INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2 to Nov 8, 2006

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Blood samples from family and neighbours

BF not from chickens..

The First case in Indonesia and Second in the world

MK the Meningitis Suffering and AI
Bandung, (HOMEWORK).

- the Patient suspect bird flu, MK (65), from the Pasirhalang Kec Village.Cisarua Kab.Bandung, was stated positive terjangkit the virus H5N1."Moreover, this virus was it was suspected strong at becoming the cause of the cerebral membrane of the inflammation (meningitis) that was suffered by MK," said the Section Head the Health of the West Javanese Province, Dr. Yudhi Prayudha in Bandung, on Wednesday (11/10).

The news about MK, was accepted by Dr. Yudhi yesterday from Balitbangkes Jakarta through the short message of the service (the SMS).
"I received the news that that was relevant positive, from smsing, not from the official letter."The SMS was sent by the staff who received the news from Jakarta.Usually, I was sent the official letter.
Possibly tomorrow or the day after tomorrow, just was accepted his official letter, said Yudhi that was contacted in his office.

According to him, MK's case was that the first time happened in Indonesia.The similar case had happened beforehand in Thailand.
"Could be said, this was the second case in Asia or even in the world," he revealed.However, clinically, Yudhi still could not confirm, meningitis that was suffered by MK as a result of the bird flu virus (Avian influenza/AI) or not.

However was expected strong at heading there if seeing MK did not make himself aware because meningitis and MK was stated positive terjangkit H5N1.Secara clinical pathology, said he, only teams of the doctor the Handsome Sadikin Hospital (RSHS) that could explain.
"Secara clinical pathology, only Mr Hadi that could explain."I only could connect as the person of the field, not the clinical person, said Yudhi.

However, good Dr. Hadi Jusuf, Sp.P. D. KPTI as the Chairman Tim the Control of RSHS Bird Flu, or Dr. Cissy R. Sudjana the officer as Director RSHS, still could not give information about that."We were still being waiting for Litbangkes confirmation."

We waited results that is sent today, said Dr. Cissy through the SMS.
Although indeed meningitis MK because of the bird flu virus, Kadinkes made a plea so that the not restless community."This case was very rare."

Because that might not there are those that was worried, he revealed.
That important, he said added, the community memerhatikan methods maintained the cleanliness and the handling of the true poultry.
This Thursday, Dinkes West Java will coordinate with Dinkes Kab.
Bandung to take the sample of MK's family's blood and the citizen that had the story of contact with the poultry around MK's residence in Kp.
The Love round, the Pasirhalang Village, Kec.Cisarua, Kab.Bandung.

In West Java till at this time the bird flu patient was recorded 24 people, and 19 people among them immediately died.This number was spread in 10 regencies/the city.In Kab.Bandung, MK was the 4th positive case.

According to Dr. Yudhi, there were three similarity factors among all the bird flu sufferers in West Java.

Firstly, socially economics the sufferers come from from the middle and middle circle down.

Secondly, did not happen near the large-scale poultry farm, and

third, the positive poultry always the chicken kind not the race (talk to).

It was related that the formation of the regional Commission (Komda) the Control of Bird Flu, Yudhi stressed that that was needed not the formation komda bird flu, but more activated the control commission of the based illness the animal (zoonosis).

"I more agreed zoonosis because not only bird flu, there was the other illness for example anthrax or rabies that also must be guarded against," he said. Was different to the statement of Dinkes West Java, results of the research of the Livestock Breeding Service into the poultry in the Pasirhalang Village of the Love Round, precisely the negative.

As being said Kasubdin the Protection of resources and Kab fisheries of the Livestock Breeding Service.Bandung, drh.Adiyoto, his side carried out the taking of the sample from the house environment remained MK. the Inspection was carried out in the laboratory, not rapid test that was carried out in the field, so as results more accurate.

"We got information had two chickens that died, long before MK fell ill."

Moreover there not too many poultries, said Adiyoto.He added, since last Saturday did not have the report on the poultry died in Pasrihalang.
(A-156/A-124)

http://www.pikiran-rakyat.com/cetak/2006/102006/12/0103.htm

 

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Metrotvnews.com, Bandung: the Condition Mama lunar (40), the flattest patient bird flu, villagers bar Sand, Cisarua, the Bandung Regency, that was treated in the Handsome Hospital sadikin Bandung was still being critical.

Till this Thursday (12/10), Mama still underwent the maintenance in special space bird flu.
Mama that was treated since last Saturday still experienced breathless and feverish high with the temperature achieved 40 levels selsius.

Apart from experiencing the infection of the lungs, the patient also diketahi experienced the inflammation of the brain that was caused by the virus.

However, was not yet ascertained whether this virus was the virus H5N1.
In the meantime, the Managing Director of the Handsome Hospital of Sadikin Bandung Cissy the officer denied it Mama positive terjangkit the bird flu virus.To confirm that needed other information.

The plan is, results of the DNA inspection as well as the liquid will in the patient's throat that is sent today be accepted by the Handsome Sadikin Jum'at Hospital side (13/10) tomorrow.
()
http://www.metrotvnews.com/berita.asp?id=26039

 

[Mingus]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

http://www.medindia.net/news/view_news_main.asp?x=14998
12 Oct 2006 Page 1
New human H5N1 bird flu case in Indonesia
<TABLE align=left><TBODY><TR><TD>

</TD></TR></TBODY></TABLE>A health official in Indonesia reported yesterday that a hospitalised woman was tested positive for bird flu. Indonesia has witnessed 52 deaths due to bird flu, the number being the highest of any country. Most of the deaths occurred from the beginning of this year.

"A 67-year-old woman living in the Cisarua area of Bandung had contact with fowl," the official from the bird flu information centre over telephone. "The woman was admitted to the hospital on Oct. 7 and was still alive, " the official added. "The woman tested positive to the H5N1 virus after a test at a health ministry laboratory and one conducted by NAMRU, the U.S. Naval Medical Research Unit based in Jakarta," the official added.

Hadi Yusuf, the director of the Hasan Sadikin hospital in Bandung, southeast of the capital Jakarta, said, "The woman is being treated with the anti-viral drug Tamiflu and antibiotics. "Her condition is bad. For a second day, she has been on a respirator and her blood pressure is high." Yusuf said, "The woman had come down with a fever two weeks after being in the vicinity of dead chickens. "

The Indonesian government has not taken up mass culling of birds, in spite of the rise in the number of human deaths, mentioning the costs and uselessness in a big, densely populated country where a few fowls in the back yard is common.

Since 2003, bird flu has claimed 148 lives globally.

Source-Medindia
GYT

Medindia on What is Avian Influenza ?
Avian influenza (AI) or Bird Flu is a disease of viral etiology that ranges from a mild or even asymptomatic infection to an acute, fatal disease of chickens, turkeys, guinea fowls, and other avian species, especially migratory waterfowl

 

[Mingus]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

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http://www.suaramerdeka.com/cybernews/harian/0610/11/dar13.htm
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Boy, Theresa you force us to work
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The First case of Stick Bird Flu of the Brain from BandungBandung, CyberNews.Mama Komariah, 67, that was treated in RS Handsome Sadikin (RSHS) Bandung positive terjangkit the bird flu virus.The assurance was received after Litbangkes checked the sample of casualties's blood in the third inspection."Casualties were also recorded as the first bird flu patient in Indonesia that experienced the attack of the bird flu virus to the stick of the brain."Beforehand, the inflammation attack of the brain because of this virus just was found in Thailand, explained the Section Head the Health West Javanese Yudi Prewar, on Wednesday (11/10).Especially to Mama, Litbangkes took the sample of blood through to four times, among them also took the sample of his spinal cord.Casualties did not experience pneumonia to his lungs, but precisely the inflammation of the brain or meningitis, that was caused by the bird flu virus.The inflammation attack of this brain, explained Yudi, caused comma casualties while being treated.However, this incident was very rare happened, so as the community might not worry him.The chairman Tim the Handling of bird flu of RSHS Bandung Hadi Jusuf said, the condition Mama still was very ugly.Although his awareness has begun to be available, also had the movement of the hands, and good blood pressure, but casualties's breath was still being very heavy.The "neurologist's inspection showed the existence of the brain of the inflammation, or ensevalitis that was caused by the virus."However, this the bird flu virus or not, we were still being waiting for results of Litbangkes, he stated.(miol/cn09)
</PRE>

 

[Mingus]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Frankly I would like to see from my eye what's goin on in those labs... I do not feel the explanation very professionnal.
______________________________________


Translated from
http://www.kompas.com/ver1/Nusantara/0610/12/204536.htm

MK ?False Positive? Burung
Flu
The report on the Reporter Kompas Mohammad Hilmi Faiq
Bandung, Kompas -- results polymerase chain reaction or PCR third MK (67) menunjukan positive borderline or false positive the virus H5N1.
Meaning that, there was MK's possibility positive was attacked by the bird flu virus but the possibility was still small.
To know his assurance, MK currently undergoes the DNA test.
Was like this was sent the Managing Director of the Handsome Hospital of Sadikin Bandung Cissy Rachiana Sudjana the Kartasasmita officer in Bandung, on Thursday (12/10).
?Borderline that false positive or positive false.
So his status was to the side of the negative and still mentioned suspect,? Cissy words.
Cissy explained, results of the PCR test first pointed out the virus negative H5N1, even so with PCR second.
To PCR third was known by results false positive.
To ascertain him, Balitbangkes afterwards asked for RSHS sent sample for the PCR test fourth and fifth that evidently also the negative of the bird flu virus.
In the PCR test that third, the team of the control of RSHS bird flu enclosed sample the spinal cord liquid.
Because, results of the team's inspection of the doctor showed MK experienced the inflammation of the brain (encephalitis).
​

 

[Shannon Bennett]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

http://abcnews.go.com/International/wireStory?id=2560179

Indonesia's Bird Flu Death Rises to 52

Oct 12, 2006 ? By Diyan Jari
JAKARTA (Reuters) - An Indonesian man who had been suffering from bird flu for days died early on Thursday, a hospital official said, taking Indonesia's death toll from the disease to 52.
"He died because of breathing problems which he had suffered since he was admitted to the hospital," said Hadi Yusuf, who heads the bird flu ward at Hasan Sadikin hospital in Bandung, West Java's provincial capital.
The government had acknowledged the 20-year-old victim as a bird flu case earlier this week.
The man's brother died with bird flu symptoms on Sunday but due to lack of testing there has been no positive confirmation he had the disease.
A third sibling, a 15-year old girl, is currently being treated at Hasan Sadikin hospital.
"She is doing alright, no fever. We are still looking into whether she has the avian influenza virus. The third testing will be conducted today," Yusuf told Reuters by phone.
Two previous tests have found negative trace of bird flu. Relatives of the three siblings are also being tested.
The disease spread into the family when a member brought chickens with the virus to their house.
Indonesia has more bird flu deaths than any other country.
The government has faced criticism for not doing enough to combat the disease, endemic in birds in almost all provinces in the archipelago of 17,000 islands.
Unlike other bird flu-affected nations such as Thailand, culling poultry is not easy in Indonesia because of fierce opposition from farmers and the logistical difficulties in dealing with millions of backyard fowl.
Farmers oppose culling because of low compensation. However, at times residents of areas where someone has died of the disease demand aggressive culling by the government.
More than 1,350 birds have been slaughtered this week near homes of bird flu victims who died earlier this month.
Before the Thursday death, the World Health Organization (WHO) said 147 of the 251 people confirmed infected with the H5N1 bird flu virus worldwide have died since 2003.

The virus mainly affects birds but experts fear it could mutate into a strain capable of killing millions of people in a global pandemic.
This fear heightened in May when seven people in an extended family died of bird flu in Indonesia's North Sumatra province.
The WHO has said limited human-to-human transmission is highly likely to have occurred in the Sumatra cases but that the transmission was not sustainable and occurred only during close, prolonged contact, such as a parent looking after an infected child.
Health Minister Siti Fadillah Supari said any conclusion on human-to-human spread could not be based on small cases.
"You cannot just declare there is human-to-human (transmission) from a doctor's examination. It may need thousands of cases first," Koran Tempo quoted her as saying.
"Up until now, the spread of bird flu in Indonesia is from fowl to humans," she said.

Copyright 2006 Reuters News Service. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

 

[Laidback Al]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

This is old news being recycled. The 52nd WHO-confirmed individual died in Indonesia on Thursday, September 28th. He was Taufik Zakaria. His brother also died several days earlier without being tested. His sister is Intan Mustika (Precious Stone Diamond) and reportedly tested negative for bird flu.

See:

Avian influenza ? situation in Indonesia ? update 34
28 September 2006
The Ministry of Health in Indonesia has confirmed the country?s 52nd death from H5N1 avian influenza. The 20-year-old man, whose infection was announced on 27 September, died early in the morning of 28 September.
Of the 68 cases confirmed to date in Indonesia, 52 have been fatal.

 

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

More details and background on ?Mama? K.

Read: ?Love? ?Round? as Babakan Cinta is name of the hamlet she lives.
Read: ?Handsome? as Hasan

Really did Bird Flu stop over in the Babakan Cinta?

The DAY still the morning when Ayi visited the Eroh Rohanda residence, the Village Head Pasirhalang.Ayi was one of the NY sons.
MK (67), suspect bird flu that currently still terbaring weak in Poinciana Tree Space RS Handsome Sadikin Bandung.
The day, on Saturday (7/10), for his three times -- for the last four years -- stroke bashed the worn-out NY body.
MK, the citizen Kp.The round loved the Pasirhalang Kec Village.Cisarua Kab.Bandung.

The OFFICIAL of the Health of the West Javanese Province of the Service took the sample of Itang blood (72), the husband MK, ?suspect? bird flu from Kp.The round loved the Village Pasirhalang the Cisarua Kab Subdistrict.Bandung, on Thursday (12/10).

HAZMIRULLAH/HOMEWORK "he asked to be looked for the ambulance to bring his mother to the hospital."
In fact, I had the colleague, his wife worked in RSJ Cisarua, was not far from his house.But, he said, the ambulance often stalled.
Then, was suggested by me to search in RSU Cibabat or to City Subregional Police Cimahi, said Eroh Rohanda, when being found in his office, on Thursday (12/10).Briefly related, the ambulance came.
Not from RSU Cibabat or City Subregional Police Cimahi, but property someone in the area of Cisangkan Padang Ratu.MK was brought to RSU Cibabat.Then, was brought to RS Saint Yusup Bandung."My wife in-x-rayed."
There were spots on his lungs.The doctor asked whether my wife was often crowded.I answered not.

Could suffered asthma quite serious, but has recovered teenage then, said Itang (72), the husband MK, when being found in his residence, on Thursday (12/10).
Itang felt, so that made MK afterwards be reconciled to RS Handsome Sadikin and was put into Poinciana Tree Space.The sample of his blood was taken.
It was startling, on Wednesday (11/10), MK was stated positive contracted the bird flu illness (Avian influenza).The news came from the Section Head the Health of the West Javanese Province, Dr. Yudhi Prayudha.
He admitted to accepting the short message from Balitbangkes the Centre in Jakarta.


On Saturday early afternoon, M. Rusli, the paramedic veteriner Kec.
Cisarua, descended to the field, took the sample of poultry blood around the residence MK. "After being tested in the laboratory, results of the negative."
But, we stayed curious from where the bird flu virus came?
Yesterday (on Wednesday, 11/10 -red.)we again took the sample of poultry blood and it was continued today (yesterday -red.), said Rusli, on Thursday (12/10).
Itang said, a week before Ramadan, himself indeed bought six chickens from someone in the next village.A chicken was cut off to be eaten.
Despite that, Itang also maintained 3 turtle-doves, a thrush, and one kerak batam."Nah, two days before the fast, my two chickens died suddenly."
But, his cock's comb not geuneuk, the chest and foot him then did not show blood spots as information that was heard by me uptil now, he said.
Two weeks afterwards, his wife was attacked stroke.

The other news was sent by the Village Head, Eroh Rohanda.
Two months beforehand, happened the mass death of the chicken belonging to Darmat, the citizen of the Kp village.Cilawantani the Cilame Kec Village.Ngamprah, that was neighbours with Kp.The Love round.
He claimed, the chicken that died suddenly that numbering 20 tails.
But, the community here considered the death was natural.
The matter is, every year, at the time of the season pancaroba, indeed always happened thus, he said.Itang justified the matter.
Last year, 9 from his 10 property chickens died suddenly.

But, he claimed not restless.The matter is, he had effective medicine.
"Nyandak we the onion beureum, dipekprek, the terrace dilelepkeun we."
Da enjingna definitely cageur (took the shallot, was crushed, then was fed.Tomorrow him must recover, -red.) ,? he said.

Came back to the MK. Itang story said that already four years the wife suffered was sick.In extension at that time, his three times experienced stroke."From knees to the palm foot, also from the elbow to fingertips, very hot."Usually, we the compress and again normal.
Two hours afterwards, again hot.Dikompres, again normal.Was like this henceforth.Nah, yesterday that, we decided to bring him took medicine to the hospital, he said.

When the "positive" status of "bird flu" spread the area, Itang and the family's other member claimed did not know.
Even, on Wednesday afternoon (11/10), a doctor in RS Handsome Sadikin asked him to gather all of the family's member.
The "doctor asked for us many-often prayed."
The matter is, the mother did not realise-realised.
In fact, the doctor has given medicine that the price his one pill Rp 1,5 million, was like this Itang, the pensioner PT Pindad this.
(Hazmirullah/HOMEWORK)

http://www.pikiran-rakyat.com/cetak/2006/102006/13/0105.htm

 

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

MK the Burung Flu Negative

- diagnosis confusion suspect bird flu, MK (65) was answered after the team of the handling doctor of the case of bird flu in the Handsome Sadikin Hospital (RSHS) Bandung gave official information, on Thursday (12/10).

According to the team of the doctor, from 5 inspection times, the big possibility of the citizen Kp.Bbk.The love, the Pasirhalang Village, Kec.
Cisarua, Kab.Bandung the negative was affected by the virus H5N1.
He it was suspected only was affected by the inflammation of the brain (enchepalitis).

"From five inspection times, results showed the bird flu negative."Only other results showed, the patient contracted the inflammation of the brain.

However we did still not know his cause, said the member Tim the Handling of the Case of Bird Flu in RSHS Bandung, Dr. Ahmad Rizal, Sp.
S. to the reporter in RSHS, on Thursday (12/10).

He said, from results of the research, the virus that attacked the brain and caused the inflammation to be the virus herples simplex.Despite this, his side still could not confirm whether the patient MK was affected by the virus H5N1 or the other virus.The "AI virus could also attack the brain."
But enchepalitis could be caused by several other illnesses, he said.

In the same place, the member Tim the Control of other Bird Flu, Dr. Artoyuwono, Sp.P. D. said, the patient MK also experienced the inflammation in his part of the lungs."Since entering RSHS, the inflammation on his lungs continued to spread," he said.

The managing director RSHS, Dr. Cissy B. Kartasasmita opposite the reporter also confirmed, from five times pemeriksan the sample of blood, apus the throat and apus the nose in Balitbangkes Jakarta, the patient MK was indeed stated by the bird flu negative.

The "PCR test first, second, fourth, and the five results of the negative."
Only that third that said false positive or positive border line (hesitant).
To confirm, we will carry out the DNA inspection, he said.
What was raised by the RSHS side at the same time denying the Section Head's information the West Javanese Health, Dr. Yudhi Prayudha.
On Wednesday (11/10) opposite the reporter Yudhi said that the patient MK positive was affected by bird flu.

www.klik-galamedia.com

 

[Goju]

Re: INDONESIA - BF 10/4+

Re: INDONESIA - BF 10/4+

Indonesia confirms 54th bird flu death
Posted: 16 October 2006 1127 hrs

JAKARTA : A 67-year-old woman who was confirmed Monday as being infected with the bird flu virus died overnight, bringing Indonesia's bird flu death toll to 54, the head of the team of doctors treating her said.

"She died last night at 10:00 pm (1500 GMT) with complications from the virus affecting all of her organs," the doctor, Hadi Yusuf, told AFP from the hospital where she died in West Java's Bandung.

"She had been unconscious for the previous two days."

Earlier, the head of Indonesia's national bird flu information centre Runizar Rusin told AFP that two laboratories had returned positive samples taken from the woman showing she was infected with the H5N1 virus.

Positive results from two Indonesian laboratories mean that the World Health Organization includes the case in its records. - AFP /d

http://www.channelnewsasia.com/stories/afp_asiapacific/view/235713/1/.html

 

[AlaskaDenise]

Re: INDONESIA - BF 10/4+

Re: INDONESIA - BF 10/4+

........"She died last ........ with complications from the virus affecting all of her organs," .......

Note.

.

 

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Bird Flu Kills 150th Person; May Have Infected Victim's Brain

By Karima Anjani and Aloysius Unditu

Oct. 16 (Bloomberg) -- Bird flu may have infected an Indonesian woman's brain before it killed her yesterday, marking the 150th fatality caused by the virus worldwide since late 2003.

The 67-year-old woman from Indonesia's West Java province tested positive for the H5N1 strain of avian influenza on Oct. 11, four days after she was hospitalized in the city of Bandung with flu-like symptoms. Her condition deteriorated when she developed encephalitis, or an acute inflammation of the brain, said Hadi Yusuf, one of her doctors at Hasan Sadikin Hospital.

``Our concern is that the condition was caused by a bird flu infection in her brain,'' Yusuf said over the telephone today. Neurological symptoms occur rarely with human H5N1 cases, according to virologist Menno de Jong, whose team observed 18 patients in Vietnam. Doctors are studying the virus to improve treatments for the disease, which threatens to mutate into a contagious form that could kill millions of people.

The virus is known to have infected 255 people in 10 countries during the past three years, killing 59 percent of them. The latest fatality brings to 72 the number of people known to have died from H5N1 this year alone -- almost as many as the total number of fatalities recorded in the previous three years.

New infections provide more chances for the virus to mutate into a lethal pandemic form, such as the one in 1918 that killed as many as 50 million people. In most H5N1 cases, severe respiratory disease, including pneumonia, is the main symptom.

Diseases involving the central nervous system, including encephalitis, transverse myelitis and Guillain-Barre syndrome, have been associated with influenza in humans, according to Harrison's Principles of Internal Medicine, 13th edition. The cause of the disease isn't established, the medical book said.

75% Fatality Rate

The woman from West Java was the second person to die of avian flu at the weekend in Indonesia, where three of every four reported cases of the virus have been fatal.

An 11-year-old boy from a southern suburb of the capital, Jakarta, had the H5N1 strain when he died on Oct. 14, Joko Suyono, an official at the health ministry's avian flu information center, said late yesterday.

Test results reported by a U.S. navy laboratory confirmed an initial diagnosis made by a local laboratory, he said. The boy may have picked up the H5N1 virus from infected fowl in his neighborhood, Suyono said.

The fatalities take to 54 the number of people reported to have died in Indonesia from H5N1 since July 2005. A least one avian-flu death has been reported every month since September last year as authorities struggle to control the virus in poultry.

Indonesia, the world's fourth-most-populous country, surpassed Vietnam in August as the country with the most H5N1 fatalities.

Indonesia has reported 71 H5N1 cases, giving it a case- fatality rate of 75 percent -- the highest after Cambodia, where all six of that country's known H5N1 patients died, giving it a case-fatality rate of 100 percent.

To contact the reporters on this story: Karima Anjani in Jakarta at kanjani@bloomberg.net ; Aloysius Unditu in Jakarta at aunditu@bloomberg.net .

Last Updated: October 16, 2006 02:37 EDT

http://www.bloomberg.com/apps/news?pid=20601202&sid=a3hfCjy66dgA&refer=healthcare

 

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

New patient in Bandung: AR (35)

Mama Komariah Positif Terserang Flu Burung

Bandung (Antara News) - the Patient Mama lunar (67) that died in the Handsome Sadikin Hospital (RSHS) Bandung to last Sunday night (15/10) around struck 22.00 WIB, positive was attacked by the virus H5N1 or bird flu.
"
Was based on results of the DNA inspection in the Department of Health several times and apus the throat evidently the patient Mama Komariah positive was affected by bird flu", said the Managing Director RSHS Bandung, Dr Cissy Sudjana the officer to the press in Bandung, on Monday.

According to the Chairman Tim the Control of Bird Flu in RSHS Bandung Dr Hadi Yusuf, on Sunday early afternoon (15/10), the patient Mama his blood pressure could descend again and emerged failed the kidney as well as had the disturbance of the other body organ till finally on Sunday night died.

He said, the patient Mama was not late memeriksakan his health to RSHS Bandung because since two days experienced the fever, immediately was brought to RSHS Bandung on Saturday afternoon (7/10), but because of many organs that experienced the disturbance, then the patient MK not strong and often his condition worsened through to finally died.

In the meantime, the Member Tim the Control of Bird Flu in RSHS Bandung Dr Rizal Sp nerves, mentioned, the cause of the death of the patient MK still could not be ascertained, but the possibility was caused by the existence of the brain that resulted in the level of his awareness descending of the inflammation."However available results were to have AI in the cover liquid of the brain."

If being not found by the AI existence in the cover liquid of his brain, then we could not mention the occurrence of the brain of the inflammation was caused because of the virus H5N1, he said while mentioned, could was affected by him the inflammation of the brain was caused because of the other virus.

The patient baru

On Monday morning (16/10) around struck 09.45 WIB, RSHS Bandung again received the patient suspect bird flu had the initials AR (35) the citizen of the Village of Bojong Asih the Village Dayeuh Conservative the Subdistrict Dayeuh Conservative the Bandung Regency.

The patient AR that raised fish in the area of the Cirata reservoir, of Cianjur had contact with the poultry because his property duck that was bought totalling 140 tails died suddenly totalling 15 tails.

"However, the condition for the patient not menunjukan the sign like bird flu because did not experience breathless, there was no cough, but experienced the fever with the temperature of the body achieved 38 levels celcius," said Hadi Yusuf.

In the meantime, the Member Tim the Control of Bird Flu Dr Arto Yuwono Suroto, Sp to, said, there were no compatibility that the patient AR was affected by bird flu because did not experience breathless, although being gotten by the inflammation of the lungs, as well as his respiration was also good.

According to the patient's older brother AR, Aisyah (39), since znumanyz weeks ago his brother experienced the fever and since znumanyz days ago his fever increasingly worsened and immediately was brought to RSHS Bandung ascertained his illness.

With the existence of the patient that new that, the total patient suspect bird flu that had been treated in RSHS Bandung totalling 64 people, nine people among them positive bird flu, namely seven people died and two other people up to now still are living.
()
http://www.antara.co.id/seenws/?id=44512
Copyright ? 2006 ANTARA

 

[HenryN]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Commentary at

http://www.recombinomics.com/News/10160603/H5N1_Encephalitis_Indonesia.htmlhttp://www.flutrackers.com/forum/showthread.php?t=11217&highlight=year

 

[HenryN]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

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Metrotvnews.com, Jakarta: Mama Komariah, the positive patient Handsome Sadikin Hospital bird flu (RSHS) Bandung, West Java, died, Ahad (15/10) around struck 22.00 WIB. the Body Mama disemayankan in isolation space RSHS. That Night the Body Mama disemayankan in RSHS isolation space.Mama Komariah was the citizen of the Love Round, the Cisarua Subdistrict, of the Bandung Regency, West Java.He began to be treated in RSHS since Saturday the week set.The infection that was suffered Mama was stated attacked the network of the brain.Tim was medical also found the bird flu virus on the spinal cord Mama.The discovery was appropriate results pemeriksanan the Hall of Health Research And Development (Balitbang) Jakarta.The Health body of the World (WHO) mentioned Mama as casualties of the 54 bird flu in Indonesia.(BEY)</PRE>
http://www.metrotvnews.com/berita.asp?id=26240</PRE>​

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[HenryN]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Metrotvnews.com, Bandung: the Body Mama lunar was buried in the Village of the Love Round, the Village of bar Sand, the Cisarua Subdistrict, the Bandung Regency, West Java, on Monday (16/10).

Mama died when being treated in Handsome Sadikin space of the Hospital isolation, Bandung, West Java, because of being infected by bird flu.</PRE> The body Mama arrived in the funeral parlour in the Village of the Love Round, on Monday morning.After disalatkan, the family at once buried the body Mama in the funeral of the family.The atmosphere confused coloured the burial late.</PRE>
Moreover, casualties's child could faint.</PRE>

Wawan, the son late justified the existence of your kept chicken him that died suddenly.However, he did not learn his mother was attacked by the bird flu virus.</PRE>

Now from Banda Lampung, Lampung, was reported by the Doni condition, pre-schoolers suspect bird flu that currently is treated in RS the Public Abdoel Moeloek experienced the progress.The patient's body heat has descended and he has begun to eat.According to the Chairman Tim Doctor RSU Abdoel Moeloek, the doctor Paddilangga, his side today sends the sample of the patient's blood to the Body of the Health of the Department's Research And Development in Jakarta with the sample swap the throat and the Doni nose.Paddilangga added, results of the medical inspection mentioned, apart from having the story of contact with the poultry, the content of the patient's leucocytes was far below normal, that is 1.300.(DEN)</PRE>

http://www.metrotvnews.com/berita.asp?id=26277</PRE>

 

[HenryN]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

AR ?Suspect? Bird Flu Baru
Bandung, (HOMEWORK).

http://www.pikiran-rakyat.com/cetak/2006/102006/17/0203.htm

- Poinciana Tree Space of RSHS Bandung again received the patient suspect bird flu. This time, a fish breeder from Jangari, Cirata, Kab.Cianjur.

AR (35) arrived in Poinciana Tree Space struck 9.45 WIB, on Monday (16/10).
When entering, he felt breathless and hot high achieved 38 levels celcius. That he felt not long after 15 from his 140 kept ducks died suddenly while four days were endless. Beforehand, AR could take medicine to the clinic 24 hours in the Dayeuhkolot area, Kab. Bandung. ?Tapi, panasna teu descended-descended. Cenah karaosna very stiff, lalinu,? said the older brother AR, Aisyah (39).

Namu, after undergoing the beginning inspection, the AR condition was categorised light.From results x-rayed, the team of the doctor suspected had few inflammation on his lungs.
?Karena had the story of contact with the poultry, then we rawat,? the Chairman's words Tim the Control of Bird Flu of RSHS Bandung, Dr. Hadi Jusuf, Sp. P. D. KPTI.Positively flu burung

In the meantime, late MK (67) was stated positive terjangkit the virus H5N1 was based on the inspection of Balitbang Department of Health and the NAMRU Laboratory 2 Jakarta.
That was known after undergoing five Polymerase Chain Reaction inspection times (PCR) and results sequencing DNA.
?Hasil sequencing DNA repeatedly that produced confirmation that there is the infection H5N1,? Managing Director words of the Handsome Sadikin Hospital (RSHS) Bandung, Dr. Cissy R. Sudjana the officer, on Monday (16/10).Moreover, the inspection serologis showed the level of 1/120 in the seventh day.

?Dalam the inspection serologis that was carried out twice, although the first inspection results of the negative, if second was how many the level of him, that could be said positif,? said Dr. Hadi.Despite this, the team of the doctor still could not ascertain the cause of the brain of the inflammation (encephalitis) that was suffered MK. for that, RSHS sent liquor (spinal fluid?)that the last time and the inspection the other network. ?Kalau was not found by AI in liquor (spinal fluid?), we could not mention enchepalitis him as a result of by AI,? words of the nerves expert RSHS Bandung, Dr. Ahmad Rijal, Sp.S.


According to Dr. Arto Yuwono Suroto, Sp.PD., the cause of MK's death could not be seen partially.?Semua him one unity of the incident, not only because of failing the kidney.The matter was like that mentioned by him multi the organ disfunction syndrome or MODS, the series of his illness trip be hit by to the liver and ginjal,? he said.(A-156/A-125) </PRE>
</PRE>

 

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

More on "AR" Bandung: doctors think not BF

On Tuesday, October 17 2006 19:57:00

the Condition Suspect Bird Flu AR Still Stabil

Bandung-RoL -- the Condition for the patient suspect bird flu from the Village Bojongasih the Village Dayeuh Conservative the Subdistrict Dayeuh Conservative the Bandung Regency, AR (35) that was treated in the Handsome Sadikin Hospital (RSHS) Bandung since Monday (16/10), currently still was stable.

The chairman Tim the Control of Bird Flu (RSHS) Bandung Hadi Jusuf, in Bandung, on Tuesday, said Agus's condition was still being the same as the condition when he entered the room of the Poinciana Tree RSHS last Monday (16/10).

According to Hadi, the patient suspect this at this time was known suffered breathless, hot the body rose descended and finally the inspection on Tuesday afternoon (17/10), the temperature of his body 36 levels celcius and was found by the existence of the infection in the lungs, but was still not known by the cause of his infection.

"We estimated not the AI virus but the other bacterial kind," he said.
Despite this, his side continued to guard against the condition for the upper patient the possibility tertular the virus AI. That was based on the story of the patient's contact with the poultry of the duck kind that was maintained by him in the Reservoir Cirata the Purwakarta Regency.

The duck piaraa him that numbering approximately 100 tails were found died suddenly and AR suffered hot high in time for the last ten days was accompanied breathless in the period for the last four days.

"Results of the PCR sample inspection were just known tomorrow," said Hadi.
Now results of the inspection sample the liquid of casualties's spinal cord died resulting from NY bird flu Mama lunar the citizen of the Subdistrict Cisarua the Bandung Regency also was still not known by RSHS.

The "possibility on Wednesday just had results because just on Tuesday results were sent by the Department of Health side to RSHS," said Hadi.
Between/abi

http://www.republika.co.id/online_detail.asp?id=268916&kat_id=23

 

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

AR died, confirmed Bird Flu

One Suspect died, West Java the Place 1 Burung

Jakarta - casualties Suspect bird flu in Indonesia currently improves again.
Totalling 3 positive casualties bird flu again died.Till Tuesday October 17 2006 the positive Case of bird flu reached 72 people, 55 people including dying.

3 positive casualties bird flu that died that is AR (12 th) from the Special Capital District of Jakarta, M. (67th) from Bandung, West Java, and Mis (27 th) from Banjarnegara, Central Java.

With the addition of one person, the West Javanese Province (West Java) occupied the highest position in the number of positive cases of bird flu, with 24 cases of Bird Flu, 19 including dying.

The second position, the Special Capital District of Jakarta (18 cases, 16 died).

The most case third et cetera, Banten (8 cases, 7 died), North Sumatra (7 cases, 6 died), East Java (5 cases, 3 died), Central Java (4 cases, 3 died), Lampung (3 cases of the life), West Sumatra (2 cases of the life), South Sulawesi (1 case died).

Was like this the report on the Centre of Communication of the Health of the Department's Public (the Department of Health) from the Department of Health Bird Flu Command Post concerning the case latest development of bird flu to October 17 2006 in his release to detikcom, on Wednesday 18/10/2006).

AR the man the citizen's 12 years Ulujami, Kec.Pesanggrahan, Southern Jakarta began to be sick on October 2 2006 and just entered RS Remedika on October 7 2006.On October 12 AR was moved to RS Bintaro and immediately was reconciled to RSPI Sulianti Saroso.

Two days afterwards, on October 14 2006, AR died struck 21.00 WIB. was based on the inspection of the Body of Health Research And Development (Balitbangkes) the Department of Health and NAMRU-2 Jakarta, AR
was stated positive suffered bird flu.

To M. the woman (67) from the Sinta Round Village, Cisarua, Bandung, West Java positive suffered bird flu was based on the laboratory inspection with RT-PCR (Reverse ranscriptase-Polymerase Chain Reaction) by Balitbangkes Department of Health and NAMRU-2 Jakarta.

Before being sick, M. once contact with the poultry.M. died on October 15 2006.The positive patient bird flu to 72 Mis prempuan (27) from the Kaliurip Village, Kec.Madukoro, Kab.Banjarnegara, Central Java, began to be sick on October 8 2006.

After being treated in RS Banjarnegara, Mis was reconciled to RSUD Banyumas.Five days after being sick Mis died on October 13 2006.
Was based on the laboratory inspection with RT-PCR Balitbangkes Department of Health and NAMRU-2 Jakarta, Mis was stated positive bird flu.
(ziz/ahm)

http://www.detiknews.com/index.php/...0/tgl/18/time/070718/idnews/697441/idkanal/10

 

[Gert van der Hoek]

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

AR died, confirmed Bird Flu

http://www.detiknews.com/index.php/...0/tgl/18/time/070718/idnews/697441/idkanal/10

I did not see the age of AR": this AR must be another AR: Aulia Rahmani the boy/girl who died in Jakarta .

AR is 35 yo and nodt 12 yo (thanks for pointing out Christian)