Sulawesi cluster / 14M (deceased) from South Sulawesi confirmed H5N1

[Sharpe]

Re: Sulawesi cluster / 14M (deceased) from South Sulawesi confirmed H5N1

Looks like officials elsewhere are more worried than usual.

http://www.thejakartapost.com/detailnational.asp?fileid=20060908.G07&irec=6

Chicken manure seized in Ambon

AMBON, Maluku: Fearing the spread of bird flu, the livestock quarantine station in Ambon on Thursday ordered two tons of chicken manure from South Sulawesi to be burned.

The station's head, I Putu Terunanegara, said authorities were always on guard against bird flu. He added that the efforts were working with Maluku province still free from the virus.

"But the bird flu virus will remain a threat to places which are not yet affected," Putu told The Jakarta Post.

The manure was confiscated Saturday as soon as it arrived in the city from Makassar aboard a ship. It was to be sold to farmers as fertilizer. -- JP

[Theresa42]

Re: Sulawesi cluster / 14M (deceased) from South Sulawesi confirmed H5N1

Theresa, so is this right?

In the 2nd and 3rd weeks of June, Makassar in southern Sulawesi, two children (14-year-old Akhira and 17-year-old Andri) and their mother (56-year-old Sukria) died over the course of two weeks, all with the same symptoms, and only Akhira was tested--and tested positive.

That's exactly how I read it -- I think you've got it!

[Laidback Al]

Re: Sulawesi cluster / 14M (deceased) from South Sulawesi confirmed H5N1

Theresa, so is this right?

In the 2nd and 3rd weeks of June, Makassar in southern Sulawesi, two children (14-year-old Akhira and 17-year-old Andri) and their mother (56-year-old Sukria) died over the course of two weeks, all with the same symptoms, and only Akhira was tested--and tested positive.

I suppose it makes sense then that they're testing the blood of people who died earlier in the area in potential clusters--because they've got at least three possible large clusters on the island of Sulawesi the last time I saw reports a few days ago.

That is also the way I interpret the translation, Sharpe.

The clusters from Sulawesi that are being discussed now were first reported during the week of August 21st from Kendari City in Southeast Sulawesi. Shortly thereafter, reports of possible human cases were being reported from South Sulawesi and Central Sulawesi. I don't think there were any news reports of the these cases from Makassar in June.

[HenryN]

Re: Sulawesi cluster / 14M (deceased) from South Sulawesi confirmed H5N1

Commentary at

http://www.recombinomics.com/News/09...i_Cluster.html

[Theresa42]

5 other family members were sick as well / Akhira orig diagnosed with dengue

Family regrets late bird flu results
Andi Hajramurni, The Jakarta Post, Makassar
Sept 09, 2006

The South Sulawesi governor and the family of the latest confirmed bird flu victim expressed regret Friday that the Health Ministry did not immediately disclose the cause of the 14-year-old's death.

Health Minister Siti Fadilah Supari said Thursday the government had confirmed the girl, who passed away almost three months ago, was the 48th fatality from the virus.

"Why was the announcement made almost three months later? If we had known earlier, we could have taken the necessary steps immediately," Governor Amin Syam said in Makassar on Friday.

The victim's brother, Alimin, said his family had been shocked to learn the girl died of bird flu.

"It has really shaken us, to hear such news just as we were coming to terms with her death."

Alimin said the family knew that bird flu in humans caused symptoms like the girl's, including a high fever, chest pains and shortness of breath. However, her doctor had diagnosed dengue fever.

"But our suspicion caused us to free all our chickens and pet birds and destroy the coop amd cages immediately after her funeral."

The victim was the 48th person to have died of bird flu in the country, but it was the first case to occur in South Sulawesi.

Laboratory tests conducted by the Health Ministry on fluid samples taken from the victim concluded she died of the H5N1 bird flu virus strain.

The samples were sent by the provincial health office to Jakarta on June 23, the day before the girl died. [So she died on June 24.] However, the test results were only announced Thursday.

Runizar Roesin from the National Bird Flu Center said the delay between the discovery of the case and the announcement of the test results was because the samples were not specifically taken from the patient on suspicion of bird flu.

Siti said they would soon carry out poultry culls in the area where the case was found.

The girl's mother and elder sister, both of whom exhibited bird flu symptoms, died before her. After her death, her father, two other siblings, an in-law and a cousin were in turns taken to the hospital with high fevers, but soon recovered.

Alidin said the family had suspected the three died of bird flu but could not confirm the matter since they were all diagnosed as suffering from dengue fever.

The head of the South Sulawesi Health Office, Andi Muhadir, said it was unwise to make assumptions but blood samples would be taken from the victim's 11 family members and her closest neighbors.

The governor has called on related offices to apply standard procedures in dealing with bird flu and asked residents to hand over their poultry to be destroyed.

"I hope people are willing to give up their poultry to be destroyed so there will be no more cases of bird flu in humans," he said.

http://www.thejakartapost.com/detailnational.asp?fileid=20060909.G05&irec=4

[Sharpe]

Re: 5 other family members were sick as well / Akhira orig diagnosed with dengue

The girl's mother and elder sister, both of whom exhibited bird flu symptoms, died before her. After her death, her father, two other siblings, an in-law and a cousin were in turns taken to the hospital with high fevers, but soon recovered.

This sentence has struck me dumb! This cluster is the same size as the Karo one!!!

"I hope people are willing to give up their poultry to be destroyed so there will be no more cases of bird flu in humans," he said.

Does he even know what he's talking about? One after another this family went. 3 died, 5 became sick, and three months later they want to test family and throw away chickens? Dengue... Which dengue does this? Thank God for honest reporting. We would have just walked away thinking it was just a girl--never knowing that it was a big cluster--and who's to say it ended with 8? Perhaps it kept on going to the clusters we have now?

[Theresa42]

Re: 5 other family members were sick as well / Akhira orig diagnosed with dengue

This sentence has struck me dumb! This cluster is the same size as the Karo one!!!

Pretty d*mn shocking, huh?

[Theresa42]

More details on the family

toggletext-ed from Indonesian:

The official checked the Poultry in Maccini Tengah
Sept 09, 2006

Related the Citizen died It Was Suspected Bird Flu

MAKASSAR -- The Official of the Marine Service, fisheries, and Makassar Livestock Breeding examined several tails of the chicken in Street Maccini Tengah, on Friday September 8. That was related the death three citizens in one family in Maccini Tengah, last June that later was stated positive terjangkit bird flu.

The case of the bird flu was experienced by the family's three members, H Abd Muin Baso Pase Dg Bella in a beruntun manner last June. In the time nine days, Andri died on June 15 with the sign of the high fever and shivered. By the doctor, the class student II SMAN 1 Makassar was stated was attacked by dengue fever (DB). One week afterwards, to be precise on June 22, his mother, Hj Sukria also experienced the similar sign through to finally died. Further the hose two days, on June 24, Akhira followed the mother and his [her] older brother after could be treated three days in the hospital. The three of them were diagnosed was attacked DB.

Acknowledged by Alimin, the older brother Andri and Akhira, on Friday September 8 yesterday in his house, if the death news three people that was loved by him this as a result of being infected by the bird flu virus (Avian influenza) or H5N1 he learned from the media. Narrated by the seventh child from 13 related that, that the mother and his youngest child's brother [sister] were attacked by the high fever until dying after guarding Andri in the Barabaraya Community Health Centre.

"The same mother of my youngest child's brother [sister] (Hj Sukria and Akhira, red) indeed that was on duty at Andri while being treated in the Barabaraya Community Health Centre. Just as Andri died, both of them also at once experienced the deviation and afterwards died also. Originally I was indeed suspicious if this the case of bird flu after the three of them died," he said considering around the community health centre of much livestock breeding and efforts of the piece chicken.

Apart from casualties died, mentioned Alimin, several of his families could be also run off with to the hospital and were treated in space of the ferns isolation (for the case of bird flu) RS Dr Wahidin Sudirohusodo namely Mansyur (the brother-in-law), Umi Kalsum, and Uli (the cousin) as well as A Abd Muin (the father) that experienced the sign like casualties.

In the meantime, the sample inspection of saliva of several poultries around casualties's house in the District Maccini Induk, the Makassar Subdistrict, was acknowledged by the Secretary of the District, Drs Nasri Kadir, as the step in anticipation then. That was also justified by Nurlina, the official of the Marine Service, fisheries, and Livestock Breeding that true had the taking of the sample of several poultries as the step in anticipation related the existence of the case of bird flu that claimed fatalities in Maccini Middle. However the sample of the poultry that was checked that, still was negative AI.

http://www.fajar.co.id/news.php?newsid=27275

[Theresa42]

Re: Sulawesi cluster / 14M (deceased) from South Sulawesi confirmed H5N1

toggletext-ed from Indonesian:

Positively Bird Flu, the Citizen Makassar died
Sept 09, 2006

Menkes: This casualties was killed 48th in Indonesia, most Big in the World; the Health Service Makassar not yet Know; Unicef the Bird Flu Campaign and Appeal the Community destroyed the Poultry in Maros

Jakarta, Tribun -- RI Health Minister, Siti Fadilah Supari, said, a citizen Makassar that lived in Street Maccini was named Akhira (14) positive suffered the Avian virus influenza, H5N1, or was known with bird flu.

Therefore, this daughter became casualties was killed first from South Sulawesi as a result of being affected by the plague of bird flu. Beforehand, at least had seven South Sulawesi citizens who were stated suspect, but not any that positive.

Menkes revealed this matter in Jakarta right before coming across President Susilo Bambang Yudhoyono (SBY) in the cabinet meeting in President's office, Jakarta, on Thursday (7/9).

"There was the addition of one case of bird flu. He [she] was named Akhira from South Sulawesi. Akhira positive bird flu," said Fadilah.

This Fadilah statement also became the main news of several world medias like Associated Press (AP), the BBC, WHO, The New York Times, and Reuters. This assurance was received after the previous night, the report produced by the research of casualties's specimen from the Balitbangkes laboratory and NAMRU-2 Jakarta, ascertained Akhira positive bird flu.

Akhira, that was treated in the Public Hospital (RSU) Dr Wahidin Sudirohusodo, to last June 22 2006, died on June 24 2006.

The doctor in RS Wahidin thought Akhira only suffered dengue fever.

According to menkes, the deceased Akhira was affected by the deadly virus reason bird flu he [she] had carried out contact with several poultries that died in and around his environment. [Now how do they know that?]

The director general of the Control of the Illness and environmental Sanitation, the Department of the Health (the Department of Health), I Nyoman Kandung through the short message alias the SMS said to the Tribun, results of the laboratory inspection of arrived from Akhira proved, from the test transcriptase polymerase chain reaction (RT-PCR), he [she] was positive sub-type bird flu H5N1.

"At that point was not suspected by Avian influenza (AI) by his doctor." He [she] entered the hospital not as the patient suspect AI, he said.

"When dying, we could take the specimen from casualties. The specimen was sent from sentinel influenza to research and development," he explained.

Further menkes claimed, with the PCR discovery the deceased Akhira that positive bird flu, that meant at this time to have had 48 people who died resulting from the bird flu virus.

"The total that confirm bird flu was 63. There is 48 was stated died," obviously him.

Menkes further suggested, the community should again was proaktif in combatting this bird flu. The community was expected immediately to report when finding several poultries that mangkat in the mass number.

"The community must be proaktif and reported if having the poultry died," he snarled.

All over the world, the bird flu virus had killed 143 people since attacking Asia to last 2003.

Indonesia became the biggest country from the side of the number of casualties was killed in the world. Most sufferers were infected through contact with the poultry, but several experts estimated could bermutasi so as easy moved from humankind to humankind and potential killed million the life.

It did not yet know

The Section Head the Health of the Makassar City Dr Andi Naisyah Tun Nurainah claimed did not yet receive in writing related the case of the inhabitants Makassar that died resulting from positive suspect AI.

"We still could not the report was written, but we would menelurusi this information so that the citizen around the relevant residence more could be on the alert," said Naisya that was contacted the Tribun, last night (see, Not Yet Know).

Whereas the Section Head the Health of the South Sulawesi Provincial Government, Dr Andi Muhadir, during it was confirmed, last night, admitted to not yet accepting Akhira matter information. Kadis the Health of the South Sulawesi Provincial Government asked the reporter to not launch the report on Menkes RI because of checking and spreading out the press conference today.

The response Unicef

The Union's Body of nations that had delegation in Makassar, Unicef, mengeluakan the matter appeal of bird flu in South Sulawesi [often written as Sulsel].

South Sulawesi was fighting to face the spreading of the virus deadly bird flu by doing the interest campaign to millions of people about the bird flu danger.

Unicef asked the first matter that was done to be to carry out the extermination of the poultry in the Maros territory and immediately mengkarantina humankind that it was suspected suffered bird flu.

Not only that, this activity also gave the training to the official of the local health and the breeders.

By funding from Japan, UNICEF Makassar co-operated with the local government to give complete information so that anyone could avoid bird flu at first if the attack happened in a community. After doing the training it was hoped to this official back to their respective area in order to be able to give counselling to the local community.

Since July 2006, around 2.122 village heads got the training about the spreading of bird flu in order to be able to protect millions of communities. Vice President Yusuf Kalla personally said thank you for the Japanese government support for various agreeing activities with bird flu including the implementation of the bird flu symposium in the Hasanuddin University, this Saturday.

"This program was also carried out in the other country with the same method to confirm so that people knew how responded if being known had the assumption of the bird flu sufferer," said Unicef delegation in Indonesia, Gianfranco Rotigliani.

"This was during critical and anyone must immediately carry out the precaution where the number of bird flu casualties more compared with that succeeded in being safe," he said, again.

The Japanese government prepared the fund as big as 3,2 million US dollar and around 400 thousand US dollar was allocated in South Sulawesi. This was carried out as efforts to increasingly introduced about the bird flu danger through the national campaign "Preceptive Bird Flu" that began to be carried out to last September 1. This training was important because of this week the Health Minister said a daughter was 14 years from Makassar old died, last June, resulting from bird flu.

He [she] was stated contracted bird flu after through a series of laboratory test.

The response PDHI

Was contacted was separated, the Chairman of the Association of the Indonesian Veterinary Surgeon (PDHI) South Sulawesi, Prof Dr Lucia W Muslims Msc, asked the health service during immediately to research the X factor the cause of the Akhira death.

"If quite positive must him was researched what's up with this child. What had the family, the neighbour, or the breeder around it that be hit by. Why wasn't the other family infected?" he said.

Lucia explained, the possibility had the X factor or the genetic weakness certain so as to the sensitivity happen. That was related the genetic factor or what, must be researched again.

"If this child true was infected by the bird flu virus from the poultry, whether having the brother, the older brother, the neighbour, and the person around it that terjangkit," he said.

Lucia made a plea so that the related agency should not at once claim someone was expected by bird flu because hot and breathless.

According to him, to sentence someone positive bird flu must through the laboratory inspection in Hong Kong.

http://www.tribun-timur.com/view.php?id=32711&jenis=Front

[Theresa42]

Surviving family members say they, too, were tested back in June...

...but that they have not yet heard any results. (This story just keeps going from bad to worse!)

toggletext-ed from Indonesian:

The older brother and Ms Akhira Juga Meninggal
Sept 08, 2006

The Deceased's FAMILY Akhira Wisnuliyanti (14), casualties died first resulting from bird flu in Makassar, did not believe the youngest child from 11 was related, the deceased's couple Sukirah and Basoddin, this really terjangkit the bird flu virus.

When being found the Tribun, last night, casualties's older brother, Mansyur, admitted to not yet knowing information that was launched by RI Health Minister in Jakarta. We 'did not yet know', he said in their residence in the central region of the Makassar City, Street Maccini Tengah.

He just learned his brother [sister] was positive bird flu during the Tribun informed him.

In fact, Mansyur words, during Akhira were treated in the Public Hospital Dr Wahidin Sudirohusodo, last June 22, the doctor diagnosed Akhira was affected by dengue fever and typoid (typhus).

Akhira underwent the maintenance in the child's part RS Wahidin for two days. Beforehand, the deceased together Ms, the deceased Sukirah could undergo the maintenance in RS Akademis.

Akhira blew out the breath last June 24 2006 after his [her] older brother Andir Winarti (the 10th child) died on Thursday June 15 2006 in RS Stella Maris and his mother Sukirah died in RS Akademis, on June 22 2006.

The death beruntun the family's three members were diagnosed as the dengue fever sufferer.

The doctor and casualties's family did not know if Akhira had finally been stated positive bird flu.

Mansyur with the older brother alm Akhira other, Ummi Kalsum, claimed to be all of his family's member underwent the blood inspection in RS Wahidin pascakematian Akhira last June.

The side of the 'Health Service took the sample of our blood after Akhira died', he said.

Up to now, the Akhira family was not yet informed results of this test as far as the reporter the Tribun visited their residence, on Thursday night.

Initially, the two Akhira older brothers appeared startled. But, not at intervals of old, they did not show the reaction was abundant. They appeared sincere and submitted on this trip of the family's member.

http://www.tribun-timur.com/view.php?id=32710

[Harriet]

Family regrets late bird flu results

Andi Hajramurni, The Jakarta Post, Makassar

The South Sulawesi governor and the family of the latest confirmed bird flu victim expressed regret Friday that the Health Ministry did not immediately disclose the cause of the 14-year-old's death.

Health Minister Siti Fadilah Supari said Thursday the government had confirmed the girl, who passed away almost three months ago, was the 48th fatality from the virus.

"Why was the announcement made almost three months later? If we had known earlier, we could have taken the necessary steps immediately," Governor Amin Syam said in Makassar on Friday.

The victim's brother, Alimin, said his family had been shocked to learn the girl died of bird flu.

"It has really shaken us, to hear such news just as we were coming to terms with her death."

Alimin said the family knew that bird flu in humans caused symptoms like the girl's, including a high fever, chest pains and shortness of breath. However, her doctor had diagnosed dengue fever.

"But our suspicion caused us to free all our chickens and pet birds and destroy the coop amd cages immediately after her funeral."

The victim was the 48th person to have died of bird flu in the country, but it was the first case to occur in South Sulawesi.

Laboratory tests conducted by the Health Ministry on fluid samples taken from the victim concluded she died of the H5N1 bird flu virus strain.

The samples were sent by the provincial health office to Jakarta on June 23, the day before the girl died. However, the test results were only announced Thursday.

Runizar Roesin from the National Bird Flu Center said the delay between the discovery of the case and the announcement of the test results was because the samples were not specifically taken from the patient on suspicion of bird flu.

Siti said they would soon carry out poultry culls in the area where the case was found.

The girl's mother and elder sister, both of whom exhibited bird flu symptoms, died before her. After her death, her father, two other siblings, an in-law and a cousin were in turns taken to the hospital with high fevers, but soon recovered.

Alidin said the family had suspected the three died of bird flu but could not confirm the matter since they were all diagnosed as suffering from dengue fever.

The head of the South Sulawesi Health Office, Andi Muhadir, said it was unwise to make assumptions but blood samples would be taken from the victim's 11 family members and her closest neighbors.

The governor has called on related offices to apply standard procedures in dealing with bird flu and asked residents to hand over their poultry to be destroyed.

"I hope people are willing to give up their poultry to be destroyed so there will be no more cases of bird flu in humans," he said.

http://www.thejakartapost.com/detailnational.asp?fileid=20060909.G05&irec=4

[AlaskaDenise]

Re: Sulawesi cluster / 14M (deceased) from South Sulawesi confirmed H5N1

chicken manure[/u] from South Sulawesi to be burned......

Shades of 1918 in Kansas City?

.

[AlaskaDenise]

Re: Family regrets late bird flu results

So WHY did they recover? Anitvirals?

.

[HenryN]

Re: Family regrets late bird flu results

So WHY did they recover? Anitvirals?

.

My guess is the infecting dose was lower. Since it took 3 months to diagnose H5N1 in the confirmed case, I doubt that the relatives were treated with Tamiflu while hospitalized (and the dead were diagnosed with dengue fever).

[Harriet]

Re: Sulawesi cluster / 14M (deceased) from South Sulawesi confirmed H5N1

The girl's mother and elder sister, both of whom exhibited bird flu symptoms, died before her. After her death, her father, two other siblings, an in-law and a cousin were in turns taken to the hospital with high fevers, but soon recovered.

Why did it take months to report it ? Because it is another CLUSTER THIS TIME OF EIGHT_ like the one in MAY.

Dr N great commentatry regarding H5N1 Cluster in South Sulawesi

http://www.recombinomics.com/News/09080603/H5N1_Sulawesi_Cluster.html