Indonesia: The Latest Human Suspected & Confirmed Cases January 29 + April 6, 2009

[Commonground]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Post #193:

?My daughter had complained she was feeling dizzy last Wednesday, but it wasn?t until 2 days later that I took her to see a doctor,? MS said.

The doctor had diagnosed her daughter with Typhoid fever and had recommended taking her to Bhakti Yuda Hospital in Depok, West Java.

Post #189:

Abdul Ghofur (47), casualties's uncle said, initially the Nurliga body experienced hot high until achieving the temperature of the body 40 celcius, had a headache, breathless that was accompanied by the cough since last February 8.

[Commonground]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

The case of Bird Flu in Bekasi late was reported

Senin, 02 Maret 2009

Head of Animal Health Animal Husbandry, Fisheries and Marine Bekasi, West Java, Asep Indraji Kusnadi, said the bird flu cases be fatal Andry have been reported. New residents notify the office of a government office after the victim worse. Five-day fever, cough and shortness of breath. "Victims are given the help of late," he said, Monday (2 / 3).

Unlike the case of bird flu in District Sukatani, Asep continue, citizens immediately report dead birds to see so sudden. Prventif with efforts to provide drugs tamiflu to citizen suspected of close contact, also made by the residents. Other business, namely to destroy AI-positive birds, are also considered to be successful to prevent the victim.

According to Asep, Animal Husbandry Department continues to oversee the location of two cases of bird flu for three weeks to come. Actions taken, among others, perform spraying disinfektan, asking residents not to sell and mengonsumsi chicken, tamiflu and distribute through local community health center.

National Agency Penanggulangan already taking blood samples of families who live in a house with Andry. They are Ilyas, 43 years old, Mimin, 36 years old (the mother of the victim), and Ana, 6 years (adiknya), warga Kampung Sukamantri RT 01/03, Desa Suka Raya, Kecamatan Karang Bahagia, Kabupaten Bekasi.

[Commonground]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Post #197:

New residents notify the office of a government office after the victim worse. Five-day fever, cough and shortness of breath. "Victims are given the help of late," he said, Monday (2 / 3).

I had onset from the 16th-20th. With this statement, I have narrowed it down to onset of the 20th.
She was brought to a local clinic. But had a relapse on the 25th.

[sharon sanders]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

From this post:

http://www.flutrackers.com/forum/showpost.php?p=211809&postcount=189

I'm having a problem working out the timeline. This is what I have:

Onset: 2/8
Bahar Medika Clinic, Depok Lama. Blood test. Taken to...
RSUD Depot, hospital did not immediately treat. Cared for by Mother. Hospital was full.....

RS Bhakti Yudha on 2/9
RS Persahabatan on 2/13. Results of exam found pneumonia, dengue, typhus.

Died on: ?

ETA: http://www.flutrackers.com/forum/sho...&postcount=193

Died on: 2/28 (?) or....2/21 (?) or....2/14 (?)

ETA: Answered my own question.



So she passed away on the 14th.

Thanks Commonground, Dutchy, Sally, Mixin, Treyfish, Laidback Al, Shiloh, and everyone here, and all the sites for your work. It is very hard to keep track and you all do a great job!

[Vibrant62]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

A couple of interestng points to note from Commongrounds post #192

Maros, BKM - Animal Husbandry, Fisheries, and Marine Maros District 64 head back to destroy the property of residents in the poultry Tamarampung, Kelurahan Bontoa, Mandai District, last week. Destruction is carried out following a finding of a local citizen suspect (suspect) bird flu.


This report is unusual in that human probable infection appears to be the sentinel for infection in birds/ other vectors. Note also the reference to Dogs, and the implication that they think there may have been a problem with dogs eating infected carcasses from an outbreak the month before.

Do we think this indicates a higher level of non poutry infections in Indonesia at the moment?

[Commonground]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

I just wanted to mention that most of the articles I posted here today were from Treyfish, and that he found them while tracking, without power...on a generator. Now, is that dedication...or what?! Thanks Treyfish!

[sharon sanders]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

I just wanted to mention that most of the articles I posted here today were from Treyfish, and that he found them while tracking, without power...on a generator. Now, is that dedication...or what?! Thanks Treyfish!

[Commonground]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Indonesia Summary

West Java

Bekasi
Sukatani
Adm: None
Names: 3 Families*
From: RT 13/6 Sukamulya Village
Hospital:
1st Family:
NY Ita: Mother
Ipin (10) Child Being treated at Comm. Hlth. Ctr.
Family owned 19 Chickens

2nd Family:
Sri Rahaya
Jema
Arni

3rd Family:
Mohamad Doas
Syahroni (43): Father (?)
*(derived from 6 reported on 2/15)

Sukaraya
Adm: 2/28
Name: Andriansyah (8)
From: RT 01/03 Sukamantri Village, Karang Bahagia Dist.
Hospital: Friendship Hospital
Sym. Onset: 2/20. Recovered. On 2/25 onset of fever again.
Recon: Local Clinic (2/20); Annisa Hospital (2/27) for 6 hours. Diag. with pneumonia.
Notes:
Blood samples taken from Ilyas (43), Mimin (36) mother, Ana (6) sister/brother.
3 Medical Workers from Anissa Hospital had blood drawn: Dr. Suki, Dr. Lia and Official Agus. Did not use PPE when treating.
Confirmation: Metronews reports Annisa Hosp. had a confirmation within 6 hours before sending to Friendship Hospital.
DOD: 2/28

Tangerang
Adm: 2/14
Name: Kaila Nabila (2)
From: RT 02/04, Serpong Subdistrict,Cilenggang
Hospital: RS Fatamawati
Sym Onset: 2/14
Recon: Comm. Hlth Ctr. and Clinic Specialist close to house.
Confirmation: DOH Lab declared positive; news media declared DBD.

Depok
Adm: 2/27
Name: Nurliga Mahmuda (5)
From: Pulo RW6/RT8 Rangkapan Jaya
Hospital: RS Persahabatan
Sym onset: 2/14 fever 40 degrees, headache
Recon: Bahar Medika Clinic, Depok Lama. Blood taken. Diagnosed with typhus.
RSUD Depot - staff did not immed. respond, mother cared for child. Reason: hospital was full.
RS Bhakti Yudha: 2/24, 2 days later developed shortness of breath, put on oxygen. Took x-ray.
Notes: Parents: Mahmudin Sudin (35); Liza Kurniawati (30)
DOD: 2/28


Central Java
Klaten
Adm: 2/24
Name: Roslik Wahyu Adiarta (5)
Name: Wisnu Chandra (1) (cousins)
From: Kemalang Village, Desa Dompol, Kec. Kemalang
Hospital: RSUP Dr Soeradji
Sym onset: 2/23 (sym: high fever, cough, breathless)
Recon: Health Svc. & Soc. Welfare
Notes: Not in isolation.


East Java
Surabaya
Posted on 2/20:
Adm: 2/4
Name: 5 Staff that treated Sutini (18) confirmed positive. DOD: 1/24.
Hospital: RSUD Soetomo
Notes: Staff are quarrantined at hospital. One doctor tested negative, recovered.


South Sulawesi
Makassar

Adm: 2/28
Name: Fadila (7)
From: Tamarampu Village, Kelurahan Bonto, Mandi, Maros
Hospital: RS Wahidin
Sym onset: 2/23 (Sym. temp. 38)
Recon: RS Salewangan Maros
Notes: Dept. of Health has been available

[Sally Furniss]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

This is Nurliga Mahmuda

Kapanlagi.com - A child under five, Nur Liza Mahmudah, of Kampung Pulo RT 06 / RW 08, Kelurahan copy Jaya, District Pancoran Mas, Depok died due to suspected bird flu on Saturday, 28 February 2009.

"Two weeks ago, Nurul headache, fever, and body temperature reached 40 degrees," said Mahmudin Sudin (35), when found in kediamannya in Jakarta, Monday (2 / 3).

Nurul is the daughter of the second pair Mahmudin Sudin (35) with Liza Kurniawati (30). He said that previous doctors diagnose the disease suffered by tifus daughter is a doctor in the Medika Bahar Jalan Dewi Sartika. Then the patients were referred to the General Hospital Regional hospitals, Sawangan.

Then he said, the hospitals have not stated so that the family room and then bring the patient to the hospital Bhakti Yudha, Sawangan Jalan Raya, Depok.

Since Monday (24 / 3) Liza get treatment at Bhakti Yudha diagnosanya when the scarlet fever. Two days after a Inpatient in Bhakti Yudha, Liza experiencing shortness of breath and the doctor said that the inflammation occurs in the lungs so that it provided for a cough.

"Because of severe shortness of breath, the doctor and then give oxygen and evaporation as a refuge. Because the show does not cure, so to get the Special Care Unit," he explained.

To obtain the certainty of the disease then the hospital do Lizah X-rays and the results of all tuberculosis- her lungs closed by white spots.

"The doctor said that suffered by Liza suspected virus that leads to the Avian Influenza or bird flu," said Mahmudin.

Then go Mahmudin Hospital Bhakti Yudha decided to refer the patient to the Friendship Hospital, Jakarta.

"But my child was brought with the new car ambulan to Friendship Hospital at 19.00 WIB, on Friday (27 / 2) since the afternoon when two cars ambulan Bhakti Yudha that is not used in parkiran," augment him.

Mahmudin also disappointed when the car ambulan used to bring the daughter was not ambulan car with special equipment for bird flu patients, but only ambulan ordinary car.

More Mahmudi said after arriving at the Friendship Hospital, Liza ocean in the UGD and the doctor said that recovery is only possible 'fifty-fifty' because the virus has spread and difficult to be cured.

"Ultimately the child last breath I exhale, on Saturday at 14:10 WIB," he said. (kpl / bar)

http://www.kapanlagi.com/h/balita-meninggal-akibat-flu-burung.html

[AlaskaDenise]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

I just wanted to mention that most of the articles I posted here today were from Treyfish, and that he found them while tracking, without power...on a generator. Now, is that dedication...or what?! Thanks Treyfish!

Or pandemic practice???

Impressive Treyfish.

.

[Gert van der Hoek]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

I just wanted to mention that most of the articles I posted here today were from Treyfish, and that he found them while tracking, without power...on a generator. Now, is that dedication...or what?! Thanks Treyfish!

[AlaskaDenise]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

A couple of interestng points to note from Commongrounds post #192

Maros, BKM - Animal Husbandry, Fisheries, and Marine Maros District 64 head back to destroy the property of residents in the poultry Tamarampung, Kelurahan Bontoa, Mandai District, last week. Destruction is carried out following a finding of a local citizen suspect (suspect) bird flu.


This report is unusual in that human probable infection appears to be the sentinel for infection in birds/ other vectors. Note also the reference to Dogs, and the implication that they think there may have been a problem with dogs eating infected carcasses from an outbreak the month before.

Do we think this indicates a higher level of non poutry infections in Indonesia at the moment?

Is it possible the "local citizen suspect" meant that the local suspected an infection and reported it?

Regarding dogs - they probably remember the cat infections of a couple years ago. Wasn't it called something like "aargh-plunk" flu, because the cats would howl just prior to falling from a tree? Also, didn't a Scottish researcher (studying the cats) find that it was a different strain than the one infecting poultry? I wonder if the same is true now - are the mammalian infections different from the poultry?

.

[Gert van der Hoek]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Is it possible the "local citizen suspect" meant that the local suspected an infection and reported it?

Regarding dogs - they probably remember the cat infections of a couple years ago. Wasn't it called something like "aargh-plunk" flu, because the cats would howl just prior to falling from a tree? Also, didn't a Scottish researcher (studying the cats) find that it was a different strain than the one infecting poultry? I wonder if the same is true now - are the mammalian infections different from the poultry?

.

If I understood the reports well, it went more or less like this: chickens "died suddenly" , tested and found positive for H5N1, near these dead chickens a suspect human case was found.
Probably because people looked for suspect human cases after finding avian flu in chickens. This in turn triggered more culling of poultry.


Some time ago dogs were mentioned in Sulawesi as possible spreaders of H5N1 virus, because they can dig up the burried carcasses of H5N1 contaminated chickens.

[Laidback Al]

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Depok
Adm: 2/13
Name: Nurliga Mahmuda (5)
From: Pulo RW6/RT8 Rangkapan Jaya
Hospital: RS Persahabatan
Sym onset: 2/8
Recon: Bahar Medika Clinic, Depok Lama. Blood taken.
RSUD Depot - staff did not immed. respond, mother cared for child. Reason: hospital was full.
RS Bhakti Yudha: 2/9
RS Persahabatan: 2/13. Results of exam found pneumonia, dengue & typhus.
DOD: 2/14

<o:p> </o:p>

The confusion about onset date for Nurliga Mahmuda (NLM) is cleared up in post 204. Based on post 204 and previous ones, here is a revised timeline.
<o:p> </o:p>
About February 18 chickens died in neighborhood. Relatives report fever and symptoms for Nurliga (Nur Liza) two weeks earlier than March 2, when they interviewed. This suggests that onset was some time around February 18. On February 24, 2009, she starts treatment at RS Bhakti Yudha. On February 27, 2009, Nurliga is taken to RS Persahabatan. The next day, February 28, 2009, Nurliga dies. Ten family members test negative that same day.

[AlaskaDenise]

Re: Indonesia: The Latest Human Suspected &amp; Confirmed Cases January 29 +

Dogs also eat the temple offerings in Bali. I don't know if those food offerings include chicken, but if any chicken were contaminated, it would naturally spread to dogs.

.