy) died last May 4. Thirdly, Ana Br Ginting, relatives were 29 years old that remained a house.

Beforehand this family it was known consumed the piece chicken that was bought from the traditional market in Kabanjahe, the Karo capital. Moreover around casualties's residence also was gotten by the chicken livestock and the pig. [FONT='MS Sans Serif',Geneva,sans-serif](aan) [/FONT]

http://www.detiknews.com/index.php/d...046/idkanal/10

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Officially North Sumatran Livestock Breeding will carry out the Extermination of the Chicken
Khairul the Brother - detikcom
<!--IMAGE --><EMBED align=right src=""http://ad.detik.com/images/peristiwa/prs-relion240x400.swf width=240 height=400 type=application/x-shockwave-flash border="0">Medan - followed the discovery of casualties suspect bird flu in the Karo Regency, that has
Resulted in three casualties being killed, the North Sumatran Livestock Breeding Service (North Sumatra) planned to do the extermination against the poultry that tertular the bird flu virus.

The section head North Sumatran Livestock Breeding the Siregar Uterus said, the extermination will especially be carried out around casualties's house that was in the Simbelang Fortification Village, the Subdistrict of three bows, the Karo Regency, as well as the radius three kilometre from there.

Moreover, will be done by spraying disinfektan to anticipate the possibility of this outbreak of the bird flu virus.

"Officially Livestock Breeding allocated disentifektan totalling 60 litre, and antigens Rapid test AI totalling 135 samples/kit." We coordinated with BPPV Regional I Medan to do surveilans to prove to have or not the virus infection H5Ni to the poultry in the location suspect humankind, said the Siregar Uterus to the reporter in the Office Governor North Sumatra, Street Diponegoro Medan, on Wednesday (10/5/2006).

Now from the Karo Regency, was received by information, the regent ordered
The government's local apparatus to be on full alert. This anticipated
The possibility of the existence of new casualties suspect bird flu.

Kesiagaan the government's apparatus as far as the level of the village, was the decision of the meeting
The co-ordination that dilpimpin the Regent Karo DD Sinulingga. The regent dismissed the order
To the health service, the agricultural service as well as the sub-district heads of more than one Karo Regency to be on full alert.

Moreover, also was done by counselling to the community about the illness and his control efforts to the community.

Now to anticipate the possibility of the entry of the bird flu virus from outside Karo, the supervision was also tightened towards the entry traffic of the poultry and the waste of the livestock in the border of the Karo Regency.

For the poultry that it was suspected was affected by the illness was not allowed to enter the Karo Land and to be immediately destroyed. Now for the waste of the livestock that was utilised for fertiliser of the agricultural crop, was kept might not enter Karo at least for 12 hours. [FONT='MS Sans Serif',Geneva,sans-serif](ahm) [/FONT]

http://www.detiknews.com/index.php/d...430/idkanal/10

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Commentary at

http://www.recombinomics.com/News/05...ertilizer.html

[GaudiaRay]

Re: Indonesia - Family in Karo suspected of having bf

Commentary at

http://www.recombinomics.com/News/05...ertilizer.html

Sumatra H5N1 Cluster Linked to Fertilizer?

Recombinomics Commentary
May 11, 2006

the Family that was killed it was suspected resulting from bird flu in the Karo Regency, North Sumatra (North Sumatra) evidently liked to work the soil. They often bought manure from Binjai and Langkat, the area that his poultry was stated positive affected avian influenza (AI).

The above comments suggest that the suspected cluster of H5N1 bird flu cases is linked to contaminated fertilizer. However, although fertilizer may have led to infection of the index case, Praise br Ginting (40F aka Fuji Finting, 40M), who died May 4, there was a significant gap in the dates of death in other family members. Her son Roy Karokaro (19M) died on May 9 and the aunt, Anta br Ginting (29F) died on May 10.

At least 4 family members remain hospitalized. Boni Karakar (15 or 18M) is a brother who is in the most critical condition and is on a respirator. Cousin Reneita Boru Ginting (1.5F) is also in critical condition. Both are at RSU Adam. Cousin Obvious Ulina Ginting (8) may be another name for Rafael Ginting (8 or 10) who has been transferred to RS Elizabeth, along with uncle Jones Ginting (25 or 35M).

The spread in age and disease onset dates suggest the index case infected the other family members, rather than all 7 or 8 being infected by contaminated fertilizer. If H5N1was efficiently transmitted by fertilizer, the number of cases in North Sumatra, Binai. or Langkat would be higher.

The second H5N1 cluster in Indonesia was also said to linked to fertilizer last fall in Jakarta. However, like the cluster in Sumatra, there was a significant time gap between disease onset in the index case (aunt) and family member (nephew), both of whom were H5N1 positive. The aunt died and the nephew recovered after hospitalization with a mild case of influenza.




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[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

The patient Suspect Bird Flu insisted left the Hospital
Khairul the Brother - detikcom
<!--IMAGE --><EMBED align=right src=""http://ad.detik.com/images/peristiwa/prs-relion240x400.swf width=240 height=400 type=application/x-shockwave-flash border="0">Medan - Although being stated did not yet recover and still must get the intensive maintenance, two patients suspect bird flu from the Karo Regency, North Sumatra (North Sumatra) determined to leave the hospital. Officially the Health of the Regency was forced to guard both of them to do the security action, in order to the spread of the continuation not happen.

Information that was received from the central Public Hospital (RSUP) Adam the Owner on Thursday (11/5/2006) mentioned, the two patients that left the hospital, respectively Jones Ginting, 25 years, and Obviously Ulina br Ginting, the daughter was 8 years old.

Both of them left the hospital on Wednesday night (10/5/2006), and immediately came home to the residence nereka in the Simbelang Fortification Village, the Subdistrict of three bows, the Karo Land Regency, around 170 kilometre from Medan, the North Sumatran capital.

Jones and Obviously Ulina were treated since Monday (8/5/2006), with the sign of the illness resembled the characteristics terjangkit the bird flu illness. However till Thursday the hospital side still could not confirm whether both of them terjangkit the bird flu virus or not.

"We have asked that the Health Service of the Karo Regency carried out the security action of preventing the spread," said Deputy Director Pelayanan Medis and Education RSUP Adam the Owner M. Nur Rasyid Lubis.

With returning of the two patients, then the patient suspect bird flu that still was treated in RSUP Adam the Owner remained at two people, namely Bonny Karo-karo (18) and Renaita Tarigan (1.8 years).

The two patients that was treated in this A space of the Longing isolation, still in the critical situation and failed breathing. To breathe both of them received help of breathing or the ventilator.

The team of the doctor from the Department of Health that was chaired by Dr Sadikin and the Organisation of the Health of the World (WHO/World Health Organization) that came on Thursday early afternoon, to have carried out the taking of the sample of saliva and second blood two this patient.

According to Sadikin, medically the two patients who were treated in this isolation space had the sign was infected by bird flu. However his side needed time two weeks to ascertain results of the inspection in the laboratory. [FONT='MS Sans Serif',Geneva,sans-serif](the ball) [/FONT]

http://www.detiknews.com/index.php/d...307/idkanal/10

[Shannon Bennett]

Re: Indonesia - Family in Karo suspected of having bf

My eyebrows are climbing up my forehead. I think your interpretation of the translation is accurate. What you didn't highlight was the sentence,

Officially the Health of the Regency was forced to guard both of them to do the security action, in order to the spread of the continuation not happen.

They obviously suspect it may be h2h. At least the reporter thinks so,

Am I reading this correct?<O =""></O>
<O =""></O>
1. A mother and child under treatment for H5N1 wanted to leave the hospital.<O =""></O>
2. They were not allowed to leave and paced under guard.<O =""></O>
3. At nigh time Wednesday they escaped and fled to their home town

1. ...not yet recover and still must get the intensive maintenance...two patients suspect bird flu determined to leave the hospital...<O =""></O>
2. ...forced to guard both of them to do the security action...
3. ...Both of them left the hospital on Wednesday night and immediately came home...


<O =""></O>

[Sally Furniss]

Re: Indonesia - Family in Karo suspected of having bf

AKARTA, May 11 (Xinhua) -- Three suspected bird flu patients have died in Indonesia's North Sumatra province during the past week, all were the residents of a same village in Karo regency, a newspaper reported Thursday.

The province's Bird Flu Prevention Team also announced three other suspected bird flu patients are currently being treated at Adam Malik Hospital in the provincial capital of Medan, said The Jakarta Post.

The three dead victims reportedly had eaten chicken together, and several days later they experienced breathing problems and high fever.

North Sumatra Health Office chief Fatni Sulani was quoted as saying the office was investigating the cases and had sent blood samples from the three to Jakarta for testing.

"We expect the results of the blood tests to be completed in the next two weeks. For the meantime, the three victims are still suspected, not positive, bird flu patients," Fatni said.

She said that North Sumatra has not had a confirmed case of bird flu in humans.

"So far, the bird flu virus in North Sumatra has only affected fowl," she said.

The World Health Organization has confirmed 25 bird flu deaths in Indonesia. Enditem

http://news.xinhuanet.com/english/2006-05/11/content_4533760.htm

[MHSC]

Re: Indonesia - Family in Karo suspected of having bf

Bonny & Brenata have also died, that makes 5 now. Story says 12 more being treated. Not clear if that includes the original cluster or 12 new cases.


Another Suspect Bird Flu died
Khairul the Brother - detikcom

Medan - the Case of bird flu that it was suspected spread in the Karo Regency, North Sumatra, again claimed casualties. A patient suspect middle bird flu in treated in the hospital, today, on Friday (12/5/2006) died. Therefore casualties died on this case in North Sumatra already four people.

Casualties died on this day was Bonny Karo-karo (18). He died during in the maintenance in A Space of the Longing Isolation, the central Public Hospital (RSUP) Adam the Owner, Street Bungalow, Medan.

"He died around struck 13.45 WIB." His body has been brought to Kabanjahe, the Karo Land around struck 15.00 WIB, said a medical official of this hospital to the reporter.

Therefore casualties died dunia. in the case of the assumption of this bird flu already four people. Three casualties died beforehand, Roy Karo-Karo (19). that died on May 9 and Praise Br Ginting died on May 4. Now Ana Br Ginting, the woman was 29 years old, died to last May 10.

All the casualty was still being counted by the family. They lived in the Simbelang Fortification Village, the Subdistrict of three bows, the Karo Land Regency, around 170 kilometre from Medan, the North Sumatran capital.

With the death of Bonny Karo-karo, then casualties that was treated in RSUP at this time numbering two people, namely Renaita Tarigan (1,8), Rafael Ginting (8), Rafael was beforehand treated in RS Elizabeth in Street Imam Breakingprep Bonjol Medan > But on Thursday night (11/5/2006), was reconciled to RSUP Adam the Owner.

In fact was two again the patient that suspect bird flu. Namely Jones Ginting (25), and Obviously Ulina br Ginting, the daughter was 8 years old. However both of them forced left the hospital, although being not yet permitted. Currently both of them in the supervision of the Health of the Karo Regency of the Service. (jon)

http://www.detiknews.com/index.php/...4129/idkanal/10


machine translation:

Flu Burung
casualties the Assumption of Bird Flu in Medan Bertambah
the bird flu Patient was treated intensive in RSUP Adam the Medan Owner.
The bird flu patient was treated intensive in RSUP Adam the Medan Owner.
12/05/2006 18:28

Brenata became casualties was killed fifth that was expected terjangkit bird flu in Medan, North Sumatra.
The child was 18 months old was killed after could be treated intensive in RSU Adam's Centre the Owner, Medan.

Liputan6.com, Medan: Bird Flu again claimed casualties.
This time his casualties were Brenata.
The child was 18 months old was killed after could be treated intensive in Adam's central Public Hospital the Owner, Medan, North Sumatra, on Friday (12/5).
Brenata became casualties was killed fifth that was expected tertular bird flu in Medan.
Brenata came from the village that was the same as several casualties died other, namely the Simbelang Fortification Village, the Subdistrict of three bows, the Karo Land Regency.
As for two from five casualties was the older brother was siblings [read: A Patient the Assumption of Bird Flu of dying].
While 12 assumption patients of other bird flu were still being treated intensive in RSUP Adam the Owner.
Worry with the spreading of this deadly virus, the Government of the North Sumatran Province instructed the Health Service of the Karo Land to sterilise the area that it was suspected became the source of the spread.
The sterilisation was carried out in a radius of one kilometre.
Officially North Sumatran Livestock Breeding carried out the vaccination and spraying in the house environment of the casualties.
(TOZ/Polmart Aritonang and the Rambe Good Deed)

http://www.liputan6.com/view/7,1227...1147446036.html <!-- / message -->
<!-- / message -->

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

The Temporary inspection, the Poultry in the Land Karo the Bird Flu Negative
Khairul the Brother - detikcom
<!--IMAGE --><EMBED align=right src=""http://ad.detik.com/images/peristiwa/prs-relion240x400.swf width=240 height=400 type=application/x-shockwave-flash border="0">Medan - Although resulting in casualties being killed four people, but the source of the bird flu virus that it was suspected was contagious in the Karo Land Regency, North Sumatra (North Sumatra) was not yet found. Results of the temporary inspection of the poultry in the area, not terjangkit bird flu.

In his information to the reporter in Medan, on Friday (12/5/2006), the Head of the Information Body and North Sumatran Communication of Eddy Syofian, mentioned, the North Sumatran Livestock Breeding Service, the Karo agricultural Service and BPPV Regional I Medan has carried out the inspection around casualties's residence suspect bird flu that died in the Simbelang Fortification Village, the Subdistrict of three bows, the Karo Land Regency.

However from an amount sample the poultry was checked was not found by the existence of the virus H5N1, the variant that caused bird flu. In spite of that, anticipation efforts continued to be carried out like surveillance and monitoring the illness. Several materials and the medical implement for the fast diagnosis in the field also have been prepared. That is antigens rapit test H5N1 totalling 165 test, the killing material of the virus of Q-Chem totalling 60 litre, as well as the implement of the disinfectant syringe totalling two units.

The step that was carried out by the Government of this North Sumatran Province, said Eddy Syofian, was the preventive action, because actually the cause of the death of four villagers the Simbelang Fortification still could not be ascertained.

"Still could not be ascertained whether casualties died that could undergo the maintenance in RSUP Adam the Owner resulting from bird flu." Until this we were still being waiting for results of the inspection specimen casualties's blood in the laboratory in Jakarta. Results will be known two weeks are still known, said Eddy that spoke in the Office Governor North Sumatra, Street Diponegoro Medan.

http://www.detiknews.com/index.php/d...132/idkanal/10

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Commentary at

http://www.recombinomics.com/News/05...Sumatra_5.html

[DB]

Re: Indonesia - Family in Karo suspected of having bf

http://www.recombinomics.com/News/05...Sumatra_5.html
Commentary

Fatalities in Sumatra H5N1 Cluster Increase to Five

Recombinomics Commentary
May 12, 2006

Casualties died on this day was Bonny Karo-karo (18). He died during in the maintenance in A Space of the Longing Isolation, the central Public Hospital (RSUP) Adam the Owner, Street Bungalow, Medan.

This time his casualties were Brenata.
The child was 18 months old was killed after could be treated intensive in Adam's central Public Hospital the Owner, Medan, North Sumatra, on Friday (12/5).


The above translations indicate the two family members who had been placed on respirators have died. This raises the number of family members who have died to five. If confirmed, this would be the largest number of fatal H5N1 bird flu cases in a single family cluster.

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[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

More commentary at

http://www.recombinomics.com/News/05..._Medan_12.html

[DB]

Re: Indonesia - Family in Karo suspected of having bf

http://www.recombinomics.com/News/05..._Medan_12.html
Commentary
Twelve Suspect H5N1 Patients Hospitalized in Medan Indonesia

Recombinomics Commentary
May 12, 2006

While 12 assumption patients of other bird flu were still being treated intensive in RSUP Adam the Owner.

Worry with the spreading of this deadly virus, the Government of the North Sumatran Province instructed the Health Service of the Karo Land to sterilise the area that it was suspected became the source of the spread.
The sterilisation was carried out in a radius of one kilometre.
Officially North Sumatran Livestock Breeding carried out the vaccination and spraying in the house environment of the casualties.

The above translation indicates 12 more suspected cases of H5N1 bird flu are being treated in intensive care at RSUP Adam, where five family members have already died. This may be why the two other hospitalized family members left the public hospital and are now in a private hospital, RS Elizabeth.

12 additional suspect cases are cause for concern. The first fatality was on May 4, followed by deaths on May 9, 10 and two deaths on May 12.

More information on the 12 hospitalized patients would be useful.

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