Bali: 23 Villagers Breathless, Sept 6, 2008 +

[Commonground]

[removed map, I had the wrong location]

Expected a cause the Free Piece Chicken
06.09.2008 20:01
Dozens of residents of the Lebu Sidemen Karangasem Village, today suffered breathless mass. Expected breathless this was related bird flu, because beforehand the affected resident crowded lungs could cut off the piece chicken of the kind broiler. ?Waktu Penampahan Hari Raya Kuningan then (29/8), one affected family breathless could buy and cut off several piece chickens, that were expected by the kind broiler. One chicken was afterwards free around this Village. After several have for a long time been free, this chicken was afterwards cut off by the resident. After eating this chicken happened breathless massal,? Beritabali.com source words in Sidemen. Dozens of residents of the Lebu Village, Kecamatan Sidemen, of Kabupaten Karangasem today suddenly suffered breathless. Up to now already 3 people who were reconciled to RS Sanglah Denpasar

According to a resident Sidemen that did not want to be named by his name, the breathless plague mass in the Lebu Village, Sidemen, this happened since the morning earlier (6/9). ?Hingga currently already 23 people who were registered be hit by breathless. Initially 3 residents were reconciled to the Klungkung Hospital, but because crowded him more serious afterwards was reconciled to the Hospital Denpasar,? ujar. Tomorrow, said this source, the Kesehatan Service of the province and the Official together Regency his plan livestock breeding will descend to the field. ?Warga here worried breathless this was related bird flu, but hopefully not begitu,? the resident's words. According to the latest report, Section Head Kesehatan Karangasem was not yet successful it was confirmed. (Bob) The source of the Illustration of the Picture: the archives file the media's house

http://www.beritabali.com/index.php?reg=&kat=&s=news&id=200809060009

 

[Laidback Al]

Re: East Kalimantan: 23 Villagers Breathless

Re: East Kalimantan: 23 Villagers Breathless

The green oval shows the general location of these 23 cases in Kab. Karangasem in eastern Bali.

 

[Sally Furniss]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

Sidemen Map ? Satellite Images of Sidemen

original name: Sidemen
geographical location: Karangasem, Bali, Indonesia, Asia
geographical coordinates: 8? 28' 0" South, 115? 27' 0" East

http://www.maplandia.com/indonesia/bali/karangasem/sidemen/

 

[Shiloh]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

Source: http://www.balipost.co.id/mediadetail.php?module=detailberita&kid=24&id=4511

Machine translation:
Senin, 08 September 2008 | BP
Expected by Bird Flu, Lima the Patient was treated by Intensif

Denpasar (Balinese Post) one family consisted of five people, on Saturday (6/9) were reconciled to RS Sanglah. They experienced breathless and hot high. They who came from the Lebu Gede Lokasari Series, Sidemen, Karangasem respectively was named Ni Wayan S (42), Ni Wayan D (50), Komang Ayu S (14), Ni Nengah R (40) and I Ketut R (10). The patient who beforehand was treated in RS Klungkung it was suspected suffered bird flu.

Upon arrival at RS Sanglah, they were at once carried to the special maintenance building of bird flu in space of Nusa Indah. Twelve tropics patients who were treated in this room were forced to be moved to the Angsoka room and Lely.

According to Chairman Tim of the Handling of RS Sanglah Bird Flu Dr. Wayan Andrika, Sp.PD., from results of the good inspection clinically and the laboratory data, the 5 patients were stated by the bird flu negative. After being carried out by the inspection clinically, there was no sign that including in suspect bird flu. Even so with results rapid the test, was stated by the bird flu negative, said Andrika was accompanied by Dr. Made Bagiada, Sp.PD. (KP) and Director Umum and Operational RS Sanglah drg. Triputro Nugroho ended examined the patient, on last Sunday (7/9).

Continued by Andrika, two patients that is Wayan S and Komang Ayu were suffering difficult pneumonia, while Wayan D and Nengah R it was known suffered asthma and pneumonia that for a long time as well as Ketut Sarjana that just was 10 years old had suffered the minor respiratory tract infection. The condition for the 5 casualties has increasingly improved. It was hot that they have descended except Wayan S and Komang Ayu still experienced crowded. To be on the alert they have been given tamiflu since being treated in RS Klungkung and continuing to be given now, explained Andrika.

From the family's information and the field data, the five casualties in no way were touching with the poultry died. Moreover, from results of the leucocytes inspection was found by the high value. If being resulted in by the virus, thought leucocytes must him was low. Now if he thought high could be ascertained by his cause because of the bacteria, said Andrika.

The measurement of normal leucocytes was 4000-8000 while the 5 patients had the value of leucocytes from 31,000 to 16.000. From our field data got information that since Galungan many residents of the place of casualties came suffered breathless and coughs. If being totalled by all of them 27 people including five patients who were reconciled to RS Sanglah. Beforehand had three patients who were expected suspect bird flu to RS Klungkung, but results of the negative and not until was reconciled to RS Sanglah, said Andrika.

The number of people who suffered coughs and crowded was explained by Andrika the possibility because of the bacteria spread quickly through air, moreover now entered change of season that was susceptible to the illness.

In the meantime, according to information of the patient's family, in their place environment was kept indeed having several residents who maintained the poultry but not in large quantities. Most around 3-5 tails. Till yesterday two patients, Wayan S and Komang Ayu were still being treated in intensive space temporary bird flu of three other patients has been moved to maintenance space. (kmb24)

 

[Giuseppe]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

Leucocytosis doesn't exclude per-se influenza virus infection, because bacterial / fungine superinfection may be present as well.

Further, with oseltamivir treatment and antibiotic therapy it would be difficult to obtain positive result by serological / virological tests.

 

[Treyfish]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

DOZENS OF residents was suspected of suffering BIRD FLU
The official of the health was checking the condition for the resident. n Sunday, September 07 2008 23:04
Bali: Dozens Of residents in four villages in the Sidemen Village, Karanasem, Bali, experienced the sign similar to bird flu. Officially Kesehatan local localised four villages. Two from four villages were the Babakan Village and the Umu Village was Gede. Most residents of the village currently suffer the high fever, the cough, breathless was accompanied very itchy. The resident's suffering has taken place since last week. They who were attacked by the illness it was recommended took medicine. According to the resident, the sign was similar to bird flu spread after many poultries died suddenly. Dinkes local then admitted to not yet knowing definitely the cause of the sign peneyakit that was suffered by the resident.

:tiphat: http://www.metrotvnews.com/new/berita.asp?id=66130

 

[Gert van der Hoek]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

More from Denpasar, Bali

07/09/2008 20:00

Regional Hospital received Five Patients the Assumption of Bird Flu

Liputan6.com,Denpasar:

Today RS Sanglah, Denpasar, Bali, Ahad (7/9) again received five assumption patients of villagers's bird flu Sidemen Karang Asem, reconciliation from the Klungkung Hospital.

The five patients consisted of four adults and one child was 10 years old that came from one village that is the Lebuh Gede Series, Lokasari Karang Asem. The five of them were at once treated intensive in space of Nusa Indah, that was special space was used to handle the case of bird flu.

According to the doctor Putu Andrika Chairman the team of the handling of bird flu, was based on results of temporary observation was increased by results rapid test the five patients were stated by the bird flu negative.

Because the five of them did not have the story of contact with the poultry that died around his village.

However, two patients were among them stated experienced puenemia heavy or inflamed of the acute lungs that is Ni Wayan Sudi and Komang Ayu Sri.

Where one of the patient's families named Komang Suartana in several last weeks, in his territory happened the similar case, that is the resident experienced breathless difficult totalling 20 people more.

However in this case was not yet found by the existence of the case of the poultry died diwilayah him.

http://www.liputan6.com/actual/?id=14994

 

[Commonground]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

The five patients consisted of four adults and one child was 10 years old that came from one village

Would they consider a 14 year old an "adult"?
I have 3 adults, one (10) and another (14).

 

[Commonground]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

and the 14 yo name is Komang Agu/Ayu Sri

and I'm wondering if it has anything to do with this:

Where one of the patient's families named Komang Suartana in several last weeks, in his territory happened the similar case, that is the resident experienced breathless difficult totalling 20 people more.

 

[Giuseppe]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

At MetroTV site is available a brief video: a child is being visited by a HCW and camera does a close view of the patient's back covered by black spots - or pressure ulcers, signs of a long illness or otherwise of septic shock.

 

[Commonground]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

A little bit about Sideman:

This village located at the valley, sorround of many hill and most of the area is a paddy fields that irigate by Subak, the Balinese traditional water system for ricefield. The housing area separated with the field area, the housing area located at the right side from the road, and the field area located at the left side, that make this village very unique. The area is famous for stunning scenery, and a simple, traditional way of life.
Sidemen village located at the Karangasem Regency, east part of Bali , in the Sidemen valley is an idyllic place poised 1,400 feet up, on the slopes of Mount Agung , the highest mountain in Bali . Sidemen village is home to about more than 7,000 people, most of them supported by farming. The whole Sidemen village is spread out over three separate river valleys which encompass a population of about 27,000.

Sidemen is around 1 hours 30 minutes drive from the Ngurah Rai international airport.

http://sidemen.blogspot.com/

 

[Laidback Al]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

KLB (extrordinary medical event) in western Bali today.

Muntaber KLB, 11 people entered the Hospital

[Jembrana.Kesehatan] 07.09.2008 17:24
http://www.beritabali.com/

Negara: The plague muntaber in the Yehembang Village and Yehembang Kangin, Mendoyo has become the Luar Biasa Incident (KLB) and up until today, 11 people were forced to have to be treated in the hospital.

Section Head Kesehatan and Sosial Jembrana Welfare, I Putu Suasta, said the plague muntaber this has been classed as KLB so as his side carried out the checking all through the Mendoyo Subdistrict territory.

"Until this 11 sufferers muntaber was forced to have to be treated in several hospitals in Jembrana to get the handling was more intensive," he said.

Suasta also said until this results of the laboratory inspection of the sample of several source points of water in the location kejadia still not was obtained by him so as his side still could not determine the cause of the plague muntaber this.

"Results" of the "laboratory inspection sata several samples" of the "source" of "water did still not descend." We did not yet dare to conclude the cause of the plague muntaber this, obviously him.

Whereas responding to the resident's complaint on the delay ambulance arrived in the location of the incident, Suasta said his side only had 2 ambulance in Mendoyo whereas the patient who must be carried by the amount many.

The "community was hoped for by me only did not rely ambulance from the Regional Government to carry the patient to the closest medical treatment post." We the limitations ambulance, so the community was hoped for by me could try to get looked for the other vehicle, he stated.

Suasta also stressed his side has completely carried out various efforts in order to presses the development of the plague muntaber that has been appointed as KLB, including mensosialisasikan the pattern of the clean and healthy life to the community through the circle car. The "plague muntaber this already KLB. Mari Kita was together proaktif"

credits to Pixie

 

[Laidback Al]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

location map.

 

[Gert van der Hoek]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

8/9/2008

5 Suspect patients in RS Sanglah Negative Bird Flu

Wayan Adi - Denpasar, Totalling five patients suspect bird flu from the Sidemen Village, Kabupaten Karang Asem, Bali till at this time still was treated intensive in special space Sanglah Hospital bird flu, Denpasar, Bali.

The five patients suspect this bird flu including Ni Wayan Suji (42), Ni Wayan Dame (50), Komang Ayu Sri (14), I Nengah Date (40) and I Ketut Sarjane (10). The five of them began to experience the hot sign high and breathless as well as signs of other bird flu since last Saturday.

From Puskemas Sidemen the five of them were afterwards reconciled to RSUD Klungkung and afterwards was reconciled back to RS Sanglah because of the assumption of early the five of them were infected by the bird flu virus.

However, was said by Tim Doctor RS Sanglah Chairman Dr. Ken Wirasandi to ELSHINTA, this Monday morning (8/9), after being carried out by the inspection and the test of the beginning laboratory by the Team Doctor RS Sanglah, to the five patients was not found by the existence of the sign of the illness resulting from infection of the virus to the poultry.

Results of the inspection stated they experienced the acute infection because of the bacteria.

Although the five patients were it was suspected negative infected by the bird flu virus, the Kesehatan Service (Health Service,ed) of the Karang Asem Regency continued to carry out steps in anticipation, among them spraying and the penning of poultries that were gotten in the Sidemen Village.

http://www.elshinta.com/v2003a/readnews.htm?id=56703

 

[Gert van der Hoek]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

08/09/2008 16:54 -

The Condition of 3 Patients Presumed to have Bird Flu Improved

Liputan6.com, Denpasar: Five the assumption patient of bird flu from the Lokasari Village, Kabupaten Karangasem, Bali, on Monday (8/9), still were placed in special isolation space of the Hospital of Sanglah Denpasar.

Today, the health of three patients began to improve. Two other experienced the inflammation of the acute lungs so as still used breath aids.

For decisive whether the five patients are infected by bird flu or not, RS (Regional Hospital,ed) Sanglah sent the sample of their blood to be researched in Research And Development of Dinas Kesehatan Jakarta (Dep of Health,ed).

Now around the patient's house, the official of Livestock Breeding and the Health of the Service vaccinated the poultry as anticipation.

Moreover, there were approximately 20 residents who claimed breathless. As Far As This Is Concerned, the official did not yet receive the report had the poultry that died suddenly around the patient's house.

http://www.liputan6.com/news/?id=164963&c_id=7

Link leads to video

 

[Commonground]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

Two other experienced the inflammation of the acute lungs so as still used breath aids.

I'm assuming that would be:
Ni Wayan Sudi/Suji (42) and
Komang Agu/Ayu Sri (14)
who are diagnosed in Post #4 with pneumonia.

 

[Commonground]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

5 residents Sidemen was expected by Bird Flu
*Teens Pasien Removed To A Safer Place from Nusa Indah Space

8 September 2008
Five the resident of the Lembu Gede Series, Desa Lokasari, of Kecamatan Sidemen, Karangasem, was expected terjangkit bird flu in accordance with the inspection in RSUD Klungkung, last Saturday (6/9). The five of them were Ni Wayan Sudi (42), Ni Wayan Dame (50), Komang Ayu Sri (14), Ni Nengah Rata (40), and I Ketut Sarjana (10). They were afterwards reconciled to RSUP Sanglah, and were received around struck 17,30. From results of the inspection in RSUP, good from the clinical sign and the laboratory inspection that were carried out did not head in the case of bird flu, but the respiratory infection resulting from the bacteria. Nevertheless, the five of them were treated with the maintenance procedure of the bird flu patient because of being reconciled on the assumption of bird flu. The arrival of the five patients could from Sidemen stir up IRD. Mereka could walk up and down IRD RSUP, the reason for the space back door of Nusa Indah that was set aside treated the bird flu patient was locked. On the arrival of this patient, space of Nusa Indah was immediately vacated.
-snip-
According to Andrika, two patients who were handled that is Sudi dan Ayu suffered pneumoni (the inflammation of the lungs) heavy. Whereas Dame dan Rata was stated had the story of the pulmonary disease that for quite a long time, and one experienced asthma bronkiale. While Sarjana only suffered the minor respiratory tract infection. Before being accepted, the five patients were given by Tamiflu as bird flu medicine in RSUD Klungkung.

According to Komang Sudi, the uterus child of Wayan Sudi in RSUP, there was three other neighbours who entered RS Klungkung with the similar sign. Among them the father and the child, Komang Resta and Nengah Kerta. Be willing admitted to having several poultries that were maintained by the resident, but in the number that not many.

Crowded/Narrow Breathless Involving Many People

In the meantime, the Kesehatan Karangasem Service side visited RSUP and explained the condition in the field if happening breathless mass that infected 27 residents Sidemen. Including 5 that was reconciled to RSUP and 3 that still was treated in RSUD Klungkung. According to Dr. Triputro Nugroho, Diskes Karangasem came several hours after the patient was from Sidemen received in RSUP. Dari 27 people, could come to RSUD Klungkung, but most at once came home. ??We received the report if the breathless emergence mass since the beginning Galungan then. At this time the related side carried out the field test and the test klinis,?? added Dr. Triputro Nugroho.
http://www.denpost.net/2008/09/08/kriminal.htm

 

[Commonground]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

Post #17:

Among them the father and the child, Komang Resta and Nengah Kerta.

Could be:
Komang Ayu Sri (14)
Nengah R/Date (40)

 

[Gert van der Hoek]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

Head of Health Service Straightened Rumors from Sidemen

Amlapura Bird Flu -- Rumors of the Bird Flu expansion in the cool Sidemen Karangasem region, menyeruak in the last week. His trigger the reason was found had 3 patients from the Village Lokasari the Dust Series of GedeKecamatan Sidemen that was reconciled to RSUP after could receive the maintenance in RS Klungkung.

Initially the patient was meant to be indicated by the patient suspect Bird Flu. Spontaneously this information made the resident's unrest and angry especially for the Kesehatan Karangasem Service.

In order to finds out the fact in fact, Kadiskes Karangasem went through the team of the task force of regency Bird Flu with the team of the province descended immediately carried out the checking. Further on Monday (8/9), stressed that rumours suspect Bird Flu in Sidemen untrue, the statement was like this was sent, Plt Kadis Kesehatan Kab. Karangasem Dr. I Wayan Suardana.

In Press information that was launched by Sekdakab Karangasem public relations mentioned after the team of the Kabupaten Karangasem Bird Flu task force with the province descended to the field carried out the checking, for the time being the cough patient pilek that was reconciled to RSUP Sanglah from RSUD Klungkung was not yet found had the connection with the possibility infected by the Bird Flu virus or suspect.

?Now was concluded by us against the three patients who were reconciled to RS Sanglah was not yet proven was infected by bird flu as like that was made an issue of uptil now, ? Terang Dr. I Wayan Suardana.

This, was proven dilapangan because of being not found by the existence of the chicken that died suddenly and showed the sign of Bird Flu.

However that happened thus Dr. Suardana, the concern emergence of several local residents would the possibility was attacked by bird flu, his trigger could because of a local resident buy the chicken during Kuningan, but after two chickens that were bought by him in Klungkung will be cut off for the foodstuff, tomorrow him two local hens there are those that died along with 11 tails of his children.

Tragic him this incident was followed by several residents suffered sakir the cough pilek reached 24 people who afterwards were taken to the Community Health Centre to the doctor by Kades local. Where in the long run 3 people who were reconciled to RSUD Klungkung and continued was reconciled to RS Sanglah.

http://www.beritabali.com/?s=news&reg=&kat=&id=200809080011

 

[Commonground]

Re: Bali: 23 Villagers Breathless

Re: Bali: 23 Villagers Breathless

[So, there were chickens that died in the area.]

Post #19:

the concern emergence of several local residents would the possibility was attacked by bird flu, his trigger could because of a local resident buy the chicken during Kuningan, but after two chickens that were bought by him in Klungkung will be cut off for the foodstuff, tomorrow him two local hens there are those that died along with 11 tails of his children.

Another translation:
appearance anxiety a number of resident of the same place as to possibility attack flu burung, triggered due to the fact that person resident of the same place have a chance purchase chicken Kuningan, but after two tails chicken that bought in Klungkung severed/cut towards matter of food, upcoming time two chicken female of the same place be who died to accompany 11 ekor offspring his.