Re: Sulawesi cluster / 14M (deceased) from South Sulawesi confirmed H5N1
toggletext-ed from Indonesian:
Amin: destroyed All Radius Poultry 1 Km
Sept 09, 2006
Casualties died First the Case of Bird Flu in South Sulawesi * the Degree of the Sudden Meeting with his Subordinate * regretted South Sulawesi Indolence of the Health Service * the Service checked Again 18 samples Suspect casualties Bird Flu * the Region Maccini was monitored by Ketat
Makassar, Tribun -- South Sulawesi Governor (South Sulawesi), Amin Syam, ask for so that the Health Service (the Department of Health) South Sulawesi checked again the sample of blood of all the Akhira Wismiyanti family, not Wisnuliyanti (14), the citizen Street Maccini Tengah, Makassar, that died and was stated positive contracted the Avian virus influenza, H5N1, or bird flu. This to anticipate the possibility of casualties's increase.
Yesterday morning, Amin spread out the sudden meeting in the Governor's Residence, Street Jenderal Sudirman, Makassar, on Friday morning (8/9), with the Section Head the Health Dr Andi Muhadir, the Assistant Ii the Government of the Province (the Provincial Government) South Sulawesi, and several other officials, after reading the Stand that wrote the statement of RI Health Minister, Siti Fadilah Supari.
Akhira became casualties died first bird flu in South Sulawesi and to 48th casualties in Indonesia. Results of the inspection of the sample of Akhira blood, that died on June 22, 2006, in the Public Hospital (RSU) Wahidin Sudirohusodo) showed this daughter was positive bird flu (Tribun, 8/9).
Yesterday, the Akhira house in Street Maccini Tengah busy extraordinary. Dozens of reporters and the official from the Health Service of the Makassar City visited the central region of the city.
The official again took the sample of blood and the saliva of all the Akhira family to confirm was not him the bird flu virus.
The team from the Marine Service and Makassar Endurance of City Food also descended to the location to do the inspection of the poultry in Street Maccini Tengah. They also checked the poultry in a radius of one kilometre from casualties's house.
Regretted the Department of Health
To the reporter, after being in a meeting suddenly, Amin regretted the notification produced by casualties's test after three months afterwards. "Regretted by us, why did three months afterwards just have the notification. The Department of Health (was impressed) ignored us had the consignment of the sample of blood there. This was really regretted by us," said Amin.
According to him, the department of the health (the Department of Health) must him delivered from the beginning to the South Sulawesi Provincial Government.
It should be that from the beginning was sent to us. We could take the step- the strategic step, more Amen.
Admitted, the related agency must be careful true. Uptil now efforts that were carried out have been intensive enough, but evidently had also the affected citizen this virus.
The governor hoped the community followed the procedure continue to (protap) that has been appointed. Basically was the cleanliness, said Amin.
In protap this, was needed by discipline. For example', if having the citizen that be hit by, then in a radius of one kilometre must didepopulasi (the mass extermination)', clear Amen.
Unfortunately, the governor considered still had the citizen who reluctantly followed this procedure.
Because of that with the existence of this case, I hoped they were willing. We are unable to translate this sentence.
He appealed to the South Sulawesi citizen if having the incident like that (bird flu), the citizen was appealed to willingly to destroy his poultry. If having the incident like that, don't love-love his poultry. Because this the illness very dangerous. Whatever that wanted to be chosen, chose Rp money 10 thousand rupiah or was sick that was risky the life, he said.
To the reporter, the governor did not only regret Department of Health indolence, but also regretted the health side that initially diagnosed dengue fever casualties (dB).
For the handling of the deceased's family Akhira, Amen said did not yet have the step in the isolation because of his incident for quite a long time. Would already in the last three months. Meaning that, if being isolated the area has been might not, because for a long time, said Amen.
Monitored Maccini
To anticipate the case of bird flu, Dinkes Makassar monitored directly the Maccini citizen around the Akhira house.
Several people of the team of the health that descended to the location of the service asked about the citizen is there complaints that was felt like the fever and breathless. Signs of this influenza illness also were the sign- the sign that adhered to the bird flu sufferer.
The section head the Health of the Makassar City, Naisyah Tun Nurainah Azikin, said, the monitoring was carried out in a radius of one kilometre from the Akhira house.
His team also carried out counselling against the citizen concerning the sign and the impact of bird flu for humankind.
"Apart from us who descended monitored, we also appealed to the interest of the community personally." If emerging complaints like the fever, pusaing, and breathless, immediately memeriksakan himself in the closest community health centre, he said.
In the meantime, the team from the Marine Service and Makassar Endurance of City Food also descended to the location to do the inspection of the poultry in Maccini Tengah. They also checked the poultry in a radius of one kilometre from casualties's house
The Marine Section Head and Makassar Endurance of City Food, Muhammad Syaiful, said, the inspection was carried out by taking the sample of the poultry saliva.
"If being proven the poultry there positive AI, then we will carry out the extermination in a radius of one kilometre," he said.
To confirm whether poultries that were checked were infected by AI or not, the sample of the saliva was sent to the Big Veteriner Hall, Maros.
"In several days later we will know results," he said.
As the step in the routine, the marine service and food endurance also continued to distribute the vaccine to healthy poultries. In one semester, the government provided the anticipation vaccine of bird flu totalling 20 thousand doses.
The illness Akhira
From RS Wahidin, the Head of the Intensive Care Unit's RS Wahidin Installation, Dr Khalik Saleh, said, when being reconciled, Akhira was diagnosed suffered dengue fever and typhus.
"We did not give the special service as the patient suspect bird flu." Was based on the data recorded the medic who was had by us, Akhira in referred to RS Wahidin to last June 22, he entered through IRD the child, was treated in Lontara the child until dying on June 24 around 08.20 wita, explained Khalik. According to him, when his diagnosis suspect, was confirmed this child will get the intensive maintenance of special space bird flu in RS Wahidin. Khalik that also the Secretary Tim [team] the Control of RS Wahidin Bird Flu added, to handle the case of bird flu, RS Wahidin as the hospital of bird flu reconciliation formed the medical team of the handling of bird flu that was led by Prof Dr Dr Haris Mubin Msc Sppd.
The team consisted of 16 doctors, two pharmacists, as well as 10 nurses, the analyst, and the official x-rayed. They will be alert 2x24 the hour served the medical maintenance of the bird flu sufferer.
He said, his side also prepared four rooms of the maintenance in ferns space as the place inap the bird flu sufferer in treated to this regional hospital.
"The space sebelumn him was used for SARS then is shifted to the place of the maintenance of the patient of the lungs, currently was made function by us as medical act space of the bird flu patient," said Khalik that also the Head of the RS Wahidin Intensive Care Unit.
Khalik stressed, each bird flu patient who was treated in RS Wahiddin was not picked up the payment sepersen then. "They were treated free," he stressed.
18 Suspect
The Section Head the South Sulawesi Health, Andi Muhadir, said will tighten the early detection through surveylance to anticipate the possibility tertular him the citizen would bird flu.
The service carried out an amount surveylance in the field. Several patients that it was suspected was detected as early as possible.
Apart from mengirmkan the Akhira sample, Muhadir was still being waiting for results 18 patients suspect birds from South Sulawesi other. 18 'suspect that would we have checked', he said.
According to him, bird flu in fact followed the phenomenon of the ice mountain [i.e. tip of the iceberg]. There was the minor case through to heavy.
So was needed by early anticipation because the possibility of several sufferers was not detected.
So, the official surveylance will increase vigilance to do early anticipation. Nevertheless, Muhadir asked that the citizen increased vigilance.
But 'don't be frightened and restless!' He said instructed.
The citizen was appealed to to not panic faced this kind situation.
Basically, the behaviour of the healthy life and guarded the cleanliness of the environment was one of the preventions.
As far as this is concerned, dinkes memprediksikan, the spread of the virus still the animal stage (the poultry) to humankind. The health side was still carrying out investigation whether having the possibility of the move of humankind to humankind.
The matter of the mistake of the diagnosis of casualties's illness, Muhadir said, the possibility happened combine the diagnosis.
"So not the mistake. But the possibility of casualties indeed contracted the dengue fever complication and bird flu," he said.
Need the Laboratory
To anticipate the spreading of bird flu in South Sulawesi, the Assistant II the Provincial Government South Sulawesi Amiruddin Maula asked for the government of the centre to more preceptive by preparing the early detector.
We 'needed the increase in the laboratory to do the early detection', he said.
Explained, at this time the citizen must increase kesiagaan. Nevertheless, the Provincial Government not yet until said alert one.
Only the government of the city and the regency were appealed to to carry out protap pengananan bird flu like that was instructed by the governor since 2005 then.
Several based areas livestock breeding was appealed to to carry out the handling well in order to not cause the impact of the continuation. As far as this is concerned, for the Gowa case and Maros, the government carried out the isolation.
From the findings in the field was not found by the existence of the spread from humankind.
Hot spot Bird Flu in South Sulawesi
[name, age, location, results]
Anwar (24), Sinjai, results negative
I Gede Wija Adnyana (54), Luwu Utara, results negative
M Fachri (10), Bulukumba, results negative
Paramitha (10), Makassar, results negative
Riado (40), Luwu Timur, results negative
Rostika (14), Takalar, results negative
Jufri (16), Makassar, results negative
Akhira Wisnuliyanti, (14), Makassar, positive results, died Jalur entered: the Island Javanese
South Sulawesi and West Java was isolated during 2005
the Map of bird flu in South Sulawesi
Sidrap (12.000 tails) was isolated
Wajo (3.300 tails) was isolated
Soppeng (9.000 tails) was isolated
Pinrang (440 tails) was isolated
Maros (700 tails) was isolated
Parepare (dozens of tails)
Sinjai (hundreds of tails)
Bone (hundreds of tails)
Tator (hundreds of tails)
Luwu (hundreds of tails)
Gowa (18 thousand)
Bulukumba
Umlah the poultry that was destroyed in South Sulawesi: 500 thousand
The Number Of of the breeder's losses:
The Source: the South Sulawesi Health Service
The Data: Tribun research and development/wid/fik
http://www.tribun-timur.com/view.php?id=32791&jenis=Front
