Indonesian Human Cases - Jan 11 to Feb 4, 2008

[Dutchy]

This is out of the blue for me.

Jan 28, 2008

Indonesia reports 99th bird flu death

JAKARTA - A NINE-YEAR-OLD Indonesian boy has died of bird flu, the health ministry said Monday, bringing the toll to 99 in the nation worst hit by the virus.

'(The) total number of cumulative Asian Influenza human cases in Indonesia is 123 with 99 deaths,' the ministry bird flu information centre said in a statement. -- AFP

http://www.straitstimes.com/Latest+N...ry_200958.html

[Dutchy]

9-year-old boy dies of bird flu, bringing Indonesia's death toll to 99


Monday, January 28, 2008

AP


JAKARTA, Indonesia -- A 9-year-old boy has died of bird flu, bringing Indonesia's death toll from the disease to 99, health officials said Monday.

The boy died Sunday at the Sulianto Saroso Hospital for Infectious Disease in Jakarta, said Ningrum, an official at the Health Ministry's bird flu center.


Tests confirmed the boy had the H5N1 virus, she said, adding that the cause of the infection had yet to be determined.


The boy was from a neighborhood on the southern outskirts of Jakarta. He first developed symptoms on Jan. 16, said Ningrum, who like many Indonesians who uses a single name.


Indonesia has recorded human bird flu deaths regularly since the virus began ravaging poultry stocks across Asia in 2003.


Scientists have warned that Indonesia, which has millions of backyard chickens and poor medical facilities, is a potential hot spot for a global bird flu pandemic.

http://www.chinapost.com.tw/headline...ar-old-boy.htm

[Dutchy]

3 New Cases of Human Avian Influenza In Indonesia

Jakarta, January 28, 2008 - Bird Flu Information Center -

Indonesia has recorded three new cases of human avian Influenza. RF, MIY and NAS are confirmed to be infected by H5N1 virus based on the test results from the Health Research and Development Center of the Ministry of Health and Eijkman Institutedated January 27 2008.

RF, a 31 year old, female from East Jakarta Municipality Jakarta Province. She experienced onset of illness on 18 January 2008, was then admitted to Harum Hospital on 22 January 2008 where she was then reffered to Persahabatan Hospital in Jakarta on 26 January 2008 with symptoms of fever, cough, headache, leucopeny, penumonia. The risk factors are there is a wet market and a backyard chicken farm in the neighbourhood. At the moment, RF is still treated in Persahabatan Hospital, Jakarta.

MIY, a 9,5 year old boy from Depok Municipality, West Java Province.
He experienced onset of illness on 16 January 2008. He was then admitted to Sentra Medika Hospital in Cimanggis on 23 January 2008, where then he was reffered to the Sulianti Saroso Infectious Disease Hospital (RSPI-SS) in Jakarta on 25 January 2008 with symptoms of fever,breathing difficulties, leucopeny, pneumonia. The risk factors are not yet found/inconclusive.
MIY died on january 27 2008 at 13.55 at Sulianti Saroso Infectious Disease Hospital in Jakarta.

Nas, a 32 years man from Tangerang District, Banten Province.
Nas experienced onset of illness on 17 January 2008. He was examined at the a local clinic (Puskesmas) on 21 January 2008. He was the admitted in Bakti Asih Hospital Tangerang on 24 January 2008, then reffered to Persahabatan Hospital in Jakarta on 26 January 2008 with symptoms of fever, breathing difficulties, thrombocytopeny, pneumonia. The risk factor is his neighbours have pigeons.
At the moment, Nas is still being treated at Persahabatan Hospital in Jakarta.

The total number of Avian Influenza human cases in Indonesia is 123 cases with 99 fatalities.

http://www.komnasfbpi.go.id/berita_eng.php?id=41

[Dutchy]

Boy becomes Indonesia's 99th bird flu fatality

Posted : Mon, 28 Jan 2008

Jakarta - A 9-year-old boy from West Java died from the H5N1 strain of the avian influenza virus, bringing Indonesia's bird flu death toll to 99, the world's highest, Health Ministry officials said on Monday. The boy, identified as MIY, died on Sunday at Jakarta's Sulianto Saroso Infectious Disease Hospital, said Joko Suyono, an official at the ministry's bird flu information centre.

The boy fell sick January 16 and sought medical treatment a week later at Sentra Medika Hospital in western Jakarta before being admitted Friday to Sulianti Saroso Hospital, designated to treat bird flu patients in Jakarta and surrounding areas.

"Test results confirm he had been suffering from bird flu," Suyono said

Investigators were still trying to determine how the boy was exposed to the virus, but a chicken-slaughtering site was located in his neighbourhood, he said.

http://www.earthtimes.org/articles/s...-fatality.html

[Commonground]

Dutchy, I can't find any mention in my notes of the child who lived near the slaughterhouse. Do you know what child that was?

[Dutchy]

Originally Posted by Commonground

Dutchy, I can't find any mention in my notes of the child who lived near the slaughterhouse. Do you know what child that was?

No, today's report was the first time I heard from the boy.

We learned before, that news from Jakarta Hospitals seems not to be released until confirmation from the lab of Dep. of Health.

[Commonground]

This was a previous, recent case. The risk factor was a slaughterhouse nearby. It was a child.

[Dutchy]

Fourth case mentioned

Indonesia boy dies of bird flu, making death toll 99

28 Jan 2008

Source: Reuters


JAKARTA, Jan 28 (Reuters) - A 9-year-old Indonesian boy who had tested positive for bird flu died on Monday, the health ministry said in a statement, taking the country's death toll from the deadly disease to 99.

The boy from the outskirts of Jakarta died at the Sulianto Saroso hospital on Sunday after being treated in different hospitals for two weeks, said Joko Suyono, an official at the ministry's bird flu information centre.

It was not known how the boy contracted the disease.

Indonesia has had the highest number of human deaths from bird flu of any country.

A 31-year-old woman and 32-year-old man hospitalised at Persahabatan hospital for fever and respiratory problems also tested positive for the deadly H5N1 virus on Monday, the ministry said.

According to the statement, the woman lived in East Jakarta near a poultry slaughterhouse that kept many fowl believed to be the source of her H5N1 infection.

The man from Tangerang, west of Jakarta, is believed to have contracted H5N1 from his neighbour's pet doves, the ministry said.

Contact with sick fowl is the most common way of contracting bird flu, endemic in bird populations in most of Indonesia.

Although bird flu remains an animal disease, experts fear the virus could mutate into a form easily passed from human to human and kill millions.

Authorities are also expecting genetic test results to come back for a fourth case, a 23-year-old housewife from East Jakarta, who died on Sunday from bird flu symptoms.

Suyono said there are no obvious explanation for the sudden surge of cases. "We need to carry more tests and investigation first to be really sure.

http://www.alertnet.org/thenews/newsdesk/JAK69887.htm

[Commonground]

I found it:

http://www.flutrackers.com/forum/sho...9&postcount=37

Villagers Main Lightning, Long Rt 05/ Rw 3, the Tangerang City, many that did not suppose if Setia went so fast. In fact, around them did not have the chicken that died. However indeed around 500 metre from the house of Untung had a slaughterhouse in the chicken.

I was hoping it was not Seti. But it is. They (Seti & MIY) were both brought to RSPI Sulianti Saroso, Jakarta.

ETA: I will watch for a more specific address on MIY, to see if they were neighbors.

[HenryN]

Commentary

http://www.recombinomics.com/News/01...Jakarta_4.html

[HenryN]

Originally Posted by Commonground

I found it:

http://www.flutrackers.com/forum/sho...9&postcount=37



I was hoping it was not Seti. But it is. They (Seti & MIY) were both brought to RSPI Sulianti Saroso, Jakarta.

ETA: I will watch for a more specific address on MIY, to see if they were neighbors.

Earlier case died January 18

21 January 2008
The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. An 8-year-old male from Tangerang District, Banten Province developed symptoms on 7 January 2008, was hospitalized on 16 January and died in an AI referral hospital on 18 January. Investigations into the source of his infection are ongoing, however initial reports indicate the case lived in close proximity to a chicken slaughter house.
Of the 119 cases confirmed to date in Indonesia, 97 have been fatal.

http://www.who.int/csr/don/2008_01_21/en/index.html

[Commonground]

Dr. Niman, they were not neighbors. MIY is from Depok & Seti was from Tangerang. Thanks.

[Dutchy]

Indonesia bird flu death toll hits 100

28 Jan 2008

Source: Reuters


(Adds toll hits 100, details)

JAKARTA, Jan 28 (Reuters) - A 23-year-old Indonesian woman from East Jakarta has died from bird flu, taking the country's death toll to 100, according to a report from Indonesia's bird flu information centre on Monday.

The woman died on Sunday and two separate laboratory tests confirmed she contracted H5N1, the report said.

Earlier on Monday, a 9-year-old Indonesian boy who had tested positive for bird flu died, the health ministry said in a statement.

The boy from the outskirts of Jakarta died at the Sulianto Saroso hospital on Sunday after being treated in different hospitals for two weeks, said Joko Suyono, an official at the ministry's bird flu information centre.

It was not known how the boy contracted the disease.

Indonesia has had the highest number of human deaths from bird flu of any country.

A 31-year-old woman and 32-year-old man hospitalised at Persahabatan hospital for fever and respiratory problems also tested positive for the deadly H5N1 virus on Monday, the ministry said.

According to the statement, the woman lived in East Jakarta near a poultry slaughterhouse that kept many fowl believed to be the source of her H5N1 infection.

The man from Tangerang, west of Jakarta, is believed to have contracted H5N1 from his neighbour's pet doves, the ministry said.

Contact with sick fowl is the most common way of contracting bird flu, endemic in bird populations in most of Indonesia.

Although bird flu remains an animal disease, experts fear the virus could mutate into a form easily passed from human to human and kill millions.

Suyono said there are no obvious explanations for the sudden surge of cases. "We need to carry more tests and investigation first to be really sure."

http://www.alertnet.org/thenews/newsdesk/JAK121229.htm

[HenryN]

Comemntary

http://www.recombinomics.com/News/01...Confirmed.html

[Dutchy]

More on the boy from Depok

Child from Primary School Died, Infected by Bird Flu

Three days were treated, the child patient suspect flu that initially was diagnosed was attacked by typhus died, on Sunday (27-1) the afternoon.
M. Ibnu Yusuf, 9, the class student of IV SD died around Pk. 12,30, after for three days in RS. Suliyanti Saroso.

Information that was assembled, initially the youngest child from three relatives of the couple's child Yusuf Efendi, 35, and Sulastri, 30, this was diagnosed by typhus.

However the hot reason high the temperature of his body also did not descend, Ibnu was carried to RS. Suliyanti Saroso.

I just knew Ibnu was attacked by bird flu after being brought to the hospital, said the resident Street Kampung Lio RT.., Pancoranmas, Depok, this.

Section Head Kesehatan of the Depok City, Mien Hartati admitted one of his residents died resulting from infected by bird flu.

I involved the official to the field to take the sample around casualties's residence, said Mien.

http://www.poskota.co.id/news_baca.asp?id=44605&ik=4

[Dutchy]

Four people Again were attacked by Bird Flu, two died

the bird flu Illness again attacked four residents and caused two among them to die so as till at this time the cumulative number the Indonesian inhabitants who were attacked by bird flu reached 124 people and 100 among them died.

Information from the Bird Flu Command Post of the Department of Health that was accepted by Antara in Jakarta, on Monday, mentioned the four residents were endless the woman Jakarta East had the initials RF (31); the male child had the initials MIY (9.5) in Depok, West Java; the man had the initials Nas (32) from the Tangerang Regency, Banten; as well as the man had the initials V (23) from Cakung, Jakarta East.

The official was on duty at the KLB Flu Burung Departemen Command Post of the Health, Joko, said two from four patients that is V and MIY died on Sunday (27/1) in the Penyakit Infeksi Hospital (RSPI) Sulianti Saroso Jakarta, their place was treated.

He explained RF, that live in close to the poultry abattoir and three days before was sick went to the poultry market, began to be sick on January 18 2008 and on January 22 2008 was brought to the Harum Hospital got the maintenance.

The woman was afterwards reconciled to the Hospital of Persahabatan Jakarta on January 26 2008 with the hot sign, the cough, had a headache, leukopenia, pneumonia and up to now he is still being treated in the Persahabatan Hospital.

Whereas Nas, began to be sick on January 17 2008 and afterwards took medicine to the Community Health Centre as well as could be treated in the Bakti Asih Hospital, Tangerang was also reconciled to the Persahabatan Hospital with the sign of the fever, breathless, thrombositopenia and pneumonia. Till at this time was male that his neighbour maintained many dove birds still was treated was treated in the Persahabatan Hospital.

While the male child in the Depok City, MIY, began to be sick last January 16 2008 was treated in the Sentra Medika Cimanggis Hospital and was reconciled to RSPI Sulianti Saroso on January 25 2008, with the hot sign, breathless, leukopeni, penumonia. However the male child was not rescued, he died on January 27 2008 struck 13,55 WIB in RSPI Sulianti Saroso.

The other patient, V, according to his family began to be sick last January 19 2008 was treated in Ana's Hospital, Bekasi (24-1) and was reconciled to RSPI Sulianti Saroso on January 26 2008 with the sign of the fever, breathless and leukopenia. He died in this hospital on January 27 2008 struck 05,15 WIB.

According to Joko, the cause of the spread of bird flu to MIY and V till at this time still not clear and the related official was carrying out investigation to know whether before being sick the two casualties had carried out contact with the poultry or other animals that could spread the virus Avian influenza H5N1.

http://republika.co.id/online_detail...1511&kat_id=23

Edit: same report in Media Indonesia On Line: http://www.mediaindonesia.com/berita.asp?id=157212

[Dutchy]

Sad story on the deceased boy, misdiagnosed, no x-ray machine, returned home, back to hospital, from one hospital to another, until he died.

Pupil Primary School Died, presumed to have Bird Flu

Suspected of suffering bird flu, Muhamad Ibnu Yusuf (9) died in the maintenance in the Penyakit Infeksi Hospital (RSPI) Sulianti Saroso, Jakarta, on Sunday early afternoon (27/1).

Ibnu, the IV SDN class student 6 Depok Jaya, Pancoranmas, died after several times entered the hospital, before being treated a day in RSPI Soelianti Soeroso.

Uptil now Ibnu lived with the uncle and his aunt in Street **** Depok District, the Pancoranmas Subdistrict.

According to the uncle Ibnu, Muhamad Uki (40), Ibnu suffered dizziness and hot the body since January 15 2008. Ibnu was carried to the Bahar Clinic to check and only was given medicine because it was thought is sick normally then.

However because of not having the change, even the illness improved, Ibnu was brought returned to the clinic. The doctor took the sample of blood and was afterwards concluded suffered was sick typhus. At that time Ibnu was permitted to come home.

After return from the clinic, was sick Ibnu will never recover, even got serious.
Finally, Muhamad Uki and his wife, Sri Sutiah, accompanied Ibnu to RS Bhakti Yudha on Sunday night (20/1).

Because of not having the vacant room, Ibnu was carried to RS Permata Ibu di Kukusan, Beji. Because only had the doctor guarded, Ibnu is examined like the patient generally. Results of the doctor's inspection mentioned to the Ibnu lungs was gotten the liquid.

Because there did not have his equipment, then Ibnu was reconciled to RS Sentra Medika, Cimanggis, on Friday early afternoon (25/1), said Muhamad Uki, that was everyday had an office in the People's Consultative Assembly Building/the People's Representative Council, Jakarta.

In this hospital, results of the inspection x-rayed mentioned did not have the liquid to the Ibnu lungs. The previous doctor suspected Ibnu of being attacked by bird flu.

Finally, the hospital side contacted RSPI. Di this hospital, on Sunday (27/1), the Ibnu condition increasingly descended and died approximately struck 13,20.

Ibnu's body was at once buried in Cibinong in the place from his parents, Yusuf Effendi and Sulastri. Yusuf everyday taught in SMAN 3 Depok and Sulastri taught in SMPN 2 Cibinong.

There was no Poultry

According to Uki, Ibnu went with him since still the kindergarten.
And for the new holiday then, he togethered with his wife and Ibnu could go to the Satya Mandala Museum. The three of them could also eat chicken.
It seems not there is one that is very strange in our family, said Uki.

In their house environment then did not have the kept poultry.
Only, had three kept birds in front of the older brother's house Uki that appeared healthy and in the cage that appeared clean also.

Section Head Health Service (Dinkes) Depok City, Mien Hartati, justified the existence of the student the PRIMARY SCHOOL that died it was suspected because of bird flu.

Till Monday (28/1), the official dinkes then appearance arrived inspected the Muhamad Uki house. According to him, the couple Uki and Sri Sutiah will undergo the blood test.

The Ibnu death news could in the Depok District environment become the resident's discussions. They did not suppose had his resident who was affected by bird flu. "I just heard had bird flu casualties here."

The outcome was we were anxious enough, said a mother while saying did not yet have the poultry news died suddenly in their residence environment.

Casualties were killed suspect bird flu in Depok beforehand was Yuliah (26), the resident of *** , the Cilangkap District, the Cimanggis Subdistrict. He died in RSPI Sulianti Saroso in February 2006.

http://www.kompas.com/read.php?cnt=....1&mn=23&idx=97

[Commonground]

[I've got symptom onset as 1/16. So, sometime between the 16th and the 25th, he was brought to Mahar Medika Clinic, given meds, told to go home. Brought back. Blood test diagnosed as typhus. Parent brought to RS Bhakti Yudha. Same diagnosis. Then I guess to the "House of Permata Ms" (?); where the doctor gave a different diagnosis. From there he went to RS Sentra Medika where he was stated suspect flu burung. Finally on 1/25 he was admitted to RS Sulianti. 9 Days.]

The Flu Burung patient from Depok Meninggal

A bird flu patient (avian influenza/AI) from Depok died in RS Sulianti Suroso, Jakarta, on Sunday (27/1) struck 13,20 WIB.
Muhammad Ibnu Yusuf, 9, alias Ibnu, the class student of IV SD Depok Baru 6, died after being treated since last Friday (25/1).

"Ibnu was carried by us to the Mahar Medika Clinic.
The doctor's words, Ibnu was tired, then was given medicine penurun hot.
After taking medicine, the condition for the Ibnu health did not have the change.
We then brought him returned to the Mahar Medika Clinic" Said Subki, yesterday.
According to the doctor that checked, results of the blood test in this clinic showed that Ibnu suffered typhus. "It was frightened of anything happening, that Ibnu was carried by us to RS Bhakti Yudha.
Results of the side's diagnosis of RS Bhakti Yudha then same, Ibnu suffered typhus" he continued.
When being brought to the House of Permata Ms, the doctor stated that the Ibnu lungs remained water.
Because the doctor's diagnosis differed, Ibnu was afterwards carried to RS Sentra Medika.
Casualties were checked intensively by the hospital side and were stated suspect bird flu.
Knew that, on Friday (25/1) around struck 21,00 WIB, Ibnu was carried to RS Sulianti Suroso.
"On Sunday morning, was based on results of the RS Sulianti blood cheque, Ibnu positive bird flu.
The condition for his health increasingly descended.
Around struck 13,20 WIB, the Ibnu life was not helped and died in RS Sulianti Suroso," obviously him.
Sri Sutinah, the wife Subki, admitted to around his residence not having the chicken coop or birds livestock breeding.
"Had never had the chicken or birds died in the area of our house, moreover we did not like to maintain the chicken.
But did not know if the neighbour, we had not checked" said Sri Sutinah, that was the brother Sulastri, the mother of casualties.
Section Head Kesehatan (Dinkes) the City Depok Mien Hartati said, after Ibnu died, his side entered to the field.
With several related services and Balitbangkes, Dinkes took the sample around casualties's residence. "Results a week after the inspection, he said.
http://www.seputar-indonesia.com/edi...meninggal.html

[AlaskaDenise]

Originally Posted by niman

Commentary

http://www.recombinomics.com/News/01...Jakarta_4.html

Commentary

Four Confirmed or Suspect H5N1 Cases in Jakarta Area

Recombinomics Commentary 12:11
January 28, 2008

A 9-year-old Indonesian boy who had tested positive for bird flu died on Monday, the health ministry said in a statement, taking the country's death toll from the deadly disease to 99.

The boy from the outskirts of Jakarta died at the Sulianto Saroso hospital on Sunday after being treated in different hospitals for two weeks, said Joko Suyono, an official at the ministry's bird flu information centre.

A 31-year-old woman and 32-year-old man hospitalised at Persahabatan hospital for fever and respiratory problems also tested positive for the deadly H5N1 virus on Monday, the ministry said.

According to the statement, the woman lived in East Jakarta near a poultry slaughterhouse that kept many fowl believed to be the source of her H5N1 infection.

The man from Tangerang, west of Jakarta, is believed to have contracted H5N1 from his neighbour's pet doves, the ministry said.

Authorities are also expecting genetic test results to come back for a fourth case, a 23-year-old housewife from East Jakarta, who died on Sunday from bird flu symptoms.

The above comments described four confirmed or suspect H5N1 patients in the Jakarta area. Two of the four have died within 24 hours of each other.

The clustering of cases in the Jakarta area has been seen previouslyludin the first confirmed cases in Indonesia, but this is among the highest number of cases announced at the same time.

Since the cases are at four distinct locations, and do not appear to be linked, the clustering reflects H5N1 in the Jakarta area that is more efficiently transmitted to humans.

Release of sequences from these patients would be useful.


.

[AlaskaDenise]

Originally Posted by niman

Comemntary

http://www.recombinomics.com/News/01...Confirmed.html

Commentary

Fourth Jakarta Area H5N1 Patient Confirmed

Recombinomics Commentary 12:11
January 28, 2008

A 23-year-old Indonesian woman from East Jakarta has died from bird flu, taking the country's death toll to 100, according to a report from Indonesia's bird flu information centre on Monday.

The above comments indicate the suspect H5N1 described earlier, was confirmed. Thus, four confirmed cases in the Jakarta area have been announced today. Two of the four have died.

The most recent confirmed case, like the 97th fatal case, lived near a slaughter house. The high cases fatality rate in Indonesia raises concerns that the number of infections is markedly higher than the number of confirmed cases.

Since there have now been two confirmed fatal cases who lived near slaughter houses in the Jakarta area, screening of workers for H5N1 antibodies may be a useful start for a more accurate determination of the incidence of H5N1 in people in the Jakarta area.

Testing of H5N1 in Indonesia has been suspect. Many patients are not tested until they are transferred to an infectious disease hospital, allowing many mild cases to be missed. In addition, application of a Tamiflu blanket may keep H5N1 levels below detection in mild cases.

More testing of suspect H5N1 in Indonesia would be useful.


.

[Dutchy]

From KOMNAS FBPI (Nat. Bird Flu Committee Dep. of Health Indonesia)


Indonesia Reports 100 Bird Flu Fatalities

Jakarta, January 29, 2008 - Ministry of Health - Indonesia has recorded four new confirmed cases of human avian.Nas from Tangerang District, MIY from Depok Municipality, Res and Vir from East Jakarta are confirmed to be infected by H5N1 virus based on the test results from the Health Research and Development Center of the Ministry of Health and Eijkman Institute dated January 27 2008.

Since it was found in mid july 2005, the total number of confirmed bird flu cases in human up to 28 January 2008 has reached 124 cases with 100 fatalities. The Case Fatality Rate (CFR) stands at 80.6 %.

Nas is a 32 year old chicken rice seller from Tangerang District, Banten Province. He experienced onset of illness on 17 January 2008 with symptoms of headache, stomach pain, breathing difficulties and fever. He was the admitted to Bakti Asih Hospital Tangerang on 24 January 2008 when two days later, 26 January 2008, he was then reffered to Persahabatan Hospital in Jakarta. Nas is still being treated in the ICU at Persahabatan Hospital in Jakarta. Nas neighbour who lives 500 meter from his house has 12 pigeons.


MIY, a 9.5 year old boy from Depok Municipality, West Java Province experienced onset of illness on 16 January 2008 with symptoms of bad headache, bad breathing difficulties, high fever up to 37.8 Celcius. He was examined at Sentra Medika Hospital in Cimanggis on 23 January 2008, where then he was reffered to Sulianti Saroso Infectious Disease Hospital (RSPI-SS) in Jakarta on 27 January 2008. MIY died on January 27 2008 at 13.55 at Sulianti Saroso Infectious Disease Hospital in Jakarta. The risk factors still being investigated.

Res, a 31 year old female from East Jakarta experienced onset of illness on 18 January 2008. She was then admitted to Harum Hospital on 22 January 2008 with the complain of coughing. Four days later, 26 January 2008, she was then reffered to Persahabatan Hospital in Jakarta with symptoms of fever, coughing, and headache. RF is still under treatment with a ventilator at Persahabatan Hospital, Jakarta. Based on the investigation conducted, the risk factors are: 100 meter from Res house there is a backyard chicken farm, where 500 meter from the house there is a chicken slaughter house. Beside that, Res visited a poultry market on 15 January 2008.

Vir, a 23 year old female from East Jakarta experienced onset of illness on 19 January 2008 with symptoms of fever and breathing difficulties. She was admitted to Ananda Hospital in Bekasi on 24 January 2008, where two days later, 26 January 2008, she was reffered to Sulianti Saroso Infectious Desease Hospital (RSPI-SS) in Jakarta. Vir died on 27 January 2008 at 05.15 in RSPI-SS Jakarta. The risk factors are still being investigated.

http://www.komnasfbpi.go.id/berita_eng.php?id=42

[Dutchy]

Ibnu is the boy from Depok, who died from H5N1

The source of H5N1 Ibnu continued to be looked for

Depok, myRMnews.Virus bird flu again asked for the life. This time was experienced by the child named Ibnu Yusuf that still was sitting the class 4 of SD. Walau positive was attacked H5N1, but was not yet known from where Ibnu got infected.

Only an information, Ms died on Sunday (27/2) in RS Sulianti Soeroso, Jakarta Utara. The unfortunate child only remained for two days after entering the special bird flu hospital on Friday (25/1).

And on this Ibnu death, the Depok Municipal Government at once moved fast.
Through the related service, all the available poultries around casualties's direct house in the vaccination.

Kasie the Health of Animal Humankind and the Illness Veteriner the agricultural Service (Distan) the Depok City, Dedi Sujadi, on Tuesday early afternoon (29/1) said, his side did rapid test against 19 available poultries around the Ibnu house in the Village of Lio Rt 01/13, Pancoranmas, Depok.

Results rapid test the poultry of the bird flu negative.

Whereas for results of the test of poultry blood just was known next week.
This vaccination was carried out to prevent the possibility spreading him the virus H5N1 outside, he said.

According to Dedi, to look for the cause from this virus that was first was carried out was with find out whether having the death of the chicken or the other poultry for the last one months.

Further, the poultry was around casualties's house done the vaccine and in rapid test.

If not having the poultry died and results of the negative vaccine then around casualties's house did not have the case of bird flu.

Could Ibnu be infected from the other place, if indeed around his house did not have the death of the poultry and results of the negative vaccine, he explained.

In the meantime, Section Head Health Service (Dinkes) Depok City, Mien Hartati, said his side carried out the supervision of the interacting nurse direct with Ibnu casualties when being treated and carrying out the blood inspection of these nurses.

We distributed the capsule tamiflu to the nurses who must be taken 2 times a day.

This had a purpose so that body immunity was awakened and the prevention of the spread of the virus H5N1, he said.

As being reported beforehand, Ibnu the class student of IV SD Depok Baru 6 died in RSPI Sulanti Suroso on Sunday early afternoon around struck 13,20 WIB because positive bird flu. With the Ibnu death, meant to have had three casualties died resulting from bird flu in the Depok City.

Where last 2007, Yasinto (22) the resident of the Jati Base and Yuliana (30) the resident Cilangkap, Cimanggis, of Depok also died because positive bird flu.

Whereas in 2006 the case of the death of the poultry suddenly reached 2,100 tails. The sudden death of the poultry descended in 2007, to 1,429 tails.

Year round 2006-2007 Distan continued to carry out the extermination of the poultry and to distribute 2,700 capsules tamiflu.

http://www.myrmnews.com/indexframe.p...bsite&id=51661

[Dutchy]

Jan 29, 2008

Indonesia's 100th bird flu death shows disease out of control: experts

JAKARTA - CONFIRMATION of the 100th human bird flu death in Indonesia shows the virus is out of control in the country most ravaged by outbreaks of the disease, experts said on Tuesday.

Indonesia's health ministry on Monday confirmed the death of Virda Sari, a 23-year-old woman from eastern Jakarta who died in hospital early Sunday morning.

Her death brought Indonesia's death toll to the symbolic milestone, highlighting the deadly nature of a virus that has infected a confirmed 124 people in the country, according to the ministry.

More than half of all bird flu deaths worldwide since 2005 have occurred in Indonesia, World Health Organisation figures show.

More than twice as many Indonesians have died of the disease than in Vietnam, which with 48 deaths is the second most affected country.

'The virus is uncontrollable in Indonesia ... it means that viral contamination of the environment is quite high,' said Ngurah Mahardika, a virologist at Udayana University on the resort island of Bali, which recorded its first two human deaths from the disease last year.

'The reason is that the virus is not under control in animals right now,' he said.

The H5N1 virus is mostly spread to humans through contact with infected poultry, but scientists fear it could mutate into a form easily transmittable between humans.

The resulting pandemic could kill millions.

Avian influenza has been particularly prevalent in areas surrounding Jakarta, Mahardika said, with the satellite city of Tangerang in neighbouring Banten province of particular concern with its large population living close to poultry.

Tangerang has seen eight confirmed human infections since October last year, all of them fatal.

A quarter of Indonesia's bird flu deaths have occurred in Jakarta, with another 45 percent striking in Banten and the nearby province of West Java, according to health ministry figures.

Both provinces abut the massive capital and receive the overflow of its urban sprawl.

A lack of coordination between government agencies means authorities are not sharing disease samples, raising the possibility of missing detecting strains of the virus that have adapted to humans, Mr Mahardika said.

'The people working in this field never come to the table to talk about it and analyse it together,' he said.

Devolution of power over the last 10 years since the fall of authoritarian president Suharto has also hindered coordination efforts, Australian National University Indonesia expert James Fox said.

'You have an area that will try to contain the bird flu epidemic, but there's no guarantee the neighbouring area will do the same. So (bird flu) will always just come back,' Mr Fox said.


Vaccinate or exterminate

Unlike other Asian nations which have managed to contain the bird flu virus, Indonesia's gross oversight was to not begin exterminating poultry three or four years ago when the disease first began spreading, he said.

'Most of the other nations decided they would not vaccinate, they would exterminate. The problem is on a veterinary level, (Indonesian authorities) were in denial,' Mr Fox said.

'(Exterminating poultry) is not possible anymore, you can only do that when there's a small outbreak, when it first begins. It is now endemic,' Mr Fox said.

Muchtar Ihsan, the doctor at the head of the avian influenza team at Jakarta's Persahabatan hospital - one of two bird flu referral hospitals in the capital - said Indonesia's long practice of families living close to their poultry has proved hard to break.

'This is the habit of the people since hundreds of years ago, it's hard to convince people that it's dangerous,' he said. -- AFP

http://www.straitstimes.com/Latest%2...ry_201360.html

[Commonground]

Dinkes Special Capital District To Take Sampel of Family Blood

OFFICIALLY the Health (Dinkes) the Special Capital District of Jakarta took the sample of blood of the patient's family died resulting from bird flu in the Sawit durian, Jakarta Timur. Not only that, the official also took the sample of blood of casualties's neighbour to be checked.

He added, apart from taking the sample of blood from the family and the resident around, the official also checked all the available poultries in the environment of casualties's house.
This action was carried out to know how far the spread of the bird flu virus against the poultry in the region.
In this way, prevention efforts spread him the virus could be immediately carried out.

Besides this, was continued by Tini, Dinkes ordered the community health centre to stay alert for 24 hours related the fall of bird flu casualties in the region Jakarta Timur.

According to him, till at this time Dinkes prepared all the requirements that were needed for the control of early for the patient. "Like medicines, at this time we prepared in local community health centres," he said.

Apart from these preparations, Tini also ordered the related agency to encourage counselling towards the control of the illness that was caused by the virus avian this influenza.
Counselling that was given, that is how detected someone infected the virus avian influenza.
Moreover, the medical team that will deal with him also has prepared. Whenever had the patient who it was known had the sign of the bird flu illness, his side ordered to bring the patient as soon as possible to the hospital (RS) closest.

http://www.seputar-indonesia.com/edi...darah-kel.html

[Commonground]

Appears to be a new case (bold)
hat-tip Cottontop

2 positive patients Bird Flu (H5N1) died in RSPI Sulianti Saroso
By editorial staff of 29/01/2008 @ 01:13
http://www.infeksi.com/newsdetail.php?lng=in&doc=1806


Jakarta: the Woman V the age 23 of Th Tinggal Pulau gebang Jakarta east.
Died the date Jan's 27 08 at 5.30 WIB in ICU RSPI-SS 26/1/2008 at 17.00 with the sign of the fever and breathless was sent from RS.Ana you Bekasi.

MIY Laki2 the age 9.5 Th died in ICU RSPI-SS the hour.
13,55 WIB the date 27/1/08 the resident's Pancoranmas student, Depok, West Java began to be sick on January 16 2008 with the sign was sick heavy, breathless difficult, and hot until 37,80C. Setelah took medicine to RS Sentra Medika Cimanggis, on January 23 2008 was reconciled to RS Penyakit Infeksi Sulianti Saroso (RSPISS) on January 25 2008.

Jan's 28 2008 sufferers the man B the age 3.5 Th with suspek AI with produced by H5N1 the negative and H1N3 Positif were permitted to come home because it was considered recovered after being treated in roses space of RSPI-SS for 5 days.

Today, the date Jan's 29 2008 was still having 1 patient Suspek AI that was treated in space of ICU Miss RA the age 22 of Th Tangerang were still being waiting for results of the PCR inspection of the Litbangkes body.

[Commonground]

Bird flu Again claimed the Life of the Tangerang Resident

Tangerang (Antara News) - the bird flu Virus again claimed fatalities, N (32), the resident of Housing Mediterranean Desa Sukamulya, Kecamatan Cikupa, Tangerang.

Section Head Kesehatan of the Tangerang Regency, Dr. Hani Heryanto, when being contacted Antara News through the telephone selular him, on Tuesday night around struck 21,30, in Tangerang, admitted to accepting information had the resident of the Tangerang Regency died because of being infected by this deadly virus.

Heryanto did not know the story and chronological the illness that was suffered by N, but this section head said casualties died in the Persahabatan Hospital, Jakarta, on Tuesday late afternoon and results of the inspection showed positive terjangkit kind bird flu H5N1.

Heryanto explained the place of casualties was infected by this deadly virus had two possibilities, that is in Ciledug or Cikupa, Tangerang.
"Dinkes will involve the official for source investigation that became the location" of the "spreading" of the "virus, in Ciledug or Cikupa," said Heryanto.
He added N was the owner of the chicken restaurant burnt was ready saji, whereas the worker who did the process of his production of being not that terindikasi the bird flu virus.

http://www.antara.co.id/arc/2008/1/3...rga-tangerang/

[sharon sanders]

I take it this "casuality" is not in the WHO numbers or Indonesian gov totals yet?

[Niko]

Avian influenza – situation in Indonesia – update 35

29 January 2008

The Ministry of Health in Indonesia has confirmed an additional four cases of human infection with the H5N1 avian influenza virus. Two of these cases were fatal. There is no evidence of an epidemiological link between the cases.

The first case, a 31-year-old female from East Jakarta, Jakarta Province, developed symptoms on 18 January, was hospitalized on 22 January and is currently in hospital. The investigation indicated that she visited a wet market where live poultry are sold three days prior to symptom onset.

The second case, a 9-year-old male from Depok Municipality, West Java, developed symptoms on 16 January, was hospitalized on 23 January and died on 27 January. Investigations into the source of his infection indicate that the case lived next door to a wet market where live poultry are sold.

The third case, a 32-year-old male from Tangerang Municipality, Banten Province, developed symptoms on 17 January, was hospitalized on 24 January and is currently in hospital. Investigations into the source of his infection are ongoing.

The fourth case, a 23-year-old female from East Jakarta, Jakarta Province, developed symptoms on 19 January, was hospitalized on 24 January and died on 27 January. Investigations into the source of her infection are ongoing.

Of the 124 cases confirmed to date in Indonesia, 100 have been fatal.

http://www.who.int/csr/don/2008_01_29/en/index.html

[sharon sanders]

Indonesia reports 101st bird flu death




Posted: 30 January 2008 0904 hrs

	Photos 1 of 1 A worker prepares to offload crates of chickens in Jakarta

JAKARTA : A 32-year-old Indonesian man has died of bird flu, the health ministry said Wednesday, bringing the death toll to 101 in the nation worst hit by the deadly virus.

The man, who died Tuesday, was from the Jakarta satellite district of Tangerang, the ministry's bird flu information centre said in a statement.

He was the seventh confirmed death from bird flu this year.

The victim was said to have first shown symptoms similar to bird flu on January 17, but he was only taken to a village clinic on January 21 before being referred to a hospital in the district town of Tangerang on January 24.

The man was then moved to a bird flu referral hospital in Jakarta on January 26, suffering from fever, breathing difficulties, low blood cell count and pneumonia, the health ministry's bird flu centre has said.

The centre said it was not known whether the victim had contact with infected birds but that several of his neighbours were keeping pigeons.

Humans are typically infected with bird flu by coming into direct contact with infected poultry, but experts fear the H5N1 virus may mutate into a form easily transmissible between humans, sparking a deadly global pandemic.

The concern stems from past influenza pandemics. A pandemic in 1918, just after the end of World War I, killed 20 million people worldwide.

The virus is now endemic in birds across nearly all of Indonesia's 33 provinces. - AFP/ch


http://www.channelnewsasia.com/stori...325779/1/.html

[Dutchy]

Indonesian woman tested positive with bird flu


www.chinaview.cn 2008-01-30

JAKARTA, Jan. 30 (Xinhua) -- A 32-year-old woman has been tested positive of having bird flu and is now in critical condition at a Jakarta hospital, local press said Wednesday.

The woman was admitted to the Persahabatan Hospital on Jan. 26 and laboratory tests confirmed later she had the H5N1 virus, the Metro TV reported.

"She is very critical now with pneumonia and respiratory problems," Dr. Mukhtar Ikhsan with the hospital told the television.

The patient is put on ventilator to assist her breathing. She was the country's 125th confirmed bird flu case, which already killed 101 people since the disease began ravaging in 2003.

Experts have blamed widespread bird flu attacks across the huge archipelago on million of backyard chicken commonly found in rural families.

http://news.xinhuanet.com/english/20...nt_7526084.htm