Bird Flu patients test negative in Karo, Indonesia

[Carter]

http://www.mediaindo.co.id/berita.asp?id=107624
The illness Menular
six people was expected Terjangkit Bird Flu in Karo


Six citizens of the Karo Regency, the North Sumatran Province (North Sumatra) was expected terjangkit) the virus avian influenza (AI) or bird flu, on Tuesday (1/8).

The previous day around the citizen's residence was found five tails of the poultry died suddenly positive resulting from bird flu.

Six citizens namely Efs (10), Js (15)
Des (6), Mvs (1,5) Re (32), as well as anaknya Al (10).

Six citizens villagers Sumbul or the Mupakat Source, the Kabanjahe Subdistrict, the Karo Regency.

All this citizen was still having the family's relations and was living in one village.

Three of the patients, on Tuesday afternoon arrived in the central Public Hospital (RSUP) the Pilgrim Adam the Medan Owner.

They were Mvs, Efs, and Des.

The section head the Health of the Karo Regency the doctor Diana said signs of the illness of the six citizens same like the sufferer of the bird flu virus.

His signs including the hot temperature 37 levels celsius, the cough, pilek, breathless, broncho pneuemonia.

"All the patient will be sent by us to RSUP the Pilgrim Adam the Owner."

The handling in the regional Public Hospital (RSUD) Kabanjahe this only had a help nature first before being sent to RSUP the Pilgrim Adam the Medan Owner, said Diana.

The patients were in the RSUD Kabanjahe room placed in the room of the isolation.

And two people between the citizen who was expected by bird flu that is Re and the ALP did not yet arrive in RSUD Kabanjahe.

According to information that was assembled by the Indonesian Media the family was still considering the maintenance of Ren and the ALP in being carried out in the hospital.

On Monday early afternoon (31/7) around struck 11.

00 WIB, villagers Sumbul found five tails of the poultry died suddenly.

The poultry belonging to M. Sinukaban.

That day also, the citizen reported that to the Karo Service of Regency Agriculture.

After being done by the research with the implement revitertes, the Karo agricultural Service concluded the chicken died positive resulting from the bird flu attack.

Afterwards the sample of the chicken was brought to the North Sumatran Livestock Breeding Service for the further inspection.

Disnak North Sumatra stated the chicken was positive bird flu.

From the findings, the Regional Government side will on the Deptan agreement destroy the available poultry to the radius one kilometre from the place of the discovery of the five poultries that died that.

The head Disnak North Sumatra A the Siregar Uterus said the extermination of the radius poultry 1 km from the location of the discovery of the positive chicken bird flu direncakan would immediately.

"We departed for Karo to do the extermination."

However, the side of the Karo Regional Government till at this time did not yet receive the instruction from the Hall (the Technical Service Unit the Department of Agriculture) about the extermination of this poultry, said the Siregar Uterus.

To prevent the spreading of the bird flu virus, the side the Karo Regional Government destroyed 10.

845 chickens since July 23-27 2006.

The extermination was carried out five places namely the Padang district Mas, the Leto Gong, the Country Gong, Lau Cimba, and Bunu Great.

(KN/YN/Nurmansyah/OL-06)

[Jeremy]

Re: Six people was expected Terjangkit Bird Flu in Karo

Seems like we might have another family cluster in Indonesia.

[Commonground]

Re: Six people was expected Terjangkit Bird Flu in Karo

These are all kids, , except for the 32 yr. old. So sad. Hope they don't have it.

[Shannon Bennett]

Re: Six people was expected Terjangkit Bird Flu in Karo

Please remember that they use the day first then the month when dating articles. So, 1/8 is the first day of August.

[HenryN]

Re: Six people was expected Terjangkit Bird Flu in Karo

Commentary at

http://www.recombinomics.com/News/08010604/H5N1_Karo_6.html

[Sharpe]

Re: Six people was expected Terjangkit Bird Flu in Karo

This is nuts. Karo again? 6 family members again? There must be like some cats or pigs or mice in that area carrying around a very human virus. And they continue to say that chickens have it, but don't publish the chickens' sequences. I really hope that it's not this virus that has reached Thailand, because there are just way too many suspected cases in Thailand for it to be ordinary. My Thailand map doesn't even do justice to it any more.

[Siamese]

Re: Six people was expected Terjangkit Bird Flu in Karo

This is getting crazy. One day no worries, be happy, then next day another cluster??

[Theresa42]

Re: Six people was expected Terjangkit Bird Flu in Karo

BF was confirmed in poultry in Karo just the other day -- and they've been culling chickens like mad:

http://www.flutrackers.com/forum/showthread.php?t=8545

[Sharpe]

Re: Six people was expected Terjangkit Bird Flu in Karo

BF was confirmed in poultry in Karo just the other day -- and they've been culling chickens like mad:

http://www.flutrackers.com/forum/showthread.php?t=8545

Thanks so much T. You're clearing it up for me. They were secretly culling like mad on 27 July. The farmers weren't reporting any dead birds, but the birds tested positive. What this simply means is very logical---These six family members didn't just all become sick today. One or two of them have probably been sick for 8 or 9 days. When the second one became sick, they probably began the massive culling. Now that 6 of them have become sick, they're finally reporting it. It may genuinely be an H2H cluster, and everyone is focused on random chickens.

[Theresa42]

"Three patients ?Suspect? Bird Flu was treated in Medan"

toggletext-ed from Indonesian:

Three patients ?Suspect? Bird Flu was treated in Medan
August 2, 2006

Medan, (Analisa)

Three villagers Sumbul Mufakat on the Kabanjahe Subdistrict, the Karo Land that was expected suspect bird flu was reconciled to the Hospital of H Adam the Owner (RS human rights) from Tuesday (1/8). The previous day the three of them that still were having relatives relationship (cluster) that underwent the maintenance in the Kabanjahe Public Hospital.

The three of them, Dedek Sitepu (6), Moses Valentino Sitepu (1,5) and Elvi Febrianti Sitepu (10) was reconciled to RS human rights, was shifted by the car ambulance RSU Kabanjahe. Approximately struck 16.00 WIB, the three of them arrived in the Serious Installation the Emergency RS HAM. Furthermore, after being checked by the three of them was placed in A space of the isolation of Longing Space.

According to information of Lina Br Sitepu (44) the aunt the casualties when being found by the Analysis, his [her] side nowhere near knew what results x-rayed that was spent by the RSU Kabanjahe side.

?Begitu has gone out results x-rayed and mentioned Dedek experienced the deviation of the lungs, just direct was reconciled to RS HAM,? firm Lina that was the full sibling from Sidarta (40), the father Dedek and Evi.

?Jadi if being considered to be bird flu up until now did not yet have information produced by the inspection and the doctor then was not yet said anything with us (the side family-red),? obviously him.

Moreover, through to struck 18.00 WIB, the three of them did not yet get the maintenance properly the patient suspect bird flu. ?Dokter indeed has seen, but did not yet check ketiganya,? he exclaimed.

According to Lina, from the three of them that most problematic was Dedek. That was in accordance with results x-rayed that was spent by the RSU Kabanjahe side.

?Sedangkan Evi only normal fevers then. Because his parents felt the difficulty of his two children was sick, yes at the same time was shifted to RS HAM,? beber him sembari mentioned a week beforehand Dedek experienced the cough. ?Dan just overnight, on Monday (31/7) fevers tinggi,? he exclaimed.

In the opportunity, Lina did not ignore if the chicken indeed was in and around his environment of the nephew's house. Only, their property chicken and the wandering neighbour not there are those that around the house was sick.

?Ayam him was healthy all how come, gak there are those that died. Therefore we were surprised our nephew was accused by flu burung,? he said while complaining about the attitude of the press human being that without permission at once took the photograph of his nephew by making use of the mask. As if his nephew already positive contracted infectious diseases and was dangerous.

?Kami really hoped the hospital side immediately checked my nephew to clear the illness what was contracted. If quite positive bird flu, yes we only could pasrah,? he stressed.

MEMBENARKAN

While Director RS HAM drg H Armand P Daulay Mkes went through Wadir I the Medical Service and education Dr HM Nur Rasyid Lubis SpB (FICK) when being contacted by the reporter permitted his side to receive three patients suspect bird flu.

Was based on information that was accepted by Nur Rasyid from the Kabanjahe Hospital, the three of them experienced the high fever since Saturday (29/7) struck 16.00 WIB, with the temperature of the body 30 levels celcius that was one of the characteristics of the sign of bird flu.

Nevertheless his side must be still carrying out the repeated inspection of the photograph of the piston of the three patients. ?Guna knew whether the three positive children suffered flu burung,? firm this operation specialist doctor.

For the time being the three patients were given fever medicine and tamiflu to lower hot. However if hot him also did not descend significant the three of them positive was infected by bird flu. ?Itu then we must be still being waiting for results, said Rasyid.

The MATI LIVESTOCK

Now according to one of casualties's third neighbours was found by the reporter in the hospital explained, the previous day the chicken livestock of one of their neighbours suddenly died and was not known by his cause.

At intervals of the death of this chicken livestock of the three sudden casualties experienced the high fever. Further they were brought to the Public Hospital Kaban Ginger.

Was based on the Analysis note, the case of bird flu some time before attacked the citizen of the Simbelang Fortification Village, Kaban Karo Land Ginger.

The virus H5N1 this claimed 7 casualties was killed and one among them, Jones Ginting (25) succeeded in recovering after undergoing the maintenance for 2.5 months in RS human rights.

http://analisadaily.com/0-1.htm

[Theresa42]

Re: Six people was expected Terjangkit Bird Flu in Karo

Three villagers Sumbul Mufakat on the Kabanjahe Subdistrict, the Karo Land....

- or anyone else with a good map -- where is this village as compared to Simbelang where the Gintings were from? Any idea...?

[Sharpe]

Re: Six people was expected Terjangkit Bird Flu in Karo

I will tell you in a second.

[Theresa42]

"6 citizens Sumbul was expected Terjangkit Bird Flu"

Sounds like a bunch of kids (most of them cousins?) and one adult...

toggletext-ed from Indonesian:

Again was found by the Chicken died Suddenly
6 citizens Sumbul was expected Terjangkit Bird Flu
August 2, 2006

Kabanjahe, (Analisa)

Just was finished was done by the extermination approximately 10.942 poultry in 4 Kabanjahe Subdistrict districts and one village in the Subdistrict Tigapanah the Karo Land, again was found by several chicken livestock belonging to the citizen in the Sumbul Village (Sumber Mufakat-red) the Kabanjahe Subdistrict and in the housing complex Korpri the Village Gurusinga the Berastagi Subdistrict died suddenly.

As far as this is concerned was not yet known definitely whether the chicken livestock belonging to the citizen who died [i.e. the chickens that died] that dikarenakan the AI virus or not.

Kadis Agriculture, the plantation and Regency livestock breeding Karo Ir Sidarta Pinem, was accompanied Kasubdis Drh Jenggi Surbakti Livestock Breeding when it was confirmed the Reporter in the Karo Hall of the Regent's office after taking part in the meeting concerning bird flu, on Tuesday (1/8) justified the existence an amount 12 chicken livestock belonging to M. Br Sinukaban, villagers Sumbul/the Source Mufakat the Kabanjahe Subdistrict experienced the death inappropriately since the last 10 days.

The same thing also fell on the chicken belonging to Heri the inhabitants of the complex Korpri the Teacher's Village the Berastagi Subdistrict Lion.

According to Sidarta Pinem, sample this chicken blood already in sent to Medan to in checked in the laboratory. ?Kita still was waiting hasilnya,? said Pinem.

Pinem words, if results of the laboratory concluded this chicken was positive terjangkit the AI virus, then will be done by the extermination of the poultry in accordance with the provisions, that is the radius 1 kilometre from the findings point.

Anticipated the spreading penjangkitan the AI virus Pinem words, from Tuesday (1/8) to a month in the future this, the Karo Land was closed for the traffic left and entered the poultry, including general manure was used by the farmer in Karo to make his crop fertile.

The co-ordination

In connection with the assumption findings penjangkitan bird flu against the poultry and manusuia in the Karo Land, the Regent Karo DD Sinulingga spread out the meeting of the co-ordination with the Sub-district Head Kabanjahe, Berastagi and Tigapanah, along with the village head and Kades in the Bupari office Hall in Kabanjahe.

This to do steps that were followed for the control of the virus that several months ago grumbled the life 7 villagers Kubusimbelang the Subdistrict Tigapanah the Karo Regency.

The regent Karo DD Sinulingga mengintruksikan so that the Sub-district Head and the Village Head as well as Kades immediately deliver and carry out the socialisation to his citizen to do the extermination of the poultry for the sake of anticipated expanded him the plague of bird flu in his area, with compensation Rp10 thousand per the tail.

As well as mengintruksikan the related agency, from Tuesday (1/8) closed the entry of the poultry and livestock fertiliser from outside the area to the Karo Regency.

According to the Regent, this meeting was still being continued by inviting the public figures, the tradition and the Kabanjahe Subdistrict religion and Berastagi. Hoped for through these leading figures could in sosialisasikan the importance was carried out by the extermination of the poultry.

?Untuk did the mass extermination of the poultry, we were waiting for the letter from Pemprovsu, when today to, direct at night was mobilised by us the team consisted of the TNI/Republic of Indonesia State Police/PNS and the community did pemusnahan,? firm the regent.

Expected TERJANGKIT the AI VIRUS

Now, Kadis the health of the Regency of Karo Dr Diana br Ginting in his report in the meeting concerning bird flu mentioned, 6 villagers Sumbul the Kabanjahe Subdistrict that be at a distance 4 Km from the Kabanjahe City, 12 Km from the Simbelang Fortification Village, fell ill with the sign similar to Bird Flu.

The six citizens, Moses Perangin-angin (1,6), Evi Br Sitepu (10), Dedek Sitepu (6). The three patients entered RSU Kabanjahe on Monday night (31/7) struck 23.00 WIB.

The same thing was also experienced by Julham Sitepu (15), Reni (32) and his child Alpian (10). Be as far as this still could not be ascertained whether to six citizens terinveksi the AI virus or not.

Director RSU Kabanjahe Dr Suara Ginting that was confirmed the Reporter in RSU Kabanjahe, on Tuesday early afternoon (1/8) justified the existence of the patient RSU Kabanjahe villagers Sumbul the Kabanjahe Subdistrict.

According to Dr Suara Ginting, his side suggested to the patient's family in order to reconcile the patient to RSUP Adam the Medan Owner as the reconciliation hospital for the bird flu patient.

According to the Suara Ginting, his side offered the ambulance with free of charge. However up until Tuesday early afternoon this patient was not yet reconciled to RSUP Adam the Medan owner because of the patient's family collided the cost.

When being asked about about space treated inap the patient that was expected terjangkit the AI virus in RSU Kabanjahe that still was joining with the patient's other space, Dr Suara said until this of RSU Kabanjahe did not yet have special space (the isolation) for the patient like that.

Suara Ginting words, the Regent Karo DD Sinulingga ordered so that as immediately as possible was built isolation space in RSU Kabanjahe to anticipate the similar incident in the future.

http://analisadaily.com/2-1.htm

[Christian Rivers]

Re: Six people was expected Terjangkit Bird Flu in Karo

Help please - on getting the facts right.

Trying to sequence the occurrence of illnesses

Sedangkan Evi only normal fevers then. Because his parents felt the difficulty of his two children was sick, yes at the same time was shifted to RS HAM,? beber him sembari mentioned a week beforehand Dedek experienced the cough. ?Dan just overnight, on Monday (31/7) fevers tinggi,? he exclaimed.

So one or two of the children was sick (cough) for a week (approx Jul 24) and another develops symptoms suddenly on Jul 31.

Trying to keep track of the people afflicted:
The previous day around the citizen's residence was found five tails of the poultry died suddenly positive resulting from bird flu.
Six citizens -?. villagers Sumbul or the Mupakat Source, the Kabanjahe Subdistrict, the Karo Regency. All this citizen was still having the family's relations and was living in one village.

Director RSU Kabanjahe Dr Suara Ginting that was confirmed the Reporter in RSU Kabanjahe, on Tuesday early afternoon (1/8) justified the existence of the patient RSU Kabanjahe villagers Sumbul the Kabanjahe Subdistrict.
? One human case confirmed?

When being asked about about space treated inap the patient that was expected terjangkit the AI virus in RSU Kabanjahe that still was joining with the patient's other space, Dr Suara said until this of RSU Kabanjahe did not yet have special space (the isolation) for the patient like that.
Suara Ginting words, the Regent Karo DD Sinulingga ordered so that as immediately as possible was built isolation space in RSU Kabanjahe to anticipate the similar incident in the future.

? Respiratory isolation rooms not available? For only 6 cases?

These people Efs (10), Js (15) Des (6), Mvs (1,5) Re (32), as well as Anaknya Al (10). are not only sick, but will have the whole world watching anxiously and intrusively. We will have to balance our legitimate interest in their treatment and outcome with their rights to privacy and dignity.
CR

[Theresa42]

"Three patients Suspect entered RSUP Adam Malik"

toggletext-ed from Indonesian:

Three patients Suspect entered RSUP Adam Malik
August 1, 2006

The report on the Kompas Reporter of Andy Riza Hidayat

Medan, Kompas -- Three patients suspect?expected -- bird flu from the Karo Regency, North Sumatra entered Adam's central Public Hospital the Medan Owner, on Tuesday (1/8). Three people came from one family from the Sumbul Village, the Kabanjahe Subdistrict. Up to now the three of them are treated in space of the Longing isolation of A2 RSUP Adam Malik.

?Informasi early they suspect. The sign was seen from the temperature of his body that high. For our further information still checked him in special isolation space flu burung,? Deputy Director's words RSUP Adam the Owner Nurrasyid, on Tuesday (1/8) in Medan.

The three patients suspect bird flu that was reconciled to RSUP Adam the Owner was Moses (1,5), Evi boru Sitepu (10), Dedek Sitepu (10) was reconciled to Medan struck 14.00.

Now, still had three other patients who had the sign was the same as three patients suspect. Only, the patient was named Julham Sitepu (15), Reni boru Tarigan (32), Alvian Ginting (10) -? the mother and the child, still was in in the Kabanjahe Public Hospital, Karo. Their condition was not yet as serious as three patients who were stated suspect.

The Mati chicken

The chairman Tim the Control of Karo Sumbul Sembiring Regency Bird Flu said before the discovery of the patient suspect, in the same area was found by 19 chickens belonging to K Sinukaban, Heri, and Reni died. Expected strong the chicken that died that was infected by the virus H5N1.

Despite this, the team of the control of the Karo bird flu virus sent two samples of the chicken to the North Sumatran Service of Province Livestock Breeding in Medan.

?Besok, results would we received. We ask for in a radius of 1 kilometre, all the poultry must be ready to be destroyed after accepting results of the test labolatorium,? said Sumbul.

Although three people were stated suspect, but his side still could not ascertain them positive suffered bird flu.

?Memang from results of the inspection in Kabanjahe, they had the sign of the fever with the temperature of the body 38 Celcius levels. Moreover, the three people experienced the disturbance in the function lungs-paru,? said Sumbul.

Stop Ayam

The first step that will be taken the Karo Regional Government, said Sumbul was to destroy the poultry in the radius one kilometre from the Sumbul Village, the place of the discovery of casualties suspect bird flu.

?Untuk now, we banned the movement in and out of all the poultry kinds to the Karo Regency. Moreover, while we refused manure from outside Karo. This the cost that must be paid. Suggested by us the temporary farmer made use of compost fertiliser duhulu,? said Sumbul.

Separately, the Section Head the Health of the Province North Sumatran Fatni Sulani justified the incident in the Karo Regency. According to Fatni, although being stated suspect, the three citizens that was reconciled to RSUP Adam the Medan Owner must be still being checked whether they positive was infected by the virus H5N1 or not.

?Tim [team] the control tomorrow on Wednesday will come to Karo,? said Fatni.

http://www.kompas.com/ver1/Nasional/0608/01/194930.htm