INDONESIA - "Illness strange attack island"

[Theresa42]

It's not clear yet what sort of outbreak this is. Hundreds of people have apparently taken ill in the last 3 weeks on a south Sumatran island -- so far, 4 people have died. The authorities are talking about typhoid (translated as typhus using the machine-translator, but that usually should be typhoid).

Thousands of poultry have also died -- with symptoms that could sound like bf. It's not clear yet whether the poultry deaths and the human illness/deaths are connected -- but it's certainly very suspicious.

Hat-tips to treyfish, commonground & bgw in MT!

This translation by me using:
http://web.cecs.pdx.edu/~bule/bahasa/search.php
http://www.lingvozone.com
http://www.kamus-online.com/index.php?lang=en

Note that this article is already a few days old.

Illness strange attack island
Aug 27, 2007

CUKUH BALAK (Lampost): Resident Pekon Karang Buah and Sawang Balak, Pulau [Island] Tabuan, Kecamatan Cukuh Balak, Tanggamus, worried because of this attack illness mysterious. Apart from kill four persons, illness these also attack hundreds residents and kill victim thousands [of] chickens.

Information that gather Lampung Post from location incident, Sunday (26-8), illness strange this start appear since three week ago. Beginning, illness this attack chicken village. Hundreds chicken dead. "Daily, there is just chicken that dead. If totals now able reach thousands [of] tails," said Farid, resident Karang Buah Sunday (27-8).

Condition livestock which dead because illness strange that emit mucus from mouth and nose. Afterwards wattle comb blue.

"Chickens that dead suddenly. Since that start emerge illness mysterious this," said Farid.

Roughly sepekan after emergence illness aforementioned, four residents Karang Buah expire within time continguous. Witness illness who suffer, resident Karang Buah surmise they expire because attack illness mysterious mentioned.

Four residents who expire, namely Fauzi (25), Ja'far (50), H Asnah (60) and Marhakim (60).

Location place incident that be somewhere in middle sea, with time to go 2 hour from Dermaga Kotaagung, make resident Pulau Tabuan problem obtain aid medical from Kotaagun. Worried attack to go crazy/churn, resident finally invoke aid paranormal.

Now, hundreds residents Karang Buah and Sawang Balak also complain about condition that same/similar like experience four residents who killed before expire. They attacked sick/ache/nauseous stomach accompany mencret, stomach hard, temperature body high, and pain head. Resident who experience conditions these also often delirious.

Moment Lampung Post visit location, yesterday [Aug 26], hundreds residents then fight oppose illness that first time happen in region aforementioned. Teenager resident inside condition weak, one in amongst, Nia (13), critical.

Condition Economic

Apart from factor distance, condition economy also that make residents not able [to] act much. Only residents from family wealthy who able bring victims berobat to Puskesmas Putihdoh (2 people), RSUD Pringsewu and RS Moeloek Bandar Lampung.

"Residents who attacked illness this yet have treatment in local government clinic, but not exist result. Even, now victim increasingly many," said Halimah, resident local.

Yesterday morning, head pekon depart to Kotaagung in order to report cases these. "We hope illness this can be erased," said Halimah.

Diagnosis doctor at Puskesmas Putihdoh mention residents attacked illness liver and typhus. "But what yes liver or typhus? We request government go down to field investigate death chicken and illness mysterious this. Do not until drop victim life more many," said Dulhai, resident Sawang Balak.

As far as news this hand down, head Dinas Kesehatan Tanggamus, Dr. H. Iman Sumardjo, not able get in touch. Head Bidang livestock Dinas agriculture Tanggamus Shofwan also not able besought comment. "Bapak (Shofwan) doing go out," said lady who answered Lampung Post telephone cellular belong to Shofwan.

http://www.lampungpost.com/cetak/ber...07082702083511

Edit: Kab. Tanggamus is in Lampung Province which is southern Sumatra. Pulau Tabuan island is circled in red on the map:

[HenryN]

Originally Posted by Theresa42

It's not clear yet what sort of outbreak this is. Hundreds of people have apparently taken ill in the last 3 weeks on a south Sumatran island -- so far, 4 people have died. The authorities are talking about typhoid (translated as typhus using the machine-translator, but that usually should be typhoid).

Thousands of poultry have also died -- with symptoms that could sound like bf. It's not clear yet whether the poultry deaths and the human illness/deaths are connected -- but it's certainly very suspicious.

Hat-tips to treyfish, commonground & bgw in MT!

This translation by me using:
http://web.cecs.pdx.edu/~bule/bahasa/search.php
http://www.lingvozone.com
http://www.kamus-online.com/index.php?lang=en

Note that this article is already a few days old.

Illness strange attack island
Aug 27, 2007

CUKUH BALAK (Lampost): Resident Pekon Karang Buah and Sawang Balak, Pulau [Island] Tabuan, Kecamatan Cukuh Balak, Tanggamus, worried because of this attack illness mysterious. Apart from kill four persons, illness these also attack hundreds residents and kill victim thousands [of] chickens.

Information that gather Lampung Post from location incident, Sunday (26-8), illness strange this start appear since three week ago. Beginning, illness this attack chicken village. Hundreds chicken dead. "Daily, there is just chicken that dead. If totals now able reach thousands [of] tails," said Farid, resident Karang Buah Sunday (27-8).

Condition livestock which dead because illness strange that emit mucus from mouth and nose. Afterwards wattle comb blue.

"Chickens that dead suddenly. Since that start emerge illness mysterious this," said Farid.


http://www.lampungpost.com/cetak/ber...07082702083511

Edit: Kab. Tanggamus is in Lampung Province which is southern Sumatra. Pulau Tabuan island is circled in red on the map:

Attachment 1937

The bolded above are classical H5N1 symptoms for chickens.

[Theresa42]

Hat-tip, bgw in MT for finding this article!

Translated using:

http://web.cecs.pdx.edu/~bule/bahasa/search.php
http://www.lingvozone.com
http://www.kamus-online.com/index.php?lang=en

See also commonground's post on possible malaria on Pulau Tabuan:
http://www.flutrackers.com/forum/sho...6&postcount=80

Patient come from all sides, stock blood insufficient
Aug 30, 2007

PRINGSEWU - Hospital Umum Daerah (RSUD) Pringsewu, Tanggamus, return loock after 13 residents from Pulau Tabuan, Kecamatan Cukuhbalak. Until yesterday, total residents that look after total 35 people.

Seven residents that new undergo treatment in space illness inside are: Zainuri (65), Endang (10), Anamardiana (11), Yusril (6), Rohman (12), Putra (20), and Nurjanah (30). Remaining looked after in space surgical, namely Juanda (5), Haryani (25), Rofikoh (8), Yulis (8), Dandi (10), and Khoromi. Condition [of] 13 residents these average nearly same, namely experience anemia or not enough blood.

Giver Service RSUD Pringsewu, dr. T.H. Niken Wijayanti, tell increase of patients from Pulau Tabuan this result supply blood in hospital aforementioned run out. Because, patient that come must undergo transfusion blood.

"From diagnosis that we perform, average resident that look after this attacked illness tifus [typhus or typoid], anemia, and insufficient nutrients. Instant this we need 18 pockets blood. However supply blood exhausted," he said.

Because [of the] increased need [of] blood, Niken hope resident will mendonorkan their blood. In another section, pemkab [local government] also already issue ask in order that residents donate their blood. Plan day this members Polres Tanggamus, Satpol PP, and student SUPM will perform donor blood.

Temporarily, team that be formed Pemkab Tanggamus still wealthy in Pulau Tabuan. They still look after residents in area this. Apart from those, team from Dinas Kesehatan [Health] Lampung also already wealthy in Pulau Tabuan.

"If condition resident quite bad/serious, then s/he will immediately be carried to hospital. We constantly put team in order to observe/monitor and look after residents in Pulau Tabuan," said Sekretaris Kabupaten (Sekkab) Tanggamus, Drs. Hi. Syafiuddin Muas instant survey condition patient in RSUD Pringsewu.

Sebagaimana know/find out, Pemkab Tanggamus hand down team treatment cases illness strange in Pulau Tabuan. Team conduct Sekkab Syafiuddin Muas to be near/accompanied a number of/much member team.

From result [of] investigation, 36 residents have features and symptoms illness malaria and tifus [typhus or typhoid]. However in order to determine illness that suffer, they must undergo investigation laboratory in RSUD Pringsewu.

http://radarlampung.co.id/web/index....1770&Itemid=38

[Shannon]

http://en.wikipedia.org/wiki/Typhoid#Symptoms

Typhoid fever

From Wikipedia, the free encyclopedia

(Redirected from Typhoid)
Jump to: navigation, search
For a similar disease with a similar name, see typhus.
For a related disease which is caused by a different bacterium, see Paratyphoid fever.
For the character in the 2005 film Elektra, see Typhoid (Elektra).

Typhoid fever
Classification & external resources

Salmonella typhi bacteria
ICD-10	A01.0
ICD-9	002
DiseasesDB	27829
eMedicine	oph/686 med/2331
MeSH	D014435

Typhoid fever, also known as enteric fever,^[1] is an illness caused by the bacterium Salmonella enterica serovar typhi. Common worldwide, it is transmitted by the fecal-oral route — the ingestion of food or water contaminated with feces from an infected person.^[2] The bacteria then multiply in the blood stream of the infected person and are absorbed into the digestive tract and eliminated with the waste.

Contents [hide] 1 Symptoms 2 Diagnosis 3 Treatment 3.1 Resistance 4 Transmission 5 Heterozygous advantage 6 History 6.1 Famous typhoid victims 7 See also 8 References 8.1 Further reading 9 External links

[edit] Symptoms

Typhoid fever is characterized by a sustained fever as high as 40° C (104° F), profuse sweating, gastroenteritis, and diarrhea. Less commonly a rash of flat, rose-colored spots may appear.^{[citation needed]}
Classically, the course of untreated typhoid fever is divided into four individual stages, each lasting approximately one week. In the first week, there is a slowly rising temperature with relative bradycardia, malaise, headache and cough. Epistaxis (nosebleeds) is seen in a quarter of cases and abdominal pain is also possible. There is leukopenia with eosinopenia and relative lymphocytosis, a positive diazo reaction and blood cultures are positive for Salmonella typhi or paratyphi. The classic Widal test is negative in the first week.
In the second week of the infection, the patient lies prostrated with high fever in plateau around 40ºC and bradycardia (Sphygmo-thermic dissociation), classically with a dicrotic pulse wave. Delirium is frequent, frequently calm, but sometimes agitated. This delirium gives to typhoid the nickname of "nervous fever". Rose spots appear on the lower chest and abdomen in around 1/3 patients. There are rhonchi in lung bases. The abdomen is distended and painful in the right lower quadrant where borborygmi can be heard. Diarrhea can occur in this stage: six to eight stools in a day, green with a characteristic smell, comparable to pea-soup. However, constipation is also frequent. The spleen and liver are enlarged (hepatosplenomegaly) and tender and there is elevation of liver transaminases. The Widal reaction is strongly positive with antiO and antiH antibodies. Blood cultures are sometimes still positive at this stage.
In the third week of typhoid fever a number of complications can occur:

• Intestinal hemorrhage due to bleeding in congested Peyer patches; this can be very serious but is usually non-fatal.
• Intestinal perforation in distal ileum: this is a very serious complication and is frequently fatal. It may occur without alarming symptoms until septicaemia or diffuse peritonitis sets in.
• Toxic myocarditis with collapse
• Encephalitis
• Metastatic abscesses, cholecystitis, endocarditis and osteitis

The fever is still very high and oscillates very little over 24 hours. Dehydration ensues and the patient is delirious (typhoid state). By the end of third week defervescence commences that prolongs itself in the fourth week.

[edit] Diagnosis

Diagnosis is made by blood, bone marrow or stool cultures and with the Widal test (demonstration of salmonella antibodies against antigens O-somatic and H-flagellar). In epidemics and less wealthy countries, after excluding malaria, dysentery or pneumonia, a therapeutic trial time with chloramphenicol is generally undertaken while awaiting the results of Widal test and blood cultures.^[3]

[Thornton]

Hundreds of people have apparently taken ill in the last 3 weeks on a south Sumatran island -- so far, 4 people have died.

Do we have any indications on the number of people who have recovered?
JT

[Laidback Al]

According to post #3 above by Theresa42, 30 individuals have been transported from Tabuan Island to the regional public hospital in Pringsewu on the island of Sumatra; seven of them are new patients. It is uncertain when the four individuals previously died during the preceding 3 week period. Presumably, the remaining hundreds of affected individuals were not severe enough to be move off the island.

The need for blood tranfusions suggests that this is not H5N1, although the death of chickens is suspect.

[Anne]

may be it is typhus ?

[Niko]

History tells us that the need for blood transfusions does not rule out H5N1. From the past (just 2 of many references)...

Over the past century, three influenza pandemics occurred because of the emergence of novel influenzaviruses to which little or no immunity existed. In 1918 and 1919, the "Spanish" influenza pandemic killed more than 20 million people, with many of the deaths due to an unusually severe, hemorrhagic pneumonia. Now, Kobasa and colleagues¹ have used modern molecular methods to show that the hemagglutinin antigen from this strain (HA^sp) is a key determinant of virulence.

http://content.nejm.org/cgi/content/extract/351/24/2550

During World War 1, in mid August and early September of 1918, a few brief items on a peculiar disease began circulating in the newspapers of Brazil's federal capital; however, neither government authorities nor the public at large paid much attention. Starting that past May, Europe and Africa had been swept by an epidemic illness of uncertain diagnosis. It was at first confused with a number of other diseases, like cholera, dengue, and typhus. Only in June did news come from London suggesting that it was a type of grippe or influenza, which had already spread to different corners of Europe. It was to circle the globe in eight months, killing from 50 to 100 million people and earning fame as the greatest enigma in medicine.

http://www.flutrackers.com/forum/showthread.php?t=24110

[AlaskaDenise]

Condition livestock which dead because illness strange that emit mucus from mouth and nose. Afterwards wattle comb blue.

infected chicken on left:

[Treyfish]

ok,from the island.. says they are /have give tamiflu at areas where chickens died and and there is an isolated area being monitered with volunteers. 33 with typhus,this need to be toggled. Tanggamus-Kasus Malaria Acute:Fauzan Sya'ie Fetch Return 33 Pasien PRINGSEWU (Lampost): Bupati Tanggamus Fauzan Sya'ie with his corridor kemarin invite return 33 pasien typhus disease and malaria acute, after allowed return by the party RSU Pringsewu. In penjemputan that, Bupati Tanggamus flanked Sekkab Syafiuddin Muas, chief squad tackler wabah disease malaria acute. Prosesi repatriation plenty member which are descended from two pekon (countryside) In Pulau Tabuan; Pekon Sawang Balak, and Karang Buah that begin with free direct by Bupati Tanggamus Fauzan Sya'ie at page RSUD Pringsewu o'clock environment 08.00. 33rd stated member further head Kotaagung by using two unit bus own Pemkab local and control direct by Sekkab Tanggamus Syafiuddin Muas, flanked Asisten I Firman Muntako, Asisten II Rachman Sakti, Asisten III Herlambang, and several head dinas / other bagian it in cover Pemkab Tanggamus. O'clock environment 09.30, party arrived in Dermaga II Kotaagung (seaport). Repatriation level even continue with rent boat one unit motor for tens stated member. Prior, Bupati Tanggamus equipped with they penganan light, packet rice, and uang pocket. Dinas Kesehatan Tanggamus drg's head. Sumardjo's faith said 33rd condition the member has sehat by fisik. Yet, use monitoring condition development member overall Pulau Tabuan occupy by more from three thousand soul that, Dinas Kesehatan's side still place three staff medisnya at the location. Three staff that will monitor direct member condition. Each three day once, we will interestingly and replace with staff new, said Iman found in gap gap member repatriation. Positively, Iman also clarified from the work diagnosis and tes laboratory which does, all member those treated that show positive infected typhus. Indeed, wrong his spread of the disease's one cause is bad sanitation in the island. To mengantisipasinya, we also already berkoordinasi with the parties Dinkes Provinsi. Faith increase, Dinkes Tanggamus also provided assistance purport a mosquito-net to prevent other spread of the disease as malaria also from infect several member of the island --who attack two member pekon Karang Buah and Sawang Balak, Pulau Tabuhan kecamatan Cukubalak invite member return it so long as get treatment in RSUD Pringsewu, Tuesday (4 9) Penjemputan return from 33 pasien from 36 member from RSU Pringsewu do o'clock environment 8.00 with menggunkan two bus and Ambulans's batch. Apart from mengantarkan design reach place his hometown and hospital funding assistance during treated gratis also Fauzan Sya'ie also provided assistance purport uang Rp250 ribupasien and bingisan food to during recovery process Fauzan hopes with disaster not desired by every human this make as cobaan should be adopted, process karena that member request to preserving cleanliness and kesehatan in his daily. And his team request to member khusunya in two pekon stated quick memeriksakan kesehatannya when happened ill phenomenon to puskesmas or staff kesehatan that there in pekon local, until the action would be the fast teratasi ,"hcw's" being member no do not far far more to berobat or memeriksakan kesehatanya at the place staff that there. At the place separate head dinas kesehatan Tanggamus Iman Sumarjo has membagikan obat timiflu (obat prevention flu bird) by gratis all over member in two pekon"villages" especially those those who nearby with the place chicken that dead, stated grant make by kontinyu each member get 10 item tablet obat timiflu, Iman's speech. Willing Iman result move dinas kesehatan his team will propound estimate post for district desolate good ketenagaan felled at with sarana penunjanganya namely isolated district incentive, he admit before it has positioned two volunteer force but karena kebentur with incentive payment not yet placed at them no fluent. Yet, this moment have operator one worker (voluntary) family coincidence head pekon local who before it on duty in puskesmas Cukubalak will occupy in pekon stated, Iman's speech. UTI / ONO / D-2 http://www.lampungpost.com/cetak/berita.php?id=2007090501561547 this will have to be done over,there is another story.

[Treyfish]

23 can go home,and they are giving blood transfusions?Acute malaria?or typhus?no birds or tami mentioned in this article Tanggamus - Pasien Pulau Tabuan Can Return PRINGSEWU (Lampost): As many as 23 people from 36 pasien RSU Pringsewu, Pulau Tabuan's member, Cukubalak (Tanggamus), am being treated acute consequence of malaria a couple of days ago, kemarin allowed return. Kesehatan pasien which are descended from two pekon (Compose Fruit And Timber Cobweb) show recovered by squad dokter hospital. Dr. Niken Wijayanti, Kepala Seksi Pelayanan Rumah Sakit local represent Direktur RSUD Pringsewu dr. H Nur Indrati says return 23 pasien children karena are considered already recovered true. Their Kesehatan already show recovered. "All pasien those children have been getting treatment during 10 day can return after being done cheque kesehatan last by dokter spesialis Agung Mudapati's child," his speech kemarin. Whereas 13 pasien other (adult) still should pending first by dr. Mas Agus Nangkuti spesialis deep disease member. Willing Niken, all pasien get treatment in lacking hospital already terlayani nicely. Even what who became requirement for convalescence, including requirement blood get teratasi. "Hospital side also has notified to local government Tangggamus through Kabag Humas, Sobier Thoyeib. All forms reason finance bear Bupati Tanggamus Fauzan Sya'ie," he said. Question of blood, requirement will blood get teratasi after working hospital side equivalent with the parties social organization and plenty pendonor his other blood. Sekkab Tanggamus Syafiuddin Muas allows return 23 pasien stated use five kendaraan ambulance that has been prepared. "They diantarkan home respectively," said Shobier, Minggu (3 9). Meanwhile by separate, Ketua Hipma Cukuh Balak Wendy Melfa flanked Ketua Umum Munzir Zen, Ketua Harian Chandra Nasrun, and Burhanuddin (Humas) visit sacrifice in RS Pringsewu. In stated opportunity Hipma Cukuh Balak gives assistance purport milk and biskuit. Munzir hopes assistance who do not any amount this simple poison help soften the blow plenty pasien. Apart from that his team recalling Pemkab Tanggamus that memperhatian kualitas water dikonsumsi on people two pekon stated remember strong disease test suffer member originated from water from that they consumption. n ONO / D-2 During undergo treatment, 36 pasien should get intensive surveillance hospital side. This remember design require lot of blood from pendonor. From diaknosa make flat flat pasien must obtain blood transfusion, especially for pasien pertain children. Total require achieve 31 kantong blood, with rincian, group blood A require 12 pasien, B's group require 9 pasien, AB's blood require 2 pasien and group blood O environment 8 pasien. Whereas persidiaan that there in RSUD kemarin blood for groups A (3 kantong), B's group (2 kantong), and O's group only (2 kantong http://www.lampungpost.com/cetak/berita.php?id=2007090402014338

[Theresa42]

Originally Posted by treyfish

ok,from the island.. says they are /have give tamiflu at areas where chickens died and and there is an isolated area being monitered with volunteers. 33 with typhus,this need to be toggled. Tanggamus-Kasus Malaria Acute:Fauzan Sya'ie Fetch Return 33 Pasien PRINGSEWU (Lampost): Bupati Tanggamus Fauzan Sya'ie with his corridor kemarin invite return 33 pasien typhus disease and malaria acute, after allowed return by the party RSU Pringsewu. In penjemputan that, Bupati Tanggamus flanked Sekkab Syafiuddin Muas, chief squad tackler wabah disease malaria acute. Prosesi repatriation plenty member which are descended from two pekon (countryside) In Pulau Tabuan; Pekon Sawang Balak, and Karang Buah that begin with free direct by Bupati Tanggamus Fauzan Sya'ie at page RSUD Pringsewu o'clock environment 08.00. 33rd stated member further head Kotaagung by using two unit bus own Pemkab local and control direct by Sekkab Tanggamus Syafiuddin Muas, flanked Asisten I Firman Muntako, Asisten II Rachman Sakti, Asisten III Herlambang, and several head dinas / other bagian it in cover Pemkab Tanggamus. O'clock environment 09.30, party arrived in Dermaga II Kotaagung (seaport). Repatriation level even continue with rent boat one unit motor for tens stated member. Prior, Bupati Tanggamus equipped with they penganan light, packet rice, and uang pocket. Dinas Kesehatan Tanggamus drg's head. Sumardjo's faith said 33rd condition the member has sehat by fisik. Yet, use monitoring condition development member overall Pulau Tabuan occupy by more from three thousand soul that, Dinas Kesehatan's side still place three staff medisnya at the location. Three staff that will monitor direct member condition. Each three day once, we will interestingly and replace with staff new, said Iman found in gap gap member repatriation. Positively, Iman also clarified from the work diagnosis and tes laboratory which does, all member those treated that show positive infected typhus. Indeed, wrong his spread of the disease's one cause is bad sanitation in the island. To mengantisipasinya, we also already berkoordinasi with the parties Dinkes Provinsi. Faith increase, Dinkes Tanggamus also provided assistance purport a mosquito-net to prevent other spread of the disease as malaria also from infect several member of the island --who attack two member pekon Karang Buah and Sawang Balak, Pulau Tabuhan kecamatan Cukubalak invite member return it so long as get treatment in RSUD Pringsewu, Tuesday (4 9) Penjemputan return from 33 pasien from 36 member from RSU Pringsewu do o'clock environment 8.00 with menggunkan two bus and Ambulans's batch. Apart from mengantarkan design reach place his hometown and hospital funding assistance during treated gratis also Fauzan Sya'ie also provided assistance purport uang Rp250 ribupasien and bingisan food to during recovery process Fauzan hopes with disaster not desired by every human this make as cobaan should be adopted, process karena that member request to preserving cleanliness and kesehatan in his daily. And his team request to member khusunya in two pekon stated quick memeriksakan kesehatannya when happened ill phenomenon to puskesmas or staff kesehatan that there in pekon local, until the action would be the fast teratasi ,"hcw's" being member no do not far far more to berobat or memeriksakan kesehatanya at the place staff that there. At the place separate head dinas kesehatan Tanggamus Iman Sumarjo has membagikan obat timiflu (obat prevention flu bird) by gratis all over member in two pekon"villages" especially those those who nearby with the place chicken that dead, stated grant make by kontinyu each member get 10 item tablet obat timiflu, Iman's speech. Willing Iman result move dinas kesehatan his team will propound estimate post for district desolate good ketenagaan felled at with sarana penunjanganya namely isolated district incentive, he admit before it has positioned two volunteer force but karena kebentur with incentive payment not yet placed at them no fluent. Yet, this moment have operator one worker (voluntary) family coincidence head pekon local who before it on duty in puskesmas Cukubalak will occupy in pekon stated, Iman's speech. UTI / ONO / D-2 http://www.lampungpost.com/cetak/berita.php?id=2007090501561547 this will have to be done over,there is another story.

Here's a translation from History Lover. Hat-tip to History Lover!

Tanggamus - 33 Acute Malaria Patient Cases: Fauzan Sya'ie Jemput Going Home
Sept 5, 2007

Pringsewu (Lampost): Yesterday Regent officer Tanggamus Fauzan Sya'ie lined up parties together and invited 33 acute typhus and malaria patients after they were permitted to return from RSU Pringsewu.

Regent Officer Tanggamus picked them up close to Sekkab Syafiuddin Muas, Team Captain handling acute epidemic malaria disease.

Residents that were released early from RSUD Pringsewu around 8.00 o'clock and came from two villages in Pulau Tabuan; Village Sawang Balak, were processed, given restitution and directed by Regent Officer Tanggamus Fauzan Sya'ie the Karang.

Furthermore, the 33 residents going to Kotaagung used two buses belonging to a local Pemkab and controlled directly by Sekkab Tanggamus Syafiuddin Muas, close to Assistant I Firman Muntako, Assistant II Rachman Sakti, Assistant III Herlambang, and shared by some official agency heads in other Pemkab Tanggamus ranges.

Around 9:30 o'clock, the trip arrived in Dermaga II Kotaagung (sea harbour). The level of restitution even continued with a motor boat unit and tenancy (rooms?) for multiples of tens of residents.

Beforehand, Regent Officer Tanggamus provisioned them with a light snack, a bag rice, and pocket money.

Tanggamus Health Agency head drg. Sumardjo Faith stated the conditions of the 33 residents' physical health. Nevertheless, in order to monitor the whole condition developments of Pulau Tabuan residents that is populated by more than 3,000 souls, Health Agency parties garrisoned three fixed assignments in medical locations.

The three assignments will directly monitor the residents' conditions. Once every three days, at intervals our assignments will make up new restitution for the residents, Faith said.

Firmly, Faith also defined from product diagnosis and laboratory tests that were done, all of the residents that were attended tested positive for typhus.

It is bad sanitation on the island that is causing illness and a wrong circulation. In anticipation of this, we have coordinated with Dinkes Province and parties.

Faith continued, Dinkes Tanggamus were also told to use a similar mosquito net to help to prevent other contagious diseases like malaria that also originally infected some of the island residents.

Subdistrict Head Pulau Tabuhan Cukubalak invited/charged two returning village residents of Karang Buah and Sawang Balak that all these years to get treatment in RSUD Pringsewu, Tuesday (4-9).

Thirty three to thirty six resident patients returned from being picked up at RSU Pringsewu around o'clock 8.00 menggunkan (traveling?) with two buses and a number of ambulances. Apart from being sent, they arrived at the place Kampong Region premises and Fauzan Sya'ie also helped house the ill for free and aided the cost of defrayal by also giving similar help with money Rp250 ribupasien (1,000 per patient) and bingisan food for reform process. Fauzan desired every man should accept the headless plague as an ordeal, because the processed resident was asked to look after his hygiene and health every day. And he asked residents in the two villages to be especially quick with health examinations when ill symptoms happen and go to community health centers or health assignments that are in the local village until the above quick action will be done earlier, and according to Fauzan, he has ordered through health agencies to garrison three health duty people in two of the villages that (receive?) valid supervision from Community Health Center Subdistrict Cukubalak, so residents are not necessarily far from health treatment or health examination at the assigned sites.

At the separate site Tanggamus Iman Sumarjo health agency head has distributed Tamiflu medicine (bird flu medicine deterrent) for free to all the residents in two villages especially those neighborhoods with dead chickens, the administration has continued to do so that every resident gets 10 tablets point Tamiflu medicine, said Faith.

According to advance posts, Faith will move his health agencies to approximate remote areas with good power/energy means en bloc penunjanganya (no translation) namely remote areas incentives, he acknowledged that two had been previously garrisoned with two voluntary energy but failed because with incentives and payments that not expected they are keeping out of mischief at home. Nevertheless, this time as it happens there are local previous voluntary assignments on duty looking after the village head family in Cukubalak Community Health Center that will be placed in the village, said Faith.

http://www.lampungpost.com/cetak/ber...07090501561547

[Treyfish]

Thanks T42 and History lover!It makes more sense now 2 villages are getting tamiflu...."At the separate site Tanggamus Iman Sumarjo health agency head has distributed Tamiflu medicine (bird flu medicine deterrent) for free to all the residents in two villages especially those neighborhoods with dead chickens, the administration has continued to do so that every resident gets 10 tablets point Tamiflu medicine, said Faith." It doesn't say how many people that are getting it though.. or if they have bf symptoms.Maybe it's just precautionary

[HenryN]

Originally Posted by treyfish

Thanks T42 and History lover!It makes more sense now 2 villages are getting tamiflu...."At the separate site Tanggamus Iman Sumarjo health agency head has distributed Tamiflu medicine (bird flu medicine deterrent) for free to all the residents in two villages especially those neighborhoods with dead chickens, the administration has continued to do so that every resident gets 10 tablets point Tamiflu medicine, said Faith." It doesn't say how many people that are getting it though.. or if they have bf symptoms.Maybe it's just precautionary

It says free to ALL residents. That is called a Tamiflu blanket (each adult gets a prophylactic dose - 1 tablet once a day for 10 days).

[Commonground]

So we have a blanket, without any recorded cases.......

[Laidback Al]

Originally Posted by Commonground

So we have a blanket, without any recorded cases.......

So we have a blanket, without any confirmed cases.......

[Commonground]

I don't have any "negatives" or "unconfirmed" patients out of this area.

[HenryN]

Originally Posted by Commonground

I don't have any "negatives" or "unconfirmed" patients out of this area.

Indonesia has previous found H5N1 in patients initially diagnosed as typhus.

[Commonground]

Yes they have. But as far as I know, I've never heard of applying a Tamiflu blanket without any confirmed or not confirmed cases. This is the first time. We have no suspected cases there. Typhus yes.

[HenryN]

Originally Posted by Commonground

Yes they have. But as far as I know, I've never heard of applying a Tamiflu blanket without any confirmed or not confirmed cases. This is the first time. We have no suspected cases there. Typhus yes.

Typhus doesn't kill chickens.

Reading between the lines is quite easy in this case.

[Commonground]

O.K.
This article does not mention the two villages, so I can't even try to find out how many people this entails.

[Treyfish]

dhita :: 05-09-2007

Dinas Kesehatan Bagikan TAMIFLU to member Pulau Tabuan Dinas Kesehatan Tanggamus will continue jump squad kesehatannya on the island Tabuhan to limit not yet determined, this over for mengantisipasi infectious him back wabah thypus and malaria in stated district http://www.tanggamus.go.id/?cont=det...l&cat=1&bid=28 i cannot make the translator work.

[Treyfish]

Does this say the whole island gets tamiflu?
kesehatan dinas bagikan tamiflu to warga tabuan island
dhita : : 05-09-2007
Kesehatan dinas tanggamus will continued menerjunkan tim kesehatannya on tabuhan island to a bed that not defined, this case to mengantisipasi berjangkitnya returned wabah thypus and malaria in the district.
Apart from the also tim memantau ordeal development terjangkitnya flu bird to warga, followed diketemukannya bird a number of belong to that also suffered warga death in sudden with flu and symptoms bird.
This case passed dinas head tanggamus kesehatan sumardjo drg. iman disarrange melepas keberangkatan 33 island warga tabuhan back kedaerahnya disarrange fare treatment in pringsewu rsud.
Menurutnya to prevent flu bird disease myself his has mebagikan type obat tamiflu to whole island warga tabuhan, terutama those who unggasnya suffered death.
Sedangkan island warga permissible in the eyes tabuhan back kedaerahnya predicated diagnosa result dokter tim rsud pringsewu and dinas tanggamus kesehatan that expressed the grand kondisi pasien mulai membaik.
From 36 that warga previous attended, of 33 warga has returned came home. Sedangkan a warga has returned more used to previous a day and two of lainnya warga still should fare treatment more further.
Ke-33 the warga further leads with masters city used two of a unit of bus pemkab local milik and controlled direct by sekkab drs tanggamus. Muas syafiuddin with I asisten muntako firman, se., and some dinas head / in lainnya bagian lingkup pemkab tanggamus.
O ' clock 09.30, trip arrived in ii wharf masters city. The level of restitution even continued with a boat unit and tenancy motor for puluhan the warga.
Before, by bupati tanggamus, their also issued by meal light and rice bag and pocket uang journey.
Dinas head tanggamus kesehatan drg. Sumardjo faith expressed kondisi ke-33 the warga has sehat in fisik. Namun, use memantau whole kondisi development island warga by that populated tabuan more from three the thousand soul, fixed dinkes parties garrisoned three petugas medisnya in location.
Menurutnya wrong a circulation cause illness is sanitation bad on the island. to mengantisipasinya, we also has berkoordinasi with dinkes and parties provinsi,” Further seraya faith increased tanggamus dinkes also told berupa help a buah mosquito net to prevent other disease contagion like malaria that also mulai infect some the island warga. (*) http://www.tanggamus.go.id/?cont=det...l&cat=1&bid=28

[Treyfish]

tabuan island will dimekarkan
written administrator by
wednesday, september 05 2007
agus report suwignyo / rg
pringsewu – Pemkab tanggamus dictate will memekarkan tabuan island and made into as kecamatan individual. This seconds, the district to go inside kecamatan province cukuhbalak.
This case diungkapkan bupati drs tanggamus. Hi. sya fauzan’Ie, m. sc. kemarin (4 / 9) in front of puluhan island warga that fare tabuan treatment in hospital district multitude (rsud) pringsewu.
And kemarin also, of 33 warga will come back to district their after have the time attended karena terserang malaria and typhus. While, karena kondisinya that not allow, two warga still fare treatment. They is idawati (38) that suffered anaemia and safrudin (40), blank intestines sufferer.
”Tabuan island poison dibentuk or dimekarkan as kecamatan individual. this case will our rencanakan to the front,” Said fauzan.
In the advantage, fauzan also asked island warga tabuan press home potential their district. Khususnya for pemenuhan gizi. Later capable improve with family economy planted komoditas like kakao.
”we also asked so that island society tabuan watched ambit hygiene around, terutama house masing-masing,” Said nomor people a in pemkab the tanggamus.
Terkait kakao expansion, fauzan say, pemkab help pembibitan. This case done in pekon karangbuah and sawangbalak.
Restitution process island warga this tabuan done on rsud page pringsewu. This activities attended tanggamus office a number of. In antaranya kabupaten sekretaris drs. Muas syafiuddin, m. pd., I asisten muntako firman, dinas head tanggamus kesehatan drg. Sumarjo faith, and lainnya office. In the advantage, warga also obtained grant.
Before, pemkab tanggamus bring down penanganan tim strange plague case on tabuan island. Tim dipimpin sekkab muas syafiuddin didampingi members a number of.
From product examination, 36 warga owns all the earmarks and symptoms pain malaria and typhus. Namun to ensure pain that diderita, their should fare laboratorium examination in pringsewu rsud. (*)
http://radarlampung.co.id/web/index....2082&Itemid=38 sorry for the scrambled mess.

[HenryN]

Prior cluster in southern Sumatra that began with diagnosis if typhus

http://www.recombinomics.com/News/10...Confirmed.html

Famiial H5N1 Cluster in Lampung Indonesia Confirmed

Recombinomics Commentary
October 24, 2005

The first newly confirmed case is a four-year-old boy from Sumatra Island in Lampung Province. He developed symptoms on 4 October, was hospitalized, recovered fully, and has returned home.

This case is the nephew of the 21-year-old man from Lampung, who was reported on 10 October 2005. Although the two cases are related and lived in the same neighbourhood, human-to-human transmission is considered unlikely...........

[Treyfish]

An earlier story mentioning chickens ....tanggamus pemkab tanggulangi plague wabah on tabuan island
dhita : : 29-08-2007
Terpadu tim kabupaten governing tanggamus, 27 agustus senin alighted to location in pulautabuan that was in the bay semangka, to cadge presence report curious disease terserang and that warga has lead to four people died.
That tim dipimpin kabupaten sekretaris (sekkab) muas syafiudin also involved some dinas head terkait and kesehatan petugas maupun personnel from instansi peternakan and kesehatan hewan.
Diberitakan previous, pekon warga karangbuah and sawangbalak on alarming tabuan island's attack presence strange disease that not known exact species that has led to four warga died in last three town.
This disease again attack chicken peliharaan (village chicken) belong to warga, until hundreds ekor die sudden, but even so this belakangan, warga also the strange disease terserang with stomach-ache and symptoms accompanied by diare, hard stomach, body temperature high and pain head and penderitanya nightmare.
to menangani the incident, bupati fauzan tanggamus sya’Ie has delegate kesehatan tim total 12 people to jumped direct to pekon karangbuah and sawangbalak, ttabuan island, kecamatan cukuhbalak.
From product pantauan, there is 20 warga in pain kondisi, and 19 in direct warga bring to rsud pringsewu for incentives and treatment to could known to type invading disease warga.
Dr. Niken th wijayanti, kasi sp. kk rsud pelayanan pringsewu defined has attend island warga tabuan since the three days past, after didiagnosa known to bahwa wrong a pasien suffered dbd and two men lainnya pasien suffered typus.
http://www.tanggamus.go.id/?cont=det...l&cat=1&bid=26

[Treyfish]

Here about bird dying and sending vaccine and trying to keep them calm. pemkab tanggamus take satgas tim to island tabuan
administrator : : 29-08-2007
Satgas tim amalgam from dinas kesehatan and dinas kabupaten farming tanggamus diterjunkan to menangani and mengantisipasi mewabahnya malaria disease and thypus that now middle attacks island warga kec tabuan. cukuhbalak tanggamus
Satgas tim from dinas farming will individual menangani ordeal berjangkitnya wabah flu bird that paraphernalia needed, satgas tim also dipersenjatai amalgam with four thousand vaksinasi as antipasi contagion.
According to dinas head linmas kesbang rifki tanggamus wirawan ensure tim amalgam satgas will depart 29 207 agustus from wharf masters city, with brought vaccine paraphernalia ai of 2000 dosis, otomatis spuilt 2 buah, disposable spuilt 50 buah, test rapid 20 unit, disinfectant 2 litre and ppe pelengkap 10 buah.
While the data from keswan and expressed from data that there 's on kk 245 in coral pekon fruit since is 12 to 25 agustus there at 6 family head death incident bird of 34 ekor with all the earmarks of death, die in sudden, jengger and pial blueness colour, bagian chest and skin not sprout blueness colour, out dilution gel from mouth and nose.
For two hari, menurutnya satgas tim amalgam will work with diantaranya did to socialization about warga flu bird disease, do bird vaksinasi and penyemprotan pen and ambit local.
Apart from the to prevail against shortage karena blood all pasien hamper from island the tabuan suffered shortage trombosit, column pemkab kamis tanggamus 30 agustus 2007 will dub blood donor masal for mengatisipasi the kelangkaan.
While the island warga own tabuhan this seconds mulai see berbondong-bondong fled island, that saw in city wharf dimana ships masters motor and boat bermesin see full of a cargo and menurukan passengers puluhan.
To warga penuturan their kepergian out island's to avoided disease and wabah presence calm incident diri, karena berjangkitnya wabah to warga is a incident headless usual and made warga became fear.
http://www.tanggamus.go.id/?cont=det...l&cat=1&bid=27

[HenryN]

Cluster 3
Three relatives living in the same rural village in southern Sumatra made up the third cluster. In mid-September 2005, backyard chickens started dying in the village. Three days after holding two dead chickens, Patient 3A, a 21-year-old man with a history of smoking cigarettes, had an onset of fever, chills, rhinorrhea, cough, and headache. On the fifth day of illness, he was hospitalized with pneumonia and treated with ceftriaxone. Oseltamivir was started on the seventh day of illness. One week later, his respiratory status worsened, requiring supplemental oxygen, and a pleural effusion was noted on chest radiography. His condition improved, and he was discharged on day 25 of illness. A throat swab that was collected on admission tested positive for H5N1 by RT-PCR. H5N1 virus was isolated from a lung specimen obtained from a chicken close to the home. Patient 3B, the 5-year-old brother of Patient 3A, had an onset of illness (fever, rhinorrhea, and cough) on the same day as Patient 3A, was hospitalized on the fifth day of illness, recovered without treatment, and was discharged 9 days later. Serologic confirmation of H5N1 virus infection was made more than 3 months later for Patient 3B. Patient 3C was the 4-year-old son of a sister of Patient 3A and Patient 3B. He lived in a separate home and did not have contact with his uncles during their illnesses but moved to their home after they were hospitalized. Patient 3C did not have any known contact with ill persons or with sick or dead poultry, but his mother had handled dead chickens and buried them. On October 4, fever, rhinorrhea, and dry cough developed in Patient 3C, but the fever lasted only 2 days. After a throat specimen tested positive for H5N1 by RT-PCR, he was hospitalized on day 5 and treatment with oseltamivir was started. A chest radiograph on day 7 revealed mild bilateral perihilar and interstitial infiltrates. He remained afebrile, received oseltamivir for 7 days, and was discharged 17 days after the onset of illness. Of the 33 household and neighborhood contacts that were followed for 2 weeks, all others remained well.

http://content.nejm.org/cgi/content/full/355/21/2186

[HenryN]

Commentary at

http://www.recombinomics.com/News/09...h_Sumatra.html

[Treyfish]

dhita : : 29-08-2007
tanggamus pemkab tanggulangi plague wabah on tabuan island

Terpadu tim kabupaten governing tanggamus, 27 agustus senin alighted to location in pulautabuan that was in the bay semangka, to cadge presence report curious disease terserang and that warga has lead to four people died. http://www.tanggamus.go.id/
a pic of patient