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

[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

Perhaps the paediatric care is better equipped than for general public.

Previous circulation of Dengue virus may induce an immune response in older people and children may have less antibodies to a particular strain.

Clearly, in the area there are dengue outbreaks, even outside Sumatra, notably in Singapore where more than 140 cases were detected in a week.

One may argue that the laboratory skill of Singapore is well developed and thus diagnosis is accurate.

If something strange circulates in the neighbours (eg: Sumatra, Malaysia) I think these labs may have already isolated it.

Are there some workers migration movements between Indonesia and Singapore?

Probably yes. And goods movements as well with infected mosquitoes...

 

[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

IOH:
Previous circulation of Dengue virus may induce an immune response in older people and children may have less antibodies to a particular strain.

It appears you do not get antibodies to Dengue. Quite the opposite:

Same article I linked to above:

Anyone who has had dengue fever once faces a much higher risk of developing dengue hemorrhagic fever if they contract the disease a second time. In fact, nine out of 10 dengue hemorrhagic fever cases occur in people who've previously had dengue fever, Kain says.

And since there are four strains of dengue viruses and infection with one doesn't protect against infection with one of the others, that's more than simply a theoretical risk.

Are there some workers migration movements between Indonesia and Singapore?

Probably yes. And goods movements as well with infected mosquitoes...

Yes, I also think it's being carried thru their imports/exports with eachother.

A newly published study looking at trends in dengue infections in travellers notes the past 20 years have seen a marked expansion of dengue's turf, from Southeast Asia to the islands of the South Pacific, the Caribbean and the Americas. There have even been domestically acquired infections in some of the southernmost U.S. states.

Dengue has become a more common diagnosis than malaria for ill travellers returning from tropical regions except Africa, notes the study, published in the July issue of Emerging Infectious Diseases.

An analysis of cases reported to the Geosentinel Surveillance Network, an international collaboration of specialized travel and tropical medicine clinics, shows that from October 1997 through February 2006, 522 of nearly 25,000 ill travellers seen at network clinics were diagnosed with dengue or dengue hemorrhagic fever.

While that's only 2.1 per cent, it is also only a fraction of the cases that would actually have occurred during that period, says one of the study authors, Dr. Kevin Kain. Not everyone who gets sick after returning from a trip will end up at a travel clinic looking for care.

 

[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

DBD Still Contagious in the Tanjung Balai, Another pre-schoolers died and 38 were treated
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-comfficeffice" /><o></o>
Tanjung Balai, (the Analysis) Plague casualties of Deman Berdarah (DBD) in Tanjung Balai improved, until this already seven fatalities followed the death of a pre-schooler Wagianto (6 months) the resident of the Seroja Es Dengki Shoal of Tanjung Balai Utara on Thursday night (21/8) after five days underwent the intensive maintenance in RSU Dr Tengku Mansyur Tanjung Balai. Information was received in RSU Dr Tengku Mansyur on Friday (22/8) mentioned, until this was still having casualties's 38 patients DBD that underwent the maintenance.
<o></o>
This number every day improved in fact in a day was recorded by seven patients DBD that still was treated in RSU that is, Ade (2.5) the resident of the Selat Lancang , Daniel (7) the resident of the TPO complex, Dendy Sofyan (7) the resident Street Tiung Selat Lancang, M. Andi (5) the resident of Selat Lancang , Hendra Gunawan (14) Street Anwar Idris, M. Khadafi (8) and M. Alfarizi (9) Street Mt Haryono. Was based on the last data in RSU Tengku Mansyur, the number of DBD casualties from January to August 2008 totalling 189 people, seven including dying.
<o></o>
Raising

Kami every day continued to receive casualties DBD that the amount continued to experience the increase and up until yesterday still was treated totalling 38 pasien,? revealed public relations of RSU Dr Tengku Mansyur Cosmas Siagian. Beforehand Chairman Komisi C Dprd Tanjung Balai Syafaruddin said, the number of DBD casualties has in Tanjung Balai exceeded the tolerance limit and was the majority in Indonesia. Pemko Tanjung Balai must carry out various methods to deal with without looking for the reason reason that his impression threw the ball. ?Jumlah DBD casualties have in our city been extraordinary, his control also no longer could be carried out normally but must be extraordinary juga,? he said.
<o></o>
Observation of the Analysis in the DBD incident in Tanjung Balai, DBD eradication efforts were not yet maximal and still proceeding turned in medical treatment. Now prevention efforts of casualties, until this was not yet seen until the RSU side must every day accommodate casualties. Moreover, casualties DBD that was named by the mayor got free medical treatment also not terealiasi. This was expressed from casualties's family DBD that admitted to being quoted the fund or the medical treatment cost on the basis of the fund from pemko was not yet liquid. ?Kami so very was difficult all this patient must enter and get the temporary maintenance of his fund was not yet liquid from pemko,? said RSU. public relations (gsp)

http://analisadaily.com/2-6.htm

 

[AlaskaDenise]

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

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

Commentary

http://www.recombinomics.com/News/08220802/H5N1_Sumatra_Dengue_Rise.html

Commentary

Sumatra Dengue Hemorrhagic Fever Deaths Continue to Increase
Recombinomics Commentary 23:15
August 22, 2008

Tanjungbalai (SIB) one person more the sufferer of the dengue fever illness (DBD) that was treated in RSU the Mansyur Tanjungbalai Tank died, on Thursday night (21/8). Casualties who died that, Wagi Anto (6 years) the inhabitants of the Serojoh Kelurahan Shoal the Kecamatan Sei Tualang Raso Tanjungbalai Turret shrine.

Wagi Anto (6) the child was from the fisherman Yadi treated in RSU Tengku Mansyur for 5 days, but the condition for casualties increasingly worsened because of experiencing the bleeding from the nose and the anus.

The 7 casualties DBD yan died that, Junita (7), Dara(5), Maulana Safira (5), Safrianti (6), Wagia Anto (6), Bahdani (7) and Rama Dinar (4).

The above translation descibes additional deaths of patients in North Sumatra. Although there have been H5N1 poultry deaths in the area, these patients, who are dying with bird flu symptoms, are said to be victims of dengue hemorrhagic fever. These is no indication that the diagnosis of any of these patients has been laboratory confirmed. Dengue hemorrhagic fever is a frequent misdiagnosis for H5N1 including clusters.

Similarly, the WHO team investigating the deaths of three other victims have not commented on the cause of death and WHO has not acknowledged the lab confirmed H5N1 fatalities of victims infected in July.

The continued silence by WHO and the increasing death of patients in the area with bird flu symptoms continues to be cause for concern.


.

 

[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

Participants in the Training of the Spokesperson the Team of Kab public relations of Level Bird Flu/the City of Prop North Sumatra visited the SIB
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-comfficeffice" /><o></o>
Posted Daily in Medan we by editorial staff ounce in August 24th, 2008
<o></o>
Medan (SIB) participants “Pelatihan the team's spokesperson of public relations of level bird flu kab/the Sumut” province city berjumah 32 people, on Saturday afternoon (23/8) visited to the SIB Daily office was accepted by the Secretary of Manapar Manullang editorial staff. The party that was led by Suhardiono SKM MKes and Suhadi SKM MKes from the Health Service of the North Sumatran province visited to the SIB Daily office as the series from the training of the team's spokesperson of bird flu public relations from 8 areas that “bermasalah” with the case of bird flu (H5N1).
<o></o>
In the beginning of the visit, Suhardiono SKM MKes explained, the training was carried out on August 20-25 2008 in the International Berastagi Hotel that was followed 8 kab/the city namely Madina, Tapsel, Asahan, Tanjungbalai, Taput, Humbahas, Langkat and Deliserdang. Mentioned, the 8 areas were the area that was found by the case H5N1 positive (bird flu) to the poultry so as participants were in the training involved by the official of the health, Infokom and Agriculture/livestock breeding so as to be able to give information that was good and true about bird flu to the community, explained Suhardiono. Take part in being present in the party, Dr Cita and Dr Novi adari Subdit Gonosis Department of Health RI. Sekretaris of Harian SIB editorial staff, Manapar Manullang explained, scenery about the function and the role of a public relations where that most important was to control the problem so as communication will be created better so as a public relations can give the explanation that was true and clear to the community through the press.
<o></o>
Manullang also explained, how the process of the processing of the news material until becoming the guest plate of the news that was poured in the daily newspaper of SIB. Peserta in the training was asked to establish good relations, and the SIB daily was ready to help gave the reporting service about the development in the area each with sent the news material was supplemented with the sign of the identity of public relations that were relevant as one of the steps in the work was the same as SIB, he explained was welcomed by the audience's applause. Beforehand, Manullang also delivered love from Chief Umum Harian SIB Dr GM Panggabean to the party. After the meeting in the III floor the SIB Daily building, participants were also asked to see directly the process in editorial staff, the unit setting, layout, the camera, and the Goss unit. (M.-12/u)
<o></o>
http://hariansib.com/2008/08/24/pes...ngkat-kabkota-prop-sumut-kunjungi-harian-sib/

 

[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'm not sure if this should go here? It is in the same area]

Attacked by the Strange Illness, 3 residents were killed
Minggu 24 Agustus 2008, Jam: 7:24:00

The strange illness attacked villagers Gading Coral, Kecamatan Labuhan Deli, of Kabupaten Deli Serdang, North Sumatra. As a result 3 residents were killed and 70 other was forced to be treated in the hospital. The resident who was attacked experienced pain in the stomach part and defecated was mixed with blood. This strange illness attacked since a last week, with the characteristics of the stomach was sick, the limp body, nausea and defecated was mixed with blood. Suhardi,43, one of the sufferers, said he took medicine to one of the hospitals in kasawan the XII Market, Pangkalan Brandan, but did not yet experience the development. "I began to have a stomach-ache since the last three days." Because did not keep, I at once took medicine to the hospital, but did not recover also. According to the doctor, I was hit by side acid, he said, on Saturday (23/8).

Stomach pecah [translates = to separate/shatter/break to pieces]

Stated, outcome resulting from this strange illness, already three residents died in a last week. A person among them the child was four years old with the stomach pecah. Before dying, the three of them were attacked by the illness with the same sign. "We not to know what illness. Still/however stomach child that pecah" added Suhardi. Resulting from this illness, several residents were brought to the closest hospital got the handling. Up to now, was not yet known definitely whether the illness kind that attacked the resident. The medical side in this area, has carried out help efforts. However, because his illness was not yet known so as to be difficult to diagnose him. The resident hoped the fast regional government intervened.

http://www.poskota.co.id/news_baca.asp?id=43632&ik=5

 

[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

The concurrent presence of hematemesis and red blood in faeces (and not ''black'' blood digested: ''melena''), could point to an ingestion of something that irritates GIT mucosal membranes, causing rupture of blood vessels or even perforation of intestines.

Sometimes in heavy crowded communities or colleges/barracks/nursing homes enteric pathogens can cause severe epidemics with these characteristics.

Toxic substances cannot be excluded since the description by newswires isn't enough to draw a clear picture of events (ie: fever?, other sings and symptoms, type of food consumed, liquors (homemade or smuggled), fumigations to counter mosquitoes with CO exposure, chemicals, insecticides...).

 

[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 Tuesday, on August 12 2008 08:00 WIB Isu of the fish berformalin did not blow in WASPADA ONLINE coal Fifty - Merebaknya rumours of the fish berformalin in North Sumatra in recent times not until blew to the sale in coal. In the meantime the selling price of the fish and meat in this region was still stable, as coverage was on the alert, on Monday (11/8). ?Walau rumours of the fish with formalin preservatives spread in North Sumatra especially Medan, but did not affect the consumer in coal. This was caused the coal territory that generally the coast had the source of the fish came from this area also. So as the believing consumer of the fish that was sold by the trader here did not use preservatives formalin,?cetus a trader..../more/

http://www.waspada.co.id/Ekonomi/Bisnis/Isu-ikan-berformalin-tak-berimbas-di-Batubara.html

Cr?dits: Anne

http://www.jtbaker.com/msds/frenchhtml/F5605.htm
formalin = formaldehyde plus methyl alcohol


Possible effects on Health
-------------------------------------------

Inhalation:
Can cause angina, cough, and breathlessness. Cause an irritation and a sensitizing of the respiratory tracts. Concentrations from 25 to 30 ppm cause a serious lesion of the respiratory tracts involving a pulmonary oedema and a pneumonitis. Can be mortal with high concentrations.
Ingestion:
Can cause important abdominal pains, vomiting violent one, an headache, and a diarrhoea. More important amounts can produce a fall of the temperature of the body, a pain of the digestive tract, a weak breathing, an irregular and weak pulse, an unconsciousness and death. The methanol component affects the optical nerve and can cause a blindness.

etc?

 

[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

Excellent Muscade!!!

 

[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

Agustus 9th, 2008
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-comfficeffice" /><o></o>
Rantauprapat (SIB) <o></o>
Hundreds Of chicken livestock of several residents in Rantauprapat, the Labuhanbatu Regency, died since two last weeks.

http://www.flutrackers.com/forum/showthread.php?p=175787#post175787

********************************
August 16 2008 08:06 WIB
250 prisoners Prison R. Prapat examined blood

To know whether terjangkit the HIV/AIDS, Dinas Kesehatan L. Batu and the Service Kesehatan North Sumatra carried out the blood inspection of 250 prisoners and Lapas Rantauprapat resistance, on Wednesday (13/8). Kesehatan L. Batu Section Head Dr. H. Nazmil Fuad went through Kasubdis P2PL Sutajid, BSc to was on the alert explained, the taking of the prisoner's white blood cells and resistance that were done by the team of the North Sumatran Health of the Service as prevention efforts and the control of the dangerous illness including the HIV/the AIDS. touched on about the phenomenon of hundreds of chickens died in L. Batu, Sutajid said, until this the chicken died because the bird flu was not yet found by his correlation towards the death of humankind in this area.

http://www.flutrackers.com/forum/showpost.php?p=174540&postcount=274

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

August 18 2008 08:35 WIB.
<o></o>
The cyclone broken hundreds of the resident's houses in Deli Serdang and Labuhanbatu.

<o>http://www.flutrackers.com/forum/showpost.php?p=174815&postcount=14</o>
<o></o>
<o>*********************************</o>

Machine translation

The Country city has For A Long Time been Chaotic, the Village Head seemed to close the eyes in Labuhanbatu
<o></o>
Posted in the Area by editorial staff ounce in August 25th, 2008 <o></o>

Negeri Lama (SIB)

Negeri Lama the capital of the Subdistrict Bilah Hillir that became the resident's pride at this time his condition was increasingly chaotic. His article, apart from the ditch of the water channel in front of dozens of most crammed shops because of the waste, the rest of the owners of the shop closed the surface of the ditch permanently so as cause difficulties for when cleaning him. As a result, water in the ditch often did not flow. In fact, was located in front of shops in the middle of the capital of the subdistrict. Worried by that will become ?istana? mosquitoes that will show various illnesses, like malaria, Dengue Dengue Fever (DBD), foot the elephant and other.
<o></o>
According to several residents, the implementation on Friday Bersih had not walked like long before. ?Jumat Bersih in the Lama Country district was not lagi,? the resident's words that did not want teak himself was named. Not only that, he continued, dozens of light bulbs in the available province road in the centre of the city and around it has been cut off. As a result, several corners of the city of night time became obscure even dark. The village head the Negeri Lama , Siti Ramadhan, when being met in his office, on Thursday, answered SIB, said, the owner of the shop has been reminded orally in order to tear down the permanent building on the ditch was meant to facilitate when from time to time had the improvement of the ditch. ?Secara oral the owner of the shop has been reminded, but was not that menggubris,? he said. (Fis/m.)

http://hariansib.com/2008/08/25/kota-negeri-lama-semrawut-lurah-terkesan-tutup-mata-di-labuhanbatu/

 

[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

The cost of casualties of the Resident's Medical Treatment DBD was borne by Pemko Tanjungbalai
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-comfficeffice" /><o></o>
Posted in the Area by editorial staff ounce in August 27th, 2008
<o></o>
Tanjungbalai (SIB) the Cost medical treatment of the community of dengue fever casualties (DBD) that was treated in my Tank public hospital of Mansyur Tanjungbalai was borne by the government of the city as that was sent by Mayor Dr H Sutrisno Hadi Sp Og in the plenary DPRD meeting just recently. That was said by Vice Chairman DPRD Tanjungbalai Justice Tjoa Kian Lie answered the reporter's question Saturday (23/8) were linked with the complaint of several residents of DBD illness casualties who were treated in the Tengku Mansyur public hospital was put on the maintenance cost and medical treatment. He mentioned, became an epidemic him the illness of dengue fever dengue fever (DBD) spread the area to several subdistricts in Tanjungbalai so as diklafikasikan the Luar Biasa Incident (KLB), that took fatalities and the pain figure relatively high. Because of that DPRD and Pemko agreed to use the APBD TA budget 2008 to deal with DBD as well as the community's medical treatment that became casualties.
<o></o>
He, really regretted the Tengku Mansyur public hospital side that quoted the medical treatment cost from the community that became DBD casualties on the basis of because Pemko did not yet dilute the fund to the side of RSU Tengku Mansyur. That must be carried out by the hospital side carried out medical treatment and the maintenance to casualties's DBD community as well as recorded all the further cost of the community's medical treatment was handed over to the government of the city. Asked to RSU Tengku Mansyur to serve the community honestly and professionally. This RSU should not take the opportunity in the community's suffering, the cost DBD of medical treatment of casualties's community was it was stressed borne by the government of the city.
<o></o>
In the meantime Director Rumah Sakit Umum Tengku Mansyur when it was confirmed through the RSU public relations of Cosmos Siagian said not all the patient DBD that was treated in this RSU was put on the cost, that was put on the medical treatment cost and the maintenance only to the patient who was treated in VIP space at the request of the patient's family.

Whereas the patient DBD that was treated in the III Ward was not put on the cost, said RSU Cosmos Siagian public relations, he also said the government of the city did not yet give the fund to the RSU side, so as they were overwhelmed to buy the medicine to casualties DBD. (S16/p)

<o>http://hariansib.com/2008/08/27/biaya-pengobatan-warga-korban-dbd-ditanggung-pemko-tanjungbalai/</o>

 

[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

Menkes Dr Fadillah Soepari: the Handling of Bird Flu and DBD Pemda responsibility in Medan we

Posted by editorial staff ounce in August 29th, 2008

Medan (SIB)

Health Minister Dr Siti Fadillah Soepari stressed, the problem of the prevention and the handling of the plague of dengue fever (DBD) and the bird flu illness in the area fully the regional government's their respective responsibility. “Penyakit that not my responsibility as Menkes, but the regional government's responsibility since the existence of decentralisation after the issuing of Otonomi UU of the Area. Tanya was the same the Provincial Government or the Regional Government where the illness berkembang,” firm the Minister to the reporter in the Polonia Airport, on Wednesday (27/8) when being asked about the emergence of several cases of bird flu and DBD that happened in Asahan and Medan some time before.
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-comfficeffice" /><o></o>
In spite of that Minister Fadillah only explained, cases of dengue fever and bird flu nationally only of 15.7 percent year round 2007. In the meantime the Head of the Hospital of H Adam Malik Dr M Djamaluddin Sambas, MARS that accompanied the Minister said, the case of the assumption of bird flu that fell on several residents of shavings some time before evidently the negative, meaning that untrue this illness happened and his sufferer has been healthy. “Misal him Fadilah, M. Sublime both of them from shavings at this time have recovered and it was confirmed left the house sakit,” firm Djamaluddin while adding two other sufferers the Acehinese resident and the resident Tuntungan then the bird flu negative.
<o></o>
Touched on about the Department's program of the Health, Menkes admitted to not remembering again the matter of programs because according to him the Department of Health program a great number for the interests of the health of the community. “Salah our one program, if the community want to was avoided from dengue fever cleaned the environment, the bathroom and the bedroom, the certain community sehat,” he stated. (M.-17/d)

http://hariansib.com/2008/08/29/men...ganan-flu-burung-dan-dbd-tanggungjawab-pemda/

 

[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

So is she saying it is not the Department of Health's responsibility for the handling of bf and dengue? She is still the Health Minister for the Country!

Health Minister Dr Siti Fadil -lah Soepari stressed, the problem of the prevention and the handling of the plague of dengue fever (DBD) and the bird flu illness in the area fully the regional government's their respective responsibility. ?Penyakit [Sickness/disease/a health disturbance] that not my responsibility as Menkes, but the regional government's responsibility since the existence of decentralisation after the issuing of Otonomi UU of the Area. Tanya [query] was the same the Provincial Government or the Regional Government where the illness berkembang [blosomed],? firm the Minister

 

[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

If she claims no responsibility, then why do we need official confirmation's from her? She is worthless to the health of Indonesia..

 

[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

My feeling is, the Health Minister is urging or encouraging the regional authorities to take their responsabilities towards dengue fever and bird flu.

Rightly so? Prevention and swift action in case of an outbreak has to be done locally? The Indonesian Regions have a high degree of autonomy.

When you look back 3 years, much has been done IMHO to tackle bird flu in Indonesia, a lot of money and other resources have been invested.

Ofcourse things could be improved, in many ways, but progress is made, also in relation with the very difficult and complicated circumstances.

How do you prevent dengue fever in slums in East Jakarta which sometimes are flooded 10 times or more every year? Which are sometimes inhabited in "shifts": 3 different people or families live in the same place during 24 hour time span. And so on.

On the other hand I remember a recent report, not sure if it was posted, which gave me the impression the Dep of Health is trying to look for ways to improve local health care, by getting more and better information and by making the local offices of the Dep of Health stronger. Looks like trying to get more grip on the local situation.

This could be one of the many challenges: burocracy. You have National and Regional Health Services and Livestock services. Everybody has his own agenda, hard to coordinate.

To prevent Dengue Fever is not easy, you may be need good sewege systems, good systems to process waste, huge investments to control water and prevent floods, etc, etc. This needs the will of the Local and National Authorities to cooperate and coordinate .

 

[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

Wednesday, 27 August 2008 12:06 WIB

The understanding of the prevention of dengue fever was still being minimal

RAHMAD F SIREGAR

WASPADA ONLINE

The text/credit the photograph: the Area of the yard of the resident's house in Street Bambu Lingk III, Kel. The Medan Cape strait, Kec. Datuk Bandar Timur, almost level with the pool of water of rain and the pair of sea. The overflowing of this water resulting from not tertata him well the sewerage system and the insignificance of the understanding of the resident of the cleanliness and the health. (was on the alert/Rahmad F Siregar) (ags)
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-comfficeffice" /><o></o>

DEMAM BERDARAH dengue fever was the problem of the health in Indonesia, and all the territory the Indonesian Archipelago had the risk terjangkit this illness. This happened because of the cause virus and mosquitoes penular him currently was spread the area in the inhabitants's housing and the public's facilities. At this time, DBD has become the endemic problem in 122 areas of the level Ii, 605 areas of the subdistrict and 1,800 villages/the district in Indonesia.
<o></o>
In the Tanjung Balai City then, DBD has become the endemic problem. And 50 percent more the district was there stated as the endemic area of the illness of DBD. Kelurahan endemic that, among them the Burung Coast, Perwira, Karya and TB Kota Ii, Kec. Tanjungbalai South. Afterwards, Kel. Prosperous and Matahalasan Kec. Tanjungbalai North, Kel. Tusks and Sirantau, Kec. Datuk Bandar, Kel. The Lancang strait and the Strait of Tanjung Medan, Kec. Datuk Bandar Timur. Further, Kel. The source of the Main Point, Muara Sentosa and the Baru Market, Kec. Sei Tualang Raso, Kel. The Kwala Kapias shoal, Kapias Pulau of the Crocodile and the Pasir Dyke, Kec. The Nibung gulf. Up until today, casualties often fell, both that was stated recovered, was treated and died so as Pemko Tanjung Balai determined the Luar Biasa Incident (KLB) dengue fever.
<o></o>
Counted up until this August, the number of casualties almost reached 200 people, 7 including dying and tens underwent the intensive maintenance in the hospital. In large quantities that hundreds of dengue fever casualties, the majority came from Kel. The Medan Cape strait, Kec. Datuk Bandar Timur and Pulo Simardan, Kec. Datuk Bandar. "Already many residents here terjangkit dengue fever, that still was treated in the hospital numbering 8 people," said the Village Head the Strait of Tanjung Medan Syarifuddin Harahap to was on the alert, on Monday (25/8).
<o></o>
if crossing Kel. The strait of Tanjung Medan, we did not have difficulty finding the pool of water, both in the sewerage system and the yard of the resident's house. This happened resulting from the disturbance of the drainage channel in the area. The disturbance of drainage there, not only the problem of physical damage his building, but also the arrangement that amburadul. Like in Street Bambu, the water sewerage system did not spread everywhere. Along 200 metre from the intersection, still was found the water sewerage system produced by the development of the government. However 200 metre above, only sewerage systems produced by the policy of several residents, that too did not spread everywhere. As a result, the domestic waste water and rain and the pair of sea, overflowed to the low settlement. As a result the pool of water happened during approximately a week.
<o></o>
Serious him, the pool of water of mixed rain of pair of sea in the sewerage system, still was made use of by the resident for the need to wash and bathe. Whereas the pool of water in the yard of the house, rarely was not made use of by children for playing means. "His ditch was crammed" Sir", therefore water flooded our house," said Ismail, 47, the resident Street Bambu Lingk. III, Kel. The Medan Cape strait, Kec. Datuk Bandar Timur to was on the alert. The condition like that, evidently was regarded as normal by the father from eight children. "How did we want to make the ditch, whereas we the person could not." So we let like this, waited for his water to be dry personally, he said.
<o></o>
Then whether not having the resident's wish there to make or clean the ditch channel in a manner share the worked? "Here his work majority the fisherman, so busy the work so as not all that paid attention to the cleanliness" of the "environment, moreover to share the work," said Ismail. Asked whether not worrying with the spreading of dengue fever, Ismail only smiled while answered, did "not worry, this crew member asked for Allah's protection, hopefully was not affected by the illness like dengue fever".
<o></o>
Was different from Alex, the neighbour in front of the Ismail house. He claimed worried with the condition for the yard of the Ismail house that was full of the pool of water. No matter what would dikata, the owner of the house personally cared was unconcerned. "Still was difficult to encourage the co-operation here, even to maintain the cleanliness" of the "yard" of "their respective house even less," accused Alex.

The shortage of the understanding and the understanding of the resident of the spreading of the illness, could not be ignored by Mayor Tanjung Balai Dr. H. Sutrisno Hadi, SpOG. Beberapa Waktu Lalu, during him descended to Kel. The strait of Tanjung Medan, the discovery of two units of the water reception contained pinched-pinched in the resident's house. Moreover the former Community Health Centre doctor, with his hands personally deliberate spilled water in the drum of the reception.
<o></o>
The "resident could be not all that asked by the co-operation, not all that understood and understood towards the cause" of the "illness emergence." His proof I found in the resident's house had two drums of the water reception contained pinched-pinched mosquitoes and I myself who threw his water away, said the Mayor.

<o>http://www.waspada.co.id/Berita/Sumut/Pemahaman-pencegahan-demam-berdarah-masih-minim.html</o>
<o></o>

 

[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

DBD casualties in Tanjungbalai improved to 254 people, 8 died
Agustus 30th, 2008


Tanjungbalai (SIB) in the calculation of the day of casualties of dengue fever dengue fever (DBD) in Tanjungbalai improved and currently reaches 254 people. While 8 people were stated died and 22 people were still being treated in RSU Tengku Mansyur Tanjungbalai. Information was received, on Friday (29/8) mentioned, other DBD casualties were named Veronika (5) the inhabitants DTM Abdullah (the Baru Village) the Tanjungbalai Kota III Kecamatan Tanjungbalai Utara District, died, on Thursday (28/8) in the trip towards RS St Elisabet Medan. Casualties Veronika were beforehand treated in RSU Tengku Mansyur for 4 hours 50 minutes with the DSS condition (the Shock Dengue Syndrome). Casualties experienced the fever, vomited and cramps so as to have to be reconciled to RS St Elisabet Medan, but finally casualties blew out the last breath in the area of fifty Kabupaten Batubara.

RSU Tengku Mansyur Cosmas public relations justified the incident. ?Korban was treated around 4 hours 50 minutes here and was reconciled to RS St Elisabet Medan but in the middle of casualties's trip died,? said Cosmas.

Admitted, the DBD case in RSU Tengku Mansyur the last few days rose drastic and reached 254 people and died 8 some people that still treated inap 22 people. The hospital side, said Cosmas, made an effort to give medical treatment and the maintenance that were maximal against all the patient DBD, but still was the patient who entered the case of DBD. ?Yang finally, on Thursday (28/8) entered 8 people, 2 among them his condition for DSS and currently was treated in an intensif,? manner Cosmas words.

SIB observation, in RSU Tengku Mansyur Tanjungbalai, on Friday (29/8) were seen, the patient Nurul (4) the inhabitants of the Strait of Tanjung Medan received the maintenance intensively. Nurul that was accompanied by his two parents was still being seen weak and respiratory aids by using the hose still adhered on casualties's nose. Nazaruddin Harahap (38) acknowledged very restless with the illness that was suffered by his sweetheart (Nurul red-) that his physical condition experienced hot rose descended.

http://hariansib.com/2008/08/30/korban-dbd-di-tanjungbalai-bertambah-menjadi-254-orang-8-meninggal/

 

[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 last entry, in my personal list, dated August 23rd:

Total Treated Since January: 189 http://tinyurl.com/69z5w8

 

[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

That made 65 people moreover in less than one week (6 days)

 

[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

Muscade......