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  • Re: Indonesian Human Cases Dec 4th +

    Great explanation how negative testresults could be related to administration of Tamiflu.


    The Death Resulting From Bird Flu In Indonesia 81 Percent

    Jakarta - The case of bird flu in Indonesia cumulatively reached 116 people, 94 people including dying.

    Therefore, the death rate (case fatality rate/CFR) as a result of bird flu reached 81 percent. The increase in this death rate after the patient had the initials DF (the woman, 24 years), the resident of the Sumur Bor, Kalideres, of Cengkareng, Jakarta Barat, that was positive suffered bird flu (H5N1) died.

    DF was stated positive bird flu after having the research from the Badan Litbangkes Departemen Laboratory of the Health. DF began to be sick (onset) on December 14 2007 and was treated in RS Cengkareng since December 19 2007, afterwards died on December 25 at dawn. Therefore, in the Special Capital District of Jakarta Province was gotten by 27 positive cases of bird flu, 24 people including dying.

    The explanation was raised by Director General Pemberantasan of the Illness and Lingkungan Sanitation (PP&PL), Dr I Nyoman Kandun, when being contacted by SH [Sinar Harapan], on Wednesday (26/12) the night, in Jakarta.

    Contacted separately, the Head of the Dinas Peternakan Ethnic Group and Pemerintah fisheries of the City (the Municipal Government) Jakarta Barat, Chaidir, explained casualties named Diana Flesti Shinta that became the administrative staff in an iron company and the steel in the Pantai Indah Kapuk Region, only suffered common flu. Casualties in fact suspected himself only suffered the typhus illness, but was afterwards stated positive bird flu.

    Chaidir mentioned, at this time his side carried out the neutralisation action around casualties's house that was expected strong was dirtiest. His side also destroyed the poultry along with the pen as well as sprayed disinfectant in the location. "In front of the house late had the location of the empty land the place of garbage disposal and muddy. In the place we also found five poultries consisted of two chickens, two geese and one pigeon. The strong assumption of the location was dirtiest," he explained.

    In the meantime, six people who came from two families but were kept in one house in Serang, Banten, being stated by the bird flu negative because immediately took medicine.

    They took medicine because of experiencing the sign similar to bird flu after his 17 chickens died suddenly.

    "The level of the awareness that was high to immediately take medicine helped them was avoided from the risk. Earlier we suspicious happened kluster.

    They could be isolated, was given medicine oseltamifir and was checked by Balitbangkes Departemen of the Health. Results of the negative," explained Nyoman Kandun.


    The six people came from the Terumbu Village, Serang, was M. (the man, 15 years), N (the man, 8 years), N (the man, 11 years), M. (the man, 25 years), I (the woman, 17 years), A (the woman, 30 years). They experienced the sign of flu since last December 19 and could be treated in the Serang Hospital, Banten. Apart from being stated by the bird flu negative, Balitbangkes Department of Health also stated they were negative chikungunya.

    The head of the Centre of Publik Communication Dr Lily S Sulistyowati, continued warned to the community so that always washed the hands with soap before and after eating, before and after cooking, as well as when presenting cooking. So also the cooking utensils must be washed clean with soap. Whereas if cooking the chicken and the chicken egg must until ripe.

    "Don't touch the poultry that was sick or died. If being already done, very fast washed the hands with soap. Immediately reported to the chairman RT/RW or the village head. Pen the poultry and separated from the settlement. Separate the new poultry from the long poultry for two weeks. Clean the poultry pen routinely minimal one week very much, he stressed.

    Lily also stressed so that the community immediately be examined by the doctor, the community health centre or the hospital if experiencing the sign of flu and the fever, especially after being adjacent to the poultry.



    credits dbg
    ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
    Richard Horton, Editor-in-Chief The Lancet

    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

    Comment


    • Re: Indonesian Human Cases Dec 4th +

      "2 people that contact in the hospital experienced the sign of fever(like)",
      This could refer to Health Care Workers?


      Health Service checked the Sample of Blood 51 People

      on Thursday, December 27 2007 | 15:01 WIB

      The Interaktif TIME, Jakarta:

      Officially Health Special Capital District OF Jakarta said took sample blood from 51 people that once direct contact with DF casualties were killed the bird flu virus last Tuesday.

      They were 2 people a house with casualties, 9 people of contact in the house, 40 people of contact in the hospital.

      According to, Tini Suryati, the spokesperson from Health Service, 40 people that contact in the hospital had 4 people who were done by the inspection swab or the mucus inspection on the nose and the throat.

      "2 people that contact in the hospital experienced the sign of fever(like),'' said Tini to the Time via telephones today."

      Currently, their condition was still stable because his leucocytes were still normal.

      Results of the sample inspection of blood, said Tini, could be known around one week.

      As for results of investigation that was carried out by the Kesehatan Service around casualties's house was not found by the case of the fever.

      Rudy Prasetyo



      credits Mojo
      ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
      Richard Horton, Editor-in-Chief The Lancet

      ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

      Comment


      • Re: Indonesian Human Cases Dec 4th +

        Seems like it refers to health care workers.

        Comment


        • Re: Indonesian Human Cases Dec 4th +

          perhaps I ve missed something : but why did results take one week ?



          Hari Ini Penyisiran Unggas Terakhir di Kalideres
          Jum'at, 28 Desember 2007 | 12:21 WIB
          TEMPO Interaktif, Jakarta:Suku Dinas Peternakan dan Perikanan Jakarta Barat akan menyisir keberadaan unggas terakhir pada Jumat (28/12) ini di Kelurahan Kalideres.

          Kepala Suku Dinas Peternakan dan Perikanan Jakarta Barat Chaidir Taufik mengatakan, instansinya telah menyisir dan memusnahkan unggas di Rt 01 dan 02, dua hari lalu. Sehari kemudian, kegiatan ini dilanjutan dengan menyisir RT 03, 04 dan 05. "Hari ini akan dilakukan penyisiran unggas terakhir di RT 06 dan 07," ujarnya pada Tempo, Jumat (28/12).

          Hal tersebut dilakukan karena perempuan berinisial DF (24 tahun) warga Jalan Sumur Bor RT 02 RW 12 Kelurahan Kalideres diduga meninggal karena terkena virus Flu Burung pada Selasa lalu (25/12).

          Kemarin, kata dia, pihaknya menemukan 66 unggas pangan dan hias milik 20 warga yang tinggal di RT 03, 04 dan 05. "Sesuai dengan adanya Peraturan Gubernur, kami telah memberikan peringatan kepada 20 orang tersebut untuk meniadakan unggasnya dengan dikonsumsi, dijual atau dimusnahkan dalam waktu seminggu," ujarnya.



          The Dinas Peternakan ethnic group and fisheries Jakarta Barat will comb the existence of the last poultry on Friday (28/12) this in the Kalideres District.
          The head of the Dinas Peternakan Ethnic Group and Jakarta fisheries of Barat Chaidir Taufik said, his agency combed and destroyed the poultry in Rt 01 and 02, in the last two days.
          A day later, this activity dilanjutan by combing RT 03, 04 and 05.
          "Today will be carried out penyisiran the last poultry in RT 06 and 07," he said in the Time, on Friday (28/12).
          This matter was done because the woman had the initials DF (24 years) the resident Street Sumur Bor RT 02 RW 12 Kalideres districts it was suspected died because of being affected by the Bird Flu virus last Tuesday (25/12).</pre>
          Yesterday, said he, his side found 66 food poultries and decorated property 20 residents who lived in RT 03, 04 and 05.
          "In accordance with the existence" of "Governor's Regulation, we gave the warning to 20 people to abolish his poultry by being consumed, sold or destroyed in time a week," he said.
          He added, "in time a week, we aimed at RW 12 clean from the poultry and the bird flu threat," he said.</pre>

          Comment


          • Re: Indonesian Human Cases Dec 4th +

            "perhaps I ve missed something : but why did results take one week ?"


            I understand the report like this:

            according to regulations it is forbidden to keep poultry in this region. After the latest death, the livestock service "combed" the area and found "illegal" poultry. You can get a permit after testing your poultry by a vet.

            In a week time they want the area to be clean of "illegal" poultry.


            Note: other reports mentioned poultry in this area tested negative for bird flu, no single positive case found in poultry. No mentioning of testing other species, like cats, dogs, etc.
            ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
            Richard Horton, Editor-in-Chief The Lancet

            ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

            Comment


            • Re: Indonesian Human Cases Dec 4th +

              Commentary at

              Comment


              • Re: Indonesian Human Cases Dec 4th +

                Originally posted by niman View Post
                Commentary

                H5N1 Under the Tamiflu Blanket

                Recombinomics Commentary 00:33
                December 29, 2007

                In the meantime, six people who came from two families but were kept in one house in Serang, Banten, being stated by the bird flu negative because immediately took medicine.

                They took medicine because of experiencing the sign similar to bird flu after his 17 chickens died suddenly.

                "The level of the awareness that was high to immediately take medicine helped them was avoided from the risk. Earlier we suspicious happened kluster.

                They could be isolated, was given medicine oseltamifir and was checked by Balitbangkes Departemen of the Health. Results of the negative," explained Nyoman Kandun.

                The above translation suggest that the recent cluster in Serang, Indonesia tested negative because testing was primarily on samples collected after the start of Tamiflu treatment. Tamiflu inhibits the release of influenza from cells, so viral RNA levels in circulation decline. This decline has the potential of producing false negatives, which may account for the high case fatality rate in Indonesia. Patients treated early recover and test negative, even though they were H5N1 infected. Those who start treatment late, or have a high viral load, test positive but subsequently die.

                The effect is most easily seen in clusters. One of the best examples was the Garut cluster. Although there were only three confirmed cases, the confirmed cases were in significant clusters. They were linked to earlier cases who died with bird flu symptoms, but samples were not collected for testing, so the index cases for the multiple clusters were not confirmed.

                The positive cases led to the implementation of a Tamiflu blanket over the entire village. Many contacts developed symptoms and were hospitalized. Several were into the ICU, but none tested positive. A health care worker noted that many times initial tests are negative. However, the Tamiflu makes the subsequent test negative also, so the patient recovers but the recovery doesn’t lower the case fatality rate because H5N1 is never confirmed. Confirmation could be done with follow-up test on convalescent sera collected 3-4 weeks after symptoms, but such follow-up is rare.

                This type of follow-up was planned for the outbreak in Turkey. Those cases also had problems with false negatives. The four siblings which included the index case all tested negative initially. Three of the four died and tested positive, but were only positive with lung samples collected at the time of death. A Tamiflu blanket was aggressively applied, but results from follow-up testing were never reported and it is not clear that samples were ever collected.

                Comments from the latest cluster in Pakistan indicate testing there is also on samples collected after the start of Tamiflu treatment. Antibody testing of the negatives has been promised, but at this time only one of the nine patients were positive in local test have been confirmed by WHO reference labs.

                The false negatives can lead to a lack of follow-up on contacts and a false termination of a transmission chain, which can lead to assurances that are not supported by the true infections or spread.


                .
                "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

                Comment


                • Re: Indonesian Human Cases Dec 4th +

                  thank you Dutchy, I tought it was for human results

                  Comment


                  • Re: Indonesian Human Cases Dec 4th +

                    From Java

                    2 employees of the Restaurant in Bandung Suspect Bird Flu

                    Bandung - two employees of a restaurant in Cicalengka Kabupaten Bandung suspect bird flu, after both of them could contact with the chicken died in his workplace.

                    According to the doctor who handled the two of them, Arto Djuwono, Bambang (17) and Asup (25) was run off with to RS Hasan Sadikin on Sunday (30/12/2007) with the condition for the fever.

                    One high fever patient, and that was other rather feverish, said Arto to the reporter in RSHS, Street Pasteur, on Tuesday (1/01/2008).

                    Arto reluctantly detailed clearly, who the patient who suffered the fever was higher.

                    Although the fever, both of them did not experience breathless.

                    However because from the patient's information, both of them could contact with the poultry that died, then Bambang and Asup were carried to special space the maintenance of the patient of Poinciana Tree bird flu on Monday at dawn struck 01,00 WIB, (31/12/2007).

                    The two of them worked in a restaurant in the Cicalengka area.
                    Nah on December 29, the two of them were assigned to throw the chicken that died suddenly in the restaurant away. However now was not yet known by the cause of the death of the chicken, said Arto.


                    According to him from results of the temporary inspection, small the possibility of the two patients contracted the illness that was caused by the virus H5N1 this.

                    If seeing the story of the illness both of them, could they contracted the other illness, he said without wanting to name the illness what possibly was contracted by them.

                    Arto continued, Bambang's condition and Asup currently begins to be stable.
                    His fever has begun to descend and not have the respiratory infection.
                    Nevertheless, both of them were still being treated as the patient suspect bird flu. We were till his seven development days waiting, said Arto.

                    Arto claimed to be himself got in passing the news if one of the patients has been ascertained by the bird flu negative. However, that did still not have the assurance.

                    In the meantime the father Bambang, Yayan (35), the resident of the Village of Babakan Kecamatan Cihampelas Kabupaten Bandung Barat, said in his house did not maintain the poultry. In our house did not have the poultry.

                    Possibly in kosan * Bambang in the area of Rancaekek Kabupaten Bandung was available, he revealed. He claims to be his child currently in the stable condition.

                    Hot him that could achieve 38 levels celcius, currently has descended.
                    According to him Bambang and Asup apart from one workplace, also one kosan *.

                    * kosan = rented room or rented house)

                    From Detiknews

                    http://dicky.wahyupurnomo.com/detik/?id=10528


                    Link to original at Detikcom: http://www.detiknews.com/index.php/d...326/idkanal/10
                    Last edited by Gert van der Hoek; January 2, 2008, 02:24 PM. Reason: added link to original report
                    ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                    Richard Horton, Editor-in-Chief The Lancet

                    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                    Comment


                    • Re: Indonesian Human Cases Dec 4th +

                      RSHS Rawat 2 patients Suspect AI

                      The case of re-bird flu terjadi.Kali this, the illness it was suspected attacked two officials of the restaurant in Cicalengka, Kab Bandung, had the initials B,17,dan A,25.
                      The two patients experienced hot high, was sick in the chest part, and had the story of contact with the poultry (the chicken) that died suddenly.

                      Currently both of them receive the intensive maintenance in special space the patient suspect Poinciana Tree bird flu, RS Hasan Sadikin (RSHS) Bandung.
                      Chairman Tim of the Control of RSHS Bird Flu Dr Hadi Jusuf said, the patient B and A entered RSHS on Sunday (30/12).
                      Because of having the story of contact with the poultry died suddenly, they were treated intensive in Poinciana Tree space with the status suspect bird flu.

                      However to anticipate, we carried out the maintenance of the two patients in Poinciana Tree space with the standard suspect flu birds, "Hadi words when being contacted by SINDO, overnight.
                      He explained, while undergoing the maintenance in Poinciana Tree space, the two patients were given medicine anti-bird flu (tamiflu) appropriate dosis.Tim the doctor also took sample blood from the two patients". "the story of contact with the poultry that died was clear enough.
                      So, we dealt with him in accordance with the standard of the patient suspect flu burung. Kami also gave anti-flu and the taking of blood.
                      Hopefully results of the negative," please he.

                      This, continued Hadi, after undergoing the intensive maintenance, the condition for the patient suspect B and A gradually improved.
                      His body heat began to descend and the other sign has come back was normal. "However, there was one patient that still felt was sick on the chest," clearly Hadi without explained who this patient, B or A. Dia added, the team of the RSHS bird flu doctor will carry out the supervision of the two patients for seven days to depan.Selain that, his side also still was waiting for results of the blood test that was sent to the Penelitian Dan Pengembangan Kesehatan Body (Balitbankes) ,Jakarta. "So, we continued to treat the patient while being waiting for results sample his blood," added Hadi.

                      In the meantime, Section Head Peneternakan (Disnak) West Javanese Rachmat Setiadi did not yet receive the related report on the existence of the case of bird flu that emerged in the Cicalengka territory, Kab Bandung.
                      However, said he, at this time his side will not carry out the action of the poultry vaccination if being proven in this region terjangkit the virus H5N1.
                      Because, continued Rachmat, vaccination efforts that were carried out at this time will not be effective to deal with the spreading of the bird flu virus.
                      Moreover, continued he, the availability of the bird flu vaccine in Disnak West Java his condition increasingly diminished so as efforts for the prevention of the spreading of the bird flu virus that was carried out of Disnak West Java only with the step bio dissecurty (spraying of disinfectant) "Efforts that are carried out now only maintained the cleanliness lingkungan.Dengan sprayed disinfectant to the area that was expected terjangkit the bird flu virus," he said.
                      According to him, giving of the bird flu vaccine to the poultry in West Java will be carried out after the government of the centre dismissed results of the use of the new vaccine.
                      Because, with the type vaccine for a long time was suspected the bird flu virus experienced immunity.


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                      Comment


                      • Re: Indonesian Human Cases Dec 4th +

                        More from Bandung Hospital, West Java; 1 patient tested negative for bird flu; both of them still are treated as bird flu patients.

                        RSHS is Treating 2 "Suspect" Bird Flu

                        Flamboyan Rumah Sakit Hasan Sadikin space (RSHS) Bandung again received the patient suspect bird flu. Two patients who entered were the employee of the restaurant in the Rancaekek area, Kab.Bandung.

                        Both of them were BMB (17), the resident Kp.Babatan, the Cipatik Village, ec.
                        Cihampelas, Kab.Bandung was Barat (KBB), and AS (25), the Tasikmalaya resident.

                        The two patients were stated suspect after could contact with the chicken died in his workplace.

                        Bmb and Asr entered Flamboyan Space, on Monday (31/12) approximately struck 01,00 of WIB. They beforehand could undergo the inspection in observation space of the serious installation the emergency (IGD) because of having the high fever.

                        The doctor who handled them, Dr. Arto Djuwono, justified this matter.
                        However, Arto did not detail clearly who the patient who suffered the high fever. One high fever patient and that was other rather feverish, said Arto to the reporter in RSHS, on Tuesday (1/1).

                        Arto said, although experiencing the fever, but both of them did not have signs experienced the infection in breathing like breathless and the cough.
                        Only the two patients acknowledged had had contact with the poultry died on Friday (28/12).


                        The two of them worked in the same restaurant and remained at one mes.
                        On Friday (28/12), there was the chicken died suddenly and the two of them exiled him.

                        However now was not yet known by the cause of the death of the chicken, what positive bird flu or not, he explained.

                        Negative news

                        Arto also stressed, from results of the temporary inspection, small the possibility of the two positive patients was affected by the virus H5N1 (bird flu).

                        From the story of the health of the two patients, there was the possibility of both of them being affected by the other illness.

                        And from temporary results of the sample inspection of blood in Balitbangkes Jakarta, said had one negative patient was affected by bird flu.

                        There was the negative news, but we did not know whichever patient.

                        For more information, yes was waiting for results on the whole, said Arto.
                        He added, at this time the Bmb condition and the AS have begun to be stable. His fever did descend and not have the respiratory infection.

                        Nevertheless, both of them were still being treated as the patient suspect and was treated in Flamboyan Space.

                        Treated by us was proper for the patient suspect. We also gave Tamiflu to both of them, he said.

                        In the meantime, the father Bmb, Yayan (36) that was met in the Flamboyan Space waiting room, on Tuesday (1/1), said, in his house did not maintain some sort poultries.

                        He also said surprised if Bmb true was affected by the bird flu virus.
                        But, possibly there my child had had contact with the chicken or the other poultry. If in the house in Cipatik indeed not, he said.

                        According to Yayan, he finally met his child on Friday (28/12) when coming home. At that time his child in the healthy condition. Bmb not complain about was sick anything.Seen by me at that time he was just very healthy.
                        I myself did not know his cause must be until my child treated.

                        Hopefully it's alright and get well soon, said Yayan that admitted to accepting the Bmb news was treated in the hospital after being telephoned by the colleague of his child.

                        ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                        Richard Horton, Editor-in-Chief The Lancet

                        ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                        Comment


                        • Re: Indonesian Human Cases Dec 4th +

                          Confirmation from Republika of the negative testresult:

                          - snip -

                          One of the doctors in Flamboyan Space, Dr Arto Djuwono, said, the condition at this time better than early the two patients suspect that entered.

                          They did not experience breathless and feverish as well as signs experienced the respiratory tract infection like flu and the cough.

                          When entering one of the patients suspect this experienced pain swallowed, and at this time the condition both of them have been better after being given by us the handling in accordance with the standard, that is gave tami flu with the certain dose, he revealed Arto.

                          He added, if in saw from the medical note the patient, they could contracted the other illness and the patient's situation did not head strong was attacked by AI.

                          However, was based on information that was received, both of them it was known experienced contact with the chicken died in his workplace, namely a restaurant or the restaurant around Cicalengka.

                          However could not be ascertained whether the chicken that died that was attacked by the virus of AI. (other report says chicken was thrown away,ed)

                          To his assurance, must be waiting for results of the VCR inspection and urologis.

                          However I received the news, one of his patients has been stated by the negative, said Arto.


                          ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                          Richard Horton, Editor-in-Chief The Lancet

                          ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                          Comment


                          • Re: Indonesian Human Cases Dec 4th +

                            Both patients tested negative, however must be confirmed by Jakarta Laboratory.

                            Two suspect bird flu treated in RSHS

                            Two patients were suspected of by bird flu being treated in Flamboyan Rumah Sakit Hasan Sadikin Space since, on Monday (31/12) at dawn.
                            They were AS (25) and BA (19), two workers in the restaurant in the Rancaekek Subdistrict, Kabupaten Bandung.

                            Currently their condition improves and heads to the bird flu negative.
                            The managing director RSHS Cissy Rachiana Sudjana Prawira Kartasasmita, on Wednesday (2/1), said, results of the inspection polymerase chain reaction (PCR) three successive times showed the bird flu negative.
                            This inspection was carried out in the Laboratory of Health West Java.

                            Nevertheless, RSHS continue to sent sample blood and apus the throat of the two patients to the Penelitian Body and Pengembangngan Kesehatan (Balitbangkes) in Jakarta. This to confirm that the negative really patient bird flu. But now did not yet have results, said Cissy.


                            Cissy the optimist that the two patients negtaif flu burung. apart from PCR free the virus H5N1, the condition for the patients continued to improve. The patient no longer experiences the high or breathless fever.

                            However, they continued to be handled as the patient was expected by bird flu because of having the story of contact with the poultry.

                            When coming to RSHS, the USA and BA to experience the sign that resembled the patient was expected by bird flu. They were feverish, the cough and having a cold. This sign was experienced by them after the previous day the USA and BA found the chicken died near his workplace.

                            Both of them afterwards threw this chicken carcass to the ditch away.
                            Separately, the father from BA, Yayan, explained, his child indeed liked to maintain the chicken.

                            But that previously because since having the socialisation about the bird flu danger several years ago, this hobby stopped.

                            Yayan personally no longer remained a house was with BA. Karena BA choosing the work in Rancaekek, while Yayan lived in the Cipatik Village, Kecamatan Cihampelas, Kabupaten Bandung Barat.

                            ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                            Richard Horton, Editor-in-Chief The Lancet

                            ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                            Comment


                            • Re: Indonesian Human Cases Dec 4th +

                              New suspected case in Bandung Hospital, West Java

                              Patients expected by Bird Flu Multiplied Again



                              The Hasan Sadikin hospital the other arrival of the patient was expected by bird flu, AT (33), the resident of the Rancaekek Wetan District, Kecamatan Rancaekek, of Kabupaten Bandung.

                              Currently in Flamboyan Space terbaring three patients were expected by bird flu.

                              Chairman Tim of the Control of RSHS Bird Flu, Hadi Jusuf, on Thursday (3/1) said, AT came to RSHS on Wednesday (2/1) struck 21,00. AT that time the temperature of the patient's body achieved 40 Celsius levels, blood pressure 134/86, and breathless. AT was afterwards given breath aids and now his condition did not realise.

                              The mother from AT, Wanimar (57) explained, his child suffered was sick the throat since last Saturday. After being brought to the closest doctor, the tailor only it was suspected was sick the throat. However, following AT days not hungry or ate.

                              "Afterwards was brought by me to the Rancaekek Community Health Centre and I was told to bring my child to RSHS," explained Wanimar.

                              According to Wanimar, AT did not maintain the chicken. Near his house also did not have the poultry died. However, in the AT workplace of many chickens.

                              ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                              Richard Horton, Editor-in-Chief The Lancet

                              ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                              Comment


                              • Re: Indonesian Human Cases Dec 4th +

                                [we know the tests have come back negative]

                                Two employees of the RESTAURANT IN RANCAEKEK was expected most FLAT BIRD FLU

                                Bambang and Asop, the employee of the restaurant in the Rancaekek region, Kabupaten Bandung, West Java, was expected flattest bird flu.
                                Both of them are currently treated in the Hasan Sadikin Public Hospital, Bandung.
                                Bambang (19) and Asop (20) was the patient suspect bird flu 116 and 117 that was treated by RSHS. Selain had the story of contact with the poultry, the resident's two patients Cipatik, Desa Cihampelas, of Cililin, Kabupaten Bandung, same suffered the high fever was accompanied by the cough.

                                Chairman Tim of the Handling of Bird Flu of RSHS Bandung, Hadi Yusuf said, the condition for the two patients was still stable.
                                To know was infected or not was second the employee of the restaurant, the RSHS side has sent the sample of the patient's blood to be checked in Laboratorisum Penelitian Dan Pengembangan Departemen of the Health in Jakarta.

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