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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+

Avian influenza – situation in Indonesia – update 43

19 June 2008 -- </SPAN>The Ministry of Health of Indonesia has announced two new cases of human H5N1 avian influenza infection. The cases are not linked epidemiologically. The first is a 16-year-old female from South Jakarta, DKI Jakarta Province developed symptoms on 7 May, was hospitalized on 12 May and died on 14 May. Investigations into the source of her infection indicate exposure to sick and dead poultry.

http://www.who.int/csr/don/2008_06_19/en/index.html
The above WHO update fails to mention the death of the brother of the above case, who had IDENTICAL symptoms, including cyanosis in extremities and died 10 days earlier

http://www.recombinomics.com/News/05140803/H5N1_Jakarta_Cluster_Another.html
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Spreading Virus Flu Burung Still From Poultry
Kamis, 19 Juni 2008 - 12:34 wib

Jakarta - Based on investigation virologis by method analyzing genetic sequencing by Badan Penelitian and Pengembangan Health (Balitbangkes) Depkes and Lembaga Biology Molecular Eijkman in Jakarta, until time now virus Flu Burung that attack human being still permanent/unchanging H5N1. With such was the case infection virus flu burung in Indonesia still from poultry to human.

"Since the community was appealed to avoid contact with poultry which sick or died suddenly and environment that polluted feces poultry. Not look after poultry in surrounding settlement. (?) When there is poultry that sick or died in surroundings, immediately report to Chief RT/RW local," thus passed on by means of dr I Nyoman Kandun, MPH, Dirjen Pengendalian Penyakita nd Penyehatan Lingkungan Depkes, interconnected with development handling flu burung in Jakarta, Thursday (19/6/08).

Community also asked always to carry out behavior live clean and healthy (PHBS), to see to cleanliness environment and guard against symptom flu because often occurrence to late patient seek service medical magnify risk death.

In year 2008 (January-now), by means of cumulative cases positive flu burung based on examination laboratory Badan Litbangkes and Lembaga Biology Molecular Eijkman recorded 18 cases, including 2 cases recent month May namely IST (P, 15th) orgin Jakarta and SS (P, 34th) origin Tangerang.

Cases positive flu burung show descent 50 percent compared with cases flu burung in May 2007 as well as descent that sharp namely 88.8 percent compared cases flu burung in month May 2006.
[completed]
http://news.okezone.com/index.php/R...penyebaran-virus-flu-burung-masih-dari-unggas
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

I'm going to be translating this article by hand. TT is out. Something about genetic sequencing.

Penyebaran Virus Flu Burung Masih dari Unggas
Kamis, 19 Juni 2008 - 12:34 wib

Jakarta - Based on investigation virologis by method analyzing genetic sequencing by Badan Penelitian and Pengembangan Health (Balitbangkes) Depkes and Lembaga Biology Molecular Eijkman in Jakarta, until time now virus Flu Burung that attack human being still permanent/unchanging H5N1. With such was the case infection virus flu burung in Indonesia still from poultry to human.
(more to come)
http://news.okezone.com/index.php/R...penyebaran-virus-flu-burung-masih-dari-unggas

It will just say no reassortment or RBD changes (which means nothing since there is OBVIOUS H2H in Indonesia).
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

I know....but I had to do it anyway...:D
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

<TABLE cellSpacing=0 cellPadding=0 width=968 align=center border=0><TBODY><TR vAlign=top><TD align=middle width=630><TABLE cellSpacing=0 cellPadding=0 width=200 border=0><TBODY><TR><TD height=10></TD></TR></TBODY></TABLE><TABLE cellSpacing=1 cellPadding=0 width=625 bgColor=#e5e5e5 border=0><TBODY><TR><TD bgColor=#ffffff><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=8></TD></TR></TBODY></TABLE><TABLE class=lan18 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=hei22 vAlign=bottom height=25>Two Indonesian women die of bird flu
</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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2008-06-20 01:14:58
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JAKARTA, June 19 (Xinhua) -- Two women have died of avian influenza, bringing the total fatalities of the disease to 110, spokesperson of the country's health ministry Lily Sriwahyuni said here Thursday.
A 15-year-old woman from Jakarta and another 34-year-old woman from Tanggerang town, an outskirt city of Jakarta, died of the disease in May, Sriwahyuni told Xinhua.
However, she did not elaborate. The deaths were the first cases since Indonesian Health Minister Siti Fadillah Supari said two weeks ago that the ministry had changed its policy on reporting human cases, and would only announce the death toll every six months. But, the spokesperson said that the ministry would report the case once in a month.

</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: Yan Liang </TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
http://news.xinhuanet.com/english/2008-06/20/content_8403532.htm
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Location maps of the two recent WHO confirmed cases.

Siti Istiqomah (16F) died May 14, 2008, from Gandaria-utara,


Indonesia Gandaria  utara 20080619.jpg

Indonesia bitung case 20080619.jpg
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Two die as Indonesia resumes bird flu reporting--WHO

19 Jun 2008 17:21:53 GMT - Source: Reuters - (Adds remarks by WHO expert David Heymann in paragraphs 6-8)
By Stephanie Nebehay

GENEVA, June 19 (Reuters) -

The Indonesian health ministry has reported two deaths from bird flu in recent weeks, easing concerns about whether Jakarta would share information about the disease, the World Health Organisation said on Thursday.

Indonesia has had more human bird flu infections than any other country, with 110 deaths out of 135 cases, and monitoring the H5N1 virus in the sprawling archipelago is seen as crucial.

The latest infections are the first since Health Minister Siti Fadillah Supari declared two weeks ago that Jakarta had changed its policy on reporting human cases and would only announce the death toll every six months.

The WHO, a United Nations agency, has been seeking clarification on her remarks amid concerns that that the decision could lead to delays in containing outbreaks.

International health regulations (IHR) require the WHO's 193 member states to report human cases of bird flu within 24 hours.

"The minister has told WHO they will not continue to share publicly whenever there is a new case but they will inform the WHO in conformity with IHR," David Heymann, WHO assistant director-general for health security and environment, told Reuters by telephone.

"We anticipate that promise will be honoured," he said.

INFORMATION SHARING
The WHO encourages all governments to share information freely with their populations, but it remains their decision, according to Heymann.

Indonesian authorities were still trying to confirm a suspect 111th bird flu death, he added.

The WHO, in a statement reporting information from the health ministry, said that a 16-year-old girl from south Jakarta died on May 14 and a 34-year-old woman from Banten province died on June 3.

Investigation into the girl's death indicate she was exposed to sick and dead poultry, which carried the H5N1 virus, while investigations into the source of the second woman's infection are continuing, according to the WHO.

There have been 385 human bird flu infections, including 243 fatalities, in 15 countries worldwide since 2003, it says.

Indonesia has maintained its decision not to share bird flu samples with WHO laboratories, saying it wants guarantees from richer nations and drugmakers that poor countries would get access to affordable vaccines developed from their samples.

International health experts say it is vital to have access to samples of the constantly-mutating virus, which they fear could change into a form spread more easily among humans and sweep the world in months, killing millions of people.

"There is a strong working relationship between the WHO country office and the government. Even if there is a conflict on issues like virus-sharing, it hasn't eroded the ability to carry out joint investigations," WHO spokesman John Rainford said in Geneva.

At least 16 companies including GlaxoSmithKline and Sanofi-Aventis are working on vaccines against H5N1.

The next negotiations to hammer out a new virus-sharing agreement among WHO member states are scheduled for November.

(reporting by Stephanie Nebehay; editing by Dominic Evans)
-
http://www.alertnet.org/thenews/newsdesk/L19830123.htm
-----
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Two die as Indonesia resumes bird flu reporting--WHO



"The minister has told WHO they will not continue to share publicly whenever there is a new case but they will inform the WHO in conformity with IHR," David Heymann, WHO assistant director-general for health security and environment, told Reuters by telephone.

"We anticipate that promise will be honoured," he said.

-
http://www.alertnet.org/thenews/newsdesk/L19830123.htm
-----
Indonesia has clearly decided to cover-up the clusters and the WHO updates support these efforts. The claims that relatives of H5N1 confirmed cases died of "lung inflammation", dengue fever, and typhus are nonsense, and WHO knows that these diagnosis are not believeable.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Indonesia has clearly decided to cover-up the clusters and the WHO updates support these efforts. The claims that relatives of H5N1 confirmed cases died of "lung inflammation", dengue fever, and typhus are nonsense, and WHO knows that these diagnosis are not believeable.

And they seem to accept the attempt of media censorship for Indonesians.
But, what will be the policy of the WHO? They update or not their web site? It seems a bit paradoxical statement.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

And they seem to accept the attempt of media censorship for Indonesians.
But, what will be the policy of the WHO? They update or not their web site? It seems a bit paradoxical statement.
Yes, that is true. In the past WHO has issued a situation update as soon as the case is confirmed. Thus, the case(s) from May clearly did not meet the IHR requirement of immediate (24-48 hour) notification of human H5N1 to WHO. Similarly, the June case was said to have been positive in the AP report of June 5, so notification of that case to WHO was also delayed.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Maybe they (WHO) should put something to that effect on their website, as so many people/organizations, etc. are relying on their efficient updates.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Indonesia has clearly decided to cover-up the clusters and the WHO updates support these efforts. The claims that relatives of H5N1 confirmed cases died of "lung inflammation", dengue fever, and typhus are nonsense, and WHO knows that these diagnosis are not believeable.

Of course, we can not claim to know what WHO "knows" or that Indonesia is "covering up" clusters.

What is occurring now is speculation surrounding the current and past H5N1 status in Indonesia.

This is a result of incomplete and delayed epidemiological surveys of reported and suspected human cases.

As long as pertinent information is not readily available, for whatever reason, the world will speculate and act on that speculation regarding Indonesia's disease status.

It is extremely important that all countries conduct proper surveillance, testing, and reporting of their "bird flu" status.

In fact, this reporting should exceed the requirements of the UN, WHO, OIE, FAO, and other alphabets.

What we need here is frankness. Tell it like it is.

Hiding the problem will make it worse.

For all of us.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Of course, we can not claim to know what WHO "knows" or that Indonesia is "covering up" clusters.

What is occurring now is speculation surrounding the current and past H5N1 status in Indonesia.

This is a result of incomplete and delayed epidemiological surveys of reported and suspected human cases.

As long as pertinent information is not readily available, for whatever reason, the world will speculate and act on that speculation regarding Indonesia's disease status.

It is extremely important that all countries conduct proper surveillance, testing, and reporting of their "bird flu" status.

In fact, this reporting should exceed the requirements of the UN, WHO, OIE, FAO, and other alphabets.

What we need here is frankness. Tell it like it is.

Hiding the problem will make it worse.

For all of us.
WHO monitors news and the two clusters reported by wire services are clearly known to WHO. The "dengue fever" case was questioned by international media reporters and denied by Kadum. The denial was also published in ProMED, which is also monitored by WHO (and in some cases written by former WHO employees). The more recent cluster was also extensively covered in media reports, and the index case had the same cyanosis as reported for the confirmed cases. WHO employees are trained to investigate infectious disease and the two clusters could not be clearer. WHO has chosen to NOT report these associated cases in their updates, which speaks volumes. It is pretty clear what WHO does and doesn't know.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

I agree that all reporting should exceed current minimal standards. Full disclosure is warranted for all parties.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

from Commentary:
Moreover, three of the last five confirmed cases in Indonesia were part of three distinct familial clusters. In each case a relative died with bird flu symptoms within days of the death of the confirmed case, yet these associated cases were said to be due to ?lung inflammation", dengue fever, and typhus. None of these diagnosis is credible, since H5N1 has been confirmed in a contact in each cluster.

I could not agree more. In today's confirmation of Istimqomah (16), he often treated Ahmad Rizki (his brother). Rizki's onset of symptoms were 5/1. He died on 5/4. Diagnosed with typhus. Now, Istimqomah's symptoms began on 5/6, and died on 5/14. confirmed H5N1. In addition, their older brother, Alamsyah (24) was admitted on 5/13, brought home on 5/15.

It is not credible, because you would have to then logically conclude that Rizki just happened to contract typhus at the same time his brother contracted H5N1.

In the case of Agus Youhadi (15); whom passed away 1 hour after the arrival to RSHS Bandung Sadikin, his symptoms began on 3/19. He passed away on 3/26. His younger brother, Dea Putra (6) died not long before Agus Youhadi, and was diagnosed with DBD.

So two brothers dying within one week, one contracting DBD, and one contracting H5N1, to me, is not credible.

In March we had Alifa/Anisa who was confirmed. Adm: 3/24. She survived. Her younger brother did not. He was admitted on 3/11. Was diagnosed with DBD. The nurse that treated him, Etriani was also admitted on 3/30. She was there for quite a while, but diagnosed with DBD. So we would have to conclude that it was a coincidence.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

From Alertnet newswire, post #330:

''Indonesian authorities were still trying to confirm a suspect 111th bird flu death, he added. (...)''

Another confirmation is anticipated.
 
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