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Indonesia BF - 06/05 - 06/10

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Re: Indonesia BF - 06/05

Re: Indonesia BF - 06/05

http://www.hariansib.com/index.php?option=com_content&task=view&id=6331&Itemid=9

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Jones Ginting the Bird Flu Sufferer in RS Adam the Owner recovered was written by editorial staff on Thursday, on June 08 2006 Medan (SIB) Jones Ginting the bird flu patient that was treated diruang the isolation RSU the Centre H Adamthe Medan Owner was stated recovered, after Tim from the Health Body.The world (WHO) and Tim the Expert mentioned the patient has been free from the virus H5N1.At this time Jones was still being treated because of experiencing the infection skunder and his plan could come home this week.After getting the maintenance of the media, since last May, Jones Ginting the only bird flu patient cluster biggest that remained because the attack of the bird flu virus had finally been stated recovered.Results x-rayed and the last inspection of the blood test showed the Jones lungs have been clean from Feunomia and midle.Because his condition continued to improve, at this time the Jones family has been permitted treated without making use of the protective mask.Likewise Tim Doctor no longer puts on special clothes in the procedure of the bird flu patient.Tim our Expert also has broken that not making use of the complete protective mask to check him (Jones Ginting red), said Tim medical to the Reporter Breakingprep last Tuesday (6/6).Jones said one from eight people as a family that was attacked by the bird flu virus.The BIRD FLU SUFFERER was in East Java stated SEMBUHthe bird flu Patient that was treated in RSUD Dr Sutomo Surabaya, on Tuesday early afternoon (6/6) was stated recovered.Crying confused and hugs and kisses coloured the child's returning Anang Pratuleo (18) the bird flu sufferer from the village of the Subdistrict Pendant of Gantengrejo Kediri East Java.Anang was stated recovered the total and free from the bird flu virus after being treated for 21 days in isolation space of RSUD Dr Sutomo Surabaya.However after coming home from Kediri, Anang must continue to undergo several medical inspections in RSUD Kediri, nevertheless Anang continued to be sure himself could come back went to school and gathered again with his friends.Pre-schoolers Suspect Bird Flu entered RSUP H Adam MalikIn The Meantime, a male pre-schooler (2 years) the patient suspect the citizen's bird flu Street Sisingamangaraja Medan, entered RSUP H</PRE>​
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Re: Indonesia BF - 06/05

Re: Indonesia BF - 06/05

http://www.mediaindo.co.id/newsprint.asp?Id=102271&Jenis=a&cat_name=Kesehatan


The patient Suspect Bird Flu improved in MedanMedan -- MIOL: A pre-schooler, the COAT, 2, suspect the citizen's bird flu Street Sisingamaharaja, Km 6,5, Marendal, Medan, North Sumatra (North Sumatra), was treated in Space of the Longing Isolation A the Public Hospital (RSU) Adam the Owner.The COAT was brought by his family, on Tuesday (6/6), struck 21.30 WIB to RS Adam the Owner was based on the reconciliation letter from the child's specialist doctor in RS Elisabet Medan that said the patient suspect bird flu because of suffering the high fever to 38 Celcius and his lungs were affected pneuomia.Bidang Pelayanan Medis Deputy Director and Education RS Adam the Owner, Nurasyid Lubis to the Indonesian Media, on Thursday (8/5), confirmed had the patient who entered was based on reconciliation that said suspect bird flu.The "patient still in the inspection, because of having the possibility he not yet suspect bird flu because saw the level of blood below 16 thousand, whereas suspect bird flu below five thousand," he said.However, his side continued to take the sample of blood from these pre-schoolers to be sent to the Body of Health Research And Development (Balitbang Cash), the Department of the Health.In the meantime, the Jonnes condition, 25, the patient that was stated positive was affected by the AI virus in the case cluster biggest was stated was free from the virus H5N1.The team of the doctor currently supervises the secondary development of the infection that still was suffered by villagers the Fortification Simbelang the Regency Karo North Sumatra.The "condition for the Jones health increasingly improved."There were not again the high fever and pneumonia.Was based on the inspection specimen blood and the nose liquid and the last throat, he has been negative AI, said Nurasyid.However, he still could not confirm when Jones left RS Adam the Owner, because still must be waiting to be in a meeting of the co-ordination from the North Sumatran Health Service, the Health Service of the Karo Regency, Tim the Expert Bird Flu and Tim the doctor.The "meeting was needed to consider the possibility and the impact if he was returned, good from the aspect of psychological the patient, villagers, the control system that was carried out and how took medicine the running," he said.Jones was the only positive patient bird flu from cluster biggest that was stated freest from the deadly virus.Whereas his seven relatives died in a beruntunmanner</PRE>
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Re: Indonesia BF - 06/05 - 06/08

Re: Indonesia BF - 06/05 - 06/08

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Jakarta - the Researcher Avian influenza (AI) or Bird Flu from Surabaya Dr drh CA Nidom Ms believed in the AI spread or Bird Flu antarmanusia in Indonesia has been available.However, that need not be responded to in a manner panicked."I was convinced was available, because of the development of the virus H3N2 and H1N1 that was the descendants of the virus H5N1 with alpha 2,6 has been found."Afterwards the infection in humankind that came from the poultry also was unproven since the case of Iwan's death from Tangerang, he said in gaps of the Bird Flu seminar today.The researcher to TDC (Tropical Disease Centre) the Medical Faculty (FK) the Airlangga University (Unair) Surabaya proposed that was related the existence of the official's statement WHO. the Spread of Bird Flu antarmanusia was found in the Simbelang Fortification Village, the Karo Land, North Sulawesi, Indonesia."Epidemiolog WHO carried out observation of the field."They did not find the assumption of sources that could be suspected as the spreading, whereas seven between nine casualties died had the family's relations (cluster) and suffered the same sign, said the spokesperson WHO Peter Cordingley in press information some time before.However, the WHO signal was denied by Menkes Siti Fadilah Supari."Cluster bird flu still could not be in the Karo Land said by the spread of bird flu antarmanusia, because of not yet having existence proof of the DNA mutation the identical virus in the virus H5N1 that infected to-nine casualties but also did not have proof of spread epidemiology antarmanusia," said Menkes.According to Nidom that also the lecturer FK Unair Surabaya, the statement from WHO was natural, because of AI like the normal flu illness, because that need not be responded to in a manner panicked."I had sent the assumption in Pontianak to last April," he said.He stressed that the community could respond to Bird Flu with two steps that is increasing body resistance through the gown crop like temulawak and turmeric that contained curcuma or the crocodile tongue that contained emodin.The "other step was the community in the RT level (the neighbourhood association) could do spraying of disinfectant routinely a week very much in his environment, moreover the price of the disinfectant was cheapenough"</PRE>​
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Re: Indonesia BF - 06/05 - 06/08

Re: Indonesia BF - 06/05 - 06/08

Apart from discussing the handling of bird flu by DrH Esti M. K, the Bird Flu Seminar that was held by the Association of the Student ITS Biology, on Friday early afternoon (26/5) also asked the community and the government to change the paradigm towards the spread of bird flu that uptil now was believed in only through the poultry. the Rectorate building, ITS Online - the Government has necessarily changed the paradigm that the spread of bird flu only happened through the poultry.Because from several cases of bird flu casualties, both that died and that not, the indication of the spread from the poultry very minimal, said Dr drh C A Nidom Ms, the bird flu researcher from the University of Airlangga Surabaya, in the agenda of the Bird Flu seminar, on Friday (26/5).Said by Nidom, the possibility of the spread of bird flu between the humankind was very big happened.Was based on the research that once the implementation since last March 2006, spesifitas the receptor alfa 26 available to humankind could spread between humankind.Even so to the pig that also had spesifitas the receptor that was the same as humankind.At this time I was testing spesifitas the receptor to the cat, he said.With this assumption, very possibly the case of bird flu that happened in Indonesia uptil now happened because of the spread factor between humankind.Nevertheless, he suggested that the community did not too much panic.Because the mutation of the gene like that was the matter that very normal.Enabled, the virus H5N1 eventually will become was used to it to the human body.And, pengidap the virus not always to the person who has been sick.But the person that was seen healthy then very possibly in his body has had the bird flu virus.If being done by the inspection, I was convinced in Jakarta 60 through to 70 percent of the person there in his body has had the bird flu virus, he stressed.Nidom afterwards stressed that the characteristics of the virus in the body really were easy to carry out the mutation and to be easy to adapt, including bird flu (Avian influenza/AI).So as the mutation alfa 23 available to the poultry would bermutasi with alfa 26 to the non poultry.This influenza virus was the virus that had fregmentasi

http://www.its.ac.id/berita.php?nomer=2877


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Re: Indonesia BF - 06/05 - 06/08

Re: Indonesia BF - 06/05 - 06/08

niman said:
If being done by the inspection, I was convinced in Jakarta 60 through to 70 percent of the person there in his body has had the bird flu virus, he stressed.Nidom afterwards stressed that the characteristics of the virus in the body really were easy to carry out the mutation and to be easy to adapt, including bird flu (Avian influenza/AI).So as the mutation alfa 23 available to the poultry would bermutasi with alfa 26 to the non poultry.This influenza virus was the virus that had fregmentasi

I have read this a few times and am still not sure what he is saying.

Is he saying 60 to 70% have been exposed but not infected due to receptor binding incompatibility or natural immunity or have been infected but asymptomatically? And what is he saying on the probability of adaption to alpha 2, 6 ? that is highly probable?
 
Re: Indonesia BF - 06/05 - 06/08

Re: Indonesia BF - 06/05 - 06/08

http://www.pikiran-rakyat.com/cetak/2006/062006/08/1101.htm


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Teka Teki gazed at the Pandemic 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.A official from the Health Service of the Bandung City took the sample of blood from one of the patient's neighbours "suspect" bird flu, the RN (22 months), in the Cigagak Kel Village.Cipadung Kec.Cibiru the Bandung City, on Monday (27/2).M. the SAPTA TUMULT/HOMEWORK 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</PRE>​
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Re: Indonesia BF - 06/05 - 06/08

Re: Indonesia BF - 06/05 - 06/08

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.</PRE>
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Re: Indonesia BF - 06/05 - 06/08

Re: Indonesia BF - 06/05 - 06/08

Theresa,

Are there 4 distinct views on the situations in Indonesia?

1. Indonesian officials who think poultry is no problem

2. WHO officials who say H5N1 still can't do much harm to human

3. Indonesian doctors who think H5N1 is spreading among human

4. Niman who thinks P4 is here on way to P5

With all these patients, the Indonesian doctors should have the best feel on what is happening. What do you think?


NY1
 
Re: Indonesia BF - 06/05 - 06/08

Re: Indonesia BF - 06/05 - 06/08

NY1 said:
Theresa,

Are there 4 distinct views on the situations in Indonesia?

1. Indonesian officials who think poultry is no problem

2. WHO officials who say H5N1 still can't do much harm to human

3. Indonesian doctors who think H5N1 is spreading among human

4. Niman who thinks P4 is here on way to P5

With all these patients, the Indonesian doctors should have the best feel on what is happening. What do you think?
NY1,

I just don't know -- I feel it's so hard to know because all the players have some sort of interest to protect or agenda or have their hands tied or whatever. I mean, of course some of the Indo officials are going to deny there's a problem with poultry -- especially the local officials. What kind of chaos is that going to create if all the small (and large) farmers have to cull their chickens? And who's going to pay for it?

Re. the WHO -- if you head over to EffectMeasure.blogspot.com you can read all about how the WHO's hands are tied due to all the national/international politics involved.

I would think, like you, that the Indonesian doctors ought to know what they're talking about since they're on the ground there -- although, I haven't heard much of what the doctors who are actually treating bf patients there have to say. Maybe someone else has. Dr. Nidom (I think he's a microbiologist -- he's an Indonesian flu researcher, anyway) certainly thinks that H5N1 has acquired some worrying changes:
http://www.flutrackers.com/forum/showthread.php?t=6929

As far as Dr. Niman goes -- he's been right about a lot of things in the past regarding H5N1 -- I wouldn't be surprised at all if he's pretty close to the mark this time around, too.
 
Re: Indonesia BF - 06/05 - 06/08

Re: Indonesia BF - 06/05 - 06/08

As far as I am concerned The Earthquake is a Major cause for concern.

Everyone can have their opinions about all of the above 4 points... but we could have a raging BF epidemic in that area and wouldn't know it until it breaks out into the surrounding areas and Jakarta... and by then it will be everywhere... thank you modern air travel.
 
Re: Indonesia BF - 06/05 - 06/08

Re: Indonesia BF - 06/05 - 06/08

From Dr. Niman's comment:

The comments indicate that 20% of the samples tested had virus (presumably H5N1) and 55% of the positives had a 2,6 receptor specificity, indicating they had an increased affinity for human receptors in the upper respiratory tract. In addition, many had PB2 E627K, which allows the H5N1 to grow at lower temperatures.


These lab. findings seem to verify what the Indonesia doctors have been observing.
 
Re: WHO lab indicates Indonesian girl did not die of bird flu

Re: WHO lab indicates Indonesian girl did not die of bird flu

http://www.canada.com/topics/news/world/story.html?id=b8faf866-a523-4af6-9dd5-aad77ca33846&k=10612

WHO lab indicates Indonesian girl did not die of bird flu





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A chicken looks out from its pen at a fowl market in Shanghai.
Photograph by : Associated Press




Associated Press
Published: Thursday, June 08, 2006
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JAKARTA, Indonesia -- A lab approved by the World Health Organization said a seven-year-old Indonesian girl who tested positive locally for bird flu did not have the virus, a senior Health Ministry official said Friday.
The girl, from Pamulang on the outskirts of Jakarta, died June 1 after apparently coming into contact with sick poultry, said Nyoman Kandun. Her 10-year-old brother died three days earlier with similar flu-like symptoms but no samples were taken.
"This is the first time local tests came back positive and Hong Kong laboratory tests negative,'' said Kandun, adding WHO needs to carry out new tests to reconfirm its findings.
Bird flu has killed at least 128 people worldwide since it started ravaging Asian poultry farms in late 2003 -- nearly one-third of them in Indonesia, which has seen an explosion in human cases in recent weeks.
? Associated Press 2006
 
Re: WHO lab indicates Indonesian girl did not die of bird flu

Re: WHO lab indicates Indonesian girl did not die of bird flu

Goju said:
http://www.canada.com/topics/news/world/story.html?id=b8faf866-a523-4af6-9dd5-aad77ca33846&k=10612

WHO lab indicates Indonesian girl did not die of bird flu

JAKARTA, Indonesia -- A lab approved by the World Health Organization said a seven-year-old Indonesian girl who tested positive locally for bird flu did not have the virus, a senior Health Ministry official said Friday.
The girl, from Pamulang on the outskirts of Jakarta, died June 1 after apparently coming into contact with sick poultry, said Nyoman Kandun. Her 10-year-old brother died three days earlier with similar flu-like symptoms but no samples were taken.
"This is the first time local tests came back positive and Hong Kong laboratory tests negative,'' said Kandun, adding WHO needs to carry out new tests to reconfirm its findings.
Bird flu has killed at least 128 people worldwide since it started ravaging Asian poultry farms in late 2003 -- nearly one-third of them in Indonesia, which has seen an explosion in human cases in recent weeks.
? Associated Press 2006

We know that "false negatives" for H5N1 infection occur regularly, but how likely is a "false positive"? The local Indonesian labs certainly have first hand experience with testing for H5N1. WHO will be retesting -- I guess we will have to wait and see.
 
Re: WHO lab indicates Indonesian girl did not die of bird flu

Re: WHO lab indicates Indonesian girl did not die of bird flu

Laidback Al said:
We know that "false negatives" for H5N1 infection occur regularly, but how likely is a "false positive"? The local Indonesian labs certainly have first hand experience with testing for H5N1. WHO will be retesting -- I guess we will have to wait and see.

There is nothing to wait for. Positives trump negatves and the girls brother died three days earlier with the same bird flu symptoms.

Hong Kong lab results on receptor bindng domain also VERY suspect if they are growing human H5N1 in chicken eggs.
 
More on the 'pre-schooler', JAS / family annoyed at 'bf suspect' label

More on the 'pre-schooler', JAS / family annoyed at 'bf suspect' label

toggletext-ed from Indonesian:

The condition for pre-schoolers Suspect Bird Flu improved
08 Jun 06 21:42 WIB

Medan, WASPADA Online

The condition for pre-schoolers suspect bird flu that was reconciled from RS Elisabeth on Wednesday, (7/6) began to improve. However, the temperature of the body was still rising descended but appetite ate has begun to be stable. Nevertheless, casualties were still continuing to be treated intensively in isolation space of RSUP H Adam the Medan Owner.

Was like this was sent by Deputy Director Pelayanan Medis RSUP H. Adam the Owner Dr. M. Nur Rasyid Lubis, SpB was accompanied by the Chairman Kordinator treated inap suspect bird flu of Dr. Adlin Adnan togethered with Ginting rays public relations, SE, on Thursday (8/6) to Waspada.

Adnan said, at this time the physical condition for casualties began to improve. However, results sample blood, the nose liquid and the throat that was sent to Litbangkes the Centre must be waiting three days more.

"At this time casualties's stamina began to be stable although the temperature of the body was still rising descended. So, we were still continuing to be waiting for results sample blood that was sent to Litbangkes the Centre whether true casualties suspect (was suspected) bird flu," said Adnan.

Adnan added, in fact casualties's family ask for came home, but Tim Medical RS Adam the Owner did not yet permit him and must be waiting to recover the total to guard matters that were not wanted.

The family Refuse

In the meantime, the JAS family, the sufferer suspect bird flu, when being found in his house Street Sisingamangaraja said, himself refused Adam's information of the side of the hospital doctor the Owner that named these pre-schoolers suspect bird flu.

"We as a family really regretted Adam's side the Owner that at once gave information to the reporter that casualties that was treated suspect bird flu. Necessarily the available doctor there before checked the condition for casualties correctly. So, should not the origin spoke without having clear proof that headed to suspect bird flu," said parents of casualties.

Beforehand, the JAS (pre-schoolers suspect bird flu) to last October also could be treated in the hospital resulting from the high fever. Casualties experienced breathless and the temperature of the body tingggi. In the doctor's inspection, casualties experienced the sign of the infection lungs.

Moreover, casualties's grandfather also suffered breathless. [Now? or back in October?] So, could the possibility of these pre-schoolers tertular with this illness. So, Tim Medical should have to be more thorough checked casualties. So, immediately should not sentence casualties with suspect bird flu that made all the families concerned and restless.

From observation Waspada [the newspaper] around casualties's house, was not found the poultry pen or maintained the chicken. Was the family mengonsumsi chicken recently? Parents of casualties clearly said was not available.

http://www.waspada.co.id/berita/medan/artikel.php?article_id=77814
 
N. Sum. Livestock agency says no bf in Karo poultry / local authority resists culling

N. Sum. Livestock agency says no bf in Karo poultry / local authority resists culling

toggletext-ed from Indonesian:

DPRDSU Deny Hard the government Plan destroyed the Poultry in Karo
Ditulis oleh Redaksi
Friday, 09 June 2006
Medan (SIB)

The commission of B DPRD North Sumatra refused hard the government plan memusnahkan the poultry in the Karo Regency, because from results of the inspection and the Propsu research of the Livestock Breeding Service up to now was not was found the poultry or the animal was infected by the virus susfect bird flu (Avian influenza) in this regency in other words Karo free bird flu.

Was like this one of the conclusions was in a meeting of the Commission hearing of B DPRD North Sumatra Officially Propsu Livestock Breeding, was led by the chairman of the commission of Ir Tosim Gurning, on Thursday (8/6) in DPRD North Sumatra after getting the explanation from results of the inspection and the North Sumatran research of the Livestock Breeding Service related the problem of case confusion of the virus susfect bird flu in the Karo Land. Moreover, said Tosim Gurning, the Karo Regency was one of the areas that not including from 14 regencies/the city was stated as the area was infected to September 2005 that has been mapped.

In the meeting was attended by the member the B Commission as Drs H Mahmuddin Lubis, Drs H Yulizar P Lubis, H Arifin Nainggolan SH MSi, the Sianturi Gown, Analisman Zaluchu SSos and Heriansyah asked the North Sumatran Livestock Breeding Service to do the publication to the related community results of the inspection and the research of the poultry in the Karo Regency were not found by the Bird Flu virus.

"This publication was very important, to mengkaunter or denied rumours that increased explained that rumours susfect bird flu in Karo untrue, so that the community especially in Karo does not become casualties," said Mahmuddin and Yulizar.

Yulizar asked the North Sumatran Livestock Breeding Service to have to dare to send the related truth of the poultry or the livestock animal in Karo. Don't had the interests of certain politics, North Sumatra was especially the people Karo sacrificed bore his risk.

Tosim Gurning also mengaskan, the government of the centre should not make Karo the project to spend the APBN budget and for the interests got the fund from the agency of the donor country. This was the form penzoliman the country against the people.

Although Wakadis Propsu Livestock Breeding stated the poultry in Karo the negative suspect bird flu, but several members the B Commission other like Arifin Nainggolan and the Sianturi Gown still bertandata him about bird flu casualties in Karo that died.

From this condition, Heriansyah asked the Propsu Livestock Breeding Service to give a kind of guarantee system the health of the animal not only in Karo, but all the regencies/the city so that rumours of not fast bird flu enter and disturb the community.

The chairman of the Tosim Gurning Commission also asked the livestock breeding Service to carry out the inspection periodically and systemically in order to be not impressed like the fire extinguisher, meaning that after the incident was just carried out by the control.

Now Wakadis Livestock Breeding of Propsu drh Tetty Erlina Lubis Msi asked the community in Karo to have to panic, because of being based on results of the inspection and the lab research, until this the poultry and the chicken livestock in Karo still negative bird flu.

"We have struggled and proved in being in a meeting the team from the centre, Propsu, the Regency on May 9-15 2006 that results of the inspection in the Fortification Village Simbelang the Subdistrict of three bows and Kabanjahe-Karo was not found or the clinical sign negative of bird flu to the poultry and the Pig," he said.

Mentioned, same results were also found by the Directorate General of Livestock Breeding that is not found by the indication of the bird flu incident to the chicken livestock, the duck and the pig, so as Pempropsu need not yet carry out the action stamping out or the extermination against the poultry in Karo, except for having the instruction from the centre after having results of further investigation. But up to now a sheet of instruction letter is not yet in the Director General of Livestock Breeding.

http://www.hariansib.com/index.php?option=com_content&task=view&id=6359&Itemid=9
 
More on JAS / additional symptoms

More on JAS / additional symptoms

toggletext-ed from Indonesian:

The child the Citizen Marindal was not yet ascertained Suspek Bird Flu

Ditulis oleh Redaksi
Friday, 09 June 2006

MEDAN (Berita): Tim was medical RSUP H Adam the Medan Owner still could not appoint the citizen's child Street Sisingamangaraja Km 6,5 Marindal the District Harjosari Ii Medan the Sandpaper terditeksi suspek bird flu.

Because, results of the medical inspection, white blood cells (Lecopany) still was high and only experienced the normal pneumonia infection.

That was said by Deputy Director RSUP H Adam the Medan Owner Dr M. Nur Rasyid Lubis S. pB (Fics) to the reporter in his office, on Thursday (8/6).

"Sel his [her] blue blood high reached 16,300, now if terjangkit bird flu descended that is 4000 down. Moreover from results of the inspection, the child only experienced the normal and light pneumonia infection. From the results, we more tended if this child not suspek bird flu but only normal pneumonia infections," said Rasyid.

Nevertheless, his side took the sample of blood, the throat liquid, the nose from JAS body (2 years). "Nevertheless was maintained by us protap him [her] suspek bird flu, was waiting for results of the local laboratory because of his family the fear if that was true bird flu," he said.

Rasyid added, yesterday, JAS did not experience the fever. The temperature of the temperature of his body descended approximately 37 levels celcius. Only, the medical team was still installing oxygen as well as impus in A space of the Longing isolation his place underwent the medical maintenance.

The same thing also was thrown by the Chairman of the Co-ordinator the Handling of the Patient Bird Flu of RSUP H Adam the Medan Owner Dr Adnan Adnin to the reporter in the place was separated.

According to him pneumonia that was suffered JAS did not worry. "Pre-schoolers who suffered diarrhoea also experienced pneumonia, so not necessarily if he suspek bird flu," explained Adnan.

Even so with available white blood cells on JAS body. Up to results of the medical inspection, yesterday, showed the nonexistence of the decline and still was high.

"If bird flu, low level blood cells experienced the drastic decline," mentioned he. Melanjuti the Rasyid explanation, JAS experienced the fever 5 length days. By his family, he [she] was brought took medicine the road to RS Saint Elisabeth Medan. From results of the inspection about the development of his health by Prof Dr Bistok S SpA pointed out the spotty existence of pneumonia that every day was seen clear.

"JAS only took medicine the road in this hospital. But from results of the doctor who treated him after being photographed, was seen spotty pneumonia on his lungs increasingly the day grew," he explained him.

Witnessed these results, the doctor that handled him placed suspicious. Further the Coat was reconciled to RSUP H Adam the Medan Owner, on Wednesday night (7/6) around struck 21.30 WIB.

"His parents did not want if his child was said terjangkit bird flu although the fever that was experienced high the temperature of the body achieved 38 levels celcius. At first again when being brought to isolation space. This made us the difficulty. However because of being given by the understanding, finally JAS underwent the medical inspection," said Rasyid.

Did not want diliput

In the meantime observation of the reporter in isolation space of RSUP H Adam the Medan Owner where JAS was treated was seen quiet and this room was locked by the meeting. Parents as well as his family was in the room while carrying the child was 2 years old.

When being interviewed, his parents immediately refused while mencakmencak if his child was said terjangkit suspek bird flu.

Responded to that, Rasyid said since the beginning parents of these pre-schoolers indeed had not accepted the presence of the other person in the room of the isolation. Because, JAS did not want to be said terjangkit suspek bird flu.

http://www.beritasore.com/index.php?option=com_content&task=view&id=5686&Itemid=36
 
BF situation updated from Indonesian Dept of Health

BF situation updated from Indonesian Dept of Health

toggletext-ed from Indonesian:

The situation Terkini Bird Flu in Indonesia
June 09, 2006

Bird flu could not be in Indonesia ignored still was one of the problems of the serious health, at first again with the discovery of the case kluster in several areas. Since July 2005 s.d. on June 4 2006 was reported by 557 cases cumulatively [that includes suspected cases].

After being done by the clinical inspection, epidemiological and the results laboratory was as follows [see attached image].

Information:

suspek (someone who suffered ISPA with the sign of the fever [temp. >38OC] the cough and or was sick the throat and or had a runny nose as well as with one of the situations: for the last week visited livestock breeding that was contagious KLB bird flu, contact with the case of confirmation of bird flu in the spread period, or worked to a lab that was processing the human specimen or the animal that it was suspected suffered bird flu);

probable (the case suspek was accompanied by one of the situations: lab proof limited that headed in the A influenza virus (H5N1), in a short time continued to pneumonia/failed breathing/died)

konfirm (was based on results of the lab reconciliation WHO Hong Kong, positive bird flu)

The most Flat Case: was the case that did not show the clinical sign or stayed healthy but the inspection serologis pointed out positive results.

The additional data of the case: the last Case that was reported that is RF (the woman, 14 years) came from Solok, Prov. West Sumatra.


K = kasus
M. = died

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2013

Indo update - June 09.JPG
 
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