Tracking the next pandemic: Avian Flu Talk |
Indonesia-Ripe for Genetic Mutation |
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JaxMax
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Posted: April 26 2006 at 8:32am |
Indonesia has all the ingredients for a Genetic mutation of H5N1 to human communicablity;
1. Widespread H5N1 infection in birds 2. Limited but persistent fatal human contraction of H5N1. 3. Limited but consistent human family clusters, suggestive of H2H transmission 4. Socio-economic/ sanitary conditions favoring viral spread 5. A large human population The US Defense Department assigned Navy medical specialists to monitor the flu in Indonesia. What is missing is an explosive catalyst, an aggravating factor such as a natural disaster which would reduce or eliminate normal sanitation routines and light the spark for mutation to a Pandemic. It is interesting to note that Indonesia has been undergoing frequent earthquakes, yesterday a 6.1. http://earthquake.usgs.gov/eqcenter/recenteqsww/Quakes/uslybc.php It may be beneficial to monitor natural disasters in H5N1 hot zones. |
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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Is Indonesia not entering their flu season now? Could that be a deciding factor?
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Gravitation
Valued Member Joined: April 13 2006 Status: Offline Points: 202 |
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Yes I agree, but will not be surprised by it coming from Afghanistan where little can be done in mountain regions. Could be US or Brit. military bringing it back. 1918 all over again.
Grav Edited by Gravitation - April 26 2006 at 9:41am |
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Inscriptions and Birddroppings are the only two things in Egypt that give any indication of life - Flaubert
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JaxMax
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Grace-
Thanks for your first post!! Good points, Indonesia is, as you allude to, in the Southern hemisphere so it is their flu season.More chances for genetic mix of regular flu and H5N1. Indonesia was bad enoough BEFORE regular flu season, so you point is well taken. |
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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JaxMax
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Gravitation-
Thanks for the post. Good point, 1918 epidemic was, as you said, spread by soldiers. |
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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Thank you for the welcome JaxMax. Actually, I joined somewhere in March (had only twenty some posts, and mostly on the priority and family preparations), but had to re-register since I couldn't log in anymore after trying everything for about two weeks. I read more than I post.
I am watching Indonesia, China etc. closely too. So many families keeping chickens as practically their only source of livelihood (be it income or food for themselves), and they're often uninformed as well. Something could go on there for a while without being detected for a long time. Added to that, the dubious co-operation and revelation of found H5N1 H2H etc. by the respective governments to the world.. Edited by grace - April 26 2006 at 10:26am |
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JaxMax
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Yes, Indonesia has always been the site I wach first, and the place I expect the Pandemic to originate from.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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It is because of all your and people like JoeNeubarth's postings that I have started to study this. Thank you for all your postings and contributions to this forum.
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JaxMax
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I like JoeNeubarth's posts but I try to avoid looking at the cows.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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Gravitation
Valued Member Joined: April 13 2006 Status: Offline Points: 202 |
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I like them too but I dont understand the science though!!!
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Inscriptions and Birddroppings are the only two things in Egypt that give any indication of life - Flaubert
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birdflubuster
Valued Member Joined: April 27 2006 Status: Offline Points: 11 |
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A mutation to human to human contagious form could take place anywhere,
since it's a random event by a virus unaffected by external conditions.
Possibly, it's already happened but the victim before transmitting it.
It could happen more than 1 place at a time, or serially. If it happens someplace and is contained, don't become complacent. It could pop up in an entirely new continent the next month. We're at risk for as long as H5N1 is endemic to the environment, and it's sure not going away soon. I hope it does happen in Afghanistan. Population density is low there. |
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Somehow the first line of birdflubuster's post: "A mutation to human to human contagious form could take place anywhere..", together with the fact that I read that they recreated the 1918 flu somewhere in a laboratory, made me wonder something. Especially with all the talk of Afghanistan. Could someone CREATE a mutated easily transmissable form of H5N1, and release it (like terrorists..no need to carry a bomb, just fly to the US carrying the disease, another type of suicide mission..). In that case let's hope it does not start in Afghanistan. Or am I mistaken, and something like this si not possible. Just wondering..
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Grace, they did not re-create the virus but identified it from samples. Big difference! As far as the terrorism angle, while they certainly would like to exterminate us, even they know that you can't control a virus once it's loose. While the leadership of Al-Quaida and other groups is certainly more than willing to send their troops out on suicide missions, they like to keep themselves nice and safe. So I think your scenario is not very probable. Besides, they would not have infected a bunch of birds in the hope it would mutate to the point where it has the chance of wiping out a significant percentage of the human population. No, this is Mother Nature at work.
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JaxMax
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I agree the environmental catastrophe does not CAUSE the mutation, I would just contend that any envronmental event disrupting normal sanitation (water sewer) would increase expoenentially the likelihood
of exposure to H5N1 which would otherwise be avoided.
Indonesia just had death 25 from H5N1. The birds are infected. They are having earthquakes, and they are the 4th most populated country on earth. Medical care is unevenly distributed. The WHO is concerned Indonesia does not have the bird H5N1 under control.
Indonesia is a top target.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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Femvet, thanks for the response. I realized Al-Quaida would be signing their own death sentence. Unless they created the H2H strain and the antidote at the same time. And I did not mean that they infected the birds, but that they would take the present strain in birds, and make the necessary mutation.
As far as the 1918 samples, I have read different reports. Some say no samples were left to identify it from. |
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JaxMax
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I thought the 1918 flu was recreated from samples of a frozen eskimo woman and samples from the Armed Forces Pathology Lab.
If we can get samples from frozen eskimos, it would be wise to presume terrorists could.
Anyone who rams an airliner into the World Trade Center and burns to death would not hesitate to use the flu as a suicide weapon if feasible.They are hindered only by technical inability, not moral restraint.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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JMcB
Valued Member Joined: March 28 2006 Location: Tennessee Status: Offline Points: 172 |
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JaxMax...I would be interested in your take on todays release form Jakarta. Particularly the statement below made by WHO regional director Shigeru Omi
JAKARTA, May 3 (Xinhua) -- The World Health Organization (WHO) has urged Indonesia and its neighbors to work quickly to prevent bird flu pandemic, a local newspaper reported Wednesday.
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JaxMax
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JMcB
Great post!
I have heard from 3 separate sources that Indonesia is the prime area of concern for pandemic cross over by the pros.Notice she says immediate action is critical.
Cultural norms lead to an indifference to the risk in Indonesia. Much has been written of alleged govt coverup of the chicken infection to preserve company profits in the Indonesian media.
It is significant that Indonesia is so bad the Chinese are taking note.They are looking there.
Speculation is that samples are being extracted by the US and China from Indonesia as a type of guinea pig for a vaccine.
All that can be confirmed from published reports is the US military did send a Naval monitoring lab there in December 2005 and there was a dispute over economic royalties from a vacine with the Indonesian governemnt.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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JMcB
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JaxMax, the statement by Omi is not unlike your doctor saying -"we must work quickly to prevent you from having a heart attack." That type of statement would seem to indicate extreme risk.
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buzz1
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Regarding JaxMax original post I would add the China has a population now of about 1.3 billion people, about 13 billion chickens, about 508 million pigs and they all exist in an environment where direct human/animal interaction and contact are FAR more common than in our society. Add to that the same general human/animal interaction model in Indonesia and you can readily envision the inevitability of a pandemic strain occurring in Asia. As these populations increase, both man and animal, and time goes by the genetic "pressure cooker" will, indeed must, turn out the right gene mixture for a pandemic strain.
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JaxMax
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buzz1-
Thanks for the post. I like the analogy to "pressure cooker".
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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Jaxmax, you are da man! Great post! Exactly right, Indonesia has all the factors to go pandemic PLUS, you're excellent observation concerning a natural disaster, i.e. recent earthquake, creating the chaos which could spread AF like wildfire. Indonesia has two more factors: 1. Birds running free in the streets. 2. Poverty. Chickens are many people's bank account and they may not want to inform the gov. when bird's die. We may be buckling up soon, this present situation could be ground zero. BTW, this past year has had record major quakes. : ( MK |
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JaxMax
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MaryKay-
Thanks for the post, I did not know about birds in the street.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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2ciewan
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http://news.scotsman.com/latest.cfm?id=667812006 right on cue! |
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Commonground
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http://www.thejakartapost.com/detailnational.asp?fileid=20060504.C03&irec=4
National News May 05, 2006 News & Views About 300 children dying a day of pneumonia: Expert The mortality rate for pneumonia among children under five remains high in the country because parents don't know how to quickly spot the killer disease, an expert says. Pediatrician Mardjanis Said said that about 300 children under five died of pneumonia here every day; with it accounting for 41 out of every 1,000 infant deaths. Mardjanis presented his findings during his inauguration as a University of Indonesia professor in Jakarta last week. "The high mortality rate is really worrying. Few people here know about pneumonia symptoms and how the disease affects people, children in particular," he said. "Infection from bacteria, which causes most diseases including pneumonia, is relatively high in the country." Indonesia, like many other developing countries, faces problems of malnutrition, public hygiene and poverty, Mardjanis said. The combination of poor infrastructure and poverty meant common bacterial infections could be dangerous, particularly among low-income families, he said. According to the World Health Organization, pneumonia, which kills around two million children in the world each year, caused 70 percent of the fatalities in developing countries in Africa and Southeast Asia. A 2005 WHO report concluded the deaths of 19 percent of children under five were caused by pneumonia, followed by diarrheal infections (17 percent), malaria (8 percent) and measles (4 percent). As a common secondary infection, children with illnesses such as measles and diphtheria can also contract pneumonia easily. Mardjanis said while some vaccines could prevent the disease, "they are too expensive for most people" and the government had yet to include pneumonia vaccinations in its national health program. "Currently, the best way to prevent the disease is recognizing the early symptoms of pneumonia," he said. "Children breathing faster than usual is key symptom." The pace of breathing among children differs, depending on their age, he said. Infants under two months normally breathe around 50 times a minute; children aged between two months and a year around 40 times; and children above a year less than 40 times a minute. "Although (fast breathing) could indicate other respiratory diseases, 80 percent of these (symptoms in such) cases lead to pneumonia," Mardjanis said. |
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Commonground
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The reason I post this is because we now know the virus can be found in water. And this place has LOTS of water!!!
http://www.thejakartapost.com/detailcity.asp?fileid=20060504.H01&irec=0 'Wet blanket' stops activity at Balai Budaya The Jakarta Post, Jakarta The Balai Budaya cultural center has been a favorite haunt of artists and intellectuals for years, but not many people cross its threshold these days for fear their feet will get wet. For more than two years, the front yard has been at least five centimeters under water. After Monday's downpour, the water was knee deep. "I pumped the water out of the front yard to the street last night, but it keeps coming back," Sartiman, 41, an employee at the cultural center on Jl. Gereja Theresia, Central Jakarta, told The Jakarta Post on Tuesday. Once considered one of the city's cultural centers, where the country's top intellectuals and artists -- such as writer and journalist Goenawan Muhammad and poet Rendra -- used to hang out, Balai Budaya is now abandoned, due to the city's poor drainage system. Sartiman said the drainage ditch along Jl. Gereja Theresia had been clogged for years and the authorities took no interest in the problem. "You asked me if I ever reported this to the Jakarta Public Works Agency? They just don't care," Abas Alibasya, the director of Balai Budaya management, said. Last year, Balai Budaya only held three painting exhibitions, while this year, it has just one exhibition scheduled. "The water makes people so reluctant to come here," Abas said, adding that he was also waiting for a response from the Cultural and Tourism Ministry on the matter, in order to get people to come back to the cultural center. The paving stones in the yard have a mossy covering and people walk along a sheet of plywood to get to the front door. The water pump in the yard serves as a constant reminder of the city's struggle to improve its drainage system. Drainage is a major problem in the city as 40 percent of the city's land area is below sea level. In addition, 13 major rivers pass through the city, adding to the drainage woes. At least 78 areas in the city are prone to flooding, most of them in North Jakarta. Although the administration has placed at least 181 water pumps and 43 water pump stations in these areas, flooding invariably follows heavy rain. "Forty percent of Jakarta's land is about 24,000 hectares, while the existing water pumps could only serve 9,000 hectares," the head of the water resources development unit at the city's public works agency, I Gde Nyoman Suandi, told the Post. He said that even areas around Balai Budaya on Jl. Thamrin, Jl. Wahid Hasyim, Jl. Kebon Sirih and Jl. Jaksa, were not free from flooding. "We're going to start the project to widen Cideng River and install new pumps in the Melati dam to reduce flooding in Central Jakarta," he said, adding that flooding would continue until the construction of the East Flood Canal was finished. The agency, however, once blamed the poor drainage on the badly coordinated construction of underground networks belonging to different institutions, including water pipes, gas pipes and phone cables, which often crisscross the drainage tunnels. (01) |
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JaxMax
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Commonground and 2ciewan-
Great posts.
Another example of the fact that if a country does not insist upon basic sanitary living conditions for all its citizens, those deprived will ultimately effect everyone, even the wealthy.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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Commonground
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You got that right JaxMax. Thank you.
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JaxMax
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Indonesia update- Monday, May 8, 2006
1. Wall Street Journal cites WHO confirmation of 25th bird flu human fatality in Indonesia.
2. 5.1 Earthquake in Indonesia May 8, 2006
3. 4.8 Earthquake in Indonesia May 6, 2006 http://earthquake.usgs.gov/eqcenter/recenteqsww/Quakes/quakes_all.php
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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Mom's Rx
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And what ever happened with the family of 8 from Jakarta? Does anyone remember the news on 5/1 about Abidi and Sarmawati, 2 of their 6 kids had died of bird flu on Mar 31 and Apr 4? Other 6 members of family were hospitalized (4+ and 2-)? I saw it at The Jakarta Post.com and have never read an update.
Bottom line...there is a lot going on over there and we have no idea. Hundreds of cases in China and Indonesia go without reporting to WHO?
The warning signs are on the wall.
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JaxMax
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Mom's Rx-
Good points.
I am amazed after the WHO cites Indonesia as needing improvement and confirming death 25 in INdonesia, we still do not get major press coverage.
With these new earthquakes sanitation and water are probably impacted.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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JaxMax
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Recombinomics reports new clusters in Indonesia. http://www.recombinomics.com/News/05100602/H5N1_Sumatra.html
Also another earthquake 5.1, putting strain on even the minimal sanitation systems.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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JaxMax
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Indonesian newspaper confirms the cluster deaths. http://www.thejakartapost.com/detailnational.asp?fileid=20060511.G02&irec=3
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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janetn
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Indoniesians have pet birds in the homes They view pet birds the same as we do dogs and cats. They also have political problems, the leader of the country has refused to do what has worked in Viet nam and Thailand, that is cull birds rigorously he doesnt have the popular support to do that. Hence the virus is now endemic in the area. You are all correct in your observation that this area is ripe for a mutation that could fuel a pandemic.
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The 1918 flu started in Indoniesa and I beleive that the same conditions exist , the poverty , lack of sanition , the lack of free press , secrecy ,
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JaxMax
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In addition to the problems noted by janetn and Deanna, Indonesia is undergoing earthquakes every day.
Imagine the stress on an already overburdened water and sanitation system, and how the earthquakes hinder good sanitation practices and increase succeptibility to H5N1.
Indonesia had a 5.1 quake on May 10, and a 5.1 again toady (may 11, 2006). http://earthquake.usgs.gov/eqcenter/recenteqsww/Quakes/quakes_all.php
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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JMcB
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May 12, 2006
Kalla calls for evacuation of Merapi residents
MAGELANG, Central Java (Antara): Vice President Jusuf Kalla called on local administrations to immediately evacuate residents living near the slopes of Mt. Merapi.
"I am calling for the immediate evacuation of at least 50 percent of residents from danger areas," Kalla said after a closed-door meeting with officials from local administrations around Mt. Merapi. The meeting was held in the Central Java town of Magelang.
Some 30,000 residents would have to be evacuated from Mt. Merapi if the volcano erupts.
The Vice President warned residents it was impossible to predict exactly when Merapi would erupt. "It is only a matter of time. It (the explosion) can be within one day, two days, threedays, one week or one month," said Kalla, who was accompanied by a number of ministers.
Merapi has a history of being unpredictable, and many of the nearby villagers are distrustful of modern science.
The 2,956-meter high Merapi is one of at least 129 active volcanoes in Indonesia -- part of the Pacific "Ring of Fire" - a series of fault lines stretching from the Western Hemisphere through Japan and Southeast Asia.
It last erupted in 1994, sending out a searing cloud of gas that killed 60 people. About 1,300 people were killed when it erupted in 1930.
Thousands of residents have left their homes for safer areas since late last month. But many of them have returned home. Many villagers are ignoring warnings about the pending danger, citing traditional beliefs about the volcano, as well as the need tocontinue working.
Smoke and lava have been spewing from the volcano and sensors within the crater have detected a rise in seismic activity in recent weeks, leading scientists to warn a major eruption is imminent. (**) |
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JaxMax
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JMcB-
Thanks for the post.
Indonesia seems to have it all, H5N1, numerous chickens, poor sanitation, 25 WHO confirmed human H5N1 fatalities and to further compromise sanitation it has the disruption caused by daily earthquakes and volcanoes.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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JaxMax
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Effect Measure weighs in with an analysis of Indonesia cluster. I ignore all their political and religious (or more accurately lack thereof) commentary, but heir medical analysis is usually pretty good.http://effectmeasure.blogspot.com/
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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I'm no expert, but from what I have read there are 2 types of mutations. Random virus mutations within the cell based on chance. This type of mutation happens over 1 million times per host for influenza, of which 1,000 to 10,000 are reproducable within the host. The other type of mutation is a mixing of RNA when a cell in the host is infected with more than 1 virus, the viruses exchange RNA when they replicate. The random chance mutation can happen anywhere anytime to make H2H easy but odds are long. In Indonesia, just starting the normal flu season, H5N1 is endemic and so will the normal flu be. This may be a lethal mixing ground for the H5N1 to get RNA from regular flu and become H2H easily transimissable. The chance of this type of mutation is greater than just a random mutation.
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2ciewan
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Indonesia, Merapi volcano: Jakarta orders evacuation of 17,000 people
The Indonesian vice-president, Jusuf Kalla, has ordered the evacuation of half of the residents living on the slopes of Merapi volcano. Merapi is an island of Java, which has been spouting lava and dark clouds of smoke for weeks. After visiting local communities and authorities, Kalla said that on the basis of scientific considerations, the government believed a powerful eruption was now imminent. Despite several calls by the authorities to leave, residents continue to insist their magic rituals will save them and they are looking to their animals to discern signs that would induce them to escape. Jakarta has anyhow admitted it is unable to give exact predictions about the feared eruption. "Immediate safety measures must be taken, beginning with evacuation of half the residents living within the danger zone within one or two days,” said Kalla. “If there are strong signs that Merapi is about to erupt, all people will be evacuated within two days.” Jakarta has already allocated around 2.3 million dollars. The danger zone includes two districts of Magelang and Sleman that have a total of 34,000 residents. However, should total evacuation be necessary, reception centres in the area could only host up to 15,000 people. The government gave an order for the transfer some influential community figures, whose resistance to the evacuation plan would surely feed that of the local community. Among these people was 79-year-old Marijan, held to be able to communicate spiritually with the “guardian” of Merapi.Further, Kalla, who is also head of the Coordinating Board of the National Disaster Agency, ordered local authorities to ensure residents understand that offering sacrifices and prayers on Mount Merapi would not guarantee them immunity. However, some believe that the refusal of residents to leave their homes is dictated by concerns about the fate of their crops and cattle, the only source of income for them. The last powerful eruption of Mount Merapi dates back to 1994, when 60 people were killed, while one of the most destructive eruptions took place in 1930, with a death toll of 1,369 people. Indonesia has more than 100 active volcanos. |
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JaxMax
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mach-
I certainly agree. I am no expert in genetics, I just know even a bad shot may eventually hit the target if he shoots a lot of bullets. Indonesia provides lots of bullets.
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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JaxMax
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Another article confirmimg our fears for Indonesia.http://www.cnn.com/2006/HEALTH/conditions/05/13/indonesia.birdflu.reut/
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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JaxMax
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And now, ANOTHER earthquake pummels Indonesia. 6.1 on May 13, 2006.
And Ready Mom has a separate post about the volcano ready to blow.
Even advanced western countries would have severe strain on thier sanitation systems with daily earthquakes. With chickens all over the place, H5N1 endemic, 25 WHO confirmed human deaths, a recent family cluster, and daily degradation in normal sanitation from earthquakes, how can Indonesia NOT be the Index site for rapidly spreading H2H?
http://earthquake.usgs.gov/eqcenter/recenteqsww/Quakes/quakes_all.php
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He who walks with the wise grows wise, but a companion of fools suffers harm.Proverbs 13:20, The Bible
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seesthelight
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How secret is Indonesia...when this thread shows there is alot of talk where this country is concerned...
Why aren't we talking about CHINA and JAPAN just to name - two ?????
Seems to me if you are saying there are SECRETS..... we should be asking ourselves why we aren't seeing info coming from these places...but oh yeah ....thats because its so SECRET and covered up ...we DON't Expect to hear from them...so we aren't talking about it....Indonesia atleast gives us something to talk about. Thats not to say, I think any part of this secrecy thing is right or good.
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