BF review from Indonesia / more from Dr. Nidom
BF review from Indonesia / more from Dr. Nidom
toggletext-ed from Indonesian:
Special Report
Teka Teki gazed at the Pandemic
June 08, 2006
Although officially the spread antarmanusia in the level kluster still became the mystery, spesifitas the receptor alfa 2,6 that enabled the bird flu virus to move from humankind to humankind has been found. Must be attentive seriously so that the pandemic that usually claims many casualties could be avoided.
The influenza VIRUS H5N1 the first time infecting humankind in Hong Kong in 1997. In December 2003 began to be determined this virus infection in humankind that had contact with the poultry was sick.
Since that time till June 6 2006 WHO accepted the report 225 cases of the spread of the virus H5N1 with 128 died in 10 Asian countries, Africa as far as Europe. Indonesia was in the second level of the number of most cases in the world after Vietnam with 49 cases and 37 died.
From 49 patients who it was confirmed were infected by the bird flu virus, 17 among them was in the West Javanese Province. As many as 15 people from 49 patients died. Now from 17 patients in West Java, seven including being treated in the Handsome Sadikin Hospital (RSHS) Bandung, two people were stated recovered.
Saw this reality, did at this time the world head the new pandemic? The organisation of the health of the world (WHO) stated the spread of bird flu at this time was to stage 3: pandemic alert. Meaning that, has had the infection in humankind but was not yet proven had the spread antarmanusia.
Needed two stages more before being categorised experienced the pandemic. The stage 4 was proven had the spread antarmanusia in the group (cluster) small and the stage 5 spreads antarmanusia in the big group (larger).
The world had experienced three influenza pandemics in this age. Spanish influenza happened in 1918 that killed 40-50 million people all over the world. Asian influenza in 1957 killed 2 million world's populations and Hong Kong influenza (1968) with 1 million fatalities.
The pandemic happened when emerging a new virus and spread semudah normal influenza.
The chairman Tim the Control of Bird Flu of RSHS Bandung, Dr. Hadi Jusuf Sp. P. D (K), KPTI mentioned the condition as "spreading semudah normal flu by sneezing and deadly was as cruel as bird flu".
Dr. drh. C. A. Nidom, M. Sc, the researcher of the bird flu virus from the University of Airlangga Surabaya, said the spread of bird flu antarmanusia very possibly happened. Was based on the research that the implementation since last March 2006, spesifitas the receptor alfa 2,6 available to humankind could spread antarmanusia. And spesifitas the receptor has been found in the field (read: the special interview).
Moreover the characteristics of this virus really were easy to adapt and stable in the human body. Nidom had in fact carried out the isolation and results not all that was infected by this virus experienced was sick.
"Therefore, I had the hypothesis if the Jakarta citizen was done surveilans by means of isolating the virus (not the antibodies test), not not all that the figure 70% brought this virus without caused was sick. I believed that Jakarta was the epicentre of bird flu. For Bandung, only gods that knew," he said.
The matter of the spread antarmanusia in the group (kluster), also still became the mystery. The case kluster that it was reported happened in the Sembilang Fortification Village, the Subdistrict of three bows, the Regency Karo the North Sumatran Province was that biggest in the world till at this time. Nine people who had affinity relations were infected by the bird flu virus and 7 including dying.
WHO said continued to research the possibility of the spread of bird flu antarmanusia in Indonesia including the existence kluster this. The statement was hurriedly denied Menkes RI, Siti Fadilah Supari and the Director General of the Control of the Illness and environmental Sanitation Department of Health RI I Nyoman Kandun. Since July 2005 Indonesia had six cases kluster.
"According to me, something that naive if the number cluster that happened already a large number of in Indonesia and the form of the virus already 2,6 still was said the spread did not happen antarmanusia and still was said only tertular from the poultry," said Nidom.
Slow him the handling of the government especially in the poultry breeding arrangement was said by Nidom to one of the starting points continued to expand him this illness. As far as this is concerned, apparently the handling in the sector of poultry breeding still was reactive including the clear rule lack about the vaccine that was used.
Up to the middle of this year, has 19 regencies/the city in West Java that his poultry tertular the bird flu virus. Six regencies/the other city was threatened because was pressed by the area was infected.
Drh. Sri Mudjiartiningsih from Labkesda West Java in the training of coverage of bird flu that was spread out by Internews acknowledged the indolence. According to the veterinary surgeon who had been treated as suspect this bird flu, the handling that did not touch the community happened because of his motor only the Service of province Livestock Breeding. "Disnak the regency/the city did not have the colleague's fund for that," he said.
The matter of the vaccination also did not yet spread everywhere was done. In fact, the poultry that has divaksin then only had maximal optimal immunity four months. That was significant, the vaccination must be repeated routinely minimal three times in a year. "Must him together like the PIN," he said again.
Apart from the vaccine H5N1, to the front Disnak will also use the vaccine H5N2. The same vaccine kind that currently often is worn by the poultry breeding industry in the homeland.
The matter, Nidom also commented loud. According to him, the vaccine that was used must be matched with the available virus in the field. "If the available virus in the field was the virus H5N1 that seed the vaccine, yes must H5N1." Except if indeed has changed his virus, his vaccine must then change. Likewise seed the vaccine vaccine must be always controlled, he said.
Government indolence was also observed in the insignificance of the socialisation against the community. Adang (35) villagers Cinunuk the Bandung Regency that lost his two nephews of AT (10) and AC (18) that was stated positive bird flu, claimed confused.
He admitted to not knowing the characteristics of the poultry that was infected by bird flu and the sign of the deadly illness. "If from the beginning knew his sign like that, let alone having nine chickens that died, definitely we anticipation," he said.
In fact, the distance of the residence Block and the NY family C that his two sweethearts were "achieved by" bird flu with the village office and the community health centre not more than 15 trip minutes by the taxi bike. But, knowledge concerning the illness that diributkan all the worlds were not obtained by them.
Various bitter realities that happened ought to make the government more efficient took the step. The sector arrangement of poultry breeding, the comprehensive research with the sample 49 positive cases available until giving the upper answer of millions of the community's questions.
The occurrence opportunity of the spread antarmanusia with the discovery spesifitas the receptor alfa 2,6 in the field, the number of cases kluster, pointed out the pandemic already in front of the eyes. Would and when the pandemic happened, indeed could not be predicted.
If in the pandemic beforehand the virus surrounded the earth in time 6-9 months together with the international trip through the ship. WHO said, it was at this time not impossible for the virus to be able to spread faster in fact infected all the continents only in three months.
Saw the history, the death rate for the pandemic really varied depended the number of people that was infected, the virulence of the virus, the character, and the sensitivity was infected from the population and the effectiveness from the step in the prevention.
So, before the report on the case from 10 countries changed to the pandemic, let's began to do the prevention.
(Wilda Nurlianti/PR)
http://www.pikiran-rakyat.com/cetak/2006/062006/08/1101.htm