• FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
  • We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.

Indonesia HUMAN Cases - March 26, 2008 to April 9, 2008

Status
Not open for further replies.
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

We have two suspected clusters.

West Java:
Agus Youhadi (15) died 3/26. One hour after arrival at RSHS Bandung Sadikin Hospital. He previously spent 4 days in a "smaller" hospital, diagnosed with Dengue. His younger brother died 7 days ago in the smaller hospital, also being diagnosed with Dengue.

West Sumatra:
A (2 1/2) adm: 3/24. Critical condition. Recon: Bukittingi Hospital. Older brother, Edi Satria (21), who began symptoms on 3/13, died on 3/19 in Bukittingi Hospital.
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

Translation of Post #122. Thanks Dutchy!

The child 33 months Suspect Bird Flu in Padang

One of the patient's children suspect bird flu, An (33 months), since Monday (24/3) are up to now treated in space of the installation isolation treated inap (Irna) C the floor internal disease of III Rumah Sakit Umum M. Djamil Padang.
The head of the Service of Medis RSU M. Djamil Padang Irayanti said the An condition till at this time was still critical.
"She was still experiencing coughs, cramps, the temperature of the hot body, as well as still was breathless," he said.
Anisa also still was given by the infusion, help of breathing and was guarded by one nurse.
However, the hospital side was still having doubts whether Ana was affected by bird flu or not because of information from his parents, the patient did not experience physical contact with birds or the available chicken in lingkunga him.
However the sign that was experienced by An was the same as bird flu.


"We were still being waiting for results" of the "laboratory of Jakarta, therefore we still could not claim that An suffered bird flu because of not yet having results information that was researched," obviously the IRA.
An was reconciliation from RSUD Bukittinggi because of experiencing the cough, breathless, the high fever and cramps.
The sample of An blood, said Irayanti, has been sent to the laboratory in Jakarta.
If positive results of bird flu, slowest five results days have been sent.
However, if the results negative could be sent older.
Beforehand, the full sibling An, ES (21 years), died in RSUD Bukittinggi on Wednesday (19/3) because of experiencing the inflammation of the lungs.

http://www.tempointeraktif.com/hg/nusa/sumatera/2008/03/28/brk,20080328-119997,id.html
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

I wonder why none of these articles are giving the onset of symptoms?
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

I wonder why none of these articles are giving the onset of symptoms?

May be an indication: according to the article in post # 118, Alifah developed fever after her brother died a week ago.

This is also mentioned in post # 120.
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

Thanks Dutchy. There is no getting around the word "setelah"!

Post #118:

excerpt:
Information from the mother of the patient, Alifah hot high after his older brother died a week beforehand.
Because worried the family and the doctor that treated him d Bukiktinggi referred to M. Jamil, said Irayanti.
Till the third day in treated intensive in isolation space of Irna Penyakit Dalam, Alifah his condition was not yet stable.
Hot him was still high, breathless and the cough.
The patient could not be visited by the other person except the doctor that merwat and the mother of the patient who accompanied him.
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

New Case

Again, Suspect Masuk RSHS
Sabtu, 29/03/2008

BANDUNG - RSHS Kota Bandung treated one new patient suspect bird flu, Rohanah,50, that entered around struck 19,00 WIB, on Thursday (27/3).
The resident of the Lebakjero Village, Desa Ciherang, of Kecamatan Nagrek, Kabupaten Bandung, this was forced to be treated in Poinciana Tree space after being expected infected the virus of H5NI. Keponakan Rohanah, Hidayat, 45, said, before being run off with to RSHS his aunt experienced hot high was accompanied by the cough and breathless since the last three days.
"Previously my aunt threw the chicken that was seen sick away but was not buried.
In three days in one RW my village had approximately 71 chickens died suddenly," said Hidayat to the reporter in RSHS Kota Bandung, yesterday.

In the meantime, son ofRohanah, Nana Suryana, 30, explained, the Perternakan Service and fisheries (Disnakan) the Bandung Regency took the sample of blood of one of the chickens that died this.
Results, continued he, dozens of chickens in the Lebakjero Village positive terjangkit bird flu.
"Nah, after two days hot high the mother did not descend.
I also could bring to the Kadung Ngora Community Health Centre.
But, because hot, the cough, and breathless did not show the change, I at once reconciled you to RSHS," flat Nana.

He added, the community health centre side suspected Rohanah of being affected by the sign of bird flu.
This consideration also was based on the reference from Disnakan Kabupaten Bandung that informed results of the inspection 70 chickens in the Rohanah residence.
Nana continued, up to now the Rohanah condition does not yet improve.
According to the latest report, the team of the control doctor of bird flu in RSHS did not yet give information concerning the Rohanah condition.
However, one of the staffs RSHS public relations explained, all of the team's members of this doctor was being in the Lembang Subdistrict.
Beforehand, Agus Yuradi, 15,pasien that was expected suspect villagers's bird flu Bulansari, Kelurahan Cimerta, of Kabupaten Subang, died in RSHS space of Poinciana Tree transit on Wednesday night (26/3).
Agus that beforehand was treated in RSUD Kabupaten Subang died in struck 17,30 WIB or only remained one hour after entering RSHS.

In the meantime, the Perekonomian Service and the Co-operative (Disperekop) the Cimahi City stated several kept poultries the resident Keluarahan Melong, Kecamatan Cimahi Selatan, infected the virus H5N1. Yet, the resident denied his property poultry was destroyed.
Was based on the data that was received from the Penyidikan Hall of the Hewan Illness and Kesmavet, all the available poultry has in this territory been done serologis or the inspection of poultry blood.
Results of this inspection most were stated positive terjangkit the bird flu virus.
http://www.seputar-indonesia.com/edisicetak/jawa-barat/lagi-suspect-masuk-rshs.html
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

Again, RSHS Rawat Suspect Flu Burung

Flamboyan Rumah Sakit Hasan Sadikin space (RSHS) Bandung, again received the patient suspect bird flu.
This time the patient who entered Roh (50), the resident Kp. Lebak Jero RT 01/RW 08 Desa Ciherang, Kec. Nagrek, Kab Bandung.
He began to be treated in Flamboyan RSHS Space, on Thursday (27/3) approximately struck 19,00 WIB.
In the fourth week this March, was recorded already 3 patients suspect bird flu.
Roh was the fourth patient who entered or the patient suspect 115, that was treated in RSHS. Terakhir entered AY (15), the patient from Subang that afterwards died.
Before being run off with to RSHS, Roh was treated first in the community health centre in his residence environment.
However because the doctor in the community health centre saw the existence of the sign resembled the bird flu illness, finally the patient was reconciled to RSHS.

According to the nephew of Roh, Hidayat (45), the patient indeed maintained the chicken.
A chicken belonging to Roh suddenly died fluttered, on Monday morning (24/3).
Roh could have contact with the chicken died that and afterwards exiled him.
On the same day when Roh's chicken died, around his 70 neighbouring chickens, also died suddenly.
Not "long afterwards my aunt headache, the fever as well as breathless."
But was the same the family just was brought to the community health centre, on last Thursday (27/3).
From the community health centre even was reconciled here (RSHS, red), said Hidayat.
-snip-

http://www.klik-galamedia.com/20080329/kolomlengkap.php?kolomkode=20080329003631
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

[Even if this comes up negative - I hope we get a diagnosis. Click on the link, scroll down, and you will see in the picture that no one should go thru this].
Patient Suspect Flu Burung Still Critical

Al (2), the patient suspect bird flu that was treated in the room of the Instalasi Rawat Inap Isolation (Irna) C Penyakit Dalam RSUP M. Djamil Padang, up until yesterday his condition was still critical.
The patient of Hospital reconciliation of Ahmad Mukhtar Bukittinggi this was suspected bird flu, because of the sign of his illness resembled bird flu.

This assumption was strengthened by his older brother's situation, Ed (21).
That just recently, he died with the same sign.
At this time the side RSUP M. Djamil Padang sent the sample of the patient's blood to Research And Development Department of Health RI for the further inspection the Patient who was the child to four from four related this, was the daughter from "Zu" and "Fa", the resident of the Sianok Kota Bukitinggi Gorge.
At this time his condition was still critical with the temperature of his body on 38 levels, even yesterday the night could experience cramps cramps and breathless.

"Ak" (18 ) one of casualties's cousins said that two days after his first older brother of Alm "Ed" (21) was sick, he also experienced was sick.
Only his two parents supposed "Al" only common fevers.
Moreover at that time his parents were busy treating his older brother who was treated in RS Ahmad Mukhtar (RSAM) Bukitinggi.


Only around one week, last Tuesday (18/3), "Ed" that was professional as sales this blew out the last breath in RSAM. A week after his older brother's first trip, the condition for "Al" continued to worsen, so as the family decided to carry him to RSAM on Saturday (22/3).
Only one day was treated, the doctor then reconciled him to RSUP M. Djamil Padang.
"Al" direct in treated in the room of the Irna C isolation the internal disease of RSUP M. Djamil Padang.

"We decide to treat in the room of the isolation to anticipate his sign similar to the bird flu illness.
Despite in results of the clinical laboratory inspection, rapid his test (the test of beginning blood) was stated by the negative.

Still Critical: the Patient suspect bird flu was still being rolled over weak in Instalasi Rawat Inap Isolation space (Irna) C Penyakit Dalam RSUP M. Djamil Padang, yesterday.
He said, results of this test most immediately will not be known in after five days, post the sending.
At this time the patient was in the supervision of the team that was led by Dr Yusril Chan SpP as well as obtain special attention in the room of the isolation.
The room of the special Isolation this bird flu had the capacity 4 people.

He express, while this both parents "Al " his condition was still weak resulting from the disaster that in a successive manner fell on their family.
For those family prohibit them to guard Al, so as they only from time to time saw from outside.
Al was at this time guarded by the older brother both of them, as well as took turns with one of the relatives of his mother.
Was based on observation Padang Ekspres to the room of the Irna C Isolation the internal disease to be precise on the III floor the female part, observed the condition for the patient still was very weak.
His eyes were closed tight, his breath was crowded and from time to time can be heard the cough from his voice that was weak.
His body was filled with the medical equipment.

From side observed a figure young that it was known was his aunt used sterile clothes, even the mother also used headdress and the mask that only showed the eyes.
Fully attention of this mother continued to caress Al's head while from time to time replaced the wet towel that was despised on Al's brow.
From time to time this mother wipe off-wipe off Al's chest during the cough and tried to continue caressed caressed his cute hands as though giving the strength to these cute pre-schoolers. :cry: :cry:

http://www.padangekspres.co.id/index.php?option=com_content&task=view&id=1643&Itemid=1
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

In this article, AY (Agus Yuhadi, post #117) is identified as testing positive, with a brother also dying two weeks earlier. RH, 70, (Rohanah) is reported as 50 years old in previous posts ( #127) and is expected to also be confirmed with bird flu. S (Syamsudin, SSD) is reported here as testing negative with a PCR test.


AY Positif Flu Burung, Dinkes Terjunkan Tim
Bandung
Results of the test polymerase chain reaction (PCR) against was expected by AY (15) showed positive terjangkit the bird flu virus (Avian influenza/AI) the kind H5N1.
Therefore, AY became the case of the 12th death resulting from bird flu that was handled by RS Hasan Sadikin (RSHS) Bandung since 2005.
The managing director RSHS Bandung Cissy R.S. Kartasasmita said that when being contacted through the telephone, on Friday (28/3).
[This individual from] Cimerta Kec. Bulansari Kab. Subang that [was] recorded as the patient [was] expected by bird flu, the 114th [victim], arrived in RSHS on Wednesday (26/3) struck 16,30 WIB. AY just underwent observation in Flamboyan Space especially the bird flu isolation for two hours. The man blew out the last breath struck 17,40 WIB.
The section head Lingkungan Sanitation and the Dinas Settlement of the Health of the West Javanese Province Dr. Wahyu Surya Saputra said, was based on the data 2008, was recorded by five West Javanese residents it was suspected terjangkit bird flu.
"We will immediately involve the team to monitor to the location" of the "patient's residence AY," he said.
The family was expected by AY said maintained the poultry in their residence. Before being brought to RSHS, AY could be treated in RS Subang, but his condition continued to worsen. The mother Ay, Tuti Supriani (36) claimed <DEL>to be </DEL>the brother AY, Dea Putra, also died two weeks beforehand. Dea died after being treated in RS Ciereng Subang with the diagnosis of dengue fever dengue fever (DBD).

Expected 115th [victim]

In the meantime, another was suspected bird flu was treated in RSHS Bandung. The patient RH (70), arrived in Flamboyan Space, on Thursday (27/3) struck 19,00 WIB and were stated as the patient was expected [to be the] 115th [H5N1 victim].
Warga Desa Ciherang Lebak Jero RT 1 RW 18 Kecamatan Nagreg Kab. Bandung, [he] arrived in the breathless and feverish condition, as well as was found by the story of contact with the poultry.
Whereas being expected by S (73) from RT 2 RW 3 Kel. Melong Kec. Cimahi Selatan, his condition began to improve. S was treated since Tuesday (25/3). Results of the PCR test showed the bird flu negative.
In the meantime, results of the inspection serologis (the blood inspection) the poultry that was done the Penyidikan Hall of the Hewan Illness and the Health of the Community of Veteriner West Java stated the poultry in the RT area 02 RW 03 Kel. Melong, Kec. Cimahi Selatan, positive terjangkit bird flu.
The section head the Supervision and the Eradication of Dinas Kesehatan infectious diseases of the Cimahi Drg City. Chanifah Listyarini stated, S was to be expected by second bird flu in the Cimahi City.
(A-158/CA-168)

http://www.pikiran-rakyat.com/index.php?mib=beritadetail&id=16850
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

[original: " Etriani yang merupakan suster perawat masuk...."
dictionary: Etriani that constitute [sister/nurse] [nurse/medic] [come in]

New Case

A Nurse RSUD Muhammad Djamil Suspect Bird Flu

The Daerah public hospital (RSUD) Muhammad Djamil Padang, West Sumatra, again treated one patient suspect bird flu.
The patient was named Etriani, 29 years.
Etriani that was the nurse's sister entered isolation space after experiencing the sign similar to bird flu.
Apart from the high and breathless fever, the patient also experienced the sign of the cough cough.
To ascertain his illness, sample Etriani blood was sent to Jakarta to be researched.
This Etriani entry increased the number of patients suspect bird flu that was treated in the hospital.
Beforehand, RSUD Muhammad Djamil Padang treated one sufferer suspect bird flu, Anisa, pre-schoolers were 22 months old.
Up to now, Anisa was still being treated in isolation space and was helped with respiratory aids.

http://www.metrotvnews.com/berita.asp?id=56314
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

The Nurse RSUP Bukittingi was expected by bird flu

Padang - Other the patient was suspected of by bird flu entering the installation treated inap (Irna) C the floor internal disease of III Rumah Sakit Umum M. Djamil Padang.

Etriani (29), the nurse was in RSUP Bukittinggi transported by the ambulance and arrive in RSU M. Djamil approximately struck 02,00 WIB, on Sunday (30/3/2008).
He was brought by three nurses was accompanied by two doctors that all of them dressed the robe, the mask and the impermeable spectacles.

Etriani at once entered the special room, right-hand the Anisa room, the child 33 months, the patient who also it was suspected was infected by bird flu that entered RSU M. Djamil last Monday.
Director Pelayanan Rsu M Djamil Padang, the doctor Yanuar Hamid to okezone said, his side suspected Etriani of being affected by bird flu because the sign that was experienced by him headed there, that is the cough and breathless.

However the patient was not yet stated critical and he still in the observation stage.
Seen, Etriani in this isolation space did not use the infusion and oxygen.
"Pasien was not yet known whether he carried out contact with the poultry, to not cause other casualties, we anticipated him by putting him into isolation space," he said.
Results of the data that was assembled okezone in RSU M. Djamil Padang, Etriani addressed in Street Pendidikan, RT 2 RW 2, the Bukittinggi City, West Sumatra.

Now, results of the sample laboratory of Anisa blood of Jakarta did not yet go out.
Results of the laboratory RSU M. Djamil personally named Anisa the bird flu negative.
However, he still diinfus and still used the help breath.
But the condition for his health has begun to improve.
According to a nurse, the cough and breathless as well as feverish that was experienced by him has decreased.
"And cramps did not happen again
," added the nurse.

http://news.okezone.com/index.php/R...47/perawat-rsup-bukittingi-terduga-flu-burung
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

RS M. Djamil Padang again treated the patient suspect bird flu

RS M. Djamil Kota Padang, West Sumatra again treated one patient suspect Bird Flu, on Sunday (30/3).
The female patient had the initials E, 29, that was the nurse in RS Ahmad Mukhtar Kota Bukittinggi.
He was reconciled from this hospital and began to undergo the maintenance in RS M. Djamil Padang, on Sunday (30/3), around struck 02,00 WIB.
The E condition was at this time treated intensive in installation space treated inap (Irna) C the internal disease RS M. Djamil, was neighbouring with A, the pre-school child was 2.5 years old, that also was reconciled from RS Akhmad Mukhtar and underwent the maintenance in RS M. Djamil Padang since last Monday (24/3).
"Pasien suffered the sign similar to bird flu like the high fever, the cough and breathless," the Medik Service headword RS M. Djamil Padang Irayanti.
In the meantime, the A condition did not yet improve.
Till at this time, the body of the pre-school child was still being installed respiratory aids.
His food was then distributed through the infusion.

http://www.mediaindo.co.id/berita.asp?id=164558
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

So we have a nurse who worked at the hospital that treated Edi Satria (21) who died, and probably also treated Anis (2 1/2) that's in critical condition.
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

Post #135

Agus died Positive H5NI, RSHS the Arrival Again the Suspect Patient

Agus Yuhadi (15), the Patient suspect Avian Influenza (AI) from the Cimeta Village, Kecamatan Bulansari, Kabupaten Subang, was stated positive was attacked by the virus H5N1.
That was based on results of the sample inspection of blood as well as germs on Agus's throat, moments before the patient died, last Wednesday (26/3).
From these results, the Kesehatan Service of the West Javanese province will send the team of investigation to the location of Agus's residence.
Was like this it was said the Sub Dinas Penyehatan Lingkungan Head and the Dinas Settlement of the Health of the West Javanese province, Wahyu Suryaputra, on Friday (28/3).

According to Wahyu, his side received the news that stated Agus positive was attacked by the bird flu virus through the short message or short massage service (the SMS).
Named, from results of the test as well as germs of the blood laboratory in the patient's throat, the Penelitian Dan Pengembangan Kesehatan Hall (Balitbangkes) Jakarta, stated Agus positive was infected H5N1.
"This news just we received via smsed, and did not yet have the normal official news was sent via Fax."
But was confirmed the positive patient was infected by bird flu, said Wahyu.
Agus entered RSHS space of the Poinciana Tree isolation, last Wednesday.
Because of his condition that continued to worsen, the patient had finally died after while the team's approximately one hour of the doctor tried to give help.
From the side's information kelurga, the patient maintained the chicken in his house that his pen only be at a distance around five metre from his house.
The revelation said, his side will send the team to carry out investigation in the field especially in the patient's house.
This was done to know whether having the patient suspect other that was found.

This action was also reinforced by the existence of information from the family that said that Dea Putra (6), the full brother Agus, died not at intervals of old before the older brother.
From the family's information also, Dea died resulting from dengue fever dengue fever (DBD).
"We at once dropped the team off to carry out investigation in the field to surveillance if being suspect other that was found."
This also to know whether true his brother died because of DBD or had the other cause.
This we must suspect and really carried out comprehensive investigation he said.
This information was reinforced by the statement of Tuti Supriani (36), the mother Agus and Dea.
He said, Dea that could in treated in RS Ciereng-Subang was diagnosed was attacked by DBD by the doctor.
However the life of his youngest child could not be rescued after in treated several days in this hospital.
"My paediatrician's words were affected by DBD. We believed, and only could be treated several days, Dea died," said Tuti, when being contacted, on Friday (28/3).
From this case also, continued Wahyu, his side claimed robbed because the official RS Cieereng Subang did not carry out the inspection comprehensively in Agus's case.
"All the medical staff would we sosialisasikan again about signs" of the "sign" of the "bird flu sufferer and the importance asked about the history" of "his illness so that the case" of the "similar death does not happen again, because late the diagnosis," he continued.

Chairman Tim of the Handling of RSHS Bird Flu, Dr Hadi Jusuf said, his side still could not give related information results of Agus's laboratory test.
However he could mention, the patient was expected positive was infected by bird flu.
"Our official results did not yet receive, so we still could not give information whether the patient psoitif H5N1," he said, when being contacted yesterday.
Agus's death increased the list of the case of the patient suspect bird flu that died in West Java.
And Agus was the first positive patient was infected by bird flu this 2008.
Recorded in West Java was found by 32 positive cases with 26 casualties had died since Avian Influenza spread in West Java the end 2004 then.
Bertambah on Thursday (27/3) struck 19,00 WIB, Ruang Isolasi Flamboyan RSHS, again treated the patient suspect bird flu.

R (60), the resident of the Jero Valley, Nagreg, of Kabupaten Bandung entered isolation space after three days experienced the fever, the cough and breathless.
According to Hidayat, relatives of the patient, R maintained five chickens.
Every day the patient maintained this chicken including cleansing the pen that was far-off of his house.
Around the last two days, one chicken belonging to the patient died suddenly, not long after approximately 70 chickens belonging to his neighbour also died suddenly.

"Paginya he could throw his chicken that died away.
The pass in the afternoon he was suddenly feverish, the cough and breathless," Hidayat's words, in the Poinciana Tree waiting room, on Friday (28/3).
Tomorrow him, continued Hidayat, he brought R took medicine in the Community Health Centre.
Received R information could experience contact with the poultry died, the community health centre side reconciled R to be checked to RSHS.
Chairman Tim of the Handling of RSHS Bird Flu, Dr Hadi Jusuf, said, the patient experienced the fever was accompanied breathless.
His side has taken the sample of first blood to be tested in the Penelitian Dan Pengembangan Hall laboratory (Balitbangkes) Jakarta.

Apart from R, Poinciana Tree space was still treating S (73) the patient suspect from Cimahi.
From results of the laboratory test, S was stated by the negative was infected by the virus H5N1.

http://www.tribunjabar.co.id/artikel_view.php?id=5596&kategori=7
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

H5N1 Confirmed Cluster in West Java Indonesia

Recombinomics Commentary 22:54
March 30, 2008

Agus Yuhadi (15), the Patient suspect Avian Influenza (AI) from the Cimeta Village, Kecamatan Bulansari, Kabupaten Subang, was stated positive was attacked by the virus H5N1.

That was based on results of the sample inspection of blood as well as germs on Agus's throat, moments before the patient died, last Wednesday (26/3).

This action was also reinforced by the existence of information from the family that said that Dea Putra (6), the full brother Agus, died not at intervals of old before the older brother.

From the family's information also, Dea died resulting from dengue fever dengue fever (DBD).


The above commentary describes an H5N1 lab confirmed fatality (15M) in Kabupaten Subang, Indonesia, which is southeast of Jakarta in western Java. The patient?s brother (6M) also died recently and was also initially diagnosed with Dengue fever. The dengue fever misdiagnosis of H5N1 in Indonesia is not new. Neither are fatal H5N1 clusters. However, it is now almost three years since H5N1 was confirmed in humans in Indonesia and fatal H5N1 cases are still being misdiagnosed. These cases become obvious when they are part of clusters, but would be largely missed as individual cases.

Indonesia has the larget number of H5N1 confirmed cases as well as the largest number of deaths, but the surveillance and testing approaches, which include a lack of H5N1 testing until the patient is near death, or testing of contacts after the start of Tamiflu, raises concerns about the number of individual cases and clusters in Indonesia.

These concerns are compounded by the lack of sequence data on these cases. The last public sequences were released over a year ago, and although a small number of samples have been sent to the CDC for sequencing, none of these sequences have been released, and the analysis is generally limited to an absence of reassortment and changes in the receptor binding domain.

However, polymorphisms in new H5N1 sequences outside of Indonesia link back to earlier sequences, highlighting recombination events and linkage of the polymorphisms to widespread distribution via wild birds.

More detail on the above cluster and contacts, as well as the release of sequence data would be useful.

http://www.recombinomics.com/News/03300801/H5N1_WJ_Cluster.html
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

The suffering of casualties's Family Suspect Bird Flu, the House is Now Quiet not Have Inhabitants

The ordeal that struck the couple Zul Azmi and Fatma, the medical official RSSN Bukittinggi and PNS that having an address in Lambah Nagari Sianok VI Suku Kecamatan IV Koto Agam indeed did not yet end.

Although one life of their child, Edi Satria (21) was called by the Lord because of the inflammation diagnosis of the lungs, now the daughter of the couple's youngest child, Anisa (21 months) also was claimed as suspect bird flu.
Anisa that according to the temporary medical test was expected as the patient suscpect bird flu, till at this time still was lain alongside in isolation space RSU M. Jamil Padang.
This unfortunate child was treated since last Monday (24/3), and till now was not yet it was known certain whether positive or negative was affected by the virus avian influenza (bird flu) . The house Be Now Quiet Have Inhabitants.

Before receiving the maintenance in RS M. Djamil, Anisa was the reconciliation patient from RSAM Bukittinggi.
Since being reconciled to Padang, his condition this child was very critical, by getting respiratory aids and the infusion.
Anisa was for several days placed in space of the installation isolation treated inap (Irna) C the III floor internal disease in the critical condition, with the status experienced the cough, breathless, the high fever, and cramps.
In the meantime their house in Lambah Ngarai Sianok that uptil now was busy and noisy pikuk by the playing voice of the child's child, when being visited Padang Ekspres, on Sunday early afternoon (30/3) appeared quiet.
Moreover all the door and the window of the permanent house not any that was open, the table and the available seat in veranda also already moist and were full of dust because several days were not cleaned.

According to several of casualties's neighbours, usually the couple's house Zul Azmi and Fatma become the gathered place of the mother of the mother and children to play or say.
But since this disaster afflicted this family, and almost every day Zul Azmi as well as his wife tended their child in Padang, this house always was closed was in a meeting.
"Almost all the communities as well as the neighbour were very most startled and were stricken with their Putra's death several days ago.
Moreover uptil now Edi Satria was the child Zul Azmi that most love and always was on duty at Anisa every day.
But the Lord wanted other against this family, and took the child impression in the age was very young," Ezi words, one of his neighbours.

Was based on observation Padang Ekspres in the location of casualties's house, as well as the resident's information of surrounding area, in this area did not have poultry livestock breeding.
Indeed had several families that maintained the poultry like the chicken and the duck, but some last time did not have the case of the poultry died suddenly like the plague of bird flu.
Moreover the kept poultry the resident also in the limited number, and not until there is one that is deliberate was managed in a manner the business in large quantities.
"Since the case of the death of Edi Satria, the official of the health from the Health Service and the Service of Peternakan Provinsi West Sumatra as well as the medical Labor Party team visited checked this area," he continued short.

http://www.padangekspres.co.id/index.php?option=com_content&task=view&id=1772&Itemid=29
 
Re: Indonesia HUMAN Cases - Mar/2/2008+

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

[The beginning of this article refers the baby as "An" 22 months, and the latter part of the article is referring to the same baby as "Al" 21 months".]

The medical staff RSSN Suspect Flu Burung

"Et" (29), the medical staff in the Internal Disease ward in the Stroke Nasional Hospital (RSSN) Bukittinggi, on Sunday (30/3) around struck 02,00 WIB, was forced to be run off with to RS M. Djamil Padang, because suffered hot high like the sign suspect bird flu.
"Et was transported by the RSSN ambulance, was accompanied by three nurses and two doctors who wore the robe, the mask and impermeable eyes glasses."
In RS M. Djamil Padang, Et at once entered the room of the special isolation the installation treated inap (Irna) C the III floor internal disease, was adjacent to an amount suspect other bird flu that at this time was in the medical maintenance.
Among them An, the child 22 months that also it was suspected were infected by bird flu, and entered RSU M. Djamil last Monday.

The head of RSSN Bukittinggi, Hadril Busudin when being contacted by the reporter through his mobile phone, on Sunday early afternoon (30/3) explained, "Et" till at this time still having status suspect.
Because according to the beginning inspection as well as the characteristics of the disturbance of his health still showed the sign was similar to bird flu.
Moreover until this the sample of blood "Et" still was in the inspection in Jakarta.
"We did not yet accept information anything about results of the Labor Party inspection of the nurse's blood.
So as till at this time we not yet will give the conclusion and information anything concerning this case.
If having official information from Labor Party results, just was explained by us to the community," clear Hadril over his telephone receiver.

In the meantime from some information that succeeded in being encompassed Padang Ekspres from several workmates "Et" in RSSN, the nurse yang berlamat in Street Pendidikan Bukittinggi before this could visit one of the nurse's children RSSN that died several days ago with the sign similar to bird flu in Lambah Ngarai Sianok.
However the two matters still could not connect or strengthened whether "Et" suffered the similar sign after this contact.
In the meantime, Director Pelayanan Rsu M Djamil Padang, Yanuar Hamid said "Et" was treated for three days in RSSN Bukittinggi.

However because of the nonexistence of facilities of isolation space, then the patient was at once reconciled to RSU M. Djamil Padang.
For the maintenance, in the afternoon yesterday was carried out by the taking of the sample of blood against "Et".
And immediately was carried out by the inspection in Labor Party Padang and was sent to Research And Development Department of Health RI in Jakarta.

"She currently still is placed in isolation space.
Because still in the observation stage, he was not yet given by the infusion and respiratory aids.
From the beginning inspection, apart from the sign of bird flu, And also to be ailing edema pulmonum (the medical term for the lungs wet-red).
Until needing the handling was more serious," firm Yanuar Hamid.
He continued, for the concrete data whether the patient had been involved in direct contact with the poultry or has treated bird flu casualties up to now was not yet known.
"While did not yet go out results of the Labor Party inspection, we still could not declare and dismissed the statement anything about "Et".
As far as this is concerned, just suspect bird flu," he added.

"Al" the Burung Flu Negative
In the meantime, Al (1 year 11 months) that beforehand was reported suspek bird flu, currently is stated by the negative.
Meaning that these pre-schoolers were stated not to suffer bird flu, but only the high fever.
"Result this just was limited by the blood inspection from our laboratory in Padang.
Whereas produced by Research And Development Department of Health RI was still not known," clear Yanuar.
From the last condition, was reported Al's health began to improve.
It was hot that his body descended.
Breathless and his cough also decreased.

Whereas cramps cramps that often were experienced by him, already was not again.
However he was still being given the infusion liquid and respiratory aids.
Beforehand, RSUP M.Djamil Padang, could be stirred up with the arrival of age pre-schoolers 1 year 11 months in the room of the Installation Isolation treated Inap (Irna) C the Internal Disease of RSUP M. the Article, Al was suspected suspect bird flu.
The baby who was the patient of Hospital reconciliation of Ahmad Mukhtar Bukittinggi this entered M. Djamil with the condition for the high fever was accompanied breathless and cramps cramps.

http://www.padangekspres.co.id/index.php?option=com_content&task=view&id=1762&Itemid=27
 
Status
Not open for further replies.
Back
Top