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Indonesia - South Sulawesi - Bird flu suspects tested negative

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  • #31
    Re: Indonesia - South Sulawesi - 26 Persons "Under Watch" for Bird Flu - 4 Hospitalized

    hat tip History Lover

    Three New Suspects in Pinrang
    October 1, 2010

    http://www.parepos.co.id/read/...

    Pinrang: Pinrang Health Department officials continue to conduct surveillance on citizens who have a fever, and immediately act quickly if residents have a high fever, because bird flu suspects are feared. The data collected yesterday said the number of residents who are closely monitored by the Department of Health on bird flu related problems spread to three people. They are Nasri (15), whose body temperature reached 38.2 degrees celsius and Eid (18), with a body temperature of 38.1 degrees. Both of these citizens aredomiciled in the Village Canary, District Lanrisang. In Medium Paladang, the same district, is citizen Rehan (2), with a body temperature of 39.4 and who participated in strict monitoring by the health office. Pinrang Chief Medical Officer, Dr H Rusman Achmad M Kes, Thursday 30 September, said when people who are being closely monitored and experience body temperature and dizziness, Diskes, they will be referred to the Wahidin Hospital, Makassar.

    "We must convey the data to the Provincial Office, either by fax or email," he said.

    Rusman said that residents who live in Kanarie already have 3 days of fever, it's just that their parents fear to report their children's condition to the officers. Yet every time there are officers in the field who urged the public to report their family who happened to have fever for inspection.

    "Our officers stand by in the field, but the parents do not report. We have repeatedly appealed to the public if there is any body temperature reaching 39 degrees celsius, and was given a febrifuge, but has not changed, should be referred to Makassar," he said. Symptoms suspect, he said, if the fever continue despite his temperature has been given the drug, while the usual fever, when they are given the drug, the body temperature will decline.

    "From the data obtained, bird flu suspect patients being treated in Doctor Wahidin, Makassar, are as much as 3 people, 2 people from Pinrang and 1 from Soppeng," he said.

    The number of cattle scattered in Pinrang hundreds of thousands of heads (see box). Head of Animal Health and Veterinary Public Health (animal health Veterinary Public Health), drh Elvy Martina, in his office on Thursday, September 30, said today it continues to do the spraying, made either of agriculture and animal husbandry department and conducted by the society directly. While the avian influenza vaccine to date has already run out.
    "There used to be about 100 thousand, but this has run out. That there now is Disinfectant. Insha Allah there will be enough for one week ahead. Tlhe local Pinrang government has issued a circular letter which contains information from Vice Regent Pinrang, HA.Kaharuddin Machmud. Its contents are to ban poultry coming outside of Pinrang without having a health certificate from livestock officers and veterinarians.

    Comment


    • #32
      Re: Indonesia - South Sulawesi - 26 Persons "Under Watch" for Bird Flu - 4 Hospitalized

      Originally posted by Sally Furniss View Post
      . . . bird flu related problems spread to three people. They are Nasri (15), whose body temperature reached 38.2 degrees celsius and Eid (18), with a body temperature of 38.1 degrees. Both of these citizens aredomiciled in the Village Canary, District Lanrisang. In Medium Paladang, the same district, is citizen Rehan (2), with a body temperature of 39.4 and who participated in strict monitoring by the health office. Pinrang Chief Medical Officer, Dr H Rusman Achmad M Kes, Thursday 30 September, said when people who are being closely monitored and experience body temperature and dizziness, Diskes, they will be referred to the Wahidin Hospital, Makassar. . . .
      It is important to note that the best indicator for novel pandemic H1N1 infection is cough, a high fever or myalgia based on a study in Korea. (See: http://www.flutrackers.com/forum/sho...d.php?t=153211) There is no reason to believe that a novel A(H5N1) influenza infection in humans will not manifest itself in the same manner.
      http://novel-infectious-diseases.blogspot.com/

      Comment


      • #33
        Re: Indonesia - South Sulawesi - 26 Persons "Under Watch" for Bird Flu - 4 Hospitalized

        Comment: This article is not clear, it talks about four suspected bird flu patients admitted to Wahidin Sudirohusodo Hospital. In post #21 above the four people admitted were two children and two adults.This article may refer to these four.

        However, this article indicates that three of them of children and reference fevers of 38 degrees. Post #31 above talks about three children with high fever that were going to be referred to Wahidin Sudirohusodo Hospital.

        It may be that perhaps as many as eight people are being treated for bird flu in a Makassar hospital.

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

        Bird flu outbreak revives in S. Sulawesi, 4 hospitalized

        The Jakarta Post, Makassar, South Sulawesi | Fri, 10/01/2010 8:20 AM | The Archipelago

        MAKASSAR, South Sulawesi: Dr. Wahidin Sudirohusodo Hospital in the South Sulawesi capital of Makassar is treating four people from Pinrang and Soppeng regencies for displaying symptoms of avian flu virus infection. The patients, three of them are children, were admitted to the hospital on Tuesday night after complaining about high fever, suffocation and coughs. They were immediately taken to the infection center in accordance with the standard operating procedure for avian flu treatment, the hospital's director, Kalsum Patonangi, said Wednesday. "We are waiting for the laboratory examination to confirm the status of the patients," Kalsum said.
        Head of the Pinrang health agency for disease control, Dyah Puspita Dewi, said the agency had monitored 30 people who suffered from fever. She added three of them were admitted to the hospital as their health condition worsened.
        "We suspect the three people were infected with the bird flu virus as their fever reaches 38 degree Celsius and complain of suffocation, sore throats and coughs, which are symptoms of the disease," she said.
        She added the three patients caught a fever after dozens of chickens nearby their homes suddenly died.



        hat tip to History Lover . . . .
        http://novel-infectious-diseases.blogspot.com/

        Comment


        • #34
          Re: Indonesia - South Sulawesi - 30 Persons Monitored for Bird Flu - 4 Hospitalized - Tested Negative



          Now, about the suspect's five patients in bird flu that currently is treated in the Wahidin Sudirohusodo Hospital, he stated, the five of them were also stated was not infected.

          "The five patients, four among them came from the Pinrang Regency and one of the Soppeng regencies all of them in the good condition, none were again feverish," he said.

          He added, all the results of the laboratory and the inspection radiology showed normal results. The five of them will be returned after confirmation of the data produced by the finished inspection.

          "Confirmation of the data still. Time entered the hospital the five of them indeed it was suspected were infected by the bird flu virus because of the fever on 38 levels celcius and indeed had the poultry died so as to be reconciled to the hospital," he added.

          Comment


          • #35
            Re: Indonesia - South Sulawesi - bird flu suspects - 4 patients discharged

            Bird flu virus spreads to six South Sulawesi regencies

            Andi Hajramurni, The Jakarta Post, Makassar, South Sulawesi | Thu, 10/07/2010

            Avian flu outbreak has affected six South Sulawesi regencies, where 18,000 chickens have died suddenly.

            Head of the provincial husbandry agency Murtala Ali said on Thursday the infection had spread across the regencies of East Luwu, North Luwu, Pinrang, Soppeng, Sidenreng Rappang and Bone since September. He added that infection also was also reported in Barru regency.

            Murtala said the first case of infection was found in East Luwu.and quickly affected the neighboring regency of North Luwu. The local authorities were forced to cull some of the chickens in order not to infect other fowls.

            The agency has also sprayed disinfectant and conduct vaccination in areas where infection was found.

            - snip -

            Meanwhile, four people who were admitted to Wahidin Sudirohusodo Hospital in Makassar on Sept. 29 for displaying symptoms of bird flu infection have all tested negative for the virus.

            General affairs director of the hospital Kalsum Patonangi said Thursday
            the four patients had been discharged.



            thanks to http://twitter.com/Crof
            "Addressing chronic disease is an issue of human rights that must be our call to arms"
            Richard Horton, Editor-in-Chief The Lancet

            ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

            Comment


            • #36
              Re: Indonesia - South Sulawesi - bird flu suspects - 4 patients discharged

              Originally posted by Dutchy View Post

              Meanwhile, four people who were admitted to Wahidin Sudirohusodo Hospital in Makassar on Sept. 29 for displaying symptoms of bird flu infection have all tested negative for the virus.

              General affairs director of the hospital Kalsum Patonangi said Thursday
              the four patients had been discharged.
              So what disease did these individuals contract? Since the beginning of 2010, Indonesia has only reported 6 confirmed patients with H5N1, five died. Perhaps it is only H5N1 when the patient dies.
              http://novel-infectious-diseases.blogspot.com/

              Comment


              • #37
                Re: Indonesia - South Sulawesi - bird flu suspects - 4 patients discharged

                Originally posted by Laidback Al View Post
                So what disease did these individuals contract? Since the beginning of 2010, Indonesia has only reported 6 confirmed patients with H5N1, five died. Perhaps it is only H5N1 when the patient dies.
                This does beg the question......especially after reviewing Egypt's 2010 H5N1 status - a country with an endemic H5N1 history similar to Indonesia:

                EGYPT H5N1 YTD CASE LIST*


                2010 -

                # 91 - 20 years old, female, onset date - January 6, 2010 -
                Beni Suef governate Death

                # 92 - 1 year old, male, onset date - January 7, 2010 - Dakahalya governorate

                # 93 - 3 years old, male, onset date - January 19, 2010 - Assuit governorate

                # 94 - 45 years old, male, onset date - January 12, 2010 - Shargea governorate

                # 95 - 40 years old, female, onset date - January 31, 2010 - Qalyubia Governorate

                # 96 - 29 years old, female, onset date - January 27, 2010 - Menoufiya Governorate Death

                # 97 - 37 years old, male, onset date - February 6, 2010 - Helwan governate Death

                # 98 - 32 years old, male, onset date - February 6, 2010 - Menofiya Governorate

                # 99 - 29 years old, female, onset date - February 6, 2010 - Menoufiya governorate Death

                #100 - 10 years old, male, onset date February 10, 2010 - Dakahlia governorate

                #101 - 13 years old, male, onset date February 10, 2010 - Kafr El-Sheikh governorate

                #102 - 30 years old, female, onset date February 10, 2010 - Kafr El-Sheikh governorate

                #103 - 14 months, male, onset date February 22, 2010 - Qalyubia governorate

                #104 - 52/53 years old, male, onset date February 27, 2010 - Qalyubia governorate Death

                #105 - 20 years old, female, onset date March 5, 2010 - Qalyubia governorate Death

                #106 - 18 months, male, onset date March 2, 2010 -
                Kfr Elsheikh governorate

                #107 - 4 years old, male, onset date March 18, 2010 - Beni Suef governorate Death

                #108 - 30 years old, female, onset date?, hospitalized March 24th, 2010 - Damietta governorate

                #109 - 18 years old, female, onset date?, hospitalized March 31, 2010 - Fayoum Governorate Death

                #110 - 20 years old, female, onset date unknown, hospitalized in Cairo July 21, 2010 - Qalyubia governorate Death

                #111 - 2 year old, female, onset date unknown, hospitalized August 4, 2010 - Cairo governorate

                #112 - 33 year old, female, onset date unknown, hospitalized August 24, 2010 -
                Qalyubia governorate Death


                * We are not representing that this is a total count for Egypt for 2010. It is what we can document.

                Comment


                • #38
                  Re: Indonesia - South Sulawesi - Bird flu suspects tested negative

                  hat tip Treyfish -

                  "...While in Pinrang, the impact of the issue of bird flu makes the price of chicken in the area dropped dramatically. The price of chicken pieces in a traditional market that was sold for Rp 30 thousand per head, now only $ 5,000 per cow. Even mentioned there are a number of citizens currently being evacuated because of fears of contracting the bird flu virus, especially in Sub Lanrisang. So far there are also some residents who had referred to Makassar..."


                  Comment


                  • #39
                    Re: Indonesia - Bird flu in poultry in 11 districts in South Sulawesi - 49,000 birds died

                    Avian Flu Outbreak Won?t Fly The Coop, Government Says

                    Jakarta. Health officials on Sunday sought to reassure the public that bird flu was under control despite recent reports that tens of thousands of poultry had died from the disease.

                    ?There are only very few provinces in Indonesia that remain bird-flu free, but the number of cases among humans is decreasing significantly,? Tjandra Yoga Aditama, the Ministry of Health?s director general for disease control, told the Jakarta Globe.

                    Over the past four months, avian flu has killed 49,000 chickens and ducks in South Sulawesi.


                    more.....

                    Comment


                    • #40
                      Re: Indonesia - Bird flu in poultry in 11 districts in South Sulawesi - 49,000 birds died

                      Originally posted by tetano View Post
                      but the number of cases among humans is decreasing significantly,?
                      Decreasing significantly from zero??

                      Comment


                      • #41
                        Re: Indonesia - Bird flu in poultry in 11 districts in South Sulawesi - 49,000 birds died

                        ?There are only very few provinces in Indonesia that remain bird-flu free, but the number of cases among humans is decreasing significantly,? Tjandra Yoga Aditama, the Ministry of Health?s director general for disease control, told the Jakarta Globe.
                        This can only be interpreted that Indonesia has had many more human H5N1 infections than the six that have been officially reported to WHO this year.

                        An interesting irony is that Prof. Tjandra Yoga Aditama is Indonesia's representative responsible for implementing International Health Regulations (IHR) as the ?National IHR Focal Point? for Indonesia. See this link from earlier this year.

                        So one would think that as the IHR focal point for Indonesia that Dr. Tjandra Yoga Aditama is familiar with Artilcle 6 (Notification), Section 1 of the IHR which states


                        1. Each State Party shall assess events occurring within its territory by using the decision instrument in Annex 2. Each State Party shall notify WHO, by the most efficient means of communication available, by way of the National IHR Focal Point, and within 24 hours of assessment of public health information, of all events which may constitute a public health emergency of international concern within its territory in accordance with the decision instrument, as well as any health measure implemented in response to those events. If the notification received by WHO involves
                        the competency of the International Atomic Energy Agency (IAEA), WHO shall immediately notify the IAEA.
                        link to full IHR.

                        Perhaps some local Jarkarta media representatives can ask Tjandra Yoga Aditama why human bird flu cases in Indonesia are not being reported to WHO within the required 24 hour notification period.
                        http://novel-infectious-diseases.blogspot.com/

                        Comment


                        • #42
                          Re: Indonesia - Bird flu in poultry in 11 districts in South Sulawesi - 49,000 birds died

                          Originally posted by sharon sanders View Post
                          Decreasing significantly from zero??


                          Decreasing , if you compare the numbers of this year to the numbers in the previous years; it is a comment you see quite often in the Indonesian media.

                          2010 - 6 cases, 5 deaths

                          2009 - 21 cases, 19 deaths

                          2008 - 24 cases, 20 deaths

                          2007 - 42 cases, 37 deaths

                          2006 - 55 cases, 45 deaths

                          WHO


                          Yes, you can discuss underreporting; I don't know if there could be more or less underreporting this year compared to the previous years.
                          "Addressing chronic disease is an issue of human rights that must be our call to arms"
                          Richard Horton, Editor-in-Chief The Lancet

                          ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                          Comment


                          • #43
                            Re: Indonesia - Bird flu in poultry in 11 districts in South Sulawesi - 49,000 birds died

                            Originally posted by Dutchy View Post
                            Decreasing , if you compare the numbers of this year to the numbers in the previous years; it is a comment you see quite often in the Indonesian media.

                            2010 - 6 cases, 5 deaths

                            2009 - 21 cases, 19 deaths

                            2008 - 24 cases, 20 deaths

                            2007 - 42 cases, 37 deaths

                            2006 - 55 cases, 45 deaths

                            WHO


                            Yes, you can discuss underreporting; I don't know if there could be more or less underreporting this year compared to the previous years.
                            Why would there ever be underreporting. With the world's highest number of human H5N1 cases, you would think that Indonesia has the capabilities to accurately test and identify human H5N1 cases. I don't believe that that they are unsure about test results.

                            The failure of the Ministry of Health to report cases in a timely manner undermines any credibility that the numbers they are posting are accurate.
                            http://novel-infectious-diseases.blogspot.com/

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