Indonesia - Human cases, July & August 2007

[Gert van der Hoek]

machinetranslation is up.

Update on Vivi, from Pekanbaru, Riau province, Sumatra


Viivi, the Bird Flu Patient to 101 in Indonesia

04 july 2007

Jakarta -- MIOL: After penetrating the figure 100, that increasingly strengthened Indonesia as the country with the positive case of bird flu in the world, the case of bird flu again increased.

Currently the case of bird flu in the Motherland improves to 101, positively Vivi (V, the female child was 3 years old), the resident of the Pesisi Subdistrict, Pekanbaru, of Riau.

The head of the Centre of Communication of Publik Department of Health Lily S. Sulistyowati in the release that was accepted by the Indonesian Media, on Wednesday (4/7), said with the V status that was positive, then the case of bird flu in Indonesia even reached 101.

From the total figure, 80 people including dying, or the figure in general his death (CFR) reached 79.2%.

V was stated positive was infected by the virus H5N1 was based on the inspection of the Body laboratory of Litbangkes Department of Health on June 22 2007.

While the Eikjman Agency, Jakarta, stated V positive suffered bird flu on June 23 2007.

According to Lily, V onset (began to be sick) since June 18 2007 with the fever complaint without the cough and pilek (cold).

V afterwards took medicine to the Rumbai Community Health Centre and it was reported to the Command Post of Flu Burung Provinsi Riau, on June 19 2007.

Afterwards, V was reconciled to RS Arifin Ahmad, Pekanbaru.

At this time V was still being treated in the hospital and in the good condition. From investigation, was known by V contact with his kept rooster that died suddenly on June 16 2007.

The director general of the Control of the Illness and Sanitation of Lingkungan Department of Health I Nyoman Kandun confirmed the incident.

He added at this time V in the good and stable condition.

http://www.mediaindo.co.id/berita.asp?id=137177

 

[Gert van der Hoek]

Re: INDONESIA - Humans Jun 1+

Re: INDONESIA - Humans Jun 1+

Toggletext is back, but slow at the moment: translation later.

Confirmation of negative test for H5N1 of the child "EN" from Tulungagung:

Selasa, 03 Juli 2007

Hanya ISPA, Tak Lagi Diisolasi


TULUNGAGUNG - Eko Nurcahya akhirnya dipastikan negatif flu burung. Bocah berumur 10 tahun asal Desa Bungur, Kecamatan Karangrejo itu sempat ditetapkan sebagai tersangka AI (Avian Influenza) karena pada saat bersamaan belasan ayam keluarganya mati secara mendadak.


Toggletext translation:

B] Only ISPA, Again Diisolasi [/B]

TULUNGAGUNG - the Nurcahya Echo had finally been ascertained the bird flu negative .
The child was 10 years from the Bungur Village, old Kecamatan Karangrejo could be identified as the suspect AI (Avian Influenza) because at the same time between ten and twenty his family's chicken died suddenly.




http://www.jawapos.co.id/index.php?act=detail_radar&id=166007&c=115

 

[Commonground]

Re: INDONESIA - Humans Jun 1+

Re: INDONESIA - Humans Jun 1+

A Balikpapan resident was reconciled to the Kanuyoso Jatiwibowo Public Hospital, Balikpapan, East Kalimantan.
The man that his identity was still being kept secret that was suspected of being attacked by the bird flu virus.
He was at once put into Isolasi Keramunting Space.
He could memeriksakan himself to one of the practice doctors in Balikpapan.
Section Head Kesehatan of the City Balikpapan Dyah Muryani said, the resident who was reconciled this was expected terjangkit bird flu.
He had carried out contact with the poultry that died suddenly in the region that tertular the bird flu virus some time before.
According to Dyah, Kota Balikpapan was stated alert one bird flu.

http://www.metrotvnews.com/berita.asp?id=41574

 

[Gert van der Hoek]

Re: INDONESIA - Humans Jun 1+

Re: INDONESIA - Humans Jun 1+

More from Balikpapan, Kalimantan:

On Wednesday, July 4 2007

Balikpapan Alert one Bird Flu

Balikpapan -Status alert one towards bird flu (avian influenza, AI, Red.
), was counted overnight was put into effect in Balikpapan.

This followed the discovery of a patient who was expected (suspect) bird flu.
The man who was kept secret by his identity, since Tuesday (3/7) around struck 21,42 Wita was treated in Karamunting isolation space, Rumah Sakit Umum (RSU) Kanujoso Djatiwibowo.

Casualties dressed this black jacket, was brought used the ambulance of RS Restu Ms was accompanied by two special clothed nurses.

The man who it was estimated was 35 years old could be dropped off at Rawat Darurat Installation space (IRD).

But like that foot him will take a step entered IRD space, the nurse asked him to rise again headed Karamunting space that his distance around 100 metre.

The process evakusi directly was supervised Section Head Kesehatan of the City Balikpapan Dyah Muryani, Asisten I Sayid MN Fadli as well as the Sub-district Head Balikpapan Selatan Sudirman Djayaleksana.

This Sudirman existence that made Dyah finally claimed that the patient was the resident of the Subdistrict South Balikpapan.

Since yesterday (on Monday) the high fever patient. Earlier (overnight) he went to the doctor the specialist. Checked, trombosit him descend,? revealed Dyah.

Results roentgen and the blood inspection also headed in the sign of bird flu.

On the basis of these findings, the man with a black jaket lined red this was isolated.

After being investigated, was expressed around the last 10 days, the patient could carry out direct contact with the poultry that afterwards died.

?Besok (today, Red) our patient observation with rapid test (the fast test) and his blood was sent to Jakarta to more akurat,? clear Dyah.

Acknowledged also, the patient's residence still in a radius of one kilometre from the discovery of the first poultry in Street ...., around the last 14 days.

With the discovery of the case suspect bird flu, the resident was asked for more was on the alert.

Moreover, gave his poultry willingly was destroyed.

Or immediately menyembelih the chicken but did not eat his bowel.

Through to overnight, did not yet have the indication of relatives of casualties infected.


http://www.kaltimpost.web.id/berita/index.asp?Berita=Balikpapan&id=217413

 

[Gert van der Hoek]

Re: INDONESIA - Humans Jun 1+

Re: INDONESIA - Humans Jun 1+

More on Vivi, from Riau:

http://www.metroriau.com/index.php?option=com_content&task=view&id=1767&Itemid=31


What I get from this article is (could be wrong!):

- The investigation team from WHO and Dep of health will take samples form cats and rats, "among others".

- they want to know if the virus mutated or not

- a mild case is "what is most feared in the world", could possible contaminate other people

- 15 contacts of Vivi tested negative

- Vivi will stay hospitalized, to be sure she is "free from the bird flu virus"

full translation:

Pekanbaru - Vivi Sukowati (3), the positive patient bird flu that currently is stated recovered caused the feeling to be curious deep for the medical world.

His article, till at this time all the positive pre-schooler was attacked by the bird flu virus, all of them died.

Therefore, from Friday (29/6) teams of the case researcher of the Department's bird flu of the Health (the Department of Health) RI and US Naval Medical Researh will continue to monitor the condition for the resident Street ....., the Limbungan District, the Rumbai Subdistrict, Pekanbaru.

The numbering team of six this will carry out investigation in the field.

The team will also take the sample like the cat, the mouse and all the rest.
Because of being worried by the virus H5NI that mutated to/in this animal.

The Sub Dinas Pelayanan Kesehatan head and the Nutrient at the same time Dinas Kesehatan public relations of the Riau Province drg Burhanuddin Agung MM, on Friday (29/6) explained, was based on WHO information, the case of bird flu that was experienced by Vivi was the unique case, and be classed as mild case. Mild case was the virus H5NI that most was frightened in the world.

The virus could it was worried about change the form and could spread between humankind.

Because uptil now, from 101 pre-schoolers who were attacked by bird flu not there are those that was safe. "But Vivi was safe." Therefore we will carry out the further research.

Why could Vivi remain (stayed alive, ed), that was still becoming the question, he explained.

The beginning research that was carried out, continued Burhan, did not yet touch to himself Vivi.

On "Friday (29/6) did not have access to the child, the team will carry out the mapping" of the "location." The same team brought the implement carried out the further inspection, he said.

Still was related that, said Burhan, if having someone who felt the existence of signs of bird flu, must immediately lapor or memeriksakan himself to the Community Health Centre or to related sides.

"Don't be very embarrassed, because this for the sake of goodness."
The person who was affected by bird flu immediately must be handled intensively, he said.

In the meantime, Chairman Tim of the Control of Bird Flu of RSUD Arifin Achmad Pekanbaru Azisman Saad in the Office of Dinas Kesehatan Riau said, results of the Vivi sample inspection have indeed stated the negative. (ed; as reported earlier, the 2n sample was negative, 1st sample positive, Vivi is officially confirmed to be postive for BF)

Even so with 15 available contacts, results of the negative.

"15 people that contact with this Vivi was the two Vivi parents namely Soimin and Suparni, Rostadi, Diana, Dr Lenny, Yuliastuti, Okti S, Yuni A, Dr Mulyadi, Apriadi, Titin, Suparmin, HT Huib and Toni," he revealed.

Azisman words, in time extension a week in the future, his side will carry out the control against Vivi.

Touched on whether Vivi could come back was positive bird flu, said Azisman, small his possibility.

"We will monitor continued his development." If already throughout three Vivi condition weeks stayed good, the Vivi possibility has been freest from the bird flu virus, obviously him.

 

[Gert van der Hoek]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

Kalimantan, Balikpapan

5 Juli 2007

Bird Flu spreading to 5 districts, Victim Suspect BF improves

Balikpapan- The area that was expected infected by bird flu (avian influenza) increasingly spread.

When beforehand only two districts that is A Pinggan and the Bahagia Mountain, currently widen to the Damai District, Klandasaan Ilir, and Gunung Sari Ulu (GSU).

This happened after the discovery again the case of the poultry died in RT 12 Damai districts, last June 27.

“The results were again positive bird flu. From the discovery point of the poultry died that. We took again the radius one kilometre to destroy poultry,” mentioned the Sub-district Head Balikpapan Selatan Sudirman Djayaleksana, on Wednesday (4/7).

The RT number that will be destroyed his poultry was often experienced by the resident of the Damai District namely 40 RT, following A Pinggan 24 RT, Klandasan Ilir totalling 17 RT, whereas GSU just one of RT.

In this way, the total serious neighbourhood association was affected by the illness that was caused by the virus H5N1 reached 82 of RT.

This was not yet increased the poultry in several of RT other in the Se- Pinggan District, Gunung Bahagia and Peace that since the middle of last June continued to be destroyed by the official of livestock breeding.

Was separated, Wakil of the Guardian of the City Balikpapan Rizal Efendi mentioned, when results of the test of casualties's blood suspect results bird flu postitif, then the status of the attack of the bird flu illness rose from alert one became KLB (the extraordinary incident. Red.).

So, Section Head Kesehatan of the City Balikpapan Dyah Muryani was delegated to Jakarta to carry out the laboratory test against the sample of casualties's blood suspect that currently is isolated in Karamunting space.

“If one of the residents experienced the high fever between 38 levels and never abated, he must immediately in brought to the hospital or the closest community health centre. Please, should not be regarded trivial ,” requested Rizal.

Moreover, Rizal also ask for to the resident who was spread in 3 districts, namely the Se- Pinggan District, Kelurahan Damai, and the Gunung Bahagia District, to supervise his kept poultry.

“We asked immediately to be destroyed. Could be consumed but was cooked really thoroughly. Or was destroyed by being handed over to the official of livestock breeding through RT. Jika not, we will destroy forcibly.
Don't still had the poultry that was allowed or was placed above the tree,” Rizal words.

Information that was received East Kalimantan Post mentioned, the condition for casualties suspect till yesterday improved.

The temperature of casualties's body that according to information had the initials TR this has descended to 37.5 levels.

The result of the rapid test the resident of the elite's housing then negatif. (

http://www.kaltimpost.web.id/berita/index.asp?Berita=Balikpapan&id=217526

 

[AlaskaDenise]

Re: INDONESIA - Humans Jun 1+

Re: INDONESIA - Humans Jun 1+

.........The team will also take the sample like the cat, the mouse and all the rest.
Because of being worried by the virus H5NI that mutated to/in this animal...........

If the tests are positive for ANY AI, the sequences should be quite interesting.

.

 

[Gert van der Hoek]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

More from Balikpapan (credits Commonground for the link) (ed: note this report is from july 4, the suspect BF patient mentioned in this report is recovering, according to a report from july 5: see post # 6)

Balikpapan was Alert I Bird Flu

Balikpapan, BPOST - Pemko Balikpapan announced the Alert One Bird Flu status after one of his residents it was suspected was affected by this virus.

Beforehand three districts were stated positive infected by bird flu, namely the Bahagia Mountain, Kampung Damai and A Pinggan.

Section Head Kesehatan (Dinkes) Dyah Muryani, on Wednesday (4/7), stated the resident suspect this Bird Flu was treated in Kanudjoso Djatiwibowo space of the Public Hospital isolation (RSUKD) Balikpapan since Tuesday night.

The resident of Gunung Bahagia, Subdistrict Balikpapan Selatan was 35 years old that his name was kept secret that once direct contact with the positive poultry was affected by Bird Flu.

"Contact happened around the last 10 days."

Now really his incubation seven days, obviously Dyah. The patient could go to the doctor the lung specialist.

From results of the laboratory, the patient was indicated was affected by the Bird Flu virus. (ed, rapid test?)

The characteristics of the Bird Flu patient that is suffering the high fever.
In results x-rayed was gotten infiltrat and leukofeni.

Moreover trombosit him experienced the decline as far as 181.

Http://www.indomedia.com/bpost/072007/5/nusantara/nusa7.htm

 

[Commonground]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

Pekanbaru: the Kesehatan Service of the Riau Province menginzinkan Vivi Sukowati, the low child five years (pre-schoolers) that could be stated was infected by bird flu, came home.
He was stated recovered after undergoing the maintenance for two weeks in the Public Hospital of Daerah Arifin Ahmad, Pekanbaru, Riau.
Was based on results of the laboratory test two weeks set, indeed was found elements that contained the virus avian influenza in the patient's blood.
After undergoing the maintenance, vivi gradually recovered from his illness.
RSUD Arifin Ahmad stated the bird flu patient could recover if the illness that was suffered by him did not yet enter the chronic period.
Nevertheless, the possibility of recovering stayed also small, because of not yet having medicine to overcome this dangerous illness.
The patient was infected by the bird flu virus only had the possibility of recovering around 20 persen. because so, this Vivi case attracted attention of the Kesehatan Body of the World (WHO), because rarely happened.
http://www.metrotvnews.com/berita.asp?id=41635

 

[scottmcpherson]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

Interesting that in an earlier post in this thread, the mention was made in the Indonesian media about the US Naval Medical research people.

Does this mean that NAMRU-2 is now engaged on this topic? Anyone know if its status has been upgraded?

 

[Commonground]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

Therefore, from Friday (29/6) teams of the case researcher of the Department's bird flu of the Health (the Department of Health) RI and US Naval Medical Researh will continue to monitor the condition for the resident Street ....., the Limbungan District, the Rumbai Subdistrict, Pekanbaru.

Yes, NAMRU-2 is involved. Indonesia does not carry a separate "status" from the WHO, and that has not changed.

 

[Gert van der Hoek]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

Negative test for Balikpapan resident.

Results of the Negatif Dibantah Test, Pasien Suspect Stress and bolted from RSU KD

Balikpapan - For The Time Being the Balikpapan resident could sigh in relief. The bird flu illness (avian influenza, AI, Red.) that could be suspected of being contracted by the resident Balikpapan Baru had the initials TI, evidently was unproven. In this way, the change plan in the Balikpapan status from alert I became the Luar Biasa Incident (KLB) failed to be carried out.

?The results of the test of the patient's blood suspect negative bird flu. He only was affected by the fever normally,? mentioned the Assistant I Municipal Government Balikpapan Sayid MN Fadli, yesterday, in the Representative's space of the Guardian of the Balikpapan City, explained results of the blood test that at once was delivered by Section Head Kesehatan of the City Balikpapan Dyah Muryani to Jakarta, last Wednesday.

The laboratory inspection was carried out towards the example of body fluids from blood, mucus, and casualties's lungs was 31 years old this.
?Dia was stated negative realtime influenza and negative gel base pcr zerologi.

This the news menggembirakan,? repeated Fadli. With the existence of this news, was hoped the patient along with his family was calm and could beraktivitas came back. The community was also asked to not avoid everything expelled TI, because medically not pengidap bird flu.
Although the negative, not meant Balikpapan was stated free from the illness that was caused by the virus H5N1 this.

The resident was asked to continue to be on the alert, especially them that remained in a radius of 100 metre from the discovery point of the positive chicken was affected by bird flu, Street Pipit RT 8 Gunung Bahagia districts.

?Bila was met by the resident who was attacked by the high fever 38 levels and never abated, immediately must be brought to the hospital (RS) or the community health centre terdekat,? requested Fadli.

Around struck 15,30 Wita, could exhale the TI news left Karamunting isolation space, Rumah Sakit Umum (RSU) Kanujuso Djatiwibowo without permission medical.

He was expected by stress after being reported was affected by bird flu. This news was at once denied by the head of the Umum Division, Humas, and Rumah RSUKD Achmad Idris Equipment. ?Nggak, still was how come. Results (the blood test) also the negative kan,? mentioned Idris.

Karamunting space was personally seen quiet. The door to cream, that became the room foyer of the isolation was closed was in a meeting.

Seen by only 2 guards. His one wore complete clothes by putting on the mask was occupied while watching the TV. He apparently be careful paid attention to anyone who passed by towards the isolation space. ?Mau what mas,? he asked.

The similar condition happened to the TI house. In his yard only was seen by the Baleno Suzuki car was blue and black deer.

http://www.kaltimpost.web.id/berita/index.asp?berita=Balikpapan&id=217662

thanks to SouthernBlueNeck

 

[Sally Furniss]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

http://www.metrotvnews.com/berita.asp?id=41803

A positive sufferer bird flu was at this time treated in intensive maintenance space (ICU) the Penyakit Infeksi Hospital (RSPI) Professor Doktor Sulianti Saroso, Jakarta Utara.
The patient had the initials Ss was seven years old.
The Ss patient began to be treated in RSPI Sulianti Saroso since Thursday set.
However, the patient was just stated positive suffered bird flu on last Saturday.
The condition for the patient was it was reported increasingly critical.
Moreover, the family and relatives then were not permitted to enter the room of the maintenance.
However, as far as Ahad this, the RSPI Sulianti Saroso side did not yet give official information concerning this case.
Since beginning the virus outbreak H5N1 in July 2005 up to now 101 cases of the bird flu sufferer happened, 80 cases including dying.
Since the beginning this year had been received by 26 cases of the bird flu sufferer, 22 including dying

 

[Sally Furniss]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

JAKARTA, July 9 (Reuters) - A 6-year-old girl died of bird flu at the weekend, bringing the country's death toll from the disease to 81, a health ministry official said on Monday.


CORRECTION
AKARTA, July 9 (Reuters) - A 6-year-old boy died of bird flu at the weekend, bringing the country's death toll from the disease to 81, a health ministry official said on Monday.

 

[Commonground]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

Casualties the 102 flus Burung
on Tuesday, 10/07/2007

The bird flu virus (avian influenza/AI) again claimed life casualties of humankind in the Motherland to 102 people.
This time, his casualties, SZ (laki-laki/6 the year), the resident Kel Panggung Rawi, Cilegon, of Banten.

The official was on duty at the extraordinary incident command post (KLB) Directorate General's bird flu the control of the illness and environmental sanitation, the Department of the Health (the Department of Health), amen said, casualties that still the children underwent the maintenance in the hospital (RS) Siloam, Tangerang, last July 5.

On the same day, SZ was at once reconciled to RSPI Sulianti Saroso, Jakarta, to get the maintenance more lanjut.Gejala that appeared from SZ like the common illness, that is the cough, hot, and breathless.
It was unlucky, the hose three days after SZ was treated in RSPI Sulianti Saroso, he blew out the last breath on July 8, struck 13,15 WIB.

Therefore, bird flu casualties to humankind resulting from the virus H5N1 in Indonesia reached 102 people, whereas 81 people including dying.
Was based on the RTPCR inspection (Real Time Polimerase Chain Reaction) the Badan Penelitian Dan Pengembangan Kesehatan Laboratory (Balitbangkes) the Department of Health and the Lembaga Biologi Molekuler Eijkman Laboratory, on last Monday (9/7), were known that SZ quite positive terjangkit the AI virus.

Known, lokosit SZ 3,000, trombosit 131 thousand, and pneumonia.Namun, till at this time was not yet known, beforehand SZ memangmelakukan contact with the poultry died or not.
??Namun, till at this time, did not yet have the report on the risk factor that fall on SZ. the Report was not yet presented to kami,?papar him.

Therefore, SZ increased the number of cases in the Banten Province to 13 people and 11 including dying.
This means that, the level of the fatal case (case fatality rate/CFR) reached 85%.
For the case beforehand, according to the Head of the Centre of Communication of Publik Department of Health Lily S Sulistyowati, also was experienced by a female child was three years old, V, the resident Kec Pesisir, Pekanbaru, Riau.V positive was infected by the virus H5N1 was based on the Badan Litbangkes Laboratory inspection, the Department of Health, on June 22 2007 and results of the Eijkman Agency inspection, Jakarta, on June 23 2007.

According to Lily, till at this time, bird flu infected eleven provinces in Indonesia, including being highest in West Java (29 cases), that 23 people including dying.
Afterwards, the Special Capital District of Jakarta totalling 25 cases (22 died) ,Jawa Tengah totalling 9 cases (8 people died), CFR totalling 88%, North Sumatra totalling 8 cases (7 died), East Java totalling 7 cases (5 died), Riau totalling 3 cases (2 died), West Sumatra totalling 3 cases (1 died), and Lampung totalling 3 cases that all of them could be cured.

??Untuk that, the community must be on the alert and preceptive towards signs cough-pilek, the fever, hot high through to more than 38?C, was sick the throat, especially if deliberate or not deliberate, bersinggungan or was affected by the waste or the liquid from the poultry that was sick or the carcass of unggas,?ujar Lily.
The head of the Penelitian Dan Pengembangan Kesehatan Triono Sundoro Body acknowledged that till at this time, the development of the vaccine of AI strain Indonesia was still proceeding.
The clinical test could be against this vaccine that beforehand could be revealed speeded up, but the fact was not yet finished.
According to him, after the clinical test stage to humankind was finished was carried out, this vaccine still must through the research from the international team.

http://www.seputar-indonesia.com/edisicetak/nasional-sore/korban-ke-102-flu-burung.html

 

[Sally Furniss]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

http://www.metrotvnews.com/berita.asp?id=42131

Parepare: three flattest patients bird flu that was treated in the Hospital (RS) Andi Makasau, Parepare, currently his condition continues to improve.

To ascertain their condition whether flattest bird flu or not, the Kesehatan Service of the South Sulawesi Province took the sample of blood and mucus of the three patients to be checked in Jakarta.

The head of the Penanggulangan Field of the Dinas Kesehatan Parepare Sumarni Illness said, the sample of blood and mucus of the three patients has been sent to the laboratory in Jakarta.

Results were just known in the next three days.

Apart from the sample of blood and the patient's flattest mucus bird flu, the Peternakan Kota Parepare Service also took the sample of blood and poultry mucus around the house of the three patients that still one family.

According to Sumarni, the three patients had the story close to the poultry that died suddenly.

After the poultry died suddenly around the house, the three of them suffered the fever and were run off with to the hospital with the temperature of the body 38 derajad.

 

[Sally Furniss]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

http://www.alertnet.org/thenews/newsdesk/JAK60730.htm

JAKARTA, July 14 (Reuters) - An Indonesian child who died of bird flu last weekend appears to have caught the virus from dead or sick chickens in the area carrying the disease, a health ministry official said on Saturday.

Contact with infected fowl is the most common way for humans to contract the H5N1 virus, but medical experts had initially struggled to pinpoint the source of the infection in this case.

It is always a concern when the cause of a human infection cannot be traced as it makes infection control more difficult.

"She had indirect contact with dead chickens near her school," Joko Suyono, an official at the ministry's bird flu centre, said by telephone.

The victim, from the city of Cilegon in Banten province, had initially been identified as a six-year-old boy, but Suyono said this was due to a mix up between the hospital where she was treated and a laboratory.

The official said that tests on dead chickens found near the girl's school showed they were infected with bird flu.

"We cannot know whether she touched sick chickens or not because she died. But we know surrounding her school the virus is endemic (in fowl)," he added.

Suyono said tests for the virus on people who may have had contact with the girl had proved negative and also said the findings in this case ruled out the possibility of the virus being transmitted between humans.

"So far, there have been no human-to-human cases in Indonesia," he said.

Bird flu is endemic in bird populations in most parts of Indonesia, where millions of backyard chickens live in close proximity with humans.

Indonesia has had 81 confirmed human deaths from bird flu, the most of any country in the world.

According to World Health Organisation data, globally there have been 192 human deaths out of 318 cases of the disease.

 

[scottmcpherson]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

Suyono said tests for the virus on people who may have had contact with the girl had proved negative and also said the findings in this case ruled out the possibility of the virus being transmitted between humans.

"So far, there have been no human-to-human cases in Indonesia," he said.

Right. No H2H in Indonesia. And I am the Queen of Sheba.
They must be studying the WHO spin doctor textbook.

 

[Theresa42]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

http://www.alertnet.org/thenews/newsdesk/JAK60730.htm

JAKARTA, July 14 (Reuters) - An Indonesian child who died of bird flu last weekend appears to have caught the virus from dead or sick chickens in the area carrying the disease, a health ministry official said on Saturday.

(...)

"She had indirect contact with dead chickens near her school," Joko Suyono, an official at the ministry's bird flu centre, said by telephone.

(...)

The official said that tests on dead chickens found near the girl's school showed they were infected with bird flu.

"We cannot know whether she touched sick chickens or not because she died. But we know surrounding her school the virus is endemic (in fowl)," he added.

(...)

She may have been playing near her school, but she prolly wasn't IN school as the academic year in Indonesia usually runs from mid-July to mid-June -- so the summer break is from mid-June to mid-July:

ACADEMIC YEAR: Mid-July to mid-June
http://www.wes.org/ewenr/00july/practical.htm

Her symptoms started on July 1, right? Hat-tip to maryinhawaii for noticing that the kids just went back to school in Indonesia!

 

[Theresa42]

Re: Indonesia - Human cases, July 4+

Re: Indonesia - Human cases, July 4+

Her symptoms started on July 1, right?

Thanks to Muscade for pointing out to me that her symptoms apparently began on June 23:

Avian influenza – situation in Indonesia – update 12 *
11 July 2007

The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. A 6-year-old female from Banten Province developed symptoms on 23 June and was hospitalized on 5 July. She died on 8 July. According to the outbreak investigation findings, the source of exposure was likely to have been an outbreak in chickens near the school that she attended in the five days preceding her onset of illness.

Of the 102 cases confirmed to date in Indonesia, 81 have been fatal.

* The above update has been modified in light of new information received by WHO.

http://www.who.int/csr/don/2007_07_11/en/index.html