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  • INDONESIA - Bandung Cluster, W. Java (5-8 suspected/confirmed cases at present)

    Cluster Just Bird Flu in BandungThe writer: Sugeng Sumaryadi

    Bandung -- MIOL: the Condition for Zakaria Divine Guidance, 20, suspect bird flu that was treated in RS Handsome Sadikin (RSHS) Bandung since Sunday afternoon (24/9), till Monday (25/9) still was critical. On the same day, casualties's older brother, Indra Jayakusuma, 23, died after experiencing the hot sign high and breathless.The older brother was siblings the citizen [*snip*], the Gardener's District Waru, the Batununggal Subdistrict, of this Bandung City, it was known had contact with the chicken died.

    It was daily that they the dog breeder that gave ate his kept animal with the chicken died that was bought from the market.The "condition for Divine Guidance very critical, in fact increasingly critical compared to when entering isolation space."His leucocytes descended, now pneumonia on the lungs increasingly spread, so as he suffered breathless difficult and must make use of respiratory aids, explained the Chairman Tim the Handling of the case of RSHS Hadi Jusuf bird flu.Kasubdin environmental Sanitation Dinkes West Java Fatimah Resmiati said, if results of the inspection of Divine Guidance blood evidently positive bird flu, this possibility was cluster just.Only, the conclusion still terkendala, because his older brother who died could not be taken the sample of his blood.According to information of casualties's family, Useful, the two older brothers were siblings began suffered hot and breathless, Monday last week.They just bought the chicken died and gave him to his kept dog."Both of them could go to the doctor, but was stated suffered flu and was asked to rest."Only, his condition was increasingly serious, so as on Saturday night, was brought by us to RS Saint Yusuf, flat Useful.Overnight was treated in this hospital, the condition the two casualties increasingly worrying.On Sunday early afternoon, reconciled both of them to RSHS Bandung, but in the Indra trip blew out the last breath, and afterwards immediately was brought to Garut, was buried.(SG/OL-02).
    </PRE>

    http://www.mediaindo.co.id/berita.asp?id=112405
    </PRE>
    Last edited by Theresa42; September 25, 2006, 07:48 AM.

  • #2
    Re: Cluster Just Bird Flu in Bandung

    Commentary at

    Comment


    • #3
      Re: Cluster Just Bird Flu in Bandung

      Metrotvnews.com, Bandung:

      the Handsome Hospital of Sadikin Bandung, West Java, again treated the patient who was expected tertular the bird flu virus.The patient was named Divine Guidance (20) currently was treated in Handsome Sadikin space of the Hospital isolation. The citizen of the [*snip*], Batununggal, the Bandung City, this underwent the maintenance since Ahad (24/9) yesterday. Before being treated in the Handsome Sadikin Hospital, Ttaufik could be treated with his older brother, Indra Jaya flowers (24) in the Hospital Saint Yusuf Bandung for one day.

      According to relatives of casualties, the two older brother-be siblings this experienced the sign of the fever, breathless after coming home from Garut, West Java.

      Both of them were in fact known could give ate the kept dog with the chicken carcass that was brought by both of them from Garut.

      The chairman Tim the Handling of Handsome Sadikin Hadi Yusuf Hospital Bird Flu said, from the clinical sign, the patient Divine Guidance it was suspected suffered bird flu.The condition for the patient at this time not yet menunjukan the increase in fact tended to descend.()


      </PRE>

      http://www.metrotvnews.com/berita.asp?id=24860


      </PRE>
      Last edited by Theresa42; September 25, 2006, 07:50 AM.

      Comment


      • #4
        Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

        Just a note on the Indonesian names of these two suspects:

        Zakaria Divine Guidance = Taufik Zakaria (20)
        Indra Jaya flowers = Indra Jayakusuma (23)
        ...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes

        Comment


        • #5
          Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

          H5N1 Individual Case Report
          __________________________________________________ ______________________________________
          caseid:479
          Country:Indonesia
          City and Region:Kebon Waru District, Batununggal Subdistrict, Bandung City
          Name:Indra Jayakusuma
          Sex:M
          Age:23
          Symptom onset:
          Hospital Admission:
          Death:
          9/24/2006
          Outcome:D
          WHO confirmed:No
          Relation: self
          Report Date
          Hyperlink
          9/24/2006http://www.flutrackers.com/forum/showpost.php?p=33374&postcount=17
          9/25/2006
          http://www.mediaindo.co.id/berita.asp?id=112405
          9/25/2006
          http://www.pikiran-rakyat.com/cetak/2006/092006/25/0207.htm

          __________________________________________________ ______________________________________
          caseid:478
          Country:Indonesia
          City and Region:Kebon Waru District, Batununggal Subdistrict, Bandung City
          Name:Taufik Zakaria
          Sex:
          Age:
          20
          Symptom onset:9/22/2006
          Hospital Admission:9/24/2006
          Death:
          Outcome:
          WHO confirmed:
          No
          Relation: Brother of 479
          Report Date
          Hyperlink
          9/24/2006http://www.flutrackers.com/forum/showpost.php?p=33374&postcount=17
          9/25/2006
          http://www.flutrackers.com/forum/showpost.php?p=33497&postcount=1
          9/25/2006
          http://www.pikiran-rakyat.com/cetak/...06/25/0207.htm
          http://novel-infectious-diseases.blogspot.com/

          Comment


          • #6
            Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

            The condition for the Patient ?Suspect? Bird Flu was Still being Bad Bandung, (HOMEWORK).

            - the Condition for the patient suspect bird flu had the initials TJ (20) from Kec. Batununggal, the Bandung City that was treated in RSHS Bandung, increasingly worsened.

            ?Keadaan him is still ugly, now was installed ventilator,? said the Chairman Tim the Handling of the Case of the necessary Special Infection the Maintenance and the RSHS Isolation, Dr. Hadi Jusuf, Sp. P. D. KPTI, to the reporter, in his office, on Monday (25/9).

            The OFFICIAL from Tim the Control of Bandung Bird Flu of the Service of City Agriculture gave the injection of the vaccination to a chicken in Street.

            Rancabolang Margacinta Bandung, some time before.
            M. the TUMULT SAPTA/PR"

            Although being considered late, tamiflu continued to be given with the double dose or 150 ml.

            Dr. Hadi said, antivirus and tamiflu will be effective if being given in the period 48 hours after the sign began to be felt by the patient.

            According to Dr. Hadi, from produced by twice the inspection x-rayed, the condition for the lungs was still being ugly.

            This was marked by the sign of pneumonia that increasingly spread.

            ?Respirasi him was still ugly, saturasi oxygen from blood did not yet rise, and from results of x-raying the lungs, the sign of his pneumonia increasingly luas,? he said.

            That, said Dr. Hadi, the condition trend for the patient indeed worsened.

            But, the team of the doctor was still being waiting for results of the sample inspection of Balitbangkes Jakarta.

            The sample has been sent on Monday morning and results were just known one or in the next two days.

            Moreover, the team of the doctor RSHS will coordinate with RS Saint Yusup, the IJ place (24) and TJ (20) the older brother was siblings suspect bird flu could be treated.

            As being reported beforehand, TJ arrived in RSHS on Sunday (24/9) approximately struck 13.30 WIB.

            Half of the hour beforehand, the older brother TJ, namely IJ (24), blew out the last breath in RS Saint Yusup by suffering the same sign.

            On Sunday night, the IJ body was at once buried in the Jolokbatu Village, Kec.Banyuresmi, Kab.Garut.

            TertundaThe team of the handling of Bandung bird flu of the Service of City Agriculture, on last Monday morning visited the IJ residence of the deceased's family in RT 03 RW 03 Kel.Kebonwaru, Kec.Batununggal for took sampling the poultry to be researched.

            ?Namun, the taking sampling this could not be done, because the family went to Kab.Garut to bury the body IJ,? said the Section Head Agriculture (Distan) the Bandung City, Ir. Yogi Breakingprep Supardjo.

            Scheduled, the team will visit again this Tuesday (26/9) to take sampling the poultry was before afterwards brought to the laboratory of Cikole-Lembang.(A-156/A-154)

            </PRE>
            http://www.pikiran-rakyat.com/cetak/...06/26/0210.htm
            </PRE>
            Last edited by Theresa42; September 25, 2006, 10:45 PM.

            Comment


            • #7
              Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

              toggletext-ed from Indonesian:

              Dinkes will take the Sample of Unggas [poultry] Blood
              Sept 26, 2006

              PASTEUR, (GM). -

              After almost one month not have inhabitants, Handsome Sadikin Space of the Isolation of the Hospital Poinciana Tree (RSHS) Bandung was again filled up. The patient had the initials T (20), the citizen [*snip*] Kel. Kebonwaru, Kec. Batununggal, Bandung entered Poinciana Tree Space because of having the sign resembled bird flu.

              The student a state tertiary institution (PTN) in Bandung this began to be treated in RSHS since Sunday (24/9) approximately struck 13.30 WIB. Therefore, the patient T was the 54th patient who occupied Poinciana Tree Space.

              The chairman Tim [team] the Handling of the Case of the necessary Special Infection the Maintenance and the RSHS Isolation, Dr. Hadi Jusuf, Sp. P. D., K. P. T. I. to the reporter in RSHS, on Monday (25/9) mentioned, when the first time arriving in Poinciana Tree Space, the condition for the patient T very ugly and critical. The hot situation inpatient high, the temperature of his body achieved 38 Celsius levels with hypotension and breathless. "But his situation still realised," said Hadi.

              Till Monday afternoon (25/9), the condition for the patient T was not far be different to beforehand. The temperature of the body, blood pressure, and the attraction of the breath was still staying same. Moreover, at this time the patient T has used respiratory aids (the ventilator). In the meantime, the level of leucocyte, trombosit, and limposit him was considered to be low. "There was the sign of pneumonia also. With the characteristics like that, was classed by us the T patient as suspect," explained Hadi.

              Chicken contact mati

              In the meantime, the older brother T of the patient's cousin, Dede Supriatna (33) to the reporter in RSHS said, his foreknowledge, the T patient was with his older brother who was named IJ (24) beforehand indeed had done contact with the poultry died. According to Dede, T and IJ once contact with the chicken died to give ate his dog, on Sunday (17/9).

              That definitely, according to Dede, since having contact by dying that, at night T and IJ began to experience the high fever. That same evening, both of them could go to the doctor closest. Only, because his condition will never improve, on Saturday (23/9) both of them were run off with to RS Saint Yusuf. In RS so, the full sibling T, IJ died. Because of not wanting to the matter that was not wanted, happen the family afterwards brought T to RSHS.

              "IJ last night (on Sunday, 24/9) struck 22.00 WIB has been buried in Garut. Moreover, on the initiative from the family, when being buried our IJ body the plastic package," said Dede while hoping, T could immediately recover and not was affected by the virus avian influenza (AI/bird flu).

              In connection with the existence suspect bird flu, the Health Service (Dinkes) the Bandung City carried out investigation to the area of the patient's residence T. That was done to see the T cause factor to suspect bird flu. Was like this it was said Kasi the Prevention of infectious diseases (P2M) Dinkes the Bandung City, the Sonka Co-voice in his office, on Monday (25/9). "Until this we still could not know his cause," he said.

              ...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes

              Comment


              • #8
                Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

                TAUFIK CRITICAL, his BROTHER ALSO entered RSHS Bandung


                Cluster of 3 now

                Metrotvnews.com, Bandung: the Condition for Zakaria Divine Guidance(Taufik), the patient suspect bird flu that was treated in the Handsome Sadikin Hospital, Bandung, West Java, up to now still is critical.

                The chairman Tim Penanggualangan Bird Flu RSHS Bandung the doctor Hadi Yusuf, on Tuesday (26/9), stated, the temperature of the Divine Guidance body at this time was still high, that is revolving 38 Celcius levels.
                He also still must be helped respiratory aids.

                Now the full brother Divine Guidance, the precious stone Diamond, struck
                23.00 WIB last night also must be treated in space of the Poinciana Tree isolation RSHS.


                the Diamond must be treated because of experiencing the sign of the illness that like Divine Guidance, namely the fever and breathless.

                Beforehand, the full sibling the other Diamond, namely Indra Jayakusuma, died with the sign of the illness that also was similar with that was suffered by the Diamond and Divine Guidance.

                The diamond was the patient suspect 55th bird flu that underwent the maintenance in RSHS. according to relatives of casualties, Divine Guidance and Indra experienced the sign of the fever, breathless after coming home from Garut, West Java.

                They brought the chicken carcass was given to his kept dog.


                ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                Richard Horton, Editor-in-Chief The Lancet

                ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                Comment


                • #9
                  Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

                  Metrotvnews.com, Bandung: the Condition for Zakaria Divine Guidance (Taufik Zakaria), the patient suspect bird flu that was treated in the Handsome Sadikin Hospital, Bandung, West Java, up to now still is critical.The chairman Tim Penanggualangan Bird Flu RSHS Bandung the doctor Hadi Yusuf, on Tuesday (26/9), stated, the temperature of the Divine Guidance body at this time was still high, that is revolving 38 Celcius levels.He also still must be helped respiratory aids.Now the full brother Divine Guidance, the precious stone Diamond (Intan Mustika), struck 23.00 WIB last night also must be treated in space of the Poinciana Tree isolation RSHS. the Diamond must be treated because of experiencing the sign of the illness that like Divine Guidance, namely the fever and breathless.

                  Beforehand, the full sibling the other Diamond, namely Indra Jayakusuma, died with the sign of the illness that also was similar with that was suffered by the Diamond and Divine Guidance.The diamond was the patient suspect 55th bird flu that underwent the maintenance in RSHS. according to relatives of casualties, Divine Guidance and Indra experienced the sign of the fever, breathless after coming home from Garut, West Java. They brought the chicken carcass was given to his kept dog.(DEN)


                  </PRE>

                  http://www.metrotvnews.com/berita.asp?id=24914


                  </PRE>

                  Comment


                  • #10
                    Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

                    One Member Cluster Bandung Bird Flu Positive was infectedThe writer: SugengBandung --

                    MIOL: A patient suspect bird flu that was treated in RS Handsome Sadikin (RSHS) Bandung since Sunday night (24/9), Zakaria Divine Guidance, 20, positive was infected by the virus H5N1.

                    The condition for the citizen Street.Jakarta, the Gardener's District Waru, the Batununggal Subdistrict, the Bandung City, that till Tuesday did not yet improve.

                    In the meantime, on Monday night (25/9), around struck 20.00 WIB, the brother of casualties's youngest child, the precious stone Diamond, 15, (Intan Mustika,)also was run off with to RS Handsome Sadikin Bandung because he complained suffered breathless, had a headache and hot.

                    The "diamond complained was sick sepulang from delivering his older brother's body was buried in Garut.

                    "Because frightened of suffering the illness like his two older brothers, he was at once run to RSHS off with, explained the mother of the two casualties, Nurjanah, 43.

                    Beforehand, on Sunday (24/9) full siblings the two casualties, Indra Jayakusuma, 23, died when being treated in RS Saint Yusuf.

                    Casualties could not be taken the sample of his blood, because of his body at once was brought to Garut was buried.

                    From the speech on the family, Indra and Divine Guidance had contact with the chicken died.

                    His days they maintained the dog, that for his food was received from chicken that has died, that was bought from the market.

                    "Results of the positive inspection of Divine Guidance blood terjangkit bird flu."

                    His condition also did not yet appear to be improving, since the first time till two days was treated in Poinciana Tree Space, explained the Managing Director RSHS Cissy Rachiana Kartasasmita.

                    The chairman Tim the Handling of the Case of RSHS Hadi Jusuf Bird Flu added, the condition for Divine Guidance was classified as critical, in fact increasingly critical compared to when entering isolation space.

                    "His leucocytes descended, now pneumonia on the lungs increasingly spread, so as he suffered breathless difficult and must make use of respiratory aids," he said.

                    While the condition for his youngest child's brother, the Diamond, gradually improved.

                    Results of his blood inspection have been sent, but RSHS did not yet receive confirmation produced by his test.(SG/EM/OL-03)


                    http://www.mediaindo.co.id/berita.asp?id=112513








                    </PRE>
                    Last edited by AlaskaDenise; September 26, 2006, 02:53 AM. Reason: reformatted for readability

                    Comment


                    • #11
                      Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

                      The member Cluster Bandung Bird Flu improved OneThe writer: SugengBandung -- MIOL:

                      the precious stone Diamond, 15, was run off with to RS Handsome Sadikin Bandung because of being expected tertular the bird flu virus.

                      The diamond was the brother of casualties's youngest child suspect Zakaria Divine Guidance bird flu, 20, that still was treated in RSHS.

                      Beforehand, their eldest child's older brother, Indra Jayakusuma, 23, on Sunday (24/9) died with the sign terjangkit bird flu.

                      The three older brothers were siblings that was the citizen Street.Jakarta, the Gardener's District Waru, the Batununggal Subdistrict, the Bandung City.

                      They it was known carried out contact with the chicken died, because everyday Indra and Divine Guidance maintained the dog and gave ate kept him that with the chicken died.

                      The mother of casualties, Nurjanah, 43, said, the Diamond admitted to experiencing headache, hot and breathless, sepulang from the funeral of his eldest child's older brother, in Garut.

                      Because frightened he suffered the illness that be the same as that was experienced by his two older brothers, the Diamond was at once run off with to RSHS, on Monday (25/9).

                      Now till Tuesday, the condition for Divine Guidance was still being critical.

                      The "condition for Divine Guidance very critical, in fact increasingly critical compared to when entering isolation space.

                      "His leucocytes descended, now pneumonia on the lungs increasingly spread, so as he suffered breathless difficult and must make use of respiratory aids, explained the Chairman Tim the Handling of the case of RSHS Hadi Jusuf bird flu.

                      Kasubdin environmental Sanitation Dinkes West Java Fatimah Resmiati said, if results of the inspection of Divine Guidance blood evidently positive bird flu, this possibility was cluster just.

                      Only, the conclusion still terkendala, because his older brother who died could not be taken the sample of his blood.

                      According to information of casualties's family, Useful, the two older brothers were siblings began suffered hot and breathless, to Monday last week.

                      They just bought the chicken died and gave him to his kept dog.

                      "Both of them could go to the doctor, but was stated suffered flu and was asked to rest."

                      Only, his condition was increasingly serious, so as on Saturday night, was brought by us to RS Saint Yusuf, flat Useful.

                      Overnight was treated in the hospital, the condition the two casualties increasingly worrying.

                      On Sunday early afternoon (24/9), the hospital side reconciled both of them to RSHS Bandung, but in the Indra trip blew out the last breath,


                      </PRE>

                      http://www.mediaindo.co.id/berita.asp?id=112508


                      </PRE>
                      Last edited by AlaskaDenise; September 26, 2006, 02:57 AM. Reason: reformatted for readability

                      Comment


                      • #12
                        Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

                        Commentary at

                        Comment


                        • #13
                          Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

                          Jakarta - Indonesian health officials said on Tuesday that they were examining possible person-to-person transmission of bird flu after three brothers developed symptoms of the virus, one of whom has died.

                          So-called cluster cases, where the H5N1 virus is spread from human to human rather than from poultry, increase the chance of the virus mutating to become easily transmissible between people.

                          Such a development, scientists fear, could lead to a global pandemic with a potential death toll of millions.

                          Fatimah Resmiati, from the West Java health office, said that a 25-year-old man died in Bandung on Sunday suffering bird flu symptoms, but he was buried without samples being taken for testing.

                          His 20-year-old brother, displaying similar symptoms, was admitted to the same hospital with him, she said.

                          He was transferred to Hasan Sadikin hospital, a government-appointed centre for bird flu treatment, where he was joined by the third brother, aged 15, on Monday.

                          "As the three are blood-related and suffer from the same symptoms, we are suspecting a new cluster case here, but we still have to make the necessary tests to ascertain what they are suffering from," Resmiati told AFP.

                          The family had regularly fed dead chickens from various sources, including local markets, to their dogs, she said - meaning the trio may have picked up the virus from poultry instead of from each other.

                          Samples have been taken from the rest of the family and their close neighbours, Resmiati added.

                          Hadi Yusuf, who heads the bird flu control team at the hospital, told AFP that the 20-year-old was in a critical condition but declined to comment on the youngest brother.

                          Indonesia is grappling with ongoing outbreaks of the H5N1 virus in its poultry and has reported 51 human fatalities from avian influenza, the highest number anywhere in the world.

                          It reported the world's first laboratory confirmed case of human-to-human transmission in May, when seven people died in a cluster case.

                          The World Health Organisation estimates that there have been about half a dozen instances of human-to-human transmission, mainly involving relatives or close carers who were infected by someone who caught the virus from poultry. - Sapa-AFP


                          Comment


                          • #14
                            Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

                            Indonesia investigates possible bird flu cluster case

                            Antara - September 26, 2006

                            Jakarta (ANTARA News) - Indonesian health officials said Tuesday they were examining possible person-to-person transmission of bird flu after three brothers developed symptoms of the virus, one of whom has died.

                            So-called cluster cases, where the H5N1 virus is spread from human to human rather than from poultry, increase the chance of the virus mutating to become easily transmissible between people.

                            Such a development, scientists fear, could lead to a global pandemic with a potential death toll of millions.

                            Fatimah Resmiati, from the West Java health office, said that a 25-year-old man died in Bandung on Sunday suffering bird flu symptoms, but he was buried without samples being taken for testing.

                            His 20-year-old brother, displaying similar symptoms, was admitted to the
                            same hospital with him, she said.


                            He was transferred to Hasan Sadikin hospital, a government-appointed centre for bird flu treatment, where he was joined by the third brother, aged 15, on Monday.

                            "As the three are blood-related and suffer from the same symptoms, we are suspecting a new cluster case here, but we still have to make the necessary tests to ascertain what they are suffering from," Resmiati told AFP.

                            The family had regularly fed dead chickens from various sources, including local markets, to their dogs, she said -- meaning the trio may have picked up the virus from poultry instead of from each other.

                            Samples have been taken from the rest of the family and their close
                            neighbours, Resmiati added.


                            Hadi Yusuf, who heads the bird flu control team at the hospital, told AFP
                            that the 20-year-old was in a critical condition but declined to comment on the youngest brother.

                            Indonesia is grappling with ongoing outbreaks of the H5N1 virus in its
                            poultry and has reported 51 human fatalities from avian influenza, the highest number anywhere in the world.

                            It reported the world's first laboratory confirmed case of human-to-human
                            transmission in May, when seven people died in a cluster case.

                            The World Health Organisation estimates that there have been about half a
                            dozen instances of human-to-human transmission,
                            mainly involving relatives or close carers who were infected by someone who caught the virus from poultry.

                            ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                            Richard Horton, Editor-in-Chief The Lancet

                            ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                            Comment


                            • #15
                              Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

                              Indonesia probes possible bird flu cluster in family

                              By Ahmad Pathoni | September 26, 2006

                              JAKARTA (Reuters) - Indonesia is investigating a possible cluster of bird flu cases after a man died and his brother and sister were hospitalized, one of them testing positive for bird flu, a doctor said on Tuesday.

                              The man, 25, died on Sunday with bird flu symptoms after being treated at a Christian hospital in Bandung, the capital of West Java province, said Hadi Yusuf, head of the bird flu ward at the city's Hasan Sadikin hospital.

                              The dead man's brother, 20, and sister, 15, were being treated in Hasan Sadikin hospital and tests carried out by a government laboratory showed the surviving brother had bird flu, Yusuf said.

                              It was not clear if samples from the dead brother had been taken for tests when he was treated, the doctor said.

                              "The condition of the (other) brother is not good. He's on a ventilator," Yusuf told Reuters by telephone.

                              Results for the girl were expected on Wednesday, he said.

                              The brothers often bought dead chickens to feed their dog, but the girl had no known history of contact with chickens, the doctor said.

                              "If it is true that the youngest did not touch chickens at all and she had bird flu, we need to suspect she got it from the brothers," he said.

                              According to the World Health Organization (WHO), 146 of the 249 people confirmed as infected with H5N1 bird flu have died since 2003.

                              Those infected have come from countries ranging from China to Iraq to Djibouti. Indonesia, with 51 deaths, has the highest toll of any nation.

                              In Thailand, a 59-year-old man died of bird flu last month, the country's 17th victim of the virus since it swept through much of Asia in late 2003, a senior Health Ministry official said on Tuesday.

                              The man died on August 10 in a northeastern province near the Lao border after chickens at his house fell sick and died, the official said.

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

                              This fear heightened in May when seven people in an extended family died of bird flu in Indonesia's North Sumatra province.

                              The WHO has said limited human-to-human transmission is highly likely to have occurred in the Sumatra cases but that the transmission was not sustainable and occurred only during close, prolonged contact, such as a parent looking after an infected child.

                              Indonesia has been criticized for not doing enough to combat the disease, endemic in birds in most of the provinces in the archipelago of 17,000 islands, the world's largest.

                              The United Nations bird flu coordinator, David Nabarro, said this month that Indonesia had made progress in its fight against bird flu.

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

                              Health experts and scientists say it is crucial to control the virus from spreading in poultry to limit the chances of more people contracting the disease. The more it spreads, the greater the risks of the virus mutating into a form that can easily pass between humans.

                              http://www.boston.com/news/world/asi...family?mode=PF
                              Last edited by AlaskaDenise; September 26, 2006, 01:57 PM. Reason: reformatted for readability

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