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Indonesia: Human Cases 8 Oct 2008 - January 28, 2009
Suspect H5N1 Cluster Near Semarang Indonesia Recombinomics Commentary 09:51
December 21, 2008
One villager from Kedunguter, Karangtengah Subdistrict, of Demak with the initials TUR, 12, was forced to be run off with to the regional Hospital (RSD) Sunan Kalijaga Demak. His article, that was relevant was indicated suspect bird flu.
the condition for the patient could worsen because he showed the sign was similar to the bird flu illness, like the hot body high that was accompanied breathlessly
the patient was detected having the decline in leucocytes or white blood cells, so as his body immunity continued to decrease , he said. According to him, the patient suspect this bird flu experienced breathless, as well as the temperature of the hot body high.
two the previous day the patient could direct contact with his property poultry that died
The above translation describes a hospitalized child with bird flu symptoms, which developed after handling poultry that died. The poultry in the area was H5N1 confirmed. The area is between Demak and Semarang and close to another suspect case (50F) from the same sub-district (see updated map).
In addition to the two suspect cases in Karangtengah, there were two fatal cases on the east side of Sermarang. Thus, all four cases were within a few miles of each and have been reported over the past month.
The initial fatal case (15F) was lab confirmed, yet the Ministry of Health denied the positive lab results. Thus, although there have been four suspect cases, including two fatalities, in a relatively small area with H5N1 confirmed poultry, none of the patients in this geographical cluster are WHO confirmed cases.
Although there were two recently confirmed cases in Indonesia in Riau and East Jakarta, clusters have been under-reported, including familial clusters where the index case was mis-diganosed as having lung inflammation, dengue fever, and typhus. All index cases died, as did the H5N1 confirmed family member, yet none of the index cases are official cases and none of the confirmed cases are official clusters. After these three clusters were reported, Indonesia imposed a news blackout. Moreover, a large cluster in Makassar, which involved PCR confirmed cases, was also denied.
Thus, the continuing lack of confirmation of familial or geographical clusters remains a cause for concern.
.
Last edited by sharon sanders; December 21, 2008, 09:56 AM.
Reason: color coded the red
"The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation
Radar Semarang
[ Senin, 22 Desember 2008 ]
Pasien Suspect Flu Burung Terus Dipantau
Machine translation:
Demak - the Kesehatan Service (Dinkes) Demak till yesterday continued to carry out the monitoring towards the development of the patient suspect bird flu, the Tour, 12, villagers Kedunguter, Kecamatan Karangtengah.
Plt Kepala Dinkes Dr Singgih Setyono MMR went through Kasi Pemberantasan of Sri Hartanto infectious diseases said that the patient that still these children up to now still are undergoing the intensive maintenance in RSUP Dr Kariadi Semarang. According to him, was not yet it was known certain how results of the actual laboratory.
"We did not yet know results" of the "laboratory inspection of RSUP Dr Kariadi." Possibly tomorrow (today, red) just could be known, obviously him to this newspaper, yesterday.
Therefore, continued Sri, his side still could not know definitely whether the patient who beforehand carried out direct contact with the poultry in his house was positive or not. "We will still be waiting for results later how." That was clear, in RSUP Dr Kariadi, the patient was still being isolated in special space and still underwent the maintenance, he said.
As being reported this newspaper beforehand, a villager Kedunguter, Kecamatan Karangtengah was forced to be run off with to the Daerah Hospital (RSD) Sunan Kalijaga Demak that was further was reconciled to RSUP Dr Kariadi Semarang. That was relevant it was indicated suspect bird flu. The patient could experience breathless as well as his body was hot high was similar to the sign of bird flu. (hib/ida)
Pasien Suspect Flu Burung Bertambah
Selasa, 23 Desember 2008 00:00
Machine translation:
The patient Suspect Flu Burung Bertambah
on Tuesday, December 23 2008 00:00
DEMAK?Pasien suspect bird flu from the Kedunguter Village, Kecamatan Karangtengah, Demak, improved. Apart from the Tour, 12, that currently still is treated in RSUP Dr Kariadi Semarang, the other new patient had the initials the Coat, 28 Yesterday Jas was run off with to RSUP Kariadi after being treated in RSD Sunan Kalijaga.
According to the Executive the Task Section Head Kesehatan (Dinkes) Demak Dr Singgih Setyono MMR, Jas was known experienced suspect bird flu during the Dinkes Team did processed the tracks epidemologis to the Kedunguter Village. The coat was the neighbour the Tour. Singgih said, same like the Tour, the condition for the Coat when being treated in RSD Sunan Kalijaga worrying. The condition for his body continued to descend, the patient experienced breathless, as well as hot the high body was similar to the sign of bird flu.
?Jadi was reconciled by us to Kariadi Semarang like the patient sebelumnya,? the man's words that also Director RSD Sunan Kalijaga.
Was separated, Kasi Pemberantasan of Sri Hartanto infectious diseases added, before being brought to the hospital, the Coat also could direct contact with the poultry around his house.
For first help, the Coat diperiksakan to the Karangtengah Community Health Centre as well as was given medicine tamiflu. Because his condition worsened, the Coat was run off with to the hospital.
?Pasien finally was reconciled by us again to Kariadi Semarang. ? Sementara Itu, the condition for the Tour gradually yesterday improved. Unfortunately up to now results of the sample of Tour blood still could not be known; did the negative or positive Tour be affected by Avian Influenza (AI).
Doctor Agus Suryanto Sp.PD said, although improving, the patient was still being treated in isolation space. Asked by results of the sample of blood, Agus still could not confirm whether positive casualties AI or not. Because, continued Agus, the taking of the sample of blood was just carried out twice from three times that ought to be carried out.
?Kami took the sample during 2 successive. Tomorrow (today, red) just was third his time. After three taking stages of the sample were just sent by us to Jakarta. Because of that results were waiting for the news from Jakarta. Yes could a week lebih,? he said when being contacted this newspaper via the telephone. (hib/zal/Is)
23 Desember 2008
Dua Warga Kedunguter Suspect Flu Burung
* Dirawat di RSUP Kariadi Semarang
Machine translation:
On December 23 2008
Two residents Kedunguter Suspect Flu of Burung * was treated in RSUP Kariadi
Semarang
Demak - two villagers Kedunguter, Kecamatan Karangtengah that was indicated suspect bird flu was reconciled to RSUP Doctor Kariadi Semarang, after receiving the maintenance in RSUD Sunan Kalijaga Demak. Both of them were the Tour (12) and the Coat (28).
The tour was run off with to RSUP Doctor Kariadi on Saturday (20/12), whereas the Coat was carried to the same hospital on Monday (22/12). They were carried by the ambulance by the official who used the mask.
They were expected strong was affected by the bird flu illness. Because, when being brought to the hospital, the condition for the physical health both of them worsened and experienced the sign similar to the bird flu illness, like the hot body high that was accompanied breathless. This assumption was enough to be strengthened by the history of the patient. That is, two the previous day once direct contact with the poultry that died suddenly. After being checked, evidently the chicken positive contracted the virus avian influenza (AI).
Director RSUD Sunan Kalijaga that also Plt Section Head Kesehatan of the Regency (ET AL) Demak the doctor Singgih Setyono MMR said, the two patients came when not simultaneously. Like that arrived in the hospital, both of them were at once observed./B] ??Kami received results, there was the decline in leucocytes or white blood cells to the patient so as his body immunity continued to decrease. ?? [/B]
Tablet Tamiflu
He afterwards reconciled the two patients to RSUP Kariadi Semarang. Till yesterday, was not yet known definitely results of the laboratory in this hospital. Currently, they were still being isolated in special space to undergo the maintenance. Singgih added, ET AL formed the team to handle this case.
Kasi Pemberantasan of DKK Sri Hartanto SKM infectious diseases said, the patient was named the Tour could direct contact with the poultry that died suddenly. He did not know if his property poultry died because the virus of AI. Pasien just felt his body to be hot and was sick the throat was accompanied by flu a day after that.
Originally he was carried to the Karangtengah Community Health Centre. By the medical official of the community health centre, was given medicine tamiflu so that the sign of the bird flu subsides. But, did not show the change, so as both of them were run off with to the Sunan Kalijaga Hospital.
The news about the poultry died was affected by the AI virus it was confirmed drh Sudaryanti, Kasi Kesehatan of the Animal to Subdin Peternakan Dinas Pertanian and Endurance Pangan Demak. The assurance was received after being carried out by the fast test (rapid test) that showed both of them positive contracted bird flu.
Therefore, he asked the resident to be on the alert if finding the poultry dying suddenly. ??Kalau found like this, better be reported to the village head or direct to kami,?? he appealed. (H1-71)
Every (suspect) human H5N1 case in Indonesia raises the question: where are the other ones? In other words: every case seems to be part of a cluster
According to information from the hospital, both could be infected from the same source: infected poultry "around the house"..
Both patients - "TUR" and "JAS" - are in a "worrying" situation, the condition of "TUR" seems to improve. JAS is the neighbour of TUR, he was discovered after a follow up research.
The Number Of Suspect Bird Flu Patients Increased
on Tuesday, December 23 2008
DEMAK— The number of suspect bird flu patients from Kedunguter Village, the Karangtengah Subdistrict, Demak, increased.
Apart from TUR, 12, that currently still is treated in RSUP Dr Kariadi Semarang, the other new patient with the intials JAS, 28 . Yesterday JAS was run off with to RSUP Kariadi after being treated in RSD Sunan Kalijaga.
According to the Executive the Task Section Head Kesehatan (Dinkes) Demak Dr Singgih Setyono MMR, JAS was known experienced suspect bird flu during the Team of the Health Service did processed the tracks epidemologis to the Kedunguter Village. JAS was the neighbour of TUR.
Singgih said, same like the TUR, the condition of JAS when being treated in RSD Sunan Kalijaga worrying.The condition for his body continued to descend, the patient experienced breathless, as well as hot the high body was similar to the sign of bird flu.
So be reconciled by us to Kariadi Semarang like the patient beforehand, said the man that also Director RSD Sunan Kalijaga. Was separated, Kasi Pemberantasan of Sri Hartanto infectious diseases added, before being brought to the hospital, JAS also could direct contact with the poultry around his house.
For first help, JAS was treated in the Karangtengah Community Health Centre as well as was given medicine tamiflu. Because his condition worsened, JAS was run off with to the hospital.
The patient had finally been reconciled by us again to Kariadi Semarang. In the meantime, the condition of TUR gradually yesterday improved.
Unfortunately up to now results of bloodsample of TUR still could not be known; did the negative or positive Tour be affected by Avian Influenza (AI).
Doctor Agus Suryanto Sp.PD said, although improving, the patient was still being treated in isolation space. Asked by results of the sample of blood, Agus still could not confirm whether positive casualties AI or not.
Because, continued Agus, the taking of the sample of blood was just carried out twice from three times that ought to be carried out. “We took the sample during 2 successive days. Tomorrow (today, red) just was third his time.
After three taking stages of the sample were just sent by us to Jakarta. Because of that results were waiting for the news from Jakarta. Yes could a week more,” he said when being contacted this newspaper via the telephone.
Home the Metropolis Kotasiana the Patient Suspect Bird Flu improved the Patient Suspect Bird Flu improved on Tuesday, December 23 2008 00:00 the Assessment of the Visitor:/0 of TerjelekTerbaik DEMAK?Pasien suspect bird flu from the Kedunguter Village, the Karangtengah Subdistrict, Demak, improved. Apart from the Tour, 12, that currently still is treated in RSUP Dr Kariadi Semarang, the other new patient had the initials the Coat, 28 Yesterday Jas was run off with to RSUP Kariadi after being treated in RSD Sunan Kalijaga. According to the Executive the Task Section Head Kesehatan (Dinkes) Demak Dr Singgih Setyono MMR, Jas was known experienced suspect bird flu during the Dinkes Team did processed the tracks epidemologis to the Kedunguter Village. The coat was the neighbour the Tour. Singgih said, same like the Tour, the condition for the Coat when being treated in RSD Sunan Kalijaga worrying. The condition for his body continued to descend, the patient experienced breathless, as well as hot the high body was similar to the sign of bird flu. ?Jadi was reconciled by us to Kariadi Semarang like the patient sebelumnya,? the man's words that also Director RSD Sunan Kalijaga.
Was separated, Kasi Pemberantasan of Sri Hartanto infectious diseases added, before being brought to the hospital, the Coat also could direct contact with the poultry around his house. For first help, the Coat diperiksakan to the Karangtengah Community Health Centre as well as was given medicine tamiflu. Because his condition worsened, the Coat was run off with to the hospital. ?Pasien finally was reconciled by us again to Kariadi Semarang. ? Sementara Itu, the condition for the Tour gradually yesterday improved. Unfortunately up to now results of the sample of Tour blood still could not be known; did the negative or positive Tour be affected by Avian Influenza (AI). Doctor Agus Suryanto Sp.PD said, although improving, the patient was still being treated in isolation space. Asked by results of the sample of blood, Agus still could not confirm whether positive casualties AI or not. Because, continued Agus, the taking of the sample of blood was just carried out twice from three times that ought to be carried out. ?Kami took the sample during 2 successive. Tomorrow (today, red) just was third his time. After three taking stages of the sample were just sent by us to Jakarta. Because of that results were waiting for the news from Jakarta. Yes
DEMAK?Pasien suspect flu burung asal Desa Kedunguter, Kecamatan Karangtengah, Demak, bertambah.
Ladyfriend-Patient suspect bird flu village of origin Kedunguter, Karangtengah sub district, Demak, is increasing.
Selain Tur, 12, yang kini masih dirawat di RSUP dr Kariadi Semarang, pasien baru lainnya berinisial Jas, 28 Kemarin Jas dilarikan ke RSUP Kariadi setelah dirawat di RSD Sunan Kalijaga.
In addition to tours, 12, which is now treated in RSUP Kariadi of Semarang, the patients showed other new Jas, 28 Jas Yesterday dilarikan to RSUP Kariadi after treatment at the Sunan Kalijaga RSD.
Menurut Pelaksana Tugas Kepala Dinas Kesehatan (Dinkes) Demak dr Singgih Setyono MMR, Jas diketahui mengalami suspect flu burung saat Tim Dinkes melakukan olah jejak epidemologis ke Desa Kedunguter.
According Task Implementing the head of the Office of Health (DinKes) from Demak Singgih Setyono MMR, Jas known to suspect bird flu team at the DinKes do impressions processing epidemologis to Kedunguter Village.
Jas adalah tetangga Tur. Singgih mengungkapkan, sama seperti Tur, kondisi Jas saat dirawat di RSD Sunan Kalijaga mengkhawatirkan.
Jas is a neighborhood tour. Singgih disclose, as Tour, Jas condition when treated at the Sunan Kalijaga about RSD.
Kondisi tubuhnya terus menurun, pasien mengalami sesak nafas, serta panas badan tinggi mirip gejala flu burung.
Body condition continued to decline, the patient experienced shortness of breath, body heat and high similar symptoms of bird flu.
?Jadi kita rujuk ke Kariadi Semarang seperti pasien sebelumnya,? kata pria yang juga Direktur RSD Sunan Kalijaga itu.
"So we refer to as Kariadi Semarang patients," said the man who is also Director of the RSD Sunan Kalijaga.
Terpisah, Kasi Pemberantasan Penyakit Menular Sri Hartanto menambahkan, sebelum dibawa ke rumah sakit, Jas juga sempat kontak langsung dengan unggas di sekitar rumahnya.
Separately, Kasi Diseases of Sri Hartanto added, before being taken to the hospital, Jas also had direct contact with poultry around his home.
Untuk pertolongan pertama, Jas diperiksakan ke Puskesmas Karangtengah serta diberi obat tamiflu.
To help first, Jas diperiksakan to Karangtengah health and given medicine tamiflu.
Karena kondisinya memburuk, Jas dilarikan ke rumah sakit.
Because of the condition to worsen, Jas dilarikan to the hospital.
?Pasien akhirnya kita rujuk lagi ke Kariadi Semarang.?
"Patients ultimately we refer again to Kariadi said."
Sementara itu, kondisi Tur kemarin berangsur membaik.
Meanwhile, the Watersports yesterday slowly advancing.
Sayangnya hingga kini hasil sampel darah Tur belum bisa diketahui; apakah Tur negatif atau positif terkena Avian Influenza (AI).
Unfortunately, until now the results of blood samples Tour can not be; Touring whether negative or positive affected Avian Influenza (AI).
Dokter Agus Suryanto Sp.PD mengatakan, meski membaik, pasien masih dirawat di ruang isolasi.
Agus Suryanto Sp.PD doctor said, though, the patient is still being treated in isolation rooms.
Ditanya hasil sampel darah, Agus belum dapat memastikan apakah korban positif AI atau tidak.
Asked the results of blood samples, I can not yet determine whether the victims AI positive or not.
Sebab, lanjut Agus, pengambilan sampel darah baru dilakukan dua kali dari tiga kali yang seharusnya dilakukan.
For, further Agus, the blood sample is carried out twice from three times that should be done.
?Kami ambil sampel selama 2 berturut-turut.
"We take samples for 2, respectively.
Besok (hari ini, red) baru ketiga kalinya.
Tomorrow (today, red) a new third time.
Setelah tiga tahap pengambilan sampel baru kami kirim ke Jakarta.
After a three-stage sampling new tell us to Jakarta.
Karena itu hasilnya menunggu kabar dari Jakarta.
Therefore, the results awaiting news from Jakarta.
Ya bisa seminggu lebih,? katanya saat dihubungi koran ini via telepon.
Yes to more than a week, "he said when contacted this newspaper via telephone.
DEMAK - Dua warga Desa Kedunguter, Kecamatan Karangtengah yang ditengarai suspect flu burung dirujuk ke RSUP Dokter Kariadi Semarang, setelah mendapat perawatan di RSUD Sunan Kalijaga Demak.
Ladyfriend - Two Kedunguter Village residents, who suspected Subdistrict Karangtengah bird flu suspect was referred to a doctor RSUP Kariadi Semarang, after receiving treatment in hospitals, Sunan Kalijaga Demak.
Keduanya adalah Tur (12) dan Jas (28).
Both are Tour (12) and Jas (28).
Tur dilarikan ke RSUP Dokter Kariadi pada Sabtu (20/12), sedangkan Jas dibawa ke rumah sakit yang sama pada Senin (22/12).
Tour dilarikan to RSUP Kariadi doctor on Saturday (20/12), while Jas brought to the hospital the same on Monday (22/12).
Mereka dibawa dengan mobil ambulans oleh petugas yang menggunakan masker.
They brought an ambulance with a car by officers who use the mask.
Mereka diduga kuat terkena penyakit flu burung.
They strongly suspected bird flu disease.
Sebab, ketika dibawa ke rumah sakit, kondisi kesehatan fisik keduanya memburuk dan mengalami gejala mirip penyakit flu burung, seperti badan panas tinggi yang disertai sesak napas.
Because, when taken to hospital, both physical health condition worsened, and symptoms similar to bird flu disease, such as high body temperature accompanied by breathlessness.
Dugaan tersebut cukup dikuatkan dengan sejarah pasien.
The suspicion is enough reinforced with a history of the patient.
Yakni, dua hari sebelumnya pernah kontak langsung dengan unggas yang mati mendadak.
That is, two days previously had direct contact with poultry that died suddenly.
Setelah diperiksa, ternyata ayam itu positif mengidap virus avian influenza (AI).
After the review, it is positively contagious poultry virus avian influenza (AI).
Direktur RSUD Sunan Kalijaga yang juga Plt Kepala Dinas Kesehatan Kabupaten (DKK) Demak dokter Singgih Setyono MMR menuturkan, kedua pasien datang pada waktu tidak bersamaan.
Director of hospitals, Sunan Kalijaga Plt also head of the District Health Office (DKK) Demak Singgih Setyono MMR doctor said, the second patient at the time not come together.
Begitu tiba di rumah sakit, keduanya langsung diobservasi.
Once arrived at the hospital, both directly diobservasi.
??Kami memperoleh hasil, ada penurunan lekosit atau sel darah putih pada pasien sehingga kekebalan tubuhnya terus berkurang.??
''We get results, there lekosit or decrease in white blood cells in the patient's immunity so that the body continues to diminish.''
Tablet Tamiflu
Tamiflu tablets
Dia kemudian merujuk kedua pasien itu ke RSUP Kariadi Semarang.
He then refers it to the second patient RSUP Kariadi Semarang.
Hingga kemarin, belum diketahui secara pasti hasil laboratorium di rumah sakit tersebut.
Until yesterday, not be the results of the laboratory at the hospital.
Kini, mereka masih diisolasi di ruang khusus untuk menjalani perawatan.
Now, they are still in the room diisolasi to undergo special treatment.
Singgih menambahkan, DKK telah membentuk tim untuk menangani kasus tersebut.
Singgih added, DKK has formed a team to handle such cases.
Kasi Pemberantasan Penyakit Menular DKK Sri Hartanto SKM mengatakan, pasien bernama Tur sempat kontak langsung dengan unggas yang mati mendadak.
Something of Diseases DKK Sri SKM Hartanto said, the patient was named Touring direct contact with poultry that died suddenly.
Ia tidak tahu jika unggas miliknya itu mati karena virus AI.
He did not know if the birds belong to the AI virus have died.
Pasien baru merasakan badannya panas dan sakit tenggorokan disertai flu sehari setelah itu.
Patient new body felt hot and sore throat accompanied by flu a day after that.
Semula ia dibawa ke Puskesmas Karangtengah.
Originally he was brought to the health Karangtengah.
Oleh petugas medis puskesmas, diberi obat tamiflu agar gejala flu burung itu mereda.
By the medical health center staff, were given drugs tamiflu to symptoms of bird flu was calm.
Akan tetapi, tidak menunjukkan perubahan, sehingga keduanya dilarikan ke Rumah Sakit Sunan Kalijaga.
However, do not indicate a change, so that both dilarikan to the hospital, Sunan Kalijaga.
Kabar tentang unggas mati terkena virus AI itu dibenarkan drh Sudaryanti, Kasi Kesehatan Hewan pada Subdin Peternakan Dinas Pertanian dan Ketahanan Pangan Demak.
News about dead birds infected with AI virus is allowed Drh Sudaryanti, Kasi Health Animal Husbandry official at the Agriculture and Food Security Demak.
Kepastian itu diperoleh setelah dilakukan uji cepat (rapid test) yang menunjukkan keduanya positif mengidap flu burung.
Certainty is obtained quickly after the test (rapid test) shows that both positive contagious bird flu.
Karena itu, dia meminta warga untuk waspada jika mendapati unggas mati mendadak.
Therefore, he asks residents to be vigilant if the poultry found dead.
??Kalau menemukan yang demikian, sebaiknya dilaporkan kepada kepala desa atau langsung kepada kami,?? imbaunya.
''I find that so, should be reported to the village head or directly to us,''imbaunya. (H1-71)
Machine translation:
On Tuesday, December 23 2008 2 people terjangkit AI
Demak - the Patient suspect bird flu was again found in the Karangtengah Subdistrict territory. After DJ (50) the resident Donorejo underwent the intensive maintenance in RS Kariadi because of being suspected of suffering AI, two residents Kedunguter Tur (12) and Djas (28) experienced the same matter.
The clinical sign breathless and the temperature of the high body was complained about by two Karangtengah patients of Community Health Centre reconciliation, after both of them carried out contact with the poultry (the chicken) that died.
When the Tour was run off with to RS Kariadi after undergoing observation in RSD Sunan Kalijaga Demak on Saturday (20/ 12), Djas was just reconciled to RS Kariadi Semarang three days afterwards or on Monday (22/12) yesterday.
RSD Sunan Kalijaga Demak Director Dr H Singgih Setyono MMR delivered, Djas it was known suffered the sign of bird flu at the time of the official of the Health of the Service (Dinkes) the Demak Regency carried out investigation epidemologis (PE). Following the case findings of the AI assumption in the Tour.
Contact unggas
Kasi the Eradication of infectious diseases Dinkes the Demak Regency, Sri Hartanto MKes added, before being brought to RSD Sunan Kalijaga, two the previous day the patient could direct contact with his chickens that died.
A following day, both of them it was mentioned complained hot and was sick ditenggorokan. In connection with that, by their family immediately was treated to the Karangtengah Community Health Centre. However although being treated, the condition for the patient precisely increasingly worsened. So as finally was reconciled to the hospital.
Kasi Kesehatan of the Animal of Subdin Peternakan Dispertan Kabupaten Demak, drh Sudaryanti said, just recently indeed had the death of the poultry in the Village of Kedunguter. ssi/Jon
24 Desember 2008
Tiga Warga Kedunguter Diberi Tamiflu
Machine translation:
Semarang & SEKITARNYA On December 24 2008
Tiga Warga Kedunguter Diberi Tamiflu * Ditengarahi Suspect Flu Burung
Demak - three villagers Kedunguter, Kecamatan Karangatengah that still the patient's family suspect bird flu was given tamiflu by the official of the Health of the Regency of the Service (ET AL) Demak. They ditengarahi also was affected by the similar illness.
As being reported (the Merdeka Voice, 23/12), two residents RT 1 RW 2, the Kedunguter Village was stated suspect bird flu, namely the Tour (12) and the Coat (28). Till yesterday, both of them still was in isolation space of RSUP Kariadi Semarang.
Giving tamiflu to three residents, according to Plt Kepala DKK Dr Singgih Setyono MMR went through Kasi Pemberantasan of infectious diseases (P2M) Sri Hartanto SKM, was carried out after being held screening to the three of them.
They experienced the sign of the temperature of the hot body was high enough to be accompanied breathless. ??Ketiga him has been given by us one dose tamiflu that during one week. The development of their health continued we pantau,?? he said.
Giving tamiflu, continued he, was the step in early that must be carried out if having the resident who experienced the sign as being affected by bird flu. If after being given the medicine showed the improvement, then might not be carried out treated inap. However if his health descended, immediately must receive the intensive maintenance.
Sri Hartanto said, to prevent the potential for the spreading of the virus avian influenza (AI), his side co-operated with the official of the health of the animal to Dispertan Demak. Because, the spreading of this virus was expected strong through the poultry that died suddenly property of the Tour family da the Coat. They experienced the sign of bird flu after the previous day direct contact with the poultry that died that.
Kasi Kesehatan of the Animal drh Sudaryanti explained, from results of the fast test (rapid test) to the poultry that died in this location, it was known that the poultry positive was affected by bird flu. According to him, if having the resident who found the poultry dying suddenly, should was carried out by the extermination by means of being burnt.
In the meantime, to mencegas the spreading was wider, was carried out by spraying disinfektan to the poultry belonging to the resident in the Kedunguter Village. Moreover, he also suggested to the resident to pen his poultry. ??Saat this, we had supplies disinfektan 576 litre. The number was enough memadai,?? he said. (H1-71)
Bird flu (avian influenza/AI) still to ancaman.RSUP Dr Kariadi Semarang again treated two patients suspect AI from Demak,yakni JS, 27,dan Tur, 12. Beforehand, RSUP Dr Kariadi also treated JW, villagers Donorejo,Kecamatan Karangtengah, the Regency Demak,yang afterwards recovered. The tour, villagers Kedunguter, the Karangtengah Subdistrict, the Demak Regency, RT 03/04,mengalami the fever and the cough since Saturday (20/12). Selanjutnya,Tur was run off with to the Daerah Hospital (RSD) Sunan Kalijaga Demak to receive the maintenance. The hose sehari,Tur was brought to RSUP Dr Kariadi because suspectAI. Sejak on Sunday (21/12) the Tour night received the intensive maintenance in isolation space. Was based on information of the patient's father, Sonheji, 35,Tur could bersinggungan with the poultry.
?Sehari before being treated, the Tour witnessed the kept chicken that died suddenly. In the house, the kept chicken that died 13 of ekor,?tukas Sonheji. Entered the day to two (yesterday), the condition for the Tour continued to improve although still received infusion therapy. One of the AI RSUP teams Dr Kariadi, Dr Hapsari Sp A (K) said that the patient was still being given Tamiflu medicine.
Regarding the assurance of the clinical condition pasien, masih was waiting for results of the inspection wipe off nose-throat and the test serologi. Kedua this inspection became consideration of the team of the related doctor the assurance of the status of the patient. ?Hasil wipe off nose-throat will be known tomorrow (today). Whereas, the serology test was still being waiting for results of Pusat,? terang Hapsari. He continued, the patient experienced the decline in the number of leucocytes and trombosit that far below normal. This sign headed to the dengue fever infection but results of the negative laboratory. ?Sampai at this time, the patient still suspect AI because did not experience crowded napas,? flat Hapsari.
Along with the Tour, RSUP Dr Kariadi also treated JS, villagers Kedunguter, the Karangtengah Subdistrict, the Demak Regency, RT 01/02. JS experienced demam,mual, the cough, pilek, and vomited blood since Thursday (18/ 12). The patient could be run off with to the local community health centre but the condition increasingly worsened and was run off with in RSD Sunan Kalijaga Demak. According to the husband's information JS, Suminto, 30, near the residence were gotten by the chicken died suddenly 23 tails. ?Istri I could take part in throwing the chicken away died that because of the chicken piaraan property of the father saya,? obviously Suminto. In view of the fact that the location of the two patients was adjacent and was preceded with the chicken incident died suddenly the Service of Pertanian Kabupaten Demak at once acted by carrying out spraying all over this territory. This action followed results of the laboratory inspection of the poultry piaraan the local inhabitants. According to Kasi Kesehatan of the Subdin Peternakan Animal in the Pertanian Drh Sudaryanti Service, the poultry in this territory was the mainstay livestock of some inhabitants so as the resident of the objection when being destroyed. ?Kami received the report on Friday (19/12) and carried out the fast test test (rapid test) against several poultries died. Positive results were attacked by bird flu and immediately was carried out by spraying of routine disinfectant every day. Until this (yesterday) monitoring still continued dilakukan,? clear Sudaryanti when being contacted by SINDO yesterday. When the poultry was destroyed, added he, it was worried about the mature poultry will be sold before or was kept by his owner. ?Warga the objection because of the price of compensation was too small. If the poultry was sold by the spreading would increasingly meluas,? firm Sudaryanti. (hendrati hapsari)
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