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

[Gert van der Hoek]

Re: Indonesian Human Cases - Feb 4, 2007+

feel free to translate:

Boy 1o yo in hospital in Medan, Sumatra:


Tuesday, February 12, 2008
RSUP Adam Malik Medan Rawat Bocah Suspect Flu Burung

12/02/2008 16:28 WIB
RSUP Adam Malik Medan Rawat Bocah Suspect Flu Burung
Khairul Ikhwan - detikcom


Medan - Kasus flu burung terjadi lagi di Sumatera Utara (Sumut). Seorang anak berusia 10 tahun terpaksa dirawat di Rumah Umum Pusat (RSUP) Adam Malik Medan karena diduga suspect flu burung.

Khairul, 10 tahun, penduduk Jl. Abdul Hamid, Desa Sungai Sigiling, Kec. Padang Hilir, Kota Tebing Tinggi, Sumatera Utara, saat ini dirawat intensif di ruang khusus suspect flu burung RS. Adam Malik Medan, Jl. Bungalaw, Medan.

Humas RS. Adam Malik Medan Sinar Ginting mengatakan, sejak di bawa ke RS Adam Malik, Senin (11/2/2008) pagi, kondisi putra pasangan Enden dan Ani ini mulai membaik.

"Secara umum kesehatan pasien semakin membaik. Kita telah memeriksa sampel darah, semuanya normal," kata Ginting, Selasa (12/2/2008).

Namun menurut Ginting, untuk memastikan darah Khairul, pihaknya RS Adam Malik telah mengirim sampel darah ke Pusat Penelitian dan Pengembangan Kesehatan (Puslitbangkes) Departemen Kesehatan di Jakarta.

"Kita masih menunggu hasil laboratorium untuk memastikan hasil sampel darah pasien. Bila hasil laboratorium menunjukkan sampel darah baik, pasien akan diperbolehkan pulang," kata Ginting.

Sementara ibu Khairul, Ani mengatakan, anaknya mengalami demam tinggi setelah kontak dengan empat ekor ayam mereka yang mati secara tiba-tiba pada Sabtu lalu (9/2/2008).

"Saya sempat memberinya obat demam beli dari kios. Tapi demamnya tetap tinggi," kata Ani.

Karena menduga demam biasa, Ani membolehkan Khairul pergi ke sekolah pada Senin kamarin. Namun menjelang siang, Khairul pulang diantar oleh gurunya karena demam tinggi. Kemudian Ani melapor ke Kepala Desa
setempat dan Luruh. Pihak Dinas Kesehatan Kecamatan Padang Hilir kemudian datang dan memeriksa sample ayam dan menyatakan ayam tersebut positif terjangkit flu burung.
( rul / djo )

Sumber : http://www.detiknews.com/index.php/d...782/idkanal/10

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

On Tuesday, February 12, 2008
RSUP Adam Malik Medan Rawat Bocah Suspect Flu Burung
12/02/2008 16:28 of WIB
RSUP
Adam the Medan Owner treated the Child Suspect Bird Flu
Khairul Ikhwan - detikcom

Medan - The case of bird flu happened again in North Sumatra (North Sumatra).
A child was 10 years old was forced to be treated in the Umum House the Centre (RSUP) Adam Malik Medan because of being expected suspect bird flu.
Khairul, 10 years, the inhabitants Street. xxxxx, the Sigiling River Village, Kec. Padang Hilir, Kota Tebing Tinggi, North Sumatra, at this time was treated intensive in special space suspect bird flu of RS. Adam Malik Medan, Street. Bungalaw, Medan.

Public relations of RS. Adam Malik Medan Sinar Ginting said, since in brought to RS Adam Malik, on Monday (11/2/2008) the morning, Putra's condition the couple Enden and Ani this began to improve.

?Generally the health of the patient increasingly improved.
We checked the sample of blood, all of them normal? kata Ginting, Selasa (12/2/2008).

However according to Ginting, to ascertain Khairul blood, his side of RS Adam Malik sent the sample of blood to the Centre of Kesehatan Research And Development (Puslitbangkes) the Department of the Health in Jakarta.

?We were still waiting for results of the laboratory to ascertain results of the sample of the patient's blood.
When results of the laboratory showed the sample of good blood, the patient will be permitted to come home? Ginting words.

Now the mother Khairul, Ani said, his child experienced the high fever after contact with their four chickens that died suddenly last Saturday (9/2/2008).
"I could give him fever medicine bought from the kiosk."
But his fever stayed high, said Ani.
Because of expecting the common fever, Ani allowed Khairul to go to the school on Monday kamarin.
However gazed at the afternoon, Khairul came home was delivered by his teacher because of the high fever.
Afterwards Ani reported to the Desa Head local and Luruh.
The Dinas Kesehatan side of the Padang Hilir Subdistrict afterwards came and checked sample the chicken and stated this chicken was positive terjangkit bird flu.

http://www.detiknews.com/index.php/detik.read/tahun/2008/bulan/02/tgl/12/time/162800/idnews/892782/idkanal/10

[HenryN]

Re: Indonesian Human Cases - Feb 4, 2007+

Avian influenza ? situation in Indonesia ? update 39

12 February 2008
The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. A 15-year-old female from West Jakarta, Jakarta Province developed symptoms on 2 February, was hospitalized on 8 February and is currently in hospital in a critical condition. The case is the daughter of a previously confirmed case, the 38-year-old female from West Jakarta, Jakarta Province who developed symptoms on 23 January.
Investigations into the source of her infection are ongoing. However, she was exposed to her sick mother on 27-28 January and spent time in a neighbourbood where chickens and other birds were found. Samples from these birds have been taken and are undergoing tests to determine whether they may have been the source of infection.
Of the 127 cases confirmed to date in Indonesia, 103 have been fatal.

http://www.who.int/csr/don/2008_02_12/en/index.html

[HenryN]

Re: Indonesian Human Cases - Feb 4, 2007+

Commentary

http://www.recombinomics.com/News/02120801/H5N1_W_Jakarta_H2H.html

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

Likely Human to Human H5N1 Transmission in Jakarta Cluster

Recombinomics Commentary 14:38
February 12, 2008

A 15-year-old female from West Jakarta, Jakarta Province developed symptoms on 2 February, was hospitalized on 8 February and is currently in hospital in a critical condition. The case is the daughter of a previously confirmed case, the 38-year-old female from West Jakarta, Jakarta Province who developed symptoms on 23 January.

Investigations into the source of her infection are ongoing. However, she was exposed to her sick mother on 27-28 January and spent time in a neighbourbood where chickens and other birds were found.

The above comments from the WHO update describe a confirmed cluster in West Jakarta. The gap in the disease onset dates, as well as the timing of the exposure indicates this is a case of human to human transmission. Although H5N1 infections of humans have been high in Indonesia, and highest in the Jakarta area, the likelihood to two family members being independently infected is remote. However, the likelihood of transmission within a family is high, because of close contact that is common between family members.

The ?exposure? of the 15F to her 38F mother probably involved visits to her mother, who was hospitalized on January 26 in Tangerang and was subsequently transfered and was in critical condition.

In this instance, sequencing of H5N1 from the two patients would be useful.

http://www.recombinomics.com/News/02120801/H5N1_W_Jakarta_H2H.html

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

Tangerang Confirmed H5N1

Mustang - Sym: 12/2 Died: 12/13

Diane - Sym: 12/15 Died: 12/25

Seti - Sym: 1/7 Died: 1/18

SU/SN - Sym: 1/22 Died: 2/2

SA - Sym: 1/24

SA?s Daughter - Sym: 2/2

[HenryN]

Re: Indonesian Human Cases - Feb 4, 2007+

More commentary

http://www.recombinomics.com/News/02120802/H5N1_Tangerang_H2H_2008.html

[Gert van der Hoek]

Re: Indonesian Human Cases - Feb 4, 2007+

In this report from Dep of Health "SA" is a man, could not be the 38 mother.
So were are talking about 2 new cases, referring to the mother and daughter?


Sa, a 38 year old man from Kali Deres sub district in West Jakarta experienced onset of illness on January 24, 2008 with symptoms of coughing, fever, runny nose, and sore throat. On January 26 2008, he was admitted to Tangerang MH Thamrin Hospital, then on january 29 2008 he was referred to Usada Insani Hospital. On February 1, 2008 Sa was referred to Persahabatan Hospital, where he is still being treated. A week ago, Sa visited his parents in Cagak village whose parents is neighbour of a duck farmer.

http://www.komnasfbpi.go.id/berita_eng.php?id=43

Edit: must be a wrong translation by Komnas FBPI, this is from Dep of Health, says SA if female:

Another case, Sa (f, 38 years), who lives in Gondang Sub Village, Kali Deres Village, West Jakarta, started getting ill on January 24, 2008 with symptoms of cough, fever, cold and throat inflamed. On January 26, she was hospitalized in MH. Thamrin Hospital, Tangerang and, on January 29, in Usada Insani Hospital. On February 1, 2008, she was referred to Persahabatan Hospital, Jakarta and is still getting treatment with a ventilator. One week before, she visited her parents in Cagak Sub Village, whose a neighbor is manila duck collector.

[HenryN]

Re: Indonesian Human Cases - Feb 4, 2007+

In this report from Dep of Health "SA" is a man, could not be the 38 mother.
So were are talking about 2 new cases, referring to the mother and daughter?


Sa, a 38 year old man from Kali Deres sub district in West Jakarta experienced onset of illness on January 24, 2008 with symptoms of coughing, fever, runny nose, and sore throat. On January 26 2008, he was admitted to Tangerang MH Thamrin Hospital, then on january 29 2008 he was referred to Usada Insani Hospital. On February 1, 2008 Sa was referred to Persahabatan Hospital, where he is still being treated. A week ago, Sa visited his parents in Cagak village whose parents is neighbour of a duck farmer.

http://www.komnasfbpi.go.id/berita_eng.php?id=43

Edit: must be a wrong translation by Komnas FBPI, this is from Dep of Health, says SA if female:

Another case, Sa (f, 38 years), who lives in Gondang Sub Village, Kali Deres Village, West Jakarta, started getting ill on January 24, 2008 with symptoms of cough, fever, cold and throat inflamed. On January 26, she was hospitalized in MH. Thamrin Hospital, Tangerang and, on January 29, in Usada Insani Hospital. On February 1, 2008, she was referred to Persahabatan Hospital, Jakarta and is still getting treatment with a ventilator. One week before, she visited her parents in Cagak Sub Village, whose a neighbor is manila duck collector.

There is only one 38 year old, and she is the mother of the latest case.

[HenryN]

Re: Indonesian Human Cases - Feb 4, 2007+

<TABLE class=lan18 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=hei22 vAlign=bottom height=25>Indonesian girl contracted by bird flu, putting total case to 127
</TD></TR><TR><TD bgColor=#ffffff height=4></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=8></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD width="48%">www.chinaview.cn 2008-02-13 02:18:04</TD><TD class=hui12 align=middle width="26%"> </TD><TD class=hui12 align=middle width="12%"> Print</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="80%" border=0><TBODY><TR><TD height=20></TD></TR></TBODY></TABLE><TABLE class=lt14 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=lt14>



JAKARTA, Feb. 12 (Xinhua) -- A 15-year-old Indonesian girl from West Jakarta has been infected by avian influenza, bringing the total cases to 127 with 103 of them fatal, Indonesian health ministry said here Tuesday.
The girl was a daughter of a 38-year-old woman who was previously infected by the disease and first developed the symptoms of the disease on Jan. 23, said the spokeswoman of the ministry Lily Sriwahyuni Sulistyowati.
The girl was now in critical condition at a hospital, said Sulistyowati.
"Both of her laboratory tests showed today that the girl is positive on bird flu," she told Xinhua.
She said that it was not clear yet whether the girl had historical contacts with fowls.
"Investigations into the source of her infection are ongoing. However, she was exposed to her sick mother on Jan. 27-28 and spent time in a neighborhood where chickens and other birds were found," said Sulistyowati.
"Samples from these birds have been taken and are undergoing tests to determine whether they may have been the source of infection," she said.
Contact with fowls has been the common source of the infection of the disease in Indonesia.
The spokesperson said that the girl first showed the symptoms of the H5N1 virus on Feb. 2 and was hospitalized on Feb. 8. Experts have said that improper initial medical treatment and poor hygiene of the traditional poultry market have been blamed for the highest fatality rate of bird flu in Indonesia, the world's fourth most populous country with a population of over 240 million. Indonesia has been grappled with major problem on its effort to stop the spread of the virus spread, including huge territory, traditional way of rising chickens on back yard and lack of obedience of provincial administration in implementing the Jakarta decision to stop the virus spread.

</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=15></TD></TR></TBODY></TABLE><TABLE class=hei12 cellSpacing=0 cellPadding=0 width="90%" align=center border=0><TBODY><TR><TD align=right height=25>Editor: Yan Liang </TD></TR></TBODY></TABLE>

http://news.xinhuanet.com/english/2008-02/13/content_7594244.htm

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

[This patient has been mentioned in another article, also posted below]

DBD swallowed 1 Life

Dengue dengue fever (DBD) began to spread the threat in Sragen.
Alif Tri Anggoro Putro, 17, the resident Kedungringin, Desa Soko, of Kecamatan Miri, was killed after being attacked by this seasonal illness, on Sunday (10/2).
"Arif's complaint about the illness that he the suffering already for the last one weeks."
Since suffered that (DBD) his physical condition continued to weaken, explained casualties's uncle Sunardi.
He added the Alif complaint the first time happened on Monday (4/2).
However just on Thursday (7/2), the class student 2 junior high school were in Sragen carried to one of the private hospitals in Solo.
At the time, the doctor in the local hospital stated Alif suffered DBD. Afterwards, the physical condition that was experienced by Alif continued to weaken, so as the family asked casualties to be moved to the Hospital Dr Moewardi Solo.
"During was in the first hospital, Alip was stated was affected by Dengue Fever."
After getting serious, we reconciled him to the Hospital Dr Moewardi Jebres, he stated.

In RS Moewadi the Sunardi condition increasingly serious.
Afterwards Alif blew out the last breath on Sunday around struck 06,30.
The body was afterwards buried in struck 11,00 in the funeral of the Soko Village.
Chairman RT SOKO Gito Sukarno, 55, said, apart from Arif, still was having several other residents who it was suspected also suffered the illness that was caused by the Aides Aegepty mosquitoes.
Although around his resident there are those that recovered. "Not only our village that was expected terjangkit DBD. Melainkan DBD also attacked the Barong Village, Dusun Bulaksari and the Partoyosan Village, Desa Pendem, Kecamatan Sumberlawang" imbuhnya.

Now the Sub-district Head Miri, Pujiatmoko said, apart from the Soko Village, DBD also it was indicated attacked the Girimargo Village.
However the affected DBD resident was expected infected from the other area.
The Head of Sector Pembrantasan Penyakit Menular (P2M) the Kesehatan Sragen Service, Saptorini admitted to not yet receiving the report on the existence of casualties DBD. Dimungkinkan, affected DBD casualties were treated in the hospital outside Sragen. "We did not yet receive the report" Firmly Saptorini to the reporter.
He added, the procedure continue to DBD was after the certain area was affected by the DBD attack, then the territory must be around casualties's residence done by epidemiology investigation (PE).
His aim to turn off the distribution of mosquitoes in order to be able to not breed.
If eventually was found pinched DBD mosquitoes then must be carried out by PSN, abatesasi and fongging. [fogging]
"Fongging was preferably done twice with time extension a week berturutan.
That to sever the chain of the DBD attack," imbuhnya.

http://www.jawapos.com/index.php?act=detail_radar&id=195318&c=108

hat-tip Mojo:

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#

[Commonground]

Re: Indonesian Human Cases - Feb 4, 2007+

H5N1 H2H Transmission in Tangerang Raises Concerns

Recombinomics Commentary 16:25
February 12, 2008

The confirmed H5N1 familial cluster in the Tangerang area raises pandemic concerns. Prior to this familial cluster, there was a geographic cluster in the Tangerang area. This type of cluster signals more efficient H5N1 transmission to humans.

Now the geographic cluster has been overlaid with a familial cluster, which has been confirmed and is almost certainly human to human transmission based on disease onset dates and acknowledged association between the mother and daughter.

H5N1 data out of Indonesia has been difficult. Sequences have been withheld for over a year, and the liberal use of Tamiflu blankets limits the number of lab confirmed H5N1 cases.

However, in spite of these limitations, a confirmed human cluster has emerged on the heals of clustering in the Jakarta area. The withholding of the sequence data is hazardous to the world?s health, and the denial of human to human transmission increases the likelihood of familial transmissions.

In the current cluster, the exposure of the daughter to her mother appears to be after the mother was hospitalized, raising concerns about H5N1 containment in hospital settings. In the past, familial exposures were linked to the misdiagnosis of patients, which may be the case here because the index case was transferred on January 29, which was after the daughter's exposure when her mother was hospitalized in Tangerang on January 26.

More information on the exposure, as well as sequence data from the mother and daughter, would be useful.

http://www.recombinomics.com/News/02120802/H5N1_Tangerang_H2H_2008.html

[Laidback Al]

Re: Indonesian Human Cases - Feb 4, 2007+

Location of Sragen Regency in Central Java where 17 year old Alif Tri Anggoro Putro died on Februrary 10, 2008. In the initial news reports the youth was supected of dying from Bird Flu, a later report states he died of Dengue. see post #26

[HenryN]

Re: Indonesian Human Cases - Feb 4, 2007+

Daughter of Indonesian H5N1 patient infected

Feb 12, 2008 (CIDRAP News) ? The World Health Organization (WHO) today reported that a 15-year-old girl from Indonesia is hospitalized in critical condition with an H5N1 avian influenza infection, a week after her mother's H5N1 illness was announced.
The girl, who is from West Jakarta, got sick on Feb 2 and was hospitalized 6 days later, according to a statement from the WHO. She is listed as Indonesia's 127th case-patient.
An investigation into the girl's illness is ongoing, though the WHO said she was exposed to her sick mother on Jan 27 and 28 and also spent time in a neighborhood where chickens and other birds were present. The WHO said samples from the birds have been taken to determine if they were the source of the girl's infection.
The girl's mother fell ill on Jan 23 and was hospitalized 3 days later. The WHO's Feb 5 statement on the woman, who is listed as Indonesia's 126th case-patient, said she was in critical condition. The report gave no details about the source of her infection.
Indonesia's last known family cluster of H5N1 cases was reported in January 2007, when an 18-year-old boy's H5N1 illness was confirmed after his mother died of the disease. The mother was from Tangerang, a suburb of Jakarta. The son's place of residence was not listed, but a Jan 15, 2007, WHO statement on his illness said the son and his mother probably had the same environmental exposure to the virus.
With the latest case, the WHO's global H5N1 count has reached 360 cases with 226 deaths.
See also:
Feb 12 WHO statement
WHO's global H5N1 case count
Feb 5 CIDRAP News story "WHO: H5N1 strikes two more Indonesians"
Jan 16, 2007, CIDRAP News story "H5N1 hit Indonesian mother, son, but not father"

http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/feb1208indonesia.html

[Diane Morin]

Re: Indonesian Human Cases - Feb 4, 2007+

Machine translation

Bird flu, Teror Diam

Tajuk Rencana Add comments

the Death resulting from bird flu in Indonesia has achieved the worrying figure.
From 124 cases that have happened, totalling 102 including dying.
That meant the level of this illness fatalism has reached more than 80 percent.

Meaning that, only 2 could be from his 10 sufferers ascertained will be safe.
The rest of them will statistically die.

The spreading of the bird flu illness in humankind in the beginning of 2008 quite extraordinary, against the period that was same in the year beforehand.
After the case incident could descend in knew then, currently just in the beginning of the year of several fatal cases (11/2) of a child from T. Tinggi has happened on Monday terindikasi this illness was carried to RS HAM Medan.
The government personally still continue to by means of for a long time faced this problem.

Seemed to suffer from vertigo.

The department of the Health said that indeed was not yet proven by the existence of the spread from humankind to humankind.
But with even more of them the case that was kluster, this indicated that the possibility of the spread not was not available.
Only problems of time to prove that.

In the meantime, the Department of Agriculture personally also stated that they could not act on the incident that struck humankind.
They only were assigned to his region, that is the poultry.

However the problem that really could not be resolved by the government was how that the poultry that became spread means of this case no longer is directly touching with humankind.

In various places, the poultry indeed really close to the settlement.
This was caused because of his value of economics that was very important for the community.

Indeed resulting from from this case was very big.
Pembiaran the occurrence of this case without taking the real action of appearing to allow the occurrence of still terrorism (silent terrorism) in the middle of the community.

The mutation of this illness virus will be easy to happen because of the poultry that became the source of the spread always was available.
Now his characteristics that increasingly resisten will be easy to happen also because of the occurrence of relations that were easy between various other animals that was around the poultry region.

And that was most worrying was the guarantee about medicine that currently is owned by the government.

There was the concern that because of the case emergence for the sake of the case, the community had finally chosen to consume personally medicine for this illness.

Worried that if the actual problem happened, his illness precisely can be not cured. Efficiency of the donor agency not was not available.

The Kesehatan body of the World has given consultations. Moreover the laboratory of bird flu investigation in North Sumatra then already didanai.

The European union has also provided the fund.

Currently only how moved all the resources so as to be able to be maximal.
The government necessarily more must intensify various promotion means of the health to the community to the local level.

The change in the behaviour of the community to want to take care of himself to live healthy was a long process.

Supposing that since this case happened very first in 2005 the government at once took the fast movement action of taking the form of empowerment of the community, then certainly this case will not continue


*******************************************

Flu Burung, Teror Diam

Tajuk Rencana Add comments

Kematian akibat flu burung di Indonesia sudah mencapai angka yang mengkuatirkan. Dari 124 kasus yang sudah terjadi, sebanyak 102 di antaranya meninggal dunia. Itu berarti tingkat kefatalan penyakit ini sudah mencapai lebih dari 80 persen. Artinya, hanya 2 dari 10 orang penderitanya dapat dipastikan akan selamat. Sisanya secara statistik akan meninggal dunia.
Penyebaran penyakit flu burung pada manusia di awal tahun 2008 memang luar biasa, dibandingkan dengan periode yang sama pada tahun sebelumnya. Setelah kejadian kasus sempat menurun di tahu lalu, kini baru di awal tahun sejumlah kasus fatal sudah terjadi Senin (11/2) seorang bocah dari T. Tinggi terindikasi penyakit ini dibawa ke RS HAM Medan.

Pemerintah sendiri masih tetap dengan cara lama menghadapi masalah ini. Terkesan gamang. Departemen Kesehatan menyatakan bahwa memang belum terbukti adanya penularan dari manusia ke manusia. Tetapi dengan semakin banyaknya kasus yang bersifat kluster, ini menandakan bahwa kemungkinan penularan bukan tidak ada. Hanya masalah waktu saja untuk membuktikan hal itu.

Sementara itu, Departemen Pertanian sendiri juga menyatakan bahwa mereka tidak bisa bertindak atas kejadian yang menimpa manusia. Mereka hanya bertugas pada kawasannya saja, yaitu unggas. Namun persoalan yang sangat tidak bisa diselesaikan pemerintah adalah bagaimana supaya unggas yang menjadi sarana penularan kasus ini tidak lagi bersentuhan langsung dengan manusia. Di berbagai tempat, unggas memang sangat dekat dengan pemukiman. Hal ini disebabkan karena nilai ekonominya yang sangat penting bagi masyarakat.

Memang akibat dari kasus ini sangat besar. Pembiaran terjadinya kasus ini tanpa mengambil tindakan nyata seolah membiarkan terjadinya teror diam (silent terror) di tengah masyarakat. Mutasi virus penyakit ini akan mudah terjadi karena unggas yang menjadi sumber penularan selalu ada. Sementara sifatnya yang semakin resisten akan mudah terjadi juga karena terjadinya hubungan yang mudah antara berbagai hewan lain yang berada di sekitar kawasan unggas.

Dan yang paling mengkuatirkan adalah jaminan mengenai obat yang kini dimiliki oleh pemerintah. Ada kekuatiran bahwa karena munculnya kasus demi kasus, masyarakat akhirnya memilih mengkonsumsi sendiri obat untuk penyakit ini. Dikuatirkan bahwa jika masalah yang sebenarnya terjadi, penyakitnya justru tidak akan dapat disembuhkan.

Kesigapan lembaga donor bukan tidak ada. Badan Kesehatan Dunia sudah memberikan konsultasi. Bahkan laboratorium penyelidikan flu burung di Sumatera Utara pun sudah didanai. Uni Eropa sudah pula menyediakan dana. Kini hanya bagaimana menggerakkan semua sumber daya itu sehingga bisa maksimal.

Pemerintah seharusnya harus lebih mengintensifkan berbagai sarana promosi kesehatan pada masyarakat sampai pada tingkat lokal. Perubahan perilaku masyarakat untuk mau menjaga diri untuk hidup sehat adalah sebuah proses panjang. Andaikan sejak kasus ini terjadi pertama sekali di tahun 2005 pemerintah langsung mengambil tindakan gerak cepat berupa pemberdayaan masyarakat, maka niscaya kasus ini tidak akan terus meningkat. Hanya dalam waktu 2 tahun saja, Vietnam, misalnya, berhasi mengeliminir kasus baru sampai 0 persen.

Yang tidak kalah penting adalah penegakan peraturan. Gaung mengenai pemusnahan unggas entah sampai di mana kini. Padahal, meski kontroversial, tetapi jika dengan kompensasi yang memadai, pemusnahan unggas adalah satu-satunya cara yang paling efektif untuk meredam penyebaran teror diam ini di tengah-tengah kita. Tindakan segera harus diambil. (***)

http://hariansib.com/2008/02/13/flu-burung-teror-diam/