INDONESIA - Garut Cluster Part II

[Theresa42]

Re: INDONESIA - Garut Cluster Part II

New Garut cluster thread:

http://www.flutrackers.com/forum/showthread.php?t=9500

[Niko]

Re: INDONESIA - Garut Cluster Part II

Has Indonesia's Monday news come out yet on what's going on with this cluster? It sounds pretty serious to me.

From the Jakarta Post:

In observance of the Ascension Day of Prophet Muhammad, The Jakarta Post will not be published on Monday. The Post will reappear Tuesday.

-- Publisher

Not sure about the other publications

[Richard McC]

Re: INDONESIA - Garut Cluster Part II

Latest news from http://www.liputan6.com/view/7,12779...156145572.html

The case of the assumption of bird flu in Garut, West Java, continued to improve, on Monday (21/8).
A citizen of the Village of the Stake Mountain, the Cigadog Village, of Cikelet, currently is treated in the Pameungpeuk Community Health Centre because of showing the sign was similar avian influenza.
He was brought to puskemas late last week after complaining the fever, had a headache, and breathless.
The community health centre side expected Gilang terjangkit bird flu because of having the story of contact with the poultry.
Moreover, many poultries around the Gilang house that died suddenly.
Up to now the class student of two junior secondary schools is still being seen limp and only could lie.
He was also installed by the infusion.
Gilang was the 12th bird flu patient from Cikelet.
Three other people were from the village that was different in the subdistrict stated positive suffered this deadly illness.
They were Euis Lina and Siti Fatimah -- both of them have died -- and Umar that still was continuing to receive the supervision of the government.
To ascertain the Gilang illness, the side of the local Health of the Department's Research And Development took the sample of blood and his saliva.
The taking of the sample of blood was also carried out against the family of Euis Lina in the Gambir Sand Village, the Cigadog Village.
They who were taken the sample of his blood was the husband Lina, Dadan, and his two children.
Currently, the three of them often the cough.
In the meantime, the Umar condition currently increasingly improved.
These Cikelet villagers could beraktivitas as usual after getting the maintenance of his parents.
Umar has also gone out the house and played together his friends.
Did not appear again the fear and the concern although beforehand he was stated positive bird flu.
The family refused when Umar was returned to the hospital.
During in the house, Umar only received the maintenance traditionally.
Results of the last laboratory inspection indicated Umar personally the bird flu negative.
That was justified by I Nyoman Kandun, Pengendalian Breakingprep Penyakit Director General and Department of Health environmental Sanitation.
Although Umar was stated recovered, the local community continued to be asked to be on the alert following had the citizen around that was run off with to the hospital because the sign was similar to bird flu.
Moreover beforehand a citizen died because of being suspected of being affected by this deadly virus.
The case of bird flu also made name noise of the Cikelet Village.
Already two name weeks of this village entered the media's national discussions.
In fact this village only a region was isolated that possibly beforehand almost had not canned be heard reportedly.
The road that was not yet touched asphalt became the Cikelet marker not too many tasted the development.
The quality of means the bad road caused the distance from Garut to need time three to four hours.
For most local communities, lived with the poultry not something that strange.
Maintained the nonpedigreed chicken almost was done by all the head of household.
Indeed, the level of the cleanliness in maintained became the problem because they did not have the special pen.
The cellar became the ideal place for the place of the sheltering poultry.
However after spreading him related that the potential chicken brought bird flu.
The previous citizen was willing their poultries were destroyed.
Ironically, although the plague H5N1 has spread, not all the communities were aware of the threat and how prevented bird flu.
Still was seen by the inhabitants who maintained the chicken and without the worried feeling of holding direct contact with the poultry.
In fact the death of the chicken suddenly often happened.
(the MOTHER/the Echo Setya Budi)

[Niko]

Re: INDONESIA - Garut Cluster Part II

May be redundant, but I found this and wanted to add it to the body of knowledge..
This map from the Garut government site shows all the districts colored and numbered. The map is interactive on the site and you can click on a particular district and access a page with various statistics for that district - unfortunately not in English.

found here: http://www.garut.go.id/static/sekilas/peta/ptadmin.php

pt_administratif.gif

All of the districts of Garut are listed on the site.
38 Kec. Cikelet

39 Kec. Pamengpeuk

40 Kec. Cisompet

41 Kec. Cibalong

42 Kec. Peundeuy

NOTE: Peta is Indonesian for Map

Also found this profile of the hospital, Rumah Sakit Umum dr. Slamet, mentioned in many articles
http://www.garut.go.id/static/sosbud..._dr_slamet.php

.

[Theresa42]

Sorting out the nomenclature...

Clarifying Indonesian placenames -- the administrative hierarchy seems to be (with common abbreviations in parentheses):

Regency / Kabupaten (Kab.)
Sub-districts / Kecamatan (Kec.)
Villages / Desa
Hamlets / Kampung (Kp.)

A common way that a location might be written with abbreviations in an Indonesian newspaper (this is how Euis Lina's location was written):
Kp./Desa Cigadog, Kec. Cikelet, Kab. Garut

In other words:
Kampung/Desa Cigadog, Kecamatan Cikelet, Kabupaten Garut

Or:
Hamlet/Village Cigadog (because both the hamlet & village are named Cigadog), Sub-district Cikelet, Garut Regency

*****

Garut Regency:

45 Kecamatan / Sub-disctricts [only 31 on the map I've been referring to here -- I can't explain the discrepancy]:

Balubur Limbangan, Banjarwangi, Banyuresmi, Bayongbong, Blubur Limbangan, Buangbulang, Bungbulang, Caringin, Cibalong, Cibatu, Cibiuk, Cigedug, Cigedung, Cihurip, Cikajang, Cikelet, Cilawu, Cisewu, Cisompet, Cisompret, Cisurupan, Garut, Kadungora, Karangpawitan, Karangtengah, Kersamanah, Leles, Leuwigoong, Malangbong, Mekarmukti, Pakenjeng, Pameungpeuk, Pamulihan, Pasirwangi, Peundeuy, Samarang, Selaawi, Semarang, Singajaya, Sukaresmi, Sukawening, Talegong, Tarogong Kaler, Tarogong Kidul, Wanaraja

http://id.wikipedia.org/wiki/Kategor...abupaten_Garut


So, for Cikelet, the administrative hierarchy is:

Regency / Kapupaten (Kab.): Garut
Sub-district / Kecamatan (Kec.): Cikelet
Village / Desa (7 altogether in Cikelet sub-district): Cikelet, Linggamanik, Kertamukti, Cigadog, Pamalayan, Karangsari and Cijambe
Hamlets / Kampung (Kp.): Numerous. Some of the ones we've heard of in Cikelet village are - Cibeunteur, Jojok/Jojoh, Pasir Maja, Rancamareme, Rancasalak, Sawah Bera and Tipar [hat-tip, LaidbackAl!].


So far, all of the cases have been from various hamlets in Cikelet village, Cikelet sub-district. There are reports that Euis Lina was actually from Cigadog hamlet, Cigadog village, Cikelet sub-district.

And, the latest patient, Gilang, is being treated in a different sub-district altogether, Pameungpeuk, although that might be where the nearest clinic/hospital is since Umar is reported to go there for follow-up treatments/check-ups. Gilang may prove to be from Cikelet.

*Whew!*

[Sharpe]

Re: INDONESIA - Garut Cluster Part II

Has Indonesia's Monday news come out yet on what's going on with this cluster? It sounds pretty serious to me.

[Laidback Al]

Re: INDONESIA - Garut Cluster Part II

Another map of area around Pameungpeuk from 1954. No villages names here either.

From a 1:250,000 topographic map "Garut, Indonesia"


source map: http://www.lib.utexas.edu/maps/ams/i...61-sb49-13.jpg

1954 map of area.bmp

[Dark Horse]

Re: INDONESIA - Garut Cluster Part II

Someone on another board mentioned that Umar was also being treated (part of his follow up) at Pameungpeuk Community Health Centre, so maybe that's the nearest "hospital" to Cikelet. In which case, that leaves room for Gilang to be from Cikelet as well.

Hat-tip, MomCares!

According to a tourist pamphlet for Garut, Pameungpeuk is 86 km, a 3.5 hour ride, from Garut. A nearby resort is at the very bottom of page 10.

http://www.garut.go.id/static/engli...tourism%20%2 2

I wonder if Gilang was exposed to Umar or someone else with bird flu in that facility.

[Laidback Al]

Re: INDONESIA - Garut Cluster Part II

Approximate location of Cikelet subdistrict on southwest coast of Java plotted on United Nation population map from July 2006. Local names do not match any listed for the subdistrict.

7 Desa / villages: Cikelet, Linggamanik, Kertamukti, Cigadog, Pamalayan, Karangsari and Cijambe

source for map: http://unosat.web.cern.ch/unosat/

Cikelet location.bmp

[Theresa42]

Re: INDONESIA - Garut Cluster Part II

Someone on another board mentioned that Umar was also being treated (part of his follow up) at Pameungpeuk Community Health Centre, so maybe that's the nearest "hospital" to Cikelet. In which case, that leaves room for Gilang to be from Cikelet as well.

Hat-tip, MomCares!

[Theresa42]

Re: Gilang from Pameungpeuk sub-district (i.e. not Cikelet)?

Awesome, LaidbackAl! Thanks.

The latest patient, Gilang, is reportedly being treated at Pameungpeuk Community Health Centre. Pameungpeuk is another sub-district in the Garut Regency -- just as Cikelet is a sub-district (there's also Cikelet village, which is what makes understanding the placenames so confusing! And, yes, it looks like there's a Pameungpeuk village, too.).

Pameungpeuk sub-district is to the east of Cikelet. I think part of Pameungpeuk sub-district borders on Cikelet sub-district -- it looks to me as though Pameungpeuk sub-district is bi-sected by another narrow sub-district called Cibalong, so that there's a "west Pameungpeuk" and an "east Pameungpeuk" [my naming]. I've outlined "west Pameungpeuk" with a red dotted line and "east Pameungpeuk" with a red solid line.

I wonder where this latest patient, Gilang, is from? From somewhere bordering Cikelet sub-district? Or from farther afield?

Scratch that.

Pameungpeuk sub-district has 7 villages (desa) - easily seen on the map above: Pameungpeuk, Mancagahar, P A A S, Mandalakasih, Jatimulya, Bojong and Sirnabakti
http://www.garut.go.id/static/kecamatan/Pameungpeuk.php

And, according to this, Cibalong has 9 (although I can't make 9 out on the map): Karyasari, Maroko, Sancang, Karyamukti, Sagara, Mekarsari, Simpang, Mekarmukti and Cigaronggong
http://www.garut.go.id/static/kecamatan/Cibalong.php

So, there's Cikelet sub-district with Cibalong sub-district to the east of it -- and Pameungpeuk to the east of that. Cikelet and Pameungpeuk do not appear to border each other.

[Theresa42]

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/

This looks to be another Cigadog -- not Cigadog village in Cikelet sub-district. It's just too far away from the Cikelet area.

Here's a map of where the 7 Cikelet sub-district villages are (unfortunately not named):
http://www.flutrackers.com/forum/sho...1&postcount=28

Here's a list of the 7 villages in Cikelet sub-district -- one is Cigadog:
http://www.flutrackers.com/forum/sho...3&postcount=29

Here's the map of the Cigadog according to the co-ordinates from Google Earth -- it's just too far away. Must be another Cigadog:
http://www.maplandia.com/indonesia/j...garut/cigadog/

[Theresa42]

Gilang from Pameungpeuk sub-district (i.e. not Cikelet)?

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/

Awesome, LaidbackAl! Thanks.

The latest patient, Gilang, is reportedly being treated at Pameungpeuk Community Health Centre. Pameungpeuk is another sub-district in the Garut Regency -- just as Cikelet is a sub-district (there's also Cikelet village, which is what makes understanding the placenames so confusing! And, yes, it looks like there's a Pameungpeuk village, too.).

Pameungpeuk sub-district is to the east of Cikelet. I think part of Pameungpeuk sub-district borders on Cikelet sub-district -- it looks to me as though Pameungpeuk sub-district is bi-sected by another narrow sub-district called Cibalong, so that there's a "west Pameungpeuk" and an "east Pameungpeuk" [my naming]. I've outlined "west Pameungpeuk" with a red dotted line and "east Pameungpeuk" with a red solid line.

I wonder where this latest patient, Gilang, is from? From somewhere bordering Cikelet sub-district? Or from farther afield?

Cikelet village boundaries.jpg

[Theresa42]

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

The map is also here in this thread:

http://www.flutrackers.com/forum/sho...1&postcount=28

[HenryN]

Re: INDONESIA - Garut Cluster Part II

From your commentary:

"The patients have been confirmed to be H5N1 positive, but they are linked to family members who died as early as July 31."

Dr. Niman, I think you need to have "not" inserted in this sentence? [patients have not been confirmed....]. Unless I missed the confirmations?





laidback Al at 12:15"

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

Thanks for the ehads up. It should read THREE patients were confirmed.....