Suspect H2H in Bali Indonesia Aug 13 to Aug 15, 2007

[HenryN]

Deadly bird flu moves closer

Article from: </IMG>
<!-- END Story Header Block --><!-- // .article-tools -->Cindy Wockner
August 14, 2007 12:00am

<!-- Split page --><!-- Lead Content Panel -->BALI has recorded its first human death from bird flu and authorities have begun culling all birds in the area in a bid to contain a possible outbreak.
It is also suspected that the dead woman's daughter died from the H5N1 avian flu virus earlier this month ? but she was buried before the possibility was realised.
Yesterday agriculture authorities destroyed 400 birds in a 1km radius of the village of Tukadaya in Jembrana regency, in northwestern Bali, where the victims lived.
The National Bird Flu Control Committee confirmed that Ni Luh Putu Sri Windani, 29, who died in Bali's Sanglah hospital in Denpasar late on Sunday, had tested positive to bird flu.
She was taken to the hospital three days earlier with pneumonia-like symptoms.
Her daughter Dian, 5, had died on August 3 at a local hospital with similar symptoms.
Chickens belonging to a neighbour of the dead woman had previously died, and have tested positive to the virus as well.
A two-year-old child from the same village is currently under observation in Sanglah Hospital with similar symptoms, but doctors said late yesterday that her condition was improving.
Her grandmother Wayan Norni said chickens belonging to her family had previously died, and the dead woman lived about 200m away in the same village.
Authorities are very keen to ensure that Bali does not fall victim to a mass bird flu outbreak ? which would be another blow to the island's tourist industry, hit by a series of terrorist bombings from which it has just begun to recover.
The affected village is, however, about three hours' drive from the main tourist centre of Kuta.
Indonesia has now confirmed 82 bird flu deaths from 103 cases since July 2005.
Dewi Made Oka, the head of Bali's Health Department, said yesterday that a team of officials had gone to the village to cull birds, spray disinfectant and ensure that no more birds were bought into the area.
He said there were no more reports so far of villagers with symptoms.

http://www.news.com.au/couriermail/story/0,23739,22240690-3102,00.html

 

[HenryN]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

PM - Bird flu death in Bali

[SIZE=-1][This is the print version of story http://www.abc.net.au/pm/content/2007/s2004006.htm][/SIZE]


PM - Monday, 13 August , 2007 18:26:00

Reporter: Peter Cave

MARK COLVIN: Indonesia has recorded another death from bird flu, this time on the resort island of Bali, the centre of the country's tourist industry. The 29-year-old woman from a village in western Bali had a high fever when she was admitted to hospital. She died yesterday from multiple organ failure.

The Indonesian Health Minister now says a second laboratory test has confirmed initial fears the woman contracted the deadly H5N1 strain of the virus. The woman's five-year-old daughter also died recently after playing with chickens, but it's unclear if bird flu was responsible.

And a two-year-old girl, a neighbour of the victims, was admitted to hospital on Sunday, and is also suspected of being infected. Indonesia has now recorded 82 human deaths from bird flu, that's the highest for any country in the world, but this is the first time that Bali has figured in the statistics.

Our Correspondent Peter Cave joins us on the line now from Jakarta.

(to Peter Cave) Are Indonesian authorities saying that this is isolated, this outbreak?

PETER CAVE: Well, clearly they're concerned about the affect that this might have on the tourist industry of Bali, which has recovered by something like 30 per cent in the last six months. And what they have been saying specifically is that the outbreak is in a village on the western side of Bali, it's a place that tourists don't go.

They're also saying that when the woman, her daughter, and the two-year-old neighbour were brought to the Sanglah Hospital in Bali, the main hospital in Bali, that they were immediately put into isolation. So, there is no danger to foreign tourists. That may or not be the case.

MARK COLVIN: She lived ? she didn't live in the tourist areas of Bali I understand, but it does appear that there are concerns that the chickens, the infected chickens may have entered the food chain. How come?

PETER CAVE: Well, what's worrying the authorities - and this has been stated by the doctors of the National Bird Flu Centre here in Jakarta - is that to what the people in this village were apparently doing, instead of when they had an outbreak of infected chickens, and there have been several outbreaks in Bali of birds and chickens contracting the disease over the past year, what they were doing was feeding them to pigs, the sick and the dying chickens, rather than burning them as they're required to do by law.

Now, the worry there is that if the infected chickens are fed to pigs, this could provide a vector, a conduit for the disease to mutate, and affect humans. And that's of particular concern to the National Centre, and that's of particular concern to the National Centre, and that's one of the reasons, as we speak, they're heading there now to close off this village and completely isolate it.

MARK COLVIN: Yes, and they must be worried. What are the ramifications for Indonesia if there was a big outbreak?

PETER CAVE: Well, as you said in your intro, Indonesia has suffered more cases of bird flu than anywhere else. So far there have been a couple of suspected human to human transmissions, but what the Indonesians, what indeed the world are worried about at the moment is this disease turns into a mutated virus that could start a human pandemic.

And that's always the worry, and as I said, is complicated in this fact? this case, by the fact that these chickens have been fed to pigs. Obviously, the Indonesians are also concerned about the tourism industry in Bali. It's a major, it's a major tourist centre. So far, tourists haven't been put off by the news of mass culls of chicken on the remote parts of the island.

They may well be more concerned once they hear news that a 29-year-old woman and her five-year-old daughter and a two-year-old neighbour have all now been confirmed by the national laboratory in Jakarta as suffering from that deadly, deadly form of bird flu.

And what they're going to try now is try to prove conclusively that all three of those people had direct contact with either dead or sick chickens, and that the disease wasn't passed from one human to another human.

MARK COLVIN: What have they said publicly? Has there been any public comment?

PETER CAVE: Look, the National Centre held a news conference just a short while ago.

We spoke to Bayu Krishnamurti, who is chairman of the National Bird Flu Centre:

BAYU KRISHNAMURTI: Yes, this is the first time for human, yeah. These is confirmed cases of human in Bali for Avian Influenza, 29-years-old woman from (inaudible), Jembrana, Bali. Their history with contact with chicken, and until now the virus is still a chicken virus that's been infected to humans.

We already did every necessary to contain the situations. Now, the team of national committee and (inaudible) is already in the field to handle the case.

MARK COLVIN: That's Bayu Krishnamurti, head of Indonesia's National Bird Flu Commission. And Peter Cave was our reporter.

 

[FrenchieGirl]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

PM - Bird flu death in Bali

[This is the print version of story http://www.abc.net.au/pm/content/2007/s2004006.htm]


snip....
Now, the worry there is that if the infected chickens are fed to pigs, this could provide a vector, a conduit for the disease to mutate, and affect humans. And that's of particular concern to the National Centre, and that's of particular concern to the National Centre, and that's one of the reasons, as we speak, they're heading there now to close off this village and completely isolate it.
snip

Isolating the village, not throwing a Tamiflu blanket?

Hmmm, is this reporter known? Reliable? Accurate?

 

[Gert van der Hoek]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

ToggleText is out most of the time, this is a machine translation for Malay, with some additionial translation by hand :

- snip -

Dengan adanya kasus sampai menyerang pada manusia, pihaknya akan segera melakukan langkah-langkah selanjutnya. Mulai tadi malam dilakukan pemusnahan unggas di lokasi dengan radius 1 km, dan dalam radius itu diisolasi dan tidak boleh ada manusia yang kontak dengan unggas atau ayam. ''Jadi kami akan terus melakukan koordinasi dan pemusnahan akan terus dilakukan"

With case and presence arrived attack of mankind, his will immediate did further measures. Starting last night done bird annihilation in location with radius 1 km, and in radius the diisolasi and not can there 's that man contact by bird or chicken. ' ' so we will continued did co-ordination and annihilation will continued done,'' .

http://www.balipost.com/balipostcetak/2007/8/13/b24.htm

I read "culling" and "avoiding contact between people and birds/chickens and "isolation", but I do not read "isolation of people".

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

needs translation workin on it
13/08/2007 19:30 WIB
Jembrana Bali KLB Flu Burung
Gede Suardana - detikcom

<!-- IMAGE -->http://ad.detik.com/link/peristiwa/prs-relion.ad Denpasar - Kabupaten Jembrana, Bali, daerah asal meninggalnya korban flu burung Ni Luh Putu SWD (29) ditetapkan dalam status kejadian luar biasa (KLB) wabah flu burung.

Demikian disampaikan Plt Kepala Dinas Pertanian, Kehutanan, Kelautan dan Peternakan Jembrana IGN Sandjaja dalam kunjungannya ke desa asal korban meninggal flu burung Desa Dangin Tukad Aya, Kecamatan Negara, Jembrana, Senin (13/08/2007). "Kasus ini masuk status KLB karena virus flu burung sudah menular kepada manusia," kata Sandjaja.

Wilayah ini masuk kategori daerah endemis virus flu burung. Di desa tersebut, juga terjadi kasus kematian bayi yang diduga akibat flu burung. Bayi tersebut adalah anak dari Nu Luh PT SWD. Sedangkan, bayi Putu Narayani berusia 2 tahun 9 bulan masih dirawat di ruang khusus flu burung RSUP Sanglah.

Sementara itu, hingga Agustus 2008 sebanyak 1.500 ekor unggas yang mati mendadak. Tiga minggu sebelum meninggalnya Ni Luh PT SWD akibat flu burung, 90 ekor ayam juga mati mendadak.

Ditemukan juga wabah flu burung di daerah lain di sekitar Desa Dangin Tukad Aya, yaitu di Dusun Sekar Kejula, Yehembang Kauh, Mendoyo, Anyar, dan Batu Agung. Di daerah ini ditemukan puluhan unggas peliharaan mati mendadak.

Saat ini, Pemkab Jembrana memusnahkan 478 ekor unggas dari populasi 1.500 ekor yang dipelihara warga. "Kita akan melakukan pemusnahan secara bertahap," kata dia. [FONT='MS Sans Serif',Geneva,sans-serif](gds/asy):tiphat: http://www.detiknews.com/index.php/...8/tgl/13/time/193042/idnews/816714/idkanal/10[/FONT]

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

from the above story Denpasar - Kabupaten Jembrana , Bali , origin district leave he he sacrifice flu bird Ni Luh Putu SWD ( 29 ) is fixed in status extraordinary incident ( KLB ) wabah flu bird

so is reached Plt head is agriculture quotation , Kehutanan , Kelautan and Peternakan Jembrana IGN Sandjaja in he visit to sacrifice origin countryside leave flu bird countryside Dangin Tukad Aya , Kecamatan country , Jembrana , Senin ( 13 / 08 / 2007 ) " Kasus this enter status KLB because virus flu bird has infected to human , " say Sandjaja

province this enter district category endemis virus flu bird . in countryside the , also happen kasus death baby that was guessed effect flu bird . the baby was child from Nu Luh PT SWD . while , babyaged 2 year 9 month still was treated in special space flu bird RSUP Sang he .....meanwhile , until Agustus 2008 a total of 1.500 tail birds that die suddenly . three weeks before leave he he Ni Luh PT SWD effect flu bird , 90 tail chicken also die mendadak

is joined also wabah flu bird in other district around countryside Dangin Tukad Aya , that is in flower orchard Kejula , Yehembang Kauh , Mendoyo , Anyar , and great stone . in district this is joined birds score peliharaan die suddenly

this moment , Pemkab Jembrana destroy 478 tail birds from populasi 1.500 tail that was reared citizen . " we will do destroy by with stage , " say he . ( not much,but it is KLB

 

[HenryN]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

<TABLE summary=""><TBODY><TR><TD noWrap align=right>Archive Number</TD><TD noWrap align=left>20070813.2643</TD></TR><TR><TD noWrap align=right>Published Date</TD><TD noWrap align=left>13-AUG-2007</TD></TR><TR><TD noWrap align=right>Subject</TD><TD noWrap align=left>PRO/AH/EDR> Avian influenza, human (119): Indonesia (Bali)</TD></TR></TBODY></TABLE>


AVIAN INFLUENZA, HUMAN (119): INDONESIA (BALI)
**********************************************
A ProMED-mail post<http://www.promedmail.org>
ProMED-mail is a program of theInternational Society for Infectious Diseases<http://www.isid.org>

Date: Mon 13 Aug 2007Source: The Age, Agence France-Presse (AFP) report [edited]<http://www.theage.com.au/news/world/more-bird-flu-deaths/2007/08/13/1186857414959.html>

An Indonesian woman and her 5-year-old daughter on the tourist island of Bali have died of bird flu, a Health Ministry official confirmed today [Mon 13 Aug 2007], bringing the nation's [death] toll to 83 [and the number of cases to 104 - Mod.CP]. The deaths are the 1st on Bali, where the deadly H5N1 strain of the virus was found more than a year ago.The 29-year-old woman from the northwest of the island, far from the major tourist centres, died yesterday [12 Aug 2007], while her daughter died on 3 Aug 2007, said Bayu Krisnamurti, head of Indonesia's national bird flu commission. "Both people are positive, from (tests at) the Eikman Institute and the Health Ministry's lab," he told a news briefing. In Indonesia 2 tests must be returned positive before a human infection is confirmed.Another young girl, a 2-year-old neighbour of the victims, was admitted to hospital yesterday [Sun 12 Aug 2007] and was also suspected of being infected, Krisnamurti said.Joko, from the Bird Flu Information Centre in Jakarta, said that chickens had died of bird flu in the victims' neighbourhood recently. Indonesia reported its 1st human bird flu case in July 2005 and has since confirmed 81 deaths, the highest number of any nation. Infected poultry was 1st found on the northwest of Bali last year [2006], when hundreds of birds were culled but no human infections were found.--

Communicated byroMED-mail Rapporteur Joseph P. Dudley, PhD

[A map of the island of Bali can be accessed at<http://www.lonelyplanet.com/mapimages/south_east_asia/bali/bali.gif>.

These 1st cases of avian influenza on the island of Bali appear to have occurred at a location remote from the holiday resort sites on the island and may not greatly affect the Indonesian tourist industry. The more devastating terrorist incident on Bali in the 2002 causing 202 deaths predominantly among foreigners failed to damage the tourist industry in the long term. It remains to be seen whether the risk of exposure to H5N1 avian influenza will deter tourists to a greater extent. - Mod.CP]

[see also:
Avian influenza, human (110): Indonesia 20070714.2265
Avian influenza, human (109):Indonesia, WHO 20070711.2217
Avian influenza, human (108): Indonesia 20070709.2187
Avian influenza, human (106): Indonesia 20070704.2128
Avian influenza, human (103): Egypt, Indonesia, WHO 20070626.2053
Avian influenza, human (102): Egypt, Indonesia 20070623.2033
Avian influenza, human (99): Indonesia, Viet Nam 20070616.1966
Avian influenza, human (93): Indonesia, WHO 20070606.1832
Avian influenza, human (88): Indonesia 20070601.1771
Avian influenza, human (87): Indonesia, WHO 20070531.1755
Avian influenza, human (86): Indonesia 20070531.1753
Avian influenza, human (61): China, Indonesia 20070329.1080
]...................................cp/mj/lm


</PRE>

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

flu bird in bali, whole radius bird 1 km dimusnahkan
(13 / 08 / 2007-18 : 25 wib)

Jurnalnet. com (denpasar) : whole types of bird in radius one kilometer from where moved in luh ni sri putu windiani (29), sacrifice died by flu bird terinfeksi (ai) confiscated.
" in radius one kilometer from orchards tukad dangin aya, and surrounding neighbourhood in kabupaten jembrana, 85 km the western denpasar nantinya really net from bird, " said sub head bina hewan kesehatan dinas peternakan bali propinsi, ketut ir suarda in senin denpasar.
It say, destruction of whole piaraan bird is unanimity with society, use avoided extra matters that poison a chance happen grievous.
" in two days has confiscated 538 ekor various types of bird, " ujar that guide suarda tim to did annihilation bird belong to society in bali western.
It defined, petugas do annihilation upaya with bird used wind senapan, made a mental note that chicken free roamed the secret arrested.
" the annihilation will done in a few days to the front, made a mental note many piaraan bird that society roamed, " ujar suarda.
The annihilation upaya accompanied by with penyemprotan stable and population houses, and minimal for two months warga sepakat not keep bird.
All that be warga unanimity, until in the annihilation not suffered handicap walau have not got spare lost to the bird.
Despite such centre governing has suggest to had news about item bird annihilation, for venom diperjuangkan spare lost on society bird that confiscated.
Luh ni sri putu windiani (29) that dirujuk from rs country since jumat (10 / 8) eventually died world in-intensive treatment in hospital multitude (rsu) sanglah, denpasar, afternoon week (12 / 8).
Sacrifice according to boss pelaksana daily national komite flu running bird and kesiapsiagaan deal with influenza pandemi, positive krisnamurhi breeze virus terinfeksi flu bird by h5n1 two of national laboratorium, masing-masing balitbangkes laboratorium departemen kesehatan and laboratorium eijkman board.
the incident was flu bird case first of mankind in bali provinsi, until increase figures flu bird sacrifice in indonesia became 103 people, in 82 antaranya world death.***(gill / ant):tiphat: http://www.jurnalnet.com/konten.php?nama=BeritaUtama&topik=7&id=849

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

Tourism fears grip Bali as bird flu kills woman

<!-- Indonesia confirmed its first human bird flu death on the resort island of Bali yesterday, taking the nation's overall toll to 82 and raising fears of an impact on tourism.

//-->Benito Lopulalan

Tuesday, August 14, 2007

Indonesia confirmed its first human bird flu death on the resort island of Bali yesterday, taking the nation's overall toll to 82 and raising fears of an impact on tourism.

A 29-year-old woman who died in hospital in Bali's capital, Denpasar, on Sunday was carrying the deadly H5N1 strain of the virus, said Bayu Krisnamurti, head of Indonesia's National Bird Flu Commission.
Two separate tests were positive, he said. In Indonesia, two tests must be returned positive before a human infection is confirmed.
The woman's five-year-old daughter died on August 3 but samples were not taken from her, while a two-year- old neighbor was admitted to hospital on Sunday and is suspected of being infected, Krisnamurti said.
Ningrum, a doctor from the Bird Flu Information Center, said that the five- year-old was diagnosed as suffering from pneumonia, and chickens which died at the house were infected with bird flu.
"From the symptoms and the dead birds, we can assume that the child also had bird flu," said Ningrum.
The mother and daughter were from the northwest of the island - far from major tourist centers - but the death may be another blow to tourism to Bali, which is still recovering from deadly Islamic militant bombings in 2002 and 2005.
"The central government will help the Balinese government get Bali free of bird flu," said Krisnamurti. "We will carry out the most intensive measures in Bali as it is a tourism and international destination."
Culling of poultry had already taken place last month in the affected area, he added.
The virus is typically transmitted to people via infected birds.
Worldwide the H5N1 virus has now killed 193 people out of 320 who are known to have been infected since reappearing in late 2003, according to the World Health Organization.
The virus is regarded as a global threat because scientists fear it could mutate into a form that is easily spread among humans, leading to a pandemic with the potential to kill millions.
Avian influenza was found in poultry on Bali more than a year ago, leading to the culling of hundreds of birds.
H5N1 is endemic across nearly all of Indonesia, which has recorded the highest number of bird flu deaths in the world since reporting its first case in July 2005.
Krisnamurti said officials from WHO and the Food and Agriculture Organization as well as national health and agriculture ministries were at the village, Dauh Tukad Aya.
Gusti Lanang Rudiartha, head of Denpasar's Sanglah General Hospital, where the victim died, said she had been transferred from a local hospital after suffering from a fever for seven days.
"When she was sent here she already had difficulties breathing," he said. "Her condition was already serious."
Siadi Purniti, who is treating the two-year-old, said her condition had improved.
"There are no signs that it will worsen again," he said. "We are keeping her closely supervised.":tiphat: http://www.thestandard.com.hk/news_...=51164&sid=14918776&con_type=1&d_str=20070814

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

javascript:initPopUp('http://mobile...obile/enter.aspx?_msite=National Nine News'); hattip monotreme javascript:void(0)http://news.ninemsn.com.au/sendtoafriend.aspxhttp://news.ninemsn.com.au/article.aspx?id=286097#http://news.ninemsn.com.au/article.aspx?id=286097#
Bird flu hasn't spread from humans: govt


Tuesday Aug 14 10:59 AEST
There is no indication the deadly bird flu virus has been transferred from human to human, federal Health Minister Tony Abbott says.
A 29-year-old Indonesian woman died of the deadly H5N1 strain of bird flu at the weekend on the tourist resort island of Bali.
A two-year-old girl admitted to hospital on Sunday has also been confirmed as being infected.
Contact with sick fowl is the most common way for humans to contract the H5N1 virus.:tiphat: http://news.ninemsn.com.au/article.aspx?id=286097

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

<TABLE cellSpacing=0 cellPadding=0 width=400 border=0><TBODY><TR><TD vAlign=top bgColor=#ffffee>

It was MINIMAL, SOSIALISASI AI LEWAT PERS - Central Java (19)Purwokerto (KR) - because not yet the access opening kehumasan maximally, several cases that necessarily quickly could be known and understood by the wider community, like the case of bird flu (AI) to was hindered.The lay community now still many that did not know various matters of the case of bird flu, like the matter of the characteristics of the existence of his sign to the poultry/humankind or the matter of his control method.:tiphat: </PRE>​

</TD></TR><TR><TD colSpan=2>

</TD></TR></TBODY></TABLE></P>http://www.kr.co.id/article.php?sid=134032

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

Fatal bird flu outbreak in Bali

14/08/2007 10:48:02
<!-- story body -->
Health officials are closely monitoring an outbreak of bird flu in a holiday hotspot popular with New Zealanders.

A 29-year-old woman and her five-year-old daughter have died on the Indonesian island of Bali. Tests have confirmed the mother was infected with the deadly H5NI strain of the virus.

Doctors are now treating a two-year-old girl for the disease and say her condition has improved. It is the first time bird flu has spread to humans on the island, but officials stress there is little risk to holidaymakers.

Indonesian authorities are hoping to eradicate the disease before it damages the island's tourist industry. http://www.newstalkzb.co.nz/newsdetail1.asp?storyID=122497

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

AVIAN INFLUENZA, HUMAN (120): INDONESIA (BALI)
***********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Mon 13 Aug 2007
From: Sari Setiogi <SetiogiS@who.or.id>


I would like to clarify the Agence France Presse (AFP) report posted
on ProMED-mail this morning [13 Aug 2007] [see: Avian influenza,
human (119): Indonesia (Bali) 20070813.2643].

The only confirmed case is the 29-year old female. The cause of death
of her 5-year-old daughter may never be determined, as her body was
cremated before any sample could be collected.:surrender:

My guess is the AFP reporter misunderstood Mr. Khrisnamurthi at
today's [13 Aug 2007] press conference. What he said was that the
samples [from the 29-year-old female] were confirmed positive by both
NIHRD (Ministry of Health laboratory) as well as the Eijkman
Institute (please also note spelling correction).

Thus, Indonesia has, to date, 103 H5N1 confirmed cases, of which 83
have been fatal.

For more details and the press release from today's [13 Aug 2007]
press conference, which was held by the Indonesia National Committee
for Avian Influenza Control and Pandemic Influenza Preparedness
(Komnas FBPI), please refer to
<http://www.komnasfbpi.go.id/news_august_13_07.html>, and
<http://www.komnasfbpi.go.id/news_august_13_07_1.html>.

--
Ms. Sari Setiogi
Press Officer
World Health Organization (WHO)
9/F, Bina Mulia I building
Jl. HR Rasuna Said kav. 10-11
Jakarta 12950
Indonesia
<SetiogiS@who.or.id>

[ProMED-mail thanks Ms Setiogi for forwarding this information so
promptly to correct the record. - Mod.CP]:tiphat:
http://tinyurl.com/yno4dl

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

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</TD><TD noWrap align=right> </TD></TR></TBODY></TABLE></TD></TR><TR><TD class=copy>14 August, 2007 </TD><TD class=copy style="FONT-SIZE: 10px; font-color: #666666" vAlign=top noWrap align=right colSpan=2>Adjust font size:

</TD></TR><TR><TD class=copy colSpan=3> </TD></TR><TR><TD class=copy vAlign=top colSpan=3><TABLE cellSpacing=0 cellPadding=0 width="98%" bgColor=#ffffff border=0><TBODY><TR><TD>Tourists in Bali urged not to panic</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="97%" bgColor=#ffffff border=0><TBODY><TR><TD class=copyarticle vAlign=top>
DENPASAR - Tourists in Bali have been urged to stay away from rural areas but to remain calm after bird flu claimed its first human victim on the Indonesian island.

The deputy director of the World Health Organisation's Collaborating Centre for Reference and Research on Influenza, Ian Barr, said yesterday there was no need to panic.

"Most of these cases occur in villages, not in downtown Kuta or Denpasar, so I'm not sure that travellers should be too concerned."

The 29-year-old woman died from the disease on Sunday, the head of the national bird flu team, Joko Suyono, told reporters.

Indonesia has now confirmed 82 human deaths from bird flu, and is the world's worst affected country.

Since the H5N1 virus emerged in South East Asia in late 2003, it has claimed more than 180 lives around the world.

Almost all infected people are thought to have contracted the disease from poultry

Officials said the Balinese bird flu victim came from a village in the northwest district of Jembrana, an area where poultry are known to be affected.

The woman's five-year-old child also died recently of similar symptoms, although the cause of her death remains unclear. :tiphat:

</TD></TR><TR><TD> </TD></TR></TBODY></TABLE>http://www.travelmole.com/stories/1121311.php?mpnlog=1</TD></TR></TBODY></TABLE>

 

[Sally Furniss]

Re: Indonesia - Human cases, July & August +

Re: Indonesia - Human cases, July & August +

http://news.brisbanetimes.com.au/bird-flu-testing-continues-in-bali/20073914-tb6.html

Test results due on Wednesday will show if two more Balinese villagers have fallen victim to the potentially deadly H5N1 bird flu virus.

A two-year-old girl with bird flu-like symptoms remains in a Bali hospital in a stable condition and appears to be improving, a spokeswoman at Indonesia's Ministry of Health said.

Test results expected on Wednesday will determine if she has the virus that killed her 29-year-old neighbour Ni Luh Putu Sri Windani on Sunday in the first confirmed fatal case of bird flu on the tourist island.

Windani's five-year-old daughter also died eleven days ago after suffering flu-like symptoms.

No samples are available for testing, but authorities say it's likely she also died from H5N1.

The dead woman's husband has also undergone tests, but is not in hospital, the spokeswoman said.

Any further confirmation of bird flu cases will be a blow to Bali's tourism industry, which is just now recovering from the terrorist bombings that shook the Indonesian island in 2002 and 2005.

Australian authorities are closely monitoring the situation in Bali, and travel advice warns of human deaths from bird flu.

Australia's Health Minister Tony Abbott said there was no reason to believe the virus had mutated into a form easily spread among humans.

"It is a disease of birds which is very hard for humans to catch," Abbott told ABC Radio.

"At the moment we have no reason to think that there is human to human transmission."

Bali Hotel and Restaurant Association (PHRI) deputy chief Ray Surya Wijaya said bird flu still appeared to be less of a worry to tourists than terrorism.

"For Australian tourists, what they are most worried about is security," Wijaya said.

"Significantly, this (case of) bird flu hasn't affected us yet.

"If bird flu spreads to Ubud or other tourist destinations, that's the danger.

"What we also worry about is that this news will be used by other countries like Malaysia, Thailand ... to divert tourists to their countries."

There have been 83 confirmed human deaths from bird flu in Indonesia since the first human case two years ago.

Authorities continue to cull poultry around the village of Dauh Takad Aya, in Bali's north west, with hundreds of birds already slain.

"Everything within a one-kilometre radius has been sterilised," Jembrana local parliament head I Made Kembang Hartawan said.

"I don't know how many have been culled, but it was many. Even their favourite pets, we culled them.

"Even if it's very expensive, we have to do that."

A number of chickens had also died in the neighbouring village of Batu Agung in recent weeks, although tests were yet to confirm H5N1, he said.

Authorities are also tracing the dead birds amid reports some of the infected chickens had been fed to pigs.

"That would be certainly something that would be a concern," said John Weaver, a senior technical adviser with the UN's Food and Agriculture Organisation.

"One of the issues will be tracing the movements of these birds."

One theory suggests infected pigs could act as a mixing vessel, potentially producing a new and deadly strain of the virus which is more easily transmitted to humans.

Weaver said there had been ongoing cases of bird flu in poultry in Bali since the first confirmed Indonesian case in January 2004.

 

[HenryN]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

the 'Case' of 'Bird Flu in Balinese Dipastikan Cluster'
Jakarta -- MIOL: Health Minister Siti Fadilah Soepari said, the case of bird flu in Bali that claimed the life of two people, it was confirmed the case cluster (the case of gathering bird flu).
"If according to me that cluster, first his child who was named the Lamp died on August 5."
Afterwards entered his mother, Ni Luh Putu Sri Widiani to the hospital with the same sign, namely difficult pneumonia, he said to the press, in Jakarta, on Tuesday (14/8).
Fadilah said, although the Lamp, could not be taken by the example spesiemen him because keburu died, but with the same sign and the story of the incident, was believed in the positive also Lamp was attacked by bird flu.
That struck Ni Luh Putu Sri Widiani, 29, really were similar to the case of bird flu to humankind that was first in Indonesia.
That is to the deceased's family Iwan Sunarya, in Tangerang, in June 2005.
Concerning the status of the Luar Biasa Incident (KLB), Fadilah said, since 2005 the KLB status bird flu has been put into effect and up to now is never pulled out.
"So KLB bird flu has been put into effect from long before."
If KLB local, could, because of the bird flu incident there just the first time.
According to Fadilah, Pemda local carried out prevention efforts well.
The proof is, since being known had hundreds of chickens died suddenly on July 17 2007, the Regional Government carried out the extermination (culling) the poultry.
"Possibly culling was carried out not wider, so as to there are those that slipped away."
The member the Command Post of Flu Burung Muhammad Nadhirin added, when followed mazhab the health agency of the world, WHO, cluster could be stated from a minimal case consisted of one positive person of bird flu, and one person more (could relatives or the neighbour).
Although being not yet proven to be positive in a manner the laboratory but was proven menunjukan the same sign and mutually related, this case daapt was said cluster.
If in Indonesia, the procedure of a case was said cluster, if, minimal was gotten by two people that remained in one community, and both of them were stated positive by two quality laboratories of WHO. Yakni, Laboratorium


http://www.media-indonesia.com/berita.asp?id=140411

 

[Laidback Al]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

Approximate location of Dangin Tukadaya, the village where the mother and child were from.

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

Visitors to Bali see terror as big threat

5:00AM Wednesday August 15, 2007
By Angela Gregory

People are more worried about acts of terrorism in Bali than the risk of a bird flu outbreak, say travel agents.
Concerns about Bali as a holiday destination were heightened this week after tests confirmed a 29-year-old village woman from the western area of the island died from bird flu, which seems likely to have also been the cause of death of her 5-year-old daughter a few days earlier.
They lived in the relatively isolated town of Negara, in the Jembrana district, where a 2-year-old neighbour with similar symptoms has now returned positive tests for the H5N1 strain of the disease after displaying bird flu symptoms.
After 82 deaths from bird flu in Indonesia, the country accounts for about half of all cases worldwide, but this was the first in the tourist destination of Bali.
Travel agents yesterday reported little concern from their clients about the risks.
None of those contacted by the Herald had had customers query or cancel their travel to Bali.
Steve Kirwan, manager of the Holiday Shoppe in Mt Eden, said Bali was not a popular destination anyway because of the fatal bombings in 2002 and 2005 which had targeted tourists.
"It's nowhere like it used to be."
According to Statistics New Zealand there were 10,843 short-term visitors to Indonesia in the year to December 2006 compared with 15,193 in the year to December 2002.
Mr Kirwan said the threat of terrorism remained a concern especially for less experienced travellers.
Meadowbank travel agent Stephanie Daji said only a few clients came in wanting to travel to Bali, which was not a very popular destination.
"It's not just the bombing, some question Indonesia's political system."
Ms Daji said travellers were more put off by what they could relate to, such as tourists being attacked by terrorists, than what happened to villagers in remote areas of the island.

While she could understand people's anxiety, Ms Daji said she had just returned from a holiday in Bali where she felt safe because of the security in place.
The health risk of the flu deaths has been fuelled by reports that villagers fed dead and dying chickens to pigs which could provide a vector for the disease to jump from birds to humans.
Health Minister Pete Hodgson said yesterday that the Indonesian authorities should be given time to find out whether pigs were involved before anyone started panicking.
"If it did involve pigs that could be potentially serious.:tiphat: [URL]http://www.nzherald.co.nz/category/story.cfm?c_id=340&objectid=10457786[/URL]

 

[HenryN]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

AM - Tuesday, 14 August , 2007 08:16:00

Reporter: Peter Cave

TONY EASTLEY: A remote west coast village in Bali has become the focus of a big operation by Indonesian authorities to stop the spread of the deadly H5N1 strain of bird flu.

Already a mother and her five-year-old daughter have died, and a two-year-old neighbour is recovering in hospital.

It's thought they caught the virus from direct contact with infected birds and not from each other.

Foreign Affairs Editor Peter Cave reports from Jakarta.

PETER CAVE: The village of Tukadaya in the west of the tourist island is not a place normally visited by tourists. Like most of the rest of this vast archipelago, bird flu is endemic in poultry and wild birds in the area, and it was known that birds were dying in great numbers around the village.

There should've been a mass cull, and the bodies of the infected birds should've been burnt. But that didn't happen. Some of the sick birds were consumed by local people, others were even fed to pigs.

Twenty-nine-year-old mother Ni Luh Putu Windiani and her five-year-old daughter Dian daughter feeling ill about two weeks ago. The child died quite quickly from breathing difficulties and a high temperature and her body was cremated without samples being taken for analysis. Her mother soldiered on for almost a week before she became dangerously ill, and she was transferred to Bali's Sanglah hospital in the capital Denpasar at the weekend.

Dr Made Bagiaga treated her.

"When she got here," he says, "we carried out tests and when we found out her child had died too after less than a day in the local Negarra hospital, we also discovered that chickens had been dying around her house. That's when we decided it was probably avian influenza."

Samples were immediately dispatched to the central testing laboratory in Jakarta, to confirm the diagnosis, but by this time a two-year-old girl from the same village had been sent to Sanglah with the ominous signs of bird flu.

The baby, Putu Narayani, was treated by paediatrician Dr Siadi Purniti. She was luckier than her neighbours.

"What's important here is that the patient is now getting better," she says, "not worse. She's under intensive care, but she's getting better."

Late yesterday the worst fears of bird flu were confirmed.

Bayu Krishnamurti is the Chairman of the National Bird Flu Centre. He was asked at a news conference about reports from his own colleagues that local people had been feeding dead and dying chickens to their pigs, opening the frightening possibility that a third species was acting as a conduit in the disease transmission to humans.

"Pigs can get infected from humans," he says, "but there's no proven case of infection from pigs to humans. It's the same for cats and dogs, but no case of infection from dogs, cats or pigs to humans has been found. That sort of conclusion is not yet confirmed."

Over the past six months Bali has seen tourism increase by more than a third on the cripplingly low levels which followed the two Bali bombings of recent years, and now there are very real fears that this first human outbreak of H5N1 could turn around those gains.

This is Peter Cave reporting from Jakarta for AM.

http://www.abc.net.au/am/content/2007/s2004314.htm

 

[Treyfish]

Re: Suspect H2H in Bali Indonesia

Re: Suspect H2H in Bali Indonesia

Bali in fear after first human bird flu death

By Cindy Wockner in Jakarta
August 14, 2007 04:00am
Article from: </IMG>
<!-- END Story Header Block -->
<!-- END Story Toolbar --><!-- Lead Content Panel -->BALI has recorded its first human death from bird flu, with hundreds of birds being culled yesterday in a bid to contain a possible outbreak.

It is also suspected that the dead woman's daughter died from the H5N1 virus earlier this month.
However, the child was buried before it was realised she could have fallen victim to the deadly virus.
Agriculture authorities yesterday destroyed 400 birds in a 1km radius of the village of Tukadaya in Jembrana regency, in northwestern Bali, where the victims lived, and will continue the operation today.
Indonesia's National Bird Flu Control Committee confirmed that 29-year-old Ni Luh Putu Sri Windani, who died in Bali's Sanglah hospital in Denpasar late on Sunday, was positive to bird flu.
She was brought to the hospital three days earlier suffering pneumonia-like symptoms.
Her five-year-old daughter Dian died on August 3 at a local hospital with similar symptoms.
However, her death was not linked to to bird flu and no tests were done.
Chickens owned by a neighbour of the dead woman had previously died and have tested positive to the virus.
A two-year-old child from the same village is under observation in Sanglah Hospital with similar symptoms.
Doctors there say she has not tested positive to avian flu and that her condition is now improving.
Her grandmother Wayan Norni said chickens belonging to her family had previously died and that the dead woman lived about 200m away in the same village.
Authorities are very keen to ensure that Bali does not fall victim to bird flu which would be another blow to the island's tourist industry, hit by a series of terrorist bombings from which it has just lately begun to recover.
Tens of thousands of Australians visit the island every year.
Officials said the affected village, about three hours drive from the main tourist area of Kuta, is not in a tourist area,
In Jakarta yesterday, bird flu committee head Bayu Krisnamurti said the effect on the tourism industry was still unknown.
"We need to give the correct and proper information about bird flu to the tourist sector," he said.
He said the main thing now was to localise the outbreak and ensure it did not spread to other villages, urging people to be vigilant.
Indonesia has now confirmed 82 bird flu deaths from 103 cases since July 2005. Mr Krisnamurti said the reported cases had decreased to about one per month.
Bali Health Department head Dewi Made Oka said a team had gone to the village to cull birds, spray disinfectant and ensure no more birds are brought to the area.
He said there were so far no more reports of villagers with symptoms.:tiphat: http://www.news.com.au/story/0,23599,22238695-401,00.html