H5N1 Individual Case Report
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caseid: 425
Country: Indonesia
City and Region: Pondok Cipta housing in Bekasi, West Java
Name: Nursifa (NA)
Sex: F
Age: 6
Symptom onset:
Hospital Admission: 8/18/2006
Death:
Outcome:
WHO confirmed: No
Report Hyperlink
8/18/2006 http://www.flutrackers.com/forum/sho...1&postcount=24
8/20/2006 http://news.xinhuanet.com/english/20...nt_4983789.htm
Again spread him the bird flu virus made the chicken breeders must increase the maintenance cost of their livestock.
As a result, the price of the chicken increased through to 50 percent.
In the Kobong Market, Semarang, for example, the price of the piece chicken that originally Rp 8.
500 per the tail rose to Rp 10.
500 per the tail.
Whereas the price of the rooster rose from Rp 10.
000 became Rp 16.
500 per the tail.
While the price of the red kind chicken rose from Rp 10.
500 became Rp 11.
500 per the tail.
The rise in the price of this chicken must because of the chicken breeders increase the vaccination cost and medical treatment for anticipated terjangkit him the bird flu virus.
The price increase of the chicken that happened in the level pengepul this made was difficult the small trader because of not having big capital.
While the number of buyers at this time continued to descend
Metrotvnews.com, Garut: the Citizen of the Ranca Salak Village and Tipar, the Cikeulet Subdistrict, of Garut, till at this time still was covered by the upper concern spread him the bird flu virus.
Therefore, every day hundreds of citizens in this area memeriksakan their health in the health command post that was built.
They were also given medicine tamiflu to prevent the entry of the virus H5N1.
The citizen was seen very enthusiastic memeriksakan himself in the command post.
Apart from the check-up, the team of the health from the Department of the Health also gave information concerning the development terkini concerning bird flu in order to reduces their worried feeling.
The citizen claimed still really khawtir datas spread him the bird flu virus and hoped this illness could be immediately overcome
On Monday, 21 Agt 2006 sent 22 samples of Burung
Flu Blood
Palembang - Tim technical the control of South Sumatra Province bird flu today sends 22 samples of the citizen's blood of the Linggau The Deepest Part that was expected terjangkit bird flu.
The detail is, the citizen's 15 bloods Kaba Ceremeh and five people from Megang. Two again the citizen's blood that it was suspected was infected suspect bird flu.
That is, the daughter Wira the Empress, 8, and the son Wira Aditya, 3,5, the month.
Tim was Technical the Big Hall the Health Laboratory (BBLK) Palembang Joko Miharjo when being contacted explained, two patients were again taken the sample of his blood. Moreover, the nose caress and the throat (the patient's mucus).
"Respectively two stems per the person," explained Joko. The head BBLK Palembang Dr H Welly Chaniago added, in time 24 hours, the sample of blood of the bird flu patient must be sent to Department of Health Research And Development.
Results could be just known 4-5 days afterwards.
"Whatever results of the Department of Health Research And Development of being results of the end, might not be sent to Hong Kong."
Because, that his characteristics only confirmation, Obviously him.
About the PCR implement (polymerase chain reaction) that could detect bird flu in time 3 hours, Welly said, did not yet arrive in BBLK Palembang, that supervised the Sumatran island and the Special Capital District of Jakarta.
"We were still being waiting for the implement."
He said, the implement just arrived in October.
If the implement has been available, the bird flu inspection was enough in Palembang, he stated. In the meantime, in Simalungun, North Sumatra, the Simalungun Regional Government destroyed tens of thousands of poultries that were centred on in the Saribudolok location of the agribusiness Sub- Terminal, the Silimakuta Subdistrict, last Saturday.
The Simalungun regent.
T. Zulkarnain Damanik led the extermination of this poultry.
The Regional Government was still continuing to carry out the extermination in the territory that it was suspected became the centre of the spreading of bird flu.
Therefore, has been prepared 53 holes.
"For the community that did not yet hand over his poultry or did not have data collected on it, we hoped immediately reported." To be preventing the spreading of the bird flu virus, while all the routes entered from and to Saribudolok was closed, said the Regent Simalungun T. Zulkarnain Damanik.
Had a basis information from the Sub-district Head's Office Silimakuta, dozens of kinds to be precise 24.
623 tails were destroyed.
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JAKARTA, Aug 22 (Reuters) - A 6-year-old Indonesian girl being treated in hospital tested positive for bird flu on Tuesday, a government official said, as the World Health Organisation ruled out human transmission in a village with a series of confirmed and suspected bird flu cases.
The girl from Bekasi, an eastern suburb of Jakarta, is the 60th case of avian influenza in Indonesia, 46 of which have been fatal.
"The girl is still alive and receiving treatment in hospital. She is getting better," I Nyoman Kandun, director general of communicable disease control, told reporters.
Indonesia has seen a steady rise in human bird flu deaths this year and the virus is endemic in poultry in nearly all of the provinces of the sprawling archipelago.
Fears of a possible new cluster arose after a 35-year-old woman from the West Javan village of Cikelet who died was confirmed to have been infected by bird flu.
Her 9-year-old daughter died a week before after showing signs of bird flu, although no samples were taken for testing.
They are among 18 people in the area being investigated for suspected bird flu.
One of them, a 9-year-old girl, died last week while a 17-year-old youth with is infected with the H5N1 virus, but has stayed at home after refusing to be hospitalised.
"Though some of these undiagnosed deaths occurred in family members of confirmed cases, the investigation has found no evidence of human-to-human transmission and no evidence that the virus is spreading more easily from birds to humans," the WHO said in a statement.
Bird flu remains essentially an animal disease, but experts fear it could mutate into a form that can be passes easily among humans.
Indonesia, which has been criticised for not doing enough to stamp out H5N1, has so far refused to do mass culling of poultry, citing the expense and the logistical difficulties because of millions of backyard fowl.
__________________ "Chance favor the prepared mind. - La chance ne sourit qu'aux esprits bien préparés." "La science n'a pas de patrie.-Science knows no country, because knowledge belongs to humanity - Louis Pasteur" FT's Influenza Scientific Library
Metrotvnews.com, Indramayu: vaccine supplies anti-bird flu in Indramayu, West Java, was reported experienced the lack.At this time, the Indramayu Livestock Breeding Service only had 500 doses of the vaccine.According to the Section Head the Health of the Indramayu Dinoto Animal of the Livestock Breeding Service, recently, the number of vaccines that was had at this time really not all that compared to the number of poultries that must be vaccinated.Estimated was gotten two million tails of the spread poultry in 31 subdistricts in Indramayu, that must divaksin.The vaccine request was just sent from Bandung, West Java, to mid this coming September.Dinoto added, in February set, in the Bongas Subdistrict, was found by two patients died with the status suspect bird flu.(DEN) http://www.metrotvnews.com/berita.asp?id=22703
Metrotvnews.com, Jakarta: the Child was six years old three months of the bird flu sufferer, Nursiva, his condition currently increasingly improves.Therefore, from Tuesday (22/8), he was moved from intensive maintenance space to space of the isolation of the Infection Hospital (RSPI) Sulianti Saroso.Nursiva that positive contracted bird flu beforehand was treated intensive in space ICCU. according to the team's information of the doctor that handled, Nursiva experienced the infection in the left and right lungs.The doctor also added Nursiva did not have contact with the chicken.The suffering that was experienced by Nursiva this was classed in the level of the two bird flu from four available bird flu groups.The four groups that is first the virus infection H5N1, the two pneumonias without the inflammation of the lungs, the three pneumonias in an inflamed manner the lungs as well as finally pneumonia with damage of the body member that was disrupted.() http://www.metrotvnews.com/berita.asp?id=22694
Dozens of chickens died, Pemkot Municipal Government Disinfektan
Surabaya - The Surabaya Citizen must come back was on the alert against the possibility of the entry of the bird flu virus. Because, for the last week was learnt the existence of dozens of chickens died with the characteristics similar to the case of bird flu. This case was experienced in the Tambak Lumpang, Sukomanunggal.
Got the report about that, the Marine Service, Livestock Breeding, Agriculture, and Forestry (DKPPK) Surabaya at once moved. The officials were mobilised to do penyemprotran disinfektan in pens belonging to the citizen.
"This spraying to avoid the further spread," said the Chairman of the Health of the Animal and the Health of the Community of Veteriner DKPPK drh Yetty Rizal.
Solikin, one of the citizens of the Tambak Lumpang, tell about, semingu then he lost 15 chickens. "I found the chickens died with his cock's comb situation was blue and his chest was red," said the man 57 years.
Keadaaan similar also happened to chickens belonging to Danuri, the other citizen. In the last three days, seven Danuri chickens died with the same condition. Several other citizens also experienced the same thing.
By the citizen, the chicken that died this partly was thrown away to the river. By DKPPK, chicken that was not yet thrown away was evacuated. The official also appealed to the citizen around to burn carcass. "When being worried was affected by the bird flu virus, this chicken carcass must be indeed burnt," said Yetty.
Spraying was yesterday carried out by nine officials, who consisted of six veterinary surgeons and three paramedical staff. Not only that, the Health Service through the Simomulyo Community Health Centre also involved two officials to take the sample of blood of chickens that died this.
Seen from his characteristics, said Yetty, indeed that was similar to the sign of the bird flu virus. However, small the possibility of these chickens died because of the deadly virus. His article, in the last two months, the Municipal Government official carried out the vaccination against the poultry in this area. "When being vaccinated, was not possible for these chickens to be infected by the bird flu virus," he stated.
According to him, could the chicken that died that because of the other virus, that is Newcastle Deasease. The sign of the death of the poultry because of this virus almost be the same as that was attacked by the virus avian influenza. "Javanese mentioned him the newcastle disease," added Yetty.
Nevertheless, DKPPK will carry out the preventive action by doing the repeated vaccination this coming September. Because, the other area outside Surabaya already many that berstatus suspect bird flu.
Officially the Health also appealed to the community to increase the health by guarding the cleanliness himself and the environment. "Because, the incidence of the bird flu virus began to spread again," said the Section Head the Surabaya Health Dr Esti Martiana Rahmie.
Woman from Nursifa's neighborhood died w/bf symptoms
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The condition for the Bird Flu Patient from Bekasi improved
August 23, 2006
Liputan6.com, Jakarta: The Nursifa condition, the assumption patient of bird flu that was treated in the Infection Hospital Prof. Dr. Sulianti Saroso, Sunter, Jakarta North, gradually improved. The child was six years from Bekasi, old West Java this was moved from intensive maintenance space (ICU) to isolation space, on Tuesday early afternoon (22/8).
Deputy Director Pelayanan RSPI Sulanti Saroso the doctor Tuti Hendrarwati said, the Nursifa condition continued to improve day after day. During the first time was reconciled from RS TNI the Halim Perdanakusuma Air Force, Nursifa in the critical condition. Apart from suffering the inflammation of the lungs or pneumonia, at that time Nursifa experienced failed the breath.
Now the citizen around the Nursifa house in the Perumahan Bumi Dirgantara [housing complex], the Jatiasih District, Bekasi began to be worried terjangkit the virus avian sub-type influenza H5N1. Suwardi, for example. He claimed to be his wife died with the sign similar to bird flu, every few the day before Nursifa fell ill.
Apart from Nursifa, RSPI Sulianti Saroso treated a bird flu patient in this month. However the patient that also from Bekasi finally had died. Mega Saputra blew out the last breath after could undergo the maintenance in ICU space for three days.
the Kendari Service of City Livestock Breeding, South-East Sulawesi, continued to anticipate the spreading of the bird flu virus.
One of them by doing the poultry vaccination belonging to the citizen. This step was followed following the sudden death of the citizen's poultry, some time set.
The vaccination was carried out by visiting poultry pens belonging to the citizen.
Apart from memvaksin the chicken, his pen was also sprayed with disinfectant.This action was welcomed by the citizen.
Haja the Flower, the citizen in the Poasia Subdistrict admitted to not objecting his chicken divaksin to prevent expanded him the bird flu virus.
Till at this time, the bird flu virus has spread in several points in the Kendari City. More than 1.000 chickens died suddenly as a result of the deadly virus.
However, was not yet found by this virus attacked humankind.
The section head Kendari City Livestock Breeding, Nedy Patanduk claimed to be his side destroyed 10 thousand tails of the poultry the positive citizen terinveksi the bird flu virus.(BEY)
By ZAKKI HAKIM
The Associated Press
Tuesday, August 22, 2006; 11:40 AM
JAKARTA, Indonesia -- Investigators found no evidence that bird flu was spreading among humans in a remote part of central Indonesia where two people died from the virus and a third was sickened, local and international health workers said Tuesday.
Four other people died in the Cikelet region of West Java province before swab samples were taken to determine the cause, officials said, and test results were pending for five others with symptoms of the disease, including a 61-year-old man hospitalized early Tuesday.
Health workers said poultry in the poor region, accessible by motorcycle or on horseback, began dying in large numbers in July after villagers purchased chickens from outside the area and incorporated them into local flocks.
"As the population had no experience with this disease, high-risk behaviors commonly occurred during the disposal of carcasses or the preparation of sick or dead birds for consumption," WHO said in a statement.
"Though some of the undiagnosed deaths occurred in family members of confirmed cases, the investigation has found no evidence of human-to-human transmission and no evidence that the virus is spreading more easily from birds to humans," the statement added.
The H5N1 virus has killed at least 141 people worldwide since it began ravaging Asian poultry stocks in late 2003, 46 of them in Indonesia, the worst-affected country, according to WHO.
Most people have been infected after coming into contact with sick birds, but experts fear the virus could mutate into a form that spreads easily among humans, possibly sparking a pandemic.
Nyoman Kandun, a senior Indonesian health official, said that while there was no evidence of mutation in Cikelet, authorities were carrying out tests on everybody who had been in contact with victims.
All had come back negative so far, he said.
Some 2,400 residents in the area also were being given free doses of the bird flu medication Tamiflu, Kandun said, and an agricultural official said at least 2,500 chickens had been killed in effort to stamp out the disease.
The H5N1 virus is considered endemic in poultry in 29 of 33 provinces across the archipelago, said national bird flu coordinator Bayu Krisnamurthi.
"We are racing against the virus, especially as we approach the rainy season where, just like a common flu, the risk of catching it increases."
--------------------------------------------- (2400 residents receiving anti-virals for a virus that isn't spreading???)
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"The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation
Another Suspect H5N1 Fatality in Bekasi Recombinomics Commentary
August 23, 2006
Suwardi, for example. He claimed to be his wife died with the sign similar to bird flu, every few the day before Nursifa fell ill.
Apart from Nursifa, RSPI Sulianti Saroso treated a bird flu patient in this month. However the patient that also from Bekasi finally had died. Mega Saputra blew out the last breath after could undergo the maintenance in ICU space for three days.
The above translation describes another suspect H5N1 bird flu fatality in Bekasi. The sequence of H5N1 from Bekasi does not match bird isolates, suggesting the patients are being infected by H5N1 in an alternate source. The recovering patient, Nursifa, has been H5N1 confirmed, but has no history of contact with poultry.
As indicated above, even fatal cases in the area are not tested for H5N1 even though there have been H5N1 deaths in the Bekasi area since last year.
Surveillance of patients with bird flu symptoms who do not have a contact with dead or dying birds remain poor, and the number of fatal cases in Bekasi and other regions in Indonesia, including Jakarta, is likely much higher than the reported cases.
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"The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation
Avian influenza – situation in Indonesia – update 29
23 August 2006
The Ministry of Health in Indonesia has confirmed the country’s 60th case of human infection with the H5N1 avian influenza virus.
The case is a 6-year-old female from Bekasi, West Java Province. She developed symptoms on 6 August and was hospitalized on 11 August. She remains hospitalized but is recovering. The source of her infection is currently under investigation.
Of the 60 cases confirmed to date in Indonesia, 46 have been fatal.
North Sumatra asked the Handling of Bird Flu to be decentralised
The report on the Reporter Kompas Khaerudin
August 24, 2006
Medan, Kompas - The Government of the North Sumatran Province asked for the handling of the case of bird flu better be decentralised or handed over to the area. This request was related the virus H5N1 that at this time it was confirmed spread to four regencies in North Sumatra. The government of the centre was asked to help the procurement of means and the infrastructure that were needed so that the area could carry out the maximal handling.
According to the Head of the Information Body and North Sumatran Province Communication, Eddy Syofian, at this time every time the government wanted to ascertain the sample of the waste of the poultry or positive human blood bird flu, must be sent to Jakarta. On the other hand, the bird flu virus continued to spread to various areas appeared to be difficult to be controlled.
Up to now, apart from the Karo Regency, the sample of the poultry in three other regencies, namely Dairi, Simalungun and Deli Serdang was ascertained positive was infected by the bird flu virus. Moreover at this time the central Public Hospital (RSUP) Adam the Owner was treating a patient suspect bird flu from Simalungun.
“Sebenar him widely the spreading of the bird flu virus in North Sumatra, the handling of the government better should be not focussed whereas that centralistic. As long as could be done in the area, why wasn't the handling of the bird flu decentralised saja,” said Eddy in Medan, on Thursday (24/8).
Eddy gave an example, ought to North Sumatra had facilities of the health laboratory like the Department's laboratory of the Health in Jakarta, to confirm positive and not him the sample that it was suspected was infected by the bird flu virus. “Selain that, the available hospital in the area also must be equipped by facilities of isolation space for anticipation of the extraordinary incident like bird flu ini,” he said.
At this time RSUD Adam the Owner who was the hospital of bird flu of handling reconciliation in North Sumatra did not yet have special isolation space. The patient suspect and positive bird flu was only treated in one of the installation space treated inap the Rindu A2, that some rooms were also occupied by the non bird flu patient.
However according to Eddy, since the case of bird flu in the Karo Regency, apart from RSUP Adam the Owner, the Department of the Health maintained the A type hospital and B namely RSU Kabanjahe, RSU Padang Sidimpuan, RSU Pematang Siantar, RSU Tarutung, and one private hospital RS Elisabeth Medan as the hospital of bird flu of handling reconciliation.
The North Sumatran Provincial Government according to Eddy during 2006 allocated the Rp budget 1 billion to build isolation space in RSUP Adam the Owner. This fund was taken from the APBD Change in 2006. “Khusus for the Kabanjahen Hospital, the Department of the Health also helped the development of isolation space and Rp equipment 1 miliar,” he said.
The North Sumatran Provincial Government further Eddy also asked that the government of the centre made areas of the spreading of bird flu the place of the supplies support (buffer stock) Tamiflu. “Saat this stock Tamiflu in North Sumatra 100 doses, the protective equipment 120 set,” he said.
While several cities in East Java began to increase vigilance against increasingly spread him bird flu, in Tulungagung the illness avian influenza (AI) also was indicated began to be again contagious.
This week, AI killed several tails of the chicken in the Sukowidodo Village, the Karangrejo Subdistrict, Tulungagung. Now, in Jember the Regional Government was still stating the status of the extraordinary incident (KLB) towards the attack AI.
Prevented the entry of bird flu, the Ponorogo Regional Government and Kediri spread out sweeping the poultry. Whereas the Regional Government and the Municipal Government of Madiun, Banyuwangi, and Surabaya spread out various spraying activities in poultry pens in the settlement of the inhabitants and livestock breeding.
In Tulungagung, although preventive efforts continued to be carried out, the AI virus attack is still happening. Several tails of the chicken were in the Sukowidodo Village, the Karangrejo Subdistrict, found was killed with the cock's comb turned blue and fast meat rotted.
The head of Disnak Tulungagung Ir Danduk Sudarham said this week happened this AI attack sporadically, especially in the sector of domestic livestock breeding. Apart from in Sukowidodo, the attack also cleared the Sukowiyono Village and the Gedangsewu District. In this last place was found by hundreds of chickens was attacked AI.
Beforehand, one of the citizen's Bandung pre-schoolers was stated positive terjangkit bird flu. This was known from the Director General's information of the Jakarta Health that pointed results of the WHO laboratory test in Hong Kong.
A chicken bekisar property of the official also was killed was attacked by the virus A. Related spread him bird flu in the sector of this household, the Regional Government began to increase the extermination, mass spraying, and the vaccination. The Regional Government prepared 400.000 doses of the vaccine. Moreover, to guard against the entry of this illness, his side will also be on duty at several regions in the border, like Kediri, Jombang, and Trenggalek.
In Jember, the Regional Government was still appointing the KLB status towards bird flu, to follow the discovery of several tails of the chicken died suddenly in the Jenggawah Subdistrict, Puger, Wuluhan, and Balung. The supervision of the AI spreading continued to take place. "Supported this activity, Disnak alerted the official of the animal, village equipment, and Disnak apparatus for 24 hours was full," stressed the Head of Sector Keswan Drh Andi Prastowo, on Thursday (24/8).
In Ponorogo, the Regional Government mensweeping the poultry trader and the poultry product all over the market. The side of the agricultural Service of the Ponorogo Regional Government also issued the circular that his contents asked the trader to not take the poultry product from other areas that were attacked AI.
To June 2006, has been 250.000 doses of the vaccine were injected to the livestock in Ponorogo. A month later was increased again 200.000 doses. The section head the Health of the Mukartini Point claimed very worried towards the AI entry to with the AI entry to Ponorogo.
Apart from Ponorogo, the Madiun Regency anticipatory against AI. Regional Government Madiun through the Livestock Breeding Service routinely melakuan spraying against poultries in his territory. Apart from in chicken coops belonging to the breeder, spraying was also carried out in the birds market.
Spraying to prevent AI also being done by the Animal Service the Kediri Regency, followed the discovery of thousands of livestock died suddenly. Moreover, some of the results of the laboratory, named the death of thousands of livestock positive was attacked by bird flu.
Was based on the Animal Service note the Kediri Regency, to this 2006 was found 19 villages with the number of livestock 21.738 positive tails terjangkit AI. "We the routine carried out the vaccination and mass spraying." Moreover, we also established the complaint command post in each subdistrict, said Munfarid, the Head Sub the Animal Service, on Thursday (24/8).
Dinkes the Kediri Regency has also prepared 720 pak Tamiflu. His plan tamiflu that will be distributed to 36 community health centres in the Kediri Regency. Each one of his community health centres would in provided as many as 20 pak with the contents 200 items. Moreover, Dinkes has also prepared the fund around Rp 500 million for space of bird flu casualties of the maintenance installation in RSUD Pare.
About human casualties, Dinkes said uptil now in the Kediri Regency numbering one person, Anang Prasetyo, villagers Doko the Gampengrejo Subdistrict.
In Banyuwangi, to prevent the AI outbreak to humankind, Dinkes also will distribute 5.000 tablets Tamiflu to 25 community health centres. Kadinkes Dr H Basuki Setiawan MM said the distribution of the tablet Tamiflu will be done in the near future.
In the meantime, in Surabaya, results of the sample test of blood, the waste, and the throat liquid (trachea) chickens belonging to the citizen of the Tambak Lumpang, the Subdistrict of Sukomanunggal Surabaya, it was estimated could be known 2-3 days came.
While being waiting for results of the laboratory test Veteriner the Tuban Regency, the Marine fisheries Service agricultural Livestock Breeding & Marine (PKPPK) the Surabaya City continued to monitor the location, especially to poultries that still were living.
"For the sample of blood was done the laboratory in Tuban and mucus co-operated with the laboratory veteriner in Yogya," clear drh Yetty Rizal, the Section Head the Health of the Animal & the Health of the Community Veteriner the Service PKPPK the Surabaya City, on Thursday (24/8).
As far as this is concerned, the PKPPK Service still gripping the temporary assumption that the cause of the death of chickens belonging to the citizen of the Mortar Fishpond of RT Ii RW Ii, last Tuesday (22/8), because of Newcastle disease (new castle disesase). But did not close the possibility of the other cause.
Whereas the task of observation and the monitoring from the side of the health of the community, became Simomulyo Community Health Centre responsibility. Moreover, the Simomulyo Community Health Centre came back menyosialisasikan information around bird flu and his prevention.
"We also immediately spread the pamphlet and moved the related socialisation of bird flu. But that important again was how moved the awareness of the citizen to more guarded the cleanliness and the health of the residence environment," stressed Dr Esty Martiana Rachmie, the Section Head the Health of the Surabaya City.
Results of the inspection of several local citizens who experienced the sign of flu and the cough, Esty Martiana stressed that that only flu and the normal cough. It not yet there are those that must be it was worried about related the assumption terjangkit him the virus H5N1 in the Tambak Lumpang.
Menkes Still denied the Bird Flu Virus became an epidemic
August 25, 2006
Liputan6.com, Jakarta: The plague of bird flu increasingly wide. This time this deadly virus attacked the poultry farm in Palu, Central Sulawesi. However, Health Minister Siti Fadilah Supari refused the bird flu view became an epidemic. The reason is, the location of the far-apart spreading. Was like this information that was assembled by SCTV in Jakarta, on Friday (25/8).
Siti added, till at this time, was not detected by the spread of bird flu antarmanusia [H2H]. To prevent the pandemic, Siti asked that the community did not hesitate to report if having the affected sign of bird flu. For each animal that was destroyed, the government replaced Rp 12.500 per the tail. However Siti did not know precisely the number of funds from the government for the extermination of the poultry. "Yesterday time to Garut at once was brought his money with the suitcase," said Siti.
The virus that it was suspected entered Indonesia since October 2003 that was indeed still roaming in the Motherland. This happened also to dozens of tails of the livestock chicken belonging to the Haji Baharuddin. In a last week, the livestock belonging to the Palu inhabitants, Central Sulawesi, this died suddenly. After being tested by the Palu Livestock Breeding Service, it was known the Baharuddin chicken positive terjangkit bird flu.
On these findings the citizen hoped the Livestock Breeding Service immediately carried out the vaccination to prevent fatalities. Because till at this time, bird flu casualties in Indonesia more than 60 people and 47 including being killed. This was the highest figure casualties were killed bird flu in the world.
Chicken/duck deaths reported in Semarang, Central Java
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Three was related in Kendari It Was Suspected Bird Flu
August 25, 2006
Liputan6.com, Kendari: Three people were related that remained a house in [snip] Kendari, South-East Sulawesi, just recently was stated it was suspected terjangkit bird flu. The three of them suffered hot high and breathless. This sign was suffered simultaneously after being found dozens of poultries died suddenly around their residence.
Responded to these findings, the local Health Service at once stuck to the family's house with the label was inscribed with AI or avian influenza. This step was carried out to guard against the spreading of the bird flu virus. However, Ambu Sao, casualties's family complained because the action it was considered was abundant.
Now in the Genuk Subdistrict, Semarang, Central Java, Dinkes local still memvaksin the poultry in this territory. These efforts were followed because in several last days of several poultries like the chicken and the duck died suddenly in time simultaneously. The worried citizen of the death of these poultries resulting from the bird flu virus. In Jakarta, Health Minister Siti Fadilah Supari stated the government prepared the fund extra to destroy the poultry that it was suspected was affected by the bird flu virus. Each poultry that was destroyed was replaced of Rp 12.500 per the tail. Siti Fadilah asked for the citizen for active if being found the poultry that died during immediately was destroyed.
The National commission Bird Flu in his report named the government of the fund difficulty of preventing the spreading of this virus. The government most relied on the Budget of the Income and the Country's Expenses and the foreign aid. Especially foreign help, the fund that was gathered did still not suffice. Among them just could be used to prevent the spreading of the virus to humankind. While the rest of them were used for the handling of the poultry.
Poultry deaths / bf pos poultry in Karawang Regency, West Java
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The chicken in Cilamaya Positive was attacked AI
Was not yet found by the Spread to Manusia
August 24, 2006
KARAWANG, (PR). -
Dozens Of chickens belonging to the citizen of the hamlet Sukamulya, the Anggadita village, sub-district Klari, it was reported died suddenly, on Thursday (24/8). Strongly the assumption of the death of the chickens as a result of being attacked by the bird flu virus (avian influenza/AI). The similar incident happened also in the Sumurgede Village, sub-district Cilamaya Wetan.
According to the Village Head's information Anggadita village, sub-district Klari, Drs. Asep Irawan, all the chickens that died suddenly that the kind of the property nonpedigreed chicken eight citizens. The previous day the chickens were still being seen healthy. However, when this chicken will be issued from inside the pen, on Thursday morning, evidently has died.
Mentioned, the number of chickens that died suddenly had 32 tails. "Thirteen including coming from one location, belonging to Heri," said the smoke.
Said, to avoid matters that were not wanted all the carcasses of chickens were at once burnt at that very moment. Moreover, his side immediately reported this incident to the local Livestock Breeding Service. "We hoped the Disnak side immediately carried out spraying of the liquid disinfektan in the Sukamulya hamlet," he said.
In the meantime, the Head of the Livestock Breeding Field in the Livestock Breeding Service, fisheries and Marine Karawang Regency, Ir. Tuti Pujiastuti admitted to not yet accepting the report concerning the death of the chicken suddenly in the Anggadita Village. Nevertheless, Tuti said was ready to send his staff of Drh. Dian Kurniasih to research the cause of the death of the chickens.
Mentioned also, he just came home from the Sumurgede Village, sub-district Cilamaya Wetan, to do the inspection rapid of the kept H. Jejen chicken carcass that also died suddenly. Evidently from results of the inspection, eight chicken carcasses belonging to H. Jejen positive was attacked by bird flu.
According to Tuti, as the upper follow-up results of the inspection, his side at once carried out spraying in the location of the incident. Moreover, also diakukan the vaccination against the chicken and the poultry in and around this environment. "This step to anticipate expanded him the spreading of the AI virus," said Tuti.
In the same opportunity of the Section Head the Supervisor the Quality of the Livestock Seed, Tatang Hidayat said, on the occurrence of the incident, his side applied the alert status one for the plague of bird flu.
"All of the owner's communities of the poultry must more be on the alert." If their livestock kedapatan died suddenly, immediately must be reported to us, he said.
Said also, till at this time available vaccine supplies in Disnak Karawang enough approximately 500 thousand doses. The number of vaccines that much it was estimated was enough to memvaksin hundreds of thousands of poultries in source centres of the illness.
According to Tatang, the plague of bird flu could spread in Kab. Karawang in January till May 2006. However the deadly virus was just found attacked the livestock animal. Now the case of the spread to humankind still nihil.
To mid August this, this plague emerged again. Several poultries in sub-districts Klari, Karawang, Rengasdengklok, Telukjambe East, Cilamaya and Telagasari was determined was attacked by the AI virus.
Nevertheless his side continued to be on the alert so that the AI virus not until attacked humankind. The "poultry that was attacked by bird flu lest being consumed by the community," said Tatang.
While it's hard to say what Tamiflu blanketeers are doing out in the villages, I am assuming that individuals with bird flu symptoms that are rushed to the hospital are swabbed for H5N1 before they are given Tamiflu. Hence it may not in many cases be the Tamiflu that is responsible for the initial negative tests. Is NAMRU2 doing any testing for other influenza strains? Or is additional testing not possible because the sample is used up in the initial H5N1 test procedure
I keep wondering, especially considering there is an epidemic of H5N1 among Indonesian poultry, whether tthe H5N1 test for humans no longer works properly because of mutations in H5N1 strain or whether this virus has combined with other influenza viruses and the tests don't pick it up for that reason.
Have any of the experts chimed in on this phenomenon?
__________________ Absence of evidence is not evidence of absence
The international community of Bird Flu of the Matter Breach Of Contract the writer: Rahdini IkaningrumJakarta -- MIOL: the International Community was asked to play an active role towards the control of the spreading of the bird flu virus that spread.Unfortunately, promised pengucuran the fund from the foreign circle, to today not yet terealisisasi."This the international problem, so the international community must go along," said Vice President Jusuf Kalla to the press, in Jakarta, on Friday (25/8).Although, bird flu not only the spectre that must be overcome by Indonesia.His problem also was related to many countries and even his spread was begun from the outside country, that is China.The virus H5N1 this attacked various countries, including Indonesia.The nonexistence trend of this international role seriousness, said the Vice President, was seen from being not yet liquid him the international help commitment for Indonesia.In fact, concerning help of the fund and technical this was agreed to in the meeting of the Health Ministers in Beijing, some time before."In the meeting in Beijing beforehand, the international community promised to distribute the fund, but that was not realised," he said touched on results of the meeting of bird flu discussions in Beijing, on January 18 2006.This hard answer was thrown when being asked for by his opinion about the assessment of the international community that stated the nonexistence of Indonesian seriousness.On the other hand Kalla precisely returned demanded the side's international promise.With the high tone, the Vice President that Friday early afternoon that still put on clothes Koko and his cap, even accused the side of being international the breach of contract."Precisely that now does not happen that the international promise," he stressed.The vice-president also denied the statement that said the handling fund of bird flu descended the amount.On the other hand, Kalla stressed this budget precisely continued to rise."Was thought by me had not descended because even rose went, only straight the amount was not too big," he said.As is known, the international community's circle through the donor agency made a commitment distributed US$1,9 billion.The commitment was produced in the Beijing meeting, on January 18 2006.(Rdn/OL-02). http://www.mediaindo.co.id/berita.asp?id=109742
The Nursiva condition (6 years), the positive patient bird flu, that was treated in the Infection Hospital (RSPI) Sulianti Saroso, currently increasingly improves.
Moreover, according to the Chairman Tim the Extraordinary Incident RSPI Sulianti Saroso Doctor Sardikin Giri Putro, Nursiva that beforehand was stated positive bird flu, from results of the inspection third blood was precisely stated by the bird flu negative.
However, Nursiva was not yet permitted to come home/because still had few disturbances to his lungs.
As being reported beforehand, Nursiva gradually his condition improved.
Therefore, from Tuesday (22/8), he was moved from Intensive Maintenance Space to RSPI Sulianti Saroso Isolation Space.
Nursiva that positive contracted bird flu beforehand was treated intensive in space ICCU. according to the team's information of the doctor that handled, Nursiva experienced the infection in the left and right lungs.
The doctor also added Nursiva did not have contact with the chicken.
The bird flu illness that was experienced by Nursiva was classed in the level of the two bird flu from four available bird flu groups.
The four groups that is first the virus infection H5N1, the two pneumonias without the inflammation of the lungs, the three pneumonias in an inflamed manner the lungs as well as finally pneumonia with damage of the body member that was disrupted.
The Nursiva condition (6 years), the positive patient bird flu, that was treated in the Infection Hospital (RSPI) Sulianti Saroso, currently increasingly improves. Moreover, according to the Chairman Tim the Extraordinary Incident RSPI Sulianti Saroso Doctor Sardikin Giri Putro, Nursiva that beforehand was stated positive bird flu, from results of the inspection third blood was precisely stated by the bird flu negative.
However, Nursiva was not yet permitted to come home/because still had few disturbances to his lungs.
As being reported beforehand, Nursiva gradually his condition improved.
Therefore, from Tuesday (22/8), he was moved from Intensive Maintenance Space to RSPI Sulianti Saroso Isolation Space.
Nursiva that positive contracted bird flu beforehand was treated intensive in space ICCU. according to the team's information of the doctor that handled, Nursiva experienced the infection in the left and right lungs.
The doctor also added Nursiva did not have contact with the chicken.
The bird flu illness that was experienced by Nursiva was classed in the level of the two bird flu from four available bird flu groups.
The four groups that is first the virus infection H5N1, the two pneumonias without the inflammation of the lungs, the three pneumonias in an inflamed manner the lungs as well as finally pneumonia with damage of the body member that was disrupted.
__________________ ...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes
The Palu Municipal Government Appoint KLB Bird Flu
August 26, 2006
(*Snip.* Main story posted in SE Sulawesi thread.)
In Jakarta, the condition for the Nursifa health that was treated in the Infection Hospital Prof. Dr. Sulianti Saroso, Jakarta North, has improved. The child 6 years have been moved from Space of Intensive Care the Unit to normal isolation space. Results of the sample test of central blood of Department of Health Research And Development last week stated Nursifa positive avian influenza. However after a week was treated, results of the test polymerase chain reaction (PCR) and swab the trachea that his [her] three times, to his body still are not found by the virus H5N1.
Have we heard about him/her before? (btw -- I like this reporter's name.)
toggletext-ed from Indonesian:
RSPI Sulianti Saroso was Still treating two patients Suspect Bird Flu
August 26, 2006
Theresia Oktavina - Jakarta, The Infection Hospital (RSPI) Sulianti Saroso at this time still was treating two patients suspect bird flu. Now since 2005 was recorded by RSPI treated 200 bird flu patients.
Was like this it was said Deputy Director RSPI Sulianti Saroso Dr. Sardikin Giri Putro to the reporter in discussions in the region of Semanggi Jakarta, on Saturday (26/8).
Sardikin said, one of the child's patients who was named Nur Syifa was still continuing to undergo the maintenance and in the process of recuperation. The Nur Syifa condition, he said, began to improve and could treat in isolation space after beforehand was treated in space intensive care the unit (ICU).
He explained, Nur Syifa was not yet permitted to come home because still was gotten by the deviation in his [her] part of the lungs. Now for results of wiping off the throat, he said, already was not gotten by the virus, although twice the inspection beforehand still was received by the virus.
Whereas for one other patient, Sardikin explained, this patient just entered yesterday afternoon and was not yet known by the identity and the story of his life. "In the process penyempuhan because from the photograph inspection of his lungs still had the deviation in his lungs," explained Sardikin.
It was further that Sardikin mentioned, since last 2005 RSPI treated more than 200 pasein with the indication of bird flu and 18 including being stated positive bird flu. Nur Syifa, according to Sardikin, it was estimated will recover because of the bird flu negative.
I have found a statistical chart on Bird Flu from July 05 - August 23, 2006.
Quote: Since July 2005 up to August 22, 2006. Indonesia has had reported 651 cases (cumulative number) and based on clinical, epidemiological investigation, and laboratory examination the results can be classified as follow : 450 cases Non Avian Influenza, 62 confirmed cases of Human Avian Influenza (of whom 47 died), 118 cases under investigation (of whom 41 died) and 1 exposured case.”
__________________
The CONDITION for the PATIENT BIRD FLU improved
August 27, 2006
Metrotvnews.com, Jakarta: The new patient the assumption of bird flu in the Infection Hospital (RSPI) Sulianti Saroso, Agun, was moved from ICU space to normal maintenance space. The patient was three years old was moved around struck 10.00 WIB. Agun arrived in RSPI on Friday (25/8) and immediately was brought to ICU space was done by observation. From results of the first inspection the Security was stated by the bird flu negative. However still will be done by the further inspection to confirm.
While the patient that could be stated positive bird flu and afterwards were stated by the negative, Nursiva, his condition increasingly improved. According to RSPI Doctor Sardikin Giriputro Deputy Director, from results of the inspection third blood, Nursiva was stated by the bird flu negative. However he [she] was not yet permitted to come home because still had the disturbance to the lungs.
Reports of poultry deaths in Majalengka, West Java
toggletext-ed from Indonesian:
Dozens of poultries in Mejalengka Divaksin [vaccinated]
August 27, 2006
Liputan6.com, Majalengka: Officially Majalengka Agriculture, West Java memvaksin the citizen's poultry and did spraying of disinfectant in the Cihaur Village, on Saturday (26/8). Kagiatan this was done as the step anticipated the spreading of the bird flu virus. Because already dozens of tails of the nonpedigreed chicken were in the Cihaur Village found died suddenly in a last week.
The citizen admitted to not knowing his cause. However from the characteristics of the carcass the coloured chicken blue and went out mucus from his beak was it was suspected strong was attacked by the bird flu virus. Dintan Majalangka also memvaksin the poultry in three other villages to prevent the spreading of bird flu spreading. The Department's side of local Agriculture also admitted the limitations of the personnel in the field made the process of the proceeding vaccination slow.
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Indonesia BF - Aug 20 - Sep 03, 2006
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