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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 situation is starting to become worrying.

Even no confirmation of H5N1 infection is available to date, the scarcely detailed information disseminated by media sources may signal something strange is happening in Sulawesi.

Of seventeen patients, no clinical pattern of illness was uncovered for the most part of them.

Only for some children there is indication of fever above 39?C and radiological findings of pneumonia.

The other patients conditions are to date obscure.

No details about use of ventilators, respiratory assistance are also available.

It is also uncommon feature the hospitalization of more than 15 people on the only base of poultry die-off.

It should be emphasized that a cluster of more than five people could signal the start of a sustained human-to-human transmission in community setting and the almost unstopping spread with casual contacts.

So, the clearly insufficient details available about the health status of more than a dozen of patients should be kept into account for a more factual evaluation of this incident.

To note, finally, the involvement of media sources usually silent in relation to past incidents of this kind, that introduces further questions into the groundless of some of the piece of news so difficulty searched by our Moderators.

More striking the denial by Ministry of Health of the teenager died at Semarang, reprised even by ProMed service.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

my summary:

17 (strongly) suspected with H5N1 in S-Sulawesi,
2 family clusters
many dead chickens
first symptoms on 10.Nov.
all improving/recovering


correct ?

------edit-------
replace "all improving/recovering" by "signs of improvement/recovering"
remove (strongly)
add: "no deaths yet"

see below
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

KLB Bird Flu, poultry to be destroyed

Liputan6.com, Semarang: Agriculture, the Office of Semarang, Central Java, to destroy poultry in the region Medoho, Siwalan, Semarang, Central Java, Saturday (15/11). The region is a place to live someone who died due to bird flu. Meanwhile, the current bird flu in Semarang has been defined as extraordinary events.

KLB destruction and subsequent determination of a citizen, namely Dewi Sartika who died due to bird flu. Three poultry abattoir, which is in the midst of settlement residents also closed in order not to intensifying the situation. To prevent transmission of bird flu is not widespread, the Government of Semarang will immediately focus all poultry in the area of cutting Penggaron

google translation

http://www.liputan6.com/actual/?id=17734
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

my summary:

17 (strongly) suspected with H5N1 in S-Sulawesi,
2 family clusters
many dead chickens
first symptoms on 10.Nov.
all improving/recovering


correct ?

Since there aren't clinical data about the health status of almost all the patients involved, it isn't possible to state that ''they are recovering'', because we don't know whether - with the exclusion of the seven frankly diseases (with x-rays pneumonia signs' and rapid influenza A tests positivity) - the remaining patients were symptomatic and the kinds of symptoms they suffered before hospitalization.

Hence, we have people in strict isolation AND no clear clinical picture AND no official statement about laboratory results / pathological findings AND some indication of poultry die-off in residents' area.

-- AND --

no mention to respiratory assistance to patients / blood cells count panel (lymphocite count below the normal, as common feature of H5N1 human infection and platelets count below mean value).

Conclusion: this incidents - potentially indicative of a sustained spread of H5N1 in community (as the patients' number exceeded five, see WHO) - lacks of basic informations to determine the factual status and possible further spread into region / community, and the involvement of H5N1 avian influenza virus.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

an earlier post, thank you Dutchy http://www.flutrackers.com/forum/showpost.php?p=190767&postcount=163


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.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Thank you Sally.

I read the post previously, of course.

But there is a complete lack of details about the entire cluster of cases.

I am sorry but if Indonesians don't start to be more detailed and open about incidents of these kind, the danger of an uncontrolled spread in community will continue to grow, in spite of reassurances or ministry denials.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

This is from the Jakarta Post. Why would they choose to not use the test results from the hospital and the university? That last paragraph sounds like the hospital will wait for the health ministry results to determine treatment?
--------------------------------------------------------------

The hospital, he said, is still waiting for the results of blood tests from the Health Ministry.

An initial test of all the patients' blood has indicated the presence of the avian influenza virus, H5N1. The same test by the micro laboratory of Hasanuddin University's School of Medicine in Makassar indicated the same results.

Halik said the hospital had decided not to use them as an indicator or reference for the illness.

"The only results we will refer to in order to treat our patients will be those from the laboratory of the health ministry's research and development center," he said.

http://www.thejakartapost.com/news/2008/11/15/suspected-bird-flu-patients-isolated.html
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

From post #206:
The hospital, he said, is still waiting for the results of blood tests from the Health Ministry.

An initial test of all the patients' blood has indicated the presence of the avian influenza virus, H5N1. The same test by the micro laboratory of Hasanuddin University's School of Medicine in Makassar indicated the same results.

Halik said the hospital had decided not to use them as an indicator or reference for the illness.

"The only results we will refer to in order to treat our patients will be those from the laboratory of the health ministry's research and development center," he said.

The head of the Makassar Health Agency Naisyah Tun Azikin said all the samples required for testing had been sent to Jakarta on Thursday and Friday. The results should be known within a week.

Naisyah said in anticipation of a possible increase in suspected bird flu cases, his office had prepared two additional hospitals to treat them.
"Alhamdulillah (Praise be to God), none were admitted today," Naisyah said Friday.



It sounds like the Ministry of Health has implemented full information control. If so, we may not see any more descrepancies such as local/hospital officials reporting a positive case, then the Ministry denying it days later. The Ministry may have taken care of the H5N1 'problem' in Indonesia by this simple policy: Voila! No more cases!

It IS hopeful that new suspect patients are not pouring in for treatment every day: " Naisyah said in anticipation of a possible increase in suspected bird flu cases, his office had prepared two additional hospitals to treat them.

Alhamdulillah (Praise be to God), none were admitted today," Naisyah said Friday."
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

This is from the Jakarta Post. Why would they choose to not use the test results from the hospital and the university? That last paragraph sounds like the hospital will wait for the health ministry results to determine treatment?
--------------------------------------------------------------

The hospital, he said, is still waiting for the results of blood tests from the Health Ministry.

An initial test of all the patients' blood has indicated the presence of the avian influenza virus, H5N1. The same test by the micro laboratory of Hasanuddin University's School of Medicine in Makassar indicated the same results.

Halik said the hospital had decided not to use them as an indicator or reference for the illness.

"The only results we will refer to in order to treat our patients will be those from the laboratory of the health ministry's research and development center," he said.

http://www.thejakartapost.com/news/2008/11/15/suspected-bird-flu-patients-isolated.html

This report lacks specificity. Earlier reports indicated several family members were positive for influenza A or had bronchopneumonia. However, those tests would not distinguish between H5N1 and seasonal flu.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

An initial test of all the patients' blood has indicated the presence of the avian influenza virus, H5N1. The same test by the micro laboratory of Hasanuddin University's School of Medicine in Makassar indicated the same results.

I'm still confused. Is the reporter mis-informed?
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Saturday, November 15, 2008

17 patients Suspect Bird Flu improved

Sunday, 16 November 2008

The condition for the health 17 patients suspect bird flu that was isolated in Pakis Rumah Sakit Space (RS) Wahidin Sudirohusodo since three days last, directly showed the improvement. This was shown by continuing the decline in the temperature of the body of all the resident of the Village of Tangkejangang, Jalan Pattene, the Sudiang District, this Biringkanaya Subdistrict through to below 37 Celsius levels. ?Untuk while the condition for the health of all the patient was still safe and stabil.Hari this (yesterday) not there is one that is feverish and the temperature of his body on 37 levels Celsius,? revealed Dr Rita,salah the team's one member of the control of flu burung,kemarin. He said, this really was during early different from them entered RS, where the temperature of the body of all the patient above normal. Namun, according to him, the 17 patients were still continuing- keep on the cough and breathless. Was based on SINDO observation in RS Wahidin, sterilisation efforts of isolation space of the 17 patients who it was suspected were infected by the virus avian influenza (AI) this increasingly was tightened by the official RS.

Several officials of the security were spread to take care of anyone who approached the building that was behind RS property of the government. Jufri, 30, you the patient named Fausi,3 bulan,yang was met yesterday mengungkapkan,kesehatan the child both of them that continued to show the improvement. ?Anak I was beforehand put into special space and had difficulty to ditemui,tapi now was moved to the room lain,?ujar him. The man that when being met used this mask hoped results of the test of the child's blood of the sample laboratory as well as belasan his neighbour fast went out so as to be able to be known whether they terjangkit the bird flu virus or not. ?Saya thought increasingly fast results went out, increasingly bagus,?kata him. Last week, hundreds of tails of the chicken in his territory died mendadak.Pada at that time also several officials of the community health centre and the Service of Kesehatan Makassar entered directly to destroy these chickens. A day later, 17 residents in the Tangkejangang Village, consisted of children and mature, experienced the fever was accompanied by the cough and the temperature of his body was high enough. Afterwards they were reconciled to RS Wahidin.

In the meantime, related the discovery of the poultry that was stated positive terjangkit bird flu in Street Patene, the Tangkejangang Village, the Government of the South Sulawesi Province and the Makassar City had finally alerted several personnel in the District of Sudiang,Kecamatan Biringkanaya. They formed the solidest command post and involved several medical teams. Section Head Kesehatan Makassar Naisyah T Azikin explained, this command post will be alerted for two weeks, while being waiting for results of the test of the resident's blood of the sample laboratory suspect bird flu. ?Keberadaan the official in the command post to monitor at the same time investigating the condition for the resident that was in the region, was or not sick. We would standby for one as far as two minggu,? he said to SINDO, yesterday. The joint team that was formed by the Government of the South Sulawesi Province and the Government of the Makassar City also began to send the socialisation of the method prevented was infected by the virus AI.?Tadi (yesterday) we gathered approximately 80 residents to be given by the explanation about the prevention method. The resident was very cooperative and wanted to carry out anticipation by handing over his poultry for dimusnahkan,?kata Naisyah.

The poultry belonging to the resident who was destroyed reached 167 tails. Apart from itu,Dinas Kelautan and Pangan Makassar Endurance again combed the poultry in this area. Results, seven tails of the poultry were found and immediately was destroyed. The other action was to spray the vaccine in several the former poultry pens. Naisyah admitted that the resident's majority in the Tangkejangang Village raised poultries. ?Mudah-mudahan already did not have again the poultry in the region tersebut,?ujar him. Maros Alert one Officially Peternakan and Marine Regional Government Maros put into effect alert one to anticipate the spreading of the plague of bird flu. This step was taken following the discovery of the patient suspect bird flu in the Subdistrict of Biringkanaya,Kota Makassar. Section Head Peternakan and Marine Maros Syata Sanusi claimed not want to robbed in this case. Because the bird flu virus could also spread through air, the spreading opportunity of the bird flu virus in the Maros regency then very big. ?Kita has anticipated with put into effect alert one.

This to anticipate so that the plague of bird flu does not enter to Maros.Apalagi the discovery territory suspect bird flu was the bordering territory direct with Maros,? he explained to SINDO yesterday.

Syata said, related the discovery of the patient suspect bird flu in the Biringkanaya territory, Kota Makassar, Dinas Peternakan Maros monitored several of the producer's territories of the piece chicken. Moreover, they also carried out spraying, considering some time before in Maros also could be found by the chicken that died suddenly, with tandata you were similar terjangkit bird flu. ? Kami has assigned several officials from the livestock breeding service to monitor several livestock belonging to the businessman of the breeder of the piece chicken and kept the resident. Praise the Lord, now was not yet found the poultry that was detected terjangkit the flu virus burung,? he said. In the place of terpisah,Kepala Dinas Kesehatan Maros H Firman Jaya added, his side also put into effect alert one related the handling of the case that attacked Indonesia since 2004. Moreover the implementation has taken place for a week. Firman admitted to asking for all the head of the community health centre and the doctors to more beautiful saw the condition for the patient.

?Jika had the patient with signs was similar suspect bird flu, must segara was reconciled to RS Wahidin Sudirohusodo Makassar, because of facilities in RS Salewangeng Maros did not yet satisfy. We still the lack perlengkapan,?ujar him. Vice Chairman Komisi C DPRD Maros A Said Patombongi asked two related services to co-operate prevented the spreading of the deadly illness itu. Pasal him, this was related to the life of many people. ?Dinkes and disnak certainly must work harder in handling this case. This not the case mainmain. Has happened in several wilayah,bukan only in Indonesia. Therefore, needed the good co-operation antardinas. If needing the community also dilibatkan,? he said.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

The poultry in Medoho the Bird Flu Negative

Semarang
Saturday, 15 November 2008

Results of the sample of poultry blood in Street Medoho III RT 5/I the District of Siwalan, Kecamatan Gayamsari, Semarang, declared the negative Avian influenza (AI). Nevertheless, the special monitoring to this territory continued to be carried out till a month in the future. That following was appointed by him Semarang became the Luar Biasa Incident (KLB) bird flu after the DS death the local resident who was stated positive AI from the sample test of blood that was done some time before. Kasi the Health of the Semarang Animal of the Service of City Agriculture drh Totok Susanto said, the sample of poultry blood was taken from the kind of the living chicken in the Medoho III road on Sunday (9/11) past. Setidak him had three chickens that were taken the sample of his blood to be researched. ?Removal of the sample to the chicken that still was living because in the area there was not found by the chicken that already dead,? jelas him kemarin. He said, for the taking of the sample of poultry blood, indeed was carried out in the chicken kind then. Because, in this poultry kind, was known most accurate if being carried out by the testing.

?As for the other poultry kind, usually more inexact. With rapid test indeed the chicken kind that most accurate,? kata him. Totok mentioned, the testing of the sample of the blood personally, was carried out in Labor Party-atorium the B type that was in Street Perintis of Semarang Independence. Although being known by the negative, the step in the eradication and the prevention of the bird flu virus continued to be carried out. Among them by carrying out spraying in the market- the poultry market next week. ?Tepat him we did not yet know. But that was clear next week would dilakukan,? he said. The poultry market that will become the spraying target among them the Rejomulyo poultry market (the Kobong Market) and the Burung Karimata Market. ?Setelah the two markets we amankan,baru pasarpasar other that it was known had the sale unggasnya,? he explained. The head of Dispertan Kota Semarang Ayu Entys WLE added, pemantauankhusus the Medoho region continue to in accordance with the plan originally although results of the sample of the negative poultry.

?Possible so yes that our poultry took his sample not yet terjangkit but already as carrieratau pembawa.Patokan kita ada lahtetapmengacudari results of the sample of his human casualties that positif,?terang him. It was related that the indication of the existence of several poultries of the birds kind that still were hidden by the resident in Medoho in the extermination of the poultry last Tuesday (12/11), his side hoped that was untrue. His side regretted if that happened. ?Jika until true was like this, we asked for his awareness lah.Kita wanted love our spirit or our kept poultry gitu saja,?kata him. In the meantime Kasi Pemberantasan of the Bersumber Binatang Illness (P2B2) the Kesehatan Service of the City (ET AL) Semarang Sri Ani Handayani said, the sample of blood of three other residents who took part in being checked also did not yet go out. The three residents suffered the illness that his characteristics were the same as DS.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

16/11/2008 12:42 -

Flu of Burung Semarang KLB Flu Burung, Unggas Dimusnahkan

Liputan6.com, Semarang: the Service of Pertanian Kota Semarang, Central Java, appointed him the extraordinary incident (KLB) bird flu in the Semarang City and destroyed the poultry. This stipulation followed the assurance of a resident, Dewi Sartika (15), the resident Street Medoho III, Kelurahan Siwalan, of Gayamsari, that died resulting from terjangkit bird flu. The extermination of the poultry and the pen were carried out by the official by means of burnt. Three poultry abattoirs that was in the middle of the settlement of the resident also was closed and moved to the edge of the city. This was done to prevent the spreading of bird flu. (UPI/Tim of Coverage 6 SCTV)

**********************************

081116bflu-burung.jpg

Dinas Pertanian Semarang membakar kandang unggas.

16/11/2008 12:42 - Flu Burung
Semarang KLB Flu Burung, Unggas Dimusnahkan

Liputan6.com, Semarang: Dinas Pertanian Kota Semarang, Jawa Tengah, menetapkannya kejadian luar biasa (KLB) flu burung di Kota Semarang dan memusnahkan unggas. Ketetapan ini menyusul kepastian seorang warga, Dewi Sartika (15), warga Jalan Medoho III, Kelurahan Siwalan, Gayamsari, yang meninggal akibat terjangkit flu burung.

Pemusnahan unggas dan kandang dilakukan petugas dengan cara membakar. Tiga tempat pemotongan unggas yang berada di tengah-tengah permukiman warga juga ditutup dan dipindahkan ke pinggir kota. Hal ini dilakukan untuk mencegah penyebaran flu burung.(UPI/Tim Liputan 6 SCTV)

http://www.liputan6.com/news/?id=168271&c_id=7
<o:p>TT</o:p>
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

News from Semarang, Java; neighours of the deceased girl Dewi also have high fever and similar symptoms like Dewi had; their condition is improving, probably after using Tamiflu.

Snip from Javapos/ Radarsemarang


Asked by results of the sample laboratory of blood 3 neighbours DS that had the sign almost were the same as DS, Sri Ani claimed did not yet know. Because, results of the laboratory did not yet go out.

"Result from research and development Department of Health RI does not yet go out to today (yesterday).

However was based on the report that we received, the condition for the three residents has at this time improved, after being treated in the local Community Health Centre, obviously him.

The three residents who could be attacked by the high fever including Jefri, Wanda, and Kusyanto. The three of them the resident Medoho, Siwalan.

Was separated, Kepala Dispertan Kota Semarang Ayu Entys explained, especially KLB in Medoho, his side continued to carry out the tight supervision. When having the reduction house in the poultry (RPU) that still was operating, Dispertan will close had these efforts.

"The Medoho area was still being monitored by us tightly for one month in the future. Not only for the poultry," RPU also.


credits dbg
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Another snip on the three in Semarang, neighbours of Dewi, displaying avian flu symptoms.

In the meantime Kasi Pemberantasan of the Bersumber Binatang Illness (P2B2) the Kesehatan Service of the City (ET AL) Semarang Sri Ani Handayani said, the sample of blood of three other residents who took part in being checked also did not yet go out.

The three residents suffered the illness that his characteristics were the same as DS.

Source: seputar indonesia

credits mojo
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

One of the Indonesian city of Makassar in South Sulawesi, will be screened tests detect bird flu after ill health.
Chandra said Eugal Aditama, the acting director-general of communicable disease surveillance for the group dealt with after the death of poultry in the area surrounding the sudden.
"I think it is a precaution after the death of our officials poultry here."
He described the general health situation of seventeen as good and said that blood samples were taken will be sent to a laboratory for the Ministry of Health in Jakarta for testing.
"We will continue to follow their situation," adding that only four members of this group were adults.
The cumulative suspected cases could raise concerns about a rare disease transmission from person to person, or that the virus could mutate into a form that could pass easily between humans.
The largest known cluster of bird flu cases among humans occurred in May in May 2006 in the Karo district of Sumatra, where 7 people died in an extended family.
The World Health Organization said at the time that the limited transition from person to person can not be ruled out but the virus samples taken from the site did not show that any genetic mutation negligible.
Indonesia has the largest number of deaths of bird flu in any other country, said health official said Wednesday that an Indonesian girl, 15-year-old died of bird flu in Central Java to increase its number of human deaths from the disease in Indonesia to 113 deaths.

translation from Arabic

http://www.almanar.com.lb/NewsSite/NewsDetails.aspx?Language=ar&id=63755
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Destroyed poultries, the Siapkan Kompensasi Government


Destroyed poultries, the Siapkan Kompensasi Government
Monday, 17-11-2008
Tribun - the Government carried out the extermination of the poultry in the Sudiang district, Biringkanaya, in a last week to anticipate the spreading of bird flu. So, the government said prepared compensation for the owner of these poultries. "The amount of compensation was matched with the standard" of the "price" of the "chicken in the market, that is between Rp12 thousand-Rp15 thousand and will be handed to the owner" of the "livestock this coming 2009 over," explained Peternakan South Sulawesi Section Head (Disnak South Sulawesi), Arifin Daud in Makassar, on Sunday (16/11). According to him, the government will not distinguish the breeder who had the poultry many or a little. The official will from Disnak South Sulawesi carry out data collection of the number of poultries that was destroyed, related the emergence 17 people were expected by bird flu that currently still is treated in the Hospital (RS) Wahidin Sudirohusodo, Makassar. As many as 17 people were suspected of by the bird flu being the resident RT 5 RW 2 Sudiang districts, Mereka was Saleha, the baby was one month old, Nur Amaliah (3), Nur (5), Irwan (6), Salman (7), and Junani (50) that remained at one house or one family, while that was other was his neighbour.

The poultry in the patient's house and the neighbour him that has been destroyed with the limited extermination system. Meaning that, only poultries that was around the district that was destroyed.
However if results of the Besar Vertinier Hall laboratory in the Maros Regency against the sample of the chicken that died suddenly, property of the patient was stated positive terjangkit the virus H5N1 or bird flu, then the extermination of the poultry will more be widened again, as far as more than one Biringkanaya Subdistrict or the Makassar City. "To prevent the spreading" of "this bird flu virus, then the team that has been formed will increasingly tighten the supervision" of the "poultry traffic between the regency/the city, including the sending traffic" of the "poultry and the inter-province livestock," he said. That was meant in order to be able to press the spreading of the bird flu virus from one location to the other location.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Interview with official from KOMNAS FBPI (Nat. Committee for Bird Flu, Jakarta) on the situation in Makassar region, Sulawesi.

The strategy in Indonesia seems to shift from vaccination to culling; according to this official (stray)dogs should be culled too.

On the human cases he frankly says: "But in a manner logic, I saw 17 suspect this was positive, because I asked the hospital side,
their illness not malaria, also not typhus, moreover, they were in the territory that was the same as the positive poultry carcass
bird flu that was found."



Depopulation Of The Poultry As Far As The Radius One Kilometer

The Member Komnas Bird Flu And The Influenza Pandemic, Dr. Dr. Armyn Nurdin M.Sc.

The Avian Influenza virus (AI) that attacked the resident's poultry in the Tangki Jangang Kelurahan Sudiang Kecamatan Biringkanaya Village that was accompanied by the sign of the high fever against 17 residents around, made the side's panic Official Health and Livestock Service in Makassar.

There was this virus concern claimed casualties. How did the step anticipate the spreading of bird flu that was caused by the virus H5N1 this? Along with the reporter's interview the Aswad Syam Dawn with the Member Komnas Bird Flu and the influenza Pandemic, Dr Dr Armyn Nurdin MSc, on Sunday, November 16.

How the Makassar status with the existence of the virus findings H5N1 in the Tangki Jangang Sudiang Village?
I saw, Makassar already including the endemic area of bird flu. Moreover if being not wrong, in 2006 then, there was one resident who died resulting from this illness. The virus findings H5N1 in Tangki Jangang, especially in RW 2, proved this virus evidently still spread in the Makassar area.

Makassar would the area of the centre of the sale of the poultry, especially in wet market (the traditional market). If true results of the sample inspection of blood 17 residents were positive, then this cluster biggest bird flu, beforehand would Tana Karo North Sumatra with six people.

With these findings, the step what must be done by the resident around Tangki Jangang?
The community as far as the radius one kilometre must be on the alert. Officially Livestock and Health Service, also immediately must carry out depopulation or the extermination as far as the radius one kilometre. Because the movement of this virus was estimated in a radius of one kilometre.

This was based by us on the area of the movement of the poultry, especially the chicken. A chicken was estimated the area of his movement reached one kilometre. So, the poultry in the area one kilometre this must didepopulasi or was destroyed, if not, was worried by us these poultries will spread the virus H5N1 that to the other region.

Apart from depopulation, was there the other step that must be carried out?
Biosekuriti must be also done with sprayed disinfektan to poultry pens. The virus H5N1 also died with detergent, so the resident must dilute detergent in one water bucket, afterwards was poured to the pen. Moreover, we also must hard-working washed foot, as well as mop the floor with detergent water. Also washed the hands before eating.

You will have inspected the location in Tangki Jangang, how the process of the spreading of the bird flu virus there?
Like this, the poultry carcass that died, quite positive bird flu. This carcass was afterwards run off with by a roving dog in the territory. This dog that spread this virus.

So according to me, the dog must be in the same territory eliminated, we were frightened him, the remnants of the virus H5N1 on the dog saliva spread.

With this case, for the time being we might not eat meat, especially poultry meat?
Was thought by me we might not frightened of eating poultry meat or the egg. Provided that, poultry meat and this egg, was cooked through to the temperature 60 levels celsius.

So don't cook the egg or half-ripe meat. Moreover, the virus H5N1 remained three hours till 12 hours. But was seen by me in Pattene, what was done by the resident has been in accordance with the standard of the health.

That has guaranteed if the region could be safe with the procedure?
Was thought by me already 80 percent safe if the procedure was carried out. Nevertheless, I continued to make a plea to the resident, if there are those that felt the fever, the cough, breathless and had had contact with the poultry a week beforehand, immediately get examined in the command post.
That for vigilance himself.

Afterwards was related to 17 suspect available in the Wahidin Sudirohusodo Hospital, was thought by me continued to have to be treated as the sufferer before results of the sample laboratory of his blood said the negative.

But in a manner logic, I saw 17 suspect this was positive, because I asked the hospital side, their illness not malaria, also not typhus, moreover, they were in the territory that was the same as the positive poultry carcass bird flu that was found.

How the Komnas FBPI response with this case?
Not only we in the reactive centre. This case has arrived in WHO (the world body that handled the health, red). We will follow the principle one world one health was the health was property of all the world.

Moreover this was connected with the life died, so was thought by me we might not cover up. We might not embarrassed, because of the virus H5N1 this not from Indonesia.

But I the salute with the Sudiang Community Health Centre, because of having two people who were found, they at once descended to the location and referred to the Wahidin Sudirohusodo Hospital.

Was thought by me, this could become the example for the other community health centre.

How many availability of the budget for the handling of this bird flu?
If speaking the problem of the fund, of course the amount was big enough. His article, apart from the preceptive fund bird flu in APBN, also had help from several international agencies, like Unicef, WHO, and the World Bank.

That was handled by me, there was the stand fund by Rp 50 billion. This not yet scrape out by us-match. I have sent the procedure to get this fund to the Livestock Service and the Health Service related of the handling of bird flu here.

http://cetak.fajar.co.id/news.php?newsid=79741

credits K from MI
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Like this, the poultry carcass that died, quite positive bird flu. This carcass was afterwards run off with by a roving dog in the territory. This dog that spread this virus.

So according to me, the dog must be in the same territory eliminated, we were frightened him, the remnants of the virus H5N1 on the dog saliva spread.

I wonder how much testing they've done on dogs to date?
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Maros Siaga Satu Flu Burung


Maros Siaga Satu Flu Burung Today, Depag Buka Pendaftaran CPNS
On Tuesday, 18-11-2008 of
MAROS, BKM -- Following was treated by him 17 patients suspect bird flu in RS Wahiding Sudirohusodo, Dinas Peternakan and Marine Maros put the alert status of one bird flu into effect.
The firm step in this agency quite justified, because Maros was one of the areas that was not far from Sudiang, the place of the origin 17 patients suspect bird flu that currently undergoes the maintenance. Section Head Peternakan and Marine Maros, Syata Sanusi stressed, his side not want to robbed in the handling of the bird flu illness. Moreover the virus H5N1 that became the cause of the bird flu illness could spread through air. Therefore, this illness opportunity of entering and attacking the poultry in Maros was big enough. We put into effect alert one anticipated the spreading of bird flu.

Because of being not closed the possibility of this illness entered and attacked the poultry in Maros. Moreover the discovery territory of the positive poultry bird flu in Sudiang shared directly with Maros a border, explained Syata, yesterday. Moreover, Disnak Maros also carried out the monitoring against several locations that uptil now became the producer's territory of the piece chicken. Intense also spraying was carried out. Everything some time before in Maros could be found by the existence of the chicken that died suddenly. His signs were similar to bird flu. "We have assigned several officials from the Peternakan Service to monitor the poultry, both property" of the "businessman, and the kept poultry of the piece poultry farm the resident."
Results, now praise the Lord was not yet was found the poultry that was detected terjangkit the virus H5N1, he explained. Section Head Kesehatan Maros, Firman Jaya separately claimed to be his side also appointed the alert status of one to handle the spreading of the bird flu illness. His side ask for to all the head of the community health centre and the doctors to more beautiful saw the condition for the patient. Especially the patient who came with signs to be similar to the bird flu sufferer. "If having the patient with signs that were similar suspect bird flu, immediately must be reconciled to RS Wahidin." Because in RS Salewangeng Maros his facilities did not yet satisfy, he said.
The vice-chairman Komisi C DPRD Maros, Ustad Said Patombongi ask for to two related agencies to co-operate prevented the spreading of this deadly illness. Dinkes and and Disnak must proaktif handled the illness like this, because not the normal case. Everything did not only happen in Maros and Makassar, but was found in almost all the area in Indonesia. Involve all the community in handling this illness, he suggested. :tiphat:
 
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