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Govt urged to watch the spread of H1N1 flu - dr. Nidom

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
Govt urged to watch the spread of H1N1 flu


Indra Harsaputra and Lutfiana Mahmudah , THE JAKARTA POST , Surabaya, Jember | Fri, 06/12/2009 2:44 PM | National

A researcher from Surabaya's Airlangga University, Chairul Anwar Nidom, has called on the government to pay serious attention to the spread of swine (H1N1) flu in cities across East Java.

"Actually, the H1N1 flu virus has been here since 2000, but the Indonesian type of H1N1 is not fatal. In 2005, I warned the government the virus could possibly mutate and unite with bird flu (H5N1) and become more dangerous," Nidom who is head of the university's bird flu laboratory, told The Jakarta Post on Thursday.

Nidom said the current strain of H1NI flu in Indonesia, which had spread to Jember, Banyuwangi and Surabaya, could mutate into a more serious virus like the one experienced in Mexico.

The laboratory has recorded at least 10 cases of H1NI flu in Surabaya since 2007.

Nidom explained that theoretically, the H5N1 virus could spread from mammals such as pigs before affecting humans. "It's possible the H5N1 virus could unite with the H1N1 virus in pigs. Based on this pattern, the H1N1 and H5N1 could develop into a new virus," he said.

He said bird and swine farms, which were located in close proximity to each other, supported the unification of swine and bird flu viruses.

Another researcher from Jember University, Romadhoni, confirmed that Indonesia already has a local type of the H1N1 flu, despite public fear about the Mexican strain.

"Based on my observation at Jember Lung Hospital, the swine flu *local type* produces the same symptoms as standard influenza, such as high fevers and coughs," Romadhoni said.

The hospital director, Arya Sidhemen revealed the hospital has been monitoring global influenza under the direction of the Health Ministry in cooperation with US NAMRU-2 laboratory in Jakarta.

"We have sent samples from every influenza patient to Jakarta. But, unfortunately the cooperation was discontinued last year," Arya said.

Yumarlis, a spokesman from the Jember Health Agency denied that a case of H1N1 flu was found in the regency. "Soebandi General Hospital, which has been appointed as the referal hospital, has not reported any cases of H1N1 flu. People should not be panic."

"We are also continuing to monitor farms and warn people, as well as checking on Indonesian migrant workers who have returned home."

Yumarlis said the local husbandry agency had also sprayed disinfectant at swine farms in Jember.

Based on the data from the East Java Statistics Bureau, the number of swine in the province was 75,019 in 2008.

http://www.thejakartapost.com/news/2009/06/12/govt-urged-watch-spread-h1n1-flu.html-0
 
Re: Govt urged to watch the spread of H1N1 flu - dr. Nidom

H1N1 here is NORMAL flu, not the new pandemic flu!

Jember, East Java ::: University of Jember medical student reports study of H1N1 patients of Jember Lung Hospital

A medical school student of University of Jember, in his thesis, showed that H1N1 flu virus patients were recorded in Jember Lung Hospital (RSP) in 2006 and 2007. However, the H1N1 mentioned here probably the circulating common human H1N1 strains.

The H1N1 strains were identified as Caledonia and Shanghai strains. Caledonia strain is common human H1N1 strain, isolated on 1999 and has been used as vaccine strain for northern and southern hemisphere.

This article may cause mis-interpretation. Please keep in mind, the H1N1 mentioned here referred to human common flu, not novel H1N1 2009 virus/swine flu/pig flu/Mexico flu.




Jember, East Java – H1N1 flu virus or swine flu or mexico flu – had emerged in Kabupaten Jember, Banyuwangi and Lumajang. This virus was infecting 11 people in Jember in 2006 and 2007.

This finding is revealed in a thesis of Jember University, Medical Faculty student, Ramadhoni Finsa. The thesis title is Characteristic of Influenza Sufferer in Global Influenza Surveillance Monitoring Unit of Jember Lung Hospital.

The thesis, from data of Jember Lung Hospital (RSP), mentioned six patients were identified positive swine flu in 2006, and five patients in 2007. The six patients reported in 2006 were coming from Kabupaten Jember (4 patients), Lumajang (one) and Banyuwangi (one). Meanwhile, in 2007, four patients came from Jember and one from Banyuwangi.

“From my research there are H1N1 or swine flu positive patients”, said Dhoni, after the final examination.

Separately, Director of Jember Hospital, Arya Sidemen, confirmed the result of Dhoni’s thesis. Arya said, the swine flu virus identified were H1N1, H1N1 Shanghai and H1N1 Caledonia. “All were positive A H1N1”, said Arya.

For a review, swine flu outbreak is an epidemic caused by new influenza virus emerged on April 2009 in Mexico and has caused 103 fatality in human.

This swine flu virus suggested to have virulency much higher compare to common flu.

Three years

Dhoni explained that the research was conducted to all influenza patients in RSP Jember. In 2005-2007, RSP was designed as global influenza monitoring. Within those 3 years, about 1,076 influenza patients were registered there.

In 2006 and 2007, positive swine flu patients were found. The confirmation was done by rapid test Quick Vue Flu.

Dhonie admitted that this finding was unexpected. During his research, he was expecting bird flu cases because Jember had bird flu outbreak on 2007. “But instead of bird flu, I found swine flu”, he pointed out.

Arya Sidemen also mentioned that 57 influenza patients treated in RSP, were transmitted from animals.

According to Arya, one patient identified to have H1N1 Caledonia strain, which probably different than Mexico strain. From all H1N1 found, none has caused fatality. Mostly, H1N1 patients showed symptoms like common influenza, such as fever, coughing and cold.

RSP Jember, said Arya, is designed for global influenza monitoring by WHO in collaboration with Research and Development of Ministry of Health (Depkes RI) and NAMRU-2 Jakarta.

“All influenza sampled from RSP sent to Jakarta and WHO laboratory for analysis”, he added.

Medical records from WHO and NAMRU-2 will be returned back to RSP, and then the records will be used by Medical Faculty Jember University’s students for their research subjects.

Moreover, Arya said, H1N1 had been circulating in Kabupaten Jember before. However, further research about the strain of H1N1 has not been done.

“H1N1 virus found in RSP Jember doesn’t cause death”, he pointed out.

Even thoug, Arya asked the people in Kabupaten Jember, Banyuwangi and Lumajang to keep aware, because swine flu has been found three years ago. “Everybody should be aware. People who develop influenza signs after any contact with animals, should have theirselves checked”, he said.



Source: Indonesia newspaper, Surya. http://www.surya.co.id/2009/06/11/11-warga-jember-sudah-kena-flu-babi.html



===AvianInfluenzaIndonesia===


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