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Indonesia: Human Cases 8 Oct 2008 - January 28, 2009
Machine translation: Was nuts about Pasien 'Terjangkit' Flu Burung
Laporan: noorjani aseran
on Monday, 01-12-2008 | 07:44:41
[B]Palangkaraya, BPOST - observation Space in A RSUD Space Dr Doris Sylvanus was since Saturday early afternoon (29/11) seen busy and often was visited by the doctor and the nurse. Evidently a woman was 30 years old was treated in the isolation space because suffered breathless acute that his sign resembled the bird flu illness.
This woman was the resident of Transmigration of UPT Anjir Street Kenari Kabupaten Pulang Pisau. The mother of one child was beforehand treated for two days in the hospital in came home Pisau that afterwards reconciled him to RSUD Dr Doris Svlvanus because suspicious the illness that was suffered by the patient was bird flu that was caused by the virus avian influenza.
According to the family, the condition for the health of this patient worsened since the last week. The patient could suffer the spitting cough afterwards was followed breathlessly as well as was difficult to swallow food and the drink
"Beforehand the spitting cough, at this time was breathless, could not eat, could not drink." Drink in kerongkongan was sick apparently had the infection in kerongkongan. That already a week, said the husband of the patient that could dibincangi, on Sunday (30/11).
Till yesterday, the patient still in the intensive maintenance of the team of the doctor RSUD Dr Doris Sylvanus. The patient's child who was seven years old also was in same space and it was mentioned was sick. "My child indeed was the cough and hot, but not breathless," said the husband of the patient.
Director RSUD Dr Doris Sylvanus, Dr Suprastya Budi was represented by Chairman Tim of the Handling of Bird Flu, Dr Ahmad Sofian said too early to to conclude that as bird flu. To prove him, was needed by the laboratory research comprehensively.
If being seen from the photograph x-rayed, that could the lung TB and the acute respiratory tract infection so as to have to be observed. But indeed had the resemblance with bird flu. Therefore the sample of blood has been sent to Balitbang Department of Health in Jakarta to be researched. Possibly approximately two weeks just had results. We still could not say suspect because of not yet having results of the laboratory, said Sofian.
Sofian said, at this time the condition for the patient was better compared to during the first time being reconciled. Nevertheless, generally his condition was still bad so as to have to receive the supervision that was intensive from the medical official.
The "patient was still breathless but still realised." His condition was better compared to when coming the first time to this hospital. But this could be was said still was ugly because from time to time could worsened, he accused.
Palangkaraya, BPOST - Head of the Province of Central Kalimantan Health Office, Don Leiden ask people not to panic excessive suspected bird flu patients who suffer origin Transmigration UPT Anjir district were knives.
Because this is not necessarily correct, the disease had even more acute in the lungs, TB. Must wait for the results of the Department of Health.
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The mother of one child was beforehand treated for two days in the hospital in came home Pisau that afterwards reconciled him to RSUD Dr Doris Svlvanus because suspicious the illness that was suffered by the patient was bird flu that was caused by the virus avian influenza.
Translated by dictionary:
Female above-mentioned consititute/form resident Transmigration UPT Anjir JI Kenari Kabupaten Pulang Pisau. Mother one child that previously treated for the duration of two day in rumah sakit in Pulang Pisau that afterwards reconciled to RSUD dr Doris Svlvanus because suspicious/skeptical/leery sickness that suffered patient that to be flu burung which caused by virus avian influenza.
Chickens Died In Halaman, A Family Presumed To Have Bird Flu
Liputan6.com, Solo: the Surono Family from the Rejoso Village, Kecamatan Ampel, Kabupaten Boyolali, Central Java, was treated intensively in special space of the Daerah Public Hospital Dr. Moewardi Solo, on Tuesday (2/12).
The family that consisted of Surono, his wife Maya, and his two children that still pre-schoolers were it was suspected attacked by bird flu.
They were known suffered hot high and breathless since last week.
Beforehand, Surono could find the chicken died in the page of the house.
The chicken died that was carried by a dog immediately was buried by Surono.
After that, one by one his family began to show the sign of bird flu.
The RSUD side Dr Moewardi was still carrying out investigation.
Several assumption to the side of was affected by bird flu indeed was but in order to ascertains him the hospital side will send the sample of blood of the patients to the Department's laboratory of the Health in Jakarta. (
More details from Solo; the family seems to do OK. This region has a history of bird flu, this could mean people are alert.
A Family Presumed To Be Affected With Bird Flu
In December 02.2008
Solo, (tvOne) One family from the Rejoso Village, Ampel, Boyolali that consisted of the father, the mother of his two children it was suspected was affected by bird flu or Avian Influenza (AI).
Currently they are treated in isolation space of RSUD Dr. Moewardi, Solo. The husband and wife's two couples who were treated by each one had the initials SR and MY. Sedangkan his child had the initials SS (18 months) and AP (3 years).
In the maintenance, they did not use special clothes.
His family was also permitted to peer with normal clothes. Although being not yet positive AI, all the SR body was installed equipment was proper for a sufferer of AI.
According to SR, he brought the wife and his two children because of worrying the sign was like the sudden fever that was experienced by them caused by the AI virus.
Moreover according to him, several times beforehand he could experience contact with the chicken died. Dozens of his neighbouring chickens died suddenly without being known by his cause.
Because worried, he then let himself to be checked in RSU Pandaran, Boyolali. By the official, they then was reconciled to RSUD Dr. Moewardi, Solo.
In the meantime. Public relations of RSUD Dr. Moewardi, Mulyati, said, was carried out by the inspection of the patient. Suspected, they only suffered common flu, not bird flu.
Nevertheless, to ascertain him, at this time the sample of blood of the patient's family was sent to Jakarta.
The patient the Suspect in Central Kalimantan Bird Flu died
NY. Agl (30 Thn) the resident of the Pemukiman Unit of Transmigration (UPT) V in the Pulang Pisau Regency, Provinsi Central Kalimantan that was the suspect's patient (suspect) bird flu on Monday (1/12) around struck 22,30 WIB finally died in the Daerah Public Hospital (RSUD) Dorys Sylvanus Palangkaraya. RSUD Dorys Sylvanus Palangkaraya Director, Suprastidja Budi when being contacted, on Tuesday (2/12), said the patient who was treated since the last three days (Sabtu,29/11) dirumah was sick that was led by him came from the Pulang Pisau Regency with the condition that has been serious. Suprastidja claimed to be his side still could not confirm whether he suffered bird flu or not, but because his characteristics were the same as the bird flu sufferer, then his handling used the standard of the bird flu patient by being placed diruangan the isolation. ?Dari results of the photograph x-rayed and the medic's inspection that was carried out by us indeed the possible negative of bird flu, but resulting from the chronic pulmonary disease that was accompanied with the infection skunder that was acute. However we could just ascertain him after the sample of the patient's blood that was sent by us of Jakarta on Monday (1/12) was known hasilnya,? he said. In the meantime when being contacted separately according to dr.Sofian, the chairman of the team of the control of Bird Flu in RSUD. Dorrys Sylvanus and the doctor that treated the suspect's patient in this bird flu said the patient who died this has been brought by his family to the Parenggean Village, the Regency Kotawaringin East last night (on Monday 1/12) to be buried.
More details from Moewardi Hospital, Solo on the suspected family.
According to the head of the medical team, they are investigating in the direcition of avian flu, however the current status of the family actually is `lower than the status suspect AI`. The father seems to be `the index case`, he had contact with chickens tested positive for H5N1 through a rapid test.
on Tuesday, December 02 2008, Hal.1
AI investigation, one family entered Moewardi
The solo (Expose)/ One family from the Rejoso Village, Ampel, Boyolali, that consisted of the father, the mother and two children, was treated in RSUD Dr Moewardi Solo, because diinvestigasi avian influenza (AI).
The two children who were treated had the initials SS, 18 months, and AP, 3. Their two parents who had the initials SR (the father) and My (the mother) also was treated in space that was same that is Observasi Space of the Orchid Ii RSUD Dr Moewardi.
Chairman Tim of the Control of AI RSUD Dr Moewardi Solo, Dr Reviono, to Expose, on Monday (1/12) the night, said the three patients, that is the mother and two children were treated in Moewardi since Monday afternoon. While Sr was treated since Sunday (30/11).
The four of them were namely the father, the mother and their two children stated by investigation of AI. We still carried out the further inspection, explained Reviono. Added by Reviono, AI investigation was one status was lower than the status suspect AI.
So investigation previously, just afterwards suspect. This not yet suspect we were still carrying out the further inspection. So once more his status still investigation.
That his father indeed more previously entered (RSUD Moewardi-red), just afterwards the wife and the children,? more he. Explained by Reviono, when entering Moewardi the patient suffered the fever.
From results of the story of poultry contact, he explained, they also positive was involved in direct contact with the poultry. Moreover, in their fast test was stated was attacked by influenza. We were still carrying out investigation to the four patients, he said.
Nevertheless, continued Reviono, the four patients will undergo the repeated blood test to get the assurance of the illness that was suffered by the patient. He mentioned till Monday night, the patient's white blood cells were still normal.
Now, the fever that was suffered by parents of the patient also has begun to descend. From clinical signs above, evidently did not yet support. Therefore we will continue to carry out re-investigation. We will also co-operate officially the local health.
In the meantime, Section Head Kesehatan (Dinkes) the Boyolali Regency, Dr Yulianto Prabowo, said the four Boyolali residents from this Ampel before being treated in RSUD Dr Moewardi could be treated in RSU Pandan Arang, Boyolali. It was further that Yulianto said, they were sent to RSUD Dr Moewardi complete with the story of poultry contact died available in and around casualties's environment.
According to him, there were several signs that were experienced by the three patients. Including the condition for the temperature of the hot body that travel by and happened the disturbance of the respiratory tract.
In the meantime, Sr, when being met Expose in Space of Anggrek Ii, admitted his house was adjacent to the chicken coop belonging to his neighbour. Several chickens including there are those that died. We asked the related agency in Boyolali immediately to act.
Was based on the note Expose, to the beginning of last May, the number of cases suspect AI in Moewardi totalling three patients. From the number of one patient was stated positive AI. According to the data from RSUD Dr Moerwardi the number of cases suspect AI since 2005 to 2008, totalling 34 patients, with six including being positive AI. From six AI cases, five including dying while one patient was stated recovered. -
From Solo: Three of four members of the family went home, tested negative; one child must stay, awaiting further testresults.
12/3/2008
The Regional Government was asked to ban poultry in settlements
Boyolali (Expose) Regional Government (the Regional Government) Boyolali was asked to ban the existence of poultry livestock breeding in the middle of the settlement of the inhabitants.
In the meantime, the three patients of bird flu investigation or avian influenza (AI) that was one family from the Rejoso Village, Ampel, Boyolali, on Tuesday (2/12), was stated by the AI negative and has been permitted to come home. The patient was only attacked by common flu.
So the patient did not need the hut again, said Kabag Humas RSUD Moewardi Solo, Mulyati, when being met Expose in his office, on Tuesday.
Nevertheless, one patient that still pre-schoolers that is SS, 1.5 years, was not yet permitted to come home because of must wait first the test from the doctor who handled this baby.
On the other hand, Suroso, that was the husband My, said before his family entered Moewardi, the local resident sent the complaint to the agency in Boyolali related the existence of thousands of chicken livestock that was in the middle of the settlement of the resident.
However, said Suroso, this complaint had not been responded to completely by the local Regional Government. Officially Kesehatan even hand over to the resident. Well, if the resident acted in a high-handed way will be supposed we were determined and violated the law.
Finally, yes had not had the action completely. In fact the distance of the chicken coop with the settlement only around the 20 's metre, he revealed. Responded to the request, Section Head Peternakan and fisheries (Disnakan) Boyolali, drh Dwi Priyatmoko, said the poultry farm has in Boyolali been orderly. His article, livestock breeding precisely had the AI prevention activity that was programed.
So, livestock breeding has precisely had the program for spraying disinfektan, the cleaning of water, the pen through to giving of the bird flu vaccination against the poultry, said Dwi.
According to him, the poultry that entered the IV sector or the poultry belonging to the community precisely that had difficulty being controlled because often was let loose or penned.
Looking at the name of the village ( Tanduk Ampel) this report seems to refer to the family hospitalized in Solo Hospital , or the toddler who is still in hospital. It is not clear if this is an update or older news, published today. Another possibility is: a new patient from the same village.
The blood test(s) , together with clinical symptoms, indicated a suspicion of avian flu.
A citizen of Boyolali 'Suspect AI'
03/12/2008 09:21:23 Boyolali (KR) - After obtaining intensive care at a hospital Pandan Arang Boyolali, a resident Boyolali district eventually referred to the hospital because of Muwardi Solo suspected to have bird flu virus (AI).
Tracing the history and symptoms, patients who were treated at local health centers are now declared suspect (suspected) after the examination of the blood sample at the hospital Pandan Arang Boyolali.
Head of District Health Office of Boyolali Yulianto Prabowo said the Health Office has been conducting tracking Boyolali epidemologi of patients Village residents Horn Subdistrict Ampel suspected to have the AI. "The hospital Pandan Arang eventually refer patients to the hospital (RS) from Muwardi Solo as a referral hospital AI," he said when contacted KR Monday (1 / 12) evening.
Director of Hospital Pandan Arang says, the patient has been treated several days in hospital because of symptoms of illness similar to AI. Then the hospital to check blood samples to ensure the condition of the patient. "It morning I received a report from the board Endang, Chief Field Medical Service, that the condition of the patient [has] worsened," he said when contacted KR. (this newspaper,ed)
Because of the condition, the patient then ordered to be sent to the hospital from Muwardi Solo to get a more intensive treatment again, given the equipment in the hospital in Solo is complete because the government has officially defined as a referral hospital AI. "We use these procedures because of the condition of the patient worsened," he said.
He said the results of laboratory examination, the people who came from the village of Tanduk Ampel AI is suspected because the data supported the results of tracking epidemologi history and environment of the patients had contact with poultry in surrounding areas .
03/12/2008 09:21:23 BOYOLALI (KR) - After receiving the intensive maintenance in the Pandan Arang Boyolali Hospital, a resident of the Boyolali Regency had finally been reconciled to RS Dr Muwardi Solo because of being expected to be infected with the bird flu virus (AI).
Observed the sign and his story, the patient who could be treated in this local community health centre currently was stated suspect (was expected) after being carried out by the inspection of the sample of blood in the Arang Boyolali Pandanus hospital.
Section Head Kesehatan of the Boyolali Regency Dr Yulianto Prabowo said the Kesehatan Boyolali Service side did the tracing epidemologi against villagers's patient Kecamatan Boyolali that were expected to have contracted this AI.
The Arang side of the Pandanus hospital had finally reconciled the patient who was relevant to the hospital (RS) Dr Muwardi Solo as RS AI reconciliation, he said when being contacted KR on Monday (1/12) the afternoon.
Director Rumah Sakit Pandan Arang said, this patient has several days were treated in the hospital because of the sign of his illness that was similar to AI. Kemudian the hospital side carried out the sample inspection of blood to ascertain the condition for the patient.
This morning I received the report from Dr Endang, Kepala of the Pelayanan Medis Field, that the condition for the patient increasingly hunted, he said when being contacted by KR.
Because of this condition, his side afterwards ordered so that the patient is sent to the hospital Dr Muwardi Solo to get the maintenance that was more again intensive in view of the fact that available equipment in the hospital in this Solo has been complete because has official was appointed by the government as the reconciliation hospital of AI. We indeed used this procedure because the condition for the patient increasingly worsened, he said again.
He said from results of the laboratory inspection, the resident who came from the Tanduk Ampel Village it was suspected AI because of being supported by the data produced by the tracing epidemologi and the story of the patient's environment that once contact with the poultry around it.
[This is regarding Ny. Agl (30) who entered the hospital on 11/29. She had no direct contact with poultry. Upon admission had a temp of 39 degrees. While there, she had 6 bottles of "infuse", and removed the oxygen tube from her nose, personally, against the nurses orders. Her onset of symptoms was 11/23, throat pain, cough, followed by breathlessness and the inability to swallow. She passed away on 12/1.
There was mention in one article that her child was also admitted along with her. We know that in order to become a "suspect" in their guidelines, you have to have had contact with chicken/birds. Which she did not. And it's mentioned in this article, bolded below. ]
Jumat, 5 Desember 2008
Results of the Inspection (Alm) Anglena Bikan
The illness (alm) Anglena Bikan (26) finally was ascertained. From results of the laboratory inspection, this woman was negative suspect bird flu. But, that just the oral news that was sent to the team of the handling of RSUD bird flu Dr Doris Sylvanus Palangka Raya.
According to Director RSUD Dr Doris Sylvanus Palangka Raya Dr Suprastja Budi through Chairman Tim of the Handling of Bird Flu Dr Ahmad Sofian SPD.
A group team that purposefully came from the centre to visit RSUD space of the bird flu isolation. “Mereka (the team of the centre, Red) delivered to me orally results of the patient's inspection (Anglena, Red) the bird flu negative.
However results of the inspection were written would follow,” Sofian words, on Thursday (4/12). If indeed results named the negative, then the RSUD inspection in accordance with the cause of the death of the resident came home Pisau because of the heavy inflammation of the lungs or the acute TB.
The understanding of bird flu, obviously him, must him was explained to be not wrong. According to the chairman of the team of the handling of this bird flu, one of the bird flu diagnoses was to have to have contact with the poultry died suddenly without because that was clear for the last week.
He explained, wisdom that could be reaped from this case must be more serious worked on the even distribution of the health service, in accordance with the wish of DPRD Central Kalimantan the health service must be equitable in the area of the regency must have the operation doctor, the paediatrician, the internal disease doctor and the content doctor.
Efforts to hold that could from the area, by holding PNS acceptance or other. But not only that, said Sofian, for example in the Pulang Pisau Regency did not have the specialist doctor.
“If was available, then the handling of the patient Anglena, must not be busy. If the doctor has entered an area necessarily was given by a kind of association of the contract to work in the area. To later when having cases of the patient could be handled well,” added Ikatan Doctor Indonesia Chairman (IDI) this Palangka Raya City.
That not meant apart from the doctor's working hours to be able to go. For example, worked in came home Pisau but the practice in Palangka Raya, although legally might three places of the practice.
“Kasus this bird flu was important became the lesson all of us for the even distribution of the health service. The doctor must be given the clear contract. I as the chairman IDI Kota responded true the appreciation of the statement of the council's member, doctors in the area must clear the contract kerjanya,” firm this glasses-wearing man while mentioning his explanation to give input to the regional government.
As information, the patient who was treated in RSUD isolation space Dr Doris Sylvanus Palangka Raya, Anglena Bikan (26) died, around struck 22,15 WIB, on Monday (1/12). The reason produced by the laboratory inspection from Jakarta did not yet go out, then when this patient died, his handling still by means of the bird flu patient.
The Anglena body was brought to body space struck 02,00 WIB, the mother of four children then was brought by his full sibling to Parenggean Kabupaten Ko- Tim to be buried.
Jumat, 05 Desember 2008 MALAKOPAK, METRO-was expected terjangkit susfec bird flu, villagers's three children Malakopak Kecamatan Pagai Utara Kabupaten Kepulauan Mentawai died. However Plt Section Head Kesehatan, Sejati Saragih denied the existence of this deadly virus on the basis of there did not have the poultry breeder. “Kemungkinan big not the bird flu virus, but this child died because of being sick the acute respiratory tract (ispa). Because there did not have the location of livestock breeding unggas,” he explained that delegated his 6 members checked to the field. Chronologically he related, as information from the local community, the three children died after eating the nonpedigreed chicken that was sick and the community claimed this chicken was infected by the virus susfect bird flu.
As a result of the community's habit liked to consume the livestock that has several days died, then caused the resident to suffer diarrhoea, but this incident was handled by the local Community Health Centre side. In the place was separated, Kasi Peternakan Dinas Pertanian Perkebunan and Kab Livestock Breeding. Kep. Mentawai, M. Simatupang acknowledged, the existence 300 chickens died suddenly in this village. However the death of the chicken was not yet known by his illness kind. ”Dugaan now, this chicken died suffered the illness Newcastle Dosis (akuak). The chicken that died as a result of this illness if being eaten did not cause the impact of the negative for the health of humankind. The condition is, the contents was in the chicken stomach thrown away by cooking until well-done,” he said. Acknowledged the support, although his side has received information, but until this did not yet carry out the survey to this village. “Kami indeed did not yet carry out the survey to this village. Because of not yet having the report from the subdistrict side. Moreover, also did not yet have the letter of instruction to observing,” he acknowledged.
SEMARANG? Once again, a Semarang inhabitant died it was suspected resulting from suspect bird flu. Casualty had the initials the SD, 41, the resident Klipang, Semarang. SD died around struck 03,30 after could undergo the maintenance for one half of the hour in RSUP Kariadi.
Beforehand, casualtycould receive the maintenance in RS Panti Wilasa, before finally was reconciled to RSUP Kariadi on Friday the dawn (5/12) struck 02,00. RSUP Kariadi public relations, M. Alfan during it was confirmed confirmed had a patient who died resulting from suspect bird flu.
The patient was reconciled from Panti Wilasa earlier (yesterday) struck 02,00 dawns, and at once were treated in the Intensive Care Unit (UGD). Strike 03,00, the patient was moved to space of ICU. However half of the hour afterwards, the patient could not have been helped. When entering here (RSUP Kariadi) his situation has been very serious, explained Alfan to the Semarang Radar.
Doctor Muchlis Akshan, Infection Consultant of the RSUP Kariadi said, if this reconciliation patient only through then. Because, before the RSUP Kariadi side carried out the inspection, this patient has died.
So we could not carry out the inspection, because when being brought to ICU, the patient has died, obviously him added his side could carry out the taking of the sample of the patient's blood totalling one time.
Explained, from the reconciliation letter that acceptance, was informed if the patient was suspect bird flu. Because of this, his side at once was alert. However, Dr Muchlis still could not confirm whether beforehand direct contact casualties with the poultry or not.
According to reconciliation was unclear. But that was certain, the clinical sign that was suffered by the patient was similar suspect bird flu, that is sick the heavy lungs, and the disturbance of the sudden breath, he explained.
The death of this SD increased the number of patients died resulting from the virus avian influenza (AI) that was treated in RSUP Kariadi. The first case happened in 2006, afterwards in November then, that killed DS, the resident Medoho, Gayamsari. .
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