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Chikungunya in Indonesia

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
Part of a report; complaints about the feet.

Indonesia ? Java ? Jember province

On Friday, 15 Des 2006

Hundreds were attacked by Chikungunya

Pains Until could not go PUGER - the Jember Citizen must be on the alert and always maintained the cleanliness of his environment.
After dozens of citizens Balung are attacked by dengue fever, currently the turn of the citizen Kasiyan East, Puger that was attacked chikungu him.

Did not play hundreds of citizens that was attacked that experienced pains to bones, even several among them until could not the road.
"One village in Kasiyan East this was attacked chikungu him."

Here had 90 head of household who also were affected, said Salamon, 40 citizens Kasiyan East that was attacked chikungu him.
Because of the illness, for two days diamenga I could not the road.
"Foot was felt linu, wanted to get up was difficult."
I until could not the road, he explained.

Just after being given medicine from the doctor, gradually his illness recovered.

"Now rather tolerable since being sick last Sunday," he added.
Not only himself who experienced similar fate, his child also was affected by the attack chikungu him.

Several citizens who were attacked claimed linu-linu and was difficult to go.
."Foot I was felt linu."

Given by me the herbal tonic, now rather tolerable, said Darsih, 35, and Pipit, 20, the citizen around.
According to Pipit, around his house had 15 heads of households who were attacked chikungu him.

That not to mention in the other environment that experienced the same matter.
"Here had 90 heads of households, if one house three people, meant to have hundreds that be hit by chikungu him," he stressed.

Evidently not only the adult that was attacked chikungu him, the pre-schoolers then did not escape from this illness.

"My grandchild that his age just 3 years also be hit by."
My grandchild ngak could the road because foot him was felt went to sleep, said Nuriya, 66, the citizen around.

http://www.jawapos.co.id/index.php?act=detail_radar&id=146551&c=91
 
Re: Indonesia

Re: Indonesia

33 citizens Majalengka was expected by Cikungunya

MAJALENGKA, Kompas - As Many As 33 villagers Munjul, the Majalengka Subdistrict, of the Majalengka Regency, West Java, were expected to be infected by chikungunya.

They felt signs was sick like the sign of the fever, skin berbintik red, and hurt in the pivot.

The head of the Executive's Technical Unit the Majalengka Subdistrict Community Health Centre, Tris Suseno said since two last week, the citizen took medicine to the community health centre.

They complained about their pivot that was felt hurt.

Their skin was then gotten very spotty red like the sign of dengue fever.
?Total him had 33 citizens, that finally we took the sample of his blood and were sent by us to Jakarta.

They were expected terjangkit cikungunya,? he said, on Saturday (16/12).

Whole article :

http://www.kompas.com/ver1/Kesehatan/0612/17/221959.htm

More :

http://www.pikiran-rakyat.com/cetak/2006/122006/20/0307.htm

Edit: report post # 1 refers to a region in East Java.
 
Re: Indonesia

Re: Indonesia

The PLAGUE of CHIKUNGUNYA SPREAD (South Sumatra)

PANGKALAN BALAI, Kompas -- the Illness chikungu him became an epidemic in the Subdistrict Talang Kelapa, the Banyuasin Regency, South Sumatra.
In a last week, the sufferer chikungu him that was detected reaching 74 people, so as the area was stated by the Extraordinary Incident (KLB) chikungu him.

In Kenten Azhar Housing, the Subdistrict Talang Kelapa, the sufferer chikungu him, till Wednesday (20/12), reached 74 people.
The sufferer had data collected on it from two RT in the housing, that is
.....

"Enabled still many sufferers from RT-RT other that did not yet have data collected on it," said Muhammad Adjad, the Head of the Illness and South Sumatra Sanitation of the Environment of the Health Service of the Eradication Sub- Service.

The illness chikungu him that was spread through the Aedes mosquitoes mediation albopictus that nested to the pool of water in the forum for the water reception.

Observation in the housing territory, most citizens accommodated water in forums or the place of the storage of water.

That was caused the housing region was difficult to get clean water supplies, so as the citizen bought and kept water in the forum.

http://www.kompas.com/ver1/Kesehatan/0612/20/180216.htm
 
Last edited:
Re: Indonesia

Re: Indonesia

An older article, still relevant I suppose.

Tracking the re-emergence of epidemic chikungunya virus in Indonesia.

Laras K, Sukri NC, Larasati RP, Bangs MJ, Kosim R, Djauzi, Wandra T, Master J, Kosasih H, Hartati S, Beckett C, Sedyaningsih ER, Beecham HJ 3rd, Corwin AL. US Naval Medical Research Unit No. 2 (US NAMRU-2), Box 3, Unit 8132, Jakarta, Indonesia.

Twenty-four distinct outbreaks of probable chikungunya (CHIK) etiology were identified throughout Indonesia from September 2001 to March 2003, after a near 20-year hiatus of epidemic CHIK activity in the country.

Thirteen outbreak reports were based on clinical observations alone, and 11 confirmed by serological/virological methods. Detailed epidemiological profiles of two investigated outbreaks in Bogor and Bekasi are presented. Human sera were screened using an ELISA for IgM and IgG anti-CHIK antibodies.

Additionally, reverse transcriptase PCR and virus isolation were attempted for virus identification. The mean age of cases was 37 +/- 18 years in Bogor and 33 +/- 20 years in Bekasi.

There was no outstanding case-clustering, although outbreak-affected households were observed to be geographically grouped within villages.

The attack rates in Bogor and Bekasi were 2.8/1000 and 6.7/1000 inhabitants respectively. Both outbreaks started in the rainy season following increased Aedes aegypti and A. albopictus densities.

PMID: 15693148 [PubMed - indexed for MEDLINE]
 
Re: Indonesia

Re: Indonesia

Nusa Tenggara West: islands west of Java

Now in Mataram, Nusa Tenggara West, the official of the incessant Health of the Service eradicated mosquitoes and the mosquitoes nest. In part in the Embrace District.

This action was carried out after dozens of residents were attacked by the illness chikungunya.

Apart from the fever was accompanied by the feeling of hurting on all over the body, the sufferer cikungunya could suffer paralysis until could not move his body.

Apart from fumigation, efforts prevented the spread of dengue fever and chikungunya was to guard the cleanliness of the environment.
This was important was done so that mosquitoes that were the source of the spread of the two illnesses are not increasingly developing.
(
http://www.liputan6.com/view/7,136379,1,0,1.html
 
Re: Indonesia

Re: Indonesia

Chikungunya hits Mataram residents

MATARAM, West Nusa Tenggara: Some 60 residents in Pagutan, Mataram, have contracted chikungunya in the past week.

Like dengue fever, chikungunya is carried by mosquitoes and is characterized by extremely high fevers.

On Wednesday, 15 Darul Fallah Pagutan Islamic Boarding School students displayed symptoms of the disease.

"Initially, residents living around the school had contracted chikungunya over the past three days. It now effects 15 students," said Baidawi, an employee at the school. Staff earlier believed the disease to be a common fever, she said.

Head of Mataram Health Office's disease prevention division, Kartika, said the disease's spread was caused by the current monsoon season, in which mosquitoes thrive. -- JP

http://www.thejakartapost.com/detailnational.asp?fileid=20070126.G11&irec=10
 
Re: Indonesia

Re: Indonesia

Chikungunya does not seem to have exploded around Indonesia yet.

The turning point will be when we get reports of 1,000 or more cases in a given area.
 
Re: Indonesia

Re: Indonesia

snip, machinetranslated; Location Madura, Java


The Madura RADAR

On Sunday, 28 Jan 2007

Chikungunya entered KLB

The commission D Urge Dinkes took Tactical measures SUMENEP-Illness chikungu him that attacked 70 villagers Ellak Daja, the Lenteng Subdistrict and 10 villagers Ambunten East, the Ambunten Subdistrict, apparently entered the "difficult" category.

The illness resulting from mosquitoes aedes albopictus that attacked since the middle of January that, evidently entered the category of the extraordinary incident (KLB).

"If referring in the KLB definition, the case chikungu him already KLB," said the Section Head the Health (Dinkes) the Sumenep Regency Dr E Sinta the Oetomo Storm went through the Head of Sector the Eradication of the Illness and environmental Sanitation, Dr Samsu Hadi Widjojo, yesterday.

Samsu-greeting close him, explained, years beforehand, had not happened the case chikungu him. Suddenly, since the middle of this January simultaneously chikungu him attacked dozens of residents in the Ellak Daja Village and Ambunten East.

http://www.jawapos.co.id/index.php?act=detail_radar&id=151161&c=106
 
Re: Indonesia

Re: Indonesia

Chikungunya on the rise in Bekasi

City News - March 07, 2007


BEKASI: The disabling mosquito-borne disease chikungunya has been diagnosed in 98 people from Bekasi, the capital city of the regency, and the number is expected to rise, a health official said Monday.

Titin Restuwatuti from Aren Jaya community health center said most of the cases were detected during routine health checks.

The center has already notified the Bekasi Health Agency as required by the regency's post-flood program.

"The disease is spreading rapidly. Shortly after the flood (early last month), it was confined to areas that had been inundated, but now we're also diagnosing chikungunya in people from other areas," she said.

To curb the spread of the disease, the center has fumigated homes in areas where cases have been reported.

Chikungunya comes from a Swahili word that means "that which bends up" in reference to the stooped posture due to arthritic symptoms of the disease. - JP
http://www.thejakartapost.com/yesterdaydetail.asp?fileid=20070307.C08
 

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Re: Chikungunya in Indonesia

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On Tuesday, 24/04/2007 01:35 WIB the Plague of Chikungunya Serang the ResidentThe FIELD ? the Plague of the illness chikungu him was contagious in the District of Kalinyamat Wetan the Margadana Subdistrict the Tegal City.In the period three weeks, the number of casualties resulting from the Aides Aegypty mosquitoes bite and Aides Albopictus this has reached at least 22 people.Kasi the Government of the Kalinyamat Wetan Sudoro District, to several reporters Monday (23/4/2007) the afternoon said, the Chikungunya case began to be contagious in his territory since last April 4.Suspected, this virus was brought by a resident who just came home from Jakarta.?Kebetulan a return from Jakarta one of the residents was sick, after he recovered all of his family was affected by the illness with the sign of the body hurt-hurt.Further tertangga surrounding area also tertular,? he explained.In a short time, chikungu him afterwards spread in part in RT 01/RW 03, RT 03/RW 03, RT 03/RW 02, and RT 05/RW 02.The age of his sufferer varied between 6 months and 60 years.The official of the local district recorded in this period his at least 18 residents was attacked by the illness with the sign like Chikungunya.Only, the checking in the field, the number of sufferers Chikungunya far more many others.One of the residents RW 03, Anshori, 55, that by the district only had data collected on it as the only sufferer in his family when being checked evidently had the family's four other members who contracted the illness with the similar sign.Apart from Anshori, his wife of Ropiah, 53, his two sons of Zaenal Arifin, 31, and Nuraini, 27, as well as one of his grandchildren of Ike Nursafitri, 2.5 years also experienced the sign was sick similar.?Tubuh it seems was sick, like the person of paralysis.In the pivot also was felt hurt semua,? said this man on Monday early afternoon.Well Anshori and the family's other member admitted to consuming the medical medicine from Pusmesmas Margadana.Moreover they also meminun the traditional ingredients so that his illness get well soon.However, the condition for their health he admitted still has not been restored.In the meantime, Dr Esis Prasasti from the Margadana Community Health Centre during it was confirmed several reporters said, his side has twice carried out spraying (fogging) in the Kalinyamat Wetan Districtterritory.?Sejauh this we still could not confirm that they were really attacked by Chikungunya because of must be proven through the testing of the laboratory and that was not yet carried out.Only, was seen from his sign they indeed suspect Chikungunya,? he stated.The Chikungunya sign, said Esis, including the fever body, very stiff, pivot pain, and the body were felt stiff.(the profit subejo/SINDO/fmh:tiphat: http://www.okezone.com/index.php?option=com_content&task=view&id=15447&Itemid=67</PRE>​
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Re: Chikungunya in Indonesia

Malangthe Plague of dengue fever dengue fever (DBD) does not yet abate, currently the illness chikungu him began to attack the Malang inhabitants.The illness that was spread through mosquitoes aedes albopictus this was suffered by Sugeng Haryanto, 21, the resident Street Kunto Bhasworo, the Polehan District, of the Malang City.Till Wednesday (25/4), Sugeng was still being treated in RST Soepraoen the Malang City.Met the Sun in RST Soepraoen Poinciana Tree Space, the Sugeng condition that his days worked in the workshop close to this TNI complex has begun to improve.According to him, signs would terjangkit chikungu him has been felt since last week with the sign of the headache, nausea and the temperature of the body rose.However that was not heeded by him.Moreover on Sunday morning (22/4) he could be still provoking the fish in the Sumbermanjing area."When going to fish that already was felt by the headache and nausea, but was kept by me."And after coming home even increasingly serious.All the body was felt hurt and could not be moved, like the person of paralysis.Finally I was carried here, said Sugeng.The section head the Health of the Malang City, Dr Eny Se- Kar Rengganingati, during it was confirmed immediately checked the Community Health Centre Kendal Kerep, Polehan, the Sugeng residence region."I have ordered the official to mensurvey to the location, true tertular there or outside the area."If quite true certainly will be carried out by us the step in the prevention in order to not bring other casualties, said Eny.From the available data, during this April was not yet found by the sufferer chikungu him.However last March had 16 casualties chikungu him that was treated in the hospital.Eny asked for the community might not worry with this illness because chikungu him not turn off be proper for DBD. the Death of the sufferer chikungu him could happen if having the complication with the other illness.In the meantime, in the Malang Regency chikungu him also again attacked.After some time before infected the resident of the Kalipare Subdistrict, this time chikungu him attacked 14 villagers Sumbermanjing Kulon, the Pagak Subdistrict.The section head the Health of the Malang Regency Dr Ahmad Fauzi said, the condition for the patients has at this time begun to improve.St19/st12:tiphat: http://www.surya.co.id/web/index.php?option=com_content&task=blogcategory&id=18&Itemid=35</PRE>
 
Re: Chikungunya in Indonesia

29/4/2007 13:10 of WIB

The case of Chikungunya
Dinkes Banyuwangi did Fogging in 9 RT

Ilex - Banyuwangi, the Banyuwangi Health Service as well as the local district machinery did fogging in several of the resident's houses in nine RT in the District of Temenggungan Banyuwangi East Java.
This matter followed the existence 10 local residents positive suffered the illness chikungu him.
Fogging that was done Dinkes Banyuwangi this time was focussed on the endemic area of the occurrence of the case chikungu him.
Apart from for the prevention, fogging also was carried out to the area of the radius 100 metre from the location of the resident's affected house chikungu him.
The village head Temenggungan, Sutiyono to ELSHINTA in his office, on Sunday (29/4) said, almost every day while three days were endless, his side received the report concerning the existence of the resident who was attacked by the illness chikungu him.
According to him, generally 10 residents of the Temenggungan District that was positive suffered chikungu him experienced very itchy all over his body and foot him was felt linu.
After memeriksakan himself to the midwife and the local doctor, said Sutiyono, they were stated suffered the illness that was resulted in by the mosquitoes sting chikungu him.
His profit, said he, they were fast preceptive to memeriksakan himself when finding these signs.
So as they not until received the maintenance in the hospital.
All the resident of the sufferer chikungu him in the Temenggungan District at this time only underwent treated the road.
Sutiyono added, his plan fogging in the District of Temenggungan Banyuwangi East Java will be carried out till the next three days.
http://www.elshinta.com/v2003a/readnews.htm?id=39519
{Temenggungan is in Malang, East Java}
 
Re: Chikungunya in Indonesia

Excerpt:


"His article, in the area already several times in-fogging, especially when Cimahi was stated by KLB DBD several months ago."
All the areas in the Cimahi City including in Kel.
Lewigajah, already in-fogging.
If in the area often pinched mosquitoes then we will prepare to fogging, said Endang to "GM", on Tuesday (1/5).
According to him, apart from being carried out fogging, his side will continue menyosialisasikan the problem of the eradication of the mosquitoes nest (PSN).
His article, fogging only to eliminate or kill mature mosquitoes, in the meantime to eliminate pinched mosquitoes must with PSN.
Information that was assembled "GM", suspect cikungu him in RW 04, that is NY.
Lilis (34), the resident RT 03, NY.
Ciah (43) the resident RT 04, and Sutisna (54), the resident RT 05 RW 04 Kel.
Leuwigajah, Kec.
Cimahi South, the Cimahi City.

Beforehand, around the last three months in RW 04 then had 6 residents that to suspect cikungu him.
However, currently they recover.
http://www.klik-galamedia.com/20070502/kolomlengkap.php?kolomkode=20070502002806
 
Re: Chikungunya in Indonesia

Dozens of South Sumatra residents It Was Suspected were sick Chikungunya

Palembang, Kompas -- At Least 59 villagers the Bayur Shoreline, the Bayur Shoreline Subdistrict, of the Banyuasin Regency, South Sumatra was it was suspected attacked by the illness chikungu him.
The resident began to be attacked by the illness with the sign similar to the sign cikungu him since last April.
Was based on observation of the South Sumatra Health of the Service in the location, the condition for the environment the Bayur Shoreline of villagers's residence increasingly worrying as a result of the overflowing of the Musi River flooded this village because of rain that splashed for several days.
This condition caused free mosquitoes to lay eggs.
According to the Section Head the South Sumatra Health of Syahrul Muhammad through the Head of the Prevention Sub- Service, the Eradication of the Illness and environmental Sanitation of Muhammad Adjad, on Friday (4/5), the sample of blood of the 59 residents was sent to Department of Health Research And Development in Jakarta to confirm whether the resident was attacked cikungu him or not.
Results of the laboratory test it was estimated just were finished in two weeks.
?Kasus first happened on April 10 fell on an age child 16 years.
The peak of the case happened on April 15 that struck 22 residents.
Up until May 5 was reported had 59 residents who were sick but on April 29 all already sehat,? Adjad words.
According to Adjad, fumigation or fogging ineffective because of the territory that must be smoked very wide.
Moreover fumigation only was effective to combat dengue fever mosquitoes (aides aegepty), whereas cikungu him could be spread by all the mosquitoes kinds.
http://kompas.com/ver1/Kesehatan/0705/04/175104.htm
 
Re: Chikungunya in Indonesia

30 residents was attacked by CikungunyaOn Friday May 4 2007, the Hour: 23:17:00CILEGON (the City Post)- the Cilegon City was ambushed by the Cikungunya illness.At least totalling 30 residents of the Village of Telu RT 05/04 the Jombang District Wetan the Jombang Subdistrict, Cilegon was spread out was not powerful, was attacked by the illness that was resulted in by the mosquitoes bite.They in general experienced the body hurt, the temperature of the high body and could not move.Several residents explained, Cikungunya had ambushed his village since early last April.According to Ngatinem,51, one of the sufferers, all over the body was felt hurt was accompanied in a hot manner that was high enough for two days.As a result, all the body became paralysed.?Sakit him down to the pivot.The body was moved by just a few hurt.The official's words of the community health centre, this illness because of the mosquitoes bite.Some time before this village already disemprot,? mentioned him.All of his body was felt very stiff.So as to be able to not carry out the everyday activity.?Saat this, all the affected resident cikungu him including me was in restoration.But this body was still being felt stiff and linu,? said Tukiman, the other resident.RESULTING FROM apart from two residents, 28 residents of the Telu Village other also was affected by this illness.Quite together was not affected by him.Last April, almost every day had the resident came to take medicine to the community health centre with the temperature complaint of the high body and the very stiff body and could not move.The section head the Health (Dinkes) Cilegon Zainoel Arifin did not deny the existence of the illness attack.He explained, the illness resulting from the mosquitoes bite that emerged as a result of the environment in the village was unclean.Faced the illness, Dinkes local has carried out spraying totalling twice throughout the Telu Village environment.Moreover the house that was sprayed reached 200 houses."His medical treatment was free," he stressed.(Tommy):tiphat: http://www.poskota.co.id/news_baca.asp?id=32502&ik=5</PRE>
 
Re: Chikungunya in Indonesia

Tanjung Priok Terjangkit Chikungunya
Jakarta, Kompas -- the Virus chikungu him more often attacked the resident in seven districts in Tanjung Priok, Jakarta North.
The virus that was spread through the mosquitoes bite emerged apart from resulting from the dirty environment, also the weakness of body resistance resulting from asupan the nutrient that did not satisfy.
The head of the Gardener's Community Health Centre the Onion, the Tanjung Priok Subdistrict, of Lingkan ARW, on Monday in Jakarta said, his side will begin to carry out fumigation on Tuesday tomorrow.
?Pengasapan will be begun from RW 06 and RW 07 in the District Warakas,? he said.
This case often happened in the Warakas territory.
Lingkan explained, in fact the virus has sporadically attacked the resident in his service territory since the beginning the year.
?Namun not totalling now ini,? he said.
?Warga might not be too restless, the virus resulting from the mosquitoes bite did not cause paralysis, and the death.
Nevertheless, must continue to be anticipated or dicegah,? he said.
Lingkan said, many residents who came to take medicine to the community health centre, both to 13 district community health centres, and in the Tanjung Priok Subdistrict Community Health Centre in the Gardener the Onion.


?Penyebab him, apart from the dirty environment also because of the condition for body resistance that lemah,? he said.
http://kompas.com/ver1/Kesehatan/0705/07/202326.htm
</pre>
 
Re: Chikungunya in Indonesia

The Cikungunya plague in Warakas Meluas
Jakarta ? the Resident of the Warakas District, Tanjung Priok, of Jakarta North increasingly restless.
His article, the illness cikungu him that caused temporary paralysis to continue to spread in the region.

In the meantime, the Head of the Dinas Kesehatan Ethnic Group of the Community (Kesmas) Jakarta Utara, Paripurna Harimuda, on Thursday early afternoon (10/5), still could not ascertain the illness kind.
?Kami still could not state the illness that attacked the resident of the Warakas District was classified as the kind cikungu him.
In order to knows this illness kind, we have taken the sample of the resident's blood that was attacked by this illness to be checked more in in laboratorium,?
Complete Harimuda words.
He said, to learn results of the inspection must in the laboratory be waiting three to four days.
Complete acknowledged, after hearing the existence of the illness that led to the kind cikungu him, his side has carried out the monitoring and descended directly to the field.
Moreover from results of the monitoring in the field was counted by 21 people that terjangkit the illness in a hot manner high, the feeling pivot of pain and red spots as well as was difficult to go especially in the RW territory 01, 05, 07, 11, 13 and RW 14.
He added, when results of the inspection of the illness laboratory that was suffered by the Warakas resident the kind cikungu him then the person that terjangkit this illness ought to have been was free the cost when taking medicine in the Community Health Centre or the other government hospital.
On a separate occasion, Saimin the resident Warakas said, the illness that was suffered by his resident headed to cikungu him.
Currently, this illness continued to creep everywhere.

?Kalau only was hot not possibly spread dong,? he said.
http://www.sinarharapan.co.id/berita/0705/11/jab03.html
 
Re: Chikungunya in Indonesia

36 residents was attacked by Chikungunya

Tasikmalaya - totalling 36 residents RT 03 RW 10 Kidul markets, Kelurahan Cilembang, Kecamatan Cihideung, Kota Tasikmalaya, was expected be hit by cikhungu him.
They felt the fever, red spots on skin, myalgia, and other.
Among them there are those that could not get up from the bed, because of feeling painful in the pivot in his knees part.
"To be able to get up from the bed, I was still having difficulty, because foot this still hurt," said Leni (18) when being met in his residence, on Wednesday (23/5).
Leni the class student of two Negeri senior high schools 7 Tasikmalaya cities, felt the fever through to not strong to go, since Tuesday afternoon (22/5).
Finally, he was forced to not depart for the school to join the studying process taught.
In the house, not only Leni that felt was thus sick.
But, his two older brothers, that is NY.
The grandchild (30) and Roni (24), also experienced was sick similar.
The head of the Pemberantasan Field of infectious diseases (P2M), the Kesehatan Service of the Tasikmalaya City, Dr. H. Hasni Mukti said, the temporary assumption of dozens of residents of the Kidul Market, suffered was sick chikungu him, that was caused by the attack or the mosquitoes virus aides albopictus.
http://www.pikiran-rakyat.com/cetak/2007/052007/24/99sekilasdaerah.htm
</pre>
 
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