Indonesia - Central Java - 14 People with ILI in area of H5N1 in Poultry -Sukoharjo Regency, February 26 - March 6

[Treyfish]

By Natalie Christoforus Dwiharso | February 25, 2011
KBRN, Solo: After the death of hundreds of chickens exposed to bird flu outbreaks, the District Health Office Regency Sukoharjo began an intensive epidemiological investigation of the two villages. Both villages are in the district of Sukoharjo Combongan Village Town and Village Klaseman, District Gatak.
Head of DKK Pemkab Sukoharjo, Agus Prihatmo, say, from the results of the investigation was at least 13 citizens of the Village District Klaseman Gatak and 1 village residents experienced influenza Combongan Like Ilnesses (ILI) or symptoms similar to H5N1 virus.
All residents who experienced sudden heat to the two villages were given the drug Tami Flu.http://infoklb.wordpress.com/2011/02...pek-sukoharjo/

[sharon sanders]

Please see poultry outbreak in Solo thread here:

http://www.flutrackers.com/forum/sho...d.php?t=162346

[Laidback Al]

This outbreak with suspected human bird flu cases is in Sukoharjo Regency in Central Java.

Another outbreak with suspected human bird flu cases is in Garut Regency in West Java. See this thread: http://www.flutrackers.com/forum/sho...d.php?t=161944

[Treyfish]

Prevent AI to human, 4087 DKK Sukoharjo prepare tamiflu capsules
February 27, 2011

Sukoharjo (Espos) - District Health Office (DKK) 4087 Sukoharjo provide tamiflu capsules for patients in all health centers and hospitals in Sukoharjo. Each health unit is being dropped around 300 capsules tamiflu.

Head of Disease Control and Environmental Health (P2PL) DKK Sukoharjo, Rustiningsih reporters when met at his office on Saturday (26/02/2011), said supply tamiflu in Sukoharjo safe. Therefore, it would not increase supplies DKK tamiflu order to anticipate the spread of avian influenza or bird flu from poultry to humans.

"Inventory is still very insufficient. If there is demand in the health centers, health centers tell us directly, "explained Rustiningsih.

He goes on, the emergence of sudden deaths of poultry in the village of Pengkol, Nguter and Village Combongan, Sukoharjo need to be wary of. Moreover, changes in weather with high rainfall intensity facilitate transmission of the virus. "We've appealed, if there is high heat and patients who experience shortness of breath, and have a history of direct contact with poultry will immediately be given Tamiflu," said Rustiningsih.http://www.solopos.com/2011/sukoharj...-tamiflu-87170

[Treyfish]

14 People Have ILI After Dead Poultry Found
February 26, 2011

Sukoharjo – At least 13 villagers Laseman Gatak districts and 1 Cottage villagers, village Combongan Sukoharjo have a fever and flu after many birds died suddenly in the area. Sukoharjo health department said it was giving the drug to 14 residents and 13 of them has improved. Only waiting for developments.

Health Department confirms they do not suspect bird flu or influenza but ili like illness is a disease that has symptoms similar to bird flu. Department of Health has given the drug Tamiflu, and because the situation has improved, so no need for blood sampling for the test sample. In Laseman, Gatak, Cottage and Combongan in this month more than 600 chickens died suddenly and residents have done a mass extinction. It is probable that these birds die of bird flu. Health Department asks residents wary because of the weather today is very supportive to the development of this H5N1 virus. Sukoharjo district government has also set up 3 posts penangulangan ie bird flu in the district Nguter, Gatak and Sukoharjo town since the chicken livestock in the area tested positive for bird flu.http://infoklb.wordpress.com/2011/02...k-sukoharjo-2/

[alert]

Originally Posted by Treyfish

14 People Have ILI After Dead Poultry Found
February 26, 2011

Sukoharjo – At least 13 villagers Laseman Gatak districts and 1 Cottage villagers, village Combongan Sukoharjo have a fever and flu after many birds died suddenly in the area. Sukoharjo health department said it was giving the drug to 14 residents and 13 of them has improved. Only waiting for developments.

Health Department confirms they do not suspect bird flu or influenza but ili like illness is a disease that has symptoms similar to bird flu. Department of Health has given the drug Tamiflu, and because the situation has improved, so no need for blood sampling for the test sample. In Laseman, Gatak, Cottage and Combongan in this month more than 600 chickens died suddenly and residents have done a mass extinction. It is probable that these birds die of bird flu. Health Department asks residents wary because of the weather today is very supportive to the development of this H5N1 virus. Sukoharjo district government has also set up 3 posts penangulangan ie bird flu in the district Nguter, Gatak and Sukoharjo town since the chicken livestock in the area tested positive for bird flu.http://infoklb.wordpress.com/2011/02...k-sukoharjo-2/

That's a new one. So if they recover quickly after being given Tamiflu, they are automatically excluded as H5N1 suspects? Ouch. That's a good way to report no human H5N1 infections, and perhaps some of the reasons that apparent CFR of H5N1 in Indonesia is so high; you only have H5N1 if you (almost) die from it.

Although, that perhaps might be a sign of H1N1 infection....

[Vibrant62]

This has been policy in Indonesia for a long time now - I think that they only confirm a case after 3 positive tests are received - so early cases who are effectively treated early with Tamiflu are never recorded as 'positive'. The other point to note is that countries reporting notifiable disease cases to WHO have the right to refuse their data being made public; i.e the WHO knows of the cases, but these cases are never reported in official numbers if the data supplying country has not given their permission for them to be included.

[Laidback Al]

And in the case of Indonesia, not even timely reporting as required by IHR. In 2009, Indonesia had 20 human cases of H5N1 throughout the year. These 20 cases were not reported until the last day of 2009.
http://www.flutrackers.com/forum/sho...d.php?t=137869

WHO never provided a situation update on these cases. They are included in the cumulative totals from the country but are only referenced in a footnote.

Indonesia numbers indicate cumulative total of sporadic cases and deaths which occurred during 2009.

http://www.who.int/csr/disease/avian.../en/index.html

[Treyfish]

RSUD Sukoharjo Prepare Two Isolation Room
March 6, 2011 | 17:07

Sukoharjo, CyberNews. Mengantissipasi things that are not desirable, especially as related to anthrax and bird flu, Sukoharjo hospitals set up two isolation rooms.

Hospital Director Sukoharjo Gunadi doctors say, the later the isolation room to accommodate patients suspected anthrax and avian influenza (AI). "Two isolation rooms have been equipped with facilities and supporting infrastructures. Two rooms are ready to be occupied kapapun isolisasi, not least for patients with suspected anthrax and bird flu," he said.

It is said, until now there is no patient who occupies the space. Because, in Sukoharjo there is no such patients. However, it remains vigilant. Moreover, in other areas such cases are rampant. Especially in Sukoharjo some time ago there was an indication of poultry died of bird flu.

Besides setting up isolation room, it also has provided about 300 capsules of Tamiflu to be administered to patients who have symptoms of AI affected. But despite already having isolation rooms and decent hospitals to treat patients suspected anthrax or bird flu, according to fixed procedures (SOP), the patient should be referred to the hospital (RS), which has a more complete medical equipment.http://suaramerdeka.com/v1/index.php...-Ruang-Isolasi