Indonesia Human Cases - April 9, 2008 - 20th June 2008

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

<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.cn 2008-06-19 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.



http://rss.xinhuanet.com/newsc/engli...nt_8397876.htm

The above comment is revealing. Prompt treatment lowers the cfr, not the number of cases. Indonesia's cfr has been above 80% each year. The numbers are down because recovered cases are not reported.

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

The above comment is revealing. Prompt treatment lowers the cfr, not the number of cases. Indonesia's cfr has been above 80% each year. The numbers are down because recovered cases are not reported.

The case fatality rate for the past four years in Indonesia has been 65.0, 81.8, 88.1, 81.3 (13/20, 45/55, 37/42, 13/16 respectively for deaths / cases in 2005-2008).<!-- / message -->

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

Commentary

http://www.recombinomics.com/News/06190802/H5N1_Indo_Report_Failures.html

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

Two women die from bird flu in Indonesia - WHO
19 Jun 2008 15:37:47 GMT
<!-- 19 Jun 2008 15:37:47 GMT ## for search indexer, do not remove -->Source: Reuters

<!-- AN5.0 article title end --><SCRIPT language=JavaScript src="/bin/js/article.js"></SCRIPT></SPAN> <!-- Two women die from bird flu in Indonesia - WHO --><!-- Reuters -->GENEVA, June 19 (Reuters) - Two women have died in recent weeks of bird flu infection in Indonesia, bringing the hard-hit country's death toll from the disease to 110, the World Health Organisation (WHO) said on Thursday.
The cases appear to be the first since Indonesian Health Minister Siti Fadillah Supari said two weeks ago that Jakarta had changed its policy on reporting human cases, and would only announce the death toll every six months.
The WHO, in a statement reporting information from the Indonesian health ministry, said that a 16-year-old girl from South Jakarta died on May 14 and a 34-year-old woman from Banten province died on June 3. (reporting by Stephanie Nebehay; editing by Keith Weir)

http://www.alertnet.org/thenews/newsdesk/L19352712.htm

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

Avian influenza ? situation in Indonesia ? update 43

19 June 2008 -- </SPAN>The Ministry of Health of Indonesia has announced two new cases of human H5N1 avian influenza infection. The cases are not linked epidemiologically. The first is a 16-year-old female from South Jakarta, DKI Jakarta Province developed symptoms on 7 May, was hospitalized on 12 May and died on 14 May. Investigations into the source of her infection indicate exposure to sick and dead poultry.
The second case is a 34-year-old female from Tangerang District, Banten Province who developed symptoms on 26 May, and was hospitalized on 2 June and died on 3 June. Investigations into the source of her infection are ongoing.
Of the 135 cases confirmed to date in Indonesia, 110 have been fatal.

http://www.who.int/csr/don/2008_06_19/en/index.html

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

Avian influenza – situation in Indonesia – update 43

19 June 2008 -- </SPAN>The Ministry of Health of Indonesia has announced two new cases of human H5N1 avian influenza infection. The cases are not linked epidemiologically. The first is a 16-year-old female from South Jakarta, DKI Jakarta Province developed symptoms on 7 May, was hospitalized on 12 May and died on 14 May. Investigations into the source of her infection indicate exposure to sick and dead poultry.

http://www.who.int/csr/don/2008_06_19/en/index.html

The above WHO update fails to mention the death of the brother of the above case, who had IDENTICAL symptoms, including cyanosis in extremities and died 10 days earlier

http://www.recombinomics.com/News/05140803/H5N1_Jakarta_Cluster_Another.html

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

Spreading Virus Flu Burung Still From Poultry
Kamis, 19 Juni 2008 - 12:34 wib

Jakarta - Based on investigation virologis by method analyzing genetic sequencing by Badan Penelitian and Pengembangan Health (Balitbangkes) Depkes and Lembaga Biology Molecular Eijkman in Jakarta, until time now virus Flu Burung that attack human being still permanent/unchanging H5N1. With such was the case infection virus flu burung in Indonesia still from poultry to human.

"Since the community was appealed to avoid contact with poultry which sick or died suddenly and environment that polluted feces poultry. Not look after poultry in surrounding settlement. (?) When there is poultry that sick or died in surroundings, immediately report to Chief RT/RW local," thus passed on by means of dr I Nyoman Kandun, MPH, Dirjen Pengendalian Penyakita nd Penyehatan Lingkungan Depkes, interconnected with development handling flu burung in Jakarta, Thursday (19/6/08).

Community also asked always to carry out behavior live clean and healthy (PHBS), to see to cleanliness environment and guard against symptom flu because often occurrence to late patient seek service medical magnify risk death.

In year 2008 (January-now), by means of cumulative cases positive flu burung based on examination laboratory Badan Litbangkes and Lembaga Biology Molecular Eijkman recorded 18 cases, including 2 cases recent month May namely IST (P, 15th) orgin Jakarta and SS (P, 34th) origin Tangerang.

Cases positive flu burung show descent 50 percent compared with cases flu burung in May 2007 as well as descent that sharp namely 88.8 percent compared cases flu burung in month May 2006.
[completed]

http://news.okezone.com/index.php/ReadStory/2008/06/19/1/120146/penyebaran-virus-flu-burung-masih-dari-unggas

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

I'm going to be translating this article by hand. TT is out. Something about genetic sequencing.

Penyebaran Virus Flu Burung Masih dari Unggas
Kamis, 19 Juni 2008 - 12:34 wib

Jakarta - Based on investigation virologis by method analyzing genetic sequencing by Badan Penelitian and Pengembangan Health (Balitbangkes) Depkes and Lembaga Biology Molecular Eijkman in Jakarta, until time now virus Flu Burung that attack human being still permanent/unchanging H5N1. With such was the case infection virus flu burung in Indonesia still from poultry to human.
(more to come)
http://news.okezone.com/index.php/Re...ih-dari-unggas

It will just say no reassortment or RBD changes (which means nothing since there is OBVIOUS H2H in Indonesia).

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

I know....but I had to do it anyway...

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

Commentary

http://www.recombinomics.com/News/06190803/H5N1_Indo_WHO_Failure.html

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

Commentary

http://www.recombinomics.com/News/06190804/H5N1_Indo_54F_Failure.html

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

<TABLE cellSpacing=0 cellPadding=0 width=968 align=center border=0><TBODY><TR vAlign=top><TD align=middle width=630><TABLE cellSpacing=0 cellPadding=0 width=200 border=0><TBODY><TR><TD height=10></TD></TR></TBODY></TABLE><TABLE cellSpacing=1 cellPadding=0 width=625 bgColor=#e5e5e5 border=0><TBODY><TR><TD bgColor=#ffffff><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=8></TD></TR></TBODY></TABLE><TABLE class=lan18 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=hei22 vAlign=bottom height=25>Two Indonesian women die of bird flu
</TD></TR><TR><TD bgColor=#ffffff height=4></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=8></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD width="48%">www.chinaview.cn 2008-06-20 01:14:58</TD><TD class=hui12 align=middle width="26%"> </TD><TD class=hui12 align=middle width="12%"> Print</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="80%" border=0><TBODY><TR><TD height=20></TD></TR></TBODY></TABLE><TABLE class=lt14 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=lt14>



JAKARTA, June 19 (Xinhua) -- Two women have died of avian influenza, bringing the total fatalities of the disease to 110, spokesperson of the country's health ministry Lily Sriwahyuni said here Thursday.
A 15-year-old woman from Jakarta and another 34-year-old woman from Tanggerang town, an outskirt city of Jakarta, died of the disease in May, Sriwahyuni told Xinhua.
However, she did not elaborate. The deaths were the first cases since Indonesian Health Minister Siti Fadillah Supari said two weeks ago that the ministry had changed its policy on reporting human cases, and would only announce the death toll every six months. But, the spokesperson said that the ministry would report the case once in a month.

</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=15></TD></TR></TBODY></TABLE><TABLE class=hei12 cellSpacing=0 cellPadding=0 width="90%" align=center border=0><TBODY><TR><TD align=right height=25>Editor: Yan Liang </TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>

http://news.xinhuanet.com/english/2008-06/20/content_8403532.htm

[Laidback Al]

Re: Indonesia Human Cases - April 9, 2008+

Location maps of the two recent WHO confirmed cases.

Siti Istiqomah (16F) died May 14, 2008, from Gandaria-utara,

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

Laidback Al, it doesn't look like HAN/Mohammad Andika lived very far from Istiqomah.

http://maps.google.com/maps/ms?ie=UTF8&hl=en&msa=0&msid=111909061487213180418.000443c3b6fd85d0252c3&ll=-6.268888,106.732864&spn=0.418396,0.721664&z=11&iwloc=0004465b303931c324e44

[Giuseppe]

Re: Indonesia Human Cases - April 9, 2008+

Two die as Indonesia resumes bird flu reporting--WHO

19 Jun 2008 17:21:53 GMT - Source: Reuters - (Adds remarks by WHO expert David Heymann in paragraphs 6-8)
By Stephanie Nebehay

GENEVA, June 19 (Reuters) -

The Indonesian health ministry has reported two deaths from bird flu in recent weeks, easing concerns about whether Jakarta would share information about the disease, the World Health Organisation said on Thursday.

Indonesia has had more human bird flu infections than any other country, with 110 deaths out of 135 cases, and monitoring the H5N1 virus in the sprawling archipelago is seen as crucial.

The latest infections are the first since Health Minister Siti Fadillah Supari declared two weeks ago that Jakarta had changed its policy on reporting human cases and would only announce the death toll every six months.

The WHO, a United Nations agency, has been seeking clarification on her remarks amid concerns that that the decision could lead to delays in containing outbreaks.

International health regulations (IHR) require the WHO's 193 member states to report human cases of bird flu within 24 hours.

"The minister has told WHO they will not continue to share publicly whenever there is a new case but they will inform the WHO in conformity with IHR," David Heymann, WHO assistant director-general for health security and environment, told Reuters by telephone.

"We anticipate that promise will be honoured," he said.

INFORMATION SHARING
The WHO encourages all governments to share information freely with their populations, but it remains their decision, according to Heymann.

Indonesian authorities were still trying to confirm a suspect 111th bird flu death, he added.

The WHO, in a statement reporting information from the health ministry, said that a 16-year-old girl from south Jakarta died on May 14 and a 34-year-old woman from Banten province died on June 3.

Investigation into the girl's death indicate she was exposed to sick and dead poultry, which carried the H5N1 virus, while investigations into the source of the second woman's infection are continuing, according to the WHO.

There have been 385 human bird flu infections, including 243 fatalities, in 15 countries worldwide since 2003, it says.

Indonesia has maintained its decision not to share bird flu samples with WHO laboratories, saying it wants guarantees from richer nations and drugmakers that poor countries would get access to affordable vaccines developed from their samples.

International health experts say it is vital to have access to samples of the constantly-mutating virus, which they fear could change into a form spread more easily among humans and sweep the world in months, killing millions of people.

"There is a strong working relationship between the WHO country office and the government. Even if there is a conflict on issues like virus-sharing, it hasn't eroded the ability to carry out joint investigations," WHO spokesman John Rainford said in Geneva.

At least 16 companies including GlaxoSmithKline and Sanofi-Aventis are working on vaccines against H5N1.

The next negotiations to hammer out a new virus-sharing agreement among WHO member states are scheduled for November.

(reporting by Stephanie Nebehay; editing by Dominic Evans)
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http://www.alertnet.org/thenews/newsdesk/L19830123.htm

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