INDONESIA - Garut Cluster Part II

Harriet · Aug 18, 2006

Indonesian woman dies of suspected bird flu

More JAKARTA, Aug 18 (Reuters) - A 35-year-old woman with bird flu symptoms from an Indonesian village which has seen a number of other confirmed or suspected cases of the disease in humans has died, a hospital official said on Friday.

But a government official denied that the cases in the West Javan village of Cikelet, described by officials as rife with the H5N1 virus, pointed to a possible new cluster case.

"Last night a patient was referred by a doctor in Garut with symptoms of suspected avian influenza such as breathlessness and high temperature, so we isolated her and planned to send her to Bandung hospital," said Yogie Prayogi, spokesman at Dr Slamet Hospital. "But she died before we could bring her".

He said that blood samples had been sent for testing.

A 9-year-old girl from Cikelet, which is in the Garut region, died of bird flu this week according to two local tests, taking Indonesia's confirmed toll from the disease to 45, the highest of any country.

A 17-year-old youth from the remote village, actually a number of hamlets, about 90 km (55 miles) south of Bandung, has also tested positive for H5N1, but he has stayed at home after refusing to be hospitalised.

Another man also died this month with bird flu-like symptoms but samples could not be taken.

Bayu Krisnamurthi, head of the national committee on Avian Influenza Control and Pandemic Preparedness, said authorities were monitoring the 17-year-old at his home and there was no sign of infection among his family members.

He said that a 5-year-old girl and a 6-year-old girl suffering from bird flu symptoms had also been taken to hospital after house-to-house checks in the village.

But he said that there was no evidence of human-to-human transmission.

"All the cases are not clusters because they are from different hamlets," he said by telephone.

The official said that up to Thursday about 3,800 birds had been culled in the village area.

Indonesia has seen a steady increase in human bird flu deaths this year and the virus is endemic in poultry in nearly all of the provinces of the sprawling archipelago.

The country, which has been criticised for not doing enough to stamp out H5N1, has shied away from mass culling of poultry so far citing the expense and the logistical difficulties given the millions of backyard fowl.

Fears that the virus had mutated into a form that could pass easily between humans heightened in May when seven people from an extended family died of the disease in North Sumatra.

It was the biggest cluster the country has recorded.

The virus remains essentially an animal disease but experts fear it could spark a pandemic if it mutates into a form that can pass easily between humans.

Shannon Bennett · Aug 18, 2006

Re: Indonesian woman dies of suspected bird flu

Re: Indonesian woman dies of suspected bird flu

Pony Girl, welcome to FluTrackers.

sharon sanders · Aug 18, 2006

Re: Indonesian woman dies of suspected bird flu

Re: Indonesian woman dies of suspected bird flu

Welcome Ponygirl.

Snowy Owl · Aug 18, 2006

INDONESIA - Garut Cluster Part II

INDONESIA - Garut Cluster Part I is here
http://www.flutrackers.com/forum/showthread.php?t=9297

Discussion on Indonesia Outbreaks
http://www.flutrackers.com/forum/showthread.php?p=26249#post26249

Thank You

Daisy · Aug 18, 2006

Re: INDONESIA - Garut Cluster Part II

Looks like another child from Bekasi. Nursifiah 6 (f). Confirmed and admitted August 18. Could also be talking about another child: Ursifah.

I don't know where to get this toggletexted. Can someone help?

http://www.metrotvnews.com/berita.asp?

<TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD class=topik>BERITA AKTUAL</TD></TR><TR><TD class=garis1>

</TD></TR><TR><TD class=garis2>

</TD></TR><TR><TD>

</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=4 width="100%" border=0><TBODY><TR><TD class=judulberita>PASIEN FLU BURUNG MASUK RSPI SULIANTI SAROSO

</TD></TR><TR><TD class=text1>18/08/2006 21:11 - Sosial Budaya/Headline News

<TABLE cellSpacing=0 cellPadding=15 width="100%" border=0><TBODY><TR><TD class=text3>Metrotvnews.com, Jakarta: Nursifah, anak perempuan berusia enam tahun dirujuk ke Rumah Sakit Penyakit Infeksi (RSPI) Sulianti Saroso, Sunter, Jakarta Utara, Jumat (18/8). Ia dinyatakan positif terinfeksi virus flu burung. Sebelumnya, Nursifah selama sepekan dirawat di Rumah Sakit TNI Angkatan Udara, Halim Perdana Kusumah, Jakarta Timur.
Ketika tiba di RSPI, tim medis langsung mengecek kesehatan Nursifah. Untuk penanganan lebih lanjut, tim medis langsung memasukkan pasien ke Ruang Intensive Care Unit RSPI. Sebelumnya, putri pasangan Fajar dan Eti ini berdasarkan hasil tes sampel darah dinyatakan menderita demam berdarah. Namun, hasil CT scan terhadap sampel sputum atau dahak pasien yang dilakukan Penelitian dan Pengembangan Departemen Kesehatan memastikan Nursifah positif mengidap virus H5N1.
Ursifah diduga terinfeksi virus flu burung saat menginap di rumah orang tuanya di Perumahan Dirgantara Permai, Pondok Gede, Bekasi, Jawa Barat. Di wilayah tersebut, banyak terdapat warga yang memelihara unggas. Sementara di lingkungan Nursifah tinggal sehari-hari bersama neneknya di wilayah Kompleks Pondok Cipta, Kelurahan Bintara, Bekasi Barat, tidak terdapat adanya unggas.(BEY)

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

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

Commonground · Aug 18, 2006

Re: INDONESIA - Garut Cluster Part II

Here ya go Daisy:
Above article toggletexted:

Nursifah, the daughter was six years old was reconciled to the Infection Hospital (RSPI) Sulianti Saroso, Sunter, Jakarta North, on Friday (18/8).
He was stated positive was infected by the bird flu virus.
Beforehand, Nursifah was for a week treated in the TNI Hospital the Air Force, Halim First Kusumah, Jakarta East.
When arriving in RSPI, the medical team at once checked the Nursifah health.
For the further handling, the medical team at once put the patient into Space of Intensive Care the Unit RSPI. Beforehand, the daughter of the couple the Dawn and Eti this was based on results of the sample test of blood was stated suffered dengue fever.
However, produced by CT scan against the sample of sputum or dahak the patient that was carried out by the Department's Research And Development of the decisive Nursifah Health positive contracted the virus H5N1.
Ursifah was it was suspected infected by the bird flu virus when spending the night in his parents's house in Lovely Space Housing, the Big Hut, Bekasi, West Java.
In this territory, often was gotten by the citizen who maintained the poultry.
Now in the Nursifah environment remained everyday with his grandmother in the territory of the Hut Complex was creative, the Non-commissioned Officer's District, Bekasi West, was not gotten by the existence of the poultry.

Commonground · Aug 18, 2006

Re: INDONESIA - Garut Cluster Part II

Daisy, here is the site for toggletext:

http://www.toggletext.com/kataku_trial.php

HenryN · Aug 18, 2006

Re: INDONESIA - Garut Cluster Part II

</PRE></P>Lima died, Three "Suspect" was treated by Bird Flu Increasingly Ganas
Garut, (HOMEWORK).
- the Attack of the bird flu illness increasingly raged.
The virus H5N1 that attacked the inhabitants in the Village and the Subdistrict Cikelet the Garut Regency, it was suspected killed five people.
That died and was known positive bird flu quite new Ai Siti the message.
He died on Tuesday (15/8).
However apart from Ai, there were four other citizens that died in a beruntun manner in the village with the sign was similar was infected H5N1.
Four other people who died and were it was suspected attacked by bird flu were Euis Lina, the Nun, the Lamp, and Sardi.The four citizens, remained was not far from the house of Ai Siti the message in the Village and the Cikelet Subdistrict, around 120 km the south direction the Garut Regency.From four casualties died that, only one casualty that succeeded in being taken the sample of his blood to be researched in the laboratory namely Euis Lina.Therefore, suspect and positive bird flu in Garut numbering 9 people.Umar and Ai Siti the message, has been stated positive bird flu.Umar has recovered.Whereas Ai Siti, died, on Tuesday (15/8).Three suspect other currently in the maintenance.Is (5) and S (8) was treated in Poinciana Tree Space of RSHS Bandung.Whereas K since Friday (18/8) was treated in RSU Dr. Slamet Garut.However last night has been moved to RSHS.K (32) arrived in RSHS struck 19.30 WIB. the Citizen Kp.The Dark Red paddy-field the Cikelet Village could experience the fever and breathless since Friday at daybreak struck 4.00.He could be treated in RSU Garut for two hours.However because his condition was serious enough, he was at once brought to RSHS. he arrived in UGD RSHS was accompanied by his older brother, Sohib (39) and the official RSU Garut.He suffered the fever achieved 38.6 Celsius levels, with blood pressure 80/60 and respiration 34 times per the minute.

K could be checked in the Cikelet Community Health Centre.
"Casualties when coming to the Community Health Centre, suffered hot high."
The fever he the suffering since the last three days.
Around the patient's house was known had dozens of poultries that died, including three tails of his property poultry, the Cikelet Community Health Centre headword Dr. Heri.
Because of worrying, K was brought to RSU Garut and entered isolation space approximately struck 15.
50 WIB. Only two hours were treated, K was afterwards brought to RSHS.
Heri suspected K of suffering bird flu, because of the Dark Red Paddy-field Village with Jojok, was not so far.
The "patient's K house with the house the positive family bird flu Ai Siti the message and suspect Ismawati bird flu, was not far."
His distance around 100 metre.
Even with Santi's house only terhalang several houses, said Dr. Heri.
According to Osin, the husband K, his wife began to complain was sick gazed at the subuh prayer (on Friday 18/8).
At that time, said Osin, his wife complained was sick the throat, breathless and feverish high.
At that time, Osin asked the doctor the Cikelet Community Health Centre to come to his house.
After being checked, the doctor suggested his wife was reconciled to RSU Dr. Slamet Garut.
Asked whether in his village had had the chicken died suddenly, Osin confirmed.
A "previous month indeed had the chicken died suddenly," he said.
He also claimed that the distance of his house with the Ai Siti house only terhalang twelve houses or approximately 100 metre.
The head of the Field RSU of the Medic's Service Dr. Slamet Garut Dr. Widjajanti Utojo said, according to results of the last inspection, K unlike patients suspect other bird flu that came from Cikelet.
The condition for the patient, he said, was not too serious.
The temperature of his body of only 38.6 Celsius levels.
His cough really quite difficult and was somewhat breathless.
The person responsible for Isolation Space of RSU Garut Wawan Sumiarsa said, his side has taken the sample of blood and did x-rayed against K. the "Patient also suffered the cough and was sick the throat."
His breathing, also was disrupted.
The intensity of his breath was still high, that is 40 times per the minute, said Wawan.
The discovery 4 suspect other that has died, after the Section Head the West Javanese Health Dr. Yudhi Prewar inspected directly the Village and the Cikelet Subdistrict, Garut, on Friday (18/8).
However according to Kadinkes West Java, his spreading still in the Cikelet Village and did not yet be the indication of the case of the spread in a cluster manner.
On Friday (18/8), Kadinkes also led directly mass medical treatment with Tamiflu giving for the prophylaxis (the prevention) to them that contact with suspect.
Dinkes West Java with Tim the Department of the RI Health, also carried out the taking of the sample of the citizen's blood with the sign of the fever and breathless.
Two including being the sibling the Nun who has died.
"Medical treatment, direct observation and counselling on Friday earlier were carried out in 4 villages namely the Rancasalak Village, Rancamareme, Jojok, and the Dark Red Paddy-field," he said.

The director general of the Eradication of infectious diseases and environmental Sanitation (P3L) the Department of Health, I Nyoman Kandun overnight in Jakarta said, indeed already many that worried, bird flu could have been spread antarmanusia.
However, uptil now did not yet have proof.
”Memang has been found positive the virus H5N1, but the spreading antarmanusia did not yet have proof.
I would immediately to Garut and remained up until Sunday, said Kandun.
The Garut regent H. Agus Supriadi, on Friday (18/8) deliberate viewed several villages in the Cikelet Village.
By making use of the truck and passing the steep street, the regent was welcomed by the citizen's local happiness.
The "deliberate father came, to see directly the condition for the village in Cikelet, as well as give urging to the family that was known suspect bird flu," said Kabag public relations Setda Garut Drs. Dikdik Hendrajaya, M. The.
In the meantime, the condition two patients from Cikelet that was reconciled to RSHS, Is (5) and S (8), on Friday night has been relatively stable.
Both of them no longer experience the high or breathless fever.
Is was reconciled to RSHS since Wednesday early afternoon (15/8), whereas S (8) on Thursday night (17/8).
Both of them were handled as suspect bird flu with the taking of the sample apus blood, the throat and the photograph thorax in a manner the series.
(A-83/A-131/A-112)

The PHOTOGRAPH from the monitor of the nurse's space showed ”suspect” bird flu had the initials K (32), the citizen of the Dark Red Paddy-field Village, the Cikelet Village, Kab.Garut received the maintenance in special isolation space the maintenance of bird flu in RSHS Bandung, on Friday (18/8).ANDRI GURNITA/HOMEWORK</PRE>

http://www.pikiran-rakyat.com/cetak/2006/082006/19/0101.htm

Commonground · Aug 18, 2006

Re: INDONESIA - Garut Cluster Part II

"Four other people who died and were it was suspected attacked by bird flu were Euis Lina, the Nun, the Lamp, and Sardi."

The Nun, the Lamp? Please......anyone want to rewrite that article?

Daisy · Aug 18, 2006

Re: INDONESIA - Garut Cluster Part II

Thanks Common Ground for the Toggletext link.

By the way, has anyone else seen a report regarding Nursifa? I am guessing I am wrong about Bekasi being near Garut. I tried to figure out where it was (it sounds very familiar to me) but alas I am suppose to be working here at work (can you imagine that) and don't have much time to devote to this.

The Nun - the Lamp...I agree...if this wasn't so tragic it would be funny.

Theresa42 · Aug 18, 2006