INDONESIA - Bandung Cluster, W. Java (5-8 suspected/confirmed cases at present)

[HenryN]

Re: INDONESIA - "Cluster Just Bird Flu in Bandung"

Liputan6.com, Bandung: plague Terrorism of bird flu in Bandung, West Java did not yet stop.

On Monday night (25/9), the Handsome Hospital Sadikin Bandung (RSHS) again accepted the assumption patient of bird flu.

The precious stone diamond was brought to the hospital because of pointing out the sign of bird flu like the high fever, the cough, as well as breathless.

The diamond was the brother Zakaria Divine Guidance that was reconciled to RSHS the previous day because of bird flu.

The condition for Divine Guidance personally till Tuesday early afternoon, still was weak.

The temperature of his body on 38 Celsius levels.

To breathe, Divine Guidance that still was isolated in this poinciana tree space must make use of ventilator aids [read: Indonesia 60 seconds].

The eldest child's older brother Divine Guidance and the Diamond that is Indrajaya flowers died, Ahad set, when being treated in the Hospital Saint Yusuf, Bandung.

Indra it was suspected was killed because of being infected by the virus avian influenza.

If the three older brothers were siblings this was positive bird flu then this was the case cluster first bird flu in Bandung.

Only in a year, was recorded by 53 Indonesian citizens was killed resulting from this deadly virus.

The death rate in the Motherland was what was highest in the world.
Currently only three free provinces bird flu.

According to Health Minister Siti Fadilah Supari, so that free from bird flu terrorism must him all the poultries were destroyed.

"It should be that did not have the poultry in the mainland like in Vietnam the poultry was cleaned six months," said he.

Now the Head Desk the Control of the Department's Bird Flu of Azhari Pomegranate Agriculture said, his side faced the hindrance in the program of the poultry vaccination, especially from the number of vaccines.

The "fund for the handling of the limited same vaccine," said the Pomegranate.

As prevention efforts to have several matters that must be done, as guarding the cleanliness himself and the environment especially from the waste of the poultry, washed the hands with soap under water flowed, cooked the chicken and the egg fully, and vaccinated the kept poultry routinely.

Did not lose important memeriksakan himself if being attacked by the high fever after contact with the poultry.

(JUM/Tim Coverage 6 SCTV)

http://www.liputan6.com/view/3,12981...159270625.html




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[HenryN]

Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

Liputan6.com, Bandung: Zakaria Divine Guidance had finally been stated positive bird flu.

The sample of blood and the patient's body fluids that were researched in the Laboratory of the Jakarta Health of the Body of the Department's Research And Development positive terjangkit the virus H5N1.

This assurance was sent the Managing Director of the Handsome Hospital of Sadikin Professor Cissy the officer in Bandung, West Java, on Tuesday (26/9).

Zakaria divine guidance, was reconciled to RSHS the previous day.
The temperature of his body on 38 Celsius levels.

Divine guidance was still being isolated in poinciana tree space and must be making use of respiratory aids.

The condition for Divine Guidance personally till Tuesday early afternoon, still was weak [read: Again, the New Patient the Assumption of Bird Flu in Bandung].

RSHS also treated the precious stone Diamond, the brother Divine Guidance.

The diamond entered the hospital struck 21.
00 WIB with the breathless sign and the temperature of the high body.

The eldest child's older brother Divine Guidance and the Diamond that is Indrajaya flowers died, Ahad set, when being treated in the Hospital Saint Yusuf, Bandung.

Indra it was suspected was killed because of bird flu.

If the three older brothers were siblings this was positive bird flu then this was the case cluster first bird flu in Bandung.

Till at this time, has had eight patients RSHS that was ascertained positive terjangkit H5N1.

Lima including dying.

http://www.liputan6.com/view/3,12982...159271616.html
(TOZ/Tim Coverage 6 SCTV)

[HenryN]

Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

Liputan6.com, Bandung: Zakaria Divine Guidance had finally been stated positive bird flu.

If the three older brothers were siblings this was positive bird flu then this was the case cluster first bird flu in Bandung.
Till at this time, has had eight patients RSHS that was ascertained positive terjangkit H5N1.
Lima including dying.

http://www.liputan6.com/view/3,12982...159271616.html
(TOZ/Tim Coverage 6 SCTV)

Above is false. Earlier Bandung cluster

http://www.recombinomics.com/News/05240601/H5N1_Bandung_Fatalities_2.html

[Harriet]

Re: INDONESIA - &quot;Cluster Just Bird Flu in Bandung&quot;

http://www.alertnet.org/thenews/newsdesk/JAK269156.htm

Indonesia probes possible bird flu cluster in family

JAKARTA, Sept 26 (Reuters) - Indonesia is investigating a possible cluster of bird flu cases after a man died and his brother and sister were hospitalised, one of them testing positive for bird flu, a doctor said on Tuesday.

The man, 25, died on Sunday with bird flu symptoms after being treated at a Christian hospital in Bandung, the capital of West Java province, said Hadi Yusuf, head of the bird flu ward at the city's Hasan Sadikin hospital.

The dead man's brother, 20, and sister, 15, were being treated in Hasan Sadikin hospital and tests carried out by a government laboratory showed the surviving brother had bird flu, Yusuf said.

It was not clear if samples from the dead brother had been taken for tests when he was treated, the doctor said.

"The condition of the (other) brother is not good. He's on a ventilator," Yusuf told Reuters by telephone.

Results for the girl were expected on Wednesday, he said.

The brothers often bought dead chickens to feed their dog, but the girl had no known history of contact with chickens, the doctor said.

"If it is true that the youngest did not touch chickens at all and she had bird flu, we need to suspect she got it from the brothers," he said.

According to the World Health Organization (WHO), 146 of the 249 people confirmed as infected with H5N1 bird flu have died since 2003.

Those infected have come from countries ranging from China to Iraq to Djibouti. Indonesia, with 51 deaths, has the highest toll of any nation.

In Thailand, a 59-year-old man died of bird flu last month, the country's 17th victim of the virus since it swept through much of Asia in late 2003, a senior Health Ministry official said on Tuesday.

The man died on Aug. 10 in a northeastern province near the Lao border after chickens at his house fell sick and died, the official said.

The virus mainly affects birds but experts fear it could mutate into a strain capable of killing millions of people in a global pandemic.

This fear heightened in May when seven people in an extended family died of bird flu in Indonesia's North Sumatra province.

The WHO has said limited human-to-human transmission is highly likely to have occurred in the Sumatra cases but that the transmission was not sustainable and occurred only during close, prolonged contact, such as a parent looking after an infected child.

Indonesia has been criticised for not doing enough to combat the disease, endemic in birds in most of the provinces in the archipelago of 17,000 islands, the world's largest.

The United Nations bird flu coordinator, David Nabarro, said this month that Indonesia had made progress in its fight against bird flu.

But he expressed disappointment at the slow flow of funds pledged by international donors to Indonesia for the effort.

Health experts and scientists say it is crucial to control the virus from spreading in poultry to limit the chances of more people contracting the disease. The more it spreads, the greater the risks of the virus mutating into a form that can easily pass between humans.

[HenryN]

Re: INDONESIA - Bandung Cluster, West Java

http://www.kompas.com/ver1/Kesehatan/0609/26/224639.htm

Three older brothers was siblings most Suspicious Bird Flu

The report on the Reporter Kompas Mohammad Hilmi Faiq
Bandung, Kompas - three older brothers were siblings the citizen of the Gardener's District Waru, the Batununggal Subdistrict, of the Bandung City, most suspicious (suspect) bird flu.

One among them, namely T (20) in fact was stated positive tertular the virus H5N1 and currently was treated in the Handsome Sadikin Hospital with his younger sister, I (15).

As for their older brother of Ij (23) died before could be checked his blood.

Ij and T experienced the hot and breathless sign since Monday (18/9).

However the family did not realise that the sign that was suffered by Ij and T resembled the sign of bird flu.

Therefore, Ij was only brought to the general practitioner.

On the Saturday (23/9), both of them afterwards in brought to the Hospital Saint Yusuf.

When the older brother was siblings this will be brought to RSHS, Ij died, on Sunday early afternoon (24/9).

T afterwards below to Poinciana Tree Space RSHS. he came with the difficult condition.

Breathless and his blood pressure descended, and his leucocytes were low, around 2.
000.

?Sehingga necessary diventilator and was given the medicine to increase the pressure darah,? said the Chairman Tim the Control of Bird Flu of RSHS Bandung Dr Hadi Jusuf, Sp.

To (K).
KPTI, on Tuesday (26/9).

According to Dr Hadi, results x-rayed of the Hospital Saint Yusuf showed the spotty existence or the inflammation to the patient's lungs.

However a following day, the inflammation filled all the lung.

T was given by Tamiflu and antibiotik.

Until this news was written by his condition did not yet improve.

Hadi explained, did not yet have the clarity when T contact with the poultry.

However, could be confirmed that he had the story of contact with the poultry.

The managing director RSHS Bandung Cissy Rachiana Sudjana the officer Kartasasmita said, results of the laboratory inspection menunjukan that T positive bird flu.

?Konfirmasi was gotten around struck 06.
30.
He was positive H5N1.

It was quite new that one inspection time.

Usually if first positive, the further inspection also positif,? he said.

As for the younger sister T, namely I (15) entered Poinciana Tree Space on the Monday (25/9) around struck 21.

00.
He experienced the hot sign and the cough, but not breathless.

In the meantime, the Section's headword of the Health Service of the Bandung Animal of the Service of City Agriculture drh Lismiasih said, the family of the three older brothers was siblings this indeed had four chickens and eight entok.

At this time, the agricultural Service just took sample the poultry blood.
?Tapi did not have the death of the poultry.

Only indeed had contact between the patient and the chicken and entok,? said Drh Lies.

Officially Agriculture not mendepopulasi these poultries at the request of his owner.

Depopulation was just carried out after learning that the poultry was positive flattest H5N1.

?tapi already we vaksinansi,? said Drh Lismiasih.

Drh Lismiasih explained, all the chickens have in the Bandung City been vaccinated in three stages.

But, entok in the T house the possibility terlewat and not yet divaksin.
Moreover the Bandung Service of City Agriculture mendepopulasi dozens of poultries in the Margasenang District, on Tuesday (26/9).

Because, the previous day was found by the chicken died suddenly that positive avian influenza.

[HenryN]

Re: INDONESIA - Bandung Cluster, West Java

http://www.suaramerdeka.com/cybernew...9/26/nas19.htm



The Bandung citizen Positive Burung Bandungan Flu, CyberNews.

A citizen from the Batununggal Subdistrict, Bandung, Divine Guidance (20) was stated positive terjangkit bird flu.

Beforehand, he who was stated suspect got the maintenance in RSHS Bandung since last Sunday.

Till Tuesday (26/9), his condition not yet menunjukan the change.T his assurance was sent by the Managing Director RSHS, Prof. Dr. Cissy Rachiana, on Tuesday."

Results of the upper inspection sample his blood menunjukan H5N1 him was positive," he stated.

On Monday night around struck 21.00, this brother of the patient's youngest child, the Diamond (15) also was brought to RSHS because of complaining suffered hot, the cough, and breathless.

The hospital side at once took the sample of relevant blood to be done by the inspection.

It did not yet have upper confirmation of results.

Beforehand, the older brother Divine Guidance, Indra (24) died with the same sign last week.

He could receive the maintenance in RS Saint Yusuf Bandung.

His body was at once buried on that day also.

Sample his blood could not be it was reported taken.

The patient suspect that was believed in had the story of contact with the poultry.

"This incident still could not be stated as the case cluster bird flu. "

Because if cluster, that was stated positive more than one, he said.(setiady dwie/cn09)




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[HenryN]

Re: INDONESIA - Bandung Cluster, West Java

Bird flu attacked Bandung!


http://www.pikiran-rakyat.com/cetak/...06/27/0102.htm

Bandung, (HOMEWORK).- the Patient suspect bird flu had the initials TJ (20) was stated positive contracted the virus H5N1 (Avian influenza/AI).

That was based on results of the first sample test by Balitbangkes in Jakarta.

?Tadi my morning telephoned to Jakarta and I have received the answer that results positif,? said the Managing Director of the Handsome Sadikin Hospital (RSHS) Bandung, Dr. Cissy R. Sudjana the officer, on Tuesday (26/9).

The OFFICIAL from the team of the handling of Bandung bird flu of the Service of City Agriculture took the sample of blood from several kept chickens the citizen around the deceased's IJ residence in [*snip*] Kec.Batununggal Bandung, on Tuesday (26/9).M. the SAPTA TUMULT/HOMEWORK Therefore, TJ was suspect first bird flu in the Bandung City that was stated positive was ill H5N1.

Officially the Health of the Bandung City recorded had 17 patients who beforehand were stated suspect bird flu.

Although results of the first test showed positive, the team of the doctor RSHS will continue to send the second and third sample to more decisive keakuratan results.

Dr. Cissy did not yet say that this case including kluster bird flu.

According to him, was mentioned kluster if that was stated has been positive more than one person.

?Belum could be said kluster, although his older brother has died, because of his older brother ?kan was not checked here (RSHS, -red) ,? said Dr. Cissy.

After TJ was treated in RSHS, his brother also namely IM (15) entered Poinciana Tree Space RSHS on Monday night (25/9) approximately struck 21.00 WIB. according to the Chairman Tim the Handling of the Case of Bird Flu, Dr. Hadi Jusuf, Sp.P. D. KPTI, IM suffered hot and the cough.

?Kondisi him was good, not crowded, but was hot and batuk,? he said.

Whereas TJ, added Dr. Hadi, his situation did not yet show the change.Was based on results of the photograph thorax, the inflammation has on his lungs spread.

?Foto thorax when he entered RSHS, originally seldom was inflamed in left low.

In one day, right left already penuh,? he said.

At this time, TJ was still being helped to make use of the ventilator and still in consciousness.

According to one of the cousins TJ, Dede Supriatna, a week beforehand, the older brother TJ, IJ (24), that died on Sunday (24/9) brought chickens died for dog food pitted his property that normally is pitted with the wild boar in the Sanding area, Garut.Sepulang from Garut, IJ and TJ began to be ill hot high, breathless, and hypotension.

On Saturday night (23/9), both of them were run off with to RS Saint Yusup after beforehand went to the doctor the public.






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[HenryN]

Re: INDONESIA - Bandung Cluster, West Java

Officially Agriculture (Distan) the Bandung City, immediately carried out limited depopulation against the poultry belonging to casualties around the TJ house in [*snip*] Kec.Batununggal Bandung, on Tuesday afternoon (26/9).

On Tuesday morning was done by the taking of the sample.

The extermination was carried out against 4 hens, 9 roosters, 3 chicks, 4 entog, 5 doves, and 3 dove birds.

?Dan tomorrow (the day this-red.), Distan the Bandung City will carry out the cleaning in the chicken coop mereka,? said Kadistan the Bandung City, Ir. Yogi Breakingprep Supardjo, M. The.

Moreover, they will also carry out the revaccination against the poultry in the area of the radius 1 km from the chicken coop belonging to TJ, as well as spraying in pens of the citizen's poultry.

In the meantime, the Section Head Livestock Breeding (Kadisnak) West Java, Rachmat Setiyadi said, was based on information from Participatory Disease Research (PDR), the sample of dog blood was also taken henceforth was checked.

If positive results, depopulation against the dog then will be carried out.

Depopulation against the positive poultry also was carried out by the side Distan the Bandung City in RT 05/RW 08, Kel.Margasenang Bandung, on Tuesday (26/9).

As far as this is concerned, already nine districts in the Bandung City that his poultry was positive bird flu, namely Kel.Dago, Cigadung, Sukagalih, Margasari, Margasenang, Sindangjaya, Sekejati, the Gardener Kangkung, and Kel.Kebonwaru.(A-156/A-154)


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[Commonground]

Re: INDONESIA - Bandung Cluster, West Java

Very good....they are testing the dog/dogs. Wonder if they tested Indra's dog? Wonder if he's alive and kicking.....

[AlaskaDenise]

Re: INDONESIA - Bandung Cluster, West Java

Hope it doesn't take long to release those canine sequences - not more 1+ year, please!!!

.

[HenryN]

Re: INDONESIA - Bandung Cluster, West Java

Indonesia confirms 68th human bird flu case

(Kyodo) _ Indonesia confirmed Tuesday that a 20-year-old man has tested positive for the H5N1 strain of bird flu, bringing the country's confirmed human cases to 68, including 51 deaths.
"Test results from two independent laboratories -- the Jakarta-based Health Research and Development Agency and the Jakarta office of the U.S. Naval Medical Research Unit -- showed he has been infected by bird flu," Joko, an official at the Health Ministry's Bird Flu Coordinating Post, told Kyodo News.
According to World Health Organization standards, test results of bird flu samples from two independent laboratories are considered definitive and do not require any confirmation from the WHO.
The official said that the man, who lives in the West Java provincial capital of Bandung, may have been infected with the virus via dead chickens he had kept to feed his dog at home. Earlier this month, his elder brother died with symptoms of bird flu but he was buried before samples were taken from him.
Critics say that Indonesia has not done enough to control the spread of the H5N1 virus which jumps to humans and that infections may exist among hundreds of millions of poultry. Bird flu has killed at least 146 people in 10 countries since December 2003, according to WHO statistics as of Sept. 25, and Indonesia has the highest number of fatalities, followed by Vietnam.

http://asia.news.yahoo.com/060926/kyodo/d8kcgdq00.html

[HenryN]

Re: INDONESIA - Bandung Cluster, West Java

Hope it doesn't take long to release those canine sequences - not more 1+ year, please!!!

.

Testing does not always mean sequencing. Most positive poultry is not sequenced.

[AlaskaDenise]

Re: INDONESIA - Bandung Cluster, West Java

I hope the NAMRU will assist the Indonesians to sequence these miscellaneous contacts. How else can they understand how this is spreading?

.

[Harriet]

Re: INDONESIA - Bandung Cluster, West Java

These tertiary cases are scary in themselves but one thing is clear: once it is transmitted it becomes HIGHLY CONTAGIOUS.

[AlaskaDenise]

Re: INDONESIA - Bandung Cluster, West Java

What is highly contagious? These clusters are contained within families, not spreading to the community at large, as would regular flu.

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