Indonesia - Aceh Province (Sumatra), toddler suspected with H5N1

[Laidback Al]

credits to dbg for translation and bolding . . .


Toddler From Ulim Suspected Bird Flu [Aceh Province]
Tuesday, 19 July 2011 16:48
Written by Reza Gunawan

BANDA ACEH - Faiz, 1 year old baby from Ulim, Pidie Jaya Regency, suspected of having H5N1 virus or bird flu. The child is now undergoing intensive care, in particular space handling bird flu patients Regional General Hospital, dr. Zainoel Abidin (RSUZA) Banda Aceh.
Previously Faiz handled by medical officer at the General Hospital Sigli. But because the hospital could not handle it, finally Faiz referred to RSUZA Sunday (17 / 7) yesterday.

"Parents of patient say, there are dead chickens in a row every day, at parents home are also patients," said dr. Maimunah, Team Coordinator RSUZA Bird Flu, Tuesday (19 / 7).

Until now the doctors who treat patient could not confirm whether the child was positive bird flu or not. To be sure, the hospital sends a patient's blood sample to a laboratory in Jakarta Department Health. "Wipe (mucus) Throat, Nose, and the blood of patients we send to Jakarta, now just waiting for the otcome," he said.

Until now, patient suspected of having bird flu is still being treated exclusively handled by 2 doctors. "The condition of the patient now has improved, his temperature is now close to normal, hopefully later condition will be better," said dr.Maimunnah.

Symptoms and indications of suspected bird flu occurred in Lamno, a few days ago dozens of chickens died suddenly in the Teumareum Village Indra Jaya Subdistrict, Aceh Jaya. Residents in the surrounding districts begin to fret though no residents who reported experiencing symptoms of the disease.

Youth Forum Lamno Power (PLD) urged the government to anticipate the outbreak before it happens casualties. "We ask the government of Aceh Jaya with farm offices and health authorities to drop directly into the field, what actually happens to people not fret after developing a bird flu issue," said Fendi LD, one of the board PLD.

http://atjehpost.com/nanggroe/daerah/4419-balita-asal-ulim-diduga-flu-burung.html

Location of Pidie Jaya Regency in Aceh Province -

[Treyfish]

Re: Indonesia - Aceh Province (Sumatra), toddler suspected with H5N1

Suspected Bird Flu, Toddler Treated at RSUZA
Banda Raya - 20 July 2011 |
L Harian Aceh Banda Aceh - Faiz, toddlers ages one-year, intensive care in a special room handling bird flu patients Zainoel Abidin General Hospital (RSUZA) Banda Aceh. The boy from Ulim, Pidie Jaya, was suspected of having H5N1 virus (Bird Flu).


Bird Flu Team Coordinator RSUZA, dr. Maimunah, Tuesday (19 / 7) said, Faiz his parents first brought to the Hospital Sigli. "But it can not be handled there," he said.

Based on the stories of parents Faiz, continued Maimunah, a few chickens die every day in a row, from Thursday to Saturday last week in their homes and neighbors.
Even so, he added, because of the limitations of medical devices, patients suffering from bird flu has not been ascertained. Although the Office of Pidie Jaya Pertenakan been doing checks on one of the chickens died, and the result is positive of H5N1.

"Wipe (mucus) throat, nose, and blood of our patient was sent to Jakarta, now just waiting for the outcome", said dr. Maimunah. Daily observations of Aceh, patients suspected of having bird flu is still being treated exclusively by handled by two doctors, including Dr. Sidiq and dr. Nurjannah led directly dr, Maimunah.

"The condition of the patient now started better, his body temperature of 39'C is now close to normal, hopefully it'll be better condition," said Maimunnah.http://harian-aceh.com/2011/07/20/di...rawat-di-rsuza

4$ says it will be typhoid fever.. like the ones in the Makassar outbreak..

[Treyfish]

Re: Indonesia - Aceh Province (Sumatra), toddler suspected with H5N1

Wednesday, 20 July 2011 17:44

RSUDZA send diagnosis patients 'suspect'

BANDA ACEH - The management of the Regional General Hospital physician Zainoel Abidin (RSUDZA) has sent a diagnosis of a patient suspected of bird flu infected (suspect) to a laboratory in Jakarta.

"The diagnosis while submitted to a laboratory in Jakarta, but do not know the results whether positive or not the patient was infected with bird flu," said Deputy Director RSUDZA, HM Andalas, this afternoon.

A toddler, Fais Mulfi Mubarak (1) the origin of Pidie Jaya and had previously treated in hospitals Sigli (Pidie), now referred to and receive care team doctor for allegedly exposed RSUDZA bird flu virus.

"The diagnosis of patients suspect bird flu RSUDZA sent medical teams to the laboratory in Jakarta, which is a nasal swab tenggerokan and patients. We look forward in time results can be obtained to determine whether the patient was completely exposed to bird flu virus or not," he said.

Andalas said RSUDZA has room for special care for patients affected by bird flu after the government sets for type A government-owned hospitals in Aceh that.

"No problems with the treatment of patients exposed to bird flu virus, because the status is now RSUDZA type A and as the only referral hospital in the province of Aceh," he said.

On the other hand, Deputy Director RSUDZA was added, the status RSUDZA type A was obtained as of July 1, 2011.

"With the increase in status from B to A, we hope that the support of all parties, especially the government to complete various service facilities are not yet available," he said.

According to him, as one of type A status condition that must be met and completed by the provision of management tools that RSUDZA beam radiotherapy and specialist cardiac surgery.

"But specifically for the specialist cardiac surgery, no longer was available because his strength is currently in the final stages of education. Hopefully the end of 2011 was in RSUDZA," he said.
http://www.waspada.co.id/index.php?o...aceh&Itemid=26

[Treyfish]

Re: Indonesia - Aceh Province (Sumatra), toddler suspected with H5N1

Wed, Jul 20th 2011, 09:52
Toddler Allegedly Infected with Bird Flu
* Expert: Transmission Through Intermediaries Pigs
Kutaradja
BANDA ACEH - The boy a year old, Fais Mulfi Mubarak, has been treated in the space of three days of bird flu treatment Zainoel Abidin General Hospital (RSUZA) Banda Aceh. Toddlers origin Ulim district, Pidie Jaya (Pijay) was allegedly hit by bird flu virus (H5N1).

Chairman of the doctors in RSUZA bird flu, said Dr. Maimunah, Fais was admitted to hospital on Sunday (17 / 7), after referral from the RSU Sigli. Faiz initial symptoms experienced a high fever that day. "When I first entered the condition of his fever reached 39 degrees Celsius," said Dr. Maimunah answering reporters yesterday.

Accompanied by two members of the physician, Dr. Anwar and Dr Sidqi Nurjannah, Maimunah said to ensure that young children exposed to bird flu virus or not, they've sent the results to the laboratory diagnosis Faiz patients in Jakarta, but until yesterday there has been no result. "That was sent to Jakarta is swab the throat and nasal swabs of patients," said Maimunah.

He said Faiz suspected of bird flu virus, because in addition to suffering from high fever, according to both the victim's parents, before his son's fever, a number of his chickens and chickens in Ulim tetanganya's sudden death.

"And based on test results of the Office Party Animal Health of the chicken first in Pijay parents Faiz's death, the cause of bird flu virus. Faiz's mother also happened to be at the Puskesmas doctors Ulim, might know these symptoms so that the child was immediately taken to the hospital, "said Maimunah.

Maimunah urged other communities, if you have the same thing, like chickens died suddenly, then there is a fever, then immediately examined by a doctor. "While the chickens that died suddenly it should also be checked the Department of Animal Health," pleaded Maimunah.

Broker-pig
Microbiology expert at the College of Veterinary Medicine Unsyiah, drh Fachrurrazi, explains, the process of transmission of avian influenza virus from poultry to humans may not necessarily happen immediately, it should be through the intermediary of swine.

"The H5N1 virus from infected chickens to pigs should be moved first and then moved back to the chicken. This is where the mutations occur subsequently transmitted to humans. Without any intermediary pigs, there would be no problem with humans, "he explained.

It is also the reason why a virus attack is often heard in Medan, North Sumatra, which is culturally very different from side to Aceh which forbids pork. "Therefore, if there is a positive patients in Aceh, bird flu, well worth exploring before, whether he was ever in the field or not, because that's where the possibility of virus attacks," the professor said this FKH. http://aceh.tribunnews.com/news/view...ksi-flu-burung

[tetano]

Re: Indonesia - Aceh Province (Sumatra), toddler suspected with H5N1

AVIAN INFLUENZA, HUMAN (51): INDONESIA (ACEH)
*********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Wed 20 Jul 2011
Source: H5N1 Pandemic Information News [abridged & edited]
<http://pandemicinformationnews.blogspot.com/>


A one-year-old boy has been treated for 3 days on suspicion of bird
flu infection at Zainoel Abidin General Hospital (RSUZA), Banda Aceh.

Chairman of the doctors in RSUZA bird flu Dr. Maimunah said the child
was admitted to hospital on Sunday [17 Jul 2011], after referral from
the RSU Sigli. The child's initial symptom was high fever. "His fever
had reached 39 C," said Dr. Maimunah, answering reporters yesterday
[19 Jul 2011].

Dr. Maimunah said to determine whether the child had been exposed to
bird flu [avian influenza A/H5N1 virus infection] or not, samples
(nasal and throat swabs) had been sent for laboratory diagnosis in
Jakarta, but the result was not yet available (as of 19 Jul 2011).

Dr. Maimunah said the child was a bird flu suspect, because in
addition to suffering from high fever, according to both the victim's
parents, before their son's fever, a number of their chickens and
other chickens in Ulim tetanganya had died suddenly. On the basis of
test results [carried out] by the Department of Animal Health, the
cause of death of the chickens was bird flu virus [avian A/H5N1 virus
infection].

Dr. Maimunah urged other communities, if they have the same thing
like chickens dying suddenly and then there is someone with a fever,
to immediately [consult a doctor]. "Chickens that die suddenly should
also be examined by the Department of Animal Health," pleaded Dr.
Maimunah.

Dr. Fachrurrazi, a microbiology expert at the College of Veterinary
Medicine, Unsyiah, explained that the process of transmission of avian
influenza virus from poultry to humans may not necessarily happen
directly; it [could] be through the intermediary of swine. "The H5N1
virus from infected chickens [might be transmitted] to pigs and then
passed back to chickens. This is where mutation could occur prior to
subsequent transmission from chicken to human. Without pigs as
intermediaries, there would be no problem with humans," he explained.
This is also a reason why a virus attack is often [reported] in Medan,
North Sumatra, which is culturally very different from Aceh, which
forbids [consumption of] pork. "Therefore, if there is ever a positive
patient in Aceh, [it would be well worth exploring the possibility of
whether the bird flu virus had ever been transmitted to pigs], because
that's where the possibility of human attacks may exist."

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[This report is evidently a machine translation of an Indonesian
language original, and much of the content is ambiguous. Repetitive
statements have been eliminated or reinterpreted by the moderator.

The evidence for avian A/H5N1 virus infection of the child is high
fever of the patient and the deaths of chickens in the patient's home
and surroundings. As yet, the there is no laboratory confirmation that
the patient's illness is bird flu.

The suggestion that the virulence of the avian virus for humans may
have been a consequence of an increase in virulence of the virus for
humans as a result of transmission of the virus from bird to pig and
back to bird is an interesting proposal, but based apparently on
religious conviction rather than experimental evidence.

Aceh is a province of Indonesia located on the northern tip of the
island of Sumatra. Aceh province has the highest proportion of Muslims
in the country. It is a religiously conservative area. Banda Aceh is
the provincial capital and largest city in the province of Aceh. A map
of Aceh can be accessed at: <http://baliwww.com/aceh/map.htm>. -
Mod.CP]

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