Indonesia - Family in Karo suspected of having bf

[Bruce]

Re: Indonesia - Family in Karo suspected of having bf

<table border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr><td class="bgheadline" valign="top"> <table border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr><td class="txt_title_headline" colspan="2" height="40" valign="middle"> Cluster di Tanah Karo yang Terbesar</td> </tr><tr> <td align="center" valign="top"> <table border="0" cellpadding="0" cellspacing="0" width="312"> <tbody><tr> <td></td> </tr> <tr> <td style="background-image: url(/img/lip6malam/box_video2.gif); background-position: center top; background-repeat: no-repeat; padding-left: 17px; vertical-align: middle;"> </td> </tr> <tr> <td height="17"></td> </tr> <tr> <td style="background-image: url(/img/lip6malam/box_video4b.gif); background-position: center top; text-align: center; font-family: Tahoma; font-size: 11px; color: rgb(0, 0, 0); padding-left: 19px; padding-right: 20px;">Perawatan bagi penderita flu burung di Tanah Karo, Sumut.</td> </tr> <tr> <td height="15"></td> </tr> <tr> <td></td> </tr><tr> <td class="txt_caption_video" valign="top"> </td> </tr> </tbody></table> </td> <td class="txt_desc_headline">15/05/2006 13:18 Lima dari delapan orang di Tanah Karo, Sumut dinyatakan positif menderita flu burung. Kasus di Tanah Karo adalah cluster yang terbesar di Indonesia.


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</td></tr></tbody></table></td></tr></tbody></table>Liputan6.com, Medan: Kasus flu burung di Tanah Karo, Sumatra Utara menjadi cluster keenam dan terbesar di Indonesia. Cluster adalah penularan virus subtipe H5N1 penyebab flu burung antarmanusia yang terjadi dalam lingkup keluarga atau lingkungan tertentu. Demikian diungkapkan Direktur Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan Departemen Kesehatan I Nyoman Kandun, belum lama berselang.



http://www.liputan6.com/view/7,12286...147674271.html

[Susie]

Trying to find translators

I've tried emailing & filling in the comments form on this story, to get an Indonesian translator. Trouble is, I get error messages in Indonesian and I'm none the wiser about what I should do. If anyone with a smattering of Indonesian is reading this, can they try as well ? We could really do with understanding these articles, and putting them into context.

[Sally Furniss]

Re: Indonesia - Family in Karo suspected of having bf

Five die from bird flu
Five people from the same family have died of bird flu, according to local tests, a health official said yesterday. The two men, two women and an eight-year-old girl lived closely with each other in the Karo district of North Sumatra and came from "the same family tree," said I Nyoman Kandun, the health ministry's director general of disease control. Kandun said the five had been in contact with sick poultry and pigs near their homes before they fell ill and died within days of each other over the past three weeks.

http://www.taipeitimes.com/News/world/archives/2006/05/15/2003308310

[HenryN]

Re: Trying to find translators

I've tried emailing & filling in the comments form on this story, to get an Indonesian translator. Trouble is, I get error messages in Indonesian and I'm none the wiser about what I should do. If anyone with a smattering of Indonesian is reading this, can they try as well ? We could really do with understanding these articles, and putting them into context.

http://www.toggletext.com/kataku_trial.php

Articles can be machine translated by copying and pasting into text box and selection Indonesian to English translation. For Ditek (text can't be copied) you have to use the URL from the Infonedian text and for all a URL from the translated text won't work (must come from untranslated story).

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Two Again the Patient Bird Flu died in RS Adam the Medan Owner Medan -- MIOL: At Least two people more the citizen of the Karo Land, North Sumatra, the bird flu patient that was treated intensively in the Hospital (RS) H. Adam the Medan Owner died.Therefore the number that casualties that died as a result of the plague of this bird flu in Medan became six people.The head of the Field of the Health Service of RS H. Adam the Medan Owner, Dr. Alwinsyah Abidin when being contacted by Antara in Medan, on Sunday, said two patients who died that was Raphael (8), the citizen of the Karo Land.Raphael died in RS H. Adam the Medan Owner, on Saturday (13/5) struck 24.00 WIB.Whereas, Brenita Karo-Karo, the female baby was 1.5 years old died in RS H. Adam the Medan Owner, on Sunday night (14/5) struck 23.00 WIB.Now, bird flu casualties that more previously died, namely Fuji Boru Ginting (40) in RS Elisabeth Medan, on Thursday (4/5), and Roy Karo-Karo (19) in RS H. Adam the Medan Owner, on Tuesday (9/5) struck 10.40 WIB.Further, A. Boru Ginting (29) closed the age in RS H. Adam the Medan Owner, on Thursday (10/5) struck 05.00 WIB, and Bonia Karo-Karo (18) died in RS H. Adam the Medan Owner, on Friday 12/5) struck 13.40 WIB.Abidin added, the two bird flu casualties, before dying got the maintenance in the room of the Longing isolation of A. RS H. Adam the Medan Owner.The two patients experienced the temperature of the body that was high enough and unstable.The team of the doctor that was believed to handle the bird flu illness continued to work hard to help these patients, he said.Up to now, one person more the bird flu patient that still was treated in RS H. Adam the Medan Owner, namely Johanes Ginting (25) the citizen of the Karo Land, he added.(Ant/OL-03)</PRE>
</PRE>
http://www.mediaindo.co.id/berita.asp?id=99769</PRE>

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

<TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD class=bgheadline vAlign=top><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD class=txt_title_headline vAlign=center colSpan=2 height=40>Cluster di Tanah Karo yang Terbesar</TD></TR><TR><TD vAlign=top align=middle><TABLE cellSpacing=0 cellPadding=0 width=312 border=0><TBODY><TR><TD></TD></TR><TR><TD style="BACKGROUND-POSITION: center top; PADDING-LEFT: 17px; BACKGROUND-IMAGE: url(/img/lip6malam/box_video2.gif); VERTICAL-ALIGN: middle; BACKGROUND-REPEAT: no-repeat"> </TD></TR><TR><TD height=17></TD></TR><TR><TD style="PADDING-RIGHT: 20px; BACKGROUND-POSITION: center top; PADDING-LEFT: 19px; FONT-SIZE: 11px; BACKGROUND-IMAGE: url(/img/lip6malam/box_video4b.gif); COLOR: rgb(0,0,0); FONT-FAMILY: Tahoma; TEXT-ALIGN: center">Perawatan bagi penderita flu burung di Tanah Karo, Sumut.</TD></TR><TR><TD height=15></TD></TR><TR><TD></TD></TR><TR><TD class=txt_caption_video vAlign=top></TD></TR></TBODY></TABLE></TD><TD class=txt_desc_headline>15/05/2006 13:18 Lima dari delapan orang di Tanah Karo, Sumut dinyatakan positif menderita flu burung. Kasus di Tanah Karo adalah cluster yang terbesar di Indonesia.



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</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>Liputan6.com, Medan: Kasus flu burung di Tanah Karo, Sumatra Utara menjadi cluster keenam dan terbesar di Indonesia. Cluster adalah penularan virus subtipe H5N1 penyebab flu burung antarmanusia yang terjadi dalam lingkup keluarga atau lingkungan tertentu. Demikian diungkapkan Direktur Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan Departemen Kesehatan I Nyoman Kandun, belum lama berselang.



http://www.liputan6.com/view/7,12286...147674271.html

Liputan6.com, Medan: the Case of bird flu in the Karo Land, North Sumatra to cluster sixth and biggest in Indonesia.Cluster was the spread of the sub-type virus H5N1 the cause of bird flu antarmanusia that happened in the scope of the family or the certain environment.Was like this it was said Pengendalian Breakingprep Penyakit Director General and Sanitation of the I Nyoman Kandun Health of the Department's Environment, not long ago.In the Karo Land, five from eight people who it was suspected were infected was stated positive suffered the deadly illness.Officially the local Health currently researches their specimen in the laboratory of the World of the Health Body (WHO) in Hong Kong [read: the Source of Bird Flu in Medan was not yet known].Now two from eight bird flu sufferers in the Karo Land still underwent the intensive maintenance.Jonnes Ginting, villagers the Simbelang Fortification, the Karo Land currently in the critical situation and was treated in Adam's space of the Public Hospital isolation the Owner, Medan [read: Again, casualties the Assumption of Bird Flu of being killed].Whereas Obviously Boru Ginting that could bolt from the maintenance with Jonnes, yesterday, was accompanied by his family to RS Elizabeth, Medan.Generally his condition quite good although the temperature of the body still high was accompanied breathless.(ICH/Tim Coverage 6 SCTV)</PRE>

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Another from eight patients who were expected terjangkit bird flu in North Sumatra, died.He was Renata Boru Taringan, 1.6 years.Renata died to Ahad, around struck 02.00 WIB when undergoing the maintenance in Adam's Hospital the Owner, Medan.His body was afterwards brought to his house in the Simbelang Fortification Village, the Subdistrict of three bows, the Karo Regency, North Sumatra.Renata became casualties died sixth resulting from the ferocity of bird flu that infected one family.Apart from Renata, his family's five members died it was suspected resulting from bird flu.Two people more up to now still are remaining.A person is currently treated in RSUD Adam the Owner.Whereas another whether where after bolting in the hospital.The casualties died namely Rafael Ginting (10 years), Boni Karokaro (18 years), Roy Karokaro (19 years), Anta Boru Ginting (29 years), and Praise Boru Ginting (40 years).Whereas two that still was living he Jones Ginting (25 years) and Obviously Boru Ginting (35 years)As a result of bird flu spread, villagers's other attitude that expelled villagers the Simbelang Fortification, the place of the family of bird flu casualties was complained about.For example, the treatment of children during the school as well as the transport that refused to bring these villagers.Up to now, the local Health Service was still researching the source of the spread of bird flu in the Karo Regency.However, Siti Fadil -lah Supari Health Minister expected the source of the spread from manure.(BEY)</PRE>
http://www.metrotvnews.com/berita.asp?id=16650</PRE>

[Snowy Owl]

Two more bird-flu patients die in Adam Malik hospital

Two more bird-flu patients die in Adam Malik hospital

http://news.antara.co.id/en/seenws/?id=12721

Two bird flu patients passed away in Adam Malik Hospital Medan, a spokesman of the hospital dr. Alwinsyah Abidin said here on Monday.

With the latest deaths, a total of six bird flu patients had passed away in the hospital so far, he said.

Raphael (8) died at midnight on Saturday, while Brenita Karo-karo (18 months) died on Sunday evening.

The two children suffered from high fever when they were brought to the hospital. They were later put in an isolated care unit for intensive medical treatment until they passed away.

Currently, Adam Malik Hospital is still treating another bird flu patient, namely Johanes Ginting (25), from Tanah Karo village, North Sumatra.

Coordinating Minister for People?s Welfare Aburizal Bakrie early this month said that some 401 suspects of bird flu (avian influenza) had been examined. Of the number, 330 were declared negative with the bird flu virus, 128 were still under observations and 128 had been confirmed positive with the virus.<br />

Indonesia needs some US$900 million for a three-year program to fight Avian flu, he said, adding that the funds would be obtained from the state budget (US$50 million per year) and the private sector (US$20 million per year).

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Officials Study
Indonesia Bird-Flu Cluster
A Family's Cases Put Scientists
On Guard for Virus Mutations
By NICHOLAS ZAMISKA
May 15, 2006

An unusually big cluster of suspected bird-flu cases involving eight members of an extended family in Indonesia is attracting attention from local and international health officials on guard against any sign the virus may have evolved to spread easily among humans.
After attending a recent family gathering, the eight people living in the northern part of Sumatra island fell ill. Six of them have died in the past week or so, according to Nyoman Kandun, director general of disease control and environmental health at the Indonesian Ministry of Health in Jakarta.
PREVENTING A PANDEMIC

<SUP>1</SUP> ? See an FAQ on avian flu<SUP>2</SUP>, an interactive global map<SUP>3</SUP> and track the latest developments in the Avian Flu News Tracker<SUP>4</SUP>.

? Plus, see complete coverage<SUP>5</SUP>.


Local tests, which have proved highly reliable, have shown that five of those family members were infected with the H5N1 virus, a deadly bird-flu strain, although a laboratory in Hong Kong is in the process of confirming those results. Specimens from one of the six people who died weren't available.
With most similar, albeit smaller, human clusters in the past, health officials have presumed that the family members all fell ill after contracting the virus from the same sick birds -- perhaps during the slaughter or preparation of infected poultry prior to a meal -- rather than inferring human-to-human transmission.
It wasn't immediately clear whether the family members had been exposed to infected poultry. Dr. Kandun said that the family had at least a few chickens, two of which died recently, although birds often die in small numbers for reasons other than avian influenza. He said barbecued pig had been served at the family gathering.
<REPRINTSDISCLAIMER>The World Health Organization has sent an official to the family's village to investigate. "The investigation is still ongoing. It's still too early to say at this point," Sari Setiogi, a spokeswoman in Jakarta for the agency said last night, adding that this was the largest cluster she has seen. "It's a huge number of people that are living in the same place. But the possibility of environmental exposure is also there."
A nurse who attended to some of the patients also came down with an influenza-like illness, although she seems to have shown symptoms prior to treating the patients, according to Dr. Kandun. She and others in the family's village are currently being tested for the virus.
While there have been no obvious signs of poultry infected with bird flu in the area where the people died, according to Dr. Kandun, the virus has been widespread among the country's birds. Many human cases of bird flu have been confirmed in places where there have been no reported infections among poultry. Birds are known to harbor the virus without showing symptoms, and cases of the disease in birds might go undetected.
Since last year, the WHO has confirmed 33 human cases of bird flu in Indonesia. Of those, 25 have been fatal. Globally since late 2003, a total of 208 people in 10 countries have been infected, of whom 115 have died.
Transmission among people has been suspected in several cases. An investigation into one of those clusters from 2004 in Thailand led scientists to conclude that an 11-year-old girl who caught the virus and eventually died likely passed it directly to both her mother and her aunt while the two cared for her.
In that cluster, however, there was no sign that a fundamental shift in the virus's genetic code had allowed it to pass easily between humans, leading scientists to believe this was a rare, isolated case.
Write to Nicholas Zamiska at nicholas.zamiska@wsj.com<SUP>6</SUP>
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[sharon sanders]

Re: Indonesia - Family in Karo suspected of having bf

Thank you everyone for perseverance on these developments. I want you to know that you have the freedom here to post your comments. This board will remain a place for the civil exchange of ideas.

[Snowy Owl]

Re: Indonesia - Family in Karo suspected of having bf

The World Health Organization has sent an official to the family's village to investigate. "The investigation is still ongoing. It's still too early to say at this point," Sari Setiogi, a spokeswoman in Jakarta for the agency said last night, adding that this was the largest cluster she has seen. "It's a huge number of people that are living in the same place. But the possibility of environmental exposure is also there."

http://online.wsj.com/article/SB114760647060852360.html

[Snowy Owl]

Re: Indonesia - Family in Karo suspected of having bf

A summary of Tanah Karo events

Many thanks to the reader who sent me the following account. I haven't found another story that put this many details together.

The following report has been cobbled together from a combination of news sources, some local to Sumatra and others international.

A large cluster of H5N1 cases among an extended family in the Indonesian province of North Sumatra, on the island of Sumatra, has health officials around the world concerned. Reports from the location have been incomplete and conflicting, but the following is the best information available as of Sunday evening.

Seven or eight members of an extended family living in a village approximately 175 kilometers south of the provincial capital of Medan were hospitalized more than a week ago with the suspected bird flu. On May 12, Pengendalian Breakingprep Penyakit, Director General of the North Sumatra Department of Health and Environmental Sanitation, confirmed that at least five of the eight suspected bird flu cases had tested positive for the H5N1 virus in local testing. Samples have been sent to a WHO affiliated lab in Hong Kong for verification.

Some local news sources stated that the family lived in the same small home, while other sources indicate that they lived close to one another in the same village, but in different homes. In any case, the family was taken to Medan (the provincial capital) for hospitalization at the RSUP (Central Public Hospital) Adam hospital.

The first death to come to the attention of the international community was Roy Karokaro, aged 19, who died Tuesday, May 9, 11 days after first showing symptoms.

His mother, Praise (or Fuji ? sources are conflicting) Beru Ginting, aged 40, had died on May 4.

On Wednesday, May 10, a woman named Anta Beru Ginting, aged 29, died at the hospital at about 5 a.m. local time. Her relationship to the others has not been clearly stated, though there is some indication that she may have been a sister of Praise Ginting, and therefore aunt to Roy Karokaro. She was identified by some local sources as living in Kabanjahe, the capital of the Karo Regency (district), and not in the village where the others lived, but the accuracy of this last statement is not known.

Boni Karkaro, aged 18, brother of Roy Karokaro, died May 12.

Rafael Ginting, age 8 (some sources said 10), died Saturday, May 13, at about 2 p.m. local time, at RS Elizabeth hospital, also in Medan. This may be the individual identified by some news sources as a cousin of Roy Karkaro, ?Obvious Ulina Ginting?, age 8. It is possible that the Name ?Obvious? is an error resulting from the use of a machine translator to convert news reports from Indonesian into English. This also may be the source of reports that eight members of the family were hospitalized, rather than the seven for whom we have identification.

Brenata Beru Tarigan, a male child aged 18 months, was originally reported as having died on Friday, May 12. However, it was later learned that he did not die until Sunday, May 14. This date of death was confirmed Sunday by I Nyoman Kandun, director general of disease control at the health ministry.

On May 13, local media reported panic in the region (but, if there were panic, it likely was in the Karo district rather than in Medan itself). They also reported that the two surviving members of the original family were transferred to RS Elizabeth after they attempted to flee the hospital. The accuracy of these reports of attempted flight have not been verified, but it is known that the two survivors (not the toddler Brenata Tarigan) were transferred to RS Elizabeth, where one of them (Rafael Ginting) died on May 13. Other sources reported that the two were released from hospital, but hospitalized again after their conditions became worse. This last report seems far more unlikely than that they attempted to flee.

Both local and international media reported that one or more family members originally contracted the disease from contact with contaminated fertilizer. According to local sources, the family often bought manure from the Binjai and Langkat (an individual?) whose poultry had recently been found positive for the H5N1 virus.

On May 12, in addition to reporting two deaths (one of which did not happen), local sources also reported that 12 people remained hospitalized in RSUP Adam with suspected bird flu symptoms. It was not stated if these people were other relatives, friends and neighbors, or just what their exact association with them was.

These sources also reported that, worried by the spread of the disease, the provincial government of North Sumatra ordered the Karo district health service to sterilize the family?s home along with an area of 1-kilometer radius surrounding it. This also means culling or vaccinating all poultry in that area.

WHO officials in Indonesia said Sunday that tests of ?livestock? in the village showed positive results for the H5N1 virus and now poultry and swine in the village are being tested. No indication was given if by ?livestock? the WHO meant cattle, nor why (if it does mean cattle) these animals were tested before poultry and swine, both of which have stronger indications for infection than do cattle.

This outbreak is the largest familial cluster reported in Indonesia to date. It also may be the largest familial cluster ever reported for the H5N1 virus and has international health officials worried that the disease may be mutating to become more easily transmitted between humans.

H5N1 has been in Indonesia since 2003. The first human infections, however, were only reported in 2005.

There are many issues involved in getting news of this outbreak out of Medan and North Sumatra. First, is the problem that local news sources are all in Indonesian, which not only is a different language, but even has a different character set (alphabet) from English. Second, the accuracy of local news sources is highly questionable. Third, both hospital and government officials may not always be forthcoming with information about victims or the course of the disease.

Readers also should be aware of the following language issues with reports coming out of the North Sumatra area:
Karokaro is sometimes transliterated as Karakar or as Karo-karo.
Beru is sometimes transliterated as Boru, and is often abbreviated as Br.

http://crofsblogs.typepad.com/h5n1/2006/05/a_summary_of_ta.html#more

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Commentary at

http://www.recombinomics.com/News/05150601/H5N1_Sumatra_Contacts.html

[sharon sanders]

Re: Indonesia - Family in Karo suspected of having bf

Henry - Thanks for the recap on the numbers in your linked commentary.

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Liputan6.com, Medan: the Condition two patients that it was suspected was attacked by bird flu in the Karo Land, North Sumatra began to improve.This situation quite pleasing because beforehand the Clear Boru Ginting situation and Jonnes Ginting very critical, in fact could bolt from the hospital.Was like this information that was met by SCTV in the Karo Land, recently [read: casualties the Assumption of Bird Flu in Medan improved].Obviously appeared to be fresher compared to the previous day.However, the man was 35 years old still must continue to undergo the intensive maintenance in Special Isolation Space the Public Hospital Saint Elizabeth, Medan.The spokesperson RSU Saint Elizabeth Alfred C. Satyo said, his side has taken the example of Clear blood and is currently researched in the laboratory belonging to the Health Body of the World (WHO) in Hong Kong.According to Alfred for the time being Obviously might not be visited except by the team of the doctor [read: Cluster in the Karo Land that most Big].The condition for the Jonnes health also already many increases and was treated in Isolation Space of RSU Adam the Owner, Medan.Originally Jonnes suffered the inflammation of the lungs or pneumonia and failed breathing.M. Nur Rasyid, Bidang Pelayanan Medis Deputy Director RSU Adam the Owner said the Jonnes condition has passed the critical period.(ICH)</PRE>
http://www.liputan6.com/view/7,12288...147697623.html</PRE>
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