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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 +

PCR was done, but was it positive ? And how many ?
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Gs, this is from the Jakarta Post a couple of days ago:

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.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

this explain why they take such control measures .
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

so, I guess, you think it's a "no"
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

I think PCR was positive , and perhaps it was a false positive..( which is rare with PCR )

I cannot argue because my English is too bad.
There was some arguments which have made fear a human avian flu. They took drastic measures locally . They have reacts quickly ( it's a good point )
I would like however to have a differential diagnosis or a definitive well documented diagnosis for the patients who are still hospitalized, because they have at least a severe form of the seasonal influenza, or at least a surinfection.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Since details about clinical presentation of these 17 Sulawesi's cases are clearly insufficient, and the Indonesian authorities continue its unwelcomed denial behaviour, one may suspect that at least some of the information released by media sources contain unreliable statements.

Now, in the next few days we can expect some new patients to be admitted at local Makassar hospitals and this could signal a more widely spread H5N1 infections or the emergence of a particularly efficient in h2h transmission strain.

Conversely, if the patients are really negative for H5N1 (or if they caught H5N1 simultaneously or the strain doesn't transmit more efficiently h2h2...) then the influx of new patients may halt.

We are in a critical situation, where a widespread epizootic activity in the archipelago causes sporadic human infections and in the past several clusters of human cases.

We have a closure from authorities to disclose real epidemiological situation.

We have a press coverage without critical details about illnesses pattern and outcome.

Further, an election campaign impending with local administrations engaged in fight to survive.

All these things increase likelihood of speculations 'activity'.

Notwithstanding the denials of central authorities and apparent commitment of Sulawesi hospital personnell (with prompt cohort of suspected patients and rapid recovering of them) the entire situation need to be monitored carefully, as we are doing relentless as usual.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

I would like to thank everyone for their work on this thread and I very much appreciate the manner in which everyone is conducting themselves in this controversy. It is important to express all views in the search for the truth and this is best done in a friendly environment.

:tiphat:
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

I believe there needs to be some international pressure on Indonesia to release samples, not just those that tested positive for H5N1, but also samples from those individuals that exhibited the clinical symptoms of H5N1 infection, but later tested "negative".
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Laidback Al said:
I believe there needs to be some international pressure on Indonesia to release samples, not just those that tested positive for H5N1, but also samples from those individuals that exhibited the clinical symptoms of H5N1 infection, but later tested "negative".
Click to expand...

I agree.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

I'm surprised at how accepting the rest of the world is with the non-sharing issue. It seems strange that other world powers are content to let the issue go as it is; do they believe it only happens to someone else?

The US is suspect already, as far as Supari believes; so the pressure needs to come from countries other than us.. or at least in addition to us.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

The "release the samples" issue should include all countries/repositories, including the U.S.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

http://www.thejakartapost.com/news/2008/11/24/makassar-stages-first-urban-bird-flu-sim.html

Makassar stages first urban bird flu sim

Andi Hajramurni , The Jakarta Post , Makassar | Mon, 11/24/2008 12:31 PM | The Archipelago
Makassar municipality organized a bird flu pandemic simulation in Tamangapa sub district, Manggala district, Makassar, South Sulawesi in an effort to disseminate know-how and to train related institutions on how to cope with a bird flu pandemic.
The two-hour simulation held on Saturday involved at least 300 people from various institutions, including the Health Agency, the Food Self-Reliance and Marine Agency, the Education Agency, the Communication Agency, the National Police, the Indonesian Army and the public service center.
The simulation started with a report about poultry deaths that allegedly triggered the death of two residents. The rapid tests conducted by the local authority at the incident site showed that the affected poultry and the two residents were positively infected by the bird flu virus.
In the simulation, the region then was declared a pandemic-affected area and had to be closed or isolated.
Only the authorities, who wore protective suits, made up of protected clothing, masks, glasses, over-shoes and special gloves, were permitted to enter the affected area to evacuate the victims, to deal with the infected poultry and to sterilize the location, using disinfectant.
The ambulances also had to be sterilized before leaving the bird flu area.
A sterile area was prepared to handle the affected victims and to accommodate people who had just been evacuated from the pandemic location. The authority prepared an emergency post, shelters and a communal kitchen in the sterile location zone for evacuees.
Makassar mayor Andi Herry Iskandar explained that the bird flu virus had been spreading and had infected human beings, causing concern that the pandemic could potentially lead to massive deaths.
"The most frightening thing is that if there is a bird flu pandemic then it could cause massive deaths. Therefore, people and related institutions have to be trained to handle bird flu from the very beginning, just in case there is pandemic in their location," said Andi.
As of now, the city recorded that one resident has died of bird flu. The victim, Akirah, 14, resident of Jl. Maccini, Makassar, died in June 2006. The laboratory test of his blood and mucus specimens resulted in positive confirmation that he was infected by the H5N1 virus. The lab result was only disclosed three months after his death.
Three years ago, a resident of Sinjai regency in South Sulawesi, Khairil Anwar, 22, was identified as positively infected by the virus. Khairil, the first man in Indonesia declared to be infected by the bird flu virus, is still healthy up to now.
The head of the Makassar Health Agency, Naisyah Tun Azikin, said that Tamangapa was selected to be a drill location as it was located at the border area of Makassar and Gowa, which was prone to contagious diseases like bird flu, because it was a transit and distribution area for many products related to the poultry industry.
Naisyah disclosed that the municipality had scheduled to set up simulations at busy public places, for example in shopping mall centers, hospitals, schools, harbors and airports.
Meanwhile, seven out of 17 bird flu suspected patients in Wahidin Sudirohusodo general hospital in Makassar who have been declared bird flu free have been sent home, while the rest were still at the hospital, for further treatment.
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

> pandemic in their location

ahh, they don't understand that a pandemic is global.
They don't understand that early wiping out of clusters
is important for the whole world (and should be supported
by us with equipment,expertise and money)
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

Anne said:
http://www.thejakartapost.com/news/2008/11/24/makassar-stages-first-urban-bird-flu-sim.html

Makassar stages first urban bird flu sim

Andi Hajramurni , The Jakarta Post , Makassar | Mon, 11/24/2008 12:31 PM | The Archipelago
Makassar municipality organized a bird flu pandemic simulation in Tamangapa sub district, Manggala district, Makassar, South Sulawesi in an effort to disseminate know-how and to train related institutions on how to cope with a bird flu pandemic.
The two-hour simulation held on Saturday involved at least 300 people from various institutions, including the Health Agency, the Food Self-Reliance and Marine Agency, the Education Agency, the Communication Agency, the National Police, the Indonesian Army and the public service center.
The simulation started with a report about poultry deaths that allegedly triggered the death of two residents. The rapid tests conducted by the local authority at the incident site showed that the affected poultry and the two residents were positively infected by the bird flu virus.
In the simulation, the region then was declared a pandemic-affected area and had to be closed or isolated.
Only the authorities, who wore protective suits, made up of protected clothing, masks, glasses, over-shoes and special gloves, were permitted to enter the affected area to evacuate the victims, to deal with the infected poultry and to sterilize the location, using disinfectant.
The ambulances also had to be sterilized before leaving the bird flu area.
A sterile area was prepared to handle the affected victims and to accommodate people who had just been evacuated from the pandemic location. The authority prepared an emergency post, shelters and a communal kitchen in the sterile location zone for evacuees.
Makassar mayor Andi Herry Iskandar explained that the bird flu virus had been spreading and had infected human beings, causing concern that the pandemic could potentially lead to massive deaths.
"The most frightening thing is that if there is a bird flu pandemic then it could cause massive deaths. Therefore, people and related institutions have to be trained to handle bird flu from the very beginning, just in case there is pandemic in their location," said Andi.
As of now, the city recorded that one resident has died of bird flu. The victim, Akirah, 14, resident of Jl. Maccini, Makassar, died in June 2006. The laboratory test of his blood and mucus specimens resulted in positive confirmation that he was infected by the H5N1 virus. The lab result was only disclosed three months after his death.
Three years ago, a resident of Sinjai regency in South Sulawesi, Khairil Anwar, 22, was identified as positively infected by the virus. Khairil, the first man in Indonesia declared to be infected by the bird flu virus, is still healthy up to now.
The head of the Makassar Health Agency, Naisyah Tun Azikin, said that Tamangapa was selected to be a drill location as it was located at the border area of Makassar and Gowa, which was prone to contagious diseases like bird flu, because it was a transit and distribution area for many products related to the poultry industry.
Naisyah disclosed that the municipality had scheduled to set up simulations at busy public places, for example in shopping mall centers, hospitals, schools, harbors and airports.
Meanwhile, seven out of 17 bird flu suspected patients in Wahidin Sudirohusodo general hospital in Makassar who have been declared bird flu free have been sent home, while the rest were still at the hospital, for further treatment.
Click to expand...
This is not a pandemic simulation. It is a news simulation (a history re-write for public consumption).
 
Re: Indonesia: Human Cases 8 Oct 2008 +

Re: Indonesia: Human Cases 8 Oct 2008 +

The CITY (RP) ? Seorang the child NW (9), that was talked about as the positive patient bird flu and was treated in RSUD Arifin Achmad began to show the development of recovery. The resident of the Bandar Sekijing Subdistrict, Kabupaten Pelalawan this was mentioned the RSUD side could come home next week. The child of the three couples Suprianto and Misnia, the employee of this PT Guna Dodos has gotten the intensive maintenance in RSUD Arifin Ahmad Pekanbaru since last Friday (14/11). At that time, according to the speech on parents NW, his youngest child suffered the high fever. Because frightened of something that was not wanted, of the two happening orangtuan him immediately departed for Pekanbaru, last Friday (14/11) towards RS Saint Maria. However the side of RS Saint Maria at once reconciled this family to be treated in RSUD Arifin Ahmad Pekanbaru.

Till Friday (21/11) around struck 17,00 WIB, the child's illness has begun to be able to have decreased and eaten ravenously and was sound asleep. Of course, keduaorang old him loyal accompanied till two weeks in the future. ??Awal him, our child experienced the high fever. Because frightened of something happening, we at once carried him to the hospital and were treated well. Fortunately, currently his illness begins to gradually decreased. We also were grateful, the medical treatment cost also at once was dealt with pemerintah,?? the Misnia covering to Riau Pos, at length. When being asked, did the family maintain the poultry, Misnia and Suprianto said correctly the existence. Suprianto maintained five chickens and after learning his child was attacked by bird flu, without diperintah Suprianto at once burnt him. He himself could not confirm whether his child tertular the chicken piaraan him because of beforehand did not yet have the similar incident.

In the meantime, Dr Azisman that treated this child stressed, NW quite positive suffered the bird flu illness. After being carried out by the maintenance intensively, then slowly has appeared the progress. At least, two weeks in the future NW and his family could have come home to his village. ??Saat this still in the recuperation stage. We hoped two weeks in the future already could dipulangkan,?? he said stressed. Officially Kesehatan Terima Laporan Sementara, the Kesehatan Service of the Riau Province through the Sub- Dinas Head the Health service and the Nutrient drg Burhanudin Agung named his side still could not confirm whether NW positive bird flu or not because the sample of the patient's blood was still being checked the central laboratory. The sending of the sample was carried out by as many as three times.
?Sampai now we are still being waiting for the report produced by the sample inspection of blood tersebut,?? he said when being contacted through the telephone selular, yesterday the night. (fed/kaf)

http://www.riaupos.com/v2/content/view/11384/46/
 
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