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INDONESIA - Bandung Cluster, W. Java (5-8 suspected/confirmed cases at present)

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Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

http://www.suaramerdeka.com/cybernews/harian/0609/26/nas19.htm



The Bandung citizen Positive Burung Bandungan Flu, CyberNews.

A citizen from the Batununggal Subdistrict, Bandung, Divine Guidance (20) was stated positive terjangkit bird flu.

Beforehand, he who was stated suspect got the maintenance in RSHS Bandung since last Sunday.

Till Tuesday (26/9), his condition not yet menunjukan the change.T his assurance was sent by the Managing Director RSHS, Prof. Dr. Cissy Rachiana, on Tuesday."

Results of the upper inspection sample his blood menunjukan H5N1 him was positive," he stated.

On Monday night around struck 21.00, this brother of the patient's youngest child, the Diamond (15) also was brought to RSHS because of complaining suffered hot, the cough, and breathless.

The hospital side at once took the sample of relevant blood to be done by the inspection.

It did not yet have upper confirmation of results.

Beforehand, the older brother Divine Guidance, Indra (24) died with the same sign last week.

He could receive the maintenance in RS Saint Yusuf Bandung.

His body was at once buried on that day also.

Sample his blood could not be it was reported taken.

The patient suspect that was believed in had the story of contact with the poultry.

"This incident still could not be stated as the case cluster bird flu. "

Because if cluster, that was stated positive more than one, he said.(setiady dwie/cn09)




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Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

Bird flu attacked Bandung!


http://www.pikiran-rakyat.com/cetak/2006/092006/27/0102.htm

Bandung, (HOMEWORK).- the Patient suspect bird flu had the initials TJ (20) was stated positive contracted the virus H5N1 (Avian influenza/AI).

That was based on results of the first sample test by Balitbangkes in Jakarta.

?Tadi my morning telephoned to Jakarta and I have received the answer that results positif,? said the Managing Director of the Handsome Sadikin Hospital (RSHS) Bandung, Dr. Cissy R. Sudjana the officer, on Tuesday (26/9).

The OFFICIAL from the team of the handling of Bandung bird flu of the Service of City Agriculture took the sample of blood from several kept chickens the citizen around the deceased's IJ residence in [*snip*] Kec.Batununggal Bandung, on Tuesday (26/9).M. the SAPTA TUMULT/HOMEWORK Therefore, TJ was suspect first bird flu in the Bandung City that was stated positive was ill H5N1.

Officially the Health of the Bandung City recorded had 17 patients who beforehand were stated suspect bird flu.

Although results of the first test showed positive, the team of the doctor RSHS will continue to send the second and third sample to more decisive keakuratan results.

Dr. Cissy did not yet say that this case including kluster bird flu.

According to him, was mentioned kluster if that was stated has been positive more than one person.

?Belum could be said kluster, although his older brother has died, because of his older brother ?kan was not checked here (RSHS, -red) ,? said Dr. Cissy.

After TJ was treated in RSHS, his brother also namely IM (15) entered Poinciana Tree Space RSHS on Monday night (25/9) approximately struck 21.00 WIB. according to the Chairman Tim the Handling of the Case of Bird Flu, Dr. Hadi Jusuf, Sp.P. D. KPTI, IM suffered hot and the cough.

?Kondisi him was good, not crowded, but was hot and batuk,? he said.

Whereas TJ, added Dr. Hadi, his situation did not yet show the change.Was based on results of the photograph thorax, the inflammation has on his lungs spread.

?Foto thorax when he entered RSHS, originally seldom was inflamed in left low.

In one day, right left already penuh,? he said.

At this time, TJ was still being helped to make use of the ventilator and still in consciousness.

According to one of the cousins TJ, Dede Supriatna, a week beforehand, the older brother TJ, IJ (24), that died on Sunday (24/9) brought chickens died for dog food pitted his property that normally is pitted with the wild boar in the Sanding area, Garut.Sepulang from Garut, IJ and TJ began to be ill hot high, breathless, and hypotension.

On Saturday night (23/9), both of them were run off with to RS Saint Yusup after beforehand went to the doctor the public.






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Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

Officially Agriculture (Distan) the Bandung City, immediately carried out limited depopulation against the poultry belonging to casualties around the TJ house in [*snip*] Kec.Batununggal Bandung, on Tuesday afternoon (26/9).

On Tuesday morning was done by the taking of the sample.

The extermination was carried out against 4 hens, 9 roosters, 3 chicks, 4 entog, 5 doves, and 3 dove birds.

?Dan tomorrow (the day this-red.), Distan the Bandung City will carry out the cleaning in the chicken coop mereka,? said Kadistan the Bandung City, Ir. Yogi Breakingprep Supardjo, M. The.

Moreover, they will also carry out the revaccination against the poultry in the area of the radius 1 km from the chicken coop belonging to TJ, as well as spraying in pens of the citizen's poultry.

In the meantime, the Section Head Livestock Breeding (Kadisnak) West Java, Rachmat Setiyadi said, was based on information from Participatory Disease Research (PDR), the sample of dog blood was also taken henceforth was checked.

If positive results, depopulation against the dog then will be carried out.

Depopulation against the positive poultry also was carried out by the side Distan the Bandung City in RT 05/RW 08, Kel.Margasenang Bandung, on Tuesday (26/9).

As far as this is concerned, already nine districts in the Bandung City that his poultry was positive bird flu, namely Kel.Dago, Cigadung, Sukagalih, Margasari, Margasenang, Sindangjaya, Sekejati, the Gardener Kangkung, and Kel.Kebonwaru.(A-156/A-154)


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Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

Very good....they are testing the dog/dogs. Wonder if they tested Indra's dog? Wonder if he's alive and kicking.....
 
Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

Hope it doesn't take long to release those canine sequences - not more 1+ year, please!!!

.
 
Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

Indonesia confirms 68th human bird flu case

(Kyodo) _ Indonesia confirmed Tuesday that a 20-year-old man has tested positive for the H5N1 strain of bird flu, bringing the country's confirmed human cases to 68, including 51 deaths.
"Test results from two independent laboratories -- the Jakarta-based Health Research and Development Agency and the Jakarta office of the U.S. Naval Medical Research Unit -- showed he has been infected by bird flu," Joko, an official at the Health Ministry's Bird Flu Coordinating Post, told Kyodo News.
According to World Health Organization standards, test results of bird flu samples from two independent laboratories are considered definitive and do not require any confirmation from the WHO.
The official said that the man, who lives in the West Java provincial capital of Bandung, may have been infected with the virus via dead chickens he had kept to feed his dog at home. Earlier this month, his elder brother died with symptoms of bird flu but he was buried before samples were taken from him.
Critics say that Indonesia has not done enough to control the spread of the H5N1 virus which jumps to humans and that infections may exist among hundreds of millions of poultry. Bird flu has killed at least 146 people in 10 countries since December 2003, according to WHO statistics as of Sept. 25, and Indonesia has the highest number of fatalities, followed by Vietnam.

http://asia.news.yahoo.com/060926/kyodo/d8kcgdq00.html
 
Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

AlaskaDenise said:
Hope it doesn't take long to release those canine sequences - not more 1+ year, please!!!

.

Testing does not always mean sequencing. Most positive poultry is not sequenced.
 
Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

I hope the NAMRU will assist the Indonesians to sequence these miscellaneous contacts. How else can they understand how this is spreading?

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Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

These tertiary cases are scary in themselves but one thing is clear: once it is transmitted it becomes HIGHLY CONTAGIOUS.
 
Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

What is highly contagious? These clusters are contained within families, not spreading to the community at large, as would regular flu.

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Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

Wild boar...
Niman said:
According to one of the cousins TJ, Dede Supriatna, a week beforehand, the older brother TJ, IJ (24), that died on Sunday (24/9) brought chickens died for dog food pitted his property that normally is pitted with the wild boar in the Sanding area, Garut. Sepulang from Garut, IJ and TJ began to be ill hot high, breathless, and hypotension.
 
Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

Its gaining efficiency. How close of contact do a 15, 20 and 25 year old have. This is not like a mother caring for a baby. Some of the other victims have not neccesarily had close contacts either. IE., the reporter and keep thinking of the little girl that died a while back. Usual explanation..she lived near where chickens died...they were 50 feet from her house. She did not have direct contact with them. AIRBORNE.

The man, 25, died on Sunday with bird flu symptoms after being treated at a Christian hospital in Bandung, the capital of West Java province, said Hadi Yusuf, head of the bird flu ward at the city's Hasan Sadikin hospital.

The dead man's brother, 20, and sister, 15, were being treated in Hasan Sadikin hospital and tests carried out by a government laboratory showed the surviving brother had bird flu, Yusuf said
 
Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

These folks sometimes sleep in crowded quarters - may to a room, so contact between them is not out of the question.

If the little girl did not have contact with chickens, we cannot assume it is airborne. The feces can travel on shoes and people sometimes sleep on floors.

If you reread some posts regarding actual sequences, especially those about the chickens and humans have different strains of H5N1 (elusive unknown vectors) we can see that the chickens are not always the source.

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Re: INDONESIA - Java, 09/20+

Re: INDONESIA - Java, 09/20+

The patient Confirm Bandung Bird Flu was Still being Critical
The writer: Sugeng

Bandung -- MIOL: the Condition for Zakaria Divine Guidance, 20, the patient confirm bird flu that was treated in RS Handsome Sadikin, Bandung, till Wednesday still was critical.His pulse was still being not uniform, the temperature of the high body and the crowded breath.
"He must be still making use of respiratory aids."


His condition did not yet improve, so as we continued monitored in a tight manner, explained the Chairman Tim the Handling of RSHS Hadi Jusuf Bird Flu, on Wednesday.

Now his brother, the precious stone Diamond, 15, that began to be treated on Tuesday night (26/9), his condition has begun to be normal.

Although results of the laboratory inspection were not yet available, but the temperature of his body has descended and breathless has been far decreased.

Apart from the two casualties, their eldest child's older brother, Indra Jayakusuma, 23, that it was suspected also was infected by bird flu, died, on Sunday (24/9).

However, the condition for casualties could not be known whether being infected by the virus H5N1 or not because of being buried before could be taken the sample of his blood.

In the meantime, the Bandung Service of City Agriculture from Wednesday carried out depopulation of the poultry in Gg Laksana the Kebonwaru District, the Batununggal Subdistrict.
Around 50 poultries, consisted of the chicken, the dove, the turtle-dove, the duck and the turkey was killed and destroyed by means of being burnt and buried.
"From results of the taking of the sample 17 poultries, consisted of 13 chickens and four ducks, on Tuesday, was found by the existence of three chickens and one positive duck terjangkit bird flu," explained the Section Head Bandung City Agriculture the Yogi Supardjo.

Because of this, the step in depopulation was at once carried out in the radius 1 Km from the location of the discovery of the positive poultry terjangkit.

The positive poultry bird flu was the chicken and the kept duck parents of casualties Divine Guidance.

With these new findings, according to the Yogi, in Bandung already nine flat districts the bird flu virus.Beforehand, bird flu was found in Sakura's Garden Beautiful, Sukagalih, Margasenang, Margasari, Cigadung, Dago, Sekejati and the Gardener Kangkung.

To press the level of the spreading of the bird flu virus, his side also continued to carry out the vaccination in several districts.
Moreover, routinely the official also descended to the field to do spraying disinfektan.


http://www.mediaindo.co.id/berita.asp?id=112615
 
Re: Human Source Ruled Out in Indonesian Bird Flu Case

Re: Human Source Ruled Out in Indonesian Bird Flu Case

Jason Gale said:
Sept. 27 (Bloomberg) -- Indonesia's health ministry ruled out a human source in the country's latest bird flu case involving a 20-year-old man whose brother died three days ago.

For the full story, see: http://www.bloomberg.com/apps/news?pid=20601202&sid=aTjYQw1xwqR8&refer=healthcare

Apparantly he's decided to rule out a human source because the younger sister(brother?) has seasonal flu, not H5N1, and the older brother died without having his blood tested.
 
Re: Human Source Ruled Out in Indonesian Bird Flu Case

Re: Human Source Ruled Out in Indonesian Bird Flu Case

Marcie said:
Apparantly he's decided to rule out a human source because the younger sister(brother?) has seasonal flu, not H5N1....
Well, it's not like that's particularly good news (except, perhaps, for the girl). H5N1 and the regular flu in one household? Perfect opportunity for recombination, reassortment (take your pick).... Yikes!
 
Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

Indonesia confirms bird flu in possible cluster

Agence France-Presse
Last updated 01:18pm (Mla time) 09/27/2006

JAKARTA -- A 20-year-old Indonesian man has contracted bird flu, the country's health minister said Wednesday, after the death of his brother in a case that has raised fears of possible human transmission.

"On the matter of bird flu, another case is positive," Health Minister Siti Fadillah Supari said, referring to Taufik Zakaria, a patient being treated in hospital in the West Java city of Bandung.

Zakaria's 25-year-old brother died Sunday after showing bird flu symptoms, while the pair's 15-year-old sister has also been hospitalized complaining of similar symptoms, Fatimah Resmiati from the West Java health office said.

The 25-year-old was buried without samples being taken from his body.

Resmiati said Zakaria remained in a "critical condition" on Wednesday.

The official said on Tuesday the trio were being investigated as a possible cluster case but cautioned that further tests needed to be carried out.

Nadirin, a doctor from the national bird flu information centre, said that the family kept ducks and fighting cocks which had shown immunity to the H5N1 virus, meaning they had been infected at one point.

This, along with the fact the family fed dead chickens to their dog, raises the possibility they caught the virus directly from the poultry, rather than each other.

So-called cluster cases, where the H5N1 virus is spread from human to human rather than from poultry, increase the chance of the virus mutating slightly to become easily transmissible between people.

Such a development, scientists fear, could lead to a global pandemic with a potential death toll of millions.

Indonesia is grappling with ongoing outbreaks of the H5N1 virus in its poultry and has reported 51 human fatalities from avian influenza, the highest number anywhere in the world.

The World Health Organization estimates that there have been about half a dozen instances of human-to-human transmission, mainly involving relatives or close carriers who were infected by someone who caught the virus from poultry.

http://newsinfo.inq7.net/breakingnews/world/view_article.php?article_id=23419
 
Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

Obviously there is some controversy around this subject but suggesting it is airborne is based on my own belief personal research and experience. The poultry transmit the h5n1 via eye mouth and nasal secretions and the virus particles are airborne. This is why not even the n95 mask offers complete protection from the disease.

Am aware of the research regarding close contact tranmission and there are other studies suggesting it is airnborbe. There is not enough scientific information in this area to conclude one way or the other. Again looking at the cases that defy explanation the airborne theory is completely plausible.
 
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Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

The brothers often bought dead chickens to feed their dog, but the girl had no known history of contact with chickens, the doctor said.

Ok hopefully they are going to include the DOGS in testing also.
 
Re: INDONESIA - Bandung Cluster, West Java

Re: INDONESIA - Bandung Cluster, West Java

PonyGirl - yes they are. See Post #23 of this thread.
 
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