Indonesia: The Latest Human Suspected & Confirmed Cases January 29 + April 6, 2009

[Dutchy]

previous Human Indonesia thread here:

http://www.flutrackers.com/forum/sho...545#post203545



Dead housemaid tests positive for bird flu

Indra Harsaputra , THE JAKARTA POST , SURABAYA | Thu, 01/29/2009 1:46 PM | National

A housemaid who died from a lung infection at Dr. Soetomo General Hospital in Surabaya over the weekend was infected with Avian flu, the hospital revealed Wednesday.

Chairman of the Press Forum at state-run hospital Urip Murtedjo said Sunday that a blood sample taken before the victim's death and sent to the Health Ministry had tested positive for Avian Flu.

The victim, identified only as S, and who is believed to have worked as a housemaid for a family in the city, was transferred from to the hosptical from a private hospital last Friday after suspicions were raised that she was suffering from the fatal disease.

"Initially, we did not know but remained suspicious of the patient's symptoms. After her death, the hospital's medical team sent a sample of her blood to the Health Ministry and the laboratory test result *confirmed* she was infected with the H5N1 virus," he told The Jakarta Post.

Urip said the hospital's medical team had doubted she was infected with the disease after learning the patient was not exposed to poultry at her work place or in her home village in Lumajang.

"This case has received a serious level of attention from the medical team because it is a new phenomenon," Urip said.

Chairul Anwar Nidom, a bird flu specialist at Airlangga University in Surabaya, said it would be foolish to rule out the possibility of an endemic in the city, citing recent outbreaks in Jakarta, West Java, North Sumatra and Banten.

He said his team would continue to research the path the virus was taking across the archipelago to determine which areas were vulnerable.

http://www.thejakartapost.com/news/2...-bird-flu.html

[Dutchy]

More on the child in Sulawesi

On Thursday, 29-01-2009

Maros Child Suspect Bird Flu

Officials Livestock Service Destroyed 79 tails of Poultry

MAKASSAR, BKM -- A child from the Village of Bado-bado, the Bagimange Village, Kecamatan Mandai, Kabupaten Maros, Ansar (5) was forced to be isolated in the ferns building of RSUP Dr Wahidin Sudirohusodo.

He received the maintenance in the special room of the bird flu patient since Tuesday night (27/1). He was expected (suspect) was attacked by the virus avian influenza (AI). Chairman Tim of the Handling and the Control of Bird Flu of RSUP Dr Wahidin Sudirohusodo, Dr Khaliq Saleh said, Ansar was carried to the hospital because of experiencing the high fever, 39 levels celcius.

Also the cough, runny nose and breathless. This condition was experienced by him along with the death 13 tails of chickens belonging to his parents.

Three tails were stated positive H5N1, said Dr Khaliq ended checked the condition for the patient in the ferns building, on Wednesday (28/1).

To confirm whether Ansar positive infected with the AI virus or not, the RS side has taken the sample of blood and his mucus. The sample has been sent to the laboratory in Jakarta. Director Pelayanan Medik and Operational RS Wahidin this hoped, next week results could have been known.

- snip -

Rest of the article is about checking and destroying poultry found to be positive for H5N1.

http://www.beritakotamakassar.com/vi...=Halaman_Utama

[Dutchy]

From Bird Flu Corner (dr Nidoms research team)

Maros, South Sulawesi::: Chickens around bird flu suspect area, culled

MAROS, South Sulawesi – Fishery, Marine and Livestock Service Maros culled approximately 79 birds at Pao-Pao, Bajingmangai, Mandai, Maros Subdistrict.

This action was taken after a villager of Pao Pao suspected to contract bird flu virus. Bird flu rapid team and Participatory Disease Surveillance and Response (PDSR), Isdarjid Madjid stated that action was taken since 4 birds belong to Anwar died on 26 January.

After that another 2 birds in the neighborhood also died. Depopulation followed by flock disinfection action were taken after they confirmed bird flu H5N1 by using rapid test.

Meanwhile, the child bird flu suspected victim, Ansar (5), is now treated at intensive unit of RSUD Wahidin Sudiro Husodo,Kota Makassar. According to Anwar, Ansar’s father, patient had contact with suddenly dead birds.

Head of Health service of Maros, Firman Jaya, announced Ansar as bird flu suspect patient since he develop bird flu like symptoms such as high fever and sore throat.

From Indonesia TV news and newspaper Seputar Indonesia,

http://www.seputar-indonesia.com/edi...iew/208735/37/
http://birdflucorner.wordpress.com/2...t-area-culled/

[HenryN]

Originally Posted by niman

Dead housemaid tests positive for bird flu

Indra Harsaputra , THE JAKARTA POST , SURABAYA | Thu, 01/29/2009 1:46 PM | National

A housemaid who died from a lung infection at Dr. Soetomo General Hospital in Surabaya over the weekend was infected with Avian flu, the hospital revealed Wednesday.
Chairman of the Press Forum at state-run hospital Urip Murtedjo said Sunday that a blood sample taken before the victim's death and sent to the Health Ministry had tested positive for Avian Flu.
The victim, identified only as S, and who is believed to have worked as a housemaid for a family in the city, was transferred from to the hosptical from a private hospital last Friday after suspicions were raised that she was suffering from the fatal disease.
"Initially, we did not know but remained suspicious of the patient's symptoms. After her death, the hospital's medical team sent a sample of her blood to the Health Ministry and the laboratory test result *confirmed* she was infected with the H5N1 virus," he told The Jakarta Post.
Urip said the hospital's medical team had doubted she was infected with the disease after learning the patient was not exposed to poultry at her work place or in her home village in Lumajang.
"This case has received a serious level of attention from the medical team because it is a new phenomenon," Urip said.
Chairul Anwar Nidom, a bird flu specialist at Airlangga University in Surabaya, said it would be foolish to rule out the possibility of an endemic in the city, citing recent outbreaks in Jakarta, West Java, North Sumatra and Banten. He said his team would continue to research the path the virus was taking across the archipelago to determine which areas were vulnerable.

http://www.thejakartapost.com/news/2...-bird-flu.html

Updated map

http://maps.google.com/maps/ms?hl=en...1,3.032227&z=8

[Dutchy]

More from Maros, Sulawesi

Thursday, 29 Januari 2009

Maros Bird Flu Patient Still Treated

MAROS, TRIBUN - the victim of bird flu or avian influenza, Ansar (4), still was treated in the Public Hospital Dr Wahidin Sudirohusodo.

The first child Arsyad that lived in the Village of Baddo-Baddo, Desa Bajimangai, of Kecamatan Mandai, Kabupaten Maros, was treated since yesterday.

Ansar had also been treated in the Daerah Public Hospital (RSUD) Salewangang, Maros, through to finally was reconciled to RS Dr Wahidin.

Ansar it was known suffered bird flu after being checked by the team of the Maros Health of the Service.

Ed, Definition of "suspect bird flu" here:

Bird flu was an infectious disease that was caused by the influenza virus that was spread by the poultry that could attack humankind. The other name from this illness in part avian influenza. A suspect case was someone who suffered ISPA with the sign of the fever (temp > 38 Celcius levels), the cough and or was sick the throat and or had nasal mucus.

As well as with one of the situations, for the last week visited a farm that was contagious klb bird flu, contact with the case of confirmation of bird flu in the spread period, and worked to a laboratory that was processing the human specimen or the animal that it was suspected suffered bird flu.

Beforehand, the chicken was belonging to Arsyad found died suddenly because of the bird flu illness.

Yesterday, as many as 79 poultries were belonging to Arsyad destroyed. Consisted of 78 tails and a bird.

"My child was still being treated in isolation space ," he said and added if all of his poultries that were destroyed will be replaced by the government with the Rp payment 20 thousand a tail. (*)

http://www.tribun-timur.com/read/artikel/8240

[Dutchy]

Under the radar an outbreak of H5N1 in poultry in Yogjakarta (Central Java), 2 "fever patients" mentioned, no details. A snip from a report from jan 4 this year:

That increasingly alarmed, apart from 80 chickens died , two children of the owner of the chickens that died, now were suffering the fever. Already the last few days, the adolescent was 18 years old and 15 years had a temperature.

Because the local resident afterwards reported this case to the government. Although the possibility of the fever not necessarily had the chicken relationship died because of AI, but the community increasingly was on the alert and be careful. The chicken that died was at once burnt and buried. None was brave slaughtered to be eaten.

http://www.vet-indo.com/Berita-Umum/...nak-Demam.html

[tropical]

#511-514:
"Urip said the hospital's medical team had doubted she was infected with the disease after learning the patient was not exposed to poultry at her work place or in her home village in Lumajang.

"This case has received a serious level of attention from the medical team because it is a new phenomenon," Urip said."


The above seems suggested that
- it was exposed to infected poultry droppings inhaled dust at the village streets
- or she got it directly by air droplets from an infected human

[Dutchy]

Originally Posted by tropical

#511-514:
"Urip said the hospital's medical team had doubted she was infected with the disease after learning the patient was not exposed to poultry at her work place or in her home village in Lumajang.

"This case has received a serious level of attention from the medical team because it is a new phenomenon," Urip said."


The above seems suggested that
- it was exposed to infected poultry droppings inhaled dust at the village streets
- or she got it directly by air droplets from an infected human

Actually it is not new, we seem to have problems regarding diagnosing avian influenza in Indonesia for some time, among others:

- "Stealth chickens " , a-symptomatic poultry could spread the virus, without triggering the attention of the doctors to bird flu, no chickens which "died suddenly";

- The virus could spread in all kinds of ways, especially in cities, even through the air indeed. Live markets, trucks loaded with chickens riding through the streets, etc. Not every (severe) respiratory case seems to be tested for avian influenza.

Serosurveillance studies are being carried out, by dr Nidom from Surabaya University and in Tangerang, the Pilot Project.

Did not see results from these studies, but we all remember dr Nidom stating that a large percentage (>50%) of the Jakarta inhabitants could have anti-bodies for avian influenza.

[HenryN]

Commentary

http://www.recombinomics.com/News/01..._Lumajang.html

[AlaskaDenise]

Originally Posted by niman

Commentary

http://www.recombinomics.com/News/01..._Lumajang.html

Commentary

Confirmed H5N1 Case in Indonesia Lacks Poultry Link
Recombinomics Commentary 09:11
January 29, 2009


Urip said the hospital's medical team had doubted she was infected with the disease after learning the patient was not exposed to poultry at her work place or in her home village in Lumajang.

The above comments describe the latest lab confirmed H5N1 case in Indonesia (see updated map). The absence of a poultry link is cause for concern. The level of H5N1 in poultry in Indonesia is high, but the lack of OIE reports since 2006 from Indonesia limits specifics.

Similarly, the delays in reporting confirmed cases by Indonesia and WHO complicates analysis in humans. The WHO has not issued a situation update for confirmed cases, and since Indonesia has imposed a news blackout on cases, the updates lag disease onset dates by weeks or months.

Moreover, misdiagnosis of cases in clusters has also contributed to a serious undercount. The Ministry of Health has denied index cases diagnosed as lung inflammation, dengue fever, or typhus, even after family members have been H5N1 confirmed.

The latest lab confirmation of a patient without known poultry exposure suggests the undercount in Indonesia is markedly higher than reported confirmed or suspect cases.

.

[tropical]

#519:
"Did not see results from these studies, but we all remember dr Nidom stating that a large percentage (>50%) of the Jakarta inhabitants could have anti-bodies for avian influenza."


Thanks Dutchy.

If the above figured out to be correct, than now the human organism in the endemic avian bird flu virus zones are mainly accustomed to that virus, so the deadly episodes are more sporadic than spreadings (?)
apart this, than the new dangers could came mainly from an human form of bird flu which seems/maybe to not exists at the moment

[Shiloh]

Source: http://www.jawapos.co.id/radar/index...tail&rid=61467
Radar Jember
[ Kamis, 29 Januari 2009 ]
Tim Dinkes Jatim Datang ke Lumajang
Kematian Korban Flu Burung Sumberwuluh

Machine translation:
The Jember radar
[on Thursday, January 29 2009]
the Team of Dinkes East Java came to Lumajang the Death of casualties Sumberwuluh Bird Flu

LUMAJANG - the Case of bird flu that resulted in the Sutini death, 18, villagers Sumberwuluh, Kecamatan Candipuro, up to now still are becoming attention of the Health of the Service (Dinkes) Lumajang.

Moreover, the team of Dinkes East Java, yesterday also could come to Lumajang to know the last condition concerning this case. Although could come, this team did not take part in inspecting the location or coming to casualties's residence.

According to the Dinkes Lumajang Head Dr Buntaran, the team of Dinkes East Java at once asked for the last data concerning the condition in this location. "Because information from us it was considered sufficed, they not to descended to the location," he said. He admitted up to now the team from the province does still not receive results of the laboratory. "The bird flu diagnosis was not easy," he stated.

Explained, the bird flu was suspect or it was supposed. When suspect, there were several signs that were felt. Afterwards probable with various sign sorts that were felt by him also. "After that just entered confirmation or konfirm." If entering the stage, meant serious bird flu, he added.

For the case that struck Sutini, according to him, still in the stage suspect or it was supposed. "Because results" of "his laboratory did still not go out," he said. If results of this lab went out, it was confirmed the Department of the Health will give the direct statement.

According to Buntaran, the case that happened this time was responded in a careful manner to by related sides. This matter because of being related to the international community, so as all of them must be carried out in a careful manner and not reckless.

The "monitoring was still continuing to be carried out by us," he said. Moreover, continued he, the co-ordination every day continued to be carried out with the community health centre side around. However till at this time himself admitted to not having the report concerning the discovery of the sign of bird flu. This observation was carried out to anticipate increasingly the widening of the case of bird flu. "If descending the report that that was the case" of "bird flu, minimal until this we carried out various anticipation," he said. (wis)

[Dutchy]

PRT Positive Bird Flu, Died in RSU Dr. Soetomo

Thursday, January 29, 2009 |

SURABAYA-SURYA- Nidom: Virus Still Misterius.

The bird flu disease continues to threaten the people of Surabaya. The threat of death is marked with a bird flu patient in RSU Dr. Soetomo, Saturday (24 / 1) ago.

She is Sutini, Lumajang origin. Patients known to be living and working as domestic worker in the North Darmo Permai was RSU Dr. Soetomo based on reference from another hospital in Surabaya, Friday (23 / 1).

Head of the Emergency Care Installation (IRD), dr Urip Murtedjo SpB-KL express Sutini patients into RSU Dr. Soetomo already in bad condition. He died after obtaining treatment in the IRD.

"We have not specifically deal with, because the observations and the patient did not have a history contact with poultry," said Urip.

Patients positive note the positive bird flu on Tuesday (27 / 1), after the team doctor to receive results of laboratory examination. Previously, the team doctors suspect that the condition of the patient who has experienced pheunomonia take samples of blood and snot to be sent to the laboratory.

"Based on the results of Regional laboratory and Laboratory of Department of Health in Jakarta, she is positive (bird flu)," Urip confirmed.

Meanwhile, bird flu researcher Dr CA Nidom Unair stated that the threat of disease in the city of Surabaya has been based on my research that has been done.

Therefore, it remains the bird flu virus if it is a type of virus, which continues to mutate. "The victim said that rarely go out, but still could be bird flu, the question is what is this? As researchers we mangingatkan virus is still mysterious, so do not rely solely on vaccination to prevent it, "Nidom firm.

Based on research with the research team University Airlanga, Nidom get 213 groups H5N1 virus is spread the virus in poultry in West Java's Surabaya.

"I do not know whether the results of research related to the fall of the victim, now depends on the authorities, but as researchers we should not disregard them," added Nidom.

To anticipate the fall victim Nidom other people and the government hopes more attention to regulation and market environment to maintain the household.

http://www.surya.co.id/2009/01/29/pr...su-dr-soetomo/

TT is out here, Google translated

[HenryN]

Originally Posted by Laidback Al

Tini Suhartini (54) - Sym: (?) Died: 5/9 from Sumedang was never confirmed by WHO.

Missing from the table is Sutinah (29F) from Tangerang Selatan who died on 12/16/2008 and was confirmed by WHO.

http://www.who.int/csr/don/2009_01_22/en/index.html

It is an interesting side note that this Indonesia situation update from WHO is missing from the cumulative list of updates shown on the page at this link:

http://www.who.int/csr/disease/avian.../en/index.html

Is this a clerical oversight or a deliberate omission?

Flu fatigue.

[Shiloh]

Source: http://suaramerdeka.com/smcetak/inde...itacetak=49765

SEMARANG & SEKITARNYA

01 Februari 2009
Tiga Bocah di Bringin Demam Mendadak
* Sebelumnya Puluhan Ekor Ayam Mati

Semarang & SEKITARNYA
On February 01 2009
Tiga Bocah in Bringin Demam Mendadak
* Sebelumnya Puluhan Ekor of the Mati Chicken

GROBOGAN - three children in the Bringin Village, Desa Plosorejo Kecamatan Tawangharjo suffered the sudden fever, on Thursay afternoon (29/1). The fever that was accompanied pilek and the headache will not become strange if beforehand did not have the incident of dozens of tails of the chicken died suddenly in this village.

The three children were Adi Priatmoko bin Parsito (1.5), Nazwa Nabila bin Khoirudin (3), and M. Faizal Amir bin Mujianto (3) immediately was checked by the Districk Surveyor Officer team (DSO) that was the combination of the official of the Health as well as the Peternakan Service and fisheries of the Service. However, the possibility of the child of suffering bird flu up to now did not yet have the assurance.

“Untuk confirmed the condition for the child, the Kesehatan Service joint team and Livestock Breeding was immediately dropped. However still could not be known whether the child was infected by the bird flu virus or not, we were still monitoring the development kesehatannya,” the headword of the doctor Bambang Pudjianto of the Health Service went through the Head of Sector P2PL the doctor the jeweller the Space, on Friday early afternoon (30/1).

Named, if their condition gradually improved then the suspicion that the three of them were attacked by bird flu could was ignored. However if the condition for his health descended, they will immediately be treated in RS. Menurut Johari, to be able to confirm someone suffered bird flu, needed the long stage. One of them was the blood inspection, in fact must be carried out in the laboratory Department of Health Jakarta.

Bird flu

Section Head Peternakan and fisheries (Disnakkan) the veterinary surgeon's Regional Government the Leader Murdowo said, dozens of tails of the chicken that died in the Bringin Village postif was affected by bird flu. Therefore, his side immediately carried out extermination efforts, spraying disinfektan, and giving of the poultry vaccine in the location of the incident.

Disnakkan will also continue to monitor the development of the condition for the animal in this place. Kades Plosorejo Masidi said, at least 20 chickens died suddenly in his territory. Followed afterwards three fever pre-schoolers suddenly after the discovery of the chicken was killed this.

In the meantime, according to Kustini, the mother Adi Priatmoko, the condition for his child currently gradually improves. His child also received medical treatment in a manner enough of the officials of the Health of the Service. Nevertheless, Kustini continued to hope the official controlled routinely the condition for the health of the local resident. That was done by the reason had the concern of the bird flu virus spread that was marked by the death of dozens of tails of the chicken suddenly. (H41-71)

[Dutchy]

Rupingah Stated Negative Bird Flu

After receiving the maintenance in the Public Hospital (RSU) Banyumas, Rupingah (53) villagers Wiramastra Kecamatan Bawang Kabupaten Banjarnegara had finally been stated negative suffered the bird flu illness.

The assurance of results pemerikasaan that was based on the certificate from RSU Banyumas. In the letter that dita you handled by the chairman of the team of the handling of the bird flu patient of RSU Banyumas Dr. Hery Agoestono, Sp PD. “ was in this letter explained that Rupingah was stated did not suffer bird flu and only suffered normal flu,” the community health centre headword of Ii Bawang Dr. Trinovia andaningsih through his staff Dr. Anis marfuah As is known beforehand Rupingah on Sunday (18/1) held contact with his kept chicken that died suddenly and was stated positive was affected by the virus H5N1 this.

In the afternoon him he felt the fever that was accompanied breathlessly, the cough and pain of the heart upstream. “ Semula Rupingah was brought to the Wanadri community health centre, afterwards was reconciled to RSI and RSUD Banjarnegara before finally was reconciled to the Banyumas Public Hospital, ” he added.

The representative Banjarnegara Regent Drs. Soehardjo MM when carrying out the working visit to the Community Health Centre of Bawang Ii ask for to the community health centre side to take part in calming the resident lest the unrest happening. “ Surat Keterangan from the Banyumas hospital immediately disosialisakan so that the resident no longer is restless with rumours of bird flu, ” ordered wabup.

Wabup also ask for to the related service also held the inspection and the socialisation to the local resident related rumours of bird flu. “ Segera held the co-ordination between the community health centre side and the related side to mensosialisasikan about the bird flu danger as well as the method pencegahanaya, ” pungkas Wabup.

http://www.banjarnegarakab.go.id/men...rticle&sid=474

See earlier reports: # 472 / 473 / 474

[sharon sanders]

hat tip Senior Moderator Dutchy for related reports 2 weeks ago:

http://www.flutrackers.com/forum/sho...&postcount=464

http://www.flutrackers.com/forum/sho...d.php?p=202886




hat tip Senior Moderator Fla Medic for this blog -






Indonesian Media: Two Suspicious Deaths In Bogor






# 2737





By way of the Bird Flu Information Corner - a joint endeavor between Kobe University, Japan and Institute of Tropical Disease, Airlangga University, Indonesia - we get two Indonesian media reports tonight regarding an investigation into suspicious deaths that occurred in Bogor, Indonesia two weeks ago.

Bogor is a small town located about 40 km south of Jakarta.

Based on the two articles below, it appears that two patients - sisters - died last week from that area after being admitted to Persahabatan Hospital, in East Jakarta.

Both were `strongly suspected' of being infected with the bird flu virus. Health officials, according to the second article, are taking blood samples in the area.

Contacts of the victims were provided with Tamiflu.

If any results of these tests are known, they haven't been disclosed by the Ministry of Health.

A big Hat tip to Bird Flu Information Corner for finding and translating these articles.

Bogor, West Java::: Chicken outbreak and bird flu suspects sister


February 1, 2009 Headline news, MetroTVnews.com 2 Febuary 2009.
Bogor – Agricultural service, Bogor, West Java, culled hundreds of birds in Kelurahan Kedung Badak, Kecamatan Tanah Sareal Bogor (1/2) since bird flu has killed number of chickens on that area.
One week before two patients of Cilendek Timur Bogor, died after treated at Persahabatan hospital, East Jakarta. They both strongly suspected to be infected by bird flu.

Health service collects blood samples
31-01-2009 15:08 WIB
Meanwhile, Health service of Bogor took blood sample of people around the bird flu victims neighborhood who died last week (1/16), Nurul Hikmah and her sister Ruslani (30), the residents of Cilendek barat RT 3/8, Cimanggu Barata Bogor.

Blood samples are examined by Research and Development Laboratory of Healt Ministry and Eijkman Institute. This is the first time bird flu case is found in Bogor.

Nurul Hikmah died after 2 days treatment at isolation unit of Persahabatn hospital. She was treated at Karya Bakti Bogor hospital before admitted to Persahabatan hospital. Nurul died after developing respiratory failure and worsening lung function. Medical record showed dark spots in her lung.

Bird flu District Surveillance Officer, Health service Bogor Dwi Sutanto said that victim buried at the same night she died.

“While waiting laboratory test result, we gave Tamiflu to everyone who had contact to the patient. Including Karya Bhakti and Persahabatan hospital medics and victim’s family”, he said.

[Dutchy]

Translation of the original article summarized in Bird Flu Corner and crossposted in Avian Flu Diary.

The taking of bloodsamples from neighbours and other inhabitants with flu like symptoms indicates one or both sisters who died were tested postive for avian flu. This is a standard procedure only in case of positive testresults.

The first report from Jan 17 mentioned a visit to a Zoo by the Nurul Hikmah previous on her illness; the Zoo did not come back in the 2nd report.


31-01-2009

After the Death of Suspect Bird Flu Victim in Cilendek

Department of Health took Blood Samples of Residents


Bogor - Post the death two related Nurul Hikmah and her older sister of Ruslani (30), the resident Cilendek West RT 3/8 Bogor West the Bogor City that was expected because suspect bird flu, the Team of the Centre of the Control of the Department's Bird Flu of the RI Health yesterday carried out the taking test of the sample of the resident's blood around casualties's house.

The taking of the sample of the resident's blood was carried out in the Taklim Alfurqon Council, was not far from the house of casualties's family.

The inspection of casualties's neighbour seharusnsya was carried out by the routine. Because for the case of bird flu, we were not enough only did very much the inspection ,” said Chairman Tim of the Control of Soni Bird Flu to the Bogor Radar that came to the location of the taking of the sample of blood of casualties's neighbour.

The resident who was taken the sample of his blood covered you and the youth group. The sample of their blood furthermore was tested by the Penelitian Dan Pengembangan Kesehatan Body that afterwards was compared with results of the test in the Eijkmen Laboratory in the Indonesian University. In two following days results of this test could have been known.

The taking sample blood was done to all the resident that experienced was sick the fever and flu in one RT 03 with the safe radius of one location in RW 8. However still had the resident that reluctantly treated the fever that was suffered by him.

This that demanded the hard work of the official to persuade him and ask him to the location of the inspection. The team of the inspector consisted of four people, respectively two from Balitbangkes, one person from Subdit Zoonosit Departemen of the Health and one person from the centre of the control of bird flu.

Now from the Kesehatan Service of the West Javanese Province also carried out the survey to the location was on the alert bird flu in Bekasi and Sumedang.

Because of being not yet received by certain results, Soni made a plea so that the resident stays calm and not restless. “ Sampai Sekarang did not yet have the case of the spreading of bird flu that was caused by the existence of contact between humankind, ” clear Soni.

Anticipated the matter that was not wanted, the Department of Health also appealed to the community to not consider the flu illness unimportant. The community must immediately take medicine to the closest Community Health Centre to receive medical treatment. “ This illness could be cured how come, his handling origin was fast. But the community would often underestimated. If being serious, just took medicine.

That was wrong ,” firm Soni. Since 2005, early of the discovery of bird flu to humankind, the Bogor territory just this year was found by the case of the patient suspect bird flu until dying. This incident must receive big attention from the Kesehatan Service of the Bogor City to anticipate further the spreading of the virus H5N1 this, especially in the rain season as it is now.

Section Head Kesehatan of the Bogor City Dr Triwanda Elan also reminded the community might not restless because of being not yet proven by the cause of his death bird flu. But that more was needed was to increase vigilance by maintaining the cleanliness of the environment.

“ When had the livestock was sick or died suddenly must as soon as possible lapor to the official. When was that felt was sick flu, the cough and the fever also as soon as possible were carried to the official of the health as well as must always maintain the health of his kept animal, ” clear Triwanda.

http://radar-bogor.co.id/index.php?a...MjA=&click=MTI

For the record: original (translated) report from MetroTVnews:

02 Februari 2009

In Boger Hundreds of Poultry Destroyed

Metrotvnews.com, Bogor: the Service of Pertanian Kota Bogor, West Java, destroyed hundreds of poultries in the Kedung Badak District, Kecamatan Tanah Sereal, Ahad (1/2). His reason was found by the bird flu virus that killed dozens of poultries.

The voluntary resident handed over his poultry to be destroyed. The poultry beforehand destroyed and was put into the previous hole was burnt.

The official also sprayed disinfectant to the poultry pen to anticipate the spreading of the virus.

A week beforehand two residents Cilendek Timur, Kota Bogor, died after being treated in the Persahabatan Hospital, Jakart Timur. Expected strong both of them contracted the virus H5N1. (**)

http://www.metrotvnews.com/main.php?...erita&id=75650

link leads to video

[Dutchy]

Chickens in Kedungbadak Positive Bird Flu

on Monday, February 02 2009

Dozens Of chickens died, It Was Supposed to be NewCastle Disease

The Avian Influenza VIRUS (H5N1) - alias bird flu in the Bogor City increasingly threatened and spread.

After two Bogor inhabitants died with the assumption of bird flu, yesterday the resident was again thrown into turmoil with the discovery of the positive poultry bird flu.

Last week, 50 chickens in RT 01 RW 02 Kedungbadak Kecamatan Tanah districts sareal died suddenly. Initially the resident thought the chicken - the chicken was affected by Newcastle disease. Did not care the carcass - the chicken carcass was thrown away to the river that his water current did not flow because dirty like the place of the waste.

The report was then sent to the Pertanian Service to be researched. Results, one of the chickens was in the village stated positive was affected by the bird flu virus. "Was thought By me Newcastle disease." My chicken personally already 26 that died, "said Intun the owner" of the "chicken coop that was sprayed disinfektan to the Bogor Radar."

Yesterday, several officials from the Pertanian Service (Distan) and the Muspika rank combed dozens of chicken coops belonging to the resident. One by one the pen - the pen was sprayed disinfektan and some of them were destroyed by means of being burnt. The amount reached 36 tails.

The activity then became the resident's show.
Kasi Kesehatan of the Community and Veteriner (Cash-mavet) Distan Kota Bogor drh Arif Mukti explained, the Bogor City entered the area of the danger considering entered the rain season because the bird flu virus developed in the humid area. Was "made an effort to get established the chicken coop in the area that was enough to get the sun rays," he said.

Arif appealed to the owners of the poultry to pay attention to his chicken coop to establish the chicken coop was not supervised trees. Got konvensasi? The "Extermination" of the "poultry did not get konvensasi anything and was carried on the awareness" of the "community out," said Arif.

http://www.bogor.net/berita/seputar-...tif-flu-burung

[HenryN]

The patient Suspect Flu Burung Meninggal Bogor - the Patient suspect bird flu, Nurul Hikmah (27), blew out the last breath on Friday night (16/1). The resident Cilendek Barat this died only several hours after entering isolation space, to be precise struck 20:25. Nurul Hikmah was sent to RS Persahabatan Jakarta on Friday (16/1) because of having the sign similar to the bird flu patient. Beforehand he was treated two days in RS Karya Bhakti. Nurul died because of experiencing the failure of breathing and perburukan the function of the lungs because of being gotten spotty black on his lungs. Nevertheless, still could not be ascertained if himself terjangkit bird flu because of results of the laboratory test H5N1 from the Penelitian Dan Pengembangan Kesehatan Body (Balitbangkes) did not yet go out. Distric Surveillans Officer (DSO) Dinas Kesehatan Bird Flu of the City Bogor Dwi Sutanto said, casualties were at once buried that same evening. "While being waiting for results" of the "laboratory test, we gave Tamiflu to all the person that contact with the patient." Including the official RS Karya Bhakti and RS Persahabatan, also all of the patient's family, he revealed.
Officially Agribisnis also checked around the last residence casualties, that is in the Cimanggu Barata Region. However was not found by the existence of the poultry died, both suddenly and not. Dwi admitted to not yet getting the clear report when and where the occurrence of the spread if later results of the laboratory test showed positive bird flu. The matter is, from the husband's information of casualties Alexander Jeffri, last January 4 casualties could visit the Ragunan Zoo. During so Alex suspected contact between casualties happened to the poultry. However when seeing the length of the reaction that it was demonstrated, there was the possibility of the illness that was suffered by casualties not bird flu. Before dying, casualties could be treated two days in RS Karya Bhakti. However his condition increasingly worsened and was suspected terjangkit bird flu because of having the same sign, so as immediately was brought to RS Persahabatan. "To determine the further action, depended results" of the "inspection in the laboratory." That was certain, we continued to increase vigilance and to continue to coordinate with each centre of the official also health service related, pungkas him. (the trip)

http://radar-bogor.co.id/index.php?a...NDc=&click=OTI=

[HenryN]

Commentary

http://www.recombinomics.com/News/02...r_Cluster.html

[lili]

Indonesian suspected of having avian flu

Posted on: Wednesday, 11 February 2009, 10:48 CST
Authorities in Indonesia awaited the results of blood tests to determine if a resident of a village known for cockfighting has contracted avian flu.
The illness of Putu Pranayoga, 20, may signal the first human case of avian flu, commonly called bird flu, in Bali since a 29-year-old woman died of the disease in August of 2007, The Jakarta Post reported Wednesday.

The virus was first detected a week ago when a villager reported the nearly simultaneous death of 15 fowls that all ended up testing positive for avian flu.
We have culled 133 fowls so far, including the 40 we aim to finish off today, said I Made Badra, head of the Badung Animal Husbandry and Fisheries Agency in Jagapati.
The Indonesian government has banned unlicensed live-animal transportation into Bali as well as cockfighting, but the sport remains a staple on the island.


http://www.redorbit.com/news/science...flu/index.html

[Dutchy]

Just a snip on the suspect bird flu patient on Bali Island, his condition seems not to improve:

Meanwhile, the condition of Putu Prana Yoga, the patient suspect bird flu in the series is, until yesterday afternoon as the previous day. In fact, conditions can be spelled a bit worrying because starts vomiting. "Earlier finished vomiting. But it hot, cold and still pernafasannya like yesterday (Sunday)," said Wayan Kodi, father of Prana Yoga.

http://www.jawapos.co.id/radar/index...tail&rid=64548

[Laidback Al]

Originally Posted by Dutchy

Dep of Health does not update regularly, here an update from what seems a reliable source. Sorry for the ugly Google translation.

Four more cases confirmed.



Waspadai Bird Flu pandemic

Wednesday, 11 February 2009

BATU (Sindo) - Society Jatim be required to further increase awareness merebaknya against H5N1 virus or avian influenza / flu burung.Pasalnya, the virus that spread through poultry at any time can attack the human body.

Deputy Coordinator of the Ministry of People's Welfare Coordination of Population Health and the Environment Emil Agustiono explains, in addition to the threat of diseases that kill, that should also be a very bird flu pandemic. "The virus is a bird flu pandemic of the bird flu virus from human to human," he said in the Handling of Bird Flu pandemic in East Java, in the City of Stone kemarin.Hadir in this event, among others, the Chairman of Unicef for the East Java, Bali, NTB, and NTT , Jinung D Kritanto.

He explains, in a world known health flu.Pertama three types of virus, the virus flumusiman, virusinibiasamenyerang the human body, is not dangerous, but quickly menular.Kedua, namely burung/H5N1 flu virus, does not easily spread, but very dangerous because it can kill the body manusia.Yang last is the type of flu virus that originated from the bird flu virus mutation. "For the third category, the type of dangerous virusnya and death.

East Java province ranks to national-6 in this case. Eight people from bird flu, killed five people, "said Emil. He also reminded the local officials in order to continue observing the development of the spread of this H5N1 virus. Can the local government (local government), he said, among other birds to do the restructuring, to make regulations on the sale of poultry, and most importantly, continue to remind the community to continue to keep the cage unggasnya.

Head of Unicef for the East Java, Bali, NTB, and NTT, Jinung D Kritanto added, Unicef continues to actively participate in prevention efforts to the spread of bird flu. Basic steps are carried out the program within the community to continue cautious spread of the virus is vicious. "We just want to add that local governments in the area of concern that the traditional market becek.Sebab, the spread of bird flu virus is more easily in humid areas and tarnish," he said.

He explains, according to the Ministry of Health of RI 2005-2009, the number of people with bird flu reached 145 inhabitants and 119 patients declared dead.

At the beginning of the spread of H5N1 virus in Indonesia is concentrated in 12 provincial areas. But in its development, the possibility has been spread on the area outside the 12 areas that have been classified as endemic bird flu virus is.

"We imbau to the people who have poultry in order to continue to keep the water kandangnya.Cukup with the rest of the washing detergent can be used for poultry cage clean. Nature of water detergent can kill virus H5N1, "a Jinung. (adi Saputro maman)

http://www.seputar-indonesia.com/edi...iew/212660/37/

As of January 22, 2009, WHO has confirmed 141 cases in Indonesia with 115 fatalities as indicated in the last WHO update for Indonesia. http://www.who.int/csr/don/2009_01_22/en/index.html

A breakdown of these confirmed cases by province is presented in this post. http://www.flutrackers.com/forum/sho...2&postcount=95

The announcement above indicates that at least four other people in Indonesia have been locally confirmed with bird flu. All four of these "locally confirmed cases" have died. These deaths would have occurred after Jan 2, the last reported death in a WHO update.

There have been a number suspected cases since Jan 2, but the three listed below died and are likely to be officially confirmed in the future. Perhaps someone else has other suspected individuals that may have died from bird flu.


Ruslani, Bogor, died Jan 16, 2009?

Nural Hikmah, Bogor, died Jan 16, 2009

Sutini, Surabaya, died Jan 24, 2009

[Commonground]

Toggletext:

The East Java province occupied the 6th place national in this case. From eight bird flu sufferers, died five orang,” Emil's words. He also warned to the official in the area so that pay attention to continued the development of the spreading of the virus H5N1 this. That could be carried out by the regional government (the regional government), said he, including carrying out the restructuring of the poultry, made the regional regulation about the sale unggas,dan that important was to continue to remind the community in order to continue to maintain the cleanliness of his poultry pen.

Hi Al, I don't get too caught up in the statistics, but I have:

Eka (3 mos) Adm: 2/5 Died: 2/6 (no confirmation)

Napsiah (43) Adm: 1/17 Died: 1/17 East Cengkareng, West Jakarta. (no confirmation)

Ela (35) Adm: 1/22 (tested negative) Cirebon, Bekasi

RP (5) - Adm: 1/11, Wonogiri

DN (6) Adm: 1/12, was using oxygen & heart monitor the last I knew...Kendal.

Ansar (5) S. Sulawesi

AR (27) Adm: 1/13 Riau, Batam, was very critical upon adm, unconscious. (negative)

[Dutchy]

Confirmation from Koran Tempo on the number of confirmed human cases in Indonesia mentioned in post # 46, apparently they went to the same press conference.

http://www.korantempo.com/korantempo...156530.id.html

[ironorehopper]

[Google Raw Machine Translation from Indonesian to English; see for reference original text below - EDITED - IOH]

Headline News / Metropolitan / Sabtu, 14 Februari 2009 20:07 WIB


Metrotvnews.com, Bekasi:

Four people Sukamulya Village, District Sukatani, Kabupaten Bekasi, West Java, after suffering a high fever ... infected poultry suspected of bird flu virus. Indeed, about three days ago, 42 head of poultry died instantly property.

When the sample is taken by local agencies is a positive poultry bird flu virus is exposed.

The four village residents Sukamulya is given tamiflu by medical teams from the local health clinic to ease their hot bodies.

However, until now four people have not been brought to the hospital because it is still awaiting results of blood tests.
-
http://www.metrotvnews.com/tberita.p...erita&id=76586
------

[ORIGINAL TEXT]

Metrotvnews.com, Bekasi: Empat warga Desa Sukamulya, Kecamatan Sukatani, Kabupaten Bekasi, Jawa Barat, menderita panas tinggi setelah mengonsumsi unggas yang diduga terkena virus flu burung. Memang, sekitar tiga hari yang lalu 42 ekor unggas milik warga mati seketika.
Ketika diambil sampel oleh dinas setempat unggas tersebut positif terkena virus flu burung. Keempat warga Desa Sukamulya tersebut sudah diberi tamiflu oleh tim medis dari puskesmas setempat untuk meredakan panas badan mereka. Namun, hingga kini keempat warga belum dibawa ke rumah sakit karena masih menunggu hasil tes darah.(DOR)
-
------

[Commonground]

Six residents Sukatani was expected by Bird Flu

By Republika Newsroom
Senin, 16 Februari 2009 pukul 14:02:00

Bekasi -- six villagers Sukamulya, Kecamatan Sukatani, of Kabupaten Bekasi were expected susfect bird flu. This condition happened following 50 kept chickens the resident in this area died suddenly.

Currently the condition for the body of the six residents is still hot high but did not yet receive the maintenance. Dozens of chickens that died suddenly this happened since last Thursday (12/2). However chickens that died suddenly that not was destroyed, but was thrown away to the river current and the rest were consumed by the resident. It was not again doubtful, the resident that mengonsumsi the chicken penyakitan that then spread his illness to the resident.

Following the sensational incident this resident, the official from the Kesehatan Service and the Service of Peternakan Kabupaten Bekasi direct to considered to the location of the incident.

Further, the official at once took the sample of blood from 25 residents in this subdistrict last Saturday (14/2). Results will be known around two weeks more.

Dinkes and the Service Peternakan Kabupaten Bekasi also did rapid the test in the location of the incident. From results of this test, the Peternakan Kabupaten Service named the poultry that died this terjangkit the bird flu virus. According to the Sub-district Head Sukatani, Saleh Suhasbi, today was carried out by spraying disinfektan all over the chicken coop belonging to the resident. We were still making an effort to ask the resident in order to give his poultry willingly was destroyed. Unfortunately the resident asked konpensasi if his poultry must have to be destroyed, he said.

Sahroni one of the residents mentioned, his child of Ipin (10 years) also suffered hot tinggi.Selanjut him he memeriksakan his child to the closest community health centre, but up to now did not yet have results. The official in the community health centre suggested his child was again taken came home.

[Commonground]

Indo: Bekasi

Monday, 16 February 2009 at 16:01:00

BEKASI-Six people Sukamulya Village, District Sukatani Kabupaten Bekasi, West Java, is suspected of being infected influeza avian virus or bird flu. Now, their blood samples to a laboratory diperiksakan Ministry of Health.

Head of Disease Control and Environmental Health Office Penyehatan Kabupaten Bekasi dr Rudi Ruhdiat, said the results of blood pemeriksan sempel can be two more weekends. The six residents is that they make close contact with poultry postif positive avian influenza type H5N1. "They were the owners and mengonsumsi AI-positive birds," said Rudi, Monday (16 / 2).

Sampling was conducted Saturday (14 / 2) and, to the 25 people of the Village Sukamulya. At the same time, only five people who allegedly infected. Sampling is done because the previous two days, there are 42 chickens belonging to residents of sudden death. Public Health and Animal Husbandry to the test in the rapid location of the incident states that poultry, poultry died suddenly positive avian influenza. Poultry that died suddenly was not destroyed, even to the river are removed, and some did not want to be consumed as losers.

Until today, Monday (16 / 2) of suspected bird flu continues to grow. Bocah age of 10 years, Ipin, allegedly infected with the virus. "This morning he was hot and we take it to a health clinic," said Syahroni, father of the victim. He also added that if health does not improve, he added, in two days will be referred to the hospital special bird flu Sulianti Suroso, East Jakarta.

Rudi said Ipin and other citizens terinfekasi virus avian influenza (AI) type H5N1 through the air. Penularannya occur through direct contact with the AI-positive birds, breathe in the dirt after the chicken, snot, and blood of chickens that have become dry. Virus and attack the lungs, and symptoms appear hot and high fever.

According to Rudi, the status suspek bird flu was to the six residents received from results of the test of the public health laboratory belonging to the Department of the Health, in Bandung. Officially Kesehatan of the Bekasi Regency also gave medicine tamiflu to Ipin, the newest patient suspek bird flu. His dose - 1/2 the tablet in a day, with the consumption period five days. The village head Sukamulya. Only, medicine tami flu that was distributed long stock, supplies since 2005 that the taking effect period ended this February. Apart from Ipin, there was one family that mengonsumsi the chicken was infected by AI. Meraka was, Sri Rahayu, Jema, and Arni. When seeing his chicken was sick, immediately was cut off then then was cooked. The spread of bird flu was against the three residents expected through the sprinkling of chicken blood that dried up when being cut off. The other resident who took part in being infected was NY Ita, the mother from Ipin. Suspected of being infected through the waste of the chicken around his house. The other resident who currently in the supervision is the Father Ipin, Syahroni and Muhamad Daos, the sample of their blood was sent to Departemen Kesehatan.

[Commonground]

Bekasi: Chicken Eater AI Blood Reviewed

Monday, February 16, 2009

BEKASI - 42 After the chickens died suddenly and stated positive bird flu in the village Sukamulya, Kec. Sukatani, Kab. Bekasi, some residents who had to eat the chickens that have symptoms of fever and high fever. "From my 19 chickens that died suddenly, three of which I was made to eat curry and eaten with the family," said one resident Sukamulya the sudden death ayamnya, Syahroni (43), Sunday (15 / 2). Syahroni confess experience nausea, body weakness, pegel-pegel, and a sudden high fever. "All my family members who participate in eating chicken is also experiencing the same symptoms. The day after we ate the chicken, does not feel the symptoms of what, three days after the new," said Syahroni. When confirmed, the Head of Pemberantasan Penyehatan Diseases and Environment (P2PL) Bekasi District Health Office, Rudi Ruhdiyat, said his side had taken the blood sample in the fifth family member Syahroni including Syahroninya own. "No results whether Syahroni and their families contracting bird flu or not. Blood sample will be submitted to the MOH for further review," said Rudi. (A-186) ***