Tangerang veterinarian + family: A/H1N1 from birds?

[Shiloh]

Source: http://www.tempointeraktif.com/hg/layanan_publik/2009/07/15/brk,20090715-187339,id.html

One Family Veterinarians Diserang Flu Mexico

Wednesday, 15 July 2009 | 17:01 WIB

TEMPO Interactive, Tangerang-One family consists of father, mother and two children in the District of Tangerang Regency Curug been attacked Mexican flu virus (H1N1).

"The Department of Health inspection labaroatorium their H1N1 positive," said the Head of Public Health Tangerang District Hani Haryanto told Tempo on Wednesday (15 / 7).

Until this story was written, the family is still treated diruang isolation Regional General Hospital Tangerang. They are the W (44), I (38), R (4) and L (14). W is a veterinarian and Civil Affairs Officers on duty at the Tangerang District Health Office.

Hani said, before W was assigned to check poultry farms disebuah the sick chickens in the area Curug. After the return of birds to check it, W has a high fever with symptoms such as bird flu (H5N1). "Because the contact with sick birds we think he is exposed to bird flu virus, at that time given tamiflu directly," said Hani.

However, the condition W kunjung not improved, even with his wife and two fast fast son contagious. Sunday (12 / 7) ago, they was Tangerang hospitals and treated up to now still diruang isolation.

Hani confess amazement as the Ministry of Health labaroatorium slip away from them about that. "We suspect was H5N1, H1N1, but why the result," he said. Because the results, Tangerang District Health Office immediately take the blood sample of those who had contact with the W and her family.

According to Hani, at this time his side are still overseeing the patient's health condition and family nearest the patient.

Head of Disease Prevention and Environmental Penanggulangan (P2PL) Tangerang District Health Office, dr Yully S Dewanti states, still fourth in a family living in one house and then fell ill of swine flu in a fast time.

JONIANSYAH

 

[Shiloh]

Re: Tangerang veterinarian + family: A/H1N1

Re: Tangerang veterinarian + family: A/H1N1

Source: http://www.tempointeraktif.com/hg/layanan_publik/2009/07/15/brk,20090715-187345,id.html


Keluarga Dokter Hewan Kena Flu Babi, Diduga dari Unggas

Rabu, 15 Juli 2009 | 17:29 WIB

Family Veterinary Kena Flu Pigs, poultry suspected of

Wednesday, 15 July 2009 | 17:29 WIB

TEMPO Interactive, Tangerang - Family veterinarian Curug in Tangerang District, Banten, suspected of contracting swine flu virus (H1N1) from the sick birds. This initial allegations, according to the Head of Public Health Tangerang District Hani Haryanto, because physicians are experiencing a high fever after contact with poultry.

"Historical last contact with the birds he is sick," said Hani told Tempo, today (15 / 7).

According to Hani, before the illness, which is a W veterinarian in Tangerang District Health Office was assigned to check the sick chickens in a farm in the area Curug. "After returning from sick poultry to check that it is directly experienced a high fever," he said.

Department of Health team was checking W veterinarian suspected that infected H5N1 virus or bird flu,so the first action that is done give tamiflu. However, the condition W kunjung not improved, even infect his wife and two sons.

"The Department of Health inspection labarotorium positive H1N1," said Hani.

Until this story was written, the family is still treated diruang isolation Regional General Hospital Tangerang. They are the W, 44 years old, I (38), R (4) and L (14).

JONIANSYAH

 

[Gert van der Hoek]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

Well, swine flu confirmed after visiting a chickenfarm, dual infection?

In case of a dual infection you can get a positive for H1N1 and a negative for H5N1 ? Or vice versa ?

Only by repeated tests you can confirm the dual infection ?



Toggletext translation of previous post.

The Veterinary Surgeon's family got the swine flu, was expected from poultry

on Wednesday, July 15 2009 | 17:29 of WIB

The Interaktif TIME, Tangerang - the veterinary surgeon's Family was in Curug Kabupaten Tangerang, Banten, expected to be infected with the virus of pig flu (H1N1) from the poultry that was sick.

The assumption of early this, according to Section Head Health Service of the Regency Tangerang Hani Haryanto, because of this doctor experienced the high fever after contact with the poultry. His last story contact with the poultry that is sick, said Hani to the Time, today (15/7).

According to Hani, before being sick, W that was the veterinary surgeon in the Kesehatan Service of the Tangerang Regency was assigned to check the chicken was sick in a livestock breeding in the Curug region. “Setelah came home from checking the chicken was sick that he at once experienced the high fever ,” said he.

The team of the Health Livestock Service that could check W suspected the veterinary surgeon of being affected by the virus H5N1 or bird flu so as the first action that was carried out was to give him tamiflu. However, the W condition will never improve, in fact infected the wife and his two children.

Results of the inspection labarotorium the Department of the positive Health H1N1, said Hani.

Until this news was written, the family was still being treated diruang the Public Hospital isolation of Daerah Tangerang. They were W, 44 years, I (38), R (4) and L (14).

http://www.tempointeraktif.com/hg/layanan_publik/2009/07/15/brk,20090715-187345,id.html

credits Shiloh

 

[Rwilmer]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

This might be dual, certainly suspicious after visiting a poultry farm., what do you think niman?

 

[HenryN]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

This might be dual, certainly suspicious after visiting a poultry farm., what do you think niman?

I think that the poultry is a coincidence and H1N1 is widespread in Indonesia (including Tangerang). I think he was infected by a person, and then he infected his family members.
Lack of response to Tamiflu could be due to late start or expired Tamiflu. Resistance is an outside chance.

 

[Shiloh]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

We can speculate until kingdom come but without sequences we'll never know for sure. So Indonesia should do its duty as a WHO member and release bird flu and A/H1N1 sequences as soon as possible.

 

[Gert van der Hoek]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

We can speculate until kingdom come but without sequences we'll never know for sure. So Indonesia should do its duty as a WHO member and release bird flu and A/H1N1 sequences as soon as possible.

Well, may be H1N1 sequences will be released, from press release Ministry of Health:

Despite this, to prevent the spreading of influenza of A H1N1 that was wider in Indonesia preparedness efforts continued to be undertaken that is: the strengthening of the Health Office of the Port (thermal scanner and Health Alert Card obligatory was filled up); the RS provisions reconciliation; the provisions of the logistics; the strengthening of the tracing of contact; the strengthening surveilans ILI; the strengthening of the laboratory, communication, the edication and information and followed International Health Regulations (IHR).

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=3483

 

[Gert van der Hoek]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

From Bird Flu Information Corner

Tangerang, Banten ::: Vet?s family infected by A/H1N1 virus

July 15, 2009

Tangerang, Banten ? A family of four in Kecamatan Curug, Kabupaten Tangerang infected by H1N1 Mexico flu.

?Ministry of Health laboratory test showed positive H1N1,? said the head of Health Service, Kabupaten Tangerang, Hani Heryanto, on Wednesday (15/7).

Until now, this family is still being treated at isolation unit Tangerang public hospital. The family members are W (44), I (39), R (4) and L (14). W is a veterinarian who?s working for Health Service of Kabupaten Tangerang.

Hani said, W was assigned to check sick birds in a chicken farm located in Curug. After visiting the farm, W developed high fever with bird flu-like (H5N1) symptoms. ?Because he had contact with sick birds, we suggested that he had bird flu infection, and gave him tamiflu administration,? said Hani.

Because W didn?t get better, in particular his wife and two children also developed symptoms; they were rushed to Tangerang hospital last Sunday (12/7) and treated at isolation unit.

Hani admitted that the test result was surprising. ?We thought of H5N1, but the result showed H1N1 instead,? said Hani. Following to the result, Health Service of Kabupaten Tangerang collected samples from people who had contact with W and family.



Source: Indonesia newspaper, Tempo Interaktif. http://www.tempointeraktif.com/hg/layanan_publik/2009/07/15/brk,20090715-187339,id.html



A friend reminds me about possibility of dual infection H1N1 and H5N1. From this report, we should consider about this possibility. In dual infection sometimes one virus may be dominating, and this can cause positive result to only one virus. I remember one isolate tested H1N1 2009 positive, but when we did the re-check, it was H3 positive and negative H1. Further check showed dual infection of H1N1 and H3N2.

Seeing the history of chicken farm visit, I hope the government will continue to a more detailed test for H5N1 (adm).

http://birdflucorner.wordpress.com/

 

[Treyfish]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

Same family.:tiphat:

"Wednesday, 15-07-09 | 10:18 | 45 View

Pig flu foolhardy, 4 People infected
Isolation RSUD Tangerang One Family

TANGERANG - The swine flu virus more foolhardy course. Every day, there are reported cases of a new bulge. Yesterday, one of the family who live in District Curug, Tangerang District, stated positively infected with H1N1 virus. They consist of four family members, namely W, 44; I, 38; R, 44; and L.

The four patients that get directly in the hospitals intensive care Tangerang. All family members fall into the isolation room. Bangsalnya are adjacent. "Because the symptoms are similar to those of H1N1 infection, all family is directly taken to hospitals Tangerang. They were treated immediately and diisolasi,?" light Kabid P2PL Tangerang District Health Office, Dr Yuli Soenar Dewanti, to INDOPOS yesterday afternoon.

In this case, Yuli go, there is a little awkwardness. W terinfeksinya namely the origin of a carrier virus to their families. For the examination of records, W have not been traveling abroad, contact infected animals or contact with infected patients.

"This means that the possibility of W H1N1 virus that infected during a public event. For example, activities in the mall, market or meet people with the virus," he said. W husband declared not infected themselves. But already in contact with his wife and son. Conditions remain healthy. However, all other family members continue to be monitored Department of Health.

Up to now there were 31 family members, friends, neighbors and victims who enter the list of watched health agencies. They are required mengonsumsi medicine tamiflu provided free of charge. "We are working to prevent the spread wider. Default so, that is, to provide tamiflu," said a young doctor berparas this beautiful. :tiphat:http://www.fajar.co.id/index.php?option=news&id=64283

 

[Rwilmer]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

Certainly the possibility of a dual infection is there. IMO this needs to be watched very carefully.

 

[Shannon Bennett]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

I would agree. Any infection that put 4 familiy members in intensive care should be monitored closely. Whether the infection is H5N1 or H1N1 or heaven forbid, a duel infection or a Tamiflu resistant infection.

 

[Treyfish]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

Positive family Veterinarians Kena Flu Pigs
14 July 2009 - 21:09 CURUG - Tangerang District Health Department say four people affected by swine flu is a positive family veterinarian who live in District Curug, Tangerang Regency Cikupa citizens and not be like that before. Four people were W (44), I (38), R (4) and L (14).

Kabid Penanggulangan Disease Prevention and Environment (P2PL) Tangerang District Health Office, dr Yully S Dewanti states, still fourth in a family living in one house and then fell ill of swine flu in a fast time.

"They tertularnya very quickly," he said

He said, W is a veterinarian who works in the Department of Agriculture and Livestock (Distanak) Kabupaten Tangerang. Meanwhile I was W brother who worked as civil servants, Tangerang District Health Office. R is the son of W and L is the nephew W. And this continued, W drh often provide some of the socialization in the office and district office concerning anticipation of livestock diseases such as swine flu and bird flu.

And the process of transmission of information when Yully W with three family members on Monday (13 / 7) W suddenly experienced high fever heat. During his time in the Curug dirumahnya, W never make direct contact with the I, R, and L. "The inspection is done and expressed positive swine flu," he said.

dr Yully claim information from the W, he did not make direct contact of swine flu and touch directly with livestock and pigs traveling abroad. "This is who we are through how they can be exposed to swine flu," his him.:tiphat:http://tangerangonline.com/berita/headline/2009/07/14/keluarga_dokter_hewan_positif_kena_flu_babi

 

[Treyfish]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

Kota Tangerang Waspada Flu H1N1
15 July 2009 - 14:56-CITY
Tangerang City Health Office of the alert status or the Flu H1N1 swine flu that is now starting the Regency and the City of South Tangerang.
Head of Tangerang City Health Department Dr Lilly Indrawati said, difficult to H1N1 virus was detected and prevented. The virus is spread through the air. There, the City has Tangerang airport that allows entry to anyone without a known virus or not.
"But we need not fear, such as the paranoid," said Dr. Lilly.
Lilly explained, H1N1 virus does not kill and can still be cured. Lilly concluded, from the 1000 people infected, only 4 people died. Itupun because it has a track record in the them.
For now, Tangerang City Dinkes be Lilly has enough supply of Tamiflu drug. Tamiflu supplies to anticipate things that are not desired.
Meanwhile, to prevent the spread of H1N1 virus, Dr Lilly menyarakan so that people keep themselves to consume healthy food and vitamins. "If we need to use a mask if the infected bird flu," he said.:tiphat:http://tangerangonline.com/berita/metro/2009/07/15/kota_tangerang_waspada_flu_h1n1

 

[Gert van der Hoek]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

The Vet and his family went home.


Thursday, July 16, 2009

Tangerang raises alert on H1N1 flu outbreak

The Jakarta Post , Jakarta | Thu, 07/16/2009 1:52 PM | Jakarta

The Tangerang Health Agency has raised the alert level of the H1N1 flu in the regency citing ?extraordinary circumstances?.

Hani Heryanto, head of the agency, said Thursday the decision was taken after a family of four tested positive to the H1N1 virus ? the first case in the regency.

The alert was intended to warn the public to be more cautious of a possible flu outbreak, she said.

A veterinarian, his wife and his two children, were treated at Tangerang Regional Hospital for three days after testing positive to the virus.

The family was permitted to return home on Thursday, but is still under the supervision of the hospital. (

http://www.thejakartapost.com/news/2009/07/16/tangerang-raises-alert-h1n1-flu-outbreak.html

 

[HenryN]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

The Vet and his family went home.


Thursday, July 16, 2009

Tangerang raises alert on H1N1 flu outbreak

The Jakarta Post , Jakarta | Thu, 07/16/2009 1:52 PM | Jakarta

The Tangerang Health Agency has raised the alert level of the H1N1 flu in the regency citing ?extraordinary circumstances?.

Hani Heryanto, head of the agency, said Thursday the decision was taken after a family of four tested positive to the H1N1 virus ? the first case in the regency.

The alert was intended to warn the public to be more cautious of a possible flu outbreak, she said.

A veterinarian, his wife and his two children, were treated at Tangerang Regional Hospital for three days after testing positive to the virus.

The family was permitted to return home on Thursday, but is still under the supervision of the hospital. (

http://www.thejakartapost.com/news/2009/07/16/tangerang-raises-alert-h1n1-flu-outbreak.html

There has been ZERO evidence indicating this was anything other than a vet catching H1N1 from some unknown HUMAN contact and then passing on the H1N1 to his family members.

 

[Gert van der Hoek]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

Livestock Service Tangerang says:

- No dual infection , no mutation of H1N1 virus

- Poultry at the farm was ill, but free of H5N1

- Worried about not finding a source of infection of the vet and his family.
This could mean the H1N1 virus is allready spreading undetected in Tangerang region.





Tangerang Livestock Service Denies Mutation of the Swine Flu Virus

on Thursday, July 16 2009 | 14:12 of WIB

The Interaktif TIME, Tangerang - the Service of Peternakan Kabupaten Tangerang denied the assumption if the case of pig flu that attacked one family in Curug, of Tangerang resulting from from the mutation of the bird flu virus H5N1 to H1N1 or pig flu.

"There was no mutation" of the "virus, and that did not yet happen," said the Head of the health Field of the Animal and the Health of the Community of Veteriner Dinas Peternakan Kabupaten Tangerang, Mawardi Nasution to the Time, on Thursday (16/7) today.

Mawardi said the case of this pig flu did not have his relations with poultries that were sick in Curug region livestock breeding that had been checked by the veterinary surgeon. He decisive, W, 44 years and his family's member infected by the virus H1N1 from the other source, not from the poultry.


The assurance, according to Mawardi, was obtained by them after carrying out the inspection thoroughly of available poultries dikawasan that. "There was no positive poultry H5N1 and H1N1," he said.

Mawardi asked that the Health Service as the side that handled humankind continued did surveiland and looked for the source of the spread of the illness by investigating the activity of the patient before he was sick.

Beforehand, the Representative Tangerang Regent Rano Karno suspected the positive case of pig flu that attacked one family in Curug, of Kabupaten Tangerang of happening the mutation of the virus between bird flu and pig flu.

Rano considered, the case of pig flu that happened in the Tangerang Regency was classified as unique and strange.

If the case of pig flu that happened most in Indonesia, according to Rano, many that were infected overseas like the case in Tangerang Selatan and Bali. However, the case in Curug Kabupaten Tangerang precisely emerged from inside the territory.

"Moreover his story contact with sick poultry ,"he said." Rano worried if this assumption true meant the condition at this time has been increasingly serious. "It was very worrying," said he .

http://www.tempointeraktif.com/hg/jakarta/2009/07/16/brk,20090716-187494,id.html

 

[alert]

Re: Tangerang veterinarian + family: A/H1N1 from birds?

There has been ZERO evidence indicating this was anything other than a vet catching H1N1 from some unknown HUMAN contact and then passing on the H1N1 to his family members.

I fully agree. This just drew everyone's attention because of his profession.