Sulawesi cluster / 14M (deceased) from South Sulawesi confirmed H5N1

[Theresa42]

babelfished from French:

Indonesia: a teenager dies of the aviary influenza, carrying the human assessment with 47 dead
Sept 07, 2006

DJAKARTA (AP) - A teenager is deceased in Indonesia of an infection by virus H5N1 of the aviary influenza, announced to Thursday the Minister for Health by quoting the results of an analysis of a local laboratory. The human assessment of the aviary influenza rises with 47 dead in Indonesia.

The 14 year old boy, who lived the south of the island of Sulawesi, would have been in contact with infected birds, declared Siti Fadilah Supari. The minister added that the authorities cut down the chickens which were found near the dwelling of the victim.

The aviary influenza made 142 died in the whole world since the beginning of the epidemic in 2003. With 47 victims, Indonesia is the country more touched.

http://fr.news.yahoo.com/07092006/5/...ortant-le.html

[Theresa42]

...she died in June! (Hat-tip, Dutchie!)

Indonesia's local test shows another girl positive of bird flu
Sept 07, 2006

Indonesia recorded a 14-year-old girl, who died in June in South Sualwesi province, positive of avian influenza, Health Minister Siti Padila Supari said here Thursday.

She said that the girl had history of contacts with fowls, which at the time authorities found many chickens died around the girl residence.

The local test now indicated she was "positive," said the minister.

"She had contacts with chickens," said Supari.

The test result brought the total deaths of avian influenza in Indonesia to 48 out of 63 contracted people, she said.

The total deaths from the highly pathogenic H5N1 in Indonesia has surpassed Vietnam, making the country the bird flu hardest-hit country.

Experts said they fear that the virus could mutate to a certain level that can make it transmittable among human.

Source: Xinhua

http://english.people.com.cn/200609/...07_300541.html

[Theresa42]

Indonesia confirms another human bird flu death
Sept 07, 2006

Jakarta (ANTARA News) - Indonesia confirmed Thursday another person had died of bird flu as the nation hardest-hit by H5N1 continues to battle a disease that experts fear could one day spark a global pandemic.

Indonesia's 47th fatality from the virus was a woman called Akira from South Sulawesi province, said Health Minister Siti Fadillah Supari, adding that infected birds had been found dead in the same area.

"This we knows from the results of the (tests by the) Health Ministry's Research and Development Board last night (Wednesday)," Supari was quoted by AFP as teeling journalists.

"We did not send (the samples) to the WHO (World Health Organisation) because our positive results are usually positive results at the WHO," she added.

Up until now, Indonesia has always sent blood and tissue samples from suspected human bird flu cases to a WHO laboratory in Hongkong for confirmation.

Sari Setiogi, the WHO spokesperson in Indonesia, said that under a new arrangement Jakarta could confirm infections after two local tests showed the person to have contracted H5N1.

Supari gave no further details other than that the latest bird flu case had been first discovered on June 24.

Indonesia, the world's fourth most populous nation, is grappling with ongoing outbreaks of H5N1, which has infected 61 people to date, 47 of them with fatal consequences.

The minister said that they would soon carry out poultry culling in the area where the case was found.

"We will soon do 'stamping out', because they found dead birds in the area," Supari said.

http://www.antara.co.id/en/seenws/?id=19621

[Theresa42]

Teenager dies of bird flu in Indonesia

Thursday, September 7, 2006 (Jakarta):

A teenager died of bird flu in eastern Indonesia, raising the country's human toll from the disease to 47, the health minister said Thursday, citing laboratory test results.

The 14-year-old boy from South Sulawesi's capital Makassar appears to have been in contact with infected poultry, said Siti Fadilah Supari.

Supari added that authorities stamped out chickens found near the victim's home.

Laboratory tests for the teen came back late Wednesday, she said.

Bird flu has killed 142 people worldwide since ravaging poultry stocks across Asia in 2003, 47 of them in hardest hit Indonesia.

http://www.ndtv.com/template/templat...92802&callid=1

[kr105]

Indonesia reports 47th death from bird flu

07 Sep 2006 08:38:54 GMT
Source: Reuters



JAKARTA, Sept 7 (Reuters) - A 14-year-old Indonesian girl who died in June was infected with bird flu, health officials said on Thursday.

The case took a long time to identify because it was from blood samples taken during routine surveillance of people with mild influenza symptoms.

Health Minister Siti Fadilah Supari said tests on the girl's blood sample were completed late on Wednesday.

"It turned out positive," Supari told reporters, adding chickens had died in the neighbourhood where she lived in Makassar, the capital of South Sulawesi province. Makassar is 1,400 km (870 miles) northeast of the capital Jakarta.

The fatality takes Indonesia's confirmed death toll from bird flu to 47, the highest in the world.

I Nyoman Kandun, director for disease control at the health ministry, said tests by two independent laboratories on the blood sample had confirmed the girl had the disease.

"The case should have been included on the list," he told Reuters, referring to the list of human fatalities from bird flu.

"When we found one of them was positive, we traced it and found that the girl had died," he said.

Indonesia has been criticised for not doing enough to combat the disease, which is endemic in birds in most of the country's 33 provinces.

The government has so far refused to conduct mass culling of poultry, citing the expense and logistical difficulties in capturing and killing millions of backyard fowl.

The agriculture ministry said this week it would begin vaccinating about 300 million poultry next month against bird flu, with 60 million poultry targeted in the three months to December.

A nationwide campaign to improve public awareness was also launched last week as officials warned that the threat from the disease was likely to increase when the wet season starts in October.

Although bird flu remains essentially an animal disease, experts fear it could mutate into a form that can pass easily among humans, possibly killing millions.


http://www.alertnet.org/thenews/newsdesk/JAK77018.htm

[HenryN]

Teenager dies of bird flu raising toll to 47
JAKARTA (AP): A teenager died of bird flu in eastern Indonesia, raising the country's human toll from the disease to 47, the health minister said Thursday, citing laboratory test results. The 14-year-old boy from South Sulawesi's capital Makassar appears to have been in contact with infected poultry, said Siti Fadilah Supari, adding that authorities killed chickens found near the victim's home.

Lab tests for the teen came back late Wednesday, she said. The H5N1 virus has killed 142 people worldwide since ravaging poultry stocks across Asia in 2003, hitting Indonesia the hardest.
Most human cases have been traced to contact with infected birds, but experts fear the virus - which remains hard for people to catch - will mutate into a form that spreads easily among people, potentially sparking a pandemic that could kill millions.
Indonesia has come under fire for doing too little to stamp out the disease, which is endemic among some 500 million individually owned, or 'backyard,' chickens. Slaughtering often isn't carried out following outbreaks, vaccination is spotty and surveillance is weak.
The government says it lacks the needed funds and, at the same time, many villagers deny their birds have the virus, even in areas where chickens are dropping dead and where human cases have occurred.Siti called on the public to "immediately inform officials if they noticed sudden deaths in poultry." The Agriculture Ministry, meanwhile, announced plans this week to vaccinate some 60 million chickens against bird flu ahead of the coming rainy season, when experts fear the virus might spread more easily. (**)

http://www.thejakartapost.com/detail...7164650&irec=1

[HenryN]

http://www.alertnet.org/thenews/newsdesk/JAK77018.htm

Indonesia reports 47th death from bird flu
07 Sep 2006 08:38:54 GMT
Source: Reuters


JAKARTA, Sept 7 (Reuters) - A 14-year-old Indonesian girl who died in June was infected with bird flu, health officials said on Thursday.

The case took a long time to identify because it was from blood samples taken during routine surveillance of people with mild influenza symptoms.
Health Minister Siti Fadilah Supari said tests on the girl's blood sample were completed late on Wednesday.
"It turned out positive," Supari told reporters, adding chickens had died in the neighbourhood where she lived in Makassar, the capital of South Sulawesi province. Makassar is 1,400 km (870 miles) northeast of the capital Jakarta.
The fatality takes Indonesia's confirmed death toll from bird flu to 47, the highest in the world.
I Nyoman Kandun, director for disease control at the health ministry, said tests by two independent laboratories on the blood sample had confirmed the girl had the disease.
"The case should have been included on the list," he told Reuters, referring to the list of human fatalities from bird flu.
"When we found one of them was positive, we traced it and found that the girl had died," he said.
Indonesia has been criticised for not doing enough to combat the disease, which is endemic in birds in most of the country's 33 provinces.
The government has so far refused to conduct mass culling of poultry, citing the expense and logistical difficulties in capturing and killing millions of backyard fowl.
The agriculture ministry said this week it would begin vaccinating about 300 million poultry next month against bird flu, with 60 million poultry targeted in the three months to December.
A nationwide campaign to improve public awareness was also launched last week as officials warned that the threat from the disease was likely to increase when the wet season starts in October.
Although bird flu remains essentially an animal disease, experts fear it could mutate into a form that can pass easily among humans, possibly killing millions

[Harriet]

Supari gave no further details other than that the latest bird flu case had been first discovered on June 24

Unbelievable.

And in this report it's a female:

Laboratory tests conducted on a 14-year-old Indonesian girl who died three months ago confirmed she succumbed to bird flu, bringing the country's death toll to 47, the world's worst, Indonesia's health minister said Thursday. The victim, identified as Akhira, a resident of the South Sulawesi capital of Makassar, died June 24 after apparently being in contact with sick chickens, Siti Fadilah Supari told reporters. 'We received confirmation last night from a specimen we compiled,' the minister said. It remained unknown why health officials waited three months to test the sample.

National Association of Radio-Distress Signalling and Infocommunications, Havaria Emergency and Disaster Information Services
http://visz.rsoe.hu/alertmap/woalert...t=dis&lang=eng

[Theresa42]

The case took a long time to identify because it was from blood samples taken during routine surveillance of people with mild influenza symptoms....

[Theresa42]

S. Sulawesi site of 48th bird flu death
Sept 08, 2006

The Jakarta Post, Jakarta

The government confirmed Thursday another person had died of bird flu, as the nation hardest hit by H5N1 continues to battle a disease that is feared could one day spark a global pandemic.

The 48th fatality from the virus was a woman from South Sulawesi province who died in June, said Health Minister Siti Fadilah Supari, adding that infected birds were found dead in the same area.

"This we know from the results of the (tests by the) Health Ministry's Research and Development Board last night (Wednesday)," Siti said as quoted by AFP.

"We did not send (the samples) to the WHO (World Health Organization) because our positive results are usually positive results at the WHO."

Siti announced in August that local testing facilities in Jakarta were considered adequate to confirm H5N1.

Sari P. Setiogi, the WHO spokeswoman in Indonesia, said that under a new arrangement Jakarta could confirm infections after two local tests showed the person to have contracted H5N1.

Siti gave no further details other than that the latest bird flu case had been first discovered on June 24.

Runizar Roesin from the National Bird Flu Center said that the long time between the discovery of the case and the result of the testing was because the samples were not specifically taken from the patient on suspicion of bird flu.

The woman had been reported as suffering from a high fever by a local doctor in June and a Health Ministry team took her sample.

It was later forwarded to the Health Ministry's laboratory for bird flu tests.

Siti said that they would soon carry out poultry culls in the area where the case was found. Officials said the local health office was trying to retrace where the woman came from.

While there have been no confirmed cases of human-to-human transmission, doctors warn the chance of a mutation that would allow it to do so is heightened as more humans catch it from infected birds.

Meanwhile, in South Minahasa regency, North Sulawesi, results of laboratory tests were positive for H5N1 Thursday in hundreds of chickens which died in Rumoong Bawah village in West Amurang district 10 days earlier.

Boy Rompas, spokesman of the North Sulawesi provincial administration, said the tests were conducted at the Balai Besar Livestock Laboratory in Maros, Makassar, South Sulawesi.

Data at Amurang Livestock Office showed that in the period June-August this year, at least 572 chickens died in the village.

The dead chickens were owned by 28 families, while 1,619 others that tested positive were still alive but would be culled, according to the data.

Kandow Hospital in Manado is preparing to treat people with bird flu symptoms although there have been no human infections in the province.

The North Sulawesi provincial administration also established a team in charge of conducting mass culls of chickens.

"This is in line with the fixed procedures applied nationally. Each poultry owner will get compensation of Rp 10,000 (US$1.05) per chicken that is culled," said Lucky Longdong, head of the North Sulawesi Agriculture and Livestock Office.


The Jakarta Post's correspondent Jongker Rumteh contributed to this article from Manado, North Sulawesi.

http://www.thejakartapost.com/detail...908.A07&irec=6

[HenryN]

Commentray at

http://www.recombinomics.com/News/09..._Sulawesi.html

[HenryN]

Avian influenza – situation in Indonesia – update 30
8 September 2006
The Ministry of Health in Indonesia has confirmed a new case of human infection with the H5N1 avian influenza virus. The case is a 14-year-old female from Makassar, South Sulawesi Province. She developed symptoms on 18 June, was hospitalized on 23 June and died on 24 June. The case had contact with poultry near her home. This case was detected through the Ministry’s routine influenza surveillance system.

In addition to the above case and following the recent revision of case definitions for H5N1 infection, WHO is adding two cases in Indonesia, dating back to June and November of 2005. Inclusion of these two cases now aligns figures given for Indonesia in the WHO cumulative table of laboratory-confirmed cases with those officially issued by the Ministry of Health. Prior to the revision, the cases did not meet the WHO case definition for serologically confirmed avian influenza H5N1 infection.

The first retrospectively confirmed case was an 8-year-old female from Tangerang in Banten Province. She developed symptoms on 24 June 2005 and died on 14 July 2005. She was part of a family cluster reported to WHO in July 2005.

The second retrospectively confirmed case is a 45-year-old male from Magelang, Central Java Province. He developed symptoms on 25 November 2005 following direct contact with diseased poultry and subsequently recovered.
The retrospectively confirmed cases bring the total in Indonesia to 63. Of these cases, 48 have been fatal.

http://www.who.int/csr/don/2006_09_08a/en/index.html

[Laidback Al]

Toggletexted.....

9/8/2006

Metrotvnews.com, Makassar: the Health Service of the Makassar City checked repeated and took the sample of the family's Akira Wisnu Liyanti blood, the citizen that died resulting from bird flu on June 24 set.
The inspection was carried out in the house of bird flu casualties in Street Maccini Yengah, Makassar, on Friday (8/9).
The inspection was carried out to all of the family's members that once direct contact with Akira.
The supervision was tightly carried out around casualties's house in a radius of one kilometre.
This inspection was also accompanied by the interview test to know the map of the spread of bird flu.
On the other hand, the Wahidin Sudirohusodo Hospital side acknowledged, before dying, casualties could be treated with the dengue fever diagnosis.
The hospital side denied it robbed in this case.
Because, the team of the doctor Wahidin Sudirohusodo carried out the inspection and continued to send several samples of blood to Jakarta.
(DEN)

http://www.metrotvnews.com/berita.asp?id=23803

[Theresa42]

Hat-tip, Dutchie!

toggletext-ed from Indonesian:

Bird flu claimed First fatalities in Sulsel
Sept 08, 2006

The Report: Andi Nur Aminah

Makassar-RoL -- A student was 14 years old was named Akhira, was stated positive suffered bird flu. Akhira died on June 24, in the last three months, but results of his laboratory were just known, on Thursday (7/9).

At this time, the health service recorded had 18 patients suspect bird flu. The sample of blood and the throat bribe all of them have been sent to be researched. From so many puluh the sufferer suspect bird flu in South Sulawesi, just this time there are those that was stated positive.

Results of the Akhira laboratory were expressed Mentri the Health. Akhira was recorded as casualties died 48th resulting from the bird flu sufferer in Indonesia. For the South Sulawesi territory, he [she] was casualties died first.

South Sulawesi Governor, HM Amin Syam regretted the delay produced by the test of casualties's blood that died resulting from this bird flu. The sufferer died since three months and his notification just arrived yesterday. Why did the Department of Health ignore the sending sample this blood, he said.

According to Amen, if since the beginning was informed, then his side could carry out strategic steps to prevent increasingly expanded him this virus. Amen made a plea in the future, the officials really discipline in undertook protap available, especially from the aspect of the cleanliness. Akhira personally, one among three insiders of one family that died. In a period less than two weeks, the domiciled simple family in [*snip*], Makassar, this hatus lost Andri Winarti (17) and his mother Hj Sukria (56).

All of them died after being treated with the complaint and the same sign, namely the fever, breathless, and the chest was sick. Kadis the South Sulawesi Health, Dr Andi Muhadir said, the hospital side when treating the three patients only took sample the bribe and blood from Akhira.

While Andri and his mother were not taken sample blood and his bribe to be researched in the laboratory.

According to him, although Akhira was stated positive bird flu, but the community might not panic. 'The' incident the 'occurrence late last June, so as to be not done by the step in the isolation because of his incubation period already through', he said.

However the official was from the South Sulawesi livestock breeding service seen visited the location of the Akhira house, yesterday. They took sample poultry blood namely two chickens and two birds that were maintained by the citizen. Someone surveilance, Nurlina Because Of claimed still could not confirm whether the poultry in this location was positive bird flu. This 'just the sample and will be researched further', said Nurlina.

http://www.republika.co.id/online_de...3832&kat_id=23

[Sharpe]

Theresa, so is this right?

In the 2nd and 3rd weeks of June, Makassar in southern Sulawesi, two children (14-year-old Akhira and 17-year-old Andri) and their mother (56-year-old Sukria) died over the course of two weeks, all with the same symptoms, and only Akhira was tested--and tested positive.

I suppose it makes sense then that they're testing the blood of people who died earlier in the area in potential clusters--because they've got at least three possible large clusters on the island of Sulawesi the last time I saw reports a few days ago.

[Sharpe]

Looks like officials elsewhere are more worried than usual.

http://www.thejakartapost.com/detail...908.G07&irec=6
Chicken manure seized in Ambon

AMBON, Maluku: Fearing the spread of bird flu, the livestock quarantine station in Ambon on Thursday ordered two tons of chicken manure from South Sulawesi to be burned.

The station's head, I Putu Terunanegara, said authorities were always on guard against bird flu. He added that the efforts were working with Maluku province still free from the virus.

"But the bird flu virus will remain a threat to places which are not yet affected," Putu told The Jakarta Post.

The manure was confiscated Saturday as soon as it arrived in the city from Makassar aboard a ship. It was to be sold to farmers as fertilizer. -- JP

[Theresa42]

Originally Posted by Sharpe

Theresa, so is this right?

In the 2nd and 3rd weeks of June, Makassar in southern Sulawesi, two children (14-year-old Akhira and 17-year-old Andri) and their mother (56-year-old Sukria) died over the course of two weeks, all with the same symptoms, and only Akhira was tested--and tested positive.

That's exactly how I read it -- I think you've got it!

[Laidback Al]

Originally Posted by Sharpe

Theresa, so is this right?

In the 2nd and 3rd weeks of June, Makassar in southern Sulawesi, two children (14-year-old Akhira and 17-year-old Andri) and their mother (56-year-old Sukria) died over the course of two weeks, all with the same symptoms, and only Akhira was tested--and tested positive.

I suppose it makes sense then that they're testing the blood of people who died earlier in the area in potential clusters--because they've got at least three possible large clusters on the island of Sulawesi the last time I saw reports a few days ago.

That is also the way I interpret the translation, Sharpe.

The clusters from Sulawesi that are being discussed now were first reported during the week of August 21st from Kendari City in Southeast Sulawesi. Shortly thereafter, reports of possible human cases were being reported from South Sulawesi and Central Sulawesi. I don't think there were any news reports of the these cases from Makassar in June.

[HenryN]

Commentary at

http://www.recombinomics.com/News/09...i_Cluster.html

[Theresa42]

Family regrets late bird flu results
Andi Hajramurni, The Jakarta Post, Makassar
Sept 09, 2006

The South Sulawesi governor and the family of the latest confirmed bird flu victim expressed regret Friday that the Health Ministry did not immediately disclose the cause of the 14-year-old's death.

Health Minister Siti Fadilah Supari said Thursday the government had confirmed the girl, who passed away almost three months ago, was the 48th fatality from the virus.

"Why was the announcement made almost three months later? If we had known earlier, we could have taken the necessary steps immediately," Governor Amin Syam said in Makassar on Friday.

The victim's brother, Alimin, said his family had been shocked to learn the girl died of bird flu.

"It has really shaken us, to hear such news just as we were coming to terms with her death."

Alimin said the family knew that bird flu in humans caused symptoms like the girl's, including a high fever, chest pains and shortness of breath. However, her doctor had diagnosed dengue fever.

"But our suspicion caused us to free all our chickens and pet birds and destroy the coop amd cages immediately after her funeral."

The victim was the 48th person to have died of bird flu in the country, but it was the first case to occur in South Sulawesi.

Laboratory tests conducted by the Health Ministry on fluid samples taken from the victim concluded she died of the H5N1 bird flu virus strain.

The samples were sent by the provincial health office to Jakarta on June 23, the day before the girl died. [So she died on June 24.] However, the test results were only announced Thursday.

Runizar Roesin from the National Bird Flu Center said the delay between the discovery of the case and the announcement of the test results was because the samples were not specifically taken from the patient on suspicion of bird flu.

Siti said they would soon carry out poultry culls in the area where the case was found.

The girl's mother and elder sister, both of whom exhibited bird flu symptoms, died before her. After her death, her father, two other siblings, an in-law and a cousin were in turns taken to the hospital with high fevers, but soon recovered.

Alidin said the family had suspected the three died of bird flu but could not confirm the matter since they were all diagnosed as suffering from dengue fever.

The head of the South Sulawesi Health Office, Andi Muhadir, said it was unwise to make assumptions but blood samples would be taken from the victim's 11 family members and her closest neighbors.

The governor has called on related offices to apply standard procedures in dealing with bird flu and asked residents to hand over their poultry to be destroyed.

"I hope people are willing to give up their poultry to be destroyed so there will be no more cases of bird flu in humans," he said.

http://www.thejakartapost.com/detail...909.G05&irec=4

[Sharpe]

Originally Posted by Theresa42

The girl's mother and elder sister, both of whom exhibited bird flu symptoms, died before her. After her death, her father, two other siblings, an in-law and a cousin were in turns taken to the hospital with high fevers, but soon recovered.

This sentence has struck me dumb! This cluster is the same size as the Karo one!!!

Originally Posted by Theresa42

"I hope people are willing to give up their poultry to be destroyed so there will be no more cases of bird flu in humans," he said.

Does he even know what he's talking about? One after another this family went. 3 died, 5 became sick, and three months later they want to test family and throw away chickens? Dengue... Which dengue does this? Thank God for honest reporting. We would have just walked away thinking it was just a girl--never knowing that it was a big cluster--and who's to say it ended with 8? Perhaps it kept on going to the clusters we have now?

[Theresa42]

Originally Posted by Sharpe

This sentence has struck me dumb! This cluster is the same size as the Karo one!!!

Pretty d*mn shocking, huh?

[Theresa42]

toggletext-ed from Indonesian:

The official checked the Poultry in Maccini Tengah
Sept 09, 2006

Related the Citizen died It Was Suspected Bird Flu

MAKASSAR -- The Official of the Marine Service, fisheries, and Makassar Livestock Breeding examined several tails of the chicken in Street Maccini Tengah, on Friday September 8. That was related the death three citizens in one family in Maccini Tengah, last June that later was stated positive terjangkit bird flu.

The case of the bird flu was experienced by the family's three members, H Abd Muin Baso Pase Dg Bella in a beruntun manner last June. In the time nine days, Andri died on June 15 with the sign of the high fever and shivered. By the doctor, the class student II SMAN 1 Makassar was stated was attacked by dengue fever (DB). One week afterwards, to be precise on June 22, his mother, Hj Sukria also experienced the similar sign through to finally died. Further the hose two days, on June 24, Akhira followed the mother and his [her] older brother after could be treated three days in the hospital. The three of them were diagnosed was attacked DB.

Acknowledged by Alimin, the older brother Andri and Akhira, on Friday September 8 yesterday in his house, if the death news three people that was loved by him this as a result of being infected by the bird flu virus (Avian influenza) or H5N1 he learned from the media. Narrated by the seventh child from 13 related that, that the mother and his youngest child's brother [sister] were attacked by the high fever until dying after guarding Andri in the Barabaraya Community Health Centre.

"The same mother of my youngest child's brother [sister] (Hj Sukria and Akhira, red) indeed that was on duty at Andri while being treated in the Barabaraya Community Health Centre. Just as Andri died, both of them also at once experienced the deviation and afterwards died also. Originally I was indeed suspicious if this the case of bird flu after the three of them died," he said considering around the community health centre of much livestock breeding and efforts of the piece chicken.

Apart from casualties died, mentioned Alimin, several of his families could be also run off with to the hospital and were treated in space of the ferns isolation (for the case of bird flu) RS Dr Wahidin Sudirohusodo namely Mansyur (the brother-in-law), Umi Kalsum, and Uli (the cousin) as well as A Abd Muin (the father) that experienced the sign like casualties.

In the meantime, the sample inspection of saliva of several poultries around casualties's house in the District Maccini Induk, the Makassar Subdistrict, was acknowledged by the Secretary of the District, Drs Nasri Kadir, as the step in anticipation then. That was also justified by Nurlina, the official of the Marine Service, fisheries, and Livestock Breeding that true had the taking of the sample of several poultries as the step in anticipation related the existence of the case of bird flu that claimed fatalities in Maccini Middle. However the sample of the poultry that was checked that, still was negative AI.

http://www.fajar.co.id/news.php?newsid=27275

[Theresa42]

toggletext-ed from Indonesian:

Positively Bird Flu, the Citizen Makassar died
Sept 09, 2006

Menkes: This casualties was killed 48th in Indonesia, most Big in the World; the Health Service Makassar not yet Know; Unicef the Bird Flu Campaign and Appeal the Community destroyed the Poultry in Maros

Jakarta, Tribun -- RI Health Minister, Siti Fadilah Supari, said, a citizen Makassar that lived in Street Maccini was named Akhira (14) positive suffered the Avian virus influenza, H5N1, or was known with bird flu.

Therefore, this daughter became casualties was killed first from South Sulawesi as a result of being affected by the plague of bird flu. Beforehand, at least had seven South Sulawesi citizens who were stated suspect, but not any that positive.

Menkes revealed this matter in Jakarta right before coming across President Susilo Bambang Yudhoyono (SBY) in the cabinet meeting in President's office, Jakarta, on Thursday (7/9).

"There was the addition of one case of bird flu. He [she] was named Akhira from South Sulawesi. Akhira positive bird flu," said Fadilah.

This Fadilah statement also became the main news of several world medias like Associated Press (AP), the BBC, WHO, The New York Times, and Reuters. This assurance was received after the previous night, the report produced by the research of casualties's specimen from the Balitbangkes laboratory and NAMRU-2 Jakarta, ascertained Akhira positive bird flu.

Akhira, that was treated in the Public Hospital (RSU) Dr Wahidin Sudirohusodo, to last June 22 2006, died on June 24 2006.

The doctor in RS Wahidin thought Akhira only suffered dengue fever.

According to menkes, the deceased Akhira was affected by the deadly virus reason bird flu he [she] had carried out contact with several poultries that died in and around his environment. [Now how do they know that?]

The director general of the Control of the Illness and environmental Sanitation, the Department of the Health (the Department of Health), I Nyoman Kandung through the short message alias the SMS said to the Tribun, results of the laboratory inspection of arrived from Akhira proved, from the test transcriptase polymerase chain reaction (RT-PCR), he [she] was positive sub-type bird flu H5N1.

"At that point was not suspected by Avian influenza (AI) by his doctor." He [she] entered the hospital not as the patient suspect AI, he said.

"When dying, we could take the specimen from casualties. The specimen was sent from sentinel influenza to research and development," he explained.

Further menkes claimed, with the PCR discovery the deceased Akhira that positive bird flu, that meant at this time to have had 48 people who died resulting from the bird flu virus.

"The total that confirm bird flu was 63. There is 48 was stated died," obviously him.

Menkes further suggested, the community should again was proaktif in combatting this bird flu. The community was expected immediately to report when finding several poultries that mangkat in the mass number.

"The community must be proaktif and reported if having the poultry died," he snarled.

All over the world, the bird flu virus had killed 143 people since attacking Asia to last 2003.

Indonesia became the biggest country from the side of the number of casualties was killed in the world. Most sufferers were infected through contact with the poultry, but several experts estimated could bermutasi so as easy moved from humankind to humankind and potential killed million the life.

It did not yet know

The Section Head the Health of the Makassar City Dr Andi Naisyah Tun Nurainah claimed did not yet receive in writing related the case of the inhabitants Makassar that died resulting from positive suspect AI.

"We still could not the report was written, but we would menelurusi this information so that the citizen around the relevant residence more could be on the alert," said Naisya that was contacted the Tribun, last night (see, Not Yet Know).

Whereas the Section Head the Health of the South Sulawesi Provincial Government, Dr Andi Muhadir, during it was confirmed, last night, admitted to not yet accepting Akhira matter information. Kadis the Health of the South Sulawesi Provincial Government asked the reporter to not launch the report on Menkes RI because of checking and spreading out the press conference today.

The response Unicef

The Union's Body of nations that had delegation in Makassar, Unicef, mengeluakan the matter appeal of bird flu in South Sulawesi [often written as Sulsel].

South Sulawesi was fighting to face the spreading of the virus deadly bird flu by doing the interest campaign to millions of people about the bird flu danger.

Unicef asked the first matter that was done to be to carry out the extermination of the poultry in the Maros territory and immediately mengkarantina humankind that it was suspected suffered bird flu.

Not only that, this activity also gave the training to the official of the local health and the breeders.

By funding from Japan, UNICEF Makassar co-operated with the local government to give complete information so that anyone could avoid bird flu at first if the attack happened in a community. After doing the training it was hoped to this official back to their respective area in order to be able to give counselling to the local community.

Since July 2006, around 2.122 village heads got the training about the spreading of bird flu in order to be able to protect millions of communities. Vice President Yusuf Kalla personally said thank you for the Japanese government support for various agreeing activities with bird flu including the implementation of the bird flu symposium in the Hasanuddin University, this Saturday.

"This program was also carried out in the other country with the same method to confirm so that people knew how responded if being known had the assumption of the bird flu sufferer," said Unicef delegation in Indonesia, Gianfranco Rotigliani.

"This was during critical and anyone must immediately carry out the precaution where the number of bird flu casualties more compared with that succeeded in being safe," he said, again.

The Japanese government prepared the fund as big as 3,2 million US dollar and around 400 thousand US dollar was allocated in South Sulawesi. This was carried out as efforts to increasingly introduced about the bird flu danger through the national campaign "Preceptive Bird Flu" that began to be carried out to last September 1. This training was important because of this week the Health Minister said a daughter was 14 years from Makassar old died, last June, resulting from bird flu.

He [she] was stated contracted bird flu after through a series of laboratory test.

The response PDHI

Was contacted was separated, the Chairman of the Association of the Indonesian Veterinary Surgeon (PDHI) South Sulawesi, Prof Dr Lucia W Muslims Msc, asked the health service during immediately to research the X factor the cause of the Akhira death.

"If quite positive must him was researched what's up with this child. What had the family, the neighbour, or the breeder around it that be hit by. Why wasn't the other family infected?" he said.

Lucia explained, the possibility had the X factor or the genetic weakness certain so as to the sensitivity happen. That was related the genetic factor or what, must be researched again.

"If this child true was infected by the bird flu virus from the poultry, whether having the brother, the older brother, the neighbour, and the person around it that terjangkit," he said.

Lucia made a plea so that the related agency should not at once claim someone was expected by bird flu because hot and breathless.

According to him, to sentence someone positive bird flu must through the laboratory inspection in Hong Kong.

http://www.tribun-timur.com/view.php...11&jenis=Front

[Theresa42]

...but that they have not yet heard any results. (This story just keeps going from bad to worse!)

toggletext-ed from Indonesian:

The older brother and Ms Akhira Juga Meninggal
Sept 08, 2006

The Deceased's FAMILY Akhira Wisnuliyanti (14), casualties died first resulting from bird flu in Makassar, did not believe the youngest child from 11 was related, the deceased's couple Sukirah and Basoddin, this really terjangkit the bird flu virus.

When being found the Tribun, last night, casualties's older brother, Mansyur, admitted to not yet knowing information that was launched by RI Health Minister in Jakarta. We 'did not yet know', he said in their residence in the central region of the Makassar City, Street Maccini Tengah.

He just learned his brother [sister] was positive bird flu during the Tribun informed him.

In fact, Mansyur words, during Akhira were treated in the Public Hospital Dr Wahidin Sudirohusodo, last June 22, the doctor diagnosed Akhira was affected by dengue fever and typoid (typhus).

Akhira underwent the maintenance in the child's part RS Wahidin for two days. Beforehand, the deceased together Ms, the deceased Sukirah could undergo the maintenance in RS Akademis.

Akhira blew out the breath last June 24 2006 after his [her] older brother Andir Winarti (the 10th child) died on Thursday June 15 2006 in RS Stella Maris and his mother Sukirah died in RS Akademis, on June 22 2006.

The death beruntun the family's three members were diagnosed as the dengue fever sufferer.

The doctor and casualties's family did not know if Akhira had finally been stated positive bird flu.

Mansyur with the older brother alm Akhira other, Ummi Kalsum, claimed to be all of his family's member underwent the blood inspection in RS Wahidin pascakematian Akhira last June.

The side of the 'Health Service took the sample of our blood after Akhira died', he said.

Up to now, the Akhira family was not yet informed results of this test as far as the reporter the Tribun visited their residence, on Thursday night.

Initially, the two Akhira older brothers appeared startled. But, not at intervals of old, they did not show the reaction was abundant. They appeared sincere and submitted on this trip of the family's member.

http://www.tribun-timur.com/view.php?id=32710

[Harriet]

Andi Hajramurni, The Jakarta Post, Makassar

The South Sulawesi governor and the family of the latest confirmed bird flu victim expressed regret Friday that the Health Ministry did not immediately disclose the cause of the 14-year-old's death.

Health Minister Siti Fadilah Supari said Thursday the government had confirmed the girl, who passed away almost three months ago, was the 48th fatality from the virus.

"Why was the announcement made almost three months later? If we had known earlier, we could have taken the necessary steps immediately," Governor Amin Syam said in Makassar on Friday.

The victim's brother, Alimin, said his family had been shocked to learn the girl died of bird flu.

"It has really shaken us, to hear such news just as we were coming to terms with her death."

Alimin said the family knew that bird flu in humans caused symptoms like the girl's, including a high fever, chest pains and shortness of breath. However, her doctor had diagnosed dengue fever.

"But our suspicion caused us to free all our chickens and pet birds and destroy the coop amd cages immediately after her funeral."

The victim was the 48th person to have died of bird flu in the country, but it was the first case to occur in South Sulawesi.

Laboratory tests conducted by the Health Ministry on fluid samples taken from the victim concluded she died of the H5N1 bird flu virus strain.

The samples were sent by the provincial health office to Jakarta on June 23, the day before the girl died. However, the test results were only announced Thursday.

Runizar Roesin from the National Bird Flu Center said the delay between the discovery of the case and the announcement of the test results was because the samples were not specifically taken from the patient on suspicion of bird flu.

Siti said they would soon carry out poultry culls in the area where the case was found.

The girl's mother and elder sister, both of whom exhibited bird flu symptoms, died before her. After her death, her father, two other siblings, an in-law and a cousin were in turns taken to the hospital with high fevers, but soon recovered.

Alidin said the family had suspected the three died of bird flu but could not confirm the matter since they were all diagnosed as suffering from dengue fever.

The head of the South Sulawesi Health Office, Andi Muhadir, said it was unwise to make assumptions but blood samples would be taken from the victim's 11 family members and her closest neighbors.

The governor has called on related offices to apply standard procedures in dealing with bird flu and asked residents to hand over their poultry to be destroyed.

"I hope people are willing to give up their poultry to be destroyed so there will be no more cases of bird flu in humans," he said.


http://www.thejakartapost.com/detail...909.G05&irec=4

[AlaskaDenise]

Originally Posted by Sharpe......ordered two tons of [U

chicken manure[/u] from South Sulawesi to be burned......

Shades of 1918 in Kansas City?

.

[AlaskaDenise]

So WHY did they recover? Anitvirals?

.

[HenryN]

Originally Posted by AlaskaDenise

So WHY did they recover? Anitvirals?

.

My guess is the infecting dose was lower. Since it took 3 months to diagnose H5N1 in the confirmed case, I doubt that the relatives were treated with Tamiflu while hospitalized (and the dead were diagnosed with dengue fever).

[Harriet]

The girl's mother and elder sister, both of whom exhibited bird flu symptoms, died before her. After her death, her father, two other siblings, an in-law and a cousin were in turns taken to the hospital with high fevers, but soon recovered.

Why did it take months to report it ? Because it is another CLUSTER THIS TIME OF EIGHT_ like the one in MAY.

Dr N great commentatry regarding H5N1 Cluster in South Sulawesi

http://www.recombinomics.com/News/09...i_Cluster.html