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  • Re: Indonesian Human Cases Nov 3+

    Wife of dead bird flu victim declared suspected sufferer



    <!-- google_ad_section_start -->Pekanbaru, Riau (ANTARA News) - The wife of a man who died of bird flu here last Tuesday, has been admitted to a Medan (North Sumatra) hospital as a suspected bird flu sufferer.

    The woman, identified as M (30), was hospitalized after she had taken her husband, the late Muhammad Nabih (31), from Pekanbaru to Tebing Tinggi for burial, Burhanuddin Agung of the Riau provincial health office said here on Monday.

    The couple were residents of Simpang Groga hamlet, Balai Makam village, Mandau Duri sub district, Riau province. Muhammad Nabih died last Tuesday at Arifin Achmad hospital in Pekanbaru of bird flu virus infection.

    The government confirmed on Saturday (Nov. 10, 2007) that Nabih who died last week was infected with the bird flu virus, raising Indonesia`s bird flu death toll to 91.

    The number of deaths by the H5N1 virus has been steadily rising in archipelagic Indonesia where the virus is now endemic in 31 of its 33 provinces.

    Muhammad Nabih in Pekanbaru was the second fatality recorded this month.

    "Both tests (on Muhammad Nabih) are positive," Daswir Nurdin from the Health Ministry`s bird flu information center told AFP last week.

    Two tests for the H5N1 virus must be returned positive before someone is confirmed as dying of avian flu here.

    Nurdin said that the latest victim died Tuesday in Pekanbaru shortly after arriving at its main hospital. He had fallen sick on October 31 and been admitted to a local hospital three days later.

    "The number of cases (of bird flu in Indonesia) is 113, of which 91 have been fatal," he said.

    Besides Indonesia, bird flu deaths have been recorded in Azerbaijan, Cambodia, China, Egypt, Iraq, Laos, Nigeria, Thailand, Turkey and Vietnam.

    Authorities in Indonesia, which reported its first human case in 2005, were initially criticised for being slow to act to curb the virus` spread, AFP said. (*)

    Comment


    • Re: Indonesian Human Cases Nov 3+

      50 percent patient flu bird at riau isn't ever contact with bird

      13 nov 2007 08:51 wib


      pekanbaru (riauinfo) - as many as 50 percent from patient flu bird in riau it appears no ever contact direct with bird which dead. pass, from where they obtain virus the. apparently they obtain virus which kill those because intermediary factor environment.

      head sub official health and gizi official health riau drg h burhanuddin agung to journalist in pekanbaru said factor environment also tackle affect big concerning spread virus flu bird in riau. "because half from case flu bird at area this come from from factor environment," clear.

      while a half again absolutely originally from contact direct with bird that already only. "from fact this then already fitting all side descend hand in order to to anticipate increasingly spread spread virus flu bird afore mentioned," reveal buhanuddin further.

      he explain, for defeat spread virus flu bird this party already form team reaction fast. team this shall co-ordinate with government at regency/city in defeat flu bird afore mentioned. expect with presence team this, case flu bird this be able put pressure on minimal level.

      he name, spread virus flu bird absolutely very difficult. because that all party have to descend hand in to anticipate spread out.(ad)



      credits Andy
      ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
      Richard Horton, Editor-in-Chief The Lancet

      ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

      Comment


      • Re: Indonesian Human Cases Nov 3+

        Snip from a long article:

        For the case of regional bird flu, he sent each area indeed had the difference of the characteristics.

        To in Riau, the case to humankind that was accompanied with diarrhoea also as the distinguishing feature from other areas in Indonesia.

        Each area had the sign distinction that was experienced by the patient contaminate by the bird flu virus.


        The important investigation action was carried out to find out the development of this deadly virus, he said.




        credits K from Mi
        ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
        Richard Horton, Editor-in-Chief The Lancet

        ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

        Comment


        • Re: Indonesian Human Cases Nov 3+

          hat-tip to Commonground . . .

          Two Suspects Awaiting Result Examination Lab Health (Labkes)
          Wednesday 14/11/2007

          Medan - Dinas Health Northern Sumatra to wait result examination swap otherwise dab liquid throat and nose, NA 23 [reported above as M age 30] and nephew Nw 10 months [reported above as NN], that suspected experience symptoms or suspect flu burung.

          "We delivered towards laboratory Health Labkes Depkes RI yesterday (12/11), so that result could be quickly known," express Chief Subdin Pencegahan Disease and Sanatation Lingkungan (P2PL) Dinal Health Sumut dr Surya Dharma, yesterday. Na suspected suspect flu burung because her husband Muhammad Nabih died result flu burung in Duri, Pekanbaru, Sunday (7/11) (fixed typo - it said 7/10).

          Four days afterwards female that experience symptom similar flu burung. She feverish high and crowded breath. Dinkes still careful what now infected from her husband that was stated positive.

          "If it turned out that proven could therefore to appear cases infection between humans, so we still to guard this," sharpness. Result report Dinkes Riau MN experience symptom infection virus H5N1 on Wednesday (31/10). He have a chance to be looked after in RS Permatahati Duri on Saturday 3/11. Because condition worsen he referred to RS Arifin Achmad on Tuesday (6/11).

          However, soul not saved. "Until time this certain before discovered case infected flu burung human to human in Indonesia, but we directly guard against because her husband was stated positive," sharpness.

          For the moment, the Humas RSUP Haji Adam Malik Medan Sinar Ginting say condition well and Nw begin improved already two day to be looked after in room isolation flu burung. Symptom clinical towards path resemble illness that maybe later seen.

          [Note: I would feel better if others translated this quote.
          " ?Sampai saat ini memang belum ditemukan kasus penularan flu burung antarmanusia di Indonesia,namun kami terus waspada karena suaminya dinyatakan positif,? ]

          http://www.seputar-indonesia.com/edisicetak/sumatera-utara/dua-suspect-tunggu-hasil-pemeriksaan-l.html
          http://novel-infectious-diseases.blogspot.com/

          Comment


          • Re: Indonesian Human Cases Nov 3+

            [Note: I would feel better if others translated this quote.
            " ?Sampai saat ini memang belum ditemukan kasus penularan flu burung antarmanusia di Indonesia,namun kami terus waspada karena suaminya dinyatakan positif,? ]
            My dictionary translation of this quote is interpreted as:

            "At this point in time, bird flu is not yet spreading human to human among [H5N1] cases throughout Indonesia, we continue to be on guard because her husband was found to be [tested] positive."
            http://novel-infectious-diseases.blogspot.com/

            Comment


            • Re: Indonesian Human Cases Nov 3+

              Update on the 2 suspected patients in Medan Hospital, they seem to do better. Testresults are not back yet from Jakarta. No other patients from the same family are admitted in hospital.


              Again,Sample Suspect AI Checked

              Kamis, 15/11/2007

              MEDAN (SINDO) – RSUP Haji Adam Malik again sent off swab samples or wipes of throat and nose liquid (for) two patients suspected of bird flu, (avian influenza/AI), NA, 23, and NW, 10 months, to Balitbangkes Depkes RI.

              Shipping both times this/these now/ carried out to procure laboratory examination. These now checked recently therefore we wait result of Balitbankes while carrying out treatment of the patients," stated Public Relations of RSUP Haji Adam Malik Medan, Sinar Ginting, at Medan, yesterday.

              For the moment the conditions well, NA (23) and NW 10 months, who are still to be treated in isolation space RSUP H Adam Malik begin improving. Said Sinar, particularly now there is more and more improved. Result of xray of thorax also does not show presence of a difference.

              However NW still is visibly weak. Baby remains not yet stable," said Sinar. Baby is 10 months old that still experiences crowded breating and fever that is not stable, temperature of the body changes from 37-38 degrees celcius.

              The medical team directly monitoring NW in an intensive manner. At this time we are not yet able to say the direction positive or negative with any assurance, (must) wait results from Balitbangkes," he said.

              For the moment the head of Subdin Handling Disease and Sanitation of the Environment(P2PL) Dinas Kesehatan (Dinkes) Sumut, dr Surya Dharma, stated until this time there is not yet any additional patients from the family at Desa Dolok Sagala, Kec Dolok Masihul, Kab Serdang Bedagai.”

              There is not yet a statement augmentation at this time still terkendali {bridled; controlled; guided; managed; restrained},"he said.


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              credits bgw in MT
              ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
              Richard Horton, Editor-in-Chief The Lancet

              ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

              Comment


              • Re: Indonesian Human Cases Nov 3+

                Central Kalimantan Bentuk of the Daerah Commission of Palangkaraya Bird Flu (the Media): for the control and the prevention of the bird flu pandemic, the Government of the Central Kalimantan Province (Central Kalimantan) formed the Daerah Commission of Bird Flu.
                The commission was formed was based on the Regulation Governor Nomor 1 in 2007.link is broken http://www.media-indonesia.com/subsc...07111508011809
                CSI:WORLD http://swineflumagazine.blogspot.com/

                treyfish2004@yahoo.com

                Comment


                • Re: Indonesian Human Cases Nov 3+

                  The case Suspect Bird Flu in North Sumatra was Still High

                  Medan (SIB) As Long As the period in January 2007 to mid November 2007 was found by as many as 50 cases suspect or experienced the sign similar to bird flu and one including being stated positive Avian Influenza (AI).

                  The Subdin Pencegahan head of the Illness and Lingkungan Sanitation (P2PL) the Service of Kesehatan North Sumatra, Dr Surya Dharma, in Medan, on Wednesday, said the case suspect bird flu was often found in the Deli Serdang regency with 25 cases.

                  In relation to increasingly the height was found by the case suspect bird flu Health Service of North Sumatra accepted as many as 1,300 units of bird flu of the protective uniform from the Department of the RI Health.

                  Eventually this uniform will be distributed by us to the regency/the city in North Sumatra respectively accepted 50 units that consisted of the mask, the cover of the head, glasses of the gown and protective shoes of the protective eyes.

                  He hoped with the availability of the protective uniform, then the handling of the case of bird flu could in the area be more maximal and could be carried out as early as possible.

                  Section Head Kesehatan of the City Medan Umar Zein said with the availability of the protective uniform of the bird flu, will facilitate his side carried out the control of the case of bird flu in Medan.

                  ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                  Richard Horton, Editor-in-Chief The Lancet

                  ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                  Comment


                  • Re: Indonesian Human Cases Nov 3+

                    Nov 16, 2007

                    Wife of Indonesian bird flu victim cleared

                    JAKARTA - A WOMAN on the Indonesian island of Sumatra who was suspected of being infected with bird flu after her husband died of H5N1 has been cleared, a health ministry official said on Friday.

                    'The tests all came back negative,' Suharda Ningrum from the ministry's bird flu information centre told AFP.

                    The woman had been admitted to hospital after showing signs of the highly pathogenic H5N1 virus but her condition had been improving.

                    Her husband was confirmed last weekend as being the 91st bird flu victim in Indonesia, which is the nation with the highest death toll from the virus.

                    Scientists fear that the virus may mutate into a form easily transmissible between humans, sparking a deadly global pandemic. Currently the usual method of transmission is from birds to humans. -- AFP

                    ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                    Richard Horton, Editor-in-Chief The Lancet

                    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                    Comment


                    • Re: Indonesian Human Cases Nov 3+

                      The Sample test of Bird Flu in Duri did not yet meet Result

                      Pekanbaru-RoL -- The sample Test of several poultries and the waste of the poultry that was in the radius 200 metre from the Muhhamad Nabih residence of bird flu casualties in Duri, Kabupaten Bengkalis, Riau by the Penelitian Penyakit Veteriner Hall (BPPV) Regional Ii Bukit Tinggi, up to now does not yet get results.

                      "We did not yet accept results" of the "sample test from BPPV," said Kasubdis Kesehatan of the Dinas Peternakan Animal (Disnak) the Riau Province, Rondang Nayati in Pekanbaru, on Friday.

                      He added, the big possibility of the delay was produced by the sample test caused by the number of poultry numbers and the waste of the poultry that was researched by BPPV.

                      Because of this, he memprediksikan results of the sample test from BPPV will be accepted by Disnak around next week.

                      Beforehand, the team from BPPV and Disnak Riau combed all the poultries that was in the radius 10 to 200 metre from the house of bird flu casualties that was located in Simpang Geroga Kelurahan Balai Makam, Kecamatan Mandau, Duri.

                      The team succeeded in taking several tails of the poultry among them the duck, and the swiftlet that were located around casualties's house.

                      In the meantime, Kasubdis Pelayanan Kesehatan and the Dinas Kesehatan Nutrient (Diskes) the Riau Province, Burhanudin Agung said, Diskes Riau up to now also still is waiting for confirmation from Disnak concerning results of the sample test that was carried out by BPPV.

                      This matter aimed at, because of Diskes Riau must ascertain the risk factor of the spread of the virus H5N1 to bird flu casualties namely Muhammad Nabih that currently dies.

                      "After we knew results" of the "negative or positive then we will receive the assurance" of the "risk factor" of the "cause" of the "spread" of the "bird flu virus to casualties," he said.

                      The deceased Muhammad Nabih (31), died last Tuesday (6/11) in RSUD Arifin Achmad Pekanbaru. He was fifth bird flu casualties in Riau after Ani (28) the Pekanbaru resident, Yatino (29) the resident of the Indragiri Hulu Regency, Gerhad Saragih (31) the resident Kampar and Linda (45) the Pekanbaru resident.

                      ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                      Richard Horton, Editor-in-Chief The Lancet

                      ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                      Comment


                      • Re: Indonesian Human Cases Nov 3+

                        Editorial

                        The alternative to the Prevention of Bird Flu

                        Monday, on November 19 2007 08:48

                        Oleh Dr H Ekmal Rusdy

                        Sputum that in his medical language was acknowledged as Sputum, especially that contained the illness, for instance Sputum from a sufferer Tuberculose (TB) could as the spread media to the other person. Secretion of poultry could be also compared with sputum.

                        For bird flu, weren't we always reminded to be careful consumed chicken and the chicken egg, that is cooking him before as that was recommended by the health side, but also was recommended to always wash the hands before eating? Be strange enough, not?

                        That accepted food was the digestion channel, but that was allotted his illness was the lungs, so as in bird flu was known by us the existence of the term failed the breath/pneumoni heavy that was pointed to the death.

                        His problem was certainly very different in the management of the prevention and penatalaksanaan the case of the bird flu personally.

                        At first if being stated had the case, needed vigilance in close contact against the breeder, handling and the positive poultry carrier H5NI by holding observation continually up until 20 days.

                        If being encountered had the sign to the side of suspect, immediately was reconciled to the reconciliation hospital.

                        This depicted to us, that this close contact more headed to responded to bird flu as water borne diseases. Not be classed as water borne diseases.

                        Therefore, the spread from the poultry to humankind not through ate birds, but rather to the side of the function kissed/was inhaled secret or bird droppingss that has tertular the bird flu virus.

                        Therefore, the prevention emphasis more to the side of not inhale him secretion or bird droppings that flew in air as droplet-nuclei, was proper for us responded to the illness that was classified as water borne diseases.

                        Until this the bird flu virus in Indonesia still the sub-type H5N1, and was based on the place of the amino acid in the area cleavage site Gen HA, was known that the bird flu virus in Indonesia was Highly Pathogenic AI (HPAI).

                        Genetically the bird flu virus isolat Indonesia was adjacent to the bird flu virus from China.

                        The virus H5NI could spread to the pig but also in a manner the artificial infection in mouse/small rodent, so as by Balitvet Deptan was not suggested for close livestock breeding between the pig and the poultry.

                        How with swallow bird that currently is stirred up could spread bird flu?
                        Better be opened by us the sheet Riau Pos, last February 2006, where Prof.Dr Charles Rangga Tabbu, Dekan FKH UGM in the Socialisation of Bird Flu of Regional Sumatra that was held in Bandung on February 3-6 2006 stated that the swiftlet really helped us in membrantas [membran = membrane. tas=bag] DBD, because of this swiftlet the insectivore, including mosquitoes aedes aegypti also was eaten by him.

                        Not the eater of the seeds as the poultry that often was known by us as domestic bird and the main source of the spread of bird flu.
                        Therefore need not be alarmed by us, let alone being debated.

                        The step If Pandemi

                        Thank heavens Alhamdulilah the spread of bird flu in Indonesia, including in Riau still was limited between the poultry and humankind, but with casualties who fell in close time, invited the WHO presence to Riau.

                        So now we become attention of the world, and currently we were the host for latest bird flu.

                        Was based on the period infeksius to humankind one day before up until 3-5 days after emerging the sign, whereas to the child could up until 21 days, meaning that when the spread between humankind, happening then pendemi will happen only in the calculation of the day, that reminded us of the I

                        Pandemic in 1918 as Spanish flu with type the HINI virus grumbled the life 40 million souls, the Pandemic Ii the year 1957-1958 that was known as Asian Flu with type the virus H2N2 claimed the life 4 million souls, and the III Pandemic the year 1968-1969 were known with Hong Kongese Flu with type the virus H3N3 grumbled the life 1 million souls.

                        Along with this if the IV Pandemic later, happening apparently must be taken by the step as follows

                        first, found the case and the isolation as early as possible to be treated and prevented by his spread.

                        Secondly, continued surveillance to humankind and the animal.

                        Thirdly, ascertained stock and the medicine logistics, the pharmacy thing and the medical instrument.

                        Fourthly, confirmed the health service went good.

                        Fifthly, carried out effective and efficient mass communication, meaning that that spoke that was expert him.

                        The six, confirmed the public's service stayed proceeding.

                        The seven, carry out preceptive the health emergency people the card and the eight ascertained the co-ordination and the command.

                        But must be remembered Riau at this time became attention of WHO.

                        Dr H Ekmal Rusdy, former Kadiskes Riau, the researcher Balitbang Provinsi Riau.

                        We woke reasonably late following the feast and free flowing wine the night before. After gathering ourselves and our packs, we headed down to our homestay family’s small dining room for breakfast. Refreshingly, what was expected of her was the same thing that was expected of Lara Stone: to take a beautiful picture. We were...


                        credits Commonground
                        ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                        Richard Horton, Editor-in-Chief The Lancet

                        ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                        Comment


                        • Re: General Indonesia News Sept. 10+

                          Results of the Sample of the Negative Swiftlet of H5N1
                          Jakarta (the Media): the Investigator's Hall and the Veteriner Testing (BPPV) stated results of the sample research of the swiftlet that was in the radius 10 through to 200 metre from casualties's house died positive MN bird flu, 31, in Simpang Garoga, the District of the Grave Hall, the Sword Subdistrict, the Thorn, Bengkalis, Riau, was negative the virus H5N1.

                          Comment


                          • Re: Indonesian Human Cases Nov 3+

                            From Sumatra

                            Dozens of Chickens in Padang Died Suddenly


                            Padang: Dozens Of chickens in Rawang Teak, Padang, West Sumatra was found died suddenly.

                            Along with that several residents in the village this since several last days experienced the hot fever.

                            To prevent the spread as well as anticipated the plague of chicken bird flu that died immediately was burnt.

                            ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                            Richard Horton, Editor-in-Chief The Lancet

                            ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                            Comment


                            • Re: Indonesian Human Cases Nov 3+

                              More from Padang, Sumatra

                              23/11/2007

                              6 residents Hot High Simultaneously 10 Chickens Died

                              Padang - Totalling 10 chickens in Street Jati Rumah Gadang, ???, the Rawang Teak district, Kecamatan Padang Timur, Kota Padang, West Sumatra (West Sumatra) was known died suddenly by Sumarni (45), his owner, on Friday (23/11/2007) struck 06,00 of WIB. Dia saw his chicken fell on the floor from his wood of the ceiling of the house kitchen.

                              His article, the chicken died this did not have the pen and Sumarni used some of his kitchens for the place stopped over the chicken tonight. This incident made Sumarni panic and the family panicked. As you know, this chicken was seen in the healthy situation in the afternoon yesterday. Afterwards Sumarni reported this phenomenon to the district.

                              Nuraini (38) the neighbour Sumarni said, along with the incident, his family's six members experienced the fever with the temperature of the body was very high. Himself has also brought his family to the hospital.

                              However, his family only underwent treated the road and the doctor did not yet take blood to be researched.


                              By seeing the chicken died suddenly, the resident was increasingly concerned if the fever resulting from bird flu. I hoped, the fast official took the action, added Nuraini.

                              While two officials of Livestock Breeding of Kota Padang of the Service arrived in the location and immediately did spraying in the Sumarni house and the Nuraini yard.

                              The official brought sample took the form of the waste of the chicken to be researched further. His article, the chicken that died has been buried by his owner.



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                              ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                              Richard Horton, Editor-in-Chief The Lancet

                              ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                              Comment


                              • Re: Indonesian Human Cases Nov 3+

                                From Riau; Entok is a duck species; samples from ducks near the house of the deceased Muhammed Nabi were positive for H5N1.


                                The sample of Entok and the Duck Positive Infected AI

                                on Tuesday, on November 27 2007

                                Pekanbaru -- Although the sample of the swiftlet around the MN residence the bird flu patient was from Duri that died just recently stated by the negative, but not very his matter with the sample that was taken from entok and duck.

                                Was proven from results of the research of the Penelitian Penyakit Verteriner Hall (BPPV) Regional Ii Bukittinggi revealed 4 tails spesium from entok and 2 tails spesium from the duck that was taken in the MN house environment was stated positive infected by the virus of Avian Influenza (AI).

                                This matter was revealed by Kasi Informasi BPPV Regional II Bukittinggi Miswati answered riautoday.com on Tuesday (27/11) in Prince's Hotel.

                                Was based on the research that for quite a long time results spesium of entok and the positive duck tertular the AI virus, he revealed.

                                - snip -

                                We woke reasonably late following the feast and free flowing wine the night before. After gathering ourselves and our packs, we headed down to our homestay family’s small dining room for breakfast. Refreshingly, what was expected of her was the same thing that was expected of Lara Stone: to take a beautiful picture. We were...
                                ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                                Richard Horton, Editor-in-Chief The Lancet

                                ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                                Comment

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