Indonesia - 3 Deaths in Pangkajene Kepulauan Regency- Badi - Officials say Not Bird Flu

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[comment] Pangkajene Kepulauan Regency is about 30 mile south of the regencies reporting bird flu outbreaks in South Sulawesi. No sick or dying poultry have been reported for this regency nor have any residents been reported hospitalized for bird flu.

Hat-tip dbg.

http://www.tribun-timur.com/read/artikel/130639/200-Warga-Sakit-dan-Tiga-Wafat-di-Pulau-Badi

Indonesian to English translation
200 People Died in Pain and Three Island BadiLaporan: TimurSabtu Tribune, October 2, 2010 | 23:19 pm
Pangkep-TIMUR.COM Reuters - About 200 residents on the island of Badi, Mattirodeceng Village, District Liukang Tupabbiring, Pangkep, must bear the pain because there are no health workers who serve them.


Mattirodeceng mayor, Abdullah Asagaf, very mengkwatirkan fate of all citizens on the island of Badi, amounting to some 400 heads of families that every day someone is sick. Until now carrying about 200 people sick fever due to bad weather that hit the island.

"In fact there were three people there died of fever. Some call for bird flu, but residents and local governments can not justify or confirm allegations that because only the health personnel who can determine whether bird flu is," said Ahmad Effendi, the people of Makassar , who happened to be there a few days ago.

[Okieman]

Re: Indonesia - South Sulawesi - 30 Persons Monitored for Bird Flu - 4 Hospitalized

Some info concerning Pulau Badi, which I've also posted on the FluWiki:

Map (zoom in a bit)

http://www.traveljournals.net/explore/indonesia/map/m3688787/pulau_badi.html

also

Doing a Google search I found a paper with this title:

<i>Mechanisms for Increasing Electricity Access for Entrepreneurs on Rural Islands of Indonesia</i>
by J Bunting

Google had this excerpt:

<i>involved in delivering electricity to rural entrepreneurs. The small island of Pulau Badi was chosen as an ideal case study for this subject, as the island ...</i>

The paper is dated May 2010, so it is fairly recent.

I did a very quick scan of the paper. On page 14 it mentions that the island is about <b>1 square kilometer</b> and has about <b>400 households</b>. In describing the electricity generation on the island it says that generation is increased during the month of <b>September</b> since it <b>is the "month of weddings and celebrations".
</b>
So...it is likely chickens and people from off the island have been brought to the island in fairly significant numbers during September. And, it sounds like it is fairly densely populated.

http://docs.google.com/viewer?a=v&q=cache:eEor5dTatx8J:dukespace.lib.duke.edu/dspace/bitstream/handle/10161/2140/Julia%2520Bunting%2520MP.pdf%3Fsequence%3D1+pulau+badi+island&hl=en&gl=us&pid=bl&srcid=ADGEESgvHdaGongF8SlivpdxyMZPr4Obajz2tWWtVxjW_EHThRHugAs-mZAnBd9Z1K2COOZz2UxW6tTCLJgG4OpS2ZcJdIhLJasNtxiJ1UFSotNjyVR-E6-JySDSlMLVg0ORQdH8JjK2&sig=AHIEtbRl_mauPRDlH9mkEEULxm6hfmnS6A

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Re: Indonesia - South Sulawesi - 30 Persons Monitored for Bird Flu - 4 Hospitalized

http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF-8&sl=id&tl=en&u=http://www.tribun-timur.com/read/artikel/130782/Bukan-Flu-Burung&prev=_t&rurl=translate.google.com&usg=ALkJrhjO9sMTFsEAzWo9Ye2qKb9MtzM2MA

Not Bird Flu

Monday, October 4, 2010 | 6:06 pm
WE want to stretch around the disease experienced by some residents on the island of Badi, especially in the Village Mattirodeceng.

Indeed there are three people who died but not because of suspected bird flu or avian influenza. That's not true.
All three died of old age, stroke and tumor. Who died because of age it was 75 years old. While a stroke and tumor I do not know her age.
We actually refer to the General Hospital Pangkep but they do not want to. They are only handled by the physician clinic.
The reason all three did not want to be referred to not having sufficient funds treatment. Whereas in Pangkep we have implemented health programs for free.
I'm going to Pulau Badi tomorrow (today) to see the conditions there. Already there are doctors who we sent over there to give medical assistance. (cr1) (Cr1)
* Dr Inriati MKes Latif, head of Health District Pangkep

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Re: Indonesia - South Sulawesi - 30 Persons Monitored for Bird Flu - 4 Hospitalized

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Three People Died Badi Island; Residents complain about Shortness of Breath, High Heat, and cough; Kadus Call Ignored Public Health Service; Medical Team: Influence of Weather; Governor of regent Direct Phone IST IST

Medication to Makassar or Pangkep
Senin, 4 Oktober 2010 | 06:09 WITA Monday, October 4, 2010 | 6:09 pm
Makassar , Tribun - Makassar , Tribun - Hundreds of district residents who live in the region Pangkep Badi Island, District of South Tupabiring Liukang disease simultaneously.

Ironically, residents do not get health care because there is no doctor on duty on the island. Three people reportedly died.
Head North Mattirodeceng Hamlet, Village Mattirodeceng, Abdullah A, to the Tribune, Sunday (3 / 10), revealed the poor condition of health of its citizens in a fishing village on coral islands in the strait Sulawesi Spermonde this.
In the language of Makassar coast accent, Abdullah said, within a period of nearly two months, half the residents of about 540 heads of households (families) experiencing symptoms of a uniform disease.
The disease is moving-moving (transmitted) from one household to the other families," Abdullah said via cell phone around 10:00 pm.
Sempat beredar isu warga terserang wabah flu burung. Had circulated the issue of bird flu plague-stricken citizens. But the Chief Medical Officer (Kadinkes) Pangkep Dr. Latif MKes Indriati denied any symptoms of bird flu on the island of Badi (see, Not Bird lu).
South Sulawesi Governor Syahrul Yasin Limpo and Regent Pangkep Batara Shamsuddin Hamid also denied the existence of endemic bird flu.
"From staff reports in the field, there is no such symptoms (bird flu). The government already has a standard operating procedure (procedure) if there is something like that, "said Syahrul who continue to communicate with his staff when notified incident.

Concerned Citizens
Abdullah, who is also reef fish fishermen say, his wife and two children also attacked by the disease. "I Rana (4 th) and Adi (7 th) has also been hit," Abdullah said both her son's name.
Citizens increasingly worried, because within the last month there were three local residents with fever who later died in the onslaught of free socialized health care program by the South Sulawesi provincial and regency Pangkep.
Those who die each Daeng Jumintang (61), Daeng Saenab (50), and Daeng Tija (45).
Up at 22:00 pm last, night from PHC medical team led Sarappo Hasan Basri drg is still reviewing the inspection from house to house.
New physician Tim descended to the island, a distance of about two hours travel from Makassar, Tribun do this after confirmation to a number of parties.
Awalnya, dr Inriati membantah bila ratusan warga Pulau Badi terserang penyakit secara massal. Initially, Dr. Inriati denied when hundreds of people became ill Badi Island en masse. He also mentioned a doctor who served in (pustu) on the island regularly.
Residents of the island states, they do not get adequate health care because doctors only come in time for months.
As a result, some of them forced to seek treatment themselves by utilizing the existing families in Makassar , particularly around Port Paotere.
From the examination until at 21.00 pm last night, team doctors have examined about 20 households on the island.

"We take a break for a while," said drg Hasan Basri, who was appointed chairman of a special medical team to the island.

In a report to the Regent Pangkep Kadinkes Pangkep around 21:00 mentioned, there are people who died Friday (1 / 10) then.

"The dead were three people aged over 50 years because it had long been ill, because of age, complications, tumor and stroke. So it's not because of bird flu," so SMS kadinkes to the regents.

Text message that is forwarded (continued) Regent Pangkep to Tribune at around 22:21 pm. Shamsuddin claimed to have been called by Governor Syahrul to directly confirm the occurrence on the island of Badi.

Respiratory Disorders
In a separate report, which was also sent to the regents, said the health department until last night, seven people were reported affected by adult respiratory distress and coughing.
Three people have gastritis (sick uluhati), two children aged five and 11 years terinspeksi respiratory tract.
Sementara itu Kepala Desa Mattirodeceng, Meanwhile Mattirodeceng village chief, Abdullah Asegaf very grateful to DHO Pangkep that help and attention to residents in the island by sending medical teams to the island of Badi.
"We are grateful even though there had been three people Thursday who had already passed away a few days ago," he said.

Weather Eskstrem [Extreme?]

The medical team admit, from the initial diagnosis found no severe flu symptoms and respiratory disorders. "I've come around sejat tation afternoon (yesterday). The diagnosis while not the bird flu, that I can confirm that. What we get is people complaining about the extreme weather," said drg Basri who is also Head of Puskesmas Sarappo.

Sarappo Island is the capital of southern Tupabiring KOTRA District. This island is about one hour trip to the island of Badi and 2.5 hours from Pangkep. This health center in charge of seven villages and 11 islands that 2-5 hour distance from Pangkep and Makassar .
Drg Basri tiba di Pulau Badi sekitar pukul 16.00 wita. Drg Badi Basri arrived on the island about 16.00 pm.
He boarded the ship from Port Paotere citizens Makassar together with a young doctor, Grace Prasad, and paramedics, Alimuddin.

. "Tomorrow (today) will come again additional medical team from Makassar and Pangkep, "said Hasan.

Kadinkes Pangkep also scheduled to accompany the medical team left for this heart.

Concerned Citizens

Residents named Haji Ismail (65) mentions, his wife Hajjah Bahraini (51) has been attacked by the disease since the fasting month.

He described, if a high fever that came to attack, blowing "east monsoon winds in the morning" will also be lost.

Winds during the dry season on the island used to come at dawn the day at the beach so the water was very cold as the water in the refrigerator.
Residents who did not get sick were taken to hospital in Makassar due to bad weather hit the island. "After Eid Lebaran then the sick person is ready to be taken to Makassr for treatment but all of a sudden high waves so that we cancel," he said.

Territorial waters of Sulawesi since last September entered the transition period climate and weather. High waves and heavy rains often come together. Ismail and head of the hamlet mentioned last week some 100 people will be brought to a hospital in Makassar for treatment.

However, due to money constraints, they only treated the road and went back to Pulau Badi That there is money that can go to Makassar , "he said.
(cr1/cr7/lim/axa/sur/zil) (Cr1/cr7/lim/axa/sur/zil)

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Re: Indonesia - South Sulawesi - 30 Persons Monitored for Bird Flu - 4 Hospitalized

Some mild discrepancies as to the ages of the three fatalities, but all reports indicate that these were older individuals.

http://www.tribun-timur.com/read/artikel/130702/CITIZEN-REPORTER-Tiga-Warga-Meninggal-di-Pulau-Badi-Pangkep-Dimakamkan

Citizen Reporter: Three Residents Died In Pulau Badi Pangkep Was Buried
The report: A Ahmad Effendy. Green Press South Sulawesi Chairman
Sunday, October 3 2010 | 12:06 of WITA

Makassar, Tribun-Timur.Com - Three residents died in Pulau Badi, Village Mattirodeceng, Subdistrict Tuppabiring, Regency Pangkep, respectively Daeng Jumintang (60), Daeng Saenab (60), and Daeng Tija (45). Before dying the three of them were attacked by the flu illness, the fever, and breathless. They could not be brought to the hospital in Makassar because of the bad weather struck the island, the Mattirodeceng Village headword, Abdullah Asegaf in Pulau Badi, on Sunday (3/10/2010).

According to him, until this the official of the health from the Pangkep Regency still has not visited to this island, from 200 more the resident who was sick the last few days had 100 residents was brought to the hospital in Makassar took medicine. Because the shortage of their fund was brought to Makassar in general only took medicine the road and came home back to Pulau Badi, he said. They died several days were after Lebaran and at once buried. Up to now still many residents who were sick there without help.

[Gert van der Hoek]

Re: Indonesia - Three Deaths in PANGKAJENE KEPULAUAN REGENCY - Not Bird Flu

A lot of bad weather and rains at the moment in several regions in Indonesia. If you do a search on "banjir" (= flood) you will find many articles.

In Jakarta hundreds of houses are flooded for instance. This is normal in times of heavy rains.

Bad weather, cold, rain in combination with poverty seems to be a receipe for ilnesses.

Apparently a medical team was sent to Pangkep Island .


excerpt:

After the Tribune reported by the Eastern edition today, the District Health Office Pangkep also been sent health teams that will help people to treat the sick.

The medical team sent by the Head of Public Health Center led directly Sarappo Kecematan Liukang Tuppabiring, Dr. Hasan Basri. It comes with two general physicians and 2 nurses.

He was with the team doctors have examined about 40 people who became ill flu and fever.

full article

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Re: Indonesia - 3 Deaths in Pangkajene Kepulauan Regency- Badi - Officials say Not Bird Flu

Hat-tip dbg. A little more on one of the fatal cases. I believe the bold text is saying that the individual had been ill for 2 years, possibly with uncontrolled diabetes ("dry sugar").

http://www.tribun-timur.com/read/artikel/130879/Sekali-Sebulan-Dokter-Datang-ke-Pulau-Badi

Once A Month, The Doctor Came To Pulau Badi
The report: Edi Sutandi, the reporter Tribun-Timur.com from Pulau Badi, Kabupaten Pangkep
Monday, October 4 2010 | 12:38 of WITA

Tribun-Timur.Com - Information about the number of residents of Pulau Badi, Subdistrict Liukang Tupabiring, of Regency Pangkep, that was sick and was not served well, made me be encouraged to visit to the blood [I think this was a typo and should have been "region"].

The trip from Makassar to Pangkep needed time approximately one hour with the land. After that carried out the trip by the motor boat crossed to Pulau Badi.

When getting on the motor boat that carried met the husband Dg Jumintang, Ruopung. Jumintang was the resident of Pulau Badi, that died because not more maximal the medic's service in the island territory.

According to the Ruopung story, in Pulau Badi, there was the auxiliary community health centre. The main community health centre was in the Sarappo Island, Subdistrict South Liukang Tupabiring. This was the subdistrict development Tupabiring, last 2009.

He said if his wife died after 2 years were sick. According to the doctor, Jumintang suffered dry sugar. Nevertheless, he said, his wife had not gotten the adequate health service.

Although many residents who often were sick in the island, but the doctor and the nurse who came, only from time to time. Sometimes in a month, the doctor only came once to puskemas assistant. Moreover, said Raupong, there are several new moons entered there.

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Re: Indonesia - 3 Deaths in Pangkajene Kepulauan Regency- Badi - Officials say Not Bird Flu

While it is possible that goat waste might be responsible for some of the illness, it is more likely just a commentary on the poor health situation there.

http://www.tribun-timur.com/read/artikel/131200/Kambing_dan_Perilaku_Hidup_Tidak_Sehat

The Goat And The Behaviour Of The Life Were Unhealthy
Visited Pulau Badi, Pangkep
Wednesday, October 6 2010 | 08:54 of WITA

Visited Pulau Badi, wherever the eye could see there must be a goat. Outside the house, where then foot took a step must have the waste of the goat. Like that the condition that happened in the island that was followed 2.5 to three hours trip from Pangkep or 1.5 hours from the Makassar City.

Reported Tribun, on Monday (4/10) of hundreds of residents were sick in the island. His sign was similar to bird flu. Some time before three people died because of being sick.

In the auxiliary community health centre (pustu) Pulau Badi, Village Mattiro Deceng, of Subdistrict Liukang Tumpabiring, Pangkep, on Monday early afternoon (4/10), dozens of people queued to take medicine. They complained about the condition for the body of some last time. This complaint take the form of itchy, had a headache, flu, the cough, even hypertension.

A glance, saw the condition for the environment in the island that had a population of 820 head of household was indeed unhealthy. The pool of water, the scattered waste, and the floor and the wall of the dirty house were usual scenery.

The behaviour of the life was unclean and healthy other was parents, mature, and children who always were touching directly with the land and the dirty livestock animal. Appearance children were left playing with the dirty land, dirty clothes, and did not put on the footwear, as well as adult.

Children's posture for the length of observation of Tribun did not have any that was fat. There is also that his stomach was distended and all the time issued nasal mucus from his nose. Saw his face really pale, his hair was brownish and dried up.

Food that was eaten by the resident of appearance was also processed by means of that was unclean. There were those who cooked outside the house and now the livestock goat was in the food that was cooked.

The behaviour of the life that like that that it was suspected became the cause of the illness of hundreds of residents who were aggravated with the extreme weather. "They were sick possibly because of the weather and the unclean environment", the Health Pangkep Service headword Dr Indriaty Latief that passed by the visit to Pulau Badi and carried out mass medical treatment.