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Indonesia (Java) Mar 30 to Mar 31, 2007 Doctor suspected

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Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

So perhaps his symptoms are more mild due to the fact that the viral load was lessened because he was wearing protective clothing? Which to me suggests, if he does in fact have BF, that if he were not wearing protective clothing then he may be in much more dire straights.

jm2c



"He is in an isolation room, doing fine. He has been suffering from a sore throat, fever and some respiratory problems. However, he wore a complete protection suit when dealing with a bird flu patient last week,"
Click to expand...
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

Indonesian authorities are now considering autopies to more accurately determine the disease progression of avian influenza. Autopies are not usually done due to Muslim relgious practices that require a quick burial.
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

So...what is everyone's personal assessment of this situation?
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

hawkeye said:
So...what is everyone's personal assessment of this situation?
Click to expand...

No extra worries here, not confirmed yet, accidents can happen.

When more doctors and other HCW are becoming positive , well ...time to follow the developments closely.
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

I'm in the "waiting for more results" category too. Even if the HCW are positive it doesn't mean the virus is efficient. It could die out at the 2nd Human level.
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

Since WHO has stopped reporting H5N1 cases in Indonesia at the end of January, there have been 10 additional, locally confirmed, cases. The last eight (8) have all died. Based on the news reports, they died between 1 and 11 days after admission, with most dying within 1-4 days of admission.

Didi Slamet Prihadi was only treated for four days before he died. The doctor would have to have been infected within that period. Similarly Marwiyah Permina Putri was only hospitalized for two days before death. The four nurses would only have been exposed over a period of two days.
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

so we're looking at approx. 9 days until we know absolute result of their infections?
 
Re: Indonesia - JAVA - Mar. 20+

Re: Indonesia - JAVA - Mar. 20+

<TABLE cellSpacing=0 cellPadding=0 width=556 border=0 valign="top"><TBODY><TR vAlign=top><TD vAlign=top width=2 bgColor=white></TD><TD vAlign=top width=554><!-- start: main content --><TABLE cellSpacing=0 cellPadding=0 width="100%" summary="" border=0><TBODY><TR><TD align=left><INPUT onclick="javascript:this.disabled=true; doSubmit('Back');" type=button value=Back></TD></TR></TBODY></TABLE><TABLE summary=""><TBODY><TR><TD noWrap align=right>Archive Number</TD><TD noWrap align=left>20070330.1089</TD></TR><TR><TD noWrap align=right>Published Date</TD><TD noWrap align=left>30-MAR-2007</TD></TR><TR><TD noWrap align=right>Subject</TD><TD noWrap align=left>PRO> Obituary: Prof. Aileen Plant</TD></TR></TBODY></TABLE>

http://www.promedmail.org/pls/prome..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,36894OBITUARY: PROFESSOR AILEEN PLANT:( 29 Mar 2007From: Marjorie P. Pollack, MD <pollack@promedmail.org>Aileen was a very dear friend. Her sudden death will leave a big void in Public Health internationally. It is very difficult to find the words that would adequately capture what a truly wonderful friend and impressive, dynamic public health practitioner Aileen was.As a friend, they didn't come much better, as many who were fortunate enough to call her a friend would say.As a Public Health professional, the same applies; they just don't come much better. Her official titles included Professor of International Health at Curtin University of Technology and Deputy CEO of the Australian Biosecurity Cooperative. She also served as an expert consultant to the World Health Organization (WHO) in many different capacities. In addition to her below- mentioned activities in SARS and avian influenza, Aileen was actively involved in the revision of the International Health Regulations, was on the Polio Eradication Advisory Committee, was the founding director of the Australian Field Epidemiology Training Program, and chaired more committees than one would imagine, all of which she did with ease, professionalism and a wonderful infectious smile and sense of humor. She will be sorely missed by many.Below are the early announcements of her death.--Marjorie P. Pollack, MDAssociate : Margaret Chan, WHO Director-General [edited]<http://www.who.int/mediacentre/news/statements/2007/s07/en/index.html>WHO and the public health community mourn the death of Dr. Aileen Plant-----------------------------------------------Today, I would like to express my most sincere condolences to the family, friends, and colleagues of Dr Aileen Plant.Dr Plant, of Australia, was a renowned medical epidemiologist, an outstanding global public health leader, and longtime friend to the public health community. She was a path-blazing, respected lecturer, teacher and writer. Many at WHO considered her a mentor. She died suddenly yesterday at the Jakarta airport, traveling home from a WHO meeting.Dr Plant made enormous contributions to the health and welfare of people in her country, and to the world. In the very early weeks of the SARS outbreaks in Viet Nam, she was instrumental in analysing the threat. She was a core part of the team which designed the influenza pandemic containment plan. Just this week in Indonesia, she helped to bring consensus on the challenging issues surrounding avian influenza virus sharing and ensuring access to influenza vaccine for developing countries.She never hesitated to travel to the places she was needed. And we needed her many, many times in extremely challenging situations. She brought a deep sense of duty, commitment, vast experience, ethics, courage, and professionalism to her work. Those who knew her described her as "the best," "the beating heart" and a "true servant" of public health.We and many others will miss her personally and professionally very much.:tiphat:
</PRE></TD></TR></TBODY></TABLE></P>More at link
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

hawkeye said:
I'm in the "waiting for more results" category too. Even if the HCW are positive it doesn't mean the virus is efficient. It could die out at the 2nd Human level.
Click to expand...
Wait and see, too.

Regarding the group of 4 HCWs (the mid-wife, et. al.), all work in what I imagine to be a sort-of local clinic -- the Jetis Community Health Centre presumably in the Jetis Subdistrict. If they also live locally, they could also very well be exposed to sick poultry (or cats or whatever), too. Heck, they might even have some backyard poultry themselves!
 
Re: Indonesia - JAVA - Mar. 20+

Re: Indonesia - JAVA - Mar. 20+

I pulled up the Encarta Map....

A (2 1/2) Adm: 3/13 - Lembang.......6 miles away from......

Dendi (4) Adm: 3/27 - Cicadas........4 miles away from.....

Fatima (7) Adm: 3/29 - Buahbatu (name of Comm. Ctr.) because I couldn't find Kidul on the map.
 
Re: Indonesia - JAVA - Mar. 20+

Re: Indonesia - JAVA - Mar. 20+

via toggletext

NOTE: ARTICLE DOES NOT STATE AS TO WHY DOCTORS AND NURSES ARE STRIKING:

Translated Link:

On Friday, March 30 2007
Doctor, Perawat, and the Staff RS stalled

Jambi - the Activity of the Raden Mattaher regional Public Hospital (RSUD RMT) Jambi yesterday total paralysis. Hundreds of staffs, the nurse, and the doctor went on strike. As a result, hundreds of biggest hospital patients in the Jambi Province were neglected.

Syaifullah, the patient pengidap the pulmonary disease, was unstable. His article, he might not be cut off mengonsumsi medicine. When intending to buy him yesterday, he was not served.

"Imagine what will happen to my child," said Sya?diah, parents Syaifullah. Sya?diah afterwards around struck 11,30 decided to come home him in Kilometre 9 Out Of Town Jambi. Sya?diah threatened to prosecute the RSUD RMT side if matters happening was not wanted with his child.

The patient treated the road almost raged. The window of the polyclinic was closed because his staff took part in going on strike.

The window of the family's poor service (Gakin) only was expected by two staffs who appeared to panic to face the visitor that menumpuk. Operation space also was closed without the activity.

Some space inap and the ward in RSUD RMT only was occupied by the patient and only had few guarding nurses. Doctors who were assigned, according to the acknowledgment of the visitor RSUD, to refuse to give the recipe and to serve the patient on the basis of the middle nurse the demonstration.

The patient who was scheduled to undergo the operation must come home empty-handed. A hernia sufferer was approximately seven years old came without the handling. "His schedule today the operation." If being postponed, frightened him was even serious, said Lina, the mother of this patient.

The patient who came with the disappointed feeling and will take medicine had finally filled the hall RSUD. they shouted at several nurses. His hope, there are those that melayani. but, their scream was not heeded. The nurses stayed busy berorasi.

Enny Erawati, the head of the Field RSUD RMT of the Medic's Service, when being asked for by the matter response of the incident yesterday, admitted to be able to not panic and do many. "You could see personally, that worked at this time was the doctor all." The staff and his nurse were not available. I was also confused because of pooring the patient, said Enny that was accompanied by several officials RSUD. (dpc/jpnn)
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

http://news.yahoo.com/s/afp/2007033...ia_070330201950;_ylt=A0SOwkprew1GptUARgSTvyIi

Indonesian doctor with suspected bird flu 'improving' JAKARTA (AFP) - An Indonesian doctor who fell ill after treating patients suffering from the deadly bird flu virus was improving, a fellow doctor said Friday.
The 29-year-old doctor was hospitalised on Thursday after developing symptoms similar to bird flu, raising concerns of human-to-human transfer of the deadly virus.
"His condition is improving, his fever is down and x-ray results came back good," said Hadi Yusuf, a doctor who treats patients with the virus at the Hasan Sadikin hospital in West Java.
However the sick doctor, identified only by one of his initials S, will remain in isolation at the hospital until the results of tests were known.
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

I have my head up and the antennae are quivering but have not gone into town to purchase the last minute items on my list. In other words I am alert but not convinced 'this is it'. It is possible she/he doesn't have H5N1.

Wait, have the virus confirmed or, see if the virus infects other HCW's or family members of the stricken doctor. If I start to see other HCW's moving into isolation in the hospital I will be worried.
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

On Saturday, March 31 2007 the Paramedic Suspect Burung
Flu
Bandung - the Spreading of the virus H5N1 that caused the illness avian influenza (AI) increasingly worrying.
A paramedic the Handsome Sadikin Hospital (RSHS) was expected (suspect) was infected by the illness that more was known as the bird flu.
The paramedic who only was acknowledged as his initials, S, that was treated in isolation space with three suspect other.
He began to enter this space around struck 11.
00 on Thursday.
The chairman of the Team of the Control of RSHS Bird Flu Dr Hadi Jusuf suspected S of beginning tertular the virus H5N1 when that was relevant treated a bird flu patient some time before.
That became the question because each doctor who handled the case of bird flu it was confirmed has filled the operational standard procedure.
The assurance of the procedure was sent Kasubag public relations and Protocol RSHS Mimin Sumilawati that the afternoon yesterday accompanied Hadi.
That was relevant used protective equipment took the form of the mask, gloves, and pengaman other.
Occupants of the other Poinciana Tree, Dandi, 4, showed the development improved.
Up to now, RSHS did not yet confirm whether that was relevant positive was infected H5N1 or not.
The condition for other occupants, Fatma, who entered on Thursday (on March 29) also increasingly good.
Likewise Jejen, 25).
The fourth patient entered Poinciana Tree space on Thursday night (on March 29) struck 22.
00.
The father-in-law Jejen, Suryana, 45, explained that three the previous day four chickens belonging to his son-in-law died.
He then immediately asked the Livestock Breeding Service and Regency fisheries of Bandung to destroy his property poultry.
(Cr-11/jpnn)
http://www.jawapos.co.id/index.php?act=detail_radar&id=157265&c=1
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

I'm not panicking yet. It hasn't gone exponential. Until then, it's just another disease.

As long as patients are still being admitted to hospitals, rather than abandoned outside them, all is well.
 
Re: Indonesian doctor hospitalized for suspected bird flu

Re: Indonesian doctor hospitalized for suspected bird flu

More on the doctor, Sandra :

In Bandung, Sandra, 29, resident of Kel Pasirkaliki, Kec Cicendo, the Bandung City; and Jejen, 25, the resident Kp the Plantation, the Sugimukti Village, Kec Pasirjambu, Kab Bandung, was forced to undergo the maintenance in Poinciana Tree space of RSHS Bandung.

Both of them that were expected to suspect AI, entered the isolation space since last Thursday (29/3).

From the entry of two people suspect just this, attention of the medical circle was aimed at Sandra.

His article, Sandra was the doctor who had treated the positive patient H5N1, Didi Slamet Priadi, 16.

After two days treated Didi that finally had died last Sunday (25/3) that, Sandra experienced the fever and was sick the throat.

Sandra's status as suspect this provoked the speculation about the possibility of the spread of the virus H5N1 antarmanusia (human to human) that uptil now was not yet proven medically.

”Although also did not yet have the spread from humankind to humankind, we continued to be on the alert.

And the doctor's patient, was carried out by us like the patient suspect bird flu that other,” revealed the Chairman of the Team of the Handling of RSHS Bird Flu Dr Hadi Yusuf, yesterday.

He admitted to taking the sample of blood and opus the throat from this patient and was sent to the Body of Health Research And Development (Balitbangkes) Department of Health Jakarta, yesterday.

”We sent the sample of his blood this morning (yesterday) ,” said Hadi.

The managing director RSHS Prof Dr Cissy RS the officer said did not have negligence in the medical procedure that was carried out by Dr Sandra.

According to him, Dr Sandra used protection equipment like that was given by the Department of Health.

”So did not have negligence. We did in accordance with the procedure,” he revealed.

The chairman of the National Committee the Control of Bird Flu and Preparedness faced the influenza Pandemic (Komnas FBPI) Bayu Krisnamurti asked all the sides to not give the early conclusion on the possibility of the spread antarmanusia (human to human) with the case Dr Sandra.

He said, so the doctor experienced the illness that was similar to influenza or is normally acknowledged as influenza like illness.

”It could not be claimed like that the spread from human to human, don't please don't” he warned.

http://www.seputar-indonesia.com/edisicetak/berita-utama/lagi-1-pasien-ai-meninggal.html

credits Blue Jay for the link
 
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