Indonesian Human Cases Dec 4th 2007 to Jan 10, 2008

[Niko]

Indonesian man dies of bird flu

www.chinaview.cn 2007-12-14 10:02:53

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JAKARTA, Dec. 14 (Xinhua) -- A 47-year-old Indonesian man has died of bird flu, bringing the country's death toll from the virulent disease to 93, a hospital official said Friday.
The official, in charge at a bird flu-designed hospital of Persahabatan in East Jakarta who gave the name only as Zulsiah, said the man died on Thursday following three days of treatment for avian influenza.
The man had been treated in the hospital with fever, difficulty in breathing and cough since Monday, after he was shifted from hospitals in Tanggerang city on the outskirts of Jakarta, said Joko Suyonoanother, official from the anti-bird flu center of the health ministry.
Laboratories tests showed the man was positively infected by the highly pathogenic H5N1 virus, said Suyono.
There were 115 infected cases in the hardest-hit country, with 93 fatalities. Although millions of chickens have been culled, the virus is now still endemic in poultry across the world's fourth most populous country.
Indonesia has grappled with difficulties in stopping the spread of the virus, including sprawling territory, the traditional way of raising chickens in the backyard and ineffective implementation of anti-disease regulations.
If the virus could mutate to a level capable of transmitting among humans, millions of lives would be put at risk and the world economy would suffer setbacks, experts warned.



http://news.xinhuanet.com/english/20...nt_7247644.htm

[Dutchy]

The patient Bird Flu had Finally died


Mtg (47), the resident of the Poris District, Kecamatan Cipondoh, of Tangerang, finally had died, on Thursday (13/12) struck 20,00.

Mtg was casualties to eight from Tangerang that was killed because of bird flu.

According to Dr Priyanti SpP from the Rawamangun Friendship Hospital, Jakarta East, Mtg died because of failing the breath and multifailure multi of the organs.

Mtg was treated in RS Persahabatan since Monday (10/12) at dawn.

Beforehand he has also been treated in RS Usada Insani for four days and in RS Honoris Tangerang for a day.

Mtg was the bird flu patient to 13 that was treated in RS Persahabatan.
Before Mtg, this hospital also treated NY Mut from Tangerang that died on Monday (10/12).

http://www.kompas.com/ver1/Metropoli.../14/123903.htm

[Dutchy]

Indonesian death toll from bird flu climbs to 93, after man dies of virus

JAKARTA (AP): An Indonesian man died of bird flu, bringing the death toll in the country worst hit by the virus to 93, a Health Ministry official said Friday.

Authorities were trying to ascertain how the 47-year-old man contracted the deadly H5N1 strain of the disease, which has infected 115 people in Indonesia.

The man began showing signs of illness on Dec. 2 and died Thursday night at a hospital in the capital, Jakarta, after being admitted with a fever, cough and other flu-like symptoms, said spokesman Joko Suyono.

He lived in the industrial town of Tangerang, 40 kilometers west of Jakarta.

Indonesia has recorded regular deaths from bird flu since the virus began ravaging poultry stocks across Asia in 2003 and its 93 deaths now account for almost half of the recorded fatalities worldwide, according to figures from the World Health Organization.

Almost all cases have originated from sick poultry, but experts fear it will mutate into a strain that can pass more easily from human to human. Indonesia, which has millions of backyard chickens, is a potential hotspot for a global bird flu pandemic, scientists have warned. (***)

http://www.thejakartapost.com/detail...4145015&irec=0

[Dutchy]

Hat tip Christian

Buka Bengkel di Pasar Unggas, Mustang Tewas Kena Flu Burung - Open the Workshop in the Poultry Market, Mustang was killed was affected by Bird Flu
Myrmnews.com - Jumat, 14/12/07, 16:45

The report: Susilo

Tangerang, myRMnews.

The family late Mustang the resident of the district of Poris Plawat RT 02/03, Cipondoh, the Tangerang City that was stated positive bird flu and was killed this morning (on Friday, 14/12) in RS the Friendship was busy preparing the funeral.

From observation myRMnews this afternoon, in the leased house casualties avian the influenza in the quiet condition.

The wife of casualties, Aisah and his older brother was in the trip towards RS Persahabatan Jakarta Timur, to pick up the Mustang body, to be buried in his native village in Pandegelang, Banten.

The man was 40 years old that could be treated around five days of RS Persahabatan. Beforehand, Mustang was treated in RS Usada Insani, Kota Tangerang and was reconciled to RS Persahabatan.

The length of the taking of the body was caused by preparations for the funeral of casualties who must be so tight, so that the virus does not spread.

Was based on information that was assembled myRMnews, the Mustang body was wrapped plastic before being put into the coffin.

While the family that was other with the local resident prepared the Mustang funeral in his residence.

A neighbour, Trini claimed restless with the Mustang death.
The resident was 28 years old that worried to be infected by this deadly illness. The other resident then just knew, if Mustang was killed because of the ferocity of the virus H5N1 this.

The local community learned that, during the Mustang house was visited by the official of the Department of Agriculture, when the bird flu casualty was still being treated in the hospital, was increased by the reporting of the mass media.

From the leased owner, Juriah was expressed also that the bird flu casualty had the motor workshop that was adjacent to the Poultry Market in Karawaci, Kota Tangerang.

The resident was 55 years old this mentioned, before the death of casualties, Mustang could go to Medan, North Sumatra and returned to Tangerang in the situation was sick.

Besides this, Section Head Kesehatan of the Tangerang City, Dr Lili Indarwati claimed did not yet know that there is the Tangerang inhabitants who were killed because of bird flu.

[Dutchy]

Some snips from Antara on the death of "Mustang" a.k.a. "Mus":

12/15/07 01:15

Bird flu takes another life in Tangerang

Tangerang, Banten (ANTARA News) - A 47-year-old man identified as Mus died of bird flu in a hospital in Jakarta Thursday as the second fatality in the pandemic within a week in Tangerang, a town just east of the Indonesian capital.

- snip -

Mus fell ill two days after returning from Medan, North Sumatra, where he had gone with two ducks in his bagage, according to his cousin, Sarta Wijaya (15).

- snip -

Meanwhile, the secretary general of the People`s Welfare Coordinating Ministry`s National Bird Flu Commission, Bayu Krisna Mukti, said it had been positively established that Mus and Mrs Mut had died because of bird flu but how they were infected with the virus was still being investigated.

http://www.antara.co.id/en/arc/2007/...-in-tangerang/


Note : Mrs "Mut" aka "Mutiah" died from bird flu in Tangerang too, she was a plantseller.

[Commonground]

New Case

The resident Siak Suspect Flu Burung
on Saturday, on December 15 2007 12:07

Laporan Suprapto redakasi@riautoday.com
Pekanbaru -- One of the villagers Sialangbaru Kecamatan Lubukdalam Kabupaten Siak, Km (52) became the patient suspect bird flu was at this time treated in space of bird flu of RSUD Arifin Achmad Pekanbaru of the handling isolation.
The patient was stated suspect because of experiencing the sign of the high fever and nauseas like the sign of the bird flu illness.

According to the husband of the patient, Sudarto they had arrived in RSUD Arifin Achmad since striking 17,00 WIB yesterday (14/12) after his wife was treated in the Sialangbaru Community Health Centre.
After undergoing the inspection and being taken the sample of his blood, struck the patient's 24,00 nights were moved to space of bird flu of the handling isolation.

When being stated suspect bird flu, Sudarto felt surprised because of the patient never contact with the poultry.
Justeru their child that once contact with the poultry.
Because beforehand several of their kept chickens died because of bird flu.
Saw that, their child at once buried these chickens.

"I became surprised, my child that contact with the poultry how come his mother that be hit by suspect bird flu", said Sudarto answered riautoday.com on Saturday (15/12).

In the meantime concerning the condition Km at this time, Sudarto said his wife's situation at this time ok.
His body heat sudha began to descend from before.
Nevertheless, good RSUD Arifin Achmad public relations and Chairman Tim of the control of RSUD Arifin Achmad bird flu could not be contacted.
According to local information, good public relations and the doctor that handled the bird flu patient from this morning did not yet come to RSUD Arifin Achmad.

http://www.riautoday.com/new/index.p...=4166&Itemid=1

[Sally Furniss]

JAKARTA: A 47-year-old Indonesian man has died of bird flu in the capital Jakarta, bringing the toll in the nation worst hit by the H5N1 virus to 93, the health ministry said on Friday.

Muhammad Nadhirin from the ministry's bird flu information centre told reporters that the patient, who had earlier been confirmed as infected with the highly pathogenic virus, had died Thursday evening in hospital in Jakarta.

He was first admitted to a private hospital there on December 5, three days after he fell ill, and was transferred to Jakarta on December 10.

The source of transmission of the virus to the man, who kept ducks at his home in the satellite town of Tangerang -- where five bird flu deaths have now been reported since October -- remained unknown, Nadhirin said.

A woman from Tangerang died of bird flu on Monday. "All the specimens in the neighbourhoods of both victims tested by the agriculture ministry were negative. The 76 specimens taken from the two areas showed negative results," he told reporters.

The virus is usually transmitted to humans from infected birds, but scientists fear it could mutate into a form easily transmissible between humans, sparking a global pandemic that could kill millions.


http://timesofindia.indiatimes.com/W...ow/2621420.cms

[Dutchy]

Condition of Patient Suspect Bird Flu Improves
Sunday, 16 Desember 2007 18:35

Improved: the Condition of KM (52), the resident Lubukdalam, Siak that was stated suspect bird flu continued to improve.

Until this he was still being treated in space of the isolation of the bird flu patient of RSUS Arifin Achmad Pekanbaru, Ahad (16/12).

Riauterkini-Pekanbaru- the Team of the Control of Bird Flu of RSUD Arifin Achmad Pekanbaru continued to give the intensive maintenance to Km (52), the patient suspect bird flu, the resident Lubukdalam, Kabupaten Siak that was reconciled from Puskesman Lubukdalam since Friday (14/12) the afternoon.

According to Chairman Tim of the Control of Bird Flu of RSUD Arifin Achmad Pekanbaru, Azizman Saad, the development of the condition for the patient continued menunjukan pleasing signs.

"From results of the last inspection, his condition continued to improve," he said when being contacted riauterkini, Ahad (16/12).

Was explained Azizman, subu the body Km continued to descend.
If yesterday on 38 celcius, currently descended to 37.8 levels celsius.
Likewise with the attraction of his breath has approached normal.
Yesterday each minute Km breathes totalling 28 times, currently only 22 times.

Now the attraction of the normal breath 20 times each minute. The condition for his lungs also continued to improve. "Her lungs continued to improve."
No longer the inflammation, also happened was not found the pool of the liquid on the lungs, he said.

Although his condition continued to improve, but Km will continue to be treated in space of the isolation of the bird flu patient until had the assurance from Balitbang Departemen of the Health.

"Possibly on Monday has had results" of the "laboratory of Jakarta," said the Azizman Saad explanation.

http://www.riauterkini.com/sosial.php?arr=16980

credits Commonground

[Dutchy]

17 Desember 2007

The CONDITION for the BIRD FLU PATIENT in RSUD ARIFIN Ahmad weakened

The patient contaminated by bird flu had the initials "K", 52 years, that were treated in the Daerah Public Hospital (RSUD) Arifin Ahmad, Pekanbaru, Riau, continued to worsen.

The resident of Lupuk Dalam , Kabupaten Siak, that was still undergoing the maintenance in Space of Isolasi Flu Burung RSUD Arifin Ahmad.
This suffered the clinical sign of the high fever, breathless as well as the throat had phlegm.

According to Chairman Tim of the doctor the Control of Bird Flu of RSUD Arifin Ahmad, Azizman Aaad, the number of white blood cells or the patient's leucocytes continued to decrease. This caused body resistance to oppose the virus became weak.

During 2007 in the Riau province was recorded by six positive people infected by the bird flu virus.

From the number of five including dying and a person was stated recovered.

http://www.metrotvnews.com/berita.asp?id=50713

[Dutchy]

No new patient; infection source of "Mustang" still investigated; the focus is on Deli Serdang, Sumatra..

Again, the Bird Flu Virus Eats a Victim

on Monday, December 17 2007, 05:59:02 WIB

Tangerang, myRMnews.

The bird flu virus again claimed a casualty. This time happened in the Cipondoh Subdistrict, Kota Tangerang. The head of Publik Departemen Communication of Agriculture (Front) the Pengendalian Unit of the Avian Influenza Illness (UPPAI) Memet Zulkarnaen decisive, Mustang positive was affected by the deadly virus bird flu.

Mustang died on Thursday night.

From our confirmation with the Department of Health and the laboratory side, Mustang was ascertained positive bird flu, stated Memet.

However, added Memet, in the Mustang case, was not yet found where he was infected by bird flu.

All sample good the poultry, the land, water and available crop fertiliser around the Mustang residence results of the negative, said Memet.

Explained by Memet, for the Mustang case, his side currently carries out investigation down to Deli Serdang.

From information that we could from the family and his workplace, evidently Mustang had just recently gone to Deli Serdang. In fact, Deli Serdang indeed became the endemic territory the spreading of bird flu, he accused.

However, he continued, from the official's information in Deli Serdang, the officials of the investigator still the difficulty of tracing the Mustang location during in Deli Serdang.

Because his territory was wide and the family only knew Deli Serdang, we were still trying to look for the location that was visited by Mustang, said Memet again.

In the meantime, Mustang relatives in the Tangerang City, Sarta and Yudi, admitted to being worried enough with he stated Mustang positive bird flu.

http://www.myrmnews.com/indexframe.p...bsite&id=48695

[Dutchy]

No new patient, more details on the women (52) hospitalized in Riau. Report from yesterday.

The Kept chicken died, the Riau Resident Suspect Bird Flu

16/12/2007

Pekanbaru - A housewife Riamati (52) villagers the Baru Beehive, Kecamatan Lubuk Dalam, of Kabupaten Siak, Riau was expected suspect bird flu.

The mother of five people was forced to be reconciled to RSUD Arifin Ahmad, Pekanbaru to receive the intensive maintenance.

“Last Thursday our kept chicken died suddenly. After that the next day my mother at once experienced the high fever, headache and nausea”, said the child Kamiati, Irwan to okezone, in special space the maintenance of bird flu in RSUD Arifin Ahmad, Street Hangtuah Pekanbaru, on Sunday (16/12/2007).

On this complaint that was accompanied by the death of the chicken suddenly, Irwan afterwards brought his mother to the closest community health centre. However, on the official's medical suggestion in the community health centre, Riamati was then reconciled to RSUD in Pekanbaru.

The hospital side of RSUD Arifin Ahmad stated Riamati was still being isolated with stastus suspect bird flu and up to now still got the intensive maintenance.

The medical team of RSUD Arifin Ahmad still did x-rayed and will check wiped off Riamati mucus to be sent to the hospital in Jakarta.

The clinical condition for the patient like headache, nausea, cough and the weak body indeed was similar to bird flu.

Leukosites also descended from 3900 to 2700, obviously the chairman of the team of the control of bird flu of RSUD Arifin Ahmad Pekanbaru Azizman Saad.

Nevertheless, the family claims to be the Riamari situation currently has been better than beforehand. His situation now has was rather better. Yesterday (dec 15, ed) her condition was very very weak. However his temperature still on 38 levels celcius, said Irwan.

http://www.okezone.com/index.php/sea.../12/16/1/68602

An earlier reports stated, the women did not touch chickens, but one of the childeren did. See post # 38.

[Commonground]

The clinical condition for the patient like headache, nausea, cough and the weak body indeed was similar to bird flu.

Nausea is a new symptom, and possibly headache is also. Am I correct?

[tropical]

Without hand held testers those simptoms in the very begining can point to anything, from "new ebola" to respiratory infections.
Maybe (without deployed bf hand testers in the plans), the ER, and the dedicated hospitals, will be the "canarian flags" for the H2H2H emerging infections?

[ironorehopper]

It's a dangerous game speculate that gastro-intestinal involvement during an H5N1 human infection could signal the emergence of a novel ''ebola-like'' bird flu strain. Or a recombinant bird-flu-EBOV strain.
In the past, most cases of bird flu in Vietnam and other places denoted a systemic infection by H5N1, with symptom as vomit, diarrhea, headache with no upper respiratory tract acute symptoms, but progression toward multi-organ failure.

[Shannon]

No, nausea is not a new symptom. We have seen all kinds of symptoms reported over the last few years; diarrhea, nausea, conjunctivitis, high temps, shortness of breath, lately sore throats, and of course the aches and pains typical. We also see brain inflammation (reported as encephalitis) sometimes.

[Commonground]

Thanks, Tropical, ironorehopper & Shannon

[sharon sanders]

Another symptom can be bleeding from the mouth when seen with most of the others above.

Also, a lack of oxygen to the tissues can produce a purplish coloring on the skin (late stages).

[Dutchy]

Km Dinyatakan Negatif Bird Flu - Km was stated by the Bird Flu Negative
Riau Today - Tuesday, 18 December 2007 15:59

Laporan Gema Setara redakasi@riautoday.com
Pekanbaru -- KM (52) villagers Sialangbaru Kecamatan Lubukdalam Kabupaten Siak that suspect bird flu, was stated the bird flu negative was based on results of the sample of blood of Balibangkes RI of striking 10,00 WIB this morning, on Tuesday (18/12).

With these results Km immediately could come home to his native village.
Was like this was sent by Kasubdin Pelayanan Kesehatan and the Dinas Kesehatan Nutrient of the Province Riau Burhanuddin Agung answered riautoday.com.

"Results of the negative and the patient could immediately come home because his condition has also begun to improve", he said.

Nevertheless obviously Burhanuddin, although Km was stated by the bird flu negative but results rapidtest the Peternakan Service stated the poultry that was around his house was positive bird flu.

As suspect Km was treated in space of bird flu of RSUD Arifin Achmad Pekanbaru of the handling isolation after experiencing the sign of the high fever and nauseas like the sign of the bird flu illness.

Km had arrived in RSUD Arifin Achmad since striking 17,00 WIB on Friday (14/12) after being treated in the Sialangbaru Community Health Centre.
After undergoing the inspection and being taken the sample of his blood, struck the patient's 24,00 nights were moved to space of RSUD Arifin Achmad bird flu of the handling isolation.

According to Sudarto, his husband the story of the patient never contact with the poultry.

Justeru their child that once contact with the poultry.

Because beforehand several of their kept chickens died because of bird flu and their child that at once buried these chickens.

credits Christian

[Dutchy]

Indonesia investigating suspicious bird flu cases: official
AFP - Tue Dec 18, 6:31 AM ET

JAKARTA (AFP) - Indonesian bird flu officials said Tuesday they were investigating several recent avian influenza deaths where the victims were believed to have not come into contact with infected poultry.

"In the last three to four months, we have had four cases where the poultry in the victim's neighbourhoods (tested) negative for the virus," said Bayu Krisnamurthi, head of Indonesia's National Avian Influenza Committee.

"The number is significant enough for us to intensify our investigations so that we could have a more accurate explanation," he told a press briefing giving an overview of what has happened in Indonesia this year with bird flu.

"Some 20 percent of confirmed cases in 2006 were inconclusive, meaning there was no direct contact with poultry. This year (2007) the figure has been raised to 30 percent," he added.

The bird flu virus is usually transmitted to humans from infected birds, but scientists fear it could mutate into a form easily transmissible between humans, sparking a global pandemic that could kill millions.

Krisnamurthi nevertheless insisted that Indonesia had made progress in tackling bird flu, with the number of reported cases decreasing this year.

In 2007, 40 cases were confirmed with 35 fatalities, compared to figures of 55 and 45, respectively, in 2006.

But he also conceded that Indonesia needed more effective measures, particularly to combat bird flu in poultry.

According to Krisnamurthi, even though the agriculture ministry vaccinated 70 percent of the country's farmed poultry in 2007, "the quality of the vaccine must be improved," he said.

Indonesia has recorded a total of 115 confirmed bird flu cases, 93 of which resulted in death.

credits Christian

[Dutchy]

Patient worried to have bird flu, was not attended

Arifin Achmad Hospital Pekanbaru neglected Patient


The glory of the building of RSUD Arifin Achmad Pekanbaru evidently was not followed with the increase in the service. His proof of Suparman, one of the residents Street ****, Kelurahan Tanjung Rhu was neglected just like that when taking medicine in the UGD part.

This incident happened on Saturday (15/12) around struck 05,00 WIB then.
At that time Suparman that suffered hot high and breathless was accompanied by the cough came to UGD to take medicine.

He came already in the staggering condition , so as to have to be supported by his child. There he has taken the medicating card and registered himself in the official of UGD. Setelah registered, the official UGD asked Suparman to lie in one of the rooms in this UGD.

At that time I saw several nurses and the doctor was chatting was not far from my place lying, he said to RiauInfo, on Tuesday (18/12).
After more 15 minutes terbaring without being handled, suddenly Suparman felt the atmosphere became quiet. He and his child were surprised, why suddenly quiet. When his child tried checked to around rungan UGD, evidently the nurses and this doctor have gone whether where. Remain at two nurses that was falling asleep twisted with the head ditompang the table. Saw himself never was handled, Suparman had finally chosen to leave the hospital.

He had finally gone to the place of medical treatment 24 hours off his house.
Suparman personally admitted to going to UGD RS Arifin Achmad because himself felt feverish since several days and hot his body also did not descend.
He felt worried if being affected by the plague of bird flu. Understand that now again the plague of bird flu. Therefore he was looking for examination at RS Arifin Achmad, he explained.

Apparently, in the hospital that currently is built grand this he diacuekin just like that by medical that was assigned there. I was surprised, what indeed like this the service in the hospital.

What was expected by his person to die first just was handled, he stated.
Suparman personally had the plan to prosecute the side of RSUD Arifin Achmad that neglected him.

But beforehand I will write to the governor to tell about chronological this incident. This necessary in order to not have other casualties, said Suparman that also former RW 6 Tanjung Rhu districts, Kecamatan Limapuluh, Pekanbaru.

http://www.riauinfo.com/main/news.php?c=6&id=3454

[Sally Furniss]

Jakarta; 5 suspect bird flu patients hospitalized, 2 more waiting at home

Five "Suspect" Bird Flu from Serang, reconciled to Persehabatan Hospital


After undergoing the maintenance for three days in temporary maintenance Space of RSUD Serang, five patients suspect bird flu from the Village/Desa Terumbu, RT 07 /02, Kecamatan Kasemen Serang had finally been reconciled to RS Persahabatan Jakarta by using four Ambulance cars around struck 12,15 WIB, on Friday (21/12).

The five patients who it was suspected were infected by this AI virus respectively the brother and sister that is, Mubinul Hamidi, 16, Nujulul Hak, 10, and Najatul Hidayat, 8, the child as well as two other people that also the brother and sister that is Muhlas, 30, and Iklimah, 17.

The five patients entered RSUD Serang on the Wednesday (19/12) after beforehand could undergo medical treatment in the local Community Health Centre.

According to Fathurahman information, 45, that was parents from three patients namely Mubinul Hamid and his two brothers, the sign that was experienced by his three children that is hot, breathless as well as coughs so as he tried to take medicine to the local Community Health Centre.

A day before his child was sick, said he, approximately 60 chickens and his property duck and the rest had his neighbour died suddenly.
He reported the case and the official from the Pertanian Kabupaten Serang
Service carried out the checking against the chicken that died this.
The previous day dozens of ducks and our chicken died suddenly, after being carried out by the inspection by the Pertanian Service was stated by chickens that died this was positive bird flu, said Fathurahman.

After being stated by this chicken positive was affected by bird flu by the official from the Pertanian Service then the community health centre side ask for so that the three patients and two other patients that still one family so that immediately was brought to RSUD Serang underwent the maintenance.

Moreover, according to Syamsuri, 30, one of the Muhlas families, in his house still was having two patients more who experienced the same sign and were not yet carried to RSUD Serang because of being waiting for the five patients in brought to RS Persahabatan. The two patients namely Mubitin, 33, and NY Garba, 65, both still one family.

Section Head Kesehatan of the Serang Regency Dr H Encep Mukardi during it was confirmed said, the five patients were not yet stated positive bird flu but still suspect.

The five patients still suspect bird flu is now reconciled to RSU Persahabatan, because in RSUD Serang facilities for the maintenance of the patient flu birds were not yet complete, he said.

http://www.media-indonesia.com/berita.asp?id=153000

[Sally Furniss]

Thanks Dutchy!

[Dutchy]

5 Indonesians hospitalized for bird flu

www.chinaview.cn 2007-12-21

JAKARTA, Dec. 21 (Xinhua) -- Five people including two children were admitted to a bird flu specialist hospital in Jakarta Friday, raising concerns that human cases of the disease could grow to a record 119 in an individual country.

The five patients were transferred to the Persahabatan Hospital here from a small hospital in the town of Serang in Banten province after they showed clear signs of bird flu symptoms, such as respiratory problems, heavy coughs and high fever.

The national Antara news agency said the bird flu suspicions arose after health officials learned that 60 chickens and ducks in their village died from the virus as confirmed by laboratory tests.

Contact with infected chickens is the most common cause of bird flu in human in Indonesia, where 92 people died from the H5N1 virus, the highest among bird-flu affected countries.

The five patients, aged between 8 and 30, are from the same extended family.

http://news.xinhuanet.com/english/20...nt_7290509.htm

[Dutchy]

Dec 21, 2007

5 Indon family members suspected of bird flu infection: report

JAKARTA - FIVE members of a family in Indonesia's densely-populated West Java province are suspected to be infected with the deadly bird flu virus, the state-run news agency Antara said on Friday.

Mr Fathurahman told Antara that his three children, aged eight, 10 and 16, were suffering from high fevers, coughing and had difficulty breathing following an outbreak of the virus among local poultry.

'Dozens of our chickens and ducks died suddenly. The veterinary office tested (the dead poultry) positive for bird flu,' Mr Fathurahman told Antara.

The three children, along with two other siblings in their extended family aged 17 and 30, and suffering similar symptoms, were reportedly admitted to Serang hospital, about 80 km west of Jakarta, earlier this week.

The five flu suspects were transferred on Friday to Persahabatan hospital in Jakarta, which is designated to treat avian influenza patients, Serang district health office chief Encep Mukardi told Antara.

An additional two members of the family have also reportedly suffered bird flu-like symptoms, but have yet to be admitted to hospital.

The health ministry's bird flu information centre could not be reached on Friday for comment.

Indonesia has suffered the world's highest death toll from the H5N1 virus, with 93 confirmed deaths out of 115 confirmed cases. -- AFP


http://www.straitstimes.com/Latest%2...ry_189066.html

[Dutchy]

Location of Serang, Banten Province:

[HenryN]

Video at

http://www.metrotvnews.com/berita.asp?id=50962

[Dutchy]

One Family From Serang Suspect Bird Flu

Five persons who was one family in the Terumbu Village, Kasemen, Kota Serang, Banten, became the patient was expected by bird flu.

This family consisted of the father, the mother, and three children.
They were reconciled to this hospital after suffering the disturbance of the health similar to the sign of bird flu.

The five of them could undergo the intensive maintenance in RSU Serang.
According to their relatives, the family respectively was named Muklas, Mubin, Nujul, Iklimah, and Najat.

They apparently was attacked by the virus (H5N1) from several poultries that died suddenly the previous day, said Lukman, relatives of the unfortunate family, when being met in RSU Serang, on Friday (21/12/2007).

As far as this is concerned the side of RSU Serang and the Health Service of the Serang City did not yet say the five of them positive infected by H5N1.

Because, RSU Serang did not have the special laboratory bird flu, said Kesehatan Serang Encep Mukardi Section Head.

To ascertain the contagious illness this family, this afternoon of RSU Serang evacuated them to the Hospital of Persahabatan Jakarta used five ambulance units.

http://www.okezone.com/index.php/sea.../12/21/1/69710

[HenryN]

Commentary at

http://www.recombinomics.com/News/12...g_Cluster.html

[Dutchy]

Apparently a bird flu outbreak in poultry a few weeks ago in Serang Region:

Bird flu Serang Poultry

on Thursday, November 22 2007 -

Tens of Poultry Died Suddenly, Livestock Service carried out Spraying

Puluhan the poultry was belonging to the resident Street Dr Sutomo found died suddenly. From results rapid test was known by these chickens positive was attacked by the virus avian influenza (bird flu).

Although beforehand was stated safe, but the bird flu attack could not be it was considered trivial. This matter it was known followed the report on the resident who found the poultry piaraan him died suddenly.

The official who came to the location at once held the inspection, both observation clinically and the method rapid test (test fast).

Results were known by these animals infected by the virus avian influenza.
Kasubdin Kesehatan of the Animal and the Fish, Dinas Kelautan Perikanan and Pacitan Livestock Breeding, Fatkhur Rozi, justified these findings.

He admitted socialisation efforts that were carried out uptil now did not yet produce optimal results. Ought to be regretted still many residents who reluctantly carried out the prevention, were good with the vaccination and spraying, his regret.

In fact, continued the graduate's veterinary surgeon of the Airlangga University, the government provided the vaccine and disinfektan free.
About the handling of this case, Fatkhur said his side at once carried out spraying to the location of the pen and the owner's residence of the house.

Poultries that still were living immediately must be isolated for 21 days or when must be carried out by the extermination, he stressed. This was meant to prevent the spread being wider was good towards the poultry in the environment around and humankind.

It was related that the availability of the vaccine liquid and disinfektan Fatkhur optimistic still sufficient at least till March next year.

From the data supported available, the case of bird flu this time was that the first time for the last six months.

It was final that 2006 then hundreds of poultries in six subdistricts it was suspected were attacked by the same illness.

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Metrotvnews.com, Serang: the Daerah Public Hospital (RSUD) Serang, Banten, Jum'at (21/12), again received five patients was expected by bird flu.The patients came from two families in the Terumbu Village, Kecamatan Kasemen, Serang.Two were from five patients expected by this bird flu still was eight tenth years old.Whereas three other was 15 years old, 17 and 27 years.The patients are currently treated in Space of Isolasi RSUD Serang in the limp and feverish condition high.The patient's family, Syamsuri, said, they suffered the sign similar to bird flu after contact with the poultry that died suddenly in their residence.As far as this is concerned did not yet have official information from the hospital side that treated the five patients.The hospital side isolated the patient and applied the standard of the maintenance of the flu patient buurng.(the SHOT)