Jakarta 7 Jan+

[Gert van der Hoek]

Bird flu again haunted the Jakarta resident.

Six patients are currently treated in the Friendship Hospital, Jakarta East, till Monday (8/1).

They experienced the sign of the deadly illness.

The six patients generally still have relatives's relations.

Ramli was treated three days set after being stated positive contracted bird flu.

Followed by the mother, the brother, as well as his three neighbours, this morning.They lived in the Rawabebek region, Angke, Jakarta North.

But the hospital side was not yet prepared to give the explanation.

The team of the justified doctor was discussing this condition in a special meeting.

Estimated the rain season triggered again the bird flu virus that more could remain in the cold temperature.

Now, Indonesia was still becoming the country with the most bird flu patient and the highest death rate.
At least 57 people died from 75 cases

(DNP/Satya Pandia)`

http://bawel.web.id/page/enam-warga-jakarta-diduga-flu-burung.html

Source: http://www.liputan6.com/view/3,135460.html

 

[Gert van der Hoek]

Re: Jakarta Cluster

Re: Jakarta Cluster

A bird flu patient found in Persahabatan Hospital, Jakarta

JAKARTA (JP): One patient in Persahabatan Hospital was declared Monday of being infected with bird flu virus, while six patients were still suspected of suffering the fatal disease.Persahabatan Hospital doctor Multan Ihsan said that the bird flu patient had been in the hospital since Jan. 5.

"A test has confirmed that a patient in our hospital is infected with bird flu.

The status of six other patients are still waiting for another test," he was quoted by Elshinta radio station as saying. (***)

http://www.thejakartapost.com/detailgeneral.asp?fileid=20070108153130&irec=0

 

[Sally Furniss]

Re: Jakarta Cluster

Re: Jakarta Cluster

http://www.media-indonesia.com/berita.asp?id=121441

Jakarta -- MIOL: the Patient suspect bird flu that was treated in the Pesahabatan Hospital, improved.
On Monday (8/1), six people who it was suspected were attacked by this deadly illness entered the hospital in Jakarta East this.

The six patients who entered RS this Friendship consisted of three adults namely one man and two women as well as three children namely one man and two women.

Six patients were reconciliation from the Jakarta Health Service West.
The chairman of Doctor's Team the Handling of Bird Flu RS the Friendship, Dr Mukhtar Ikhsan stated the six patients beforehand had the story of contact with the poultry.

Children's patient it was known carried out contact with the duck that died in livestock breeding that was located was faced with their house in Kalideres, Jakarta West.

The handling of early to these patients, according to Mukhtar, was with Tamiflu giving, that until this his supplies were enough.

Whereas for children's patient until this did still not use respiratory aids and was in the maintenance from the specialist doctor.

About the condition for the positive patient bird flu had the initials the RN that has been treated in this hospital since three days ago, according to Mukhtar, has begun to improve although still really depended on respiratory aids.

In the meantime a member of the patient's family suspect bird flu regretted slow him the handling of the government that just reacted today by doing the inspection and the extermination of the poultry that was sick in their area after the resident suffered the sign of bird flu.

 

[HenryN]

Re: Jakarta Cluster

Re: Jakarta Cluster

Commentary at

http://www.recombinomics.com/News/01080702/H5N1_Jakarta_Cluster_6.html

 

[Sally Furniss]

Re: Jakarta Cluster

Re: Jakarta Cluster

http://www.recombinomics.com/News/01080702/H5N1_Jakarta_Cluster_6.html

Six patients are currently treated in the Friendship Hospital, Jakarta East, till Monday (8/1).

They experienced the sign of the deadly illness.

The six patients generally still have relatives's relations.

Ramli was treated three days set after being stated positive contracted bird flu.

Followed by the mother, the brother, as well as his three neighbours, this morning.They lived in the Rawabebek region, Angke, Jakarta North.

But the hospital side was not yet prepared to give the explanation.

The team of the justified doctor was discussing this condition in a special meeting.

The above translation describes a suspected H5N1 bird flu cluster in Jakarta. The index case (14M) has already been confirmed, and now three family members and three neighbors in northern Jakarta have been admitted with symptoms.

If confirmed, this would be the largest cluster to date on Java. Last year, a large cluster in Karo in North Sumatra was reported, but the H5N1 in the Karo cluster was distinct from the H5N1 in human cases on Java, including cases in and around Jakarta.

All but one H5N1 from humans on Java have had the novel cleavage site, RESRRKKR, which has been found in one duck from Indramayu in January, 2006. That sequence match a small subset of human isolates, but an isolate from a cat in Indramayu matched the majority of the human H5N1 sequences from Java.

Thus, there is concern that migratory birds would bring new sequences into the area and recombine with the local version of H5N1, which is Clade 2 sub-clade 1 in Indonesia. Hong Kong has also just confirmed H5N1 in a wild bird, which was also reported at this time last year. The H5N1 sequences from last season in Hong Kong were related to the Fujian strain (Clade 2 sub-clade 3). Similarly, the Qinghai strain was just confirmed in South Korea.

Recently there was also a cluster reported in Gharbiya in the Nile Delta, the site of additional wild bird migration. H5N1 in Egypt is the Qinghai strain (Clade 2 sub-clade 2). Like Indonesia and Hong Kong, the new versions of H5N1 are created by recombination, which uses the resident strain as a genetic background, and appends new polymorphisms, which match across various strains.

In Indonesia, Qinghai sequences, including the novel Qinghai cleavage site of GERRRKKR has been reported in Bali, Indonesia. Similarly, Qinghai sequences have been found in Fujian isolates in China.

When migratory birds deliver these new sequences, new problems follow.

More information on the family members and neighbors of the confirmed case would be useful. The cluster in Egypt has already produced the largest cluster reported to date in Egypt, and similar results in Indonesia would not be a surprise.

 

[Gert van der Hoek]

Re: Jakarta Cluster

Re: Jakarta Cluster

Metrotvnews.com, Jakarta:

Persahabatan Hospital, Jakarta East, accepted seven patients suspect bird flu.

At this time was seventh the patient was treated intensively in Isolation Space RS the Friendship.

They consisted of four adults and three children.

According to the Chairman of Doctor's Team the Control of Bird Flu RS the Friendship, Doctor Muchtar Iksan said was based on results of the report of the command post of the Health of the Department's bird flu, a patient had the initials the RN name was stated positive bird flu.

At this time, the RN was treated intensively in space of the child of the maintenance isolation.

The resident Kalideres, Jakarta West, that occupied isolation space since three days set.

The patient had medical record experienced breathless, throat pain, the cough, nausea, and vomited since a week set.
(BEY)

http://www.metrotvnews.com/berita.asp?id=31214

 

[AlaskaDenise]

Re: Jakarta Cluster

Re: Jakarta Cluster

applicable discussion thread at http://www.flutrackers.com/forum/showthread.php?p=57587#post57587

.

 

[Gert van der Hoek]

Re: Jakarta Cluster

Re: Jakarta Cluster

Indonesian woman with bird flu in critical condition, health official says
The Associated PressPublished: January 8, 2007


JAKARTA, Indonesia: An Indonesian woman was in critical condition Monday after being hospitalized with bird flu, a health official said. It was unclear how she contracted the virus.

The 37-year-old is the second person to be sickened by the disease in less than a week, said I Nyoman Kandun, the Ministry of Health's director general of communicable disease control.

The other was a 14-year-old boy, Kandun said, adding that both are from the industrial city of Tangerang on the western outskirts of the capital, Jakarta, and are being treated at the Persahabatan hospital.

The woman hospitalized Monday, identified only as Ria, "is now in critical condition," said Kandun.

"We are still trying to track down the source of infection," he said.

Indonesia has reported 76 people infected with the deadly H5N1 bird flu strain, and 57 of them have died ? more than a third of the world's total ? since the disease began ravaging Asian poultry stocks in 2003.

International experts have accused Indonesia's government of not doing enough to tackle the virus, which they fear may mutate into a form that could spread easily between humans and potentially kill millions around the world.

However, the number of infections and deaths has dropped sharply in the past three months ? a situation partly attributed to a national campaign to increase public awareness and vaccinate poultry.

http://www.iht.com/articles/ap/2007/01/08/asia/AS-GEN-Indonesia-Bird-Flu.php

 

[HenryN]

Re: Jakarta Cluster

Re: Jakarta Cluster

Indonesian woman with bird flu in critical condition, health official says
The Associated PressPublished: January 8, 2007



JAKARTA, Indonesia: An Indonesian woman was in critical condition Monday after being hospitalized with bird flu, a health official said. It was unclear how she contracted the virus.

The 37-year-old is the second person to be sickened by the disease in less than a week, said I Nyoman Kandun, the Ministry of Health's director general of communicable disease control.

The other was a 14-year-old boy, Kandun said, adding that both are from the industrial city of Tangerang on the western outskirts of the capital, Jakarta, and are being treated at the Persahabatan hospital.

The woman hospitalized Monday, identified only as Ria, "is now in critical condition," said Kandun.

"We are still trying to track down the source of infection," he said.



Indonesia has reported 76 people infected with the deadly H5N1 bird flu strain, and 57 of them have died ? more than a third of the world's total ? since the disease began ravaging Asian poultry stocks in 2003.

International experts have accused Indonesia's government of not doing enough to tackle the virus, which they fear may mutate into a form that could spread easily between humans and potentially kill millions around the world.

However, the number of infections and deaths has dropped sharply in the past three months ? a situation partly attributed to a national campaign to increase public awareness and vaccinate poultry.

http://www.iht.com/articles/ap/2007/01/08/asia/AS-GEN-Indonesia-Bird-Flu.php

Is this a neighbor or mother of index case?

 

[Gert van der Hoek]

Re: Jakarta Cluster

Re: Jakarta Cluster

Seems we have patients from TWO locations:

Kalideres and Rarawebek.

Got to find out who comes from where...

 

[HenryN]

Re: Jakarta Cluster

Re: Jakarta Cluster

Commentary at

http://www.recombinomics.com/News/01080703/H5N1_Jakarta_2.html

 

[Gert van der Hoek]

Re: Jakarta Cluster

Re: Jakarta Cluster

A 3rd and 4th location are mentioned in a report from Liputan:

Pondokjagung and Rawalele. These places are near Tangerang, so it could refer to the same patient(s).
Liputan6.com, Jakarta:

the Case of bird flu again emerged in the Capital.

All day this (8/1), the side of the Persahabatan Hospital, Jakarta East, accepted six new patients who were expected infected by bird flu.

As for five patients just came from the area was the same as a patient who has been stated positive bird flu.

Now Riyah, the resident from Pondokjagung, Tangerang, Banten, became the patient of the seven assumption of bird flu that entered the Friendship Hospital, of Jakarta East.

He/She was treated since two days in the Tangerang Public Hospital.

Beforehand, the side RS Persahabatan received six new patients who were expected by bird flu.

Five assumption patients of bird flu from Rawalele, Jakarta West, this was treated in Soka Space that was made space of the bird flu isolation in RS Persahabatan.

All the patients had the sign resembled bird flu, that is the temperature of the high body was accompanied breathless.

Five last patients were the family and the close neighbour Randi, 14 years, that were stated positive bird flu by the Centre of Health Research And Development (Puslitbangkes) the Department of the Health.

Randi was treated since January 5 set.

http://www.liputan6.com/view/3,135465,1,0,1168264643.html

So Randi is the neighbour of Ramli? Both 14 yo?

Rawalele is region Tangerang too: attachment.

 

[Theresa42]

Re: Jakarta Cluster

Re: Jakarta Cluster

I think Randi/Randy (the conf patient) = Ramli ("Ramli was treated three days set after being stated positive contracted bird flu.")

 

[Gert van der Hoek]

Re: Jakarta Cluster

Re: Jakarta Cluster

I think Randi/Randy (the conf patient) = Ramli ("Ramli was treated three days set after being stated positive contracted bird flu.")

Yes need someone to make a summary....., not sure if these names refer to the same person..

 

[Theresa42]

Re: Jakarta Cluster

Re: Jakarta Cluster

toggletext-ed from Indonesian:

Again, RS the Friendship Receive Suspect Bird Flu
Jan 8, 2007

Jakarta, CyberNews. The patient suspect bird flu that was treated in the Pesahabatan Hospital, improved [increased]. On Monday (8/1), six people who it was suspected were attacked by this deadly illness entered the hospital in Jakarta East this.

The six patients who entered RS this Friendship consisted of three adults that is one man and two women as well as the child's three children that is one man and two women. [Huh?] Six patients were reconciliation from the Jakarta Health Service West.

The chairman of Doctor's Team the Handling of Bird Flu RS the Friendship, Dr Mukhtar Ikhsan stated the six patients beforehand had the story of contact with the poultry. Children's patient it was known carried out contact with the duck that died in livestock breeding that was located was faced with their house in Kalideres, Jakarta West.

The handling of early to these patients, according to Mukhtar, was with Tamiflu giving, that until this his supplies were enough. Whereas for children's patient until this did still not use respiratory aids and was in the maintenance from the specialist doctor.

About the condition for the positive patient bird flu had the initials the RN that has been treated in this hospital since three days ago, according to Mukhtar, has begun to improve although still really depended on respiratory aids.

In the meantime a member of the patient's family suspect bird flu regretted slow him the handling of the government that just reacted today by doing the inspection and the extermination of the poultry that was sick in their area after the resident suffered the sign of bird flu.

http://www.suaramerdeka.com/cybernews/harian/0701/08/nas27.htm

 

[Gert van der Hoek]

Re: Jakarta Cluster

Re: Jakarta Cluster

Update Liputan, see post # 12

Source: http://www.liputan6.com/view/3,135465.html

Liputan6.com, Jakarta: the Case of bird flu again emerged in the Capital.

All day this (8/1), the side of Persahabatan Hospital, Jakarta East, accepted six new patients who were expected infected by bird flu.

As for five patients just came from the area was the same as a patient who has been stated positive bird flu.

Now Riyah, the resident from Pondok Jagung, Tangerang, Banten, became the patient of the seven assumption of bird flu that entered Persahabatan Hospital, of Jakarta East.

He was treated since two days in the Tangerang Public Hospital.

Beforehand, the side RS the Friendship received six new patients who were expected by bird flu.

Five assumption patients of bird flu from Rawalele, Jakarta West, this was treated in Soka Space that was made space of the bird flu isolation in RS Persahabatan.

All the patients had the sign resembled bird flu, that is the temperature of the high body was accompanied breathless.

Five last patients were the family and the close neighbour Randi, 14 years, that were stated positive bird flu by the Centre of Health Research And Development (Puslitbangkes) the Department of the Health.

Randi was treated since January 5 set.

The team from Puslitbangkes also at once descended to the family's Randi residence in the Rawalele region, Kalideres, Jakarta West.

Known, just recently had the duck died suddenly around their house.

All of the family's member that direct contact was also taken the mucus liquid as well as the example of his blood.

 

[Gert van der Hoek]

Re: Jakarta Cluster

Re: Jakarta Cluster

I feel we have a cluster of 6 patients and a 7th female patient "Riyah" who doesn't seem related to the 6.

 

[HenryN]

Re: Jakarta Cluster

Re: Jakarta Cluster

<TABLE cellSpacing=0 cellPadding=0 width=400 border=0><TBODY><TR><TD colSpan=2>

</TD></TR><TR><TD bgColor=#ffffee>

</TD><TD vAlign=top bgColor=#ffffee>

Metrotvnews.com, Jakarta: the Friendship Hospital, Jakarta East, accepted seven patients suspect bird flu.At this time was seventh the patient was treated intensively in Isolation Space RS the Friendship.They consisted of four adults and three children.According to the Chairman of Doctor's Team the Control of Bird Flu RS the Friendship, Doctor Muchtar Iksan said was based on results of the report of the command post of the Health of the Department's bird flu, a patient had the initials the RN name was stated positive bird flu.At this time, the RN was treated intensively in space of the child of the maintenance isolation.The resident Kalideres, Jakarta West, that occupied isolation space since three days set.The patient had medical record experienced breathless, throat pain, the cough, nausea, and vomited since a week set.(BEY)</PRE>​

</TD></TR></TBODY></TABLE>
http://www.metrotvnews.com/berita.asp?id=31214

 

[MHSC]

Re: Jakarta Cluster

Re: Jakarta Cluster

Indonesian woman tests positive for bird flu
Mon Jan 8, 2007 9:16 PM ET

JAKARTA (Reuters) - A 37-year-old woman has tested positive for bird flu in Indonesia and is being treated in a hospital on the outskirts of the capital, a Health Ministry official said on Tuesday.
The case comes after a 14-year-old boy tested positive for bird flu at the weekend, the country's first new infection in almost two months.
Joko Suyono, an official at the ministry's bird flu center, told Reuters the woman from Serpong town in western Java had bought a live chicken and slaughtered it at her house, but it was unclear whether this was the cause of the infection.
He said the woman had been taken to hospital in Tangerang, west of Jakarta, after she suffered high fever and breathing difficulties on January 1.
"The test results came last night and showed she is positive with bird flu," Suyono said.
The world's fourth most populous nation, Indonesia has the world's highest bird flu death toll.
World Health Organization (WHO) figures show 57 people have died across this vast country of 17,000 islands where millions of chickens roam backyards freely.
The government has announced plans to ramp up its fight against the virus and hopes to beat it by the end of 2007, but critics say public ignorance, official ineptitude and lack of money are hampering efforts to stamp out the disease.
People can contract the virus by coming into contact with infected poultry, but experts fear it could mutate into a form that can pass easily among humans, possibly killing millions.
The virus has killed 157 people since 2003 and has spread from Asia to Europe, the Middle East and Africa, WHO says.



http://today.reuters.com/news/articlenews.aspx?type=worldNews&storyID=2007-01-09T021632Z_01_SP136649_RTRUKOC_0_US-INDONESIA-BIRDFLU.xml&WTmodLoc=IntNewsHome_C2_worldNews-7

 

[Theresa42]

Re: Jakarta Cluster

Re: Jakarta Cluster

Indonesia reports 2 avian flu cases

Jan 8, 2007 (CIDRAP News) ? Two Indonesians have been hospitalized in less than a week with H5N1 avian influenza infections, the country?s first in more than a month, according to news services.

Indonesia?s health ministry told Bloomberg News yesterday that a 14-year-old boy who tested positive for the H5N1 virus was being treated at Persahabatan Hospital in Jakarta after showing flulike symptoms on Jan 1.

Muhammad Nadirin, an official at the health ministry?s avian flu information center, told Bloomberg the ministry received a report that the boy had had contact with a dead duck. The ministry launched in investigation in the boy?s west Jakarta neighborhood, Nadirin said.

A 37-year-old woman is also being treated at Persahabatan Hospital and is from the same area?Tangerang on Jakarta's western outskirts?as the 14-year-old boy, the Associated Press (AP) reported today. I Nyoman Kandun, the health ministry?s director of communicable disease control, told the AP that the woman was in critical condition and the health ministry is still trying to identify the source of her infection.

If the two cases are confirmed by the World Health Organization (WHO), they will be the 75th and 76th human infections recorded in Indonesia. The latest previous case was that of a 35-year-old woman who died Nov 28.

The Jakarta Post reported today that the H5N1 virus is suspected in 6 other patients who are awaiting test results.

Indonesia has the most avian flu deaths of any country, 57 recorded by the WHO, but Vietnam still has the most cases with 93.

http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/jan0807indonesia.html