Indonesia BF - 06/01 - 06/04

[Theresa42]

The official word from the WHO authorities in Indonesia...

toggletext-ed from Indonesian:

WHO: did not yet have the Spread of Bird Flu Between-humankind
June 1, 2006

The organisation of the Health of the World (WHO) stressed that till at this time the mutation of the bird flu virus did not yet happen (Avian influenza/AI) that caused the spread of the virus between-humankind.

"Information that was owned by us at this time did not yet show the existence of the mutation and the mix (reassortment) significant in this virus," said the Co-ordinator Tim [team] the Supervision of infectious diseases (Communicable Disease Control/CDC) the Office WHO Jakarta Firdosi Mehta in Jakarta, on Wednesday.

According to him the virus that infected bird flu casualties in Indonesia recently was still being the kind the same virus namely the A virus of type influenza the sub-type H5N1 that came from the poultry.

The WHO collaboration laboratory in the Hong Kong University that did sequencing against the specimen of all the bird flu patients in Indonesia also mentioned that the virus H5N1 that was contagious in Indonesia still came from the same group that is the group of the poultry virus that came from North Sumatra, did not yet happen the mutation or the mix/the unification with the other virus (did not yet happen reassortment-red).

Results of the research that was carried out by the Molecular Eijkman biological Agency and the Body of the Department of the Health of Health Research And Development also showed the similar matter.

Director Lembaga Molecular Eijkman biology, Sangkot Marzuki explained despite the kind of the bird flu virus that terjangkit to klaster [cluster] bird flu in the Regency of Karo Sumatra be different to klaster the case of bird flu in the Javanese Island but his side did not yet find the existence of the significant change in the structure of the amino acid from this virus.

"We did not yet see the existence of the change in the significant amino acid that could cause the transmission of the virus from humankind to humankind in a manner continued," he said.

He explained the possibility of the occurrence of the mutation and the unification could not be of the AI virus set aside but strong proof that showed the occurrence of the change in this virus till at this time was not yet found.

The number of cases of gathering bird flu to humankind in Indonesia, said he, indeed enabled the occurrence of the spread of the virus in a limited way and was not continous (limited and unsustain transmission) from humankind to humankind.

"But in the study epidemologis the level of the risk" limited and unsustain transmission "with the spread of the virus from the animal to humankind did not have his difference," he explained.

Results of the Kyoko Shinya research and friends that were published the scientific "Nature" journal 440 (on March 23 2006) also mentioned although the virus H5N1 infected more than 100 people and the possibility could bermutasi became the virus that spread between humankind but in fact the transmission of the AI virus from humankind to humankind still rare happened.

According to Kyoko et al that happened because of the existence of the difference of association anatomy of the molecule of the influenza virus in the poultry and humankind.

This molecule respectively was sour sialik that was tied with galaktosa by the association 2,3 (SA2,3Gal) and by the association 2,6 (SA2,6Gal).

The change in the structure of the AI virus amino acid because of the mutation and the unification (reassortment) enabled the occurrence of the change in the association into 2,6 (SA2,6Gal) that could cause the transmission of the virus between humankind.

However scientific proof about concerning the existence of the change in the association and the structure of the virus molecule H5N1 till at this time was not yet available.

Continued BERTAMBAH

Until at this time the number of cases of the infection of the bird flu virus in humankind in Indonesia still was continuing to improve.

The number of cases of the infection of the bird flu virus (Avian influenza/AI) to humankind that it was confirmed positive by the laboratory of the World of collaboration of the Health Body (WHO) in Hong Kong (the case confirm, red) improved so as to become 49 cases with 37 casualties died per May 30 2006.

At this time a villager Cikululu the Coral Subdistrict Nunggal the Tasikmalaya Regency, West Java that have the initials M. (15) was reported positive was infected by the AI virus by Balitbangkes the Department of the Health.

The patient that experienced the sign of the fever on May 24 and was reconciled to the Handsome Hospital sadikin Bandung to May 29 that died on May 30 2006 struck 21.20 WIB.

Whereas the number of cases of gathering bird flu to humankind (klaster) in Indonesia at this time totalling seven klaster.

The case klaster biggest happened in the Regency Karo the North Sumatran Province.

http://analisadaily.com/0-2.htm

 

[Theresa42]

Medical team from Singapore visits Jones Ginting / drops off some Tamiflu

Medical team from Singapore visits Jones Ginting / drops off some Tamiflu

toggletext-ed from Indonesian:

Tim [team] Doctor RS Alexandra Singapore visited the Bird Flu Patient
June 1, 2006

Medan, (Analisa)

The team of the doctor the Hospital of Alexandra Singapore visited the Jones Ginting bird flu patient (23), that still was undergoing the maintenance in the central Public Hospital of H. Adam the Medan Owner, on Wednesday (31/5).

The team's visit of the numbering doctor 6 people consisted of the Director/Operation Ng Increasingly Swan, Prof Leo Yee Sin, Wong Chia Siong, David Lye, Angela Chou and Lily Lang were accompanied by Dr Azwan Hakimi SpA Mkes Wadir the Public Finance and the Chairman Tim medical the handling of bird flu Dr Alwinsyah.

According to the explanation Ng Increasingly Swan after seeing the condition for the bird flu patient and handling methods him was done by the medical team in RS Adam the Owner and in the hospital in Singapore.

His handling be the same as that was carried out by the medical team in the Singaporean hospital. Even so the process of his maintenance far was not different.

However the room of the special handling of the bird flu patient who was had by the side of RS Adam the Owner not yet the standard when compared to the special room penangan the bird flu patient in Singpura. Moreover in Singapore had the special standard building of the handling of the infection.

Because of that they the salute with Jones Ginting endurance of the body of the bird flu patient until this when compared to 7 people of his family that was killed.

He also mentioned, the case of bird flu in his country also was but the amount not totalling in RS Adam the sensational Owner the world, said Ng Increasingly Swan.

According to Dr Azwan Hakimi, the team's visit of the doctor RS Alexandra apart from want to saw from close to the bird flu patient also they want to knew how the handling of the bird flu patient although in their country was but his case not until stirred up the case of bird flu that was handled by RS Adam the Owner.

Their visit not only saw the bird flu patient but also took part in giving help took the form of special medicine for bird flu namely Famiflu [Tamiflu] totalling 2,000 tablets and consumable goods took the form of medical equipment of the handling of bird flu of the team's clothes totalling 1,500 pairs.

This team also went along berpatisipasi gave help of the natural disaster like earthquake casualties in Yokyakarta and casualties of the Tsunami disaster.

Azwan also explained, entered the 18th day since the Jones Ginting bird flu patient underwent the maintenance till Wednesday (31/5) conditions for the development of his health gradually continued to improve.

When being seen from last blood pressure 130/80 even so the temperature of his body was normal namely 37.5 levels celsius.

In this visit was hoped the medical Singaporean team could co-operate with the side of RS Adam the Owner, said Azwan.

After the medical Singaporean visit of the patient of the team's bird flu afterwards visited the room of the serious Installation the Emergency (IGD) RS Adam the Owner and saw directly the medical official was handling various medical actions.

The previous day the bird flu patient from this Karo land also was visited by the medical team from WHO.

http://analisadaily.com/0-9.htm

 

[Theresa42]

Hundreds of people attend Mastur's funeral / dozens of chickens dead in village

Hundreds of people attend Mastur's funeral / dozens of chickens dead in village

toggletext-ed from Indonesian:

The village Cangkuang was not allotted the Bird Flu Vaccine of one Person died and Dozens Of chickens Mati
June 01, 2006

Tasikmalaya, (HOMEWORK). -

The Area of the Cangkuang Village, the Cikukulu Village, Kec. Karangnunggal, Kab. Tasikmalaya, did not yet receive the vaccination and disinfektan for the prevention of bird flu. That dikarenakan, when being done by spraying or the vaccination against the poultry belonging to the community, his vaccine even was finished.

The "area of surrounding area or the village neighbour, his poultries already divaksin." But, the turn to the Cangkuang area, his vaccine was finished, said drh. Budi Utarma, the Section Head Kab Livestock Breeding, Tasikmalaya, on Wednesday (31/5).

The Cangkuang area personally was the residence M. (15), the local citizen who died, it was suspected was affected by bird flu, on Tuesday (30/5) in the Handsome Sadikin Hospital (RSHS) Bandung. This area was enough to be isolated compared with the other village in the area.

From the Tasikmalaya City to the south, approximately 50 km, just arrived at the Cangkuang Village. From the highway, to arrive at Cangkuang must go through the road to rise descended to the best of approximately 5 km. In the calm settlement this, M. together keluargan him underwent the life calmly. However, casualties had finally died it was suspected was affected by the bird flu illness.

Before casualties died, he experienced the high fever to last Thursday (25/5). He could be brought to the local community health centre doctor, but never recovered. Even more coughs. Then on Saturday (27/5) he was brought to the Hospital Islam Tasikmalaya. But, because his fever also did not descend, finally he was run off with to Bandung. The life of the class student of two junior high school in Karangnunggal this finally was not helped.

Hard-working mengaji

Approximately struck 10.00 WIB, the body M. was buried in the funeral of the public Cangkuang. Hundreds of citizens around with colleagues of casualties from his school went along delivered to the funeral. The atmosphere confused, covered the funeral procession. The body M. before disalatkan in the local mosque. Then, was brought to the cemetery by being accompanied by songs of praise reading and takbir.

The two parents of casualties, T (49) and NY. J (42), was seen really was stricken. Moreover his mother continued to cry, because of not suspecting his child of being so fast was called by the Lord. In fact the child really he loved, because diligent studied, recited the Koran, as well as liked to raise chickens and entok.

Before his death, six chickens belonging to M. died suddenly. But, this family did not know that his kept livestock berpenyakit dangerous. They regarded the death as the death of the normal poultry. "We did not know that the death of the sudden chicken in a large number that, the characteristics were affected by bird flu," said NY. J. while dropping the tear.

After happening kematianternak him was affected by the fever, through to coughs. Finally was brought to Bandung, but his life was not helped.

Apart from the chicken belonging to M., the other poultry in the same village many that died. This mass death happened from the last two months, to several days behind. The citizen even expected the death resulting from the newcastle disease. Moreover the explanation of the matter of bird flu of never entering this village.

Casualties's neighbour, Momon (39) added, his 16 chickens died suddenly, without being known by his cause. The chickens like stress and at once died. Because of the citizen's ignorance, finally the chicken carcass there are those that was thrown away to the ditch, was buried and was also that disembelih during was a rust.

The section head Livestock Breeding of Budi Utarma suggested, from results of his research (rapid test & serelogi test), by taking the sample from chickens that died in the area, it was known had the positive poultry bird flu. "This research will be continued to the research polymerase chain reaction (PCR) the test." But, for this PCR research must be brought to the laboratory in Yogyakarta, because of Tasikmalaya did not yet have him, he said.

http://www.pikiran-rakyat.com/cetak/2006/062006/01/0312.htm

Photo caption: HUNDREDS OF citizens delivered the body M. (15), "suspect" bird flu that died, headed towards the funeral in Kp. Cangkuang the Cikukulu Kec Village. Karangnunggal Kab. Tasikmalaya, on Wednesday (31/5). Casualties died on Tuesday (30/5) when being treated in the Handsome Hospital of Sadikin Bandung.

View attachment 336

 

[Theresa42]

People from Mastur's village being watched for bf symptoms / some given Tamiflu (?)

People from Mastur's village being watched for bf symptoms / some given Tamiflu (?)

toggletext-ed from Indonesian:

The patient M. Positive was infected by Burung Flu
June 01, 2006
Bandung, (PR). -

M. (15), the patient that died after being treated 24 hours in Space of the Poinciana Tree Isolation of RSHS Bandung, were stated positive was infected by the bird flu virus. Officially Kesehatann West Java took the sample of contact. Officially West Javanese Livestock Breeding still could not confirm whether being done by depopulation of the poultry in the Cikukulu Kec Village. Karangnunggal Kab. Tasikmalaya.

"The Balitbangkes head Dr. Triyono that said that the patient M., that earlier (on Tuesday, 30/5) the night died with suspect AI produced by PCR (Polymerase Chain Reaction) positive," said RSHS Bandung Director, Dr. Cissy B. Kartasasmita, on Wednesday (31/5).

Balitbangkes Department of Health RI could currently be faster announced results of the testing of the sample of blood and apus the throat suspect bird flu, because of not having the difference of results with the Hong Kongese laboratory. However, the sample continued to be sent to the WHO reconciliation laboratory belonging to University of Hong Kong.

In the meantime the condition for the patient Is [Isman] (24) from Cibiru Wetan Kec Cileunyi that was treated since Saturday night (27/5) continued to improve. The patient's respiration has also been good and no longer needed help of oxygen.

Did investigasi

Dinkes West Java dropped his two officials as well as two officials of the Health Laboratory of the Area off (Labkesda) and Dinkes local to take the sample of the family's blood M. in accordance with the provisions, they who had held contact with the patient were infected by bird flu, was observed for 7 days.

"We will also search whether there are those that had the similar sign. If in 7 days did not emerge the sign headed to significant bird flu safe," said Kasubdin developed environmental Sanitation of Dinkes West Java, Dr. Fatimah Resmiati, was accompanied Kasi environmental Sanitation Udeng the Sheet.

The community health centre will also continue to be aimed to reinforce the socialisation concerning the sign of bird flu. However, for Tamiflu giving continued to be done selectively.

At this time, according to Dr. Fatimah, all the community health centre got the allocation 10 doses [courses?] of the tablet oseltamivir. Now for RSUD received 30 doses.

"In accordance with the provisions, there was the criterion in Tamiflu giving. For the prophylaxis (the prevention) was not permitted, because worried temporary resistance happened limited medicine supplies," he said.

For the community health centre, RSUD or RS private enterprise that needed Tamiflu could coordinate with Dinkes kab./the local city. Eventually dinkes kab./the city could ask for the addition to Dinkes West Java that still was having supplies 400 Tamiflu doses.

Definitely did not yet be depopulasi

In the meantime, Kasubdin the Health of the West Javanese Animal of the Livestock Breeding Service, Musny Suatmojo, did not yet confirm whether being done by depopulation in the Cikukulu Kec Village. Karangnunggal Kab. Tasikmalaya. However, he admitted that the poultry vaccination in this regency was not yet carried out comprehensively.

"Since 2004, the Tasikmalaya Regency indeed already including the area that his poultry positive was infected by bird flu. But, not including in Kec. Karangnunggal," he said. In the Tasikmalaya Regency was estimated was gotten 500,000 the chicken population talk to.

http://www.pikiran-rakyat.com/cetak/2006/062006/01/0208.htm

 

[Mingus]

Re: Indonesia BF - 6/01

Re: Indonesia BF - 6/01

World Health Organization - Weekly Epidemiological Record e-mail
bulletin service

DISEASE OUTBREAK NEWS Item(s)published on the World Wide Web

http://www.who.int/csr/don

-------------------------
Avian influenza - situation in Indonesia - update 16



31 May 2006

Situation update

Indonesian health authorities and WHO have further strengthened their
response to the family cluster of cases in Kubu Simbelang village, Karo
District, North Sumatra. As of today, 54 surviving family members and
other close contacts of cases have been identified and placed under
voluntary home quarantine. All of these people, with the exception of
pregnant women and infants, are receiving the antiviral drug,
oseltamivir, for prophylactic purposes. Public health teams visit these
people daily, checking for symptoms.

In addition, active house-to-house surveillance for influenza-like
illness is being conducted throughout the village, which has around 400
households. A command post for fever surveillance has been functioning
in the village since last week.

As of today, no new cases suggestive of H5N1 infection have been
detected since 22 May. This finding is important as it indicates that
the virus has not spread beyond the members of this single extended
family. No hospital staff involved in the care of patients, in some
instances without adequate personal protective equipment, have developed
the disease. The last person in the cluster, who developed symptoms on
15 May and died on 22 May, refused hospitalization. He moved between two
villages while ill, accompanied by his wife. The wife is under
surveillance and has not developed symptoms.

Despite multiple opportunities for the virus to spread to other family
members, health care workers or into the general community, it has not,
on present evidence, done so.

Current level of pandemic alert

Based on an assessment of present evidence, WHO has concluded that the
current level of pandemic alert is appropriate and does not need to
change. The level of pandemic alert remains at phase 3. This phase
pertains to a situation in which occasional human infections with a
novel influenza virus are occurring, but there is no evidence that the
virus is spreading in an efficient and sustained manner from one person
to another.

WHO has recommended continued close monitoring of the situation in Kubu
Simbelang for the two weeks following 22 May, the date when the last
known case in the cluster died. As a precautionary measure, Indonesian
authorities have decided to extend this recommended period to three
weeks.

Preliminary results of the investigation

This information differs in some details from information released in
previous updates, but is derived from extensive investigations by senior
national and international epidemiologists, from WHO and the US Centers
for Disease Control and Prevention, who have developed a clearer picture
of the situation.

The cluster involves an initial case and seven subsequent
laboratory-confirmed cases. All cases are members of an extended family:
sisters and brothers and their children. Family members resided in four
households. Three households were next-door neighbours in the village of
Kubu Simbelang, Karo District, North Sumatra. The fourth household was
located about 10 kilometres away in the nearby village of Kabanjahe.

The initial case in the cluster was a 37-year-old woman who sold fruits
and chillies at a market in the village of Tigapanah. Her stand was
located about 15 metres away from a stand where live chickens were sold.
The investigation uncovered no reports of poultry die-offs in the
market. However, the woman kept a small number of backyard chickens,
allowed into the house at night. Three of her chickens reportedly died
before she became ill. She is also known to have used chicken faeces
from these household chickens as fertilizer in her garden.

A parallel agricultural investigation has not, to date, detected H5N1
virus in PCR tests of approximately 80 samples from poultry, other
livestock and domestic pets, and chicken fertilizer taken from the
vicinity.

The initial case developed symptoms on 24 April, was hospitalized on 2
May, and died on 4 May. No samples were collected for testing prior to
her burial, but she is considered part of the cluster as her clinical
course was compatible with H5N1 infection.

The initial case had one sister and three brothers. The sister and two
of the brothers subsequently developed infection. The remaining cases
occurred among children in these families.

The confirmed cases include five males and two females with an average
age of 19 years (range from 1 to 32 years). Six out of the seven
confirmed cases developed symptoms between 3 May and 5 May. These cases
include two sons of the initial case, her brother from Kabanjahe, her
sister, the sister's baby, and the son of a second brother living in an
adjacent house. This second brother, the last case in the cluster,
developed symptoms on 15 May. Six out of the seven cases were fatal.

Exposures

On the night of 29 April, nine family members spent the night in a small
room with the initial case at a time when she was severely ill,
prostrate, and coughing heavily. These family members included the
initial case and her three sons; the brother from Kabanjahe village, his
wife, and their two children; the 21-year-old daughter of another
brother (who did not become infected); and another young male visitor.
Following this event, three family members - the woman's two sons and
the visiting brother from Kabanjahe - developed symptoms from 5 to 6
days later.

The woman's sister, who lived in an adjacent house, developed symptoms
at the same time, as did her 18-month-old daughter. Prior to symptom
onset, this sister, accompanied by her daughter, provided close personal
care of the initial case.

The last case in the cluster provided close care for his son throughout
his hospital stay, from 9-13 May. The son was a frequent visitor in the
home of the initial case and was present there on 29 April.

-------------------------

*******************************************************

 

[Theresa42]

8 yr-old girl from Pamulang [near Jakarta] tests positive locally

8 yr-old girl from Pamulang [near Jakarta] tests positive locally

RI begins slaughtering poultry in bird flu area
June 02, 2006

JAKARTA (AP): Officials slaughtered poultry Thursday in an Indonesian village where preliminary tests showed a 15-year-old boy had died from bird flu, as the country struggled with a sudden rise in deaths averaging one every 2 1/2 days last month.

About 1,300 chickens were killed within one kilometer (half a mile) of the boy's house in the Tasikmalaya regency of West Java province, said Budi Utama, head of the local animal and fisheriesagency.

Indonesian tests on Wednesday found that the boy had contracted the virulent H5N1 bird flu virus, and officials were awaiting confirmation from a World Health Organization-sanctioned laboratory in Hong Kong.

A hospitalized 8-year-old girl from Pamulang, on the outskirts of Jakarta, also tested positive in local tests, Nyoman Kandun, a senior Health Ministry official, said Thursday.

At least 36 people have died in Indonesia from bird flu, out of a total world toll of 127, WHO says. The country averaged one human bird flu death every 2 1/2 days in May, putting it on pace to soon become the world's hardest-hit country, surpassing Vietnam's 42 deaths.

Bird flu is hard for humans to catch, and most cases have been linked to direct contact with infected poultry.

WHO officials, however, say human-to-human transmission may have occurred in family in a farm village in North Sumatra in which six members died of bird flu and a seventh was sickened. Aneighth family member was buried before samples were collected, but WHO considers her part of the cluster of cases, the largest ever reported.

WHO experts have not found any link between the family and infected birds, which has led them to suspect human-to-human transmission. Only blood relatives - no spouses or in-laws - weresickened and no one outside the family has caught bird flu.

Indonesian health officials, however, have denied any human-to-human transmission and have downplayed the seriousness of the outbreak.

http://www.thejakartapost.com/detaillgen.asp?fileid=20060525155156&irec=1

 

[Theresa42]

Expert slams Indonesia for lame bird flu measures

Expert slams Indonesia for lame bird flu measures

Expert slams Indonesia for lame bird flu measures
Marianne Kearney
Friday, June 02, 2006

Indonesia is using band-aid solutions to combat bird flu, a World Health Organization expert said, warning that more people could die if outbreaks among poultry are not contained.

"The situation is that there is a leak in the roof, and the Ministry of Health is just mopping up the floor every day," epidemiologist Steve Bjorge said.

Indonesia has the world's second- highest number of confirmed human bird flu deaths after Vietnam with 36 - and the most deaths this year.

Bjorge said Indonesia had to start mass culls of infected birds and more intensive testing of fowl suspected of carrying the H5N1 virus if it wanted to stem the spreading of the virus, which he said was "pandemic in poultry."

In Papua's Manokwari district, he said, "they have had three outbreaks in the last nine months, and each time they've culled and they've stopped it. That to me means, even in Indonesia, it is possible to do it."

But the sprawling country's hugely decentralized government - spread over 17,000 islands - means that preventing the spread of the virus among birds is a very complicated task, Bjorge said, adding there is no central authority that can order culling "on a minute's notice."

Indonesian health officials are also fighting a lack of public awareness about the disease and its dangers, with many people failing to report to hospitals when they develop flu-like symptoms - even if relatives or neighbors are already ill with the disease.

In addition, many Indonesians continued to eat and slaughter sick chickens, or sell their feces as fertilizer.

Indonesia has been closely monitoring a case in a North Sumatra village, where seven family members all died of the bird flu virus, raising fears that it was the country's first case of human- to-human transmission of avian flu.

But Indonesian Health Minister Siti Fadilah Supari insisted it was unlikely that even limited human-to-human transmission had occurred.

"It's just a possibility, but based on the two criteria for possible transmission, virological evidence shows it's still being transmitted from animal to human," she said.

Still, health authorities will monitor the village for three more weeks - one more than recommended by the WHO. AGENCE FRANCE-PRESSE

http://www.thestandard.com.hk/news_detail.asp?pp_cat=17&art_id=19947&sid=8232801&con_type=1

 

[Theresa42]

Solok...

Solok...

The laboratory also confirmed that a 14-year-old girl from Solok, West Sumatra, had been hit by the virus, Kandun said.

http://www.flutrackers.com/forum/showthread.php?p=14870&highlight=Solok#post14870

Been trying to find out more about this girl from Solok, with no luck -- but I did find this about Solok on the Indonesian Ministry of Health website (*gulp*) ...

toggletext-ed from Indonesian:

Gunung Talang refugees were attacked by diarrhoea and ISPA
April 13-15, 2006

Casualties's Gunung Talang refugees, Kab. the gift, West Sumatra, is currently attacked by several illnesses, among them diarrhoea and the disturbance of the respiratory tract (ISPA). Recorded by 6 casualties was run off with to the Solok City Public Hospital. Kadinkes the Solok City, Dr. Hasmairizal said, several refugees who are attacked by the disturbance illness of breathing currently were given by the service treated the road. Six casualties that must receive the service treated inap in RSU the Solok City, consisted of 4 diarrhoea sufferers from the adult, and two babies were attacked by the disturbance of the respiratory tract.

http://www.depkes.go.id/showclips.php?pid=857

 

[Snowy Owl]

Re: Indonesia BF - 6/01

Re: Indonesia BF - 6/01

31 May 2006 Sampai dengan tanggal 30 Mei 2006 jumlah kasus konfirm Flu Burung di Indonesia berdasarkan hasil pemeriksaan laboratorium rujukan WHO di Hongkong, mencapai 49 kasus 37 diantaranya meninggal. Sejak tanggal 28 Mei 2006 terjadi penambahan 1 kasus konfirm H5N1 yaitu AS ( pria, 18 th) dari Desa Cinunuk, Kec. Cileunyi Kab. Bandung, Jawa Barat. Sampai saat ini ke 49 kasus konfirm ditemukan di DKI Jakarta (13 kasus), Banten (6 kasus), Jawa Barat (15 kasus), Lampung (3 kasus), Jawa Tengah (3 kasus), Jawa Timur (2 kasus), dan Sumatera Utara (7 kasus). Dari jumlah ini, 37 diantaranya meninggal yaitu 11 kasus di DKI Jakarta, 5 kasus di Banten, 12 kasus di Jawa Barat, 2 kasus di Jawa Tengah, 1 kasus di Jawa Timur dan 6 kasus di Sumatera Utara.
Demikian data perkembangan kasus dari Posko Kejadian Luar Biasa (KLB) Flu Burung Departemen Kesehatan RI yang dihimpun dari berbagai provinsi pada hari Senin, 29 Mei 2006 pukul 15.00 WIB.
Selanjutnya sejak bulan Juli 2005 sampai dengan 28 Mei 2006 Posko Flu Burung telah menerima laporan 547 kasus (kumulatif). Setelah dilakukan pemerikasaan klinis, epidemiologis dan laboratorium hasilnya adalah 395 bukan Flu Burung, 48 penderita Flu Burung (36 diantaranya meninggal), 12 kasus probable (4 diantaranya meninggal) dan 90 kasus suspek (36 diantaranya meninggal).
Sejak Menteri Kesehatan Dr. dr. Siti Fadilah Supari, Sp.JP(K) mengumumkan kasus Flu Burung sebagai KLB (Kejadian Luar Biasa) tanggal 19 September 2005, banyak kasus yang diduga Flu Burung dirujuk ke berbagai rumah sakit untuk dilakukan observasi. Tercatat 17 propinsi yang melaporkan kasus Flu Burung yaitu Propinsi DKI Jakarta, Banten, Jawa Barat, Jawa Tengah, DIY, Jawa Timur, Sumatera Utara, Kalimantan Timur, Sulawesi Selatan, Lampung, Bali, Sumatera Selatan, NAD, Riau, Jambi, Sumatera Barat dan Sulawesi Tenggara.

http://202.155.5.44/index.php?option=news&task=viewarticle&sid=1981

 

[Theresa42]

From the Indonesian Ministry of Health

From the Indonesian Ministry of Health

Machine-translation of Snowy's post above...

toggletext-ed from Indonesian:

Up to May 30 2006 the Case Konfirm Bird Flu in Indonesia achieved 49 cases
May 31, 2006

Up to May 30 2006 the number of cases konfirm Bird Flu in Indonesia was based on results of the WHO inspection of the reconciliation laboratory in Hong Kong, achieved 49 cases 37 including dying. Since May 28 2006 the increase happened 1 case konfirm H5N1 that is the AS (the man, 18 th) from the Cinunuk Village, Kec. Cileunyi Kab. Bandung, West Java.

Until this to 49 cases konfirm was found in the Special Capital District of Jakarta (13 cases), Banten (6 cases), West Java (15 cases), Lampung (3 cases), Central Java (3 cases), East Java (2 cases), and North Sumatra (7 cases). From this number, 37 including dying that is 11 cases in the Special Capital District of Jakarta, 5 cases in Banten, 12 cases in West Java, 2 cases in Central Java, 1 case in East Java and 6 cases in North Sumatra.

Was like this the development data of the case from the Extraordinary Incident Command Post (KLB) the Department's Bird Flu of the RI Health that was assembled from various provinces on the Monday, on May 29 2006 struck 15.00 WIB.

Further from July 2005 to May 28 2006 the Bird Flu Command Post accepted the report 547 cases (cumulative). After being done pemerikasaan clinical, epidemiological and the results laboratory was 395 not Bird Flu, 48 sufferers Bird Flu (36 including dying), 12 cases probable (4 including dying) and 90 cases suspek (36 including dying).

Since Health Minister Dr. Dr. Siti Fadilah Supari, Sp. JP (K) announced the case of Bird Flu as KLB (the Extraordinary Incident) on September 19 2005, many cases that was suspected of by Bird Flu being reconciled to various hospitals to be done by observation. Recorded 17 provinces that reported the case of Bird Flu that is the Special Capital District of Jakarta province, Banten, West Java, Central Java, DIY, East Java, North Sumatra, East Kalimantan, South Sulawesi, Lampung, Bali, South Sumatra, NAD, Riau, Jambi, West Sumatra and South-East Sulawesi.

http://202.155.5.44/index.php?option=news&task=viewarticle&sid=1981

 

[HenryN]

Re: Indonesia BF - 6/01

Re: Indonesia BF - 6/01

31 May 2006 Sampai dengan tanggal 30 Mei 2006 jumlah kasus konfirm Flu Burung di Indonesia berdasarkan hasil pemeriksaan laboratorium rujukan WHO di Hongkong, mencapai 49 kasus 37 diantaranya meninggal. Sejak tanggal 28 Mei 2006 terjadi penambahan 1 kasus konfirm H5N1 yaitu AS ( pria, 18 th) dari Desa Cinunuk, Kec. Cileunyi Kab. Bandung, Jawa Barat. Sampai saat ini ke 49 kasus konfirm ditemukan di DKI Jakarta (13 kasus), Banten (6 kasus), Jawa Barat (15 kasus), Lampung (3 kasus), Jawa Tengah (3 kasus), Jawa Timur (2 kasus), dan Sumatera Utara (7 kasus). Dari jumlah ini, 37 diantaranya meninggal yaitu 11 kasus di DKI Jakarta, 5 kasus di Banten, 12 kasus di Jawa Barat, 2 kasus di Jawa Tengah, 1 kasus di Jawa Timur dan 6 kasus di Sumatera Utara.
Demikian data perkembangan kasus dari Posko Kejadian Luar Biasa (KLB) Flu Burung Departemen Kesehatan RI yang dihimpun dari berbagai provinsi pada hari Senin, 29 Mei 2006 pukul 15.00 WIB.
Selanjutnya sejak bulan Juli 2005 sampai dengan 28 Mei 2006 Posko Flu Burung telah menerima laporan 547 kasus (kumulatif). Setelah dilakukan pemerikasaan klinis, epidemiologis dan laboratorium hasilnya adalah 395 bukan Flu Burung, 48 penderita Flu Burung (36 diantaranya meninggal), 12 kasus probable (4 diantaranya meninggal) dan 90 kasus suspek (36 diantaranya meninggal).
Sejak Menteri Kesehatan Dr. dr. Siti Fadilah Supari, Sp.JP(K) mengumumkan kasus Flu Burung sebagai KLB (Kejadian Luar Biasa) tanggal 19 September 2005, banyak kasus yang diduga Flu Burung dirujuk ke berbagai rumah sakit untuk dilakukan observasi. Tercatat 17 propinsi yang melaporkan kasus Flu Burung yaitu Propinsi DKI Jakarta, Banten, Jawa Barat, Jawa Tengah, DIY, Jawa Timur, Sumatera Utara, Kalimantan Timur, Sulawesi Selatan, Lampung, Bali, Sumatera Selatan, NAD, Riau, Jambi, Sumatera Barat dan Sulawesi Tenggara.

http://202.155.5.44/index.php?option=news&task=viewarticle&sid=1981

<TABLE cellSpacing=0 cellPadding=0 width=400 border=0><TBODY><TR><TD vAlign=top bgColor=#ffffee>

On May 31 2006 Up To May 30 2006 the number of cases konfirm Bird Flu in Indonesia was based on results of the WHO inspection of the reconciliation laboratory in Hong Kong, achieved 49 cases 37 including dying.Since May 28 2006 the increase happened 1 case konfirm H5N1 that is the USA (the man, 18 th) from the Cinunuk Village, Kec.Cileunyi Kab.Bandung, West Java.Until this to 49 cases konfirm was found in the Special Capital District of Jakarta (13 cases), Banten (6 cases), West Java (15 cases), Lampung (3 cases), Central Java (3 cases), East Java (2 cases), and North Sumatra (7 cases).From this number, 37 including dying that is 11 cases in the Special Capital District of Jakarta, 5 cases in Banten, 12 cases in West Java, 2 cases in Central Java, 1 case in East Java and 6 cases in North Sumatra.Was like this the development data of the case from the Extraordinary Incident Command Post (KLB) the Department's Bird Flu of the RI Health that was assembled from various provinces on the Monday, on May 29 2006 struck 15.00 WIB. Furthermore from July 2005 to May 28 2006 the Bird Flu Command Post accepted the report 547 cases (cumulative).After being done pemerikasaan clinical, epidemiological and the results laboratory was 395 not Bird Flu, 48 sufferers Bird Flu (36 including dying), 12 cases probable (4 including dying) and 90 cases suspek (36 including dying).Since Health Minister Dr. Dr. Siti Fadilah Supari, Sp.JP (K) announced the case of Bird Flu as KLB (the Extraordinary Incident) on September 19 2005, many cases that was suspected of by Bird Flu being reconciled to various hospitals to be done by observation.Recorded 17 provinces that reported the case of Bird Flu that is the Special Capital District of Jakarta province, Banten, West Java, Central Java, DIY, East Java, North Sumatra, East Kalimantan, South Sulawesi, Lampung, Bali, South Sumatra, NAD, Riau, Jambi, West Sumatra and South-East Sulawesi.</PRE>​

</TD></TR><TR><TD colSpan=2>

</TD></TR></TBODY></TABLE></P>

 

[Theresa42]

8 yr-old girl died / brother died earlier in the week / another cluster

8 yr-old girl died / brother died earlier in the week / another cluster

Bird flu kills eight-year-old Indonesian girl; country sees spike in cases

MARGIE MASON
Thursday, June 01, 2006

JAKARTA, Indonesia (AP) - An eight-year-old girl has died of bird flu, a health official said Friday citing local tests, as a spike in human cases put Indonesia on pace to soon become the world's hardest-hit country.

The World Health Organization has yet to confirm the death, which would bring the country's toll from the H5N1 virus to 37. The girl, from a city on the outskirts of Jakarta, died late Thursday apparently after coming into contact with sick poultry, said Nyoman Kandun, a senior Health Ministry official.

The girl's 10-year-old brother died three days earlier of similar flu-like symptoms, but no samples were taken, said Dr. Hariadi Wibisono, a senior official at the national Health Department. The boy died in the emergency room before being treated, and the family immediately took him home for burial, he said.

"The family reported that chickens died near their house, and we have been told they had contacted with birds," Wibisono said.

Bird flu has killed at least 127 people worldwide since ravaging Asian poultry farms in late 2003. Experts fear the virus will mutate to a form more easily transmissible between humans, potentially sparking a pandemic. So far, most human cases have been linked to contact with infected birds.

Indonesia trails only Vietnam, where 42 people have died, in the total number of bird flu deaths.

? The Canadian Press, 2006

http://www.brooksbulletin.com/news/world_news.asp?itemid=53007

 

[Sally Furniss]

Re: Indonesia BF - 6/01

Re: Indonesia BF - 6/01

JAKARTA, June 2 (Xinhua) -- Two young siblings in the Jakarta suburb of Tangerang have died recently of suspected bird flu, which could bring total fatalities of the disease to 34 if confirmed by the World Health Organization, a report said Friday.

The siblings died earlier this week after being treated at Sulianti Saroso hospital here for developing bird flu symptoms.

Their house is located only 100 meters from a chicken slaughterhouse, reported the Detikcom news website.

Yohana, 7, died late Thursday or three days after brother Toni,10, died at the same hospital.
http://news.xinhuanet.com/english/2006-06/02/content_4637509.htm

 

[Sally Furniss]

Re: Indonesia BF - 6/01

Re: Indonesia BF - 6/01

Bird flu kills 8-year-old Indonesian girl, country sees spike in cases
The Associated Press (apwire) Email Article Print Article
Published 2006-06-02 16:48 (KST)
JAKARTA, Indonesia

An 8-year-old girl has died of bird flu, a health official said Friday, citing local tests, as a spike in human cases has put Indonesia on pace to soon become the world's hardest-hit country.

The World Health Organization has yet to confirm the death, which would bring the country's official death toll from the H5N1 virus to 37.

The girl, from Pamulang on the outskirts of Jakarta, died late Thursday after apparently coming into contact with sick poultry, said Nyoman Kandun, a senior Health Ministry official.

The girl's 10-year-old brother died three days earlier with similar flu-like symptoms, but no samples were taken, said Dr.Hariadi Wibisono, a senior official at the national Health Department. The boy died in an emergency room before being treated, and the family immediately took him home for burial, he said.

''The family reported that chickens died near their house, and we have been told they had contact with birds,'' Wibisono said.

The children's father said he was aware of bird flu, but had no idea the virus was circulating near the family's house.

''I am very shocked. I do not understand how bird flu occurred in my neighborhood,'' said Suryoto, who like many Indonesians uses only one name. ''This internationally known disease took away my lovely children only in days, less then a week.'' He said his son fell ill with a fever after playing soccer with other children near their home. When it became difficult for the boy to breathe, Suryoto rushed him to a hospital, but it was too late.

''He died before the doctor coulddo something for him,'' Suryoto said.

One of Suryoto's three surviving children also developed a fever but has since recovered after being given the anti-viral drug Tamiflu, Health Minister Siti Fadilah Supari told reporters Friday.

Meanwhile, Bayu Khrisnamurti, secretary-general of the National Committee of Avian Flu Control, said a mass poultry slaughter would begin soon in the North Sumatra village of Kubu Simbelang.

The village attracted international attention last month after six members of a family died of bird flu and a seventh was sickened.

An eighth family member was buried before samples were collected, but WHO considers her part of the cluster of cases -- the largest ever reported.

Experts have not found any link between the relatives and infected birds, which has led them to suspect human-to-human transmission. But no one outside the group of blood relatives has fallen ill and experts say the virus has not mutated.

Bird flu has killed at least 127 people worldwidesince it started ravaging Asian poultry farms in late 2003. It is difficult for humans to catch, but experts fear the virus could mutate into a form more easily transmissible between humans, potentially sparking a pandemic. So far, most human cases have been linked to contact with infected birds.

Indonesia trails only Vietnam, where 42 people have died, in number of bird flu deaths.

In Rome on Thursday, the U.N. Food and Agriculture Organization said it was considering a US$6.8 million (euro5.3 million) plan to outfit some wild birds with tiny backpacks to monitor their annual migrations. The project would rely on communications satellites and a network of computers to track the birds' movements and ultimately help experts gain more information about the spread of bird flu.

''All we have now is a snapshot. We need to see the whole film,'' said Joseph Domenech, the organization's chief veterinary officer.

http://english.ohmynews.com/ArticleView/article_view.asp?no=296267&rel_no=1

 

[HenryN]

Re: Indonesia BF - 6/01

Re: Indonesia BF - 6/01

Metrotvnews.com, Jakarta: the Department of the Health, on Friday (2/6), stated two citizens from Street Arya Putra, the District kedaung, Ciputat, Tangerang, Banten, positive died resulting from the bird flu virus.The bird flu patient was named Yohana died in the Fatmawati Hospital on last Thursday the night.Yohana was second casualties who still were having the family's relations with other casualties.Beforehand, the older brother Yohana, Toni, died on May 29 2006.However, Health Minister, Siti Fadilah Supari stated the case in this Pamulang territory including kluster that small although continuing to have to be guarded against.The Health Minister also asked for the awareness of the community around to destroy various available poultries in this location.(/BEY)</PRE>
http://www.metrotvnews.com/berita.asp?id=17819</PRE>

 

[HenryN]

Re: Indonesia BF - 6/01

Re: Indonesia BF - 6/01

Metrotvnews.com, Jakarta: the Patient suspect bird flu, Yohana, the citizen Street Arya Putra Breakingprep Kelurahan Kedaung, Ciputat, of Tangerang, Banten, died in the Fatmawati regional Public Hospital, Southern Jakarta, on last Thursday the night.On Friday morning (2/6), the child's body was seven years old was buried in the Kedaung funeral.Beforehand, Toni, the older brother Yohana died on May 29 set.The child was nine same years it was suspected old was affected by bird flu.Suryoto, the father Yohana Suryoto claimed just knew if the death his two children because of bird flu.That after Yohana was brought to the Sulianti Saroso Infection Hospital, Sunter, Jakarta North.Knew the Yohana death and Toni, the citizen around their residence asked the government immediately to investigate the case of this death.The very anxious citizen with the Yohana death and Toni that were expected by bird flu.(BEY)</PRE>
http://www.metrotvnews.com/berita.asp?id=17814</PRE>

 

[HenryN]

Re: Indonesia BF - 6/01

Re: Indonesia BF - 6/01

Metrotvnews.com, the Karo Land: the Government still could not up to now determine the cause tertular him the bird flu virus to the body of eight citizens of the Karo Regency, North Sumatra, that died.Was like this was expressed in being in a meeting of the control of bird flu in the Office Governor North Sumatra, Medan, North Sumatra, on Friday (2/6).In being in a meeting this took part in being present the National Commission (Komnas) the Control of Bird Flu (PFB) and the Regent the Karo Land.The meeting was held to look for the resolution of the source of the virus that infected the eight casualties died in the Karo Regency.This condition of course disturbed the local community.According to the Chief Executive PFB, to calm the citizen's unrest, the North Sumatran Regional Government as well as PFB will take seven steps in the control of the bird flu virus in the Karo Land Regency.Including ascertaining the source of the bird flu virus whether coming from the animal or humankind.Investigation will continue to be carried out to look for the spreading link of this virus.(/BEY)

http://www.metrotvnews.com/berita.asp?id=17807

</PRE>

 

[HenryN]

Re: Indonesia BF - 6/01

Re: Indonesia BF - 6/01

Commentary at

http://www.recombinomics.com/News/06020601/H5N1_Tangerang_Cluster.html

 

[Snowy Owl]

Nurse with bird flu-like symptoms hospitalized in Bandung, W Java

Nurse with bird flu-like symptoms hospitalized in Bandung, W Java

Nurse with bird flu-like symptoms hospitalized in Bandung, W Java

A 25-year old nurse identified by her initials as `Ci` is currently being treated at the Hasan Sadikin Hospital here for bird flu-like symptoms.

Ci was admitted to the hos[oital which has been treating a number of bird flu patients on Thursday evening (June 1).

"When she arrived at this hospital last night, her body temperature was very high, namely 39.6 Celsius degrees but now it has decreased to 37 Celsius degrees," Hadi Jusuf, head of the bird flu medical treatment unit of the hospital, said here on Friday.

The hospital was planning to send the patient`s blood sample to the laboratory of the Health Development and Research Body in Jakarta on Friday.

The result of the laboratory test is expected to come within the next three days, he said.

"We could not confirm whether she is positive of having been infected by avian influenza virus or not, although she had earlier have contacts with siblings, 18-year old Ad and 10-year old Ai, who died of bird flu virus recently," he said.

The ailing nurse has never had contact with poultry, but she had treated the sibling when being treated at Ujungberung Hospital, where Ci works as a nurse.

If she is confirmed of being infected by bird flu virus, it would be the first case of human-to-human transmission of the virus, he said.

Meanwhile, the UN World Health Organization (WHO) recently announced that international health investigators were finding no evidence that efficient transmission of the highly pathogenic avian influenza virus has emerged from a family cluster of cases in Indonesia`s North Sumatra.

The H5N1 virus has caused 127 deaths in 224 cases worldwide since it was detected in humans in late 2003. In all but a handful of cases, humans have become infected through direct contact with ailing birds, their feces or blood.

http://news.antara.co.id
Indonesia has detected 48 cases of H5N1, 31 of those appearing since January, and ending in 36 fatalities.

 

[Mellie]

Another Fatal H5N1 Bird Flu Cluster in Tangerang Indonesia

Another Fatal H5N1 Bird Flu Cluster in Tangerang Indonesia

Another Fatal H5N1 Bird Flu Cluster in Tangerang Indonesia

Recombinomics Commentary
June 2, 2006

the Department of the Health, on Friday (2/6), stated two citizens from Street Arya Putra, the District kedaung, Ciputat, Tangerang, Banten, positive died resulting from the bird flu virus.The bird flu patient was named Yohana died in the Fatmawati Hospital on last Thursday the night.Yohana was second casualties who still were having the family's relations with other casualties.Beforehand, the older brother Yohana, Toni, died on May 29 2006

The above translation describes another familial cluster in Tangerang on the outskirts of Jakarta. No sample was collected for the index case, who died three days before his (10M), sister (7F), who was H5N1 positive. The location is near the first reported familial cluster in July of 2005. The sequence of H5N1 from the cluster has a novel cleavage site, which has been found in virtually all isolates from the West Java area, but the reported sequences from birds in the area have the wild type cleavage site raising questions about the origin of the infections.

The H5N1 in the Jakarta area is also distinct from the H5N1 linked to the large cluster in north Sumatra, which are amantadine resistant, as well as the second reported case in the Jakarta area, which has PB2 E627K.

Additional sequences from wild and domestic birds and other H5N1 hosts in the area would be useful.

http://www.recombinomics.com/News/06020601/H5N1_Tangerang_Cluster.html