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Re: Indonesia - BF 08/20+
Information on Bekasi case
H5N1 Individual Case Report
__________________________________________________ _____________________________________
caseid: 425
Country: Indonesia
City and Region: Pondok Cipta housing in Bekasi, West Java
Name: Nursifa (NA)
Sex: F
Age: 6
Symptom onset:
Hospital Admission: 8/18/2006
Death:
Outcome:
WHO confirmed: No
Report Hyperlink
8/18/2006 http://www.flutrackers.com/forum/sho...1&postcount=24
8/20/2006 http://news.xinhuanet.com/english/20...nt_4983789.htm -
Re: Indonesia BF - 08/20+
Again spread him the bird flu virus made the chicken breeders must increase the maintenance cost of their livestock.
As a result, the price of the chicken increased through to 50 percent.
In the Kobong Market, Semarang, for example, the price of the piece chicken that originally Rp 8.
500 per the tail rose to Rp 10.
500 per the tail.
Whereas the price of the rooster rose from Rp 10.
000 became Rp 16.
500 per the tail.
While the price of the red kind chicken rose from Rp 10.
500 became Rp 11.
500 per the tail.
The rise in the price of this chicken must because of the chicken breeders increase the vaccination cost and medical treatment for anticipated terjangkit him the bird flu virus.
The price increase of the chicken that happened in the level pengepul this made was difficult the small trader because of not having big capital.
While the number of buyers at this time continued to descendComment
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Re: Indonesia BF - 08/20+
Metrotvnews.com, Garut: the Citizen of the Ranca Salak Village and Tipar, the Cikeulet Subdistrict, of Garut, till at this time still was covered by the upper concern spread him the bird flu virus.
Therefore, every day hundreds of citizens in this area memeriksakan their health in the health command post that was built.
They were also given medicine tamiflu to prevent the entry of the virus H5N1.
The citizen was seen very enthusiastic memeriksakan himself in the command post.
Apart from the check-up, the team of the health from the Department of the Health also gave information concerning the development terkini concerning bird flu in order to reduces their worried feeling.
The citizen claimed still really khawtir datas spread him the bird flu virus and hoped this illness could be immediately overcomeComment
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Re: Indonesia BF - 08/20+
Posted at the Wiki.
On Monday, 21 Agt 2006 sent 22 samples of Burung
Flu Blood
Palembang - Tim technical the control of South Sumatra Province bird flu today sends 22 samples of the citizen's blood of the Linggau The Deepest Part that was expected terjangkit bird flu.
The detail is, the citizen's 15 bloods Kaba Ceremeh and five people from Megang.
Two again the citizen's blood that it was suspected was infected suspect bird flu.
That is, the daughter Wira the Empress, 8, and the son Wira Aditya, 3,5, the month.
Tim was Technical the Big Hall the Health Laboratory (BBLK) Palembang Joko Miharjo when being contacted explained, two patients were again taken the sample of his blood.
Moreover, the nose caress and the throat (the patient's mucus).
"Respectively two stems per the person," explained Joko.
The head BBLK Palembang Dr H Welly Chaniago added, in time 24 hours, the sample of blood of the bird flu patient must be sent to Department of Health Research And Development.
Results could be just known 4-5 days afterwards.
"Whatever results of the Department of Health Research And Development of being results of the end, might not be sent to Hong Kong."
Because, that his characteristics only confirmation, Obviously him.
About the PCR implement (polymerase chain reaction) that could detect bird flu in time 3 hours, Welly said, did not yet arrive in BBLK Palembang, that supervised the Sumatran island and the Special Capital District of Jakarta.
"We were still being waiting for the implement."
He said, the implement just arrived in October.
If the implement has been available, the bird flu inspection was enough in Palembang, he stated.
In the meantime, in Simalungun, North Sumatra, the Simalungun Regional Government destroyed tens of thousands of poultries that were centred on in the Saribudolok location of the agribusiness Sub- Terminal, the Silimakuta Subdistrict, last Saturday.
The Simalungun regent.
T. Zulkarnain Damanik led the extermination of this poultry.
The Regional Government was still continuing to carry out the extermination in the territory that it was suspected became the centre of the spreading of bird flu.
Therefore, has been prepared 53 holes.
"For the community that did not yet hand over his poultry or did not have data collected on it, we hoped immediately reported."
To be preventing the spreading of the bird flu virus, while all the routes entered from and to Saribudolok was closed, said the Regent Simalungun T. Zulkarnain Damanik.
Had a basis information from the Sub-district Head's Office Silimakuta, dozens of kinds to be precise 24.
623 tails were destroyed.
__________________Comment
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Re: Indonesia BF - 08/20+
http://www.alertnet.org/thenews/newsdesk/JAK228920.htm
Indonesia girl tests positive for bird flu-official
22 Aug 2006 10:15:35 GMT
<!-- 22 Aug 2006 10:15:35 GMT ## for search indexer, do not remove-->Source: Reuters
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<!-- AN5.0: inline article box end --><SCRIPT language=JavaScript src="/bin/js/article.js"></SCRIPT><INPUT id=CurrentSize type=hidden value=13 name=CurrentSize> JAKARTA, Aug 22 (Reuters) - A 6-year-old Indonesian girl being treated in hospital tested positive for bird flu on Tuesday, a government official said, as the World Health Organisation ruled out human transmission in a village with a series of confirmed and suspected bird flu cases.
The girl from Bekasi, an eastern suburb of Jakarta, is the 60th case of avian influenza in Indonesia, 46 of which have been fatal.
"The girl is still alive and receiving treatment in hospital. She is getting better," I Nyoman Kandun, director general of communicable disease control, told reporters.
Indonesia has seen a steady rise in human bird flu deaths this year and the virus is endemic in poultry in nearly all of the provinces of the sprawling archipelago.
Fears of a possible new cluster arose after a 35-year-old woman from the West Javan village of Cikelet who died was confirmed to have been infected by bird flu.
Her 9-year-old daughter died a week before after showing signs of bird flu, although no samples were taken for testing.
They are among 18 people in the area being investigated for suspected bird flu.
One of them, a 9-year-old girl, died last week while a 17-year-old youth with is infected with the H5N1 virus, but has stayed at home after refusing to be hospitalised.
"Though some of these undiagnosed deaths occurred in family members of confirmed cases, the investigation has found no evidence of human-to-human transmission and no evidence that the virus is spreading more easily from birds to humans," the WHO said in a statement.
Bird flu remains essentially an animal disease, but experts fear it could mutate into a form that can be passes easily among humans.
Indonesia, which has been criticised for not doing enough to stamp out H5N1, has so far refused to do mass culling of poultry, citing the expense and the logistical difficulties because of millions of backyard fowl.
<TABLE cellSpacing=0 width=350 border=0 cellpading="0"><TBODY><TR><TD class=crumb align=right>AlertNet news is provided by </TD><TD width=112>
</TD></TR></TBODY></TABLE>Comment
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Re: Indonesia BF - 08/20+
Metrotvnews.com, Indramayu: vaccine supplies anti-bird flu in Indramayu, West Java, was reported experienced the lack.At this time, the Indramayu Livestock Breeding Service only had 500 doses of the vaccine.According to the Section Head the Health of the Indramayu Dinoto Animal of the Livestock Breeding Service, recently, the number of vaccines that was had at this time really not all that compared to the number of poultries that must be vaccinated.Estimated was gotten two million tails of the spread poultry in 31 subdistricts in Indramayu, that must divaksin.The vaccine request was just sent from Bandung, West Java, to mid this coming September.Dinoto added, in February set, in the Bongas Subdistrict, was found by two patients died with the status suspect bird flu.(DEN)</PRE>
http://www.metrotvnews.com/berita.asp?id=22703</PRE>Comment
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Re: Indonesia BF - 08/20+
Metrotvnews.com, Jakarta: the Child was six years old three months of the bird flu sufferer, Nursiva, his condition currently increasingly improves.Therefore, from Tuesday (22/8), he was moved from intensive maintenance space to space of the isolation of the Infection Hospital (RSPI) Sulianti Saroso.Nursiva that positive contracted bird flu beforehand was treated intensive in space ICCU. according to the team's information of the doctor that handled, Nursiva experienced the infection in the left and right lungs.The doctor also added Nursiva did not have contact with the chicken.The suffering that was experienced by Nursiva this was classed in the level of the two bird flu from four available bird flu groups.The four groups that is first the virus infection H5N1, the two pneumonias without the inflammation of the lungs, the three pneumonias in an inflamed manner the lungs as well as finally pneumonia with damage of the body member that was disrupted.()</PRE>
http://www.metrotvnews.com/berita.asp?id=22694</PRE>Comment
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Poultry deaths reported in Surabaya
toggletext-ed from Indonesian:
Again guarded against Bird Flu
August 23, 2006
Dozens of chickens died, Pemkot Municipal Government Disinfektan
Surabaya - The Surabaya Citizen must come back was on the alert against the possibility of the entry of the bird flu virus. Because, for the last week was learnt the existence of dozens of chickens died with the characteristics similar to the case of bird flu. This case was experienced in the Tambak Lumpang, Sukomanunggal.
Got the report about that, the Marine Service, Livestock Breeding, Agriculture, and Forestry (DKPPK) Surabaya at once moved. The officials were mobilised to do penyemprotran disinfektan in pens belonging to the citizen.
"This spraying to avoid the further spread," said the Chairman of the Health of the Animal and the Health of the Community of Veteriner DKPPK drh Yetty Rizal.
Solikin, one of the citizens of the Tambak Lumpang, tell about, semingu then he lost 15 chickens. "I found the chickens died with his cock's comb situation was blue and his chest was red," said the man 57 years.
Keadaaan similar also happened to chickens belonging to Danuri, the other citizen. In the last three days, seven Danuri chickens died with the same condition. Several other citizens also experienced the same thing.
By the citizen, the chicken that died this partly was thrown away to the river. By DKPPK, chicken that was not yet thrown away was evacuated. The official also appealed to the citizen around to burn carcass. "When being worried was affected by the bird flu virus, this chicken carcass must be indeed burnt," said Yetty.
Spraying was yesterday carried out by nine officials, who consisted of six veterinary surgeons and three paramedical staff. Not only that, the Health Service through the Simomulyo Community Health Centre also involved two officials to take the sample of blood of chickens that died this.
Seen from his characteristics, said Yetty, indeed that was similar to the sign of the bird flu virus. However, small the possibility of these chickens died because of the deadly virus. His article, in the last two months, the Municipal Government official carried out the vaccination against the poultry in this area. "When being vaccinated, was not possible for these chickens to be infected by the bird flu virus," he stated.
According to him, could the chicken that died that because of the other virus, that is Newcastle Deasease. The sign of the death of the poultry because of this virus almost be the same as that was attacked by the virus avian influenza. "Javanese mentioned him the newcastle disease," added Yetty.
Nevertheless, DKPPK will carry out the preventive action by doing the repeated vaccination this coming September. Because, the other area outside Surabaya already many that berstatus suspect bird flu.
Officially the Health also appealed to the community to increase the health by guarding the cleanliness himself and the environment. "Because, the incidence of the bird flu virus began to spread again," said the Section Head the Surabaya Health Dr Esti Martiana Rahmie.
Sukomanunggal is a sub-district of Surabaya City (2nd largest city in Indonesia) which is in East Java:
...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock HolmesComment
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Woman from Nursifa's neighborhood died w/bf symptoms
toggletext-ed from Indonesian:
The condition for the Bird Flu Patient from Bekasi improved
August 23, 2006
Liputan6.com, Jakarta: The Nursifa condition, the assumption patient of bird flu that was treated in the Infection Hospital Prof. Dr. Sulianti Saroso, Sunter, Jakarta North, gradually improved. The child was six years from Bekasi, old West Java this was moved from intensive maintenance space (ICU) to isolation space, on Tuesday early afternoon (22/8).
Deputy Director Pelayanan RSPI Sulanti Saroso the doctor Tuti Hendrarwati said, the Nursifa condition continued to improve day after day. During the first time was reconciled from RS TNI the Halim Perdanakusuma Air Force, Nursifa in the critical condition. Apart from suffering the inflammation of the lungs or pneumonia, at that time Nursifa experienced failed the breath.
Now the citizen around the Nursifa house in the Perumahan Bumi Dirgantara [housing complex], the Jatiasih District, Bekasi began to be worried terjangkit the virus avian sub-type influenza H5N1. Suwardi, for example. He claimed to be his wife died with the sign similar to bird flu, every few the day before Nursifa fell ill.
Apart from Nursifa, RSPI Sulianti Saroso treated a bird flu patient in this month. However the patient that also from Bekasi finally had died. Mega Saputra blew out the last breath after could undergo the maintenance in ICU space for three days.
...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock HolmesComment
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Re: Indonesia BF - 08/20+
Metrotvnews.com, Kendari:
the Kendari Service of City Livestock Breeding, South-East Sulawesi, continued to anticipate the spreading of the bird flu virus.
One of them by doing the poultry vaccination belonging to the citizen. This step was followed following the sudden death of the citizen's poultry, some time set.
The vaccination was carried out by visiting poultry pens belonging to the citizen.
Apart from memvaksin the chicken, his pen was also sprayed with disinfectant.This action was welcomed by the citizen.
Haja the Flower, the citizen in the Poasia Subdistrict admitted to not objecting his chicken divaksin to prevent expanded him the bird flu virus.
Till at this time, the bird flu virus has spread in several points in the Kendari City. More than 1.000 chickens died suddenly as a result of the deadly virus.
However, was not yet found by this virus attacked humankind.
The section head Kendari City Livestock Breeding, Nedy Patanduk claimed to be his side destroyed 10 thousand tails of the poultry the positive citizen terinveksi the bird flu virus.(BEY)
</PRE>
http://www.metrotvnews.com/berita.asp?id=22746
</PRE>Comment
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Re: Indonesia BF - 08/20+
http://www.washingtonpost.com/wp-dyn...200572_pf.html
No Evidence Indonesia Bird Flu Spreading
By ZAKKI HAKIM
The Associated Press
Tuesday, August 22, 2006; 11:40 AM
JAKARTA, Indonesia -- Investigators found no evidence that bird flu was spreading among humans in a remote part of central Indonesia where two people died from the virus and a third was sickened, local and international health workers said Tuesday.
Four other people died in the Cikelet region of West Java province before swab samples were taken to determine the cause, officials said, and test results were pending for five others with symptoms of the disease, including a 61-year-old man hospitalized early Tuesday.
Health workers said poultry in the poor region, accessible by motorcycle or on horseback, began dying in large numbers in July after villagers purchased chickens from outside the area and incorporated them into local flocks.
"As the population had no experience with this disease, high-risk behaviors commonly occurred during the disposal of carcasses or the preparation of sick or dead birds for consumption," WHO said in a statement.
"Though some of the undiagnosed deaths occurred in family members of confirmed cases, the investigation has found no evidence of human-to-human transmission and no evidence that the virus is spreading more easily from birds to humans," the statement added.
The H5N1 virus has killed at least 141 people worldwide since it began ravaging Asian poultry stocks in late 2003, 46 of them in Indonesia, the worst-affected country, according to WHO.
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, possibly sparking a pandemic.
Nyoman Kandun, a senior Indonesian health official, said that while there was no evidence of mutation in Cikelet, authorities were carrying out tests on everybody who had been in contact with victims.
All had come back negative so far, he said.
Some 2,400 residents in the area also were being given free doses of the bird flu medication Tamiflu, Kandun said, and an agricultural official said at least 2,500 chickens had been killed in effort to stamp out the disease.
The H5N1 virus is considered endemic in poultry in 29 of 33 provinces across the archipelago, said national bird flu coordinator Bayu Krisnamurthi.
"We are racing against the virus, especially as we approach the rainy season where, just like a common flu, the risk of catching it increases."
---------------------------------------------
(2400 residents receiving anti-virals for a virus that isn't spreading???)
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<!-- start the copyright for the articles -->"The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller FoundationComment
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Re: Indonesia BF - 08/20+
Commentary at
Comment
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Re: Indonesia BF - 08/20+
http://www.recombinomics.com/News/08230602/H5N1_Bekasi_Suspect_Another.html
Commentary
Another Suspect H5N1 Fatality in Bekasi
Recombinomics Commentary
August 23, 2006
Suwardi, for example. He claimed to be his wife died with the sign similar to bird flu, every few the day before Nursifa fell ill.
Apart from Nursifa, RSPI Sulianti Saroso treated a bird flu patient in this month. However the patient that also from Bekasi finally had died. Mega Saputra blew out the last breath after could undergo the maintenance in ICU space for three days.
The above translation describes another suspect H5N1 bird flu fatality in Bekasi. The sequence of H5N1 from Bekasi does not match bird isolates, suggesting the patients are being infected by H5N1 in an alternate source. The recovering patient, Nursifa, has been H5N1 confirmed, but has no history of contact with poultry.
As indicated above, even fatal cases in the area are not tested for H5N1 even though there have been H5N1 deaths in the Bekasi area since last year.
Surveillance of patients with bird flu symptoms who do not have a contact with dead or dying birds remain poor, and the number of fatal cases in Bekasi and other regions in Indonesia, including Jakarta, is likely much higher than the reported cases.
."The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller FoundationComment
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Re: Indonesia BF - 08/20+
<hr style="border: 1px none ; height: 1px; background-color: rgb(0, 0, 0); width: 100%;" align="left">
Avian influenza ? situation in Indonesia ? update 29
23 August 2006
The Ministry of Health in Indonesia has confirmed the country?s 60th case of human infection with the H5N1 avian influenza virus.
The case is a 6-year-old female from Bekasi, West Java Province. She developed symptoms on 6 August and was hospitalized on 11 August. She remains hospitalized but is recovering. The source of her infection is currently under investigation.
Of the 60 cases confirmed to date in Indonesia, 46 have been fatal.
"We are in this breathing space before it happens. We do not know how long that breathing space is going to be. But, if we are not all organizing ourselves to get ready and to take action to prepare for a pandemic, then we are squandering an opportunity for our human security"- Dr. David NabarroComment
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