Indonesia Human Cases - April 9, 2008 - 20th June 2008

[sharon sanders]

Originally Posted by rymich13

I know I can not understand it hardly at all. They should make those traslaters have an "american" english function.

After you read the posts for awhile and follow the threads, you will become accustomed to the style and manner of the language.

[Dutchy]

Update from Bandung Hospital on the little girl RN. She seems to be in better condition. Still on the ventilator.

BANDUNG - The condition of RN, the child was 2 years and 7 months old still was treated intensive till Monday (16-6) the morning.

The father of the female patient, Supendi, said that the condition for his daughter has improved.

However was based on observation of the reporter www.tribunjabar.co.id through the screen of CCTV Ruang Isolasi Flamboyan RSHS, RN appeared to fall asleep weak and still complete was installed equipment including respiratory aids or the ventilator.

The condition for my child improved. Pray for like that, said Supendi, was met in the Flamboyan Waiting Room, on Monday morning.

The RN it was suspected suffered bird flu after experiencing the high fever was accompanied by the sign suspect other like the cough and pilek (cold, runny nose, ed).

This sign emerged several days after his five neighbouring chickens died suddenly with the characteristics of the characteristics of the chicken was attacked by bird flu.

Direct contact with the poultry died was not available.

But my child often played close to the poultry pen belonging to the neighbour that melihara the chicken, the duck and the goose, said Supendi.

http://www.tribunjabar.co.id/artikel...838&kategori=7

[Dutchy]

Summary of current news:

On June 3 a 34 yo woman - LS - died from bird flu; she was from Bitung, near Tangerang. An AP reporter has confirmation from several inside sources. No official confirmation yet. No local reports on LS at all. This is not uncommon in case of patients from Tangerang / Jakarta region.

In Padang Hospital, Sumatra, a 1 yo girl - HAP - is suspected to have bird flu. She seems to improve, no word on testresults yet.

In Bandung Hospital, West Java, a 3 yo girl - RN - in critical condition.

Indonesia has recently announced to stop confirming individual cases, they will report summaries. Some reports say every 6 months, another report says every month.

In an interview Health Minister Supari confirmed the death by bird flu of a 15 yo girl - I - , lot of local reports, not reported in a press release by Dep of Health.

Another bird flu fatality - 54 yo TS - supposed to be locally confirmed via PCR-test, several local reports, no further news.

[Shiloh]

Source: http://www.pikiran-rakyat.com/index....etail&id=18096
Translation:
The baby RN Kondisnya Increasingly Buruk
on Monday, June 16 2008, 15:48:00

Bandung, (PRLM).
- the RN Baby (3 thn) was expected by bird flu from Subang that was treated in space of Flmboyan RSHS Bandung, on Monday his (16/6) conditions were increasingly bad.
To help his breathing currently to be helped the ventilator implement.
Because of having the story of contact with the RN poultry currently was treated in space of the bird flu isolation.
The team of the doctor also considered, the RN had the other gift illness.
His characteristics resembled dengue fever.
"We will carry out the dengue fever test and flu of burung,"kata Chairman the Team" of the "Control" of "Bird Flu of RSHS Bandung, Dr. Hadi Yusuf, (on Monday 16/6)."
(A-158/ A-120)

[Commonground]

Post #304:
Tim dokter juga menilai, RN ada penyakit bawaan lainnya.
word translation:
....RN to exist illness character the others. Characteristics resembling dengue fever.

[Laidback Al]

Recent suspected cases in Indonesia starting with the last WHO confirmed case, Muhammad Saiful Hidayat (MSH), who died on April 23, 2008. The news black out on H5N1 deaths in Indonesia seems to have been announced just about the time of the potential human cluster of three siblings from Gandaria Utara District.

Case Listing
Monday, June 16, 2008
__________________________________________________ ________________________________________
caseid: 746
Country: Indonesia
City and Region: Dusun Bero RT 02 RW 01, Desa Bero, Kecamatan Manyaran, Kabupaten Wonogiri,
Central Java
Name: Muhammad Saiful Hidayat (MSH)
Sex: M
Age: 3
Symptom onset: 4/17/2008
Hospital Admission: 4/21/2008
Death: 4/23/2008
Outcome: D
WHO confirmed: Yes
Relation:
Cluster
Sequence:
Hyperlink
4/27/2008
http://www.flutrackers.com/forum/sho...6&postcount=69
4/30/2008
http://www.who.int/csr/don/2008_04_30/en/index.html
4/30/2008
http://www.flutrackers.com/forum/sho...5&postcount=69

__________________________________________________ ________________________________________
caseid: 748
Country: Indonesia
City and Region: Street Dwijaya 4 RT 12 RW 1 of Gandaria Utara District, Kebayoran Baru
subdistrict, Southern Jakarta
Name: Ahmad Rizki
Sex: M
Age: 15
Symptom onset:
Hospital Admission:
Death: 5/4/2008
Outcome: D
WHO confirmed: No
Relation: brother of 749
Cluster 265
Sequence:
Hyperlink
5/14/2008
http://www.flutrackers.com/forum/sho...&postcount=126
5/14/2008
http://www.flutrackers.com/forum/sho...&postcount=117

__________________________________________________ ________________________________________
caseid: 749
Country: Indonesia
City and Region: Street Dwijaya 4 RT 12 RW 1 of Gandaria Utara, Kebayoran Baru, Southern
Jakarta
Name: Siti Istiqomah
Sex: F
Age: 16
Symptom onset:
Hospital Admission: 5/8/2008
Death: 5/14/2008
Outcome: D
WHO confirmed: No
Relation: Sister of 748
Cluster 265
Sequence:
Hyperlink
5/14/1008
http://www.flutrackers.com/forum/sho...&postcount=117
5/22/2008
http://www.flutrackers.com/forum/sho...7&postcount=70

__________________________________________________ ________________________________________
caseid: 747
Country: Indonesia
City and Region: Babakan Asem Village, Desa Ranjeng, Kecamatan Cisitu, Kabupaten Sumedang
Name: Tini Suhartini
Sex: F
Age: 54
Symptom onset:
Hospital Admission: 5/8/2008
Death: 5/9/2008
Outcome: D
WHO confirmed: No
Relation:
Cluster
Sequence:
Hyperlink
5/10/2008
http://www.flutrackers.com/forum/sho...5&postcount=99
5/18/2008
http://www.flutrackers.com/forum/sho...&postcount=166

__________________________________________________ ________________________________________
caseid: 750
Country: Indonesia
City and Region: Street Dwijaya 4 RT 12 RW 1 of Gandaria Utara, Kebayoran Baru, Southern
Jakarta
Name: Alamsyah
Sex:
Age:
Symptom onset:
Hospital Admission: 5/13/2008
Death:
Outcome:
WHO confirmed: No
Relation: sibling of 748 and 749
Cluster 265
Sequence:

__________________________________________________ ________________________________________
caseid: 753
Country: Indonesia
City and Region: Bitung, West Java
Name: Susi Lisnawati
Sex:
Age:
Symptom onset: 5/29/2008
Hospital Admission: 6/2/2008
Death: 6/3/2008
Outcome:
WHO confirmed: No
Relation:
Cluster
Sequence:
Hyperlink
6/13/2008
http://www.flutrackers.com/forum/sho...&postcount=271
6/14/2008
http://www.flutrackers.com/forum/sho...&postcount=280

__________________________________________________ ________________________________________
caseid: 752
Country: Indonesia
City and Region: Kampung Penang, Kelurahan Bungus Timur, Kecamatan Bungus Telukkabung,
Kota Padang
Name: Hendra Andika (HAP)
Sex:
Age: 1.3
Symptom onset:
Hospital Admission: 6/6/2008
Death:
Outcome:
WHO confirmed: No
Relation:
Cluster
Sequence:
Hyperlink
6/9/2008
http://www.flutrackers.com/forum/sho...&postcount=259

__________________________________________________ ________________________________________
caseid: 754
Country: Indonesia
City and Region: Kampung Baru RT 01 RW 13 Desa Mulyasari, Kecamatan Pamanukan, Kabupaten
Subang
Name: Risa Nur Latifah (RN)
Sex: F
Age: 3
Symptom onset:
Hospital Admission: 6/14/2008
Death:
Outcome:
WHO confirmed: No
Relation:
Cluster
Sequence:
Hyperlink
6/15/2008
http://www.flutrackers.com/forum/sho...&postcount=289

[Commonground]

Excellent. Thanks Al.

[Dutchy]

The girl is ready to go home, she has to wait till the testresults come back.


The patient "HAP" doesn't need artificial aids anymore

After a week got the maintenance in the room of the isolation of RSUP M. Djamil Padang, the patient suspect bird flu had the initials HAP (15 months) experienced the pleasing development.

At this time all the medical implements that wound around the pre-school body from Bungus have begun to be released, even so with the temperature of his body gradually got normal.

Till at this time the medical team of RSUP M.Djamil Padang was still being waiting for results of the sample test of blood that was sent to Balitbang Department of Health some time before.

Praise the Lord the condition for the patient continued to experience the development.

The patient no longer uses oxygen because breathless that was experienced by him gradually recovered.

Even so with sounde that could be used for several days at this time also was pulled out, the patient could swallow personally his food, said the Head of the Pelayanan Medik Field RSUP M. Djamil Padang, Irayanti to Padang Ekspres in his office, yesterday.

Moreover the infusion as the place memasukan medicine for the patient, also no longer is used so as Putra the Epi Bachelor from Bungus this began to be moving free.

Till at this time HAP was still continuing to get the maintenance in the room of the Irna C Penyakit Dalam isolation.

Despite generally began to improve, but the condition for the patient's body did not yet recover the total.

Moreover till at this time results of the sample of blood that was sent to Balitbang Department of Health last week, still not in received the medical team.

Be based on protap the handling of the patient suspect bird flu, a patient was just permitted to come home if results of the PCR test were stated by the negative.

Irayanti mngatakan till at this time his side still could not confirm when results of this PCR test went out.

Was based on the experience beforehand, if results of this PCR test are positive, usually in the near future the Balitbang side immediately informed as quickly as possible, in fact through the telephone.

Whereas if results of the negative, usually indeed rather old his inspection, the possibility of confirming these results were negative.

However Irayanti not dared to predicted whether HAP the negative contracted bird flu, because this matter must be based on the PCR test.

We just wait results of Balitbang, I not dared to predicted, but definitely we hoped results of the negative, he explained.

http://www.padangekspres.co.id/content/view/9423/105/

[Dutchy]

Toggetext is out here, a report from June 16 on the child RN in Bandung Hospital

http://bandung.detik.com/index.php/d...61/idkanal/486

Report says the child is starting to improve, is still on the ventilator; father and mother cannot go to her in the isolation room, they can look at their child on a screen.

The parents was told the treatment in hospital is free for their child.

Doctors did not give any comment.

[Dutchy]

This year in Riau: 32 suspects, NO positives.

After several human infections last year, including suspected cluster(s), the Health Service changed the procedures, checking more patients sooner and at local Health Centres, which means more suspects, than before.

From other sources we learned that suspect patients are treated with Tamiflu at the local Health Centre. If their condition does not improve, they are reconciled to a bird flu hospital. In this way doctors can start proper treatment faster. And in this way you do not have many positives.

Comment of the Head of the Health Service: the number of suspects from all over Riau is indicating that bird flu is widespread in poultry in Riau.



For 2008, 32 cases Suspect Bird Flu in Riau

During January till this May 2008, Dinas Kesehatan of the Riau Province recorded found as many as 32 patients that suffered suspect bird flu.

Thes patients were spread in 11 regencies/the available cities in Riau.

That was revealed by the Sub Head of the Pelayanan Health Service of the Community and the Service of Health and Food of the Riau Province, Burhanuddin Agung to this Newspaper, on Monday (16/6).

"The 32 cases were found in the hospital that was spread in the regency/the city."

After through the process of the inspection of not having even one patients who was stated positive bird flu, said Burhanuddin.

He explained, the number of cases suspec that was found by the health service because of a different procedure of handling bird flu than in from years beforehand.

In the year beforehand, each patient that suspect must be reconciled to the Daerah Public Hospital (RSUD) Arifin Ahmad so as not all of them had data collected on it.

This year, apart from must be reconciled to RSUD Arifin Ahmad, the official was also required to carry out observation in the community health centre or the available hospital in the regency/the city where the patient suspect was found.

If being found by signs of bird flu then just was given by reconciliation to to RSUD. Still the number of cases that was found, according to Burhannuddin indicated the problem of positive bird flu to the poultry still many in the middle of the community.

"So was asked by the community to be on the alert to prevent the occurrence" of the "spread to humankind."

To do not there are those that died, appealed Burhan.

Nevertheless, Diskes has made an effort to carry out the handling that was exact and fast in the hospital against the patient who had the clinical sign resembled bird flu.

The handling of the fast and exact patient could lower the risk of the death.

Monday 16/06/08

http://www.tribunpekanbaru.com/Berit...3&&tipeb=utama

credits Influentia2 for the link

[HenryN]

Commentary

http://www.recombinomics.com/News/06...formation.html

[Dutchy]

More from Riau


Residents from Diminta Pro Aktif to Prevent Bird Flu

June 17 2008

BAGANSIAPI- API Camat Sinaboi, Abdul Manan SH warned to the community to for active responded to the case of bird flu.

When being found by the resident who was sick near the house as a result of the poultry died suddenly as soon as possible was brought to the Sinaboi Community Health Centre to take medicine.

There were approximately 100 poultry belonging to the community that was in RT 04, Kepenghuluan Sungaibakau, Kecamatan Sinaboi was found died suddenly.

Followed up this information, we from the Sinaboi Subdistrict personally carried out the co-ordination Officially Peternakan Kabupaten Rohil.

And now, the member from the Peternakan Service has been in the location to follow up the case of the livestock that died suddenly that, said the Sub-district Head Sinaboi, Abdul Manan SH to Riau Pos, on Monday (16 6) in Bagansiapi -api.

From results of the research quickly, added Manan, the poultry that died suddenly this was caused by the bird flu virus.

Several steps in the handling and his control were immediately carried out in Kepenghuluan Sungaibakau as far as the radius reached one kilometre from the location of the incident.

The step in the handling and his control that is carrying out the extermination.

The poultry that died suddenly, had been burnt and stockpiled in the hole.
The condition like this also happened to the poultry livestock that was destroyed by the official, said Manan.

TT out again, more here:

http://www.rokanhilir.go.id/berita.p...engkap&id=3737

[Dutchy]

Toggletext does not work for me.


My take of this report on the 3 yo girl RN in Bandung Hospital: doctor says it is too soon to call a positive or a negative. First result is back, however we need 3 testresults.

Local tests need to be confirmed by testsresults from National Lab of Dep of Health.


Pasien Flu Burung Belum Lewati Masa Kritis

Selasa, 17 Juni 2008 |

TEMPO Interaktif, Bandung:Kondisi pasien yang diduga flu burung, Risa Nur Latiah (3), belum melewati masa kritis. Risa kini di awat di ruangan khusus flu burung di Rumah Sakit Umum Pemerintah Hasan Sadikin Bandung.

Direktur RSUP Hasan Sadikin Bandung Dr. Cissy B Kartasasmita mengatakan pihaknya belum bisa menyampaikan hasil laboratorium Risa."Sekarang penelitian laboratorium dari Balitbangkes tidak bisa satu kali, tapi harus tiga kali untuk memastikan apakah terkena H5N1 atau tidak," katanya. Pengambilan sample dilakukan setiap tiga hari sekali.

RSUP Hasana Sadikin sebenarnya bisa meneliti hasil sel darah pasien dan sudah bisa mengetahui hasilnya. Namun untuk memutuskan positif atau tidaknya masih perlu di cek kembali dengan hasil dari Balitbangkes Departemen Kesehatan.

Risa dirawat di ruang Flamboyan RSUP Hasan Sadikin Bandung Sejak akhir pekan lalu (14/6). Dia dirujuk dari RSUD Subang Jawa Barat. Sejak 2005, RSHS Bandung sedikitnya merawat 115 pasien diduga Flu Burung.


http://www.tempointeraktif.com/hg/nu...125782,id.html

[Commonground]

Post #313 Translated by hand:

Condition patient that anticipated flu burung Risa Nur Latiah (3), not yet pass by period critical. Risa now in awat in room specific flu burung in Rumah Sakit Umum Pemerintah Hasan Sadikin Bandung.

Director RSUP Hasan Sadikin Bandung Dr. Cissy B Kartasasmita said her side not yet be able to supply resultl laboratory Risa. "Now research/explanation laboratory from Balitbangkes not be able one time but should three time in order to determine which affected H5N1 or not," she said. Taking of sample every three days once.

RSUP Hasana Sadikin in fact can research result cell blood medical patient and already can know result. However to decide positive or not still necessary di cheque return by result from Balitbangkes Department Health.

[sharon sanders]

Minister: bird flu cases in Indonesia down

www.chinaview.cn 2008-06-19 09:25:51

Print

JAKARTA, June 19 (Xinhua) -- Indonesian Healthy Minister Siti Fadilah Supari said that in the last six months the number of cases of bird flu on human beings in Indonesia had declined significantly.
In the beginning of the second semester of 2008, the number of the bird flu cases on human beings had dropped, and the number has even reached the lowest compared with those in 2005, 2006 and 2007,the Antara news agency on Thursday quoted the minister as saying in Medan, capital of North Sumatra province.
The main cause of the decline in the bird flu cases on human beings is the fact that people have now become increasingly aware that one should do something as soon as he or she found out that he or she had the symptoms of being affected with this fatal virus Supari said on Wednesday.
At present each regional administration has a guidebook on bird flu for distribution to all layers of the society.
"Thank God, we already have a handbook on bird flu, and we also have the support from some other countries, including Australia, Germany, India, and China," she said.
Bird flu, which started in Indonesia in 2003, has killed 109 people in the country, making it the most affected country by bird flu in the world.



http://rss.xinhuanet.com/newsc/engli...nt_8397876.htm

[HenryN]

Originally Posted by Florida1

JAKARTA, June 19 (Xinhua) -- Indonesian Healthy Minister Siti Fadilah Supari said that in the last six months the number of cases of bird flu on human beings in Indonesia had declined significantly.
In the beginning of the second semester of 2008, the number of the bird flu cases on human beings had dropped, and the number has even reached the lowest compared with those in 2005, 2006 and 2007,the Antara news agency on Thursday quoted the minister as saying in Medan, capital of North Sumatra province.
The main cause of the decline in the bird flu cases on human beings is the fact that people have now become increasingly aware that one should do something as soon as he or she found out that he or she had the symptoms of being affected with this fatal virus Supari said on Wednesday.
At present each regional administration has a guidebook on bird flu for distribution to all layers of the society.
"Thank God, we already have a handbook on bird flu, and we also have the support from some other countries, including Australia, Germany, India, and China," she said.
Bird flu, which started in Indonesia in 2003, has killed 109 people in the country, making it the most affected country by bird flu in the world.



http://rss.xinhuanet.com/newsc/engli...nt_8397876.htm

The above comment is revealing. Prompt treatment lowers the cfr, not the number of cases. Indonesia's cfr has been above 80% each year. The numbers are down because recovered cases are not reported.

[HenryN]

Originally Posted by niman

The above comment is revealing. Prompt treatment lowers the cfr, not the number of cases. Indonesia's cfr has been above 80% each year. The numbers are down because recovered cases are not reported.

The case fatality rate for the past four years in Indonesia has been 65.0, 81.8, 88.1, 81.3 (13/20, 45/55, 37/42, 13/16 respectively for deaths / cases in 2005-2008).

[HenryN]

Commentary

http://www.recombinomics.com/News/06..._Failures.html

[HenryN]

Two women die from bird flu in Indonesia - WHO
19 Jun 2008 15:37:47 GMT
Source: Reuters

GENEVA, June 19 (Reuters) - Two women have died in recent weeks of bird flu infection in Indonesia, bringing the hard-hit country's death toll from the disease to 110, the World Health Organisation (WHO) said on Thursday.
The cases appear to be the first since Indonesian Health Minister Siti Fadillah Supari said two weeks ago that Jakarta had changed its policy on reporting human cases, and would only announce the death toll every six months.
The WHO, in a statement reporting information from the Indonesian health ministry, said that a 16-year-old girl from South Jakarta died on May 14 and a 34-year-old woman from Banten province died on June 3. (reporting by Stephanie Nebehay; editing by Keith Weir)

http://www.alertnet.org/thenews/newsdesk/L19352712.htm

[HenryN]

Avian influenza – situation in Indonesia – update 43

19 June 2008 -- The Ministry of Health of Indonesia has announced two new cases of human H5N1 avian influenza infection. The cases are not linked epidemiologically. The first is a 16-year-old female from South Jakarta, DKI Jakarta Province developed symptoms on 7 May, was hospitalized on 12 May and died on 14 May. Investigations into the source of her infection indicate exposure to sick and dead poultry.
The second case is a 34-year-old female from Tangerang District, Banten Province who developed symptoms on 26 May, and was hospitalized on 2 June and died on 3 June. Investigations into the source of her infection are ongoing.
Of the 135 cases confirmed to date in Indonesia, 110 have been fatal.

http://www.who.int/csr/don/2008_06_19/en/index.html

[HenryN]

Originally Posted by niman

Avian influenza – situation in Indonesia – update 43

19 June 2008 -- The Ministry of Health of Indonesia has announced two new cases of human H5N1 avian influenza infection. The cases are not linked epidemiologically. The first is a 16-year-old female from South Jakarta, DKI Jakarta Province developed symptoms on 7 May, was hospitalized on 12 May and died on 14 May. Investigations into the source of her infection indicate exposure to sick and dead poultry.

http://www.who.int/csr/don/2008_06_19/en/index.html

The above WHO update fails to mention the death of the brother of the above case, who had IDENTICAL symptoms, including cyanosis in extremities and died 10 days earlier

http://www.recombinomics.com/News/05...r_Another.html

[Commonground]

Spreading Virus Flu Burung Still From Poultry
Kamis, 19 Juni 2008 - 12:34 wib

Jakarta - Based on investigation virologis by method analyzing genetic sequencing by Badan Penelitian and Pengembangan Health (Balitbangkes) Depkes and Lembaga Biology Molecular Eijkman in Jakarta, until time now virus Flu Burung that attack human being still permanent/unchanging H5N1. With such was the case infection virus flu burung in Indonesia still from poultry to human.

"Since the community was appealed to avoid contact with poultry which sick or died suddenly and environment that polluted feces poultry. Not look after poultry in surrounding settlement. (?) When there is poultry that sick or died in surroundings, immediately report to Chief RT/RW local," thus passed on by means of dr I Nyoman Kandun, MPH, Dirjen Pengendalian Penyakita nd Penyehatan Lingkungan Depkes, interconnected with development handling flu burung in Jakarta, Thursday (19/6/08).

Community also asked always to carry out behavior live clean and healthy (PHBS), to see to cleanliness environment and guard against symptom flu because often occurrence to late patient seek service medical magnify risk death.

In year 2008 (January-now), by means of cumulative cases positive flu burung based on examination laboratory Badan Litbangkes and Lembaga Biology Molecular Eijkman recorded 18 cases, including 2 cases recent month May namely IST (P, 15th) orgin Jakarta and SS (P, 34th) origin Tangerang.

Cases positive flu burung show descent 50 percent compared with cases flu burung in May 2007 as well as descent that sharp namely 88.8 percent compared cases flu burung in month May 2006.
[completed]
http://news.okezone.com/index.php/Re...ih-dari-unggas

[HenryN]

Originally Posted by Commonground

I'm going to be translating this article by hand. TT is out. Something about genetic sequencing.

Penyebaran Virus Flu Burung Masih dari Unggas
Kamis, 19 Juni 2008 - 12:34 wib

Jakarta - Based on investigation virologis by method analyzing genetic sequencing by Badan Penelitian and Pengembangan Health (Balitbangkes) Depkes and Lembaga Biology Molecular Eijkman in Jakarta, until time now virus Flu Burung that attack human being still permanent/unchanging H5N1. With such was the case infection virus flu burung in Indonesia still from poultry to human.
(more to come)
http://news.okezone.com/index.php/Re...ih-dari-unggas

It will just say no reassortment or RBD changes (which means nothing since there is OBVIOUS H2H in Indonesia).

[Commonground]

I know....but I had to do it anyway...

[HenryN]

Commentary

http://www.recombinomics.com/News/06...O_Failure.html

[HenryN]

Commentary

http://www.recombinomics.com/News/06...F_Failure.html

[HenryN]

Two Indonesian women die of bird flu www.chinaview.cn 2008-06-20 01:14:58 Print JAKARTA, June 19 (Xinhua) -- Two women have died of avian influenza, bringing the total fatalities of the disease to 110, spokesperson of the country's health ministry Lily Sriwahyuni said here Thursday. A 15-year-old woman from Jakarta and another 34-year-old woman from Tanggerang town, an outskirt city of Jakarta, died of the disease in May, Sriwahyuni told Xinhua. However, she did not elaborate. The deaths were the first cases since Indonesian Health Minister Siti Fadillah Supari said two weeks ago that the ministry had changed its policy on reporting human cases, and would only announce the death toll every six months. But, the spokesperson said that the ministry would report the case once in a month. Editor: Yan Liang

http://news.xinhuanet.com/english/20...nt_8403532.htm

[Laidback Al]

Location maps of the two recent WHO confirmed cases.

Siti Istiqomah (16F) died May 14, 2008, from Gandaria-utara,

[Commonground]

Laidback Al, it doesn't look like HAN/Mohammad Andika lived very far from Istiqomah.
http://maps.google.com/maps/ms?ie=UT...b303931c324e44

[ironorehopper]

Two die as Indonesia resumes bird flu reporting--WHO

19 Jun 2008 17:21:53 GMT - Source: Reuters - (Adds remarks by WHO expert David Heymann in paragraphs 6-8)
By Stephanie Nebehay

GENEVA, June 19 (Reuters) -

The Indonesian health ministry has reported two deaths from bird flu in recent weeks, easing concerns about whether Jakarta would share information about the disease, the World Health Organisation said on Thursday.

Indonesia has had more human bird flu infections than any other country, with 110 deaths out of 135 cases, and monitoring the H5N1 virus in the sprawling archipelago is seen as crucial.

The latest infections are the first since Health Minister Siti Fadillah Supari declared two weeks ago that Jakarta had changed its policy on reporting human cases and would only announce the death toll every six months.

The WHO, a United Nations agency, has been seeking clarification on her remarks amid concerns that that the decision could lead to delays in containing outbreaks.

International health regulations (IHR) require the WHO's 193 member states to report human cases of bird flu within 24 hours.

"The minister has told WHO they will not continue to share publicly whenever there is a new case but they will inform the WHO in conformity with IHR," David Heymann, WHO assistant director-general for health security and environment, told Reuters by telephone.

"We anticipate that promise will be honoured," he said.

INFORMATION SHARING
The WHO encourages all governments to share information freely with their populations, but it remains their decision, according to Heymann.

Indonesian authorities were still trying to confirm a suspect 111th bird flu death, he added.

The WHO, in a statement reporting information from the health ministry, said that a 16-year-old girl from south Jakarta died on May 14 and a 34-year-old woman from Banten province died on June 3.

Investigation into the girl's death indicate she was exposed to sick and dead poultry, which carried the H5N1 virus, while investigations into the source of the second woman's infection are continuing, according to the WHO.

There have been 385 human bird flu infections, including 243 fatalities, in 15 countries worldwide since 2003, it says.

Indonesia has maintained its decision not to share bird flu samples with WHO laboratories, saying it wants guarantees from richer nations and drugmakers that poor countries would get access to affordable vaccines developed from their samples.

International health experts say it is vital to have access to samples of the constantly-mutating virus, which they fear could change into a form spread more easily among humans and sweep the world in months, killing millions of people.

"There is a strong working relationship between the WHO country office and the government. Even if there is a conflict on issues like virus-sharing, it hasn't eroded the ability to carry out joint investigations," WHO spokesman John Rainford said in Geneva.

At least 16 companies including GlaxoSmithKline and Sanofi-Aventis are working on vaccines against H5N1.

The next negotiations to hammer out a new virus-sharing agreement among WHO member states are scheduled for November.

(reporting by Stephanie Nebehay; editing by Dominic Evans)
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