Indonesia: The Latest Human Suspected & Confirmed Cases January 29 + April 6, 2009

[Dutchy]

More confirmation on the positive testresult of the boy in Riau; a team from National Dep of Health is investigating the source of the infection. Samples are taken from direct contacts.

Preschooler in Pekanbaru Died Because of Bird Flu Positive

Wednesday, in April 01 2009

Pekanbaru -- MI: WIS, the baby was two years old that died in the room of RSUD Arifin Ahmad, Pekanbaru was some time before stated positive contaminated with the bird flu virus.

This assurance was received was based on results of the test test the liquid of mucus of casualties's throat by the Penelitian Dan Pengembangan Kesehatan Hall (Balitbangkes) the Department of the RI Health.

Chairman Tim of the Control of Bird Flu of RSUD Arifin Ahmad Pekanbaru Azizman Saad to the Indonesian Media, on Wednesday (1/4) said explained, results of this Balitbangkes test have been reported to the Kesehatan Service of the Riau Province.

With these results, then for the first time during 2009, the Riau Province again met positive casualties bird flu. These official results have been accepted by the Service of Health Riau last Saturday, he said.

It was further that Azizman said in accordance with the procedure continue to the handling of the case of bird flu then all the person who it was known had the story of contact with WIS will be supervised was full for one month more.

Moreover, the health special team will carry out investigation to look for the origin ot the infection of WIS by this deadly virus. Beforehand the Balitbangkes (National Dep of Health, ed) special team visited the family's WIS house in Street Kuantan VII RT 07/RW 04 Hru Cape districts, the Subdistrict of fifty, the Pekanbaru City, Riau.

Apart from taking the sample of the family's closest blood namely Haryono and Heni Rahayu that were the father and the mother from WIS, the Balitbangkes team that took part in being accompanied by several officials of the Health of the Service (Dinkes) Riau also took the sample from the closest neighbour who it was known had had the story of contact with casualties.

WIS, 2, died on Thursday (26/3) at dawn after receiving the maintenance for a week in the room of the bird flu isolation of RSUD Arifin Ahmad.

http://www.mediaindonesia.com/read/2...ena_Flu_Burung

[HenryN]

Commentary

http://www.recombinomics.com/News/04...rel="nofollow"

[Laidback Al]

The most recent locally confirmed case is Wahyu Ibnu Saputra from Riau. He lived in the district (Kelurahan) of Tanjung Rhu on the outskirts of Pekanbaru.
Approximate centroid of Tanjung Rhu is 0.544136, 101.464085.

[AlaskaDenise]

Originally Posted by niman

Commentary

http://www.recombinomics.com/News/04...rel="nofollow"

Commentary

Fatal H5N1 Confirmed in Riau Indonesia Toddler

Recombinomics Commentary 14:39
April 1, 2009

Results of the laboratory test against the sample of blood and SWAP the deceased Wahyu Ibnu Saputra, was two years old nine months, the resident Street Kuantan VII, RT07, RW04, Kelurahan Tanjung Rhu, Kecamatan Lima Puluh positive contained the virus H5N1 or bird flu. These results were raised by Kesehatan Riau Section Head, Dr Mursal Amir through his cellular phone, on Tuesday (31/3)

The above comments cite lab confirmed on H5N1 in the fatal infection of a toddler in Riau, Indonesia (see updated map). This confirmation is cited in multiple local media reports, although it is unclear if the labs in Jakarta have acknowledged the confirmation.

Last year a number of confirmed cases in Riau were reported, but timely reports of cases by the MOH in Indonesia have ceased, and WHO has failed to issue situation updates on lab confirmed cases acknowledged by the Indonesian MOH.

This WHO reporting failure may stem from discrepancies in official reports in Indonesia. In February, a UNICEF report cited four confirmed cases, which was followed by MOH statements in early March, which also cited four cases. However, only three of the four cases matched in the two reports, indicating there were five confirmed cases. Clarification without citing five cases would be problematic for a WHO update, which may have led to the lack of reports by WHO. The last WHO update for Indonesia was January 22, which described cases from 2008. UN members strengthened reporting requirements for diseases that had the potential for spread beyond national borders and H5N1 was added as a notifiable disease that required reporting within 24-48 hours of confirmation.

The failure of WHO to issue updates on any 2009 cases, even after acknowledgement of lab confirmation by the Indonesian MOH, highlights extreme oversight failures, continues to be hazardous to the world’s health.

.

[Shiloh]

Source: http://cetak.kompas.com/read/xml/200...lar.flu.burung

Kematian Ibnu akibat Tertular Flu Burung

Google translation:
Ibn death due to contagious Avian Flu
Thursday, 2 April 2009 | 04:08 WIB

Pekanbaru, Kompas - Death Ibn Saputra (3) on Thursday (26 / 3) last week at the General Hospital Arifin Achmad Pekanbaru, a positive result with H5N1 virus or a virus known as bird flu. Certainty that the results obtained from the examination mucus Ibn Laboratory in the Department of Health in Jakarta received by the Public Health Riau.

"I get reports from the Public Health Riau laboratory examination results that ensure positive Ibn contagious bird flu virus," said dr Azizman Saad, Head Team Physician RSU Arifin Ahmad Pekanbaru, Wednesday (1 / 4).

Separately, Head of Health Office of Riau Mursal Amir, said his side will be fixed directly to the procedure to isolate the spread of disease in the home environment of the victim. Isolation akan focused on poultry that is suspected to be the source of disease.

Head of Health Office of Pekanbaru Rini Helmiyati, said his side ready to make observations in the field. "We will conduct intensive observations of the contact history with the victim," said Rini.

On March 23, the Ibn, Jalan Kuantan VII of Pekanbaru city, treated in isolation space bird flu RSU Arifin Ahmad, Pekanbaru. In general, the condition of Ibn time meet the criteria and characteristics as the suspect bird flu. In addition to high heat, Ibn also experience sore throat. Previously, treated at Ibn Sina Hospital Ibn Pekanbaru for three days, but the heat does not go down so kunjung then referred to the RSU Arifin Ahmad, who has special facilities for bird flu patients.

Since the patient is declared as suspect bird flu, Agriculture and Animal Husbandry Pekanbaru Riau have conducted searches in the poultry house environment Ibn. In the search, the team members include laboratory veteriner of Bukittinggi, West Sumatra.

Drilldown

According to M Firdaus, Section Head of Health and Human veteriner Animal Agriculture Pekanbaru, his team had conducted the search of the birds-poultry suspected of a disease. The team took samples of birds in the housing to cut the birds in the house to eat around the house Ibn.

Although not be killed due to bird flu, the death of Ibn cases start bring new worries for the public Riau. In the year 2008, cases of bird flu can be said very minimal when compared to the case in 2007. (Valid)

Toggletext translation:
The Ibnu death resulting from Tertular Flu Burung
on Thursday, April 2 2009 | 04:08 of WIB

Pekanbaru, Kompas - the Ibnu Saputra Death (3) on Thursday (26/3) last week in the Arifin Achmad Public Hospital, Pekanbaru, positive resulting from terjangkit the virus H5N1 or that more was known with the bird flu virus. The assurance was received from results of the Ibnu mucus inspection in the Departemen Laboratory of the Health in Jakarta that was accepted by the Service of Kesehatan Riau.

”Saya got the report from the Service of Kesehatan Riau that results of the decisive Ibnu laboratory inspection positive tertular the flu virus burung,” said Dr Azizman Saad, Kepala Tim Doctor RSU Arifin Ahmad Pekanbaru, on Wednesday (1/4).

Separately, Kesehatan Riau Section Head Dr Mursal Amir said, his side will at once carry out the procedure continued to isolate the spreading of the illness in the environment of casualties's house. The isolation will be focussed on the community's poultry that it was suspected became the source of the illness.

Kesehatan Pekanbaru Section Head Dr Rini Helmiyati said, his side was ready to carry out observation in the field. ”Kami will carry out intensive observation towards the story of contact with korban,” Rini words.

Last March 23, Ibnu, the resident Street Kuantan VII Kota Pekanbaru, was treated in space of the bird flu isolation of RSU Arifin Ahmad, Pekanbaru. Generally, the Ibnu condition at that time filled the criterion and the characteristics as the suspect in bird flu. Apart from hot high, Ibnu also experienced laryngitis. Beforehand, Ibnu was treated in RS Ibnu Sina Pekanbaru for three days, but hot him never descended so as afterwards was reconciled to RSU Arifin Ahmad, that had special facilities for the bird flu patient.

Since being stated as the suspect's patient in bird flu, the Service of Pertanian Pekanbaru and the Service Peternakan Riau has carried out investigation to the poultry in the Ibnu house environment. In the investigation, the team included the laboratory member veteriner from Bukittinggi, West Sumatra.

Penelusuran

According to M. Firdaus, Kepala Seksi the Health of the Animal and Humankind of Veteriner Dinas Pertanian Pekanbaru, his team carried out investigation against poultries that it was suspected became the illness. The team took the sample of the poultry in the resident's housing until the piece poultry that was in restaurants around the Ibnu house.

Although still could not be ascertained died resulting from bird flu, the case of the Ibnu death began to show the new concern for the Riau community. During 2008, the case of bird flu might be it was said very minimal to be compared by the case during 2007. (LEGAL)

[Laidback Al]

A human cluster in Riau? It appears that the father and grandparents of Wahyu (the confirmed child in Riau) showed symptoms of possible infection and were treated in the hospital. Apparently, Haryono is still being treated in the hospital.

credits to mojo for the translation and bolding . . .

Thursday, April 02, 2009, 07:25:00
Family Rev. fell ill Summer Fever
Neighbors worry contracting Bird Flu

Reports MASHURI KURNIAWAN, Pekanbaru
The death of Rev. Ibn Saputra (2.9) fell ill a positive bird flu virus caused the family and neighborhood residents living around the home place was fear. They fear the bird flu virus infecting the area and they will swallow the victim again. Moreover, the deceased parents at this time, Haryono (42) experience symptoms of heat illness with fever fell dizzy.

Jalan Kuantan worries residents VII, RT 07, RW 04, Kelurahan Tanjung Rhu, District Limapuluh this disclosed Kasi Observation and Disaster Management Health Department (Diskes) to the SKM Naviri Pekanbaru Riau Pos, Rabu (1 / 4) in between the activities and conduct of identification observations on the deceased's house.

He also said, Tumirah (59) and Kadiran (67) who is deceased grandfather and grandmother also experienced symptoms of high fever and fell dizzy heat. Both also have had intensive treatment in hospitals Arifin Achmad.

Three people''Rev. deceased family (father, grandfather, and grandmother, red) had the disease have a high fever heat. One of them parents of the deceased at this time Haryono still getting intensive treatment and have checked the blood in the hospitals,''Naviri clear.

Naviri add, Diskes still do identisifikasi and location data in a bird flu virus mewabahnya to Saturday (11 / 4) future. Results of blood checks, diakuinya not known because it is still in check.

Meanwhile, the Head of Department of Agriculture (Kadistan) Pekanbaru, Sentot Djoko Prayitno explain, his side are doing depopulasi poultry house in the location deceased. Distan also taking action disinfectant in the location of the house is 100 meters radius.

''We have been disseminating to the public, not to keep poultry in the housing around the deceased. Distan akan perform direct destruction of poultry, when there are people who still maintain housing in the vicinity of the deceased Revelation,''he said with a firm tone. Activity is conducted, according to him, a step back mewabahnya prevention bird flu virus around the housing deceased.''We do not want to have more infected bird flu virus to humans,''he added while end.


link to original text: http://www.riaupos.com/main/index.ph...detail&id=5739

Kamis, 02 April 2009 , 07:25:00
Keluarga Wahyu Terserang Demam Panas
Tetangga Cemas Tertular Flu Burung


Laporan MASHURI KURNIAWAN, Pekanbaru
Kematian Wahyu Ibnu Saputra (2,9) yang positif terserang virus flu burung menyebabkan keluarga dan warga tetangga sekitar rumah tempatnya tinggal dilanda kecemasan. Mereka takut virus flu burung masih mewabah di wilayah mereka dan akan kembali menelan korban. Apalagi saat ini orangtua almarhum, Haryono (42) mengalami gejala penyakit demam panas disertai meriang.

Kecemasan warga Jalan Kuantan VII, RT 07, RW 04, Kelurahan Tanjung Rhu, Kecamatan Limapuluh ini diungkapkan Kasi Pengamatan dan Bencana Dinas Kesehatan (Diskes) Pekanbaru Naviri SKM kepada Riau Pos, Rabu (1/4) di sela-sela kegiatannya melakukan identifikasi dan observasi di rumah almarhum.

Ia juga mengatakan, Tumirah (59) dan Kadiran (67) yang merupakan kakek dan nenek almarhum juga mengalami gejala demam panas tinggi dan meriang. Keduanya pun sempat mendapatkan perawatan intensif di RSUD Arifin Achmad.

‘’Tiga orang keluarga almarhum Wahyu (ayah, kakek, dan nenek, red) pernah mengidap penyakit demam panas tinggi. Satu di antaranya yakni orangtua almarhum Haryono saat ini masih mendapatkan perawatan intensif dan sudah dicek darahnya di RSUD,’’ jelas Naviri.

Naviri menambahkan, Diskes masih melakukan identisifikasi dan pendataan di lokasi mewabahnya virus flu burung hingga Sabtu (11/4) mendatang. Hasil pengecekan darah, diakuinya belum bisa diketahui karena masih dalam pengecekan.

Sementara itu Kepala Dinas Pertanian (Kadistan) Pekanbaru, Sentot Djoko Prayitno menjelaskan, pihaknya sedang melakukan depopulasi unggas di lokasi rumah almarhum. Distan juga melakukan tindakan desinfektan di lokasi rumah warga yang berjarak radius 100 meter.

‘’Kita sudah mensosialisasikan kepada masyarakat, agar tidak memelihara unggas di sekitar perumahan almarhum. Distan akan langsung melakukan pemusnahan unggas, bila ada warga yang masih memeliharanya di sekitar perumahan almarhum Wahyu,’’ ujarnya dengan nada tegas. Kegiatan itu dilakukan, menurut dia, sebuah langkah pencegahan mewabahnya kembali virus flu burung disekitar perumahan almarhum.’’Kita tidak ingin ada lagi virus flu burung terjangkit kepada manusia,’’ tambahnya seraya mengakhiri.(yls)

[Dutchy]

From Bird Flu Information Corner

Pekanbaru, Riau update

April 2, 2009

Wahyu’s family are suffering for fever.

Fatality of Wahyu Ibnu Saputra (2,9) due to bird flu virus causes wary to family and neighbor. They afraid that virus is still circulating and taking lives. Particularly, victim’s parent, Haryono (42) is developing high fever.

This phenomena is mentioned by head of Monitoring and Disaster Section Health Service Pekanbaru, Naviri (Wednesday, 1/4) while her team was doing identification and observation in victim’s house.

She also mentioned, Tumirah (59) and Kadiran (67), victim’s grandparents were also developing high fever. They both had been treated intensively at Arifin Ahmad regional hospital. Meanwhile, victim’s father, haryono is still under intensive treatment. Hopsital have collected their blood samples for further test.

Naviri said health service is now doing data recording and identification around outbreak are is still ongoing. Agriculture service officers of Pekanbaru, Sentot Djoko Prayitno have done depopulation measures to chickens and disinfection to area within 100 meter from victim’s house.

Source: Indonesia local newspaper, Riaupos.

http://www.riaupos.com/main/index.ph...detail&id=5739

PEKANBARU – After the fatality of Wahyu Ibnu Saputra (2.5), resident of Jalan Kuantan VII RT 07/ RW 04 Kelurahan Tanjung Hru, Kecamatan Limapuluh because of bird flu virus infection, now Haryono, Victim’s father is reported having fever.

Haryono is having fever since last Tuesday, and family has brought him for medical check up. Fortunately, the test resulted Haryono was only developing common flu, said Azizman Saad, coordinator of Bird Flu eradication of Arifin Ahmad hospital, Pekan baru.

Post fatality follow up action are done by Health Service by collecting samples from 20 people who had close contact with Wahyu during hospitalisation before his death. They are including family and health workers of RS Ibnu Sina and RSUS Arifin Achmad.

Source: Indonesia local newspaper, Riauterkini.

http://www.riauterkini.com/sosial.php?arr=23622

===AvianInfluenzaIndonesia===

http://birdflucorner.wordpress.com/

[ironorehopper]

Indonesia, Riau. Toddler confirmed to have died of bird flu | The Jakarta Post

Toddler confirmed to have died of bird flu

Rizal Harahap , The Jakarta Post , Pekanbaru | Thu, 04/02/2009 3:17 PM | The Archipelago

Blood samples taken from two-and-a-half-year-old Wahyu Ibnu Saputra, who died last week in Pekanbaru, Riau, have tested positive for the bird flu virus, an official said on Wednesday.


Azizman Saad, coordinator of the bird flu prevention team at the Arifin Ahmad hospital in Pekanbaru, said confirmation that Wahyu died from bird flu had been received by the Riau Health Office several days ago.

"The victim is believed to have contracted the virus from dead chickens in his surrounding areas," Azizman told The Jakarta Post.

Indonesia's bird flu death reached 119 as of early this month, according to data from the national bird flu commission. Blood samples of patients believed to have been infected with the virus are usually sent to the Health Research Agency of the Ministry of Health in Jakarta.

Following the confirmation, Azizman urged Wahyu's family members and neighbors in Tanjung Rhu village, Pekanbaru to go to the nearest community health center to have a check-up.

"There has not been any evidence that the bird flu infection can be transmitted from human to human, but the case shows the bird flu outbreak took place in the victim's area. It's better for those who had made contact with the victim to go to the health center even though they do not have any health problems," he said.

Azizman explained that Wahyu was intensively treated for high fever and coughing and breathing difficulties in an isolated room at Arifin Achmad hospital.

"One day before he died, his condition was improving but, finally, his condition dropped and he fell unconscious. Six doctors tried to save his life, but to no avail," he said.

Azizman explained that before the disclosure of the laboratory tests Wahyu was believed to have died from multi-organ failure.

Rini Hermiyati of the Pekanbaru Health Office said she had assigned a team to observe the health condition of the victim's family members and at the same time make an inventory of neighbors who were in contact with the victim.

"No one has been found with symptoms of bird flu, but those having contact with the victims will be closely watched out for 21 days," Rini said.


The Pekanbaru Livestock Husbandry Office made the decision to cull chickens in the victim's surrounding areas to help curb the spread of the virus. "The number of chickens raised here is small," she said.

Meanwhile, Susi Herlinda, a member of the Pekanbaru Legislative Council, criticized the administration for its failure to anticipate the bird flu infection. The death of the victim showed the administration was not aggressive enough in campaign about the danger of bird flu, she said.

"It has become a habit of our people, everybody acts only after somebody falls victim to a certain diseases. The death of Wahyu should have been used as momentum to improve," she said."

Related institutions have to create awareness among the public about the danger of the bird flu," Susi added.
-

Toddler confirmed to have died of bird flu | The Jakarta Post

[HenryN]

Google translation:

Thursday, April 02, 2009, 07:25:00
Family Rev. fell ill Summer Fever
Neighbors worry contracting Bird Flu

Reports MASHURI KURNIAWAN, Pekanbaru
The death of Rev. Ibn Saputra (2.9) fell ill a positive bird flu virus caused the family and neighborhood residents living around the home place was fear. They fear the bird flu virus infecting the area and they will swallow the victim again. Moreover, the deceased parents at this time, Haryono (42) experience symptoms of heat illness with fever fell dizzy.

Jalan Kuantan worries residents VII, RT 07, RW 04, Kelurahan Tanjung Rhu, District Limapuluh this disclosed Kasi Observation and Disaster Management Health Department (Diskes) to the SKM Naviri Pekanbaru Riau Pos, Rabu (1 / 4) in between the activities and conduct of identification observations on the deceased's house.

He also said, Tumirah (59) and Kadiran (67) who is deceased grandfather and grandmother also experienced symptoms of high fever and fell dizzy heat. Both also have had intensive treatment in hospitals Arifin Achmad.

Three people''Rev. deceased family (father, grandfather, and grandmother, red) had the disease have a high fever heat. One of them parents of the deceased at this time Haryono still getting intensive treatment and have checked the blood in the hospitals,''Naviri clear.

Naviri add, Diskes still do identisifikasi and location data in a bird flu virus mewabahnya to Saturday (11 / 4) future. Results of blood checks, diakuinya not known because it is still in check.

Meanwhile, the Head of Department of Agriculture (Kadistan) Pekanbaru, Sentot Djoko Prayitno explain, his side are doing depopulasi poultry house in the location deceased. Distan also taking action disinfectant in the location of the house is 100 meters radius.

''We have been disseminating to the public, not to keep poultry in the housing around the deceased. Distan akan perform direct destruction of poultry, when there are people who still maintain housing in the vicinity of the deceased Revelation,''he said with a firm tone. Activity is conducted, according to him, a step back mewabahnya prevention bird flu virus around the housing deceased.''We do not want to have more infected bird flu virus to humans,''he added while end. (Yls)

http://www.riaupos.com/main/index.ph...detail&id=5739

[HenryN]

Map updated

http://maps.google.com/maps/ms?hl=en...58a4aeaf7a1f24

[Dutchy]

Originally Posted by niman

Google translation:

Thursday, April 02, 2009, 07:25:00

Family Rev. fell ill Summer Fever

Neighbors worry contracting Bird Flu

"Summer Fever " should be : "(very) hot fever" or "high fever".

[HenryN]

Commentary

http://www.recombinomics.com/News/04...rel="nofollow"

[Dutchy]

The family members who fell ill are monitored and treated; how many have flu-like symptoms is not clear. At least one parent of the deceased boy is treated in hospital, it is not clear if the grandparents are in hospital too.
Testresults are pending.


Wahyu Was Positive for Bird Flu, His Neighbours Are Worried

on April 02 2009

Pekanbaru (RiauInfo) - the Issuing produced by the laboratory test from Department of Health RI against the sample of blood of Wahyu Ms Saputra that said positive bird flu made his neighbours concerned.

Moreover at this time several of his family's members were attacked by the hot and breathless fever. The resident's concern Street Kuantan VII, Kelurahan Tanjung Rhu, of Kecamatan Limapuluh, Pekanbaru happened because they were frightened to be contaminated with the very deadly illness. "We were really concerned, moreover after seeing many members of the deceased's family currently have high fever," said Wisnu, one of the neighbours.

At this time Haryono (42) parent of the victim experienced high fever was accompanied felt feverish. So also Tmirah (59) and Kadiran (67) that are the grandfather and the deceased's grandmother also experienced high fever. Both of them could get the treatment in RSUD Arifin Achmad Pekanbaru.

The section head Observation and the Disaster of Dinas Kesehatan Pekanbaru Naviri SKM justified the existence of the family's member ari Wahyu Ms Saputra suffered from high fever. "One among them namely parents" of the "deceased Haryono at this time still was receiving the treatment in RSUD," he said.

At this time the Health Service was still carrying out the identification and data collection in the location became an epidemic him the bird flu virus untill Saturday (11/4).

Results of the checking of his blood until this was still not known. In the meantime the Service side of Pertanian Pekanbaru at this time carried out culling of the poultry in the location of Wahyu's house. Moreover the Animal Health Service also desinfecated the location of the residents house at a distance of the radius 1000 metre. (

http://www.riauinfo.com/main/news.php?c=6&id=8988

[AlaskaDenise]

Originally Posted by niman

Commentary

http://www.recombinomics.com/News/04...rel="nofollow"

Commentary

Suspect H5N1 Cluster in Riau Indonesia

Recombinomics Commentary 12:54
April 2, 2009

The death of Rev. Ibn Saputra (2.9) fell ill a positive bird flu virus caused the family and neighborhood residents living around the home place was fear.

the deceased parents at this time, Haryono (42) experience symptoms of heat illness with fever fell dizzy.

Tumirah (59) and Kadiran (67) who is deceased grandfather and grandmother also experienced symptoms of high fever and fell dizzy heat. Both also have had intensive treatment in hospitals Arifin Achmad.

*********************

Rini Hermiyati of the Pekanbaru Health Office said she had assigned a team to observe the health condition of the victim's family members and at the same time make an inventory of neighbors who were in contact with the victim.

"No one has been found with symptoms of bird flu, but those having contact with the victims will be closely watched out for 21 days," Rini said.

The above translation and comments present two very different views of the relatives of the lab confirmed fatal H5N1 infection of a toddler (3M) in Riau (see updated map). The local media notes that the father and two grandparents have had symptoms and have been hospitalized, and the father remains hospitalized. In contrast, the Jakarta Post states that no one has been found with "symptoms of bird flu", suggesting a very narrow definition is being use to make the claim.

This cluster is very similar to other clusters in Indonesia which involve lab confirmed fatal cases. In several instances relatives of the confirmed case died earlier, but were never tested. In other cases, relatives developed symptoms but recovered after treatment with Tamiflu, and were said to be H5N1 negative. In other instances, the earlier contacts were said to have died of other diseases that are associated with bird flu symptoms, such as lung inflammation, thyphus, or dengue fever.

These clusters in Indonesia continue to cause concern. Reporting of confirmed cases by WHO has ceased, as has the flow of sequence data from poultry or patients, even though Indonesia has reported the highest number of fatalities and the case fatality rate remains at 80%.

The inability of WHO to exercise oversight remains a hazard to the world's health.

.

[Readymom]

Can I ask a question?

In the past, hasn't there been a question of family transmission? Usually, it seemed to be mother-child or child-mother, with the occasional sibling. (Am I remembering incorrectly?)

This possible child and now father & grandparents is falling out of that pattern, right? Do we know if the grandparents are maternal or paternal? That's something else to know, in considering family transmission, correct?

Sorry, if this is too basic and I'm showing my ignorance in the science part of this ... but it came to mind, this afternoon.

Prepping ... yup, I'm decent at that. Science ... . -k

[HenryN]

Originally Posted by Readymom

Can I ask a question?

In the past, hasn't there been a question of family transmission? Usually, it seemed to be mother-child or child-mother, with the occasional sibling. (Am I remembering incorrectly?)

This possible child and now father & grandparents is falling out of that pattern, right? Do we know if the grandparents are maternal or paternal? That's something else to know, in considering family transmission, correct?

Sorry, if this is too basic and I'm showing my ignorance in the science part of this ... but it came to mind, this afternoon.

Prepping ... yup, I'm decent at that. Science ... . -k

The family genetics stories are fairy tales. There are several examples of transmissions that don't follow blood lines.

[HenryN]

AVIAN INFLUENZA, HUMAN (67): INDONESIA (RIAU), CONFIRMED
************************************************** ******
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 3 Apr 2009
Source: The Jakarta Post [edited]
<http://www.thejakartapost.com/news/2...-bird-flu.html>


Deceased toddler confirmed to have died of bird flu
---------------------------------------------------
Blood samples taken from the 2-and-a-half-year-old chld who died last
week [23-27 Mar 2009] in Pekanbaru, Riau, have tested positive for
the bird flu virus, an official said on Wednesday [1 Apr 2009].
Azizman Saad, coordinator of the bird flu prevention team at the
Arifin Ahmad hospital in Pekanbaru, that confirmation that the child
died from bird flu had been received by the Riau Health Office
several days ago. "The victim is believed to have contracted the
virus from dead chickens in his surrounding areas," Azizman told The
Jakarta Post. Indonesia's bird flu death [toll] reached 119 as of
early this month, according to data from the national bird flu
commission. Blood samples of patients believed to have been infected
with the virus are usually sent to the Health Research Agency of the
Ministry of Health in Jakarta.

Following the confirmation, Azizman urged the child's family members
and neighbors in Tanjung Rhu village, Pekanbaru to go to the nearest
community health center to have a check-up. "There has not been any
evidence that the bird flu infection can be transmitted from human to
human, but the case shows the bird flu outbreak took place in the
victim's area. It's better for those who had made contact with the
victim to go to the health center even though they do not have any
health problems," he said.

Azizman explained that the child was intensively treated for high
fever and coughing and breathing difficulties in an isolated room at
Arifin Achmad hospital. "One day before he died, his condition was
improving but, finally, his condition [deteriorated] and he fell
unconscious. Six doctors tried to save his life, but to no avail," he
said. Azizman explained that before the disclosure of the laboratory
tests the child was believed to have died from multi-organ failure.

Rini Hermiyati of the Pekanbaru Health Office said she had assigned a
team to observe the health condition of the victim's family members
and at the same time make an inventory of neighbors who were in
contact with the victim. "No one has been found with symptoms of bird
flu, but those having contact with the victims will be closely
watched out for 21 days," Rini said.

The Pekanbaru Livestock Husbandry Office made the decision to cull
chickens in the victim's surrounding areas to help curb the spread of
the virus. "The number of chickens raised here is small," she said.
Meanwhile, Susi Herlinda, a member of the Pekanbaru Legislative
Council, criticized the administration for its failure to anticipate
the bird flu infection. The death of the victim showed the
administration was not aggressive enough in campaign about the danger
of bird flu, she said. "It has become a habit of our people,
everybody acts only after somebody falls victim to a certain
diseases. The death of this child should have been used as momentum
to improve," she said. "Related institutions have to create awareness
among the public about the danger of the bird flu," Susi added.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[This is the 2-year-old child whose illness was reported 1st in
'Avian influenza, human (60): Indonesia (RI), susp. 20090325.1164,'
and death in 'Avian influenza, human (61): Indonesia susp.
20090326.1179.' It has now been confirmed that the 2-year-old had
contracted avian H5N1 influenza virus infection, probably as a result
of exposure to diseased poultry. - Mod.CP]

[A map showing the location of Riau is available at:
<http://encarta.msn.com/map_701515982/riau.html> - CopyEd.EJP]

[see also:
Avian influenza, human (65): Indonesia (West Java) susp. 20090331.1240
Avian influenza, human (62): Indonesia (West Java), susp. 20090328.1206
Avian influenza, human (61): Indonesia susp. 20090326.1179
Avian influenza, human (60): Indonesia (RI), susp. 20090325.1164
Avian influenza, human (53): Indonesia susp. 20090317.1085
Avian influenza, human (47): Indonesia, susp. 20090304.0882
Avian influenza, human (46): Indonesia, susp., Egypt, WHO conf. 20090303.0867
Avian influenza, human (44): Indonesia, Egypt susp. 20090301.0853
Avian influenza, human (43): Indonesia, susp 20090227.0818
Avian influenza, human (41): Indonesia, NOT 20090226.0798
Avian influenza, human (39): Indonesia, susp 20090223.0759
Avian influenza, human (35): Indonesia (BA), susp 20090212.0630
Avian influenza, human (26): Indonesia, not 20090130.0416
Avian influenza, human (25): Indonesia, susp. 20090128.0383
Avian influenza, human (16): Indonesia, susp 20090123.0297
Avian influenza, human (14): Indonesia, WHO 20090122.0280
Avian influenza, human (13): Indonesia 20090121.0265
Avian influenza, human (09): Indonesia, susp 20090118.0220]
...........................cp/ejp/mpp

[Readymom]

Thank you Dr. N. I know I read that occasionally, and wasn't sure. -k

[Dutchy]

From Bird Flu Information Corner; More on "What is KLB" here:http://www.flutrackers.com/forum/showthread.php?t=83498

Pekanbaru, Riau ::: Exceptional bird flu status (KLB)

April 3, 2009

Pekanbaru, Riau – Health service of Pekanbaru announced exceptional bird flu status (KLB) on neighborhood of bird flu victim, Wahyu Ibnu Saputra (2.9), Jalan Kuantan Jalan Kuantan VII, RT 7, RW 4, Kelurahan Tanjung Rhu, Kecamatan Limapuluh. Health service conducts three standard programs for prevention of bird flu virus spreading.

Actions taken are: Area monitoring to Jalan Kuantan VII, RT 7, RW 4, Kelurahan Tanjung Rhu, Kecamatan Limapuluh; Proclaiming bird flu alert status to people who had contact history with victim; and Giving tamiflu and hospital recommendation to people who develop high fever.

This is mentioned by Pekanbaru health service officer, dr Rini Hermiyati Thursday (2/4). For this prevention purpose, Health service is working together with Agriculture service Pekanbaru.

“People with high fever will receive Tamiflu administration and recommendation for regional hospital. This is done for bird flu exceptional circumstances status areas”, said Rini. Investigation and preventive measures will be done for 30 days started from Monday (30/3) to neighborhood 500 meter around victim’s house.

Bird flu H5N1 virus has killed 3 people in Riau since 2007. Two fatalities reported in 2007 at Kecamatan Rumbai and Marpoyan Damai; and one fatality in 2009 at Kecamatan Lima Puluh.

Source: http://www.riaupos.com/main/index.ph...detail&id=5875
===AvianInfluenzaIndonesia===

http://birdflucorner.wordpress.com/

[Dutchy]

Warning, Google translated

One suspect bird flu patient is waiting for testresults for the moment in Riau Province. A boy 15 - SP - 15 years old.

My feeling is: things go better in Riau, 2 years ago there were dozens of suspect cases in Riau.

Health Service and Livestock Service seem to act fast. Still no ideal situation ofcourse, but I don't see any reason to panic.




During 2009, 9 suspect Bird Flu Cases in Riau

Apr 03, 2009


PEKANBARU (RiauInfo) - Since the beginning of January 2009, in Riau have occurred nine suspect cases of bird flu. From each case, 1 of them died, 1 case is awaiting the results of research from Jakarta. While the rest expressed a negative bird flu.

Staff Surveilanc Bird Flu Public Health Pebliaji Riau Province, said that when the work is found in the room Cut Nya Dien road. Individual cases are, Pekanbaru 1 person, 2 people Siak, Rohul 1 person, Dumai Pelalawan 3 people and 2 people.

To Pekanbaru, bird flu patients in the name of Ibn Sahputra Revelation which is still the age of 2.9 years had died some time ago. Victim has been declared positive after a blood sample through the test in Jakarta.

To Pelalawan, precisely in the village Sekijang, men aged 15 years with the initials SP at this time also stated suspect bird flu. However, to determine whether SP is completely positive, at this time are still awaiting test results on blood samples.

TT of the previous bolded text:

For Pelalawan, to be precise in the village A Kijang, the man was 15 years old with initials SP at this time also was stated suspect bird flu. However to confirm whether SP really positive, at this time still was waiting for results of the testing of the sample of blood in Jakarta.


Meanwhile, the rest as Dumai, Rohul and Siak dinyatatakan have negative bird flu, he said. light

Along with this, Pebliaji urge to avoid bird flu, people must maintain health seoptimal possible. For example, with eating chicken that is cooked perfectly correct, that is, the water temperature 100 degrees centigrade. Then do not expect too much in contact with poultry, the ducks would also chicken.

Dijelaskannya, of chicken can ketara melalaui characteristics such as sudden death. However, to duck the fact, not physical it is visible there is a problem, but the duck indeed potentially transmit the virus to human physical contact in a way is directly.

"Itik more dangerous than the chicken. If the chicken can be seen from the characteristics, such as sudden death and other characteristics. However, if the ducks, physical feel OK no problem. However, ducks are more potentially transmit the virus to bird flu, he said.

On the one hand, Pebdiaji also urge the public including the media, to not use the term suspect bird flu. For a discussion of the results Diskes ago in 2008, assessed the public hearing trauma. In the case says suspect is not a presumption term sentence. (

http://www.riauinfo.com/main/news.php?c=6&id=9001

[Dutchy]

New suspect human bird flu case in a Sukabumi Hospital.

Sukabumi is West Java, there is a dedicated bird flu hospital: RSU(Public Hospital) R.Syamsudin, SH Sukabumi



Hundreds of chickens in Cianjur died, attacked by Bird Flu

on Friday, April 03 2009

Cianjur -- MI: the Peternakan Service, Perikanan and Marine Kabupaten Cianjur, confirmed that the poultry that died in four subdistricts, as a result of the virus avian influenza (AI) or bird flu.

At least 132 chickens were found died suddenly in the period several last days in four territories, respectively the Mande Subdistrict, Sukaluyu, Cilaku, and Campaka. Whereas 12 tails among them, were based on results rapid test (the fast test) was stated positive was infected by the bird flu virus.

These results were reinforced with the existence of the resident who it was suspected was infected by this virus. Ade (50), one of the residents of the Cikeukeup Village, Desa Cidadap, of Kecamatan Campaka, it was suspected was infected by the AI virus.

His article, was based on results of the report on the official participatory diseas survailance and the response (PDSR), he suffered the sign that headed in suspect AI. Meski Demikian, Dinas Peternakan, Perikanan and Marine, still could not conclude whether the sign that was experienced by Ade headed in suspect AI or not.

The head of the Kesehatan Field of the Animal and the Verteriner Masyarakat Dinas Peternakan Health, Perikanan and Marine Kabupaten Cianjur, Ir Adiyanto Wahidin, justified this matter.

Hundreds of tails of the chicken that died suddenly this was spread in four subdistricts. In the Cidamar Village, Desa Bobojong, Kecamatan Mande, the number of chickens that died totalling 76 tails. The village of Cikeukeup RT 06/09, the Cidadap Village, the Campaka Subdistrict (26 tails), in the Kamiran Round Village, the Selajambe Village, the Sukaluyu Subdistrict (23 tails). And in the Rahong Village, Desa Munjul, Kecamatan Cilaku (7 tails).

From results rapid test that was carried out in four subdistrict territories, totalling 12 chickens among them that was in the Mande Subdistrict, Sukaluyu, and Campaka, was stated positive, he said.

Whereas in the Rahong Village, Desa Munjul, Kecamatan Cilaku, results rapid test against two tails of the chicken carcass was stated by the negative.

He confirmed the existence of the report from the officials PDSR that mentioned that one of the residents was in the Cikeukeup Village expected to be infected with the virus of AI. According to him, this resident was getting the maintenance in one of the hospitals in Sukabumi.

"Indeed was based on his report, he experienced the sign that headed in the infection of AI. But this was not yet certain, because still in the inspection," he said.

For the process of his handling according to him hundreds of tails of the poultry that experienced this sudden death most had been buried and burnt (depopulation), to deminish the spreading of this virus .

http://www.mediaindonesia.com/read/2...ng_Flu_Burung_

[Laidback Al]

In this news report two additional individuals in Pekanbaru, Riau, are showing signs of possible influenza. They lived about 500 m (about 1/3 mile) from Ibn Wahyu Saputra (the young child who was confirmed with H5N1 and died on March 26). It is not clear if these two people are the grandparents of Ibn Wahyu Saputra who have been reported as showing symptoms as noted in a post up above.

Credits to mojo for the translation and bolding.

Saturday, April 04, 2009, 07:07:00
More, Dead Poultry Mendadak

PEKANBARU (RP) - Based on the findings of Public Health (Diskes) Pekanbaru Friday (3 / 4), found two people fell ill on the road Rejosari fever heat. Officers also found two chickens that died suddenly poultry. This location is just 500 meters from the place of Ibn Wahyu Saputra, victims of bird flu.

But Kasi Observation and Disaster Diskes Pekanbaru, SKM Naviri can not ensure that the birds died suddenly with this because if the bird flu virus.

Identisifikasi still need to be more about the death of this bird.

Identisifikasi''in the field, we have the findings of the two residents fever heat. From the results of the health check, only two people this fever are common. But we still give tamiflu drug,''said Naviri to Riau Pos, Friday.

According to him, the death of Revelation are very psychological impact on the residents. Most residents feel fear again mewabahnya bird flu virus in humans. These problems are diminimalisir by the City Government (Pemko) Pekanbaru.

Diskes as institutions that have any obligation to do prevention, continued, until Saturday (11 / 4) future, Diskes akan conduct in the supervision. Home residents, especially the distance of 500 meters.

''Agriculture and Public Health Pekanbaru given the task to handle specific problems this bird flu virus. Distan also make your own disinfectant and depopulasi, housing residents who have poultry,''he said.

http://www.riaupos.com/main/index.ph...detail&id=5983

[Dutchy]

Snip from Jakarta Post, april 4 2009

quote from Coordinator of Surveillance and Monitoring at the National Commission on Bird Flu Control and Awareness on Influenza Pandemic (Komnas FBPI) Heru Setijanto ,


Data at the Health Ministry showed 121 of the 145 patients diagnosed as infected with the virus had died, a very high fatality rate.

http://www.thejakartapost.com/news/2...ightening.html




Full report from Jakarta Post here: http://www.flutrackers.com/forum/showthread.php?t=98604


Disclaimer: Jakarta Post is not always accurate in their details, so handle with care.

[HenryN]

Updated map

http://maps.google.com/maps/ms?hl=en...,0.671539&z=10

[Dutchy]

Originally Posted by Laidback Al

In this news report two additional individuals in Pekanbaru, Riau, are showing signs of possible influenza. They lived about 500 m (about 1/3 mile) from Ibn Wahyu Saputra (the young child who was confirmed with H5N1 and died on March 26). It is not clear if these two people are the grandparents of Ibn Wahyu Saputra who have been reported as showing symptoms as noted in a post up above.

Credits to mojo for the translation and bolding.

Saturday, April 04, 2009, 07:07:00
More, Dead Poultry Mendadak

PEKANBARU (RP) - Based on the findings of Public Health (Diskes) Pekanbaru Friday (3 / 4), found two people fell ill on the road Rejosari fever heat. Officers also found two chickens that died suddenly poultry. This location is just 500 meters from the place of Ibn Wahyu Saputra, victims of bird flu.

But Kasi Observation and Disaster Diskes Pekanbaru, SKM Naviri can not ensure that the birds died suddenly with this because if the bird flu virus.

Identisifikasi still need to be more about the death of this bird.

Identisifikasi''in the field, we have the findings of the two residents fever heat. From the results of the health check, only two people this fever are common. But we still give tamiflu drug,''said Naviri to Riau Pos, Friday.

According to him, the death of Revelation are very psychological impact on the residents. Most residents feel fear again mewabahnya bird flu virus in humans. These problems are diminimalisir by the City Government (Pemko) Pekanbaru.

Diskes as institutions that have any obligation to do prevention, continued, until Saturday (11 / 4) future, Diskes akan conduct in the supervision. Home residents, especially the distance of 500 meters.

''Agriculture and Public Health Pekanbaru given the task to handle specific problems this bird flu virus. Distan also make your own disinfectant and depopulasi, housing residents who have poultry,''he said.

http://www.riaupos.com/main/index.ph...detail&id=5983

TT translation of the part on the two with fever:

Identisifikasi we in the field indeed had the findings of two residentswith high fever. From results of the health cheque, two people of only common fevers then. But we continued to give medicine tamiflu,’’ said Naviri to Riau Pos, on last Friday.

In the present local situation with a "KLB" (Health Emergency), chickens found dead and people who are worried, everyone with a fever is checked and it is understable Tamiflu is administered, even in cases of "normal flu" .

I do not see indications here for a H2H spread of avian flu.

[HenryN]

Commentary

http://www.recombinomics.com/News/04...ter_Grows.html

[AlaskaDenise]

Originally Posted by niman

Commentary

http://www.recombinomics.com/News/04...ter_Grows.html

Commentary

Suspect H5N1 Cluster in Riau Indonesia Grows

Recombinomics Commentary 07:54
April 4, 2009

Public Health (Diskes) Pekanbaru Friday (3 / 4), found two people fell ill on the road Rejosari fever heat. Officers also found two chickens that died suddenly poultry. This location is just 500 meters from the place of Ibn Wahyu Saputra, victims of bird flu.

From the results of the health check, only two people this fever are common. But we still give tamiflu drug,''said Naviri to Riau Pos, Friday.

The above translation identifies two more people with fevers who live near the confirmed toddler. Since they were identified during a canvassing of the area (see updated map), it seems unlikely that these two residents are the grandparents or father of the index case. The father was said to have been still in the hospital, while the grandparents were said to have had symptoms earlier. The two most recent cases have links to dead poultry and have been given Tamiflu, although H5N1 confirmation has not been obtained yet for the poultry or the neighbors. However, confirmation of bird flu in non-fatal cases in Indonesia is rare.

.

[Shiloh]

Source: http://bandung.detik.com/read/2009/0...ect-flu-burung

Sabtu, 04/04/2009 18:04 WIB
RSHS Kembali Rawat 2 Suspect Flu Burung
Tya Eka Yulianti - detikBandung

Google translation:
Saturday, 04/04/2009 18:04 WIB
Back Care RSHS 2 suspect Bird Flu
Eka Yulianti Tya - detikBandung

Bandung - Back Hasan Sadikin Hospital (RSHS) Bandung accept two patients with suspected bird flu. Second patient is a resident Cipatat, West Bandung regency, and one family.

According to the Chairman of the Handling of Bird Flu, dr Hadi Yusuf, patient A (26) and F (14 days) is a recommendation from a health clinic in Cipatat. Both found the history of contact with poultry.

"Chicken neighbors who have died suddenly, ditakutkannya affected by bird flu," said Hadi.

Furthermore Hadi, said the two patients when entering RSHS in high heat conditions, along with coughing. "But there is not crowded (breath)," said Hadi.

Currently, both patients are treated in the room Flamboyan RSHS Bandung. Hadi said the condition both in good condition and not installed bantu respiratory equipment.

[Treyfish]

RSHS Rawat Ayah and the Child Suspect Flu Burung Bandung


04/04/09 20:01 (Antara News) - Great (25) and Firman (14 months), the Father and the child of the Village of the Village Stop of Cipatat RT01 RW04 of the resident's uterus the Bandung Regency West be forced in treated in RSHS Bandung because susfect (was expected) Bird Flu. The head of the Cipatat Community Health Centre, drg Wahyu, on Saturday, said, before being reconciled to RSHS Bandung, yesterday (3/4) Great and Firman could receive the maintenance from his side. "Beforehand we indeed came to the father's residence Firman and after being checked indeed had affected signs" of "bird flu like the cough, breathless and feverish," he said. According to him, knew the existence of signs of bird flu, his side at once reconciled Firman to RSHS Bandung to get the maintenance was more intensive. The "night yesterday, around struck 09,30 nights, we brought Firman to RSHS Bandung whereas his child of Firman was carried this morning around 10.00 the morning" he said. He explained, on the Monday (30/3) then, his side got the report from the Kesehatan Service of the Regency Bandung Barat that in the area of the Halte Village often was found by the chicken died suddenly. On "last Monday, Dinas Kesehatan carried out the surprise inspection to the Halte Village related the report" on the "resident who stated many chickens died suddenly," said drg Wahyu. Knew this matter, the Kesehatan Service and Livestock Breeding of Kabupaten Bandung immediately did penyemporatan the liquid disinfektan in the Halte Village. At this time, the two patients susfect bird flu was from this Halte Village treated in Poinciana Tree space of RSHS Bandung. The side of RSHS Bandung, went through the Team of the Handling of Bird Flu, Dr Hadi Yusuf confirmed that there is two patients susfect bird flu from Cipatat, Kabupaten Bandung Barat in treated in Poinciana Tree space of RSHS Bandung. It was "true that had the new patient suspect bird flu that in treated here, his initials of A his age" 25 years and F his age 14 months, both of them that the father and the uterus child," he said short. He explained, that two patients could carry out direct contact with the poultry in his residence that died suddenly. The "poultry in the patient's residence many that died, suddenly, were frightened by them was affected by bird flu," said Dr Hadi.

[sharon sanders]

Originally Posted by Dutchy

Snip from Jakarta Post, april 4 2009

quote from Coordinator of Surveillance and Monitoring at the National Commission on Bird Flu Control and Awareness on Influenza Pandemic (Komnas FBPI) Heru Setijanto ,


Data at the Health Ministry showed 121 of the 145 patients diagnosed as infected with the virus had died, a very high fatality rate.

http://www.thejakartapost.com/news/2...ightening.html




Full report from Jakarta Post here: http://www.flutrackers.com/forum/showthread.php?t=98604


Disclaimer: Jakarta Post is not always accurate in their details, so handle with care.

Dr. Nasr (Assistant Minister of Health for Egypt - Fla1) said Mr. program Good Morning Egypt on Saturday morning that a number of countries do not have a true and accurate monitoring of the disease also has a media blackout, such as China and Indonesia.


http://www.flutrackers.com/forum/showthread.php?t=98623