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INDONESIA - Garut Cluster Part III

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Re: INDONESIA - Garut Cluster Part III

Florida1 said:
Thanks Theresa42.
No problem. I think CommonGround is working up a list, too. Good to have several folks checking and double-checking these things!
 
Re: INDONESIA - Garut Cluster Part III

Goju said:
we are up to 25??
Something like that, yeah. :(

Michigander -- our lists look pretty similar, except I've never had an Esih. Dunno why. ?? Could that be one of the other "E" women?
 
Re: INDONESIA - Garut Cluster Part III

Theresa42 said:
No problem. I think CommonGround is working up a list, too. Good to have several folks checking and double-checking these things!

Thanks to everyone!
 
Re: INDONESIA - Garut Cluster Part III

Theresa42 said:
Something like that, yeah. :(

Michigander -- our lists look pretty similar, except I've never had an Esih. Dunno why. ?? Could that be one of the other "E" women?


Yes, it could be.

Is Euis confirmed now?
 
Re: INDONESIA - Garut Cluster Part III

Goju said:
we are up to 25??

Yes, somewhere near, but that is only the 'cluster', that doesn't include other cases in Indonesia, I know of at least one Nurshifa (spelling?) in Bekasa.

I'm having a hard time keeping up.
 
Tamiflu blanket...

Tamiflu blanket...

Hat-tip, SolitaireUK!

toggletext-ed from Indonesian:

Three Suspect Bird Flu, the Negative
The compass/Mohammad Hilmi Faiq
August 21, 2006

Bandung, Kompas - Three from four patients suspect bird flu that was treated in the Handsome Hospital sadikin, was stated by the bird flu negative. Now other was waiting for results of the test of the Department of the RI Health.

The three patients were Ismawati (5), Santi Anggraeni (8), and Kuraisin (34). All of them villagers Cikelet the Cikelet Subdistrict, the Garut Regency. ?Kondisi all of them improved. Kuaraisin yesterday hot but currently currently the temperature of his body descends. Three people results negatif,? RSHS Cissy Managing Director words in Bandung, on Monday (21/8).

Kuraisin was one of the patients suspect bird flu that was containing three months. He [She] entered RSHS Poinciana Tree Space on Friday (18/8). Tomorrow his day, the husband Kuraisin, Osin (38) that will visit his wife, complained had a headache, nausea and even mencret. Knew this sign, RSHS at once treated him in Poinciana Tree Space.

But was not yet known whether Osin tertular bird flu or was attacked by the other illness. ?Untuk Osin did not yet have results, still was tested in Jakarta,? revealed Cissy. Although having the trend suspect bird flu from Garut improved, continued Cissy, but most negatives. Uptil now that positive only two namely Euis? that died on Friday malam? and Umar. The family refused if Umar was treated in the Hospital and more chose to be treated dirumah.

Moreover, although being stated positive Bird Flu, Umar was still being free was outside the House. ?Dia has been given by Tamiflu. Seen by me in his condition television also improved. It is hoped he later memnjadi negatif,? Cissy words. Moreover, the Umar development was always monitored by the doctor.

Cissy explained, the citizen might not also panic with the Umar case. Because, bird flu did not spread just like that. But only went through the certain media like nasal mucus and the waste. ?Kalau he began the cough and had phlegm, that that necessary diwaspadai,? revealed Cissy.

In the meantime, the full sibling Kuraisin, Isman (36) explained, the number of cases suspect bird flu in his village was from the citizen's ignorance. Uptil now the citizen was used to it menyembelih the chicken that was sick and afterwards ate him. The citizen in no way had known that the chicken that was sick that could was attacked by bird flu. ?Kami knew him just the last few days when many officials and the doctor that came to the village to see flu casualties burung,? further Isman.

Now the family's Ismawati member, Iip Sehapudin explained, almost all the villagers Cikelet maintained the duck, especially the chicken. ?Satu the minimal family had 10 ayam,? he said.

Iip explained, most of the citizen's houses had the shape of the house on stilts. Under the house so they maintained the chicken.

Therefore, rarely among them that never direct contact with the chicken. They also were used to it gave ate the chicken afterwards continued with the other activity as eating without washing the hands. ?Boro-boro washed the hands. Also was wiped to celana,? Iip words.

Resulting from the number of cases suspect this bird flu, the government in this case the Health Service of the West Javanese Province gave Tamiflu to approximately 300 citizens in five Cikelet Village villages. These villages were Jojok, Rancasalak, Tipar, Pasir Bambung and Sawah. Tamiflu was given selectively, namely the citizen that once direct contact with the positive poultry bird flu or with suspect bird flu.

http://kompas.com/ver1/Kesehatan/0608/21/194332.htm
 
Re: INDONESIA - Garut Cluster Part III

Avian influenza ? situation in Indonesia ? update 28


21 August 2006

The Ministry of Health in Indonesia has confirmed the country?s 59th case of human infection with the H5N1 avian influenza virus.


The case occurred in a 35-year-old woman from the remote subdistrict of Cikelet, West Java Province. She was hospitalized with severe respiratory disease on 17 August and died shortly after admission.


She is the third confirmed case from this sub-district to be reported in the past week.


Preliminary findings from the Cikelet investigation

A team of experts is presently in the Cikelet subdistrict investigating the outbreak and monitoring for further cases. Three hamlets are the focus of investigation.


The Cikelet subdistrict consists of around 20 isolated hamlets, each with a population of around 200 to 400 persons, many living in large extended families. The hamlets sit in a basin surrounded by steep mountains with rocky winding paths best accessed by foot or horseback.


In this area, mortality from endemic diseases, especially malaria, is common, access to health care is poor, and medical records of deaths are scanty or non-existent.


Prior to late June 2006, no mass die-offs of poultry are known to have occurred in the area. At that time, live chickens were purchased from an outside market in preparation for a religious feast and were integrated into local flocks. Shortly thereafter, chickens began dying in large numbers in an outbreak that continued throughout July and the first week of August, gradually spreading from one hamlet to another.


As the population had no experience with this disease, high-risk behaviours commonly occurred during the disposal of carcasses or the preparation of sick or dead birds for consumption. These exposures are, at present, thought to be the source of infection for most confirmed or suspected cases.


Deaths from respiratory illness are known to have occurred in late July and early August, but no samples were taken and medical records are generally poor. Though some of these undiagnosed deaths occurred in family members of confirmed cases, the investigation has found no evidence of human-to-human transmission and no evidence that the virus is spreading more easily from birds to humans.


The cooperation of residents is good, house-to-house surveillance for febrile illness is continuing, and specimens have been taken from symptomatic persons and sent for testing. The team is well-supplied with antiviral drugs, and these are being administered prophylactically to close contacts of cases and therapeutically to persons showing symptoms of influenza-like illness.



http://www.who.int/csr/don/2006_08_21/en/print.html
 
Re: INDONESIA - Garut Cluster Part III

MHSC said:
Is Euis confirmed now?
Yes, you're right -- she is confirmed. Thanks! That's who this latest WHO update is referring to, right?

Gotta go fix the list...!
 
Re: Tamiflu blanket...

Re: Tamiflu blanket...

Theresa42 said:
Hat-tip, SolitaireUK!

toggletext-ed from Indonesian:

Three Suspect Bird Flu, the Negative
The compass/Mohammad Hilmi Faiq
August 21, 2006

Bandung, Kompas - Three from four patients suspect bird flu that was treated in the Handsome Hospital sadikin, was stated by the bird flu negative. Now other was waiting for results of the test of the Department of the RI Health.

The three patients were Ismawati (5), Santi Anggraeni (8), and Kuraisin (34).


Ismawati & Santi tested neg initially, I don't know about Kureasin, could this be a old info printed again, or additional test results?
 
Re: INDONESIA - Garut Cluster Part III

Theresa42 said:
Yes, you're right -- she is confirmed. Thanks! That's who this latest WHO update is referring to, right?

Gotta go fix the list...!

I think it is Euis, but it could also be....

EK? (32) - maybe Kuraesin, from Tipar/Hasan Sadikin, Garut

Eti
(35F) - Jojok, Cikelet village - not confirmed

Esih 35/F Cickelet, NYK , Died 18/08

E (Maybe Esih or Euis?) wife of Daden, died in space of the isolation of Hospital bird flu Doctor Selamet, Garut, last August(2005 or translation problem?).

Unless they are all the same person. :confused:
 
Re: INDONESIA - Garut Cluster Part III

MHSC #27: I was so disappointed to read the article, because there was no mention at all of when we can expect some of these test results back.......
 
Re: INDONESIA - Garut Cluster Part III

toggletext-ed from Indonesian:

Cluster Bird Flu in Garut Still was observed
August 21, 2006

Liputan6.com, Jakarta: The department of the Health still observed whether happening cluster or the case of the bird flu sufferer of one family in Garut, West Java. At this time the Department of Health team carried out the supervision was active in the region, including monitoring the health of the citizen. For the time being, the poultry traffic from Cikelet also might not go out from there. Was like this was stated by Health Minister Siti Fadilah Supari in Jakarta, on Monday (21/8).

In the meantime, the health post in the Rancasalak Village, Garut, several last days were filled up by the citizen. Several citizens received the capsule Tamiflu free to prevent the fall of casualties resulting from the virus H5N1. Giving Tamiflu will be given while seven days were endless. His plan the citizen of the Jojok Village, Rancamere, and Sawa Cikelet will also be given Tamiflu.

Up to now was recorded by seven cases cluster avian influenza that was begun in July 2005 namely three people in Tangerang, Banten. Then two their respective people in Southern Jakarta, Lampung, Tangerang, and Indramayu, West Java. Moreover, eight in the Karo Land, North Sumatra, and in May 2006 two people in Cileunyi, Bandung, West Java.

Up to now the case of the assumption of bird flu in Garut continues to improve. A citizen [Gilang] of Gunung Sula hamlet, the Cigadog Village, Cikelet, was treated in the Pameungpeuk Community Health Centre because of showing the sign was similar avian influenza. He was brought to puskemas late last week after complaining the fever, had a headache, and breathless.

http://www.liputan6.com/view/3,127807,1,0,1156176574.html
 
BIG Tamiflu blanket -- 2000 people in 4 hamlets to get Tamiflu

BIG Tamiflu blanket -- 2000 people in 4 hamlets to get Tamiflu

toggletext-ed from Indonesian:

The citizen Cikelat was distributed Tamiflu Free
Senin, 21 Agustus 2006 | 18:23 WIB

TEMPO Interaktif, Bandung: The section head the Health of the West Javanese Province, Yudhi Prewar, said the citizen of four villages in the Cikelat Village, the Garut Regency, got Tamiflu free. The medicine of the bird flu preventive was distributed following the discovery 13 cases of the virus avian influenza that infected the citizen there. [Possible cases, right?]

"This as part of the mass prophylaxis or prevention medical treatment for all the inhabitant," said Yudhi to Tempo, on Monday afternoon. According to him, Tamiflu this was given in the dose of the prevention not in the dose of therapy.

He explained, as the prevention of medicine for bird flu was given one tablet every day for 10 days. Whereas for medical treatment was given two tablets for one week.

Tamiflu that was distributed, he said, was help from the government of the centre. The medicines were given in every day to the citizen of four hamlets in the Cikelat Village namely the Ranca Salak Village, Ranca Mareme, Jojoh, and the Sawah Bera. He estimated, the inhabitants of four hamlets totalled 2.000 people.

Yudhi acknowledged, giving Tamiflu mass as the prevention just the first time in did in Indonesia. According to him, the decision carried out giving Tamiflu mass as the prevention was caused four hamlets relatively far from the closest community health centre. Moreover, he explained, the citizen of four hamlets was counted had the mobility that very low.

He also said, giving Tamiflu free that was not given at the same time. The citizen was asked to take the medicine every day in the command post of the health service that was established in the Cikelat Village. "Therefore we could carry out mass medical treatment at the same time the monitoring," he said.

From the Cikelat Village, the Cikelat Subdistrict, the Garut Regency was found by 13 cases of bird flu. Three people entered the positive category was affected by the virus H5N1, two including dying and one person was safe. Nine people still in the category suspect. One status insider of observation in the Cikelat Community Health Centre and it was suspected not was affected by bird flu.

Yudhi said, the case of bird flu in Garut that was found since last August 1 that not including the category cluster because of not coming from one family or having the genetic similarity. Yudhi hoped, the case of bird flu from Garut not was caused by the spread between humankind.

From results of investigation that was carried out by the team from WHO and the Department of the Health of concluding the case of bird flu in Garut came from the animal that tertular the virus. "Late June many poultries has happened died there, the possibility was affected of bird flu," he said.

http://www.tempointeraktif.com/hg/nusa/jawamadura/2006/08/21/brk,20060821-82258,id.html
 
Re: INDONESIA - Garut Cluster Part III

Here's the breakdown of the 13:

From the Cikelat Village, the Cikelat Subdistrict, the Garut Regency was found by 13 cases of bird flu. Three people entered the positive category was affected by the virus H5N1, two including dying and one person was safe. Nine people still in the category suspect. One status insider of observation in the Cikelat Community Health Centre and it was suspected not was affected by bird flu.
 
Re: BIG Tamiflu blanket -- 2000 people in 4 hamlets to get Tamiflu

Re: BIG Tamiflu blanket -- 2000 people in 4 hamlets to get Tamiflu

"This as part of the mass prophylaxis or prevention medical treatment for all the inhabitant," said Yudhi to Tempo, on Monday afternoon. According to him, Tamiflu this was given in the dose of the prevention not in the dose of therapy.

Okay..let me check this out...Tamiflu was given as a mass prophylaxis, correct?? But the virus is, at this point, endemic, so these same folks are going to be exposed again and again at some point down the road. Will they get more Tamiflu?? How many courses of prophylaxis do they anticipate giving these people?

This virus will mutate to resist Tamiflu and the medication will then be wasted ...whereas in other areas where the virus has not yet acquired resistance, those drugs might prove useful. But ultimately all this is, is a time-buying measure, and soon, it will buy no time at all for anyone.

Tamiflu may lessen the symptoms and increase survival, but as there are 3 to 4 distinct recombinations spreading out there, and more to come, I am sure...in the virus' next recombination it's just going to strike again. Unless I am missing something drastic here..NOTHING is going to lessen the mortality of this disease.

Have I gotten too fatalistic or has reality just sunk in??
:eek:
 
Re: INDONESIA - Garut Cluster Part III

Sara, welcome to the brave new world. I admire the Indonesians in many ways, but they have a long way to go to satisfy the rest of the world that they are on top of the bf situation.
 
Euis Lina Family Cluster

Euis Lina Family Cluster

Theresa42 [b said:
Euis Lina (32/35?F)[/b] - Cigadog village - (Dea's mother) - confirmed H5N1 - dead

Dea Asmalia (9F?) - Jojok hamlet? - Euis' daughter - not confirmed - dead

Dadan - Euis Lina's husband

2 children of Euis & Dadan



Kuraesin (K.) (32F) - Sawah Bera hamlet - (Osin - husband) has had fever for last 3 days - house 100 m from Ai Siti and Ismawati's houses - only several houses away from Santi's - not confirmed - in hospital - pregnant -- tested neg

Osin (36) - Kuraesin's husband

(EK? (32) - may be Kuraesin - from Tipar hamlet)

MHSC said:
This is what I have....

Kuraesin/K (32F) - not confirmed, pregnant, stable, Sawah Bera/Jojok village - (Osin - husband) neighbor of Ai Siti, Ismawati, and Santi's
Osin 36/M, husband of Kuraesin, the citizen of the Sawah Beura Village

Santi (6/8F) - not confirmed- initial test neg, Stable, Jojok/Sawa Bera, Cikelet village - daughter of Iwan & Surilah - neighbor of Ai & Kuraesin



Esih 35/F Cickelet, NYK , Died 18/08

Daden, husband of E (Family has 5 members, 2 dead, 3 ill), Cigadog Pasir Gambir Village
E (Maybe Esih or Euis?) wife of Daden, died in space of the isolation of Hospital bird flu Doctor Selamet, Garut, last August(2005 or translation problem?).
DI, (M) child of E and Daden, died in space of the isolation of Hospital bird flu Doctor Selamet, Garut, last August (2005 or translation problem?).
?, second child of E and Daden
?, third child of E and Daden

Euis Lina Family Cluster (six individuals)

Euis Lina F (Dead)
Dadan M spouse
Dea Amalia F daughter (dead)
"DI" M son (dead?)
Child A
Child B
 
Re: INDONESIA - Garut Cluster Part III

Laidback Al

Do you have the ability to sort your chart on this cluster?

I would be interested in seeing sorts based on village name, and dates infected.

Edit: I've been putting up pears over the past week, 62 quarts so far now I'm working on pear butter. I haven't had time to give this my full attention.
 
Re: INDONESIA - Garut Cluster Part III

MHSC, Sorry, data is scarce.

I only have limited information for Euis and Dea. None for the rest of the family (except what is presented in the above posts).

Euis Lina
"Pasir Gambir Village, Cikelet Subdistrict, Garut Regency (Cigadog?)" Died 8/17/2006 same day she entered the hospital. No symptom onset date in the WHO announcement.

Dea Amalia
"Cikelet Subdistrict, Garut Regency" Dead, but we don't have a date of death, hospitalization, or sympton onset.

Dadan
"Cigadog Pasir Gambir Village" from the above post.

I assume the children are from the same hamlet/village as parents.

Maybe someone else has information I have missed.
 
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