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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+

May = 2nd anniversary of Karo-cluster.
So, what do the chickens,ducks do this time of year ?
moult,breeding,relocation,birth,... ?
What do humans do this time of year ? sewing,harvesting,digging,...?
There were two clusters in Indonesia at the end of February. Clusters happen year round in Indoensia.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

14-05-2008
Victim Flu Burung in South Jakarta To Increase

After could receive the maintenance for three days in RS Persahabatan, Siti Istiqomah (16) the resident of the Gandariautara District, Southern Jakarta, that suffered bird flu, had finally died, on Wednesday morning (14/5) around struck 07,00 of WIB. Siswa this I SMA Class increased long the list of bird flu casualties in South Jakarta.
So that the virus H5N1 the cause of bird flu did not spread, the direct district side men-sweeping the poultry around the Siti residence and examined the resident's blood around.
Before being sentenced suffered bird flu, Siti could take medicine to RS Gandaria because of being expected suffered typus resulting from the high fever.
Because his fever will never descend, the couple's child the Lover (60) and Aisyah (54) this immediately was reconciled to RS Persahabatan, East Jakarta.
From results of the intensive inspection, was known if Siti suspect bird flu.

The case was in this Gandariautara District indicated because of the number of residents who still was maintaining the poultry.
Moreover, many wild poultries that died suddenly and were allowed just like that in the street.
Necessarily, the poultry that died suddenly was destroyed by means of being burnt then was stockpiled.
The echo of Henry Wicaksono, Kasie Kesehatan of the Animal and the Health of the Veteriner Community (Keswan Kesmavet) Sudin Peternakan and South Jakarta fisheries said, the Siti death because of having several pigeons that died suddenly close to his house environment.
The community around also reported the existence of the poultry that died suddenly in this region.
Unfortunately, the birds carcass that died suddenly this only was left alone just like that.


Because of the incident, Sudin Peternakan and South Jakarta fisheries immediately did sweeping the poultry in this region.
Results, totalling 100 chickens, 34 pigeons, two geese, and two entog immediately was destroyed.
Apart from destroying the poultry, the resident around also immediately was checked his blood as the anticipation action tertular the virus H5N1 this.
From results of the laboratory inspection, all of them were stated healthy, there is none that tertular the deadly virus.

The action sweeping the poultry not only was carried out by Sudin Peternakan and South Jakarta fisheries, the Gandariautara District side also followed the same step.
From results sweeping district apparatus, found 141 chickens, 47 birds and 7 ducks, from 21 pens and immediately was destroyed.

"Up until today, we still did sweeping all through the poultry that indeed was forbidden to be maintained in the housing environment," stressed the Village Head Gandariautara, Mundari, on Wednesday (14/5).
In the meantime, for still wandering birds, was alerted sniper to shoot birds that had difficulty being caught.
Along 2005-2007, the Jakarta resident that terjangkit bird flu reached 32 people with Central Jakarta details of five people, North Jakarta (1), West Jakarta (9), South Jakarta (9), and East Jakarta (8).
Eight among them died including Siti.
The Special Capital District of Jakarta Provincial Government appointed had 10 subdistricts that still berstatus red, this number descended from the year beforehand that reached 17 subdistricts from 44 subdistricts in Jakarta.

http://www.beritajakarta.com/V_Ind/berita_detail.asp?idwil=0&nNewsId=28644
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

More on the 2 children in Padang Hospital. See also post # 112.

On Wednesday, May 14 2008

Two Bird Flu Suspects Treated in Padang

Padang, on Wednesday - two pre-schoolers who it was suspected were infected by bird flu were treated in RSUP Dr M. Jamil, Padang, on Wednesday (14-5).

The team of the doctor from the hospital still was waiting results of the laboratory inspection of ascertaining the cause of the illness of the two patients.

The two pre-schoolers who were treated were Nurul Lailatul (3) and the A Blessing (1.5).

Both of them still bersepupu, and lived in K anagarian V Suku Sungai Puar, Kota Bukittinggi.

Before being brought to RSUP Dr M. Jamil, Padang, both of them could undergo the medical maintenance in RS Yarsi, Bukittinggi.

Because of the local doctor suspected had the possibility of both of them being affected by bird flu, then the two patients were immediately reconciled to RSUP Dr M. Jamil, Padang.

The head of the Field of Pelayanan Medis RSUD Dr M. Jamil Irayanti said from information of the patient's family, the two pre-schoolers had not been directly touching with the poultry.

Similar information had been sent by the family of a bird flu patient that evidently positive was attacked by the bird flu virus.

Therefore, the hospital side continued to treat the patient in accordance with the standard of the maintenance of the bird flu sufferer.

http://www.kompas.com/index.php/rea...4020/dua.suspect.flu.burung.dirawat.di.padang
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Kamis, 15 Mei 2008
The patient Suspect Bird Flu was Still Limp, M. Djamil treated 35 patients

A day after nurse/treating/caring for in Isolation room in Irna C Penyakit in RSUP M Dmamil Padang, second patient suspect flu burung still observed weak. In hand two children that named Nurul (3,5) and Rahmat (1,5), resident V Suku Sangai Pua Kabupaten Agam this wraped infusion, they also to obtain help oxygen. Even though that way each parents medical patient now not use APD (instrument protective self) when accompany them.

In fact appropriate protap the maintenance of the bird flu patient anyone who interacted with the patient must use APD. "This time we were still undergoing a series of inspection for the two patients, this morning (yesterday, red) was carried out by the taking swab (throat mucus) and x-rayed bronchopneumonia.
The possible tomorrow (today, red) results could have been seen," said the Head of the Medik Service RSUP Djamil Padang, Irayanti to Padang Ekspres, on Wednesday (14/5).
From results swab this, eventually early indicated positive not him a person suffered bird flu.
For haemoglobin and trombosit the two patients including normal.
Nurul that was the child from the couple Delianis and Jodi, his haemoglobin 11.2 whereas trombosit him 406 thousand.
Putra's blessing the couple Asmi and Irwan his haemoglobin 13.29 and trombosit him 496 thousand.
Whereas the number of Nurul leucocytes, 23 thousand and the Blessing, 13 thousand menunjukan the existence of the infection in their blood channel.
Even so with the temperature of the body, both of them at this time still were experiencing the high and breathless fever.


When having an opportunity to see the patient from over glasses of isolation space, was seen by the two parents of the patient was accompanying Putra their daughter.
Only they did not use APD like the current provisions.
The condition was caused because they did not want to use this APD although the nurse was on duty at the room of the isolation repeatedly warned.
"Mereka insisted on not wanting to use APD like sterile clothes, the mask and the cover of the head.
In fact was explained by us the importance used this implement, they felt the condition for his two children just so-so, so as to be able to not use these clothes," he said.
Not only that was second parents of the patient were seen like that closed himself with the press, they did not want to give the comment about the sign beforehand was experienced by Putra their daughter.

Since 2005 till at this time, RSUP M. Djamil Padang treated 54 patients suspect bird flu.
From three positive patients bird flu, one person died was the resident of the Pesisir Selatan Regency (Pessel).
Two other people were stated recovered and underwent again lived normally like beforehand.
Whereas the Service data of Kesehatan West Sumatra from 2006 recorded as many as five people was stated positive bird flu with one patient died.
-snip-
Must Caution

Health West Sumatra Rosnini Savitri Section Head said, although results rapit test the patient was still negative and was not found by the existence of the poultry that died around the patient's house, but the community around continued to be on the alert against this virus.
"Hopefully results of the negative.
As far as this is concerned we continued to carry out the monitoring against the patient.
Because of this monitoring to see the development of the condition for the patient.
We will coordinate Officially Peternakan West Sumatra to monitor continued this situation," Rosnini words.
Said by Rosnini, the monitoring that was carried out possibly was not as tight as the patient's time that was stated positive bird flu some time before.
Because, results rapit test him still showed negative results.


http://www.padangekspres.co.id/content/view/5984/104/
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

More from the possible cluster in Jakarta; we know the stories from 1918 about flu-patients turning blue, today this is reported from Jakarta, did not see that often.

The father of the victims is pointing to a nearby chickenfarm as a possible source of infection. Larger chickenfarms tend to not report bird flu, not to authorities, not to newspapers. They are owned by people with some political influence.

No mentioning of the 3rd child from this family, now treated as a suspect bird flu patient in isolation space in Persahabatan Hospital.


..

The Sibling older brother died resulting from Bird Flu


Jakarta (SINDO) Two older brothers were siblings, Ahmad Rizki, 15, and Istiqamah, 16, died because of being infected by the bird flu virus (avian influenza). Rizki died last May 4.

While Istiqomah died yesterday in RS (Regional Hospital, ed) Persahabatan. According to Mahfud, 60, casualties's father, Rizki, his six-th child died in his house in Street *** of RT , Kebayoran Baru, Southern Jakarta, struck 05,30 WIB.

Before being brought came home, Rizki. who was still sitting in the class 3 junior high school could be carried to the Prikasih Hospital, Pondok Labu in fact had an opportunity to be carried to isolation space.

Because his medical treatment cost was expensive, finally he was brought by us came home. The next day, died, said Mahfud yesterday.

Before dying, Mahfud claimed Rizki experienced the disturbance of the breath and some parts of his body him turned blue.Since the sign emerged, he has carried him to several hospitals but results were not available. (was refused, ed.)

Various methods have been carried out by us to cure the child, but results nihil. According to the doctor, he was infected by bird flu, obviously him.

Ten days after Rizki died, his brother, Istiqomah, experienced the same disturbance.

The student the class SENIOR HIGH SCHOOL 1 that initially experienced the sign of typhus after being brought to RS Gandaria.

In the hospital, Istiqomah could in treated two days, he said.
After two days were treated, the previous hospital side reconciled Istiqomah to undergo the maintenance to RS Persahabatan.

In this hospital, the doctor's side sentenced his child suffered bird flu.
Yesterday, struck 05,30 WIB, Istiqomah blew out the last breath in RS Persahabatan, he said.

According to Mahfud, in the place territory he was kept indeed having the factory of the child's livestock breeding.

He suspected, the bird flu virus that caused his child to die came from the livestock breeding.

The village head Gandaria Utara Mundari said, his side has combed all the poultries in this territory to be destroyed.

Results, 141 chickens, 27 birds and 7 geese were burnt and destroyed.
Since 2005 then, the case of first new bird flu, obviously him.

http://www.seputar-indonesia.com/edisicetak/jabodetabek/kakak-beradik-meninggal-akibat-flu-b-3.html
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

http://www.detiknews.com/index.php/...5/tgl/14/time/182629/idnews/939604/idkanal/10

Relatives of casualties Suspect Flu Burung Ikut Dirawat in RS

Alamsyah(24), the older brother Istigomah (casualties who died because of suspect bird flu) took part in being treated in RS Persahabatan, Jakarat Timur. Alamsyah was run off with on Tuesday May 13 2008 yesterday, because of suffering the sign of bird flu..........
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

http://www.detiknews.com/index.php/...5/tgl/14/time/182629/idnews/939604/idkanal/10

Relatives of casualties Suspect Flu Burung Ikut Dirawat in RS

Alamsyah(24), the older brother Istigomah (casualties who died because of suspect bird flu) took part in being treated in RS Persahabatan, Jakarat Timur. Alamsyah was run off with on Tuesday May 13e 2008 yesterday, because of suffering the sign of bird flu..........

Post # 120: (RS = Regional Hospital)

Seems to be another family member, treated for bird flu; that makes 3 suspects from 1 family.

Relative of casualty Suspect Bird Flu Followed Treatment in RS

Andi Saputra - detikcom

Jakarta - Alamsyah (24), the older brother (or sister,ed) of Istiqomah (casualties who died because suspect bird flu) took part in being treated in RS Persahabatan, Jakarta Timur.

Alamsyah was run off with on Tuesday May 13 2008 yesterday, because of suffering the sign of bird flu.

The older brother (or sister) still in treated in isolation space RS Persehabatan, said the brother Alamsyah, Sanusi (19) in his house of Street Dwijaya 4, RT , Gandaria North, Southern Jakarta, on Wednesday (14-5-2008).

Alamsyah was run off with to RS Persahabatan three days after Istiqomah entered this RS.

The family ran off with him to RS Persahabatan because of experiencing signs was sick yag was the same as Istiqomah.

The fever until 38 levels celcius with the cough and flu, he added.
Medical treatment that was given free by the hospital side it was admitted the family really helped.

Moreover the Istiqomah funeral cost and Ahmad Rizki then still were borne.
In fact, his medicine until dozens of million rupiah.

We could only say thank you, pungkas Sanusi while reflected-kca kept the tear.

Istiqomah personally dies today struck O7.00 WIB after four days were treated in RS Persahabatan.

Currently, the family could only pray to no longer lost his family's member.


http://www.detiknews.com/index.php/...me/182629/idnews/939604/idkanal/10/idpartner/
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Some more details on the three siblings in Jakarta

Bird flu claimed the Life of the Beradik Older Brother

Several of casualties's neighbours maintained the poultry.

15/05/08

Jakarta -- the bird flu Virus claimed the life of the sibling older brother Istiqomah, 16 years, and Ahmad Rizki, 15 years, the resident Street ***, Radio Dalam, of Southern Jakarta, died because of bird flu. "After being treated overnight, Isti was stated positive bird flu," said Mahbud, their father, yesterday.

According to Mahbud, last May 1 Rizki complained was sick. "His body was hot." Hands, fingertips and foot very blue, said the father. Fortune was carried to the Yakriza Clinic, Tanah Kusir. "His diagnosis typhus."

The third day, fortune was carried to the Prikasih Hospital, Pondok Labu. Was based on results x-rayed, the condition for the left lungs fortune has been very serious.

With the typhus diagnosis, the hospital side offered the special maintenance at a cost of early Rp 5 million. "We did not have money, so Rizki was brought by us came home," said Mahbud. Fortune blew out the last Ahad breath, on May 4, around struck 05,30.

A legacy of Rizki, Istiqomah showed the similar sign. Appetite descended, the tip of the finger turned blue and breathless. Isti could be treated two nights in the Gandaria Hospital afterwards were given by reconciliation to the Persahabatan Hospital, Rawamangun. Love, medical help could not rescue the life of the girl.

Priyanti, the team's member of the control doctor of Persahabatan Hospital bird flu, said, Istiqomah positive was affected by bird flu. The girl suffered hot was accompanied by the cough and breathless. The "photograph toraks him also showed the sign" of "pneumonia," said Priyanti.


At this time RS Persahabatan was also treating Alamsyah, 26 years, the older brother Istiqomah. Although results of the first inspection results of the negative, the hospital side did not want to take the risk. Moreover the sign that was suffered by Alamsyah resembled the bird flu sufferer. "We were waiting for results" of the "second inspection," said Priyanti.

The Sub- Dinas Kesehatan head of the Southern Jakarta Community Dr Togi Asman S. said knew the news about bird flu that attacked Istiqomah.
"We already menginvestigasi from the bird flu," said Togi.

As far as this is concerned the official still could not find the source of the spread of the illness. "Their residence territory high risk bird flu," he said. The neighbour around casualties's house had several that maintained the poultry. "Beforehand had the poultry that died, although not dying suddenly," he said.

Since last Tuesday, Togi carried out depopulation of the poultry in Street Dwijaya. More than 100 poultries were burnt.

Was based on the site of the Nasional Pengendalian Committee of Bird Flu and Menghadapi Pandemi Influenza Preparedness, till February 18 2008 was gotten by 32 cases of bird flu in the Special Capital District of Jakarta.
From 32 cases, 27 people died.

Nationally, the number of casualties achieved the figure 129. From the number, 105 including dying.Now according to the site of the Organisation of the Health of the World (WHO), till April 30 2008 in Indonesia was gotten by 133 cases of bird flu that claimed the life 108 people.

Source: Koran Tempo (subscription)

credits Helblindi
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

Does all this mean that a pandemic is already starting?
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

rymich3: No. A pandemic is not starting.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

then what about doctor niman's commentary about h2h2h transmission?
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

then what about doctor niman's commentary about h2h2h transmission?

H2H has happened before, probably in dozens of cases. That is why we watch. We watch and we try to analyze and learn.

If a pandemic starts, we could see dozens or hundreds of clusters at the same time.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

H2H has happened before, probably in dozens of cases. That is why we watch. We watch and we try to analyze and learn.

If a pandemic starts, we could see dozens or hundreds of clusters at the same time.

so you mean that this mean that a pandemic will not start because of this single event?
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

so you mean that this mean that a pandemic will not start because of this single event?
This cluster is at H2H2H. There have been other clusters that are that long, but only a few. Long journeys start with single steps. This one has taken two steps so far.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

so you mean that this mean that a pandemic will not start because of this single event?

We do not know if this is a single event. That is why we try to follow the local press.

Small clusters - often family clusters - are not uncommon in Indonesia.

At this point no alarm bells ringing with me.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

thank you, I just hope that a pandemic is still a few years away, but you never know
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

so you mean that this mean that a pandemic will not start because of this single event?

A cluster of three individuals is not unusual. Since 2003 there have been at least 50 human clusters with at least one WHO confirmed case. Assuming all of the relatives in this cluster are positive or presumed positive (including Ahmad Rizki who was not tested), this cluster only includes 3 people to date. Of the 50 previous cluster at least 10 of them involved more than 4 people. A pandemic did not start with any of these previous clusters. This cluster is not the start of a pandemic unless the number of infected individuals quickly and greatly increases.
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

HUNDREDS OF poultries IN GANDARIA NORTH was destroyed

Metrotvnews.com, Jakarta, Pihak the district of Gandaria Utara, Southern Jakarta, on Wednesday (14-5), immediately held sweeping the poultry around the Istiqomah house, casualties died resulting from bird flu.

As many as 141 chickens, 27 birds and seven geese succeeded in being destroyed by being cut off and burnt.

The village head Gandaria Utara, Mundari the Istiqomah case was that the first time since being found by bird flu 2005 set.

Was based on the district data, from 50 thousand residents, who maintained the poultry of two percent.

Mundari added his side destroyed and certification of the poultry in this region.

But the poultry that has disertifikasi was stabled and left wandering.
His plan this Thursday, the district side will come back combed the poultry all over the territory of Gandaria Utara Southern Jakarta.

In the meantime the older brother Istiqomah, Alamsyah was still being treated in the Persahabatan Hospital, Jakarta Timur because of suffering the sign avian influenza.
()http://www.metrotvnews.com/berita.asp?id=59035
 
Re: Indonesia Human Cases - April 9, 2008+

Re: Indonesia Human Cases - April 9, 2008+

A cluster of three individuals is not unusual. Since 2003 there have been at least 50 human clusters with at least one WHO confirmed case. Assuming all of the relatives in this cluster are positive or presumed positive (including Ahmad Rizki who was not tested), this cluster only includes 3 people to date. Of the 50 previous cluster at least 10 of them involved more than 4 people. A pandemic did not start with any of these previous clusters. This cluster is not the start of a pandemic unless the number of infected individuals quickly and greatly increases.
The key is the length, not the width.
 
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