Indonesia HUMAN Cases - Mar/2/2008 - Mar/21/2008

[Commonground]

RSHS Rawat Suspect Flu Burung Ke-112
08/03/2008

Isolasi Flamboyan Rumah Sakit Hasan Sadikin space (RSHS) Bandung again treated the patient suspect bird flu to 112.
The patient had the initials AS (42), the resident Kp.
Nyingkir RT 02/RW 15 villages Cigugur Glad, Kec.
Parongpong, Kab.
Bandung was Barat (KBB) this began to be treated in Flamboyan RSHS Space since Wednesday (5/3).

According to the team of the handling doctor of RSHS bird flu, AS experienced the sign resembled bird flu.
Moreover, the AS patient also admitted to having contact with the chicken that died suddenly in his residence environment.
From the report on the patient on the daily suspect Flamboyan RSHS Space bird flu, was learnt AS was reconciliation from the Ciwaruga Community Health Centre.
Like that arrived in RSHS, AS was at once observed and known positive experienced the cough, breathless, as well as body heat achieved 38 Celsius levels.
The patient's blood pressure was not better namely 106/64 mmHg, but results thorax the photograph of the team of the doctor did not find the existence bronchopneumoni.

After being treated in Flamboyan Space, the patient was immediately given by Tamiflu a day twice with the dose very much drank 75 milligram.
The AS patient has also been taken the sample apus the nose and the throat as well as serology, to afterwards be checked further in the Penelitian Dan Pengembangan Kesehatan Hall (Balitbangkes) in Jakarta.

Was based on the wife's AS information, Oom Nurhasanah (25), five days before his husband experienced the high fever, there were approximately 11 chickens in his village that died suddenly.
In the meantime, one of the team's members of the handling doctor suspect RSHS bird flu, Dr. Primal Sudjana said, till Friday (7/3), the condition for the patient began to improve.

http://www.klik-galamedia.com/200803...20080308052741

[Dutchy]

From Sulawesi

Condition suspected bird flu in Makassar improves

Metrotvnews.com, Makassar: Ririn, the child 12 years, suspect the bird flu inhabitant Makassar, South Sulawesi up to now still is treated in the Daerah Wahidin Sudirohusodo Public Hospital, Makassar, South Sulawesi.

He was picked up by the Penangulangan Flu Burung Rumah Sakit Wahidin Sudirohusodo Makassar Team, following the discovery of dozens of chickens that died suddenly in his house that was in the Association complex Doctor Indonesia, Antang, Makassar, South Sulawesi.

Currently, he was treated in the room Ii, Gedung Perawatan Interna Pakis that was the room of the special isolation suspect bird flu.

After being treated by the Ririn condition gradually improved.
In fact beforehand he could experience the sign that resembled bird flu like the high fever, the cough pilek and breathless.

The team of the doctor who examined him stated him the bird flu negative.
However to ascertain him, the official continued to send the sample of his blood to Jakarta.

In the meantime, the Service of Kesehatan South Sulawesi has confirmed the cause of the death of the chicken around casualties's house was positive resulting from the bird flu virus.

http://www.metrotvnews.com/berita.asp?id=54949

[Dutchy]

Ririn, 12 yo from Makassar, Sulawesi tested negative for bird flu

http://www.fajar.co.id/news.php?newsid=57836

[Commonground]

Post #158

Ririn, 12, the resident of the IDI Antang Complex was stated by the negative suffered bird flu.
This assurance, was received after Ririn underwent the intensive inspection in RS Wahidin Sudirohusodo, on Friday, March 7, the morning.
"Setelah received the news had the poultry died that was accompanied by the person was sick, we at once descended to the field.
In this housing, our official brought Ririn to Wahidin that beforehand it was reported suffered bird flu," clear Kadis Kesehatan Makassar, Naisyah, on Friday, March 7.
Naisyah added, the Ririn inspection was carried out in Wahidin, because this hospital had facilities for the inspection and the maintenance of the bird flu sufferer.
After underwent rapid test, Ririn was stated by the negative.
Kadis added, information that mentioned had four people who were sick untrue.
The official who descended to the field found three other people has been healthy and carried out his activity as usual.

[Dutchy]

Father and son in Solo Hospital (Java) tested negative for bird flu:


Two patients suspect the resident's bird flu Kedungampel Kulon RT 1/8, Cawas, of Klaten had finally been permitted to come home from RSUD Dr Moewardi, on Friday (7/3/2008).

The two patients were stated by the bird flu negative.

The two patients were their respective Sudarmaji (37), and his child of Ibnu Fajar Hidayat (9).

Results of the laboratory of Litbangkes Department of Health said, the two residents who beforehand were sentenced suspect bird flu evidently the bird flu negative.

More:

http://news.okezone.com/index.php/Re...-klaten-pulang

[Oracle]

Noted the comment on blood test fallability.

I would like to advance an alternative explanation

I think we have a new, virulent strain of New Castle disease emerging in particular areas of Indonesia. NDV is known to cause disease in humans, usually from direct aerosol contact (in lab, by veterinarians or handling of infected poultry).

In the cases where families clusters (parent, offspring) were treated with tamiflu, and where disease rapidly progressed to a point requiring ventilllators, survival is usually dismal. Yet here, we have within the last few weeks, several clusters where these patients survived and were discharged. In some cases, bird deaths were reported, but H5N1 in home or nearby poultry was not confirmed.

Perhaps it's time for WHO and the CDC to take a close look at the NDV strains in these Indonesian human H5N1- cases, where bird deaths were investigated, and reported to be infected with NDV, rather than HPAI.

It would be a rather interesting development.

[sharon sanders]

NDV in Humans Info -


"..Clinical Disease in Humans

Humans are among the many species that can be infected with NDV in addition to at least 241 avian species.^1,50 The most common sign of infection of humans is conjunctivitis that develops within 24 hours of NDV exposure to the eye. In the first reported case, it was also noted that the preauricular lymph node on the involved side was swollen and tender. General symptoms of headache, discomfort, and slight chills occurred within 48 hours of the initial infection, but lasted for only 24 hours. Local treatment was used to relieve symptoms of the conjunctivitis, which cleared completely within a week. Virus was reisolated from the lacrimal fluids of the infected individual, who became seropositive within 2 weeks after the exposure. ⁴⁷ Subsequently, reported infections were similar and usually resulted in self-limiting eye infections characterized by unilateral to occasionally bilateral conjunctivitis, edema of the eyelids, congestion of the conjunctiva, tearing, and pain without involvement of the cornea. Rarely, NDV infection has resulted in symptoms of fever, chills, headache, pharyngitis, depressed appetite, photophobia, and general apathy.^50,51 A history of aerosol exposure was associated with most of the individuals who developed a generalized infection.⁵²
Many of the documented cases involved infections in laboratory workers who accidentally splashed hightiter NDV-infected egg fluids into their eyes, veterinary laboratory diagnosticians who performed postmortem examinations on infected birds or handled infectious tissues, workers in poultry processing plants, and poultry vaccination crews.^1,52 The absence of many recent reports suggests that such infections may be commonplace and that when they occur, they are mild and self-limiting.¹ The use of personal protective equipment and biological safety cabinets in laboratories has undoubtedly reduced the exposure of current laboratory workers.
The virulence of NDV isolates does not appear to differ for humans in contrast to the wide difference in virulence for chickens. Experimentation with a virulent field isolate was the cause of the initial human infection, but similar signs can result from infections with low virulence NDV strains, such as B₁, which are commonly used as ND vaccines.⁵³ No evidence exists to support human-to-human transmission,^1,51 but the potential for human-to-bird transmission exists. Because of the mild, self-limited infection of humans by NDV, the risk of substantial illness and pandemics is unlikely. Multiple treatments of humans with NDV administered by inhalation⁵⁴ or IV⁵⁵ without substantial adverse effects are further evidence that the risk of severe illness is low, although low-grade fevers that subsided in 24 hours did occur after inhalation therapy in 8 of 23 vaccine-treated patients. In the inhalation studies, it was also noted that mild conjunctivitis was a consequence of accidental eye inoculation..."



http://www.avma.org/reference/zoonos...inewcastle.asp

[Treyfish]

They would be glad to tell you "it was only a Newcastle disease variant.Have to ask Dr niman what the recombination chances are and what the results might be.Then add some dengue/chik to the mix...

[Commonground]

Oracle, I'm not sure where you are referring to..when you say "here"?

Yet here, we have within the last few weeks, several clusters where these patients survived and were discharged. In some cases, bird deaths were reported, but H5N1 in home or nearby poultry was not confirmed.

[ironorehopper]

Originally Posted by Oracle

Noted the comment on blood test fallability.

I would like to advance an alternative explanation

I think we have a new, virulent strain of New Castle disease emerging in particular areas of Indonesia. NDV is known to cause disease in humans, usually from direct aerosol contact (in lab, by veterinarians or handling of infected poultry).

In the cases where families clusters (parent, offspring) were treated with tamiflu, and where disease rapidly progressed to a point requiring ventilllators, survival is usually dismal. Yet here, we have within the last few weeks, several clusters where these patients survived and were discharged. In some cases, bird deaths were reported, but H5N1 in home or nearby poultry was not confirmed.

Perhaps it's time for WHO and the CDC to take a close look at the NDV strains in these Indonesian human H5N1- cases, where bird deaths were investigated, and reported to be infected with NDV, rather than HPAI.

It would be a rather interesting development.

It may be.
-
Isolation of Avian Paramyxovirus 1 from a Patient with a Lethal Case of Pneumonia
Scott J. Goebel,1 Jill Taylor,1 Bradd C. Barr,2 Timothy E. Kiehn,3 Hugo R. Castro-Malaspina,3 Cyrus V. Hedvat,3 Kim A. Rush-Wilson,1 Cassandra D. Kelly,1 Stephen W. Davis,1 William A. Samsonoff,1 Kelley R. Hurst,1 Melissa J. Behr,1 and Paul S. Masters1*
Divisions of Infectious Disease and Molecular Medicine, Wadsworth Center, New York State Department of Health, Albany, New York 12201,1 California Animal Health and Food Safety Laboratory, School of Veterinary Medicine, University of California, Davis, California 95616,2 Departments of Clinical Laboratories, Medicine, and Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York 100213
*Corresponding author. Mailing address: David Axelrod Institute, Wadsworth Center, NYSDOH, New Scotland Avenue, P.O. Box 22002, Albany, NY 12201-2002. Phone: (518) 474-1283. Fax: (518) 473-1326. E-mail: masters@wadsworth.org
Received June 27, 2007; Accepted September 4, 2007.

Abstract
An unknown virus was isolated from a lung biopsy sample and multiple other samples from a patient who developed a lethal case of pneumonia following a peripheral blood stem cell transplant.
A random PCR-based molecular screening method was used to identify the infectious agent as avian paramyxovirus 1 (APMV-1; a group encompassing Newcastle disease virus), which is a highly contagious poultry pathogen that has only rarely been found in human infections.
Immunohistochemical analysis confirmed the presence of APMV-1 antigen in sloughed alveolar cells in lung tissue from autopsy.
Sequence from the human isolate showed that it was most closely related to virulent pigeon strains of APMV-1.
This is the most completely documented case of a systemic human infection caused by APMV-1 and is the first report of an association between this virus and a fatal disease in a human.

-
http://www.pubmedcentral.nih.gov/art...rtype=abstract
-----

[Commonground]

[Another area where we have both H5N1 in the poultry & Dengue. Also, I have approx. 16 miles between Klaten, SD (37) & FH (9) neg; and Sleman]

Totalling 611 Poultry In Sleman Died Positive AI
Rabu, 5 Maret 2008 - 00:41 wib
The field of Peternakan Regional Government Sleman said till March the first week, 611 poultries in Sleman Yogyakarta died positive was infected by the virus of Avian Influenza (AI).
According to the Head of the Peternakan Sleman Suwandi Azis Field, this number was higher compared with the month that was same in the year beforehand.
Nevertheless Azis stressed during June/in July last year did not have the poultry in Sleman that died positive AI.
Azis also stressed the poultry died most resulting from AI was in the Turi subdistrict around 162 tails, followed afterwards the Ngaglik subdistrict 133 tails.
The two subdistricts according to Azis quite high the poultry figure that died positive AI, and it was estimated because of the mutation of the quite solid poultry.
"Di Antara two subdistricts indeed his case was rather high compared to dawerah other.
I did not know persisi whether the mutation of his poultry was high or how that we explained will try to continue to monitor two subdistricts," revealed Azis, on Tuesday (4/3/2008)
-snip-
http://news.okezone.com/index.php/Re.../03/05/1/89021


Aircraft passengers could be suspected of spreading DBD
08 Maret 2008
Sleman - You liked to go on a trip by rising the aircraft?
From now on big-hearted-heart because aircraft passengers could be at this time suspected of becoming the disseminator of the virus of the illness of dengue fever dengue fever (DBD).
This assumption was raised by the Head of the Community Health Centre Depok I the doctor Omar Indroyono in his explanation in Pendapa Kecamatan Depok, recently.
That was sent by him in the Management agenda of the Penanggulangan Working Group (Pokjanal) DBD Kabupaten Sleman remembered the mobility of the person in the Adisutjipto Airport very high both the arrival and the trip from where and anywhere.
The community health centre Depok I supervised the Caturtunggal Village territory and Maguwoharjo, Kecamatan Depok.
Including also the Adisutjipto Airport region.
He did not raise the foundation of his prediction whether researched passengers who came or not yet.
-snip-

In the meantime, up to the beginning of this March has been gotten by 33 DBD cases, one among them died.

Up to the beginning of this March there was found by 21 cases and all of them were stated recovered.
http://suaramerdeka.com/smcetak/inde...ritacetak=3952

[Dutchy]

From Sulawesi, a child suspect bird flu, no details; could be the child mentioned yesterday, released from hospital, went home.

CHICKEN continued to be enjoyed in MAKASSAR

09 Maret 2008 20:17

The chicken request in the centres of the sale of the piece chicken in Makassar, Sulawsi Selatan, stayed stable.

In fact, the case of the chicken died as a result of lustre bird flu in this territory.

At this time also had a child who was treated it was suspected to be infected by bird flu.

In sale centres of the piece chicken in Street Abu Bakar Lambogo, Kota Makassar, busy the buyer.

Maryati, one of the traders claimed to be the sale of his chicken could reach 700 tails per the day.

In fact, his price has risen from Rp 25 thousand became Rp 29 thousand per the tail.

The case of bird flu spread again in Makassar, South Sulawesi, after dozens of tails of the chicken in the Complex of Ikatan Doctor Indonesia, Kelurahan Antang, Kecamatan Manggala, died suddenly.

Officially the local health confirmed these chickens were positive bird flu.

http://www.metrotvnews.com/berita.asp?id=55014

[Dutchy]

Condition of patient in Bandung Hospital improved

10/03/2008 07:08 Flu Burung

Kondisi Pasien Dugaan Flu Burung di Bandung Membaik

Liputan6.com, Bandung: Setelah menjalani perawatan selama lima hari, pasien dugaan flu burung asal Bandung, Jawa Barat, Ahad (9/3), kondisinya sudah membaik. Pasien saat ini sudah tidak menggunakan alat bantu pernapasan. Ia adalah pasien ke-112 yang diduga terjangkit virus flu burung.

Berdasarkan hasil uji sampel darah Serta cairan tubuh pada hari pertama menunjukan hasil negatif. Namun ia masih dirawat di Ruang Flamboyan Rumah Sakit Hasan Sadikin, Bandung, Jabar. Sementara pengujian untuk hari kedua dan ketiga di Balai Penelitian dan Pengembangan Kesehatan (Balitbangkes) Jakarta diperkirakan selesai satu hingga dua hari mendatang.(JUM/Patria-Taufik Hidayat)

http://www.liputan6.com/daerah/?id=156031

[ironorehopper]

Originally Posted by Dutchy

Condition of patient in Bandung Hospital improved

10/03/2008 07:08 Flu Burung

Kondisi Pasien Dugaan Flu Burung di Bandung Membaik

Liputan6.com, Bandung: Setelah menjalani perawatan selama lima hari, pasien dugaan flu burung asal Bandung, Jawa Barat, Ahad (9/3), kondisinya sudah membaik. Pasien saat ini sudah tidak menggunakan alat bantu pernapasan. Ia adalah pasien ke-112 yang diduga terjangkit virus flu burung.

Berdasarkan hasil uji sampel darah Serta cairan tubuh pada hari pertama menunjukan hasil negatif. Namun ia masih dirawat di Ruang Flamboyan Rumah Sakit Hasan Sadikin, Bandung, Jabar. Sementara pengujian untuk hari kedua dan ketiga di Balai Penelitian dan Pengembangan Kesehatan (Balitbangkes) Jakarta diperkirakan selesai satu hingga dua hari mendatang.(JUM/Patria-Taufik Hidayat)

http://www.liputan6.com/daerah/?id=156031

[TTT]
The condition for the Patient the Assumption of Bird Flu in Bandung improved
Liputan6.com, Bandung: After undergoing the maintenance for five days, the assumption patient of bird flu from Bandung, West Java, Ahad (9/3), his condition has improved.
The patient at this time already did not use respiratory aids.
He was the patient 112 that was expected terjangkit the bird flu virus.
Was based on results of the sample test of blood As Well As body fluids in the first day menunjukan results of the negative.
However he was still being treated in Flamboyan Rumah Sakit Hasan Sadikin Space, Bandung, West Java.
Now the testing during the second and third day in the Penelitian Dan Pengembangan Kesehatan Hall (Balitbangkes) Jakarta it was estimated was finished one till the next two days.
(JUM/Patria-Taufik Hidayat)

[Commonground]

New Case
Map of Sumedang, West Java: http://tinyurl.com/2e7y3s

An, 35, the resident of the Ciakar Village, Desa Cimarias, of Kecamatan Pamulihan, Kabupaten Sumedang was treated in Isolasi Cempaka RSUD Sumedang Space.
An was it was suspected attacked by the bird flu illness (avian influenza).
The trader peuyeum [?] this experienced deman high after three chickens that were maintained at the edge of his house died suddenly, was followed afterwards belasan the tail of the chicken belonging to his neighbour in Cimarias.
Entin, 29, the wife An said, his husband entered Cempaka Space since Monday (10/3) struck 13,00 WIB. One day previous, the husband who gave him one child was 10 years old the high fever after three chickens maintained him died suddenly.
Because never recovered and even increasingly serious, Entin then brought his husband to the Haurgombong Community Health Centre before finally was reconciled to RSUD Sumedang.

"That just suspect, his blood was sent to the laboratory.
But if his diagnosis the TB, so waited results previously," he said.
Section Head Kesehatan (Dinkes) Sumedang Hilman Taufik confirmed had a patient suspect bird flu from Cimarias that entered RSUD Sumedang.
"Although was just expected, but because the condition for his body weakened must be guarded against by us," mentioned him to the reporter.
On a separate occasion, Section Head Peternakan and fisheries (Disnakan) Sumedang Ade Gunatara added, An indeed had the story of contact with the chicken before the high fever.
Three kept An chickens died suddenly.
The case of the chicken died suddenly, added Ade, also could happen in the Neglasari Village that berte-ladder with Ciakar around the last one weeks.
"We got the report around 60 chickens in Neglasari died suddenly.
We direct to remove the sample of blood.
Results of the chickens were positive bird flu," he
accused
http://www.seputar-indonesia.com/edi...lu-burung.html

[AlaskaDenise]

Mayor orders chicken cull in Makassar following bird flu outbreak



Makassar, South Sulawesi (ANTARA News) - Makassar Mayor Ilham Arief Sirajuddin has ordered the culling of poultry living within a radius of one kilometer from a bird flu outbreak at the cisity`s IDI complex in Antang.

"This is to follow up on the discovery of bird flu infection in the area last week," Mayor Sirajuddin said here on Wednesday.

The culling was needed to curb the bird flu outbreak following the sudden deaths of tens of chickens in the Antang area, Makassar, last week. A Makassar resident was also believed to have been infected with the H5N1 avian influenza (AI) virus.

The patient, identified as Ririn (12 years old), is currently being treated intensively at Wahidin Sudirohusodo Regional Public Hospital, Makassar.

"We have received a patient who has symptoms of bird flu. However, we cannot yet confirm it yet because we need to examine samples of her blood first," Dr Kadir, medical director of Wahidin Hospital, said.

Two to three days were needed to get the results of laboratory tests on the patient`s blood sample, he said.

According to data of the Indonesian Health Ministry recently, AI has so far infected a total of 129 people in Indonesia of whom 105 have died. Indonesia`s AI mortality rate is the highest in the world. (*)

[Commonground]

The illness To Infect: 10 the Patient 'Suspect' Bird Flu was isolated

BANDAR LAMPUNG

The bird flu attack or avian influenza (AI) increasingly worrying.
Yesterday (12-3), ten residents of the Batu Suluh Village, Kelurahan Way Laga, of Panjang, was brought to RSU Abdul Moeloek (RSUAM) because of being expected terjangkit this illness.

Eight patients including being picked up by the team of the official of the health from his residence by the official of the Panjang Community Health Centre.
The 10 people then was treated in RSUAM isolation space.
The resident who it was suspected was attacked by AI experienced the high fever, breathless, coughs, and outside blood from the nose since the last three days.
In the meantime, had a basis in results of the official's inspection, the poultry there positive was attacked by bird flu.
Because, the official suspected them of being attacked by AI (suspect AI).
"Results" of the "inspection, the chicken livestock was belonging to the positive resident attacked by bird flu," said the Topic (29), the official of the Panjang Community Health Centre, when accompanying the patient to RSUAM, yesterday afternoon.

Initially, only two patients were reconciled to RSUAM from the Panjang Community Health Centre, that is Santibi (43) and his child, Imas Supriana (10).
After hearing this news, the official of the health descended to Way Laga, Panjang.

There, the official picked up eight residents who it was suspected were attacked by AI by the ambulance.

They were the brother's two older brothers Sutihat (8 ) and Ahmad Dani (8 months); the father and the child, Nurdin (52) and Hariyanto (11); afterwards Aminah (20), Febi (2), Karniti (42), and Lala (20).
All of them could take medicine to the community health centre -- except Karniti and Lala -- but refused to be reconciled and immediately came home.

The topic explained since March 5 2008, the resident reported their as many as 45 chicken livestock died suddenly.
Tomorrow him, the official carried out the upper fast test of three chickens there and results were known by the chicken was positive terjangkit AI.

Responded to the findings suspect this bird flu, Kesehatan Banda Lampung Section Head Dr. Reihana asked all the community health centre to intensify the checking against the resident who experienced direct contact with the chicken that died as a result of bird flu.

The first action for the resident suspect bird flu, said Reihana, was by giving Tamiflu.
"Until currently, we were still being waiting for results" of the "laboratory to confirm positive or not the resident terjangkit bird flu," said he.

In the meantime, Section Head Pertanian Peternakan and Banda Lampung Forestry, Eddy Heryanto, explained after receiving information from the village head about the existence of the chicken died suddenly, his side at once sent the official to investigate and ask the resident to gather all the poultry that was sick to be burnt and the poultry that died was buried.
However, said Eddy, many residents who did not heed the appeal.
The "obstinate resident."
Chickens that were sick not was gathered and burnt even was distributed to be eaten, said Eddy.
The village head Way Laga, Amir Hamzah, also regretted his resident's attitude that did not follow the official of the health.
"Yes like this the outcome was because of many recalcitrant residents", said Amir.
Kasubdin Pemberantasan of the Prevention of the Illness and Lingkungan Sanitation (P3PL) the Service of Kesehatan Lampung, Diah Iskraeni, had said since 2005 is up to now recorded by 61 patients suspect bird flu, whereas that was positive three people from the Tanggamus Regency.
The development of the virus H5N1 this, said he, very fast in the rain season.
"In the cold condition, this bird flu virus could remain 22 days so as very susceptible the spread" of "bird flu happened," said he, yesterday.

http://www.lampungpost.com/cetak/ber...08031301334015

[AlaskaDenise]

Upon re-reading the story, there was only one person who had "high fever, breathless, coughs, and outside blood from the nose since the last three days.", although one additional family member was initially suspected.

The other 7 famly members may have been examined after only minimal symptoms - out of an abundance of caution.

I hesitate to read too much into a machine translation. My usual good source has not picked up this story yet, but put out the following story about the same area:

03/13/08 09:35
Bird flu epidemic in East Lampung continues to spreading



Bandarlampung (ANTARA News) - A pandemic (???) bird flu is further spreading in East Lampung district, the local animal husbandry agency`s animal health division chief Dewanto said here on Wednesday.

Dewanto said the epidemic caused by the humid weather as well as public ignorance of matters relating to bird flu, has affected 21 of 346 villages in East Lampung.

However, villagers have not completely stopped selling chickens, or eradicating sick fowls by burning them and burying their carcasses, he said.

Dewanto admitted the government had difficulties in putting sick chicken in quarantine because their chickens are freeling roaming in their neighborhood.

The Animal Husbandry Agency in association with village administrators enlightened the villagers on how to deal with bird flu, Dewanto said.

As the result, few villagers stopped eating chicken for fear of being infected with bird flu.

In the meantime, the bird flu epidemic has also spread to other districts in Lampung province.

Lampung had been trying to eradicate the disease since 2004. (*)
\
http://www.antara.co.id/en/arc/2008/...-to-spreading/

[Dutchy]

In Lampung, Southern Sumatara, recently a lot of bird flu confirmed in poultry, now reports on human cases. This one from SuaraMerdeka, says 2 suspect cases, 10 in hospital:

13/03/2008 13:03 wib - Nasional Aktual

2 Pasien Suspek Flu Burung Kabur dari RS


Lampung, CyberNews. Sepuluh warga Way Laga, Panjang, Bandar Lampung, diisolasi di Rumah Sakit Umum Abdul Muluk karena diduga menderita avian influenza (AI) atau flu burung. Sepuluh orang ini dibawa dari kediaman masing-masing pada Rabu 12 Maret, sore kemarin. Mereka langsung mendapatkan standar perawatan bagi para pasien suspek flu burung.

Kesepuluh pasien ini dirawat atas rekomendasi puskesmas Panjang. Adanya dugaan flu burung, karena selain gejala yang diderita pasien mirip dengan AI, juga adanya riwayat kematian unggas yang positif teridap AI di kampung mereka.

Dari pasien suspek AI ini, lima di antaranya adalah anak-anak. Mereka adalah Sanpidi (43) dan anaknya Imas (10), kakak beradik Adi Sutihat (8) dan Dani (8 bulan), Nurdin (52) dan anaknya Hariyanto (11), Aminah (20), Fedi (2), Aniti (42), Lala (20).

Namun, dari sepuluh pasien suspek flu burung, dua di antaranya Aniti dan Lala menolak dirawat di rumah sakit. Sementara dua lainnya, Sanpidi dan Imas pada Rabu malam kabur dari rumah sakit, sekitar pukul 21.30 WIB.

Menurut petugas RSU Abdul Muluk, Kamis (13/2/2008), semalam sudah tidak menemukan bapak dan anak ini di ruang isolasi bagi para penderita atau suspek flu burung.

http://www.suaramerdeka.com/beta1/in...s&id_news=2094

[Dutchy]

More on the patient in hospital in Sumedang, West Java:

13/03/2008 06:43 Flu Burung

Warga Sumedang Diduga Terjangkit Flu Burung

Liputan6.com, Sumedang: Rumah Sakit Umum Daerah Sumedang, Jawa Barat, Rabu (12/3), menerima seorang pasien asal Desa Cimarias, Pamulihan, Sumedang. Pria tersebut kini dirawat di ruang isolasi karena diduga terjangkit virus avian influenza.

Pasien itu mengalami demam tinggi dan sesak nafas. Sebelum sakit pasien sempat kontak dengan unggas yang mati di rumahnya. Selain itu beberapa unggas di sekitar rumah pasien pun diketahui mati mendadak.

Pasien dugaan flu burung itu merupakan yang pertama yang masuk ke RSUD Sumedang pada tahun 2008. Jika pasien itu didiagnosis positif flu burung akan dirujuk ke RS Hasan Sadikin, Bandung.(IAN/Wendy Surya)

http://www.liputan6.com/news/?id=156223&c_id=7

[Dutchy]

More from Antara: 8 patients treated in intensive care in Bandarlampung:

13/03/08 15:04

Delapan Suspect Flu Burung Dirawat Intensif di RSU Abdul Muluk


Bandarlampung (ANTARA News) - Sebanyak delapan pasien suspect flu burung yang berasal dari Desa Way Laga, Kecamatan Panjang, Bandarlampung, hingga kini masih dirawat di ruang isolasi Rumah Sakit Umum Abdul Moeloek (RSUAM) Bandarlampung.

"Pasien suspect flu burung itu masih berada di ruang isolasi dan telah menjalani tes laboratorium. Hasilnya masih menunggu beberapa hari lagi," kata Direktur RSUAM Bandarlampung, dr Wirman, di Bandarlampung, Kamis.

Ia menyebutkan pasien suspect flu burung itu berasal dari daerah yang sama, yakni Dusun Way Suluh Atas, Way Laga, Panjang Bandarlampung.

Mereka menjalani perawatan intensif di RSUAM sejak Rabu (12/3) lalu.

Kedelapan pasien suspect flu burung itu terdiri dari empat orang dewasa dan empat anak-anak, dan mereka kini ditempatkan di ruang isolasi RSUAM.

Kedelapan pasien suspect flu burung itu adalah Nurdin (52), Tihat (8), Akhmad Danil ( 8 bulan), Ariyanto (11), Aminah (20), Fitri (2), Syamsidi (43) dan Imas (10).

Mereka ditetapkan sebagai suspect flu burung karena sejak beberapa hari lalu, sejumlah unggas di tempat tinggal para pasien itu mati mendadak. Setelah dilakukan pemeriksaan, unggas-unggas itu positif tertular flu burung.

Berdasarkan keterangan warga Desa Way Suluh, para penderita suspect flu burung itu sempat pula mengkonsumsi unggas yang sakit. Setelah itu, mereka menderita gejala- gejala yang mirip dengan flu burung.

Menurut dr Wirman, dua dari delapan penderita suspect flu burung itu mendapatkan perhatian yang lebih khusus, karena suhu tubuhnya tetap tinggi dan menderita radang tenggorokan.

RSUAM selama ini sudah merawat sedikitnya 62 penderita suspect flu burung, namun hanya tiga orang di antaranya yang positif terjangkit, dan berhasil disembuhkan. (*)

http://www.antara.co.id/arc/2008/3/1...u-abdul-muluk/

[sharon sanders]

8 hospitalized in Indonesia for suspected bird flu

www.chinaview.cn 2008-03-13 16:49:18

Print

JAKARTA, March 13 (Xinhua) -- Eight people from the same village in Indonesia's Lampung province were admitted to hospital allegedly for developing bird flu symptoms, local press said Thursday.
The patients, including two babies and two teenagers, all come from Way Laga village where dozens of chickens have died of the avian influenza.
They were sent to the state-run Abdul Moeloek Hospital in provincial capital Bandarlampung with high fever and respiratory problems after eating the infected chickens, reported the national Antara news agency.
Lampung is located in the southern tip of Sumatra island.
"The patients are placed in the isolated rooms and have undergone laboratory tests. But it takes several days before we get the results," the hospital's director Dr Wirman was quoted as saying.
At least 102 people have died from bird flu out of some 125 reported cases in Indonesia since the outbreak was confirmed in 2003.
Jakarta has been the hardest hit city in the country, with 25 deaths resulting from the 29 cases reported.


http://news.xinhuanet.com/english/20...nt_7782760.htm

[ironorehopper]

Originally Posted by Dutchy

More from Antara: 8 patients treated in intensive care in Bandarlampung:

13/03/08 15:04

Delapan Suspect Flu Burung Dirawat Intensif di RSU Abdul Muluk


Bandarlampung (ANTARA News) - Sebanyak delapan pasien suspect flu burung yang berasal dari Desa Way Laga, Kecamatan Panjang, Bandarlampung, hingga kini masih dirawat di ruang isolasi Rumah Sakit Umum Abdul Moeloek (RSUAM) Bandarlampung.

"Pasien suspect flu burung itu masih berada di ruang isolasi dan telah menjalani tes laboratorium. Hasilnya masih menunggu beberapa hari lagi," kata Direktur RSUAM Bandarlampung, dr Wirman, di Bandarlampung, Kamis.

Ia menyebutkan pasien suspect flu burung itu berasal dari daerah yang sama, yakni Dusun Way Suluh Atas, Way Laga, Panjang Bandarlampung.

Mereka menjalani perawatan intensif di RSUAM sejak Rabu (12/3) lalu.

Kedelapan pasien suspect flu burung itu terdiri dari empat orang dewasa dan empat anak-anak, dan mereka kini ditempatkan di ruang isolasi RSUAM.

Kedelapan pasien suspect flu burung itu adalah Nurdin (52), Tihat (8), Akhmad Danil ( 8 bulan), Ariyanto (11), Aminah (20), Fitri (2), Syamsidi (43) dan Imas (10).

Mereka ditetapkan sebagai suspect flu burung karena sejak beberapa hari lalu, sejumlah unggas di tempat tinggal para pasien itu mati mendadak. Setelah dilakukan pemeriksaan, unggas-unggas itu positif tertular flu burung.

Berdasarkan keterangan warga Desa Way Suluh, para penderita suspect flu burung itu sempat pula mengkonsumsi unggas yang sakit. Setelah itu, mereka menderita gejala- gejala yang mirip dengan flu burung.

Menurut dr Wirman, dua dari delapan penderita suspect flu burung itu mendapatkan perhatian yang lebih khusus, karena suhu tubuhnya tetap tinggi dan menderita radang tenggorokan.

RSUAM selama ini sudah merawat sedikitnya 62 penderita suspect flu burung, namun hanya tiga orang di antaranya yang positif terjangkit, dan berhasil disembuhkan. (*)

http://www.antara.co.id/arc/2008/3/1...u-abdul-muluk/

-
[TTT]
Eight Suspect Flu Burung Dirawat Intensif in RSU Abdul Muluk

Banda Lampung (Antara News) - totalling eight patients suspect bird flu that came from the Way Laga Village, Kecamatan Panjang, Banda Lampung, up to now still is treated in space of the Public Hospital isolation of Abdul Moeloek (RSUAM) Banda Lampung.
The "patient suspect the bird flu still was in isolation space and underwent the laboratory test."
Results were still being in a few days waiting, said RSUAM Banda Lampung Director, Dr Wirman, in Banda Lampung, on Thursday.
He named the patient suspect the bird flu came from the same area, namely the Way Suluh Atas Village, Way Laga, Panjang Banda Lampung.
They underwent the intensive maintenance in RSUAM since last Wednesday (12/3).
The eight patients suspect the bird flu consisted of four adults and four children, and they are currently placed in RSUAM isolation space.
The eight patients suspect the bird flu was Nurdin (52), Tihat (8), Akhmad Danil (8 months), Ariyanto (11), Aminah (20), Fitri (2), Syamsidi (43) and Imas (10).
They were appointed as suspect bird flu because since several days ago, several poultries in the residence of the patients died suddenly.
After being carried out by the inspection, the poultries were positive tertular bird flu.
Was based on villagers's information Way Suluh, the sufferers suspect the bird flu could also consume the poultry that was sick.
After that, they suffered the sign- the sign that resembled bird flu.
According to Dr Wirman, two from eight sufferers suspect the bird flu got more special attention, because the temperature of his body stayed high and suffered laryngitis.
RSUAM has uptil now treated at least 62 sufferers suspect bird flu, but only three people among them that was positive terjangkit, and succeeded in being cured.
()

[Dutchy]

More on the Bandar Lampung cases, from Okezone:

2 Pasien Suspek Flu Burung Kabur dari RS

Kamis, 13 Maret 2008 -

JAKARTA - Sepuluh warga Way Laga, Panjang, Bandar Lampung, diisolasi di Rumah Sakit Umum Abdul Muluk karena diduga menderita avian influenza (AI) atau flu burung. Sepuluh orang ini dibawa dari kediaman masing-masing pada Rabu 12 Maret, sore kemarin. Mereka langsung mendapatkan standar perawatan bagi para pasien suspek flu burung.

Kesepuluh pasien ini dirawat atas rekomendasi puskesmas Panjang. Adanya dugaan flu burung, karena selain gejala yang diderita pasien mirip dengan AI, juga adanya riwayat kematian unggas yang positif teridap AI di kampung mereka.

Dari pasien suspek AI ini, lima di antaranya adalah anak-anak. Mereka adalah Sanpidi (43) dan anaknya Imas (10), kakak beradik Adi Sutihat (8) dan Dani (8 bulan), Nurdin (52) dan anaknya Hariyanto (11), Aminah (20), Fedi (2), Aniti (42), Lala (20).

Namun, dari sepuluh pasien suspek flu burung, dua di antaranya Aniti dan Lala menolak dirawat di rumah sakit. Sementara dua lainnya, Sanpidi dan Imas pada Rabu malam kabur dari rumah sakit, sekitar pukul 21.30 WIB.

Menurut petugas RSU Abdul Muluk, Kamis (13/2/2008), semalam sudah tidak menemukan bapak dan anak ini di ruang isolasi bagi para penderita atau suspek flu burung.

http://news.okezone.com/index.php/Re...-kabur-dari-rs

[Commonground]

6 Residents Long Evacuated Necessity

Eight residents of the Batusuluh Atas Village, Waylaga, of Panjang, yesterday were treated in RSUD Dr. Hi. Abdul Moeloek (RSUDAM).
They were expected by bird flu (avian influenza/AI) and was treated in observation space of the serious installation the emergency (IGD) RS belonging to this Provincial Government.
Six people were carried had because of refusing to be treated.
They were Nurdin (52), Tihat (8 ), Ahmad Dhani (8 months), Ariyanto (11), Aminah (20), and Fitri (2).
Two other, Samsidi (43) and his child, Imas (10), was the reconciliation patient from the Waylaga Community Health Centre, Panjang.
Petuga surveilans AI Puskesmas Waylaga Taufik Yulianto explained, himself received the report on eight residents it was suspected AI from the local village head, Amir Hamzah.
From results of the inspection, the sign that was complained about by eight people resembled the sign of bird flu.
The high fever was accompanied by the cough, was sick the throat, until going out fresh blood from the nose.

"By way of first help, I could give tamiflu, medicine to oppose AI, to them, "flat Taufik.
His two direct people brought to the community health centre, now six other refused.
"Resident that refused to be justified did not have money and frightened busy," clear Taufik.
In fact, he explained the AI danger that could cause the death.
"Problem of the cost has also been explained by me, free," he said.
Therefore, Taufik contacted local village apparatus that afterwards continued the report to the Peternakan Service, Pertanian, and Forestry (Disnaktanhut) the Banda Lampung City.

To Disnaktanhut Edy Heriyanto was accompanied by his four staffs immediately descended the field.
They brought had six people.
"This the danger if being left alone.
Everything has had AI proof infected the resident's local poultry," firm Edy.
Edy coordinated Officially Kesehatan (Diskes) Banda Lampung provided the ambulance to carry six residents.
"We continue to the evacuation although they refused," said Edy.
The poultry in this settlement many that died since last Thursday (28/2).
Disnaktanhut could descend to check the poultry last Saturday (8/3).
"As many as 45 positive poultries terjangkit the virus H5N1, the AI cause," more Taufik.
At that time, Edy appealed to the resident to destroy the positive poultry of AI. A call to action same for the poultry that eventually will be sick.
"But, the obstinate resident and eat poultry meat that was sick," he explained.
Edy information was justified by several residents, including Samsidi, that was expected by AI. Said Samsidi, he and his child, Imas, felt the AI sign since the last two days.
"After we eat poultry meat that his condition was sick during slaughtered. I thought as a result not like this," his regret.

The case in Lampung East

Hundreds of poultries in the Sumberhadi Village, Melinting, Lampung Timur, for the last month many that died suddenly.
Up until yesterday the resident did not yet report this incident to local apparatus.
Sumarsono, the resident of the V RT Village 18 Sumberhadi villages, yesterday explained, initially the case of the chicken that died suddenly happened in the Village of I. Lama-kelamaan hindered as far as the V. "Tadi Malam Village (yesterday) my two roosters died suddenly," he explained.
He admitted the resident did not yet report this incident to local apparatus.
Jumio, the other resident, added, for the last 10 days his chicken that died suddenly numbering 13 tails.
"that not yet including the chick that still was very small," obviously the close man was called by Mbah Jumio this.
The same matter was experienced by Suyanto, the man who remained contiguous the house with Jumio last Tuesday (11/3).
His three chickens died suddenly.
"On the condition that was very small, already was not counted again," he added.
To prevent the illness infecting his chicken that was other, he quarantine some healthy poultries.
http://radarlampung.co.id/web/index....1878&Itemid=26

[ironorehopper]

Originally Posted by Dutchy

More on the Bandar Lampung cases, from Okezone:

2 Pasien Suspek Flu Burung Kabur dari RS

Kamis, 13 Maret 2008 -

JAKARTA - Sepuluh warga Way Laga, Panjang, Bandar Lampung, diisolasi di Rumah Sakit Umum Abdul Muluk karena diduga menderita avian influenza (AI) atau flu burung. Sepuluh orang ini dibawa dari kediaman masing-masing pada Rabu 12 Maret, sore kemarin. Mereka langsung mendapatkan standar perawatan bagi para pasien suspek flu burung.

Kesepuluh pasien ini dirawat atas rekomendasi puskesmas Panjang. Adanya dugaan flu burung, karena selain gejala yang diderita pasien mirip dengan AI, juga adanya riwayat kematian unggas yang positif teridap AI di kampung mereka.

Dari pasien suspek AI ini, lima di antaranya adalah anak-anak. Mereka adalah Sanpidi (43) dan anaknya Imas (10), kakak beradik Adi Sutihat (8) dan Dani (8 bulan), Nurdin (52) dan anaknya Hariyanto (11), Aminah (20), Fedi (2), Aniti (42), Lala (20).

Namun, dari sepuluh pasien suspek flu burung, dua di antaranya Aniti dan Lala menolak dirawat di rumah sakit. Sementara dua lainnya, Sanpidi dan Imas pada Rabu malam kabur dari rumah sakit, sekitar pukul 21.30 WIB.

Menurut petugas RSU Abdul Muluk, Kamis (13/2/2008), semalam sudah tidak menemukan bapak dan anak ini di ruang isolasi bagi para penderita atau suspek flu burung.

http://news.okezone.com/index.php/Re...-kabur-dari-rs

-
[TTT]
2 patients Suspek Flu Burung Kabur from RS

Edit: Kabur = run away

On Thursday, March 13 2008 -

Jakarta - ten residents Way Laga, Panjang, of Banda Lampung, was isolated in the Public Hospital of Abdul Muluk because of being expected suffered avian influenza (AI) or bird flu.
Ten people were carried from their respective residence on Wednesday March 12, in the afternoon yesterday.
They at once got the standard of the maintenance for the patients suspek bird flu.
The ten patients were treated on the Long community health centre recommendation.
The existence of the assumption of bird flu, because apart from the sign that was suffered by the patient resembled AI, also the existence of the story of the death of the positive poultry was contracted by AI in their village.
From the patient suspek AI this, five including being children.

They were
*Sanpidi (43) and
-- his child of Imas (10),
-- the older brother was siblings Adi Sutihat (8) and
-- Dani (8 months),

* Nurdin (52) and
-- his child of Hariyanto (11),
-- Aminah (20),
-- Fedi (2),
- Aniti (42),
- Lala (20).

However, from ten patients suspek bird flu, two among them Aniti and Lala refused to be treated in the hospital.
Now two other, Sanpidi and Imas on Wednesday night bolted from the hospital, around struck 21,30 WIB.
According to the official RSU Abdul Muluk, on Thursday (13/2/2008), overnight already did not find the father and this child in isolation space for the sufferers or suspek bird flu.

-

[Commonground]

However, from ten patients suspek bird flu, two among them Aniti and Lala refused to be treated in the hospital.
Now two other, Sanpidi and Imas on Wednesday night bolted from the hospital, around struck 21,30 WIB.
According to the official RSU Abdul Muluk, on Thursday (13/2/2008), overnight already did not find the father and this child in isolation space for the sufferers or suspek bird flu.

What I have gathered:

10 suspects
Sanpidi (43)
Imas - child (10)
Have bolted from hospital. They were the two that were reconciled from Waylaga Comm. Ctr, Panjang.

Nurdin (52)
Ariyanto (11) - child

Tihat (8 ) - younger brother of Imas (10)
Ahmad Dhani (8 mos) - younger brother of Imas

Aminah (20)
Fitri (2)

Aniti (42) - Refused to be treated
Lala (20) - Refused to be treated[/quote]

[HenryN]

Commentary

http://www.recombinomics.com/News/03...ung_Large.html

[Commonground]

Lampung

Two from 10 patients with the assumption were attacked by the bird flu virus (AI) that was treated in RSUD Abdul Moeloek could escape from the Gawat Darurat Installation on Wednesday afternoon (12/3).
The two patients who could escape this was named Imas Supriyana (10) and Santibi (52).
M. Asik, Chairman RT 22 environments Ii Kampung Batu Suluh Atas, Kelurahan Way Laga, Kecamatan Panjang, Banda Lampung that was found in his house, on Thursday (13/3) said, the two patients who it was suspected were attacked by this bird flu virus could come home on Wednesday afternoon (12/3).
Both of them came home on the basis of not having money to pay the maintenance.
Moreover, when being brought to the hospital on Wednesday early afternoon (12/3) the hospital side will never give the maintenance to them.
Because old immediately was not treated and did not have money both of them decided to come home, said greated.

However, said greats, now both of them already in the hospital and received the intensive maintenance of the standard of the suspect's patient in bird flu.
Officially Peternakan Banda Lampung and the official of the Way Laga Community Health Centre picked up the two patients with the assumption was attacked by bird flu on Thursday morning (13/3).
Both of them were prepared to return to the hospital after receiving the explanation, all the patient with the assumption or positive was attacked by bird flu was borne by the regional government.

http://www.kompas.com/read.php?cnt=....1&mn=20&idx=97

[Commonground]

[Update on An (32/35) from West Java]

The Aning condition (32), villagers Cimarias, Kecamatan Pamulihan, of Kabupaten Sumedang, West Java, that was treated in Cempaka RSUD Sumedang Space since Monday (10/3) because of being expected infected the bird flu virus, began to improve.
Expected, the hot sign high and breathless that was suffered before being treated was the sign from Tuberkolosis, not bird flu.
Nevertheless, explained public relations of RSUD Sumedang Agus Suyaman, the side he continued to be on the alert and continue to send the sample of Aning blood.
-snip-
http://www.kompas.com/read.php?cnt=....=1&mn=2&idx=97