INDONESIA - BF - Sep 17 to Oct 4, 2006

[Laidback Al]

New thread, please post here.

Old thread:

http://www.flutrackers.com/forum/showthread.php?t=9946

[Theresa42]

toggletext-ed from Indonesian:

Be careful, the Meluas Bird Flu Virus
Sept 18, 2006

TRENGGALEK - The Plague of bird flu apparently began to spread. After beforehand three subdistricts were stated alert I bird flu, currently one subdistrict still was determined was found by the similar case. Hundreds of tails of the chicken were forced to be destroyed to avoid the spreading in the scale wider.

The new territory that was stated was on the alert the bird flu actually the Gandusari Subdistrict. Results of the research of local Livestock Breeding of the official of the Service found, at least had 200 chickens the positive citizen terjangkit bird flu. Only his condition not yet until was as serious like that happened in the Subdistrict Suruh, Pule and Durenan.

"Our team localised the spreading of this virus so that increasingly did not spread." Results, as far as this is concerned was satisfactory enough, said the Section Head Livestock Breeding (Disnak) Trenggalek Agus Sudibyo explained.

The spread of the bird flu virus indeed was not yet found to humankind. But remembered the pattern of the spreading of the virus that currently more often spreads in traditional livestock breeding, then the community was asked for have an attitude extra were on the alert. If found had several chickens that died suddenly, then immediately was reported to the handling command post of bird flu that was formed by Disnak Trenggalek. The "monitoring of this bird flu was indeed more complicated because the virus more often spread in livestock breeding (the nonpedigreed chicken) the citizen. Because of that we really needed the co-operation of all the community," continued Agus gave the appeal.

Had a basis the data that was assembled disnak, apart from the Subdistrict Suruh, Pule, Durenan and Gandusari, at this time still were having three subdistricts more that it was identified the danger endemi bird flu. Namely Kampak [sub-district], Kecamatan Karangan and Kecamatan Trenggalek. Although not totalling in Durenan, Suruh and Pule, the discovery several of the citizen's poultries that tertular AI (Avian influenza) made the team of the control of Trenggalek regency bird flu have an attitude continued to be on the alert.

To be learnt, the chicken population in Trenggalek personally at this time reached more than 1 million tails. The population was spread in 14 subdistricts in Trenggalek with the most concentration in the Durenan Subdistrict, Gandusari, Pule, Suruh and Dongko. "So although eradication efforts of this bird flu were more concentrated in the Subdistrict Tell What To Do, Pule and Durenan, the status be careful or alert this bird flu continued to be put into effect by us for all the subdistricts and the village," obviously him increased.

To anticipate so that this deadly virus does not increasingly spread as happening in Kediri and Tulungagung, his side prepared the Rp fund 230 million. The fund as big as that was help from APBD East Java that will be allocated for the procurement of disinfectant, the vaccine for the poultry, the mask, spet to clothes antivirus for the official.

"That was carried out by us in dealing with the plague of this bird flu his characteristics were the first handling. The rest was returned by us to the community to be proaktif. That is by doing spraying of disinfectant personally periodically. Especially for the breeder's commercial group and that smaller," continued Agus stable.

http://www.jawapos.co.id/index.php?a...d=138550&c=115

Trenggalek, East Java:
http://www.eastjava.com/plan/peta/pkab-Trenggalek.gif

East Java:
http://en.wikipedia.org/wiki/East_Java

[Theresa42]

WHO, Indonesia disagree on bird flu diagnosis
Adisti Sukma Sawitri, The Jakarta Post, Jakarta
Sept 20, 2006

Although the Health Ministry has confirmed two new victims of bird flu under a new World Health Organization (WHO) case definition, it has yet to decide whether to adopt the new standard in the fight against the killer virus.

The head of the ministry's bird flu patient verification team, Santoso Soeroso, said the WHO definition is less restrictive, so that possible cases can be identified earlier.

Based on the new guidelines, patients can be considered possible bird flu victims when they are suffering from acute lower respiratory problems with fever and cough, shortness of breath or difficulty breathing.

The Health Ministry, by contrast, has been using acute upper respiratory illness as the main symptom for declaring people to be suspected victims of the disease.

"It's like catching fish with big-holed nets. We may be able to identify possible cases when patients reach the stage that the flu is incurable," said Santoso, who is also the head of Jakarta's Sulianti Saroso hospital for infectious diseases.

He added that a quick response is important to bird flu patients due to the short effective period of oseltamivir, the only medicine available so far to treat the illness.

Oseltamivir, or Tamiflu, is most effective when patients take it on the first two days after the initial symptoms are detected. The medicine's effectiveness falls by 80 percent after that.

The WHO recently issued its first international case definition for avian flu to create a single standard for all countries across the globe.

The standard is expected to help the WHO do a multinational analysis of the data and classify the H5N1 infections reported by national and international health authorities.

Based on the new case definition, the WHO retroactively added two bird flu victims to Indonesia's case list last week.

The first was a five-year-old child from East Bekasi, West Java. He developed bird flu symptoms on March 5 and died two weeks later.

The second was a 27-year-old man from Solok, West Sumatra, who took care of his sister when she fell ill with bird flu. She died in May. The man survived.

The two retrospectively confirmed cases bring the total in Indonesia to 65. Of these cases, 49 were fatal.

The WHO representative for Indonesia, George Petersen, said that although it was a little late for his agency to promote the international standard, it would help make the global fight against bird flu more effective

"It is important to have one proper definition that every country uses, so we can compare the statistics," he told The Jakarta Post.

However, he said, the new standard would depend on the needs of each nation, and would only prove its effectiveness over time.

http://www.thejakartapost.com/detail...920.H03&irec=2

[Theresa42]

'Much more must be done to fight bird flu'
Sept 20, 2006

The UN special envoy for avian influenza, David Nabarro, met last week with senior government officials and discussed the problems fighting the disease in the country. He outlined the issues at hand in an interview with The Jakarta Post's Hera Diani.

Question: What was the core of your discussion with Coordinating Minister for the People's Welfare Aburizal Bakrie?

Answer: This is my fourth visit to Indonesia within a year and I have been working closely with your government to examine ways in which avian influenza in both birds and humans is being tackled. In each visit, I want to find out how the government's response is improving and I've been really very pleasantly satisfied with what I see as a real improvement in the last few weeks, particularly with the way in which the avian influenza is being tackled in poultry.

The discussions with the minister were about the plans for extending this animal health work to other districts, about the government finance, about the compensation payments and how the government is proposing to increase the compensation.

We also talked about the vaccination program for birds and the public information campaign. We agreed to create a detailed plan with an action checklist undertaken by different stakeholders in central government and also at the district level. We will look harder at the resources needed and we will try to make sure that the donor communities respond to the promised increase in government funding with an increase in donor funding as well.

Question: Indonesia's handling of bird flu has been widely criticized. Why do you say you were satisfied?

Answer: Well, first of all the changes that I'm describing have occurred quite recently. Secondly, the challenges faced by Indonesia are very big, and it takes time to put in place some of the planning and early development. And thirdly, I'm satisfied that there has been progress, but at the same time there's a lot to be done, particularly by the agriculture ministry. It is important for somebody in my position to speak out about good progress. At the same time, I must stress that there's a lot more that needs to be done to get good quality animal health services in all 444 districts in this country.

Question: Could you elaborate in which areas improvements should be made?

Answer: The following activities are necessary. First, it is vital that veterinary personnel in each district are looking out for bird flu cases and responding to them. That means the efficient killing of affected birds and those around them, and reliable vaccinations to try to reduce the spread the disease among birds. It also means compensating those who have lost their birds and making sure that the way the birds are cared for reduces the risk of infection in humans.

These are quite difficult activities to introduce, especially because the political system in Indonesia is very decentralized. We need to increase the level of activities at the provincial or district level. And we know that it is difficult work, so from outside we're expressing solidarity with the government and the people of Indonesia.

Question: The National Committee on Bird Flu Control and Pandemic Preparedness recently said it had not received a single cent from donors. What is your comment?

Answer: I think today we were able, in a careful way, to look at the government funding for avian flu and also the way in which the compensation and other activities can be funded. It is clear that there are ways to increase the funding provided by government. I won't go into detail because you have to ask the government about this.

There has also been a lot of funding for Indonesia. It has not all gone exactly where people might be expecting it, and so we have been discussing ways in which the funding will increase. Not as much as we want, but there are perhaps more than US$40 million of additional assistance that is going to be provided in the next few weeks and months.

We've been planning to make more efforts to mobilize even more money from the donors. I need to go to these donors and say "look, Indonesia's program has improved in the last few weeks, so you should put in more because the government is ready to use the money well." It is a continuous process of mobilizing money; you don't do it once and it requires the donors' understanding of what is happening in the country.

The government, on the other hand, has to demonstrate that the money it has is being used well, that there is a need for new money, and it has to have system to spend the money efficiently and without any losses. These things have to be in place to raise cash. You have to have good program and you have to demonstrate it's good, and then the cash will come.

Question: The donors are said to provide funding in the forms of goods and technical assistance instead of money. Is that deliberate?

Answer: The avian influenza problem in here is very complicated. And so one of the first requirements is for technical specialists, both Indonesian and international ones, who can study the nature of the problem, and then understand its severity in order to plan the control strategy.

You can't actively research a strategy without having technical people working on these issues. I'm very pleased that there has been a strong technical focus recently. I see that there is a lot more technical expertise here now than there was some months ago.

Question: Is bird flu here getting worse?

Answer: One of the things that happens when you improve the surveillance of the country is that you also likely to report more avian flu because you're finding more cases. So, at the moment we're certainly have information that tells us that avian flu is quite widespread in more than 290 districts out of 444.

You should not then say that the situation is getting worse. It's probably because now we know more about this situation. So, I can't tell you if the situation is getting better or worse, but I can tell you that it's a serious situation, which is a concern to me and to others.

http://www.thejakartapost.com/detail...920.B07&irec=6

[Theresa42]

toggletext-ed from Indonesian:

The Slow Bird Flu diagnosis
Sept 19, 2006

Jakarta -- Director Rumah Sakit Penyakit Infeksi (RSPI) Sulianti Saroso, Santoso Suroso, diagnosing of the bird flu illness was in Indonesia considered to be slow if compared with Vietnam.

In this [that] country, said Santoso, the bird flu patient could be diagnosed in time a day. While Indonesia needed long spare time from that. Moreover the "diagnosis three days then were not yet accurate 100 percent, but just 70 percent him," he explained.

According to Santoso, this happened because of Indonesia did not yet have the implement the accurate test. In fact "if this implement was available, we could press the death rate resulting from bird flu," he said. Moreover, often the illness diagnosis resulting from the virus H5N1 this also was trapped with the other illness resulting from the same sign. As a result, often the patient came in days where their illness already in the serious stage.

In fact, said Santoso, the diagnosis very influential in the handling of the patient. In the city that has been equipped by facilities, he said, this matter possibly will not be too influential because just as the patient it was suspected was affected by bird flu, he will immediately be isolated. However, it is another matter with in the area where not all the patients suspect bird flu was at once isolated like the rule standard him. As a result, said Saroso, often the patient came in the condition to have been serious and big the possibility died resulting from late the handling.

http://www.republika.co.id/koran_det...206&kat_id=171

[Theresa42]

toggletext-ed from Indonesian:

Thousands of poultries Dimusnahkan
The Citizen hoped for the Compensation Fund could Immediately Cair
Sept 21, 2006

Tasikmalaya, (PR). -

Thousands of tails of the poultry from the Bojonggambir Village and Mangkonjaya the Bojonggambir Subdistrict, the Tasikmalaya Regency, on Wednesday (20/9) was destroyed. The step in this depopulation was carried out after being found by the existence of the chicken died in two areas was positive the bird flu virus.

The extermination of the poultry in Bojonggambir, was his four times was done in the Tasikmalaya Regency. Beforehand, depopulation of the poultry had been carried out in the Cilawu Subdistrict, then Cibalong and Karangnunggal. All the areas that were affected by the bird flu virus to this poultry were the area of rural areas was isolated.

The section head Livestock Breeding, fisheries and Marine Kab. Tasikmalaya, drh. Budi Utarma said, the extermination was carried out so that this virus does not spread to the other area.

Budi Utarma still could not ascertain the virus origin, but had the assumption from wild birds. Most chickens that terjangkit bird flu was the nonpedigreed chicken, with pen sanitation that not better.

In relation to the extermination that was carried out in two villages in the Bojonggambir Subdistrict, was done because from three sample the chicken that died positive was affected by the bird flu virus. The number of chickens that died suddenly in the area reached 573 tails.

Dibakar

The process pemusnakan the chicken was for the Bojonggambir Village carried out in the Gambirwangi field. Whereas in Mangkonjaya, in the Tanjungbaru field. The extermination took place began struck 11.00 WIB hingga in the afternoon. Hundreds of citizens witnessed directly this extermination from the distance approximately ten metre. The method is, the chicken disembelih then was burnt and buried.

The monitoring of "PR", the citizen Bojonggambir has arrived to the field began struck 9.30. They brought his livestock, there were those who was put into the sack of plastic, the shower or was brought immediately was held two foot him. The total chicken was destroyed from two villages reached 3.702 ekortermasuk including being entok and soang.

The citizen Bojonggambir Wahid said, the citizen got information from the official of the village that results of the upper test the chicken that died suddenly positive bird flu. To prevent the spread of the virus to humankind, being suggested so that the citizen brings his chicken to the field was destroyed.

"Therefore, I was with the other neighbour brought the chicken to this field. Brought by me nine chickens that was handed over to the official," he said.

The other citizen, Enceng said, initially felt love his kept chicken was handed over to be destroyed. But, frightened because of being affected by the virus ferocious bird flu, he sincere handed over his chicken.

Only, the citizen hope for, compensation that was promised of Rp 10.000,00/ekorbisa immediately was diluted in the hope that for Fast provisions. Several citizens claimed, has menyembelih his chicken to be consumed. The reason is, the chicken that was had by him that was seen healthy and far from the location of the chicken that died.

Before the extermination was carried out, the official from the Livestock Breeding Service, fisheries and Marine Tasikmalaya collected data on each citizen who handed over his chicken. Data collection was carried out for compensation that will be given by the government. The information is, slowest, a month has been liquid money for the compensation.

http://www.pikiran-rakyat.com/cetak/...06/21/0301.htm

Tasikmalaya regency (adjacent to Bandung regency):
http://en.wikipedia.org/wiki/Tasikmalaya

[Marcie]

http://visz.rsoe.hu/alertmap/woalert...t=dis&lang=eng

Biological Hazard - Indonesia archipelago
Event summary

GLIDE Number BH-20060912-7561-IDN
Event type Biological Hazard Date / time [UTC] 12/09/2006 - 11:47:11 (Military Time, UTC)
Country Indonesia Area Kuningan district
County / State West Java City -
Cause of event Unknow Log date 12/09/2006 - 11:47:11 (Military Time, UTC)
Damage level Moderate Time left -
Latitude: S 6° 59.000 Longitude: E 108° 29.000
Number of deaths: Not or Not data Number of injured persons: Not or Not data
Evacuated: - Infected -
-

--------------------------------------------------------------------------------

DESCRIPTION
Local officials in Indonesia's West Java province have ordered an emergency cull of some 4,500 chickens to contain a new outbreak of the bird flu virus among the poultry population, a local official said Tuesday. No human infections were reported from the quick spread of the H5N1 avian flu virus in two villages of West Java's Kuningan district last week, which killed around 1,500 chickens. Asep, an official from the Kuningan's district government office, said workers immediately began culling poultry in those villages and in surrounding areas last Saturday to contain the outbreak. "We will continue until (Sunday). After the outbreak was positive, we decided to cull."

[HenryN]

The illness ND Serang the Chicken Livestock was in Simalungun written by editorial staff on Sunday, on September 24 2006 Simalungun (SIB) Kadis Simalungun Regency Livestock Breeding Ir S Hutauruk, on Wednesday (19/9) mentioned, the ND virus (Newcastle Deasease) usually developed twice a year in connection with the change in the dry season and rainy.The ND attack could kill the chicken livestock in stages in one certain area.That was sent responded to the Simalungun complaint of the Regency community like in the Village Siborna the Panei Subdistrict, the Village Tigabolon the Sidamanik Subdistrict was still showing the nervousness and the trauma, on the death of hundreds of tails of the kept chicken livestock, it was suspected were attacked by bird flu.As being explained by villagers Siborna R L Tobing, he was forced to throw the carcass away his 8 chickens that were encountered died in the pen in the morning.According to Hutauruk, the characteristics of the public to the livestock that was attacked by bird flu and ND was seen was similar.The difference is, in the palm part foot the chicken carcass was attacked by ND was met the red spot bluish.The community was appealed to not restless and worried was abundant but precisely understood the characteristics of the ND virus that always attacked the chicken livestock in the change in the dry season became rainy or was the reverse.ND cruel could attack and kill the chicken in small scale whereas the plague of bird flu attacked and killed the chicken in large quantities when almost simultaneously.Was based on observation uptil now, the ND virus had never been known spread to humankind.Moreover, chicken was it was suspected attacked by this ND was safe to be consumed provided that is cooked achieved the level of the hot temperature certain.The ND virus has for a long time happened and has been known by the community occasionally emerged 2 times a year in one area, this illness kind had the special term in respectively the area.(E11/q)
http://hariansib.com/index.php?optio...13560&Itemid=9

[HenryN]

The district of fifty forms of the Bird Flu Command Post was written by editorial staff on Sunday, on September 24 2006 Fifty (SIB) Anticipate spread him bird flu of the District side fifty cities bekerjasamaby the UPTD Train (the Unit the Village of the technical Attendant) Fifty, established the bird flu command post since Monday (18/9) in the UPTD office local.The step was carried out following the occurrence of the death of dozens of tails of the chicken suddenly in Fifty was expected resulting from bird flu.According to the Train UPTD fifty Shingles Thunder SP on Wednesday (20/9), his side co-operated with the Sub-district Head as well as the Village Head fifty cities did spraying of the chicken coop as well as did the chicken vaccination that still was remaining.Well spraying and vaccination medicine were given free.According to the Thunder, his office was made the Bird Flu Command Post, by placing 4 officials to anticipate expanded him bird flu.The village head fifty cities of Solehati Harahap SAg, separately on Wednesday appealed to his citizen immediately to report to the Command Post when still had the citizen's chicken that died suddenly.Said, till at this time did not yet have the implementation plan of the extermination of the poultry in and around the death of dozens of chickens resulting from bird flu in Fifty.(SS/v)

http://hariansib.com/index.php?optio...13554&Itemid=9

[Commonground]

Posted by Influentia @ the Wiki:

http://tinyurl.com/gcgte

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 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)

[Commonground]

Statistical Chart out of Indo for cases from JULY 2005 to Sept. 21, 2006.
Click on the first link. PDF File.
Jumlah kasus penyebaran flu burung di Indonesia s/d tanggal 21 September 2006
FLU_BURUNG_21_09_2006.pdf
http://tinyurl.com/gexqj

It’s interesting how they write that up. 65 confirmed. (49 died). 156 cases under investigation (43 died)

[floridagirl]

Does anyone know the name of the child who was 9 years old that died in North Jarkarta?

[HenryN]

Commentary at

http://www.recombinomics.com/News/09...Cluster_2.html

[HenryN]

Originally Posted by floridagirl

Does anyone know the name of the child who was 9 years old that died in North Jarkarta?

The names usually come from the Indonesian language press, which have not had much to say about Jakarta cases. The recent 9 year old confirmed death however, was from SOUTH Jakarta not far from index case in July, 2005 in Tangerang..

[Theresa42]

Not directly bf related, but a little bit of context -- this from a book review in The New York Review of Books:

In rural Indonesia, you see a cultural problem that aid can't easily address: pregnant women and babies going hungry, even having to eat bark from trees, while their husbands are doing fine. It turns out that the custom is for the men and boys to eat their fill first....

Review
"Aid: Can It Work?"
By Nicholas D. Kristof
http://www.nybooks.com/articles/19374

[HenryN]

Originally Posted by floridagirl

Does anyone know the name of the child who was 9 years old that died in North Jarkarta?

The name of the 9 year old child from south Jakarta was "Dawn".

[HenryN]

Avian influenza – situation in Indonesia – update 32
25 September 2006
The Ministry of Health in Indonesia has confirmed two additional cases of human infection with the H5N1 avian influenza virus. Both cases were fatal.
The first case occurred in an 11-year-old boy from East Java Province. He developed symptoms of fever and cough on 16 September, was hospitalized on 18 September, and died the same day. Poultry in the child's household began dying in the month prior to symptom onset, and poultry deaths continued thereafter in his neighbourhood.
The second case occurred in a 9-year-old boy from South Jakarta. He developed symptoms of fever and a runny nose on 13 September, was hospitalized on 20 September, and died on 22 September. His history showed recent contact with sick chickens, which he kept as pets.
Of the 67 cases confirmed to date in Indonesia, 51 have been fatal.

http://www.who.int/csr/don/2006_09_25/en/index.html

[Theresa42]

Originally Posted by niman

The name of the 9 year old child from south Jakarta was "Dawn".

In Indonesian, Fajar (Dawn).

[Mingus]

What others think of the runny nose symptom ?
That don't sound like a good news,
And maybe like a "upper respiratory" affinity symptom.
???
__________________

Archive Number	20060925.2741
Published Date	25-SEP-2006
Subject	PRO/AH/EDR> Avian influenza, human (153): Indonesia

AVIAN INFLUENZA, HUMAN (153): INDONESIA
***********************************
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: Mon 25 Sep 2006
From: Marianne Hopp <mjhopp12@yahoo.com>
Source: World Health Organisation (WHO), CSR, Disease Outbreak News,
Mon 25 Sep 2006 [edited]
<http://www.who.int/csr/don/2006_09_25/en/index.html>


Avian influenza � situation in Indonesia � update 32

As of 25 Sep 2006, the Ministry of Health in
Indonesia has confirmed 2 additional cases of
human infection with the H5N1 avian influenza virus. Both cases were fatal.

The 1st case occurred in an 11-year-old boy from
East Java Province. He developed symptoms of
fever and cough on 16 Sep [2006], was
hospitalized on 18 Sep [2006], and died the same
day. Poultry in the child's household began dying
in the month prior to symptom onset, and poultry
deaths continued thereafter in his neighborhood.

The 2nd case occurred in a 9-year-old boy from
South Jakarta. He developed symptoms of fever and
a runny nose on 13 Sep [2006], was hospitalized
on 20 September, and died on 22 September. His
history showed recent contact with sick chickens, which he kept as pets.

Of the 67 cases confirmed to date in Indonesia, 51 have been fatal.

--
ProMED-mail
<promed@promedmail.org>

[This is the official WHO confirmation of the two
most recent deaths in Indonesia reported in
ProMED-mail posts "Avian influenza, human (152):
Indonesia 20060924.2731" and "Avian influenza,
human (151): Indonesia 20060922.2703". The deaths
of the 2 boys (resident in East Java and South
Jakarta) raise the number of confirmed human
cases of H5N1 avian influenza in Indonesia to 67
and the death toll to 51. The global number of
human cases of H5N1 avian influenza now becomes
249, and the global death toll is raised to 146.- Mod.CP]

[HenryN]

It was other that casualties Bird Flu died
Jakarta -- The Number Of deaths resulting from bird flu improved again with the death of a child was nine years old several hours after being brought to the hospital.
Therefore, already 51 people that died resulting from bird flu in Indonesia.
Casualties had the initials F this died on Friday (22/9), one hour after being reconciled to RS Sulianti Saroso, Jakarta.
As being explained by Dr Nadhirin from the Control Command Post of Department of Health Bird Flu, F has shown the sign of bird flu nine the previous day.
F, that the citizen of the Penang Hut, Southern Jakarta this experienced hot high rose descended, the cough and pilek.
The sufferer it was said had the story of contact with the poultry that was sick (positive H5Ni).
By his family, F was then brought to RS Republic of Indonesia State Police on Wednesday (20/9) with results of the laboratory lekopeni and the photograph x-rayed pneumonia.
On Friday (22/9), the sufferer was reconciled to RS Sulianti Saroso.
Casualties were stated positive bird flu was based on results of the PCR inspection (Polymirace Chain Reaction) the Body Litbangkes Department of Health and the US Naval Medical Research the Unit (NAMRU) Jakarta on September 23.
Therefore, was based on the central data of the Public's Communication from the Extraordinary Incident Command Post (KLB) the Directorate General's Bird Flu of the Control of the Illness and environmental Sanitation (PP and PL) the Department of Health, to September 25 2006, the number of bird flu sufferers in Indonesia achieved 67 cases.
Totalling 51 including dying.
Up to now, already nine provinces were gotten by the positive case of bird flu, namely the Special Capital District of Jakarta (17 cases, 15 died), Banten (eight cases, seven died), West Java (22 cases, 17 died), Central Java (three cases, two died), East Java (four cases, three died), North Sumatra (seven cases, six died), South Sulawesi (one case died), Lampung (three cases), as well as West Sumatra (two cases).
Whereas the case of bird flu all over the world, at this time achieved 246 cases, 145 including dying.
Respectively in Cambodia (six died), Iraq (two died), Indonesia (67 cases, 51 died), Azerbaijan (eight cases, five died), China (19 cases,

http://www.republika.co.id/koran_det...6097&kat_id=13

[HenryN]

Stock of the Vaccine AI Empty?In the middle gonjang-ganjing the bird flu threat, the vaccine avian influenza (AI) really was needed by the community or the chicken breeder.However when being needed, precisely stock of this vaccine was finished or empty.A breeder, Budi that admitted to coming the Pucanglaban Subdistrict said, himself just asked for the AI vaccine to the Livestock Breeding Service.However he must be disappointed and throw away very far the wish got the vaccine.Because stock of the AI vaccine was empty or was finished.The "official's words now still do not have the vaccine AI. He Said his stock was unavailable the alias has been finished," said Budi yesterday.This matter was justified by a staff of the livestock breeding service who reluctantly was named by his name.According to this source, at this time stock of the AI vaccine had not been available.Whereas available currently remained at the vaccine for cattle.The "AI vaccine has been finished, available the cattle vaccine," said this staff in his office yesterday morning.Now, the Section Head Tulungagung Livestock Breeding, Danduk Sudarham denied that.According to him, stock of the AI vaccine for the Tulungagung territory still quite safe.Meaning that, stock of the available vaccine it was considered still could be satisfying the available requirement."If the AI vaccine empty that was untrue."Please come and could be checked personally that his vaccine indeed still was available, said Danduk Sudarham.Danduk explained, his side was still having 11 thousand doses of the vaccine AI. in accordance with the plan, yesterday afternoon had the consignment of the addition of the AI vaccine totalling 10 thousand doses."We have asked to be sent the additional vaccine again."His plan the vaccine will this afternoon come, obviously him.Now respond to highest AI casualties in East Java, Danduk claimed to be his side will work again better.However Danduk denied his side proclaimed alert one against AI. That Is being more intensive did counselling, the vaccination, spraying, and the fast handling to the area that was attacked AI. "but was thought by me still was on the alert, because his characteristics incident was sporadic."It was important that the community must continue to be on the alert against AI that could happen when-waktu,"kata Danduk.(yog)
http://www.jawapos.com/index.php?act...d=139313&c=115

[HenryN]

http://english.ohmynews.com/articlev...&isPrint=print Bird Flu Claims Indonesia's 52nd Victim Two brothers taken ill after feeding their dog with chicken Aloysius Wisnuhardana (wisnuhard)

Indonesia was hit by a new record in terms of the number of bird flu deaths after Sunday when a 23-year-old man in Bandung died of the bird flu virus. His 20-year-old brother is in a critical condition and is now getting medical treatment at Hasan Sadikin Hospital in Bandung. Their relatives explained that both suffered from a high fever and found it hard to breathe after feeding their dog with dead chickens they had bought near their home. The 23-year-old man was the 52nd victim of bird flu in Indonesia. "According to the symptoms, we suspect that they are a new cluster (of the bird flu virus)," said the head of environmental health department at West Java office. If it is proved to be a new cluster, there are at least three clusters of bird flu as it continues its spread across Indonesia. The first case was in Tangerang and the second in Tanah Karo, North Sumatra. The virus has also triggered fears among people and government officials about whether the virus could eventually be transmitted between humans, although last August the World Health Organizations (WHO) declared that there was as yet no evidence for it. Although a laboratory test has not yet been conducted, the symptoms indicate that the two brothers suffered from pneumonia and a high fever. The country's 51st victim is a 9-year-old boy, Fajarianto, from South Jakarta. He spent three days being treated at Sulianti Saroso Hospital. A health ministry official has confirmed that Fajar was positive for bird flu and died after he first revealed the symptoms of the virus nine days before. Meanwhile in North Sumatra, five members of a family were sent to the Adam Malik Hospital in Medan after all of them were suspected of having the bird flu virus. Two of them were released on Monday but another died on the same day. The ministry officials could not record the victim because the cause of the death remains unclear. Reports showed that unusual chicken deaths had hit within one kilometer of the family's house. As the dry season is still running in Indonesia it is difficult to detect bird flu because many victims are children, and they often suffer from high fevers and breathing difficulties at this time of year. The doctors have often missed the diagnosis as happened in the case of the 23-year-old man. Initially, the doctors who gave medical treatment believed that this man was just suffering from ordinary flu. For this reason the adequate medical treatment for the bird flu virus was not given.

2006/09/27 오후 4:05 © 2006 Ohmynews

[Commonground]

27/9/2006 14:02 WIB

Officially Semarang City Agriculture found Illegal Meat and Glonggongan

Edi Prayitno - Semarang, the Semarang Service of City Agriculture was with police's Jakarta's Village Police Unit (Satpol PP) found tens kilogram illegal meat and meat glonggongan that was circulated in several traditional markets in Semarang, Central Java.

The section head the Health of the Semarang Animal of the Service of City Agriculture, drh Totok Susanto to ELSHINTA, on Wednesday (27/9) today said, initially his side carried out the sudden inspection in the Beautiful Semarang Coral Market, and there was found 10 kilogram meat that was not given the stamp from the reduction house in the animal (RPH).

Further, ditempat that other, clear drh Totok, was found by the existence of meat glonggongan that was sold secretly.

Where meat glonggongan was beef that the process penyembelihan him before was pumped with water, so as these cattle lost his power.

And when in the limp condition, these cattle just afterwards in the piece so as heavy meat heavier from normal cattle.

According to drh Totok Susanto, beef glonggongan apart from damaging in a manner the potential also opinion caused the illness.

Because of water that was pumped in the cattle stomach that would disembelih was not known hygienic or not

http://www.elshinta.com/v2003a/readnews.htm?id=33043

[Theresa42]

toggletext-ed from Indonesian:

Eight regencies in NAD Positive Bird Flu
Sept 27, 2006

Banda Aceh (ANTARA News) - Eight from 21 regencies/the municipality in the Province of Nanggroe Aceh Darussalam (NAD) was reported positive terjangkit the bird flu virus (Avian influenza/AI the variant H5N1) that attacked several poultries in this area.

"At this time had eight regencies/the city that has been stated positive bird flu, the" NAD" headword of the Service of Province Livestock Breeding, drh. M. Nasir Praised, to Antara News in Banda Aceh, on Wednesday.

He suggested, the eight regencies/the municipality that was stated positive bird flu, that is the Banda Aceh City, the Pidie Regency, Bireuen, Aceh North, Aceh East, Acehinese Tamiang, Aceh South and the Langsa City.

Nasir said, at this time the Livestock Breeding Service carried out several prevention efforts of the spreading of this virus in accordance with the instruction of RI Health Minister.

"We continued to carry out prevention efforts that were in accordance with the minister's instruction," he said.

Till at this time most provinces in Indonesia has terjangkit the bird flu virus, and dozens of casualties died resulting from the virus that attacked through this poultry.

The NAD province at the end 2005 also could terjangkit the virus that also turn off thousands of poultries and reduced the interest of the citizen in the province berjuluk the Mecca Veranda to mengonsumsi chicken.

At that time most of the citizen's poultries in Banda Aceh that it was known died suddenly and that was sick was destroyed by means of being burnt to avoid expanded him the spreading of the virus.

The government also gave compensation around Rp12.000 per the tail of the citizen's poultry that was destroyed, and injected vitamins to increase healthy poultry resistance to the illness.

To avoid tertular him the bird flu virus to humankind, according to him, his side always appealed to the owner of the hard-working poultry to maintain the cleanliness of the pen, and if want to mengonsumsi poultry meat must be cooked fully.

Nasir added, the community should not be frightened mengonsumsi the poultry, provided that is cooked cleanly and fully.

http://www.antara.co.id/seenws/?id=43196

Aceh is in northern Sumatra:
http://en.wikipedia.org/wiki/Aceh

[Commonground]

http://www.mediaindo.co.id/berita.asp?id=112860

Jum’at, on September 29 2006 16:26 WIB the HUMANITIES - Kesehatan Klaster Bird Flu improved To Nine Kasus

Jakarta — MIOL: The Number Of cases of bird flu (Avian influenza/AI) gathered to humankind (klaster) in Indonesia improved to nine cases with he confirmed the case of the new infection in EW (21) and Ab (11) in Tulungagung, East Java.

The official of the Command Post of the Health, Suhardaningrum, of the Department’s Bird Flu in Jakarta, on Friday, said results of the inspection of RT-PCR against the EW specimen, the older brother from the patient Ab that was stated positive was infected by the bird flu virus and died on September 18 2006, showed that the woman positive was infected by the AI virus.

The case klaster bird flu beforehand also happened to Ze (27) and RF (14) in Solok (West Sumatra), AT (10) and the USA (18) in Bandung (West Java), the USA (29) and his five relatives in the Karo Regency (North Sumatra), Nr (13) and En (4) in the Indramayu Regency (West Java), Is (19) and IJ (18) in Tangerang (Banten), Hn (21) and HS (4) in Tanggamus (Lampung), Rd (34) and Fr (9) in Southern Jakarta (the Special Capital District of Jakarta) as well as Is (37) and S (8) in Tangerang (Banten).

The increase the number of cases klaster bird flu always showed the concern would the occurrence of the spread of the AI virus (H5N1) from humankind to potential humankind caused the influenza pandemic.

Nevertheless till at this time results of the research into Ribonucleic Acid (RNA) the virus that generally was spread by this poultry showed that the virus that infected all the patients in Indonesia was the kind of the influenza virus that spread from the poultry to humankind.

The researchers beforehand also said that till at this time the change or the significant mutation in this virus that enabled the occurrence of the spread of the virus between humankind did not yet happen.

The inter-member spread of the family that happened to almost all the cases klaster in Indonesia was estimated happened because of the equality susceptibilitas or the sensitivity of the peer of the family’s member towards the infection.

[AlaskaDenise]

.....research into Ribonucleic Acid (RNA) the virus that generally was spread by this poultry showed that the virus that infected all the patients in Indonesia was the kind of the influenza virus that spread from the poultry to humankind.

Are they saying that their scientists think the human cases all have the same nucleotide sequences as the poultry? Or are they referring to the minimum designations?

.

[Commonground]

On September 30 06 00:53 WIB
Bird Flu in DS Mengkhawatirkan
Especially to the Citizen That witnessed the Extermination of Unggas
Medan, was on the alert Online

The bird flu threat in Deli Serdang began to be worrying especially against the citizen who witnessed the extermination of the poultry too close.
The threat will be attacked by the bird flu began on Tuesday (26/9) when the official from the related agency destroyed thousands of tails of the chicken livestock belonging to the citizen in one of the villages in the Pakam The Deepest Part, the Deli Serdang Regency.
Moreover finally the incident that equally occurring happened in the Perbarakan region, Kec.
The Merbau fence, Kab.
Deli Serdang.
At the same time, belasan the citizen that most children witnessed the extermination of the poultry from the distance that too close in fact less than one metre.
Kasubdin the Eradication of infectious diseases and North Sumatran Sanitation of the Environment of the Health Service Dr. the Dharma Sun that it was confirmed was on the alert, on Friday (29/9) said, the community that too close witnessed the extermination of the poultry that was infected by bird flu, the danger tertular the deadly illness.
The sun explained, the person that was close to the location of the extermination of the poultry especially the official who carried out the extermination, was obliged to put on the individual's protective equipment took the form of the mask, plastic clothes, gloves, shoes boot, the spectacles google and the hat.
If being not supplemented with the individual's protective equipment, then this person must avoid the location of the extermination of the minimal poultry five metre.
This aimed at preventing the occurrence of the spread of bird flu from the poultry to humankind.
More here: http://www.waspada.co.id/berita/sumu...ticle_id=80129

[Commonground]

I guess the official from the Health Dept. is in the Hope hospital, not feeling well?
http://www.tempointeraktif.com/hg/ja...-85021,id.html

The patient Suspect Membaik Jum’at Bird Flu, on September 29 2006 | 11:59 WIB
The Interactive TIME, Jakarta: Mariyani, the patient suspect bird flu that was treated in the Sulianti Saroso Infection Hospital, Jakarta North, yesterday improved. “His condition was stable and hot him began to descend,” said the Chairman Tim the Handling of RSPI Sulianti Saroso Bird Flu, Sardikin Giri the son, yesterday. However, the team of the doctor still could not confirm whether Mariyani terjangkit the bird flu virus. “Results of the laboratory inspection were still not obtained,” said Sardikin. His reason the official of the laboratory was from the Department of the Health being sick and was treated in our Hope Hospital, Jakarta West.

[Theresa42]

There's a poll on the front page of Media Indonesia about bf:
http://www.mediaindo.co.id

toggletext-ed:

Bird flu again became an epidemic and the case in Indonesia as that biggest in the world. Why this could happen?

322 responses

-The not serious government = 50%
-The extermination tdk spread everywhere = 9.94%
-Sweeping door to door not optimal = 6.21%
-Penangangan his characteristics were reactive = 32.92%
-Did not know = 0.93%

[Laidback Al]

Please post at new thread

http://www.flutrackers.com/forum/showthread.php?t=11285