INDONESIA - 14 year old boy diagnosed with BF

[Harpsong]

Boy, 14, is first bird flu case of 2007
From correspondents in Jakarta

January 07, 2007 12:00

Article from: Agence France-PresseFont size: + -
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A 14-year-old boy has been diagnosed with bird flu, becoming Indonesia's first confirmed case this year.

"A 14-year-old patient, still under treatment at the Persahabatan hospital, has been confirmed as being positively infected by the bird flu," said government health official I Nyoman Kandun.

He said the boy was in poor health.

"(Overall) he is the 75th case of confirmed infection, 57 of whom died."

Officials had said the country's strategy of vaccinating poultry and increasing public awareness appeared to be paying off and that Indonesia was aiming at zero cases of human bird flu this year.

There were no new reported cases of human bird flu from 28 November until today's announcement, and 14 provinces have not reported any new outbreaks among poultry since October.

H5N1 has killed more than 150 people worldwide since late 2003, and triggered the mass slaughter of tens of millions of poultry.

There are fears it could mutate into a form that could cause a human flu pandemic.


http://www.news.com.au/sundaytelegra...001028,00.html

[Theresa42]

Re: 14 year old boy diagnosed with BF - Indonesia

Thanks, Harpsong!

toggletext-ed from Indonesian:

A Resident Kalideres Positive was infected by Bird Flu
Jan 7, 2007

Jakarta-MIOL: A resident Kalideres, Jakarta West, was stated positive was infected by the bird flu virus (avian influenza/AI).

Director Jendral Pengendalian of the Illness and Sanitation of the I Nyoman Kandun Health of the Department's Environment in Jakarta, on Sunday, said the male patient was 14 years with the RN initials till at this time old still was treated in the Jakarta Friendship Hospital.

"At this time his condition worsened, still used the ventilator (aids breathing-Ed.) in RS the Friendship," he said.

He explained the RN suffered the cough, hot, pilek, breathless, nausea and vomited on January 1 2006 and afterwards was reconciled to the Tangerang regional Public Hospital as well as the next one to the Friendship Hospital.

"A day before being sick had the duck died around his residence," explained Kandun.

As beforehand, the inspection of people who carried out contact with the patient also was carried out but Kandun did not yet explain results of the inspection that was meant to find the similar case in and around this patient.

With the increase in this new case then the number of positive cases of bird flu in Indonesia became 75 cases and 57 cases including causing the death.

http://www.media-indonesia.com/berita.asp?id=121322

[Laidback Al]

Re: INDONESIA - 14 year old boy diagnosed with BF

{And from Bloomberg}

Indonesia Confirms 75th Case of Human Bird Flu Infection

By Karima Anjani
Jan. 7 (Bloomberg) -- A 14-year-old boy tested positive for bird flu in Indonesia, marking the country's first case in almost two months and its 75th overall, a Health Ministry official said.
The boy is being treated at Persahabatan Hospital in Jakarta after showing flu-like symptoms on Jan. 1, Muhammad Nadirin, an official at the Health Ministry's avian flu information center, said in a telephone interview today.
``We received a report that he had contact with a dead duck,'' Nadirin said. ``We're launching a full investigation in his neighborhood in west Jakarta.''
Almost all human H5N1 cases have been linked to close contact with sick or dead birds, such as children playing with them or adults butchering them or plucking feathers, according to the World Health Organization.
The virus is known to have infected 261 people in 10 countries since 2003, killing 157 people of them, the Geneva- based WHO said Dec. 27 in its Web site. At least 57 people have been killed by the H5N1 bird flu virus in Indonesia, more than any other country.
The Southeast Asian nation has not reported avian flu cases in humans since Nov. 28, when a 35-year-old woman died from the H5N1 virus strain.
New infections provide more chances for the virus to mutate into a lethal pandemic form, such as one in 1918 that killed as many as 50 million people. In most H5N1 vases, severe respiratory disease, including pneumonia, is the main symptom.
To contact the reporter on this story: Karima Anjani in Jakarta at kanjani@bloomberg.net
Last Updated: January 7, 2007 01:20 EST

http://www.bloomberg.com/apps/news?p...Ce0&refer=asia

credits to Rick

[Gert van der Hoek]

Re: INDONESIA - 14 year old boy diagnosed with BF

The patient in RS Persahabatan, casualties AI 75th

The writer: Firm Rachmanto Jakarta -- MIOL: A teenage age child who underwent the maintenance in the Jakarta Friendship Hospital was casualties of the bird flu virus (avian influenza/AI) first this year and 75th on the whole in Indonesia.

The "male child was 14 years old that still underwent the maintenance in RS the Friendship and he has been confirmed positive was infected by the bird flu virus," said Director General Pengendalian of the Illness and Sanitation of the Health, I Nyoman Kandun, of the Department's Environment in Jakarta, on Sunday (7/1).

He said the patient had the initials RN till at this time still was treated in the Jakarta Friendship Hospital.
"At this time his condition worsened, still used the ventilator (aids breathing-red) in RS Persahabatan," he said.

According to him, the RN suffered the cough, hot, pilek, breathless, nausea and vomited on January 1 2006 and afterwards was reconciled to the Tangerang regional Public Hospital and afterwards to RS the Friendship.

A "day before being sick had the duck died around his residence," he said.

With the increase in this new case then the number of positive cases of bird flu in Indonesia to 75 and 57 cases including causing the death.
(Tr/AFP/Ant/OL-03)

http://www.media-indonesia.com/berita.asp?id=121352

[Gert van der Hoek]

Re: INDONESIA - 14 year old boy diagnosed with BF

Indonesian teenager tests positive for bird flu

07 Jan 2007 07:48:33 GMT

JAKARTA, Jan 7 (Reuters) - A 14-year-old boy has tested positive for bird flu in Indonesia, the country's first case of the virus in almost two months, a Health Ministry official said on Sunday.

The boy, from Tangerang in West Java, was hospitalised in Jakarta after he suffered from bird-flu-like symptoms on Jan. 1, the director-general of communicable disease control, Nyoman Kandun, told Reuters.

He said the boy had been in contact with ducks but officials were still investigating the case. Sick poultry is the usual mode of transmission of the H5N1 bird flu virus.

"The team is still investigating to find out if he only held the duck or slaughtered it," Kandun said.

Indonesia, which has the world's highest bird flu death toll, has not reported any new human infections of the virus since Nov. 28.

The government has announced plans to ramp up its fight against the virus and hopes to beat it by the end of 2007, but critics say public ignorance, official ineptitude and lack of money are hampering efforts to stamp out the disease that has killed 57 people in Indonesia.

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

According to the World Health Organisation, the virus has killed 157 people since 2003 and has spread from Asia to Europe, the Middle East and Africa.

No country has suffered more deaths than this huge Asian country of 17,000 islands where millions of chickens roam backyards freely.

http://www.alertnet.org/thenews/newsdesk/SP136649.htm

[Gert van der Hoek]

Re: INDONESIA - 14 year old boy diagnosed with BF

"A day before being sick had the duck died around his residence," explained Kandun.

If the duck is the source of the infection, the boy should have had contact with the duck several days earlyer? Incubation needs more than 1 day?

[MHSC]

Re: INDONESIA - 14 year old boy diagnosed with BF

This comes up in Google, but when you click the link, it is another story.


Boy hospitalized with bird flu, health official says
Jakarta Post, Indonesia - <nobr>3 hours ago</nobr>
A day before falling sick, Randy had come into contact with dead ducks, burying by hand scores of his birds that had suddenly died, he said. ...

[MHSC]

Re: INDONESIA - 14 year old boy diagnosed with BF

This too

Boy hospitalized with bird flu, health official says
Jakarta Post, Indonesia - <nobr>3 hours ago</nobr>
Randy's infection has yet to be confirmed by the World Health Organization, which has recorded 74 human H5N1 infections in Indonesia since late 2003, ...

[Sharpe]

Re: INDONESIA - 14 year old boy diagnosed with BF

The article referred to in the last two posts. Mind you, links to the Jakarta Post are always unstable.

http://www.thejakartapost.com/detailgeneral.asp?fileid=20070107183015&irec=2

Boy hospitalized with bird flu, health official says

JAKARTA (AP): Local tests confirm that a 14-year-old boy hospitalized in the Indonesian capital has been infected with the H5N1 strain of bird flu, a senior Health Ministry official said Sunday.

The results of tests conducted by the Health Ministry showed Saturday that the boy, identified only as Randy from Kalideres, West Jakarta, contracted H5N1 after coming into contact with adead duck, said I Nyoman Kandun, the ministry's Director General of Communicable Disease Control.

The boy was last week admitted to a hospital in the city of Tangerang, on the western outskirts of Jakarta, suffering from a fever and labored breathing, and was transferred Friday to the Persahabatan hospital in Jakarta, Kandun said.

"His condition is deteriorating," Kandun said, adding that the boy had been hooked up to a ventilator.

A day before falling sick, Randy had come into contact with dead ducks, burying by hand scores of his birds that had suddenly died, he said.

There was no confirmation of the infection from the World Health Organization. The UN health agency has, since the middle of last year, acknowledged the accuracy of the Indonesian labs working with a Jakarta-based U.S. Navy lab affiliated with Centerfor Disease Control in Atlanta.

Randy's infection has yet to be confirmed by the World Health Organization, which has recorded 74 human H5N1 infections in Indonesia since late 2003, of whom 57 have died. The UN agency says 157 people have died of the virus around the world since theoutbreak began.

International experts have accused Indonesia of not doing enough to tackle the virus, which they fear may mutate into a form that could spread easily between humans and potentially kill millions globally.

But Indonesia's Health Ministry has said Indonesia's human deaths from the virus have slowed markedly over the last three months -- a drop local officials attributed to an aggressive education campaign.

Of 46 fatalities in Indonesia this year, five have been reported since October and none in December, according to the WHO. (***)

[Gert van der Hoek]

Re: INDONESIA - 14 year old boy diagnosed with BF

Did not hear before about ducks dying from BF in Indonesia? If it will be confirmed BF in the ducks, could be a more agressive strain?

[HenryN]

Re: INDONESIA - 14 year old boy diagnosed with BF

Did not hear before about ducks dying from BF in Indonesia? If it will be confirmed BF in the ducks, could be a more agressive strain?

It is migration time. Cases will rise. The only RES cleavage site reported to date on Java was in H5N1 from a duck in Indramayu collected at this time last year.

[Gert van der Hoek]

Re: INDONESIA - 14 year old boy diagnosed with BF

Novel Cleavage Site in Duck from Indonesian Reservoir

Recombinomics Commentary

August 31, 2006

New H5N1 from birds in Indonesia have been released at Los Alamos. Included in the sequences are a duck from Indramayu in northern West Java, A/Duck/Indramayu/BBPW109/2006. This H5N1 bird flu sequence has the novel HA cleavage site, RESRRKKR, which is found in most of the human H5N1 sequences in West Java. This is the first reported match of the novel cleavage site in birds.

However, the bird sequence has an additional change in the HA cleavage site that is silent, but traces origins. This change is found in a small subset of human cases, indicating the novel cleavage site in the duck is from the reservoir containing the novel cleavage site and is not the source (see discussion). The isolates containing the silent change in the cleavage site are listed below, pointing toward an origin in migrating birds.

The new sequences highlight the importance of a robust and public sequence database, which provide clear answers to important questions such as the origin of the novel cleavage site found in the human H5N1 sequences.

Silent change in following isolates.

ISDN207241 A/Duck/Indramayu/BBPW109/2006 2006 H5N1
ISDN133323 A/Indonesia/286H/2006 2006 H5N1
DQ320925 A/Chinese pond heron/Hong Kong/18/2005 2005 H5N1
ISDN130373 A/Indonesia/160H/2005 2005 H5N1
ISDN130365 A/Indonesia/175H/2005 2005 H5N1
ISDN129527 A/Indonesia/7/2005 2005 H5N1
ISDN129921 A/Indonesia/CDC184/2005 2005 H5N1
ISDN129922 A/Indonesia/CDC194P/2005 2005 H5N1
ISDN129582 A/Indonesia/CDC7/2005 2005 H5N1

Complete commentary at:

http://www.recombinomics.com/News/08310601/H5N1_Indo_Duck_Cleavage.html

Ducks in some way related to human cases in several countries: in Egypt and now again in Indonesia. May be more countries. I wonder if there is any systematic sampling from ducks in case of human H5N1 infections ?

We hear about sampling of direct contacts (family, neighbours) and chickens. Not much about sampling ducks?(and cats, dogs, pigs?).

Guess you need a lot of money and labs and other infrastructure to do a lot of testing....

[HenryN]

Re: INDONESIA - 14 year old boy diagnosed with BF

Tests confirm boy caught bird flu from dead ducks

AP, JAKARTA
Monday, Jan 08, 2007, Page 5
Local tests have confirmed that a 14-year-old boy hospitalized in the Indonesian capital, Jakarta, has been infected with the H5N1 strain of bird flu, a senior Health Ministry official said yesterday.
The results of tests conducted by the Health Ministry showed on Saturday that the boy, identified only as Randy from the west Jakarta suburb of Kalideres, contracted H5N1 after coming into contact with a dead duck, said I Nyoman Kandun, the ministry's Director-General of Communicable Disease Control.
DETERIORATING
The boy was admitted to a hospital last week in the city of Tangerang, on the western outskirts of Jakarta, suffering from a fever and labored breathing, and was transferred on Friday to the Persahabatan hospital in Jakarta, Kandun said.
"His condition is deteriorating," Kandun said.
He added that the boy had been hooked up to a ventilator.
There was no confirmation of the tests from the WHO.
HANDLING DUCKS
A day before falling sick, Randy had come into contact with dead ducks, burying by hand scores of his birds that had suddenly died, he said.
Randy's infection has yet to be confirmed by the WHO, which has recorded 74 human H5N1 infections in Indonesia since late 2003, of whom 57 have died.
EDUCATION CAMPAIGN
International experts have accused Indonesia of not doing enough to tackle the virus.
But Indonesia's Health Ministry has said Indonesia's human deaths from the virus have slowed markedly over the last three months -- a drop local officials attributed to an aggressive education campaign.
Of 46 fatalities in Indonesia last year, five were reported after October and none last month, according to the WHO.
US NAVY LAB
The UN health agency has, since the middle of last year, acknowledged the accuracy of the Indonesian labs working with a Jakarta-based US Navy lab affiliated with the Center for Disease Control in Atlanta.
The WHO says has recorded 157 cases of people dying from the virus around the world since the outbreak began. Experts fear that the bird flu virus may mutate into a form that could spread easily from person to person. That could potentially cause an epidemic, killing millions globally.

http://www.taipeitimes.com/News/worl.../08/2003343875

[HenryN]

Re: INDONESIA - 14 year old boy diagnosed with BF

Tests confirm boy caught bird flu from dead ducks


US NAVY LAB
The UN health agency has, since the middle of last year, acknowledged the accuracy of the Indonesian labs working with a Jakarta-based US Navy lab affiliated with the Center for Disease Control in Atlanta.
The WHO says has recorded 157 cases of people dying from the virus around the world since the outbreak began. Experts fear that the bird flu virus may mutate into a form that could spread easily from person to person. That could potentially cause an epidemic, killing millions globally.

http://www.taipeitimes.com/News/worl.../08/2003343875

The above lab is NAMRU-2 (Navy Medical Research Unit 2) which is based in Jakarta. Its counterpart, NAMRU-3, is based in Cairo and has been releasing H5N1 sequneces from Egypt (as well as Iraq and Djibouti). NAMRU-1 is in Maryland.

NAMRU-2 and NAMRU-3 send clinical samples to the CDC in Atlanta.

[HenryN]

Re: INDONESIA - 14 year old boy diagnosed with BF

Commentary at

http://www.recombinomics.com/News/01080701/H5N1_Jakarta_2007.html