Indonesia - Ministry of Health Human Bird Flu Reports: 2007 to 2009

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases January 28 2008

Four AI New Cases at the End of January

29 Jan 2008

Entering last week in January 2008, there are 4 more AI cases, based on RT ? PCR (Real Time Polimerase Chain Reaction) test in laboratories of National Institute of Health Research & Development (Balitbangkes) MOH and Eijkman Molecular Biological Institute. Those 4 cases are Nas (Tangerang District, Banten), MIY (Depok, West Java), and Res and Vir (both from East Jakarta).

Since the first case found in mid July 2005, number of AI cases in Indonesia by January 28, 2008 reaches 124 cases with 100 of them dead. The Case Fatality Rate (CFR) is 80.6%.

This latest information is received by Center for Public Communication from AI Post, DG of Diseases Control & Environmental Health MOH, January 28, 2008.

Nas (m, 32 years), a fried chicken seller who lives at Medistrania Regency, Sukamulya Village, Cikupa Sub District, Tangerang District, Banten, started getting ill on January 17, 2008 with symptoms of headache, stomachache, difficulty in breathing and fever. On January 24, he was hospitalized at Bakti Asih Hospital, Tangerang, and two days later referred to Persahabatan Hospital. Now, he is still getting treatment in ICU. One of his neighbor, living 500 meter from his house, raises 12 pigeons.

MIY (m, 9.5 years), a student who lived at Pancoran Mas, Depok, West Java, started getting ill on January 16, 2008 with symptoms of difficulty inbreathing and high temperature (37.8oC). After getting treatment at Sentra Medika Hospital, Cimanggis on January 23, 2008, he was referred to Sulianti Saroso Infection Center on January 27, 2008. The risk factor is still observed.

Res (f, 31 years), who lives in Duren Sawit, East Jakarta, starts getting ill on January 18, 2008. She was hospitalized at Harum Hospital on January 22, 2008 with symptoms of cough. Four days later, she was referred to Persahabatan Hospital, East Jakarta with symptoms of high temperature, cough and headache. Today, she is still getting treatment there and put on a ventilator. Based on an observation, some could be the risk factors, suc as chicken farming 100 meter from her house and chicken slaughter 500 meter from her house. In addition, on January 15, 2008, she went to a bird market.

Vir (f, 23 years), who lived in Pulogebang, East Jakarta, started getting ill on January 19, 2008 with symptoms of fever and difficulty in breathing. On January 24, she was hospitalized at Ananda Hospital, Bekasi and referred to Sulianti Saroso Infection Center two days later and then died on January 27, 2008. by now, the risk factor is still investigated.

http://www.depkes.go.id/en/2901fo.htm

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases January 28 2008

Dep of Health


NAS, AI Case in Banten, Died

31 Jan 2008

Nas (m, 32 years), who lived at Medistrania Resident, Sukamulya Village, Cikupa Sub District, Tangerang District, Banten, died on Tuesday, January 29, 2008.

He was stated positive of H5N1 infection based on research in laboratories of National Institute of Health Research & Development (Balitbangkes) MOH and Eijkman Molecular Biological Institute, Jakarta, on January 28, 2008.

It rises number of AI dead cases into 101 of total 124 cases. The Case Fatality Rate (CFR) is 81.4%.

This latest data is received by Center for Public Communication from AI Post, DG of Diseases Control & Environmental Health MOH on January 30, 2008.

Nas, who was daily selling fried chicken, started getting ill on January 17, 2008 with symptoms of headache, stomach ache, difficulty in breathing and fever.

On January 24, he was hospitalized in Bakti Asih Hospital, Tangerang, and two days later referred to Persahabatan Hospital.

One of his neighbors living about 500 meters from his house raises 12 pigeons.

Banten is the third province with the most AI case, after West Java and DKI Jakarta.

http://www.depkes.go.id/en/3101na.htm

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases January 28 2008

Confirmation from Dep of Health regarding the two latest confirmed victims of bird flu. One died, one is still treated.


feb 4 2008


The community must be on the alert Bird Flu

The source of the spread of Bird Flu was still coming from the poultry. Therefore, the community better continue to be on the alert and preceptive against the poultry that was sick and died suddenly. The community must make the clean and healthy life accustomed so that was avoided from the Bird Flu virus.

Steps in anticipation avoided to be infected by the Bird Flu virus could be carried out by not touching the chicken, the duck, and the other poultry that was sick or died. Make accustomed washed with hands soap and the cooking utensils, separated the poultry from humankind.

When having the sign of flu and the fever after being adjacent to the poultry, immediately periksakan to the Community Health Centre.

Use gloves, the cover of the mouth and the nose when holding the poultry, don't eat the poultry that was sick or died, sembelih, burnt, the poultry grave that was sick or died, and should not let children play with poultry.

If the appearance fever or was felt after being connected with the poultry immediately checked to the doctor or RS (Hospital).

Two last cases were Su from the Tangerang City, Propinsi Banten and SA from Jakarta West, Propinsi Special Capital District OF Jakarta.

Both of them were stated positive was infected H5N1 was based on the Penelitian Dan Pengembangan Kesehatan Body inspection (Balitbangkes) the Department of Health and the Lembaga Biologi Molekuler Eijkman Laboratory.


Su (F, 29 yo) the resident's housewife Kel.It was long, Kec. Cipondoh, Kota Tangerang began to be sick on January 22 with the sign of the cough, the fever and breathless.

On January 28 2008 entered RS Usada Insani and a day later (29/1) were reconciled to RS Persahabatan Jakarta Timur.

The patient died on February 2 2008 struck 19,30 of WIB. Tetangga around the Su residence was found maintained the chicken but was not yet known whether this chicken was infected H5N1.

The following case, SA (F, 38 yo), from the Gondang Village, Kel. Kali Deres, Jakarta West, began to be sick on January 24 2008 with the sign of the cough, the fever, pilek and was sick the throat.

On January 26, entered RS MH. Thamrin Tangerang and on January 29 began to be treated in RS Usada Insani. On February 1 2008 SA was reconciled to RS Persahabatan Jakarta and still was treated by using the ventilator.

One 1 the week beforehand, she visited her parents's house at the Cagak Village that was neighbours with the collector of ducks.

Up to February 3 2008, the number of cases of Bird Flu in Indonesia achieved 126 cases, 103 among them died.

The death rate or Case Fatality Rate (CFR) the case of Bird Flu reached 81.7%.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2986

[Laidback Al]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases February 4, 2008

http://www.depkes.go.id/en/index_en.htm

DN, Positive of AI

13 Feb 2008

DN is stated positive of avian influenza (AI) infection based on laboratory examination of National Institute of Health Research & Development (Litbangkes) and Eijkman Institute, Jakarta . DN (f, 14 years) who lives at Jln. Peta Barat, Gondang Village, Kalideres Sub District, West Jakarta, started getting ill and cough on February 2, 2008. On February 8, she was brought to Cengkareng Hospital, and then referred to Persahabatan Hospital and still getting treatment there.

The risk factor is previously she went to her grandmother house (avian collector) in Semanan, and there was a dead wild duck.

Source of AI transmission still comes from avian. Therefore, people should be aware of sudden sick and dead avian. They must have healthy and clean life to avoid AI virus.

Anticipations to prevent AI infection include never touching sick or dead chicken, duck and other birds, washing hands and kitchen utensils with soap, placing separately avian from human, and when finding symptoms of cold and fever, especially after having contact with avian, immediately go to health center.

In addition, people should always wear gloves and mask when touching avian, never cook and consume sick or dead avian, keep children away from playing with avian and when fever occurs after having contact with avian, immediately go to doctor or hospital.

Until February 11, 2008, cumulative number of AI cases in Indonesia reaches 127 cases with 103 dead cases. The Case Fatality Rate (CFR) is 81.10%.

This latest data is received by Center for Public Communication from AI post, DG of Diseases Control & Environmental Health MOH on February 11, 2008.

This is the English language translation from the Ministry of Health.
link to original Indonesian text: http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2993

credits to Dutchy

[Gert van der Hoek]

Re: Indonesian Human Cases - Feb 4, 2007+

From Dep of Health, on the 3 yo "Han" - 129th human H5N1 case in Indonesia

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2997

Keep away children from the Source of the Spread of Bird Flu on February 18 2008

Until this the source of the spread of the virus H5N1 still from the poultry to humankind. This time, Han (L, 3 th), the resident's pre-schoolers Kebayoran Lama, Southern Jakarta that terjangkit.
Han (L, 3 years) began to be sick on February 5 2008 with the sign of the fever, the cough, and breathless. On February 6 Han was brought by his parents took medicine to RS Fatmawati. Four days afterwards he was carried to RS Muhammadiyah. Because hot did not descend-descended, the cough and crowded, then afterwards was reconciled to RS Husada Insani on February 15. After being treated for 2 hours in ICU RS Husada Insani space, Han was reconciled to RS Persahabatan but his spirit was not helped.

From results of the laboratory inspection of the sample of wiping off the throat and Han blood, Badan Litbangkes and the Agency Eijkman Jakarta, yesterday (17/03/08) was stated positive was infected by Bird Flu. The team of investigation from the Department of Livestock Breeding and the Department of the Health carried out investigation to the field. . . .

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases February 4, 2008

Update from KOMNAS FBI (Nat Comittee for Bird Flu)

Situation on februari 18, 2008

Number of human cases in Indonesia has reached 129, of which 105 have died.


No Province / No. of Cases / No. of Fatalities


1 West Java 31 25
2 DKI Jakarta 32 27
3 Banten 25 22
4 North Sumatera 8 7
5 East Java 7 5
6 Central Java 10 9
7 West Sumatera 3 1
8 Lampung 3 0
9 South Sulawesi 1 1
10 South Sumatera 1 1
11 Riau 6 5
12 Bali 2 2

Total 129 105

[Gert van der Hoek]

Re: Indonesia HUMAN Cases - Feb 4, 2007+

Good news from Jakarta, 2 survivors, press release from Dep of Health, with a lot of details.

{ETA - cases 126 and 127, see posts #63 and #64}


The team of the doctor RS Persahabatan again was successful treated and treated until recovering Sania and his child (Dewi Nurmiati) from the Bird Flu illness.

The mother's two patients and this child were treated for approximately one month.

Yesterday, on February 28 2008, was stated recovered the total and they were permitted to come home after results of the laboratory inspection 3 days were endless the negative H5N1.

During in the maintenance in space of the bird flu isolation, the two patients were treated and monitored tightly.
All the fees of the patient's medical treatment Bird Flu, were borne by the government (the Department of Health).

This was the success of the time to four and the five positive patients Bird Flu that was treated and treated until recovered in RS, after beforehand M. Arif the Tangerang resident and Beautiful the resident Menteng Jakarta, also was stated recovered.

Sania returning and his child were delivered directly by Chairman Tim of the Control of RS Persahabatan Bird Flu Dr. Mukhtar Ikhsan, MARS to his house Street.
The Barat No. map 3 Godang villages, Kalideres, Jakarta Barat used the service car of RS Persahabatan, although the family and the party pengajian him has been in RS to pick up him.

The intention to the RS Persahabatan Team took the positive patient Bird Flu that recovered to his house was to give the explanation at the same time counselling to the family and the community around that the virus of Fu Burung this did not spread from humankind to menusia.
Until this his spread still from the poultry to humankind.

Moreover the Bird Flu illness could be prevented with the behaviour of the clean and healthy life.

Dr. Mukhtar Ikhsan, MARS, stated the prevention of the most cheap and effective Bird Flu illness was to guard the pattern of the healthy life like often washed the hands with soap/detergent after carrying out the activity, cooked food that came from the chicken/the poultry to ripe.

This was important because the bird flu virus will die with water soap-detergent and or was heated until boiled (with the temperature 100 C).
Moreover the community was asked for did not maintain poultry-chicken in the settlement.

The community also dminta maintained body resistance by eating nutritious food and maintained the cleanliness of the house.
Now in the Sania house, gathered the relative, the neighbour with the feeling of the happiness.
Moreover tonight him was held by the agenda syukuran.

Also was present at the Sania house, the Service staff the Health Jakarta Barat, the doctor the Community Health Centre and the Village Head Kalideres.

To the staff the Centre of Communication of Publik Department of Health, Lurah Kalideres, Dadang Sugiarto, of SE, stated that the Kalideres District side carried out the socialisation to the community so that the poultry might not be in the settlement.
The poultry that still was was asked to be sold.

Moreover every day on Friday was carried out sweeping the poultry in the settlement of the inhabitants in his work territory.

The Sania house was the settlement that was very densely-populated with the condition for the bad environment, the sunlight not all that, as well as the circulation of bad air.
Nearby solid, in same housing of many residents who maintained the chicken was seen from the number of chicken coops that was empty because of being destroyed.

Even so parents's Sania house in the Cagak Village, Tangerang, neighbouring with pengepul entog and many chicken coops that have been destroyed.

Before being sick, Sania (housewife, 38 yo) was known visited to his parents's house at the Cagak Village, Semanan, Tangerang.

She began to be sick on January 24 with the sign of the cough, the fever, pilek and was sick the throat.
The complaint that also was felt was painful during swallowed and foundation pain.

Sania on January 26 took medicine to RS HM Husni Thamrin Tangerang and on January 29 was reconciled to RS Usada Insani.
On February 1 was reconciled to RS Persahabatan, Jakarta because of the illness was increasingly difficult.

Afterwards immediately was treated in space of the bird flu isolation with giving of cover oxygen.
The condition increasingly worsened and on February 2 the hour 0600 WIB it was decided were installed the ventilator - respiratory aids -.


Results of the inspection of PCR H5N1 positive.

On February 7 the hour 13.45 WIB his situation improved and the ventilator was released, was replaced with cover oxygen.
On February 15 his condition increasingly improved with produced by PCR H5N1 the negative while 3 days were endless and afterwards the patient was moved
to space treated normally.On February 28 2008, the patient was taken came home .

Whereas her child of Dewi Nurmiati, 14 th began to complain was sick and the cough on February 2 2008.
On February 8 the hour 1200 WIB arrived in RS Persahabatan.

In the physical inspection when entering the hospital, Dewi was in the situation was sick heavy.
The patient was at once treated in space of the bird flu isolation with giving of cover oxygen, the condition increasingly worsened on February 10 the hour 1030 were WIB severed to be installed the ventilator.

Produced by PCR H5N1 positive.

On February 18 the hour 1430 WIB keadaa him improved and the ventilator was released, was replaced with cover oxygen.
Produced by PCR H5N1 the negative for 3 days according to joined in, and afterwards the patient was moved to space treated normally.

On February 28 2008, the patient was accompanied came home.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=3004

Edit, Kompas.com - Kesehatan section - has the story too.

[Laidback Al]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases February 29, 2008

Indonesia confirmed case #130, #131, and #132

credits to dbg for translation . . .

Guard Against Bird Flu
31 Mar 2008

The community must be careful and continued to be reminded towards the existence of the poultry that was free to roam about around the house or in the environment that was visited. The poultry must be penned as well as in maintained the cleanliness of his pen. If poultry appearance that was sick or died, avoided contact and immediately reported to the official of livestock breeding or the local village head. If having the resident who showed the sign like the sign of influenza (the fever, the temperature of the high body, the cough) moreover if in the environment around was gotten the poultry, immediately get examined himself to the local government hospital. Don't escape explained the existence of the poultry that was sick or died to the official of the health that gave the service. Efforts were on the alert and preceptive the community became the key to the control of Bird Flu to humankind.

AGY (M, 15) the resident of the Cimerta Village [Kampung], Subang Regency, of West Java Province showed the sign of the fever and breathless since March 19 2008, before finally was brought to RSUD Subang, on March 22 2008. Known was gotten by 3 chickens died in his environment. AGY was afterwards reconciled to RS Hasan Sadikin Bandung on March 26 2007 in consciousness, and died the same day. From results of the inspection the Penelitian Dan Pengembangan Kesehatan Body laboratory (Balitbangkes), AGY was stated positive was infected by the virus H5N1. These results were strengthened by the Eijkman inspection of the Agency laboratory, Jakarta.

In the meantime, in the other part the West Javanese province, ZAH (F, 12) the resident of Harapan Baru, City Bekasi Barat [West] also showed the sign of the fever and the cough since March 19 2008. ZAH was just carried to RS Penyakit Infeksi Suliati Saroso Jakarta on March 27 2008 and died on March 28 2008. By the two same laboratories, ZAH was also stated positive was infected H5N1, the Bird Flu virus.

In Bukit Tinggi ALQ (F, 1 year) positive bird flu was the resident of Lembah Ngarai Sianok. Apart from the fever, the cough, pilek and breathless, ALQ also experienced diarrhoea. The sign of early began apparently on March 17 2008 and ALQ was carried to RSUP Stroke Bukittinggi (22/03/08 ) before being treated in RS M. Djamil Padang on March 24 2008. Still was treated in this hospital, the AQL condition currently stable without the ventilator.

The team of the Department of the Health that was the integrated team with Deptan [Dept. of Agriculture] descended to the field to carry out prolonged investigation towards the story of contact and the illness of this Bird Flu of cases. The community health centre and the hospital must more be careful against the patient with the similar sign of influenza, and the community also was asked for to preceptive brought the family's member who showed the sign of influenza to the Community Health Centre or the closest hospital, moreover when having the poultry died suddenly around his house.

Till at this time, the Bird Flu illness was still being the illness that was spread from the poultry to humankind. Interrupted contact with the poultry as well as the importance maintained the cleanliness himself and the environment, up to now are efforts that must be increased continued in the community personally to prevent himself from being infected by the virus H5N1. Strive for always washed the hands and foot with water and soap every time activity and was finished outside the house. This message must be given and demonstrated by parents to children, who more often interacted with the environment outside the house. Delivered to children to not play with the poultry, moreover memengang [roast?] the poultry carcass.

Maintain also the cleanliness of the cooking utensils and ate by washing this equipment with water and soap. The healthy poultry safe was consumed if being cleaned and cooked until ripe. Moreover, for the public's community, separated the poultry from humankind. Separate the new poultry from the long poultry, at least for 2 weeks. For them who maintained the poultry, maintained the cleanliness of the poultry pen by means of washing him used disinfectant or clothes bleach.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=3065

[Laidback Al]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases March 31, 2008

Toggeltexted translation [with annnotations] from Health Ministry report on case #133 in Indonesia, MS, a 3 year old boy from Wonogiri Regency.

Be careful with the Mati Chicken
April 30 2008
[<STRIKE>Until this</STRIKE>] the source of the spread of the Bird Flu virus (H5N1) [is] still from the poultry to humankind.
The proof [is] MS (M, 3 th) before being stated positive [for] Bird Flu was based on the Litbangkes inspection and the Eijkman Agency of the Body laboratory, Jakarta, also contact with the chickens [that] died.
Learnt 10 chickens died suddenly around his residence.
MS [a resident of] Desa Bero, Kecamatan Manyaran, of Kabupaten Wonogiri, Propinsi Central Java began to be sick with the breathless sign since April 17 2008.
On April 23, 2008 [<STRIKE> that was relevant </STRIKE>he] was brought to RS Muwardi Solo, but his spirit was not helped and died on the same day.
Was based on the report on Director General's Bird Flu Command Post P2PL, the Department of Health Team and Deptan descended to the location to carry out prolonged investigation towards the story of contact.
Therefore, the community must be on the alert against the poultry that roamed about around the house or in the environment that was visited.<?xml:namespace prefix = o /><o:p></o:p>
The poultry must be stabled as well as guarded by the cleanliness of his pen.<o:p></o:p>
If poultry appearance that was sick or died, avoided contact and immediately reported to the official of livestock breeding or the local village head. If having the resident who showed the sign like the sign of influenza (the fever, the temperature of the high body, the cough) moreover if in the environment around was gotten the poultry, immediately memeriksakan himself to closest health facilities.

To avoid tertular the Bird Flu virus must be paid attention to:
Don't touch the chicken, the duck, and the poultry that was sick or died, Wash with soap, the hands and your cooking utensils, separated the poultry from humankind, Periksakan to the Community Health Centre if having the sign of flu & the fever after being adjacent to the poultry, used gloves, the cover of the mouth and the nose when holding the poultry, don't eat the poultry that was sick or died, Sembelih, burnt, the poultry grave that was sick or died, should not let children played with the poultry.

This news was broadcasted by the Centre of Publik Communication, Sekretariat Jenderal the Department of the Republic of Indonesia Health.
For information further could contact through the number of the telephone: 021-52907416-9, fax: 52960661, 52907421 or the e-mail puskom.publik@yahoo.co.id.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=3093

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases April 30, 2008

From Komnas FBPI

Indonesia has confirmed its 134th bird flu

Jakarta, May 14, 2008 - News Flash -

Test results from the Health Research and Development Center of the Ministry of Health and Eijkman Institute have confirmed that Isq, 15 year old girl from North Gandaria sub-district in South Jakarta was infected by H5N1 virus.

She had the symptoms of high fever, cough and faint. She was admitted to Gandaria Hospital on May 8 2008, where she was then referred to Persahabatan Hospital on May 11 2008. She died on May 12 2008.

Indonesia has now recorded 134 bird flu positive cases and 109 fatalities.

http://www.komnasfbpi.go.id/berita_eng.php?id=54

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases May 14, 2008

Indonesia says it will no longer formally announce bird flu deaths


Thursday, June 5, 2008

By ROBIN McDOWELL, AP

JAKARTA, Indonesia -- A 15-year-old girl died of bird flu last month, becoming Indonesia's 109th victim, but the government decided to keep the news quiet. It is part of a new policy aimed at improving the image of the nation hardest hit by the disease.

"How does it help us to announce these deaths?" Heath Minister Siti Fadilah Supari said Thursday, after confirming that the girl from southern Jakarta tested positive on May 13 and died one day later. "We want to focus now on positive steps and achievements made by the government in fighting bird flu."

- SNIP -

http://www.flutrackers.com/forum/showthread.php?p=161696#post161696

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases May 14, 2008

Adaptation


KOMNAS FBPI (Nat Bird Flu Committee; related to Dep of Health) is counting down the numbers in their latest update:

was a total of 135 see post http://www.flutrackers.com/forum/sho...&postcount=210

Today the total is 133, West Java and Special District Jakarta counted down with one. Probably the girl Istiqomah from Jakarta and the woman Tini Suhartini from West Java.

Remember: the brother of Istiqomah (Ahmad Rizki) died before she died, the brother was not tested. Also an older sibling (Alamsyah, 24) was hospitalized.

-----------------------------------------------------------------------

The number of human cases in Indonesia has reached 133, of which 108 have died

Province / No. of AI Positive Human Cases / No. of Fatalities


1 West Java 33 27
2 DKI Jakarta 32 27
3 Banten 25 22
4 North Sumatera 8 7
5 East Java 7 5
6 Central Java 11 10
7 West Sumatera 4 1
8 Lampung 3 0
9 South Sulawesi 1 1
10 South Sumatera 1 1
11 Riau 6 5
12 Bali 2 2

Total 133 108

http://www.komnasfbpi.go.id/situationupdate.html

[Laidback Al]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases May 14, 2008

Adaptation
KOMNAS FBPI (Nat Bird Flu Committee; related to Dep of Health) is counting down the numbers in their latest update:
was a total of 135 see post http://www.flutrackers.com/forum/sho...&postcount=210

Today the total is 133, West Java and Special District Jakarta counted down with one. Probably the girl Istiqomah from Jakarta and the woman Tini Suhartini from West Java.

Remember: the brother of Istiqomah (Ahmad Rizki) died before she died, the brother was not tested. Also an older sibling (Alamsyah, 24) was hospitalized.

Not only have they stopped publicly reporting the locally confirmed deaths, they are no longer officially reporting human H5N1 infections to WHO.

The last reported confirmed human cases from Indonesia was 3 year old Muhammad Saiful Hidayat (MSH) who died on April 23, 2008, and was confirmed by WHO on April 30th. http://www.who.int/csr/don/2008_04_30/en/index.html

Since then, as noted by Dutchy in several posts above, at least two individuals have tested positive in Indonesia for H5N1. Tini Suhartini was a 54 year old female who died on May 9th.
http://www.flutrackers.com/forum/showpost.php?p=157562&postcount=166

Siti Istiqomah, a 15 year old girl who died on May 14th, is reported to have tested positive by Supari in post #71 above.

The failure of Indonesia to report these cases immediately is in direct contravention of International Health Regulations.

http://www.flutrackers.com/forum/showthread.php?t=70434

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases March 13, 2007 - Current

machinetranslated

Press release Department of Health

See also this press release from Dep of Health summarised here: http://www.flutrackers.com/forum/sho...&postcount=268
Edit: English version of this 12 June press release added to this post.

More or less the same; one important addition: confirmation on 2 bird flu victims. The Jakarta 15 yo girl I (no reference to her sibling(s), possibly contaminated too by H5N1) and the 34 yo woman from Bintung (AP report)
posted here: http://www.flutrackers.com/forum/sho...&postcount=271




Information of the Bird Flu Situation till June 19 2008

19 Jun 2008

Was based on the inspection virologis with the genetic analysis method (genetic sequencing) by the Penelitian Dan Pengembangan Kesehatan Body (Balitbangkes) the Department of Health and the Biologi Molekuler Eijkman Agency in Jakarta, till at this time the Bird Flu virus that attacked humankind still continue to H5N1.

Therefore, the spread of the Bird Flu virus in Indonesia still from the poultry to humankind.

Karana, the community was appealed to to avoid contact with the poultry that was sick or died suddenly and the most polluted environment the waste of the poultry.

Did not maintain the poultry in the settlement environment.
If having the poultry that was sick or died in the environment around, immediately was reported to RT/RW Chairman local.

The community was also asked always to carry out the behaviour of the clean and healthy life (PHBS), maintained the cleanliness of the environment as well as guarded against the sign of Flu, because often the delay of the patient looked for the medical service enlarged the risk of the death.

That was sent by Dr. I Nyoman Kandun, MPH, Dirjen of the Control of the Illness and Sanitation of Lingkungan Department of Health was linked with the development of the control of Bird Flu.

The positive case of Bird Flu showed the decline 50&#37; compared to the case of Bird Flu in May 2007 as well as the decline that was sharp that is 88.8% compared to the case of Bird Flu in May 2006.

During 2008 (in January now), cumulatively the positive case of bird flu was based on the Litbangkes inspection of the Body laboratory and the Biologi Molekuler Eijkman Agency was recorded by 18 cases, including 2 last cases in May that is IST (P, 15 th) from Jakarta and SS (P, 34 th) from Tangerang.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=3136

English Version of earlier Indonesian press release on June 12 2008:

Information of Avian Influenza Controlling on January � May 2008



12 Jun 2008

Based on virologic inspection by genetic sequencing method by Board of Health Research and Development, MOH and Institution of Eijkman Moleculer Biology in Jakarta , until now avian influenza that is attacked human is still H5N1. Hence, avian influenza transmission in Indonesia is still from bird to human.

Therefore, people are suggested to avoid contact with sick or sudden death bird and environment which polluted by bird feces. No take care of bird in houses. If there is a sick or dead chicken in our environment, report to �RT/RW� (the head of area) soon.

Community is asked to apply a clean and healthy life style, keep clean the environment and aware of influenza symptom. Because many cases due to the lateness of patient in searching for medical service and it cause the death. It is said by dr. I Nyoman Kandun, MPH , DG of Disease Control and Environmental Health, MOH related with development of avian influenza controlling.

According to dr. Nyoman Kandun, in controlling avian influenza, government had done some efforts to reduce morbidity and mortality rate. One of the efforts is prepare a referred hospital for avian influenza from the previous were 44 hospitals become 100 hospitals in Indonesia followed by free treatment for avian influenza suspect patient until finish the result of inspection by Research and Development Board and Eijkman.

While to fasten sample inspection, it also conducted a strengthen of national referred laboratory and 8 regional laboratories. Sample inspection which is at first conducted in WHO referred laboratory in Hongkong and CDC Atlanta, America (since 2005 until the beginning of August 2006), then start from August 8, 2006 the decision of avian confirmation can be conducted in Indonesia that is laboratory of Health Development and Research Board and Eijkman Institution. At the same time, Minister of Health also determined that avian influenza virus data are input to Genebank so that can be access by international scientist.

Besides that, government also prepare Oseltamivir drugs in government health service facility such as health center and referred hospital. While to increase personnel ability, it had been done some training of influenza controlling for medical and paramedic personnel and Team of avian influenza fast action, said by dr. Nyoman Kandun.

To increase ability of anticipating the possibility of influenza pandemic, there was a simulation of influenza pandemy controlling simulation in Jembrana, Bali on April 25-27, 2008 , which involved health center, hospital and area village of controlling, airport and other health net. It is the first comprehensive control simulation in the world, attended by observer from inside and outside country, added by dr. Nyoman Kandun.

In period of January-May, 2008, MOH has conducted some avian influenza suspect inspection in succession towards 198 cases and 483 specimen. In the same period in 2007, there was a suspect inspection toward 479 cases and 1.025 specimen.

While in the same period in 2006, there was an avian influenza suspect inspection in succession 302 cases and 714 specimen.

Besides that there are also lab contact lab, avian influenza confirm case investigation, confirm case contact observation, and counseling to community through all existing information channel.

On may 2008, avian influenza positive case showed 50% decreasing comparing to avian influenza case on May 2007 and a sharp decreasing, that is 88,8% comparing to avian influenza on May 2006.

The top level of avian influenza case was on May 2007 because there was the biggest avian influenza cluster in Karo district.

From 12 provinces infected by avian influenza, there are 5 provinces which no more any avian influenza cases , such as :

• Lampung : Infected on 2005, more than 2 years 5 months there is no case found.

• South Sulawesi : Infected on 2006, more than 17 months there is no case found

• South Sumatera : Infected on 2007, more than 5 months there is no case found

• Riau : Infected on -2007, 5 months no case found.

• Bali : infected on November 2007, 6 months no case found.

Information of avian influenza case and development controlling will be provided in once a moth. Therefore, community and all stakeholders can identify all efforts done in such periode. Information provided through www.depkes.go.id.

This release is produced by Center for Data and Information, Secretariat General MOHRI. For queries, please call 52960661, or send e-mail to: puskom.publik@yahoo.co.id.

http://www.depkes.go.id/en/1206in.htm

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases June 19, 2008 - Current

Latest update - released today - from KOMNAS FBPI, National Bird Flu Committee, related to Dep of Health.

Situation Update of Bird Flu Confirmed Human Cases

Jakarta, June 19, 2008 - Ministry of Health - Jakarta, June 19, 2008, Ministry of Health--The National Institute for Health Research and Development of the Ministry of Health and the Eijkman Institute of Molecular Biology in Jakarta announced Thursday that based on the genetic sequencing tests, the H5N1 avian influenza virus in Indonesia remains a poultry virus and has not yet mutated into forms that could easily transmitted between humans.

Therefore, the Ministry of Health urge the public to avoid contacts with sick or dead poultry and the environment that has been exposed to poultry droppings.

The Ministry's director general for disease control and environmental health Dr. I Nyoman Kandun calls on the public to maintain good practice of personal hygiene and healthy behaviors and preserve their environmental sanitation as well as to be alert on any flu-like symptoms to avoid late referral to medical services.

From January to June this year, Indonesia has recorded 18 confirmed cases of avian influenza on humans.

The two latest cases in May were a 15-year-old female Jakarta resident, identified only as IST and a 34-year-old SS from Tangerang District.

Indonesia has recorded a decline in number of confirmed cases by 50 percent compared to total cases occurred in January to May last year.

http://www.komnasfbpi.go.id/berita_eng.php?id=56

Also released today:


Situation Update

Jakarta, June 6, 2008 - Komnas FBPI -

Number of human cases of bird flu that has been confirmed by the Ministry of Health is 133 positive cases, of which 108 are fatal. Up to date, the two new cases have not yeat been confirmed pending to the Minsitry of Health's announcement.

http://www.komnasfbpi.go.id/berita_eng.php?id=55

And RE - released today:


Indonesia Has Confirmed Its 134th Bird Flu On Human Case

Jakarta, May 14, 2008 - News Flash -

Test results from the Health Research and Development Center of the Ministry of Health and Eijkman Institute have confirmed that Isq, 15 year old girl from North Gandaria sub-district in South Jakarta was infected by H5N1 virus.

She had the symptoms of high fever, cough and faint. She was admitted to Gandaria Hospital on May 8 2008, where she was then referred to Persahabatan Hospital on May 11 2008. She died on May 12 2008.

Indonesia has now recorded 134 bird flu positive cases and 109 fatalities.

http://www.komnasfbpi.go.id/berita_eng.php?id=54