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Indonesia - 2 Bird flu Deaths in Tangerang Confirmed H5N1 - 3rd suspected case tested negative

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  • Indonesia - 2 Bird flu Deaths in Tangerang Confirmed H5N1 - 3rd suspected case tested negative

    Father and Son Died of Bird Flu in Tangerang

    Author: Dian Maharani | Thursday, March 26, 2015 | 18:09 pm

    JAKARTA, KOMPAS.com - A man identified as N (40) and 2-year-old son died of bird flu virus. District residents Jakarta Timur, Kota Tangerang, Banten was tested positive for the H5N1 bird flu.
    "Yeah, so the results of the new laboratory was indeed positive this morning. This case is precisely in the District of Jakarta Timur, Kota Tangerang, "said Director General of Disease Control and Environmental Health, Ministry of Health confirmed Kompas.com HM dawn, Thursday (26/03/2015).

    N unknown died in hospital on Tuesday (03.24.2015) at 16.30 pm. Dawn says, N had experienced hot, then shortness of breath until his condition deteriorated.

    Then, following his son this morning at around 04.00 pm. Children N also briefly hospitalized, and then referred to the Friendship Hospital Jakarta. However, his life was helpless.

    "The time in the hospital is no suspicion of the doctors who treated him. Then blood was taken, the samples we send to Research and Development and takes one to two days, "said Dawn.
    Dawn asked people not to fret. Currently, the Ministry of Health and related agencies were investigating in the neighborhood, the neighborhood, to the hospital.

    thanks to Mike Coston
    Seorang pria berinisial N (40) dan anaknya yang berusia 2 tahun meninggal dunia karena terinfeksi virus flu burung. Keduanya adalah warga Kecamatan Cipondoh, Kota Tangerang, Banten.
    “Addressing chronic disease is an issue of human rights – that must be our call to arms"
    Richard Horton, Editor-in-Chief The Lancet

    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

  • #2
    Source: http://www.merdeka.com/peristiwa/sus...t-bekerja.html

    Google translation:

    Suspect Bird Flu in Jakarta Timur suspected exposure to the virus while working
    Reporter: Ramadan Partners | Thursday, March 26, 2015 22:37

    Suspect Bird Flu in Jakarta Timur suspected exposure to the virus while working

    Merdeka.com - Tangerang Mayor Arief R Wismansyah claim could not say much when asked about the two resident citizens Cipondoh Housing Makmur, N and son, died allegedly as a result of the bird flu virus. He said it was still awaiting the results of the investigation of the Ministry of Health.

    "Still waiting for the Ministry of Health for justification, because if the sampling is around, such as markets and animals, all negative," said Arief, Thursday (26/3).

    However, Arief claimed suspicious because N works at Immigration. It could be, he added, N exposure to the virus because often met with foreign residents and animals.

    "As far as I work in Immigration, Immigration did not know where, it seems not in Quarantine," said Arief.

    Arief said, according to reports he received, N is already suspected of having bird flu.

    "Initially brought to Eka Hospitals in Serpong, shortly son also. Then stated suspect, was taken to the Friendship Hospital," said Arief.

    Meanwhile, said Arief, wife of N are now also fever.

    "Now his wife and fever as well, I've been told to check he said in friendship. I hope the negative, but if it were so, we've done the steps and gone down from yesterday," Arief lid.
    [Ary]

    Comment


    • #3
      I can not find anything about this on the government sites yet.
      "May the long time sun
      Shine upon you,
      All love surround you,
      And the pure light within you
      Guide your way on."

      "Where your talents and the needs of the world cross, lies your calling."
      Aristotle

      “In a gentle way, you can shake the world.”
      Mohandas Gandhi

      Be the light that is within.

      Comment


      • #4
        March 26, 2015

        "Still waiting for the Ministry of Health for justification, because if the sampling is around, such as markets and animals, all negative," said Arief, Thursday (26/3).
        However, he did not deny because it is n working in Immigration. It might, he said, N is often met with foreign nationals and animals as possible close to it all."As far as I work in Immigration, Immigration did not know where, it seems not in Quarantine," said Arief.
        Asked whether the previously known N bird flu, Arief said, according to a report that he find, N is already suspect.
        "Initially brought to Eka Hospiltal in Serpong, shortly son too, then stated suspect, was taken to hospital Friendship," he explained.
        While it said Arief, the Prosperous Cipondoh Housing residents, in addition to N and his son, his wife was now also a fever. "Now his wife and fever as well, I've been told to check he said in Friendship. I hope the negative, but if it were so, we've done the steps and gone down from yesterday, "he explained.

        http://tangerangnews.com/kota-tanger...ja-di-Imigrasi

        Comment


        • #5
          March 27, 2015
          REPUBLIKA.CO.ID, Tangerang - Bird flu again threatening the community. This time the deadly disease attacks the residents in the Village Cipondoh Makmur, District of Jakarta Timur, Kota Tangerang, precisely attacked two people in Perum Puri Permata, Jalan Taman Fruit, Block C3 No. 35, RT 3/12. It is Toni Sudianto (41) positive for the virus commonly called H5N1. Even Toni new child 2.5 years old, Muhammad Al Ikhsan participate died shortly after the departure of Toni. "Yeah positive for bird flu," said Bahrudin, head of RT 3 to Republika Online (ROL) , in Tangerang, Friday (27/3). A week hospitalized Husada Hospital Human Tangerang, Toni's life could not be saved. Men who daily work as an immigration officer in Kelapa Gading branch, died on Tuesday (24/3) yesterday. A day later, Al Ikhsan later died. Head of Department of Food and Agriculture, Iis Rodiah Aisha explains Toni possibility of contracting the H5N1 virus in Bogor. Because on Saturday (8/3) Toni and his family on vacation to the residence of his parents. The house is known to have a wide variety of birds. At the time of the holiday, one of his pet owl died suddenly. Shortly after the holiday home, which is on Tuesday (17/3) Toni's son, Al Ikhsan increased body temperature. Ikhsan was hospitalized Eka Hospital before being transferred to the Friendship Hospital. Shortly after Ikhsan treated on Saturday (21/3) Toni rushed to hospital Husada Human Tangerang. The bodies buried in Park Cemetery Toni General (TPU) sepajang on March 25 yesterday. Meanwhile, Al Ikhlas buried next to the grave of Toni. "The victim's brother in law's brother who lives not far from his parents' home on March 26, also died," said Aisha Iis Rodiah.

          http://nasional.republika.co.id/beri...ena-flu-burung

          Comment


          • #6
            computertranslation

            Apparently Balitbangkes, the government lab, confirmed avian flu in the reported flu deaths, a father and his son. His wife tested negative.

            Samples Mrs. T Negative Bird Flu

            Saturday, March 28 2015 12: 03 pm


            Jakarta, InfoPublik - Agency for Health Research and Development Ministry of Health to make sure, the second day of the inspection, there were no bird flu virus in samples belonging to Mrs. T, the wife of Mr. T patient who died with a diagnosis of Avian Influenza in Tangerang.

            "After yesterday cofirm result Lab Mr. T and his MA positive H5N1 (bird flu), Lab Balitbangkes finished the second day of check samples of Mrs. T, the sample is examined and the throat swab sample results the first day and the second day was also negative for H5N1 Mrs T, "said the Head of Research and Development of Health MOH Tjandra Yoga Aditama in electronic mail in Jakarta, Saturday (28/3).

            Explained, from these two samples showed no bird flu. Furthermore, will be examined samples of swan throat his third day to make sure that Mrs. T healthy. "The general state of Mrs. T is well, no fever again. We are also still waiting for the possibility of another sample of those in contact with the late Mr. T and his son," he said.

            According to him, in general, material samples to check for the H5N1 (bird flu) is from a swab of the throat or other material from the lungs and respiratory tract of a patient. The more in taking the sample material in the direction of the lung will be more representative results and describe the real situation.

            The efforts that have been made through an epidemiological investigation, search close contact at home and in hospital contacts, contacts Referral to hospital, if necessary, Giving oseltamivir in close contact at home. Follow-up Plan will be
            Jakarta, InfoPublik - Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan memastikan, dari pemeriksaan hari kedua, tidak ditemukan adanya virus flu burung di sampel milik Ny T, istri dari pasien Tn T yang meninggal dengan diagnosis Flu Burun
            “Addressing chronic disease is an issue of human rights – that must be our call to arms"
            Richard Horton, Editor-in-Chief The Lancet

            ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

            Comment


            • #7
              The report is citing "Tjandra", this is :Professor Tjandra Yoga Aditama, Director General of Disease Control and Environmental. Health, Ministry of Health, Jakarta. He twittered a link to this article.

              - snip -

              Saturday, 8 Jumadil Akhir 1436 / 28 March 2015

              Indonesia confirms 2 fatal bird flu cases in 2015

              "If the case of bird flu in Indonesia during 2014 there were two men and 2015 to the present two cases," he said.


              Two people were killed recently initials T dann MI who live in Tangerang, Banten. They are father and son were both positive H5N1. Wife while T is also suspected (suspect) suffer from this disease. To the throat swab sample was taken. However, Tjandra ensure, sample results of the first day and the second day for Mrs. T is negative H5N. Meaning of these two samples showed no bird flu.

              "The general state of Mrs. T is well, no fever again. However, it will be examined samples from the throat swab to all three to ensure nahwa Mrs. T is healthy, "he said.

              To prevent this disease spread, it has made several attempts. First, epidemiological investigation. Then close contact tracing contacts at home and in hospital. Thirdly, referring to the Friendship Hospital T's wife. Fourth administration of oseltamivir in close contact at home.

              While children T is now called a contact. To close contact with patients who feared possible bird flu infected but no symptoms of anything, then quarantine performed twice during a 14-day incubation period. He added, quarantine should not be treated in the hospital, there are three forms. First, treated in hospital. Second, quarantined in one place, such as a house or workplace.

              Third, still work as usual, but the measured temperature twice a day, and also observe the clinical if any complaints. The Ministry of Health is planning a follow-up contact tracing in another hospital, monitoring contacts have been identified in close contact both at home, and contact health professionals. "We will also provide counseling to the community around the house case," he said.
              “Addressing chronic disease is an issue of human rights – that must be our call to arms"
              Richard Horton, Editor-in-Chief The Lancet

              ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

              Comment


              • #8
                Tjandra Yoga Aditama @TjandraAditama_ · 2h2 hours ago

                Kemenkes: 430 Orang Meninggal Akibat Flu Burung | Republika Online http://nasional.republika.co.id/berita/nasional/umum/15/03/28/nlwu5o-kemenkes-430-orang-meninggal-akibat-flu-burung… via @republikaonline



                snip


                "If the case of bird flu in Indonesia during 2014 there were two men and 2015 to the present two cases," he said. Two people were killed recently initials T dann MI who live in Kota Tangerang, Banten. They are father and son were both positive H5N1.

                "May the long time sun
                Shine upon you,
                All love surround you,
                And the pure light within you
                Guide your way on."

                "Where your talents and the needs of the world cross, lies your calling."
                Aristotle

                “In a gentle way, you can shake the world.”
                Mohandas Gandhi

                Be the light that is within.

                Comment


                • #9
                  [They tested one more time...]

                  Metrotvnews.com, Tangerang: Agency for Health Research and Development (Research and Development) Ministry of Health back to test the throat swab samples (swap) Mrs T. re-swap test conducted terhadapa suspect bird flu after her husband N, 40, and her son M, 2, dies world after testing positive for bird flu based on laboratory testing and Development, March 27.

                  "This is the third sample test conducted in Research and Development.The results of the first and second sample test showed negative results of bird flu, "said Head of Research and Development Agency Tjandra Yoga Aditama when contacted on Saturday (28/03/2015).

                  -snip-

                  "As a precaution, we also Men- drop 16 thousand oseltamivir (antiinfluenza drugs) to the city of Tangerang," he closed

                  http://translate.googleusercontent.c...paEE3gVaQmaQ8w

                  Comment


                  • #10
                    Tangerang Woman Free of H5N1, Remains Under Observation

                    By Jakarta Globe on 03:14 pm Mar 28, 2015
                    Jakarta. The Ministry of Health will continue to monitor a woman from Tangerang for at least another day after her husband and two-year-old child died of bird flu last week.
                    The head of the ministry’s research agency, Tjandra Yoga Aditama, said the woman was free of the H5N1 virus. virus and that health officials had run two separate tests.
                    “We will check the sample from her throat on the third day to ensure that she is healthy,” Tjandra said. “Overall she is in good condition; she no longer has fever.”
                    A 40-year old man from Tangerang died on Tuesday, and his two-year-old child died on Thursday. The Govt to Continue Tests The miinistry suspected the patient contracted the virus from an infected owl while visiting a a relative’s house in Bogor, West Java.

                    The Ministry of Health has placed a woman in Tangerang under observation after her husband and two-year-old child died of bird flu last week.
                    “Addressing chronic disease is an issue of human rights – that must be our call to arms"
                    Richard Horton, Editor-in-Chief The Lancet

                    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                    Comment


                    • #11
                      Excerpts:
                      Tangerang, (KB) .-
                      Victims of bird flu continues to fall. After two residents (father and son) are Toni and M. Al Ikhsan died, reportedly the victim's brother-in-law also died allegedly as a result of bird flu on Thursday (26/03/2015).
                      -snip-
                      "Brother-in-law victims who live not far from his parents' home on March 26, also died," he said.
                      -snip-
                      "Now again handled at the ministry immediately," he said.
                      Without mask kedimaian Meanwhile at the victim's home, the family Toni Sudianto and Mohammed Al Ikhsan third child, was not believed that if they died because suspect bird flu. "The families of men (Toni) was in disbelief. Because when the deceased died no special handling. Even families bathe his body directly, without the use of masks or other security, "said Chairman of the RT 3, Baharudin, Friday (03/27/2015). Baharudin also does not know the exact cause of death. Although he had visited M Al Iksan when he died in Jakarta Friendship Hospital, he never asked it to the family. "I do not know for sure. Maybe the hospital immediately notify the family-related causes of death. But I do not ask too, I was busy taking care of facilities for the funeral, "he said.

                      http://www.kabar-banten.com/news/detail/23957

                      Comment


                      • #12
                        computertranslation

                        Bird Flu Cases in Tangerang not human-to-human

                        Monday, March 30th, 2015 Author: Cornelius Eko Susanto

                        ANTARA / Lucky.R

                        MINISTRY of Health (MoH) ensure that human cases of bird flu infections are limited human to human in Tangerang. Because the two victims who have tested positive for bird flu (confirm) the proven contracting the H5N1 virus in poultry.

                        tHE TWO confirmed bird flu patients had a history of contact with poultry suspected to be the cause of infection, said Head of Research and Development Agency Tjandra Yoga Aditama when contacted yesterday.

                        Both patients were referred Tjandra is TS, 40 years and his son M, 2 years old, who has died at the weekend. Both patients who live in Housing Puri Taman Permata Fruit, Jakarta Timur was tested positive bird flu based on the results of the examination of the throat swab samples (swap) the method of Polymerase Chain Reaction (PCR) were performed in the laboratory Agency for Health Research and Development (Research) Ministry of Health last week.

                        Fortunately, after three times PCR test in Research and Development laboratory, examination results tehadap E, and D TS wife, sister TS, the result shows the bird flu negative. Though initially E is suspected bird flu. Suspect ™ is a term in the epidemiology of infectious diseases indicated for people with suspected bird flu because it showed clinical symptoms of bird flu, such as fever and had a history of contact with a source of disease.

                        Currently, the condition E is still being treated in the department of Friendship, Jakarta, reportedly continued to improve.

                        Allegations of limited human to human in Tangerang, actually stems from the testimony of the Minister of Health (Minister of Health) Nila F. Moeloek own. Last week, Minister of Health explained TS actually had the flu before visiting his parents' home in Bogor, West Java, on 8 March.

                        Incidentally homeowners in Bogor is a hobby poultry. When the family visited, known to have an owl there were found to sudden death. Nine days later M has a high fever and was treated at Eka Hospital and was referred to the department of Friendship, Jakarta.

                        From the description of Menkes, open the possibility that his own TS infect M. If true virus transmission between parent and the child, then it entered the category of limited human to human, because transmission occurs only limited because the transmission was cut off in the second.

                        However, Tjandra refute this hypothesis and maintain that both the H5N1 virus that causes bird flu from birds, although he did not mention from which poultry.

                        Limited cases of human to human need to watch out because it is the entrance to the occurrence of cases of bird flu. When it occurs human to human, it means the potential outbreak of bird flu widespread and consistent (pandemic) more wide open.

                        Limited human to human cases in Indonesia itself never happened in the village of Kubu Simbelang, Karo, North Sumatra, a few years ago. When the eight people who have blood tested positive for H5N1, and seven of them died.

                        Although denied that there was limited human to human in Tangerang, Tjandra confirmed that there entered the category of cases of bird flu in groups (clusters), as occurs in more than one person and there are adjacent.

                        Cluster of cases of bird flu in Tangerang, actually not the first case in Indonesia. Previously, in addition to the Karo, among other similar cases also occur in the case of clusters in Tangerang (July 2005), Plastica Tangerang (September 2005), Lampung (October 2005) and Tangerang (November 2005).
                        Last edited by Gert van der Hoek; March 30th, 2015, 07:49 AM.
                        “Addressing chronic disease is an issue of human rights – that must be our call to arms"
                        Richard Horton, Editor-in-Chief The Lancet

                        ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                        Comment


                        • #13
                          Translation Google


                          Tuesday, March 31, 2015 - 10:10 pm

                          Two Citizens Died, 30 Birds in Tangerang Destroyed

                          TANGERANG - Department of Agriculture and Animal Husbandry 30 Tangerang exterminate pigeons, as positive for H5N1 virus or bird flu. This action was carried out following the death of two residents of Tangerang allegedly caused AI infected.

                          Head of Agriculture and Animal Husbandry Tangerang, Iis Rodiyah Aisha, said the culled birds belonging to residents and is close to the victim died from bird flu.

                          "So, the location of the pigeons were destroyed house just 300 meters from the victim died," said Iis told reporters in Tangerang, Tuesday (31/03/2015).

                          He continued, bird culling is done by burning. In addition, it is also spraying the bird cage around the site.

                          Before being destroyed, further Iis, it has taken the saliva of each bird to be examined and found to contain H5N1 positive result.

                          He admitted, local residents had refused the extermination of 30 pigeons. Therefore, the Department of Agriculture and Animal Husbandry Tangerang not provide compensation to the owner of the bird.

                          "We have no budget, then it is not compensable," he said.

                          According to him, now that he will make the handling of poultry across the city of Tangerang to anticipate the spread of bird flu virus. "Extension by PHO and we handle the birds," he said.

                          Meanwhile, two people who died of suspected bird flu suspect contracted while on vacation to Bogor on 8 March 2015. At that time, there were birds, the owls were dead.

                          Residents who is a father of his initials initials N and M are experiencing a high fever and died. Reported N died on March 24, 2015 after two-three days earlier had a fever. While her son died on March 26, 2015.

                          http://news.okezone.com/read/2015/03...ng-dimusnahkan
                          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                          -Nelson Mandela

                          Comment


                          • #14
                            Sehat Negeriku.198 199 31-Mar-15

                            Ministry of Health, through the Directorate General of Disease Control and Environmental Health announced two new cases of bird flu have been confirmed by the Center for Biomedical and Health Technology Association, Agency for Health Research and Development.

                            The first case of an employee initials TS (L, 40), a resident of the city of Tangerang, Banten province. On March 15, 2015, the case began to complain of not feeling well, but still works. Dated March 17, 2015, symptoms of fever, coughing and outpatient treatment to a private hospital. Dated March 21, 2015 TS Hospital emergency room treatment to other private, chest X-ray results show dextra pleuropneumonia . Because fixed fever and cough accompanied by weakness and nausea, in the evening treatment case back to the hospital and treated with a working diagnosis of pleural effusion dextra et causa pneumonia . On March 23, 2015, and a worsening case admitted to the ICU with a diagnosis of pleural effusion dextra, pneumonia and liver dysfunction. The next day the date of March 24, 2015 and grew more difficult cases diagnosed as Suspect Bird Flu, getting worse and and died at 16:25 pm. Dated March 25, 2015, stating Balitbangkes PCR laboratory test results TS Positive cases of H5N1.

                            The second case initials MAIPS (L, 2 years) is a subsidiary of TS cases, lived one house with his parents. Dated March 11, 2015, symptoms of fever, cough and runny nose then went to a private hospital and treated. On March 16, 2015, the case out of the hospital, but at home complaining of bloating and cough. Circumstances of the case there is no change, the case complained of tightness and referred to other private hospitals. Because of deteriorating, dated March 26, 2015, the case was referred to the Friendship Hospital hour 02:40 pm, and died at 4:10 pm. Dated March 26, 2015, stating Balitbangkes PCR laboratory test results MAIPS Positive cases of H5N1.

                            DG team and PL, Research and Development Agency, the Department of Health and PHC Tangerang Tangerang City, Rapid Response Unit Strategic Animal Diseases (URCPHMS) - Ministry of Agriculture has been an epidemiological investigation into the homes of people and the environment. In case the house does not have a good pet birds or other, but in the neighborhood there are many cases of people who maintain ornamental birds and pigeons. Possible risk factors in the case, among others, domestic poultry neighbors around the house case; and the direct and indirect contact with domestic poultry sister case in the District. Bogor.

                            With the increase in these two cases, from 2005 until this news was published, the cumulative number of AI cases in Indonesia is 199 cases with 167 deaths.

                            Director General of Disease Control and Environmental Health dr. Mohamad dawn, MPPM as the National Focal Point for International Health Regulations (IHR) has been informed about the case to the WHO.
                            The government together with the whole community has made various efforts to control bird flu since 2005. In the 10-year period (2005-2014) looks downward trend avian influenza in animals and humans. During the nine months from June 2014 until February 2015 no cases of Bird Flu in Indonesia.

                            The success of AI control is determined by the role and support of the whole community, especially the role of society in prevention efforts. Efforts to do community is to avoid contact with sick or dead birds suddenly; maintain personal hygiene and the environment clean and healthy life behavior; and recognize the symptoms of Bird Flu include fever / high heat, cough and sore throat. If there are signs of AI immediately went to the clinic or hospital.

                            http://sehatnegeriku.com/laporan-kasus-flu-burung-ke-198-dan-199-2/

                            Comment


                            • #15
                              Source: http://koran.tempo.co/konten/2015/04...gan-Flu-Burung


                              Senin, 06 April 2015
                              Membendung Serangan Flu Burung

                              Google translation:

                              Monday, April 6th, 2015
                              Stem Bird Flu Attacks

                              Bird flu like rise from a long sleep. After a long cool and calm, a disease caused by a virus that swallowing two fatalities in Tangerang, late last month. A man with the initials T Jakarta Timur District residents, 40 years old, and his son, MI, 2 years old, died after being tested positive for exposure to H5N1.

                              Premiered in this case it becomes an alarm to alert the government. Various local governments move to inspect poultry farms in their respective territories. Agency for Health Research and Development examine D and Mrs T, sister and wife of T, which is believed to be in direct contact with the victim.

                              Fortunately research institution under the Ministry of Health that states are both negative. "Two of these samples showed no bird flu," said Professor Tjandra Yoga Aditama, Head of Research and Development of Health, through electronic mail, last week.

                              Examination of samples for H5N1 virus that causes bird flu usually through the throat. Can of lung and airway of a patient ?. Tjandra said that, increasingly in the direction of the lung for taking the sample, the more representative results. "It depicts the real situation," said the professor of pulmonology respiratory-tract-science at the University of Indonesia.

                              Cases of bird flu in Tangerang is apparently received special attention from the health world, because in the same period pandemic swine flu (H1N1) in India.

                              Quoting The Indian Express, up to 20 March, 1895 swine flu swallow soul with infected victims reached 32 thousand people. Tjandra said research scientific journal Cell Host & Microbe found mutations in the H1N1 influenza virus that hit India. The mutation occurs in the hemagglutinin protein-substance that serves as an adhesive in the red blood cells. This hemagglutinin bound to the glycan receptors found on the surface of the respiratory cells. Bond strength determines the level of effectiveness of existing viruses infect cells. Moreover, several mutations known to occur at amino acid position D225 and at position T200A. "With these mechanisms, allegedly made the virus becomes more virulent and contagious," said Tjandra.

                              A similar procedure will be performed for the H5N1 influenza virus to two cases of Jakarta Timur. Agency research of, Tjandra continue, being grow in embryonated eggs age of 10 days the results will be obtained in the middle of this week.

                              The next stage is the characterization of full genome sequencing or sequencing of the hemagglutinin (HA) and neuraminidase (NA). The results are reported to the Data Center Influenza (GISAID) in the District of Columbia, United States, so it can be known whether this H5N1 virus sequences entry 2.1.3.2 or has a different clade. Data in the World Health Organization (WHO) and GISAID stating only that which is found in the type of bird flu victim in Indonesia. "If they come in a clade that, it means there is no mutation," said Tjandra.


                              As for seasonal influenza (seasonal flu), Tjandra said, the virus is still circulating in the category of seasonal influenza recommended by the WHO. Throughout January and February this year, the predominant circulating virus is an influenza A (H3N2). Tjandra advised, because there is a new case in Tangerang, vigilance against bird flu should be improved.

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