INDONESIA - Human cases - August 22 thru Sept 1, 2007

[Laidback Al]

Re: INDONESIA - Human cases - August 22, 2007+

New suspected H5N1 case in Bali


Wednesday, 29 Agt 2007
Turns Klungkung sent the Bird Flu Patient [Klungkung Regency's turn to send a bird flu Patient]

Denpasar - the bird flu Virus continued to haunt the Balinese resident.
On Tuesday (28/8), came again the patient suspect consignment bird flu from RSUD Klungkung.
The reconciliation patient from the hospital of the Klungkung Regional Government arrived in the ward of Nusa Indah RS Sanglah around struck 17,15.
The sufferer suspect this bird flu was Ni Kadek Astiti, 30, the resident of the Banjar Paksebali Kanginan, Paksebali, Dawan, Klungkung [Regency].
He came by being delivered by the ambulance of RSUD Klungkung bernopol DK 1004 of this M. Pasien were at once treated in the isolation ward of Nusa Indah the room of the number 5.
He did not pass the IRD route, but immediately was sent through the main gate of the emergency behind the isolation ward of Nusa Indah.
Wayan Sadiasa, 30, relatives of the patient, justified the manager RSUD Klungkung that said that Astiti suspect bird flu.
The inspection only took up time 15 minutes.
Sadiasa said, Astiti was ill hot since the last two days was accompanied crowded, the cough, and the limp body.
When arriving in RS yesterday, the condition for the patient has been serious although realised and still could go by being supported.
"Yes when coming, he in the condition realised."
But, his head continued to nod like the neck of the chicken, obviously him.
Said, Astiti once contact with the chicken that was expected positive bird flu.
"Precisely, around Sunday (26/8), there was the next neighbouring chicken died one," he said.
Till yesterday afternoon, the team of the handling of the bird flu patient at once was busy in the isolation ward.
The widow had one children this yesterday still was rolled over limp in the special ward with the nose was installed the oxygen hose.
Pro-contra the need of the extermination of the poultry all over Bali still was continuing to move on.
The team of the Commission of the expert Ii DPRD Bali Prof Dr Wayan Suparta said agreed with the idea of Balinese Vice-Governor Alit Kesuma Kelakan.
"For the long-term interests, the step" in "the extermination really made sense."
This method was more cheap and humane than us carried out the extermination partially, said Suparta yesterday (28/8).

hat-tip to bgw in MT for original link.

http://www.jawapos.co.id/index.php?act=detail_radar&id=171112&c=1

[Theresa42]

Re: INDONESIA - Human cases - August 22, 2007+

From BaliTravelForum.com. Hat-tip, Okieman!

Posted by iwishiwasinbali on Wednesday, 29. August 2007 at 08:31 Bali Time:

Just wondering is it true that there was a bird flu confirmed in Ubud?

http://www.balitravelforum.com/msg/62570.html

Posted by Ianz on Wednesday, 29. August 2007 at 09:20 Bali Time:

In Reply to: bird flu in ubud posted by iwishiwasinbali on Wednesday, 29. August 2007 at 08:31 Bali Time:

I was told it was caught in a vllage to the west, and that the unfortunate lady was admitted to Ubud hospital. So took no chances.

http://www.balitravelforum.com/msg/62585.html

[Gert van der Hoek]

Re: INDONESIA - Human cases - August 22, 2007+

Confirmation from Liputan6TV on the new suspect female patient from Klungkung, Bali. .

RSU Again received the Patient the Assumption H5N1

Liputan6.com, Denpasar: A patient had the initials KA was reconciled to isolation space of the Public Hospital of Sanglah Denpasar, Bali, because of being suspected of suffering bird flu, recently.

Villagers had Bali, Kabupaten Klungkung this could contact with the poultry that died suddenly.

KA that suffered the high fever was treated in accordance with the standard of the case of bird flu as well as was given tamiflu.

Although did not suffer breathless and inflamed of the lungs, the sample of the patient's blood continued to be sent to the Penelitian Dan Pengembangan Health Body (Balitbangkes) Jakarta to be checked.

Up to now, was recorded by ten assumption patients infected by the virus avian influenza that was treated in RSU Sanglah.

However, only two people who died resulting from the illness that was caused by the virus H5N1 that after being tested blood.

http://www.liputan6.com/news/?id=146753&c_id=7

[Gert van der Hoek]

Re: INDONESIA - Human cases - August 22, 2007+

Confirmation from Min. of Health, negative test results for Bird Flu regarding 3 suspects, 2 from Bali, 1 from Lombok Island.

3 Suspect cases Negative Bird Flu

29 Aug 2007

Three suspek Bird Flu was stated was not infected H5N1.

The inspection of the specimen of the three cases by the Laboratory of Badan Litbangkes Department of Health was proven to be negative.
Thirdly suspek this, two among them came from Bali, NKS (P, 43 years) and L (P, 50 years).

Suspek other, came from NTB, was HB (L, 47 years).

Therefore, the total case of Bird Flu all over Indonesia continue to 105 people, with 84 people among them died.

The death rate (Case Fatality Rate = CFR) the case of Bird Flu in Indonesia reached 80%.

Was like this the data that was received by the Centre of Publik Communication of the Kejadian Luar Biasa Command Post (KLB) Bird Flu Director General Pengendalian of the Illness and Lingkungan Sanitation (PP and PL) Department of Health RI to August 26 2007.
NKS, the resident Street.

Yudistira No. 21 Denpasar of Propinsi Bali could be treated in the Wangaya hospital before being reconciled to RSU Sanglah on August 25 2007 struck 14,30 of WITA. Lima the hour after being treated in RSU Sanglah (19,55 WITA), NKS died.

As far as this is concerned was known that NKS live in close to the birds market and the husband him maintained many birds, but was not found his kept poultry that died.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2765

[Commonground]

Re: INDONESIA - Human cases - August 22, 2007+

Metrotvnews.com, Tanggamus: Malaria became an epidemic in Lampung, to be precise in the Tabuan Island, Kabupaten Tanggamus.
At this time was recorded by four people died and dozens of other must be treated in the hospital because of suffering acute malaria.
The Dinas Kesehatan data local recorded at least 160 residents has been attacked by acute malaria.
Panyakit malaria began to be contagious in the island was isolated that since three weeks set.
As many as 22 residents currently still are treated in RS Umum the Pringsewu Area.
They complained the high fever, the head of the headache and the limp body.
Originally the resident regarded this complaint as the mysterious illness.
In one family in general two were as far as three people attacked by this illness.
According to the Section Head the RSUD Pringsewu Niken Wijayanti Service, from results of the laboratory inspection, the patient suffered acute malaria.
Many patients who also suffered the complication illness with anaemia, dengue fever and the bad nutrient.
At this time, the team was from Dinkes checking all the resident that still was in the Tabuan Island.
It was big that the possibility of the number of illness sufferers continued to improve because not yet all the residents had data collected on it.

http://www.metrotvnews.com/berita.asp?id=44714

[Commonground]

Re: INDONESIA - Human cases - August 22, 2007+

I am a little leery now with the Malayria episodes so quickly after this article:

Excerpt:

In the meantime, in the same place, Kalakhar Badan Narkotika Nasional (BNN) Komjen Pol Made Mangku Pastika regretted blow up several foreign medias about the spreading of bird flu that infected in Bali. Said he, blow up excessive that clear damaged the Balinese tourism image in the eyes of the world.As proof, several tour travel agencies in Vietnam that just was visited by Pastika last week cancelled the tour to Bali during this holiday season.

Pastika also regretted the official's attitude that straight-forwardness named the endemic occurrence of bird flu in Bali. He even asked the official to look for the other reason.For example, casualties died not because of bird flu, but malaria.

http://www.jawapos.co.id/index.php?act=detail_radar&id=170976&c=1

Whole article posted at PFI on 8/26 at 6:32 pm. Hat tip bgw in MT.

[Commonground]

Re: INDONESIA - Human cases - August 22, 2007+

Metrotvnews.com, Denpasar: the Daerah Public Hospital (RSUD) Sanglah, Denpasar, Bali, on Tuesday (28/8 ), again received a patient who was expected terjangkit bird flu.
The female patient had the initials NK was 25 years old this arrived in RSUD Sanglah around struck 17,30 WITA. NK immediately was put into special isolation space the maintenance of the bird flu patient.
Originally, villagers Pakse Bali, Kabupaten Klungkung, this could be treated in the local hospital with the hot complaint high, coughs and breathless.
Chairman Tim of the Control of the Illness of Flu Burung RSUD Sanglah Doctor I Putu Ardika explained, from the beginning inspection of the patient NK indeed suffered hot high.
However, was not yet found by the existence of the indication of the lungs of the inflammation.
Despite this, NK continued to be stated as the patient was expected by bird flu.
Putu Ardika said, the sample of NH blood was also sent to the Pengembangan Hall laboratory of the Department of the Health in Jakarta.
According to Ardika, the patient NK also it was known had the contact note with the poultry that died suddenly a day before him was brought to the hospital.

http://www.metrotvnews.com/berita.asp?id=44687

[Commonground]

Re: INDONESIA - Human cases - August 22, 2007+

There is a contradiction between these two stories. I'm wondering if we are not talking about two different people:

Post #76

He came by being delivered by the ambulance of RSUD Klungkung bernopol DK 1004 of this M. Pasien were at once treated in the isolation ward....Sadiasa said, Astiti was ill hot since the last two days was accompanied crowded, the cough, and the limp body

Post #78:

A patient had the initials KA .....KA that suffered the high fever was treated in accordance with the standard of the case of bird flu....Although did not suffer breathless and inflamed of the lungs

Post #82

NK immediately was put into special isolation space the maintenance of the bird flu patient.
Originally, villagers Pakse Bali, Kabupaten Klungkung, this could be treated in the local hospital with the hot complaint high, coughs and breathless.

[Commonground]

Re: INDONESIA - Human cases - August 22, 2007+

Tabanan (SINDO) ? Upaya anticipated the bird flu illness in Bali continued to be carried out.
One of them, with merazia the poultry in several entrances, in part in Street By Pass Ida Bagus Mantra (the entrance from Balinese Timur) and Street Ahmad Yani (the entrance from Balinese Barat).
Dozens of vehicles of the poultry carrier were stopped to be checked his sending document was at the same time done by spraying.
Now, till yesterday, Regional Government (the Regional Government) Tabanan destroyed 11,735 tails of the poultry.
The extermination was speeded up following the implementation of the alert status of one bird flu in this area.
Tabanan Regent Adi Wiryatama said, the alert status of one was put into effect until the situation was really safe.
?Jadi, the possibility of the extermination still would berlanjut,? he said yesterday.
The Dinas Peternakan data the local regency recorded, the case of highest bird flu was in Kec Kediri, as many as 15 places.
Following Kec Marga and Tabanan respectively in 10 points.
Now Penebel, Kerambitan, Selemadeg Timur six points, Baturiti three points, as well as Selemadeg and Selemadeg Barat of one point.

The Tabanan Regional Government also allocated Rp637 million to deal with the case of bird flu till September.
??Pembiayaan him will be budgeted for by us into APBD the change and was we bahas,?? said Wiryatama.
While the Service of Kesehatan Bali prepared 5 million doses of the vaccine tamiflu.
This number it was estimated was enough for the program of the case of bird flu of the prevention vaccination throughout Bali.
Prepared also 1.200 litre disinfektan for mass spraying throughout the regency/the city.
These efforts were aimed at finished late September.
Dibagian other, the patient who it was suspected was infected by the bird flu virus yesterday has been permitted to come home from RSUP Sanglah, Denpasar.
The last patient on behalf of Apriliani Dewi, 14 months, was permitted to come home on the Monday (27/ then after the condition for his health was restored.
Since bird flu spread two last week, space of Nusa Indah RSUP Sanglah that was special was allocated for the patient who was expected strong was infected by the virus avian influenza (AI) the cause of bird flu, treated nine patients.
Six succeeded in being cured and permitted to leave the hospital, now three other did not succeed in being rescued by his spirit.
Three patients who died were recorded on behalf of Ni Luh Putu Sri Windiani, 29, the resident from the Country, Kabupaten Jembrana, as well as Ni Luh Putu Srinadi, 28, the Kediri inhabitants, Kabupaten Tabanan, and Ketut Sariasih, 40, the resident Tapakgangsul, Denpasar. [note: new info on location]

Chairman Tim of the Handling of RSU Sanglah Putu Andrika Bird Flu made a plea so that the resident immediately brings his family's member to the hospital if suffered deman with the temperature of the quite high body, was accompanied in a crowded manner or was difficult to breathe

http://www.seputar-indonesia.com/edisicetak/nusantara/cegah-flu-burung-mobil-angkut-unggas-di.html

[Commonground]

Re: INDONESIA - Human cases - August 22, 2007+

3 cases of Negatif Bird Flu
Jakarta -- MIOL: was based on the inspection by the Laboratory of Badan Litbangkes Department of Health, three patients suspect (was expected) bird flu was stated was not infected H5N1.
The three patients suspect that, two including coming from Bali, NKS (P, 43 years) and L (P, 50 years).
Suspect other came from NTB was HB (L, 47 years).
?Dengan was like this, the total case of bird flu all over Indonesia continue to 105 people, with 8 4 people including dying dunia,? said the Head of the Centre of Communication of Publik Department of Health Lily.
S. Sulistyowati, in Jakarta, on Wednesday (29/8 ).
At this time, the death rate (Case Fatality Rate = CFR) the case of bird flu in Indonesia reached 80%.
Was like this the data that was received by the Centre of Publik Communication of the Kejadian Luar Biasa Command Post (KLB) Bird Flu Director General Pengendalian of the Illness and Lingkungan Sanitation (PP and PL) Department of Health RI to August 26 2007.


NKS, the resident Street. xxxxxx Denpasar of Provinsi Bali, could be treated in the Wangaya hospital before being reconciled to RSU Sanglah on August 25 2007 struck 14,30 of WITA. Lima the hour after being treated in RSU Sanglah (19,55 WITA), NKS died.
As far as this is concerned was known that NKS live in close to the birds market and the husband him maintained many birds, but was not found his kept poultry that died.
Until this, continued Lily, did not yet have effective medicine that could treat Bird Flu.
Available medicine that is oseltamivir, was believed in only had a function of pressing the development of the virus.
The only most effective method was prevented lest tertular the bird flu virus.
The source of the spread of bird flu was still coming from the poultry.
Because of the size of the spread of the risk factor from the poultry to humankind, asyarakat was appealed to to pen his poultry far from the house, and the pen was cleaned with disinfectant or detergent at least very much in a week.

Still was related the problem of the handling of bird flu, Vice Chairman Ii Pelaksana the daily Komnas FBPI Tri Satya P. Naipospos claimed to be the difficulty in his role in coordinating the control program of bird flu.

?kita was difficult in coordinating each departmen that was involved, his article the Komnas position in a manner the agency was not strong.
As a result, the Komnas co-ordination was only regarded as input that could be accepted or not by respectively the agency.
The hindrance lai him, continued the Order, the Naipospos nickname, was different him respectively the department by the Ministry of the Co-ordinator.
For example, Deptan was supervised by the co-ordinator, the Ministry of the Co-ordinator the Economy, whereas the Department of Health, was supervised by the Co-ordinating Minister Kesra.
?Jelas both of them had the different paradigm, Deptan tended to see bird flu from the corner of economics.
This was inexact, his article the problem of the safety of humankind definitely above kepenttingan ekonomi,? was closed at him.

http://www.mediaindonesia.com/berita.asp?id=141456

[Commonground]

Re: INDONESIA - Human cases - August 22, 2007+

Here's an older article from the 23rd of August. It talks about Basri Hasan (47) at RSU Mataram (NTB). Even though now we know he has tested negative and may already be home. This article does tell us where he was reconciled from.

CHILLI was EAST ALERT BURUNG
FLU
Although being stated the negative was affected by bird flu, the assumption of the existence of one of the residents Selong that could be checked in RSUD R. Sudjono Selong and was reconciled to the Mataram Public Hospital, naum Lmbok Timur alert one for anticipation terjangkit him this plague.
The community must continue to guard against spread spread him the bird flu virus.
Anticipated became an epidemic him this deadly illness Lombok Timur alert one faced bird flu, considering secra geographical the Island of close chilli with the Balinese Island that at this time it was reported was attacked by bird flu.

-snip-
Mawardi Hamry stated, the sign of bird flu was marked by the high fever, breathless, coughs and beforehand contact happened to the poultry.
If this sign was experienced by someone as soon as possible must be checked to the doctor or to the local Community Health Centre.
Pemerntah Daerah Lombok Timur personally, on Wednesday August 22 took place in the Office of Bappeda Lombok Timur carried out the meeting of the anticipation co-ordination of bird flu, the meeting was led Head of Sector Sosial and the Culture Bappeda Lombok Timur was followed by the Kesehatan Service, Dinas Pertanian and Petrnakan as well as one of the representatives from UNICEF.

http://www.lomboktimur.go.id/main/scenes.php?id=News&file=news_detail&newsid=157

[Gert van der Hoek]

Re: INDONESIA - Human cases - August 22, 2007+

found and translated by BGW in MT

Story raising questions, body of negative tested victim is treated like it was positive.

Spying a Panic Situation, Resident/s faced corpse that was expected by Bird Flu

The resident Tapakgansul buried without ritual offering of flowers or food to spirits or God, after tests in fact Negatif, corpse bird flu casualties really "suffered".

Positive casualties were affected by the virus avian influence (AI) that did not receive the handling as the body generally. Like that left RS Sanglah his body was at once carried to the cemetery and was buried without the procession. Why?

GUPTA - educated DP, Denpasar

A hole lahat (a grave) has been prepared by the resident Tapakgangsul, Denpasar in the cemetery or setra Badung. At that time on Sunday (26/8 ), the hour needle has shown struck 23,00. From a distance can be heard the sound of the siren of the ambulance.

Like that arrive in setra Balang, several officials sheathed the hands and used the mask busy unloading the Ni Ketut Sar body. The female body 42 years were not given a rest and diupacarai first. However, like that came immediately was dropped off to the hole lahat (grave).

The same thing was done by the resident Tukadaya, Jembrana and the resident Batugaing Tabanan. Two bodies that died beforehand because positive same bird flu was planted (sorry) as burying the animal carcass.

Why like that?

Chairman Tim of the Control of Bird Flu RS Dr Putu Andrika SpPD and the Head of the Denpasar Livestock Breeding Office i the God Made Ngurah together said that that was done to prevent the spread of the virus.

They also not dared to decisive, was that compatible with the tradition and the religion. His article, the procedure continue to (protap) about the handling of the bird flu body was not yet available.

Both of them also could not explain, to interrupt the virus casualties his bird flu of the wrapper of body plastic might be released or not. "Yes, the procedure continue to (protap) the handling" of the "bird flu body was not yet available."

For the time being was looked for by us just safe, explained Made Ngurah yesterday.

According to him, had a basis information that he received from the medical side, the virus H5N1 alias bird flu mutates quickly. Until showing the spread from humankind to humankind. "So, if there is one that is positive, certainly was appealed to by us to be postponed first by his cremation," he stated.

In the meantime, related two patients suspect bird flu in Denpasar, Dewa Ngurah that was accompanied by I Nyoman Gde Sudiantara (relatives of one of the patients) with Sekkot Nyoman Aryana, explained that from results of the laboratory puslitbang biomedical and the thourough, detailed examination Dan Pengembangan Kesehatan Body pharmacy, Departemen of the RI Health said that Ni Ketut Sar evidently the bird flu negative.

"So until this in Denpasar did not yet have humankind that were infected by the bird flu virus."
This was important I said, because of Denpasar most of his communities made itself from Tourism dependent, "stressed Sekkot Denpasar."

"We also have faith and learned our family was not affected by bird flu," added Punglik the close I Nyoman Gde Sudiantara greeting, that also relatives Sar.

With results of the negative lab, Punglik hoped could eliminate the resident's concern along with the family.

Further the deceased's family Sar was planned did ritual cremation this coming September 20.

http://www.jawapos.co.id/index.php?act=detail_radar&id=171194&c=94

[Gert van der Hoek]

Re: INDONESIA - Human cases - August 22, 2007+

Thursday, 30 / 08 / 2007

RS Sanglah again accepts suspect bird flu


Denpasar-A child suspect bird flu back abducted to RSUP Sanglah Denpasar, Bali. He is Tantri Nyoman Kusumawati (4) from country Penarungan, Mengwi, Badung, Bali.

Couple child made rubek and ni luh susanti this aryani abducted to house pain, night rabu. " awalnya, high fever accompanied by cough, pilek and peak breath, " ujar rubek defined pain symptoms child ketiganya in rsup sanglah, kamis (30 / 8 / 2007).

First time entered hospital, Tantri put out to in rawat instalasi emergency (ird). Namun after examined, him immediate brought mobil bounce to isolation space nusa beauty. Rubek increased, four days before her sick son ditemukan chicken case at home tetangganya.

Tim members penanggulangan flu bird disease rsup sanglah ni dr putu luh siadi purniti sp a say, the condition of the patient this seconds is worsening. If previous warmer temperature in pasien body only 37, 8 derajat celcius, now become 38 derajat celcius. Sedangkan rontgen examination product, have not ditemukan perselubungan on the lungs pasien.

From product test rappid, pasien blood stated terjangkit negative bird flu virus. " namun blood sample should dikirimkan to depkes in Jakarta to know product more akurat, " said purniti dr.

Dokter tim also won bahwa informasi frequent pasien play in the dead chicken location sudden, to finally fell pain. " the karena, our continued did observasi, " imbuh purniti dr.

http://www.okezone.com/index.php?option=com_content&task=view&id=43535&Itemid=67

[Commonground]

Re: INDONESIA - Human cases - August 22, 2007+

from country Penarungan, Mengwi, Badung, Bali.

Thanks Dutchie.
This is the same place that Wayan Tendi Cahyadi (3) and Ni Nyoman Nisa Putri (3) were from. Both tested negative and are home.
From: Tengah Village, Sambangan Village, Mengwi, Badung.

Also, btw, GNAP (2) Adm: 7/27 is from Petang, Badung. I have no diagnosis or further info.

[Gert van der Hoek]

Re: INDONESIA - Human cases - August 22, 2007+

Confirmation from Kompas regarding the 4 yo child from Bali, suspected BF patient, initials NTK, admitted in isolation space august 29.

http://www.kompas.com/ver1/Nusantara/0708/30/174519.htm

Suspect Bird Flu Patient Returns in Isolation Space Sanglah

denpasar, compass ? after a few days have the time empty from
suspect pasien flu bird, since rabu (29 / 8) o ' clock night 22.00
wita a child's four years, NTK, banjar warga gumirang,
panarungan, mengwi, badung kabupaten attended in isolasi space
Bird Flu beauty nusa rsup sanglah. bahkan to this afternoon
Temperature badannya become warmer.

according to ribeg made, old people's pasien, four days and the child
play place tetangganya that ayamnya bersamaan die
Sudden. Further badannya hot fever, cough and pilek.
finally put out to rsup sanglah and stated suspect flu
Bird.

rapid meski test expressed negative and have not ditemukan inflamed
paru, penanganan tim flu bird rsup sanglah fixed did
Treatment-intensive. apart from the sent blood sample to
Departemen laboratorium kesehatan in jakarta.

masuknya ntk intervened around seven hours after bali gubernur
Dub see the question of antisipasi pers flu bird in bali. ntk
is pasien to sebelas and three in antaranya death
In two town time since 12 last agustus.