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

[Dutchy]

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]

[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=l...p&newsid=37623

[ironorehopper]

Originally Posted by ironorehopper

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.

[Dutchy]

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_d...u.asp?id=66136

[Dutchy]

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...musnahkan.html

[Commonground]

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).

[Dutchy]

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]

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.

[Dutchy]

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

[Dutchy]

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

[ironorehopper]

Originally Posted by Dutchy

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.

[Dutchy]

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]

Commentary

http://www.recombinomics.com/News/06..._Blackout.html

[Sally Furniss]

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/con...onesia-br.html

[sharon sanders]

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

FluTrackers

Dutchy
Commonground
Treyfish
Ironorehopper
Muscade
FrenchieGirl
Shiloh
Niman
Sally
Tropical
Gsgs
Ganderspeel
Safran
Ningtyas
Anne
Lili61
Anty


Flu Wiki

Pugmom
Influencia2
CarolSc
Cottontop
bgw in Mt
Dbg
Mojo
History Lover


PFI

Pixie
Helblindi




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.

[Commonground]

Perlu pendekatan ekstra hati-hati, dr Reviono SpP, Ketua Tim Medis Penanggulangan Flu Burung RSUD dr Moewardi Solo

This one doctor really familiar in the reporter's circle, both the print media and electronics.
He that always to jujugan every time had the case avian influenza (AI) or bird flu that was reconciled to RSUD Dr Moewardi Solo.
Including the case suspect AI that fall on YES, 13, the resident Giritontro, Wonogiri that up to now still is treated in isolation space.

The total had 41 patients suspect AI that has been handled by the specialist doctor of the lung lungs had the full name Dr Reviono SpP this since the first time was promoted as Chairman Tim Medis of the Control of AI RSUD Dr Moewardi Solo the end 2005 then.
There are those that finally had recovered, but there are those that could not be rescued.
All of them caused deep emotions.
"Ada the sad and disappointed feeling that was deep every time had my patient who died.
Disappointed because felt could not help," clear Reviono, when being met Expose in his office, on Wednesday (4/6).
Seen from his task trip as the specialist of the lung lungs who just walked around five years, could be counted indeed was not yet too long.
However, his capacity need not be in this field doubted again.
Before being appointed as the chairman of the medical team of the AI control, he also held the office of the chairman of the team of the control tubercolusis (the TB) the strategy of DOTS RSUD Dr Moewardi.
The position that also still is carried out by him now.

Moreover, he also often was believed became the informant in various counselling and the training of the AI control by the Kesehatan Service of the Central Javan Province and UNICEF.
Then was not wrong if RSUD Dr Moewardi entrusted responsibility as the chairman of the team of the AI control to the father of one child.
In this matter, responsibility that must be carried out by Reviono indeed really heavy.
Because, the illness that was spread through this poultry at this time was becoming the spectre in the community.

Many members of casualties's family that did not receive if being given by the diagnosis of AI. Sehingga needed the approach that extra hearts of the heart and giving of information that was complete with the language that was easy to be understood.
That not was easy, at first if the relevant patient evidently could not be rescued.
"Kebanyakan the patient who could not be rescued as a result of the delay of the diagnosis, experienced failed the breath and the acute inflammation."

Namun Demikian, as far as this is concerned, the Bojonegoro birth man, in the last 42 years apparently really enjoyed his work.
He currently lives in the Vila Sounding Lead of Nusa Indah Ii Malangjiwan, Colomadu, Karanganyar.
Apart from being assigned in RSUD Dr Moewardi he also often was in RSI Islam Kustati

http://www.solopos.co.id/sp_search_tamu.asp?keyword=flu
shs - 5/6/2008

[Farmer]

Originally Posted by Florida1

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

FluTrackers

Dutchy
Commonground
Treyfish
Ironorehopper
Muscade
FrenchieGirl
Shiloh
Niman
Sally
Tropical
Gsgs
Ganderspeel
Safran
Ningtyas
Anne
Lili61
Anty


Flu Wiki

Pugmom
Influencia2
CarolSc
Cottontop
bgw in Mt
Dbg
Mojo
History Lover


PFI

Pixie
Helblindi




A grateful world thanks you!

Yes, thank you all for your time and hard work.
Media reports may be all we have if Supari carries out her threat.

[Commonground]

You're all very welcome
There is not much reported in the Indonesian media lately.

[Dutchy]

From Padang, West Sumatra.

Toggeltext is out here, may be someone can translate.

A young child , with initials HAP, 1 year 3 months, is brought to the hospital by its parents. The child displayed bird flu symptoms. Before HAP developed high fever, chickens died suddenly. Family has to use PPE.



Again Suspect Bird Flu Discovered


Edit, translation from dbg, PFI:



Suspect Bird Flu Was Again Found

Monday, 09 June 2008

Padang, Padek - RSUP M. Djamil Padang again received the patient suspect bird flu. The patient from the Village [Kampung] Penang, Village [Kelurahan] Bungus Timur, Kota Padang had the initials HAP (1.3). Was based on information from the patient's family, Hendri beforehand had the story of contact with the chicken that suddenly died suddenly. "This patient was carried [by] his parents on Friday (6/6) in the condition for the high and breathless fever. Initially he got the maintenance in the child's ward.

However because of being seen by his clinical sign resembled bird flu, then he was immediately moved to the room of the Irna C Penyakit Dalam isolation," said the Head of the Service Medic Field RSUP M. Djamil Padang Irayanti to Padang Ekspres, yesterday.

Concern this pre-schooler was infected by the virus H5N1, said Irayanti increased after being discovered information from his parents. According to his family, before HAP the high fever, indeed had the chicken died suddenly in his residence environment.

At this time his condition was still feverish high. "The patient also got help of oxygen because he was breathless that was suffered by him. The temperature bada him at this time achieved 38 levels celisius," explained Irayanti.

The side of RSUP M.Djamil Padang at this time took the sample of the patient's blood to be carried out by the inspection and immediately in sent to Balitbang Department of Health RI. Be planned today also will be taken swab the throat, to know the clinical sign available to mucus.

Appropriate protap (= PPE, ed) the handling of the bird flu patient while being stated suspect, the patient's family that accompanied must use the protection implement himself, took the form of the mask, sterile clothes and the cover of the head. Whereas the clinical sign of the bird flu patient, breathless and feverish high more than 37 Celsius levels.

http://www.padangekspres.co.id/content/view/8572/104/

[Dutchy]

West Sumatra, Padang


The Patient Was Still Breathless

Selasa, 10 Juni 2008

Padang, Padek - The condition for pre-schoolers suspect bird flu had the initials HAP (15 months) that lying down in RS M. Djamil was still being weak. The infusion hose was still coiling around his wrist. Even so with the oxygen hose that adhered to his nose.

"At this time the patient was still suffering the fever and breathless. It did not yet have the quite significant development," said the Head of the Field of Pelayanan Medis RSUP M. Djamil Padang, Irayanti was contacted Padang Ekspres, yesterday.

His side personally at this time took swap the throat to be checked in the laboratory. Whereas the sample of blood that will be sent to Balitbang Department of Health RI, today was just taken.

Because of beforehand the patient's family refused to be taken the patient's blood. The problem was, misunderstand the patient's family about the procedure of the patient's inspection suspect bird flu.

However the blessing of the nurse and the doctor of the team's patience informed the importance of the taking of blood to be sent to Balitbang Department of Health RI to be carried out by the test of PCR.

"Test this to know was not him the virus H5NI in the content of the patient's blood. Expected in the near future, produced by PCR immediately to be known so as the assurance about the patient also immediately was known," he said.

Still Could Not Be Ascertained

Separately, Head of Sector Illness Prevention Control (P2P) the City Health Service (DKK) Padang Dr Devi said still could not ascertain the patient suspect bird flu or not.

The problem was, the clinical sign did not further indicate the patient suspect bird flu. "We did not yet get the assurance from the side RS M. Djamil whether the patient suspect or not. But earlier, the patient never again the high fever," he said.

The patient, HAP have an address in the Village[Kampung] Penang, Village [Kelurahan] Bungus Timur, Subdistrict Bungus Telukkabung was carried his parents, on Friday (6/6) to RS M. Djamil the hot reason high exceeded 38 derejat celcius.

The RS side M. Djamil handled him was proper for the patient suspect bird flu, resulting from these pre-schoolers showed the clinical sign like breathless and hot high.

However unfortunately, till Monday (9/6), the side DKK (Livestock-serviece,ed) did not yet take the action anything, because indeed did not yet get information and the report about this patient.

The head of the Bungus Community Health Centre, Almu Muhammad said appropriate protap that was agreed to in consensus with the Health Service of the Province, the patient suspect bird flu was sent to RS, must in accordance with reconciliation from the community health centre. That was meant, so that the handling of the patient is really maximal.

"If having the report, we that sent with means that were owned by us. We also prepared the place was earlier in M. Djamil before the patient came with the aim of sterilising the location. But till yesterday we did not get the report and information anything," Almu covering.

Was based on the data, said Dr Devi, the case suspect bird flu was in the Padang City recorded, 24 cases. In 2006 had three patients, but was the consignment patient from Jakarta. In 2007 was 21 suspect bird flu, but results of the negative. In 2008, DKK did not yet record the occurrence of the case.

Negatively Bird Flu

The head of Agriculture Padang City, Asnel said, after carrying out the survey of the field, there was no chicken that was infected by the bird flu virus. "After in the cheque, not there is any the chicken that was at this time sick," said Asnel.

However indeed, 15 days ago, there was a chicken died suddenly. Nevertheless, was believed in by Asnel this chicken not the chicken that had the bird flu virus, because other chickens that at this time still were living not there are those that was sick.

If indeed the chicken that died this the bird flu chicken, then must have the chicken that was sick at this time. "In fact not. The chicken a pen, none was sick," he said again.

Nevertheless, Agriculture continued to carry out spraying of the radius 1 kilometre from the patient's house. Spraying was carried out for anticipation and calmed the community.

http://www.padangekspres.co.id/content/view/8674/105/

translation dbg

[Dutchy]

Some details from Padang, West Sumatra. The family doesn´t trust the hospital. Not clear why.

The child seems to display all clinical symptoms of bird flu.

A lot of direct contacts before the child was brought to the isolation ward.


Pre-schoolers Suspect Bird Flu, Family refused to be checked

Padang - Dugaan the suspect bird flu was aimed at a pre-schooler was 1 years and 3 months old had the initials HAP, was threatened with could not be handled by the official RS. M. Djamil Padang because of the family refused for the inspection of the patient's blood, on Monday (9 - 6).

This refusal was brought forward without the clear reason.


According to information of the hospital side, to confirm whether this patient suffered bird flu or not, must join several inspections swab the throat, that was useful to know the clinical sign available to mucus and the sample inspection of blood. But the family was always silent.

Hendri, parents of the patient, said, on Monday (2/6) previous, his child could be carried to the Puti Midwife in the Laban Bungus Market.

Kamudian was carried to the other midwife, but never recovered to the end was brought to RS.M.Djamil last Friday (6/6).

These pre-schoolers could be treated for 2 hours in the Childrens Ward the hospital.

Hendri startled when the official said his child's illness was similar to the sign of bird flu, because beforehand he only thought his child only suffered the common fever.

On the official's suggestion, finally Hendri prepared his child was moved to the room of the Irna C Penyakit Dalam Isolation.

After experiencing the beginning inspection, the official found the indication of early that was similar to the sign of bird flu.

This assumption was reinforced by information of casualties's family, that said the kept chicken casualties's family had died suddenly, 4 days after the pre-schoolers suffered the fever.

Resulting from the family's refusal, the process of the patient's recuperation with the step in early took the sample of the patient's blood to be carried out by the inspection that would in sent to Balitbang Department of Health RI to was hindered.

Observation padangmedia.com up until today, several members of the family of the appearance patient accompanied casualties by using the protection implement himself, took the form of the mask, sterile clothes and the cover of the head, appropriate protap the handling of the bird flu patient while being stated suspect.

http://www.padangmedia.com/news/131/...008-06-09.html

[Dutchy]

Two snips from Padang, Sumatra, on the young child, suspected to have bird fu.

A child falling ill, having high fever and displaying symptoms of "breathlessness" is not extraordinary, it is normal.

(Again) some delay of the publication of the testresults.

--------------------------------------------------------------------------

- snip -


In Friday last week that, he said, And cried and hot his body was rather other. There was no assumption what what with his child's illness.

Moreover, Epi (32) the father And only expected his child the common fever. If in our village, that was named breathless normally, that was not extraordinary.

But, it is hoped true not bird flu, said the woman again.

The matter of the cost, he said, indeed must not pay in RS M. Djamil.

But, to stay long in the hospital certainly was not good, would much money that went out to eat in two kitchens.

Yesterday the doctor's words today (yesterday) results of his test were finished.


- snip -

The head of the Pelayanan Medik Field RSUP M. Djamil Padang, Dr Irayanti that was contacted mentioned, up until Tuesday (10/6) results of the test of the patient's blood that was expected to be infected by the virus H5NI that did not yet go out. Possibly 5 or 6 days more.

It was clear, the patient will continue to be treated intensively here, said Irayanti while mentioning, the sample of blood was still being checked in Balitbang Department of Health RI.

http://www.posmetropadang.com/content/view/2937/1322/

translation Influentia2

[Dutchy]

Some more snips from Padang Hopital, Sumatra

The child HAP seems to improve.

"Rapid test" said "negative", however these teste have an accuracy of 50%.

The doctors had trouble with taking samples, only after 2 days of treatment the parents allowed it. Would not be surprising if the results of the PCR-test would be negative too.



The Sample Of Blood Was Sent To The Department Of Health

Rabu, 11 Juni 2008

Padang, Padek - After three days underwent the maintenance in the room of the isolation of RSUP M. Djamil Padang, "HAP" (15 months) the patient suspect bird flu gradually from Bungus Kota Padang improved.

This condition was seen with the fall of the temperature of the body of the male child from 39 levels celsius became 37 levels celsius. Nevertheless, this patient still experienced breathless so as still needed help of breathing with oxygen.

"Generally the condition for his body was still weak, everything of the number of his leucocytes was also high, this matter signalled the existence of the infection in the patient's body. From results rapid the test that was carried out in RSUP M. Djamil Padang, results of the negative.

However in accordance with the procedure, that will become the reference was results of the PCR test, that is results of blood that verified in Balitbang Department of Health RI, said the Head of the Layanan Medik Field RSUP M. Djamil Padang, to Padang Ekspres, yesterday.

http://www.padangekspres.co.id/content/view/8785/105/

transalation dbg

[Dutchy]

Long report from website Department of Health on Bird Flu Cases, January - May 2008

http://www.depkes.go.id/index.php?op...ticle&sid=3128

TT is out here.

[Commonground]

Post #264:

Based on examinatiion virologist with method analyzing (genetic sequencing) by means of Badan Research and Development Health (Balitbangkes) Depkes and Organization Biology Molecular Eijkman in Jakarta, up until now virus flu burung that attack human being still [consistent/fixed/stable] H5N1. And thus, infection virus flu burung in Indonesia still from poultry toward humans. Karana that, society was appealed toward avoiding contact with poultry that sick or died suddenly and environment that polluted feces poultry. Not tend poultry in surrounding settlement when there is poultry that is sick or dead in surroundings around, immediately report to Ketua RT RW local Masyarakat also urged always to carry out behavior live clean and healthy (PHBS), look after cleanliness surroundings and guard against sign Flu, because frequently times too late patient seek service medical enhance risk death. Matter
concerning those passed on dr I Nyoman Kendun MPH Dirjen Pengendalian Disease and Sanitation Lengkungan Depkes linked by evolution handling flu burung.

According to dr Nyoman Kandun in handling flu burung government already to carry out various endeavors towards suppress number illness and death. Among to prepare house sick referral Flu Burung from formerly 44 RS become 100 RS in entire Indonesia to participate in treatment method free of charge for medical patient that anticipated suspect Flu Burung until result inspection completed done Badan Research & Development in Eijkman.

-snip-
Not translated:

Sedangkan untuk mempercepat pemeriksaan sampel dilakukan penguatan laboratorium rujukan nasional dan 8 laboratorium regional. Pemeriksaan sampel yang semula dilakukan di laboratorium rujukan WHO di Hongkong dan CDC Atlanta Amerika (sejak 2005 sampai awal Agustus 2006) maka mulai 8 Agustus 2006 penentuan konfirmasi kasus Flu burung dapat dilakukan di dalam negeri yaitu laboratorium Badan Litbangkes dan Lembaga Eijkman. Pada saat bersamaan, Menkes RI juga menetapkan bahwa data virus Flu Burung dimasukkan dalam Genebank sehingga dapat diakses oleh para ilmuan internasional.

Selain itu, pemerintah juga menyediakan obat Oseltamivir di sarana pelayanan kesehatan pemerintah seperti Puskesmas dan RS rujukan. Sedangkan untuk meningkatkan kemampuan petugas, telah dilakukan berbagai pelatihan penanggulangan Flu Burung bagi petugas medis dan paramedis serta Tim Gerak Cepat Flu Burung, kata dr. Nyoman Kandun.

Untuk meningkatkan kemampuan dalam mengantisipasi kemungkinan pandemi influenza, telah diselenggarakan simulasi penanggulangan pandemi influenza di Jembrana, Bali tanggal 25-27 April 2008 yang melibatkan Puskesmas, RS, desa wilayah penanggulangan, Bandara dan jejaring kesehatan lainnya. Ini adalah simulasi penanggulangan komprehensif pertama di dunia, dihadiri pengamat dari dalam dan luar negeri, tambah dr. Nyoman Kandun.

In period of time January - May year 2008 Depkes already to do check suspect Flu Burung to be in succession go along with 198 cases and 483 specimen. In period that same for year 2007, already carried out investigation suspect toward 479 cases and 1,025 specimen. For the moment at period of time that equal year 2006, already carried out investigation suspect flu burung sequential 302 cases and 714 specimen. Besides that also carried out investigation laboratory contact research inquiry cases confirm Flu Burung, monitoring contact cases confirmand counseling to community through various channels information which available.

Toward month May 2008, cases positive Flu Burung indicate descent 50% compared cases Flu Burung in month May 2007 and descent that sharp that is to say 88.8% compared cases Flu Burung in month May 2006. Peak highest cases flu burung found in month May 2007 because situation cluster Flu Burung largest Kabupaten Karo.

Not Translated:

Dari 12 provinsi yang terinfeksi Flu Burung, terdapat 5 provinsi yang tidak ditemukan lagi kasus Flu Burung yaitu :

Provinsi Lampung : Infeksi tahun 2005, 2 tahun 5 bulan lebih tidak ditemukan kasus
Provinsi Sulsel : Infeksi tahun 2006, 17 bulan lebih tidak ditemukan kasus
Provinsi Sumsel : infeksi tahun 2007, 5 bulan lebih tak ada lagi kasus
Provinsi Riau : Infekksi tahun -2007, 5 bulan tak ada kasus
Provinsi Bali : Infeksi bln November 2007, 6 bulan tak ada kasus.
Informasi perkembangan penanggulangan dan kasus Flu Burung, akan disampaikan secara berkala sebulan sekali. Dengan demikian masyarakat dan seluruh pemangku kepentingan dapat mengetahui upaya-upaya menyeluruh yang telah dilakukan dalam periode tersebut. Informasi akan disampaikan melalui situs www.depkes.go.id.

Berita ini disiarkan oleh Pusat Komunikasi Publik, Sekretariat Jenderal Departemen Kesehatan. Untuk informasi lebih lanjut dapat menghubungi melalui nomor telepon/faks:021-5223002 dan 52960661, atau e-mail puskom.depkes@gmail.com dan puskom.publik@yahoo.co.id.

[Dutchy]

Thank you!

[Shiloh]

Source: http://canadianpress.google.com/arti...IRggemVMdfp-QA

WHO says Indonesia has given assurances it will report bird flu cases

TORONTO — A senior official of the World Health Organization says the global health agency has been assured Indonesia will continue to report human cases of, and deaths from, H5N1 avian flu as they occur.

The WHO had sought clarification from Indonesia after Health Minister Siti Fadilah Supari said last week that her country would in future only report H5N1 deaths sporadically, perhaps at six month intervals.

The suggestion was met with dismay and with warnings that Indonesia would be in violation of the International Health Regulations if Supari carries through on her threat.

That international treaty requires prompt reporting of cases of diseases such as H5N1 that have been designated as global health threats. Indonesia is a signatory to the treaty.

"We've received official notice at our WHO office in Jakarta that the minister will continue - as she has been - notifying WHO on confirmed infections under the International Health Regulations," Dr. David Heymann, assistant director general for health security and environment, said from Geneva.

"She's been clear ... that she has no intention of not conforming to the International Health Regulations. She knows what they are. She's been told what those regulations require."

Despite the assurances, it seems Indonesia may not have formally notified the WHO yet of an H5N1 death that occurred nearly a month ago.

In an interview with the Associated Press last week, Supari revealed that a teenage girl died on May 14, but the government decided not to announce her death right away.

"How does it help us to announce these deaths?" she asked in the interview.

The most recent death Indonesia reported to the WHO occurred on April 23. As of Thursday, the WHO's official case count for Indonesia was 108 deaths out of 133 confirmed cases - the highest toll of any country afflicted with the H5N1 virus.

Heymann said the WHO's country office in Jakarta may have been notified Thursday of the death and was putting the information through channels. But if that's not the case, the WHO will be asking questions.

"If that was a confirmed case, we will have to work to understand what went wrong" in the notification process, he said.

The International Health Regulations stipulate that countries must report new H5N1 cases within 24 hours of confirmation and must report important related information, such as deaths, in a timely manner.

The WHO needs the information to make an assessment of the risk the event poses. Changes in the H5N1 death rate, for instance, could signal that the virus has mutated and experts would want to study sample viruses to look for what triggered the shift.

Indonesia has been enmeshed in a dispute with the WHO for more than a year, refusing to allow outside scientists to study sample viruses until it receives assurance it will get a share of any vaccine produced from Indonesian viruses.

[Dutchy]

Department of Health in Indonesia stands up to defend their bird flu policy.

- Number of suspect cases descended sharply, short summary presented;
- Government invested a lot of money in special referral hospitals, training of medics, local laboratories;
- Two national lab's do a lot of testing; no signs of bird flu going H2H;
- Offering free medical treatment for suspect bird flu patients and offering Tamiflu to local Health Centres and Hospitals;
- More counseling in local communities.


Number of Bird Flu Suspects Descended 50%

Jakarta - government efforts to deal with the bird flu virus began to show results.

Although still was gotten by the positive case of the virus infection H5N1, the amount descended significant when against the same period last year.

From the data that was owned by the Department of the Health, the period January-May 2008 the Department of Health carried out the inspection suspect bird flu was endless towards 198 cases and 483 specimens.

In fact, in the same period 2007, the Department of Health checked suspect towards 479 cases and 1,025 specimens.

The director general of the Control of the Illness and Sanitation of Lingkungan Department of Health Dr I Nyoman Kandun MPH said, in May 2008, the positive case of bird flu descended 50 percent compared with the case of bird flu in May 2007.

Moreover, descended sharply (88, 8 percent) when compared with the case in May 2006.The peak was highest the case of bird flu happened in May 2007 because of the existence klaster biggest bird flu in the Karo Regency (North Sumatra), he said in Jakarta yesterday (12-6).

According to Kandun, in the control of bird flu, the government carried out various efforts to press the pain figure and the death. (Morbidity and mortality, ed).

Among them, prepared the reconciliation hospital from 44 to 100 hospitals all over Indonesia.

Including the free maintenance for the patient who was expected (suspect) bird flu was through to results of the inspection of being finished carried out the Litbang Body and Eijkman, he continued.

Moreover, was carried out by the inspection of the contact laboratory, case investigation konfirm bird flu, observation of case contact confirm, and counselling to the community through various information channels that were available.

Was based on the inspection virologis with the genetic analysis method by Balitbangkes Department of Health and the Biologi Molekuler Eijkman Agency in Jakarta, up to now the bird flu virus that attacked humankind still continue to H5N1.

Therefore, the spread of the bird flu virus in Indonesia still from the poultry to humankind.

He appealed to the community to avoid contact with the poultry that was sick or died suddenly and the most polluted environment the waste of the poultry.

If having the poultry that was sick or died in the environment around, immediately was reported to the local chairman RT RW, mentioned he.

At this time, said he, the government also provided Oseltamivir medicine in means of the government of the health service like the community health centre and RS reconciliation.

To increase the official's capacity, the Department of Health carried out various trainings of the control of bird flu for the medical officials and the paramedic as well as the Team of the Cepat Movement of Bird Flu.

http://www.indopos.co.id/index.php?a...il_c&id=345500


For Original Press Release Dep of Health in Indonesian:

http://www.depkes.go.id/index.php?op...ticle&sid=3128

Press release in English is expected in a few days.

Preliminary translation here: http://www.flutrackers.com/forum/sho...&postcount=265

List of 100 bird flu referral hospitals in Indonesia here:

http://www.flutrackers.com/forum/showthread.php?t=14212

[Dutchy]

Metro TV reporting on "HAP" , the child in Padang Hospital, West Sumatra.

This reports mentions a grand total of 63 (suspect) patients, with 2 fatalities.

Official count by Dep of Health is 4 confirmed cases, 1 died: http://www.komnasfbpi.go.id/situationupdate.html



Metrotvnews.com, Padang ; One patient suspect bird flu was treated in the Daerah Public Hospital (RSUD) Muhammad Djamil Padang, West Sumatra.

He was Hendra Andika, 1 year, the resident of the Penang village, Kelurahan Bungus Timur, of Kecamatan Bungus Telukkabung, West Sumatra.

Currently, his condition gradually improved but he was still using the infusion as well as respiratory aids.

The head of the Pelayanan Medik Field RSUD Muhammad Djamil, Irayanti said Hendra was treated after experiencing the sign of the high fever, breathless, the cough cough and flu.

His side also still was waiting for results to crush Hendra blood from the Department of Health laboratory in Jakarta. Hendra had the story of contact with the poultry.

During the last three years, RSUD Muhammad Djamil treated 63 patients, two including dying. The bird flu sufferer in general from various cities and the regency in West Sumatra and most in the Padang City, Dharmasraya, and the South Coast.

http://www.metrotvnews.com/berita.asp?id=60773

[Dutchy]

Update on HAP from local Padang press.

Aids does NOT refer to HIV, but to artificial feeding , oxygen and infusion; earlier reports said the child was very light and the girl has difficulties with swallowing food. Medicine is added (Tamiflu?).

The condition of the girl seems to improve. Lab of Dep of Health promised to report the test results by telephone as soon as possible.



http://www.padangekspres.co.id/content/view/9012/105/

The patient Suspect Bird Flu with Aids

On Friday, June 13 2008 Padang, Padek Pasien suspect bird flu had the initials "HAP" (15 months), got help nasograstik (NGT) took the form of the hose that dimasukan in the throat, as aids memasukan food in the body, yesterday.

This policy was taken by the team of the doctor, because of pre-schoolers from the Village Penang Kecamatan Bungus Telukkabung this was difficult to swallow food.

Although then was like this, generally the patient experienced the development of the temperature of the body began to be normal.

At this time indeed 'HAP', got NGT help.

This implement to help so that asupan the nutrient that was important for his body continued to be able to be fulfilled.

Because of the last three days, he had difficulty swallowing food, said the Head of the Layanan Medik Field RSUP M. Djamil Padang Irayanti to Padang Ekspres, yesterday.

This implement also helped the sweetheart this Epi Bachelor to memasukan medicine in his body.

So as ditubuh small these pre-schoolers were increasingly filled health aids.

Because of beforehand he also got help of breathing through oxygen.

In the meantime the coil of the infusion on his arms also still was installed sbagai the entry road of the liquid in his body.

Till at this time the development really was significant in the temperature of his body that no longer experiences the fever.

To breathless that was experienced by him also began to decrease, but still experienced the cough.

The RSUP side M. Djamil Padang was still being waiting for results of the PCR test that was sent the sample of his blood two days ago.

Be based on protap the handling of the bird flu patient, usually if indeed the positive patient suffered bird flu, then the side of Balitbang Department of Health immediately telephoned RSUP, to in took the special action.

http://www.padangekspres.co.id/content/view/9012/105/