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

[Sally Furniss]

Re: Bird flu outbreak in Indonesia kills 3 : Officials

Re: Bird flu outbreak in Indonesia kills 3 : Officials

The government of the North Sumatran Province maintained the Air Batu Village, Kecamatan Air Batu, Kabupaten Asahan in the Luar Biasa Condition (KLB) bird flu.

The determination of the status was carried out by the government after seeing the development of worrying bird flu the local resident.

"After the determination" of "this status, the supervision in the location increasingly was tightened by us." We also menurukan the medical team there to establish the medical treatment command post, said Kesehatan North Sumatra Candra Syafii Section Head after visiting the patient was expected by birds in the Pusat Public Hospital (RSUP) Adam Malik, Medan, on Thursday (7/8).

The moon said the team from the health service co-operated with the team of livestock breeding of the service.

This joint team periodically took the sample of blood and the throat liquid to the resident. The team sent results of the taking of the sample to the Peneilitan Laboratory and the Development of the Health in Jakarta.

Up to now was gotten by 12 patients (the version of the Head of the IV Village, Desa Air Batu had 13 patients) was expected by bird flu from the Air Batu Village. From the number, two including receiving the maintenance in Space of Isolasi RSUP Adam Malik.

The patient was expected other underwent the maintenance in the Daerah Public Hospital (RSUD) Abdul Manan Kisaran, Asahan. The section head Veteriner Dinas Peternakan North Sumatra Nurdin Lubis said up to now the extermination of the poultry in the village reaches 300 tails.

The official still could not carry out the comprehensive extermination of the geographical condition for the village that was wide.

Beforehand the Peternakan Asahan Service ascertained the poultry that was killed in the village positive was attacked H5N1. Nurdin said the government officially asked that the resident stopped the circulation of the poultry for the time being.

The circulation that was meant both to leave and enter the village. "We have also carried out spraying to the poultry pen belonging to the resident," he said.

http://www.kompas.com/read/xml/2008/08/07/17330124/desa.air.batu.dinyatakan.klb.flu.burung

 

[sharon sanders]

Re: Bird flu outbreak in Indonesia kills 3 : Officials

Re: Bird flu outbreak in Indonesia kills 3 : Officials

So if the chickens died last week, and days later the 3 people died, if they did die of H5N1, it would have been sometime between August 1 -3rd. But that time period does not go along with our length of time before death.

I think your analysis of the dates is correct. This AP article is not mentioning the 3 deaths.

13 Indonesians hospitalized with bird flu symptoms
JAKARTA, Indonesia (AP) -- Health workers rushed to a village in western Indonesia to test for bird flu Thursday after 13 people were hospitalized with symptoms of the disease and dozens of chickens died, a government official said.
It will take days for test results to come back, said Memed Zulkarnaen, spokesman for the National Bird Flu Commission, adding that the condition of those suffering from high fever and respiratory problems "appears to be improving."
The 13 were admitted to two hospitals in the past week after chickens started dying in Air Batu, their village on Sumatra island, 680 miles (1,000 kilometers) northwest of the capital, Jakarta. The birds tested positive for the H5N1 virus.
A team of epidemiologists was sent to the village Thursday to take blood and swab samples from family members and neighbors of those living near the outbreak, Zulkarnaen said.
Indonesia has regularly recorded human deaths from bird flu since the virus began ravaging poultry stocks across Asia in 2003. Its death toll of 112 accounts for nearly half the 240 recorded fatalities worldwide.
Bird flu remains hard for people to catch, but health experts worry the virus could mutate into a form that passes easily between humans, possibly triggering a pandemic that could kill millions. So far most human cases have been linked to contact with infected birds.

http://hosted.ap.org/dynamic/storie...ME&TEMPLATE=DEFAULT&CTIME=2008-08-07-05-27-44

 

[HenryN]

Re: Bird flu outbreak in Indonesia kills 3 : Officials

Re: Bird flu outbreak in Indonesia kills 3 : Officials

Our source says that the 3 dead may have died of something other than bird flu since the chickens got sick and started dying after the victims were admitted to the hospital.

Seems the news reports have dropped the mention of the 3 deaths.

Still trying to get more info......

The three dead are buried and will NOT be tested.

 

[sharon sanders]

Re: Bird flu outbreak in Indonesia kills 3 : Officials

Re: Bird flu outbreak in Indonesia kills 3 : Officials

The three dead are buried and will NOT be tested.

We may never know with 100% certainty what caused the deaths of these individuals.

A thorough epidemiological study of this outbreak would be useful.

 

[HenryN]

Re: Bird flu outbreak in Indonesia kills 3 : Officials

Re: Bird flu outbreak in Indonesia kills 3 : Officials

We may never know with 100% certainty what caused the deaths of these individuals.

A thorough epidemiological study of this outbreak would be useful.

There will be NO effort to even try to explain their deaths (other than some hand waving). This is a Garut re-run.

 

[Labrador - Sadie]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Seems they would test suspects BEFORE Tamiflu, instead of after. I feel they just want to hide and cover up any sign of a positive H5N1 infection. It seems that the worse the cases get the more deceptive the practice. There is more to it than just "affordable vaccines for their people". When it turns into sustainable h2h transmission it will be too late and other countries will be ramping up to make vaccines for their people first, which leaves Indonesians out even if affordable. Once h2h starts and leaves the island there will be no need for their samples of the virus, other countries will have their own. What are these people thinking, definetly not about there citizens or the world.

 

[rymich13]

Re: Bird flu outbreak in Indonesia kills 3 : Officials

Re: Bird flu outbreak in Indonesia kills 3 : Officials

There will be NO effort to even try to explain their deaths (other than some hand waving). This is a Garut re-run.

What were the test results with the Garut outbreak and where can I find out more info about it?

 

[HenryN]

Re: Bird flu outbreak in Indonesia kills 3 : Officials

Re: Bird flu outbreak in Indonesia kills 3 : Officials

What were the test results with the Garut outbreak and where can I find out more info about it?

For Garut, there were three confimed cases which were not related to each other, but each was linked to one or more people who had just died with bird flu symptoms. The FIVE dead were buried and never tested. Contacts of the three H5N1 confirmed cases then developed symtoms, but they were given Tamiflu (and a Tamiflu blanket was thrown over several villages) and tested negative, even though some had been in ICU. Although there were about 30 suspect cases (either dead or hsopitalized), only 3 were H5N1 confirmed.

http://www.recombinomics.com/News/08200601/H5N1_Cikelet_Increase.html

http://www.recombinomics.com/News/08220603/H5N1_Cikelet_Evidence.html

 

[rymich13]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

COMING HOME TO ROOST
The Associated Press , Medan | Fri, 08/08/2008 2:30 AM | Headlines

A rooster perches on a cage at a traditional market in Medan, North Sumatra, Thursday. Thirteen people hospitalized with high fevers and respiratory problems are being treated as suspected bird flu patients after dozens of chickens died of the disease in their tiny Indonesian village, a health official said Thursday. (AP/Binsar Bakkara)
http://www.thejakartapost.com/news/2008/08/07/coming-home-to-roost.html

 

[Giuseppe]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Seems they would test suspects BEFORE Tamiflu, instead of after. I feel they just want to hide and cover up any sign of a positive H5N1 infection. It seems that the worse the cases get the more deceptive the practice. There is more to it than just "affordable vaccines for their people". When it turns into sustainable h2h transmission it will be too late and other countries will be ramping up to make vaccines for their people first, which leaves Indonesians out even if affordable. Once h2h starts and leaves the island there will be no need for their samples of the virus, other countries will have their own. What are these people thinking, definetly not about there citizens or the world.

At this point we cannot say whether Sumatran people are infected or not. Also, we cannot say that oseltamivir is so effective to reduce febrile and respiratory symptoms so rapidly in these people.

Details are too much fragmented, and an uncompleted scenario hardly helps us to understand the situation.

WHO seems to be engaged in laboratory testing.

We must continue to monitor the media for futher developments.

 

[Commonground]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

<a href="http://s214.photobucket.com/albums/cc312/Commonground57/?action=view&current=Picture2-26.jpg" target="_blank"><img src="http://i214.photobucket.com/albums/cc312/Commonground57/Picture2-26.jpg" border="0" alt="Photobucket"></a>
Misman died it was suspected resulting from the bird flu virus

The FAMILY of BIRD FLU casualties in Asahan being fatalistic

Asahan: Fall On the death disaster of the family's member in a beruntun manner clear sad. So that currently is experienced by the Misman extended family. Warga Desa Tiga Sembilan, Kabupaten Asahan, Sumatra Utara, that lost the family's three members, that is Misman (7o years), Igo (4) and Riski (6). They died was endless in a week. The death the three of them were expected because terjangkit the bird flu virus. This assumption might become true. Because, they died after dozens of chickens in the residence village the three of them died suddenly. The three casualties experienced the sign similar to bird flu, as the high fever was accompanied breathless and the cough. Ibu Riski that it was suspected went along terjangkut bird flu was still being treated in the Kisaran Public Hospital. While the Igo family and several other residents fled to the other village because frightened of becoming casualties.

Casualties's family died as a result of the assumption of bird flu in Asahan, North Sumatra, submitted on the incident that struck their family. Officially Kesehatan Regional Government Asahan denied the three casualties died resulting from bird flu. However, the Kesehatan Service of shavings opened the prevention command post of bird flu that was maintained 24 hours.

http://www.metrotvnews.com/berita.asp?id=64083

 

[Commonground]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Ibu Riski that it was suspected went along terjangkut bird flu was still being treated in the Kisaran Public Hospital.

Ibu = mother; mom; ma; Mrs.; respectful address to a mother or a woman like a mother

 

[Commonground]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Expected by Bird Flu, three Died
Kamis, 07 Agustus 2008

Asahan - After for a long time in decline, the bird flu virus began to rage again. As many as 12 residents of the IV Pondok Damuli Village, Kecamatan Air Batu, of Kabupaten Asahan, North Sumatra, were suspected to be infected by the virus avian influenza (AI) and were forced to be taken to RSU Kisaran on Monday (4/8). Until Tuesday (5/8), the 12 patients were still being treated in the room of VIP. In fact in a week it was recorded that three suspect bird flu patients had died. However, the local Health Service could not confirm whether the deaths were caused by bird flu, because the burials for the patients who died were rushed. A reporter in RSU Kisaran on Tuesday night around 21,30 WIB, observed that the 12 patients were visited by a Health Service official. The Dinkes official put on a mask before entering the rooms of the bird flu suspect patients. One of the doctors in RSU Kisaran said that his personnel did not yet know decisively whether or not the 12 patients were positive bird flu. Because, the sample of their blood was sent to the laboratory in Jakarta on Tuesday night.
"How we every yes... According to me, this is not bird flu. However, the signs that were found in the patients indeed are signs of those affected by bird flu. For example, the fever, flu, limplessness, and breathlessness," said the doctor who reluctantly was named by his name.

The doctor, who had some faded (grey?) hair, said that the 12 patients came from the IV Village, Pondok Damuli, Subdistrict Air Batu. Several patients were reconciled to RSU Adam Malik, Medan, because their conditions were increasingly weak. In the meantime, the Health Service speaking through the Head of Sector P2P, Yusnan Pane, said that his office received the report from the community and the RSU personnel about the existence of the residents who were taken to RSU Kisaran because of bird flu infection. Yusnan confirmed information from the Asahan County Livestock Service that in this area they poultry that died suddenly who were expected to be infected with bird flu. Only he could not give the comment in more detail, because, the death of the poultry is the responsibility of the Livestock Service. Dinkes, said Yusnan, cooperated in handling the 12 patents with health officials from the North Sumatran Province.

"The patients' blood samples have been sent to Jakarta. We do not yet know when the results will descend. But hopefully by this Sunday the results will descend," said Yusnan when being met in front of the main space of RSU Kisaran. Asked for the patients' data, he said that all were still being treated.

"From the field I have just observed the matter of the bird flu to the office, there I complete this data," he said. According to Yusnan, Asahan County Livestock Agency destroyed the poultry in this area, because according to local community information, there were several poultries that died suddenly. That was carried out to anticipate the expansion of this virus.

"If the poultry were not positively attacked by bird flu, why were they destroyed? Precisely because they were positive, therefore they were destroyed," he said

http://www.jawapos.co.id/halaman/index.php?act=detail&nid=16820
hat-tip Influentia2/History Lover

 

[tropical]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

""The patients' blood samples have been sent to Jakarta. We do not yet know when the results will descend. But hopefully by this Sunday the results will descend," said Yusnan when being met in front of the main space of RSU Kisaran."

And hopefully for the others, those were people contaminated by infected poultry exposure only, instead we'll probably also see health pers. illnessed in the results meantime.

 

[Helblindi]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

FWIW, one source states after hospital doctors that the two kids have been confirmed as AI cases:

Avian Flu strikes Indonesia again
07/08/08

Avian Influenza virus has hit Indonesia killing three people with 13 others admitted to hospital with symptoms. Residents in Asahan district of North Sumatra province say last week, villagers began showing symptoms of avian flu after a large number of chickens died suddenly. A baby boy and a seven year old girl were transferred early this morning to a bird flu isolation unit at Adam Malik hospital in the provincial capital of Medan.

A spokesperson at the hospital, Sinar Ginting confirmed that blood samples from the two children when tested revealed the virus. The Ministry, which has stopped giving regular bird flu updates, announced earlier this week that the human toll from avian influenza in Indonesia has risen to one hundred and 12 with the recent death of a 19 year old man. Indonesia is the worst hit country by the deadly H5NI strain of bird flu, which can be passed from bird to human.


http://gbcghana.com/news/21773detail.html

(PS. Thank you all for your welcomes!)

 

[tropical]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

From "FluWiki" web:

"North Sumatra: Bloomberg
To contact the reporter on this story: Arijit Ghosh in Jakarta at aghosh@bloomberg.net

Indonesia Testing 13 Ill People in North Sumatra for Bird Flu
By Arijit Ghosh
Aug. 7 (Bloomberg) -- Indonesia is conducting tests on 13 people in North Sumatra who fell ill with fever following chicken deaths in the area, to determine whether they are suffering from avian influenza, a Health Ministry official said. The people under surveillance live in the Asahan region about 1,400 kilometers (871 miles) northeast of Jakarta, said I Nyoman Kandun, the Health Ministry's director-general for illness control and environmental health. Those who develop influenza-like symptoms will be isolated and given the anti- viral drug oseltamivir, he said."


given oseltamivir (Tamiflu), not zanamivir (Relenza).

 

[Commonground]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

[I think this is a blog from the Dept. Health Republik Indo - Kantor Health ....Medan. Also...."Shavings" is Asahan]

Suspect Flu Burung: 11 residents of the Air Batu Subdistrict, Kabupaten Asahan North Sumatra
Thursday, in August 7, 2008

Suspect Flu Burung: 11 residents of the Air Batu Subdistrict, Kabupaten Asahan Sumatra Utara Medan - eleven residents Kec.Airbatu, Kab. Shavings were expected suspect bird flu. Two including being reconciled to RSUP H Adam Malik Medan. Whereas 9 other residents were still undergoing observation in RSU H Abdul Manan S Kisaran in shavings. The head of public relations of RSUP H Adam Malik Medan, Sinar Ginting SE to the reporter justified this matter.

?'Two the male child and the woman that is Muhammad Sani Mufli to be age of 8 months and Fadilah Hanum to be age of 7 years origin Remote Village 4, Desa Airbatu,39, Pondok Damuli Afdeling,5, Kec. Airbatu, Kab. Asahan arrive in RSUP H Adam Malik Wednesday (6/8) struck 02,00 dawns, he said.

Ginting said the two patients were handled and examined intensively in the special building of Bird Flu of RSUP H Adam Malik Medan. ?'Tiba in this hospital of the two patients was hot him was very high achieved 30-40 levels celcius, but in a manner gradually the temperature of the body began to descend, he said. The patient, according to him was given by Tamiflu in beginning help and was done by the test sample to the throat, the nose and blood. ?'Sampel immediately was sent by us to the laboratory of Puslitbang Kes in Jakarta. Results were as soon as possible known, positive bird flu or the negative, said Ginting.

Now from RSU Kisaren informed,9 the resident who still was undergoing observation and the hospitalisation that is Darsiyem,32, Misniah,35, Ujang,38, Sudira,39, Indah Purnama Sari,6, Rindi,8, Dwi Yanti,5, Rama Agus Setiana,2, dan Retno Ayu Pratiwi. The condition for the 'patient currently improves with the temperature' of the 'body began to be normal and several have been justified again came home',' mentioned Director RSU KISARAN, Dr H Bambang Wahyudi to was on the alert, on Thursday (7/8).

The high fever coincided with the entry 11 residents to RSU Kisaren because of being expected by flu burung, 3 the resident in the same village it was reported died that is Misnan,45, Rizki Gunawan,5, dan Igo,6. Was not yet it was known third the resident was attacked by the bird flu illness or not. However the three casualties died with the sign of the hot fever, breathless and the side swollen. Darsiem one of the patients said his child of fortune Rizki Gunawan,5, died on Friday (1/8) with symptom the further fever was followed Igo,6, his neighbouring child of one village.

Beforehand that died earlier that is Misnan,45. Did this incident have his relations with the death of the kept livestock the resident there, was not known definitely. ?'As known we the kept livestock the resident who died suddenly his location very far from our residence and did not total big, he said Darsiem that still diinfus in space 10 of RSU Kisaran. The similar matter was said Selamat Riyadi that accompanied his child of Muhammad Sani Mufli was 8 months old that was treated in RSUP H Adam Malik Medan. ?'Semua the resident who was treated this was one village. At that time many chicken livestock that died suddenly in our village, he said.

http://kkpmedan.blogspot.com/2008/08/suspect-flu-burung-11-warga-kecamatan.html

 

[Commonground]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Post #77 pretty much wiped me out. This is what I have gathered from it:

Misnan (45) died before 8/1. Residence very far from Darsiem.

Darsiem (32) in RSU Kisaran
Rizki Gunawan (5) died on 8/1. Child of Darsiem.

Igo (6) died after 8/1. Neighbor.

Sani Mufli (8 months) in RSU H Abdul
Selamat Riyadi - Father.

 

[Giuseppe]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

There is a continuing lack of details about this case.

Date onset for every case.

Description of the symptoms, signs and radiological findings when available.

Laboratory findings, ie blood cells count, platelets count, serum proteins (albumin, globulins), liver enzymes, LDH (often this marker indicates a severe lungs damage), CPK etc.

Links between patients.

How can we reach a preliminary conclusion without these informations?

Further, patients are in treatment with other drugs other than tamiflu? Are they affected by other conditions prior hospital admission?

When was tamiflu started?

....

 

[tropical]

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

Re: Suspected Bird Flu Outbreak in Indonesia Hospitalizes 13, 3 Suspected Deaths

From Comm. in #77:

"Ginting said the two patients were handled and examined intensively in the special building of Bird Flu of RSUP H Adam Malik Medan. ‘'Tiba in this hospital of the two patients was hot him was very high achieved 30-40 levels celcius, but in a manner gradually the temperature of the body began to descend, he said. The patient, according to him was given by Tamiflu in beginning help and was done by the test sample to the throat, the nose and blood. ‘'Sampel immediately was sent by us to the laboratory of Puslitbang Kes in Jakarta. Results were as soon as possible known, positive bird flu or the negative, said Ginting."

Iron., from the above news, only Tamiflu, and in the begining of medical (building site) assistance.