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

[Gert van der Hoek]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Google translated.

This seems another new suspect human case in Bekasi. Reporter doesn't have fever. She takes Tamiflu as a precaution.

Reporter Took Tamiflu After Covering Suspected Bird Flu Case


Thursday, March 05, 2009 | 19:01 WIB

TEMPO Interactive, Jakarta: a newspaper correspondent with initial Y, 25 years old,
must take bird flu drug Tamiflu for seven days. She suffered a sore throat and a headache after covering the of a family with a suspect bird flu patient.

The head of the Pengendalian Field of the Problem of the Dinas Health of the Health of the Bekasi City drg Laniwati Setiadi said giving of medicine to Y for anticipation did not happen the transmission of the virus H5N1.

"One capsule a day, consumed for seven days. Medical officers who conduct investigations around the house suspect patients also take tamiflu, "he told Tempo, Thursday (5 / 3).

Y fel ill after interviewing the parents A, 8 years old, at her home in Kampung Sukamantri, Village Sukaraya, Kecamatan Karang Bahagia, Kabupaten Bekasi, on Wednesday (4 / 3) ago. Patient A is suspect bird flu. He died early Sunday week ago, after having had time to refer to in Persehabatan Hospital
, East Jakarta.

Interview conducted by Y takes about 20 minutes, in front of parents house
victims with distance less than one meter. During the interview progresses, the Y does not mask. "It should protect themselves by means of adequate security," said Laniwati.

Y confess her throat still sick. His head is still felt dizzy, but she has no fever. "Maybe because I am tired, long under the blazing sun," she said.

http://www.tempointeraktif.com/hg/layanan_publik/2009/03/05/brk,20090305-163371,id.html

[Gert van der Hoek]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Same article as posted in post # 273 by Commonground

Two Bekasi fatal victims in “confirmed” status of bird flu casualties.

March 6, 2009

Two Bekasi fatal victims in “confirmed” status of bird flu casualties.

Bekasi – Within two months, two Bekasi residents who died were confirmed to contract bird flu virus.

N (4), died at the beginning of January after treated at Persahabatan hospital. There was no dead bird history around the victim’s neighborhood in Teluk Pucung, North Bekasi.

Retni Yonti, head of Health Service Bekasi last Thursday (5/3) said that victim had contact history to dead birds but not around his neighborhood.

Another victim is J (42), resident of Taman Galaxy, South Bekasi. Former victim was known to have frequent contact with poultries at wet market, even though no dead bird reported around the victim’s residence. This victim also died at Persahabatan hospital.

Both victims were in confirmed status as Yonti explained. According to the risk level, they both in the status of more than suspect but not yet tested positive by laboratory examination. “They both had respiratory failure, high fever and flu symptoms”, says Yonti.

However, Yonti refused to give further explanation about this statement, because it wasn’t allowed by the regulation. Even blood test result wasn’t reported to Yonti’s institution but sent directly to Indonesia Health Ministry.

Source: Indonesia local newspaper, Republika.

http://www.republika.co.id/berita/35551/Dua_Warga_Konfirmasi_Flu_Burung_Meninggal

http://birdflucorner.wordpress.com/

[Gert van der Hoek]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Same article as posted in post # 285

Bekasi, West Java ::: Two human infected suspects

March 6, 2009

Two victims have added total bird flu suspects in Bekasi

Tempo Interaktif, Bekasi. Other bird flu infected human suspects reported in Bekasi, West Java. One victim reported died and the other is still in medical treatment.

Fatal victim is R (5), resident of Karawang, West Java. Victim passed away on Wednesday (4/3) 21.00 at Mitra Keluarga hospital East Bekasi accompanied with fever and breathing difficulty symptoms.

Another victim who’s under treatment is S (29) resident of Kemakmuran, Kelurahan Margajaya, Kecamatan Bekasi Selatan. S is now under treatment at Hermina hospital, Bekasi.

R had contact with dead chicken nearby, meanwhile S known to have contact with dead pigeon.

Source: Indonesia newspaper, Tempo Interaktif.

http://www.tempointeraktif.com/hg/layanan_publik/2009/03/05/brk,20090305-163377,id.html

===AvianInfluenzaIndonesia===

http://birdflucorner.wordpress.com/

[Readymom]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

I am now 'officially' dizzy with all the suspected and confirmed deaths.

If I am understanding it all, we are still 'officially' standing at a death toll of 115 for Indonesia -- with an 'unconfirmed' death toll of 119 from the news the past couple of days.

Post #273: Are these NEW or previously mentioned victims.

So sorry ... I can't even imagine when TSReallyHTF and trying to keep it all straight. Thanks -k

ps. Is it time for a summary for review, yet?

[HenryN]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Updated map

http://maps.google.com/maps/ms?hl=en&geocode=&ie=UTF8&t=h&msa=0&ll=-6.121439,106.809082&spn=1.114199,1.516113&z=9&msid=106484775090296685271.00045e858a4aeaf7a1f24

[Commonground]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Indonesia Current Case List

West Java

Bekasi

Adm: None Date Reported: 2/14
Names: 3 Families*
From: RT 13/6 Sukamulya Village, Sukatani
Hospital:
1st Family:
NY Ita: Mother
Ipin (10) Child Being treated at Comm. Hlth. Ctr.
Family owned 19 Chickens
2nd Family:
Sri Rahaya
Jema
Arni
3rd Family:
Mohamad Doas
Syahroni (43): Father (?)
*(derived from 6 reported on 2/15)
Notes: 30 residents given Tamiflu. Sym: Cough, Fever [http://www.flutrackers.com/forum/showpost.php?p=209159&postcount=56]
Confirmation: Negative (all)



Adm: 3/3
Name: R (5)
From: Karawang
Hospital: Mitra Keluarga Bekasi East
Sym: fever, shortness of breath
Recon:
Notes: contact w/positive poultry
Confirmation: none
DOD: 3/4 (21:01 WIB)

Adm: 3/3
Name: S (29)
From: Kemakmuran, Margajaya village, Bekasi South Dist.
Hospital: Hermina, Bekasi
Sym onset:
Recon:
Notes: contact one w/positive dove, thrown away
Confirmation: none

Adm:
Name: A or J (42)
From: Taman Galaxy Estate, Kelurahan Pekayon, Bekasi South
Hospital: Friendship (Persahabatan)
Sym. Onset: Respiratory Failure, high fever, flu sym’s.
Recon:
Notes: interaction w/chicken at wet market
Confirmation: none
DOD:
2/24 [http://www.flutrackers.com/forum/showpost.php?p=212398&postcount=273]
Early January [http://www.flutrackers.com/forum/showpost.php?p=212440&postcount=285]


Adm: 2/28
Name: Andriansyah (8)
From: RT 01/03 Sukamantri Hamlet, Village Sukaraya, Kec. Karang Bahagia Dist.
Hospital: Friendship Hospital
Sym. Onset: 2/20. Recovered. On 2/25 onset of fever again.
Recon: Local Clinic (2/20); Annisa Hospital (2/27) for 6 hours. Diag. with pneumonia.
Notes:
Blood samples taken from Ilyas (43), Mimin (36) mother, Ana (6) sister/brother.
3 Medical Workers from Anissa Hospital had blood drawn: Dr. Suki, Dr. Lia and Official Agus. Did not use PPE when treating.
Confirmation: Metronews reports Annisa Hosp. had a confirmation within 6 hours before sending to Friendship Hospital.
DOD: 2/28


Adm: no
Name: Y (25)
From:
Hospital:
Sym onset: 3/4 Sore throat, headache.
Notes: Fell ill after interview family of Andriansyah (8). Journalist. On Tamiflu for 7 days. Interview: 20 min in front of house. Wore no mask.




South Jakarta

Adm:
Name: Isnaelia Rahmadiyanti (3)
From: Jalan Damai Complex, PDX RT 11/02, Petukangan South, Pesanggrahan
Hospital: Friendship (RS Persahabatan)
Sym. onset:
Recon:
Confirmed: Positive on 2/13 (?)
DOD: 2/2


Has been removed: Incorrect data.

North Jakarta
Adm:
Name: N (4)

Tangerang
Adm: 2/14
Name: Kaila Nabila (2)
From: RT 02/04, Serpong Subdistrict, Cilenggang
Hospital: RS Fatamawati
Sym Onset: 2/14
Recon: Comm. Hlth Ctr. and Clinic Specialist close to house.
Confirmation: DOH Lab declared positive; news media declared DBD.



Depok
Adm: 2/27
Name: Nurliga Mahmuda (5)
From: Pulo RW6/RT8 Rangkapan Jaya
Hospital: RS Persahabatan
Sym onset: 2/14 fever 40 degrees, headache
Recon: Bahar Medika Clinic, Depok Lama. Blood taken. Diagnosed with typhus.
RSUD Depot - staff did not immed. respond, mother cared for child. Reason: hospital was full.
RS Bhakti Yudha: 2/24, 2 days later developed shortness of breath, put on oxygen. Took x-ray.
Notes: Parents: Mahmudin Sudin (35); Liza Kurniawati (30). Command Post for 2 wks.
DOD: 2/28


Central Java
Klaten
Adm: 2/24
Name: Roslik Wahyu Adiarta (5)
Name: Wisnu Chandra (1) (cousins)
From: Kemalang Village, Desa Dompol, Kec. Kemalang
Hospital: RSUP Dr Soeradji
Sym onset: 2/23 (sym: high fever, cough, breathless)
Recon: Health Svc. & Soc. Welfare
Notes: Not in isolation.


East Java
Surabaya
Posted on 2/20:
Adm: 2/4
Name: 5 Staff that treated Sutini (18) con. positive. DOD: 1/24.
Hospital: RSUD Soetomo
Notes: Staff are quarrantined at hospital. One doctor tested negative, recovered.




South Sulawesi
Makassar

Adm: 2/28
Name: Fadila (7)
From: Tamarampu Village, Kelurahan Bonto, Mandi, Maros
Hospital: RS Wahidin
Sym onset: 2/23 (Sym. temp. 38)
Recon: RS Salewangan Maros
Notes: Dept. of Health has been available

[Readymom]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Current Indo List

CG, this past week is the first time I've actually had TIME to look at your site. It's GREAT!

Scanning through, I do not see the 'Current Indo List'. Can you give me a more direct link? Thanks! -k

[Laidback Al]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Indonesia Current Case List

. . .
North Jakarta

Adm:
Name: N (4)
From: Pucung Bay district, N. Jakarta
Hospital: Friendship
Sym onset: Respiratory failure, high fever & flu sym?s.
Recon:
Confirmation: none
DOD:
Early January [http://www.flutrackers.com/forum/showpost.php?p=212398&postcount=273]
2/24[http://www.flutrackers.com/forum/showpost.php?p=212440&postcount=285]

Post 285 has both location and date errors. N (NAD) (4) is the young woman who died January 2 in Bekasi and was confirmed by WHO.

http://www.who.int/csr/don/2009_01_22/en/index.html

The young girl is not from North Jakarta but from Teluk Pucung, North Bekasi. -6.1946068, 107.033143.

[sharon sanders]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Thanks Commonground for making the list.

Thanks to everyone for monitoring the situation.

[Readymom]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

CG, this past week is the first time I've actually had TIME to look at your site. It's GREAT!

Scanning through, I do not see the 'Current Indo List'. Can you give me a more direct link? Thanks! -k

Well, looks like we were posting at the same time. Thank you!

[HenryN]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Commentary

http://www.recombinomics.com/News/03050903/H5N1_Bekasi_Transmission.html

[AlaskaDenise]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Commentary

http://www.recombinomics.com/News/03..._Bekasi_3.html

Commentary

Bekasi H5N1 Fatalities Raise Indonesian Concerns

Recombinomics Commentary 13:03
March 5, 2009

A is the other victim, 42 years old. Warga Taman Galaxy Bekasi Selatan this is quite often interact with the chicken in the market. Yonti then explained that around the house there are not also victims of poultry that died suddenly. This victim also died in the Friendship Hospital, on Tuesday (24 / 2) ago.

The two victims, according to Yonti, in confirmation status. He then explains that the status is (based on the danger) is one level above the status of suspect and also one level below the positive bird flu.

The above translation describes recent Bekasi H5N1 cases who died at the Friendship hospital. These two cases are about 2 miles apart (see updated map) in densely populated areas of Bekasi. One (N or 5M in WHO update) is a WHO confirmed case who died January 2 as indicated in the January 22, WHO update.

The more recent case (42F), who died February 24 may have been the fatal Bekasi case described in yesterday?s MOH update. However, on February 11, a UNICEF media report indicated the number of fatal cases in Indonesia was 119, signaling four new cases. Three of those four matched the description of the cases announced yesterday by the MOH, and classifying this latest case in Bekasi to the fourth case announced yesterday leaves open the question of who the fourth case was in the UNICEF announcement.

This confusion is compounded by the delay in announcement by the Indonesian MOH, as well as the associated delays in WHO Indonesian updates. The last WHO update was in January, and describes a case who died in Tangerang in December, as well as the Bekasi case above. Since that update, there was the UNICEF report of February 11 signaling four newly confirmed cases, as well as the MOH announcement yesterday, which also signaled four newly confirmed cases. However, most of the announced cases died in January, and the two reports do not match.

Moreover, not included in either report are the recent cases, described in media reports, in Bekasi, Depok, Tangerang, and South Jakarta.

The large number of fatal H5N1 in and around Jakarta, as well as delays in reporting these cases, continue to cause concerns.

.

[AlaskaDenise]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Commentary

http://www.recombinomics.com/News/03...nsmission.html

Commentary

More Bekasi H5N1 Cases Raise Transmission Concerns

Recombinomics Commentary 18:57
March 5, 2009

Fatal victim is R (5), resident of Karawang, West Java. Victim passed away on Wednesday (4/3) 21.00 at Mitra Keluarga hospital East Bekasi accompanied with fever and breathing difficulty symptoms.

Another victim who's under treatment is S (29) resident of Kemakmuran, Kelurahan Margajaya, Kecamatan Bekasi Selatan. S is now under treatment at Hermina hospital, Bekasi.

The above comments describe two more suspect H5N1 cases in Bekasi. One of the victims (5F) died today, when the other (29F) is hospitalized. The hospitalized case lives about a mile (see updated map) from one of the earlier Bekasi fatality (42F). Media reports on the date of death indicate she either died in late February, or early January. A death in January would suggest that this fatality is the case referenced in yesterday's comments from the Ministry of Health, as well as the fourth case linked to the UNICEF announcement. In any event, there have been three Besaki cases that are clustered within a couple of miles of each other in or near the Delatan district in south Besaki, and this clustering raises concerns.

Although these cases have poultry links, the clustering of these cases may signal a more efficient transmission from the poultry to people. Previously, almost all human isolates from the Jakarta area had the novel cleavage site RESRRKKR. The recent phylogenetic tree in the WHO update on vaccines included four Indonesian cases from 2008, which continued to evolve along the branch contain the prior human isolates with the novel cleavage site. This change was not detected in poultry isolates from 2005 or 2006, but in 2007 it began appearing in poultry, raising concerns that the sub-clade of 2.1 that was infecting humans was becoming more common in poultry. The latest clustering in Bekasi may signal additional changes in poultry H5N1, leading to more efficient transmission to humans.

Release of 2009 sequences from these patients would be useful.

.

[Commonground]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Laidback Al wrote

Post 285 has both location and date errors. N (NAD) (4) is the young woman who died January 2 in Bekasi and was confirmed by WHO.

http://www.who.int/csr/don/2009_01_22/en/index.html

The young girl is not from North Jakarta but from Teluk Pucung, North Bekasi. -6.1946068, 107.033143.

I will change the list accordingly, thanks.

[Gert van der Hoek]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Apparently there is another suspect bird flu patient in Sulawesi. Both seem to do better after treatment.

- snip -

In the meantime waiting for results, two suspect bird flu victims, Faradillah (7) and Anshar (3), still was waiting for results of the centre whether true they are infected with bird flu or not.

Nevertheless, signs of the illness available to both of them, made the hospital side not reckless. Both of them were treated in Wahidin Sudirohusodo space of the Hospital isolation. The Anshar condition currently improves and is treated in his house. Whereas Faradillah was still undergoing the maintenance in isolation space.

"However last information if the Faradillah condition has begun to get better," he said. The Maros regency including one of the however many regencies in South Sulawesi Yang quite often experienced the case of bird flu.

Good that attacked the livestock but also humankind. In 2009 this, to be precise last January 27, bird flu again bashed Maros with the discovery the first time the existence of the poultry died suddenly and a child was four years old, Ansar, suspect bird flu in the Village of Baddo-Baddo, Desa Bajimangai, Kecamatan Mandai.

http://www.tribun-timur.com/getrss/viewrss.php?id=15110