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Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive, Reported by WHO

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  • #16
    Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

    [Source: Republika Online, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]
    Two siblings died of bird flu, Citizens Asked to Beware



    Senin, 10 October 2011 12:44 WIB


    REPUBLIKA.CO.ID, DENPASAR - The case of the death of brother and sister from Bangli District, Bali exposed to bird flu virus (H5N1) was the first occurred in 2011, since something similar happened in 2007.

    Secretary of the Committee for Avian Influenza Disease Control General Hospital (Dr ) Sanglah, Denpasar, Dr. Ken Wirandi IGB said this to reporters on Monday. He explained that in 2007 the two H5N1 patients who were treated at the largest referral hospital in the island resort that also can not be helped and eventually died.

    At that time, Dr. Ken added, the number of cases of bird flu virus patients admitted to hospital were as many as 46 people.

    "So the number of cases of disease from 2007 to now 48 cases, with patients who died as many as four people," he said.

    According to Ken, if view of the deaths of two residents Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency that, theoretically, could be categorized as an extraordinary event. It was, said he, on the basis of previous cases did not exist until it suddenly resurfaced with casualties.
    "We hope communities across the territory of Bali increased vigilance against infectious diseases are very dangerous," he said. Ken said, caution is particularly in the processing of chicken or other poultry that was really good before it is served or eaten. In addition, , he added, also in the maintenance of cleanliness need to be considered poultry cages and the place to be free from disease.
    - -------

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    • #17
      Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

      [Source: Kompas, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]
      Indonesia, Bali: Two Bird Flu Stricken Children Died



      Herpin Dewanto Putro | Suprihadi Marcus | Monday, October 10, 2011 | 12:53 pm


      DENPASAR, KOMPAS.com - With the death of two children on Sunday night, means it's four people died in Bali because of bird flu since 2007.

      In a statement to reporters on Monday (10/10/2011), the Director General and Operations General Hospital Center (Dr) Sanglah Denpasar Elzarita Arbain states, the latest victim of bird flu occurred in 2007. At that time there were two people dead.

      Previously reported, the two children in Bali tested positive for bird flu virus. Two sisters, Wayan Ardiawan (10) and Nengah Rica (5), died on Sunday (9 / 10) night at the General Hospital Center for Sanglah Denpasar.

      "After viewing the samples we send, Agency for Health Research and Development Ministry of Health stated positive bird flu," said Elzarita.

      Both victims were from Jehem village, Bangli regency, Bali. They began being treated at Sanglah Hospital on Friday (7 / 10). "When they come, they have not been identified bird flu, but we already have suspicious symptoms," said Elzarita.

      When it comes in Sanglah Hospital, two victims still looks shocked and consciousness is decreased.
      - -------

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      • #18
        Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

        [Source: ANTARA, full text: (LINK).]

        Two balinese residents die of bird flu



        ‎10 October ‎2011

        Two residents of Bangli District, Bali Province, here on Sunday evening died of bird flu virus after being treated for several days at Sanglah Regional Public Hospital.
        - ------

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        • #19
          Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

          "After viewing the samples we send, Agency for Health Research and Development Ministry of Health stated positive bird flu," said Elzarita.
          Kompas
          ?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


          • #20
            Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

            Two children die of bird flu on Indonesia's Bali

            Oct 10, 2011

            Denpasar, Indonesia - Two children have died of bird flu on Indonesia's resort island of Bali, hospital staff said Monday.

            Wayan Aldiawan, 10, and his 5-year-old sister Nengah Rika Ani died Sunday after being treated for two days, Sanglah hospital official Elzarita Arbain said.

            'Throat swabs and blood samples came back positive for H5N1,' he said, referring to the deadliest strain of bird flu.

            The chief of the hospital's bird flu ward, Ken Wirasandi, said the children had contact with dead fowl in their neighbourhood in Bangli district.

            Before the latest cases, two people died of bird flu in Bali between 2007-08.

            According to the World Health Organization, Indonesia has had 146 human deaths from bird flu, the highest in the world.

            monstersandcritics
            ?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


            • #21
              Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

              Two Boy Dies Due to Bird Flu

              Monday, October 10, 2011 | 13:36 pm

              TEMPO Interactive, Denpasar - Wayan Aldiawan, 10 years, and Nengah Ani Rica, 5 years, from Tembuku Village, Bangli, Bali, allegedly died from bird flu, early Monday, October 10, 2011. The bodies of the brothers are still stored at the General Hospital Center for Sanglah.

              Nyoman Bali's Chief Medical Officer Suteja said it fielded a team into the field. "There is a history of contact with dead chickens," he said. As already showing symptoms of decline in health condition, the family did not immediately took him to the hospital and instead hide. "This is what makes the condition worse," he said.

              A somewhat confusing, chickens that died at home the boys were brothers after testing negative results. Therefore, it asked residents to increase their vigilance to immediately report the dead chickens unreasonably

              Secretary of H5N1 Avian Disease Prevention Team RS Sanglah I Gusti Bagus Ken Wirasandi said during a hospital admission on Friday, October 7, 2011, both patients had decreased consciousness and a ventilator. The case this time is the second case of bird flu had attacked Bali in 2007. At that time there are 46 suspected bird flu patients, 2 patients of whom eventually died and tested positive for H5N1.

              For the handling of bird flu, Bali today still have a stock of about 3,000 Tami flu tablets, 2,000 tablets of which are stored in Sanglah Hospital. But he warned tamiflu optimal only in the first 24 hours after a person suspected of bird flu. Because it is so there are no symptoms leading to bird flu, people should be quickly reported.

              SWEP throat and blood samples of both victims have been sent to Balitbang Department of Health and has been confirmed H5N1 positive. This was confirmed by laboratory results Sanglah Hospital and Udayana University biomolecular laboratories. Laboratory tests in the form of PCR (polymerase chain reaction) by taking SWEP throat.
              Screening also includes the serial photographs of the victims lungs conducted once every six hours and showed progression of the deteriorating and positively infected by H5N1 virus.http://www.tempointeraktif.com/hg/nu...360681,id.html
              CSI:WORLD http://swineflumagazine.blogspot.com/

              treyfish2004@yahoo.com

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              • #22
                Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

                Leave Families Party bodies Bird Flu Patients

                Monday, October 10 2011 12:06 AM | Bali Update | Read 27 times

                Denpasar (Bali Reuters) - The family left the body of ALD (10) and Ra (5) who had died from bird flu virus attacks to the General Hospital Center (Dr) Sanglah, Denpasar.

                "The bodies of two brothers by his family for a week because it is deposited in the village where his parents lived a religious ritual is in progress so not allowed to do the ceremony of death according to Hindu religious beliefs," said Director General and Operations Sanglah Hospital, dr Elzarita Arbain, M . Kes, in Denpasar, on Monday.

                Yet according to the procedures the corpse handling infectious diseases, he explained, should be immediately cremated.

                It aims to break the chains of the spread of the deadly virus that do not extend.

                "But now the family is not able to perform cremation ceremony for the course are other religious rituals in the village," he said.http://www.antarabali.com/berita/149...ien-flu-burung
                CSI:WORLD http://swineflumagazine.blogspot.com/

                treyfish2004@yahoo.com

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                • #23
                  Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

                  Residents Reject Return of Bird Flu Killed Boy 2
                  Residents Reject Return of Bird Flu Killed Boy 2

                  Monday, October 10, 2011 13:59 pm


                  DENPASAR-Two boys who died from bird flu virus was forced to temporarily deposited in the hospital, because people in his village in Bangli regency, Bali, refused to return them.

                  Actually, medically, the patient of bird flu victims must be immediately carried out the cremation and burial process should not be delayed. This is done so that the bird flu virus does not spread.

                  Director General and Operations General Hospital Center (Dr) Sanglah Denpasar, dr Elzarita Arbain, said both patients KRA (5) and WA (10) failed to take home her family.

                  "In the village held a ceremonial center, so that the bodies are not allowed to be brought home now," said Elzarita during a press conference in his office on Monday (10/10/2011).

                  Description of the residents in the village of Banjar District Jehem Tembuku known, the bodies of two victims only allowed to take home approximately one week.

                  Therefore the bodies of brothers temporarily deposited in the isolation room while a hospital morgue. Cremation is believed to be aiming to eventually break the chain so that the spread of bird flu disease is not contagious to those around him.

                  On different occasions, the hospital asked the public to increase their vigilance over the spread of bird flu or H5N1 virus.

                  "We hope the places with a potentially deadly infectious diseases such as market centers or sick birds should really pay attention," added the Secretary of the Management Team Sanglah Hospital of Infectious Diseases, Dr. Ken Wirasandi IBG.

                  As is known after three days of being treated in two boys initials CFC (5) and WA (10) from Bangli District who entered the hospital Friday, October 7, eventually died from bird flu virus attacks.

                  Two sisters arrived on Friday, October 7 and eventually died in a row on Sunday night. KRA sitting in Kindergarten died at 20.20 pm, while his brother WA 5 th grade students eventually died at 24.00 pm.


                  Monday, October 10, 2011 13:59 pm

                  http://news.okezone.com/read/2011/10...was-flu-burung
                  CSI:WORLD http://swineflumagazine.blogspot.com/

                  treyfish2004@yahoo.com

                  Comment


                  • #24
                    Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

                    Monday, October 10, 2011

                    Bird Flu Claims Two Lives On Bali



                    # 5888


                    Roughly 48 hours ago (Oct 8th) Gert van der Hoek (aka Dutchy) on FluTrackers posted an Indonesian MetroTV report on two children hospitalized on Friday (Oct 7th) with severe respiratory symptoms on the resort island of Bali.
                    Given their reported contact with chickens, and the endemic nature of the H5N1 virus in Indonesia, bird flu was immediately suspected.

                    Over the next two days the newshounds on FluTrackers and the Flu Wiki posted more than 2 dozen translated reports on these two children, and yesterday we learned that preliminary testing indicated bird flu, and that both children were on respirators.
                    You can follow the FluTrackers Thread and the FluWiki thread for more details.
                    This morning we’ve word that both children have died, and that H5N1 has been confirmed. While a number of news reports are reporting these deaths, TEMPO Interaktif seems to have the most details.
                    Two Boy Dies Due to Bird Flu

                    Monday, October 10, 2011 | 13:36 pm
                    TEMPO Interactive, Denpasar - Wayan Aldiawan, 10 years, and Nengah Ani Rica, 5 years, from Tembuku Village, Bangli, Bali, allegedly died from bird flu, early Monday, October 10, 2011. The bodies of the brothers are still stored at the General Hospital Center for Sanglah.

                    Bali’s Chief Medical Officer Suteja said it fielded a team into the field. "There is a history of contact with dead chickens," he said. As already showing symptoms of decline in health condition, the family did not immediately took him to the hospital and instead hide."This is what makes the condition worse," he said.

                    A somewhat confusing, chickens that died at home the boys were brothers after testing negative results. Therefore, it asked residents to increase their vigilance to immediately report the dead chickens unreasonably

                    (Continue . . .)
                    According to other reports (here & here) prophylactic Tamiflu is being provided to family members and close contacts to these boys, and the community has been told that Tamiflu would be provided to anyone who had contact with sick or dead chickens.

                    All of this is highly reminiscent of the events of August 2007, when an outbreak of H5N1 killed two women (and was suspected in the death of one’s 5 year-old daughter) on the island of Bali (see WHO reports here and here) (my bolding - S.)

                    Bali, with a population of just under 4 million, is a popular international tourist destination, although its reputation has suffered in recent years due to outbreaks of bird flu, dengue, and rabies.
                    A number of countries, including the US and Australia, have issued travel health warnings for Bali, and for the rest of Indonesia (see Here). (my bolding - S. )
                    Although news reports of bird flu outbreaks, and human cases, in Indonesia have declined over the past couple of years the virus remains endemic in that country, and continues to mutate and spread.

                    Reporting and surveillance in Indonesia – as it is in much of the world – leaves much to be desired. So while Indonesia reports 146 total deaths from the H5N1 virus, the actual number is unknown.


                    With these two new deaths, a good deal of attention will be focused on Bali over the next couple of days to see if additional cases show up

                    Posted by Michael Coston at 7:32 AM

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                    • #25
                      Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

                      To summarise some key points that we need to remember here:-

                      a) as far as I can gather, the chickens tested negative for H5N1 but there were (as far as I can interpret these reports) chickens that died. This suggests that either the virus in these birds has mutated away from the testing reagents producing a false negative, or that they were not the transmission vector. This needs to be determined.

                      b) the children were not brought for treatment in a timely fashion, and sadly, this means that Tamiflu was not administered early, which will likely have played a factor in these children's deaths. My heart goes out to their poor parents

                      c) I think that only local tests have currently confirmed H5N1 and that we do not have confirmatory tests as yet from the central laboratory

                      Comment


                      • #26
                        Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

                        @Vibrant62 , regarding the lab tests, a translated snip from VIVA news. According to this article 4 labs got a positive testresult.

                        Test Laboratory

                        Denpasar Sanglah Hospital Director Dr. Ken Wirasandhi said, originally both patients are not referred to as bird flu patients. However, in the progress that can be seen by naked eye is medically, the Sanglah Hospital guess if both are suffering from bird flu.

                        The assumption is finally performed laboratory tests. Examination conducted in the Lab. Sanglah Hospital, Laboratory Biomol Udayana University School of Medicine and the Bali Provincial Laboratory. From the examinations of the three laboratories the result was positive bird flu.

                        "But the three laboratories did not have the authority to publish the results of lab tests. Sanglah Hospital party finally sends the same samples to the Laboratory Kemenkes RI (Min of Health Jakarta,ed) and the result was positive for bird flu, "he said.
                        ?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


                        • #27
                          Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

                          Bali Hospital Confirms Two Cases of Bird Flu

                          Made Arya Kencana | October 10, 2011

                          Denpasar. Bali officials are on alert again after two children at Denpasar?s Sanglah General Hospital were diagnosed with the H5N1 strain of avian influenza.

                          The siblings, 5-year-old Nengah Rika and 10-year-old Wayan Aldiawan of Bangli district, were admitted to the hospital on Friday night with symptoms of avian influenza and placed in isolation.

                          The hospital?s medical and nursing director, Anak Agung Ngurah Jaya Kusuma, said on Sunday that the children had been in direct contact with dead poultry around their house and were treated at a local health clinic before being brought to Sanglah.

                          Officials are still waiting for results of further tests from Udayana University and the Health Ministry.

                          Bali Animal Husbandry Agency head Putu Sumantra said a team had been deployed to Bangli, but preliminary results showed no trace of H5N1. He said that given the preliminary test, he was not ready to conclude the birds died of avian influenza.

                          ?Nevertheless we remain vigilant. Some of the dead birds have been sent for further lab tests, the area has been sterilized and we have taken samples from family members,? he said.

                          A total of two people died of the virus in 2007 and 2008, but the province has still not enacted a 2005 gubernatorial regulation banning the import of poultry into the island from other areas.

                          Denpasar agricultural quarantine chief Saiful Muhtadin said many attempts were made to smuggle poultry into Bali, especially through Padangbai and Gilimanuk harbors.



                          -----------------------------------------------------
                          Bird Flu Claims Lives of Two Children in Bali

                          October 10, 2011


                          Denpasar, Indonesia. Two children have died of bird flu on Indonesia?s resort island of Bali, hospital staff said on Monday.

                          Wayan Aldiawan, 10, and his 5-year-old sister, Nengah Rika Ani, died on Sunday after being treated for two days, Sanglah hospital official Elzarita Arbain said.

                          ?Throat swabs and blood samples came back positive for H5N1,? he said, referring to the deadliest strain of bird flu.

                          The chief of the hospital?s bird flu ward, Ken Wirasandi, said the children had contact with dead fowl in their neighbourhood in Bangli district.

                          Before the latest cases, two people died of bird flu in Bali between 2007-08.

                          According to the World Health Organization, Indonesia has had 146 human deaths from bird flu, the highest in the world.

                          DPA
                          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                          -Nelson Mandela

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                          • #28
                            Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

                            Translated by Google

                            Patient Handling Bird Flu Maximum Already

                            Monday, October 10, 2011 13:17 Denpasar - General Hospital (Dr) Sanglah, Denpasar, said, attempts to tackle bird flu on two patients who died in hospital on Sunday night (9 / 10), has a maximum.

                            "We have leverage in dealing with two patients, including by providing anti-drug tamiflu and other infections," said Secretary of the Committee for Bird Flu Disease Control Sanglah Hospital, Dr I Gusti Bagus Ken Wirasandi, in Denpasar, on Monday (10/10).

                            However, he says, the lives of two brothers, each with the initials ALD, 10 years, and Ra, 5 years, it can not be saved while undergoing treatment in the Nusa Indah which is the isolation room for people with bird flu.

                            Wirasandi argues, when delivered to the patient's condition Sanglah Hospital has been very severe. "Progression of the deterioration is very fast since come in here, even the breathing system affected. Maybe it was one of the factors causing the patient died," he said.

                            He mentioned that, Ra died exactly at 20.20 pm. Followed his brother, ALD, at 0:00 pm.

                            Before referred to Sanglah Hospital, Friday (7 / 10) then, the two brothers who lived in Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, it was undergoing treatment at the health centers near his home.

                            While at Sanglah Hospital, ALD and Ra are given tamiflu. "Tamiflu is effective only given to patients who are exposed to bird flu virus within 1x24 hours, while two patients were already 12 days until the time they died," said Wirasandi.

                            According to him, the Ministry of Health Balitbang also been officially stated that, both patients were positive for bird flu after an examination of sputum samples VCR. The statement was submitted to the Sanglah Hospital, Sunday.

                            Meanwhile, Director General and Operations Sanglah Hospital, dr Elzarita Arbain, M. Kes, stating that it had previously done an examination of both blood samples of patients and the result is positive of bird flu.

                            "Our examination was done on our suspicions to the patient against possible bird flu virus because of previous health centers and hospitals do not provide explanations related illnesses suffered by patients before referred to here," he said.

                            Similarly, the results of laboratory tests conducted by the Faculty of Medicine University of Udayana (Udayana University) Denpasar on both sputum samples, were equally positive for the H5N1 virus.

                            Until now, the bodies of ALD and Ra are still stored in Sanglah Hospital morgue because it has not taken up by the family. [TMA, Ant]

                            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                            -Nelson Mandela

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                            • #29
                              Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

                              snip from MetroTV:

                              10 Oktober 2011 19:46

                              Google translation:
                              Not yet known where the children were infected, because his family's knowledge there is no dead birds around their homes.
                              Toggletext translation:
                              It was not yet known where the two children [were] infected, because his family's foreknowledge did not have the poultry died around their residence.
                              Original:
                              tidak ada unggas mati
                              ?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


                              • #30
                                Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

                                Source: http://www.thejakartaglobe.com/home/...in-bali/470833

                                Bird Flu Kills 2 Children In Bali
                                Made Arya Kencana | October 11, 2011

                                Denpasar. Two young siblings from a family in Bali?s Bangli district are Indonesia?s latest fatalities claimed by the H5N1 virus that causes bird flu, a hospital official said on Monday.

                                ?The samples of throat swab and blood that we have sent to the Health Ministry?s research and development department has been positively confirmed to contain H5N1,? said Elzarita Arbain, the director for general and operational affairs at the Sanglah General Hospital in Denpasar.

                                Elzarita referred to Wayan Aldiawan,10, and Nengah Rika Ani, 5. The children, both from Tembuku village, died at the hospital on Sunday, two days after they were admitted there.

                                Rika died at about 8 p.m. on Sunday, while her brother followed four hours later.

                                Indonesia?s last official avian influenza fatality was a woman from Tangerang, who died in July 2010.

                                ?The bodies of the two cannot yet be taken home because there is still an ongoing ritual ceremony at their village. The bodies have been temporarily put in the morgue,? Elzarita said.

                                I Gusti Ken Wirasandi, head of the hospital?s H5N1 flu mitigation team, said when the siblings were admitted to Sanglah, they were barely conscious and had to be assisted with breathing equipment.

                                Ken added that the deaths were immediately reported to the Bali health authorities.

                                Bali Health Office chief Nyoman Sutedja said the last bird flu fatalities on the island occurred in 2007, when two patients from a total of 46 infected people succumbed to the virus...

                                ...He said that in the case of the two children in Bangli, the family failed to report their bird flu symptoms to local health authorities promptly and instead had tried to hide the illness.

                                ?That made the condition worse,? he said.

                                Putu Sumantra, the head of the Bali Animal Husbandry Office, said the source of the H5N1 infection was unknown.

                                ?The two patients did have a history of contact with dead poultry, but when we went to the location, we only found one live chicken remaining that belonged to the victims. After a rapid test, the results were negative for H5N1,? he said.

                                He said a team would continue to look for the source of the virus in the area...

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