Indonesia Bird Flu - 2006 - June/11 - June/22

[Sally Furniss]

Re: Indonesia BF - 06/11+

http://www.thejakartapost.com/detaillgen.asp?fileid=20060616140557&irec=0

Youth dies of bird flu, local tests show

JAKARTA (AP): A 14-year-old Indonesian boy died of bird flu, the Health Ministry said Friday, the latest in a series of cases in the sprawling nation that are concerning international experts.The boy, who died on Wednesday in a hospital in the capital, Jakarta, had come into contact with dead chickens, said Health Ministry official Nyoman Kandun.

He said local tests had confirmed that the youth was infected with the H5N1 strain of the bird flu virus, but that specimens had also been sent to an international laboratory for confirmation, as is standard practice in dealing with bird flucases.

If confirmed, Indonesia's human death toll from bird flu has hit at least 39.

Indonesia's bird flu case load has risen sharply this year, and it now trails only Vietnam, where 42 people have died.The H5N1 virus is considered endemic in poultry in most provinces across the archipelago.

Bird flu has killed at least 128 people worldwide since it started ravaging Asian poultry farms in late 2003.

So far, most human cases have been linked to contact with infected birds, but experts fear the virus could mutate into a form more easily transmissible among humans, potentially sparkinga pandemic that could kill millions worldwide.

The World Bank this week said Indonesia's efforts to stop H5N1's spread are underfunded, and urged the cash-strapped government to be more aggressive in culling fowl in infected areas - something it has been unwilling to do so far.

Health officials have expressed concern over the possible transmission of among humans after several members of the same family contracted the illness on Sumatra island. (**)

[Mingus]

Re: Indonesia BF - 06/11+

Late News, but this is from WHO

World Health Organization - Weekly Epidemiological Record e-mail
bulletin service

DISEASE OUTBREAK NEWS Item(s)published on the World Wide Web

http://www.who.int/csr/don

-------------------------
Avian influenza - situation in Indonesia - update 19



15 June 2006

The Ministry of Health in Indonesia has confirmed the country's 50th
case of human infection with the H5N1 avian influenza virus.

The case, which was fatal, occurred in a 7-year-old girl from Tangerang
district, Banten Province. She developed symptoms on 26 May, was
hospitalized on 30 May, and died on 1 June. Her 10-year-old brother died
of respiratory disease on 29 May, but no specimens were taken for
testing and the cause of his death cannot be determined.

An investigation found a history of chicken deaths in the household and
neighbourhood prior to symptom onset. Laboratory testing of surviving
family members and close contacts has been conducted and no further
cases were found.

Of the 50 cases confirmed to date in Indonesia, 38 have been fatal.

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

************************************************** *****
WHO Disease Outbreak News updates are also available via RSS(really
simple syndication).
Please see http://www.who.int/about/licensing/rss/en/ for further
information and instructions.

[Theresa42]

More on IB (14) from Southern Jakarta

They're just not gonna say *where* in Southern Jakarta this guy is from....

toggletext-ed from Indonesian:

A Southern Jakarta Citizen Positive was infected by Bird Flu
June 17, 2006

Jakarta (Analisa)

A Southern Jakarta citizen had the initials IB (14) was stated positive was infected by the bird flu virus (Avian influenza/AI) by the Laboratory of the Body of Health Research And Development (Balitbangkes) the Department of the Health.

The "new case, a male child was 14 years in Southern Jakarta old was stated positive according to results of the local laboratory inspection," said Jendral Pengendalian Breakingprep Penyakit Director and Sanitation of the I Nyoman Kandun Health of the Department's Environment in Jakarta, on Friday.

He said the patient that beforehand suffered hot high (38 levels celcius), breathless and coughs as well as had the story of contact with the poultry was brought to the hospital on June 14 2006 and died on the same day.

According to him at this time the specimen was from this patient being sent to the laboratory of the Health of the World of Organisation collaboration (the World Health Organization/WHO) in the Hong Kongese University to get confirmation.

Beforehand the citizen Pamulang, Southern Jakarta, had the initials Y (7), that died on June 1, also was stated positive was infected by the bird flu virus (Avian influenza/AI) both by the local laboratory and the WHO collaboration laboratory in the Hong Kongese University.

According to Kandun apart from undertaking the standard procedure of the handling of the patient of government bird flu also did the inspection of people who carried out contact with the patient and carried out the testing serologis to the sample of the poultry specimen around casualties's residence to anticipate the risk of the spread of the deadly illness.

Until at this time results of the local laboratory research named as many as 52 patients in Indonesia positive was infected by the AI virus (H5N1) and 39 including dying whereas results of confirmation of the patient's specimen of the Hong Kongese University mentioned that the number of positive patients was infected by as many as 50 people and 38 including dying.

http://analisadaily.com/0-7.htm

[Theresa42]

BF found in 6 districts in Gowa Regency, South Sulawesi

Full text not available (yet?)....

toggletext-ed from Indonesian:

Bird flu spread in six subdistricts
June 16, 2006

The bird flu virus that attacked thousands of piece chickens and the nonpedigreed chicken in the Gowa Regency, South Sulawesi spread in six subdistricts.

http://www.kompas.com/utama/news/0606/16/184444.htm

[Theresa42]

Bird races in Jakarta

toggletext-ed from Indonesian:

The contest Kicau birds were spread out in Jakarta
June 18, 2006

Liputan6.com, Jakarta: Special Capital District of Jakarta Governor Sutiyoso opened the birds contest kicau the national level in the National Monument Garden (Monas), Jakarta the Centre, Ahad (18/6) days. The contest had taken part in 5.000 birds from 15 provinces. Apart from the race site, the contest also menyosialisasikan the maintenance and the birds cultivation.

The noisy atmosphere influenced the running of the contest. Moreover the voice kicau birds almost sank diriuh him the human voice. Respectively participants shouted mutually to give the spirit of their birds so that speaking sweeter and brought came home the Cup Governor Jakarta.

Sutiyoso admitted to preparing this site for quite a long time. He also guaranteed will not have birds that were infected by bird flu. Each poultry that followed the race was equipped the healthy certificate from the local Livestock Breeding Service.

http://www.liputan6.com/view/6,124612,1,0,1150651203.html

[Bruce]

Re: Indonesia BF - 06/11+

Indonesian police asked to probe into death by bird flu in N Sumatra

Bird Flu Developments: WHO
Medan, N. Sumatra (ANTARA News) - Perjuangan Hukum Politik (PHP), a non-governmental organization fighting for political and legal rights, has asked the police to immediately mount a legal probe into the neglect of government medical personnel in the bird flu (avian influenza/AI) case in Karo regency, North Sumatera, which had caused the death of some people in the area.

The deaths were the result of confusion and different views of the medical personnel in charge of the bird flu attacking the area, President of PHP, HMK. Aldian Pinem, SH, MH, said here on Sunday.

The bird flu attacking Karo regency in May 2006 had killed seven residents, namely Fuji Br Ginting, Roy Karo-Karo, Boni Karo-Karo, Rafael Ginting, Anta Br Ginting, Brenata, and Does Ginting.

Pinem, who is also former chairman of IKADIN Medan office, said that the police based their investigation on articles 13 and 14 of Law no 2 of 2002 on the police and government responsible for medical personnel in charge of overcoming and eradicating bird flu.

In conducting the probe based on the Criminal Law Procedures, he said, PHP will help the investigators (Police) with summoning witnesses including the relatives as well as other members of the Karo community.

After dealing with the witnesses, the police will examine the medical personnel in charge in Karo regency, and in Jakarta.

Any of the medical personnel found guilty of violating article 359 of the Penal Code, like not quick enough in providing medication which caused death, will be held in police custody. (*)

Jun 19 02:50

Copyright © 2006 ANTARA

http://news.antara.co.id/en/seenws/?id=14665

[artyanne]

Re: Indonesia BF - 06/11+

There always has to be a scapegoat, doesnt there?

This is sad, as they were doing their collective best in reasonably unknown circumstances and the villagers and remaining family will be fueled by emotions and certainly a lack of medical knowledge. There obviously were bad choices made, but they were learning on the run.

I guess if nothing else it will focus medical folk to be ever more vigilant in future cases.
Glad Im not them.

[HenryN]

Re: Indonesia BF - 06/11+

Indonesian cat found infected with bird flu virus

19 Jun 2006
Amy Chew in Jakarta

JAKARTA, INDONESIA, MON:
<HR align=center SIZE=1>
A CAT has been found infected with the deadly H5N1 virus in Indonesia, in the first such case in the country.
Steven Bjorge, Medical Officer for Communicable Disease of the World Health Organisation said the cat was infected after having eaten contaminated birds.
?We have evidence from one cat in Indonesia that has already been infected by this virus,? he told Jakarta?s Foreign Correspondents? Club.
Yesterday?s disclosure came just days after Indonesia confirmed its 38th death from avian influenza caused by the H5N1 virus, placing the country in second place behind Vietnam?s 42 deaths.

http://www.nst.com.my/Current_News/n...cle/index_html

[NY1]

Re: Indonesia BF - 06/11+

Vaccine for Indonesia?


Sinovac Biotech announces pandemic influenza vaccine phase 1 preliminary results showed good immunogenicity, with a sero-positive rate of 78.3% (SVA) 2.84 +0.14 : Co announces the preliminary results of its proprietary Inactivated Pandemic Influenza Vaccine (Human-used Avian Flu Vaccine) (Panflu) in Phase I Clinical trials. The preliminary results showed good immunogenicity, with a sero-positive rate of 78.3%, which exceeds the criteria for assessment of vaccines established by Committee for Proprietary Medicinal Products of the European Union.

[Auburn Boy]

Re: Indonesia BF - 06/11+

A little more detail on the Infected Cat story here:

http://asia.news.yahoo.com/060619/kyodo/d8ib5b580.html

FUnny though, the story doesn't give the date when the cat was found. I'm hoping that the issue will be cleared up. Bjorge just said that a cat had been found, not WHEN it had been found. He could well be talking about something that happened last year..,

[Theresa42]

Health Minister - bf endemic in 27(+) provinces

This was the headlining article in several of today's papers (but this was the only version I found with the Big Chicken!)...

toggletext-ed from Indonesian:

Endemi bird flu in 27 provinces
June 20, 2006

Jakarta, Selasa

The Health Minister (Menkes) Siti Fadilah Supari said, bird flu already endemi in 27 provinces in Indonesia, while eight provinces were appointed as the territory to be infected by bird flu.

Menkes in the Committee's Working Meeting of Ad Hoc III Delegation's Council of the Area (DPD) that was led by PAH III DPD Faisal Vice Chairman Mahmud (Central Sulawesi) in the Building of DPD Jakarta, on Monday (19/6), explained, up until June 16 the number of cases that was ascertained by bird flu achieved 52 cases, 39 cases including dying with the death rate (CFR) 75 percent.

"This showed the need anticipated the Extraordinary Incident (KLB) bird flu from time to time in this area." For bird flu still bersirkulasi in the animal population especially the poultry in Indonesia (then) the possibility of bird flu of infecting humankind could not be avoided, he said.

The Health Minister said, bird flu was the new, cruel and deadly illness kind. In the last ten years this virus is not as cruel now. The "infection still between-poultry, but now has become the infection from the poultry to humankind," said Siti Fadilah.

"Not easy stated bird flu has spread from humankind to humankind, including that happened in the Village Jandi Merry, the Umbrella Subdistrict, the Karo Regency," added Menkes.

Siti Fadilah said, was based on results of the laboratory inspection, dinyatakan, from the virus from the patient who died finally was from the poultry. It was "quite developing that the opinion overseas that the infection from humankind to humankind in Indonesia happening." In fact, not there is completely. Still from the poultry to humankind, he said.

He also said, until this was not yet found potent medicine overcame bird flu. As for available medicine like Tamiflu just effective in the day kesatu and second was infected.

Indonesia experienced the extermination hindrance because of developing the view in the middle of the community that the extermination of the chicken precisely reduced asupan the community's nutrient. In fact, if the extermination immediately was not carried out by the bird flu pandemic precisely increasingly easy happened.

Siti Fadilah suspected, a moving non-governmental organisation in the legal aid field for the health that took the case interior of bird flu in Karo developed the opinion in the middle of the community to refuse each policy of the government. "This NON-GOVERNMENTAL ORGANISATION always contra with the government," he said.

http://www.kompas.com/utama/news/0606/20/004149.htm

On the sign that the big chicken in holding: Bird flu could be controlled - should not panic!

[Sally Furniss]

Re: Indonesia BF - 06/11+

LOL the Big Chicken

[Theresa42]

Gowa, South Sulawesi - disinfecting and poultry vaccination

toggletext-ed from Indonesian:

Spraying and the Bird Flu Vaccination in Gowa
June 20, 2006

Gowa: The Side and the Department of the Health of the Gowa Regency of the Livestock Breeding Service, South Sulawesi spread out spraying and the poultry vaccination. This activity to prevent the spreading of bird flu that spread to nine subdistricts. The local regional government also isolated the territory that was attacked by bird flu.

http://www.liputan6.com/view/12,124679,1,0,1150770049.html

[Theresa42]

Report on bf in Lampung Province in 2005

A report from the end of May 2006 from the "Officially Livestock Breeding and the Health of the Lampung Province Animal" website. (We've just recently seen some human bf suspected cases from Lampung.)

toggletext-ed from Indonesian:

The development of the Animal Illness spread Avian influenza (AI) in the Lampung Province

Tanggal: 2006-05-30 09:32:32 WIB

The development of the animal illness spread Avian influenza (AI) in the Lampung Province in 2005 and the control action that was carried out dalah as follows:

1. The illness situation Avian influenza (AI) in the Lampung Province in 2005 up to mid July 2005 still could be controlled, the case of the illness happened in a sporadic manner that happened to the livestock puyuh in the Subdistrict Metro West and Metro East the Metro City with the number of deaths an amount 337 tails were from the total population threatened 10.000 tails in February and in March 2005, and to the chicken livestock talk to / the nonpedigreed chicken in the West subdistrict of the Coral Cape the Banda Lampung City with the number of deaths 10 tails from the population +/- 200 tails that happened in April 2005.

2. Was done by the AI vaccination in 10 regencies/the City with the realisation of the vaccination during 2004 totalling 11,820,488 doses, and in 2005 the realisation of the temporary vaccination up to May 2005 an amount 3,071,000 doses, now ditribusi the vaccine up to late June 2005 reached 4,132,500 doses.

3. Has beroperasional him the Hall KArantina the Class Animal i Long in the Bakauheni crossing Port in order to do the supervision of the livestock traffic/the animal and the product from the animal/the livestock especially that entered from the Javanese island the Sumatran Island.

4. The activity surveillance that was done by the Investigation Hall and the Veteriner Testing (BPPV) Regional III in May 2005 in the Lampung Regency Middle and Tulang Bawang by doing the taking and the inspection of 234 samples specimen the serum of blood of the Pig livestock menunjukan negative results (was not found by the virus H5N1 to the Pig livestock).

5. Through Tim [team] the Health Service of the Lampung province and the Department of the Pusatt Health was in 2004 carried out by the taking and the inspection of the blood serum from the official of the pen of several thoroughbred poultry farms and the official of the Laboratory totalling 117 samples with results of the negative towards the virus infection Avian influenza/Bird Flu.

6. Has the formation of the team of the Control co-ordination of Originating infectious diseases from the Animal in the Lampung Province (as the replacement Tim the Control Co-ordination of the Rabies Illness) that involved the element of the Province Regional Government and the related Service Agency as well as the side of the livestock breeding businessman.

7. With Tim [team] AI Illness Investigation from the Big Hall the Testing of the Quality and Certification was of Animal Medicine of (BBPMSOH) Gunung Sindur Bogor carried out by the taking specimen the serum of blood of the chicken livestock post the AI vaccination was as fat as 100 samples and the sample of the vaccine that was used by the breeder in Kec. Pringsewu and Sukoharjo the Tanggamus Regency and the Subdistrict Purbolinggo the Lampung Regency East in the date on July 18-19 2005.

http://disnakkeswan-lampung.go.id/brosur/index.php?option=com_content&task=view&id=155&Itemid=9

[Jeremy]

Re: Indonesia BF - 06/11+

http://www.iht.com/articles/2006/06/20/news/FLU.php

JAKARTA Indonesia edged closer to becoming the world's hardest-hit bird flu country on Tuesday after tests confirmed that a 14-year-old boy died from the disease, bringing its death toll to from the disease to at least 39 people.

The boy from Jakarta died last week, and tests sent to a World Health Organization-approved laboratory in Hong Kong came back positive, said a senior Health Ministry official, Hariadi Wibisono.
The boy had been around dead birds.
Indonesia, which logged an average of one death every two and a half days in May alone, is on track to becoming the world's hardest hit country, trailing only Vietnam, where 42 people have died.
Results in the boy's case were announced a day before some of the world's top bird flu experts were set to meet with Indonesian officials to try to map out a plan to get a handle on the H5N1 virus.
The meeting brings together scientists from the UN health agency, the UN Food and Animal Organization and the U.S. Centers for Disease Control and Prevention, among others. It comes a month after Indonesia grappled with the world's largest reported family cluster of bird flu cases.
Six of seven family members from a remote farming village on Sumatra island died after testing positive for the virus.
An eighth relative was buried before samples could be taken, but the World Health Organization considers her part of the cluster.
Scientists have not been able to link the infected relatives to contact with sick birds, and they believe limited human-to-human transmission may have occurred.
However, the virus is not known to have mutated, and no one outside the family has fallen ill.
"If you've got an extensive distribution of an avian virus which has an ability to transmit to humans, that virus can always change," said Paul Gully, senior adviser to the WHO's top bird flu official in Geneva. "It can change in its capacity to spread among humans."
Gully said one of the biggest obstacles Indonesia faces is making sure the public understands the importance of detecting potential bird flu cases among poultry and people.
"That's a real challenge in a country the size of Indonesia where, sadly, avian influenza continues," he said by telephone.
Gully also said the problem would continue unless the government can control the virus in poultry. Bio-security standards remain low in the densely populated countryside, home to hundreds of millions of backyard chickens.
Indonesia has been criticized for not working harder to fight bird flu, which is entrenched in the sprawling archipelago of 220 million people. Many local governments have refused to carry out mass poultry slaughters in infected areas, and vaccinations have been sporadic at best.
Experts fear that the current virus will mutate into a form that is highly contagious among humans, potentially sparking a pandemic. So far, most human cases have been traced to contact with infected birds. At least 129 people have died worldwide since the virus began ravaging Asian poultry in late 2003.
An Asian Development Bank report in April said that Indonesia's 2006 budget allocated just $14 million to combat the disease, despite the government's own estimate that at least 30 times that amount is needed.

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