Indonesia - Human cases, July & August 2007

[Sally Furniss]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

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http://www.tempointeraktif.com/hg/nusa/bali/2007/08/12/brk,20070812-105382,id.html

Pasien Suspect Flu Burung Meninggal di RSUP Sanglah, Denpasar
Minggu, 12 Agustus 2007 | 22:55 WIB

TEMPO Interaktif, Denpasar:Seorang pasien yang dinyatakan positif suspect flu burung meninggal dunia di Rumah Sakit Umum Pusat Sanglah, Denpasar. Pasien bernama Ni Luh Putu S.W., 29 tahun, itu berasal dari Dusun Dangin Tukad Aya, Kecamatan Negara, Kabupaten Jembrana, Bali.

Putu S.W. tiba di rumah sakit pada Jumat petang lalu dan dirawat di Ruang Nusa Indah, ruangan isolasi yang dikhususkan bagi pasien flu burung. Dari hasil uji tes cepat (rapid test), ia dinyatakan pasien positif suspect terjangkit virus avian influenza.

Tim dokter mengungkapkan, hingga tadi sore, suhu panas tubuh pasien masih mencapai 40 derajat Celsius disertai sesak napas sebanyak 52 kali per menit.

"Padahal tekanan napas manusia normal setiap menit mencapai 20 kali," kata Dr Ken Wirasahandi, Kepala Bagian Instalasi Perawatan RSUP Sanglah.

Sementara itu, hasil pemeriksaan roentgen menunjukkan adanya perselubungan di dua lapang paru-paru pasien. Kadar trombosit pasien turun hingga 125 ribu, sedangkan normalnya 150-400 ribu. Kandungan sel darah juga turun hingga 1.600.

 

[HenryN]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Bali bird flu scare

AUSTRALIAN authorities are closely monitoring a possible outbreak of bird flu on the Indonesian tourist island of Bali.
Balinese officials are investigating whether a 29-year-old woman and her five-year-old daughter died from the deadly H5N1 strain of influenza.
If confirmed, these will become the first cases of the disease for the island, a popular tourist destination for Australians.
A spokeswoman for the federal Department of Health and Ageing said the "situation is being closely monitored".
Doctors at Bali's Sanglah Hospital are awaiting test results after the death of Ni Luh Putu Sri Windani early last week, according to media reports today.
They are also reinvestigating her daughter's death earlier this month.
Several birds have apparently died near the Windani home, strengthening the case for bird flu.
The virulent Indonesia strain has killed more than 190 people since it surfaced in 2003 and the World Health Organisation fears it could mutate to a human flu strain, potentially threatening millions of people.

http://www.news.com.au/heraldsun/story/0,21985,22235551-662,00.html

 

[HenryN]

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Re: Indonesia - Human cases, July & August +

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http://www.tempointeraktif.com/hg/nusa/bali/2007/08/12/brk,20070812-105382,id.html

Putu S.W. tiba di rumah sakit pada Jumat petang lalu dan dirawat di Ruang Nusa Indah, ruangan isolasi yang dikhususkan bagi pasien flu burung. Dari hasil uji tes cepat (rapid test), ia dinyatakan pasien positif suspect terjangkit virus avian influenza.

Does the above indicate the rapid H5N1 test was positive?

 

[Sally Furniss]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

http://www.alertnet.org/thenews/newsdesk/JAK292184.htm

JAKARTA, Aug 13 (Reuters) - Samples from an Indonesian woman who died on Sunday on the resort island of Bali have tested positive for bird flu after an initial test, officials said on Monday.

A second laboratory test, which is now being conducted, is necessary to confirm the initial findings, Joko Suyono of the health ministry's bird flu centre said.

If confirmed, it would be the first human case of the H5N1 virus in Bali, the centre of Indonesia's tourism industry.

The woman's five-year-old daughter also died recently after playing with chickens but it was unclear if the girl died of bird flu.

The woman, 29, from a village in the district of Jembrana in western Bali, was suffering from a high fever before dying of multiple organ failure, said Ken Wirasandi, a doctor at the Sanglah hospital in the Balinese capital Denpasar.

Suyono said there had been sick chickens around the woman's house and many had died suddenly in recent weeks.

"The villagers didn't burn the carcasses. Instead they buried them or fed them to pigs," Suyono added.

Contact with sick fowl is the most common way for humans to contract the H5N1 virus.

The woman had started showing symptoms more than a week ago, but was only admitted to hospital six days later.

She was transferred to a bigger hospital in Denpasar on Friday, where she was treated in the isolation unit, Suyono said.

He said initial investigations indicated last month the daughter had become sick after playing with chickens and died a week later.

"We were unable to retrieve any tissue samples, so we can't confirm whether she died of bird flu," Suyono added.

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

Experts fear if the virus develops the ability to pass easily between humans, millions might die in a pandemic.

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

So far there have been 319 confirmed human cases and 192 deaths globally, according to World Health Organisation data.

 

[Sally Furniss]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Indonesia suspects bird flu death on Bali
Posted: 13 August 2007 1157 hrs

http://www.channelnewsasia.com/stories/afp_asiapacific/view/293642/1/.html

JAKARTA : Indonesian doctors were Monday investigating whether a woman who died at a hospital in Bali at the weekend was the tourist island's first confirmed bird flu victim, health officials said.

The 29-year-old woman from northwestern Jembrana district died at Sanglah hospital in Bali's capital Denpasar on Sunday, and an initial test showed that she had been carrying the H5N1 virus, they said.

In Indonesia, two tests must be returned positive before a human infection is confirmed.

"She is suspected of bird flu infection and chickens which died in her neighbourhood were positively infected," said Joko, from the Bird Flu Information Centre in the capital Jakarta.

Infected poultry was first found on the northwest of the island - far from the main tourist areas - last year, when hundreds of birds were culled but no human infections were found.

Kompas newspaper also reported that the woman's five-year-old son had died on August 3 showing bird flu symptoms.

As he has already been buried, the cause of his death would not be able to be confirmed by doctors.

A two-year-old neighbour of the woman had also been admitted to the same hospital in Denpasar on Sunday, the report said.

A spokesperson from the hospital declined comment.

Indonesia reported its first human bird flu case in July 2005 and has since confirmed 81 deaths, the highest number of any nation.

Scientists worry the bird flu virus could mutate into a form easily spread among humans, leading to a global pandemic with the potential to kill millions. - AFP/ch

 

[Sally Furniss]

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Re: Indonesia - Human cases, July & August +

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http://www.tempointeraktif.com/hg/nusa/bali/2007/08/12/brk,20070812-105382,id.html

Pasien Suspect Flu Burung Meninggal di RSUP Sanglah, Denpasar
Minggu, 12 Agustus 2007 | 22:55 WIB

TEMPO Interaktif, Denpasar:Seorang pasien yang dinyatakan positif suspect flu burung meninggal dunia di Rumah Sakit Umum Pusat Sanglah, Denpasar. Pasien bernama Ni Luh Putu S.W., 29 tahun, itu berasal dari Dusun Dangin Tukad Aya, Kecamatan Negara, Kabupaten Jembrana, Bali.

Putu S.W. tiba di rumah sakit pada Jumat petang lalu dan dirawat di Ruang Nusa Indah, ruangan isolasi yang dikhususkan bagi pasien flu burung. Dari hasil uji tes cepat (rapid test), ia dinyatakan pasien positif suspect terjangkit virus avian influenza.

Tim dokter mengungkapkan, hingga tadi sore, suhu panas tubuh pasien masih mencapai 40 derajat Celsius disertai sesak napas sebanyak 52 kali per menit.

"Padahal tekanan napas manusia normal setiap menit mencapai 20 kali," kata Dr Ken Wirasahandi, Kepala Bagian Instalasi Perawatan RSUP Sanglah.

Sementara itu, hasil pemeriksaan roentgen menunjukkan adanya perselubungan di dua lapang paru-paru pasien. Kadar trombosit pasien turun hingga 125 ribu, sedangkan normalnya 150-400 ribu. Kandungan sel darah juga turun hingga 1.600.

The TIME Interactive , Denpasar :Seorang the patient who was stated positive Suspect Bird flu died in the Pusat Sanglah Public Hospital, Denpasar. The patient was named Ni Luh Putu S.W., 29 years, that came from the Dangin Tukad Aya Village, Kecamatan Negara, Kabupaten Jembrana, Bali.

Putu S.W. arrived in the hospital last Friday late afternoon and was treated in Nusa Indah Space, the room of the isolation that was set aside for the bird flu patient. From results of the fast test test ( Rapid test ), he was stated by the positive patient Suspect Terjangkit the virus avian influenza.

The team of the doctor said, through to earlier in the afternoon, the temperature of the patient's body heat was still achieving 40 Celsius levels was accompanied breathless totalling 52 times per the minute.

"In fact the normal pressure of the human breath each minute achieved 20 times," said Dr Ken Wirasahandi, Kepala Bagian the Perawatan RSUP Sanglah Installation.

In the meantime, results of the inspection roentgen showed the existence perselubungan in two spacious the patient's lungs. The level of trombosit the patient descended as far as 125 thousand, whereas normal him 150-400 thousand. The content of blood cells also descended as far as 1,600.

 

[HenryN]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Commentary at

http://www.recombinomics.com/News/08130701/H5N1_Bali_Cluster.html

 

[Sally Furniss]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Commentary

H5N1 Confirmed in Bali Cluster
Recombinomics Commentary
August 13, 2007

Samples from an Indonesian woman who died on Sunday on the resort island of Bali have tested positive for bird flu after an initial test, officials said on Monday.

The woman, 29, from a village in the district of Jembrana in western Bali, was suffering from a high fever before dying of multiple organ failure, said Ken Wirasandi, a doctor at the Sanglah hospital in the Balinese capital Denpasar.

Suyono said there had been sick chickens around the woman's house and many had died suddenly in recent weeks.

He said initial investigations indicated last month the daughter had become sick after playing with chickens and died a week later.

The above comments indicate the initial H5N1 test on the deceased mother was positive. The positive lab result, coupled with the sick and dying chickens and a fatal infection in the patient?s daughter strongly suggest human to human transmission.

Moreover, media reports describe the hospitalization of a neighbor with bird flu symptoms, as well as symptoms in the father of the neighbor, who has been diagnosed with typhus. Several H5N1 confirmed patients in Indonesia were initially diagnosed with typhus.

These patients raise additional questions about H5N1 testing in Indonesia. Even though the daughter had bird flu symptoms and chickens were sick and dying, the dead child was not tested for H5N1. Similarly, the father of the neighbor was also probably not tested for H5N1. Although there have been no confirmed human cases on Bali, there have been many positives in poultry, including isolates from 2004 and 2005.

The clustering of patients in two neighboring families, coupled with dead chickens and lab confirmation of H5N1 is cause for concern.

 

[HenryN]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

http://www.balipost.com/balipostcetak/2007/8/13/b23.htm

It was other that Pasien Hot from Jembrana
Denpasar (Balinese Post) - The Negara hospital again reconciled the patient with the characteristics was sick that be the same as right Sri that is hot and crowded.
It was more again startling, the patient that still these pre-schoolers evidently the neighbour Sri or from the Dangin Tukad Aya Series, Negara.
The patient was named Kadek Putri N. that was two years old nine months could be beforehand treated in RS Negara.
Kadek Putri was carried by his mother who used the mask and the direct robe to isolation space in Nusa Indah RS Sanglah. Was based on information the grandmother, his grandchild began to have a temperature three days ago.
We just carried him to RS Negara today (yesterday-red). From there immediately was reconciled to RS Sanglah, he said. He admitted, before the grandchild was sick, in his environment the death of the poultry happened that the amount enough.
We 'also maintained one chicken that dies today (yesterday-red)', he said.
Apart from the grandchild, the father Kadek Putri has also had a temperature since last Thursday (9/8 ).
His father was sick thypus. Now still was treated in the house. The Kadek Putri possibility tertular his father because before he was sick, he slept with his father, explained Norni.
The RS Sanglah side still could not confirm whether Kadek Putri was the patient suspect 2nd bird flu. 'This' patient 'still was in the inspection and was waiting for the report' on the 'child's specialist doctor who examined him', said Bagiada concerning the condition for Kadek Putri.
Dinkes Bertindak
Responded to the case right Sri that was appointed as the patient suspect bird flu, the Kesehatan Service (Dinkes) the Balinese province co-operated officially related in Jembrana held the supervision to the area terjangkit for 15 days.
The supervision has been carried out since last Saturday (11/8 ). That was supervised by us was the local community (the Dangin Tukad Aya Series - red) that experienced the sign like the cough, crowded and hot, clear Sub- Rata.
Concerning the poultry inspection, Sub- Rata added, was based on the latest report from the Peternakan Jembrana Service was found the positive poultry bird flu in this area.
The inspection was carried out on Saturday (11/8 ) . Only of his places not in the patient's house that was sick. His distance around 300.

 

[Sally Furniss]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Dead woman could be Bali's first bird flu patient

http://www.thejakartapost.com/detailheadlines.asp?fileid=20070813.A07&irec=6

Ary Hermawan, The Jakarta Post, Denpasar

A 29-year-old woman who died Sunday at Sanglah Hospital in Denpasar, Bali, may have had bird flu, local health agency officials said.

If tests confirm she died from avian influenza, she will be first human to have caught and died from the virus on the resort island.

It would also bring the country's death toll from the disease to 82 out of 103 cases.

The case may further tarnish the image of Bali, which is still recovering from terror attacks in 2002 and 2005, as the country's premier tourist destination.

The woman, identified only as SW, from Tukadaya village, Jembrana regency, was rushed to the hospital last Saturday with breathing difficulties and a high fever, three days after she had contact with chickens that reportedly died of bird flu.

"She lived about 300 meters from the location of the dead chickens, which the husbandry agency said had all been infected by the avian influenza virus," said Ketut Subrata, the head of the Bali Health Agency's contagious diseases division.

SW's daughter, Dian, 5, died last week. She reportedly experienced the same symptoms as her mother before her death. Bird flu spread to Bali in 2003.

"We sent the patient's blood sample yesterday," said I made Bagiarta, a doctor at Sanglah Hospital. He said that based on the symptoms and the fact that she lived near H5N1-infected fowl, it was very likely that SW died of bird flu.

Ketut said the local health agency and other related institutions will tighten supervision in Tukadaya village. "We must be cautious," he said.

The bird flu issue has resurfaced in the province after the Home Ministry revoked a local husbandry ordinance for increasing costs in the local economy. The Bali administration and local councilors were angered by the revocation as the ordinance, they said, was primarily aimed at preventing HN51-infected poultry from reaching the island.

The administration had lodged a protest with the central government, asking for the ordinance to be revised and not revoked. The local husbandry said the administration was now drafting a gubernatorial regulation to temporarily serve as a legal basis for the control of animal traffic in Bali.

Balinese virologist Ngurah Mahardika said it was likely that bird flu, which had only been found in animals since it first became endemic on the island, was now infecting humans. "It is just a matter of time for the virus to develop," he told The Jakarta Post.

However, he added that it was also possible that SW was infected by H5N1-infected animals from outside Bali. "It may have come from animals transported to Bali," he said, adding that the public needed to remain calm.

"The case should be taken as a sign that we need to do better in anticipating the spread of H5N1 on the island," he said.

Mahardika suggested that besides increasing the poultry vaccination program and other bio-security measures, the local administration should control the traffic of farm animals to and from Bali.

 

[Treyfish]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Scientists check for possible bird flu in Bali<!-- noindex --> <TABLE cellSpacing=0 cellPadding=0 border=0><TBODY><TR><TD vAlign=top width="100%">Last Updated 13/08/2007, 14:28:48

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<!-- endnoindex -->Pathologists at Indonesia's National Bird Flu Centre in Jakarta say they will know late Monday whether the disease has been transmitted to humans in Bali for the first time.

Peter Cave reports from Jakarta the alarm was raised at the weekend when 29-year-old Ni Luh Putu Windiani was taken to Bali's main Sanglah Hospital in a critical condition with pneumonia.

Pathology samples were immediately despatched to Jakarta when it was revealed the woman's five year-old daughter Dian had died after suffering similar symptoms just over a week ago, and that two year-old Putu Narayani from the same small village in Negara was also in hospital.

There have also been reports of a large number of domestic and wild birds dying suddenly around the village. http://www.radioaustralia.net.au/news/stories/s2003594.htm<!-- PRINT_CONTENT_END -->

 

[HenryN]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Commentary at

http://www.recombinomics.com/News/08130702/H5N1_Bali_Cluster_Grows.html

 

[Treyfish]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +



:tiphat:http://www.liputan6.com/news/?id=145949&c_id=7

 

[HenryN]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Suspected Indonesian bird flu patient dies
JAKARATA, Indonesia, Aug. 13 (UPI) -- A 29-year-old Indonesian woman being treated for suspected bird flu, died at a hospital on the tourist island of Bali, a report said Monday.

Antara news agency said Ni Luh Putu Sri Windiani died Sunday evening at the Sanglah Hospital, but doctors there were awaiting test results from the Indonesian health ministry before confirming bird flu as the cause of death.

If the tests are confirmed, her death would be the first human fatality from the virus on the popular tourist resort, the report said.

Antara said several birds near her home had died recently, raising suspicions she might have contracted the virus. The report said the woman?s 5-year-old child died Aug. 4 of high fever and breathing problems, but doctors who treated the child have not determined the cause of death.

http://www.upi.com/NewsTrack/Top_News/2007/08/13/suspected_indonesian_bird_flu_patient_dies/8863/

 

[Treyfish]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

:tiphat: http://www.liputan6.com/news/?id=145953&c_id=7

 

[Treyfish]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

<TABLE style="WIDTH: 775px; COLOR: rgb(190,5,1); FONT-FAMILY: helvetica,arial,sans-serif; TEXT-ALIGN: left" cellSpacing=0 cellPadding=0 border=0><TBODY><TR><TD style="VERTICAL-ALIGN: top; WIDTH: 40px">
</TD><TD style="VERTICAL-ALIGN: top; WIDTH: 515px" colSpan=5><BIG><BIG></BIG></BIG><BIG><BIG>Commentary</BIG></BIG>

H5N1 Bali Cluster Grows?
Recombinomics Commentary
August 13, 2007
http://precedings.nature.com/documents/553/version/1
It was more again startling, the patient that still these pre-schoolers evidently the neighbour Sri or from the Dangin Tukad Aya Series, Negara.
The patient was named Kadek Putri N. that was two years old nine months could be beforehand treated in RS Negara.

Apart from the grandchild, the father Kadek Putri has also had a temperature since last Thursday (9/8 ).
His father was sick thypus. Now still was treated in the house. The Kadek Putri possibility tertular his father because before he was sick, he slept with his father, explained Norni.

Concerning the poultry inspection, Sub- Rata added, was based on the latest report from the Peternakan Jembrana Service was found the positive poultry bird flu in this area.
The inspection was carried out on Saturday (11/8 ) . Only of his places not in the patient's house that was sick. His distance around 300.

The above translation describes the hospitalized neighbor of the family with two fatal infections which were almost certainly from H5N1. The dead birds in the neighborhood have tested positive for H5N1, as has the mother in the Bali cluster.

The diagnosis of typhus in the father of the neighbor remains highly suspect. Typhus has been the diagnosis of prior cases in Indonesia which subsequently tested positive for H5N1. Included in the misdiagnosed cases was a familial cluster in Lampung, which was subsequently tested for H5N1 because the family members were linked to an H5N1 confirmed case.

H5N1 testing of the father diagnosed with typhus would be useful.

:tiphatr Niman http://www.recombinomics.com/News/08130702/H5N1_Bali_Cluster_Grows.html</TD></TR></TBODY></TABLE>

 

[Sally Furniss]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Sanglah: Tim dokter Rumah Sakit Sanglah, Bali, memastikan pasien yang masuk Ahad kemarin tidak mengarah ke flu burung. Pasien hanya menderita flu biasa.

http://www.metrotvnews.com/mobile/aktual_detail.asp?id=43819


Can't get the rest of the story at the moment

the Team of the doctor the Sanglah Hospital, Bali, confirmed the patient who entered Ahad yesterday did not head to bird flu.
The patient only suffered common flu.

 

[Sally Furniss]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Indonesia confirms 82nd bird flu death, on Bali

http://www.antara.co.id/en/arc/2007/8/13/indonesia-confirms-82nd-bird-flu-death-on-bali/

Jakarta (ANTARA News) - A 29-year-old Indonesian woman died of bird flu at the weekend on the tourist resort island of Bali, the first human death there and the nation's 82nd confirmed fatality, a health official said.

A two-year-old girl admitted to hospital on Sunday has also been confirmed as being infected with the deadly H5N1 strain of the virus, Bayu Krisnamurti, head of Indonesia's national bird flu commission, was quoted by AFP as telling a press briefing.

"Both people are positive, from (tests at) the Eikman Institute and the health ministry's lab," he said. (*)

 

[Gert van der Hoek]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Indonesian woman from Bali died of bird flu-official

Mon Aug 13, 2007 7:29AM BST

JAKARTA (Reuters) - An Indonesian woman has died of bird flu in Bali, the first human death from the virus on the resort island hugely popular with foreign tourists.

A health ministry official said on Monday the 29-year-old woman came from west Bali. She died on Sunday in hospital after suffering from high fever.

http://uk.reuters.com/article/healthNews/idUKJAK29218420070813?rpc=401&

 

[Gert van der Hoek]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

Sanglah: Tim dokter Rumah Sakit Sanglah, Bali, memastikan pasien yang masuk Ahad kemarin tidak mengarah ke flu burung. Pasien hanya menderita flu biasa.

http://www.metrotvnews.com/mobile/aktual_detail.asp?id=43819


Can't get the rest of the story at the moment

the Team of the doctor the Sanglah Hospital, Bali, confirmed the patient who entered Ahad yesterday did not head to bird flu.
The patient only suffered common flu.

TT translation:

On Monday, August 13 2007 12:29 WIB

The patient in RS Sanglah Dinyatakan Negatif Bird Flu

Metrotvnews.com, Sanglah: was based on the beginning test, the team of the doctor the Hospital (RS) Sanglah diagnosed the patient was expected by bird flu that just entered, Ahad (12/8) yesterday, did not head to the virus attack avian influenza or bird flu.

The patient was named Ni Kade Putri Narayani this entered the Sanglah Hospital with the sign similar to the bird flu sufferer.

He was stated was expected by bird flu because of being the resident Dangin Tukat Aya, Kecamatan Negare, of Kabupaten Jembrana.

The village was the place was found the poultry that died suddenly and one of his residents, Ni Nyoman SW, Ahad yesterday died also it was suspected flattest the bird flu virus.

The team of the Sanglah inspector of Hospital bird flu said, has carried out a series of beginning test.

Results, the patient only suffered common flu.

Now the sample of blood and mucus the patient had been taken and sent to Jakarta.

However, because of not yet having the assurance, the patient was still being treated as being expected by bird flu.
(