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Originally posted by Niman, post #9
Bayongbong.JPG
Attached Files
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Bayongbong subdistrict is to the west of Cikelet subdistrict (outlined in blue on the map). There's another subdistrict in between the two.
Bayongbong.JPG...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes -
Re: INDONESIA - Garut Cluster Part IV
Tosin was stated by the Flu Negative of Burung
Distan the Bandung City banned the Purchase of the Poultry from outside the Bandung Area, (HOMEWORK).
- the Chairman Tim the Control of Handsome Sadikin Hospital Bird Flu (RSHS) Bandung, Dr. Hadi Jusuf, Sp.
P. D-KPTI, on Friday (25/8) said, the patient Tosin (61) from Kab.
Garut was stated by the bird flu negative.
The other patient, Her (21), did not yet get the assurance from results of the testing of the sample of blood of Balitbangkes Jakarta.
Tosin, that was treated since Monday at dawn then, could be indicated experienced the upper respiratory tract infection (ISPA).
He was still not permitted to come home.
However for the patient Her, clinically continued to improve with blood pressure and stable breathing.
This patient already did not experience the fever, but still the cough and crowded.
"We were still treating him as suspect bird flu, through to results of the testing of the sample showed that was relevant the bird flu negative."
At this time, we were still being waiting for results of the testing of the sample of the patient Her, he said.
Vaksinasi
It was related that bird flu, the request of the poultry vaccination with the genetic Avian vaccine influenza (AI) from the community in the Bandung City, this August continued to increase following the discovery 178 poultries that terjangkit this virus.
Till at this time, the agricultural Service (Distan) the Bandung City already memvaksin approximately 120.
000 from 200.
000 available poultries in the Bandung City.
Whereas the poultry vaccination was carried out in five districts, including Kel.
Plumbing, Ciumbuleuit, and Hegarmanah.
Last July, the vaccination was also carried out in 18 districts.
Kadistan the Bandung City Ir. the Yogi Supardjo, that it was confirmed was separated said, the closest distance between the Bandung City and Garut approximately 60 km.
The distance that relatively close this triggered the number of the inhabitants's Bandung requests to memvaksin his kept poultry.
Moreover, several citizens that was expected suspect bird flu was from Garut treated in RSHS, Bandung.
That made the Bandung inhabitants increase his vigilance.
"Until this, still was remaining stock of the vaccine to 35."
000 poultries, said the Yogi.
He added, his side has made the circular to each subdistrict so that the citizen does not carry out the purchase of the poultry from outside the city.
Moreover, the poultry must be maintained in the pen and cleaned the pen was done in a routine manner, minimal made use of the detergent liquid.
Distan the Bandung City also increased the supervision to the trade route in the poultry in several parent markets.
Supplies of poultry meat that entered the Bandung City came from Ciamis and Tasikmalaya.
Originally, the special team that was assigned to trace the poultry that terjangkit the AI virus worked four days in a week.
However after spreading him suspect bird flu in Garut, the team of the construction Distan the Bandung City worked more intensive to six days in one week.
"The tracing, as anticipation before the contagious virus spread to all the poultry populations in Bandung," said the Yogi.
According to him, before spreading again the virus A1, most citizens refused during the official would memvaksin their poultry.
"Now, if still had the citizen who refused his poultry divaksin, that was relevant was required to make the statement letter not be prepared."
Therefore, if something happening did not blame the official, he said.
From the Cimahi City was reported, following the indication of the death of a dove bird that evidently positive bird flu, the economic Service and the Cimahi City Co-operative carried out the extermination against nine poultries of the chicken kind, birds, as well as memvaksin 352 poultries, birds, and the duck of the chicken kind in RT 2/RW 13 Kel.
Baros, Kec.
Cimahi middle.
This extermination was carried out after the team that was led drh.
Suyoto did rapid test and anatomy pathology.
From this test, was found nine positive poultries bird flu.
(A-131/A-158/A-159)
http://www.pikiran-rakyat.com/cetak/...06/26/0206.htm -
Re: INDONESIA - Garut Cluster Part IV
Tosin was stated by the Flu Negative of Burung
Distan the Bandung City banned the Purchase of the Poultry from outside the Bandung Area, (HOMEWORK).
- the Chairman Tim the Control of Handsome Sadikin Hospital Bird Flu (RSHS) Bandung, Dr. Hadi Jusuf, Sp.
P. D-KPTI, on Friday (25/8) said, the patient Tosin (61) from Kab.
Garut was stated by the bird flu negative.
The other patient, Her (21), did not yet get the assurance from results of the testing of the sample of blood of Balitbangkes Jakarta.
Tosin, that was treated since Monday at dawn then, could be indicated experienced the upper respiratory tract infection (ISPA).
He was still not permitted to come home.
However for the patient Her, clinically continued to improve with blood pressure and stable breathing.
This patient already did not experience the fever, but still the cough and crowded.
"We were still treating him as suspect bird flu, through to results of the testing of the sample showed that was relevant the bird flu negative."
At this time, we were still being waiting for results of the testing of the sample of the patient Her, he said.
Vaksinasi
It was related that bird flu, the request of the poultry vaccination with the genetic Avian vaccine influenza (AI) from the community in the Bandung City, this August continued to increase following the discovery 178 poultries that terjangkit this virus.
Till at this time, the agricultural Service (Distan) the Bandung City already memvaksin approximately 120.
000 from 200.
000 available poultries in the Bandung City.
Whereas the poultry vaccination was carried out in five districts, including Kel.
Plumbing, Ciumbuleuit, and Hegarmanah.
Last July, the vaccination was also carried out in 18 districts.
Kadistan the Bandung City Ir. the Yogi Supardjo, that it was confirmed was separated said, the closest distance between the Bandung City and Garut approximately 60 km.
The distance that relatively close this triggered the number of the inhabitants's Bandung requests to memvaksin his kept poultry.
Moreover, several citizens that was expected suspect bird flu was from Garut treated in RSHS, Bandung.
That made the Bandung inhabitants increase his vigilance.
"Until this, still was remaining stock of the vaccine to 35."
000 poultries, said the Yogi.
He added, his side has made the circular to each subdistrict so that the citizen does not carry out the purchase of the poultry from outside the city.
Moreover, the poultry must be maintained in the pen and cleaned the pen was done in a routine manner, minimal made use of the detergent liquid.
Distan the Bandung City also increased the supervision to the trade route in the poultry in several parent markets.
Supplies of poultry meat that entered the Bandung City came from Ciamis and Tasikmalaya.
Originally, the special team that was assigned to trace the poultry that terjangkit the AI virus worked four days in a week.
However after spreading him suspect bird flu in Garut, the team of the construction Distan the Bandung City worked more intensive to six days in one week.
"The tracing, as anticipation before the contagious virus spread to all the poultry populations in Bandung," said the Yogi.
According to him, before spreading again the virus A1, most citizens refused during the official would memvaksin their poultry.
"Now, if still had the citizen who refused his poultry divaksin, that was relevant was required to make the statement letter not be prepared."
Therefore, if something happening did not blame the official, he said.
From the Cimahi City was reported, following the indication of the death of a dove bird that evidently positive bird flu, the economic Service and the Cimahi City Co-operative carried out the extermination against nine poultries of the chicken kind, birds, as well as memvaksin 352 poultries, birds, and the duck of the chicken kind in RT 2/RW 13 Kel.
Baros, Kec.
Cimahi middle.
This extermination was carried out after the team that was led drh.
Suyoto did rapid test and anatomy pathology.
From this test, was found nine positive poultries bird flu.
(A-131/A-158/A-159)
http://www.pikiran-rakyat.com/cetak/...06/26/0206.htmComment
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Re: INDONESIA - Garut Cluster Part IV
The Nursiva condition (6 years), the positive patient bird flu, that was treated in the Infection Hospital (RSPI) Sulianti Saroso, currently increasingly improves.
Moreover, according to the Chairman Tim the Extraordinary Incident RSPI Sulianti Saroso Doctor Sardikin Giri Putro, Nursiva that beforehand was stated positive bird flu, from results of the inspection third blood was precisely stated by the bird flu negative.
However, Nursiva was not yet permitted to come home/because still had few disturbances to his lungs.
As being reported beforehand, Nursiva gradually his condition improved.
Therefore, from Tuesday (22/8), he was moved from Intensive Maintenance Space to RSPI Sulianti Saroso Isolation Space.
Nursiva that positive contracted bird flu beforehand was treated intensive in space ICCU. according to the team's information of the doctor that handled, Nursiva experienced the infection in the left and right lungs.
The doctor also added Nursiva did not have contact with the chicken.
The bird flu illness that was experienced by Nursiva was classed in the level of the two bird flu from four available bird flu groups.
The four groups that is first the virus infection H5N1, the two pneumonias without the inflammation of the lungs, the three pneumonias in an inflamed manner the lungs as well as finally pneumonia with damage of the body member that was disrupted.Comment
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Re: INDONESIA - Garut Cluster Part IV
For additional Garut cluster discussion, please see this thread:
...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock HolmesComment
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More on Ari (aka Hari Tresna Alfajar)
toggletext-ed from Indonesian:
The condition for the Bird Flu Patient from Garut improved
August 26, 2006
Liputan6.com, Garut: The condition for Hari Tresna Alfajar or Ari, a bird flu patient gradually improved after undergoing the maintenance in the doctor's Public Hospital Slamet, Garut, of West Java, on Saturday (26/8). Moreover the medical team moved the citizen of the Saroja hamlet, the Mulyasari Village, of Bayombong, Garut, to maintenance space after could occupy special isolation space the patient avian influenza.
Ari was treated in RSU Slamet's doctor since last Wednesday night. He was it was suspected attacked by bird flu after experiencing the high fever was accompanied by the cough and breathless. Moreover, Ari had the story of contact with the poultry around his house that died suddenly. He could be treated in the Bayombong Community Health Centre before finally was run off with to the hospital.
Now Tosin and Herman, two assumption [suspected] patients of other bird flu from Cikelet, Garut, up to now still are treated in isolation space RS Handsome Sadikin, Bandung, West Java. As far as this is concerned the hospital side was still being waiting for results of the laboratory inspection to confirm positive not him they were attacked H5N1. Generally the condition both of them improved. Nevertheless, the medical team did not yet decide to move them to maintenance space.
Trisatya Naipospos, Komisi Nasional Penanggulangan Breakingprep Flu Burung Vice Chairman regretted the Kendari action of the Health Service, South-East Sulawesi, that carried out the labelling against the family's house Ambo Sau that it was suspected was affected by bird flu. Trisatya was convinced in fact the policy well-meaning. But more inexact the target [read: the Kendari Citizen protested against the "Suspek AI" Labelling].
According to Dinkes local, the labelling of the family's house Ambo Sau was as their sign surveyed. In fact was based on the Article 5 number regulations 4 in 1984 about the Plague of infectious diseases, control efforts of the plague must involve the citizen, not even made the citizen frightened. The family Ambo Sau also objected to this action and hoped had the concrete step to prevent the fall of casualties. For example to treat the three children Ambo Sau that was expected terjangkit avian influenza in the hospital.
...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock HolmesComment
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Re: INDONESIA - Garut Cluster Part IV
toggletext-ed from Indonesian:
Tosin was stated by the Flu Negative of Burung
Distan the Bandung City banned the Purchase of the Poultry from outside the Area
August 26, 2006
Bandung (PR). -
The Chairman Tim the Control of Handsome Sadikin Hospital Bird Flu (RSHS) Bandung, Dr. Hadi Jusuf, Sp. P. D-KPTI, on Friday (25/8) said, the patient Tosin (61) from Kab. Garut was stated by the bird flu negative. The other patient, Her (21), did not yet get the assurance from results of the testing of the sample of blood of Balitbangkes Jakarta.
Tosin, that was treated since Monday at dawn then, could be indicated experienced the upper respiratory tract infection (ISPA). He was still not permitted to come home. However for the patient Her, clinically continued to improve with blood pressure and stable breathing. This patient already did not experience the fever, but still the cough and crowded.
"We were still treating him as suspect bird flu, through to results of the testing of the sample showed that was relevant the bird flu negative." At this time, we were still being waiting for results of the testing of the sample of the patient Her, he said.
Vaksinasi
It was related that bird flu, the request of the poultry vaccination with the genetic Avian vaccine influenza (AI) from the community in the Bandung City, this August continued to increase following the discovery 178 poultries that terjangkit this virus.
Till at this time, the agricultural Service (Distan) the Bandung City already memvaksin approximately 120.000 from 200.000 available poultries in the Bandung City. Whereas the poultry vaccination was carried out in five districts, including Kel. Plumbing, Ciumbuleuit, and Hegarmanah. Last July, the vaccination was also carried out in 18 districts.
Kadistan the Bandung City Ir. the Yogi Supardjo, that it was confirmed was separated said, the closest distance between the Bandung City and Garut approximately 60 km. The distance that relatively close this triggered the number of the inhabitants's Bandung requests to memvaksin his kept poultry.
Moreover, several citizens that was expected suspect bird flu was from Garut treated in RSHS, Bandung. That made the Bandung inhabitants increase his vigilance. "Until this, still was remaining stock of the vaccine to 35.000 poultries," said the Yogi.
He added, his side has made the circular to each subdistrict so that the citizen does not carry out the purchase of the poultry from outside the city. Moreover, the poultry must be maintained in the pen and cleaned the pen was done in a routine manner, minimal made use of the detergent liquid.
Distan the Bandung City also increased the supervision to the trade route in the poultry in several parent markets. Supplies of poultry meat that entered the Bandung City came from Ciamis and Tasikmalaya.
Originally, the special team that was assigned to trace the poultry that terjangkit the AI virus worked four days in a week.
However after spreading him suspect bird flu in Garut, the team of the construction Distan the Bandung City worked more intensive to six days in one week. "The tracing, as anticipation before the contagious virus spread to all the poultry populations in Bandung," said the Yogi.
According to him, before spreading again the virus A1, most citizens refused during the official would memvaksin their poultry. "Now, if still had the citizen who refused his poultry divaksin, that was relevant was required to make the statement letter not be prepared." Therefore, if something happening did not blame the official, he said.
From the Cimahi City was reported, following the indication of the death of a dove bird that evidently positive bird flu, the economic Service and the Cimahi City Co-operative carried out the extermination against nine poultries of the chicken kind, birds, as well as memvaksin 352 poultries, birds, and the duck of the chicken kind in [snip] Kel. Baros, Kec. Cimahi middle.
This extermination was carried out after the team that was led drh. Suyoto did rapid test and anatomy pathology. From this test, was found nine positive poultries bird flu.
...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock HolmesComment
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Re: Garut Cluster Part V
The Regional Government health Sleman distributed Tamiflu all through the Community Health Centre
the writer: Amirudin Zuhri
SLEMAN -- MIOL: To anticipate the possibility of the existence of the patient that terjangkit bird flu, the Government of the Sleman Regency distributed Tamiflu all through the community health centre in the area.
"All the community health centres have in Sleman been given by us Tamiflu to guard various bad possibilities that emerged as a result of spreading him this bird flu virus, the" Sleman" headword of the Health Service, Sunartono, on Saturday.According to Sunarto, for each community health centre got 20 their respective boxes contained 10 tablets.Although not many, but at least the existence of this medicine could become the first step if the case of bird flu to humankind before getting the maintenance happening more intensive.
"While in the Sleman Health Service personally at this time still had 100 boxes for the reserve," he added.
As far as this is concerned, he continued, in Sleman did not yet have the report on the case of bird flu to the poultry.
However during years beforehand, this case had emerged.
So as the opportunity terjangkit him the poultry by this virus was high enough.
Moreover, Sleman was the area was open that the mobility of his poultry was high enough.
More far Sunartono ask for to all the owner of the poultry for discipline in guarding the cleanliness of the poultry and the pen.
He was convinced if pen sanitation could be maintained then the spreading of this virus could more dimininimalisasi.
The "war on bird flu needed law enforcement."
So needed the certain rule that also was accompanied with firm sanctions.
The extermination of the livestock not without having the follow-up in the sanitation field also will not have the use, he said.
(AZ/OL-03)Comment
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Re: Garut Cluster Part V
PonyGirl do you have a link please?Comment
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Re: Garut Cluster Part V
Yes...toggletext-ed
article dated 8/26/06
entitled:
Kesehatan
Pemkab Sleman Distribusikan Tamiflu ke Seluruh Puskesmas
It sounds like a good idea. Am unsure of the location of the health center of distribution. Sleman.Comment
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Garut Cluster Part V
OUTBREAK OF KILLER VIRUS 'IGNORED'
By John Aglionby in Rancasalak (The Observer)
August 27, 2006
After bird flu in an Indonesian village goes unchecked for weeks, officials are accused of being unable to cope
If statistics are anything to go by, Umar bin Aup should be dead. Seven weeks ago in his village, Rancasalak on the south-western coast of Java, dozens of hens including some of his family's 14 birds started dying for reasons no one could explain. Then, in early August, after hundreds of fowl had succumbed and at least three people in the area had died in mysterious circumstances, Umar, 16, came down with a fever.
'A day later, I was finding it hard to breathe and then I started vomiting,' he told The Observer as he convalesced at home surrounded by his nine siblings. 'I hadn't been sick for three years so it was a surprise to me.'
It was only after Umar's health had deteriorated for four days that his father, Aup, took him to the nearest health centre, six miles away via bumpy unpaved roads and dirt tracks. After assessing the symptoms, Dr Heri Winarto asked if any birds had been dying in the area.
'On hearing the answer "hundreds", I strongly suspected it was bird flu, particularly since we'd had a similar case from a neighbouring village the day before,' he said. Two days later Umar tested positive for bird flu and was in an isolation room in the nearest hospital, 55 miles away in Garut.
In addition to the three who died and were buried before samples could be taken, two other people from the area tested positive for bird flu. Both have died. At least 10 other people have been treated with suspected bird flu.
That it took at least six weeks as well as the deaths of hundreds of hens and probably three people for the authorities to become aware of a massive bird flu outbreak in their midst demonstrates just how poorly the sprawling archipelago is coping with containing the disease, let alone stamping it out.
'To be honest, we were taken by surprise,' said Memo Hermawan, the deputy head of Garut district, which includes Rancasalak. 'We thought that there would never be an outbreak in such a remote area. Now we know better.'
Public awareness of what to do in an outbreak, particularly in remote areas, is almost non-existent. 'When birds started dying we just threw them in the nearest river or on the rubbish dump,' said Dede Andi, as he watched his 13-year-old son Gilang recover in hospital. 'I still don't really know what bird flu is except that it makes people sick.'
Of 64 confirmed human deaths from bird flu around the world this year, 35 have been in Indonesia. Last month, it overtook Vietnam as the country with the most deaths since the global outbreak began in 2003. But while Vietnam has not recorded a human death for more than 18 months, Indonesia's death toll is rising steadily.
It is likely to continue doing so for many months to come. Surveillance systems integrating animal and human health sectors have been established in only a few dozen of the more than 420 districts around the country.
By the end of the year, with international donor funding, this figure is expected to reach 150.
It is not just the tardiness in developing systems that raises doubts about the Indonesian government's commitment to fighting the disease. The proposed budget for next year is being cut by 15 per cent from this year's ?29m. International experts estimate between three and five times that amount is needed if Indonesia is going to gain control of the epidemic by its stated goal of 2008.
'Unfortunately we've got various other issues that need our attention,' said Buyu Krisnamurthi, chief executive of the national bird flu commission. 'Just in the last few months there has been a massive earthquake in Yogyakarta, a tsunami in Pangandaran and there are many other illnesses.
'Bird flu is a global problem that needs global commitment and a global response. If the world is really concerned about bird flu in Indonesia it needs to contribute more.'
Amid the gloom, those involved in combating the disease are clutching at straws of hope. One is that despite 29 of Indonesia's 33 provinces having bird flu outbreaks at epidemic levels in poultry populations and human deaths showing no signs of slowing, the disease has yet to mutate into a form that could cause human-to-human transmission and thus a global pandemic.
But one Jakarta-based international expert warned that considering the level of ignorance in places such as Garut is still so high even after a significant outbreak then the worst-case scenario of a major human pandemic cannot be ruled out.
'We've been lucky here so far and considering everything that's going on - or rather not going on - we're going to have to continue to be lucky for months to come,' he said.
Source: http://observer.guardian.co.uk/world...859247,00.htmlComment
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Re: Garut Cluster Part V
Thank you Theresa42, Commonground, PonyGirl, Lyro and everyone else who is working to keep track of these cases.Comment
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Re: Garut Cluster Part V
In underdeveloped countries people who are experiencing symptoms may not ever seek medical attention. Thank you
for a most excellent forum to share concerns, information and observations.
Comment
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Re: Garut Cluster Part V
Some of the posts in this thread have been moved to other threads.
Information on the Bekasi case (Nursifa - Nursiva) can found in the thread at: http://www.flutrackers.com/forum/showthread.php?t=9470
Information on the Sulawesi cases can be found at:
http://www.flutrackers.com/forum/showthread.php?t=9614
These cases are geographically separated from the Garut cases discussed in this thread.
Garut is a Regency in the Province of West Java. Bekasi is a city (Kota) also in West Java Province. West Java Province is highlighted below.
The Sulawesi cases are in Kendari City (Kota) in the Province of Southeast Sulawesi (Sulawesi Tenggara). Southeast Sulawesi Province is highlighted below.
Comment
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Re: Garut Cluster Part V
The location of Sleman Regency where they have distributed Tamiflu to health centers (PonyGirl's Post #8 above) is depicted in pink below.
The Sleman Regency is included in the the Province of Yogyakarta, shown in green below.
Images form WikipediaLast edited by Laidback Al; August 27, 2006, 12:08 AM.Comment
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