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Bird Flu patients test negative in Karo, Indonesia
Anyone knows what kind of specimen haved been taken ? (swabs, blood , ???)
It's hard to assess the test validity without theses info coupled with the exact timing of sampling and of the first symptoms.
I've seen blood tests mentioned a couple of times, but not swab samples. That doesn't mean that nost/throat swabs haven't been taken -- they just may not have been mentioned in the press and/or I may not have seen reports about them.
...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes
The Bird Flu virus Increasingly spread, the Extermination of the Chicken continued to continue
August 4, 2006
Kabanjahe, (the Analysis)
The spreading of the virus Avian influenza (AI) or bird flu in the Karo Regency increasingly spread and worrying. Because the chicken livestock that was found died in the Village of Ndokum Siroga the Intersection Subdistrict of the Karo Regency, on Wednesday (2/8) again was stated positive terjangkit the bird flu virus.
Sekdakab Karo Drs Sumbul Sembiring Depari, MSc was accompanied Kadis plantation Agriculture and Livestock Breeding of Karo Ir Sidarta Pinem to the reporter in the Regent's office Karo, on Thursay afternoon (3/8) permitted two chickens belonging to Irwan Pandia that died, last Tuesday (1/8) to be stated positive the bird flu virus.
According to Sekda, that was based on results of the laboratory inspection and was received from the Head of the Investigation Hall and the Testing Veteriner Regional I Medan, drh Herlin Diah Sumaryani, M. The on August 2 2006.
Said, in order to anticipates the spreading of the virus that very dangerous for the health of the humankind, will be held by the mass extermination of the chicken livestock in the Ndokum Siroga Village and surrounding area from Thursay afternoon. Beforehand, several chicken livestock belonging to the citizen that died suddenly in front Jaya the Padang District Mas Kabanjahe, on Saturday (22/7), also positive bird flu. So, was held by the extermination 10.942 chicken livestock with the radius 1 kilometre in 4 Kabanjahe city districts and one Tigapanah Subdistrict Village.
The same case was also found to the chicken livestock that died inappropriately in the Sumbul Village (the Mupakat Source) the Subdistrict Kabanjahe on Monday (31/7). On the same day an amount 6 villagers fell ill with signs similar to bird flu that is, experienced the hot fever high as well as coughs.
Three from six citizens who fell ill that was treated in RSUP Adam the Medan Owner that is, Moses (1,6), Epi (10), Dedek (6). While three people could not be still hospitalised and now already sumbuh.
The case of bird flu that in a berentetan manner fell on this Karo Land to attention of President SBY and ordered the Co-ordinating Minister Kesra Rizal Bakrie Ash, Menkes Dr Siti Fadilah Supari and the Minister For Agriculture Anton Apriantono entered to the Karo Land and inspected the Village Sumbul the Kabanjahe Subdistrict, on Wednesday (2/8).
The AYAM EXTERMINATION
For the severing of the link and the spreading of the AI virus, the Government of the Regency (the Regional Government) Karo, on Wednesday night (2/8) carried out the extermination (depopulation) the chicken livestock with the radius 5 kilometre covered the Sumbul Village, the Idol, Great, Kaban and the Ketaren Village. In the first day, was destroyed by an amount 2.824 chicken livestock that generally the local chicken kind, the duck that was buried beside the field of the Sumbul Village, on Thursday (3/8) dawns.
The extermination of the chicken livestock was carried out with penyembelihan was done by the team that was followeded by the burning in the location of the burial dilaukan the Representative of the Regent Karo Ir Nelson Sitepu, Sekdakab Karo Drs Sumbul Sembiring Depari, the Muspida Karo element and was witnessed by the team monitoring penangulangan bird flu from Jakarta and several officials the Karo Regional Government.
According to Sekdakab Karo, the mass extermination of the poultry continued to continue until complete with the radius 5 kilometre from the findings point in the Sumbul Village and the findings point in the Village of Ndokum Siroga the Intersection Subdistrict was in accordance with the Co-ordinating Minister's instruction Kesra Rizal Bakrie Ash that was sent in the Hall of the Regent's office, last Wednesday (2/8).
Beforehand, the Karo Regional Government destroyed 10.845 chickens on July 23-27 2006. The extermination was carried out five places that is, the Padang District Mas, the Leto Gong, the Country Gong, Lau Cimba the Kabanjahe Subdistrict and the Village Bunuraya the Tigapanah Subdistrict. From the series of the extermination of the poultry, the Karo Regional Government destroyed the total poultry around 13.669 tails.
The extermination of the poultry was carried out struck 23.00 WIB. Tim the extermination was led by the Regent Karo Good Fortune Daniel Sinulingga. The team consisted of the personnel of the Karo Regional Government, the TNI and police.
Not all of the team's members made use of clothes pengaman complete. The team's member visited the inhabitants's houses to take all the poultry kinds.
The poultries were taken from the pen, then was gathered to trucks that disedikan. Afterwards the trucks carried the poultry to the field of Sumbul football[culling on the local football field!] to be destroyed by means of burnt. After being burnt scorched, the poultry carcass that ditumpuk in the hole, was stockpiled with the land.
MENANGIS
Several citizens of the owner of the poultry cried when their poultry was taken to be destroyed. S Karo-Karo admitted to experiencing the loss millions rupiah resulting from the extermination. Because, this chicken livestock was the source of the production of the family.
?Saya regretted the government method that had not given counselling and the socialisation since early to avoid the bird flu virus terjangkit good. Suddenly now our chicken must be destroyed. Although having compensation, that was inappropriate, the price of this current nonpedigreed chicken Rp25 thousand per kilogram, now compensation only Rp12.500,? he said with the sad tone.
In the meantime, the Karo Regional Government began to carry out the prevention went out and the entry of the poultry and manure from and to the Karo Regency.
The official made the command post of the inspection of vehicles that it was suspected brought the poultry and manure in the border of Karo-Deli Serdang and the border Karo-Dairi.
Anyone knows what kind of specimen haved been taken ? (swabs, blood , ???)
It's hard to assess the test validity without theses info coupled with the exact timing of sampling and of the first symptoms.
3 citizens Karo entered RSUP Adam Malik August 2, 2006
Medan, was on the alert Online
Three villagers Sumbul, Kec. Kabanjahe, Kab. Karo suspect bird flu entered RSUP H Adam the Medan Owner. Casualties were reconciled from the Kabanjahe Hospital, on Tuesday (1/8) struck 17:00. According to the Chairman Kordinator treated Inap suspect bird flu Dr Adlin Adnan with Ginting rays public relations, SE mentioned, casualties had the initials EP, 10, DD, 6, both of them the brother and sister and Ms, 18 months. The three casualties at this time experienced the high fever, pilek, the cough and breathless.
Casualties were afterwards treated intensively in the room of the Longing of A RSUP H Adam the Medan Owner. Whereas the team of the doctor has taken sample blood, the nose liquid and the throat to be checked in the Laboratory. In the temporary inspection, the temperature of casualties's body achieved 38.5 levels celcius and did not have appetite ate as well as the condition for the weak body. However, casualties according to the latest report still in the maintenance stage and did not yet make use of the other equipment like respiratory aids (the ventilator).
"The development of the condition continued to be monitored for 24 hours. And if the temperature of casualties's body increasingly tall, then will be installed respiratory aids," said Adnan. In the meantime, from one of casualties's families said, beforehand casualties underwent the maintenance in the Kabanjahe hospital since Sunday night (30/7). Because beforehand the three casualties felt the three casualties had the hot body complaint was accompanied by coughs. "We did not yet know the cause of the three casualties suspect bird flu." But, the increase, several days ago around casualties's house had the poultry of the chicken kind died suddenly, he said."
Bird-Flu Tests on Indonesians Are Negative ASSOCIATED PRESS
August 4, 2006
<!-- The Wall Street Journal Interactive Edition -->
MEDAN, Indonesia -- At least six Indonesians from the same area of Sumatra island who were hospitalized amid fears they had bird flu have tested negative for the virus, and their conditions are improving, officials said Thursday.
Specimens from the patients all came back negative for the H5N1 virus in local tests, said Nyoman Kandun, a Health Ministry official.
Health Minister Siti Fadilah Supari told reporters the samples were tested twice and will undergo one more analysis. She didn't mention a seventh suspected case in the district that health officials had referred to a day earlier.
The patients -- from two families -- were treated as suspected bird-flu cases because they lived in an area where there was infected poultry. They developed coughs and light fevers, and officials had feared the formation of two new H5N1-virus clusters.
Indonesia has had 42 human deaths from the H5N1 virus since July 2005. At least 134 people have died world-wide since the disease began spreading in late 2003.
Meanwhile, on the Indonesian island of Bali, about 340 backyard chickens were found infected with the H5N1 strain of bird flu.
Three patients SUSPECT BIRD FLU ran from RS
06/08/2006 11:06 - Sosial Budaya/Headline News
Metrotvnews.com, Jakarta: The child's three patients suspect bird flu from the Sumbul Village, the Karo Land, North Sumatra, yesterday the night ran from the room of Adam's Hospital isolation the Owner, Medan. Run him was third the patient who was treated in this A Longing Space was not known by the hospital side because the three children are normally free playing in the hospital garden.
The first patient who escaped had a name Moses Perangin-Wind, 1.5 years, that it was suspected was run off with by the family and his parents, on last Saturday (5/8) in the afternoon around struck 15.00 WIB. Whereas two other patients, Dedek Sitepu, 6 years, and Evi Sitepu, 10 years, were brought by his family yesterday the night around struck 19.00 WIB. At This Time, maintenance space of the A Longing was seen empty. Moreover, the name of three patients has been removed from the plank of the list of the patient.
Health Minister Siti Fadilah Supari has beforehand stated the negative of the three patients. However, the three of them till yesterday still was in Adam's Hospital the Owner, Medan. That happened because of Rumah Sakit Adam Malik Medan Muhamad Nurrasid Lubis Deputy Director did not yet permit the three of them to leave the hospital. The reason is, still was waiting for the copy produced by the laboratory test.
Hard times trying to cull poultry in Karo country...
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Tim [team] the ANNIHILATOR of the POULTRY returned to the KARO LAND
06/08/2006 23:46 - Nusantara/Metro Malam
Metrotvnews.com, Tanah Karo: The team of the annihilator of the poultry again descended to the Karo Land, North Sumatra to do the socialisation of the handling of the bird flu virus. Beforehand, the citizen of the Karo Land could expel the team of the annihilator of the poultry from the Ndokum Siroga Village.
The socialisation activity was this time carried out by gathering the silent citizen in the radius five kilometre from the Ndokum Siroga Village. In the socialisation was explained all the available poultries were in this radius estimated positive was attacked by the bird flu virus. Therefore, the team proposed to destroy all the poultries that was determined contracted this virus. Heard this explanation, the citizen continued to refuse the extermination of poultries on the basis of being sure their kept poultry was not attacked by the bird flu virus.
Editorial from Analisa.com ("The Analysis"
toggletext-ed from Indonesian:
The editorial
Kasadaran the Bird Flu Danger
August 7, 2006
There was the interesting incident, funny at the same time sad during the visit of several officials to the location of the spreading of bird flu in the Karo Land this week. These officials, was led by Menkes Siti Prominent Sutartih and the Co-ordinating Minister Kesra Aburizal Bakrie received abuse of the local inhabitants that felt ?terhina? because this official wore complete protective clothes that were similar to this astronaut. They were angry because by using these clothes meant these officials mengangap their area ?kotor?.
This not that the first time, and not also was latest, the angry local community upper was maintained by him their territory as the bird flu region. Several months beforehand the community's group that came from the same area had carried out the protest action to the Office Governor North Sumatra refused their area was acknowledged as the bird flu territory. Among them in fact did the action drank chicken blood that was brought by them as authentication that their chickens were not affected by bird flu.
Last Thursday, the local community also refused the extermination operation of their chicken that was done by the government. A trader, who had 240 chickens, in fact closed the meeting of his residence prevented the official and intended to bring his chickens to Medan. Fortunately finally the official could destroy these chickens.
This incident showed to us the awareness lack of our community would this bird flu danger. A part masyakat we were still regarding bird flu as the normal illness that might not receive the treatment extra. It did not yet have the awareness that bird flu was the deadly illness and was contagious (spread) melalu air. Our community as though not caring that they who were affected by this virus had the high mortality rate and fast.
Kekurangsadaran this community was aggravated also by some officials and our medical official that as though caring was unconcerned upper penangan this problem. We still often heard had the hospital that refused the patient who was expected (suspect) bird flu or placed and treated this patient like the patient with the normal illness other.
Here was prosecuted by us the government to more intensive did steps in the handling of the problem of this bird flu. The government ought to increase awareness efforts of the community and apparatus the government would this bird flu danger. The government ought to be more aggressive made use of the good media electronics (television and radio) and the print media to spread the problem of this bird flu. The media was means that very potent plus direct to the target to spread this bird flu information.
Uptil now the community almost blind concerning the problem of this bird flu. The community was still receiving information that half-half and even in several areas including in several areas that terjangkit the community in no way knew him. The matter certainly very dangerous. We could not blame what was done by the community like that was carried out by the Karo community. This clear was part of the weakness of the information flow, not a disobedience. The government already during him acted to straighten the matter so. The government must then act immediately, because if late could have a point was the disaster.
More on the culling & culling problems in Karo country...
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The co-ordinating minister Kesra began to pour out Compensation of the Chicken of Extermination Payment
August 7, 2006
Kabanjahe (Analisa)
Around 15.000 tails of the chicken poultry that was destroyed in Karo because of being mentioned were infected by the plague of the bird flu virus, on Sunday (6/8) began to be paid to the community with the price Rp12.500 per/the tail.
Symbolically the surrender of the compensation fund, was handed over by the Kesra Co-ordinating Minister through Dr Emil Agustiono, the expert's staff the Kesra Co-ordinating Minister to the Karo Regional Government that was received by Drs Sumbul S Depari, Sekdakab Karo in the sub-district head's office, Kabanjahe.
Further, Depari handed over the fund to the Sub-district Head Kabanjahe, Drs Jamin Ginting to be given to the Gung Leto District community that his chicken took part in being destroyed some time before.
Sumbul that also the Chairman Tim the Control of the Plague of Bird Flu in Karo explained, the chicken that was infected by the plague of bird flu was destroyed the radius 1 kilometre was in accordance with the guidance of the government of the centre. Until this, 3 proven points were infected by the plague of the bird flu virus in Karo covered, the Mogajaya Village, the Sumbul village and the village Ndokum Siroga the Intersection Subdistrict.
In respectively this area was done by the extermination of the chicken in the radius 1 kilometre. Although initially the community opposing, but after being done by counselling, the community finally realised in order to be not fell fatalities.
For the handling of this case, added the Fuse, the Karo Regional Government planned the development of space of the bird flu isolation. Physically the building was built the Karo Regional Government while the implement and other means were handled by the government of the centre. The aim of the development of isolation space, according to Sekda so that, the patient who was infected by the bird flu virus could be handled specially without sacrificing or disrupting the patient's other peace that was not infected by the plague of bird flu, said Depari was accompanied by the Head of Sector Livestock Breeding of the agricultural Service, drh Jenggi Surbakti.
Now the Sub-district Head Kabanjahe Drs the Ginting Guarantee was accompanied by the Head of the Environment 2 Gungleto Ferdinan the Hill said, in his area had data collected on it by 12,800 chickens more was destroyed from 38 head of household. Now that accepted compensation was paid symbolically only 530 tails and that same afternoon were handed over to the community.
BIJAKSANA
Regional Chief Police of Republic of Indonesia Karo AKBP Drs Ricky F Wakanno and the Chairman DPRD Karo R Romanus Ancient SH simultaneously to the reporter, on Sunday (6/8) in Street Irian Kabanjahe. Said, was apprehensive about the attitude of the Karo Regional Government that more unwise handled the case of bird flu in Karo. Including the handling and the insignificance of the socialisation to the community.
For example in the Surbakti village. Like that will be done by the extermination of the chicken, on Friday (4/8), the community refused. Moreover, could pelt the official and the Sub-district Head's house the Intersection. In fact, after being done by the socialisation, on Saturday night (5/8) was led Regional Chief Police of Republic of Indonesia Karo Ricky F Wakanno, the community received him. Planned, on Sunday (6/8) was agreed to by the extermination and at that time also was done compensation payment to the owner of the chicken that was destroyed.
The other concern was also revealed by Ricky to the reporter, there was the element of the senior official in Karo told his side to arrest each community that refused his chicken livestock was destroyed.
?Menangkap someone the citizen was not as easy in the past. Police with his new paradigm, all must be based on the current procedure. Like that was not easy to catch someone without having his legal umbrella. Precisely there the management of education must be given to the community. Not with menangkapnya,? said Ricky without detailing the element of the senior official who told him that.
Evidently, after disosialisasikan, the Intersection community was able to will receive him, added Ricky was accompanied Ancient.
In the meantime, several citizens Kabanjahe that accepted compensation compensation sent some input to the reporter in the page of the sub-district head's office Kabanjahe.
Like Nande Pedo br Ginting, Maritime Sinulingga, Supardi Ginting and Parman the citizen Gungleto.
His principle they accepted upper compensation their chicken livestock that took part in being destroyed. Only, the government it was hoped as well as possible gave accurate proof about was not him the plague of the bird flu virus spread in their area and the other area.
?Kalau quite true was sick and was infected, the community did not object. Moreover if was not paid also did not become the problem. Only, whether that was destroyed that true was infected by the plague of the bird flu virus. The government must could confirm before being done by the extermination, they said made a plea.
The patient was expected by Bird Flu in RS H Adam the Owner came home on the Will Personally
August 8, 2006
Medan, (the Analysis)
Three patients were expected (suspect) bird flu that underwent the maintenance in the central Public Hospital (RSUP) H Adam the Medan Owner not bolted from the room of the maintenance (on Saturday 5/8 the night) but return home on the will personally because felt has been healthy and did not suffer bird flu.
The confirmation was sent by Director RSUP Dr Pirngadi Medan Dr H Armand P Daulay Mkes through Wadir the Medical Service and Education Dr Nur Rasyid Lubis SpB HM (FICK) to the reporter in his office, on Monday (7/8) in connection with the existence of the reporting in the mass media that named the patient suspect bird flu bolted from the room of the maintenance.
According to him, parents of the patient's family since Friday (4/8) informed to their hospital side wanted return home to their native village because felt has recovered and did not feel suffered bird flu.
However the hospital side suggested to parents of the patient in order to be patient was waiting for repatriation time because of results of the blood inspection that was sent to Hong Kong until this not yet we received, although the Health Minister (Menkes) in writing stated the three patients were unproven bird flu. But the hospital side still menghawatirkan one of the three patients namely Dedek Sitepu (6), there was found spotty on his lungs.
So the patient's family in order to be patient was waiting for his recuperation of the lungs and was waiting for results of his blood inspection. Moreover they were not feverish and coughs because of being treated and given medicine. So they had not recovered and had the problem feverishly him, stressed Rasyid.
According to Rasyid, returning of the three patients has been reported to the North Sumatran Health Service and the Health Service of the Karo Regency to be able to take action lanjuti him. However results still we were waiting, he said.
As being reported beforehand, the three patients two among them the older brother was siblings respectively Dedek Sitepu (6) and Elvi Febrianti Sitepu (10), Moses Valentino Parangin-Wind (1,5), villagers Sumbul Mufakat on the Subdistrict Kaban Karo Land Ginger was reconciled to RSU Adam the Owner, on Tuesday (1/8) beforehand was treated in RSU Kaban Ginger.
After the three of them in-x-rayed one of the him Dedek Sitepu menglami the deviation of the lungs. Further they were reconciled to RSUP Adam the Owner.
After the three of them were examined was treated in space of the Longing isolation of A RSUP Adam the Owner, finally the family of the three patients stated they did not feel they suffered bird flu so as to come on their will home, said Rasyid.
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