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INDONESIA - Garut Cluster Part II

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Re: INDONESIA - Garut Cluster Part II

From Post #37:

"At this time the poultry was to 28 provinces stated has been infected by bird flu and the case of bird flu to humankind has spread in 18 provinces," he added.The number of cases that was stated positive bird flu was according to the national laboratory inspection recorded by as many as 60 cases and 46 including causing the death.

From Post #38:
"The increase of the number of patients placed West Java was in the first place of the spreading of the bird flu virus with the number of sufferers totalling 84 people and 12 people including dying.Officially the West Javanese Health has stated bird flu as the extraordinary incident."
 
Health authorities widen bird flu probe

Health authorities widen bird flu probe

August 19 2006 at 12:20PM

Health authorities in Indonesia widened on Saturday an investigation into a potential bird flu cluster in West Java to include nine people, five of whom have already died.

Forty-five people have already died of the H5N1 strain of bird flu in Indonesia, making the archipelago nation the world's hardest hit by the virus, with outbreaks showing no sign of slowing down.

The nine in the potential cluster come from remote Cikelet, a group of villages in West Java's Garut district. Two of the nine have been confirmed as contracting bird flu. One died and another has since recovered.
Of the four other dead, three were not tested for the virus.

"There is no proof so far (of a cluster case), but we're still continuing our investigations," Runizar Roesin of the bird flu information centre said.

An expert team from the health ministry and the World Health Organisation (WHO) were sent to the area on Thursday to check whether human-to-human transmission of the virus had occurred.

Cluster cases heighten the chance of the virus mutating to become easily transmissible between humans. Scientists fear this could spark a global flu pandemic, with the potential to kill millions.

Three suspected cases have been hospitalised in the provincial capital of Bandung, Roesin said. Patients identified as Isma, aged five, and Santi, six, were admitted Thursday, while pregnant Kuraesin, 30, joined them Saturday.
The confirmed death was a nine-year-old girl, Ai Siti Aminah, while Umar Aep, 17, has recovered from his infection despite his refusal to be hospitalised, Roesin said.

"He is happy in his village and he has recovered," he said.

The four as yet unconfirmed deaths occurred over the past month - most recently 35-year-old Euis Lina on Thursday, Roesin said.

The three buried before testing could be carried out were a four-year-old boy who died on July 31, a 13-year-old girl who died on August 1, and Misbah, the 20-year-old cousin of Aep who died on August 5, he said.

The WHO said Misbah was "strongly suspected" of H5N1 infection but said human-to-human transmission between him and his cousin was "highly improbable".

Authorities await test results for Lina.

Roesan said that most of the nine came from four villages which were only one to two kilometres (half to one mile) apart in an area difficult to reach by road.

The WHO has said that recent poultry die-offs in the area were reported. This increases the likelihood the infections were spread by birds rather than between humans.

The UN's food organisation warned this week that bird flu was now endemic in parts of Asia. - Sapa-AFP

http://www.int.iol.co.za/index.php?s...5973142479S124
 
Re: INDONESIA - Garut Cluster Part II

Commonground said:
From Post #37:

"[/B]Officially the West Javanese Health has stated bird flu as the extraordinary incident."
Click to expand...

Is that a yellow alert, or a red alert on the Star Trek system? It seems just as good as any other system.....
 
Re: INDONESIA - Garut Cluster Part II

Jody said:
Is that a yellow alert, or a red alert on the Star Trek system? It seems just as good as any other system.....
Click to expand...

I think that human H5N1 in Indonesia is called extraordinary. WHO has 6 ohases, but has abolished phase 4 and 5, so when they announce phase 6, it will be more than obvious,
 
Re: INDONESIA - Garut Cluster Part II

2 people who attended a funeral now suspect to have the disease. Am not sure if they embalm the dead, remove the blood etc. In other words someone at the funeral has the disease or it is coming from the deceased person.
 
Re: INDONESIA - Garut Cluster Part II

PonyGirl said:
2 people who attended a funeral now suspect to have the disease. Am not sure if they embalm the dead, remove the blood etc. In other words someone at the funeral has the disease or it is coming from the deceased person.
Click to expand...

A poster from Java on another board indicated that most of the residents of Java (don't know about this particular area of Garut) were Muslim. I believe that Muslims do not permit autopsies and embalming, but require immediate burial. These issues have come up during flu outbreaks in Turkey and Iraq.
 
Re: INDONESIA - Garut Cluster Part II

O.K. This was posted by MichelleOK on the wiki. I asked her to give me the time of the article or the title (kept in Indo language). She did. I went there, translated it over, re-read it, and wrote her what you see below. I had closed out metrotvnew while doing the toggletext and the wiki. When I went back to get the address for this posting - the posting at 18:10 is gone.

It sounds like two more suspected cases. Ayi (10) and Memem (60). Ayi is ringing a bell? Ayi was able to be treated at the Comm. Health Ctr. while Memem had to be brought to the hospital. It also sounds like the woman who is pregnant, Kuraesin, is doing better. But that the Doctor didn?t know if it had an effect on her baby. She is 3?4 months pregnant.

This is the full article.

http://www.metrotvnews.com/



The patient suspect bird flu from the Cikuelet region, Garut, West Java, it was reported improved two.
They were Ayi Rohimat Binti Syafrudin, was 10 years from the Jojok Village and Memen that were 60 years from the Cibeunteur Village, old old was brought made use of the ambulance towards the Handsome Hospital of Sadikin Bandung, West Java.
The sign of the illness that was suffered by the two people resembled the flat patient bird flu.
The latest report mentioned that Ayi could be handled by the medical official of the Community Health Centre (the Community Health Centre) Cikeulet.
Whereas Memen was at once brought to RSHS Bandung after the high fever and the cough.
Now from RSHS Bandung, was reported by the Kuraesin condition, the patient suspect bird flu from Cikeulet, Garut, that entered last night, improved and stable.
In konferesi the press in RSHS Bandung, on Saturday afternoon (19/8) earlier, Artoyono, the doctor who handled directly Kuraesin said, Kuraesin could have in fact eaten and drunk normally.
Beforehand, Kuraesin was only permitted to consume the fruit.
Kuraesin could have then stood.
However, Artoyono still could not explain the impact of the high fever and the cough on the embryo who was contained by the patient.
Artoyono must consult first with the content doctor.
 
Re: INDONESIA - Garut Cluster Part II

Regarding my post on the missing article. It is still there. You just have to find it by going to search, and typing in Flu Burung. It was posted at 18:10.
 
Re: Kuraesin

Re: Kuraesin

niman said:
I suspect Eli, esih, K, Kuresin, and EK are all the same person.
Click to expand...
I don't have an Eli. But K and EK are described as coming from 2 different hamlets. Could be the same individual still -- but I'm keeping an open mind for now.
 
Re: INDONESIA - Garut Cluster Part II

Commonground said:
"I suspect Eli, esih, K, Kuresin, and EK are all the same person."

I think that K and EK are the same, as they are both pregnant, same age, same hospital. Don't know about Eli, esih, Kuresin.

Edit: "mother that was pregnant three months were named Kuraesin". That takes care of Kuresin. Now for ELI, esih.
Click to expand...
Sorry -- do you have a reference for the fact that EK is pregnant? I didn't see that. Thanks.
 
Re: INDONESIA - Garut Cluster Part II

Theresa42 said:
Sorry -- do you have a reference for the fact that EK is pregnant? I didn't see that. Thanks.
Click to expand...

Post #31:

Yogi said another possible bird flu sufferer, identified as 32-year-old EK from Tipar hamlet, was admitted to a Garut hospital Friday and would be immediately rushed to Hasan Sadikin Hospital.

The mother of the eight-year-old who is recovering said bird flu rumors started to spread in Cikelet after the virus killed the nine-year-old girl Tuesday. She said the villagers never had information on bird flu and never got vaccine for their livestock.

The woman, who is four months pregnant, said four out of her 15 chickens died before her daughter got sick.
 
Re: INDONESIA - Garut Cluster Part II

Theresa42: you said..."I'm keeping an open mind for now."

I on the other hand, am just trying to "keep my mind".......:D
 
Re: INDONESIA - Garut Cluster Part II

Commonground said:
Post #31:

Yogi said another possible bird flu sufferer, identified as 32-year-old EK from Tipar hamlet, was admitted to a Garut hospital Friday and would be immediately rushed to Hasan Sadikin Hospital.

The mother of the eight-year-old who is recovering said bird flu rumors started to spread in Cikelet after the virus killed the nine-year-old girl Tuesday. She said the villagers never had information on bird flu and never got vaccine for their livestock.

The woman, who is four months pregnant, said four out of her 15 chickens died before her daughter got sick.
Click to expand...
Hmmmm. I didn't think that "the mother of the eight-year-old" was actually EK.

The 8 year old that is sick is Santi -- and her parents are Iwan & Surilah.

So, I don't think EK is pregnant -- whoever EK is.
 
Re: INDONESIA - Garut Cluster Part II

Dr. Numan's posts- 4:22/ 4:39 identifies Kuresin as the woman who is pregnant. His post 4:22 identifies Euslina as having died. Is there also an Eli/esih?
 
Re: Kuraesin

Re: Kuraesin

Theresa42 said:
I don't have an Eli. But K and EK are described as coming from 2 different hamlets. Could be the same individual still -- but I'm keeping an open mind for now.
Click to expand...

I think the hamlets are pretty iffy. They are tiny and I think have less than 100 people (and possibly much less). They are more like a street, but without the number, so they are subject to error, especially for reporters not from the area.

I think the person in question is a female in her early 30's who recentlt (Thurs/Fri) transfered into Sadkin Hospital in Bandung from Garut. She is pregnant, but that might not be in all reports, especially the earlier ones.

EK are just the initials - all first names listed begin with E and last name begins with K).
 
Re: INDONESIA - Garut Cluster Part II

colormyquilt said:
Dr. Numan's posts- 4:22/ 4:39 identifies Kuresin as the woman who is pregnant. His post 4:22 identifies Euslina as having died. Is there also an Eli/esih?
Click to expand...

Yes, earlier reports mention an Eli and an esih but as alive.

Euslina is a 35F who died Thurs/Fri and some reports indicate she tested positive today and her 9 year old daughter, Dea, died earlier, misdiagnosed as typhus (and no sample collected for H5N1 testing)
 
Re: INDONESIA - Garut Cluster Part II

Theresa42 said:
Hmmmm. I didn't think that "the mother of the eight-year-old" was actually EK.

The 8 year old that is sick is Santi -- and her parents are Iwan & Surilah.

So, I don't think EK is pregnant -- whoever EK is.
Click to expand...

I don't think the translation indoicates that EK was the mother of the recovering 8 year old. Instead the person being quoted (who isn't sick but knows when word in the village began to spread) is the mother of the recovering 8F (santi's mother) and is described as "the mother of the eight year old recovering" but that was not in reference to EK.
 
Re: INDONESIA - Garut Cluster Part II

I re-read the post and agree with you Dr. Niman. I'm also beginning to believe that EK is Kuraesin. There is only one pregnant woman.
 
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