Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado - Tested negative

[Gert van der Hoek]

After chickens were tested positive for H5N1 in Kotamobagu , apparently people who could have been in contact with the chickens were checked for flu-like symptoms.

10 people were feverish, they were sent to hospital in Manado. 1 person is escorting the 10. Their condition seems to improve, the fever seems to go down.

At first glance it looks like precautionary measures were taken, no serious health problems are reported, test results are pending.

Earlier this year a similar outbreak was reported from the same town Kotamobagu: http://www.flutrackers.com/forum/showthread.php?t=166070



machinetranslation

There are 11 Suspect Bird Flu Patients in Hospital Kandou

Manado Tribune - Monday, September 5, 2011

The issue of bird flu outbreak again. Hospital Kandou, there were 11 patients suspect bird flu. According to Public Relations Kandou RS, Jemmy Tomuka, 11 patients suspect bird flu from Kotamobagu, "yesterday at 6 am to enter. 10 people in fact, an introduction to one another 10 people," he said.

Tomuka said, the suspect is still conjecture, to know the patient, is positive for bird flu is still going on to do further tests, "while ordinary circumstances, would be a series of bird flu tests, observations of what meets the criteria of bird flu," said Jemmy Now, the suspect placed the patient in isolation room RSUP Kandou D5.

Tribun Manado

10 Kotamobagu Residents Suspect Bird Flu

Manado Tribune - Monday, September 5, 2011

- Anwar Mamonto along with nine family members had taken to the hospital Kandou in Manado, on Sunday (04/09/2011). Residents RT Gogagoman Village VII is alleged exposure to the H5N1 virus or bird flu. Kotamobagu Chief Medical Officer Dr. Salmon Helweldery MA when he said, this time their condition has improved. High fever that previously plagued the 10 people has now been dropped.

The suspect bird flu "There were four women and six men, their families Mamonto Mr. Anwar who is also chairman of the RT VII. Their situation has improved, but for the test results have not been there," said Salmon.

The suspect bird flu was initially taken to the hospital Datoe Binangkang. But because there is no end of equipment referred to hospitals Kandou in Manado. Until Monday (09/05/2011), Gogagoman residents are still being treated in hospital.

Tribun Manado



25 Chickens in Kotamobagu hit by bird flu

Monday, September 5, 2011

Kotamobagu - Residents Kotamobagu, and surrounding areas began to fear. Why? The virus known as H5N1 or bird flu is thought to have mutated, more frightening there again after a number of chickens died suddenly.

"Chickens exposed to the H5N1 virus usually have characteristic scales jengernya feet turn blue and red like blood. But now sudden death and non-marking, "says Head of Department of Agriculture Livestock Fisheries Forestry Plantation Animal Husbandry and Food (DP4K2P) Kotamobagu Nurachim P Mokoagow on Monday (5 / 9).

Gogagoman confirmed the incident in 25 chickens tested positive for the H5N1 virus is expected to make society more vigilant. In addition to maintaining the health of livestock and stables, vaccination should also be given to pets.

He added that the price of the vaccine is quite expensive, but the public can use the free vaccine from the government. "There is a free vaccination at four districts," he said.

beritamanado

RS Kandou Isolates 11 Patients Suspect Bird Flu

Monday, September 5, 2011

SATURN - The bird flu virus is estimated to have returned raged. In fact, this time there is suspicion of a virus previously known to frequent contact with the animals, has mutated. PR RS Kandou, Jemmy Tomuka, say, 11 patients suspect bird flu Kotamobagu origin.

"These patients go on Sunday morning, at 6 am inside. 10 people in fact, an introduction to one another 10 people, "he said.

Tomuka, said the suspect is still conjecture, to know the patient, positive for bird flu is still going on to do further tests. "It was ordinary, will be a series of bird flu tests, observations of what meets the criteria of bird flu," he said. Currently a number of suspected patients placed in isolation rooms RSUP Kandou D5.

beritamanado

 

[Gert van der Hoek]

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Bird Flu Information Corner

Kotamobagu, North Sulawesi ::: Birds test positive bird flu and 10 people suspected

Posted by Ida on September 5, 2011

Kotamobagu ? A family of 10, consists of 4 females and 6 males, rushed to Kandou hospital in Manado, Sunday (4/9) because of H5N1 suspicion. The family resides in Kelurahan Gogagoman.

The family developed high fever and then were brought to Datoe Binangkang hospital and later transferred to Kandou hospital.

The patients are now recovering, but so far there is no examination result of the cause of the disease.

In the meantime, about 25 chickens in Gogagoman died and tested positive H5N1 infection. The chickens died-off without showing common bird flu signs such as bluish comb/wattle and subcutaneous bleeding of fetlock, which is raising a suspicion of possible virus mutations, told the authority of Livestock Service in Kotamobagu.

Source: Indonesia local newspapers, http://manado.tribunnews.com/2011/09/05/10-warga-kotamobagu-suspect-flu-burung

http://beritamanado.com/2011/09/05/25-ayam-di-kotamobagu-kena-flu-burung/

 

[Gert van der Hoek]

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

machinetranslated

Local Government warns the community to watch out for bird flu

Manado Tribune - Monday, September 5, 2011

TRIBUNMANADO.CO.ID, Kotamobagu - on Monday (05/09/2011) afternoon, Chief Medical Officer Salmon Helwedery confirmed Kotamobagu 10 bird flu suspects are treated in isolation. But he has yet to get the blood test is positive if the patients infected with H5N1 virus or not.

Department of Health is also coordinating with the Plantation Agriculture Livestock Fisheries and Food (DP4K) for the prevention of the spread of the virus. Steps taken include epidemiologic investigation or monitoring of its citizens within a radius of 200 meters.

This is mainly carried out around the Complex Lorong Kembang, RT Gogagoman Village VII. "Today (Monday, 5 / 9) we have been spraying with disinfectant around the site," said Salmon.

Tribun Manado

 

[Treyfish]

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Pemko Kotamobagu Society urges bird flu alert



Manado Tribune - Monday, September 5, 2011 17:28



TRIBUNMANADO.CO.ID, Kotamobagu - Chief Medical Officer Salmon Helwedery ensure Kotamobagu 10 suspect bird flu on Monday (05/09/2011) afternoon, treated in isolation. But he has yet to get the blood test is positive if the patients infected with H5N1 virus or not.


Department of Health is also coordinating with the Plantation Agriculture Livestock Fisheries and Food (DP4K) for the prevention of the spread of the virus. Steps taken include epidemiologic investigation or monitoring of its citizens within a radius of 200 meters.


This is mainly carried out around the Complex Lorong Kembang, RT Gogagoman Village VII. "Today (Monday, 5 / 9) we have been spraying with disinfectant around the site," said Salmon.


Furthermore, he urged citizens if found indications that have traits such as high fever above 38 degrees Celsius, flu, cough, fatigue, joint pain and shortness of breath then immediately reported.


It will soon do the early treatment, such as the provision of Oseltamivir or Tamiflu, which can also be obtained for free at the health center.


Separate Head P4K Kotamobagu City, Ir Harjo acknowledges Mikodompit have found 36 birds, namely Native Chicken or village that died suddenly on Sunday (04/09/2011) at RT Gogagoman Village VII. 36 native chickens have been burned and then planted on the same day by his side.


Description of a victim the initials AM is also the owner of the chicken, the chicken was bought from states outside the region. Based on that information according to Harjo, the institute has placed the officer to conduct scrutiny of chickens that will go into Kotamobagu region.


"Starting today Monday (5 / 9) we have placed officers at the entrance Kotamobagu," said Harjo.


Head of Public Relations Local Government General Kotamobagu Adati through release issued on Monday (9/5/2011), Kotamobagu appealed to citizens to be wary of the spread of the virus through the act of spraying disinfectant on cages that exist and always maintain the cleanliness of the cage and the environment.


He added if there is the discovery of feathered friends that died suddenly, so soon burned and planted and do not throw it in the river because this will only accelerate the spread of the virus.


Similarly, for those residents who will eat chicken to be cooked at temperatures above 60% Celsius before consumption, just to be safe for consumption. (Suk)


Initial List of Suspect Referred to RS Kandow Manado


1. AM (58 Years)
2. Mrs NM (55)
3. Mrs OM (48)
4. A (58)
5. FM (29)
6. HK (30) 4 months pregnant
7. Naf (3)
8. Af (31)
9. MK (58)
10.Ny NM (54)


:tiphat:http://manado.tribunnews.com/2011/09/05/pemko-kotamobagu-imbau-masyarakat-waspada-flu-burung

 

[Treyfish]

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

This story says the dying birds in that area , are not showing regular bf symptoms :magnify: Dated today and same from paper

:tiphat:Commonground
Indonesia: Suspected H5N1 virus has mutated



Kotamobagu - virus known as H5N1 or bird flu is thought to have mutated. This is when viewed on the traits of chickens infected with the virus and died suddenly.

"Chickens exposed to the H5N1 virus usually have characteristic scales jangernya feet turn blue and red like blood. But now sudden death and non-marking," says Head of Department of Agriculture Livestock Fisheries Forestry Plantation Animal Husbandry and Food (DP4K2P) Kotamobagu Nurachim P Mokoagow on Monday (5 / 9 / 2011).

Instances where certain Gogagoman 25 chickens tested positive for the H5N1 virus is expected to make society more wasapada. In addition to maintaining the health of livestock and stables, vaccination should also be given to pets.

He admits the price of the vaccine is quite expensive, but the public can use the free vaccine from the government. "There is a free vaccination at four districts," he said.

Nurachim also asked residents to immediately report to his side, when seeing conditions memahayakan in animal herds. He promised DP4K2P will follow up the report.

Meanwhile, Chief Medical Officer said the municipal government Kotamobagu Salmon Helwederry Kotamobagu also reactivate the checkpoint in Mongkonae cattle. This is to prevent the entry of diseased animals to Kotamobagu.:tiphat:http://manado.tribunnews.com/2011/09/05/virus-h5n1-diduga-telah-bermutasi

Virus H5N1 Diduga Telah Bermutasi
Tribun Manado - Senin, 5 September 2011 13:46 WITA​

<!-- AddThis Button BEGIN -->

Laporan Wartawan Tribun Manado, Edi Sukasah

TRIBUNMANADO.CO.ID, KOTAMOBAGU - Virus H5N1 atau dikenal dengan nama flu burung diduga telah bermutasi. Hal ini bila dilihat pada ciri-ciri ayam yang terkena virus dan mati mendadak.

"Ayam terkena virus H5N1 biasanya mempunyai ciri jangernya membiru dan sisik kaki merah seperti darah. Namun kini mati mendadak dan tanpa tanda," ujar Kabid Peternakan Dinas Pertanian Perikanan Peternakan Perkebunan Kehutan dan Ketahanan Pangan (DP4K2P) Kotamobagu Nurachim P Mokoagow, Senin (5/9/2011).

Kejadian di Gogagoman di mana dipastikan 25 ayam positif terkena virus H5N1 diharapkan bisa membuat masyarakat lebih wasapada. Selain memelihara kesehatan ternak dan kandang, vaksinasi juga harus diberikan kepada binatang peliharaan.

Dia mengakui harga vaksin tersebut cukup mahal, namun masyarakat bisa menggunakan vaksin gratis dari pemerintahan. "Ada vaksinasi gratis di empat kecamatan," kata dia.

Nurachim juga meminta agar warga segera melaporkan kepada pihaknya, apabila melihat kondisi yang memahayakan pada binatang ternaknya. Dia berjanji DP4K2P akan menindaklanjuti laporan tersebut.

Sementara itu Kepala Dinas Kesehatan Kotamobagu Salmon Helwederry mengatakan Pemkot Kotamobagu juga mengaktifkan kembali pos pemeriksaan ternak di Mongkonae. Hal tersebut untuk mencegah masuknya binatang yang terkena penyakit ke Kotamobagu.​

 

[Vibrant62]

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

The reports (here and elsewhere) seem to indicate that all individuals were from the same family (apart from one HCW? contact), and that all were symptomatic initially at the time of being placed in isolation.

What is not indicated is how many family members did not develop symptoms from this initial group; if every member of the family became ill at the same time, it is concerning as this could indicate a very high transmission rate - regardless of the type of flu involved. One would presume that rapid tests were positive to have prompted this action by the authorities?

Any further information on this family group, and especially the numbers of those who did not become symptomatic following exposure would be welcomed.

 

[Vibrant62]

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

:tiphat:History Lover @FW

11 Kotamobagu Residents Have Suspected Bird Flu
http://www.republika.co.id/ber...
September 5, 2011
REPUBLIKA.CO.ID, Kotamobagu - A total of 11 residents Gogagoman Village, West Kotamobagu District, City Kotamobagu (KK), North Sulawesi, were treated at General Hospital (RSU) Kandou Manado, because of unexpected (suspected) contamination with the H5N1 virus.

"The patients are still in the status of suspect, so it has not been declared, but they have been undergoing treatment for bird flu patients," said Public Relations Kandou Hospital, Doctor Jiimy Tomuka, in Manado, on Monday.

Tomuka explained the patients were referred to the General Hospital of the Hospital Datoe Kandou Binangkang Kotamobagu City, totalling 10 people, but that one person was also treated since the introduction from direct contact with the patient. Tomuka said the patient was isolated in a room D5 Kandou Hospital and treated in accordance with the procedure, where the officers had to use special clothing for their care, to avoid undesirable things.

"We are awaiting the results of observation for all patients and hope that they were not exposed to the virus, because their condition is very good now, so the city hopes for the best," said Tomuka.

Tomuka said that while awaiting results of observations of bird flu tests, the patients must remain under close observation until there is certainty of outcome. To this Tomuka said, the hospitals formed a special team of doctors to look after the patients. While the Chief Medical Officer of the City Kotamobagu, Salmon Helweldery, said of the patients who are being treated in RSU Kandou, there were four women and six men, and they come from one family.

According to Helweldery these patients that were treated were in the vicinity where poultry died suddenly of suspected H5N1 virus. So they are feared to be contaminated with the virus, so they must be admitted to the hospital. Helweldery said the results of inspection of all poultry in Gogagoman were positive for contracting the H5N1 virus, and they destroyed all of them by burning to avoid transmission to humans.
(more)
http://www.republika.co.id/berita/n...-kotamobagu-terduga-terkontaminasi-flu-burung

 

[Vibrant62]

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

:tiphat:History Lover @FW

This report also indicates that all the isolated individuals were symptomatic

10 Kotamobagu Bird Flu Suspects
http://manado.tribunnews.com/2...
September 5, 2011
TRIBUNMANADO.CO.ID, Kotamobagu: Anwar Mamonto along with nine family members was taken to the hospital Kandou in Manado, on Sunday (09/04/2011). The residents of RT Gogagoman Village VII were allegedly exposed to the H5N1 virus or bird flu. Chief Medical Officer Dr. Salmon Helweldery Kotamobagu MA said at this time their condition has improved. The high fever that previously plagued the 10 people has now been dropped.

"There were four women and six men, their families Mamonto Mr. Anwar who is also chairman of the RT VII. Their situation has improved, but the test results have not arrived," said Salmon.

The bird flu suspects were initially taken to the hospital Datoe Binangkang. But because there is not the equipment, they wered referred to hospital Kandou in Manado. Until Monday (09/05/2011), the Gogagoman residents were still being treated in hospital.

 

[Laidback Al]

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

The 10 family members suspected with H5N1 infection are residents of Kompleks Lorong Kembang, RT VII Kelurahan Gogagoman (post #4). Kelurahan Gogagoman is a district in the subdistrict (Kecamatan) of Kotamobagu Barat in the urban province of Kotamobagu City (population > 107,000) in North Sulawesi. See general area map below.

 

[Vibrant62]

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 10 suspect bird flu patients hospitalized in Manado

:tiphat:History Lover at FW

The information contained in this report gives a lot more insight as to the evolution of this outbreak; the reporter concerned seems to have asked all the right questions to enable us to gain some gauge on the epidemiology, although it is less than clear as to whether there was a 'point' of common exposure before the illness onset.

11 Bird Flu Suspects From 3 Families
http://www.hariankomentar.com/...
September 5, 2011
Kotamobagu, COMMENT
Bird flu virus (H5N1) has hit back in Kotamobagu. This time the attacks are far more sinister than the first event in late April. The first attack only resulted in dozens of poultry that had to be destroyed, this time 11 people in Kotamobagu had to be sent and treated in the department of special (General Hospital), Prof. dr Kandou, Malalayang Manado. The 11 bird flu suspects are known to consist of three families (Head of Family). Sadly, these three families are still bound by kinship. Starting from the husband-wife, child, grandchild, son-in-laws up to the job of one family. The homes of the victims of this H5N1 virus attack are located in the Village District Kotamobagu Gogagoman West and East Village Kotamobagu Kotobangon District.

The AI-infected suspect patients are AM aka War (58) and his wife, Mrs. NM aka Nur (55), then Mrs OM (48), OM (58), FM (29), and CHM. The six of them are citizens of Village Gogagoman Lorong Kembang. Then five residents at Kotobangon are HK (30) aka Rah, who was four months pregnant and her husband, AM aka Af (31) and their eldest son AM aka Naf (3), with both parents of Rah. Ie, the initials MK aka Mus (58) and his wife, Mrs. NM aka Nen (54).

As for the bond of brotherhood among these patients, it is because the eldest son of War and Mrs. Nur ie Af, married with Rah. The woman who is now pregnant with baby 4 months old, is the son (daughter?) of Mus and Mrs. Nen. Mus himself is known to be a retired civil servant in one of the agencies of Bolmong Pemkab. Even positions that never bears when it is strategic enough, the secretary of the department.

Based on information gathered from comments, the first outbreak was on Saturday (09/03) last week. That day, the body temperature attacked Mrs Nur and CHM with a high heat followed by a cough and runny nose (flu). Both were immediately checked by their health physicians. There Mrs. Nur unexpectedly met her eldest son, namely Af, who drove his wife, Rah, for the same illness. In fact, Mrs. Nur and CHM live in Gogagoman, while Af and his wife settled in Kotobangon Rah.

Over time, other family members also begin to develop the same disease: high body temperature, coughing with flu. Finally, as if on command, they went to hospitals Datoe Binangkang. At the hospital owned by Regency Bolmong this, they were given a makeshift treatment. Moreover there is no special room prepared at this hospital. On Sunday (09/04) afternoon at around 15:00 pm, the Public Health Service Kotamobagu decided to refer the patients to the RSU 11 Kandou.
(more)

http://www.hariankomentar.com/hl001.html

 

[Vibrant62]

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

After chickens were tested positive for H5N1 in Kotamobagu , apparently people who could have been in contact with the chickens were checked for flu-like symptoms.

10 people were feverish, they were sent to hospital in Manado. 1 person is escorting the 10. Their condition seems to improve, the fever seems to go down.

At first glance it looks like precautionary measures were taken, no serious health problems are reported, test results are pending.

This now seems inaccurate from the later reports and it would seem that instead chickens died and were tested, and family members became ill with high fevers and sought medical assistance independently - it also sounds as if necessary isolation procedures could not be put into place in the early stages. Although the media reports do imply that since that time proactive monitoring of locals has been put into place in the area where the chickens died; however, it isn't clear from these reports when the chickens died and how many days passed before these individuals became ill.


The reports about the suspect cases are also a little confusing; Up to 10 patients were reported as being from Gogagoman, but later reports imply at least two locations and several family groups. Additionally, one contact of one of the patients is reported as being in isolation and it is not clear who this might be, so I thought I would try to break this down so we can add to lists later if necessary.


i. District Kotamobagu Gogagoman West - Village Gogagoman Lorong Kembang

Suspect patients
Family 1:
AM aka War (58 - Onset Sun 4th September)
Mrs. NM aka Nur (55 - Onset Sat 3rd September)

Family 2:
Mrs OM (48 - Onset Sun 4th September)
OM (58 - Onset Sun 4th September)

Also two additional individuals, but it is not clear if they are related to any other group listed here, but the report implies that this is the case
FM (29 - Onset Sun 4th September)
CHM (Unknown age - Onset Sat 3rd September)

ii. District Kotamobagu Kotobangon East - Kotobangon Village

Suspect patients
Family 3:
HK (30) aka Rah, four months pregnant - Onset Sat 3rd September
husband, AM aka Af (31 - Onset Sun 4th September)
and eldest son AM aka Naf (3 - Onset Sun 4th September)

Family 4: parents of Rah.
MK aka Mus (58 - Onset Sun 4th September)
Mrs. NM aka Nen (54 - Onset Sun 4th September)

Af (from Family 3) is the eldest son of War(58) and Nur (55) (family 1) from Gogagoman; There is no indication that family 2 are in any way related to family 1, 3 or 4.

Feel free to correct or add!

 

[Shiloh]

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Source: http://www.tribunnews.com/2011/09/07/10-pasien-suspect-flu-burung-masih-diisolasi

10 Pasien Suspect Flu Burung Masih Diisolasi
Tribunnews.com - Rabu, 7 September 2011 01:41 WIB

Google translation:

10 Patient Suspect Bird Flu Still Isolated
Tribunnews.com - Wednesday, September 7, 2011 1:41 pm


TRIBUNNEWS.COM, SATURN - Ten patients suspect bird flu from the City Kotamobagu treated at the Hospital Prof. Kandou Malalayang not allowed to go home.

According to the Chief Medical Officer Dr. Maxi Rondonuwu Flammable DHSM conditions to the ten patients had improved but still needs insulation because waiting for results of laboratory tests of the Center for Health Research and Development (Puslitbangkes) Center on Tuesday (09/06/2011).

"Five minutes ago I just see patients, they can already sing-sing, the roads, but remain in the isolation room," he said.

Currently, all patients had no fever and no shortness of breath, even a pregnant woman is one of the 10 patients the condition had recovered.
However, special treatment is performed, doses of tamiflu drug is given by Maxi adapted to the conditions of pregnant women. "Medics, they already know and are trained in handling," said kadinkes.

He added that what is done perupakan fixed procedures (SOPs) and aiming for zero percent mortality. The sooner the better handled there was no shortness of heat no longer be active but in an isolated room.
Currently just waiting for the results of examination of Puslitbangkes Center, where the negative can be directly repatriated.

In addition to the handling of the patient suspect bird flu, officials of North Sulawesi Health Office has been doing outreach to surrounding communities. Most important to socialize so that people increasingly have to keep cleaning kesaradaran clean environment, lest any cattle sheds behind the house because it is not good for health.

Then when there is sudden and there were dead birds with flu after direct contact with poultry or poultry in the vicinity, immediately contact the village or local health officer. "It's SOPs we take the patient directly, we will not take risks," he explained.

 

[Vibrant62]

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

:tiphat:dbg

Some further information on the evolution of the outbreak in local poultry and leading to the isolation of the family group.

It seems that the first chicken died on the Monday 29th August, and that Family 2 were close neighbours of family 1, and that all of them would have had the same direct exposure to infected chickens at a meal, so with the exception of the single person who one of the reports has indicated was isolated because of their contact with one of the suspects, any h2h transmission would seem unlikely. The date of common exposure would seem to be the 1st September, so if this is indeed human H5N1 infections, it would indicate an incubation period of around 48 - 72 hours. Addendum - A second set of samples have been sent to jakarta so if 'usual' practice is followed, the patients will be released and declared negative as soon as negative tests are achieved post tamiflu treatment for all in the group.

http://www.hariankomentar.com/hl003.html

September 06 2011
The Chicken Died Suddenly, Was Made The Lebaran Menu [Kotamobagu, North Sulawesi]
Kotamobagu, Comment

The spread of the case guessed bird flu from Lorong Kembang RT 07, Gogagoman Village, West Kotamobagu Subdistrict as far as Kotobangon Village, East Kotamobagu Subdistrict, happened because of 11 residents from two villages evidently was tied in one family. More ironic still, because the virus H5N1 attacked them when celebrating Idul Fitri 1 Syawal [10th month of the Arabic calendar] 1432 Hijriah [Islamic year].

As narrative AM alias War (58 ), one from 11 patients suspect bird flu that currently undergoes the maintenance in the special room of RSU Prof Dr Rd Kandou Manado, started when he found his one chicken died on Monday (29/08 ) last week. Originally War that was professional as the chicken trader talk to (the nonpedigreed chicken, red) in the Serasi Market complex, thought his chicken that died that was the normal matter.

"Was thought by us the chicken only dies normally. So we thought there was nothing. In fact that day there was two tails that we butcher to be prepared for Lebaran menu. Only when we butcher the two tails, there is not yet determination when is Hari Raya [feast day]," he said in the Mongondow language that was thick, through continuation of the telephone cellular from Kotamobagu, afterwards was translated by the Village Head Gogagoman Mahmud Soleman SE.

According to War, his plan the chicken of two tails that were cut off that will become the guest plate menu in the public holiday if results of the session of confirmation maintained 1 Syawal 1432 Hijriah on Tuesday (30/08 ). Where, in the public holiday he and his family will entertain guests who came to strengthen bonds, including among them that it was hoped will visit was the in-laws. Namely MK alias Mus (58 ) and his wife, NY NM alias Nen (54), parents of HK alias Rah (29). The young woman who was four months pregnant with the second child, was the wife of AM alias Af (31), the eldest son of War and NY Nur.

Evidently, results of the session of confirmation 1 Syawal 1432 H fell on Wednesday (31/08 ). On the other hand, because his two chickens have been already cut off, then War then decide continue to consume them with his family that in Gogagoman. The person who cooked them no other than the wife of War herself, that is NY NM was alias Nur helped ChM.

Coincided in Idul Fitri the first day [31 August], continued War, he found seven tails more his chicken died suddenly. This discovery began to raise the suspicion on his marrow. At first again two further days, to be precise on Friday (02/09), the number of his property chickens that died continued to increase. Moreover Friday that, his chicken that died at the same time totalling 18 tails.

"On Saturday my wife and one of the people of my work suddenly had a temperature high was accompanied by the cough and bringus (flu). I increasingly panicked. Besides the two of them, still was increasing also that fell ill. I then reported to the government, so as they at once came to carry out the inspection," said War with the most choked voice.

Up until Sunday before he and 10 other people were reconciled to RSU Kandou, War still could count how many his property chicken that died. Where the total of them reached 40 chickens.

In the meantime, Mahmud Soleman as the Village Head Gogagoman stressed, although the Health Service and DP4K (Agriculture Fisheries Livestock Plantation Forestry and Food Security Service) Kotamobagu has intervened, but his side continued to ask all the resident especially in Lorong Kembang, to increase vigilance. "If having the chicken incident died suddenly, we asked the resident as soon as possible to report to closest government apparatus. Beginning with the management RT, RW, the environment down to me as the village head," he stated.

 

[Vibrant62]

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

:tiphat:dgb

This report suggests that the H5N1 infection in birds is/has spread.

http://www.manadopost.co.id/index.php?mib=berita.detail&id=102437

Tuesday, September 06 2011, 10:05:00
H5N1 Began To Spread [Kotamobagu, North Sulawesi]

Kotamobagu - The positive chicken was infected by the bird flu illness (H5N1) that the first time was found in the Gogagoman District, currently began to spread. Was based on the monitoring of Agriculture and Livestock Breeding of the Service (Dispertanak) Kotamobagu, the case that was same began to be found in the Kotobangon Village and the Upay Village.

Fast the spreading of this bird flu illness apparently took part in being affected by the height of consumption of the resident on meat. Moreover, after Idul Fitri still had moment of Lebaran ketupat [rice cooked in a packet of coconut leaves]. In fact, since yesterday morning (on Monday, 5/9) Dispertanak has carried out the supervision of the poultry traffic all over the entrance and went out as well as the traffic in the market.

According to the Sector Head (Kabid) Livestock Breeding in Dispertanak NP Mokoagow, his side has received the report on the death of the chicken suddenly in two districts, namely the Kotobangon Village and the Upay Village.

"If the Kotobangon Village already clear, the chicken from Gogagoman that was carried, now in the Upay Village, still was investigated," he said. To overcome that Mokoagow said, Dispertanak will intensify all the available field powers to monitor the situation in all the villages/the available district in Kotamobagu.

He also hope for, the community to be proactive with reported when finding the death of the chicken suddenly that was unclear his cause. "If having the report will facilitate us to chase his spreading through spraying disinfectant," he stressed.

The secretary of the City (Sekkot) Kotamobagu Drs Muhammad Mokoginta said, the government has dismissed the appeal that his contents asked for all the resident so that previously should not consume the chicken that was unclear the origin he proposed.

Or at least minimise consumption of the chicken. "This not the ban, but only was limited to the appeal," said Mokoginta. The government Sekkot words, also ask for to the resident when seeing or hearing the chicken incident dying suddenly so that immediately reported to the related service, namely the Agriculture Service and Livestock Breeding (Dispertanak). When having the chicken that died should be not thrown away just any old place. "Dig up the hole, burnt afterwards was buried," appealed Mokoginta.

http://manado.tribunnews.com/2011/09/06/lagi-dua-ayam-positif-flu-burung

Again, Two Positive Chickens Bird Flu [Kotamobagu, North Sulawesi]
Tribun Manado - Tuesday, September 6 2011 13:01 WITA
Reporter Tribun Manado, Edi Sukasah

TRIBUNMANADO.CO.ID, KOTAMOBAGU - the Agriculture Fisheries Livestock Plantation Forestry and Food Security Service (DP4KP) will destroy again the poultry to prevent spread him the virus H5N1. The poultry that will be burnt this time was property of a resident Spay, North Kotamobagu.

The head of the Livestock Breeding Field and fisheries of DP4KP Nurachim P Mokoagow said two chickens belonging to this resident suddenly died on Monday (5/9/2011). After the fast inspection or rapid test this chicken was it was confirmed flattest the virus H5N1.

"The owner rather objected, only was said by me to him, more love for poultry or the life. Finally he was willing to be destroyed struck 15,00 wita this," said Nurachim, on Tuesday (6/9/2011).

As for the number of poultries that will be destroyed, he did not yet know definitely. However that he worried was apart from the resident's chicken also to maintain the duck. This poultry could spread the virus H5N1 quickly.

"Indeed this duck had difficulty being affected by the virus, only if being affected by him could fast spread the virus," added he.


And some indication that H5N1 is also present in Bitung, an adjacent port city (point of entry????)

BITUNG -- This the sign be careful for the community and the Bitung Municipal Government in preventing infectious diseases like bird flu entering this Port City. The problem, on Monday night (5/9), the residents of Madidir Unet to be precise in Lorong Union was startled with the findings of dozens of chickens that suddenly died suddenly.

The resident personally suspected, these chickens died suddenly because infected bird flu so as they at once panicked. "I will butcher several chickens to be made the side dish in the public holiday rice cake but strangely even died all without reason," said one of the residents was reluctant to name his identity.

Even according to him, the chicken that died suddenly did not only fall on himself, but had also the neighbouring chicken. "I believe there were 14 chickens that died in the complex without the clear cause," he said.

In the meantime, Section Head Agribisnis and Forestry the Bitung Municipal Government, Lusye Makawalag when it was confirmed acknowledged his side did not yet know this matter. And just knew when confirmed, but he will send his staff to carry out the checking.

"Although we ourselves did not have detection equipment H5N1 to confirm whether that bird flu or not, but with naked eyes could see him, if indeed had signs like that then we will take his sample and get examined at Laboratory that in Manado because of the Bitung city personally was not laboratory," explained Makawalag, on Tuesday (6/9) earlier.

 

[Giuseppe]

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

[Source: Indosiar, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]

11 Suspect Bird Flu Treated in Hospital




indosiar.com, Manado - Patients with suspected H5N1 virus or bird flu suspect is isolated in space D 5 Houses Sakti Malalayang Professor Kandouw in Manado.

To 11 patients consisting of 5 female patients, 6 male patients, including a 3-year-old toddler whom are villagers Gogagoman, city Mubago previously treated at the Hospital Dato Binangkang.

During treated in isolation, the patient suspect flu These birds will undergo a series of medical examinations and observation to determine certainty of disease they suffered.

Although the patient suspect bird flu is treated in isolation they are seen roaming freely in front of the treatment room without using a mask or protective.

Even the patients are free to interact with other patients and visitors and hospital nurses. Though the deadly virus from birds that can quickly spread and outbreaks. (Alamsyah Johan / Soup)
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[Giuseppe]

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

[Source: Tribun Manado, full text: (LINK). Automatic translation from Bahasa Indonesia to English, edited.]

Suspected Bird Flu Patients still in Isolation


Manado Tribune - Wednesday, September 7, 2011 10:48 AM

Report Manado Ryo Tribune reporter Noor TRIBUNMANADO.CO.ID, SATURN

11 patients suspect bird flu Kotamobagu origin is still isolated in space Delima, General Hospital Center Prof. Kandou.

Not just any, people can go into the isolation room, even the RS Kandou post, warning stickers on the wall to avoid the room.
Monitoring Tribune Manado, the isolation room was still closed, not much activity visible on the outside. Only a nurse looked in and out of the room.
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[Vibrant62]

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

The above two posts are a little confusing; are they saying that the patients ARE being kept in isolation, or that the degree of isolation isnt great and the patients are free to mix with others???

 

[Gert van der Hoek]

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

The above two posts are a little confusing; are they saying that the patients ARE being kept in isolation, or that the degree of isolation isnt great and the patients are free to mix with others???

Apparently both patients and staff are convinced it is not H5N1. It won't be long untill the testresults from Jakarta will arrive for confirmation.

 

[cpg]

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Look like the cause will be a bad curry.

Till the next one.

 

[Vibrant62]

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

Re: Indonesia - North Sulawesi - 11 suspect bird flu patients hospitalized in Manado

I am not sure I get that sense of things from the patients point of view from reading the interviews and reports; it is also odd that they all came down with illness within 2-3 days of eating H5N1 infected chickens (this is confirmed) without any report of any one individual being ill at the time of the holiday meal who could have passed another 'seasonal' flu to them at the same time. Another issue is that even if it were a 'seasonal' flu that infected them all, there was the potential for a co-infection with H5N1 as they all ate the infected chicken and were exposed to other H5N1 sick chickens at the same time, so either way cause for a lot of caution.

If it is H5N1, the chances are we will never know for sure one way or the other given the protocol for H5N1 infection in Indonesia (i.e 2- 3 positive tests where tamiflu is administered between tests 1 and 2/3; only if all are tests are positive is a patient declared as infected; this is very likely why the official mortality rate in Indonesia is so high, as only individuals who fail to respond to treatment are recorded as infected - in my opinion).

What is important here is that the infection (if H5N1) has responded well to treatment, which was sought early - and this is a good thing. The fact that all of them were suffering from high fever and breathlessness at the time of hospitalisation but rapidly recovered following treatment would tend to indicate that even if it was an H5N1 infection, viral load would be very low at this stage i.e post tamiflu treatment and it is unlikely that anyone would be infectious.

What is particularly interesting / concerning here from my perspective is the reports that H5N1 in chickens was showing a different infection to usual i.e no blue wattle in the chickens that died, and that if these individuals had been positive for H5N1 at least on the first test, it could indicate an increased propensity for human infection along with a reduction in virulence.

The chances are we will never know one way or the other for certain.

From my perspective, so long as this incident passes without large additional numbers of hospitalisations of 'suspects' arising from infected chickens or contacts with other suspects, then the chances are we don't have a more infective virus circulating in chickens, which is what I would hope will be the case.