INDONESIA BF - Sep 04 - Sep 17 2006

[Laidback Al]

New thread for Indonesia.

Previous thread 08/20 - 09/03 at:

http://www.flutrackers.com/forum/showthread.php?t=9470

[Laidback Al]

New suspected human case in West Java see:

http://www.flutrackers.com/forum/showthread.php?t=9945

[Theresa42]

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Bird flu entered Kota
Sept 05, 2006

Results of the Test, the Kaliwates Subdistrict and Patrang Positive

Jember - The Community that lived in city subdistricts preferably was on the alert. His article, results of the test that was carried out by the Livestock Breeding Service, fisheries and Marine named the sample of the chicken that died in the Kaliwates Subdistrict and Patrang positive bird flu. "Indeed, from the test that was carried out by us in two subdistricts, his chickens were positive bird flu," said Daddy Kusdriana, the Disperikel Head to Erje, yesterday afternoon.

In Kaliwates, this virus attacked the poultry in the District region Jember Kidul, to be precise in banking centres and the trade all along Nico shops. Now in Patrang, the bird flu virus infected two villages, that is the Jumerto District and Baratan.

Beforehand was reported, in two subdistricts, many chickens belonging to the citizen who died suddenly with the typical characteristics of the affected chicken bird flu.

Up to now, had a basis the Erje note, already five subdistricts in Jember that was attacked by bird flu. That is, the Puger Subdistrict, Balung, Jenggawah, Kaliwates, and Patrang. Daddy said, there were 65 villages around positive villages terjangkit bird flu. 65 villages, said Daddy, will be supervised serious. "All the poultry in 65 villages would we were given by the vaccination, without excepting," he said.

How with the city territory that has been attacked, like in Jember Kidul, Kaliwates? Daddy promised, all the districts will in the city territory be supervised seriously. "Technical him, we will carry out the vaccination all over the district in the city," he explained. Daddy claimed, got bantaun the vaccine of 100 thousand doses from the government of the province and 170 thousand doses from the government of the centre.

Only, not all the districts will in the city receive the vaccination in the near future. "Aimed at by us slowest during entered the fast month, all has been finished was vaccinated," he stressed. Daddy only hoped, the citizen of the city community did not buy poultries in the area that terjangkit this virus so that the spread could be to the city eliminated.

Touched on by the matter still the number of poultry traffic in subdistrict-kjecamatan this, Daddy admitted to being more active did the socialisation to the community. Unfortunately, Daddy did not explain in detail how the socialisation would this danger was sent to the citizen of the community.

Daddy personally did not ignore the difficulty of interrupting this deadly virus link. Moreover, in areas that the mobility of his chicken was high. "I made a plea so that the community does not buy the chicken in the positive area was affected by bird flu. Lest that happened," he said.

The matter of putting the virus down to Daddy urban areas was justified, the citizen really late in giving the report. The "report on the citizen rather late. After his chicken many that died, just they the report. This caused difficulties for us," he said.

Moreover, said Daddy, many citizens that precisely threw his chicken carcass that has died to the river away. "By throwing the chicken carcass to the river, away meant the spreading of the virus increasingly spread," he claimed.

In the meantime, the Sub-district Head Patrang Ir Herwan Agus claimed did not yet know if two villages in his subdistrict has positive was attacked by the bird flu virus. Contacted by Erje in the afternoon yesterday, he claimed precisely just knew when being contacted by Erje. "Up until this second I even did not yet know. I did not yet receive the letter from the related service. Even, I just heard from you," said the livestock breeding scholar. He promised to act directly to the citizen's houses to menyosialisasikan this matter.

http://www.jawapos.co.id/index.php?a...id=137207&c=91

[HenryN]

It looks like the sequence of H5N1 from the fatal 35F case in Garut cluster has been released.

HA sSequence has the RESRRKKR cleavage site and HA looks much like recent isolates from the Jakarta / Bekasi area, especially CDC669 and the other two most recent releases.

[Sharpe]

A whole 596 chickens. The only reason why anyone pays attention to things like this is when people catch bird flu in the area. Of course, the report never mentions the suspected patient in Kuningan, one only knows about that if you have awesome people like Theresa around to tell you what's up! It is unbelievable how on top of everyone else's outbreaks People's Daily is! All their bird flu reporters are in other countries.


http://english.peopledaily.com.cn/20...06_299944.html

Bird flu kills nearly 600 chickens in Indonesia's West Java

Indonesian authorities have warned of a major bird flu outbreak in the West Java town of Kuningan after 596 chickens died of the disease in August, an official said Tuesday. Local officials said bird flu attacks were found in two districts, namely Cigugur and Darma. "The 596 chickens died of bird flu based on rapid tests (at the scene) and laboratory tests," said Nana Adnan, head of the West Java veterinary office. Following the findings, authorities plan to cull 3,000 chickens in the affected areas, he was quoted by the national Antara news agency as saying. Local officials have culled some 5,000 chickens in nearby Garut regency after one person died of bird flu based on local tests. Indonesia now has the world's highest bird flu death toll of 47 out of 62 sufferers since the first human case was confirmed two years ago. Source: Xinhua

[Theresa42]

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The circulation Not Terkendali
Sept 06, 2006

Still Many Wandering poultries

Jember - In the middle of the spreading threat of the bird flu virus that continued to spread, the poultry traffic in three positive villages bird flu was not monitored. Poultry-ungas still many that roamed about in three positive villages terjangkit, respectively Jember Kidul, Baratan, and Jumerto.

Observation Erje dikawasan Baratan Patrang since the morning yesterday, many wandering poultries. Moreover, in spreading centres of this virus, exact in and around the Baratan District Office, many wandering chickens in the kitchen and where washing the plate belonging to the local citizen. Not somewhat also the wandering chicken in the toilets belonging to the citizen.

"I will know if here indeed had bird flu. So, yes as usual, I was free as a bird that," said a citizen Baratan that had the chicken. As usual, since the morning, he admitted to letting his chicken go. P Sayem, a citizen that his chicken was stated positive was attacked by bird flu, yesterday also released the chicken the rest of them that still were living as usual.

The number of poultries that still wandering in the area that was stated positive this bird flu that was not yet anticipated. That not to mention towards the mobility of dove birds that his range was far more wider. In fact, in the prevention guidebook that was published by the Directorate General of the Department's Livestock Breeding of Agriculture clearly it was mentioned that must be done by the restriction tightly the traffic of the poultry animal in the area that was stated positive was attacked by bird flu.

Dr Pudjo Wahyudi, former the Health Service the Jember Regional Government in an opportunity had regretted still the number of wandering poultries was in the positive area attacked by bird flu. The poultry traffic according to him, indeed ought to be restricted and isolated. The "isolation was carried out in order to not spread," he said. Nah when the isolation so, the Livestock Breeding Service, fisheries, and Marine (Disperikel) must do deep observation.

The head of the Health Field of the Animal of Disperikel Jember, Andi Prastowo admitted to be able to not do many. He realised true the difficulty changed the community's paradigm. "How the chicken could dikarantina, wong every day was released," he said.

He was justified that has become the tradition in the community and needed a long time to change him. "Need a long time to give the awareness to the community." So, please this was understood, he explained.

Only, if the step in the vaccination has been carried out, the poultry traffic that was not controlled that still could be tolerated. "If being vaccinated, on the chicken body will emerge immunity and the affected potential for bird flu will be minimal," he explained.

In the meantime, the Disperikel Head statement, drh Daddy Kusdriana about the appeal to the community to not buy the poultry, especially the chicken, in the positive area was affected by bird flu, reaped the community's protest.

The warning to not buy the poultry was it was thought very damaging the poultry traders. "What was written in the newspaper (his intention the Disperikel Head statement, Red) very disturbing the community," said an owner of the chicken in Baratan.

He admitted to wanting to sell his chickens that according to him were still healthy so that not tertular the bird flu virus.

Moreover, an official in the subdistrict that his area was affected by the bird flu virus, frank did not agree with this statement. "That his name even disturbed the community," said this official.

Contacted was separated, the Disperikel Head through the Head of the Health Field of the Animal of Disperikel Andi Prastowo said, that the intention to this statement only temporary. "The statement only took the form of the appeal and was valid now. After being stated sterile and healthy, certainly might the citizen of the community bought the chicken in the affected area the virus (bird flu)," he said.

Menruut he, there was no other intention behind this statement. "The appeal only to prevent so that the spreading of the virus is not increasingly wide. Please imagined, if available chickens were in the positive area of bird flu bought, then was brought to the other subdistrict. Frightened him will later even spread," obviously him.

http://www.jawapos.co.id/index.php?a...id=137339&c=91

[Theresa42]

This story is reported in the "Radar Tulungagung" section of the Jawa Pos, so I assume Blitar is near Tulungagung...

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Be careful, Bird Flu Serang Blitar
Kamis, 07 Sept 2006

Dozens of nonpedigreed chickens died, the Service Not Yet Melangkah

Blitar - The Citizen in the Blitar Regency guarded against the virus Avian influenza (AI). That after several nonpedigreed chickens many that died suddenly with cir-characteristics like the attack of the bird flu virus (the other AI term). That is; the bluish cock's comb and died suddenly.

This was sent by several chicken breeders in the Wonodadi Subdistrict, Talun and Udanawu. "Almost this month my chicken many that died suddenly with the characteristics of the bluish cock's comb," said Kamim, one of the citizens from the Karanggayam Village, the Srengat Subdistrict.

The similar matter was also revealed by H Rifai, also the citizen Karanggayam. According to him, the last few months his property chicken many that died suddenly. "In one month, the citizen's 20 chickens that died suddenly. Not only belonging to me, but also several other citizens, said Rifai that was justified by Sukaji," the other citizen.

So, the citizen asked the Blitar Service of Regency Livestock Breeding during immediately did the research. As immediately as possible was known whether chickens that died that because of AI or the other virus. Moreover, this virus was also very dangerous humankind.

"Mumpung did not yet attack humankind, better the Livestock Breeding Service immediately carried out the verification and the research to villages that terindikasi was affected by the flu illness buruang," said Kamim.

According to him, apparently this illness often attacked the nonpedigreed chicken. Now, the breeder's chicken not yet there are those that was reported died because AI. Very Possibly dikarenakan the pattern of the prevention of the illness was effective enough.

The section head Regency Livestock Breeding Blitar Herman said promised immediately to do the research to several areas that it was suspected were affected by the Bird Flu virus. "We immediately will do penlitian to the location." This was carried out to prove the truth of the citizen's input. Also at the same time to do the early prevention, stressed Herman.

http://www.jawapos.co.id/index.php?a...d=137449&c=115

Blitar is the name of both a city and a regency in East Java:
http://en.wikipedia.org/wiki/East_Java

[Theresa42]

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Hindered to Bondowoso
Sept 07, 2006

Results of the Test, the Positive Poultry Bird Flu

BONDOWOSO - Penyeberan the bird flu virus continued to spread. After at least six subdistricts in Jember positive is attacked by the deadly virus, currently the Bondowoso turn. The assurance spread him the bird flu virus after the official of Livestock Breeding of the Service (Disnak) did the test against several poultries in the Taman Sari District. Results, poultries that died suddenly this was stated positive bird flu.

The area that was attacked by the virus was Gg Merak ["Peacock"] and RW Jasmine 01 and RW 02 keluarahan Taman Sari the City Subdistrict.

From results of the inspection rapid AI test by the Service veterinary surgeon Livestock Breeding (Disnak) and the clinical sign on Wednesday kmarin, several poultries belonging to Ningram, were wrong astu the citizen was known positive was attacked. As a result, dozens of poultries belonging to the member Satpol PP at once were destroyed by means of being burnt.

On the findings, Dismsk that beforehand said did not yet have bird flu, immediately scolded around the Taman Sari territory. "Like that had the positive report on bird flu, the official immediately burnt had with spraying around the territory taken part in," said the Disnak Head, Ir Poniran to the reporter yesterday.

Poniran claimed kecologan on the entry of the bird flu virus to Bondowoso. "This entered robbed." In fact since the last two months the official scolded to all the Bondowoso territories, revealed former the Head of the Office of Food Endurance.

He estimated the entry of the deadly virus from the neighbour kabupetan that more previously was attacked. Especially the livestock from Jember. The "Subdistrict territory Patrang Jember has tertular. Could be the chicken talk to that spread to Bondowoso," he added.

Moreover, said he the place of the discovery of the bird flu virus the place of chicken transit talk to from various areas. Because, most neighbours Ningram were the broker or the basket of the chicken talk to. "There was used for the trade in the chicken talk to," he added yesterday.

The spread of the flu virus buurng that was startling enough Disnak Bondowoso. Because, the previous day Disnak got results of the Malang medical clinic that sample from several livestock was killed suddenly in Tlogosari not resulting from the bird flu virus.

The findings of the bird flu virus in the Taman Sari District yesterday also became attention of the Regent Bondowoso Dr Mashoed Msi. With several other officials, the number one person in Bondowoso at once visited the affected territory the bird flu attack.

According to Mashoed must have anticipation and the concrete action on the findings of the bird flu virus. "I hoped the citizen around be careful against his poultry that died suddenly," he said. He also menyarakan so that the poultry that was killed suddenly preferably immediately in destroyed by means of being burnt and buried be as deep as two metre.

He also hoped that the chicken that was killed suddenly was not eaten. Because, the chicken that tertular the potential bird flu virus spread to humankind. "Although being processed must more than 80 Celsius levels," he added.

Not only that, he also made a plea so that the citizen that had the livestock, including the chicken talk to to always guard the cleanliness himself, the pen and lungkungan him. Especially the territory that close to Taman Sari, it was hoped maintained the livestock traffic from the other territory.

Moreover, the citizen Bondowoso must know and understand signs of bird flu. In part, the head of the poultry increased, the wattle and the head were blue keunguan, chest skin and the stomach as well as meat happened the bleeding was accompanied by the blue colour keunguan. Finally, foot the poultry happened the bleeding and second-hand appearance kerokan.

http://www.jawapos.co.id/index.php?a...id=137418&c=91

[Theresa42]

Originally Posted by vaffie

A whole 596 chickens. The only reason why anyone pays attention to things like this is when people catch bird flu in the area. Of course, the report never mentions the suspected patient in Kuningan, one only knows about that if you have awesome people like Theresa around to tell you what's up! It is unbelievable how on top of everyone else's outbreaks People's Daily is! All their bird flu reporters are in other countries.


http://english.peopledaily.com.cn/20...06_299944.html

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Destroyed, 3.700 tails of the Regent's Poultry
Regent Aang, ”Isolasi need not yet, but we Continue To Waspada”
Sept 08, 2006

Kuningan, (PR). -

At Least 3.700 poultries, respectively the chicken not the race (buras), the duck, and birds, in the Cipasung Village that beforehand terindikasi had the chicken died that positive tertular Avian influenza (AI) or bird flu was destroyed by the official of the related service, on Thursday early afternoon (7/9). Each tail of the poultry belonging to this community then was replaced with cash with a value of Rp 12.500,00.

The extermination (depopulation) in this village was done by means of disembelih by the official, was gathered in the big hole, was burnt, and was stockpiled. There were four places of their respective depopulation was equipped the big hole, that is in the Puhun Bloc, Pahing, Manis, the Wage Bloc, and Kliwon.

The Kuningan regent, H. Aang Hamid Suganda, acknowledged beforehand in the Cipasung Village has had the citizen who was sick and terindikasi bird flu that was reconciled and treated in the Handsome Sadikin Hospital (RSHS) Bandung, but the hospital side informed the negative. "If his poultry there is one that is positive was affected by bird flu, but his person not, or the negative," said the Regent Aang when doing the survey to the location of the extermination in the Puhun Bloc.

According to Aang, was related to the existence of this AI case, the Regional Government through the related service did depopulation, as the preventive action. Approximately 3.700 tails of the poultry in Cipasung were forced to be destroyed to avoid became an epidemic him the horrifying illness this. "I was grateful, a villager Cipasung that was treated in RSHS Bandung his information the bird flu negative. Nevertheless, the community continued to have to guard against him," said Aang.

Despite this, the Regent Aang instructed so that the community does not panic or restless in responding to bird flu. This illness should be not too much exaggerated, but, preventive efforts must be really carried out. Whereas the Kuningan agricultural Service was instructed so that continually monitored the territory that terindikasi had the spreading of the AI virus, including monitoring chicken coops belonging to the community.

It need not yet isolasi

Touched on the possibility of the need of the upper isolation the area that terindikasi AI, the regent said the action dianggap perlu. "I the feeling did not yet need the existence of the isolation for this area, except preventive steps other," said the Regent Aang.

In the meantime, the Section Head Kab Agriculture. Brass, Ir. Triastami added, for two months hereafter, villagers Cipasung for the time being in order to not maintain the poultry beforehand, as well as did biosecurity, like, the burning or the extermination of the poultry pen that not appropriate or dirty.

It was further that Triastami mentioned, although being not done by the local isolation, but the community was appealed to to dismiss or put the poultry into his area. If they mengonsumsi chicken, in order to not buy the living chicken, but be enough to buy the chicken that was cut off in the market or the other place that really hygienic.

In relation to this need of the Kuningan Regional Government issued the fund talangan for the local agricultural Service as big as 100 million rupiah from APBD.

http://www.pikiran-rakyat.com/cetak/...6/08/03C01.htm

[Laidback Al]

Avian influenza – situation in Indonesia – update 30
8 September 2006
The Ministry of Health in Indonesia has confirmed a new case of human infection with the H5N1 avian influenza virus. The case is a 14-year-old female from Makassar, South Sulawesi Province. She developed symptoms on 18 June, was hospitalized on 23 June and died on 24 June. The case had contact with poultry near her home. This case was detected through the Ministry’s routine influenza surveillance system.
In addition to the above case and following the recent revision of case definitions for H5N1 infection, WHO is adding two cases in Indonesia, dating back to June and November of 2005. Inclusion of these two cases now aligns figures given for Indonesia in the WHO cumulative table of laboratory-confirmed cases with those officially issued by the Ministry of Health. Prior to the revision, the cases did not meet the WHO case definition for serologically confirmed avian influenza H5N1 infection.
The first retrospectively confirmed case was an 8-year-old female from Tangerang in Banten Province. She developed symptoms on 24 June 2005 and died on 14 July 2005. She was part of a family cluster reported to WHO in July 2005.

[I believe this is Sabrina Nurul Aisyah, 8F]

The second retrospectively confirmed case is a 45-year-old male from Magelang, Central Java Province. He developed symptoms on 25 November 2005 following direct contact with diseased poultry and subsequently recovered.

[I believe this case has not been previoulsy reported in the media]

The retrospectively confirmed cases bring the total in Indonesia to 63. Of these cases, 48 have been fatal.


http://www.who.int/csr/don/2006_09_08a/en/index.html

[Theresa42]

For more on Bondowoso, see post #8.

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Disnak maintained KLB
Sept 09, 2006

The spreading of the Bird Flu Virus Increasingly Merata

BONDOWOSO - All citizen Bondowoso preferably was on the alert against the spreading of the bird flu virus. His article, the spread of the deadly virus increasingly the day increasingly the area and fast. From pan-the Service host Livestock Breeding (Disnak) currently many reports on the poultry are killed with the characteristics similar to the sign was attacked by bird flu.

All day long yesterday, Disnak ascertained the chicken talk to in the district Blindungan the City Subdistrict and the District Kaporan the Wonosari Subdistrict positive bird flu. Outside that, the Village Kretek the Krocok Garden Subdistrict also terindikasi strong was attacked by bird flu. "In two today many reports enter Disnak, the" headword" Disnak Ir Poniran to Erje yesterday.

After in the cheque medically, the chicken talk to that was killed suddenly that was in general positive bird flu. From results of the inspection, the chicken that usually lives roamed about free that, experienced pendaharan great, the purple chest kebiruan and other signs.

Upper spread him the case of bird flu in Bondowoso, Disnak appointed him as the extraordinary incident (KLB). Currently, Disnak continued to be involved in looking for the citizen's livestock that was killed suddenly to do spraying with disinfectant anti bird flu. Moreover also made a plea so that the citizen learns his poultry died suddenly to fast burnt and reported him to the official Disnak.

Not only that, Disnak also intent to to prevent and anticipation of the spreading of the Avian virus the influenza. "Every time had the report, the medical team of the livestock would direct diterjunkan,"ungkap him." This team that will take steps syang was deemed necessary to prevent the spreading of this bird flu.

Poniran also acknowledged many poultries that died but were not reported to Disnak till finally this virus spread to the other territory. One of them the death of the chicken talk to in the Blindungan District. When the medical Disnak team came, it was reported several the previous day also had dozens of chickens that died suddenly.

"In the last three days had approximately 40 chickens died suddenly but not was reported," said KH Wahid, the citizen that yesterday his two chickens died suddenly. He expected his chicken tertular from his neighbouring chicken that beforehand died as a result of the bird flu attack.

It was more ironic, dozens of chickens in this Blindungan were not handled specially, was burnt or buried. But was thrown away to the Sampean river that terlelak behind the citizen's house. So, Poniran made a plea so that the citizen all along the Sampean river be careful to make use of water suangi.

Apart from being spread by the chicken from the broker Poniran mendugavirus the bird flu the ray came from the Sampean river. Moreover, the Sampean territory of the river upstream, in Situbondo also was found by the bird flu virus. "Could the virus was brought the river current." In the upstream suangi has been found by the chicken that was attacked by bird flu, he revealed.

Spread him the flu attack burung same began made was overwhelmed Disnak. Because, his side began the lack of materials to prevent or menaggulangi him. Including disinfectant that in the last two months got the allocation from Pemprof East Java. "Disinfectant that was used to spray the poultry diminished. We needed materials again," obviously him.

http://www.jawapos.co.id/index.php?a...id=137641&c=91

[HenryN]

Metrotvnews.com, Minahasa: Pascakasus

bird flu that attacked the Village Rumoong Low, the Minahasa Regency South, North Sulawesi, the related service currently did sweeping the transport car that brought the poultry.Sweeping was done in the border of the Tombariri Subdistrict road, Minahasa.In sweeping this the poultry from Minahasa South no entry to the area of the Minahasa border and the Manado City to the new decision from the local regional government.Several poultry of the nonpedigreed chicken kind succeeded in being intercepted by the official because of not having the certificate from the agricultural Service and local Livestock Breeding.Although objecting, the owner of the poultry was forced to hand over his poultries to dikarantina.As far as this is concerned, the agricultural Service and local regency Livestock Breeding have destroyed almost two thousand poultry and the duck of the chicken kind.Nevertheless, the North Sulawesi Regional Government was still being waiting for results of the sample of the standard that was tested in the laboratory veteriner Bogor.Beforehand the test veteriner Baros stated the sample poultry in the Rumoong Village positive bird flu.()

http://www.metrotvnews.com/berita.asp?id=23868

[Theresa42]

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The Malang regency Endemic Flu Burung
Sunday, September 10 2006 | 22:49 WIB

Tempo Interaktif, Malang: The Office of the Malang Regency, East Java, of the Health Service appointed this area to be endemic bird flu after the virus avian the influenza was found in six subdistricts in this regency. Six subdistricts were the Karangploso Subdistrict, Donomulyo, Gedangan Pagak, Pakis, and Tumpang.

The endemic determining reason was based on the height kematian and fast him the spreading of bird flu to the poultry there. Initially this illness was found in the Gedangan Subdistrict, but three weeks have afterwards spread to six subdistricts.

"Every day had the poultry that died more than 100 tails in six subdistricts," revealed Adi Puewanto, the Head developed the Program of the Malang Regency of the Office of the Health Service, on Sunday.

Adi stressed, the Malang Regency and no longer the area suspect bird flu, but the endemic area of bird flu. Therefore, said he, his prevention efforts must be fast so that bird flu not until spread to humankind. "We have distributed the tablet Tamiflu to the community health centre in 33 subdistricts," he said.

He hoped the community was on the alert against each death of the poultry that was found anywhere. Especially the poultry that died suddenly. "Immediately reported to the official of the local health," he requested.

So also with the incessant community health centre medical staff mensosialisasikan the bird flu threat to the citizen who asked for the health service. "The official of the health must be preceptive against affected patients the bird flu virus so as immediately was reconciled to the closest hospital," he said.

In the place was separated the Section Head fisheries Livestock Breeding dan Marine the Regency Malang Ignatius Suhariyanto said, bird flu was in the Malang Regency overcome with penyerotan disinfektan, the vaccination, the extermination against the poultry that tertular. "Spraying continued to be carried out to the end of this year," he said.

http://www.tempointeraktif.com/hg/nu...-83729,id.html

Malang, East Java:
http://encarta.msn.com/map_701514409/Malang.html

[Theresa42]

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The death Hundreds Of chickens Nurningsih Not resulting from Bird Flu
Sept 11, 2006

Dina Andriyati - Bengkulu, Hundreds Of chickens belonging to Nurningsih (35) the citizen RT 05 RW 02 Muara Dua districts the Village Subdistrict Melayu the Bengkulu City, that died suddenly, on last Sunday late afternoon (10/9) not resulting from the bird flu virus.

Was like this was sent by the Head of the Laboratory Hall and the Bengkulu Clinic of the province Animal, Amran Kuswadi to ELSHINTA, this Monday morning (11/9).

Amran said, results of the laboratory inspection with the method rapid test against the sample of chicken blood that remained in the Nurningsih residence the bird flu negative. According to him, the sudden death that was experienced by hundreds of chickens belonging to Nurningsih the possibility because of the other illness.

In the opportunity of Amran said, just natural when the worried citizen if these chickens died because of bird flu. Because of two regencies in the Bengkulu province that is Kepahyang and the Rejang Lebong have been stated positive bird flu. However for the Bengkulu City personally up until today was still negative bird flu.

The indication of the spread of the bird flu virus was in two regencies ascertained already was not because of being handled quickly by the local livestock breeding service.

http://www.elshinta.com/v2003a/readnews.htm?id=32486

Bengkulu is in southwest Sumatra:
http://en.wikipedia.org/wiki/Bengkulu

[Theresa42]

Originally Posted by niman

Metrotvnews.com, Minahasa: Pascakasus

bird flu that attacked the Village Rumoong Low, the Minahasa Regency South, North Sulawesi, the related service currently did sweeping the transport car that brought the poultry.Sweeping was done in the border of the Tombariri Subdistrict road, Minahasa.In sweeping this the poultry from Minahasa South no entry to the area of the Minahasa border and the Manado City to the new decision from the local regional government.Several poultry of the nonpedigreed chicken kind succeeded in being intercepted by the official because of not having the certificate from the agricultural Service and local Livestock Breeding.Although objecting, the owner of the poultry was forced to hand over his poultries to dikarantina.As far as this is concerned, the agricultural Service and local regency Livestock Breeding have destroyed almost two thousand poultry and the duck of the chicken kind.Nevertheless, the North Sulawesi Regional Government was still being waiting for results of the sample of the standard that was tested in the laboratory veteriner Bogor.Beforehand the test veteriner Baros stated the sample poultry in the Rumoong Village positive bird flu.()

http://www.metrotvnews.com/berita.asp?id=23868

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His positive matter bird flu produced by the Bogor Lab
26.830 Poultry in Amurang was threatened by Dimusnahkan
[Orig. headline: 26.830 Ternak Unggas di Amurang Terancam Dimusnahkan]
Sept 13, 2006

Positive him produced by the Hall Laboratory of Veteliner Bogor around his positive findings the plague of bird flu that fell on the poultry in the Village Rumoong Bawah, berimbas by being destroyed by him around 26.830 available poultry in three subdistricts namely Amurang, Amurang Barat [West] and Amurang Timur [East], was in accordance with the provisions of the location endemi (the area tertular), the radius 1 kilometre must be destroyed. In accordance with the data and information that were accepted by the Komentar from the side and Perternakan Minsel of the agricultural Service, from 308.351 available poultry in 20 subdistricts in Minsel, especially for three subdistricts in Amurang, had at least 26.830 poultry that was maintained and released just like that by the citizen of the community.

Where for the Amurang Subdistrict, the poultry took the form of the chicken talk to male reached 2.244 tails, female 3.046 tails. Whereas the duck reached 230, birds puyuh 82, and dove birds/pombo reached 150 tails. And in the Subdistrict Amurang West the chicken talk to male totalling 3.202 tails, female 7.718 tails, whereas the duck reached 306, and dove birds reached 187 tails. Even so in the Subdistrict Amurang East, the chicken talk to male reached 2.243, female male 6.900 tails. Whereas the duck reached 220, birds puyuh 70, and dove birds reached 170 tails.

Kadis Agriculture and Minsel Livestock Breeding, Ir Wangke Karundeng when it was confirmed yesterday, claimed somewhat most startled while being satisfied with results that were dismissed by the side of Veteliner Bogor. Where, with might not bertanyata him again or mengandaiandai, then good the citizen of the community and the government rank, must more extra in the matter of the prevention of the spread of this plague from the poultry to the citizen.

According to Karundeng, was related to the step in the Minsel Regional Government in order to follows up Health Minister's expression that recommended so that all the poultry around the territory terjangkit the plague of bird flu to be able to be destroyed in a radius of 1 kilometre, still must be waiting for the directive and the guidance of the Regent Minsel Drs Ramoy Luntungan.

In the meantime, Kadis the Minsel Health Dr Tomy Kawengian to several reporters said, although results sample that was sent to the Bogor Laboratory was it was confirmed positive, but especially for the citizen of the community, from results of the blood test that was carried out by his side to yesterday of not having the citizen of the positive local community was affected by the plague Avian this influenza, because all of them were known by the negative.

Therefore, continued Kawengian, the existence of the fear of several citizens in the Amurang City to mengkonsumi chicken and the chicken egg, was suggested might not worry. “Sesuai with the analysis and the inspection, free chicken from bird flu when being cooked by above 80 Celsius levels, even so with the chicken egg or bebek” clear Kawengian.

http://www.hariankomentar.com
[Permanent link not available.]

[Theresa42]

toggletext-ed from Indonesian:

The nurse involved a High risk Tertular Bird Flu
Sept 8, 2006

RSU Garut – Followed often him the patient suspect and positive bird flu that entered RSU Dr Slamet Garut, evidently that riskiest tertular was the nurse's power.

Responded to this matter, the Head BP the Hospital Dr Slamet Garut Dr Yati Maryati MKes made an effort to give the incentive for the nurses that uptil now menjalakan the task. Especially handling the difficult illness sufferers, like bird flu.

“Kami prepared the protective equipment for the security of the nurse. Including room facilities, in accordance with the standard of the maintenance for the difficult illness like SARS and flu burung,” he said.

Beforehand, I Yati, became his food for thought. “Dengan the financial part, we could discuss to give extra incentives for the nurse who handled flu burung,” he said.

Now treated and the patient's nurse, said he, uptil now has been appropriate the procedure continue to (protap). “Ya, like the use of the patron himself, beginning with the spectacles, the helmet as well as clothes that were utilised very much with to avoid the outbreak of the flu virus burung,” he explained.

To support this matter, continued Yati, his side made a maximal effort to ask for help to the government of the centre, for the improvement of facilities as well as room means that still far from the standard.

“Pakaian the patron that very much with that valuable Rp50 thousand, was increased the other supporting implement reached Rp350 thousand. The fund must be provided the hospital, every time handled the flu patient burung,” he added.

http://www.garut.go.id/dynamic__news...p?id_news=1383

[Theresa42]

toggletext-ed from Indonesian:

Bird Flu equipment still could not be made function
Sept 08, 2006

Although the Department of the Health (the Department of Health) sent help of an amount of health equipment to handle the patient of the bird flu sufferer in the Public Hospital (RSU) Dr. Slamet Garut, several days ago, until at this time this implement still could not be made function, especially the ventilator, respiratory aids.

His article, apart from having the component that was not yet complete, was gotten also the internal component the ventilator that has been broken. That it was worried about made the handling of the bird flu patient in RSU Dr. Slamet Garut will not be optimal.

Moreover, the headword RSU of the Manager's Body Dr. Slamet Garut, Dr. Yati Maryati S., on Wednesday (6/9), this implement could not be made function because the official who was appointed operated on him must follow the special training first.

"That knew this implement operation of only coaches," said Yati that at that time was accompanied Kasubbag Information of the Customer's Service, the Yogi Prayogi, S. H.

Yati said, beforehand, RSU Dr. Slamet Garut got one set of the medical instrument for the handling of the bird flu patient from the Director General Yanmen Department of Health, consisted of the ventilator, EKG the monitor, and the analysis of blood gas.

This implement to support the standard of the room of the isolation for the bird flu patient, together with penunjukkan the government that RSU Dr. Slamet Garut was one of the hospitals reconciliation of the patient of the bird flu sufferer in West Java.

Rp 7,6 billion

He said, in fact the hospital side put forward to get help of the medical instrument to handle the patient of the bird flu sufferer totalling four sets with a value of Rp 7,6 billion. Including 2 bed (the bed, red) for the difficult category patient, 2 bed for the patient who was observed, and rontgent [X-ray] mobile. The submission was carried out after RSU Dr. Slamet Garut got SK as the reconciliation hospital when spreading the case severs acute respiratory syndrome (SARS) in 2005.

"We also did not yet know whether one set of the medical instrument that already we received that berstatus the grant or the loan. Because, with ajuan Rp 7,6 billion, the Department of Health precisely repaid him by giving him took the form of the thing," said Yati.

However strangely, said Yati, money also evidently descended of Rp 150 million, although in his account was named that this money for the improvement of isolation space, and not for the purchase of the medical instrument. As a result, till now this money could not be diluted.

Yati hoped the Department of Health could immediately intervene so that this problem could be immediately handled. So, the handling against the patient of the bird flu sufferer in RSU Dr. Slamet could be done optimally.

http://www.garut.go.id/dynamic__news...p?id_news=1379

[Theresa42]

RI raises its bird flu toll to 49 after adding a child's death
Sept 13, 2006

JAKARTA (AP): Indonesia's tally of people killed by bird flu climbed to 49 after a 5-year-old boy who died in March was added to the list, a Health Ministry official said Wednesday.

The child, who died in Sulianti Saroso hospital in Jakarta, was added after a recent change in the testing standards that the World Health Organization sets for cases of the H5N1 virus, said Runizar Roesin, of the ministry's bird flu information center.

The U.S. Centers for Disease Control and Prevention in Atlanta, Georgia confirmed the results, he said.

http://www.thejakartapost.com/detail...3115313&irec=0

[Theresa42]

Wednesday September 13, 2006
Indonesia raises its bird flu toll to 49

JAKARTA (AP) - Indonesia's tally of people killed by bird flu climbed to 49 after a 5-year-old boy who died in March was added to the list, a senior health ministry official said Wednesday.

The child, who died in Sulianti Saroso hospital in the capital Jakarta, was added retroactively following a recent change in the testing standards the World Health Organization sets for H5N1 virus cases, said Nyoman Kandun.

The U.S. Centers for Disease Control and Prevention in Atlanta, Georgia confirmed the results, he said, though the WHO has not yet added the boy's death to its Web site.

Kandun said two other patients had fallen ill with bird flu, a 27-year-old woman from West Sumatra - whose sister earlier tested positive for H5N1 - and a 14-year-old girl from South Sulawesi.

Both were receiving the anti-viral drug Tamiflu and under close observation, he said. [Huh? Who's he talking about? Who are the two people mentioned above -- the 27 yr-old and the 14 yr-old?? 14 yr-old Akhira isn't getting Tamiflu anymore -- she's dead. ??]

The H5N1 strain of bird flu has killed at least 143 people worldwide since it started ravaging poultry stocks in Asia three years ago, the WHO said.

Most human deaths have been traced to contact with sick birds, but experts fear the virus could mutate into a more transmissible form, potentially causing a deadly global pandemic.

http://thestar.com.my/news/story.asp...03&sec=apworld

[Laidback Al]

The 27 year old woman is a new case. I believe she may be the sister of a 15 year old girl who tested positive in May.

Avian influenza – situation in Indonesia – update 15
29 May 2006
The Ministry of Health in Indonesia has confirmed an additional six cases of human infection with the H5N1 avian influenza virus. Three of these cases were fatal.
None of the newly confirmed cases is associated with the family cluster in Karo, North Sumatra. The cases are widely dispersed geographically (see map below).
One newly confirmed case is an 18-year-old man from East Java Province. He developed symptoms on 6 May and was hospitalized on 17 May. He is now recovering. The investigation found a history of exposure to dead chickens in his home within the week prior to symptom onset. No further cases of influenza-like illness have been identified during the investigation and monitoring of his close contacts.
Two additional cases occurred in a 10-year-old girl and her 18-year-old brother from Bandung, West Java. Both children developed symptoms on 16 May, were hospitalized on 22 May, and died on 23 May. Both children had a history of close contact with sick and dying chickens at their home in the week before symptom onset. The identical onset dates strongly suggest that they acquired their infection following a shared exposure to poultry, and not from each other. Follow-up of contacts has not identified further cases of influenza-like illness.
An additional case occurred in a 39-year-old man from West Jakarta. He developed symptoms on 9 May, was hospitalized on 16 May, and died on 19 May. The investigation determined that the man cleaned pigeon faeces from blocked roof gutters at his home shortly before symptom onset. No further potential source of exposure was identified.
The remaining two patients are a 43-year-old man from South Jakarta, who developed symptoms on 6 May, and a 15-year-old girl from West Sumatra, who developed symptoms on 17 May. The 43-year-old man has recovered and been discharged from hospital. The 15-year-old girl remains hospitalized. The sources of exposure for these two cases are under investigation.
The newly confirmed cases bring the cumulative total in Indonesia to 48. Of these cases, 36 were fatal.

http://www.who.int/csr/don/2006_05_29/en/index.html

[HenryN]

Commentary at

http://www.recombinomics.com/News/09..._Sulawesi.html

[HenryN]

Liputan6.com, Serang: Hundreds Of chickens and birds belonging to villagers Drangong, Serang, of Banten, were destroyed by the official of Serang Regency Livestock Breeding of the Service, on Wednesday (13/9).The extermination by means of being burnt this was done after being found the poultry that terjangkit the bird flu virus.There were five chickens and one bird the positive dove terjangkit this deadly virus.For the last two days, the chicken and dove birds that was destroyed numbering 150 tails more.The citizen willingly handed over his poultry with Rp compensation 10 thousand per the tail.Officially the Health of the Serang Regency since Monday also carried out the inspection of all the citizen.As far as this is concerned was not yet found by the citizen who was infected by the virus avian influenza.The extermination of two chickens was also carried out in the Lebong Horoscope Regency, Bengkulu.Two chickens were positive terjangkit bird flu.Hundreds of tails of the other chicken were not yet destroyed because results of the inspection indicated the negative.Currently the Livestock Breeding Service and the Health of the incessant Animal check all the poultry.His article two positive poultries terjangkit the deadly virus it was suspected came from outside Bengkulu.In Surabaya, East Java, hundreds of the citizen's chickens in four Harmonious the Citizen in the Lakarsantri District divaksin free by the official of Livestock Breeding and local fisheries of the Service.The vaccination in order to anticipate the spreading of the virus H5N1 this was done from the house to the house, including several chicken breeders.The data from the Lakarsantri District mentioned did not have the affected poultry the virus avian influenza.His plan the vaccine will be given periodically.(the MOTHER/Tim Coverage 6 SCTV)
http://www.liputan6.com/view/7,12908...158173499.html

[Theresa42]

Originally Posted by Theresa42

toggletext-ed from Indonesian:

His positive matter bird flu produced by the Bogor Lab
26.830 Poultry in Amurang was threatened by Dimusnahkan
[Orig. headline: 26.830 Ternak Unggas di Amurang Terancam Dimusnahkan]
Sept 13, 2006

Positive him produced by the Hall Laboratory of Veteliner Bogor around his positive findings the plague of bird flu that fell on the poultry in the Village Rumoong Bawah, berimbas by being destroyed by him around 26.830 available poultry in three subdistricts namely Amurang, Amurang Barat [West] and Amurang Timur [East], was in accordance with the provisions of the location endemi (the area tertular), the radius 1 kilometre must be destroyed. In accordance with the data and information that were accepted by the Komentar from the side and Perternakan Minsel of the agricultural Service, from 308.351 available poultry in 20 subdistricts in Minsel, especially for three subdistricts in Amurang, had at least 26.830 poultry that was maintained and released just like that by the citizen of the community.



http://www.hariankomentar.com
[Permanent link not available.]

toggletext-ed from Indonesian:

Not only was focussed in Rumoong Bawah
Investigated the Poultry died Suddenly in Motoling!
[Orig. headline: Selidiki Unggas Mati Mendadak di Motoling!]
Sept 14, 2006

The aftermath was stated by the chicken died in Rumoong Bawah positive terinveksi bird flu, currently the community in the Minsel Regency increasingly sensitive with this problem. Moreover if they found the existence of the poultry that died suddenly in a large number.

As in the case of in the Wanga Village and Motoling, the Motoling Subdistrict. Several citizens claimed restless, because of having several chickens and the duck that died suddenly. They then asked the official from the government to investigate the case of the poultry died in Motoling, and only should be not focussed in Rumoong Bawah or Amurang then.

This was sent by the public figure Motoling that also the legislator Minsel, Rommy Pondaag SH MH to the reporter yesterday (14/09), he justified the existence of the poultry that died suddenly in several villages in the Motoling Subdistrict.

“Oleh the reason, I asked the related side should be not only focussed in one incident point. Must also could action in each subdistrict. Don't later so had the case, just mo moving. This his name was unprofessional and bertanggung jawab,” revealed Pondaag serious. Similar also was sent by the Dekab Minsel personnel in the C Commission, Lucky Sanger.

From information and his findings in the field when spreading out the previous recess, Sanger got the citizen's information that reaching hundreds of poultry in the Pinaesaan Village (the Tompasobaru Subdistrict) that died suddenly without being known by his cause.

So, for prevented lest this case became the plague of bird flu that was feared by the citizen uptil now, then his side asked for the related side, to be able to be proaktif more again sensitive. Now Kadis Agriculture and Minsel Livestock Breeding, Ir Wangke Karundeng when it was confirmed yesterday, claimed to be his side has unloaded the official all over the subdistrict in Minsel. “Kami in each subdistrict in Minsel, has unloaded five officials. So the citizen should not panic, the case that was experienced at this time there just was limited by the chicken illness and the normal duck, not the plague threat of flu Burung,” Karundeng words.

http://www.hariankomentar.com
[Permanent link not available.]

[HenryN]

Originally Posted by Theresa42

Wednesday September 13, 2006
Indonesia raises its bird flu toll to 49

JAKARTA (AP) - Indonesia's tally of people killed by bird flu climbed to 49 after a 5-year-old boy who died in March was added to the list, a senior health ministry official said Wednesday.

The child, who died in Sulianti Saroso hospital in the capital Jakarta, was added retroactively following a recent change in the testing standards the World Health Organization sets for H5N1 virus cases, said Nyoman Kandun.

The U.S. Centers for Disease Control and Prevention in Atlanta, Georgia confirmed the results, he said, though the WHO has not yet added the boy's death to its Web site.

Kandun said two other patients had fallen ill with bird flu, a 27-year-old woman from West Sumatra - whose sister earlier tested positive for H5N1 - and a 14-year-old girl from South Sulawesi.

Both were receiving the anti-viral drug Tamiflu and under close observation, he said. [Huh? Who's he talking about? Who are the two people mentioned above -- the 27 yr-old and the 14 yr-old?? 14 yr-old Akhira isn't getting Tamiflu anymore -- she's dead. ??]

The H5N1 strain of bird flu has killed at least 143 people worldwide since it started ravaging poultry stocks in Asia three years ago, the WHO said.

Most human deaths have been traced to contact with sick birds, but experts fear the virus could mutate into a more transmissible form, potentially causing a deadly global pandemic.

http://thestar.com.my/news/story.asp...03&sec=apworld

Avian influenza – situation in Indonesia – update 31
14 September 2006
The Ministry of Health in Indonesia has confirmed two additional cases of human infection with the H5N1 avian influenza virus. These cases occurred in March and May 2006.
The first case occurred in a five-year-old male from East Bekasi, West Java Province. He developed symptoms on 4 March 2006, was admitted to hospital on 6 March, and died on 19 March. Test results, using two different assays, showed high antibody titer for H5N1 on consecutive serum samples taken on days 11 and 15 of his illness. These test results are consistent with new WHO criteria for laboratory confirmation. A field investigation at the time found that the case was exposed to diseased poultry in the vicinity of his home, where some birds tested positive for the H5 virus subtype.
The second case is a 27-year-old male from Solok, West Sumatra Province. This case was identified during the tracing of contacts of the man’s sister, a 15-year-old female who developed symptoms on 17 May 2006 and was subsequently confirmed to be H5N1 infected. Her brother spent six days caring for her during her hospital stay. The brother developed mild symptoms of cough and abdominal discomfort, with no fever, on 28 May 2006; his symptoms remained mild and he recovered within a few days.
Despite his mild and atypical symptoms, the brother was tested as part of the Ministry of Health’s protocol for contact tracing and the management of any contacts with symptoms. He was given a five-day course of oseltamivir beginning on 1 June and was placed in voluntary isolation pending recovery.
Initial tests of samples collected from the 27-year-old male were negative for H5N1 infection. In August, follow-up testing of paired-serum samples found a fourfold rise in neutralization antibody titer for H5N1, a test result which meets the WHO criteria for laboratory confirmation.
The 27-year-old male reported no contact with diseased or dead poultry in the days prior to symptom onset as he spent most of his time at the hospital. The investigation determined that he had exposure to his sister during her hospital stay, and that human-to-human transmission could not be ruled out as the source of his infection.
The retrospectively confirmed cases bring the total in Indonesia to 65. Of these cases, 49 have been fatal.

http://www.who.int/csr/don/2006_09_14/en/index.html

[HenryN]

Commentary at

http://www.recombinomics.com/News/09...t_Sumatra.html

[Theresa42]

In other words, it's pretty much everywhere in Indonesia...

toggletext-ed from Indonesian:

30 from 33 provinces was infected by Bird Flu
Ten areas to the Sosialisasi Target
Sept 17, 2006

Karanganyar, Kompas - The danger of the bird flu virus up to now still is threatening the Indonesian community. Moreover, 30 from 33 provinces in Indonesia has terjangkit bird flu. Therefore, remained at three provinces that were not yet affected by bird flu.

The Director was Institutional government Communication of the Directorate General of Communication means and Diseminasi Information (SKDI) the Department of Communication and Informatika (Depkominfo) Subagio Ms delivered that to the press in gaps Sosialiasi the Control of Bird Flu through the Forum for the Public's consultations and the Interactive Dialogue in the Karanganyar Regency, Central Java, on Saturday (16/9).

"Information that was obtained by us from the media's consultant center the Department of the Health Dr Muhammad Nadirin, three provinces that not yet terjangkit or did not yet have the case of bird flu was Gorontalo, the Moluccas, and the North Moluccas," said Subagio.

Considering the height of this bird flu threat, Depkominfo had since early September 2006 held the socialisation of the control of bird flu in several areas that had poultry livestock breeding in large quantities and potential the emergence suspect bird flu.

"There was no alternative for us, except for making the community towards the danger aware and trying prevented as well as deal with expanded him the bird flu illness," said Subagio.

Depkominfo maintained 10 areas as the socialisation target of the control of bird flu, namely the Central Javan Province (Karanganyar), West Java (Cirebon, Sumedang, Bandung, and Garut), North Sumatra (Karo and Deli Serdang), Banten (Lebak), South Sulawesi (Sidrap), and West Sumatra (Padang).

"From ten areas, the Karo Regency was the big area happened klaster bird flu," said Subagio.

The forum for consultations

The form sosialiasi in 10 areas was the forum for the public's consultations and the interactive dialogue in 10 areas. The form of the other socialisation that was carried out by Depkominfo was the publication in the form of the small and big poster, the leaflet, giving compact the disk (CD) for the agency that was related to the control of bird flu. The interactive dialogue was carried out through television and radio in the local area.

The socialisation of the control of bird flu in Karanganyar this had taken part in by the public figure, the religious figure, the young man, the mother of the team of empowerment of welfare of the family (PKK), the chicken breeder, the group of the subdistrict and the district of information of the element community.

In Central Java, Karanganyar was chosen as the place of the socialisation of the control of bird flu because in this regency of many traditional chicken breeders who maintained the chicken between 500 and 1.000 tails in the page of the house.

The regent Karanganyar Rina Iriani in his address mentioned, there were several subdistricts in Karanganyar that possibly became the area endemi bird flu because of these areas was densely-populated him. The area that possibly so endemi that was the Jaten Subdistrict, Kebakkramat, Colomadu, and Gondangrejo.

http://www.kompas.co.id/kompas-cetak...al/2959711.htm

Indonesia provinces:
http://en.wikipedia.org/wiki/Image:I...es_english.png

[Sharpe]

Originally Posted by Theresa42

"Information that was obtained by us from the media's consultant center the Department of the Health Dr Muhammad Nadirin, three provinces that not yet terjangkit or did not yet have the case of bird flu was Gorontalo, the Moluccas, and the North Moluccas," said Subagio.

Looks like they're down to two provinces with bad testing now.

The baby the assumption [suspected] of Bird Flu of being killed in Gorontalo
Sept 15, 2006

Gorontalo: Risman Husni that was expected tertular the bird flu virus died after being rolled over a day in the Alwi Sabu Hospital, Gorontalo. The assumption was affected of the virus avian this influenza emerged because several chickens in the child's house were two years old died suddenly before he was sick. At this time, the doctor was waiting for results of the example inspection of his blood. Beforehand, Risman could be treated in RS Limboto.

[Laidback Al]

Please post to new thread.

http://www.flutrackers.com/forum/showthread.php?t=10521