Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia - Aug. 8 - Aug. 12, 2008

[Giuseppe]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Not changing this to a dengue thread but the outbreak is near the recent bf outbreak and now the authorities are saying the baby had dengue and all is well..so ...
The SUFFERER DBD IN TANJUNGBALAI rose DRASTIC The sufferers DBD middle dirawat On Sunday, August 10 2008 23:44 WIB Metrotvnews.com, Tanjungbalai: the Illness of dengue fever dengue fever (DBD) increasingly became an epidemic in the Tanjungbalai City, North Sumatra. In time three days, the DBD sufferer in this city increased drastic. Originally DBD plague casualties numbering seven people, but currently has reached 19 sufferers. Currently, from 19 sufferers, as many as 17 people were undergoing the intensive maintenance in the Tanjungbalai Public Hospital. Sedangka two other people were in the critical condition reconciled to the Provinsi Hospital in Medan. The patient's families complain about slow him the Kesehatan Service of the Government of the Tanjungbalai City handled this DBD plague http://www.metrotvnews.com/new/berita.asp?id=64305

Excuse me a moment, please... I start to misunderstand the situation...

Same village / near village - same number of people at Medan hospital (2) / dengue fever or dengue hemorrhagic fever / avian influenza in poultry / human....

There is a lot of confusion. It is not possible to dissect the information correctly by this way.

An urgent clarification is needed.

This thread is no longer understandable.

[Giuseppe]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

While the age distribution of the patients listed above are certainly consistent with dengue, there are other inconsistencies in this thread that do not add up to a compelling picture that the "Air Batu 13" were dengue patients.

1) Why is dengue exploding now? The typical rainy season starts in fall (October through December - varies by report) and continues though spring (March - April). Has there been recent heavy rainfall that would support local amplification of the mosquito vector? I could not find any reports of recent heavy rains or flooding in N Sumatra.

2) While dengue commonly presents with high fever and severe muscle aches, lower respiratory symptoms are not typically associated with this illness. The 13 patients are described as having respiratory symptoms:"Another 13 people had been admitted to the hospital with "high temperatures and respiratory problems,'' she said." (From post #4 in this thread).

The exception is late stage dengue hemorrhagic fever/dengue shock syndrome where patients may have severe pleural effusion combined with adult respiratory distress syndrome.

There are few reports of this and patients do not have brief hospitalizations, most die :

See:
Ann Trop Paediatr. 1995 Dec;15(4):335-9.
Dengue-associated adult respiratory distress syndrome.

Lum LC, Thong MK, Cheah YK, Lam SK.
Department of Paediatrics, University of Malaya, Kuala Lumpur, Malaysia.

In dengue shock syndrome, an acute increase in capillary permeability results in leakage of plasma into the interstitial space. Pleural effusion is commonly seen in dengue shock syndrome. We report three cases of dengue-associated adult respiratory distress syndrome (ARDS) in children, in all of whom dengue haemorrhagic fever, presenting with grade 3 or grade 4 dengue shock syndrome with disseminated intravascular coagulopathy, was confirmed. The criteria for the diagnosis of ARDS were based on the expanded definition of ARDS by Murray et al. Treatment consisted of fluid resuscitation, correction of coagulopathy and mechanical ventilation. All three children had multi-organ impairment, but it was more severe in the two who died. The one survivor was well at discharge.

Hong Kong reported this year several imported cases of dengue fever; one of them was a person travelled from Indonesia (end of June): http://www.flutrackers.com/forum/sho...32&postcount=6.
We may be almost certain of HK lab capability to detect Dengue fever virus.

[Giuseppe]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

AVIAN INFLUENZA, HUMAN (62): INDONESIA, NOT
***********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Sat 9 Aug 2008
Source: Yahoo news, Agence France Presse report [edited]
<http://news.yahoo.com/s/afp/20080809/hl_afp/healthfluindonesia>


Thirteen people in Indonesia suspected of having bird flu have tested
negative for the feared disease, the country's health ministry said
Saturday [9 Aug 2008]. Experts from the World Health Organisation
(WHO) arrived Friday in the affected village in North Sumatra to help
investigate a possible outbreak after 3 people died, and the 13 were
admitted to hospital. "All specimens collected from suspect cases
have given negative results. They are all recovered," I Nyoman
Kandun, director general of the ministry's communicable diseases
department said on a text message.

Officials and residents in Asahan district in North Sumatra province
said villagers began showing symptoms of avian flu after a large
number of chickens died suddenly last week in Air Batu village. The
local husbandry office took preventive action this week by
slaughtering and burning some 400 chickens and ducks. The ministry,
which has stopped giving regular bird flu updates, announced earlier
this week that the human toll from avian influenza in Indonesia had
risen to 112 following the recent death of a 19-year-old man.

The deadly H5N1 strain of bird flu has killed more than 240 people
worldwide since late 2003. The virus typically spreads from bird to
human through direct contact, but experts fear it could mutate into a
form easily transmissible between humans, with the potential to kill
millions in a pandemic.

--
Communicated by:
ProMED-mail <promed@promedmail.org>

[Contrary to a statement by local health officials on Wed 6 Aug 2008
(see ProMED-mail reference below), the suspected human cases of avian
H5N1 influenza in North Sumatra have not been confirmed by the
Indonesian Ministry of Health. The World Health Organisation
cumulative table of human cases still lists the number of confirmed
avian influenza fatalities in Indonesia as 110, rather than the 112
fatalities recorded by the Indonesian Ministry of Health.

Until further notice, ProMED-mail will not report suspected human
cases of avian influenza in Indonesia until they have been confirmed
by the Indonesian Ministry of Health.

A map of the province of North Sumatra showing the location of Medan
is available at:
<http://www.indonesia-tourism.com/north-sumatra/map/index.html>.
The HealthMap/ProMED-mail interactive map of Indonesia is available at:
<http://healthmap.org/promed?v=-2.6,120.9,5>. - Mod.CP]

[see also:
Avian influenza, human (61): Indonesia 20080806.2417]
............................................cp/msp/mpp

-

http://apex.oracle.com/pls/otn/f?p=2400:1001:3198865739224191::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,73480

------

[Treyfish]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Until further notice, ProMED-mail will not report suspected human
cases of avian influenza in Indonesia until they have been confirmed
by the Indonesian Ministry of Health... Gosh.. I will never know whats goin on now!

[Diane Morin]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

/.../

Expected by Bird Flu.
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
The concerned atmosphere was mixed with panic covered casualties's family from the Asahan Regency, they expected his two children terjangkit bird flu because by chance their area was found by casualties suspect bird flu. ?Melihat our child's fever did not descend-descended we concerned was mixed with panic, we suspected our child of being affected by bird flu because in our area was found by bird flu casualties but after being brought by us to this hospital and results were stated positive DBD not flu burung? clear Zuhaina the mother Fitra and Aiman to the reporter. The condition for the high fever that was experienced by his two children happened since Friday night. Apart from the fever, both of them were attacked by the cough was accompanied by nausea and vomited. ? Setelah was examined by the new doctor appeared red spots on all over the second body anakku,? Zuhaina words. (S19/c)

http://hariansib.com/2008/08/11/lagi-5-pasien-dbd-masuk-rsu-t-mansyur-tanjungbalai/

More

http://www.flutrackers.com/forum/showthread.php?p=173224#post173224

[Commonground]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

[Refer to map link #20 for this location. It's in the middleof the yellow box. Note the date. I'll post this also in the Dengue thread.]
Tanjungbalai
A Sufferer DBD was killed, 3 were treated in Tanjungbalai
July 16th, 2008
A person was killed and 3 other still underwent the intensive maintenance in RSU Dr T Mansyur Kota Tanjungbalai resulting from Dengue Dengue Fever. Casualties the Virgin Nasution, (5) the resident Street Utama, Kel Pulo Simardan, of Kec Datuk Bandar, Kota Tanjungbalai was killed after several hours underwent the maintenance, on Sunday (13/7). Casualties were carried to the hospital with the HB condition 10,2 gram percent, trambosit 60.000/mm3 and Hr 38 percent.

In the meantime that still was undergoing the maintenance, Chelsea Nanda, (2) the resident Street Garuda, Kel Beting Kwala Kapias, of Kec Teluk Nibung. Afterwards the older brother was siblings, Agnes, (and Natalie,13, the resident Street DTM Abdullah Kampung Baru, Kel TB Kota III, of Kec Tanjung Balai Utara. ?Sudah almost a week was treated in sini?, people say old the sibling older brother, M. Malau, (44) in the room of the child. Said, initially his two children suffered the high fever was accompanied vomited again and again. To avoid the occurrence of the matter was not wanted, then both of them were at once shifted took medicine to RSU Dr T Mansyur and it was recommended to undergo the maintenance inap. The head of the Pengelola Body RSU Dr T Mansyur Kota Tanjung Balai Dr Hj Diah Retno and Cosmas Siagian public relations it was confirmed. On Monday (14/7), justified the death of one patient DBD and three other still was treated intensive. (s19/c)

http://hariansib.com/2008/07/16/seorang-penderita-dbd-tewas-3-dirawat-di-tanjungbalai/

[HenryN]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Until further notice, ProMED-mail will not report suspected human
cases of avian influenza in Indonesia until they have been confirmed
by the Indonesian Ministry of Health... Gosh.. I will never know whats goin on now!

The blackout spreads.

[HenryN]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Commentary

http://www.recombinomics.com/News/08100801/H5N1_Sumatra_WHO.html

[sharon sanders]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Until further notice, ProMED-mail will not report suspected human
cases of avian influenza in Indonesia until they have been confirmed
by the Indonesian Ministry of Health... Gosh.. I will never know whats goin on now!

FluTrackers.com will continue to publish reports, comments, analysis, and all pertinent data - with or without - information from either ProMED or the Indonesian Ministry of Health.

Thank you to everyone for a very illuminating thread!

[Commonground]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

On Monday, August 11 2008 05:15 WIB Metrotvnews.com , Labuhanbatu: the Labuhanbatu Regency, North Sumatra, was stated alert one spreading of bird flu. This status was dismissed following the discovery of thousands of poultries that died suddenly, recently. The data of Dinas Peternakan North Sumatra named the virus H5N1 infected thousands of poultries in six districts in Rantauprapat. Now the poultry that died more than 1,000 tails. Despite this was not yet found by the resident that terjangkit this deadly virus. Officially Peternakan North Sumatra followed various methods of pressing the spreading of bird flu. One of them gave the mass vaccination, epopulasi, and carried out spraying in poultry centres. The resident was then appealed to to report when in his environment was found by the indication of the spreading of flu burung

http://www.metrotvnews.com/new/berita.asp?id=64315

[Diane Morin]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

More on Labuhan Batu:

http://www.flutrackers.com/forum/showthread.php?t=76418

http://www.flutrackers.com/forum/showthread.php?t=76488

[Commonground]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

The case of Bird Flu in Jadi KLB shavings {Asahan}

http://www.liputan6.com/sosbud/?id=163450

shavings Liputan6.com, Asahan: the Kesehatan Service of the North Sumatran Province determined the case of bird flu in shavings as the extraordinary incident (KLB) after three patients died and 12 other still was treated. In the Public Hospital of Abdul Manan Simatupang, Kisaran, some casualties were children. Whereas two patients from shavings also still were treated in isolation space of RSU Haji Adam Malik, Medan.

Spread him the case of this bird flu made many Air Batu villagers become frightened. As many as 87 houses were left by his occupants who fled. The fear was natural, because of three villagers who were expected terjangkit bird flu died in a week. To prevent the spreading of the bird flu virus, several medical treatment command posts were built in the Damuli Village, Kecamatan Air Batu. (ADO/Tim of Coverage 6 SCTV)

hat-tip Pixie

[HenryN]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Commentary

http://www.recombinomics.com/News/08110801/H5N1_Sumatra_Denial.html

[Treyfish]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Rantauprapat Alert i Bird Flu on Monday, 11-08-2008
MedanBisnis ? Rantauprapat after the shavings Regency, the plague of bird flu again attacked Labuhanbatu. In two last weeks, hundreds of tails of the chicken were found died suddenly. The Regional Government carried out the extermination uangas property of the resident. The local Regional Government said alert 1 bird flu. On Sunday (10/8), totalling 316 tails of the poultry belonging to the resident were destroyed in the yard of the Office of Lurah Padang Bulan, Kecamatan Rantau Utara by the medical team of the Service of Peternakan North Sumatra and Labuhanbatu. Counted since August 2-10, already 1,126 tails that were destroyed. ?Sudah two weeks the poultry in this environment died suddenly. The amount of hundreds of tails. At this time Rantauprapat alert I towards the spreading of the flu virus burung?, stressed Umardarni Sirgar, Lurah the Sirandorung District to Medan Bisnis, ended the socialisation of the handling/the prevention of bird flu in this environment, reconciled the Representative's statement Regent Sudarwanto. The village head with the resident and the Service side of Peternakan Labuhanbatu carried out spraying in the location that was regarded as serious towards the spreading of the bird flu virus. In particular, the settlement that still maintained the poultry. Beforehand, the Representative Regent Sudarwanto during the extermination agenda of this poultry said, there were 5 districts that have been attacked by the bird flu virus, namely the District Padang Bulan, Cendana, Lobusona, Sirandorung, Ujung of the Port and Padang Matinggi, Kecamatan Rantau Utara. His side has carried out some anticipation of the spreading of this virus, among them the extermination of the poultry, the socialisation, the inspection with rapid the test, that positive results of bird flu. Afterwards, made the command posts in the dangerous region and respectively the sub-district head's office, as well as carried out spraying with disinfectant. ?Sejauh this we have carried out various limiting anticipation of the spreading of the virus. Nevertheless we continue to ask for in order to continue to co-operate with warga?, explained Sudarwanto. 300 Dimusnakan Sebelumnya tails, Dinas Peternakan North Sumatra also destroyed 300 tails of the poultry in the Air Batu Subdistrict, Asahan, that was positive terjangkit bird flu. Moreover, also was carried out disinfenktan against the area that terjangkit. ?Mengenai extermination time was carried out since the existence of rumours susfek bird flu in shavings to be precise in Afdeling V Desa Air Batu, Pondok Damalui Kecamatan Air Batu Asahan North Sumatra that it was suspected suffered bird flu and till at this time the team that was formed in a bertahaf manner continued upright carried out the extermination of the poultry itu,? said Kasie Kesehatan Veteriner Sub Dinas Kesehatan of the Animal of Dinas Peternakan North Sumatra, in Medan, on Saturday (9/8). The Sub Dinas Pengendalian head of the Illness and Lingkungan Sanitation (P2PL) the Service of Kesehatan North Sumatra Surya Darma added, his side increased Tamiflu medicine supplies totalling 200 tablets. ?Persediaan Tamiflu medicine at this time still many, all the community health centre has in North Sumatra had Tamiflu medicine supplies, each community health centre had 200 tablets and for shavings was provided by us 200 tablets more to guard-jaga,? he said. In the meantime, RSU Haji public relations Adam Malik Medan Sinar Ginting, on Sunday (10/8), said, the condition for two patients suspect bird flu has from shavings that were treated begun to improve, including one of the pre-school casualties berinsial MSM, where being pulled out by his infusion. His side currently is waiting for results of the laboratory of Department of Health RI, Jakarta. http://www.medanbisnisonline.com/rub...&more=1#122986

[HenryN]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Japan, ASEAN Reaffirm Plan For Free Trade Agreement

Manufacturing.Net - July 23, 2008
SINGAPORE (Kyodo) -- Japan reaffirmed with the 10-member ASEAN Wednesday their aim for a comprehensive free trade agreement to take effect by the end of this year, and assured that preparations are underway to appoint an ambassador to ASEAN once the group's landmark charter is ratified.
At ministerial talks in Singapore, Japanese Foreign Minister Masahiko Komura also told his counterparts that Japan will provide an additional stockpile of antiviral drug Tamiflu that could treat 500,000 people to be distributed to members of the Association of Southeast Asian Nations, a Japanese Foreign Ministry official said.
This will double Japan's total contribution of Tamiflu to ASEAN to help prevent a pandemic in the region that is vulnerable to deadly strains of bird flu. The earlier stockpile of the drug is stored in a warehouse in Singapore.
"Japan would like to work with ASEAN for the FTA to take effect as early as possible by the end of this year," Komura was quoted as saying at the meeting, which was part of a series of annual talks hosted by ASEAN with its key dialogue partners this week.
The ASEAN-Japan Comprehensive Economic Partnership Agreement, Japan's first FTA with a regional bloc, was endorsed by the Japanese parliament in June. It will come into force on the first day of the second month after Japan and at least one of the 10 ASEAN members complete domestic procedures to ratify it.
Foreign ministers of Cambodia, Indonesia, Laos, Malaysia and the Philippines took part in the meeting with Komura, while ministers of the other five ASEAN countries attended similar talks with Australia held concurrently on Wednesday morning.
Japan has been eager to catch up with China and South Korea amid an intensifying race for regional FTAs. The accord with ASEAN is not only an FTA for goods but also covers services and investment.
It will enable Japanese companies that are expanding their markets in Southeast Asia to reduce trade costs. For example, tariffs on Japanese exports from one ASEAN country to another will be removed.
In particular, electronics and automobile manufacturers will also benefit as parts from various countries in the region can be assembled without tariffs being levied.
Japan will repeal tariffs on 93 percent of imports from ASEAN by value within 10 years of the deal taking effect. Meanwhile, six major ASEAN members -- Brunei, Indonesia, Malaysia, the Philippines, Singapore and Thailand -- will eliminate tariffs on 90 percent of imports from Japan such as automobiles within 10 years.
A more gradual tariff elimination table has been set for the remaining four ASEAN members with smaller economies -- Cambodia, Myanmar, Laos and Vietnam.

http://www.manufacturing.net/article.aspx?id=164440