Indonesian Human Cases: Nov 3 to Dec 4, 2007

[Commonground]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

MB Masih Suspect, that was Other Hanya Be Demam Biasa
on Saturday, on November 10 2007 13:32

Laporan Muhammad Hapiz redaksi@riautoday.com Pekanbaru -- the Condition MB (8 bln), pre-schoolers suspect bird flu from the Thorn continued to improve.

Now five other residents from daeah that was same that it was considered suspect evidently only experienced the common fever and has been permitted to come home to the Thorn since yesterday.

Nevertheless MB the couple's child Utung and Lalita, the resident Street Siak, Kelurahan Balaimakam, of Kecamatan Mandau (the Thorn), the Bengkalis Regency was still being treated in RSUD Arifin Achmad and since this morning no longer suffers the fever, his temperature descended 37 levels celcius.
Was like this Chairman Tim of the Control of Bird Flu of RSUD Arifin Achmad Pekanbaru Azizman Saad answered riautoday.com this afternoon, on Saturday (10/11).

The condition for the lungs MB also continued to improve because no longer experienced the inflammation.
However we were still striving for the increase in leucocytes or the level of his blue blood, because of only 3,200, now normal him 4,000, said Azisman.
In the meantime four other residents that beforehand it was considered suspect bird flu, was ascertained not terjangkit the virus afian influenza (AI).
They only suffered the common fever.
"Results" of "observation showed that was other that only suffered the common fever."
Not bird flu, because that was allowed to come home, added Azizman.

http://www.riautoday.com/new/index.php?option=com_content&task=view&id=3369&Itemid=1

 

[Commonground]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

On Saturday, November 10 2007 09:53
pre-schoolers Suspect AI improved, Five the Neighbour the Common Fever Customary and already Go Home

The condition MB, pre-schoolers suspect bird flu continued to improve.
Now five neighbours almarmuh M. Nabi evidently only common fevers and already since yesterday afternoon was invited to come home to the Thorn.
Riauterkini-Pekanbaru- results of the last checking of the Team of the Control of Bird Flu of RSUD Arifin Achmad Pekanbaru towards the MD condition, pre-schoolers 8.5 months that ditenggarai terjangkit the bird flu virus showed the sign continued to improve.
The couple's pre-schooler children Utung and Lalita, the resident Street Siak, Kelurahan Balaimakam, of Kecamatan Mandau (the Thorn), this Bengkalis Regency this morning no longer suffers the fever.
"His condition continued to improve."
This morning the temperature bada him 37 levels celsius.
Not again feverish, said Chairman Tim of the Control of Bird Flu of RSUD Arifin Achmad Pekanbaru Azizman Saad to riauterkini, on Saturday (10/11).

Explained by Azizman, the condition for these pre-school lungs also continued to improve.
Not there is still the inflammation happened.
Only leucocytes or the level of his blue blood that still must be striven for by his increase, because of only 3,200, now normal him 4,000.
In the meantime for the deceased's five neighbours Muhammad Nabi that died resulting from bird flu three days set, was ascertained by them not terjangkit the virus afian influenza (AI), but only suffered the common fever.
"Results" of "observation showed they only suffered the common fever."
Not bird flu, because that since yesterday they were invited by us to come home, said Azizman.
Therefore remained MB that still berstatus suspect bird flu.
Sementea related the death of the Prophet, there was several people that once direct contact with casualties that was in the supervision.

http://www.riauterkini.com/sosial.php?arr=16513

 

[Commonground]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

5 residents of the SUSPECT FLU BURUNG
Satu Masih Dirawat THORN, Empat Dibolehkan Pulang
on November 10 2007 12:08 wib
ad

Pekanbaru (RiauInfo) - four from five (not six-red) the resident Street Siak, Duri that was stated suspect bird flu had finally been permitted to come home.
This was caused from results diagonosa in RSUD Arifin Achmad Pekanbaru, the four residents evidently only suffered the common fever.
Whereas other that is MB (8 months) still was treated because his condition was still serious.
The Sub Dinas Kesehatan head and the Nutrient of Disnas Kesehatan Riau drg H Burhanuddin Agung when being contacted on Saturday (10/11) confirmed was returned by him the four residents of the Thorn that originally was stated suspect bird flu itu. was permitted to come home.
According to him, returning of the four residents of the Thorn because of being based on results of the diagnosis in RSUD Arifin Achmad, it was concluded the four of them only suffered the common fever.
"We were indeed fast preceptive to carry out the diagnosis against them, therefore they could fast was returned," he said.
Whereas MB until this was still being treated in space of the bird flu isolation, although his condition began menunujukkan the development to the side of was better.
Although his leucocytes descended from 3,400 to 3,200.
However breathless him has begun to improve from before 40 times per the minute to 28 times per the minute.
Despite this, Chairman Tim of the Control of RSUD Arifin Achmad Bird Flu Dr Azizman Saad said results x-rayed still showed the right-hand lungs MB still was filled bronco pheneuomi. Possibly this that caused breathless him was not yet normal.
Therefore until this MB still continued to be treated.

http://www.riauinfo.com/main/news.php?c=6&id=3030

 

[Commonground]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

The Casualty house Surrounded Breeding Bird Flu of Swallow
on November 10 2007 11:40 wib
ad

Pekanbaru (RiauInfo) - was based on results of observation and the Duri research of the Community Health Centre side, Muhammad Nasbih (31) bird flu casualties who died in RSUD Arifin Achmad, never contact with the poultry.
Because around his house was not found the poultry roamed about.
Only the official of the community health centre found the number of wastes walet around the residential house M. Nasbih.
Because around casualties's house was gotten the breeding building of the swiftlet.
Expected strong the waste walet that came from swiftlets that came from this breeding.
To the Duri Community Health Centre Dr Susilowaty during Saturday (10/11) in the Thorn permitted his side to find the number of bird droppingss walet around casualties's residence.
However he still could not confirm whether the bird flu virus that was contracted by Muhammad Nabih indeed came from these bird droppingss.
HA him he appealed to the community to slalu maintained the cleanliness, especially being assembled with the poultry and his waste.
"However he also reminded the community in order to have to not be frightened of being abundant towards the bird flu virus, because the virus could die as a result of the sun rays and the temperature between 60 and 80 levels."

http://www.riauinfo.com/main/news.php?c=6&id=3026

 

[Theresa42]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

Yup. They can't pin it on poultry so they're looking for some other bird....

No mention of the possibility that he could've gotten H5N1 from cats or some other mammal (including humans), of course.

 

[Commonground]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

And no mention in any article if WHO is still going down there.

 

[Shannon Bennett]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

I hope they do antibody tests on those sent home. Would be nice to know if they have a milder form of the disease.

 

[Laidback Al]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

I hope they do antibody tests on those sent home. Would be nice to know if they have a milder form of the disease.

Any follow up studies on patients who "survived" or tested negative after Tamiflu treatment would be beneficial to help us understand if there are milder forms of H5N1.

 

[HenryN]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

Bird flu claims 91st victim in Indonesia

Jakarta (dpa) - A 31-year-old Indonesian man has died of bird flu, raising the country's death toll from the H5N1 avian influenza virus to 91 - the world's highest, a Health Ministry official said Saturday.

The man, identified by his initials MN, originally from Bengkalis district of Riau province in Sumatra island, died Tuesday just as he was admitted to Pekanbaru's Arifin Achmad Hospital, said Dasir Nurdin, an official at the Health Ministry's bird-flu information centre.

Nurdin said that the man fell sick on October 31 and sought medical treatment at a health clinic nearby on November 3 before being admitted three days later to the provincial designated hospital for bird flu.

"The man died on his arrival in the hospital," Dasir Nurdin said.

The Health Ministry's provincial team is still investigating the history of the man's illness.

His death was Indonesia's 91st out of 113 diagnosed cases of bird flu in humans. Both figures are the highest in the world. Not counting Indonesia's latest fatality, at least 204 people have died in 12 countries in Asia and Africa of the disease, according to World Health Organization statistics.
The most common way to contract the H5N1 avian influenza virus is through contact with sick fowl. Although bird flu remains mainly an animal disease, experts fear the virus could mutate and spread from human to human, turning it into a pandemic that could kill millions of people worldwide.
http://www.bangkokpost.com/printthis.php

 

[Sally Furniss]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

The joint team of Lakukan Investigasi
Pekanbaru (the Media): the Badan Kesehatan Joint Team of the World (WHO), the Penelitian Dan Pengembangan Kesehatan Body (Balitbangkes), Sub Directorate Surveilen Department of Health, and the Zoonosis Agency combed the location around the MN house, positive casualties bird flu that died on Tuesday (6/11).
The numbering team of four people carried out a set of investigation and observation of the environment in Street xxxx, Kelurahan Balai Makam, Kecamatan Mandau, Kabupaten Bengkalis, Riau, yesterday.
They will look for the cause tertular him MN by the virus H5N1.

Tim Gabungan Lakukan Investigasi

<hr style="color: rgb(204, 204, 204);" size="1"> <!-- / icon and title --> <!-- message --> PEKANBARU (Media): Tim gabungan Badan Kesehatan Dunia (WHO), Badan Penelitian dan Pengembangan Kesehatan (Balitbangkes), Sub Direktorat Surveilen Depkes, dan Lembaga Zoonosis menyisir lokasi di sekitar rumah MN, korban positif flu burung yang meninggal dunia Selasa (6/11). Tim yang berjumlah empat orang itu melakukan serangkaian investigasi dan observasi lingkungan di Jalan Siak, Kelurahan Balai Makam, Kecamatan Mandau, Kabupaten Bengkalis, Riau, kemarin. Mereka akan mencari penyebab tertularnya MN oleh virus H5N1.
http://www.media-indonesia.com/cetak/berita.asp?id=2007111022170438

 

[Sally Furniss]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

One Pasien Suspect Flu Burung Masih Dirawat, Empat Sudah Pulang
Dikirim Oleh: Adrizas Asdrizas on November 10 2007 3:03:12 PM
Pekanbaru (Riau Online): four from five (not six-red) the resident Street xxx, Duri that was stated suspect bird flu had finally been permitted to come home.
This was caused from results diagonosa in RSUD Arifin Achmad Pekanbaru, the four residents evidently only suffered the common fever.
Whereas other that is MB (8 months) still was treated because his condition was still serious.
The Sub Dinas Kesehatan head and the Nutrient of Disnas Kesehatan Riau drg H Burhanuddin Agung when being contacted on Saturday (10/11) confirmed was returned by him the four residents of the Thorn that originally was stated suspect bird flu itu. was permitted to come home.
According to him, returning of the four residents of the Thorn because of being based on results of the diagnosis in RSUD Arifin Achmad, it was concluded the four of them only suffered the common fever.
"We were indeed fast preceptive to carry out the diagnosis against them, therefore they could fast was returned," he said.
Whereas MB until this was still being treated in space of the bird flu isolation, although his condition began menunujukkan the development to the side of was better.
Although his leucocytes descended from 3,400 to 3,200.
However breathless him has begun to improve from before 40 times per the minute to 28 times per the minute.
Despite this, Chairman Tim of the Control of RSUD Arifin Achmad Bird Flu Dr Azizman Saad said results x-rayed still showed the right-hand lungs MB still was filled bronco pheneuomi.
Possibly this that caused breathless him was not yet normal.
Therefore until this MB still continue to dirawat. (ak)

Satu Pasien Suspect Flu Burung Masih Dirawat, Empat Sudah Pulang
Dikirim Oleh: Adrizas Asdrizas pada 10 November 2007 3:03:12 PM
PEKANBARU (Riau Online): Empat dari lima (bukan enam-red) warga Jalan Siak, Duri yang dinyatakan suspect flu burung akhirnya diperbolehkan pulang. Hal ini disebabkan dari hasil diagonosa di RSUD Arifin Achmad Pekanbaru, keempat warga tersebut ternyata hanya menderita demam biasa. Sedangkan satu lagi yakni MB (8 bulan) masih dirawat karena kondisinya masih parah.

Kepala Sub Dinas Kesehatan dan Gizi Disnas Kesehatan Riau drg H Burhanuddin Agung ketika dihubungi Sabtu (10/11) membenarkan telah dipulangkannya keempat warga Duri yang semula dinyatakan suspect flu burung itu. telah diperbolehkan pulang.

Menurut dia, kepulangan keempat warga Duri itu karena berdasarkan hasil diagnosa di RSUD Arifin Achmad, disimpulkan keempatnya hanya menderita demam biasa. "Kami memang cepat tanggap untuk melakukan diagnosa terhadap mereka, makanya mereka bisa cepat dipulangkan," ujarnya.

Sedangkan MB sampai saat ini masih dirawat di ruang isolasi flu burung, kendati kondisinya mulai menunujukkan perkembangan ke arah lebih baik. Walau leukositnya turun dari 3.400 menjadi 3.200. Namun sesak nafasnya sudah mulai membaik dari sebelumnya 40 kali per menit menjadi 28 kali per menit.

Kendati demikian, Ketua Tim Penanggulangan Flu Burung RSUD Arifin Achmad dr Azizman Saad mengatakan hasil rontgen masih menunjukkan paru-paru sebelah kanan MB masih dipenuhi bronco pheneuomi. Mungkin ini yang menyebabkan sesak nafasnya belum normal. Makanya sampai saat ini MB masih tetap dirawat.(ak)

http://www.riau.go.id/index.php?module=articles&func=display&ptid=1&aid=6855

 

[Gert van der Hoek]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

http://www.mediaindonesia.com/berita.asp?id=148900

WHO forms special bird flu teams

toggletext is out, some snips from this report:

Together with WHO it is decided, in 11 regions in Riau province special bird flu teams will be formed; these teams will do close surveillance and socialisation.

Riau Health Service does not have to wait anymore at test results from Jakarta, they can proceed according to their own PCR restresults.

The baby of 8 months old MB is stated negative for bird flu (by balitbankes, lab of Jakarta), together with the parents U (41) and L (23). The child is still treated in intensive care, but the condition is improved.

 

[Gert van der Hoek]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

On Monday, November 12 2007 14:35

MD Permitted to go Home, the Widow Deceased Nabi Suspect Bird Flu and was treated in Medan

It was other that the resident from Mandau was stated suspect bird flu, namely the wife of the deceased M.Nabi. At this time the woman was 30 years old this was treated in RS Adam Malik Medan.

Riauterkini-Pekanbaru- the deceased's Widow Mmuhammad Nabi (31), the resident Balaimakam, Kecamatan Mandau, of Bengkalis that it was confirmed died as a result of the bird flu virus experienced the sign of the clinic was infected by the virus H5N1 or afian influenza.

The woman with initials M. with the age 30 years official was stated suspect bird flu since several days set.

M. experienced the sign of the clinic infected by the bird flu virus after delivered at the same time burying his husband's body in Tebing Tinggi, North Sumatra, therefore, despite him the resident of Mandau, but at this time he was undergoing the maintenance in the Hospital of Adam Malik, Medan, North Sumatra.

We received confirmation from the Service of Kesehatan North Sumatra that the wife MN, positive casualties bird flu was receiving the maintenance in RS Adam Malik Medan.

Explained by Burhan, M., 30, it was known experienced the high fever after carrying out the burial procession of his husband's body in the Medan City, North Sumatra.

Therefore, he continued, M., that still in the supervision, in accordance with the handling procedure of bird flu afterwards was reconciled to RS Adam Malik to Ahad (11/11) in the afternoon by Dinkes North Sumatra.

Further after coordinating with Dinkes Riau, Dinkes North Sumatra then decided the determination M. as the patient suspect bird flu.

MD Healthy and was permitted to go Home

In the meantime, MB, 8 months, the patient suspect that has been stated by the bird flu negative by the Penelitian Dan Pengembangan Kesehatan Body (Balitbangkes) the Department of Health last Saturday (10/11), around struck 10,00 WIB, on Monday (12/11) have been permitted again kerumah him in the Balai Makam District, Kabupaten Bengkalis, Riau.

The couple's baby U, 41, and L, 23, that must receive the maintenance for five days in space of the bird flu isolation of RSUD Arifin Ahmad Pekanbaru because of experiencing the hot fever after being known once contact with his neighbour of MN, positive casualties bird flu.

Was based on results of the mucus test and the negative throat bird flu.
The patient MB, was stated by us experienced the common fever Chairman's words of Tim Doctor Penanggulangan of Bird Flu of RSUD Arifin Ahmad Azizman Saad to the reporter Monday (12/11).

http://www.riauterkini.com/sosial.php?arr=16524

 

[HenryN]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

http://www.tempointeraktif.com/hg/nasional/2007/11/12/brk,20071112-111397,id.html


Kasus Flu Burung di Riau Bertambah
Senin, 12 November 2007 | 17:23 WIB
TEMPO Interaktif, Jakartaepartemen Kesehatan menyatakan MN, laki-laki 31 tahun, warga Simpang Garoga, Kecamatan Duri, Kabupaten Bengkalis, Provinsi Riau, positif meninggal karena flu burung.
"Kepastian itu berdasarkan hasil pemeriksaan Laboratorium Badan Penelitian dan Pengembangan Departemen Kesehatan serta Lembaga Biologi Molekuler Eijkman," tulis Kepala Pusat Komunikasi Publik Lily Sulistyowati dalam siaran pers yang diterima Tempo, Senin.
MN mengalami gejala terinfeksi virus H5N1 pada 31 Oktober. Ia sempat dirawat di Rumah Sakit Permatahati Duri pada 3 November. Karena kondisinya terus memburuk, ia dirujuk ke Rumah Sakit Arifin Achmad pada 6 November. MN meninggal hari itu juga dan dimakamkan di Deli Serdang, Sumatera Utara.
Kasus MN merupakan kasus flu burung keenam di Riau, dengan lima orang meninggal. Riau berada di peringkat 11 dari 12 provinsi untuk kasus flu burung terbanyak. Total kasus flu burung di Indonesia mencapai 113 orang, dengan 91 orang meninggal. Angka kematian (case fatality rate) mencapai 79,46 persen. Artinya, dari 5 orang penderita hanya 1 orang selamat.
Kasus terbanyak flu burung saat ini masih dipegang Jawa Barat dengan 29 kasus, 23 orang meninggal. DKI Jakarta menempati urutan kedua dengan 26 kasus, 23 orang meninggal. Sedangkan posisi ketiga ditempati Banten dengan 18 kasus, 15 orang meninggal. PRAMONO

 

[HenryN]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

http://www.tempointeraktif.com/hg/nasional/2007/11/12/brk,20071112-111397,id.html


Kasus Flu Burung di Riau Bertambah
Senin, 12 November 2007 | 17:23 WIB
TEMPO Interaktif, Jakartaepartemen Kesehatan menyatakan MN, laki-laki 31 tahun, warga Simpang Garoga, Kecamatan Duri, Kabupaten Bengkalis, Provinsi Riau, positif meninggal karena flu burung.
"Kepastian itu berdasarkan hasil pemeriksaan Laboratorium Badan Penelitian dan Pengembangan Departemen Kesehatan serta Lembaga Biologi Molekuler Eijkman," tulis Kepala Pusat Komunikasi Publik Lily Sulistyowati dalam siaran pers yang diterima Tempo, Senin.
MN mengalami gejala terinfeksi virus H5N1 pada 31 Oktober. Ia sempat dirawat di Rumah Sakit Permatahati Duri pada 3 November. Karena kondisinya terus memburuk, ia dirujuk ke Rumah Sakit Arifin Achmad pada 6 November. MN meninggal hari itu juga dan dimakamkan di Deli Serdang, Sumatera Utara.
Kasus MN merupakan kasus flu burung keenam di Riau, dengan lima orang meninggal. Riau berada di peringkat 11 dari 12 provinsi untuk kasus flu burung terbanyak. Total kasus flu burung di Indonesia mencapai 113 orang, dengan 91 orang meninggal. Angka kematian (case fatality rate) mencapai 79,46 persen. Artinya, dari 5 orang penderita hanya 1 orang selamat.
Kasus terbanyak flu burung saat ini masih dipegang Jawa Barat dengan 29 kasus, 23 orang meninggal. DKI Jakarta menempati urutan kedua dengan 26 kasus, 23 orang meninggal. Sedangkan posisi ketiga ditempati Banten dengan 18 kasus, 15 orang meninggal. PRAMONO

The case of Bird Flu in Riau Bertambah
on Monday, November 12 2007 | 17:23 WIB
The Interaktif TIME, Jakarta: the Department of the Health stated MN, the man 31 years, the resident Simpang Garoga, Kecamatan Duri, of Kabupaten Bengkalis, Provinsi Riau, positive died because of bird flu.
"The assurance was based on results" of the "inspection the Badan Penelitian Dan Pengembangan Departemen Laboratory" of the "Health as well as the Biologi Molekuler Eijkman Agency," wrote the Head of the Centre of Communication of Publik Lily Sulistyowati in the press release that was accepted the Time, on Monday.
MN experienced the sign was infected by the virus H5N1 on October 31.
He could be treated in the Permatahati Duri Hospital on November 3.
Because his condition continued to worsen, he was reconciled to the Arifin Achmad Hospital on November 6.
MN died the same day and was buried in Deli Serdang, North Sumatra.
The MN case was the case of sixth bird flu in Riau, with five people died.
Riau was in the level 11 from 12 provinces for the case of most bird flu.
The total case of bird flu in Indonesia reached 113 people, with 91 people died.
The death rate (case fatality rate) reached 79.46 percent.
Meaning that, from 5 sufferers of only 1 person congratulations.
The most case of bird flu at this time still was held West Java with 29 cases, 23 people died.
The Special Capital District of Jakarta occupied the second place with 26 cases, 23 people died.
Whereas the third position was occupied by Banten with 18 cases, 15 people died.
PRAMONO

 

[Gert van der Hoek]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

WHO

Avian influenza ? situation in Indonesia ? update 24

12 November 2007

The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza.

A 31-year-old male from the Bengkalis District, Riau Province developed symptoms on 31 October, was hospitalized on 3 November and died in an AI referral hospital on 6 November.

Identification of the source of his infection is ongoing and includes investigation into a large swallow farm in close proximity to the case's house.

Of the 113 cases confirmed to date in Indonesia, 91 have been fatal.

http://www.who.int/csr/don/2007_11_12/en/index.html

 

[Gert van der Hoek]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

The mother and the Nephew from Sergai Suspect Bird Flu Brought to RSUP HAM

Medan (SIB) A mother had the initials N (30) and his nephew had the initials NN that just was 10 months old from the Dolok Masihul Serdang Bedagei Subdistrict (Sergai) was expected suspect bird flu was run off with to RSUP H Adam Malik Medan, on Sunday (11/11).

Up to now both of them still in the maintenance in space of the isolation of the bird flu building of RSUP HAM.

Till Monday (12/11) conditions both of them began to improve.
The temperature of the temperature of the patient N achieved 37 levels celsius, trombosit still in the normal limit reached 214.000/mm3, HB him 11,9/mm3, but Leucositnya seldom boasted 16.400/mm3.

Results fotothoraks, to his lungs did not appear to have the deviation, the public's situation improved, whereas to the child NN, the temperature 37 levels celsius, trombosit him 214.000/mm3, Leucositnya 7400/mm3 and HB him 9.3.

The child still in the photograph inspection thoraks but the situation generally improves.

The story tertular him the two people still could not be ascertained came from where, but according to information that was accepted, both of them tertular was talked about came from one of his relatives who died also it was suspected suspect bird flu that came from outside the North Sumatran Province.

Post the burial of his relatives, several days afterwards N experienced the illness similar to the sign of bird flu was followed also with this child, but as far as this is concerned concerning the origin infection him the two people still could not be ascertained.

Kahumas RSUP HAM Sinar Ginting that it was confirmed justified the entry of the two patients.

Said, the situation of the two patients began to improve after receiving the intensive maintenance.
(M.-

http://hariansib.com/2007/11/12/ibu-dan-keponakan-asal-sergai-suspect-flu-burung-dibawa-ke-rsup-ham/

 

[Theresa42]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

On Monday, November 12 2007 14:35

MD Permitted to go Home, the Widow Deceased Nabi Suspect Bird Flu and was treated in Medan

It was other that the resident from Mandau was stated suspect bird flu, namely the wife of the deceased M.Nabi. At this time the woman was 30 years old this was treated in RS Adam Malik Medan.

Riauterkini-Pekanbaru- the deceased's Widow Mmuhammad Nabi (31), the resident Balaimakam, Kecamatan Mandau, of Bengkalis that it was confirmed died as a result of the bird flu virus experienced the sign of the clinic was infected by the virus H5N1 or afian influenza.

The woman with initials M. with the age 30 years official was stated suspect bird flu since several days set.

M. experienced the sign of the clinic infected by the bird flu virus after delivered at the same time burying his husband's body in Tebing Tinggi, North Sumatra, therefore, despite him the resident of Mandau, but at this time he was undergoing the maintenance in the Hospital of Adam Malik, Medan, North Sumatra.

(...)

A quick note about this couple -- keep in mind that just because they are married, that doesn't mean they aren't blood relatives. In fact, there's good chances that, being from Sumatra, they are related.

Cousin-marriage is quite common in Indonesia -- and very common in Sumatra, I think -- so spouses are very often blood relatives. Back during the Karo cluster I found info that the Karo peoples (the Gintings, for instance) regularly marry their 1st or 2nd cousins. Don't know what we're dealing with in this case, but it's quite likely that this couple are (were) related, too:

http://www.google.com/search?hl=en&q=riau+cousin+marriage&btnG=Search

However, none of this necessarily negates the possibility that this could be an h2h bf cluster -- not in my book, anyway!

 

[Gert van der Hoek]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

In a frightened manner Bird Flu, the Resident smoked the Walet Nest

Duri: Frightened to be contaminated by bird flu, the residents from Simpang Geroga, Duri, of Riau, expelled the swiftlet by means of smoking or burning the birds nest that nested in several building rooves.

The resident considered walet was the cause of the spread of bird flu.

http://www.liputan6.com/news/?id=150643&c_id=7

 

[HenryN]

Re: Indonesian Human Cases Nov 3+

Re: Indonesian Human Cases Nov 3+

AVIAN INFLUENZA, HUMAN (150): INDONESIA
***************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Mon 12 Nov 2007
Source: WHO Epidemic and Pandemic Alert and Response (EPR) disease
outbreak news [edited]
<http://www.who.int/csr/don/2007_11_12/en/index.html>


The Ministry of Health of Indonesia has announced a new case of human
infection of H5N1 avian influenza (AI). A 31-year-old male from the
Bengkalis District, Riau Province developed symptoms on 31 Oct
[2007], was hospitalized on 3 Nov [2007], and died in an AI referral
hospital on 6 Nov [2007].

Identification of the source of his infection is ongoing and includes
investigation into a large swallow farm in close proximity to the
case's house.

Of the 113 cases confirmed to date in Indonesia, 91 have been fatal.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[This appears to be the same fatal case of avian influenza virus
infection reported in ProMED-mail archive 20071111.3656. However, the
current report (above) is the 1st that explicitly mentions close
proximity to a swallow farm. The birds are undoubtedly bird nest soup
swiftlets (_Collocalia fuciphaga_, although its specific and
subspecific taxonomic status is debated), raised for their very
expensive nests. Indonesia exports 27 tonnes of nests annually, which
indicates the magnitude of this industry. The status of the swiftlets
as H5N1 virus hosts is unknown and the results of the investigation
will be of interest. Images of these birds and their nests can be
seen at
<http://10000birds.com/edible-nest-swiftlets.htm>

The HealthMap/ProMED-mail interactive map of the island of Sumatra,
the location of Riau province, can be accessed at
<http://healthmap.org/promed?v=-2.6,120.9,5>. - Mod.TY]