Indonesian teenager [Umar] tests positive for bird flu

[Theresa42]

Indonesian teenager tests positive for bird flu
12 Aug 2006 08:34:21 GMT
Source: Reuters

JAKARTA, Aug 12 (Reuters) - An Indonesian teenager has tested positive for bird flu according to local tests and is being treated in hospital, a senior health ministry official said on Saturday.

It was not clear if the 17-year-old youth from West Java had contact with sick fowl, the usual mode of transmission of the H5N1 bird flu virus that is endemic in poultry in nearly all of Indonesia's provinces.

The teenager had a fever and breathlessness, some of the symptoms of avian influenza that has killed 44 people in Indonesia since last year. Most of the human cases have occurred this year and Indonesia now has the world's highest death toll.

"We have one more positive case of avian influenza. This is the result from a health ministry laboratory and NAMRU," said another official, Nyoman Kandun, the health ministry's director-general of disease control, referring to the U.S. Naval Medical Research Unit based in Jakarta.

The teenager's swab samples will only be sent to a World Health Organisation-accredited laboratory if the health ministry thinks the specimens need further testing.

According to the WHO, if two independent local laboratories return positive results from human samples, then the case is considered definitive.

In Vietnam, where 42 people have died, there have been no reported infections in people this year after the government imposed sweeping vaccination programmes for birds.

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.

Unlike Vietnam, which has conducted mass culls to get rid of sources of infection, Indonesia has only carried out selective culling and only in places where there are known outbreaks of H5N1.

http://www.alertnet.org/thenews/newsdesk/JAK263254.htm

[HenryN]

Sorry, post below is a dupluicate - I thought the NAMRU testing was not metioned in the earlier report.



Teen tests positive to bird flu

From correspondents in Jakarta
August 12, 2006 05:32pm
Article from: Reuters


AN Indonesian teenager has tested positive for bird flu according to local tests and is being treated in hospital, a senior health ministry official said today.

It was not clear if the 17-year-old youth from West Java had contact with sick fowl, the usual mode of transmission of the H5N1 bird flu virus, which is endemic in poultry in nearly all of Indonesia's provinces.
The teenager had a fever and breathlessness, some of the symptoms of avian influenza that has killed 44 people in Indonesia since last year.
Most of the human cases have occurred this year and Indonesia now has the world's highest death toll.
"We have one more positive case of avian influenza. This is the result from a health ministry laboratory and NAMRU," said another official, Nyoman Kandun, the health ministry's director-general of disease control, referring to the US Naval Medical Research Unit based in Jakarta.
In Vietnam, where 42 people have died, there have been no reported infections in people this year after the government imposed sweeping vaccination programs for birds.
Indonesia has been criticised for not doing enough to stamp out H5N1, which is still mostly an animal disease.
But experts fear it could spark a pandemic if it mutates into a form that can pass easily among humans.
Unlike Vietnam, which has conducted mass culls to destroy sources of infection, Indonesia has only carried out selective culling and only in places where there are known outbreaks of H5N1.

http://www.news.com.au/perthnow/stor...98-950,00.html

[Christian Rivers]

Is this the third of 4th teenager (age 16-17) in Jakarta this month? Also mix of male and female. I know Jakarta has population of several million, but I wonder if there is any common contact or source for the teens.

They mention NAMRU (the U.S. Naval Medical Research Unit). I thought they were asked to leave back in Feb. So are they back in country now?
CR

[HenryN]

Originally Posted by Theresa42

Indonesian teenager tests positive for bird flu
12 Aug 2006 08:34:21 GMT
Source: Reuters

The teenager's swab samples will only be sent to a World Health Organisation-accredited laboratory if the health ministry thinks the specimens need further testing.

Sounds like the release of sequences from Indonesia will come to a screeching halt.

[HenryN]

Is this a third teenage, or confirmation of one of the two that died August 6 and 7? The earlier cases had reported contact with birds. The 17M had pigeons while the 16F had contact with dead or dying poultry and both have been included in WHO updates, suggesting thsi is another teenager. However, the Reuters report does not include gender, location in west java, disease onset date, or current status (dead or alive).

[HenryN]

This report from yesterday suggest the Rueters report today is just trailing and reporting local confirmation of prior case(s):

Liputan6.com, Jakarta: the Department of the decisive Health of the Oki Jailina death and Megi Saputra resulting from terjangkit bird flu.
This assurance was based on results of the sample test of Oki blood and Megi in the central Laboratory of the Department's Research And Development of the Health.
Was like this was sent by Pemberantasan Breakingprep Penyakit Director General and environmental Sanitation Department of Health I Nyoman Kandun in Jakarta, on Friday (11/8).
Oki was the citizen Kemayoran, Jakarta the Centre, that died early of this month.
While Megi Saputra was the Bekasi citizen, West Java, that died at almost the same time.
Both of them blew out the last breath after could be treated in the hospital [read: the Family not Believe Oki Terjangkit Bird Flu].
With this assurance, significant already 45 bird flu sufferers in Indonesia that died from 58 patients who had data collected on it.
From results of this test of the Department of the Health of not sending results of the sample of blood both of them to the laboratory of the World of reconciliation of the Health Body (WHO) in Hong Kong.
(YAN/Tim Coverage 6 SCTV)

http://www.liputan6.com/view/7,12733...155381750.html

[HenryN]

Originally Posted by niman

This report from yesterday suggest the Rueters report today is just trailing and reporting local confirmation of prior case(s):

From results of this test of the Department of the Health of not sending results of the sample of blood both of them to the laboratory of the World of reconciliation of the Health Body (WHO) in Hong Kong.
(YAN/Tim Coverage 6 SCTV)

http://www.liputan6.com/view/7,12733...155381750.html

Sounds like no more sequencing in Indonesia.

[HenryN]

Ap report indocates latest patient is alive and from Garut, incocating this is the thrid case this month

Indonesian teenager tests positive for bird flu

JAKARTA (AP): A teenager being treated at a hospital in West Java province has tested positive for the H5N1 strain of bird flu, Health Ministry said Saturday.
The 17-year-old boy identified only as Umar, from the West Java regency of Garut, was hospitalized after developing a fever and breathing problem, said Haris, an official from the ministry's special task force for bird flu.
"We just received the laboratories' reports today that the teenager has tested positive for bird flu," said Haris.
The tests were conducted at the ministry's laboratory and a U.S. Naval Medical Research Unit, he said.
Haris did not know where the boy was hospitalized. The deaths of two teenagers this week pushed Indonesia's human toll from the virus to 44, making it the country worst-hit by the disease. Most of the deaths have occurred this year. (***)

http://www.thejakartapost.com/detail...2181238&irec=0

[HenryN]

Commentary at

http://www.recombinomics.com/News/08...N1_Java_3.html

[Theresa42]

There's actually a report that Umar was taken home by his parents who couldn't afford to stay in the city while he was in hospital:

Originally Posted by Theresa42

Hat-tip, BlueJay!

toggletext-ed from Indonesian:

The Patient Suspect Bird Flu From Garut Be Forced To Return [Home]
August 12, 2006

Garut -- MIOL: A sufferer suspect bird flu, Umar, 14, the citizen of the Rancasalak Village, the Cikelet Subdistrict, of the Garut Regency was forced to be returned to his house from isolation space of RSU Dr Slamet Garut because the sufferer and his family insisted on asking to be returned.

Although fully did not yet recover from the fever attack with the temperature of the high body but the sufferer's family claimed to be the cost of living difficulty in the city to take part in tending the patient meskipuin the patient was released from the maintenance cost, the Medical RSU headword of the Service Field local Dr Widjajanti SPM MM, on Friday.

He said that the hospital side also beforehand made a serious effort to maintain this patient in order to be able to remain underwent treated inap in isolation space but his family insisted on bringing him came home to his village.

Nevertheless, he said, they were supplied several masks and 10 tablets Tamiflu so that as soon as possible could do road medical treatment in fact was coordinated by their returning with the Head of the Cikelet Subdistrict Community Health Centre in order to get the maintenance and pemngawasan that instensif.

A patient who it was suspected suffered this bird flu was reconciled the Cikelet Community Health Centre to RSU Dr Slamet afterwards was placed in isolation space to last Wednesday morning (9/8) the next one was forced to be returned on Thursday night (10/9) struck 20.00 WIB, he said.

Named, the Garut side of the Service of Regency Livestock Breeding also did survey the field following in the Umar residential environment of many chicken livestock that experienced the death including the chicken livestock belonging to his family.

Whereas that uptil now was suspected could terjangkit the bird flu illness covered the Cisompet Subdistrict and the Pameungpeuk Subdistrict but evidently that experienced suspeck this illness kind even struck the citizen of the Cikelet Subdistrict.

As far as this is concerned was not yet received by information about the step konkrit that will be carried out by the Health Service of the Garut Regency especially to the Eradication Field of infectious diseases (P2M) local.

http://www.mediaindo.co.id/berita.asp?id=108589

http://www.flutrackers.com/forum/sho...16&postcount=1

[Theresa42]

There's an age discrepancy in the reports -- mediaindo says he's 14 -- Jakarta Post says 17.

[Theresa42]

Indonesia confirms new bird flu case
Saturday August 12, 04:37 PM

JAKARTA (AFP) - A teenager was has been confirmed as the latest bird flu case in Indonesia, the country worst hit by avian influenza with 44 human deaths recorded, health officials said.

The 17-year-old youth, who lives in an isolated area of West Java's Garut district, has refused treatment at a hospital designated for bird flu cases, Runizar Rusin, an official with the health ministry's bird flu center, said Saturday.

The teenager is Indonesia's 59th confirmed case based on local tests which are usually accurate, and his refusal typifies a lack of knowledge of the danger of the virus among Indonesians in rural areas, Rusin said.

"His test results, which I obtained today, show that he is positive with H5N1 (the deadly strain of the virus) but he is not hospitalised, as, being a villager living in an isolated area, he thought that he's just suffering from ordinary flu after visiting a local health clinic," Rusin told AFP.

"But fortunately, the clinic took samples of his blood and saliva and sent them for testing and they came out positive.

"Now our team in the field are trying to take him to a hospital" in West Java's main town of Bandung, he said.

The teenager had been in contact with dead chickens near his house before he became ill, he said.

Rusin said samples from the teenager were confirmed by the health ministry's research and development laboratory and the US Naval Medical Research Unit laboratory in Jakarta.

Samples from his relatives and neighbours had also been taken for testing and a culling of poultry within a one-kilometre (0.62 miles) radius of his house would be carried out soon, Rusin said.

His case comes after officials earlier this week confirmed the deaths of two teenagers from the virus, taking the number of human fatalities to 44 in Indonesia.

Indonesia reported its first bird flu deaths in July last year and has seen a steady rise in its toll since then as it has failed to carry out the widespread culls seen in other countries hard-hit by the deadly H5N1 virus.

The world's first first lab-confirmed human-to-human transmission of bird flu occurred in the archipelago nation three months ago in a cluster of seven deaths, sparking serious concern among scientists.

It raised the spectre of a dangerous viral mutation that may have permitted efficient transmission among people, bringing nearer a global human flu pandemic with the potential to kill millions.

But the slight mutation that took place was determined to be insignificant.

http://uk.news.yahoo.com/12082006/32...-flu-case.html

[Theresa42]

Umar -- the 7th of 10 children...

toggletext-ed from Indonesian:

The PATIENT BIRD FLU that FORCE came home STILL lived in the HOUSE
August 15, 2006

Umar (16 years), up to now still was in his house in the Rancasalak Village, Cikelet, Garut, West Java. Beforehand, at the urging of his parents, Umar forced came home when being treated in Doctor's Hospital of Slamet Garut. In fact results of the test of the blood laboratory in Jakartas Health Research And Development stated Umar positive terjangkit the virus H5N1.

Aup, parents Umar were convinced the seventh child from ten related this was not affected by the deadly virus. However, several neighbours Umar said, in the last two months indeed had been found the poultry that was found died suddenly around the Umar house.

http://www.metrotvnews.com/berita.asp?id=22303

He doesn't look to be in bad shape. (That's his dad with him.) If you watch the news report (follow the link and click on the small video camera icon next to the headline) you can see the family and, presumably, neighbors hanging around outside the house -- Umar eating something -- and some kids handling the chickens that are wandering around in the yard...