Indonesia - Family in Karo suspected of having bf

[Theresa42]

toggletext-ed from Indonesian:

One Family It Was Suspected was affected by Bird Flu in Karo
May 10, 2006

One numbering family seven people in the Karo Regency, North Sumatra (North Sumatra) was suspected of being affected by the bird flu virus. A person has died, now six other still in the maintenance in the hospital.

Information that was received from the Head of the Information Body and North Sumatran Communication of Eddy Syofian stated, the data that was received from the North Sumatran Health Service, named casualties who were expected strong at being affected by the bird flu virus was villagers the Simbelang Fortification, the Subdistrict of three bows, of the Karo Land Regency.

"Four people who it was suspected were affected by the bird flu, at this time were still being treated in Adam's central Public Hospital the Medan Owner," said Eddy Syofian to the reporter, on Tuesday (9/5/2006) in the Office Governor North Sumatra, Street Diponegoro, Medan.

Casualties who died were Roy Karo-karo, 19 years. Now that still was treated isolation space RSUP Adam the Owner was Anta Ginting (29), Jones Ginting (25), Bonny Karo-karo (18) and Renaita Tarigan (1.8 years), Rafael Ginting (8), as well as Obviously Ulina Ginting (8).

Completely was one family and lived in the same house. Said, the casualties began to be attacked by the illness with the sign of the fever and breathless since Thursday (4/5/2006). However just on Monday (8/5/2006) the night, casualties were run off with to RS Adam the Medan Owner.

"From results x-rayed, was gotten by the sign penoumia the inflammation of the lungs." But still could not be ascertained whether really they were attacked by bird flu, said Eddy.

Other information that was received mentioned, before experiencing the high fever and the disturbance of breathing, this family it was known consumed the piece chicken that was bought from the traditional market in Kabanjahe, the Karo capital. Moreover around casualties's residence also was gotten by the chicken livestock and the pig.

Eddy explained, in this case of the North Sumatran Health Service, without being waiting for results of the Laboratory inspection Department of Health RI in Jakarta that needed time two weeks, has done steps in the spreading by giving Tamiflu medicine to the patient who was treated inap in RSUP Adam the Medan Owner. This to anticipate this virus expansion.

Said by Eddy again, at this time the Representative of the Section Head Livestock Breeding North Sumatran Tetty Erlina Lubis already was being in three bows with Kesehatan Breakingprep Hewan Departemen Breakingprep Peternakan Syamsul Bahri Director to do the research.

However, from the interim report, did not yet have the poultry that died in this region. In spite of that, the side of the Livestock Breeding Service has taken specimen from the waste of the livestock.

http://www.detiknews.com/index.php/d...573/idkanal/10

[Goju]

Why does this make my stomach turn over?

Here we go again... GR - don't put on your seatbelt away?

[Goju]

"Completely was one family and lived in the same house. Said, the casualties began to be attacked by the illness with the sign of the fever and breathless since Thursday (4/5/2006). However just on Monday (8/5/2006) the night, casualties were run off with to RS Adam the Medan Owner."


OK... so contained to 1 family in one house.
symptoms apeared May 5... means the caught it around May 1-3. They could have been spreading it from May 2 - May 8 when they went to the hospital.

IF this is THE pandemic strain emerging, Then we should start to see others they interacted with getting sick may 6 or 7 and getting bad enough by May 10 - 11 to get medical treatment.
HCW should start showing symptoms May 11-13.

This is as current as we've gotten with onset dates. It would be interesting to see the length of time between the family members or did they all get sick at the same time?

If it was the same time, it was probably the consumed chicken.

It still bears intenses watching... cause Flu mutates at an astonishing rate. And there is mention of pigs.

Goju,
I've commented on this elsewhere. This is a cluster. What's missing from this report is that the MOTHER died previously, and of course, there's no samples taken and no info about her, and she's of course, per standard WHO action, not reported as "the" index case.

I don't know if these are all from one mother. The ages here are 29 to 8.
That is unusual...a 21 year fertility period. I know they're out there, but that's rare. I saw the place and didn't see that. I saw people have many children but not such a large age range gap (with exceptions among the more well to do who could afford new wives and babies).

As to when we would see more signs of infection, my answer is not "LATER". We here have played that game. It's a losing proposition.

My answer is "NOW". If this were easily transmissable, the chicken farmer, the market butcher, the neighbor kids, and their friends (as they are very socially gregarious and they have friends wandering in and out of their homes, even in slum areas) would NOW or by tomorrow (I'll give you one day and that's it, one day only) would be reporting fever and diarrhea (sp) and headaches.

We hear no such news. This is another "H2H" cluster. It's obvious because of the fact that the mom died first and isn't being reported here.

The WHO system is broken. We suffer from ignorance on this topic. BlueJay at CE is covering this story as he covers all Indonesian stories.

Originally Posted by Goju

"Completely was one family and lived in the same house. Said, the casualties began to be attacked by the illness with the sign of the fever and breathless since Thursday (4/5/2006). However just on Monday (8/5/2006) the night, casualties were run off with to RS Adam the Medan Owner."


OK... so contained to 1 family in one house.
symptoms apeared May 5... means the caught it around May 1-3. They could have been spreading it from May 2 - May 8 when they went to the hospital.

IF this is THE pandemic strain emerging, Then we should start to see others they interacted with getting sick may 6 or 7 and getting bad enough by May 10 - 11 to get medical treatment.
HCW should start showing symptoms May 11-13.

This is as current as we've gotten with onset dates. It would be interesting to see the length of time between the family members or did they all get sick at the same time?

If it was the same time, it was probably the consumed chicken.

It still bears intenses watching... cause Flu mutates at an astonishing rate. And there is mention of pigs.

[DB]

http://www.recombinomics.com/News/05...1_Sumatra.html
Commentary

Suspect H5N1 Bird Flu Cluster in North Sumatra Indonesia

Recombinomics Commentary
May 10, 2006

Roy Karokaro, 19 years, died to struck 11 days on last Tuesday (9/5).
Roy was treated in RSU Adam the Owner since last Monday night.
While Anta Beru Ginting, 29 years, died on Wednesday (10/5) at dawn earlier.

Roy Karokaro, Anta Beru Ginting as well as his five relatives was the reconciliation patient from RSU Kabanjahe, the Karo Land Regency.
Five relatives at this time still were treated intensive in the same hospital, namely Jones Ginting, Boni Karokaro and a pre-schooler be aged one half of the year, Renaita Beru Tarigan.

Whereas two last patients who were treated were Rafael Ginting and Obviously Beru Ginting.

All this patient had the family's direct relations and lived in the close house.

The above description of a large familial cluster in North Sumatra, Indonesia is cause for concern. Other reports indicated the mother has also died at an earlier date. The relatives have H5N1 bird flu symptoms and the extended time period for symptoms and admissions is cause for concern.

The number of fatalities has now grown to three and the condition of additional family members continues to deteriorate.

Familial clusters of H5N1 in Indonesia have been noted previously, but this is the largest suspected cluster reported to date.

Media Link

Map

[Shannon]

Watch the next few days to week for an increasing number of victims. Since we learned the virus can live on exposed surfaces for as long as 6 days, we have to take into consideration that the cases may be infected from the index case at longer intervals then previously suspected. As for the long time span between kids, well accidents do happen. Just because a woman may have a twenty year time period between kids hardly makes it odd. A woman who may have married at 18 would still be ovulating at 38, trust me on this one. LOL

[Goju]

Also take into account the stigma that BF imposes on people and the consquences.

All of their poultry will be destroyed. People will shun them. I suspect even if this is an H2H strain, or in future clusters, many won't report and just die quietly at home. The backyard burial?

Lets keep an eye out over the next week or so for increase in local hosptials

[HenryN]

Casualties died Suspect Bird Flu in Karo, so 3 people
Khairul the Brother - detikcom
Medan - casualties died it was suspected (suspect) terjangkit visu bird flu in the Karo Regency, North Sumatra (North Sumatra) continued to improve. On Wednesday (10/5/2006), other casualties died. Therefore casualties were killed to three people.

Last casualties who died were Ana Br Ginting, the woman was 29 years old, the citizen Street Veteran, Kabanjahe, the capital of the Karo Regency. He died around struck 05.00 WIB, during in the maintenance in the central Public Hospital (RSUP) Adam the Owner, Street Bungalow Medan.

"His body has been brought by the family to Kabanjahe this morning," said an official
Medically RSUP Adam the Owner to the reporter.

Two casualties beforehand that died was Roy Karo-Karo, 19 years. He
Died on May 9 2006, now his mother Praise Br Ginting died last May 4. Both of them were expected strong terjangkit the bird flu virus.

Now casualties that still was treated at this time, numbering five people. Four people that was treated in isolation space of RSUP Adam the Owner, respectively Jones Ginting (25), Bonny Karo-karo (18) and Renaita Tarigan (1.8 years), as well as Obviously Ulina Ginting (8).

While Rafael Ginting, 8 years, was treated in RS Elisabeth, Street Imam Breakingprep Bonjol Medan. Rafael beforehand also was treated in RSUP Adam the Owner, but several medical reasons other, he was afterwards moved to RS Elisabeth.

As being reported, villagers's one family the Simbelang Fortification, the Subdistrict of three bows, the Karo Land Regency, was expected terjangkit the bird flu virus. They experienced the high fever and the disturbance of breathing.

Beforehand this family it was known consumed the piece chicken that was bought from the traditional market in Kabanjahe, the Karo capital. Moreover around casualties's residence also was gotten by the chicken livestock and the pig. [FONT='MS Sans Serif',Geneva,sans-serif](ahm) [/font]

http://www.detiknews.com/index.php/d...418/idkanal/10

[DB]

So for this cluster we have 3 dead out of 7.

[HenryN]

More commentary at

http://www.recombinomics.com/News/05..._Pandemic.html

[DB]

http://www.recombinomics.com/News/05..._Pandemic.html
Commentary

Suspect Sumatra H5N1 Cluster Raises Pandemic Concerns

Recombinomics Commentary
May 10, 2006

Last casualties who died were Ana Br Ginting, the woman was 29 years old, the citizen Street Veteran, Kabanjahe, the capital of the Karo Regency. He died around struck 05.00 WIB, during in the maintenance in the central Public Hospital (RSUP) Adam the Owner, Street Bungalow Medan.

Two casualties beforehand that died was Roy Karo-Karo, 19 years. He
Died on May 9 2006, now his mother Praise Br Ginting died last May 4. Both of them were expected strong terjangkit the bird flu virus.

Now casualties that still was treated at this time, numbering five people. Four people that was treated in isolation space of RSUP Adam the Owner, respectively Jones Ginting (25), Bonny Karo-karo (18) and Renaita Tarigan (1.8 years), as well as Obviously Ulina Ginting (8).

While Rafael Ginting, 8 years, was treated in RS Elisabeth, Street Imam Breakingprep Bonjol Medan.

The above detail on the suspected H5N1 bird flu fatalities raises additional pandmeic concerns. The mother died on May 4 followed the death of her son on May 9 and another family member on May 10. The delay of 5-10 days between the index case and family members is the hallmark of person-to-person transmission of H5N1. In Indonesia, as many as 2/3 of cases are linked to family clusters and the vast majority of the clusters have the 5-10 day gap.

However, in the past familial clusters were smaller, generally invoving 2 or 3 people. This cluster has 8 family members who have died or are hospitalized with bird flu symptoms, signaling a more efficient transmission of H5N1.

H5N1 has been present in Indonesia since 2003, but the first reported human cases were reported last year. If the current cluster is positive for H5N1, they will be the largest cluster in Indonesia and the largest confirmed cluster if all test positive.

In any event, the large number of family members, ranging in age from 40 to 1.5 and the differences in onset dates suggests this cluster is cause for concern.


Media Link

Map

It's not the number of dead from this cluster. We know that without treatment the disease is fatal 90++% - 100% of the time. It kills.

We are looking for the casual contacts to get sick, for the father to get sick, for the neighbor kids who play with them to get sick, for the chicken vendor to get sick.

This is the "sign" we look for.l

The most bothersome part of news article above is that the newspapers insist on acting the fools. The only possible way to get this in their feeble minds is via a bird. Therefore, if the family bought a chicken or a "piece" of chicken, each and every cluster instance must include a Jonestown-esque scene in which everyone sits around the communal pot and eats the chicken. While it's possible, they love chicken satay (possibly way too undercooked...very possible), and yet again, everyone would have had to take their communion around the food...BUT NOT THE FATHER AND NOT THE GRANDPARENTS WHO ARE PROBABLY AROUND.

I am willing to eat so much horseradish and then I'm not going to do it anymore. The Indonesians continue to be inept, incapable of seeing fact and reporting disinterestedly.

[HenryN]

Medan -- MIOL: N br Ginting, the family of the bird flu patient complain about slow him the maintenance RSU Adam the Owner, Medan.

Therefore, his two families were Clear Ginting, 35, and Rafael Ginting, 10, was moved to the Elisabeth Private Hospital.

"From entered in the afternoon to the night, there was no maximal maintenance that was given."

Then he was also placed in one same room, in fact he was not yet so serious, therefore was moved by us, said one of the families of N br Ginting, on Wednesday (10/5).

Moreover, the room treated inap the bird flu patient in the Public Hospital (RSU) Adam the Owner was not isolated tightly.The room was still contiguous with the room inap the other patient.

Several of the patient's families near the room made use of the mask because frightened tertular.

"The room already the standard that was had by us."

Moreover, the other patient might not be moved because of bird flu not tertular resulting from the person's contact per the person, the Medical Service headword RSU Adam the Owner, Alwinsyah Abidin, in Medan.

According to Alwinsyah, the team of the doctor RSU Adam the Owner that handled the patient suspect bird flu was still continuing to carry out the supervision of Bony Karo-Karo, 18, Jones Ginting, 25, and Renata Ginting, 1,5, that was treated in A Space of the Longing Isolation.

From three patients suspect the bird flu, that worst Bony Karo-Karo, 18, so as the team of the doctor was forced to install respiratory aids.

"Because of suffering the disturbance of breathing most difficult, he was installed by us aids," he said.(YN/KN/OL-02).

http://www.mediaindo.co.id/berita.asp?id=99387

[HenryN]

Medan -- MIOL: one patient suspect bird flu, Roy Karo-Karo, 19, villagers Kobu, Gulu Great, the Subdistrict three bows, the Karo Land Regency died, in the Public Hospital (RSU) Adam the Owner, Medan, on Tuesday (9/5).

Moreover, five people of his family that also was affected by bird flu were still being treated in the same hospital.They, Jones Ginting, 25, (the uncle), Bony Karo-Karo, 18, (the brother), Anta br Ginting, 29, (the aunt), Rafael Ginting, 8, (the cousin) and Renaita br Tarigan, 1,5, (the cousin).

Beforehand, on Thursday (4/6), the mother of casualties, Praise br Ginting, 40 also died in the same case in RS Elisabeth.

To six bird flu patients was brought by his family on Monday night (9/6), struck 23.30 WIB was based on reconciliation from RS Kabanjahe.They who were treated in space of the Longing isolation of A RS Adam this Owner experienced the same condition. That is the temperature of the high body, breathless and the cough.

Beforehand, was known by all these casualties mengonsumsi the piece chicken that was bought in the Kabanjahe Market.

Bidang Pelayanan Medis Deputy Director and Education, RS Adam the Owner, M. Nurasyid Lubis to the Indonesian Media said, the patient suffered breathless that difficult and the temperature of the high body.

According to Nurasyid, the sample of blood, the sample of the caress tengggorokan and the sample of the nose liquid from the patient at once was sent to the Centre of the Research and the Development of the Department of the Health in Jakarta.

Moreover, public relations RSU Adam the Owner of the Ginting rays said, the other patient still in the supervision of Tim Doctor RSU Adam the Owner that was chaired by Prof Luhur Suroso.

His development said he, continued to be supervised."They have been given the medicine that was connected with bird flu."

""In the meantime, casualties's grandmother, Manan br Sitepu, 86, looked very sad to experience this disaster.

"Very sad to see my extended family affected was sick that.

"It was not yet lost sad I because of my child die, currently my grandchild died."(YN/OL-02)."

http://www.mediaindo.co.id/berita.asp?id=99267

[HenryN]

Liputan6.com, Medan: A patient who it was suspected was attacked by the bird flu virus died in Adam's central Public Hospital the Owner, Medan, North Sumatra, on Wednesday (10/5).

In this way, in this area has had three assumption patients of bird flu that died.

The three casualties were villagers the Simbelang Fortification, the Subdistrict of three bows, of the Karo Land Regency.

A casualty died when undergoing the maintenance in RS Saint Elizabeth, Kabanjahe, the Karo Land.Whereas two other when being treated in RSU Adam the Owner.

In this hospital, still had four patients who still were receiving the intensive maintenance.

Regarding that, North Sumatran Governor Rudolf Pardede ordered the Section Head the Health and the Section Head local Livestock Breeding to carry out the research seriously.This was carried out so that the bird flu virus does not develop.

Moreover, the Governor also asked the Health Service to take the step in the continuation including melokalisasi the settlement region of casualties.

Responded to Governor's order, the North Sumatran Livestock Breeding Service carried out the vaccination and spraying in the environment of casualties's house.

Whereas the Health Service admitted to taking the sample of blood of the casualties to be researched in the Department of Health laboratory.

(Ian/Chaerul Dharma and the Arbianto Choke)

http://www.liputan6.com/view/7,12264...147312965.html

[DB]

Does this make it 4 out 8 dead for this cluster?

[Goju]

I recall reading another post a few weeks ago where a health official in Indonesia said they wear treating 128 patients... said something about a problem and they needed help.

Anyone recall that?

[Shannon]

Goju, it isn't in any of the Indonesian/English papers. I will check now to see if anything has popped up n the last day.

I can find nothing that is written in English at any of my Indonesian links. I really wish we had an Indonesian translator. There are stories out there but I cannot translate them.

[HenryN]

Indonesia web pages or copied and pasted stories can be translated at

http://www.toggletext.com/kataku_trial.php

[Theresa42]

Originally Posted by Shannon

I can find nothing that is written in English at any of my Indonesian links. I really wish we had an Indonesian translator. There are stories out there but I cannot translate them.

Toggle text will get you pretty far:

http://www.toggletext.com

And, bf in Indonesian is (you probably already know) flu burung.

[Shannon]

Yep, new the flu burung now will attempt to import what I found in Indonesian papers.

Here is the first.
http://www.metrotvnews.com/berita.asp?id=16407

BREAKING NEWS HEADLINE NEWS METRO the MORNING METRO the AFTERNOON METRO TODAY METRO the GREAT NINE NEWS METRO SPORTS MARKET REVIEW NIGHTNEWS MAGAZINE PRESS RELEASEThe SEARCH for the NEWS Programs ActualThe ACTUAL NEWS Five patients SUSPECT BIRD FLU was STILL being CRITICAL 10/05/2006 18:30 - Social the Culture/Metro the IniDayTim was medical RS Adam the Owner was treating one of the family's members who became the patient suspect bird flu. (Metro the TV) Metrotvnews.com, Medan: Lima the assumption patient of bird flu that comes from one family in the Karo Regency, North Sumatra, up to now was still undergoing the intensive maintenance in Adam's Hospital the Owner and the Hospital Saint Elizabeth, Medan. Beforehand, their family's two members, Roy Karokaro and Anta Beru Ginting, died resulting from the illness with the same sign. The condition for the five patients, up to now, it was reported still is critical. The five patients that is Jones Ginting, Boni Karokaro, Renaita Beru Tarigan, Rafael Ginting, and Obviously Beru Ginting. All the patient had the family's direct relations and lived in the close house. According to the Head of public relations of RS Adam the Owner, the Ginting rays, all the patient had the same sign that is hot high, the cough and was gotten the liquid to his lungs. Responded to this case, the Section Head North Sumatran Livestock Breeding, Abdul the Siregar Uterus stated, his side will take the action of taking the form of the extermination of the poultry animal that was around casualties's residence in the Karo Regency.This was done for anticipated spread him this deadly illness to the other citizen. In the meantime, Health Minister Siti Fadilah Supari said, he did not suspect the case of bird flu of happening in Karokaro, North Sumatra. Menkes suspected the spreading of the bird flu virus of beginning with fertiliser.(/AMR)

[Goju]

Here.....
originally posted by snowy owl

http://www.flutrackers.com/forum/showthread.php?t=5363

Jakarta (ANTARA News) - The Indonesian government is still waiting for the realization of the international donors` assistance commitment before it could implement its national strategic plan to fight bird flu infection in the country.

Coordinating Minister for People`s Welfare Aburizal Bakrie said here on Tuesday that up to now no international donors had realized their commitment to assisting the handling of the bird flu infection.

"No international funds have come in. We have not received even a cent," the minister said when addressing the launch of Tamiflu and Personal Protection Equipment (PPE) procurement project, which was initiated under the Japan-ASEAN Integration Fund.

He said the assistance was badly needed for the implementation of the national strategic plan for the handling of bird flu infection in Indonesia.

"We have strong commitment to fighting this disease and have drawn up a national strategic plan but we still had no enough capacity, funds and knowledge. Without regional and international support, we would face problem in carrying out the plan," the minister said.

He said that based on the Indonesian government`s calculation, Indonesia needed some US$900 million to implement the strategic plan for a period of three years.

The government has in the state budget set aside some US$50 million per annum for bird flu fight funds while the private sector was expected to provide some US$20 million per annum, he said.

According to the minister, the total funds the government could collect for fighting the influenza virus infection in the coming three years was only about US$200 million, far below the needed US$900 million.

He said that donor countries attending bird flu conference in Beijing last January pledged a total fund of US$50 million to help fight bird flu infection in Indonesia.

The minister hoped that the donor countries would realize their commitment soon to help the Indonesian government carry out its bird flu elimination program.

"It must be carried out soon because the number of infection cases tended to increase, though there is no indication as to the outbreak of bird flu pandemic disease," he added.

He said 401 suspects had been examined. Of the number, 330 were declared negative with the bird flu virus, 128 were still under observations and 128 had been confirmed positive with the virus.

http://www.antara.co.id/en/seenws/index.php?id=12030

[Mellie]

That was from May 2. This is May 10!

[Sally Furniss]

Some more indonesian sites, some are native language, use toggletext to translate them.

http://www.liputan6.com/

http://www.detiknews.com/

http://www.mediaindo.co.id/

http://indahnesia.com/index.php

[Goju]

Originally Posted by Mellie

That was from May 2. This is May 10!

and your point is?

[Bruce]

Three suspected bird flu patients die in Medan Apriadi Gunawan, The Jakarta Post, Medan
Three suspected bird flu patients have died in North Sumatra during the past week, with the latest victim passing away in a Medan hospital Wednesday morning.
According to the North Sumatra Bird Flu Prevention Team, the three victims, all from Kubu Simbelang village in Karo regency, died several days after being admitted to hospitals in Medan.
The team said three other suspected bird flu patients are currently being treated at Adam Malik Hospital in Medan.
Nur Rasyid Lubis, the head of North Sumatra's Suspected Bird Flu Patient Management team, said Wednesday the three dead victims had eaten chicken together.
Several days after eating the chicken, "the first suspected victim, Fuji Ginting, experienced breathing problems and a high fever. The same symptoms were also suffered by the two other victims, Anta Ginting and Roy Karo-Karo", Nur said.
Anta, 29, died at Adam Malik Hospital on Wednesday morning, while Roy, 18, died at the same hospital Tuesday. Roy's father, Fuji, 40, passed away May 4 at Elisabeth Hospital.
Nur, who is also deputy director of medical services at Adam Malik, said the hospital did everything in its power to treat the patients, but was unable to save them.
North Sumatra Health Office chief Fatni Sulani said the office was investigating the cases and had sent blood samples from the three to Jakarta for testing.
"We expect the results of the blood tests to be completed in the next two weeks. For the meantime, the three victims are still suspected, not positive, bird flu patients," Fatni said.
She said that North Sumatra has not had a confirmed case of bird flu in humans.
"So far, the bird flu virus in North Sumatra has only affected fowl. Thirteen regencies/cities have been put on bird flu alert after the virus was found in local birds," Fatni said.
She said the cities on bird flu alert included Binjai, Deli Serdang, Langkat and Medan.
North Sumatra Husbandry Office head Rahim Siregar said Wednesday his office had added Karo regency to the list of bird flu prone areas in the province.
"Fowl in North Sumatra have been affected by bird flu since July 2005, but there have been no confirmed cases in humans," Rahim said.
http://www.thejakartapost.com/detailnational.asp?fileid=20060511.G02&irec=3

[Susie]

Originally Posted by Shannon

I can find nothing that is written in English at any of my Indonesian links. I really wish we had an Indonesian translator. There are stories out there but I cannot translate them.

Maybe we should email the Indonesian journalists / press asking for an English translation. Maybe there's someone there who'd like the opportunity to show off their English language skills.

[HenryN]

http://www.metrotvnews.com/berita.asp?id=16468


One of the patients suspect bird flu that was treated in RSUP Adam the Owner, Medan, North Sumatra.
(Metro the TV)
Metrotvnews.com, Medan: the Condition two patients terindikasi bird flu in Adam's space of the isolation of the central Public Hospital the Owner, Medan, North Sumatra, it was reported still was critical.
Beforehand, three people from the same family died with the indication was infected by the bird flu virus.
The two patients that was critical this each being named Reneita Boru Ginting that just aged one half of the year and Boni Karokaro, the adolescent was 15 years old.
Both of them were treated since three days set after being reconciled from RSU Kabanjahe.
Reneita and Boni were villagers the Simbelang Fortification, the Subdistrict of three bows, of the Karo Land Regency, North Sumatra.
Deputy Director RSUP Adam the Owner, M. Nurrasyid said, the two patients experienced critical since last Wednesday (10/5).
Their condition was in part marked in a hot manner the temperature of the body that fluctuated quickly.
The two patients also suffered difficult pneumonia was accompanied by the cough that became the characteristics of the infection of the bird flu virus of the beginning.
Beforehand, three people from the same family died after could undergo the maintenance two days in RSUP Adam the Owner.

[HenryN]

Casualties was killed Bird Flu Karo Tertular through Manure
In an orderly manner Irawan Nurrachman - detikcom
Jakarta - the Family that was killed it was suspected resulting from bird flu in the Karo Regency, North Sumatra (North Sumatra) evidently liked to work the soil. They often bought manure from Binjai and Langkat, the area that his poultry was stated positive affected avian influenza (AI).

Nah, from manure so was suspected the source of the spread happened. "Yes tertular diindikasi from manure." Because the only one Link Only from there, because they his place was clean, not positive (AI), said Menkes Siti Fadilah Supari.

Menkes stated that ended the signing MoU between the Department of Health, the Minister Of State for the PAN, and BPKP concerning Good government In the Department of Health Building, Street HR Rasuna Said, Southern Jakarta, on Thursday (11/5/2006).

According to him, the Karo Land in Medan was the territory that his poultry was negative AI. "After was massaged-massaged evidently the family liked to work the soil and use manure that was made from Binjai and Langkat that were the positive place of bird flu in 2005," he explained.

So, further Menkes, the Department of Health will hold investigation to research from where from this deadly virus. "Officially Livestock Breeding and the Department of Agriculture already there and checked." Hopefully today could be known, said Menkes.

As being reported, three patients Suspect Bird flu died in Karo, Medan. The three of them were Roy Karo-Karo (19), died on May 9 2006. Praised Br Ginting (the mother Roy) died last May 4. Thirdly, Ana Br Ginting, relatives were 29 years old that remained a house.

Beforehand this family it was known consumed the piece chicken that was bought from the traditional market in Kabanjahe, the Karo capital. Moreover around casualties's residence also was gotten by the chicken livestock and the pig. [FONT='MS Sans Serif',Geneva,sans-serif](aan) [/font]

http://www.detiknews.com/index.php/d...046/idkanal/10

[HenryN]

Officially North Sumatran Livestock Breeding will carry out the Extermination of the Chicken
Khairul the Brother - detikcom
Medan - followed the discovery of casualties suspect bird flu in the Karo Regency, that has
Resulted in three casualties being killed, the North Sumatran Livestock Breeding Service (North Sumatra) planned to do the extermination against the poultry that tertular the bird flu virus.

The section head North Sumatran Livestock Breeding the Siregar Uterus said, the extermination will especially be carried out around casualties's house that was in the Simbelang Fortification Village, the Subdistrict of three bows, the Karo Regency, as well as the radius three kilometre from there.

Moreover, will be done by spraying disinfektan to anticipate the possibility of this outbreak of the bird flu virus.

"Officially Livestock Breeding allocated disentifektan totalling 60 litre, and antigens Rapid test AI totalling 135 samples/kit." We coordinated with BPPV Regional I Medan to do surveilans to prove to have or not the virus infection H5Ni to the poultry in the location suspect humankind, said the Siregar Uterus to the reporter in the Office Governor North Sumatra, Street Diponegoro Medan, on Wednesday (10/5/2006).

Now from the Karo Regency, was received by information, the regent ordered
The government's local apparatus to be on full alert. This anticipated
The possibility of the existence of new casualties suspect bird flu.

Kesiagaan the government's apparatus as far as the level of the village, was the decision of the meeting
The co-ordination that dilpimpin the Regent Karo DD Sinulingga. The regent dismissed the order
To the health service, the agricultural service as well as the sub-district heads of more than one Karo Regency to be on full alert.

Moreover, also was done by counselling to the community about the illness and his control efforts to the community.

Now to anticipate the possibility of the entry of the bird flu virus from outside Karo, the supervision was also tightened towards the entry traffic of the poultry and the waste of the livestock in the border of the Karo Regency.

For the poultry that it was suspected was affected by the illness was not allowed to enter the Karo Land and to be immediately destroyed. Now for the waste of the livestock that was utilised for fertiliser of the agricultural crop, was kept might not enter Karo at least for 12 hours. [FONT='MS Sans Serif',Geneva,sans-serif](ahm) [/font]

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