Indonesia HUMAN Cases - Feb/4/2008-Mar/2/2008

[Gert van der Hoek]

This is about SU,Female, 29 yo see post # 155

Feb 4, 2008

Indonesia reports 103rd bird flu death



JAKARTA - A 29-YEAR-OLD Indonesian woman has become the country's latest bird flu fatality, the health ministry confirmed on Monday, bringing the toll to 103 in the worst-hit nation.

'We are now at 126 infection cases, 103 of them fatal,' the ministry's director general for contagious disease control, I Nyoman Kandun, told AFP.

A 28-year-old woman has also been confirmed as infected but is still alive, he added.

The health ministry's website identified the latest fatality, who died over the weekend, as SU, and said she came from the Jakarta satellite city of Tangerang, where she was admitted to hospital on Jan 28, six days after falling ill.

She was referred to Jakarta's Persahabatan hospital a day later but died on Saturday, the site said.

Nine people have died from bird flu in Indonesia so far this year, all of them from Jakarta and its surrounding sprawl.

The ministry site identified the latest bird flu patient as SA and said she comes from West Jakarta's Kalideres district, next to Tangerang.

The ministry said she fell sick on Jan 24, was admitted to a hospital in Tangerang two days later and eventually transferred to Jakarta's Persahabatan last Friday, where she is still being given respiratory aid.

The woman who died, SU, had recently visited her parent's home, where neighbours kept ducks, the site reported, but did not say where the village was located. The infected patient, SA, lived in a neighbourhood where backyard poultry are kept.

Experts fear that the virus, which is usually spread directly from a bird to a human, could mutate into a form easily transmissible between people, sparking a deadly global pandemic.

The concern stems from past influenza pandemics. A pandemic in 1918, just after the end of World War I, killed 20 million people worldwide.

Bird flu is now endemic across nearly all of Indonesia, which was initially criticised for being slow to act against the deadly virus. -- AFP

http://www.straitstimes.com/Latest%2BNews/Asia/STIStory_203386.html

http://africa.reuters.com/commodities/news/usnJAK114317.html

Edit: Reuters says 8 people died this year, should be 9?.

[HenryN]

Re: Indonesian Human Cases - Jan 11+

Bird flu claims two more victims in RI



<!-- google_ad_section_start -->Jakarta (ANTARA News) - Two more Indonesians have been infected with the bird flu virus and one of them died last Saturday (Feb 2) in Jakarta, a Health Ministry official said.

The victims were two women - Su (29) of Tangerang city, Banten, and Sa (38) of West Jakarta, the ministry`s spokesperson, Lily S Sulityowati, said here Monday.

"The Health Ministry`s Research and Development Agency`s Laboratory and the Eijkman Molecular Biology Institute`a Laboratory confirmed on Monday that the two victims were infected with the bird flu virus," Sulistyowati said.

She said Su, a housewife in Gondrong village, Cipondoh sub disrict, Tangerang city, began to feel ill on January 22, 2008 with cough, fever and short breath symptoms.

Su was admitted to the Usada Insani hospital on January 28 and was referred to Persahabatan Hospital in East Jakarta the following day.

But the hospital failed to save her life and she died at 7.30 pm on February 2.

In the meantime, Sa, a female resident of Kali Deres village, West Jakarta, fell ill on January 24, 2008 with cough, fever, flu and a sore throat.

She was admitted to the MH Thamrin Hospital in Tangerang on January 26 and began to be treated at the Usada Insani hospital on January 29.

Sa was later moved to Persahabatan hospital in East Jakarta and was until Monday still breathing with the help of a ventilator.

The number of bird flu cases in Indonesia up to now has been recorded at 126, of which 103 have ended in the patient`s death, meaning that the fatality rate has reached 81.7 percent.(*)<!-- google_ad_section_end -->

http://www.antara.co.id/en/arc/2008/2/4/bird-flu-claims-two-more-victims-in-ri/

[HenryN]

Re: Indonesian Human Cases - Jan 11+

Commentary

http://www.recombinomics.com/News/02040804/H5N1_Tangerang_2_More.html

[AlaskaDenise]

Re: Indonesian Human Cases - Jan 11+

Commentary

http://www.recombinomics.com/News/02...ng_2_More.html

Commentary

Two More Confirmed H5N1 Cases Near Tangerang Indonesia

Recombinomics Commentary 12:16
February 4, 2008

She said Su, a housewife in Gondrong village, Cipondoh sub disrict, Tangerang city, began to feel ill on January 22, 2008 with cough, fever and short breath symptoms.

Su was admitted to the Usada Insani hospital on January 28 and was referred to Persahabatan Hospital in East Jakarta the following day.

But the hospital failed to save her life and she died at 7.30 pm on February 2.

In the meantime, Sa, a female resident of Kali Deres village, West Jakarta, fell ill on January 24, 2008 with cough, fever, flu and a sore throat.

She was admitted to the MH Thamrin Hospital in Tangerang on January 26 and began to be treated at the Usada Insani hospital on January 29.

The above comments describe two more H5N1 confirmed patients in the Jakarta in or near Tangerang. These two patients increase the number of recent cases in the region and raise concerns about the clustering f the cases, which have been almost been universally fatal, including the first confirmed cases in 2005.

Sequence data on these recent cases would be useful.


.

[Laidback Al]

Indonesian Human Cases - Feb 4, 2007+

The above four posts are copied over from the previous Indonesian human cases thread here: http://www.flutrackers.com/forum/showthread.php?t=48679

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

[Note the initial symptoms]

Suspected of being wrong the Diagnosis, the Sufferer Bird Flu was
killed

Nasrudin (33) Bin Sarmili, that was attacked by the Bird Flu virus, it was suspected was killed because of being wrong the diagnosis.
Because of that casualties's full brother, Muhidin, on Monday morning (4/2) reported this to centres of Pelayanan Kepolisian Greater Jakarta Metropolitan Regional Police.
Muhidin mejelaskan, on Monday (21/1) Nasrudin took medicine to a Community Health Centre after complaining had a stomach-ache, nausea and had diarrhoea.
The doctor's words his older brother's Community Health Centre only were sick the stomach.
On Thursay (24/1) Nasrudin took again medicine to one kinik the public.
The doctor there said he was affected by dengue fever dengoe (DBD).

Nasrudin then was reconciled to a hospital (RS) in Ciledug, Tangerang.
After being checked, he the blood cough.
The previous doctor stated Nasrudin was hit by DBD, the lungs and typhus.
But on the Friday (25/1) struck 19,00, the same doctor said, Nasrudin was attacked by Bird Flu.
On Saturday (26/1) struck 13,30, Nasrudin was reconciled to one of RS in Rawamangun, Jakarta Timur.
When arriving in this RS in struck 14,00, Nasrudin was carried to special isolation space Bird Flu and was handled by two doctors.
The two doctors on the Tuesday (28/1) struck 14,00, said to the family, Nasrudin was attacked by the Bird Flu virus.
Strike 16,20, Nasrudin died and was buried struck 21,10 was buried in Ciledug, Tangerang.
"We here reported several wrong doctors diagnosed the Nasrudin illness."
We suspected, as a result of being wrong the diagnosis, the process of Nasrudin medical treatment was still being hindered or late so as to cause Nasrudin to die, said Muhidin.

"Casualties's family reported this case because of RS Persahabatan it was thought did not carry out the service in a first-rate and maximal manner, and his diagnosis kept changing.
While the side of RS Bhakti Asih carried out reconciliation not to the place that was exact to handle bird flu.
Must him in RSPI Sulianti Suroso that more kredibel" taswin words, one of the team's members of LBH Kesehatan that gave the legal aid to casualties

http://www.kompas.com/read.php?cnt=.xml.2008.02.04.1223590&channel=1&mn=10&idx=4

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

Society Was Appealed Alerted Flu Burung

Spreading flu burung AI from poultry to human being still directly happened. Because of due to the fact that community was appealed in order that raise alertness and listen attentively about poultry that sick and die suddenly, and become accustomed to clean and healthy in order to spare from attack virus aforementioned.

According to chief Pusat communication public department health Lily S Sulistyowati, in publication press Monday (4/2), in Jakarta steps in anticipation towards avoiding infection virus flu burung can be done by not touching chicken, duck and poultry other that is sick or die. To accustomize to wash hands with soap and tools to cook separate poultry from humans. {To use separate tools to cook the chicken, and eat the chicken}.

"When there is indication flu and fever after being in contact with poultry immediately get checked at Community Health Center nearby. In addition that, use a cover arm/hand cover mouth and nose when holding poultry, do not eat poultry that is sick or died suddenly, slaughter, burn, bury poultry that sick or died and do not allow children to play with poultry", said Lily. If feverish or felt after with poultry people advised quickly get examined at doctors or house sick near.

Up to date 3 February past, sum cumulative cases infection flu burung to humans already reach 126 cases and 103 casualties among died world. Concerning this be significant figure death cases of flu burung to humans equal 81.7 percent or highest in world. Concerning province with number of cases flu burung highest in Indonesia namely West Java (31 cases, 25 victim in among died), Special District of the Capital (DKI) Jakarta (30 cases, 26 died), and Banten (25 cases, 22 died).
-snip-

http://www.kompas.com/read.php?cnt=.xml.2008.02.04.21153632&channel=1&mn=20&idx=4

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

Kevin Saputra, 1.5, that died on Thursday (31/1) were stated by the negative was infected by the virus H5N1.
This assurance was received had a basis results of the test of throat mucus by the Penelitian Dan Pengembangan Kesehatan Body (Balitbangkes) the Department of the RI Health that was dismissed, on Tuesday (5/2).
"Confirmation from Balitbangkes Jakarta on the testing" of the "sample" of "throat mucus, showed the negative to Kevin Saputra was attacked by the virus H5N1, the" headword "of" Sub" Dinas (Kasubdin) the Kesehatan Service and the Nutrient of Dinas Kesehatan Riau Burhanuddin Agung to the Indonesian Media, on Tuesday (5/2).

Therefore, explained Burhanuddin, the cause of Kevin's death was expected because of being attacked by the acute pulmonary disease.
Whereas, about concerning the epidemiological story of casualties that once contact with the poultry and the discovery of two tails of the positive poultry terjangkit bird flu from rapid test that was carried out by the Service of Peternakan Provinsi Riau, at this time the team of the Riau bird flu command post was still carrying out investigation about this matter.
Kevin died after experienced hot high, breathless, and was accompanied by the cough.
Beforehand, the resident Street Melati 61 subdistricts of Sukajadi Pekanbaru received the intensive maintenance for four days in the Hospital Ms and the Child Zainab Pekanbaru

http://www.mediaindonesia.com/berita.asp?id=158180

Scroll:

HUNDREDS OF chickens died in a LAST WEEK IN the REGENCY that was checked by DISNAK TERJANGKIT FLU of BURUNG. DISNAK the Lampung REGENCY EAST reported BIRD FLU was detected in six villages

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

19 samples of Poultry Blood in Depok the Virus Negative H5N1
Excerpt:
Depok, Hasil of the laboratory inspection of 19 samples of poultry blood around the house of bird flu casualties in Depok, West Java was stated by the negative was infected by the virus H5N1.
Was like this it was said the Section Head the Health of the Community and Veteriner Dinas Pertanian Kota Depok, Dedi Sujadi, on Monday (4/2).
As is known, a Depok resident, Muhammad Ibnu, died because of being infected by the bird flu virus.

http://www.elshinta.com/v2003a/readnews.htm?id=45744

[Laidback Al]

Re: Indonesian Human Cases - Feb 4, 2007+

19 samples of Poultry Blood in Depok the Virus Negative H5N1
Excerpt:
Depok, Hasil of the laboratory inspection of 19 samples of poultry blood around the house of bird flu casualties in Depok, West Java was stated by the negative was infected by the virus H5N1.
Was like this it was said the Section Head the Health of the Community and Veteriner Dinas Pertanian Kota Depok, Dedi Sujadi, on Monday (4/2).
As is known, a Depok resident, Muhammad Ibnu, died because of being infected by the bird flu virus.

http://www.elshinta.com/v2003a/readnews.htm?id=45744

Muhamad Ibnu Yusuf (MIY) was a 9 year old child who died on Jan 27, 2008. As noted in the WHO update, he lived near a wet market where poultry was sold. The above post suggests that he may have infected from some other reservoir besides poultry.

[sharon sanders]

Re: Indonesian Human Cases - Feb 4, 2007+

Living or working, at or near, poultry processing facilities could be a risk factor.

http://www.flutrackers.com/forum/showthread.php?p=130780

Volume 14, Number 1?January 2008


Avian Influenza Virus (H5N1) Replication in Feathers of Domestic Waterfowl

Yu Yamamoto,* Kikuyasu Nakamura,* Masatoshi Okamatsu,* Manabu Yamada,* and Masaji Mase*
*National Institute of Animal Health, Tsukuba, Ibaraki, Japan


Conclusions

We found that 2 different AI virus (H5N1) genotypes that were isolated in 2004 and 2007 can replicate in the feather epidermal cells of domestic ducks and geese. To our knowledge, this is the first report of in vivo ultrastructural observation of AI (H5N1) replication in waterfowl.
The important finding is that the histologic feather finding and virus isolation from the skin were found in inoculated birds that did not exhibit apparent clinical signs. Although 1 goose inoculated with Ck/Yama/7/04 was negative for all examinations, this might have resulted from individual differences in susceptibility or the limited area of the skin used for the examination. Nevertheless, our data indicate that recent AI (H5N1) strains are likely to replicate in feather epidermal cells of domestic ducks and geese. All birds inoculated with Ck/Miya/K11/07, which belongs to the current lineage spreading to Europe and Africa, tested positive for virus isolation, compared with the results with Ck/Yama/7/04.

Feathers can easily drop off, blow away, or be reduced to dust, suggesting that affected feathers of waterfowl infected with influenza (H5N1) virus can be potential sources of infection, along with their feces and respiratory secretions (7,8).

At this time, it is unclear to what extent affected feathers contribute to the epidemiology of AI (H5N1) field outbreaks. However, more attention needs to be paid to persons who handle domestic waterfowl possibly infected with AI virus (H5N1).

[Gert van der Hoek]

Re: Indonesian Human Cases - Feb 4, 2007+

'Mysterious' bird flu baffles Indonesian scientists

Indonesian scientists and officials said they were baffled by the "mysterious" behaviour of the bird flu virus here, which has already claimed nine lives this year in the world's worst-hit nation.

Indonesia has reported 126 cases of H5N1 bird flu, 103 of them fatal, since 2005. This year's victims have all come from the capital Jakarta and its satellite cities.

Officials from the ministry of agriculture's bird flu control unit told a media briefing that the risk factors for human infection remained unclear after studies were conducted around victims' homes.

"In some of the cases we found the virus in the water and chickens, but in many other cases the studies showed no signs of the virus in the surroundings," said the unit's Tjahjani Widjastuti at the briefing late Tuesday.

The usual mode of transmission of the deadly H5N1 strain of bird flu is directly from an infected bird -- typically poultry -- to humans.

"The behaviour (of the virus in Indonesia) is mysterious and we are competing with the dynamics of the virus. There needs to be deeper study on why there are more cases in humans, what are the risk factors... so we can cut the chain of infection to humans," Widjastuti said.

Globally, scientists fear that the virus will eventually mutate into a form easily spread between people.

Indonesia has been sharply criticised for being slow to act in its fight to control bird flu, which has spread easily in a nation where many people keep chickens and other birds in their gardens and homes.

Bird flu is endemic in all of Indonesia's 33 provinces except for Gorontalo on Sulawesi island and in North Maluku, said Widjastuti.

Meanwhile, early partial results of a study conducted by the UN's Food and Agriculture Organisation bird flu programme in Indonesia in traditional markets in western Java -- which covers Jakarta and its surrounds -- showed a high level of penetration by the virus.

About half of all markets tested were positive for the virus, said James McGrane, leader of the FAO programme.

"It's a very difficult virus to control," he said, adding that the team could not say why the number of cases had spiked here.

http://news.yahoo.com/s/afp/20080206/hl_afp/healthfluindonesia

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

Sweeping the Poultry in Jakarta went Effective

Excerpt:

Beforehand, an amount sweeping and the extermination program of the poultry was carried out in the territory Jakarta Timur in part in the Duren Sawit District, Duren Sawit, and in the Pulogebang District, Cakung.
According to the Head of the Dinas Peternakan Ethnic Group, Perikanan, and Marine Jakarta Timur, Djawil Hidjah, sweeping the wild poultry will in the settlement of the inhabitants continue to be done to prevent the emergence of bird flu casualties.
Moreover, he continued, in Jakarta Timur was met by two people who died because of being affected by bird flu that is the resident of the Sawit durian, RF (31), and the resident Pulogebang, V (23).
In the meantime, Jakarta Mayor Timur Koesnan Abdul Halim on Sunday (3/2) said, the level of the bird flu illness in the East Jakarta territory has worried because of falling two casualties during 2008 that just walked around one month.
"Jakarta Timur was the territory that really worrying, because of casualties who died because of bird flu, the amount has reached two people this 2008" said Koesnan.

http://www.mediaindonesia.com/berita.asp?id=158340

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

Menkes launched his work book

The Health Minister (Menkes) Siti Fadilah Supari presented his experience while making sure the formation of the international mechanism just in the exchange of the virus in the book was entitled "Saatnya Dunia Berubah!"

The hands of the Lord behind the Flu Burung Virus that was launched in Jakarta, on Wednesday night.

The book with a thickness of 182 pages contained details of Siti Fadilah Supari steps in facing various intrigues and the challenge to change the mechanism of the exchange of the world virus that has been current since 50 years ago.

"This movement evidently opened up mechanism injustice of the exchange of the mechanism that went for 50 years, where countries that contributed his virus could not ask for results of the research and could not know what happened to the virus that was sent," she said.

Explained also that the same book contained reasons behind various decisions, the idea as well as the alternative to the solution that was raised by Siti Fadilah in bringing about the mechanism of the exchange of the just virus, to guarantee equality and transparent.
The Health Minister, who on Wednesday night put on the coloured blouse green, hoped the book that he wrote could become the reference for the researcher, the practitioner, and whoever tried fight for martabat and the sovereignty of developing countries.

http://www.antara.co.id/arc/2008/2/6/menkes-luncurkan-buku-karyanya/

[Laidback Al]

Suspected Human Bird Flu Death Central Java

Credits to mojo and to Commonground for clarifying the location of this individual. Alif Tri Anggoro appears to be from Gedungringin, Soko, Kecamatan Miri, Kabupaten Sragen, Provinsi Jawa Tengah.

Kasus kematian warga di Miri
Petugas dirikan Posko kesehatan dan AI
Miri (Expose)
The Miri community health centre with the Peternakan Service and fisheries of Sragen made the health Command Post and the Command Post of bird flu vigilance in Gedungringin, Soko, function Miri.
His article, circulated the cause news of the death of Alif Tri Anggoro, last Sunday (10/2), headed in the indication of bird flu or avian influenza (AI).

Up to now the cause of the Alif death is not yet sent and results of the identification were just sent to the family on Thursday (14/2) the day after tomorrow.
The hot sign high that would still was complex.
So, the possibility could be caused by the sign of dengue fever dengue fever (DBD) or even bird flu.

In this case I still could not say whether the cause of the death from casualties (Alif), his matter we were still being waiting for results of the blood inspection of RSUD Dr Moewardi Solo, stressed the Head of the Miri Community Health Centre, Dr Abdul Azis, when being met Expose, on Monday (11/2), in the health Command Post.

The existence of the two command posts, he continued, including further handling efforts to press the number of casualties.
Apart from giving medicine and the maintenance of the road for the resident, the counselling activity and the socialisation to the community around continued to be carried out.

The two command posts have been established since Sunday early afternoon (10/2), to be precise in RT 8 Gedungringin, Soko.
Since that time we had served approximately 60 residents.

The sub-district head Miri, Pudjiatmoko, explained the sample of blood from casualties's family has been taken by the official of the Health of the Service (Dinkes) Sragen and the Kesehatan Service of the Central Javan Province.
On that occasion, himself also denied it if his area including the area endemi DBD or even bird flu.

Before this case emerged, we have as the Muspika side carried out various activities that in connection with the health environment.
Among them through the eradication of the mosquitoes nest (PSN), the socialisation, giving abate, et cetera, obviously he.
Was based on observation Expose in the two command posts was seen by the activity of the officials in serving the resident.
Several officials were also seen sprayed the poultry pen belonging to the resident.

http://www.solopos.co.id/sp_search_tamu.asp?keyword=flu+burung#

direct link to news article: http://www.solopos.co.id/sp_search_d...u.asp?id=49285