Indonesia: Human Cases 8 Oct 2008 - January 28, 2009

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

AVIAN INFLUENZA, HUMAN (73) INDONESIA, CONFIRMED, CLUSTER SUSPECTED

[1] Case confirmed
[2] Cluster suspected

******
[1] Case confirmed
Date: Wed 12 Nov 2008
Source: Thomson Reuters Foundation AlertNet [edited]
<http://www.alertnet.org/thenews/newsdesk/JAK418339.htm>


Indonesian teenager dies of bird flu
------------------------------------
A 15-year-old Indonesian girl has died of bird flu in Central Java, a
health official said on Wednesday [12 Nov 2008], bringing the
country's death toll from the disease to 113. The girl died last week
[7 Nov 2008] after being treated at the Doctor Karyadi hospital in
Semarang. "It has been confirmed by the Health Ministry labs," said
Agus Suryanto, the head of the medical team treating the girl.

Including the latest death, the virus has now infected 388 people in
15 countries, killing 246 of them, according to data from the World
Health Organisation (WHO). Indonesia has the highest toll of any
nation. Although bird flu remains an animal disease, experts fear
that the virus might mutate into a form easily passed from human to
human, sparking a pandemic in which case millions could die.

[Byline: Olivia Rondonuwu, Ed Davies)

--
Communicated by:
Mike Nunn
<Mike.Nunn@biosecurity.gov.au>

[The circumstances of the teenager's death and the degree of her
exposure to domestic poultry remain to be revealed. This report
brings the WHO and the Indonesian tally of human avian influenza
deaths into agreement.

Semarang is located on the northern coast of Central Java and can be
found using the HealthMap/ProMED-mail interactive map of Indonesia at
<http://healthmap.org/promed/en?g=1627896&v=-6.913,107.621,6>. - Mod.CP]

******
[2] Cluster suspected
Date: Thu 13 Nov 2008
Source: Thomson Reuters Foundation AlertNet [edited]
<http://www.alertnet.org/thenews/newsdesk/JAK57510.htm>


Indonesia to test 17 for bird flu in Sulawesi
---------------------------------------------
A health ministry official said on Thursday [13 Nov 2008] that 17
people from the same neighbourhood in the Indonesian city of Makassar
in South Sulawesi are due to be tested for bird flu after falling
sick. Chandra Yoga Adhitama, acting director-general of communicable
disease control, said the group had been hospitalised after chickens
in the surrounding area suddenly died. "Some were hospitalised
yesterday [12 Nov 2008] and some today [13 Nov 2008]. I think it is a
precaution by our officials after chickens died there," Adhitama
said. He described the general health condition of the 17 as good and
said that blood samples had been taken and would be sent to the
health ministry laboratory in Jakarta for testing. "We are continuing
to monitor their condition," he said, adding that only 4 of the group
were adults.

Suspected cluster cases can raise concerns about rare human-to-human
transmission or that the virus might have mutated into a form that
can pass easily among people.

The country's largest known cluster of bird flu cases in humans
occurred in May 2006 in the Karo district of North Sumatra province,
where as many as 7 people in an extended family died. The World
Health Organisation (WHO) said at the time that limited
human-to-human transmission could not be ruled out but that the virus
samples from the scene did not show any significant genetic mutations.

Indonesia has the highest toll of any nation and a health official
said on Wednesday [12 Nov 2008] that a 15-year-old Indonesian girl
has died of bird flu in central Java, bringing the country's death
toll from the disease to 113.

[Byline: Telly Nathalia, Ed Davies, Valerie Lee]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[The island of Sulawesi can be located on the map of Indonesia at
<http://www.lonelyplanet.com/maps/asia/indonesia/>.
The city of Makassar can be located using the HealthMap/ProMED-mail
interactive map at <http://healthmap.org/promed?g=1622786&&v=-6.913,107.621,6>.http://www.promedmail.org/pls/otn/f?..._ID:1000,74744

[Guest]

Re: Indonesia: Human Cases 8 Oct 2008 +

Is it possible to estimate (or place upper/lower limits on) how much of this cluster is due to H2H transmission using the information we have?

[sharon sanders]

Re: Indonesia: Human Cases 8 Oct 2008 +

Welcome 1000 Bluebirds!

We are still collecting information.

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

Is it possible to estimate (or place upper/lower limits on) how much of this cluster is due to H2H transmission using the information we have?

H2H is determined by disease onset dates.

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

17 in hospital with suspected bird flu
Andi Hajramurni and Suherdjoko, The Jakarta Post, Makassar, Semarang
A South Sulawesi hospital was overwhelmed as it admitted in two days 17 patients believed to have bird flu, an official said Thursday.

The patients, mostly children, presented with symptoms of the disease, such as a high fever, cough and respiratory problems, spokesman for Wahidin Sudirohusodo General Hospital in Makassar, Andi Kurnia Bintang, said.
Kurnia said the first patient, 5-year-old Salman, was hospitalized Wednesday morning, followed in the evening by his siblings Nurul Awaliah, 3, and Nur Fadillah, four months old, and four neighbors.
He said the patients, all residents of Sudiang subdistrict in Biringkanaya district, Makassar, were brought to the hospital after suffering a high fever for about two days.
"According to Salman's parents, 27 chickens belonging to their neighbors died on Nov. 7. In the two days after that, their four chickens also died," he said.
Kurnia said the hospital had conducted urgent tests for the first seven patients, with the results indicating the presence of the H5N1 avian influenza virus.
The hospital is waiting for confirmation of the results from blood tests conducted by the Micro Laboratory of the Hasanuddin University Medical School and the Visual Conversion Reaction, he said.
He said the hospital had the other 10 patients admitted Thursday under observation while waiting for their test results.
"They showed symptoms of bird flu, such as a high fever and respiratory problems, but we are still waiting for the results of the rapid tests, thorax photos and blood tests," the hospital's emergency unit officer in charge Wasis Udaya said.
The hospital's bird flu team held a meeting Thursday to help deal with the situation, as this is the first time they have received such a large number of bird flu patients.
The hospital, which had set aside 11 beds for bird flu patients, had to expand its facilities following the outbreak.
Head of the husbandry division of the Makassar Marine and Agriculture Office, Sulistiawati, said the results of tests conducted on the dead chickens in the area showed the birds were infected by the avian influenza virus.
"We have conducted rapid tests on the chickens and the results showed some of the chickens were positive (infected by the virus)," Sulistiawati said.
She said her office had culled 20 chickens and disinfected the birds' cages in the subdistrict on Wednesday.
Her team plans to gather all chickens in the area, hoping residents will voluntarily hand over their birds for culling.
Meanwhile, dozens of birds in the neighborhood of DS, 15, who died of bird flu in Semarang, Central Java, last week were culled Thursday.
The culling was conducted in a field in the Medoho area in Gayamsari district. Central Java has had 14 cases of bird flu in humans with 11 deaths since 2003.

http://old.thejakartapost.com/detail...114.A05&irec=4

[Laidback Al]

Re: Indonesia: Human Cases 8 Oct 2008 +

Preliminary timeline for possible human H5N1 cluster, Sudiang, Makassar (17 individuals)
Note: There is some uncertainly of the family relationships of these suspected individuals.

Date: Nov 12

Family 1
Salman (6 years 10 months), sib. Isolation. Symptoms Nov 10 - index case?
Nurul Awaliyah/Awaliah/Andia/ (3 years 6 months), sib. Isolation
Nur Fadillah/Nur Matan (4 months, F), sib. Isolation.
Saleha/Saleha (10/11/12 years 3 months), sib?. Isolation.

Family 2 {Jefri (30) father}
Irwan (5/6/8), Isolation. sib.
Fauzi (Rajab) (3 months), Isolation. sib. Symptoms: Nov 11

Individual
Johani/Yohani(50/60), Isolation.

Date: Nov 13

Ilham (2)
Firdaus (6)
Alif (3 months)
Desi (5)
Eki Desviani (5 months)
Rahmawati (2)
Hartati (26)
Nuraine (31)
Hasnawati (34)
Annisa (6)

credits to Commonground for compiling this list

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Update from Sulawesi

Friday, 14 2008

17 Patients Suspect Bird Flu are still being treated


MAKASSAR - MI: 17 patients with suspected bird flu suspect still intensively treated in isolation rooms, Room fern, the Regional Hospital Dr. Wahidin Sudirohusodo, Friday (14/11).

According to spokesman Tim Handling Bird Flu Regional Hospital Dr. Wahidin Dr Khalid Salih, the condition of the 17 suspect bird flu patients are currently treated the condition is quite good, except Firdaus, 6, which is still a high fever.

"We are still awaiting the results of a sample of blood and mucus that have been sent to Balitbang Health in Jakarta. So to this day, we can not determine whether the 17 patients infected with the H5N1 virus, "said Khalid.

It said the same Head Makassar City Health Office Naisyah Azikin. According to Naisyah, a team from the Office of Health is still awaiting the results of blood tests for about a week longer, because the blood sample sent 10 patients, a new Friday (14/11) morning.

On the other hand Makassar Mayor Andi Herry Iskandar in the information persnya after seeing the condition of the patient suspect bird flu and coordinate with the team of doctors who handle patients suspect bird flu said, to anticipate the number of additional patients, then appointed seeking Faisk Islam as a reference for other hospitals handling patient suspected to be infected with the Avian Influenza (AI). (LN/O

http://www.mediaindonesia.com/index.php?ar_id=NDM4Njg=

google

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Some confirmation on the patients in Makassar Hospital: the 17 are a family of 6 (1 adult and 5 children) and 10 or 11 neighbours (mostly children).


Suspected to be infected with Bird Flu

One family stayed in Room Isolation Hospital Wahidin

indosiar.com, Makassar - Waspadalah against the bird flu virus, because until now the virus is still potential to turn infect people. In Makassar, South Sulawesi, a family must undergo intensive treatment in hospital isolation room Wahidin Sudiro Husodo because the virus is suspected to have bird flu this.

Six members from one family in Kampung Tangkijangan origin, Neighborhood Sudiang, she is now treated in isolation rooms in the building fern Hospital Wahidin Sudiro Husodo, Makassar.

Six patients, consisting of five children and one adult of these diseases with symptoms similar to bird flu, such as high fever and difficulty breathing. The suspicion is strengthened by the tens of dead chickens around the house victims.

Head of Unit Emergency Hospital Wahidin, Wasis Udaya, will review a sample of blood for the patients examined.

In addition to the six patients treated in isolation rooms, as many as ten neighbors also examined the victims themselves to the hospital because Wahidin experienced symptoms similar to bird flu patients.

If symptoms of bird flu increasingly stronger, will be entirely diisolasi fern in the building.

http://www.indosiar.com/news/fokus/76821/satu-keluarga-dirawat-di-ruang-isolasi-rs-wahidin

Google

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

RS WAHIDIN MAKASSAR treated 17 Bird FLU Patients

Metrotvnews.com, Makassar: totalling 17 flattest patients bird flu up to now still is treated in the Wahidin Sudirohusodo Hospital, Makassar, South Sulawesi.

At this time space of the place isolation of the patients was treated was guarded tight by the official of the security.

From 17 patients 13 including being children. They were the resident of the Sudiang District, Kecamatan Biringkanaya.

Casualties's family said, in their residence territory was found by several chickens died suddenly. Not long after this incident of several residents was known began to suffer the fever that was accompanied breathless.

Mayor of Makassar Andi Herry Iskandar with the party came to visit the flattest patients this bird flu. The mayor also spoke to the hospital side concerning the illness that was suffered by 17 patients.

Up to now the sample of blood of the patients is still being researched in the laboratory. It was not yet known definitely whether they positive suffered bird flu or not.

As far as this is concerned the extermination against the poultry animal in the patient's residence was carried out to prevent the spreading of the spread of the virus from chickens that died suddenly. (

http://www.metrotvnews.com/berita.asp?id=70693

TT

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

baby went home

Suspect Menjadi patients 17 people
On Friday, 14-11-2008

MAKASSAR, BKM -- the Patient suspect bird flu that was treated in the Wahidin Sudirohusodo Hospital continued to improve. On Thursday (13/11), the patient's figure that it was suspected was infected by the virus H5N1sudah reached 17 people. As many as 12 patients just entered yesterday. When coming, they underwent the maintenance in different space. However tonight all of it was bundled into space of the isolation of the ferns building.
From 17 patients suspect the birds, 13 among them children. The adult's rest. From six patients who entered the previous day, five among them still were undergoing the maintenance. Nurfadillah that still was three months old already diperolehkan came home. Tuga relatives Nurfadillah, respectively Nurul Andia, Salman and Saleha still were undergoing the special maintenance in the ferns building. Including their two families that were other, that is Yohani and Irwan.
The five patients who entered RS, this Wednesday (12/11) were still being waiting for results of the laboratory inspection. They were not yet permitted to come home. Must be waiting for results of the laboratory, said Rita Rawaeni, Tim of the Control of RS Wahidin Bird Flu, yesterday. Beforehand, three patients were taken the sample of blood and his bribe, that is Yohani, Saleha and Irwan. We were deliberate did not yet return them, because if anything happening whoever was responsible. If the negative did not have the problem. How if results of his lab were positive? 'More Rita.'
Dg Nginga, the mother from three related that still was treated in the ferns building, yesterday said, his child who was expected terjangkit the virus H5N1 currently his condition improves. His fever has descended. "Already baikan semuami they." But the doctor banned previously came home before results of his laboratory inspection went out, said Dg Nginga was accompanied by his husband, Rizal.
The team of the control of Service bird flu of Kesehatan South Sulawesi, Debsy V Fatilima that was contacted the night earlier, said that from six names that were reported suspect bird flu, only five people who were taken the sample of his blood. "I did not know his names." It was clear that had five people. Next week just had results, said Debsy.
He added, from 23 regencies/the city in South Sulawesi, Makassar was the endemic area of the virus of H5N. Salah Satu his indicator was the case suspect most bird flu in this city. "The only free area bird flu" was Enrekang," he said. (R4/rus http://www.beritakotamakassar.com/vi...=Halaman_Utama

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

From Post # 187 we learned the patients in Makassar Hospital seem to do OK, except for Firdaus, who still has a high fever. This reports quotes her brother, saying Firdaus had contacts with sick chicken(s), that died later. Dead chickens "around the house" were stated postive for avian influenza.


On Friday, 14-11-2008

Residents of the Jangang Destroy Hundreds of Chickens

Tank MAKASSAR, BKMonline -- the Resident of the Jangang Tank, Kelurahan Sudiang, be forced destroyed seratusan the tail of the chicken followed the existence of several residents who were expected terjangkit the bird flu virus.

Faridah, the local resident claimed already two today the resident carries out the extermination of the chicken by means of being burnt to three holes that were prepared.

Till Friday (14/11) struck 11,30 Wita earlier, was recorded more 90 chickens that were destroyed. Faridah estimated more 100 chickens will be destroyed today.

The extermination of this animal of the poultry kind also involved the official of Makassar Livestock Breeding of the Service.

Now Firdaus (5) and 16 other patients up to now still are treated in RSUP Wahidin Sudirohusodo.

They were appointed as the patient suspect bird flu and began to be treated since Thursday night (13/11).

According to casualties's older brother, Ahmad Hidayat, before being run off with to the hospital, Firdaus could play with the chicken that was sick.

Last week, this chicken died. Not old afterwards Firdaus experienced the high fever that was accompanied breathless.

According to Ahmad, the sample of his brother's blood was still being researched in the laboratory. Results were just known next week. (fj)

http://www.beritakotamakassar.com/view.php?id=21331&jenis=Dinamika

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

Never seen one of these before.This should tell you how bad we want these recent samples from Makassar ..and I bet we got them!






PUBLIC AFFAIRS SECTION
U.S. EMBASSY
PRESS RELEASE

November 13, 2008
No U.S. Travel Warning Exists for Indonesia

Bahasa Indonesia

The U.S. Government canceled its travel warning on May 23, 2008, and contrary to recent statements, this warning has not been reinstated. While the U.S. Embassy routinely issues warden messages to American Citizens who are registered with the Embassy, none of these supersede the lifting of the travel warning, nor should they be construed as restrictions on American citizens, or other nationals, from traveling to Indonesia.
The travel warning was cancelled due to objective improvements made by the Government of Indonesia in its current security situation. Indonesia has not experienced a major terrorist attack since October 2005, and the Government of Indonesia has disrupted, arrested and prosecuted numerous terrorist groups and elements.
For more information for U.S. citizens about traveling internationally, please visit http://travel.state.gov.
http://jakarta.usembassy.gov/press_r...elWarning.html

[tropical]

Re: Indonesia: Human Cases 8 Oct 2008 +

From the text in post #192:
"... Indonesia has not experienced a major terrorist attack since October 2005 ..."

Seems that the cited May lifted restriction was pertinent to attacks, not to bird flu.

Probably this time also, these are clusters from poultry infection provenience only, and hopefully on resolvement course.

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

I should expect and require my govt to to keep traveller's informed of such a large outbreak. Rescinding an old terrorism warning in the middle of a large suspected outbreak of h2h bird flu, is not what I call a prudent action. Actually, I would call it reckless.
No this outbreak has not been proven to be bird flu, but why take the chance?
You may not find out for months.. http://www.who.int/csr/don/2008_09_10/en/index.html
or have it denied after laboratory confirmation
http://www.cidrap.umn.edu/cidrap/con...supari-br.html
The U.S. is not trying to keep you up to date with current event on bf in Indonesia as it is now. The last avian flu warden message was 9 months ago
http://jakarta.usembassy.gov/consular/WMfeb2908.htm
Oh, I suppose I could just pretend to be nonchalant about this very large outbreak of people hospitalized with suspected bird flu..the Indo army helping kill birds..all people in the neighborhood being asked to report at the slightest hint of illness..free tamiflu at every community health center and hospital..nothing out of the ordinary..what hey..NO PROBLEMS AND NO TRAVEL RESTRICTIONS

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Makassar, Sulawesi

15 11 2008

Suspect Bird Flu patients improved

Condition for the health 17 patients were expected (suspect) bird flu in the Hospital Dr Wahidin Sudirohusodo, Makassar, South Sulawesi (South Sulawesi), began to improve, yesterday, except Firdaus, 6. Firdaus till yesterday afternoon was still feverish.

The team's spokesperson of the handling of the hospital bird flu, Khalid Saleh, explained his side still was waiting for results of the sample inspection of blood that has been sent of the Penelitian Dan Pengembangan Body (Balitang) the Department of the Health in Jakarta. So, 'till today (yesterday), we still could not confirm whether 17 patients were infected by the virus H5N1 (bird flu)', explained Khalid.

Several days before 17 residents Street Tangki of RT/RW 05/02, the District of Sudiang, the Biringkanaya Subdistrict, Makassar, that was treated, around their house was found by dozens of chickens that died suddenly with the condition for the body turned blue.

Results of the Kesehatan Service inspection of the Makassar City showed these chickens were infected with bird flu.

Officially Kesehatan local continued to carry out the extermination of the poultry. The extermination of this poultry was carried out to that his three times, yesterday.

Twice beforehand has destroyed 106 poultries (the chicken, the duck, birds), and yesterday improved 61 tails. The extermination that was helped by the Team of the Peternakan Dinas Kelautan Field and Pangan Kota Makassar Endurance this was witnessed by the local resident. Moreover the residents willingly helped gathered their kept poultry to be destroyed.

In the meantime, Section Head Kesehatan of the Makassar Naisyah Azikin City that was found in the location of the extermination of the poultry said the burning was carried out to the poultry that was gotten to the radius 1 kilometre from the location of the discovery of the case of bird flu.

http://www.mediaindonesia.com/index.php?ar_id=NDQwNTc=