Indonesia: The Latest Human Suspected & Confirmed Cases January 29 + April 6, 2009

[Gert van der Hoek]

Re: Indonesia Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia Possible Human Cluster (Bogor) & Human Cases January 29 +

Treated as an outpatient, he is at home, not in hospital.

Bali resident bird flu suspect

VIVAnews - Did not yet end the handling of the case of rabies in Bali, bird flu currently threatens the Island of the Gods. One of the residents, Putu Prana Yoga (20) that beralamat in the Sibang Series, Desa Jagapati, Abiansemal, Badung was expected by bird flu.

The assumption headed to bird flu because Yoga had the story of direct contact with the poultry that died as a result of bird flu. According to the official surveillance from the Community Health Centre of Abiansemal Ii, Dewi Tresnaningsih Yoga has been handled.

Has been given by us tamiflu twice a day with the dose 75 milligram but also other medicines, said Dwi when being met in the Yoga house, on Tuesday February 10 2009.

Giving tamiflu, said Dwi, was given while seven days were endless. Each five hours continued to be carried out by observation, added Dwi. Until this the Yoga status was still being expected by bird flu.

According to Dwi, the sample of Yoga blood has been sent to the Penelitian Dan Pengembangan Kesehatan Body of the Department of the Health. Results just went out two weeks more, said Dwi. The temperature of the Yoga body through to 38 levels celcius was accompanied breathlessly.

However after being carried out by the checking, evidently his respiration was normal that is 16 times per the minute. Nevertheless, Yoga still in the supervision from the Community Health Centre.

Separately, the Secretary of the Handling of Rumah Sakit Sanglah Bird Flu, Dr Ken Wirasandi again warned in the service rank for his vigilance if finding the patient that experienced hot high and breathless to immediately asked whether having the story of poultry contact or not.

Hopefully after 1.5 expired years did not have again the case of bird flu in Bali, hoped he. The Bird Flu command post recorded, up until January 16 2009, from 12 provinces that were infected by bird flu to humankind, 6 provinces were not found again by the case of bird flu.

The province that has been free to be the Lampung Province (the infection on September 22 2005), the South Sulawesi Province (the infection on June 18 2006), the South Sumatra Province (the infection on March 10 2007), the East Java Province (the infection on March 19), the North Sumatran Province (the infection on May 3 2007), and the Balinese Province (the infection on August 14 2007).

Up to the middle of January 2009, according to the Department's data of the Health, the spread of bird flu was still coming from the poultry to humankind. Not from humankind to humankind. The proof is, the specimen inspection of all case contact showed the negative.

http://nasional.vivanews.com/news/read/28859-satu_warga_bali_suspect_flu_burung

 

[Gert van der Hoek]

Re: Indonesia Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia Possible Human Cluster (Bogor) & Human Cases January 29 +

February 11, 2009

Chicken Cull in Bali After Avian Influenza Outbreak

On the heels of a rabies outbreak in Bali, officials on the tourist island are now wrestling with the shadow of avian influenza.

Made Badra, the head of Badung district?s animal husbandry, marine and fisheries agency, said on Tuesday that one person was being treated for suspected bird flu infection, while 133 chickens from the Jagapati Abiansemal village had been culled after one out of five of the sick birds, selected randomly from the group, tested positive for the H5N1 virus last week.

Indonesia remains the world?s most-affected country from the virus, with 113 human deaths from 139 cases as of Jan. 19, according to the World Health Organization. Indonesia?s failure to reign in the disease ? which is endemic among domestic birds in the vast majority of Indonesia?s 33 provinces ? has prompted critics to warn a global pandemic could originate from Indonesia.

?We conducted the culling [last] Thursday, Friday and [Tuesday] morning and eliminated 133 chickens,? he said, adding that local residents had voluntarily given up their birds to be destroyed.

Badra also said that a local resident, Putu Pramayoga, was experiencing bird-flu like symptoms after coming in contact with sick poultry. He was given antibiotics and antiviral drug Tamiflu and his condition was said to be improving.

?This morning I have checked. The fever and the cough have gone,? he said, adding that Putu?s tissue samples had been sent to Sanglah hospital in Denpasar to find out whether or not he was infected with bird flu.

?There is no rapid test for humans. Laboratory tests take time, so we cannot confirm whether or not Putu was infected by the H5N1 virus.?

Badra said that in an effort to curb the spread of the virus, the agency would conduct a drive to disinfect chicken farms and slaughter houses.

?We will also reactivate surveillance in nearby villages to monitor the transportation of chickens,? he said.

Badra said awareness of bird flu in Badung had improved after a small outbreak of the virus struck the district in 2007, killing two people.

The state-run Antara news agency reported on Tuesday that 11.5 percent of Lampung Province?s 2,330 villages, a total of 268 villages, had tested positive for bird flu among birds in January.

Sunaryo Kasman, section head of animal and veterinary health for Lampung?s husbandry and animal health agency was quoted as saying that the survey conducted by the agency in January 2009 indicated that the virus had spread to eleven subdistricts.

Sunaryo also said that in 2004, the H5N1 virus killed more than 1.8 million birds in Lampung, the highest rate in the province, while in 2008 the number of dead birds fell to 25,282.

The decreasing figure was the result of increasing awareness in the community and faster response times when bird flu cases were detected, he said.

http://www.thejakartaglobe.com/news/national/article/9343.html

 

[AlaskaDenise]

Re: Indonesia Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia Possible Human Cluster (Bogor) & Human Cases January 29 +

Avian flu detected in cockfighting village

Andra Wisnu , The Jakarta Post , Denpasar | Wed, 02/11/2009 12:23 PM | The Archipelago

A local man suspected of having bird flu rested in his home in Jagapati village, Badung, a place well-known for cockfighting, while officials continued to cull fowls in the area.

Putu Pranayoga, 20, was resting in his bedroom when The Jakarta Post visited. Dwi Tresna Ningsih, a field doctor who has been treating and observing Putu, said he began showing symptoms of influenza Monday, just a few days after the report of a possible bird flu outbreak in the area.

"We've given him Tamiflu *the medicine required to treat bird flu suspects* and we'll continue to observe him every five hours," Tresna said Tuesday.

She said Putu seemed to be getting better but declined to rule out the possibility of bird flu, saying that she was still waiting for results of Putu's blood test, which was sent to Jakarta on Monday.

"We can't know for sure until we've received the results of his blood tests, which we will get in two weeks," she said.

It is the latest resurgence of the much-dreaded avian flu in Bali since the death of a 29-year-old woman, who allegedly died after being infected by the H5N1 virus on August 2007.

The virus was first detected on Wednesday last week, when a villager reported the sudden and nearly simultaneous death of 15 fowls in the area to the Badung Animal Husbandry and Fisheries Agency.

The dead fowl tested positive of bird flu.

The agency has since culled as many as 133 fowls in the district, with further culling to continue in the days to come until all the villages' estimated 180-fowl population has been eliminated.

"We have culled 133 fowls so far, including the 40 we aim to finish off today. We'll continue the elimination for as long as it takes," said I Made Badra, head of the Badung Animal Husbandry and Fisheries Agency, in Jagapati on Tuesday.

According to Badra, the resurgence of the virus was related to the wet season, which may have weakened a certain fowl's immune system enough to catch bird flu, quickly spreading to others.

Another possibility, he said, was the transportation of an infected chicken from Java to Jagapati to use for cockfighting.

The Bali government has banned unlicensed live animal transportation into Bali and cockfighting, but the latter remains a staple in the island due to the religious and traditional nature of the so-called sport.

On the other hand, the ban on animal transportation seems to have been fully implemented since the detection of rabies virus late last year. However, Badra said there was a good chance that infected fowls escaped detection because they might have been transported before the rabies scare.

"For now we'll continue to urge the public to not transport live animals into Bali," he said.

"We should all really learn from what happens to people who come in contact with sick animals," he said, referring to the alleged death of the 29-year-old woman from bird flu and the recent alleged deaths from rabies.

http://www.thejakartapost.com/news/2009/02/11/avian-flu-detected-cockfighting-village.html

 

[Francoise Ramona]

Re: Indonesia: Human Cases 8 Oct 2008 - January 28, 2009

Re: Indonesia: Human Cases 8 Oct 2008 - January 28, 2009

Indonesian suspected of having avian flu

Posted on: Wednesday, 11 February 2009, 10:48 CST
Authorities in Indonesia awaited the results of blood tests to determine if a resident of a village known for cockfighting has contracted avian flu.
The illness of Putu Pranayoga, 20, may signal the first human case of avian flu, commonly called bird flu, in Bali since a 29-year-old woman died of the disease in August of 2007, The Jakarta Post reported Wednesday.

The virus was first detected a week ago when a villager reported the nearly simultaneous death of 15 fowls that all ended up testing positive for avian flu.
We have culled 133 fowls so far, including the 40 we aim to finish off today,</q> said I Made Badra, head of the Badung Animal Husbandry and Fisheries Agency in Jagapati.
The Indonesian government has banned unlicensed live-animal transportation into Bali as well as cockfighting, but the sport remains a staple on the island.


http://www.redorbit.com/news/science/1637630/indonesian_suspected_of_having_avian_flu/index.html

 

[Gert van der Hoek]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Just a snip on the suspect bird flu patient on Bali Island, his condition seems not to improve:

Meanwhile, the condition of Putu Prana Yoga, the patient suspect bird flu in the series is, until yesterday afternoon as the previous day. In fact, conditions can be spelled a bit worrying because starts vomiting. "Earlier finished vomiting. But it hot, cold and still pernafasannya like yesterday (Sunday)," said Wayan Kodi, father of Prana Yoga.

http://www.jawapos.co.id/radar/index.php?act=detail&rid=64548

 

[Laidback Al]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Dep of Health does not update regularly, here an update from what seems a reliable source. Sorry for the ugly Google translation.

Four more cases confirmed.



Waspadai Bird Flu pandemic

Wednesday, 11 February 2009

BATU (Sindo) - Society Jatim be required to further increase awareness merebaknya against H5N1 virus or avian influenza / flu burung.Pasalnya, the virus that spread through poultry at any time can attack the human body.

Deputy Coordinator of the Ministry of People's Welfare Coordination of Population Health and the Environment Emil Agustiono explains, in addition to the threat of diseases that kill, that should also be a very bird flu pandemic. "The virus is a bird flu pandemic of the bird flu virus from human to human," he said in the Handling of Bird Flu pandemic in East Java, in the City of Stone kemarin.Hadir in this event, among others, the Chairman of Unicef for the East Java, Bali, NTB, and NTT , Jinung D Kritanto.

He explains, in a world known health flu.Pertama three types of virus, the virus flumusiman, virusinibiasamenyerang the human body, is not dangerous, but quickly menular.Kedua, namely burung/H5N1 flu virus, does not easily spread, but very dangerous because it can kill the body manusia.Yang last is the type of flu virus that originated from the bird flu virus mutation. "For the third category, the type of dangerous virusnya and death.

East Java province ranks to national-6 in this case. Eight people from bird flu, killed five people, "said Emil. He also reminded the local officials in order to continue observing the development of the spread of this H5N1 virus. Can the local government (local government), he said, among other birds to do the restructuring, to make regulations on the sale of poultry, and most importantly, continue to remind the community to continue to keep the cage unggasnya.

Head of Unicef for the East Java, Bali, NTB, and NTT, Jinung D Kritanto added, Unicef continues to actively participate in prevention efforts to the spread of bird flu. Basic steps are carried out the program within the community to continue cautious spread of the virus is vicious. "We just want to add that local governments in the area of concern that the traditional market becek.Sebab, the spread of bird flu virus is more easily in humid areas and tarnish," he said.

He explains, according to the Ministry of Health of RI 2005-2009, the number of people with bird flu reached 145 inhabitants and 119 patients declared dead.

At the beginning of the spread of H5N1 virus in Indonesia is concentrated in 12 provincial areas. But in its development, the possibility has been spread on the area outside the 12 areas that have been classified as endemic bird flu virus is.

"We imbau to the people who have poultry in order to continue to keep the water kandangnya.Cukup with the rest of the washing detergent can be used for poultry cage clean. Nature of water detergent can kill virus H5N1, "a Jinung. (adi Saputro maman)

http://www.seputar-indonesia.com/edisicetak/content/view/212660/37/

As of January 22, 2009, WHO has confirmed 141 cases in Indonesia with 115 fatalities as indicated in the last WHO update for Indonesia. http://www.who.int/csr/don/2009_01_22/en/index.html

A breakdown of these confirmed cases by province is presented in this post. http://www.flutrackers.com/forum/showpost.php?p=205702&postcount=95

The announcement above indicates that at least four other people in Indonesia have been locally confirmed with bird flu. All four of these "locally confirmed cases" have died. These deaths would have occurred after Jan 2, the last reported death in a WHO update.

There have been a number suspected cases since Jan 2, but the three listed below died and are likely to be officially confirmed in the future. Perhaps someone else has other suspected individuals that may have died from bird flu.


Ruslani, Bogor, died Jan 16, 2009?

Nural Hikmah, Bogor, died Jan 16, 2009

Sutini, Surabaya, died Jan 24, 2009

 

[Commonground]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Toggletext:

The East Java province occupied the 6th place national in this case. From eight bird flu sufferers, died five orang,? Emil's words. He also warned to the official in the area so that pay attention to continued the development of the spreading of the virus H5N1 this. That could be carried out by the regional government (the regional government), said he, including carrying out the restructuring of the poultry, made the regional regulation about the sale unggas,dan that important was to continue to remind the community in order to continue to maintain the cleanliness of his poultry pen.

Hi Al, I don't get too caught up in the statistics, but I have:

Eka (3 mos) Adm: 2/5 Died: 2/6 (no confirmation)

Napsiah (43) Adm: 1/17 Died: 1/17 East Cengkareng, West Jakarta. (no confirmation)

Ela (35) Adm: 1/22 (tested negative) Cirebon, Bekasi

RP (5) - Adm: 1/11, Wonogiri

DN (6) Adm: 1/12, was using oxygen & heart monitor the last I knew...Kendal.

Ansar (5) S. Sulawesi

AR (27) Adm: 1/13 Riau, Batam, was very critical upon adm, unconscious. (negative)

 

[Gert van der Hoek]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Confirmation from Koran Tempo on the number of confirmed human cases in Indonesia mentioned in post # 46, apparently they went to the same press conference.

http://www.korantempo.com/korantemp...ita_Utama_-_Jatim/krn.20090212.156530.id.html

 

[Gert van der Hoek]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

http://www.bogor.net/berita/seputar-bogor/235-air-di-cilendek-tercemar-virus-flu-burung

From Bogor:

Water in a pond was found to be postive for H5N1; close to the cemetary where Ruslan - a suspect - was burried.

Explanation how special plastic coated with alu foil was used. So contamination can't be from Ruslan.

This indicates strongly a suspect avian flu victim.


Can't translate TT now, Google makes it a mess.

 

[Giuseppe]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

http://www.bogor.net/berita/seputar-bogor/235-air-di-cilendek-tercemar-virus-flu-burung

From Bogor:

Water in a pond was found to be postive for H5N1; close to the cemetary where Ruslan - a suspect - was burried.

Explanation how special plastic coated with alu foil was used. So contamination can't be from Ruslan.

This indicates strongly a suspect avian flu victim.


Can't translate TT now, Google makes it a mess.

A moment, please.

When a corpse is buried - at least not in water itself - some time is needed (few days) to decompose. I wonder whether the decomposition process could also cause inactivation of H5N1.

Further, the liquid portion of decomposed materials need to be filtered by soil bed, before to reach water...

It is possible that h5 may pass natural filtration process through soil and survive to this environment rich for minerals and other chemicals?

 

[Sally Furniss]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

http://www.bogor.net/berita/seputar-bogor/235-air-di-cilendek-tercemar-virus-flu-burung

From Bogor:

Water in a pond was found to be postive for H5N1; close to the cemetary where Ruslan - a suspect - was burried.

Explanation how special plastic coated with alu foil was used. So contamination can't be from Ruslan.

This indicates strongly a suspect avian flu victim.


Can't translate TT now, Google makes it a mess.

Thanks Dutchy

Putting the Indonesian here too


Air di Cilendek Tercemar Virus Flu Burung

Jumat, 13 Februari 2009 15:20 Redaksi




TAK hanya unggas di Kelurahan Cilendek Timur Bogor Barat yang positif flu burung. Sumber air di kolam pembuangan RT 02/03 juga positif mengandung virus H5NI. Hal tersebut berdasarkan hasil tes laboratorium Badan Penelitian Veteriner Bogor. Warga sempat panik ketika mengetahui kondisi tersebut. Apalagi sebelumnya jenazah Ruslan, penderita suspect flu burung 29 Desember 2008, dimakamkan di lokasi itu. Jadi, beberapa warga meminta penjelasan Dinas Kesehatan dan Dinas Pertanian Kota Bogor untuk memberikan jaminan keamanan dan kesehatan.
Kemarin, Dinkes dan Distan mengadakan penyuluhan di Majelis Taklim Al Istiqomah RW 04 Kelurahan Cilendek Timur. Hadir dalam kesempatan itu DSO Flu Burung dari Dinas Kesehatan Kota Bogor Dwi Susanto. Dia menjelaskan, pencemaran sumber air itu dipastikan bukan dari makam Ruslan. Sebab, prosedur penanganan jenazah suspect flu burung mengikuti standar WHO. Pertama dibungkus menggunakan plastik khusus antikuman lalu dilapisi aluminium foil. Ditambah pelapis khusus yang terbuat dari seng dan terakhir dimasukkan dalam peti kayu. Empat lapisan tersebut dijamin tidak akan menularkan virus keluar.
Sementara Kasi Kesehatan Hewan dan Produksi Dinas Pertanian Kota Bogor drh A Maolana menuturkan, pencemaran terjadi bukan di kolam penampungan yang biasa digunakan untuk keperluan warga. "Sampel air yang positif diambil dari kolam pembuangan warga. Diduga karena banyak unggas air yang berkeliaran di lokasi tersebut. Sedangkan kolam penampungan air milik warga masih negatif dan relatif aman digunakan sehari - hari," terangnya. Karena itu, Dinas Pertanian mengimbau kepada warga mengkandangkan unggasnya. Terutama unggas air yang diketahui lebih kuat menahan virus dalam tubuh, sehingga tidak mati. Meski terjangkit, itu bisa menjadi pengantar penularan virus.
Dari hasil pemeriksaan Dinas Pertanian, di sekitar lokasi tersebut belum ditemukan unggas mati akibat virus flu burung. Sementara Kepala Dinas Kesehatan Kota Bogor dr Triwanda Elan mengungkapkan, meski telah ada korban suspect flu burung hingga dua orang, pihaknya belum berani mengeluarkan status siaga flu Burung untuk Kota Bogor. "Sekarang kita terus waspada dan masih memonitor semua orang yang sakit dan ada kontak dengan unggas mati," ucapnya saat dihubungi Radar Bogor, tadi malam. Ini karena berdasarkan data, baru dua kecamatan yang terindikasi ada kasus flu burung, yakni Tanahsareal dan Cilendek Barat. Sehingga upaya paling efektif adalah menjaga jangan sampai terjadi penularan terhadap manusia.
Kepala Dinas Pertanian drh Herlien Krisnaningsih mengatakan, saat ini yang harus dilakukan masyarakat adalah meningkatkan kewaspadaan dengan membangkitkan niat hidup bersih, juga melakukan bio security terhadap lingkungan. "Penentuan status siaga dilakukan terhadap korban manusia, sementara unggas kita baru melakukan dengan penanggulangan, salah satunya sosialisasi kepada warga," ujarnya. Sosialisasi ini kian intensif dilakukan di daerah rawan. Ke depan sosialisasi akan menggandeng pelajar dari pramuka dan mahasiswa IPB agar kewaspadaan masyarakat meningkat serta menumbuhkan perilaku hidup bersih dan sehat termasuk cara memperlakukan binatang

 

[Gert van der Hoek]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Sorry, I did not make myself clear:

"this" strongly indicates etc. means: the special treatment of the body of the victim strongly indicates etc.

At the same time the Indonesian authorities argue that this special treatment would prevent possible spreading of a virus.

 

[Sally Furniss]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

TT

Water in Cilendek Tercemar Virus Flu Burung on Friday, February 13 2009 15:20 Redaksi E-mail Cetak PDF NOT ONLY the poultry in the District of Cilendek Timur Bogor Barat that was positive bird flu. The source of water in the disposal pond of RT 02/03 also positive contained the virus H5NI. this Matter was based on results of the test of the laboratory of the Research Body of Veteriner Bogor. The resident could panic when knowing this condition. Moreover beforehand the Ruslan body, the sufferer suspect bird flu on December 29 2008, was buried in the location. So, several residents asked the explanation of the Health and the Service of Pertanian Kota Bogor of the Service to give the security guarantee and the health.

Yesterday, Dinkes and Distan held counselling in the Council of Taklim Al Istiqomah RW 04 Cilendek Timur districts. Be present in the opportunity of DSO Flu Burung from the Kesehatan Service of the City Bogor Dwi Susanto. He explained, pollution of the source of the water was ascertained not from the Ruslan grave. Because, the handling procedure of the body suspect bird flu followed the standard of WHO. Pertama was wrapped used special plastic antikuman then was covered aluminium foil. Increased the special layer that was made from zinc and finally was put in the case of wood. Four layers it was guaranteed will not spread the virus went out.

Now Kasi Kesehatan of the Animal and the Dinas Production of Agriculture of Kota Bogor drh A Maolana said, pollution happened not in the normal reception pond was used for the need of the resident. The "sample" of "positive water was taken from the disposal pond" of the "resident." Expected because of many water poultries that roamed about in this location. Whereas the pond of the water reception belonging to the resident was still negative and relatively safe was used a day - the day, obviously him. Therefore, the Pertanian Service made a plea to the resident mengkandangkan his poultry. Especially the water poultry that was known stronger kept the virus in the body, so as to not die. Although terjangkit, that could become the spread escort of the virus.

From results of the Pertanian Service inspection, around this location was not yet found the poultry died as a result of the bird flu virus. Now Section Head Kesehatan of the Bogor City Dr Triwanda Elan said, although having casualties suspect bird flu as far as two people, his side did not yet dare to dismiss the alert status of bird flu for the Bogor City. "Now we continue to be on the alert and still monitored everyone who was sick and had contact with the poultry died," he said when being contacted the Bogor Radar, last night. This because of being based on the data, just two subdistricts that terindikasi had the case of bird flu, namely Tanahsareal and Cilendek Barat. So as efforts were most effective was to take care to do not the spread happen against humankind.

Pertanian drh Herlien Krisnaningsih Section Head said, at this time that must be carried out by the community was to increase vigilance by generating the intention to the clean life, also did bio security towards the environment. The "determination" of the "alert status was carried out against human casualties, now our poultry just did with the control, one of them the socialisation to the resident," he said.

This socialisation increasingly intensive was carried out in the area of the danger. In the future the socialisation will take the student from the scout and the student IPB so that the community's vigilance increases as well as cultivates the behaviour of the clean and healthy life including the method of treating the animal by the hand

 

[Commonground]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

INDONESIA: Steps taken to confront bird flu but danger remains

[This is the first reference I have seen that the Bali patient has been hospitalized. It could be an error]

JAKARTA, 12 February 2009 (IRIN) - Indonesia is making progress in its fight against avian influenza but the danger posed by the H5N1 virus to humans remains high, specialists said.

Last month, the Indonesian Health Ministry announced that two more people had died of the disease, bringing the death toll to 115, the highest in the world.

Investigations indicated that both victims visited wet markets before contracting the disease.

On 8 February, a 20-year-old man on the resort island of Bali was hospitalised for suspected bird flu after dozens of chickens in his village tested positive for the virus. Tests were being carried out to determine whether he had contracted bird flu.

However, Bayu Krisnamurthi, executive director of Indonesia's National Committee for Bird Flu Control and Pandemic Preparedness, said there was no evidence the virus had mutated into a form that could make it easier for humans to be infected.

"Bird flu has now become like other infectious diseases spread by animals. The virus is around us, but there's no clinical evidence that it is any more dangerous than before," Krisnamurthi told IRIN.

Progress

James McGrane, team leader of the UN Food and Agriculture Organization's Influenza Control Programme in Indonesia, said the government had made substantial progress in bringing avian influenza under control, but more needed to be done.


Photo: Brennon Jones/IRIN A specially-trained nurse at the East Java Provincial Hospital, Indonesia needs to work harder to tackle the disease, particularly on Java, where most of the deaths have occurred

"The disease appears to have been contained, with data appearing to indicate that both overall incidence and geographic spread are decreasing, although the disease remains entrenched in some areas," McGrane told IRIN.

"These advances have been made despite the unprecedented challenges presented to avian influenza control given Indonesia's massive and diverse poultry population," he said.

But McGrane said Indonesia needed to work harder to tackle the disease, particularly on Java, where most of the deaths have occurred.

Twelve of Indonesia's 33 provinces have recorded human cases of bird flu while only two provinces have had no avian flu in poultry, the national bird flu committee said.

Chairul Anwar Nidom, a virologist with the Tropical Disease Centre at Airlangga University in Surabaya, said a common policy on bird flu was lacking among government agencies, making controlling the disease more difficult.

"By and large the government has done a good job and people are aware of the danger of bird flu," Nidom said.

But Nidom criticised the government's policy of vaccinating poultry rather than culling, believing that it masks the virus, and ultimately contributes to its mutation.

"There's still no common agreement on this issue among government agencies. The agriculture and farming sector sees the need for vaccinations to save the economy. We are at a crossroads, having to choose between saving poultry and protecting human beings," said Nidom.

Nidom, who first revealed the outbreak of bird flu in Indonesia, said the threat of a pandemic remained high given the unpredictable nature of the H5N1 virus.

"Frankly, we still don't know exactly the virus's pattern of infection and its predispositions. As long as it remains so, it will remain a threat to humans," he said.


Photo: Brennon Jones/IRIN http://www.irinnews.org/PhotoDetail.aspx?ImageId=2007121916Bird sellers at a market in East Java say they are unconcerned about the risk of avian flu or a pandemic

Krisnamurthi said despite the progress, there was no room for complacency and the government continued its campaign to warn the public about the danger of bird flu.

Last month, the Indonesian National Committee for Bird Flu Control and Pandemic Preparedness, supported by the UN Children's Fund (UNICEF), launched workshops on pandemic preparedness in 10 cities across the country, he said.

Since last year Indonesia has adopted a policy of only publicly reporting human infections from time to time rather than as they occur.

In addition, the country has been locked in a dispute with the World Health Organization over sharing virus samples for the past two years. Health Minister Siti Fadilah Supari has insisted Indonesia will not share virus samples unless it receives assurances it will be given any vaccine made from the viruses.

atp/bj/mw

 

[Rwilmer]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Hat Tip to Mike Over at Avian Flu Diary and The Bird Flu Information Corner:tiphat:

Bali Suspect Stated Negative But 4 More Suspect Cases In West Java


# 2792





The Bird Flu Information Corner, a joint project between Kobe University, Japan and and the Institute of Tropical Disease, Airlangga University, Indonesia has two updates on their site today.



The first appears to clear the Bali suspect of having the H5N1 virus, although additional blood tests will be conducted.


The second comes from Metro News TV, and it relays information about 4 people who have come down with fevers after consuming possibly infected poultry in Bekasi, which is about 15 miles east of Jakarta.









The four are being treated at home with Tamiflu, pending medical tests. Apparently, their conditions are not serious at this time.



These are, of course, only suspect cases.



As always, we owe a big debt of thanks to Ida and the team at Bird Flu Information Corner for doing these translations, and posting them for us.







Bali::: Suspect stated negative bird flu infection
February 14, 2009
Thousands tamiflu stock expire this year.

Kompas, Friday, 13 February 2009

Denpasar – Head of health official Bali, Nyoman Sutedja stated that thousands tamiflu stocks in Bali will be expired this year. This has alarmed Nyoman Sutedja that stock deprivation might be happened in case bird flu virus re-emerged as occurred 1.5 years ago which had killed 3 victims in Bali.



This anxiety triggered since number of chickens died due to H5N1 recently. Also one human suspected case was founded at Dusun Sibang, Desa Jagapati, Kabupaten Badung at the beginning of February.



Nyoman Sutedja also announced that I Putu Prana Yoga (19), bird flu suspected patient resident of Dusun Sibang was negative bird flu infection after treated at home for several days. However, Bali health service will still send the blood sample for reconfirmation examination.

Source: Indonesia newspaper, Kompas.

[FONT=&quot]Source: Indonesia newspaper, Kompas. [/FONT][FONT=&quot]http://www.kompas.com/read/xml/2009/02/13/16054947/ribuan.tamiflu.di.bali.kedaluwarsa.tahun.ini[/FONT]

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Bekasi, West Java::: Four people may contracting bird flu virus
February 14, 2009
Headline News/Metropolitan/Saturday, 14 February 2009 20:07

Metrotvnews.com, Bekasi – Four people residents of Desa Sukamulya, Kecamatan Sukatani, Kabupaten Bekasi, West Java developed high fever after consuming poultries which possibly infected by bird flu virus. Three days ago about 42 chickens belong the people around the neighborhood were dead.



Dead chicken samples have been confirmed positive bird flu virus. The four victims have been treated by Tamiflu by medical team of local public health center. Up to now, victims haven’t been admitted to the hospital until blood tests result issued.

Source: Indonesia TV news, MetroTV.


[FONT=&quot]Indonesia TV news, MetroTV. http://www.metrotvnews.com/[/FONT]



Posted by FLA_MEDIC at 1:36 PM 0 comments

http://afludiary.blogspot.com/2009/02/bali-suspect-stated-negative-but-4-more.html

 

[Commonground]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Worriedly Bird Flu, 30 residents of the Sample Test of Blood

14/2/2009 19:39 WIB

Bekasi, the health Service of the Bekasi regency, West Java today takes as many as 30 samples of the resident's blood in Rt 13/6 the Sukamulya village, the Sukatani subdistrict, the Bekasi regency to prevent the spread of the bird flu virus.

Beforehand was found by as many as 42 chickens that died suddenly and after being checked evidently positive bird flu. The head of the Pengendalian Field of the Illness and Lingkungan Sanitation, Rudi Ruhdiat said the residents who showed the sign of bird flu of the beginning like the cough and hot and cold has been given medicine. And his side collected data on the resident who was contaminated by the death of this poultry. Further, the sample of the resident's blood will be carried to the Department of Health research and development laboratory and just it was known results 1-2 this coming Sunday. His side then gave control medicine of the bird flu virus free.

 

[Commonground]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Six suspected of Bekasi Bird Flu

Sunday, February 15 2009 | 20:07 WIB

TEMPO Interactive, Jakarta: Six people Sukamulya Village, District Sukatani, Kabupaten Bekasi, West Java, is suspected of being infected influeza avian virus or bird flu. Now, their blood samples are examined at the Department of Health laboratory.

Head of Disease Control and Environmental Health Office Penyehatan Kabupaten Bekasi dr Rudi Ruhdiat, said the results of blood pemeriksan sempel can be two more weekends.

The six residents is that they make close contact with poultry postif positive avian influenza type H5N1. "They consume poultry owners and AI positive," said Rudi, told Tempo, Saturday (15 / 2).

The sempel held Saturday (14 / 2), the top 25 people of the Village Sukamulya. However, only six people who allegedly infected.

Sempel done because the two previous days, there are 42 chickens belonging to residents of sudden death. Public Health and Animal Husbandry to the test in the rapid location of the incident states that poultry, poultry died suddenly positive avian influenza.

Rudi Ruhdiat, said efforts to prevent the AI virus does not spread so that citizens can do to destroy all the livestock in the village Sukamulya. "But we hit the cost, people ask for compensation," he said.

Bekasi District Health Office has also spread to the people of prophylactic drugs, namely tami flu. However, tami flu medications that distributed the remaining stock of old stock since the 2005 expiration ended this February.

 

[sharon sanders]

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Re: Indonesia: Possible Human Cluster (Bogor) & Human Cases January 29 +

Thanks Everyone! I prepared this summary with Commonground on Friday. Please correct me if I have anything wrong. em


Confirmed "Bird Flu" Cases 2009 in Indonesia:

1) NAD, 5, West Java, Confirmed by Indonesian Dept of Health, died January 2, 2009

http://www.flutrackers.com/forum/showpost.php?p=203545&postcount=465


2) Sutini, 18, East Java, Confirmed by Indonesian Dept of Health, died January 24, 2009

http://www.flutrackers.com/forum/showpost.php?p=205615&postcount=14


2 Highly Suspected "Bird Flu" Cases 2009 in Indonesia:

1) Nural, 27, West Java, died January 16, 2009

http://www.flutrackers.com/forum/showpost.php?p=206350&postcount=21

2) Ruslani, 30, West Java, (brother of Nural) died - not sure of date

http://www.flutrackers.com/forum/showpost.php?p=206350&postcount=21


1 Possible Suspected "Bird Flu" Case 2009 in Indonesia:

1) Ridwan, 35, brother of the above cases - ill

http://www.flutrackers.com/forum/showpost.php?p=207817&postcount=34



UNICEF quote dated February 11, 2009 Says 4 Deaths to Date 2009

http://www.flutrackers.com/forum/showpost.php?p=208656&postcount=96


Emil Agustiono, Vice Chairman Pelaksana Harian the Nasional Pengendalian Committee of Bird Flu and Menghadapi Pandemi Influenza Preparedness states that total deaths to date in Indonesia is 119.

http://www.flutrackers.com/forum/showpost.php?p=209265&postcount=98


WHO Update - 2 Deaths reported

http://www.who.int/csr/don/2009_01_22/en/index.html


WHO Cumulative Number of Human Cases of AI Dated February 9, 2009

0 Cases, 0 Deaths to date 2009


http://www.who.int/csr/disease/avian_influenza/country/cases_table_2009_02_09/en/index.html

 

[Giuseppe]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases - Current as of January 21, 2009

Re: Indonesia: Health Ministry Summary of Bird Flu Cases - Current as of January 21, 2009

[Google Raw Machine Translation from Indonesian to English; see for reference original text below - EDITED - IOH]

Headline News / Metropolitan / Sabtu, 14 Februari 2009 20:07 WIB


Metrotvnews.com, Bekasi:

Four people Sukamulya Village, District Sukatani, Kabupaten Bekasi, West Java, after suffering a high fever ... infected poultry suspected of bird flu virus. Indeed, about three days ago, 42 head of poultry died instantly property.

When the sample is taken by local agencies is a positive poultry bird flu virus is exposed.

The four village residents Sukamulya is given tamiflu by medical teams from the local health clinic to ease their hot bodies.

However, until now four people have not been brought to the hospital because it is still awaiting results of blood tests.
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http://www.metrotvnews.com/tberita.php?metro=berita&id=76586
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[ORIGINAL TEXT]

Metrotvnews.com, Bekasi: Empat warga Desa Sukamulya, Kecamatan Sukatani, Kabupaten Bekasi, Jawa Barat, menderita panas tinggi setelah mengonsumsi unggas yang diduga terkena virus flu burung. Memang, sekitar tiga hari yang lalu 42 ekor unggas milik warga mati seketika.
Ketika diambil sampel oleh dinas setempat unggas tersebut positif terkena virus flu burung. Keempat warga Desa Sukamulya tersebut sudah diberi tamiflu oleh tim medis dari puskesmas setempat untuk meredakan panas badan mereka. Namun, hingga kini keempat warga belum dibawa ke rumah sakit karena masih menunggu hasil tes darah.(DOR)
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------

 

[Commonground]

Re: Indonesia: The Latest Human Cases January 29 +

Re: Indonesia: The Latest Human Cases January 29 +

Six residents Sukatani was expected by Bird Flu

By Republika Newsroom
Senin, 16 Februari 2009 pukul 14:02:00

Bekasi -- six villagers Sukamulya, Kecamatan Sukatani, of Kabupaten Bekasi were expected susfect bird flu. This condition happened following 50 kept chickens the resident in this area died suddenly.

Currently the condition for the body of the six residents is still hot high but did not yet receive the maintenance. Dozens of chickens that died suddenly this happened since last Thursday (12/2). However chickens that died suddenly that not was destroyed, but was thrown away to the river current and the rest were consumed by the resident. It was not again doubtful, the resident that mengonsumsi the chicken penyakitan that then spread his illness to the resident.

Following the sensational incident this resident, the official from the Kesehatan Service and the Service of Peternakan Kabupaten Bekasi direct to considered to the location of the incident.

Further, the official at once took the sample of blood from 25 residents in this subdistrict last Saturday (14/2). Results will be known around two weeks more.

Dinkes and the Service Peternakan Kabupaten Bekasi also did rapid the test in the location of the incident. From results of this test, the Peternakan Kabupaten Service named the poultry that died this terjangkit the bird flu virus. According to the Sub-district Head Sukatani, Saleh Suhasbi, today was carried out by spraying disinfektan all over the chicken coop belonging to the resident. We were still making an effort to ask the resident in order to give his poultry willingly was destroyed. Unfortunately the resident asked konpensasi if his poultry must have to be destroyed, he said.

Sahroni one of the residents mentioned, his child of Ipin (10 years) also suffered hot tinggi.Selanjut him he memeriksakan his child to the closest community health centre, but up to now did not yet have results. The official in the community health centre suggested his child was again taken came home.