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INDONESIA - Garut Cluster Part III

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Re: INDONESIA - Garut Cluster Part III

Let's not panic about weird co-infections. Ordinary pneumococcal pneumonia is a common complication of all flu. Dangerous, but responsive to antibiotics.

The death toll on the 1918/19 pandemic would've been a lot lower had antibiotics been available.
 
Re: INDONESIA - Garut Cluster Part III

Metrotvnews.com, Garut:

the Condition for the patient suspect bird flu that was treated in the regional Public Hospital (RSUD) Doctor Slamet, Garut, began to improve.

The patient was named Gilang, villagers Cigadog, the Cikeulet Subdistrict, this was the patient suspect 10th bird flu that had undergone the maintenance in this hospital.

Since entering Isolation Space, the Gilang condition continued to improve.
The temperature of his body was normal. However, Gilang must be still undergoing the sample inspection of blood.

While the assumption patient of other bird flu that was treated in the same hospital was Yana (50 years), the citizen of Gambir Sand.This patient also began to show signs improved.However, still in the tight supervision of the hospital side.()

http://www.metrotvnews.com/berita.asp?id=22734




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Re: INDONESIA - Garut Cluster Part III

Metrotvnews.com, Garut:

Remain another the bird flu patient that was treated in the Hospital Doctor Selamet, Garut, West Java, on Wednesday (23/8).

The patient was named Gilang.He was reconciled from the Cikelat Community Health Centre, Garut, with the temperature of the body 36 Celcius levels.

Currently, the temperature of his body decreased to 34 Celcius levels.Moreover, the cough and breathless Gilang also decreased.

The plan is, in the afternoon later, results of the Gilang health test from Jakarta, arrived.If the negative, he will be returned.

From information that was received Metro the TV, a patient will come back was reconciled the Cikelat Community Health Centre to RS Doctor Selamet.

The patient was Herman, 21 years.Currently, Herman middle in the trip.After the inspection later, Herman will be reconciled to RS Handsome Sadikin, Bandung, West Java.Because, although having one room for two patients, was not possible for Herman to be united with Gilang.

At this time the Cikelat Community Health Centre also it was reported treated a patient suspect bird flu was named the Dervish.(BEY)

http://www.metrotvnews.com/berita.asp?id=22750




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Re: INDONESIA - Garut Cluster Part III

West Java prepared 10 hospitals to KLB Bird Flu the writer: Eriez M. RizalBandung --

MIOL: the West Javanese Health Service (West Java) prepared 10 special hospitals the maintenance of the patient was infected by the bird flu virus in several cities and the regency.

Among them the regional Public Hospital (RSUD) Dr Slamet Kabupaten Garut, was equipped the special laboratory.

The increase in the number of hospitals was decided after West Javanese Governor Danny Setiawan, on Tuesday (22/8), determined the case of bird flu in his territory including the category of the extraordinary incident (KLB).

The section head West Javanese Sanitation of the Environment of the Health Service, Fatimah Resmiati, on Wednesday (23/8), said although to 10 hospitals was not as complete as the Handsome Sadikin Hospital (RSHS) Bandung.However, at least the affected patient the virus avian influenza (AI) could be handled fast.

"Beforehand, the patient who was infected by the bird flu virus was treated in the Handsome Sadikin Hospital (RSHS) Bandung."

However, now casualties could be treated in the closest hospital, with facilities was not far was different to RSHS, said Fatimah.Fatimah said from 10 hospitals just five that filled the standard of the maintenance.

That is RSUD Garut, RSUD Cirebon, RSUD Samsudin the Sukabumi Regency and the Hospital Rotin the torch (the lungs) the Bandung City.

He hoped in the near future, the five other hospitals, could be equipped by all of his facilities, including the medicine that was needed.

The prevention 10 hariFor anticipation spread him this deadly virus, the West Javanese Health Service carried out the prevention for ten days.

Including in seven villages in the Cikelet Subdistrict, the Garut Regency, that is Jojok, Rancasalak, Cigandok, the Dark Red Paddy-field, Table Sand, Cibeunteur and Tipar.

The socialisation, among them by doing counselling, the socialisation of the cleanliness of the environment and giving tamiflu for 10 days.

Moreover the West Javanese Health Service also asked the Department of the Health to send help tamiflu to areas that including endemic bird flu.

"We asked for the government of the centre (the Department of the Health) immediately sent tamiflu with the number was in accordance with the requirement," said Fatimah.(EM/OL-02).


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http://www.mediaindo.co.id/berita.asp?id=109510


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Re: INDONESIA - Garut Cluster Part III

The government prepared Tamiflu Stock Jakarta --

MIOL: the Health Minister (Menkes) Siti Fadilah Supari said the government prepared stock of Oseltamivir/Tamiflu to anticipate the spreading of the bird flu virus in the Motherland.

To the reporter in Jakarta, on Wednesday (23/8) he explained that in 2005 the government received 563.800 Oseltamivir capsules respectively 3.800 capsules from the World Health Organization (WHO), 500 thousand capsules from USAID-WHO, 50 thousand capsules from PT the Time and 10 thousand capsules from Economic of Taiwan. "And all of them have been distributed to 33 Health services of the Province, 44 reconciliation hospitals, 10 halls of the Environment and the Health Service of the Regency of the Health Technique in eight provinces," he said.

He added that in 2006 the Department of the Health also made the purchase 12 million Oseltamivir capsules where five million capsules were among them distributed to 33 Health services of the Province, 44 reconciliation hospitals, 323 regional public hospitals, 7.615 community health centres and for stock of supplies (stockpilling). "Whereas two million other capsules at this time was in the process of the procurement and five million capsules were produced by BUMN," he said.

This number it was thought sufficed to satisfy the requirement antivirus in the Motherland with the condition for the distribution of the AI infection like at this time.

It was further that he explained that apart from providing stock of medicine antivirus, the government also alerted 44 reconciliation hospitals and increased the local laboratory capacity to anticipate the spread of the A virus of type influenza the sub-type H5N1 that.

According to him, his side supplemented the 44 reconciliation hospitals with the special room for the management of the case of bird flu and made as well as renovated space of the patient's isolation in hospital-hospital this.

"Totalling 32 hospitals eks SARS reconciliation has been supplemented with isolation space and 12 other hospitals still in the process," he said while adding that the Department of the Health also gave the training for the doctor and the medical staff who were assigned to handle the AI case.

He explained also that his side also gave help of laboratory equipment for the bird flu inspection to two national reconciliation laboratories (Eijkman and the ResearchBody

http://www.mediaindo.co.id/berita.asp?id=109513




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Re: INDONESIA - Garut Cluster Part III

http://www.thejakartapost.com/detailheadlines.asp?fileid=20060823.A03&irec=2


[FONT=Helvetica, Arial]No intrahuman spread detected in Garut cases[/FONT]
[FONT=Arial, Helvetica]Hera Diani and Yuli Tri Suwarni,

The Jakarta Post, Jakarta, Bandung

Health Ministry officials said Tuesday there was no evidence of human-to-human transmission of H5N1 in several remote West Java villages where two people have died and a third has been sickened by the killer virus.

The Health Ministry's communicable disease control center director, I Nyoman Kandun, also said investigations showed there was no "cluster" case in the villages in Cikelet, Garut district.

A cluster of infection occurs when a group of people are infected from the same source of sick poultry. Scientists fear that cluster cases -- with seven reported in the country so far -- raise the likelihood of H5N1 mutating into a form easily passed between humans that could spark a global flu pandemic with a potentially massive death toll.

"We've been worried about human-to-human transmission, but there is no evidence that it is happening so far," he told a media conference.

There have been 18 suspected bird flu cases in Cikelet, and five others died before swabs were taken to determine the cause of death. Meanwhile, in Jatiasih district in Bekasi, West Java, a six-year-old girl also was confirmed positive for H5N1.

There have been 62 cases of avian flu in the country since June 2005, with 47 fatalities, the world's highest number of deaths. Test results are pending for five others receiving medical treatment for symptoms of the disease.

Bird flu appeared to have arrived in Cikelet three months earlier with live chickens purchased from an outside market, Kandun said.

Chickens began dying shortly afterwards, and the outbreak continued spreading through the villages this month.

Mastur Noor from the Agriculture Ministry's campaign management unit said in the conference that his office culled a total of 2,496 poultry in Garut.
"In the areas where there is a confirmed case of bird flu, all poultry within a one kilometer radius must be culled. As the Garut district is isolated, we culled them all."

An official from the West Java Livestock Office, Nana M. Adnan, meanwhile, claimed that over 3,500 poultry had been culled in five areas.

The office has also conducted rapid tests on poultry in the home neighborhood of a 35-year-old woman who died last Thursday. They showed that half of the poultry tested were infected by H5N1.
Fatimah Resmiati, who heads of the West Java Health Office's environmental health division, acknowledged the cull was not optimal.
"Poultry are still around in hamlets where a total cull was supposed to have taken place. We don't know yet whether the poultry are infected or not," she said.

The latest suspected bird flu case is a 61-year-old resident of Cimangke village who is being treated at Hasan Sadikin General Hospital in the West Java capital of Bandung.

Nana said many people hid their poultry when government officials came to their houses, although officials had instructed village and community leaders to explain the importance of the cull.

"We have also told them that we provide compensation of Rp 12,500 (about US$1.3) for every bird culled."

Inspectors will be accompanied by the police on future rounds. "We're going to comb other areas with cases of poultry deaths," he said.[/FONT]

.
 
Re: INDONESIA - Garut Cluster Part III

The Bird Flu patient in the Handsome Hospital of Sadikin Negatifon

Wednesday, August 23 2006 | 16:18 WIBThe Interactive TIME,

Bandung: Lima the bird flu patient that was treated in the Handsome Hospital of Sadikin Bandung the negative was infected by the virus avian influenza.The status of the negative was also given to one patient who was treated in the Hospital Dr. Slamet the Garut Regency.Two patients Ismawati (5) and Santi (8) tomorrow was permitted to come home. "Results of the blood inspection of all the negatives were infected by the virus H5N1," said the Chairman Tim Doctor the Control of Handsome Sadikin Hospital Bird Flu, Yusuf Hadi, today.

As for three other patients namely Kuraesin (32), Osin (35), and Tosin Nuriana (61), results of the inspection were not yet complete. They were still being waiting for the following blood inspection.

So also with one patient in the Hospital Dr. Slamet Garut, still was waiting pemeriksaaan the continuation.The Tosin condition that entered the hospital last Tuesday continued mambaik.According to Hadi, the temperature of his body was normal between 36 - 37 levels celsius.

All the patients above came from the Cikelet Subdistrict, Garut, West Java.According to Eha Djulaeha, the wife Tosin, some time before his four neighbouring chickens died suddenly. This chicken was based on results of the detection of local livestock breeding of the service of being affected by bird flu. Already thousands of chickens belonging to the citizen in the Garut Regency were destroyed.


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http://www.tempointeraktif.com/hg/nusa/jawamadura/2006/08/23/brk,20060823-82430,id.html



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Re: INDONESIA - Garut Cluster Part III

The antibiotics being given could just be as a precaution. Given the remote location and the lack of labs in the area, I suspect they are just trying to cover all the bases.
 
"The number Suspect Bird Flu disturbed the Garut Citizen"

"The number Suspect Bird Flu disturbed the Garut Citizen"

The number suspect bird flu disturbed me, too...!

toggletext-ed from Indonesian:

The number Suspect Bird Flu disturbed the Garut Citizen
August 23, 2006

Garut (ANTARA News) - The news about continued to arrive him the patient that it was suspected was infected by the bird flu virus (avian influenza/AI) from the Cikelet Subdistrict Community Health Centre to RSU Dr Slamet Garut, disturbed the local citizen.

The representative of the Garut Regent the Hermawan Memo, on Wednesday, in Garut admitted to understanding the citizen's unrest towards the bird flu danger, and he promised that the Garut Regional Government went through the related agency will continue to do various efforts to prevent the spreading of this illness.

"We were very concerned with the bird flu outbreak in Garut. Because of that we must increase vigilance, but did not panic," he stated.

He proposed, the service and the related agency will in Garut tighten the supervision and carried out the isolation for the movement in and out of the poultry in the Cikelet Subdistrict following the existence produced by the Department's research of Agriculture that mentioned that the virus contagious bird flu in the area came from the area of urban areas.

The representative of the Regent also asked the Garut citizen during always to maintain the condition for the body to stay healthy in a competing manner and consume nutritious food as well as maintain the cleanliness himself and his environment masing-masing.

"That just very light for example us must cultivate memcuci the hands. Washed the hands was the trivial matter, but fully did not yet become entrenched in the middle of the community, in fact for the health should when eating and after eating or after doing something preferably washed the hands," he said.

Named, since two last weeks were in Garut received by approximately 18 patients suspect bird flu, three positive and two died resulting from bird flu. Suspect bird flu almost every day arrived to RSU Dr Slamet Garut and even several of the him immediately was reconciled to RSHS Bandung.

In the meantime RSUD public relations Dr Slemet Garut the Yogi Suprayogi suggested, apart from being contagious in the Cikelet Village and Cigadog in the Subdistrict of Cikelet Garut, bird flu also it was worried about spread to four villages [desa] around it, namely the Cijambe Village, Karangsari, Linggamanik and the Pamalayanan Village [i.e. concerns about bf spreading in 4 villages, not just hamlets, surrounding Cikelet village].

http://www.antara.co.id/seenws/?id=40646
 
More on Herman...

More on Herman...

toggletext-ed from Indonesian:

The EMERGENCY, the PATIENT SUSPECT BIRD FLU was checked in the AMBULANCE
August 23, 2006

Metrotvnews.com, Garut: It was other that the citizen Cikeulet, Garut, West Java, was reported flattest the bird flu virus. The patient is named Herman, currently, still was treated in the doctor's Hospital Selamet, Garut. Therefore had two citizens Dikeulet that currently is treated in this hospital. The first patient was Gilang.

Herman arrived in RS Selamet struck 14.00 WIB. He at once underwent several inspections, including the Ronthgen photograph [X-ray] and the taking of the sample of blood. Herman was checked in the ambulance because isolation space only contained one patient. And currently was filled by Gilang.

According to the doctor Jonson Manurung, that checked Herman, the temperature of Herman's body achieved 39 Celcius levels. The frequency of Herman's breathing then increased by above 30 times. In fact, the normal measurement must under 20 times. After being checked, Herman was at once reconciled to the Handsome Hospital of Sadikin Bandung, West Java. The doctor forbade Herman to be united with the patient Gilang. "Breathing more than normal. We were still being produced by Ronthgen [X-ray] waiting," explained Jonson.

http://www.metrotvnews.com/berita.asp?id=22768
 
Re: INDONESIA - Garut Cluster Part III

<table align="center" border="0" cellpadding="0" cellspacing="0" width="600"><tbody><tr><td>Indonesia: Five Suspected Bird Flu Deaths Officials move to slaughter chickens and distribute Tamiflu </td> </tr><tr> <td height="20">
</td> </tr> <tr> <td class="context"> In one week, the deadly avian flu struck communities in two villages at Garut, West Java, causing five suspected bird flu deaths. Three of the five victims were buried before laboratory samples were taken.

Laboratory tests on the other two victims confirmed they were positive for bird flu. The latest case raised anxiety among the people living near the victims' residences; hundreds of chickens nearby were found dead.

The villages are isolated in remote areas (130 kilometers southeast of Bandung, the capital city of West Java) and residents can only travel by motorcycle or four-wheel drive cars, so news traveled slowly and the case was handled too late. There were further delays because officials and citizens were still celebrating Independence Day.

Nevertheless, officials moved quickly and slaughtered the chickens. People were asked to hand over their poultry as soon as possible to stop the spread of bird flu because officials had difficulty in identifying where the viruses came from.

The victims ranged from nine to 35 years old and had received medical treatment in the sub district's medical center, a local hospital, and the Hasan Sadikin Hospital in Bandung that was recommended for handling bird flu cases. The latest case brings the total number of avian flu cases in this province to 20 people positive for bird flu and 17 among them dead.

Meanwhile, 12 survivors are still receiving medical treatment in Hasan Sadikin Hospital and Slamet Hospital in Garut regency, except a 17-year-old whose family insisted on bringing him home despite his illness. A pregnant woman, 35, is in the hospital suffering from pneumonia of the lungs. Medical staff are not sure if the virus has infected the baby.

Two young children who received medical treatment in Hasan Sadikin Hospital were found negative for bird flu after preliminary tests were taken. Doctors are still not willing to ignore such symptoms as their residences were in the same village as a victim. The children are still under observation at the hospital in an isolated room while waiting for more tests.

To avoid more infections, Health Ministry officials have distributed more than 20,000 doses of the drug Tamiflu (Oseltamivir) to people near villages where dead chickens were found. The distribution is also aimed at increasing public awareness of bird flu, with an emphasis on elementary school children.

Health officials repeatedly said the Garut case was not a cluster infection like in Tanah Karo, North Sumatra, and insisted that there is no indication yet that bird flu could be spreading from people to people like common influenza.

http://english.ohmynews.com/articleview/article_view.asp?at_code=354645&no=312754&rel_no=1 </td> </tr> <!--tr> <td align="right" class="date">
2006-08-23 21:37 (KST)</td> </tr--> <tr> <td class="date" align="right">
</td> </tr> <tr> <td height="20">
</td></tr></tbody></table>
 
Re: INDONESIA - Garut Cluster Part III

toggletext-ed from Indonesian:

Bird flu in Garut Not Cluster
August 23, 2006

The department of the decisive Health of the case of bird flu that happened in Garut, West Java, not cluster or the case of the bird flu sufferer in one family. :rolleyes: Therefore until this the number cluster in Indonesia still six incidents with the biggest case in the Karo Land, North Sumatra. Was like this was stated by Health Minister Siti Fadilah Supari in Jakarta, on Wednesday (23/8).

Siti added, the case of bird flu in Garut very unique because was in the area was isolated. The source of the spread of the deadly illness in this area it was estimated came from the poultry that the migration to the local poultry. "So relations antarmanusia very limited," said Siti.

Since the middle of July set, 20 villagers Cikelet, Garut, of West Java it was suspected suffered bird flu. However was based on the inspection in the laboratory of the Department of Health Illness of Eradication Research And Development just three people that was ascertained terjangkit the illness resulting from the virus H5N1. Two sufferers, Ai Siti Fatimah and Euis Lina have died. Another of Umar that came home has from the regional Public Hospital of the doctor Slamet, Garut, currently to recover [read: Again, the Bird Flu Patient from Garut died].

Despite this, according to Siti, Indonesia up to now still is becoming the country with the highest death rate of the bird flu sufferer in the world. The government recorded 62 citizens was infected by bird flu and 47 including dying. The last case happened in Cikelet, Garut. Now a positive patient other bird flu, namely Nursifa, still was treated in the Infection Hospital Prof. Dr. Sulianti Saroso, Sunter, Jakarta North [read: the Condition for the Bird Flu Patient from Bekasi improved].

In the meantime, dozens of chickens in Parepare, South Sulawesi, for the last two days died suddenly. Because worried tertular the bird flu virus, the citizen destroyed their chicken by means of being burnt. According to Gerson, a chicken breeder, his at least two chickens died in a day. In fact this animal was vaccinated.

However from results of the Parepare test of the Livestock Breeding Service was not found by the positive chicken bird flu, but only experienced the newcastle disease. Nevertheless the official continued to vaccinate poultries in three subdistricts. Was based on the Parepare data of the Livestock Breeding Service, in this area was recorded by 480 chickens belonging to the breeder was attacked by bird flu of April the year set.

Dozens of chickens in the Tambak Lumpang, Surabaya, East Java, also died suddenly with the cock's comb turned blue. So the local livestock breeding service today takes the sample of blood, the liquid from the throat, as well as the waste of the chicken. Poultries in this area although not on the whole in fact was vaccinated in June set. However results of the test that was carried out by the Veteriner research of the Research Hall (Balitvet) Wates, Yogyakarta just was it was known fastest two weeks more.

In Cirebon, West Java, the agricultural Service and Marine the Cirebon Field of City Livestock Breeding, not long ago spread out the operation of the poultry traffic in two Cirebon City entrances, Pelandakan and Penggung. The vehicle that did not bring the certificate of the health of the animal was forbidden to enter the Cirebon City. Moreover the official also sprayed disinfektan to the chicken coop and the vehicle. This was carried out to confirm that the piece chicken that came from Majalengka or Kuningan, West Java, with the Cirebon aim or Indramayu, West Java, free from the bird flu virus.

http://www.liputan6.com/view/3,127925,1,0,1156350046.html
 
Herman (21M) from Cigadog village

Herman (21M) from Cigadog village

toggletext-ed from Indonesian:

RSU Dr. Slamet will reconcile the Patient Suspect Bird Flu to RSHS
August 23, 2006

Mansur Tasdik - Garut, RSU Dr. Slamet, Garut, West Java around struck 14.20 WIB, on Wednesday early afternoon (23/8) earlier again accepted one patient who was expected terjangkit (suspect) the bird flu illness.

Upon arrival at RSU Dr. Slamet, Herman (21) - was like this the name of this patient, at once was placed in the room of the isolation. Further he was at once handled intensively by the team of the doctor RSU Dr. Slamet.

Public relations RSU Dr. Slamet Garut, the Prayogi Yogi to this afternoon reporter said, with Herman's arrival, the number of patients suspect bird flu that was handled by RSU Dr. Slamet reached 11 people.

According to plan, the citizen of Gunung Sulah hamlet, the Cigadog Village, the Cikelet Subdistrict, Garut, this West Java will be reconciled to RS Handsome Sadikin, Bandung this afternoon also.

http://www.elshinta.com/v2003a/readnews.htm?id=31795
 
Re: INDONESIA - Garut Cluster Part III

Note: Gilang and Herman are both from Gunung Sulah hamlet, the Cigadog Village, the Cikelet Subdistrict.
 
Re: INDONESIA - Garut Cluster Part III

Theresa42 & Dr. Niman, are these the latest figures you have for Garut?

Posted by MHSC @ 12:29:

"The latest case brings the total number of avian flu cases in this province to 20 people positive for bird flu and 17 among them dead."
 
Re: INDONESIA - Garut Cluster Part III

Commonground said:
Theresa42 & Dr. Niman, are these the latest figures you have for Garut?

Posted by MHSC @ 12:29:

"The latest case brings the total number of avian flu cases in this province to 20 people positive for bird flu and 17 among them dead."
Click to expand...

Take this count with a grain of salt. The next paragraph states

Meanwhile, 12 survivors are still receiving medical treatment in Hasan Sadikin Hospital and Slamet Hospital in Garut regency, except a 17-year-old whose family insisted on bringing him home despite his illness. A pregnant woman, 35, is in the hospital suffering from pneumonia of the lungs. Medical staff are not sure if the virus has infected the baby.
Click to expand...

The numbers don't match up.

The site where this article originated is ohmynews. They accept articles from "citizen reporters". http://english.ohmynews.com/reporter_room/qa_board/qaboard_list.asp?page=1&board=freeboard

The author, Aloysius Wisnuhardana (wisnuhard), has posted many articles on the site about Indonesia and probably lives there. I think it is local news that is being recycled.
 
Re: INDONESIA - Garut Cluster Part III

Commonground said:
Theresa42 & Dr. Niman, are these the latest figures you have for Garut?

Posted by MHSC @ 12:29:

"The latest case brings the total number of avian flu cases in this province to 20 people positive for bird flu and 17 among them dead."
Click to expand...

Those numbers are from Bundung Province, which is much bigger than Garut. Those numbers are totals (for the past 12 months). The only "official" recent cases are the three confirmed (including 2 deaths).
 
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