Discussion on Indonesia Outbreaks

[Snowy Owl]

Feel free to posts your comments.

Thank You

[Siamese]

Re: Discussion on Indonesia Outbreaks

Does anyone have a total on Garut?

[Commonground]

Re: Discussion on Indonesia Outbreaks

Here is a detailed map of Indonesia.

http://www.lib.utexas.edu/maps/ams/indonesia/index.html

I can?t paste maps in here. Here is a post my MomCares at CurEvents with the list of places this cluster is from:

I wish we could get a geography lesson from a local, or at least a REALLY detailed map of the area surrounding Garut. Theresa?s map is great (probably the best there is), but it still doesn?t clarify where all these little villages are.
Here are the relevant place names I found in the press releases I went through last night?
Ranlasalak Village,
Cikelet subdistrict, Garut district
Jojok village, Cikelet subdistrict,
Garut Pameungpeuk subdistrict
Jojoh Tipor village
Pasir Gambir village
Some of these may be translation issues, or they might all be discrete places. It sure would be great to understand it better!

[I was able to find Garut but I couldn?t find Cikelet. If you scroll down, there is a list of the districts and that?s where I found Garut.]

[Siamese]

Re: Discussion on Indonesia Outbreaks

Garut is a lot larger area than I thought at first, Thank you for the information Commomground.

[HenryN]

Re: Discussion on Indonesia Outbreaks

Garut is a lot larger area than I thought at first, Thank you for the information Commomground.

All of the patients are in Cikelet Village, the Cikelet Subdistrict, Garut, West Java which is on the coast and only 20 km across.

[Theresa42]

Re: Discussion on Indonesia Outbreaks

Map of Cikelet on Encarta:

http://tinyurl.com/qmtk2

Still doesn't give any indications of the "hamlets" though. I think they may be just too small to appear on any map.

[Siamese]

Re: Discussion on Indonesia Outbreaks

So is there 14 in total with 8 deaths?

[Commonground]

Re: Discussion on Indonesia Outbreaks

Thanks Theresa42 for the map. If it's only about 4 miles to Dukuh, then these hamlets must be similar to our "housing developments" in our Country. They could be no more than a few dirt roads.

[Siamese]

Re: Discussion on Indonesia Outbreaks

Yes thank you Theresa for the map, this one I can see a bit better.

[Commonground]

Re: Discussion on Indonesia Outbreaks

Siam, I would have to try to get a total and a total number of deaths. You may be able to go to Dr. Nimans site to get clarification. I thought is was 10 suspected cases and I'm not sure out of that, how many deaths.

[Siamese]

Re: Discussion on Indonesia Outbreaks

Thankyou Commonground, I will follow that up on his site

[Theresa42]

Re: Discussion on Indonesia Outbreaks

The newspaper Pikiran Rakyat is reporting one confirmed death -- Ai Siti Amanah -- and four suspected deaths -- Euis Lina, Rubiah, Misbah and Sardi. In other words, 5 altogether (out of ca. 11 suspected cases).

[Mamabird]

Re: Discussion on Indonesia Outbreaks

The Washington Post today ran a feature article revisting the Karo, North Sumatro family cluster. Dowes Ginting is the subject, the last to die in this unfortunate chain. What's not been made public is that Dowes had three viral samples taken, one when he became ill, and two others at death. The NA segment of these isolates is quite interesting.

When Dowes became ill he began popping Tamiflu, but then ran off into the hills not completing his 10 day regiment. His early genetic sequence shows Tamiflu sensitivity, but one of the later sequences shows the H274Y mutation indicating Tamiflu resistance.

So if Dowes had in fact infected others in his village, not only would they have been infected with highly pathogenic H5N1, but Tamiflu would have likely not given them much, if any, relief. Similar situation seen in Vietnam patients. This virus seems to adapt quickly to antivirals, at least Tamiflu.

[Snowy Owl]

Re: Discussion on Indonesia Outbreaks

Hi Mamabird,

Can you provide some links or virological references to corroborate your statement please.

Thank you

[Harriet]

Re: Discussion on Indonesia Outbreaks

Am glad you posted this thread.The media headlines today stated we are safe and that the Alaska samples were all clear. Am not reading about the 9, h5 cases found. Isnt there one rogue reporter that will dig deeper below the surface? The media seems to always report on what you dont want to hear about.

Seems like there's an increase in the rate of infection in Indo. There are no current updates or scaled back reports from WHO and the only case reports are from translated Indonesian media.

Am also concerned by the means the disease is spreading. Neighbors and small clusters are cropping up. Is it possible the disease is being carried by air currents? Source of infection is still unidentified.

There has been a complete drop off in cases being reported worldwide.