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

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

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

N. Sumatra remains alert against bird flu outbreak

Apriadi Gunawan, The Jakarta Post, Medan

The North Sumatra Health Office remains on "extraordinary occurrence" (KLB) alert status following the deaths of three people and the hospitalization of 13 others believed to have contracted bird flu.

Office head Chandra Syafei Monday said his office had imposed KLB status because it had so far not received autopsy reports to determine the causes of deaths from the Health Ministry, including results on blood samples and bodily fluid from the patients from Air Batu district in Asahan regency.

Chandra said he personally learned that the patients' blood tests were negative for bird flu from the ministry's website, but remained wary due to the lack of an official report from the ministry.

"So far there has yet to be any report specifying whether the three victims in Asahan were positively or negatively infected with the bird flu virus. If the results are positive, we will have to monitor the area longer," Syafei told The Jakarta Post in Medan on Monday.

Chandra said a number of health workers were still in Asahan to monitor the situation.

"We are on full alert to monitor developments of a bird flu outbreak in Asahan. A team from the World Health Organization is still there to investigate the case," said Chandra.

He added that health officials were focusing on the three fatalities and the 13 current patients showing symptoms consistent with bird flu.

Chandra said so far those involved in the investigation could not determine the causes of death of the three victims and the 13 currently hospitalized.

"The three people died following the discovery of dead poultry, but we don't know whether or not it was the cause," Chandra added.

Chandra said authorities had disposed of 276 infected birds in Asahan and would continue to slay birds believed to be infected with virus.

Nearby Labuhan Ratu regency has killed 1,126 birds after seeing hundreds suddenly die in the past week.

Labuhan Batu Vice Regent Sudarwanto said the virus had affected the poultry population in six subdistricts of North Rantau: Padang Bulan, Cendana, Lobusona, Sirandorung, Ujung Bandar and Padang Matinggi.

Sudarwanto said his office had taken several measures to prevent the spread of the disease, such as disposing of birds, conducting public awareness campaigns and using rapid testing.

It has also set up posts in bird flu-prone areas.

"We have so far carried out various anticipatory measures to curb the virus spread, and we urge people to remain alert," Sudarwanto said.
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http://old.thejakartapost.com/detailheadlines.asp?fileid=20080812.A05&irec=4
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Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

AGAIN BIRD FLU PATIENTS treated in RS Abdul MANAN

The hospital of Abdul Manan Kisaran, Asahan, North Sumatra again received three flattest patients bird flu from the Kebun Tiga Village, Kecamatan Air Batu, Asahan.

The three patients were Amanda that the six months as well as two children, namely Yosi Elida and Sutriono.

The three of them underwent the maintenance in the hospital since last Monday (11/8). The patient was carried to the hospital because of the temperature of the body the three of them hot high was accompanied by the cough when being checked in the local community health centre.

On the same day 12 residents who were treated were returned after results of the Department's inspection of the Health in Jakarta stated 12 samples of their blood the negative was infected by the bird flu virus.

The head of the Hospital of Abdul Manan Kisaran Doctor Bambang claimed, his side returned 12 patients because of being not infected by bird flu.

Whereas the condition for the three patients who just entered began to improve.

However, the planned hospital side sent the sample of blood the three of them to be checked in the laboratory in Jakarta.

http://www.metrotvnews.com/berita.asp?id=64401
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

Metrotvnews.com, Asahan:

the Hospital of Abdul Manan Kisaran, Asahan, North Sumatra again received three flattest patients bird flu from the Kebun Tiga Village, Kecamatan Air Batu, Asahan.

The three patients were Amanda that the six months as well as two children, namely Yosi Elida and Sutriono.

The three of them underwent the maintenance in the hospital since last Monday (11/8).

The patient was carried to the hospital because of the temperature of the body the three of them hot high was accompanied by the cough when being checked in the local community health centre.

On the same day 12 residents who were treated were returned after results of the Department's inspection of the Health in Jakarta stated 12 samples of their blood the negative was infected by the bird flu virus.

The head of the Hospital of Abdul Manan Kisaran Doctor Bambang claimed, his side returned 12 patients because of being not infected by bird flu.

Whereas the condition for the three patients who just entered began to improve.

However, the planned hospital side sent the sample of blood the three of them to be checked in the laboratory in Jakarta. (the SHOT)
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http://www.metrotvnews.com/berita.asp?id=64401
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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 the same day 12 residents who were treated were returned

meaning they were sent home...I think.
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

The patient was carried to the hospital because of the temperature of the body the three of them hot high was accompanied by the cough when being checked in the local community health centre.

They had to be in worse condition than the others that appeared, and were thrown on Tamiflu....and sent home. They could have been referred to the Community Health Center, from one of the command posts. We have it noted here, somewhere, that 73 people out of 1,409 admitted to suffering from signs of bird flu at the command posts.

It could also be one or more of the 5-10 families that suffered the signs of bird flu, and are being watched, by volunteers, that were assigned by the Government.
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

The point is: what does it mean 'bird flu symptoms'?

* Fever > 39?C
* Cough (productive)
* Toracic murmures
* Possible contact history with poultry
* Possible contact history with other ILI patients

If a patient develops more severe symptoms than will be send to another hospital for ICU maintenance.

How do you think Cg?
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

An article mentioned (somewhere) that it could be a simple as a "fever" to be considered with "flu" symptoms. I don't have time right now to look for it, though.
We've read the articles of the Tamiflu being dispensed. I think that whatever symptoms these additional 3 had...they were such that they were admitted to the hospital, above and beyond, what the other citizens had, that were merely given Tamiflu and sent home.

Is TT working for you? I'm having a hard time with it.
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

Madina is apparently a shortened name or nickname for Mandailing Natal Regency. Serdang Bedagai was split off from Deli Serdang in about 2003. It is sometimes shortened to Sergai.

Of these 10 regencies or cities, I believe only four of them have had confirmed or suspected human cases of H5N1 (bolded below). No formal reports of human H5N1 cases from the two southwestern regencies of Mandailing Natal and Tapanuli Selatan of Sumatera Utara have been reported, but WHO is apparently setting up some offices there.

Medan -
Deli Serdang -
Serdang Bedagai -
Simalungun -
Karo -
Pematang Siantar -
Tapanuli Selatan -
Tebing Tinggi -
Madina -

Approximate location map of the regencies and cities.

When I look at the chart of Laidback Al, I see a first series of regencies distributed in two bunches to the North and the South of North Sumatra. When I add other regencies which are to be come, I realize which one fills partly the vacuum between the two bunches by leaving an open hole made up of Asahan, Tanjung Balai and Toba Samosir. I note that they circumscribe Asahan as an epicentre.
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

Thank you very much Muscade for that analysis.
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

An article mentioned (somewhere) that it could be a simple as a "fever" to be considered with "flu" symptoms. I don't have time right now to look for it, though.
We've read the articles of the Tamiflu being dispensed. I think that whatever symptoms these additional 3 had...they were such that they were admitted to the hospital, above and beyond, what the other citizens had, that were merely given Tamiflu and sent home.

Is TT working for you? I'm having a hard time with it.

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

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

Bird flu nihil in Padangsidimpuan

WASPADA ONLINE PADANGSIDIMPUAN -

the Padangsidimpuan City according to Kadis Pertanian-Peternakan-Kehutanan, Ahmad Nasution, safe from the spreading of the virus of H5NI Avian Influenza (AI) or bird flu.

Although being known as the area of transit and the shopping, as far as this is concerned the AI case nihil.

"We continued to carry out the tight supervision of the poultry that will enter the market," mentioned Ahmad in the socialisation agenda of Bird Flu that was spread out with the Health Service and in Muhammadiyah the City P.Sidimpuan, on Monday (11/8) in Alaman Bolak Padangnadimpu.

Ahmad narrated, the AI virus became an epidemic in 2003 and a year later began to be detected in Indonesia. In 2005 the virus that could spread to the poultry, the pig, and the humankind was detected in North Sumatra. A year later, in December 2006, hundreds of chickens died in the Goti Village, the Padangsidimpuan city resulting from the AI virus.

Since that time Pemko Padangsidimpuan serious carried out the prevention of the spreading of the AI virus, like spraying of the poultry pen belonging to the resident. Supervised each poultry that came from outside the area and carried out the socialisation of the prevention of the spread as well as the spreading of the AI virus.

Currently, said Ahmad, despite the city P.Sidimpuan has entered the stage as the area of the goods and services shopping centre in the region West Coast North Sumatra.

Bird flu nihil in the area although being adjacent to one of the territories Kab.Madina that recently terjangkit the AI virus.

In the agenda that was composed by the movement of the relaxed road and peninjaun the chicken trader in the Pajak Batu Market, Ahmad asked the resident to mensosialisasikan six steps in the prevention of the spread of the AI virus to the family and the neighbour. "Come on together combatted the bird flu virus," ajak him.

As for six steps in the prevention, avoided the concerned attitude that was abundant towards the virus of AI. Petani the poultry must hard-working cleaned his livestock pen, avoided direct contact with the poultry that died suddenly and it was suspected was infected by the bird flu virus.

Wash the hands with soap. Afterwards every time cooked meat must be really cooked, and reported immediately to the official of the health or the government's closest apparatus if suspected the spreading of the bird flu virus in and around their respective environment happened.

The Head of Sector the Control of the Environment of Dinkes P.Sidimpuan, dr.Aminuddin, mentioned bird flu of the respiratory tract illness that was resulted in by the virus H5NI. in Padangsidimpuan, he said, the AI case to humankind had never happened.

Because of this he asked all the resident to continue to behave lived healthy.

The team of the Control of Muhammadiyah Bird Flu said, in one time that could not be ascertained the pandemic of the bird flu virus in Indonesia will happen.

The government of the centre instructed all the area to be ready alert anticipated the pandemic and one of them carried out the socialisation. (iwa/a20)
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http://www.waspada.co.id/Berita/Sumut/Flu-burung-nihil-di-Padangsidimpuan.html
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Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

The level of the Flu Burung Menurun Fatality, Warga Continue To Harus Siaga

Kapanlagi.com -

the Executive Director of the Nasional Pengendalian Commission of Bird Flu and Menghadapi Pandemi Influenza Preparedness (FBPI), Bayu Krisnamurthi, said the level of the bird flu fatality in Indonesia during 2008 descended against the year beforehand. "If being compared by us, the level" of the "bird flu fatality in the year"

For the first semester 2008, Komnas FBHI recorded 19 people of flattest positive confirmation bird flu that 16 including dying.

Although the fatality figure descended, Bayu stressed that the bird flu incident stayed occurring in a Jabodetabek round.

"This was tight his connection with the height" of the "intensity, population density, and the area" of the "trade" in the "poultry that was adjacent to the human residence," he said.

Quoted from results of the Analysis of the Risiko Factor, said Bayu, 42% of the bird flu patient that it was confirmed evidently carried out direct contact with the poultry that was sick or died. "32% other were related to environmental contact, where having the poultry that was sick or died suddenly around their residence." And 26% the positive patient bird flu could not be known precisely the cause of his spreading and where they were flattest this virus, said he.
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http://www.kapanlagi.com/h/0000244238.html
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Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

Lots of Tamiflu. You do not treat Dengue with Tamiflu. Watch what they "do". Not what they "say".

Post #194:
After being stated as the area that experienced the Luar Biasa Incident (KLB) bird flu, the Asahan Regency accepted help 200 medicine tablets tamiflu from the Service of Kesehatan North Sumatra. ?Selama this, each Community Health Centre has in North Sumatra been given 200 tablets tamiflu. However for Kab. Shavings have been distributed totalling 200 tablets more to guard-jaga,? the headword Sub- Dinas Pemberantasan of the Illness and Lingkungan Sanitation (P2PL) the Service of Kesehatan North Sumatra Dr. Surya Dharma, when being contacted by the reporter, on Monday (10/8).

Post #198
The matter of stock of Tamiflu medicine, according to the Moon was still sufficient for all the community health centre in the regency/the city in North Sumatra because uptil now each community health centre must have stock of medicine although being not found by the case of bird flu. ?Di dinkes still was available 1,000 Tamiflu capsules that could be used for 100 people.
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

They seem to act without a precise diagnosis, with tentative treatment of everyone displays ILI symptoms.

But this is a dangerous move: if an influenza A virus circulate - both human of avian - will be become resistant at brief.

Thus, the identification of causal agent(s) is urgently needed.
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

[May be a repeat, Mods can delete, if so]

Rantauprapat Alert one Bird Flu, the Regional Government destroyed Hundreds Of tails of the Poultry
Agustus 12th, 2008

The virus avian influenza alias bird flu increasingly spread in Rantauprapat. From 3 districts cleared to five districts in the Rantau Utara Subdistrict, Kabupaten Labuhanbatu. Hundreds of poultry that died suddenly were destroyed. However was not yet found by the indication keterjangkitan him against the resident. The Labuhanbatu Regional Government, appointed Rantauprapat the capital of the area of the producer of the oil palm and Labuhanbatu rubber, Siaga I (one) bird flu. The step was followed with the extermination of the poultry belonging to the resident who was done by the Representative Regent H Sudarwanto, Plt Sekdakab Drs Karlos Siahaan and other, on Sunday (10/8), in the yard of the Office of Lurah Padang Bulan, Kecamatan Rantau Utara.

As many as 316 livestock of the poultry kind were destroyed by Wabup with the medical team from the Service of Peternakan Provinsi North Sumatra and the Labuhanbatu Regional Government co-operated Officially Kesehatan local. Counted since the date 2?10 in August 2008, already 1,126 tails of the poultry that was destroyed. The poultry death rate in this area it was predicted will improve. In the environment of Al Haida, Kelurahan Sirandorung, already 250 tails more the poultry that died, was not closed the possibility will improve. ?Sudah two weeks Sir, the poultry in this environment died suddenly. The amount hundreds ekor,? said Umardani Siregar, Lurah the Sirandorung District to the reporter, on Sunday (10/8), after the socialisation of the handling/the prevention of bird flu was in the environment meant. The same village head said that at this time Rantauprapat Siaga 1 prevention of the spreading of the bird flu virus, reconciled the Representative's statement Regent H Sudarwanto.

In the opportunity, the village head with the resident and the Service side of Peternakan Labuhanbatu scolded in the location that was regarded as serious towards the spreading of the deadly virus, especially in the settlement of the resident of the breeder of the poultry kind. Wabup H Sudarwanto during the extermination (the burning) the poultry in the District Padang Bulan, said his side has carried out some anticipation of the spreading of the bird flu virus. He said, as far as this is concerned already 5 districts that have been attacked by the bird flu virus, that is; the District Padang Bulan, Cendana, Lobusona, Sirandorung, Ujung of the Port and Padang Matinggi, Kecamatan Rantau Utara. Anticipation that has been carried out, he added, the extermination of the poultry, the socialisation, the inspection with Rapid the test that positive results of bird flu. Made the command posts in the dangerous region and respectively the sub-district head's office. Carried out spraying with Disinfectant and the vaccination.

?Sejauh this we have carried out various limiting anticipation of the spreading of the virus. Nevertheless we continue to ask for in order to continue to co-operate with warga,? explained Sudarwanto. The further action that will be carried out was the mass vaccination, depopulation and continuous spraying. ?Kita hoped for the awareness of the resident to report if in his environment the indication of the spreading of the plague of flu happened burung,? requested Sudarwanto to the resident.

http://hariansib.com/2008/08/12/ran...-burung-pemkab-musnahkan-ratusan-ekor-unggas/
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

They seem to act without a precise diagnosis, with tentative treatment of everyone displays ILI symptoms.

But this is a dangerous move: if an influenza A virus circulate - both human of avian - will be become resistant at brief.

Thus, the identification of causal agent(s) is urgently needed.
They have been operating this way for several years. Changes are unlikely.
 
Re: Suspected Bird Flu Outbreak in North Sumatra (Air Batu, & Environs) Indonesia

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

Two patients RS Adam Malik of BIRD FLU of the NEGATIVE

Metrotvnews.com, Asahan: Muhamad Sani Muflih and Fadillah Hamun, two patients who were expected flattest bird flu, was stated positive was not infected by the virus H5N1. This news was sent by Deputy Director Rumah Sakit Adam Malik, Medan, North Sumatra, Doctor Aswan Lubis, on Tuesday (12/8). "Both of them the bird flu negative," said Aswan Lubis. Results of the sample test of blood of the two patients who were tested in Jakarta were just accepted today.

Well Muhammad Sani and Fadillah Hanum were allowed to leave the hospital.

The two villagers Damuli, Kecamatan Air Batu, of Asahan, that has a week was treated in Space of Isolasi Flu Burung Rumah Sakit Adam Malik. However, because Hanum was still being attacked by dengue fever, he was still being treated in this hospital.

Be different from yesterday during trombosit Hanum descended dratis, today trombosit him gradually rose. If originally only 57 thousand currently became 75 thousand. Indeed, this number still below trombosit normal, namely 120 thousand. But this development showed his health improved.

In the place was separated, nine residents who were treated the Hospital of Abdul Manan Kisaran, Asahan, has been allowed to return to his house. This after the hospital side accepted results of the sample of the blood inspection of Jakarta was stated by the bird flu negative.

Their village was also stated by the bird flu negative. However, today the Public Hospital of Abdul Manan again receives three patients who were expected flattest bird flu. They came from the Kebon Village three, Kecamatan Air Batu.

The patient consisted of the baby was six months old had a name Safe and two children, namely Yosi Elinda and Sutriono. The hospital side will send the sample of blood to Jakarta to confirm whether the three of them terjangkit bird flu.
 
Last edited:
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 guess I must be reading this wrong. Did those two go home?]

Well Muhammad Sani and Fadillah Hanum were allowed to leave the hospital.

The two villagers Damuli, Kecamatan Air Batu, of Asahan, that has a week was treated in Space of Isolasi Flu Burung Rumah Sakit Adam Malik. However, because Hanum was still being attacked by dengue fever, he was still being treated in this hospital.

Be different from yesterday during trombosit Hanum descended dratis, today trombosit him gradually rose. If originally only 57 thousand currently became 75 thousand. Indeed, this number still below trombosit normal, namely 120 thousand. But this development showed his health improved.
 
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