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

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Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

The link in post # 146 leads to video; the 2nd part is on the situation in Makassar Hospital, it ends with a comment of dr Kunia.

May be someone who can understand 'Bahassa Indonesia" can translate her comment?
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Bird flu kills teen in Central Java

Thu, 11/13/2008 10:31 AM | The Archipelago

SEMARANG, C. Java: Extraordinary occurrence status has been declared for Semarang after a teenage resident died from bird flu.

DS, 15, died Friday after being treated for a week at a private hospital and another four days at the Kariadi General Hospital.

Agus Suryanto, member of the general hospital's avian influenza team, said Wednesday that blood tests had confirmed that DS had contracted bird flu. The tests were conducted at the Health Ministry's Development and Observation Laboratory in Jakarta and at Eijkman Laboratory.

Agus said DS, a resident of Jl. Medoho III, Gayamsari, was already in a critical condition when she was transferred to Kariadi General Hospital.

She had a fever of 39 degrees Celsius and acute respiratory problems.

DS's house is near a poultry slaughterhouse.

"This is the first case of bird flu in Semarang this year. In 2007, 27 patients suspected of having bird flu were treated in isolation wards in this hospital. They all survived," Agus said .

Semarang Health Agency head Tatik Suyarti said her office would work to prevent the bird flu spreading to other parts of the city.

Semarang Mayor Sukawi Sutarip said related institutions had conducted preventive actions such as temporarily closing the poultry slaughterhouse and testing DS's family and neighbors for infection. -- JP

http://www.thejakartapost.com/news/2008/11/13/bird-flu-kills-teen-central-java.html
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Sulawesi; 6 patients from 1 family are treated in hospital; the number of 17 suspects could refer to neighbours or other contacts who were checked.

Looking at the 2nd part of the video of MetroTV (see post # 146) the patients seem to do OK.


On Thursday, 13-11-2008


One Family Suspect Bird Flu

Dozens of chickens died in Patte`ne Positive was attacked by the Virus H5N1

MAKASSAR, BKM -- one family that consisted of six people, on Wednesday (12/11) underwent the special maintenance and were isolated in the RSUP Wahidin Sudirohusodo ferns building.

They that his whole from the Tangki Jangang Village, RW 2 RT 5 Patte'ne, Kelurahan Sudiang, Kecamatan Biringkanaya this was expected (suspect) bird flu.

From six people who were treated
, five among them were children. Respectively Nurul Andia (3 years 6 months), Salman (6 years 10 months), Nurfadillah (4 months), Saleha (11 years) and Irwan (5 years).

One other person, Yohani currently is 50 years old.

http://www.beritakotamakassar.com/
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

17 patients assumed to have Bird Flu in isolation in Makassar

Thursday, 13 November 2008 | 1

MAKASSAR, THURSDAY - As many as 17 patients' suspect 'bird flu (Avian Influenza / AI) is now treated in isolation rooms Regional Hospital Dr. Wahidin Sudirohusodo, Makassar, Sulawesi Utara (North Sulawesi). (Should be South Sulawesi, ed)

"They were taken to the hospital because of this experience fever with body temperature higher, and in the vicinity of his home found dozens of dead chickens rot with a bluish body," said a nurse at the hospital ruanga isolation Wahidin, Fatimah, Thursday.

The Seventeen patients are from RT 5 RW 2 Neighborhood Sudiang, Biringkanaya Sub-District, Makassar. They receive intensive services from 20 medical experts.

As many as six of the 17 patients treated at the hospital Wahidin, are children with the age of three months to 10 years, respectively Salman, 5, Nurul Awaliah, 3, Nur Fadilah, 4 months (with) and the neighboring Saleha, 10, Irwan, 8, Ibn Fauzi, who is 3 months younger sister.

About the bird flu disease which citizens Biringkanaya, Head of Medical Affairs at once Relation Team Special Bird Flu Hospital Dr. Wahidin Sudirohusodo Star Kurnia said the government has been taking blood samples, perform rapid influenza test and take photos toraks for further examination.

"From the results of the examination while in the laboratory, six patients experienced a type of influenza A disease that leads to the AI and three more from the results of the photo shows the torax to bronchopneumonia, which also have the opportunity to the AI," she said.

About the chickens were found dead on the patient around the house, the head of the Office of Makassar Health Naisyah Tun Asikin said based on the results of Health Office of Makassar on the sample of dead chickens known chickens are positive to have the H5N1 virus.

"To anticipate the spread of bird flu patients around the house, officials of the Health Office in Makassar have to destroy tens of fowl in the region RT 5 RW 2 Neighborhood Sudiang," he said.

http://www.kompas.com/read/xml/2008/11/13/18524066/17.pasien.diduga.flu.burung.diisolasi.di.makassar

G
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

13/11/2008 15:51
17 Warga Makassar Suspect Flu Burung

Makassar - As Many As 17 residents Makassar were forced to be run off with to the Regional Wahidin Sudirohusodo hospital after experiencing the fever, the cough, breathless was accompanied was sick in the chest part. Expected by them suspect bird flu. To 17 casualties that 13 among them still children were three months till 12 years old, abide in Street Lorong Kuburan RW 2 RT 5 Sudiang districts, the Biringkanaya subdistrict.

According to the Head of the Medik Field at the same time public relations of Tim Khusus Flu Burung RS Dr Wahidin Sudirohusodo Kurnia Bintang, on Thursday (13/11), since yesterday on Wednesday (12/11) totalling seven patients, who consisted of 5 children, direct after being taken the sample of blood and the photograph toraks the chest part of casualties, at once was placed in isolation space. The step in the medic and rapid test influenza has been carried out.

The "sample" of "temporary blood was still being checked in the medical Unhas laboratory." From results rapid, found six people among them experiencing A kind influenza that headed to resulting from H5N1, said the gift.

In the meantime today, on Thursday (13/11) same hospital intensive care units also received psient that also was stated suspeck bird flu totalling 10 people. All of it also it was identified suffered the complaint that was the same as the seven patients beforehand, that evidently still neighbouring. The head of the Installation treated the Emergency but also the team's member of the handling of the RS Wahidin Sudirohusodo bird flu illness, Wasis Udaya when being met after gave treated to 10 patients, said to 10 patients suffered the same sign, namely flu, the fever, the cough and breathless. He said took the appropriate action protap.

"Generally the condition" for the "patient was still stable, namin we will continue to monitor his development." For results whether the negative infected H5N1, still was waiting for results of the laboratory in Jakarta, around one week, he explained. In order to anticipate the patient who could not be predicted, his side provided all the requirements for the implementation of medical treatment and the maintenance of casualties suspect and positive bird flu. Like, the medicine and isolation space. To tending to 17 patients, will be handled by at least 20 teams of the specialist in this hospital. This hospital also was the only hospital in South Sulawesi that was indicated to handle the affected patient bird flu.

Wasis also made a plea to the residents to anticipate following casualties so that immediately reported to the health service that co-operated officially Makassar livestock breeding.

In the meantime, Jefri (30) the father from one of the patients suspek bird flu, Fauzi that still was three months old said since the last two weeks indeed in his house environment of dozens of chickens belonging to his neighbour died suddenly. And according to the official from the Makassar livestock breeding service, indeed his neighbouring chickens there are those that was found was affected by the virus H5N1. "After many chickens that died, in the last two weeks were at once done by the extermination around one hundred the tail" of the "nonpedigreed chicken by the health service." After that, my child and six other neighbours suffered the cough, the fever and breathless, he explained. Jefri claimed surprised, because himself did not maintain the chicken, and never contact with the poultry kind that almost became kept each house around it. Moreover, his child fauzi that just was three months old.

http://www.inilah.com/berita/politik/2008/11/13/61653/17-warga-makassar-suspect-flu-burung/
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

<TABLE class=lan18 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=hei22 vAlign=bottom height=25>Indonesia denies new case of bird flu death
</TD></TR><TR><TD bgColor=#ffffff height=4></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=8></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD width="48%">www.chinaview.cn
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2008-11-13 13:58:37
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JAKARTA, Nov. 13 (Xinhua) -- Indonesian Health Ministry on Thursday denied foreign reports that a 15-year-old girl from Central Java had died of avian influenza, saying two laboratory tests had showed her blood samples negative of H5N1.

The girl died on Friday in Karyadi Hospital in Semarang city, 250 miles east of Jakarta after 10 days of medical treatment.
Denying several foreign reports that the girl had been confirmed dead of bird flu, Health Minister Siti Padilah Sufari said: "Both of the laboratory tests showed that she was negative of bird flu, so the total death toll (of bird flu) remains 112." A total of 137 people had been infected by bird flu in Indonesia, making the country hardest hit by the deadly virus. The avian influenza has killed so far 244 people in the world. Indonesia has been striving to diminish the factors that facilitate the spread of the bird flu virus, including big territory, traditional way of rising chickens on back yard and lack of obedience of provincial administration in implementing Jakarta's relevant decisions.

</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=15></TD></TR></TBODY></TABLE><TABLE class=hei12 cellSpacing=0 cellPadding=0 width="90%" align=center border=0><TBODY><TR><TD align=right height=25>Editor: Deng Shasha </TD></TR></TBODY></TABLE>

http://news.xinhuanet.com/english/2008-11/13/content_10352325.htm
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

17 Suspect Bird Flu treated in the RSU Wahidin Makassar

Thursday, 13 November 2008 | 18:41 WIB

TEMPO Interactive, Makassar: A total of 17 patients suspect bird flu treated in the isolation room fern, General Hospital Wahidin Region Sudirohusodo, Makassar. They are RW Patte'ne citizens Road ***, Neighborhood Sudiang, Biringkanaya Sub-District, Makassar. Location in the residence, we found some chickens dying and the positive of bird flu.

Installing the head of Emergency Care RSU Wahidin also members of the team coordinating the bird flu, Dr Wasis Udaya Sp.PD, which is found in the hospital Thursday (13/11), said this is a two-day party to handle the patients suspect bird flu, the number is 17 people The blood sample is taken and the photos in the lungs to further examination to determine what surely affected by bird flu.

From the number of patients admitted to this yesterday and seven people directly in isolation because the lead to symptoms of bird flu, namely Nurul Awaliyah (3.6), Nur Matan (4 months), Salman (6.10), Irwan (6), Saleha (12 , 3), Fauzi Ibn Rajab (3 months) and Johani (60). Meanwhile, the ten patients who entered the day this is Ilham (2), firdaus (6), Alif (3 months), Desi (5), Eki Desviani (5 months), Rahmawati (2), Hartati (26), Nuraine (31) , Hasnawati (34) and Annisa (6).

17 complaints and symptoms of the patient is coughing, fever, and shortness of breath. Mengunggu the results of further blood sample from the suspect patient is, while they affect treatment diisolasi fern. Examination of blood samples using the Polymerase Chain Reaction (PCR) is done in the laboratory Hasanuddin University (Unhas) and sent to the Ministry of Health, which takes about 2 days to know the results.

Head of Medical Affairs RSU Wahidin, Kurnia A Star, which found separately yesterday afternoon said that of the 17 patients who suspect bird flu, 14 new patients be in isolation.

The great number of patients that must be placed in that room to make the insulation capacity of only 11 beds, plus 6 forced extra beds.

"The addition of this can be done that most patients are children, namely 14 people," he said.

http://www.tempointeraktif.com/hg/nusa/2008/11/13/brk,20081113-145843,id.html

Google
 
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Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Source: http://www.alertnet.org/thenews/newsdesk/JAK57510.htm


Indonesia to test 17 for bird flu in Sulawesi
13 Nov 2008 12:53:23 GMT
Source: Reuters

JAKARTA, Nov 13 (Reuters) - Seventeen people from the same neighbourhood in the Indonesian city of Makassar in South Sulawesi are due to be tested for bird flu after falling sick, a health ministry official said on Thursday. Chandra Yoga Adhitama, acting director-general of communicable disease control, said the group had been hospitalised after chickens in the surrounding area suddenly died.

"Some were hospitalised yesterday and some today. I think it is a precaution by our officials after chickens died there," Adhitama said.

He described the general health condition of the 17 as good and said that blood samples had been taken and would be sent to the health ministry laboratory in Jakarta for testing.

"We are continuing to monitor their condition," he said, adding that only four of the group were adults.

Suspected cluster cases can raise concerns about rare human-to-human transmission or that the virus might have mutated into a form that can pass easily among people.

The country's largest known cluster of bird flu cases in humans occurred in May 2006 in the Karo district of North Sumatra province, where as many as 7 people in an extended family died.

The World Health Organisation said at the time that limited human-to-human transmission could not be ruled out but that the virus samples from the scene did not show any significant genetic mutations.

Bird flu remains mainly an animal disease but experts fear the H5N1 virus might mutate into a pandemic strain that would sweep the globe, possibly killing millions and hobbling economies.

Indonesia has the highest toll of any nation and a health official said on Wednesday that a 15-year-old Indonesian girl has died of bird flu in central Java, bringing the country's death toll from the disease to 113. (Reporting by Telly Nathalia; Editing by Ed Davies and Valerie Lee)
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

17 treated in Makassar for suspected bird flu

Andi Hajramuni , The Jakarta Post , Makassar |

Thu, 11/13/2008 | National

Wahidin Sudirohusodo Hospital in Makassar, South Sulawesi, has been treating 17 patients since Wednesday for suspected bird flu.

The suspects, 13 of them children, are residents of Sudiang subdistrict. Seven were admitted to the hospital Wednesday, the rest arrived Thursday.

Hospital spokesperson Andi Kurnia Bintang said the patients were suffering from high fever, coughing and breathing difficulty, all symptoms closely associated with bird flu.

"Rapid tests showed they may be infected with the H5N1 avian influenza virus, but we are waiting for blood test results to come back from the Hasanuddin University lab," Kurnia said.

Kurnia said 31 chickens had died in the subdistrict in the past week before three toddlers started to show symptoms Monday.

Separately, head of Makassar's husbandry office, Sulistiawati, said that his office had found several chickens which tested positive in the bird-flu quick test.

She said she had sent officers to cull 20 birds and spray disinfectant at chicken farms in the area. (dre)

http://www.thejakartapost.com/news/2008/11/13/17-treated-makassar-suspected-bird-flu.html
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

If not bird flu... then what? <TABLE style="WIDTH: 405px; HEIGHT: 44px; BACKGROUND-COLOR: #ffffff" cellSpacing=0 cellPadding=0><TBODY><TR><TD class=caption style="WIDTH: 360px">
November 13 2008 at 03:40PM </TD></TR><TR><TD style="HEIGHT: 1px; BACKGROUND-COLOR: #cccccc" colSpan=2></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=5 width="100%" border=0><TBODY><TR><TD align=right><TABLE cellSpacing=0 cellPadding=4 width=300 border=0><TBODY><TR><TD class=relatedheading align=right>Related Articles</TD></TR><TR><TD class=relatedlink align=right>
</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE><TABLE class=mainarticle cellSpacing=0 cellPadding=0 border=0><TBODY><TR><TD class=svarticletext>[SIZE=+1][/SIZE]Jakarta - Tests on an Indonesian girl reported to have died of bird flu proved negative for the deadly strain of the virus, the health minister said on Thursday.

Siti Fadilah Supari said the 15-year-old girl, who died in hospital in the Central Java city of Semarang on November 7, was not carrying the H5N1 strain.

"Both tests came back negative," she said.

The girl, who lived near a chicken slaughter house, died 10 days after complaining of flu-like symptoms.

Indonesia has been the country hardest hit by bird flu, with its official toll of 112 deaths accounting for nearly half of worldwide deaths from the disease.

The H5N1 virus typically spreads from bird to human through direct contact, but experts fear it could mutate into a form easily transmissible between humans, with the potential to kill millions in a pandemic. - Sapa-AFP

http://www.iol.co.za/index.php?set_id=1&click_id=31&art_id=nw20081113091110314C898660
</TD></TR></TBODY></TABLE>
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

<TABLE border=0 cellSpacing=0 cellPadding=0><TBODY><TR><TD class=teks3>Thursday, 13-11-2008 </TD></TR><TR><TD class=footer width=392>
Suspect Flu Burung
One Family Suspect Bird Flu
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MAKASSAR, BKM - A family that consists of six people, on Wednesday (12/11) to undergo special treatment in building and diisolasi fern RSUP Wahidin Sudirohusodo. They are totally from Tank Kampung Jangang, RW 2 RT 5 Patte'ne, Neighborhood Sudiang, Subdistrict Biringkanaya is suspected (suspect) bird flu.
Of the six people treated, five of them are children. Each Nurul Andia (3 years 6 months), Salman (6 years 10 months), Nurfadillah (4 months), Saleha (11 years) and Irwan (5 years). One other person, Yohani now aged 50 years.
</TD></TR><TR><TD style="BORDER-BOTTOM: #000000 0px solid" class=teks> Four of the five children are still brothers, namely Saleha, Salman, Nurul Andia and Nurfadillah. Three others, namely Saleha, Yohani and Irwan also undergo inspection at the Installation Emergency Care (IRD). After that they brought to the building fern.
''For while there are three people in the diisolasi fern, namely Nurul Andia, Salman and Nurfadillah. Nurul and Salman have taken samples of blood and suapnya. Meanwhile Nurfadillah, blood samples have not been taken, but also suspected to have bird flu virus,''said Rita Raweni, Tim Bird Flu Countermeasures Wahidin Hospital, on Wednesday (12/11).
According to Rita, this is the sixth patient referrals from the health Sudiang.
They were suspected to have H5N1 virus after dozens of dead chickens in the neighborhood.
Sixth person is entered in two waves. The first came at around 08.00 is Salman and Nurul.
Meanwhile, their youngest sister, Nurfadillah that brought his parents to accompany the second sister to the hospital, suddenly have a fever. He bring examined and eventually declared suspect bird flu. Not long after, at around 12:00 overtake three other people, namely Saleha, Yohani and Irwan.
"Samples of blood and bribery Nurul Salman and we have to take health laboratory Sulawesi Health Office. Sunday front of the new results can be known. Reports from the Animal Husbandry Department, the poultry died of bird flu positive, not people," said Rita fern in the building while the IRD to pick three other victims to be taken to the isolation room.
.​
With the influx of six people this means that during 2008 there have been 13 bird flu suspect patients treated at the hospital Wahidin.
Mother victim, Dg Nginga a fern found in the building, yesterday said the four children Saleha, Nurul Andia, Salman, Nurfadillah initially experienced high fever, vomiting and coughing. ''Pain is not the same. The lapse of two days, they complained of a similar illness. Nurul first. Then follow the other.
Saya langsung bawa mereka ke Puskesmas Sudiang.​
I take them directly to the health Sudiang. Puskesmas directly refer people to hospitals Wahidin,''said the mother of five children.
While in the hospital to undergo treatment, only four victims with the mother. His father, Risal the day-to-day work as a laborer building is not visible.

According to Dg Nginga, before the child is sick, a few days before dozens of chickens in the village died suddenly. He does not think it will cause their children sick and stated suspect bird flu.
Several hours after arrival to receive patients suspect bird flu, Team Management Bird Flu South Sulawesi Health Office with the Animal Husbandry Department directly to the location and destruction of poultry. In addition, they also do research.
''Kita sudah datang ke lokasi.​
''We have come to the location. Indeed, many chickens died. A week later some members of a family illness. If unggasnya is positive of bird flu. But people can not yet be ascertained. We are still waiting for laboratory results, "said Chairman of the Management Team AI South Sulawesi Health Office, Debsy V Fatilima, yesterday. (R4/rus):tiphat:
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http://translate.google.com/transla...237&jenis=Headline&hl=en&ie=UTF-8&sl=id&tl=en
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

More medical details from Sulawesi Hospital

Suspected Bird Flu Cluster Happened in Makassar

On Thursday, 13 2008

Jakarta was based on the collection of several datas that entered, for the time being the Department's side of the Health concluded small the possibility 17 patients suspect bird flu (Avian Influenza/AI) that currently is treated in space of the Hospital isolation of Regional Dr Wahidin Sudirohusodo, Makassar, South Sulawesi could be indicated to be positive suffering of bird flu.

The "data that entered indeed still piece by piece." But could be concluded by the patient did not experience leukopeni (the decline in the number of white blood cells) , obviously Plh. Director General Pencegahan of the Illness and Sanitation of Lingkungan Department of Health Tjandra Yoga Aditama to the Indonesian Media, on Thursday (13/11).

According to Tjandra, 70% the positive patient bird flu had the affected characteristics leukopeni. Generally the positive sufferer content bird flu of the number of white blood cells provided through to was supervised by the range 5000 ml as a result of being infected by the virus H5N1.

Nearby leukopeni, the clinical sign that generally is to the positive patient was the hot sign, breathless, thrombositopeni (the decline in the number of blood cells in blood) and pneumonia (the infection of the lungs that caused the problem of respiration).

Despite this, Tjandra did not reject was gotten by the risk factor took the form of the death of several poultries in casualties's environment. The risk factor (close to the poultry died) indeed was available. But did not yet have the report on the poultry that died flattest H5N1 or not, he added.

However on the whole, Tjandra claimed to be information that was accepted by the Department of Health was still vague. His current, was difficult for this agency to determine the status of casualties.

Till at this time, sample from 17 sufferers still could not be sent to the central laboratory of bird flu reconciliation in the Eijkman Agency and the Body laboratory of Litbangkes Department of Health in Jakarta. Just this afternoon the team was involved there, he said.


Was based on the agreement, the status of the positive patient bird flu could be only announced officially after passing the inspection inspection of RT-PCR to two laboratories.

If the 17 people were positive bird flu, then could be ascertained this was the case cluster (bird flu gathered) biggest in the world. Beforehand the case cluster most happened in Karo, North Sumatra that happened to 9 close people.

Even more incidents cluster, then could be indicated by the case of Human-to-human bird flu increasingly close. (

http://www.mediaindonesia.com/index.php?ar_id=NDM3NTA=
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

13/11/2008 15:51
17 Warga Makassar Suspect Flu Burung​
17 Residents in Makassar Suspect Bird Flu

Suriani
INILAH.COM, Makassar - Sebanyak 17 warga Makassar terpaksa dilarikan ke rumah sakit Regional Wahidin Sudirohusodo setelah mengalami demam, batuk, sesak nafas disertai sakit pada bagian dada.
INILAH.COM, Makassar - Some 17 residents of Makassar dilarikan forced to hospitals Regional Wahidin Sudirohusodo after experiencing a fever, cough, shortness of breath accompanied by pain in the chest.
Diduga mereka suspect flu burung.
They suspected bird flu suspect.

Ke 17 korban yang 13 diantaranya masih anak-anak berumur tiga bulan hingga 12 tahun ini, tingal di Jl Lorong Kuburan RW 2 RT 5 kelurahan Sudiang, kecamatan Biringkanaya.​
To 17 victims are still among the 13 children aged three months up to 12 years, living on Jl Lorong Tombs RW 2 RT 5 villages Sudiang, Biringkanaya district.

Menurut Kepala Bidang Medik sekaligus Humas Tim Khusus Flu Burung RS Dr Wahidin Sudirohusodo Kurnia Bintang, Kamis (13/11), sejak kemarin Rabu (12/11) sebanyak tujuh pasien, yang terdiri dari 5 anak-anak, langsung setelah diambil sampel darah dan foto toraks bagian dada korban, langsung ditempatkan di ruang isolasi.​
According to the Head of Medical Affairs at once Relation Team Special Bird Flu Hospital Dr. Wahidin Sudirohusodo Kurnia Stars, Thursday (13/11), since yesterday Wednesday (12/11) of seven patients, which consists of 5 children, immediately after the blood sample is taken and photo toraks victims of the chest, directly placed in isolation rooms.
Langkah medik dan rapid test influenza sudah dilakukan.​
Step Medicine and rapid influenza tests have been conducted.

"Sampel darah sementara masih diperiksa di laboratorium kedokteran Unhas. Dari hasil rapid, mendapati enam orang diantaranya mengalami influenza jenis A yang mengarah ke akibat H5N1," kata Kurnia.​
"Samples of blood while still checked Unhas in laboratory medicine. From gary results, found six people including an influenza type A that leads to the result of H5N1," said Kurnia.

Sementara itu hari ini, Kamis (13/11) Unit gawat darurat rumah sakit yang sama juga menerima psien yang juga dinyatakan suspeck flu burung sebanyak 10 orang.​
Meanwhile, today, Thursday (13/11) Unit emergency hospitals also receive the same psien also stated that suspeck bird flu as many as 10 people.
Kesemuanya juga diidentifikasi menderita keluhan yang sama dengan ketujuh pasien sebelumnya, yang ternyata masih bertetangga.​
These are also identified as suffering the same complaint with the previous seven patients, which is the neighbors.

Kepala Instalasi rawat Darurat dan juga anggota tim penanganan penyakit flu burung RS Wahidin Sudirohusodo, Wasis Udaya saat ditemui seusai memberikan perlakukan pada 10 pasien ini, mengatakan ke 10 pasien itu menderita gejala yang sama, yakni flu, demam, batuk dan sesak nafas.​
Head Installation Emergency treatment and also members of the team handling the bird flu disease hospital Wahidin Sudirohusodo, Wasis Udaya when found after giving treat 10 patients in this, say to 10 patients suffering from the symptoms of the same, namely, flu, fever, cough and shortness of breath.
Ia menyatakan telah mengambil tindakan sesuai protap.​
He said he was taking the action has been protap appropriate.

"Secara umum kondisi pasien masih stabil, namin kita akan terus memantau perkembangannya. Untuk hasil apakah negatif terjangkit H5N1, masih menunggu hasil laboratorium di Jakarta, sekitar satu minggu," paparnya.​
"In general the condition of the patients are stable, namin we will continue to monitor developments. To have negative results if the H5N1, is still awaiting the results of the laboratory in Jakarta, about one week," he said.

Dalam rangka mengantisipasi pasien yang tidak bisa diprediksi, pihaknya telah menyediakan semua kebutuhan pelaksanaan pengobatan dan perawatan korban suspect dan positif flu burung.​
In order to anticipate the patient can not be predicted, the government has to provide all needs treatment and care of victims suspect and the positive of bird flu.
Seperti, obat-obatan dan ruang isolasi.​
Such as, drugs and isolation rooms.

Untuk perwatan ke 17 pasien ini, akan ditangani sedikitnya 20 tim dokter ahli di rumah sakit ini.​
To perwatan to 17 patients will be handled at least 20 medical teams of experts in this hospital.
Rumah sakit ini juga merupakan satu-satunya rumah sakit di Sulsel yang ditunjuk untuk menangani pasien yang terkena flu burung.​
The hospital is also the only hospital in South Sulawesi, who was appointed to handle the patients affected by bird flu.

Wasis juga mengimbau pada para warga untuk mengantisipasi korban berikutnya agar segera melaporkan ke dinas kesehatan yang bekerjasama dengan dinas peternakan Makassar.​
Wasis also called on residents to anticipate the next victim to immediately report to the health office, in cooperation with the animal husbandry office in Makassar.

Sementara itu, Jefri ( 30) ayah dari salah seorang pasien suspek flu burung, Fauzi yang masih berumur tiga bulan mengatakan sejak dua minggu lalu memang di lingkungan rumahnya puluhan ayam milik tetangganya mati mendadak.​
Meanwhile, Jefri (30), the father of one suspect bird flu patients, Fauzi, who is still three months since said two weeks ago that the environment for tens of chicken house owned by neighbors died suddenly.
Dan menurut petugas dari dinas peternakan Makassar, memang ayam-ayam tetangganya ada yang ditemukan terkena virus H5N1.​
And according to officials from the animal husbandry office in Makassar, the chickens are neighbors who were found infected by the H5N1 virus.

"Setelah banyak ayam yang mati, dua minggu lalu itu langsung dilakukan pemusnahan sekitar seratusan ekor ayam kampung oleh dinas kesehatan. Setelah itu, anak saya dan enam tetangga lainnya menderita batuk, demam dan sesak nafas," jelasnya.​
"After many chickens that died, two weeks ago it carried out the destruction around seratusan chicken by the health office. After that, my children and six other neighbors suffered cough, fever and shortness of breath," he explained.

Jefri mengaku heran, sebab dirinya sendiri tidak memelihara ayam, dan tidak pernah kontak dengan jenis unggas yang hampir menjadi peliharaan tiap rumah di sekitarnya.​
Jefri admitted to wonder, for himself does not raise chickens, and never the type of contact with poultry that almost every house pets to be around.
Apalagi, anaknya fauzi yang baru berumur tiga bulan.[dil]​
Moreover, the new Fauzi children aged three months. [Dill]

http://translate.google.com/transla...SHA,TSHA:2006-07,TSHA:en&sa=N&as_qdr=d&pwst=1
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

[FONT=Verdana, Arial, Helvetica, sans-serif]Seventeen People Suffer Bird Flu Symptoms[/FONT]
[FONT=Verdana, Arial, Helvetica, sans-serif]Thursday, 13 November, 2008 | 23:13 WIB [/FONT]
[FONT=Verdana, Arial, Helvetica, sans-serif]TEMPO Interactive, Jakarta: Ten people in Makassar South Sulawesi were admitted to hospital on Thursday after suffering bird flu symptoms, a day after seven people were hospitalised for the same symptoms.

All the 17 patients are being treated at Wahidin Sudirohusodo Regional General Hospital came from the same area of Jl Pate' ne in Sudiang District Biringkaya Subregency, where several chickens were found dead. Husbandry Directorate at the Regional Office of Maritime Affairs and Fisheries announced that the virus was found on the chickens.

Head of the Emergency Room at the hospital, Dr Wasis Udaya said blood samples had been taken from the patients and the patients had been x-rayed to determined the cause of their illness, fourteen among the patients are children the with youngest was three months old.

Other medical staff at the hospital reported only 14 among the 17 patients so far were treated in an isolation room as the room capacity could not contain all the patients.

The hospital had sent the blood samples to Hasanuddin University and the Health Ministry. Results were expected to come out in two days.

Indonesia recorded the highest death toll from the virus which stood at 113 people since the outbreak reached the country in 2004.

Irmawati
[/FONT]

http://www.tempointeractive.com/hg/2008/11/13/brk,20081113-145901,uk.html
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

[I just could not get the others in isolation.....maybe I missed it?]

From: Tangki Jangang Village, RW2 RT5 Patte?ne, Sudiang, Biringkanaya
Admitted 11/12:

family:
Nurul Awaliyah/Awaliah/Andia/ (3), sib (1st one sick) (08.00) (blood sent) Isolation
Nur Matan/Nurfadillah (4 months), sib. No blood taken. (between 08-12.00) Isolation.
Salman (6), sib. (08.00) (blood sent) Isolation.
Irwan (5/6/8), (12.00) Isolation. sib.
Saleha (12)/Saleha (10/11), sib. (12.00) Isolation. (neighbor?)
Fauzi Ibn Rajab (3 months) Isolation. sib.

Johani (60)/Yohani (50). (12.00) Isolaltion


Admitted 11/13:
Ilham (2)
firdaus (6)
Alif (3 months)
Desi (5)
Eki Desviani (5 months)
Rahmawati (2)
Hartati (26)
Nuraine (31)
Hasnawati (34)
Annisa (6)

6 patients: influenza A
3 of the 6 have bronchopneumonia
Mother: Dg Nginga, has 5 kids.
Father: Risal, laborer, not around.
symptoms: high fever, vomiting, coughing. breathless. 2 days lapse between kids.
Recon: Sudiang Community Health Center.
31 Chickens died in past week.
3 toddlers onset sym: Monday, 11/10.
Sprayed chicken farms in the area.
Father: Jefri (30) son: Fauzi ?exterminated 100 tails after many chickens died in the last 2 weeks. After that his child and 6 other neighbors suffered cough, fever & breathless)
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Commentary

Additional H5N1 Denials in Indonesia Raise Pandemic Concerns
Recombinomics Commentary 15:23
November 13, 2008

Siti Fadilah Supari said the 15-year-old girl, who died in hospital in the Central Java city of Semarang on November 7, was not carrying the H5N1 strain.

"Both tests came back negative," she said.

The above denial by the Ministry of Health in Indonesia extends the long list of high questionable statements delivered by Indonesian officials. These denials apply to H5N1 outbreaks in birds and people.

Initial outbreaks of H5N1 in late 2003 were said to be due to Newcastle Disease, but H5N1 sequences from Indonesia from 2003 are now publicly available. Similarly, the first human cluster of H5N1 in Tangerang in 2005 was initially denied, but the H5N1 from the first confirmed case is now the vaccine target for the clade 2.1 H5N1 in circulation in Indonesia.

Moreover, the human to human transmission in that initial cluster is still denied, as are the dozens of similar clusters in Indonesia. The largest official confirmed cluster was in Karo in 2006, but an even larger cluster was in Garut in the following year, although only three of the H5N1 infected patients were confirmed. That cluster followed the typical reporting pattern in Indonesia where the initial case(s) is not tested, subsequent contacts are H5N1 positive, and contacts of these contacts are negative because of decreases in H5N1 RNA levels due to Tamiflu treatment.

In addition to highly suspect comments on H5N1 infected cases, the recent failures to provide timely reports of outbreaks has increased concerns. In 2006 Indonesia filed an OIE report indicating H5N1 was endemic in poultry in Indonesia, which relaxed reporting requirements to 6 month intervals, but Indonesia has not filed an official OIE report since 2006.

Similarly, reporting regulations were disregarded with respect to confirmed human cases earlier this year after multiple H5N1 clusters were discovered. Those clusters followed the typical pattern of misdiagnosing the index cases as lung inflammation, dengue fever, or typhus. These fatal cases were followed by symptoms in relatives which were then subsequently H5N1 lab confirmed, leaving little doubt that the earlier infections in relatives were due to H5N1, yet the ministry of health officials continued to deny that the index cases in the clusters were H5N1 infected.

After the third cluster was reported, Indonesia announced a change in reporting of confirmed cases, which was in clear violation of International Health Regulations. Indonesia announced that instead of notifying WHO 24-48 hours after lab confirmation, they would issue periodic reports every few months, or as long as every 6 months.

Moreover, in addition to denying H5N1 infections and failure to provide timely reports, Indonesia has withheld samples and sequences necessary to monitor the evolution of H5N1 in patients and birds. The last public human H5N1 sequences were from patients diagnosed in early 2007, and recently Indonesia announced that they would no longer allow bird samples to be sent to the WHO regional center in Australia for sequencing.

The above series of actions has significantly reduced the credibility of statements issued by the Ministry of Health. The coup de grace was the statement that the lower number of H5N1 human cases was due to prompt treatment, which lacked logic unless there was a high level of human to human transmission. Prompt treatment of H5N1 patients would not reduce the number of confirmed patients, but would reduce the case fatality rate. However, the case fatality rate in Indonesia has remained close to 80%. Treatment of H5N1 infected patients would only lower the number of reported cases if the treatment led to false negatives, which would reduce the number of reported cases, but not the number of H5N1 infected cases.

The long list of controversial statements and actions by the Ministry of Health has not led to more active investigations by the WHO. They continue to issue situation updates on patients who were infected weeks or months prior to the WHO report, and the true level of H5N1 cases and human to human transmission remains largely unknown to those inside and outside of Indonesia.

The latest case, which was said to be lab confirmed, has now been denied, and the status of the 17 patients hospitalized in Makassar, South Sulawesi remains unclear, as Indonesian actions and statements, coupled with lack of action by WHO, continue to be hazardous to the world's health.


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