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

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Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

And let me extend my thanks, and congratulations, to the newshounds as well. I quite honestly couldn't do what I do, without your tireless efforts.

Thank you.
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Congratulations to the news analysts!

"...Mike Coston, who authors the Avian Flu Diary blog, provided a round-up today of additional details about the four cases, based on information that he and flu reporters at the FluWiki and FluTrackers blog sites have gleaned over the past several weeks from Indonesian media reports and other online sources...."

Yes! You have my deep appreciation for taking a complicated news item and helping to make it into digestible pieces for so many news items. This one, in particular was very confusing today. Again, I found myself using your AFD blog as a source of information for my list serve. :tiphat: :applause: -k
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

dbg at PFI raises the possibilities that the identity of fourth individual that died from H5N1 as noted by the MOH on Feb 11 could be Nafisah, a 43 year old woman who died on Jan 17 in West Jarkarta. Nafisah is first noted in this post with other follow up posts. http://www.flutrackers.com/forum/showpost.php?p=202544&postcount=449

The province in which the fourth case occurred may have been misreported by Bayu Krisnamurthi, chief of the National Bird Flu Commission, in post #220 above. Uncertainty abounds, because initially, the announcement in mid February suggested that three of these deaths occurred in West Java and one in DKI Jakarta. See: http://www.flutrackers.com/forum/showpost.php?p=209305&postcount=99
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Commentary

Indonesian H5N1 Cluster and Case Reports Raise Concerns

Recombinomics Commentary 20:18
March 3, 2009


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.

The above translation is from a media report dated February 11, 2009, indicating that the four confirmed cases being widely reported today had died and had been confirmed in early February. Indeed, media reports on three of the four cases describe their deaths in January. The fourth case, from Bekasi, is not identified in earlier media reports, but inclusion in the above translation suggest that she also died in late January or early February. The translation also strongly suggests that WHO was aware of these confirmed cases weeks ago, yet has still not issued a situation update, more than a month after they died.

When Indonesia announced their news blackout on confirmed cases, WHO offered assurances on timely updates. International Health Regulations require notification within 24-48 hours of confirmation and previously WHO had issued updates within a day or two of the death or discharge of confirmed cases. If Indonesia is abiding by these regulations, then WHO is withholding the data for weeks or months after they are notified. Ironically, when WHO offered its assurances last year, they noted that the Indonesian confirmed cases were not part of a cluster. Yet the news blackout came after the third cluster was confirmed. In each cluster the index died, but was diagnosed with something other than H5N1 (lung inflammation, dengue fever, or typhus) and when a family member was H5N1 confirmed, the misdiagnosis was not upgraded, so the official case count underrepresented both cases in clusters.

This undercount continues today. On Java the past 16 confirmed cases have been fatal. A case fatality rate of 100% signals an under-representation of infected cases that recover. In the latest confirmed cases from Bogor, two siblings died (see updated map). However, a third sibling who survived refused testing. Similarly, three paramedics affiliated with the hospital that treated the confirmed fatality in Surabaya developed symptoms and were in critical condition. At the end of last month they were still hospitalized and unconfirmed, but the likely three cases would create another cluster that included surviving contacts of an H5N1 confirmed case.

These latest likely clusters raise concerns that the H5N1 in Indonesia is evolving toward an H5N1 that is more efficiently spread to humans. The recent WHO report on H5N1 vaccine targets included an HA phylogenetic tree with four isolates from Indonesian patients. These isolates continued to evolve away from this initial 2005 isolate from Tangerang, and raise concerns that vaccines directed against the 2005 isolate will offer limited protection. Moreover, the continued evolution raises concerns of receptor binding domain changes leading to more efficient transmission. Recent H1N1 seasonal flu isolates have had a number of changes in or around the receptor binding domain near position 190 (H3 numbering), including A193T. A193T is in all published clade 2B H1N1 isolates this season which have the Tamiflu resistant polymorphism, H274Y. Moreover A193T was associated with the spread of adamantane resistant S31N in H1N1 clade 2C, and S193F was linked to the spread of S31N in H3N2. Therefore, changes in this area of H5N1 in Indonesia would be a cause for concern.

Thus, the continuing rapid evolution of H5N1 in Indonesia, coupled with frequent larger H5N1 clusters continues to increase pandemic concerns, while the level of WHO transparency on cases and clusters declines.

.
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Four people die of bird flu in Indonesia



There have been 4 deaths from avian flu in Indonesia since January, increasing the country?s total fatalities caused by the virus to 117 out of 143 people infected.

The news was confirmed by the head of Indonesia?s national bird flu commission, Bayu Krisnamurthi, on March 3.

Indonesia has encountered many obstacles in its efforts to stop the spread of the virus, across its vast territory, the traditional way of raising chickens in the backyard and the public?s refusal to obey guidelines issued by the provincial administration on how to stop the virus spreading have all contributed to the current epidemic.

http://english.vovnews.vn/Home/Four-people-die-of-bird-flu-in-Indonesia/20093/102305.vov
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

google translation

Hospital doctor Annisa argue Blood Sample Taken

Wednesday, March 04, 2009 | 14:35 WIB

TEMPO Interactive, Jakarta: Rumah Sakit Annisa Cikarang, Bekasi regency, West Java, stressed that the two paramedics and a doctor that the blood sample was taken Thursday after handling bird flu patients presumed non-medical staff from their party.

"They were not our doctors, but the Sentra Medika medical clinic," said dr Annisa Noor, Director of Hospital Annisa, told Tempo.

Edition, such as the Tempo be Tuesday, from S, of L, and Mantri A blood sample taken the Penanggulangan National Bird Flu. The goal is, to a laboratory for testing to check the occurrence of transmission of bird flu victims to the medical team. This information is obtained from the Head of Disease Control and Environmental Health Office Penyehatan Kabupaten Bekasi Rudi Ruhdiat, Monday (2 / 3).

Head of Service of Hospital Annisa Rina, did not claim to provide any information related to the status of a doctor and two paramedics that. He also disputed the telephone that the patient A, 8 years, treated only in the ordinary space is not space insulation.

Head of Disease Control and Environmental Health Office Penyehatan Kabupaten Bekasi Rudi Ruhdiat that give wrong information. "This error information," he said.

According to Rudi, before referred to the Hospital Annisa, a patient had been treated the way the clinic and Kartika Sentra Medika Medika. Sentra Medika in clinic, he was treated S dr, dr L, paramedics and A. "Officials in the two medical clinics that allegedly involved close contact with the patient dies," he said.

http://www.tempointeraktif.com/hg/layanan_publik/2009/03/04/brk,20090304-163093,id.html

toggletext translation
(redone)

The hospital of Annisa Bantah Doctor Diambil Sampel Darah On Wednesday, March 04 2009 | 14:35 of WIB The Interaktif TIME, Bekasi: the Annisa Cikarang Hospital, Kabupaten Bekasi, West Java, stressed that two doctors and an official who were taken the sample of his blood of Ahad then after handling the patient was expected by bird flu not the medical official from their side. "They not our doctor, but the medical official" of the "Medika centres clinic," said Dr Noor Annisa, Director Rumah Sakit Annisa, to the Time.


As being reported the edition Time last Tuesday, Dr S, Dr L, and the Official A were taken the sample of his blood of the Penanggulangan Nasional Body of Bird Flu. The aim is, for the laboratory test in order to checks the occurrence of the transmission of bird flu from casualties to this medical team. This information was obtained from the Head of the Pengendalian Field of the Illness and Lingkungan Dinas Kesehatan Sanitation of the Bekasi Regency of Rudi Ruhdiat, on Monday (2/3).

The head of the Rumah Sakit Annisa Service Dr Rina, admitted to not giving information anything related the status of two doctors and an official. He also denied it explained through the telephone that the patient A, 8 years, was only treated in normal space not isolation space.

The head of the Pengendalian Field of the Illness and Lingkungan Dinas Kesehatan Sanitation of the Bekasi Regency of Rudi Ruhdiat admitted to be wrong gave information. "This the information mistake," he said. According to Rudi, before being reconciled to the Annisa Hospital, the patient A could be treated the road in the Medika centres clinic and Kartika Medika. In the Medika centres clinic, he was treated by Dr S, Dr L, and the official A. "Petugas medical in two clinics so that it was suspected was involved in contact was close to the patient died," he said.
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

dbg at PFI raises the possibilities that the identity of fourth individual that died from H5N1 as noted by the MOH on Feb 11 could be Nafisah, a 43 year old woman who died on Jan 17 in West Jarkarta. Nafisah is first noted in this post with other follow up posts. http://www.flutrackers.com/forum/showpost.php?p=202544&postcount=449

The province in which the fourth case occurred may have been misreported by Bayu Krisnamurthi, chief of the National Bird Flu Commission, in post #220 above. Uncertainty abounds, because initially, the announcement in mid February suggested that three of these deaths occurred in West Java and one in DKI Jakarta. See: http://www.flutrackers.com/forum/showpost.php?p=209305&postcount=99

Three of the four confirmed cases are unambiguous and all three died in January, consistent with their inclusion in the UNICEF press conference on February 11.

The unambiguous cases are fatalities, which are those most likely to be confirmed, especially if no other cause is mentioned in the local media. The number of such cases is fairly limited and traditionally match the confirmed cases.

I think it is safe to assume that the milder cases are not reported/tested properly and are rarely confirmed. The past 16 confirmed cases on Java, going back to the cluster in February, 2008 have all been fatal.
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

The cause of death presumed Bird Flu in Jakarta are still

Wednesday, March 04, 2009 16:07 WIB

Reporter: Eriez M Rizal

BANDUNG - MI: Animal Husbandry Jawa Barat (West Java) is still examining the causes of death of Andri Ruhiyat, 30, of Kampung Kandang, Sukaraya Village, Bekasi, is exposed to the virus suspected of bird flu.

Head of Animal Husbandry Koesmayadi Tatang Jabar said his side will determine whether the death of Andri at a hospital in East Jakarta, Monday (2 / 3), exposed to the virus-positive bird flu (avian influenza) is not.

"We are waiting the results of research on blood samples of the victim in the Public Health Laboratory Jabar," he said, Wednesday (4 / 3).

In addition, he said, he has also been

take a blood sample in birds near the victim's house, on Tuesday (3 / 3), while doing it. "It's likely tomorrow (Thursday, 5 / 3) already have the results," he said.

To anticipate the merebaknya the virus to other areas, he has to give the vaccine to the poultry in the village sekitaran residence of the victim. This year Animal Husbandry Jabar target of a bird flu vaccine to poultry ekor 7,195,000.

According Koemayadi, Bekasi region is the region that every year was bird flu. However, the spread of the virus in that region caused by traffic poultry. (EM/OL-01)


hat-tip Mojo
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Andri Ruhiyat, 30, of Kampung Kandang
Head of Animal Husbandry Koesmayadi Tatang Jabar said his side will determine whether the death of Andri at a hospital in East Jakarta, Monday (2 / 3), exposed to the virus-positive bird flu (avian influenza) is not.

We have a problem here in Bekasi. They are currently observing 33 residents/medical personnel, and someone just died. This is a new case.

http://www.flutrackers.com/forum/showpost.php?p=212093&postcount=231
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Could it be that this is the father or other male relative, after which the 8yr old was named?
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Hi Vibrant62, if it is someone else, there will be more articles. :)
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Could it be that this is the father or other male relative, after which the 8yr old was named?
There are no reports that indicate a father and child died the same day at the same hospital, which I'm sure would be news, if true.

I would put the story listing the age at 30 well into the typo/error category.
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

dunno.gif


04/03/2009
Pesanggrahan most Serious Bird Flu

Jakarta - the Pesanggrahan Subdistrict, Southern Jakarta, was sentenced as the territory that was most serious towards bird flu. From 11 cases of bird flu since 2005 to 2009, 5 among them happened in Pesanggarahan.

"From 10 subdistricts in South Jakarta, Pesanggrahan most serious bird flu because the area" of "outskirts and most communities maintained the poultry," said Kasudin Peternakan Municipal Government Southern Jakarta Chaidir Taufik, to the reporter in his office, Street Prapanca Raya, South Jakarta, on Wednesday (4/3/2009).

According to the Municipal Government note, the case of last bird flu struck Isnaelia Rahmadiyanti, the child was 3 years old the resident of the Jalan DamaiComplex PDK RT11/02 Petukangan South, Pesanggarahan, Southern Jakarta, last February 2.

"Positively his bird flu was just known on February 13 after being treated in RS Persahabatan," obviously him. It was further that he explained, after the Isnaelia death, totalling 170 poultries in the subdistrict already in-swepping. Today swepping the poultry was done in the New Hut Ii RT02/06, Pesanggrahan, Southern Jakarta. According to the resident around, Rasmatin (50), 3 were from his 100 chickens taken by the official. In the place, said he, at least had 200 chickens that were maintained by the resident.

"That was taken by three chickens, but that was cut off only one," he said. In the meantime, parents Isnaelia Rahmadiyanti apparently still the trauma on the death of his only child. He permitted his child to die on February 2.

The "death one hour after being treated in RS Persahabatan." Beforehand my child could be treated in RS Aminah, said casualties's father Tri Santono (27) when being met in his house.

http://www.detiknews.com/read/2009/...rev=_t&usg=ALkJrhg4KA5pI36LDKOuQOGmWPHfqdi4ZA
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

[Jaksel = acronym for "Jakarta Selatan" meaning: South Jakarta]

Add Bird Flu Victims

Wednesday 4 March 2009, Time: 19:49:00
JAKARTA (Pos Kota) - Regulation No 4 of 2007 on the prohibition of keeping poultry in the settlement was barren. In South Jakarta, for example, some residents still maintain many types of birds live in the house without a certificate mengantongi poultry.

Obviously, victims of bird flu in Jaksel growing into 9 of the 11 patients. Cases that override IR, kid three years of Rt 11/02 Kel. South Petukangan who died in the Friendship Hospital, Jaktim recently made the area prone Jaksel as bird flu in Jakarta, especially Pesanggrahan District.

The Post at a number of city locations, such as the Kel. North Petukangan, Kel. Pesanggrahan to Kel. Tegal Parang, poultry, especially chicken citizens are still free to roam in the environment of a residence. But according to Regulation No. 4 / 2007, this is already prohibited on the poultry must dikandangkan because of the potential spread of virus Avian Influenza-Bird Flu as the cause.

"From 9-positive bird flu victim who died, 3 of which reside in the district. Pesanggrahan. Two other Fir and Mz are also citizens Pesanggrahan successful life is saved, "said Secretary of Jaksel Mangara Pardede accompanied Kasudin Animal Husbandry and Fisheries Chaidir Taufik and Camat Pesanggrahan Syamsudin while sweeping poultry in empty land in 01/RW RT 06 Kel. Pesanggrahan, Wednesday (4 / 3), which is used in part a number of residents to keep chickens.
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

dunno.gif


04/03/2009
Pesanggrahan most Serious Bird Flu

Jakarta - the Pesanggrahan Subdistrict, Southern Jakarta, was sentenced as the territory that was most serious towards bird flu. From 11 cases of bird flu since 2005 to 2009, 5 among them happened in Pesanggarahan.

"From 10 subdistricts in South Jakarta, Pesanggrahan most serious bird flu because the area" of "outskirts and most communities maintained the poultry," said Kasudin Peternakan Municipal Government Southern Jakarta Chaidir Taufik, to the reporter in his office, Street Prapanca Raya, South Jakarta, on Wednesday (4/3/2009).

According to the Municipal Government note, the case of last bird flu struck Isnaelia Rahmadiyanti, the child was 3 years old the resident of the Jalan DamaiComplex PDK RT11/02 Petukangan South, Pesanggarahan, Southern Jakarta, last February 2.

"Positively his bird flu was just known on February 13 after being treated in RS Persahabatan," obviously him. It was further that he explained, after the Isnaelia death, totalling 170 poultries in the subdistrict already in-swepping. Today swepping the poultry was done in the New Hut Ii RT02/06, Pesanggrahan, Southern Jakarta. According to the resident around, Rasmatin (50), 3 were from his 100 chickens taken by the official. In the place, said he, at least had 200 chickens that were maintained by the resident.

"That was taken by three chickens, but that was cut off only one," he said. In the meantime, parents Isnaelia Rahmadiyanti apparently still the trauma on the death of his only child. He permitted his child to die on February 2.

The "death one hour after being treated in RS Persahabatan." Beforehand my child could be treated in RS Aminah, said casualties's father Tri Santono (27) when being met in his house.

http://www.detiknews.com/read/2009/...rev=_t&usg=ALkJrhg4KA5pI36LDKOuQOGmWPHfqdi4ZA

Updated map with Jalan Dami complex

http://maps.google.com/maps/ms?hl=e...-6.2597,106.802682&spn=0.002037,0.002961&z=18
 
Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

Re: Indonesia: The Latest Human Suspected & Confirmed Cases January 29 +

[Dutchy's post, TT version]
Pesanggrahan Most Unstable AI

The subdistrict Pesanggrahan,Jakarta South was sentenced as the most serious territory the case of bird flu (avian influenza/AI). From 11 casualties died resulting from bird flu since 2005?2009, five including happening in Pesanggrahan. ?Paling the case danger of bird flu, because the area of outskirts and most communities maintained unggas,?ujar Kepala of the Ethnic Group of Dinas Peternakan Municipal Government Southern Jakarta Chaidir Taufik yesterday. According to Chaidir, the case of last bird flu struck Isnaelia Rahmadiyanti,3,warga the Complex Peaceful Way of PDK RT 11/02, Petukangan South, Pesanggrahan,2 last February. ?Positif his bird flu was just known on February 13, after being treated in RS Persahabatan,? he revealed.

He said, after the death of casualties, totalling 170 poultries in the subdistrict has been combed. Yesterday, penyisiran the poultry was done in the New Hut Ii RT 02/06, Pesanggrahan. According to Rasmatin, one of the residents, three were from his 100 chickens taken petugas.Di the place, at least had 200 chickens yangdipelihara. ?Yangdiambil three chickens, but that was cut off only satu,?ujar him.

In the meantime, parents Isnaelia apparently still the trauma on the death of his only child itu.Dia permitted his child to die last February 2. ?Meninggal him one hour after being treated in RS the Friendship. Beforehand, my child could in treated in RS Aminah,? said Tri Santono,27,ayah casualties. Well Tri and his wife did not want to give information of many matters of the death of his child. However, he could be surprised when his child was sentenced died because of flu burung.Sebab,di his residence environment not there are those that maintained the poultry.

In front of his house only had the place of the funeral of the public. In the other part, the Pertanian Service and fisheries (Distan) the Depok City found eight cases of the death of the positive poultry contracted the bird flu virus (H5N1) in two subdistricts, that is Cimanggis and Pancoranmas. Four other subdistricts according to Distan did not close the possibility of having the virus H5N1. ?Tapi for the status, was not yet stated as being on the alert flu burung,? said the Head of Distan Kota Depok Widyati Ryandani yesterday. The Dinas Kesehatan data (Dinkes) the Depok City showed, the case of bird flu continued to increase from the year to the year. In 2007 at least had 21 positive poultries bird flu. This number continued to increase in 2008 that achieved 23 cases.

The quite significant figure happened in January 2009. As many as 77 poultries were found died suddenly, three including being positive bird flu. The three cases happened in three districts, that is Pancoranmas, the Land of Baru,dan Limo. The head of Dinkes Kota Depok Hardiono said, his side will drop the official off to descend directly to the Jatimulya District, that several days ago was reported by many chickens that died. At this time Dinkes reported the case of the sign of bird flu in Depok to the West Javanese Provincial Government. However, Dinkes not yet will establish the command post of additional bird flu after in the Pulo Village, Kelurahan Rangkapanjaya. ?Posko that was alerted for 14 days his characteristics kasuistik,? said Hardiono

In the meantime, the Section Head the Health of the Animal and the Health of the Community of Veteriner Distan Kota Depok Arifin appealed to the resident to be on the alert and fast reported if found had the poultry died suddenly. According to him, Distan always carried out the socialisation to the resident through RW Siaga and the community health centre in each territory. Moreover, Distan also carried out the vaccination avian influenza a year twice. ?Warga that the level of education was lower still not all that realised, so as to need the socialisation was more intensive about the flu danger burung,?terang him.

http://www.seputar-indonesia.com/edisicetak/content/view/218310/
 
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