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Indonesia Human Cases - April 9, 2008 - 20th June 2008
so you mean that this mean that a pandemic will not start because of this single event?
A cluster of three individuals is not unusual. Since 2003 there have been at least 50 human clusters with at least one WHO confirmed case. Assuming all of the relatives in this cluster are positive or presumed positive (including Ahmad Rizki who was not tested), this cluster only includes 3 people to date. Of the 50 previous cluster at least 10 of them involved more than 4 people. A pandemic did not start with any of these previous clusters. This cluster is not the start of a pandemic unless the number of infected individuals quickly and greatly increases.
HUNDREDS OF poultries IN GANDARIA NORTH was destroyed
Metrotvnews.com, Jakarta, Pihak the district of Gandaria Utara, Southern Jakarta, on Wednesday (14-5), immediately held sweeping the poultry around the Istiqomah house, casualties died resulting from bird flu.
As many as 141 chickens, 27 birds and seven geese succeeded in being destroyed by being cut off and burnt.
The village head Gandaria Utara, Mundari the Istiqomah case was that the first time since being found by bird flu 2005 set.
Was based on the district data, from 50 thousand residents, who maintained the poultry of two percent.
Mundari added his side destroyed and certification of the poultry in this region.
But the poultry that has disertifikasi was stabled and left wandering.
His plan this Thursday, the district side will come back combed the poultry all over the territory of Gandaria Utara Southern Jakarta.
In the meantime the older brother Istiqomah, Alamsyah was still being treated in the Persahabatan Hospital, Jakarta Timur because of suffering the sign avian influenza.
()http://www.metrotvnews.com/berita.asp?id=59035
A cluster of three individuals is not unusual. Since 2003 there have been at least 50 human clusters with at least one WHO confirmed case. Assuming all of the relatives in this cluster are positive or presumed positive (including Ahmad Rizki who was not tested), this cluster only includes 3 people to date. Of the 50 previous cluster at least 10 of them involved more than 4 people. A pandemic did not start with any of these previous clusters. This cluster is not the start of a pandemic unless the number of infected individuals quickly and greatly increases.
AVIAN INFLUENZA, HUMAN (47): INDONESIA, SUSPECTED
*************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>
2 siblings die of suspected bird flu in Jakarta
-----------------------------------------------
JAKARTA: 2 teenagers from the same family have died within 10 days because
of suspected bird flu in Jakarta, prompting health officials to take blood
test of the other members of the family, local press said on Wednesday [14
May 2008].
A 16 year old girl died 4 days after being admitted to the Persahabatan
Hospital in the Indonesian capital on May 8 with laboratory test later
confirming she had the avian flu virus. She had been treated at the
isolated room exclusively for bird flu patients but doctors failed to save
her life, reported leading news website Detikcom.
Ten days before her death, her 15 year old brother died after a brief
treatment at another hospital with symptoms similar to bird flu. "The
symptoms were just the same: high fever, cough and faint. We thought it was
the common [seasonal] flu so he didn't stay at the hospital, but then he
died," the father of the ill-fated teenagers, said. But it cannot be
confirmed that bird flu had caused the boy's death as he didn't take a
blood test.
The family live in a densely populated neighborhood where a nearby house
rears chickens.
Apart from the 2 cases, Indonesia has so far confirmed 133 bird flu cases
in human with 107 deaths since the virus was first reported in 2003.
[If confirmed these deaths will be the first human cases of avian influenza
reported from any country since 13 April 2008. The HealthMap/ProMED-mail
interactive map of Indonesia showing the location of Jakarta (on the island
of Java) can be accessed at <http://healthmap.org/promed?v=-2.6,120.9,5>. -
Mod.CP]
[see also:
Avian influenza, human (42): Egypt, Indonesia 20080406.1257
Avian influenza, human (41): Indonesia, Pakistan, WHO 20080404.1235
Avian influenza, human (40): Indonesia 20080331.1193
Avian influenza, human (39): Indonesia, Viet Nam (WHO) 20080319.1060
Avian influenza, human (29): China, Indonesia, Viet Nam, WHO 20080221.0710
Avian influenza, human (27): Indonesia, Viet Nam, WHO 20080216.0625
Avian influenza, human (25): Indonesia, WHO 20080212.0566
Avian influenza, human (24): Indonesia, WHO 20080206.0490
Avian influenza, human (23): Indonesia 20080204.0453
Avian influenza, human (22): Indonesia, WHO 20080202.0421
Avian influenza, human (21): Indonesia, WHO 20080131.0393
Avian influenza, human (20): Indonesia, WHO 20080130.0384
Avian influenza, human (19): Indonesia 20080128.0360
Avian influenza, human (17): Cambodia, Indonesia, WHO 20080125.0320
Avian influenza, human (16): Indonesia, Viet Nam 20080124.0302
Avian influenza, human (15): Indonesia, tracking, WHO 20080124.0290
Avian influenza, human (14): Indonesia 20080123.0278
Avian influenza, human (13): Indonesia, WHO 20080121.0261
Avian influenza, human (12): Indonesia, WHO 20080118.0229
Avian influenza, human (10): Indonesia 20080116.020]
[If confirmed these deaths will be the first human cases of avian influenza reported from any country since 13 April 2008. The HealthMap/ProMED-mail
interactive map of Indonesia showing the location of Jakarta (on the island
of Java) can be accessed at <http://healthmap.org/promed?v=-2.6,120.9,5>. -
Mod.CP]
Avian influenza ? situation in Indonesia ? update 42
30 April 2008 -- </SPAN>The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. A 3-year-old male from Wonogiri District, Central Java Province developed symptoms on 14 April, was hospitalized on 21 April and died on 23 April. Investigations into the source of his infection indicate exposure to sick and dead poultry.
Of the 133 cases confirmed to date in Indonesia, 108 have been fatal.
Bird flu claimed the Sibling Older Brother
KAMIS, 15 MEI 2008 | 04:15 WIB
Virus Avian Influenza or flu burung return snatch soul resident Ibu Kota. This two people older brother have younger sibbling died world result firus that spread by from poultry.
Istiqomah (16) resident XXX Gandaria Utara, Jakarta Selatan died world on Wednesday 5/14 morning after was stated positive suffer from flu burung.
Previously toward Sunday 4/5 younger brother/sister Istiqomah Ahmad Rizki (15), also died world consequence illness by symptoms similar to older brother/sister perempuannya. Mahfad (60) father casualty, yesterday confessed very convinced both his children suffer from virus H5N1 aforementioned. He express Istiqomah began suffer fever on Wednesday (7/5). "Directly he was brought to Community Health Center, it was sait that he sick tipus" he said. Siswi class I Islamic School Aliyah that directly was brought to RS Gandaria to be looked after. As long as two days treatment condition directly go down. "He cough-cough, crowded to breath, and his temperature not descend. He also start blue-blue, "said Mahfud.
The doctor then reconciled Istiqomah to RS Persahabatan, Jakarta Timur the reason for the sign of his illness was similar to bird flu.
After being checked, the doctor stated Istiqomah positive suffered bird flu on Tuesday (13/5) after going out results of his blood inspection.
The child to six from seven related that blew out the last breath in struck 05,30, yesterday.
According to Mahfud, his youngest child, fortune last week also suffered the sign that was the same as Istiqomah, although being not stated positive bird flu.
"Rizki was also crowded, but not the cough cough. When being x-rayed, his lungs have been flat one.
At that time was counted by him was sick typhus, but his finger finger was blue also.
Same like his older brother," he said. The student SMPN 240 this finally died, four days after being stated positive was infected by the bird flu virus. [talking about Istiqomah??]
All the family that interacted with Istiqomah had finally been taken by the example of his blood, including Alamsyah (26), casualties's older brother who at this time was treated in the hospital. According to Aisyah (54), the mother of casualties, his two children had not been seen interacted with the poultry.
However, the environment of casualties's house was he admitted received by several chickens and turtle-dove birds that were maintained by his neighbour.
The neighbour behind casualties's house also maintained several tails of the duck.
The head of the Ethnic Group of the Southern Jakarta Community of the Health Service, Dr Togi Asman, claimed to be the difficulty of finding the source of the virus of this H5 N1, although the region of casualties's house including involving a high risk.
Togi said, the case of this bird flu was that his two times happened in Southern Jakarta for 2008 this.
Beforehand, last January, a bird flu patient in the region of Kebayoran Lama also died.
Avian influenza ? situation in Indonesia ? update 42
30 April 2008 -- </SPAN>The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. A 3-year-old male from Wonogiri District, Central Java Province developed symptoms on 14 April, was hospitalized on 21 April and died on 23 April. Investigations into the source of his infection indicate exposure to sick and dead poultry.
Of the 133 cases confirmed to date in Indonesia, 108 have been fatal.
It is worth noting that CP's major function on commenting on H5N1 is to keep score using WHO updates. He frequently goes beyond the call to minimize H5N1 human infections and clusters.
A pandemic requires SUSTAINED transmission, so the longer the transmission chain, the more likely a pandemic will develop. In the Karo cluster, most infections were linked to sleeping in the same small room with the index case when her viral load was high and she was coughing. That cluster was the same length as the current cluster, although it was much wider.
One or two more sequential transmissions would set a record for confirmed H5N1 (assuming these infections are confirmed, which in Indonesia is a major assumption).
From Jakarta; 3rd sibling came home, stated negative.
Link has video availabale, has an impression of the culling procedure, some shots of the family.
15/05/2008
Bird Flu: Resident From Gandaria Dies
For a long time did not can be heard not meant bird flu might not have been guarded against.
The village head Gandaria Utara, Kebayoran Baru, of Southern Jakarta, with his apparatus since last Monday destroyed the poultry, especially the chicken belonging to the resident who was still wandering in the inhabitants's environment.
After being culled, the poultry was afterwards burnt with his pen.
For three days, more than 170 poultries that consisted of the chicken, birds, and the goose were destroyed.
[B]In this district indeed still many poultries that were free to roam about in the middle of the settlement, although being not yet proven had the poultry that contracted the bird flu virus.[/B]
However, this was the step in anticipation after a resident was named Siti Istiqomah, on Wednesday (14/5), died and was stated positive bird flu.
Beforehand casualties could be treated for three days in the Persahabatan Hospital.
Now in the last 10 days, the brother Siti that was named Ahmad Rizky also died with the same sign.
This was the first case of bird flu in the Gandaria region.
Whereas the older brother Siti, Alamsyah, that also is treated in RS Persahabatan, today was allowed to come home after being stated by the bird flu negative by the team of the doctor.
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