INDONESIA - Garut Cluster Part II

[Theresa42]

Kuraesin reportedly negative - based on "results of the inspection"

toggletext-ed from Indonesian:

RS Garut Again received two Bird Flu patients
August 20, 2006

Liputan6.com, Garut: The doctor's public hospital Slamet Garut, West Java, again received two assumption patients of bird flu. Risma, 4 years, and Yana, 50 years, entered this hospital since Saturday (19/8). The citizen of Pasir Meja, Cikelet, Garut, and the citizen of the Rancasalak Village, Cikelet, of Table Sand this entered only quarrelled around five hours.

Whereas the Cikelet Community Health Centre checked and up to now treated the road of two citizens who also suffered the sign of this deadly illness. This was significant, the number of assumption patients avian influenza from Cikelet numbering ten people. Including Siti Fatimah and Euislina that died [read: two Garut citizens Positive Bird Flu].

In the meantime, the condition for the Kuraesin health, the citizen Cikelet, that was treated in RS Handsome Sadikin Bandung, West Java, gradually improved. Was based on results of the inspection, Kuraesin was stated by the bird flu negative. Cissy R. S. the officer, the Managing Director RS Handsome Sadikin, acknowledged this. Up to now the woman that was pregnant three months were still being treated in isolation space. Santi and Ismawati, two assumption patients avian other influenza, also was stated by the negative.

http://www.liputan6.com/view/7,127746,1,0,1156064256.html

[Theresa42]

Euis Lina tests pos / at least 16 others being tested

(AFX UK Focus) 2006-08-20 10:34 GMT:
Indonesia confirms 46th bird flu death

JAKARTA (AFX) - A 35-year-old woman was Indonesia's 46th bird flu death, health authorities said today as they stepped up an urgent probe into whether she may belong to a feared cluster of cases.

The woman came from Cikelet, a group of villages in West Java's Garut district where two other people -- one of whom remains alive -- have been confirmed as being infected with H5N1. At least 16 others are being tested. [That's beyond my count of 16 since my list contains some individuals that died]

"Tests by the health ministry's research and development laboratory and by NAMRU (the US Naval Medical Research Unit) both showed that 'EL' was positively infected with bird flu," said senior health ministry official I Nyoman Kandun.

Positive results from these two laboratories mean that the WHO considers the death to be caused by bird flu.

Kandun was referring to Euis Lina, who died last Thursday after a few hours of treatment.

Three other people from Cikelet have also died recently while exhibiting possible bird flu symptoms but were not tested for the virus, heightening concern that limited human-to-human transmission may have occurred in the area.

Health Minister Siti Fadilah Supari told ElShinta radio that one of the three people who died of possible bird flu was the child [Dea] of the latest victim, Lina.

The minister said samples from a further 16 people in the area had been taken for testing. Of three suspected bird flu cases earlier hospitalised in the provincial capital of Bandung, two have been cleared of the virus but test results for the third were not yet available, she said.

Experts from the health ministry and the WHO were dispatched to Cikelet last Thursday to investigate the escalating number of cases in the area, which is difficult to reach by road and where sick poultry have recently been found.

Supari also said that more than 100 chickens had died in Cikelet recently and tests showed the presence of H5N1 in some of them.

ElShinta reported that the local district chief had declared all chickens in Cikelet should be culled and the keeping of chickens banned until 2007. Local authorities could not be immediately contacted for comment.

http://tinyurl.com/ofkj5

[prepdeb]

Re: INDONESIA - Garut Cluster Part II

Indonesian Woman Dies Of Bird Flu

POSTED: 6:26 am EDT August 20, 2006
UPDATED: 6:26 am EDT August 20, 2006

JAKARTA, Indonesia -- A woman has died of bird flu in an Indonesian village where authorities were investigating a possible cluster of human cases of the H5N1 virus, a health official said Sunday.

Laboratory test results confirmed that Euis Lina, 35, had of the disease, said Nyoman Kandun, the Health Ministry's director general of communicable disease control. She died Thursday at a hospital in West Java province's Garut district.

Her 9-year-old daughter died two weeks ago, but authorities were not able to confirm whether she had bird flu, he said.

The H5N1 virus has killed at least 141 people worldwide since it began ravaging Asian poultry stocks in late 2003. Indonesia has the highest toll _ 46 _ and has come under criticism for not trying aggressively enough to stop the disease from spreading.

Most people have been infected after coming into contact with sick birds, but experts fear the virus could mutate into a form that spreads easily among humans, potentially sparking a pandemic.

Clusters of cases heighten the chance of that happening, so health workers are keeping a close eye on Cikelet, a hamlet 90 miles southeast of Jakarta, where there have been a dozen confirmed or suspected cases of bird flu.

Among them were a 4-year-old girl, a 16-year-old boy and a 60-year-old man who were rushed to a hospital Saturday and Sunday after coming down with symptoms, hospital spokesman Yogi Suprayogi said.

Indonesian officials said they believed no human-to-human transmission had yet occurred in the province. The government said it was slaughtering poultry in the area and distributing free anti-viral drugs to high-risk villages.

"Our team of health officials is collecting all data and information we can from the area," said Kandun, adding that while the Cikelet cases were "extraordinary ... the disease appears to have been spread by sick poultry."

The latest outbreak has heightened concerns that Indonesia is a weak link in global efforts to prevent a pandemic. The government has been criticized for not carrying out widespread slaughters of poultry, something it says it cannot afford to do.

In June, the government complained international donors had yet to contribute toward the $900 million the government has budgeted to fight H5N1 over the next three years.

Bird flu in Indonesia grabbed the world's attention in May when seven members of a single family died of the virus _ the largest recorded cluster to date. The WHO concluded that limited human-to-human transmission likely occurred, but the virus did not spread beyond the blood family members.

There were two groups of blood relatives among the 12 Cikelet cases, each with just two members.

http://www.birdflubreakingnews.com/templates/birdflu/window.php?url=http%3A%2F%2Fwww.wral.com%2Fapworldnews%2F9705895%2Fdetail.html

[HenryN]

Re: INDONESIA - Garut Cluster Part II

Metrotvnews.com, Garut:

the Husband and two children late Euis Lina, Ahad (20/8) this was taken the sample of blood and his mucus.The woman Euis, villagers Jojok, Cikeulet, of Garut, died with the status suspect bird flu. Apart from taking the sample of blood and mucus, the team also checked the condition for the health of the citizen of three villages in the Cikeulet Subdistrict.

Three citizens of the Jojok Village, Tipar and Ranca Salak at this time claimed worried followed the determining of the endemic status of bird flu in his territory.

Several citizens admitted to suffering the fever and the cough.To ascertain his cause, the team of the local Health of the Service continued to carry out the inspection.

A citizen is named Gilang up to now in the status of observation in the Pameungpeuk Community Health Centre, Garut.()
</PRE>

http://www.metrotvnews.com/berita.asp?id=22572
</PRE>

[Laidback Al]

Re: INDONESIA - Garut Cluster Part II

Source:
http://www.thejakartapost.com/detail...820.@01&irec=0


Ten show of signs of bird flu in W. Java
Yuli Tri Suwarni, The Jakarta Post, Bandung
A young boy with symptoms of bird flu was rushed to Garut hospital in West Java on Saturday, raising the official number of people suspected of having bird flu from Cikelet village to 10 and pushing health authorities to widen an investigation into a potential bird flu cluster.

The new patient, a five-year-old boy identified as R, is a resident of Rancamareme hamlet and the brother of a young girl also identified as R, who died two weeks ago after showing bird flu symptoms. No blood test was conducted on the girl to confirm that she had died of the disease.
Head of the West Java Health Office, Yudi Prayudha, said there were a total of 10 patients from five hamlets in Cikelet and Cigadog villages, located some 130 kilometers south of Garut city who had shown symptoms of bird flu.
He said the office's health team had taken blood samples from 40 residents who had a history of contact with people confirmed as having bird flu and those suspected of having the disease.
"We've also set up a special post in Rancasalah hamlet in Cikelet to provide prompt treatment for residents suffering from high fever to do the most we can for those in the villages," Yudi said Saturday in Bandung.
Cikelet and Cigadog are hard to reach due to poor road access.
With the admission of the young boy to the hospital, the official number of people suspected of having contracted bird flu released by the health office stood at 10, excluding a nine-year-old girl identified as D who died last week of what was initially thought to be typhoid. Since D had been diagnosed with typhoid, the hospital did not take a blood sample to be tested for bird flu.
A nine-year-old girl, identified as A, died Tuesday of bird flu, while a 14-year-old boy, identified as U, is recovering at home after local tests confirmed he had the disease. Four other people from the village had died with symptoms of bird flu before tests could be done.
"He (U) is happy in his village and has recovered," Runizar Roesin of the Bird Flu Information Center told AFP on Saturday.
Two other children from the village who were thought to have bird flu -- a six-year-old girl identified as I and an eight-year-old girl identified as S -- are also recovering. The first polymerize chain reaction (PCR) test taken on the two by Hasan Sadikin Hospital in Bandung, where they were being treated, have shown they were H5N1 negative.
"But they cannot be declared completely free since there's still a need for a second and third test," Hasan Sadikin's director Cissy Rachiana Prawira, said.
The hospital sent a blood sample of another patient who is also from the same village, 32-year-old EK, for testing Saturday. The woman, who is 14 weeks pregnant, was admitted Friday and is recovering.
The rising number of people with bird flu symptoms from the village has raised fears of a new cluster of the disease in the province, which ranks first in the country with bird flu.
But head of the National Committee for Avian Influenza Control and Pandemic Preparedness, Bayu Krisnamurthi, has played down the fears, saying the cases are not clusters because they were from different hamlets.
According to Health Ministry figures, 46 Indonesians have died of bird flu since the first case diagnosed in humans here in June last year. It is the world's highest number of fatalities.
Yudi said that a study conducted by the West Java Health Office, the Health Ministry, the World Health Organization and residents' testimony found that poultry began to die in the village of bird flu in June this year while in August several people began to show symptoms of avian influenza otherwise known as the H5N1 virus. "But we just detected the virus' spread last Friday after the boy, U, tested positive for the virus," he said.

--------
five hamlets?

Here are the local name listed in various posts.
Villages: Cigadog, Cikelet


Jojok
Sawah Bera
Rancamareme
Rancasalak
Pasir Maja
Tipar
Cibeunteur

[Milo]

Re: INDONESIA - Garut Cluster Part II

The first half of this article is about someone (a regional health manager, IIRC) handing out BF information in Cikelet. Then it goes on with the other activity of this manager during his visit to the area.

Has an update on Yana (50), Risma (4F) -- who seems to have been taken home. Also has more information on the new case of Gilang Kencana (14M).

http://www.mediaindo.co.id/berita.asp?id=109303

The other activity including witnessing the taking of the sample of blood from the family late Euis Lina (35), the citizen of the Sand Village of Gambir RT02/06 Cigadog Cikelet that died in RSU Dr Slamet Garut to last August 17 around struck 21.45 WIB, and later was known late positive bird flu.

The team penyisiran the endemic area of the bird flu virus personally currently is waiting for the development of the condition Gilang Kencana [in ToggleText-ese ?Gilang Gold?] (14), suspect bird flu that currently still in the maintenance in the Pameungpeuk Community Health Centre.

Whereas Umar bin Aup (18) that could be treated in RSU Dr Slamet Garut to last August 9 and could be stated positive bird flu currently is restored and dinyakan the bird flu negative.

In the meantime Yana (50), the citizen of the Village Cipicung the Rancasalak Cikelet Village that arrived in RSU isolation space Dr Slamet Garut on Saturday night around struck 18.30 WIB up to now still in the maintenance. Yana it was mentioned experienced the sign like suspect bird flu.

Whereas Risma (4), the citizen of the Village of Table Sand of RT. 08/05 Cikelet was brought came home by his family on Sunday morning (20/8) around struck 09.00 WIB, in fact he was just treated in RSU isolation space Dr Slamet on Saturday at dawn struck 01.30 WIB.

Placed on the agenda on Monday (21/8) directors general P3L visited several villages in the Cikelet Village, around 130 km the south direction the centre of the Garut city as well as other villages that were expected endemic the bird flu virus.

[Commonground]

Re: INDONESIA - Garut Cluster Part II

Milo, I interpreted this to mean Yana is still in RSU? No?

"In the meantime Yana (50), the citizen of the Village Cipicung the Rancasalak Cikelet Village that arrived in RSU isolation space Dr Slamet Garut on Saturday night around struck 18.30 WIB up to now still in the maintenance. Yana it was mentioned experienced the sign like suspect bird flu."

[Milo]

Re: INDONESIA - Garut Cluster Part II

Commonground. Yes, I think so. It seems to say Yana's still in the isolation space, but Risma's gone home. I imagine that means Risma's getting better, but that isn't explicitly said.

[Commonground]

Re: INDONESIA - Garut Cluster Part II

O.K. so we got that straight. Now this next case, may be in Java, not in Garut? This person is not on my list for the Garut Cluster. I'm not familiar with this Village.....

The team penyisiran the endemic area of the bird flu virus personally currently is waiting for the development of the condition Gilang Kencana [in ToggleText-ese ?Gilang Gold?] (14), suspect bird flu that currently still in the maintenance in the Pameungpeuk Community Health Centre.

[Commonground]

Re: INDONESIA - Garut Cluster Part II

Here is a map from Theresa42 at CurEvents. It shows the villages in Garut. And Pameungpeuk is one of them.

http://www.bplhdjabar.go.id/soe/garut/index.cfm

[Milo]

Re: INDONESIA - Garut Cluster Part II

I first heard something about Gilang this morning. Niman has a link that mentions Gilang above at 12:04

The link to the source is here:

http://www.metrotvnews.com/berita.asp?id=22572

Since the article's about cases in Cikelet, I'm guessing this is a new case.

[Milo]

Re: INDONESIA - Garut Cluster Part II

It would not be good if he came from outside the Cikelet area. Bad enough to have another case in Cikelet. Not good to have a case in a nearby area. I've seen no mention of where exactly he came from. I've only seen him mentioned in the context of Cikelet cases, with no caveats whatsoever. But that doesn't necessarily means he's not from another area. hmm.

[Commonground]

Re: INDONESIA - Garut Cluster Part II

Thanks Milo, I didn't see Niman's post earlier. And it says Garut.

[Laidback Al]

Re: INDONESIA - Garut Cluster Part II

Geographic locations of several places in Garut


original name: Cikelet
geographical location: Garut, Jawa Barat, Indonesia, Asia
geographical coordinates: 7? 36' 0" South, 107? 40' 0" East

original name: Cigadog
geographical location: Garut, Jawa Barat, Indonesia, Asia
geographical coordinates: 7? 13' 0" South, 107? 59' 0" East

original name: Pameungpeuk
geographical location: Garut, Jawa Barat, Indonesia, Asia
geographical coordinates: 7? 38' 0" South, 107? 43' 0" East
From:
http://www.maplandia.com/indonesia/jawa-barat/garut/

[Niko]

Re: INDONESIA - Garut Cluster Part II

Garut, W Java (ANTARA News) - Director General of Infectious Diseases Eradication and Environment Health (P3L) at the ministry of health I Nyoman Kandun on the sidelines of leading the combing of bird flu endemic areas in Cikelet subdistrict, Garut, West Java, on Sunday, distributed books on prevention of the disease on Sunday.

A total of 200 copies had been distributed to elementary school students who also attended the familiarization of measures to prevent being infected with the disease.

The official briefed local officials and religious leaders on the issue.

Meanwhile local health officials took a blood sample of Euis Lina`s family, Lina (35), a resident of Kampung Pasir, died of bird flu on August 17, 2006. They also waited for the development of the condition of bird flu suspect Gilang Kencana (14).

Gilang is still treated in the Pameungpeuk health center.

Yana (50) of Cipicung village was treated at Dr Slamet hospital since Saturday night for bird flu symptoms.

Umar bin Aup (18) who has been treated in the hospital since Saturday 2006 for bird flu symptions, is recovered.(*)

COPYRIGHT ? 2006 ANTARA

August 21, 2006
http://www.antara.co.id/en/seenws/?id=18557

Pameungpeuk is located here on Google Earth: "Pameungpeuk" lat=-7.611202, lon=107.672401

Cikelet is located here per http://www.earthsearch.net/intSearch.php


Name - click for world map location Country Type Latitude Longitude
Cikelet ID PPL -7.2833333 108.7
Cikelet ID PPL -7.6 107.6666667

I am still trying to find Jojok - only results so far are outside of Garut