INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2 to Nov 8, 2006

[Gert van der Hoek]

Previous Bandung thread:

http://www.flutrackers.com/forum/showthread.php?t=10860&page=4

Now 2 suspect patients from Lembang in hospital Bandung

Metrotvnews.com, Bandung: the Handsome Hospital of Sadikin Bandung, West Java, again treated two patients suspect bird flu.
With the addition of this new patient, RSHS Bandung at this time treated four bird flu patients.
Two older brothers were siblings Wildan and Krisna, villagers the Kahuripan Warehouse, the Lembang Subdistrict, Bandung, that entered special space bird flu since Ahad (1/10) nights.

According to Dadang, the patient's father, both of them experienced the sign was sick they were similar to the bird flu sufferer.
Wildan and Krisna could be treated in the Lembang Hospital for two days.
Because his condition continued to worsen, Wildan and Krisna were reconciled to RSHS Bandung.

Now in the same day, the precious stone Diamond was permitted to come home because of being stated by the bird flu negative. Orantua the Diamond did sujud thank heavens because his child was freest from bird flu.

The diamond was the full brother Indra and Zakaria Divine Guidance, the patient that died resulting from bird flu. Whereas the condition for the other bird flu patient, Santi and Great increasingly good.

http://www.metrotvnews.com/berita.asp?id=25324

see post # 94

[Commonground]

Re: INDONESIA - Bandung Cluster, W. Java (5-8 suspected/confirmed cases at present)

Thanks Dutchie. This Lembang subdistrict is a new area.

[HenryN]

Re: INDONESIA - Bandung Cluster, W. Java (5-8 suspected/confirmed cases at present)

Liputan6.com, Jakarta:

Health Minister Siti Fadilah Supari blamed the community because bird flu is still being contagious in Indonesia. In the Menkes view, the citizen not all that responded to the government appeal, as not maintaining the poultry near the house to press the spreading of the virus.

"Separate humankind from the poultry in the settlement." Secondly, if having the poultry died immediately reported. Was thought by me, if that was done by the community, will not have casualties again, said Menkes Siti in Jakarta, on Monday (2/10).

In the meantime, two patients from Lembang that was expected terjangkit bird flu was treated in the Handsome Sadikin Hospital, Bandung, West Java.

Up to now already seven patients were treated in RSHS with the similar sign. A person died, the week set, that is Divine Guidance. Whereas the brother Divine Guidance, the precious stone Diamond still in isolation space with five other patients.

The condition for the Diamond, Santi Susanti, Great, Eni, and Amas it was reported continued to recover. Moreover the Diamond and Santi could have gone [read: the Great Condition and Eni improved].

The department of the Health recorded in Indonesia 52 people died because of being attacked by bird flu. The virus avian sub-type influenza H5N1 attacked 30 provinces. Nine provinces were stated positive the bird flu territory.

In the Special Capital District of Jakarta from 17 cases, 15 including dying.
Banten eight cases with seven cases died.
West Java 22 cases with 18 people including dying.
Central Java three cases two died.
East Java four cases three died.
Now North Sumatra seven cases with six died.
South Sulawesi one died.
Whereas Lampung and West Sumatra respectively three as well as two cases.

However, bird flu in the two provinces did not claim casualties.

(DNP/Tim Coverage 6 SCTV)


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http://www.liputan6.com/view/7,13004...159790481.html


</PRE>

[Gert van der Hoek]

Re: INDONESIA - Bandung Cluster, W. Java (5-8 suspected/confirmed cases at present)

West Java Immediately the Form Komda the Control of Flu of Burung

H5N1 Increasingly alarmed Bandung,

- The Number Of deaths resulting from the case of bird flu in Indonesia occupied the first level in South-East Asia. In Indonesia, from 52 patients who died because terjangkit the virus H5N1, 19 people including dying in West Java. This made West Java the "record printer of the" case" died because of bird flu.

SC (14 months) that to ?suspect? bird flu was laid out by his mother, to be checked by the doctor in Space of UGD RSHS Bandung, on Monday (2/10).

After SC, not long afterwards followed his relatives that also still pre-schoolers, HIR (12 months), that was treated in special space ?suspect? bird flu, Poinciana Tree Space RSHS. M. the SAPTA

nationally, the number of positive inhabitants terjangkit the Avian virus influenza (AI) reached 69 people. However, Vietnam still on Indonesia.
In the country, was recorded by the positive case of bird flu reached 93 people and 42 including dying.
According to Kasubdin environmental Sanitation in the Health Service of the West Javanese Province, Dr. Fatimah Resmiati, the number of patients confirmed totalling 23 people and 19 including dying. The "patient confirmed was in 10 regencies/the city."
Suspect happened in 18 regencies and the city, he said after being in a meeting of the bird flu co-ordination in the office of Dinkes West Java, Street.
Ternate No. 2 Bandung, on Monday (2/10).
The meeting of the co-ordination was attended by the related official from the Department of the Health, the West Javanese Livestock Breeding Service, Balitbangkes, delegation of the private hospital, the Chairman Tim the Control of Handsome Sadikin Hospital Bird Flu (RSHS), and the West Javanese Health Service.
The meeting discussed steps that will be carried out paid close attention to the development of the Avian case influenza that increasingly alarmed.
Continued bertambah

The patient suspect bird flu that was treated in Poinciana Tree Space of RSHS Bandung, improved and increasingly alarmed. On Monday (2/10) struck 1.00 WIB Wil (20) and the TRAIN (17) entered Poinciana Tree Space.

The older brother was siblings from Kp.Andir, the Kahuripan Warehouse Village, Kec.Lembang, Kab.Bandung this, was run off with to RSHS after experiencing signs of the high and breathless fever.

According to their uncle, Wahyuna (42), beforehand dove birds belonging to the family, died suddenly. "We came to RSHS on the initiative personally, to be not reconciled from anywhere," he said.

At this time, the story of second contact suspect with the poultry was investigated.Results of the laboratory test apparently was suitable to be mentioned suspect to KA. the "Condition was not heavy, but we must continue to be on the alert."

The TRAIN indeed had pneumonia a little, said the Chairman Tim the Control of Bird Flu in RSHS, Dr. Hadi Jusuf.

On the same day, two suspect that still pre-schoolers from .....
Kel.Hegarmanah, Kec.Jatinangor, Kab.Sumedang, also was treated in Poinciana Tree Space. The two pre-schoolers who still were remaining at one house, were named Sc (14 months) and Hir (12 months).
Sc entered RSHS struck 16.00 WIB, whereas Hir following to struck 19.30 WIB.
Holy was the reconciliation patient from RS Ujungberung.

According to the official RS Ujungberung, Imas, when being brought to RSHS, Sc experienced breathless, the cough, hot achieved 38 Celsius levels.
The "patient came this morning to RS Ujungberung," said Imas.
Whereas Hir (the cousin Sc) that experienced the same sign, was brought made use of the Jatinangor Community Health Centre ambulance to RSHS.

According to the father Sc, Ikin (33), a week beforehand, two chickens belonging to his neighbour died suddenly. The distance of his house approximately five metre. But, Ikin said that both Sc and Hir often did not play with the chicken. "His doctor's words were expected by bird flu, so was brought here," said Ikin.

Whereas IM (15), suspect bird flu that also the full brother from the positive patient who died last week, Tj (20), has been returned from RSHS. "from results of the third inspection, IM was stated by the negative, and the condition for his health has improved, so as to be able to come home," said the RSHS Managing Director, Dr. Cissy R. Sudjana the officer.

Therefore, Poinciana Tree Space was at this time occupied six suspect, that is, San (18), Az (9), Wil (17), the TRAIN (20), Sc (14 months), and Hir (14 months).

Komda flu burung

After being in a meeting in Dinkes West Java, the reporter that for a long time has been waiting, disappointed because the press conference that was promised, failed to be carried out. Plh.Pengendalian Breakingprep Penyakit Bersumber Binatang Depkes Director, Hardiman, and the official Balitbangkes was not prepared to be interviewed.

Moreover, the two officials apparently avoided the reporter.
According to Fatimah Resmiati, the meeting concluded the shortage of the awareness of the community towards bird flu.
Therefore, to prevent the pandemic, will be formed the regional Commission of the Control of Bird Flu (Komda Bird Flu) in West Java. The Komda task, according to him, especially was menyosialisasikan the problem of bird flu.
His main target was school children.
"Because basically we did not know the pandemic when happening." Because of that that important everyone knew first what happened, he said.
Uptil now ordered concerning the bird flu danger it was considered
Uptil now the message concerning the bird flu danger it was considered did not yet arrive at the community.
The bird flu campaign in the school child's circle, was carried out could through the production leaflet and intensified counselling. "The message must be packed to be able to be accepted in the level community was supervised," said Kasie the Subdit Zoonosis PP Standardisation and PL to the Department of Health, Dr. Fatum Basalamah, MKM.
Komda consisted of various agencies and the sector passage, in fact involved the non-governmental organisation (the NON-GOVERNMENTAL ORGANISATION).
Now, in private hospitals will be held by the training of the handling power of bird flu and the Tamiflu provisions.
But, the procedure continue to (protap) for that was not yet determined.
Moreover, the reconciliation hospital was increased to ten in West Java.
Beforehand only three reconciliation hospitals, that is RSHS, RS Rotinsulu, and RSU Slamet in Kab.Garut.
The reconciliation hospital that was opened among them in Indramayu, Subang, Purwakarta, Sukabumi, Tasikmalaya, and Cirebon.

The sample of the cat

It was related that the news beforehand concerning the assumption against the dog and the cat that could become the adaptor of the bird flu virus that at this time was researched, the Chairman Tropical Disease Centre the Airlangga University regretted the action of RSHS Bandung that cancelled taking permission of the sample of the cat from RSHS Bandung. "In fact, we have pocketed permission was written," said the Chairman TDC the Airlangga University, Dr. drh.C. A. Nidom, M. S., overnight. He sent proof was written by giving of permission from RSHS Bandung the number 2328/D1.8-32/DL. 02.02/IX/2006 dated September 1 2006 that was signed by Director SDM and Education, Dr. Nanang W. Astarto, Sp.O. G (K), the MARCH.
Concerning the cancellation of taking permission of the sample of the cat, Dr. Cissy said, necessarily the researcher's side handed first over the research proposal.
A "week also already could, if having his proposal," said Dr. Cissy.
(A-156)

http://www.pikiran-rakyat.com/cetak...006/03/0101.htm

[Theresa42]

Re: INDONESIA - Bandung (W. Java) Cluster - Oct 2+

West Java Immediately the Form Komda the Control of Flu of Burung

H5N1 Increasingly alarmed Bandung, (HOMEWORK).

- The Number Of deaths resulting from the case of bird flu in Indonesia occupied the first level in South-East Asia.In Indonesia, from 52 patients who died because terjangkit the virus H5N1, 19 people including dying in West Java.This made West Java the "record printer of the" case" died because of bird flu.

SC (14 months) that to ?suspect? bird flu was laid out by his mother, to be checked by the doctor in Space of UGD RSHS Bandung, on Monday (2/10).

After SC, not long afterwards followed his relatives that also still pre-schoolers, HIR (12 months), that was treated in special space ?suspect? bird flu, Poinciana Tree Space RSHS.

[*snip*]

More on "SC"...

toggletext-ed from Indonesian:

RSHS AGAIN accepted the most FLAT PATIENT BIRD FLU
Oct 3, 2006

Metrotvnews.com, Bandung: The Hasan hospital of Sadikin Bandung, West Java, again treated a flattest patient bird flu. A patient from Sumedang had a name Suci [Holy] Rahmawati was 14 months old began to undergo the maintenance on Monday afternoon (2/10) struck 15.00 WIB. Beforehand, Suci could be treated in the regional Public Hospital of the Berung Tip because experienced hot high, breathless and the cough. Because of the condition for the patient who continued to worsen finally the patient was reconciled to the Hasan Hospital of Sadikin Bandung.

The family said, the last few days chickens that was in his residence village, that is in Sukawening, Jatinangor, died suddenly. By being treated by him Suci in the Hasan Sadikin Hospital, then this hospital at this time treated five flattest patients bird flu.

http://www.metrotvnews.com/berita.asp?id=25362

[Theresa42]

Re: INDONESIA - Bandung (W. Java) Cluster - Oct 2+

toggletext-ed from Indonesian:

Casualties began to arrive to RSHS Bandung
Bird Flu Increasingly spread!
Oct 3, 2006

PASTEUR, (GM).-

The patient suspect bird flu that was treated in the Hasan Sadikin Hospital (RSHS) Bandung, continued to improve [increase]. After the older brother was siblings from Lembang, WB (20) and KKN (17) that entered on Monday morning (2/10) approximately struck 01.00 WIB, in the afternoon and in the evening Poinciana Tree space again the arrival of the patient just had the initials SR (14 months) and Her (14 months). Both of them were the citizen [*snip*] Kp. Sukawening, Kel. Hegarmanah, Kec. Jatinangor, Kab. Sumedang.

The patient SR arrived in RSHS approximately struck 15.00 WIB by making use of the RSUD Ujungberung ambulance. The patient was indirectly brought to Poinciana Tree space but was examined first in observation space of UGD RSHS. When entering, the temperature of the SR body achieved 38 Celsius levels, was accompanied breathless and the cough. That was justified by Imas, one of the nurses that took part in accompanying the SR patient from RSUD Ujungberung. "But his situation still realised. According to information, the patient could have contact with the poultry belonging to his neighbour who died," he said.

The patient's father SR, Ikin mentioned, his child began to experience the sign similar to bird flu since one week ago. That was experienced by him after having his neighbouring chicken that died. "Indeed could have 2 neighbouring chickens that died. But my child never direct contact with the chicken although the distance with the neighbouring house only several metre," said Ikin.

Although his child had the strange sign, Ikin did not know if his child it was suspected was affected by bird flu. "I just knew earlier today during in RSUD Ujungberung. The doctor there every, my child better be brought to RSHS because worried bird flu," he said.

In the meantime, approximately struck 19.30 WIB, the other patient with Her initials took part in being treated in Poinciana Tree space. He was the patient's cousin SR and remained [lives] at one house by him. Her was at once brought to RSHS made use of the Jatinangor Community Health Centre ambulance by being accompanied by his two parents, Dino (24) and Hamidah (23). The Her condition was not far was different to SR. Her had the sign of the cough, breathless, and the temperature of the body achieved 38 Celsius levels. However on the whole, Her was still being stable and realised.

Intan pulang [discharged]

Several hours beforehand, on Monday early afternoon (2/10) approximately struck 12.30 WIB, Intan Mustika (15), the citizen [*snip*] Kel. Kebonwaru, Kec. Batununggal, Bandung was permitted to come home. After six days were treated in RSHS and three times underwent the inspection, the deceased's full brother IJ and T (both of them positive bird flu, Ed.) that was stated the negative was affected by bird flu. The end diagnosis, Intan only was affected by normal flu (H1N1). Intan returning was welcomed confused his two parents, Ahmad Kosasih (55) and Nurjanah (43).

In the meantime, concerning the condition for the patient WB (20) and KKN (17), the Managing Director RSHS, Dr. Cissy B. Kartasasmita explained, the patient from Kp. Andir [*snip*] Kel. The Kahuripan warehouse, Kec. Lembang, Kab. Bandung began to improve. Both of them, said Cissy, have been taken the sample of his blood. "His sample has been sent by us to Balitbangkes Jakarta," said Cissy while adding, the other patient who still was treated in Poinciana Tree space was San (18) and Az (9).

[Poultry] Negatif

It was related that the case of two older brothers was siblings WB (20) and KKN (17) that was treated in RSHS Poinciana Tree space because of being expected suspect bird flu, the Livestock Breeding Service and fisheries (Disnakan) Kab. Bandung carried out the survey and the inspection to the residence environment both of them, on Monday (2/10). The official at once checked poultries that were maintained by the citizen to confirm terjangkit not him the bird flu virus. Was like this was sent by Kadisnakan Kab. Bandung, Eranawan Mustika when being found by the reporter in the mosque of Al-Fathu Soreang, on Monday (2/10).

Ernawan said, till at this time the older brother was siblings that still could not be it was confirmed negative or positive was affected by bird flu. In this way, his side still could not carry out depopulation against the poultry that was around casualties's house. "For the implementation of depopulation, we must be waiting for results of the lab. If positive bird flu, just we carried out depopulation," he revealed.

In the place was different, Kasi Standarisasi Subnit Zoonesio PP&PL the Department of the RI Health, Dr. Fatum Basalamah, M.Km. Stated, the socialisation of the danger of the bird flu illness to the community it was thought still was not yet effective. Although the government has incessant campaigned for the bird flu danger through the mass media so that the community is on the alert. "However his proof, the community was still regarding bird flu as normal flu and was not having the feeling was frightened of the spreading of the deadly illness this," he said to the reporter ended took part in the meeting of the bird flu co-ordination in the West Javanese Health Service, Street. Ternate Bandung, on Monday (2/10).

Fatum continued, the government will glance at school children, from the level of the kindergarten (TK) to the senior secondary school as the socialisation target of bird flu because of being considered effective in sending the bird flu danger to their parents.

http://www.klik-galamedia.com/20061003/kolomlengkap.php?kolomkode=20061003005448

[Theresa42]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

toggletext-ed from Indonesian:

Intan Mustika Pulang [discharged]
Oct 3, 2006

Liputan6.com, Bandung: Ahmand Kosasih direct sujud thank heavens and cried confused after the medical team of the Hasan Sadikin Hospital, Bandung, West Java, permitted Intan Mustika to come home, on Monday late afternoon (2/10). Beforehand, Ahmad's daughter could be treated for eight days in isolation space because of being expected terjangkit the bird flu virus.

Doctor Cissy Prawira said, Intan was permitted to come home the reason for the condition for his health improved. The patient was also stated by the appropriate bird flu negative results of the test the laboratory of the Health of the Body of the Department's Research And Development. "All has filled the condition to be returned in accordance with the condition produseril," said the Main Managing Director RS Handsome Sadikin this [read: three patients in Bandung the Bird Flu Negative].

Ahmad Kosasih that lost his two sweethearts, Indra Jayakusumah and Taufik Zakaria, resulting from bird flu said will not maintain the poultry again. He claimed to be the trauma when in the future the deadly virus again claimed his family's member.

Now the other patient, Santi Susanti, although being stated by the bird flu negative and his condition increasingly improved was still not permitted to come home through to results of the VCR inspection third was received by the side RS Handsome Sadikin.

Yesterday, RS Handsome Sadikin again received three patients suspect bird flu. Two among them the older brother was siblings the citizen of the Andir Village, the Lembang Subdistrict. Whereas one him, the child was the citizen's 14 months old Jatinangor, Sumedang. With the entry of the three patients, at this time Poinciana Tree space was treating five assumption patients of bird flu.

In the meantime, the citizen of the Gisikdrono Village, Semarang, West, Central Java, in accompanied by the official from the local Livestock Breeding Service destroyed the nonpedigreed chicken by means of being burnt. This step was taken following the death of the nonpedigreed chicken, since yesterday. Nevertheless, was not yet ascertained whether the poultry terjangkit the bird flu virus. Therefore, the official will check the example of blood as well as sprayed disinfektan to turn off the spreading of the virus H5N1.

The death of the poultry not happened in the Gisikdrono territory. Beforehand the middle of the week set, the citizen also found several nonpedigreed chickens dying suddenly. Moreover, in this village of a pre-schooler, Bimo Alamsyah, was expected terjangkit the bird flu virus so as to have to be treated.

http://www.liputan6.com/view/7,130183,1,0,1159846277.html

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

In the meantime, the condition three from five patients suspect bird flu that was treated in the Handsome Sadikin Hospital (RSHS) Bandung, West Java, did not yet improve.

Holy (14 months), the new patient from Sumedang, West Java and Wildan as well as Krisna from Lembang, Bandung, his condition was still feverish, bantuk, and breathless.

Holy entered RSHS, on last Monday in the afternoon, whereas Wildan and Krisna to Ahad the night set.

According to the Managing Director RSHS Bandung, the doctor Cisi the officer, results of the laboratory of the three last patients did not yet go out and just could be known in two days in the future.

Now two other patients, Azis from Tasikmalaya, West Java and Santi, the cousin's brother Zakaria Divine Guidance that died resulting from bird flu, his condition increasingly improved.

From two sample inspections of blood, both of them were stated by the bird flu negat. Currently, Great and Yanti was kept waiting for results of the third inspection to ascertain the condition for his health.Because of this both of them must be still being treated in RSHS. Isolation Space (BEY)

http://www.metrotvnews.com/berita.asp?id=25382

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Five patients Suspect Bird Flu in RSHS Bandung improved

Bandung -- MIOL: the Condition for the health of five people suspect bird flu that was treated in RS Handsome Sadikin (RSHS) Bandung continued to improve.

The four patients were Santi, 18, the citizen of the Gardener Waru, the Bandung City, of Ajis, 9, the Tasikmalaya citizen, Kusna, 17, and Wildan, 20, both of them the citizen of the Andir Village, Lembang, the Bandung Regency, as well as Holy Rahmawati, 14 months, the citizen Jatinangor, the Sumedang Regency.The "condition for the patient generally continues to improve."

From five patients, just two patients that his status already clear, that is the negative terjangkit the bird flu virus.Both of them were Santi and Ajis, explained the member Tim the Handling of RSHS Sri Sudarwati Bird Flu.

Now three other patients, Kusna, Wildan and Holy, the sample of his blood has been sent to Jakarta, and results of the new possibility on Wednesday (4/10) was known.Santi, Ajis, Kusna and Wildan, his condition continued to improve, and their breathing has been normal.

Keempat This patient did not need respiratory accessories again, and entered the restoration period.

Now Holy, that entered poinciana tree space on Monday afternoon (2/10), still experienced the cough and breathless.
Although his body heat has been far decreased, and the team found the existence of the liquid in his lungs.


media indonesia online

[Theresa42]

News from Bandung - TJ's dog reportedly tests neg

toggletext-ed from Indonesian:

Guard against the Healthy Chicken
Oct 4, 2006

BANDUNG, (PR).-

The community was asked to guard against the spreading of the bird flu virus or H5N1 (Avian influenza/AI) through the healthy chicken. His article, eight samples of poultry blood that was taken from the healthy chicken in the environment suspect TJ bird flu in [*snip*] Kel. Kebonwaru Kec. Batununggal, three including being positive terjangkit this virus.

Was like this it was proposed the Section Head West Javanese Province Livestock Breeding, Rachmat Setiadi, in the Building of DPRD West Java, Street. Diponegoro, Bandung, on Tuesday (3/10).

According to him, results of the serology test showed, three samples of proven blood contained the virus. After being followeded by the test polymerase chain reaction (PCR), this blood was stated contained the bird flu virus. Concerning the test that was carried out against the dog belonging to the TJ family, Rachmat said, results of the negative.

The findings in this Bandung City, according to Rachmat, also could be found in 23 kab./the other city in West Java, that tertular the AI virus.

Rachmat recommended the community to not maintain the poultry previously if his maintenance was not in accordance with the provisions. However, along this poultry not tertular the virus and did not endanger, the community still could maintain. ?Yang had war waged on him by us in fact the virus, not the poultry. His key, must guard the health and the cleanliness of the poultry as well as the environment sekitar,? he said.

There was no special fund

Rachmat said, at this time his side has spread 10 million doses of the vaccine to the area for the poultry vaccination. Precisely, at this time they the lack of the power vaksinator. From the requirement 1.200 personnel, just were available 50%. ?Dalam the budget 2006 this, we the additional recruit 375 people that will be trained to become vaksinator,? said Rachmat.

However, according to the Section Head the Health of the West Javanese Province, Dr. Yudhi Prayudha, in APBD 2006 did not have the special budget for the control of bird flu. ?Kita did not have the fund, but was taken from the extraordinary incident fund (KLB). Because of being stated by KLB by the government of the centre, so this fund could be absorbed for the control activity of flu burung,? he said.

The form tim [team]

Rachmat Setiadi added, his side formed the special team of the control of based bird flu the animal. According to him, this team was the expansion from the regional commission (komda) that was formed for the handling of bird flu. ?Komda was integrated with komnas in the centre. In West Java, was made also the team of the control of the based illness zoonosis (that was spread through the animal) to manusia,? he said.

According to Kadinkes West Java, this team will act as the team of the fast movement when being found by the case that attacked humankind through the animal. ?Kalau had the patient who entered, was looked for by us had the animal that died or not. Like that was the reverse, if having the animal that died, was checked by us manusianya,? he said.

In the meantime, the expert's staff the Association of the Indonesian Poultry Breeder, Ashwin Pulungan suggested, uptil now the pig traffic from Central Java to Jakarta through the West Javanese region, was not monitored by the West Javanese Provincial Government, in this case the West Javanese Livestock Breeding Service.

In fact, according to Ashwin, each day the pig traffic from Central Java to Jakarta went through the West Javanese region totalling 500 to 1.000 tails. "Biasa him they took the Pantura route, but also could make use of the alternative route through south.

This Ashwin statement, be related to became an epidemic him the bird flu virus in the West Javanese region, and the pig was the animal the adaptor of the bearer of the bird flu virus.

Membaik

In the meantime, five patients suspect bird flu that at this time was treated in Handsome Sadikin Space of the Hospital Poinciana Tree (RSHS) Bandung, improved. Fifthly suspect this was Wil (20), KA [the Train] (17), San (18), Az (9), and Sc (14 months).

From three PCR test times in Balitbangkes Jakarta, San was stated by the negative. The big possibility on this day, San, that also the cousin from suspect died Tj (20) has been permitted to come home.

For Az, the PCR inspection first and second also pointed out results of the negative. In spite of that for Wil and KA. PCR results first him was negative. Whereas results of the PCR test during Sc could be just known today.

Whereas the patient Her (14 months) that remained a house with Sc, currently is treated in the child's space. ?Her did not have the indication to the side of suspect flu burung,? said the RSHS Managing Director Dr. Cissy Rachiana Sudjana the officer.

Together with the increase of the number of patients suspect bird flu, Dr. Cissy will ask for the side of RS Rotinsulu Street Bukit Jarian Ciumbuleuit to make preparations. ?Kalau his patient already seven people, we will ask to RS Rotinsulu to get ready-siap,? he said.

Although in several areas has been pointed out the reconciliation hospital, like in Tasikmalaya and Garut, but the doctors in this area tended to reconcile his patient to RSHS.

Negatif

In the meantime, the Section Head Livestock Breeding and fisheries (Disnakkan) Kab. Bandung, Ernawan Mustika, said results of the inspection that was carried out against several poultries in the Kahuripan Lembang Warehouse Village evidently the negative. That was related to the existence of two people suspect bird flu, Wil (20) and KA (17), from the Village Andir the Kahuripan Kec Warehouse Village. Lembang Kab. Bandung in the last two days.

?Berdasarkan information was received by two birds the sudden turtle-dove died at that time. However, after being done by the inspection evidently results of the negative. The inspection was also carried out against the duck, the chicken broiler, the nonpedigreed chicken, and angsa [goose/swan],? Ernawan words.

In Kab. Bandung, at this time was recorded [totally to date] 12 suspect bird flu and three people died. One person came from Padalarang, and two people other came from Cileunyi.

http://www.pikiran-rakyat.com/cetak/2006/102006/04/0104.htm

[Theresa42]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

toggletext-ed from Indonesian:

8 Positive patients and 6 people Meninggal [to date]
RSHS treated 62 patients Suspect AI [to date]
Oct 4, 2006

PASTEUR, (GM). -

The virus H5N1 (bird flu) continued disturbing. The number of patients increasingly the day increasingly improved. Till Tuesday (3/10) [i.e. totally to date], Hasan Sadikin Space of the Hospital Poinciana Tree (RSHS) Bandung has treated 62 patients suspect avian influenza (AI). From this number, 8 people were stated positive and 6 people died.

The number of patients that to suspect bird flu and was run off with to Poinciana Tree Space made the RSHS side be enough to be overwhelmed. Apart from medical equipment, the medicine, and the medical staff, RSHS must also provide special maintenance space for the patient suspect this bird flu.

Then, was chosen Poinciana Tree Space. Previously, this space was operation space. Since the SARS virus became an epidemic, the Poinciana Tree changed to maintenance space of the patient SARS began 2003, together with the existence of the new illness bird flu, the changing-function then Poinciana Tree became special maintenance space of the patient suspect H5N1.

At this time, the room that was headed by Block Rasmita this had 9 rooms (9 bed) for the bird flu patient. Four rooms for the patient suspect and 5 other rooms for the patient probable (the level of the condition for his health was worse from the patient suspcet, Ed.). Other equipment, like the ventilator, bedside the monitor, and other was enough to be available.

Moreover, in the near future the Department of the Health (the Department of Health) will give help 19 item equipment to support the inspection and the maintenance of the patient. Help of equipment that will be given that including the ventilator, bedside the monitor, central the monitor, the laboratory implement, radiology mobile until the bed.

Till Tuesday (3/10), from 9 available rooms, 5 including being filled up by five patients was different. Three patients occupied the room in space suspect and two other in space probable. Therefore, remained at 4 vacant rooms and could be occupied.

That became the question, if the patient continued to improve [increase] and room facilities did not satisfy, will be placed where the bird flu patient that was reconciled to RSHS?

The managing director RSHS, Dr. Cissy B. kartasasmita in his office said, room facilities in RSHS till at this time were still adequate. Cissy stressed, if indeed RSHS already did not enable treated again, the patient will be reconciled to RS the Rotinsulu lungs, Street. Ciumbuleuit Bandung. "If the patient that was treated by us already arrived seven people, we would RS Rotinsulu contact so that they carry out preparations. So eventually, the patient who was not accommodated in RSHS will be sent there (RS Rotinsulu, Ed.)," he said.

On that occasion, Cissy also welcomed the increase plan in the reconciliation hospital in West Java. Beforehand, only three RS reconciliation, that is RSHS, RS the Rotinsulu lungs, and RSU Dr. Slamet Garut. Seven other that was planned was RS in Indramayu, Subang, Purwakarta, Sukabumi, Tasikmalaya, and Cirebon.

"In this way, the service towards the patient will be more optimal. Possibly RSHS was still continuing to become reconciliation from RS other reconciliation. For example when having the patient from RSU Dr Slamet Garut, his patient continued to be reconciled here (RSHS, red)," he said.

About Tamiflu stock, Cissy said, until this Tamiflu stock in RSHS still sufficient. According to him, RSHS still had 700 more the Tamiflu tablet. "We will now treat 5 patients. If one patient was each day given 2 Tamiflu tablets, in ten days most only how many. So, for our Tamiflu stock was not too worried," he explained.

Membaik

In the meantime, the condition five patients suspect bird flu that still was treated in Poinciana Tree space of RSHS Bandung, on Tuesday (3/10) gradually improved. Nevertheless, the team of the doctor RSHS continued to carry out the monitoring and the verification against five patients. The five patients were San (18), Az (9), WB (20), KKN (17), and SR (14 months). The improvement of the condition for the five patients was sent by the Managing Director RSHS, Dr. Cissy B. Kartasasmita to the reporter in his office, yesterday.

Cissy said, the condition for the patient San, the deceased's cousin IJ and T (positive bird flu) gradually improved. The hot sign, the cough, and breathless has been lost. Was based on results of three inspection times from Balitbangkes, San the negative was affected by bird flu. "Moreover if his condition will continue to improve, tomorrow (today, Ed.) or the day after tomorrow (on Thursday, 5/10) he has been permitted to come home," he said.

About the patient Az that from Kab. Tasikmalaya, Cissy also stressed, his condition has begun to be good. The temperature of his body began to be normal, namely 36.8 Celsius levels. It was same that his matter with Az, continued Cissy, the older brother's patient was siblings from Lembang, WB and KKN also has improved. "Although WB was still having the cough and KKN of few fevers, but generally their situation was good," stressed Cissy.

The same thing also happened to the patient SR that just entered Poinciana Tree Space, on Monday (2/10). The citizen's patient [*snip*] Kp. Sukawening, Kel. Hegarmanah, Kec. Jatinangor, Kab. Sumedang at this time his condition began to be stable. In the meantime, the patient's cousin SR, Herman (14 months), evidently was not treated in Poinciana Tree Space. Herman was only treated in the child's space because of not having the indication of the affected assumption of bird flu. "There were no signs suspect. The cough indeed was available, but he did not have high body heat and breathless. Moreover the doctor's diagnosis, he only muntaber [diarrhea/vomiting]," said Cissy.

http://www.klik-galamedia.com/20061004/kolomlengkap.php?kolomkode=20061004010256

[Theresa42]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

toggletext-ed from Indonesian:

5 ?Suspect? Bird Flu was stated by Negatif
RSP Rotinsulu was ready to accept the Patient
Oct 5, 2006

BANDUNG, (HOMEWORK). -

Five the patient suspect bird flu that was treated in Poinciana Tree Space of RSHS Bandung, was stated by the bird flu negative. San (18), the employee one of the socks factories, struck 13.30 WIB, was permitted to come home.

Whereas, results of the inspection for the four patients suspect other, that is Wil (20), KA (17), and Az (9), also pointed out results of the negative and clinically the situation him improved. [Either only 4 tested neg, or the paper missed somebody. I only count 4 here. Who's the fifth?]

After being stated the negative, San, admitted to learning xPRONposs lesson ate and arranged the chicken. San was picked up by his father, Usep Setiawan (44) and was delivered made use of the RSHS ambulance to his house.

According to the team's member of the control of RSHS bird flu, Dr. Primal Sudjana Sp. P. D. KPTI, results of the PCR inspection third for San, results of the negative. ?Akan but, San still must the control to RSHS up until four days to depan,? he said.

Be ready received ?suspect?

The lung hospital Dr. H. A Rotinsulu Bandung was ready to receive the patient who was expected terjangkit the bird flu virus. Since being declared last March, this hospital had never received even one patients suspect bird flu.

Beforehand, the Hasan Hospital Sadikin Bandung ask for RS the lungs Dr. H. A. Rotinsulu to make preparations if the patient suspect bird flu that was treated in RSHS has reached seven people.

?Kasus bird flu has begun showed tren in Bandung. From the start of us has been ready. All the facilities and his power have filled the standard that ditetapkan,? Director's words RSP Dr. H. A. Rotinsulu, Dr. Edi Sampurno, Sp.P., M. M., in his office Street The Jarian No. hill 40, Ciumbuleuit, Bandung, on Wednesday (4/10).

RSP prepared four beds including one space intensive care the unit (ICU), that was named Bougenville Space. Moreover, facilities were equipped one ventilator that was placed in the room ICU. Now, the three other rooms contained the patient's bed that was supplemented with facilities terstandardisasi.

From the aspect of human resources, RSP compiled the team of the control of bird flu that consisted of the specialist doctor, the specialist, the radiology specialist, and the general practitioner of clinic pathology of the lungs. Despite this, the handling for children's patient still was handed over to RSHS.

Whereas the number of Tamiflu supplies that was had by RSP till at this time totalling 100 capsules. Now, implement supplies were finished with was provided for the requirement treated four patients for one week.

?Kami not khatir the lack Tamiflu,? Deputy Director's words Medical and Keperawatan RSP Dr. H. A Rotinsulu, Dr. Temmy J. Sharif.

Pokjanal zoonosis

Since flattest the bird flu virus 2003 then, at least 74.390 tails of the poultry died in West Java. The poultry death rate was found in 107 subdistricts and 162 villages from 23 kab/the affected city the plague of the AI virus.

As the preceptive attitude and was on the alert against the spread of the bird flu virus, on Tuesday (3/10), Sekda West Java Lex the Admiral led rakor empowerment pokjanal zoonosis (the illness that was spread through the animal to humankind) in the Hotel of the equatorial Temple, Jatinangor.

Became an epidemic him the virus H5N1 in West Java, was found by 130 [must be suspect] cases to humankind. Totalling 23 cases of confirmation, and 19 people (87,6%) including dying. The area was with the highest spread found in Kab. Garut with 22 cases of the person and 5 including dying.

According to the Deputy Governor Nu?man Abdul Justice, Pokjanal zoonosis was the follow-up to komda (the regional commission) that coordinated with Komnas Bird Flu. ?Nanti him acted as the length of the hands to action in the field.

http://www.pikiran-rakyat.com/cetak/2006/102006/05/0211.htm

[Theresa42]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

toggletext-ed from Indonesian:

Negatively Bird Flu, ST Dipulangkan
Oct 5, 2006

PASTEUR, (GM). -

Generally, the condition four patients suspect bird flu that still was treated in Handsome Sadikin Space of the Hospital Poinciana Tree (RSHS) Bandung began to improve. The four patients were Az (9), the citizen Kp. Gunung Subang, the Cilamajang Village, Kec. Kawalu, Kab. Tasikmalaya, WB (20) and KKN (17), the citizen Kp. Andir [*snip*] Kel. The Kahuripan warehouse, Kec. Lembang, Kab. Bandung, and SR (14 months) the citizen [*snip*] Kp. Sukawening, Kel. Hegarmanah, Kec. Jatinangor, Kab. Sumedang.

In the meantime, on Wednesday (4/10) approximately struck 12.30 WIB, one of the patients suspect, ST (18), the citizen [*snip*] Kel. Kebonwaru, Kec. Batununggal, the Bandung City was permitted to come home by the team of the handling doctor of the case of bird flu RSHS. Pasalnya, was based on results of the laboratory, ST was stated by the bird flu negative. Beforehand, on Tuesday (3/10), the cousin ST, IM (15) also was permitted to come home.

"PCR results (polymeraise chain reaction) all of them showed the negative." First serology et cetera of day blood also the negative. The end diagnosis, the patient only was affected by the upper respiratory tract infection (ISPA). Therefore the patient was permitted to come home, said the Chairman Tim [team] Doctor the Handling of the Case of Bird Flu in RSHS, Dr. Hadi Yusuf, Sp.P.D., K.P.T.I. to the reporter in RSHS, on Wednesday (4/10).

Concerning the condition for the other patient, Hadi mentioned, the four of them in the stable condition and improved. The older brother's two patients were siblings from Lembang, WB and KKN the negative also possibility bird flu. His article, from the PCR inspection first, results of the negative. It was same that his matter with WB and KKN, the patient Az also his condition improved. Moreover, on Wednesday early afternoon (4/10), Az appeared to have begun to go out the room of the isolation and went in the path of the interior of Poinciana Tree space. Although according to the Az condition doctor has improved, but according to the Az acknowledgment from over the door to Poinciana Tree space, he was still feeling the cough and breathless. There was the possibility of, in the near future the patient WB, KKN, and Az being permitted to come home by the team of the doctor.

The condition for the patient SR also was the same as the condition for three other patients. The child from Kab. Sumedang at this time his condition began to improve and to be considered to be stable.

Continue to kontrol

In the meantime from Tasikmalaya was reported, Ateng (60) and his child, Muslihan (13), the inhabitants Kp. Gn. Subang [*snip*] Cilamajang villages, Kec. Kawalu, Kab. Tasikmalaya, on Wednesday (4/10) finally was permitted to come home. The two patients could be treated for one week because suffered hot and breathless every few the day since his kept chicken that numbering 20 tails died suddenly.

Muslihan that just sat in the VI bench of the class PRIMARY SCHOOL with his father was permitted to come home after results of the laboratory and the inspection other stated both of them the negative terjangkit bird flu.

RSUD Tasikmalaya Deputy Director, Dr. H Cecep Zainal Kholis was accompanied by one of the teams of the doctor who handled the two patients stated, both of them were stated only experienced the normal respiratory tract infection. "Although improving, but both of them was required again one week afterwards for the re-control of the development of his health," he said.

When leaving isolation space, Ateng and Muslihan was welcomed by the embrace and Deni's crying (25), the child Ateng that was the older brother Muslihan that came pick up was with the uncle and two relatives were other that also took part in crying. "My mother did not go along pick up because busy preparing food to welcome the father and my brother. Both of them will not yet fast [i.e. for Ramadan], so the mother prepared food at the same time syukuran also," said Deni.

http://www.klik-galamedia.com/20061005/kolomlengkap.php?kolomkode=20041005004029

[Theresa42]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

'Fit chickens can carry bird flu'
Yuli Tri Suwarni, The Jakarta Post, Bandung

A healthy chicken could be a carrier of the bird flu virus although it shows no symptoms of the illness, a health official warned Wednesday.

Head of the West Java Animal Husbandry Office, Rachmat Setiadi, said the warning was made following the discovery of healthy chickens that tested positive with H5N1 virus from a serology test conducted on 20 chickens around the house of two dead flu victims -- 23-year-old IJ and his 20-year-old brother -- in Kebonwaru area, Batunggal.

He said earlier, only chickens and ducks are believed to carry the virus.

"The test has shown that four healthy chickens were infected with H5N1. We should be more cautious," he said Wednesday in Bandung.

Currently, people are only made aware of the danger of bird flu when chickens die suddenly in their neighborhood, but Rachmat said healthy chickens could also be carriers.

Out of Bandung's 26 cities and regencies, only two -- Tasikmalaya city and Ciamis regency -- are free of H5N1 virus in poultry.

He said cases where healthy chickens were infected with bird flu had occurred not only in Bandung, but also in other cities and regencies. However, he did not name the cities or regencies.

He recommended that residents stop keeping chickens in their backyards or near their houses.

Meanwhile, serology tests on 11 dogs kept by the family of the bird flu cluster in Kebonwaru have came back negative, according to head of Bandung City Agriculture Office, Yogi Supardjo.

He said the result showed that dogs could not spread the virus. [This statement is clearly incorrect.]

He said his office was currently working on a public campaign in 26 districts to make people aware of the threat of bird flu following the deaths of IJ and TJ.

http://www.thejakartapost.com/detailnational.asp?fileid=20061005.G05&irec=4

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

More on the Bandung Cluster : seems negative BF 4 people

The discovery of the Positive Poultry H5N1 Spread in 13 districts in the City Bandung

Casualties Meningkat Bird Flu


- since 2005-2006, from 13 districts in 10 subdistricts in the Bandung City, was found the positive poultry was affected by the virus H5N1 (bird flu).Along with that, the number of casualties suspect bird flu also experienced the increase.

To the beginning of this October 2006, the Bandung inhabitants that to suspect bird flu, positive bird flu until that died numbering 19 people.

Unfortunately, until at this time the community's knowledge towards the bird flu illness still was minimal.This matter was influential also towards the level of the awareness of the community would the existence of the deadly illness.

Kasubdin P2P & PL the Health Service (Dinkes) the Bandung City, Dr. Rita Verita Sri H., M. M. to "GM" in his office, on Thursday (5/10) mentioned, although the virus H5N1 has begun to be disturbing and spread, but the Bandung City community tended apathetic.The community seem like felt that this virus would not had attacked him."I thought the awareness of the community indeed still not all that."The community also still was not caring about the health himself and his environment.

On that occasion, Rita also said, was based on the data that was received from the Livestock Breeding Service (Distan) the Bandung City, at this time had 13 districts that were stated as the endemic area of bird flu.However, from 13 districts not all of them emerged suspect to humankind.
"To determine the endemic area" will be "seen from his livestock."About the patient, the amount meyebar almost equitable in this Bandung City.

That ought to be guarded against was the area was densely populated of the high mobility, he said.

Concerning results of the sample of blood 20 citizens Gg.Laksana 7 kel.Kebonwaru, Kec.Batununggal, the Bandung City that was taken regarding the discovery of the positive poultry bird flu, on Tuesday (26/9), Rita stated, his side did not accept the results of Balitbangkes RI in Jakarta.

In the meantime, four patients suspect bird flu that still was treated in Handsome Sadikin Space of the Hospital Poinciana Tree (RSHS) Bandung at this time his condition continued to improve.

The four patients were Az (9), the citizen Kp.The Subang mountain the Cilamajang Village, Kec.Kawalu, Kab.Tasikmalaya, WB (20) and KKN (17), the citizen Kp Andir RT 04/RW 05 Kel.The Kahuripan warehouse, Kec.Lembang, Kab.Bandung, and SR (14 months), the citizen RT 03/RW 06 Kp.Sukawening, Kel.egarmanah, Kec.Jatinangor, Kab.Sumedang.

From three inspection times, Az was stated by the affected negative bird flu.

Likewise with the older brother was siblings WB and KKN. from twice the inspection, both of them were stated by the negative.

In the meantime, the patient SR was still being waiting for results of the third inspection. Two produced by beforehand stated the negative.

The chairman Tim Doctor the Handling of the Case of Bird Flu in RSHS, Dr. Hadi Yusuf, Sp.P. D., K. P. T. I. justified that, on Thursday (5/10).

http://www.klik-galamedia.com/