Jakarta 7 Jan+

[KBD]

Re: Jakarta 7 Jan+ (not known if cluster)

Re: Jakarta 7 Jan+ (not known if cluster)

Jan. 10 (Bloomberg) -- Bird flu killed a 14-year-old boy in Indonesia, and China reported its first human case in five months. Officials in Azerbaijan are investigating a possible outbreak in poultry.
The teenage boy from West Jakarta died today, three days after testing positive for the H5N1 strain of avian influenza, said I Nyoman Kandun, the health ministry's director general of disease control and environment. Tests were negative on six patients suspected of being infected, ``ruling out the possibility of a cluster'' of cases, Kandun told reporters.

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

Press release Department of Health


http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2401

Two Bird Flu sufferers in the beginning of 2007

Two people it was confirmed suffered Bird Flu through the inspection the laboratory of the Body of Health Research And Development (Balitbangkes) the Department of the Health.

Therefore up to January 7 2007, was recorded by 76 positive cases terjangkit H5N1 with 57 including dying.

Two last cases were Rd (M, 14) the resident of the Time Tap, Jakarta West and Rh (F, 37) the resident Serpong, Tanggerang.
Rd was treated in RS the Friendship, Jakarta East since January 5 2007 and Rh was reconciled to the hospital that was same from RSUD Tanggerang, since January 8 2007.

Was like this the report that was accepted by the Centre of the Public's Communication of the Department of Health Bird Flu Command Post, on January 8-9 2007 concerning the development of Bird Flu in Indonesia.

The sign of appearance (onset) in Rd since January 1 2007, take the form of hot, the cough, cold, crowded, nausea, and vomited after the previous day contact with the duck died.

On January 5 2007, Rd began to be treated in RS the Friendship with the number of leucocytes in blood as big as 2.300 ? 2.700, below was supervised by the normal figure 4.000 ? 9.000.
On January 6 2007, leucocytes Rd descended to 1.300 ? 1.600.

Results of the inspection of RT-PCR (Real Time-Polymerase Chain Reaction) the Balitbangkes laboratory on January 7 2007 proved that Rd positive infected by H5N1.
In the meantime, Rh the resident of the hamlet Periang, Pondok Jagung village, the Serpong subdistrict, the Tanggerang Regency also began to show the sign was sick since January 1.

With the hot complaint, the cough and crowded, on January 7 2007, Rh began to be treated in RSUD Tanggerang before afterwards was reconciled to be treated in RS the Friendship since last Tuesday (8/1/2007).

Contact with the living nonpedigreed chicken happened to the chicken that was bought in the Serpong Market.

Rh was also stated positive infected by H5N1.

The Bird Flu command post recorded, from 671 patients who showed the sign resembled Bird Flu, 11% it was confirmed had the virus H5N1 in his body.

From this total number 145 afterwards it was considered filled the criterion (the definition of the case) so as afterwards it was considered as suspek (was suspected) the patient Bird Flu but afterwards results of the laboratory inspection did not prove that these cases suffered Bird Flu.

Since emerging the first time the case of Bird Flu to humankind in the middle of 2005, the Department of the Health tried to control Bird Flu, especially by giving information to the community through the mass media.

The escort was on the alert Bird Flu was also made to surveilans, the handling procedure of the sufferer, the control of the infection in the maintenance by the health power, as well as the taking and the sending of the specimen.

However, with the community's reluctance to interrupt contact with the poultry that was the source of the spreading, the Bird Flu virus continued to spread.

In March 2006, the President formed the National Committee the Control of Bird Flu and Preparedness faced the influenza Pandemic (Komnas FBPI) to coordinate the control of Bird Flu.

The secretariat Komnas FBPI co-operated with the Department of the Health, the Department of Agriculture, of the World Health Organization (WHO), the Food and Agriculture Organization (FAO), the Organisation of the world Animal (OIE), the livestock breeding industry, the regional government, the research institution, as far as private enterprise's side.

Komnas FBPI that afterwards became the axis and the motor of the expansion of the prevention motivator H5N1 in order to not cause the pandemic.

The department of the Health (the Department of Health) the shoulder membahu with WHO continued to try control efforts of Bird Flu, among them by holding the technical meeting that invited level experts of the world to Jakarta.

From the technical meeting on the end of June 2006 this, it was stressed that the spread from humankind to humankind not yet happening.

However, the control must to the animal continue to be carried out so as the virus developed and enabled the occurrence of the spread between humankind.

On the other hand, the Department of Health continued to make an effort to spread information to the community through the poster, leaflet, the dialogue in the mass media, the advertisement of the community's service, including the pocket book.

Simultaneously, the Department of Health spread complete information to the health powers, increased the handling capacity of the case in the hospital, strive for pegembangan the research capacity and the increase in the laboratory capacity through to the level that it was considered was safe enough to handle the sample of the virus H5N1 (Bio Security the Level/BSL 3).

The Department of Health also sent tamiflu all through the Community Health Centre, RS, Dinkes and the Technical Service Unit (UPT), as well as sent Personal Protection Equipment (PPE).

During 2007 the government compiled the plan of various control activities of Bird Flu among them with did workshop for the Manager the Program and Surveilans Dinkes the province, did the meeting of the review (review) the Guide the policy Pengedalian Bird Flu, as well as held PPE and the influenza Vaccine.

Until this the source of the spread of bird flu was still coming from the poultry.

Because of the size of the spread of Bird Flu of the risk factor to humankind, Menkes Dr. Siti Fadilah Supari, Sp.JP (K) appealed to the community to preceptive Bird Flu, sebgai along with: ? should not touch the chicken that was sick or died suddenly.

If being already very fast washed the hands with soap and reported to the Village Head.
? washed the hands with hands soap but also the cooking utensils before eating or cooking. Cooked the chicken and the chicken egg until ripe.
? separated the poultry from humankind and separated the new poultry from the long poultry for 2 weeks.
? Have examined at the Community Health Centre if experiencing the sign of flu and the fever after being adjacent to the poultry.

This news was broadcasted by the Centre of the Public's Communication, the Secretariat General the Department of the Health.
For information further could contact through the number of the telephone/fax: 021-5223002 and 52960661, or the e-mail puskom.depkes@gmail.com and puskom.publik@yahoo.co.id.

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

Some more details about the suspected source of infection in relation to the boy who died . He had contact with a dead duck and a sick chicken,(no mentioning of taking samples from chickens or ducks).

Was based on information of the patient's family, it was known that the source of this AI illness was expected from the duck that was owned by Erik.

Erik was the uncle Randy, casualties who were stated positive AI. from information of casualties's family was gotten that several days before Randy was sick, one of the ducks belonging to Erik died.

Because of feeling not suspicious, the duck died this was thrown away to the time not far from casualties's residence.

Now in this time, the resident around many that did bathed washed the toilet.

According to Ikhsan casualties's families were not suspicious, because uptil now the cause of bird flu only happened to the chicken not to the duck.

See report about a new strain: http://www.flutrackers.com/forum/showpost.php?p=57799&postcount=25

Now NY R it was suspected was affected by AI from his property chicken.
Several days before falling ill, one of the chickens belonging to NY.R it was known was sick.

Because of being sick, the chicken was cut off. Received by information, NY R could pull out these chicken feathers before cooking him.

The representative of the Section Head the Special Capital District Health, Salimar, confirmed the existence of the case of bird flu in Kalideres, Jakarta West.

The case of bird flu, according to him, might not happen if the resident understood the sign of bird flu.

He explained, necessarily if having the family's member or his resident experienced the high fever and had the livestock that died, immediately get examinated his health at the closest community health centre.

We provided the tablet tamiflu and oseltamifir in the community health centre to prevent him.

Don't was waiting until someone experienced breathless, he revealed.

http://www.republika.co.id/koran_detail.asp?id=278398&kat_id=286

 

[Theresa42]

Re: Jakarta 7 Jan+

Some more details about the suspected source of infection in relation to the boy who died . He had contact with a dead duck and a sick chicken,(no mentioning of taking samples from chickens or ducks).

Pigeons have also been implicated:

http://www.flutrackers.com/forum/showpost.php?p=57883&postcount=35

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

The Bad environment played a Big role

Indosiar.com, Jakarta - Sanitation or the cleanliness of the environment often became the source spread him the illness.

The case of bird flu that fell on 5 residents in Kalideres, of Jakarta West evidently also was affected by this situation.

The Randi residence environment, the class student 2 junior high school that currently are treated in the Jakarta Friendship Hospital East because positive was infected by appearance bird flu was not too clean.

At first around 100 metre from the Randi house in ... Kalideres, Jakarta West this had the reservoir belonging to fisheries that were used by the resident as the place of garbage disposal.

The resident especially children often found had the poultry died was thrown away in the heap of this waste without being burnt.

And was proper for children without learning the existence of the threat of the danger of the bird flu virus to the poultry died with in any way moved the poultry carcass there.

Robi, for example this Randi teammate claimed not frightened of touching the poultry carcass that was thrown away at random.

According to the mother Randi, Ranah, before Randi was affected by his youngest child's bird flu found the existence of his property poultry that died.

However till today the decision of the Regional Government to destroy all the poultry that was in a radius of 1 kilometre from the Randi house after being stated positive bird flu apparently did not yet go effective.

Although all the poultry was belonging to Randi destroyed by the health Service, but still poultry appearance roamed about free dilingkungan around the Randi house.

http://www.indosiar.com/

credits Commonground

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

Ria got the fever after eating a sick chicken

Metrotvnews.com, Jakarta:

10 Januari 2007 14:09

Ria, the positive patient bird flu from the Priang Village, Serpong, Tangerang, Banten, up to now still is treated in the Persahabatan Hospital, Jakarta.

According to the patient's family, Ria experienced hot high after eating the chicken was sick belonging to him that was cut off during Idul Adha. (Edit: Islam Holy day)

The family claimed initially did not know if Ria was affected by the bird flu illness.

Ria initially experienced the hot sign high afterwards was treated in the clinic close to casualties's house.

After being treated while three days, just were it was known Ria was diagnosed for bird flu.

Ria finally was reconciled to RS the Friendship to undergo the special maintenance of the bird flu patient.

Nocih, parents of the patient, confirmed that during Idul Adha they cut off the chicken was sick.

And this chicken was eaten in a crowd.

But, after that, Ria body suddenly hot high.

Apart from the chicken belonging to the Nocih family, during the last month, many Ria neighbouring chickens then died suddenly.

However, the chicken carcass was not buried and only was thrown away in gardens.
(
http://www.metrotvnews.com/berita.asp?id=31340

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

Randi died the Reason was Late treated

10 01 2007 18:42

Liputan6.com, Jakarta: the Case of bird flu that killed Randi made restless the resident around casualties's house in Rawalele, the Kalideres District, Jakarta West.

They were frightened to get infected by bird flu.

Moreover, the aunt and the cousin as well as three neighbours Randi were also treated with the sign similar to bird flu.

Apart from Randi, Riyah was also stated positive the bird flu virus and still was treated intensive in the Friendship Hospital.

The health of the resident of Pondok Jagung, Serpong, Tangerang, Banten, this did not yet show the significant development, although getting several maintenance.

Responded to this unrest, Health Minister Siti Fadilah Supari, on Wednesday early afternoon (10/1) earlier, decisive did not yet have the spread of bird flu in Indonesia.

That definitely, there was the poultry around the Randi house infected by bird flu. So, his side will destroy all the poultry in this region.

Randi was bird flu casualties who were killed in RS Persahabatan , around struck 10.55 WIB this afternoon.

The adolescent was fourteen years old that could be treated five days in RS Persahabatan.

The team of the doctor stated, he died because of failing the multi-organ.

Entered the rain season, the resident was appealed to more was on the alert.

His article, the virus avian influenza was increasingly fast could develop and remain older in the cold temperature.

Moreover now Indonesia is still holding the record of the case of most bird flu with the highest death rate, that is 57 died from 76 cases.
)

http://www.liputan6.com/view/3,135589,1,0,1168429656.html

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

Some snips from JawaPos:

On Wednesday, 10 Jan 2007,

The Deadly Virus came back


Yesterday two from seven residents RT 2/10 the Kalideres District, Jakarta West, that was treated intensively in RS the Friendship, Jakarta East, was stated positive.

Five other people still suspect.They were Randy, 14; Mulyani, 27; Muryani, 16; Alfian, 10; Wati, 5; Beautiful, 4; and Ratna, 37.


Kakek Randy, H. Muridi, tell about that the first time his grandchild was feverish and had a headache.Saw the sign, Randy was run off with to RS Tangerang.

From results of the inspection, the doctor there suspected him of being affected by bird flu. Then, this RS side reconciled him to RS the Friendship.

The bird flu news afterwards made Sudin Kesmas and Sudin Livestock Breeding and Jakarta fisheries West intervened.

The team to check the environment around Randy's residence that in general maintained the poultry then was formed.

After checking 25 residents, the team of the health suspected five people still are affected by bird flu. Finally five people were given Tamiflu medicine then was brought to RS the Friendship.

The team of livestock breeding also did not lose busy.

Several poultries belonging to Randy's family, consisted of 14 chickens talk to, seven dove birds, and 11 ducks were at once slaughtered.

After checking the poultry, the team of the health brought came home 136 samples from the poultry anus, and 86 samples of the waste of the poultry to be researched in the laboratory. But, after being tested used the method rapid test, results of the negative.

"We at once gave disinfectant, the vaccination to the poultry, and the socialisation" of "bird flu to the resident around," revealed Sudin Livestock Breeding and Jakarta fisheries West Chaidir Divine Guidance.

Observation from the reporter:

The post, the resident around the residence of the bird flu patient was relative often contact with the poultry.

Almost all the residents maintained the poultry.

In Randy's house beforehand also maintained the chicken, the duck and dove birds before being destroyed by the official of the health.

The animals were maintained by the grandfather Randy that was imprisoned to the best of 100 metre from his house.

A resident told a story about three chickens that died suddenly.

Chicken carcasses that it was suspected contained the bird flu afterwards were thrown away to the place of the waste that was adjacent to the poultry pen belonging to H. Muridi

The side of the Health Service provided the Tamiflu tablet and Oseltamifir in the community health centre for the prevention.Don't was waiting until someone experienced breathless.The medicine was given free.)

http://www.jawapos.co.id/index.php?act=detail_c&id=265814

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

The international attention urges the authorities to a stronger reaction than usual? Nothing wrong with culling chickens, (if timely compensation is provided..) did not see a report like this before...

The Special Capital District Provincial Government will destroy the Poultry in Kalideres

Jakarta -- MIOL: the Special Capital District of Jakarta Provincial Government will carry out depopulation (the extermination) the poultry in three RW in the Kalideres District followed the discovery of the case of bird flu in this territory.

We will carry out depopulation of the poultry in the Hall of the fisheries cultivation, the Kalideres district, on Thursday (11/1) struck 09.00 WIB, the headword of the Service of fisheries Livestock Breeding and Marine Special Capital District of Jakarta Edy Setiarto, on Wednesday (10/1).

According to him, until this, there were 50 chickens that will be destroyed.

Till tonight, his side was still looking for the available poultry of the birds kind in this location.

He added, the poultry was handed willingly over by the resident that live in around the Randi Setiadi house, positive casualties were affected by bird flu that died, on Wednesday (10/1) struck 10.55 WIB.

Edy said, his side mobilised 150 petgas from the Livestock Breeding Service, fisheries, and Keluatan Special Capital District OF Jakarta to mensweeping the poultry in three RW in Kalideres.

According to the Assistant Welfare of the Community (Askesmas) Special Capital District of Jakarta Rohana Manggala, apart from being done by depopulation of the poultry, the Special Capital District Provincial Government also carried out the taking of the blood test to the resident around in the Randi house environment.

The official will 'from the Health Service descend to the field checked the resident', said Rohana.

Rohana said, to prevent the fall of casualties resulting from bird flu, his side will stimulate the socialisation of the prevention of the bird flu illness.

Now, the community enggak might be indifferent if having the poultry that died.

Must be on the alert and use the mask and gloves every time was touching with the poultry, he said.
(R

http://www.media-indonesia.com/berita.asp?id=121739

 

[Theresa42]

Re: Jakarta 7 Jan+

Poultry culled in Kali Deres (Randi's neighborhood)...

toggletext-ed from Indonesian:

The Time poultry Tap was destroyed
Jan 11, 2007

Hundreds of poultries belonging to the resident RW 10 Kelurahan Rawa Lele, Kali Deres, Jakarta West, was destroyed in the empty land mili Balai Benih Ikan Kali Deres, today.

The poultry consisted of the chicken, the duck, entok, and the dove. The extermination of the poultry related spread him the bird flu virus to six residents of this region. Someone had the initials the RN, 14 years, even have died in the Friendship Hospital, Jakarta East, yesterday.

"Might not there are those that maintained the poultry dikawasan this for three months," said the Representative Jakarta Mayor Barat, Murdhani, to the reporter, today. The government, said he will continue to supervise this region.

From struck 09.30 WIB dozens of officials from the Jakarta Ethnic Group of the Livestock Breeding Service West gathered hundreds of poultries that has disembelih in a measuring hole 16 square metre. Seen also dozens of pens that were ready to be burnt.

Until struck 10.00 WIB has had 704 poultries that were ready to be burnt. Several officials of appearance lighted fire. Dozens of residents witnessed him from the distance.

http://www.tempointeraktif.com/hg/jakarta/2007/01/11/brk,20070111-91050,id.html

 

[Theresa42]

Re: Jakarta 7 Jan+

Riyah's condition not good. Five (5) suspected cases from (I assume) Randi's family test neg (PCR) twice -- to be tested one more time.

Health Minister says Indonesia still at level 3 (bird to human). Preparing human bf vaccine for 2007 (2M doses)...

toggletext-ed from Indonesian:

Randy had Finally died, the Condition Riyah worsened
Jan 11, 2007

Randy (14), the resident Kalideres, Jakarta West, that was stated positive bird flu, on Wednesday (10/1) struck 10.55, finally blew out the last breath after undergoing the maintenance intensively in the building of the isolation of the Friendship Hospital [RS Persahabatan], Rawamangun, Jakarta. The patient died because of experiencing the failure of the multi-organ.

"Because the lack of oxygen was very serious, then memengaruhi the function of the other organ, especially the lungs," said the Chairman of the Team of the Handling of the Sufferer Hospital Bird Flu (RS) the Friendship Dr Mukhtar Ikhsan.

In the meantime, the condition for the Riyah health (37), the resident of the District of the Pondok Jagung, Serpong, of Tangerang, that also positive bird flu and was treated in the same place, did not yet have the progress. Riyah also suffered difficult pneumonia. Moreover, according to results of the laboratory and the photograph x-rayed, his [her] clinical situation worsened.

The medical team installed respiratory aids, medicine Tamiflu, and the other medicine. "The bird flu patient who was affected by the inflammation of the lungs had difficulty being handled because the possibility of his [her] virus spread," said the pulmonary disease expert Dr Priyanti from RS the Friendship.

According to Priyanti, since coming to the hospital, the two patients have been attacked by the inflammation of the heavy lungs.

In the meantime, five other patients who it was suspected were attacked by bird flu and were treated in RS the Friendship yesterday his [their] condition was good. They were treated in isolation space to be observed. "Results of the reaction test of the chain polimerase or PCR twice the negative. If until three negative times, then was stated was not affected by bird flu and was permitted to come home or to be moved to the other room," said Mukhtar.

As far as this is concerned, all the patient was not adopted the maintenance cost. Up to now, RS the Friendship treated 31 patients who were expected by bird flu and two including being ascertained by bird flu. "The matter of the fund, we will coordinate with the Department of the Health and the Health Service," said the Temporary Official Director Pelayanan Medik Lia G Partakusuma.

Health Minister Siti Fadilah Supari, on Wednesday, stated Indonesia at this time was in the level of three of the bird flu, that is the spread from the poultry to humankind, happening but not yet having the spread from humankind to humankind (saw the table). "Because bird flu did not yet have his medicine and the death rate reached 75-85 percent, the only road was to separate the poultry from humankind," said Fadilah.

The department of the Health, he said, was preparing the bird flu vaccine for humankind and during 2007 the plan him will be produced by 2 million doses, was given priority to for the risky community high was affected by bird flu. The government of the Special Capital District of Jakarta Province will plan the extermination of the poultry from Friday tomorrow in the Kalideres territory, Jakarta West, that became the place of the spreading of the bird flu virus.

http://www.kompas.co.id/kompas-cetak/0701/11/utama/3232564.htm

 

[Theresa42]

Re: Jakarta 7 Jan+

toggletext-ed from Indonesian:

The PATIENT's most FLAT FAMILY BIRD FLU claimed to be the EXISTENCE of the CHICKEN died
Jan 10, 2007

Metrotvnews.com, Tangerang: Casualties's flattest family bird flu that currently is treated in the Friendship Hospital, Riah, claimed for the last one months to be many chickens died around their house in the Priang Village [Kampung Priang], Serpong, Tangerang.

According to the Riah family, casualties initially experienced the hot sign high, afterwards was treated in the clinic close to casualties's house. After being done by the maintenance for three days, casualties just were it was known flattest bird flu. Finally, casualties were reconciled in the Tangerang Friendship Hospital [RS Persahabatan Tangerang].

Whereas according to parents's information of casualties, Nocih, during Idul Adha then parents Riah cut off two chickens was sick belonging to them. After eating him, Riah experienced hot high.

http://www.metrotvnews.com/berita.asp?id=31356

 

[Theresa42]

Re: Jakarta 7 Jan+

More on Randi's symptoms (included diarrhoea).

More on the 20 sick children in Bogor -- suspicious chicken deaths the day before -- some dead poultry thrown in local pond where fish subsequently died -- children swim in the pond...

toggletext-ed from Indonesian:

Bird flu Again swallowed fatalities
Jan 11, 2007

JAKARTA (Pos Kota) - One from two bird flu patients who were treated in RS the Friendship [RS Persahabatan] had finally died after beforehand could be treated for 5 days. Randi, 14, the resident RT 008/10 Kel. Kali Deres, Jakarta West finally died after experienced breathless on Wednesday Pkl 10:55.

NY. Lilis, one of the relatives of casualties said at first Randi experienced the fever, breathless and diarrhoea on Thursday (4/1) consequently the family immediately brought to the Tangerang Public Hospital. ?Because positive bird flu, the hospital side referred to RS Persahabatan,? he said.

He suspected the spread of this virus of going through the place of duck livestock breeding around his house. ?Randi liked drop by at there, in fact the location was made the place of the disposal of the chicken died by resident,? clear NY. Lilis.

The director general of the Eradication of infectious diseases and environmental Sanitation (P2MPL) the Department of Health Dr Nyoman Kandun said the sign of bird flu to Randi began to be visible since January 1 take the form of hot, the cough, pilek, breathless, nausea and vomited after the previous day contact with the duck died.

On January 5, Randi began to be treated in RS the friendship with the number of leucocytes in blood as big as 2.300-2.700 under the normal figure 4.000-9.000. On January 6, his leucocytes increasingly decrease to 1.300-1600. Results of the inspection of RT-PCR (real time polymerase chain reaction) the Balitbangkes laboratory proved that Rd positive terjangkit bird flu.

58 people

With the Randi death meant the number of cases died as a result of bird flu reached 58 people from 76 cases that were reported positive.

Apart from Randi, his two relatives of Alfian and Mulyani were also undergoing the maintenance, but both of them were stated by the bird flu negative. The chairman of the Team of the Control of Bird Flu RS the Friendship Dr. Muktar Ikhsan said they will undergo the inspection once more. ?When results of the negative again, they might discharged,? he said.

At this time in RS the Friendship was still treating one patient more who was positive was infected by the bird flu virus berinsal R [Riyah] villagers Desa Pondok Jagung T 005/02 Serpong, Tangerang. ?Keadaan him [she] was still critical and until this was not yet changed,? said Dr. Muktar.

Increase VIGILANCE

Of the Bird Flu Command Post recorded from 671 patients who showed the sign similar to bird flu, 11% dikonformasi had this virus in his body. From this number 145 afterwards it was considered met kritria the case so as to be suspected (suspect) bird flu.

Menkes Siti Fadilah made a plea so that the community increases vigilance towards this bird flu outbreak. Moreover in the rain season as is now the case, the level of air humidity was very low. This enabled the virus easy emerged. Don't touch the poultry that died and immediately checked itself to the doctor if experiencing the hot sign that resembled bird flu. The Department of Health provided 2 million tablets Tamiflu in several hospitals and the community health centre.

20 Bogor children HOT

In Blok Sumur, the Sukaresmi District, Kecamatan Tanah Sareal, the Bogor City, 20 sudden children experienced hot high was accompanied by the fever, it was suspected was attacked by bird flu. His article a day before fell ill, several chickens in his territory died suddenly.

From dozens of chickens that died suddenly this, three including being thrown away to the fish-pond. At intervals of half of the hour, suddenly hundreds of fish that was in the pond died and was floating. ?Saya suspicious, they were sick the high and hot fever because of being affected by bird flu. The fish in the pond in died, after having the resident who threw three chickens that have died to the pond away. The children that was sick this, after they bathed in MCK that his location was neighbouring with the pond of fish,? Asih Muhtar, the mother RT local.

However as far as this is concerned, Dinkes did not yet ascertain the illness that was suffered by dozens of children in the Tanah Sareal this.

http://www.poskota.co.id/news_baca.asp?id=28894&ik=6

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

Two more people suspected of bird flu

JAKARTA (Elshinta): Two more people were admitted on Thursday to Persahabatan Hospital, Jakarta as they were suspected of being infected with bird flu virus, Elshinta radio station reported.

The radio station further reported the two patients had lifted the bird flu suspected patients in the hospital to 12.
On Wednesday, a 14-year-old boy died from bird flu, days after being hospitalized in Persahabatan Hospital.(***)

http://www.thejakartapost.com/detailgeneral.asp?fileid=20070111150604&irec=0

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

The number of patients Suspect Bird Flu in RS Persahabatan increased

Jakarta -- MIOL: the Patient suspect bird flu in RS the Friendship improved two people more on Thursday (11/01).

Two patients with AA initials (22) and Z (27) entered RS the Friendship on Thursday morning struck 06.30 WIB and 08.00.

AA came from Warung Mangga, Tangerang and the patient Z came from Kebayoran Baru, South Jakarta.

In press information, the chairman of the team of the control doctor of bird flu RS Persahabatan, Dr Mukhtar Ihsan said the two patients entered RS with the sign of the cough and breathless.

Results of the photograph of x-raying both of them were found by the inflammation of the lungs (pneunomia) that was heavy enough.

AA that was reconciliation from RS Husada Human Tangerang has suffered the similar sign of bird flu since a week beforehand.

Whereas Z received the handling was faster because of getting reconciliation from the clinic Jakarta Medical Centre after two days contracted the sign.

Concerning the story of contact of the two patients Dr Mukhtar explained after I asked with the patient's family, strangely the two patients beforehand did not have contact with the poultry.

On the other hand the situation of five patients suspect bird flu that beforehand was treated in RS this evidently improved.

"From three DNA inspection times that were carried out by us evidently the five of them the bird flu negative and immediately will be moved by us to normal maintenance space," he said.

On the other hand the condition for the positive patient R bird flu (37) according to Dr Mukhtar increasingly worsened in an inflamed manner the increasingly heavy lungs.

All the cases of bird flu that was handled RS Persahabatan has been reported by the team of the doctor to the Department of the Health.
(
http://www.mediaindo.co.id/berita.asp?id=121811

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

Bird Flu May Have Infected Relatives of Indonesian H5N1 Patient

By Karima Anjani

Jan. 11 (Bloomberg) -- Two family members of a woman infected with bird flu in Indonesia were hospitalized with symptoms of the virus, said a doctor treating the patients.

The 37-year-old woman, who tested positive for the H5N1 strain of avian influenza two days ago, remains in critical condition at Persahabatan Hospital in Jakarta, Mukhtar Ikhsan, a doctor at the hospital, said today.

Her 42-year-old husband and their 18-year-old son have symptoms of fever and respiratory infection, and are being tested for H5N1.

``They're showing symptoms similar to bird flu and we must remain vigilant,'' Ikhsan said in a telephone interview. Tests for H5N1 are also being run on two other people receiving treatment at the hospital, he said.

Health officials monitor suspected clusters of cases closely because they may signal the virus is becoming more adept at infecting humans, not just birds. Indonesia has reported 58 human H5N1 fatalities, 16 more than any other country.

The Southeast Asian nation attracted international attention in May when seven members of a family from the island of Sumatra contracted the H5N1 virus, six of them fatally. The cases represented the largest reported cluster of infections and the first laboratory-proven instance of human-to-human transmission.

The H5N1 strain is known to have infected 264 people in 10 countries since 2003, killing 157 of them, the World Health Organization said yesterday.

The latest confirmed case in Indonesia may have been caused by contact with a diseased bird. The woman slaughtered a chicken she bought from a local market, I Nyoman Kandun, the ministry's director general of disease control and environment, said on Jan. 9.

The woman, from Tangerang in Banten province on the western part of the island of Java, developed symptoms on Jan. 1 and was hospitalized on Jan. 6. ``Initial investigations suggest sick poultry as the possible source of infection,'' the Geneva-based WHO said Jan. 9 in a statement on its Web site.

To contact the reporter on this story: Karima Anjani in Jakarta at kanjani@bloomberg.net

Last Updated: January 11, 2007 05:20 EST

http://www.bloomberg.com/apps/news?pid=20601202&sid=aJ7D8MV7D1aw&refer=healthcare

Edit: update available at: http://www.bloomberg.com/apps/news?pid=20601080&sid=aJ7D8MV7D1aw&refer=asia

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

On Thursday, January 11 2007

Husband and Child Suspect Bird Flu Also to be cured

JAKARTA -- MIOL: the Child and the husband NY Riah, 37, the positive patient bird flu that currently is treated in the Hospital (RS) the Friendship must menjalanai the maintenance because of experiencing the similar sign.

Yayan, 45, and Arif, 18, arrived in RS the Friendship around struck 14.30 WIB by being brought by the Tangerang ambulance of the Health Service.

The official also brought four samples of the resident's blood around the Yayan house that complained about the fever.

Therefore, today already four patients suspect bird flu that entered in RS Persahabatan.

Two other patients were AA, 22 and Z, 27, that entered RS Persahabatan
on Thursday morning struck 06.30 WIB and 08.00.

AA came from Warung Mangga, Tangerang and the patient Z came from Kebayoran Baru, South Jakarta.

Samsudin, the official of the Health of the Tangerang Regency of the Service said, compared to his father, the condition of Arif very weak.

However the awareness both of them still quite good. Yayan in fact still could be going.

According to the jeweller Effendi, the other official from the Health Service of the Tangerang Regency both of them were carried because when the checking of the environment that was carried out, complained about the high fever, the cough, and crowded.

"Since NY Riah positive bird flu, we carried out the checking in the environment around his house in the Priang Village,

Evidently the husband and his child also complained about this sign, he said.
However, he stressed still could not be ascertained whether both of them also positive the virus H5N1.

The sign of bird flu that fell on this family it was suspected resulting from their three kept chickens that died suddenly.

One of the kept chickens that was sick then afterwards was cut off by Yayan for the serving of the Idul Adha Public Holiday then.

Yayan, according to the official, admitted to knowing the chicken that was eaten that almost died because of being sick.

But this chicken was not thrown away and took part in being cut off.

In the meantime five people that beforehand berstatus suspect bird flu and could three days are treated, today has been permitted to come home.(/
http://www.mediaindo.co.id/berita.asp?id=121842

 

[AlaskaDenise]

Re: Jakarta 7 Jan+

...five people that beforehand berstatus suspect bird flu and could three days are treated, today has been permitted to come home...

I'm not clear on what's happening here.

1) Were they given antivirals for only 3 days, then allowed home?

2) Were they given antivirals for longer, but allowed to go home after 3 days of observation?

3) Did their tests prove negative, so treatment was stopped after 3 days and they returned home?


It does appear that potential clusters are now receiving closer monitoring.

.

 

[HenryN]

Re: Jakarta 7 Jan+

Commentary at

http://www.recombinomics.com/News/01110701/H5N1_Jakarta_Cluster_2.html

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

Hundreds of poultries culled in Kalideres

Jakarta -- MIOL: totalling 730 tails of the poultry belonging to the resident nine RT in Rawalele, Kalideres, Jakarta West, on Thursday (11/01), was destroyed pascameninggal him a resident, RS (14), resulting from positive bird flu.

Kasudin Livestock Breeding and West Jakarta fisheries Chaidir Divine Guidance said, the extermination 730 tails of the poultry belonging to the resident, were done since Wednesday night in order to prevents the occurrence of the spreading of the bird flu virus in this territory.

The "extermination was not only aimed at the duck that it was estimated became the source" of the "spreading" of "the bird flu virus, but also to the other poultry, like the chicken," he said.

According to him, the resident with the awareness personally handed over his poultry to be destroyed et cetera they will get the compensation fund as big as Rp10 thousand/the tail of the poultry that was destroyed.

In the extermination in the area that his five residents were affected suspect the bird flu, said he, his side involved as many as 60 officials to comb to houses belonging to the local resident.

"The extermination was carried out by our official from Wednesday to this Thursday," he said.

He said, the poultry of the duck kind including that was most susceptible spread the bird flu virus because of this poultry kind including 'reservoar' or the cross-section of billions of AI viruses.

Beforehand was reported, one of the positive patients bird flu in the Hospital (RS) the Friendship, Jakarta East, RS (14), on Wednesday died resulting from the condition for his health that was increasingly critical after being treated in this RS since last Friday (5/1).

RS, the resident .. Rawalele, Kalideres, of Jakarta West, was one among two patients in RS the Friendship that was stated positive bird flu, whereas, R (37), the Tangerang resident, now still in the intensive maintenance in isolation space.

In the meantime, the five patients suspect the resident's bird flu Rawalele, Kalideres, that is, M. (27), N (16), A (10), W (4) and I (4).

The chairman RT.. , Rojali (39), in Jakarta, said, his resident was at this time panicking frightened of being affected by the bird flu virus until they destroyed the animal peliharan him himself.

"Especially in RT personally, as many as 56 tails" of the "poultry were belonging to the resident destroyed and they asked for money" for "compensation from the local district," he said.

Further, said he, 62 tails of the poultry belonging to the resident RT .. were ready to be destroyed and they also still were waiting for the compensation fund from the Kalideres District side.
)

http://www.mediaindo.co.id/berita.asp?id=121855