Indonesia - Bali - Rabies Claims 121th Fatality

[Shiloh]

Source: http://www.thejakartapost.com/news/2...est-death.html

Tuesday, January 12, 2010 1:10 AM


Rabies toll climbs to 29 after latest death

Mon, 01/11/2010 3:42 PM | Bali

KUTA: A 56-year-old man identified as Wayan Lusir has become the latest victim of the island's rabies outbreak, after he died Saturday at Sanglah General Hospital in Denpasar.

Lusir had reportedly been bitten by a dog near his home in Ungasan village, South Kuta district, six months ago. He had apparently not sought an anti-rabies shot at the time.

He was taken to Sanglah last weekend after exhibiting symptoms of rabies. He was treated at the hospital for 48 hours, but eventually succumbed to the virus.

Ten people have reportedly died of rabies in South Kuta district, Badung regency. A total of 29 fatalities from the disease have been reported across the island since the outbreak began last year. - JP

[alert]

Re: Rabies toll climbs to 29 after latest death

http://www.flutrackers.com/forum/showthread.php?t=87114

See this thread for more information about Rabies in Bali, including some of the previous 29 cases. Perhaps this post should be moved to that thread. And maybe that thread should be moved to this forum (or maybe an Indonesia - other diseases forum), as rabies is definitely not H5N1 related.

[Shiloh]

Re: Rabies toll climbs to at least 30

Source: http://www.radioaustralianews.net.au...94.htm?desktop

Bali struggles with rabies outbreak

Rabies is spreading out of control among Bali's 500,000 dogs, prompting the government to try vaccinations and culls in an effort to contain the virus. [AFP]

Gavin Fang, Bali

Last Updated: Mon, 15 Feb 2010 11:54:00 +1100

The government of Bali is struggling to contain a rabies outbreak among the island's dogs which has killed at least 30 people.

Rabies is spreading out of control among Bali's 500,000 dogs, prompting the government to try vaccinations and culls in an effort to contain the virus.

Dr Ken Wiransandi, works with rabies patients at Bali's Sanglah Hospital, says rabies is deadly to humans.

"From the 55 patients that we have treated, 55 that we clinically suspected to have rabies, 30 of them died and 25 of them tested positive for rabies," he said.

"The evidence says that once a patient shows symptoms of rabies they will almost certainly die."

Rabies is thought to have been brought to Bali 14 months ago by an infected dog owned by a fisherman from nearby Flores, and is now spread to all but one corner of the island.

Dr Wiransandi says every day around 300 dog bite victims come to the hospital needing an anti-rabies injection, putting a strain on its vaccine stocks and resources.

"As long as we are unable to control the disease in dogs it will continue to get worse," he said.

"I heard from colleagues in Thailand that they've been unsuccessfully handling rabies for 20 years, because they still can't resolve it in dogs, so I hope that Bali can manage to control the disease in dogs."

Roaming dogs

Balinese usually let their dogs roam free and the local government says thats why its been difficult to control the disease.

Putri Sumantra from the Bali Governor's office says as of December, laws require all dogs needed to be kept inside or leashed, or they would be impounded, and eventually killed.

"The Balinese don't like to eliminate the dog, don't like to kill animals, we love the dogs," he said.

"But the situation now is very very scared, very very for our people, so we want to save our Bali,we want to save the people in Bali."

Government figures show 40,000 dogs have been culled in the past year, and Putri Sumantra says they hope to halve the island's dog population.

Vaccination plan

Animal rights activists say Bali's culling campaign is a waste of time, because dog numbers will quickly bounce back, and have launched their own vaccination program.

Animal rights activist Janice Giraldi says vaccination is the only way to eradicate the disease.

"They need to do something and so for them that's easy to go out and put baits, put food baits down on the street and to go around and shoot poison darts at the dogs, that's fairly simple compared to a vaccination program, so I think they think they are going to be effective by doing it," she said.

The Bali Government has been doing it own vaccination program and they say 190,000 dogs have been reached in the past year, but there are concerns the locally-made vaccine may be ineffective.

Mass vaccinations are planned for June, using an internationally approved vaccine, but the Bali government admits it is short of funding for the program.

And Janice Giraldi says without an effective program, no solution will stop the spread of rabies on the island.

"We will continue to have rabies probably for ever in Bali, there is no option, there is no choice," she said.

"They have to vaccinate a minimum of 75 per cent of dogs on this island immediately. Outside dogs are not a problem, unvaccinated dogs are."

Use link below for an article on vaccination of dogs in Indonesia:

http://www.flutrackers.com/forum/showthread.php?t=141095&highlight=rabies

[Shiloh]

Re: Rabies toll climbs to 35

Source: http://www.thejakartapost.com/news/2...er-victim.html

Wednesday, February 17, 2010 7:58 PM
Rabies outbreak claims another victim

Wed, 02/17/2010 2:13 PM | Bali

DENPASAR: An unnamed 25-year-old man allegedly died of rabies at Sanglah General Hospital in Denpasar on Monday morning after two days of treatment.

The victim had admitted to being bitten by a stray dog in his village in Jimbaran four years ago.

Dr. Ken Wirasandhi from Sanglah said laboratory tests on the victim's were not yet available.

"However, he showed symptoms of rabies before he died," the doctor said.

Wirasandhi said doctors at the hospital had not conducted comprehensive medical and laboratory tests.

"Therefore, we are still unsure whether the dog bite was the cause of rabies. The dog bite occurred four years ago," he said. Rabies has claimed 35 victims since an outbreak began on the island in November 2008. - JP

[Shiloh]

Re: Rabies toll climbs to 37

Source: http://www.thejakartapost.com/news/2...mounts-37.html

Wednesday, February 24, 2010 9:00 PM

Two die of rabies, toll mounts to 37

Wed, 02/24/2010 12:21 PM | Bali

DENPASAR: Five-year-old boy Kadek Aris was suspected of dying of rabies after he was bitten by a dog two weeks ago.

Aris was taken to Sanglah Hospital on Feb 19.

The boy received two anti-rabies vaccines but three days later Aris died with rabies symptoms.

Dr. Ken Wirashandi from Sanglah Hospital said that the first laboratory test showed a negative result, but the second one taken from his neck was positive.

Wirashandi said that the dog bit Aris on his face.

"The bite area was close to the brain. Therefore, the rabies virus could rapidly attack the boy's it," the doctor explained.

In addition to Aris, another patient with rabies symptoms also died after receiving anti-rabies vaccines.

"Both patients should have received anti-rabies serum and anti-rabies vaccines at the same time."

Around 37 people have died of rabies since 2008. - JP

[Shiloh]

Re: Rabies toll climbs to 40

Source: http://www.balidiscovery.com/message...ge.asp?Id=5877

Bali Dogged by Growing Rabies Toll
Death of 45 Year Old Woman Brings Death Toll to 40 in Continuing Rabies Epidemic in Bali.

(3/13/2010) The latest death of a 45 year-old woman, Ni Ketut Ardini, on Monday, March 8, 2010 has brought to 40 the number of fatalities tied to the continuing scourge of rabies in Bali. The woman from the village of Sanda in Pupuan perished shortly after her admission to the Tabanan Hospital in West Bali.

Dr. Gede Sudiartha told the press that after being treated for only 12 hours in an isolation ward of the hospital, Ardini succumbed to what remains a suspected case of rabies pending confirmation by laboratory tests. Upon admission the woman exhibited symptoms emblematic of rabies, including foaming from the mouth, aggressive behavior, respiratory difficulties, an inability to swallow and nausea.

Initial tests of the woman's saliva and eye fluids have been negative for the rabies virus. Brain fluids drawn from the dead woman's body are sill being tested by medical experts.

A day prior to her death the woman still managed to work in family farming lots. Approximately 1.5 months prior to her death Ardini suffered a dog bite from a family pet on the fingers of her left hand. Refusing medical treatment the woman only washed the wound with soap and water.

The same dog reportedly bit four other family members who remain in good health As a medical precaution, the four bite victims have now been given anti-rabies serum. The family members were compelled to travel to Sanglah and Buleleng to obtain the serum, due to a lack of serum supplies in Tabanan...

[Gert van der Hoek]

Re: Indonesia - Bali - Rabies toll climbs to 47 (80 unofficially)

From ProMED

RABIES, HUMAN - INDONESIA (02): (BALI)
**************************************
Date: Tue 4 May 2010
From: Merritt Clifton
anmlpepl@whidbey.com


Bali rabies deaths list: update
-------------------------------
Chronic shortages of post-exposure vaccines continue. Case reporting
continues to be erratic. Unofficially, the Bali human rabies death toll is
now approaching 80. Officially, about half of the victims died of
"encephalitis" rather than rabies.

The Bali Animal Welfare Association is now vaccinating up to 870 dogs per
day, averaging more than 500, but still, less than half of the dog
population has been vaccinated.

The government is still putting much of their effort into culling dogs, but
the culled total is still less than the dog birth rate, as some recent
newspaper articles have finally acknowledged. A local newspaper, Nusa Bali
(Tue 4 May 2010) states that there are now rabies cases and 43 fatalities.

Denpasar, NusaBali records another fatality, [that of] a 69 year old
resident, caused by rabies virus [from] dogs, cats [or] monkeys. (note that
so far there have been no cases, not even vaguely suspected, involving cats
and monkeys. Many people in Bali are obsessed with the alleged risk that
rabies might infect the temple monkeys, which are a major tourist draw, but
the monkeys don't hang out where dogs do -- if both are in the same
courtyard or alley, they keep to opposite sides and keep a wary eye on each
other. As to cats, they exist in Bali, of course, but are not highly
visible, since dogs tend to monopolize any food sources that they can,
leaving a relatively narrow niche for mousers who go where dogs cannot.)

The following information was gathered by Sanglah Hospital as of Mon 3 May
2010), According to Dr Ken data for suspect Rabies patients who were
treated in the Sanglah Hospital, from October 2008 is recorded 77 rabies
cases and 43 fatalities, 27 of them were rabies positive. (Deciphering this
last sentence requires a degree of clairvoyance. The remains of many people
who are believed to have died from rabies have not been tested, and there
is some dispute as to the accuracy of the testing method used in
postmortems in Bali.)
.

[list]


.
[Since the last report posted on ProMED-mail on 9 Apr 2010 the number of
human deaths from rabies virus infection has increased from at least 42 to
at least 47 currently (although unofficially the toll is estimated to be at
least 80). The list of officially confirmed cases illustrates a widespread
geographic distribution of cases, the wide span of ages of the victims, and
the apparent absence of any non-native inhabitants.

http://www.promedmail.org/pls/otn/f?p=2400:1001:2529825287952380::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,82577

[Gert van der Hoek]

Re: Indonesia - Bali - Rabies toll climbs to 93

Rabies Death Toll in Bali Now Put at 93

Bali Provincial Government Insists that Culling and Inoculation of Island's Dog Population Must Press Ahead.


(9/6/2010) Bali's Rabies epidemic continues to plague the island. According to Radar Bali, a total of 93 people have died from suspected rabies spread from dog bites, despite massive expenditures and efforts to inoculate pet dogs and eliminate stray animals.

Ketut Teneng, the spokesman for the Bali provincial government, said that 93 people have died after suffering dog bites. Of that total, he said, 41 of those deaths were clinically linked to rabies through laboratory tests on the victims. The remaining victims were buried without aid of laboratory test but after exhibiting symptoms consistent with a rabies infection.

The number of new dog bites reported in Bali remains very high. On an average day 165 people are bitten by dogs in Bali, adding to widespread fear among visitors and local of the danger of contamination with a potentially fatal disease.

full article: http://www.balidiscovery.com/message...ge.asp?Id=6298

See also:

Rabid monkeys a big threat in Bali

Indonesia - Rabies virus now confirmed in Bali's cattle and pig stocks

[Gert van der Hoek]

Re: Indonesia - Bali - Rabies Claims 100th Fatality

Rabies Claims 100th Fatality in Indonesia's Bali

Jumat, 15 Oktober 2010 |




In this photo taken Wednesday, Oct. 28, 2009, dogs wait to receive rabies vaccinations in Ubud, Bali, Indonesia. Authorities on Bali, nicknamed the "Land of Gods" because of its natural beauty and idillic climate, have responded to a deadly rabies epidemic with vaccinations and widespread culling.


BALI, KOMPAS.com — A rabies outbreak on Indonesia’s resort island of Bali has now killed 100 people. Ken Wirasandhi, a doctor monitoring the epidemic, said Friday that a 40-year-old villager died overnight after being hospitalized with rabies symptoms.

Bali, an island of 3 million people and one of Asia’s top tourist destinations, has been grappling with the outbreak for nearly two years. Several countries have issued advisories, telling travelers they should get shots and stay clear of dogs roaming the white-sand beaches.

In a widely criticized move, local officials responded by killing 200,000 stray dogs, saying they couldn’t afford to vaccinate the animals against rabies. That has changed in recent weeks with the help of international funds. (WSPA, ed)

Kompas

[Gert van der Hoek]

Re: Indonesia - Bali - Rabies Claims 107th Fatality

machinetranslated

Rabies Victim Finally Died

Sunday, November 28, 2010

DENPASAR, KOMPAS.com - Ni Luh Sutri (56), a resident of the Karangasem Datah Banjar previously reported suspected rabies after being bitten by a dog owned by one of his family finally last breath at the General Hospital Center (Dr) Sanglah, Denpasar Saturday (27/11 / 2010) about 16.00 pm.

- snip -

With the death of Ni Luh Sutri, the total number of victims of rabies in Bali has now reached 107 people since a virus that attacks the brain's neurons is endemic in Bali at the end of 2008. In the past week, three people died from rabies in the adjacent time Suardana Komal (11) died on 23 November, then Gusti Puspa Jaya and Ni Luh Sutri who died on the same day, Saturday.

Kompas

[Pathfinder]

Re: Indonesia - Bali - Rabies Claims 107th Fatality

<TABLE id=apex_layout_271110100662109808 class=formlayout border=0 summary=""><TBODY><TR><TD noWrap align=right>Archive Number</TD><TD noWrap align=left>20110106.0066</TD></TR><TR><TD noWrap align=right>Published Date</TD><TD noWrap align=left>06-JAN-2011</TD></TR><TR><TD noWrap align=right>Subject</TD><TD noWrap align=left>PRO/AH/EDR> Rabies, human - Indonesia: (Bali)</TD></TR></TBODY></TABLE>

RABIES, HUMAN - INDONESIA: (BALI)
*********************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Mon 3 Jan 2011
Source: The Jakarta Post, Denpasar [edited]
<http://www.thejakartapost.com/news/2011/01/03/bali-allots-rp-13b-antirabies-vaccines.html>


Bali allots funds for anti-rabies vaccines
------------------------------------------
Anticipating an increase of rabies cases in Bali throughout 2011, the
Bali Health Agency promised to allocate Rp 13 billion (USD 1.44
million) to procure anti-rabies vaccines for humans, an official said.

The budget would be provided from the provincial and regency
administrations' coffers, agency head Nyoman Sutarga said. "The
province will disburse Rp 7.5 billion and the regency administrations
will provide the remaining Rp 5.4 billion to procure 36 000 vials of
anti-rabies vaccines," Suteja said at Sanglah Central Hospital. The
current stockpile of 70 000 vials are still sufficient until April
this year [2011], he said, adding "We will only use the Rp 13 billion
after we run out of stocks."

Despite the ongoing vaccination drive and efforts to stockpile
anti-rabies vaccines, the infection still continues to claim more
lives. Since the outbreak began in late 2008, continuing through the
end of 2010, 107 people have died of the infection, with the number
of fatalities increasing dramatically every year.

Rabies claimed 4 lives in Bali in 2008, and another 28 in 2009. Last
year [2010], the number of victims soared to 75. The epidemic
infected only a few villages in a regency in South Bali during its
initial stages. Presently, the epidemic has spread to hundreds of
villages located in all the island's 8 regencies and one city.

Most victims failed to receive immediate and proper medical treatment
after being bitten by infectious dogs, mainly due to difficult access
from their remote villages to hospitals capable of providing the
vaccine. The low level of public awareness on post-bite treatment has
also led to many bite victims' unwillingness to seek proper medical treatment.

Some hospitals in certain regencies reportedly have run out of
vaccine stocks, but Suteja said the problem was due to the lack of
coordination between the hospitals and designated rabies centers.
"It's a problem of coordination. In fact, the stocks of vaccines in
every regency hospitals are still safe," he said.

The Bali administration is set to allocate a total of Rp 48 billion
to handle rabies cases, including procuring vaccines for dogs and
culling street dogs. The central government and the provincial
administration have campaigned that the resort island would be free
from rabies by 2012.

To help cope with the rising number of cases, the local
administration is working together with non-government organizations
to vaccinate at least 70 percent of the island's estimated 500 000 dogs.

Local Udayana University scientists have introduced the use of
intradermal rabies vaccinations to more effectively combat the
life-threatening disease. The vaccination is proven to be capable of
giving a quicker and more protective antibody response as compared to
the conventional intramuscular method.

[Byline: Desy Nurhayati]

--
Communicated by:
Merritt Clifton
Editor, Animal People
P.O. Box 960
Clinton, WA 98236
<anmlpepl@whidbey.com>

[Merritt Clifton has appended the following commentary on the current
situation in Bali. "The Jakarta Post has given the total number of
officially recognized human rabies deaths as 107, and on the same
day 2 more deaths were announced in Balinese media, bringing the
official total to 109. The total number of human rabies deaths,
including 20-plus that have reportedly occurred outside of hospitals
in remote villages, remains in the apparent range of 130-140.

"The most recent cases involved exposure reportedly occurring
approximately 3 months ago, i.e. toward the end of September or early
October 2010. The 12 most recent cases before these 2 also involved
exposure reportedly occurring in September [2010] or earlier.

"This may indicate that the effort to vaccinate all the dogs in Bali,
coordinated by the Bali Animal Welfare Association and funded by the
World Society for the Protection of Animals, is beginning to contain
the outbreak."

An increased availability of anti-rabies vaccine for post exposure
treatment of humans may enable human rabies to be eliminated by 2012
as planned, but achieving the complete eradication of rabies from the
animal population may be more challenging.

A map delineating the 9 Regencies of Bali can be viewed at:
<http://baliwww.com/destination/index/category/368.html>. The
HealthMap/ProMED-mail interactive map of Indonesia, showing the
location of Bali can be accessed at
<http://healthmap.org/r/00bi>.
- Mod.CP]

[see also:
2010
----
Rabies, human - Indonesia (18): (Bali) 20101125.4254
Rabies, human - Indonesia (17): (Bali) 20101012.3701
Rabies, human - Indonesia (15): (Bali) 20101003.3583
Rabies, human - Indonesia (12): (Bali) vaccine conservation 20100825.2994
Rabies, human - Indonesia (11): (Bali) 20100824.2976
Rabies, human - Indonesia (10): (Bali) livestock 20100815.2825
Rabies, human - Indonesia (09): (Bali) canine 20100806.2673
Rabies, human - Indonesia (08): (Bali) 20100802.2599
Rabies, human - Indonesia (07): (Bali) 20100707.2268
Rabies, human - Indonesia (06): (Bali) 20100616.2024
Rabies, human - Indonesia (05): (Bali) feline vaccination 20100524.1717
Rabies, human - Indonesia (04): (Bali) 20100517.1617
Rabies, human - Indonesia (03): (Bali) 20100514.1576
Rabies, human - Indonesia (02): (Bali) 20100505.1465
Rabies, human - Indonesia: (Bali) 20100409.1157]
...................cp/ejp/mpp

http://www.promedmail.org/pls/apex/f?p=2400:1001:564420021648422::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,86525

[Gert van der Hoek]

Re: Indonesia - Bali - Rabies Claims 121th Fatality

Rabies Agains Claims Victim in Bali

Saturday, January 15, 2011 |

DENPASAR, KOMPAS.com - Outbreaks of rabies in Bali in 2011 increasingly raged into this. If in the previous week killed four people on Saturday (15/01/2011) morning rabies again claimed casualties. The fifth victim earlier this year from the city of Denpasar.

The victim, I Ketut Sarga, Acacia Street citizens, Denpasar, has a history of dog bite six months ago. "The victim was bitten by neighbor's dog in the middle finger his feet," said Secretary Rabies Management Team Sanglah Hospital, Denpasar, Dr. Ken Wirasandhi IGB.

However, once bitten, Sarga not receive treatment in accordance with the procedures for prevention of rabies. Even Sarga never received antirabies virus.

Because the condition of the victim continues to deteriorate, the family finally brought Sarga to Sanglah Hospital, Denpasar, on Friday. When treated in isolation cells Nusa Indah Sanglah Hospital, the victim showed clinical symptoms of rabies, including seizures and a phobia of water, air and light.

After being treated for about 12 hours, Sarga last breath on Saturday morning. "The victim died this morning. Earlier symptoms of phobia has emerged as well, "Ken explains.

With the death of Sarga, victims of rabies in Bali so far reached 121 souls after this deadly virus outbreak in late 2008.

Kompas

[Pathfinder]

Re: Indonesia - Bali - Rabies Claims 121th Fatality

Teenager Dies of Suspected Rabies

May 05, 2011
SINGARAJA

A 16-year-old high-school student from Buleleng has died of suspected rabies, the latest fatality in Bali?s more than two-year war against the disease largely vectored by masses of stray dogs.

Putu Yuli Antara Yasa, from Tigawasa village in the Banjar district, was brought to Buleleng Hospital with critical rabies-like symptoms on Monday evening, and died the following morning, doctors said.
...
Blood tests have been taken and sent for forensic analysis to confirm rabies, Mardana said, adding that the symptoms ? which included high fever and a fear of water ? made it almost certain that Yasa had been suffering from the disease.
...
Rabies, which in late stages is usually fatal, was discovered in southern areas of Bali in late 2008 and since then around 130 people have died from the disease.

Full text:

http://www.thebalitimes.com/2011/05/05/teenager-dies-of-suspected-rabies/

[Pathfinder]

Re: Indonesia - Bali - Rabies Claims 121th Fatality

Translated by Google

In Bangli, 10 People Per Day Dog Bitten
| Glori K. Wadrianto | Monday, October 3, 2011 | 9:08 pm
COMPASS / LUCKY PRANSISKA

Bangli, KOMPAS.com - Bangli District, Bali, considered as a region that is still vulnerable to the spread of rabies because the average every day 10 people bitten by dogs in the area.

"This means an average of 300 cases of dog bites in a month," said Nyoman Sudarma, one survey team Bangli Medical Officer on Monday (3/10/2011).

He said, it is the number of monitored by a number of health centers in Bangli. Though it is possible that number could be as many cases of dog bites are the direct patients treated in other areas, such as hospitals or Gianyar Sanglah Hospital, Denpasar.

To that end, did not dismiss Sudarma Bangli region indicated that since the number of rabies-prone dog bite cases continue to rise. Sudarma said that, until recently, there has been a total of four people who died in the attack Bangli rabies. "For anticipation, we always prepare a stock of antirabies vaccine (VAR) in all the rabies control center in Bangli," said Sudarma.

In Bangli, rabies control center is focused on three points, namely at the Bangli District Hospital, Puskesmas Puskesmas Kintamani Kintamani I and III. "We guarantee to this day VAR at the three centers stock the rabies treatment is safe and we always invent the addition each time the inventory running low," said the claimed new Sudarma receive additional VAR of 500 vials (small bottles).

However, spry step Bangli Medical Officer was not accompanied by similar mitigation measures by the Department of Animal Husbandry Bangli. Until now, there are thousands of dogs in Bangli is known yet tervaksin. Of the total population of 35 000 dogs that ranged Bangli tail, about 28,000 new tail vaccinated. That means, there are still about seven thousand more dogs that have not received the vaccine from the Department of Animal Husbandry Bangli.

http://regional.kompas.com/read/2011/10/03/09084510/Di.Bangli.per.Hari.10.Orang.Digigit.Anjing