Pekanbaru (ANTARA News) - A boy with initials JF (17), who allegedly (suspect) infected with the virus that causes bird flu, H5N1, is now in critical condition at the Arifin Achmad Hospital in Pekanbaru, Riau.
"Patients in critical condition because until now still in a coma," said Chairman of Avian Influenza Control Arifin Achmad Hospital, Azisman Saad, told AFP in Pekanbaru, Sunday.
Pekanbaru residents were still in intensive care in a special isolation room bird flu patients. According to Azisman, patients experience a high fever with body temperature reached 37.5 degrees Celsius.
In addition, he said, patients also experience difficulty in breathing because breath reaches 60 per minute. Meanwhile, breathing human beings under normal conditions range from 16-20 per minute.
"Patients still need help respirator machines to survive," he said.
He added that the team doctors and the Riau provincial health office has taken samples of blood and mucus (SWAP) from JF to be sent to the Research and Department of Health in Jakarta to ensure the patient.
One patient's family, Evy, saying that JF was in a coma for three days since last Friday (8 / 1). He said JF was experiencing fever, shortness of breath and diarrhea before it finally collapsed.
The family had brought JF previous to the Hospital of Santa Maria Pekanbaru, and finally was referred to Arifin Achmad Hospital because the doctors suspected bird flu infected patient.
"Until now we do not know where he could get the disease because in his house in Pekanbaru no dead birds, and he (JF) during this study in West Sumatra," said Evy.
Positive
Saad said Azisman since December 2009, RUSD Arifin Achmad Pekanbaru has handled three cases of bird flu. Two patients are young children (under five years) from Indragiri Hulu (Inhu), and another is from Pekanbaru JF.
One toddler from Inhu patients had died on December 31 because of late to get medical treatment. While the initials AN suspect, a female toddler Inhu origin, have tested positive for H5N1 virus.
"The results of examination of MOH in Jakarta showed positive bird flu," said Azisman.
According to him, the team doctor sampe received last Friday (8 / 1). Even so, the patient's condition is now normal and not have to be treated in isolation rooms.
"At first the doctors had let him go home. But because of the positive samples of H5N1, the patient was transferred to the care of children," he said.
(*)
--- Bahasa Indonesia original text
Suspect Flu Burung di Pekanbaru Kritis
Minggu, 10 Januari 2010 16:36
Pekanbaru (ANTARA News) - Seorang anak lelaki berinisial JF (17), yang diduga (suspect) terjangkit virus penyebab flu burung, H5N1, sekarang dalam kondisi kritis di RSUD Arifin Achmad di Pekanbaru, Riau.
"Pasien dalam kondisi kritis karena sampai sekarang masih koma," kata Ketua Pengendalian Flu Burung RSUD Arifin Achmad, Azisman Saad, kepada ANTARA di Pekanbaru, Minggu.
Warga Pekanbaru itu masih dalam perawatan intensif di ruang isolasi khusus penderita flu burung. Menurut Azisman, pasien mengalami demam tinggi dengan suhu badan mencapai 37,5 derajat Celcius.
Selain itu, ujarnya, pasien juga mengalami kesulitan bernafas karena tarikan nafas mencapai 60 per menit. Sedangkan, tarikan nafas manusia dalam kondisi normal berkisar 16-20 per menit.
"Pasien masih membutuhkan bantuan mesin bantu pernafasan untuk bertahan hidup," katanya.
Ia menambahkan, tim dokter dan Dinas Kesehatan Provinsi Riau telah mengambil sampel darah dan lendir (SWAP) dari JF yang akan dikirim ke Balitbang Depkes di Jakarta untuk memastikan penyakit pasien.
Salah satu keluarga pasien, Evy, mengatakan bahwa JF sudah dalam kondisi koma selama tiga hari sejak Jumat lalu (8/1). Ia mengatakan JF sudah mengalami demam, sesak nafas dan diare sebelum akhirnya jatuh pingsan.
Pihak keluarga sebelumya sempat membawa JF ke RS Santa Maria Pekanbaru, dan akhirnya dirujuk ke RSUD Arifin Achmad karena pihak dokter menduga pasien terjangkit flu burung.
"Sampai sekarang kami belum tahu dari mana dia bisa terkena penyakit karena di rumahnya di Pekanbaru tidak ada unggas mati, dan dia (JF) selama ini bersekolah di Sumatera Barat," kata Evy.
Positif
Azisman Saad mengatakan sejak Desember 2009, RUSD Arifin Achmad Pekanbaru telah menangani tiga kasus flu burung. Dua pasien adalah anak balita (bawah lima tahun) asal Kabupaten Indragiri Hulu (Inhu), dan satu lagi adalah JF asal Pekanbaru.
Salah satu pasien balita dari Inhu telah meninggal dunia pada tanggal 31 Desember karena telat mendapatkan perawatan medis. Sedangkan suspect berinisial AN, seorang balita perempuan asal Inhu, sudah dinyatakan positif terjangkit virus H5N1.
"Hasil pemeriksaan Depkes di Jakarta menunjukan positif flu burung," kata Azisman.
Menurut dia, hasil sampe diterima tim dokter pada Jumat lalu (8/1). Meski begitu, kondisi pasien kini sudah normal dan tidak perlu dirawat di ruangan isolasi.
"Awalnya tim dokter sudah memperbolehkan dia pulang. Namun karena hasil sampel positif H5N1, maka pasien dipindahkan ke ruang perawatan anak," katanya.
(*)
Rizal Harahap , The Jakarta Post , Pekanbaru | Sun, 01/10/2010 5:48 PM | National
A 17-year-old teenager who is suspected of having contracted the H1N1 bird flu virus is in a critical condition at the Arifin Achmad regional public hospital in Pekanbaru, Riau.
The hospital head for bird flu control, Azisman Saad, said Sunday the teenager was receiving intensive treatment in an isolation room at the hospital.
“The suspect is still in a comma-like condition and is suffering from a high fever,” Azisman said.
He added the patient needed a machine to assist his breathing.
“A team of doctors from the Riau provincial health agency took a blood sample of the patient and will send it to the health ministry in Jakarta,” he said.
Evy, one of the patient’s relatives said the patient had been ill since Friday.
She said he had been suffering from a fever, breathing difficulties and diarrhea before fainting.
“We have yet to know how the patient could have been infected by the virus,” she said. (ewd)
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
January 10, 2010
Pekanbaru Teen in Critical Condition, Coma After Contracting Bird Flu
A17-year-old boy from Pekanbaru, Riau, is now in a critical condition after being infected with the deadly bird flu virus.
“The patient is in a critical condition and in a coma,” said Azisman Saad, head of the bird flu team at Arifin Achmad General Hospital in Pekanbaru.
Azisman said the boy, identified only as JF, was isolated in intensive care after suffering high fever and trouble breathing.
“He needs a breathing machine to survive,” Azisman said, adding that the provincial health agency had sent the boy’s blood sample to the Ministry of Health and the test result came back positive for H5N1 avian influenza.
Evy, one of the boy’s relatives, said the family did not know where JF could have contracted the virus because he had no history of direct contact with sick poultry.
Evy said JF fell into coma on Friday after experiencing some bird flu symptoms, including trouble breathing, fever and diarrhea.
Azisman said the hospital had handled two other positive cases of bird flu since December, both occurring in children below the age of 5. One of the patients died on Dec. 31, while the other was recovering and had been released from isolation.
Azisman said a 5-year-old girl from Indragiri Hulu died because she received treatment too late and was brought to the hospital in a very bad condition.
Tjandra Yoga Aditama, director general of communicable diseases at the Health Ministry, said 20 people had been confirmed as having contracted bird flu in 2009, of which 19 had died.
The findings meant Indonesia remained the country with the highest number of bird flu cases and fatalities. Since the outbreak first emerged in 2003, 137 people have died in Indonesia, while the virus has killed less than 300 people worldwide. http://thejakartaglobe.com/news/peka...ird-flu/351922
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Quote:
Originally Posted by Treyfish
January 10, 2010
Pekanbaru Teen in Critical Condition, Coma After Contracting Bird Flu
(...)
One of the patients died on Dec. 31, while the other was recovering and had been released from isolation.
Azisman said a 5-year-old girl from Indragiri Hulu died because she received treatment too late and was brought to the hospital in a very bad condition.
Tjandra Yoga Aditama, director general of communicable diseases at the Health Ministry, said 20 people had been confirmed as having contracted bird flu in 2009, of which 19 had died.
The findings meant Indonesia remained the country with the highest number of bird flu cases and fatalities. Since the outbreak first emerged in 2003, 137 people have died in Indonesia, while the virus has killed less than 300 people worldwide. http://thejakartaglobe.com/news/peka...ird-flu/351922
Avian Flu Situation In 2009
28 Dec 2009
From January 1 to December 28, 2009, there were 20 cases of H5N1 in Indonesia, 19 people died. The first H5N1 case occurred on January 9, in Bogor, while the last case was found on September 23, 2009 in South Jakarta.
Hence, the 5-year-old girl is fatal case #20 of at least 21 human cases in 2009 - there were 2 more mentioned ("since December hospital handled 3 cases"), but article - first posting of this thread -did not specify when the other two fell ill - was before or after 1 Jan ?
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Quote:
Originally Posted by Celvin11
Hence, the 5-year-old girl is fatal case #20 of at least 21 human cases in 2009 - there were 2 more mentioned ("since December hospital handled 3 cases"), but article - first posting of this thread -did not specify when the other two fell ill - was before or after 1 Jan ?
From Post #1:
Quote:
Saad said Azisman since December 2009, RUSD Arifin Achmad Pekanbaru has handled three cases of bird flu. Two patients are young children (under five years) from Indragiri Hulu (Inhu), and another is from Pekanbaru JF.
Indonesia
Riau Adm: Arifin Achmad Name: From: Dusun Tuo Pelang. Dist: Kelayang Indragiri Hulu (Inhu). Hospital: Sym Onset: Recon: Notes: Confirmation: Positive DOD: 12/31 Adm: Name: An Nisha/Annisha (4) From: Rengat, Bongkal Malang, Simpang Kelayang, Indragiri Hulu (Inhu) Hospital: 12/31 Arifin Achmad Hosp. Sym Onset: 12/27 Recon: Notes: Confirmation: Positive (on 1/8) DOD: Recovered West Sumatra Adm: 1/9 Name: JF (17) From: Painan, West Sumatra Hospital: Arifin Achmad Sym Onset: Recon: Santa Maria Pekanbaru Notes: Coma since 1/8. No poultry found in home. Confirmation: Positive DOD:
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Google translation: [I'll do a toggletext translation....]
Pekanbaru, TRIBUN - Patient suspect bird flu YF (17), origin Painan, South Coast, West Sumatra, in critical condition until the story was written, Sunday (10 / 1) at 20.00 pm. Patients treated in the isolation room Arifin Ahmad Pekanbaru hospitals, since Saturday (9 / 1).
Monitoring Tribune, from outside the isolation room, YF lay weak and installed ventilatar tool to assist breathing. YF in Pekanbaru since two weeks ago for a vacation at her sister's house in Pekanbaru. However, two days ago, he had a fever heat. Family in Pekanbaru took him to Hospital Santa Maria, Friday (8 / 1).
Description families, YF conditions worsened at the hospital. YF unconscious. Finally YF by the Hospital of Santa Maria was referred to Arifin Ahhmad hospitals, Saturday (9 / 1).
"Previously these patients was treated for two days in the hospital of Santa Maria. Lalau when his condition was critical, just referred to Arifin Achmad Hospital," said Dr. Azisman Sa'ad, Chairman Tim Bird flu Arifin Ahmad Hospital, as confirmed Tribune, Sunday (10 / 1).
About YF conditions, Azisman explained, the patient was in critical condition. Can be said in a coma.
"It's very hard situation. We have carried out according to the procedure implementation stylist still MOH full potential," said Azisman.
Explained, 150/80 patients tekananan blood, 38.5-degree body temperature, respiration 60 times per minute and the pulse 146. Pulmonary condition was whitened all. Handling is being done by Azis is the installation of a ventilator to assist breathing.
"So the status of the patient when we received was ARDS (Acute Respiratory Distress Syndrome, ed). But we still try to the maximum," said Azisman.
Azisman said, diperolahnya of information, the patient had contact with dead birds while still in Painan. But this is denied sister YF, initials K.
"He was never in contact with dead chickens. Also there are no chickens died suddenly at around the house," said K.
Suspect case of bird flu were experienced by the second YF at the beginning of this year 2010. Previous Arifin Ahmad Hospital also treat patients suspect bird flu called Anisa (5) from the village of Bangkal Malang, Kelayang district, Indragiri Hulu. Anisa finally declared healthy despite bird flu postif stated.
Watchful
The last two cases is certainly worth considering aware some time ago in Pekanbaru reported last about ten days in chickens died suddenly in RW 6 RW 9 Sub-District and Kulim. This information is presented head of the Office of Agricultural Pekanbaru, Sentot Djoko Prayitno the Tribune last week.
Began to find again the case of birds died suddenly, and there are victims who became suspect bird flu, according to Dr. Azisman make a sign from the outbreak of bird flu virus spreading. This is one possible cause is the beginning of the rainy season.
"All you need do is, if people find any please drop dead birds be reported to the authorities. Especially when accompanied by the citizens of sudden high fever. Please hurry reported, either to the RT, RW, health center, or to the hospital and the government the other, "continued Azisman.
According to Djoko Prayitno Sentot, on rainy weather, the virus can easily develop. Avian influenza (AI) is well developed at a temperature below 22 degrees. At the temperature 25 degrees he was already disabled. Whereas at temperatures above 30 degrees he was dead.
Cases of bird flu in poultry is commonly found in backyard poultry in the 500's tail. As for the maintenance of large scale it found no cases. However, a clear poultry around the discovery of chickens died suddenly had to be destroyed.
Bird flu is an infection by the virus H5N1 subtypes of influenza A (H = hemagglutinin; N = Neuraminidase), so far found no scientific evidence of human transmission. But the current state of the bird flu virus had a mutation in the human experience that can lead to spread from human to human. But certainly this disease can infect humans, through the polluted air of the virus.
People who show bird flu symptoms as ordinary flu, including fever, cough, sore throat, shortness of breath and sometimes accompanied by diarrhea, but her condition rapidly declined drastically. If not immediately help, the patient could die.
Family Convinced Kesurupan
The family suspect bird flu patients YF, YF trusted if possessed by spirits. Not suspected bird flu diagnosed sperti Arin Ahmad Hospital doctors. This was disclosed when found pasein family in a side alley Tribune isolation room Arifin Ahmad Pekanbaru hospitals.
Told the patient's family, one day last week, YF go swimming at a public pool in the area of Jalan Hang Tuah. YF go with some other family members. According to family members, after swimming YF fever. YF body temperature higher. YF could even say the words that can not be understood by many people. And then he almost fainted.
"We believe he was kemasukkan (keserupan, red), while swimming yesterday afternoon. Look at his body's not that hot. We believe the negative (-red bird flu)," said the patient's initials biological brother K.
Told the family, they've asked YF disease to 'smart people'. So, smart people say the language was issued YF is the language of Satan. Not another human language.
"We wonder what he was saying, when he should speak Minang," said one family YF.
The family was then still pursue the path of alternative medicine, through the smart people. However, efforts are also still running medical. "What must we worry. But we certainly hope he can return semubuh. Because he should have had to go to school," said K.
When Tribune visited, some family members seem worried YF waiting in hospital corridors. Among those who sat there on the mat in the hall dibentang hospital, about 50 meters from the isolation room. (HNK)
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Thanks to Commonground for posting and for overview
Yes, if date of laboratory confirmation is counted - then both the two recent cases will be registered as 2010 cases
According to Azisman Saad, the girl who died was 5 years old
---
From posting above
Quote:
According to Djoko Prayitno Sentot, on rainy weather, the virus can easily develop. Avian influenza (AI) is well developed at a temperature below 22 degrees. At the temperature 25 degrees he was already disabled. Whereas at temperatures above 30 degrees [it] was dead.
The temperature factor !
Russian media wrote about H1N1 virus dying of cold temperatures
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Toggletext of Post #6:
The patient suspect YF bird flu (17), from Painan, Pesisir Selatan, West Sumatra, in the critical condition through to this news was written, on Sunday (10/1) struck 20,00 of WIB. Pasien was treated in space of the bird flu isolation of RSUD Arifin Ahmad Pekanbaru, since Saturday (9/1). Observation of the Stand, from outside isolation space, YF terbaring weak and was installed the implement ventilatar to help his breathing. YF was in Pekanbaru since two weeks ago to go on holiday in his older brother's house in Pekanbaru. However, two days ago, he was attacked by the hot fever. His family in Pekanbaru carried him to RS Saint Maria, on Friday (8/1). The family's information, the YF condition increasingly worsened in the hospital. YF until unconscious. Finally YF by the side of RS Saint Maria was reconciled to RSUD Arifin Ahhmad, on Saturday (9/1).
"Beforehand this patient has been treated two days in RS Saint Maria." Lalau has during his condition been critical, just was reconciled to RSUD Arifin Ahmad, said Dr Azisman Sa'ad, Chairman Tim of the Handling of Bird Flu of RSUD Arifin Ahmad, during it was confirmed the Stand, on Sunday (10/1). Concerning the YF condition, Azisman explained, the patient was in the critical condition. Could be said in the comma situation. It was "quite very heavy that his situation." We carry out penata laksanaan in accordance with the procedure continue to the Department of Health as optimally as possible, said Azisman. Explained, tekananan the patient's blood 150/80, the temperature of the body 38.5 levels, breathing 60 times per the minute and the pulse 146. The condition for the lungs has faded all. The handling that was carried out according to Azis was the ventilator fitting to help breathing.
"So the status" of the "patient during us received already ARDS (Acute Respiratory Distress Syndrome, red)." However we continued to try maximal, said Azisman. Azisman said, from information that diperolah him, the patient could contact with the poultry died during still was in Painan. However this was denied by the older brother YF, had the initials K. "He had not been touching with the chicken died." Also did not have the chicken died suddenly around the house, said K. The case suspect bird flu that was experienced by YF was what was second in the beginning of this 2010. Beforehand RSUD Arifin Ahmad also treated the patient suspect bird flu was named Anisa (5) from the Village of Bangkal Malang, Kecamatan Kelayang, Kabupaten Indragiri Hulu. Anisa had finally been stated healthy although being stated postif bird flu.
Be on the alert Dua this last case ought to be definitely guarded against considering some time before in Pekanbaru it was reported around the last ten days was found by the chicken died suddenly in RW 6 and RW 9 Lim Ku- districts. This information was sent by Pertanian Pekanbaru Section Head, Sentot Djoko Prayitno to the Stand, last week. From the re-discovery of the case of the poultry died suddenly and had casualties that to suspect bird flu, according to Dr Azisman made the sign begin to spread him the spreading of the bird flu virus. This of one of his causes was to begin him the rainy season. "That must be carried out was, if the resident found the existence" of the "poultry died suddenly helped immediately it was reported to the authorised side." Moreover if being accompanied with the existence of the feverish resident high suddenly. Please fast was reported, whether to RT, RW, Puskesmas, or to the hospital and the other government side, continued Azisman.
According to Sentot Djoko Prayitno, in the weather of the rain season, the virus could easily developing. The virus avian influenza (AI) this developed good in the temperature was supervised by 22 levels. In the temperature 25 levels he has begun to be non active. Whereas in the temperature on 30 levels he died. The case of bird flu to the poultry generally is found in the maintenance of the poultry under 500 tails. Whereas for the large scale maintenance precisely was not was found by the case. However, it was clear the available poultry in and around the discovery of the chicken died suddenly that must be destroyed. Bird flu was the infection by the influenza virus A the Sub- Type H5N1 (H = hemagglutinin; N = Neuraminidase), until this was not found by scientific proof the existence of the spread between humankind. But in this current situation the bird flu virus did not yet experience the mutation to humankind that could result in the spreading from humankind to humankind. However that was certain this Illness could attack humankind, through dirtiest air the virus.
The person who was attacked by bird flu showed the sign as being affected by common flu, including the fever, the cough, was sick the throat, breathless and sometimes was accompanied by diarrhoea, but his condition was very fast descended drastic. When immediately was not helped, the sufferer could die. The Yakin Kesurupan family of the patient's Family suspect YF bird flu, more trusted if YF kerasukan the supernatural being. Not the assumption of bird flu sperti that was diagnosed by the doctor RSUD Arin Ahmad. That was revealed by the family pasein when being met the Stand in the path samping space of the bird flu isolation of RSUD Arifin Ahmad Pekanbaru. Told by the patient's family, one day last week, YF went to swim in the public's swimming pool in the region of Street Hang Tuah. YF went with several of the family's other members. According to the family's member, sepulang swam YF the fever. The temperature of the YF body increasingly high. YF in fact could say words that could not be understood by many people. In fact at that time he was almost unconscious.
"We were convinced he this kemasukkan (keserupan, red), during yesterday swam at noon." Saw his body would not hot that. We were convinced the negative (flu birds-red), said the brother of the patient's uterus had the initials K. Told by the family, they have asked about the YF illness to the 'clever person'. Then, the clever person said the language that was dismissed by YF was the devil's language. Not the natural language again. "We were surprised also what he said, in fact necessarily he spoke Minang," said one of the YF families. The previous then family continued to try to get the route of alternative medical treatment, through the clever person. However medical efforts also continued to be undertaken. "That was certain we worried." But we definitely hoped he could semubuh came back. His matter necessarily he must have gone to school, said K. When the Stand visited, several people of the family's YF member appeared worried was waiting in the hospital path. Among them there are those that sat termenung on the mat that dibentang in the hospital path, around 50 metre from the room of the isolation. (hnk)
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
I'm trying to get an onset....
Quote:
However, two days ago, he had a fever heat. Family in Pekanbaru took him to Hospital Santa Maria, Friday (8 / 1).
Quote:
Told by the patient's family, one day last week, YF went to swim in the public's swimming pool in the region of Street Hang Tuah. YF went with several of the family's other members.
Onset: 1/4-7
Adm: 1/8 Santa Maria
Adm: 1/9 RSUD Arifin Ahmad Pekanbaru
It just seems like a very quick virulent case to me.
Quote:
According to the family's member, sepulang swam YF the fever. The temperature of the YF body increasingly high. YF in fact could say words that could not be understood by many people. In fact at that time he was almost unconscious.
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Annisa (An Nisha), the 4-year-old girl who recovered was hospitalised at Arifin Achmad Hospital in the afternoon on 31 December 2009, after developing fever for four days, Media Indonesia writes
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Quote:
Originally Posted by Celvin11
Annisa (An Nisha), the 4-year-old girl who recovered was hospitalised at Arifin Achmad Hospital in the afternoon on 31 December 2009, after developing fever for four days, Media Indonesia writes
Thank you Celvin11, could you please give me a link to the post/article? Thanks in advance
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
From Birdflu Information Corner:
This is the update of previous post and mentioning status of two previous bird flu suspect patients, the toddlers from Kabupaten Indragiri Hulu. This also mentioning the resident of the 17-year-old patient, JF. -adm-
Pekanbaru - A 17-year-old boy with initial JF is being treated at Arifin Achmad hospital, Pekan Baru. He is in critical condition and suspected of contracting bird flu infection.
“Patient is in critical condition and still in coma,” said Head of Bird Flu Control Team of Arifin Achmad hospital, Azizman Saad in Pekanbaru.
Patient – resided in Pekanbaru – is currently under intensive treatment at isolation unit for bird flu patient. According to Azizman, patient had high fever up to 37.5℃, breathing difficulty with rate up to 60 per minute, while normal range in human is 16-20 per minute.
“Patient still needs ventilator for surviving,” added Azizman.
Medical team and Health Service of Riau Province has taken blood sample and mucous swab to be sent to Research and Development Laboratory of Ministry of Health in Jakarta.
A family member of patient, Evy, mentioned JF had been in coma within three days since last Friday (8/1). She also explained JF had fever, diarrhea and breathing difficulty before fell unconscious.
Family had taken JF to Santa Maria hospital in Pekanbaru before finally been transferred to Arifin Achmad hospital due to bird flu suspicion.
“Until now we don’t know how he could be infected because there was no bird death around his house. So far JF is studying in West Sumatera,” said Evy. Positive.
Azizman stated since December 2009, Arifin Achmad hospital had treated three bird flu cases. Two patients were toddlers from Kabupaten Indragiri Hulu (Inhu) and the other was JF from Pekanbaru. One of the toddlers from Inhu had died last 31 December, and the other girl, also from Inhu, was tested positive H5N1 infection.
“Test result done by Ministry of Health showed positive bird flu,” said Azizman.
Test result of the patient from Inhu was issued last Friday (8/1). However, patient is now in normal condition and has been discharged from isolation unit.
“She had been allowed to return home, but because the samples showed H5N1 positive, she was then transferred to children unit,” added Azizman.
Source: Indonesia news office, ANTARA. http://www.antara.co.id/berita/12631...kanbaru-kritis
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Here is the location of the 17 yo confirmed:
Excerpt
Sunday, January 10, 2010 13:25
Suspected Bird Flu,
Residents in West Sumatra maintained Arifin Achmad Hospital
After a successful cure of a toddler Inhu origin of the bird flu virus, now Arifin Achmad Hospital was treating a citizen who allegedly Sumbar H5N1.
Pekanbaru-Riauterkini-Arifin Achmad Hospital since yesterday Jefri intensive care (17). Citizens Painan, West Sumatra was allegedly infected with the H5N1 virus afian enfluenza aka bird flu. Jefri diisolisasi currently in a special room bird flu patient care.
PEKANBARU - MI: Regional General Hospital (Hospital) Arifin Ahmad Pekanbaru intensive care for a patient suspect bird flu, Annisa, 4, citizens Rengat Indragiri Hulu, Riau.
Balita itu ditetapkan sebagai suspect terjangkit virus mematikan H5N1 setelah mengalami sesak nafas disertai demam panas hingga 39 derajat celcius. Toddlers were defined as suspect deadly H5N1 virus after experiencing shortness of breath accompanied by high fever up to 39 degrees Celsius.
"Ia (Annisa) saat ini sedang mendapat perawatan intensif di ruangan isolasi flu burung," kata Ketua Tim Penanggulangan Flu Burung RSUD Arifin Ahmad Pekanbaru Azizman Saad kepada Media Indonesia , Jumat (1/1).
"She (Annisa) is currently receiving treatment in intensive isolation room," said Chairman of Avian Influenza Team Arifin Ahmad Pekanbaru Hospital Saad Azizman to Media Indonesia, Friday (1 / 1).
Menurut Azizman, dari riwayat klinis, diketahui pasien sudah mengalami demam sejak empat hari lalu.
According to Azizman, from clinical history, patients known to have had a fever since four days ago.
Saat masuk dirawat di RSUD Arifin Ahmad pukul 17.00 WIB, Kamis (31/12), pemeriksaan terhadap pasien menunjukkan tekanan paru mencapai 40 per menit dengan jumlah leokosit sebesar 3.200 dan trombosit 77 ribu. When treated at hospitals in Arifin Ahmad at 17:00 pm, Thursday (31/12), examination of the patients showed pulmonary pressure reached 40 per minute with the number 3200 and leokosit of 77 thousand platelets.
"Saat masuk perawatan, kondisinya sudah memburuk dan diperkirakan sedang pada fase puncak panas demam. Ia langsung dikirim ke ruangan isolasi flu burung," jelas Azizman.
"When in treatment, her condition had deteriorated and was estimated at the peak phase of fever. She was immediately sent to the isolation room," explained Azizman.
Saat ini, lanjut Azizman, kondisi Annisa mulai membaik dan demam panas sudah mulai menurun.
Currently, more Azizman, Annisa conditions began to improve and high fever had begun to decline.
Tingkat tekanan paru dan jumlah darah juga relatif stabil.
The level of pulmonary pressure and the amount of blood is also relatively stable.
"Demi kepastian status pasien, kami telah mengambil sampel darah dan lendir tenggorokan untuk diuji di Balitbangkes Depkes, Jakarta. Hasil ini yang akan menentukan positif atau tidaknya pasien terjangkit flu burung," ungkap Azizman.
"For the sake of certainty the status of the patient, we have taken samples of blood and mucus in the throat to test Balitbangkes MOH, Jakarta.
The result is a positive that will determine whether or not a patient infected with bird flu," said Azizman.
Sementara itu, Direktur RSUD Arifin Ahmad Yulwirianty Moesa mengatakan pihaknya mempersiapkan tim dokter khusus untuk menangani ancaman virus avian influenza.
Meanwhile, director Arifin Ahmad Hospital said it Yulwirianty Moesa prepare a special medical team to handle the threat of avian influenza viruses.
Tim dokter akan merawat dan melakukan pemeriksaan terhadap suspect flu burung di ruangan khusus isolasi flu burung.
Team doctors will treat and conduct examination of suspect bird flu in a special room isolation.
"Kami mempersiapkan segala sesuatunya bersama tim dokter yang menangani pasien flu burung itu. Untuk penanganannya diserahkan kepada tim dokter penanggulangan flu burung," ujarnya.
"We prepare everything with the team doctors who handle the bird flu patients. For treatment delivered to the team doctor treatment of avian flu," he said. (RK/OL-04)
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Thanks again Celvin11, I've updated my list posted above.
More information on Annisah (4):
Excerpt:
Monday, 04 Januari 2010
Department of Health team found a number of chickens died suddenly at around the residence Annisah (4) Village residents Kelayang Bongkal Malang District who allegedly suffered from the H5N1 bird flu. Even the medical team from Jakarta is also directly review the location where the alleged victim made contact with these birds.
This was conveyed by Head of District Inhu Diskes Helmi A Manaf SSos when confirmed MX Pekanbaru, Tuesday (3 / 1) via cell phone. ''We've done a check and action at the scene around the victim's home,''he said.
He said the condition of the victim with a high enough heat previously treated in hospitals Indsarasi Rengat. However, given the critical sufficient conditions hereinafter referred to Arifin Ahmad Pekanbaru General Hospital. However, based on information as of Pekanbaru, the victim's condition began to improve. Yet still running in the RSU inpatient Arifin Achmad.
Kadiskes explained, at the time Diskes team together Indragiri Hulu in Riau Province Diskes out into the field a few days ago with the Animal Husbandry Department Inhu found a number of chickens died suddenly had been buried residents.
Kadiskes ask other people including the alleged victim's family made contact with these birds, currently also in the supervisory physician. Even the number of nurses who deal with victims was also conducted surveillance. At least control it for about seven days ahead.
Furthermore he said, Annisah a second victim of bird flu suspected. While the third victim was in good health. While the first victim before he died.
-snip-
Meanwhile, starting in December 2009, the District Inhu suspect there are cases of bird flu. The first case''in the village of Lala River Plantation and early December. The disease hit children aged four years, after contact with dead chicken near his home.
Although tested positive, but the fortunate children seoang midwife after PuskemasSei Lalak had admitted to Arifin Achmad Pekanbaru Hospital for five days and was declared cured taken home by his family
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Quote:
Originally Posted by Celvin11
. . .
Seems that the early December cases have not yet been reported to WHO
(last case reported occurred in September, according to news report quoted above) . . .
I am not sure that Indonesia is reporting human H5N1 infections to WHO. The Indonesian update posted by WHO on December 30, 2009 may be based solely on the internet posting by the Indonesia MOH on December 28, 2009.
We will know eventually if WHO is being notified because WHO tabulations are always based on the onset date. As note by Commonground in a post above at least two of these individuals had symptom onset in December of 2009. If WHO updates the cumulative table to include these two cases in 2009, then Indonesia is submitting the data to WHO. If the WHO updates don't include these two cases in 2009 or they are included in a future cumulative count by the Indonesia MOH (Depkes) for 2010, it will be obvious that WHO is not receiving official data from Indonesia on the number of human infections of H5N1 nor the details of those infections.
Results of the test sample Balitbangkes Department of Health, Jakarta against two patients suspect bird flu from Indragiri Hulu (Inhu) that was treated in RSUD Arifin Achmad, on Sunday (10/1) said both of them positive was infected by the deadly virus, avian influenza. Chairman Tim of the Control of bird flu, the doctor Azizman Saad explained, two patients from Inhu had the initials AN (4) and AD (4) after being carried out by the test sample blood and nose mucus as well as his side's throat accepted startling results. Results of the test sample first that was received by his side said, one of the patients suspect bird flu (AD) that died in Gawat Darurat Installation space (IGD), two hours after being reconciled from RS Saint Maria, on Thursday (31/12) last week, positive headed to the sign H5N1.
Now the patient suspect other bird flu had the initials AN, was based on results of the test sample first, could be stated by the negative. However, to review this results conviction, the department of the Health through the Service of Kesehatan Riau, broke for the implementation of the test comparison with sent repeated sample blood of AN. Beberapa the day after the transfer sample second that, the RS side accepted startling results, the patient who beforehand could be permitted to carry out the maintenance of the road in his house that was in the village of Bongkal Malang, Kecamatan Simpang Kelayang, Inhu, was forced to be withdrawn to do treated the continuation, because of the test sample this showed the positive sign.
In the continuation produced by the test sample that crisscrossed that, as being said by the doctor Azizman, his side was still coordinating Officially Kesehatan to carry out the test sample the three. In katakan him, the test sample the third stage to ascertain the cause of the condition for the temperature of the AN body that sebelumya reached 39.8 derejad celcius. "Although the AN condition has begun to be restored, repatriation was still being waiting for results" of the "test sample the three to confirm the AN cause suffered the fever with the temperature" of the "body 39.8 derejad celcius," he said while explained, according to results of the Diskeskab Inhu survey, in the AN territory in Bongkal Malang, Simpang Kelayang, the poultry often died suddenly, and was done by the extermination against several poultries in this territory. Now parents AN, DM admitted to continuing to alarm results of the test sample the three that it was promised will arrive, on Monday (11/1) -hari this. The AN condition that continued to be restored, did not yet become the guarantee of the concern loss himself about his only child.
Yesterday we could come home, because of the test sample first my child was stated by the negative, but a day was in the house, the Hospital side called us again, gak tau his reason what, said DM. Berdasarkan consultations DM to the doctor who handled AN, the AN condition continued to be restored through to the temperature of his body tended normal. However, for the prevention, must be carried out treated complete so that AN body immunity again is fit. JF Kritis Doctor Azizman Saad explained, for the third patient after AN and AD, JF (17), the resident of the Hangtuah road, Kecamatan Sail, was still being critical. The JF condition was not still making itself aware with the temperature of the body 38 derejad celcius, sehinga must be supplemented with the ventilator. The JF breath canned be heard snored with the intensity 60, the infusion was installed rose 3 % with the smooth condition, the NGT pair implement, DC, as well as Gudel and Oxygen that helped his breathing was still equipping the child's second body from the couple AW and NS.
Known, before entering RSUD Arifin Achmad around struck 10,00 WIB, last Saturday (9/1), JF could be treated intensive in RS Saint Matria more than 24 hours with the condition for the fever and did not make himself aware. The temperature of the JF body during first entered achieved 37.5 levels celcius. One of the families, EV (38), said, a return from Painan, West Sumatra (West Sumatra), the JF place remained beforehand, JF could cramps and the high fever. Saw the condition that increasingly worsened, the family decided to bring JF to RS Saint Maria. "His condition time was treated in the house gak experienced the change, was forced to be brought by us he to the Hospital to be checked," he said. After overnight was in RS Saint Maria, the JF condition increasingly serious, did not make himself aware, so as the side of RS Saint Maria decided to reconcile JF to RSUD Arifin Achmad because according to the acknowledgment of one of the doctors who handled him, JF was worried terjangkit the deadly virus H5N1.
Space of Terpisah Pantauan Riau Mandiri in Flu Burung Isolation space, two patients suspect H5N1, JF and AN were treated in space was separated. The JF body was still being supplemented with medical equipment that helped breathing as well as the mouth and the nose to be closed the mask. His body still ditransfusi blood and the infusion on the right hands. Now AN, appeared cheerful with the condition bugar during was in space of the bird flu isolation together his two parents. Director RSUD Arifin Ahmad, Yulwirianty Moesa, said his side prepared the team of the special doctor to handle the virus threat avian influenza. The team of the doctor will treat the patient suspect bird flu. "We prepared everything with the team" of the "doctor who handled the bird flu patient." For his handling was handed over to the team of the control doctor of bird flu, he said.
Moesa also said, to menaggulangi the patient suspect bird flu, was prepared by various medical facilities, including space treated especially, and medicine - obatan. The "process" of the "patient's recuperation suspect bird flu was carried out by the doctor's doctor Azizman Saad as" Chairman "Tim" of the "Control." The "patient will be facilitated, including the provisions" of the "special room and the implement as well as the special team." For the follow-up if the patient was stated positive, we coordinated Officially the Health to carry out the survey or the checking of the location of this patient, pungkasnya. mg05
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
Quote:
Now the patient suspect other bird flu had the initials AN, was based on results of the test sample first, could be stated by the negative. However, to review this results conviction, the department of the Health through the Service of Kesehatan Riau, broke for the implementation of the test comparison with sent repeated sample blood of AN. Beberapa the day after the transfer sample second that,the RS side accepted startling results, the patient who beforehand could be permitted to carry out the maintenance of the road in his house that was in the village of Bongkal Malang, Kecamatan Simpang Kelayang, Inhu, was forced to be withdrawn to do treated the continuation, because of the test sample this showed the positive sign.
One day after the 2nd sample was sent in, they received the results.
Still waiting on the results for the 6 in Bali.
Masih Diragukan Suspect Flu Burung
Ventilator Masih Terpasang Kondisi JYF Sedikit Membaik
11 Januari 2010 - 10.34 WIB
Google translation:
Still Doubtful Bird Flu Suspect
Still Installed ventilator Little JYF Condition Improved
January 11, 2010 - 10:34 pm
Pekanbaru (RiauNews) - The condition YF (17) of patients suspect (unexpected) bird flu started a bit better, after the inspection team doctor bird flu Arifin Ahmad Hospital this morning, Monday (11/01/2010) teenager's body temperature from Batang Kapas, South Coastal District, West Sumatra dropped to 37.5 degrees Celsius.
"It's YF body temperature in critical condition last night (Sunday, ed), reaching 38.5 degrees Celsius. This morning has started to improve slightly, about 37.5 degrees Celsius. However, we still put on a ventilator, to keep from respiratory failure patients, "said Dr. Azisman Saad, Chairman of the Team Doctor Bird flu Arifin Ahmad Hospital.
Team doctors have attempted to medical students Cotton Trunk Senior High School was quickly recovered, while respiratory FY results have also been dropped from 60 to 50 breath breathing every minute.
It's just that the family could provide information that makes confused team doctor who handle YF, because previously the patient's aunt says that YF had contact with dead birds in his hometown.
"This morning, brother, sister FY denied contact with poultry had died, and even from the confession of his brother's family is mentioned conceded spirits while swimming in the bath Kuantan," said Azisman.
Referring to the history FY, Azisman still doubtful whether a high fever due to bird flu or not, because the initial cause of FY body temperature rises even after the patient's home to swim.
To further ensure the real conditions, team doctors are still waiting for test results of patients' blood samples in the laboratory Balitbangkes MOH. According to Dr. Saad Azisman results will be known within two days.
"The patient's blood sample was sent to Jakarta and within two days ahead, hopefully we are getting results," said Azisman end. (syam irfandi)
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
We have 3 confirmed cases, a summary.
Post #1
Quote:
One toddler from Inhu died on 31 December. The results of examination of MOH in Jakarta showed positive H5N1 bird flu...
Positive
Saad said Azisman since December 2009, RUSD Arifin Achmad Pekanbaru has handled three cases of bird flu. Two patients are young children (under five years) from Indragiri Hulu (Inhu), and another is from Pekanbaru JF.
Post #3
Quote:
A17-year-old boy from Pekanbaru, Riau, is now in a critical condition after being infected with the deadly bird flu virus....
“The patient is in a critical condition and in a coma,” said Azisman Saad, head of the bird flu team at Arifin Achmad General Hospital in Pekanbaru...
“He needs a breathing machine to survive,” Azisman said, adding that the provincial health agency had sent the boy’s blood sample to the Ministry of Health and the test result came back positive for H5N1 avian influenza.
Post #6
Quote:
Previous Arifin Ahmad Hospital also treat patients suspect bird flu called Anisa (5) from the village of Bangkal Malang, Kelayang district, Indragiri Hulu. Anisa finally declared healthy despite bird flu postif stated.
Post #14:
Quote:
After a successful cure of a toddler Inhu origin of the bird flu virus...
Post #20:
Quote:
Results of the test sample Balitbangkes Department of Health, Jakarta against two patients suspect bird flu from Indragiri Hulu (Inhu) that was treated in RSUD Arifin Achmad, on Sunday (10/1) said both of them positive was infected by the deadly virus, avian influenza...Chairman Tim of the Control of bird flu, the doctor Azizman Saad explained, two patients from Inhu had the initials AN (4) and AD (4) after being carried out by the test sample blood and nose mucus as well as his side's throat accepted startling results. Results of the test sample first that was received by his side said, one of the patients suspect bird flu (AD) that died in Gawat Darurat Installation space (IGD), two hours after being reconciled from RS Saint Maria, on Thursday (31/12) last week, positive headed to the sign H5N1.
Hospital confirmed - 2 cases - one 4 year old and one 17 year old
'Results of the test sample Balitbangkes Department of Health, Jakarta against two patients suspect bird flu from Indragiri Hulu (Inhu) that was treated in RSUD Arifin Achmad, on Sunday (10/1) said both of them positive was infected by the deadly virus, avian influenza."
Ministry of Health confirmed - 2 cases - two 4 year olds including the fatal case above
Results of the test sample Balitbangkes Department of Health, Jakarta against two patients suspect bird flu from Indragiri Hulu (Inhu) that was treated in RSUD Arifin Achmad, on Sunday (10/1) said both of them positive was infected by the deadly virus, avian influenza. Chairman Tim of the Control of bird flu, the doctor Azizman Saad explained,two patients from Inhu had the initials AN (4) and AD (4)
Re: Riau, Sumatra: 1 confirmed H5N1 bird flu death; total of 3 confirmed cases
The other 17-year-old confirmed (?) bird flu patient in Riau is reported to be recovering
Toddler bird flu patient in Pekanbaru allowed to go home
Friday, 15 January 2010
Pekanbaru, 15 / 1 (Antara / FINROLL News) - A toddler bird flu patient initials AN (4),
finally allowed to go home by doctors hospitals Arifin Achmad Pekanbaru, Riau, after
sample test results stated condition or healthy patients free of the H5N1 virus.
"The results of the mucus samples declared negative AN bird flu," said Chairman of Avian Influenza
Arifin Achmad Hospital, Azisman Kasim, told AFP in Pekanbaru, Friday.
Earlier, the boy from Indragiri Hulu has been treated extensively in the
isolation of bird flu patients in hospitals Pekanbaru since the end of December 2009.
AN has undergone two test samples of mucus (swap) that is sent to the Department Balitbangkes
Health in Jakarta.
In the first test results earned the hospitals Pekanbaru January 8 last, tested positive AN
H5N1 virus. Even so, the patient's condition continues to improve and test a second sample states
negative patients of bird flu.
"AN're back on Thursday (14 / 1)," he said.
Azisman also said that one other patient JF (17), student of Pekanbaru City, also
expressed negative bird flu test results of samples based on Balitbangkes Department of Health.
Previously, JF allegedly contracted bird flu and had a coma for three days during the treatment in
isolation room Pekanbaru hospitals.
"The patient can be moved from room to room insulation ordinary care," said Azisman.
Re: Riau, Sumatra: 1 confirmed H5N1 bird flu death; total of 3 confirmed cases
My current analysis on this 17 yo old.
Post #2 is from a site called Jakartaglobe. This is a new site for me, but I haven't been tracking Indonesia for about a year now....so it may not be new at all.
At the bottom of the article, I believe it states two references, or initials of the poster, and one reference:
Quote:
JG, Antara
We have the Antara article posted here, dated 1/10 (which is also the date of the Jakartaglobe article). The Antara article is Post #13. No where in the Antara article does it state the patient was positive at any given time. The reason we thought they said he was "positive" was because of the paragraph underneath a title within the body of the article labeled "Positive"
Quote:
"Sampai sekarang kami belum tahu dari mana dia bisa terkena penyakit karena di rumahnya di Pekanbaru tidak ada unggas mati, dan dia (JF) selama ini bersekolah di Sumatera Barat," kata Evy.
Positif
Azisman Saad mengatakan sejak Desember 2009, RUSD Arifin Achmad Pekanbaru telah menangani tiga kasus flu burung. Dua pasien adalah anak balita (bawah lima tahun) asal Kabupaten Indragiri Hulu (Inhu), dan satu lagi adalah JF asal Pekanbaru.
Which is translated as:
Quote:
“Until now we don’t know how he could be infected because there was no bird death around his house. So far JF is studying in West Sumatera,” said Evy. Positive.
Azizman stated since December 2009, Arifin Achmad hospital had treated three bird flu cases. Two patients were toddlers from Kabupaten Indragiri Hulu (Inhu) and the other was JF from Pekanbaru.
So, in my notes, I will record this information. He is currently negative.
We have two definite confirmed in Riau, the two toddlers from Indragiri Hulu (Inhu).
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Riau, Sumatra: 2 confirmed H5N1 bird flu; 1 died, 1 recovered
Re: Riau, Sumatra: one confirmed H5N1 bird flu death; a boy is in critical conditions due to suspected infection
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