Dengue in Indonesia

[Gert van der Hoek]

Edit,

my motivation for this thread: to have a place to get the information about the current developments on dengue in Indonesia together.

Being no expert, I got the impression it is hard to discriminate in the early stage of the disease, the symptoms of Dengue and the symptoms of Avian Flu.
Some people are worried, they think (a lot of) Dengue patients are in fact BF patients. May be that is true, may be not, I don´t know.

So when we know more about the development of Dengue in Indonesia, we have information for travelers and information we can evaluate together with the development of BF in Indonesia.

Members are invited to join, if they feel this is important enough.

Dengue in Indonesian reports often is written as: "DBD"



[3] Indonesia - distribution

Date: 10 Jan 2007

From: A-Lan Banks <A-Lan.Banks@thomson.com> and Thomas Schmidt
<mediscon@web.de>
Source: Jakarta Post - Jakarta,Indonesia, 10 Jan 2007 [edited]

http://www.thejakartapost.com/yesterdaydetail.asp?fileid=20070110.C03


The Bogor regency-run Cibinong Hospital has been forced to move most
of its dengue fever patients to its function hall. The hospital's
director of services, Wahyu Kurdijanti, said it had run out of room
to accommodate the dengue patients, who number 58 in total, including
18 children.

"Previously, we had them lying up and down the corridors, but it
wasn't comfortable for them or their doctors," she said.

Anticipating further outbreaks of dengue in the regency, the Army's
transportation and logistics battalion in Cibinong, Bogor, has loaned
15 cots to the hospital. Wahyu said only 10 hospital beds were
currently unused. "We usually handle 1-2 dengue cases a day, but
patient numbers soar in the wet season," Wahyu added.

Most of the patients are from Karadenan village in Cibinong and
Cileungsi, Gunung Putri and Citeureup districts. Besides those
districts, the regency health agency has recorded Ciomas, Bojong Gede
and Darmaga districts as endemic areas.

Eulis Wulantari, the head of the health agency's communicable
diseases unit, said of the 685 dengue cases reported in 2006, 15
patients died. In 2005, the agency recorded 608 cases and 23 deaths.
"We have yet to update the data from last week. Our latest data says
there are 7 cases and one death," she said.

http://www.promedmail.org/pls/askus...CHECK_DISPLAY,F2400_P1202_PUB_MAIL_ID:X,35840

 

[Gert van der Hoek]

Re: Indonesia

Re: Indonesia

on January 12 2007 11:04 WIB

Indonesian Archipelago » Sumatera

the Sufferer DBD (= dengue) increased in Batam

The writer: hk@mediaindonesia.co.id

BATAM -- MIOL: the Sufferer of dengue fever dengue fever (DBD) in Batam jumped twice the fold at the end 2006. Especially against the period that be the same the year beforehand, from 300 people rose to 601.

The data from the Batam authority Hospital (RSOB) named the rise in the sufferer's DBD figure resulting from bad him the condition for the exchange of the weather in this area.

This caused mosquitoes aides, that became the main DBD cause, breeding.
In October 2006 the sufferer DBD only 67, rose in November to 116 cases, and in December to 136 cases that were experienced.

The "whole happened totalling 601 DBD cases," said the staff RSOB Wawan Setiawan public relations, on Friday (12/1).

The endemic location of the DBD attack in Batam was counted equitable all over the settlement region, like the Bent region, Batuaji and Sagulung.
In the place was separated, the Section Head the Batam Puardi Djarius Health said his side carried out various preventive steps.

Including doing fumigation in the positive DBD location also was done by giving abate free, and formed the team of the special official sebagi juru the observer pinched (Jumantik).

The "Jumantik formation was the step" in the "government prevented the distribution" of the "DBD attack by involving the resident's participation," he said.
(
http://www.media-indonesia.com/berita.asp?id=121910

 

[Thornton]

Re: Indonesia

Re: Indonesia

Maybe this fits here. Dengue and other diseases can travel with people.
http://www.news.gov.hk/en/category/healthandcommunity/070118/html/070118en05008.htm

January 18, 2007
Epidemics
Woman ill with Dengue fever
The Centre for Health Protection is investigating an imported dengue fever case involving a 27-year-old North Point woman.
She travelled to Indonesia from November to January 12. She came down with fever on January 13, was admitted to Queen Elizabeth Hospital on January 16, and is now in stable condition.
Her family does not have any symptoms.
This is the second imported Dengue fever reported in 2007. There were 31 cases, all imported, in 2006.

 

[Gert van der Hoek]

Re: Indonesia

Re: Indonesia

The sufferer Dengue Fever continued to grow

Liputan6.com, Bandung: Various plagues of the contagious illness in several areas in the Motherland, in recent times. From bird flu, dengue fever to chikungunya.

In Cimahi, West Java, for example.

Every day in the Cibabat regional Public Hospital, Cimahi, the number of patients of dengue fever dengue fever had continued to improve since the beginning this month. According to the Head of the Head of the Nurse RSUD Cibabat, at this time had 103 patients DBD (= dengue) that underwent treated inap there.This number clear exceeded this hospital capacity.

Then was like this in the Handsome Sadikin Hospital, Bandung.
The dengue fever patient who came to increase.
For the length of this January, the number of patients totalling 165 people.
However, till at this time, the Government of the West Javanese Province did not yet determine dengue fever as the extraordinary incident.

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 chikungu him 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

 

[Gert van der Hoek]

Re: Indonesia

Re: Indonesia

Dengue fever killed at least 51 in Indonesia in January

JAKARTA (AP): Dengue fever killed at least 51 people in Indonesia this month and more than 3,400 people have been infected, a senior Health Ministry official said Thursday.

The disease spreads each year during the cooler wet season when mosquitoes are more prevalent. Hundreds of people die of the illness in Indonesia each year.

Dr. Erna Tresnaningsih, the ministry's director ofcommunicable disease control, said that with 3,000 people hospitalized, the death toll is expected to rise in the coming days.

"We have reports from some hospitals that there is a shortage of beds," Tresnaningsih said. "We are trying to get information from the provinces and arrange for more supplies."

Dengue, which is endemic to Southeast Asia, is spread by mosquitoes and causes joint pain, high fevers, nausea and rashes.

In severe cases, it results in internal bleeding and death.(***)

http://www.thejakartapost.com/detailgeneral.asp?fileid=20070125173635&irec=5

 

[Gert van der Hoek]

Re: Indonesia

Re: Indonesia

Machinetranslated press release Dep of Health Indonesia:

Guard against Dengue Fever

26 Jan 2007

During January 2007, the case of Dengue Fever Dengue Fever (DBD) most was reported in the Special Capital District of Jakarta province with 968 cases, 1 including dying.

After the Special Capital District of Jakarta, the other area that reported the case of dengue fever was provinces as follows:

Lampung (421 cases, 3 died), Central Java (400 cases, 1 died), West Java (284 cases, 3 died), East Kalimantan (79 cases, 1 died), Banten (48 cases, 4 died), Bali (31 cases), East Java (27 cases 2 died), NTB (19 cases), and Bangka Belitung (6 cases).

Was like this the report that was accepted by the Centre of the Public's Communication of Sub Directorate Arbovirosis Directorate General the Control of the Illness and environmental Sanitation (PP & PL) concerning the development of the DBD case to January 24 2007 struck 15.00 WIB.

Compared with January last year, the DBD case this year far more a little.

In January 2006, the number of cases reached 18.929, 192 people including dying (CFR 1,0%). This year, up until the 3rd week in January, the number of DBD cases totalled 2.270 people, with 17 including dying (CFR 0,75%).


Menkes Dr. Dr. Siti Fadilah Supari, Sp.JP (K) stated that since the last 6 months Menkes sent the letter to the level district heads one, reminded the regional government to activate the program 3 M. Menkes hoped so that the community realised undertook the pattern of the clean and healthy life (PHBS).

Overcame DBD will be difficult without guarding the environment stayed clean because of spraying did not guarantee was destroyed him pinched mosquitoes.

In Indonesia, KLB DBD had happened during 1988, 1998, and 2004.
Year round 2005 happened 3 peaks of the increase in the case, that is in the month January-March, in August and in December.

In 2006 the increase since January till May happened. The total case number up to October 2006 totalling 72. 812 cases, 753 including dying (CFR 1,03%).

Entered last November 2006, in several of West Kalimantan, Cilegon and Banten has begun to KLB happen.

The cause of the increase in the number of KLB cases and increasingly the territory increase that was infected, in part because increasingly the inhabitants's congestion and the height of the mobility of the inhabitants.

Moreover was increasingly good him the transport from an area to the
other area as well as the existence of new settlements also became the cause of the increase in the case DBD. the other Factor that influenced the KLB occurrence was the pattern deviation of rain, the season factor, the behaviour of the community kept water traditionally, not all that the community's participation in the eradication of the mosquitoes nest (PSN), the shortage of the community's knowledge about the DBD sign and the delay brought the patient ketempat the health service.

The other cause was the shortage of the co-ordination of the sector passage, the spread of the Aedes mosquitoes vector all over the homeland (especially in the city), the existence 4 sero the type of the virus that bersikulasi year round, as well as the delay of the control of the case in the field took part in playing a role in the extraordinary incident.
This news was broadcasted by the Centre of the Public's Communication, the Secretariat General the Department of the Health.

For information further could contact the telephone/fax: 021-522 3002 or the e-mail puskom.depkes@gmail.com.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2424

In a few days I expect an english version of this report here:

http://www.depkes.go.id/en/index_en.htm

 

[Gert van der Hoek]

Re: Indonesia

Re: Indonesia

DBD anticipation, the Government prepared Health facilities

on Thursday, 25 Jan 2007 23:19:19

Pdpersi, Jakarta - the Government prepared health facilities to anticipate the possibility of spreading him Dengue Fever Dengue Fever (DBD) in the area endemi the illness that was spread by Aedes mosquitoes aegepty that.

Moreover, the government continued to intensify DBD prevention efforts.
"Usually in January has been at a peak his case, but now just began to emerge."

For anticipation hospital-hospital has been prepared, said the Health Minister (Menkes) Siti Fadilah Supari, in Jakarta, yesterday.
Menkes said efforts to deal with the spread of the DBD illness, that every year always emerged and claimed fatalities, could not be carried out easily.

"We still could not be free from DBD while the condition" for the "environment was not yet good, still was dirty and many pools" of "water."
The condition enabled the disseminator's mosquitoes of the breeding illness, he said.

So, he asked all the sides especially the participating community to be active towards the prevention of the DBD spread by maintaining the personal cleanliness and the environment around it. "And took part in doing PSN with did 3M," he said.

The eradication of the mosquitoes Nest (PSN) was one of the DBD prevention efforts that was carried out by draining the bath/the water reception, closed the meeting of the place of the water reception, buried second-hand tins, the second-hand battery and the second-hand tyre around the house et cetera.

Apart from through the movement 3M, the eradication of Aedes mosquitoes aegepty uptil now also was done through biological control efforts by using the eater's fish pinched and the chemical control through fumigation/fogging and the placing of the powder abate (temephos) to places of the water reception.

The activity usually more is activated again in the rainy season because of the rainfall that was high in the rain season and bad sanitation could increase the place of the Aedes mosquitoes family aegepty.

The data from Sub Directorate Arbovirosis the Department of the Health showed the number of DBD cases in the Motherland tended to increase every year.

When in 2002 only was gotten 40.377 DBD cases then in 2003, 2004 and 2005 their respective amount to 52.500, 79.462 and 80.837 cases.
The patient who died as a result of this illness also continued to increase, the death rate resulting from DBD in 2002, 2003, 2004 and 2005 respectively reached 533, 813, 957 and 1.099.

(http://www.pdpersi.co.id/?show=detailnews&kode=4111&tbl=cakrawala

A medical site, news, adresses, medical information, etc.

 

[vinny]

Re: Indonesia

Re: Indonesia

please forgive me if im wrong but wasnt the so called spanish flu mistaken for dengue,at first,in 1918.?

 

[Gert van der Hoek]

Re: Indonesia

Re: Indonesia

please forgive me if im wrong but wasnt the so called spanish flu mistaken for dengue,at first,in 1918.?

Being no expert, I would say : Yes , it's possible to misdiagnose BF for Dengue in the first stages of the illness. That is why it seems important to watch dengue developments in Indonesia.

On the other hand, many Indonesian doctors are experienced in diagnosing dengue I suppose.

Edit: . Abstracted from the WHO website fact sheet on dengue: http://www.who.int/mediacentre/factsheets/fs117/en/

 

[vinny]

Re: Indonesia

Re: Indonesia

And yet perhaps because the flu is so familiar, its terrors in 1918 were all the more dreadful. It is like a macabre science fiction tale in which the mundane becomes the monstrous.

When the illness was first observed, doctors were reluctant even to call it the flu. It seemed to be a new disease, they said. Some called it bronchopneumonia, others called it epidemic respiratory infection. Doctors suggested it might be cholera or typhus, or perhaps it was dengue fever or botulism. Still others said it was simply an unidentified pandemic disease. Those who used the term "influenza" insisted on enclosing it in quotation marks.



http://www.cnn.com/books/beginnings/9911/flu/index.html?eref=sitesearch




not sure if this helps or not.

 

[Gert van der Hoek]

Re: Indonesia

Re: Indonesia

Update from Min of Health

DHF has Killed 144

01 Feb 2007

Until January 31, 2007, Dengue Hemorrhagic Fever (DHF) has killed 144 people from total 8,019 sufferers. Comparing to December 2006, latest data indicates decrease and increase of sufferers in some provinces. Provinces with decreased number of case are NAD (134 to 19), Jambi (23 to 5), Bangka Belitung (7 to 6), DI Yogyakarta (49 to 22), West Kalimantan (274 to 53) and Bali (185to 31).

Meanwhile, provinces with increased number of case are Lampung (92 to 596), Banten (237 to 343), DKI Jakarta (906 to 2,022), West Java (1,594 to 2,326), Central Java (631 to 777), East Java (676 to 804), South Kalimantan (112 to 224), East Kalimantan (292 to 671), North Sulawesi (6 to 82), NTB (0 to 27) and Papua (7 to 11). There are 16 do not report DHF case.

This information is accepted by Center for Public Communication from Arbovirosis Sub Directorate, DG of Disease Control and Environmental Health concerning DHF progress until January 31, 2007 at 03.00 p.m.

Comparing to January 2006, DHF in January 2007 is fewer though number of death is higher than in 2006. In 2006, there were 18,929 cases with 192 died (CFR 1.0%). This year, until the end of January, number of DHF case is 8,019 with 144 died (CFR 1.8%).

During 2007, provinces reporting DHF-related death are NAD (1), Lampung (4), Banten (5), DKI Jakarta (8), West Java (47), Central Java (26), DI Yogyakarta (3), East Java (21), West Kalimantan (2), South Kalimantan (2), East Kalimantan (19), North Sulawesi (5) and Papua (1).

DHF is close with us because many places are potential for mosquito's places. For example, house yard with many trees, where mosquito mostly lives on leaves carrying rain water. Minister for health, Dr. dr. Siti Fadilah Supari, Sp.JP(K) believes that it is not an easy thing for people to avoid mosquito, as vector of DHF. Therefore, she suggests people for always cleaning their environment from larvae.

http://www.depkes.go.id/en/0102dh.htm


Note: NAD = Aceh

 

[Gert van der Hoek]

Re: Indonesia

Re: Indonesia

The DBD case in South Kalimantan increased

on Saturday, in March 10th, 2007 15:00


BANJARMASIN–TERKINI: The Number Of sufferers of dengue fever dengue fever (DBD) in South Kalimantan continued to grow.

Up to now the number of DBD attacks reaches 1.037 cases and ten people among them died.

terkini.com

 

[Gert van der Hoek]

Re: Dengue in Indonesia

Indonesian boxer dies after fight

Jakarta: Indonesian boxer Anis Dwi Mulya died in a hospital in Jakarta, five days after he received injuries in a fight, media reported Wednesday.

Mulya, 27, was being treated for head injuries he suffered last Thursday during the junior-lightweight bout, which had to be called off at the sixth round after he collapsed.

Anis is the 22nd casualty connected to the sports in the country since 1948.

Doctors said he suffered epidural bleedings in the head and underwent two surgeries last Friday, Indonesian language newspaper Kompas reported.

"The thrombocyte level in his blood dropped indicating he did not only suffer bleeding but also another illness, very likely dengue," Tunggul Marpaung who led the surgery team was quoted as saying.

http://www.onlinenews.com.pk/details.php?id=109924

 

[Gert van der Hoek]

Re: Dengue in Indonesia

Dengue outbreak leaves two dead

A dengue fever outbreak has killed two people and infected more than 110 in the Central Java city of Cilacap since early this month, an official said Saturday.

Sugeng B. Susanto, head of the Cilacap Health Office, said that the dead were identified as Fifi Tiara, 6, and Painah, 40.

Sugeng said the two victims were admitted to the city's hospital after already losing consciousness.

"If the victims were not in a coma there would still have been hope. But due to their poor condition, it was difficult to help them," he said.

Sugeng said the outbreak hit nearly all the districts in Cilacap, with the worst conditions recorded in Jeruk Legi.

Sugeng said his office would launch a major fogging operation to kill the mosquitoes spreading the disease. -- JP

http://www.thejakartapost.com/detailnational.asp?fileid=20070326.G02&irec=1

 

[Gert van der Hoek]

Re: Dengue in Indonesia

Dengue fever kills 124 in Central Java

Agus Maryono and Panca Nugraha,

The Jakarta Post, Purwokerto, Mataram

Widespread dengue fever outbreaks in a number of regencies in Central Java have infected 6,318 people during the last three months, killing 124, an official said Tuesday.

Head of the communicable disease eradication section of the Central Java Health Office Lily Herawati said at a bird flu and dengue fever symposium in Purwokerto that the areas worst hit by dengue fever had been Cilacap, Banyumas and Purbalingga.

"We're sorry about the outbreak. Many victims have died because they were unable to reach a hospital in time. They were rushed to hospital in very poor health and they could not be saved," Lily said.

She attributed the widespread outbreaks of the deadly disease to the lack of attention paid to a mosquito nest eradication drive in the province. "Our research shows local people have not paid serious attention to the drive. They tend to underestimate such threats and be easy going about it," she said.

Lily explained that the spread of the disease was worsened by the high mobility of people between regions throughout the country and waste disposal methods.

"In villages, traditional waste disposal practices continue, causing potholes," Lily said, adding that potholes are an ideal breeding ground for mosquitoes.

She said that her office will continue the mosquito nest eradication program to help curb the further spread of the disease. "We've also provided adequate supplies of medicine, especially in regions which are prone to outbreaks" she said

Meanwhile, at Jeringo village in East Lombok, West Nusa Tenggara, four people have died in the last month due to a malaria outbreak which has infected up to 60 people.

Approximately 30 people are still being treated, Jeringo village head Abdul Karim said Tuesday. (Edit: Lombok is an island east of Java)

Karim said his village had experienced malaria outbreaks throughout the last three years, but questioned why the government was slow to react this year.

"I made another report yesterday concerning the four people that have died from malaria in our village," he said.

Many people in the village are farmers and have found it difficult to receive medical assistance due to the distance to travel to the nearest community health center.

The nearest health center is located 35 kilometers from the village along a road that is not accessible by car.

"We can hire a motorcycle taxi but the fare is very expensive at Rp 15,000 (approximately US$1.57). The round trip costs Rp 30,000. Therefore, we usually decide to stay at home despite the illness," Udin, a local resident, said.

http://www.thejakartapost.com/detailnational.asp?fileid=20070328.G01&irec=0

 

[Gert van der Hoek]

Re: Dengue in Indonesia

Hospital reports dengue cases on rise

April 04, 2007

JAKARTA: Fatmawati Hospital in South Jakarta is struggling to keep pace with a dengue deluge, with 30 people administering treatment for the mosquito-borne disease on Monday alone.

Tempointeraktif reported that as of Monday, the hospital was treating 152 patients, including 27 children. Thirty-six late arrivals are sleeping on foldable beds in the hospital's corridors because the wards are full.

Hospital spokeswoman Rahmawati said dozens of dengue patients had been admitted daily since last week.

From January through to February, the hospital treated 1,259 people for the disease. In March alone, it saw 861 dengue patients. In January, eight patients died due to late treatment. --JP

http://www.thejakartapost.com/detailcity.asp?fileid=20070403.C09&irec=8

 

[Gert van der Hoek]

Re: Dengue in Indonesia

From Kalimantan, Balikpapan

The number of patients DBD (= Dengue) increased

RS Djamil also treated hundreds of patients that infected by Dengue Fever (DBD).

For the length of January till March 2007, RS this treated 345 patients DBD.
Each day, in general the patient DBD that entered to RS M. Djamil totalled 3 as far as 4 people.

They came from various areas in the West Sumatra territory. "Was based on our note, the number of patients DBD that was treated in three first months this year increased sharply against the same period last year."

In 2006, in January till March, the sufferer DBD that was treated by the amount of only 40 patients, he said.


http://www.detiknews.com/index.php/...4/tgl/05/time/112605/idnews/763486/idkanal/10

 

[Gert van der Hoek]

Re: Dengue in Indonesia

42 die of dengue fever in Jakarta since early 2007

JAKARTA (Antara): 42 people have died of dengue fever in Jakarta since early this year compared to 51 throughout 2006, a health official said.

"That's one of the reasons why the governor has declared the city's dengue fever outbreak an 'extraordinary occurrence.' The average figure in March has exceeded our estimate to declare theoutbreak an extraordinary occurrence," deputy head of the Jakarta health service Salimar Salim said on Tuesday.

The estimate of dengue fever cases to declare an extraordinary occurrence was 3,107 based on the highest and lowest number of cases in the past four years, he said.

In March alone, the capital saw 4,423 cases of dengue fever, compared to 2,249 cases in the same period last year, he said.

By comparison, 10,942 cases of dengue fever were reported last year with 51 deaths, he said.

The capital's dengue fever outbreak was last declared extraordinary occurrence in 2004 when it saw 20,640 cases of dengue fever resulting in 90 deaths.(***)

http://www.thejakartapost.com/detailgeneral.asp?fileid=20070410152216&irec=8

 

[Gert van der Hoek]

Re: Dengue in Indonesia

Hospitals swamped with dengue patients

JAKARTA: The number of dengue fever patients in the city is rapidly increasing despite the administration's efforts to curb the current outbreak.

The number of dengue patients this month jumped to 1,532 patients last Sunday, including four fatalities, from 525 patients the previous week.

However, the rapid increase in dengue patients did not trigger additional efforts to combat the virus from the Health Agency.

"We are still combating the current outbreak of dengue fever with fumigation. I am sure it will decrease the number of dengue patients in the city," said the agency's head Wibowo Sukijat, as quoted by the Tempointeraktif news portal.

Since the start of this year dengue outbreaks have plagued the city. As of last Sunday the agency had recorded 11,949 cases of dengue fever and 44 fatalities caused by the virus since the start of the year. --JP

http://www.thejakartapost.com/detailcity.asp?fileid=20070416.C08&irec=7

 

[Gert van der Hoek]

Re: Dengue in Indonesia

Massive fumigation starting this Friday

JAKARTA: The City administration will start launching massive fumigations of critical areas Friday to kill the larvae of the mosquitoes that cause dengue fever.

"The fumigation will be held twice. Governor Sutiyoso will kick off activities Friday," the administration's assistant for the people's welfare, Rohana Manggala, was quoted as saying by the city's official news website Beritajakarta on Wednesday.

The second round of fumigation will be held on April 20.

Rohana said the fumigation would target 135 neighborhoods categorized as "red-zone" areas, as well as another 127 dengue prone-areas across the city.

She said her office would send 2,400 fumigators to the targeted areas.

The administration is under pressure to curb dengue fever, which has killed 44 people in the first four months of this year.

The administration has submitted the draft of a bylaw on dengue fever which would give a maximum punishment of three months in jail and a Rp 50 million fine for building operators or residents found with mosquito larvae on their property.-- JP

http://www.thejakartapost.com/detailcity.asp?fileid=20070419.C07&irec=6