INDONESIA - Garut Cluster Part II

[HenryN]

Re: INDONESIA - Garut Cluster Part II

Bird flu in Garut Not the 'Cluster' Case Jakarta -- MIOL: Health Minister Siti Fadilah Supari stated the case of bird flu (Avian influenza/AI) that happened in Garut, West Java, could not be said as the case of gathering bird flu (cluster)."Not and it is hoped did not have the case cluster again," said the Health Minister in Jakarta, on Saturday, in the appointment gap of the Primary School (the PRIMARY SCHOOL) Red White, the free school for the child from the family not more well-off.According to him, till at this time the specimen several patients that it was suspected was infected by the virus H5N1 in this regency still was checked in the national laboratory.In the meantime, Pengendalian Breakingprep Penyakit Director General and Sanitation of the I Nyoman Kandun Health of the Department's Environment explained this case could not be mentioned cluster because of not happening when almost simultaneously and the location of his incident was far apart mutually."His incident was different the far day and the distance remained at him was far," he said.It was further that he said that at this time the total was met by nine cases of bird flu in the Garut Regency.Two cases among them that happened to a man had the initials U was 17 years old (lived) and the daughter was 9 years old had the initials the HOPE (died), was stated positive the bird flu infection according to the national laboratory inspection.Two other patients, I (5) and S (6), was stated was not infected by the bird flu virus (RT-PCR the negative) and till at this time still was treated in the Handsome Hospital of Sadikin Bandung.Whereas four patients suspect other bird flu in Garut that consisted of the man have the initials M. (20), the woman had the initials EL (35), the daughter had the initials R (13), the male child had the initials S (4) died before could be taken his sample to be checked.The department of the Health personally, said he, did not yet get information about a female patient had the initials K (32) that also it was suspected was infected by the bird flu virus.While the total positive case of bird flu in Indonesia, according to Kandun, till at this time was total totalling 61 cases and 46 including resulting in the death.The positive patient newest bird flu was a daughter had the initials NA (6 years 3 months).The citizen of the Hut composed Bekasi</PRE>
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http://www.mediaindo.co.id/berita.asp?id=109234</PRE>

[HenryN]

Re: INDONESIA - Garut Cluster Part II

Two Again the Citizen Cikelet, Garut Suspect Bird Flu

the writer: SugengBandung --

MIOL: two villagers Cikelet, the Cikelet Subdistrict, of the Garut Regency, again must be run off with to the hospital because of being expected tertular the bird flu virus.

Risman, 5, the citizen of the Rancamareme Village, was treated in RSUD Dr Slamet, Garut, Saturday, and Kuraesin, 35, the citizen of the Beura Paddy-field Village, the Cikelet Village, must be sent to RSHS Bandung, on Friday night (18/8).

The fall two casualties increased long the list of the patient suspect and confirm bird flu from Cikelet, a village was isolated that be at a distance 15 Km from the Cikelet Subdistrict City or 130 Km to the south of the centre of the Garut City.

Beforehand, five citizens must be treated, two including dying.Two casualties were ascertained positive terjangkit bird flu, namely Umar, 14, and Ai Siti the message, 9.Ai died in the maintenance, now Umar could be helped and his condition continued to improve.Three other casualties, Euis Lina, 34, died in the maintenance, now Ismawati, 6, and Santi, 5, still was treated in RSHS Bandung.The Ismawati condition and Santi, on Saturday, have improved, and results of the temporary laboratory inspection named both of them the bird flu negative."But, that results of the temporary inspection."We were still being waiting for results of the further inspection, because of having a basis the photograph toraks, to Ismawati was found by the existence of pneumonia, explained the Managing Director RSHS Cissy Rachiana the officer.While the Kuraesin condition has also begun to be stable.Only the team of the handling of RSHS bird flu must work hard, because of this woman in the condition to be pregnant 3.5 months."In treating Kuraesin, we also involved the obstetrician."Hopefully the condition for his content continued to be able to be awakened good, stated Cissy.In the meantime, the Section Head the West Javanese Health of Yudi Prayuda revealed casualties suspect bird flu in Cikelet in fact has happened since early last August.However, this case just began to be detected, when Umar was stated positive bird flu early last week.


Beforehand, three other casualties, the Lamp and Rubiyah, both of them the full sibling Risman, and Dea Amalia, 9, the uterus child Euis Lina, died.At that time, the three casualties were diagnosed was affected by the inflammation typhus, but gazed at his death experienced shock and breathless difficult.

With the fall of casualties resulting from bird flu in Cikelet, the patient suspect and confirm bird flu in West Java became 108 cases, with 31 deaths.Totalling 21 positive patients terjangkit bird flu and 17 including dying, whereas suspect numbering 77 people with 14 deaths."Casualties suspect and positive bird flu in West Java spread in 18 regencies and the city."Positive casualties were found in nine territories, namely the Regency and the Bekasi City, Sumedang, the Bandung Regency, Bogor, Indramayu, Depok, Tasikmalaya and Garut, said the Section Head West Javanese Sanitation of the Environment of the Health Service, Udeng the Sheet.In Cikelet, Garut, the spreading of bird flu happened in five villages, namely Jojok, Rancasalak, Cigandok, the Dark Red Paddy-field and Tipar.This spreading made the West Javanese Health Service immediately sent the Tamiflu addition to Garut totalling 380 doses."Especially for Puskemas Cikelet, where almost all the patients came from the village, Tamiflu supplies were increased by 300 doses."In West Java, we were still having supplies 400 doses, added Udeng.Officially West Javanese Livestock Breeding that at once carried out the taking of the sample of poultry blood in Cikelet, found three from 14 poultries that were researched positive contracted bird flu.One of the positive poultries was kept parents Umar."We have carried out depopulation against 165 poultries in Rancasalak and 270 in Jojok as well as Rancamareme."We also broke closed tranportasi the poultry in Cikelet for one month, flat Kasubdin Sanitation of the Animal of the Livestock Breeding Service West Javanese Nana M. Adnan.(SG/EM/Ol-03)
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http://www.mediaindo.co.id/berita.asp?id=109206


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[Theresa42]

Re: INDONESIA - Garut Cluster Part II

Two Again the Citizen Cikelet, Garut Suspect Bird Flu

the writer: SugengBandung --

Beforehand, three other casualties, the Lamp and Rubiyah, both of them the full sibling Risman, and Dea Amalia, 9, the uterus child Euis Lina, died.At that time, the three casualties were diagnosed was affected by the inflammation typhus, but gazed at his death experienced shock and breathless difficult.

http://www.mediaindo.co.id/berita.asp?id=109206

"The Lamp" is Misbah -- Umar's cousin -- right??

Edit: Guess it could be another Misbah.

[Theresa42]

Re: INDONESIA - Garut Cluster Part II

the daughter had the initials R (13)

Rubiah (hat-tip, Soylent Blue).

[Theresa42]

Re: INDONESIA - Garut Cluster Part II

It sounds like we could have 4 siblings from one family sick/dead (2 sick, 2 dead):

Misbah (20M) - Rancasalak, Cikelet village - Umar's cousin - not confirmed - dead

Rubiyah (13F?) -- dead

Risman (5) -- the citizen of the Rancamareme Village -- in hospital

Another sibling?:

Dinkes West Java with Tim [team] the Department of the RI Health, also carried out the taking of the sample of the citizen's blood with the sign of the fever and breathless. Two including being the sibling the Rubiah who has died.

One is, presumably, Risman. That means there should be one more.

No clusters, eh?

[MHSC]

Re: INDONESIA - Garut Cluster Part II

Risman, 5, the citizen of the Rancamareme Village

Beforehand, three other casualties, the Lamp (Misbah?) and Rubiyah, both of them the full sibling Risman, and Dea Amalia, 9, the uterus child Euis Lina, died.

I think Risman is Euis Lina's child, but Risman lives in a different village. Risman may be one of the unnamed 3.

Whereas four patients suspect other bird flu in Garut that consisted of the man have the initials M. (20), the woman had the initials EL (35), the daughter had the initials R (13), the male child had the initials S (4) died before could be taken his sample to be checked.The department of the Health personally, said he, did not yet get information about a female patient had the initials K (32) that also it was suspected was infected by the bird flu virus.

I think the R(13F) listed here may be Risman, maybe Risman was married that is why she lived in another village? Don't they marry young in Indonesia?

Do we have an S age 4 that died? Santi is 8 and still alive, so is S(4) also one of the unnamed three?

Edit: I just saw your post Theresa, it's a good thing you are here!



I'm so confused!

[MHSC]

Re: INDONESIA - Garut Cluster Part II

Maybe the S(4) is the other sibling?

[Theresa42]

Re: INDONESIA - Garut Cluster Part II

Beforehand, three other casualties, the Lamp (Misbah?) and Rubiyah, both of them the full sibling Risman, and Dea Amalia, 9, the uterus child Euis Lina, died.

I think this reads 3 deaths -- Misbah, Rubiyah and Dea Amalia. Misbah & Rubiyah are both siblings of Risman (5) -- Dea is the child of Euis Lina.

Signed,
Also Confused (aka T42) :P

[HenryN]

Re: INDONESIA - Garut Cluster Part II

Maybe the S(4) is the other sibling?

Yes, Risman's two siblings that died July 31 and August 1 are Rubia (R) and Sardi (S), (and I think a 4th sibling is still at home with symptoms).

[MHSC]

Re: INDONESIA - Garut Cluster Part II

Bird flu cases in Garut not cluster: minister



Jakarta (ANTARA News) - Health Minister Siti Fadilah Supari said the bird flu cases which were found in Garut district, West Java, were not a cluster case.

"No, it is not. We hope we would find no longer a cluster case in bird flu in Indonesia," the minister said on the sidelines of the inauguration of an elementary school designed for children from poor families.

The minister said that the specimen of a number of bird flu suspected patients was still examined at a national laboratory.

In the meantime, Director General for Disease Control and Sanitation I Nyoman Kandun said that the Garut cases could not be categorized as a cluster case because it happened in separate places and was not simultanous.

"It happened on different days and are far from each other," Kandun said.

He said at present there were nine cases of bird flu in Garut. Two of them, a 17-year old man identified as U and a girl identifed as ASA (9) (died) were said to be positive bird flu virus carriers.

Two other patients, I (5) and S (6) were said tested negative but they were still hospitalized at Hasan Sadikin Hospital in Bandung, West Java provincial capital.

Four other suspects in Garut, a man initialled M (20), a women initialled EL (35), a girl R (13) and a boy S (4) have died before health official were able to take the sample of their blood.

He said that Ministry of Health had not yet obtained explanations on a woman initialled K (32) who was suspected she was suffering from bird flu.

The director general said that the number of confirmed bird flu cases in humans in Indonesia had up to now reached 61 people, 46 of whom died.

The most recent bird flu case involved a girl initialled NA (6). She was a resident of Pondok Cipta housing in Bekasi, West Java. (*)<!-- google_ad_section_end -->

Copyright ? 2006 ANTARA
August 19, 2006 23:48

http://www.antara.co.id/en/print/index.php?id=18518

[Theresa42]

Re: INDONESIA - Garut Cluster Part II

Yes, Risman's two siblings that died July 31 and August 1 are Rubia (R) and Sardi (S), (and I think a 4th sibling is still at home with symptoms).

And they're all siblings of Misbah (Umar's cousin)?

[MHSC]

Re: INDONESIA - Garut Cluster Part II

Hospital in Bandung treats more patients suspected of having bird flu BANDUNG (Antara): Hasan Sadikin Hospital in the West Java capital of Bandung is now treating three patients suspected of having contracted bird flu, after another villager of Cikelet in Garut regency was admitted to the hospital late Friday.


"The latest patient, who is 14 weeks pregnant, was admitted to the hospital at 7:30 p.m. Friday," hospital president director Hadi Yusuf was quoted by Antara news agency as saying Saturday.


He said that the house of the latest patient was close to another bird flu patient who died recently.


A woman died Thursday night - three hours after being admitted to a hospital in Garut. The hospital is awaiting laboratory test results to see if she had contracted the virus.
Cikelet is a village, some 150 kilometers southeast of Jakarta, where at least one person died of the disease and another fell ill. Four other people died before tests could be taken to see if they had bird flu.


The H5N1 virus has killed at least 140 people worldwide since it began ravaging Asian poultry stocks in late 2003 - 46 of them in Indonesia, the world's worst affected country, according to the World Health Organization. (**)

http://www.thejakartapost.com/detaillgen.asp?fileid=20060819162156&irec=0

[Theresa42]

Re: INDONESIA - Garut Cluster Part II

Yes, Risman's two siblings that died July 31 and August 1 are Rubia (R) and Sardi (S), (and I think a 4th sibling is still at home with symptoms).

How do you know Sardi (S) is a sibling of Risman & Rubia?

[MHSC]

Re: INDONESIA - Garut Cluster Part II

Health authorities widen bird flu probe <table style="width: 405px; height: 44px; background-color: rgb(255, 255, 255);" cellpadding="0" cellspacing="0"> <tbody><tr> <td style="width: 360px;" class="caption">
August 19 2006 at 12:20PM </td> </tr> <tr><td colspan="2" style="height: 1px; background-color: rgb(204, 204, 204);">
</td></tr> </tbody></table> Health authorities in Indonesia widened on Saturday an investigation into a potential bird flu cluster in West Java to include nine people, five of whom have already died.

Forty-five people have already died of the H5N1 strain of bird flu in Indonesia, making the archipelago nation the world's hardest hit by the virus, with outbreaks showing no sign of slowing down.

The nine in the potential cluster come from remote Cikelet, a group of villages in West Java's Garut district. Two of the nine have been confirmed as contracting bird flu. One died and another has since recovered.

Of the four other dead, three were not tested for the virus.

"There is no proof so far (of a cluster case), but we're still continuing our investigations," Runizar Roesin of the bird flu information centre said.

An expert team from the health ministry and the World Health Organisation (WHO) were sent to the area on Thursday to check whether human-to-human transmission of the virus had occurred.

Cluster cases heighten the chance of the virus mutating to become easily transmissible between humans. Scientists fear this could spark a global flu pandemic, with the potential to kill millions.

Three suspected cases have been hospitalised in the provincial capital of Bandung, Roesin said. Patients identified as Isma, aged five, and Santi, six, were admitted Thursday, while pregnant Kuraesin, 30, joined them Saturday.

The confirmed death was a nine-year-old girl, Ai Siti Aminah, while Umar Aep, 17, has recovered from his infection despite his refusal to be hospitalised, Roesin said.

"He is happy in his village and he has recovered," he said.

The four as yet unconfirmed deaths occurred over the past month - most recently 35-year-old Euis Lina on Thursday, Roesin said.

The three buried before testing could be carried out were a four-year-old boy who died on July 31, a 13-year-old girl who died on August 1, and Misbah, the 20-year-old cousin of Aep who died on August 5, he said.

The WHO said Misbah was "strongly suspected" of H5N1 infection but said human-to-human transmission between him and his cousin was "highly improbable".

Authorities await test results for Lina.

Roesan said that most of the nine came from four villages which were only one to two kilometres (half to one mile) apart in an area difficult to reach by road.

The WHO has said that recent poultry die-offs in the area were reported. This increases the likelihood the infections were spread by birds rather than between humans.

The UN's food organisation warned this week that bird flu was now endemic in parts of Asia. - Sapa-AFP

http://www.int.iol.co.za/index.php?set_id=14&click_id=117&art_id=qw1155973142479S124

[HenryN]

Re: INDONESIA - Garut Cluster Part II

I think this reads 3 deaths -- Misbah, Rubiyah and Dea Amalia. Misbah & Rubiyah are both siblings of Risman (5) -- Dea is the child of Euis Lina.

Signed,

Also Confused (aka T42) :P

There are 4 families with multiple victims.

Risman has two dead siblings (Rubia-4M and Sardi-13F) and maybe one more at home with symptoms.

Euis Lina (35F) has died as has her daughter Dea (9F)

Umar Aup (17M), H5N1 positive, has survived, but his cousin, Misbah - 20M) has died

Ai Siti (9F), H5N1 positive) has died, but her cousin and playmate are hospitalized (with false negatives)

Thus, all four who died without testing are part of clusters which have H5N1 positive or hospitalized members.

There are FOUR familial clusters.