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Pilot Project of Avian Influenza Control and Pandemic Influenza Preparedness in Tangerang

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  • Pilot Project of Avian Influenza Control and Pandemic Influenza Preparedness in Tangerang

    Singapore To Make Tangerang Bird Flu Control Pilot Project

    TANGERANG (Banten), Aug 22 (Bernama) -- The Singapore government intends to make Tangerang city, just outside Jakarta's western outskirts, a pilot project for bird flu control, a local husbandry official said.

    "If the bird flu control project in Tangerang is successful, it will serve as a yardstick for other areas in Indonesia to control the spread of the H5NI virus," Charun Sopandi, head of the husbandry division at Tangerang's municipal agriculture and husbandry office, said here Tuesday.

    The city was chosen as the location of the pilot project due to its seriousness in handling the spread of the H5NI virus and the relatively high number of bird flu cases that had happened there, Indonesia's Antara news agency quoted him as saying.

    To carry out the project, the Singapore government had drawn up a bird flu control system under which two volunteers would be stationed at each village to get first-hand information on suspected bird flu sufferers, he said.

    The volunteers would later inform the city administration and the central government of suspected bird flu sufferers for quick treatment, he said.

    He said the neighboring country had also provided the city administration with 208 motorcycles, 13 disinfectant sprayers and two computers equipped with special programs to record bird flu cases, he said.

    The sprayers would be distributed among 13 sub districts in the municipality while each village would receive two motorcycles, he said.

  • #2
    Re: Singapore To Make Tangerang Bird Flu Control Pilot Project

    Interesting details, including a serosurveillance study.



    The Secretariat of the Pilot Project of Avian Influenza Control and Pandemic Influenza Preparedness in Tangerang, Banten Province held a coordination meeting on 10 July 2008 was sponsored by Regional Emerging Disease Intervention (REDI) Center, to explore ways of improving of Pilot Project activities after one year of implementation. The meeting was attended by 47 participants.

    The meeting opened with welcoming remarks from the Director of VB & DC, Dr. Erna Tresnaningsih, MOH, PhD, SpOk, who emphasized the importance of a coordination meeting since the heavier challenge in the next 2009 where AI surveillance and other activities have to be intensified. The agenda divided in two session.

    The first session opened by presentation of the implementation of National Strategy of Avian Influenza Control in Human in Tangerang, Banten Province from Director of VB & DC and followed up by presentation from Head, Health Services and Head, Agriculture Services in Tangerang District with the issues of an updating on recent situation of AI in human and animal. And the last presentation from Head, Pilot Project Secretariat who presented a brief summary of activities in Tangerang, overview of funding, updating data from NGO Project in Tangerang, and proposed activities in 2009.

    The action items and recommendations that evolved from these panel presentation and participant were as follows :

    a. Constrain for Pilot Project in 2008 : Operational fund for 2008 fiscal year from Indonesia Government is not yet allocattion but in the processing in MoH Headquarter and also Operational fund from MoA of Indonesia in 2008 for Pilot Project also is not allocated yet. The allocated of National Budget from MoA planned to covere all provinces in Indonesia including Banten Province. This budget allocation for vaccine, handsprayer, but it seems that the amount for this may not be covered all provinces in Indonesia.

    b. From February – June 2008, there was no outbreak in chicken, but active surveillance, there were still found died chickens and by field rapid test were found positive H5 viruses. On January 13, 2008, at Pakuhaji-Tangerang Municipality, result from PCR Test positive in duck, and found 4 died out of 20 chickens, also found H5N1 positive in mud, river water. The same situation also reported in Tangerang District, the number of sick chicken caused by suspected AI had been reported sporadically.

    c. To prevent the outbreak in poultry, Animal Health Services in Tangerang Municipality as been implemented an active surveillance among animal health task force, and in Tangerang District, an active surveillance had been implemented by PDSR. When PDSR found positive of H5 by rapid test, then all chicken surrounded the positive one were depopulated.

    d. There are 10 National Strategy plan from MoA to control AI in animal, among of them are :
    - Re-structuring poultry in sector 4
    - Poultry transportation
    - Increasing an integrated surveillance
    - Vaccination
    The four of the strategy has been implemented in all provinces in Indonesia.

    e. From 2005-July 2008, of 27 AI cases with 24 died were reported in Banten Province, In Tangerang Municipality and District there were 26 AI human cases with 23 died.

    f. Of 90% AI cases never relies that they had a contacted with sick or death chicken or bird, and almost all of the patient been late to get a treatment in Hospital.

    g. In 2008, Pilot Project plan to improve Tangerang District Hospital nurses and doctors by ICU training which will be conducted on October 6, 2008-January 6, 2009 at RSCM Hospital.

    Second Session opened by presentation of Progress report of Baseline Data Survey in Tangerang Municipality followed by sero-prevalence survey plan presentation which will be held in Tangerang Municipality by NHIR & D, and also presentation for market restructuring included :

    a. Baseline Data Survey will be implemented on July 14, 2008 in Tangerang Municipality. A number of respondent are 7200 house hold. They will be interviewed by 36 enumerators. In order to get a coordinate geographical point by using GPS, 48 field technical will work for data collection. For KAP studies, the area will be divided into 9 area based on cases in human and animal.

    b. For sero-prevalence study will be done by NHIR&D after baseline data study have been conducted.

    c. Sero-prevalence will be covering a worker for abattoir and wet market and also a family member that contacted with AI patient.

    d. The plan for respondent is 600 people. But if AI in human positive is found among respondent, then the data collection should indentify that person and report to Health Services so the case will treated and followed by investigation.

    (Looking at the context it seems they plan a serosurveillance study among 600 people: chickenbutchers and family members of AI patients; ed)

    e. WHO have a plan for market re-structuring. But only for capacity building and by technical supportf.

    f. Komnas FB has developed guidelines of Healthy Market, and will distribute to all parties, but they still need a legal aspect for this guidelines.
    Terakhir Diperbaharui ( Saturday, 19 July 2008 )
    “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 ~~~ ~~~


    • #3
      Re: Singapore To Make Tangerang Bird Flu Control Pilot Project



      Kandun I Nyoman1, Erna Tresnaningsih2, Wilfried H Purba3 , Roenizar Roesin4. and Gindo Simanjuntak5

      1). Director General, DC&EH, MOH. 2). Director, VBDC, DG of DC&EH, MOH. 3). Head, Sub Directorate of Zoonoses, Dte of VBDC, DG of DC&EH, MOH. 4). APW, DG of DC&EH, MOH, and

      5). Secretariat Head, Pilot Project of AI Control and Influenza Pandemic Preparedness, MOH


      The first case of bird flu or Avian influenza (AI) among poultry in Indonesia was reported in November 2003 while in human was confirmed in July 2005. About two millions of chickens in Indonesia were confirmed positive of influenza A(H5N1) viruses by laboratory examination and another 21 millions were eliminated in order to cut AI transmission.

      It was reported also that 31 out of 33 provinces in Indonesia were infected by AI in the poultry, and human AI were found in 12 out of these 31 poultry infected provinces. It was recorded that 95 death out 117 human cases of AI were caused by A(H5N1) viruses.

      After West Java and Jakarta provinces, then Banten province is known as the third highest cases and death caused by AI with 20 cases and 17 deaths. Tangerang municipality and Tangerang district in Banten province from 2007 to 2010 were selected where the Pilot Project of AI control and Pandemic Influenza Preparedness is being conducted.

      During the first year the project was implemented in Tangerang municipality and followed in Tangerang district in the second year. But when the project is conducted in the first six month the plan was changed and to conduct the project simultaneously in Tangerang district also since the case and death of human AI in Tangerang district increased and become worsen.

      In Tangerang municipality, there were five human confirmed AI cases with four deaths.

      Two of the cases were males and another three were females. One male was contacted with duck but become recovered, and another one male, car engine mechanic was suspected got infection a week before during his trip to Pandeglang, infected area of AI in poultry, about 200 KM from Tangerang municipality.

      One female was infected of AI from the chickens manure that used as fertilizer for her flower plant nursery.

      Until now on, it was reported that Tangerang district become the highest number of human AI among all infected districts and municipalities, with 14 cases, and 13 deaths.

      Nine out of 14 human AI cases were females and all of them died, while another 5 positives were males with 4 deaths.

      By age group, were found that seven cases belong to 6-20 years age groups and five cases belong to 21-50 years age group, and found that all of these cases were died. And the remaining belong to 0-5 years age group with two cases and one death.

      Regarding an observation and interview, it was known that 12 out 14 persons of positive AI not own any chicken, and they were never thought that they were ever contacted with death or even live chicken during the last two weeks before they got sick, but they were sure that about 10 to 14 days before they got sick, they knew that there were hundreds of death chickens surrounding with 50 to 200 meters distances from their houses.

      From eight out of 14 persons that found positive bird flu were known that they knew later on that during 10 to 14 days before they got sick the specimens were taken from the chickens during outbreaks and were found positive of bird flu.

      Mean while, from surrounding areas of 12 out 14 person’s residences that confirmed positive of bird flu where collected specimens were taken from chickens always failed to find the positive of virus A(H5N1) since specimens collection was not in right and proper time, place and target.

      Bird flu outbreak events among back yard farms poultry or sector-4 poultry farms were found surrounding of all 12 out 14 AI positive persons, and all chickens there is never been vaccinated against bird flu.

      There were four out of 12 bird flu positive persons where sector-2 poultry farms were found and all chickens in this sector-2 farms were vaccinated against AI regularly. Human infection risk of bird flu is higher from the poultry in sector-4

      Key words: bird flu, infection risk, backyard poultry farm…............................………………………
      Paper is presented in X International Symposium on Respiratory Viral Infection,

      Singapore February 28 – March 2, 2008

      - snip -


      There were 14 cumulative confirmed AI human cases that recorded in Tangerang district since the first AI human case occurred in July 2005 until December 2007. All these cases were studied respectively. These confirmed human cases in Tangerang district were increased very significantly during the last six month of 2007 compared to Tangerang municipality. Until December 2007, the 14 confirmed AI human cases in Tangerang district, were almost three times higher compared to five cases in Tangerang municipality, while 13 AI human deaths in Tangerang district were found more than three times higher than in Tangerang municipality (four cases in Tangerang municipality). Four out of five death cases with 80% CFR was found in Tangerang municipality (Table-3).

      About 13 out of 14 AI death cases with 92.9% CFR was found in Tangerang district. Special cases were found in Serpong Sub-district, Tangerang district where six out of 14 cases were found there and all cases were deaths. There were eight out 36 Sub-districts in Tangerang district where AI human cases were found, and Serpong with six cases had the highest number of human AI and all deaths (Table-4).

      There were seven confirmed AI human cases belong to 6 - 20 years old of age group , with six deaths (CFR = 85.71%) in Tangerang district. This is the highest number of AI human case and death and followed by age group of 21 – 50 years old with five cases and deaths (CFR = 100%) and the last was among 0 – 5 years old of age group with two cases and one death. (Table-5).

      About 9(64.3%) out of 14 AI human cases in Tangerang district were female and another 5(35.7%) were male. Nine out of 14 AI human cases in Tangerang district were female and all deaths (CFR = 100.0%), while another five cases were male with four deaths (CFR = 80%). These cases and deaths were predominantly by female sex group (Table-6) Environment observation were performed surrounding all of 14 AI human cases housing sites, and interviews were done to all AI cases during they were treated in the hospitals included recovered AI infected person. It was then determined that not a single person out of 14 AI human cases that owned any poultry and also not any one of them have directly contacted with sick or death poultry before they were suffered from AI disease. Twelve out of 14 AI human cases for sure they knew that 1 – 2 weeks before they got sick, there were chickens deaths surrounding their houses belong to their neighbors. The distance of these sick or death poultry is roughly about 200 meters from their housing sites.

      The other two persons had never recognized sick or death chickens belong to their neighbor, but one of these two persons had traveled a week before he became sick to Pandegelang town, about 100 KM distance. This town is known as a heavy infected area of AI among poultry, while the other person, a housewife, collected goat and chicken’s manure for fertilizing her flower plant nursery business. Eight out of 12 AI human cases had ever heard that some specimens were collected seven to 10 days before the sick or death chickens and they knew many of these specimens were examined by veterinary laboratories and found positive of bird flu disease. They also informed that hundreds of chickens were killed during
      AI outbreaks.

      All of these 14 AI human cases during they were suffered from AI infection, never heard about chickens sick or death surrounding their houses which belong to their neighbors (Table-7).


      About 30% of chickens meat demanded by Jakarta’s 8.5 million population are supplied by Tangerang district and this district is only 25 KM distance from Jakarta. Tangerang municipality population is about 1.6 million, with 320.000 households while Tangerang district popu;ation is about 2.6 million with 520.000 households. Tangerang district population and government incomes mainly from agriculture (rice and poultry), fisheries, and light industrial sectors. Scattered industrial estates can be seen in this district with goods produced for domestic and export market purposes. At least about six sector-1 and 22 sector-2 of big poultry farms can be found in this district with 100.000 up to more than 200.000 chickens capacities in each poultry farm unit.

      More than 60% of the village population in Tangerang district own sector-3 and sector-4 backyard poultry farms with average about 20 chickens belong to each household. They breed these chickens for themselves to consume but some they also sell. Chicken’s collector in regular time used to visit by door to door the back yard farm owner and pooled these chickens before the collector brought it by motor cycle or small size truck to traditional live bird market. In traditional live bird market these chickens can be sold alive or taken away by the buyer after it was slaughtered but without cleaning the chickens. Some of these chickens were slaughtered in the live bird market or to the chicken slaughter house belong to the market management and after slaughtering, then sold it at or meat stands after cleaning them. Chicken’s intestine is sold separately. These chicken’s meat is bought by restaurant agencies or housewives, for them to cook and to be prepared for consumption.

      If we can consider transmission of AI in the Tangerang setting there are multiple points of possible exposure to infected poultry. The “farm to table” links in the chain include: (1): Chicken’ farmà (2): Collector à (3):Transportation à (4): Market à (5): Slaughter house à (6): Meat stands à(7): Food handler à (8): Consumer / cooked chicken meat food. We do know that well coocked poultry is safe, but the seven preceding links in chain have potential risk for AI transmission.

      Seven out of eight segmented chain units are used to be the points of the risk factors where AI transmitted among chickens or may infect somebody. It was indicated in this study that 11 out of 12 infected AI human cases were quiet related to these sector-3 or sector-4 back yard farms or its surrounding farm environment. Only one person, a lady who was infected from the chickens. She had very close contact with the slaughtered unclean chickens which was bought from the live bird market. This lady was infected during she was cleaning the slaughtered chicken in the kitchen and washed it before cooking. Strongly suspected that she was infected since she washed her hands without soap.

      The families of the two school ages cases reported that their may have been exposed to infected poultry when passing by nearby illegal poultry slaughter house on their way to school. They reported that they knew that the slaughter house was processing sick chickens about one week before the children developed flu symptoms.

      All chickens in the sector-3 and sector-4 poultry farm had never been vaccinated against bird flu. The vaccination was conducted very rarely by the veterinary services after an outbreak of bird flu occurred. By diagnostic laboratory examination it was found that all 14 AI confirmed human cases were infected by A(H5N1) viruses. Not a single patient been found that infected by mutated A(H5N1) virus. This indicated that no evidence of human to human influenza transmission of related AI A(H5N1) virus.

      Chicken “collectors” who visit many house hold and the markets on daily basis are likely contribute to dissemination of AI in poultry. AI outbreak in chickens have been reported in 30 of 36 sub-districts, indicating that the risk of transmission to humans in Tangerang district is substantial. It is highly incriminated that these collectors together with their vehicles play the role as spreading agent of some infectious diseases among the poultry including bird flu.

      This have to be considered since there is no active movement of domesticated poultry inter villages except by chicken collectors. For this reason, it has to incriminate that collectors visiting especially with their collected chickens become the risk of AI infection among the poultry and from the poultry to the visited village community. Until now there were 12 out of 36 Sub-districts that AI human cases been found in Tangerang district, but in fact about 30 Sub-district in Tangerang district, where , AI were reported among chickens.

      Some ducks were also sold in the live bird market. As we know duck is resistant to bird flu9. Some nasal and pharyngeal swab specimens that collected from ducks during AI field investigation among the human index cases, were found positive of A (H5N1) viruses. Ducks may be important as a reservoir of infection for chickens. The specimens were collected from almost all healthy ducks having no symptom of any disease10,11. Some study said that ducks play a role as a carrier of bird flu disease. Ducks are sold along side of chickens in the live bird markets in Tangerang district and Tangerang municipality.

      Ducks are known to be more resisitant to bird flu and may have sub-clinical infection. used to be sold not for their meat to be consumed, but most farmers breed duck in order to collect the eggs to sale freshly cooked or as a “salty eggs”. But we are going to pay more attention since duck can be bought freely and brought to the new owner in new villages. This have to be considered that duck must be vaccinated against bird flu before being sold in the live bird market in order to cut the AI transmission from duck to susceptible animal like chickens, especially to cut AI transmission from duck to human .


      The first human case of AI in Indonesia was found in Tangerang district in July 2005 and until December 2007 of 14 cases were reported with 13 human deaths in eight out of 36 Sub-district in Tangerang district..

      1. The pilot project of Avian Influenza Control and Influenza Pandemic Preparedness was initiated by governmental leaders of United States of America, Republic of Indonesia and Prime Minister of Singapore during APEC meeting in Busan, South Korea in November 12, 2005.

      2. The pilot project was developed and implemented in July 2007 in Tangerang municipality and in January 2008 was extended to Tangerang district since AI situation in Tangerang district became worse and worse.

      3. Tangerang district supplied about 30% of chicken meat demanded by 8.5 million of Jakarta population and about 30 out of 36 Sub-district were infected by AI among chickens in this district.

      4. There were seven chain segments as risk factors of infection among chickens and from chickens to human: farm, collection site, transportation, market, slaughter house, meat stands, and food handlers.
      All poultry farm sectors have to be restructured in order to cut AI transmission in the farm among chickens and from chickens to humans.

      5. Live bird markets and modern markets must be restructured in order to avoid AI transmission among the poultry and from the poultry to humans, and also must be supervised by government public health veterinarian.
      All ducks since they may become AI carrier have to be vaccinated against AI especially before being sold in the market.

      6. More intensive surveillance and control of H5NI in poultry in Tangerang are needed, as more human cases can be expected as long as H5N1 remains entrenched in poultry.

      Terakhir Diperbaharui ( Monday, 28 July 2008 )

      More (in English):
      “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 ~~~ ~~~


      • #4
        Re: Pilot Project of Avian Influenza Control and Pandemic Influenza Preparedness in Tangerang

        From Tangerang, a drill.

        `Terjangkit`= contaminated

        Dozens of chickens In Cisauk died Suddenly

        CISAUK- Dozens Of chickens died suddenly in the Cisauk Subdistrict. Expected by this chicken terjangkit the bird flu virus, on Tuesday (9/12). Dozens of chickens died suddenly this the first time being found by Sri (40) villagers Cibogo.

        Further, he at once informed the other resident through kentongan. Alhasil the resident in this village was sensational and immediately informed to village apparatus and the local subdistrict. I was startled, there was the chicken in died. And I gak knew the chicken belonging to who, said Sri.

        Received information of many chickens died suddenly, the official from the Pertanian Service and Livestock Breeding as well as the Kesehatan Service at once visited the location and carried out the inspection by using the implement test bird flu.

        And results of these chickens were positive terjangkit bird flu. Further, the resident at once carried out the burial and the burning against these carcasses by using complete equipment like the mask.

        And ended the burial and the burning of the resident returned to the tent. His article, dozens of chickens died suddenly this only simulations in the race agenda tangap bird flu that was held by the Kesehatan Service and the Pertanian Service and Livestock Breeding of Kabupaten Tangerang in the Cisauk Subdistrict.

        The head of the Cisauk Community Health Centre, Dr. Lely Aryuni said the preceptive race this bird flu was carried out for three villages in Cisauk. This village was the Cisauk Village, Desa Cibogo, and the Sampora Village.

        Moreover one of the three villages had happened the case of many chickens that died suddenly.

        The Cibogo village had experienced many chickens that died suddenly but results of the negative for bird flu, he said while hoping this race could give the awareness would the bird flu danger. (
        “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 ~~~ ~~~


        • #5
          Re: Pilot Project of Avian Influenza Control and Pandemic Influenza Preparedness in Tangerang

          Press release Dep of Health

          Ducks And Traditional Markets affect the distribution of Bird Flu in Tangerang

          10 Dec 2008

          There are several variables that affect (relations have significantly) against the spread of the disease of bird flu (Avian Influenza / AI) in Tangerang, Banten Province.

          Variables are:

          1. Ducks suspected have significant relationship with AI cases in chickens and humans;

          2. Traditional markets / tarnish the market has strong relationship with the distribution of cases of Avian Flu in humans around the market.

          3. The network of roads and markets have significant relationship with the spread of bird flu in humans.

          Therefore, the results of survey data in the area of Baseline Pilot Project for Avian and Pandemic Influenza Preparedness in the city of Tangerang, which was delivered Assoc. Dr. M. Sudomo, Team Leader of Baseline Survey Data on the day Seminar on Imperial Hotel Aryaduta, Tangerang 10 December 2008.

          While the density and density in the chicken Wanganui City does not have a significant relationship to the AI cases in humans. , In addition, the survey results show the coordinates of points that can be used in disease control bird flu preparedness and Pandemic Influenza, said Prof.. Sudomo.

          According to Prof.. Sudomo, a baseline survey data conducted for 12 months (January-December 2008), which includes 18 criteria, two with 6 villages have human cases and 6, two cases in animals have 6 Villages have no cases in humans and animals.

          The survey was conducted through three main activities, namely: collecting secondary data, collecting primary data about the level of knowledge, attitudes and behaviors of the population and gather data on primary points, the coordinates of health facilities, facilities for livestock and cases of bird flu in humans and animals.

          Meanwhile, the number of respondents who were interviewed in the survey baseline data include 7,200 families (families) and are eligible for analysis of 7,126 families, clearly Sudomo.

          The general objective of the survey is to provide an understanding of the Stakeholder (Stakeholders) on knowledge, attitudes and practices about the behavior of the bird flu and also the location of health facilities and livestock-related efforts to control Bird Flu in Tangerang Banten.

          For the purpose of the survey are: (1) presents the results of the survey datadasar knowledge, attitudes and behaviors about bird flu in Tangerang Banten Province, and (2) provides an overview of the geographic location of health facilities and animal husbandry in Tangerang Banten.

          Known as the Bird Flu is a disease caused by influenza virus with two subtipe main glikol surface protein called haemoglutinin H1 to H16, and Neuraminidase N1 to N9. All this subtipe contagious among animals, but many subtipe that can be transmitted from animals to humans, especially H5N1, said Prof.. Sudomo.

          The results of this survey, baseline data diseminarkan through a one-day seminar for all stakeholders (stakeholders) in Tangerang and Banten Province media. The aim is to increase vigilance for all stakeholders to work more closely in the prevention of bird flu in the province in general and especially in the Tangerang City, said Prof.. Sudomo.

          In Indonesia, the influenza virus type A H5N1 in poultry subtipe reported for the first month of October 2003 in West Java. Since then, cases of bird flu in poultry increased and spread to the province and lead to death more than 12 million poultry. As of December 2007, as many as 21 million chickens in 31 provinces from 33 provinces, which have been destroyed there to cut off transmission (chain) transmission of bird flu in poultry and humans in Indonesia.

          While human cases occur the first time since June 2005, which overrides the IS (L, 37 th) and their children. Until the current bird flu in humans has spread in 12 provinces. Based on the investigation confirmed cases (positive) observations and contacts of cases confirmed by the Ministry of Health, up to now bird flu is transmitted from poultry to humans.

          Animal Husbandry Department Banten Province to report, since August 2006 until May 2008, the total number of positive bird flu cases in livestock 518.

          Of this total, 98 cases came from Tangerang City and 70 other cases from the Tangerang District.

          The number of confirmed cases of AI in humans in Banten province since June 2005 until 16 October 2008 reportedly as many as 28 with 25 deaths (CFR = 89.3&#37 in the Tangerang City reported 9 cases with the death of 8 people (CFR = 88.9%) ,

          At the Tangerang District 17 reported cases of AI with 15 deaths (CFR = 88.21%).

          The number of cases reported to AI that in Banten Province comes from Serang, namely 1 and the case died.

          “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 ~~~ ~~~


          • #6
            Re: Pilot Project of Avian Influenza Control and Pandemic Influenza Preparedness in Tangerang

            Three found Triggers Bird Flu Virus Transmission
            By Republika Contributor
            Wednesday, 10 December 2008

            JAKARTA - The Indonesian Ministry of Health through a survey to find the trigger three transmission of the bird flu virus, bird species of duck, namely, traditional markets and transport networks ayam.Hasil poultry shipments Baselin survey data as the pilot project undertaken with the Ministry of Health, Ministry of Agriculture and the USAID published Wednesday in Tangerang, Banten.

            Head of the team Baselin survey data, Prof.Sudomo said, the survey was conducted for 12 months in 18 villages in the Tangerang City, Province Banten.Survei conducted from January to December of 2008 to the 18 villages that have high population density and the village has many animals , "Said Prof.Sudomo.

            Animals such as water birds and ducks became chickens penular source of the bird flu virus because of its proximity with livestock in some areas or particular village. "From the findings it is known that the duck is very vulnerable transmit the H5N1 virus," said Sudomo.

            In Indonesia, he said, influenza virus type A Subtipe H5N1 in poultry, first reported from West Java in October 2003 and continue to spread until the year 2007. "Up to December 2007 reached as many as 21 million poultry in 33 provinces died of bird flu to be found The first victim died, namely, the family here from Tangerang, "said Sudomo explains.

            He mentions many cases the spread of bird flu that during this and encourage governments and the WHO to create a pilot research project in Tangerang Banten province. "The number of cases of AI in Banten is 28 with 25 victims died, including 15 people in District / city of Tangerang, and eight people from Serang,



            • #7
              Re: Pilot Project of Avian Influenza Control and Pandemic Influenza Preparedness in Tangerang

              More on the drill

              9 December

              Health Office in cooperation with the Agriculture and Animal Husbandry Tangerang District Banten Province, to run the race simulation and response of bird flu in 10 Sub-district in the Tangerang Regency.

              Ten district includes the Subdistrict Market Thursday, Subdistrict Cisauk subdistrict Ross, Subdistrict Ceres, Sepatan Sub-district, sub district Pamulang, and Subdistrict Mauk.

              Simulation and the race begins today, Tuesday (9/12/2008) and conducted in the district of Cisauk. In the simulation, and the race involving residents from three villages namely Cisauk Village, Village Cibogo and Sampora Village.

              Head of Puskesmas Cisauk, Dr. Lely said the race Aryuni bird flu response is deliberately done to increase public awareness to the dangers of bird flu. "Sometimes people will not realize the danger of bird flu," he said.

              Even one of the village Village Cibogo had experienced animal cases of sudden death. "Village Cibogo had experienced many chickens that died suddenly, but the results negative for bird flu," he said while hoping this race can give awareness about the danger of bird flu.

              Tangerang district of Banten province as a region recorded the spread of the virus the fastest. Bird Flu confirmed cases of special Tangerang District recorded as many as 17 cases and 15 deaths (CFR = 88.2%). Case in Tangerang District is a case of the highest among all districts / cities in Indonesia.

              Tangerang District to become pilots of the Bird Flu. This is a pilot project to prevent and control bird flu and pandemic influenza preparedness, which was conducted in the district of Tangerang.