Indonesian Human Cases Dec 4th 2007 to Jan 10, 2008

[Gert van der Hoek]

Re: Indonesian Human Cases Dec 4th +

[Video available]

A PATIENT SUSPECT BIRD FLU was STILL being treated

From six patients who were reconciled to the Persahabatan Hospital, Jakarta Timur, to Ahad (23/12), was gotten by one patient suspect bird flu that was treated intensively.

According to the team of the doctor RS Persahabatan, one patient was still being treated because experienced hot high.

That is the patient had the initials AI that came from Serang, Banten.
This patient experienced hot high through to 38.7 Celcius levels.
The team of the doctor was still waiting for results of the VCR end of RS Persahabatan to know the condition for the patient of AI. Menurut [according to/obey/pursuant] for the end the team of the doctor, the five other patients can leave the hospital tomorrow afternoon.
They furthermore will undergo treated the road.

http://www.metrotvnews.com/berita.asp?id=51043

12/24/07 10:20

Indonesian family test negative for bird flu: health ministry

Jakarta (ANTARA News) - Five family members in Indonesia suspected of having bird flu have tested negative for the feared disease, the country's health ministry said Monday.

"All five tested negative," an official from the ministry's bird flu information centre was quoted by AFP as saying.

The family lived in densely-populated Banten province on Indonesia's main island of Java.

http://www.antara.co.id/en/arc/2007/12/24/indonesian-family-test-negative-for-bird-flu-health-ministry/

[sharon sanders]

Re: Indonesian Human Cases Dec 4th +

JAKARTA, Dec. 25 (Xinhua) -- A 24-year-old Indonesian woman from West Jakarta has died from avian influenza, putting the total fatalities in the country to 94, the Indonesian Health Ministry said Tuesday. The woman died on Tuesday morning at Cengkareng Hospital in the capital and both of her laboratory tests showed that she was positively infected by H5N1 virus, said Nyoman Kandun, director of the ministry.
"She died on Tuesday after midnight, two of her laboratory tests indicate that she is positive of bird flu," Kandun told Xinhua.
He said that it is not clear whether the woman had historical contact with fowls as investigation is underway.
The woman first showed the symptoms of the disease on Dec. 14, and six days later, she was treated at the hospital, said Kandun.
Contact with fowl is a common cause of the bird flu death in Indonesia.
Indonesia, the world's fourth most populous country and home to millions of backyard chickens, is considered a possible hot spot for spreading the disease, although the country has culled millions of chickens.
Indonesia has been at the front row in fighting to combat the spreading of highly pathogenic H5N1 viruses, which have slowly and persistently spread on human.

http://news.xinhuanet.com/english/2007-12/25/content_7312656.htm

[Gert van der Hoek]

Re: Indonesian Human Cases Dec 4th +

Cengkareng is a town west of Jakarta in the Greater Jakarta area.


Metrotvnews.com, Cengkareng: Diana, 21 years, the patient was suspected of by bird flu dying in the Daerah Public Hospital (RSUD) Cengkareng, on Monday night.

The assurance of the positive status of Diana's bird flu was just received on Tuesday (25/12) this afternoon after casualties died.

A staff RSUD Cengkareng explained, casualties entered Unit Gawat Darurat RSUD Cengkareng Space on December 21 2007 with the hot or feverish complaint high.

Because the patient also complained breathless, in the evening the hospital side moved him to Perawatan Intensif Space (ICU).

Before being moved to ICU, casualties could be treated in the maintenance ward of the class of two with the other patient.

After being treated in ICU for several days, the patient had finally died.

As far as this is concerned did not yet have official information from RSUD Cengkareng why this patient was not reconciled to the special hospital that handled cases of bird flu.

Metro

credits BlueJay

[sharon sanders]

Re: Indonesian Human Cases Dec 4th +

Thanks Dutchy and BlueJay for more information on this case.

[Gert van der Hoek]

Re: Indonesian Human Cases Dec 4th +

25/12/2007 17:48 of WIB

1 Patient Suspect Died

Health Service Special Capital District OF Jakarta Did Investigation

Officially Kesehatan Special Capital District OF Jakarta through to up to now continued to coordinate Officially Peternakan to know more far the cause of the death of the patient who was expected suspect bird flu in the Cengakareng Hospital.

Kesehatan Special Capital District OF Jakarta Dr. Wibowo B. Sukijat Section Head, MPH to ELSHINTA on Tuesday (25/12) this afternoon said his side did not yet accept officially the statement from the Department of the Health.

However his side carried out investigation in the field and will take the sample of blood of the neighbours who had carried out contact with casualties.

Wibowo admitted that his side must be still continuing to work hard to look for the source of the spread.

Because of being suspected casualties had not maintained the poultry in his house.

Diana (21) the patient was suspected of bird flu resident of Sumur Bor Kalideres died in the Daerah Public Hospital (RSUD) Cengkareng, on Monday (24/12) yesterday.

Casualties entered Unit Gawat Darurat RSUD Cengkareng Space on December 21 2007 with the hot and feverish complaint high.

Because the patient also complained breathless, in the evening the patient was moved to Perawatan Intensif Space (ICU).

http://www.elshinta.com/v2003a/readnews.htm?id=44949

[Gert van der Hoek]

Re: Indonesian Human Cases Dec 4th +

Location of Kalideres, home of Diana

[AlaskaDenise]

Re: Indonesian Human Cases Dec 4th +

<TABLE cellSpacing=0 cellPadding=3 width="95%" align=center border=0><TBODY><TR><TD>Avian flu kills Indonesian woman on Christmas Day
</TD></TR><TR><TD>
</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="95%" align=center border=0><TBODY><TR vAlign=center><TD width=80 bgColor=#ffffff>26.12.2007</TD><TD bgColor=#ffffff>Source: </TD><TD bgColor=#ffffff>URL: http://english.pravda.ru/hotspots/103165-indonesia_flu-0</TD></TR></TBODY></TABLE>
<TABLE cellSpacing=0 cellPadding=3 width="95%" align=center border=0><TBODY><TR><TD>By Margarita Snegireva. The Health Ministry bird flu centre reported that an Indonesian woman who bought a live chicken in a marker died from avian influenza on Christmas day. Death toll from bird flu in Indonesia reaches 94.

The 24-year-old woman from Jakarta who died on Tuesday morning had tested positive for bird flu after being treated for several days in a hospital, said an official at the centre.

"The woman bought a live chicken in the market and slaughtered the chicken there before taking it home. But we're still investigating the cause," the official said.

Indonesia has had the world's highest number of human deaths from bird flu, Reuters reports.

The global spread of (highly pathogenic) H5N1 in birds is considered a significant pandemic threat.

While prior H5N1 strains have been known, they were significantly different from the current H5N1 strain on a genetic level, making the global spread of this new strain unprecedented. The current H5N1 strain is a fast-mutating, highly pathogenic avian influenza virus (HPAI) found in multiple bird species. It is both epizootic (an epidemic in non-humans) and panzootic (a disease affecting animals of many species especially over a wide area). Unless otherwise indicated, "H5N1" in this article refers to the recent highly pathogenic strain of H5N1.

In June 2006 WHO predicted an upsurge in human deaths due to H5N1 during late 2006 or early 2007. In July and August 2006 significantly increased numbers of bird deaths due to H5N1 were recorded in Cambodia, China, Laos, Nigeria, and Thailand while continuing unabated a rate unparalleled in Indonesia. In September, Egypt and Sudan joined the list of nations seeing a resurgence of bird deaths due to H5N1; followed by Vietnam and South Korea in December.
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[sharon sanders]

Re: Indonesian Human Cases Dec 4th +

http://www.media-indonesia.com/berita.asp?id=153468

Dinkes DKI Terjunkan Tim ke Lokasi Terjangkit Flu Burung

JAKARTA—MEDIA: Dinas Kesehatan Provinsi DKI Jakarta telah mengirimkan tim untuk melakukan investigasi dan upaya pencegahan penyebaran virus flu burung di tempat tinggal DFS (24), korban meninggal akibat flu burung di Kelurahan Kalideres, Jakarta Barat.
"Dinkes akan melakukan investigasi ke lokasi untuk pencegahan penularan lebih lanjut," kata Humas Dinkes DKI Jakarta Tini Suryanti kepada Antara di Jakarta, Rabu (26/12).
Ia menjelaskan, dengan meninggalnya DFS, perempuan warga Kelurahan Kalideres, Jakarta Barat, maka sejak 2005 di Jakarta telah ada sembilan warga yang meninggal dengan diagnosis positif terinfeksi virus flu burung.
Menurut Tini, DFS pada Minggu (16/12) mulai demam dan kemudian berobat ke tempat praktek bidan di dekat rumahnya.
Pada Rabu (19/12), DFS kembali berobat dan demamnya tetap tinggi yang kemudian langsung di rujuk ke RSUD Cengkareng pada pukul 20.55 WIB dengan diagnosa mual, muntah, diare, dan demam.
Masih menurutnya, DFS menolak rawat inap dan pulang pada hari yang sama pukul 21.20 WIB. Namun pada Jumat (21/12) pukul 14.00 WIB DSF kembali datang dan kemudian dirawat.
"Pada Sabtu (22/12) kondisinya semakin memburuk dan kemudian masuk instalasi gawat darurat dan pada Minggu (23/12) terdiagnosis suspect flu burung.
Pada Senin (24/12) pagi, contoh darah pasien dikirim ke litbang Depkes. Di hari yang sama pukul 14.30 WIB tim dari Litbang Depkes datang untuk mengambil swap tenggorokan dan hidung," ungkap Tini.
Namun pada Selasa (25/12) dini hari pukul 02.00 WIB, papar Tini, pasien meninggal dan kemudian pada pukul 07.00 WIB pihak rumah sakit mendapat kabar dari litbang Depkes bahwa DFS positif terpapar virus H5N1.
Sebelumnya, informasi dari Posko Flu Burung Departemen Kesehatan yang diterima Antara di Jakarta, Rabu, menyebutkan DS yang telah dinyatakan positif terinfeksi virus Avian Influenza H5N1 oleh Badan Litbangkes dan Lembaga Biologi Molekuler Eijkman itu meninggal dunia pada 25 Desember 2007.
Faktor risiko penularan flu burung pada perempuan itu, menurut Joko, hingga saat ini sedang diteliti oleh petugas kesehatan dari DKI Jakarta, Jakarta Barat dan puskesmas setempat.
"Belum jelas apa faktor risikonya, pukul 10.00 WIB pagi ini petugas baru berangkat ke lokasi untuk melakukan penelitian lebih lanjut," katanya.
Meski rencana strategi nasional pengendalian flu burung dan kesiapsiagaan menghadapi pandemi influenza telah dibuat dan diterapkan namun hingga kini kasus flu burung pada manusia satu demi satu masih terus muncul di Tanah Air.
Hingga saat ini terdapat 116 kasus flu burung pada manusia di 12 provinsi di Indonesia dan 94 di antaranya berakibat kematian. (Ant/OL-06)


Officially Kesehatan of the Special Capital District of Jakarta Province sent the team to carry out investigation and prevention efforts of the spreading of the bird flu virus in the DFS residence (24), casualties died resulting from bird flu in the Kalideres District, Jakarta Barat.
"Dinkes will carry out investigation to the location for the prevention" of the "further spread," said public relations of Dinkes Special Capital District OF Jakarta Tini Suryanti to Antara in Jakarta, on Wednesday (26/12).
He explained, with the DFS death, the resident's woman of the Kalideres District, Jakarta Barat, then since 2005 in Jakarta had nine residents who died with the positive diagnosis was infected by the bird flu virus.
According to Tini, DFS on Sunday (16/12) began to be feverish and afterwards took medicine to the place of the practice of the midwife near his house.
On Wednesday (19/12), DFS again took medicine and his fever stayed high that afterwards direct in referred to RSUD Cengkareng in struck 20,55 WIB with the nausea diagnosis, vomited, diarrhoea, and the fever.
Still according to him, DFS refused treated inap and came home on the same day struck 21,20 of WIB. Namun on Friday (21/12) struck 14,00 WIB DSF again came and was afterwards treated.


"On Saturday (22/12) his condition increasingly worsened and afterwards entered the serious installation the emergency and on Sunday (23/12) was diagnosed suspect bird flu."
On Monday (24/12) the morning, the example of the patient's blood was sent to Department of Health research and development.
In the same day struck 14,30 WIB the team from Department of Health Research And Development came to take swap the throat and the nose, said Tini.
However on Tuesday (25/12) at dawn struck 02,00 WIB, explained Tini, the patient died and afterwards in struck 07,00 WIB the hospital side received the news from Department of Health research and development that DFS positive flattest the virus H5N1.
Beforehand, information from the Command Post of the Health that was accepted by Antara in Jakarta, on Wednesday, of the Department's Bird Flu named DS that was stated positive was infected by the virus Avian influenza H5N1 by the Litbangkes Body and the Molecular Eijkman biological Agency died on December 25 2007.
The risk factor of the spread of bird flu to the woman, according to Joko, till at this time was researched by the official of the health from the Special Capital District of Jakarta, Jakarta Barat and

[Commonground]

Re: Indonesian Human Cases Dec 4th +

The Department of Health checked the Family of Bird Flu casualties in Kalideres

The official of the Department of the Health (the Department of Health) visited the house of the bird flu patient that died, Diana,21, in the artesian well, Kalideres, Jakarta Barat.
Diana was casualties suspect bird flu that died in RSUD Cengkareng, Jakarta Barat on Monday (24/12) then.

The arrival of this official to check the sample of blood of all of casualties's family considering the virus H5N1 that could spread in fast time.
Beforehand Diana entered the intensive care unit's space (UGD) RSUD Cengkareng on December 21 2007 with the hot and feverish complaint high. Because the patient also complained breathless, at night the patient was moved to intensive maintenance space (ICU).
After through the inspection, finally the Department of Health said when Diana positive was affected by the virus H5N1 that resulted in the death.

Health Special Capital District OF Jakarta Wibowo Sukijat Section Head stressed was to be enduring investigasi with the Perikanan Service, Kelautan, and Livestock Breeding to know further the cause of Diana's death.

In the investigation, was known around casualties's house was gotten the birds pen and the chicken.
Although not having the poultry that died suddenly, the temporary assumption showed when Diana infected from this poultry.

"We have indeed carried out Official together Peternakan investigation.
Today, the official from the Department of Health will research further, said Wibowo to SINDO struck 08,30 WIB, this morning".
He added, although not yet receiving the official letter from the Department of Health concerning this case, the Special Capital District Health Service immediately intensified the inspection of the patient all over the hospital in Jakarta. Purpose him, information concerning suspect the bird flu would fast was known so as the local official could visit the location.

Besides this, Wibowo also made a plea to the community in order to continue to be on the alert against the spreading of this deadly virus.

"When once contact directly with the poultry, was made accustomed to washing the hands. When necessary, bathed at the same time.
When cleaning the birds pen or the chicken, try to get put on gloves.
This must be carried out so that the virus does not spread quickly", he said.
In the meantime, the Head of the Centre of Communication (Kapuskom) Department of Health RI Lili Sulistyowati said, Diana including 94th casualties after the case that struck the Tangerang inhabitants, some time past. According to he, till at this time was met by approximately 116 cases of bird flu that entered the Department of Health data.
Not only that, he also said in the rainy season like this, the virus H5N1 tended to remain more longer.

http://www.seputar-indonesia.com/edisicetak/nasional-sore/depkes-periksa-keluarga-korban-flu-burung-di-kali.html

[sharon sanders]

Re: Indonesian Human Cases Dec 4th +

Thanks Commonground. Are we seeing less mention of hemorrhagic symptoms in confirmed deaths in Indonesia?

[Commonground]

Re: Indonesian Human Cases Dec 4th +

Hard to say, as these articles do not describe the symptoms after they entered the hospital.

[HenryN]

Re: Indonesian Human Cases Dec 4th +

26 December 2007
The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. A 24-year-old female from West Jakarta municipality, DKI Jakarta province developed symptoms on 14 December, was hospitalized on 19 December and died on 25 December. The source of her exposure is currently under investigation.
Of the 116 cases confirmed to date in Indonesia, 94 have been fatal.

http://www.who.int/csr/don/2007_12_26/en/index.html

[Sally Furniss]

Re: Indonesian Human Cases Dec 4th +

The guardian of the City Jakarta Barat Fajar Panjaitan stated, his side will intensify prevention efforts of the spreading of the bird flu virus after the discovery of the case of the illness that resulted in one of his residents dying.
"Indeed was not penyisiran especially the related poultry this case, but the pattern penyisiran the regular poultry that usually is done along with the implementation" of the "eradication" of the "mosquitoes nest (PSN) will be intensified," he said in Jakarta, on Thursday (27/12).
He explained, his side uptil now experienced the difficulty in penyisiran the poultry in Jakarta Barat in the PSN implementation each on Friday because of having some communities that hid the existence of his poultry.
"The outcome was as playing cat and mouse."
When not having the official, the poultry was issued again, he said.
This indication, he said, was seen when still ditemukaan him five poultries namely the chicken, the goose, and the dove around the location of the resident who died after positive suffered bird flu in Kalideres.
Therefore, the Dawn asked for the community in order to not hide the poultry and report ownership of the poultry by using the certification procedure of the available poultry.
The "ban had the poultry was not yet pulled out, so did not yet have the change," he said.
In the meantime, concerning the follow-up penangananan bird flu in Kalideres, Fajar said, the Ethnic Group of Dinas Kesehatan Municipal Government Jakar will become stuck the area so that the virus does not spread.
"Several steps have been carried out at this time."
We were still being waiting for results of the sample inspection of blood that was taken from people that once contact with the poultry, he said.
According to him, results of the regional test were just known a week after being sent to the Department of Health laboratory.
Beforehand, DFS (24), the resident's woman Kalideres, died with the positive diagnosis was infected by the bird flu virus, on Tuesday (25/12).
The Department of Health said, DFS positive flattest the virus H5N1 that became the cause of bird flu.

http://www.media-indonesia.com/berita.asp?id=153532

</pre>

[Gert van der Hoek]

Re: Indonesian Human Cases Dec 4th +

Avian flu death prompts investigation
Jakarta "link may be recycled" Post - December 27, 2007

A woman's death from bird flu a little past midnight Tuesday has prompted a team of health officials to secure her home and surrounding residential area in Kalideres, West Jakarta.

The 24-year-old woman, identified by her initials, DF, died in Cengkareng Hospital, West Jakarta, two weeks after doctors positively diagnosed her with bird flu.

Her death has taken the city's bird flu toll to 24 deaths since the first was recorded July 20, 2005.

The H5N1 virus, the deadliest bird flu strain for humans, has so far killed 94 people and hospitalized around 115 nationally, according to data provided by the Health Ministry.

Indonesia remains top of the list for bird flu cases and deaths globally.

The ministry said it was still trying to determine the exact source of DF's death. Early reports said she may have caught the disease after buying chicken at a nearby market.

The West Jakarta Public Health Sub-agency, in cooperation with the Health Ministry, also sent a team to investigate the source of the disease and to monitor any signs of infection in neighboring residents.

"We have tested 50 people who had been near the victim and thankfully they have all tested negative," sub-agency head Dr. Ariani Murti said.

"We have not seen any signs or symptoms from the people in her immediate area."

Ariani said Kalideres is prone to bird flu because it was "very dirty" and some residents still kept chickens around their houses despite the prohibition by the city administration.

Earlier this year, a boy from the same area also died after becoming infected with bird flu.

He was one of six people living in the neighborhood who contracted bird flu.

Ariani said health services would continue to monitor Kalideres for the rest of the week.

She said her office needed much support from the public and residents to help prevent further infections.

"The people of Kalideres need to, please, stop keeping poultry in their homes, otherwise these cases will keep on occurring," she said.

The second most recent death from bird flu was a businessman identified by initials MS.

On Dec. 2, MS had a fever, acute coughing and respiratory problems. Two weeks later he died in RS Persahabatan Jakarta, East Jakarta. (anw)

credits Christian

[Gert van der Hoek]

Re: Indonesian Human Cases Dec 4th +

W. Jakarta authorities search for bird flu

Mustaqim Adamrah, The Jakarta Post, Jakarta

The West Jakarta municipality has been inspecting poultry in Kalideres subdistrict since Thursday, following the death of a 24-year-old woman due to bird flu in the area a day earlier.

A representative from the West Jakarta Animal Husbandry and Fisheries Agency said the entire subdistrict would be scanned and warnings would be given to unlawful bird owners.

"We found more than 40 birds, chickens and ducks owned by 11 residents in the community unit where the bird flu victim lived. None of the animals were certified," said Moris Sihombing, the head of the agency's animal supervision division.

The H5N1 virus -- the deadliest bird flu strain for humans -- has so far hospitalized 115 people nationwide and killed 94, including 24 deaths in Jakarta alone.

Indonesia tops the list for the highest number of bird flu cases globally.

The deceased, identified only as DF, died in Cengkareng Hospital in West Jakarta two weeks after doctors positively diagnosed her with bird flu.

Samples taken from 55 people who had been in close contact with the victim are being examined at the Health Ministry's lab, with the results to be released within a week, city health agency spokeswoman Tini Suryati said Thursday.

However, on Wednesday the head of the West Jakarta health subagency, Dr. Ariani Murti, told reporters 50 people had been tested for bird flu, with the results all negative.

Tini said her agency was unaware of any friends or relatives of the victim who had displayed typical symptoms of bird flu, including a high fever or respiratory problems.

Both agencies are yet to find a dead or ill bird in the neighborhood of the victim.

In an effort to control the spread of avian influenza in Jakarta, the City Council passed an ordinance in April controlling the farming and distribution of poultry.

According to the ordinance, poultry farmers are required to have a Jakarta identity card, permission from neighborhood authorities, documents detailing the number of birds kept and the size and shape of their enclosure and a license from the City Animal Husbandry and Fisheries Agency. Poultry farms must also be located at least 25 meters from any residential area.

Poultry farmers and slaughterhouse owners with preexisting businesses have six months to fulfill the requirements or their businesses will be shut down and their birds seized.

http://www.thejakartapost.com/detailcity.asp?fileid=20071228.C03&irec=2