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Indonesia: Human Cases 8 Oct 2008 - January 28, 2009
A team from the Makassar health and public safety agencies exterminate poultry suspected to be infected with avian influenza in Sudiang village, Bringkanaya Regency, on Friday. Seventeen people from Sudiang have been admitted into the Wahidin Sudirohusodo Hospital for treatment.
Last edited by AlaskaDenise; February 24, 2009, 02:34 AM.
Reason: remove photo
17 residents Sudiang Suspect Bird Flu
on Thursday, on November 13 2008
Makassar, totalling 17 patients suspect bird flu was isolated in RS Wahidin Sudirohusodo,kemarin. These patients came from the Village of Tangkejangang,Kel Sudiang,Kec Biringkanaya.
They who were expected terjangkit the virus avian influenza (AI) this underwent pengisolasian in two rooms namely the Pakis Building and Gawat Darurat Installation space (IRD) RS property of the government.
As many as 10 from 17 patients who were treated in RS Wahidin, were pre-schoolers, respectively Nurul Awaliah; 3 years 6 months; Nurfadilah, 4 months; Salman, 4 years; Fauzi, 3 years. All of them were treated intensive in the special room of the ferns building. Whereas five other was the Inspiration 2 years; Alif,3 the month; Desi, 5 years, Eki Desriani, 5 months, Rahmawati,2 the year was isolated in IRD RS Wahidin space.
Apart from to 10 pre-schoolers, RS Wahidin also isolated and observed the condition for seven patients anakanak and dewasa.Ketujuh him that is Irwan,6; Saleha 12,Ny Johani,60,Firdaus, 6, Nartati, 26, Nuraeni, 31, Hasnawati,34,serta Annisa,6. All this patient was reconciled by the Sudiang Community Health Centre to RS Wahidin since last Wednesday (12/11) after experiencing the high fever around 39.5 Celsius levels. Moreover, they also experienced breathless and the cough continually.
?Dugaan this bird flu menguatterhadapke 17pasienini after hundreds of poultries in and around his environment died suddenly since a week of lalu,?ungkap Kepala IRD RS Wahidin that also the team's member of the handling of bird flu Dr Wasis Udaya yesterday.
Moreover, said Wasis, from results of the research that was carried out by the Kesehatan Service of the Makassar City of finding several poultries that died positive terjangkit the virus H5N1 that spread through this air.
Wasis that gave press information in RS Wahidin this said, since last Wednesday (12/11) his side received seven patients suspect bird flu from Kel Sudiang. Now the entire morning till the afternoon yesterday, almost simultaneously came back the arrival 10 patients who were expected terjangkit the illness virus sama,dimana his address also came from the same area.
?Sampel blood and and (throat mucus) to 17 patients suspect this bird flu was sent to the Unhas Laboratory and in two today will be accepted by results. Moreover, we also sent the sample of his blood to the Lab in Jakarta to know whether this was positive or tidak,? he explained to several reporters.
By him that, he warned to each official of the community health centre that the routine monitored his resident who experienced the quite high fever, the cough continually, and that experienced breathless.
Moreover, the increase, in and around the community's environment was received the poultry that died suddenly.
Information that was received, it was known if since last Saturday (9/11) was gotten by 27 chickens that died suddenly in the Tangkejangang Village that shared a border with this Maros Regency. At the time of that simultaneously, the chicken that was gotten in the Salman house also suddenly died. ?Pada on November 10 (on Sunday) a patient named Salman began the cough and the fever were still being run off with to RS Wahidin.
In the afternoon him, an amount tetanga him also experienced the sign of the illness that so as on that day also as many as seven patients were reconciled here (RS Wahidin) ,? more RS Wahidin public relations Dr the gift yesterday.
The gift claimed, the sample of temporary blood was still being checked in the medical laboratory Unhas.Dari results rapid, found six patients who experienced A kind influenza that and headed terjangkit H5N1.
Ha him, he still merahasian the identity from the six patients who were expected terjangkit this. Jufri,30,bapak from Fausi, 3 months, said, the eldest child from two related this experienced the fever was accompanied breathless since last Tuesday night (11/11).
He was personally surprised his article his child had not carried out direct contact with the poultry that was around his residence. ?Pada late last week my kept chicken will also die totalling seven tails, but I at once destroyed him by means of being burnt. Because of being frightened of the bird flu illness, finally we carried him to RS,?tutur him when being met in front of the ferns Building. The husband from Fitriah this said, since last week hundreds of tails of the chicken in his territory suddenly meninggal.
Pada at that time also, several officials of the community health centre and the Service of Kesehatan Makassar entered directly to destroy these chickens as well as check the health of the resident. He hoped his child who was new three months the bird flu negative. From observation of our source, in RS Wahidin,ke 17 patients suspect the bird flu underwent observation and the isolation in the special room. The RS side restricted the patient to to carry out direct contact with his family and oblige each visitor to wear clothes steris to peer pasien.Daya accommodated isolation space personally could accommodate as far as 20 patients and if improving, the RS side prepared the special room to pengisolasian.http://makassarkota.go.id/content/view/2188/140/
Machine translation;
Jum'at, 14-11-08 | 11:30 of | 111 Seratusan the Chicken in the Jangang
Dimusnahkan Tank
The report: Aswad Syam
MAKASSAR -- 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. Until striking 11,30 Wita, 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 Paradise (5) up to now still was treated in RSUP Wahidin Sudirohusodo. Paradise was maintained as the patient suspect bird flu and began to be treated since Thursday night (13/11/2008).
According to casualties's older brother, Ahmad Hidayat, before being run off with to the hospital, Paradise could play with the chicken that was sick. Last week, this chicken died. Not old afterwards Paradise 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. (aha)
167 Positive poultries H5N1 was destroyed
on Saturday, on November 15 2008
MAKASSAR (SINDO) ? the Team penanggulang bird flu of the Makassar Municipal Government destroyed at least 167 positive poultries terjangkit the virus avian influenza (H5N1) ,kemarin .Pemusnahan this was carried out by means of burning the poultry as well as his pen, that was located in the Village of Tangkejangang Street Pattene RT 5/RW 2 districts Sudiang the Biringkanaya Subdistrict. The step in the extermination of this poultry dilakukan,terkait the report on the resident around that stated the number of livestock chickens that suddenly died suddenly in time for the last three days.
Moreover, at this time was recorded by approximately 17 residents it was suspected terjangkit the virus avian influenza (AI) . Ke 17 residents were isolated in the Wahidin Sudirohusodo Hospital.
The process of the extermination of this poultry took place smooth, not a single resident that the protest during his livestock was good the chicken, the duck, and his kept birds were taken by the official. Moreover, dozens of residents willingly brought his poultry was destroyed.
The staff the Field of Peternakan DPKP Makassar drh Nurmayanti explained, most poultries that were destroyed were ayam,dan after being checked in the laboratory veteriner the Maros animal the chicken carcass indeed contained this dangerous virus. Was like this his matter, to the chicken that hidup,saat was checked by the chicken was indeed positive terjangkit the bird flu virus. ?Ada two samples of the chicken that was sent to the laboratory, and all the results of positif.
Untuk itu,sebagai anticipation so that the virus does not spread, then all the poultry was at a distance of the radius 1 kilometre from the location of the incident all of them would dimusnahkan,?jelas him when being met disela-gap the extermination unggas,kemarin.
Nurmayanti said, post the extermination his side tightened the supervision in the location of the incident, even the team will be dropped off to comb the area around that it was suspected could spread the same virus. Apart from destroying unggas,jelas Nurmayanti,dilokasi co-operated Officially the Health was carried out by spraying anti biotik.
The step was carried out, to prevent the spreading of this virus to the other area. The extermination of this poultry was witnessed, the member Komnas Flu Burung, Dinas Kesehatan South Sulawesi Livestock Breeding Service, the Service Perikanan,Kelautan and Makassar Food Endurance (DPKP), the sub-district head as well as the village heads.
Now itu,Wali Kota Makassar Andi Herry Iskandar said, the case of bird flu that was found bukanlan the extraordinary incident (KLB), because of not yet having the assurance whether being straightened by them was ill avian influenza (AI) or not. ?Jangan fast concluded something, just wait results of the inspection of the laboratory. Later from there just could be taken by the conclusion, slowest a week has had results, ? said Herry ended visited the patient suspectflu birds in RS Wahidin Sudirohusodo,kemarin.
Herry said, the step in anticipation that was carried out by the medical team of the Makassar Municipal Government and the province has been very efficient and exact, both the medical handling and non medis.
Karena like that had the report on all the related agency immediately handled him. Beginning with the maintenance until destroying the poultry that it was considered the source of the dangerous illness. According to Herry, the condition for the patient who was treated gradually began to improve, including four pre-schoolers who originally were stated experienced the high fever. ?Tidak need to worried, for the case like this not only the Wahidin Hospital that was ready to accommodate the patient, but also had two hospitals namely RS Faisal and RS Akademis that were ready accommodated if the official was unstable handled the patient suspect ini,? obviously him.
In the meantime, the medical team of the Kesehatan Makassar Service also took the sample of blood and the saliva from 17 residents who were expected terjangkit this bird flu illness.
Apart from being checked in the Unhas Laboratory, this team also sent his sample to the research and development laboratory (Litbangkes) the Department of the RI Health. This step was taken to determine the assurance positive or not these patients terjangkit bird flu.
Usually, results labarotaorim just could be known after a week.
Was separated Juru Bicara the Medis Team of the Control of RS Wahidin Sudirohusodo Bird Flu, Dr Khalid Saleh said, all the patients who were examined diruang the isolation suffered the sign bird flu. Even, obviously Khalid, in the day of the two isolation was four that was physical him was very weak until experiencing the fever achieved 39 levels celcius,tapi after being carried out by the medical treatment action by giving flu medicine or tami flu gradually his condition has improved. Khalid said, to maximise the handling then in this hospital was formed the control command post, in order to facilitates the co-ordination in the handling of the patient.
Moreover, especially maintenance space of the patient diperketat,tidak was allowed to enter except the patient's family and the medical staff. ?Di the room we for two zones, namely the yellow zone still could be entered and the red zone only for the team medis,? he explained. The team's medical RS Wahidin data mentioned, the period
2006 till 2007 the case suspectflu birds that were found achieved 37 cases, and one was among them the patient stated positive. And during this year till November, was recorded by 17 patients suspect bird flu. The staff the Nasional Commission (Komnas) Bird Flu Dr Armyn Nurdin said, the handling of the patient who was expected by bird flu has been in accordance with the national standard, in fact in accordance with the World Health Organization standard (WHO), like the handling bio security, depopulation of the poultry, giving anti the virus through to the cleaning of the area of the incident.
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AVIAN INFLUENZA, HUMAN (74): INDONESIA, NOT
*******************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>
[The death of the 15-year-old teenager reported as a confirmed human
case of avian (H5N1) influenza, on the basis of diagnostic tests
carried out locally, has not been confirmed as a case of avian
influenza by the Indonesian Ministry of Health. ProMED-mail regrets
the confusion. No information is available yet regarding the
suspected cluster of avian influenza cases in Sulawesi. - Mod.CP]
Indonesia denies new case of bird flu death
-------------------------------------------
The Indonesian Health Ministry on Thursday [13 Nov 2008] denied
foreign reports that a 15-year-old girl from Central Java had died of
avian influenza, saying 2 laboratory tests had showed her blood
samples negative for H5N1 [avian influenza virus].
Indonesia says teenager tests negative for bird flu
---------------------------------------------------
Tests on an Indonesian girl reported to have died of bird flu proved
negative for the deadly strain of the virus, the health minister said
Thursday [13 Nov 2008]. Siti Fadilah Supari said the 15-year-old
girl, who died in hospital in the Central Java city of Semarang on 7
Nov 2008, was not carrying the H5N1 strain. "Both tests came back
negative," she said.
The girl, who lived near a chicken slaughterhouse, died 10 days after
complaining of flu-like symptoms. Indonesia has been the country
hardest hit by bird flu, with its official toll of 112 deaths
accounting for nearly half of worldwide deaths from the disease. The
H5N1 virus typically spreads from bird to human through direct
contact, but experts fear it could mutate into a form easily
transmissible between humans, with the potential to kill millions in
a pandemic.
[see also:
Avian influenza, human (73): Indonesia, conf., cluster susp. 20081113.3573
Avian influenza, human (72): Indonesia, susp 20081110.3538
Avian influenza, human (71): Indonesia, not 20081107.3503
Avian influenza, human (70): Indonesia, susp 20081104.3473
Avian influenza, human (69): Indonesia 20080912.2855
Avian influenza, human (68): Indonesia, WHO 20080910.2831
Avian influenza, human (67): Indonesia 20080909.2818
Avian influenza, human (66): Indonesia (West Java) 20080830.2721
Avian influenza, human (65): Indonesia, reporting 20080818.2560
Avian influenza, human (64): Indonesia, CFR decline 20080813.2506
Avian influenza, human (63): Indonesia, reporting 20080812.2497
Avian influenza, human (62): Indonesia, NOT 20080810.2465
Avian influenza, human (61): Indonesia 20080806.2417
Avian influenza, human (59): Indonesia 20080803.2372
Avian influenza, human (56): Indonesia, susp 20080719.2196
Avian influenza, human (55): Indonesia, WHO 20080620.1918
Avian influenza, human (54): Indonesia 20080619.1912
Avian influenza, human (51): Indonesia, new policy 20080606.1811]
-
From: Tangki Jangang Village, RW2 RT5 Patte?ne, Sudiang, Biringkanaya
Recon: Sudiang Community Health Centre
symptoms: high fever, vomiting, coughing. breathless.
Admitted 11/12: Family
Mother: Dg Nginga
Father: Rizal
Admitted 11/13: Family firdaus (6), 11/14: Condition good, except fever still high. Isolation/observe, RS Wahidin. Played with chicken that died. Fauzi Ibn Rajab (3 months) Intensive Care, Pakis Bldg. Fever/breathless since night of 11/11.
Father: Jufri (30)
Older Brother: Ahmad Hidayat
General Notes:
6 patients: influenza A
3 of the 6 have bronchopneumonia
2 days lapse between kids.
3 toddlers onset sym: Monday, 11/10.
Sprayed chicken farms in the area.
Of 6 reported, 5 were taken blood. [reinforces above note that Nur Fadillah did not have blood drawn]
Meanwhile, today, Thursday (13/11) Unit emergency hospitals also receive the same psien also stated that suspeck bird flu as many as 10 people.
These are also identified as suffering the same complaint with the previous seven patients, which is the neighbors.
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.
11/15: Two hospitals ready to accomodate: RS Faisal & RS Akademis.
Samples sent to two labs: Unhas Lab & Litbangkes.
Maintenance space of the patient diperketat,tidak was allowed to enter except the patient's family and the medical staff. ?Di the room we for two zones, namely the yellow zone still could be entered and the red zone only for the team medis,?
Notes on 2nd Family:
Jufri, 30, Sir from Fausi, 3 months, said, the eldest child from two related this experienced the fever was accompanied breathless since last Tuesday night (11/11).
He was personally surprised his article his child had not carried out direct contact with the poultry that was around his residence. [talking about the 3 month old]
?Pada late last week my kept chicken will also die totalling seven tails, but I at once destroyed him by means of being burnt.
Exterminated 100 tails after many chickens died in the last 2 weeks. After that his child and 6 other neighbors suffered cough, fever & breathless)
Notes on Poultry Die Off [all taken from various stories here]
Several days before being treated, the inhabitants around his house found dozens of chickens died suddenly with the condition for the coloured body blue and rotted.
Location in the residence, we found some chickens dying and the positive of bird flu.
"They were taken to the hospital because of this experience fever with body temperature higher, and in the vicinity of his home found dozens of dead chickens rot with a bluish body," said a nurse at the hospital ruanga isolation Wahidin, Fatimah, Thursday.
About the chickens were found dead around the patients house, the head of the Office of Makassar Health Naisyah Tun Asikin said based on the results of Health Office of Makassar on the sample of dead chickens known chickens are positive to have the H5N1 virus.
"To anticipate the spread of bird flu patients around the house, officials of the Health Office in Makassar have to destroy tens of fowl in the region RT 5 RW 2 Neighborhood Sudiang," he said.
All the 17 patients are being treated at Wahidin Sudirohusodo Regional General Hospital came from the same area of Jl Pate' ne in Sudiang District Biringkaya Subregency, where several chickens were found dead. Husbandry Directorate at the Regional Office of Maritime Affairs and Fisheries announced that the virus was found on the chickens.
Meanwhile, Jefri (30), the father of one suspect bird flu patients, Fauzi, who is still three months since said two weeks ago that the environment for tens of chicken house owned by neighbors died suddenly.
And according to officials from the animal husbandry office in Makassar, the chickens are neighbors who were found infected by the H5N1 virus.
"After many chickens that died, two weeks ago it carried out the destruction around seratusan chicken by the health office. After that, my children and six other neighbors suffered cough, fever and shortness of breath," he explained.
Jefri admitted to wonder, for himself does not raise chickens, and never the type of contact with poultry that almost every house pets to be around.
Kurnia said 31 chickens had died in the subdistrict in the past week before three toddlers started to show symptoms Monday.
She said she had sent officers to cull 20 birds and spray disinfectant at chicken farms in the area.
?Dugaan this bird flu to strengthen with respect towards 17 pasients here after hundreds of poultries in and around his environment died suddenly since a week of last,? expressed Kepala IRD RS Wahidin that also the team's member of the handling of bird flu Dr Wasis Udaya yesterday.
Information that was received by SINDO, it was known if since last Saturday (9/11) was gotten by 27 chickens that died suddenly
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.
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.
11/15: 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.
11/15: Culled 167 poultry infected with virus. The step in the extermination of this poultry dilakukan,terkait the report on the resident around that stated the number of livestock chickens that suddenly died suddenly in time for the last three days. most poultries that were destroyed were poultry, and after being checked in the laboratory veteriner the Maros animal the chicken carcass indeed contained this dangerous virus. For that, as anticipation so that the virus does not spread, then all the poultry was at a distance of the radius 1 kilometre from the location of the incident all of them would be destroyed. The extermination of this poultry was witnessed, the member Komnas Flu Burung, Dinas Kesehatan South Sulawesi Livestock Breeding Service, the Service Perikanan,Kelautan and Makassar Food Endurance (DPKP), the sub-district head as well as the village heads.
1 article states residents willingly give over poultry, another article says they were forced.
167 poultries were destroyed
(on November 15 2008,
MAKASSAR -- the Marine Service and Food Endurance with the Health Service of the Makassar City and the government of the Biringkanaya Subdistrict, on Friday, November 14, destroyed 167 poultries belonging to the resident Street Pattene Kampung Tangki Jangang, the Sudiang District, the Subdistrict Biringkanaya.
Hadir in this opportunity the Section Head the Health of the Animal (Keswan) and the Health of the Veteriner Community (Kesmavet) the Marine Service and Endurance of City Food of Makassar drh Nurmayanti, Section Head Kesehatan of the Makassar City Dr Naisyah Tun Azikin, as well as the Head of the Subdistrict of Biringkanaya Andi Muh Yasir.
The extermination of this poultry, was witnessed by dozens of local residents, especially the owner of the poultry. The official penyuluh livestock breeding from the Kelautan Service and Pangan Endurance, was helped sector police's apparatus (Sector Police) Biringkanaya, installed the line of police round the extermination hole of the poultry. The line of these police to prevent the resident entering this area.
Approximately five officials of livestock breeding put on coloured protective clothes white complete with the mask, stood round this hole. They cut one by one off the poultry, afterwards put in the hole. Several Several poultries could be free, the activity of the official of livestock breeding and police pursued this free poultry, could become the funny show. A rabbit, almost took part in being destroyed, Lucky Kepala Seksi Keswan and Kesmavet, drh Nurmayanti, fast prevented him.
After putting all the poultry, the turn of the poultry pen that was carried to the hole. The official who put on protective clothes, afterwards poured kerosene and burnt him. To several reporters, drh Nurmayanti said, the extermination of this poultry was carried out while three days were endless since the discovery suspect bird flu in this village.
He detailed, on the first day had 18 chickens that were destroyed, and 88 tails of the poultry on the second day, consist of, 58 chickens, five doves, three ducks, and 22 tails rentok or Manila. "Now earlier (yesterday, red) we the data had 61 poultries." So the whole had 167 tails of the poultry, said Nurmayanti. Nurmayanti claimed, the poultry that died quite positive bird flu.
He admitted to taking one sample of the poultry carcass and researching him. Positive results of bird flu. On that basis, his side afterwards took the step in the extermination. Further, said Nurmayanti, his side was still carrying out the survey in the place on the 14th day, afterwards the 60th day. "This in accordance with the handling procedure" of "bird flu," said Nurmayanti.
The head of the Biringkanaya Subdistrict, Andi Muh Yasir, claimed very grateful on the cooperative attitude his resident to hand over the poultry. "Indeed, we in tripika always sosialisasikan to the resident about the handling procedure" of "bird flu." Praise the Lord, they were enough to understand and be willing to hand over his poultry.
This really facilitated our task, said Yasir. The discovery suspect bird flu in RW 2 RT 5 Tangki Jangan Kelurahan Sudiang villages, made the simulation activity of the handling of bird flu that the plan was spread out by the Kesehatan Service of the South Sulawesi Province in Tamangapa on Saturday, November 15 today failed. One of the staffs Dinkes South Sulawesi, Anwar to the Dawn said, this simulation activity was postponed up until the deadline that was not yet determined.http://cetak.fajar.co.id/news.php?newsid=79650
17 patients Suspect Bird Flu was isolated
(on November 15 2008,
MAKASSAR ? totalling 17 patients suspect bird flu that was treated in the Wahidin Sudirohusodo Hospital, was still continuing to be isolated. Moreover, the isolation against children's 13 patients and four adults will be done till this coming November 20. This was carried out while being waiting for results of the inspection of the Research And Development laboratory of Kesehatan Jakarta.
The monitoring of the Dawn in the ferns building, the place of the isolation was done, the hospital side carried out the tight guarding.The reporter was forbidden to pass by the door that separated the ferns building from Lontara maintenance space.
Apart from the doctor and the nurse, as well as the mayor Makassar Andi Herry Iskandar and public relations, yesterday, not any that was allowed to approach to isolation space. Three security units stood lined up in front of the door. Starting from when the door to the arbiter of people's building was seen has put on the mask.
In the same building, the RSWS side bisected classification of the room. There was the red area that only could be entered by the doctor. There was also the yellow area that could be entered by certain people with with the limited number. The RSWS side stressed that this step was carried out because indeed like that the procedure for the handling of the case suspect bird flu.The RSWS side since yesterday also formed the special team to handle the 17 patients. This team was chaired by Prof Halimuddin. His member had several doctors, including the paediatrician.
Despite the tight isolation and the team of the handling of the patient suspect bird flu was formed, but till yesterday, did not yet have the assurance whether the resident Street Pattene this was positive bird flu or not. Mayor Makassar, Andi Herry Iskandar that visited to RSWS, the morning yesterday said, as far as this is concerned his side was still being waiting produced by Litbangkes. "We might not yet state them bird flu" or not." Because as far as this is concerned did not yet have results of the lab of health research and development. Litbangkes that had the authority to state results, bird flu or not, said Herry in the press conference in RSWS.
Be present in the press conference, Kadis the Health of the South Sulawesi Province, Dr Rahmat Latif SpPD MARS, the Menkokesra Staff of the office Expert at the same time from komnas bird flu that was assigned especially monitored the implementation of the handling suspect in South Sulawesi, Dr Andi Armyn Nurdin, Kadis the Health of the Makassar City, Naisyah T Azikin, of Director RSWS, the team of the doctor, Kabag public relations, M. Castrated Wahab, the Sub-district Head Biringkanaya, GENERAL Yasir, as well as the Sub-district Head Tamalanrea, Sabri. Although not yet having the assurance, but according to to Herry, himself as the manager of the appropriate command post protap stressed the RSWS side was ready if indeed evidently this patient positive was attacked by bird flu. "If positive, RSWS was ready."
Apart from RSWS, we also prepared two RS reconciliation, RS Islam Faisal, and RS Akademis. That if RSWS the patient's surplus. But up to now RSWS is still being ready accommodated, he said.
Herry explained, the isolation that was planned through to produced by Litbangkes went out was meant as prevention efforts. "While being waiting produced by Litbangkes, the patient continued to be isolated." That the step in the prevention. Results litbangkes will go out one week, so if entering yesterday, on Thursday, November 14. So the possibility went out results 19 till November 20. At that time we could have known results. And before having results that said they were free bird flu, continued to be isolated, he stressed.
At this time, according to Herry, has been carried out by anticipation efforts of the spreading of the virus. Including the extermination of the poultry as far as the radius 1 km.
In the meantime, the team's spokesperson of the doctor, Dr Khalik Saleh said, when entering RS, the condition for children's four patients really quite weak. The temperature of their body in general 39 levels. His two physical patients were very weak that namely the Inspiration and Paradise. "But earlier (yesterday, red), they already rather baikan." Has had the improvement on the whole. That still was hot Inspiration, the age patient 2.2 years, revealed Khalik. Information that was assembled mentioned, in the inspection last Thursday, two patients also it was known were affected by pneumonia or the inflammation of the lungs. That was based on results of the photograph x-rayed. However according to the sign doctor of his clinic was not too heavy.
In the meantime, the Ahli Staff the Menkokesra office at the same time from komnas bird flu that was assigned especially monitored the implementation of the handling suspect in this area, Dr Dr Armyn Nurdin, said, himself was specially assigned monitored the development of this case. "We were grateful that the fast movement action that was carried out the Makassar Municipal Government has been very exact in accordance with the national standard and the standard of WHO. Baik the medical and non-medical action."
The command post in RS and in the field, that has been in accordance with the standard. The medical action in accordance with the standard. Medical readiness, if later exploded, RS, the power, and equipment have been ready. For South Sulawesi for bird flu all was ready, said Armyn that also former Kadis Kesehatan Makassar. His side only hoped that the comprehensive action that was carried out could control the virus and prevented his spreading. Has been "carried out the vaccine and the burning." So the action biosecurity and depopulation has also been carried out and will continue to be carried out.
Counselling must also continue to be carried out. Also will be carried out by the cleaning or cleaning the Sudiang circle virus. His hope, the virus will not circulate in the environment. All has been appropriate protap and we remained praying, he said Armyn also stressed that in fact, the research and the testing into the 17 patients have been carried out by the Unhas side. However results continued to be waiting litbangkes. Because, said he, so that was legal according to WHO. "Tapi without waiting for results of Unhas to have been carried out by the action as if results (positive, red) that has been available." This as the form of anticipation, he said.
The sub-district head Biringkanaya, AM Yasir said, the emergence suspect bird flu in his territory indeed enabled. The reason is, the resident, especially in Pattene quite happy to maintain the poultry. On average the house, according to him, had the chicken coop, the duck, or the dove. "They that suspect this berlamat in Street Pattene, RW 2 RT 5," beber him. Although having 17 residents who entered the hospital, but according to Yasir, his community, including around the residence of the patients stayed just very calm. "There was no panic." And indeed we have carried out the socialisation, and the extermination. Already many poultries that were burnt then was buried, he said.
The case suspect bird flu in Makassar this personally not the first case. Since 2006 then, already 37 people who had been stated suspect bird flu. "But not there is one that is positive," stressed Herry.
Ought to be on the alert Section Head Kesehatan of the South Sulawesi Province, Dr Rahmat Latif SpPD MARS asked the other area also to have to to be on the alert. Because of it is not impossible, the bird flu virus also was threatening. With this signal of the bird flu virus, the side of the province of the health service, according to the Blessing, has carried out anticipation of early. Including planning to carry out the simulation of the handling and the prevention. "Only indeed rather was postponed because suddenly had the case in Makassar and for the time being we the focus there," said the Blessing.
The blessing mentioned areas that ought to be on the alert like Sidrap and the other city regency that had poultry livestock breeding enough. He stressed that almost all the territories in South Sulawesi the bird flu danger. The reason is, the resident in this area still was having the habit maintained and penned the poultry, especially the chicken in the cellar. http://cetak.fajar.co.id/news.php?newsid=79648
Andi Hajramurni and Suherdjoko , The Jakarta Post , Makassar, Semarang | Sat, 11/15/2008 10:59 AM | The Archipelago
The Wahidin Sudirohusodo regional hospital in Makassar, South Sulawesi, is continuing to isolate 17 patients of Biringkanaya district believed to have bird flu.
"Generally the patients are getting better," spokesperson for the hospital's bird flu team, Halik Saleh, said Friday.
Apart from a 2 year old named Ilham, the body temperatures of all other patients have returned to below 38 degrees Celsius.
"We are continuing to observe their progress, particularly because some poultry has tested positive to bird flu contamination," Halik said.
As a precaution, the hospital has been restricting staff and family members from visiting the patients in an effort to prevent any possible outbreaks of the disease.
The hospital, he said, is still waiting for the results of blood tests from the Health Ministry.
An initial test of all the patients' blood has indicated the presence of the avian influenza virus, H5N1. The same test by the micro laboratory of Hasanuddin University's School of Medicine in Makassar indicated the same results.
Halik said the hospital had decided not to use them as an indicator or reference for the illness.
"The only results we will refer to in order to treat our patients will be those from the laboratory of the health ministry's research and development center," he said.
The head of the Makassar Health Agency Naisyah Tun Azikin said all the samples required for testing had been sent to Jakarta on Thursday and Friday. The results should be known within a week.
Naisyah said in anticipation of a possible increase in suspected bird flu cases, his office had prepared two additional hospitals to treat them.
"Alhamdulillah (Praise be to God), none were admitted today," Naisyah said Friday.
A team of representatives from various government institutions culled 61 birds on Friday from Sudiang subdistrict where all the patients came from.
Nurmayanti, from the government team, said the culling was carried out over three consecutive days and had destroyed a total of 167 birds.
She said the team would continue culling the area within a one-kilometer radius to ensure there was no poultry left alive within the region.
/B]Meanwhile in Semarang, Central Java, authorities have closed three chicken abattoirs in Gayamsari district.
The closures were made by local residents after 15-year old Dewi Sartika died Tuesday from bird flu.[/B]
Chairman of Siwalan Community Empowerment Institution Agus Supriyoto said residents, including Dewi's parents Sarjono and Sri Yakin, misinterpreted their daughter's symptoms as ordinary fever.
They were unaware it was bird flu until staff from the provincial and municipal health agencies informed them Tuesday. The following day they held a meeting discussing poultry culling in the region, where many of the 500 families reside there keep birds as pets.
17 in Makassar hospital with suspected bird flu[/B] From News Reports:
Jakarta, November 15: The Wahidin Sudirohusodo General Hospital in Makassar, South Sulawesi, has admitted 17 patients with suspected bird flu in two days, reports The Jakarta Post.
The patients, mostly children, presented with symptoms of the disease, such as a high fever, cough and respiratory difficulties, the newspaper quoted hospital spokesman Andi Kurnia Bintang as saying. All were from Makassar’s Biringkanaya district.
Initial tests of the first seven patients indicated the presence of the H5N1 avian virus.
The hospital was now awaiting confirmation of the results from blood tests done by the Micro Laboratory of the Hasanuddin University Medical School, he said.
The hospital’s senior emergency unit officer Wasis Udaya said of the other ten: “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 had set aside 11 beds for potential bird-flu patients but has had to increase the number.
Makassar Marine and Agriculture Office husbandry division director Sulistiawati said tests of dead birds in the Biringkanaya district showed they were infected with bird flu.
“We have conducted rapid tests on the chickens and the results showed some of the chickens were positive,” she said.
The death of a girl, 15, from bird flu has taken Indonesia’s known death toll from the deadly HN51 virus to 113.
The teenager died ten days after she was admitted to hospital in Semarang 400 kilometres east of Jakarta, said Dr Agus Suryanto, the senior physician to treat her.
Samples tested in two domestic laboratories proved positive, said health agency official Tatik Suryanti.
The girl - who lived near a chicken slaughterhouse – is believed to have come in contact with dead birds but an investigation continues.
Earlier this month, an Indonesian butcher of chickens died of suspected bird flu after he had been treated in the Hasan Sadikin Hospital, Bandung, west Java, for two days.
In Viet Nam, the Vietnam News Agency has reported bird flu among poultry in central Nghe An Province. The news agency quotes a statement from the provincial People's Committee saying the outbreak at Dien Hong commune had killed almost 1,000 birds. Samples from the dead animals tested positive for H5N1.
In Thailand, the Public Health Ministry has declared a bird-fluwatch for nine northern provinces after the virus was identified in two districts.
Visited Pasien Bird Flu, Mayor Berang
On Saturday, 15-11-2008
MAKASSAR, Upeks -- Mayor Makassar A Herry Iskandar, visited the patient suspect bird flu in the Wahidin Sudirohusodo Hospital, on last Friday (14/11). The mayor's visit, was accompanied by Kabag Humas Regional Government Makassar, Kasim Wahab, Camat Tamalanrea, Sabri.
The mayor at once visited the ferns building, namely isolation space where the bird flu patient was treated. Saw the patient suspect bird flu, that terbaring, A Herry, brought up several questions to the team of RS Wahidin bird flu, a connection with the patient suspect. Only, several Herry questions apparently could not be answered by the official of the hospital, so as the furious mayor was made by him.It was unclear that anything that was asked about and made the mayor angry, but Kabag Humas Municipal Government Makassar, Kasim Wahab, stressed, the mayor's anger because of having the important matter that was asked about related the patient suspect bird flu that could not be answered, in fact that was his work field. "In the ferns building, the mayor saw immediately met several patients suspect bird flu, that was temporary terbaring."
To the official, he often asked to the team of bird flu, but the team could not answer, until the mayor flew into a rage or angry, he said.
Suddenly Orderly and Sterile There was those who are interesting around the Wahidin Sudirohusodo Hospital, most special the Ruang Isolasi Khusus Flu Burung Building (ferns), when Mayor Makassar, A Herry Iskandar, will visit the patient suspect bird flu. Unlike usually, the Pakis Building, at once was sterilised, the hurrying official installed some paper that ditempel in the wall by being inscribed with the door always must be closed, plus the patient's poster that terjangkit the bird flu virus. This peculiarity was felt by several 'occupants' that has several lived in the building The standard, the family of one of the sufferers suspect bird flu, felt that. He claimed already four days accompanied his family and the treatment as well as the first-rate service that were given by the official of the hospital just was felt the day. "Uptil now, was seen by me the guest could go out entered, without having the warning from the team" of "bird flu or the official" of the "hospital." Today (on Friday (14/11),-red) then, the doctor and the official gave the first-rate service, more than usually, he said, to the reporter. All that because of the number one person in the Makassar City, visited. "Quite strange, if the senior official wanted to come, all was sterilised, the official" of the "hospital, undertook his task well." It is hoped when Mr Wali was not then like that, he stated. http://www.ujungpandangekspres.com/v...27&jenis=Metro
The patient Suspect Flu Burung Membaik KONDISI 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 Paradise, 6. Paradise 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 terjangkit 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 dimusnaskan 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.
Even no confirmation of H5N1 infection is available to date, the scarcely detailed information disseminated by media sources may signal something strange is happening in Sulawesi.
Of seventeen patients, no clinical pattern of illness was uncovered for the most part of them.
Only for some children there is indication of fever above 39?C and radiological findings of pneumonia.
The other patients conditions are to date obscure.
No details about use of ventilators, respiratory assistance are also available.
It is also uncommon feature the hospitalization of more than 15 people on the only base of poultry die-off.
It should be emphasized that a cluster of more than five people could signal the start of a sustained human-to-human transmission in community setting and the almost unstopping spread with casual contacts.
So, the clearly insufficient details available about the health status of more than a dozen of patients should be kept into account for a more factual evaluation of this incident.
To note, finally, the involvement of media sources usually silent in relation to past incidents of this kind, that introduces further questions into the groundless of some of the piece of news so difficulty searched by our Moderators.
More striking the denial by Ministry of Health of the teenager died at Semarang, reprised even by ProMed service.
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A team from the Makassar health and public safety agencies exterminate poultry suspected to be infected with avian influenza in Sudiang village, Bringkanaya Regency, on Friday. Seventeen people from Sudiang have been admitted into the Wahidin Sudirohusodo Hospital for treatment.
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