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Wrong! - Indonesia does not have to worry about bird flu (BBC, January 4 2012)

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  • Wrong! - Indonesia does not have to worry about bird flu (BBC, January 4 2012)

    [Source: BBC, full text: (LINK). Automatic translation from Bahasan to English, edited.]
    Indonesia does not have to worry about bird flu



    Latest January 4, 2012 - 19:24 pm


    The whole world is still wary of the possibility of re outbreak of bird flu.

    In the beginning of year press conference, Health Minister Endang Rahayu Sedyaningsih said the priority of the ministry he leads for the year 2012 is the handling of non-communicable diseases and improving the quality of hospital care spaces in particular class III.

    Nevertheless, continued the minister, does not mean the handling of infectious diseases such as avian flu or HIV / AIDS reduced attention. All programs for handling various infectious diseases continues.

    "Especially the bird flu, the number of cases continues to decline each year. This means the handling of bird flu in Indonesia are still ongoing," said Endang Rahayu.

    Ministry of Health, continued Endang, continue to coordinate with various ministries involved in the handling of the spread of bird flu, for example the Ministry of Agriculture.

    "We continue to coordinate with the Ministry of Agriculture in particular to monitor the health of poultry in Indonesia," he continued.

    In addition, Indonesia has had at least 10 hospitals are already equipped with isolation rooms to treat bird flu patients.
    " In Indonesia today from 33 provinces less than half the livestock poultry free from bird flu virus. " - Tjandra Yoga Aditama


    Rates of bird flu in Indonesia are among the highest in the world. From 2005 to 2011, recorded 182 cases of bird flu that resulted in 150 people died.


    One recent case is the death of three people from bird flu in Bali in October last year despite having received treatment in Sanglah Hospital, Denpasar.

    D irektur General of Disease Control and Environmental Health (P2PL) Tjandra Yoga Aditama acknowledges bird flu has not completely disappeared from Indonesia.

    "Throughout 2011, there were 57 cases of bird flu worldwide. In Indonesia there are 11 cases, was slightly increased from the year 2010 the nine cases," said Tjandra Yoga.

    However, continued Tjandra, this figure declined considerably compared to the year 2009 to reach 26 cases.

    "In general, the numbers of cases of bird flu in Indonesia and the world continue to decline," said Tjandra.

    So far bird flu is only transmitted from birds to humans.

    Although rates of bird flu continues to decline, Tjandra asserted, Indonesia bird flu is endemic countries. That means this deadly disease has not completely disappeared from Indonesia.

    "Bird flu is still possible if a pandemic broke out in the world. So that the whole world still wary of the spread of this disease," said Tjandra.

    So in anticipation of this disease, Tjandra ensure a variety of prevention programs continue to run despite the relatively small case numbers.

    "The program is divided into three, in the Ministry of Agriculture, Ministry of Health and lifestyle changes in society such as washing hands with soap," he said.

    Tjandra confirmed so far bird flu infections still occur from birds to humans. So long as there are birds with the H5N1 virus.

    "In Indonesia today from 33 provinces less than half the livestock poultry free from bird flu virus," he said.
    - -------

  • #2
    Re: Indonesia does not have to worry about bird flu (BBC, January 4 2012)

    "Throughout 2011, there were 57 cases of bird flu worldwide. In Indonesia there are 11 cases, was slightly increased from the year 2010 the nine cases," said Tjandra Yoga.

    However, continued Tjandra, this figure declined considerably compared to the year 2009 to reach 26 cases.
    The decline in cases referenced by Tjandra are only the officially reported cases that Indonesia chooses to report to WHO. As discussed elsewhere here at FluTrackers we have no idea how many cases are either unreported officially or might go unrecognized as mild or subclinical infections.
    http://novel-infectious-diseases.blogspot.com/

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    • #3
      Re: Indonesia does not have to worry about bird flu (BBC, January 4 2012)

      Indonesians need to be worried about bird flu. It is still endemic in their environment.

      At the very least, it is a novel influenza that causes deaths in a rate that exceeds "normal" human seasonal flu by tricking the human immune system into attacking itself. Once a cytokine storm is in full force, it is very difficult to wind the system down. Oseltamivir only works if given before the body suffers this storm:

      J Infect Dis. 2006 Jul 1;194(1):61-70. Epub 2006 May 26.
      Differential expression of chemokines and their receptors in adult and neonatal macrophages infected with human or avian influenza viruses.
      Zhou J, Law HK, Cheung CY, Ng IH, Peiris JS, Lau YL.
      Source
      Department of Paediatrics and Adolescent Medicine, Hong Kong Jockey Club Clinical Research Centre, Faculty of Medicine, University of Hong Kong, Pokfulam, Hong Kong SAR, China.
      Abstract
      In 1997, avian influenza virus H5N1 was transmitted directly from chicken to human and resulted in a severe disease that had a higher mortality rate in adults than in children. The characteristic mononuclear leukocyte infiltration in the lung and the high inflammatory response in H5N1 infection prompted us to compare the chemokine responses between influenza virus-infected adult and neonatal monocyte-derived macrophages (MDMs). The effects of avian influenza virus A/Hong Kong/483/97 (H5N1) (H5N1/97), its precursor A/Quail/Hong Kong/G1/97 (H9N2) (H9N2/G1), and human influenza virus A/Hong Kong/54/98 (H1N1) (H1N1/98) were compared. Significantly higher expression of CCL2, CCL3, CCL5, and CXCL10 was induced by avian influenza viruses than by human influenza virus. Moreover, the increase in CCL3 expression in H5N1/97-infected adult MDMs was significantly higher than that in neonatal MDMs. Enhanced expression of CCR1 and CCR5 was found in avian virus-infected adult MDMs. The strong induction of chemokines and their receptors by avian influenza viruses, particularly in adult MDMs, may account for the severity of H5N1 disease.

      http://www.ncbi.nlm.nih.gov/pubmed/16741883
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