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Indonesia Human Cases - April 9, 2008 - 20th June 2008
Blood samples Suspects Bird Flu was sent Repeatedly
Four residents Kepenghuluan Balamsempurna Kecamatan Bagansinembah that was expected suspect and infected by bird flu was again taken the sample of his blood to be sent to the inspection hall in Pekanbaru.
From the four suspects, as far as this is concerned was stated safe from the worst condition.
His control we gesa and was maximised, accused the Head of the Community Health Centre of Balaijaya Dr Hj Menti, Ahad (13-4).
He added, his side indicated the clinical sign against the four residents after the Peternakan Kabupaten Rokan Hilir Service ascertained poultries that died suddenly in range the resident's positive dwelling resulting from the AI virus.
Like that found this report, with the official's rank of the local health, the four residents who experienced the clinical sign like the hot fever high as soon as possible in observation terlabih by giving various medicines including Tamiflu in the step in the foundation.
Afterwards the four residents among them Fatimah (FT - (38)), E (14) as well as two other has three times were taken the sample of blood for observation more in.
The poultry that died very first was known had FT.
In the evening, FT immediately fainted. Continued during the day FT also suffered the quite high hot fever, said Menti added.
Secara beruntun, E (14) that also the neighbour terdekat him suddenly experienced the hot fever high.
Only, E before experienced the hot fever just his kept poultry died suddenly. At that time, FT and E almost simultaneously fell ill.
The four residents who were taken the sample of his blood was done directly by the official from the Service of Kesehatan Riau that directly came from Pekanbaru, added Menti.
The taking of the sample of this blood as being explained by the Head of the Community Health Centre, was for the research action more in around the handling and the control of the AI case that ambushed several residents in this Kepenghuluan.
The old community health centre of Dr Menti, before has done survey and observation of the related field of the case of the AI attack that ambushed human casualties.
This investigation, again and again was how far related to the impact and the bad implications when this case happened apart from the desire and the limit of human knowledge.
Although being taken his blood to that his three times, but the Community Health Centre reluctantly gave the assurance how far his condition.
Only, Menti mentioned that just must be after the team of the Riau Health of
the Service was finished carried out the research.
Therefore, the step that continued to be carried out was to continue to carry out the supervision of the four residents who could suffer the hot fever high this.
For 21 days in the future post the first findings, was carried out by us the supervision besides continuing to give counselling including the medicine and hoped to the resident to be cultured lived clean, he said.
Pekanbaru -- the LU Condition (4.5) casualties suspect bird flu, to Monday (14-4) began to improve. Moreover the infusion that was installed on his hands since Saturday (12-4) then, still was not installed.
When Riautoday. com saw the condition for your health in the Daerah Public Hospital (RSUD) Arifin Achmad, Nampak himself slept with twisted.
Whereas ibunda him Kamisah (38) loyal was nearby, from time to time improved the blanket that was put on by you at that time.
Even so with your expression, Ahad (13-4) then was seen rather shabby and his hands at that time still were installed by the infusion.
But yesterday never again, his face was seen clear and has become red and fresh.
When being asked to ibunda him Kamisah, the condition for his child has begun to improve. Moreover his child already did not experience hot again high like one the previous day.
Today you improve, in fact could have played and gone.
It was hot that his body never again like Saturday and Ahad then, replied Kamisah when being asked Riau Pos, on Monday (14-4).
He also said, Ahad your previous night could sleep twisted, only he and his husband Eli Darlin must stay guarding. If I indeed noted get enough sleep, because we must take turns to take care of you when sleeping.
We were frightened he happened anything, he explained.
More Kamisah, the condition for his youngest child has improved since Ahad
then, but at that time the doctor was still continuing to give him the infusion.
He also said, his child also not the cough but also again breathless.
Praise the Lord, he has improved.
Nevertheless we continued to be waiting for Laboratory results that were sent to Jakarta by Diskes Provinsi, said Kamisah.
During in confirmation Dr Azizman Saad SpP, that is the doctor who handled you the patient suspect the resident's bird flu came from RT 02 RW 02 villages Rantaupanjang the City Subdistrict Gasib this Siak Regency explained.
The LU condition has at this time improved, the temperature of his body has been normal, that is between 36.5 drajat celcius, said Azizman Saad to Riau Pos yesterday.
He also said, for the moment you still are not breathless and his pulse was also stable. So not adalagi was carried out x-rayed repeated, he revealed.
More Azizman Saad henceforth still was waiting for results of the laboratory of Balitbangkes Departemen of the Health (the Department of Health) RI in Jakarta.
God willing tomorrow (today, red) already arrived to us results, he explained.
Further he also explained today, you his plan will be moved to normal maintenance space.
From Java: young girl in Solo Hospital, after eating sick chicken; new patient. Another young child was tested negative.
The solo, Kompas - Megawati (1.5), the pre-school child from the Candi Village, Desa Plosorejo, Kecamatan Gondang, Kabupaten Sragen, was treated in the Public Hospital of Daerah Dr Moewardi, Solo, as the observation patient or bird flu investigation.
He entered the maintenance since Friday because breathless, the fever, the cough, and pilek. From results of the inspection was found by the inflammation of the lungs or bronchi pneumonia with the level of leucocyte 9,000.
Chairman Tim of the Medic the Handling of Bird Flu of RSUD Dr Moewardi, Reviono, said, was based on the speech on the patient's family never direct contact with the poultry.
Only, around the patient's house had the chicken died suddenly.
We had difficulty questioning the patient because of still could not speak. There was the inflammation of the lungs, only the level of the patient's tall leucocyte.
For the case of bird flu, usually the level of low leucocyte, said Reviono, on Monday (14-4). He was still being waiting for results of the photograph x-rayed this Tuesday to see his development.
For the time being the status of the patient still investigation (observation) bird flu. According to Mukinah, the patient's grandmother, around his house of many nonpedigreed chickens died suddenly. Three from his 17 chickens died.
The chicken was sick afterwards was slaughtered and was eaten for the serving of the family. The rest of them were totalling eight tails sold.
The night, the chicken was still fresh, his morning died. His carcass then was hidden. My husband menyembelih chickens that appeared to be sick.
After eating the chicken, twins's older brother Megawati the fever.
They recovered after taking medicine to the community health centre.
Megawati only ate the chicken spice, but the illness was more serious.
After taking medicine to the Gondang Community Health Centre and RS Sragen, then was told here, said Mukinah. It did not yet find the carcass.
Parents Megawati that was waiting for the turn to be despatched as the Indonesian guest worker to Hong Kong did not yet know his child's fate.
Apart from Megawati, the other patient, Azzam (1.5) from the Jatiroto Subdistrict, Kabupaten Wonogiri.
According to Reviono, Azzam was the Wonogiri patient of bird flu reconciliation. He the bird flu negative and was affected by dengue fever or typhus.
Section Head Peternakan and Kabupaten Sragen Sri Hardiarti fisheries said, the cause of the death of the chicken not yet clear because of not yet finding the poultry carcass.
( http://www.kompas.com/index.php/read....balita.sragen.
LZ (4.5) pre-schoolers who beforehand were stated suspect bird flu, at this time has been moved from space of the isolation of the bird flu sufferer.
These pre-schoolers are currently moved to the house inap the child RSUD Arifin Ahmad since yesterday.
The LZ transfer to space inap the child because of his condition that continued to begin to improve.
Although results of the sample of blood wiped off nose mucus and the throat that dikitik to Balitbang Department of Health RI was not yet received, but is seen from his condition now LZ was ascertained by the bird flu negative.
The chairman of the team of the control doctor of RSUD Arifin Achmad bird flu, Dr Azizman Saan said, the temperature of the pre-school body has at this time been normal namely 35 levels selsius.
So also with his leucocytes could have been it was considered normal namely 5,600. "When several days ago these pre-schoolers experienced breathless, now has not been again breathless."
Moreover the patient could have carried out the activity sperti usually, explained Azizman again. Because of that was decided that these pre-schoolers were moved to space inap the child.
Nevertheless, his side still could not permit to issue these pre-schoolers from the hospital, because still was waiting for results of the research of Balitbang.
"Although his condition did not head to the bird flu negative, but we were still continuing to be waiting for results" of "this research," tambahnya. (
More good news: from Solo, Java; 2 patients negative for bird flu: ER and DS; A 3rd patient is mentioned: AZ; according to post # 50 AZ was negative too.
Wonogiri-Dugaan had the person was attacked by bird flu or Avian Influenza (AI) later the lustre in Wonogiri.
After some time before, Er, 9, the resident of the Piken Village, Desa Pulutan Wetan, of Kecamatan Wuryantoro was treated in isolation space of RSUD Wonogiri, because of being suspected of being attacked by AI. Belakangan DS villagers Pulutan Kulon were also treated with the same suspicion.
It did not yet abate the news, there was AZ information, 18, villagers's month Cangkring, Kecamatan Jatiroto was reconciled to RSUD Dr Moewardi, Solo the reason for the assumption of AI.
Kepala Sub Dinas Pemberantasan of infectious diseases and Lingkungan Sanitation (P2MPL) the Kesehatan Service of the Regency (ET AL) Wonogiri Dr Widodo during it was confirmed this newspaper, last night (17-4) said, up until yesterday did not yet get the report completely the AZ. matter did "not have the report that entered us the matter had the patient it was suspected AI from Cangkring, Jatiroto."
To clarify him we continued to carry out the checking, explained he.
Nah, the Er matter, Widodo said, observed the existence of the story bersen!
The lord with the poultry and his poultry afterwards was proven died because AI made Er enter the category suspect AI. Namun, the development of the Er condition furthermore, said Widodo, showed the Primary school student was not infected by AI.
Sseperti was written this newspaper, dozens of chickens in the Piken Village, since some time before, died suddenly.
In the inspection was known had the chicken that died because of being infected by AI. Sesaat Sebelum the high fever, the cough and breathless, Er was touching with the poultry.
Nah, the concern resulting from AI in Pulutan Wetan spread to his neighbouring village, Pulutan Kulon.
DS the local resident, was treated because of the high fever and the cough.
He was also guarded against was infected by AI. Pasalnya, several days before being sick, DS was touching with the poultry.
"However after being carried out by the further checking, DS was not hit by AI but was affected by typhus," explained Widodo.
Alifah Free The Bird Flu Virus, "Irayanti: Results Of The Second PCR Test"
Rabu, 16 April 2008
Padang, Padek -- After passing long waiting, finally Alifah Qhansa (2) that could be stated positive bird flu, was stated free from this deadly virus. Because, from produced by 2nd Polimerace Chain Reaction (PCR) Department of Health RI, the child was from this Ngarai Sianok Agam Regency stated by the negative contracted bird flu. On this assurance, Alifah was permitted to come home.
"Alifah was permitted to come home last Monday (14/4), after Saturday morning (12/4) we accepted the telephone from Research And Development Department of Health RI that produced by PCR the two negatives. Be based on produced by this PCR, as well as his condition that increasingly was restored, then he was permitted to come home," said the Head of the Layanan Medik Field Irayanti, to Padang Ekspres, yesterday.
Ira said, although being stated positive bird flu in produced by PCR first, but the team of the optimist's doctor Alifah could again healthy. Because of being based on results of the inspection, each day, the Alifah condition continued indicate the pleasing development. Apart from the temperature of his body was normal, he also no longer experienced breathless and the number of his leucocytes became normal.
Even so with his weight slowly began to rise. Moreover last week, he also no longer uses the medical implement like the infusion and oxygen, this small girl also began to be playful although only was limited the room of the isolation.
Since being suspected by bird flu, Alifah was treated in the room of the Isolation of Irna C the Internal Disease of RSUP M.Djamil Padang. For that also Alifah was not permitted to go out of the room, because of being dangerous for his health and the person in the surrounding environment. Moreover he might be only guarded by a relative who also must use the Implement Self Protection (APD).
Afifah Might Also Come Home
The same condition was also experienced by Afifah (2) the resident Palupuh Agam Regency that was stated by the negative contracted bird flu, also was permitted to come home. Because be based on produced by PCR first, he was stated free bird flu, only his condition was not yet restored, so as he was postponed to come home.
"The Afifah condition, on Saturday (12/4) experienced the pleasing development, the condition for his body was also increasingly fit. No longer experienced breathless and the temperature of the normal body even so with his leucocytes was normal, so as the team of the doctor permitted him to come home," he said.
With the return of the two patients who were treated in the room of this isolation, at this time the room of the isolation that could become the press target again was quiet. All available equipment was in the room closed with blue cloth. No longer had the activity of the nurse who went out entered to give medicine to the patient.
Yuki Chandra - Pekanbaru, Pihak RSUD Arifin Ahmad Pekanbaru finally moved L '4.5 years, the patient suspect bird flu from isolation space to maintenance space' of the 'child after the condition' L has improved.
Nevertheless, the hospital side did not yet allow L personally was not yet allowed to come home like that was wanted by the family.
As being said by Khanizah, parents L the 'family felt relieved after the hospital side moved' L 'and they then hoped on Tuesday (15-4) this afternoon' L could be brought came home.
The condition L personally revealed Khanizah has more improved where the temperature of his body has then begun to descend from 38.5 levels celcius became 36 levels celcius.
The side of RSUD Arifin Ahmad not yet mempekenankan the family brought came home L 'because up until today did not yet have results of the sample test' of 'blood, therefore' L still must undergo the maintenance to tomorrow the day.
Elshinta.com Berita dan Informasi Online, Indeks berita terbaru hari ini dari peristiwa, kecelakaan, kriminal, hukum, berita unik, Politik, dan liputan khusus di Indonesia dan Internasional
More on the little girl Megawati, from Java, treated in Solo Hospital, see also post # 50
Bird flu Threat, Sragen Alert one
17-04-2008 05:28:53 SRAGEN (KR) - the Peternakan Service and fisheries or Disnakkan Sragen at once reacted following the assumption of bird flu or Avian influenza (AI) that infected the patient have the initials M. (18 months), the resident of the Candi Village, Desa Plosorejo, of Kecamatan Gondang, that at this time was treated in RSUD Dr Moewardi Solo.
Disnakkan at once carried out the checking of the field around the house M. as far as the radius 1 kilometre. Results of the checking, the chicken that died in the house M. positive was affected by bird flu. "We have come to the residence M. in the Plosorejo Village, indeed there many poultries that died suddenly."
After being carried out by the checking, the chicken that died suddenly that was positive bird flu, said Kabag Kesehatan of the Community and Venteriner Disnakkan drh Susiwi to the reporter, on Tuesday (15-4).
Just was known, M. that currently is treated in RSUD Dr Moewardi Solo was expected by the observation patient or bird flu investigation. M. entered the maintenance last Friday because breathless, the high fever, the cough and pilek (cold, runny nose, ed) .
From results of the inspection was found by the inflammation of the lungs or bronchi pneumonia with the level of leucocyte 9,000.
Whereas M. beforehand was known ate soup from the chicken behind the house that one pen died suddenly.
While carrying out observation in the field, explained Susiwi, was received by the father's information M. maintained the poultry of the nonpedigreed chicken kind.
The father M. just lapor to Disnakkan Sragen after his eight chickens died.
"Indeed the poultry that was in his house died suddenly."
Poultry that lived that there are those that was sold and there are those that was cooked, he explained.
Almost 2 weeks ago 7 suspects were reported from a village in Java, after an outbreak of H5N1 in poultry. No follow up reports were published. We must assume the suspects were negative and/or Tamiflu did the job.
Seven villagers Kedungsari, Kec Singorojo, of Kab Kendal were suspected tertular the bird flu virus (avian influenza/AI).
The seven residents suspect AI berinisialAr,45,Wh,24,Sn,35, Jm, 40,Dp, 9, Hn, 35, and Ks, 34.
Dinas Kesehatan (Dinkes) suspected them tertular the virus H5N1 because all the victim experienced the sign similar to bird flu like the cough, breathless, the temperature of the body on 38 Celcius levels, had a headache, and pilek.
At this time, the casualties were still undergoing the intensive maintenance in the Singorojo Community Health Centre.
Said, was based on the clinical sign of the bird flu illness, to seven residents indeed mirip.Namun to ascertain him, his side was still being waiting for the incubation period 3-5 days. Because of that for the incubation period, they continued to receive the tight supervision.
Dinkes at this time still was opening the complaint command post till yesterday.
"Posko had a function of giving the briefing and the complaint from the related resident of the illness," he said.
It was further that Siswanto explained, to anticipate the AI attack, his side has provided 200 medicine tablets tamiflu in each Community Health Centre. Stock tamiflu that was had still sufficient.
In the meantime, RSUD Dr H Soewondo Kendal has prepared the room of the special isolation for the sufferer AI. Kamar especially of the isolation could accommodate four pasien.
Peralatan, the nurse, and the team of the doctor who will handle the patient suspect AI has been prepared at the south of the hospital.
" The Hospital has been ready if when time had the consignment of the patient AI here," clear Deputy Director Pelayanan Medik RSUD Dr H Soewondo Dr Sri Mulyani.
Separately, Section Head Peternakan Perikanan and Marine Kab Kendal drh Khumaedi explained, there were five subdistricts that entered the endemic area of bird flu. The five subdistricts were Kec Limbangan, Sukorejo, Patean, Weleri, and Kendal.
The subdistrict that entered the endemic category did not experience the change since several last years. "Memang the subdistrict in the upper area relative more often was compared in the low area," obviously him.
Almost 2 weeks ago 7 suspects were reported from a village in Java, after an outbreak of H5N1 in poultry. No follow up reports were published. We must assume the suspects were negative and/or Tamiflu did the job.
The number of suspected cases that are extremely ill is especially worrisome. We are left with a lot of uncertainty about suspected cases because of the lack of media follow up and testing results.
The last official WHO announcement on cases from Indonesia was on April 2, 2008. http://www.who.int/csr/don/2008_04_02/en/index.html It reported on three individuals, two were deceased. The good news is that third individual, Alifah (Alifah Qansa), a one year old girl survived. And, as note in post #53 above, was finally allowed to come home.
Four Riau residents were ascertained Bird Flu Negative
The status suspect bird flu against four Riau residents official was pulled out. Results of the laboratory test showed the negative to the four of them terinveksi bird flu.
Riauterkini-Pekanbaru- the Service of Kesehatan Riau announced results of the test and the liquid of the blood laboratory ternggorokan four residents who were expected to be infected by the bird flu virus.
The four of them were stated clean from this deadly virus, after results of the test of the Centre of the Kesehatan Laboratory of the Department of the Jakarta Health ascertained the condition for the negative.
"We received results" of the "Labor Party test from Puslabkes Departemen" of the "Health around struck 13,30 WIB earlier, results the four of them were stated by the negative terjangkit the bird flu virus," said Kasubdin Pelayanan Kesehatan and the Nutrient Dinas Kesehatan Riau Burhanuddin Agung to riauterkini in Pekanbaru, on Thursday (17-4).
The four residents who originally were stated suspect their respective bird flu of two people came from the Siak Regency and two more from the Rokan Hulu Regency.
But only two from Siak that could be reconciled to RSUD Arifin Achmad and was treated in special isolation space the patient suspect bird flu.
Whereas that from Rohul only was given tamiflu furthermore was observed by the closest Community Health Centre.
In the meantime Ketau Tim of the Control of Bird Flu of RSUD Arifin Achmad Pekanbaru Azizman Saad said the two patients suspect bird flu from Siak at once was permitted to come so home results of the laboratory stated the two negatives.
"Earlier immediately came so home we were reported results" of the "Laboratory test the negative," he said when being contacted riauterkini.
(
From Southern Sumatra, Lampung province, woman - Ernawati - suspect bird flu
On Sunday, April 20 2008
Banda Lampung
Infectious diseases: the Resident of Tanjung Seneng was expected by Bird Flu
Banda Lampung (Lampost): the Public Hospital of Abdul Moeloek (RSUAM) Banda Lampung received other the patient was expected (suspect) to be infected by bird flu/avian influenza, on Saturday (19-4).
This time his casualties were Ernawati (27), the resident Turi Raya, Tanjung Seneng, of RT... Banda Lampung.
According to the husband of the sufferer, Ridwan (30), his wife was expected by contact with the kept chicken in his house pen.
At night, the temperature of his body was hot high, coughs, and was accompanied breathless.
Because of the sign that was caused to resemble the AI virus, the next day, on Friday (18-4), was reconciled to the Way Kandis Community Health Centre with blood blood pressure 100/60 and was followed by his kept chicken that died suddenly.
Still according to Ridwan, he maintained the chicken with the special pen that his distance not far from his residence. "Our chicken totalling 10 tails died suddenly," he said.
After the chicken died, on Thursday (17-4), finally the Peternakan Service direct to the field and took the sample from several tails of the chicken.
From results of the inspection, the positive chicken was infected by bird flu.
When being met in the Intensive Care Unit's space (UGD) RSUAM, on Saturday (19-4), Dr. Edy said his side still could not give some sort statements about the patient.
"This bird flu was related to the national news, so not our authority to answer him," said the doctor was on duty at RSUAM. Sedangkan Rahmat, the nurse UGD RSUAM this said at this time his side has carried out the action.
The "patient's diagnostics could not be ascertained at this time."
The sample of his blood will be sent to Jakarta, clear dia.
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