Indonesia: Human Cases 8 Oct 2008 - January 28, 2009

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

On Friday, 07/11/2008 09:34 WIB

Suspect Bird Flu was killed the Abattoir of the Property Chicken Dadan the Virus Negative AI
the Gandapurnama burden - detikBandung Bandung -
was based on the inspection that was carried out the Penyidikan Hall of the Hewan Illness (BPPH) West Java, the location of the chicken abattoir belonging to Dadan Hadiansyah (32) in Street Inhoftank no 28, the negative contained the virus H5N1 or avian influenza (AI). From all the samples of the waste of the chicken that was checked, there was not any that menunjukan the existence of the virus of this AI. Hasil in accordance with the fast test (rapid test) that was carried out by the Pertanian Service (Distan) the Bandung City and the official of the Kopo Community Health Centre, a day after Dadan died. This matter was said by Umar (37) the official of the laboratory of BPPH West Java when being contacted detikbandung, on Friday (7/11/2008). "After being carried out by us the inspection, results" of the "virus of the negative H5N1 or avian influenza."

Our sample took from the waste from the chicken that still was living, the waste of the chicken that was scattered in and around the pen and several samples of the waste and the poultry saliva that were taken from the side of the abattoir of the property chicken obviously of Umar. Despite this, added Umar, still could not be said the location in the chicken abattoir and surrounding area will be safe from the virus H5N1. "Results were indeed negative but should be not made this place reference will be freest from H5N1," said Umar.
According to him the local resident and the Bandung Municipal Government must continue to carry out the monitoring and the inspection. Moreover if being needed, spraying of routine disinfectant was carried out. The "resident around with was helped by the Bandung Municipal Government must the routine did monitoring by means of carrying out the cleanliness" of the "environment." Or the control of the routine by spraying disinfectant. However this matter (spraying of disinfectant - red) the Distan authority and the Municipal Government, pungkas Umar. Dadan Hadiansyah died on the Monday (3/11/2008) after beforehand was treated for 8 hours in RSHS because of being suspected of suffering bird flu. The resident this Street Inhoftank was reconciled to RSHS after beforehand he was treated in the Sartika Asih hospital because of experiencing the high and breathless fever was proper for the affected person bird flu. A day after the Dadan death, the official from Distan Kota Bandung and the Community Health Centre Kopo did carried out the resident's check-up around the chicken abattoir belonging to Dadan in Street Inhoftank No 28.
Moreover the official from the Kopo Community Health Centre visited one by one the resident's house in RT 6 of RW3 Kelurahan Kebon Lega, Kecamatan Bojongloa Kidul. Not only that for 21 days, was counted from Monday (3/11/2008) RT 6 and RT 5 in RW 3 Kebon Lega districts, Kecamatan Bojongloa Kidul will be done by tight observation in order to anticipates the existence of the AI virus. :tiphat: http://bandung.detik.com/read/2008/11/07/093456/1032831/486/tempat-pemotongan-ayam-milik-dadan-negatif-virus-ai

 

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

07/11/2008 21:49 WIB -
the Aktual Suspect Flu Burung Meningal Dunia Area The official carried out spraying disinvektan in a chicken abattoir in Street Medoho III, Kelurahan Siwalan,

Gayamsari, on Friday (7/11). That was done after one of the residents died that it was suspected was affected by the virus avian infuenza (bird flu). (SM Cy Semarang, CyberNews. After undergoing the maintenance for four days in RSUP Dr Kariadi, a patient who it was suspected was ill suspect bird flu (avian infuenza) died, on Friday (7/11) struck 05,00 of WIB. Korban had the initials DS (15), the resident Street Medoho III, Kelurahan Siwalan, of Gayamsari. The class student Ii in some of SMU Negeri in the Semarang City died after receiving the maintenance intesif in ICU space especially for the bird flu patient (isolation space), since Tuesday afternoon (4/11). According to the medical team of AI RSUP Dr Kariadi, the doctor Agus Suryanto SpPK (K) P, casualties showed the sign of bird flu. His fever achieved 39 levels celcius and the disturbance of progressive breathing. The patient also had the story of contact with the poultry, said the doctor Agus. Explained by him, before dying DS experienced the high fever for seven days later.
The first handling was carried out in the Community Health Centre and was reconciled as well as underwent treated inap in one of the private hospitals. Because his health will never show the progress had finally been reconciled to RSUP Dr Kariadi. Two days were treated by his condition did not show the change was significant. Agus added, nevertheless did not close the possibility of the sign that was suffered by DS of being the indication was infected by the other illness (not bird flu). To ascertain him, the team of the doctor carried out the taking of the sample of blood totalling twice, that is Wednesday (5/11) and on Thursday (6/11). Relatives of casualties, Agus (39) said, DS experienced the condition for the fever and hot high on Thursday (30/10). We did not know definitely the illness what, but the temperature of the DS body hot high and his sign was similar was sick typus.

After diperiksakan to his hot community health centre also did not descend, the family carried him to RS Panti Wilasa Citarum et cetera in referred to RS Kariadi, said Agus. In the meantime, DS was buried in TPU Sibolu, Gayamsari, on Friday (7/11) around struck 10,00. The process of the funeral was influenced by the sobbing and casualties's school friends of relatives's crying. Kasie Penyegahan Penyakit Bersumber Binatang (P2B2) the Kesehatan Service of the Semarang City, Sri Ani Handayani said, his side carried out the sample test of blood to the throat and casualties's nose. The sample of the blood was sent to Jakarta to confirm whether casualties died resulting from bird flu or not. We did not yet know when the sample test will be finished. We will monitor the health and did check people's blood that once contact with casualties, said Sri Ani. Must be known, casualties remained live in in front of one of the houses that at the same time was used as the abattoir of the piece chicken.
In a complex manner the settlement was in casualties's house gotten three locations of the chicken abattoir. The section head the Health of Dispartan Kota Semarang drh Totok Susanto said, his side would menseterilkan the environment around casualties's house. We will carry out spraying or the eradication of the bacteria in the settlement, minimal for the RW territory local. For the owner of the poultry please was penned and did biosecurity, stressed Totok. Asked by the matter of the chicken abattoir in front of the DS house, Totok believed, his condition did not meet the procedure.
Because, apart from in the middle of the settlement, the same chicken abattoir did not fill the standard of the cleanliness. If eventually DS will be proven to be affected the bird flu virus, Totok explained, his side will ask this chicken abattoir to be closed. :tiphat:
http://www.suaramerdeka.com/beta1/index.php?fuseaction=news.detailNews&id_news=17037

 

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

From Semarang

Bird Flu Suspect Left This World

Semarang, CyberNews. After undergoing the maintenance for four days in RSUP Dr Kariadi, a patient who it was suspected was ill suspect bird flu (avian infuenza) died, on Friday (7/11) struck 05,00 of WIB.

The victim had the initials DS (15), the resident Street Medoho III, Kelurahan Siwalan, of Gayamsari. The class student Ii in some of SMU Negeri in the Semarang City died after receiving the maintenance intesif in ICU space especially for the bird flu patient (isolation space), since Tuesday afternoon (4/11).

According to the medical team of AI RSUP Dr Kariadi, the doctor Agus Suryanto SpPK (K) P, casualties showed the sign of bird flu. Her fever achieved 39 levels celcius and the disturbance of progressive breathing. The patient also had the story of contact with the poultry, said the doctor Agus.

Explained by him, before dying DS experienced the high fever for seven days later. The first handling was carried out in the Community Health Centre and was reconciled as well as underwent treated inap (inpatient,ed) in one of the private hospitals. RSUP Dr Kariadi. Two days were treated by his condition did not show the change was significant.

Agus added, nevertheless did not close the possibility of the sign that was suffered by DS of being the indication was infected by the other illness (not bird flu).

To ascertain him, the team of the doctor carried out the taking of the sample of blood totalling twice, that is Wednesday (5/11) and on Thursday (6/11). Relatives of casualties, Agus (39) said, DS experienced the condition for the fever and hot high on Thursday (30/10).

We did not know definitely the illness what, but the temperature of the DS body hot high and his sign was similar was sick typus. After treatment to his hot community health centre also did not descend, the family carried him to RS Panti Wilasa Citarum et cetera in referred to RS Kariadi. said Agus.

In the meantime, DS was buried in TPU Sibolu, Gayamsari, on Friday (7/11) around struck 10,00. The process of the funeral was influenced by the sobbing and casualties's school friends of relatives's crying.

Kasie Penyegahan Penyakit Bersumber Binatang (P2B2) the Kesehatan Service of the Semarang City, Sri Ani Handayani said, his side carried out the sample test of blood to the throat and casualties's nose. The sample of the blood was sent to Jakarta to confirm whether casualties died resulting from bird flu or not. We did not yet know when the sample test will be finished. We will monitor the health and did check people's blood that once contact with casualties, said Sri Ani.

Must be known, casualties live in in front of one of the houses that at the same time was used as the abattoir of the piece chicken. In a complex manner the settlement was in casualties's house gotten three locations of the chicken abattoir.

The section head the Health of Dispartan Kota Semarang drh Totok Susanto said, his side would menseterilkan the environment around casualties's house.

We will carry out spraying or the eradication of the bacteria in the settlement, minimal for the RW territory local. For the owner of the poultry please was penned and did biosecurity, stressed Totok.

Asked by the matter of the chicken abattoir in front of the DS house, Totok believed, his condition did not fill the procedure. Because, apart from in the middle of the settlement, the same chicken abattoir did not fill the standard of the cleanliness. If eventually DS will be proven to be affected the bird flu virus, Totok explained, his side will ask this chicken abattoir to be closed.

http://www.suaramerdeka.com/beta1/index.php?fuseaction=news.detailNews&id_news=17037

 

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

The official carried out spraying disinvektan in a chicken abattoir in Street Medoho III, Kelurahan Siwalan, Gayamsari, on Friday (7/11). That was done after one of the residents died that it was suspected was affected by the virus avian infuenza (bird flu). http://www.suaramerdeka.com/

 

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

http://www.radarsemarang.com/metropolis/semarang/2585-suspect-ai-meninggal-dunia-.html Suspect AI died
on Saturday, November 08 2008 00:00



Semarang – ran aground already hope of the team of the doctor RSUP Dr Kariadi to be able to rescue the DS life, 15, the resident's child Street Medoho III the Siwalan District (not Sambirejo). The patient who it was suspected was infected (suspect) the bird flu had finally died yesterday (7/11) days. Since entering space intensive care RSUP Dr Kariadi on Tuesday (4/11), the DS condition increasingly descended. Beforehand, the class student 11 SMAN 11 Semarang this could undergo the maintenance in RS Pantiwilasa Citarum before finally was reconciled.
According to information, DS blew out the last breath exact struck 05,00 of WIB. Kondisinya that was serious when being brought to the hospital, was stated as the cause of the failure of efforts of the doctor's help. Was based on the story of his illness, DS experienced the high fever (39 levels celcius) since the last 8 days. His family carried out first help by bringing DS to the closest community health centre. However his condition increasingly worsened that was marked breathlessly and the cough.
The body Sarjono of the couple's child, 40, and Sriyaki, 40, this was yesterday buried in the place oemakaman the public (TPU) Sibolu.

After the funeral, the Service of Pertanian Kota Semarang that was led by the doctor Totok Susanto, Kepala Sie Kesehatan of the Animal, did biosecurity in the environment of casualties's residence. The official sprayed the liquid desinfectan (medicine of the eradicator of the virus bacteria) to reduction efforts in the livestock that was exact in front of the house of DS. “Kami also monitored the poultry in this environment.
After here, furthermore we will carry out spraying in RW-RW other with the radius 500 metre from the house korban,” clear Totok. Ditkatakan, if later results of the test sample DS blood that was sent to Jakarta showed the positive indication of Avian Influenza (AI) or bird flu, all the reduction effort in the animal was in this region stopped or closed.

“Mengenai the piece chicken in this territory came from where, we not yet mengetahuinya,” said Totok.
The Dinas official of the Health of the Semarang City (ET AL) yesterday also descended to the field. Sri Ani Handayani, Kasi Pemberantasan of the Bersumber Binatang Illness (P2B2) claimed to be his side got the report on the existence suspect this bird flu from the Kesehatan Service of the Central Javan Province on Wednesday (6/11). “Begitu got this report, we at once carried out epidemiology investigation (ascertained the story of the case, the condition for casualties et cetera) ,” he explained.
In the meantime, Komisi D DPRD Kota Semarang Ahmadi Chairman ask for so that the Pertanian Service to more intensive in supervising the circulation and the distribution of the poultry in Semarang. He considered the supervision was rather loose because for a long time did not have the case of bird flu. ’’Karena has been too long, seemed to be not paid again attention to. So the Pertanian Service must be more intensive in carrying out the supervision of the circulation unggas,’’ he said. Ahmadi explained, at this time has had Regional Regulations about the Health of the Veteriner Community. Only, he was not convinced whether these Regional Regulations already disosialisasikan to the community or not yet. ’’Mungkin his socialisation could be united with the socialisation of the other activity like the fever berdarah,’’ he said. (eny/ton/oh) :tiphat: http://www.radarsemarang.com/metropolis/semarang/2585-suspect-ai-meninggal-dunia-.html

 

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

JAKARTA, Nov. 7 (Xinhua) -- A teenage girl suspected of suffering from bird flu in Central Java of Indonesia died on Friday after being hospitalized for four days, The Jakarta Post reported.
Agus Suryanto, a physician from the Kariadi public hospital, said that the 15-year old girl died from respiratory failure after suffering from fever exceeding 39 Celsius degree.
"There was a chance that she got infected by bird flu as she had been living nearby a chicken abattoir," said the physician.
He said that the hospital had taken and diagnosed a blood sample from the deceased but had yet to know the result of the test. 　 :tiphat:

http://news.xinhuanet.com/english/2008-11/07/content_10323681.htm

 

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Long story, so I used Google; some more medical details. Note: the girl was treated in a private hospital, before she was moved to the State Hospital. Private hospitals don't have Tamiflu.

Patients Suspect AI Origin Semarang improving (in number).

Saturday, 08 November 2008

SEMARANG (long) - Patient suspect bird flu, DS, 15, residents Medoho III, Gayamsari Subdistrict, which were treated in Semarang Kariadi RSUP off since Tuesday (4 / 11) died yesterday morning.


Based on the description of one of the members of the team doctor Avian Influenza (AI) RSUP of Kariadi, Dr Agus Suryanto Sp PD KP, towards the early days, the condition of patients continued to worsen.

When the patient is assisted tool is a form of ventilator and is in intensive supervision of a medical team . "When I check the night before, the patient's condition is still stable, although critical," said Agus to long yesterday.

In addition to clinical symptoms of bird flu, patients also experience other symptoms such as clinics digestive disturbances accompanied by a decrease in the number of white blood cell (leukosit), limpofit (substances that work to kill germs that enter the body), and trombosit. Analysis while the medical team, patients are still contagious suspected AI. They can not ensure that it is still awaiting the results of blood tests from Jakarta.

"Until today (yesterday) we (medical team) have not yet received the results from laboratory tests of blood, both the first to third," he said. Questions when laboratory test results can be known, according to Agus, most long three days.

"There's only the first blood samples showed positive results, two days into the negative, but three days to positive again. Maybe next three days to have the results can be known, "said Agus.

Before being taken to RSUP of Kariadi, patients suffering from high fever since 7 days. Patients were taken to hospitals to get first. Nevertheless, conditions continue to worsen patients with symptoms of cough-cough and breathlessness.

Patients also dilarikan to a private hospital in Semarang. Awareness of the patients continued to decline and severe increases to be referred to RSUP Kariadi off. During treatment the patients have undergone three times the blood samples for inspection purposes.

Meanwhile, the atmosphere should be yesterday appear to wrap DS family. All the relatives and friends in the senior high school 11 Semarang appear to take to bring the corpse DS Funeral Sibolu. The family itself can not provide any information about the DS, which declared dead suspect AI. "Sorry, yes, the family is still sorrow. We Collide, "said one of his relatives in mourning DS.

Enggar, a classmate mentioned the DS, during a live, DS known as a good personal and flexible to temantemannya in school. The friends I do not believe if a patient suspect AI DS. "We know he did not permit it because of illness. But, as far as one's pain is due to ill Typhus, "he said

House Sterilkan

After passing DS, the patient suspect AI, yesterday the Office of Agriculture (Dispertan) Semarang directly perform sterilization environment around the house DS.Termasuk poultry abattoir to a house not far from the DS.

Sterilization is done by spraying liquid bio security to a number of places in the environment. "This step as if anticipating the results of later found no AI virus in the region here," said Kasi Animal Health Dispertan Semarang Totok Susanto. Full-blooded state, the actual Dispertan will also conduct tests on poultry, especially in cutting the house located near the house DS.Namun, because not one bird was found in the house cutting it, test it failed to do.

However, the blood sample test will be conducted at a later time. If the area is actually found there is a positive AI poultry, all poultry at least that there must be destroyed. "For the meantime, we only makes that all the poultry here is not so in kandangkan roam," he said. He also mentioned that the owners of poultry and poultry abattoir are required to make routine sterilization in place its own.

If the owners of livestock and poultry abattoir is not heeding the business they can be sanctioned closure. "This is in accordance with the Regulation of Health Food and Veterinary Community (Kesmavet) No. 6 / 2007, the" blogosphere. Related to the accident, Dispertan will supervise more closely the entry of poultry out of the city of Semarang.

Chairman of Commission D DPRD Semarang Ahmadi urged the Office of Agriculture in the more intensive monitoring of the circulation and distribution of poultry in Semarang . Dia rate rather lax supervision as long there is no bird flu cases. Because''is too long, as if not more attention. So the Office of Agriculture should be more intensive in the monitoring of poultry circulation,''he said. Ahmadi explains, there are regulation of Veterinary Public Health.

However, he is not sure whether local regulations have been socialized to the community or not. Perhaps the socialization''can be combined with the socialization of other activities such as dengue fever,''he said.

http://www.seputar-indonesia.com/edisicetak/content/view/184915/37/

Google

 

[Giuseppe]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

An overview of influenza A laboratory testing and performance is available at scientific library forum. (From WHO WER: http://www.flutrackers.com/forum/showpost.php?p=189919&postcount=1)

An excerpt:

''Comparison of laboratories? performance on all panels

During a 2-year period from 2007 to 2008, the proportion of participants with entirely correct results increased from 65% to 77%, whereas the proportion of participants with incorrect H5 subtyping fell from 23% to 12% and false-positive results fell from 14% to 6% (Table 4). False-positive results for negative samples remained at <10% from panel 2 onward.

Of the 868 tests performed on negative samples (panel 1, 128 tests; panel 2, 332 tests; panel 3, 190 tests; panel 4, 218 tests), 32 (3.7%) tests were false-positives; the most frequent false-positive results reported were for influenza A virus subtype H5 (Table 5).

To evaluate the overall performance of participants across the panels, results were categorized as ?good? when >90% were correct and ?less good? where <90% were correct. When all panels were compared, the proportion of participants returning less good results fell from 23% to 13% (Table 3). The improvement in results could be attributed to participation in earlier panels. Of 15 laboratories returning less good results for panel 1, 12 participated in all panels; the number classified as having less good results decreased from 12 to 4 for panel 2 and from 4 to 2 for panel 3; it remained 2 for panel 4.

A total of 44 laboratories returned less good results for >1 of the panels; 8 laboratories participated in only 1 panel; the remaining 36 laboratories participated in >1 panel. These 36 participants were categorized as belonging to 1 of 3 groups according to their performance record: as an ?improved performer? (participant returned less good results in earlier panel or panels but good results in a later panel or panels), a ?fluctuating performer? (participant returned good results in an earlier panel or panels but less good results in a later panel or panels) or a ?persistently poor performer? (participant returned less good results in all panels). In total, 22 laboratories were classifi ed as improved performers, 12 as fluctuating and 2 as persistently poor.

The improvement in H5 subtyping was evident when results for samples with the same concentration were compared. For H1 and H3 subtyping, it appears there is still room for improvement (Table 1).

For all 4 panels, the percentage of laboratories returning all correct results in the European Region was >70%, but in the African Region and the Eastern Mediterranean Region the percentages remained <70% (Fig. 1).

The sharp decline (>15%) in performance in the Region of the Americas and the South-East Asia Region on panel 2 was probably due to the large number of firsttime participants; a similar situation occurred in the African Region for panel 3 and panel 4 (Table 6). For panel 4, the performance of the South-East Asia and Western Pacific regions was comparable to that of the European Region.
(....)
-
-----

 

[Treyfish]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

AVIAN INFLUENZA, HUMAN (71): INDONESIA, NOT

Date: Fri 7 Nov 2008
Source: TEMPO Interactive [edited]
<http://www.tempointeractive.com/hg//2008/11/07/brk,20081107-144498,uk.html>


Hospital announces bird flu tests were negative
Hasan Sadikin Hospital in West Java announced on Thursday [6 Nov 2008] that
a Bandung resident [suspected to have] died of avian influenza had died of
pneumonia. The male patient, 32, a resident of Jl Inhoftank Bandung
according to the hospital did not contract the [avian H5N1 influenza] virus
as [indicated] by the results of tests by the Health Ministry, Eijkman
Institute, and the hospital.
"All of the results were negative," head of Hasan Sadikin Hospital Cissy
Kartasasmita said. Cissy added that the patient's breathing problem were
inflicted by [another] cause, "but the cause is yet to be determined as we
need time to conclude the cause."

As reported on Tuesday the City Agriculture office conducted a rapid test
on poultry around the neighborhood of the patient's house. The results were
negative. The patient and his family owned a chicken farm which supplies
between 100 and 500 chickens daily.

The patient was admitted to Hasan Sadikin hospital on Sunday last week [2
Nov 2008] and died on Monday. Doctors in their early report on Tuesday [4
Nov 2008] last week said some of his internal organs had been in bad
condition including his heart, lungs, and kidneys. :tiphat: http://www.promedmail.org/pls/otn/f?p=2400:1001:318894405183809::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,74664
_________________

 

[Anne]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

http://www.thejakartapost.com/news/2008/11/08/west-java-hospital-probes-bird-flu-death.html


Saturday, November 8, 2008 1:42


West Java hospital probes bird flu death

Yuli Tri Suwarni , The Jakarta Post , Bandung | Sat, 11/08/2008 11:47 AM | The Archipelago
The Hasan Sadikin General Hospital in Bandung is investigating the death of a suspected bird flu victim who died of acute pneumonia, because initial tests showed no signs of H5N1 virus infection, hospital director says.
Hospital director Cissy Rachiana Prawira said the complete test results would be available within 10 days.
Cissy said the hospital received test results from the Health Development and Research Center in Jakarta on Thursday, four days after Dadang Hadiansyah, 32, died at the hospital's isolation ward.
Dadang earned a living slaughtering chickens.
Cissy said tests conducted by the hospital's microbiology lab also showed the victim's blood and phlegm samples were H5N1 negative.
"We must continue the tests to determine the type of microorganisms that caused the sudden death because the victim had direct contact with poultry," Cissy said in Bandung on Friday.
She strongly denied Dadang's death was due to late treatment, but rather due to a delay in diagnosing the disease.
The head of the contagious disease supervision division at the Bandung Health Agency, Muhamad Songka, said field analysis conducted around the area where the victim lived on Jl. Inhoftank -- where poultry are placed in transit before being sold to markets -- had not shown whether neighbors or the victim's relatives had contracted the same disease.
Songka said he was concerned about the presence of other virus strains that may have caused the acute pneumonia, given the sudden attack.
"I think the spread of the bird flu virus is a mystery. Perhaps it was not the H5N1. We are very curious of the actual cause," Songka said.
After testing around 500 chickens at Dadang's house, officials from the agricultural agency found one chicken infected with the virus.
Dadang' father, Ukun Sobandi, 66, said at least three chickens died every day due to heat and overcrowded cages.
Head of the environmental health and housing division at the West Java Health Agency, Wahyu Suryaputra, said Bandung was vulnerable to the bird flu virus because of a lack of road check points for livestock and poultry carriers.
"We are focussing on identifying avian influenza by conducting tests because we're afraid it could cause a pandemic. Other viruses could also become violent due to climate factors," Wahyu said.
The West Java Health Agency recorded six deaths the from bird flu from January to July this year, with two each in Bekasi, and Depok and one each in Subang and Sumedang.
As many as 34 people from West Java have been infected with bird flu between 2004 and 2008, with 29 resulting in death.

 

[Shiloh]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Source: http://www.pikiran-rakyat.com/index.php?mib=news.detail&id=41857
Kasus Flu Burung di Bekasi Tinggi
Minggu, 09 November 2008 , 17:45:00

Machine translation:

The case of Bird Flu in Bekasi Tinggi
on Sunday, November 09 2008, 17:45:00

Bekasi, (PRLM). - Section Head Kesehatan (Dinkes) the Bekasi City, Wirda Saleh, said, from 12 available subdistricts in the Bekasi City, as many as six subdistricts were stated as endemic bird flu, one of them of Kec. The Lumbu swamp. Five other subdistricts that were recorded as endemic bird flu namely the Subdistrict Bekasi Selatan, Kecamatan Jati Sampurna, Kecamatan Pondok Melati, Kecamatan Mustika Jaya, and the Bantargebang Subdistrict.

"Might be considered to be the case" of the "death because of bird flu in the Bekasi City high." Therefore, the Bekasi City was chosen among eight other cities that co-operated with the Department of Health to melakuka the simulation of the prevention of bird flu, said Wirda, on Sunday (9/11).

Was based on the number of cases, in 2005 was recorded by four people was stated suspect bird flu. The number increased in 2006, namely four sufferers from total five residents suspect bird flu died.

In the meantime, in 2007 nihil and this year was found eight positive poultries avian influenza and two fatalities. (A-155/A-147) ***

 

[Shiloh]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Source: http://www.suaramerdeka.com/beta1/index.php?fuseaction=news.detailNews&id_news=17138
09/11/2008 17:46 wib - Daerah Aktual
Tempat Pemotongan Ayam Ditutup Satpol PP

Machine translation:

Semarang, CyberNews. The death of a class student of Ii SMA, DS (15), that was expected suspect bird flu (Avian infuenza), last Friday (7/11), was responded to seriously by the Municipal Government. Three chicken abattoirs that was in the middle of the settlement in the Gayamsari Subdistrict territory was closed had by the official of the combination from Satpol PP, the subdistrict, and the chairman RT local.

One of the animal abattoirs that was closed that was in front of the DS house, Kelurahan Siwalan, Gayamsari.

The Head of Sector was Operasional Satpol PP Kota, Sumarjo SH said, the closing was carried out by the reason for the owner did not yet pocket disturbance permission (HO). The 'chicken' abattoir 'that was closed was located in Street Medoho Raya Ii was two and in Street Medoho I. Ini was the follow-up to the case' of the 'death of one of the residents who was expected suspect bird flu', said Sumarjo, on Sunday (9/11).

Explained by him, the official closed the place of these efforts after his owner could not show proof kepemilikkan permission of HO. Hal Itu it was considered violated No Regional Regulations 16 1997 about disturbance permission. Apart from not having permission, according to Sumarjo, the existence of the reduction house in the animal in the middle of the densely populated settlement also was not permitted.

This closing was also related the existence of the community's complaint around. Apart from causing the smell to be not delicious, the resident felt the resident objected to the animal abattoir that was classified as big that.

As being reported, after undergoing the maintenance for four days in RSUP Dr Kariadi, DS that it was suspected was ill suspect bird flu (avian infuenza) died, on Friday (7/11) struck 05,00 of WIB. Korban died after receiving the maintenance intesif in ICU space especially for the bird flu patient (isolation space), since Tuesday afternoon (4/11).

The section head the Health of Dispartan Kota Semarang drh Totok Susanto said, the chicken abattoir around the DS settlement, his condition did not fill the procedure. Because, apart from in the middle of the settlement, the same chicken abattoir did not fill the standard of the cleanliness.

Pendataan
Was separated, Camat Gayamsari, Fajar Purwoto said, his side will carry out repeated data collection against the reduction house in the animal. Data collection was the last time carried out in the last two years (2006). Most owners of the reduction house in the chicken did not have permission and his waste polluted the environment around, said the Dawn.

Explained by him, the official of the subdistrict and Satpol PP will close had reduction efforts in the chicken that was in the middle of the settlement and did not pocket permission. To be able to continue these efforts of the owners also was asked to pocket permission of efforts of the environmental management (UKL) and monitoring efforts of the environment (UPL). (Adhitia A /CN09)

 

[Commonground]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Monday, 10 November 2008

Farming/Agr. Service carried out Special Observation

After the death of a patient supect bird flu (avian influenza/AI) ,DS,warga Street Medoho Ii, Semarang, on Friday (07/11) last, area that currently was monitored specially by the Farming/Agr. Service (Dispertan) the Semarang City.

To confirm positive and did not have the deadly virus in this territory, Dispertan also took several samples of blood from the poultry. The head of Dispertan Kota Semarang Ayu Entys WLE mentioned, in accordance with the procedure continue to (protap), Dispertan will continue to carry out the special supervision including did pengisolasian against the poultry until results of the laboratory inspection were known by results. ?We still was waiting for results of the sample of blood that was examined. For his poultry blood, we also still were waiting for results of the lab that in Jakarta. Most not, possibly in time one week already could we received the result,? he explained yesterday.

As far as this is concerned, said he, special observation that was carried out by Dispertan in this region also was followed with the implementation of spraying bio security in a routine. Should manner indeed from results of the sample of blood that was examined from the poultry in the region was found by the AI virus, at least in a radius of 100?200 metre from the poultry that was found was infected must be sterilised. ?So that, all the available poultries must be to the radius destroyed without excepting. In accordance with his rule indeed like that,? kata him. He made a plea, all the Semarang inhabitant was asked to increase his vigilance in the rain season like this. Because, with the condition for the weather of this kind, the AI virus could develop because air humidity was high enough.

?Di between him maintained the cleanliness of the poultry pen, and did the handling in a rutin,?tukas manner him. Beautiful also ask for to the community so that not reluctant-hesitant to immediately reported to Dispertan when being found by the case of the poultry died aroused suspicion. Therefore, lanjutnya, Dispertan could segara carried out the handling quickly as the anticipation action of early.

In the meantime, the sample of blood the late patient suspect AI that was examined some time before, up until yesterday was not yet known by results. Concerning the problem, the Hospital side Dr Kariadi that handled the patient could not confirm when results could be known. ?Mungkin (results) tomorrow (today) could diketahui,? said one of the medical AI teams Dr Agus Suryanto SpPD KP yesterday.

http://www.seputar-indonesia.com/edisicetak/content/view/185633/

 

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

On November 12 2008

DS Positive Bird Flu

DS the adolescent was 15 years old, the resident Jl.Medoho III Kelurahan Siwalan Gayamsari Semarang that died on Friday (7/11), then was stated positive infected with the virus H5N1 or the bird flu virus.

Semarang - AMO Section Head Kesehatan of the Semarang City, Tatik Suryati said, was based on the laboratory test against 3 sample blood propery DS that in sent to Depatemen Kesehatan RI some time before, could in concluded that DS positive bird flu.

” Information from Jakarta that was received by us overnight said that DS positive bird flu, ” revealed Tatik, Usai joined the Day ceremony of Kesehatan dibalaikota Semarang (12/11) .

Like in reported beforehand, after undergoing the maintenance intesive for four days in ICU space especially for the bird flu patient (isolation space of RSUP Dr Kariadi) , DS died, on Friday (7/11) struck 05,00 WIB.

According to the medical team of AI RSUP Dr Kariadi, the doctor Agus Suryanto SpPK (K) P, casualties showed the symptoms of bird flu. ” Her fever achieved 39 levels celcius and the disturbance of progressive breathing.

She also had the story of contact with the poultry, ” the doctor's words Agus. According to him, before dying DS experienced the high fever for seven days later.

Beforehand has in brought to the Community Health Centre and underwent treated inap (inpatient,ed) in one of the private hospitals.

” Because her health will never show the progress had finally been reconciled to RSUP Dr Kariadi. Enter here his condition has worsened.

http://abdimedia.com/archives/4228

 

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Radar Semarang

[Tuesday, 11 November 2008]

Blood samples taken

Victims' families Suspect Bird Flu

SEMARANG - Semarang City Health Office to act quickly after the death of DS, 15, residents Medoho 3 RT 05/RW 01 Neighborhood Siwalan Gayamsari, the suspect is suspected of bird flu.

Five family members DS taken blood samples. The aim is to ensure whether these viruses have AI (Avian Influenza), or not.

Head of Semarang City Health Office Dr. M. Tatik Suyarti Kes explained, the blood sample to know the condition of the victim's family if there is a possibility that infected.

"Although the DS blood samples sent to Jakarta until now have not been out of the results, but when the funeral and then, we treat DS as bird flu patients. We bury DS as soon as possible so that no transmission occurred," said dr Tatik.

In addition to sampling the victim's family, monitoring of citizens in environmental victims do not escape from supervision. "Until this moment, we have not received the report and find if there are residents in the environment that victims suffer fever or characteristics such as disease, which is DS," bebernya.

Not only that the Office of Health epidemiological investigations (PE) to ensure that cases of victims of history. Semarang Agriculture Office also conducted a similar case.

"On Sunday (9 / 11), we have the blood samples in poultry living in the living victims DS," said the head of the Office of Agriculture, Animal Sie Semarang off Totok Susanto. Currently, poultry blood samples examined in the laboratory is still not out and the results.

In addition, the plan Tuesday (11/11) today, spraying was conducted in the area. "We utamakan for spraying disinfektan to every home that has birds. Approximately within a radius of 500 meters from the house the victims."

Separate, neighboring DS, Kusnadi, 36, residents Medoho 3 No. 17 admitted up to now there is no poultry in the neighborhood who died suddenly. "According to the suggestion of Agriculture Office of Semarang, we have poultry stall. Everything is in healthy condition, not a sudden death."

In addition, he said, local people are not suffering from a fever. "We hope there will not again fall victim suspect bird flu." Therefore, the information Kusnadi, residents are now complying with the suggestion the Office of Health and the Office of Agriculture to maintain health.

While the chicken-cutting business owned by Wondo, 37, which is located 2 houses the lapse of the victims DS now not allowed to operate temporarily. (eny / isk)

http://www.jawapos.com/radar/index.php?act=detail&rid=40872

Google

 

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Semarang KLB Bird Flu

The Semarang city was stated in the status of the Abnormality (KLB) bird flu. Followed the issuing produced by the inspection of the Research And Development laboratory Department of Health RI on the sample of DS blood (15), suspect bird flu that was stated positive and died last Friday.

Semarang ? AMO Section Head Kesehatan of the Semarang City Dr Tatik Suyarti MKes, said, the KLB determination reason was provided a basis for because of this incident just the first time in Semarang.

In the year beforehand, was not found by the case avian influenza (AI) in humans. The side him also did not mention the deadline until the KLB status bird flu will be put into effect.

?Before him had never had the case of bird flu in the City Semarang.Yang clear, the KLB status will continue to be evaluated periodically, we had leave if his condition terkendali,? Tatik words after the National ceremony of the warning of the Health Day (HKN) the 44 in the page of the Town Hall, on Wednesday (12/11).

In the meantime, the Guardian of the City Semarang Sukawi Sutarip said, the case of bird flu to humankind immediately will be followed up by several steps so that the deadly illness does not become the dangerous plague.

The territory that was in a radius of certain from casualties's residence will be monitored seriously. Like the supervision of poultry abattoirs, available in the settlement region.

http://abdimedia.com/archives/4235

 

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Confirmation from 2nd newssource

12/11/2008


Blood samples Victim Positive

Semarang Declared KLB Bird Flu

Semarang, Cybernews. Semarang is stated in the status of Extraordinary Circumstances (KLB) bird flu. Status is determined, to escape the results of laboratory examination of the blood sample DS (15), suspect bird flu that died.

It was the head of the City Health Office (DKK) from Semarang Tatik Suyarti MKes, Wednesday (12/11), after the ceremonial National Health Day (HKN) to-44 page in the Central City.

It is said that the determination of the status KLB will be followed by serious efforts to anticipate the possible emergence of similar cases. ''To the bird flu, KLB status can be determined after the case. For, there has been no previous cases of bird flu in the city of Semarang,''said Tatik.

It is said that, DKK has received the results of R & D laboratories of the Ministry of blood samples DS, residents Jl Medoho III, AT Siwalan Gayamsari Subdistrict. From the examination, he said, DS declared bird flu positive.

Tatik not mention the time limit, until the status of KLB when bird flu was applied. ''What is clear, the status of KLB will continue to be evaluated periodically, before later revoked if conditions are really confident,''said Vice Chairman and Management Team of Bird Flu is Semarang.

Previous fed, died after a DS intensive examination during the four days, in a special room ICU patients of bird flu (isolation room) Hospital of Kariadi. Before death, the patient showed symptoms of bird flu, including high fever reached 39 degrees Celsius and progressive respiratory disturbances. Students in grade II, one of the schools in the city of Semarang also has a history of contact with poultry.

Meanwhile, Mayor Sukawi Sutarip said, the victims died because of bird flu should be immediately followed by a number of steps, so that the disease will not become a dangerous outbreak. The region is in a certain radius from the residence of the victim will be monitored seriously. ''A number of steps have been undertaken, among other places close cutting chickens there (near the residence of the victim - Red),''said Sukawi.

Furthermore, he said, the municipal government will also conduct monitoring of places of cutting poultry, which is in the residential area. Looking ahead, poultry abattoir will be one, in the area Penggaron Poultry Market, which is currently in the middle of the development process.

In particular, the Mayor requested that citizens also do anticipate. Poultry-bird'' that must be maintained, can not be left to wander.''

http://www.suaramerdeka.com/beta1/index.php?fuseaction=news.detailNews&id_news=17343

Google

 

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

15-year-old girl dies of bird flu in Indonesia



JAKARTA, Indonesia (AP) ? Indonesian health officials say a 15-year-old girl has died of bird flu.

Agus Suryanto, who headed the team of doctors treating the patient, said the girl was from the city of Semarang, 250 miles east of Jakarta. She died late last week after 10 days of hospitalization.

Local health agency chief Tatik Suryanti said test results from two laboratories in the capital came back positive Wednesday.

Officials believe she became infected after coming into contact with sick poultry. Her house was near a chicken slaughterhouse.

Indonesia has recorded 113 human deaths from bird flu since the virus began ravaging poultry stocks across Asia in 2003. That accounts for nearly half the 245 recorded fatalities worldwide.

http://ap.google.com/article/ALeqM5gApQbyawgKLjltct03EvadCi-cCwD94DBL481

 

[HenryN]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Commentary

http://www.recombinomics.com/News/11120801/H5N1_Semarang.html

 

[Gert van der Hoek]

Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

The story of the poor girl "DS" from Semarang, fits in the general picture of bird flu victims in Indonesia.

Confirmed bird flu deaths tend to be:

- treated (too) late with Tamiflu (aprox. 48 hour window) ;

- treated in private hospitals (which don't have Tamiflu).

Both these circumstances were relevant for DS.


Just a reminder:

- early Tamiflu treatment tends to cure bird flu patients;

- early Tamiflu treatment tends to produce negative test results for bird flu.