Indonesia Human Cases - April 9, 2008 - 20th June 2008

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

From Jawa Post, also a story about the Riau suspects:

http://www.jawapos.co.id/index.php?act=detail_radar&id=207312&c=1

Cannot translate now, may be in about 4 tot 5 hours; fee free to translate yourself!

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

From Riau:

Hanya Seorang Suspect Secara Klinik,

Lima Lainnya Sekedar Antisipasi Terjangkit Virus Flu Burung

Saat ini enam warga Riau dicurigai terjangkit virus flu burung. Sebenarnya hanya seorang yang secara klinik suspect, sisanya lebih bersifat pencegahan.

Riauterkini-PEKANBARU- Dinas Kesehatan Riau mengumumkan adanya enam warga di dua kabupaten yang ditenggarai terjangkit virus HM5N (afian enfluenza) atau yang lebih dikenal dengan flu burung. Jumlahnya yang cukup banyak tersebut terjadi karena adanya perubahan standar dalam penetapan status suspect flu burung. Padahal, jika standarnya tidak berubah, dari enam orang tersebut hanya seorang yang secara klinik dicurigai menerita flu burung.

"Kalau secara klinik hanya satu yang sebenarnya suspect flu burung, sedangkan lima lainnya dinyatakan suspect sebagai langkah antisipasi dini," ujar Kasubdin Pelayanan Kesehatan dan Gizi Dinas Kesehatan Riau Burhanuddin Agung kepada riauterkini di Pekanbaru, Senin (14/4).

Dijelaskan Burhanuddin, saat ini tengah dilakukan uji coba di tiga provinsi, yakni Jawa Barat, Banten dan Riau untuk penerapan tindakan eleminasi virus flu burung. Keberhasilan program ini diharapkan nantinya bisa menekan angka kematian korban virus flu burung.

Dalam uji coba ini, ada sejumlah standar baru dalam penetapan status suspect flu burung. "Jika dulu untuk menetapkan status suspect harus dilakukan sejumlah tes, sekarang jika ada pasien yang panas badanya mencapai 38 derajat celcius dan selama sepakan ada riwayat kontak dengan unggas mati, maka langsung dinyatakan suspect flu burung," paparnya.

Setelah dinyatakan suspect flu burung, yang bersangkutan langsung harus diberi tamiflu. Selanjutnya kepada Puskemas terdekat untuk melakukan observasi selama 14 hari. Jika dalam masa observasi demam pasien tak berkurang, bahkan meningkat dengan sesak nafas, maka langsung harus dirujuk ke rumah sakit rujukan untuk mendapat perawatan lebih intensif," paparnya.

Karena itu, lanjut Burhanuddin dari enam warga yang dinyatakan suspect hanya dua yang dibawa ke RSUD Arifin Achmad Pekanbaru, sebagai rumah sakit rujukan flu burung, bahkan kemudian hanya AS (35), warga Buatan, Kabupaten Siak yang dirawat di ruang isolasi. Sedangkan seorang balia berinisla LU (4,5) juga asal Siak tidak dirawat di ruang isolasi karena ada kecenderungan yang bersangkutan mengalami kelainan paru.

Sedangkan untuk empat warga Rohul sama sekali tidak dibawa ke RSUD Arifin Achmad. Cukup diberi tamiflu dan selanjutnya menjalani masa observasi selama 14 hari oleh Puskesmas terdekat.

Meskipun secara klinik hanya satu yang resmi suspect, namun darah dua warga Kabupaten Siak dan empat warga Kabupaten Rokan Hulu tetap dikirim ke Pusat Laboratorium Departemen Kesehatan di Jakarta. "Mungkin besok hasilnya sudah diketahui," ujar Burhanuddin.***(mad)

http://www.riauterkini.com/sosial.php?arr=18601

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

Translation Post #29:

Six residents were in Riau detected supect bird flu, respectively two residents of the Siak Regency, had the initials LU (4.5) and the As (35) and four residents Rokan Hilir.
To confirm whether the positive patient bird flu or conversely, the Kesehatan Service (Diskes) the Riau Province sent the sample of casualties's blood to the Penelitian Dan Pengembangan Kesehatan Hall (Balitbangkes) the Department of the RI Health, in Jakarta.
Two patients suspect from Siak that currently is treated in RS Arifin Achmad this, the headword of Sub Dinas Pelayanan Kesehatan and the Dinas Kesehatan Nutrient (Diskes) the Riau Province, drg Burhanuddin Agung MM, Ahad (13/4), was found carrying out positive contact with the poultry that died suddenly.
That is in their residence in RT02/RW 02 Rantaupanjang villages, Kecamatan Kota Gasip, Kabupaten Siak.
"Tadi we have received the report from the Flu Burung Isolation part in RSUD Arifin Achmad, the matter of the existence of two patients suspect bird flu," mentioned Burhanuddin.
To the patient was given medicine for the preventive tertular him bird flu namely the tablet tamiflu.
From results of the LU inspection of the sample of casualties's blood you, his leucocytes reached 4,800, and the fever for 1 day with the temperature of body heat achieved 38.5 levels celsius.
Whereas the As, has experienced the fever since the last three days with the temperature of body heat achieved 38 levels celsius.
The As also it was reported experienced the cough, was sick the throat part, and results of the labor party inspection blood leucocytes reached 6,800.
Followed up this report, Burhanuddin named his side as usual has sent the sample of blood of the two casualties to the Pengembangan Hall and the Kesehatan Research (Balitbangkes) the Department of the RI Health to be checked the sample of casualties's blood in this Balibtangkes laboratory.
"Kita has sent the sample of casualties's blood to be checked in the Balitbangkes laboratory.
Results will be known in several days in the future," said Burhanuddin.

Four residents Kepenghuluan Balamsempurna, Kecamatan Bagansinembah suspect bird flu after the death incident of the poultry very first on April 6 was endless till April 9 set.
The four of them had the initials F (32), E (15), M. (11), that one was not yet known by his assurance, at this time still was carried out by observation, all just was limited suspect and still in the process of observation by the official of the health from the Balaijaya Community Health Centre and Baganbatu.
"Ketika many chickens that died, the resident took the initiative of contacting the medical team.
From several testimonies was reinforced by proof about the death of the poultry.
The four residents that too was explained to be tested clinical along with the taking of the sample of blood," said Section Head Peternakan drh H Isa Ahmadi, Ahad (13/4) after receiving the report from the official of livestock breeding that saw from close to the process of the taking of the sample of last blood against four residents to be continued to the inspection hall in Pekanbaru.

http://www.riautoday.com/new/index.php?option=com_content&task=view&id=6843&Itemid=1

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

[So...they have changed their protocol. Now they are stated suspect if they have a connection with poultry, and if they have a fever. They are no longer brought to hospital, but put under "observation" for 14 days. Only if their fever does not descend, will they get admitted to hospital.]

Translation Post #32

At this time six Riau residents were suspected terjangkit the bird flu virus.
In fact only a person that in a manner the clinic suspect, the rest of them more had a prevention nature.
Riauterkini-Pekanbaru- the Service of Kesehatan Riau announced the existence of six residents in two regencies that ditenggarai terjangkit the virus HM5N (afian enfluenza) or that more was known with bird flu.
The amount that enough this happened because of the existence of the change in the standard in the determination of the status suspect bird flu.
In fact, if his standard did not change, from six people only a person that in a manner the clinic was suspected menerita bird flu.
"If in a manner the clinic only one actual suspect bird flu, whereas five other was stated suspect as the step" in "early anticipation," said Kasubdin Pelayanan Kesehatan and the Nutrient Dinas Kesehatan Riau Burhanuddin Agung to riauterkini in Pekanbaru, on Monday (14/4).
Explained Burhanuddin, at this time was done by the test in three provinces, namely West Java, Banten and Riau for the application of the action eleminasi the bird flu virus.
The success of this program it was hoped eventually can press the death rate of casualties of the bird flu virus.
In this test, there were several new standards in the determination of the status suspect bird flu.
"If previously to determine the status suspect must be carried out by several tests, now if having the hot patient bada him achieved 38 levels celcius and while the kick had the story of "contact with the poultry died", then immediately was stated suspect bird flu," he explained.
After being stated suspect bird flu, that was relevant must be at once given tamiflu.
Further to Puskemas closest to carry out observation for 14 days.
If in the period of the patient of observation of the fever did not decrease, in fact increased breathlessly, then immediately must be reconciled to the reconciliation hospital to receive the maintenance was more intensive, he explained.

Therefore, continued Burhanuddin from six residents who were stated suspect only two that was carried to RSUD Arifin Achmad Pekanbaru, as the hospital, even afterwards only the AS of bird flu reconciliation (35), the Artificial resident, Kabupaten Siak that was treated in isolation space.
Whereas a person balia berinisla LU (4.5) also from Siak was not treated in isolation space because of having the relevant trend to experience the lung deviation.
Whereas for four residents Rohul in no way was brought to RSUD Arifin Achmad.
Be enough to be given tamiflu et cetera underwent the observation period for 14 days by the closest Community Health Centre.
Despite in a manner the clinic just one that was official suspect, but blood of two residents of the Siak Regency and four residents of the Rokan Hulu Regency continued to be sent to the Centre of the Departemen Laboratory of the Health in Jakarta.
"Possibly tomorrow results will be known," said Burhanuddin.

http://www.riauterkini.com/sosial.php?arr=18601

[sharon sanders]

Re: Indonesia Human Cases - April 9, 2008+

So are they still starting tamiflu immediately upon detemination that there was poultry contact? Are they still giving 2 doses a day for 14 days?

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

From Riau: child 4,5 yo in Pekanbaru hospital

Bocah 4,5 Tahun Diduga Flu Burung

MONDAY, 14 APRIL 2008

PEKANBARU - Seorang bocah berumur 4,5 tahun berinisal LZ asal Desa Rantau Panjang, Kecamatan Kota Gasip, Kabupaten Siak, Provinsi Riau, diduga telah terjangkit (suspect) virus H5N1 yang menyebabkan penyakit Avian Influenza atau flu burung. Kini bocah tersebut mendapat perawatan di ruang isolasi RSUD Arifin Ahmad, Kota Pekanbaru.

"Suspect masuk RSUD pada Sabtu malam (12/4) sekitar pukul 22.00 WIB. Kondisi badannya mengalami panas yang tinggi," kata Azisman Saad, Ketua Tim Penanggulangan Flu Burung RSUD Arifin Ahmad, di Pekanbaru, Minggu (13/4).Menurut Azisman, pasien suspect flu burung itu sempat mendapat perawatan di ruang rawat darurat sebelum akhirnya dipindahkan ke ruang isolasi khusus pasien flu burung pada Minggu siang.

Kondisi suhu LZ sempat tercatat mencapai 36 derajat celcius dengan leukosit dan trombosit darah yang juga terus menurun.Kendati demikian, ia belum bisa memastikan LZ benar-benar positif terjangkit flu burung sebelum ada pemeriksaan lebih lanjut.

Tim dokter RSUD Arifin Achmad, telah mengambil sampel darah dan lendir suspect flu burung. Sampel tersebut akan diteliti di Badan Penelitian dan Pengembangan Kesehatan (Balitbangkes) Departemen Kesehatan di Jakarta. "Sampelnya segera dikirim dan hasilnya kemungkinan bisa diketahui sekitar tiga hari lagi," katanya. ant

http://www.surya.co.id/web/index.php?option=com_content&task=view&id=41640&Itemid=150

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

Florida1, from this article at Post #35, it sound like if they have a fever, and were in contact with dead poultry they will be put on tamiflu and under observation for 14 days. They will go to a clinic to carry out observation.

now if having the hot patient bada him achieved 38 levels celcius and while the kick had the story of "contact with the poultry died", then immediately was stated suspect bird flu," he explained.

After being stated suspect bird flu, that was relevant must be at once given tamiflu.
Further to Puskemas closest to carry out observation for 14 days.

Puskesmas
ac.
acronym for "Pusat Kesehatan Masyarakat" meaning: Public Health Center; an infirmary or health clinic

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

According to this article - you do not need to have "contact" with the dead poultry to be eligible for "suspected". These poultry died 15 houses away.

Post #31 Translated:

Again, the bird flu virus attacked the Riau resident.
On Saturday night (12/4), the resident of the Siak Regency, Provinsi Riau, was stated suspect bird flu.
These casualties were Liza Ulandari, 5, the couple's child Ali Daren-Kamisah.
He is currently treated in space the Daerah isolation of Public Hospital bird flu (RSUD) Arifin Achmad, Pekanbaru.
Despite this, pre-schoolers from the Rantaupanjang Village, Kecamatan Kota Gasib, Kabupaten Siak, that was seen cheerful.
The temperature of his body has descended to 36 levels.
In fact, first entered on Saturday (12/4), around struck 21,00 WIB, the temperature of his body achieved 38 levels.
According to Kamisah, 38, your mother of Liza, on Thursday morning (10/4) his neighbouring chicken died suddenly.
The amount enough, around 20 tails.
The "distance" of the "neighbouring house that his chicken died with my house around 15 houses," he said.
Ali Daren, 39, added, on Friday night (11/4) after eating the egg half ripe, Liza was seen more unhealthy.
Liza appeared rather fussy.
His body was hot.
On "Saturday morning when I got ready went to work, the Liza body hot."
He was also sick and the cough.
I did not become departing.
Given by me he Bodrexin, he said.
After that, he departed for the garden with his friends.
At that time he did not know that his child has been taken to Pekanbaru was treated.

"Time came home from the garden, I saw the house has been empty."
I was reported by the neighbour that my child was carried to the community health centre, he said.
According to Kamisah, an arrival in the Pembantu Buatan Community Health Centre Kilo Empat, evidently the official of the health suggested his child was reconciled to RSUD Arifin Achmad.
"I did not know my child's illness at that time," he explained.
At that point his child was at once given the mask.
The community health centre side only explained, Liza could not be treated in the community health centre.
"I only agree to, moreover the community health centre side said could not treat my child's illness," he said.
Kamisah added, till at this time already four Liza blood times were taken.
"I hoped my child get well soon."
The doctor's words, oldest two-three the day was treated, he said.
Azizman Saad SpP Doctor when it was confirmed said, Liza was indeed stated suspect bird flu.
"He was still being supervised and treated intensively," he explained.
In the meantime, Kasubdin Yankes Burhanudin was represented by Dr Dian said, the sample of Liza blood had been taken and sent to the Kesehatan Laboratory of the Area.
"Today will be sent to Balitbangkes Jakarta, at least two days after until just could be processed," he revealed.
Liza was stated suspect bird flu because of experiencing the high fever, that is hot the body achieved 38 levels.
In the Liza area also was gotten by the chicken died suddenly that evidently positive bird flu.
"Then, he was stated suspect bird flu," said the Lamp.

http://www.jawapos.co.id/index.php?act=detail_radar&id=207312&c=1

[Treyfish]

Re: Indonesia Human Cases - April 9, 2008+

U.S. Health and Human Services Secretary Mike Leavitt gestures during an interview with the Associated Press in Jakarta, Indonesia, Monday, April 14, 2008. Leavitt has criticized Indonesia's refusal to share samples of its bird flu virus with the World Health Organization. (AP Photo/Tatan Syuflana) http://www.breitbart.com/image.php?i...show_article=1

[Treyfish]

Re: Indonesia Human Cases - April 9, 2008+

The two casualties, currently undergo the maintenance intensively in RSUD Arifin Ahmad, in Pekanbaru.
The two casualties suspek this bird flu, one among them still pre-schoolers were named Meliza (4.5 years), and a housewife was named Animar (30).
Although could get the maintenance in the local Community Health Centre, but because the condition for the temperature of the body of the two casualties continued to rise, finally casualties were reconciled to RSUD Arifin Achmad in Pekanbaru.
The official of the Health from the Kesehatan Service of the Siak Regency Dr Muhajir that at once descended to the location suspek bird flu said, the sign of the chicken died has happened since last Thursday (10/4).
But, there were two residents who carried out direct contact with the chicken that died and on Friday (11/4) experienced the fever.
After being checked by the team of the health, it was known the temperature of casualties's body continued high, achieved 38 levels.
Maski in nekosit him was normal and his side carried out the co-ordination with the doctor RSUD Arifin Achmad, suggested that casualties were immediately done x-rayed.
But Muhajirin words, because of the situation did not enable, if being sent to RSUD Siak will take up a lot of time, therefore the two casualties Saturday (12/4) around pu I 19,00 were WIB carried to Pekanbaru, for diruju to RSUD Riau that had equipment for the handling of bird flu casualties.

<TABLE cellSpacing=0 cellPadding=0 width=400 border=0><TBODY><TR><TD vAlign=top bgColor=#ffffee>

Suspek bird flu also attacked four residents Kepenghuluan Balamsempurna, Kecamatan Bagansinembah, of Rokan Hilir (Rohil).They were suspected after the death incident of the poultry while four days were endless (6-9) in April set.Currently they undergo the process of observation that was carried out by the official of the health from the Balaijaya Community Health Centre and Baganbatu.</PRE>

</TD></TR><TR><TD colSpan=2></TD></TR></TBODY></TABLE>?Saat ini, kita sudah koordinasikan kepada jajaran kecamatan, kesehatan, warga dan lainnya agar kembali fokus terhadap kasus yang satu ini. http://batampos.co.id/edisi-harian/p...lu-burung.html

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

From Media Indonesia on Riau: this report confirms the new procedure: put suspect patients on Tamiflu. Only if their conditions worsens they are hospitalized.

Note: Toggletext translates the initials "AS" into "USA" ; so if you read USA in other reports it is the same person as AS. .

On Monday, April 14 2008

Six Riau residents Suspect Bird Flu

Pekanbaru-RoL -- As Many As six Riau residents were at this time expected or suspect bird flu (avian influenza-AI) after contact with the poultry that died, said an official of the Health of the Service (Diskes) Riau in Pekanbaru, on Monday.

From six people of two including coming from the Siak Regency and four other from Rokan Hilir (Rohil), said Kasubdis Pelayanan Kesehatan and the Nutrient Diskes Riau, Burhanudin Agung to Antara.

Burhanudin explained, two patients who came from the Rantaupanjang Village, Kecamatan Koto Gasip, Kabupaten Siak that is having the initials LZ and AS at the moment was treated in RSUD Arifin Achmad.

The patient LZ was placed in special isolation space bird flu, whereas AS in maintenance space of the lungs.

AS personally was not placed in special isolation space bird flu because of his situation improved and his leucocytes no longer was under the figure 5,000, but 6,800. AS at the moment only remained experienced breathless while the temperature of his body has been normal, he said.

Now four people who came from Kepenghuluan Balam Sempurna, Kecamatan Bagansinembah, Kabupaten Rokan Hilir it was known had the initials F (32), E (15), M. (11), and one other person still could not be ascertained by his identity because still must be waiting for further information from the official in the field.

Burhan continued, four Rohil residents at this time still was in the house each with continued to be supervised by the team of the Health of the Service that was in the location.

We were still carrying out observation against the four suspect that was in Rohil and gave them tamiflu continuously. If their condition worsened, then just was reconciled by us to the hospital of bird flu reconciliation, he said.

He added, the Riau Province was one of the three provinces that became the territory of the case of the netting test suspect bird flu by the Department of the Health. Two other provinces apart from Riau that was tested namely Banten and West Java.

By being chosen by him Riau became the netting territory then if having the resident who had carried out contact with the poultry experienced the fever, then immediately was appointed as suspect bird flu, said Burhan.

According to him, four people from Rohil were the patient who was appointed as suspect through the netting that was carried out by the Kesehatan Service of the Rohil Regency, because that they were indirectly reconciled but done by observation before.

Despite not all suspect was placed in special isolation space bird flu, but Diskes Riau with the team of the control doctor of bird flu took the sample of blood and wiped off nose mucus and the throat (SWAP) suspect bird flu to be researched on the Penelitian Dan Pengembangan Kesehatan Body (Balitbangkes) the Department of the Health in Jakarta.

Possibly results of the research will be obtained by us this afternoon or on Tuesday tomorrow, said Burhan.

http://www.mediaindonesia.com/berita.asp?id=166385

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

From Riau: child 4,5 yo in Pekanbaru hospital

Bocah 4,5 Tahun Diduga Flu Burung

MONDAY, 14 APRIL 2008

PEKANBARU - Seorang bocah berumur 4,5 tahun berinisal LZ asal Desa Rantau Panjang, Kecamatan Kota Gasip, Kabupaten Siak, Provinsi Riau, diduga telah terjangkit (suspect) virus H5N1 yang menyebabkan penyakit Avian Influenza atau flu burung. Kini bocah tersebut mendapat perawatan di ruang isolasi RSUD Arifin Ahmad, Kota Pekanbaru.

"Suspect masuk RSUD pada Sabtu malam (12/4) sekitar pukul 22.00 WIB. Kondisi badannya mengalami panas yang tinggi," kata Azisman Saad, Ketua Tim Penanggulangan Flu Burung RSUD Arifin Ahmad, di Pekanbaru, Minggu (13/4).Menurut Azisman, pasien suspect flu burung itu sempat mendapat perawatan di ruang rawat darurat sebelum akhirnya dipindahkan ke ruang isolasi khusus pasien flu burung pada Minggu siang.

Kondisi suhu LZ sempat tercatat mencapai 36 derajat celcius dengan leukosit dan trombosit darah yang juga terus menurun.Kendati demikian, ia belum bisa memastikan LZ benar-benar positif terjangkit flu burung sebelum ada pemeriksaan lebih lanjut.

Tim dokter RSUD Arifin Achmad, telah mengambil sampel darah dan lendir suspect flu burung. Sampel tersebut akan diteliti di Badan Penelitian dan Pengembangan Kesehatan (Balitbangkes) Departemen Kesehatan di Jakarta. "Sampelnya segera dikirim dan hasilnya kemungkinan bisa diketahui sekitar tiga hari lagi," katanya. ant

http://www.surya.co.id/web/index.php...640&Itemid=150

Pekanbaru - A child was 4.5 years old with initials LZ from the Rantau Panjang Village, Kecamatan Kota Gasip, Kabupaten Siak, Provinsi Riau, was expected to be infected (suspect) by the virus H5N1 that caused the illness of Avian Influenza or bird flu.

Currently this child receives the maintenance in isolation space of RSUD Arifin Ahmad, the Pekanbaru City .Suspect entered RSUD on Saturday night (12-4) around struck 22,00 WIB.

the Condition for his body experienced hot that was high, said Azisman Saad, Chairman Tim of the Control of Bird Flu of RSUD Arifin Ahmad, in Pekanbaru, on Sunday (13-4).

According to Azisman, the patient suspect the bird flu could receive the maintenance in space treated the emergency before finally was moved to special isolation space the bird flu patient on Sunday early afternoon.

The condition for the LZ temperature could be recorded achieved 36 levels celcius with leucocytes and trombosit blood that also continued to descend. Despite this, he still could not ascertain LZ really positive infected by bird flu before having the further inspection.

The team of the doctor RSUD Arifin Achmad, took the sample of blood and mucus suspect bird flu.

This sample will be researched on the Penelitian Dan Pengembangan Kesehatan Body (Balitbangkes) the Department of the Health in Jakarta.
His sample was immediately sent and results of the possibility could be known around three days more, he said.

[Commonground]

Re: Indonesia Human Cases - April 9, 2008+

Post #40:

Maski in nekosit him was normal and his side carried out the co-ordination with the doctor RSUD Arifin Achmad, suggested that casualties were immediately done x-rayed.
But Muhajirin words, because of the situation did not enable, if being sent to RSUD Siak will take up a lot of time, therefore the two casualties Saturday (12/4) around pu I 19,00 were WIB carried to Pekanbaru, for diruju to RSUD Riau that had equipment for the handling of bird flu casualties.

I'm not totally sure why they didn't go to RSUD Siak. Whether the "taking up lots of time" was from paperwork, or the distance. Either way, it sounds like they needed to be hospitalized rather quickly.

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

Post #40:



I'm not totally sure why they didn't go to RSUD Siak. Whether the "taking up lots of time" was from paperwork, or the distance. Either way, it sounds like they needed to be hospitalized rather quickly.

Yes, their condition seemed to be serious enough to hospitalize them. Pekanbaru Hospital is closer (in distance) and better equiped then Siak Hospital.

Edit:

Special equiped "bird flu hospitals" in Riau:

Riau

10 RSU(Public Hospital) Arifin Ahmad Pekan Baru
11 RSU(Public Hospital) Kab. Karimun
12 RSU(Public Hospital) Tanjung Pinang
13 RSU(Public Hospital) Puri Husada
14 RSU(Public Hospital) Dumai

[Gert van der Hoek]

Re: Indonesia Human Cases - April 9, 2008+

translation post # 28, on the 2 patients in Padang Hospital, West Sumatra

Afifah leucocytes below normal

On Monday, April 14 2008

Padang, Padek -- the Afifah Condition (2) that was stated by the negative Palimbatan Palupuh Kabupaten Agam of the resident's bird flu increasingly improved.

Although still terbaring weak in the room of the Irna C Isolation the internal disease RSUP M. Djamil Padang, but showed the pleasing development.

At this time the infusion hose that coil around dipergelangan his hands were released and he then could mimun medicine through the mouth.
Just a few coughs and pilek.

The Afifah condition generally began to experience the progress, only at this time he indeed still was suffering the cough and pilek, as well as the number of his leucocytes still was not yet stable.

We were still continuing to strive for his recovery, so as to be able to come back was strong like Alifah, moreover produced by PCR him was stated by the negative, said the Head of the Layanan Medik Field RSUP M. Djamil Irayanti, to Padang Ekspres, late last week.

At this time according to Irayanti, was based on the data recorded the medic, the temperature of the Afifah body came back normal became 37 levels celsius, the temperature of the body that like this meant to have been normal.

Whereas the number of his leucocytes indeed still under the standard that necessarily, revolved 4,000-5,000 leucocytes. Whereas this small child of the number of his leucocytes just 2,900 leucocytes.

The level of the level of leucocyte (white blood cells, red) that was high indicated the level of white regional cell more high vice versa.

However according to the IRA, the data recorded this medic was enough menunjukan the pleasing development.

Only to recover like originally definitely really needed time, moreover the child a Alifah age the system imum his body not yet like the adult so as like that was attacked by the illness, immediately became weak.

This condition that caused his weight also to not yet come back was normal.

On the other hand Alifah, the positive patient bird flu of the number of his leucocytes has been normal, even so with the temperature of his body be the same as.

Afifah around 37 levels celsius and his weight gradually rose one kilogram.

Nevertheless at this time he was still experiencing the cough and pilek (cold) light. At this time we were still being waiting for results of the PCR test that was second and third, good that Alifah and Afifah.

Was based on the Alifah condition at this time, there was his possibility of recovering, but we could not confirm before produced by this PCR went out, he said.