Three yr-old (A.A.) who died near Jakarta tests positive

[Theresa42]

Avian Flu News Tracker
July 6, 2006 11:43 a.m.

Updated regularly with news on avian-flu precautions, research and outbreaks. All times EST.

Thursday, July 6

11:35 a.m.: Indonesia reported that a three-year-old girl who died near the capital Jakarta tested positive for H5N1 in local tests. The girl, identified only as AA, is thought to have had contact with birds, an Indonesian health official said.

http://online.wsj.com/public/articl...fcgN3zajns2WY43LVH7E4_20051019.html?mod=blogs

 

[Sharpe]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

It really bothers me when every infection is now seemingly caused by the 'neighbors' chickens. Anyway, it appears that she passed away today, and the oft-repeated Tangerang may have been where she was from.

http://news.antara.co.id/en/seenws/?id=15886

A 3-year-old Indonesian girl who died this week has tested positive for bird flu, a Health Ministry official said on Friday, citing a local test.

If confirmed by a World Health Organisation (WHO) laboratory, the girl from Jakarta's western suburbs will be the 41st bird flu death in Indonesia, a sprawling archipelago where the virus has killed millions of fowl and which has had more human deaths this year than any other country.

"The child had had contact with sick fowl, the neighbour's chicken," Runizar Ruesin, head of the health ministry's Bird Flu Information Centre, told Reuters.

Human cases generally stem from contact with infected birds.

"She died on Thursday, nine hours after being admitted in the hospital," he said.

According to the WHO, the H5N1 avian flu has killed 131 people across the globe since 2003. In Indonesia, 40 people are confirmed by WHO tests to have died from the virus, endemic in poultry in nearly all the country's 33 provinces.

On Thursday a senior Indonesian government official said the country's poultry death rate from bird flu was worsening, possibly due to poor vaccination coverage.

Mathur Riyadi, director general of livestock production at the agriculture ministry, said one million fowl, half of them quail, died of bird flu in the first three months of 2006.

In 2005, deaths for the year as a whole were 1.2 million.

The government has so far shied away from mass culling, citing lack of funds and impracticality, with vaccination a preferred method to prevent the spread of bird flu among poultry.

Animal health experts say a large numbers of backyard farms and a lack of resources are a major impediment for effective vaccination in Indonesia, a sprawling country of 17,000 islands stretching across 5,000 km (3,100 miles).

It is common for Indonesian households to keep a handful of chicken for personal consumption or gaining extra revenue. The National Commission of Avian Flu Control and Preparedness estimates there are around 300 million such backyard chickens.

Health experts fear the virus could mutate into a form that could be transmitted easily among people, causing a pandemic that could kill millions.

 

[Theresa42]

Four yr-old Astri Agustina from Tangerang

Four yr-old Astri Agustina from Tangerang

Tangerang it is...

toggletext-ed from Indonesian [hat-tip BlueJay]:

Again, the Patient Suspect Bird Flu Meninggal
July 09 2006

The Interactive TIME, Tangerang: The Virus avian influenza, again claimed casualties and killed Astri Agustina, 4 years, villagers Cibogo, RT 16, RW 03, the Cisauk Subdistrict, the Tangerang Regency.

The section head the Health of the Tangerang Regency, Hani Haryanto said that Astri Agustina was the sufferer suspect bird flu. "From the characteristics of his [her] illness, 80 percent was concluded by us casualties were suspect bird flu," said Hani to the Time today.

According to Hani, Astri tertular bird flu because of the environment around that was dirty. "Moreover, there many chickens that died, could, the bird flu virus spread through the waste and the saliva ayam" kata him.

To anticipate the possibility of the existence of new casualties, Hani said, his side gave counselling and ask for to the citizen if there is one that is affected the hot fever was immediately brought to the closest Community Health Centre. "We prepared Tamiflu medicine for the temporary handling," said Hani.

http://www.tempointeraktif.com/hg/jakarta/2006/07/09/brk,20060709-79932,id.html

 

[Theresa42]

More on Astri Agustina...

More on Astri Agustina...

toggletext-ed from Indonesian:

Casualties's FAMILY the ASSUMPTION of BIRD FLU of asking for the ASSURANCE

10/07/2006 18:23 - Metropolitan/Metro Hari Ini

Metrotvnews.com, Tangerang: The Astri Agustina family asked for the assurance of the Cipto Mangungkusumo Hospital, Jakarta the matter of the cause of the Astri death. The daughter was 3 years old 10 months died with the sign similar to bird flu.

The family and the neighbour Astri admitted to being startled at the arrival of the official from the Department of the health several days ago to their residence region in the Cibogo Village, the Cisauk Subdistrict, the Tangerang Regency. According to them, the official came to take the sample of blood. The Astri family startled because beforehand did not know definitely the cause of the Astri death.

Astri Agustina died last July 6 after could be treated one night in RSCM, Jakarta. Astri experienced the sign like bird flu that is hot high was accompanied with the cough. However up to now did not yet have the certain explanation of the matter of the illness that was suffered by Astri.

In the meantime, followed the Astri death, the agricultural Service and Tangerang Regency Livestock Breeding checked the sample of poultry blood around casualties's house. The official also menyemprotan disinfectant as far as the radius 100 metre from casualties's house. From results of the fast test, the official did not find the affected poultry bird flu. However for his assurance, the citizen must be still being waiting for results of the laboratory inspection.

The citizen around the Astri house claimed worried if true had the case of bird flu in his area. However as far as this is concerned, the citizen did not yet accept clear information concerning this deadly virus. One of the citizens in fact claimed did not know menahu concerning spraying of disinfectant. He just knew when the official came to spray his livestock.

http://www.metrotvnews.com/berita.asp?id=20173

 

[sharon sanders]

Astri Agustina initially diagnosed with TB / reports that her grandma's chickens died

Astri Agustina initially diagnosed with TB / reports that her grandma's chickens died

FROM THERESA42 THANKS THERESA!!


toggletext-ed from Indonesian:

Officially the Tangerang Health prepared Tamiflu
11/07/2006

Liputan6.com, Tangerang: Officially the Tangerang Health prepared medicine Tamiflu in several community health centres followed the death of a child in Cisauk, Tangerang, Banten. Each citizen that experienced the sign similar to bird flu like: hot high more than three days, flu, and the cough were accompanied breathless was asked to contact the local community health centre. Was like this it was said the side Dinkes Tangerang, on Tuesday (11/7).

Astri Agustina died in the Cipto Mangunkusumo Hospital, Jakarta the Centre, on Thursday set. Before being known was attacked avian sub-type influenza H5N1, the RSCM side stated the child was four years old suffered the tuberculosis illness (the TBC).

While the neighbour was around Astri covered by the fear will be attacked by the virus avian influenza. Because four days before Astri was sick, four chickens belonging to his [her] grandmother died suddenly. Everything of Astri was the fifth person who died because positive bird flu [read: Other, casualties died Bird Flu in Tangerang].

http://www.liputan6.com/view/7,1256...1152601488.html
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[sharon sanders]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

More on Astri Agustina... THANKS THERESA42!!!

toggletext-ed from Indonesian:

It was other, casualties died Bird Flu in Tangerang
11/07/2006

Liputan6.com, Tangerang: The case of the plague of bird flu again emerged in Tangerang, Banten. This happened after Astri Agustina, 4 years, died in the Cipto Mangunkusumo Hospital, Jakarta the Centre, on Thursday set, resulting from terjangkit bird flu. Astri was villagers Cibogo, Cisauk, of Tangerang.

The department of the RI Health with the Health Body of the World and the Livestock Breeding Service afterwards took the sample of Astri blood a day after dying. Was based on results of the laboratory test, Astri was known positive bird flu.

Several citizens that live in around casualties's house admitted to being frightened of the death of the child four years. Ana, casualties's grandmother, admitted to in his [her] house indeed maintaining eight chickens. However four including dying suddenly several days before Astri died. The death of the chicken without being known by his cause and immediately was thrown away in the pool of the local river water.

Was based on the Tangerang data of the Health Service, at least five Tangerang citizens died because positive contracted the virus H5N1 since 2005 set. All the casualties were domiciled at the south of Tangerang. They were Iwan Siswara and Sri Wahyuni from Serpong, Ina Solati (Pondok Kacang), Yohana (Pamulang) and finally Astri Agustina [read: Late Ina and his Brother were Positive Bird Flu].

http://www.liputan6.com/view/3,1256...1152601488.html


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[Theresa42]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

Astri Augustina

 

[Mellie]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

I feel for her family. She looks like a much-loved child.
.

 

[Theresa42]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

I feel for her family. She looks like a much-loved child.

Looks like presents on the table behind her. Birthday party?

 

[Theresa42]

Astri was killed because Late Ditangani [diagnosis]

Astri was killed because Late Ditangani [diagnosis]

This report says that Astri died because since she was wrongly diagnosed (with tuberculosis, according to an earlier article), she didn't get proper treatment including Tamiflu on time. Sounds like her parents did everything to save her -- took her to multiple doctors/clinics....

toggletext-ed from Indonesian (hat-tip BlueJay):

Astri was killed because Late Ditangani [diagnosis]

12/07/2006

Photo caption: The sufferer of the bird flu virus who still was four years old died because late was handled. Tim [team] was medical the community health centre that since March set had tamiflu did not give the bird flu medicine because of being wrong diagnosed.

Liputan6.com, Tangerang: Departeman the Health supplied several community health centres in the Motherland with tamiflu since March set in the hope that the bird flu sufferer immediately was helped. However in fact, the sufferer of the bird flu virus who late was treated continued to happen. This that was experienced by Astri Agustina. The child four years from Tangerang, Banten this died in the Cipto Mangunkusumo Hospital, Jakarta the Centre, on Thursday set, resulting from late was handled.

During Astri suffered hot high, his parents immediately brought to the closest community health centre. However the doctor diagnosed the child only suffered the normal fever and the upper infection of the part respiratory tract (ISPA). It was unsatisfied, parents Astri brought him to the other community health centre. Tim was medical this community health centre then did not detect had the sign of bird flu to Astri. Tamiflu that was provided by the Department of Health since four months set then was not given to the patient. This was acknowledged by the Head of the Suradita Community Health Centre the doctor Maya Mardiana, on Wednesday (12/7) [baca: Other, casualties died Bird Flu in Tangerang].

As for Health Minister Siti Fadilah Supari admitted, not yet all the doctors could at once know the sign of the deadly illness. "Because of that the new illness kind, so had the doctor that did not yet know. [Moreover] his sign was the same as normal flu," said Siti Fadilah.

Only an information, the spread of bird flu to humankind in Indonesia happened since July 2005 to the number of sufferers more than 50 people. Forty people including dying. Indonesia was in fact recorded as the country with the highest death rate of the bird flu sufferer in the world. One of the causes of the high death rate because of the handling that late.

http://www.liputan6.com/view/3,125730,1,0,1152726984.html

 

[Theresa42]

Poultry not culled in A.A.'s village / chickens in area pos for bf

Poultry not culled in A.A.'s village / chickens in area pos for bf

toggletext-ed from Indonesian (hat-tip BlueJay):

Apparatus did not carry out the Mass Extermination of the Poultry in Cisauk
Thursday, July 13 2006

Tempo Interaktif, Tangerang: The Government of the Tangerang Regency said will not do the extermination of the poultry in a mass fashion in the Cibogo Village, the Cisauk Subdistrict, although results of the inspection of the Research Hall of Veteriner Bogor found had the positive chicken bird flu around the AA house, 4 years, the patient was expected by bird flu that died last Thursday.

The "extermination of the poultry and the chicken coop was around casualties's house carried out by us since last Friday (7/7)," said the Section Head Livestock Breeding and Tangerang Regency Agriculture, Didi Aswadi, yesterday.

The further handling, said he, also was carried out by means of widening the poultry inspection, spraying of disinfectant and monitored in an integrated manner and continued the poultry and the available livestock in the territory.

"Several livestock have in the closest village been controlled," he said. For the time being, said Didi, the handling in the location of casualties suspect bird flu will be carried out was limited that.

When being asked more far about results of the inspection of Balivet Bogor that found the positive chicken bird flu and any step that will be taken, Didi answered, "No comment, that definitely we have handled every time had the assumption of the case of appropriate bird flu the procedure," he said.

Was based on observation of the Tempo [the newspaper] in the environment around the AA house, was seen quiet from the livestock animal, both the chicken, the poultry and the other animal kind like the goat, the cat and the dog. The "chicken and the citizen's duck here already to died because of being sick," said Nastiti, 45 years, the local citizen.

http://www.tempointeraktif.com/hg/jakarta/2006/07/13/brk,20060713-80096,id.html

 

[Corn]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

Indonesia is a hopelessly lost cause. No amount of $$$$ will stop H5N1 spread until the culture is changed there. That could take generations.

To not cull and even think the doctors misdiagnosed BF in the current climate is unimaginable. No Tamiflu on hand. (Not that it would have helped.)

Till it's government officals children that are dying we will see no action.

We are in deep bird dodo.

 

[sharon sanders]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

There is nothing wrong with the culture in Indonesia.

The doctor appears to have been incorrect.

Many countries that are agriculturally based have issues with close animal and human contact.

All socio/economic factors affect the ability of the existing public health network to function properly.

This is why it is important for the world's wealthy countries, for-profit ventures, and various foundations to contribute to public health solutions for H5N1.

If you are interested in asking these organizations to assist, please participate in the poll that will be forwarded to WHO.

You can participate without joining FluTrackers.

http://www.flutrackers.com/forum/showthread.php?p=20303#post20303

 

[ukcz]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

There is nothing wrong with the culture in Indonesia.

I'm sorry to disagree, but I do! The culture in Indonesia towards pet birds is (apparently) akin to our's concerning dogs and cats. This is (apparently) why mass-culling is not practical in the country, and why BF will continue to infect and evolve there.

I still think we will be calling the pandemic strain 'Java flu', even if it doesn't originate in Java, but within Indonesia. I will be delighted to be proved wrong, but only time will tell.

 

[Sally Furniss]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

I'm sorry to disagree, but I do! The culture in Indonesia towards pet birds is (apparently) akin to our's concerning dogs and cats. This is (apparently) why mass-culling is not practical in the country, and why BF will continue to infect and evolve there.

I still think we will be calling the pandemic strain 'Java flu', even if it doesn't originate in Java, but within Indonesia. I will be delighted to be proved wrong, but only time will tell.

ukcz It's bird flu that is the problem not culture.

 

[Corn]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

Indonesia is a federation of thousands of islands. the government cannot control,
there's political culture also. the rebels, tsnamis , volcano eruption by Java, recent devistating earth quake....Is Allah mad at them?
things stay the same as they are now. we're screwed.
Definitely another Asia flu headed our way.

 

[Sally Furniss]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

Indonesia is in a highly geologically active zone the natural result of this is earthquake and volcanoes.

Indonesia has thousands of island many of which are not inhabited. The huge number of islands also contributes to Indonesia?s interesting flora and fauna.

Attempts to rename Avian flu Java or Asian flu are not constructive.

I really don?t think religion has any thing to do with it.

 

[Sharpe]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

If it wasn't such a serious and pressing issue, the world's fight against bird flu really sounds like something out of Laurel and Hardy. This is today's report out of the Jakarta Post.

http://www.thejakartapost.com/detailheadlines.asp?fileid=20060714.A03&irec=2
[FONT=Helvetica, Arial]Bird flu-free RI not likely anytime soon, experts say[/FONT]
[FONT=Arial, Helvetica]Hera Diani and Tb. Arie Rukmantara, The Jakarta Post, Jakarta[/FONT]
[FONT=Arial, Helvetica]Leading veterinarians doubt that Indonesia will be bird flu-free in the near future due to haphazard implementation of the government's programs to combat its spread.[/FONT]
[FONT=Arial, Helvetica] [/FONT] [FONT=Arial, Helvetica] An animal health expert from Yogyakarta's Gadjah Mada University, Charles Rangga Tabu, said the government's bird flu plans were excellent on paper, but the implementation was ineffective. [/FONT]
[FONT=Arial, Helvetica] "The program to combat bird flu has to be carried out as a 'tailored synergies approach', not sectoral and incidental," he told a national veterinarians congress Thursday. [/FONT]
[FONT=Arial, Helvetica] The dean of UGM's School of Veterinary Medicine warned that if vaccination, eradication, research, early detection and public awareness promotion were not carried out by all government institutions simultaneously, there was no guarantee when H5N1 would be brought under control. [/FONT]
[FONT=Arial, Helvetica] "Incidental culling in one area, and vaccination in another, would not ensure the virus would be gone. Messy procedures in handling the virus will only make it more threatening," said Rangga, one of the country's first scientists to identify H5N1 in local poultry populations in 2004. [/FONT]
[FONT=Arial, Helvetica] He also said none of the programs would succeed if government officials working in the field used different kinds of vaccines, while the researchers chose different levels of laboratories. [/FONT]
[FONT=Arial, Helvetica] "There should be a uniform use of professional human resources, internationally accredited labs and good communication between doctors and veterinarians." [/FONT]
[FONT=Arial, Helvetica] Meanwhile, foreign experts at an avian influenza conference here Thursday said vaccination cannot stand alone in containing bird flu, with the attendant need for strict control, firm biosecurity measures and public awareness campaigns. [/FONT]
[FONT=Arial, Helvetica] Happy K. Shieh from the National Chung-Hsin University in Taiwan acknowledged that vaccination was important to increase resistance of birds to the disease, reduce transmission and eradicate the virus from the flocks. [/FONT]
[FONT=Arial, Helvetica] However, he said, studies in several countries showed that successful vaccinations relied on a high quality vaccine, a well-planned monitoring program, comprehensive surveillance for early detection and enhanced biosecurity. The latter concerned isolation, disposal of waste, dead birds and disinfection. [/FONT]
[FONT=Arial, Helvetica] "There are other aspects as well, like more laboratories to support monitoring and surveillance programs." [/FONT]
[FONT=Arial, Helvetica] Somsak Pakpinyo from Thailand's Chulalongkorn University said the Thai government currently banned the AI vaccination for poultry. [/FONT]
[FONT=Arial, Helvetica] He said its drawback was that about 1 percent of vaccinated birds still shed the virus without showing any clinical symptoms. This kind of silent epidemic, he said, could cause transmission to other animals and humans, and increase the evolution of virus strains. [/FONT]
[FONT=Arial, Helvetica] "AI vaccines could be a useful tool if used under strict control measures and in combination with strict biosecurity." [/FONT]
[FONT=Arial, Helvetica] Thailand has been able to control the AI problem within a short period of time through the combination of vaccination, active surveillance, culls providing compensation and an outbreak response, as well as improvement of farming standards.[/FONT]

 

[hawkeye]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

Indonesia stuck with bird flu as US confirms latest H5N1 death
Jakarta - A senior health official conceded Friday that Indonesia will be unable to bring bird flu under control in the near future, as a US laboratory confirmed the country's 41st death from the H5N1 virus.

Nyoman Kandun, director general of Indonesia's Health Ministry, said a sample sent to the US Centers for Disease Control in Atlanta confirmed that a 3-year-old toddler who died in hospital in Jakarta last week had bird flu.

Vietnam has recorded 42 bird-flu deaths, the most of any nation, but has not had a single case this year. Indonesia, however, has had 30 deaths alone in 2006 and a 75-per-cent death rate overall from the virus.

The Jakarta Post on Friday, citing leading veterinarians, reported that Indonesia will continue to be plagued by bird flu because the government's vaccination, early detection, research, eradication and public-awareness campaigns were not being conducted simultaneously.

Indonesia has been criticized for its slow reaction and subsequent attempts to contain the virus after it was first detected in the country's poultry population in 2004.

'Incidental culling in one area and vaccination in another would not ensure the virus would be gone,' Rangga Tabu, an animal expert from Gadjah Mada University in Yogyakarta, told a national veterinarian congress on Thursday, the Post reported.

Kandun agreed that as long as Indonesia was unable to stop birds from passing along the virus to humans, infections would continue among both the poultry and human populations.

'The risk factors are there,' he told Deutsche Presse Agentur dpa. 'As long as you cannot manage the upstream (of the disease) to people, you will be examining the cases all the time.'

International scientists and health officials have warned the H5N1 virus could mutate and cause human-to-human transmission, sparking a pandemic that could kill millions.

 

[Commonground]

Re: Three yr-old (A.A.) who died near Jakarta tests positive

Hawkeye Post #19 - Thanks for the article. I chose to send this one out to all my friends with the subject line "we have been warned....". Seemed like a pretty good article to use. I just hope they are listening. Hard to say, as no one replies, and never mentions it to me. At least I tried.