INDONESIA - Human cases - Sept 3 to Sept 13, 2007

[Gert van der Hoek]

Re: INDONESIA - Human cases - Sept 3 +

Indonesian man suspected of having bird flu

www.chinaview.cn 2007-09-05

JAKARTA, Sept. 5 (Xinhua) -- A 33-year-old Indonesian man, who is being treated at a hospital in Riau province, has been suspected of having avian influenza, as an initial laboratory test showed he is positively having the disease, the Health Ministry said Wednesday.

Health authorities were waiting for the second laboratory test for confirmation that he was positive of having H5N1 virus, an official of anti-bird flu center of the ministry Joko Suyono told Xinhua.

Should the man confirmed, he would be the 105 person infected by the disease in Indonesia, which so far has 84 fatalities, making it the hardest-hit country by bird flu.

The official said that the man has historical contact with chicken before he got the germs of the disease on Aug. 25.

"He processed chicken that he bought from nearby market," said Suyono.

Three days after the man felt the germ of the disease, he was admitted in Santa Maria hospital of Pekan Baru, the capital of the province on Aug. 28 and then on Sept. 2 he was admitted to bird-flu designed hospital of Arifin Ahmad in the capital.

http://news.xinhuanet.com/english/2007-09/05/content_6666909.htm

[Gert van der Hoek]

Re: INDONESIA - Human cases - Sept 3 +

wednesday, september 05 2007


A patient in Riau positive bird flu



Pekanbaru--miol : GS, 33, that middle attended in isolasi space bird flu
RSUD Arafin Ahmad is stated positive attacked by this mortal disease.

GS stated positive bird flu based on research of swaps/samples of mucus, throat and blood by by lab of Dep of Health (balitbangkes) RI Depkes, rabu (5 / 9)


" penetapan this on uji product new balitbangkes only we
Accept. this status change not too influential in
treatment practice pasien, " said tim chief of dokter penanggulangan flu
rsud bird ahmad arifin azizman pekanbaru saad to media
Indonesia.

At this moment the condition of GS has started to improve
Tuesday (4 / 9). total leucocyte that far previous declined now
There has been a rise became 6.000. sedangkan body temperature this seconds
Pivots on 36, 7 derajat celcius.

kapasitas oxygen in the blood that previous only 60 % now
Has reached 90 %. improved condition also saw from lung

Dimana aktivitas an increase in dilution has mulai die out.
namun, fixed GS should wore gadget bantu crowded karena breathing

That suffered breath not die out. " kondisinya rather membaik from
Kemarin. He have the time sadarkan himself. now gerhnat still fell asleep, "
Clear azizman.

(Number of leucocytes increased, body temperature is normal, his oxygen levels increased from 60% to 90%, but seems still on the respirator., ed)

Azizman increased his with kesehatan dinas should now
Memberlakukan bitter pengamanan practice. every rsud visitor
Forbidden approached ruangan flu bird isolasi.

Kasus flu bird in Riau has took two souls . second
Yakni Ani, 29, and Yatino, 26. apart from the also there three case
suspect flu bird yaitu Vivi Asokawati, Zila Zazila, and Putri
Amanda. (rk / ol-06)

http://www.mediaindo.co.id/berita.asp?id=142015

[Gert van der Hoek]

Re: INDONESIA - Human cases - Sept 3 +

Reports on patients currently treated are not always clear, today a summary from Indiosar on the patients hospitalized in Sanglah Hospital, Bali.


On Tuesday sept 4, two patients were admitted

- a baby 6 months old, named Kurniawati from Pegayaman, Buleleng
- a man 28 yo, named Sumaryata from Dangenpuri, East Denpasar

Still treated are

- 2 children, named Komang Nanda and Nyoman Doni Prayoga
- an older man ? grandfather ? named Nengah Budiadi

http://news.indosiar.com/news_read.htm?id=64297

Malay machine translation:

Indosiar. com, denpasar-flu bird wabah still continued threatened, setidaknya in denpasar, bali. In hospital sanglah misalnya tuesday (04 / 09 / 07) kemarin, moved again two new pasien that stated suspect flu bird. Just suspect pasien full scale this bird flu developed five people.

This hapless infancy is suspect pasien flu bird that pity eighth that attended in hospital sanglah bali denpasar from case spread early bird flu last agustus.

That baby still old this 6 months bernama kurniawati, country warga pengayaman, buleleng kabupaten. It dirujuk day kemarin karena suffered high fever. Kurniawati assigned as suspect flu bird presence karena chicken die sudden in the garden the back of house.

Lainnya pasien ketut name sumaryata, country warga dangenpuri, east denpasar. Old young man 28 years that sehari-harinya this chicken berjualan suffered fever and tenggorokannya pain.

While 3 suspect pasien flu bird lainnya that also still fare-intensive treatment in individual treatment space pain house sanglah masing-masing 2 balita yakni komang nanda and nyoman doni prayoga and a people kakek nengah budiadi. (masudin / soup)

[Commonground]

Re: INDONESIA - Human cases - Sept 3 +

Post #31
Onset of symptoms:

The official said that the man has historical contact with chicken before he got the germs of the disease on Aug. 25.

"He processed chicken that he bought from nearby market," said Suyono.

[Gert van der Hoek]

Re: INDONESIA - Human cases - Sept 3 +

Once more a patient positive bird flu in RSUD Arifin Ahmad

Metrotvnews. com, Pekanbaru : Gernhat Saragih, the patient in Hospital (RSUD) Arifin Ahmad, Pekanbaru, Riau, wednesday (5 / 9) stated suffered positive bird flu.

Laboratorium product body perusal and expansion departemen kesehatan kesehatan, signs of virus presence h5n1 in the blood Gernhat.

Direct dokter tim improve medis check on Gernhat. Now, Gernhat attended-intensive in isolasi space flu bird. Of three member dokter active paru disease monitor health condition Gernhat.

Because since attended in RSUD Arifin two days ago Ahmad Hosptial, the physical condition declined. Even, man old this 33 year still high fever, crowded breath and more liquid in the lungs . Trombosits also total continued declined.

Kondisi Gernhat this increase registered bird flu patients that attended in RSUD Arifin Ahmad Pekanbaru. Since early 2007, this government district hosptial attend two of positive bird flu patients. second was that eventually died Ngatino and Vivi Sukowati that stated recovered.)

http://www.metrotvnews.com/berita.asp?id=45097

[Niko]

Re: INDONESIA - Human cases - Sept 3 +

Is anyone keeping a record of current suspected and recently confirmed cases? I'm not asking anyone to do extra work. If you already have the data available, please post. Thanks in advance!

[Laidback Al]

Re: INDONESIA - Human cases - Sept 3 +

The last WHO confirmed case form Indonesia was Ni Putu Ayu Srinadi (28F) who died on August 21, 2007. She was from Beraban Village on Bali and the 105th confirmed case in Indonesia. The most recent individual that has tested positive is Gerhad Saragih (33M) from Riau noted in the above posts. I have not been tabulating the suspected cases.

[Commonground]

Re: INDONESIA - Human cases - Sept 3 +

RS Sanglah - Bali

GNAP (2) Adm: 7/27 From: Petang, Badung

Putu Sw/Putu Sriwidiantri/Ni Luh (29) Adm: 8/10 From: Denpasar. Dangin Tukad Aya Village, Negara, Jambrana. Sym: 8/4. Private Nurse: 8/6. Private Dr. on 8/7. Negara Hosp. on 8/8-8/10. DIED: 8/12. POSITIVE.

Putra Sri Widiantari/Lamp (5): Putu Sw/Ni Luh?s child. Adm: RSUD Negara - Died on 8/3. Not Tested. Sym: 7/26. Spent two weeks at RSUD Negara.

PN/Kadek Putri N (2) Adm: 8/12 Sym: 8/9 Negative. Home. Neighbor to Putu Sw/Ni Luh.

Putu BS/Kadek Putri BS (father to PN (2) above). Treated in home. Temperature since 8/9. Diagnosed with Typhus. Slept with child above.

Wayan Tendi Cahyadi (3) - Adm: 8/14 From: Tengah Village, Sambangan Village, Mengwi, Bandung (13 km nnw of Denpasar). Neighbors. Tested negative. Home

Ni Nyoman Nisa Putri (3) Neighbor with Wayan Tendi Cahyadi above. Same info. Same arrival date.

Sri N/Ni Putu Ayu Srinadi (28): Adm: 8/19. From: Tabanan. Kediri. Tenah Lot Village. Beraban. No contact w/poultry. Died: 8/21. Sym: 8/13. Recon: RS Tabanan on 8/18. Dr. gave meds on 8/15 (1st time). No improvement, so increased dosage. Poultry trader. POSITIVE

Nyoman Manika (58): Adm: 8/20. From: Banjar Pasar, Pekutatan, Jembrana. Garbage worker. Sym: 8/17? Recon: Local Health Clinic. Brought to RS Negara on 8/18. Negative. Home

Lasmiati/LMR (48): Adm: 8/23 From: Rindang, Tabanan. Brought directly to ICU. In Army, also is husband. House on Barracks. Sym: 8/19-20 Fever. Cough since 8/16. Recon: 1 day at RS Tabanan.

Aprilla Dewi/Putu Suandewi (1 1/2): Adm: 8/24 From: Padangsambian, Denpasar. Sym: 8/18. Fever of 40 upon entry. Recon: Pandangsambian Comm. Hlth Ctr. but didn?t stay. Went directly to hospital.

Ni Ketut Sari Asih/KS (42/35): Adm: 8/25 (early). Died 8/25 (late). From: Denpasar City. Recon: RSUD Wangaya Denpasar since 8/23). Sym: 8/22. No poultry contact.

Ni Komang Ayu Yulianti - Adm: 8/27 From: Denpasar. Improving.

NK/Kadek Astiti (25/30) - Adm: 8/28 From: Kanginan, Dawan, Klungkung, Semarapura. Recon: RSUD Klungkung. Sym: 8/26. Isolation. 15 miles up east coast from Denpasar.

NTK/Tantri Nyoman Kusumawati (4) Adm: 8/29 From: Penarungan, Mengwi, Badung. Immediately brought into isolation. Initial test: Neg.

AZ/Ahmad Zakaria (4) - Adm: 8/31 From: Jalan Marlboro, Denbar, Denpasar West.

KAP/Komang Budi Prayoga (3) Adm: 8/31 From: Sidemen, Karangasem.

Nengah Budiadi (60) Adm: 9/3 From: Banjar Bodang, Klungkung, Nusa Penida. Recon: Puskesmas Nusa Penida for 3 days. Fever, breathless.

Komang Nandasari (4 mos) Adm: 9/3 From: Kembang, Abian Semal, Badung. Fever and respiratory problems.


RSUP H Adam the Medan Owner - N. Sumatra
All family except Herma
Wilda/Wd (6) - Adm: 8/18. Neighbors. From: Kelurahan Namu Gajah, Medan Tutungan.
Jamal/JL (7)
Dewita/Dw (8)
Herma/Ir (1) - Neighbor. All brought in together.
Recon: Clinic since 8/14. Dizziness, diarhea, joint pain, throat pain, breathless, cough & high fever. Tested Negative. Home.

Restu Dwi (12) Adm: 8/31 From: Gang Lumayan, Candimas 2, Natar Lamsel.


RSUD Arifin Ahmad - Riau

Zila Zazila (5 mos) Adm: 8/2 From: Singingi, Kabupaten Kuansing, (Simpang Petai) Pekanbaru. Diagnosis: Negative.

Putri Amanda (2): Adm: 8/19. From: Pekanbaru, Maharatu, Kecamatan Marpoyandami. Sym: 8/10. Recon: Ibni Sina Hospital. No contact w/chickens. Negative. Home.

Gerhat Saragih (33) Adm: 9/3 From: Sungaipagar, Kampar Kiri, Kampar. Recon: Santa Maria Hospital: 8/30. Entered Rumah Sakit Awal Bross, Pekanbaru on 9/2. Symptom onset: 8/25.

[Commonground]

Re: INDONESIA - Human cases - Sept 3 +

Post #24:
Metrotvnews. com, denpasar : five suspect pasien flu bird in hospital sanglah denpasar, bali, to now still attended in isolasi space. A pasien fallacy is komang ni nandasari, old baby four months. It attended in rs sanglah since kemarin day. Four lainnya pasien is I doni nyoman (5), nengah bujana (6, ketut sumiarta (24) and kurniawati that old six original tahuu denpasar. [original: Nyoman Doni (5), Nengah Bujana (6), Ketut Sumiarta (24) dan Kurniawati yang berusia enam tahuu asal Denpasar.]

Dutchy at 4:23 am today:
Reports on patients currently treated are not always clear, today a summary from Indiosar on the patients hospitalized in Sanglah Hospital, Bali.


On Tuesday sept 4, two patients were admitted

- a baby 6 months old, named Kurniawati from Pegayaman, Buleleng
- a man 28 yo, named Sumaryata from Dangenpuri, East Denpasar

Still treated are

- 2 children, named Komang Nanda and Nyoman Doni Prayoga
- an older man ? grandfather ? named Nengah Budiadi

Comment:
I'm starting to lose it. I didn't record the 6 month old, and I just realized the 24/28 year old is NEW.

[Niko]

Re: INDONESIA - Human cases - Sept 3 +

Thank you so much Commonground for posting that list. Thanks to everyone who have so diligently kept track and translated these reports.

Comment:
I'm starting to lose it. I didn't record the 6 month old, and I just realized the 24/28 year old is NEW.

I'm fairly certain you are not losing it . If by chance you were, I fear for the rest of us .

[AlaskaDenise]

Re: INDONESIA - Human cases - Sept 3 +

Indonesian man with bird flu recovering, Health Ministry says

The Associated Press
Thursday, September 6, 2007

JAKARTA, Indonesia: An Indonesian man hospitalized with bird flu after cooking infected chicken was recovering Thursday, the Health Ministry said.

The 33-year-old plantation worker from central Sumatra has been hospitalized for almost ten days with high fever, coughing and breathing difficulties, a statement said. Testing confirmed he had the H5N1 strain of the virus, which has killed four of five of those sickened with it in Indonesia.

Indonesia has reported 106 people infected with H5N1, and 84 of them have died — more than 40 percent of recorded fatalities worldwide — since it began ravaging Asian poultry stocks in 2003, according to World Health Organization.

Last month, the Indonesian resort island of Bali reported its first two fatal cases.

The virus remains hard for people to catch, but experts fear it will mutate into a form that spreads easily among humans, potentially sparking a pandemic.

.

[Gert van der Hoek]

Re: INDONESIA - Human cases - Sept 3 +

Indonesian man infected by bird flu

September 06, 2007

A 33-year-old Indonesian man, who was contracted by avian influenza, is in critical condition in a hospital at Riau province in Sumatra Island, the Health Ministry said Thursday.

Both of laboratory tests showed that he is positively infected by H5N1 virus, an official of the anti-bird flu center of the ministry named only Ningrum said.

"Two laboratory tests showed that the man is positive of avian influenza," Ningrum told Xinhua.

"He is in critical condition now," she said.

The confirmation has brought the total cases to 106 with 84 fatalities in the hardest-hit country.

Ningrum said that the man has historical contact with chicken before he got the germs of the disease on Aug. 25.

"He processed chicken that he bought from nearby market," said the official.

In December last year, the area, where the man lives, recorded sudden deaths of a number of chickens by bird flu, said Ningrum.

Contact with chicken is the most cause of bird flu death in Indonesia.

Three days after the man felt the germ of the disease, he was admitted in Santa Maria hospital of Pekan Baru, the capital of the province on Aug. 28 and then on Sept. 2, he was admitted to bird- flu designed hospital of Arifin Ahmad in the capital.

Experts fear that the highly pathogenic H5N1 virus could mutate in a certain level that can make them transmittable among humans that can cause a pandemic where million people can be killed.

As the number of victims of the virus keeps slowly rising in the country, the health authorities have decided to use the country's own anti-bird flu vaccine after September to stop the virus spread on human, despite the World Health Organization suggestion to stockpile the vaccines.

Huge territory, traditional way of rising chickens on back yard and lack of obedience of provincial administration in implementing the Jakarta decision to stop the virus spread, are among the obstacles in fighting the bird flu in the country.

So far, the viruses have killed globally 195 out of 323 infected people, most of them in Indonesia with 84 fatalities and 105 cases.

http://english.people.com.cn/90001/90782/6256401.html

[Gert van der Hoek]

Re: INDONESIA - Human cases - Sept 3 +

In the report suspect bird flu patients are mentioned, no new patients.

Expert questions Tabanan officials handling of birds

An expert raised questions Tuesday over Tabanan regency Husbandry Office's decision not to undertake a mass culling of birds in Beraban, Kediri, a town in the regency where Bali's latest bird flu victim lived.

Virologist and member of Bali's Regional Working Group for Avian Influenza, Ngurah Mahardika, questioned the move to refrain from destroying birds around the home of 28-year-old victim AS.

The woman, who worked as a chicken trader, died on Aug. 21. She was the second human to die of the virus on the island after another woman, 29-year-old SW from Negara in Jembrana regency, died on Aug. 12.

After the death of SW, Jembrana Husbandry Agency immediately killed thousands of fowls in Dangin Tukadaya village, where she lived.

However, in Beraban, where the second victim lived, officials from Tabanan husbandry agency only sprayed disinfectant.

"Why is there a different approach in handling bird flu outbreaks in humans? The fowls in Beraban should be culled as well," Mahardika said.

Contacted separately, Tabanan Husbandry Office head IGP Suwandi said there had been no reports of dead birds in Beraban.

"Our officials went to Beraban and took samples from chickens, and the test results were negative. Just one month before Ayu's death, the chickens were vaccinated," he said.

Suwandi said the agency would only carry out mass culling according to its procedure.

"We will depopulate in a location if rapid tests for bird flu there show positive test results," he said.

"We do cull fowls in areas where bird flu outbreaks in birds are reported," he said, adding that from March to August the agency had culled 13,094 birds.

Chickens in nine of 10 districts in Tabanan have been infected by the H5N1 strain.
Suwandi said that currently the outbreak in Tabanan is under control.

"There are no reports of dead chickens anymore," Suwandi said.

Mahardika, however, said that culling was still needed.

"The virus can still be present in chickens that are clinically fit due to their vaccinations," he said.

"It is some time since the woman's death however the culling still needs to be done. It is always better late than never," he said.

Meanwhile, bird flu is believed to have reached the island of Nusa Penida to the east of Bali, with one of four new suspected bird flu patients who entered Sanglah Hospital in Denpasar on Monday coming from the island.

INB, 58 from Pendem, Nusa Penida (no new patient, ed), Klungkung regency, was taken to Sanglah Hospital after having been treated at Nusa Penida's health center and at Klungkung Hospital.

Head of Sanglah Hospital's Bird Flu Control Team Putu Andrika said the patient arrived with a high fever and cough. He had contact with a dead chicken a week before he was sick. Some 70 chickens have reportedly died in his home village.

Officials from Klungkung regency said the outbreak in Nusa Penida was possibly due to the increase in bird sales on the island for a religious ceremony.

The other three patients were from Badung regency, Buleleng regency and Denpasar city. They are a four-month-old baby, NKN, from Abian Semal, Badung; a six-month-old baby, K, from Buleleng; and IKS, 24, from Kayu Mas, Denpasar.

Ken Wirasandhi from Sanglah hospital said that there were reports of dead chickens in NKN's neighborhood in Abian Semal, while IKS, who worked as a butcher, also had contact with dead chickens.

"That's why we treat them as bird flu patients," he said.

Sanglah has received 17 suspected bird flu patients since August. Some patients are still being treated in Sanglah's Nusa Indah ward, including four-year IKA, from Sidemen, Karangasem.

Sanglah has treated bird flu patients from five regencies in Bali and from Denpasar city. The avian influenza virus was first discovered in the island-province in 2003 and was endemic in all regencies and in Denpasar by 2005.

http://www.thejakartapost.com/bali.asp

http://www.thejakartapost.com/yesterdaydetail.asp?fileid=20070905.D11

[Gert van der Hoek]

Re: INDONESIA - Human cases - Sept 3 +

1.Indonesia reports 85th bird flu death

Channel NewsAsia - JAKARTA:

A 33-year-old male plantation worker from Indonesia's Sumatra island died of bird flu on Thursday, bringing the death toll in the world's worst-affected nation to 85, health officials.

http://news.search.yahoo.com/news/search;_ylt=A0WTTkoecHpGIGEB2AXQtDMD;_ylu=X3oDMTA4Mm84YjJyBHNlYwNzb3J0?ei=UTF-8&p=BIRD+FLU&c=&datesort=1&fr=

[Gert van der Hoek]

Re: INDONESIA - Human cases - Sept 3 +

From newsticker MetroTV:

A bird flu patient,GERHNAT SARAGIH resident from Hangtuah village, Perhentian, Raja Kampar, Riau, left this world in the isolation space of RS Arifin Ahmad, Pekanbaru.

http://www.metrotvnews.com/