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Indonesia Human Cases - April 9, 2008 - 20th June 2008
Update from Bandung Hospital on the little girl RN. She seems to be in better condition. Still on the ventilator.
BANDUNG - The condition of RN, the child was 2 years and 7 months old still was treated intensive till Monday (16-6) the morning.
The father of the female patient, Supendi, said that the condition for his daughter has improved.
However was based on observation of the reporter www.tribunjabar.co.id through the screen of CCTV Ruang Isolasi Flamboyan RSHS, RN appeared to fall asleep weak and still complete was installed equipment including respiratory aids or the ventilator.
The condition for my child improved. Pray for like that, said Supendi, was met in the Flamboyan Waiting Room, on Monday morning.
The RN it was suspected suffered bird flu after experiencing the high fever was accompanied by the sign suspect other like the cough and pilek (cold, runny nose, ed).
This sign emerged several days after his five neighbouring chickens died suddenly with the characteristics of the characteristics of the chicken was attacked by bird flu.
Direct contact with the poultry died was not available.
But my child often played close to the poultry pen belonging to the neighbour that melihara the chicken, the duck and the goose, said Supendi.
On June 3 a 34 yo woman - LS - died from bird flu; she was from Bitung, near Tangerang. An AP reporter has confirmation from several inside sources. No official confirmation yet. No local reports on LS at all. This is not uncommon in case of patients from Tangerang / Jakarta region.
In Padang Hospital, Sumatra, a 1 yo girl - HAP - is suspected to have bird flu. She seems to improve, no word on testresults yet.
In Bandung Hospital, West Java, a 3 yo girl - RN - in critical condition.
Indonesia has recently announced to stop confirming individual cases, they will report summaries. Some reports say every 6 months, another report says every month.
In an interview Health Minister Supari confirmed the death by bird flu of a 15 yo girl - I - , lot of local reports, not reported in a press release by Dep of Health.
Another bird flu fatality - 54 yo TS - supposed to be locally confirmed via PCR-test, several local reports, no further news.
Bandung, (PRLM).
- the RN Baby (3 thn) was expected by bird flu from Subang that was treated in space of Flmboyan RSHS Bandung, on Monday his (16/6) conditions were increasingly bad.
To help his breathing currently to be helped the ventilator implement.
Because of having the story of contact with the RN poultry currently was treated in space of the bird flu isolation.
The team of the doctor also considered, the RN had the other gift illness.
His characteristics resembled dengue fever.
"We will carry out the dengue fever test and flu of burung,"kata Chairman the Team" of the "Control" of "Bird Flu of RSHS Bandung, Dr. Hadi Yusuf, (on Monday 16/6)."
(A-158/ A-120)
Post #304:
Tim dokter juga menilai, RN ada penyakit bawaan lainnya.
word translation:
....RN to exist illness character the others. Characteristics resembling dengue fever.
Recent suspected cases in Indonesia starting with the last WHO confirmed case, Muhammad Saiful Hidayat (MSH), who died on April 23, 2008. The news black out on H5N1 deaths in Indonesia seems to have been announced just about the time of the potential human cluster of three siblings from Gandaria Utara District.
Case Listing
Monday, June 16, 2008
__________________________________________________ ________________________________________
caseid: 746
Country: Indonesia
City and Region: Dusun Bero RT 02 RW 01, Desa Bero, Kecamatan Manyaran, Kabupaten Wonogiri,
Central Java
Name: Muhammad Saiful Hidayat (MSH)
Sex: M
Age: 3
Symptom onset: 4/17/2008
Hospital Admission: 4/21/2008
Death: 4/23/2008
Outcome: D
WHO confirmed: Yes
Relation:
Cluster
Sequence:
Hyperlink
4/27/2008
__________________________________________________ ________________________________________
caseid: 748
Country: Indonesia
City and Region: Street Dwijaya 4 RT 12 RW 1 of Gandaria Utara District, Kebayoran Baru
subdistrict, Southern Jakarta
Name: Ahmad Rizki
Sex: M
Age: 15
Symptom onset:
Hospital Admission:
Death: 5/4/2008
Outcome: D
WHO confirmed: No
Relation: brother of 749
Cluster 265
Sequence:
Hyperlink
5/14/2008
__________________________________________________ ________________________________________
caseid: 749
Country: Indonesia
City and Region: Street Dwijaya 4 RT 12 RW 1 of Gandaria Utara, Kebayoran Baru, Southern
Jakarta
Name: Siti Istiqomah
Sex: F
Age: 16
Symptom onset:
Hospital Admission: 5/8/2008
Death: 5/14/2008
Outcome: D
WHO confirmed: No
Relation: Sister of 748
Cluster 265
Sequence:
Hyperlink
5/14/1008
__________________________________________________ ________________________________________
caseid: 747
Country: Indonesia
City and Region: Babakan Asem Village, Desa Ranjeng, Kecamatan Cisitu, Kabupaten Sumedang
Name: Tini Suhartini
Sex: F
Age: 54
Symptom onset:
Hospital Admission: 5/8/2008
Death: 5/9/2008
Outcome: D
WHO confirmed: No
Relation:
Cluster
Sequence:
Hyperlink
5/10/2008
__________________________________________________ ________________________________________
caseid: 750
Country: Indonesia
City and Region: Street Dwijaya 4 RT 12 RW 1 of Gandaria Utara, Kebayoran Baru, Southern
Jakarta
Name: Alamsyah
Sex:
Age:
Symptom onset:
Hospital Admission: 5/13/2008
Death:
Outcome:
WHO confirmed: No
Relation: sibling of 748 and 749
Cluster 265
Sequence:
__________________________________________________ ________________________________________
caseid: 753
Country: Indonesia
City and Region: Bitung, West Java
Name: Susi Lisnawati
Sex:
Age:
Symptom onset: 5/29/2008
Hospital Admission: 6/2/2008
Death: 6/3/2008
Outcome:
WHO confirmed: No
Relation:
Cluster
Sequence:
Hyperlink
6/13/2008
__________________________________________________ ________________________________________
caseid: 752
Country: Indonesia
City and Region: Kampung Penang, Kelurahan Bungus Timur, Kecamatan Bungus Telukkabung,
Kota Padang
Name: Hendra Andika (HAP)
Sex:
Age: 1.3
Symptom onset:
Hospital Admission: 6/6/2008
Death:
Outcome:
WHO confirmed: No
Relation:
Cluster
Sequence:
Hyperlink
6/9/2008
__________________________________________________ ________________________________________
caseid: 754
Country: Indonesia
City and Region: Kampung Baru RT 01 RW 13 Desa Mulyasari, Kecamatan Pamanukan, Kabupaten
Subang
Name: Risa Nur Latifah (RN)
Sex: F
Age: 3
Symptom onset:
Hospital Admission: 6/14/2008
Death:
Outcome:
WHO confirmed: No
Relation:
Cluster
Sequence:
Hyperlink
6/15/2008
The girl is ready to go home, she has to wait till the testresults come back.
The patient "HAP" doesn't need artificial aids anymore
After a week got the maintenance in the room of the isolation of RSUP M. Djamil Padang, the patient suspect bird flu had the initials HAP (15 months) experienced the pleasing development.
At this time all the medical implements that wound around the pre-school body from Bungus have begun to be released, even so with the temperature of his body gradually got normal.
Till at this time the medical team of RSUP M.Djamil Padang was still being waiting for results of the sample test of blood that was sent to Balitbang Department of Health some time before.
Praise the Lord the condition for the patient continued to experience the development.
The patient no longer uses oxygen because breathless that was experienced by him gradually recovered.
Even so with sounde that could be used for several days at this time also was pulled out, the patient could swallow personally his food, said the Head of the Pelayanan Medik Field RSUP M. Djamil Padang, Irayanti to Padang Ekspres in his office, yesterday.
Moreover the infusion as the place memasukan medicine for the patient, also no longer is used so as Putra the Epi Bachelor from Bungus this began to be moving free.
Till at this time HAP was still continuing to get the maintenance in the room of the Irna C Penyakit Dalam isolation.
Despite generally began to improve, but the condition for the patient's body did not yet recover the total.
Moreover till at this time results of the sample of blood that was sent to Balitbang Department of Health last week, still not in received the medical team.
Be based on protap the handling of the patient suspect bird flu, a patient was just permitted to come home if results of the PCR test were stated by the negative.
Irayanti mngatakan till at this time his side still could not confirm when results of this PCR test went out.
Was based on the experience beforehand, if results of this PCR test are positive, usually in the near future the Balitbang side immediately informed as quickly as possible, in fact through the telephone.
Whereas if results of the negative, usually indeed rather old his inspection, the possibility of confirming these results were negative.
However Irayanti not dared to predicted whether HAP the negative contracted bird flu, because this matter must be based on the PCR test.
We just wait results of Balitbang, I not dared to predicted, but definitely we hoped results of the negative, he explained.
Kumpulan berita lokal terbaru dari peristiwa, kecelakaan, kriminal, hukum, berita unik, Politik, dan liputan khusus dari berbagai daerah di Indonesia
Report says the child is starting to improve, is still on the ventilator; father and mother cannot go to her in the isolation room, they can look at their child on a screen.
The parents was told the treatment in hospital is free for their child.
After several human infections last year, including suspected cluster(s), the Health Service changed the procedures, checking more patients sooner and at local Health Centres, which means more suspects, than before.
From other sources we learned that suspect patients are treated with Tamiflu at the local Health Centre. If their condition does not improve, they are reconciled to a bird flu hospital. In this way doctors can start proper treatment faster. And in this way you do not have many positives.
Comment of the Head of the Health Service: the number of suspects from all over Riau is indicating that bird flu is widespread in poultry in Riau.
For 2008, 32 cases Suspect Bird Flu in Riau
During January till this May 2008, Dinas Kesehatan of the Riau Province recorded found as many as 32 patients that suffered suspect bird flu.
Thes patients were spread in 11 regencies/the available cities in Riau.
That was revealed by the Sub Head of the Pelayanan Health Service of the Community and the Service of Health and Food of the Riau Province, Burhanuddin Agung to this Newspaper, on Monday (16/6).
"The 32 cases were found in the hospital that was spread in the regency/the city."
After through the process of the inspection of not having even one patients who was stated positive bird flu, said Burhanuddin.
He explained, the number of cases suspec that was found by the health service because of a different procedure of handling bird flu than in from years beforehand.
In the year beforehand, each patient that suspect must be reconciled to the Daerah Public Hospital (RSUD) Arifin Ahmad so as not all of them had data collected on it.
This year, apart from must be reconciled to RSUD Arifin Ahmad, the official was also required to carry out observation in the community health centre or the available hospital in the regency/the city where the patient suspect was found.
If being found by signs of bird flu then just was given by reconciliation to to RSUD. Still the number of cases that was found, according to Burhannuddin indicated the problem of positive bird flu to the poultry still many in the middle of the community.
"So was asked by the community to be on the alert to prevent the occurrence" of the "spread to humankind."
To do not there are those that died, appealed Burhan.
Nevertheless, Diskes has made an effort to carry out the handling that was exact and fast in the hospital against the patient who had the clinical sign resembled bird flu.
The handling of the fast and exact patient could lower the risk of the death.
Residents from Diminta Pro Aktif to Prevent Bird Flu
June 17 2008
BAGANSIAPI- API Camat Sinaboi, Abdul Manan SH warned to the community to for active responded to the case of bird flu.
When being found by the resident who was sick near the house as a result of the poultry died suddenly as soon as possible was brought to the Sinaboi Community Health Centre to take medicine.
There were approximately 100 poultry belonging to the community that was in RT 04, Kepenghuluan Sungaibakau, Kecamatan Sinaboi was found died suddenly.
Followed up this information, we from the Sinaboi Subdistrict personally carried out the co-ordination Officially Peternakan Kabupaten Rohil.
And now, the member from the Peternakan Service has been in the location to follow up the case of the livestock that died suddenly that, said the Sub-district Head Sinaboi, Abdul Manan SH to Riau Pos, on Monday (16 6) in Bagansiapi -api.
From results of the research quickly, added Manan, the poultry that died suddenly this was caused by the bird flu virus.
Several steps in the handling and his control were immediately carried out in Kepenghuluan Sungaibakau as far as the radius reached one kilometre from the location of the incident.
The step in the handling and his control that is carrying out the extermination.
The poultry that died suddenly, had been burnt and stockpiled in the hole.
The condition like this also happened to the poultry livestock that was destroyed by the official, said Manan.
My take of this report on the 3 yo girl RN in Bandung Hospital: doctor says it is too soon to call a positive or a negative. First result is back, however we need 3 testresults.
Local tests need to be confirmed by testsresults from National Lab of Dep of Health.
Pasien Flu Burung Belum Lewati Masa Kritis
Selasa, 17 Juni 2008 |
TEMPO Interaktif, Bandung:Kondisi pasien yang diduga flu burung, Risa Nur Latiah (3), belum melewati masa kritis. Risa kini di awat di ruangan khusus flu burung di Rumah Sakit Umum Pemerintah Hasan Sadikin Bandung.
Direktur RSUP Hasan Sadikin Bandung Dr. Cissy B Kartasasmita mengatakan pihaknya belum bisa menyampaikan hasil laboratorium Risa."Sekarang penelitian laboratorium dari Balitbangkes tidak bisa satu kali, tapi harus tiga kali untuk memastikan apakah terkena H5N1 atau tidak," katanya. Pengambilan sample dilakukan setiap tiga hari sekali.
RSUP Hasana Sadikin sebenarnya bisa meneliti hasil sel darah pasien dan sudah bisa mengetahui hasilnya. Namun untuk memutuskan positif atau tidaknya masih perlu di cek kembali dengan hasil dari Balitbangkes Departemen Kesehatan.
Risa dirawat di ruang Flamboyan RSUP Hasan Sadikin Bandung Sejak akhir pekan lalu (14/6). Dia dirujuk dari RSUD Subang Jawa Barat. Sejak 2005, RSHS Bandung sedikitnya merawat 115 pasien diduga Flu Burung.
Condition patient that anticipated flu burung Risa Nur Latiah (3), not yet pass by period critical. Risa now in awat in room specific flu burung in Rumah Sakit Umum Pemerintah Hasan Sadikin Bandung.
Director RSUP Hasan Sadikin Bandung Dr. Cissy B Kartasasmita said her side not yet be able to supply resultl laboratory Risa. "Now research/explanation laboratory from Balitbangkes not be able one time but should three time in order to determine which affected H5N1 or not," she said. Taking of sample every three days once.
RSUP Hasana Sadikin in fact can research result cell blood medical patient and already can know result. However to decide positive or not still necessary di cheque return by result from Balitbangkes Department Health.
<table class="lan18" align="center" border="0" cellpadding="0" cellspacing="0" width="97%"><tbody><tr><td class="hei22" height="25" valign="bottom"> Minister: bird flu cases in Indonesia down
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</td> </tr> </tbody></table> <table align="center" border="0" cellpadding="0" cellspacing="0" width="97%"> <tbody><tr> <td width="48%">www.chinaview.cn2008-06-19 09:25:51 </td> <td class="hui12" align="center" width="26%"> </td> <td class="hui12" align="center" width="12%">Print</td> </tr> </tbody></table> <table border="0" cellpadding="0" cellspacing="0" width="80%"> <tbody><tr> <td height="20">
</td> </tr> </tbody></table> JAKARTA, June 19 (Xinhua) -- Indonesian Healthy Minister Siti Fadilah Supari said that in the last six months the number of cases of bird flu on human beings in Indonesia had declined significantly.
In the beginning of the second semester of 2008, the number of the bird flu cases on human beings had dropped, and the number has even reached the lowest compared with those in 2005, 2006 and 2007,the Antara news agency on Thursday quoted the minister as saying in Medan, capital of North Sumatra province.
The main cause of the decline in the bird flu cases on human beings is the fact that people have now become increasingly aware that one should do something as soon as he or she found out that he or she had the symptoms of being affected with this fatal virus Supari said on Wednesday.
At present each regional administration has a guidebook on bird flu for distribution to all layers of the society.
"Thank God, we already have a handbook on bird flu, and we also have the support from some other countries, including Australia, Germany, India, and China," she said.
Bird flu, which started in Indonesia in 2003, has killed 109 people in the country, making it the most affected country by bird flu in the world.
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