Indonesia Human Cases - April 9, 2008 - 20th June 2008

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

The young patient, Wonigiri region , called in earlier reports "YA", in this report "A".

A PATIENT SUPECT BIRD FLU was in Solo treated

Metrotvnews.com, Solo Rumah Sakit Umum Daerah (RSUD) the doctor
Moewardi, Solo, of Central Java, again treated the patient suspect bird flu, on Tuesday (3 - 6).

At this time, the male patient was 15 years old that, was treated in Isolasi Anggrek Space 2 RSUD Moewardi.

The patient had the initials this A, entered the hospital because suffered breathless and hot high.

The chairman of the team of the handling of RSUD Moewardi bird flu, the doctor Reviono said, as far as this is concerned the team of the doctor did not yet find the sign penumoni to the patient's lungs.

Nevertheless, the patient continued to be treated in accordance with the standard of the handling of the bird flu patient.

According to the doctor Reviono, the patient from Giritontro, Wonogiri, had the story of contact with the poultry.

The patient suffered the sign similar to bird flu, following the case of the sudden death of the chicken livestock in casualties's environment, that was positive infected by bird flu.

http://www.metrotvnews.com/berita.asp?id=60160

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

[More info on Siti and Pipit]

-snip-

According to Lucia in his press release, with the entry of the child and this mother, RS Gunung Djati has accepted three cases suspect flu burung
was based on information from one of the patient's families, casualties's family bought as many as 30 chickens in the Ayam Plered Market, Kabupaten Cirebon, to diternakan.
However, on that day also, one among the 30 chickens died, that afterwards was followed by the death 18 other chickens.
However Siti and Pipit, not buried his 19 chicken carcasses that died, but boiled and allowed him to ripen to be eaten by all of his family's member.
At night, Siti and Pipit felt the condition for their body was not glad.
Both of them felt breathless, the limp body, was accompanied by the headache, coughs, and bones linu.
Saw this condition the family carried both of them to the Watubelah Community Health Centre, before aklhir him in referred to RS Gunung Djati

http://www.bipnewsroom.info/?_link=loadnews.php&newsid=37623

[Giuseppe]

Re: Indonesia Human Cases - April 9, 2008+

Indonesia has confirmed its 134th bird flu
Jakarta, May 14, 2008 - News Flash -

Test results from the Health Research and Development Center of the Ministry of Health and Eijkman Institute have confirmed that Isq, 15 year old girl from North Gandaria sub-district in South Jakarta was infected by H5N1 virus.

She had the symptoms of high fever, cough and faint.

She was admitted to Gandaria Hospital on May 8 2008, where she was then referred to Persahabatan Hospital on May 11 2008.

She died on May 12 2008.

Indonesia has now recorded 134 bird flu positive cases and 109 fatalities.
-

http://www.komnasfbpi.go.id/berita_eng.php?id=54

-----

This piece of news DISAPPEARED from KOMNAS FBPI home page. See http://www.komnasfbpi.go.id/utama_eng.php for reference.

However, case counts remains at 135 cases with 110 deaths. (http://www.komnasfbpi.go.id/situationupdate.html); WHO case counts for Indonesia: 133 cases, 109 deaths (as may 28, http://www.who.int/csr/disease/avian.../en/index.html).

Perhaps, today WHO/KOMNAS FBPI will update about current situation adding details on the two cases discrepancy.

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

YA from Wonigiro seems to do OK, condition improves.


The case of the child suspect AI

The death of hundreds of poultries was not reported

Wonogiri )

The death of hundreds of poultries in RT Giritontro Kidul, Desa Giritronto, Kecamatan Giritronto, Wonogiri, had not been reported by the resident.

In the meantime, the team of the doctor RSUD Dr Moewardi that handled the patient suspect avian influenza (AI), have the initials YA, 14, the resident Giritontro, optimistic YA the AI negative.

Kasi Pemberantasan and the Prevention of the Hewan Dinas Kehewanan Perikanan Illness and Marine (Diswanperla) Wonogiri, Ristono, when being met Expose in his office, on Tuesday (3-6), said the death of the poultry in Giritontro as the upper peak of the ice mountain of the number of deaths of the poultry suddenly that was not reported to the authorised side.

In this month month the bird flu incident that attacked the animal indeed a large number of.
However, uptil now not even one there are those that reported.

Finally, after the existence of this incident, the resident just supported the fog, obviously he explained, in May, the AI case in this territory was high enough.

At least, Diswanperla recorded as many as 23 chickens died because of AI.
From so many cases, after being taken his one sample evidently positive AI.

That too after AI that it was suspected attacked humankind, he added happening.
Up until last May, said Ristono, the AI attack to 226 chickens in Wonogiri happened.

From observation that was carried out by the Diswanperla team, his side found the environment behind the patient's house suspect AI, YA, in Giritontro Kidul was classified as humid. That, he said, made the AI illness surviving there.

The head of Diswanperla Wonogiri, Guruh Santosa, stated his side carried out depopulation by means of burning the chicken carcass and giving the vaccination against the chicken that still was living.

Berbeda

In the meantime, the data from the Kesehatan Service of the Regency (ET AL) Wonogiri recorded as many as 278 chickens died suddenly was counted from 17 - on May 29 2008 in the Giritontro Environment.

The difference of the data between ET AL and this Diswanperla could be understood by the reason for the report that was accepted different.
Kasubdin Penanggulangan of infectious diseases and Lingkungan Sanitation (P2MPL) ET AL Wonogiri, Dr H Widodo MKK asked the community to not panic and restless if having the chicken that died suddenly.

In the meantime, the Team of the Handling of AI RSUD Dr Moewardi optimistic results of the laboratory test YA, would the negative following continued the improvement of the condition he.

Chairman Tim of the Handling of AI RSUD Dr Moewardi Solo, Dr Reviono, when being met by the reporter, on Tuesday, said his side did wiped off the throat for three days according to join in and sent results to Jakarta to be checked in the laboratory.

But saw the condition for the patient who continued to improve, I was optimistic results of the negative, said Reviono.
According to Reviono, generally the condition for the patient was very good.

The sign of the available sign during first was reconciled, like the high fever (through to 37 levels) and breathless.

http://www.solopos.co.id/sp_search_detail_tamu.asp?id=66136

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

Word on TS, victim # 135, from Sumedang, confirmed bird flu through PCR-test in local lab, not confirmed yet by Dep of Health and WHO . Culling of poultry,vaccination and socialisation .

On Tuesday, the June 2008 03

At least 300 tails of the Poultry were destroyed in Babakan Asem Antispasi the Spreading of the Bird Flu Virus


SUMEDANG - At Least 300 tails of the poultry (the chicken majority) was destroyed (depopulation) in the Babakan Asem Village, Desa Ranjeng, Kecamatan Cisitu, Kabupaten Sumedang, West Java.

This action followed results of the laboratory inspection that said almarumah NY Tini Suhartini (54) positive H5 bird flu (Avian Influenza AI).

That was raised by Ir Ade Guntara, Section Head Peternakan and fisheries (Peterpan) the Sumedang Regency, on Tuesday (3 - 6).

He said, from this depopulation of the Regional Government gave compensation not less than Rp 2 million.

According to Ade, initially this depopulation will be put into effect in the radius 2 kilometre from the house remained almhumah NY Tini Suhartini.

Only, some communities meneolak him so as the Sumedang Regional Government could not force itself for this depopulation.

His profit, continued Ade, the condition at this time in the Babakan Asem Village especially, it was thought subsided.

Praise the Lord the death of the chicken did not can be heard since the death incident NY Tini, likewise the person of the person that once physical contact with casualties did not show the sign that ought to be suspected, said Ade.

Nevertheless, the Peterpan Service that is led by him up to now had not stopped carrying out counselling and pemanatuan in region Babakan Asem .

Clear continued to be monitored by us because we not want to robbed, and the community puntampak him was enough to be on the alert, he said.

Despite that, Ade hoped the community especially the poultry breeder to do bio security.

We must remember, this Babakan Asem Village would quite far and was seen by us rarely the poultry traffic there happened.

Only koq could be attacked until positive H5, he revealed.

That was the reason, bio security this must be carried out by all the poultry breeders.

In bio security this must be guarded against by the poultry traffic, was carried out disinspektan and the vaccination.

By this means was easy mudahan we could be avoided from the bird flu attack again, because of this virus when being left very dangerous for the poultry and the health of humankind, he stated.

In the meantime, this Peterpan Sumedang Service planned the vaccination together this coming July.

We will carry out together and we provided 500,000 doses of the vaccine.

This was our step to prevent the occurrence of the spread, added Ade Guntara.

http://endynews.blogspot.com/2008/06/sedikitnya-300-ekor-unggas-dimusnahkan.html

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

Dutchy, do you know if this would be considered the "2nd Test"?

This action followed results of the laboratory inspection that said almarumah NY Tini Suhartini (54) positive H5 bird flu (Avian Influenza AI).

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

Don't know Commonground.

Did not remember something about a 1st or 2nd test in previous reports, just "test". Results from Jakarta were never published. If negative, they would be published?

Komnas FPBI has a strange way of counting lately, at about the same time TS was tested positive locally, the numbers went up at KOMNAS.

Another thing: would the local government spend so much money and efforts if TS was tested negative? Dead chickens tested positive for bird flu can be found in many places. Does not spark this kind of activity?

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

Right, their activity level is high. I had a few articles on their residents being tested. Like you noted, the only test I had down for this suspected case was a "positive PCR test". And nothing else. We will wait and see, I guess. But this last test seems to be a step up from the local PCR test that was done.

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

Confirmation

INDONESIA-BIRD FLU

JAKARTA, Indonesia _ A 15-year-old Indonesian girl died quietly of bird flu last month, but the health ministry in the nation hardest hit by the disease decided to keep the news quiet.

It says it sees no benefit to formally announcing deaths linked to the H5N1 virus.

http://www.pr-inside.com/world-at-0400-gmt-r626063.htm

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

Adaptation


KOMNAS FBPI (Nat Bird Flu Committee; related to Dep of Health) is counting down the numbers in their latest update:

was a total of 135 see post # 210

Today the total is 133, West Java and Special District Jakarta counted down with one. Probably the girl Istiqomah from Jakarta and the woman Tini Suhartini from West Java.

Remember: the brother of Istiqomah (Ahmad Rizki) died before she died, the brother was not tested. Also an older sibling (Alamsyah, 24) was hospitalized.



The number of human cases in Indonesia has reached 133, of which 108 have died

Province / No. of AI Positive Human Cases / No. of Fatalities


1 West Java 33 27
2 DKI Jakarta 32 27
3 Banten 25 22
4 North Sumatera 8 7
5 East Java 7 5
6 Central Java 11 10
7 West Sumatera 4 1
8 Lampung 3 0
9 South Sulawesi 1 1
10 South Sumatera 1 1
11 Riau 6 5
12 Bali 2 2

Total 133 108

http://www.komnasfbpi.go.id/situationupdate.html

[Giuseppe]

Re: Indonesia Human Cases - April 9, 2008+

Adaptation


KOMNAS FBPI (Nat Bird Flu Committee; related to Dep of Health) is counting down the numbers in their latest update:

was a total of 135 see post # 210

Today the total is 133, West Java and Special District Jakarta counted down with one. Probably the girl Istiqomah from Jakarta and the woman Tini Suhartini from West Java.

Remember: the brother of Istiqomah (Ahmad Rizki) died before she died, the brother was not tested. Also an older sibling (Alamsyah, 24) was hospitalized.



The number of human cases in Indonesia has reached 133, of which 108 have died

Province / No. of AI Positive Human Cases / No. of Fatalities


1 West Java 33 27
2 DKI Jakarta 32 27
3 Banten 25 22
4 North Sumatera 8 7
5 East Java 7 5
6 Central Java 11 10
7 West Sumatera 4 1
8 Lampung 3 0
9 South Sulawesi 1 1
10 South Sumatera 1 1
11 Riau 6 5
12 Bali 2 2

Total 133 108

http://www.komnasfbpi.go.id/situationupdate.html

This ''phenomenon'' started yesterday with 134th case disappearance, but the total count remained at 135: http://www.flutrackers.com/forum/sho...&postcount=243.
It is a worrying development.

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

Indonesia says it will no longer formally announce bird flu deaths


Thursday, June 5, 2008

By ROBIN McDOWELL, AP

JAKARTA, Indonesia -- A 15-year-old girl died of bird flu last month, becoming Indonesia's 109th victim, but the government decided to keep the news quiet. It is part of a new policy aimed at improving the image of the nation hardest hit by the disease.

"How does it help us to announce these deaths?" Heath Minister Siti Fadilah Supari said Thursday, after confirming that the girl from southern Jakarta tested positive on May 13 and died one day later. "We want to focus now on positive steps and achievements made by the government in fighting bird flu."


Indonesia's decision could aggravate the World Health Organization, which waits to update its official tally of Indonesia's bird flu deaths until after they are formally announced by the government. The toll on its Web site stood at 108 on Thursday - accounting for nearly half the 241 recorded fatalities worldwide.


The country's health minister has clashed with WHO over bird flu before.


Supari stopped sharing bird flu samples with the global body in January 2007 after learning that some coveted data about the virus was being kept in a private database at a U.S. government laboratory in Los Alamos, New Mexico, and made accessible to only a handful of researchers.


She worried that pharmaceutical companies would use her country's viruses to make vaccines that were ultimately unaffordable for developing countries. She has called for the creation of a global stockpile of lifesaving drugs, price tiering or other multinational benefit-sharing programs.


At present, all of Indonesia's virus samples are kept at a Health Ministry laboratory. DNA sequencing - used for risk assessment, diagnosis and to signal possible mutations - is carried out by scientists at the nearby Eijkman Institute.


"We have the capability to do this ourselves," Supari said.


So far, the virus remains hard for people to catch. Most of the world's 388 recorded human cases fell ill after contact with infected birds. But scientists have been closely monitoring the H5N1 virus, fearing it could potentially mutate into a form that spreads easily among people, possibly sparking a pandemic.


Until recently, Indonesia's government announced bird flu deaths by e-mail and provided an almost 24-hour information center for confirmations.


It gradually abandoned that practice several months ago, often burying news of deaths on the ministry's Web site.


The latest policy shift means no posting will be made until deaths have already been reported in the media, said Supari, who wants the focus now to be on improvements made in fighting the H5N1 virus nationwide.


She said only 18 people have been infected in the first six months of 2008, compared to 27 during the same period in 2007 and 35 in 2006 - something she attributed to improved surveillance and public awareness.


But the U.N. Food and Agriculture Organization issued a critical statement in March, saying Indonesia's efforts to control the disease in poultry are failing.

The H5N1 virus is entrenched in 31 of the country's 33 provinces and will continue to kill humans until it can be controlled in birds, it said.

http://www.chinapost.com.tw/print/159731.htm

[HenryN]

Re: Indonesia Human Cases - April 9, 2008+

Commentary

http://www.recombinomics.com/News/06050801/H5N1_Indo_Blackout.html

[Sally Furniss]

Re: Indonesia says it will no longer formally announce bird flu deaths

Indonesia quits offering prompt notice of H5N1 cases

Lisa Schnirring Staff Writer

Jun 5, 2008 (CIDRAP News) – Indonesia's health minister said today the government has stopped the practice of promptly notifying global health officials each time it confirms a human H5N1 avian influenza case or death, a move some say will likely hamper efforts to monitor the world's pandemic risk level.

Health Minister Siti Fadilah Supari today confirmed that a 15-year-old girl from Jakarta tested positive for H5N1 avian influenza on May 13 and died the next day, according to a report from the Associated Press (AP). Indonesia's National Committee for Avian Influenza Control and Pandemic Influenza had previously listed the case as confirmed on its Web site, but the information is apparently no longer listed.

The WHO, which typically confirms cases when it receives notifications from health ministries or test results from its collaborating laboratories, has not yet confirmed Indonesia's most recent case and has not commented on Supari's decision to stop sending out H5N1 case notifications. The WHO's last confirmed an Indonesian H5N1 case, in a 3-year old boy who died on Apr 23, on Apr 30.

Supari told the AP that the health ministry would not send out H5N1 case confirmations until after they have been reported in the media. However, Reuters reported today that the ministry will announce the death toll from the H5N1 virus only every 6 months.

"How does it help us to announce these deaths?" Supari told the AP. "We want to focus now on positive steps and achievements made by the government in fighting bird flu."

She told Reuters that announcements of H5N1 deaths are sometimes misunderstood. "It's OK not to announce it. Sometimes they only give hurtful comments instead of helping," she said without further explanation.

Indonesia has been hit hardest of any country by the H5N1 virus. According to the WHO's most recent count, the country has had 133 cases and 108 deaths.

The country's refusal to share timely reports of human H5N1 cases is the latest in a series of controversies that began when Indonesia stopped sharing its H5N1 isolates in early 2007 to protest what it views as a lack of access to affordable H5N1 therapies and vaccines. The WHO has held several meetings to resolve the virus sharing issues, but so far no agreements have been reached.

Sharon Sanders, editor-in-chief of FluTrackers, a well-known Web message board that focuses on avian flu developments, told CIDRAP News that Indonesia's decision to delay H5N1 notifications will obscure what is happening there, which negatively affects the world's ability to prepare for a pandemic.

She said Indonesia's news blackout would likely have the opposite effect from what the government apparently intends. "Now, there will be intense speculation and generation of rumors surrounding suspicious deaths that have similar symptoms to H5N1 infections," Sanders said. "False rumors of an H5N1 outbreak have the potential to be even more economically devastating than a government-confirmed outbreak."

Established in early 2006, FluTrackers monitors avian flu developments in several languages from several sources and hosts international discussion forums and resource lists.

Sanders said media reports coming out of Indonesia are generally reliable, but have some drawbacks. "In many instances, reported suspicious human cases have little or no follow up, so we are left with gaps in our total picture," she said.

Indonesia's avian flu news blackout might increase traffic to online avian flu communities, such as FluTrackers and FluWiki, because they translate and analyze Indonesian newspaper reports, blogs, newscasts, and other sources, Sanders said.

"FluTrackers will continue to publish what we can; however, we rely on the local sources in Indonesia," she said. "Since the national government is imposing restrictions on when they confirm human deaths, we are watching for other restrictions such as suppression of the local news media to develop."

See also:

WHO global H5N1 case count

http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/jun0508indonesia-br.html

[sharon sanders]

Re: Indonesia says it will no longer formally announce bird flu deaths

I would like to thank the news analysts who search, translate, and report the news daily:

FluTrackers

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Flu Wiki

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A grateful world thanks you!


I may add more names. I reviewed the sites but I may have inadvertently omitted someone. For that I apologize in advance and I will promptly correct this post.