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

[HenryN]

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

Can I ask a question?

In the past, hasn't there been a question of family transmission? Usually, it seemed to be mother-child or child-mother, with the occasional sibling. (Am I remembering incorrectly?)

This possible child and now father & grandparents is falling out of that pattern, right? Do we know if the grandparents are maternal or paternal? That's something else to know, in considering family transmission, correct?

Sorry, if this is too basic and I'm showing my ignorance in the science part of this ... but it came to mind, this afternoon.

Prepping ... yup, I'm decent at that. Science ... . -k

The family genetics stories are fairy tales. There are several examples of transmissions that don't follow blood lines.

[HenryN]

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

AVIAN INFLUENZA, HUMAN (67): INDONESIA (RIAU), CONFIRMED
************************************************** ******
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 3 Apr 2009
Source: The Jakarta Post [edited]
<http://www.thejakartapost.com/news/2...-bird-flu.html>


Deceased toddler confirmed to have died of bird flu
---------------------------------------------------
Blood samples taken from the 2-and-a-half-year-old chld who died last
week [23-27 Mar 2009] in Pekanbaru, Riau, have tested positive for
the bird flu virus, an official said on Wednesday [1 Apr 2009].
Azizman Saad, coordinator of the bird flu prevention team at the
Arifin Ahmad hospital in Pekanbaru, that confirmation that the child
died from bird flu had been received by the Riau Health Office
several days ago. "The victim is believed to have contracted the
virus from dead chickens in his surrounding areas," Azizman told The
Jakarta Post. Indonesia's bird flu death [toll] reached 119 as of
early this month, according to data from the national bird flu
commission. Blood samples of patients believed to have been infected
with the virus are usually sent to the Health Research Agency of the
Ministry of Health in Jakarta.

Following the confirmation, Azizman urged the child's family members
and neighbors in Tanjung Rhu village, Pekanbaru to go to the nearest
community health center to have a check-up. "There has not been any
evidence that the bird flu infection can be transmitted from human to
human, but the case shows the bird flu outbreak took place in the
victim's area. It's better for those who had made contact with the
victim to go to the health center even though they do not have any
health problems," he said.

Azizman explained that the child was intensively treated for high
fever and coughing and breathing difficulties in an isolated room at
Arifin Achmad hospital. "One day before he died, his condition was
improving but, finally, his condition [deteriorated] and he fell
unconscious. Six doctors tried to save his life, but to no avail," he
said. Azizman explained that before the disclosure of the laboratory
tests the child was believed to have died from multi-organ failure.

Rini Hermiyati of the Pekanbaru Health Office said she had assigned a
team to observe the health condition of the victim's family members
and at the same time make an inventory of neighbors who were in
contact with the victim. "No one has been found with symptoms of bird
flu, but those having contact with the victims will be closely
watched out for 21 days," Rini said.

The Pekanbaru Livestock Husbandry Office made the decision to cull
chickens in the victim's surrounding areas to help curb the spread of
the virus. "The number of chickens raised here is small," she said.
Meanwhile, Susi Herlinda, a member of the Pekanbaru Legislative
Council, criticized the administration for its failure to anticipate
the bird flu infection. The death of the victim showed the
administration was not aggressive enough in campaign about the danger
of bird flu, she said. "It has become a habit of our people,
everybody acts only after somebody falls victim to a certain
diseases. The death of this child should have been used as momentum
to improve," she said. "Related institutions have to create awareness
among the public about the danger of the bird flu," Susi added.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[This is the 2-year-old child whose illness was reported 1st in
'Avian influenza, human (60): Indonesia (RI), susp. 20090325.1164,'
and death in 'Avian influenza, human (61): Indonesia susp.
20090326.1179.' It has now been confirmed that the 2-year-old had
contracted avian H5N1 influenza virus infection, probably as a result
of exposure to diseased poultry. - Mod.CP]

[A map showing the location of Riau is available at:
<http://encarta.msn.com/map_701515982/riau.html> - CopyEd.EJP]

[see also:
Avian influenza, human (65): Indonesia (West Java) susp. 20090331.1240
Avian influenza, human (62): Indonesia (West Java), susp. 20090328.1206
Avian influenza, human (61): Indonesia susp. 20090326.1179
Avian influenza, human (60): Indonesia (RI), susp. 20090325.1164
Avian influenza, human (53): Indonesia susp. 20090317.1085
Avian influenza, human (47): Indonesia, susp. 20090304.0882
Avian influenza, human (46): Indonesia, susp., Egypt, WHO conf. 20090303.0867
Avian influenza, human (44): Indonesia, Egypt susp. 20090301.0853
Avian influenza, human (43): Indonesia, susp 20090227.0818
Avian influenza, human (41): Indonesia, NOT 20090226.0798
Avian influenza, human (39): Indonesia, susp 20090223.0759
Avian influenza, human (35): Indonesia (BA), susp 20090212.0630
Avian influenza, human (26): Indonesia, not 20090130.0416
Avian influenza, human (25): Indonesia, susp. 20090128.0383
Avian influenza, human (16): Indonesia, susp 20090123.0297
Avian influenza, human (14): Indonesia, WHO 20090122.0280
Avian influenza, human (13): Indonesia 20090121.0265
Avian influenza, human (09): Indonesia, susp 20090118.0220]
...........................cp/ejp/mpp
</pre>

[Readymom]

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

Thank you Dr. N. I know I read that occasionally, and wasn't sure. -k

[Gert van der Hoek]

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

From Bird Flu Information Corner; More on "What is KLB" here:http://www.flutrackers.com/forum/showthread.php?t=83498

Pekanbaru, Riau ::: Exceptional bird flu status (KLB)

April 3, 2009

Pekanbaru, Riau – Health service of Pekanbaru announced exceptional bird flu status (KLB) on neighborhood of bird flu victim, Wahyu Ibnu Saputra (2.9), Jalan Kuantan Jalan Kuantan VII, RT 7, RW 4, Kelurahan Tanjung Rhu, Kecamatan Limapuluh. Health service conducts three standard programs for prevention of bird flu virus spreading.

Actions taken are: Area monitoring to Jalan Kuantan VII, RT 7, RW 4, Kelurahan Tanjung Rhu, Kecamatan Limapuluh; Proclaiming bird flu alert status to people who had contact history with victim; and Giving tamiflu and hospital recommendation to people who develop high fever.

This is mentioned by Pekanbaru health service officer, dr Rini Hermiyati Thursday (2/4). For this prevention purpose, Health service is working together with Agriculture service Pekanbaru.

“People with high fever will receive Tamiflu administration and recommendation for regional hospital. This is done for bird flu exceptional circumstances status areas”, said Rini. Investigation and preventive measures will be done for 30 days started from Monday (30/3) to neighborhood 500 meter around victim’s house.

Bird flu H5N1 virus has killed 3 people in Riau since 2007. Two fatalities reported in 2007 at Kecamatan Rumbai and Marpoyan Damai; and one fatality in 2009 at Kecamatan Lima Puluh.

Source: http://www.riaupos.com/main/index.ph...detail&id=5875
===AvianInfluenzaIndonesia===

http://birdflucorner.wordpress.com/

[Gert van der Hoek]

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

Warning, Google translated

One suspect bird flu patient is waiting for testresults for the moment in Riau Province. A boy 15 - SP - 15 years old.

My feeling is: things go better in Riau, 2 years ago there were dozens of suspect cases in Riau.

Health Service and Livestock Service seem to act fast. Still no ideal situation ofcourse, but I don't see any reason to panic.




During 2009, 9 suspect Bird Flu Cases in Riau

Apr 03, 2009


PEKANBARU (RiauInfo) - Since the beginning of January 2009, in Riau have occurred nine suspect cases of bird flu. From each case, 1 of them died, 1 case is awaiting the results of research from Jakarta. While the rest expressed a negative bird flu.

Staff Surveilanc Bird Flu Public Health Pebliaji Riau Province, said that when the work is found in the room Cut Nya Dien road. Individual cases are, Pekanbaru 1 person, 2 people Siak, Rohul 1 person, Dumai Pelalawan 3 people and 2 people.

To Pekanbaru, bird flu patients in the name of Ibn Sahputra Revelation which is still the age of 2.9 years had died some time ago. Victim has been declared positive after a blood sample through the test in Jakarta.

To Pelalawan, precisely in the village Sekijang, men aged 15 years with the initials SP at this time also stated suspect bird flu. However, to determine whether SP is completely positive, at this time are still awaiting test results on blood samples.

TT of the previous bolded text:

For Pelalawan, to be precise in the village A Kijang, the man was 15 years old with initials SP at this time also was stated suspect bird flu. However to confirm whether SP really positive, at this time still was waiting for results of the testing of the sample of blood in Jakarta.


Meanwhile, the rest as Dumai, Rohul and Siak dinyatatakan have negative bird flu, he said. light

Along with this, Pebliaji urge to avoid bird flu, people must maintain health seoptimal possible. For example, with eating chicken that is cooked perfectly correct, that is, the water temperature 100 degrees centigrade. Then do not expect too much in contact with poultry, the ducks would also chicken.

Dijelaskannya, of chicken can ketara melalaui characteristics such as sudden death. However, to duck the fact, not physical it is visible there is a problem, but the duck indeed potentially transmit the virus to human physical contact in a way is directly.

"Itik more dangerous than the chicken. If the chicken can be seen from the characteristics, such as sudden death and other characteristics. However, if the ducks, physical feel OK no problem. However, ducks are more potentially transmit the virus to bird flu, he said.

On the one hand, Pebdiaji also urge the public including the media, to not use the term suspect bird flu. For a discussion of the results Diskes ago in 2008, assessed the public hearing trauma. In the case says suspect is not a presumption term sentence. (

http://www.riauinfo.com/main/news.php?c=6&id=9001

[Gert van der Hoek]

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

New suspect human bird flu case in a Sukabumi Hospital.

Sukabumi is West Java, there is a dedicated bird flu hospital: RSU(Public Hospital) R.Syamsudin, SH Sukabumi



Hundreds of chickens in Cianjur died, attacked by Bird Flu

on Friday, April 03 2009

Cianjur -- MI: the Peternakan Service, Perikanan and Marine Kabupaten Cianjur, confirmed that the poultry that died in four subdistricts, as a result of the virus avian influenza (AI) or bird flu.

At least 132 chickens were found died suddenly in the period several last days in four territories, respectively the Mande Subdistrict, Sukaluyu, Cilaku, and Campaka. Whereas 12 tails among them, were based on results rapid test (the fast test) was stated positive was infected by the bird flu virus.

These results were reinforced with the existence of the resident who it was suspected was infected by this virus. Ade (50), one of the residents of the Cikeukeup Village, Desa Cidadap, of Kecamatan Campaka, it was suspected was infected by the AI virus.

His article, was based on results of the report on the official participatory diseas survailance and the response (PDSR), he suffered the sign that headed in suspect AI. Meski Demikian, Dinas Peternakan, Perikanan and Marine, still could not conclude whether the sign that was experienced by Ade headed in suspect AI or not.

The head of the Kesehatan Field of the Animal and the Verteriner Masyarakat Dinas Peternakan Health, Perikanan and Marine Kabupaten Cianjur, Ir Adiyanto Wahidin, justified this matter.

Hundreds of tails of the chicken that died suddenly this was spread in four subdistricts. In the Cidamar Village, Desa Bobojong, Kecamatan Mande, the number of chickens that died totalling 76 tails. The village of Cikeukeup RT 06/09, the Cidadap Village, the Campaka Subdistrict (26 tails), in the Kamiran Round Village, the Selajambe Village, the Sukaluyu Subdistrict (23 tails). And in the Rahong Village, Desa Munjul, Kecamatan Cilaku (7 tails).

From results rapid test that was carried out in four subdistrict territories, totalling 12 chickens among them that was in the Mande Subdistrict, Sukaluyu, and Campaka, was stated positive, he said.

Whereas in the Rahong Village, Desa Munjul, Kecamatan Cilaku, results rapid test against two tails of the chicken carcass was stated by the negative.

He confirmed the existence of the report from the officials PDSR that mentioned that one of the residents was in the Cikeukeup Village expected to be infected with the virus of AI. According to him, this resident was getting the maintenance in one of the hospitals in Sukabumi.

"Indeed was based on his report, he experienced the sign that headed in the infection of AI. But this was not yet certain, because still in the inspection," he said.

For the process of his handling according to him hundreds of tails of the poultry that experienced this sudden death most had been buried and burnt (depopulation), to deminish the spreading of this virus .

http://www.mediaindonesia.com/read/2009/04/04/67930/123/101/Ratusan_Ayam_di_Cianjur_Mati_Terserang_Flu_Burung_

[Laidback Al]

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

In this news report two additional individuals in Pekanbaru, Riau, are showing signs of possible influenza. They lived about 500 m (about 1/3 mile) from Ibn Wahyu Saputra (the young child who was confirmed with H5N1 and died on March 26). It is not clear if these two people are the grandparents of Ibn Wahyu Saputra who have been reported as showing symptoms as noted in a post up above.

Credits to mojo for the translation and bolding.

Saturday, April 04, 2009, 07:07:00
More, Dead Poultry Mendadak

PEKANBARU (RP) - Based on the findings of Public Health (Diskes) Pekanbaru Friday (3 / 4), found two people fell ill on the road Rejosari fever heat. Officers also found two chickens that died suddenly poultry. This location is just 500 meters from the place of Ibn Wahyu Saputra, victims of bird flu.

But Kasi Observation and Disaster Diskes Pekanbaru, SKM Naviri can not ensure that the birds died suddenly with this because if the bird flu virus.

Identisifikasi still need to be more about the death of this bird.

Identisifikasi''in the field, we have the findings of the two residents fever heat. From the results of the health check, only two people this fever are common. But we still give tamiflu drug,''said Naviri to Riau Pos, Friday.

According to him, the death of Revelation are very psychological impact on the residents. Most residents feel fear again mewabahnya bird flu virus in humans. These problems are diminimalisir by the City Government (Pemko) Pekanbaru.

Diskes as institutions that have any obligation to do prevention, continued, until Saturday (11 / 4) future, Diskes akan conduct in the supervision. Home residents, especially the distance of 500 meters.

''Agriculture and Public Health Pekanbaru given the task to handle specific problems this bird flu virus. Distan also make your own disinfectant and depopulasi, housing residents who have poultry,''he said.

http://www.riaupos.com/main/index.php?mib=berita.detail&id=5983

[Gert van der Hoek]

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

Snip from Jakarta Post, april 4 2009

quote from Coordinator of Surveillance and Monitoring at the National Commission on Bird Flu Control and Awareness on Influenza Pandemic (Komnas FBPI) Heru Setijanto ,


Data at the Health Ministry showed 121 of the 145 patients diagnosed as infected with the virus had died, a very high fatality rate.

http://www.thejakartapost.com/news/2009/04/04/it-feared-bird-flu-could-become-more-frightening.html

Full report from Jakarta Post here: http://www.flutrackers.com/forum/showthread.php?t=98604


Disclaimer: Jakarta Post is not always accurate in their details, so handle with care.

[HenryN]

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

Updated map

http://maps.google.com/maps/ms?hl=en&geocode=&ie=UTF8&t=h&msa=0&msid=106484775090296685271.00045e858a4aeaf7a1f24&ll=0.575399,101.438141&spn=0.58087,0.671539&z=10

[Gert van der Hoek]

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

In this news report two additional individuals in Pekanbaru, Riau, are showing signs of possible influenza. They lived about 500 m (about 1/3 mile) from Ibn Wahyu Saputra (the young child who was confirmed with H5N1 and died on March 26). It is not clear if these two people are the grandparents of Ibn Wahyu Saputra who have been reported as showing symptoms as noted in a post up above.

Credits to mojo for the translation and bolding.

Saturday, April 04, 2009, 07:07:00
More, Dead Poultry Mendadak

PEKANBARU (RP) - Based on the findings of Public Health (Diskes) Pekanbaru Friday (3 / 4), found two people fell ill on the road Rejosari fever heat. Officers also found two chickens that died suddenly poultry. This location is just 500 meters from the place of Ibn Wahyu Saputra, victims of bird flu.

But Kasi Observation and Disaster Diskes Pekanbaru, SKM Naviri can not ensure that the birds died suddenly with this because if the bird flu virus.

Identisifikasi still need to be more about the death of this bird.

Identisifikasi''in the field, we have the findings of the two residents fever heat. From the results of the health check, only two people this fever are common. But we still give tamiflu drug,''said Naviri to Riau Pos, Friday.

According to him, the death of Revelation are very psychological impact on the residents. Most residents feel fear again mewabahnya bird flu virus in humans. These problems are diminimalisir by the City Government (Pemko) Pekanbaru.

Diskes as institutions that have any obligation to do prevention, continued, until Saturday (11 / 4) future, Diskes akan conduct in the supervision. Home residents, especially the distance of 500 meters.

''Agriculture and Public Health Pekanbaru given the task to handle specific problems this bird flu virus. Distan also make your own disinfectant and depopulasi, housing residents who have poultry,''he said.

http://www.riaupos.com/main/index.ph...detail&id=5983

TT translation of the part on the two with fever:

Identisifikasi we in the field indeed had the findings of two residentswith high fever. From results of the health cheque, two people of only common fevers then. But we continued to give medicine tamiflu,?? said Naviri to Riau Pos, on last Friday.

In the present local situation with a "KLB" (Health Emergency), chickens found dead and people who are worried, everyone with a fever is checked and it is understable Tamiflu is administered, even in cases of "normal flu" .

I do not see indications here for a H2H spread of avian flu.

[HenryN]

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

Commentary

http://www.recombinomics.com/News/04040901/H5N1_Riau_Cluster_Grows.html

[AlaskaDenise]

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

Commentary

http://www.recombinomics.com/News/04...ter_Grows.html

Commentary

Suspect H5N1 Cluster in Riau Indonesia Grows

Recombinomics Commentary 07:54
April 4, 2009

Public Health (Diskes) Pekanbaru Friday (3 / 4), found two people fell ill on the road Rejosari fever heat. Officers also found two chickens that died suddenly poultry. This location is just 500 meters from the place of Ibn Wahyu Saputra, victims of bird flu.

From the results of the health check, only two people this fever are common. But we still give tamiflu drug,''said Naviri to Riau Pos, Friday.

The above translation identifies two more people with fevers who live near the confirmed toddler. Since they were identified during a canvassing of the area (see updated map), it seems unlikely that these two residents are the grandparents or father of the index case. The father was said to have been still in the hospital, while the grandparents were said to have had symptoms earlier. The two most recent cases have links to dead poultry and have been given Tamiflu, although H5N1 confirmation has not been obtained yet for the poultry or the neighbors. However, confirmation of bird flu in non-fatal cases in Indonesia is rare.

.

[Shiloh]

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

Source: http://bandung.detik.com/read/2009/0...ect-flu-burung

Sabtu, 04/04/2009 18:04 WIB
RSHS Kembali Rawat 2 Suspect Flu Burung
Tya Eka Yulianti - detikBandung

Google translation:
Saturday, 04/04/2009 18:04 WIB
Back Care RSHS 2 suspect Bird Flu
Eka Yulianti Tya - detikBandung

Bandung - Back Hasan Sadikin Hospital (RSHS) Bandung accept two patients with suspected bird flu. Second patient is a resident Cipatat, West Bandung regency, and one family.

According to the Chairman of the Handling of Bird Flu, dr Hadi Yusuf, patient A (26) and F (14 days) is a recommendation from a health clinic in Cipatat. Both found the history of contact with poultry.

"Chicken neighbors who have died suddenly, ditakutkannya affected by bird flu," said Hadi.

Furthermore Hadi, said the two patients when entering RSHS in high heat conditions, along with coughing. "But there is not crowded (breath)," said Hadi.

Currently, both patients are treated in the room Flamboyan RSHS Bandung. Hadi said the condition both in good condition and not installed bantu respiratory equipment.

[Treyfish]

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

RSHS Rawat Ayah and the Child Suspect Flu Burung Bandung


04/04/09 20:01 (Antara News) - Great (25) and Firman (14 months), the Father and the child of the Village of the Village Stop of Cipatat RT01 RW04 of the resident's uterus the Bandung Regency West be forced in treated in RSHS Bandung because susfect (was expected) Bird Flu. The head of the Cipatat Community Health Centre, drg Wahyu, on Saturday, said, before being reconciled to RSHS Bandung, yesterday (3/4) Great and Firman could receive the maintenance from his side. "Beforehand we indeed came to the father's residence Firman and after being checked indeed had affected signs" of "bird flu like the cough, breathless and feverish," he said. According to him, knew the existence of signs of bird flu, his side at once reconciled Firman to RSHS Bandung to get the maintenance was more intensive. The "night yesterday, around struck 09,30 nights, we brought Firman to RSHS Bandung whereas his child of Firman was carried this morning around 10.00 the morning" he said. He explained, on the Monday (30/3) then, his side got the report from the Kesehatan Service of the Regency Bandung Barat that in the area of the Halte Village often was found by the chicken died suddenly. On "last Monday, Dinas Kesehatan carried out the surprise inspection to the Halte Village related the report" on the "resident who stated many chickens died suddenly," said drg Wahyu. Knew this matter, the Kesehatan Service and Livestock Breeding of Kabupaten Bandung immediately did penyemporatan the liquid disinfektan in the Halte Village. At this time, the two patients susfect bird flu was from this Halte Village treated in Poinciana Tree space of RSHS Bandung. The side of RSHS Bandung, went through the Team of the Handling of Bird Flu, Dr Hadi Yusuf confirmed that there is two patients susfect bird flu from Cipatat, Kabupaten Bandung Barat in treated in Poinciana Tree space of RSHS Bandung. It was "true that had the new patient suspect bird flu that in treated here, his initials of A his age" 25 years and F his age 14 months, both of them that the father and the uterus child," he said short. He explained, that two patients could carry out direct contact with the poultry in his residence that died suddenly. The "poultry in the patient's residence many that died, suddenly, were frightened by them was affected by bird flu," said Dr Hadi.

[sharon sanders]

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

Snip from Jakarta Post, april 4 2009

quote from Coordinator of Surveillance and Monitoring at the National Commission on Bird Flu Control and Awareness on Influenza Pandemic (Komnas FBPI) Heru Setijanto ,


Data at the Health Ministry showed 121 of the 145 patients diagnosed as infected with the virus had died, a very high fatality rate.

http://www.thejakartapost.com/news/2009/04/04/it-feared-bird-flu-could-become-more-frightening.html

Full report from Jakarta Post here: http://www.flutrackers.com/forum/showthread.php?t=98604


Disclaimer: Jakarta Post is not always accurate in their details, so handle with care.

Dr. Nasr (Assistant Minister of Health for Egypt - Fla1) said Mr. program Good Morning Egypt on Saturday morning that a number of countries do not have a true and accurate monitoring of the disease also has a media blackout, such as China and Indonesia.


http://www.flutrackers.com/forum/showthread.php?t=98623