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General Indonesian News - 27 September 2008 to 30 April 2009

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Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Indonesia Says Pandemic Threat Remains as Deaths Ease (Update1)

By Leony Aurora and Naila Firdausi

Nov. 3 (Bloomberg) -- Indonesia, the nation with the most bird flu deaths, said the threat of a deadly flu pandemic hasn't passed even though no new human cases of the H5N1 virus have been detected in the archipelago since July.

The government has started work on its own H5N1 vaccine and allocated 700 billion rupiah ($64 million) in next year's budget to prepare for a pandemic, including building facilities to produce inoculations, Health Minister Siti Fadilah Supari said. The nation may also resume sharing H5N1 samples with the world next year if it can complete an agreement at a World Health Organization meeting next month.

Producing its own vaccine may strengthen Indonesia's position in demanding access to affordable shots for Asia in exchange for sharing H5N1 samples. The Southeast Asian nation, which accounts for 46 percent of bird flu deaths globally in the past six years, has withheld samples since December 2006, saying the viruses are its own intellectual property. Doctors can't produce up-to-date vaccines without the latest virus strains.

``We have made seasonal flu vaccine,'' Supari said in an Oct. 31 interview in Jakarta. ``The leap to avian flu vaccine won't be too hard.'' She said Indonesia has already developed a so- called ``seed vaccine,'' a genetically modified form of a virus that can be grown safely to mass-produce vaccines.

The H5N1 flu strain is known to have infected at least 387 people in 15 countries since 2003, according to the Geneva-based WHO. Almost two of every three cases were fatal. Health officials worldwide are concerned the virus may mutate into a form easily passed between humans, touching off the first flu pandemic in almost four decades.

Negotiations Advance

Negotiations to resume virus-sample sharing ``have come a long way,'' Supari said. ``The only obstacle left is the choice of tracking system,'' she said. Indonesia expects to reach an agreement on changes to the WHO's Global Influenza Surveillance Network at a meeting in Geneva in December and may resume virus- sharing next year, she said.

It's at least the second time Supari has promised to resume sharing virus samples. In March 2007 she said Indonesia would recommence virus-sharing ``immediately.'' In August last year the WHO said it was yet to receive any samples.

``We've heard some of these things before, so I guess we've just got to be patient and wait for them to be played out,'' said Ian Barr, deputy director of the WHO Collaborating Centre for Reference & Research on Influenza in Melbourne, Australia. ``We would be very happy if Indonesia resumed sharing the viruses,'' Barr said in a telephone interview today.

`Even More Danger'

Michael Leavitt, the outgoing U.S. secretary of health and human services, last week urged his as-yet-unknown successor to ``strongly defend'' the 60-year-old practice of nations sharing virus samples freely, and said countries that withhold viruses are exposing the world to ``even more danger.''

The deadly H5N1 bird flu virus has killed 112 people and sickened 25 others in Indonesia, according to the WHO. Most infections were caused by contact with infected poultry, such as children playing with them or adults butchering them or plucking feathers, according to the WHO.

No new human cases have been found since the last ones were detected in July, Supari said, citing better public understanding about how to keep poultry safely.

``I can't say the threat has passed, but at the moment, there's nothing that can trigger a pandemic except if it's man- made,'' Supari said.

Laboratory tests and DNA analysis conducted by the health ministry's research center and the government-funded Eijkman Institute for Molecular Biology on ``hundreds of samples'' since the country stopped sending the virus to the WHO found no mutation toward a human-to-human transmission, she said.

Indonesia in April released a national plan for coping with an influenza pandemic. The plan assumes a pandemic flu virus will strike 30 percent of the world's fourth-most populous nation, or 66 million people, and kill more than 153,000.

http://www.bloomberg.com/apps/news?pid=20601080&sid=acboyNqM6t_U&refer=asia
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Malnutrition, pneumonia kill toddler in Makassar | The Jakarta Post

Malnutrition, pneumonia kill toddler in Makassar

Andi Hajramurni , The Jakarta Post , Makassar | Mon, 11/03/2008 10:28 AM | The Archipelago

Two-year-old Dea Adelia of Jl. Monumen Emmy Saelan died here Saturday morning after being treated for malnutrition at Labuang Baji hospital's intensive care unit for three nights.


Head of Makassar Municipal Health Agency, Naisyah Tun Azikin, confirmed Saturday that Dea suffered from malnutrition, but it was not the main cause of her death.

When admitted to the hospital Wednesday night, she said, Dea was in a critical condition with a high fever, respiratory problems and acute pneumonia.

"The doctors tried to do their best to save her life but she was too ill to cure," Naisyah said.

Dea's mother, Nur Fadillah, said her second daughter had suffered from a fever since last month, but she could not afford to take her to the hospital.

She said her husband was a substitute driver who worked between three and four days a week with an income of Rp 10,000 (US 90 cents) to Rp 30,000 each working day.

"It was only after an in-law lent us Rp 100,000 that I could finally take her to the hospital," the 20-year-old mother said, crying.

She said the hospital asked her to pay Rp 75,000 to admit Dea. When Dea died, however, she was not allowed to take the body home for burial before paying for the Rp 478,000 bill.

"Having only Rp 200,000 in my hand, I gave them the two gold rings I inherited from my mother as collateral," Nur added.

Naisyah said Dea's body was never held by the hospital. It just required the family to fulfill the administrative requirement.

The South Sulawesi provincial government has launched a free medical treatment program for poor families.

Families are only required to show their health insurance cards provided by the government for the poor or ID and family cards.

"They failed to show either an ID or family card. So, the hospital asked them to seek a letter from the village administration that could confirm they were indeed Makassar residents," Naisyah said.

Naisyah said the hospital actually asked the family earlier to seek the required documents from the village administration office. The letter, however, was never submitted, he added.

"So, the hospital asked for collateral. When the required letter was finally submitted, both the rings and the money given to the hospital were returned to them."

Naisyah said a three-month intervention of additional food provision through Puskesmas (Community Health Center) Kassi-Kassi helped Dea recover from malnutrition last year.

"The last time she visited the service post was in September. She was in a good condition. We didn't know it was worsening because she didn't show up last month," Fatma Yusuf of Puskesmas Kassi-Kassi said.

Dea is the second baby reported to have died from malnutrition in Makassar in the last four months. The last case was reported in July.
-
<cite cite="http://www.thejakartapost.com/news/2008/11/03/malnutrition-pneumonia-kill-toddler-makassar.html">Malnutrition, pneumonia kill toddler in Makassar | The Jakarta Post</cite>
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Menkes = Minister of Health

Menkes Siti Anger to the WHO

On Monday, November 03 2008,

The organisation of the Health of the World (WHO) was considered unjust handled the case of bird flu internationally because too much was exaggerated.

The criticism was raised by Menkes Siti Fadila Supari in teleconference with 1,500 people of the midwife all over Indonesia in the Congress's XIV Ikatan opening of the Indonesian Midwife (IBI) in the Bumiminang Hotel, Padang, West Sumatra, on Monday (3/11).

Menkes also questioned why only bird flu that became rumours of the world, in fact still many other illness kinds like Tuberculosis (the TB).

Now bird flu that only of his casualties seldom became extraordinary and quite startling attention the world.

"Why became rumours was so startling the world only because of developed countries was threatened was the tb only threatened poor countries."

This was one form of injustice, he stressed, as being launched by Antara. Menkes regretted WHO charges that Indonesia as the place of the spreading human-to-human of the bird flu virus .

http://www.myrmnews.com/situsberita/index.php?pilih=lihat_edisi_website&id=66944

TT and Google
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Source: http://www.kompas.com/read/xml/2008/11/03/1659572/menkes.kritik.who.dalam.menangani.flu.burung
Menkes Kritik WHO dalam Menangani Flu Burung

Google translation:
Menkes Critics WHO in handling the Bird Flu

Monday, 3 November 2008 | 16:59 WIB

FIELD The, MONDAY - Minister of Health (Menkes) Siti Fadilah Supari said, there is injustice World Health Organization (WHO) in handling cases of bird flu internationally because it is too be exaggerated.

Menkes is criticism raised in the teleconference with 1,500 people across Indonesia midwives in the opening XIV Congress of the Indonesian Midwife Association (IBI) in Bumiminang Hotel, Padang, West Sumatra, on Monday.

Menkes questioned why only the bird flu issue in the world there are many other types of diseases including Tuberculosis (TB) a victim hundreds of people every day around the world but do not get the attention of the WHO.

Meanwhile, bird flu is only a few victims come to the attention of the extraordinary and quite surprising the world. "Why be so surprising to world issues," said Menkes, because developed countries are threatened TB disease only threaten the poorest countries

"This is a form of injustice," he said. Menkes regretted the accusations that the WHO as Indonesia where the spread of bird flu antarmanusia.

Bina Director General of the Ministry of Public Health, Budi Harja to the press said that the protests submitted Menkes is intended to injustice because it seems to Indonesia by the system terimbas liberalization capitalism.

"The system that liberalismelah been his. Dilawannya the injustice and inequality," says Budi.

ABD
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

According to the 2008 World Malaria Report by the World Health Organisation (WHO), there were an estimated 247 million malaria cases worldwide in 2006 with 86% of cases in Africa.

I'm going to track that report down. That would leave 14% of cases for the rest of the world. I'm interesting in finding out about Indonesia's Malaria situation.
http://www.citizen.co.za/index/article.aspx?pDesc=82289,1,22
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Prof. Dr. Nuning Maria Kiptiyah, MPH, DrPH

?Jadilah like the Coconut Tree that was useful from the Root To Pucuknya? the Epidemiology Field became his expertise. Penyakit Menular epidemiology both in the Hospital and the community, the Health of the Reproduction and the Increase in the Quality of the Kesehatan Service.

He was born in Jepara 20 Desembar 1946, completed the scholar's education in the UGM School Of Medicine (1974). He taught in the School Of Public Health began during 1975, after that he continued education S2 him to receive the degree MPH in The John Hopkins University, Baltimore, MD (1983) and got the degree DrPH in Tulane University, New Orleans (1993). He had taken part in various Epidemiology courses and statistics in London School Of Hygene (1977), ICDDRB Bangladesh (1984), CDC Atlanta (1986).

He at this time became the member the Association Doctor Indonesia, Ikatan Ahli of the Health of the Indonesian Community, as well as as the member from several of Pokjanal (the Measles, Sertifikasi Eradikasi Polio, Penanggulangan of Bird Flu). Several scientific papers that were made, among them be the Pelatihan Module by him in the Epidemiology field in accordance with his interest (the Nosokomial Infection, Investigasi Wabah), the article in the infectious diseases field (the Measles, Pes, Ebola, Diare, Penyakit Menular Seksual , Penyakit Bawaan Makanan, Flu Burung), and the other field terkait (the Immunisation, Oral Rehidrasi, Menyusui).

http://tinyurl.com/5bfbur
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Dr. Nidom: H5N1 resistance to vaccine (in poultry) and H5N1 more virulent to humans.



Arrival of the rain season, watch out for bird flu infection.


Mon, on November 10 2008

Surabaya - during the rain season, the community it was hoped guarded against the bird flu illness and carried out prevention efforts. His article, the change in the temperature and air that were humid could trigger the existence of the development of the virus H5N1.

The Chairman of the Bird Flu Laboratorium of the Institute of Tropical Disease Unair , Dr drh Chairul Anwar Nidom Ms, the chairman of the Laboratory of Flu Burung Institute of Tropical Disease Unair that if the temperature of the environment changed 1 level celsius from the normal situation, the virus will change the structure.

The only method in order to be not induced by bird flu was to reinforce body resistance. Because, the vaccination to the animal or for humankind was more impotent. His possibility was two. After divaksin, the virus was weaker from the start.

This not the problem. On the other hand, could also the virus raged, "explained Nidom, on Monday (10/11/2008)."

So, continued he, it was suggested carried out the extermination of the poultry by means of burnt.

This was carried out when having the poultry died suddenly and it was suspected bird flu did not endanger surrounding area.

Nidom that also the representative of the dean III Fakultas Kedokteran Hewan (FKH) Unair mentioned, in a year, the bird flu laboratory found several matters concerning bird flu.

Firstly, the virus that resided on the chicken body has been immune to vaccine.

And the virus could attack humankind, the animal, or both of them at the same time.

That just was found by us, in one virus was gotten alfa 23 and 26.

So, this virus could attack the animal or humankind at the same time, he explained.

http://cybermed.cbn.net.id/cbprtl/cybermed/detail.aspx?x=Health News&y=cybermed|0|0|5|4878

http://surabaya.detik.com/read/2008...usim-hujan-tiba,-waspadai-penyakit-flu-burung
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Source: http://www.radarbanjar.com/berita/index.asp?berita=Metropolis&id=71655

Berita Metropolis
Kamis, 13 November 2008
Kalsel Waspada Bahaya Flu Burung
Meski Tak Ada Kasus Kematian Akibat Flu Burung

Machine translation:
On Thursday, November 13 2008 South Kalimantan was on the alert the Flu Danger Burung Although not having the Case of the Death resulting from Bird Flu

BANJARMASIN,- Although from all over Indonesia was found by the case of bird flu totalling 209 cases, and died totalling 125 people, but for the South Kalimantan area was not was found by the virus of sub-type influenza H5N1 that.

?Kasus penerita bird flu (AI) that attacked humankind for the South Kalimantan territory not ada,? revealed Dr Ali Assegaf in the agenda of the Lokal Media of the Empowerment workshop in Empowerment and the Eradication of Bird Flu in Kalimantan, that was spread out in the Hotel of Falm Banjarmasin, yesterday.

Nevertheless, RSUD Ulin Banjarmasin Deputy Director this warned that vigilance must towards the case of this bird flu continue to be carried out. ?Mengingat, if bird flu attacked five people immediately died the five of them, even so seterusnya,? he said.

His profit, continued Dr Ali, the case of bird flu that happened in Indonesia was not so horrifying. ?Kasus bird flu in Indonesia not all of them caused his sufferer to die. If the case totalling 209, happening then that died only 50 % then. This that distinguished with the similar case in the country lain,? he said.

Ali explained, bird flu that attacked humankind was A influenza the sub-type H5N1. Whereas gejalan that could be seen, beber him, someone was affected by bird flu that is the high fever through to 38 C levels, the cough/pilek, was sick the throat, vomited/diarrhoea, breathless, myalgia, the cornea infection, as well as appetite were not available.

?Sedangkan the risky person tinggiterkena bird flu including the livestock breeding worker like the veterinary surgeon, the livestock breeding engineer, the laboratory worker who was assigned processed sample blood/sekret the patient/the poultry terjangkit,? flat Dr Ali.

However, he revealed, that was strange in Indonesia not from the affected group the AI illness not from the high risk group. ?Apakah they have been immune, I not tahu,? he said.]


Nevertheless, he continued, the perpetrators of this high risk group continued to have to be on the alert against the virus of AI. ?Saat this in RSUD Ulin has had complete facilities for the bird flu sufferers, although for the moment in South Kalimantan was not gotten by the case of flu burung,? pungkas him. (mey)
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Source: http://www.radarbanjar.com/berita/index.asp?berita=Metropolis&id=71652


Berita Metropolis
Kamis, 13 November 2008
Kalimantan Masih Bebas Flu Burung

Machine translation:
On Thursday, November 13 2008
Kalimantan was Still Free Bird Flu

BANJARMASIN,- Attention of the government to the virus of the bird flu poultry that happened in Indonesia, made the Penyedia Hall and the Veteriner Regional VI Testing in Banjarbaru co-operate with related sides to mengantisipasti him.

On the other hand, this Hall side said that the Kalimantan territory as far as this is concerned still in the free status of bird flu up until 2011. This happy news was revealed by Chairman KKR Reg VI Drh Sulaxono Hadi in the agenda and the Liberation of Bird Flu of the Eradication workshop in Kalimantan, in the Palm Hotel, Banjarmasin, yesterday.

"In the liberation" of the "free region bird flu, then his plan we will do survailans in November-December 2008 in Kalsel,? he said."

For the South Kalimantan territory, explained Sulaxono, his side will carry out the repeated tracing all over the area. This was done to know whether still was found by the bird flu virus in Kalimantan.

This repeated investigation must be carried out, because in the tracing beforehand for the Hulu Sungai Utara Regency territory (HSU) was found five poultries were affected by the virus H5N1 or Avian Influenza (AI) that was taken from the sample of hundreds of available poultries in the local area.

?Kami immediately carried out spraying and taught to the breeder in HSU in order to be able to carry out the vaccination against their livestock, both that the chicken and bebek,? he revealed.


Apart from that, he added, his side taught the fast control method if being found by this AI virus.

Although in the South Kalimantan territory not the discovery of bird flu, continued Sulaxono, but all must be on the alert with the virus. ?Agar lest this bird flu to wabah,? he said.

It was for that purpose, he explained, in the eradication of this bird flu needed the existence of the co-ordination of all the sides, good the livestock breeding service, Ma also the breeders, so as could direct

"Considering all the territories in Kalimantan potential the occurrence" of "bird flu, then to be on duty at Kalimantan free bird flu was needed by the co-operation by all pihak,? obviously him."

"So, he continued, if accepting the sending" of the "egg or the poultry from the Javanese Island preferably was needed by caution, so that when entering Kalimantan was really free from the virus of AI. ?Proses this quarantine that must really teliti,? he said."

This was done, said Sulaxono, so that the incident in Sampit (Central Kalimantan) did not happen again. ?Karena the territory was found by the AI virus through the intermediary of the trader of the egg shelf saja,? tandasnya. (mey)
Carried out the eradication if being found by the existence of this AI virus.
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Source: http://www.analisadaily.com/

Google translation:
Poultry Market Must Free Bird Flu

Banda Aceh (Analysis)

Mayor of Banda Aceh, Nurdin Mawardy to remind the poultry traders to the market that can create healthy and free from the bird flu disease susceptible to the birds.

The traders market poultry must remain vigilant, because the market is infecting bird flu in a very scared. For, disejumlah local transmission of bird flu this still happens.

"With the new market poultry is expected to front the people we will be free from bird flu," says Caitlin Mawardy workshop on Development Peunayong Poultry Market, Hall Pemko in Banda Aceh, on Wednesday (12/11).

Mawardy said, in Banda Aceh alone is still difficult to separate the living and dead poultry, because this culture of Aceh who want to see that chicken is still alive before purchased.

Most of the traders selling chicken pieces among poultry are still alive, so feared could transmit bird flu. Should, cut the chicken seller is not located close to the birds that are still alive.

"CHF is to build a poultry house cut higenis in terms of sanitation, and complex market a complete," said Mawardy.

Meanwhile, the Tri Prasetyo Sasimartoyo, as the program staff to the National Market Healthy Indonesia, said the WHO, lack of awareness about the management of poultry diseases, ways of transmission, resilience live poultry viruses in the environment, and risk relations with the handling and cutting poultry.

It was said, ducks and vaccinated poultry can carry the bird flu virus for birds that are not sick. Therefore the practice of cutting practices should be considered as high risk.

"The level of knowledge of traditional traders in the market is very low related to bird flu," said Tri Prasetyo.

Knowledge of traders related to the way how to prevent transmission, and is still quite low, so that the monitoring necessary to monitor changes prilaku traders associated with the risk of bird flu.

"This we need to do to minimize the development of bird flu in the wider community," ujat Tri Prasetyo. (irn)

Indonesian:
Pasar Unggas Harus Bebas Flu Burung

Banda Aceh, (Analisa)

Walikota Banda Aceh, Mawardy Nurdin mengingatkan para pedagang pasar unggas untuk bisa menciptakan pasar yang sehat dan terbebas dari penyakit flu burung yang rentan terkena terhadap unggas.

Para pedagang pasar unggas harus tetap waspada, karena pasar ini bisa mewabah flu burung yang sangat di takuti. Sebab, disejumlah daerah penularan flu burung ini masih saja terjadi.

?Dengan adanya pasar unggas yang baru diharapkan ke depan masyarakat kita akan terbebas dari flu burung,? tegas Mawardy Nurdin pada workshop Pembangunan Pasar Unggas Peunayong, di Aula Pemko Banda Aceh, Rabu (12/11).

Mawardy mengatakan, di Banda Aceh sendiri masih sulit untuk memisahkan unggas hidup dan mati, ini karena budaya Aceh yang ingin melihat ayam yang masih hidup sebelum dibeli.

Kebanyakan para pedagang menjual ayam potong di antara unggas yang masih hidup, sehingga dikhawatirkan dapat menularkan flu burung. Seharusnya, para penjual ayam potong letaknya tak berdekatan dengan unggas yang masih hidup.

?CHF sudah membangun rumah potong unggas yang higenis dari segi sanitasi, serta komplek pasar yang lengkap,? ujar Mawardy.

Sementara itu, Tri Prasetyo Sasimartoyo, selaku Staf Nasional untuk program Pasar Sehat WHO Indonesia mengatakan, kurang adanya kesadaran para pengelola unggas tentang penyakit, cara penularan, ketahanan hidup virus dalam lingkungan unggas, dan resiko hubungan dengan penanganan dan pemotongan unggas.

Dikatakan, itik dan unggas yang divaksinasi dapat membawa virus flu burung bagi unggas yang tidak sakit. Karenanya praktek pemotongan seharusnya dipertimbangkan sebagai praktek berisiko tinggi.

?Tingkat pengetahuan pedagang di pasar tradisional sangat rendah terkait dengan flu burung,? ujar Tri Prasetyo.

Pengetahuan pedagang yang berhubungan dengan cara penularan dan bagaimana pencegahannya masih tergolong rendah, sehingga perlu monitoring untuk memantau perubahan prilaku pedagang terkait dengan resiko flu burung.

?Hal ini perlu kita lakukan untuk meminimalisir berkembangnya flu burung di masyarakat luas,? ujat Tri Prasetyo. (irn)
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Source: http://www.tempointeraktif.com/hg/nusa/2008/11/19/brk,20081119-146946,id.html

Jawa Tengah Diancam Tiga Penyakit Menular
Rabu, 19 November 2008 | 15:27 WIB

Machine translation:
Central Java was threatened by three illnesses Menular
on Wednesday, November 19 2008 | 15:27 WIB

The Interaktif TIME, Purwokerto: had three illnesses that ought to be guarded against in the Central Javan Province. Apart from Dengue Dengue Fever, the other illness that is the HIV/AIDS and bird flu.

?Dari 35 regencies and the city in Central Java, as many as 33 regencies and the city were the endemic area DBD,? obviously Section Head Kesehatan of the Government of the Central Javan Province, Hartanto.

According to him, dengue fever has at this time been found in the area of mountains.
In fact previously, the case of dengue fever was only experienced in the area with the hot weather.

Hartanto warned, in this current rainy season, DBD must become vigilance together. "In September till October, usually the DBD findings low." However in November to the beginning of the year was the peak of the rainy season, then the DBD findings the big possibility will increase. So, in this rain season must be stimulated by the eradication of the mosquitoes nest.

According to Hartanto, the bird flu illness in humankind (confirmed AI) also must be guarded against by the Central Javan resident because every year experienced the rise. In 2005 corfirmed AI only one person, in 2006 confirmed AI became three people and the three of them died. Whereas in 2007, confirmed AI numbering five people and five people died. "In 2008 this, from 10 cases, nine including dying," he explained.

now the HIV/AIDS, the amount in Central Java also continued to increase. The amount increased fast precisely in 2005 during the Voluntary Consulting service program and the Testing (VCT) was begun. In 2005, was found by 243 cases, afterwards in 2006 and 2007 each being found by 422 cases and 428 cases. "In 2008 this, till September has achieved 378 cases," said Hartanto.

Central Javan Governor Bibit Waluyo said, the data above must become the trigger for the official of the health to more again active in serving the health of the community. Matters that his characteristics were anticipatory that was carried out respectively the area was very important to support the service program.

"One of the keys to staying healthy was to maintain the healthy environment." Then we supportive for example, there was the program on Friday Bersih, for example very clean the ditch, the water channel and other. That has really helped the service kesehetan, because basically the health also became the community's responsibility, he stressed. Aris Andrianto
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

The amount increased fast precisely in 2005 during the Voluntary Consulting service program and the Testing (VCT) was begun. In 2005, was found by 243 cases, afterwards in 2006 and 2007 each being found by 422 cases and 428 cases. "In 2008 this, till September has achieved 378 cases," said Hartanto.

Are they talking Central Java only? Because if they are, I have a total of 3 confirmed deaths for 2008.
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Three detections for Bird Flu

27 November 2008

The direct detection of the existence of the virus to the bird flu sufferer was the inspection that really was hoped for. The existence of the virus that was detected this was strong proof the existence of the infection that just happened, so as to be able to be taken by the action immediately, was good for penangan the sufferer and the epidemiological handling. There were several inspection techniques for authentication of the existence of the virus to the sufferer, that is by detecting antigens (the part) the virus, culture and PCR. Deteksi of antigens were the inspection that was based on the reaction between virus parts and antibodies towards this part. This inspection was the inspection imunologis, that was the same as the antibodies inspection, but technically was inside out. So we have had antibodies for the bird flu virus, afterwards direaksikan with the specimen (for example the throat caress) the sufferer.

This inspection was easy and fast, but more insensitive, so as often the false negative happened (had the virus, but was not detected because the amount too few to put forward positive results). The detection of the virus directly also could be used by means of burying the specimen that it was suspected contained this virus in the laboratory. This inspection was very sensitive (because of the virus dikembang bred in the laboratory, so as to become many), but needed time at least three days, but also needed very safe laboratory facilities (BSL the III level). The BSL III laboratory with the level of the security was very high, was good for protected the worker and the laboratory environment and the community. Indonesia still in the process of the development of this laboratory kind, because of the procurement cost and operational him that was high. So this culture technique was not ideal for the handling of cases of the emergency with the illness trip that was fast like bird flu.

PCR was the abbreviation from Polymerase Chain Reaction, was the inspection technique that was based on the increase in the nucleic acid from the virus. To PCR this the specimen from the sufferer at once was done by the extraction of the nucleic acid (his cell was destroyed) so as for the further work only with the sample that took the form of the nucleic acid then. This inspection was fast (around 4 hours), sensitive (because in this reaction the virus nucleic acid will be doubled to millions of times), and safe (only worked with the nucleic acid that not infeksius again) so as to be able to be done to the laboratory with the level of the BSL security the level Ii, although to check the bird flu specimen, his method of operation the worker must apply principles worked like to the BSL III laboratory.

Considering various surpluses from this PCR technique, and the width of the Indonesian territory, the government tried to place this implement in various health services in the area. Also made the network of the Regional Avian Influenza Laboratory in several places (one of them in the Mikrobiologi FK UNDIP Part), so as to be hoped by the certain diagnosis bird flu could be known quickly, must not be sent to Jakarta or Hong Kong. About the diagnosis strategy better be considered on the trip of the virus infection H5N1 this. To he explained could be seen in the picture 2, where being depicted that the virus most was easy to spread and to be obtained in around the day to 3 sufferers was sick, and generally disappears 3 days afterwards. Whereas antibodies were just detected in around the day to 7 was sick, and the level of him increasingly increased until several days, and afterwards stabilised or descended slow up until several months. Recuperation or the death of the sufferer generally happens in around the day to 14 was sick.
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +


Makassar was the Simulation of the Burung Flu Pandemic

[...and the gratitude to the World Health Organization]
Wednesday, 26 November 2008

The team of the control of national bird flu chose the Makassar City to be made the location of the simulation of the bird flu pandemic. The simulation that will be carried out while three days will be held this coming March 2009. The secretary of the Team of the Verification and the Management of the Case, the Control Committee of Bird Flu of Nasional,Prof Dr Dr Tjandra Yoga Aditama said, this simulation as the form of anticipation towards the spread of the interpersonal bird flu illness humankind. ?Untuk at this time the bird flu pandemic did not yet happen. However, could happened. So, we will carry out preparations with did simulasi,? he said ended carried out the meeting with the Guardian of the City of Makassar,A Herry Iskandar, in the office Balaikota, kemarin.

He added, the election and the appointment of the Makassar City as the location of the simulation did not have the connection with the case of several residents of the Tangkejangang Village, the District of Sudiang,Kecamatan Biringkanaya that was stated suspect bird flu. This simulation was not carried out was based on the number of cases. ?Makassar had been chosen for the location of the simulation for a long time and not because of having the case. But, we chose Makassar because the infrastructure was ready afterwards the community's participation was it was thought good. Because of that we will try to make the simulation if having the pandemic terjadi,? he explained was accompanied by Section Head Kesehatan Makassar, Naisyah T Azikin. The close man was greeted by Tjandra this explained, this simulation has been held diberbagai the area in Indonesia.

Last 2007, the simulation was spread out in the Balinese Province to setting rural areas whereas Makassar, eventually for the simulation setting urban areas. As for the form of the simulation that was carried out that is, the existence of the case of the spread of bird flu from humankind to humankind. With this matter, the previous then patient was run off with to the hospital and got the intensive maintenance. Resulting from this matter, the area around the location of the humankind was domiciled was isolated or closed that the spread happens and carries out quarantine against this patient. ?Lokasi for the simulation was not yet determined by us because of our arrival only to send an amount of important preparation to Sir Wali Kota,? he said sembari stressed South Sulawesi was still safe in the case of bird flu.

Panakkukang and Makassar Dapat Bantuan Dana Sementara Itu, after the extermination of hundreds of poultries that were stated positive bird flu in the Biringkanaya Subdistrict some time before, the World Health Organization (WHO) gave the help contribution of the fund and technical to the Makassar Municipal Government. This help was given to the Makassar Subdistrict and Panakkukang. Giving of this help was expressed in being in a meeting of the co-ordination from the agency in relation to the consultant WHO, Omai and drg Yusra, and the Department's agency of the health of RI, Wahyu Sunadji. They were received by several related agencies the handling of bird flu in the Office Balaikota, yesterday.

Moreover, in being in a meeting of the co-ordination that was closed that, apparatus of the health Service of the Makassar City, was asked for in order to carry out counselling to the community about this virus danger, and synchronization with Government be involved in dealt with the danger as well as the impact in the future of this virus. ?Instansi related that will carry out counselling to all health apparatus of the public figure, the religious figure, and the mass organisation about the characteristics and the sign of this virus. Moreover will carry out the increase in human resources, the spreading of information, and carried out further meetings in the future in the matter protecting/controlling/fighting,? said the Sub Bagian Pemberitaan Head of public relations of the Makassar Municipal Government, Pagar of Nature.
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Wednesday, November 26, 2008

Pandemi Flu Burung Isolated Director General Territories

Pandemi Flu Burung Isolated Director General territories, P2PL Department of Health Meet Government Official of the Makassar City
On Thursday, 27-11-2003
Makassar, Tribun -
the Government prepared a quarantine procedure or the isolation for territories that contaminated with the bird flu illness. The procedure will at once be carried out automatically if the pandemic happened.

Was like this it was said the Executive the Task of the Director General of the Control of the illness and Lingkungan Sanitation (P2PL), Prof Dr Dr Tjandra Yoga Aditama, ended met the Guardian of the Makassar City, A Herry Iskandar, in the Makassar town hall, on Wednesday (26/11). "All of us certainly did not want the pandemic (the spread from humankind to humankind) happened." But if that really happened, then automatically the procedure will be carried out by us. This a kind better safe than sorry, said Tjandra. Although in several countries in Asia the spreading of the illness that made to happen/caused by the virus H5N1 that entered the pandemic stage, Indonesia did not yet experience him.

The spread of the illness that could turn off that just happened from the animal to humankind. However often was expert believe in, the spreading of the bird flu virus would to the pandemic stage as the spreading of the common flu virus. In several areas in Indonesia with the case of highest bird flu then was not yet found transmitting from humankind to humankind. Tjandra explained, Makassar and South Sulawesi in fact entered as the endemic area of bird flu.

However the number of cases that emerged far more seldom was compared the Special Capital District of Jakarta, West Java, and Banten. The case of the spread against humankind in Indonesia happened during 2005 set. Up to now 112 people die from 137 positive cases of bird flu. In Makassar, the case of the death happened during 2006 set that struck a child named Akira.

hat-tip Treyfish
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +


Sign Beginning of Bird Flu Like Influenza

27 November 2008

The beginning of this season of year rain in Central Java was marked by an incident that was not expected, that is the existence of casualties to die resulting from the infection of the bird flu virus on November 07 2008 in Medoho, Gayamsari, Semarang. The epidemic of the bird flu infection in humankind was begun during 2005, where 20 cases happening, 13 among them died. The number of cases and casualties died reached his peak during 2006, where being obtained by 55 cases, 45 among them died. All the efforts were mobilised to prevent the occurrence of new cases, so as in the following year his incident figure began to descend, but the new case that happened in Indonesia was still highest in the world was compared country-nagara other that also was attacked by the epidemic of bird flu. (saw the Table) the Table 1. The Cumulative number the Case Avian A/ influenza (H5N1) Humankind that was reported To WHO Up To September 10 2008

The infection Flu Burung Kejadian the bird flu illness to humankind, happened because of the entry of the virus of kind bird flu H5N1 to humankind through the respiratory tract. The virus H5N1 in fact was the kind of the influenza virus that attacked the poultry, but immediately infected humankind. This virus personally was the kind that was really unstable, had the variation many and was easy having a mutation. The infection of the influenza virus was also known as an illness that really was easy to spread. The spread especially through droplet (cipratan) mucus and direct contact were with the sufferer's mucus infected. The variation of the influenza virus was based on the variation from 2 surface antigens, that is H antigens (Hyaluronidase, has been known by 9 sub-types) and N antigens (Neuraminidase, has been known 15 sub the type). (saw the picture). The sub-type variation of this influenza virus also caused the emergence of various variations of the species kind that were sensitive to this virus infection. The influenza virus could attack the poultry, the pig, the whale et cetera, including also humankind. But the attack is generally limited in the certain species kind to individually the sub-type of the virus.

For example to humankind that up till now was known as the seasonal influenza illness, only was caused by the virus infuenza the B type, A type influenza the sub-type H1N1, and A type influenza the sub-type H3N2. Diagnosis humans that was infected by the bird flu virus did not have the typical clinical sign. The sign of the illness in the beginning stage like the common influenza illness, that is the existence of the headache and the cough of the fever. In the development of the illness, hot did not descend and that was typical was the fast breathless emergence got serious. The picture of the blood inspection is also not typical, like the virus attack generally that is the existence of the decline in the number of white blood cells (lekopeni) and the fall trombosit (trombositopeni) so as the possibility if only was based on this data the doctor will diagnose as dengue fever dengue fever or the fever tifoid.

Anamnesa about the story of the existence of the possibility of the sufferer's contact with the poultry was very important in diagnosing bird flu before the laboratory inspection could be carried out. In order to give the guide for people and the health power, then Department of Health RI grouped the case of AI H5N1 to humankind was classified in 3 kinds, in accordance with the development of the diagnosis, that is the case suspek AI, the case probable and the case of confirmation.

1. The Suspek whenever suspicion someone suffered the hot fever 38 C levels were accompanied with one or more the sign along with, the cough, was sick the throat, pilek, breathless (the short breath) was increased with one or more the situation below this:

a. Once contact with the poultry was sick/died suddenly that was not yet known by his cause as well as his raw product (the egg, the bowel) including the waste for the last 7 days before emerging the sign above. That was meant by contact to be treated, cleaned the pen, processed, killed, buried/throw away/membawa

b. Had lived in the location that was gotten by the death of the abnormal poultry for the last 7 days before emerging the sign above. The area of the location was determined with the mobilisation of the poultry that died

c. Once contact with the sufferer AI confirmation for the last 7 days before emerging the sign in atas

d. Once contact with the specimen of AI H5N1 for the last 7 days before emerging the sign in atas

e. Found by the existence lekopenia (not all that 5000/µl)

F. Found by the existence of antibodies against H5 with the Hemaglutinase Inhibition inspection (HI) test used eritrosit the horse.


Someone who suffered Acute Respiratory Distress Syndrome (ARDS) with one or more the situation below this:

A. Leukopenia (not all that 5000) or limfositopenia

B. The photograph toraks depicted pneumonia atipikal or infiltrat just on the other hand the lungs that increasingly spread in serial foto 2.



Probable case

It was the case that filled the criterion suspek with one or more the situation below this:

a. Found by the existence of the rise titer antibodies 4 times against H5 with the HI test inspection used eritrosit the horse or the ELISA test

b. Results of the limited laboratory for influenza H5 (terdeteksi him specific antibodies H5 in the single serum specimen) used neutralisasi test.


3. Confirmed case

It was the case suspek or the possibility was attacked with one or more the situation below this:
a. Culture (the culture) the influenza virus of A/H5N1 positif

b. PCR Influenza A/H5N1 positif

c. To Imunofluorescence (IFA) test was found positive antibodies by using antigens monoklonal influenza A/H5N1

d. The rise titer specific antibodies Influenza/H5N1 in the phase konvalesen totalling 4 times or more compared with the acute phase with microneutralization test.

So in this case, the assurance of the cause diagnosis of this infection could be just carried out was based on the laboratory inspection that could prove the existence of the virus infection in the sufferer, that is with the existence of this virus directly or by checking the existence of antibodies anti the bird flu virus to the sufferer. The antibodies inspection was the inspection that fast results at a cost of that was cheap and technically was easy to be done by using the sample took the form of the serum of the sufferer's blood. Antibodies were one of the very specific immunity systems, that was formed by humankind as the response when having the foreign object (the virus) entered the body. Because only was the infection response, then antibodies were just detected in blood after approximately 1 week being sick. Moreover antibodies that were formed could remain several months or even several years to the sufferer's blood. So as the antibodies inspection could be just made by the foundation the infection diagnosis when most was not carried out twice the inspection with the distance 1 - 2 weeks.

In this inspection antibodies could be made infection proof when in the second inspection (the phase konvalesen or recuperation) was obtained by the increase titer minimal 4 times or more were compared by results titer the first inspection that was taken in the acute phase the infection. This was based on consideration of this sufferer still in the active process of forming antibodies as the response to the infection incident that just happened. If results far were not different between the first and second inspection, then indicated that the infection has happened in several months, or the year beforehand. So the antibodies inspection for the bird flu diagnosis, although in fact was specific enough, but could not help in the handling of the sufferer and the epidemiological handling (prevented the spreading of the illness). Because in the day to 14 sufferers has been in the recuperation phase or even has died.
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

If results far were not different between the first and second inspection, then indicated that the infection has happened in several months, or the year beforehand.

Could the Tamiflu throw these results off?
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Three detections for Bird Flu

27 November 2008

. . . . To he explained could be seen in the picture 2, where being depicted that the virus most was easy to spread and to be obtained in around the day to 3 sufferers was sick, and generally disappears 3 days afterwards. Whereas antibodies were just detected in around the day to 7 was sick, and the level of him increasingly increased until several days, and afterwards stabilised or descended slow up until several months. Recuperation or the death of the sufferer generally happens in around the day to 14 was sick.

I interpret Dr. Purnomo Hadi comments from this article to read as:

Between day 1 and day 3 an infected individual is contagious. Antibodies are barely detectable starting at day 1 but increase through day 7 and sometime thereafter stablizing and finally decreasing after several months. An individual recuperates or dies with 14 days of initial infection.
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

credits to mojo . . .

http://www.beritakotamakassar.com/view.php?id=21960&jenis=Halaman_Utama

Thursday, 27-11-2008

Prone Endemic Bird Flu, WHO's focus Watch Makassar-Panakkukang

MAKASSAR, BKM - Two district in Makassar, each Panakkukang Makassar and now is under the monitoring of the World Health Organitation (WHO). Both these areas are considered prone to the spread of bird flu, as poultry traders into place.

This is revealed in the meeting between the Mayor, A Herry Iskandar consultant with the WHO, Omai M. Through Omai, the WHO expressed Makassar to help in tackling the spread of the bird flu virus.

The News Media Kasubag municipal government of Makassar, Pagar Alam, which followed the meeting said, the WHO will focus its monitoring and prevention of bird flu in the district of Makassar and Panakkukang.
"Two areas where this is the poultry traders, so are considered vulnerable," said Pagar Alam.

On the same day, Director of Disease Control Ministry of Health of the Republic of Indonesia, Prof. Dr. dr Tjandra Yoga Aditama also meet Mayor.

Told reporters after the meeting, Tjandra explains, when pendemi transmission of bird flu or H5N1 antarmanusia found in a region, then the region should be diisolasi.

Human traffic will be removed in a certain period of time, because the region is very berbaya for health. Human traffic is allowed if the declared free of bird flu.

"Pandemic of bird flu has not been found in Indonesia. But we do not mean silence, because the attack of bird flu have been repeated," said Tjandra in Balaikota yesterday.
According to him, that can be dealt with quickly, then the handling of bird flu must be conducted jointly. Not only the government, but the community must be involved.

"Therefore I came here to ask for instructions mayor to run the simulation of bird flu in March 2009 future," the blogosphere.
He refutes if a bird flu simulation held in the region because there is the potential pandemic. These activities solely as a pattern of bird flu prevention.
 
Re: General Indonesian News - 27 September 2008 +

Re: General Indonesian News - 27 September 2008 +

Source: http://www.tempointeraktif.com/hg/nusa/2008/11/27/brk,20081127-148473,id.html

Cegah Flu Burung, 1,8 Juta Unggas Subang Divaksinasi
Kamis, 27 November 2008 | 18:26 WIB

Machine translation:
Prevent Flu Burung, 1.8 Million of Unggas Subang Divaksinasi On Thursday, November 27 2008 | 18:26 WIB

The Interaktif TIME, Subang:Dinas Peternakan and fisheries Kabupaten Subang, West Java vaccinated 1.8 million poultries to prevent the spread of the bird flu virus. Agus Kandawiratma Sugama, Kepala of the Pelayanan Kesehatan Field of the Dinas Peternakan Animal and fisheries of Kabupaten Subang said, the implementation of the bird flu vaccination was only carried out in time of one round then. "Because of the quota" of the "vaccine that we received only for 1.8 million available poultries," said Agus.

Ideally the vaccination was carried out in four rounds. But he was optimistic the bird flu attack will in his territory continue to descend. Although the vaccination that was carried out not maximal, the Service developed the awareness of the community towards the bird flu danger.
Agus also mewanti-wanti so that the community especially that had the domestic animal of the poultry kind so that more was on the alert when the rain season arrived. The "community must make the healthy life accustomed," said Agus. Nanang Sutisna
 
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