Indonesia: Human Cases 20 June 2008 to 8 October 2008

[AlaskaDenise]

Re: Indonesia Human Cases 20th June 2008 +

Commentary

http://www.recombinomics.com/News/07...erang_IHR.html

Commentary

Another H5N1 Confirmed Fatality in Tangerang Indonesia
Recombinomics Commentary 19:34
July 13, 2008

A resident Belendung, Kecamatan Benda, of Kota Tangerang, Banten, the USA (37) that died last July 10 was stated positive terjangkit the virus of kind bird flu H5N1.

The executive the Task of the Sub Dinas Pemberantasan Head and the Prevention of the Illness and Lingkungan Sanitation (P2PL) the Kesehatan Service of the Tangerang City, Ati Pramudji Hastuti, on Sunday (13/7), said results of the blood inspection by the Departemen Laboratory of the Health showed that the USA died because positive was infected by the bird flu virus.

The USA that lived in Street Kyai the Pilgrim Kuding RT 04/07 the Blendung Village, the Object, Tangerang, that blew out the last breath in the Public Hospital (RSU) Tangerang (10/7).

Before dying, the USA experienced was sick with the condition for the high fever, the difficult cough, and breathless since Monday (5/7),

The above translation described another lab confirmed H5N1 case in Tangerang. This should be reported to WHO within 24-48 hours per IHR requirements.

WHO generally issues a situation update shortly after receiving confirmation from the affected country.

Failure to publish a situation update from Indonesia this week will be cause for concern.


.

[AlaskaDenise]

Re: Indonesia Human Cases 20th June 2008 +

Commentary at

http://www.recombinomics.com/News/07...gerang_AP.html

Commentary

Acknowledgement of H5N1 Fatality in Tangerang Indonesia Recombinomics Commentary 11:24
July 17, 2008

Relatives say a 38-year-old man has died of bird flu, raising the unofficial toll in the world's hardest hit nation to 111.

Abdul Kadir said Thursday his brother-in-law, Asnawi Sandri, died on July 10. He had symptoms of the disease, including high fever and coughing, when he was hospitalized.

Kadir says doctors told the family the father of two died of bird flu.

The above comments from an AP wire report confirm local media reports on a lab confirmed H5N1 case in Tangerang. The lab confirmation was announced on July 12 and carried in local media. Thus, the confirmation has been acknowledged in local media and one wire service, but has not yet been acknowledged in the WHO update.

Since this lab confirmed case has not been acknowledged as an official case, it is unclear if contacts were tested.

The last WHO update is on the death of the last official case, who died in May, but was not reported until June, in violation of International Health Regulations on H5N1 in humans, which is a reportable disease. The WHO update in June failed to acknowledge the death of the brother of the confirmed case, who was diagnosed with typhus, or the hospitalization of a second brother. Both brothers had bird flu symptoms, but the index case was diagnosed as typhus and the second brother tested negative. However, the two fatalities had the same cyanosis of the extremities, leaving little doubt that both were H5N1 infected.

The report of the one case was delayed for a month and associated with an announcement by Indonesia that they would no longer announcement lab confirmed cases at the time of confirmation. The above cluster was preceded by two additional clusters which were also reported as individual clusters, with index cases dying from lung inflamation or dengue fever.

The failure of Indonesia or WHO to acknowledge the clusters, which almost certainly involved human to human transmission, remains a cause for concern.


.

[Gert van der Hoek]

Re: Indonesia Human Cases 20th June 2008 +

Central Java

24/07/2008

Dozens of Chickens in Temanggung Affected with Bird Flu


Liputan6.com, Temanggung; Dozens Of chickens in the Gemawang Village, Temanggung, Central Java, just recently, was found died suddenly. The resident was increasingly restless after two local village children suddenly the high fever.

The resident suspected, the two children were affected by bird flu. The Dinas official of Temanggung Livestock Breeding that got the report segara checked to the location.

From results of the fast test was known, chickens that died positive was infected by the bird flu virus. To interrupt the virus link, the official destroyed hundreds of the resident's poultries.

The official also scolded disinfektan to the pen and the poultry that still were healthy. Now two children with high fever was reported began to improve. They only were affected by the common fever.

http://www.liputan6.com/daerah/?id=162732

[Gert van der Hoek]

Re: Indonesia Human Cases 20th June 2008 +

Suspected patient in Aceh Province, Sumatra


LANGSA- Yusniar (50) the resident of the Village Antara Desa Seuneubok Teungoh, Kecamatan Peureulak Timur, that was known as the patient suspect bird flu had finally been reconciled to the Hospital of Adam Malik Medan, on Saturday (26/7) after could be treated in RSU Langsa, on Friday (25/7) in the III class JPS space.

Yusniar was evacuated by the Peureulak Timur Community Health Centre side with the patient's family. However, because minin him means and the infrastructure in RSU Langsa, finally the patient was severed to be reconciled to Medan. Beforehand, Yusniar experienced the deviation to his face that became red and his body mengigil.

This condition was stated really resembled the sign of the virus attack avian influenza (bird flu) after he carried out direct contact with his property chicken that died suddenly, last Wednesday (23/7).

The local side of the health service said that the chicken that died this was positive bird flu after being taken the sample of his blood. Whereas the sample of Yusniar blood was personally being waiting for results of the laboratory test in Medan.

Have to go now, more to follow later today.

[Commonground]

Re: Indonesia Human Cases 20th June 2008 +

Beforehand, Yusniar experienced the deviation to his face that became red and his body mengigil.

menggigil
to shiver; shudder

[Gert van der Hoek]

Re: Indonesia Human Cases 20th June 2008 +

Suspected patient in Aceh Province, Sumatra


LANGSA- Yusniar (50) the resident of the Village Antara Desa Seuneubok Teungoh, Kecamatan Peureulak Timur, that was known as the patient suspect bird flu had finally been reconciled to the Hospital of Adam Malik Medan, on Saturday (26/7) after could be treated in RSU Langsa, on Friday (25/7) in the III class JPS space.

Yusniar was evacuated by the Peureulak Timur Community Health Centre side with the patient's family. However, because minin him means and the infrastructure in RSU Langsa, finally the patient was severed to be reconciled to Medan. Beforehand, Yusniar experienced the deviation to his face that became red and his body mengigil.

This condition was stated really resembled the sign of the virus attack avian influenza (bird flu) after he carried out direct contact with his property chicken that died suddenly, last Wednesday (23/7).

The local side of the health service said that the chicken that died this was positive bird flu after being taken the sample of his blood. Whereas the sample of Yusniar blood was personally being waiting for results of the laboratory test in Medan.

Have to go now, more to follow later today.

rest of the article:

Based on irrecoverable information to Serambi, on Saturday, July 26, Yusnia was transferred, because health center personnel together with his family on Friday, July 25 had already obtained direct instructions from Kabid Dinkes Aceh East, Dr. Edi Gunawan.

Edi said that the bird flu suspect patient should immediately be transferred to RS Adam Malik Medan.

This intermediate care shows that the patient should immediately be reconciled to Medan, because here there are not isolation case rooms and also other means of support, said Edi Gunawan speaking by telephone to Serambi.

According to him, the Langsa hospital side has also carried out the co-ordination with his side was related to preparations for the patient's reconciliation including whoever accompanied the patient to Medan.

His side also admitted to every time carrying out the co-ordination officially the province to report the condition for the patient.

We continued to monitor every time the change that happened to casualties, continued the former head of this Julok Community Health Centre. When being asked whether having the other resident who was infected by this virus.

Dr Edi mentioned did not have the other resident. Now dozens of chickens that were infected and died suddenly had been buried and burnt.

Concerning the prevention, Edi Gunawan explained the action efforts were in the livestock breeding service. Including carrying out spraying to the pen, burnt the chicken, et cetera, he said .

http://www.serambinews.com/old/cetak.php?aksi=cetak&beritaid=52025

The title of the report is:

345 Bird Flu patients to Medan

These 345 patients are probably the total starting from 2005, including the suspected and tested negative patients.

[Gert van der Hoek]

Re: Indonesia Human Cases 20th June 2008 +

Some more details on the woman in Medan Hospital, Sumatra; her condition seems to be stable.

On Monday, on July 28 2008 T

Woman from Langsa suspect bird flu

Medan - A woman was suspected to be infected by (suspect) bird flu underwent the intensive maintenance in the special building bird flu of RSUP H Adam Malik Medan, on Sunday (27 - 7).

The patient was reconciled from the Langsa hospital. Information in the Gawat Darurat Installation (IGD) mentioned, the woman had the initials TY, 50, the resident Langsa.

When being delivered to the hospital experienced the high fever by achieving 38 levels celcius and breathless as well as appetite ate was not available.

One of the nurses took care to mention, beforehand the woman experienced the high fever after direct contact happening to his kept chicken.

The woman was at once handled by the medical team of bird flu and has been given medicine anti bird flu (Tamiflu) as well as anti-biotik other.

Moreover, the medical team also has taken sample blood, the throat liquid and the nose to be sent to the Centre of the Jakarta health laboratory, said the nurse.

RSUP HAM Sinar Ginting public relations, SE, mentioned, the woman was not yet it was confirmed positive bird flu.

So still was waiting for results sample blood and the throat liquid that were sent the health Laboratory of the Centre.

Her condition after undergoing the maintenance has begun to be stable.

One of the families said, beforehand had the chicken died suddenly around their house and casualties could hold this chicken. After several days, the woman experienced the high fever and did not have appetite ate.

http://www.waspada.co.id/Berita/Medan/Wanita-asal-Langsa-suspect-flu-burung.html

[Gert van der Hoek]

Re: Indonesia Human Cases 20th June 2008 +

Onset of symptoms seems to be Wednesday, july 23

Saturday, 26 July 2008


- snip -

Edi added, to ascertain a patient who it was suspected was infected by the dangerous illness, his side currently took sample his blood to be checked to the Laboratory of Fakultas Kedokteran UISU Medan.

?Pasien that currently in the supervision of the side medis,? said Dr. Edi. while tell about, when wanting to bury his chicken, the chicken saliva about his hands. A few moments later, the face of the patient became red and his body shivered, so as to be brought to the official Syarwani that opened the practice in his house, on Wednesday (23-7).

However because of the official knew if the patient had the sign of a kind of dangerous illness, so as to be suggested took medicine to the Peureulak Barat Community Health Centre, Aceh East, on Thursday (24-7).

Sesampai there, continued Edi, the patient was attacked by the high fever, so as the Community Health Centre side informed the health service.

On Friday (25-7), the team from the regency co-operated with the subdistrict side was helped the Community Health Centre descended to the location to check.

http://www.waspada.co.id/Berita/Aceh/Puluhan-ayam-mati-mendadak.html

credits Christian for the link

[HenryN]

Re: Indonesia Human Cases 20th June 2008 +

Commentary

Acknowledgement of H5N1 Fatality in Tangerang Indonesia Recombinomics Commentary 11:24
July 17, 2008

Relatives say a 38-year-old man has died of bird flu, raising the unofficial toll in the world's hardest hit nation to 111.

Abdul Kadir said Thursday his brother-in-law, Asnawi Sandri, died on July 10. He had symptoms of the disease, including high fever and coughing, when he was hospitalized.

Kadir says doctors told the family the father of two died of bird flu.

The above comments from an AP wire report confirm local media reports on a lab confirmed H5N1 case in Tangerang. The lab confirmation was announced on July 12 and carried in local media. Thus, the confirmation has been acknowledged in local media and one wire service, but has not yet been acknowledged in the WHO update.

Since this lab confirmed case has not been acknowledged as an official case, it is unclear if contacts were tested.

The last WHO update is on the death of the last official case, who died in May, but was not reported until June, in violation of International Health Regulations on H5N1 in humans, which is a reportable disease. The WHO update in June failed to acknowledge the death of the brother of the confirmed case, who was diagnosed with typhus, or the hospitalization of a second brother. Both brothers had bird flu symptoms, but the index case was diagnosed as typhus and the second brother tested negative. However, the two fatalities had the same cyanosis of the extremities, leaving little doubt that both were H5N1 infected.

The report of the one case was delayed for a month and associated with an announcement by Indonesia that they would no longer announcement lab confirmed cases at the time of confirmation. The above cluster was preceded by two additional clusters which were also reported as individual clusters, with index cases dying from lung inflamation or dengue fever.

The failure of Indonesia or WHO to acknowledge the clusters, which almost certainly involved human to human transmission, remains a cause for concern.


.

AVIAN INFLUENZA, HUMAN (58): THAILAND (PHICHIT), NOT
************************************************** **
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Thu 31 Jul 2008
Source: The Nation [edited]
<http://www.nationmultimedia.com/2008/07/31/national/national_30079410.php>


The Public Health Ministry said yesterday [30 Jul 2008], 4 people in
Phichit province who were suspected of having contracted the bird flu
virus have tested negative for the disease.

Deputy permanent secretary Dr Paijit Warachit said he ordered the
mobile rapid disease investigation unit to collect blood samples from
the 4 for testing against the H5N1 strain of the virus at Nakhon
Sawan's provincial Science Centre. The laboratory results found that
none of the 4 had the H5N1 virus, which can be lethal to humans.
Three of them are suffering from seasonal influenza, while the 4th
has no flu whatsoever.

The 4 people tested [included a 6-year-old child, a 10-year-old
child, and 2 women aged 62 and 70. They all remain under observation
in Phichit's Sam Ngam Hospital. The 6-year-old does not have the flu.
The 4 reported they had come into contact with dead chickens in their
village before falling ill. Three days later, they had a high fever,
and it was feared they had been infected with the H5N1 strain of the
bird flu virus.

Paijit has asked healthcare volunteers in Sam Ngam district to
monitor the symptoms of the relatives of the 3 patients with seasonal
flu for the next 12 days. If any suspicious symptoms are found, they
will also be sent to hospital immediately. He also urged villagers to
avoid cooking food using chickens or ducks that have died
suspiciously. Villagers should incinerate any such poultry in order
to minimise the risk of the H5N1 virus spreading to other areas, he
said.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[The 4 suspected human cases of avian influenza reported in "Avian
influenza, human (57): Thailand (Phichit), susp 20080730.2336" have
not been confirmed.

It remains true, therefore, that there have been no confirmed human
cases of avian influenza in Thailand since 27 Sep 2006 (and none
anywhere for several months). There is also no confirmation that
avian influenza was responsible for the deaths of local poultry.
Thailand's last outbreak in poultry was reported to the OIE (World
Organisation for Animal Health) in January 2008. In March, a "final"
report was submitted, stating that the outbreak was resolved.

A map of the provinces of Thailand is available at
<http://www.visit-thailand.info/information/map-of-thailand-regions.htm>.
Phichit province is no. 40 in the centre of the country. - Mod.CP]

[see also:
Avian influenza, human (57): Thailand (Phichit), susp 20080730.2336
2007
----
Avian influenza (162): Thailand (Phichit) 20070928.3209
2006
----
Avian influenza, human (155): Thailand, Indonesia 20060927.2757]
...................................cp/mj/lm

[HenryN]

Re: Indonesia Human Cases 20th June 2008 +

AVIAN INFLUENZA, HUMAN (56): INDONESIA, SUSPECTED
*************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 18 Jul 2008


[Official confirmation, positive or negative, is awaited. A map of the
provinces of Indonesia can be accessed at
<http://www.indonesiamatters.com/images/indonesia-map.gif>, and the
HealthMap/Promed-mail interactive map of Indonesia at
<http://healthmap.org/promed?v=-2.6,120.9,5> can be used to locate the city
of Jakarta. - Mod.CP]

[see also:
Avian influenza, human (55): Indonesia, WHO 20080620.1918
Avian influenza, human (54): Indonesia 20080619.1912
Avian influenza, human (51): Indonesia, new policy 20080606.1811]

..................cp/ejp/sh

[HenryN]

Re: Indonesia Human Cases 20th June 2008 +

Seems that CP has forgotten that the confirmation of the confirmation of H5N1 in Indonesia is in the "awaited" category.

[HenryN]

Re: Indonesia Human Cases 20th June 2008 +

Commentary

http://www.recombinomics.com/News/07310801/H5N1_Indo_Delay_Concern.html

[AlaskaDenise]

Re: Indonesia Human Cases 20th June 2008 +

Commentary

http://www.recombinomics.com/News/07...y_Concern.html

Commentary

Delayed H5N1 Confirmation In Indonesia Raises Concerns
Recombinomics Commentary 21:43
July 31, 2008

The 4 suspected human cases of avian influenza reported in "Avian influenza, human (57): Thailand (Phichit), susp 20080730.2336" have not been confirmed.

It remains true, therefore, that there have been no confirmed human cases of avian influenza in Thailand since 27 Sep 2006 (and none anywhere for several months).

Date: Fri 18 Jul 2008

[Official confirmation, positive or negative, is awaited.... Mod.CP]

The above comments are from today's ProMED commentary on suspect cases in Thailand, as well as a July 19 commentary on media reports on an H5N1 confirmed case in Indonesia.

Recent reports that three of the five suspect cases in Thailand had tested positive for seasonal flu decreased the likelihood that the patients were H5N1 positive.

However, the comment that there had been no confirmed H5N1 cases anywhere for several months is curious. The situation in Indonesia is far from clear, and the lack of transparency has been a cause for concern for some time.

Indonesia declared H5N1 endemic in their last OIE report in the fall of 2006. Although the endemic declaration lowered required reporting frequencies of H5N1 in poultry to once every six months, Indonesia has not filed a report since 2006.

In early 2007 they halted the shipment of clinical samples from suspect H5N1 patients and the number of samples sent for confirmation since early 2007 has been limited to a few patients. Moreover, there have been no public human H5N1 sequences from Indonesia since early 2007.

This year there were a number of obvious clusters which were reported as individual sporadic cases. Index cases were said to have died from lung inflammation, typhus, or dengue fever. Media questions on these index cases have led to cluster denials and a new policy of delayed reporting.

However, IHR regulations require reporting of human H5N1 cases to be made within 24-48 of confirmation, which was noted when Indonesia announced its new policy of delayed reporting. These concerns led to announcements that reporting would be done on a monthly basis.

However, the last government report was made in mid June on two patients. One patient, who was part of a cluster, died in mid-May, while a second case died in early June. Thus, the reporting for both cases violated IHR regulations.

WHO had indicated that they had a good relationship with Indonesia, even though sequences and samples were withheld. WHO maintained that it had no control over Indonesian notifications to its citizens, but WHO had not received any indication that Indonesia had changed policy on notifications to WHO.

Thus, it remains unclear as to when Indonesia is notifying WHO. For other countries, WHO publishes a situation update shortly after they receive notice of a confirmed case. The long delays following lab confirmation of the past two cases raises concerns that either Indonesia is not notifying WHO in a timely manner, or WHO is delaying situation updates for Indonesia, or both.

On July 10, another patient in Indonesia died, She was lab confirmed on July 12. However, Indonesia refused to deny or confirm the confirmation two weeks ago.

It has now been three weeks since the patient died and six weeks since Indonesia issued its last update.

The delays in reporting or acknowledging these lab confirmed cases by Indonesia, WHO, and ProMED remain causes for concern.


.

[Laidback Al]

Re: Indonesia Human Cases 20th June 2008 +

Jumat, 01 Agustus 2008 19:58 WIB
Suspect Flu Burung di Tangerang Meninggal

Tangerang: After could be treated two days in RSUD Tangerang, Joko (19), the resident of the Village of Jambu Tegal, RT 06/02, the Village Jambu Great, the Rejeg Subdistrict, the Tangerang Regency that was stated suspect bird flu, on Thursday night (31/7) died.
According to Anang, 55, casualties's father, the Joko indication was affected by bird flu it was said the doctor in RSUD Tangerang. However to confirm that the family was still being waiting for results of the Joko blood inspection that was carried out on the Penelitian Pengembangan Body of the Health (Balitbangkes), Jakarta.
Furthermore, Anang explained, one day before his child fell ill, the chicken belonging to his neighbour died suddenly. And Joko took part in helping buried this chicken. The "big possibility" of "the bird flu virus came from the chicken that died suddenly," he said during the Joko burial, on Friday (1/8).
Four days before died Joko suffered flu and was run off with to the clinic of Citra Raya, Kecamatan Cikupa, Kabupaten Tangerang. Because never recovered, on Tuesday night (29/7) casualties were run off with to RSUD Tangerang to be treated. Because his condition has been serious, Joko was placed in isolation space.
Section Head Kesehatan of the Tangerang Regency, Hany Heryanto admitted to getting the report. However Hany still could not confirm whether casualties died resulting from bird flu or not. (SM/OL-06)

http://www.mediaindonesia.com/index.php?ar_id=MjA0MzU=

[Oracle]

Re: Indonesia Human Cases 20th June 2008 +

Meninggal = to die, pass away

Added much later:

Can't find Rejeg Subdistrict on a Tangerang Regency map. Googling it results in a map of Rejeg identified in a neighboring Regency (Labak), in the 'sticks', a tiny village at the edge of a rice paddy.