Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia - Aug. 8 - Aug. 12, 2008

[Diane Morin]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

In connection with the posts #146, #150, #182 and #185
On Wednesday, on August 13 2008 10:17 WIB

Suspect chikungu him was positive withered paralysis
TANJUNGBALAI - the Specialist the Child RSU Dr. H.T. Mansyur Kota Tanjung Balai, Dr. H. Alfian Nasution, SpA, said, Fitri Arianti, 12, the resident Street Muhammad Abbas, Kel. The birds coast, Kec. Datuk Bandar positive suffered the acute illness plasite faralise or withered paralysis acute. "Results" of the "beginning diagnosis, casualties suspect the fever chikungu him because of being found red spots." However after being carried out by the further inspection, evidently not the fever chikungu him but acute plasite faralise, said Alfian to was on the alert in his office, on Tuesday (12/8).
This illness, according to Alfian, his cause resulting from the polio virus but also could spread. Whereas his maintenance, needed the period for quite a long time as well as used the maintenance of physiotherapy. The "process" of "this illness recuperation needed the not short maintenance," explained Alfian. In the place was separated, Mayor Tanjung Balai, Dr. H. Sutrisno Hadi, SpOG said, until this the fever illness chikungu him was not yet found in the Tanjung Balai City.

"It was not yet was found by the fever chikungu him in the Balai Cape," stressed the Mayor through the Assistant Ekbangsos Sekdakot Tanjung Balai, Dr. H. Husinuddin. He said, Fitri Arianti, 12, the resident Street Muhammad Abbas, Kel. The birds coast, Kec. Datuk Bandar, Kota Tanjung Balai, that still was undergoing the intensive maintenance in RSU Dr H T Mansyur, not suffered the fever chikungu him, but the fever that attacked the pivot part.

"His term the robot's fever, because of his virus attacked in the pivot part." So Fitri Arianti not was attacked by the fever illness chikungu him. (ags/a37)

http://www.waspada.co.id/Berita/Sumu...mpuh-layu.html

 

[Vibrant62]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Is there any epdimiological data that anyone is aware of that covers cluster incidences of Dengue and DHF i.e data from which we can compare incidences in groups (i.e same street or same family) of these cases against historic data? It would be useful to assess if this is 'unusual', or within the bounds of what would normally be expected.

 

[Commonground]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

My composition of cases. As always, any corrections, suggestions welcome.

RSU Dr. T. Mansyur / Public Hosp. Tanjungbalai (Tanjung Balai)

Adm: 8/8: 17 people. 2: Asahan Regency. 15: Balai Cape
Siti Aisyah, 15, Indra, 8 months, M. Arifin, 13, Natalia, 13, Agnes, 8, Indra Gunawan, 4, Ina, 10, Neiza Amanda, 3, Ziha Nabila, 7, Al Fasya, 2, Muhammad Ridho, 6, Indra Syahputra, 8, Sukma Damayanti, 9, Fitri Arianti, 12, Anggreini, 5, Julianti, 16, Maulina, 16 and Faisal 15.
http://tinyurl.com/6mpmn4


Monday, on August 11 2008 11:19 WIB
Fitri Arianti (12): Mentioned above. From: Jalan Muhammad Abbas, Kel. Pantai Burung, Kec. Tanjung Balai* Selatan, Balai Cape. diagnosis of Chikungunya. Admitted w/high fever and weakness. Not move part of body. Diarrhea at the beginning. Red spots.
8/13: Diagnosis: acute illness plasite faralise resulting from polio. No Chikungu.

Adm 8/10: 5 people: 3 from Tanjung Balai. 2 from Asahan Regency

Tanjung Balai
Tita Anggie (10) From: Jalan Rukun,* Kel. Bunga Tanjung, Kec Datuk Bandar Timur
Kiki (15) - both from: Jalan MT Haryono, Kel. Selat Lancang, Kec Datuk Bandar
Rahmadina (13)

Asahan Regency
Fitrah (5) - brothers From: Desa Sei Dua Hulu, Kec. Simpang Empat, Kab* Asahan.
Aiman (10) Another reference to address: Desa Sei Dua Hulu, Kecamatan Simpang Empat http://tinyurl.com/6fv549

Notes: Fitrah (5) and Aiman were the weakest of all 5 who entered. Trombosits reached 65,000 and 75,000. They were the most critical. Parents: Zuhaina. Quote “Our area found suspect bird flu. Fever did not descend, suspected was affected by bird flu”. Sunday morning carried to hospital. Results negative. High Fever, cough, nausea and vomiting, affecting both started on 8/8 night. After check by Dr., red spots appeared.
Total of patients at RSU Dr. T Mansyur 20 people.
2 of the initial 17 recovered.
8/12: Four residents were stated died in for the last two weeks. The case of their death happened on Friday (1/8) and on Thursday (7/8).
Total of 25 patients at RSU Dr. T. Mansyur. "at this time had 25 residents Tanjungbalai that was treated in the hospital" http://tinyurl.com/5hrp4o


RS Abdul Manan Kisaren/RSU Dr Tengku Mansyur, Asahan

13 People Admitted, 2 People transferred to Adam Malik.
Adm: 8/4 Tested Negative. Home.

Amanda (6 mos) - Adm: 8/11
Yosi Elida - Adm: 8/11
Sutriono - Adm: 8/11
From: Kebun Tiga Village, Air Batu, Asahan.
Arrived together. Syms on arrival: High temp, cough.
Recon: local community health center


Adam Malik, Medan

Fadillah Hanum (7) - Adm: 8/6 (night). From: Air Baru, Asahan Regency. No contact w/poultry. Recon: RSUD Modul Manan, Kisaren. Tested Neg. Diag: Dengue.

Muhammad Sani Muflin (8 mnths) - Adm: 8/6 (dawn). From Air Baru, Asahan. Father: Slamet/Selamat Riadi. No contact a/poultry. Recon: RSUD Modul Manan, Kisaren. Recon: PT Perkebunan Indonesia Arch (PTPN) in Asahan. Sym onset: 8/3 Tested Negative. Home.

 

[Commonground]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Vibrant62, clusters are common with Dengue. We have the Dengue thread in the Indonesia Forum.

 

[Anne]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

http://www.travelhealth.gov.hk/english/travel_related_diseases/dengue.html

what seems to me unusual is under-reporting cases of dengue in 2008 in indonesia

 

[Diane Morin]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

My composition of cases. As always, any corrections, suggestions welcome.

RSU Dr. T. Mansyur / Public Hosp. Tanjungbalai (Medan)

Adm: 8/8: 17 people. 2: Asahan Regency. 15: Balai Cape
Siti Aisyah, 15, Indra, 8 months, M. Arifin, 13, Natalia, 13, Agnes, 8, Indra Gunawan, 4, Ina, 10, Neiza Amanda, 3, Ziha Nabila, 7, Al Fasya, 2, Muhammad Ridho, 6, Indra Syahputra, 8, Sukma Damayanti, 9, Arianti, 12, Anggreini, 5, Julianti, 16, Maulina, 16 and Faisal 15.
http://www.waspada.co.id/Berita/Sumut/17-pasien-DBD-dirawat-di-rumah-sakit.html


Monday, on August 11 2008 11:19 WIB
Arianti (12): Mentioned above. From: Jalan Muhammad Abbas, Kel. Pantai Burung, Kec. Tanjung Balai* Selatan, Balai Cape. diagnosis of Chikungunya. Admitted w/high fever and weakness. Not move part of body. Diarrhea at the beginning. Red spots.
8/13: Diagnosis: acute illness plasite faralise resulting from polio. No Chikungu.

Adm 8/10: 5 people: 3 from Tanjung Balai. 2 from Asahan Regency

Tanjung Balai
Tita Anggie (10) From: Jalan Rukun,* Kel. Bunga Tanjung, Kec Datuk Bandar Timur
Kiki (15) - both from: Jalan MT Haryono, Kel. Selat Lancang, Kec Datuk Bandar
Rahmadina (13)

Asahan Regency
Fitrah (5) - brothers From: Desa Sei Dua Hulu, Kec. Simpang Empat, Kab* Asahan.
Aiman (?)

Notes: Fitrah (5) and Aiman were the weakest of all 5 who entered. Trombosits reached 65,000 and 75,000. They were the most critical. Parents: Zuhaina. Quote “Our area found suspect bird flu. Fever did not descend, suspected was affected by bird flu”. Sunday morning carried to hospital. Results negative. High Fever, cough, nausea and vomiting, affecting both started on 8/8 night. After check by Dr., red spots appeared.
Total of patients at RSU Dr. T Mansyur 20 people.
2 of the initial 17 recovered.


RS Abdul Manan Kisaren, Asahan

Amanda (6 mos) - Adm: 8/11
Yosi Elida - Adm: 8/11
Sutriono - Adm: 8/11
From: Kebun Tiga Village, Air Batu, Asahan.
Arrived together. Syms on arrival: High temp, cough.
Recon: local community health center

****************************

Aiman (10) #238

**************************

+ 4 dead #230

"Four residents were stated died in for the last two weeks. The case of their death happened on Friday (1/8) and on Thursday (7/8).

Was like this information that was sent by the Head sub the Service P2P (the prevention of the illness and sanitation) the Health Service North Sumatran Surya the Service, on Tuesday (12/8) in Medan. This information that the time received from the official of the local health of the service newest, said Surya.

The sun was not prepared to explain the identity of the four casualties in the Balai Cape because of his details data still was on the hands of his staff. We could only explain the number of sufferers sej auh this totalling 25 people with the death rate of four people, he said. He ask for to the community in order to maintain the condition for his environment."

**********************

Arianti (12) #241

On Wednesday, on August 13 2008 10:17 WIB

TANJUNGBALAI - the Specialist the Child RSU Dr. H.T. Mansyur Kota Tanjung Balai, Dr. H. Alfian Nasution, SpA, said, Fitri Arianti, 12, the resident Street Muhammad Abbas, Kel. The birds coast, Kec. Datuk Bandar positive suffered the acute illness plasite faralise or withered paralysis acute. "Results" of the "beginning diagnosis, casualties suspect the fever chikungu him because of being found red spots." However after being carried out by the further inspection, evidently not the fever chikungu him but acute plasite faralise, said Alfian to was on the alert in his office, on Tuesday (12/8).


http://www.waspada.co.id/Berita/Sumut/Suspect-chikungunya-positif-lumpuh-layu.html

 

[Commonground]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Thanks Muscade. I have a note that it is up to 25 people (8/12) - but I can't find it. Must have read it somewhere here.

ETA: I found it. Added it to the list.

 

[Farmer]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Polio is not the only disease associated with acute flaccid paralysis (AFP):

Enterovirus 71 has been associated with AFP, although apparently AFP is more likely to be unilateral, enterovirus infection may also be associated with rash "Results" of the "beginning diagnosis, casualties suspect the fever chikungu him because of being found red spots." see:

AJNR Am J Neuroradiol 22:200–205, January 2001
Acute Flaccid Paralysis in Infants and Young Children
with Enterovirus 71 Infection: MR Imaging Findings and
Clinical Correlates
Cheng-Yu Chen, Ying-Chao Chang, Chao-Ching Huang, Chun-Chung Lui, Kwo-Wei Lee, and Song-Chei Huang

BACKGROUND AND PURPOSE: Enterovirus 71 (EV71) infection is now considered an important cause of childhood acute flaccid paralysis. The purpose of our study was to determine whether EV71-infection–related acute flaccid paralysis in infants and young children has characteristic
MR imaging patterns.
METHODS: Seven infants and young children with acute paralysis of the upper or lower extremities and positive EV71 cultures underwent spinal MR studies during an outbreak of hand-foot-and-mouth disease in Taiwan in 1998.
RESULTS: Acute paralysis was observed in one upper extremity in two patients, in one lower extremity in three patients, and in both lower extremities in two patients. None of the patients had sensory impairment or bulbar palsy. MR studies showed unilateral or bilateral hyperintense
lesions in the anterior horn regions of the cord on T2-weighted images in six patients. No abnormal signal was present in one patient. Two of three patients who received intravenous injections of contrast material had ventral root enhancement on T1-weighted images. One of them also had enhancement of the unilateral anterior horn cells. At clinical follow-up, both
patients with bilateral anterior horn abnormalities had residual motor weakness, whereas only one of the five patients with unilateral involvement had residual weakness.
CONCLUSION: EV71 radiculomyelitis tends to be unilateral and to specifically involve both the anterior horn cells of the cord and the ventral roots. MR imaging allows early detection of spinal cord and root lesions.

http://www.ajnr.org/cgi/reprint/22/1/200.pdf


Guillain Barre Syndrome, another cause of AFP, may occur after a generalized inflammatory event such as a respiratory or gastrointestinal infection.

For a list of differential diagnoses for AFP see:
http://www.uwo.ca/cns/resident/pocketbook/approach/acute_flaccid_paralysis.htm

 

[Gert van der Hoek]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Serious Dengue Fever cases in North Sumatra, did not come out of the blue, some examples:


June 5

The range (SIB) could undergo the maintenance more eight hours in RSUD Haji Abdul Manan Simatupang Kisaran, Tri Utami (6) the resident of the Air Joman Subdistrict died, on Tuesday (3/6) approximately struck 22,15 WIB.

Dr. Ansaruddin to SIB, on Wednesday (4/6) in his office explained, this female child died with the medical note it was suspected suffered dengue fever/Suspect DHF (Haemorrhagic Fever Dengue Fever).

http://www.flutrackers.com/forum/showpost.php?p=168060&postcount=139

July 7

DBD Again took casualties was killed in Tanjungbalai

Results of the medical inspection, casualties were stated by dengue fever shock syndrome

http://www.flutrackers.com/forum/showpost.php?p=167551&postcount=136

 

[Giuseppe]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

[KOMNAS FBPI] Air Batu Asahan Villagers Are Confirmed Bird Flu Negative

Jakarta, August 9, 2008 - Ministry of Health -

The 12 villagers from Air Batu Village, Asahan District in North Sumatra are confirmed to be negatively infected by the H5N1 virus based on results of the tests conducted by the the Health Research and Development Center of the Ministry of Health.

At the moment, the villagers are still being treated at Kisaran Hospital in Kisaran District and Adam malik Hospital in Medan. FH ? a 7 year old girl and MSM ? a 8 year old boy, who are being treated at Adam Malik Hospital, the reference hopsital for bird flu patient, are getting better as their condition is stabil now.

The bird flu suspects case were found on August 5-7 2008 by the North Sumatra Provincial Health office and the Asahan District Health Office.

Based on this founding, free treatment was provided at the hospital, this includes distribution of oseltamivir, taking and sending the suspect's speciment to the Health Research and Development Center of the Ministry of Health, monitoring the suspect cases, contacts surveillance, also heath training.

The team from the Ministry of Health is conducting an active surveilance among the people to look for new cases.

Beside that an information, education and communication (IEC) materials about bird flu are given out.

The results from the Rapid test conducted by the Asahan District Livestock office and exemination conducted by Veterinary laboratorium of the North Sumatra Provincial Livestock office shows that the 15 poulty which died suddenly on July 28 2008 in Air Batu Village, Asahan district in North Sumatra are positive bird flu.

It is advised for people not to keep poultry or for people who keep poultry to keep their birds well away from home, and also to clean the cage using disinfectant or detergent at least once a week.

If you find sick chickens or there are sudden deaths of poultry in your area, report it immediately to your village leader, district head, or to the district livestock office.

If you see someone with influenza like illness (fever, high body temperature, coughing), especially if there are poultry in the area, please immediately have his/ her health check at the nearest health facility.

To prevent bird flu, people need to keep alert and be vigilant, especially if there are sick or sudden deaths of poultry in the area.

People are urged to learn more about bird flu and to reduce their risk of contracting the virus by adopting clean and healthy behaviors:
* Don't touch sick or dead chickens. If you have had contact with sick or dead chickens, promptly wash your hands with soap and report the incident to your village head.
* Wash your hands and cooking appliances with soap before cooking.
* Cook chicken and eggs well.
* Separate poultry from humans. And also separate new poultry from existing poultry flocks for 2 weeks.
* Go to a Public Health Center or Hospital immediately if you have flu and fever symptoms after having contact with poultry/chicken. Do not wait more than two days, especially if there are many poultry around your house or you had contact with poultry
* Wear gloves and cover your nose and mouth when handling poultry
* Do not eat poultry that are sick or have died.
* Cull, burn and bury sick or dead poultry
* Do not let children play with poultry

This information was received by the Public Communication Center at the Ministry of Health from the Bird Flu Information Center on August 09 2008 and is published by The Center for Public Communication, Secretariat General MOHRI.

For further information, please call 021-522 3002 and 5296 0661 or send e-mail to: puskom.publik@yahoo.co.id.
Head of Public Communication Center

dr. Lily. S. Sulistyowati, MM
NIP 140 218 301
-
http://www.komnasfbpi.go.id/berita_eng.php?id=57
-------

 

[Diane Morin]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

On Wednesday, on August 13 2008 16:22 WIB.

Warga Tg. Balai not all that understood of the cause of the illness emergence

WASPADA ONLINE

[TANJUNGBALAI - Mayor Tanjung Balai, Dr. H. Sutrisno Hadi, SpOG, considered the understanding of the community of the spreading of the illness still not all that, including the problem of Dengue Fever (DBD).

The "community could be not all that asked to co-operate, not all that understood and towards the cause" of the "illness emergence." The proof is, earlier I found in the community's house had two drums of the water reception that contained pinched-pinched mosquitoes, explained the Mayor to was on the alert after inspecting the settlement of the community in Kel. The Yacht strait, Kec. Datuk Bandar Timur, on Tuesday (12/8).


Because, continued Mayor, Pemko Tanjung Balai must activate the socialisation or counselling to the community in an effort to prevent the spreading of various illnesses. "There was no response from the community, so as the sub-district head, the village head and kepling must work hard to give prevention counselling" of the "spreading" of the "illness and the importance of maintaining the cleanliness in his environment was their respective," said the Mayor.


Pemko Tanjung Balai from January to August, the number of casualties DBD that had data collected on it by as many as 93 people, of six died and belasan still underwent the intensive maintenance in RSU Dr. H. T. Mansyur. The patients, said the Mayor, the cost perobatan him completely was borne by Pemko Tanjung Balai.

Take part in accompanying Mayor, Asisten Ekbangsos Dr. H. Husinuddin, Kadis Kesehatan Dr. H. Azwar Mahmud Lubis, MHA, Kepala BPRSU Dr. T. Mansyur, Dr. Hj. Diah Retno W, Kakan Infokom Dra. Darul Yana Siregar, the Sub-district Head Datuk Bandar Timur Bastian, S.Sos and the Head of Sector P2PL Dr. H Surya the NS Service. (ags/a37)

http://www.waspada.co.id/Berita/Sumut/Warga-Tg.-Balai-kurang-paham-penyebab-munculnya-penyakit.html

 

[Treyfish]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

DPRD the Cape the Hall the Value of the Plague DBD Alert 1
Pemko was asked for Immediately the Form of the Integrated Team The Hall cape, (the Analysis) The plague of Dangue Dengue Fever (DBD) in the Balai Cape already in the alert condition 1, all the element was asked to carry out the fast and exact action of preventing and dealing with him. This forced the C DPRD Tanjung Balai Commission to call the government with all the related rank looked for the solution united the step for the war on DBD. ?Kami considered, the extraordinary condition for the discovery of this DBD case has achieved the alert situation 1 that needed serious attention from all over the element was especially official terkait,? revealed Chairman Komisi C Dprd Tanjung Balai Syafaruddin when leading the meeting of the sectoral passage in the DPRD building local, on Wednesday (13/8) The meeting apart from being attended by the commission member that is, Asmuni Sinaga and H Abu Naim Chomsah were also attended by Sekdakot Tanjung Balai Drs H Darwin Djulat, Kadis Kesehatan Dr H Azwar Mahmud Lubis, Director RSU TENGKU Mansyur Dr Hj Diah Retno, Kadis PU Ir H Mirzal, Kabag Keuangan Sumiran SH, Dinas Kebersihan and the sub-district head se the Tanjung Balai City. According to Syafaruddin, the number of casualties DBD 95 people until this with the number of fatalities 6 people were the extraordinary matter, because of exceeding the DBD case the year year beforehand. This condition became serious attention that it was thought really threatened the health of the inhabitants. ?Kami asked related apparatus to compile the real step in handling this plague before casualties more and DPRD will carry out the full support for efforts efforts that will be carried out pemerintah,? he said Now the member the C Commission other Asmuni Sinaga urgent, so that the government of the city immediately forms the integrated team in dealing with this DBD plague. This team was it was thought important as the responsible institution direct in undertaking the fast and exact program so as to not have again the reason for the related agency to throw the problem to that was other. Must act ?Kita must take fast measures straightaway formed the integrated team, through to clear whoever worked and was responsible ? said Asmuni. Responded to this of Sekdakot Tanjung Balai Drs H Darwin Djulat said, the attack of the DBD virus of the disseminator's mosquitoes has been very disturbing, as far as these mosquitoes mosquitoes like ?monster? that was ready to look for new prey. The movement of the eradication of the mosquitoes nest and pursued mature mosquitoes sudha became the main priority in this DBD control. However the real condition in the field of these control efforts still was needing the support materil, until the process of the prevention and medical treatment were not postponed with the nonexistence of the cost. ?Kita would anggara the fund around Rp 300 million faced the KLB situation KLB DBD this that eventually will be allocated in membiaya everything related DBD,? he said Moreover, he said the mayor in time was as short as the shortness will issue the circular to the sub-district head and the village head to carry out the clean socialisation of the environment every day that was marked by the control card. The socialisation of this clean environment was carried out all over the district that was monitored by the sub-district head. ?Kita considered the activity on Saturday clean no longer adequate cleaned the environment, immediately dikelurakan ordered every day clean that will be monitored through the card kendalai so as dis etiap the area could be known whether being clean and any the hindrance that ditemui,? he said While Kabag Keuangan Pemko Tanjung Balai Sumiran SH said, at this time still had the preceptive fund the emergency of Rp. 800 million in APBD 2008. This fund beforehand numbering Rp. 1 M. and was used as big as Rp.200 million to help natural disaster casualties. The DBD plague that was part of the social disaster it was thought exact to get help from the government, the preceptive remnants fund of this emergency has been ready to be poured out. ?Kami only asked for the written request from the hospital side that was aimed at the district head to help the casualties DBD,? he said. :tiphat: http://analisadaily.com/2-1.htm

 

[Diane Morin]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Was in a meeting of the DPRD Tanjungbalai Hearing with Pemko Related the DBD

Posted Case in the Area by editorial staff ounce in August 14th, 2008

Tanjung Balai (SIB). DPRD Tanjungbalai judged the government of the local city slow handled the case became an epidemic him the dengue fever illness that took fatalities, 6 people were killed from 95 patients who were treated in RSU Tengku Mansyur.

That was revealed by Chairman Komisi C DPRD Tanjungbalai Saripuddin in being in a meeting of the hearing with Pemko local, was attended by the secretary of the City of Tanjungbalai Drs Darwin Zulat, Kadis Kesehatan Dr Azwar Lubis, Kepala RSU Tengku Mansur Dr Diah Retno, the sub-district heads and Kakan Infokom Dra Darul Yana Siregar, on Wednesday (13/8).

Chairman Komisi C was accompanied by his member of Ir Asmuni Sinaga, Muslim Sitompul SH, Naim Chomsah said, became an epidemic him the DBD illness that took the fatalities has been worrying enough consequently to be asked to the government of the city immediately to carry out the real step to anticipate him.

Said by Saripuddin, the meeting of the hearing was carried out not to blame each other between the agency but to look for the solution how dealt with the DBD illness so that immediately was overcome before casualties more often fell. Concerning the budget that was needed to deal with him was asked to Pemko to look for his solution by utilising the budget of the social disaster that was budgeted for in APBD TA 2008.

Asked for from the sub-district heads and the village head co-operated officially the health descended directly to the field, as well as was asked to the side of RSU Tengku Mansyur really to serve the patient especially the DBD illness sufferer as well as did not place the cost to the patient DBD, said Saripuddin. The similar matter was also said by the council's other member.

On that occasion Sekdakot Pemko Tanjungbalai Drs Darwin Zulat said, in time that as briefly as possible the case became an epidemic him the DBD illness was immediately dealt with, Pemko formed the integrated team that involved the related agency in immediately carrying out his task in the field, Pemko Tanjungbalai agreed to the budget of the patient DBD that was treated in RSU Tengku Mansyur Tanjungbalai Gratis his medical treatment cost was placed to Pemko. (S16/h)

http://hariansib.com/2008/08/14/rap...-tanjungbalai-dengan-pemko-terkait-kasus-dbd/

 

[Treyfish]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Indonesia rules out H5N1 case cluster in Sumatra

Lisa Schnirring Staff Writer

Aug 13, 2008 (CIDRAP News) – In an online statement posted yesterday, the Indonesian government said 12 villagers from North Sumatra who were hospitalized for suspected avian influenza symptoms had tested negative for the disease, dampening speculation about a possible case cluster.
The statement from the health ministry's avian flu committee, known as KOMNAS FBPI, was dated Aug 9, but appeared on the group's Web site yesterday. It said 12 villagers from Air Batu village tested negative for the H5N1 virus. All were being treated at Kisaran Hospital, except for a 7-year-old girl and an 8-year-old boy who were at Adam Malik Hospital in Medan, the provincial capital, where they were reported to be in stable condition.
The ministry's statement did not mention three deaths from suspicious symptoms that have been mentioned along with accounts of up to 13 sick patients in recent media reports. Yesterday, however, Chandra Syafei, an official from North Sumatra's health office, acknowledged that three people had died and said his office was on "extraordinary occurrence" alert status, according to a Jakarta Post report.
"The three people died following the discovery of dead poultry, but we don't know whether or not it [avian influenza] was the cause," Chandra told the Post. He said his office had not received autopsy reports from the health ministry.
The suspected cases were identified by provincial and local health officials between Aug 5 and 7, and the patients were given oseltamivir when they were hospitalized, the health ministry's statement said. Also, it said the ministry was conducting surveillance in the area for more patients with suspicious symptoms.
The ministry's message, its first since Jun 19, said the tests were conducted by its Health Research and Development Center. Official news out of Indonesia about H5N1 developments has been scarce since early June, when Health Minister Siti Fadilah Supari said the country would stop reporting human cases as they occur and instead announce them at longer intervals, perhaps as long as 6 months.
Syafei said several health workers, including a team from the World Health Organization (WHO), were in Asahan to investigate the illnesses and monitor developments, according to the Post report.
He said animal health officials had destroyed 276 infected birds, and an official from nearby Labuhan Ratu regency said local veterinary workers culled 1,126 birds after hundreds of recent poultry deaths, the Post reported.
The health ministry statement said tests conducted by North Sumatra's livestock office on 15 poultry that died suddenly on Jul 28 were positive for avian influenza. (The statement did not specify the subtype.)
Meanwhile, flu blogs and message boards have been following developments in what some fear could represent an H5N1 case cluster, an event that suggests the possibility of human-to-human transmission and an increased risk of a pandemic. For example, members of Flu Trackers and Flu Wiki have been translating foreign-language media reports for clues and developments, though the translations are often difficult to interpret and can be unreliable.
ProMED-mail, the Internet based reporting system of the International Society for Infectious Diseases, has also been posting media reports on the suspected case cluster and has appealed for more information on the cases and deaths. On Aug 10, after noting conflicting reports about the cases, ProMED said it would no longer report suspected avian flu cases in Indonesia until they have been confirmed by the nation's health ministry. But a protest from a reader prompted the service to say yesterday it would reconsider the decision. :tiphat: http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/aug1308indonesia.html

 

[Anne]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

http://analisadaily.com/2-1.htm

The plague of Dangue Dengue Fever (DBD) in the Balai Cape already in the alert condition 1, all the element was asked to carry out the fast and exact action of preventing and dealing with him. This forced the C DPRD Tanjung Balai Commission to call the government with all the related rank looked for the solution united the step for the war on DBD. ?Kami considered, the extraordinary condition for the discovery of this DBD case has achieved the alert situation 1 that needed serious attention from all over the element was especially official terkait,? revealed Chairman Komisi C Dprd Tanjung Balai Syafaruddin when leading the meeting of the sectoral passage in the DPRD building local, on Wednesday (13/8) The meeting apart from being attended by the commission member that is, Asmuni Sinaga and H Abu Naim Chomsah were also attended by Sekdakot Tanjung Balai Drs H Darwin Djulat, Kadis Kesehatan Dr H Azwar Mahmud Lubis, Director RSU TENGKU Mansyur Dr Hj Diah Retno, Kadis PU Ir H Mirzal, Kabag Keuangan Sumiran SH, Dinas Kebersihan and the sub-district head se the Tanjung Balai City.

According to Syafaruddin, the number of casualties DBD 95 people until this with the number of fatalities 6 people were the extraordinary matter, because of exceeding the DBD case the year year beforehand. This condition became serious attention that it was thought really threatened the health of the inhabitants. ?Kami asked related apparatus to compile the real step in handling this plague before casualties more and DPRD will carry out the full support for efforts efforts that will be carried out pemerintah,? katanya Now the member the C Commission other Asmuni Sinaga urgent, so that the government of the city immediately forms the integrated team in dealing with this DBD plague. This team was it was thought important as the responsible institution direct in undertaking the fast and exact program so as to not have again the reason for the related agency to throw the problem to that was other.The Bertindak flow ?Kita must take fast measures straightaway formed the integrated team, through to clear whoever worked and was responsible ? said Asmuni. Responded to this of Sekdakot Tanjung Balai Drs H Darwin Djulat said, the attack of the DBD virus of the disseminator's mosquitoes has been very disturbing, as far as these mosquitoes mosquitoes like ?monster? that was ready to look for new prey. The movement of the eradication of the mosquitoes nest and pursued mature mosquitoes sudha became the main priority in this DBD control. However the real condition in the field of these control efforts still was needing the support materil, until the process of the prevention and medical treatment were not postponed with the nonexistence of the cost. ?Kita would anggara the fund around Rp 300 million faced this KLB DBD situation that eventually will be allocated in membiaya everything related DBD,? he said

Moreover, he said the mayor in time was as short as the shortness will issue the circular to the sub-district head and the village head to carry out the clean socialisation of the environment every day that was marked by the control card. The socialisation of this clean environment was carried out all over the district that was monitored by the sub-district head. ?Kita considered the activity on Saturday clean no longer adequate cleaned the environment, immediately dikelurakan ordered every day clean that will be monitored through the card kendalai so as dis etiap the area could be known whether being clean and any the hindrance that ditemui,? he said While Kabag Keuangan Pemko Tanjung Balai Sumiran SH said, at this time still had the preceptive fund the emergency of Rp. 800 million in APBD 2008. This fund beforehand numbering Rp. 1 M. and was used as big as Rp.200 million to help natural disaster casualties. The DBD plague that was part of the social disaster it was thought exact to get help from the government, the preceptive remnants fund of this emergency has been ready to be poured out.Kami only asked for the written request from the hospital side that was aimed at the district head to help the casualties DBD,? he said. (gsp)

 

[Anne]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

http://www.cidrap.umn.edu//cidrap/content/influenza/avianflu/news/aug1308indonesia.html

:tiphat:


Indonesia rules out H5N1 case cluster in Sumatra

Lisa Schnirring

Staff Writer

Aug 13, 2008 (CIDRAP News) – In an online statement posted yesterday, the Indonesian government said 12 villagers from North Sumatra who were hospitalized for suspected avian influenza symptoms had tested negative for the disease, dampening speculation about a possible case cluster.
The statement from the health ministry's avian flu committee, known as KOMNAS FBPI, was dated Aug 9, but appeared on the group's Web site yesterday. It said 12 villagers from Air Batu village tested negative for the H5N1 virus. All were being treated at Kisaran Hospital, except for a 7-year-old girl and an 8-year-old boy who were at Adam Malik Hospital in Medan, the provincial capital, where they were reported to be in stable condition.
The ministry's statement did not mention three deaths from suspicious symptoms that have been mentioned along with accounts of up to 13 sick patients in recent media reports. Yesterday, however, Chandra Syafei, an official from North Sumatra's health office, acknowledged that three people had died and said his office was on "extraordinary occurrence" alert status, according to a Jakarta Post report.
"The three people died following the discovery of dead poultry, but we don't know whether or not it [avian influenza] was the cause," Chandra told the Post. He said his office had not received autopsy reports from the health ministry.
The suspected cases were identified by provincial and local health officials between Aug 5 and 7, and the patients were given oseltamivir when they were hospitalized, the health ministry's statement said. Also, it said the ministry was conducting surveillance in the area for more patients with suspicious symptoms.
The ministry's message, its first since Jun 19, said the tests were conducted by its Health Research and Development Center. Official news out of Indonesia about H5N1 developments has been scarce since early June, when Health Minister Siti Fadilah Supari said the country would stop reporting human cases as they occur and instead announce them at longer intervals, perhaps as long as 6 months.
Syafei said several health workers, including a team from the World Health Organization (WHO), were in Asahan to investigate the illnesses and monitor developments, according to the Post report.
He said animal health officials had destroyed 276 infected birds, and an official from nearby Labuhan Ratu regency said local veterinary workers culled 1,126 birds after hundreds of recent poultry deaths, the Post reported.
The health ministry statement said tests conducted by North Sumatra's livestock office on 15 poultry that died suddenly on Jul 28 were positive for avian influenza. (The statement did not specify the subtype.)
Meanwhile, flu blogs and message boards have been following developments in what some fear could represent an H5N1 case cluster, an event that suggests the possibility of human-to-human transmission and an increased risk of a pandemic. For example, members of Flu Trackers and Flu Wiki have been translating foreign-language media reports for clues and developments, though the translations are often difficult to interpret and can be unreliable.
ProMED-mail, the Internet based reporting system of the International Society for Infectious Diseases, has also been posting media reports on the suspected case cluster and has appealed for more information on the cases and deaths. On Aug 10, after noting conflicting reports about the cases, ProMED said it would no longer report suspected avian flu cases in Indonesia until they have been confirmed by the nation's health ministry. But a protest from a reader prompted the service to say yesterday it would reconsider the decision

 

[Giuseppe]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Ex post #248 (now deleted, WHO table of Acute Flaccid Paralysis in Indonesia, year 2008)

Referred to post #241: a case of acute flaccid paralysis, Sumatra.

From http://www.who.int/vaccines/immunization_monitoring/en/diseases/poliomyelitis/afpextract.cfm
-
''2008: Indonesia, NO wild poliovirus case(s) detected so far.''
--------
AFP / Polio Case Count (Updated on August 7, 2008)

Indonesia: (2008) / AFP Cases Reported: 983 / Non-Polio AFP Rate: 2,3 / AFP Cases with adeguate specimens (%): 86 / Total confirmed Polio cases: 0 / Wild-virus confirmed Polio Cases: 0 ==
--------

 

[Commonground]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

[I didn't see this posted....I wonder why the date is in English?]
The guardian of Doctor's City, the Health was ignored
Wednesday, 13 August 2008

The case of dengue fever dengue fever (DBD) that spread in the Tanjungbalai City until claiming four fatalities and infected 21 other was gazed at strangely. Because, although the guardian of his city a person dokter, the problem of the health was still being ignored in the area. The member the Commission of B DPRD North Sumatra Abdul Justice Siagian said, the DBD incident in Tanjungbalai should be able to not happen. That was very startling for the North Sumatran community because the Guardian of the Tanjungbalai Sutrisno Hadi City was a person dokter. The incident that result in fell casualties totalling 25 people caused the impression that the problem of the health in this city did not receive attention.

??Ini pulled at us. Indeed the problem of the health in Tanjungbalai did not yet receive attention from the local government. Necessarily, this incident could be anticipated because of the guardian of his city of a doctor. It is best to, the related agency descended immediately overcame the problem of DBD ini,? flat Justice from the Area of the Election (Dapil) Tanjungbalai. He asked for the government of the city (pemko) immediately handled the patient DBD seriously. If being felt was needed by the handling was more again maximal, this patient could be reconciled to the central Public Hospital (RSUP) H Adam Malik,Medan. The impression was not serious him Pemko Tanjungbalai handled this problem was seen from the report lack officially on the DBD case to the Kesehatan Service (Dinkes) North Sumatra. In fact, at this time this illness was spreading and alarming the resident.

Moreover, already dozens of residents became casualties and four including dying. ??Up to currently Dinkes North Sumatra does not yet receive the report on the DBD patient from the Health Service Tanjungbalai. Ha the telephone and short message service (the SMS) ,? flat the Head of the Prevention Sub- Service, the Eradication of the Illness, and environmental Sanitation (P2PL) the Health Service of the North Sumatran Province of Surya Dharma yesterday. From the oral report and the short message itu,diketahui had 25 residents of the Subdistrict Datuk the Port that underwent the maintenance in the Public Hospital (RSU) Dr HT Mansyur,Kota Tanjungbalai. He also received the news about the death of four casualties. The four of them died on Friday (1/8) and last Thursday (7/8). ??Keempat the resident who died that because already dengue fever shock syndrome (DSS) that was the end stage of DBD. So, the condition the four of them has experienced shock when being brought to RS,?papar him.

According to him, Dinkes local still collect data on and examined the other patient who underwent the maintenance in RSU Dr HT Mansyur.Tim from the Department of the Health (the Department of Health) also will investigate this DBD origin. ??Sekarang this Dinkes Tanjungbalai still investigated from where his source (the DBD spreading).

The Department of Health then tomorrow (today) would there (Tanjungbalai) to help investigation epidomologis. Jadi,dari this investigation, we will know this DBD source so that his link could cut off,?papar him. The sun added, related 21 residents of the Subdistrict Datuk Bandar, Kota Tanjungbalai, that became casualties of the mosquitoes sting aides aegypti that, the number of DBD patients in the Kerang City increased every month. ??Every month, we received the report had DBD casualties in Tanjungbalai totalling five casualties, but now the amount is 25 was accompanied by the death resulting from the illness ini,? he said. He menambahkan,hal this also was caused the Tanjungbalai City that was classified as the small city with population density so as with the existence of this DBD plague would fast attacked the community.

Increased again, the change in the weather during ini. Namun, this was not free from the Dinkes role, the awareness of the community to maintain the health, the cleanliness himself, and the environment also really must be paid attention to. ??Dinkes has undertaken the program to the community, as giving counselling. Namun,kesadaran the community with the cleanliness of the environment and personal also must be guarded and diperhatikan,? he stated. (Haris dasril)

http://www.seputar-indonesia.com/ed.../wali-kota-dokter-kesehatan-terabaikan-3.html

 

[HenryN]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

[I didn't see this posted....I wonder why the date is in English?]
The guardian of Doctor's City, the Health was ignored
Wednesday, 13 August 2008
He also received the news about the death of four casualties. The four of them died on Friday (1/8) and last Thursday (7/8). ??Keempat the resident who died that because already dengue fever shock syndrome (DSS) that was the end stage of DBD. So, the condition the four of them has experienced shock when being brought to RS,?papar him.

http://www.seputar-indonesia.com/ed.../wali-kota-dokter-kesehatan-terabaikan-3.html

DSS described above is dengue hemorhhagic fever, which is commonly confused with H5N1 because both lead to bleeding.

 

[Diane Morin]

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

Machine translation

Pemko Tanjung Balai Dinilai Lamban Tangani Wabah DBD

Tanjug Balai, (the Analysis)
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-comfficeffice" /><o></o>
Pemko Tanjung Balai was it was thought slow in handling the case of Dangue Dengue Fever (DBD), until causing casualties to reach one hundred souls with the spreading period during eight months. This was in accordance with the data received in RSU from January to August 2008 fell casualties 95 people with the mortality rate reached 6 people.
<o></o>
?Waktu that was quite long for 8 months and the number almost one hundred have been enough to prove, Pemko Tanjung Balai was not serious and slow in responding to this DBD case and this clear caused the community's doubt towards the government capacity in protecting, protecting and pacifying the resident kota,? revealed DPK Indonesian Justice and Unity Party Chairman (PKPI) Tangjung Balai Suresh Kumar St, MSi when being met in his office, on Wednesday (13/8)
<o></o>
According to Suresh, very complete government equipment and the fund that were available in each related service apparently did not give the benefit to the community. Moreover, very ironic when this plague attacked cruelly the machinery only could use the excuse of not yet having the budget for his control. This became the main cause why this plague as being difficult to be stopped now casualties that all of them the resident could not continue to improve.
<o></o>
?Kami saw this DBD control must be begun from the return of the task of the subject and the function (Tupoksi) all the related agency and empowered the existence of the head of the environment to carry out the clean movement of the environment with the resident as well as check the nest of the swiftlet nest that mushroomed in the core kota,? he said.
<o></o>
Already eight DBD plague months attacked the Balai Cape, but the action of the government machinery was still being waiting for the ball or was waiting for the existence of the resident who reported to be sick. However the action konkrit to menhentikan him was even tended to point at each other whoever was more authorised.
<o></o>
?Bila the activity on Saturday clean considered to be able to not ask the resident to clean the environment, all that because that was present the officials in the future kepling that knew his resident in order to descend from the door to the door cleaned his environment and when being kepling that did not want to descend better be replaced, because of them has mendaptkan the stipend from pemko and was appointed to carry out the direct service to warga,? he said.
<o></o>
Moreover, said Suresh the health service to casualties DBD must be carried out in a first-rate manner. When RSU Tengku Mansyur could not accommodate the number of casualties DBD, already during him the health service prepared the alert command post command post all over Puskesman and the auxiliary Community Health Centre in the Subdistrict. ?Keterbatasan that was had by RSU could not be made the reason for making the patient DBD must jostle in the room of the maintenance, because still many community health centres in each subdistrict that more close to the resident but was needed by the increase in the number of medical staff who was ready alert in the postal post itu? he said. (gsp)


http://analisadaily.com/2-7.htm