Indonesia, Tangerang - Man, 18, Suspected H5N1 Bird Flu Died - H1N1 positive

[Vibrant62]

Re: Indonesia, Tangerang - Man, 18, Suspected H5N1 Bird Flu Died - Declared negative

Re: Indonesia, Tangerang - Man, 18, Suspected H5N1 Bird Flu Died - Declared negative

If H1N1, what has changed? Most people will have been exposed over the last seasons and these individuals would not appear to be 'at risk' with defined pre-existing health conditions - although fatal cases have occurred in these age groups before. Also it is unusual for otherwise healthy young children to suffer fatal cases based on known epdimiology (I refer to the younger cases reported in this area)

 

[tetano]

Re: Indonesia, Tangerang - Man, 18, Suspected H5N1 Bird Flu Died - Declared negative

Re: Indonesia, Tangerang - Man, 18, Suspected H5N1 Bird Flu Died - Declared negative

Dr. Trihono: swine Flu Mortality less than Bird Flu

Ciodeng, Jaya, a village in bloom Panongan, Tangerang Regency, not proven to be suffering from bird flu. Based on laboratory examination Kemenkes, exposed to the flu Rohmat swine (H1N1).According to the head of the Agency for Healthcare Research and development Kemenkes Dr. Dr. Trihono, MSc, swine flu sufferers mortality less than bird flu. Therefore it is also suffering from the disease menengarai Rohmat so caused her death. ' swine Flu it can get from human to human. In Mexico also happens so. The H1N1 Virus is rapidly spreading but small numbers of his death, unlike the bird flu. I guess these died from diseases R Companion. So no single cause of his death is not due to swine flu, ' bright Trihono.

..


http://us.detiknews.com/read/2012/0...tian-flu-babi-lebih-kecil-daripada-flu-burung

 

[alert]

Re: Indonesia, Tangerang - Man, 18, Suspected H5N1 Bird Flu Died - H1N1 positive

With the mention of "pdm09", it's pretty clear which virus killed him.

Just a reminder that severe H1N1 has always looked like H5N1.

http://www.tempo.co/read/news/2012/01/26/173379955/RO-Meninggal-Bukan-Karena-Flu-Burung

Thursday, January 26, 2012 | 23:20 pm
RO Deaths Not Due to Bird Flu
Large Normal Small

TEMPO.CO, Jakarta-Patients with suspected bird flu from Tangerang, Banten, RO suffering from the H5N1 virus negative. "He was hit by the H1N1 virus pdm09, it's swine flu [and not?] bird flu," said Director of Disease Control Sourced Animals (PPBB) Rita Kusriastuti, Thursday, January 26, 2012.

RO died in the isolation room General Hospital Regional Tangerang Banten, on Wednesday, January 25, 2012. Rita said that RO is not a seasonal virus of bird flu.




However, the hospital entered into the isolation room to meet the fixed procedures (SOPs). "According to the SOPs, he should be placed in isolation rooms in advance," says Rita.

RO entered the isolation room since five days ago, or Saturday, January 21, 2012. RO indicated suspect bird flu after being treated at Mercy Hospital Sari Karawaci, Tangerang, since Friday, January 20, 2012. RO admitted to hospital with complaints of high fever, shortness of breath, hoarseness.

According to Rita, a virus infecting two patients suspected of bird flu in Tangerang and Jakarta just a seasonal virus. "Technology is now becoming more sophisticated, so we are biased identification of the virus," he said. But he made sure that the virus is contracted from human to human instead of from animals to humans.

Rita said that this year two more bird flu deaths that ASR and PDY. The number of two people making Indonesia on alert status. "The status we are safe, but we must not be complacent," he said.Undo edits

 

[JimO]

Re: Indonesia, Tangerang - Man, 18, Suspected H5N1 Bird Flu Died - H1N1 positive

Could it be a hybrid of pH1N1 and H5N1 that might test positive for pdm09, but not for the older circulating variant of H5N1?

 

[alert]

Re: Indonesia, Tangerang - Man, 18, Suspected H5N1 Bird Flu Died - H1N1 positive

Mutated H1N1? Seems unlikely. H1N1 + another infection? Maybe....

http://www.thejakartapost.com/news/2012/01/27/tangerang-man-positive-swine-flu-health-ministry.html

Tangerang man positive for swine flu: Health Ministry
The Jakarta Post, Jakarta | Fri, 01/27/2012 11:00 AM
A | A | A | The 18-year-old man in Tangerang, who was suspected of being infected with bird flu and who died on Wednesday, tested positive for swine flu, the Health Ministry said.

The ministry’s head of research and development, Trihono, told The Jakarta Post on Thursday that the man, known as R, had contracted H1N1, which caused a pandemic in 2009.

Trihono said, however, that it was unlikely that the man had died of swine flu. “While swine flu was deadly in 2009 and 2010, it is no longer a harmful disease.”

He added that the disease is a lot like a more common seasonal flu. “The sufferer does not even need to be isolated,” he said.

The World Health Organization announced in 2010 that the H1N1 swine-flu pandemic had passed, but made clear that “this does not mean that the H1N1 virus has gone away”.

Trihono suspected that the patient might have suffered from another, deadlier disease, which led to his death. “That disease killed him rather than the swine flu.”

Officials from Tangerang General Hospital and the regency’s health authority declined to comment on the swine-flu infection, telling the Post that only Health Ministry officials were authorized to make such comments.

The hospital’s spokesman, Achmad Muchlis, had earlier said that R had died from respiratory problems. The man, a resident from Panongan district in Tangerang, died after being treated for five days.

The hospital had conducted polymerase chain reaction tests to confirm whether he had bird flu but they came back negative. It said it would conduct more tests.

“The research and development department has not yet received the patient’s complete medical record. We cannot reveal his cause of death just now,” Trihono said.

The ministry said it would examine the case further as there was a possibility, no matter how small, that the swine flu could transform into a more threatening virus to human beings. “The test that we are about to conduct is aimed at ensuring that the swine-flu threat is still under control,” he said.


[snip]

 

[alert]

Re: Indonesia, Tangerang - Man, 18, Suspected H5N1 Bird Flu Died - H1N1 positive

http://www.promedmail.org/

Published Date: 2012-01-27 16:57:35
Subject: PRO/AH/EDR> Avian influenza, human (15): Indonesia (JA), NOT
Archive Number: 20120127.1024070

AVIAN INFLUENZA, HUMAN (15): INDONESIA (JAKARTA), NOT
*****************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
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Date: Fri 27 Jan 2012
Source: The Jakarta Post [edited]
http://www.thejakartapost.com/news/2012/01/27/tangerang-man-positive-swine-flu-health-ministry.html


Tangerang man positive for swine flu: Health Ministry
---------------------------------------------
The 18-year-old man in Tangerang, who was suspected of being infected with bird flu [avian influenza H/(H5N1) virus infection] and who died on Wednesday [25 Jan 2012], has tested positive for swine flu [influenza A/(H1N1)pdm virus infection], the Health Ministry said. The Ministry's head of research and development, Trihono, told The Jakarta Post on Thursday [26 Jan 2012] that the man had contracted the H1N1 virus which caused a pandemic in 2009.

Trihono said, however, that it was unlikely that the man had died of swine flu. "[Although] swine flu was deadly in 2009 and 2010, it is no longer a harmful disease." He added that the disease is a lot like a more common seasonal flu. "The sufferer does not even need to be isolated," he said.

The World Health Organization announced in 2010 that the H1N1 swine-flu pandemic had passed, but made clear that "this does not mean that the H1N1 virus has gone away." Trihono suspected that the patient might have suffered from another, deadlier disease, which led to his death. "That disease killed him rather than the swine flu."

Officials from Tangerang General Hospital and the regency's health authority declined to comment on the swine-flu infection, telling the Post that only Health Ministry officials were authorized to make such comments. The hospital's spokesman, Achmad Muchlis, had earlier said that the patient died from respiratory problems. The man, a resident from Panongan district in Tangerang, died after being treated for 5 days. The hospital had conducted polymerase chain reaction tests to confirm whether he had bird flu but they came back negative. It said it would conduct more tests.

"The research and development department has not yet received the patient's complete medical record. We cannot reveal his cause of death just now," Trihono said. The Ministry said it would examine the case further as there was a possibility, no matter how small, that the swine flu could transform into a more threatening virus to human beings. "The test that we are about to conduct is aimed at ensuring that the swine-flu threat is still under control," he said. In 2009, the Health Ministry reported that at least 4 Indonesians died from swine flu.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[This press report confirms that influenza A/(H5N1) virus infection was not the cause of death of one of the 2 patients in Jakarta, who had previously been assumed to have died as a result of avian influenza virus infection despite lack of confirmatory laboratory diagnostics [see: Avian influenza, human (14): Indonesia (JA) susp. 20120126.1023044]. This patient, however, has tested positive for influenza A/(H1N1)pdm virus infection [swine flu]. Nonetheless some believe that this infection is not the cause of the patient's death. Others are suggesting that a more aggressive form of the swine flu virus may have made an appearance. It will be interesting to learn how the 2nd suspected avian influenza virus fatality is being evaluated now. - Mod.CP