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INDONESIA - Garut Cluster PART I

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Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Commonground said:
It's those 3 fatal cases in Garut in which no samples were taken that have me curious. They could at least come out with who they were and what connection (if any) they had to the others. Thanks for laying it all out nicely for everyone to follow. I appreciate it.

No samples from dead and buried patients is probably all that will come out unless a contact develops symptoms.
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Unless they tell us otherwise - then I have to consider there is a link there somewhere. If there was no link, they would say so. Or would they???? Good Grief Charlie Brown......:confused:
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Commonground said:
Unless they tell us otherwise - then I have to consider there is a link there somewhere. If there was no link, they would say so. Or would they???? Good Grief Charlie Brown......:confused:

They are only linked in time and space.
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

17 August 2006
The Ministry of Health in Indonesia has confirmed the country?s 58th case of human infection with the H5N1 avian influenza virus.
The case occurred in a 9-year-old girl from a remote village in Garut district, West Java Province. She developed symptoms on 1 August, was hospitalized on 14 August, and died on 15 August. Recent chicken deaths were reported in her household.
Three hamlets within the village are currently under investigation. An additional case from the village, but from another hamlet, was confirmed by the Ministry of Health on 14 August. This 17-year-old male developed symptoms on 26 July and is now recovering. Another death from severe respiratory disease occurred on 5 August in a 20-year-old neighbour, who is also now known to be a cousin. As no samples were taken for testing, the cause of his illness remains uncertain. Based on epidemiological and clinical findings, however, infection with the H5N1 virus is strongly suspected.
As both young men developed symptoms on the same day (26 July), epidemiologists assume that they acquired their infection from a shared environmental source. The currently recognized incubation period for H5N1 infection of 2 to 8 days makes human-human transmission between the two highly improbable.
Teams from local health authorities, the Ministry of Health, and WHO are currently in the three hamlets investigating these cases and assessing the overall situation. Team members include experts in animal health. Recent die-offs of poultry are known to have occurred in the village, and all three cases described above had documented exposure to diseased chickens.
Heightened awareness in the hamlets, supported by the presence of well-equipped teams, has led to the presentation of additional persons for medical evaluation. Specimens have been taken and tests are being conducted. Rumours of additional deaths from respiratory disease in the hamlets in late July and early August are also being investigated.
Although the village is remote and access by road is difficult, good communications from the field have been established with the Ministry of Health and WHO.
Of the 58 cases confirmed to date in Indonesia, 45 have been fatal.


http://www.who.int/csr/don/2006_08_17/en/index.html
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Translation of article posted by TreasureIslandGal - at 13:31 (toggletext):
I remember reading that they transpose the genders. Call someone a he (when it?s a she).

Euis, the citizen of the Jojok Village, the Cikelet Village, the Cikelet Subdistrict, Garut, West Java, died in the Garut regional Public Hospital, on Thursday (17/8) around struck 22. 30 WIB. he it was suspected died because terinveksi the bird flu virus. Euis was the mother from Ai Siti the message, the patient suspect bird flu that died, two the previous day. He entered RSUD Garut, around struck 21. 00 WIB. With the Euis death, till at this time has two people that died in Kamung Jojok it was suspected resulting from the virus H5N1. Umar, the neighbour late was stated positive terinveksi the bird flu virus. However, Umar at the request of the person of the host was not prepared to be treated in the hospital

http://www.metrotvnews.com/berita.asp?id=22441
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Posted by Niman at 1:36:

"Although the village is remote and access by road is difficult, good communications from the field have been established with the Ministry of Health and WHO."

This is just the type of scenerio that I've always been afraid of.....:eek:
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Siam, Dr. Niman had us at 8 and this would make 9. At least that's what I think. Maybe I'm wrong.
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Commonground said:
Translation of article posted by TreasureIslandGal - at 13:31 (toggletext):
I remember reading that they transpose the genders. Call someone a he (when it’s a she).

Euis, the citizen of the Jojok Village, the Cikelet Village, the Cikelet Subdistrict, Garut, West Java, died in the Garut regional Public Hospital, on Thursday (17/8) around struck 22. 30 WIB. he it was suspected died because terinveksi the bird flu virus. Euis was the mother from Ai Siti the message, the patient suspect bird flu that died, two the previous day. He entered RSUD Garut, around struck 21. 00 WIB. With the Euis death, till at this time has two people that died in Kamung Jojok it was suspected resulting from the virus H5N1. Umar, the neighbour late was stated positive terinveksi the bird flu virus. However, Umar at the request of the person of the host was not prepared to be treated in the hospital

http://www.metrotvnews.com/berita.asp?id=22441

I believe the article indicates the mother of the 9 year old girl has died, which would raise the cluster to 9
 
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Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Dr. Niman, the commentary at 11:33 counted 8, thus the mother would make 9. I'm not talking about the total in Indo for the month. Just this cluster.
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Commonground said:
Dr. Niman, the commentary at 11:33 counted 8, thus the mother would make 9. I'm not talking about the total in Indo for the month. Just this cluster.

Yes, I corrected ny post to 9, but now one other the recent admissions (6F) has also died,

The death of the 6 year was a misread

so the total dead is now 6 (one alive at home, and two alive but in critical condition - the high death rate, 6/8 outcomes, strongly indicates all were H5N1 infected).

This situation is getting very bad very fast.
 
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Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

niman said:
Bird flu continued to be contagious in Cikelet, GarutBandung -- MIOL: Bird Flu was contagious in the Jojok Village, the Cikelet Village, the Cikelet Subdistrict, the Garut Regency, for a last week.Two citizens Cikelet, Ismawati, 5, and Santi, 6, was run off with to RSHS Bandung, with the clinical sign similar to bird flu.


</PRE>

http://www.mediaindo.co.id/berita.asp?id=109090


</PRE>



Bird flu continued to be contagious in Cikelet, Garut the writer: Sugeng SumaryadiBandung --

MIOL: Bird Flu was contagious in the Jojok Village, the Cikelet Village, the Cikelet Subdistrict, the Garut Regency, for a last week.Two citizens Cikelet, Ismawati, 5, danSanti, 6, was run off with to RS Handsome Sadikin (RSHS) Bandung, with the clinical sign was similar to bird flu.I

smawati could be treated for half of the hour in RSUD Dr Slamet, Garut, on Wednesday (16/8) and immediately was reconciled to RSHS, because his condition was critical enough.Whereas Santi, on Thursday (17/8), around struck 15.00 WIB, was brought from his house to immediately was treated in RSHS Bandung.Beforehand, two citizens Cikelet, Ai Siti Aminah, 9 and Umar, 14, was ascertained positive tertular the bird flu virus.Ai died, on Monday (14/8) after a day was treated in RSUD Dr Slamet, whereas Umar was successful was helped, and his condition continued to improve.

The "team from the Department of the Health and the Department of Agriculture has descended to Cikelet to do observation and the action."If being proven by all the patients suspect bird flu evidently positive, this the case of the plague of first bird flu that happened in Cikelet, explained Director RSUD Dr Slamet Yati Maryati, on Thursday.

Yati said, two casualties suspect new bird flu, the close neighbour casualties Ai Siti Aminah.Both of them also it was known attended the Ai funeral, that was his playing friend.

During the funeral, was learnt the case and Ai plastic of the body wrapper were opened by his family.The coffin that was not used to put casualties's body into the hole lahat afterwards was destroyed by means of being burnt.

On the other hand, Yati said, at this time RSUD Dr Slamet only had two beds in space of the isolation of the bird flu sufferer.Because of this, if the patient suspect bird flu spread, they must be reconciled to RSHS Bandung."Moreover, medical equipment that was had by us also limited."

Therefore, we continued berkordinasi with the doctor the Pamengpeuk Community Health Centre, if the condition for the heavy patient was at once brought to RSHS and if light to RSUD Dr Slamet, he said.(SG/OL-02).
</PRE>
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Dr. Niman, I don't see an article stating the 6 yr old died? Did I miss it?:confused:
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Not good.....

From Niman at 4:52:

On the other hand, Yati said, at this time RSUD Dr Slamet only had two beds in space of the isolation of the bird flu sufferer.Because of this, if the patient suspect bird flu spread, they must be reconciled to RSHS Bandung."Moreover, medical equipment that was had by us also limited."
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Commonground said:
Dr. Niman, I don't see an article stating the 6 yr old died? Did I miss it?:confused:

I have edited that. I was a comment that I misread indicating that the 6 year old died, but the comment actually read that the six year old was a neighbor of the 9 year old who died.
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Dr. Niman, that's understandable. Today has been one heck of a day. Hope tomorrow calms down......
 
Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Commonground said:
Dr. Niman, that's understandable. Today has been one heck of a day. Hope tomorrow calms down......

I don't expect a slowdown. It looks like H5N1 has changed.
 
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