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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 (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

This is the exact name of the village were Taufik was burried:

Metrotvnews.com, Garut: the Zakaria Divine Guidance Body that died as a result of the bird flu virus was buried in the Jolog Palujan Village, the Sukaratu Village, the Banyuresmi Subdistrict, the Garut Regency, on Thursday (28/9), around struck 10.00 WIB.

the Funeral of this Divine Guidance was influenced by the sobbing of the family's crying.Some families felt some families was expelled because of the local citizen refused to mensalatkan the body in this village mosque and asked the body was at once buried without disalatkan.
The Divine Guidance body that was brought by the family from the Handsome Hospital of Sadikin Bandung was at once buried in the Jolog Palujan Village.
Divine guidance was buried by his older brother's grave, Indra Jayakusuma that died with the sign of the same illness, Ahad the week set.
Divine guidance was the second child Nurjanah and Ahmad flowers.
The brother Divine Guidance, the precious stone Diamond, was at this time being treated in RSHS Bandung because hot high and the cough, but now has improved.

http://www.metrotvnews.com/berita.asp?id=25078
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

It was other that the Member Cluster Bird Flu diedThe writer: SugengJakarta -- MIOL: Zakaria Divine Guidance, the young man 20 years that including in cluster bird flu in Bandung finally had died on Thursday the dawn.The condition for casualties had not shown the progress since entering and being treated in Poinciana Tree space RS Handsome Sadikin (RSHS) Bandung, on Sunday (24/9).

"Casualties died exact to 02."20.Before dying, casualties experienced breathless difficult and already several days lost the awareness, explained the Head of Space of the Poinciana Tree Isolation Block Rasmita, on Thursday.

Around struck 05.30, the Divine Guidance body that was wrapped plastic and the case were closed the meeting was brought by his family.The body was planned will be buried in pemakamanThe family in Banyuresmi, the Garut Regency, was adjacent with his older brother, who has been buried because of the sign of the similar illness, last Sunday (24/9).

At this time RSHS was still treating the brother Divine Guidance, the precious stone Diamond, 15, because of the similar sign.However, the condition for the patient continued to gradually improved. RSHS personally still was waiting for results of the inspection of Diamond blood , that was not yet known till Thursday.

Up until Thursday, RSHS Bandung was recorded treated 56 patients suspect and confirm bird flu.From this number, eight people confirm bird flu.With the death of Divine Guidance, significant already six patients confirm bird flu in RSHS Bandung that was not rescued.

Parents of casualties, Ahmad Kosasih, 46 and Nurjanah, 43, that guarded casualties since the first time entered RSHS was seen really heaved.Beforehand, the full sibling Divine Guidance, Indra Jayakusuma, died when being treated in RS Saint Yusuf, on Sunday (24/9), and his youngest child's brother the Diamond was also treated with the same sign in RSHS Bandung.

"Half of the two, I was still seeing him." His condition indeed had not improved from since the first time was treated, but I did not suspect him of following his older brother, explained Nurjanah.

Divine guidance and Indra in daily him maintained several dogs that were trained to go hunting. To give ate, they bought chicken that has died, that was bought in the traditional market.

In the meantime, after doing the taking of the sample of the poultry around casualties's house in Gg Laksana, Street.Jakarta, the Bandung Service of City Agriculture found the existence of four poultries, took the form of three chickens and one positive duck was infected by bird flu. On the findings, depopulation of the poultry was then carried out in a radius of one kilometre from casualties's house. More than 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 being afterwards buried.(SG/EM/OL-03)
</PRE>

http://www.mediaindo.co.id/berita.asp?id=112697
</PRE>
</PRE>
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

This article sounds like they bought chickens that had already died from this market - to feed to their dogs. Any other opinions?
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Commonground said:
This article sounds like they bought chickens that had already died from this market - to feed to their dogs. Any other opinions?
Click to expand...

Yes, it sounds like feeding dead chickens to dogs is common. The feeding of dead chickens to dogs was also mentioned for the first reported cluster in Garut.

http://www.recombinomics.com/News/08140601/H5N1_Java_Cluster.html

One report for the Bundung cluster indicated 11 dogs were being tested (probably for neutralizing antibodies).

The feeding of H5N1 infected chickens to dogs may select a mammalian version of H5N1, leading to the matches between the human isolates, and match failures for chicken isolates.
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Indonesia man dies of bird flu, cluster case unlikely<o:p></o:p>
http://www.washingtonpost.com/wp-dyn/content/article/2006/09/28/AR2006092800297.html
By Diyan Jari<o:p></o:p>
Reuters<o:p></o:p>
Thursday, September 28, 2006; 7:08 AM<o:p></o:p>
<o:p> </o:p>
<st1:City w:st="on"><st1:place w:st="on">JAKARTA</st1:place></st1:City> (Reuters) - A 20-year-old Indonesian man who health officials thought had been part of a family cluster of bird flu cases died of the disease on Thursday, a hospital official said.<o:p></o:p>
<o:p> </o:p>
The man's 25-year-old brother died on Sunday after displaying bird flu symptoms but there has been no positive confirmation he had the disease because no samples were taken for testing.<o:p></o:p>
<o:p> </o:p>
A third sibling, a 15-year old girl, is being treated at Hasan Sadikin hospital. Tests for her have been negative.<o:p></o:p>
<o:p> </o:p>
"He died because of breathing problems which he had suffered since he was admitted to the hospital," said Hadi Yusuf, who heads the bird flu ward at Hasan Sadikin hospital in <st1:City w:st="on">Bandung</st1:City>, <st1:place w:st="on">West Java</st1:place>'s provincial capital.<o:p></o:p>
<o:p> </o:p>
The government said earlier this week the 20-year-old man had bird flu after a series of positive tests for the H5N1 avian flu virus.<o:p></o:p>
<o:p> </o:p>
Relatives of the three siblings are also being tested.<o:p></o:p>
<o:p> </o:p>
Health ministry official Runizar Ruesin said bird flu had been ruled out in the girl's case.<o:p></o:p>
<o:p> </o:p>
"There is no H5N1 virus in her body. She is only suffering from the common flu," he said, adding that no more tests would be carried out on her.<o:p></o:p>
<o:p> </o:p>
Yusuf said the brothers had contact with chickens and it was highly unlikely that one infected the other.<o:p></o:p>
<o:p> </o:p>
The source of the disease was infected chickens that had been brought inside the family home.<o:p></o:p>
<o:p> </o:p>
Health Minister Siti Fadillah Supari said any conclusion on human-to-human spread could not be based on small cases.<o:p></o:p>
<o:p> </o:p>
"Up until now, the spread of bird flu in <st1:country-region w:st="on"><st1:place w:st="on">Indonesia</st1:place></st1:country-region> is from fowl to humans," she said.
<o:p> </o:p>
The H5N1 virus mainly affects birds but experts fear it could mutate into a strain capable of killing millions of people in a global pandemic.<o:p></o:p>
<o:p> </o:p>
<st1:country-region w:st="on"><st1:place w:st="on">Indonesia</st1:place></st1:country-region> has become one of the frontlines in the battle against the disease. So far, 52 people have died of bird flu, the highest of any country, with the majority of deaths since the beginning of this year.<o:p></o:p>
<o:p> </o:p>
More deaths are feared because the virus is endemic in poultry across much of the complex archipelago of 17,000 islands that is home to multitudes of different cultures and languages.<o:p></o:p>
<o:p> </o:p>
The government has also been reluctant to carry out mass culls of infected poultry, citing logistical problems, lack of donor cash and resistance by many farmers to accept limited compensation for culled fowl.<o:p></o:p>
<o:p> </o:p>
Before the latest death, the World Health Organization (WHO) said 147 people have died of bird flu since 2003.<o:p></o:p>
<o:p> </o:p>
Dozens of countries in Asia, Europe and <st1:place w:st="on">Africa</st1:place> have had cases in people and poultry.<o:p></o:p>
<o:p> </o:p>
<st1:place w:st="on">Europe</st1:place> is on alert to try to prevent more bird flu outbreaks in coming weeks.<o:p></o:p>
<o:p> </o:p>
Millions of birds will soon begin their seasonal migration to African wintering grounds, raising fears the Asian H5N1 bird flu strain could return to Europe after it first emerged in <st1:country-region w:st="on"><st1:place w:st="on">China</st1:place></st1:country-region> last year.<o:p></o:p>
<o:p> </o:p>
Migration routes are complex but can take wildfowl from Asia to <st1:country-region w:st="on">Russia</st1:country-region> where they come into contact with others that then fly south across eastern and central Europe to <st1:place w:st="on">Africa</st1:place>.
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Indonesia man dies of bird flu, cluster case unlikely

Thu Sep 28, 2006 7:11am ET
By Diyan Jari

JAKARTA (Reuters) - A 20-year-old Indonesian man who health officials thought had been part of a family cluster of bird flu cases died of the disease on Thursday, a hospital official said.

The man's 25-year-old brother died on Sunday after displaying bird flu symptoms but there has been no positive confirmation he had the disease because no samples were taken for testing.

A third sibling, a 15-year old girl, is being treated at Hasan Sadikin hospital. Tests for her have been negative.


"He died because of breathing problems which he had suffered since he was admitted to the hospital," said Hadi Yusuf, who heads the bird flu ward at Hasan Sadikin hospital in Bandung, West Java's provincial capital.

The government said earlier this week the 20-year-old man had bird flu after a series of positive tests for the H5N1 avian flu virus.

Relatives of the three siblings are also being tested.

Health ministry official Runizar Ruesin said bird flu had been ruled out in the girl's case.

"There is no H5N1 virus in her body. She is only suffering from the common flu," he said, adding that no more tests would be carried out on her.

continued...

http://today.reuters.com/news/artic...KOC_0_US-BIRDFLU-INDONESIA.xml&archived=False
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Very interesting aspects of Dr. N's commentary:

Other reports indicate the dogs were penned with a boar, which would be another host for selection of a mammalian version of H5N1.

The AI virus to the pig livestock in Bali genetically one klaster with the virus from Sumatra, that is the place of attachments with the receptor in a molecular manner had preference of the poultry receptor.
That must receive serious attention from all the sides, considering the virus H5N1 spread to the poultry in most Indonesian territories, including Bali that kedapatan attacked the chicken livestock, the duck and entok (the goose kind berleher short).

http://www.antara.co.id/seenws/?id=42757





Clearly, more widespread testing and sequencing is required. A younger sister of the above cluster has also been hospitalized and has tested positive for H1N1. However, a positive H1N1 test would not exclude a dual infection. Since the patient is being treated with Tamiflu, the H5N1 levels may be below detection levels. This was seen in a patient in Thailand who was tested 9 times for evidence of H5N1, which was not detected until autopsy.



http://www.flutrackers.com/forum/showthread.php?t=10660
FluWrap: Monitor 'H5N1 Lite' For Spread

Reduced virulence is a possible indicator that avian influenza is preparing itself to become more transmissible -- as this column has noted for the past 11 months, reduced virulence can lead to increased transmissibility, as diseases are less able to infect large swaths of people when they kill their host before the infection has been passed on -- and it is this fact that health officials wish to monitor more closely, especially as the rainy season in Southeast Asia and the autumnal bird migrations are likely to lead to increased reports of both avian and human infections.

Speaking over the weekend and cited by Canada's CBCNews, Dr. Michael Osterholm, avian-influenza expert and director of the University of Minnesota's Center for Infectious Diseases Research and Policy, said: "We need to keep monitoring it.

"Because, frankly, one of the indications that there may be a changing epidemiology with this is, in fact, if we start seeing larger and larger percentages of individuals who are asymptomatic or only mildly ill that we can clearly confirm as having H5N1 infection."

The Indonesian case, which was made public last week, involved a man who had blood tests for H5N1 performed. Although the man was not ill, the test results showed he had been infected with avian influenza, most likely earlier this year, when he cared for his sister, a confirmed bird-flu case.

While looking after his sister, the man had complained of abdominal pain and had suffered from a persistent cough, but his symptoms were so mild that he was not tested for signs of H5N1 infection.
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

There seems to be no lack of opportunities for H5N1 to intermingle with human flu strains.
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Niman (post #63) said:
Around struck 05.30, the Divine Guidance body that was wrapped plastic and the case were closed the meeting was brought by his family.The body was planned will be buried in pemakaman The family in Banyuresmi, the Garut Regency, was adjacent with his older brother, who has been buried because of the sign of the similar illness, last Sunday (24/9).
Click to expand...
pemakaman = cemetary, graveyard
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

karte-6-639.gif
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Solitaire says:
...if I remember rightly Umar and Misbah from the Cikelet cluster fell ill after returning from a trip out of the village. Never did hear where or who they visited. A possible link to the Banyuresmi cluster - unlikely but worth bearing in mind I guess.
Click to expand...
I remember something similar -- I recall that Umar & Misbah also fed chickens to dogs [Doc Niman mentions this above] ... and that there was a report the Umar travelled a lot.
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Dutchy said:
This is the exact name of the village were Taufik was burried:

Metrotvnews.com, Garut: the Zakaria Divine Guidance Body that died as a result of the bird flu virus was buried in the Jolog Palujan Village, the Sukaratu Village, the Banyuresmi Subdistrict, the Garut Regency, on Thursday (28/9), around struck 10.00 WIB.

[*snip*]
Click to expand...
Just to avoid confusion over the placenames -- Jolog Palujan (Jolok Batu in an earlier post) is a hamlet while Sukaratu is the village or village-area.
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

There may very well be a cat-dog ---- pig ---- chicken link to all these human cases. It is well known that just the same way that passaging low-path influenza through multiple chickens results in higher and higher pathogenicity, passaging it through larger and larger numbers of mammals, particularly cats, dogs, and pigs, will make it more virulent too. In 1918, scientists tested this principle on rabbits by taking samples of the virus from people (though they thought they were transmitting only bacteria--they didn't know about viruses yet) who had died suddenly and passaging it through rabbits. After a few passages, it reached a level of lethality that would kill them in less than 14 hours. The same basic principle is occurring in Indonesia and the rest of the world. In places where infected poultry are being fed to cats, dogs, and pigs, as each mammal catches and then transmits it to the other, the infectiousness and lethality for mammals increases, so that people are far more likely to catch and die from it. Passage through small children (and the immunocompromised) may act very similarly too, for the virus replicates in them to very high levels--resulting in rapid evolution and human adaption.
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

toggletext-ed from Indonesian:

50 poultries were destroyed, the Citizen was checked
Sept 28, 2006

Bandung, Kompas - Results of the Bandung inspection of the Service of City Agriculture of several poultries in the Kebonwaru District, the Batununggal Subdistrict, on Tuesday (26/9), stated the existence 3 chickens, 1 duck, and several birds the positive dove contracted the virus H5N1. So, the Bandung Service of City Agriculture afterwards destroyed 50 poultries, yesterday. In the same place, the Health Service of the Bandung City took the sample of blood 20 citizens.

"In fact all the poultries in a radius of 1 kilometre must be destroyed. Afterwards apart from that, would divaksinansi. But, for the time being just we depopulation here by being coordinated by Mr RW. Untuk the vaccination ring, still was waiting for the co-ordination," said Elise Wieke PK, the Executive the Health Service of the Animal from the Bandung Service of City Agriculture. The poultry that was destroyed totalling 50 tails.

The section head Bandung City Agriculture the Yogi Supardjo said his side will not give compensation to the citizen that his poultry was destroyed. The reason is, originally the agricultural Service only will vaccinate, but the citizen willingly wanted his poultry to be destroyed. "Possibly they were frightened," said the Yogi.

Beforehand, one of the citizens of Kebon Jeruk, T (20), was stated positive bird flu. Now Ij (23), the older brother T, died with the sign it was suspected bird flu. Even so with their brother [sister], I (15), that currently still terbaring in Handsome Sadikin Space of the Hospital Poinciana Tree (RSHS) Bandung.

The chairman Tim [team] the Control of Bird Flu of RSHS Bandung Dr Hadi Jusuf Sp to (K) KPTI said, results of the test apus the nose and tenggo-rokan I stated the bird flu negative. "This just the first test. It is hoped the further test also the negative," said Hadi.

According to Usdi (45), Ij and T indeed liked to maintain the chicken. Several days before being sick, they brought the chicken carcass from Garut. "He said wanted to be made dog food," said Usdi, the employer Ij and T. Was still, explained both of them having the story of contact with the poultry. To avoid the spread more far, the Health Service of the Bandung City checked the sample of blood 20 citizens around the patient's house that it was suspected contracted bird flu.

They were Gugun Gunawan (19) that claimed experienced hot since the last four days, Hani (21) that felt very stiff, and Santi (20) that suffered pilek, the cough, and the fever.

But, the three of them were not given Tamiflu. "Only was given normal medicine and was brought to the community health centre. Further will be monitored by us for 20 days in the future," said Wawan Setiawan, the official surveilans the Health Service of the Bandung City.

http://www.kompas.co.id/kompas-cetak/0609/28/Jabar/6248.htm
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Theresa42 said:
They were Gugun Gunawan (19) that claimed experienced hot since the last four days, Hani (21) that felt very stiff, and Santi (20) that suffered pilek, the cough, and the fever.

But, the three of them were not given Tamiflu. "Only was given normal medicine and was brought to the community health centre. Further will be monitored by us for 20 days in the future," said Wawan Setiawan, the official surveilans the Health Service of the Bandung City.

http://www.kompas.co.id/kompas-cetak/0609/28/Jabar/6248.htm
Click to expand...

So there's another 3 likely infections in the same area?
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Theresa42 said:
They were Gugun Gunawan (19) that claimed experienced hot since the last four days, Hani (21) that felt very stiff, and Santi (20) that suffered pilek, the cough, and the fever.
http://www.kompas.co.id/kompas-cetak/0609/28/Jabar/6248.htm
Click to expand...

If these three have bird flu, this has got to be the worst news of the year. Right in the middle of Bandung, no less.
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

What reason could they have for not giving out the Tamiflu? Are they running out of the Tamiflu? this seems all so surreal.
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

I'm starting to lose track of what is actually going on..like Siam said..."this seems all so surreal. ".

Does anyone have a chart or anything that shows the numbers as it relates to this crisis? Numbers as in, those who have died as a result of infection and those who are currently suspected of being infected, cluster relation..etc.

If we have the data...I can try and put it into a visual form like I did for this:
http://www.flutrackers.com/forum/attachment.php?attachmentid=339&d=1149189929

-hawkeye
 
Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

Re: INDONESIA - Bandung Cluster, West Java (2nd sibling has now died)

From Modesto Post #67- More deaths are feared because the virus is endemic in poultry across much of the complex archipelago of 17,000 islands that is home to multitudes of different cultures and languages.
The government has also been reluctant to carry out mass culls of infected poultry, citing logistical problems, lack of donor cash and resistance by many farmers to accept limited compensation for culled fowl.

Poultry endemic + lack of containment needs only efficient H2H2H to complete equation for pandemic. More and more people need to be getting this information.
 
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