Indonesia: Human Cases 8 Oct 2008 - January 28, 2009

[Commonground]

Re: Indonesia: Human Cases 8 Oct 2008 +

Thanks Anne.

[Anne]

Re: Indonesia: Human Cases 8 Oct 2008 +

http://www.fkm-unhas.ac.id/index.php

makassar university .. kesehatan.
I don't see if it 's a big " medical "center.

[gsgs]

Re: Indonesia: Human Cases 8 Oct 2008 +

thanks for the positives/negatives statistics.

Did they report, they had PCR positives ? How many ?
I can't find a source

[Anne]

Re: Indonesia: Human Cases 8 Oct 2008 +

Hi gsgs, I know you like statistics .. more stats in WHO's pdf ( must thanks Ironorehopper.. )

PCR in this article.. "was done"..

http://www.tempointeraktif.com/hg/nusa/2008/11/13/brk,20081113-145843,id.html

Keluhan dan gejala 17 pasien itu adalah batuk, demam, dan sesak nafas. Mengunggu hasil pemeriksaan lanjutan dari sampel darah pasien suspect ini, sementara mereka diisolasi diruang perawatan Pakis. Pemeriksaan sampel darah dengan menggunakan Polymerase Chain Reaction (PCR) dilakukan di laboratorium Universitas Hasanuddin (Unhas) dan dikirim ke Depkes, dimana membutuhkan waktu sekitar 2 hari untuk mengetahui hasilnya.

<table id="texttable"><tbody><tr valign="top"><td id="sourcecell"><script>_SetupBidi('source');</script>
</td><td id="gap">
</td><td class="almost_half_cell">17 complaints and symptoms of the patient is coughing, fever, and shortness of breath. Mengunggu the results of further blood sample from the suspect patient is, while they affect treatment diisolasi fern. Examination of blood samples using the Polymerase Chain Reaction (PCR) is done in the laboratory Hasanuddin University (Unhas) and sent to the Ministry of Finance, which takes about 2 days to know the results.
</td></tr></tbody></table>

http://www.southeastasiantimes.com/

17 in Makassar hospital with suspected bird flu
From News Reports:
Jakarta, November 15: The Wahidin Sudirohusodo General Hospital in Makassar, South Sulawesi, has admitted 17 patients with suspected bird flu in two days, reports The Jakarta Post.
The patients, mostly children, presented with symptoms of the disease, such as a high fever, cough and respiratory difficulties, the newspaper quoted hospital spokesman Andi Kurnia Bintang as saying.
All were from Makassar’s Biringkanaya district.
Initial tests of the first seven patients indicated the presence of the H5N1 avian virus.
The hospital was now awaiting confirmation of the results from blood tests done by the Micro Laboratory of the Hasanuddin University Medical School, he said.
The hospital’s senior emergency unit officer Wasis Udaya said of the other ten: “They showed symptoms of bird flu, such as a high fever and respiratory problems, but we are still waiting for the results of the rapid tests, thorax photos and blood tests.”
The hospital had set aside 11 beds for potential bird-flu patients but has had to increase the number.

[Shiloh]

Re: Indonesia: Human Cases 8 Oct 2008 +

Source: http://www.fajar.co.id/index.php?act=news&id=54609
Sabtu, 22-11-08 | 16:02 | 102
13 Warga Sudah Dipulangkan
Suspect Flu Burung di Tangki Jangang
Laporan: Akbar Hamdan

Machine translation:
On Saturday, 22-11-08 | 16:02 of | 102 13 residents already Dipulangkan Suspect Bird Flu in the Jangang Tank The report: Great Hamdan

MAKASSAR -- As Many As 13 from 17 residents of the Jangang Tank, Kelurahan Sudiang, of Kecamatan Biringkanaya, that beforehand it was suspected contracted bird flu finally had been returned.

Was based on results of the laboratory inspection, was not found by the existence of the bird flu virus in the sample of their blood.

Ruslan, one of the residents that almost all of his family was stamped suspect bird flu felt grateful. On last Saturday, his son who was named Irwan, 6 years, as well as his three nephews that still pre-schoolers were allowed to return to the house.

Beforehand, 5 other residents have also been allowed to return to his house was their respective.

However the Ruslan parent-in-law was named Juhani, his brother-in-law of Saleha, as well as his two neighbours still continue to was in RSUP Wahidin Sudirohusodo in order to ascertains the four of them also not terjangkit bird flu. "Possibly they will go in the near future out," said Ruslan.

Ruslan admitted to since the beginning of himself being convinced the size family not terjangkit the deadly illness. He suspected the medical official from the Sudiang Community Health Centre too much was on the alert when diagnosing the illness that was suffered by his family's member.

At this time, the condition for the family's Ruslan member who could be treated has begun to improve. Only, Ruslan regretted the shortage of attention of local government apparatus.

"Our family's ten days were treated, there were not even one of the local government apparatus that came," said Ruslan.

Ruslan also informed his two neighbours just was put into RSUP Wahidin Sudirohusodo as suspect bird flu. The "sample" of "their blood was still being researched," he stated. (aha)

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

The Demak resident Suspect Bird Flu The


Sunday, November 23 2008 00:00

DEMAK?Lagi, a patient suspect bird flu was treated in RSUP Kariadi Semarang. The female patient had the initials Dj, 50, the resident RT 4 RW 5 Donorejo villages, Kecamatan Karangtengah, Demak, was reconciled to RSUP Kariadi on Tuesday (18/11), after could be treated for two hours in the Daerah Hospital (RSD) Sunan Kalijaga Demak. RSD Sunan Kalijaga Sukardjo SKM public relations said, Dj was carried to the hospital on Tuesday (18/11) with the sign of the hot body high was accompanied by acute coughs as well as was difficult to breathe.

Upon arrival at RSD, the patient suspect the bird flu was at once isolated in special space, that is in Soka space. And, after being carried out by observation for approximately two hours, finally Dj was reconciled to RSUP Kariadi Semarang by the Kesehatan Service (Dinkes) Demak. ?Ruang our isolation was more inadequate. Wanted did not want, the patient was reconciled by us to Semarang. Because, the patient needed tight isolation space. If not, we worried his condition increasingly memburuk,? said Sukardjo to the Semarang Radar yesterday.

One of the children Dj, Miftahul Ummah, 36, when being met this newspaper in his house the afternoon yesterday (22/11) said, his mother was carried to RSD Sunan Kalijaga last Tuesday (18/11) after experienced was sick difficult flu.
However, himself did not know whether his mother was affected by bird flu or not. According to him, two the previous day, to be precise on Sunday (16/11), his mother could throw his property chicken that suddenly died to the river close to his house away.
?Tapi, before that, the mother already coughs, and hot badan,? he said.
Beforehand, continued Miftahul, his mother could also sell as many as 20 nonpedigreed chickens that were maintained. The chicken that was sold in the healthy situation all. The chicken sales revenue was then used by casualties to buy fertiliser. ?Selang two days, the mother felt his body to be hot. He direct memeriksakan to the village doctor. But, not sembuh,? he said.

In the meantime, last Friday (21/11), the Kesehatan Service side of the Regency and the Central Javan Province has also carried out the checking to the location of the Dj residence in the Donorejo Village, Karangtengah. They took the sample of blood of hundreds of chickens belonging to the Dj neighbour for the need of the research in the laboratory.
Suwarno, Donorejo Village equipment that also the neighbour Dj said, the sample of blood that was taken by this Kesehatan Service was not yet known by results. Because, still in the process of the research. ?Kita was asked to be waiting hasilnya,?ujar him in the Dj house yesterday.

When being confirmed, Plt Section Head Kesehatan Demak Dr Singgih went through Kasi Pemberantasan of Sri Hartanto infectious diseases explained, the patient suspect this bird flu of two could the previous day hold his property chicken that suddenly died. Two days afterwards that was relevant experienced hot high, then was brought took medicine, and has been given medicine tamiflu.

However, because of not having the change, finally was brought to RSD Demak. After being observed two hours in the hospital, then were sent to RS Kariadi, Semarang. ?Setelah was checked by results of the negative. But, we not yet confirmation ulang,? he explained the afternoon yesterday. Contacted was separated, public relations of RS Kariadi Semarang M. Alfan confirmed if Dj was the reconciliation patient from RSD Kalijaga Demak. ?Dj entered RSUP Kariadi on Tuesday, November 18 lalu,? obviously him.
While being treated in RSUP Kariadi Semarang, continued he, Dj was placed in special isolation space the bird flu patient. This remembered Dj had the clinical sign that was suspected by Avian Influenza (AI). Among them, the high fever, breathless, as well as beforehand contact with the poultry. Nevertheless, according to Alfan, the Dj condition was not as serious as DS (15), the positive patient bird flu from Medoho, Kelurahan Siwalan, Kecamatan Gayamsari that died last Friday (7/11).

?Karena the patient diindikasi bird flu, then we then gave the handling was proper for the flu patient burung,? he explained. Until striking 20,00 last night, the Dj condition continued to improve. Unfortunately, through to last night did not yet have the explanation whether Dj positive bird flu or not. This newspaper also did not yet get medical information from the doctor RSUP Kariadi, because of the doctor who handled Dj was being outside negeri.

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

Again, Kariadi Hospital Care Suspect AI Saturday


22 November 2008 Saturday,
SEMARANG (long) - go back Kariadi RSUP of patients receiving suspect Avian Influenza (AI), JW, 50, village residents Donorejo, Demak. Since Tuesday (18/11), patients into RSUP Kariadi off on a referral from hospitals in the district of Demak.
Patients experiencing the symptoms of clinical suspicion of AI, such as fever, breathlessness, and contact with poultry. Patients treated in the installation of special facilities for handling the bird flu.
RSUP of public relations Kariadi M Alfan disclose, the condition of the patient is not too bad. Actions refer patients suspect AI is appropriate before the condition worsened.
"When patients suspectAI suspected, the patient will be subject to appropriate standards of care AI although the results have not yet known," said Alfan long time to be contacted yesterday.
Until 19:30, patients are still in control despite the condition of patients continue to improve. According to Alfan, pasiensudah not experienced difficulty breathing and fever.
"If conditions continue to improve patient, the patient akansegerapulangke home," said Alfan. Related medical conditions patients, medical authorities can not provide details. The doctors who handle patients suspcet AI are abroad.
In separate places, hospitals, Sunan Humas Kalijogo District Demak Sukarjo confirming that the residence of patients with constipation poultry that is close to the place of chicken.
Patients go to hospitals, Sunan Kalijogo Tuesday (18/11) with the condition to worsen, such as high fever accompanied by cough and breathlessness, the afternoon brought the patient directly to Semarang to get further treatment.
"Viewing the clinical symptoms of patients that leads to bird flu, and coordinate denganbeberapapihaktermasuk District Health Office decided Demak patients referred to the Kariadi (RSUP Dr. Kariadi)," he said when contacted long, yesterday.

Meanwhile, Kasi of Diseases (P2M) At the official P2PL District Health Office Hartanto Demak Sri state, patients with constipation has been stored poultry. Before entering the hospital, patients were dikabarkan dispose of dead chickens. "In previous live near the place also found many dead chickens," he explained.
Up to now, has not been known to have carried out the spraying in the area or belum.Namun, from the Office of Health have conducted penyisiran residents in the area whether there is also the clinical symptoms such as the JW. "If spraying, they represent the Animal Husbandry Department.
Already or less what I know, "pungkasnya. Previously a patient suspectflu bird DS, 15, residents Road Medoho III, RT05 / I Neighborhood Siwalan Subdistrict Gayamsari Semarang, also had to undergo treatment in Kariadi before finally died on 7 November and because of the positive AI.
Adverse events that the City Health Office (DKK) Tauranga City Tauranga define the status of Extraordinary Events (KLB) Avian Influenza (AI) ataufluburung.

Determination KLB is also followed by the destruction of a number of birds and cages around the house victims. However, after a defined status as KLB bird flu, since Friday (21 / 11), DKK Semarang eventually revoke the status KLB Semarang. However, citizens remain prompted to increase kewaspadaannya against the disease. (hendrati hapsari/ mg02/susilo himawan)

Here is the TT version of the first part of the article

Lagi,RS Kariadi treated Suspect AI on Saturday, on November 22 2008 Semarang (SINDO) ? RSUP Dr Kariadi again received the patient suspect Avian influenza (AI), JW, 50, (citizen, resident )the Village Donorejo,Demak.
Since Tuesday (18/11) ,pasien entered RSUP Dr Kariadi on reconciliation from a hospital in the Demak Regency. The patient experienced clinical signs that were suspected by AI, like the fever, breathless, and was touching with the poultry.
The patient was treated in the room of the special installation the handling of bird flu. RSUP public relations Dr Kariadi M. Alfan said, the condition for the patient was not too bad. The action reconciled the patient suspect AI was judged exact before his condition increasingly worsened.
?Ketika the patient was suspected suspectAI,pasien will be put on by the maintenance in accordance with the AI standard although being not yet known hasilnya,? Alfan words when being contacted by SINDO yesterday. Until struck 19,30, the patient was still continuing in the supervision although the condition for the patient continued to improve. According to Alfan,pasiensudah did not experience breathless and feverish.

hattip MOJO

[Commonground]

Re: Indonesia: Human Cases 8 Oct 2008 +

Hi gsgs, I know you like statistics .. more stats in WHO's pdf ( must thanks Ironorehopper.. )

PCR in this article.. "was done"..

http://www.tempointeraktif.com/hg/nusa/2008/11/13/brk,20081113-145843,id.html

Keluhan dan gejala 17 pasien itu adalah batuk, demam, dan sesak nafas. Mengunggu hasil pemeriksaan lanjutan dari sampel darah pasien suspect ini, sementara mereka diisolasi diruang perawatan Pakis. Pemeriksaan sampel darah dengan menggunakan Polymerase Chain Reaction (PCR) dilakukan di laboratorium Universitas Hasanuddin (Unhas) dan dikirim ke Depkes, dimana membutuhkan waktu sekitar 2 hari untuk mengetahui hasilnya.

<table id="texttable"><tbody><tr valign="top"><td id="sourcecell"><script>_SetupBidi('source');</script>
</td><td id="gap">
</td><td class="almost_half_cell">17 complaints and symptoms of the patient is coughing, fever, and shortness of breath. Mengunggu the results of further blood sample from the suspect patient is, while they affect treatment diisolasi fern. Examination of blood samples using the Polymerase Chain Reaction (PCR) is done in the laboratory Hasanuddin University (Unhas) and sent to the Ministry of Finance, which takes about 2 days to know the results.
</td></tr></tbody></table>

http://www.southeastasiantimes.com/

17 in Makassar hospital with suspected bird flu
From News Reports:
Jakarta, November 15: The Wahidin Sudirohusodo General Hospital in Makassar, South Sulawesi, has admitted 17 patients with suspected bird flu in two days, reports The Jakarta Post.
The patients, mostly children, presented with symptoms of the disease, such as a high fever, cough and respiratory difficulties, the newspaper quoted hospital spokesman Andi Kurnia Bintang as saying.
All were from Makassar?s Biringkanaya district.
Initial tests of the first seven patients indicated the presence of the H5N1 avian virus.
The hospital was now awaiting confirmation of the results from blood tests done by the Micro Laboratory of the Hasanuddin University Medical School, he said.
The hospital?s senior emergency unit officer Wasis Udaya said of the other ten: ?They showed symptoms of bird flu, such as a high fever and respiratory problems, but we are still waiting for the results of the rapid tests, thorax photos and blood tests.?
The hospital had set aside 11 beds for potential bird-flu patients but has had to increase the number.

The Hasanuddin University Medical School is located in Makassar, Indonesia. I don't believe they were part of the study. So, the results of this study, cannot be related, because we don't know what the current situation re: strains and mutations is, in Indonesia.

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

PANDEMIC SIMULATION

The Jakarta Post | Sat, 11/22/2008 6:29 PM | National

Health inspectors with special wardrobes take samples from a chicken for avian influenza tests in Tamangapa village, Makassar, on Saturday. The activity was part of a simulation on how to handle an avian influenza pandemic.croftbloghttp://www.thejakartapost.com/news/2...imulation.html

[Laidback Al]

Re: Indonesia: Human Cases 8 Oct 2008 +

The latest suspected human H5N1 case is JW {DJ?} (50) is from Donorejo (-6.88928, 110.601497), a village located on the southwestern side of <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:place w:st="on"><st1:PlaceName w:st="on">Demak</st1:PlaceName> <st1:PlaceType w:st="on">Subdistrict</st1:PlaceType></st1:place> (Kecamatan), which is in the regency of Demak. This regency of Central Java is immediately adjacent to the east of Kota Semarang in <st1:place w:st="on">Central Java</st1:place>. See post #286

[gsgs]

Re: Indonesia: Human Cases 8 Oct 2008 +

PCR was done, but was it positive ? And how many ?

[mixin]

Re: Indonesia: Human Cases 8 Oct 2008 +

Gs, this is from the Jakarta Post a couple of days ago:

The hospital, he said, is still waiting for the results of blood tests from the Health Ministry.

An initial test of all the patients' blood has indicated the presence of the avian influenza virus, H5N1. The same test by the micro laboratory of Hasanuddin University's School of Medicine in Makassar indicated the same results.

Halik said the hospital had decided not to use them as an indicator or reference for the illness.

"The only results we will refer to in order to treat our patients will be those from the laboratory of the health ministry's research and development center," he said.

[Anne]

Re: Indonesia: Human Cases 8 Oct 2008 +

this explain why they take such control measures .

[gsgs]

Re: Indonesia: Human Cases 8 Oct 2008 +

so, I guess, you think it's a "no"

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

so, I guess, you think it's a "no"

The tests were positive and the patients were isolated, consistant with the POSITIVE lab results.