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Indonesia Human Cases - April 9, 2008 - 20th June 2008

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Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

You hit the nail right on the head, Dr. Niman. Excellent commentary.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Commonground said:
(...)
These denials of clusters has extended an under reporting trend that is widespread, but the denial of three cluster out of the last four confirmed cases is an H5N1 record. In the 1918 pandemic the most frequent mis-diagnosis were dengue fever, typhoid, and cholera. Indonesia has previous mis-diagnosed patients with dengue fever and typhus previous, which were subsequently lab confirmed as H5N1. However, the specific denials of obvious clusters are new.

(...)
Click to expand...

In early '900 no laboratory diagnostics existed and perhaps today misdiagnosis could help to take a certain time from the authorities perspective.
I think Indonesian physicians are well skilled - at least in the most part of advanced hospitals - and they also deserve to be recognized an hard work at the centre of a storm.
Dealy in laboratory tests' confirmations are probably due to external factors, no directly controlled by medical staff.
IOH
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

I agree the health care professionals are working very hard.




From Update on Avian Influenza from NEJM - 2008

http://www.flutrackers.com/forum/showthread.php?t=49821


"..The nonspecific clinical presentation of influenza A (H5N1) disease has often resulted in misdiagnosis of subsequently confirmed cases (Table 3); influenza A (H5N1) virus infection has been suspected in only a small number of patients. Health care staff should include influenza A (H5N1) virus infection in the differential diagnosis for patients who present with epidemiologic risk factors and unusual courses of illness, especially rapidly progressing pneumonia (see Fig. 2 of the Supplementary Appendix). "


From the above supplementary appendix -

"...Note that initial manifestations of H5N1 illness may be nonspecific or atypical
(e.g. fever with or without diarrhoea)..."
<sup>
</sup>
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Florida1 said:
I agree the health care professionals are working very hard.




From Update on Avian Influenza from NEJM - 2008

http://www.flutrackers.com/forum/showthread.php?t=49821


"..The nonspecific clinical presentation of influenza A (H5N1) disease has often resulted in misdiagnosis of subsequently confirmed cases (Table 3); influenza A (H5N1) virus infection has been suspected in only a small number of patients. Health care staff should include influenza A (H5N1) virus infection in the differential diagnosis for patients who present with epidemiologic risk factors and unusual courses of illness, especially rapidly progressing pneumonia (see Fig. 2 of the Supplementary Appendix). "


From the above supplementary appendix -

"...Note that initial manifestations of H5N1 illness may be nonspecific or atypical
(e.g. fever with or without diarrhoea)..."
<SUP>
</SUP>
Click to expand...

I think that a medical worker in an imaginary Jakartan hospital while he / she is visiting a patient with GIT symptoms, fever, chest RX images, haemorrhages passes in reviews in his/her mind other cases seen previously and avian influenza may be at top of the list, notwithstanding scientific or medical literature descriptions.
I think that a hand may be tend to these heroic individuals and no doubt into their honesty and professional skill should be cast.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

I think Dr. Niman is making a fair point.
I have no idea what the front-line HCWs conditions are like but I am sure you are correct in that they are doing a valiant job in difficult conditions. But there is a difference in saying nothing, and letting the results speak for themselves, and the head of the Ethnic Group of Dinas Kesehatan Southern Jakarta Togi Asman making 'a this is not a cluster' comment. If there is an attempt to spin this in anyway then this is 'cause for concern' (all copyrights acknowledged).
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Possible numbering sequence of positive cases

<TABLE style="WIDTH: 550pt; BORDER-COLLAPSE: collapse" cellSpacing=0 cellPadding=0 width=734 border=0 x:str><COLGROUP><COL style="WIDTH: 89pt; mso-width-source: userset; mso-width-alt: 4315" width=118><COL style="WIDTH: 11pt; mso-width-source: userset; mso-width-alt: 548" width=15><COL style="WIDTH: 155pt; mso-width-source: userset; mso-width-alt: 7570" width=207><COL style="WIDTH: 48pt; mso-width-source: userset; mso-width-alt: 2340" width=64><COL style="WIDTH: 15pt; mso-width-source: userset; mso-width-alt: 731" width=20><COL style="WIDTH: 26pt; mso-width-source: userset; mso-width-alt: 1280" width=35><COL style="WIDTH: 14pt; mso-width-source: userset; mso-width-alt: 694" width=19><COL style="WIDTH: 48pt" span=4 width=64><TBODY><TR style="HEIGHT: 12.75pt" height=17><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 89pt; BORDER-BOTTOM: #d4d0c8; HEIGHT: 12.75pt; BACKGROUND-COLOR: transparent" width=118 height=17>Indonesian Case #</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 11pt; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" width=15></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 155pt; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" width=207>Name</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 48pt; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" width=64>Sex</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 15pt; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" width=20></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 26pt; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" width=35>Age</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 14pt; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" width=19></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 48pt; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" width=64>Symptom onset</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 48pt; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" width=64>Hospital Admission</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 48pt; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" width=64>Death</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; WIDTH: 48pt; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" width=64>Outcome</TD></TR><TR style="HEIGHT: 12.75pt" height=17><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; HEIGHT: 12.75pt; BACKGROUND-COLOR: transparent" align=right height=17 x:num>131</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">Anisa Chamsah (Alifah Qansa)</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">F</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num>1</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD class=xl24 style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num="39524">3/17/2008</TD><TD class=xl24 style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num="39529">3/22/2008</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">R</TD></TR><TR style="HEIGHT: 12.75pt" height=17><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; HEIGHT: 12.75pt; BACKGROUND-COLOR: transparent" align=right height=17 x:num>132</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">ZAH</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">F</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num>11</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD class=xl24 style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num="39526">3/19/2008</TD><TD class=xl24 style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num="39530">3/23/2008</TD><TD class=xl24 style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num="39535">3/28/2008</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">D</TD></TR><TR style="HEIGHT: 12.75pt" height=17><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; HEIGHT: 12.75pt; BACKGROUND-COLOR: transparent" align=right height=17 x:num>133</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">Muhammad Saiful Hidayat (MSH)</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">M</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num>3</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD class=xl24 style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num="39555">4/17/2008</TD><TD class=xl24 style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num="39559">4/21/2008</TD><TD class=xl24 style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num="39561">4/23/2008</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">D</TD></TR><TR style="HEIGHT: 12.75pt" height=17><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; HEIGHT: 12.75pt; BACKGROUND-COLOR: transparent" align=right height=17 x:num>134</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">??? Tini Suhartini</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">F</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num>54</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent; mso-ignore: colspan" colSpan=2>reported positive</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">D</TD></TR><TR style="HEIGHT: 12.75pt" height=17><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; HEIGHT: 12.75pt; BACKGROUND-COLOR: transparent" align=right height=17 x:num>135</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">??? Siti Istiqomah</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">F</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent" align=right x:num>16</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent; mso-ignore: colspan" colSpan=2>reported positive</TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent"></TD><TD style="BORDER-RIGHT: #d4d0c8; BORDER-TOP: #d4d0c8; BORDER-LEFT: #d4d0c8; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent">D</TD></TR></TBODY></TABLE>


http://www.flutrackers.com/forum/showthread.php?t=18639
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

5 Residents Kendari Suspected Infected Flu Burung

-snip-
All 5 people that suspected infected virus Avian Influensa (H5N1) that are Asdar, 8 tahun, Andika Saputra (1,3), Sarminda (10), Nuraminah (4) as well as Dg Sholeh (53).

Side RS already take sample blood medical patient in order that was researched. "We not yet can determine what all five medical patients that infected flu burung or not," words doctor Musawarah that treat all five patients those.

Menurut Dewaty mother Asdar her child enter RS because fever that high temperature reach 38 degrees celciau. After given medicine not descend, she also carry her child to RS. "We still to guard results exam laboratorium," said Dewaty.
-snip-
http://www.tempointeraktif.com/hg/nusa/sulawesi/2008/05/21/brk,20080521-123427,id.html
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

KOMNAS FBPI updated their website with 1 more bird flu victim listed.
In total 135.

However as far as I know 134 were confirmed? # 135 probably would TS/ Tini Suhartini from West Java, not confirmed by Dep of Health or by Komnas FBPI.
TS was confirmed positive through local PCR test from West Java lab.


Compared to the list in post # 191, we see 1 more in West Java (TS?) and 1 more in Jakarta District ( Isq).


http://www.komnasfbpi.go.id/situationupdate.html


The number of human cases in Indonesia has reached 135, of which 110 have died.


Province / No. of AI Positive Human Cases / No. of Fatalities


1 West Java 34 28

2 DKI Jakarta 33 28

3 Banten 25 22

4 North Sumatera 8 7

5 East Java 7 5

6 Central Java 11 10

7 West Sumatera 4 1

8 Lampung 3 0

9 South Sulawesi 1 1

10 South Sumatera 1 1

11 Riau 6 5

12 Bali 2 2

Total 135 110


http://www.komnasfbpi.go.id/utama_eng.php
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Number of suspect patients is growing in Kendari Hospital, Sulawesi.



Six Kendari Residents Suspected ito be Infected by Bird Flu

Kendari, till yesterday (22/5/08) was recorded by 6 Kendari inhabitants , South-East Sulawesi has been put into isolation space suspect Bird Flu of RSUD Sultra.

The six residents all of them came from Street ***, Kelurahan Sanua, Kecamatan Kendari West.

Initially several last days in this territory already approximately 80 livestock chickens died suddenly and were stated positive flu burunga by the government service of the City that consisted of the Pertanian Service and Livestock Breeding, and the health service, that carried out the checking dilapangan.

On average this patient experienced the sign that was same like the high fever, the cough, the stomach-ache in fact had the patient who experienced malaria.

6 patients among them Asdar 8 years, Andika Saputra 1.3 years, Sarminda 10 years, Nuraminah 4 Dg years. Sholeh 53 years, and Ain pre-schoolers who just were 8 months old.

According to Dr. M. Zamrud, RSUD South-East Sulawesi Director clinically the condition for the health 6 patients were good, But results of the laboratory test from sampling this patient that already in sent Jakarta would in knew results next week.

Chairman Tim medical of the maintenance of the patient suspect bird flu Dr. Hj.
The conference, justified this and said that his side only could do perawtaan intensive while being waiting for results of the Lab test from jakarata, and the reason to 6 patients suspect bird flu definitely dilatar rebuffed by the incident dilingkungan they who coincided with the death of several livestock chickens that died suddenly in fact were stated positive flu burunga by the team of the related service that was assigned there.
Since a last week had the other territory in the Kendari City also experienced the situation of the livestock chicken that died suddenly, that is in the Baruga subdistrict.
However this incident was quickly dealt with early by the resident by carrying out the burning and the accumulation of the livestock animal that died like the chicken so as the spreading of the virus H5N1 him did not spread as far as the resident around.

http://duaberita.com/main2/index.php?option=com_content&task=view&id=580&Itemid=37
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

[Post #187. This is the same street. Apparently the authorities were called in for a massive chicken die-off. They collected data on the village, and discovered the 5, now 6 residents, all members of the same family]

Commonground said:
[This was posted yesterday, involving poultry die-off in South East Sulawesi]

The poultry died suddenly in Kendari, caused panic

The resident Street Lasolo Kecamatan Kendari west the Kendari-South-East Sulawesi City.
This afternoon (19/5/2008) damaged startled after dozens of chickens and birds of the resident's livestock died suddenly.
Jumrin as Chairman RT SETEMPAT at once contacted the Kendari service of City livestock breeding to inspect directly the location.
Because of the resident of panic, dozens of poultry direct in discarded to the time, because of the confused resident on this condition.
However a few moments later, the Peternakan Service joint team and the Health of the Kendari City arrived dilokasi.
Without for a prolonged period this team at once spread to carry out spraying around the location of the death of the poultry till the radius some hundred metre.

The team of the related service also carried out the resident's isolation, by collecting data on all the resident while distributing some prevention medicine terjangkit him the plague of bird flu.
From the data that was assembled by this joint team stated that the death of this poultry was positive bird flu, because of that poultry carcasses that were thrown away by the resident to the time, immediately were taken again to afterwards be stockpiled as well as burnt.
Kendari Mayor Ir. Asrun at once visited the territory that terjangkit bird flu.
The Asrun arrival to see directly the truth of information at the same time warned direct to the local resident to serious responded to this incident and followed all the prevention instructions and the stages handled early suspect bird flu
http://news.okezone.com/index.php/R...ggas-mati-mendadak-di-kendari-timbulkan-panik
Click to expand...
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Sholeh (53) (43) might be a grandparent. It's not typical of Indonesians to start their family at 33 years of age.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

[Word for word translation for part of this article]

Conform Kendari Preceptive Bird Flu

Posture report community matter case flu burung that commence become an epidemic in Kota Kendari, like that happened in Kecamatan Lasolo Kota Kendari several time past, Government Pertanian and Peternakan Kota Kendari, immediately spread out activity listen attentively emergency towards prevent straight ahead become an epidemic cases flu burung in Kota Kendari, that can snatch soul human those. Penyuluh Pertanian Subdistrict Kambu Musram Abadi at Kendari Express to make clear step early that done Department Agriculture and Livestock Kota Kendari towards to control flu burung that is spraying cage poultry property inhabitants and pesticide kind Destan, that already go on from the time date 20 May past.

On behalf area Kecamatan Kambu appropriate with issue partition area unsafe the happening of cases flu burung namely village Lalolara, village Kambu, village Padaleu and Mokoau, but a number of villages now alreay done spraying with the result that community not necessary exceedingly afraid more. Musram, to make clear towards prevent spread flu burung to human being there is six steps that can be carried out by means of people, which summarized by terminology TUMPAS.

[toggletext below]
T= No need to panic, because of the bird flu virus could be killed by means of the heating of the sun rays, used detergent and disinfektan.
U=Usahakan the cleanliness of the pen by spraying Disinfectant (Destan Istam, Fumisid, Densol, Lisol).
M=Mencuci the hands with soap after direct contact with the poultry.
A=Amankan food took the form of meat and the egg by means of being cooked.
S= Segera lapor in that was obligated if being gotten the poultry that was sick or died aroused suspicion.

Now the control that must be carried out by the poultry breeders so that was avoided from bird flu or the virus of Avian Influenza to the poultry, including the cleaning of the pen every time with Destan kind pesticide, Istam, Fumisid, Densol or Lysol that was available in several of the Farmer's shops in the Kendari City.
Carried out the vaccination every time 2-3 months, the extermination of the chicken in the location tertular, burnt and buried the chicken died in the depth approximately 1 metre.

http://www.kendariekspres.com/news.php?newsid=6225
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

[don't have time to translate]
24 Mei 2008
Pasien Suspect Flu Burung Mulai Membaik
(8 x , Komentar)
Kendari, Kepres - Keadan enam pasien suspect flu burung masing-masing ASDR (9th), JHN (4th), IND (9th), AND (1th), DSR (50th) dan Ain (1 th) yang rawat di Rumah Sakit Umum Daerah (RSUD) Sultra mulai membaik.
Direktur RSUD Sultra Dr H M Zamrud SPT HT, mengatakan hal itu kepada Kendari Ekspres, Kamis (22/5), saat ditemui usai hearing soal Undang-udang keperawatan di DPRD Sultra. Dia mengatakan, sampai hari ini (kemarin) keadaannya sudah bagus.

"Keadaan kliniknya sudah membaik, tinggal menunggu hasil laboratorium dari Jakarta, apakah pasien-pasien tersebut negatif atau positif (flu burung)," ujar Zamrud.

Kata Zamrud, ketika hasil dilaboratorium sudah diketahui, dan jika memang negatif, maka pasien-pasien tersebut akan dipulangkan dari RSUD.

Dia menambahkan, para pasien tetap diisolasi, demi kepentingan penyembuhan, sampai benar-benar hasil dari laboratorium Jakarta sudah diketahui.

Saat koran ini bertandang ke ruang isolasi suspect flu burung Kamis (22/5) kemarin, pasien masih menghuni ruang isolasi. Tampak Ain, salah satu pasien suspect yang baru masuk pada Rabu (21/5), sedang terbaring pulas, didampingi kedua orang tuannya. Jika sebelumnya tidak memakai infus, bocah pasangan Rahmi dan Hasril itu telah dipasangkan infus pada kaki kirinya. Berbeda dengan Ain, kondisi pasien suspect lainya sudah mulai membaik

Sekedar diketahui, enam pasien yang diduga terjangkit suspect flu burung tersebut adalah warga Jalan Lasolo, Kelurahan Sanua, Kecamatan Kendari Barat, Kota Kendari, yang Selasa (19/5) lalu, terpaksa dilarikan ke RSUD Sultra karena suhu badan yang tinggi plus matinya puluhan ekor ayam secara mendadak di lingkungan tempat tinggal mereka.

http://www.kendariekspres.com/news.php?newsid=6243
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Pasien Suspect Flu Burung Bertambah
(24 x , Komentar)
Kendari, Kepres - Pasien suspect (dugaan) flu burung di Rumah Sakit Umum Daerah (RSUD) Sultra bertambah. Rabu (21/5) kemarin, sekitar pukul 09.00 wita, RSUD Sultra kembali merawat satu lagi pasien suspect flu burung, setelah sehari sebelumnya
merawat lima pasien. Dengan demikian RSUD Sultra saat ini merawat enam pasien suspect flu burung.

Pasien tersebut bernama Ain (1 th), juga warga Jalan Lasolo, Kelurahan Sanua, Kecamatan Kendari Barat, yang baru-baru ini lingkungan tersebut dihebohkan dengan kejadian matinya puluhan ekor ayam secara mendadak.

Putri dari pasangan Rahmi dan Hasril itu terpaksa dilarikan ke RS karena suhu badanya yang tinggi. "Kami khawatir jangan sampai flu burung. Makanya kami bawa dia ke sini," kata ibu Ain, Rahmi, saat ditemui di ruang isolasi suspect, RSUD Sultra, kemarin.

Rahmi mengakui, Ain telah menjalani perawatan awal melalui pengambilan sampel darah dan lendir untuk keperluan uji laboratorium. Sampel tersebut yang akan membuktikan apakah bocah tersebut terjangkit flu burung atau tidak.

Saat koran ini bertandang di RSUD Sultra, tampak Ain terbaring di atas tempat tidur
salah satu ruangan isolasi, ditemani oleh ibunya, tanpa infus. Sementara itu, pasien suspect flu burung lainnya yang masuk pada Selasa (20/5), juga masih menjalani perawatan.

Dari lima pasien suspect yang masuk sebelumnya, tiga diantaranya, masing-masing, ASDR (9 th), IND (9 th) dan AND (1 th) masih menjalani perawatan. Namun kondisinya sudah berangsur baik. Sedangkan dua diantaranya, masing-masing, JHN (4 th) dan Dg SR (50 an) tampak mulai membaik.

Ke enam pasien tersebut dibawah pantauan dan penjagaan tiga petugas ruang isolasi yang terdiri atas dua pria dan satu wanita mengenakan jilbab. Berbeda dengan sehari sebelumnya, ruang perawatan yang letaknya tidak jauh dari ruang perawatan bayi tidak tertutup rapat. Bahkan penjagaan tidak terlalu ketat.

Mengenai tindak lanjut hasil uji laborarium, salah satu petugas mengatakan, sampel yang telah diambil sudah dikirim ke Jakarta untuk diperiksa melalui laboratorium pemeriksaan khusus.

"Hasilnya mungkin agak lama," kata salah satu petugas ruang isolasi.

Seperti diberitakan sebelumnya, lima warga Jalan Lasolo, masing-masing, ASDR (9 th), IND (9 th) dan AND (1 th) JHN (4 th) dan Dg SR (50 an) dirujuk ke RSUD Sultra karena diduga terjangkit flu burung. Dugaan itu diperkuat dengan matinya puluhan ekor ayam milik warga setempat secara mendadak. Cr4

http://www.kendariekspres.com/news.php?newsid=6209
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

[This articles are going back in time]
Lima Pasien Suspect Flu Burung Dirawat
(38 x , Komentar)
Sempat Tinggalkan RS Gara-gara Tak Diperhatikan
Kendari, Kepres - Lima warga Jalan Lasolo, Kelurahan Sanua, Kecamatan Kendari Barat, Kota Kendari, masing-masing ASDR (9 th), JHN (4 th), IND (9 th) AND (1 th) dan DSR (50an th), Selasa (19/5), terpaksa dilarikan ke Rumah Sakit Umum Daerah (RSUD)
Sultra karena diduga terjangkit (suspect) penyakit flu burung.

Kepala Dinas Kesehatan Kota Kendari, dr Hj Maryam R M Kes, mengatakan, kelimanya diduga flu burung karena menderita sakit panas ditambah dengan adanya kejadian matinya sejumlah ekor ayam di lingkungan tempat tinggal pasien, secara mendadak. "Makanya mereka langsung di rujuk ke rumah sakit," kata dr Maryam.

Menariknya, kelima pasien tersebut sempat meninggalkan RSUD Sultra karena tidak mendapatkan perhatian serius dari pihak RS. Salah satu orang tua pasien, Dewati, mengakatan, mereka (pasien bersama keluarga, red) memilih untuk meninggalkan RS alias pulang ke rumah masing-masing karena terlalu lama menunggu. Selain itu, kata Dewati, mereka dibebankan biaya yang tak diduga, seperti pembelian masker. Sementara mereka hanya membawa uang seadanya.

Mengetahui hal ini, Kepala RT 08 RW 02 Kelurahan Sanua Kendari Barat, Jumrin, sempat kesal dengan perlakuan yang diberikan kepada pasien yang juga adalah keluarganya. Pasalnya, pihak pemerintah telah menyampaikan bahwa warga suspect flu burung tersebut akan diberikan penanganan secara gratis, tanpa dipungut biaya.

"Tau-taunya mereka masih dibebankan biaya. Lucunya, mereka malah disuruh beli masker," kata Jumrin kesal.

Berita pulangnya lima pasien suspect flu burung ini sampai ke telinga pengambil kebijakan. Pemerintah kota melalui Dinas Kesehatan Kota Kendari langsung menjemput kembali lima pasien tersebut untuk mendapatkan perawatan pada RSUD Sultra. Saat ini, kelima pasien tersebut dirawat secara intensif di ruang isolasi RSUD Sultra.

"Mereka diberikan perawatan gratis," kata dr Maryam.

Diagnosa suspect flu burung diberikan kepada pasien karena demam yang dialami. Kemudian, sejak enam hari yang lalu, peternak ayam di lingkungan tempat tinggal mereka dirisaukan dengan matinya puluhan ekor ayam secara mendadak. Salah satu peternak ayam, Jumrin, saat ditemui di lokasi, mengatakan, dirinya tidak sempat terpikir kalau proses matinya puluhan ekor ayam miliknya sebagai gejala flu burung. Ia mengira, ayam-ayamnya berjatuhan karena penyakit biasa.

"Dalam satu hari, biasanya dua ekor (mati secara mendadak), tiga ekor. Itu lagi satu ekor mati," kata Jumrin yang juga Kepala RT 08 RW 02 Kelurahan Sanua, Kendari Barat, sambil menunjuk ke arah bangkai ayam yang tergeletak mati.

Peristiwa ini membuat pihak Dinas Kesehatan serta Dinas Pertanian dan Kehutanan Kota Kendari, turun meninjau lapangan serta melakukan upaya-upaya sesuai prosedur tetap. Pihak Dinas Kesehatan langsung membentuk posko dan memberikan penyuluhan kepada masyarakat serta membagikan
obat tamiflu. Begitu juga dengan Dinas Pertanian yang masih membawahi bidang peternakan. Instansi ini mengambil sampel terhadap ayam-ayam untuk dilakukan uji laboratorium.

http://www.kendariekspres.com/news.php?newsid=6206
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Thanks everyone for following these cases. I know it is hard work.
 
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