Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive, Reported by WHO

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

This story says the chickens were bought at a market or maybe a different market, for a holiday.
No mention of a neighbors chickens dying.

Buy Chicken for Macaru''''
October 11, 2011 | BP

Hamlet Antugan, Jehem, Bangli, Monday (10/10) yesterday, suddenly visited by many officials in Bangli. This visit pascameninggalkan two local residents because of bird flu. Second victim of bird flu that is I Wayan brothers Aldiawan (10) Ni Kadek Ariani Rini (5).

On Monday the couple's home Wayan Sudana - Ni Wayan Purnami was deserted. The whole family was in Sanglah Hospital. The house was guarded only I Wayan More, the grandfather of the victim.

According to More, this catastrophe began when his family was about to solemnize macaru overseas colors. The family bought chickens in the market. But when he got home the chicken is dead. Not long after his birds also died suddenly. Not long after her grandson experienced high heat, so it directly referred to the Hospital of Bangli, proceed to Sanglah Hospital.

Associated with the event, Head Tembuku A.A. Ari star Sutari, Monday, the victim went to the house. The goal is to mediate with the local indigenous leaders. Because rumors funeral bodies can not be done, because in that place was held religious ceremonies.

Meanwhile, Animal Husbandry and Fisheries Bangli Kadis Ir. A.A. Ngurah Samba said had been spraying around with a radius of one kilometer from the scene. In addition, the institute has also established a surveillance post in Jehem poultry.

Where did the chicken has the bird flu virus that claimed two lives that? There is a mention to buy in Market Animal Bangli. But there is also news of three chickens were obtained from Hamlet Gebagan Kayubihi Village, Bangli. Above information, the Department of Animal Husbandry and Bangli also perform localization Kayubihi spraying in the village, Bangli. (Kmb17)http://www.balipost.co.id/mediadetai...id=33&id=57468

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Poultry in Denpasar Controlled Circulation

DENPASAR, NusaBali
Monday, October 10, 2011

The indication of origin Tembuku two citizens, Bangli infected bird flu outbreak, making Denpasar start alert. This time, to prevent the spread of the H5N1 virus is in, Department of Animal Husbandry, Fisheries and Marine (Disnakanlut) Denpasar, tighten the entry of cattle traffic to Denpasar...

Plt Kadis Nakanlut Denpasar Ambara I Gede Putra, said the number of anticipation have been started, one of them is by spraying in the traditional markets. "In addition we also supervise the entry and exit of poultry, such as at the entrance to Denpasar," he said, Sunday (9 / 10).


..He said, when there are chickens died suddenly in the surrounding environment in order to immediately report to the officer. "People should be aware of the bird flu virus. Bali For the past two years previously declared free of bird flu there are signs popping up again. From the results of the two little sisters, the results are positive for bird flu, "he said.

While the head of the Bali Provincial Animal Husbandry Department, Ir I Putu Sumantra Sc Mapp said, so get there information from two patients hospitalized in Bangli Sanglah suspected bird flu, it comes directly jump to the location of spraying. He confirmed information from neighbors or the family that there were chickens died suddenly in the region. However, cases of sudden death of chickens are not reported to officials.

It is said, chickens that died suddenly, from the Bali Provincial Department of Animal Husbandry rapit direct examination tests (test examination results are known quickly). However, the results shown from chickens that died suddenly, the result is negative from Bird Flu. Likewise, chickens are still living at home the patient's siblings also direct examination. "Again and again the result is negative," said Sumantra. However, he said there are indications it was still suspected bird flu. Given the patient's next door neighbor is also in real time his chickens died suddenly. http://www.nusabali.com/opendoc.php?...ate=2011-10-10 23:11:32

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Bird Flu His older brother grabs Life in Bali

October 11, 2011 by Faisal


YouTube - Two bird flu patients siblings from Bangli Regency treated at Sanglah Hospital, Denpasar, died. Both patients were named Wayan Aldiawan (10) and the younger brother named Ari Nengah Rica (5) from Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, Bali.

Both had to undergo treatment for several days in isolation, but the Sunday, October 9, 2011 early morning, they died.

Director General and Operations RUSP Sanglah Denpasar dr. Elzarita Arbain, M. Kes said at a news reporter, when delivered to Sanglah Hospital one of the two deceased patients Rica already in the state of consciousness is decreased. While his brother is still carried out observations. However, when observing the condition continued to decline until death.

"Even when done check the lab, the condition of his lungs was partially damaged due to respiratory tract infections caused by H5N1 virus," said a woman who becomes Secretary of Communicable Disease Control Team Sanglah Hospital Denpasar, Monday 10 Okrober 2011.

Until now the two bodies of victims of bird flu has not been repatriated to his native village in Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, Bali. The body is still kept at room bodies Sanglah Hospital, Denpasar. "But keep in mind the bodies that have not been brought home does not mean to be rejected by the citizens, but rather because in the same village there is still a religious ceremony. And according to the Balinese, is undergoing a religious ceremony when the bodies are prohibited from passing in the village. So, for while the corpse is deposited in Sanglah Hospital for up to 6 to 7 days ahead, "he said.

Elzarita asserts, about the handling of the bodies are in accordance with the procedure fixed the handling of bodies other infectious diseases. And for the bodies is planned to be cremated as soon as possible after the ceremony finished.

Test Laboratory

Denpasar Sanglah Hospital Director dr. Ken Wirasandhi said both patients were not initially referred to as bird flu patients. However, in the progress that can be seen by naked eye is medically, the Sanglah Hospital guess if both are suffering from bird flu.

The assumption is finally performed laboratory tests. Examination conducted in the Lab. Sanglah Hospital, Laboratory Biomol Udayana University School of Medicine and the Bali Provincial Laboratory. From the third examination of the quasi-state laboratory positive bird flu.

"But the three laboratories did not have the authority to publish the results of lab tests. Sanglah Hospital party finally sends the same samples to the Laboratory Kemenkes RI and the result was positive for bird flu, "he said.

According Wirasandhi, giving tamiflu will be ineffective if the patient is already infected more than 12 hours. With the death of two brothers is so to this day as from the year 2007 and had four of those patients died of bird flu in Bali. Earlier, in 2007 and already there are positive for bird flu patients who died. The threat of bird flu is currently troubling the people of Bali. Although the Sanglah Hospital does not have the authority to announce the exceptional occurrence, but by definition it should now Bali has been an outbreak of bird flu.

Efforts to localize poultry at Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency fully into the task and the Department of Public Health that there are good breeders in Bangli Regency as well as in the province of Bali.Currently stock tamiflu also thinning. Sanglah Hospital at only about 2 thousand capsules and in the Health Office of Bali around 3 thousand capsules.http://ardhiborneogemilang.wordpress...-adik-di-bali/

[Roehl_JC]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Three new Indonesian H5N1 deaths include two siblings
Lisa Schnirring Staff Writer


Oct 10, 2011 (CIDRAP News) ? Three Indonesian children have recently died from H5N1 avian influenza infections, including two siblings from the island of Bali, according to reports today from the media and the World Health Organization (WHO).

The WHO confirmed one of the deaths today, and its verification of the two from Bali would push Indonesia's H5N1 total to 181 cases, including 149 fatalities. The country has the most WHO-confirmed H5N1 cases and deaths in the world.

The first case involves a 1-year-old girl from the West Jakarta district of DKI Jakarta province, who died on Aug 25, the WHO said in a statement today. She got sick and was treated at a healthcare facility on Aug 8 then admitted to a private hospital on Aug 15.

An investigation into the source of her infection found that one of the girl's family members is a caterer who routinely processes poultry, including slaughtering, according to the WHO statement. Poultry was kept in the girl's neighborhood, but no chicken deaths had been reported within the 14 days before her illness.

Meanwhile, a hospital in Bali said yesterday that two children, a 10-year-old boy and his 5-year-old sister, died yesterday after a 2-day hospitalization, Deutsche Presse-Agentur (DPA) reported today.

The two children were admitted to Sanglah General Hospital in Denpasar on Oct 7 with H5N1 symptoms and placed in isolation, according to a Jakarta Globe story today. Though tests at the hospital were positive for the H5N1 virus, further tests are being conducted at Udayana University and at Indonesia's health ministry.

An official from the hospital said the children had direct contact with dead poultry in their home and had been treated at a local clinic before they were hospitalized, according to the Globe report.

Puto Sumantra, who heads Bali's animal health agency, told the paper that a team dispatched to investigate the poultry deaths found no sign of the virus on preliminary tests, though some of the carcasses have been sent for further lab tests. He added that the area has been disinfected and that samples have been taken from the childrens' family members.

The infections and deaths are Indonesia's first since early June and the first to strike the resort island of Bali since 2007. In August 2007, the WHO reported that the virus killed two women, ages 28 and 29. The younger woman was a poultry trader.

The virus was suspected in the death of the other woman's 5-year-old daughter, who had died about 2 weeks earlier.

WHO confirmation of the two infections and deaths of the Bali children would raise the global H5N1 total to 568 cases, including 334 deaths.

http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/oct1011avian.html

[Laidback Al]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Regional Map of Eastern Bali -

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Two children die of avian flu in Bali

Luh De Suriyani, The Jakarta Post, Denpasar | Tue, 10/11/2011 9:29 AM A | A | A |

Avian flu claimed its first human victims this year on Sunday night after two children from Jehem village, Bangli, passed away in Sanglah Central Hospital in Denpasar.

Five-year-old N.R. died at 8:20 p.m., while her 10-year-old brother, W.A., died at around midnight. The medical team has confirmed that the two children were infected with the avian flu virus based on the results of three tests at different labs.

The last recorded fatalities due to avian flu in Bali were in 2007, claiming the lives of two patients from Tabanan and Jembrana, data from the hospital showed.

From 2007 up to this month, the hospital has treated 58 patients suffering from avian flu.

IGB Ken Wirasandhi from the Sanglah Hospital?s avian flu treatment team said that the two children were referred from Bangli regional hospital with breathing difficulties.

?They were already in a severe condition and losing consciousness, and they had had fever for 12 days. We tried our best by implementing the protocol for handling avian flu patients, but they didn?t survive,? he said.

The victims? bodies would be kept in the hospital?s morgue for a week because their family refused to cremate them right away as suggested by the medical team.

The team stated that bodies cremated immediately could prevent the possible further spread of the disease.

The family argued that it would not be possible for them to organize a cremation since their village was currently holding a religious temple festival.

Balinese Hinduism prohibits its adherents from organizing death-related rituals during major temple festivals.

Ken advised people to be alert to the spread of avian flu, especially in handling and cooking chicken. ?It?s been four years since the last death from avian flu, but now it has emerged again,? he added.

The Husbandry Agency has conducted rapid tests of samples taken from dead poultry in the victims? neighborhood, all of which showed negative results. It is now waiting for the results of further laboratory tests.

IGN Mahardika, a researcher of the avian flu virus, said Bali was still vulnerable to avian flu transmission due to ecological factors. He urged the Husbandry Agency to immediately send the samples taken during the rapid tests to a laboratory for more extensive tests.

?Laboratory research has shown that the virus remains H5N1, but it is necessary to keep studying the possibility of mutation,? he said.

?We are also concerned that there might be human-to-human transmission, as is possible in the case of this brother and sister,? he added.

Previous research by veterinarian IGN Badiwangsa in Klungkung has concluded that the avian flu virus emerges at times when local people hold numerous religious celebrations. The celebrations usually increase the frequency of the transportation and slaughter of poultry, most of which is conducted in an unhygienic way.

Several rituals even stipulate the killing of poultry as sacrificial animals. The poultry is killed in front of many people and the blood is sprinkled onto the ground...
http://www.thejakartapost.com/news/2...-flu-bali.html

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Bodies TWO BIRD FLU VICTIMS OF ORIGIN Hamlet ANTUGAN JEHEM Bangli VILLAGE WILL cremated BRINGING IT HOME WITHOUT PRIOR to the funeral home. The victim claimed BOTH PARENTS WITH ACCEPTANCE OF SUCH DECISION
Tuesday, 11 October 2011 08:56
http://balitv.tv/btv2/index.php/news...akan-dikremasi

http://www.youtube.com/watch?v=53dWc0025tw

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Coming ahead of Obama, the Bali Bird Flu Outbreaks

Some districts do not anticipate her case to spread to other areas.


Tuesday, October 11, 2011, 16:16 GMT
Ismoko Widjaya



YouTube - The bird flu virus has claimed the lives of two brothers baradik origin Bangli District, Bali. Not wanting to continue to fall victim, determine the status of Bali Province Extraordinary Conditions (KLB) to quell the deadly virus.

"The status of outbreaks automatically applied when it fell victim soul. This is important given some time to come, Bali will host the international celebration of the East Asia Summit which was attended by the President of the United States, Barack Obama," said Vice Chairman of Commission IV DPRD Bali, Ketut Kariyasa Adnyana to VIVAnews. com, Tuesday, October 11, 2011.

While a member of Commission IV DPRD Bali, Hening Puspita Rini asked stakeholders such as Department of Animal Husbandry and Health of Bali immediately coordinate with relevant agencies in the county / city, to anticipate the spread of the H5N1 virus. If necessary, the government should proactively conduct mass culling of poultry that have the potential spreaders of the virus.

"Watch closely the entry of poultry into Bali. This should be done immediately. Moreover, by determining the status of outbreaks, then the tactical disaster relief funds were immediately disbursed. We do not want any more casualties," said Silence.

Some districts do not anticipate her case to spread to other areas. Like the city of Denpasar, for example, Tuesday, October 11, 2011 several officers of the Department of Animal and Marine complete with spraying equipment in the Satria bird market.

"Spraying will continue to be directed to the place-a place that is prone to such markets, settlement and others. Even the traffic that's not all birds that come from outside the region did not escape its control," said Head of Department of Agriculture officials also Denpasar Plt Kadis Livestock and Marine Affairs, Gede Ambara.

Two bird flu patients siblings from Bangli Regency treated at Sanglah Hospital, Denpasar, died. Both patients were named Wayan Aldiawan (10) and the younger brother named Ari Nengah Rica (5) from Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, Bali.

Cases of bird flu is transmitted through poultry have occurred since 2003. While the cases have claimed the lives of two people in 2007 and in 2011 these two people.

"Preventing the spread of this case, we urge the public to anticipate in a way not to contact to sick chickens and impound the chicken or poultry," said Head of the Provincial Livestock Office Bali, Putu Sumantra, Sumantra.http://us.nasional.vivanews.com/news...klb-flu-burung

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Bird Flu Victim's body cremated




Tuesday, October 11, 2011 | 16:59 pm



DENPASAR, KOMPAS.com-two children in Bali who died of bird flu was cremated on Tuesday (11/10/2011) this afternoon. Cremation done at Crematorium Mumbul, Jimbaran, South Kuta, Bali.

Both victims, Wayan Aldiawan (10) and Ani Negah Rica (5) died at General Hospital Center Sanglah Denpasar on Sunday night. Both victims were treated at the hospital since Friday (7 / 10). They come from the village of Jehem, District Tembuku, Bangli regency, Bali.

"According to the procedure, the bodies must be cremated," said Head Tembuku Sutari Ari AA Stars, Tuesday afternoon. Previously, the Star said, the family asked for the bodies of victims to be buried. However, according to the rules of the Hindu religion, this week was not the time to bury the corpse.

With the advent of bird flu cases, the Star asked people to be more careful when in contact with poultry. If there is any sick or dead poultry sudden, people have to be quick to report.

Bird flu cases this is the first place since 2007. At that time there were two people who died so that today there are four people in Bali who died of bird flu.http://regional.kompas.com/read/2011...rung.Dikremasi

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

...Incompetence of the Animal Husbandry Department (Disnak) blamed for the deaths of two carried the boy. This should not happen if the anticipated circulation of animals, especially poultry chickens in the market performed well.

.

The proof, the two children who died of bird flu actually not from the family chicken farmers.
Cause of bird flu chicken is purchased both in the market for traditional ceremonies.

.

But the chicken was dead on arrival at the house and other fowl that follow later after contracting... http://translate.google.com/translat...:d%26tbm%3Dblg

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

The mother went to the hospital looking unwell and with a fever..

In fact, the day before his wife, who also appeared unwell and had undergone Bangli perawatn in hospitals because of increased body temperature.

The officer who received it because he was worried by a letter made reference to be taken to Sanglah Hospital. However Purnama refused and chose to go home


http://www.antarabali.com/berita/150...guncangan-jiwa

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Check Bangli Diskes Residents Banjar Antugan
Wednesday, October 12 2011 17:42

District Health Office Bangli, Bali, check out a number of Banjar Antugan, Jehem Village, District Tembuku, following the death of two local residents due to bird flu positive.
"In addition to checking the citizens, we also monitor the intensive home deaths from bird flu," said Chief Diskes Bangli District, Dewa Made Siangan Wednesday.
Currently, it remains to scrutiny of citizens who previously associated with the victim.
. Inspection and monitoring is done to anticipate the emergence of the deadly disease in Banjar Antugan.
Previously Ni Wayan Purnami, the mother of the boy victim of bird flu malignancy, ie, I Wayan Aldiawan (10) and her sister Ani Ni Nengah Rica (5) from Banjar Antugan, Jehem Village, District Tembuku, Bangli district having a nervous soul http://translate.google.com/translat...prmd%3Dimvnsfd

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive


Cremation BIRD FLU VICTIM
- Some residents mengupacarai the bodies of two victims of bird flu, Wayan Aldiawan (10) and Ani Nengah Rica (5) in the Crematorium Mumbul, Nusa Dua, on Tuesday (11/10). Villagers Jehem, District Tembuku, Bangli District was previously treated since Friday (7 / 10) and in Sanglah Hospital because of bird flu but both died on Sunday (9 / 10).

[Treyfish]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

Family, contacts,neighbors, and nearby communities on tamiflu
Commonground

October 14, 2011

Excerpt:

Kadis Health, dr. Dewa Made Siangan, explained it had taken the bird flu emergency response. Both the family and the people who have had contact with the victim I Wayan Aldiawan (10) and her sister Ani Ni Nengah Rica (5) in Banjar Antugan-Tembuku, Bangli and surrounding communities. Prevention efforts conducted by administering the drug Tamiflu, and efforts to the field survey to identify any potential spread of the virus ILI (Influenza-Like Illness) is very similar to bird flu.
http://translate.googleusercontent.com/translate_c?hl=en&prev=/search%3Fq%3Dh5n1%2B%252B%2BAyam%26hl%3Den%26clien t%3Dfirefox%26rls%3Dorg.mozilla:en-US:official%26biw%3D953%26bih%3D564%26tbs%3Dqdr:h% 26prmd%3Dimvnsfd&rurl=translate.google.com&amp ;sl=id&twu=1&u=http://bali.antaranews.com/berita/15079/dinas-kesehatan-bangli-keluhkan-minimnya-

[Gert van der Hoek]

Re: Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

WHO

Avian influenza ? situation in Indonesia - update 7

26 OCTOBER 2011 - The Ministry of Health of Indonesia has announced two new confirmed cases of human infection with avian influenza A(H5N1) virus.

The first case is a 5-year old female from Bangli district, Bali Province. She developed symptoms on 27 September, and was first admitted to a local general hospital on 5 October. She died on 9 October.

The second case is a 10-year old male, the brother of the first case. He developed symptoms on 30 September, and was first admitted to the hospital on the same day as his sister. He died on 10 October.

An epidemiological investigation conducted by the Ministry of Health and local health officers indicated that the children lived in an area with poultry, and household and neighborhood poultry had died prior to the children?s illnesses.

Laboratory tests have confirmed infection with avian influenza A(H5N1) virus.

Of the 181 cases confirmed to date in Indonesia, 149 have been fatal.

WHO