Indonesia: Human Cases 8 Oct 2008 - January 28, 2009

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

<TABLE cellSpacing=0 cellPadding=0 border=0><TBODY><TR><TD class=teks3>Tuesday, 25-11-2008 </TD></TR><TR><TD class=footer width=392>

4 Tahun, Satu Kasus Flu Burung Positif

4 Year, One Positive Bird Flu Case
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Dinkes Minta Masyarakat tak Panik

Ask Community DinKes not panic

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MAKASSAR, BKM -- Dinas Kesehatan Makassar mengklaim, grafik kasus flu dalam empat tahun terakhir, tak menunjukkan angka mengkhawatirkan.

MAKASSAR, BKM - Health Makassar claim, the graph flu cases in the last four years, not about the numbers indicate.

Meski ditemukan lebih dari 50 kasus, namun semua masih dalam status suspect, dan baru satu yang dinyatakan positif di tahun 2006.

Although found more than 50 cases, but all are still in the status of suspect, and a new one that stated positive in 2006.
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Kepala Dinas Kesehatan Makassar Naisyah T Azikin, Senin (24/11) mengatakan, grafik ini dalam hitung-hitungan normal berdasarkan tingkat penyebaran rata-rata di Tanah Air, Makassar masih terbilang normal.

Head of the Office of Health Makassar Naisyah T Azikin, Monday (24/11) said, this graph-count in calculating the normal level based on the spread of the average in the country, she is relatively normal.

Karena masyarakat tidak panik atau serta merta mengklaim flu burung jika menemukan unggas yang mati mendadak.

Because people do not panic or immediately claimed the bird flu if a bird found dead.

"Masyarakat tidak usah terlalu panik, apalagi obat-obatan bagi masyarakat yang dicurigai terinfeksi virus flu burung ini tersedia di seluruh puskesmas dan rumah sakit terdekat, tinggal datang saja melapor dan akan dilayani," ungkap Naisyah.

"People do not panic too, especially medicines for people infected with suspected bird flu is available in all health centers and hospitals nearby, came to live alone and will be reported," said Naisyah.

Dia mencontohkan, kasus penyebaran virus flu burung yang terjadi di Kelurahan Pattene dan dicurigai telah menelan korban 17 orang akhirnya bisa diatasi dengan cepat.

He cited example, cases of the virus of bird flu occurred in the village Pattene and suspected victims have been swallowed 17 people can eventually overcome quickly.

Korban yang terindikasi flu burung itu, berangsur-angsur pulih setelah mendapat perawatan intensif dari petugas.

Terindikasi victims of bird flu, the fade recovered after receiving intensive treatment from the officials.

Hasil uji laboratorium juga hasilnya negatif terserang virus AI.

The results of laboratory test results also were negative AI virus.

Adapun ciri-ciri orang yang terinfeksi virus AI, sebut Naisyah, antara lain seseorang menderita deman sangat tinggi di atas 38 derajat celcius disertai batuk, sesak tenggorokan/sesak napas.

The characteristics of people infected with AI virus, a Naisyah, among others, a person suffering Demand is very high above 38 degrees centigrade accompanied by a cough, shortness of the throat / breathlessness.

Namun itupun bisa dicurigai terserang virus AI bila masyarakat merasa pernah memasuki lingkungan peternakan unggas atau kontak langsung dengan unggas.

However, Hobbes can be suspected if the AI virus had entered the public environment poultry farm or direct contact with poultry.

"Kalau memang masyarakat merasa tidak pernah melakukan kontak langsung dengan unggas tapi dia demam, itu belum bisa dipastikan demam akibat terserang virus flu burung, jadi masyarakat perlu memahami hal seperti ini," papar Naisyah.

"If people do not have direct contact with poultry, but fever, it can not be a fever due to the bird flu virus, so people need to understand things like this," said Naisyah.

Kepala Dinas Kelautan dan Ketahanan Pangan (DKKP) Makassar Syaiful Saleh, menambahkan, masyarakat jangan terlalu paranoid dengan unggas, sehingga tak mau lagi mengonsumsi makanan dari unggas.

Head of Marine and Food Security (DKKP) Makassar Zane Saleh, adding, people not too paranoid with poultry, so I want to consume more food from poultry.

Unggas bisa dikonsumsi dengan aman, sepanjang dimasak di atas 100 derajat celcius.

Poultry can be consumed safely, along cooked above 100 degrees centigrade.

Mengantisipasi terjadinya penyebaran virus yang mematikan ini, pihaknya lanjut Syaiful, pihaknya akan mengawasi ketat peternakan-peternakan unggas dan unggas yang masuk ke Makassar dari wilayah perbatasan.

To prevent the spread of the death of this, the information Zane, would oversee strict animal husbandry, poultry husbandry and poultry into the Makassar from the border areas.

Dia juga memerintahkan aparatnya agar lebih tanggap mendapatkan informasi bila terjadi kasus unggas yang mati mendadak.

He also ordered officials to be more responsive to get information when a case of birds that died suddenly.

Petugas lapangan dari DKKP Kota Makassar drh Yanti mengemukakan, pihaknya akan terus memantau dan mengawasi ketat lokasi yang diindikasi terjadi penyebaran AI di Kelurahan Pattene.

DKKP officers from Makassar Drh Yanti said, the government will continue to monitor and supervise strictly the location of the spread of AI diindikasi occurred in the village Pattene.

Bahkan, 1x24 jam, ditempatkan petugas lapangan secara bergantian pada posko yang dibentuk di lokasi itu.

In fact, 1x24 hours, field officers are placed alternately on the Posko formed in the location.

( PR1/sya )

(PR1/sya)

http://translate.google.com/translate?hl=en&sl=id&u=http://www.beritakotamakassar.com/view.php%3Fid%3D21822%26jenis%3DMakassar_Kota&sa=X&oi=translate&resnum=4&ct=result&prev=/search%3Fq%3Dmakassar%2Bburung%26hl%3Den%26lr%3D%26rls%3DTSHA,TSHA:2006-07,TSHA:en%26as_qdr%3Dd%26pwst%3D1

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[Laidback Al]

Re: Indonesia: Human Cases 8 Oct 2008 +

The individual noted as positive in 2006 in the post above was Akira Wisnuliyanti, a 14 year old girl who died in June of 2006. She was from Makassar City. Several other of her family members were sick and died but she was the only WHO confirmed case from that cluster.

http://www.who.int/csr/don/2006_09_08a/en/index.html


see: http://www.flutrackers.com/forum/sho...2&postcount=14

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

The individual noted as positive in 2006 in the post above was Akira Wisnuliyanti, a 14 year old girl who died in June of 2006. She was from Makassar City. Several other of her family members were sick and died but she was the only WHO confirmed case from that cluster.

http://www.who.int/csr/don/2006_09_08a/en/index.html


see: http://www.flutrackers.com/forum/sho...2&postcount=14

There have also been large suspect clusters previously

http://www.recombinomics.com/News/10040601/H5N1_Makassar_Cluster.html

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

The individual noted as positive in 2006 in the post above was Akira Wisnuliyanti, a 14 year old girl who died in June of 2006. She was from Makassar City. Several other of her family members were sick and died but she was the only WHO confirmed case from that cluster.

http://www.who.int/csr/don/2006_09_08a/en/index.html


see: http://www.flutrackers.com/forum/sho...2&postcount=14

Also suspect Sulawesi cases in 2005 (which Kadun forgot)

http://www.recombinomics.com/News/09260501/H5N1_Jakarta_Confirmed_6.html

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

Commentary

http://www.recombinomics.com/News/11240808/H5N1_Makassar_Clusters.html

[Diane Morin]

Re: Indonesia: Human Cases 8 Oct 2008 +

Tuesday, November 25, 2008 10:13 AM

Be a member & get the benefits!

CORNERED

Tue, 11/25/2008 7:20 AM | Headlines
City officials attempt to catch chickens in a residential area in Makassar subdistrict, Jakarta, on Monday, as part of an operation to prevent the spread of avian flu in the capital. (JP/J. Adiguna)

http://www.thejakartapost.com/news/2008/11/25/cornered.html

[Ningtyas]

Re: Indonesia: Human Cases 8 Oct 2008 +

http://www.fkm-unhas.ac.id/index.php

makassar university .. kesehatan.
I don't see if it 's a big " medical "center.

medical is kedokteran, not kesehatan.

http://med.unhas.ac.id/

[Shiloh]

Re: Indonesia: Human Cases 8 Oct 2008 +

Source: http://suaramerdeka.com/smcetak/inde...itacetak=40902
SEMARANG & SEKITARNYA
26 November 2008
Unggas di Pasar Karimata Disemprot

Machine translation:
Semarang & SEKITARNYA
[B]on November 26 2008
Unggas in the Karimata Disemprot Market

Semarang BE TIMUR- the Community was especially the owner of the poultry asked to be on the alert against the spreading of the bird flu virus (Avian influenza or AI), followed the arrival of the rain season.

Because, this virus more was easy to breed in the weather and the humid place. Moreover, must be increased by vigilance because of results of the laboratory inspection of the sample of DS blood (15), the resident of the Medoho Village, Siwalan, of Gayamsari, that died recently, showed positive suspect bird flu.

??Hujan caused the level of high humidity. The condition will like that facilitate the spreading of the bird flu virus, especially in the place that was not maintained kebersihannya,?? said Kasi Kesehatan of the Animal of Dinas Pertanian Kota Semarang the veterinary surgeon Totok Susanto, on Tuesday (25/11), in spraying gaps in the Burung Karimata Market.

He explained, for this rain season the poultry must be penned. The condition for the pen environment and surrounding area must be also paid attention to by his cleanliness.

The resident was appealed to to maintain the condition for the pen stayed dry. That, according to Totok, could be done by means of giving the lime in the humid location.

Spraying
in the meantime, although the status of the extraordinary incident (KLB) bird flu has official was pulled out, on Friday (21/11), Dispertan Kota Semarang continued to continue spraying in the region of poultry centres. On Tuesday (25/11), the official sprayed disinfectant in the Burung Karimata Market.

??Penyemprotan bio security that was carried out by us this did not depend on the status of KLB. Antisipasi this kind continue to will be done by us in a rutin,?? manner he said yesterday.

He said, the awareness of the trader towards the spreading danger and the prevention of the bird flu virus increasingly increased. That could be seen from the support or the positive response of the traders when the official carried out spraying.

??Saat this did not have the problem with the traders. They in fact supported fully spraying. The condition was far different if compared with the beginning stage of spraying, where the traders menolak,?? he said.

Chairman Paguyuban of the Burung Karimata Market, Sukairi said, the trader was not too worried with the spreading of the bird flu virus.

??Sedari early we paid attention to the health of the animal and the cleanliness of the pen. Nevertheless, the trader stayed supportive the existence of spraying that was held by the Service Pertanian,?? he said.

Beforehand, the similar activity was also carried out in the Unggas Rejomulyo Market, on Tuesday (18/11). The further spraying target that is the Kepodang Market. (H40,H21-37)

[Shiloh]

Re: Indonesia: Human Cases 8 Oct 2008 +

Source: http://www.kompas.com/read/xml/2008/...ung.di.lampung

Home/Kesehatan/Health Info/News
48 Kasus Flu Burung di Lampung (2005-2008)

Machine translation:
48 cases of Bird Flu in Lampung (2005-2008)
on Wednesday, November 26 2008 | 18:10

Banda Lampung, on Wednesday - the Health Service of the Lampung Province mentioned from 2005 until 2008 was criticised by 48 cases suspect the bird flu illness in Lampung and three including being positive.

"All the sufferers suspect bird flu and that was positive in the period after being handled by the medical team in the Public Hospital of Abdul Moloek (RSUAM) the Province all of them were stated recovered, the" Kesehatan" Service headword (Kadis) the Lampung Province, Relliyani, in Banda Lampung, on Tuesday.

He mentioned, if the bird flu sufferer was stated positive was affected by the illness almost 80 percent his life could not be helped.

Nevertheless he said in the Lampung Province totalling three sufferers who were stated postif bird flu after getting the maintenance in RSUAM till now in the healthy condition.

He also expected all the sides to carry out the prevention of this illness danger with reported to the related side if being found the poultry was in a sufficient number found died suddenly.

Kadis Kesehatan added the sufferer of the bird flu illness who was reconciled to RSUAM Provinsi Lampung was not adopted some sort fees began to enter the Intensive Care Unit (UGD), the maintenance in isolation space to the laboratory inspection in Jakarta.

In the meantime, the Public Hospital of Abdul Moloek (RSUAM) the Lampung Province had isolation space and the installation of the bird flu illness that the development cost of his building reached Rp789 million.

Isolation space and the bird flu installation widely the building around 180 square metre and the area of the land around 300 square metre that just was declared by Lampung Governor Syamsurya Ryacudu.

[Shiloh]

Re: Indonesia: Human Cases 8 Oct 2008 +

Source: http://suaramerdeka.com/smcetak/inde...itacetak=41022
27 November 2008
Gejala Awal Flu Burung seperti Influenza
* Oleh Purnomo Hadi

Machine translation:
On November 27 2008
Gejala Awal of Bird Flu like Influenza
* Oleh Purnomo Hadi

The BEGINNING of this season of year rain in Central Java was marked by an incident that was not expected, that is the existence of casualties to die resulting from the infection of the bird flu virus on November 07 2008 in Medoho, Gayamsari, Semarang.

The epidemic of the bird flu infection in humankind was begun during 2005, where 20 cases happening, 13 among them died. The number of cases and casualties died reached his peak during 2006, where being obtained by 55 cases, 45 among them died. All the efforts were mobilised to prevent the occurrence of new cases, so as in the following year his incident figure began to descend, but the new case that happened in Indonesia was still highest in the world was compared country-nagara other that also was attacked by the epidemic of bird flu. (saw the Table) the Table 1. The Kumulatif Kasus Avian Influenza A/ number (H5N1) Yang Dilaporkan Ke WHO Sampai Dengan Humankind on September 10 2008

The Flu Burung

Kejadian infection the bird flu illness to humankind, happened because of the entry of the virus of kind bird flu H5N1 to humankind through the respiratory tract. The virus H5N1 in fact was the kind of the influenza virus that attacked the poultry, but immediately infected humankind. This virus personally was the kind that was really unstable, had the variation many and was easy bermutasi.

The infection of the influenza virus was also known as an illness that really was easy to spread. The spread especially through droplet (cipratan) mucus and direct contact were with the sufferer's mucus infected.

The variation of the influenza virus was based on the variation from 2 surface antigens, that is H antigens (Hyaluronidase, has been known by 9 sub-types) and N antigens (Neuraminidase, has been known 15 sub the type). (saw the picture).

The sub-type variation of this influenza virus also caused the emergence of various variations of the species kind that were sensitive to this virus infection. The influenza virus could attack the poultry, the pig, the whale et cetera, including also humankind. But the attack is generally limited in the certain species kind to masing - masing the sub-type of the virus.

For example to humankind that uptil now was known as the seasonal influenza illness, only was caused by the virus infuenza the B type, A type influenza the sub-type H1N1, and A type influenza the sub-type H3N2.

Diagnosa

Manusia that was infected by the bird flu virus did not have the typical clinical sign. The sign of the illness in the beginning stage like the common influenza illness, that is the existence of the headache and the cough of the fever. In the development of the illness, hot did not descend and that was typical was the fast breathless emergence got serious. The picture of the blood inspection is also not typical, like the virus attack generally that is the existence of the decline in the number of white blood cells (lekopeni) and the fall trombosit (trombositopeni) so as the possibility if only was based on this data the doctor will diagnose as dengue fever dengue fever or the fever tifoid.

Anamnesa about the story of the existence of the possibility of the sufferer's contact with the poultry was very important in diagnosing bird flu before the laboratory inspection could be carried out.

In order to give the guide for masyrakat and the health power, then Department of Health RI grouped the case of AI H5N1 to humankind was classified in 3 kinds, in accordance with the development of the diagnosis, that is the case suspek AI, the case probable and the case of confirmation.

1. The Suspek suspicion

If someone suffered the hot fever 38 C levels were accompanied with one or more the sign along with, the cough, was sick the throat, pilek, breathless (the short breath) was increased with one or more the situation below this:
a. Once contact with the poultry was sick/died suddenly that was not yet known by his cause as well as his raw product (the egg, the bowel) including the waste for the last 7 days before emerging the sign above.
That was meant by contact to be treated, cleaned the pen, processed, killed, buried/throw away/membawa
b. Had lived in the location that was gotten by the death of the abnormal poultry for the last 7 days before emerging the sign above. The area of the location was determined with the mobilisation of the poultry that mati
c. Once contact with the sufferer AI confirmation for the last 7 days before emerging the sign in atas
d. Once contact with the specimen of AI H5N1 for the last 7 days before emerging the sign in atas
e. Found by the existence lekopenia (not all that 5000/?l)
f. Found by the existence of antibodies against H5 with the Hemaglutinase Inhibition inspection (HI) test used eritrosit the horse.

Someone who suffered Acute Respiratory Distress Syndrome (ARDS) with one or more the situation below this:
a. Leukopenia (not all that 5000) or limfositopenia
b. The photograph toraks depicted pneumonia atipikal or infiltrat just on the other hand the lungs that increasingly spread in serial the photograph

2. The Probable case

It was the case that filled the criterion suspek with one or more the situation below this:
a. Found by the existence of the rise titer antibodies 4 times against H5 with the HI test inspection used eritrosit the horse or the ELISA test
b. Results of the limited laboratory for influenza H5 (terdeteksi him specific antibodies H5 in the single serum specimen) used neutralisasi test.

3. The Konfirmasi case

It was the case suspek or the possibility was attacked with one or more the situation below this:
A. Culture (the culture) the influenza virus of A/H5N1 positif
b. PCR Influenza A/H5N1 positif
c. To Imunofluorescence (IFA) test was found positive antibodies by using antigens monoklonal influenza A/H5N1
d. The rise titer specific antibodies Influenza/H5N1 in the phase konvalesen totalling 4 times or more compared with the acute phase with microneutralization test.

So in this case, the assurance of the cause diagnosis of this infection could be just carried out was based on the laboratory inspection that could prove the existence of the virus infection in the sufferer, that is with the existence of this virus directly or by checking the existence of antibodies anti the bird flu virus to the sufferer.

The antibodies inspection was the inspection that fast results at a cost of that was cheap and technically was easy to be done by using the sample took the form of the serum of the sufferer's blood. Antibodies were one of the very specific immunity systems, that was formed by humankind as the response when having the foreign object (the virus) entered the body. Because only was the infection response, then antibodies were just detected in blood after approximately 1 week being sick. Moreover antibodies that were formed could remain several months or even several years to the sufferer's blood. So as the antibodies inspection could be just made by the foundation the infection diagnosis when most was not carried out twice the inspection with the distance 1 - 2 weeks.

In this inspection antibodies could be made infection proof when in the second inspection (the phase konvalesen or recuperation) was obtained by the increase titer minimal 4 times or more were compared by results titer the first inspection that was taken in the acute phase the infection.

This was based on consideration of this sufferer still in the active process of forming antibodies as the response to the infection incident that just happened. If results far were not different between the first and second inspection, then indicated that the infection has happened in several months, or the year beforehand.

So the antibodies inspection for the bird flu diagnosis, although in fact was specific enough, but could not help in the handling of the sufferer and the epidemiological handling (prevented the spreading of the illness). Because in the day to 14 sufferers has been in the recuperation phase or even has died. (13)

[sharon sanders]

Re: Indonesia: Human Cases 8 Oct 2008 +

From Al's post above:

Semarang - 4 suspected cases
Dewi (15F), died, see post 94
3 neighbors of Dewi, see post 223


From Shiloh's post #325:

"The BEGINNING of this season of year rain in Central Java was marked by an incident that was not expected, that is the existence of casualties (plural -? Fla1) to die resulting from the infection of the bird flu virus on November 07 2008 in Medoho, Gayamsari, Semarang...."

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

From Al's post above:

Semarang - 4 suspected cases
Dewi (15F), died, see post 94
3 neighbors of Dewi, see post 223


From Shiloh's post #325:

"The BEGINNING of this season of year rain in Central Java was marked by an incident that was not expected, that is the existence of casualties (plural -? Fla1) to die resulting from the infection of the bird flu virus on November 07 2008 in Medoho, Gayamsari, Semarang...."

casualties (plural -? Fla1)

The plural is a translation bug.

[sharon sanders]

Re: Indonesia: Human Cases 8 Oct 2008 +

Thank you for explaining.

[Shiloh]

Re: Indonesia: Human Cases 8 Oct 2008 +

Source: http://www.jawapos.com/radar/index.p...howpage&rkat=5

Radar Bali
[ Kamis, 27 November 2008 ]
Buru Anjing Liar
Hari Ini Tim Gabungan Turun ke Ungasan

Note: Scroll down the article for reference to suspect bird flu that was stated negative .

Machine translation:
The Bali radar [on Thursday, November 27 2008] pursued the Dog Liar Today the Joint Team descends to Ungasan

...Now in Naughty kosentrasi rabbies, in Denpasar suspect bird flu rose again. Annie Rai,56, the resident of the Beautiful Island road of No.19 Denpasar it was suspected suffered bird flu. Yesterday afternoon struck 12,15 wita, he was forced to be run off with to RS Sanglah and underwent the maintenance of the isolation in the special ward tropic Nusa Indah RS Sanglah the room of the number 4.
Annie that could complain with the hot body was accompanied by the cough and pilek this was mentioned suffered bird flu. This assumption the reason immediately after being sick, near his house was found by the chicken died that was expected positive bird flu.
The secretary of the team of the control doctor of the bird flu patient of RS Sanglah, Dr Ken Wirasandi that it was confirmed the Balinese Radar the afternoon yesterday then confirmed that his side received the female patient who could be suspected by bird flu.
"We could receive information from the RS side private enterprise that they suspected the existence" of the "patient that indicated to the side of flu of burung,"jelas Ken."
Only results of the inspection were yesterday stated by the negative. However appropriate protap and the provisions of the handling of the patient who was suspected by bird flu, of Ken claimed not want to robbed. Annie that came to RS Sanglah at once underwent the isolation in the ward of Nusa Indah. By the team, the patient Anni then at once underwent the clinical inspection. The blood test, rapites, lakosit.
Results? Still according to Ken, results of the negative. Mentioned by him, the level of leucocyte pasin still in the normal stage namely 5300. Likewise with investigation from the patient's residence, Ken mentioned was not found by the existence of the clinical story that directed flu burung. (pre/fer)

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

Commentary

http://www.recombinomics.com/News/11270803/H5N1_Makassar_WHO.html