Indonesia Human Cases May 16, 2006

[LMonty]

But, if you look at it, those numbers don't add up. 401 total suspects. 330 negative and 128 under observation ... and 128 positive? Someone doesn't know how to add. 330 + 128 + 128 = 586. Even 330 + 128 = 458, not 401. ??

any possibility that those categories are not mutually exclusive sets? (thinking math here )
In other words, that some of the 330 negative might still be under observation, or that some of the postiives might be excuded from the total suspects because they became confirmed and died. Something like that?

 

[Theresa42]

Re: Indonesia - Family in Karo suspected of having bf

Re: Indonesia - Family in Karo suspected of having bf

any possibility that those categories are not mutually exclusive sets? (thinking math here )
In other words, that some of the 330 negative might still be under observation, or that some of the postiives might be excuded from the total suspects because they became confirmed and died. Something like that?

Could be. But, if so, it's going to be really hard (if not impossible) to figure out where this reporter got his numbers from.

The three categories the journalist(s) used are: positive, negative and under observation (plus totals). The three categories the gov't uses -- which do not overlap (i.e. they are mutually exclusive) -- are: Human Avian Influenza, Under Investigation and Non Avian Influenza (plus totals).

http://www.penyakitmenular.info//pm//images_data/img_2006_5_15_12_31_22.pdf

I would think that the journalists' and the government's categories match up like this:

Human Avian Influenza = Positive
Under Investigation = Under Observation
Non Avian Influenza = Negative

If so, then the journalists' categories don't overlap either, which means someone got their maths wrong.

Or, the two sets of categories are not related -- and maybe some of the journalists' categories are not mutually exclusive, like you say.

Who knows? Did this make any sense? I've gotten myself confused now!

 

[Theresa42]

Hundreds of Karo villagers protest to regent over handling of bf

Hundreds of Karo villagers protest to regent over handling of bf

toggletext-ed from Indonesian:

Stated endemic H5N1, the Citizen of the Fortification Simbelang Protest
16/05/2006 07:39

The Karo Land Regional Government it was considered gave information that unclear the matter of positive results of bird flu against five villagers the Simbelang Fortification. This statement triggered villagers protested to the Regent D. D. Sinulingga.

Liputan6.com, Tanah Karo: Hundreds of villagers the Simbelang Fortification visited the Regent's Hall the Karo Land, North Sumatra, on Monday (15/5). They asked for the upper assurance of lack of clarity of the endemic matter of bird flu that fell on their village of the government statement. This was resulted in after five from his eight villagers positive suffered the virus H5N1.

The action was held because of lack of clarity of the matter of the government statement cluster bird flu that struck villagers the Simbelang Fortification. Because the statement made results [agricultural products] of the Simbelang plantation of the Fortification Village be not accepted in the other area. The citizens that most groups of the mother and children this asked for proof produced by the laboratory of the Health of the matter of the Body of the Department's Research And Development cluster the bird flu.

In this action, the tension could happen when the Regent the Karo D. D. Sinulingga Land gave the explanation. The demonstrators also urged the local regent to carry out anticipation of the bird flu virus in the Simbelang Fortification Village that up to now still not is carried out. (ZIZ/Tim Liputan 6 SCTV)

http://www.liputan6.com/view/7,122904,1,0,1147765260.html

 

[Sally Furniss]

Re: Indonesia - Family in Karo suspected of having bf

Re: Indonesia - Family in Karo suspected of having bf

Kasus Cluster Flu Burung Kian Besar



JAKARTA -- Kasus flu burung di Kabupaten Karo, Sumatra Utara, merupakan kasus cluster keenam di Indonesia. ''Ini adalah cluster baru dan yang terbesar,'' kata Direktur Pengendalian Penyakit dan Penyehatan Lingkungan, Departemen Kesehatan, I Nyoman Kandun, di Jakarta, Senin (15/5).

Kasus cluster dengan delapan orang yang terinfeksi, menunjukkan kasus cluster makin besar dari waktu ke waktu. ''Sehingga kita harus makin waspada,'' kata dr Tjandra Yoga Aditama SpP(K) DTM&H MARS dari Departemen Pulmonologi dan Kedokteran Respirasi FKUI/RS Persahabatan, Jakarta di Jakarta, Ahad (14/5).

Namun, menurut Kandun, hingga kini belum ada bukti yang menunjukkan adanya penularan virus dari manusia ke manusia ke manusia. Untuk mengetahui ada-tidaknya penularan dari manusia ke manusia, kata dr Tjandra, perlu dilakukan dua hal.

a. Surveilans epidemiologik. Untuk mengetahui kemungkinan penularan dari orang ke orang dan tidak ada riwayat penularan dari sumber yang sama. Contoh yang paling mudah adalah tertularnya 30-an petugas RS di Singapura oleh seorang pasien SARS tahun 2003 yang lalu, yang disebut sebagai superspreader.

b. Penelitian virologi. Untuk mengetahui ada-tidaknya virus baru yang merupakan semacam 'merger' antara virus flu burung dan virus flu manusia. Kalau belum sepenuhnya 'merger', setidaknya ditemukan virus yang bagian dalamnya adalah H5N1 dan bagian luarnya adalah H1N1, misalnya.

Menurut dr Tjandra, kini Indonesia dalam stadium tiga, yaitu hanya ada penularan antara manusia terbatas atau pada keluarga dekat saja. Untuk sampai disebut dalam stadium empat, kata dr Yoga, stadium empat ditandai dengan sekitar 25 orang yang tertular.

Selanjutnya ia mengemukakan hal yang baru dalam penemuan ilmiah virus flu burung adalah ditemukannya reseptor virus flu burung di manusia ternyata ada di paru bagian dalam, yang disebut alveoli. Hal inilah yang menyebabkan dua hal:
1. Kerusakan parunya cepat dan luas.
2. Belum adanya penularan antarmanusia di masyarakat, karena kalau reseptor virus itu jauh di dalam paru, maka tentu tidak mudah terbatukkan ke luar dan menulari orang lain.

Di pihak lain, reseptor virus flu manusia ternyata ada di saluran napas atas, sehingga keluhannya banyak yang sakit tenggorokan dan mudah menular ke orang lain. ''Tetapi, nanti mungkin saja kalau virus flu burung dan virus flu manusia sudah 'merger', maka resptornya ada di saluran napas atas dan bawah. Artinya, mudah tertular dan sekaligus juga dapat menyebabkan radang di paru (pneumonia) yang luas,'' ungkap dr Tjandra. n
http://www.republika.co.id/koran_detail.asp?id=248253&kat_id=13

 

[Sally Furniss]

Re: Indonesia - Family in Karo suspected of having bf

Re: Indonesia - Family in Karo suspected of having bf

translation of above post.

Jakarta -- the Case of bird flu in the Karo Regency, North Sumatra, was the case cluster sixth in Indonesia.
This 'was cluster just and that biggest', said Pengendalian Breakingprep Penyakit Director and environmental Sanitation, the Department of the Health, I Nyoman Kandun, in Jakarta, on Monday (15/5).
The case cluster with eight people who were infected, pointed out the case cluster increasingly big from time to time.
So as 'we must increasingly was on the alert',' said Dr Tjandra Yoga Aditama SpP (K) DTM&H the MARCH from the Pulmonologi Department and Medical Respiration FKUI/RS the Friendship, Jakarta in Jakarta, Ahad (14/5).


However, according to Kandun, up to now did not yet have proof that showed the existence of the spread of the virus from humankind to humankind to humankind.
To know be available-not him the spread from humankind to humankind, said Dr Tjandra, must be carried out by two matters.
A.
Surveilans epidemiologik.
To know the possibility of the spread from the person to the person and did not have the story of the spread from the same source.
The example that most found it easy to be tertular him in the 30 's the RS official in Singapore by a patient SARS last 2003, that was mentioned as superspreader.
B.
The virology research.
To know be available-not him the new virus that was a kind of 'merger' between the bird flu virus and the virus of human flu.
If not yet fully the 'merger', at least was found by the virus that the depth part was H5N1 and his exterior was H1N1, for example.
According to Dr Tjandra, currently Indonesia in the stage three, that is only had the spread between limited humankind or to the close family then.
To until was mentioned in the stage four, said Dr Yoga, the stage four was marked by approximately 25 people that tertular.

Further he proposed the new matter in the scientific discovery of the bird flu virus was the discovery of the receptor of the bird flu virus in humankind evidently was on the interior lungs, that were mentioned alveoli.
This that caused two matters:
1.
His lung damage was fast and wide.
2.
That the spread lack antarmanusia in the community, because if the virus receptor far inside the lungs, then certainly not be easy cough up outside and infected the other person.
On the other hand, the receptor of the virus of human flu evidently was on the upper respiratory tract, so as his complaint many that was sick the throat and was easy to spread to the other person.
But', later possibly if the bird flu virus and the virus of human flu already the' merger', then resptor him was on the upper and low respiratory tract.
Meaning that, was easy tertular and at the same time also could cause the inflammation on the lungs (pneumonia) that the area, said Dr Tjandra.
N

 

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Re: Indonesia - Family in Karo suspected of having bf

The Department of Health: did not yet have the Indication of the Spread of Bird Flu Between-Humankind
On Tuesday, 16-05-2006 Medan the Business – Jakarta
The director of the control of the Illness and Sanitation of the Department's Environment of the I Nyoman Kandun Health stressed, till at this time did not yet have the indication of the spread of the virus between-humankind, although the case of the infection of the bird flu virus (avian influenza-AI) gathered (cluster) to humankind in Indonesia improved.

“Alhamdulillah until this did not yet have the indication to the side of itu,” said Kandun to Antara in Jakarta, on Monday (15/5).
He explained, apart from the case cluster the indication of the possibility of the occurrence of the spread of the infection of the bird flu virus of the beginning between-humankind could be known when the same case was found in the health power that carried out contact and treated the patient with the infection of the bird flu virus.
“Kalau had the doctor or the positive nurse and the genetic character of his virus was the same as the available virus to the patient, then the big possibility happened the spread between-humankind. But until this that not yet ada,” he said.
Kandun explained, beforehand a nurse who carried out contact with the patient who was suspected or infected by the bird flu virus in Medan was sick and showed the similar sign of the AI virus infection but after being checked by the nurse was stated by the negative or was not infected by this virus.
The person's eleven specimens that carried out contact with the citizen who was expected and positive was infected by AI, said he, also has been checked and all of them the negative or was not infected by the virus of AI H5N1. He said, if having the indication of the spread of the bird flu virus between-humankind then the area of the location of the spread will be isolated.
“Kalau quite positive had the spread between-humankind then certainly the relevant area will be blocked that the spread of the virus does not spread. His poultries also dimusnahkan,” he said.
It was further that he explained, in order to anticipates the spreading of the infection of the virus of government bird flu will intensify the implementation of the national strategy the control of bird flu and widened illness investigation to be able to find the case of bird flu as early as possible.
“Penerapan the national strategy will be intensified. His investigation would diekstensifkan,” he said.
He also asked the community to guard against the spread of the infection and to avoid itself so that not tertular with always guarded the cleanliness himself and the environment.
“Tidak susah. Hanya dengan rajin mencuci tangan sebelum mengkonsumsi makanan, menjaga kebersihan lingkungan sekitar dan menjaga kebersihan ternak serta kandangnya kita bisa menghindarkan diri dari penyakit infeksi itu,” katanya.
Di Karo
Menurut Kandun, kasus infeksi virus flu burung pada manusia di Kabupaten Karo Sumatera Utara merupakan kasus cluster flu burung yang baru dan yang paling besar.
“Ini adalah cluster baru dan yang terbesar,” katanya.
Delapan warga Kabupaten Karo Sumatera Utara yakni PBS (40), ABS (29), RKK (19), JG (25), BKK (35), B (1,5), RG (10) dan TG (35) dilaporkan sebagai pasien diduga terinfeksi virus flu burung.
PBS yang mulai sakit pada 27 April 2006 masuk rumah sakit dan meninggal di rumah sakit pada 4 Mei belum sempat diambil spesimennya untuk diperiksa lebih lanjut penyebab penyakit infeksinya.
Lima pasien lainnya yakni ABS (meninggal pada 10 Mei), RKK (meninggal pada 9 Mei), BKK (meninggal pada 12 Mei) dan B (meninggal 14 Mei) dan JG (hidup) dinyatakan positif terinfeksi virus AI oleh Badan Penelitian dan Pengembangan Kesehatan (Balitbangkes) Departemen Kesehatan.
Sedangkan pemeriksaan spesimen dua pasien lainnya yakni RG dan TG menurut Kandun belum selesai dilakukan. (ant)

http://www.medanbisnisonline.com/rubrik.php?p=91093&more=1#91093

 

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Re: Indonesia - Family in Karo suspected of having bf

<TABLE class=contentpaneopen><TBODY><TR><TD class=contentheading width="100%">Guarded Again against the Plague Danger of Bird Flu </TD><TD class=buttonheading align=right width="100%"> </TD><TD class=buttonheading align=right width="100%"> </TD><TD class=buttonheading align=right width="100%"> </TD></TR></TBODY></TABLE><TABLE class=contentpaneopen><TBODY><TR><TD vAlign=top align=left width="70%" colSpan=2>Written by editorial staff </TD></TR><TR><TD class=createdate vAlign=top colSpan=2>On Tuesday, on May 16 2006 </TD></TR><TR><TD vAlign=top colSpan=2>The plague of bird flu again threatened the health of our community. That was seen
With the discovery of the sufferer who was expected suspect bird flu that came from the Fortification Village of Simbelang Kec.Tiga the Karo Land Bow. Moreover currently several of the him has died. The phenomenon of bird flu this time reminded us would the statement that had been spent by Health Minister Siti Fadilah Supari that the international community give priority to helped Indonesia in facing the plague of bird flu, but up to now his problem is still being not yet complete. Because if the spread happening between humankind (the pandemic) the death rate in this country could reach 18 million in short time. The ferocity of this bird flu definitely made everyone could be stricken by the fear in this country. An illness sadistically and quickly could kill more than 5 percent of the inhabitants of this country.
Already since several previous months, the plague of bird flu has entered the category of the extraordinary incident (KLB). Therefore, adroit steps and wise must be done. For example how the government co-ordination must be in all the stages maximised. This was needed to cut obstacles to the bureaucracy in the centre and in the area towards the eradication of bird flu. Very possibly if an area through his district head tried to cover the condition up in fact for the interests of his politics.
Afterwards in the area, by the district head could covered the condition actually that in the hope that to was not regarded failed as the district head. His report to the public always well, while the condition could actually be far more worse. In fact, was known by us the problem of bird flu not the local problem and national, but the international problem. All of the inhabitants's eye of this earth was very anxious about one illness was named bird flu. Therefore was hoped for that all the honest regional governments towards the condition that was experienced didaerah respectively, to avoid casualties that far more bigger.
On the one hand, the status of the Abnormality (KLB) that was appointed by the Health Minister at this time was the honest acknowledgment that must be appreciated by the public positively. The Health Minister also activated again the post yandu, that in the Soeharto time famous could eradicate many of the community's illnesses especially illnesses that were suffered by the poor inhabitants in rural areas. Not something that the taboo also made use of the current system in the past, if that was proven could give the contribution towards the improvement of the condition for the community, without must brand him as new efforts of the order re-emergence. The program the famous health in this Soeharto time was one of the programs that was appreciated by the international community that could press as low as possible the sufferer, the tb and hepatitis of the polio illness in Indoensia in the period.
Suatu hambatan struktural pasti akan dialami oleh pemerintah pusat, mengingat negara kita yang saat ini bukan lagi sentralis, tetapi sudah desentralis, yakni setiap daerah punya otonomi yang pada bagian bagian tertentu tidak boleh lagi disentuh oleh pemerintah pusat. Hambatan struktural ini akan berpengaruh terhadap kemampuan pemerintah pusat dalam melakukan mobilisasi semua elemen dan rakyat dalam rangka penanggulangan virus flu burung ini. Pemerintah pusat perlu mengumpulkan seluruh bupati dan memberdayakan setiap bupati untuk melakukan mobilisasi di daerahnya masing-masing.
Sembari mendorong departemen kesehatan untuk lebih serius melakukan penelitian untuk menemukan vaksin virus mematikan ini, seluruh elemen masyarakat diharapkan untuk mendukung segala upaya penanggulangan yang sedang diupayakan oleh pemerintah. Kebijakan mengenai persoalan ini merupakan salah satu kebijakan yang patut didukung oleh semua kalangan, berbeda jauh dengan kebijakan soal ekonomi yang memang terlihat cukup memberatkan rakyat, seperti kenaikan BBM dan kebutuhan pokok. Departemen kesehatan harus mendapat dukungan seluas-luasnya untuk memimpin penghentian penularan dan keganasan virus ini. Sekali lagi, wabah flu burung harus tetap menjadi perhatian kita. Langkah-langkah nyata pemberantasan, harus pula datang mengikutinya. (*)

</TD></TR></TBODY></TABLE>http://www.hariansib.com/index.php?option=com_content&task=view&id=4802&Itemid=9

 

[HenryN]

Re: Indonesia - Family in Karo suspected of having bf

Re: Indonesia - Family in Karo suspected of having bf

<TABLE class=contentpaneopen><TBODY><TR><TD class=contentheading width="100%">Gubsu: will be built the Special Room of the Handling of the Epidemik Case </TD><TD class=buttonheading align=right width="100%"> </TD><TD class=buttonheading align=right width="100%"> </TD><TD class=buttonheading align=right width="100%"> </TD></TR></TBODY></TABLE><TABLE class=contentpaneopen><TBODY><TR><TD vAlign=top align=left width="70%" colSpan=2>Written by editorial staff </TD></TR><TR><TD class=createdate vAlign=top colSpan=2>On Tuesday, on May 16 2006 </TD></TR><TR><TD vAlign=top colSpan=2>Medan (SIB)
Six casualties died in RS H Adam the Owner three days are still known
His cause positively after receiving confirmation from the Centre of International Hong Kongese Bird Flu. The matter is, until at this time casualties died still was stated as probable case bird flu produced by the Puslitbangkes inspection and WHO.
Was like this it was said Gubsu, Drs Rudolf M Pardede that in accompanied the Section Head the Propsu Health, Dr Hj Fatni Sulani, Director RS H Adam the Owner, drg H Armand P Daulay M. Cash, the Section Head Livestock Breeding, A the Siregar Uterus to the reporter ended considered casualties that at this time was treated intensively in RS H Adam the Owner, Medan, on Monday (15/5).
According to Gubsu, five from six patients who were treated in RS H Adam this Medan Owner died, another still in the intensive maintenance, likewise a person who was treated in RS Elisabeth Medan. From five specimen that was investigated, four including being stated probable (positive had an opportunity), whereas from Namroe-WHO, from 5 specimen all of them positive.
?Hasil this still was probable and in accordance with the provisions and the procedure, the conclusion of the end was still needing confirmation from the Centre of International Laboratory Reconciliation Bird Flu in Hong Kong. That had the authority to announce him was RI Health Minister or the official of the echelon of I Depkes,? he said.
In the same place, Hj Fatni Sulani said in an epidemiological manner, still could not be determined by the source of the certain spread, but it was suspected still came from one same source. Moreover, was not yet known by the existence of the spread from humankind to humankind, so as to have to continue to be done by observation continually.
?Saat this has been konfirmai orally from Puslitbangkes. But did not yet have the report was written. Was based on these findings was maintained by us his status to probable case or a level above suspect, because of having results of the local laboratory inspection. However the increase in the status became positive still was waiting for results of the laboratory in Hongkong,? said Fatni Sulani.
Explained since entering Adam's hospital the Medan Owner last May 8, 5 people have from 6 casualties died. They were Roy Karo-Karo (19) that died the date 9/5, Anta boru Ginting (29) that died tgl 10/5, Boni Karo-Karo (35) died 12/5, Rafael Ginting (10) and Brenata Tarigan (1,5) that died 14/5.
At this time remained at Jones Ginting (25) that still was remaining and was treated in this hospital. Now one other casualty, Obviously boru Ginting (35) that could enter and afterwards ran from RS Adam the Owner, currently is treated in RS Elisabeth Medan.
Ditambah korban Puji boru Ginting (49) yang merupakan keluarga korban dan meninggal tanggal 4/5 sebelum sempat diperiksa sampel darahnya, maka total korban flu burung yang meninggal mencapai 6 orang.
Berdasarkan hasil penelitian yang dilakukan Dinas Kesehatan bersama Dinas Peternakan, unggas yang ada di desa tersebut maupun pupuk kandang yang masuk ke desa yang diduga menjadi sumber penularan ternyata negatif virus flu burung.
?Untuk lebih memastikan apakah unggas ataupun binatang lain di desa tersebut terinfeksi virus tersebut, Dinas Peternakan Sumut juga sudah mengirimkan specimen dari babi, itik dan hewan lainnya yang ada di desa tersebut ke Balai Veteriner Bandung. Mudah-mudahan hasilnya secepatnya bisa diketahui,? kata Kepala Dinas Peternakan Sumut A Rahim Siregar.
Rahim mengakui pihaknya kesulitan meneliti media penularan virus tersebut. Karena keluarga maupun warga satu kampung korban tidak ada yang bersedia memberikan keterangan tentang kondisi awal ketika korban mulai mengalami demam.
Informasi yang diperoleh, hanya menyatakan bahwa korban yang masih satu keluarga dan rumahnya berdempetan ini sebelumnya mengadakan acara keluarga dan makan bersama. Dan masih ditelusuri apakah makanan pada saat makan bersama tersebut yang menjadi wadah penularan virus tersebut.
Sementara kondisi Jones Ginting menurut Ketua Tim Penanggulangan Flu Burung RS Adam Malik Medan Prof dr Luhur Suroso sudah semakin membaik. Yang ditandai dengan hasil foto roentgen bahwa kondisi pneumonia sudah semakin berkurang, batuk dan demam juga sudah berkurang.
?Kita tetap melakukan penanganan intensif dan trennya semakin membaik. Kemungkinan daya tahan kekebalan tubuh Jones lebih bagus dari korban lain. Sehingga dia bisa selamat walaupun sempat mengalami pneumonia luas,? kata Luhur Suroso.
Untuk menyelidiki secara lebih luas lagi, Dinas Kesehatan Propsu telah melakukan specimen (pengambilan darah) dan usap tenggorok kepada 59 orang, baik terhadap perawat RS Elisabeth (5 orang), warga pasien (2 orang) maupun masyarakat di Desa Kubu Simbelang Kecamatan Tiga Panah Kabupaten Karo, RS Kaban Jahe, Klinik G Mandala, Klinik Melva, RS Ester dan RS H Adam Malik Medan.
Semua specimen sedang dalam pemeriksaan Puslitbangkes dan semua specimen tersebut, termasuk terhadap kontak serumah maupun kontak pelayanan kesehatan, terus dilakukan pemantauan oleh petugas kesehatan selama 10 hari. Apabila dalam 10 hari tersebut ada yang demam maupun sesak, langsung dilakukan pengobatan dengan tablet Tamiflu. ?Seluruh yang diperiksa ini sudah teridentifikasi datanya, dan Dinkes Sumut telah mengirimkan 400 tablet Tamiflu ke Dinas Kesehatan Karo,? jelasnya.
DIBANGUN
Gubsu mengakui bahwa penanganan korban flu burung di RS H Adam Malik belum maksimal. Salah satu faktor yakni ruangan isolasi yang tersedia sempit atau relatif kecil. Untuk itu, Pempropsu akan membangun ruangan khusus yang representatif khusus penanganan kasus epidemik. (A12/C13/l)

</TD></TR></TBODY></TABLE>http://www.hariansib.com/index.php?option=com_content&task=view&id=4801&Itemid=9

 

[Snowy Owl]

Re: Indonesia - Family in Karo suspected of having bf

Re: Indonesia - Family in Karo suspected of having bf

Authorities in Indonesia say they have found bird flu in the easternmost province of Papua for the first time.

A senior Agriculture Ministry official says the deadly H5N1 strain of the virus was detected in a number of fighting cocks in the Manokwari area of western Papua in late April.

The official has been quoted as saying the birds were brought to Papua from neighbouring Sulawesi.

Bird flu has now been found in poultry in about two-thirds of the country's 33 provinces.

As a nation, Indonesia has suffered the most human deaths from bird flu this year.

http://www.radioaustralia.net.au/news/stories/s1640118.htm?Indonesia

 

[HenryN]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

<TABLE class=contentpaneopen><TBODY><TR><TD class=contentheading width="100%">Hundreds of villagers Kubusimbelang visited the Regent Karo asked the Bird Flu Virus Immediately to be responded to </TD><TD class=buttonheading align=right width="100%"> </TD><TD class=buttonheading align=right width="100%"> </TD><TD class=buttonheading align=right width="100%"> </TD></TR></TBODY></TABLE><TABLE class=contentpaneopen><TBODY><TR><TD vAlign=top align=left width="70%" colSpan=2>Written by editorial staff </TD></TR><TR><TD class=createdate vAlign=top colSpan=2>On Tuesday, on May 16 2006 </TD></TR><TR><TD vAlign=top colSpan=2>Kabanjahe (SIB)
Restless towards bird flu that has claimed the spirit of six citizens, hundreds
Villagers Kubusimbelang the Tigapanah Subdistrict, the Karo Regency visited the house Karo Street of the Regent's Service the Veteran Kabanjahe, on Monday (15/5) urged the Regent Karo DD Sinulingga immediately to settle this problem.
By climbing onto several wheel vehicles four and the wheel two sembari brought several posters that be inscribed in part ?Kembalikan the Dignity of the Kubusimbelang Village Community, the Community of Burung? Flu of the Trauma of rumours. Their arrival was accepted by the Regent Karo DD Sinulingga, the Representative of the Regent Karo, Ir Nelson Sitepu, Sekdakab Karo Drs Sumbul S Depari MSi, Regional Chief Police of Republic of Indonesia the Land Karo AKBP Drs Ricky F Wakano, the Chairman DPRD Karo was in a meeting Romanus Ancient SH Kadis related the Muspida element other.
In the dialogue with the Regent Karo, the citizen questioned about the assurance of the cause of the death of six Kubusimbelang villagers respectively, praised Br Ginting, Roy Karo-Karo, Anta Br Ginting, Boni Karo-Karo, Rafael Ginting and Brenata Br Tarigan. The six citizens were talked about died resulting from the bird flu virus.
On the question, the regent said, the six Kubusimbelang villagers really died resulting from the bird flu virus. This matter, said the regent was in accordance with results of the inspection of casualties's blood by Namro Laborotorium USA went through WHO his delegation in Jakarta, Graham T. But according to the regent as far as this is concerned was not yet learnt definitely the spreading of this virus came from where, because in accordance with results of the inspection and the North Sumatran Livestock Breeding Service of the Health Service, the community's poultry in the Simbelang Fortification Village like the chicken, the duck, birds, was stated by the negative.
However the explanation of this Karo Regent, did not yet make the community satisfied. They hoped that the Karo Regional Government stated clearly the condition for bird flu in the Kubusimbelang Village. Really their poultry has been safe from the virus for the Karo Health of bird flu of the reason for the Service said must be destroyed. Whereas the agricultural Service and Livestock Breeding said the poultry in this village the negative of the bird flu virus.
To look for the solution, the Regent DD Sinulingga ask for to the citizen took action lanjuti the discussions to hold the meeting with mengutus several citizens that was led by Kades Kubusimbelang Good Ancient was accompanied by the citizen of the expatriate Kubusimbelang, the Ginting Champion from USU Medan as well as the inhabitants other took place in meeting space of the Regent Karo.
In the meeting the community questioned about the extermination instruction of the community's poultry by the Health Service of the Karo Regency available was carried out by the inhabitants. In fact they said, was in accordance with results of the inspection of their livestock of being not was found by this bird flu virus. ?Hal this must be able to be accounted for by the service tersebut,? said one of the citizens.
Menanggapi hal tersebut Bupati Karo DD Sinulingga mengatakan itu dilakukan untuk mengantisipasi hal-hal yang tidak diinginkan yakni kemungkinan berjangkitnya virus flu burung dari ternak terhadap warga masyarakat sebelum keluarnya hasil pemeriksaan terhadap unggas yang ada di desa itu. Karena kata Bupati, pihak Dinas Kesehatan lebih mengutamakan keselamatan manusianya. Atas penjelasan Bupati itu, warga dapat menerimanya.
Setelah berdialog dengan warga, Bupati Karo DD Sinulingga mengambil langkah-langkah lebih lanjut melalui Dinas Pertanian mengadakan penyemprotan massal desinfektan terhadap seluruh kandang ternak di Desa Kubusimbelang dan Dinas Kesehatan mengadakan pengobatan massal secara gratis dan memberikan vitamin kepada warga, Selasa (16/5).
Pada kesempatan itu warga Desa Kubusimbelang melalui Br Tarigan istri mantan Kades Desa Kubusimbelang mengundang bupati dengan unsur Muspida dan pejabat jajaran Pemkab Karo untuk makan bersama di Desa Kubu Simbelang, dengan menyediakan makanan ayam milik warga untuk dimakan bersama. Hal itu dilakukan untuk meyakinkan semua pihak bahwa virus flu burung tidak ada (negatif) di desa tersebut. (C6/m)

<TABLE cellSpacing=1 cellPadding=4 width="100%" border=0><TBODY><TR><TD class=sectiontableheader>Komentar </TD></TR></TBODY></TABLE>
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[HenryN]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

Commentray at

http://www.recombinomics.com/News/05160601/H5N1_Transmission_Indonesia.html

 

[HenryN]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

Bird-Flu Cluster in Indonesia
Hasn't Spread Past Infected Family
By NICHOLAS ZAMISKA
May 16, 2006 6:01 a.m.

An unusually large cluster of human bird-flu cases in Indonesia so far doesn't appear to suggest that the virus has mutated to spread easily among people, the watershed event authorities are constantly monitoring for fear of a pandemic.
Local and international public-health officials, who have been examining a village where eight members of an extended family in northern Sumatra fell ill after a recent family gathering, said they haven't yet turned up any evidence that the outbreak has moved beyond the infected family itself. Six of the eight have died.
PREVENTING A PANDEMIC

<SUP>1</SUP> ? See an FAQ on avian flu<SUP>2</SUP>, an interactive global map<SUP>3</SUP> and track the latest developments in the Avian Flu News Tracker<SUP>4</SUP>.

? Plus, see complete coverage<SUP>5</SUP>.


"What we're finding is that there's no evidence of any further spread beyond this one cluster," said Steven Bjorge of the World Health Organization in Jakarta.
The delay in defusing what had become widespread speculation about possible rapid human-to-human transmission of bird flu highlights a predicament the WHO finds itself in. The United Nations health agency is bound to investigate cases, but loath to go public with what it discovers before local governments do.
"We're always waiting for them to take the lead on these things. We provide advice, but after all this is a sovereign nation, and they represent the authority of the government," said Dr. Bjorge, who along with two other WHO officials in Indonesia declined to release specific information they had about the cluster of cases before the central government had a chance to make the information public.
<REPRINTSDISCLAIMER>Local tests have shown that five of the eight family members were infected with H5N1, a deadly strain of bird flu, but definitive results from a laboratory in Hong Kong are still pending.
Graham Tallis, a WHO epidemiologist who has traveled to the family's village to investigate the cases, said that while health officials were on alert for cases of fever and that there were a lot of health care workers in the area, "there's no evidence of spread beyond the family group."
Seven people who had contact with the victims have all tested negative, Nyoman Kandun, director general of disease control and environmental health at the Indonesian Ministry of Health in Jakarta, said late Monday. He added that no additional cases of illness have been detected.
The WHO and local health officials are currently both trying to figure out how the group got sick. The family members all could have caught the virus from the same, avian source, perhaps while preparing a meal with an infected chicken.
The virus may have also passed directly between the family members, although direct transmission between humans has been suspected in very few cases. Even if that proves to be the case, while it would be an alarmingly large cluster of human-to-human infections, it wouldn't necessarily mean that the virus had evolved to spread easily among people, the possible prelude to a pandemic.
Write to Nicholas Zamiska at nicholas.zamiska@wsj.com<SUP>6</SUP>
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[hawkeye]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

The delay in defusing what had become widespread speculation about possible rapid human-to-human transmission of bird flu highlights a predicament the WHO finds itself in. The United Nations health agency is bound to investigate cases, but loath to go public with what it discovers before local governments do

So does the above statement indicate that we (the public) will receive information in a more timely fashion, or will information leaks be plugged up?

-Hawkeye

 

[Snowy Owl]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

From the WHO imperatives tasks lists and lists and lists, some pertinent and timely infos is considered to be relay to Public Health Offices.

 

[Goju]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

It seems from the latest reports that the pandemic has not begun with this cluster.

If it was the start, we'd be seeing more infections by now.

Do we have agreement from FT members?

 

[Snowy Owl]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

In this latest article Nicholas Zamiska
URL for this article:
http://online.wsj.com/article/ SB...5133754016.html
or for those who are not subscribers
http://www.flutrackers.com/ forum...12819#post12819

...Graham Tallis, a WHO epidemiologist who has traveled to the family's village to investigate the cases, said that while health officials were on alert for cases of fever and that there were a lot of health care workers in the area, "there's no evidence of spread beyond the family group."
Seven people who had contact with the victims have all tested negative, Nyoman Kandun, director general of disease control and environmental health at the Indonesian Ministry of Health in Jakarta, said late Monday. He added that no additional cases of illness have been detected.
The WHO and local health officials are currently both trying to figure out how the group got sick. The family members all could have caught the virus from the same, avian source, perhaps while preparing a meal with an infected chicken.
The virus may have also passed directly between the family members, although direct transmission between humans has been suspected in very few cases. Even if that proves to be the case, while it would be an alarmingly large cluster of human-to-human infections, it wouldn't necessarily mean that the virus had evolved to spread easily among people, the possible prelude to a pandemic.

Obviously, from many other local sources of information, the WHO has stepped in and is directing real and substential help in the area.

Again, let me remind you that this help was ask by Doc Vallat of the OIE at the beginning of March when he stated that the Indenesia case was a 'Timebomb'.

Let me remind you too of the Health Minister of Health in Indonesia, asking for technical and financial help few weeks ago as he stated the 128 positive cases of H5N1.

So, many people from WHO and others are now on the ground and heading there.

We have notice via the local reports that some panic is spreading among the inhabitants.

Please let's not forget that panic is normal at this stage and it is not a confirmation of a unfolding h2h pandemic.

I would say, that it is a good thing that help has arrived and is on its way, it is time for all countries to realise that one country problem can become a global problem, therefore all help legitimaly needed should be provided without political considerations because of the Global Public Health implications.

 

[DB]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

What I find very disturbing about this whole thing is that WHO has not issued a press releases since May 8th on Indonesia.

Surely they should have issued a press release on the current situation in Indonesia by now.

Furthermore I would not wave the "all clear" banner on this situation yet, mostly because there are so many inconsistencies with the total number of cases.

In another week we will know for sure if this has gone loco.

 

[sharon sanders]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

WHO may not have issued a press release because maybe they are still assessing the situation. There are conflicting reports of different infections and testing status.

 

[HenryN]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

What I find very disturbing about this whole thing is that WHO has not issued a press releases since May 8th on Indonesia.

Surely they should have issued a press release on the current situation in Indonesia by now.

Furthermore I would not wave the "all clear" banner on this situation yet, mostly because there are so many inconsistencies with the total number of cases.

In another week we will know for sure if this has gone loco.

The number of cases in the North Sumatra cluster has been 8.

 

[DB]

Re: Indonesia BF - 5/16/06

Re: Indonesia BF - 5/16/06

The number of cases in the North Sumatra cluster has been 8.

Yes.

The numbers that I was referring too were these:

128 - Reported Confirmed cases of Human H5N1
12 - Suspect patients
57 - Samples being sent to Hong Kong
1 - Health Care Worker