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Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia - Aug. 8 - Aug. 12, 2008

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  • Commonground
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    Thank you very much Muscade for that analysis.

    Leave a comment:


  • Diane Morin
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    Originally posted by Laidback Al View Post
    Madina is apparently a shortened name or nickname for Mandailing Natal Regency. Serdang Bedagai was split off from Deli Serdang in about 2003. It is sometimes shortened to Sergai.

    Of these 10 regencies or cities, I believe only four of them have had confirmed or suspected human cases of H5N1 (bolded below). No formal reports of human H5N1 cases from the two southwestern regencies of Mandailing Natal and Tapanuli Selatan of Sumatera Utara have been reported, but WHO is apparently setting up some offices there.

    Medan -
    Deli Serdang -
    Serdang Bedagai -
    Simalungun -
    Karo -
    Pematang Siantar -
    Tapanuli Selatan -
    Tebing Tinggi -
    Madina -

    Approximate location map of the regencies and cities.
    When I look at the chart of Laidback Al, I see a first series of regencies distributed in two bunches to the North and the South of North Sumatra. When I add other regencies which are to be come, I realize which one fills partly the vacuum between the two bunches by leaving an open hole made up of Asahan, Tanjung Balai and Toba Samosir. I note that they circumscribe Asahan as an epicentre.

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  • Commonground
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    An article mentioned (somewhere) that it could be a simple as a "fever" to be considered with "flu" symptoms. I don't have time right now to look for it, though.
    We've read the articles of the Tamiflu being dispensed. I think that whatever symptoms these additional 3 had...they were such that they were admitted to the hospital, above and beyond, what the other citizens had, that were merely given Tamiflu and sent home.

    Is TT working for you? I'm having a hard time with it.

    Leave a comment:


  • Giuseppe
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    The point is: what does it mean 'bird flu symptoms'?

    * Fever > 39?C
    * Cough (productive)
    * Toracic murmures
    * Possible contact history with poultry
    * Possible contact history with other ILI patients

    If a patient develops more severe symptoms than will be send to another hospital for ICU maintenance.

    How do you think Cg?

    Leave a comment:


  • Commonground
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    The patient was carried to the hospital because of the temperature of the body the three of them hot high was accompanied by the cough when being checked in the local community health centre.
    They had to be in worse condition than the others that appeared, and were thrown on Tamiflu....and sent home. They could have been referred to the Community Health Center, from one of the command posts. We have it noted here, somewhere, that 73 people out of 1,409 admitted to suffering from signs of bird flu at the command posts.

    It could also be one or more of the 5-10 families that suffered the signs of bird flu, and are being watched, by volunteers, that were assigned by the Government.

    Leave a comment:


  • Commonground
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    On the same day 12 residents who were treated were returned
    meaning they were sent home...I think.

    Leave a comment:


  • Giuseppe
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    Metrotvnews.com, Asahan:

    the Hospital of Abdul Manan Kisaran, Asahan, North Sumatra again received three flattest patients bird flu from the Kebun Tiga Village, Kecamatan Air Batu, Asahan.

    The three patients were Amanda that the six months as well as two children, namely Yosi Elida and Sutriono.

    The three of them underwent the maintenance in the hospital since last Monday (11/8).

    The patient was carried to the hospital because of the temperature of the body the three of them hot high was accompanied by the cough when being checked in the local community health centre.

    On the same day 12 residents who were treated were returned after results of the Department's inspection of the Health in Jakarta stated 12 samples of their blood the negative was infected by the bird flu virus.

    The head of the Hospital of Abdul Manan Kisaran Doctor Bambang claimed, his side returned 12 patients because of being not infected by bird flu.

    Whereas the condition for the three patients who just entered began to improve.

    However, the planned hospital side sent the sample of blood the three of them to be checked in the laboratory in Jakarta. (the SHOT)
    -
    Berita hari ini dan update berita terkini dari Indonesia dan dunia. Metro TV menyajikan informasi tepercaya seputar peristiwa nasional, internasional, ekonomi, politik, hukum, serta berita menarik lainnya.

    -------

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  • Gert van der Hoek
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    AGAIN BIRD FLU PATIENTS treated in RS Abdul MANAN

    The hospital of Abdul Manan Kisaran, Asahan, North Sumatra again received three flattest patients bird flu from the Kebun Tiga Village, Kecamatan Air Batu, Asahan.

    The three patients were Amanda that the six months as well as two children, namely Yosi Elida and Sutriono.

    The three of them underwent the maintenance in the hospital since last Monday (11/8). The patient was carried to the hospital because of the temperature of the body the three of them hot high was accompanied by the cough when being checked in the local community health centre.

    On the same day 12 residents who were treated were returned after results of the Department's inspection of the Health in Jakarta stated 12 samples of their blood the negative was infected by the bird flu virus.

    The head of the Hospital of Abdul Manan Kisaran Doctor Bambang claimed, his side returned 12 patients because of being not infected by bird flu.

    Whereas the condition for the three patients who just entered began to improve.

    However, the planned hospital side sent the sample of blood the three of them to be checked in the laboratory in Jakarta.

    Berita hari ini dan update berita terkini dari Indonesia dan dunia. Metro TV menyajikan informasi tepercaya seputar peristiwa nasional, internasional, ekonomi, politik, hukum, serta berita menarik lainnya.

    Leave a comment:


  • Giuseppe
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    N. Sumatra remains alert against bird flu outbreak

    Apriadi Gunawan, The Jakarta Post, Medan

    The North Sumatra Health Office remains on "extraordinary occurrence" (KLB) alert status following the deaths of three people and the hospitalization of 13 others believed to have contracted bird flu.

    Office head Chandra Syafei Monday said his office had imposed KLB status because it had so far not received autopsy reports to determine the causes of deaths from the Health Ministry, including results on blood samples and bodily fluid from the patients from Air Batu district in Asahan regency.

    Chandra said he personally learned that the patients' blood tests were negative for bird flu from the ministry's website, but remained wary due to the lack of an official report from the ministry.

    "So far there has yet to be any report specifying whether the three victims in Asahan were positively or negatively infected with the bird flu virus. If the results are positive, we will have to monitor the area longer," Syafei told The Jakarta Post in Medan on Monday.

    Chandra said a number of health workers were still in Asahan to monitor the situation.

    "We are on full alert to monitor developments of a bird flu outbreak in Asahan. A team from the World Health Organization is still there to investigate the case," said Chandra.

    He added that health officials were focusing on the three fatalities and the 13 current patients showing symptoms consistent with bird flu.

    Chandra said so far those involved in the investigation could not determine the causes of death of the three victims and the 13 currently hospitalized.

    "The three people died following the discovery of dead poultry, but we don't know whether or not it was the cause," Chandra added.

    Chandra said authorities had disposed of 276 infected birds in Asahan and would continue to slay birds believed to be infected with virus.

    Nearby Labuhan Ratu regency has killed 1,126 birds after seeing hundreds suddenly die in the past week.

    Labuhan Batu Vice Regent Sudarwanto said the virus had affected the poultry population in six subdistricts of North Rantau: Padang Bulan, Cendana, Lobusona, Sirandorung, Ujung Bandar and Padang Matinggi.

    Sudarwanto said his office had taken several measures to prevent the spread of the disease, such as disposing of birds, conducting public awareness campaigns and using rapid testing.

    It has also set up posts in bird flu-prone areas.

    "We have so far carried out various anticipatory measures to curb the virus spread, and we urge people to remain alert," Sudarwanto said.
    -

    -------

    Leave a comment:


  • Laidback Al
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    Moreover, WHO has formed District Surveilans Officer in 10 regencies/the city in North Sumatra that is, Medan, Binjai, Deli Serdang, Serdang Bedagai, Simalungun, Karo, Pematang Siantar, Tapanuli Selatan, Tebing Tinggi, and Madina.
    Madina is apparently a shortened name or nickname for Mandailing Natal Regency. Serdang Bedagai was split off from Deli Serdang in about 2003. It is sometimes shortened to Sergai.

    Of these 10 regencies or cities, I believe only four of them have had confirmed or suspected human cases of H5N1 (bolded below). No formal reports of human H5N1 cases from the two southwestern regencies of Mandailing Natal and Tapanuli Selatan of Sumatera Utara have been reported, but WHO is apparently setting up some offices there.

    Medan -
    Deli Serdang -
    Serdang Bedagai -
    Simalungun -
    Karo -
    Pematang Siantar -
    Tapanuli Selatan -
    Tebing Tinggi -
    Madina -

    Approximate location map of the regencies and cities.
    Attached Files

    Leave a comment:


  • Treyfish
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    ..although being received the new report on the resident who experienced the fever?

    Leave a comment:


  • Treyfish
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    Diindikasi Suspect Bird Flu 12 residents of Negative shavings H5N1
    on Tuesday, 12-08-2008 *yuni naibaho MedanBisnis ? Medan results of the laboratory test that was carried out by the Centre of Health Research And Development (Puslitbangkes), stated 12 residents of the shavings Regency that beforehand diindikasi suspect negative bird flu H5N1. That was revealed by Section Head Kesehatan (Dinkes) North Sumatra, Dr Candra Syafei Sp OG, to the reporter ended the 80th RSU BIRTHDAY warning Dr Pirngadi Medan, on Monday (11/8). Acknowledged the Moon, results of the inspection officially were not yet accepted Dinkes North Sumatra, but as being contained in website the Department of Health, on Monday, results that were found by the negative H5N1. ?Memang results of the Department of Health were not yet accepted, but in website the Department of Health results of the related laboratory test 12 patients who were expected suspect the bird flu has been and negatif,? Moon words. Concerning the status of the extraordinary incident (KLB), according to the Moon still could not be ascertained until being put into effect. Because, said he, Dinkes North Sumatra did not yet accept results of the sample test of blood, the throat liquid and the photograph of the chest 12 villagers Air Batu villagers 39, the Damuli Hut, Kecamatan Air Batu, Kabupaten Asahan from Puslitbangkes. ?Kita did not yet accept results of the test of Puslitbangkes. After being accepted and results of the negative then the KLB status would dicabut,? he said. In the meantime 276 poultries were in the Asahan Regency destroyed by the Peternakan Service and to guard against the development of the continuation was established the security command posts. Whereas in the Labuhan Batu Regency was not yet found by the case of affected humankind suspect bird flu. ?Di Labuhan Batu the case of humankind suspect bird flu was not yet found, but if the poultry was and has dibasmi,? clear the Moon. The matter of stock of Tamiflu medicine, according to the Moon was still sufficient for all the community health centre in the regency/the city in North Sumatra because uptil now each community health centre must have stock of medicine although being not found by the case of bird flu. ?Di dinkes still was available 1,000 Tamiflu capsules that could be used for 100 people. Uptil now the community health centre must have stock and could ask for direct for supplies to Depkes,? he said. Also was said by the Sub Dinas Pengendalian Head of the Illness and Lingkungan Sanitation (P2PL) Dinkes North Sumatra, Surya Darma, up to now Dinkes North Sumatra not yet does not yet receive the report was tambahanbaru the patient suspect flu, although being received the new report on the resident who experienced the fever. ?Ada I received the new report on the feverish resident. But still could not in confirmed because still observasi,? he explained. According to him, if being found had the new resident suspect bird flu or the poultry died suddenly, Dinkes North Sumatra will extend the KLB status for two weeks. ?Akan was increased two weeks since finally was found. For example to have the feverish resident or to be found again by the livestock died mendadak,? firm Surya. http://www.medanbisnisonline.com/rub...e=1#more123004

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  • Commonground
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    Afterwards, mentioned Kadis again, concerning this bird flu illness still continued to be monitored by the organisation of the health of the world (WHO). Moreover, WHO has formed District Surveilans Officer in 10 regencies/the city in North Sumatra that is, Medan, Binjai, Deli Serdang, Serdang Bedagai, Simalungun, Karo, Pematang Siantar, Tapanuli Selatan, Tebing Tinggi, and Madina. Planned, in the near future will be increased again by five regencies/the city, namely Labuhan Batu, Langkat, Tapanuli Utara and Humbang Hasundutan. “Kategori the regional election of the regency/the city because there had been endemic and his inhabitants were solid. So as to be worried by his spreading increasingly cepat, [= fast, rapid]” more Surya Dharma
    I would think this is something pretty serious, after all, it's endemic in the poultry in Indonesia.

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  • Treyfish
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    Two residents of shavings were stated by the Bird Flu Negative Medan, Results of the inspection of Puslitbangkes Jakarta said, the two patients ?suspect? bird flu Ms (8 months) and FH (7) the resident Afdeling V Desa Air Batu Pondok Damuli Kecamatan Air Batu Asahan that was treated in the Pusat Public Hospital of the Pilgrim Adam Malik Medan was stated by the bird flu negative or H5N1. Was like this it was said Rumah Sakit Umum Pusat public relations of the Pilgrim Adam Malik Medan (RSUP HAMM), the Ginting rays, SE to the reporter in his office, on Monday (11/8). According to the rays, was known by his negative of the two patients ?suspect? the bird flu after the RSUP HAMM side was opened web site Department of Health RI from the internet. ? Dalam Hal Ini Puslitbangkes made an announcement officially through web site itu,? obviously the rays. He said, because the two patients were stated by the bird flu negative and the condition has been normal, the RSUP HAMM side has coordinated about the repatriation plan Officially Kesehatan of the North Sumatran Province and they later that will inform to the Kesehatan Service of shavings. However, he added, the co-ordination of the repatriation plan before only for the patient Ms then. That too the certain plan repatriation Ms was not yet learnt, we were still being waiting for the picking up from the Kesehatan Service of shavings. Whereas the patient FH still could not be permitted to come home and still continued to be treated by us. That was caused by FH experienced Dengue Dengue Fever (DBD). ?Tapi if trombosit has shown the development will be returned by us also and FH will eventually be moved to space treated normally non isolasi,? obviously the rays. The similar matter was also acknowledged Kadis the North Sumatran Health Dr the Moon of Syafei SpOG. the Side of Dinkes North Sumatra, he said was accompanied by the Head of Sector the Control Program of the Illness and environmental Sanitation (P2P PL) Dr Surya Dharma, also has contacted Dinkes shavings to pick up the patient who has been allowed to come home this. ?Kita has been contacted the hospital of Adam Malik that asked for Dinkes brought came home that has been healthy. While other still the maintenance but not suspect flu burung,? mentioned Kadis. According to him, Dinkes North Sumatra continued to make a maximal effort to handle and monitor the development of the bird flu illness that has claimed 7 casualties in North Sumatra beforehand. For the Command Post So, he said, since being found by the case suspect to humankind and to the poultry, they not only continued to coordinate with the Peternakan Service side, but also formed the Command Post to monitor the community in a round of the affected livestock bird flu. The monitoring continued to be carried out up until two weeks since the case was found. ?Seperti the case in Labuhan Batu. Hundreds of poultries were destroyed because of the virus H5N1. Although being not yet affected humankind, but we for the command post to monitor the community in sana,? more Kadis. Beforehand, continued Kadis, Dinkes North Sumatra has also carried out the socialisation of the bird flu illness, the procurement in the style of the patron and held the training to the doctor the Community Health Centre so that could fast carried out the handling if finding the case of bird flu in the community. Concerning the budget of the handling of bird flu, till at this time still could be overcome well, although in fact was not from APBN. ?Kita could make use of the serious budget of the emergency. Because of the budget from APBD terbatas,? mentioned him. Afterwards, mentioned Kadis again, concerning this bird flu illness still continued to be monitored by the organisation of the health of the world (WHO). Moreover, WHO has formed District Surveilans Officer in 10 regencies/the city in North Sumatra that is, Medan, Binjai, Deli Serdang, Serdang Bedagai, Simalungun, Karo, Pematang Siantar, Tapanuli Selatan, Tebing Tinggi, and Madina. Planned, in the near future will be increased again by five regencies/the city, namely Labuhan Batu, Langkat, Tapanuli Utara and Humbang Hasundutan. ?Kategori the regional election of the regency/the city because there had been endemic and his inhabitants were solid. So as to be worried by his spreading increasingly cepat,? more Surya Dharma http://analisadaily.com/1-1.htm

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  • Diane Morin
    replied
    Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

    Machine translation

    DPRD Tanjungbalai Think Dinkes Slow dealt with DBD .
    <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
    Posted in the Area by editorial staff ounce in August 12th, 2008.<o:p></o:p>

    Tanjungbalai (SIB) DPRD.
    <o:p></o:p>
    Tanjungbalai urged the government of the city in this case the Health Service so that as soon as possible dealt with the dengue fever illness (DBD) that was becoming an epidemic in the city before casualties more often fell.<o:p></o:p>
    That was said by Chairman DPRD Tanjungbalai Romay Noor BA to the reporter Monday (11/8) in the building of DPRD. Dikatakannya, the dengue fever illness that was spreading in the middle of the community at this time immediately must be dealt with by the government of the city by carrying out efforts in the field. ?Secara technical the Kesehatan Service side will more understand and know the control of this DBD illness, said Romay Noor BA. DPRD Tanjungbalai in the near future will call the related service to dimita the explanation in relation to spread him this DBD illness as well as the step - the step what was taken by the government of the city overcame spread him DBD.
    <o:p></o:p>
    DPRD considered the Kesehatan Service slow deal with spread him the DBD illness in the middle of the community, this from the report that was accepted by DPRD to August 2008 the number of patients who was treated in RSU Tengku Mansyur, 6 from 80 patients died. ?Karena that DPRD immediately called the executive's side to be asked for by his explanation as well as responsibility kinerjanya?, stressed Romay Noor.
    <o:p></o:p>
    Concerning the limitations of the budget in the Kesehatan Service so as the control of the DBD illness to terkendala, according to Chairman DPRD Romay Noor BA did not become a reason for the health service to act dealt with this illness. Section Head Kesehatan could put forward to the mayor in order to be looked for the solution to the budget for example, said Romay Noor, the budget could be in the Sosial Service used to deal with the DBD illness that was the disaster for the community in this area.
    <o:p></o:p>
    ?Jadi did not become the reason for the Kesehatan Service because of the limited budget the DBD illness that spread not ditanggulangi?, stressed Romay Noor BA. (S16/c)

    <o:p>http://hariansib.com/2008/08/12/dprd...nggulangi-dbd/</o:p>

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