Indonesia - Three siblings dead / bf suspected

[Theresa42]

toggletext-ed from Indonesian:

Suspected of being affected by Bird Flu, three children died
June 13, 2006

In three successive days, from Friday (9/6) up to Sunday (11/6), three children from one family died. Expected, because in the surrounding environment the death of the poultry especially the chicken, had happened they died because of AI.

"But we were still continuing to prove the cause of the death of three children. Because of this death his characteristics cluster or mengelompok with the story of the death of the poultry around it," said Ayla Kayrus, the Section Head the Prevention and Observation of the Lampung Illness of the Health Service that was contacted per the telephone, on Tuesday (13/6).

Ayla said, Yudha (4) died on Friday (9/6) struck 09.00 now his twins Yudhi (4) died on Saturday (10/6) struck 16.00. Both of them died in their house in the Sweet Pandanus Village, the Village of the Pawpaw Gutter, the Wonosobo Subdistrict, the Tanggamus Regency. Now the older brother, Misyani (5) died in RS Abdul Moeloek (RSAM) Banda Lampung, on Sunday (11/6) struck 17.20.

"Because the twin died in the house, the team survailance from the Community Health Centre and the Health Service of Tanggamus could not take the example of blood both of them. Now, the example of Masyani blood could be taken," said Ayla.

The head of the Medical RSAM Service Field, Arief Effendi, that was contacted was separated said according to parents's story of the three casualties, in the environment around the house the death of the poultry could happen twice, to be precise around two months and half of the previous month. However the hospital side still could not confirm the three of them died because of bird flu. Results of the sample of Masyani blood in fact showed the existence of the respiratory tract infection, not bird flu.

With the occurrence of this case, the Lampung Health Service continued to carry out the monitoring and to remind the community around to guard the cleanliness of the environment. "Today the service of province livestock breeding sprays the location of the case and carries out investigation," he said.

http://www.kompas.com/utama/news/0606/13/163002.htmh

 

[Mellie]

Re: Indonesia - Three siblings dead / bf suspected

Theresa, do you have any idea of the geography of these deaths relative to other recent deaths?

Thanks in advance!

 

[Theresa42]

Map

Map

Theresa, do you have any idea of the geography of these deaths relative to other recent deaths?

Thanks in advance!

The third sibling was hospitalized in Bandar Lampung which is the capital of Lampung province in southern Sumatra. Presumably the village that the family is from is somewhere in the area. The Karo cluster was in northern Sumatra -- the Ginting family were hospitalized in Medan (which you can see on the map).

Bandar Lampung
http://en.wikipedia.org/wiki/Bandar_Lampung

Lampung
http://en.wikipedia.org/wiki/Lampung

Have there been cases in Lampung before?

 

[HenryN]

Re: Indonesia - Three siblings dead / bf suspected

Here is an earlier cluster in Lampung

http://www.recombinomics.com/News/10090501/H5N1_Lampung_Cluster_Confirmed.html

The third family member who tested negative and was said to have typhus in the cluster from last year, was recently confirmed to have H5N1 antibodies and therefore all three family members are WHO confirmed.

 

[HenryN]

Re: Indonesia - Three siblings dead / bf suspected

Here is an earlier cluster in Lampung

http://www.recombinomics.com/News/10090501/H5N1_Lampung_Cluster_Confirmed.html

The third family member who tested negative and was said to have typhus in the cluster from last year, was recently confirmed to have H5N1 antibodies and therefore all three family members are WHO confirmed.

The confirmation of the third case was reported Feb 6 (4 months after initial reports)

http://www.who.int/csr/don/2006_02_06/en/index.html

 

[HenryN]

Re: Indonesia - Three siblings dead / bf suspected

Commentary at

http://www.recombinomics.com/News/06140602/H5N1_Lampung_Fatal.html

 

[Mellie]

Re: Indonesia - Three siblings dead / bf suspected

http://www.recombinomics.com/News/06140602/H5N1_Lampung_Fatal.html

Three Fatal Suspect H5N1 Bird Flu Cases in Lampung Sumatra

Recombinomics Commentary
June 14, 2006

In three successive days, from Friday (9/6) up to Sunday (11/6), three children from one family died. Expected, because in the surrounding environment the death of the poultry especially the chicken, had happened they died because of AI.

"But we were still continuing to prove the cause of the death of three children. Because of this death his characteristics cluster or mengelompok with the story of the death of the poultry around it," said Ayla Kayrus, the Section Head the Prevention and Observation of the Lampung Illness of the Health Service that was contacted per the telephone, on Tuesday (13/6).

Ayla said, Yudha (4) died on Friday (9/6) struck 09.00 now his twins Yudhi (4) died on Saturday (10/6) struck 16.00. Both of them died in their house in the Sweet Pandanus Village, the Village of the Pawpaw Gutter, the Wonosobo Subdistrict, the Tanggamus Regency. Now the older brother, Misyani (5) died in RS Abdul Moeloek (RSAM) Banda Lampung, on Sunday (11/6) struck 17.20.

"Because the twin died in the house, the team survailance from the Community Health Centre and the Health Service of Tanggamus could not take the example of blood both of them. Now, the example of Masyani blood could be taken," said Ayla.

The above translations describes the death of three suspected H5N1 bird flu cases. Two of the siblings died at home, so no samples were collected, The third sibling died shortly after admittance and a serum sample is being tested.

Birds are reported to have died in the area, and last year there was a three member familial cluster that was H5N1 confirmed (although confirmation of the third case was via sero-conversion and was not reported until 4 months after initial reports). The cluster had a characteristic time gap between disease onset dates, indicating human to human transmission. The three family members survived.

The latest cluster is more typical of clusters in Indonesia, which have a very high case fatality rate. Surveillance in Indonesia is poor and failure to collect samples in index cases is common.

 

[Theresa42]

Parents/siblings reportedly test neg for bf

Parents/siblings reportedly test neg for bf

toggletext-ed from Indonesian:

Bird flu: the Family Zawawi was stated by the Negative
June 14, 2006

BANDAR LAMPUNG (Lampost): The family's four members Mat Zawawi (35), Aidawati (32) and [their] two children, Fery Pratama (9) and Meli (8), the citizen Pekon Balak, the Wonosobo Subdistrict, Tanggamus, was stated the negative was affected by the Afian virus influenza (bird flu), on Tuesday (13-6).

The official of infection space that was assigned to say the four of them have been examined. The Doctor was Superior Nugroho and Doctor Syamsu that was assigned in UGD, on Monday (12-6), examined the patient.

From results of the inspection in the laboratory, not even one that was infected by the virus. The same day the Ferry and Meli were permitted to come home.

Whereas Aidawati could be treated and waited for by [her] husband, Mat Zawawi. Their three children died because of diarrhoea. [??] They also did not want to eat for one week.

In the meantime, yesterday, was found in Kenanga space, Wati was seen healthy. The infusion needle was released. Yesterday Wati was permitted to come home.

According to Tante him, Yurianti, from results of the doctor's inspection, Wati was not infected by the bird flu virus. Whereas his three children that had died indeed since childhood coughs. The doctor that had checked said the Masyani lungs (7) and the twin Yuda (4) and Yudi (4) the swelling.

"They were quite sickly", said he. The doctor also said Wati experienced depression because his three children died. Afterwards, Wati did not want to eat, so as his side was sick.

In the meantime, Aliya Teariyus, the Division Head the Eradication and Observation of the Illness of the Lampung Province of the Health Service, said his side communicated with the Head of the Medical Service Field RSUAM Wise Effendi. He said results of the laboratory did not support the patient to be infected. His mother that could be treated that then because of the disturbance of the side.

Although the family was unproven was infected, the rank of the province of the Health Service responded. The service to pekon to anticipate.

"I also worried because of emerging the death beruntun," he said. His side then coordinated Officially province Livestock Breeding to overcome this matter.

http://www.lampungpost.com/cetak/berita.php?id=2006061401355814

 

[Shannon Bennett]

Re: Indonesia - Three siblings dead / bf suspected

Boy am I relieved they didn't die of bird flu. And mom must have been a really bad cook. *rolling eyes*

Their three children died because of diarrhoea. [??] They also did not want to eat for one week.

 

[Theresa42]

Bird flu kills 5-yr-old boy in Indonesia

Bird flu kills 5-yr-old boy in Indonesia

This is, presumably, Misyani (5) -- the older brother to the twins who also died...

Bird flu kills 5-yr-old boy in Indonesia
03 Jul 2006 11:38:42 GMT
Source: Reuters

JAKARTA, July 3 (Reuters) - A World Health Organisation laboratory test has confirmed a five-year-old Indonesian boy who died on June 16 was infected with bird flu, a health ministry official said on Monday.

His death takes the total number of confirmed bird flu fatalities in the country to 40.

http://www.alertnet.org/thenews/newsdesk/JAK116049.htm

 

[Toaster2]

Re: Bird flu kills 5-yr-old boy in Indonesia

Re: Bird flu kills 5-yr-old boy in Indonesia

But the older brother died june 11. No mention of siblings either in today's release. If true it would be another cluster..

This is, presumably, Misyani (5) -- the older brother to the twins who also died...

Bird flu kills 5-yr-old boy in Indonesia
03 Jul 2006 11:38:42 GMT
Source: Reuters

JAKARTA, July 3 (Reuters) - A World Health Organisation laboratory test has confirmed a five-year-old Indonesian boy who died on June 16 was infected with bird flu, a health ministry official said on Monday.

His death takes the total number of confirmed bird flu fatalities in the country to 40.

http://www.alertnet.org/thenews/newsdesk/JAK116049.htm

 

[HenryN]

Re: Bird flu kills 5-yr-old boy in Indonesia

Re: Bird flu kills 5-yr-old boy in Indonesia

This is, presumably, Misyani (5) -- the older brother to the twins who also died...

Bird flu kills 5-yr-old boy in Indonesia
03 Jul 2006 11:38:42 GMT
Source: Reuters

JAKARTA, July 3 (Reuters) - A World Health Organisation laboratory test has confirmed a five-year-old Indonesian boy who died on June 16 was infected with bird flu, a health ministry official said on Monday.

His death takes the total number of confirmed bird flu fatalities in the country to 40.

http://www.alertnet.org/thenews/newsdesk/JAK116049.htm

Any more deatil on this case. The date listed by Reuters is about a week after the deaths of the three siblings.

 

[Theresa42]

Re: Bird flu kills 5-yr-old boy in Indonesia

Re: Bird flu kills 5-yr-old boy in Indonesia

Any more deatil on this case. The date listed by Reuters is about a week after the deaths of the three siblings.

So you're right. Maybe it's another kid that died.

I'm not aware of another 5 yr-old that died. A 14 yr-old died on June 16 -- IM. ??

Edit: About the 14 yr-old:
http://www.flutrackers.com/forum/showpost.php?p=17079&postcount=16

 

[HenryN]

Re: Bird flu kills 5-yr-old boy in Indonesia

Re: Bird flu kills 5-yr-old boy in Indonesia

So you're right. Maybe it's another kid that died.

I'm not aware of another 5 yr-old that died. A 14 yr-old died on June 16 -- IM. ??

Edit: About the 14 yr-old:
http://www.flutrackers.com/forum/showpost.php?p=17079&postcount=16

Bird flu claims 40th human victim in Indonesia
03 Jul 2006 12:07:10 GMT
<!-- 03 Jul 2006 12:07:10 GMT ## for search indexer, do not remove-->Source: Reuters

<!-- AN5.0 article title end --><!-- AN5.0 article header -->
http://www.alertnet.org/thenews/newsdesk/JAK116418.htm

<!-- AN5.0 article header end --><!-- START: inline article box -->

<!-- AN5.0: background end -->
By Telly Nathalia

JAKARTA, July 3 (Reuters) - A World Health Organisation laboratory test has confirmed a 5-year-old Indonesian boy who died last month was infected with bird flu, a health ministry official said on Monday.
His death takes the total number of confirmed bird flu fatalities in the country to 40.
The victim died on June 16 in Tulungagung in East Java province after being admitted to hospital on June 8, I Nyoman Kandun, director general for communicable disease control at the health ministry, told Reuters.
The infection was confirmed to be from the H5N1 avian virus by a WHO laboratory in Hong Kong, he said.
An official at the health ministry's bird flu centre who declined to be identified said: "There was a dead chicken near his house."

The chicken cage was 15 metres (49 ft) from the boy's home, the official added.
Indonesia has seen a steady rise in human bird flu infections and deaths since its first known outbreak of H5N1 in poultry in late 2003, and has registered more deaths this year than any other country.
Indonesia has 220 million people and an estimated 1.2 billion chickens, some 30 percent of them in the yards of homes in both rural and urban areas.

The bird flu virus is endemic in poultry in nearly all of the 33 provinces in Indonesia, a country of 17,000 islands sprawling across some 5,000 km (3,100 miles).

Despite the climbing death toll, the government has resisted mass culling of birds, saying it is too costly and impractical.

Vaccination has been preferred to culling, which has been done only sporadically at selective farms and their immediate surroundings.

Bird flu remains essentially an animal disease but many countries around the world are on alert over fears it may mutate into a disease that could pass easily among people and trigger a pandemic, killing millions.
Indonesia drew international attention in May when the virus killed members of a single family in North Sumatra. Experts said there could have been limited human-to-human transmission in this cluster case.
But they stressed genetic analyses of the virus have not shown all of the traits that are known so far to allow it to spread easily among people.

 

[Sharpe]

Re: Indonesia - Three siblings dead / bf suspected

There was an isolated report of two brothers with bird flu in Tulungagung at the same time, but their ages were 7 and 11 months, so it's not clear if this 5 year-old was even ever reported. The younger one, Aditya, died, though we don't know if he was ever tested, and the older one, Rizal, apparently recovered and tested negative. Anyway, more importantly, is this 5 year old related to these two boys?

toggletext-ed from Indonesian:

Tulungagung Proclaim combatted Bird Flu
June 15, 2006

TULUNGAGUNG, 15 Juni: Totalling 1.084 officials of the vaccine (vaksinator) in Tulungagung, East Java, since Thursday (15/6) was mobilised all through the village in 19 subdistricts in this area. They were assigned to give the vaccine took the form of the liquid antivirus bird flu or avian influenza (AI) for approximately 1 million poultries in Tulungagung.

The section head Danduk Sudarham Livestock Breeding when being found by several reporters in his office, on Thursday, said the mobilisation vaksinator large-scale this as the maximal form of the Tulungagung Regional Government to combat the distribution of the AI virus that turn off more than 5.000 poultries.

"This the solidest program namely the AI eradication of one million poultries. His main target poultry livestock breeding belonging to the citizen in the settlement or often was acknowledged as the poultry in the IV sector," said Danduk.

From the total 1.5 million poultries in Tulungagung Danduk words, around 1 million poultries in small livestock breeding that often was acknowledged as the people's livestock breeding.

The section head the Health of the Animal of the Service of Nugraha Siswantara Livestock Breeding said vaksinator 90 more was taken from the citizen and village equipment who were trained by the Livestock Breeding Service.

"If the power from the clear livestock breeding service was not enough, lagian the citizen and village equipment more understood his target of the citizen's poultry," said Nugraha.

The AI eradication program totalling 1 million poultries it was estimated took place for a week in the future. Further this program will continue for the breeder bigger.

As is known Tulungagung became one of the endemic areas of bird flu. The Media's Indonesian note mentioned in 2003 - 2004 at least 300 thousand livestock, especially the chicken in the area died and were destroyed because of being affected by AI.

Later since the last month again was found by thousands of livestock died suddenly, especially in the Boyolangu Subdistrict. The concern would the AI danger increasingly big after two older brothers were siblings from the Sukowiyono Village, the Karangrejo Subdistrict, namely Adtya, 11 months and Rizal, 7, was run off with to the regional Public Hospital (RSUD) Dr Iskak because diindikasi suspect bird flu.

Aditya had finally died after experiencing the high fever, coughs as well as breathless. Whereas Rizal could be treated for a week because of the similar sign.

Later after being done by the verification of the sample of blood in RSU Dr Soetomo Surabaya for the time being Rizal the AI virus negative.

 

[stormsailor1981]

Re: Indonesia - Three siblings dead / bf suspected

THERESA42 POSTED THIS ON 6/19/06 UNDER BREAKING NEWS--------------------------------------------------------------------------------

This story is from June 15th, but I don't recall hearing anything about these kids before [see the end of the article]. Adtya died -- not clear if s/he was tested. Rizal reportedly tested negative....

toggletext-ed from Indonesian:

Tulungagung Proclaim combatted Bird Flu
June 15, 2006

TULUNGAGUNG, 15 Juni: Totalling 1.084 officials of the vaccine (vaksinator) in Tulungagung, East Java, since Thursday (15/6) was mobilised all through the village in 19 subdistricts in this area. They were assigned to give the vaccine took the form of the liquid antivirus bird flu or avian influenza (AI) for approximately 1 million poultries in Tulungagung.

The section head Danduk Sudarham Livestock Breeding when being found by several reporters in his office, on Thursday, said the mobilisation vaksinator large-scale this as the maximal form of the Tulungagung Regional Government to combat the distribution of the AI virus that turn off more than 5.000 poultries.

"This the solidest program namely the AI eradication of one million poultries. His main target poultry livestock breeding belonging to the citizen in the settlement or often was acknowledged as the poultry in the IV sector," said Danduk.

From the total 1.5 million poultries in Tulungagung Danduk words, around 1 million poultries in small livestock breeding that often was acknowledged as the people's livestock breeding.

The section head the Health of the Animal of the Service of Nugraha Siswantara Livestock Breeding said vaksinator 90 more was taken from the citizen and village equipment who were trained by the Livestock Breeding Service.

"If the power from the clear livestock breeding service was not enough, lagian the citizen and village equipment more understood his target of the citizen's poultry," said Nugraha.

The AI eradication program totalling 1 million poultries it was estimated took place for a week in the future. Further this program will continue for the breeder bigger.

As is known Tulungagung became one of the endemic areas of bird flu. The Media's Indonesian note mentioned in 2003 - 2004 at least 300 thousand livestock, especially the chicken in the area died and were destroyed because of being affected by AI.

Later since the last month again was found by thousands of livestock died suddenly, especially in the Boyolangu Subdistrict. The concern would the AI danger increasingly big after two older brothers were siblings from the Sukowiyono Village, the Karangrejo Subdistrict, namely Adtya, 11 months and Rizal, 7, was run off with to the regional Public Hospital (RSUD) Dr Iskak because diindikasi suspect bird flu.

Aditya had finally died after experiencing the high fever, coughs as well as breathless. Whereas Rizal could be treated for a week because of the similar sign.

Later after being done by the verification of the sample of blood in RSU Dr Soetomo Surabaya for the time being Rizal the AI virus negative.

http://menkokesra.go.id/content/view/1015/39/