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Indonesian Human Cases Sept 15 - Oct 4th, 2007

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Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

Location Rawa Buaya , Jakarta
 

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Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

West Jakarta shop attendant latest bird flu victim

The Jakarta Post, Jakarta

The Health Ministry has confirmed that a West Jakarta shop attendant died of the bird flu Friday, increasing the country's human death toll from the virus to 86.

Ministry spokeswoman Lily Sulistyawati said test results for the latest bird flu victim, AR, were released Monday.

Indonesia has the highest number of human bird flu infections in the world, at 107.

The latest victim, 21-year-old AR, was admitted to Sumber Waras Hospital, West Jakarta on Sept. 25 with respiratory problems. Two days later he was moved to the intensive care unit.

"AR spent a week at home before being admitted to the hospital because the onset of the infection is like a common cold. His respiratory problems began on Sept. 18.

"He must have been in a bad condition when he was eventually hospitalized," Lily said.

Of the country's 86 human fatalities, 26 have been from Greater Jakarta.

It is believed AR caught the H5N1 virus from infected poultry.

Officials from the Health Ministry and the Agriculture Ministry were immediately deployed to AR's neighborhood in Basmol housing complex, Rawa Buaya, West Jakarta, to conduct blood tests on AR's immediate family members and neighbors and to search for infected poultry.

"AR was a shop attendant and did not keep chickens in his backyard. There was such a small risk of him contracting the bird flu but our team is now checking the neighborhood for the source of the virus," the official said.

Head of West Jakarta's Animal Health and Husbandry Agency Chaidir Taufiq said AR worked at a shop in Rawa Buaya market where live chickens were sold nearby.

AR's neighbors had also kept chickens in their backyards.

"Many of the chickens were recently bought in preparation for the Idul Fitri holiday
," Chaidir said.

Following outbreaks of bird flu in the city earlier this year, Jakarta issued an ordinance banning people from keeping backyard poultry in January. The ordinance also made health certificates mandatory for pet birds.

The regulation, and the administration's inconsistency in imposing it, received a cold reception from the public. Officials, however, said the massive flood that hit Jakarta in February had caused a shift in priorities from imposing the ordinance to tackling the flood.

Chaidir said it remained a challenge for his agency to clear backyard poultry from housing areas in West Jakarta, as people who kept chickens were mostly from low-income families.

"It's really hard to tell people they are not allowed to keep chickens in housing areas. Many say the chickens are like their savings, which can be sold anytime they need cash."

Originally a poultry disease, the H5N1 virus was first reported to infect humans in 1995 in Hong Kong. Indonesia first reported human infections in 2005. Simple measures like washing hands and other good sanitary habits are the most effective ways to prevent the infection.

http://www.thejakartapost.com/detailcity.asp?fileid=20071002.C04&irec=3
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

machinetranslated, edited

Report says: apart from AR (Abdul Rozak) a girl is hospitalized.

http://www.kompas.com/ver1/Kesehatan/0710/01/224730.htm

october 01 2007

Bird flu was contagious in Rawa Buaya, A Person was killed

The report on the Reporter Kompas C Windoro AT

Jakarta, Kompas - Bird Flu was contagious in the Rawa Buaya District, Kecamatan Cengkareng, West Jakarta.

One of the residents, Abdul Rozak (21), was killed after three days were treated in the Sumber Waras Hospital.

Departemen research and development of the Health that examined his blood said, Rozak positive bird flu.

A daughter (girl) 10 years it was suspected went along infected. She currently is treated in the Sulianti Saroso Hospital.

That was raised by Health Special Capital District Section Head, Wibowo Sugiat and the representative, Salimar, Kepala of the Dinas Kesehatan Ethnic Group (Sudinkes) West Jakarta, Aryani, as well as the Head of the Dinas Peternakan Ethnic Group and Chaidir fisheries that were contacted separately, on Monday afternoon (1/10).

Hindun (65), the mother Rozak, on Monday around 12.00 in his house ****, Rawa Buaya, Cengkareng, West Jakarta explained, his child began to have a temperature and breathless on Tuesday (18/9).

A week afterwards, on Tuesday (25/9), the old widow took his child who was everyday traded kelontong * in the Kemiri Market, Basmall, Kembangan, to the Hospital (RS) the Waras Source. "My Child only remained three days."

On Friday (28/9) he was called, she said while sobbing.

That day dozens of officials Sudin Peternakan and West Jakarta fisheries busy taking the example of chicken blood that still often was maintained by the resident.

They, including Chaidir, startled saw almost each house around casualties's house still was maintaining the chicken. "We felt robbed."
This case will be brought to court by us legally, said Chaidir.

Although already a person was killed, several residents were still objecting when their property chickens were destroyed by the official.

Apart from destroying the poultry, 11 people were taken his blood by Sudinkes West Jakarta.

The same day, the officials held lisolisasi (washing or spraying with Lisol, desinfectant,ed). "Lisolisasi was done by us until the radius 200 metre from casualties's house."

We also checked the resident who had a temperature. Found by us a daughter of the age 10 years already a hot week. We immediately brought to RS Sulianti Saroso.

His possibility suspect bird flu, explained Aryani in the activity gap checked the resident.

Salimar suspected, the source of bird flu came from the poultry that was maintained by the resident, and the dirtiness of the Kemiri Market.
"Still was researched by us, but his assumption yes from there," he said.

He reminded the Special Capital District resident so that when being attacked hot, before 2x24 the hour take Tami Flu. "Could be received free in each Community Health Centre (the Community Health Centre)," he said.

Salimar also urged the market managers to maintain the cleanliness especially in sale centres of chicken and the other poultry. He worried, this case will immediately spread.

"Because of that I reminded the appeal of the Special Capital District Provincial Government concerning bird flu and his prevention."
Don't forget to wash the hands, he said.

toko kelontong = grocery store
kelontong = rattle
 
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Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

Today 2 suspect patients entered RS Sulianti Saroso in Jakarta.

More to follow.
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

Toggletext down, hand translated

Health two patients suspect bird flu immediately monitored

Two new suspect bird flu patients entered RS Sulianti Saroso hospital in Jakarta on tuesday (10/02), until now they are still treated at the intensive care bird flu unit.

The team of doctors immediatly monitored the two patients who had bird flu symptoms, like high body temperature, infection of the respiratory tract and inflammation of the lungs.

no further details on the patients

http://www.metrotvnews.com/berita.asp?id=46584
 
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Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

[Word translation]

02-10-2007
Annihilate Poultry At Settlement

excerpt:

Province Special District of the Capital Jakarta express to be based on information which was obtained that in surrounding environment of house Rozak sill found around 119 poultry of divisible species which [be able/can/could] bring virus that kill those. He estimate sum amount of poultry be at location house Rozak live not like that reported but more many still, because be able nevertheless society purposely hide their poultry so that they won't be annihilated.

http://www.beritajakarta.com/V_Ind/berita_detail.asp?idwil=0&nNewsId=26020
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

Avian influenza ? situation in Indonesia ? update 17

2 October 2007

The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. A 21-year-old male from Jakarta Province developed symptoms on 18 September, was hospitalized on 25 September and died in hospital on 28 September.

The investigation found that the case was an egg seller in a traditional market. All of the contacts remain healthy, where they will continue to be monitored for ten days after their last contact with the case.

Of the 107 cases confirmed to date in Indonesia, 86 have been fatal.

http://www.who.int/csr/don/2007_10_02/en/index.html
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

Snip from this post of AnneZ, sister of AR died of Bird Flu too:

http://www.flutrackers.com/forum/showthread.php?t=37132


Community indifference seen hampering fight against bird flu

The Jakarta Post, Jakarta

Within five months, a family from Rawa Buaya subdistrict in West Jakarta lost two children to what was diagnosed as typhoid fever by doctors at the Sumber Waras Hospital.

AR, 22, died last Friday after suffering from high fever, headaches and respiratory problems.

His 19-year-old sister died after suffering similar symptoms in April.


However, on Monday the Health Ministry confirmed that the cause of both deaths was avian influenza.

The virus has infected 107 people and killed 86 throughout Indonesia since 2005. Jakarta alone has reported 26 bird flu cases, 23 of which led to deaths.

The family doubted the findings of the Health Ministry, arguing that the siblings had not been exposed to the virus.

"We don't keep poultry in the back yard. My son was never in contact with poultry and he didn't eat chicken before he became ill," the mother said Tuesday.

"He worked at his uncle's kiosk at the Kemiri market. The shop doesn't sell chickens, but it is near a group of kiosks selling chickens," she said.

She also told The Jakarta Post some of her neighbors kept chickens, pigeons and ducks in their yards and in the narrow alleyways in the semi-slum area.

Meanwhile, the head of the neighborhood unit, Mamat, 50, said the two siblings helped sell their uncle's chickens at Kemiri market before their deaths.

"The two of them helped clean up and slaughter chickens," said Mamat.

http://www.thejakartapost.com/detailcity.asp?fileid=20071003.C02&irec=1
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

However, on Monday the Health Ministry confirmed that the cause of both deaths was avian influenza.

Would that then make the total infected 108 with 87 that died? :confused:
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

Dutchy said:
AR, 22, died last Friday after suffering from high fever, headaches and respiratory problems.

His 19-year-old sister died after suffering similar symptoms in April.

However, on Monday the Health Ministry confirmed that the cause of both deaths was avian influenza.
Many thanks (as usual) Dutchy!

How did they, on Monday, confirm that the sister who died in April died from bf?? Did they have some samples from her laying around? Have they (whomever) been sitting on this info? I don't understand. :confused:
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

Edit - This Case has been deleted. It is from 2005.

hat-tip FrenchieGirl, Commonground, History Lover & dbg. We just discovered this case last night. I don't know how little Alfa is doing. I hope he's well. There a picture of him at the site when he was feeling o.k.
Individual Word Translation:
New Case - Alfa

Fever To Climb Off After Starting At Ragunan

Observe data RSPI Prof Dr. Sulianti Saroso, house sick referral to suffer flu bird name medical patient that affected sickness this through to increase. Mistake the other one menimpa child attain the age of two year. What, just exactly, symptom? Next story person tuanya.

Atmosphere RSPI Prof. Dr. Sulianti Saroso Friday late afternoon 9/23 be visible deserted and quiet. At floor two hall Cempaka that specific diperuntukka for medical patient anticipate flu burung, not at all to do in an offhand manner be permitted go into. Space that make use of door penjagaan have a layer two it just allow enter family medical patient one per one in one out of several one. In one out of several one room number 4 to be visible person child Alfa Pratama Syarif (2).

Late afternoon that Alfa already be visible fresh, compared to day-day previous. Point in time family arrive menjengukny Alfa already be able to joke around in order that seek attention. Alfa mencandai her mother Keni Kurnia Waty (32), by berkali canal drop blanket that towards below floor. He also ask his mother to open bread which will dibungkus plastic.

But, when nurse enter toward kamarnya to take temperature fever his body, Alfa be seen scared. She quickl asked his mother to put instrument thermometer in crack near bottom mungilnya quckly to begin pembalut pampersnya Alfa cry. But tangisnya quickly decrease after instrument that dilepaskan like that so nurse other arrive carry food Alfa quickly ask disuapi to eat because of bibinya, Saida.

Alfa certainly be visible happy. Whereas day-day previous condition Alfa did not to be powerful. In fact did not secuil even food can enter towards mulutnya until condition all the more mengenaska. Syukurlah until Friday 9/23 Alfa already start to eat when many person melihatnya, he certainly want to eat but when only me and him who there at room still difficult to eat", said Keni to open discussion.

Body Hot High
Keni said, when child guessed struck by bird flu virus, she panic and was afraid. Proper just Keni keep back anxiety. Besides, there are several victims that died. "This sickness, as you know, is being talked about by people. Yet now there is not yet medicine that can heal," said this lady with a sweet face.

Fact from RSPI Sulianti Saroso comment, Alfa suspected be struck by bird flu virus after several days previous be invited to Ragunan Zoo, Keni confirm. Sunday (18 September) she indeed invite Alfa to Ragunan. "In fact when that we have two choices road. To Tanah Abang or Ragunan. Finally, we decide to zoo. Moreover, all this time we rarely go to there."

Arrive at zoo, two person elder[?] have a chance invite Alfa tour witness various animals. "We also have a chance stop by at nest of [green or young] peacock. Indeed, yes, we just observe only from distance, did not have a chance to contact directly with that animal," said Keni.

Witnessing beauty wing bird peacock, Alfa was seen happy. In fact, she ask to prolong there. Keni also complied. "Not to my surprise, later we heard peacock suspected epidemic virus killed it." After content with tour, this small family returned home to house at Cakung area, Jakarta East.

Still according to Keni, not yet Alfa sick, she have seen child that play around with older cousin, Alma, at chicken and [duck or parrot] cage that reside at their house. Past Monday (19 September), Keni and her husband hear report Ragunan Zoo shut because considered spreader bird flu virus.

Keni have sufficient time worried if child be affected sickness. But, he try block apprehension. Nevertheless, Alfa condition healthy-healthy, do not show sign about sick. But, Wednesday 9/21 late afternoon unexpectedly body Alfa experience fever high whereas beforehand he did not experience symptom even. I startled/frightened detect condition" says Keni that have sufficient time to stall buy/purchase medicine fever for Alfa. After they gave medicine, temperature body Alfa have a chance to descend but, did not long afterwards temperature his body to climb again until attain 38.5 degrees celsius.
"Occasionally Alfa made noises through his teeth (giginya) until he also had difficulty breathing. Because of this difficult breathing, his body was also trembling; in addition his face seemed pale as if there were no blood."


http://www.tabloidnova.com/articles.asp?id=9771
 
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Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

I?m sorry for Commonground, but the post above refers to 2005 (check the names of the days and the dates)

A copy from a post from Niman, from Curevents, september 2005:


115 Former the Visitor KBR Check to RSPI Sulianti Saroso

Iqbal Prominent - detikNews

http://jkt2.detiknews.com/index.php...6783/idkanal/10


Jakarta - since the closure of the Ragunan Zoo (KBR) to last Monday September 19, former the visitor flocked memeriksakan himself to RS the Infection (RSPI) Sulianti Saroso.

The "total number that memeriksakan his health to RSPI reached 115 people, the" headword "of the" Information" Field and Surveillance the Extraordinary Incident (KLB) birds Flu Dr the Patu Inspiration in RSPI Sulianti Saroso, Street Sunter Permai Raya, Jakarta North, Thursday (22/9/2005).

Former this KBR visitor memeriksakan his health not only because of panicking. But, 115 former the visitor the Jakarta Zoo was indeed unstable.

"In general from them experienced the sign of the fever," continued this RSPI Sulianti Saroso specialist of the nerves operation.

According to the Inspiration, from the total 115 patients former the visitor KBR, not there is even one of the they had the complaint that very serious. So, there was not even one former the visitor KBR that memeriksakan himself to RSPI that it was indicated was attacked by the virus of birds flu. "Not there is even one of the 115 people that was treated," said Dr Ilham.

Up to now, officially the RSPI side recorded had 12 patients who it was suspected were attacked by the virus Avian influenza (AI). They namely Alfa Pratama (1.5 years), Yenina (10 years), Mukalim (19 years). Moreover, Rakadetyo (8), Diah Windarwati (17), Jeremia (9), Windi Lisa (3), Paradise (9), Rosnaningsih (3 years 7 months), Vienna Eka Defianti (18) and Gayatri pearls (7) Ani Setyorini (28), and Abdul Muntalib (39).

Yenina and Alfa, that came to RSPI, because of RS reconciliation other, was recorded had visited to the Ragunan Zoo. Moreover, Ani Setyorini that was the official of the Ragunan Zoo and Abdul Muntalib that everyday traded in the Ragunan Zoo, also was reconciled to RS this. (ism)

http://www.curevents.com/vb/showpost.php?p=133664&postcount=1
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

http://www.recombinomics.com/News/10030701/H5N1_Jakarta_Cluster.html

H5N1 Cluster Raises Surveillance Concerns In Indonesia
Recombinomics Commentary
October 3, 2007

Within five months, a family from Rawa Buaya subdistrict in West Jakarta lost two children to what was diagnosed as typhoid fever by doctors at the Sumber Waras Hospital.

AR, 22, died last Friday after suffering from high fever, headaches and respiratory problems.

His 19-year-old sister died after suffering similar symptoms in April.

However, on Monday the Health Ministry confirmed that the cause of both deaths was avian influenza.


The above comments once again raise concerns about H5N1 detection in patients in Indonesia and elsewhere. In the 1918 pandemic, the most common misdiagnosis were typhoid fever, dengue fever, and cholera. In the current H5N1 outbreak, the misdiagnosis of H5N1 as typhoid and dengue fever is common.

In Thailand, the most cited example of human-to-human transmission in 2005 was initially diagnosed as dengue fever. In Indonesia, one of the larger clusters, was on south Sumatra and was initially diagnosed as typhoid fever. In the south Sumatra cluster, all three family members survived. Survival of H5N1 confirmed cases in Indonesia is rare, and many such cases were identified because they were contacts of confirmed cases. The clustering also led to H5N1 testing in misdiagnosed patients.

The high case fatality rate in Indonesia may be a function of testing procedures. Most testing is done on advanced cases which are transferred to infectious disease hospitals. Patients who recover at local hospitals are not tested. Thus the case fatality rate be lower, but the number of H5N1 infections may be markedly greater than the confirmed cases.

The presence of H5N1 in areas that have large numbers of dengue and typhoid fever remains a cause for concern.
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

I'm not sure about where to put this, but it's a human vaccine and it's Indonesia, so I'll risk it.

Indonesia ready to use its own anti-bird flu vaccines
People's Daily/Xinhua - 09:12, October 04, 2007

Indonesia, the hardest-hit by bird flu, has been ready to use its own anti-bird flu vaccines on human, after the country completed its clinical test, Health Minister Siti Fadilah Supari said in Jakarta Wednesday.

Minister Fadilah ensured that a priority would be given to the area which had suffered human clusters on avian influenza.

But, she said that a calculation was still needed to determine in detail how to use over 2 million doses vaccines that it has produced in cooperation with the U.S.-based drug maker Baxter.

The minister said that the clinical test of the vaccines was already complete in September.

"The vaccines are valid, (they) can be used now," she told Xinhua at the State Palace here.

Some parameters and rules for the application of the vaccines would be made soon, said Fadilah.

"We still need some approaches. We need to make calculation again," she said.:confused:

The health authorities would observe and watch closely which area was proper to be prioritized for using the vaccines, said Fadilah.

She said Karo regency in North Sumatra province would have the priority because it suffered bird flu cluster in April last year, and eight people were killed.

H5N1 virus spread from human-to-human between a small number of people within a family in the province. Indonesia declared the cluster as limited human-to-human transmission.

The (presumably "A") cluster also occurred in Tanggerang, an outskirt city of the country's capital of Jakarta.

Indonesia has decided to use its own vaccines directly, ignoring the suggestion of the World Health Organization (WHO) to stockpile the vaccines and be used when a pandemic occur.

So far, the viruses have killed globally 196 out of 324 infected people, most of them in Indonesia with 86 fatalities and 107 cases.

Experts fear that the highly pathogenic H5N1 virus could mutate in a certain level that can make them transmittable among humans that can cause a pandemic where millions of people can be killed.

Huge territory, traditional way of rising chickens on back yard and lack of obedience of provincial administration in implementing the Jakarta decision to stop the virus spread, are among the obstacles in fighting the bird flu in the country.
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

Thanks Christian!

Do not worry about where to post an article. We are happy for your contributions!

I know this site is large and sometimes it is not easy to know where to post. Please post something you have and we will move it, if necessary.
 
Re: INDONESIA - Human cases - Sept 3 +

Re: INDONESIA - Human cases - Sept 3 +

She said Karo regency in North Sumatra province would have the priority because it suffered bird flu cluster in April last year, and eight people were killed.

Dr. Niman, why would they have a priority here if it occured so long ago, and the virus is constantly changing - unless they are basing it on a genetics?
 
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