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

[Gert van der Hoek]

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/2009/01/29/dead-housemaid-tests-positive-bird-flu.html

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

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/view.php?id=24548&jenis=Halaman_Utama

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

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/edisicetak/content/view/208735/37/

http://birdflucorner.wordpress.com/2009/01/29/maros-south-sulawesi-chickens-around-bird-flu-suspect-area-culled/

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

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&geocode=&ie=UTF8&t=h&msa=0&msid=106484775090296685271.00045e858a4aeaf7a1f24&ll=-7.180607,112.734146&spn=2.408751,3.032227&z=8

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

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

[tropical]

Re: Indonesia: Human Cases 8 Oct 2008 +

#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

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

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/Flu-Burung-Lagi-Hasil-Rapid-Tes-Positif-AI-80-Ayam-Mati-2-Anak-Demam.html

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

Commentary

http://www.recombinomics.com/News/01290901/H5N1_Lumajang.html

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

#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]

Re: Indonesia: Human Cases 8 Oct 2008 +

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_influenza/updates/en/index.html

Is this a clerical oversight or a deliberate omission?

Flu fatigue.

[AlaskaDenise]

Re: Indonesia: Human Cases 8 Oct 2008 +

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]

Re: Indonesia: Human Cases 8 Oct 2008 +

#519:
"Did not see results from these studies, but we all remember dr Nidom stating that a large percentage (>50&#37 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]

Re: Indonesia: Human Cases 8 Oct 2008 +

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)

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

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/prt-positif-flu-burung-meninggal-di-rsu-dr-soetomo/

TT is out here, Google translated

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Ela went home; alternative diagnosis reported.

Suspect Bird Flu was stated Negative

On Friday, January 30 2009 | 13:04 of WIB

Cirebon, on Friday ? Suspect bird flu that was treated while 8 days were in the regional Public Hospital Gunung Jati, the Cirebon City, stated by the negative contracted the virus H5N1.

Casualties were permitted to come home after having results of the laboratory of the Penelitian Dan Pengembangan Kesehatan Hall of the Department of the Health.

Chairman Tim of the Handling of RS Gunung Jati Bird Flu Dr Ali Hanafiah said, on Friday (30/1), results of the sample of blood as well as the liquid to the nose and the throat a person suspect bird flu was in this hospital stated by the negative by Balitbangkes Department of Health.

Therefore, suspect Ela Srikomala (36), villagers Sukaimut, Kecamatan Garawangi, of Kabupaten Kuningan, was permitted to come home. Ali added, although the side of RS Gunung Jati in fact has confirmed suspect the flattest negative bird flu, the sufferer still could not be returned because of must be waiting for results of the Balitbangkes laboratory.

Clinical results for the maintenance in the hospital, the condition for casualties continued to improve. One of his indicators, leucocytes that initially low gradually got normal, was like this with the temperature of his body again was normal.

Each patient of the respiratory tract illness that once contact with the poultry died suddenly, must be treated and it was considered as suspect bird flu." Moreover, we also were waiting for results of the Balitbangkes lab, and yesterday (on Thursday, 29/1) we received through the facsimile, said Dr Ali.

Ela that evidently was pregnant 8 months were stated only contracted respiratory tract inflammation and bronchial pneumonia. There was no sign of the bird flu virus that attacked him. Likewise the condition for his embryo was also healthy. Because of being pregnant, the team of the doctor was more careful while handling his medical treatment.

When packing came home, Ela said was happy that himself did not suffer bird flu. During the first time being reconciled to the hospital and being stated suspect bird flu, he the shock and frightened. Not only towards his illness, but also the banishment that will be carried out by the resident of his village.

She admitted to, after three days throwing the chicken that died suddenly, suddenly away his body was feverish and emerged signs as being affected by the bird flu illness.

"I was very worried and very anxious." But now I am happy because evidently my illness not bird flu, more Ela, the wife from Yoyok Satria (38). Was based on the data of RS Gunung Jati, for the year 2005-2008, there were four cases of bird flu that was handled and treated in isolation space.

However, from results of the laboratory of Balitbangkes Department of Health, none was stated positive. Three cases were stated suspect suffered the respiratory tract infection, whereas a person suspect other was ill tubercolosis.

http://www.kompas.com/read/xml/2009/01/30/13041862/suspect.flu.burung.dinyatakan.negatif