Indonesia HUMAN Cases - Mar/2/2008 - Mar/21/2008

[Giuseppe]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

See also post #33 in Ind. poultry thread (http://www.flutrackers.com/forum/showpost.php?p=142356&postcount=33). Overview on recent human suspected cases.

 

[Gert van der Hoek]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Bandarlampung plans mass culling

Oyos Saroso H.N. , The Jakarta Post , Bandarlampung |

Wed, 03/19/2008 12:19 AM | The Archipelago

The Bandarlampung city administration has earmarked Rp 157 million (US$17,400) in its budget for the mass culling of chickens infected by bird flu, an official said Monday.

Bandarlampung Livestock Husbandry and Agricultural Office head Edy Heryanto said the money would be used to pay compensation for the culled chickens and to buy vaccines and spraying equipment.

Heryanto said his office was likely to provide further funds because bird flu continued to spread.

"Initially, bird flu only affected Sukarame and Panjang districts. It has now spread to Rajabasa and Telukbetung Utara districts too," Heryanto said.

For the first phase, the office will use Rp 60 million of the funds to pay compensation for up to 3,000 chickens that tested positive for the virus, he said, adding the administration would pay Rp 20,000 in compensation for each infected chicken.

"Coupled with the procurement of vaccines and other operational costs, our budget will be Rp 157 million," he said.

Heryanto attributed the spread of bird flu in the city to the lack of awareness among the people most at risk.

People with infected chickens are reluctant to burn and bury their birds and some are demanding more in compensation, he said.

"They are not aware without the mass culling it is difficult to stop the spread of the infection," he said.

Reihana, head of the Bandarlampung Health Office, said tests on two Abdul Moeloek Hospital patients suspected of having the virus turned out negative.

"Although the tests on the two patients were negative, we still have to be careful with them and the eight others being treated at the hospital because they've had contact with infected chickens," Reihana said.

The 10 patients were residents of Way Lage village in Panjang district, Bandarlampung.

Bird flu broke out in a number of regions in Tanggamus and Lampung Selatan regencies and thousands of chickens died.

In Tanggamus, bird flu has hit six villages in the last three months.

Tanggamus Agriculture Office official Ari Retika said in order to curb the spread of the virus, they had disseminated information to various communities.

"These seminars were held not only in areas affected by bird flu but also others without any infection cases," Ari said.

Ari said laboratory tests proved the deaths of hundreds of chickens were caused by bird flu. "We urge locals to report the deaths of any chickens to the authorities to enable us to take quick measures," he said.

Although thousands of chickens died in Lampung Selatan, there were no reports of human infection.

"We treated a patient with bird flu symptoms several days ago, but it turned out the patient was suffering from malaria," said Yudha Putra, director of Kalianda Hospital.

http://www.thejakartapost.com/node/164172

 

[Commonground]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

FAO Caution Mutation Flu Burung

The bird flu virus that spread in Indonesia was guarded against would mutate and caused the pandemic from humankind to humankind.
The assessment was sent by the Organisation of Food and Agriculture (the Food and Agriculture Organization/FAO) the UN responded to the case of bird flu in the Motherland.

However, the member the Nasional Pengendalian Committee of Bird Flu and Menghadapi Pandemi Influenza Preparedness of the expert's panel (Komnas FBPI), Mangku Sitepu, denied this FAO statement.
He said, till at this time, did not yet have confirmation of the pandemic from humankind to humankind.
According to him, the bird flu pandemic must be seen from the occurrence of the case of the mutation of humankind to humankind.

"We must remember the bird flu illness entered in zoonosis.
So have the process before the mutation to humankind, that is from the animal to the animal, the animal to humankind, and humankind to humankind," he revealed.

He said, although his side saw had the change in the acidity amino in the bird flu illness, the change was still referring in the spread of the animal to humankind.

Moreover, the geographical factor in Indonesia also will not facilitate the fast bird flu virus mutation to humankind.
"Indonesia differed from Cambodia or Vietnam.
We many islands and the ocean, so will not be as fast as that," he revealed.
He added, the height factor of the case of the bird flu virus could not be in Indonesia made the occurrence factor of the pandemic to humankind.

According to Joseph Domenech, bird flu most attacked the poultry, but the variant of the deadly virus H5N1 killed 235 people all over the world from 372 cases that had been known since becoming an epidemic in Asia in 2003.

"Even level the human mortality rate resulting from bird flu in Indonesia was that was highest in world. Later will have more cases of the new infection against humankind if we not the focus promoted this illness from his source animal," Domenech words.

He also pointed at the government that desentralistis resulted in the veterinary surgeon's service being more inadequate.
Moreover, the campaign and the fund support, both from the international and domestic community, very minimal.
This factor that became the main problem in Indonesia in dealing with the bird flu virus.

In the meantime, the Director General of the Control of the Illness and Lingkungan Sanitation (P2Pl) Department of Health I Nyoman Kandun said, could the virus H5N1 changed to the seasonal flu virus and to the virus that could spread from humankind to humankind as well as could cause the occurrence of the pandemic.
"However till at this time did not yet happen," he stated.
In the place was separated, the Health Minister (Menkes) Siti Fadilah Supari said, the sample of the bird flu virus that was sent to the Kesehatan Body of the World (the World Health Organization/WHO) changed.
"Sufficient base -nya his form was almost same like that previously.
However yes, there were few changes" said Menkes yesterday.
However, Menkes denied that the change was the mutation from the condition originally.
"Not the mutation, but only a little experienced the change from the form originally" he stated.
Menkes did not want to name the change like what was meant that.
He did not want to give information concerning details of the change.

http://www.seputar-indonesia.com/edisicetak/nasional/fao-waspadai-mutasi-flu-burung.html

 

[Commonground]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Map of Bandung, West Java: http://tinyurl.com/3cmmb9

8 Children/Infants with Sign Flu Burung

BANDUNG - Since having the report on the death 12 chickens last Sunday (16/3), Department Health of the Bandung City, Government Pertanian, and the Cikutra West Community Health Centre spread out depopulation chicken died in the Cigadung District, City Bandung, yesterday.
-snip-
"Report from the community last Monday (17/3) to the Cikutra Barat Community Health Centre was continued to us to be followed up," flat Eman.
For 2008 his side recorded five cases of Avian Influenza happened (AI) or bird flu, that is in the Cimencrang District, Cigadung, Cipadung Kidul, Sukaluyu, and Babakansari.
Whereas, while 2007 around 23 cases and up to now was not yet stated had casualties who died resulting from this virus.

According to Eman, Dinas Kesehatan carried out the socialisation concerning bird flu through the district.
These efforts will be settled till April 2008.

"After was done by the socialisation will be carried out by the survey of the continuation, the management, and the determination of the condition that was considered on the whole, of" firm he.

The staff the Pencegahan Field of the Illness and Lingkungan Sanitation (P2PL) said, around the location of the burning of the chicken, was gotten eight infants/small children experienced hot high and was guarded against suspect bird flu.
"Memang still could not be ascertained by them positive was affected by bird flu.
Now would was the rain season, while the lustre of the flu illness, so natural if his body was hot.
As far as this is concerned to eight people did not yet become suspect, but must continue to be guarded against and monitored for ten days," he added.
In the same place, the Staff the Community Health Centre of Cikutra Barat Irwan said, as far as this is concerned the sample of chicken blood that died in the Cigadung District was stated positive was affected by bird flu.
For the prevention of the spread to humankind, that must be done by the community the first time being higienisasi the individual
http://www.seputar-indonesia.com/edisicetak/jawa-barat/8-anak-tergejala-flu-burung.html

 

[Giuseppe]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

More concern over bird flu virus
Emmy Fitri , The Jakarta Post , Jakarta | Wed, 03/19/2008 12:20 AM | Headlines

A senior Health Ministry official on Tuesday dismissed fears of a virus reassortment between avian and human seasonal influenza strains in a 2007 human death involving bird flu infection.

Director General of Communicable Diseases I Nyoman Kandun said the possibility of reassortment between the avian influenza virus -- H5N1 -- and other flu viruses was always possible, but had not yet happened​

.

"When and where it will happen, nobody knows. Risk assessment therefore is very important," Kandun said.

Reassortment of the highly pathogenic avian influenza and seasonal flu virus would give birth to a "new" virus that could be easily transmitted from human to human, resulting in a pandemic.

Scientific journal Cidrap has quoted researcher Vivi Setiawaty of the Center for Biomedical and Pharmaceutical Research and Development as saying a 16-year-old Indonesian girl died of co-infection between seasonal and avian strains of influenza in April 2007.

The girl tested positive for flu under the Health Ministry's flu-surveillance system, which was established in 2005 shortly after the country reported its first bird flu infection in a human.

The girl had shown flu symptoms for several days before she was treated for an infectious disease in East Jakarta. She was reported to have mild symptoms, including sore throat, cough and body aches, but displayed neither respiratory problems nor signs of pneumonia.

Throat and nasal-swab samples that were taken on the sixth day of her symptoms tested positive by reverse-transcriptase polymerase chain reaction (RT-PCR) for both avian influenza H5N1 and the seasonal flu strain H3N2.

The test results were confirmed by the Eijkman Institute for Molecular Biology in Jakarta.

Cidrap said the girl's case occurred within the period when the Indonesian government ceased sharing flu isolates with the international laboratory overseen by the World Health Organization.

"Such infections are of great concern due to the possibility of genetic reassortment leading to the emergence of a H5N1 strain that is more easily transmitted human to human, and emphasizes the importance of advanced laboratory-based surveillance in geographic regions where both human and avian influenza viruses are co-circulating," Cidrap reported.

Asked about the finding, Kandun said Indonesia needed to strengthen its surveillance system, including laboratory capacity.

A virologist and microbiologist at Udayana University in Denpasar, I Gusti Ngurah Mahardhika, said the co-infection involving the girl most likely was not the first such case in Indonesia because researchers used to focus only on H5N1 and did not check for the presence of other H viruses.​

"Global fear of a new virus from such a co-infection is well grounded, I think. The product of a reassortment between H5N1 and H3N2 can be still in the form of H5N1 but with traits of H3N2. The new H5N1 is virulent and has the capacity to transmit from human to human like H3N2, our seasonal flu virus," he said.

-
http://www.thejakartapost.com/news/2008/03/18/more-concern-over-bird-flu-virus.html
------

 

[Commonground]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

"Global fear of a new virus from such a co-infection is well grounded, I think. The product of a reassortment between H5N1 and H3N2 can be still in the form of H5N1 but with traits of H3N2. The new H5N1 is virulent and has the capacity to transmit from human to human like H3N2, our seasonal flu virus," he said.

 

[Giuseppe]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

"Global fear of a new virus from such a co-infection is well grounded, I think. The product of a reassortment between H5N1 and H3N2 can be still in the form of H5N1 but with traits of H3N2. The new H5N1 is virulent and has the capacity to transmit from human to human like H3N2, our seasonal flu virus," he said.

In the meantime, H5N1 is circulating in most part of Eurasian continent - at the same time of seasonal human influenza epidemics. Whether the reassortant strain do appear in Indonesia or China or UK or Italy is only a speculative exercise.

As happened in 2003, 2004, 2005, 2006, 2007. And perhaps, without noticeable impact in the international media, since 1997.

For years these viruses circulate in China - as well as H9N2 and swine variants - and the risk is always present with or without minister or experts advices.

The main question - perhaps - is: what is the determinant(s) for the reassortant event, as happened with A/H3N2 and H2N2. Which is the trigger? It May be that novel reassortant is less lethal to human? Or more?

A pre-pandemic vaccine with cross-protective properties can be developed in advance or not. Or: combined formulation seasonal / avian virus vaccines could be useful?

 

[Commonground]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

http://www.scottmcpherson.net/
Facts are stubborn things
Posted on Tuesday, March 18, 2008 at 03:50PM
Excerpt:

So let us look at the facts and then use some logic to pull them together.

FACT: From January, 2007 until last month, Indonesia submitted a total of two H5N1 human samples to the WHO. These samples were from Bali.

FACT: In a sudden and stunning reversal, the Indonesian government last month decided to resume sending samples once again to the WHO -- even as the Health Minister and Princess of Insanity, Supari, insisted that the Americans were developing a bird flu Weapon of Mass Destruction.

FACT: A teenage girl in April, 2007 developed a coinfection of H5N1 and H3N2, according to the research paper given at the Conference. We do not know if a reassortant virus was formed. And we are not sure which tests were reliable and which were not, as SophiaZoe pointed out to me today. If coinfection happened, it means that by any statistical yardstick, it has to have happened elsewhere in Indonesia. We're just not lucky enough (read: Surveillance is not holistic enough) to have found THE coinfection.

FACT: The lack of virus sample sharing by the Indonesian government meant the world was unable to know precisely what had happened in the island nation, and when.

FACT: In Rome, the FAO has publicly expressed grave concern about the emergence of new substrains of H5N1 in Indonesia. The story can be found at: http://en.rian.ru/world/20080318/101628539.html . Please note this came from a Russian news wire service. American wire services are still too busy attempting to find out which governor slept with whose wife's aide's Great Dane.

Now, if you will, some conclusions. Really, only one big conclusion. I came to a similar conclusion a few weeks ago in my blog, Indonesia regains its national sanity, shares bird flu samples again. We must assume that the Indonesians believe that statistically, coinfection has happened multiple times across the nation. The fact this happened once --almost a year ago -- cannot be chalked up merely to dumb luck. It probably means they realize that they cannot conduct accurate surveillance over a wide enough area to be effective. Finally, the Indonesian government's petty footstomping regarding the sharing of virus samples -- aided by Iran and Venezuela, I might add -- means that the Indonesians themselves may be on their way to a viral WMD that will overwhelm the world.

I believe that in the realm of public health, there are no coincidences. All the events I am about to mention below have happened in the past four weeks.

The Indonesian government starts sending human H5N1 samples to the WHO again, ostensibly after receiving reassurances from the WHO that a vaccine sugar daddy has been found (bada-bing).
The Indonesians reveal the first-ever recorded case of coinfection between H5N1 and H3N2 (bada-boom).
The FAO announces in Rome that H5N1's eventual pandemic genesis may well be on Indonesian soil (bada-bang).
And Bill Gates is set to travel to Indonesia in May, ostensibly to talk software.
To quote the immortal Stan Lee: " 'Nuff Said!"

Coinfection has a one-year head start on the world's public health people. If we have gone through coinfection without producing a pandemic strain, that does not mean it will not happen. Quite possibly, the virus is still trying to reassort in such a way that it can produce virulence in humans. Influenza is playing a Rubik's Cube game and it will surely (reas)sort itself out in due time.

Don't call me Shirley. But let's also go the other way: What if reassortment has already occurred, and what if H5N1 was not the immediate beneficiary? What if it instead produced an H3N2 that was/is more powerful? It is just conjecture, but let's follow the timeline.

And timelines here are important. First, Teenage girl develops coinfection with H5N1 and H3N2 in April, 2007. Next, Aussies travel to Bali in droves, as Bali is to Australians what Disney World is to people from Illinois. Next, Australia types a new and more virulent substrain of H3N2, called Brisbane, in Summer, 2007. Then, that same substrain moves to North America and Europe in 2007 and 2008.

Look at the quote from Emmy's article:

A virologist and microbiologist at Udayana University in Denpasar (Bali), I Gusti Ngurah Mahardhika, said the co-infection involving the girl most likely was not the first such case in Indonesia because researchers used to focus only on H5N1 and did not check for the presence of other H viruses. (bold mine)

"Global fear of a new virus from such a co-infection is well grounded, I think. The product of a reassortment between H5N1 and H3N2 can be still in the form of H5N1 but with traits of H3N2. The new H5N1 is virulent and has the capacity to transmit from human to human like H3N2, our seasonal flu virus," he said.

Only after looking at the genetic makeup of A/H3N2 Brisbane will we know if it acquired any Indonesian H5N1 human polymorphisms. But in light of this latest peer-reviewed, scientific paper, and considering where and when H3N2 Brisbane came from -- I think it is worth a serious look. Don't you?

Because facts are stubborn things, indeed.

 

[Gert van der Hoek]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Sorry folks, still no translations. I can log in regularly, but no longer than a few minutes, just enough time to do some reading and check the news.
Some evenings or in sometimes in the weekend I can do more.
This will go on another 2 months or so.

All 11 patients tested in Bandar Lampung tested negative:


Sebelas pasien suspect flu burung yang dirawat di Rumah Sakit Abdul Muluk, Bandar Lampung, dinyatakan negatif terinfeksi virus tersebut. Berdasarkan pemeriksaan laboratorium, para pasien hanya menderita penyakit radang paru-paru dan demam biasa. Saat ini, kondisi mereka sudah mulai pulih, bahkan sebagian di antaranya telah dibolehkan pulang.

Kesebelas pasien sebelumnya sempat menjalani perawatan intensif. Mereka mengalami gejala penyakit yang mirip flu burung. Panas tinggi yang disertai sesak nafas dialami mereka. Sepuluh dari 11 pasien tersebut diketahui berasal dari dusun yang sama, Dusun Batusuluh Atas, Kelurahan Way Laga, Kecamatan Panjang, Bandar Lampung.(BEY)

http://www.metrotvnews.com/berita.asp?id=55611

 

[Giuseppe]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Sorry folks, still no translations. I can log in regularly, but no longer than a few minutes, just enough time to do some reading and check the news.
Some evenings or in sometimes in the weekend I can do more.
This will go on another 2 months or so.

All 11 patients tested in Bandar Lampung tested negative:


Sebelas pasien suspect flu burung yang dirawat di Rumah Sakit Abdul Muluk, Bandar Lampung, dinyatakan negatif terinfeksi virus tersebut. Berdasarkan pemeriksaan laboratorium, para pasien hanya menderita penyakit radang paru-paru dan demam biasa. Saat ini, kondisi mereka sudah mulai pulih, bahkan sebagian di antaranya telah dibolehkan pulang.

Kesebelas pasien sebelumnya sempat menjalani perawatan intensif. Mereka mengalami gejala penyakit yang mirip flu burung. Panas tinggi yang disertai sesak nafas dialami mereka. Sepuluh dari 11 pasien tersebut diketahui berasal dari dusun yang sama, Dusun Batusuluh Atas, Kelurahan Way Laga, Kecamatan Panjang, Bandar Lampung.(BEY)

http://www.metrotvnews.com/berita.asp?id=55611

[TTT]
Eleven patients suspect bird flu that was treated in the Hospital of Abdul Muluk, Banda Lampung, was stated by the negative was infected by this virus.
Was based on the laboratory inspection, the patients only suffered inflammation and the common fever of the lungs.
At this time, their condition has begun to be restored, in fact some of the him was allowed to come home.
The eleven patients could beforehand undergo the intensive maintenance.
They experienced the sign of the illness that was similar to bird flu.
Hot high that was accompanied breathless was experienced by them.
Ten from 11 patients it was known came from the same village, the Batusuluh Atas Village, Kelurahan Way Laga, Kecamatan Panjang, Banda Lampung.
(BEY)
-------

 

[Gert van der Hoek]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

New suspect - 37 yo - in Lampung East

Lamtim - Warga Batangharjo Diduga Flu Burung

SUKADANA (Lampost): Diduga terjangkit virus flu burung (avian influenza/AI), Huliyatun (37), warga Desa Batangharjo, Batanghari, Lampung Timur, dirawat di ruang isolasi Rumah Sakit Umum Ahmad Yani Metro, Selasa (18-3).

Namun, pasien itu kemudian dirujuk ke RSUAM Bandar Lampung. Sobirin, suami penderita, mengatakan istrinya dirawat di salah satu ruang penyakit dalam RSU A. Yani sejak Senin (10-3) akibat menderita demam tinggi.

Namun, hasil pemeriksaan dokter Chandra Pandiangan, salah seorang dokter rumah sakit setempat, Huliyatun diduga terjangkit virus flu burung. Karena itu, Huliyatun yang sebelumnya dirawat di ruang penyakit dalam, dipindahkan ke salah satu ruang isolasi pada Selasa (18-3).

Sobirin mengatakan sebelum istrinya dirawat di rumah sakit, tiga bulan lalu pada ketiak Huliyatun tumbuh benjolan sejenis bisul. Oleh pihak keluarga, penyakit tersebut dioperasi di Puskesmas Batanghari. Sebulan kemudian, benjolan tersebut kembali tumbuh di tempat yang sama.

Huliyatun lalu dibawa ke RSU A. Yani Metro. Di sana, korban kembali menjalani operasi. Beberapa hari setelah dirawat, penyakit yang diderita korban dinyatakan sembuh. Namun, beberapa hari kemudian, Huliyatun menderita demam tinggi.

Wanita itu lalu berobat ke Rudi, salah seorang mantri di bilangan Sukoharjo Sekampung. Hasil diagnosis, Huliyatun menderita tifus. Merasa belum puas, darah Huliyatun lalu diperiksa di salah satu laboratorium di Metro. Hasil pemeriksaan pihak laboratorium, darah Huliyatun telah terjangkit virus hepatitis A. "Ketika darahnya kami periksa di laboratorium, kondisi istri saya saat itu agak mendingan," ujar Solihin.

Merasa kondisi agak mendingan, kata dia, beberapa hari sebelum dirawat di RSU A. Yani, Huliyatun berkunjung ke rumah salah satu anggota keluarga di Ganjaragung. Namun, di sana, dia kembali mengalami demam tinggi. Selain itu dia juga tidak mau makan. Karena kondisi penderita lemah, Senin (10-3) pihak keluarga membawa Huliyatun ke RSU A. Yani Metro.

Sementara itu, menurut rencana

Rabu (19-3), Huliyatun akan dirujuk ke RSU Abdul Moeloek. Pasalnya, fasilitas untuk penanganan kasus flu burung di rumah sakit itu terbatas. "Kami belum memiliki ruang isolasi penanganan flu burung yang standar," ujar dr. Chandra yang menangani kasus tersebut.

Menurut dia, awal kedatangan Haliyatun di rumah sakit dalam keadaan panas tinggi, perut mual, dan pusing. Dan tanda sesak napas dan batuk tidak ada. Setelah diperiksa intensif, pihak rumah sakit awalnya menduga hepatitis. Namun ,dalam perjalanan hasil laboratorium terjadi penurunan trombosit. Dan saat itu tanda kecurigaan makin meningkat dugaan flu burung, dikarenakan setelah melihat hasil rontgen foto ditemukan gambaran bronco pnemonia.


http://www.lampungpost.com/cetak/berita.php?id=2008031902152132

 

[Gert van der Hoek]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

snip from Republika on the 8 Bandung childeren in observation:

Kembali mengancam

Sementara itu, virus flu burung kembali ditemukan di Kota Bandung. Delapan orang diindikasikan tertular virus H5N1. Kasus tersebut mulai terungkap ketika sekitar 20 ekor ayam mati mendadak di Rancakalong, RT 02/RW I, Kelurahan Cigadung, Cibeunying Kaler, Bandung.

Menurut Staf Pelaksana Sub Dinas Pencegahan Penularan Penyakit Hewan (P3H) Dinas Pertanian Kota Bandung, Eman Sulaeman, ayam yang mati tersebut positif terkena virus flu burung. ''Kami telah melakukan tes terhadap sampel ayam yang telah mati dan memang positif terkena AI,'' jelas Eman, saat melakukan depopulasi unggas, di Bandung, Selasa (18/3).

Terkait dengan kematian ayam-ayam tersebut, beberapa warga diperiksa karena diduga terinfeksi virus flu burung. Delapan warga yang sebagian besar anak-anak mengaku demam dan pusing. Namun, warga belum memeriksakan kesehatan mereka ke instansi terkait. ''Saya cuma flu saja setelah ayam-ayam tersebut mati,'' ujar Tini (22), warga Rancakalong.

Sekretaris Desa (Sekdes) Cigadung, Aris Frisnawan mengatakan, delapan warga yang terindikasi tersebut, akan dipantau selama 10 hari. ''Setelah ada gejala terkena flu burung, kami akan langsung mengantarkan mereka ke puskesmas,'' kata Aris. ren/mj02

http://www.republika.co.id/koran_detail.asp?id=327509&kat_id=13

 

[Commonground]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Translated post at 5:07 am
To return and threaten

In the meantime, the bird flu virus was again found in the Bandung City.
Eight people were indicated infected the virus H5N1.
This case began to be solved when approximately 20 chickens died suddenly in Rancakalong, RT 02/RW I, the Cigadung District, Cibeunying Kaler, Bandung.
According to the Staff the Executive Sub Dinas Pencegahan of the Spread of the Hewan Illness (P3H) the Service of Pertanian Kota Bandung, Eman Sulaeman, the chicken that died this positive was affected by the bird flu virus. "We carried out the test against the sample of the chicken that died and quite positive was affected by AI" clearly Eman, when carrying out depopulation of the poultry, in Bandung, on Tuesday (18/3).
In relation to the death of these chickens, several residents were checked because of being suspected of being infected by the bird flu virus.
Eight residents that most children claimed to be the fever and the headache.
However, the resident not yet to examine their health to the related agency. "I only flu after these chickens died" said Tini (22), the resident Rancakalong.
The secretary of the Village (Sekdes) Cigadung, Aris Frisnawan said, eight residents that indicated this, will be monitored for 10 days. "After having the affected sign of bird flu, we will at once take them to the community
health centre" kata Aris.

 

[Commonground]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Post #91

Expected terjangkit the bird flu virus avian influenza, Huliyatun (37), villagers Batangharjo, Batanghari, of Lampung East, was treated in space of the Public Hospital isolation of Ahmad Yani Metro, on Tuesday 18/3.
However, the patient was afterwards reconciled to RSUAM Banda Lampung.
Sobirin, the husband of the sufferer, said his wife was treated in one of the internal disease space of RSU A. Yani since Monday 10/3 as a result of suffering the high fever.
However, results of the doctor's inspection Chandra Pandiangan, one of the local hospital doctors, Huliyatun was expected infected the bird flu virus.
Therefore, Huliyatun that beforehand was treated in internal disease space, was moved to one of the isolation space on Tuesday 18/3.
Sobirin said before his wife was treated in the hospital, in the last three months to the Huliyatun armpit grew the bump of a kind of boil.
By the family, this illness was operated on in the Batanghari Community Health Centre.
A month later, this bump again grew in the same place.
Huliyatun then was brought to RSU A. Yani Metro.
There, casualties again underwent the operation.
Several days after being treated, the illness that was suffered by casualties was stated recovered.
However, several days afterwards, Huliyatun suffered the high fever.
The woman then took medicine to Rudi, one of the officials in the sum of Sukoharjo Se- Kampung.
Results of the diagnosis, Huliyatun suffered typhus.
Felt was not yet satisfied, Huliyatun blood then was checked in one of the laboratories in Metro.
Results of the inspection of the laboratory side, Huliyatun blood has terjangkit the hepatitis virus of A. "Ketika his blood was examined by us in the laboratory, the condition" for "my wife at that time was rather tolerable," said Solihin.
Felt the condition was rather tolerable, said he, several days before being treated in RSU A. Yani, Huliyatun visited to the house of one of the family's members at Ganjaragung.
However, there, he again experienced the high fever.
Moreover he also did not want to eat.
Because of the condition for the weak sufferer, on Monday (10-3) the family brought Huliyatun to RSU A. Yani Metro.

In the meantime, according to plan

On Wednesday 19/3, Huliyatun will be reconciled to RSU Abdul Moeloek.
His article, facilities for the handling of the case of bird flu in the hospital were limited.
"Kami did not yet have space of bird flu of the handling isolation that the standard," said Dr. Chandra that handled this case.
According to him, early of the Haliyatun arrival in the hospital in the hot situation high, the nausea stomach, and the headache.
And the breathless sign and the cough were not available.
After being checked intensive, the hospital side initially expected hepatitis.
However in the trip produced by the laboratory the decline happened trombosit.
And at that time the sign of the suspicion increasingly increased by the assumption of bird flu, was caused after seeing results of x-raying the photograph was found the picture bronco pneumonia.

 

[Commonground]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Overcome Disaster Government Form TDT

The Banda Lampung Municipal Government formed the Tanggap Team of the Terpadu Emergency (TDT) to overcome the natural disaster threat and spread him the spreading of the bird flu virus.

This team was equipped by two ambulances.
The guardian of the Banda Lampung City of Eddy Sutrisno said the potential for the natural disaster at this time was very big.
Although still in small scale, as the landslide and the tree fell, has claimed fatalities.
That not to mention the possibility happened the natural disaster was bigger, for example, the earthquake and the tsunami. "God willing, in the near future, I would the form of the Tanggap Team of the Terpadu Emergency.
The aim is, if the natural disaster and the spreading of infectious diseases happening, the team immediately descended and dealt with the available condition" eddy's words to Lampung Post, on Monday (17-3).

Eddy added although being unproven the existence of the spreading of the bird flu virus against humankind, many poultry animals died because of the virus avian influenza (AI).
Likewise with the landslide disaster and the tree fell that was bright this end happened.

"We hoped, the team that will involve all of the agency's related services immediately preceptive and could work 24 hours overcame the problem, especially if falling fatalities" said the former member DPRD Lampung.
He explained this team was formed in April 2008.
In the near future, the Municipal Government also got help of two complete ambulance units with medical equipment from the Sosial Department and the Department of the Health.

"That must have been, help of one ambulance unit from the Sosial Department.
Help from Department Health, as far as this is concerned, did not yet have confirmation again to me.
Eventually, two ambulance units will become the operational vehicle the team that we would form" kata dia.

http://www.lampungpost.com/cetak/berita.php?id=2008031902152120

 

[Commonground]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Depkes To Respond Positive To Warning Of FAO

The department of the Health responded positive the Organisation warning of the Food and Agriculture Organization/FAO) the UN on the spreading of bird flu (H5N1) in Indonesia.

FAO UN said, the bird flu virus that spread in Indonesia could mutate and caused pandemic influenza against humankind.
"We must be grateful again was reminded. We will add the work again hard," said the Director General the Control of the Illness and environmental Sanitation (P2PL) Department of Health, I Nyoman Kandun in the Office P2PL, Jakarta, yesterday.

According to him, this warning made the Department of Health and all the community was increasingly careful and cared about the spreading of bird flu.
However, on FAO information, the Department of Health admitted to need not send the confirmation letter about the mutation of bird flu from humankind to humankind.
Kandun also said, there was no new plan in dealing with bird flu in Indonesia.
The number surveilans or the supervisor will not be increased.
His side will only maximise available equipment.
"Surveilans we were not increased, but only more will be increased by his achievement. The number enough of the centres and all the health service (Dinkes) in the area as far as the community health centre," he explained.

The other method, the Department of Health immediately passed by the fast isolation bird flu casualties including giving of medical treatment so as this bird flu virus was not fast mutated to became the new virus.

Admitted also that the problem of bird flu really was linked with the size of the number of poultries with the inhabitants's congestion in and around the poultry. "both that mutually to affect" he said.

According to him, the occurrence of the mutation to humankind or pandemik through several processes.

In part, the animal to the animal, the animal to humankind, the virus between humans in a limited way, and did not continue (limited and unsustained transmission), afterwards the spread of humankind to humankind was wider.

http://www.seputar-indonesia.com/edisicetak/nasional/depkes-sambut-positif-peringatan-fao.html

 

[Commonground]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

To Whom It May Concern:
I am using a program to translate called Toggletext, run out of Australia. This program is extremely fragile. It is out of commission a great deal of time. When it is working, I need to take all quotation marks out, and replace them before I post. It is very time consuming, at times, frustrating.
If there is any way, that anyone can provide a more reliable translation program for this use, I would really, really appreciate it.
http://www.toggletext.com/kataku_trial.php



Secretary Mike Leavitt's Blog
Pandemic Exercise with Bloggers

Excerpt:
The blogs represented at our session tended to be rather specialized and the bloggers knew a lot about the subject matter. It made them better at challenging the facts they were given. I suspect in a major emergency we would be dealing with a broader range of understanding than in our exercise. These people knew their stuff.

I was surprised how much interaction there is between online communities. They seem to share information, monitoring one another?s sites.

More than one of the blogs talked about the way they use traditional news sources but provide added value. One example is translating foreign news articles into English.
http://secretarysblog.hhs.gov/my_weblog/2008/03/pandemic-exerci.html

 

[Shannon Bennett]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Nice pat on the back for us, especially for our newshounds!

 

[Commonground]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Post @ 3:17

[This paragraph has been retranslated, using a dictionary, word for word.]

Toggletext:

According to him, this warning made the Department of Health and all the community was increasingly careful and cared about the spreading of bird flu.
However, on FAO information, the Department of Health admitted to need not send the confirmation letter about the mutation of bird flu from humankind to humankind.
Kandun also said, there was no new plan in dealing with bird flu in Indonesia.

Dictionary:

According to it, warning make Depkes and throughout society more and more careful and pay attention to concerning transmission flu burung. Namun, according to information FAO, Depkes concede not required to send a letter confirmation with respect to mutation flu burung from human to human. Kandun (?) as well as announce not to have a scenario only in to control flu burung in Indonesia.

Definitions of each word:

according to/pursuant it,** warning/reminder/caution/ ** make Depkes and all/throughout/a whole group society/people/public ** more and more careful and to ** care about/pay attention to ** concerning transmission flu burung. Namun, according to information FAO, Depkes admit/concede/recognize ** no/not ** required/obliged ** to send/ship/forward a letter confirmation with** respect to/concerning/about** mutation flu burung from human to human. Kandun(?) ** as well ** as/too ** state/announce, ** no/not ** to exist/to have/there is ** a plan/outline/strategy/scenario ** only/just ** in/within/under ** to control/protect/overcome ** flu burung in Indonesia.

 

[Farmer]

Re: Indonesia HUMAN Cases - Mar/2/2008+

Re: Indonesia HUMAN Cases - Mar/2/2008+

Thank you for all of your hard work Commonground. I do not know of another translator program that would work (despite searching).