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Indonesia: Human Cases 8 Oct 2008 - January 28, 2009
Liputan6.com, Semarang: Agriculture, the Office of Semarang, Central Java, to destroy poultry in the region Medoho, Siwalan, Semarang, Central Java, Saturday (15/11). The region is a place to live someone who died due to bird flu. Meanwhile, the current bird flu in Semarang has been defined as extraordinary events.
KLB destruction and subsequent determination of a citizen, namely Dewi Sartika who died due to bird flu. Three poultry abattoir, which is in the midst of settlement residents also closed in order not to intensifying the situation. To prevent transmission of bird flu is not widespread, the Government of Semarang will immediately focus all poultry in the area of cutting Penggaron
17 (strongly) suspected with H5N1 in S-Sulawesi,
2 family clusters
many dead chickens
first symptoms on 10.Nov.
all improving/recovering
correct ?
Since there aren't clinical data about the health status of almost all the patients involved, it isn't possible to state that ''they are recovering'', because we don't know whether - with the exclusion of the seven frankly diseases (with x-rays pneumonia signs' and rapid influenza A tests positivity) - the remaining patients were symptomatic and the kinds of symptoms they suffered before hospitalization.
Hence, we have people in strict isolation AND no clear clinical picture AND no official statement about laboratory results / pathological findings AND some indication of poultry die-off in residents' area.
-- AND --
no mention to respiratory assistance to patients / blood cells count panel (lymphocite count below the normal, as common feature of H5N1 human infection and platelets count below mean value).
Conclusion: this incidents - potentially indicative of a sustained spread of H5N1 in community (as the patients' number exceeded five, see WHO) - lacks of basic informations to determine the factual status and possible further spread into region / community, and the involvement of H5N1 avian influenza virus.
Jakarta was based on the collection of several datas that entered, for the time being the Department's side of the Health concluded small the possibility 17 patients suspect bird flu (Avian Influenza/AI) that currently is treated in space of the Hospital isolation of Regional Dr Wahidin Sudirohusodo, Makassar, South Sulawesi could be indicated to be positive suffering of bird flu.
The "data that entered indeed still piece by piece." But could be concluded by the patient did not experience leukopeni (the decline in the number of white blood cells) , obviously Plh. Director General Pencegahan of the Illness and Sanitation of Lingkungan Department of Health Tjandra Yoga Aditama to the Indonesian Media, on Thursday (13/11).
According to Tjandra, 70% the positive patient bird flu had the affected characteristics leukopeni. Generally the positive sufferer content bird flu of the number of white blood cells provided through to was supervised by the range 5000 ml as a result of being infected by the virus H5N1.
Nearby leukopeni, the clinical sign that generally is to the positive patient was the hot sign, breathless, thrombositopeni (the decline in the number of blood cells in blood) and pneumonia (the infection of the lungs that caused the problem of respiration).
Despite this, Tjandra did not reject was gotten by the risk factor took the form of the death of several poultries in casualties's environment. The risk factor (close to the poultry died) indeed was available. But did not yet have the report on the poultry that died flattest H5N1 or not, he added.
However on the whole, Tjandra claimed to be information that was accepted by the Department of Health was still vague. His current, was difficult for this agency to determine the status of casualties.
But there is a complete lack of details about the entire cluster of cases.
I am sorry but if Indonesians don't start to be more detailed and open about incidents of these kind, the danger of an uncontrolled spread in community will continue to grow, in spite of reassurances or ministry denials.
This is from the Jakarta Post. Why would they choose to not use the test results from the hospital and the university? That last paragraph sounds like the hospital will wait for the health ministry results to determine treatment?
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The hospital, he said, is still waiting for the results of blood tests from the Health Ministry.
An initial test of all the patients' blood has indicated the presence of the avian influenza virus, H5N1. The same test by the micro laboratory of Hasanuddin University's School of Medicine in Makassar indicated the same results.
Halik said the hospital had decided not to use them as an indicator or reference for the illness.
"The only results we will refer to in order to treat our patients will be those from the laboratory of the health ministry's research and development center," he said.
The Wahidin Sudirohusodo regional hospital in Makassar, South Sulawesi, is continuing to isolate 17 patients of Biringkanaya district believed to have bird flu
The salvage of human life ought to be placed above barter and exchange ~ Louis Harris, 1918
From post #206: The hospital, he said, is still waiting for the results of blood tests from the Health Ministry.
An initial test of all the patients' blood has indicated the presence of the avian influenza virus, H5N1. The same test by the micro laboratory of Hasanuddin University's School of Medicine in Makassar indicated the same results.
Halik said the hospital had decided not to use them as an indicator or reference for the illness.
"The only results we will refer to in order to treat our patients will be those from the laboratory of the health ministry's research and development center," he said.
The head of the Makassar Health Agency Naisyah Tun Azikin said all the samples required for testing had been sent to Jakarta on Thursday and Friday. The results should be known within a week.
Naisyah said in anticipation of a possible increase in suspected bird flu cases, his office had prepared two additional hospitals to treat them.
"Alhamdulillah (Praise be to God), none were admitted today," Naisyah said Friday.
It sounds like the Ministry of Health has implemented full information control. If so, we may not see any more descrepancies such as local/hospital officials reporting a positive case, then the Ministry denying it days later. The Ministry may have taken care of the H5N1 'problem' in Indonesia by this simple policy: Voila! No more cases!
It IS hopeful that new suspect patients are not pouring in for treatment every day: " Naisyah said in anticipation of a possible increase in suspected bird flu cases, his office had prepared two additional hospitals to treat them.
Alhamdulillah (Praise be to God), none were admitted today," Naisyah said Friday."
This is from the Jakarta Post. Why would they choose to not use the test results from the hospital and the university? That last paragraph sounds like the hospital will wait for the health ministry results to determine treatment?
--------------------------------------------------------------
The hospital, he said, is still waiting for the results of blood tests from the Health Ministry.
An initial test of all the patients' blood has indicated the presence of the avian influenza virus, H5N1. The same test by the micro laboratory of Hasanuddin University's School of Medicine in Makassar indicated the same results.
Halik said the hospital had decided not to use them as an indicator or reference for the illness.
"The only results we will refer to in order to treat our patients will be those from the laboratory of the health ministry's research and development center," he said.
This report lacks specificity. Earlier reports indicated several family members were positive for influenza A or had bronchopneumonia. However, those tests would not distinguish between H5N1 and seasonal flu.
An initial test of all the patients' blood has indicated the presence of the avian influenza virus, H5N1. The same test by the micro laboratory of Hasanuddin University's School of Medicine in Makassar indicated the same results.
I'm still confused. Is the reporter mis-informed?
The salvage of human life ought to be placed above barter and exchange ~ Louis Harris, 1918
The condition for the health 17 patients suspect bird flu that was isolated in Pakis Rumah Sakit Space (RS) Wahidin Sudirohusodo since three days last, directly showed the improvement. This was shown by continuing the decline in the temperature of the body of all the resident of the Village of Tangkejangang, Jalan Pattene, the Sudiang District, this Biringkanaya Subdistrict through to below 37 Celsius levels. ?Untuk while the condition for the health of all the patient was still safe and stabil.Hari this (yesterday) not there is one that is feverish and the temperature of his body on 37 levels Celsius,? revealed Dr Rita,salah the team's one member of the control of flu burung,kemarin. He said, this really was during early different from them entered RS, where the temperature of the body of all the patient above normal. Namun, according to him, the 17 patients were still continuing- keep on the cough and breathless. Was based on SINDO observation in RS Wahidin, sterilisation efforts of isolation space of the 17 patients who it was suspected were infected by the virus avian influenza (AI) this increasingly was tightened by the official RS.
Several officials of the security were spread to take care of anyone who approached the building that was behind RS property of the government. Jufri, 30, you the patient named Fausi,3 bulan,yang was met yesterday mengungkapkan,kesehatan the child both of them that continued to show the improvement. ?Anak I was beforehand put into special space and had difficulty to ditemui,tapi now was moved to the room lain,?ujar him. The man that when being met used this mask hoped results of the test of the child's blood of the sample laboratory as well as belasan his neighbour fast went out so as to be able to be known whether they terjangkit the bird flu virus or not. ?Saya thought increasingly fast results went out, increasingly bagus,?kata him. Last week, hundreds of tails of the chicken in his territory died mendadak.Pada at that time also several officials of the community health centre and the Service of Kesehatan Makassar entered directly to destroy these chickens. A day later, 17 residents in the Tangkejangang Village, consisted of children and mature, experienced the fever was accompanied by the cough and the temperature of his body was high enough. Afterwards they were reconciled to RS Wahidin.
In the meantime, related the discovery of the poultry that was stated positive terjangkit bird flu in Street Patene, the Tangkejangang Village, the Government of the South Sulawesi Province and the Makassar City had finally alerted several personnel in the District of Sudiang,Kecamatan Biringkanaya. They formed the solidest command post and involved several medical teams. Section Head Kesehatan Makassar Naisyah T Azikin explained, this command post will be alerted for two weeks, while being waiting for results of the test of the resident's blood of the sample laboratory suspect bird flu. ?Keberadaan the official in the command post to monitor at the same time investigating the condition for the resident that was in the region, was or not sick. We would standby for one as far as two minggu,? he said to SINDO, yesterday. The joint team that was formed by the Government of the South Sulawesi Province and the Government of the Makassar City also began to send the socialisation of the method prevented was infected by the virus AI.?Tadi (yesterday) we gathered approximately 80 residents to be given by the explanation about the prevention method. The resident was very cooperative and wanted to carry out anticipation by handing over his poultry for dimusnahkan,?kata Naisyah.
The poultry belonging to the resident who was destroyed reached 167 tails. Apart from itu,Dinas Kelautan and Pangan Makassar Endurance again combed the poultry in this area. Results, seven tails of the poultry were found and immediately was destroyed. The other action was to spray the vaccine in several the former poultry pens. Naisyah admitted that the resident's majority in the Tangkejangang Village raised poultries. ?Mudah-mudahan already did not have again the poultry in the region tersebut,?ujar him. Maros Alert one Officially Peternakan and Marine Regional Government Maros put into effect alert one to anticipate the spreading of the plague of bird flu. This step was taken following the discovery of the patient suspect bird flu in the Subdistrict of Biringkanaya,Kota Makassar. Section Head Peternakan and Marine Maros Syata Sanusi claimed not want to robbed in this case. Because the bird flu virus could also spread through air, the spreading opportunity of the bird flu virus in the Maros regency then very big. ?Kita has anticipated with put into effect alert one.
This to anticipate so that the plague of bird flu does not enter to Maros.Apalagi the discovery territory suspect bird flu was the bordering territory direct with Maros,? he explained to SINDO yesterday.
Syata said, related the discovery of the patient suspect bird flu in the Biringkanaya territory, Kota Makassar, Dinas Peternakan Maros monitored several of the producer's territories of the piece chicken. Moreover, they also carried out spraying, considering some time before in Maros also could be found by the chicken that died suddenly, with tandata you were similar terjangkit bird flu. ? Kami has assigned several officials from the livestock breeding service to monitor several livestock belonging to the businessman of the breeder of the piece chicken and kept the resident. Praise the Lord, now was not yet found the poultry that was detected terjangkit the flu virus burung,? he said. In the place of terpisah,Kepala Dinas Kesehatan Maros H Firman Jaya added, his side also put into effect alert one related the handling of the case that attacked Indonesia since 2004. Moreover the implementation has taken place for a week. Firman admitted to asking for all the head of the community health centre and the doctors to more beautiful saw the condition for the patient.
?Jika had the patient with signs was similar suspect bird flu, must segara was reconciled to RS Wahidin Sudirohusodo Makassar, because of facilities in RS Salewangeng Maros did not yet satisfy. We still the lack perlengkapan,?ujar him. Vice Chairman Komisi C DPRD Maros A Said Patombongi asked two related services to co-operate prevented the spreading of the deadly illness itu. Pasal him, this was related to the life of many people. ?Dinkes and disnak certainly must work harder in handling this case. This not the case mainmain. Has happened in several wilayah,bukan only in Indonesia. Therefore, needed the good co-operation antardinas. If needing the community also dilibatkan,? he said.
Results of the sample of poultry blood in Street Medoho III RT 5/I the District of Siwalan, Kecamatan Gayamsari, Semarang, declared the negative Avian influenza (AI). Nevertheless, the special monitoring to this territory continued to be carried out till a month in the future.That following was appointed by him Semarang became the Luar Biasa Incident (KLB) bird flu after the DS death the local resident who was stated positive AI from the sample test of blood that was done some time before. Kasi the Health of the Semarang Animal of the Service of City Agriculture drh Totok Susanto said, the sample of poultry blood was taken from the kind of the living chicken in the Medoho III road on Sunday (9/11) past. Setidak him had three chickens that were taken the sample of his blood to be researched. ?Removal of the sample to the chicken that still was living because in the area there was not found by the chicken that already dead,? jelas him kemarin. He said, for the taking of the sample of poultry blood, indeed was carried out in the chicken kind then. Because, in this poultry kind, was known most accurate if being carried out by the testing.
?As for the other poultry kind, usually more inexact. With rapid test indeed the chicken kind that most accurate,? kata him. Totok mentioned, the testing of the sample of the blood personally, was carried out in Labor Party-atorium the B type that was in Street Perintis of Semarang Independence. Although being known by the negative, the step in the eradication and the prevention of the bird flu virus continued to be carried out. Among them by carrying out spraying in the market- the poultry market next week. ?Tepat him we did not yet know. But that was clear next week would dilakukan,? he said. The poultry market that will become the spraying target among them the Rejomulyo poultry market (the Kobong Market) and the Burung Karimata Market. ?Setelah the two markets we amankan,baru pasarpasar other that it was known had the sale unggasnya,? he explained. The head of Dispertan Kota Semarang Ayu Entys WLE added, pemantauankhusus the Medoho region continue to in accordance with the plan originally although results of the sample of the negative poultry.
?Possible so yes that our poultry took his sample not yet terjangkit but already as carrieratau pembawa.Patokan kita ada lahtetapmengacudari results of the sample of his human casualties that positif,?terang him. It was related that the indication of the existence of several poultries of the birds kind that still were hidden by the resident in Medoho in the extermination of the poultry last Tuesday (12/11), his side hoped that was untrue. His side regretted if that happened. ?Jika until true was like this, we asked for his awareness lah.Kita wanted love our spirit or our kept poultry gitu saja,?kata him. In the meantime Kasi Pemberantasan of the Bersumber Binatang Illness (P2B2) the Kesehatan Service of the City (ET AL) Semarang Sri Ani Handayani said, the sample of blood of three other residents who took part in being checked also did not yet go out. The three residents suffered the illness that his characteristics were the same as DS.
Flu of Burung Semarang KLB Flu Burung, Unggas Dimusnahkan
Liputan6.com, Semarang: the Service of Pertanian Kota Semarang, Central Java, appointed him the extraordinary incident (KLB) bird flu in the Semarang City and destroyed the poultry. This stipulation followed the assurance of a resident, Dewi Sartika (15), the resident Street Medoho III, Kelurahan Siwalan, of Gayamsari, that died resulting from terjangkit bird flu. The extermination of the poultry and the pen were carried out by the official by means of burnt. Three poultry abattoirs that was in the middle of the settlement of the resident also was closed and moved to the edge of the city. This was done to prevent the spreading of bird flu. (UPI/Tim of Coverage 6 SCTV)
**********************************
Dinas Pertanian Semarang membakar kandang unggas.
16/11/2008 12:42 - Flu Burung Semarang KLB Flu Burung, Unggas Dimusnahkan
Liputan6.com, Semarang: Dinas Pertanian Kota Semarang, Jawa Tengah, menetapkannya kejadian luar biasa (KLB) flu burung di Kota Semarang dan memusnahkan unggas. Ketetapan ini menyusul kepastian seorang warga, Dewi Sartika (15), warga Jalan Medoho III, Kelurahan Siwalan, Gayamsari, yang meninggal akibat terjangkit flu burung.
Pemusnahan unggas dan kandang dilakukan petugas dengan cara membakar. Tiga tempat pemotongan unggas yang berada di tengah-tengah permukiman warga juga ditutup dan dipindahkan ke pinggir kota. Hal ini dilakukan untuk mencegah penyebaran flu burung.(UPI/Tim Liputan 6 SCTV)
News from Semarang, Java; neighours of the deceased girl Dewi also have high fever and similar symptoms like Dewi had; their condition is improving, probably after using Tamiflu.
Snip from Javapos/ Radarsemarang
Asked by results of the sample laboratory of blood 3 neighbours DS that had the sign almost were the same as DS, Sri Ani claimed did not yet know. Because, results of the laboratory did not yet go out.
"Result from research and development Department of Health RI does not yet go out to today (yesterday).
However was based on the report that we received, the condition for the three residents has at this time improved, after being treated in the local Community Health Centre, obviously him.
The three residents who could be attacked by the high fever including Jefri, Wanda, and Kusyanto. The three of them the resident Medoho, Siwalan.
Was separated, Kepala Dispertan Kota Semarang Ayu Entys explained, especially KLB in Medoho, his side continued to carry out the tight supervision. When having the reduction house in the poultry (RPU) that still was operating, Dispertan will close had these efforts.
"The Medoho area was still being monitored by us tightly for one month in the future. Not only for the poultry," RPU also.
credits dbg
?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
Richard Horton, Editor-in-Chief The Lancet
Another snip on the three in Semarang, neighbours of Dewi, displaying avian flu symptoms.
In the meantime Kasi Pemberantasan of the Bersumber Binatang Illness (P2B2) the Kesehatan Service of the City (ET AL) Semarang Sri Ani Handayani said, the sample of blood of three other residents who took part in being checked also did not yet go out.
The three residents suffered the illness that his characteristics were the same as DS.
Source: seputar indonesia
credits mojo
?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
Richard Horton, Editor-in-Chief The Lancet
One of the Indonesian city of Makassar in South Sulawesi, will be screened tests detect bird flu after ill health.
Chandra said Eugal Aditama, the acting director-general of communicable disease surveillance for the group dealt with after the death of poultry in the area surrounding the sudden.
"I think it is a precaution after the death of our officials poultry here."
He described the general health situation of seventeen as good and said that blood samples were taken will be sent to a laboratory for the Ministry of Health in Jakarta for testing.
"We will continue to follow their situation," adding that only four members of this group were adults.
The cumulative suspected cases could raise concerns about a rare disease transmission from person to person, or that the virus could mutate into a form that could pass easily between humans.
The largest known cluster of bird flu cases among humans occurred in May in May 2006 in the Karo district of Sumatra, where 7 people died in an extended family.
The World Health Organization said at the time that the limited transition from person to person can not be ruled out but the virus samples taken from the site did not show that any genetic mutation negligible.
Indonesia has the largest number of deaths of bird flu in any other country, said health official said Wednesday that an Indonesian girl, 15-year-old died of bird flu in Central Java to increase its number of human deaths from the disease in Indonesia to 113 deaths.
translation from Arabic
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