Indonesia H5N1 Ginting family cluster in Bandung - 05/24 - 05/27, 2006

[HenryN]

The LIFE of the PATIENT SUSPECT BIRD FLU NOT TERTOLONG
23/05/2006 18:32 - Social the Culture/Metro the Day Ini
Tim medical RS Handsome Sadikin brought the Ai Tati body to the morgue.
(Metro the TV)
Metrotvnews.com, Bandung: the Patient suspect bird flu, the citizen of the Village liked the Well-being, Cinunuk, Cileunyi, the Bandung Regency that was treated in the Handsome Sadikin Hospital, Ai Tati, on Tuesday afternoon (23/5), died.
Casualties began to be treated in RSHS since Monday (22/5) at midnight with his older brother, Ade Firman, after beforehand was treated in the regional Public Hospital of the Berung Tip, the Bandung City.
The handling doctor of RSHS bird flu, Polite said, was based on results x-rayed to casualties's lungs was seen by the existence of the swelling.
The swelling like that was suffered by casualties, according to Polite, generally often was experienced by the sufferers of the bird flu illness.
Casualties's body, Ai Tati, at this time still was buried in RSHS. In The Meantime, casualties's older brother, Ade Firman, his condition was increasingly critical.
The team of the doctor was forced to have to install the ventilator implement took the form of respiratory aids.
(/AMR)

http://www.metrotvnews.com/berita.asp?id=17230

[HenryN]

Re: Indonesia BF - 5/22-5/23

The patient Bird Flu died in Bandung the writer: SugengBandung -- MIOL: A patient suspect bird flu died in RS Handsome Sadikin (RSHS) Bandung, on Tuesday (23/5).Casualties, Ai Tita, 10, the citizen liked the Well-being, Cileunyi, the Bandung Regency, it was suspected was casualties family cluster bird flu, because during simultaneously, his full sibling, Ade Firman, 18, also in the critical condition.The two casualties were beforehand treated in RS the Berung Tip for one day, before being reconciled to RSHS, on Monday night (22/5).However, after being treated less than 19 hours, Tita did not remain, and died 02.50 WIB.Like was said the team's member of the handling of bird flu RSHS Polite, had been based on the medical note, since coming the two casualties in the critical condition, with the breathless complaint difficult and has experienced shock.To confirm whether both of them were infected by bird flu, sample blood was at once sent to the Departemenresearch and development hallThe Jakarta health.The mother of casualties, Cacih, 50, said, before his two children suffered the hot complaint high, several tails of the chicken were belonging to his neighbour found died suddenly.Before being brought to the hospital, his two children have experienced the hot sign high for three days.The "clinical sign both of them were similar to bird flu, so as we at once treated him in special isolation space RSHS bird flu in Flamboyant space."If being proven the clinical test showed they were infected by bird flu, both of them to cluster third that was handled the hospital after the family from Sumedang and Indramayu, firm Polite.In the meantime, the condition for Ade Firman, also still was critical.The sign that was experienced by him was the same as his brother who has died that.(SG/OL-02).</PRE>
http://www.mediaindo.co.id/berita.asp?id=100699</PRE>

[HenryN]

Re: Indonesia BF - 5/22-5/23

Liputan6.com, Bandung: the Older Brother was siblings, Ai Teti and Ade Firman that was expected terjangkit bird flu died in the Handsome Sadikin Hospital, Bandung, West Java, on Tuesday early afternoon (23/5).Teti died after being treated 19 hours in Space of the Poinciana Tree Isolation RSHS. the Hose five hours after the Teti death, Ade that also was treated in same space appeared the Power.The team's medical RSHS member, the doctor Jatnika Setiabudhi said his side tried as hard as possible to help the life of casualties.One of them by installing respiratory aids.Jatnika added, his side did not yet accept results of the laboratory of confirming both of them were attacked by the bird flu virus."Friends from [the Service] Livestock Breeding was tracing," said he.Was based on the RSHS note, the two casualties that was the citizen of the Sukahayu Village, Cileunyi this was suspect 40th bird flu and 41 that was handled by the side RS Handsome Sadikin [read: the Bird Flu Patient in RSHS improved].Teti and Ade became the patient suspect 10th bird flu and 11 that died.(JUM/Patria and Guidance Divine Guidance)</PRE>
http://www.liputan6.com/view/7,12335...148440931.html</PRE>

[HenryN]

Re: Indonesia BF - 5/22-5/23

Two older brothers were siblings, IN (10) and AC (18), the patient suspected the citizen's bird flu Kec.Cileunyi Kab.Bandung, died in RS Handsome Sadikin (RSHS), on Tuesday (23/5).IN died struck 14.50 WIB in Handsome Sadikin Space of the Isolation of the Hospital Poinciana Tree (RSHS) Bandung.Whereas AC died four jams at intervals of.Two nurses issued the bed to bring the patient's body suspected bird flu, IN (10), from Poinciana Tree Space to the Morgue Installation of RSHS Bandung, on Tuesday (23/5).The patient was named AT with his older brother, (18), was the patient who was reconciled from the Ujungberung Hospital because breathless and feverish high.They entered RSHS, on Monday night (22/5).M. the SAPTA TUMULT/Managing Director HOMEWORK (the Managing Director) RSHS Dr. Cissy B. Kartasasmita, overnight said, AC died approximately struck 19.00 WIB. That temporary information that was received by me from Poinciana Tree Space, the place of the patient was treated, he said.Beforehand, on Tuesday late afternoon (23/5), Cissy, announced the AT. death in a heavy-hearted manner, we must announce the obituary.The patient AT died, whereas his older brother still in the condition very serious, said Cissy B. Kartasasmita.The patient AT and AC began to be treated in Poinciana Tree Space on Monday (22/5) struck 21.00 WIB with the hot and breathless sign.Both of them were the reconciliation patient from RSUD Ujungberung, the Bandung City.According to the Chairman Tim the Control of Bird Flu of RSHS Bandung, Dr Hadi Jusuf, results of the laboratory inspection showed the level of Leucocytes of the two low patients and trombosit him was rather low.Now results of the photograph Thorax showed the Inflammation of the lungs has crept as far as two rods paruparu him.Since Monday night, the patient was at once given the tablet oseltamivir (Tamiflu) 150 mg.Also was given kartikosteroid to inflamasi that great and help of high oxygen, he said.</PRE>
http://www.pikiran-rakyat.com/cetak/...06/24/0206.htm </PRE>
</PRE>

[HenryN]

Re: Indonesia BF - 5/22-5/23

Commentary at

http://www.recombinomics.com/News/05230605/H5N1_Bandung_3.html

[Mellie]

Re: Indonesia BF - 5/22-5/23

Suspect H5N1 Bird Flu Cluster in Bandung Indonesia

Recombinomics Commentary
May 23, 2006

Patient suspect bird flu, the citizen of the Village liked the Well-being, Cinunuk, Cileunyi, the Bandung Regency that was treated in the Handsome Sadikin Hospital, Ai Tati, on Tuesday afternoon (23/5), died.
Casualties began to be treated in RSHS since Monday (22/5) at midnight with his older brother, Ade Firman, after beforehand was treated in the regional Public Hospital of the Berung Tip, the Bandung City.

The handling doctor of RSHS bird flu, Polite said, was based on results x-rayed to casualties's lungs was seen by the existence of the swelling.
The swelling like that was suffered by casualties, according to Polite, generally often was experienced by the sufferers of the bird flu illness.
Casualties's body, Ai Tati, at this time still was buried in RSHS. In The Meantime, casualties's older brother, Ade Firman, his condition was increasingly critical.

The team of the doctor was forced to have to install the ventilator implement took the form of respiratory aids.

The above translation describes a suspect H5N1 bird flu familial cluster in Bandung, Indonesia.. Additional media reports indicate a third sibling is being treated at home.

This cluster in Bandung raises concerns that the number of familial cluster is increasing. The cluster in Northern Sumatra has an extended transmission chain and 7 of the 8 family members have died.

Additional outbreaks in Jakarta and Surabaya raise concerns that the number of cluster in Indonesia will continue to grow,

[HenryN]

Re: Indonesia BF - 5/22-5/23

Two siblings believed to have bird flu

Abdul Khalik and Yuli Tri Suwarni, The Jakarta Post, Jakarta, Bandung
One of two new suspected bird flu patients from the same family in Bandung, West Java, died Tuesday, leading to speculation that a new cluster has surfaced.
The two, a 10-year-old girl and an 18-year-old man, were admitted to Hasan Sadikin Hospital in Bandung on Monday evening, but the girl's condition worsened and she died at 2:50 p.m on Tuesday.
The siblings, residents of Cileunyi in Bandung regency, exhibited symptoms associated with bird flu and had known contact with dead chickens.
"They had high fevers and lower respiratory infections, which made it hard for them to breathe," said Djatnika, the deputy head of the hospital's bird flu team.
Blood samples taken from the two, he said, have been sent to a Health Ministry laboratory. Local tests, however, are not considered definitive and need confirmation from a World Health Organization (WHO)'s internationally accredited laboratory.
A previous bird flu cluster in West Java was identified earlier this year in Indramayu, where several members of the same family died. As well as a new one in Medan found last week, health authorities have pinpointed five bird flu clusters around the country.
But new cases of bird flu have continued to emerge. On Monday, a man from a North Sumatra village, who belonged to a bird flu cluster believed to total eight infections from one family, died. Local tests also confirmed two more bird flu infections in the country.
While the government put the total cases of bird flu here at 43, with 33 fatalities, WHO put the figure at 41 cases, with 32 fatalities.
The ASEAN Foundation, one arm of the Association of Southeast Asian Nations, has said it is time to turn to technology for help.
The foundation proposes using information and communications technology (ICT), particularly short message service (SMS), to prevent further outbreaks of the disease.
The idea is based on the successful application of ICT in Thailand and Vietnam to stop new bird flu cases in both humans and animals at village level. The foundation is now applying ICT for the same purpose in Laos and Cambodia.
The foundation's executive director, Apichai Sunchindah, said Thailand and Vietnam had been successful in dealing with bird flu through the use of information technology.
In Thailand, he said, one million volunteers -- equipped with cellular phones or computers -- were deployed at village level. They filed their reports via e-mail or text message to a central terminal for the government to follow up.
"With this system, people are involved and the government can map out the spread of bird flu to take sufficient measures," Sunchindah said on the sidelines of an international symposium on ICT for social development in Jakarta on Tuesday.
While Indonesia is struggling to contain bird flu, there have been no reports of new cases in Thailand or Vietnam this year, winning them praise from international communities.
Professor Felix Librero from the University of the Philippines, who has conducted intensive research on the use of text messages to pass on information to fight bird flu, and managing director of Malaysia's Southbound Sdn. bhd. Chin Saik Yoon, both agreed the method would work in Indonesia.
There are about 60 million cell phone users in the country.

http://www.thejakartapost.com/detailheadlines.asp?fileid=20060524.A03&irec=4

[Theresa42]

Map

Karo District, North Sumatra - the district where the large cluster is from.

Bandung, West Java - the new cluster is from a town/village near to Bandung -- they are hospitalized in Bandung.

BTW -- I just read this on Wikipedia about the people of the Karo region (where the Big Cluster family is from) -- the Karo Batak people: A favorite food among locals is babi panggang, a kind of roast pork.

http://en.wikipedia.org/wiki/Kabanjahe

(Note - these are not precise village locations - just indications of the districts/provinces involved.)

[Theresa42]

Second sibling [Ade] in Bandung cluster dies

toggletext-ed from Indonesian:

The older brother was siblings the Assumption of Bird Flu died
May 24, 2006

Photo caption: Teti died after could be treated for 19 hours in Space of the Poinciana Tree Isolation RS Handsome Sadikin, Bandung. At intervals of five hours, the brother, Ade that was treated in same space blew out the last breath.

Liputan6.com, Bandung: The Older Brother was siblings, Ai Teti and Ade Firman that was expected terjangkit bird flu died in the Handsome Sadikin Hospital, Bandung, West Java, on Tuesday early afternoon (23/5).

Teti died after being treated 19 hours in Space of the Poinciana Tree Isolation RSHS. The Hose five hours after the Teti death, Ade that also was treated in same space appeared the Power.

The team's medical RSHS member, the doctor Jatnika Setiabudhi said his side tried as hard as possible to help the life of casualties. One of them by installing respiratory aids. Jatnika added, his side did not yet accept results of the laboratory of confirming both of them were attacked by the bird flu virus. "Friends from [the Service] Livestock Breeding was tracing," said he.

Was based on the RSHS note, the two casualties that was the citizen of the Sukahayu Village, Cileunyi this was suspect 40th bird flu and 41 that was handled by the side RS Handsome Sadikin. Teti and Ade became the patient suspect 10th bird flu and 11 that died.

(JUM/Patria and Guidance Divine Guidance)

http://www.liputan6.com/view/7,123356,1,0,1148436258.html

[Theresa42]

Bird Flu Case May Be First Double Jump

May 24, 2006
Bird Flu Case May Be First Double Jump
By DONALD G. McNEIL Jr.

Reacting to the death on Monday of an Indonesian man, the World Health Organization said yesterday that the case appeared to be the first example of the avian flu jumping from human to human to human.

But the health agency quickly cautioned that this did not necessarily mean that the virus had mutated into a strain that could start a pandemic by jumping rapidly between people as ordinary flu does.

It is a "definite possibility" that the virus jumped more than once inside a family cluster, said Maria Cheng, a spokeswoman for the W.H.O. in Geneva. Although a second jump sounds alarming, "It doesn't look like the trend has changed," she said. "Each case was in very close contact with the previous one."

In the past there have been at least three cases of suspected human-to-human transmission of the A(H5N1) strain of bird flu; all were between family members who spent hours in close contact and would have breathed in large amounts of virus-contaminated droplets. The virus is known to attach itself to receptors deep in the lungs, not in the nose and throat as seasonal flu does.

The man who died was 32 and became sick on May 15. He is believed to have caught the flu while caring for his 10-year-old son, who died of the disease on May 13.

The boy attended a family pork roast in the village of Kubu Sembilang in northern Sumatra on April 29. The hostess, a 37-year-old woman, had become sick on April 27 and was coughing heavily, and several family members slept in her small room, the health agency said. She died May 4 and was buried without any tissue samples being taken; she is presumed to have spread the flu only because of her symptoms.

Six more family members who were at the barbecue fell sick in the first week of May. Five of them, including the 10-year-old, died in the second week of May; only one, the hostess's 25-year-old brother, recovered.

Thirty-three other people in Kubu Sembilang who had contact with the family have been quarantined or have been treated with Tamiflu, an antiviral drug, Ms. Cheng said.

The W.H.O. assumes that the incubation time for bird flu in humans is 7 to 10 days, longer than that of regular flu, she said.

Henry L. Niman, who runs recombinomics.com, a Web site tracking the genetics of flu cases, argues that the incubation period is closer to the two to four days of regular flu, so the boy may have been infected by another family member, meaning that the virus might have made three consecutive human-to-human jumps. But Ms. Cheng said the health agency's "working hypothesis" was still that it had jumped only twice.

An Indonesian health official, according to local news reports, said the boy's father had run away after falling ill and had been treated with Tamiflu. He was later found in the village again but refused treatment.

Ms. Cheng said the village had "not been as cooperative as we'd like."

Recalling outbreaks of Ebola in which African villagers had been terrified at the sight of foreign doctors arriving in hoods and white overalls, she said she thought that the W.H.O. team had worn civilian clothes, and put on masks only when talking to sick patients.

http://www.nytimes.com/2006/05/24/world/asia/24birdflu.html

[Theresa42]

Bird Flu Probe in Indonesia Intensifies on Human Link (Update3)

Thirty-three other people in Kubu Sembilang who had contact with the family have been quarantined or have been treated with Tamiflu, an antiviral drug, Ms. Cheng said.

Bird Flu Probe in Indonesia Intensifies on Human Link (Update3)

May 24 (Bloomberg) -- World Health Organization officials intensified their investigation of the spread of bird flu among seven Indonesian family members and may consider raising the alert level for a possible lethal pandemic.

Any evidence of the H5N1 avian influenza strain being passed from human-to-human in a chain of three or more people may prompt the WHO to convene a panel of experts and consider raising the pandemic alert level, Maria Cheng, a spokeswoman for the WHO, said yesterday in Geneva.

"There will be a lot of pressure from some circles'' to raise the level of alert, Michael Osterholm, director of the University of Minnesota's Center for Infectious Disease Research and Policy, said by telephone from New York. The concern is that "other cases are being unrecognized.''

Cases involving sustained human transmission would suggest the virus has undergone genetic changes making it more contagious, according to the WHO. So far, studies of the Sumatran outbreak and genetic analyses of the virus don't indicate it has undergone major changes, Cheng said.

At least 124 of 218 people known to have been infected with the H5N1 virus have died, the WHO said yesterday. Almost all of the H5N1 cases confirmed by the WHO since late 2003 can be traced to direct contact with sick or dead birds.

A 10-year-old girl probably died yesterday of avian flu in Indonesia's West Java province, the Jakarta Post reported, citing Djatnika, a hospital official in Bandung, the provincial capital. The case is unrelated to the family cluster on Sumatra.

A pandemic such as the one that killed 50 million people in 1918 may take more than 142 million lives and cause the world's economy to shrink by one-eighth, according to a report in February by the Lowy Institute and Australian National University.

Rupiah Slides

Indonesia's currency fell to a one-week low after the WHO statement. The rupiah declined 1 percent to 9,334 per dollar at 11:16 a.m. in Jakarta. Against the euro, the dollar strengthened to $1.2788 at 12:29 p.m. in Tokyo from $1.2815 in New York late yesterday.

An international team of experts joined local authorities last week on Sumatra to try to pinpoint how the people became infected with H5N1 in the past month.

The Indonesian Health Ministry and the WHO have intensified their investigation and response activities, the United Nations agency said. "Priority is now being given to the search for additional cases of influenza-like illness in other family members, close contacts, and the general community,'' it said. More than 30 people are being monitored for symptoms.

Fever Surveillance

A temporary command post will coordinate fever surveillance in Kubu Sembelang, the village in North Sumatra's Karo District, where most of the family members lived, said Sari Setiogi, a WHO spokeswoman in Jakarta. Infectious disease training will be conducted at the local hospital, she said.

The investigation has so far found no evidence of a spread within the general community and no evidence that efficient human-to-human transmission has occurred, the WHO said.

"It appears that this virus has not gone outside this family cluster,'' said Peter Cordingley, a spokesman with the WHO in the Philippines capital, Manila. So far the virus "has shown no signs of mutation.''

A 32-year-old man from Kubu Sembelang died of avian flu earlier this week, marking the seventh case in the family and the sixth person to die. His 10-year-old son died of H5N1 nine days earlier on May 13.

Thai Family

Health officials found strong evidence of direct human-to-human spread of H5N1 in Thailand in 2004, when it probably spread from an 11-year-old girl to her aunt and mother, killing the mother and daughter. People who had more casual contact with the girl didn't become infected.

Epidemiologist Osterholm said some health officials may call for the alert to be raised to level 4. The WHO's pandemic alert is at the third of six levels, indicating that a new flu virus subtype is causing disease in humans, though not yet spreading efficiently and sustainably among people.

"It that happens we're looking at a very bad situation,'' the WHO's Cordingley said. "We have no idea how many people might die. We don't know how contagious it might be.''

To contact the reporters on this story:
Jason Gale in Singapore at j.gale@bloomberg.net;
John Lauerman in Boston at jlauerman@bloomberg.net.

http://www.bloomberg.com/apps/news?pid=10000087&sid=aZekCCvuJE5s&refer=top_world_news

[Sally Furniss]

Two siblings believed to have bird flu

Two siblings believed to have bird flu

Abdul Khalik and Yuli Tri Suwarni, The Jakarta Post, Jakarta, Bandung

One of two new suspected bird flu patients from the same family in Bandung, West Java, died Tuesday, leading to speculation that a new cluster has surfaced.

The two, a 10-year-old girl and an 18-year-old man, were admitted to Hasan Sadikin Hospital in Bandung on Monday evening, but the girl's condition worsened and she died at 2:50 p.m on Tuesday.

The siblings, residents of Cileunyi in Bandung regency, exhibited symptoms associated with bird flu and had known contact with dead chickens.

"They had high fevers and lower respiratory infections, which made it hard for them to breathe," said Djatnika, the deputy head of the hospital's bird flu team.

Blood samples taken from the two, he said, have been sent to a Health Ministry laboratory. Local tests, however, are not considered definitive and need confirmation from a World Health Organization (WHO)'s internationally accredited laboratory.

A previous bird flu cluster in West Java was identified earlier this year in Indramayu, where several members of the same family died. As well as a new one in Medan found last week, health authorities have pinpointed five bird flu clusters around the country.

But new cases of bird flu have continued to emerge. On Monday, a man from a North Sumatra village, who belonged to a bird flu cluster believed to total eight infections from one family, died. Local tests also confirmed two more bird flu infections in the country.

While the government put the total cases of bird flu here at 43, with 33 fatalities, WHO put the figure at 41 cases, with 32 fatalities.

The ASEAN Foundation, one arm of the Association of Southeast Asian Nations, has said it is time to turn to technology for help.

The foundation proposes using information and communications technology (ICT), particularly short message service (SMS), to prevent further outbreaks of the disease.

The idea is based on the successful application of ICT in Thailand and Vietnam to stop new bird flu cases in both humans and animals at village level. The foundation is now applying ICT for the same purpose in Laos and Cambodia.

The foundation's executive director, Apichai Sunchindah, said Thailand and Vietnam had been successful in dealing with bird flu through the use of information technology.

In Thailand, he said, one million volunteers -- equipped with cellular phones or computers -- were deployed at village level. They filed their reports via e-mail or text message to a central terminal for the government to follow up.

"With this system, people are involved and the government can map out the spread of bird flu to take sufficient measures," Sunchindah said on the sidelines of an international symposium on ICT for social development in Jakarta on Tuesday.

While Indonesia is struggling to contain bird flu, there have been no reports of new cases in Thailand or Vietnam this year, winning them praise from international communities.

Professor Felix Librero from the University of the Philippines, who has conducted intensive research on the use of text messages to pass on information to fight bird flu, and managing director of Malaysia's Southbound Sdn. bhd. Chin Saik Yoon, both agreed the method would work in Indonesia.

There are about 60 million cell phone users in the country.
http://www.thejakartapost.com/detail...524.A03&irec=4

[Theresa42]

Re: Two siblings believed to have bird flu

It appears as though they both died during the night:

http://www.flutrackers.com/forum/showpost.php?p=14264&postcount=51

[HenryN]

Re: Indonesia BF - 5/22-5/23

Commentary at

http://www.recombinomics.com/News/05240601/H5N1_Bandung_Fatalities_2.html

[sharon sanders]

Re: Indonesia 5/24

So that we do not "clog" this breaking story with discussion, please go to this link for discussion:

http://www.flutrackers.com/forum/sho...4258#post14258


Thank you.