Bird Flu patients test negative in Karo, Indonesia

[Carter]

http://www.mediaindo.co.id/berita.asp?id=107624
The illness Menular
six people was expected Terjangkit Bird Flu in Karo


Six citizens of the Karo Regency, the North Sumatran Province (North Sumatra) was expected terjangkit) the virus avian influenza (AI) or bird flu, on Tuesday (1/8).

The previous day around the citizen's residence was found five tails of the poultry died suddenly positive resulting from bird flu.

Six citizens namely Efs (10), Js (15)
Des (6), Mvs (1,5) Re (32), as well as anaknya Al (10).

Six citizens villagers Sumbul or the Mupakat Source, the Kabanjahe Subdistrict, the Karo Regency.

All this citizen was still having the family's relations and was living in one village.

Three of the patients, on Tuesday afternoon arrived in the central Public Hospital (RSUP) the Pilgrim Adam the Medan Owner.

They were Mvs, Efs, and Des.

The section head the Health of the Karo Regency the doctor Diana said signs of the illness of the six citizens same like the sufferer of the bird flu virus.

His signs including the hot temperature 37 levels celsius, the cough, pilek, breathless, broncho pneuemonia.

"All the patient will be sent by us to RSUP the Pilgrim Adam the Owner."

The handling in the regional Public Hospital (RSUD) Kabanjahe this only had a help nature first before being sent to RSUP the Pilgrim Adam the Medan Owner, said Diana.

The patients were in the RSUD Kabanjahe room placed in the room of the isolation.

And two people between the citizen who was expected by bird flu that is Re and the ALP did not yet arrive in RSUD Kabanjahe.

According to information that was assembled by the Indonesian Media the family was still considering the maintenance of Ren and the ALP in being carried out in the hospital.

On Monday early afternoon (31/7) around struck 11.

00 WIB, villagers Sumbul found five tails of the poultry died suddenly.

The poultry belonging to M. Sinukaban.

That day also, the citizen reported that to the Karo Service of Regency Agriculture.

After being done by the research with the implement revitertes, the Karo agricultural Service concluded the chicken died positive resulting from the bird flu attack.

Afterwards the sample of the chicken was brought to the North Sumatran Livestock Breeding Service for the further inspection.

Disnak North Sumatra stated the chicken was positive bird flu.

From the findings, the Regional Government side will on the Deptan agreement destroy the available poultry to the radius one kilometre from the place of the discovery of the five poultries that died that.

The head Disnak North Sumatra A the Siregar Uterus said the extermination of the radius poultry 1 km from the location of the discovery of the positive chicken bird flu direncakan would immediately.

"We departed for Karo to do the extermination."

However, the side of the Karo Regional Government till at this time did not yet receive the instruction from the Hall (the Technical Service Unit the Department of Agriculture) about the extermination of this poultry, said the Siregar Uterus.

To prevent the spreading of the bird flu virus, the side the Karo Regional Government destroyed 10.

845 chickens since July 23-27 2006.

The extermination was carried out five places namely the Padang district Mas, the Leto Gong, the Country Gong, Lau Cimba, and Bunu Great.

(KN/YN/Nurmansyah/OL-06)

[Jeremy]

Seems like we might have another family cluster in Indonesia.

[Commonground]

These are all kids, , except for the 32 yr. old. So sad. Hope they don't have it.

[Shannon]

Please remember that they use the day first then the month when dating articles. So, 1/8 is the first day of August.

[HenryN]

Commentary at

http://www.recombinomics.com/News/08...N1_Karo_6.html

[Sharpe]

This is nuts. Karo again? 6 family members again? There must be like some cats or pigs or mice in that area carrying around a very human virus. And they continue to say that chickens have it, but don't publish the chickens' sequences. I really hope that it's not this virus that has reached Thailand, because there are just way too many suspected cases in Thailand for it to be ordinary. My Thailand map doesn't even do justice to it any more.

[Siamese]

This is getting crazy. One day no worries, be happy, then next day another cluster??

[Theresa42]

BF was confirmed in poultry in Karo just the other day -- and they've been culling chickens like mad:

http://www.flutrackers.com/forum/showthread.php?t=8545

[Sharpe]

Originally Posted by Theresa42

BF was confirmed in poultry in Karo just the other day -- and they've been culling chickens like mad:

http://www.flutrackers.com/forum/showthread.php?t=8545

Thanks so much T. You're clearing it up for me. They were secretly culling like mad on 27 July. The farmers weren't reporting any dead birds, but the birds tested positive. What this simply means is very logical---These six family members didn't just all become sick today. One or two of them have probably been sick for 8 or 9 days. When the second one became sick, they probably began the massive culling. Now that 6 of them have become sick, they're finally reporting it. It may genuinely be an H2H cluster, and everyone is focused on random chickens.

[Theresa42]

toggletext-ed from Indonesian:

Three patients ‘Suspect’ Bird Flu was treated in Medan
August 2, 2006

Medan, (Analisa)

Three villagers Sumbul Mufakat on the Kabanjahe Subdistrict, the Karo Land that was expected suspect bird flu was reconciled to the Hospital of H Adam the Owner (RS human rights) from Tuesday (1/8). The previous day the three of them that still were having relatives relationship (cluster) that underwent the maintenance in the Kabanjahe Public Hospital.

The three of them, Dedek Sitepu (6), Moses Valentino Sitepu (1,5) and Elvi Febrianti Sitepu (10) was reconciled to RS human rights, was shifted by the car ambulance RSU Kabanjahe. Approximately struck 16.00 WIB, the three of them arrived in the Serious Installation the Emergency RS HAM. Furthermore, after being checked by the three of them was placed in A space of the isolation of Longing Space.

According to information of Lina Br Sitepu (44) the aunt the casualties when being found by the Analysis, his [her] side nowhere near knew what results x-rayed that was spent by the RSU Kabanjahe side.

“Begitu has gone out results x-rayed and mentioned Dedek experienced the deviation of the lungs, just direct was reconciled to RS HAM,” firm Lina that was the full sibling from Sidarta (40), the father Dedek and Evi.

“Jadi if being considered to be bird flu up until now did not yet have information produced by the inspection and the doctor then was not yet said anything with us (the side family-red),” obviously him.

Moreover, through to struck 18.00 WIB, the three of them did not yet get the maintenance properly the patient suspect bird flu. “Dokter indeed has seen, but did not yet check ketiganya,” he exclaimed.

According to Lina, from the three of them that most problematic was Dedek. That was in accordance with results x-rayed that was spent by the RSU Kabanjahe side.

“Sedangkan Evi only normal fevers then. Because his parents felt the difficulty of his two children was sick, yes at the same time was shifted to RS HAM,” beber him sembari mentioned a week beforehand Dedek experienced the cough. “Dan just overnight, on Monday (31/7) fevers tinggi,” he exclaimed.

In the opportunity, Lina did not ignore if the chicken indeed was in and around his environment of the nephew's house. Only, their property chicken and the wandering neighbour not there are those that around the house was sick.

“Ayam him was healthy all how come, gak there are those that died. Therefore we were surprised our nephew was accused by flu burung,” he said while complaining about the attitude of the press human being that without permission at once took the photograph of his nephew by making use of the mask. As if his nephew already positive contracted infectious diseases and was dangerous.

“Kami really hoped the hospital side immediately checked my nephew to clear the illness what was contracted. If quite positive bird flu, yes we only could pasrah,” he stressed.

MEMBENARKAN

While Director RS HAM drg H Armand P Daulay Mkes went through Wadir I the Medical Service and education Dr HM Nur Rasyid Lubis SpB (FICK) when being contacted by the reporter permitted his side to receive three patients suspect bird flu.

Was based on information that was accepted by Nur Rasyid from the Kabanjahe Hospital, the three of them experienced the high fever since Saturday (29/7) struck 16.00 WIB, with the temperature of the body 30 levels celcius that was one of the characteristics of the sign of bird flu.

Nevertheless his side must be still carrying out the repeated inspection of the photograph of the piston of the three patients. “Guna knew whether the three positive children suffered flu burung,” firm this operation specialist doctor.

For the time being the three patients were given fever medicine and tamiflu to lower hot. However if hot him also did not descend significant the three of them positive was infected by bird flu. “Itu then we must be still being waiting for results, said Rasyid.

The MATI LIVESTOCK

Now according to one of casualties's third neighbours was found by the reporter in the hospital explained, the previous day the chicken livestock of one of their neighbours suddenly died and was not known by his cause.

At intervals of the death of this chicken livestock of the three sudden casualties experienced the high fever. Further they were brought to the Public Hospital Kaban Ginger.

Was based on the Analysis note, the case of bird flu some time before attacked the citizen of the Simbelang Fortification Village, Kaban Karo Land Ginger.

The virus H5N1 this claimed 7 casualties was killed and one among them, Jones Ginting (25) succeeded in recovering after undergoing the maintenance for 2.5 months in RS human rights.

http://analisadaily.com/0-1.htm

[Theresa42]

Three villagers Sumbul Mufakat on the Kabanjahe Subdistrict, the Karo Land....

Hey, vaffie -- or anyone else with a good map -- where is this village as compared to Simbelang where the Gintings were from? Any idea...?

[Sharpe]

I will tell you in a second.

[Theresa42]

Sounds like a bunch of kids (most of them cousins?) and one adult...

toggletext-ed from Indonesian:

Again was found by the Chicken died Suddenly
6 citizens Sumbul was expected Terjangkit Bird Flu
August 2, 2006

Kabanjahe, (Analisa)

Just was finished was done by the extermination approximately 10.942 poultry in 4 Kabanjahe Subdistrict districts and one village in the Subdistrict Tigapanah the Karo Land, again was found by several chicken livestock belonging to the citizen in the Sumbul Village (Sumber Mufakat-red) the Kabanjahe Subdistrict and in the housing complex Korpri the Village Gurusinga the Berastagi Subdistrict died suddenly.

As far as this is concerned was not yet known definitely whether the chicken livestock belonging to the citizen who died [i.e. the chickens that died] that dikarenakan the AI virus or not.

Kadis Agriculture, the plantation and Regency livestock breeding Karo Ir Sidarta Pinem, was accompanied Kasubdis Drh Jenggi Surbakti Livestock Breeding when it was confirmed the Reporter in the Karo Hall of the Regent's office after taking part in the meeting concerning bird flu, on Tuesday (1/8) justified the existence an amount 12 chicken livestock belonging to M. Br Sinukaban, villagers Sumbul/the Source Mufakat the Kabanjahe Subdistrict experienced the death inappropriately since the last 10 days.

The same thing also fell on the chicken belonging to Heri the inhabitants of the complex Korpri the Teacher's Village the Berastagi Subdistrict Lion.

According to Sidarta Pinem, sample this chicken blood already in sent to Medan to in checked in the laboratory. “Kita still was waiting hasilnya,” said Pinem.

Pinem words, if results of the laboratory concluded this chicken was positive terjangkit the AI virus, then will be done by the extermination of the poultry in accordance with the provisions, that is the radius 1 kilometre from the findings point.

Anticipated the spreading penjangkitan the AI virus Pinem words, from Tuesday (1/8) to a month in the future this, the Karo Land was closed for the traffic left and entered the poultry, including general manure was used by the farmer in Karo to make his crop fertile.

The co-ordination

In connection with the assumption findings penjangkitan bird flu against the poultry and manusuia in the Karo Land, the Regent Karo DD Sinulingga spread out the meeting of the co-ordination with the Sub-district Head Kabanjahe, Berastagi and Tigapanah, along with the village head and Kades in the Bupari office Hall in Kabanjahe.

This to do steps that were followed for the control of the virus that several months ago grumbled the life 7 villagers Kubusimbelang the Subdistrict Tigapanah the Karo Regency.

The regent Karo DD Sinulingga mengintruksikan so that the Sub-district Head and the Village Head as well as Kades immediately deliver and carry out the socialisation to his citizen to do the extermination of the poultry for the sake of anticipated expanded him the plague of bird flu in his area, with compensation Rp10 thousand per the tail.

As well as mengintruksikan the related agency, from Tuesday (1/8) closed the entry of the poultry and livestock fertiliser from outside the area to the Karo Regency.

According to the Regent, this meeting was still being continued by inviting the public figures, the tradition and the Kabanjahe Subdistrict religion and Berastagi. Hoped for through these leading figures could in sosialisasikan the importance was carried out by the extermination of the poultry.

“Untuk did the mass extermination of the poultry, we were waiting for the letter from Pemprovsu, when today to, direct at night was mobilised by us the team consisted of the TNI/Republic of Indonesia State Police/PNS and the community did pemusnahan,” firm the regent.

Expected TERJANGKIT the AI VIRUS

Now, Kadis the health of the Regency of Karo Dr Diana br Ginting in his report in the meeting concerning bird flu mentioned, 6 villagers Sumbul the Kabanjahe Subdistrict that be at a distance 4 Km from the Kabanjahe City, 12 Km from the Simbelang Fortification Village, fell ill with the sign similar to Bird Flu.

The six citizens, Moses Perangin-angin (1,6), Evi Br Sitepu (10), Dedek Sitepu (6). The three patients entered RSU Kabanjahe on Monday night (31/7) struck 23.00 WIB.

The same thing was also experienced by Julham Sitepu (15), Reni (32) and his child Alpian (10). Be as far as this still could not be ascertained whether to six citizens terinveksi the AI virus or not.

Director RSU Kabanjahe Dr Suara Ginting that was confirmed the Reporter in RSU Kabanjahe, on Tuesday early afternoon (1/8) justified the existence of the patient RSU Kabanjahe villagers Sumbul the Kabanjahe Subdistrict.

According to Dr Suara Ginting, his side suggested to the patient's family in order to reconcile the patient to RSUP Adam the Medan Owner as the reconciliation hospital for the bird flu patient.

According to the Suara Ginting, his side offered the ambulance with free of charge. However up until Tuesday early afternoon this patient was not yet reconciled to RSUP Adam the Medan owner because of the patient's family collided the cost.

When being asked about about space treated inap the patient that was expected terjangkit the AI virus in RSU Kabanjahe that still was joining with the patient's other space, Dr Suara said until this of RSU Kabanjahe did not yet have special space (the isolation) for the patient like that.

Suara Ginting words, the Regent Karo DD Sinulingga ordered so that as immediately as possible was built isolation space in RSU Kabanjahe to anticipate the similar incident in the future.

http://analisadaily.com/2-1.htm

[Christian Rivers]

Help please - on getting the facts right.

Trying to sequence the occurrence of illnesses

Sedangkan Evi only normal fevers then. Because his parents felt the difficulty of his two children was sick, yes at the same time was shifted to RS HAM,” beber him sembari mentioned a week beforehand Dedek experienced the cough. “Dan just overnight, on Monday (31/7) fevers tinggi,” he exclaimed.

So one or two of the children was sick (cough) for a week (approx Jul 24) and another develops symptoms suddenly on Jul 31.

Trying to keep track of the people afflicted:
The previous day around the citizen's residence was found five tails of the poultry died suddenly positive resulting from bird flu.
Six citizens -…. villagers Sumbul or the Mupakat Source, the Kabanjahe Subdistrict, the Karo Regency. All this citizen was still having the family's relations and was living in one village.

Director RSU Kabanjahe Dr Suara Ginting that was confirmed the Reporter in RSU Kabanjahe, on Tuesday early afternoon (1/8) justified the existence of the patient RSU Kabanjahe villagers Sumbul the Kabanjahe Subdistrict.
? One human case confirmed?

When being asked about about space treated inap the patient that was expected terjangkit the AI virus in RSU Kabanjahe that still was joining with the patient's other space, Dr Suara said until this of RSU Kabanjahe did not yet have special space (the isolation) for the patient like that.
Suara Ginting words, the Regent Karo DD Sinulingga ordered so that as immediately as possible was built isolation space in RSU Kabanjahe to anticipate the similar incident in the future.

? Respiratory isolation rooms not available? For only 6 cases?

These people Efs (10), Js (15) Des (6), Mvs (1,5) Re (32), as well as Anaknya Al (10). are not only sick, but will have the whole world watching anxiously and intrusively. We will have to balance our legitimate interest in their treatment and outcome with their rights to privacy and dignity.
CR

[Theresa42]

toggletext-ed from Indonesian:

Three patients Suspect entered RSUP Adam Malik
August 1, 2006

The report on the Kompas Reporter of Andy Riza Hidayat

Medan, Kompas -- Three patients suspect—expected -- bird flu from the Karo Regency, North Sumatra entered Adam's central Public Hospital the Medan Owner, on Tuesday (1/8). Three people came from one family from the Sumbul Village, the Kabanjahe Subdistrict. Up to now the three of them are treated in space of the Longing isolation of A2 RSUP Adam Malik.

“Informasi early they suspect. The sign was seen from the temperature of his body that high. For our further information still checked him in special isolation space flu burung,” Deputy Director's words RSUP Adam the Owner Nurrasyid, on Tuesday (1/8) in Medan.

The three patients suspect bird flu that was reconciled to RSUP Adam the Owner was Moses (1,5), Evi boru Sitepu (10), Dedek Sitepu (10) was reconciled to Medan struck 14.00.

Now, still had three other patients who had the sign was the same as three patients suspect. Only, the patient was named Julham Sitepu (15), Reni boru Tarigan (32), Alvian Ginting (10) -– the mother and the child, still was in in the Kabanjahe Public Hospital, Karo. Their condition was not yet as serious as three patients who were stated suspect.

The Mati chicken

The chairman Tim the Control of Karo Sumbul Sembiring Regency Bird Flu said before the discovery of the patient suspect, in the same area was found by 19 chickens belonging to K Sinukaban, Heri, and Reni died. Expected strong the chicken that died that was infected by the virus H5N1.

Despite this, the team of the control of the Karo bird flu virus sent two samples of the chicken to the North Sumatran Service of Province Livestock Breeding in Medan.

“Besok, results would we received. We ask for in a radius of 1 kilometre, all the poultry must be ready to be destroyed after accepting results of the test labolatorium,” said Sumbul.

Although three people were stated suspect, but his side still could not ascertain them positive suffered bird flu.

“Memang from results of the inspection in Kabanjahe, they had the sign of the fever with the temperature of the body 38 Celcius levels. Moreover, the three people experienced the disturbance in the function lungs-paru,” said Sumbul.

Stop Ayam

The first step that will be taken the Karo Regional Government, said Sumbul was to destroy the poultry in the radius one kilometre from the Sumbul Village, the place of the discovery of casualties suspect bird flu.

“Untuk now, we banned the movement in and out of all the poultry kinds to the Karo Regency. Moreover, while we refused manure from outside Karo. This the cost that must be paid. Suggested by us the temporary farmer made use of compost fertiliser duhulu,” said Sumbul.

Separately, the Section Head the Health of the Province North Sumatran Fatni Sulani justified the incident in the Karo Regency. According to Fatni, although being stated suspect, the three citizens that was reconciled to RSUP Adam the Medan Owner must be still being checked whether they positive was infected by the virus H5N1 or not.

“Tim [team] the control tomorrow on Wednesday will come to Karo,” said Fatni.

http://www.kompas.com/ver1/Nasional/0608/01/194930.htm

[Theresa42]

Originally Posted by Christian Rivers

Director RSU Kabanjahe Dr Suara Ginting that was confirmed the Reporter in RSU Kabanjahe, on Tuesday early afternoon (1/8) justified the existence of the patient RSU Kabanjahe villagers Sumbul the Kabanjahe Subdistrict.

? One human case confirmed?

No, none of them have been confirmed yet as far as I can tell. I think the "confirmed" in this sentence just means that Dr. Ginting confirmed that there were bf suspects admitted to RSU Kabanjahe hospital.

Originally Posted by Christian Rivers

When being asked about about space treated inap the patient that was expected terjangkit the AI virus in RSU Kabanjahe that still was joining with the patient's other space, Dr Suara said until this of RSU Kabanjahe did not yet have special space (the isolation) for the patient like that.
Suara Ginting words, the Regent Karo DD Sinulingga ordered so that as immediately as possible was built isolation space in RSU Kabanjahe to anticipate the similar incident in the future.

? Respiratory isolation rooms not available? For only 6 cases?

I took this to mean that RSU Kabanjahe hospital does not have the facilities to treat bf patients (i.e. isolation rooms, etc.) and that's why these patients were transferred to RSUP Adam Malik (which is in Medan, I think).

[Sharpe]

With Stormsailor's excellent help.

The first cluster and the second cluster are approximately 11 miles apart. The towns mentioned in the second article (Berastagi and Tigapanah) are within 4 miles. I don't have the new cluster circled--it's below this map slightly (is our guess), but you can get a feel for how close everything is.

If you want to look at the maps yourself, they're:
http://www.lib.utexas.edu/maps/ams/i...461-na47-2.jpg
http://www.lib.utexas.edu/maps/ams/i...461-na47-6.jpg

I'm tired.

[Theresa42]

Originally Posted by vaffie

With Stormsailor's excellent help.

The first cluster and the second cluster are approximately 11 miles apart. The towns mentioned in the second article (Berastagi and Tigapanah) are within 4 miles. I don't have the new cluster circled--it's below this map slightly (is our guess), but you can get a feel for how close everything is.

If you want to look at the maps yourself, they're:
http://www.lib.utexas.edu/maps/ams/i...461-na47-2.jpg
http://www.lib.utexas.edu/maps/ams/i...461-na47-6.jpg

I'm tired.

Awesome, vaffie! Muchas gracias! (Saw a mention in an article above that the 2 villages are 12 kilometers apart.)

Go rest!

[Theresa42]

Originally Posted by Christian Rivers

Help please - on getting the facts right.

Trying to sequence the occurrence of illnesses

Sedangkan Evi only normal fevers then. Because his parents felt the difficulty of his two children was sick, yes at the same time was shifted to RS HAM,” beber him sembari mentioned a week beforehand Dedek experienced the cough. “Dan just overnight, on Monday (31/7) fevers tinggi,” he exclaimed.

So one or two of the children was sick (cough) for a week (approx Jul 24) and another develops symptoms suddenly on Jul 31.

Trying to keep track of the people afflicted:
The previous day around the citizen's residence was found five tails of the poultry died suddenly positive resulting from bird flu.
Six citizens -…. villagers Sumbul or the Mupakat Source, the Kabanjahe Subdistrict, the Karo Regency. All this citizen was still having the family's relations and was living in one village.

Here's what I've got so far:

All 6 are related.

These 3 (all siblings? Dedek & Elvi definitely are) admitted to RSU Kabanjahe on Monday night, July 31. Transferred to RSUP Adam Malik in Medan on Tues (Aug 1) afternoon:

Moses Valentino Sitepu/Moses Perangin-angin [Mvs] (1.5)
Elvi Febrianti Sitepu/Evi Br Sitepu [Efs] (10)
Dedek Sitepu [Des] (6) - most sick according to paternal aunt Lina - Dedek has had a cough for a week - the other two just got fevers yesterday (July 31) - one of the docs said they've all had a fever since Saturday (July 29)

The condition of the 3 below is reportedly not as serious as the other 3. And, they are still in Kabanjahe Public Hospital, Karo?

Julham Sitepu [Js] (15)
Reni/Reni boru Tarigan [Ren] (32) - mother to Alpian - some of her chickens reportedly died of, as yet, unknown causes.
Alpian/Alvian Ginting [Alp] (10) - Reni's child

[stormsailor1981]

http://www.lib.utexas.edu/maps/ams/i...461-na47-6.jpg

on second map look at 123 263. there is dolok singgalang (singgalang mountain) the actual village isn't listed, my guess is it is where the road forks. these maps are incredible, however some of the features are from 1943.

[Theresa42]

Three Indonesians in hospital, bird flu suspected
02 Aug 2006 04:39:57 GMT
Source: Reuters

JAKARTA, Aug 2 (Reuters) - Three Indonesian children have been hospitalised with suspected bird flu in a North Sumatran district where seven members of an extended family died from the disease in May, officials said on Wednesday.

The three -- two siblings aged 10 and six and their 18-month-old neighbour -- were admitted to the state-run Adam Malik hospital on Tuesday after showing symptoms of bird flu, said hospital director Luhur Suroso.

"We are testing samples taken from them," Suroso told Reuters. He declined to give further details.

Hariadi Wibisono, the health ministry's director-general of control of animal-borne diseases, said the patients lived in Karo district in North Sumatra province where bird flu killed as many as seven people in an extended family in May.

The deaths in Karo were the biggest cluster of the disease the country has recorded and sparked fears of a global pandemic of bird flu infections in humans.

The World Health Organisation said in May that two members of the cluster, an Indonesian man and his son, might have caught the virus in a case of direct human-to-human transmission, but the virus did not spread very far if this did happen.

"They are from the same district but a different village," Wibisono said, referring to the three new suspected cases.

Indonesia has recorded 42 deaths from the H5N1 bird flu virus, equalling Vietnam, where no one is known to have died of the disease this year.

Human cases of bird flu have been rising steadily in Indonesia since its first known outbreak in poultry in late 2003.

Worldwide, the disease has killed at least 134 people since it re-emerged in east Asia in 2003.

Indonesia has been criticised for not doing enough to stamp out H5N1, which still remains essentially an animal disease but experts fear could spark a pandemic if it mutates into a form that can pass easily among people.

The government has so far shied away from mass culling of poultry, citing lack of funds and impracticality in a country with millions of backyard fowl.

http://www.alertnet.org/thenews/newsdesk/JAK115024.htm

[HenryN]

Originally Posted by Theresa42

Here's what I've got so far:

All 6 are related.

These 3 (all siblings? Dedek & Elvi definitely are) admitted to RSU Kabanjahe on Monday night, July 31. Transferred to RSUP Adam Malik in Medan on Tues (Aug 1) afternoon:

Moses Valentino Sitepu/Moses Perangin-angin [Mvs] (1.5)
Elvi Febrianti Sitepu/Evi Br Sitepu [Efs] (10)
Dedek Sitepu [Des] (6) - most sick according to paternal aunt Lina - Dedek has had a cough for a week - the other two just got fevers yesterday (July 31) - one of the docs said they've all had a fever since Saturday (July 29)

The condition of the 3 below is reportedly not as serious as the other 3. And, they are still in Kabanjahe Public Hospital, Karo?

Julham Sitepu [Js] (15)
Reni/Reni boru Tarigan [Ren] (32) - mother to Alpian - some of her chickens reportedly died of, as yet, unknown causes.
Alpian/Alvian Ginting [Alp] (10) - Reni's child

Is Ginting a common name, or is there a blood relationship with the earlier Karo cluster?

[HenryN]

Commentary at

http://www.recombinomics.com/News/08..._Karo_H2H.html

[HenryN]

Liputan6.com, Medan:

Three from five citizens of the Sumbul Subdistrict, the Karo Land Regency, North Sumatra was it was suspected infected by bird flu.

At this time they were treated in the Pilgrim's Public Hospital Adam the Owner, Medan.

As for the assurance about positive not him they were attacked by the virus avian sub-type influenza H5N1 still was waiting for results of the laboratory inspection.

The three patients that was expected terjangkit bird flu and currently were treated in Longing Space of A RSU Adam the Owner was Etty Boru Sitepu, 10 years and his brother, Dedek Boru Sitepu, six years.

The third patient was still being counted by their relatives, that is Moses Perangin-wind, one half of the year.

Now their mother, Reny Boru Ginting, 33 years and one of his sons that other, Alvian Sitepu was still being treated in RSU Kabanjahe because of refusing to be brought to RSU Adam the Owner.

Although being treated in the hospital was different, the sample of blood has from the five patients been taken to ascertain the illness that was suffered.

The sample of their blood was sent to the laboratory in Jakarta, today.

The five Sumbul citizens were expected terjangkit bird flu after experiencing the high fever was accompanied breathless.

Moreover had the report that five kept chickens around their residence suddenly died.

The cause of the death of the chickens was researched by the Livestock Breeding Service and results are it was hoped announced today.

(DNP/Tim Coverage 6 SCTV)




http://www.liputan6.com/view/7,12679...154510906.html

[HenryN]

Metrotvnews.com, Medan:

Coordinating Minister for People's Welfare Aburizal Bakrie, Siti Fadil -lah Supari Health Minister and Agriculture Minister Anton Apriantono visited three patients suspect bird flu that was treated in Adam's central Public Hospital the Owner, Medan, North Sumatra, on Wednesday (2/8).

In this visit of the three ministers often held a dialogue with the family and the three patients from the Sumbul Village, the Subdistrict Kaban Ginger, the Karo Land, North Sumatra, that.

The three patients were Moses Valentino Parangin-wind, Dede Boru Sitepu and Evita Boru Sitepu.

According to Menkes, the condition the three patients increasingly improved.

Till today the impact of the virus H5N1 was not yet seen clear.

In fact, usually the impact of bird flu emerges in the fourth day.

The example of blood of the three patients has been sent to the laboratory of the World of the Health Body in Hong Kong.

Results can be known in the near future.

While Aburizal Bakrie said, the government has carried out all the efforts to handle the brightness of bird flu in Kaban Ginger.
(DEN)


http://www.metrotvnews.com/berita.asp?id=21537

[AlaskaDenise]

Seven Indonesians being treated for suspect bird flu on Sumatra








MEDAN, Indonesia Seven Indonesians from the same village on Sumatra are being treated for bird flu symptoms in what doctors and officials fear could be two new clusters of the virus.

The patients are believed to have been infected by chickens. Among those believed to be infected this time are two sisters, ages ten and six, and an 18-month-old boy from the house next door.


Blood tests still have to confirm H-Five-N-One virus infections.


Indonesia has recorded 42 deaths from bird flu over the past year, including seven members of one family in the same district as the latest suspected cases.

Indonesia is tied with Vietnam as the world's hardest-hit country.

Experts fear the virus will mutate into a form that spreads easily among people, potentially sparking a global pandemic.

.

[Commonground]

Posted by Theresa42 @ CurEvents:

Quote:
Originally Posted by SoccerMom
Is Ginting a very common name? This is the name associated with the last cluster.

Yes -- very common, I think.

Here's a page about the people of the Karo region:
http://www.peoplesoftheworld.org/te...le=Karo%20Batak

The Karo Batak

The Batak are organized socio-politically into clans - large family groups, called margas. There are five main clans: Ginting, Karo-Karo, Perangin-Angin, Sembiring and Tarigan.

[HenryN]

Originally Posted by Commonground

Posted by Theresa42 @ CurEvents:

Quote:
Originally Posted by SoccerMom
Is Ginting a very common name? This is the name associated with the last cluster.

Yes -- very common, I think.

Here's a page about the people of the Karo region:
http://www.peoplesoftheworld.org/te...le=Karo%20Batak

The Karo Batak

The Batak are organized socio-politically into clans - large family groups, called margas. There are five main clans: Ginting, Karo-Karo, Perangin-Angin, Sembiring and Tarigan.

Looks like H5N1 has three down and two to go (in the order listed).

[Theresa42]

Wednesday August 2, 2:13 PM
2 Sumatra siblings, 7 neighbors may have bird flu

(Kyodo) - Two siblings and their seven neighbors in a regency in Indonesia's North Sumatra Province are suspected of being infected with bird flu and are receiving treatment at hospitals, health officials said Wednesday.

An official at the Jakarta-based Bird Flu Coordinating Post told Kyodo News the siblings, aged 6 and 10, and their 18-month-old neighbor from the village of Sumbul in Karo Regency have been treated at the Adam Malik General Hospital in the provincial capital Medan since Tuesday.

"Six other neighbors aged between 10 and 32 are being treated at the Kabanjahe General Hospital in Karo," the official said, adding a team from the Health Ministry has been dispatched to the village.

"Preliminary indications show they are suspected of being infected with the H5N1 virus and their samples are being examined," she added.

The daily Kompas quoted Sumbul Sembiring, chief of the bird flu management team in the regency, as saying that before the new suspected cases were found 19 chickens had been found dead, probably because of bird flu.

In Karo, seven people from one family contracted the H5N1 strain of bird flu earlier this year. The seven family members -- six of them died -- were confirmed having contracted the virus in April and May. Another family member also died, but she was only suspected of being infected with the disease.

In June, the World Health Organization confirmed that human-to-human transmission of bird flu had occurred in the regency.

According to the WHO, the number of human bird flu cases in Indonesia is 54, including 42 deaths. The Health Ministry insists that human cases total 56, including 43 deaths.

The disease has killed at least 134 people around the world since December 2003, according to the WHO.

http://asia.news.yahoo.com/060802/kyodo/d8j845jg0.html

[HenryN]

http://www.mediaindo.co.id/berita.asp?id=107687

Figure legend


SUSPECT BIRD FLU: three children from the Sumbul Village, the Kabanjahe Subdistrict, the Karo Land, North Sumatra, got the maintenance in RSU Adam the Medan Owner, on Wednesday.
The three of them were the patient suspect bird flu and was not yet stated was infected by the virus H5N1.


Medan -- MIOL: Fadil -lah Supari Health Minister said the three patients suspect bird flu from the Sumbul Village, the Kabanjahe Subdistrict, the Karo Land Regency, North Sumatra, was not yet detected terjangkit the virus H5N1.

Two patients that is Evi Sitepu, 10, and Moses Perangin-wind, 1,5, in the good situation, whereas Dede Sitepu, 6, headed to suspect bird flu because of having signs of pneumonia to his lungs after being done by the verification twice against the photograph toraks him.

"From my observation, two healthy situation inpatients, whereas one patient suspect pneumonia."

This pneumonia usually emerges in the fourth day, Prominent words, on Wednesday, when visiting the three patients in RSU Adam the Medan Owner with Kesejahteraan Sosial Breakingprep Abu Rizal Bakrie Minister and Agriculture Minister Anton Apriantono.

According to him, the three patients still could not be ascertained positive was infected or not H5N1 because still was waiting for results of the testing of the sample that has been taken.

"As soon as possible will have results," he said.

The case was solved, more Prominent, because of the discovery of the chicken that died in this area.

Then, the Health Service descended to search whether having humankind that experienced coughs and deman high.

"Evidently was found by the case, they then was reconciled to RS Kabanjahe and RSU Adam the Owner," he said.

In the meantime, from the three patients who were treated in space of the Longing isolation of A RSU Adam the Medan Owner, only Evi Sitepu that diinfus, whereas two other not diinfus.

Parents Evi Sitepu and Dede Sitepu regarded their child in the healthy condition.

"Children I am well," said Megawti Tarigan, 34.

The same thing was also said by Roymarlina, 22, the mother from Moses Perangin-wind, that said his child was healthy and agile.

The family could refuse his child's lungs was x-rayed by the hospital side, but finally was crushed when the three ministers came and persuaded them to x-ray his child.

The Pengawasan command post

Agriculture Minister Anton Aprintono said his side co-operated with the regional government will open the supervision command post of the route went out entered the poultry to the Karo Regency pascadikeluarkan him the decision concerning the ban brought and issued the poultry from the area.

This command post will be opened in several parts of the road all along the road towards the Karo Regency.

"This command post will be opened for six months in the future, that his implementation will co-operate with the local government," said Anton.
Moreover, his side will also carry out the socialisation with the regional government to make the community concerning the prevention of bird flu aware.

In the meantime, Kesejahteraan Sosial Breakingprep Abu Rizal Bakrie Minister said his side will take steps to overcome bird flu, as ascertaining all the patients that terjangkit got Tamiflu medicine.
Afterwards, for the prevention of the further spreading, will be done by several actions that were needed for the prevention that was done by regional apparatus.

"One of them the extermination of the poultry."
For this extermination, the government has prepared the replacement fund of the poultry that was destroyed.

We also ask for to not put the poultry and fertiliser.
For fertiliser still was permitted but must have permission from the Health Service and the agricultural Service, he said.
(YN/OL-03)