Indonesia - Mother of 2 children who died last week of bird flu, died too

[Treyfish]

October 17, 2011 | BP
Treated in hospital Bangli
Fleeing Mother Bird Flu Victim

Bangli (Bali Post)-Ni Wayan Purnami, mother of I Wayan Aldiawan (10) and Ni Kadek Ariani Rini (both died of bird flu), Saturday (15/10) of RS Bangli hazy night. Residents Antugan, Tembuku, Bangli had fled the hospital ER trauma Bangli the grounds are in the hospital. In fact, said to his mother is still fitted with a drip.

Information in the hospital on Sunday, Purnami hospitalized in Bangli began Saturday. He is suspected of contracting bird flu. Therefore there is a history in her family who contracted bird flu and hot body is still high, then the hospital plans to refer him to the hospital Bangli Sanglah.

Patients received at the hospital emergency room Bangli. Although intravenous fluids have been installed in his hand, but Purnami not want to lie down in the ER treatment room Bangli. In fact, when it secretly out of the room was about to escape.But the effort was successfully prevented by security guards.

When patients who enter a lot, quietly slipped Purnami dibonceng blurred and his family. When the hand is still attached Purnami intravenous fluids. Knowing Purnami blurred, Bangli Hospital officials were in an uproar. A number of officers and village officials with direct track Purnami existence. Until finally found in homes Stakeholder Purnami Prajepati Antugan.

Efforts to approach the apparatus was carried out with prajuru to Purnami would be referred to Sanglah Hospital. But the effort was fruitless. Purnami even expressly asked that her illness treated at the shaman. ''He reasoned still traumatized by the hospital, let alone Sanglah Hospital,''said Head Tembuku AA Ari Sutari Star, Sunday (16/10) yesterday.

Efforts to Purnami negotiations would be referred to Sanglah Hospital still no results. This makes the apparatus confused, because Purnami in pain conditions. It is not yet known exactly what illness he had. For, have not done a thorough examination of the patient's blood. But the information available, he said, his blood platelets decreased dramatically, so it needs to do more intensive care. ''We're still confused. He insists not want to be treated, especially to Sanglah Hospital. By reason of trauma and is still remembered by his two children,''said Ari Sutari. (Kmb17) :tiphat:http://www.balipost.co.id/mediadetail.php?module=detailberita&kid=2&id=57712

 

[sharon sanders]

Re: Indonesia - Mother of 2 children who dead last week of bird flu, hospitalized as suspected case

Re: Indonesia - Mother of 2 children who dead last week of bird flu, hospitalized as suspected case

Please see:

Indonesia - Bali - Brother and Sister Died - Confirmed to be Bird Flu Positive

http://www.flutrackers.com/forum/showthread.php?t=174532

 

[Treyfish]

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

:tiphat:automatically translated version. :tiphat:http://translate.google.com/transla...detail.php?module=detailberita&kid=2&id=57712

 

[Treyfish]

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

Sanglah HOSPITAL treats 3 for bf:tiphat:http://www.balitelevisi.com/btv2/index.php/news/seputar-bali-mainmenu-27/10910-rs-sanglah-rawat-3-pasien-suspect-flu-burung

 

[Laidback Al]

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

Note Treyfish's post from October 12, underline added . . .

The mother went to the hospital looking unwell and with a fever..

In fact, the day before his wife, who also appeared unwell and had undergone Bangli perawatn in hospitals because of increased body temperature.

The officer who received it because he was worried by a letter made ​​reference to be taken to Sanglah Hospital. However Purnama refused and chose to go home.

http://www.antarabali.com/berita/15020/ibunda-korban-flu-burung-alami-guncangan-jiwa

 

[Giuseppe]

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

[Source: Bird Flu Information Corner, full text: (LINK).]

‎17 October ‎2011 | Ida

Bali ? Sanglah hospital treated 3 bird flu suspect patients, said the spokesman of Sanglah hospital in Bali, Ken Wirashandi.

Two patients, each from Bangli and Puriraja, were tested negative by laboratory examination.

One patient from Tabanan was admitted to hospital early on Monday (17/10), and currently under intensive treatment. Source: Indonesia TV News, [...]

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[Gert van der Hoek]

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

machinetranslation

"Increase Bird Flu death toll '

The [number of] victims died from bird flu in Bali, is increased.

Biological mother of two children who died from bird flu in Bali, died at her home. Before burial, the officers took a blood sample suspected suspect bird flu in the village Jehem Tembuku Bangli district of Bali.

The victim is the biological mother of two children who a few days ago died in hospital Sanglah Bali positive result contracted bird flu. She experienced symptoms of fever and heat, although the results of her blood tests last week declared negative bird flu. She died two days after leaving the hospital treatment room Bangli.

Relatives and families of victims, including her husband, wept as the bodies were taken to be treated like a corpse ambulans.Jenazahnya suspect bird flu. The whole etugas wear sterile clothing and cover the bodies obliged to use a mask.

Anticipating the spread of the H5N1 virus, Department of Health and Husbandry Bangli, spraying disinfectant around the victim's home. The remaining birds were still alive immediately burned en masse.

MNCTV

 

[alert]

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

Re: Indonesia - Mother of 2 children who died last week of bird flu, hospitalized as suspected case

The timing here is a bit unusual. The confirmed fatalities were hospitalized on the 7th and 8th, and died on the 9th. The articles indicate 12 days from onset to hospitalization for the children, so that puts their onset around September 25. If the mother had the same exposure, she would be hospitalized around day 20 after exposure, which is likely too late to be consistent.

If one instead assume the exposure of the mother is to her ill children via H2H, I can imagine the latest dates she could be exposed would be around October 6 or 7, and conceivably earlier than that as her children would already be at day 11 or 12 of illness and might not be shedding active virus. Still, her hospitalization would be at about day 8 or 9 after the latest possible exposure, which would be at the upper end of the possible incubation period.

I have to wonder whether there is a source of ongoing infection in the home.

And I just read the above article, so that rules out her illness as being unrelated. Ouch.

 

[Gert van der Hoek]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

Bird Flu Information Corner

Bangli, Bali ::: The mother of two H5N1 victims dies

Posted by Ida on October 17, 2011

Bali – A woman died in her house, in Jehem village, Tembuku sub-district, Bangli, Bali. Officers suspected bird flu (H5N1) infection and collected the sample of the woman.

Victim is the mother whose two children died of H5N1 in Sanglah hospital several days ago (view previous). After that the mother developed fever and then treated in Bangli hospital. When she was in hospital, her blood examination showed negative H5N1. She left the hospital and died two days after.

Victim is treated as bird flu infected, where the officers are wearing bio-security clothes. Mourners are obliged to wear mask.

Health Service and Livestock Service in Bali sprayed disinfection around victim’s house, and culled survived chickens.



Source: Indonesia newspaper, MNCTV. http://news.mnctv.com/index.php?option=com_content&task=view&id=18616&Itemid=14

 

[Gert van der Hoek]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

From post #1:

October 17, 2011 | BP

But the information available, he said, his blood platelets decreased dramatically, so it needs to do more intensive care.

A low level of blood platelets is characteristic of H5N1 infections .

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The testresults of samples of the mother were negative, probably this refers to the first round of testing, after samples were taken in the hospital.

According to news reports, more samples were taken after the woman died. These results are not known yet.


The mother of 2 children who died infected with bird flu, also died

Rohmat - Okezone

Monday, October 17, 2011

Bangli - overwrite melancholy story of a family in Bangli regency, Bali. After two children died as infected with bird flu virus, now the mother followed. Ni Wayan Purnami died (30) this morning.

Purnami departure is surprising, especially family just lost a KRA (5) and WA (10) Sanglah Hospital in Denpasar on Sunday, October 9, 2011. Grief enveloped families living in Banjar Antugan, Jehem Village, District Tembuku.

Had circulated the news, the victim dies because of bird flu virus. But it was denied Kadis Ranch Bangli, Anak Agung Ngurah Samba, which confirms the results of laboratory tests to mention victims of bird flu negative.

"We have confirmed the results of laboratory tests in Sanglah Hospital, Lab Biomol Udayana University, and Kes RI R & D Lab. The result of bird flu negative patient, "said Samba when contacted Legal, Monday (10/17/2011).

Until now, it did not yet know the cause of death of the victim. "The cause of death needs to be pursued with survailance action," continued Samba.

He explains, post-death of her two children, Purnami shock and health continued to decline. In fact, he had rushed to the local health centers and hospitals Bangli.

From the medical record is known, the victim had complained of cough and shortness of breath, so it should be two days in the hospital. Only, when asked to be referred to the appropriate procedure Sanglah Hospital stay for further treatment, they may reject the victim.

Further tests carried out as previously alleged victims have made contact with bird flu positive patients should be referred to the Sanglah Hospital.

"He even refused to even run away from the hospital until she died," said Samba.

As is known KRA (5) and WA (10) was treated in Sanglah Hospital, Denpasar, on Friday, October 7th. But they did not survive and died on the same day Sunday, October 9 at night.

KRA still unknown in the Kindergarten school while her brother sat on the bench WA 5 th grade at Jehem Banjar, District Tembuku. In the hospital records, the last bird flu case resulted in two deaths occurred in Bali in 2007.

Ibu 2 Bocah Tewas karena Flu Burung Ikut Meninggal

Okezone

 

[Vibrant62]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

From this post http://www.flutrackers.com/forum/showpost.php?p=424547&postcount=11 it clearly states that

All family members who have had contact with the children as well as the medical staff treating them are being given preventative dosages of Tamiflu.

Additionally, all poultry were culled in the immediate outbreak area as well as being fully disinfected by the authorities.

This gives rise to several URGENT questions:-

Prophylactic tamiflu treatment would have included the mother who has just died.

a) can we determine that the mother took a full course of treatment?
b) when did that treatment end?
c) if this does indeed turn out to be confirmed as bird flu, did she develop a resistant strain?
d) as she died at home, there will have been community contacts. Are these now being monitored and prophylactic tamiflu treatment extended?
e) where and how did she catch it? Was she carrying a subclinical infection from her children that resurfaced at the end of tamiflu treatment or was this from an environmental exposure ? If the latter, what caused this if there were no chickens and full disinfection had occurred?

Lots of questions..

 

[Vibrant62]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

Thinking on this further there has been some doubt about the original source of infection in the case of the two children. The remaining living chicken that belonged to the family did not test positive for H5N1 (reports seem v. confusing on this)

From October 10th http://www.flutrackers.com/forum/showpost.php?p=424711&postcount=31

The family bought chickens in the market. But when he got home the chicken is dead. Not long after his birds also died suddenly. Not long after her grandson experienced high heat, so it directly referred to the Hospital of Bangli, proceed to Sanglah Hospital.

snip

Meanwhile, Animal Husbandry and Fisheries Bangli Kadis Ir. A.A. Ngurah Samba said had been spraying around with a radius of one kilometer from the scene. In addition, the institute has also established a surveillance post in Jehem poultry.

Where did the chicken has the bird flu virus that claimed two lives that? There is a mention to buy in Market Animal Bangli. But there is also news of three chickens were obtained from Hamlet Gebagan Kayubihi Village, Bangli. Above information, the Department of Animal Husbandry and Bangli also perform localization Kayubihi spraying in the village, Bangli. (Kmb17)http://www.balipost.co.id/mediadetai...id=33&id=57468

The children were hospitalised on Friday 7th October and died on October 10th or six days before her death, and were cremated five days ago on the afternoon of October 11th, which is five days before her death.

This post shows a photograph where family members were gathered for the cremation, including (I think) the mother that died? The reports are confusing as to whether she was ill and being treated and fled the hospital, or not...so any light we can shed on this sequence would be useful.

 

[Laidback Al]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

Review post #5 above. Treyfish posted in another thread that the mother was exhibiting symptoms on the 12th of October and was seeking treatment at that time.

 

[Giuseppe]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

[Source: Bali Post, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]

October 18, 2011 | BP
Husband has lost his two children and now the wife because of a suspected bird flu infection


FULL already suffering Wayan Rudana, residents Antugan, Bangli. After two children - Aldiawan and Rini Ariani - died of bird flu, now his wife also died. Ni Wayan Purnami died Monday (17/10) at dawn yesterday at 03.00 pm. Disease is not yet known mother of two children, because while being treated in hospital Bangli, he escaped. In fact, when the infusion that has been installed in his hand come to take home.

Various attempts have been made ​​between officials and the local villagers to bring back Purnami to the hospital. However, due to trauma and grief after her two children left, Purnami choose lay limp at home. After two days of escape from the hospital, he finally breathed his last.

Victim's husband, Wayan Rudana, seemed very upset about what happened to his wife and children. So also in-law victims, they choose to confine themselves in the room when the victim's body is bathed in the funeral home and transported to the Setra Antugan around 11:00 pm by ambulance.

Present at the occasion were Chairman of the Parliament Bangli Mudarma IB, Vice Chairman of the Parliament Bangli Made Sudiasa, wife of the Regent Bangli Ny. Made Gianyar, Head Tembuku AA Star Wives and other officials.

Kadiskes Bangli dr. Dewa Made Siangan said the results of her lab tests when accompanying their children at Sanglah Hospital showed a negative result of bird flu.

Thus, the possibility of the victims died from complications of the disease. One of them is depressed because her two children left behind. Weaker condition of the victim's body after days of not eating. Exacerbated by an unstable mental state, so that in such conditions a variety of diseases can attack it.

Fleeing As reported by Bali Post, yesterday, Purnami escaped from the ER-care hospitals when they want to be referred to Bangli Sanglah Hospital, Saturday (15/10) night. He fled to the house of Prajapati Antugan Stakeholders. The officer was immediately seek Purnami Jero Mangku home, but an attempt to persuade him to be invited to the hospital to no avail. In fact, Purnami chose to go home. Twelve hours to live at home, finally Purnami died.

Many people suspect the victim's death due to have been infected with bird flu.


But officials did not conduct tests Diskes Bangli suab or the victim's blood, so the test suab (fluid) the victim's mouth and nose are still referring to old data when the victim stayed with her ​​son in Sanglah Hospital with a negative result of bird flu. (Kmb17)
​

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[Vibrant62]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

Review post #5 above. Treyfish posted in another thread that the mother was exhibiting symptoms on the 12th of October and was seeking treatment at that time.

This means that the mother certainly will (should) have been taking tamiflu at the time of her infection. This suggests either a Tamiflu resistant strain or poor compliance with taking of medication?

Another consideration: The funeral happened the day before she first sought treatment: I wonder if all family members are now being screened for infection, as the possibility of h2h from another family member must be considered as a possibility, especially if they had a subclinical infection. One to rule out in any event? The mother could have been infectious at this stage if she was at an early stage of infection.

Edit: It is also equally possible that her children were the source of her infection, although contingencies should have been in place at the hospital to prevent this from occurring

 

[Vibrant62]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

This report suggests that the mother tested H5N1 negative, which given the symptoms and outcome seems unlikely.

Two Boys? Mother Killed Because of Bird Flu Deaths

http://index.okezone.com/read/2011/...-bocah-tewas-karena-flu-burung-ikut-meninggal

October 17, 2011

Bangli - overwrite melancholy story of a family in Bangli regency, Bali. After two children died as infected with bird flu virus, now the mother followed. Ni Wayan Purnami died (30) this morning.

Purnami departure is surprising, especially family recently lost KRA (5) and WA (10) Sanglah Hospital in Denpasar on Sunday, October 9, 2011. Grief enveloped families living in Banjar Antugan, Jehem Village, District Tembuku.

Had circulated the news, the victim dies because of bird flu virus. But it was denied Kadis Ranch Bangli, Anak Agung Ngurah Samba, which confirms the results of laboratory tests to mention victims of bird flu negative. "We have confirmed the results of laboratory tests in Sanglah Hospital, Lab Biomol Udayana University, and Kes RI R & D Lab. The result of bird flu negative patients, "said Samba when contacted Legal, Monday (10/17/2011).

Sam Until now, it did not yet know the cause of death of the victim. "The cause of death needs to be pursued with survailance action," continued Samba.

He explains, post-death of her two children, Purnami shock and health continued to decline. In fact, he had rushed to the local health centers and hospitals Bangli.

From the medical record is known, the victim had complained of cough and shortness of breath, so it should be two days in the hospital. Only, when asked to be referred to the appropriate procedure Sanglah Hospital stay for further treatment, they may reject the victim.

Further tests carried out as previously alleged victim was in contact with bird flu positive patients should be referred to the Sanglah Hospital.

"He even refused to even run away from the hospital until she died," said Samba.

As is known KRA (5) and WA (10) was treated in Sanglah Hospital, Denpasar, on Friday, October 7th. But they did not survive and died on the same day Sunday, October 9 at night.

KRA still unknown in the Kindergarten school while her brother sat on the bench WA 5 th grade at Jehem Banjar, District Tembuku. In the hospital records, the last bird flu case resulted in two deaths occurred in Bali in 2007.

 

[alert]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

I would think that the same motivation for fleeing the hospital could easily cause non-compliance with Tamiflu andministration.

That said, I have to wonder also whether the mother could have had a significantly earlier onset than we are assuming. If her children were already quite ill in late September, she could have contracted it from them then, resulting in an onset around October 5 or 6. That would be more consistent with the suspected incubation period of a week or so for H5N1. Then when she gets put on Tamiflu around the 12th or so, she is already at day 7 or 8 of illness, and it is too late. If her onset really was as late as I had earlier assumed, the time from onset to death would only be a couple days. An earlier onset might also explain the false negative result; tests taken around day 8 of illness might be too late to find the virus.

 

[Vibrant62]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

The only argument against this is that if the mother had been in any way symptomatic during her childrens illness, it would have been detected during screening and whilst they were treating the children. A later onset is more likely IMHO. We know Tamiflu treatment can cause false negatives (she would have been given this before hospitalisation at the time of her childrens admission), but again for her to be symptomatic at the time she sought treatment suggests a high viral load. The other possiblity is that her virus had mutated away from the testing reagent, producing a false negative - or? Perhaps only the Jakarta lab will be able to answer this and conduct sequencing. We will have to wait for answers.

 

[Giuseppe]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

Post no. 14:

Kadiskes Bangli dr. Dewa Made Siangan said the results of her lab tests when accompanying their children at Sanglah Hospital showed a negative result of bird flu.

The woman was tested when her children were hospitalized in Sanglah hospital; no further samples seem to have been collected since then.

If the virus was from children, the same test kit should have detected the mother's one as well, if the blood or throat swab were collected and properly processed.

Inter-human transmission cannot be ruled out at this stage, however there is a chance that all three (children and mother) would have caught the virus at the same moment and from the same source (animals, fomites).

The health status of husband and other relatives as well as health worker at Bangli medical centre must be traced for symptoms for the next two weeks.

 

[Gert van der Hoek]

Re: Indonesia - Mother of 2 children who died last week of bird flu, died too

From another source some details; at this stage we can only speculate.

It seems plausible the woman was treated with Tamiflu. Her condition
worsened, that is probably why she was sent to Sanglah Hospital,
a bird flu dedicated hospital.

In that hospital her condition deteriorated even more,
however she refused further treatment and went home, were she died.

We know after using Tamiflu testresults tend to be negative.

This time the victim Ni Wayan Purnami, 30, mother of the brothers, Wayan Aldiawan,
10, and Nengah Rica Ani, 5, bird flu victim who died earlier. Purnami
died at his home in the village of Jehem, District Tembuku, Bangli District, yesterday
the morning.

Previously the victim was treated at local health centers and hospitals
Bangli. Purnami's health continued to decline after the death of her two children.

Purnami then fell ill with symptoms of fever, cough, and shortness of breath. head Office
Livestock Bangli Anak Agung Ngurah Samba denied if Purnai died from bird flu.
This was confirmed by laboratory test results negative victim says bird flu.

"We have confirmed the results of laboratory tests at Sanglah Hospital, Lab Biomolecular
Udayana University and the Department of Health R & D Lab. The result, patients negative bird flu, "
Samba stated.

However, Samba admitted Purnami was treated in local health centers and
Hospital Bangli. Only, when going on to refer to RS Sanglah further treatment,
victim actually declined.

Harian Seputar Indonesia oct 17