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Pekanbaru-Once more a human patient suspect bird flu left this world in RSUD Arifin Achmad, Pekanbaru. In the last three month's it was reported
three people bird flu victims have died.
This time as died pasien karena world bird flu with the name of Linda(44).
She is a family mother residential in Perumahan PT Chevron di Kecamatan Rumbai , Pekanbaru.
" The Patient got to our place yesterday afternoon. and she died this dawn around o ' clock 04.00 . The diagnosis product that have the time us do patient suspect bird flu " bright tim captain penanggulangan flu bird RSUD Arifin Achmad, dr Azizman Saad to journalist, friday (5 / 10 / 2007) in jl RSUD
Hantungah, Pekanbaru.
Azizman mentioned, the condition of the victim Linda was very weak at the time she entered RSUD Pekanbaru.
In this case there 's an element of delay to suspect mendeteksi Bird Flu that mulai attacked the victim a few previous days .
Own pasien also previous has attended in wrong in a hospital in Jakarta to a few days old. from there pasien back entered early RS
Bros in pekanbaru.
" namun for in treatment have delay indication detection suspect bird flu
bird until condition when brought to RSUD Pekanbaru was very weak
Once, " said azizman.
Report from yesterday, more on Linda and another suspect bird flu patient, a child.
Two residents Suspect Bird Flu
on October 05 2007 struck 09:27
Pekanbaru (RP) - the regional Public Hospital (RSUD) Arifin Achmad Pekanbaru again received two Riau residents, respectively the Pekanbaru resident and the resident Kampar, the patient suspect bird flu, on Thursday late afternoon (4/10).
One patient have the initials Ln (44) various kelamim the woman, the resident of the complex of PT Chevron Pacific Indonesia (CPI) Rumbai Pekanbaru and other Rs (5), also the woman, the resident Street ****, Desa Baru, of Kecamatan Siak Hulu, Kabupaten Kampar.
At this time, Ln was treated in space of bird flu of the control isolation, while Rs was treated in special space the Gawat Darurat diagnosis of Installation bird flu (IGD).
After being appointed as the patient suspect bird flu by the Team of the Control of RSUD Arifin Achmad Bird Flu, the two patients were handled in accordance with the procedure continue to (protap) the handling of the bird flu patient by means of giving medicine penurun hot, Tamiflu, and was carried out by a set of repeated physical diagnostics.
The story was sick Ln was known, has been treated beforehand in RS Awal of the Brooch for three days. Before being treated in RS Awal of the Brooch, Ln also could take medicine to Jakarta, but not also kunjung recovered from the height fever.
Suspicious with his condition, the side of RS Awal of the Brooch coordinated with the medical team of RSUD Bird Flu and immediately was handled intensive.
Named, there was no story of contact with the poultry.
Now Rs, around struck 13,00 WIB, on Thursday (4/10) could be treated in RS Saint Maria, Pekanbaru. Beforehand, he has experienced the high fever did not descend-descended 4 the previous day and took medicine to the clinic.
Because never descended, his family brought to RS Saint Maria and the medical team suspicious then in struck 15,30 WIB, was brought to RSUD Arifin Achmad after coordinating beforehand with RSUD.
Told by parents Rs, S Wardi (46), four the previous day, his two chicks were two weeks old died suddenly after eating the rice. This rice, he said to Riau Pos, beforehand was adopted after spilling on fertiliser that not manure.
''Kerja I, would the driver brought fertiliser. On fertiliser, also was brought the sack of the rice. At that time the rice leaked and spilled on fertiliser, afterwards was picked up by me to be given to the chicken. After eating him, my chicken died suddenly and direct I bakar,'' he said tell about.
He added, around 7 metre from his house, also had the kept chicken with the population to 20 tails. Never he said, his chicken died suddenly. ''Kalau the other place that be at a distance around 2 kilometre from my house, indeed once many chickens died mendadak,'' he said.
Chairman Tim of the Control of RSUD Arifin Achmad Bird Flu, Dr Azizman Saad SpP it was confirmed in the place of his practice in Street Cempaka mentioned, the clinical diagnosis of the two patients headed to suspect bird flu.
Was based on the patient's experience suspect bird flu that afterwards was known by positive results terjangkit H5N1, his blood leucocytes under 4,000. 'Kedua this patient his leucocytes were also supervised 4,000. Ln his leucocytes 2,230, whereas Rs, 2,800.
Our experience beforehand, the patient suspect leucocytes bird flu under 4,000, positive terjangkit the virus H5N1 results of Balitbangkes Department of Health RI Jakarta,'' he said.
Apart from low leucocytes, Azizman added, to Ln trombosit him descended until 90 thousand, the breath 40 times permenit, and the pulse 110 times permenit.
Whereas Rs, his fever achieved 38.4 levels celcius, the pulse 96 times permenit and the breath 36 times permenit.
Rotgen thorax or the lungs Ln, visible clear the virus undermined many of his left-hand lungs. ''Paru-lungs left-hand him almost was closed spotty white that was the virus.
If Rs was not yet so visible. Spotty white this clear the virus, but must be checked the laboratory of Balitbangkes Department of Health RI Jakarta, the virus H5N1 that was cruel that, or only H3 that is the influenza virus biasa,''ujar doker postured this low body.
If the condition Ln still worsened, then he said, immediately will be installed breath aids or the ventilator. After being brought to RSUD, he said, the patient was given medicine penurun hot and Tamiflu.
''Besok (today, red) will be taken the sample of blood and SWAP of the two patients was sent to Balitbangkes Department of Health RI Jakarta to be known whether being sick as a result of the virus H5N1 or only H3,''ungkap him again.
Rs that dressed the clothes of socks of spots were personally seen restless and always whined in space penangan him. His two parents were forced to use the mask in accordance with the procedure continue to the person who approached the patient suspect bird flu. The paramedic who wore complete clothes in the style of the astronaut, worked to do x-rayed repeated and detected again was physical him. His two parents really had difficulty trying meminumkan medicine syrup penurun hot him.
Whereas Ln that was handled in Space of RSUD Bird Flu of the Control isolation, could not be disturbed on the basis of privation. The paramedic and the family who guarded any reluctantly to berkomentar. (hpz)
JAKARTA - AN INDONESIAN woman suspected of being infected with bird flu died on Friday on the island of Sumatra, a hospital official there said.
Blood and tissue samples from the 44-year-old victim have been sent for testing in Jakarta, said Dr Azizman Daad at the Arifin Achmad Hospital in Riau province.
Two tests must come back positive for the H5N1 virus before a victim is confirmed as part of the official bird flu death toll in Indonesia, which is the highest in the world at 86.
If confirmed, the latest victim would be the nation's 87th fatality.
'The woman who died early this morning was showing symptoms of bird flu infection, such high fever, coughing and breathing difficulties,' he said.
Dr Daad said it was unclear whether the woman, who lived in a residential complex run by US oil company Caltex, had been in contact with poultry.
H5N1 is endemic in birds across nearly all of Indonesia.
Scientists worry that the virus will eventually mutate into a form that is much more easily transmissible between humans, triggering a global pandemic.
Indonesia, the world's fourth most populous nation, has reported 107 bird flu infections, including the fatalities, since it recorded its first case in July 2005. -- AFP
"Addressing chronic disease is an issue of human rights that must be our call to arms"
Richard Horton, Editor-in-Chief The Lancet
Pekanbaru- A housewife suspect bird flu had finally died after beforehand received the maintenance for a day in RSUD Arifin Ahmad Pekanbaru.
Linda (44) the resident of the elite's housing of PT Chevron Rumbai, Pekanbaru blew out the last breath in RSUD Pekanbaru, Street Hangtuah, on Friday, (05/10/2007).
The team leader Penangulangan Flu Burung RSUD Pekanbaru Dr Azizman Saad to okezone said, this morning around struck 05:00 WIB the patient had finally died.
? The result of the diagnosis that could be carried out by us the positive patient was attacked suspect bird flu, ? obviously Dr Azizman Saad.
Azizman mentioned, Linda's patient personally just was handled by the medical RSUD Arifin Achmd team on Thursday (04/10/2007) in the afternoon.
The patient Linda personally when in referred to RSUD the only hospital of bird flu reconciliation in Riau this his condition has been very very
Weak.
When the medical RSUD team carried out observation to to the patient Linda, the clinical diagnosis the patient headed to suspect bird flu.
Was based on the patient's experience suspect bird flu that afterwards was known by positive results terjangkit bird flu was seen from his blood leucocytes under 4,000. ? At the moment we handled her that same afternoon, her leucocytes of Linda were supervised 4,000 namely 2,230.
Our experience demonstrates if leucocytes were supervised 4,0000 could be ascertained infected by bird flu ,? obviously Azizman.
Apart from low leucocytes, Azizman added, the patient Linda trombosit him descended until 90 thousand, the breath 40 times permenit, and the pulse 110 times per minute.
Results rotgen thorax or the patient's lungs direct with the virus undermined many of his left-hand lungs. ?? Her left lung him almost was closed spotty white that was the virus,??said doker postured this low body.
Azizman mentioned, the patient personally before in referred to RSUD Pekanbaru, in fact has done perobatan in several hospitals in Pekanbaru.
Not only that, the patient Linda could in treated in one of the Jakarta hospitals.
The team of the doctor RUSD regretted very much, during in the maintenance was apparently slow to detect headed suspect bird flu.
?However during in the maintenance had the indication of the delay of the detection suspect bird flu so as his condition when being reconciled to RSUD Pekanbaru has been very weak unfortunately ,? Azizman
words.
In the calculation this 2007 the Riau resident who died in RSUD because bird flu has become three people.
Beforehand, two people believed in Gerhad Saragih (33 years) the resident of the Kampar Regency died because of bird flu.
Beforehand Yatino (37) the resident of the Indragiri Hulu Regency was stated died because of bird flu.
"Addressing chronic disease is an issue of human rights that must be our call to arms"
Richard Horton, Editor-in-Chief The Lancet
Pekanbaru, Riau (ANTARA News) - A suspected bird flu (Avian Influenza/AI) patient identified as LT (44) died at Arifin Achmad Regional General Hospital here on Friday.
"The patient was treated in an isolation room for bird flu patients at Arifin Achmad Regional General Hospital," Burhanudin Agung of the Riau provincial health office said.
LT was a resident of PT Chevron Pacific Indonesia (CPI) housing complex at Rumbai, Pekanbaru.
Before being transferred to Arifin Achmad Hospital, he was hospitalized at Awal Bros Hospital in Pekanbaru for four days. But because his fever continued, he was moved to Arifin Achmad Hospital on Oct. 4, 2007.
However, doctors at Arifin Achmad Hospital could not confirm whether LT had been infected with the avian influenza (bird flu) virus and therefore he was still considered a suspected bird flu patient.
A sample of the dead suspected bird flu patient`s blood was sent to the Health Ministry`s laboratory in Jakarta to check whether or not he had died of the bird flu virus.
In addition to LT`s blood sample, the hospital had also sent a blood sample of another suspected bird flu patient identified as RS (5), an inhabitant of Risak Hulu, Kampar District, Riau Province.
From 2005 to 2007, there have been 27 suspected bird flu patients in Riau. Of the number, four had been confirmed as infected with the bird flu virus. And of the four bird flu patients, three had died and one survived.
Meanwhile, the Indonesian Health Ministry said in Jakarta last October 1, 2007, that the total number of people so far affected by the virus in Indonesia was 107 and the number of deaths by the disease was 86,
In Jakarta alone, the number of bird flu cases has been recorded at 26 of which 23 have ended in the sufferers` death. (*)
"Addressing chronic disease is an issue of human rights that must be our call to arms"
Richard Horton, Editor-in-Chief The Lancet
Re: Linda/LN: As far as I can tell, all we have on the previous hospital before RS Awal Bross are these three excerpts:
Own pasien also previous has attended in wrong in a hospital in Jakarta to a few days old. from there pasien back entered early RS
Bros in pekanbaru.
Azizman mentioned, the patient personally before in referred to RSUD Pekanbaru, in fact has done perobatan in several hospitals in Pekanbaru.
Not only that, the patient Linda could in treated in one of the Jakarta hospitals.
Before being treated in RS Awal of the Brooch, Ln also could take medicine to Jakarta, but not also kunjung recovered from the height fever.
Re: RS (5): I also have GS (33) Adm: 9/3; Died: 9/6 Confirmed: Positive, as being from Kampar. In fact, I also have "Hulu"
GS: Sungaipagar, Kampar Kiri Hulu, Kampar, Hangtuah Village.
RS: Risak Hulu, Kampar
Dr. Niman, why would they have a priority here if it occured so long ago, and the virus is constantly changing - unless they are basing it on a genetics?
There are two distinct clade 2.1 subclades in humans in Indonesia. Most have the novel cleavage site (RESRRKKR), and the vaccine being generated by WHO is against the first reported clade 2.1 human isolate (from a patient who died in the summer of 2005). In contrast, the Karo cluster (spring of 2006) had the consensus cleavage site found elsewhere (RERRRKKR), incluing the H5N1 in Indonesian swine. Karo was clearly H2H2H, so it is a reasonable target.
The name: RS, Girl, 5 years, Putih Sand, Kec.Siak Hulu, Kab.Kampar, the name of parents: SW/YD.
Time Line
On October 1 2007 :Fever high, not the cough, not crowded, had a stomach-ache, went to dr.Mesra.
On October 4 2007 : Fever did not descend, took medicine to RS Saint Maria, Hb.10.8, L 3700,Tr.118.000, Ht: 33 gr% was reconciled to RS Arifin Ahmad was given by Tamiflu.
On October 5 2007: the stable Condition, was taken the specimen swab nasopharing, oropharing and the serum was reported to the Command Post of AI Dinkes Prov Riau,
On October 4 2007, the hour 20,15. by Dr. Mursal went through Kasubdin Yankes & Gizi.Pada on October 5 2007, at 09.00 WIB the specimen was taken.
From anamnesa was not found by the existence of direct poultry contact.
It was unclear that had the death of the poultry around the patient's house.
At this time the Peternakan Service and the Kesehatan Service of the Regency were descending to lokasi. Not had the story of contact with the case AI.
Not was went to the available place of the death of the poultry.
The temporary data the AI Rumbai Pekan Baru case
The name: Mrs.LT, Woman, 44 years, the Jati Complex, CPI, Rumbai, Kel.Lembah Peace Kec.Rumbai, Housewife
Time Line Mrs.LT
On September 27 2007: began fever was not high, not the cough, not pilek (cold)
On September 28 2007: departed for Jakarta had relative who died.
On October 01 2007: the high Fever, not the cough, not crowded, took medicine to the CPI Rumbai clinic.
On October 02 2007: was treated in RS Awal bros recently
On October 03 2007 Lab: Hb.11,9, LED: 24, Leuko 2,230, lymphocytes: 12.6, Trombocyt 99,000, SGOT: 51, SGPT: 30, Anti Ig.G dengue fever +
On October 04 2007: the repeated Laboratory: Hb.12,8, Ht: 32.6 of Trombocyt 86.0000
On October 5 2007: X-ray: Infiltrat, WD, Pneumonia, was reconciled to RSUD Arifin Achmad given by Tamiflu.
On October 06 2007: at 04.00 Dawn Patient died
It Was Reported to the Command Post of AI Dinkes Prov Riau, on October 4 2007, the hour 20,15. by Dr. Mursal to Kasubdin Yankes & Gizi.Pada on October 5 2007, at 06.00 WIB specimen was taken.
Until this was not found by the existence of poultry contact.
Is this saying for 4 days they took medicine provided by the Clinic (don't know the name), but fever did not descend, and then they brought RS to Saint Maria, where they decided to send to Arifin Ahmad?
Now Rs, around struck 13,00 WIB, on Thursday (4/10) could be treated in RS Saint Maria, Pekanbaru. Beforehand, he has experienced the high fever did not descend-descended 4 the previous day and took medicine to the clinic.
Because never descended, his family brought to RS Saint Maria
Thanks Dutchy, post #68 answers my question.
But, now I have another. Do you think this means they went thru and took samples of the residents or did they take a specimen of RS?
On October 4 2007, the hour 20,15. by Dr. Mursal went through Kasubdin Yankes [place?] & Gizi [bad nutrition]. Pada [Enough/sufficient] on October 5 2007, at 09.00 WIB the specimen was taken.
Thanks Dutchy, post #68 answers my question.
But, now I have another. Do you think this means they went thru and took samples of the residents or did they take a specimen of RS?
I think: Kasubdin Yankes & Gizi means something like health and food service.
They send a team to the house of the girl today, would not be surprising if they take samples there.
"Addressing chronic disease is an issue of human rights that must be our call to arms"
Richard Horton, Editor-in-Chief The Lancet
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