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  • #16
    Re: Indonesia BF - 5/17/06

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    Health Minister Siti Fadilah Supari said till at this time the government was still investigating the source of the spread of the bird flu virus (Avian influenza/AI) that happened in the Karo Regency, North Sumatra. "We will continue to carry out investigation to know from where his source." From manure, the pig or the other matter, he said in Jakarta, on Wednesday, ended appointed the Head of the supervisory Body Medicine and Food (BPOM) that just. Husniah Rubiana Thamrin Akib, that beforehand held the office of Bina Obat Rasional Director, was appointed as the BPOM Head replaced H Sampurno that held the office of the BPOM Head since 2001. According to Menkes, the case of bird flu that happened in this Karo Regency was not really expected considering in several last months did not have the case of bird flu to humankind in the regency. He also said that the Karo Regency also not was the area endemi bird flu to the poultry. It was further that Siti explained also that the big possibility of the virus kind that infected several citizens of the Karo Regency since some time before that still was the same as the kind of the infection in cases of the cause virus beforehand namely the A virus of type influenza the sub-type H5N1. "I did not want estimated but if according to results" sequencing the "Body and the WHO laboratory of Health Research And Development in Hong Kong, H5N1 meant his virus kind was still same," he said. Beforehand from the eight patients suspek this five patients among them ABS (died on May 10), RKK (died on May 9), BKK (died on May 12) and B (died on May 14) and JG (lived) was stated positive was infected by the AI virus by the Body of Health Research And Development (Balitbangkes) the Department of the Health. The five patients according to Pengendalian Breakingprep Penyakit Director General and Sanitation of the I Nyoman Kandun Health of the Department's Environment also were stated positive was infected by the virus H5N1 by the WHO Reconciliation Laboratory in the Hong Kongese University. With the increase of five positive cases just in the Karo Regency and one positive case in Surabaya (East Java) then the number of cases of bird flu in the homeland that was confirmed the WHO reconciliation laboratory in Hong Kong the total totalling

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    • #17
      Re: Indonesia BF - 5/17/06

      <TABLE class=contentpaneopen><TBODY><TR><TD class=contentheading width="100%">Bird flu in North Sumatra: the Failure of the Application of Health Epidemiology </TD><TD class=buttonheading align=right width="100%"></TD><TD class=buttonheading align=right width="100%"> </TD><TD class=buttonheading align=right width="100%"> </TD></TR></TBODY></TABLE><TABLE class=contentpaneopen><TBODY><TR><TD vAlign=top align=left width="70%" colSpan=2>Written by editorial staff </TD></TR><TR><TD class=createdate vAlign=top colSpan=2>On Wednesday, on May 17 2006 </TD></TR><TR><TD vAlign=top colSpan=2>By Fotarisman Zaluchu
      With the most startled feeling, we read the news how bird flu happened in

      North Sumatra. The discovery of the case of positive bird flu to humankind in North Sumatra happened in the Karo Regency. What meaning that? That meant North Sumatra will face a big homework. Bird flu was a serious problem where his mortality rate achieved almost 75 percent of the case that was found in Indonesia. In the other country, the mortality rate resulting from bird flu that was measured was based on Case Fatality Rate (CFR) in fact could reach 100 percent.
      Then was not abundant if bird flu becomes a big threat for the world now. The world was threatened by the pandemic that spread, as happening in the HIV/AIDS. the Level of the death resulting from bird flu that very high made the problem of this illness become the horror illness. Almost all the countries made use of the supervision system that very tight to prevent the attendance of this bird flu virus in his country.
      This dikarenakan the cost that emerged as a result of the problem, very much was present, very high. For his patient, every time the case happened, was needed by the handling that very especially to prevent the spread to that other that still was healthy. That no longer for fees has looked for the source of the spread, as well as the extermination of the source of the spread.
      Epidemiology
      Epidemiology was knowledge that studied concerning the problem of the illness, the spreading and factors that affected him. With epidemiology, was built the monitoring system, the detection and the control of the problem of the health easily. That dikarenakan in epidemiology, was known that his name of an amount of equipment that will help prevented or controlled the illness.
      One of the applications of epidemiology was that each illness was present not very, but with the certain pattern. This pattern in connection with time, the place and the person. Meaning that, the illness had the certain pattern, places that enabled, as well as people that in an epidemiological manner very susceptible or was easy tertular or suffered the certain illness.
      If made use of exact epidemiology, then bird flu in fact could have been guessed will happen where. Take the example of the matter of the place. In view of the fact that bird flu spread through the poultry, then they that was close to this region really will be easy tertular. Strangely indeed, the case that happened in North Sumatra apparently must be researched more far, because of cases of the spread that happened in Indonesia only around Java and South Sumatra. Why happened in the Karo Regency, this needed the research and epidemiology investigation.


      <TABLE cellSpacing=0 cellPadding=0 width=400 border=0><TBODY><TR><TD vAlign=top bgColor=#ffffee>


      Was related to the person, they who are affected by bird flu usually did not know the age and gender.However had the matter that could be done in an epidemiological manner, that is that is gotten by risky groups higher to get this illness.This risk was because of having the certain characteristics that increased the possibility of receiving the illness.They were the breeders, the birds breeder, the user of poultry fertiliser, as well as that was in the livestock breeding region.The problem is, indeed controlled this in our place really was difficult.Most locations of poultry livestock breeding very much close to humankind so as to facilitate the spread of the illness.Only with used the data concerning time, the place and the person above, then epidemiology could have guessed what will happen to an area.Then necessarily, policy makers have in this area applied one of the main weapons epidemiological, that is the mechanism surveilans.Surveilans essentially was efforts that were carried out continually to monitor and pay attention to the running of the illness.There is now the view, especially from the health senior figure in this area, that stated that North Sumatra did not experience the case of bird flu.This was the way of thinking that very much the incorrect usage.Not the discovery of the case of bird flu was uptil now caused at least by several matters.Firstly, each illness had that his name the natural story of the illness.Meaning that, without the intervention, each illness will follow a trip beginning with the stage where not yet emerging the sign up to the stage where the illness has been increasingly serious.The lack of the discovery of the case of bird flu could because the period that was passed was still not known, because was in the zone that was acknowledged as sub-clinical.Supposing that having the discovery of the case then, then this case has been slow in being handled because the case trip usually is long enough.
      </PRE>
      </TD></TR><TR><TD colSpan=2></TD></TR></TBODY></TABLE></P>

      Secondly, not the discovery of the case of bird flu could also be significant that the detection system that was done did not satisfy to find the case.Meaning that the official of the health did not work maximal or detection equipment did not satisfy for that.On the other hand the discovery of the case also not weigh down that the case increased, but possibly because the official of the health just worked hard by making use of the sophisticated implement.So, who might not with too much hurried guaranteed that North Sumatra free from bird flu.This statement did not have a basis and completely lead astray even disturbed the community.Came back to the monitoring had a name surveilans, the problem of the health in fact could be controlled as early as possible if this equipment went well.The system surveilans gathered the data continually monitored.The monitoring was based on the graph that was made for that, as well as mengeksekusi the decision was linked with the jump of the illness.Escape him knowledge concerning the monitoring of bird flu in North Sumatra apparently because of the sector of the health and the sector passage, ignored surveilans.If this earlier could be applied, then as early as possible, will be done by the intervention in the area with the case of bird flu to the poultry, or the potential area experienced bird flu.The intervention quickly, epidemiology also used prangkat especially to do the intervention in the illness.That was followed by making use of three important questions, that is whether the program that has been done uptil now, then whether results that was reached with the program, following, moreover that could be done.Secara epidemiology, the first step to do the control of the problem of bird flu in this territory was to compile a team that was led by an epidemiology, that will move into two main territories, that is that was linked with the problem of the health, and that was linked with the sector apart from the health.The territory must be apart from the health involved definitely with got suport the data from the sector of the health.In this movement, the sector of the health as immediately as possible to do epidemiological investigation knew the location, the risk factor, the potential group and the spread stain of bird flu in this territory.Knowledge about this pattern as quickly as possible must be done, sembari treated his sufferer.</PRE>Menyangkut orang, mereka yang terkena flu burung biasanya tidak mengenal umur dan jenis kelamin. Namun ada hal yang bisa dikerjakan secara epidemiologis, yaitu bahwa terdapat kelompok-kelompok berisiko lebih tinggi untuk mendapatkan penyakit ini. Risiko ini ada karena memiliki karakteristik tertentu yang meningkatkan kemungkinan memperoleh penyakit. Mereka adalah para peternak, pemelihara burung, pengguna pupuk ternak unggas, serta yang berada di kawasan peternakan. Masalahnya, memang mengendalikan hal ini di tempat kita sangat sulit. Kebanyakan lokasi peternakan unggas amat dekat dengan manusia sehingga memudahkan penularan penyakit.
      Hanya dengan menggunakan data-data mengenai waktu, tempat dan orang di atas, maka epidemiologi sudah bisa menebak apa yang akan terjadi pada sebuah daerah. Maka seharusnya, penentu kebijakan di daerah ini sudah menerapkan salah satu “senjata” utama epidemiologis, yaitu mekanisme surveilans. Surveilans pada hakekatnya adalah upaya yang dilakukan secara terus menerus untuk memantau dan memperhatikan jalannya penyakit.
      Ada sementara pandangan, terutama dari petinggi kesehatan di daerah ini, yang menyatakan bahwa Sumatera Utara tidak mengalami kasus flu burung. Ini merupakan cara berpikir yang amat salah kaprah.
      Tidak ditemukannya kasus flu burung selama ini disebabkan setidaknya oleh beberapa hal. Pertama, setiap penyakit memiliki yang namanya riwayat alamiah penyakit. Artinya, tanpa intervensi, setiap penyakit akan menempuh sebuah perjalanan mulai dari tahap dimana belum muncul gejala sampai dengan tahap dimana penyakit sudah semakin parah. Tiadanya penemuan kasus flu burung bisa karena masa yang dilewati masih belum diketahui, karena berada dalam zone yang disebut sub-klinis. Andainya ada penemuan kasus pun, maka kasus tersebut sudah terlambat ditangani karena perjalanan kasus biasanya sudah cukup panjang.
      Kedua, tidak ditemukannya kasus flu burung juga bisa berarti bahwa sistem deteksi yang dikerjakan tidak memadai untuk menemukan kasus. Artinya petugas kesehatan tidak bekerja maksimal atau perangkat deteksi tidak memadai untuk itu. Sebaliknya penemuan kasus juga bukan berati bahwa kasus meningkat, namun mungkin karena petugas kesehatan baru bekerja keras dengan menggunakan alat yang canggih.
      Jadi, siapapun tidak boleh dengan terlalu terburu-buru menjamin bahwa Sumatera Utara bebas dari flu burung. Pernyataan tersebut tidak berdasar dan sama sekali menyesatkan bahkan meresahkan masyarakat.
      Kembali kepada pemantauan bernama surveilans, masalah kesehatan sebenarnya bisa dikendalikan sedini mungkin jika perangkat ini berjalan dengan baik. Sistem surveilans mengumpulkan data terus menerus memantau. Pemantauan berdasarkan grafik yang dibuat untuk itu, serta mengeksekusi keputusan berkaitan dengan melonjaknya penyakit.
      Luputnya pengetahuan mengenai pemantauan flu burung di Sumatera Utara kelihatannya karena sektor kesehatan dan lintas sektor, mengabaikan surveilans. Jika saja ini tadinya bisa diterapkan, maka sedini mungkin, akan dilakukan intervensi di daerah dengan kasus flu burung pada unggas, atau daerah yang potensial mengalami flu burung.
      Intervensi
      Secara cepat, epidemiologi juga menggunakan prangkat khusus untuk melakukan intervensi terhadap penyakit. Hal itu ditempuh dengan menggunakan tiga pertanyaan penting, yaitu apakah program yang sudah dikerjakan selama ini, lalu apakah hasil yang dicapai dengan program itu, berikutnya, apalagi yang bisa dikerjakan.
      Secara epidemiologi, langkah pertama untuk melakukan penanggulangan masalah flu burung di wilayah ini adalah menyusun sebuah tim yang dipimpin oleh seorang epidemiologi, yang akan bergerak ke dalam dua wilayah utama, yaitu yang berkaitan dengan masalah kesehatan, dan yang berkaitan dengan sektor di luar kesehatan. Wilayah di luar kesehatan perlu dilibatkan tentunya dengan mendapatkan suport data dari sektor kesehatan. Dalam gerakan ini, sektor kesehatan sesegera mungkin untuk melakukan penyelidikan epidemiologis mengetahui lokasi, faktor risiko, kelompok potensial dan noda penularan flu burung di wilayah ini. Pengetahuan mengenai pola ini harus secepat mungkin dikerjakan, sembari mengobati penderitanya. Masyarakat di kawasan tersebut juga difokuskan perhatiannya pada pengenalan gejala, sehingga kasus flu burung bisa diminimalisir ledakannya.
      Berdasarkan data-data yang dikumpulkan itu, maka sektor di luar kesehatan bisa mengerjakan pekerjaan pemusnahan unggas (jika diperlukan), pembagian desinfektan serta penerangan kepada masyarakat, bahkan isolasi transportasi lokasi yang terserang. Apa boleh buat, untuk mencegah penularan ini ke wilayah yang lebih luas, maka hal-hal tersebut harus dikerjakan untuk sementara waktu.
      Berikutnya, seluruh perangkat kesehatan di daerah ini diminta siaga. Hadirnya flu burung di satu daerah yang berdekatan akan meningkatkan risiko penularan pada daerah lain, mengingat mobilitas penduduk yang sangat tinggi. Pendistribusian data dan perangkat yang berhubungan dengan informasi ini harus dikerjakan dan dilakukan. Semua daerah harus mengawasi perubahan-perubahan yang muncul di daerahnya. Petugas kesehatan harus segera melakukan pemeriksaan secara random pada lokasi yang rawan flu burung, serta melaporkan setiap kasus diduga (suspect) pada tahap yang paling dini.
      Tidak ada salahnya menyiagakan masyarakat. Seluruh upaya yang mungkin bisa dikerjakan oleh masyarakat harus dilakukan. Promosi kesehatan juga harus dikerjakan di seluruh daerah.
      Inilah kejadian flu burung pertama pada manusia di Sumatera Utara. Semoga saja ini bukan awal, namun segera bisa diakhiri dan memutuskan mata rantai penularan flu burung yang semakin mengglobal ini. Kita mungkin terlambat dalam mendeteksinya, namun jangan sampai terlambat dalam menanganinya. Aplikasi epidemiologi adalah kata kunci terhadap seluruh upaya pengendalian masalah kesehatan, termasuk flu burung. (Penulis bekerja di Badan Litbang Propsu/m)



      </TD></TR></TBODY></TABLE>http://www.hariansib.com/index.php?o...=4893&Itemid=9</P>

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      • #18
        Re: Indonesia BF - 5/17/06

        http://msnbc.msn.com/id/12833266/
        Bird flu confirmed in Indonesian family deaths
        No sign of human-to-human transmission of virus; officials investigating
        Reuters
        Updated: 10:42 a.m. ET May 17, 2006

        JAKARTA - At least five members of an Indonesian family have been infected with bird flu, the World Health Organization confirmed on Wednesday, after the case triggered widespread fears of human-to-human transmission.

        There is no immediate evidence the H5N1 flu virus passed easily among at least seven members of the family in North Sumatra province. But experts said on Wednesday nothing could be ruled out and more testing was crucial.

        In a day of fast-moving events, the WHO also said a caterer from Surabaya city in East Java had died of bird flu, while Indonesia?s health ministry said local tests had confirmed a 12-year-old boy from Jakarta who died four days ago was infected with H5N1. Both cases are separate from the Sumatra case.

        Clusters of human infections are worrying because they indicate that the virus might be mutating into a form that is easily transmissible among humans. That, experts say, could spark a pandemic in which millions might die.

        For the moment, the virus is mainly a disease in birds and is hard for humans to catch.

        The WHO and other health experts are puzzled over the source of infection in the Sumatran family, six of whom have died.

        ?The possibility that they may have been infected by the same source is still there,? said Sari Setiogi, the WHO spokeswoman in Indonesia. More animal samples would be collected for testing.

        ?Any time we have a cluster, it raises the suspicion that human-to-human transmission may have occurred. We don?t rule out either way ... it is too early to make any conclusion because investigations are still going on,? Setiogi said.

        The WHO has sent a team to Kubu Simbelang village in Karo regency, about 50 km (30 miles) south of Medan.

        Samples taken from six members of the family were sent to a WHO-affiliated laboratory in Hong Kong and five tested positive for H5N1. Results of the sixth were still pending.

        Samples from the first person to fall ill, a 37-year-old woman, were not sent to Hong Kong but she is considered to have been infected with H5N1. She fell ill on April 27 and later died.

        No suggestion of mutation
        Asked about the possibility of a change in the virus and whether there had been human-to-human infection in Sumatra, a WHO spokeswoman in Geneva said, ?It is too early to draw any conclusions.

        ?I have not heard any suggestion that the virus is any different,? Maria Cheng said, referring to the laboratory tests in Hong Kong.

        Indonesia?s Health Ministry said the Sumatra cluster was not a case of human-to-human transmission.

        ?The spread was through risk factors from poultry or other animals. There is no proof of human-to-human,? Nyoman Kandun, director-general of disease control, told Reuters.

        But an Indonesian agriculture official who declined to be identified said animal tests have not shed any light.

        ?There is a big question mark. Blood samples from all kinds of animals from chickens, ducks, geese, birds, pigs, cats and dogs turned out negative so far. Manure has also been checked. The result is negative,? the Jakarta-based official said.

        Hong Kong virologist Guan Yi said the long time lag of nine days between the first and last victims showing symptoms of the disease was unusual.

        ?If they were all infected by the same source, their onset time (of illness) would have been closer, but that is not the case ... The later cases may involve the possibility of human-to-human transmission,? Guan told Reuters.

        ?They may have infected one another ... but we have no evidence. This needs to be investigated by the locals.?

        The latest deaths bring to at least 30 the number of people killed by bird flu in Indonesia, more than half since the start of the year.

        Among the confirmed deaths on Wednesday was a 38-year-old catering businesswoman from Surabaya who had dealt with live pigs and pork meat before she died last week.

        Not including the latest cases, bird flu has killed 115 people worldwide, the majority in east Asia, since reappearing in 2003. Virtually all the victims caught the disease from poultry.

        The U.N. Food and Agriculture Organization said on Wednesday that H5N1 had been found in a duck in Laos, but there was no sign the virus was spreading.

        On Tuesday, a senior Indonesian Agriculture Ministry official said the virus had been detected for the first time in poultry in remote eastern Papua province.

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        • #19
          Re: Indonesia BF - 5/17/06

          "...Hong Kong virologist Guan Yi said the long time lag of nine days between the first and last victims showing symptoms of the disease was unusual.

          ?If they were all infected by the same source, their onset time (of illness) would have been closer, but that is not the case ... The later cases may involve the possibility of human-to-human transmission,? Guan told Reuters..."

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          • #20
            Re: Indonesia BF - 5/17/06

            http://news.bbc.co.uk/2/hi/asia-pacific/4990708.stm
            Eyewitness: Bird flu grips Sumatra
            Ivan Zaidir is a poultry breeder in northern Sumatra. He describes the confusion surrounding the latest outbreak of bird flu, which has claimed the lives of five people in the region.


            I am very concerned, mostly because we know very little about what has happened.

            There is confusion but not outright fear just yet.

            One of my colleagues visited the village and what the villagers say they need is clarity.

            There are many questions. If it really is bird flu, then it is farmers that should be affected. They have the most daily direct contact with birds. Most of the victims here are people that can only be indirectly related to chickens.

            In the village, houses are very close together. If one house has bird flu surely the other houses should be contaminated? People are asking why only one extended family has been affected.

            Where has it come from? That's the missing link that needs to be solved.

            'We value human life'
            We value our industry and our daily business, but mostly we value human life.

            So we will do whatever we can to prevent this from occurring and spreading further. We have tightened our bio-security, we limit humans coming into poultry farms.

            But wild birds could also be responsible for this outbreak.

            The people in the village are afraid of losing their livelihoods and they too don't know what exactly is going on.

            Poultry is a source of income for tens of thousands of people. It is very important that we discover where this has come from before anything worse happens.

            In the end, everybody comes to the same conclusion: nothing is clear.

            Comment


            • #21
              Surabaya Pigs Finally Transmit H5n1 To Humans



              Bird flu human-to-human infection feared

              18 May 2006 <TABLE cellSpacing=0 cellPadding=0 width=5 border=0><TBODY><TR><TD height=5></TD></TR></TBODY></TABLE>
              JAKARTA: The World Health Organisation confirmed six more human cases of bird flu infections in Indonesia, including five members of a family whose case has triggered fears of human-to-human transmission.

              "There are six confirmations. One from Surabaya and five from Medan. One from Medan is still alive," said Sari Setiogi, the WHO's Indonesia spokeswoman.
              An outbreak of H5N1 bird flu involving up to eight members of a family at Medan in North Sumatra province has worried health agencies around the world but a Health Ministry official said on Wednesday it was not a case of human-to-human transmission.
              "The spread was through risk factors from poultry or other animals. There is no proof of human to human," Nyoman Kandun, director-general of disease control, said.
              "The world is watching us. We are not being hasty," he added.
              Four of the five family members have died and samples from a further three people believed to be part of the family cluster of infections are still being tested.
              The WHO has sent a team to the area near Medan. The agency said it was on alert for signs the virus is mutating into one that can be easily transmitted between people, a development that could signal the start of a pandemic in which millions could die.


              Such a mutation could occur anywhere there is bird flu, the WHO says.
              Kandun said authorities were still trying to identify the source of the virus in the cluster case in Kubu Simbelang village in Karo regency, about 50km (30 miles) south of Medan.
              But an Indonesian agriculture official who declined to be named told Reuters tests had shed no light on the case.
              "There is a big question mark. Blood samples from all kinds of animals from chickens, ducks, geese, birds, pigs, cats and dogs turned out negative so far. Manure has also been checked. The result is negative," the Jakarta-based official said.
              Some reports have suggested chicken manure used as fertiliser might be the link. Infected birds can excrete large amounts of the H5N1 virus and this can be one way it can spread to birds, and people.
              The sixth of the cases confirmed on Wednesday was a 38-year-old catering businesswoman from Surabaya who had dealt with live pigs and pork meat before she died last week.
              The latest deaths bring the number of Indonesians who have died from bird flu to 30, by far the highest death rate in the world this year from the disease.
              Bird flu has killed 115 people worldwide, the majority in east Asia, since reappearing in 2003. Virtually all the victims caught the disease from poultry.
              The H5N1 virus is endemic in much of Indonesia. On Tuesday a senior Agriculture Ministry official said H5N1 had been detected for the first time in poultry in remote eastern Papua province.
              http://www.stuff.co.nz/stuff/0,2106,3671206a12,00.html
              Last edited by sharon sanders; May 17, 2006, 03:29 PM.

              Comment


              • #22
                Re: Indonesia BF - 5/17/06

                Medan -- MIOL: Lima the person probable bird flu in North Sumatra (North Sumatra) positive contracted the virus avian influenza (AI) H5N1 or bird flu.That was based on results of the sample inspection of blood and wipe off kerongkongan that was examined in the Hong Kongese laboratory.They who were stated positive contracted the bird flu virus, Anta Ginting, Boni Karokaro, Roy Karokaro, Brenata Tarigan, and Johannes Ginting alias Jonnes.Four including dying.Whereas Jonnes was still being treated in the Public Hospital (RSU) the Pilgrim Adam the Owner, Medan.The section head the Health of the Province North Sumatran Fatni Sulani said his side accepted results of the laboratory inspection of Hong Kong, on Tuesday night (16/5)."Six sample probable that was sent by us positive bird flu," said Fatni in the Office Governor North Sumatra, on Wednesday (17/5).According to Fatni his side also sent totalling 57 sample to Health Research And Development (Litbangkes) the Department of the Health that was expected by direct contact with the bird flu sufferer.From results of the laboratory inspection of Litbangkes Department of Health totalling six samples including being negative and the rest of them still in the inspection.The "sample that has been stated by the negative was not sent by us again to Hong Kong," said Fatni.(KN/OL-02).http://www.mediaindo.co.id

                Comment


                • #23
                  Re: Indonesia BF - 5/17/06

                  Liputan6.com, Bandung: the Handsome Hospital of Sadikin Bandung, West Java, was still treating a patient who was expected terjangkit bird flu till Wednesday (17/5).The Aan condition that already five days were treated never improved following the existence of the disturbance to the lungs.Aan was treated in isolation space and still must make use of the ventilator as respiratory aids.Was based on the team's medical note, the child 13 years were still critical.Apart from the temperature of his body was still high, mucus on the citizen's lungs of Unpleasant Sand, Cisarua, of this Bandung Regency, still could not be cleaned by all of them so as to disrupt breathing.While the sample test of blood as well as the Aan waste was still being researched in the Department's laboratory of the Health, Jakarta.According to the community health centre side, around the Aan residence indeed was gotten a poultry farm.Strongly the assumption, the virus emerged from the livestock breeding considering before falling ill, Aan could with his friend cross the area of livestock breeding.(YAN/Patria Hidayatdan Guidance Divine Guidance)</PRE>
                  http://www.liputan6.com/view/7,12303...147920547.html</PRE>
                  </PRE>

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