Announcement

**Gert van der Hoek** · October 8, 2011, 02:45 AM

Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Summary

Last friday (october 7) a brother and sister - aged 10 and 5 years - were hospitalized in the bird flu ward in Sanglah Hospital, Bali.

The two children have a high fever, symptoms of pneumonia, incl. breathing difficulties , are in serious condition and are suspected to have bird flu.
Both childeren are on the ventilator and are treated with Tamiflu and antibiotics.

Initial testing (rapid tests?) performed by the hospital showed positive results for H5N1.
Blood (and mucus?) samples were taken and send to Jakarta and Udayana University (Bali) for confirmation tests.

Family members report poultry near the house which died suddenly recently.

Media Indonesia :

Two siblings suspected to have bird flu still in Hospital Sanglah

Saturday, October 8, 2011

DENPASAR - MICOM: Condition of the siblings ALD 10, and Ra, 5, who allegedly exposed to bird flu, until Saturday (8 / 10) is still worrying. the two children from Bangli are still in intensive care at Sanglah Hospital, Bali. In Nusa Indah isolation rooms specifically designed for patients who indicated that infectious disease had looked guard from the hospital.

The crew of the media is only allowed to see the second condition of the patient monitors located in the room rose to the conditions that must be completely sterile and not everything can go. "team of doctors who deal with both the patient has given tamiflu and anti-infective drugs in order to stabilize the patient's condition, "said Sanglah Hospital Medical Director Dr. Jaya Kusuma, AAN.

He explained that currently enter the citizens from Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli District's physical condition shows signs of bird flu patients. Such physical characteristics, plus Jaya Kusuma, among other conditions are sufficiently high fever and experiencing shortness of breath and should be given breathing assistance device.

According to him, these patients were treated in health centers before they could close their homes because of the heat for three days. "Based on his family, both patients previously had a history of contact with poultry that died suddenly around her house in early October," he said

machinetranslation

Two Suspected Bird Flu Infected

Saturday, October 8, 2011

They suffer from high fever and difficulty breathing.

General Hospital Center, Sanglah, the city of Denpasar Bali, caring for two siblings suspected of suffering from bird flu.

According to Ken Wirasandi, Sanglah Hospital medical director, two siblings -
women and men - come from Bangli. They began being treated since Friday
afternoon because of difficulty in breathing and high fever.

"Symptoms of bird flu it was similar to pneumonia, the two siblings are
have symptoms like that, "said Ken on Saturday (8 / 10).

The hospital suspected a patient as suspect bird flu because both
a brother and sister since they treated the symptoms resemble pneumonia
they naturally tend to get worse.

"We suspect that either brother or sister's illness and at the same time
symptoms are the same, "added Ken.

To ensure that these suspicions, the Sanglah Hospital has sent
The two patients specimen to the Board of Research and Development of the Ministry of Health
in Jakarta. And, now still waiting for confirmation whether or not both
infected with H5N1 virus.

Ken says to the other two suspected bird flu is isolated. Officer
the handle was obliged to wear a safety device.

"We do the procedure according to the SOP if the patient suspected of suffering from bird flu yes
must be isolated, "he said.

Last Sanglah Hospital treating bird flu patients positive in 2007.

Beritasatu

**Treyfish** · October 8, 2011, 07:21 AM

Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Second Bird Flu Patients Isolated Still

Saturday, October 8 2011 16:15 AM | Bali Update | Read 13 times

Denpasar (Bali Reuters) - The condition of both patients were sisters from Bangli District, the initials ALD (10) and Ra (5) that the bird flu virus, to Saturday noon was still in intensive care in hospital because his condition is alarming.

Based on the observation BETWEEN, Nusa Indah in isolation rooms specifically designed for patients who indicated that infectious disease had looked guard from the hospital.

Journalists are only allowed to see the condition of both patients from monitors located in the room rose to the conditions that must be completely sterile and not everything can be entered.

"The team doctors who deal with both the patient has given tamiflu and anti-infective drugs in order to stabilize the patient's condition," said Sanglah Hospital Medical Director Dr. Jaya Kusuma, AAN in Denpasar, on Saturday.

He explained that currently enter the citizens from Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli District's physical condition shows signs of bird flu patients.

Such physical characteristics, plus Jaya Kusuma, among other conditions are sufficiently high heat and experiencing shortness of breath and should be given respiratory assistance tool

http://bali.antaranews.com/berita/14...asih-diisolasi

**Treyfish** · October 8, 2011, 09:01 AM

Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Birds have been dying there since September

DENPASAR, KOMPAS.com-September 22, 2011

Be careful to buy chicken in the market to be maintained. Provincial Livestock Office Bali suspect, about 50 chickens that died suddenly had a history purchased from traditional markets in Pendem, Jembrana regency, Bali. Further offices were declared dead chickens tested positive for bird flu virus H5N1..In 2006, bird flu broke out in Bali with three human deaths.

http://regional.kompas.com/read/2011...adak.di.Pendem

**Treyfish** · October 9, 2011, 07:55 AM

Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Two Still Critical Bird Flu Patients

09/10/2011 16:16

Liputan6.com, Denpasar: Two patients were positive for bird flu from Bangli treated at Sanglah General Hospital, Denpasar, Bali, Sunday (9 / 10), remains in critical condition. Both patients were treated in a special isolation room.

In watchlist Coverage 6 SCTV in a special isolation room of bird flu, RSU Sanglah, body temperature brothers from Banjar Antugan, Village Jehem, it is still high and not go down. Meanwhile, laboratory test results from blood sampling and water mucus both expressed positive for H5N1 virus or bird flu.

Previously, the second condition is quite severe when patients are referred from health centers to the RSU Sanglah village, due to their lungs are infected. Both are known to have contact with poultry that died suddenly before hospital

http://berita.liputan6.com/read/3571...g-masih-kritis

**Treyfish** · October 9, 2011, 08:07 AM

Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Mass bird deaths in Bali

Outbreaks of Avian Influenza outbreak in Jembrana

Sunday, October 9, 2011 19:14

STATE - MICOM: Outbreaks of bird flu re-emerged in poultry attacked the district of Jembrana, Bali, so it makes people uneasy.

The information gathered on Sunday (9 / 10), mentions poultry in some villages and urban villages, such as Pendem, Kaliakah, Dauhwaru, Dangitukadaya, the bird flu virus began. In fact, hundreds of birds, mostly chickens die in Hamlet Mekecir Yeh, Dangintukadaya village, Jembrana District...

http://www.mediaindonesia.com/read/2...ak-di-Jembrana

**Treyfish** · October 9, 2011, 08:16 AM

Re: Indonesia - Bali - Brother and sister suspected to have bird flu

Bird Flu Strikes Back Citizen in Bali

Sunday, October 9, 2011 15:10

Bird flu re-attack the people of Bali. Two residents Bangli District, Bali was rushed to Sanglah Hospital, Denpasar because of bird flu disease. Two residents are currently still undergoing intensive treatment in the isolation room with the aid of breathing equipment.

Both residents suffering from bird flu is the origin of RA and WA Jehen Village, Tembuku, Bangli regency. Both are not allowed to dijenguk because it is still undergoing treatment in isolation.

Both residents had previously had rushed to the clinic and Bangli District Hospital with symptoms of high fever and shortness of breath. However, as conditions continue to weaken both of them had to be referred to the Sanglah Hospital, Denpasar.

From the results of examination confirmed two people are positive for H5N1 virus. Both are also known to have a history of contact with poultry that died suddenly due to bird flu.

VIDEO.. Of them on breathing machines

http://video.tvonenews.tv/arsip/view..._di_bali.tvOne

**Treyfish** · October 9, 2011, 08:31 AM

Re: Indonesia - Bali - Brother and sister suspected to have bird flu

New video, shows their village ,spraying, and some dead birds, clip from the hospital..

http://news.okezone.com//play/17652/...tif-flu-burung

**Treyfish** · October 9, 2011, 09:50 AM

Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

Disnak muster Team Location Check Bird Flu

Sunday, October 9 2011 08:37 AM
Denpasar (Bali Reuters) - Bali Provincial Animal Husbandry Department to deploy teams to conduct searches or investigations into the residential area of origin Bangli brothers who attacked the bird flu virus and treated at General Hospital Center (Dr) Sanglah, Denpasar.

"We were immediately led the team to perform pelusuran around the patient's residence, on Saturday (8 / 10)," said Head of the Provincial Livestock I Putu Sumantra Bali in Denpasar, on Sunday.

He explained, the search results is known that the incident never happened poultry residents died suddenly about three weeks ago, but was not reported to authorities.

Therefore, the added Sumantra, against the surviving chickens in the area of Banjar Galiran, Jehem Village, District Tembuku that he said he did a quick test to find out whether or not infected with bird flu.

"The results of tests on birds found there was not positive of bird flu," said Sumantra.

Previously two brothers from the area, the initials ALD (10) and Ra (5), treated at Sanglah Hospital and tested positive for bird flu

http://bali.antaranews.com/berita/14...asi-flu-burung

**Treyfish** · October 9, 2011, 11:22 AM

Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

October 10, 2011 | BP
District DSO effected
Two Patients Treated Avian Influenza Intensive
Denpasar (Bali Post) -

The emergence of bird flu cases in Bangli, precisely in the Banjar Dinas Antugan, Jehem Village Bangli, making Public Health and Animal Husbandry Department to take preventive measures and countermeasures. District Surveillance Officer (DSO) for bird flu in each district is now effected performance.

In the meantime, until yesterday the two sisters from Bangli is the patient suspect bird flu was still in intensive care.The results of laboratory tests Sanglah Hospital and Medical Faculty Udayana University, is equally positive results. Status of both sisters to be avian influenza-positive patients were just waiting for the results of Research and Development Laboratory of Jakarta.

Chief Medical Officer Dr Bali. Nyoman Sutedja, Sunday (9 / 10) today presented, for residents who had ILI (Influenza Like Illness) will be traced history. If had contact with poultry that died suddenly, will be given tamiflu and intensive care in accordance with the bird flu patient care. Tamiflu current inventory reached 14,000 kiur.

Related to this DSO team, he said, served to monitor the case and the potential for early detection of bird flu. If found people who are sick after chickens died suddenly, will be reported immediately to local health centers and farms.

Apart form the DSO team, also made counseling about bird flu on a regular basis in each region. The emergence of bird flu cases in humans after a vacuum for the last two years in Bali shows that the awareness of the disease is weak. Sutedja appealed to people to remain vigilant and immediately report if there are birds in the area of sudden death.

Head of Department of Livestock Bali Putu Sumantra said, after the information of two residents from Bangli suspected bird flu positive, Disnak party was immediately plunged into the location that is the Banjar Antugan, Jehem, Tembuku, Bangli.

Based on the results of rapid tests on chickens that died or live in the home patients were negative. Similar results were also shown by the examination of dead chickens in his neighbor's house. For a more accurate examination, two chickens that died at home the patient was then taken to the Central Veterinary, Pegok, Denpasar.

http://www.balipost.co.id/mediadetai...id=10&id=57389

**Treyfish** · October 9, 2011, 11:52 AM

Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

2 ?Suspect? Bird Flu Cases in Bali

Initial Tests ?Positive? for H5N1 for Two Children from Bangli, Northeast Bali.

(10/9/2011)

Bali health officials are concerned that the H5N1 or Avian Bird Flu may have made a foothold among the human residents of Bali.

After a period of nearly two years in which no ?suspect? cases have been reported, two brothers from Bangli in northeast Bali, aged 10 and 5, are now hospitalized in the isolation unit of Bali Sanglah General Hospital.

The two children were transferred from the Bangli Public Hospital to Denpasar on Friday, October 7, 2011, Suffering from symptom initially thought to be pneumonia or a lung infection, medical personnel grew concerned that when it was confirmed that the two young patients had symptom consistent with H5N1 and recent contact with a group of chickens that had died unexpectedly.

The Director of Medical Services and Nursing at the Sanglah General Hospital , Dr. A.A.N. Jayakusuma, told the press on Saturday, October 8, 2011, that the bird flu containment team have taken the necessary medical steps. ?We have quickly undertaken supporting examinations and laboratory tests to confirm that whether or not the patients are victims of H5N1 which is the virus that causes Avian Flu. From the examinations carried out by the laboratory of Sanglah Hospitlal we have encountered positive confirmation,? explained Dr. Jayakusuma, as quoted by Bali Post.

Despite tests confirming H5N1 performed in Bali, the diagnosis will only be final when three different laboratories also confirm the results. Tests are being conducted at Udayana University and in Jakarta, with results expected in the coming few days.

In the meantime, the two children are being treated in isolation units at the hospital. All family members who have had contact with the children as well as the medical staff treating them are being given preventative dosages of Tamiflu.

The two children are receiving intensive medical treatment, including assisted breathing with respirators.

http://www.balidiscovery.com/message...ge.asp?Id=7494

**Laidback Al** · October 9, 2011, 09:34 PM

Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

If this family cluster of H5N1 is confirmed by DEPKES and WHO, it will be the first family cluster in Indonesia since March of 2011 when a mother and daughter were infected in Bekasi. The mother died. (link)

**Giuseppe** · October 10, 2011, 01:52 AM

Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

[Source: Kompas, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]

Indonesia, Bali: Two Bird Flu Patient Have Died at Sanglah Hospital

Glori K. Wadrianto | Monday, October 10, 2011 | 10:51 pm

DENPASAR, KOMPAS.com - The death of two bird flu patients at the General Hospital Center (Dr) Sanglah, Denpasar, three hours later one to the other.

Information collected until Monday (10/10/2011) mentioned, one patient died on Sunday at around 22:00 pm. Interval of three hours later, on Monday at around 1:00 pm, turn the other one patient breathed his last.

Until now, the two brothers remains a bird flu virus with the initials ALD (10) and Ra (5) are still stored in the hospital morgue. Neither the parents nor the family no one has taken the bodies of two bird flu patients.

Until now, anyway, the Sanglah Hospital has not provided official information related deaths of two patients who since last Friday undergoing an intensive care room which is the Nusa Indah isolation room for bird flu patients.

A number of journalists from print and electronic media are also not allowed to take pictures of the bodies are still stored in the mortuary. Meanwhile, several other journalists waiting for an official statement from the hospital.

Previously, the state Sanglah Hospital, ALD and positive Ra deadly virus as a blood sample test results. Similarly, the Faculty of Medicine University of Udayana (Udayana University), Denpasar, said the same thing after checking the patient's saliva samples of bird flu from Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, it is.

However, to reinforce the observations that, the Sanglah Hospital still waiting for test results of samples that carried the Balitbang Ministry of Health in Jakarta. While undergoing treatment at Sanglah Hospital, both patients get tamiflu drug specifically designed for bird flu patients.

"The team doctors who deal with both the patient has given tamiflu and anti-infective drugs in order to stabilize the patient's condition," said Sanglah Hospital Medical Director Dr. Jaya Kusuma, AAN in Denpasar, on Saturday.
Before referred to Sanglah Hospital, ALD and Ra was undergoing treatment for three days at the clinic in the neighborhood due to both the body temperature rises suddenly. The second boy had a fever almost simultaneously shortly after chickens around the house her parents died suddenly.

- -------

**Giuseppe** · October 10, 2011, 01:53 AM

Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

[Source: Media Indonesia, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]

Indonesia, Bali: Two Bird Flu Patient Died

Monday, October 10, 2011 10:49 AM

DENPASAR - MICOM: Two bird flu patients from being admitted to Bangli District Sanglah Hospital, Denpasar, died on Sunday (9 / 10) night.

Both of them had undergone treatment for several days in isolation rooms. However unfortunate, the brothers initials ALD, 10, and Ra, 5, can not be saved.

However, until recently the Sanglah Hospital still has not provided information related to the death of two citizens of Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, it .
Both bodies were sisters until now has not been taken by the family. (Ant/OL-9)

- -------

**Giuseppe** · October 10, 2011, 01:53 AM

Re: Indonesia - Bali - Brother and Sister Confirmed to be Bird Flu Positive by Hospital

[Source: Republika Online, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]

Indonesia, Bali: Two Siblings have died after contracting bird flu virus

Monday, October 10, 2011 12:09 AM

REPUBLIKA.CO.ID, DENPASAR - The General Hospital Center (Dr) Sanglah, Denpasar, said, attempts to tackle bird flu on two patients who died in hospital on Sunday (9 / 10) night, has a maximum.

"We has a maximum of two patients in dealing with it, including by providing anti-drug tamiflu and other infections, "said Secretary of the Committee for Bird Flu Disease Control Sanglah Hospital, Dr I Gusti Bagus Ken Wirasandi, in Denpasar, on Monday. But according to him, the lives of siblings brothers, each with the initials ALD (10) and Ra (5), it can not be saved while undergoing treatment at the Nusa Indah space which is the isolation room for people with bird flu.

Wirasandi suggests that, when delivered to the Sanglah Hospital the condition of both patients was very severe .

"Progression of the deterioration is very fast since come in here, even the breathing system affected. Maybe it was one of the factors causing the patient died," he said.

He said, Ra died exactly at 20.20 pm. Followed his brother, ALD, at 00.00 pm. Prior referred to Sanglah Hospital, Friday (7 / 10) then, the two brothers who lived in Banjar Dinas Antuga, Jehem Village, District Tembuku, Bangli regency, it was undergoing maintenance in health centers near his home.

While at Sanglah Hospital, ALD and Ra are given tamiflu. "Tamiflu is effective only given to patients who are exposed to bird flu virus within 1x24 hours, while two patients were already 12 days until the time they died," said Wirasandi. '
According to him, the Ministry of Health Balitbang also been officially stated that, both patients were positive for bird flu after an examination of sputum samples PCR. The statement was submitted to the Sanglah Hospital, on Sunday.

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Announcement

Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive, Reported by WHO

Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive, Reported by WHO

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