Indonesian Human Cases: Nov 3 to Dec 4, 2007

[Sally Furniss]

Indonesian woman dies of bird flu - health official

http://in.reuters.com/article/health...23047320071105
Mon Nov 5, 2007 10:10am IST

JAKARTA (Reuters) - An Indonesian woman has died of bird flu, taking the country's death toll from the disease to 90, an official at the health ministry's bird flu centre said on Monday.
Suharda Ningrum said it was not yet clear whether the 30-year-old victim had been in contact with sick fowl, but chickens belonging to a neighbor had died suddenly. The woman lived in Tangerang, west of the capital Jakarta.

[Sally Furniss]

http://news.xinhuanet.com/english/20...nt_7014661.htm

JAKARTA, Nov. 5 (Xinhua) -- A 30-year-old Indonesian woman from an outskirts city of Jakarta has died of bird flu, the health ministry said here Monday. Laboratory tests indicated that the woman, from Tanggerang city who died on Saturday in a designed-bird flu hospital of Persahabatan in east Jakarta, was positively contracted by avian influenza, an official of the anti-bird flu center of the ministry Djoko Suyono said.
"She was dead on Saturday. Two of laboratory tests showed that she is positive of bird flu," he told Xinhua.
The woman died after apparently coming into contact with over 100 poultry that suddenly died last month in her residence, said Suyono.
"The woman had contacted with dead chicken owned by her neighbors," he said.
The confirmation put total fatality from the H5N1 to 90 out of 112 contracted people in the bird flu hardest-hit country, said the official.
Both her child and niece who were suspected of having the disease, were cleared of the suspicion, he said.
The woman began to show the symptoms of the disease on Oct. 23 and went to clinics five days later in Tanggerang town, said Suyono. She was treated in a hospital in the town on Oct. 30 and was moved to Persahabatan hospital in East Jakarta one day later.
Expert fear that the highly pathogenic H5N1 virus can mutate into a certain level that makes it transmittable among humans, which can trigger a pandemic that is feared to kill millions of people.
Indonesia has been in the front row in fighting he viruses, which have slowly and persistently spread on human.
The country has faced major problems in its efforts to stop the spread of the disease, including large territory, traditional way of raising chickens on back yard and lack of implementing measures to stop the virus from spreading.
The virus has been endemic in poultry across Indonesia that is the world's fourth most populous country and home to millions of backyard chickens.

[HenryN]

Indonesia confirms 90th bird flu death


Agence France-Presse
JAKARTA - A 30-year-old Indonesian woman died at the weekend of bird flu, bringing the death toll in the country worst affected by the virus to 90, a health ministry official said Monday.
The woman came from Tangerang, a satellite city west of the capital Jakarta, where three children were diagnosed with the H5N1 virus last month. Two of them died.
"Both tests are positive," Suharda Ningrum, from the ministry's bird flu information center, told AFP, referring to the latest victim.
Two tests must come back positive before a patient is confirmed as having avian influenza here.
"Now the number of cases is 112, of which 90 have been fatal," Ningrum added.
The death toll in Indonesia, a sprawling archipelago nation where the H5N1 virus is endemic in nearly all birds, is the highest in the world.
Another official said earlier that the woman, who had come into contact with sick poultry near her home, had fallen sick on October 23. She was hospitalized in Tangerang on October 30 and transferred to a Jakarta hospital a day later.
A health ministry official said that authorities were coordinating closely with hospitals in Tangerang and had informed local health centers to be aware of the virus.
"They have been asked to do early diagnoses for any sick people who have any possibility of being infected with bird flu. This is important to avoid any other casualties," the official told AFP.
Erna Trisnaningsih, the ministry's director of control of animal-borne disease, said officials were coordinating with district leaders in Tangerang to boost prevention measures and public awareness.
These include "disseminating information to people to keep their poultry away from their house and regularly clean their chicken coops using disinfectant," she said.
Local officials have also been asked to cull poultry found in a one-kilometer (half-mile) radius of infected birds, she added, but it was not immediately clear if any culls were actually being carried out.
All birds other than licensed pets were banned from the capital Jakarta earlier this year amid ongoing avian flu outbreaks.
Transmission of the virus to humans is mainly by infected birds but scientists fear that H5N1 will eventually mutate into a form that is much more easily transmissible between humans, triggering a global pandemic.
The original source is thought to have been wild migratory birds.
H5N1 has mainly affected Asia and some parts of Africa, but the Food and Agricultural Organization warned last month that the virus could be transmitted to poultry in Europe by ducks and domestic geese seemingly in good health.
Animal health experts in Vietnam meanwhile warned last week that there was a high risk of a recurrence of the H5N1 virus there following several outbreaks in birds.

http://www.abs-cbnnews.com/storypage.aspx?StoryId=98135

[Dutchy]

Originally Posted by Dutchy

Edit: another story on the same source:

http://www.myrmnews.com/indexframe.p...bsite&id=45944

TT translation by Christian, with thanks!

Edit: original header added:

The suspect bird flu forced family to escape after being expelled by Residents

Tangerang, myRMnews.

Casualties's family suspect bird flu fled.This was done by the NY family.

And (30), the resident of the Cipete District, Kecamatan Penang, of Kota Tangerang that last Wednesday (31/10) was reconciled to RS Persahabatan Jakarta because of being suspected of contracting the bird flu virus.

During myRMnews visited this house of afternoon casualties (on Sunday, 4/11), the condition for the house already in the empty situation.

Yeni (22), casualties's neighbour said the NY family.
"I saw casualties's family brought the big backpack he said wanted stay the night in your house him.

Now casualties's older brother tended And in RS Persahabatan," obviously the mother was young this.

Continued the woman had short hair this, the evacuation action of the family NY Et this resulted in the local resident then panicking, frightened contaminated by the deadly virus.

As is known beforehand, And was treated in space of the Hospital isolation of Persahabatan Jakarta Timur.

According to the Village Head's information Cipete Amaludin that quoted the family's information And on last Friday stated, the woman had two children that since Wednesday (31/10) were treated in the Persahabatan Hospital.

He was the reconciliation patient from the Usada Insani Hospital, Tangerang.

Explained, And last October 26 began to feel the fever and breathless.
Medical treatment efforts to the health clinic near his house did not bring results so as the family carried her to the Usada Insani Hospital.

Saw the sufferer had the sign similar to the bird flu illness, the hospital side reconciled her to the Persahabatan Hospital.

The Et family indeed did not have the poultry, but his neighbour maintained the poultry.

Some time before, 10 chickens belonging to Amah, the neighbour And, died suddenly with the body turned blue.

However because of his ignorance, the chicken died that was thrown away to the fish-pond for food lele.

Yesterday afternoon the official of the Penelitian Dan Pengembangan Departement Body of the Health took the sample of blood and mucus of the nose of the family's member that direct contact with And.

Eventually, the sample of blood and mucus the nose of the member of casualties's family will be examined in the Hall laboratory of Penelitian Veteriner Bogor.

To confirm whether apart from casualties were still having the family's other member that infected by the same virus.

[Theresa42]

Originally Posted by treyfish

Laidback Al is the man with the maps!!I think about 50 red dots are missing though

Awesome map, Laidback Al. Thanks!

[Dutchy]

Avian influenza – situation in Indonesia – update 23

5 November 2007

The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza.

A 30-year-old female from the Tangerang Municipality, Banten Province developed symptoms on 23 October, was hospitalized on 31 October and died in an AI referral hospital on 3 November.

The investigation found that there were poultry deaths in the case's neighborhood in the days prior to her onset of symptoms.

Of the 112 cases confirmed to date in Indonesia, 90 have been fatal.

http://www.who.int/csr/don/2007_11_05a/en/

[Commonground]

[Thank you Indonesian authorities for addressing my question/concern.....I am also very impressed with the quick test results on the 36 people that came in contact. ]

Posted: Sun Nov 04, 2007 4:06 pm

"When be able we be given tami flu and check condition health resident, so that there are no casualties again," said Yeni (22).

Up to moment this agency government local even though from agency government Kota Tangerang not be visible to visit location. Just/Only, on Saturday past officer from Dinas Kesehatan Kota Tangerang and Team Balai Penelitian Veteriner Bogor take sample blood and liquid nose family casualty to be investigated possibility member another suffer from virus H5N1 that.

Senin, 05 November 2007 19:11 WIB
Casualties Indonesian Bird Flu were 90 of Orang

Jakarta -- the MEDIA: the Tangerang inhabitants the Banten Province, ICE, 30, that died on Saturday (3/11) it was confirmed positive was infected by the virus Avian influenza H5N1 so as cumulative casualties died as a result of bird flu in Indonesia became 90 people.
"So at this time has had 112 people who were attacked and 90 among them died," said Tontro, the official of the Flu Burung Departemen Command Post of the Health, in Jakarta, on Monday (5/11).
He explained, the woman had the initials this ICE began to experience the sign similar to influenza on October 23, on October 28 was brought to the local clinic and was reconciled to the Husada Insani Hospital on October 30 2007.
On October 31 2007, this patient was carried to the Hospital of Persahabatan Jakarta and died in the hospital on November 3 2007 struck 13,30 WIB.
According to results of the official's investigation of the health, casualties had the story of contact with the poultry, "he had contact with the chicken died property" of "his neighbour," said Tontro.
Further was explained also that in this case the official of the health also carried out the inspection of people who carried out contact with casualties.
The "inspection was carried out to 36 people who carried out contact with casualties, all of them the negative," was like this Tontro.

http://www.media-indonesia.com/berita.asp?id=148192

[Sally Furniss]

Bird flu kills one Tangerang resident

Multa Fidrus and Emmy Fitri, The Jakarta Post, Tangerang, Jakarta
A 30-year-old mother of two who died Saturday was confirmed by Tangerang's municipal health agency to be the latest human bird flu victim.
The housewife, identified as Eti, died at Persahabatan Hospital in East Jakarta, head of communicable disease prevention at the municipal health agency Lisa Puspa Dewi said.


The H5N1 virus also killed two children in Tangerang regency last month; 13-year-old Irfan who died on Oct. 13, and four-year-old Dewi Aprilianti who died on Oct. 22.
Lisa however, declined to comment when asked what the agency had done to curb the spread of the virus.
"We have taken steps, but it would be better for you talk to poultry breeders for confirmation because the virus allegedly contaminated the women through birds," she said.


Eti's body was returned home from Persahabatan hospital on Sunday evening and was immediately buried at the local cemetery.
Zaid, Eti's husband said his wife had run a high fever, with several symptoms including a cough, flu, sore muscles and throat, for more than 10 days.
"Her condition began to deteriorate on Oct. 26 and we rushed her to Usada Insani Hospital, the nearest one," he told The Jakarta Post.
Doctors confirmed Eti was suffering from the bird flu virus and she was then transferred to Persahabatan Hospital.


"She died at Persahabatan after receiving treatment. We were told that we were too late hospitalizing her," he said.
Syamsudin, Eit's younger brother said that before she contracted the virus, 10 chickens belonging to neighbors had died and their carcasses were not buried.
"They were thrown into a pond behind our house to feed catfish," he said.
In a separate case, a three-year-old toddler confirmed to have the bird flu virus was removed from Sulianti Saroso Hospital by his parents on Oct. 27. His health had improved a health worker said.


"We are still monitoring his condition, and so far so good," one of officers assigned by the Suka Asih Health Center, Darman, told The Post.
Achmad, the boy's father insisted on removing his child because he believed his son had recovered and there was no need for him to stay, Darman said.
The Health Minister's director general for communicable disease prevention and public health, I Nyoman Kandun, said the Tangerang case was one of problems that must be taken into account by health officials in curbing avian influenza.
"The public alone cannot be held to blame because they have diverse backgrounds including education," Kandun said.


Health workers and the poultry industry must be responsive to bird flu outbreaks, he said.
Data from the Agriculture Ministry showing avian influenza has been found in 31 of 33 provinces, Kandun said, means it is time to revamp the poultry industry.
"Tangerang ... is densely populated both with humans and with poultry. If there is intense interaction between humans and birds in one area, officials must be vigilant in detecting cases early," he said.


Since the first human bird flu virus infection in Indonesia, in 2005, it has killed 90 people -- the most avian influenza fatalities of any country in the world. It has attracted global concern and raised fears the virus may evolve or mutate into a disease able to pass from human to human.


http://www.thejakartapost.com/detailcity.asp?fileid=20071106.D03&irec=2

[Commonground]

OK then. Everyone is tossing it back to the poultry industry.

....head of communicable disease prevention at the municipal health agency Lisa Puspa Dewi said.
Lisa however, declined to comment when asked what the agency had done to curb the spread of the virus.
"We have taken steps, but it would be better for you talk to poultry breeders for confirmation because the virus allegedly contaminated the women through birds," she said.

The Health Minister's director general for communicable disease prevention and public health, I Nyoman Kandun, said the Tangerang case was one of problems that must be taken into account by health officials in curbing avian influenza.
"The public alone cannot be held to blame because they have diverse backgrounds including education," Kandun said.

Health workers and the poultry industry must be responsive to bird flu outbreaks, he said.

[Dutchy]

New victim died in Riau

No TT here, no time for translation now, maybe some else?

Diduga Diserang Flu Burung, Nabi Meninggal Dunia

detik@plinplan on 06 Nov 2007

Pekanbaru - Sudah 3 hari Nabi dirawat di Puskesmas karena demam tinggi. Kondisinya yang tak kunjung membaik, Nabi pun dilarikan ke rumah sakit. Namun terlambat.

Warga yang bernasib malang itu bernama lengkap Muhamad Nabi (31), warga Desa Babus salam Kecamatan Mandau, Kabupaten Bengkalis, Riau. Pria berumur 31 tahun ini sudah sakit demam tinggi berhari-hari.

Pihak keluarga Nabi pun panik melihat suhu badannya melebihi 38 derajat. Lantas, keluarganya pun berinisiatif membawanya ke RSUD Arifin Achmad, satu-satunya rumah sakit di Riau yang memiliki ruangan khusus isolasi flu burung.

Nabi tiba di RSUD, Selasa (6/11/2007) sekitar pukul 13.00 WIB. Para medis pun segera membawanya ke rungan isolasi flu burung. Tapi baru 5 menit menjalani perawatan, nyawa Nabi tak tertolong lagi.

Menurut paman Nabi, Isman (49), ponakannya itu terpaksa dilarikan ke RSUD Arifin Achmad Pekanbaru karena ada rekomendasi dari Puskesmas setempat yang menduga Nabi terserang flu burung. Karena itu mereka bergegas segara melarikannya ke Pekanbaru.

“Baru saja dirawat, Nabi sudah tidak tertolong lagi,” terang Isman kepada wartawan di RSUD Pekanbaru.

Isman menjelaskan, pihaknya sudah berkonsultasi ke tim medis RSUD. Tim medis menyebut, Nabi mengalami sesak napas, demam tinggi yang menyerupai gejala yang diderita suspect flu burung.

“Walau demikian kami masih menunggu hasil pemeriksaan lebih lanjut, apa benar ponakan saya ini meninggal karena suspect flu burung atau karena penyakit lainnya,” kata Isman.

Sedangkan istri Nabi, Mia (29), merasa suaminya meninggal bukan karena suspect flu burung. Alasannya, di sekitar rumahnya tidak ada unggas atau pun Nabi tidak pernah kontak langsung dengan unggas.

“Kami sekelurga tidak ada yang pelihara unggas. Jadi saya kurang yakin kalau suami saya meninggal karena flu burung,” terang Mia.

Sementara itu, pihak RSUD Pekanbaru belum ada yang dapat dimintai keterangan atas meninggalnya Nabi.

http://detik.plinplan.com/2007/11/06...ninggal-dunia/

detik-plinplan is a blog with news from detikcom; this is easier copying.

[Commonground]

hat-tip K from Mi

06/11/2007 17:56 WIB Diduga Diserang Flu Burung, Nabi died Dunia
Chaidir
Anwar Tanjung - detikcom
Pekanbaru - already the Muhamad's 3 days were treated in the Community Health Centre because of the high fever.
His condition that never will improve, Muhamad was then run off with to the hospital.
However late.
The unlucky resident had the full name Muhamad Nabi (31), villagers Babus greetings the Mandau Subdistrict, Kabupaten Bengkalis, Riau.
The man was 31 years old has been sick the high fever for days.
The Nabi family then panicked saw the temperature of his body exceeded 38 levels.
Then, his family then took the initiative of carrying him to RSUD Arifin Achmad, the only hospital in Riau that had the special room of the bird flu isolation.
Muhamad arrived in RSUD, on Tuesday (6/11/2007) around struck 13,00 of WIB. Para medical then immediately carried him to rungan the bird flu isolation.
But just 5 minutes underwent the maintenance, the life of Muhamad was not helped again.
According to the uncle, Isman (49), his nephew was forced to be run off with to RSUD Arifin Achmad Pekanbaru because of having the recommendation from the local Community Health Centre that suspected the Prophet of being attacked by bird flu.
Because of that they hurried segara ran off with him to Pekanbaru.
\Just was treated, the Prophet already was not helped lagi,\obviously Isman to the reporter in RSUD Pekanbaru.
Isman explained, his side has consulted to the medical team of RSUD. Tim medical mentioned, Muhamad experienced breathless, the high fever that resembled the sign that was suffered suspect bird flu.
\Nevertheless we were still being waiting for results of the further inspection, is it true that my nephew died because suspect bird flu or because of the illness lainnya,\said Isman.
Whereas the wife of Muhamad, Mia (29), felt his husband died not because suspect bird flu.
The reason is, around his house did not have the poultry and Muhamad never had direct contact with the poultry.
\we sekelurga not there are those that maintained the poultry.
So I not all that was sure that my husband died because of flu burung,\obviously Mia.
In the meantime, the side of RSUD Pekanbaru was not yet that could be questioned on the death of Muhamad.

edit- added English text and changed translation of "the prophet" to name - Muhamad

http://www.detiknews.com/index.php/d...258/idkanal/10

[Commonground]

Post @ 7:42 am
QDT & Dictionary


Selasa, 6 Nopember 2007 18:40
Muhammad Nabi, Suspect Flu Burung Died in RSUD Arifin Achmad

A person patient suspect flu burung with the name Muhammad Nabi not be helped soul. He arrive in RSUD in critical condition. Blood and swap Nabi tested to determine there is or nil/zero virus flu burung.

Riauterkini - Pekanbaru - RSUD Arifin Achmad Pekanbaru today, Tuesday (6/11) receive person patient that was referred with guess infected virus flu burung, however patient named Muhammad Nabi (31) resident Village Babussalam Subdistrict Mandau, Regency Bengkalis aforementioned not be helped life. He exhale to breathe recently just a few minutes after arrive in RSUD Arifin Achmad.

"Condition patient when arrive in RSUD already extremely serious. Critical and approach failure to breath. Perhaps due to the fact so that is subsequently not be able to be helped", stated Humas RSUD Arifin Achmad Nuzeili Husnedi to riauterkini in Pekanbaru, Tuesday (6/11).

Explanation Nuzeili since referral that accepted from Community Health Center mention Nabi guessed infected virus flu burung, then party RSUD already to undertake standard step, that is get sample blood and phlegn nose and throat otherwise swap the deceased Nabi to be sent to laboratory Badan Peneliltian and Pengembangan Dinas Health Jakarta.

"Sample blood and swap which is pertinent already we take and already we mailed/sent through the mail to Jakarta to get assurance which correct that pertinent infected virus flu burung or not," clear Nuzeili.

For the moment the family Nabi, like uncle Isman (41) and Mia (29) confess less believe if Nabi died consequence flu burung because family aforementioned confess/guarantee not to own poultry same as linked. "We not believe nephew ours that died because flu burung because we not raise chicken or duck," he said to journalist before take along corpse Nabi return to village yard.

http://www.riauterkini.com/lingkungan.php?arr=16456

[Laidback Al]

General location of Desa Babussalam, Riau Province.

[Commonground]

QDT & Dictionary
[Also a video available at site]
Patient Suspect Flu Burung In Pekanbaru Died

Metrotvnews.com, Pekanbaru: Person patient suspect flu burung died world in Rumah Sakit Umum Daerah (RSUD) Pekanbaru, Riau. He is Muhamad Abih resident Duri Benggalis Riau. Plan corpse was buried in kampung premises in Tebing Tinggi Sumatra North.

Previously, he to be treated, since experience crowded to breath and high fever like symptom flu burung. Already to be treated as long as 3 days in Rumah Sakit Permata Hati, Duri, Muhammad Abih reconciled to RSUD Pekanbaru. Family are startled because Abih referred reason was anticipated struck flu burung. Side hospital already send sample blood Muhammad Abih to Laboratory Department Health in Jarkarta.

Meanwhile the 10 pouiltry in Village Pantai Cermin Kanan subdistrict Pantai Cermin, Serdang Bedagai, northern Sumatra die sudden. Dinas Pertanian and Peternakan local estimate ten poultry this now struck flu burung. In order that to anticipate spread virus flu burung Dinas Pertanian and Peternakan immediately to carry out apraying disinfectant. They also take sample blood poultry that die suddenly but from test fast test virus H5N1 sample blood poultry aforementioned negative flu burung.

http://www.metrotvnews.com/berita.asp?id=48588

[Commonground]

Thanks for the maps Laidback Al. Can you indicate where Siak is in conjunction to babussalam?

[Commonground]

PLEASE DONATE

http://afludiary.blogspot.com/

The Flu Wiki, Flutrackers, PFP, PFI, and others are just as much of a community as your home town. They are comprised of people who have a deep abiding interest in pandemic influenza, and preparing for what they see as a likely crisis. They are cyber-neighbors who work everyday to help one another learn the science, follow the cases, and prepare.



These forums are populated by a wide variety of people, from many walks of life. Soccer Moms, retirees, doctors, scientists, everyday working Joes, Corporate Executives, cops, firefighters, and I even understand they even have a retired paramedic or two that hang around.



Each forum has their own personality, and their own focus. Some are more into the science, other are more into preparation. But they all promote community awareness, and often members are engaged in enhancing their community's understanding of the pandemic threat. This latest foray, at the APHA expo, is just the most public demonstration so far.



Everyone participates because they believe pandemic preparedness is a vital issue. And everyone volunteers their time. No one gets paid.



The Newshounds from all of these forums spend hours each day scouring foreign newspapers, translating from Bahasa, or Chinese, or Arabic reports on bird flu, or other suspicious disease outbreaks. They've immersed themselves into the languages and culture of these countries so as to be better able to understand the nuances of these news reports.



Their work, often unsung, is invaluable to our understanding of the spread of this disease, and will likely give us an early heads-up if, and when, a major outbreak occurs.



I hope that someday the history books will record that Commonground, Theresa42, Dutchy, Treyfish, Hawkeye, Michelle in OK, bgw in MT, and at least a couple of dozen other newshounds have worked tirelessly for months, in some cases for a couple of years, to bring us these translations. My apologies to those names I missed.



Much of what I do in this blog, I couldn't do without them.





Some flu forum members go to local meetings in their own communities, the PTA, or county commission meetings, and voice their concerns. Others hand out flyers, or give local presentations on pandemic influenza. These members also pay for their own transportation, printing costs, and any other expenses involved.



And we shouldn't forget the bloggers, who each day spend hours scouring the news, reading the forums, and condensing what they've learned into essays. We are blessed with a number of excellent bloggers, all taking a slightly different track when covering pandemic issues.



Crof of Crofsblog, Scott at Scott McPherson's Web Presence, the Revere's at Effect Measure, SophiaZoe a A Journey Through the World Of Pandemic Influenza, plus the work of Dr. Grattan Woodson with his home care for influenza manuals, available at The Bird Flu Manual website, are all examples of what individuals can do when they set their minds to it.



As I've written before, these groups are our secret weapon for preparing for a pandemic. While their numbers are small (a couple of thousand), the government would do well to invite them inside the tent, and let them help prepare their communities.



A little financial assistance would go a long way.



If the government really wants their nation to prepare, they have at their disposal an army of the willing, already well versed in the subject.



Many of these folks would jump at the chance to help their communities prepare for a pandemic, or other crisis, but they lack gravitas, and often they are dismissed by their local authorities.

[Theresa42]

Thanks for posting FLA_MEDIC's message, cg! And, thanks FLA_MEDIC!

Here's a direct link to that post:
http://afludiary.blogspot.com/2007/1...apha-expo.html

[Laidback Al]

Originally Posted by Commonground

Thanks for the maps Laidback Al. Can you indicate where Siak is in conjunction to babussalam?

The map below shows the relationship of Muhammad Nabi (unconfirmed) to the three recent confirmed human cases in Riau.

caseid	Latitude	Longitude	Geolocation	Name	Age
654	0.588500	102.060860	Desa Merempan Hulu	Gozi Sultia Ningsih	10
663	1.112500	101.395910	Desa Babussalam	Muhammad Nabi	31
650	0.094140	101.509400	Desa Sungai Pagar	Gerhad Saragih	33
652	0.552335	101.458983	Desa Lembah Damai	Linda Tismeri (Tusweri)	44

[Dutchy]

Report from Bali

Severe "Pneumonia", Handled Appropriately Patient Bird Flu.

RS Sanglah Tuesday, November 6, 2007, yesterday received a patient with the symptom of crowded breathing. The patient aforementioned is called Deny, the Anak Buah Kapal (ABK) whom just arrived in Bali in the last two weeks.

After getting treatment in IRD Medik RS Sanglah, Deni who like/resemble native citizen of Gresik, East Java was now immediately moved to the space Nusa Indah as if suffered bird flu.

According to Deni's companion's (Marwan) speech, there is not that to know (for) certain when Deni suffered crowded breathing today (yesterday-editor) he/she suffered fever and crowded breathing so he/she was run off with to RS Kasih Ibu," said Marwan. He/she also did not know whether Deny had a chance to have contact with poultry or not.

Deny arrived around last two weeks from Makassar with KM Duta Losari and menumpang. Before being referred to RS Sanglah he/she had an opportunity to be brought to RS Kasih Ibu.

Confirmation with respect to aforementioned matter. The Secretary for Handling Bird Flu Patient/s, dr. Ken Wirasandhi, said Deny was not suspect bird flu but he/she suffered severe pneumonia.

During three days on boat he/she was not (able) to obtain medicine. Therefore he/she now suffers damage to the lungs that is enough progressive. But patient not ever had contact with poultry," said Ken.

And so why the move to Space Nusa Indah that constitutes space specifically for bird flu patient and treatment even by means of procedure (for a) patient bird flu?

Ken explained proper all disease to obtain same treatment but because funds that (are) limited, not be able (to be) done on behalf of all disease/sickness.

Therefore for just certain diseases only. Additionally, at the same time (it is) like a simulation to improve competency of paramedics in overcoming patient bird flu. Above all Space Nusa Indah now this should always be sterile," explained Ken.

Patient was brought to Nusa Ruang Space and location to occupy space intensive reason because (he/she) required device to help breathe that now is in space aforementioned.

Additionally that because other space in Nusa Indah is in the process of being dismantled to continue with construction of new building that is in the process of being built in front," he added.


http://www.balipost.com/balipostcetak/2007/11/7/b7.htm

credits bgw in MT

[Commonground]

http://www.riautoday.com/new/index.p...=3216&Itemid=1

Patient Suspect Flu Burung from Duri
Wednesday, 07 November 2007

Patient suspect flu burung, Muhammad Nabih (31) - resident Desa Balai Makam Duri, that referred to RS Permata Hati Duri at RSUD Arifin Ahmad finally died Tuesday (6/11) around 14:00 WIB, after have a chance to be looked after in RSUD Arifin Ahmad 10 minutes.

Chief Humas RSUD RSUD Arifin Achmad Pekanbaru, dr. Nuzelly Husnedy MARS in Riau Pos, Tuesday (6/11) late afternoon correct the existence casualty died that anticipated flu burung. "Patient suspect Flu Burung that be handled just 10 minutes in Rumah Sakit Umum Daerah (RSUD) Arifin Achmad Pekanbaru past died approximately 14:00 o'clock WIB," clear.

Menurut Nuzelly, his side delivered patient from Duri with condition which critical with the result that action of any kind which took not able to rescue life. "Several time before patient aforementioned referred to RSUD, we certainly already give to know when there is patient suspect Flu Burung. We deal with intensive at room diagnosis Flu Burung Installation Critical Emergency (IGD) and life not can be helped again," he said.

Action that took, says he, by handing over to assist breathing or resistence. Condition which more and more critical, nyawanya said Nuzelly not can be helped more. "After died and was brought to room corpse family immediately move to house grief," he said. In pata that, head RS Permata Hati Duri, Dr Fidel Fuadi Dt Majo Basa accompanied Director Dr Efrianti to make clear patient that also employee company that enter/go in RSPH Duri Saturday (3/11) day around 12:00 o'clock WIB. Time the condition feverish hot accompanied by complaint cough unproductive and diarrhea. During three day beforehand condition husband Nasmiati (31) that teacher MTs Darul Ihsan Jalan Diak Balai Makam Duri now already feverish also and only to be looked after in home only.

According to Fidel and Efrianti, patient referred to RSUD Arifin Ahmad because anticiated as suspect flu burung. Although story contact with domestic animal infected denied, according to both characteristics and symptoms clinical that shown patient resemble towards suspect flu burung. Moreover condition patient deteriorate so rapidly. No/Not/ there is story illness other which as fast as that be able carry death for patient. Therefore referred as suspect flu burung, add Fidel.

edit to add more translation:

-snip-

Besides examination blood and xray during to be treated in RSPH Duri, patient also get exam BTA which yield support for guess early as suffer pnemonia. Team medical RSPH also have a chance to carry out exam VDT each day during two day treament patient be visible start improving, suddenly unexpedtedly nevertheless condition deteriorate with speed Tuesday daybreak yesterday. Fever increasingly high accompanied by spasm/cramp/convulsion, said a doctor in RSPH Duri.
Because condition exceedingly cause apprehension team medical house sakit local decide as soon as possible just refer patient aforementioned to RSUD Pekanbaru.

-snip-

From information obtained explanation, patient begin fever high since seven days past or exactly date 31 October past and have a chance to be taken care of in RS in Duri. Observe a strain point in time be in contact like now this proper to be careful, take heed. "We investigate story of contact," he said.

[Commonground]

From information obtained explanation, patient begin fever high since seven days past or exactly date 31 October past

This is the quickest I can recall, 7 days, from onset of symptoms until death. I think the old record was 8 days, and that was only one person.

Does anyone remember that case? Or does anyone have any statistics on this?

[Laidback Al]

Originally Posted by Commonground

This is the quickest I can recall, 7 days, from onset of symptoms until death. I think the old record was 8 days, and that was only one person.

Does anyone remember that case? Or does anyone have any statistics on this?

There are probably at least a dozen WHO confirmed cases that died within a week of onset. The shortest time between onset and death (based on WHO data) is 2 days. This record is held by Abram, an 11 year old boy from Tulungagung, East Java, who died in September of 2006.
http://www.who.int/csr/don/2006_09_25/en/index.html

[Commonground]

hat-tip Candles

A hospital employee suspected of having bird flu died

Suspected bird flu victim dies
Rizal Harahap, The Jakarta Post, Pekanbaru

A hospital employee suspected of having bird flu died on Tuesday evening in Pekanbaru, Riau province after being treated for only a few minutes at Arifin Achmad Hospital.

The 31-year-old man, identified as MN, was employed on the administrative staff of Permata Hati Hospital in Duri district and was initially treated at that hospital.

Three days before checking into Permata Hati, MN came down with a high fever, dry cough and diarrhea.
His condition had been improving when fever returned together with seizures and the transfer to Arifin Ahmad was ordered.

Arifin Achmad spokesperson said upon arrival the patient was already in "terminal" condition. "We prepared the isolation ward for him ... and tried our best ...."

Riau Health Agency has yet to confirm whether bird flu was the cause of death. The agency's health service head Burhanuddin Agung said samples had been sent to the Health Ministry.

The body was released to family after being prepared as per normal procedures in suspected bird flu cases.

An uncle said he did not believe bird flu was the cause. He said MN had no poultry at his house. "He also had no contact with poultry recently."
http://www.thejakartapost.com/detail...108.G05&irec=4

[Shannon]

I cannot help but wonder if this hospital worker had any contact with flu patients or, their belongings, bedding, etc,....?


CommonGround

An uncle said he did not believe bird flu was the cause. He said MN had no poultry at his house. "He also had no contact with poultry recently."

[Dutchy]

From Bali; seems to be a follow up on post # 49, no mentioning of blood or swaps taken for testing in Jakarta Laboratory.

http://www.jawapos.co.id/index.php?a...id=179157&c=94

Night to Hospital, Morning Died


Denpasar- DS, 20, suspect patient (anticipated) bird flu (FB) that was referred last night Tuesday to Hospital ward for individual bird flu treatment RS Sanglah, yesterday 01.00 o ' clock already has died.

When this newspaper was contacted yesterday afternoon, Secretary of the Team Handling bird flu at RS Sanglah, dr Ken Wirasandi defined cause that patient that live in Kedonganan, Badung, has died this by severe pneumonia. " we from team still to delve into cause of the happening of severe pneumonia of DS pasien," said dr. Ken clearly.

Still according to dr Ken , from result following after examination and rapid test, DS patient stated still not bird flu. The reason the team doctors think this is because the patient not once had contact with poultry.

It's just that suspect condition of the patient that not yet to RS Sanglah had an opportunity to be cared for at RS Kasih Ibu and diagnosis at the beginning was stated like a patient suspect FB, only just suddenly just drop.

" The pasient's death, from result conclusion still stated as consequence of severe pneumonia, only just team continued to delve carefully into such cause factors as bacteria and others which cause victims to suffer pneumonia," explained dr Ken.

For the moment the reason/evidence the patient FB origin Gresik placed in hospital ward specific for patient bird flu, according to dr Ken only because of security or otherwise protection only and yesterday DS's body was already taken to the family in order that it could be buried in his village in Gresik province, Java.

credits bgw in MT

[Dutchy]

Again, the Resident Suspect Bird Flu

Banda Lampung - the Daerah Public Hospital Dr. Hi. Abdul Moeloek (RSUDAM) again treated pasein suspect bird flu (avian influenza/AI).

This time, Leni Kurnia Ninggrum (5), the resident Payungrejo, Pubian, Lampung Tengah.

Beforehand, RSUDAM treated Silka Dwitasari (2.5), the resident Street.
.. Tanjungraja, Lampung North. He was permitted to come home after being stated by the AI negative.

Leni was carried his two parents to RSUDAM after because experienced hot high achieved 38 levels celsius. The daughter of the four couples Yanto (45) and Ida (40) same suffered flu, the cough, and was sick the throat.
Now the number of white blood cells (leucocytes) totalling 10,800 or above normal. She then at once underwent the maintenance in isolation space.

According to Pad, his side took the sample swap the nose, the throat, and blood. Further the sample was sent to be tested in the Balai Penelitian Dan Pengembangan Kesehatan Laboratory (Balitbangkes) Jakarta.

Ida explained, his child began to be hot the fever last Friday (2/11).
Three the previous day (30/10), Leni could contact with his property poultry that died suddenly. The poultry died suddenly also happened in the house of his neighbours in time almost simultaneously.

Ida added, till yesterday did not yet have the official of Livestock Breeding that researched poultries of the Service died this.

http://radarlampung.co.id/web/index....5302&Itemid=34

credits bgw from MT for the link

[Niko]

Avian Influenza

Situation in Indonesia

Archives 5 November 2007 The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. A 30-year-old female from the Tangerang Municipality, Banten Province developed symptoms on 23 October, was hospitalized on 31 October and died in an AI referral hospital on 3 November. The investigation found that there were poultry deaths in the case's neighborhood in the days prior to her onset of symptoms. Of the 112 cases confirmed to date in Indonesia, 90 have been fatal.

Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% NORTH SUMATRA 0 0 0.0 7 6 85.71 1 1 100 8 7 87.50 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% RIAU 0 0 0.0 0 0 0.0 4 3 75.00 5 4 80.00 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% BANTEN 5 4 80.00 4 4 100 5 4 80.00 18 15 83.33 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% JAKARTA 8 7 87.50 11 10 90.91 7 6 85.71 26 23 88.46 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% WEST JAVA 3 2 66.67 22 18 81.82 4 3 75.00 29 23 79.31 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% CENTRAL JAVA 1 0 0.0 3 3 100 5 5 100.0 9 8 88.89 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% EAST JAVA 0 0 0.0 5 3 60 2 2 100.0 7 5 71.43 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% SOUTH SULAWESI 0 0 0.0 1 1 100 0 0 0.0 1 1 100.0 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% SOUTH SUMATRA 0 0 0.0 0 0 0.0 1 1 100.0 1 1 100.0 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% BALI 0 0 0.0 0 0 0.0 2 2 100.0 2 2 100.0 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% LAMPUNG 3 0 0.0 0 0 0.0 0 0 0.0 3 0 0.0 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% WEST SUMATRA 0 0 0.0 2 0 0.0 1 1 100.0 3 1 33.33 Close Move PROVINSI (PROVINCE) 2005 2006 2007 Total C D CFR% C D CFR% C D CFR% C D CFR% TOTAL 20 13 65.0 55 45 81.82 30 26 86.67 112 90 80.35 Click on red dots for more details PROVINCE 2005 2006 2007 Total C D C D C D C D CFR% NORTH SUMATRA 0 0 7 6 1 1 8 7 87.50 WEST SUMATRA 0 0 2 0 1 1 3 1 33.33 RIAU 0 0 0 0 4 3 5 4 80.00 SOUTH SUMATRA 0 0 0 0 1 1 1 1 100.0 LAMPUNG 3 0 0 0 0 0 3 0 0.0 BANTEN 5 4 4 4 5 4 18 15 83.33 JAKARTA 8 7 11 10 7 6 26 23 88.46 WEST JAVA 3 2 22 18 4 3 29 23 79.31 CENTRAL JAVA 1 0 3 3 5 5 9 8 88.89 EAST JAVA 0 0 5 3 2 2 7 5 71.43 BALI 0 0 0 0 2 2 2 2 100.0 SOUTH SULAWESI 0 0 1 1 0 0 1 1 100.0 TOTAL 20 13 55 45 30 26 112 90 80.35 Source: Ministry of Health – Indonesia Note: C=Number of confirmed cases D=Number of deaths CFR = Case Fatality Rate http://www.searo.who.int/en/Section1...2366_13425.asp

[Treyfish]

Mighty fine work.Good find,Niko.Searo does have updates ,but the WHO is slow to put them out.To catch it shows diligence and resourcefullness.Dutchie again shows us the tip of the iceburg.Remain steady as the time becomes now.

[Dutchy]

From Republika, not TT available right now:

Baby Eight Months Suspected Bird Flu

summary, translation later:


A baby, 8 months old, initials MG, is treated, suspected for bird flu in Pekanbaru Hospital, , RSUD Arifin Achmad, Riau Sumatra.

The child has high fevers , 40 celsius, difficulty with breathing. Admitted in this hospital at 11 / 8; coming from another hospital: Permata Hati in Duri.

It is a neighbour of Muhammad Nabi who died recently, who is confirmed positive now. Report says it is known the baby had contact with Muhammad.

Samples are taken for testing in Jakarta Laborarory from Ministry of Health.

http://republika.co.id/online_detail...3240&kat_id=23

Edit: from Riau Today:

Initials baby MB

Doctor says a possible source of infection is the mother, who handled a dead chicken, she could have contaminated her child.

http://www.riautoday.com/new/index.p...=3350&Itemid=1



From Riau info:

MB seems to be a boy.

Leucosite level went down to 3,400

Fever went down

Child is on Tamiflu

Same story about source of contamination: the mother handled a dead chicken and then immediatly handled the boy.

http://www.riauinfo.com/main/news.php?c=6&id=3011

[Dutchy]

Republika is the only source, saying Muhammad Nabi(h) is confirmed positive for bird flu.

(see post # 59)

Did not see any others sources confirm this.