Discussion: INDONESIA - Java, 09/20+

[Theresa42]

Previous West Java thread:

http://www.flutrackers.com/forum/showthread.php?t=9945

Suspected bf case (deceased) from Tulungagung area...

toggletext-ed from Indonesian:

The child was killed because of AI?
Sept 20, 2006

TULUNGAGUNG - The plague of the virus avian influenza (AI) or bird flu it was indicated claimed fatalities. Abram, villager Kaligentong, the Pucanglaban Subdistrict, that was suspected (suspect) bird flu yesterday the night was killed in RSUD Dr Iskak Tulungagung.

The child was 11 years old blew out the breath the last time around struck 22.45 WIB. That is when being treated intensively in the room of the isolation in RSUD Tulungagung Orchid space.

The casualty arrived in the Serious Installation the Emergency (IRD) RSUD Dr Iskak Tulungagung on Monday struck 19.00. When being brought to the hospital, his condition was very critical. The temperature of his body was very high, achieved 39 levels celcius. The casualty also experienced breathless and coughs.

Because of being suspected of being affected by the bird flu virus, the class student 6 SDN 1 Kaligentong was isolated in the special room. That is the normal room was used to treat the patient who was suspected by bird flu. However because his condition was very weak, finally the fourth son from four related the Sutris couple with Siyah this only could remain 4 hours. Struck 10.45, casualties died.

Public relations RSUD Dr Iskak Tulungagung Triwidyono Agus Basuki said casualties were treated in the room of the isolation because of having the high risk tertular bird flu. Because around his residence of many chickens that died suddenly. Increased again by the temperature of his body was high, crowded and coughs. So have the possibility AI. "Because that, as the step in anticipation was treated by us as the patient suspect bird flu," said Triwidyono Agus Basuki during it was confirmed yesterday.

Nevertheless, Oki-demikian this Triwidyono Agus Basuki akrap was greeted- claimed still could not confirm whether casualties really tertular bird flu or not. The reason is, when being brought to casualties's hospital in the diarrhoea situation. And results of the beginning inspection were also found by the existence of the infection. So as to have also the other possibility that the temperature of the high and breathless body was caused from the infection.

"But we have taken the example of the nose liquid and the throat as well as the photograph of the chest. Results of the lab have been sent by us to Surabaya to confirm whether he was indeed infected by the bird flu virus or not," said the father of two children.

Usually, continued Oki, the assurance someone was sentenced terjangkit the AI virus or not needed time two weeks. That because of the laboratory inspection that was enough njlimet.

Now, Siyah, the mother Abram, acknowledged if in his village of many chickens that died suddenly that was expected because of bird flu. That happened happened in the last two weeks. Including his two property chickens also died suddenly. "The chicken that died suddenly indeed was but that for a long time," obviously Siyah.

Before being brought to RSUD, the son of his pity was brought took medicine to the local village midwife, Wiwik. Initially, Abram only fevers to Jum’at then. And the illness subsided after taking medicine to the village midwife. The midwife's words, Abram was sentenced only was ill typus.

"But suddenly on Monday early afternoon was sick my child suddenly relapsed again. Because of his condition apparently serious finally was brought by me to this hospital," [s]he said.

http://www.jawapos.co.id/index.php?act=detail_radar&id=138764&c=115

[Sharpe]

Re: INDONESIA - Java, 09/20+

Wow, years into it, Indonesia still doesn't know. Doesn't the WHO tell them anything, or maybe they don't even know either.

http://content.nejm.org/cgi/content/short/352/7/686

Nevertheless, Oki-demikian this Triwidyono Agus Basuki akrap was greeted- claimed still could not confirm whether casualties really tertular bird flu or not. The reason is, when being brought to casualties's hospital in the diarrhoea situation.

[Gert van der Hoek]

Indonesia's bird flu death toll climbs to 50 after another boy dies

Indonesia's bird flu death toll climbs to 50 after another boy dies

The Associated Press

Published: September 22, 2006


JAKARTA, Indonesia Indonesia's bird flu death toll climbed to 50 on Friday after laboratory tests showed an 11-year-old boy died of the disease, a senior health official said.

The child died in a hospital in Tulungagung, East Java province, on Monday ? hours after he was admitted and two days after developing symptoms of the disease, said Nyoman Kandun.

He appeared to have had contact with infected poultry.

The H5N1 strain of bird flu has killed at least 144 people worldwide since it started ravaging poultry stocks in Asia three years ago, according to the World Health Organization, which has not yet updated its Web site with the boy's death.

Most human deaths have been traced to contact with sick birds, but experts fear the virus could mutate into a more transmissible form, potentially causing a deadly global pandemic.

http://www.iht.com/articles/ap/2006...ia_Bird_Flu.php

[Sally Furniss]

Re: Indonesia's bird flu death toll climbs to 50 after another boy dies


Boy dies of bird flu in Indonesia

http://www.news.com.au/perthnow/story/0,21598,20459892-5005361,00.html

From correspondents in Jakarta

September 22, 2006 06:17pm
Article from: Reuters

AN 11-year-old Indonesian boy has died of bird flu, the health ministry said today, taking the country's death toll from the disease to 50.

The boy died on Monday at a hospital in Tulungagung in East Java province, said Runizar Ruesin, the head of the ministry's bird flu information centre.

Tests by two local laboratories confirmed he had bird flu, he said.

"He had contact with dead chickens. Chickens have died in his house," Mr Ruesin said.

The ministry would send officials to the area where the boy lived to investigate, he said.

Indonesia has the highest bird flu death toll of any nation. Not including the latest death, the H5N1 avian flu virus has killed 144 people worldwide, the World Health Organisation says.

The H5N1 virus mainly affects birds but experts fear it could mutate into a strain capable of killing millions of people in a global pandemic.

Indonesia has been criticised for not doing enough to combat the disease, endemic in birds in most of the giant archipelago's provinces.

The United Nations bird flu co-ordinator, David Nabarro, said last week that Indonesia had made progress in its fight against the virus.

But he expressed disappointment at the slow flow of funds pledged by international donors to Indonesia for the effort.

[HenryN]

Re: Indonesia's bird flu death toll climbs to 50 after another boy dies

Earlier case from Tulungagung

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

Earlier isolate from East Java (Kediri)

http://www.recombinomics.com/News/06...mantadine.html

[Sally Furniss]

Re: Indonesia's bird flu death toll climbs to 50 after another boy dies

Recombinomics Commentary
July 4, 2006

The case, which was fatal, occurred in a 5-year-old boy from Tulungagung district, East Java Province. The boy became ill on 8 June, was hospitalized on 14 June and died two days later on 16 June.

An investigation found a history of chicken deaths in the boy's household two weeks before symptom onset. Laboratory testing of poultry in the sub-district confirmed the presence of H5N1 in chickens. Monitoring of close contacts has detected no further cases

[HenryN]

Re: Indonesia's bird flu death toll climbs to 50 after another boy dies

More detail on the current case

http://www.flutrackers.com/forum/sho...95&postcount=1

http://www.flutrackers.com/forum/sho...ht=Tulungagung

[HenryN]

Re: INDONESIA - Java, 09/20+

Commentary at

http://www.recombinomics.com/News/09220601/H5N1_Tulungagung.html

[Mellie]

Re: INDONESIA - Java, 09/20+

<big><big>Commentary</big></big>

Another Fatal H5N1 Bird Flu Case in Tulungagung Indonesia
Recombinomics Commentary
September 22, 2006

The child was 11 years old blew out the breath the last time around struck 22.45 WIB. That is when being treated intensively in the room of the isolation in RSUD Tulungagung Orchid space.

The casualty arrived in the Serious Installation the Emergency (IRD) RSUD Dr Iskak Tulungagung on Monday struck 19.00. When being brought to the hospital, his condition was very critical. The temperature of his body was very high, achieved 39 levels celcius. The casualty also experienced breathless and coughs.

claimed still could not confirm whether casualties really tertular bird flu or not. The reason is, when being brought to casualties's hospital in the diarrhoea situation

Initially, Abram only fevers to Jum?at then. And the illness subsided after taking medicine to the village midwife. The midwife's words, Abram was sentenced only was ill typus.

"But suddenly on Monday early afternoon was sick my child suddenly relapsed again. Because of his condition apparently serious finally was brought by me to this hospital,"

The above translation provides more detail on the latest confirmed H5N1 bird flu fatality in Indonesia. The patient was diagnosed as having typhus initially, and an H5N1 infection was questioned because the fever was associated with diarrhea. However, two local tests confirmed the H5N1.

Wire reports mention association with dead or dying poultry, but to date there has been no reported poultry isolates with the novel cleavage site in East Java. The isolate A/Indonesia/554H/2006 from an earlier case in Kediri in East Java is listed on the HA phylogenetic tree, and it is clearly on the arm with the other human cases from Java.

Although the sequence has not been released from East Java, a partial sequence of A/Indonesia/177H/2005 has been released, and the sequence is an exact match of the two chicken isolates on Sumatra, and includes the novel cleavage site. The sequence of the other closely related isolate A/Indonesia/557H/2006 has also not been released, but the location on the tree and the identity with 177H, including the HA cleavage site, indicates that the human sequence is in East Java, in the absence of any reported match in poultry. Moreover, this is the second confirmed case in Tulungagung.

Thus, the number of human cases in Java continues to increase, and contact with poultry continues to be cited, yet the absence of matching sequences in a significant portion of poultry isolates on Java continues to be cause for concern.

[Theresa42]

Re: INDONESIA - Java, 09/20+

Indonesia reports its 66th avian flu case

Sep 22, 2006 (CIDRAP News) ? The Indonesian health ministry reported the country's 66th H5N1 avian influenza case and 50th death today, this one in an 11-year-old boy who died Sep 18, according to several media reports.

Runizar Ruesin, head of Indonesia's bird flu information center, told Reuters the boy died at a hospital in Tulungagung in East Java province. An Associated Press report said the boy died 2 days after getting sick and just hours after he was admitted to the hospital

Tests by two local laboratories confirmed that he had H5N1 avian influenza, Ruesin said.

Indonesia has the most avian flu deaths of any country, but its case count is below Vietnam's 93 cases. All of Indonesia's cases have occurred since July 2005. The World Health Organization (WHO) had not yet recognized the new case at this writing.

The boy had contact with dead chickens, which died in his house, Ruesin told Reuters. He said the health ministry would send investigators to the area where the boy lived. Ruesin told Bloomberg News today that authorities are testing the boy's relatives and monitoring close contacts.

The boy's death marks the second avian flu fatality in the Tulungagung district in recent months. A 5-year-old boy from the district died Jun 16, according to the WHO.

http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/sep2206indo.html

[Theresa42]

Tulungagung

Just a note - there have been a handful of other suspected bf cases from Tulungagung...

http://www.flutrackers.com/forum/showthread.php?t=7270&highlight=Tulungagung

http://www.flutrackers.com/forum/showthread.php?t=8438&highlight=Tulungagung

...plus, there was the odd story the other day -- that doesn't have to be bf-related -- about the Indo worker in Taiwan who may have died from influenza. I believe he was from Tulungagung:

http://www.flutrackers.com/forum/showthread.php?t=10416&highlight=Tulungagung

[Mellie]

Re: INDONESIA - Java, 09/20+

Theresa, thank you very much for continuing to follow all these countries so carefully! Your dedication is wonderful for so many of us!
.

[AlaskaDenise]

New Bird Flu Outbreak in East Java

i couldn't find referene to this elsewhere. If it's a duplicate, please delete.

http://www.indonesia-relief.org/mod....=39&artid=1704

<TABLE borderColor=#000000 cellSpacing=0 borderColorDark=#000000 cellPadding=10 width=600 align=center bgColor=#ffffff borderColorLight=#000000 border=1><TBODY><TR><TD>Indonesia-Relief.Org</TD><TD align=right>News / Bird Flu</TD></TR><TR><TD colSpan=2>New Bird Flu Outbreak in East Java</TD></TR><TR><TD>Oleh relief </TD><TD align=right>Sunday, 24-September-2006, 11:44:11</TD></TR><TR><TD colSpan=2><TABLE cellSpacing=0 width="90%" align=center cellpading="0"><TBODY><TR><TD>The Indonesian Ministry of Health confirmed that an 11-year-old boy died of H5N1 avian influenza earlier this week. The boy was a resident of Kaligentong, Tulung Agung District, East Java.</TD></TR></TBODY></TABLE></TD></TR><TR><TD colSpan=2>Jakarta, Indonesia-Relief-- The Indonesian Ministry of Health on Friday confirmed that an 11-year-old boy died of H5N1 avian influenza earlier this week. The boy was a resident of Kaligentong, Tulung Agung District, East Java.

''This is a new bird flu outbreak in East Java. This case is the 66th confirmed case of human infection with the H5N1 virus in Indonesia, and the 50th fatality,'' said Komnas FBPI, the Indonesian National Committee for Avian Influenza Control and Pandemic Influenza Preparedness, a committe under MInistry of Health.

The eleven years old boy became ill on September 16 with high fever, coughing and respiratory problems. He was admitted to Iskak Hospital in Tulung Agung on September 18, 2006 and died later that day.

Results from Polymerase Chain Reaction (PCR) tests conducted at the Ministry of Health Litbangkes Laboratory and NAMRU-2 Laboratory confirmed the H5N1 infection.

Chickens belonging to the boy are reported to have begun dying several weeks before he became ill. A team of experts from the Ministry of Health and the Ministry of Agriculture, under the coordination of Komnas FBPI, will go to the area to determine appropriate response measures.
</TD></TR></TBODY></TABLE>

[HenryN]

Re: New Bird Flu Outbreak in East Java

The child in Tulungagung Positive Bird Flu
The writer: Eddy S
TULUNGAGUNG
-- MIOL: Abram, 11, villagers Kaligentong, the Pucanglaban Subdistrict, the Tulungagung Regency, East Java (East Java) that died last September 19 it was confirmed because posotof contracted the virus H5NI or bird flu.
This assurance was received after the Health Service of the Tulungagung Regency got results of the assessment of the sample of the test of casualties's blood of the Big Hall the Health Laboratory (BBLK) Surabaya, on Saturday (23/9).
The head Subdin the Prevention and the Eradication of infectious diseases (P3M) the Service of Kesahatan Tulungagung Baharudin Budi Santoso said results of the sample test of Abram blood deliberate was accepted earlier of the schedule that necessarily namely approximately 2 weeks.
"We from the deliberate health service asked that results of the test by BBLK were accepted earlier namely only two days after the taking of the sample and Abram results positive was affected by bird flu," said Baharudin.
With the case findings of this newest bird flu pascapenetapan Tulungagung KLB bird flu up to now already two casualties were killed that positive was affected by bird flu.
Beforehand a child was named Tyo Styoningpuji, 8, villagers Sukoharjo, the Karangrejo Subdistrict died to mid last July 2006.
Was based on the note from Subdin P3M for the last three months already 9 citizens Tulungagung that could be stated suspect bird flu.
However after being done by the inspection all of them the negative.
In the meantime this bird flu virus also it was confirmed attacked hundreds of poultries that died suddenly in the Kaligentong Village, the Pucanglaban Subdistrict a last week.
This was met after being received by results rapit the test to several livestock there last week by the official local desiase crisis center (LDCC) the construction of local livestock breeding of the service.
According to the Section Head Tulungagung Danduk Sudarham Regency Livestock Breeding the findings of the chicken livestock died this around 300 metre from the Abram residence.
"We have done penymprotan and handled the livestock that died should."
We were waiting 21 days more.
When still had the death of the chicken resulting from bird flu then all the livestock disama was forced to be burnt by us, said Danduk.
Danduk claimed concerned, because of the distribution of bird flu or the region endemi this was fast enough.
In the last two months only was found in the Karangrejo Subdistrict, but currently has spreadto five subdistricts.
In the meantime the Regent Tulungagung Heru Tjahjono claimed concerned with the case findings tewasnyan Abram resulting from this bird flu.
He asked for the related service and the community in Tulungagung to together monitor each good incident to the livestock and humankind.
Up to now the Tulungagung Regional Government has dropped more than 1.
000 officials of spraying of disinfectant to hundreds of poultry pens belonging to the inhabitants.
Recorded by more than 1 million chicken livestock up to now has divaksin anti bird flu.
(ES/OL-06)

http://www.mediaindo.co.id/berita.asp?id=112240

[Theresa42]

Re: INDONESIA - Java, 09/20+

This was posted in the general Indonesia thread -- thanks Commonground! I'm just copying it here since it relates to the boy, Abram, from Tulungagung.

Note that, according to this, one of the boy's brothers also presented with symptoms, but tested neg....

Posted by Influentia @ the Wiki:

http://tinyurl.com/gcgte

[Check 25 examples of Blood]
[Sept 24, 2006]

The family and the Medical Official that had been connected with Abram

TULUNGAGUNG - The Abram Assurance, 11, that was killed because terjangkit the bird flu virus, caused the panic. Yesterday, 25 people that was taken the sample (the example) blood to be checked to the laboratory. Tertular the virus avian influenza (AI) that or not. 25th that was taken his blood consisted 20 medical officials RSUD Dr Iskak and the family’s 5 Abram members.

The family the domiciled child in the Kaligentong Village, the Pucanglaban Subdistrict, that it was considered had the high risk tertular the virus AI. understood, had done direct contact with casualties.

The official of the team of the Control of the Virus Avian influenza (AI) East Java visited casualties’s house around struck 10.30. By being accompanied by the official from the Tulungagung Health Service, they took the sample of parents’s blood Abram; Sutris and Siyah. Casualties’s three older brothers were also taken the sample of his blood.

The sample of their blood will be tested in the Big Hall the Health Laboratory (BBLK) Surabaya. That is to know whether the Sutris family tertular this deadly virus or not. The “sample of his family’s blood we took to be tested in BBLK. because of them once direct contact with Abram.” This to prevent the existence of the spread of the AI virus from humankind to humankind, said Kasubdin the Prevention and the Eradication of the Illness of the Health Service of Tulungagung Bahrudin Budi Santosa.

It was further that Bahrudin Budi Santosa, the spread of bird flu from casualties to the other person very possibly happened. Especially the family that often direct contact during casualties was sick.

This the step for anticipation then. As far as this is concerned did not yet have the case of the spread from AI from humankind to humankind or the spread of the third phase. That happened uptil now still was limited by the second phase, the spread from the poultry to humankind, said one of the officials from the team of AI East Java that reluctantly was named by his name.

During the inspection, one of the members of casualties’s family there are those that was suspected terjangkit the virus berkode N2H5 [H5N1?] that. Casualties’s older brother was named Eni Wulandari admitted to be able to be feverish in the last two days. However yesterday his condition improved. The “older brother of the two casualties admitted to having a temperature but now has recovered. Yes saw results of the lab later. Hopefully only is hot normally," said this official.

Before checking casualties’s family, the team of the Control of the Virus of AI East Java more previously carried out the inspection in RSUD Tulungagung. The medical officials in the Abram place hospital blew out the last breath also was checked. Most did not have 19 nurses and a person of the doctor that once direct contact with casualties, also was taken the sample of his blood. The sample of their blood will also be tested in BBLK Surabaya.

The “nurses and this doctor also had the risk tertular. Because of them also once contact with casualties Abram," explained Bahrudin.

As being reported, Abram, 11, villagers Kaligentong, the Pucanglaban Subdistrict, were killed because of bird flu. The class student VI the Kaligentong PRIMARY SCHOOL died in RSUD Dr Iskak Tulungagung last Monday, September 18 struck 22.45 WIB.

In the taking of the sample of blood yesterday also was attended from the WHO side, Eric. Moreover was present also the Section Head the Tulungagung Health Dr Rukmi. “We only carried out anticipation to his humankind, if against his chicken of the Livestock Breeding Service,” said Rukmi. (yog)

http://www.flutrackers.com/forum/sho...5&postcount=10