Indonesia, West Java - 4-year-old boy died of bird flu H5N1

[Gert van der Hoek]

Press release MOH - machinetranslated

Report of 192nd Case of Bird Flu

DECEMBER 14, 2012 | 3:56 PM

Ministry of Health, Directorate General of Disease Control and Environmental Health announced a new case of H5N1 has been confirmed by the Center for Basic Biomedical and Health Technologies, Balitbangkes.

Case on behalf of the IT (male, 4 years old) residents of Kampung Nagreg, Gorowong Village, District Parung Panjang, Bogor regency, West Java. Dated 30 November 2012 symptoms of fever, December 1, 2012 the case went to Pustu. Dated December 4, 2012 because there was no change in the case of seeing a private doctor, dated December 5, 2012 morning the case went to the health center and in the afternoon the case was referred to the Private RSIA for hospitalization. Dated December 6, 2012 the case was referred to the Tangerang District Hospital because of fever, cough, and shortness. The situation gets worse case and the case eventually died at 23:40 pm.

Epidemiological investigations have been conducted into the hospital, and the case surrounding the Integrated Team MoH and local health service, possible risk factors that come in direct contact with poultry carcasses (entog) in the neighborhood.

With the increase of these cases, the cumulative number of bird flu in Indonesia since 2005 until this news broadcast is 192 cases with 160 deaths.
Director General of Disease Control and Environmental Health, Prof. dr. Tjandra Yoga Aditama as the focal point of the International Health Regulations (IHR) has been informed about the case to the WHO.

This information is released by Center for Public Communication, Secretariat General of the Ministry of Health. For further information, please contact via telephone: (021) 52907416-9, Fax: (021) 52921669, Rapid Response Response Centre (PTRC): <kode lokal> 500-567 and 081 281 562 620 (sms), or e-mail contacts @ depkes.go.id

Sehat Negeriku

[Gert van der Hoek]

Re: Indonesia, West Java - 4-year-old boy died of bird flu H5N1

The Indonesian press release mentions a possible riskfactor: "direct contact with poultry carcass (entog)"

Entog means: duck.

Recently Indonesia confirmed mass duck die-offs in Java, possibly related to H5N1 clade 2.3.2.1 :

AVIAN INFLUENZA (68): INDONESIA (JAVA) DUCK, H5N1 2.3.2.1 CLADE

http://www.promedmail.org/direct.php?id=20121212.1448403

http://www.flutrackers.com/forum/showthread.php?t=196156

[Gert van der Hoek]

Re: Indonesia, West Java - 4-year-old boy died of bird flu H5N1

The press release says: the patient initially went to "pustu".

The Google language tool did not translate that.

Pustu is short for "Assistant Puskesmas", Puskesmas is a Community Health Center.

More: Indonesia's Healthcare Delivery System

[Laidback Al]

Re: Indonesia, West Java - 4-year-old boy died of bird flu H5N1

This child (from Bogor Regency) was taken to Tangerang for hospitalization and died on December 6th. It is ironic that a spokesperson from a hospital in Bogor had this to say about human H5N1 cases in the area on the 11th of December, five days after the child had died.

Google translated

REPUBLIKA.CO.ID, BOGOR -Cases of bird flu broke out again in some areas in Indonesia began to worry. However, the issue does not seem too worried in Bogor, West Java.

Over recent years, there have been no cases of bird flu patients at the Hospital Marzuki Mahdi (RSMM), Bogor. "There has never been a positive patient bird flu in RSMM, once two years ago a man suspected of contracting bird flu, but after checking, negative," said Dr. Patuti Farid, Head of Public Relations RSMM to ROL, Tuesday (11/12) night. . . .

http://www.republika.co.id/berita/na...ernah-ke-bogor
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[Treyfish]

Re: Indonesia, West Java - 4-year-old boy died of bird flu H5N1

VIAN INFLUENZA, HUMAN (61): INDONESIA (WEST JAVA) FATAL, CHILD


Date: Fri 14 Dec 2012

Source: Indonesian Ministry of Health press release, via Flutrackers [machine transl., abridged, edited]

http://www.flutrackers.com/forum/showthread.php?p=477291#post477291

Report of 192nd Case of Bird Flu


--------------------------------


The Ministry of Health, the Directorate General of Disease Control, and the Environmental Health [Service] announced that a new case of H5N1 [avian influenza] has been confirmed by the Center for Basic Biomedical and Health Technologies, Balitbangkes.



The case is a 4-year-old male, a resident of Kampung Nagreg, Gorowong Village, District Parung Panjang, Bogor regency, West Java. The child exhibited symptoms of fever on 20 Nov 2012, and on 1 Dec 2012 the case was moved to Pustu. On 4 Dec 2012 there was no change in the condition of the case when seen by a private doctor. On the morning of 5 Dec 2012 the case went to a health centre and in the afternoon was referred to the Private RSIA for hospitalization. On 6 Dec 2012 the case was referred to the Tangerang District Hospital because of onset of fever, cough, and shortness of breath. The condition of the patient worsened and the child eventually died at 23:40hr.



Epidemiological investigations have been conducted by the hospital and the other agencies involved including a possible risk factor of direct contact with poultry carcasses, including possible exposure to entog (ducks) in the neighborhood.



With inclusion of this case, the cumulative number of bird flu cases in Indonesia since 2005 until this new report is 192 cases with 160 deaths. Director General of Disease Control and Environmental Health, Prof. Dr.Tjandra Yoga Aditama as the focal point of the International Health Regulations (IHR), has reported the case to the World Health Organisation (WHO).



This information is released by Center for Public Communication, Secretariat General of the Ministry of Health.



--

Communicated by:

Gert van der Hoek

Senior Moderator, FluTrackers.com

http://www.flutrackers.com/forum/index.php

[ProMED-mail thanks Gert van Hoek for sending and interpreting this report. This is the 1st confirmed human case of avian A/(H5N1) influenza virus infection in Indonesia since 30 Jul 2012. That case was a 37-year-old male from Yogyakarta province. He developed fever on 24 Jul 2012, was hospitalized on 27 Jul 2012 and died on 30 Jul 2012.



There have been no other reports of human cases from elsewhere during this period. Official confirmation by the WHO is awaited. The global total of human cases now becomes 609 with 359 fatalities.

http://www.promedmail.org/direct.php?id=20121214.1452311

[Gert van der Hoek]

Re: Indonesia, West Java - 4-year-old boy died of bird flu H5N1

Today first reports in the local press

machinetranslation

Bird Flu Killed Toddler in Bogor

Monday, December 17, 2012


REPUBLIKA.CO. IDs , JAKARTA - Directorate General of Disease Control and Environmental Health Ministry announced a new case of H5N1 has been confirmed by the Center for Basic Biomedical and Health Technologies, Balitbangkes.


Victims initials IT, male sex (4 years), were residents of Kampung Nagreg, Gorowong Village, District Parung Panjang, Bogor regency, West Java. On 30 November 2012, IT experience symptoms of fever and then went to the health center (Pustu) the next day, December 1, 2012.

No change, took her family went to a private hospital on December 4, 2012. IT took the family back to the health center on December 5, 2012.

In the afternoon, he was referred to a private RSIA for hospitalization. Then, IT return referred to Tangerang District Hospital because of fever, cough, and shortness on December 6, 2012. Unfortunately, the situation gets worse and eventually died at 23:40 pm.

"There have been epidemiological investigation into the hospital, IT and environment by the Integrated Team MoH and local health service. Results stem possible risk factors, ie direct contact with dead birds (wild duck) in the neighborhood," said Head of Public Communication Ministry Health Murti Utami in a press release on Monday (17/12).

With the increase of these cases, the cumulative number of bird flu in Indonesia since 2005 until this news broadcast is 192 cases with 160 deaths. Director General of Disease Control and Environmental Health Tjandra Yoga Aditama as the focal point of the International Health Regulations (IHR) has been informed about the case to the World Health Organization (WHO).

[Giuseppe]

Egypt - FAO report of H5N1 event - presumed 1 human case in Damietta governorate

[Source: World Health Organization, full PDF document: (LINK). Edited.]


Influenza at the human-animal interface - Summary and assessment as of 17 December2012



Human infection with avian influenza A(H5N1) viruses and associated animal health events

From 2003 through 17 December 2012, 610 laboratory-confirmed human cases with avian influenza A(H5N1) virus infection have been officially reported to WHO from 15 countries, of which 360 died.

Since January 2012, 32 human cases of influenza A(H5N1) virus infection have been reported to WHO.

Since the last update on 5 November 2012, two new laboratory-confirmed human cases with influenza A(H5N1) virus infection were reported to WHO, one from Egypt and the other a fatal case from Indonesia.



Table 1: laboratory-confirmed human cases with avian influenza A(H5N1) virus infection reported between 5 November and 17 December 2012

[Country – Province - Age (y) – Sex – Date of onset - Date of Hospitalisation - Date of death - Oseltamivir treatment Start date - Exposure to]

• Egypt - Demietta governorate – 2 – F - 3/12/2012 - 1/12/2012 – … - 4/12/2012 - Backyard poultry (chicken and ducks)
• Indonesia - West Java – 4 – M - 30/11/2012 - 5/12/2012 - 6/12/2012 – … - Poultry (duck) in neighbourhood

Based on previous years’ observations, an increase in reported H5N1 influenza events in poultry is expected for this time of year.

Sporadic human cases reported this month in countries with known influenza A(H5N1) virus activity in poultry are within the expected range.

No onward sustained human to human transmission was reported.

Public health risk assessment of avian influenza A(H5N1) viruses: The public health risk remains unchanged



Human infection with other non-human influenza viruses

A(H3N2) variant virus infection

The United States of America (USA) reported a new human case of influenza A(H3N2)v infection during week 47 from the state of Iowa.

The case had no history of contact with swine or other livestock in the week before the onset of symptoms. Investigations are ongoing but no further cases were identified among the contacts of the case.

Overall public health risk assessment of the influenza A(H3N2)v viruses: Further human cases and small clusters may be expected as this virus is circulating in the swine population in the USA. Close monitoring of the situation is warranted.

Due to the nature of constant evolving of influenza viruses, WHO continues to stress the importance of global monitoring of influenza viruses and recommends all Member States to strengthen routine influenza surveillance.

All human infections with non-human influenza viruses as such are reportable to WHO under IHR (2005).



Relevant Links:

• WHO human-animal interface web page http://www.who.int/influenza/human_animal_interface/en/
• Cumulative Number of Confirmed Human Cases of Avian Influenza A/(H5N1) Reported to WHO http://www.who.int/influenza/human_animal_interface/EN_GIP_LatestCumulativeNumberH5N1cases.pdf
• H5N1 avian influenza: timeline of major events http://www.who.int/influenza/human_animal_interface/avian_influenza/H5N1_avian_influenza_update.pdf
• WHO Archive: Avian Influenza situation updates http://www.who.int/influenza/human_animal_interface/avian_influenza/archive/en/index.html
• World Organisation of Animal Health (OIE) web page: Web portal on Avian Influenza http://www.oie.int/animal-health-in-the-world/web-portal-on-avian-influenza/
• Food and Agriculture Organization of the UN (FAO) webpage: Avian Influenza http://www.fao.org/avianflu/en/index.html
• OFFLU http://www.offlu.net/index.html
• Updated unified nomenclature system for the highly pathogenic H5N1 avian influenza viruses http://www.who.int/influenza/gisrs_laboratory/h5n1_nomenclature/en/index.html

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