INDONESIA - Garut Cluster Part II

[Theresa42]

H5N1 cluster suspected in West Java
August 19, 2006

Yuli Tri Suwarni, The Jakarta Post, Bandung

A 35-year-old suspected of having bird flu died Thursday night after being hospitalized for two hours at Dr. Slamet Hospital in Garut, West Java, an official said Friday.

Three other people who may have the disease, who come from the same village as the woman who died, were being treated at Hasan Sadikin Hospital in Bandung.

The victim, identified only as E [Euis Lina], was the mother of a nine-year-old girl, D, who died last week of what was initially thought to be typhus.

Dr. Slamet Hospital spokesman Yogi Prayogi said the woman arrived in critical condition displaying H5N1 symptoms. The hospital then compared her symptoms with her daughter's medical report.

"We earlier suspected (her daughter) of having typhus due to her high fever but then she died of shock due to acute breathing trouble," which is a bird flu symptom, he told The Jakarta Post by phone Friday.

Since D had been diagnosed with typhus, the hospital had not taken a blood sample from her. Her mother's blood was sent for testing.

The woman came from Cikelet village, where possible bird flu cases have occurred in five hamlets -- Jojok, Rancasalak, Cigandok, Sawah Bera and Tipar -- raising fears of a new cluster of the disease.

The Health Ministry and the World Health Organization (WHO) were dispatched Thursday to investigate the remote area, AFP reported.

According to Health Ministry figures, 46 Indonesians have died of bird flu since the first case diagnosed in humans here in June 2005. It is the world's highest number of fatalities.

Bayu Krisnamurthi, head of the National Committee for Avian Influenza Control and Pandemic Preparedness, has played down the cluster fears, however, saying there is no evidence of human-to-human transmission. "The cases are not clusters because they are from different hamlets," he told Reuters.

Still, the rising number of possible cases in Cikelet has kept West Java at the top of the list of provinces in the country with bird flu, a status it has had since February of this year.

The head of the West Java health office's environmental health subdivision, Fatimah Remiati, said there have been 20 confirmed human cases in nine of the province's 25 cities and regencies. The nine are Bekasi regency and mayoralty, Sumedang, Bandung, Bogor, Indramayu, Depok, Tasikmalaya and Garut.

Out of the 20, "17 have died and three others survived," Fatimah said in Bandung.

As of Friday, bird flu had killed a nine-year-old girl, identified as A [Ai Siti Amanah], on Tuesday and sickened a 14-year-old boy, identified as U [Umar], who had been taken home by his family. Four other people from the village died with symptoms of bird flu before tests could be taken.

Two other suspected victims, a five-year-old girl[?] identified as I [Ismawati] from Jojok hamlet, and an eight-year-old girl identified as S [Santi] from Sawah Bera, were recovering. They had been treated at Hasan Sadikin hospital in Bandung since Wednesday and Thursday, respectively.

Yogi said another possible bird flu sufferer, identified as 32-year-old EK from Tipar hamlet, was admitted to a Garut hospital Friday and would be immediately rushed to Hasan Sadikin Hospital.

The mother of the eight-year-old who is recovering said bird flu rumors started to spread in Cikelet after the virus killed the nine-year-old girl Tuesday. She said the villagers never had information on bird flu and never got vaccine for their livestock.

The woman, who is four months pregnant, said four out of her 15 chickens died before her daughter got sick. Instead of disposing of the dead chickens, she cooked them. "I didn't have the heart to throw them away, especially the rooster. Its meat was so delicious," she said.

The head of the West Java husbandry office's animal health subdivision, Nana M. Adnan, said three out of 14 blood samples taken from poultry in three hamlets in Cikelet tested positive for the H5N1 virus. More than 400 fowl were immediately destroyed. "We're stopping poultry transportation from and to Cikelet for a month," Nana said.

He said since the overall population in Cikelet was low, the number of villagers keeping poultry was relatively small. Rancasalak, for instance, has only 25 families. He said most kept their livestock underneath their houses.

http://www.thejakartapost.com/detail...819.@02&irec=1

[Theresa42]

12. Add:

EK (32) - from Tipar hamlet

Originally Posted by Theresa42

I count 11 -- 13 if you include 2 siblings of Rubiah who are presenting with symptoms & are being tested:

Misbah (20M) - Rancasalak, Cikelet village - Umar's cousin - not confirmed - dead

Umar Aup (16/17M) - Rancasalak, Cikelet village - Misbah's cousin - confirmed H5N1


Ai Siti Amanah (9) - Jojok, Cikelet village - Ismawati's paternal cousin - confirmed H5N1 - dead

Ismawati 5(M?) - Jojok, Cikelet village - paternal cousin/neighbor of Ai - father Pendi, mother Omay - not confirmed


Santi (6/8F) - Jojok, Cikelet village - daughter of Iwan & Surilah - neighbor of Ai - not confirmed

Eti (35F) - Jojok, Cikelet village - not confirmed


Euis Lina (32/35?F) - Jojok(?) - (Ai's mother?) - not confirmed - dead

Dea (9F?) - Jojok village - Euis' daughter - not confirmed - dead


K (32F) - Sawah Bera village - (Osin - husband) has had fever for last 3 days - house 100 m from Ai Siti's and Ismawati's houses - only several houses away from Santi's - not confirmed - in hospital

Rubiah (?) - dead - not confirmed - 2 of Rubiah's siblings tested - they have signs of fever & breathlessness

Sardi (?) - dead - not confirmed


According to the PR article:

9 suspected cases (missing Eti & Dea):
Umar, Ai Siti Amanah (dead) - both who have tested pos
Ismawati, Santi and K - all in hospital
Euis Lina, Rubiah, Misbah, Sardi (all dead)

5 people suspected dead: Ai Siti Amanah, Euis Lina, Rubiah, Misbah and Sardi (all 5 lived near each other -- samples taken only from Euis Lina)

[HenryN]

Originally Posted by Theresa42

"K" -- Kuraesin -- is pregnant. Santi is from Sawah Bera hamlet -- the same hamlet as Kuraesin.

toggletext-ed from Indonesian:

The BIRD FLU SUFFERER in Garut improved
August 19, 2006

The assumption [suspected] patient of bird flu from Cikelet, Garut, continued to improve. A mother was pregnant, on Friday night (18/8), was reconciled to the Handsome Hospital of Sadikin Bandung. Kuraesin, the citizen of the Sawah Bera Village, Cikelet, that arrived in the Handsome Sadikin Hospital around struck 19.45 WIB. Apart From experiencing the high fever that was accompanied by the cough, the mother that was containing three months also experienced the breathing difficulty, so as to need help of oxygen.

According to the family, before Kuraesin was sick, several of his [her] neighbouring chickens died suddenly. Kuraesin was the third patient who was treated in Poinciana Tree Space, the Handsome Sadikin Hospital. Two other patients were Ismawati, the citizen of the Jojok Tipar Village, Cikelet, and Santi, the citizen of the Sawah Bera Village, Cikelet [now Santi's from Sawah Bera?].

http://www.metrotvnews.com/berita.asp?id=22514

Is there anything to indicate that Eli/esih and K/Kuresin are not the same person?

[HenryN]

Commentary at

http://www.recombinomics.com/News/08...Garut_C2C.html

[HenryN]

Originally Posted by niman

Is there anything to indicate that Eli/esih and K/Kuresin are not the same person?

I suspect Eli, esih, K, Kuresin, and EK are all the same person.

[HenryN]

WHO, Indonesia investigate bird flu for human transmission

Experts from the World Health Organization (WHO) and Indonesia have probed the possibility of human transmission of bird flu in Indonesia's West Java province after local test showed three persons and scores of fowls were infected by bird flu virus, Health Ministry and WHO official said here Friday. On Thursday, two persons living in the same district with the three, were admitted to a hospital in Bandung, the capital of the province for suspicion of having avian influenza, Indonesian Health Minister Siti Fadilah Supari said, adding that hundreds of chickens suddenly died on bird flu in the district recently. "The tests (of possible human transmission) are being conducted, " Supari told Xinhua. She admitted that there were still many poultry raised on backyard infected by the H5N1, swarmed about the yard in the district, which could transmit the virus to human. Director at the ministry Nyoman Kandun said that three persons from Garut district of the province, a 9-year-old girl, who died on Tuesday, a 6-year-old girl and a 17-year-old man, who were recovered, were positively infected by the avian influenza based on the local tests. He said that the three persons had contacted with fowls, as chicken and ducks around their area were positively infected by the highly pathogenic H5N1 virus. "A team comprising experts from WHO, Indonesian agriculture ministry, health ministry and bird flu prevention agency, has been sent (to the infected area)," he told Xinhua. The death of the 9-year-old girl marks the country's 45th H5N1 fatality out of 59 cases, according to the health minister. The WHO technical officer Steven Bjorge said that the organization had sent one bird flu expert along with those from the ministries of health and agriculture. "As long as the virus circulate in the bird, there will be some still over into human," he told Xinhua. Indonesian Agriculture Minister Anton Apriantono admitted that the virus was difficult to be totally eliminated among poultry due to the country's huge territory and large amount of back yard chicken farm. "Remember, that Indonesia's territory is large, there are 32 millions families raising chickens, those the problem," he told Xinhua. Regarding to the case in Garut district, he said that it was because "the virus still exist." He said that his ministry had immediately responded on the emerging of the bird flu cases in the district, as it had earlier prepared for the possibility of the appearance of such case. His ministry "has depopulated about thousands," of poultry in the district soon after the case appears, he said. "Now in every region we have a quick respond teams, the team of surveillance and respond," said Anton. Experts have said that the number of fowl culled and inoculated by the Indonesian health authorities lags far behind the total infected, which can not cut the chain of the highly pathogenic H5N1 virus transmission. Indonesia has become the focus of international, after the finding of the biggest cluster in Karo regency of North Sumatra province, that killed seven of people linked by blood. Indonesia has said that it could not rule out the possibility of human transmission in the vast archipelago country. Source: Xinhua

http://english.peopledaily.com.cn/20...19_294861.html

[HenryN]

Menkes asked for the Official of the Active Community Health Centre Sosialisasikan Bird Flu Jakarta -- MIOL: Health Minister Siti Fadilah Supari asked for all the officials of the Community Health Centre so that actively menyosialisasikan various information about the bird flu virus (Avian influenza/AI)."I hoped You All, the official of the Community Health Centre, could become the envoy to send information about bird flu," said Menkes in Jakarta, on Friday night, after handing over the appreciation to 129 health powers of the model from various community health centres in Indonesia.Menkes stressed although the government has spread the leaflet and presented the advertisement of the community's service about bird flu in the print media and electronics, but up to now still many of the community's members that did not yet know exact information concerning the deadly illness."Give true information and every to the community in order to report each death of the poultry in his environment to the local Livestock Breeding Service to immediately could be followed up," he said.He explained also that if the community knew true information about bird flu then the monitoring of the illness (surveilans) will go well.Cases of bird flu to the poultry, he said, will be faster was found so as the spread of the A virus of type influenza the sub-type H5N1 to humankind could be prevented.He added also that with the capacity surveilans that strong the case of the AI infection in humankind will also be found early and immediately could be handled so as not result in fatal.The Health Minister raised that because until at this time the case of bird flu to the poultry and humankind by turns emerged in various areas in Indonesia."At this time the poultry was to 28 provinces stated has been infected by bird flu and the case of bird flu to humankind has spread in 18 provinces," he added.The number of cases that was stated positive bird flu was according to the national laboratory inspection recorded by as many as 60 cases and 46 including causing the death.(Ant/OL-03)

http://www.mediaindo.co.id/berita.asp?id=109179

[HenryN]

Liputan6.com, Bandung:

the assumption Patient of bird flu from the Cikelet Village, the Garut Regency, West Java, continued to improve.The woman Kuraesin that was pregnant three months were reconciled to the Handsome Sadikin Hospital, Bandung, West Java, on Friday night (18/8).

Kuraesin was the third patient who was treated in Poinciana Tree Space RS Handsome Sadikin followed two patients who also came from the Cikeket Village [read: the Patient the Assumption of Bird Flu in RSHS improved].

Beforehand casualties could be treated in RS Doctor Slamet, Garut, after being known experienced the clinical sign of the bird flu illness.Apart from the high Kuraesin fever also experienced breathless that was serious enough and needed help of the tube of oxygen.

Results of the test laboraturium on the sample of casualties's blood just was known next week.In the meantime Health Minister Siti Fadilah Supari claimed still could not confirm if Kuraesin positive bird flu will spread to the embryo who was contained by him."From the person did not spread how come," he said.Siti only decisive that indeed was gotten by pneumonia as being experienced by the other patient Santi and Ismayati, but his specimen was negative."Sometimes the virus just emerged in the third day," explained Siti.

Apart from the three patients, beforehand three other patients have been ascertained terjangkit bird flu. One of them Umar, the citizen of the Rancasalak Village, Cikelet.While Siti Fatimah and Euslina have died [read: Again, the Bird Flu Patient from Garut died].

The increase of the number of patients placed West Java was in the first place of the spreading of the bird flu virus with the number of sufferers totalling 84 people and 12 people including dying.Officially the West Javanese Health has stated bird flu as the extraordinary incident.(ADO/Patria and Guidance Divine Guidance)


http://www.liputan6.com/view/7,12770...155975460.html

[HenryN]

Metrotvnews.com, Garut:

the assumption Patient of bird flu from Cikelet, Garut, continued to improve.

Jum'at (18/8) nights, a mother that was pregnant three months were named Kuraesin, was reconciled to the Handsome Hospital of Sadikin Bandung with the condition for the high fever.Therefore, up until today the Handsome Hospital of Sadikin Bandung treats three patients who it was suspected were affected by bird flu.

Apart from Kuraesin, his two patients other was Ismayati (5 years) and Santi (8 years).The three of them, was treated in Runag the Poinciana Tree Isolation.According to the doctor who handled him, the condition for the three patients has improved.

When being asked by the condition for the embryo who was contained by Kuraesin, the doctor that handled still would consultations with the content doctor.

In the press conference on Saturday early afternoon (19/8) earlier, dilaprokan that Ismayati and Santi were stated by the bird flu negative. This information was based from results of the sample test of their blood in the Department's Research And Development of the Health in Jakarta. While the sample of Kuraesin blood was just sent to Jakarta this morning and results were just known in one or two days again.

Just was learnt, Kuraesin and Santi came from the same area, namely the Dark Red Paddy-field Village, the Tipar Village, the Cikeulet Subdistrict, Garut.

While Ismayati came from the Jojok Village, also the Cikeulet Subdistrict.

In this last village, already two people died it was suspected because of the bird flu virus.Beforehand, in this village was reported many poultries that died.()

http://www.metrotvnews.com/berita.asp?id=22533

[Commonground]

"I suspect Eli, esih, K, Kuresin, and EK are all the same person."

I think that K and EK are the same, as they are both pregnant, same age, same hospital. Don't know about Eli, esih, Kuresin.

Edit: "mother that was pregnant three months were named Kuraesin". That takes care of Kuresin. Now for ELI, esih.

[Commonground]

From Post #37:

"At this time the poultry was to 28 provinces stated has been infected by bird flu and the case of bird flu to humankind has spread in 18 provinces," he added.The number of cases that was stated positive bird flu was according to the national laboratory inspection recorded by as many as 60 cases and 46 including causing the death.

From Post #38:
"The increase of the number of patients placed West Java was in the first place of the spreading of the bird flu virus with the number of sufferers totalling 84 people and 12 people including dying.Officially the West Javanese Health has stated bird flu as the extraordinary incident."

[HenryN]

Commentary at

http://www.recombinomics.com/News/08...nfirmed_3.html

[Harriet]

August 19 2006 at 12:20PM

Health authorities in Indonesia widened on Saturday an investigation into a potential bird flu cluster in West Java to include nine people, five of whom have already died.

Forty-five people have already died of the H5N1 strain of bird flu in Indonesia, making the archipelago nation the world's hardest hit by the virus, with outbreaks showing no sign of slowing down.

The nine in the potential cluster come from remote Cikelet, a group of villages in West Java's Garut district. Two of the nine have been confirmed as contracting bird flu. One died and another has since recovered.
Of the four other dead, three were not tested for the virus.

"There is no proof so far (of a cluster case), but we're still continuing our investigations," Runizar Roesin of the bird flu information centre said.

An expert team from the health ministry and the World Health Organisation (WHO) were sent to the area on Thursday to check whether human-to-human transmission of the virus had occurred.

Cluster cases heighten the chance of the virus mutating to become easily transmissible between humans. Scientists fear this could spark a global flu pandemic, with the potential to kill millions.

Three suspected cases have been hospitalised in the provincial capital of Bandung, Roesin said. Patients identified as Isma, aged five, and Santi, six, were admitted Thursday, while pregnant Kuraesin, 30, joined them Saturday.
The confirmed death was a nine-year-old girl, Ai Siti Aminah, while Umar Aep, 17, has recovered from his infection despite his refusal to be hospitalised, Roesin said.

"He is happy in his village and he has recovered," he said.

The four as yet unconfirmed deaths occurred over the past month - most recently 35-year-old Euis Lina on Thursday, Roesin said.

The three buried before testing could be carried out were a four-year-old boy who died on July 31, a 13-year-old girl who died on August 1, and Misbah, the 20-year-old cousin of Aep who died on August 5, he said.

The WHO said Misbah was "strongly suspected" of H5N1 infection but said human-to-human transmission between him and his cousin was "highly improbable".

Authorities await test results for Lina.

Roesan said that most of the nine came from four villages which were only one to two kilometres (half to one mile) apart in an area difficult to reach by road.

The WHO has said that recent poultry die-offs in the area were reported. This increases the likelihood the infections were spread by birds rather than between humans.

The UN's food organisation warned this week that bird flu was now endemic in parts of Asia. - Sapa-AFP

http://www.int.iol.co.za/index.php?s...5973142479S124

[Jody]

Originally Posted by Commonground

From Post #37:

"[/b]Officially the West Javanese Health has stated bird flu as the extraordinary incident."

Is that a yellow alert, or a red alert on the Star Trek system? It seems just as good as any other system.....

[HenryN]

Originally Posted by Jody

Is that a yellow alert, or a red alert on the Star Trek system? It seems just as good as any other system.....

I think that human H5N1 in Indonesia is called extraordinary. WHO has 6 ohases, but has abolished phase 4 and 5, so when they announce phase 6, it will be more than obvious,

[Harriet]

2 people who attended a funeral now suspect to have the disease. Am not sure if they embalm the dead, remove the blood etc. In other words someone at the funeral has the disease or it is coming from the deceased person.

[Dark Horse]

Originally Posted by PonyGirl

2 people who attended a funeral now suspect to have the disease. Am not sure if they embalm the dead, remove the blood etc. In other words someone at the funeral has the disease or it is coming from the deceased person.

A poster from Java on another board indicated that most of the residents of Java (don't know about this particular area of Garut) were Muslim. I believe that Muslims do not permit autopsies and embalming, but require immediate burial. These issues have come up during flu outbreaks in Turkey and Iraq.

[Commonground]

O.K. This was posted by MichelleOK on the wiki. I asked her to give me the time of the article or the title (kept in Indo language). She did. I went there, translated it over, re-read it, and wrote her what you see below. I had closed out metrotvnew while doing the toggletext and the wiki. When I went back to get the address for this posting - the posting at 18:10 is gone.

It sounds like two more suspected cases. Ayi (10) and Memem (60). Ayi is ringing a bell? Ayi was able to be treated at the Comm. Health Ctr. while Memem had to be brought to the hospital. It also sounds like the woman who is pregnant, Kuraesin, is doing better. But that the Doctor didn’t know if it had an effect on her baby. She is 3–4 months pregnant.

This is the full article.

http://www.metrotvnews.com/



The patient suspect bird flu from the Cikuelet region, Garut, West Java, it was reported improved two.
They were Ayi Rohimat Binti Syafrudin, was 10 years from the Jojok Village and Memen that were 60 years from the Cibeunteur Village, old old was brought made use of the ambulance towards the Handsome Hospital of Sadikin Bandung, West Java.
The sign of the illness that was suffered by the two people resembled the flat patient bird flu.
The latest report mentioned that Ayi could be handled by the medical official of the Community Health Centre (the Community Health Centre) Cikeulet.
Whereas Memen was at once brought to RSHS Bandung after the high fever and the cough.
Now from RSHS Bandung, was reported by the Kuraesin condition, the patient suspect bird flu from Cikeulet, Garut, that entered last night, improved and stable.
In konferesi the press in RSHS Bandung, on Saturday afternoon (19/8) earlier, Artoyono, the doctor who handled directly Kuraesin said, Kuraesin could have in fact eaten and drunk normally.
Beforehand, Kuraesin was only permitted to consume the fruit.
Kuraesin could have then stood.
However, Artoyono still could not explain the impact of the high fever and the cough on the embryo who was contained by the patient.
Artoyono must consult first with the content doctor.

[Commonground]

Regarding my post on the missing article. It is still there. You just have to find it by going to search, and typing in Flu Burung. It was posted at 18:10.

[Theresa42]

Originally Posted by niman

I suspect Eli, esih, K, Kuresin, and EK are all the same person.

I don't have an Eli. But K and EK are described as coming from 2 different hamlets. Could be the same individual still -- but I'm keeping an open mind for now.

[Theresa42]

Originally Posted by Commonground

"I suspect Eli, esih, K, Kuresin, and EK are all the same person."

I think that K and EK are the same, as they are both pregnant, same age, same hospital. Don't know about Eli, esih, Kuresin.

Edit: "mother that was pregnant three months were named Kuraesin". That takes care of Kuresin. Now for ELI, esih.

Sorry -- do you have a reference for the fact that EK is pregnant? I didn't see that. Thanks.

[Commonground]

Originally Posted by Theresa42

Sorry -- do you have a reference for the fact that EK is pregnant? I didn't see that. Thanks.

Post #31:

Yogi said another possible bird flu sufferer, identified as 32-year-old EK from Tipar hamlet, was admitted to a Garut hospital Friday and would be immediately rushed to Hasan Sadikin Hospital.

The mother of the eight-year-old who is recovering said bird flu rumors started to spread in Cikelet after the virus killed the nine-year-old girl Tuesday. She said the villagers never had information on bird flu and never got vaccine for their livestock.

The woman, who is four months pregnant, said four out of her 15 chickens died before her daughter got sick.

[Commonground]

Theresa42: you said..."I'm keeping an open mind for now."

I on the other hand, am just trying to "keep my mind".......

[Theresa42]

Originally Posted by Commonground

Post #31:

Yogi said another possible bird flu sufferer, identified as 32-year-old EK from Tipar hamlet, was admitted to a Garut hospital Friday and would be immediately rushed to Hasan Sadikin Hospital.

The mother of the eight-year-old who is recovering said bird flu rumors started to spread in Cikelet after the virus killed the nine-year-old girl Tuesday. She said the villagers never had information on bird flu and never got vaccine for their livestock.

The woman, who is four months pregnant, said four out of her 15 chickens died before her daughter got sick.

Hmmmm. I didn't think that "the mother of the eight-year-old" was actually EK.

The 8 year old that is sick is Santi -- and her parents are Iwan & Surilah.

So, I don't think EK is pregnant -- whoever EK is.

[Dark Horse]

Originally Posted by Commonground

Ayi is ringing a bell?

You may be thinking of Ai Siti Amanah, the 9-year-old from Jojok who died.

[colormyquilt]

Dr. Numan's posts- 4:22/ 4:39 identifies Kuresin as the woman who is pregnant. His post 4:22 identifies Euslina as having died. Is there also an Eli/esih?

[HenryN]

Originally Posted by Theresa42

I don't have an Eli. But K and EK are described as coming from 2 different hamlets. Could be the same individual still -- but I'm keeping an open mind for now.

I think the hamlets are pretty iffy. They are tiny and I think have less than 100 people (and possibly much less). They are more like a street, but without the number, so they are subject to error, especially for reporters not from the area.

I think the person in question is a female in her early 30's who recentlt (Thurs/Fri) transfered into Sadkin Hospital in Bandung from Garut. She is pregnant, but that might not be in all reports, especially the earlier ones.

EK are just the initials - all first names listed begin with E and last name begins with K).

[HenryN]

Originally Posted by colormyquilt

Dr. Numan's posts- 4:22/ 4:39 identifies Kuresin as the woman who is pregnant. His post 4:22 identifies Euslina as having died. Is there also an Eli/esih?

Yes, earlier reports mention an Eli and an esih but as alive.

Euslina is a 35F who died Thurs/Fri and some reports indicate she tested positive today and her 9 year old daughter, Dea, died earlier, misdiagnosed as typhus (and no sample collected for H5N1 testing)

[HenryN]

Originally Posted by Theresa42

Hmmmm. I didn't think that "the mother of the eight-year-old" was actually EK.

The 8 year old that is sick is Santi -- and her parents are Iwan & Surilah.

So, I don't think EK is pregnant -- whoever EK is.

I don't think the translation indoicates that EK was the mother of the recovering 8 year old. Instead the person being quoted (who isn't sick but knows when word in the village began to spread) is the mother of the recovering 8F (santi's mother) and is described as "the mother of the eight year old recovering" but that was not in reference to EK.

[Commonground]

I re-read the post and agree with you Dr. Niman. I'm also beginning to believe that EK is Kuraesin. There is only one pregnant woman.