INDONESIA - Garut Cluster PART I

HenryN · Aug 17, 2006

Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Liputan6.com, Garut: followed the discovery of two tails of the positive poultry bird flu, the Garut Service of Regency Livestock Breeding destroyed all the available poultries in the Rancasalak Village, the Cikelet Village, the Garut Regency, West Java, not long ago.
According to Andi the blessing, the Section Head local Livestock Breeding, the poultry that was destroyed was in a radius of three kilometre from the place of the poultry that terjangkit the virus avian sub-type influenza H5N1.
With help of the citizen, all the poultry that was gathered was brought to the place of the extermination during afterwards disembelih.
Further the poultry was put into a hole to be burnt.
Hoped for in three months in front of the Rancasalak Village freest from the poultry.
Umar, the citizen of the Rancasalak Village that bolted from Slamet's regional Public Hospital chose to take medicine traditionally to his father.
The father Umar was sure medical treatment that was carried out will produce results.
Be proper for a doctor, he the routine checked the Umar pulse.
Although still was sick, Umar already beraktivitas as usual.
Umar only one day was treated in RSUD Slamet.
Umar bolted from the reason hospital for his family felt the difficulty at a cost of transport that must be spent while undergoing the maintenance.
The Umar escape was regretted by several sides, because the adolescent was 14 years it was suspected old contracted bird flu.
The team of the doctor still necessary the research more far to ascertain the Umar illness kind [read: Menkes regretted the Patient Bird Flu Force came home

http://www.liputan6.com/view/7,127645,1,0,1155868979.html

Theresa42 · Aug 17, 2006

Ismawati (5) and Ai Siti (9 yr-old that died) cousins/Umar's history includes travel

Ismawati (5) and Ai Siti (9 yr-old that died) cousins/Umar's history includes travel

toggletext-ed from Indonesian:

"Suspect? Bird Flu in Garut Bertambah
August 18, 2006

Garut, (PR). - Suspect bird flu in Kab. Garut improved. After Umar and Ai Siti, this time that was stated suspect, was Ismawati (5), the citizen of the Jojoh Village, the Village and the Cikelet Subdistrict, Garut. Because his condition was serious, Ismawati, was reconciled to RSHS Bandung. Casualties had been checked and treated for 18 minutes in RSU Dr. Slamet Garut.

However on last Thursday, Ismawati (5), that since Wednesday early afternoon (16/8) was treated in RSHS Poinciana Tree space, his condition improved. Ismawati was the cousin Ai Siti the message (9) that died in RSUD Dr. Slamet Garut as a result of being infected by the bird flu virus. "He has not been crowded and did not need the ventilator again," said the Head of the Room of the Poinciana Tree of RSHS Bandung, Block Rasmita, when being asked by the Ismawati condition.

Ismawati experienced the fever since Tuesday (15/8) at midnight ended paid a condolence call to the Ai house that his house only be stuck to 100 metre. Resulting from the fever and crowded, the local community health centre doctor referred to RSU Dr. Slamet Garut that at once took Ismawati to RSHS Bandung.

The patient's father, Pendi (32) claimed to be him with his wife, Omay (27) and the daughter the three of them that, paid a condolence call to the Ai house, on Tuesday (15/8) at midnight. A return from there, his daughter was feverish and breathless. He admitted to having several tails of the kept poultry, but not there are those that died suddenly. "If the chicken had my older brother (parents Ai, red) indeed a last week had 20-30 tails that died suddenly," he said.

According to the Head of the Field RSU Garut of the Medic's Service Dr. Widjajanti Utojo, like that entered RSU Garut, the Ismawati condition has been serious. Moreover more serious from other bird flu patients who had entered isolation space. When being checked, the temperature of his body 39.2 levels celcius. Aggravated again with the cough and breathless difficult.

"His breath achieved 64 times per the minute. In fact normal him, for children an age he, 24-28 times per the minute," he said. That was the reason, RSU Garut reconciled him to RSHS Bandung. Widjajanti said, Ismawati needed equipment that was complete enough.

Depopulasi

On last Thursday (17/8), the Garut Regent of H. Agus Supriadi said to avoid expanded him the spreading of bird flu, Tim [team] Depopulation of the Poultry has destroyed 165 poultries in Cikelet. The "government gave compensation to the community that his poultry was destroyed," he said, after taking part in the ceremony of RI Independence of the HUT warning in the Garut town square. To 165 poultries that didepolasi was 38 ducks, 18 entog and 111 chickens.

The team has also carried out the vaccination and spraying disinfektan in the close area with the location suspeck bird flu. This activity, said the regent, was carried out in Kp. Cipicung RT 04/09 against 183 tails of the poultry, Kp Tipar RT 01/09 (139 tails), Kp. Binong RT 01/09 (117 tails) and Kp. Cihanja RT 03/09 (138 tails).

The section head Livestock Breeding, fisheries and Marine Garut Ir. H. Andi the Blessing said, was not yet known from where from the bird flu virus that attacked Cikelet. The "team was still carrying out investigation." Information that was received now, one of the citizens that has been positive bird flu, Umar, often went to several cities on a trip, said the Garut Regent.

Concerning the origin of the bird flu virus that infected the citizen Cikelet it was hoped could have been known as soon as possible. The afternoon yesterday Tim [team] Department of Health was doing sequencing this virus. "Later just detected precisely his spread from where, the animal or humankind. But was thought by me from the animal, because H5N1 him came from the animal," said Menkes Siti Fadilah Supari, on Thursday (17/8).

According to menkes, the bird flu infection in Garut, was different to the virus that could infect 6 people in Karo, North Sumatra, the previous month. The "infection in Garut was different to the infection in Karo and the infection in Bekasi. From the virus from the poultry, but his virus the Garut virus gitu," said menkes.

http://www.pikiran-rakyat.com/cetak/2006/082006/18/0106.htm

Theresa42 · Aug 18, 2006

Ismawaiti (5)

Ismawaiti (5)

Poor little guy...
http://www.pikiran-rakyat.com/cetak/2006/082006/18/02a.htm

Theresa42 · Aug 18, 2006

2 Avian Flu Cases Confirmed in Indonesia

2 Avian Flu Cases Confirmed in Indonesia

August 18, 2006
2 Avian Flu Cases Confirmed in Indonesia
By DONALD G. McNEIL Jr.

A new cluster of avian flu cases has broken out in another remote Indonesian village, according to local reports from Indonesia, some of them confirmed by the World Health Organization yesterday.

Two cases in Cikelet village in the Garut District of West Java Province have been confirmed by laboratories approved by the health organization, becoming the country?s 57th and 58th avian flu cases. One patient died. Indonesia has now had more deaths, a total of 45, from the disease than any other country.

Infection with the A(H5N1) virus is also ?strongly suspected? in a cousin of the villager in the 57th case. The cousin died before samples could be taken, the health organization said.

Beyond those three, reports by local news services and radio stations, translated and posted on Web sites like flutrackers.com, suggest that up to eight villagers have had severe flu symptoms in recent weeks. Some died before the first victim to be tested fell ill on July 26, and one left the local hospital because he could not pay, the reports said.

Dick Thompson, a spokesman for the health agency in Geneva, said he knew of no cases beyond the two confirmed and one suspected. ?But it?s going to take a while to figure out what?s going on,? he added. So far, he said, there is no evidence of human-to-human transmission, ?but it?s the early part of the investigation.?

The case confirmed yesterday, No. 58, involved a 9-year-old girl who became ill on Aug. 1 and died Tuesday.

http://www.nytimes.com/2006/08/18/world/asia/18flu.html

Theresa42 · Aug 18, 2006

More on Santi...

More on Santi...

toggletext-ed from Indonesian:

The patient the Assumption of Bird Flu in RSHS improved
August 18, 2006

The assumption patient of bird flu in the Handsome Sadikin Hospital improved. Santi, villagers Cikelet, the Tipar Village, the Cikelet Subdistrict, Garut, West Java was reconciled Doctor's Public Hospital Slamet Garut to RS Handsome Sadikin Bandung, on Wednesday night (17/8). After being checked for a hour in the Intensive Care Unit, Santi was at once isolated in Poinciana Tree Space.

According to casualties's uncle, Santi the fever and the cough for 20 days. [!!] The condition for the child was eight years old never improved. A month before his nephew was sick [Santi's brother?], more the uncle, many chickens died suddenly around Santi's house.

RS Handsome Sadikin at this time treated two patients of the bird flu suspicion from Garut. The patient beforehand was named Ismayati, the citizen of the Jojoh Tipar Village, Garut. Ismayati came with the condition for the high fever to achieve 38.6 Celsius levels [read: the Patient the Assumption of Bird Flu was reconciled to Bandung].

Apart from the two patients, a citizen of the Rancasalak Village, Cikelet is named Umar also currently was stated positive was infected by the virus avian influenza. The adolescent was 14 years old refused to be treated in the hospital and chose traditional medical treatment.

http://www.liputan6.com/view/7,127646,1,0,1155882133.html

Nancy · Aug 18, 2006

Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

I gather this refers to the mother of the little girl Ai Siti. This article acknowledges a total of seven in the cluster.

Jakarta Post,
August 18, 2006

Woman dies of suspected bird flu

JAKARTA (AP): An Indonesian woman died of suspected bird flu in a village that has been hard hit by the disease, a hospital official said Friday, as health workers investigated a new possible cluster of the H5N1 virus.

Euis Lina died Thursday night - three hours after being admitted to Dr. Slamet Hospital in West Java province with symptoms of bird flu, said Yati Maryati, the hospital's director, who was awaiting laboratory test results to see if she had contracted the virus.

The woman was from Cikelet, a village 150 kilometers (90 miles) southeast of the capital Jakarta, where at least one person was killed by the disease and another sickened. Four other people died before tests could be taken to see if they had birdflu.

The H5N1 virus has killed at least 140 people worldwide since it began ravaging Asian poultry stocks in late 2003 - 45 of them in Indonesia, the world's worst affected country, according to the World Health Organization. (**)

http://www.thejakartapost.com/detaillgen.asp?fileid=20060818125149&irec=0

colormyquilt · Aug 18, 2006

Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

In Dr. Niman's post at 1;36 pm yesterday, in re: to the 9 year-old girl "developing symptoms on 1 August, being hospitalized on 14 August, and dying on 15 August", it seems like a long time between onset and hospitalization- as compared to times reported for other cases. I guess I am thinking what were the actual reported symptoms for 1 August. And what were they when she was taken to the hospital?

Theresa42 · Aug 18, 2006

A little more on Euis Lina (32F)

A little more on Euis Lina (32F)

toggletext-ed from Indonesian:

Again, the Citizen Cikelet was suspected of dying because of Bird Flu
August 18, 2006

The writer: Sugeng

Bandung -- MIOL: A citizen of the Cikelet Subdistrict, the Garut Regency on Thursday night (17/8) died it was suspected because of bird flu. Casualties Euis Lina, 32, the citizen of the Pasir Gambir Village, the Cigadok Desa was brought to RSUD Dr Slamet Garut, around 22.50, and died several minutes after getting medical help.

The Euis death increased the long list of the person who died it was suspected because of bird flu in the Cikelet Subdistrict. Beforehand, Ai Siti Aminah, 9, that was ascertained terjangkit the bird flu virus died, on Monday (14/8) after one day was treated in RSUD Dr Slamet.

An other patient, Umar, 14, also was stated positive bird flu. However, his spirit could be rescued, and till yesterday his condition continued to improve.

Now two other casualties, Ismawati, 5 and Santi, 6, both of them the citizen of the Jojok Village, the Cikelet Village, was run off with to the Handsome Sadikin hospital (RSHS) Bandung, on Thursday (17/8).

Both of them experienced the clinical sign similar to the patient that terjangkit the bird flu virus, that is hot high and breathless.

The fall of the casualties has in this Cikelet Subdistrict become attention of the Department of the Health and the Department of Agriculture, that has dropped the team to this territory, since Thursday off.

"At this time, 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, then this was the case of the plague of first bird flu that happened di Cikelet," explained Director RSUD Dr Slamet Yati Maryati.

Yati said, two casualties suspect Santi's bird flu and Ismawati were 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 stated.

http://www.mediaindo.co.id/berita.asp?id=109141

Theresa42 · Aug 18, 2006

Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

toggletext-ed from Indonesian:

Again, the Bird Flu Patient from Garut died
August 18, 2006

A bird flu patient died in Garut, West Java, on Thursday night (17/8). Casualties who could be treated in the Garut hospital were named Euslina, 35 years. Therefore, there were two villagers Cikeuleut, Pameungpeuk, of Garut, that died with the assumption of bird flu in a last week [read: the Bird Flu Patient in Garut died].

Including Euslina, there were five Garut citizens that terjangkit bird flu. Santi, the inhabitants of the Jojok Village, Garut, was run off with to the Handsome Sadikin Hospital, Bandung, West Java, last night. The girl eight years were isolated in Poinciana Tree Space to dirawatan more intensive [read: the Patient the Assumption of Bird Flu in RSHS improved].

Was different to Santi, Umar that also was sentenced suffered bird flu chose to come home because of not having the cost. The Umar condition a little fresher in the Aud maintenance, his father. Be proper for the doctor, Aud checked Umar with the stethoscope and gave medicine from the traditional ingredients that was believed in could cure bird flu.

As far as this is concerned, the number of bird flu patients in Indonesia reached 61 people. Now the patient that died 48 people. This was the highest figure of the bird flu patient in the world for the last one years.

To anticipate fell casualties more, the Government of the Dairi Regency, North Sumatra, destroyed approximately seven thousand poultries in two subdistricts. This extermination was carried out after a week set several poultries died suddenly. His plan the citizen will be given by Rp compensation 12.500 per the poultry.

Officially Dairi Regency Livestock Breeding gathered poultries belonging to the citizen in five villages around the Sidiangkat Village -- the place of several poultries was found died suddenly. Was not difficult to gather poultries because the voluntary citizen gave the chicken and kept birds to be destroyed. The chicken and the birds were destroyed in the Sidikalang Subdistrict that be at a distance 10 kilometre from the Tualang Village. The extermination of the poultry will continue to be carried out in the region that was located in a radius of one kilometre from the village that was expected to endemi bird flu.

http://www.liputan6.com/view/3,127660,1,0,1155886747.html

HenryN · Aug 18, 2006

Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

<TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD>Indonesia: Bird flu cluster fears

JAKARTA, Indonesia (AP) -- An Indonesian woman died of suspected bird flu in a village that has been hard hit by the disease, a hospital official said Friday, as health workers investigated a new possible cluster of the H5N1 virus.
Euis Lina died Thursday night -- three hours after being admitted to Dr. Slamet Hospital in West Java province with symptoms of bird flu, said Yati Maryati, the hospital's director, who was awaiting laboratory test results to see if she had contracted the virus.
The woman was from Cikelet, a village 150 kilometers (90 miles) southeast of the capital Jakarta, where at least one person was killed by the disease and another sickened.
Four other people died before tests could be taken to see if they had bird flu.
The H5N1 virus has killed at least 140 people worldwide since it began ravaging Asian poultry stocks in late 2003 -- 45 of them in Indonesia, the world's worst affected country, according to the World Health Organization.

</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD></TD></TR><TR><TD bgColor=#cccccc>

</TD></TR><TR><TD></TD></TR><TR><TD></TD></TR></TBODY></TABLE>
<TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD class=font-cn></TD></TR><TR><TD class=font-cn>Find this article at:
http://edition.cnn.com/2006/HEALTH/conditions/08/18/indonesia.birdflu.ap

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

HenryN · Aug 18, 2006

Re: INDONESIA - Garut Cluster

Re: INDONESIA - Garut Cluster

Metrotvnews.com,

Bandung: the Handsome Hospital of Sadikin Bandung again treated the patient suspect bird flu.

The patient was eight years old came from the Jojok Village, the Cikeuleut Village, the Garut Regency, West Java.Santi was beforehand treated in the Garut regional Public Hospital.Santi that was carried by making use of the ambulance belonging to RSUD Garut arrived in RSHS Bandung, on Thursday night (17/8).

After being checked by the doctor the Intensive Care Unit, the patient afterwards at once was treated in the special room in Poinciana Tree space.The daughter of the couple Iwan and the Shuttle Comb this all the time cried when being checked.

According to Ade Sarip, the patient's uncle, his nephew experienced the sign was sick with the temperature of the high body and the cough that continually for 20 days.

Apart from Santi, today, two patients suspect bird flu also entered RSHS. they were Ismawati (5) and Eti that was 35 years old.

Both of them a village with Santi from the Jojok Village.Therefore, there were three patients suspect bird flu that currently is treated in RSHS Bandung.

Now the patient suspect bird flu was named Euis Lina from the Cikeuleut Village it was reported died.

Casualties could only receive the maintenance one hour in RSUD Garut.The woman was 35 years old finally died.

Casualties had the sign of the high fever was accompanied by the cough, as being proper for the patient of the bird flu virus.Several the previous day casualties's child, Dea, was nine years also old died.

However, Dea was in no way treated in the hospital.According to the citizen, casualties's child also had the same sign like his parents's illness, Euis.In this way, in the Jojok Village, at this time has three people died resulting from suspect bird flu, Ai Siti Aminah, Dea and Euis Lina.

The Jojok village, the Cikelet Village was in south the Garut capital that his distance more than 100 kilometre.To head the Jojok Village, the road headed this village could be only followed with the wheel two.Now for the wheel four only could be followed by the vehicle bergardan or the jeep.

Most of the inhabitants's livelihoods of this village were farming and the worker.For the Jojok community, maintained the chicken was farming and the worker.

For the Jojok community, maintained the chicken was the family's tradition for generations.

The condition for the house on stilts belonging to the citizen indeed really enabled to maintain the chicken.
The chicken coop was placed under their house on stilts.

Several days behind, the Jojok Village was stirred up with the existence of the citizen who died resulting from bird flu, Ai Siti Aminah and Euis Lina as well as Dea.

Now one of the citizens, Umar that was proven was infected by bird flu still lived in this village.
Without the clear reason, parents Umar, Aup refused his child was treated in the hospital.
Beforehand Umar could be treated in RSUD Garut.
(DEN)

http://www.metrotvnews.com/berita.asp?id=22463

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HenryN · Aug 18, 2006