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

[Diane Morin]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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Concerning the cases of dengue in Tanjung Balai

Machine translation

Four deaths resulting from DBD
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Wednesday, 13 August 2008
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Medan (SINDO) ? Kota Tanjungbalai was appointed by the status of the extraordinary incident (KLB) dengue fever dengue fever (DBD) after his four residents died for two last weeks.
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Till at this time, the Kesehatan Service local recorded still had 21 patients DBD that was treated in the Public Hospital (RSU) Tanjungbalai. ??Sebenar him, when having the resident who died because of DBD, the KLB status has been valid. Or, every day was met by the existence of the resident who died in a significant manner with the meaning daily was korban,? flat the Sub- Dinas Pencegahan Head, Pemberantasan of the Illness, and Lingkungan Sanitation (P2PL) Dinkes North Sumatra Surya Darma in his office yesterday.
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According to Surya, yesterday he received the news had the resident Tanjungbalai that died because of DBD. Padahal, had a basis the report that was accepted Dinkes North Sumatra, the death of four Tanjungbalai residents happened to 1 and last August 7. In the meantime, the other resident who also was attacked by DBD was still being treated by RSU Tanjungbalai.
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Nevertheless, he admitted to involving the team to help Dinkes local by bringing the material fogging, insecticide, and larvasida to combat the cause of this dengue fever. ??Yang other was treated in RSU Tanjungbalai. If the report on the DBD existence, just today we received the report from Dinkes there (Tanjungbalai). Today also we have sent two powers to help epidomologi, the socialisation, helped investigation epidomologic.<o:p></o:p>
Also to help Dinkes local that established the command post in sana,? he stated. The sun added, till yesterday they just received the report from the Tanjungbalai area. The department of the Health will immediately to Tanjungbalai check and investigate this case by bringing the Abate powder that was ordered Dinkes North Sumatra because of supplies in North Sumatra was finished.
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??Kami has asked for Abate totalling 150 kg because stock of habis,? ungkapnya. Surya claimed, along the east North Sumatran coastal territory, like Medan, Langkat, Deliserdang, Asahan, Labuhanbatu was the endemic territory of DBD. ??Kalau his west coast the territory Sibolga,? he said.

The head of Dinkes North Sumatra Candra Syafei made a plea so that the Kesehatan Service of the regency/the other city that was not yet found by him the DBD case to stay alert and was on the alert against the illness that spread. ??Masyarakat was appealed to in order to maintain the cleanliness lingkungan,? he said. (Haris dasril)

<o:p>http://www.seputar-indonesia.com/edi...bat-dbd-2.html</o:p>

[HenryN]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

Commentray

http://www.recombinomics.com/News/08120802/H5N1_Sumatra_Dengue.html

[Treyfish]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

Dinkes North Sumatra Turunkan Tim Selidiki Epidemi DBD in the Balai Stok Abate Habis Cape,
Dinkes Minta Tambahan 150 Kg to the Department of Health Medan, (the Analysis) It was related that the extraordinary incident (KLB) the illness of dengue fever dengue fever (DBD) in the Tanjung Balai City, Dinkes North Sumatra dropped his member off to carry out further investigation the epidemic in this area. Moreover, the North Sumatran headword of the Health Service Dr Chandra Syafei SpOG through Kasubdis the Control Program of the Illness and environmental Sanitation (P2P-PL) Dr Surya Dharma in his office, on Tuesday (11/8), KLB in the Hall Cape also became attention of the Department's side of the RI Health. ?Menurut the plan, Department of Health RI will also drop his team to the area to see directly KLB DBD in the Cape off Balai,? mentioned Surya. Afterwards, he continued, from Dinkes North Sumatra also gave help of one jerrycan contained 25 litre insecticide of the fumigation material (fogging). Explained, 25 litre the insecticide could become 250 litre the liquid to fogging. Because every time one litre could be mixt diesel fuel 10 litre. Not that, added Surya, Dinkes North Sumatra also sent larvasida (the powder of the eradicator of the mosquitoes egg) take the form of abate. ?Kita sent all stock abate available in Dinkes North Sumatra. Because we also will do abatesasi to this area to eradicate the mosquitoes egg in several water receptions warga,? revealed Surya Dharma while adding they also formed the DBD control command post so that the area leaves KLB as soon as possible. Ask for the Abate Addition Because of all stock of the powder abate available in Dinkes North Sumatra was sent to the Balai Cape, therefore the Dinkes side again asked for the addition of stock abate totalling 150 Kg or six tins to the Department of Health. ?Mudah-mudahan in the near future, will have the consignment abate again from the Department of Health. Because our stock has been finished was sent to the Cape Balai,? he said. According to Surya, for 2008 this just the Tanjung Balai City that reported KLB DBD. Walaupun the KLB report was just accepted Dinkes North Sumatra, but this case must fast was handled in an integrated manner. ?Karena, the case of the illness like this from time to time could break out big. Like fire, if already big was difficult to be extinguished. Therefore each area was hoped for by us immediately reported every time had cases of the illness that happened in his area so that could be handled in a terpadu,? manner firm Surya. Asked about the change in the pattern of the development of the DBD larva, Surya admitted to, till at this time especially in North Sumatra not yet showing the existence of the change in this pattern. Because, mosquitoes aedes agypti the DBD cause still breeding in the clean water reception. ?Belum had the change in the pattern of the development of these mosquitoes to dirty water. As far as this is concerned, still developing in the water reception bersih,? he revealed. So he appealed to all the community to do clean the environment especially in their respective house. Afterwards used the mosquito net for the area that many mosquitoes. As being learnt KLB DBD in the Balai Cape fell on casualties through to as far as 25 people and four including dying. http://analisadaily.com/1-3.htm

[Treyfish]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

PPL must be Alert towards the Spreading of Bird Flu The Prapat shoreline (the Analysis) The official Penyuluh Lapangan (PPL) must alert continue to monitored in his work territory so that the bird flu virus does not spread. Do not have PPL that did not know the bird flu illness has been contagious in his work territory, PPL must move fast monitored and immediately took the action when being found bird flu, said the Representative Regent H Sudarwanto when destroying 316 chickens that terjangkit the bird flu virus in the page of the District office Padang Bulan Kecamatan Rantau Utara. According to him, the extermination of the poultry that already terjangkit bird flu was the form of readiness and the interest of the Labuhan Batu Regional Government, but this responsibility not only was placed to the government, but the community's participation also it was demanded to guard each other and report him when being found the poultry that began terjangkit. Kadis Peternakan Labuhan Batu, Ir Amir Syarifuddin Situmorang reported the case avian bird flu influenza has been found in Labuhan Batu early August with the death of the poultry totalling 810 tails in the Utara Shoreline and 30 tails in the Selatan Shoreline. Anticipated spread him this bird flu virus was carried out by Depopulation (the extermination) by means of burning and burying the poultry that already terindikasi terjangkit bird flu. His side also carried out spraying with desinvektan, the socialisation in the community and the production of the command posts, carried out the inspection of all the poultry kinds and gave the mass vaccination and if having the poultry that already terindikasi terjangkit was carried out by the extermination, said Situmorang in the agenda that was attended by Sekdakab Labuhanbatu Karlos Siahaan, SE, Kabag Humas Drs Sugeng. Drh Nurdin Edi represented Peternakan Provinsi North Sumatra Section Head who took part in being present witnessing the extermination of the poultry, saying the salute to the Labuhan Batu Regional Government that was fast preceptive towards the spreading of the bird flu virus. (km) http://analisadaily.com/2-8.htm

[Diane Morin]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

Concerning the cases of dengue in Tanjung Balai

Machine translation

DBD Serang Tanjung Balai, 4 were stated by Meninggal
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On Tuesday, August 12 2008 | 20:41 WIB
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Medan, on Tuesday - the Illness of dengue fever dengue fever attacked the Tanjung Balai City, 184 kilometre from Medan. Four residents were stated died in for the last two weeks. The case of their death happened on Friday (1/8) and on Thursday (7/8).
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Was like this information that was sent by the Head sub the Service P2P (the prevention of the illness and sanitation) the Health Service North Sumatran Surya the Service, on Tuesday (12/8) in Medan. This information that the time received from the official of the local health of the service newest, said Surya.
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The sun was not prepared to explain the identity of the four casualties in the Balai Cape because of his details data still was on the hands of his staff. We could only explain the number of sufferers sej auh this totalling 25 people with the death rate of four people, he said. He ask for to the community in order to maintain the condition for his environment.
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The dengue fever illness, tuutr him, based in the environment. So to prevent this illness attack must maintain the environment stayed healthy. His aim so that the disseminator's mosquitoes of the dengue fever illness could not develop, he said.

<o:p>http://www.kompas.com/read/xml/2008/...akan.meninggal</o:p>

[AlaskaDenise]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

Commentray

http://www.recombinomics.com/News/08...ra_Dengue.html

Commentary

Sumatra Dengue Fever Deaths - H5N1 Misdiagnosis Concerns
Recombinomics Commentary 23:40
August 12, 2008

Kota Tanjungbalai was appointed by the status of the extraordinary incident (KLB) dengue fever dengue fever (DBD) after his four residents died for two last weeks.

along the east North Sumatran coastal territory, like Medan, Langkat, Deliserdang, Asahan, Labuhanbatu was the endemic territory of DBD.

The above comments on dengue fever deaths in areas reporting H5N1 infected poultry increases pandemic concerns. Past diagnosis of dengue fever in patients that subsequently test positive for H5N1, or close contacts of H5N1 confirmed cases raises serious doubts about the accuracy of the dengue fever diagnoses. Although dengue fever can be laboratory confirmed, it is not clear that such tests are being run.

A recent suspect case was said to be dengue fever because of a drop in platelet levels. However, H5N1 infections also cause a decrease in platelet levels. The similar symptoms associated with both infections heighten concerns that H5N1 cases are being misdiagnosed as dengue fever.

The recent news blackout and delays related to H5N1 confirmation were said to be linked to Indonesian negative publicity. Similarly, statements on the improvement of the H5N1 case fatality rate, when the rate is above 80&#37; this year and has been at this high level for several years, raising concerns that the ministry of health is focused on public relations and a decline in confirmed H5N1 cases, which can be accomplished by diagnosing fatal cases as something else, as was done in H5N1 confirmed family clusters, where earlier deaths were said to be due to lung inflammation, typhus, and dengue fever.

WHO has a team on the ground in North Sumatra even though there have been no confirmed H5N1 cases. In addition to the four dengue fever deaths described above, three other deaths were associated with H5N1 poultry, but the fatal cases were not tested and the cause of death was not determined.

Similarly, WHO has yet to announce the lab confirmed H5N1 cases in July, raising additional concerns about WHO transparency.

Details on the seven North Sumatra deaths described above would be useful.


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[Giuseppe]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

The virus Not Terbendung the Case of Bird Flu was found in Tebingtinggi

on Wednesday, August 13 2008 | 03:00 of WIB

Medan, Kompas -

the Spreading of the bird flu virus to the poultry continued to creep. This time entered the Tebing Tinggi City.

This area became the third area that was attacked by the virus after the Asahan Regency and the Labuhan Batu Regency for the last two weeks.

Despite this was not yet found by the case to humankind.

?Petugas knew positive results of the attack of the bird flu virus through rapid test. We were still looking for further information concerning the development virus,? the Section's headword of Veteriner Dinas Peternakan North Sumatra Nurdin Lubis, on Tuesday (12/8) in Medan.

According to him, the positive case of the bird flu attack was received in the Deblod Sundoro District, Kecamatan Padang Hilir, Tebing Tinggi.

This area was adjacent to the Asahan Regency and Labuhan Batu that beforehand it was known were received by the positive case of bird flu.

?Tebingtinggi since 2005 has been found by the positive case of bird flu in unggas,? he said.

Beforehand, the bird flu attack to humankind attacked 12 areas from 28 regencies and the city, whereas the bird flu attack had to the poultry happened in 20 areas.

From all over the case of available bird flu in North Sumatra, was gotten by seven casualties died to humankind.

?Pemusnahan the virus was not easy. In time three to four years not necessarily could habis,? he said.

The bird flu virus has in recent times happened in the area that beforehand became endemic the spreading of the virus. According to him, the spreading trend of the bird flu virus in April up until September each year. This phenomenon, he said, there was his relations with the change in the dry season to the rain season.

He admitted the supervision of the circulation of the poultry from one area to the other area went lax. It should be that the circulation of the poultry was to the other area equipped the letter from the official of livestock breeding of the service.

?Kami needed the supervision rule of the circulation of the tighter poultry. The rule that uptil now was only about the circulation of the poultry for the regency and the city as well as inter-province.

The Sub- Dinas Pencegahan head of the Illness and Sanitation (P2P) the Service of Kesehatan North Sumatra Surya Darma justified this. Only he did not yet get existence information of contact with humankind.

?Secara our details did not yet often accept information. Nevertheless, we asked Service apparatus of Kesehatan Tebing Tinggi to not fall asleep. Must have the socialisation so that the community applies the pattern of the healthy and clean life. This as one of the efforts to face the development virus,? he said.

Later, 12 Air Batu villagers, Kecamatan Air Batu, berstatus was expected by bird flu. Late last week Departemen of the decisive Health of all the patient will be negative from the attack of the bird flu virus.

Currently most patients return to his house, including F (7) that could undergo the maintenance till Tuesday early afternoon because of being suspected of suffering dengue fever. (NDY)
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http://www.kompas.com/read/xml/2008/08/13/00530244/

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[Diane Morin]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

Concerning the cases of dengue in Tanjung Balai

Translation Anne

The Dengue Fever sufferer in Tanjungbalai increased

Metrotvnews.com, Tanjungbalai: the Case of dengue fever in several territories in Tanjungbalai, North Sumatra, continued to spread. According to the Kesehatan Service note local, at this time had 25 residents Tanjungbalai that was treated in the hospital because of the fever nberadah. This illness began to become an epidemic late last July. The most sufferer was in the Subdistrict Datuk Bandar and Tanjungbalai Selatan. To overcome this problem, the Kesehatan Service passed by fumigation in two territories. Fumigation was carried out in the house and the ditch, the place of nesting dengue fever mosquitoes. However, the resident regretted the slowness of fumigation. Fumigation was just carried out after casualties fell. In the Tengku Mansyur Tangjungbalai Public Hospital, the dengue fever patient reached 17 people during July, three including dying. The total during the last six months totalling 60 residents was attacked by this illness. According to the Head of Anak Space the Hospital of Tengku Mansyur Doctor Alfian, this increase happened because of the resident not all that maintained the cleanliness. (the SHOT)

http://www.pirba.ristek.go.id/berita_inside.php?intid=1605&strlang=ind

[Commonground]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

[There is also a video accompanied with this report]

Two Patients RS Adam Malik Negative Flu Burung
Selasa, 12 Agustus 2008 16:03 WIB

Muhamad Sani Muflih and Fadillah Hamun, two patients who were expected flattest bird flu, was stated positive was not infected by the virus H5N1. This news was sent by Deputy Director Rumah Sakit Adam Malik, Medan, North Sumatra, Doctor Aswan Lubis, on Tuesday (12/8). "Both of them the bird flu negative," said Aswan Lubis. Results of the sample test of blood of the two patients who were tested in Jakarta were just accepted today. Well Muhammad Sani and Fadillah Hanum were allowed to leave the hospital. The two villagers Damuli, Kecamatan Air Batu, of Asahan, that has a week was treated in Space of Isolasi Flu Burung Rumah Sakit Adam Malik. However, because Hanum was still being attacked by dengue fever, he was still being treated in this hospital.

Be different from yesterday during trombosit Hanum descended dratis, today trombosit him gradually rose. If originally only 57 thousand currently became 75 thousand. Indeed, this number still below trombosit normal, namely 120 thousand. But this development showed his health improved. In the place was separated, nine residents who were treated the Hospital of Abdul Manan Kisaran, Asahan, has been allowed to return to his house. This after the hospital side accepted results of the sample of the blood inspection of Jakarta was stated by the bird flu negative. Their village was also stated by the bird flu negative. However, today the Public Hospital of Abdul Manan again receives three patients who were expected flattest bird flu. They came from the Kebon Village three, Kecamatan Air Batu. The patient consisted of the baby was six months old had a name Aman and two children, namely Yosi Elinda and Sutriono. The hospital side will send the sample of blood to Jakarta to confirm whether the three of them terjangkit bird flu.

http://metrotvnews.com/new/berita.asp?id=64434

[Commonground]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

[Mention of the two in Medan]
Senin, 11 Agustus 2008 14:03 WIB
Excerpt:
Two patients were forced to be reconciled to the Medan province hospital because his condition was critical. The patient's family complain about slow him the handling of dengue fever by the Kesehatan Tanjungbalai Service. Moreover, fogging to the resident's houses was not yet carried out evenly and routinely. The Tengku Mansyur hospital acknowledged the existence of the increase in the dengue fever sufferer who was treated. This happened because of the shortage of the resident maintained the cleanliness.

http://metrotvnews.com/new/berita.asp?id=64349

[Commonground]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

[A few sentences on the latest 3]

Selasa, 12 Agustus 2008 11:10 WIB
the hospital of Abdul Manan Kisaran, Asahan, North Sumatra again received three flattest patients bird flu from the Kebun Tiga Village, Kecamatan Air Batu, Asahan. The three patients were Amanda that the six months as well as two children, namely Yosi Elida and Sutriono. The three of them underwent the maintenance in the hospital since last Monday (11/8). The patient was carried to the hospital because of the temperature of the body the three of them hot high was accompanied by the cough when being checked in the local community health centre. On the same day 12 residents who were treated were returned after results of the Department's inspection of the Health in Jakarta stated 12 samples of their blood the negative was infected by the bird flu virus. The head of the Hospital of Abdul Manan Kisaran Doctor Bambang claimed, his side returned 12 patients because of being not infected by bird flu. Whereas the condition for the three patients who just entered began to improve. However, the planned hospital side sent the sample of blood the three of them to be checked in the laboratory in Jakarta.

http://metrotvnews.com/new/berita.asp?id=64401

[Commonground]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

[Mention of the two in Medan]
Senin, 11 Agustus 2008 14:03 WIB
Excerpt:
Two patients were forced to be reconciled to the Medan province hospital because his condition was critical. The patient's family complain about slow him the handling of dengue fever by the Kesehatan Tanjungbalai Service. Moreover, fogging to the resident's houses was not yet carried out evenly and routinely. The Tengku Mansyur hospital acknowledged the existence of the increase in the dengue fever sufferer who was treated. This happened because of the shortage of the resident maintained the cleanliness.

http://metrotvnews.com/new/berita.asp?id=64349

Are these two patients Fadillah Hanum and Sani Muflin? They were admitted on the 6th. This article is dated the 11th. And it's metronews. So they wouldn't be talking about an admission of patients back on the 6th.
I have a notation of 2 people admitted to the Province Medan Hospital critically ill with DBD, noted on the 9th.....

[Diane Morin]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

Again, 5 patients DBD entered RSU T Mansyur Tanjungbalai .

Posted in the Area by editorial staff ounce in August 11th, 2008. <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
Tanjungbalai (SIB)

RSU the Mansyur Tanjungbalai Tank, on Sunday (10/8) again received 5 patients of casualties of dengue fever dengue fever (DBD), two among them came from the shavings Regency. DBD casualties from Tanjungbalai respectively Tita Anggie (10) the resident Street Rukun, Kelurahan Bunga Tanjung, of Kecamatan Datuk Bandar Timur, Kiki (15) and Rahmadina (13), both of them the resident Street Mt Haryono, Kelurahan Selat Lancang, Kecamatan Datuk Bandar. Two residents of the Asahan Regency that was the brother's brother namely Fitrah (5) and Aiman (10) villagers Sei Dua Hulu, Kecamatan Simpang Empat.
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The head of BPRSU Dr T Mansyur Tanjung Balai, Dr Hj Diah Retno W through Cosmas Siagian public relations said from the five patients who were treated inap, the condition for Fitrah and Aiman were considered most critical. His article, trombosit both of them experienced the drastic decline until reaching 65 thousand and 75 thousand. ? Fitrah and Aiman his condition was weakest from the five new patients masuk,? clear Siagian.
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Cosmas Siagian mentioned, with the increase of five DBD patients, the patient who underwent the maintenance inap in the hospital became 20 people. ? Pasien early totalled 17, and two were stated recovered. So the number of patients who still was treated totalling 20 orang,? mentioned Siagian while adding, the hospital side provided the room of the addition in space kramzal.
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Expected by Bird Flu.
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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/

[Diane Morin]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

More on the cases of dengue in Tanjung Balai

http://www.flutrackers.com/forum/showthread.php?p=173950#post173950

[Laidback Al]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, &amp; Environs) Indonesia

Recent suspected flu burung
Hospitalized at Rumah Sakit Abdul Manan Kisaran on Aug 11, 2008

Three individuals from: Desa Kebun Tiga, Kecamatan Air Batu, Asahan (post #236)
1. Amanda (6 months)
2. Yosi Elida (child)
3. Sutriono (child)

Recent suspected dengue cases

at RSU Tengku Mansyur Tanjungbalai (post #238)
1. Tita Anggie (10) from Jalan Rukun, Kelurahan Bunga Tanjung, Kecamatan Datuk Bandar Timur
2. Kiki (15) from Jalan MT Haryono, Kelurahan Selat Lancang, Kecamatan Datuk Bandar
3. Rahmadina (13) from Jalan MT Haryono, Kelurahan Selat Lancang, Kecamatan Datuk Bandar
Kiki and Rahmadina are from the same "street" and may be neighbors
4. Fitrah (5) from Desa Sei Dua Hulu, Kecamatan Simpang Empat
5. Aiman (10) from Desa Sei Dua Hulu, Kecamatan Simpang Empat
Fitrah and Aiman are brothers from the same family.