Indonesian Human Cases Dec 4th 2007 to Jan 10, 2008

[Commonground]

Re: Indonesian Human Cases Dec 4th +

Jakarta Friendship Hospital (Persahabatan)

Mubinul Hamidi (16) - Adm: 12/21. Sym: 12/15 Recon: Local Community Ctr on 12/19. RSUD Serang on 12/19.

Nujulul (10) - Adm: 12/21. Recon: Local CC on 12/17. RSUD Serang on 12/19.

Najad/Najatul (8 ) Adm: 12/21. Recon: Local CC on 12/17. RSUD Serang on 12/19.

Muklas/Muchlas (28/30) Adm: 12/21. Brother of Iklima

Iklima (17) - Adm: 12/21. Sister of Muklas.

Ainun (30) - Adm: 12/21 (?) Family member.

Mubitan (33) - suspected case

Garba (65) - suspected case

From: Vill. Terumbu; Kasemen Serang, West Java

Chickens died on 12/14
Tested on 12/19.
Results on 12/20

Parents:
Fathurahman (Father), Nadrah (Mother) of Mubinul, Nujulul & Najad.

Termidi (Father), Nazwah (Mother) of Muklas and Iklimah

Syamsuri (30) - another family member housed Mubitin & Garba, not sick.

[Any additions/corrections are welcome]

[Laidback Al]

Re: Indonesian Human Cases Dec 4th +

Thanks Commonground. I think the list is accurate based on the what we have seen in the news reports. Transparency is a little better in Indonesia than Pakistan.

[sharon sanders]

Re: Indonesian Human Cases Dec 4th +

Thanks Commonground.

[Sally Furniss]

Re: Indonesian Human Cases Dec 4th +

Indonesia clears four of bird flu in cluster probe

JAKARTA, Dec 22 (Reuters) - Indonesia has cleared four out of six members of a family hospitalised with bird flu symptoms, a health official said on Saturday, in a case that has raised concerns over potential human-to-human spread of the disease.

It also comes as the World Health Organisation investigates a suspected case of limited human-to-human transmission of the H5N1 bird flu virus in Pakistan.

The six Indonesians from a small village in Banten province, just hours from the capital Jakarta, had been suffering from high fever after more than a dozen sick ducks died in their backyard.

Two sets of laboratory tests showed four out of the six admitted to a hospital in Jakarta on Friday did not have the H5N1 virus, said Nyoman Kandun, director-general of communicable disease control at Indonesia's health ministry.

"We are still awaiting test results for the remaining two to come out, but so far results have lowered fears of a cluster," Kandun said by telephone.

Authorities treat cases where family members living together show symptoms of bird flu with particular care since it could point to human-to-human transmission of the virus.

Although bird flu remains mostly an animal disease, experts fear the virus could mutate into a form that passes easily from person to person, triggering a global pandemic in which millions could die.

Indonesia has had the highest number of human infections globally with 115 confirmed human cases of bird flu, out of which 93 have been fatal.

The largest known cluster of human bird flu cases worldwide occurred in May 2006 in the Karo district of Indonesia's North Sumatra province, where as many as 7 people in an extended family died.

Pakistan said last week 8 people had been infected since late October, including a veterinarian involved in culling whose two brothers died. A WHO team has investigated the outbreak and international laboratory results on samples taken are expected at the weekend.

The WHO suspects there has been only limited human-to-human transmission in Pakistan, but international test results are pending, David Heymann, WHO assistant director-general for health security and environment, said on Friday.

He said no new suspected human bird flu cases had emerged in Pakistan since Dec. 6, signalling there had been no further spread.

Millions of people in Indonesia, a complex archipelago comprising thousands of islands and hundreds of languages, live in close proximity to poultry, keeping backyard fowl for eggs and meat and to supplement their income.

Since H5N1 resurfaced in Asia in late 2003, the virus has killed 209 people in 11 countries, according to the WHO. (Reporting by Adhityani Arga; Editing by Ed Davies and David Fogarty)

http://www.alertnet.org/thenews/newsdesk/JAK142030.htm

[Sally Furniss]

Re: Indonesian Human Cases Dec 4th +

- Indonesia has cleared six members of a family hospitalised with bird flu symptoms

JAKARTA, Dec 22 (Reuters) - Indonesia has cleared six members of a family hospitalised with bird flu symptoms, a health official said on Saturday, in a case that has raised concerns over potential human-to-human spread of the disease.

It also comes as the World Health Organisation investigates a suspected case of limited human-to-human transmission of the H5N1 bird flu virus in Pakistan.

The six Indonesians from a small village in Banten province, just hours from the capital Jakarta, had been suffering from high fever after more than a dozen sick ducks died in their backyard.

Two sets of laboratory tests showed the six admitted to a hospital in Jakarta on Friday did not have the H5N1 virus, said Nyoman Kandun, director-general of communicable disease control at Indonesia's health ministry.

"Clearly, it's not a cluster. We do not even have a confirmed bird flu case here," Kandun said by telephone.

Authorities treat cases where family members living together show symptoms of bird flu with particular care since it could point to human-to-human transmission of the virus.

Although bird flu remains mostly an animal disease, experts fear the virus could mutate into a form that passes easily from person to person, triggering a global pandemic in which millions could die.

Indonesia has had the highest number of human infections globally with 115 confirmed human cases of bird flu, out of which 93 have been fatal.

The largest known cluster of human bird flu cases worldwide occurred in May 2006 in the Karo district of Indonesia's North Sumatra province, where as many as 7 people in an extended family died.

Pakistan said last week 8 people had been infected since late October, including a veterinarian involved in culling whose two brothers died. A WHO team has investigated the outbreak and international laboratory results on samples taken are expected at the weekend.

The WHO suspects there has been only limited human-to-human transmission in Pakistan, but international test results are pending, David Heymann, WHO assistant director-general for health security and environment, said on Friday.

He said no new suspected human bird flu cases had emerged in Pakistan since Dec. 6, signalling there had been no further spread.

Millions of people in Indonesia, a complex archipelago comprising thousands of islands and hundreds of languages, live in close proximity to poultry, keeping backward fowl for eggs and meat to supplement their income.

Since H5N1 resurfaced in Asia in late 2003, the virus has killed 209 people in 11 countries, according to the WHO. (Reporting by Adhityani Arga, editing by Ed Davies and David Fogarty)

http://www.alertnet.org/thenews/newsdesk/JAK142030.htm

[Commonground]

Re: Indonesian Human Cases Dec 4th +

Four patients in RS PERSABAHATAN the BIRD FLU NEGATIVE

Metrotvnews.com, Jakarta: Six patients suspect bird flu from Serang, Banten, that was treated in the Persahabatan Hospital, Jakarta Timur, at this time in the stable condition.

Four including being stated by the bird flu negative.

In Jakarta, on Saturday (22/12), Director General Pengendalian of the Illness and Lingkungan Sanitation (P2PL) the Department of the Health, I Nyoman Kandun said the four patients will be returned in several forthcoming days.

Now results of the laboratory test against two patients suspect other bird flu could have it was hoped been known, this afternoon.

The six patients suspect bird flu was reconciled to the Persahabatan Hospital, because of suffering the illness with signs of early like bird flu.
Beforehand, several poultries in their residence, died suddenly and positive bird flu.

According to Kandun, at this time the Department of Health was still researching various patterns of the spread of bird flu.
He admitted the mortality rate resulting from bird flu in Indonesia was high enough.

http://www.metrotvnews.com/berita.asp?id=51014

[Niko]

Re: Indonesian Human Cases Dec 4th +

6 Indonesian family members test negative for bird flu

JAKARTA (AP): Six people from an extended family tested negative for bird flu Saturday after being hospitalized with symptoms of the disease in the Indonesian capital, the Health Ministry said.

The patients were transferred from the town of Serang to Jakarta on Friday after suffering from heavy breathing, fever and coughing for three days, said Nyoman Kandun, the ministry's director of communicable diseases.

"Samples from all six have been tested and came back negative," he said, erasing fears of human-to-human transmission of the H5N1 virus.

Indonesia has been hardest hit by bird flu since it began ravaging poultry stocks across Asia in 2003, tallying 93 human deaths, almost half the recorded fatalities worldwide, according to the World Health Organization.

Almost all cases have originated from sick poultry, but experts fear the H5N1 virus will mutate into a strain that can pass more easily from human to human, possibly sparking a pandemic that could kill millions.

Serang, in Banten Province, is 80 kilometers east of Jakarta. (**)

http://www.thejakartapost.com/detailgeneral.asp?fileid=20071222164757&irec=1

[JohnW]

Re: Indonesian Human Cases Dec 4th +

This question is for one of the experts. When testing is done for H5N1, will this testing also find if there is another flu strain present...say H2N3 or some other novel strain? Would it detect it if it were a previously unseen clade of H5N1? These folks certainly seemed to have all the symptoms. (Question is...if it wasn't H5N1, what caused them all to fall ill with upper respiratory ailments at the same time?)

[Commonground]

Re: Indonesian Human Cases Dec 4th +

Six patients RS the FRIENDSHIP was stated by the BIRD FLU NEGATIVE

Jakarta: After four patients were stated by the bird flu negative in the beginning inspection, two other patients were also stated free from the virus H5N1.
In Jakarta, on Saturday (22/12) in the afternoon, Chairman Tim of the Control of the Flu Burung Illness, the doctor Mukhtar said these results were received after the two patients from Banten that was their respective aged 10 and 12 years were checked in the Departemen Laboratory of the Health.

Nevertheless, Mukhtar the inspection that is carried out today just the first stage inspection.
The six patients must be still undergoing twice the inspection again to confirm whether they were really free from the virus H5n1.
Therefore, they were not yet permitted to come home.

At this time also one of the family's other members that still was in the Terumbu Village, Serang, Banten also it was estimated will become the patient suspect bird flu.
Garbah, the man is 86 years old currently experienced hot high resembled the patient suspect other bird flu.
However, Garbah was not prepared to be carried to the hospital by his family.
He only wanted to be examined by the doctor the Community Health Centre that was was not far from his house.
Villagers the Reef had the habit maintained the poultry around their house.
Currently, the local resident hoped the Kesehatan Service local could carry out spraying and the vaccination against their kept poultry.

http://www.metrotvnews.com/

[Video available, mostly of the facilities]

[Commonground]

Re: Indonesian Human Cases Dec 4th +

[Video available]

A PATIENT SUSPECT BIRD FLU was STILL being treated

From six patients who were reconciled to the Persahabatan Hospital, Jakarta Timur, to Ahad (23/12), was gotten by one patient suspect bird flu that was treated intensively.

According to the team of the doctor RS Persahabatan, one patient was still being treated because experienced hot high.

That is the patient had the initials AI that came from Serang, Banten.
This patient experienced hot high through to 38.7 Celcius levels.
The team of the doctor was still waiting for results of the VCR end of RS Persahabatan to know the condition for the patient of AI. Menurut [according to/obey/pursuant] for the end the team of the doctor, the five other patients can leave the hospital tomorrow afternoon.
They furthermore will undergo treated the road.

http://www.metrotvnews.com/berita.asp?id=51043

[Commonground]

Re: Indonesian Human Cases Dec 4th +

12/23/07 11:33
Indonesia clears four of bird flu in cluster probe

Jakarta (ANTARA News) - Indonesia has cleared four out of six members of a family hospitalised with bird flu symptoms, a health official said on Saturday, in a case that has raised concerns over potential human-to-human spread of the disease.

It also comes as the World Health Organisation investigates a suspected case of limited human-to-human transmission of the H5N1 bird flu virus in Pakistan.

The six Indonesians from a small village in Banten province, just hours from the capital Jakarta, had been suffering from high fever after more than a dozen sick ducks died in their backyard.

Two sets of laboratory tests showed four out of the six admitted to a hospital in Jakarta on Friday did not have the H5N1 virus, said Nyoman Kandun, director-general of communicable disease control at Indonesia's health ministry.

"We are still awaiting test results for the remaining two to come out, but so far results have lowered fears of a cluster," Kandun told Reuters by telephone.

Authorities treat cases where family members living together show symptoms of bird flu with particular care since it could point to human-to-human transmission of the virus.

-snip-
Pakistan said last week 8 people had been infected since late October, including a veterinarian involved in culling whose two brothers died. A WHO team has investigated the outbreak and international laboratory results on samples taken are expected at the weekend.

The WHO suspects there has been only limited human-to-human transmission in Pakistan, but international test results are pending, David Heymann, WHO assistant director-general for health security and environment, said on Friday.
-snip-

http://www.antara.co.id/en/arc/2007/12/23/indonesia-clears-four-of-bird-flu-in-cluster-probe/

[Commonground]

Re: Indonesian Human Cases Dec 4th +

The whole article at post #101 has got me going......

So one patient is still "suspect" because they can't reduce their fever. Suspect of flu burung?

So the others are no long "suspect", because they could reduce their fever, by treating them with Tamiflu. Thus, their tests have come back negative.

So......the one patients tests are still coming back positive?

[HenryN]

Re: Indonesian Human Cases Dec 4th +

The whole article at post #101 has got me going......

So one patient is still "suspect" because they can't reduce their fever. Suspect of flu burung?

So the others are no long "suspect", because they could reduce their fever, by treating them with Tamiflu. Thus, their tests have come back negative.

So......the one patients tests are still coming back positive?

In Indonesia, patients who recover are H5N1 negative. Its just a matter of time. That is why the case fatality rate is so high.

It is like testing for bacterial infections after antibiotics have been given, The patient tests negative, even though they were infected.

The best example for H5N1 were the cluster in Garut

http://www.recombinomics.com/News/08170604/H5N1_Garut_WHO.html

[Commonground]

Re: Indonesian Human Cases Dec 4th +

The AI case in Banten Leap/Surge

The case avian influenza (AI) or bird flu that attacked humankind in the Banten Province in 2007 experienced the increase.
In 2006, as many as 12 positive cases of bird flu and 12 people died, whereas in 2007, totalling 20 positive cases of bird flu and 17 died.
Section Head Health of the Province of Banten Djadja Buddy Suhardja said, the case of bird flu that was resulted in by the virus H5N1 this each year jumped sharply compared to in 2005, that only five people were stated positive bird flu and four died.

The rise in the case of bird flu not only happened in Banten, but nationally continued to increase. "So, we as the integrated team in the control of the case of bird flu continued to make social the fast action to all the available territories in the regency/the city.
Because, all the territories were almost equitable had the potential to spread the virus H5NI", he explained.

When being touched on, five residents RT 07/02 the Trumbu Village, the Trumbu Village, Kec Kasemen, the Serang City, Banten, that it was suspected was attacked by the deadly virus, according to him, four people from five patients who were reconciled to the Friendship Hospital, Jakarta East, was stated the negative was infected by the AI virus.

"After being carried out by the intensive inspection, four people were stated by the negative and that was other we did not yet know", he revealed.
The head of the Pengembangan Hall of Livestock Breeding and the Health Service of the Dinas Pertanian Animal and Livestock Breeding of Provinsi Banten Sanusi Achsan said, until this his side did not yet carry out the serious handling against the animal that was expected infected the bird flu virus.

"This that became our hindrance. The community around did not yet have the awareness for the handling of bird flu because this was related to the problem of compensation. In fact the socialisation of the handling and the prevention of bird flu was often carried out" he
said.

Officially Pertanian and Livestock Breeding, was continued by him, also will undertake the second stage inspection of the residence environment of the five patients who were expected terjangkit bird flu.

According to Sanusi, although being stated by the negative, his side was still being waiting for the beginning inspection to more decisive the status of five residents Trumbu that it was suspected was infected by the virus of AI. "Kami was ready to check the environment and the animal around the house remained at casualties, he said.

http://www.seputar-indonesia.com/edisicetak/jabodetabek/kasus-ai-di-banten-melonjak.html

[Treyfish]

Re: Indonesian Human Cases Dec 4th +

<TABLE class=colorTable cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD class=forumYellow width="100%" colSpan=2 top?>Six suspected bird flu patients in Jakarta hospital " ...an older story as they are all negative "

</TD></TR><TR><TD class=00 colSpan=2></TD></TR><TR><TD width="100%" colSpan=2 top?>

Posted 22 December 2007 @ 09:14

JAKARTA, 22 December 2007 - Six patients from Serang in the province of Banten which are suspected to be infected with the bird flu virus are brought to the isolation room of the Persahabatan Hospital in eastern Jakarta last night. The group consists of two women and four men. All the patients currently receive intensive treatment to investigate if they really have contracted bird flu.

The names of the six persons are Mubin, Nujul, Najad, Muchlas, Iklima and Ainun. They got sick after eating a duck that diseased after it fell sick. The duck they ate was one of fifteen that were found dead in the garden of one of the patients. After they ate the dead duck, they all got a fever and had to vomit, which are similar indications as that of bird flu.

Earlier only five people were brought to the hospital. One more was brought in later that evening and was brought to the isolation room as well. According to Lukman, a family member of the ill people, there are still two more people in the same family that might have contracted bird flu. Earlier all patients were hospitalized in the public hospital of Serang.

http://news.indahnesia.com/item/200712220/six_suspected_bird_flu_patients_in_jakarta_hospital.php

</TD></TR></TBODY></TABLE>