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INDONESIA - BF 11/24/2006 to Jan 6, 2007

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Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

Don't rely on medicine, Kalla says Wahyoe Boediwardhana, The Jakarta Post, Lumajang

Vice President Jusuf Kalla urged people Sunday not to rely on medicines and hospitals to keep them healthy because good "genetics" and environmental factors were more important.

Speaking at the launch of the pilot Desa Siaga health program in Lumajang, East Java, Kalla claimed genetics, a clean environment and healthy living were the key to a longer life.

"After these three requirements are met, then there will be health services. The first three requirements are actually the cheapest to achieve. The most expensive is (providing) health services," he said.

Kalla did not detail how people could improve their genes.

The program has been launched to develop awareness about health threats in villages.

It would also educate people about "graded" health services, ranging from integrated health posts, to community health centers and hospitals.
"A health movement does not mean medicines because the medicines should be the last alternative," Kalla said.

Environmental factors, healthy habits and nutrition were more important, Kalla said.

Kalla said he had ordered all governors, regents and mayors to prioritize these environmental factors to improve health in the regions.

A large number of the nation's poor cannot afford medical treatment and the government has been criticized for not doing enough to prioritize health in the country.

"We do need good-quality hospitals. However regents or mayors who are successful will be those who have good hospitals but which are not full of patients. The many patients getting medical treatment at hospitals means a failure of the regents or mayors," Kalla said.

Health achievements could not be measured by the availability of good hospitals, he said. "However, good hospitals are necessary, because without them, the public cannot get good services," he added.

Meanwhile, Health Minister Siti Fadilah Supari, who accompanied Kalla, said Lumajang had been chosen to launch the program because it had been the only region to successfully prepare it in all of its 110 villages.

The program would eventually reach all areas in the country, Siti said, with a target of 30,000 new villages a year. It is targeted for completion in 2009.

Siti said the ministry had also established emergency service centers in nine provinces, including North Sumatra, South Kalimantan and North Sulawesi.

The centers would help the country anticipate natural disasters, she said.

http://www.thejakartapost.com/detailnational.asp?fileid=20061218.G01&irec=0
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

Bird Flu struck nine subdistricts in Aceh Utara

NAD did not have the extermination Fund


(Edit: NAD = Aceh)

Banda Aceh - the Livestock Breeding Service (Disnak) the NAD Province said nine from 22 subdistricts in Aceh North as the area infected by bird flu (avian influenza).

Beforehand, the Acehinese side North could say 11 from 22 subdistricts in the territory was affected by bird flu.

? We have dropped two teams off to do field investigation.
Results, nine subdistricts in Aceh North infected by bird flu, ? Kadisnak NAD words, Drh M. Nasir Guru Mud, yesterday.

According to him, the Disnak NAD side carried out several anticipatory steps in Aceh North like, biosekuriti, disinfektan the pen, the vaccination, counselling, sanitation, and sent the specimen to BPPV Medan.

Said, biosekuriti that only was not given to the infected area but also was given to all the regency/the city in NAD. Despite that, said Nasir, long before the Disnak NAD side sent all through Disnak the regency/the city so that more readied and was on the alert faced the possibility infected by bird flu in Aceh.

Answered the Veranda about the possibility of the mass extermination, the infected livestock or potential bird flu, Nasir Guru Mud appealed to the community to want to carry personally out the extermination.

?Apart from buried the chicken that died, the community also immediately reported to Disnak closest when having the chicken that died suddenly.
Let's cleanse our environment of the chicken carcass,? please him.

Said, the extermination was very positive to be done as the step interrupted the cycle avian influenza.

However, he said frank that Disnak NAD did not have the fund for that.

Because of this, if having the fund advance, he made a plea so that the Acehinese Regional Government North intervened for the extermination of the poultry that terindikasi and was proven infected by bird flu.

? But, must be distinguished whatever that bird flu and whatever that ND (Newcastle deases).In order to not emerge the new problem, ? he said.

? the Fund for the extermination of the chicken from Disnak NAD was not available.This really depended on the regency/their respective city.
So, the regency/the city if indeed this wanted to be done please for the fund advance that able to was done, ? he stated.


But, mentioned he, if money advance was not then the extermination for Disnak was not possible to be carried out.

Because, was not the same all the areas had the fund advance, at first because at this time gazed at the year end.

In relation to the occurrence of the case of bird flu in Aceh North, M. Nasir made a plea so that the community carries out the action B3K that is, after touching the chicken cleaned the hands with soap, cleaned the pen with disinfektan, gave the vaccination periodically, and penned the chicken apart from the residence.

?If that was done by us, I the feeling God Willing we will be avoided from the virus infection AI,? he said was accompanied drh Amiruddin, the Secretary Task Force Bird Flu NAD/Kasubdin Keswan Disnak NAD.

http://www.serambinews.com/index.php?aksi=bacaberita&rubrik=1&topik=15&beritaid=23308
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

Ask the Community to combat Bird Flu

The famous presenter, Tantowi Yahya, was concerned about the spreading of bird flu in the Motherland.

He assessed efforts that uptil now were carried out by the government in combatting the illness that deadly that was not yet maximal.
Still was found by cases of the bird flu illness in several areas.

The government did 'not yet make use of the community's components from all over the available foundations like the academic's route, the artist, the scientist, and the churchman in combatting the spread of this bird flu illness', he said after entertaining the spectator in the concert of 'Beat The Bird Flu', in Jakarta, on Saturday (16/12) the night.

He was convinced if all of the community's component was united, then the bird flu danger could be avoided.

He added the public figures more tended to be heard so as quite effective to campaign for the bird flu danger.

The artists, said the Palembang birth man, on October 29 1960, this, must want to participate if being given by the opportunity to be involved.
I this feeling that the first time involved the artist for the bird flu campaign.

The artist must want to be asked to co-operate waged war on bird flu, explained the singer who liked to sing out lyrics lawas this.
According to the leading figure's full sibling of the quiz, Helmi Yahya, this, bird flu was the problem together so as to need intensive efforts to combat him.

If 'we were still indifferent then would increasingly many falling casualties, then all of us must be on the alert',' said the man who had accepted the appreciation of the Singer Country & the most Good ballad illiterate-Sharp Awards 2001.

http://www.republika.co.id/kolom_detail.asp?id=276110&kat_id=18
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

Story from Central Java: (illegal) selling of chicken meat from dead chickens

GROBOGAN (KR) - After for a long time was suspected sold ?bangkai? the chicken, NY Yan (40), the chicken trader from the Large Village, the Wirosari District, the Grobogan Regency, on Monday (18/12) was caught by the official when selling 63 tails of the chicken carcass in the Market of Glendoh Street R Suprapto Purwodadi.

Whereas his friend, NY Tem, the citizen of the tusks Village, the Kuripan District, of the Purwodadi Subdistrict, succeeded in slipping away from the official's chase when would menyembelihkan 55 chickens died in the reduction house in the chicken (RPA) the Glendoh Market.

?Kedua him for a long time has been suspected by the official and the other chicken trader, because every time brought merchandise of the piece chicken always was wrapped the sack plastik,? said Kasi the Health of the Community and Veteriner (Kesmavet) the Office and Regency fisheries of the Livestock Breeding Service Grobogan drh Riyanto, to KR, yesterday.

According to him, the case of the trade in the chicken carcass was in the Glendoh Purwodadi Market solved when he received the telephone from an official of the market that informed had two traders of the piece chicken who brought his merchandise was wrapped the sack of plastic headed the RPA place the local market.

When being observed, the piece chicken that was brought by him that evidently already in the situation died.
?Bangkai the chicken was deliberate disembelihkan in RPA in order to seem this chicken died because disembelih,? Riyanto words.

After seeing the incident, his side immediately contacted Subregional Police Grobogan to together catch the suspect.
But unfortunately, when the official came, one including being successful meloloskan himself from the official's chase.

From the hands NY Yan, the official succeeded in pacifying 63 tails of the chicken carcass that already disembelih.

Whereas from the hands of the perpetrators who escaped, the official succeeded in pacifying 55 tails of the chicken carcass that still was intact.

For further investigation, NY Yan and the owner RPA NY Sati with the material evidence totalling 118 chickens died was pacified in Mapolres Grobogan.

According to Riyanto, this chicken carcass was it was suspected supplied from a trader from the Grobogan Subdistrict, was named Nar (35).

This chicken carcass was sold with the Rp price 2.000/ the tail.
After disembelih and was pulled out his hair, this carcass of the piece chicken could the behaviour between Rp 6.000-Rp 8.000/ekor.

Explained, piece chicken that came from the carcass if being sold in the form of raw appearance was seen was blue blackness, was juicy and had a fishy flavour.

So his side asked the community so that carefully if buying piece chicken in the public's market.
?Cuma the community will experience the difficulty if buying piece chicken that already in the situation matang,? more Riyanto.

That was worried, continued Riyanto, if this carcass of the piece chicken died because of being attacked by bird flu.

?Itu very dangerous if until was consumed by the community.
So I asked to Subregional Police Grobogan to become tangled complete this case.

Because although this case had the element of the deception and violated the protection of the consumer,? he stressed.
(
http://222.124.164.132/article.php?sid=107093
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

From Riau Province, Sumatra; After many complaints now compensation seems to be offered after culling:

Extermination compensation of the Poultry, the Government of the Centre prepared the Fund 30 billion

on Thursday, December 21 2006 Pekanbaru - the policy of the Government of the Pekanbaru City to not replace the poultry loss that was destroyed because of being suspected of being affected by the bird flu virus some time before,

Got serious attention from the member the Commission of IV DPR RI, Azwar Chesputra.Because, the government and DPR RI agreed to allocate the fund as big as Rp30 billion to replace the community's poultry that was destroyed.

This statement was sent by Azwar when doing the visit to one of the poultry farm regions in the Pekanbaru Lake Valley, on Wednesday (20/12).

The "policy of this government clear caused a loss to the community."
Because of not having the community that wanted to destroy his poultry, when the government did not prepare money for the replacement.

In fact the government of the centre with the agreement of DPR RI prepared the fund Rp 30 billion rupiah, and at this time just Rp 3 billion rupiah that was used, he explained.

Edit: 1 million Ind. Rupiah is about $ 109 . A chicken does between 10.000 rp ? 30.000 rp; Compensation offered between RP 8.000 and RP 12.500 .
RP 10.000 is a dollar and a few cents.


http://www.metroriau.com/index.php?option=com_content&task=view&id=9473&Itemid=43
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

Report from other Islands in Indonesia:

From West Nusa Tenggara (map attached)

BIRD FLU has been in NTB (= West Nusa Tenggara)

December 21st, 2006.

Mataram - the Spread of the bird flu illness (avian influenza or H5N1) has crept to five from nine areas regency-city se the West Nusa Tenggara (NTB).

His case attacked between the poultry To anticipate the spreading of bird flu from outside the area like Bali and Java, the instruction (SK) Governor NTB Nomor: 71 in 2004 about the refusal and the prevention of the inter-island poultry, the chicken rejected continued to be put into effect till at this time.

Moreover SK Governor NTB dated September 13 2006 that banned the sending of the livestock like the water buffalo, cattle, the goat from the Sumbawa island to the island.

Chilli also still was continuing to be put into effect.
This banning because of the Lombok island since 1997 then was stated as the safe area from the livestock illness, while P. Sumbawa was uptil now known as the endemic area tertular hemorrhagic septicemia.

Not only hemorrhagic septicemia, the Sumbawa island also often was found by the animal, cattle and the goat of the water buffalo livestock infected by the illness anthrax.

The section head Livestock Breeding of NTB Abdul Muthalib raised him when being found after the opening of the workshop of bird flu advocacy in Senggigi Lombok West, on Thursday (21/12).

? Every time was found in an area, immediately was done by the vaccination in fact the extermination,? he said.

Because of this, did not yet have a single citizen in the environment the affected poultry this bird flu experienced the spread.

The case of bird flu that was found this in part, in the Narmada Subdistrict, the Lombok Regency West was found to the chicken pedaging, in the Masbagik Subdistrict, the Lombok Regency East to the piece chicken, in the Donggo Subdistrict and the Subdistrict Sape the Bima Regency to the chicken talk to, in the Subdistrict RasanaE East and RasanaE West the Bima city to the chicken broiler and the duck.

The last case was found to the Bangkok chicken in the Praya Subdistrict, Lombok Middle, ?Kasus finally in Lombok Middle this has been positive H5N1, strangely only one case and had not emerged again,?said him.

The secretary of the NTB Nanang Samodra Area ask for was given by him the understanding to the community.Main him about the prevention and his spreading.

True information and accurate about bird flu really was needed to prevent expanded him the spread incident that could result in the panic.


http://lomboknews.wordpress.com/2006/12/21/flu-burung-sudah-ada-di-ntb/
 

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Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

Check on poultry trade

Dozens of tails of the Chicken from Manado Destroyed


Manado: As Many As 57 chickens were from Manado, North Sulawesi, that to be sold in the Ternate City, the North Moluccas, seized at the same time being destroyed by the official of quarantine.

This action was forced to be carried out in order to anticipate the entry of the virus avian influenza to Ternate.

Moreover North Sulawesi that very close with the North Moluccas currently was categorised as the area of bird flu of the danger.

http://www.liputan6.com/view/12,134527,1,0,1166801166.html
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

No region in Indonesia seems to be free from avian flu

Metrotvnews.com, Palembang: Hundreds Of chickens in a livestock breeding in Palembang died suddenly.

Expected, the death of hundreds of chickens because contaminated by the bird flu virus.

According to the owner of livestock breeding, Acip, before dying, hundreds of chickens could show the sign that was the same as the affected poultry the bird flu virus.

Responded to this case, the agricultural Service and local Livestock Breeding has taken the sample of the chicken died that afterwards was sent to the Laboratory Suspect Bird Flu in Lampung.
(
http://www.metrotvnews.com/berita.asp?id=30418
 

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Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

On Tuesday, December 26 2006 16:27:00

13 Central Javan areas the High Risk of Bird Flu

Magelang-RoL -- till at this time 13 from 35 regencies and the city in the Central Javan Province including the high risk infected by the virus attack Avian Influenza (AI) or bird flu, said Delegation of Unicef Central Java Tukiman Taruno.

"Including in the Magelang City because this area became one of the places" of the "trade" in the "poultry," he said in Magelang, on Tuesday, during Rakor Compilation Advocacy of the policy of the Prevention Work Program of Bird Flu.

He said, 13 areas were the Magelang City and Semarang, the Semarang Regency, Tegal, Banyumas, Sukoharjo, Wonogiri, Karanganyar, Sragen, Boyolali, Surakarta, Grobongan, and Klaten.

The high risk territory infected by bird flu, he said, the possibility could improve because of the AI case was klaster.

The Magelang city became one of the areas of the high risk of the bird flu attack because including the small city or measuring around 18 square kilometre with the number of inhabitants 136.548 souls and became the place of the poultry transaction from the other area.

http://www.republika.co.id/online_detail.asp?id=276781&kat_id=23
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

rapid test confirms positive
Palembang, Kompas - At Least 100 chickens died suddenly in the poultry farm of Street Purwosari Ii, the District of the Handle Hill, Palembang South Sumatra.
Be based on rapid test that was carried out on Monday (25/12) this chicken positive was infected by bird flu.
This chicken died was endless since Saturday till Monday.
According to the owner of Acip livestock breeding (45), the chicken that died suddenly did not show the sign was sick.
The chicken that was seen healthy in the afternoon, tomorrow morning immediately died.
After results of the test showed positive, the official with the owner of livestock breeding at once burnt these chicken carcasses
http://kompas.com/
25/12/2006 22:00 wib
Ratusan Ayam di Palembang Mati Akibat Flu Burung
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

Several - but not all ! - Indonesian newssites can not or hardly be reached. According to a posting on FW a sea cable was damaged by the recent earthquaiks. Could take several weeks to repair.
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

The Taiwanese earthquake disrupted Internet Access in Asia

Taipei,

The strong earthquake that happened in Taiwan damaged three underwater cables that connected the island with South-East Asia, Europe and the United States (the USA), had an impact on millions of users of the internet and the telephone all over the Asian corner, on Wednesday.

Chunghwa Telecom Co, the Taiwanese company of the monopoly telecommunications, activated the reserve system and depended on two underwater cables that remained.
"Improved the underwater cable will need time around two till three weeks," said the Spokesperson Chunghwa Telecom the Route Gen-hung in a press conference.

Damage to the cable under sea substantially delayed continuation of the internet in China, that had more than 100 million users, and had an impact on the foreign site.

The service was "disrupted", said the Spokesperson China Netcom in Beijing to Deutsche Presse-Agentur, on Wednesday.
The kite was also disrupted in Hong Kong, Thailand and in Singapore, the service provider's words Hub cataracts and Singapore Telecommunications.
SingTel said that his underwater cable that was connected with Europe was unaffected.

In the meantime, resulting from the earthquake in Taiwan, the internet connection that was provided by Telcom experienced the great blow.80% his capacity had problems.

For relations to international, Awaludin said, Telcom used the route SingTel the Exchange Internet (STIX) and Dumai-Malacca the Exchange Internet (DMCS).

The Jakarta-Singapore connection, he said, reached 4 x 155 Mbps, whereas from Jakarta-Malaysia reached 2x155 Mbps.

The problem is, said Awal, Indonesia and Singapore all of them carried out the connection to Hong Kong to head towards the United States.
For the requirement for Hong Kong had three landing point, that is in Taiwan, South Korea and Japan.

SingTel, continued the Beginning, promising will have the improvement in time 12 hours.
(
http://www.analisadaily.com/
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

Also from the above presentation...

The next slide (#8) is titled:

24 YRS OLD MALE, IDU, UNCLE OF CONFIRMED CASE, CONTACT WITH CONFIRMED CASE

It's not clear to me who this is -- or if we know about him. Does "IDU" ring a bell with anybody?

The slide gives some medical stats for the patient from one day to the next (April 22, 2006 & April 23, 2006) which show how quickly the patient declined. :(

http://www.avianinfluenzaconference...ions/Session_1.2/Indonesia_-_Presentation.pdf
 
Just a guess...

Just a guess...

This case of an HIV-infected person poss also being infected with H5N1 is described as a 24 year-old male, the uncle of a confirmed case who had contact with that confirmed case.

Just a guess -- going through the WHO's list of confirmed cases from April -- there was the case of "a 20-month-old girl who resided in Kapuk, West Jakarta" who, sadly, died on March 23, 2006.

http://www.searo.who.int/en/Section10/Section1027/Section2095/Section2176_11637.htm

She doesn't have to have been the HIV patient's niece, but the ages would fit (for an uncle and a niece, I mean).
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

Theresa42 said:
Also from the above presentation...

The next slide (#8) is titled:

24 YRS OLD MALE, IDU, UNCLE OF CONFIRMED CASE, CONTACT WITH CONFIRMED CASE

It's not clear to me who this is -- or if we know about him. Does "IDU" ring a bell with anybody?

The slide gives some medical stats for the patient from one day to the next (April 22, 2006 & April 23, 2006) which show how quickly the patient declined. :(

http://www.avianinfluenzaconference4.org/fileadmin/user_upload/PDF_Uploads/presentations/Session_1.2/Indonesia_-_Presentation.pdf


Good catch, Theresa42. This appears to be a previously unreported case.
Slide #3 points to Tangerang. The presenter may have verbally identified the discussed cases from these areas. Below are two WHO confirmed cases from April 2006 both from Jakarta and both died. It is not clear how IDU could be an uncle to either one of these individuals, but I am not familiar with the kinship terminology in Indonesia. IDU could be an "uncle" to one of these cases. In slide #7, it notes that all three HIV(+) patients suspected with AI died. IDU presumably is one of those individuals.

Here is the listing for two WHO confirmed cases in Indonesia in April.


Case Listing
Friday, December 29, 2006
_______________________________________________________________________________________
caseid: 123
Country: Indonesia
City and Region: Tangerang, Greater Jakarta (West)
Name:
Sex: M
Age: 24
Symptom onset: 3/29/2006
Hospital Admission: 4/5/2006
Death: 4/8/2006
Outcome: D
WHO confirmed: Yes
Relation:
Cluster
Hyperlink
4/19/2006
http://www.who.int/csr/don/2006_04_19a/en/index.html

_______________________________________________________________________________________
caseid: 124
Country: Indonesia
City and Region: Jarkarta
Name:
Sex: M
Age: 30
Symptom onset: 4/17/2006
Hospital Admission: 4/21/2006
Death: 4/26/2006
Outcome: D
WHO confirmed: Yes
Relation:
Cluster
Hyperlink
5/8/2006
http://www.who.int/csr/don/2006_05_08/en/index.html
7/10/2006
http://online.wsj.com/public/resources/documents/retro06-avfludeaths-country.html
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

Thanks, Al! Knew you'd have the patient info at hand. :)

At this point it's obviously not clear who was the nephew/niece of 'IDU' -- but at least we're now aware of another possible family cluster.
LaidbackAl said:
It is not clear how IDU could be an uncle to either one of these individuals....
Well, you never know -- the ages are pretty close and even though these two individuals are older than IDU, he still could have been an uncle to either of them. I have an example from my very own family where one of my great-aunts is only one year older than one of my uncles (i.e. her nephew) -- the blending of generations is one by-product of large families! ;)
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

With thanks to BlueJay for suggesting this family connection in the first place! Hat-tip, also, to BlueJay for the machine-translation...

The 23/24 year-old, HIV-pos uncle who had contact with a confirmed H5N1 patient and who also died was Fahmi Fajar -- uncle of Bondan Adirama:
machine translation Indonesian-English:

The Jakarta Citizen Again became casualties Burung
24/04/2006 13:56

Fahmi Fajar, the citizen of Kebon Nanas, East Jakarta, died in RS Persahabatan. The uncle of Bondan Adirama, that was killed with the assumption of bird flu, this contracted sinusitis and the inflammation of the heavy lungs.

Liputan6.com, Jakarta: The Virus H5NI still threatened the citizen of the Capital. Fahmi Fajar, the assumption patient of bird flu died in the Friendship Hospital, Jakarta East, Ahad (23/4) nights. Casualties were the deceased's uncle Bondan Adirama that also was killed because of the assumption of bird flu [read: the Patient the Assumption of Bird Flu of dying ran out of Oxygen].

Fahmi that was 23 years old lived in the Keban Nana`s region, East Jakarta. He closed xPRONposs eyes after taking medicine around ten days in three hospitals in Jakarta. Adriani Sofie, said her husband experienced the sign similar to bird flu like hot and breathless since April 11 set. Because also did not improve, the Dawn left the Budhi Asih regional Public Hospital and the Tebet Hospital as well as to the patient of bird flu reconciliation to RS the Friendship.

The doctor's diagnosis showed the Fajar contracted sinusitis and the inflammation of the heavy lungs. The family did not yet accept results of the sample laboratory of blood and his body fluids.

http://www.liputan6.com/view/3,121679,1,0,1145904777.html
I noticed on slide #9 -- the X-rays -- that someone had handwritten Fa. Fahmi on the second X-ray...

http://www.avianinfluenzaconference...ions/Session_1.2/Indonesia_-_Presentation.pdf

So, here we do, indeed, have another poss family cluster.
 
Re: INDONESIA - BF 11/24+

Re: INDONESIA - BF 11/24+

I don't think Bondan Adirama is a WHO confirmed case. Note that the 5 year-old died on March 20, 2006.
 
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