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Go Back   FluTrackers > Indonesia > Indonesia - Tracking H5N1 Outbreaks > Bali

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  #1  
Old October 8th, 2011, 03:30 AM
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Default Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive, Reported by WHO

It is not clear what test the hospital used, could be a 'rapid' test.

machinetranslation

Bangli siblings Positive Bird Flu

National / Saturday, October 8, 2011

Metrotvnews.com, Denpasar: Sanglah Central General Hospital, Denpasar, Bali, caring for two siblings from Bangli District of bird flu virus. "Both the patient's initials ALD (10) and Ra (5) who entered the hospital The Friday (7 / 10) night, "said Sanglah Hospital Medical Director Dr. Jaya Kusuma, AAN in Denpasar, on Saturday (8 / 10).

Kusuma explains, from the laboratory by a team of doctors they Sanglah Hospital tested positive for bird flu.

To confirm it must wait for the results of blood tests and saliva samples are sent to the Laboratory School of Medicine University of Udayana and Balitbang Ministry of Health. Jaya Kusuma said the current two brothers patient is still in intensive care in isolation rooms Nusa Indah, and none of the media crew are allowed to enter. (Ant / BANG)

MetroTV


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

Sanglah Hospital Handles Positive Bird Flu Patients

8/10/2011 1

Liputan6.com, Denpasar : General Hospital Center (Dr) Sanglah, Denpasar, Bali, stating that it was treating two patients suffering from bird flu positive in the isolation room Nusa Indah, on Saturday (8 / 10). The brothers of Bangli District was being treated since Friday.

According to the hospital, the condition of both patients concerned, so that direct undergo laboratory examinations. Team doctors Sanglah Hospital awaiting test results of blood samples from the Laboratory of Research and Development Center of the Ministry of Health (MOH Balitbang) RI and Udayana University School of Medicine (FK Udayana University).


Similar reports in :

http://www.antaranews.com/berita/278...tif-flu-burung

http://suaramerdeka.com/v1/index.php...tif-Flu-Burung

and many other online newssources
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  #2  
Old October 8th, 2011, 03:45 AM
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Default Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Quote:
Summary

Last friday (october 7) a brother and sister - aged 10 and 5 years - were hospitalized in the bird flu ward in Sanglah Hospital, Bali.

The two children have a high fever, symptoms of pneumonia, incl. breathing difficulties , are in serious condition and are suspected to have bird flu.
Both childeren are on the ventilator and are treated with Tamiflu and antibiotics.

Initial testing (rapid tests?) performed by the hospital showed positive results for H5N1.
Blood (and mucus?) samples were taken and send to Jakarta and Udayana University (Bali) for confirmation tests.

Family members report poultry near the house which died suddenly recently.
Media Indonesia :

Two siblings suspected to have bird flu still in Hospital Sanglah

Saturday, October 8, 2011

DENPASAR - MICOM: Condition of the siblings ALD 10, and Ra, 5, who allegedly exposed to bird flu, until Saturday (8 / 10) is still worrying. the two children from Bangli are still in intensive care at Sanglah Hospital, Bali. In Nusa Indah isolation rooms specifically designed for patients who indicated that infectious disease had looked guard from the hospital.

The crew of the media is only allowed to see the second condition of the patient monitors located in the room rose to the conditions that must be completely sterile and not everything can go. "team of doctors who deal with both the patient has given tamiflu and anti-infective drugs in order to stabilize the patient's condition, "said Sanglah Hospital Medical Director Dr. Jaya Kusuma, AAN.

He explained that currently enter the citizens from Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli District's physical condition shows signs of bird flu patients. Such physical characteristics, plus Jaya Kusuma, among other conditions are sufficiently high fever and experiencing shortness of breath and should be given breathing assistance device.

According to him, these patients were treated in health centers before they could close their homes because of the heat for three days. "Based on his family, both patients previously had a history of contact with poultry that died suddenly around her house in early October," he said

machinetranslation

Two Suspected Bird Flu Infected

Saturday, October 8, 2011

They suffer from high fever and difficulty breathing.

General Hospital Center, Sanglah, the city of Denpasar Bali, caring for two siblings suspected of suffering from bird flu.

According to Ken Wirasandi, Sanglah Hospital medical director, two siblings -
women and men - come from Bangli. They began being treated since Friday
afternoon because of difficulty in breathing and high fever.

"Symptoms of bird flu it was similar to pneumonia, the two siblings are
have symptoms like that, "said Ken on Saturday (8 / 10).

The hospital suspected a patient as suspect bird flu because both
a brother and sister since they treated the symptoms resemble pneumonia
they naturally tend to get worse.

"We suspect that either brother or sister's illness and at the same time
symptoms are the same, "added Ken.

To ensure that these suspicions, the Sanglah Hospital has sent
The two patients specimen to the Board of Research and Development of the Ministry of Health
in Jakarta. And, now still waiting for confirmation whether or not both
infected with H5N1 virus.

Ken says to the other two suspected bird flu is isolated. Officer
the handle was obliged to wear a safety device.

"We do the procedure according to the SOP if the patient suspected of suffering from bird flu yes
must be isolated, "he said.

Last Sanglah Hospital treating bird flu patients positive in 2007.

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Last edited by Gert van der Hoek; October 8th, 2011 at 06:53 AM. Reason: update summary
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  #3  
Old October 8th, 2011, 08:21 AM
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Default Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Second Bird Flu Patients Isolated Still

Saturday, October 8 2011 16:15 AM |
Bali Update | Read 13 times

Denpasar (Bali Reuters) - The condition of both patients were sisters from Bangli District, the initials ALD (10) and Ra (5) that the bird flu virus, to Saturday noon was still in intensive care in hospital because his condition is alarming.

Based on the observation BETWEEN, Nusa Indah in isolation rooms specifically designed for patients who indicated that infectious disease had looked guard from the hospital.

Journalists are only allowed to see the condition of both patients from monitors located in the room rose to the conditions that must be completely sterile and not everything can be entered.

"The team doctors who deal with both the patient has given tamiflu and anti-infective drugs in order to stabilize the patient's condition," said Sanglah Hospital Medical Director Dr. Jaya Kusuma, AAN in Denpasar, on Saturday.

He explained that currently enter the citizens from Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli District's physical condition shows signs of bird flu patients.

Such physical characteristics, plus Jaya Kusuma, among other conditions are sufficiently high heat and experiencing shortness of breath and should be given respiratory assistance toolhttp://bali.antaranews.com/berita/14...asih-diisolasi
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Old October 8th, 2011, 10:01 AM
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Default Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Birds have been dying there since September

DENPASAR, KOMPAS.com-September 22, 2011

Be careful to buy chicken in the market to be maintained. Provincial Livestock Office Bali suspect, about 50 chickens that died suddenly had a history purchased from traditional markets in Pendem, Jembrana regency, Bali. Further offices were declared dead chickens tested positive for bird flu virus H5N1..In 2006, bird flu broke out in Bali with three human deaths.
http://regional.kompas.com/read/2011...adak.di.Pendem
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Old October 9th, 2011, 08:55 AM
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Default Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Two Still Critical Bird Flu Patients


09/10/2011 16:16

Liputan6.com, Denpasar: Two patients were positive for bird flu from Bangli treated at Sanglah General Hospital, Denpasar, Bali, Sunday (9 / 10), remains in critical condition. Both patients were treated in a special isolation room.

In watchlist Coverage 6 SCTV in a special isolation room of bird flu, RSU Sanglah, body temperature brothers from Banjar Antugan, Village Jehem, it is still high and not go down. Meanwhile, laboratory test results from blood sampling and water mucus both expressed positive for H5N1 virus or bird flu.

Previously, the second condition is quite severe when patients are referred from health centers to the RSU Sanglah village, due to their lungs are infected. Both are known to have contact with poultry that died suddenly before hospital
http://berita.liputan6.com/read/3571...g-masih-kritis
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Old October 9th, 2011, 09:07 AM
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Default Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Mass bird deaths in Bali

Outbreaks of Avian Influenza outbreak in Jembrana



Sunday, October 9, 2011 19:14


STATE - MICOM: Outbreaks of bird flu re-emerged in poultry attacked the district of Jembrana, Bali, so it makes people uneasy.

The information gathered on Sunday (9 / 10), mentions poultry in some villages and urban villages, such as Pendem, Kaliakah, Dauhwaru, Dangitukadaya, the bird flu virus began. In fact, hundreds of birds, mostly chickens die in Hamlet Mekecir Yeh, Dangintukadaya village, Jembrana District...http://www.mediaindonesia.com/read/2...ak-di-Jembrana
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Old October 9th, 2011, 09:16 AM
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Default Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Bird Flu Strikes Back Citizen in Bali

Sunday, October 9, 2011 15:10

Bird flu re-attack the people of Bali. Two residents Bangli District, Bali was rushed to Sanglah Hospital, Denpasar because of bird flu disease. Two residents are currently still undergoing intensive treatment in the isolation room with the aid of breathing equipment.

Both residents suffering from bird flu is the origin of RA and WA Jehen Village, Tembuku, Bangli regency. Both are not allowed to dijenguk because it is still undergoing treatment in isolation.

Both residents had previously had rushed to the clinic and Bangli District Hospital with symptoms of high fever and shortness of breath. However, as conditions continue to weaken both of them had to be referred to the Sanglah Hospital, Denpasar.

From the results of examination confirmed two people are positive for H5N1 virus. Both are also known to have a history of contact with poultry that died suddenly due to bird flu.

VIDEO.. Of them on breathing machineshttp://video.tvonenews.tv/arsip/view..._di_bali.tvOne
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Old October 9th, 2011, 09:31 AM
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Default Re: Indonesia - Bali - Brother and sister suspected to have bird flu

New video, shows their village ,spraying, and some dead birds, clip from the hospital..http://news.okezone.com//play/17652/...tif-flu-burung
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Old October 9th, 2011, 10:50 AM
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Default Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

Disnak muster Team Location Check Bird Flu

Sunday, October 9 2011 08:37 AM
Denpasar (Bali Reuters) - Bali Provincial Animal Husbandry Department to deploy teams to conduct searches or investigations into the residential area of origin Bangli brothers who attacked the bird flu virus and treated at General Hospital Center (Dr) Sanglah, Denpasar.

"We were immediately led the team to perform pelusuran around the patient's residence, on Saturday (8 / 10)," said Head of the Provincial Livestock I Putu Sumantra Bali in Denpasar, on Sunday.

He explained, the search results is known that the incident never happened poultry residents died suddenly about three weeks ago, but was not reported to authorities.

Therefore, the added Sumantra, against the surviving chickens in the area of ​​Banjar Galiran, Jehem Village, District Tembuku that he said he did a quick test to find out whether or not infected with bird flu.

"The results of tests on birds found there was not positive of bird flu," said Sumantra.

Previously two brothers from the area, the initials ALD (10) and Ra (5), treated at Sanglah Hospital and tested positive for bird fluhttp://bali.antaranews.com/berita/14...asi-flu-burung
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Old October 9th, 2011, 12:22 PM
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Default Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

October 10, 2011 | BP
District DSO effected
Two Patients Treated Avian Influenza Intensive
Denpasar (Bali Post) -

The emergence of bird flu cases in Bangli, precisely in the Banjar Dinas Antugan, Jehem Village Bangli, making Public Health and Animal Husbandry Department to take preventive measures and countermeasures. District Surveillance Officer (DSO) for bird flu in each district is now effected performance.

In the meantime, until yesterday the two sisters from Bangli is the patient suspect bird flu was still in intensive care.The results of laboratory tests Sanglah Hospital and Medical Faculty Udayana University, is equally positive results. Status of both sisters to be avian influenza-positive patients were just waiting for the results of Research and Development Laboratory of Jakarta.

Chief Medical Officer Dr Bali. Nyoman Sutedja, Sunday (9 / 10) today presented, for residents who had ILI (Influenza Like Illness) will be traced history. If had contact with poultry that died suddenly, will be given tamiflu and intensive care in accordance with the bird flu patient care. Tamiflu current inventory reached 14,000 kiur.

Related to this DSO team, he said, served to monitor the case and the potential for early detection of bird flu. If found people who are sick after chickens died suddenly, will be reported immediately to local health centers and farms.

Apart form the DSO team, also made counseling about bird flu on a regular basis in each region. The emergence of bird flu cases in humans after a vacuum for the last two years in Bali shows that the awareness of the disease is weak. Sutedja appealed to people to remain vigilant and immediately report if there are birds in the area of ​​sudden death.

Head of Department of Livestock Bali Putu Sumantra said, after the information of two residents from Bangli suspected bird flu positive, Disnak party was immediately plunged into the location that is the Banjar Antugan, Jehem, Tembuku, Bangli.

Based on the results of rapid tests on chickens that died or live in the home patients were negative. Similar results were also shown by the examination of dead chickens in his neighbor's house. For a more accurate examination, two chickens that died at home the patient was then taken to the Central Veterinary, Pegok, Denpasar.





http://www.balipost.co.id/mediadetai...id=10&id=57389
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Old October 9th, 2011, 12:52 PM
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Default Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

2 ‘Suspect’ Bird Flu Cases in Bali


Initial Tests ‘Positive’ for H5N1 for Two Children from Bangli, Northeast Bali.




(10/9/2011)


Bali health officials are concerned that the H5N1 or Avian Bird Flu may have made a foothold among the human residents of Bali.

After a period of nearly two years in which no “suspect” cases have been reported, two brothers from Bangli in northeast Bali, aged 10 and 5, are now hospitalized in the isolation unit of Bali Sanglah General Hospital.

The two children were transferred from the Bangli Public Hospital to Denpasar on Friday, October 7, 2011, Suffering from symptom initially thought to be pneumonia or a lung infection, medical personnel grew concerned that when it was confirmed that the two young patients had symptom consistent with H5N1 and recent contact with a group of chickens that had died unexpectedly.

The Director of Medical Services and Nursing at the Sanglah General Hospital , Dr. A.A.N. Jayakusuma, told the press on Saturday, October 8, 2011, that the bird flu containment team have taken the necessary medical steps. “We have quickly undertaken supporting examinations and laboratory tests to confirm that whether or not the patients are victims of H5N1 which is the virus that causes Avian Flu. From the examinations carried out by the laboratory of Sanglah Hospitlal we have encountered positive confirmation,” explained Dr. Jayakusuma, as quoted by Bali Post.

Despite tests confirming H5N1 performed in Bali, the diagnosis will only be final when three different laboratories also confirm the results. Tests are being conducted at Udayana University and in Jakarta, with results expected in the coming few days.

In the meantime, the two children are being treated in isolation units at the hospital. All family members who have had contact with the children as well as the medical staff treating them are being given preventative dosages of Tamiflu.

The two children are receiving intensive medical treatment, including assisted breathing with respirators.

http://www.balidiscovery.com/message...ge.asp?Id=7494
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Old October 9th, 2011, 10:34 PM
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Default Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

If this family cluster of H5N1 is confirmed by DEPKES and WHO, it will be the first family cluster in Indonesia since March of 2011 when a mother and daughter were infected in Bekasi. The mother died. (link)
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Old October 10th, 2011, 02:52 AM
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Default Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

[Source: Kompas, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]
Indonesia, Bali: Two Bird Flu Patient Have Died at Sanglah Hospital


Glori K. Wadrianto | Monday, October 10, 2011 | 10:51 pm


DENPASAR, KOMPAS.com - The death of two bird flu patients at the General Hospital Center (Dr) Sanglah, Denpasar, three hours later one to the other.

Information collected until Monday (10/10/2011) mentioned, one patient died on Sunday at around 22:00 pm. Interval of three hours later, on Monday at around 1:00 pm, turn the other one patient breathed his last.

Until now, the two brothers remains a bird flu virus with the initials ALD (10) and Ra (5) are still stored in the hospital morgue. Neither the parents nor the family no one has taken the bodies of two bird flu patients.

Until now, anyway, the Sanglah Hospital has not provided official information related deaths of two patients who since last Friday undergoing an intensive care room which is the Nusa Indah isolation room for bird flu patients.

A number of journalists from print and electronic media are also not allowed to take pictures of the bodies are still stored in the mortuary. Meanwhile, several other journalists waiting for an official statement from the hospital.

Previously, the state Sanglah Hospital, ALD and positive Ra deadly virus as a blood sample test results. Similarly, the Faculty of Medicine University of Udayana (Udayana University), Denpasar, said the same thing after checking the patient's saliva samples of bird flu from Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, it is.

However, to reinforce the observations that, the Sanglah Hospital still waiting for test results of samples that carried the Balitbang Ministry of Health in Jakarta. While undergoing treatment at Sanglah Hospital, both patients get tamiflu drug specifically designed for bird flu patients.

"The team doctors who deal with both the patient has given tamiflu and anti-infective drugs in order to stabilize the patient's condition," said Sanglah Hospital Medical Director Dr. Jaya Kusuma, AAN in Denpasar, on Saturday.
Before referred to Sanglah Hospital, ALD and Ra was undergoing treatment for three days at the clinic in the neighborhood due to both the body temperature rises suddenly. The second boy had a fever almost simultaneously shortly after chickens around the house her parents died suddenly.
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Old October 10th, 2011, 02:53 AM
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Default Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

[Source: Media Indonesia, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]
Indonesia, Bali: Two Bird Flu Patient Died



Monday, October 10, 2011 10:49 AM

DENPASAR - MICOM: Two bird flu patients from being admitted to Bangli District Sanglah Hospital, Denpasar, died on Sunday (9 / 10) night.

Both of them had undergone treatment for several days in isolation rooms. However unfortunate, the brothers initials ALD, 10, and Ra, 5, can not be saved.

However, until recently the Sanglah Hospital still has not provided information related to the death of two citizens of Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, it .
Both bodies were sisters until now has not been taken by the family. (Ant/OL-9)
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Old October 10th, 2011, 02:53 AM
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Default Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

[Source: Republika Online, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]
Indonesia, Bali: Two Siblings have died after contracting bird flu virus



Monday, October 10, 2011 12:09 AM


REPUBLIKA.CO.ID, DENPASAR - The General Hospital Center (Dr) Sanglah, Denpasar, said, attempts to tackle bird flu on two patients who died in hospital on Sunday (9 / 10) night, has a maximum.

"We has a maximum of two patients in dealing with it, including by providing anti-drug tamiflu and other infections, "said Secretary of the Committee for Bird Flu Disease Control Sanglah Hospital, Dr I Gusti Bagus Ken Wirasandi, in Denpasar, on Monday. But according to him, the lives of siblings brothers, each with the initials ALD (10) and Ra (5), it can not be saved while undergoing treatment at the Nusa Indah space which is the isolation room for people with bird flu.

Wirasandi suggests that, when delivered to the Sanglah Hospital the condition of both patients was very severe .

"Progression of the deterioration is very fast since come in here, even the breathing system affected. Maybe it was one of the factors causing the patient died," he said.

He said, Ra died exactly at 20.20 pm. Followed his brother, ALD, at 00.00 pm. Prior referred to Sanglah Hospital, Friday (7 / 10) then, the two brothers who lived in Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, it was undergoing maintenance in health centers near his home.

While at Sanglah Hospital, ALD and Ra are given tamiflu. "Tamiflu is effective only given to patients who are exposed to bird flu virus within 1x24 hours, while two patients were already 12 days until the time they died," said Wirasandi. '
According to him, the Ministry of Health Balitbang also been officially stated that, both patients were positive for bird flu after an examination of sputum samples PCR. The statement was submitted to the Sanglah Hospital, on Sunday.
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Old October 10th, 2011, 02:54 AM
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Default Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

[Source: Republika Online, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]
Two siblings died of bird flu, Citizens Asked to Beware



Senin, 10 October 2011 12:44 WIB


REPUBLIKA.CO.ID, DENPASAR - The case of the death of brother and sister from Bangli District, Bali exposed to bird flu virus (H5N1) was the first occurred in 2011, since something similar happened in 2007.

Secretary of the Committee for Avian Influenza Disease Control General Hospital (Dr ) Sanglah, Denpasar, Dr. Ken Wirandi IGB said this to reporters on Monday. He explained that in 2007 the two H5N1 patients who were treated at the largest referral hospital in the island resort that also can not be helped and eventually died.

At that time, Dr. Ken added, the number of cases of bird flu virus patients admitted to hospital were as many as 46 people.

"So the number of cases of disease from 2007 to now 48 cases, with patients who died as many as four people," he said.

According to Ken, if view of the deaths of two residents Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency that, theoretically, could be categorized as an extraordinary event. It was, said he, on the basis of previous cases did not exist until it suddenly resurfaced with casualties.
"We hope communities across the territory of Bali increased vigilance against infectious diseases are very dangerous," he said. Ken said, caution is particularly in the processing of chicken or other poultry that was really good before it is served or eaten. In addition, , he added, also in the maintenance of cleanliness need to be considered poultry cages and the place to be free from disease.
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Old October 10th, 2011, 02:55 AM
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Default Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

[Source: Kompas, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]
Indonesia, Bali: Two Bird Flu Stricken Children Died



Herpin Dewanto Putro | Suprihadi Marcus | Monday, October 10, 2011 | 12:53 pm


DENPASAR, KOMPAS.com - With the death of two children on Sunday night, means it's four people died in Bali because of bird flu since 2007.

In a statement to reporters on Monday (10/10/2011), the Director General and Operations General Hospital Center (Dr) Sanglah Denpasar Elzarita Arbain states, the latest victim of bird flu occurred in 2007. At that time there were two people dead.

Previously reported, the two children in Bali tested positive for bird flu virus. Two sisters, Wayan Ardiawan (10) and Nengah Rica (5), died on Sunday (9 / 10) night at the General Hospital Center for Sanglah Denpasar.

"After viewing the samples we send, Agency for Health Research and Development Ministry of Health stated positive bird flu," said Elzarita.

Both victims were from Jehem village, Bangli regency, Bali. They began being treated at Sanglah Hospital on Friday (7 / 10). "When they come, they have not been identified bird flu, but we already have suspicious symptoms," said Elzarita.

When it comes in Sanglah Hospital, two victims still looks shocked and consciousness is decreased.
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Old October 10th, 2011, 03:00 AM
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[Source: ANTARA, full text: (LINK).]

Two balinese residents die of bird flu



‎10 October ‎2011

Two residents of Bangli District, Bali Province, here on Sunday evening died of bird flu virus after being treated for several days at Sanglah Regional Public Hospital.
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Old October 10th, 2011, 03:02 AM
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Default Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

Quote:
"After viewing the samples we send, Agency for Health Research and Development Ministry of Health stated positive bird flu," said Elzarita.
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Old October 10th, 2011, 04:11 AM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Two children die of bird flu on Indonesia's Bali

Oct 10, 2011

Denpasar, Indonesia - Two children have died of bird flu on Indonesia's resort island of Bali, hospital staff said Monday.

Wayan Aldiawan, 10, and his 5-year-old sister Nengah Rika Ani died Sunday after being treated for two days, Sanglah hospital official Elzarita Arbain said.

'Throat swabs and blood samples came back positive for H5N1,' he said, referring to the deadliest strain of bird flu.

The chief of the hospital's bird flu ward, Ken Wirasandi, said the children had contact with dead fowl in their neighbourhood in Bangli district.

Before the latest cases, two people died of bird flu in Bali between 2007-08.

According to the World Health Organization, Indonesia has had 146 human deaths from bird flu, the highest in the world.

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Old October 10th, 2011, 05:52 AM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Two Boy Dies Due to Bird Flu

Monday, October 10, 2011 | 13:36 pm

TEMPO Interactive, Denpasar - Wayan Aldiawan, 10 years, and Nengah Ani Rica, 5 years, from Tembuku Village, Bangli, Bali, allegedly died from bird flu, early Monday, October 10, 2011. The bodies of the brothers are still stored at the General Hospital Center for Sanglah.

Nyoman Bali's Chief Medical Officer Suteja said it fielded a team into the field. "There is a history of contact with dead chickens," he said. As already showing symptoms of decline in health condition, the family did not immediately took him to the hospital and instead hide. "This is what makes the condition worse," he said.

A somewhat confusing, chickens that died at home the boys were brothers after testing negative results. Therefore, it asked residents to increase their vigilance to immediately report the dead chickens unreasonably

Secretary of H5N1 Avian Disease Prevention Team RS Sanglah I Gusti Bagus Ken Wirasandi said during a hospital admission on Friday, October 7, 2011, both patients had decreased consciousness and a ventilator. The case this time is the second case of bird flu had attacked Bali in 2007. At that time there are 46 suspected bird flu patients, 2 patients of whom eventually died and tested positive for H5N1.

For the handling of bird flu, Bali today still have a stock of about 3,000 Tami flu tablets, 2,000 tablets of which are stored in Sanglah Hospital. But he warned tamiflu optimal only in the first 24 hours after a person suspected of bird flu. Because it is so there are no symptoms leading to bird flu, people should be quickly reported.

SWEP throat and blood samples of both victims have been sent to Balitbang Department of Health and has been confirmed H5N1 positive. This was confirmed by laboratory results Sanglah Hospital and Udayana University biomolecular laboratories. Laboratory tests in the form of PCR (polymerase chain reaction) by taking SWEP throat.
Screening also includes the serial photographs of the victims lungs conducted once every six hours and showed progression of the deteriorating and positively infected by H5N1 virus.http://www.tempointeraktif.com/hg/nu...360681,id.html
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Old October 10th, 2011, 06:08 AM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Leave Families Party bodies Bird Flu Patients

Monday, October 10 2011 12:06 AM | Bali Update | Read 27 times

Denpasar (Bali Reuters) - The family left the body of ALD (10) and Ra (5) who had died from bird flu virus attacks to the General Hospital Center (Dr) Sanglah, Denpasar.

"The bodies of two brothers by his family for a week because it is deposited in the village where his parents lived a religious ritual is in progress so not allowed to do the ceremony of death according to Hindu religious beliefs," said Director General and Operations Sanglah Hospital, dr Elzarita Arbain, M . Kes, in Denpasar, on Monday.

Yet according to the procedures the corpse handling infectious diseases, he explained, should be immediately cremated.

It aims to break the chains of the spread of the deadly virus that do not extend.

"But now the family is not able to perform cremation ceremony for the course are other religious rituals in the village," he said.http://www.antarabali.com/berita/149...ien-flu-burung
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Old October 10th, 2011, 06:29 AM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Residents Reject Return of Bird Flu Killed Boy 2
Residents Reject Return of Bird Flu Killed Boy 2

Monday, October 10, 2011 13:59 pm


DENPASAR-Two boys who died from bird flu virus was forced to temporarily deposited in the hospital, because people in his village in Bangli regency, Bali, refused to return them.

Actually, medically, the patient of bird flu victims must be immediately carried out the cremation and burial process should not be delayed. This is done so that the bird flu virus does not spread.

Director General and Operations General Hospital Center (Dr) Sanglah Denpasar, dr Elzarita Arbain, said both patients KRA (5) and WA (10) failed to take home her family.

"In the village held a ceremonial center, so that the bodies are not allowed to be brought home now," said Elzarita during a press conference in his office on Monday (10/10/2011).

Description of the residents in the village of Banjar District Jehem Tembuku known, the bodies of two victims only allowed to take home approximately one week.

Therefore the bodies of brothers temporarily deposited in the isolation room while a hospital morgue. Cremation is believed to be aiming to eventually break the chain so that the spread of bird flu disease is not contagious to those around him.

On different occasions, the hospital asked the public to increase their vigilance over the spread of bird flu or H5N1 virus.

"We hope the places with a potentially deadly infectious diseases such as market centers or sick birds should really pay attention," added the Secretary of the Management Team Sanglah Hospital of Infectious Diseases, Dr. Ken Wirasandi IBG.

As is known after three days of being treated in two boys initials CFC (5) and WA (10) from Bangli District who entered the hospital Friday, October 7, eventually died from bird flu virus attacks.

Two sisters arrived on Friday, October 7 and eventually died in a row on Sunday night. KRA sitting in Kindergarten died at 20.20 pm, while his brother WA 5 th grade students eventually died at 24.00 pm.


Monday, October 10, 2011 13:59 pm

http://news.okezone.com/read/2011/10...was-flu-burung
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Old October 10th, 2011, 07:54 AM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Monday, October 10, 2011

Bird Flu Claims Two Lives On Bali



# 5888


Roughly 48 hours ago (Oct 8th) Gert van der Hoek (aka Dutchy) on FluTrackers posted an Indonesian MetroTV report on two children hospitalized on Friday (Oct 7th) with severe respiratory symptoms on the resort island of Bali.
Given their reported contact with chickens, and the endemic nature of the H5N1 virus in Indonesia, bird flu was immediately suspected.

Over the next two days the newshounds on FluTrackers and the Flu Wiki posted more than 2 dozen translated reports on these two children, and yesterday we learned that preliminary testing indicated bird flu, and that both children were on respirators.
You can follow the FluTrackers Thread and the FluWiki thread for more details.
This morning we’ve word that both children have died, and that H5N1 has been confirmed. While a number of news reports are reporting these deaths, TEMPO Interaktif seems to have the most details.
Two Boy Dies Due to Bird Flu

Monday, October 10, 2011 | 13:36 pm
TEMPO Interactive, Denpasar - Wayan Aldiawan, 10 years, and Nengah Ani Rica, 5 years, from Tembuku Village, Bangli, Bali, allegedly died from bird flu, early Monday, October 10, 2011. The bodies of the brothers are still stored at the General Hospital Center for Sanglah.

Bali’s Chief Medical Officer Suteja said it fielded a team into the field. "There is a history of contact with dead chickens," he said. As already showing symptoms of decline in health condition, the family did not immediately took him to the hospital and instead hide."This is what makes the condition worse," he said.

A somewhat confusing, chickens that died at home the boys were brothers after testing negative results. Therefore, it asked residents to increase their vigilance to immediately report the dead chickens unreasonably

(Continue . . .)
According to other reports (here & here) prophylactic Tamiflu is being provided to family members and close contacts to these boys, and the community has been told that Tamiflu would be provided to anyone who had contact with sick or dead chickens.

All of this is highly reminiscent of the events of August 2007, when an outbreak of H5N1 killed two women (and was suspected in the death of one’s 5 year-old daughter) on the island of Bali (see WHO reports here and here) (my bolding - S.)

Bali, with a population of just under 4 million, is a popular international tourist destination, although its reputation has suffered in recent years due to outbreaks of bird flu, dengue, and rabies.
A number of countries, including the US and Australia, have issued travel health warnings for Bali, and for the rest of Indonesia (see Here). (my bolding - S. )
Although news reports of bird flu outbreaks, and human cases, in Indonesia have declined over the past couple of years the virus remains endemic in that country, and continues to mutate and spread.

Reporting and surveillance in Indonesia – as it is in much of the world – leaves much to be desired. So while Indonesia reports 146 total deaths from the H5N1 virus, the actual number is unknown.


With these two new deaths, a good deal of attention will be focused on Bali over the next couple of days to see if additional cases show up

Posted by Michael Coston at 7:32 AM
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Old October 10th, 2011, 07:59 AM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

To summarise some key points that we need to remember here:-

a) as far as I can gather, the chickens tested negative for H5N1 but there were (as far as I can interpret these reports) chickens that died. This suggests that either the virus in these birds has mutated away from the testing reagents producing a false negative, or that they were not the transmission vector. This needs to be determined.

b) the children were not brought for treatment in a timely fashion, and sadly, this means that Tamiflu was not administered early, which will likely have played a factor in these children's deaths. My heart goes out to their poor parents

c) I think that only local tests have currently confirmed H5N1 and that we do not have confirmatory tests as yet from the central laboratory
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Old October 10th, 2011, 08:43 AM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

@Vibrant62 , regarding the lab tests, a translated snip from VIVA news. According to this article 4 labs got a positive testresult.

Quote:
Test Laboratory

Denpasar Sanglah Hospital Director Dr. Ken Wirasandhi said, originally both patients are not referred to as bird flu patients. However, in the progress that can be seen by naked eye is medically, the Sanglah Hospital guess if both are suffering from bird flu.

The assumption is finally performed laboratory tests. Examination conducted in the Lab. Sanglah Hospital, Laboratory Biomol Udayana University School of Medicine and the Bali Provincial Laboratory. From the examinations of the three laboratories the result was positive bird flu.

"But the three laboratories did not have the authority to publish the results of lab tests. Sanglah Hospital party finally sends the same samples to the Laboratory Kemenkes RI (Min of Health Jakarta,ed) and the result was positive for bird flu, "he said.
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Old October 10th, 2011, 09:36 AM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Bali Hospital Confirms Two Cases of Bird Flu

Made Arya Kencana | October 10, 2011

Denpasar. Bali officials are on alert again after two children at Denpasar’s Sanglah General Hospital were diagnosed with the H5N1 strain of avian influenza.

The siblings, 5-year-old Nengah Rika and 10-year-old Wayan Aldiawan of Bangli district, were admitted to the hospital on Friday night with symptoms of avian influenza and placed in isolation.

The hospital’s medical and nursing director, Anak Agung Ngurah Jaya Kusuma, said on Sunday that the children had been in direct contact with dead poultry around their house and were treated at a local health clinic before being brought to Sanglah.

Officials are still waiting for results of further tests from Udayana University and the Health Ministry.

Bali Animal Husbandry Agency head Putu Sumantra said a team had been deployed to Bangli, but preliminary results showed no trace of H5N1. He said that given the preliminary test, he was not ready to conclude the birds died of avian influenza.

“Nevertheless we remain vigilant. Some of the dead birds have been sent for further lab tests, the area has been sterilized and we have taken samples from family members,” he said.

A total of two people died of the virus in 2007 and 2008, but the province has still not enacted a 2005 gubernatorial regulation banning the import of poultry into the island from other areas.

Denpasar agricultural quarantine chief Saiful Muhtadin said many attempts were made to smuggle poultry into Bali, especially through Padangbai and Gilimanuk harbors.


http://www.thejakartaglobe.com/news/...ird-flu/470592
-----------------------------------------------------
Bird Flu Claims Lives of Two Children in Bali

October 10, 2011


Denpasar, Indonesia. Two children have died of bird flu on Indonesia’s resort island of Bali, hospital staff said on Monday.

Wayan Aldiawan, 10, and his 5-year-old sister, Nengah Rika Ani, died on Sunday after being treated for two days, Sanglah hospital official Elzarita Arbain said.

“Throat swabs and blood samples came back positive for H5N1,” he said, referring to the deadliest strain of bird flu.

The chief of the hospital’s bird flu ward, Ken Wirasandi, said the children had contact with dead fowl in their neighbourhood in Bangli district.

Before the latest cases, two people died of bird flu in Bali between 2007-08.

According to the World Health Organization, Indonesia has had 146 human deaths from bird flu, the highest in the world.

DPA
http://www.thejakartaglobe.com/home/...in-bali/470672
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Old October 10th, 2011, 10:25 AM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Translated by Google

Patient Handling Bird Flu Maximum Already

Monday, October 10, 2011 13:17 Denpasar - General Hospital (Dr) Sanglah, Denpasar, said, attempts to tackle bird flu on two patients who died in hospital on Sunday night (9 / 10), has a maximum.

"We have leverage in dealing with two patients, including by providing anti-drug tamiflu and other infections," said Secretary of the Committee for Bird Flu Disease Control Sanglah Hospital, Dr I Gusti Bagus Ken Wirasandi, in Denpasar, on Monday (10/10).

However, he says, the lives of two brothers, each with the initials ALD, 10 years, and Ra, 5 years, it can not be saved while undergoing treatment in the Nusa Indah which is the isolation room for people with bird flu.

Wirasandi argues, when delivered to the patient's condition Sanglah Hospital has been very severe. "Progression of the deterioration is very fast since come in here, even the breathing system affected. Maybe it was one of the factors causing the patient died," he said.

He mentioned that, Ra died exactly at 20.20 pm. Followed his brother, ALD, at 0:00 pm.

Before referred to Sanglah Hospital, Friday (7 / 10) then, the two brothers who lived in Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, it was undergoing treatment at the health centers near his home.

While at Sanglah Hospital, ALD and Ra are given tamiflu. "Tamiflu is effective only given to patients who are exposed to bird flu virus within 1x24 hours, while two patients were already 12 days until the time they died," said Wirasandi.

According to him, the Ministry of Health Balitbang also been officially stated that, both patients were positive for bird flu after an examination of sputum samples VCR. The statement was submitted to the Sanglah Hospital, Sunday.

Meanwhile, Director General and Operations Sanglah Hospital, dr Elzarita Arbain, M. Kes, stating that it had previously done an examination of both blood samples of patients and the result is positive of bird flu.

"Our examination was done on our suspicions to the patient against possible bird flu virus because of previous health centers and hospitals do not provide explanations related illnesses suffered by patients before referred to here," he said.

Similarly, the results of laboratory tests conducted by the Faculty of Medicine University of Udayana (Udayana University) Denpasar on both sputum samples, were equally positive for the H5N1 virus.

Until now, the bodies of ALD and Ra are still stored in Sanglah Hospital morgue because it has not taken up by the family. [TMA, Ant]

http://www.gatra.com/kesehatan/73-ke...sudah-maksimal
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Old October 10th, 2011, 10:51 AM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

snip from MetroTV:

10 Oktober 2011 19:46

Google translation:
Quote:
Not yet known where the children were infected, because his family's knowledge there is no dead birds around their homes.
Toggletext translation:
Quote:
It was not yet known where the two children [were] infected, because his family's foreknowledge did not have the poultry died around their residence.
Original:
Quote:
tidak ada unggas mati
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Old October 10th, 2011, 05:26 PM
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Default Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Source: http://www.thejakartaglobe.com/home/...in-bali/470833

Bird Flu Kills 2 Children In Bali
Made Arya Kencana | October 11, 2011

Denpasar. Two young siblings from a family in Bali’s Bangli district are Indonesia’s latest fatalities claimed by the H5N1 virus that causes bird flu, a hospital official said on Monday.

“The samples of throat swab and blood that we have sent to the Health Ministry’s research and development department has been positively confirmed to contain H5N1,” said Elzarita Arbain, the director for general and operational affairs at the Sanglah General Hospital in Denpasar.

Elzarita referred to Wayan Aldiawan,10, and Nengah Rika Ani, 5. The children, both from Tembuku village, died at the hospital on Sunday, two days after they were admitted there.

Rika died at about 8 p.m. on Sunday, while her brother followed four hours later.

Indonesia’s last official avian influenza fatality was a woman from Tangerang, who died in July 2010.

“The bodies of the two cannot yet be taken home because there is still an ongoing ritual ceremony at their village. The bodies have been temporarily put in the morgue,” Elzarita said.

I Gusti Ken Wirasandi, head of the hospital’s H5N1 flu mitigation team, said when the siblings were admitted to Sanglah, they were barely conscious and had to be assisted with breathing equipment.

Ken added that the deaths were immediately reported to the Bali health authorities.

Bali Health Office chief Nyoman Sutedja said the last bird flu fatalities on the island occurred in 2007, when two patients from a total of 46 infected people succumbed to the virus...

...He said that in the case of the two children in Bangli, the family failed to report their bird flu symptoms to local health authorities promptly and instead had tried to hide the illness.

“That made the condition worse,” he said.

Putu Sumantra, the head of the Bali Animal Husbandry Office, said the source of the H5N1 infection was unknown.

“The two patients did have a history of contact with dead poultry, but when we went to the location, we only found one live chicken remaining that belonged to the victims. After a rapid test, the results were negative for H5N1,” he said.

He said a team would continue to look for the source of the virus in the area...
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