Jakarta 7 Jan+

[AlaskaDenise]

Re: Jakarta 7 Jan+

Commentary at

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

Commentary

Second Suspect H5N1 Cluster in Jakarta
Recombinomics Commentary
January 11, 2007

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.

The above comments describe another suspect H5N1 bird flu cluster in the Jakarta area. Recently there were two confirmed cases and relatives and contacts of both cases have been hospitalized with symptoms.

The first case (14M) has died, and initial tests on hospitalized relatives and neighbors have been negative. The above patient (37F) is in the same hospital and her relatives are being tested. As indicated above, two other people are being treated with Tamiflu and being tested.

This explosion of confirmed and suspect cases is not limited to the Tangerang region to the west of Jakarta. A large cluster of 20 suspect cases has been reported in Bogor, south of Jakarta, where there have been prior confirmed cases. Another suspect cluster has also been reported in southern Sumatra.

Dead ducks linked to the recent H5N1 fatality have also tested positive for H5N1. The amount of wild bird testing in Indonesia has been limited, and matches between human and bird H5N1 sequences have been poor. The only bird isolate from Java that has the novel H5N1 cleavage site, RESRRKKR, has been from a duck in Indramayu, isolated in January, 2006.

More details on the sequences from patients and ducks would be useful.

.

 

[Niko]

Re: Jakarta 7 Jan+

Update from Bloomberg:

Bird Flu May Have Infected Relatives of H5N1 Patient (Update1)
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 disease spread to fowl in a fifth province of southern Vietnam.

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.

Infections in birds and people are increasing in Asia, where the virus was first identified a decade ago. South Korea reported its first avian outbreaks since March 2004 last month, and today reported an infected person who showed no symptoms. Disease trackers are looking for signs that H5N1 is changing to become more adept at infecting humans, which could start a pandemic.

``People were beginning to tell us that we were crying wolf and that this virus had gone away and there was no problem,'' Peter Cordingley, a Manila-based spokesman for the World Health Organization, said in an interview. ``Our message has stayed the same, which is that just because it's not in the headlines, it doesn't mean it's not in the environment.''

The H5N1 strain is known to have infected 264 people in 10 countries since 2003, killing 157 of them, the Geneva-based WHO said yesterday. Indonesia has reported 58 fatalities, more than any other country. Vietnam, which reported that the virus killed 30 chickens in Vinh Long province, hasn't had any human cases since 2005. South Korea hasn't had any cases confirmed by WHO.

Indonesian Cluster

Health officials monitor suspected clusters of cases closely because they may signal the virus is becoming more adept at infecting humans, not just birds.

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

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 latest confirmed case in Indonesia may have been caused by contact with a sick 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 Jan. 9.

***snipped South Korea report to be posted on another thread***

To contact the reporter on this story: Karima Anjani in Jakarta at kanjani@bloomberg.net
Last Updated: January 11, 2007 06:56 EST

http://www.bloomberg.com/apps/news?pid=20601080&sid=acp3gg8x2MoY&refer=asia

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

The husband and the Child Riyah Also was treated

Liputan6.com, Jakarta:

Two assumption patients of bird flu were reconciled to the Persahabatan Hospital, Jakarta East, on Thursday (11/1).

They were the husband and the child Riyah, the patient who has been ascertained suffered bird flu.

Apart from the child's father, RS Persahabatan currently treats nine assumption patients of other bird flu.

The husband and the child Riyah were reconciled to RS Persahabatan because of suffering the sign of the deadly illness.

Like Riyah, they also beforehand were known could contact with the chicken that died suddenly.

While the Riyah condition now still is critical.

RS Persahabatan, this afternoon, also received two patients just was other.
.
They were their respective the woman from Tangerang, Banten and Mampang, Southern Jakarta.

Both of them were at once treated in intensive maintenance space (ICU).

By the new patient, RS Persahabatan also returned five patients, consisted of relatives and the neighbour Randi, the bird flu patient who died yesterday afternoon.
(
http://www.liputan6.com/view/3,135650,1,0,1168521508.html

 

[HenryN]

Re: Jakarta 7 Jan+

One more patient dies from bird flu virus
[FONT=Arial, Helvetica]JAKARTA (JP): One more patient in Persahabatan Hospital, Jakarta died Thursday evening from bird flu virus, two days after the death of a 14-year-old boy from the fatal virus.
Metro TV station reported that the patient was identified as Dyah, 38.
Just before she died, Dyah husband and son were also admitted to the hospital due to a symptom of being infected with bird flu virus. With her death, the total death casualties from bird flu in Indonesia has reached 59 people.(***)

http://www.thejakartapost.com/detailgeneral.asp?fileid=20070112000901&irec=0
[/FONT]

 

[HenryN]

Re: Jakarta 7 Jan+

Commentary at

http://www.recombinomics.com/News/01110704/H5N1_Jakarta_Cluster_Fatal.html

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

The PATIENT BIRD FLU IN RS the Persahabatan died

Metrotvnews.com, Jakarta: A positive patient bird flu that was treated in the Jakarta Persahabatan Hospital, Riah, 38 years, on Thursday night (11/1), died around struck 19.35 WIB.

Currently the family is still waiting for the Riah body to be returned to the house.

Riah was infected by bird flu since last January 8.

Now, Yusuf (43 years) and Arif (18 years), that was the husband and the Riah child following was treated in RS the Friendship, because of being expected infecred by the bird flu virus.

On Thursay afternoon, RS the Jakarta Persahabatan , also received two patients suspect bird flu.

Two patients were Ani Afriani (22 years), the resident Mampang and Zulfa (27 years) the resident of the Tangerang village of Warung Mangga.

At this time the Ani Afriani condition was not so pleasing.

Ani at once used respiratory aids, because of suffering the inflammation of the acute lungs.

Was like this his matter the Zulfa condition, that also used respiratory aids.

Till tonight, four patients who were related to this bird flu virus continued to be monitored by his development.

(http://www.metrotvnews.com/berita.asp?id=31422

 

[MHSC]

Re: Jakarta 7 Jan+

Indonesian woman dies of bird flu: official

Thu Jan 11, 2007 7:27pm ET

JAKARTA, Indonesia (Reuters) - A 37-year-old Indonesian woman has died of bird flu, taking the country's human death toll to 59, a hospital official said on Friday.
The woman, from Serpong town in western Java, had been diagnosed as positive for the virus earlier this week.
"The woman died yesterday at 7.35 p.m. because of organs malfunction which is caused by (bird flu) virus H5N1," Dr. Muchtar Ichsan, chief of bird flu management at Persahabatan Hospital, told Reuters.



http://today.reuters.com/news/artic...NESIA.xml&WTmodLoc=IntNewsHome_C2_worldNews-7

 

[MHSC]

Re: Jakarta 7 Jan+

Indonesia woman dies of bird flu - hospital
Fri 12 Jan 2007 0:57:25 GMT
JAKARTA, Indonesia, Jan 12 (Reuters) - A 37-year-old Indonesian woman has died of bird flu, taking the country's human death toll to 59, a hospital official said on Friday.

The woman, from Serpong town in western Java, had been diagnosed as positive for the virus earlier this week.

"The woman died yesterday at 7.35 p.m. (1235 GMT) because of organs malfunction which is caused by (bird flu) virus H5N1," Dr. Muchtar Ichsan, chief of bird flu management at Persahabatan Hospital in Jakarta, told Reuters.

Four others are receiving treatment for bird flu symptoms at the hospital, although the virus has yet to be confirmed, he added.

Ichsan said on Thursday afternoon the woman's husband and son, who had also developed bird flu symptoms, had been hospitalised at Persahabatan.

Two other women have been treated since yesterday for the same symptoms and their conditions are not good, he said.

"Their test results will be out within two (or) three more days," Ichsan said.

Indonesia leads the world in bird flu deaths, and has had 76 confirmed cases.

Officials say efforts to contain the virus are having some success and the number of provinces where it is present in fowl, the usual source of human infection, has fallen sharply.

Health ministry official Joko Suyono told Reuters earlier in the week that the woman who has since died had bought a live chicken and slaughtered it at her house, but it was unclear whether this was the cause of the infection.

http://today.reuters.co.uk/news/CrisesArticle.aspx?storyId=JAK229113&WTmodLoc=World-R5-Alertnet-2

 

[MHSC]

Re: Jakarta 7 Jan+

<hr style="border: 1px none ; height: 1px; background-color: rgb(0, 0, 0); width: 100%;" align="left">
Avian influenza ? situation in Indonesia ? update


11 January 2007
The Ministry of Health in Indonesia has confirmed the country's 58th death from H5N1 avian influenza. The 14 year old boy from West Jakarta, whose infection was announced on 9 January, died on 10 January after being hospitalized.
Of the 76 cases confirmed to date in Indonesia, 58 have been fatal.



http://www.who.int/csr/don/2007_01_11a/en/print.html

<!-- include footer--> <!-- include ftr-->

 

[Theresa42]

Re: Jakarta 7 Jan+

toggletext-ed from Indonesian:

Riyah Finally died
Jan 12, 2007

Liputan6.com, Jakarta: Casualties were killed as a result of bird flu in the Motherland improved again. Newest casualties that that died was the Woman Riyah, the resident of the District of Pondok Jagung, the Serpong Subdistrict, of Tangerang, Banten. This woman blew out the last breath, on Thursday (11/1) around struck 19.30 WIB, after could be treated for four days in the Friendship Hospital, Jakarta East.

Originally the mother of three children was treated in the Tangerang Public Hospital. Because of being expected terjangkit the virus avian influenza, Riyah was afterwards reconciled to RS the Friendship. He [she] then afterwards was ascertained positive was attacked by bird flu. Moreover this afternoon, the husband, Usup, and his child who had a name Arif also was treated in the same hospital [read: the Husband and the Child Riyah Also was treated].

Until this news was compiled, relatives of casualties still could not bring came home the Riyah body. According to the doctor Mochtar Ichsan as the Chairman of the Team of Bird Flu RS the Friendship, before being brought came home casualties must be bathed and dikafani previously. However, the family was forbidden to open the shroud late because of being worried could spread.

The woman Riyah was 59th casualties who died from 76 cases of bird flu in Indonesia. The previous day, a patient who was treated in RS the Friendship also died because of the bird flu virus [read: Randi died the Reason was Late treated].

http://www.liputan6.com/view/3,135661,1,0,1168570545.html

 

[Theresa42]

Re: Jakarta 7 Jan+

toggletext-ed from Indonesian:

The PATIENT's most FLAT FAMILY BIRD FLU was checked
Jan 11, 2007

Metrotvnews.com, Jakarta: The husband and the first child Riah, the patient suspect bird flu, also was carried to the Hospital (RS) the Friendship, Jakarta, on Thursday (11/1). Arif, 18 years, the first child Riah, were carried to RS the Friendship because of suffering the fever with the temperature of the body achieved 39 levels celcius, since last Wednesday (10/1). While Yusuf, the husband Riah, did not yet feel the sign anything.

Apart from that, two people who also it was suspected suffer bird flu, on Thursday today also entered to RS the Friendship. The two patients of various female gender had the initials AA, 22 years, and Z, 27 years, that lived in the territory that was different. According to the Chairman of the Control of Bird Flu in RS the Mukhtar Ikhsan Friendship, from results of the clinical inspection and radiologis, the two patients suffered the inflammation of the heavy lungs.

http://www.metrotvnews.com/berita.asp?id=31413

 

[Theresa42]

Re: Jakarta 7 Jan+

toggletext-ed from Indonesian:

Riyah died, the Child and his Husband were treated
Jan 12, 2007

Jakarta, Kompas - The Riyah bird flu sufferer (37) from Serpong, Tagerang, finally died on Thursday (11/1) struck 19.30 in the Friendship Hospital, Jakarta, followed the patient Randy (14) from Kalideres, Jakarta West, that died the previous day.

Whereas the husband and the child NY Riyah that also it was suspected was attacked by bird flu, that is Yusuf (42) and Arif (18), also was treated in RS the Friendship since last Thursday struck 11.30. They showed the sign of the fever on 37 Celsius levels and breathless.

The Riyah death increasingly increased the number of casualties died resulting from bird flu till Thursday, totalling 59 people. Apart from that, five patients who it was suspected were attacked by bird flu, beforehand have been treated in RS the Friendship. Yesterday, RS the Friendship accepted the addition of the patient it was suspected terjangkit bird flu of two people, whereas RS Handsome Sadikin (RSHS) Bandung also received four new patients who it was suspected were attacked by bird flu of the four patients RSHS, was stated had direct contact with the poultry, and three including being one family.

The Riyah family

Received by information from the Chairman of the Team of the Control of Bird Flu of the Friendship Hospital Dr Mukhtar Ikhsan. Riyah died after being treated since Friday (5/1), in the last seven days. The Riyah condition, when entering RS was the same as Randy's condition that is experiencing difficult pneumonia. "The patient Riyah died around struck 19.30," said Mukhtar.

Before Yusuf and Arif came also two people who it was suspected suffered bird flu Ani Afriani (22) and Zulfah (27). The two last patients did not experience direct contact with the poultry. Ani, the resident of Kampung Warung Mangga, the Panunggangan District, of the Penang Subdistrict, Tangerang, entered RS struck 06.30.

Whereas Zulfah, the resident Mampang Prapatan, Southern Jakarta, entered struck 08.00. At this time was fourth the new patient was treated in special intensive space bird flu.

Ani was reconciled from the Hospital Husada Human, Tangerang. "He [she] experienced hot, breathless, and the cough that resembled the sign of bird flu since a last week," said Dr Mukhtar Ikhsan.

Results x-rayed also showed the inflammation of the heavy lungs happened. The same sign was experienced by Zulfah since the last two days. He [she] was reconciled from the clinic Jakarta Medical Center, Southern Jakarta.

Mukhtar added, results of the lab inspection of five first patients who were treated in RS the Friendship, evidently the negative.

"Three test times that were carried out by Balitbang Department of Health stated the five patients were negative."

[Bandung]

RSHS yesterday around struck 13.00 RSHS received three patients, namely HJ (34) and his [her] two children, namely RSH (14) and the As [USA] (8 months). The three of them villagers Panenjoan, the Cicalengka Subdistrict, of the Bandung Regency.

Two hours afterwards, RSHS came back mererima the patient's reconciliation it was suspected was affected by bird flu, JY (55), the resident of the Plered Subdistrict, Purwakarta, of West Java.

http://www.kompas.co.id/kompas-cetak/0701/12/utama/3234731.htm

 

[Theresa42]

Re: Jakarta 7 Jan+

Concerned citizens in Kalideres (at least a few have reportedly left the area, taking their children with them). Fairly enthusiastic culling -- but, would be happy with some compensation. Also, neighbors getting annoyed at neighbors for keeping poultry.

Hat-tip to Pixie for finding this article!

toggletext-ed from Indonesian:

The Resident's willingness opposed Bird Flu
Jan 12, 2007

"Mpok burungnya kite ambil sekarang ye." The voice of two managements RT 08/RW 10, the Kalideres District, Jakarta West, startled his resident named Wati, that was sitting in the house terrace with his children. The two officials were undertaking the extermination program of the poultry after the bird flu attack in this region claimed casualties. Randy Setiadi (14 years), this RT resident positive died because of bird flu on Wednesday (10/1).

With this incident, spontaneous the daughter Wati immediately answered, "Ambil aja." For a moment Wati fell silent then he said, "Eh, that would his pet birds Engkong. Later if Engkong angry gimana?" Could not be second his child replied, Wati has answered personally his question, ''Udah ambil aja deh. Biar nanti dibilangin anak-anak,'' tutur Wati.

Pascakematian Randy, apparently the local resident was indeed shadowed by the concern about the spreading of this virus. Then did not surprise, when the regional government's local equipment ask for was done by depopulation (the extermination), the moving together resident helped him. Since Wednesday early afternoon (10/1), equipment of RT/RW was helped by the local young man, has moved personally. They visited the resident's house that had kept the poultry, both that took the form of the chicken, the duck, the duck, and birds. Various poultry kinds were taken during immediately was destroyed.

Haunted by the concern was attacked by bird flu, the resident submitted when his chicken was taken. Although in fact they experienced the upper material loss was destroyed by him kept they. "The birds in fact has been bargained by Rp 500 thousand. But, okay then than later was the illness," said Wati. However, said Wati, if being given by compensation, he will feel happier.

On the resident's willingness, depopulation of the poultry in RW 10 could go smooth. The number of poultries during yesterday took place the burning reached 722 tails. The details are, the duck 236 tails, birds 149 tails, and the chicken discussed 337 tails. After taking place the extermination, the condition for the local environment was then seen changed. If beforehand, many wandering chickens in the roads and the page of the resident, since yesterday were not seen by one then the chicken in the region. "While our 3 months forbade the resident to maintain the poultry," said the Representative of the Guardian of the Jakarta City West, Murdhani.

The resident's willingness RW 10 indeed must get acungan the thumb. They wanted to suffer a loss in the interest of together. But, this willingness should did not make the Regional Government local closed the eyes towards the resident's loss. The head Sudin West Jakarta Livestock Breeding, Chaidir Divine Guidance, said his side will give compensation, of Rp 10 thousand per the tail for all the poultry kinds. At this time, the West Jakarta Municipal Government was compiling the mechanism of giving of his compensation.

The concern would the bird flu outbreak was not only monopolised by the resident RT 8/RW 10. The resident RT 1/RW 7 local districts also began to be worried after finding seven chickens belonging to the resident in this location died suddenly. They then at once buried and burnt the chicken coop that died suddenly that. Rukidah, this RW resident, claimed worried if the bird flu virus will attack. "Moreover in sono (RW 10) has had the incident that until died', said Rukidah. He asked that the case of the death of the sudden chicken was followed up.

So frightened him ketularan bird flu, according to a resident RT 02/RW 10 that did not want to be acknowledged as his name, and so have several neighbours who evacuated his child to the other area. "My neighbour his name of Yuyun and his child ngungsi to Tangerang. He was frightened tertular because of his child be hit by hot," said the resident.

The concern would bird flu also kept the potential for the interregional conflict. A resident RW 7, Agus, said his neighbour who did not have the poultry blamed his neighbour who maintained the poultry. "They ngedumel behind, kayaknye nyalahin that had the chicken," said Agus. Whereas his neighbour who had the chicken, said Agus, just very calm, because of being not yet proven his kept animal was affected by bird flu. The head of Sudin West Jakarta, Ariyani Murti, asked that the resident stayed calm in responding to bird flu. He explained, was not yet Indonesia the spread of bird flu antarmanusia [H2H].

Bird flu was contagious if someone direct contact with the poultry that was infected by this illness virus. Therefore, Ariyani asked the resident to maintain the cleanliness of the kept poultry and his pen. The resident's Kalideres concern about bird flu was not yet matched by the understanding on this illness. Although worried was attacked by the bird flu virus, they continued to carry out direct contact with the poultry. Proven by them themselves who gathered the poultry to be destroyed. In fact, the Sub-district Head Kalideres, Ruslan, has asked so that his resident not direct contact with the poultry.

The case of the death resulting from bird flu in Jakarta this equipped Indonesia as the country that worst was attacked by bird flu. One of the factors that caused Indonesia to experience the most serious attack, said the Team of the Bird Flu Media of RSU Dr Sutomo, the University School Of Medicine of Airlangga Surabaya, Laksmi Wulandari, was the low level of the awareness of the community. The other factor was the limitations of the fund and the not firmer government.

The Chairman's words of the Regional Working Group the National Commission the Control of Bird Flu and Preparedness of the influenza Pandemic, Heru Setijanto, to the end of November 2006 the bird flu attack in Indonesia killed 57 people from 74 cases that happened. He added this illness was contagious in 30 provinces in Indonesia.

http://www.republika.co.id/koran_detail.asp?id=278611&kat_id=3

 

[Theresa42]

Re: Jakarta 7 Jan+

Hat-tip, pugmom!

Four Suspected Bird Flu Sufferers Hospitalized In E Jakarta
Jan 12, 2007 at 08:50 AM

Jakata ( Berita ): Persahabatan Hospital in East Jakarta on Thursday admitted four suspected bird flu sufferers after previously treating seven other people for the same reason two of whom had tested positive for the virus.

The four newly admitted patients were identified as Mrs Am (22), D (42) and A (18) from Tangerang, Banten province, and Z (27) from South Jakarta.

Of the seven patients treated earlier, five were declared free from the virus and allowed to return home. Of the remaining two others, one was in critical condition and one died on Wednesday (Jan 10).

Muchtar Ikhsan, chief of Persahabatan Hospital's Bird Flu Handling Team, said the four suspected bird flu sufferers were sent to the hospital after showing symptoms associated with the disease.

They were now being intensively treated in an isolated ward in the hospital, he said.

Meanwhile, a patient who had tested positive for the virus, identified as R (37), was still in critical condition and undergoing intensivetratment in an isolated room at the hospital. In fact, R's condition was worsening as the patient was also suffering from severe pneumonia. "The pneumonia is impeding oxygen supply to all parts of the patient's body," Muchtar said. [This is Riyah, who has since died.]

B [R?] had complained about having dizzy spells, breathing difficulty and weakened consciousness and was therefore taken to the hospital.

Ikhsan said on Thursday morning officers of the WHO (World Health Organization) came to the hospital to collect data on bird flu cases the hospital had handled.

http://www.beritasore.com/content/view/12534/1/

 

[Theresa42]

Re: Jakarta 7 Jan+

22-year-old man from Tangerang tests pos...

Bird Flu Kills Indonesian, May Have Returned to Japan (Update4)

By Karima Anjani and Kanoko Matsuyama

Jan. 12 (Bloomberg) -- Bird flu killed a 37-year-old woman in Indonesia and may have infected hundreds of poultry in Japan as the lethal virus resurfaces across Asia.

The woman's death late yesterday brings to 59 the number of fatalities from the H5N1 avian influenza virus in Indonesia, Runizar Ruesin, a Health Ministry official, said in a mobile phone text message today. Japan's farm ministry suspects the virus killed poultry on a farm on the southern island of Kyushu.

Diseased birds increase the opportunities for human infection and provide chances for H5N1 to mutate into a form more dangerous to people. Millions could die if H5N1 mutates and begins spreading easily between people, sparking a lethal pandemic. South Korea, Vietnam and Nigeria had fresh poultry outbreaks last month, while China and Egypt found human cases.

``It makes biologic sense that where there is more virus activity, there is a greater likelihood of some type of genetic change,'' Michael Osterholm, director of the University of Minnesota's Center for Infectious Disease Research and Policy in Minneapolis, said in a telephone interview today.

The H5N1 strain is known to have infected 264 people in 10 countries since 2003, killing 158 of them, the World Health Organization said yesterday. Indonesia recorded the most deaths.

New Indonesian Case

A 22-year-old man from Tangerang, in the Banten province on the west of Java island, tested positive for H5N1, I Nyoman Kandun, the ministry's director general of disease control and environment, said today in a mobile phone text message.

The man is from the same province as the woman who died yesterday. She developed symptoms on Jan. 1 and was admitted to Jakarta's Persahabatan Hospital five days later. Her 42-year-old husband and their 18-year-old son are suffering from symptoms of fever and respiratory infection, and are being tested for avian flu, Mukhtar Ikhsan, a doctor at the hospital, said yesterday.

Test results are pending for the other family members and, if confirmed, would represent the latest cluster of H5N1 cases in the southeast Asian nation, said Ruesin, who is head of the Health Ministry's avian flu information center.

Initial investigation suggested diseased poultry as the possible source of infection, the Geneva-based WHO said Jan. 9 in a statement on its Web site.

Japan's Agriculture, Forestry and Fisheries Ministry said it will isolate fowl on the farm in the southern prefecture of Miyazaki, where the 750 bird-deaths were reported. It will ask other poultry farmers within a 10-kilometer (6-mile) radius not to move their produce until the investigation is finished. The farm has 12,000 poultry, the ministry said yesterday.

Test Results

Results of tests for the H5N1 strain may be announced as early as tomorrow, ministry officials told reporters in Tokyo today.

``This case is very likely to be highly pathogenic bird flu'' virus, said Takashi Himeda, a manager of with the ministry's animal sanitation department. ``The possible infection route may be migrant birds, but we don't know yet.''

The ministry is sending two avian-flu specialists to help implement control measures and the cabinet office will meet today to coordinate an investigation with other ministries. It is advising meat distributors and restaurants on poultry-meat safety. Local governments will be asked to contact farms throughout Japan to check for signs of infection.

Trade Halted

South Korea temporarily halted imports of Japanese poultry, the country's agriculture ministry said in a statement today. A ban will be imposed if a highly pathogenic avian flu virus is confirmed, the ministry said.

Japan's first H5N1 outbreak was reported in a commercial poultry flock in Yamaguchi prefecture on the southwestern edge of the main island of Honshu three years ago. Outbreaks were also found in poultry in Oita and Kyoto prefectures, the last of which occurred in March 2004.

Japan is the world's second-largest importer of chicken meat, according to data kept by the U.S. Department of Agriculture. It bought 443,000 metric tons of the white, worth 102 billion yen ($846 million) in 2005, according to Japan's farm ministry.

Avian-flu outbreaks ``will remain to be the biggest factor'' affecting world poultry demand and supply in 2007, the USDA said in a report last year. ``Any major outbreaks in both exporting and importing countries will likely disrupt the trade causing uncertainties'' for the Japanese meat trade, it said, adding that Brazil is a key supplier to Japan.

To contact the reporters on this story: Karima Anjani in Jakarta at kanjani _at_ bloomberg.net ; Kanoko Matsuyama in Tokyo at at kmatsuyama2 _at_ bloomberg.net

Last Updated: January 12, 2007 01:18 EST

http://www.bloomberg.com/apps/news?pid=20601101&sid=a62y5O82rtvo

 

[Theresa42]

Re: Jakarta 7 Jan+

Indonesian woman dies from bird flu, bringing death toll to 59
Jan 12, 2007

An Indonesian woman died from bird flu while a second was in critical condition on Friday, as the country worst hit by the virus battled new cases following a six-week lull, health officials said. A teenage boy was killed earlier this week.

All three cases occurred in the industrial town of Tangerang to the west of the capital, Jakarta.

The 37-year-old woman died late Thursday soon after being admitted to a Jakarta hospital.

The woman's husband and 18-year-old son are being treated at the same hospital for symptoms of the H5N1 virus, said Haris Sugiantoro, an official at the Health Ministry's bird flu information center.

Tests also confirmed a 22-year-old woman was also suffering from the virus, said Joko Suyono, another official at the center. Neighbors reported that chickens living near her house died suddenly and the woman was seen picking one of them up and scratching her nose soon after.

"She is now in critical condition in an intensive care unit of the hospital," Suyono said.

On Wednesday, a 14-year-old boy also from Tangerang died after being treated for four days at the same hospital, reports AP.

He was the country's first fatality in six weeks a pause that had led Indonesian officials to say they were making progress in the fight against the disease.

"Indonesia has been on the right track in handling the bird flu, but the danger still exists," Bayu Krisnamurthi, head of the country's bird flu commission, told reporters. "We hope the virus decreases more this year, but the war is continuing."

At least 59 people have now died from bird flu in Indonesia more than a third of the world's total since the virus began ravaging Asian poultry stocks in 2003.

The virus remains hard for humans to catch and kills a tiny percentage of the hundreds of thousands of people who die each year in developing countries from easily preventable diseases.

But international experts fear it may mutate into a form that could spread easily between humans and potentially kill millions around the world.

http://english.pravda.ru/news/hotspots/12-01-2007/86352-bird_flu-0

 

[Theresa42]

Re: Jakarta 7 Jan+

Indonesia woman tests positive for bird flu, in critical condition
Jan 12, 2007

(Kyodo) - A woman from Tangerang near Jakarta, where a 37-year-old woman died of bird flu Thursday, has been tested positive for the H5N1 strain of the disease, an official at the Health Ministry's Bird Flu Center said Friday.

The 22-year-old woman "is in critical condition," Joko Suyono told Kyodo News. He said she apparently did not have contact with chickens.

The death of the 37-year-old woman, which raised the toll from the disease in the country to 59, followed a case of a 14-year-old boy from West Jakarta, who died Wednesday. The boy's case was the first in three months.

Bayu Krisnamurthi, chairman of the National Commission for Bird Flu Control and Preparedness to Anticipate Influenza Pandemic, told a press conference the latest cases still have "similar patterns" to the previous ones.

"The problem is they came to hospital late, about eight days after the onset" of the disease, he said.

No other information about the 22-year-old woman was available.

In the case of the 14-year-old boy, he fell sick after some ducks near his house reportedly died, Krisnamurthi said, adding it is difficult to determine whether ducks were the source of his exposure.

"It is very rare for ducks to transmit the virus to humans. Usually, ducks only act as reservoir which transmits the virus to chickens and then chickens to humans," he said.

The husband of the woman who died Thursday reportedly slaughtered five chickens, "one of which was sick" on Dec. 30, while three of her other chickens died for unknown reasons.

Her 45-year-old husband and 18-year-old son are also in hospital after suffering from high fever and breathing difficulties. If both are tested positive of having bird flu, it would be the first cluster case this year.

Since bird flu began to hit Indonesia in mid-2003, up to 15 million infected poultry birds have died in 224 regencies in 30 of the country's 33 provinces.

Coordinating Minister for People's Welfare Aburizal Bakrie said 16 of the 30 provinces are considered to be free of bird flu, having had no cases in the last six months.

As of Tuesday, bird flu had infected 264 people in 10 countries since its reemergence in December 2003, with 158 of them having died, according to World Health Organization statistics.

Indonesia led with 58 fatalities, followed by Vietnam with 42 and Thailand with 17. The other affected countries are Azerbaijan, Cambodia, China, Djibouti, Egypt, Iraq and Turkey.

http://asia.news.yahoo.com/070112/kyodo/d8mjk0u00.html

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

The condition for the Bird Flu Patient began to worsen

Jakarta -- MIOL: the Ani Aprianti Condition, 22, and Zulfah, 27, two patients suspect bird flu that was treated in RS the Friendship began to worsen. ( Ani Aprianti was stated positive )

However still could not be ascertained by both of them berstatus positive.

The chairman of Doctor's Team the Control of Bird Flu RS the Friendship, Mukhtar Charity stated the Ani condition and Zulfah experienced the significant decline.

"Results x-rayed showed the deviation to the lungs that began to spread."
There was the decline in the level of oxygen and the increase in carbon dioxide, he explained.

Nevertheless, the status of the resident Mampang the Crossroad and Tangerang this still suspect (was expected).

The team of the doctor was still being waiting produced by Balitbangkes that carried out the DNA inspection the patient or normally was acknowledged as Polymerize Chain Reaction (PCR).

Results of the final could be just known after three inspection times.
The possibility of the existence of the story of the two patients carried out contact with the poultry it was denied Mukhtar.

He could ask about that to the family, and it was replied never.
This was justified by Dahlan, 55, the father Ani.
"He did not maintain the poultry, that maintained even me."

There were turtle-dove birds in the house but that too just very healthy.
Every day was given by me drank with my mouth personally, but saw personally would I was just very healthy.

The only Dahlan suspicion was to the chicken slaughterhouse that was located around the Ani house."But that too far."

As far as this is concerned revealed Dahlan had not had the official of the Health that came to their environment of the Service.

"Possibly because of being not yet that lapor."
The case of my child would that the first time in and around our environment.

In the meantime the husband and the patient's positive child bird flu that died last night, Riyah, in the good condition.

Both of them realised was full. But his child began to be crowded.
The condition for this family it was suspected resulting from direct contact with the poultry died.

According to Mukhtar, casualties's family admitted they cut off chickens there are those that has died, for the Idul Adha serving.

Yusuf, the husband Riyah cut personally off the chicken, whereas Riyah that pulled out the hair and cleaned him.
(.
http://www.media-indonesia.com/berita.asp?id=121920

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

The patient worsened

on January 12 2007 | 15:01 WIB

The Interactive TIME, Jakarta: two bird flu patients who at this time were treated in RS his condition Friendship increasingly worsened.

Two bird flu patients who at this time were treated in the Friendship Hospital, Jakarta East, his condition increasingly worsened.

They Ania, 22 years, and Zuraini, 29 years, mentioned like that.

The doctor diagnosed deterioration in all the cavities in the lungs as well as the decline in oxygen in blood happened.

According to the Chairman of the Team of the Control of Bird Flu RS the Friendship, Dr. Mukhtar Ikhsan, at this time both of them were still being treated in ICU isolation space.

The team of the doctor has also handed over the sample of blood both of them to the body of the Health of the Department's research and development to be researched further.

?Hasil him we were waiting till four days in the future, we have sent the sample of three times to confirm produced by pemeriksaan,? said he.

Yesterday the night of one of the bird flu patients in the hospital died.
His body has been buried today.

http://www.tempointeraktif.com/hg/jakarta/2007/01/12/brk,20070112-91153,id.html

 

[Gert van der Hoek]

Re: Jakarta 7 Jan+

For the record:

Avian influenza ? situation in Indonesia ? update

11 January 2007

The Ministry of Health in Indonesia has confirmed the country's 58th death from H5N1 avian influenza. The 14 year old boy from West Jakarta, whose infection was announced on 9 January, died on 10 January after being hospitalized.

Of the 76 cases confirmed to date in Indonesia, 58 have been fatal.

http://www.who.int/csr/don/2007_01_11a/en/index.html