Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

[Gert van der Hoek]

This report could refer to the 5-year-old sister of the recently confirmed bird flu death in Jakarta. The girl was cleared after 3 negative tests, but still treated in hospital.

Now this report says she was tested positive and died.

Edit: confirmed on website Min of Health.



machinetranslation

Thursday, January 19, 2012 16:12 pm

Bird Flu Cases Spread Through Tanjung Priok Pigeon

Sutanto Johannes de Britto


Because of his condition continued to decline, eventually the patient died on January 16, 2012 at around 2:00 pm.

JAKARTA, Jaringnews.com - Bird flu really was detected in women's girl
5-year-old with the initials A.S. in Tanjung Priok, North Jakarta, Jakarta Province
Jakarta. This is confirmed by the Ministry of Health Directorate General of
Disease Control and Environmental Health. New cases of H5N1 have also been
confirmed by the Center for Basic Biomedical and Health Technology, Research and Development Agency
Of Health.

Surveillance team has conducted investigations in the area on January 7, 2012
last. Team AS claimed that the symptoms of fever are signs of the flu
of birds. She was immediately referred to the department of . A.S. direct care
intensive in the isolation room, according to the administration of the examination flu suspect
of birds.

On January 13, 2012, A.S. experienced shortness of breath and the medical team immediately
medical action according to the procedure. At that time examination Polymirasea
Chain Reaction (PCR), virus-infected patients tested positive for H5N1.

Because of his condition continued to decline, eventually the patient died on January 16, 2012
at around 2:00 pm.

Based on the epidemiological investigation into the patient's house and the surrounding environment
by Tim Integrated Kemenkes and the local health office, and obtained information
that the person concerned is often brought into the workplace workshop PD (positive patients
bird flu) where there are domesticated pigeons, are often invited to the farm birds
PD friend's pigeons, and are often given food without washing hands after
holding a dove.

With the increase of these cases, the cumulative number of bird flu in Indonesia since
year 2005 to the news broadcast is 184 cases with 152 deaths.

Jaring News

 

[sharon sanders]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

from post on brother -

A young man named later revealed Puguh Dwi (23), a resident of New Road South Ancol, RT 10/06, Sunter Agung, Tanjung priok, North Jakarta died of suspected bird flu suspect.

snip

In addition to killing Puguh, continued Sriyati, known to the victim's sister called, Adra Soraya Ramadani (5) which is the fourth child, since Saturday (7 / 1) yesterday also admitted to the ICU special bird flu Friendship Hospital,

http://www.flutrackers.com/forum/showthread.php?t=179519

 

[Diane Morin]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Machine translation

Jakarta (ANTARA News) - The Ministry of Health (Kemkes) in a statement here on Thursday, said the death of the girl with the initials AS (5) on Monday (16 / 1) and positive for bird flu. U.S. is the nephew of PD (23) who died on January 7, 2012 ago and also tested positive for bird flu and the two alleged victims have contracted the H5N1 virus from the same source of pet birds PD.

/.../

http://www.antaranews.com/berita/293552/kemkes-nyatakan-kematian-as-positif-flu-burung

 

[sharon sanders]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

The girl was cleared after 3 negative tests, but still treated in hospital. Now this report says she was tested positive and died.[/I]

I have wonder what H5N1 strain is used for the test comparison now. Maybe it needs to be updated? 3 negatives is a lot to have when, in reality, it is a positive case. This calls into question the H5N1 status of the other recent suspected cases in Indonesia:

2012 - http://www.flutrackers.com/forum/showthread.php?p=435694#post435694

2011, including October and November suspected cases - http://www.flutrackers.com/forum/showthread.php?t=165518

I think we need to pay more attention to the symptomatology of each case.

 

[Gert van der Hoek]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Another possibility:

we cannot exclude the administration of Tamiflu to the girl as a precaution.
That is the usual procedure in case of a positive H5N1 human patient in Indonesia: give Tamiflu to the direct contacts/family.

Testresults tend to be negative after the use of Tamiflu?

 

[tetano]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Laboratory Diagnosis
Detection of viral RNA by means of conventional or real-time reverse-transcriptase polymerase chain reaction remains the best method for the initial diagnosis of influenza A (H5N1).52 These assays can provide results within 4 to 6 hours and can be performed under biosafety level 2 conditions. The genetic variability of influenza A (H5N1) viruses7,8 calls for frequent updating of primers and probes. Consequently, access to sequences from recent influenza A (H5N1) viral isolates is essential. To detect other influenza A virus infections and reduce false negative results due to mutations in the H5 hemagglutinin gene, a conserved influenza A gene (e.g., matrix or nucleoprotein) should also be targeted.
Diagnostic yields are higher with throat specimens than with nasal swabs because of higher viral loads of influenza A (H5N1) in the throat.1,3 However, nasal swabs are useful for detecting human influenza viruses, so collection of both specimens is recommended. If they are available, tracheal aspirates have higher viral titers and yields than specimens from the upper respiratory tract.3 Negative results in single respiratory specimens do not rule out influenza A (H5N1) virus infection,21 and repeated collection of multiple specimen types is recommended.52 Previous antiviral treatment may reduce the diagnostic yield. Detection of influenza A (H5N1) viral RNA in feces or blood may provide prognostic information,3 but it has lower diagnostic sensitivity than influenza A (H5N1) viral RNA in respiratory specimens.
Commercially available rapid assays for influenza-antigen detection have poor clinical sensitivity for the detection of influenza A (H5N1) virus (Table 2 of the Supplementary Appendix),1,20,21 and they do not differentiate between human and avian subtypes of influenza A viruses. Although rapid antigen tests have similar analytic sensitivity for detecting human and avian influenza A (H5N1) viruses, they require 1000 times higher levels of virus than viral cultures to be positive.53
The detection of anti-H5 antibodies is essential for epidemiologic investigations and may provide retrospective diagnostic confirmation in patients. Seroconversion generally occurs 2 to 3 weeks after infection. Microneutralization assays are the most reliable methods for detecting antibodies to avian viruses, but they are labor-intensive and require biosafety level 3 facilities and appropriate strains of influenza A (H5N1) viruses. As compared with initial samples, elevations of four times or more or single titers of 1:80 or more in convalescent-phase samples are considered to be diagnostic.52 Modified nonpathogenic influenza A (H5N1) virus generated by reverse genetics or lentivirus pseudotyped with H5 hemagglutinin54 may provide alternatives for performing neutralization tests in biosafety level 2 facilities. Hemagglutination-inhibition assays with the use of horse erythrocytes show promising results but require further validation.

http://content.nejm.org/cgi/content/full/358/3/261

 

[Diane Morin]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Machine translation

Doctors Need Training Special Anamnesa Bird Flu


By G. Suranto
Wednesday, January 18, 2012 | 12:42
+ | Normal | -


Jakarta, Info Public Health Ministry demanded that the doctors in health centers, hospitals, private clinics and re-do training specifically diagnose bird flu.

The remark was made Secretary General of the Ministry of Health Ratna Rosita in a statement through a public Puskom Kemenkes received here on Wednesday (18 / 1).

"AI same clinical symptoms as regular flu symptoms. Diagnose the need for more sensitive to determine whether the patient has a history of contact with poultry, or poultry are in the neighborhood, "he said.

Another thing is Tamiflu also needs to be distributed to the doctors to immediately be given to patients who are indicated. Tamiflu stock availability is important, because it must be able to meet the needs in each region.

The statement was reinforced by statements DG Pharmaceuticals and Medical Devices, Kemenkes, Dra. Sri Indrawati, Apt, Kes, that the buffer stock of flu drug is still available at the center of some 1.395 million capsules with expired date (ED) sebagain each of the following: 54 000 capsule with ED in June 2012, ED 510 200 capsules by December 2013, 831 600 capsule with ED in December 2014, and procurement plans 540 000 2012 capsules in order to keep the central buffer amounted to one million capsules.

According to him, in 2011, has sent an average of 100,000 capsules per province with the expiration date of 2013. In 2012, plans to be re-sent to 100,000 capsules per province. (Rm)

http://www.bipnewsroom.info/?page=news&newsid=13807

 

[Giuseppe]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

[Source: World Health Organization, full page: (LINK). Edited.]

Avian influenza ? situation in Indonesia - update



19 January 2012 - The Ministry of Health of Indonesia has announced one new confirmed case of human infection with avian influenza A(H5N1) virus.

The case is a 5 year-old female from Jakarta Province. She was identified by a surveillance team during an investigation in the area on 7 January 2012 and was referred to a hospital. On 13 January 2012, she had breathing difficulties. Her condition deteriorated and she died on 16 January 2012.

Epidemiological investigation indicated that she was a family contact of case 183, and frequently had direct contact with the same pigeons as that case, and the same household environment.

Surveillance of other contacts has not identified further cases.

Of the 184 cases confirmed to date in Indonesia, 152 have been fatal.
​

- ------

 

[Shiloh]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Source: http://www.mediaindonesia.com/read/2012/01/20/292751/37/5/AS-Meninggal-Akibat-Flu-Burung

AS Meninggal Akibat Flu Burung
Jumat, 20 Januari 2012 00:50 WIB

A.S. Deaths Due to Bird Flu
Friday, January 20, 2012 0:50 pm

JAKARTA - MICOM: Ministry of Health (Kemkes) states that the death of the AS (5) on Monday (16 / 1) and positive for bird flu has been confirmed by the Center for Basic Biomedical and Health Technology, Health Research Agency.

"Since entering the hospital, AS patients have been given help and given medication, but is this bird flu mortality rate for patients is quite high, about 70-80 percent," said Director General of Disease Control and Environmental Health (P2PL) Tjandra Yoga Aditama in Jakarta Thursday (19 / 1).

AS, residents of Tanjung Priok, North Jakarta, was a nephew of PD, 23, who died on January 7, 2012 and also tested positive for bird flu. Both victims were believed to have contracted the H5N1 virus from the same source, namely PD pet birds.

AS surveillance teams discovered during an investigation conducted in the region on January 7, 2012 or pascakematian uncle and the AS were found to have symptoms of fever since the day before and was referred to the department of Friendship which directly provide intensive care in isolation rooms in accordance with the examination administration of suspect bird flu.

"Since the beginning of the AS actually declared negative review, but given the drug despite the negative and continuous observation," said Tjandra.

Upon examination three times Polymirasea Chain Reaction (PCR), found a negative AS result of bird flu, but according to Tjandra, subsequent examination ie on January 13 were found positive PCR results declared bird flu.

Patients also experience shortness of breath and performed medical procedures in accordance with procedures but because of his condition continued to decline, eventually the patient died on January 16, 2012 at around 2:00 pm.

Based on the epidemiological investigation into the patient's house and the surrounding environment by Kemkes Team and the local health office, obtained information that the AS is often brought into the workplace workshop uncle who kept pigeons PD, are often invited to the ranch owned by friends of pigeons PD and are often given food without washing hands after handling pigeons.

Tjandra said with the increase in one case that the number of cases of bird flu in Indonesia since the year 2005 cumulative 184 cases with 152 deaths with two deaths in 2012. (Ant/OL-2)

 

[tetano]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

TRIBUNNEWS.COM, JAKARTA-Director General of disease control and Environmental Health, the Ministry of health, has denied the existence of Tjandra Yoga Aditama negligence in handling the ASR, patients who died of bird flu.
Boy five years allegedly caught his brother Puguh Dwi Yanto (23) the citizens of the new South Road Ancol RT 10 RW 6 No. 30 Sunter Agung Tanjungpriok, North Jakarta which telag died with status of positive contracted the bird flu on Saturday (7/1/2012). At first the ASR was convicted, but later known as negative if he contracted the H5N1 virus.

' We do not know, do you have travel diseases, viruses that vary from time to time. Thus we check up to three times to avoid the error, it is in compliance with procedures, '' said Tjandra Yoga Aditama, here on Friday (20/1/2012).
As vocal point of the International Health Regulations (IHR) have also been informed of these cases to the WHO. ' All there are still cases of avian influenza in poultry, the possibility of transmission to humans is still there, '' said Tjandra.
Tjandra also spoke of the reasons why ASR placed in space rather than in isolation rooms ICU because at the time his condition is very critical. ' His condition was critical, therefore, be placed in the ICU, ' said he.
When asked if was in ICU space can be at risk of infecting virus to another patient, Tjandra said has done an examination to all those who are in the
space.

' All those who are alleged to have contacts with patients examined, both in the hospital as well as in its surroundings. Everyone checked, ' he said.
Tjandra added, before PDY died, the hospital came to his house to carry out checks to all those who make contact. Then there are the patients, who at the time of ASR it was fever.
Then he was admitted to a hospital as suspect bird flu. And directly occupy space isolation of bird flu as there is contact with the patient and poultry bird flu, which is all around.
After checked three times, the results are negative, so good lab, fine. Because ASR is moved from the normal, space insulation to a maintenance room.
In the treatment his condition deteriorated. ' We put in the ICU at the time the circumstances deteriorate. Following the review he's positive bird flu, '' he said.

http://www.tribunnews.com/2012/01/20/pihak-kementerian-kesehatan-bantah-lalai-tangani-asr

 

[tetano]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Possibility of ASR having resistance to oseltamivir. so although it's been treated, his condition continued to decline rapidly.

Health Minister (Menkes) Endang Rahayu Sedyaningsih, revealed the bird flu virus detected in the tough little boy. At least it happened in ASR, boy five years, the citizens of Tanjung Priok, the meningggal a result of contracting the virus H5NI are positive.

Moreover, Indonesia also has limitations of sensitivity to detect the presence of the H5N1 virus.
Even so, according to
Isang, it has cared for ASR standard. Among them by checking the mucus from the throat the sufferer. ' We also conduct lab tests three times. The test results state that the child is negative, ' bird flu Jakarta, Isang clearer today.

However, Endang admitted, first checks currently, ASR does not suffer coughs and colds. So the H5NI virus increasingly difficult detected. ' However, we still give him the oseltamivir, ' he said.

But, when the last test, advanced Isang, ASR is positive with avian flu.

' Maybe it was the taking of specimens lacking in. So, taking in young specimens is likely to be more difficult, '' he said.
, Isang
further explains that there is a possibility that the ASR having resistance to oseltamivir. so although already treated, his condition continued to decline rapidly.

' Of which we hear this child is often invited to play with poultry, ' he said ...

Meanwhile, the Coordinating Minister of people's Welfare Agung Laksono said that it has made sweeping on houses have farm poultry in pekarangannya.

up to now, he said, as many as 6,000 poultry were destroyed. However, he said, there is no reimbursement of losses for the rancher, due to the amount that is not how.

http://www.beritasatu.com/kesehatan/27130-flu-burung-sulit-dideteksi-pada-anak-kecil.html

 

[Shiloh]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Source: http://www.tempo.co/read/news/2012/01/21/173378746/Semula-Korban-Tewas-Flu-Burung-Dinyatakan-Negatif

Sabtu, 21 Januari 2012 | 00:37 WIB
Semula Korban Tewas Flu Burung Dinyatakan Negatif

Google translation:

Saturday, January 21, 2012 | 00:37 pm
Bird flu death toll originally Indicated Negative

TEMPO.CO, Jakarta-ASR, the second bird flu victim in 2012, died on January 16, 2012. He has received treatment at Friendship Hospital, East Jakarta since January 7, 2012. However, at the beginning of the examination, ASR declared negative for H5N1 virus it is. "We did a check on the 7th, 8th, 9th January, and the result is still negative," said Health Minister dr. Endang Rahayu Sedyaningsih, MPH, DR.PH on Friday, January 20, 2012 in his office, Brass, Jakarta.

Because ASR is still negatively affected by bird flu, according to Endang, then it is placed in the regular room. But on January 13, 2012, ASR experiencing shortness of breath, and performed medical acts in accordance with procedures. At that time examination Polymirasrea Chain Reaction (PCR), ASR tested positive for H5N1 virus.

Difference in the results of the investigation because at the initial examination on the ASR, the virus that is in the body of the ASR is not strong so it has not detected the H5N1 virus. In addition, the ASR does not have a cough and runny nose so that mucus is a little sample of the virus. "We take specimens (samples) from the throat, nose, anus. Because he only fever without cough and colds, the virus that there is not strong, "said Director General of Disease Control and Environmental Health (PP and PL), Prof. dr. Tjandra Yoga Aditama, Sp (K), MARS, DTM & H, DTCE.

With the increase of these cases, the cumulative number of bird flu in Indonesia from 2005 to 2012 was 184 cases with 152 deaths. One way to avoid the bird flu virus is to get clean and healthy living behaviors (PHBs).

PHBs the easiest way is to wash hands with soap (HWWS) in limawaktu critical. Namely, before eating, after defecation, before feeding, before preparing food, after cleaning a baby, and after contact with animals.

PARTNER Tarigan

 

[Shiloh]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Source: http://www.mediaindonesia.com/read/...4/Kebal-Obat-Flu-Burung-Mungkin-telah-Terjadi

Kebal Obat Flu Burung Mungkin telah Terjadi
Sabtu, 21 Januari 2012 07:21 WIB

Immune Avian Flu Drugs may have occurred
Saturday, January 21, 2012 7:21 pm

Immune Avian Flu Drugs may have occurred
ANTARA / Regina Safri / ip

TAKING sample specimens from the throat less in Adra Soraya (AS), 5, becomes the cause of test results polymirasea chain reaction (PCR) which has three times performed laboratory of National Health Research and Development (Research and Development) Kemenkes showed negative bird flu.

In addition, resistance may have occurred (drug resistant) to the drug oseltamivir (brand name Tamiflu). The hypothesis was made based on the presence of several victims who remain positive for bird flu died despite oseltamivir have been given early.

"If there is resistance to oseltamivir, Indonesia no longer has the antidote spread of the H5N1 virus. Because, oseltamivir is the only drug that can kill the virus, although with certain prerequisites and conditions," said Health Minister (Menkes) Endang Rahayu Sedyaningsih in a press release after a ministerial coordination meeting to discuss bird flu, yesterday, in Jakarta.

Menkes explanation is related to the death of the AS, the patient suspect (allegedly) who treated bird flu since Saturday (7 / 1) in Government General Hospital (Dr) Friendship, Jakarta.

Sister Puguh Dwi Yanto (PDY), 23, who previously died from bird flu virus on Monday (16 / 1) morning with a positive diagnosis died of bird flu.

"I suspect that the oseltamivir resistance has occurred in Indonesia. That's why people with bird flu mortality rate reached more than 80%. In fact, oseltamivir has been given," said Minister of Health again.

In fact, he continued, there may exist a specific gene in the H5N1 virus in Indonesia so that the more malignant when compared with the H5N1 virus in another country.

As for the negative results of the examination, Endang admit, until today I have found no tool that can take a throat swab specimens (swap) in pediatric patients. If imposed, could even cause injury to the respiratory system is concerned.

"In the AS case, despite having a fever, is concerned not suffer from colds and coughs. As a result, the H5N1 virus can not be seen from the sputum out," said Endang again.

The Center for Public Communication Secretariat General of the Ministry of Health, Murti Utami, said it has informed the case of the death of brother and sister to the World Health Organization (WHO).

Separately, Director of the department of Friendship Priyanti admitted his side on Tuesday (10 / 1) issued the results of a negative AS states have contracted bird flu.

However, two days later, the AS re-fever and declining health. The boy was just the heat, do not cough and colds. Even so, the action was carried out according to the procedure, which is put on a ventilator.

According to data from the Jakarta Health Office, during 2009, of 10 patients suspect bird flu, eight patients died (84%). In 2010, the number decreased to three patients, but all three died (100%). In 2011 the three patients, two of whom died.

Jakarta Health Agency head Dien Emmawati said the H5N1 virus incubation period varies as seen in some cases the density of different viruses.

Ministry of Health to ensure the case PDY and the AS is a cluster of cases (incidence group) on the first human bird flu occurring in the world in 2012. Cluster of events is always synonymous with increased potential for human transmission of H5N1 virus which can lead to a pandemic (a widespread outbreak and consistent) bird flu. (NA / SSR / * / X-8)

 

[Giuseppe]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

The issue regarding oseltamivir resistance of an H5N1 affected paediatric patient should be investigated carefully although is likely that an initial clearance of the virus was achieved since the PCR results were negative three times, according to the Indonesian Ministry of Health.

Paediatric cases may experience - as other individuals with reduced immune system ability to fight influenza viruses in general and H5N1 in particular - an higher viral load than immunocompetent adults.

If oseltamivir was administered at recommended doses (twice the dose for uncomplicated seasonal influenza infection) and for the correct time, viral clearance may have been achieved but because the young age of the patient and his reduced immune ability, a small amount of virus with reduced sensitivity might have produced a illness relapse much more virulent.

A genotypic analysis of the virus samples is needed for excluding or corroborating the presence of known mutation in the neuramminidase gene (such as H274Y); a complete anamnestic investigation on the past health story of the patient as well as hystopathological findings are also important to explain a possible host inability to achieve a complete viral clearance in presence of a susceptible virus. (IOH)

 

[Shiloh]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Source: http://www.tempo.co/read/news/2012/01/22/083378872/Dua-Sebab-Adra-Tak-Tertolong-dari-Flu-Burung

Minggu, 22 Januari 2012 | 04:26 WIB
Dua Sebab Adra Tak Tertolong dari Flu Burung

Google translation:

Sunday, January 22, 2012 | 4:26 pm
Two helpless Because Adra from Bird Flu
Large Normal Small

TEMPO.CO, Jakarta: Chairman of the Research Center for University Press of Bird Flu (Avian Influenza-zoonosis Reseach Center), C. A. Nidom proposed two assumptions cause no tertolongnya Adra Soraya Ramadani, 5 years, patients infected with bird flu. According to him, there are two possibilities for changing the status of bird flu Soraya negative to positive until the toddler's death last January 16.

First, there is sampling error. Since the time of fever Soraya adjacent to the infected the uncle, Puguh Dwi Yanto who died first. He was probably affected by exposure to the virus along with the 23-year man. "That should be when the sample is taken, the virus is there," said Nidom, when contacted, Saturday, January 21, 2012.

So, should the results of the PCR test was positive infants. If the result is negative, meaning, "There are errors in the decision. Pickup baseball right, "said Nidom. He explained that this related to the sampling technique. In addition to blood samples, saliva or mucus sampling of bird flu patients also need to be done through the nasopharynx or the part between the nose and throat.

Is a tool shaped like a long cotton swab is inserted into the nose to the tip used to take these samples. Or it could be through the mouth, inserted until it touches the antil-antil. "If extraction is correct, it could be," he explained.

The second assumption Nidom, Soraya virus has entered the body through the lungs so it is not detected during sampling. "It could be that the virus has developed organ damage, had gone into the lungs," he explained. Travel the virus, said Nidom, originated from the nose, throat, into the lungs, then up into the nose again.

ATMI PERTIWI

 

[Gert van der Hoek]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

From Ministry of Health:

machinetranslated

There was no inter-Human Transmission of Bird Flu Cases

BY: PUSKOM

JANUARY 21, 2012 | 9:11 PM

Viruses in the case of Indonesia in 2012 is still the same as before, namely receptor alpha 2.3. The virus is similar to human viruses Indonesia 2007. Thus, the mutation does not occur and there is no "sustained transmission" (ongoing transmission). This is the second scientific evidence.

This was conveyed by the Director General of Disease Control and Environmental Health (P2PL) Kemenkes Prof. Dr. Tjandra Yoga Aditama by electronic mail to the Center for Public Communication.

Prof. Tjandra ensure, with 2 scientific evidence can be ascertained to date there is no transmission of bird flu among humans in this.

Added, WHO data show, throughout the year 2012 ie since January 1 to 20, 2012, there have been reports 7 cases of Avian Influenza in the world, which is 3 in Egypt, 2 Indonesia, one Chinese and one Cambodian. Meanwhile, in January 2011, in the world there are 6 cases of Avian Influenza. That is, the number of cases in the world in January 2011 compared with January 2012 are not much different.

Prof. Tjandra also convey, in Indonesia, bird flu drug oseltamivir is available free of charge. The drug is available in various health care facilities. Currently, there are more than 1.4 million tablets are ready to launch again if necessary.
This information is published by the Center for Public Communication, Secretariat General of the Ministry of Health. For further information please contact via telephone number: 021-52907416-9, fax: 52921669, Response Quick Response Center (PTRC): 021-500567 and 081 281 562 620, or e-mail address info@depkes.go.id, contact @ department of health . go.id.

Sehat Negeriku

 

[Shiloh]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Source: http://harianjayapos.com/detail-354...g-bocah-5-tahun-akhirnya-meninggal-dunia.html

Senin, 30 Januari 2012 - 08:10:01 WIB
Diduga Kena Flu Burung, Bocah 5 Tahun Akhirnya Meninggal DuniaKategori: Jakarta

Google translation:

Monday, January 30, 2012 - 8:10:01 PM
Allegedly Got Bird Flu, Boy 5 Year DuniaKategori Finally Died: New York

Tanjung Priok, Jaya Post

ASR, 5-year-old toddler mengindap suspected bird flu and hospitalized in East Jakarta Rawamangun friendship, eventually died. But the family is notified, ASR died of dengue hemorrhagic fever (DHF).

SI (48), the mother of the victim when found in the area of ​​the Great Sunter, North Jakarta, Friday (20 / 1) says that doctors at the hospital only to die just because of the ASR expressed dengue. ASR child SI partner and MA (58), died at approximately 2:00 pm in the isolation room. Allegedly, ASR died of bird flu. But after four days, ASR permitted to leave the isolation room moved to the infirmary because his condition has improved. In fact, according to SI, son ASR was able to play and the way to the bathroom. "I think my son would soon be home, but I want him to recover fully so that I rely on to be treated first," said SI.

After two days in inpatient rooms, ASR condition deteriorated and his body heat back to high. Doctors also move it to the ICU on Friday (18 / 1) at around 14:30. The longer, its existence is getting worse. "Eventually our son at 2:00 o'clock early morning passed away," said SI weeping sadly. ASR is buried near his uncle, PBY who also died of bird flu.

Some time ago, victims of 152 people who received a temporary release from the Ministry of Health Jaya Post've made sure that the death of bird flu caused by ASR.

Directorate General of the Court of Disease and Environmental Health Ministry of Health announced a new case has been dikonfirmsi H5NI by Bio Medical center, and basic health tehknologi health R & D agency on behalf of ASR found cases of the survey team Lanus, while investigating the area on January 7, 2012. He had a fever since the day before was referred to the hospital friendship. "ASR immediate intensive care in isolation rooms in accordance with the procedure of examination suspenc bird flu," said Head of the Ministry of Public Health Center for Communication, Drg Murti Utami MPH, (31 / 1).

Murti added, ASR experiencing shortness of breath and pores examination and positive patients infected with H5N1 virus. Because of his condition continued to decline, eventually the patient died on January 16, 2012 at around 2:00.

From the results of epidemiological investigations into the homes of patients and the local environment by an integrated team Kamenkes and Health Department obtained information that the victims are often brought to the workshop DDY, patients positf bird flu, where there ASR pet pigeons and birds are often invited to the ranch owned by friends PDY. No less great, if you eat the ASR does not wash hands, when only holding the pet.

Cases of bird flu in Indonesia, the data obtained in 2005 reached 184 people and 152 people died. The results of environmental health data collection (PP and PL), Prof. Dr. Tjandra Yoga Aditama SP (K). MARS DTM, SH DTCE Vocal Point as the International Health Requlation (IHR) has informed the case to WHO.SY / Land

 

[sharon sanders]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

Machine translation

Jakarta (ANTARA News) - The Ministry of Health (Kemkes) in a statement here on Thursday, said the death of the girl with the initials AS (5) on Monday (16 / 1) and positive for bird flu. U.S. is the nephew of PD (23) who died on January 7, 2012 ago and also tested positive for bird flu and the two alleged victims have contracted the H5N1 virus from the same source of pet birds PD.

/.../

http://www.antaranews.com/berita/293552/kemkes-nyatakan-kematian-as-positif-flu-burung

And now they say dengue hemorrhagic fever?

Am I reading this correctly?

 

[alert]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

And now they say dengue hemorrhagic fever?

Am I reading this correctly?

I don't think so. I think the correct translation is that they originally misdiagnosed the cases as dengue hemorrhagic fever, but further testing confirmed H5N1.

 

[sharon sanders]

Re: Jakarta: death reported of 5-year-old sister of recent bird flu fatality - H5N1 confirmed

From post 17

But the family is notified, ASR died of dengue hemorrhagic fever (DHF).

?????