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"Moreover, according to him, villagers might not leave this area.
The "prevention with this model was effective enough," said Yoga.
However he mewanti-wanti this method so that fast was done so as the not fast plague developed."
"Moreover, according to him, villagers might not leave this area.
The "prevention with this model was effective enough," said Yoga.
However he mewanti-wanti this method so that fast was done so as the not fast plague developed."
Hmmm, missed that. I agree, this sounds like a top-down form of social distancing. But I think the other phrase did involve not moving poultry around. I'd feel better about the whole thing if it was more certain that the human and poultry forms were the same, otherwise it's kind of just for show. If there is an intermediate vector, then quarrantine might not work. Bummer.
Infectious diseases Three patients Suspect Bird Flu was stated by the Negative
August 22, 2006
Bandung -- MIOL: From four patients suspect bird flu that was treated in the Handsome Sadikin Hospital (RSHS) Bandung, that is Is (5), SA (9), K (32), and O (38), three among them the bird flu negative.
The "negative patient the bird flu was Is, SA, and K, whereas one other patient, namely the husband K, O did not yet have results of the test the laboratory of the Body of Health Research And Development," said the Managing Director RSHS Bandung, Dr Cissy Sudjana the officer in Bandung, on Monday.
The four patients were villagers Cikelet the Subdistrict Cikelet the Garut Regency that already several days were treated in RSHS Bandung on RSUD reconciliation Dr Slamet Garut.
When being asked how with the patient Umar, also the citizen Cikelet Garut that positive bird flu but did not want to be treated, he explained that his medical action was by means of giving Tamiflu and the supervision tightly as well as by doing his blood inspection again.
According to him, bird flu always not turn off and his flu not always heavy, like normal flu as well as depended on how many germs that entered and how long his body resistance.
"If his body resistance was good and his germs did not enter all of them, then the patient will remain for quite a long time," he said while saying that the Umar condition at this time was relatively good.
Concerning whether Umar dangerous or not for the surrounding community, according to Dr Cissy depended in his condition, and if was coughs and sneezed-sneezed, then must be isolated, because of the spread of bird flu not through outside the body, but through mucus from the nose and the throat.
In the meantime the patient's older brother K [Kuraesin], Isman, said, most communities of Cikelet Garut did not know the sign of the bird flu illness and them always menyembelih the chicken that was sick, afterwards cooked meat as well as ate him.
Isman that had the house on stilts and beneath it had the chicken coop proposed that most citizens Cikelet Garut every time gave chicken food and held the chicken had not washed the hands."Before this I also had not washed the hands after gave ate the chicken," he said.
Tosim (61M) from Cinangka hamlet, Cijambe village, Garut
Hat-tip, Mas Mon!
toggletext-ed from Indonesian:
The Garut citizen was Again reconciled to the Hospital
August 22, 2006
Liputan6.com, Bandung: Another the citizen Cikelet was it was suspected attacked by bird flu. Tosim, the citizen of the Cinangka hamlet, the Cijambe Village, of Garut, West Java, was reconciled to the Handsome Hospital of Sadikin Bandung, on Tuesday (22/8) at dawn. The man was 61 years old could be treated in RS the doctor's Public Slamet Garut. His article he experienced the high fever that was accompanied by the cough and breathless, was similar to the sign was infected by the bird flu virus.
By making use of the RSU ambulance the doctor Slamet Garut, Tosim that was accompanied by Eha, his wife, and his son-in-law Anwar arrived in the Intensive Care Unit RS Handsome Sadikin around struck 03.45 WIB. Tosim that apparently terbaring looked weak. Apart from must make use of oxygen as respiratory aids, he also made use of the infusion hose on the hands.
Was based on the story data of the health that was brought by the official RSU the doctor Slamet Garut, Tosim experienced the high fever through to 38 Celcius levels. According to Eha and Anwar, Tosim experienced the fever that was accompanied by the cough and breathless since the last two days. Two days before was sick, several tails of the chicken belonging to the neighbour Tosim also died suddenly.
By being reconciled by him Tosim, till today already four citizens Cikelet that underwent the maintenance in Isolation Space of Plamboyan RS Hasan Sadikin. He followed three other patients namely Wismawati [Ismawati] the citizen of the Jojoh Tipar hamlet, Santi the citizen of the Sawahbera hamlet, and Kuraesin the citizen of the Sawahbera hamlet. At this time they were still being waiting for results of the sample inspection of further blood for decisive was not him the virus H5N1.
In the meantime, the Gilang condition, the citizen of the hamlet of Gunung Cula, the Cigadog Village, Garut, that currently in the status of the assumption of bird flu of improving. The class student two junior secondary schools beforehand could experience breathless. However this night after being moved from the Pameungpeuk Community Health Centre to RSU the doctor Slamet Garut, his breathing has begun to be normal [read: Gilang was reconciled to RS Doctor Slamet].
Note: Cijambe Village is also within Cikelet subdistrict. You can see the 7 village areas of Cikelet subdistrict here -- unfortunately they are not named on this map, so I'm not sure which is which:
Note that in the article posted above it said that Gilang had improved during the night after he had been transferred to RS Doctor Slamet hospital.
toggletext-ed from Indonesian:
Gilang was reconciled to RS Doctor Slamet
August 22, 2006
Liputan6.com, Garut: Gilang was reconciled from the Pameungpeuk Community Health Centre to the regional Public Hospital of Slamet's doctor in the Garut Regency, West Java, on Monday (21/8), because his condition worsened. Gilang that still was sitting in the class of two junior secondary schools was rolled over weak in the bed. The doctor did not yet confirm Gilang was infected by the virus avian influenza or not, because just in RSUD Slamet, he will undergo the blood test and was x-rayed to see the frequency of the attraction of the breath.
Gilang from the hamlet of Gunung Cula, the Cigadog Village, was the assumption patient of bird flu to 12 of the Cikelet subdistricts, Garut. Beforehand, several patients with the varying age were endless was treated in the Handsome Sadikin Hospital, Bandung because of suffering the sign similar to bird flu. Two among them Ai Siti Aminah and Euislina died [read: Again, the Bird Flu Patient from Garut died].
The family brought Gilang to the Pameungpeuk Community Health Centre, on Saturday set, after the temperature of his body hot was accompanied by the cough and the headache. The official of the Department of the local Health has taken the example of blood and the Gilang saliva to ascertain his illness kind [read: the Patient the Assumption of Bird Flu in Garut improved]. The Gilang family was also treated same. After several days were observed, the doctor had finally decided to reconcile Gilang to RSUD Slamet because of equipment there more complete.
Thank you Dr. Niman. Your commentary makes perfect sense. Its beginning to seem like nothing in WHO updates resembles a normal, logical thought process. It does not match their own standards. IMHO Phase 4, approaching Phase 5.
Phase 4: Pandemic Alert
Small cluster(s) with limited human-to-human transmission but spread is highly localized, suggesting that the virus is not well adapted to humans.
Rationale
Virus has increased human-to-human transmissibility but is not well adapted to humans and remains highly localized, so that its spread may possibly be delayed or contained.
Examples:
One or more clusters involving a small number of human cases, e.g. a cluster of <25 cases lasting <2 weeks.
Appearance of a small number of human cases in one or several geographically linked areas without a clear history of a non-human source of exposure, for which the most likely explanation is considered to be human-to-human transmission.
Larger cluster(s) but human-to-human spread still localized, suggesting that the virus is becoming increasingly better adapted to humans, but may not yet be fully transmissible (substantial pandemic risk).
Rationale
Virus is more adapted to humans, and therefore more easily transmissible among humans. It spreads in larger clusters, but spread is localized. This is likely to be the last chance for massive coordinated global intervention, targeted to one or more foci, to delay or contain spread.
In view of possible delays in documenting spread of infection during pandemic phase , it is anticipated that there would be a low threshold for progressing to phase 5.
Examples:
Ongoing cluster-related transmission, but total number of cases is not rapidly increasing, e.g. a cluster of 25 - *50 cases and lastign from 2 to 4 weeks.
Ongoing transmission, but cases appear to be localized (remote village, university, military base, island).
the Department of the Health collect data on 17 suspect bird flu in the Cikuelet Village, Garut, West Java.According to Siti Fadil -lah Supari Health Minister in Jakarta, on Tuesday (22/8), the 17 citizens suspect the bird flu has been given tamiflu.
Likewise with the other citizen in this village.
Menkes added, the extermination of the poultry in the Cikeulet Village and the Cigadog Village, in a radius of certain still continued to be done. Around one kilometre from the location of the positive patient bird flu and in several locations that kedapatan many poultries that died suddenly.
Moreover, the official of the local Health of the Service has visited each citizen to check their respective health of the citizen. The "inhabitants were there given tamiflu," explained Menkes.
From East Java was reported dozens of tails of the poultry were in the Mortar Fishpond, Surabaya, found died suddenly for the last two days. Therefore, the Livestock Breeding Service at once carried out spraying disinvektan in the location. Spraying was carried out in each chicken coop and birds belonging to the citizen of the Mortar Fishpond. To know the cause of the death of this poultry, the Livestock Breeding Service just knew results in the next three days.While the citizen also took the initiative burnt ungas that died.(DEN)
</PRE>
Metrotvnews.com, Bandung: Other the Garut citizen, West Java, entered the Handsome Hospital of Sadikin Bandung, West Java, as the patient suspect bird flu.
From five patients who, currently, are treated in RSHS Bandung, three including being stated by the bird flu negative.
Tosim, villagers Cikeulet that finally entered RSHS Bandung, on Monday (22/8) at dawn, at this time still in the intensive maintenance.
Now four other was reported has been stable.
One of the nurses in space of the Poinciana Tree isolation of RSHS Bandung, said, at this time the Tosim condition still experienced breathless.
Feverishly Tosim descended, under 37 Celcius levels.
According to the doctor Hadi Yusuf, the patient's normal blood pressure.
The normal also pulse.
Hadi mentioned, Tosim must be still being given by the infusion, but might not be making use of the ventilator.
"Apart from being given tamiflu, also was given antibiotik for the other fever that not the virus," explained Hadi.
Hadi added, four other patients have been stable.
The infusion of the patient has then been released.
However, they were still being treated in isolation space while being waiting for results of the laboratory test of the Body of the Health of the Department's Research And Development in Jakarta.
After that, the patient must undergo four times of the specimen test till the seventh day to confirm they were flattest or not.
Till at this time, the case of bird flu in Cikeulet reached 12 people, two of the casualties died came from one family, that is a mother and the child, Euis Lina and Ai Siti Aminah.
Now three other -- four including Tosim -- still was treated.
Three other patients were Rob (13), Mis (20) and Sat (4).
Still had six other patients who also were treated, namely Ismawati (5), Santi (6), Yan (60), Ris (4), Kuraesin (30) and Gilang (14).
Whereas the positive patient who is brought had come home by his family, Umar, now has been stated by the bird flu negative.
(DEN)
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