INDONESIA - Garut Cluster Part III

[Texanna]

Girl suspected of having bird flu checks out of hospital

Girl suspected of having bird flu checks out of hospital

http://www.thejakartapost.com/detaillgen.asp?fileid=20060821155001&irec=1

JAKARTA (AP): A 4-year-old girl suspected of having bird flu left the hospital Monday after family members decided against the advice of doctors to treat her at home with traditional medicine, officials said Monday.

The girl was one of 11 people from Cikelet, a hamlet southeast of the capital Jakarta, suspected of having or confirmed to have bird flu.

Laboratory test results for the child have yet to come back, but family members decided to remove her from Dr. Slamet General Hospital in Garut regency, West Java province after her condition appeared to be improving, said hospital spokesman Yogi Suprayogi.

Authorities were awaiting test results for three additional patients hospitalized with bird flu symptoms, said Runizar Roesin, of the health ministry's information center of bird flu.

The H5N1 virus has killed at least 141 people worldwide since it began ravaging Asian poultry stocks in late 2003, 46 of them in worst-affected Indonesia, according to the World Health Organization.

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.

International and local health officials have launched an investigation in Cikelet to see if the spike in cases signaled a new human bird flu cluster -- something that would heighten the chance of virus mutation.

Laboratory test results have confirmed that two people from the area died of bird flu and that one was sickened. Four others passed away before swab samples could be taken. (***)

[Theresa42]

Also 22

I also count 22 (with a possible 2 additional -- another sibling of Misbah/Rubiyah/Risman and Risma's dead sister)...

Previous list:

http://www.flutrackers.com/forum/showpost.php?p=26487&postcount=107

New to this list in "dark orchid".


Sardi (4/5M) [hat-tip, Soylent Blue!] - d. July 31 - not confirmed

***

Rubiyah (13F) [hat-tip, Soylent Blue!] - d. Aug 1 - not confirmed (2 of Rubiyah's siblings tested - they have signs of fever & breathlessness - Risman and ?) [the name Rubiyah translates as "the nun"]

Misbah (20M) - d. Aug 5 - Rancasalak, Cikelet village - Umar's cousin - not confirmed - dead [the name Misbah translates as "the lamp"]

Risman (5) - the citizen of the Rancamareme Village - in hospital [Misbah & Rubiyah are both siblings of Risman]

Another sibling? -

Dinkes West Java with Tim [team] the Department of the RI Health, also carried out the taking of the sample of the citizen's blood with the sign of the fever and breathless. Two including being the sibling the Rubiah who has died.

One is, presumably, Risman. That means there should be one more.

***

Umar Aup (16/17M) - Rancasalak, Cikelet village - cousin to Misbah, Rubiyah & Risman - confirmed H5N1


Ai Siti Amanah (9F) - Jojok, Cikelet village - Ismawati's paternal cousin - confirmed H5N1 - dead

Ismawati (5M?) - Jojok, Cikelet village - paternal cousin/neighbor of Ai - father Pendi, mother Omay - not confirmed - initial tests neg - tested neg again


Santi Anggraeni (6/8F) - Jojok, Cikelet village - daughter of Iwan & Surilah - neighbor of Ai - not confirmed - initial tests neg - tested neg again

Eti (35F) - Jojok, Cikelet village - not confirmed


Euis Lina (32/35?F) - Cigadog village - (Dea's mother) - confirmed H5N1 - dead

Dea Asmalia (9F?) - Jojok hamlet? - Euis' daughter - not confirmed - dead

Dadan - Euis Lina's husband

2 children of Euis & Dadan


Kuraesin (K.) (32F) - Sawah Bera hamlet - (Osin - husband) has had fever for last 3 days - house 100 m from Ai Siti and Ismawati's houses - only several houses away from Santi's - not confirmed - in hospital - pregnant -- tested neg

Osin (36) - Kuraesin's husband

(EK? (32) - may be Kuraesin - from Tipar hamlet)


Ayi Rohimat Binti Syafrudin (10) - Jojok, Cikelet village

Memen (60) - Cibeunteur, Cikelet village(?)


Risma (4F) - Pasir Maja, Cikelet village - father Taufik Soleh (24), mother Cucu (20) -- Pasir Maja ca. 6 km from either Rancasalak or Jojok/Jojoh -- Risma's sister reportedly died from unknown causes 2 weeks ago

Yana (50) - Rancasalak, Cikelet village


Gilang (16?M) - Gunung Sula, the Cigadog Village, of Cikelet

[sharon sanders]

Re: INDONESIA - Garut Cluster Part III

Thanks Theresa42.

[MHSC]

Re: INDONESIA - Garut Cluster Part III

This is what I have....



Risma (4F) - Pasir Maja/Rancmareme, Cikelet village - father Taufik Soleh (24), mother Cucu (20) -- Pasir Maja ca. 6 km from either Rancasalak or Jojok/Jojoh RSHS Bandung Garut, improved sent home


EK? (32) - maybe Kuraesin, from Tipar/Hasan Sadikin, Garut

Eti (35F) - Jojok, Cikelet village - not confirmed


Euis Lina (32F) - died Aug 17, 2006, not confirmed Jojok/Cigadog village - (Ai's mother?), mother of Misbah, Dea, Rubiah, Risman
Misbah (20M) - died Aug 5, 2006, not confirmed, Rancasalak, Cikelet village - Umar's cousin, Misbah = "the lamp"
Dea Amalia (9F) - dead, not confirmed - initial diagnosis typhus dx Jojok village - Euis' daughter
Rubiah (13F) - died Aug 1, 2006 not tested - Rubiah = "the nun", 2 of Rubiah's siblings tested - Euis daughter, sibling of Misbah, Risman, Dea
Risman (5) - the citizen of the Rancamareme Village - in hospital, sibling of Misbah & Rubiyah

Ai Siti Amanah (9F) - died Aug 15, 2006, confirmed, Jojok, Cikelet village, son of Euis?, Ismawati's paternal cousin, lived near Sardi

Ismawati (5/F) - not confirmed - initial test neg, Stable, Jojok, Cikelet village - paternal cousin/neighbor of Ai Siti - father Pendi, mother Omay

Umar Aup (16/17M) - confirmed, recovered, Rancasalak, Cikelet village - Misbah's cousin

Sardi (4/5M) - died July 31 not tested, not confirmed, lived near Ai Siti Amanah, Euis Lina, Rubiah,

Kuraesin/K (32F) - not confirmed, pregnant, stable, Sawah Bera/Jojok village - (Osin - husband) neighbor of Ai Siti, Ismawati, and Santi's
Osin 36/M, husband of Kuraesin, the citizen of the Sawah Beura Village

Santi (6/8F) - not confirmed- initial test neg, Stable, Jojok/Sawa Bera, Cikelet village - daughter of Iwan & Surilah - neighbor of Ai & Kuraesin



Ayi Rohimat Binti Syafrudin (10/M) - Jojok, Cikelet village in Community Health Center

Memen (60) - Cibeunteur, Cikelet, RSH Bandung

Yana (50) - Rancasalak, Cikelet village, treated at Dr Slamet hospital

Gilang Kencana (14M).in ToggleText-ese ?Gilang Gold?, in the maintenance in the Pameungpeuk Community Health Centre.

Esih 35/F Cickelet, NYK , Died 18/08

Daden, husband of E (Family has 5 members, 2 dead, 3 ill), Cigadog Pasir Gambir Village
E (Maybe Esih or Euis?) wife of Daden, died in space of the isolation of Hospital bird flu Doctor Selamet, Garut, last August(2005 or translation problem?).
DI, (M) child of E and Daden, died in space of the isolation of Hospital bird flu Doctor Selamet, Garut, last August (2005 or translation problem?).
?, second child of E and Daden
?, third child of E and Daden

[Goju]

Re: INDONESIA - Garut Cluster Part III

we are up to 25??

[Theresa42]

Re: INDONESIA - Garut Cluster Part III

Thanks Theresa42.

No problem. I think CommonGround is working up a list, too. Good to have several folks checking and double-checking these things!

[Theresa42]

Re: INDONESIA - Garut Cluster Part III

we are up to 25??

Something like that, yeah.

Michigander -- our lists look pretty similar, except I've never had an Esih. Dunno why. ?? Could that be one of the other "E" women?

[sharon sanders]

Re: INDONESIA - Garut Cluster Part III

No problem. I think CommonGround is working up a list, too. Good to have several folks checking and double-checking these things!

Thanks to everyone!

[MHSC]

Re: INDONESIA - Garut Cluster Part III

Something like that, yeah.

Michigander -- our lists look pretty similar, except I've never had an Esih. Dunno why. ?? Could that be one of the other "E" women?

Yes, it could be.

Is Euis confirmed now?

[MHSC]

Re: INDONESIA - Garut Cluster Part III

we are up to 25??

Yes, somewhere near, but that is only the 'cluster', that doesn't include other cases in Indonesia, I know of at least one Nurshifa (spelling?) in Bekasa.

I'm having a hard time keeping up.

[Theresa42]

Tamiflu blanket...

Hat-tip, SolitaireUK!

toggletext-ed from Indonesian:

Three Suspect Bird Flu, the Negative
The compass/Mohammad Hilmi Faiq
August 21, 2006

Bandung, Kompas - Three from four patients suspect bird flu that was treated in the Handsome Hospital sadikin, was stated by the bird flu negative. Now other was waiting for results of the test of the Department of the RI Health.

The three patients were Ismawati (5), Santi Anggraeni (8), and Kuraisin (34). All of them villagers Cikelet the Cikelet Subdistrict, the Garut Regency. ?Kondisi all of them improved. Kuaraisin yesterday hot but currently currently the temperature of his body descends. Three people results negatif,? RSHS Cissy Managing Director words in Bandung, on Monday (21/8).

Kuraisin was one of the patients suspect bird flu that was containing three months. He [She] entered RSHS Poinciana Tree Space on Friday (18/8). Tomorrow his day, the husband Kuraisin, Osin (38) that will visit his wife, complained had a headache, nausea and even mencret. Knew this sign, RSHS at once treated him in Poinciana Tree Space.

But was not yet known whether Osin tertular bird flu or was attacked by the other illness. ?Untuk Osin did not yet have results, still was tested in Jakarta,? revealed Cissy. Although having the trend suspect bird flu from Garut improved, continued Cissy, but most negatives. Uptil now that positive only two namely Euis? that died on Friday malam? and Umar. The family refused if Umar was treated in the Hospital and more chose to be treated dirumah.

Moreover, although being stated positive Bird Flu, Umar was still being free was outside the House. ?Dia has been given by Tamiflu. Seen by me in his condition television also improved. It is hoped he later memnjadi negatif,? Cissy words. Moreover, the Umar development was always monitored by the doctor.

Cissy explained, the citizen might not also panic with the Umar case. Because, bird flu did not spread just like that. But only went through the certain media like nasal mucus and the waste. ?Kalau he began the cough and had phlegm, that that necessary diwaspadai,? revealed Cissy.

In the meantime, the full sibling Kuraisin, Isman (36) explained, the number of cases suspect bird flu in his village was from the citizen's ignorance. Uptil now the citizen was used to it menyembelih the chicken that was sick and afterwards ate him. The citizen in no way had known that the chicken that was sick that could was attacked by bird flu. ?Kami knew him just the last few days when many officials and the doctor that came to the village to see flu casualties burung,? further Isman.

Now the family's Ismawati member, Iip Sehapudin explained, almost all the villagers Cikelet maintained the duck, especially the chicken. ?Satu the minimal family had 10 ayam,? he said.

Iip explained, most of the citizen's houses had the shape of the house on stilts. Under the house so they maintained the chicken.

Therefore, rarely among them that never direct contact with the chicken. They also were used to it gave ate the chicken afterwards continued with the other activity as eating without washing the hands. ?Boro-boro washed the hands. Also was wiped to celana,? Iip words.

Resulting from the number of cases suspect this bird flu, the government in this case the Health Service of the West Javanese Province gave Tamiflu to approximately 300 citizens in five Cikelet Village villages. These villages were Jojok, Rancasalak, Tipar, Pasir Bambung and Sawah. Tamiflu was given selectively, namely the citizen that once direct contact with the positive poultry bird flu or with suspect bird flu.

http://kompas.com/ver1/Kesehatan/0608/21/194332.htm

[MHSC]

Re: INDONESIA - Garut Cluster Part III

Avian influenza ? situation in Indonesia ? update 28


21 August 2006

The Ministry of Health in Indonesia has confirmed the country?s 59th case of human infection with the H5N1 avian influenza virus.


The case occurred in a 35-year-old woman from the remote subdistrict of Cikelet, West Java Province. She was hospitalized with severe respiratory disease on 17 August and died shortly after admission.


She is the third confirmed case from this sub-district to be reported in the past week.


Preliminary findings from the Cikelet investigation

A team of experts is presently in the Cikelet subdistrict investigating the outbreak and monitoring for further cases. Three hamlets are the focus of investigation.


The Cikelet subdistrict consists of around 20 isolated hamlets, each with a population of around 200 to 400 persons, many living in large extended families. The hamlets sit in a basin surrounded by steep mountains with rocky winding paths best accessed by foot or horseback.


In this area, mortality from endemic diseases, especially malaria, is common, access to health care is poor, and medical records of deaths are scanty or non-existent.


Prior to late June 2006, no mass die-offs of poultry are known to have occurred in the area. At that time, live chickens were purchased from an outside market in preparation for a religious feast and were integrated into local flocks. Shortly thereafter, chickens began dying in large numbers in an outbreak that continued throughout July and the first week of August, gradually spreading from one hamlet to another.


As the population had no experience with this disease, high-risk behaviours commonly occurred during the disposal of carcasses or the preparation of sick or dead birds for consumption. These exposures are, at present, thought to be the source of infection for most confirmed or suspected cases.


Deaths from respiratory illness are known to have occurred in late July and early August, but no samples were taken and medical records are generally poor. 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 cooperation of residents is good, house-to-house surveillance for febrile illness is continuing, and specimens have been taken from symptomatic persons and sent for testing. The team is well-supplied with antiviral drugs, and these are being administered prophylactically to close contacts of cases and therapeutically to persons showing symptoms of influenza-like illness.



http://www.who.int/csr/don/2006_08_21/en/print.html

[Theresa42]

Re: INDONESIA - Garut Cluster Part III

Is Euis confirmed now?

Yes, you're right -- she is confirmed. Thanks! That's who this latest WHO update is referring to, right?

Gotta go fix the list...!

[sharon sanders]

Re: INDONESIA - Garut Cluster Part III

Thanks again SolitaireUK.

[MHSC]

Re: Tamiflu blanket...

Hat-tip, SolitaireUK!

toggletext-ed from Indonesian:

Three Suspect Bird Flu, the Negative
The compass/Mohammad Hilmi Faiq
August 21, 2006

Bandung, Kompas - Three from four patients suspect bird flu that was treated in the Handsome Hospital sadikin, was stated by the bird flu negative. Now other was waiting for results of the test of the Department of the RI Health.

The three patients were Ismawati (5), Santi Anggraeni (8), and Kuraisin (34).

Ismawati & Santi tested neg initially, I don't know about Kureasin, could this be a old info printed again, or additional test results?