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Indonesia Probing Legionnaire's Outbreak on Bali - Disease alert to travellers

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
Indonesia Probing Legionnaire's Outbreak on Bali

January 18, 2011

Bali. Indonesia is investigating reports of an outbreak of Legionnaire?s disease on the resort island of Bali, an official said on Tuesday after 10 Australians returned home with the disease.

Bali health department chief Nyoman Sutedja said the Australian government had passed on information about a possible outbreak but so far no sign of the disease had been found.

?We are investigating in the field after receiving a report from the Australian consulate. From the hospitals here we have received no reports of people being infected with Legionnaire?s,? he said.

?We suspect that the disease came from hotels which failed to clean up their water supply.?

The West Australian Health Department warned citizens who have recently visited Bali to be alert for symptoms after a total of 10 Australians were treated for the potentially fatal flu-like disease.

Five were diagnosed with severe pneumonia after returning from holidays in Bali in December.

Western Australia?s acting chief health officer, Andy Robertson, said the holidaymakers most likely caught the infection in the central Kuta area of Bali, the island?s main tourist hangout.

?We recommend that anyone who falls in one or more of these risk groups who develops flu-like illness after returning from Bali seeks medical advice, and notifies their doctor of their recent travel,? Robertson said.

The disease most often affects middle-aged and elderly people, particularly those who smoke or who have lung disease, diabetes, kidney disease or a weakened immune system.

Symptoms are similar to a severe flu and could include fever, chills, muscle soreness, headaches, tiredness, reduced appetite, diarrhoea, dry coughing and breathlessness.

Health insurer International SOS said the cases began in August. At least six victims were believed to have used the same Kuta hotel, and most had visited the same shopping center, it said.

Jakarta Globe
 
Re: Indonesia Probing Legionnaire's Outbreak on Bali

Re: Indonesia Probing Legionnaire's Outbreak on Bali

19 January 2011

LEGIONNAIRES' DISEASE ALERT TO TRAVELLERS FROM BALI

Australia's Chief Medical Officer, Professor Jim Bishop, has issued an alert to
travellers in Bali or who have recently returned, who experience ‘flu-like’ symptoms
such as fever and cough to consult their GPs or hospital emergency departments.
"It is important that patients advise their doctor or hospital of their recent travel to
Bali," Professor Bishop said.

"Over recent months, Australian health authorities have been made aware of 11
cases of Legionnaires' disease detected in Victorian and Western Australian
residents returning from holidays in the Kuta area of Bali between August 2010 and
January 2011.


Professor Bishop said Indonesian health authorities and the World Health
Organization (WHO) are aware of the problem and are investigating. They have
taken water samples from possible sources of outbreak for testing and have advised
on appropriate disinfection and cleaning of water supply systems at the hotel and
buildings in the vicinity. A number of those who contracted the disease stayed in the
same hotel in Kuta (The Ramayana Resort and Spa) and most had visited the same
local shopping centre.

Read more:

Health.gov.au
 
Re: Indonesia Probing Legionnaire's Outbreak on Bali - Disease alert to travellers

Bali Hotels Told to Clean Up Their Act
Made Arya Kencana | January 24, 2011

Excerpt:

?I have instructed the hotels here to regularly clean their swimming pools and air-conditioners,? Bali Governor Made Mangku Pastika said.
...

Nyoman Sutedja, head of the Bali Health Office, said last week that there had been 11 recorded cases of foreign visitors to Bali coming down with Legionnaire?s disease. The cases involve nine Australians, one Dutch national and a French national, all of whom have returned to their respective countries.

According to Pastika, those who were infected had visited the island for 7 to 10 days and were all more than 45 years of age.

Full text:
http://www.thejakartaglobe.com/news/bali-hotels-told-to-clean-up-their-act/418635
 
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