Indonesia: The Latest Human Suspected & Confirmed Cases January 29 + April 6, 2009

[Laidback Al]

Re: Indonesia: Human Cases 8 Oct 2008 +

<meta http-equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 11"><meta name="Originator" content="Microsoft Word 11"><link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CARS%5CLOCALS%7E1%5CTemp%5Cmsohtm l1%5C01%5Cclip_filelist.xml"><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceType"></o:smarttagtype><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceName"></o:smarttagtype><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place"></o:smarttagtype><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <wontGrowAutofit/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles> </xml><![endif]--><!--[if !mso]><object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id=ieooui></object> <style> st1\:*{behavior:url(#ieooui) } </style> <![endif]--><style> <!-- /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman";} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> </style><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]--> My interpretation of the news story in Post #539.

Chickens die on Feb 3 from H5N1. They belong to Sumarni (Father ? 44)from RT 02/01, the District Kedungwaringin, the Subdistrict Tanahsareal, of Bogor City The same evening his child Sumarni gets a fever. On Feb 4, the next day the pregnant wife (?), Saminem (22) also falls ill. Apparently she had at least three children including Sumarni.

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

This is only one article (in this case on Jogyakarta region, Java) of many lately, reporting a decrease of (suspect) bird flu patients in Indonesia.


Number of bird flu patients has decreased

Thursday, 05 February 2009 17:12:25

JOGJA: There is good news concerning handling of bird flu in Yogyakarta. Patient suspect bird flu that has decreased quite significantly. If in 2007 there were 22 cases. In the year 2008, only two patients suspect disease.

Head of Control Section Public Health Diseases DIY Akhmad Akhadi reveal decrease in patients suspect bird flu because improved environmental sanitation and the increased public knowledge.

"People know more and how to prevent bird flu," he said in the discussions between the Development Plan Harm Reduction Program which was held at Wisma Yayasan Kembang Joglo, the day before. (Andri Setyawan)

http://www.harianjogja.com/web2/beritas/detailberita/1109/jumlah-pasien-flu-burung-menurunview.html

[Rwilmer]

Re: Indonesia: Human Cases 8 Oct 2008 +

Hat Tip Bird Flu Information Corner
Bogor, West Java::: Victim?s family refuses to be observed
February 7, 2009

Radar Bogor, 07 February 2009.

Victim?s family refuses to be observed

Ruslan?s brother, Ridwan (35) who?s now under observation due to high fever refuses to do chest x-ray. The victim?s family even refused to welcome public health authorities when visited their house. ?W suspected this family may have possibility to get same infection since they share same gene and Ridwan is working as trash collector as his broher Ruslan?, said the head of public health Gang Kelor dr Sri Utami.

Sri aso mentioned that nine people around this area are developing high fever. Ruslan?s wife is known has left to Cirebon before her blood sample is collected.

Before Ruslan and his sister Nurul stated as bird flu suspect victims, suddenly death chickens were found around their neighborhood. Meanwhile the nine victims from RW 04 (3), RW 11(2) and RW 16 (4) which developed high fever are now still under observation and received Tamiflu treatment.

Source: Indonesia local newspaper, Radar Bogor http://radar-bogor.co.id/index.php?a...zY=&click=MTU=

===AvianInfluenzaIndonesia===

[Rwilmer]

Re: Indonesia: Human Cases 8 Oct 2008 +

Here is the full article from above
07-02-2009 08:12 WIB
Family Start Ruslan Closed

BOGOR - EFFORTS Pemkot Bogor the spread of bird flu, especially in the Western District Kelurahan Cilendek Bogor Barat, experienced problems. Family (alm) Ruslan previously stated suspect bird flu now start Ruslan Family Start Closed closed on health that will address them.

Sister (alm) Ruslan any of Ridwan (35) diobservasi who are experiencing a high fever because of yesterday do not want rays. When the health officer to the Gang kelor family home, the family opens the door reluctant.

"Our suspicion because of their family with the same genes, especially with the work Ridwan (alm) Ruslan garbage collector as a craftsman. Be sure there is contact, "said the Head of Puskesmas Gang kelor dr Sri Utami to Radar Bogor.

Sri also said, nine of which are spread in some RW in that region have a fever, such as the perceived Ridwan. Health would not despair and continue to try to approach. Besides searching for his wife (alm) Ruslan Cirebon to the home before a blood test with the involvement of Public Health City of Cirebon.

Information gathered Radar Bogor, before the death of Ruslan and Nurul adiknya stated suspect bird flu, in a house near the victim's death had found cases of birds but not reported and Ruslan known to frequently visited locations.
Meanwhile, nine people who now have a fever and still monitor the health of the Gang kelor in RW 04 (three persons), RW 11 (two people) and RW 16 (four people).

They are still undergoing treatment at home for keluhannya the flu and fever. Shortness of breath is not happening yet, so while the patient is allowed to care at home with the consumption of drugs tamiflu routinely.

In separate places, the condition of the family Sumarni mambaik start. Fever suffered by children Saminem (20), which are gradually lost while pregnant Sumarni seen doing activities such as usually. (rit)

http://radar-bogor.co.id/index.php?a...zY=&click=MTU=

[Michael Coston]

Re: Indonesia: Human Cases 8 Oct 2008 +

I received a note from Ida at Bird Flu Information Corner

http://birdflucorner.wordpress.com/

that clears up the genders, and relationships, of the patients (and fatalities) in Bogor Indonesia.



I would like to confirm that Ruslani (30) previously reported as 'sister' is actually brother of Nurul, the first victim who died. In the other hand, Nurul is a female. Nurul and Ruslani had died due to infection, meanwhile now their brother Ridwan (35) is developing same symptoms as his siblings. I can't confirm anything about this, but just say they are strongly suspected to contract bird flu virus until the next update.



So Ruslani is a male. Nurul is a female. And Ridwan is a male. Two brothers and a sister.

The two fatalities in mid-January were therefore, brother and sister.



A big hat tip to Ida, and the Bird Flu Information Corner.

http://birdflucorner.wordpress.com/

[Rwilmer]

Re: Indonesia: Human Cases 8 Oct 2008 +

Thanks for the update, Mike

[Commonground]

Re: Indonesia: Human Cases 8 Oct 2008 +

So we have quite a cluster going on.

Nurul (27 F), Adm: 1/14. Died: 1/16. From: RT 3/8
Ruslani (30) Brother. Died: (around) 1/16
Ridwan (35) Brother. Sym: 2/7. Home. Refused x-rays.

3 People: RW04
2 People: RW 11
4 People: RW16

Sumarni Saminem (20) fever. Recovered.

[Laidback Al]

Re: Indonesia: Human Cases 8 Oct 2008 +

In mid January we have an index case for a potential cluster with the infection of Nurul Hikmah (27F) about Jan 14. She dies, as does her brother, Ruskani (30M), about Jan 16. A third sibling, Ridwan (35M), begins exhibiting symptoms on February 7. I believe all three of these individuals are from Cilendek Barat, an outlier of Bogor City.

Meanwhile, on February 3, Sumarni, a young child from Kedung Waringin in the Subdistrict Tanah Sareal, Bogor City, develops fever and possible bird flu symptoms. The map belows shows that Cilendek Barat and Kedungwaringin are only a couple of miles apart. The specific location of the RT/RW groups noted by Commonground above are uncertain, but are mostly likely located in this same general area.

This small area could potentially have 12-15 human H5N1 infections since mid January.

[sharon sanders]

Re: Indonesia Possible Human Cluster (Bogor) &amp; Human Cases January 29 +

Previous Human Indonesia Cases thread here:

http://www.flutrackers.com/forum/showthread.php?p=208014#post208014

[Gert van der Hoek]

Re: Indonesia Possible Human Cluster (Bogor) &amp; Human Cases January 29 +

From Bali

Resident Jagapati Suspect Bird Flu

10.02.2009

Jagapati /a villager from Jagapati Kabupaten Badung were stated as suspect bird flu.

Before suffered was sick that headed in bird flu, casualties could carry out contact with dozens of his kept chickens that died suddenly.

The resident who became casualties suspect this bird flu with initials PPY (19 years).

PPY was the resident of the Sibang Series, Desa Jagapati, of Kabupaten Badung, Bali.

According to the local health service, clinically the illness that was suffered by PPY has headed in signs to be contaminatied with the virus avian influenza like hot high, flu, the cough, and breathless. “Before was sick, several days ago my child could contact with dozens of tails of his property chicken that died suddenly.

After being checked by the official of Perikanan Livestock Breeding and Marine Badung, Bali, dozens of tails of the chicken that died were stated positive terjangkit the flu virus burung,” clear Wayan K, parents of casualties.

After becoming casualties suspect bird flu, PPY had been checked And observed by the Kesehatan Badung Service. He has also been given medicine tamiflu and was obliged to take medicine antibiotik every time 5 hours very much.

The sample of casualties's blood will be taken and sent to Departemen Research And Development of the Health in Jakarta to be tested the laboratory.

Results of the sample test of blood suspect this bird flu was just known in the next two weeks.

http://www.beritabali.com/?s=news&reg=&kat=&id=200902100006

[Gert van der Hoek]

Re: Indonesia Possible Human Cluster (Bogor) &amp; Human Cases January 29 +

Treated as an outpatient, he is at home, not in hospital.

Bali resident bird flu suspect

VIVAnews - Did not yet end the handling of the case of rabies in Bali, bird flu currently threatens the Island of the Gods. One of the residents, Putu Prana Yoga (20) that beralamat in the Sibang Series, Desa Jagapati, Abiansemal, Badung was expected by bird flu.

The assumption headed to bird flu because Yoga had the story of direct contact with the poultry that died as a result of bird flu. According to the official surveillance from the Community Health Centre of Abiansemal Ii, Dewi Tresnaningsih Yoga has been handled.

Has been given by us tamiflu twice a day with the dose 75 milligram but also other medicines, said Dwi when being met in the Yoga house, on Tuesday February 10 2009.

Giving tamiflu, said Dwi, was given while seven days were endless. Each five hours continued to be carried out by observation, added Dwi. Until this the Yoga status was still being expected by bird flu.

According to Dwi, the sample of Yoga blood has been sent to the Penelitian Dan Pengembangan Kesehatan Body of the Department of the Health. Results just went out two weeks more, said Dwi. The temperature of the Yoga body through to 38 levels celcius was accompanied breathlessly.

However after being carried out by the checking, evidently his respiration was normal that is 16 times per the minute. Nevertheless, Yoga still in the supervision from the Community Health Centre.

Separately, the Secretary of the Handling of Rumah Sakit Sanglah Bird Flu, Dr Ken Wirasandi again warned in the service rank for his vigilance if finding the patient that experienced hot high and breathless to immediately asked whether having the story of poultry contact or not.

Hopefully after 1.5 expired years did not have again the case of bird flu in Bali, hoped he. The Bird Flu command post recorded, up until January 16 2009, from 12 provinces that were infected by bird flu to humankind, 6 provinces were not found again by the case of bird flu.

The province that has been free to be the Lampung Province (the infection on September 22 2005), the South Sulawesi Province (the infection on June 18 2006), the South Sumatra Province (the infection on March 10 2007), the East Java Province (the infection on March 19), the North Sumatran Province (the infection on May 3 2007), and the Balinese Province (the infection on August 14 2007).

Up to the middle of January 2009, according to the Department's data of the Health, the spread of bird flu was still coming from the poultry to humankind. Not from humankind to humankind. The proof is, the specimen inspection of all case contact showed the negative.

http://nasional.vivanews.com/news/read/28859-satu_warga_bali_suspect_flu_burung

[Gert van der Hoek]

Re: Indonesia Possible Human Cluster (Bogor) &amp; Human Cases January 29 +

February 11, 2009

Chicken Cull in Bali After Avian Influenza Outbreak

On the heels of a rabies outbreak in Bali, officials on the tourist island are now wrestling with the shadow of avian influenza.

Made Badra, the head of Badung district?s animal husbandry, marine and fisheries agency, said on Tuesday that one person was being treated for suspected bird flu infection, while 133 chickens from the Jagapati Abiansemal village had been culled after one out of five of the sick birds, selected randomly from the group, tested positive for the H5N1 virus last week.

Indonesia remains the world?s most-affected country from the virus, with 113 human deaths from 139 cases as of Jan. 19, according to the World Health Organization. Indonesia?s failure to reign in the disease ? which is endemic among domestic birds in the vast majority of Indonesia?s 33 provinces ? has prompted critics to warn a global pandemic could originate from Indonesia.

?We conducted the culling [last] Thursday, Friday and [Tuesday] morning and eliminated 133 chickens,? he said, adding that local residents had voluntarily given up their birds to be destroyed.

Badra also said that a local resident, Putu Pramayoga, was experiencing bird-flu like symptoms after coming in contact with sick poultry. He was given antibiotics and antiviral drug Tamiflu and his condition was said to be improving.

?This morning I have checked. The fever and the cough have gone,? he said, adding that Putu?s tissue samples had been sent to Sanglah hospital in Denpasar to find out whether or not he was infected with bird flu.

?There is no rapid test for humans. Laboratory tests take time, so we cannot confirm whether or not Putu was infected by the H5N1 virus.?

Badra said that in an effort to curb the spread of the virus, the agency would conduct a drive to disinfect chicken farms and slaughter houses.

?We will also reactivate surveillance in nearby villages to monitor the transportation of chickens,? he said.

Badra said awareness of bird flu in Badung had improved after a small outbreak of the virus struck the district in 2007, killing two people.

The state-run Antara news agency reported on Tuesday that 11.5 percent of Lampung Province?s 2,330 villages, a total of 268 villages, had tested positive for bird flu among birds in January.

Sunaryo Kasman, section head of animal and veterinary health for Lampung?s husbandry and animal health agency was quoted as saying that the survey conducted by the agency in January 2009 indicated that the virus had spread to eleven subdistricts.

Sunaryo also said that in 2004, the H5N1 virus killed more than 1.8 million birds in Lampung, the highest rate in the province, while in 2008 the number of dead birds fell to 25,282.

The decreasing figure was the result of increasing awareness in the community and faster response times when bird flu cases were detected, he said.

http://www.thejakartaglobe.com/news/national/article/9343.html

[AlaskaDenise]

Re: Indonesia Possible Human Cluster (Bogor) &amp; Human Cases January 29 +

Avian flu detected in cockfighting village

Andra Wisnu , The Jakarta Post , Denpasar | Wed, 02/11/2009 12:23 PM | The Archipelago

A local man suspected of having bird flu rested in his home in Jagapati village, Badung, a place well-known for cockfighting, while officials continued to cull fowls in the area.

Putu Pranayoga, 20, was resting in his bedroom when The Jakarta Post visited. Dwi Tresna Ningsih, a field doctor who has been treating and observing Putu, said he began showing symptoms of influenza Monday, just a few days after the report of a possible bird flu outbreak in the area.

"We've given him Tamiflu *the medicine required to treat bird flu suspects* and we'll continue to observe him every five hours," Tresna said Tuesday.

She said Putu seemed to be getting better but declined to rule out the possibility of bird flu, saying that she was still waiting for results of Putu's blood test, which was sent to Jakarta on Monday.

"We can't know for sure until we've received the results of his blood tests, which we will get in two weeks," she said.

It is the latest resurgence of the much-dreaded avian flu in Bali since the death of a 29-year-old woman, who allegedly died after being infected by the H5N1 virus on August 2007.

The virus was first detected on Wednesday last week, when a villager reported the sudden and nearly simultaneous death of 15 fowls in the area to the Badung Animal Husbandry and Fisheries Agency.

The dead fowl tested positive of bird flu.

The agency has since culled as many as 133 fowls in the district, with further culling to continue in the days to come until all the villages' estimated 180-fowl population has been eliminated.

"We have culled 133 fowls so far, including the 40 we aim to finish off today. We'll continue the elimination for as long as it takes," said I Made Badra, head of the Badung Animal Husbandry and Fisheries Agency, in Jagapati on Tuesday.

According to Badra, the resurgence of the virus was related to the wet season, which may have weakened a certain fowl's immune system enough to catch bird flu, quickly spreading to others.

Another possibility, he said, was the transportation of an infected chicken from Java to Jagapati to use for cockfighting.

The Bali government has banned unlicensed live animal transportation into Bali and cockfighting, but the latter remains a staple in the island due to the religious and traditional nature of the so-called sport.

On the other hand, the ban on animal transportation seems to have been fully implemented since the detection of rabies virus late last year. However, Badra said there was a good chance that infected fowls escaped detection because they might have been transported before the rabies scare.

"For now we'll continue to urge the public to not transport live animals into Bali," he said.

"We should all really learn from what happens to people who come in contact with sick animals," he said, referring to the alleged death of the 29-year-old woman from bird flu and the recent alleged deaths from rabies.

http://www.thejakartapost.com/news/2009/02/11/avian-flu-detected-cockfighting-village.html

[Francoise Ramona]

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

Indonesian suspected of having avian flu

Posted on: Wednesday, 11 February 2009, 10:48 CST
Authorities in Indonesia awaited the results of blood tests to determine if a resident of a village known for cockfighting has contracted avian flu.
The illness of Putu Pranayoga, 20, may signal the first human case of avian flu, commonly called bird flu, in Bali since a 29-year-old woman died of the disease in August of 2007, The Jakarta Post reported Wednesday.

The virus was first detected a week ago when a villager reported the nearly simultaneous death of 15 fowls that all ended up testing positive for avian flu.
We have culled 133 fowls so far, including the 40 we aim to finish off today,</q> said I Made Badra, head of the Badung Animal Husbandry and Fisheries Agency in Jagapati.
The Indonesian government has banned unlicensed live-animal transportation into Bali as well as cockfighting, but the sport remains a staple on the island.

http://www.redorbit.com/news/science/1637630/indonesian_suspected_of_having_avian_flu/index.html

[Gert van der Hoek]

Re: Indonesia: Possible Human Cluster (Bogor) &amp; Human Cases January 29 +

Just a snip on the suspect bird flu patient on Bali Island, his condition seems not to improve:

Meanwhile, the condition of Putu Prana Yoga, the patient suspect bird flu in the series is, until yesterday afternoon as the previous day. In fact, conditions can be spelled a bit worrying because starts vomiting. "Earlier finished vomiting. But it hot, cold and still pernafasannya like yesterday (Sunday)," said Wayan Kodi, father of Prana Yoga.

http://www.jawapos.co.id/radar/index.php?act=detail&rid=64548