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Indonesian Human Cases Dec 4th 2007 to Jan 10, 2008
Laporan Gema Setara redakasi@riautoday.com
Pekanbaru -- KM (52) villagers Sialangbaru Kecamatan Lubukdalam Kabupaten Siak that suspect bird flu, was stated the bird flu negative was based on results of the sample of blood of Balibangkes RI of striking 10,00 WIB this morning, on Tuesday (18/12).
With these results Km immediately could come home to his native village.
Was like this was sent by Kasubdin Pelayanan Kesehatan and the Dinas Kesehatan Nutrient of the Province Riau Burhanuddin Agung answered riautoday.com.
"Results of the negative and the patient could immediately come home because his condition has also begun to improve", he said.
Nevertheless obviously Burhanuddin, although Km was stated by the bird flu negative but results rapidtest the Peternakan Service stated the poultry that was around his house was positive bird flu.
As suspect Km was treated in space of bird flu of RSUD Arifin Achmad Pekanbaru of the handling isolation after experiencing the sign of the high fever and nauseas like the sign of the bird flu illness.
Km had arrived in RSUD Arifin Achmad since striking 17,00 WIB on Friday (14/12) after being treated in the Sialangbaru Community Health Centre.
After undergoing the inspection and being taken the sample of his blood, struck the patient's 24,00 nights were moved to space of RSUD Arifin Achmad bird flu of the handling isolation.
According to Sudarto, his husband the story of the patient never contact with the poultry.
Justeru their child that once contact with the poultry.
Because beforehand several of their kept chickens died because of bird flu and their child that at once buried these chickens.
credits Christian
?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
Richard Horton, Editor-in-Chief The Lancet
JAKARTA (AFP) - Indonesian bird flu officials said Tuesday they were investigating several recent avian influenza deaths where the victims were believed to have not come into contact with infected poultry.
"In the last three to four months, we have had four cases where the poultry in the victim's neighbourhoods (tested) negative for the virus," said Bayu Krisnamurthi, head of Indonesia's National Avian Influenza Committee.
"The number is significant enough for us to intensify our investigations so that we could have a more accurate explanation," he told a press briefing giving an overview of what has happened in Indonesia this year with bird flu.
"Some 20 percent of confirmed cases in 2006 were inconclusive, meaning there was no direct contact with poultry. This year (2007) the figure has been raised to 30 percent," he added.
The bird flu virus is usually transmitted to humans from infected birds, but scientists fear it could mutate into a form easily transmissible between humans, sparking a global pandemic that could kill millions.
Krisnamurthi nevertheless insisted that Indonesia had made progress in tackling bird flu, with the number of reported cases decreasing this year.
In 2007, 40 cases were confirmed with 35 fatalities, compared to figures of 55 and 45, respectively, in 2006.
But he also conceded that Indonesia needed more effective measures, particularly to combat bird flu in poultry.
According to Krisnamurthi, even though the agriculture ministry vaccinated 70 percent of the country's farmed poultry in 2007, "the quality of the vaccine must be improved," he said.
Indonesia has recorded a total of 115 confirmed bird flu cases, 93 of which resulted in death.
credits Christian
?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
Richard Horton, Editor-in-Chief The Lancet
The glory of the building of RSUD Arifin Achmad Pekanbaru evidently was not followed with the increase in the service. His proof of Suparman, one of the residents Street ****, Kelurahan Tanjung Rhu was neglected just like that when taking medicine in the UGD part.
This incident happened on Saturday (15/12) around struck 05,00 WIB then.
At that time Suparman that suffered hot high and breathless was accompanied by the cough came to UGD to take medicine.
He came already in the staggering condition , so as to have to be supported by his child. There he has taken the medicating card and registered himself in the official of UGD. Setelah registered, the official UGD asked Suparman to lie in one of the rooms in this UGD.
At that time I saw several nurses and the doctor was chatting was not far from my place lying, he said to RiauInfo, on Tuesday (18/12).
After more 15 minutes terbaring without being handled, suddenly Suparman felt the atmosphere became quiet. He and his child were surprised, why suddenly quiet. When his child tried checked to around rungan UGD, evidently the nurses and this doctor have gone whether where. Remain at two nurses that was falling asleep twisted with the head ditompang the table. Saw himself never was handled, Suparman had finally chosen to leave the hospital.
He had finally gone to the place of medical treatment 24 hours off his house. Suparman personally admitted to going to UGD RS Arifin Achmad because himself felt feverish since several days and hot his body also did not descend.
He felt worried if being affected by the plague of bird flu. Understand that now again the plague of bird flu. Therefore he was looking for examination at RS Arifin Achmad, he explained.
Apparently, in the hospital that currently is built grand this he diacuekin just like that by medical that was assigned there. I was surprised, what indeed like this the service in the hospital.
What was expected by his person to die first just was handled, he stated.
Suparman personally had the plan to prosecute the side of RSUD Arifin Achmad that neglected him.
But beforehand I will write to the governor to tell about chronological this incident. This necessary in order to not have other casualties, said Suparman that also former RW 6 Tanjung Rhu districts, Kecamatan Limapuluh, Pekanbaru.
Jakarta; 5 suspect bird flu patients hospitalized, 2 more waiting at home
Five "Suspect" Bird Flu from Serang, reconciled to Persehabatan Hospital
After undergoing the maintenance for three days in temporary maintenance Space of RSUD Serang, five patients suspect bird flu from the Village/Desa Terumbu, RT 07 /02, Kecamatan Kasemen Serang had finally been reconciled to RS Persahabatan Jakarta by using four Ambulance cars around struck 12,15 WIB, on Friday (21/12).
The five patients who it was suspected were infected by this AI virus respectively the brother and sister that is, Mubinul Hamidi, 16, Nujulul Hak, 10, and Najatul Hidayat, 8, the child as well as two other people that also the brother and sister that is Muhlas, 30, and Iklimah, 17.
The five patients entered RSUD Serang on the Wednesday (19/12) after beforehand could undergo medical treatment in the local Community Health Centre.
According to Fathurahman information, 45, that was parents from three patients namely Mubinul Hamid and his two brothers, the sign that was experienced by his three children that is hot, breathless as well as coughs so as he tried to take medicine to the local Community Health Centre.
A day before his child was sick, said he, approximately 60 chickens and his property duck and the rest had his neighbour died suddenly.
He reported the case and the official from the Pertanian Kabupaten Serang
Service carried out the checking against the chicken that died this.
The previous day dozens of ducks and our chicken died suddenly, after being carried out by the inspection by the Pertanian Service was stated by chickens that died this was positive bird flu, said Fathurahman.
After being stated by this chicken positive was affected by bird flu by the official from the Pertanian Service then the community health centre side ask for so that the three patients and two other patients that still one family so that immediately was brought to RSUD Serang underwent the maintenance.
Moreover, according to Syamsuri, 30, one of the Muhlas families, in his house still was having two patients more who experienced the same sign and were not yet carried to RSUD Serang because of being waiting for the five patients in brought to RS Persahabatan. The two patients namely Mubitin, 33, and NY Garba, 65, both still one family.
Section Head Kesehatan of the Serang Regency Dr H Encep Mukardi during it was confirmed said, the five patients were not yet stated positive bird flu but still suspect.
The five patients still suspect bird flu is now reconciled to RSU Persahabatan, because in RSUD Serang facilities for the maintenance of the patient flu birds were not yet complete, he said.
JAKARTA, Dec. 21 (Xinhua) -- Five people including two children were admitted to a bird flu specialist hospital in Jakarta Friday, raising concerns that human cases of the disease could grow to a record 119 in an individual country.
The five patients were transferred to the Persahabatan Hospital here from a small hospital in the town of Serang in Banten province after they showed clear signs of bird flu symptoms, such as respiratory problems, heavy coughs and high fever.
The national Antara news agency said the bird flu suspicions arose after health officials learned that 60 chickens and ducks in their village died from the virus as confirmed by laboratory tests.
Contact with infected chickens is the most common cause of bird flu in human in Indonesia, where 92 people died from the H5N1 virus, the highest among bird-flu affected countries.
The five patients, aged between 8 and 30, are from the same extended family.
5 Indon family members suspected of bird flu infection: report
JAKARTA - FIVE members of a family in Indonesia's densely-populated West Java province are suspected to be infected with the deadly bird flu virus, the state-run news agency Antara said on Friday.
Mr Fathurahman told Antara that his three children, aged eight, 10 and 16, were suffering from high fevers, coughing and had difficulty breathing following an outbreak of the virus among local poultry.
'Dozens of our chickens and ducks died suddenly. The veterinary office tested (the dead poultry) positive for bird flu,' Mr Fathurahman told Antara.
The three children, along with two other siblings in their extended family aged 17 and 30, and suffering similar symptoms, were reportedly admitted to Serang hospital, about 80 km west of Jakarta, earlier this week.
The five flu suspects were transferred on Friday to Persahabatan hospital in Jakarta, which is designated to treat avian influenza patients, Serang district health office chief Encep Mukardi told Antara.
An additional two members of the family have also reportedly suffered bird flu-like symptoms, but have yet to be admitted to hospital.
The health ministry's bird flu information centre could not be reached on Friday for comment.
Indonesia has suffered the world's highest death toll from the H5N1 virus, with 93 confirmed deaths out of 115 confirmed cases. -- AFP
Five persons who was one family in the Terumbu Village, Kasemen, Kota Serang, Banten, became the patient was expected by bird flu.
This family consisted of the father, the mother, and three children.
They were reconciled to this hospital after suffering the disturbance of the health similar to the sign of bird flu.
The five of them could undergo the intensive maintenance in RSU Serang.
According to their relatives, the family respectively was named Muklas, Mubin, Nujul, Iklimah, and Najat.
They apparently was attacked by the virus (H5N1) from several poultries that died suddenly the previous day, said Lukman, relatives of the unfortunate family, when being met in RSU Serang, on Friday (21/12/2007).
As far as this is concerned the side of RSU Serang and the Health Service of the Serang City did not yet say the five of them positive infected by H5N1.
Because, RSU Serang did not have the special laboratory bird flu, said Kesehatan Serang Encep Mukardi Section Head.
To ascertain the contagious illness this family, this afternoon of RSU Serang evacuated them to the Hospital of Persahabatan Jakarta used five ambulance units.
Apparently a bird flu outbreak in poultry a few weeks ago in Serang Region:
Bird flu Serang Poultry
on Thursday, November 22 2007 -
Tens of Poultry Died Suddenly, Livestock Service carried out Spraying
Puluhan the poultry was belonging to the resident Street Dr Sutomo found died suddenly. From results rapid test was known by these chickens positive was attacked by the virus avian influenza (bird flu).
Although beforehand was stated safe, but the bird flu attack could not be it was considered trivial. This matter it was known followed the report on the resident who found the poultry piaraan him died suddenly.
The official who came to the location at once held the inspection, both observation clinically and the method rapid test (test fast).
Results were known by these animals infected by the virus avian influenza.
Kasubdin Kesehatan of the Animal and the Fish, Dinas Kelautan Perikanan and Pacitan Livestock Breeding, Fatkhur Rozi, justified these findings.
He admitted socialisation efforts that were carried out uptil now did not yet produce optimal results. Ought to be regretted still many residents who reluctantly carried out the prevention, were good with the vaccination and spraying, his regret.
In fact, continued the graduate's veterinary surgeon of the Airlangga University, the government provided the vaccine and disinfektan free.
About the handling of this case, Fatkhur said his side at once carried out spraying to the location of the pen and the owner's residence of the house.
Poultries that still were living immediately must be isolated for 21 days or when must be carried out by the extermination, he stressed. This was meant to prevent the spread being wider was good towards the poultry in the environment around and humankind.
It was related that the availability of the vaccine liquid and disinfektan Fatkhur optimistic still sufficient at least till March next year.
From the data supported available, the case of bird flu this time was that the first time for the last six months.
It was final that 2006 then hundreds of poultries in six subdistricts it was suspected were attacked by the same illness.
Metrotvnews.com, Serang: the Daerah Public Hospital (RSUD) Serang, Banten, Jum'at (21/12), again received five patients was expected by bird flu.The patients came from two families in the Terumbu Village, Kecamatan Kasemen, Serang.Two were from five patients expected by this bird flu still was eight tenth years old.Whereas three other was 15 years old, 17 and 27 years.The patients are currently treated in Space of Isolasi RSUD Serang in the limp and feverish condition high.The patient's family, Syamsuri, said, they suffered the sign similar to bird flu after contact with the poultry that died suddenly in their residence.As far as this is concerned did not yet have official information from the hospital side that treated the five patients.The hospital side isolated the patient and applied the standard of the maintenance of the flu patient buurng.(the SHOT)</PRE>
Recombinomics Commentary
December 21, 2007 After undergoing the maintenance for three days in temporary maintenance Space of RSUD Serang, five patients suspect bird flu from the Village/Desa Terumbu, RT 07 /02, Kecamatan Kasemen Serang had finally been reconciled to RS Persahabatan Jakarta by using four Ambulance cars around struck 12,15 WIB, on Friday (21/12).
The five patients who it was suspected were infected by this AI virus respectively the brother and sister that is, Mubinul Hamidi, 16, Nujulul Hak, 10, and Najatul Hidayat, 8, the child as well as two other people that also the brother and sister that is Muhlas, 30, and Iklimah, 17.
The five patients entered RSUD Serang on the Wednesday (19/12) after beforehand could undergo medical treatment in the local Community Health Centre.
Moreover, according to Syamsuri, 30, one of the Muhlas families, in his house still was having two patients more who experienced the same sign and were not yet carried to RSUD Serang because of being waiting for the five patients in brought to RS Persahabatan. The two patients namely Mubitin, 33, and NY Garba, 65, both still one family.
The above translation describes seven suspect H5N1 patients in Serang. Five from one family have been hospitalized at a major infectious disease hospital in Jakarta after first visiting a local clinic, followed by hospitalization at RSUD Serang, followed by transfer to RSUD Friendship.
These five patients from the same family live near poultry that died and were H5N1 positive. Test results are not in yet on the five hospitalized or two additional patients who also have bird flu symptoms. It is unclear if the two additional patients are from the same family or from a neighboring family in Serang.
The hospitalization of 5 or 7 family members in Jakarta are cause for concerns. Recent confirmed cases in Indonesia have clustered in Tangerang, just west of Jakarta, although the recent cases have not been reported as familial clusters.
This cluster is just west of Tangerang, but hospitalization is in Jakarta.
More information on this large cluster would be useful.
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