Indonesia - Human Suspected/Confirmed Cases April 7 - June 6 2009

[Commonground]

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

The patient Suspect was treated Intensive

Rabu, 08 April 2009

-the Patient had the initials ”FO”, pre-schoolers suspect (was expected) bird flu was 1.5 years old from Dharmasraya, still was coiled around by the infusion on all over the of his body. During Padang Ekspres monitored the condition for casualties yesterday, several nurses guarded that was assigned in the door in front of maintenance space of the Isolation of Instalasi Rawat Inap C Penyakit Dalam RS Dr M. Djamil Padang, did not permit this newspaper to enter, on the basis of the condition for the patient still was not different far from the condition during the first time in treated in the hospital.

The head of the Field of Layanan Medis RS Dr M. Djamil Padang, Irayanti said, his side was still continuing to carry out the intensive maintenance against the patient. However, the hospital still could not confirm whether the patient was quite positive was contaminated by this deadly virus. ”Necessary to have outcome test laboratory concerning patient.. This test usually takes up time 5 days till 1 week. But that was clear, the handling against the patient continued to be carried out by us was as maximal mungkin,” he said.

The couple's child Ngatemen and Marsiah this was suspected of suffering bird flu, after experiencing the high fever was accompanied breathless during the last three days. During the last time was checked, haemoglobin of the patient's blood was abnormal, only 9.5 with the number of leucocytes as far as 15,000. According to the medical expert, this indicated the existence of the infection in the patient's body. Ideally, the number of leucocytes in the human body necessarily 6,000-10,000.

[Commonground]

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

Two Suspect Flu Burung Kabur from RSHS Bandung

[Toggletext and dictionary]
Tuesday, 07 April 2009
Two patients suspect bird flu that was treated in the Hasan Sadikin Hospital (RSHS) Bandung escaped. AM, 26, and Fai, 14 months, the patient from the Village/the Subdistrict of Cipatat,Kabupaten Bandung West (KBB), was known left special maintenance space of bird flu (the Poinciana Tree) last Monday (6/4) around struck 12,00 WIB. The escape of the two patients was acknowledged by the Managing Director RSHS Bandung Dr Cissy RS Prawira Kartasasmita. He said, both of them made use of the official's carelessness of the security unit and the nurse of Poinciana Tree space. ?Mereka not bolted, but went out without permission. He (AM) has come home had. At that time, the official and the nurse were having lunch, possibly he made use of torque tersebut,? said Cissy to the reporter in RSHS Bandung yesterday.

When bolting, AM patient brought his child, Fai. Although the two patients suspect this bird flu bolted, the RSHS side will not carry out the search. ?Because, the laboratory side has stated the negative to the two patients those,? he said. Now, when both of them positive bird flu, his side will at once drop the team off to look for them because of being worried infected the other resident. ?If the positive patient, we will bring returned to the hospital. Although in this manner, we coordinated Officially Health Department local to monitor them,? firm Cissy. According to him, if the patient wanted to come home had to have to to continue to say goodbye to the official. However, the security unit's member who was on duty at this room also did not know that the two patients escaped. Uptil now Poinciana Tree space was minded by one of the security unit's members, whereas the gate headed there was not locked.

The incident just the first time was experienced by RSHS. Karena, his side will tighten the security, including increasing the guard's personnel. ?We will increase the guarding but also important parts like the window or the door would restricted,?ujar him.

Nginap in the Parent-in-law's House

In the meantime, after bolting from RSHS Bandung, AM and Fai learned by now to be at house parent-in-law [a parent of a person?s spouse] in the Village of Cikokosan RT 01/06, the Village/the Cipatat Subdistrict, KBB, that be at a distance around 8 km to the north from casualties's house in the Halte Village of RT 1/19 the Village/the Subdistrict Cipatat. On arrival they were at once reported by the resident to the government side of the local village. Village apparatus then at once headed the location by bringing one ambulance. The village head Cipatat Darya Sugangga said, at this time his side was persuading AM in order to want to return to the hospital. Darya worried if being not treated in the hospital, the condition for the health of the two patients will be increasingly bad, especially his youngest child, Fai, that still was 14 months old. Nevertheless for the sake of pleasantness process ?abducting? to return suspect bird flu above-mentioned will carried out day this around hour 10:00 WB.

Escaped whether second positive or negative contracted bird flu, both of them continued to have to undergo the maintenance in the hospital. He admitted to accepting escape information of his two residents from the doctor who treated them. ?We still tried to persuade casualties so that wanted to return. To him, we stressed, they were not yet it was said positive bird flu because at this time results of the inspection of the doctor's laboratory did not yet go out. For the sake of the security and the health service that good, he was asked to return to the hospital and that will be carried out tomorrow (today) ,? said Darya when being contacted SI through his cellular phone. Contacted was separated, the Sub-district Head Cipatat Eriska regretted the weakness of the security in RSHS that caused two patients to be able to slip away from observation and bolted easily. That was very dangerous moreover if being proven both of them positive infected the bird flu virus because of could spread quickly to the other resident.

?Hopefully guarding carelessness of the patient in RSHS this was not repeated in afterwards hari,? said Ersika. He suspected, the AM escape and F from RSHS because worried with the size of the maintenance cost during in the hospital that must be borne by his family. In fact, all the maintenance fees have been borne by the government. His side then issued the certificate of the poor family the area (gaki you) for casualties so as to be able to be freest from the medical treatment cost. As being reported, AM was reconciled the Cipatat Community Health Centre to RSHS Bandung last Friday (3/4) around struck 23,00 of WIB. Sementara his child, Fai, entered on Saturday (4/4) around struck 12,30 of WIB. Keduanya immediately was treated intensive in Poinciana Tree space. When arriving in RSHS, his condition in the hot situation was high enough to be accompanied by the cough. The RSHS side at once examined the two patients because of being worried by them indeed infected the virus H5N1 because beforehand they had contact with the poultry and had the poultry belonging to their neighbour who died suddenly.

Apart from AM and his child, four other residents who were the family and the AM neighbour also infected suspect bird flu. The four of them suffered was sick with the sign like hot, breathless, pilek, and the cough. The four people namely At, 65, that was the AM father; Wir, 2, and Wel, 2, both of them the AM twin; also the AM neighbour, Dik, 2. Beforehand, as many as 70 chickens died suddenly in the Halte RT Village 1 RW 19, the Cipatat Village, Kecamatan Cipatat, KBB, since Wednesday (1/4) to the end of last week. The chickens were based on results rapid test positive infected bird flu and infected six residents. At intervals of two days, around 11 chickens belonging to Isom Sopandi, 70, the resident of the Village of Andir RT 02/14 the Ciptaharja Village, the Cipatat Subdistrict, also died suddenly. Now, his eight property chickens that still were living, after being carried out rapid test, positive contracted bird flu. (yugi prasetyo/superior haryanto)

[Treyfish]

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

..whats the problem ? They didnt want him back? Or.. he didnt want to be around sick people, I bet the in-laws are on tamiflu now.. it says that if they were "positive" the Health Dept. would have sent the authorities out.....and then....later on in the article...it says...they all ran out there as soon as they found out where he was. For the sake of the security and the health service that good, he was asked to return to the hospital and that will be carried out tomorrow (today) ,? said Darya when being contacted SI through his cellular phone.

[Gert van der Hoek]

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

Bandung, West Java ::: Patients asked to return to hospital

April 8, 2009

Bandung, West Java ::: Patients asked to return to hospital


Bandung, West Java – Two bird flu suspect patients, AM (26) and Fai (14 month) residents of Desa/ Kecamatan Cipatat,Kabupaten Bandung Barat (KBB) were reported escaped from bird flu installation unit (flamboyant room) Hasan Sadikin hospital (RSHS).

“They didn’t escape, but insisted to return home without hospital recommendation. It was lunch hour for the officers and paramedics. Maybe they used that moment to return home”, said Cissy RS Prawira Kartasasmita, director of RSHS. Cissy also mentioned that the patients had been tested negative by hospital laboratory. “But hospital with help from local health service will observe their condition”, state Cissy.

Usually patient, who insisted to return home before the end of recommended term, will report to the officer-on-duty, but they didn’t. Guard also didn’t know that patients had left the room. Flamboyan room is guarded by an officer but the entrance is not locked.
This incidence is the first time happened in RSHS. “We will enhance the security; in particular doors and windows also add number of officers”, said Cissy.

Meanwhile, AM and Fai are known staying at AM’s parents in-laws’s house Kampung Cikokosan RT 01/06, Desa/Kecamatan Cipatat, KBB.

Chieftain of Desa Cipatat, Darya Sugangga said they’re trying to convince AM to return to hospital. Darya worried if their condition got worsen, especially Fai.

Confirmation about the status of these patients also hasn’t been issued, whether positive or negative. Desa Cipatat authorities will take them back to hospital today.

Source: Indonesia TV news, Seputar Indonesia.

http://www.seputar-indonesia.com/edisicetak/content/view/227639/37/

===AvianInfluenzaIndonesia===

http://birdflucorner.wordpress.com/2009/04/

Comment by Ida, from Bird Flu Information Corner:


Ida Says:

April 8, 2009 at 1:28 pm

( snip) They have been tested negative by the hospital. Jakarta’s confirmation is just official stuffs. That’s the rule, only Jakarta can release the official statement. They’re returning, because been asked to. Not because of sick.
Nothing is happening.

[Gert van der Hoek]

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

Padang, West Sumatera ::: More details on 1.5-year-old suspect girl

April 8, 2009

Padang, West Sumatera ::: More details on 1.5-year-old suspect girl

Padang, West Sumatera ? Dr M. Jamil hospital received bird flu suspect last Sunday (5/4). Patient, FO (1.5) is resident of Pinangmakmur, Kenagarian Timpeh, Kabupaten Dharmasraya.

Three days before developing fever, patient had contact history with dead chickens. FO is the first bird flu suspect patient treated at RSUP M Jamil this last five months.

Daughter of Ngatemen and Marsiah suspected to contract bird flu infection since developing high fever with breathing difficulty for three days. She?s treated at isolation unit.

?Patient came with high fever, 39.7℃ with breathing problem. She also had contact with dead chicken. So we placed her at isolation unit to reduce transmission risk?, said head of Medical Service M. Djamil hospital, Irayanti.

Hospital has collected blood and throat swab samples to be checked by Research and Development Health Ministry laboratory (Balitbangkes) Jakarta.

Patients showed low hemoglobin count, 95 with leukocyte count 15000. This indicated infection. In the isolation unit, patient is assisted with oxygen and infusion set. She?s observed very weak, and occasionally shows difficulty in breathing.

Ngatemen, patient?s father said his wife took his daughter for a walk to their neighbor?s house where chickens were observed suddenly died. The dead chickens were tested positive bird flu infection by local livestock service officers.

Source: Indonesia local newspaper, Padang Ekspress.

http://www.padangekspres.co.id/content/view/33984/1/

===AvianInfluenzaIndonesia===

http://birdflucorner.wordpress.com/2009/04/

[tropical]

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

#482:
"“They didn’t escape, but insisted to return home without hospital recommendation. It was lunch hour for the officers and paramedics. Maybe they used that moment to return home”, said Cissy RS Prawira Kartasasmita, director of RSHS. Cissy also mentioned that the patients had been tested negative by hospital laboratory. “But hospital with help from local health service will observe their condition”, state Cissy.

Usually patient, who insisted to return home before the end of recommended term, will report to the officer-on-duty, but they didn’t. Guard also didn’t know that patients had left the room. Flamboyan room is guarded by an officer but the entrance is not locked.
This incidence is the first time happened in RSHS. “We will enhance the security; in particular doors and windows also add number of officers”, said Cissy."


Not strenghtened biosec. policy is equal as non biosecurity in a hotspot zone, and that all is well known:

- it is important to stick onto strict protocols even if it is possible that the patients are/would be cleared.

- it must not be allowed that nobody of the staff members be at the ward when it is lunch time.

- isolation must be equal as an closure space, so the main thing is locking the doors/windows, even if this seems loosing freedom during the isolation assesments, and than the guards would be less neccessary (only on feed/treating times)

- if the above is not accomplished and the patients walks freely, all the hospital would became quarantined in an infectious event.

[Commonground]

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

excellent point tropical.

- if the above is not accomplished and the patients walks freely, all the hospital would became quarantined in an infectious event.

[Treyfish]

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

Two suspect Bird Flu Not Keep Back to RSHS
Wednesday, April 08, 2009
BANDUNG WEST (SI) - AM, 26, and Fai, 14 months, two patients suspect bird flu that escape from the treatment room Flamboyan Rumah Sakit Hasan Sadikin (RSHS) Bandung, on Monday (6 / 4), not to be returned in force RSHS .

After the coordination between health and the RSHS Cipatat, both of the Village / District Cipatat, Kabupaten Bandung Barat (KBB), only need to receive intensive supervision. Head of Puskesmas Cipatat District of Revelation says, at this time AM and Fai who previously lived in-law's house in Kampung AM Cikokosan RT 01/06, Desa / Kecamatan Cipatat, returned to her parents in the village stop RT 01/19, Desa / Kecamatan Cipatat.

Physical condition of both patients, the words of Revelation, have seen more healthy than the first time was last week RSHS. He asserts, has requested the advice to doctors who handle AM and Fai RSHS in a matter of whether they should be brought back to the home sakit.Pihak RSHS states that the health center that will oversee both. The results of laboratory tests that their negative bird flu.

"But if there are signs of the condition of the body back out, they are immediately referred back to RSHS," said the Rev. SI yesterday. Although the existing oral statement from a doctor RSHS, still must have a copy of the official states that the PM and stay negative Fai virus Avian Influenza (AI). "We need evidence that will be the guidelines of the health condition of the hospital korban.Apalagi submit to us (health center) to conduct inspections and watched as advanced disease and flu burungnya negative victims suffer only common disease," he said.

Request a copy of the written evidence of the laboratory was also Head Cipatat Eriska Hendrayana.Menurut him, if only oral statements, the evidence does not have to disclose to the public that the disease and Fai AM menular.Dengan not so, society does not exclude the victims of life in the environment. "I just heard a new orally and not 100% sure.

Therefore, I will ask the full backup or image copy of the laboratory test results of the AM and Fai negative bird flu, "said Kantor Pemkab Eriska in West Bandung, Jalan Tagog, Padalarang, KBB, yesterday. He asserted, not the decision to have one so that people remember the injured bird flu virus can spread quickly.

Because of this, he has ordered the district officials to immediately request the summary results of laboratory examination and Fai AM. Later it akan rekapan given to the village and presented to the public so that there is no fear of the neighbors of the victim at or adjacent to communicate with them. Meanwhile, in order to anticipate the spread bird flu outbreaks, especially in Cipatat, already coordinates with the Animal Husbandry and Fisheries KBB disinfectant to perform at the same time.

Moreover, in the area quite a lot of poultry, including chickens because there are some chicken farms. "We will soon perform for agendakan disinfectant so that the bird flu virus has brought the victim in the village of Kampung Andir stop and not extended to neighboring villages," said Eriska. (adi charlie at the lake) http://www.seputar-indonesia.com/edisicetak/content/view/227979/37/

[Gert van der Hoek]

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

From Bird Flu Information Corner

Bandung bird flu suspected patient statement


Questions why AG (25) escaped from isolation unit Flamboyant room Hasan Sadikin hospital (RSHS) Bandung has been revealed. AG found healthy and playing with his three children at his parents house, Kampung Halteu RT 1 RW 19, Desa Cipatat, Kec. Cipatat, Kab. Bandung Barat, Wednesday (8/4).

?I felt fine. Why I should be treated longer?? said AG. He admitted has escaped by climbing toilet window of flamboyant room RSHS which was guarded tight. He ran away during break hour with his son FS, (14 monrhs) and wife, Rika (19).

?I escaped from window to hospital corridor?, said AG. At that moment hospital wasn?t too crowded and no security available, so they walked away leaving. AG then brought his family to relative?s house in Kampung Pamucatan, Kec. Padalarang, Kab. Bandung Barat. Tuesday (7/4), AG left to his parents in-law house in Kampung Cikokosan, Desa Kertamukti, Kec. Cipatat, Kab. Bandung Barat, then returned to his parents house in Kampung Halteu, Wednesday (8/4). ?I have asked the hospital to let us home, but never answered. I have recovered and I need to support the family?, said AG.

AG admitted guilty because of escaping from hospital. But he couldn?t accept that he was the only who claimed as bird flu suspect. He also mentioned that he was already sick before consuming the chicken. ?The weather was not good, so the kids and I caught flu, also a neighbor?s child. He also mentioned that FS had asthma and bronchitis so showed breathing problem.

Previously, Prof. dr. Dr Cissy R.S Prawira stated that clinical and laboratory examinations of AG and FS didn?t show bird flu evidences. Also chickens around the area tested negative by PCR.


Source. Indonesia local newspaper.

Pikiran Rakyat. http://newspaper.pikiran-rakyat.com/...etail&id=68821



===AvianInfluenzaIndonesia===

http://birdflucorner.wordpress.com/2009/04/09/bandung-bird-flu-suspected-patient-statement/#comments

[Gert van der Hoek]

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

Request a copy of the written evidence of the laboratory was also Head Cipatat Eriska Hendrayana.Menurut him, if only oral statements, the evidence does not have to disclose to the public that the disease and Fai AM menular.Dengan not so, society does not exclude the victims of life in the environment. "I just heard a new orally and not 100% sure.

Therefore, I will ask the full backup or image copy of the laboratory test results of the AM and Fai negative bird flu, "said Kantor Pemkab Eriska in West Bandung, Jalan Tagog, Padalarang, KBB, yesterday.

These partly translated sentences mean to say this (IMHO):

The hospital only had oral information on testresults, they say iit would have been better not to communicate oral information , but wait until written information.

No evidence for a cover up, or something like that.

One could say however, the way the hospital handled their information could be improved next time to prevent confusion.

The patients seems to do very well, we can be happy with that.

[tropical]

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

...
The hospital only had oral information on testresults, they say iit would have been better not to communicate oral information , but wait until written information.

No evidence for a cover up, or something like that.

One could say however, the way the hospital handled their information could be improved next time to prevent confusion.
...

This remember me on elsewhere's some hospital specialists usual behaviour to rely on oral only results from the lab if they not became positive in the most part of the labtest time schedule, and than they use them as an enaugh reason to dump the patient out of the hospital without wait it for an written lab confirmation, which many times need of few days more to be surely scientificaly confirmed.

The above (somewhere) practice is usualy tolerated because of hospital wards overpopulation and to cutting down the hospital part of patient care expensies ...

Such an not enaugh professional (and not strictly legal) behaviour is bad because it make an infection relapsing risk for the patient and further coinfections possibilities outside of the hospital.

[Gert van der Hoek]

Re: Indonesia - Human Suspected/Confirmed Cases April 7, 2009 +

Update from Padang, West Sumatra; the child seems to be a little better; the parents run out of money.

The Suspect Patient Still Is Weak

on Saturday, April 11 2009

Padang, Padek -- After three days intensive treatment in the isolation room of RSUP M. Djamil Padang, ”FO” the patient was expected (suspect) bird flu his condition was still weak.

The patient from Timpeh, Dharmasraya this used oxygen and the infusion to remain. The temperature of his body was unstable. Sometimes normal sometimes high until achieving 39 levels, same like during first entered to RSUP M. Djamil Padang.

Compared with during first entered to RSUP M. Djamil Padang, in fact has been somewhat tolerable. At this time the patient did not vomit again again and again. However indeed generally, not yet many developments.

The temperature of his body tended unstable and breathless, said the Head of the Layanan Medis RSUP Field M. Djamil Padang Irayanti to Padang Ekspres, yesterday.

From the sample of the throat liquid (swap the throat) that is sent to Balitbang Department of Health RI, up to now still in the inspection. So as to be not yet known by results, even so the sample of his blood.

Now, parents of the patient Marsiah hoped could know results of the laboratory inspection as immediately as possible. His article, as the resident was not more well-off, he could not last long in the hospital. At this time then he only remained by eating instant noodles, because of financial supplies increasingly diminished.

As the plantation worker sawit, Ngateman his husband only had the barely adequate production so as at this time he then remained with the loan of money from his relatives.

If in one this Sunday also was not yet known by results of the research, Marsiah said will try to ask permission to treat his child in the house then. We already still could not remain.

If indeed did not have the development, ”FO” was treated by me in the house then. Apparently has begun to be better, he said.

http://www.padangekspres.co.id/content/view/34177/104/

[Commonground]

Re: Indonesia - Human Suspected/Confirmed Cases April 7, 2009 +

[link won't open]

Patient Ancam Pulang [Patient Threaten Go Home]

Padang, Padek -- A Minggu got the maintenance in RSUP M. Djamil Padang, the patient's family suspect ?FO? bird flu from Kenagarian Timpeh began to be restless. His article, till at this time did not yet have the clarity...

http://www.padangekspres.co.id/index.php?searchword=flu&option=com_search&Itemid=

[Gert van der Hoek]

Re: Indonesia - Human Suspected/Confirmed Cases April 7, 2009 +

Padang, West Sumatera ::: Patient is still treated. Laboratory result hasn’t been issued.

April 14, 2009


Padang, West Sumatera – After treated for one week at M Djmail hospital Padang, family of FO, bird flu suspect from Kenagarian Timpeh started to worry. Up to now there is no certainty about diagnosis of FO’s illness. Even though laboratory examination of M Djamil hospital showed FO was severing pneumonia.


“No statement from doctors whether my daughter got infected by bird flu or not. Our financial is limited. In particular according to one paramedic, hospital will charge fee if bird flu infection are not confirmed”, said FO’s parent, Marsiah. Marsiah added that FO was still in weak condition with unstable body temperature. FO also often has sudden breathing difficulty so that needing oxygen supply. Hospital is still supporting her with liquid infusion and medicine.


Head of Medical service M Djamil hospital, Irayanti said they’re still waiting fro PCR and throat swab result from Research and Development laboratory Ministry of Health RI.

If patient is having bird flu infection, result will be found out soon. However, when its negative, laboratory examination will be repeated. Regarding hospital cost matter, Irayanti said even though patient is stated negative, he/she will not be charged.



Source: Indonesia local newspaper, Padang Ekspres.

http://www.padangekspres.co.id/content/view/34409/104/

http://birdflucorner.wordpress.com/

[Gert van der Hoek]

Re: Indonesia - Human Suspected/Confirmed Cases April 7, 2009 +

Note: this patient was not reported before.

Riau ::: Bird flu suspect diagnosed pneumonia

April 15, 2009


Surveillance team of Health service Pekanbaru has investigated status of Gusti Iman Hulu (2.9), resident of Jalan Yos Sudarso Rumbai, who was suspected died due to bird flu virus infection. Officials confirmed that patient’s fatality was due to pneumonia and not bird flu infection.


This is explained by Head of Disease/Outbreak and Disaster Monitoring Section, Health Service Pekanbaru, M. Napiri, Tuesday (14/4). He mentioned patient died due to bronchitis and dengue fever, according to field inspection and diagnosis. A month before, Napiri and team has investigated victim’s neighborhood. They found dead chickens and brick foundry within the area.

Victim was reported to have fever, coughing and flu signs on 4 April and went to 24-hour clinic. On 5 April, victim and his friend were playing with sick wild bird. On 11 April, victim developed breathing problem and admitted to Arifin Achmad hospital at 12.00 pm. Victim died on 12 April, 01.00 pm.

“Victim had fever and had received treatment at 24-hour doctor clinic. Arifin Achmad hospital diagnosed victim was severing bronchitis and dengue fever”, said Nairi.

Source: Indonesia local newspaper, Riau Pos.

http://www.riaupos.com/main/index.php?mib=berita.detail&id=7495

===AvianInfluenzaIndonesia===

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