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Tracking the next pandemic: Avian Flu Talk

Indonesia

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50 Dead in this Jail , mainly respiratory problems , but nothing to worry about folks ( Ha ! ) Confused


Deaths linked to extreme overcrowding, says warden

Multa Fidrus, The Jakarta Post, Tangerang

Overcrowding and poor sanitation at Tangerang Penitentiary (LP Pemuda) are said to be the main causes of the deaths of 50 inmates over the past four months.

"The prison was only designed for 800 people but it is now home to 3,816 inmates," warden Kosad Purwanto said Wednesday.

He said that many of the deaths in the prison had been linked to overcrowding, poor sanitation and a lack of access to proper healthcare.

Penitentiary data shows that 10 inmates died in January, 18 in February, a further 18 in March and four more this month.

"Based on our records, most of the inmates died of respiratory problems. None of them died after an accident or violent encounter," he said, adding that 85 percent of inmates in the prison were drug users.

He said the existing 418 cells measured 1.5 square meters each and were occupied by eight to 10 inmates. They are designed for one.

Overcrowding is a widespread problem in the country's prison system.

The Justice and Human Rights Ministry, which oversees prisons, should be held responsible for the deaths, Jakarta Indonesian Legal Aid and Human Rights Association (PBHI) head Dedi Ali Ahmad said.

"The fact that there are hygiene problems in the (Tangerang youth) prison, which are related to overcrowding and poor sanitation, is against a UN resolution on the basic principles on the treatment of inmates," Dedi said as quoted by Antara.

Inmate numbers have recently increased at the penitentiary because it also receives prisoners through the West Jakarta Prosecutor's Office, the West Jakarta Police and the West Jakarta District Court, warden Kosad explained.

The number of inmates increased from 306 in January to 1219 in March.

"The poor conditions have made inmates susceptible to disease. We have asked the Tangerang municipal health agency to provide more paramedics for inmates but there were no response," Kosad said.

"There are only four doctors working here, which is certainly not enough."

Kosad said it was possible some of the prisoners had died of AIDS-related illnesses because many of them were drug-dependent and shared needles.

"They even share toothbrushes, shavers and many other things," he said.

The last three inmates who died at the prison were identified as Karsim, 22, Muhamad Awage, 29, and Sudar, 25. The three died on Monday morning and their bodies were taken to Tangerang General Hospital's morgue.

Jaelani, who works at the morgue, said no autopsies had been performed on the bodies as the penitentiary had reported the causes of their deaths.

Prison doctor Ahmad Rivan said that he and three other doctors had difficulties in regularly examining inmates because of limited resources.

"Sick inmates should be isolated but this never happens here," he said, adding that the health facility in the prison could only accommodate 20 people while there were 100 patients a day on average in the penitentiary.

He said the team of paramedics assigned to the prison consisted of two doctors, two dentists and three nurses.





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Clear case of  Bird flu victim being  initially mistaken as Dengue


Jakarta post    7 mar 2007
W. Java regulates poultry to curb bird flu


Yuli Tri Suwarni and Blontank Poer, The Jakarta Post, Bandung, Surakarta

West Java Governor Danny Setiawan has signed into law a regulation aimed at curbing the spread of bird flu in the province, three months after neighboring Jakarta passed a more stringent regulation.

Unlike Jakarta, the West Java regulation does not ban backyard farming or impose sanctions for violators. West Java has been hit the hardest by bird flu, with 27 deaths out of 29 reported cases of the H5N1 virus. Nationwide, 73 people have died out of 93 confirmed cases.

Rahmat Setiadi, the head of the West Java Animal Husbandry Office, said in Bandung on Thursday the governor signed the regulation this week in response to an earlier presidential instruction to intensify the fight against bird flu.

"West Java is still reporting bird flu case due to the lack of monitoring of poultry. We hope to solve this problem with this gubernatorial regulation," he said.

The regulation states that all poultry must be kept at least 2.5 meters away from all houses, and should be placed in an area that receives direct sunlight.

It also says the technical details governing the movement of poultry in the province would be agreed upon by West Java's 25 regency and municipality administrations.

However, the regulation could prove to be toothless as it does not contain sanctions for violators.

"It is mentioned in the regulation that a bird that tests positive (for the bird flu virus) should be destroyed. But when it comes to healthy pens, all we can do is offer advice to the public," Rahmat said.

He acknowledged the regulation might not be sufficient to eliminate the virus from West Java, but expressed optimism it would help reduce the number of bird flu cases in poultry.

Rahmat said that in the first three months of this year, more than 19,500 chickens had died in 24 regencies and mayoralties. Bird deaths were recorded in 189 villages and 132 districts, while more than 12,000 birds being destroyed.

Meanwhile, a 29-year-old man suspected of having bird flu died at Dr. Moewardi Hospital in Surakarta, Central Java, on Thursday.

Test results are expected Saturday to confirm whether he had the virus. In the meantime, his remains are being handled as if he died of bird flu.

The man's coffin was not allowed to be opened by relatives before his funeral in Sapen village, Sukoharjo, also in Central Java.

"We asked all those who bathed the body to wear masks. We also placed the remains in a coffin and sealed it so the family would not open it. These are just safety precautions," a doctor at the hospital, Suradi, told journalists.

A cousin of the victim, Sumardiyanto, criticized the hospital's handling of his relative. He said his cousin arrived at the hospital on March 30 and was placed in a shared room, being moved to isolation only four days later.

He claimed staff at the hospital panicked when they first suspected his cousin had the H5N1 virus. "All of the patients (in his shared room) were moved out and the room was sterilized. After that (my cousin) was taken to an isolation room."

Dr. Suradi said the victim was initially thought to have dengue fever. "But it's not true that we did not give him proper attention. We used standard procedures in dealing with avian influenza suspects."

The victim purchased about 200 kilograms of chicken meat at the Semanggi traditional market on March 15, which is when he is suspected of having contracted the virus. A day later dozens of his neighbors' chickens died.






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29 year old man dies of Bird flu after initially being mistaken for Dengue Fever.
( see prior post for details of error ) .



Indonesia bird flu toll rises to 74

Jakarta (dpa) - A 29-year-old man has died of bird flu in Indonesia, bringing the country's total number of human deaths from the H5N1 strain of the virus to 74 - the world's highest, a health official said Saturday.

The man, identified as Suramto, died Thursday after undergoing nearly a week of treatment in a hospital in Solo town in central Java, said I Nyoman Kandun, director-general for infectious diseases at the Indonesian Health Ministry.

"Two local tests for him came back positive," the doctor told Deutsche Presse-Agentur dpa.

Suramto's death brings the toll from the H5N1 virus in Indonesia to 74 deaths out of 94 human cases, and is the highest in the world for bird-flu deaths. Vietnam is second with 42 deaths, but has not had a human death from the virus in more than a year.

The number of bird flu cases has increased rapidly in Indonesia. This year alone, the H5N1 avian influenza virus has claimed the lives of 17 people in the country. On Friday, the killer virus claimed the life of a teenager from central Jakarta.

Alarmed by a sudden spike in bird-flu deaths early this year, the Indonesian government declared a ban on backyard poultry farms in residential areas of nine provinces.

The ban, which took effect in mid-January for Jakarta, West Java and Banten provinces, was later extended across Java and beyond. The government also placed tight restrictions on the movement and sale of poultry and poultry products across the nine provinces and is preparing more hospitals to treat human cases of the virus.

Most bird-flu victims around the world have had direct or indirect contact with sick birds, but scientists fear the virus could mutate into a form that is easily transmissible among humans, sparking a global pandemic that could kill millions.

The United Nation's Food and Agriculture Organization said the avian influenza virus may spread from Indonesia, Egypt and Nigeria to other countries in Asia and Africa because the three countries have not been able to contain the disease.

Indonesia has agreed to resume sharing virus samples for research in exchange for a World Health Organization (WHO) pledge to restrict drug company access to them.

Indonesia began withholding samples from WHO last month after an Australian company developed a vaccine for commercial sale using an Indonesian sample without Jakarta's knowledge.

Amid a standoff with WHO over sharing its bird flu samples, Indonesia in February signed a memorandum of understanding with US vaccine producer Baxter International about possible future collaboration or supply agreements.

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   Archive Number 20070407.1173
Published Date 07-APR-2007
Subject PRO/AH/EDR> Avian influenza, human (69): Indonesia


AVIAN INFLUENZA, HUMAN (69): INDONESIA
**************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Sat 7 Apr 2007
From: ProMED-mail <promed@promedmail.org>
Source: Xinhua News Agency [edited]
<http://news.xinhuanet.com/english/2007-04/07/content_5946447.htm>


The 2nd laboratory blood test confirmed on Saturday [7 Apr 2007],
that a 29-year-old man, who died last Thursday [5 Apr 2007], had the
H5N1 bird flu virus, bringing the death toll in Indonesia to 74, an
official said on Saturday [7 Apr 2004].

Muhammad Nadirin, head of the Health Ministry's anti-bird flu center,
was quoted by local reports as saying that the man had contact with
infected chickens before he was treated in a hospital for nearly a
week in Central Java province.

Indonesia has become the hardest hit country by bird flu in the world
with the highest number of deaths. [However more cases (but fewer
deaths) were recorded in Viet Nam during the period between the
beginning of 2003 and the end of 2005, when the outbreak there was
finally controlled; see
<http://www.who.int/csr/disease/avian_influenza/country/cases_table_2007_04_02/en/index.html>.
- Mod CP]

Last month [March 2007], 5 people died of bird flu in Indonesia and
[this month (April 2007) there have already been 2 more deaths]. The
Indonesian health authorities have imposed a firm policy separating
[poultry] from humans and intensifying surveillance of the virus. In
addition, the authorities have forbidden the raising [of poultry] in
residential areas.

Over 32 million families in Indonesia's vast archipelago have [been]
raising chickens in backyards, according to the Indonesian
Agriculture Minister, Anton Apriantono.

[Byline: Lin Li]

--
ProMED-mail
<promed@promedmail.org>

[As of 2 Apr 2007, the number of laboratory confirmed human cases of
H5N1 avian influenza virus infection in Indonesia, according to the
World Health Organisation (WHO), is 81, of whom 63 have died. Prior
to 2007, 75 cases and 57 deaths occurred. WHO confirmation of the
additional cases and deaths reported by the Indonesian authorities
during the current year is awaited. - Mod.CP]

[see also:
Avian influenza, human (68): Cambodia, Indonesia 20070406.1161
Avian influenza, human (67): Indonesia, Kuwait NOT 20070405.1152
Avian influenza, human (66): Indonesia, Kuwait 20070404.1145
Avian influenza, human (65): Egypt, Indonesia 20070403.1134
Avian influenza, human (64): Egypt, WHO 20070402.1123
Avian influenza, human (63): Egypt 20070401.1112
Avian influenza, human (62): China, Egypt, WHO 20070331.1103
Avian influenza, human (61): China, Indonesia 20070329.1080
Avian influenza, human (60): Egypt, Indonesia, WHO 20070328.1067
Avian influenza, human (59): Egypt, Indonesia, WHO 20070327.1061
Avian influenza, human (58): Egypt, China (Hong Kong) 20070326.1046
Avian influenza, human (56): Egypt, Indonesia, WHO 20070320.0985
Avian influenza, human (54): Egypt, WHO 20070319.0965
Avian influenza, human (52): Egypt 20070315.0909
Avian influenza, human (51): worldwide, WHO 20070312.0878
Avian influenza, human (49): Egypt 20070311.0860
Avian influenza, human (44): China, Egypt, WHO 20070301.0732
Avian influenza, human (43): China, Egypt 20070228.0718
Avian influenza, human (38): Egypt, WHO 20070216.0584
Avian influenza, human (37): Egypt 20070214.0557
Avian influenza, human (34): Egypt, WHO 20070207.0481
Avian influenza, human (31): Egypt 20070206.0469
Avian influenza, human (19): Egypt, Indonesia 20070123.0305
Avian influenza, human (17): Egypt, Indonesia 20070120.0271
Avian influenza, human (15): Egypt, drug resistance, correction 20070119.0253
Avian influenza, human (15): Egypt, drug resistance 20070118.0238
Avian influenza, human (13): Egypt, Indonesia 20070115.0198]
.............................................cp/mj/lm

http://www.promedmail.org/pls/promed/f?p=2400:1001:4326725834056541844::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1010,36988

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Ross On Dengue ..............

[2] Indonesia
Date: 3 Apr 2007
From: A-Lan Banks <A-Lan.Banks@thomson.com>
Source: Jakarta Post - Jakarta, Indonesia [edited]
<http://www.thejakartapost.com/yesterdaydetail.asp?fileid=20070403.C09>


Fatmawati Hospital in South Jakarta is struggling to keep pace with a
large dengue outbreak, with 30 people administering [receiving? -
Mod.TY] treatment for the mosquito-borne disease on Monday [2 Apr
2007] alone.

Tempointeraktif reported that, as of Monday [2 Apr 2007], the
hospital was treating 152 patients, including 27 children. 36 late
arrivals are sleeping on foldable beds in the hospital's corridors
because the wards are full.

Hospital spokeswoman Rahmawati said dozens of dengue patients had
been admitted daily since last week.

From January through to February 2007, the hospital treated 1259
people for the disease. In March 2007 alone, it saw 861 dengue
patients. In January 2007, 8 patients died due to late treatment.

--
ProMED-mail
<promed@promedmail.org>

[ProMED requests any information available about action taken for
vector mosquito control or about the dengue virus type or types that
are circulating during this outbreak. A map of Indonesia can be
accessed at:
<http://www.lib.utexas.edu/maps/middle_east_and_asia/indonesia_pol_2002.jpg>.

The WHO describes dengue fever as a severe, flu-like illness that
affects infants, young children, and adults but is seldom fatal. The
clinical features of dengue fever vary according to the age of the
patient. Infants and young children may have a non-specific febrile
illness with rash (although some infants and very young children may
develop shock syndrome, with sudden loss of circulating fluid volume,
and die). Older children and adults may have either a mild febrile
syndrome or the classical incapacitating disease, with abrupt onset
and high fever, severe headache, pain behind the eyes, muscle and
joint pains, and rash.

Dengue hemorrhagic fever [DHF] is a potentially deadly complication
that is characterized by high fever, hemorrhagic phenomena -- often
with enlargement of the liver -- and in severe cases, circulatory
failure. The illness commonly begins with a sudden rise in
temperature accompanied by facial flush and other non-specific
constitutional symptoms of dengue fever. The fever usually continues
for 2 to 7 days and can be as high as 40-41 C (104-105.8 F), possibly
with febrile convulsions and hemorrhagic phenomena. In moderate DHF
cases, all signs and symptoms abate after the fever subsides. In
severe cases, the patient's condition may suddenly deteriorate after
a few days of fever; the temperature drops, followed by signs of
circulatory failure, and the patient may rapidly go into a critical
state of shock and die within 12-24 hours or quickly recover
following appropriate volume replacement therapy. There is no
specific treatment for dengue fever. However, careful clinical
management by experienced physicians and nurses frequently saves the
lives of DHF patients. With appropriate intensive supportive therapy,
mortality may be reduced to less than one percent. Maintenance of the
circulating fluid volume is the central feature of DHF case
management. (Abstracted from the WHO website fact sheet on dengue:
<http://www.who.int/mediacentre/factsheets/fs117/en/>).

ProMED-mail thanks the contributors to this update and encourages
others to contribute reports also. - Mod.TY]

[see also:
Dengue/DHF update 2007 (14) 20070401.1116
Dengue/DHF update 2007 (13) 20070326.1048
Dengue/DHF update 2007 (12) 20070320.0972
Dengue/DHF update 2007 (11) 20070311.0859
http://www.promedmail.org/pls/promed/f?p=2400:1001:4326725834056541844::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1010,36992
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Candles ,
               that is one very interesting post , a bit scary though . 

Do you know of any reason why there should be such a sharp
increase in cases in the Jakarta area ( assuming it is Dengue ) .

The floods are over , but I suppose it is still the rainy season .
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"Reported"  death rate from Dengue  in post below  as at  9 April 2007 .

This year  to  date  .........   41/10942  =  approx   0.37 %   in Capital
Last Year               ..........   51/24932  =  approx   0.2 %  


Note - the above  figures appear wildly out of line both with previous
          Indonesian dengue death rate figures and the reported ,
          national death rate given below .

National figure       ..........    144/8019  = approx 1.795 %  for January

A death rate of 1.795%  is approx   4.8 times  difference from a 0.37% death rate.

( The mind boggles !   )


Sutiyoso sounds the alarm as dengue cases keep rising

The Jakarta Post, Jakarta

Jakarta Governor Sutiyoso declared Monday the city's dengue fever outbreak was already at the "extraordinary occurrence" stage, after a sharp rise in the number of victims over the last four months.

Sutiyoso made the announcement to reporters in City Hall on Monday.

The last four months has seen 10,942 cases of dengue fever in the capital, resulting in 41 deaths.

By comparison, the whole year of 2006 saw 24,932 cases with 51 deaths.

The governor, who accepted a recommendation letter from the health agency to declare an extraordinary occurrence Thursday, said he had sent letters to the Health Minister Siti Fadillah Supari over the weekend asking for additional drugs and insecticides for a mass fumigation throughout the city.

"There is no other way to exterminate the mosquitoes except fumigation," he said, adding that he has called on all city residents to destroy mosquito nests in their houses once a week.

"I also suggested a regulation to the city council to give fines or whatever the form of the punishment if we find any mosquito larvae in houses," he said, adding that he was also asking for help from the Indonesian Military to supply additional officers to enforce the plan.

The city's assistant for the people's welfare, Rohana Manggala, said that the schedule for the mass fumigation would be decided later after a meeting tomorrow between the head of the health agency and the governor.

She said the governor's letter to the Health Minister Siti Fadillah Supari on April 5 asked for an additional 104,788 liters of insecticides for the fumigation.

On a national level, the Health Ministry previously predicted this year's dengue fever outbreak would be harder to manage than previous outbreaks, due to the increase in the number of cases.

According to data from the ministry, as of the end of January, the national total of dengue cases stood at 8,019, with 144 deaths.

However, the government has yet to declare the nation-wide spread of the virus an extraordinary occurrence, despite the fact that the number of victims has risen sharply in many regions.(05)

http://www.thejakartapost.com/detailcity.asp?fileid=20070410.C02&irec=1



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COMPARE THE PREVIOUS POST WITH A POST I PUT ON THIS FORUM A
FEW MONTHS AGO.


BELOW IS THE OLD POST
======================================================


Other diseases being called Dengue Fever ???


The article posted below is over a month old , but interesting because it
says there has been 120%  increase in the percentage of people dying
from Dengue since Jan/2006 . 

Not an increase in the actual number of Dengue cases but
an increase in the percentage who die by 120%  on the base month
of Jan/2006 . 

The figures are a bit confusing because they relate to different areas but what is , or should be common to all areas is the percentage of people dying .

Has Dengue become more fatal or is mis-diagnosis occuring ?


Year/Month        Dengue       Deaths        Deaths                   Percent
                          Cases                             Percentage            Increase

2006   Jan         18941              192          1.02 %                         0

2006   Dec           5400                77          1.43 %                        40%

2007   Jan            4862                75          1.55 %                        52%

Most startling is the figure given for West Java  .


2007   Jan             1889                42          2.23 %                        120%



       
The article says that the increased death rate is due to people seeking
medical help later. Given the early stage symptoms similarities  with
Bird flu that does not sound very plausible to me .

Interestingly if we assume that the true death rate from Dengue is in
fact the same as it was in Jan/2006 that would mean that in West Java
approx people
22 died from some other disease but were mis-reporteded
as Dengue in Jan/2007 . 



January 30, 2007 12:28 PM E-mail this news to a friend Printable version of this news

75 Deaths From 4,862 Dengue Fever Cases In Indonesia In Jan Alone

By Mohd Nasir Yusoff

JAKARTA, Jan 30 (Bernama) -- A total of 4,862 dengue fever cases with 75 of them ending in the patients' death have been recorded in January alone in Indonesia, according to the Health Ministry report.

The cases occurred in 14 of the country's 33 provinces with the special region of Jakarta registering the highest figure, Dr Erna Tresnaningsih, the head of the ministry's directorate of animal-borne disease control, said.

Jakarta has the highest number of dengue fever patients, followed by West Java, Central Java and Lampung on Sumatera Island, she said.

She said in December 2006, a total of 5,400 dengue fever cases were reported in 28 provinces leading to 77 deaths.

In January 2006, the number of cases reached 18,941 in 33 provinces and leading to 192 deaths, she said.

The health ministry had taken several measures to reduce the rate of fatalities from the disease that always spread ahead and after the rainy season through the aedes aegepti mosquito.

"The key to its prevention is the environment and the people. If the environment is free of pools of water which can be used by the mosquito to breed and the people maintain environmental health, the disease is surely more controllable," she said as quoted by Antara news agency Tuesday.

She admitted that efforts to control the disease had not yielded the desired results because public participation was still relatively low.

Meanwhile in West Java, a total of 42 people have died in the outbreak of dengue fever in the province since early this month.

The province recorded 1,889 confirmed cases of dengue fever between Jan 1 and 29, Head of the Provincial Health Office Dr Yudhi Prayudha said, adding that the number of deaths rose sharply from only 27 in the same period last year mostly because the patients sought medical treatment only at a very late stage.



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http://www.playfuls.com/news_006377_Dengue_Fever_Kills_41_Sickens_Over_11000_In_Jakarta.html


Here is another Version of the Same story  

41/11000 = 0.37 %
51/24942 = 0.204 %
595/89866 = 0.6 %    ( figures as at 5 april 2007 across the nation ) .

Clearly these  different death rates are not easy  to reconcile with
the previous posts below.


A seasonal dengue fever outbreak in the Indonesian capital has killed at least 41 and sickened more than 11,000 others this year, sparked the city authorities to declare the outbreak an "extraordinary occurrence," local media reports said Tuesday.

Governor Sutiyoso said that the mosquito-borne disease cases in the capital had risen drastically since January, with a total of 11,094 people were infected and claimed the lives of 41 residents, The Jakarta Post reported.

By comparison, the whole year of 2006 saw 24,942 reported cases of dengue fever recorded with 51 deaths in Jakarta.

"I declare the Jakarta's dengue fever outbreak extraordinary occurrence status late last week because the number of infected people has sharply increased," Media Indonesia daily quoted Sutiyoso as saying.

He said he had sent letters to the Health Minister over the weekend asking for additional drugs and insecticides for a mass fumigation across the capital of more than 12 million residents.

"There is no other way to exterminate the mosquitoes except fumigation," Sutiyoso said, calling all city residents to destroy mosquito nets in their houses once a week.

"I also suggested a regulation to the city council to give fines or whatever the form of the punishment if we find any mosquito larvae in houses," the governor said. In addition, he also asking for help from the Indonesian military to supply additional officers to enforce the plan.

As of April 5, a total of 89,866 cases of dengue fever were recorded across the world's fourth most populous nation and claimed the lives of 595 people this year, said an official at the country's Health Ministry.

Health officials had previously warned this year's dengue fever outbreak would be harder to manage than previous year, and several measures had been taken to reduce the rate of fatalities from the seasonal disease that spreads ahead of and after the rainy season, carried by the aedes aegypti mosquito.

Dengue infects up to 50 million people worldwide a year, and South-East Asia and the Western Pacific are the worst-hit regions. Dengue hemorrhagic fever is a lethal complication of the disease, and is a leading cause of hospitalization and death among children in several Asian countries, according to the World Health Organisation.





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What bothers me about all this ,  is that Indonesia ( as far as I know )
is still not updating WHO about confirmed cases of H5N1.

As I understand it , the last WHO confirmed case was   29/Jan/2007 .

Suggestions that they are fiddling the books on Dengue  carries
implications for their reporting of H5N1.


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is still not updating WHO about confirmed cases of H5N1.
...............................................................................................
 
Did they mention a time frame of 2 months?
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   Bali .............

ProMED-mail
<promed@promedmail.org>

******
[2] Indonesia (Bali)
Date: 10 Apr 2007
From: Mary Marshall <tropical.forestry@btinternet.com>
Source: BBC Day in Pictures [edited]
<http://news.bbc.co.uk/2/hi/in_pictures/6538859.stm>

More than 1000 ducks have been culled in Jembrana, Bali after some of
the birds tested positive for the H5N1 strain of the bird flu virus.

--
ProMED-mail
<promed@promedmail.org>

[The 2nd posting provides a very brief description of another H5N1
event. Indonesia sources continue to report a spate of human deaths,
5 last month and 2 so far this April 2007. For this reason, any
information on avian outbreaks is important, as they are the source
of risk for humans. For a map of Jembrana, Bali, see
<http://www.maplandia.com/indonesia/bali/jembrana/>.

Unfortunately, the outbreaks are occurring a great distances from
each other, as the Sindh is in the extreme southeast, and, as the
name implies, the Northwestern Frontier Province is at the other
extreme part of the country. For a map of the outbreak area in Sindh
and NWFP, see <http://en.wikipedia.org/wiki/Image:Pakistan_Div.png>. - Mod.PC]

[see also:
Avian influenza (63): Kuwait, Pakistan 20070401.1115
Avian influenza (58): Bangladesh, India, Pakistan,... 20070322.1008
Avian influenza (46): Pakistan, Kuwait, Malaysia 20070304.0762
Avian influenza, human (69): Indonesia 20070407.1173
Avian influenza, human (68): Cambodia, Indonesia 20070406.1161
Avian influenza, human (67): Indonesia, Kuwait NOT 20070405.1152
Avian influenza, human (66): Indonesia, Kuwait 20070404.1145
Avian influenza, human (65): Egypt, Indonesia 20070403.1134
Avian influenza, human (61): China, Indonesia 20070329.1080]
...........................pc/msp/mpp

http://www.promedmail.org/pls/promed/f?p=2400:1001:4326725834056541844::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1010,37031
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8 April 2007

Dengue fever kills 15 people in Kediri district of E. Java


Kediri (ANTARA News) - At least 15 people were reportedly killed by dengue fever in Kediri district, East Java, in the past few weeks.

Dr Adi Laksono, head of the infectious disease eradication and healthy environment section of the Kediri district health office, here on Sunday said the last dead victim was identified as Noviana Sari (12), the daughter of Khoirul Huda, a resident of Branggahan village.

"Information obtained from the local public hospital, the victim was rushed to that hospital on March 31. After getting medical treatment for three days, Noviana then passed away on April 2," he said.

When she was admitted to the hospital, Noviana was in a critical condition. Many efforts had been made to help and cure her, but the fact turned to be different, he continued.

From time to time, the number of dengue fever-stricken victims tended to rise. In fact in the past four months, there were about 817 dengue fever-related cases.

Adi described that the number of people killed by dengue fever in the past few weeks stood at 15. In January dengue fever cases recorded in January 250, followed by 375 cases in February, 5 cases in March and in this month (April) 192 people were reported to be suffering from dengue fever.

According to him, almost all sub-districts in Kediri district were stated as endemy of the disease which was spread by the beating of `Aedes Aigypyi` mosquitos.

Until now, the local administration has yet to state the spread of dengue fever in Kediri as an extra-ordinary pandemy. (*)
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Found by KParcel - Copied here for help build the picture , with thanks
Jakarta Post  16 April 2007


Family suspected of having bird flu

BANDUNG, West Java: A five-member family were admitted to Slamet Hospital in Garut, West Java, on Saturday evening due to concerns they had contracted the bird flu virus.

Yogi Prayogi, spokesman for the hospital, said the family, ranging in age from 50 to six years old, were rushed to hospital suffering from respiratory problems and high fevers, symptoms associated with bird flu.

"Five of the family's chickens died suddenly and were buried in the front yard of their house. Not long after that, members of the family fell ill," Yogi said.

The condition of two of the family members was critical, both with temperatures above 39 degrees Celsius, he said. -- JP


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Article from the H.Niman website.


Suspect H5N1 Cluster in Garut Indonesia

Commentary
April 16, 2007


A five-member family were admitted to Slamet Hospital in Garut, West Java, on Saturday evening due to concerns they had contracted the bird flu virus.

Yogi Prayogi, spokesman for the hospital, said the family, ranging in age from 50 to six years old, were rushed to hospital suffering from respiratory problems and high fevers, symptoms associated with bird flu.

"Five of the family's chickens died suddenly and were buried in the front yard of their house. Not long after that, members of the family fell ill," Yogi said.

The condition of two of the family members was critical, both with temperatures above 39 degrees Celsius, he said.


The above comments describe an H5N1 suspected familial cluster in Garut, Indonesia.  This region has previously reported one of the
largest suspect clusters in Indonesia.  Although only three members of the Garut cluster were
confirmed, many family members and contacts died with bird flu symptoms and samples were not collected for testing.  Others tested negative, although they were hospitalized and placed in intensive care.  Sequences from the Garut cluster were similar to H5N1 sequences from Java, and included the novel cleavage site RESRRKKR.  Although closely erelated sequencs were not found in poultry isolates from late 2005, early 2006,  more recent poultry isolates have had the novel cleavage site, indicating the common strain found in human cases in Indonesia was becoming more widespread.

The linkage of the above family to dead poultry, as well as the critical condition of two family members is cause for concern.  In the prior outbreak, the practice of feeding dead chickens to dogs was described.  H5N1 has been isolated from dogs and cats, raising concerns of additional evolution in mammalian hosts,

Although sequences from early 2007 were released by Indonesia, more recent sequence data has been lacking.

More information on the H5N1 status of the family, and associated sequences would be useful.


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Jakarta Post  18 April 2007
Do you mean I have to register my bird?'

The Jakarta administration recently endorsed a bylaw to control backyard poultry farming in response to outbreaks of the deadly bird flu in the city. The Jakarta Post asked people for their thoughts on how the administration can make the ordinance work.

Melissa, 27, is a housewife. She lives in East Jakarta:

I think it's a good idea to separate birds from residential areas. It won't only protect us from bird flu, but also from other diseases.

But I doubt the administration can implement this over the long term, because usually they only come up with good ideas but fail in the implementation.

While the middle and upper class would probably accept the ordinance, it would be harder to handle for the poor. It will take an extra effort to communicate this idea to those poor people who raise chickens in their homes. The government also has to come up with a fair compensation scheme as an incentive for them.

Arik, 37, is an entrepreneur. He lives with his family in Bekasi:

Do you mean I have to register and take my bird for a health check-up if I want to keep it at home? I think this would be hard because I doubt the government has prepared a scheme for implementing the ordinance.

I understand that this (new bylaw) is for the good of all the people in the city, but the government really has to make it easy for everyone to follow it. The government has to think about the details, including the impact on the people, how to approach them, as well as providing the infrastructure for the certification process if it wants this new bylaw to be implemented properly.







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I keep posting the Dengue situation because of the potential to
confuse early stage or mild Bird Flu with Dengue .


The Jakarta Post, Jakarta

Wed 18 April 2007

A lack of transparency in the process of providing free treatment and medication for dengue fever patients may become a potential breeding ground for corruption.

The Jakarta administration enacted the policy in February following a wide-spread outbreak of the disease. More than 11,000 cases of dengue fever have been recorded in the last four months, with 44 casualties occurring.

"All dengue fever patients are treated for free," Zuraidah, a spokesperson for city-owned Tarakan Hospital in Central Jakarta said Tuesday.

A nurse at the hospital, Darsini, said that as soon as a patient was diagnosed with dengue fever, no further medical expenses would be incurred.

"This policy also covers patients that have been referred from other hospitals and community health clinics as long as we receive their blood test results," she said.

However, many patients claim to have not known about the policy because the hospital management did not provide them with the relevant information.

Several patients said they had paid for their blood tests at Tarakan Hospital.

"The treatment and medication was free but I paid Rp 20,000 for the blood test," said Sugiatmi, a resident of Jelambar district, West Jakarta. His daughter was admitted to the hospital after being diagnosed with the illness at a neighborhood clinic.

Darsini said the hospital would reimburse payments made by patients for blood tests if receipts could be produced.

But like Sugiatmi, many patients and their families have been left in the dark over the reimbursement policy.

Yayan, the parent of a dengue fever patient, also had to pay for blood tests.

"My daughter had been diagnosed at a clinic in Pluit, North Jakarta. She was asked to take another blood test upon admission here for which I paid Rp 20,000," he said.

Tarakan Hospital, which has treated 1170 dengue fever patients in total since January, currently has 95 inpatients suffering from the illness, including 22 children. Three people have died from the illness in the last week at Tarakan Hospital, according to Zuraidah.

"We have admitted 21 patients in the last 24 hours," she said. The Jakarta administration last week declared that the city's dengue fever outbreak is at the "extraordinary occurrence" stage.

Despite the rising number of victims, the administration has not allocated further funds to conduct consistent mass fumigations, a process required to effectively kill aedes aegypti mosquitoes, the carrier of the virus. To fight the outbreak, the city administration will use some of the money required from this year's additional budget, which will be released mid year. Governor Sutiyoso has also asked the Ministry of Health to provide insecticide for the fumigation process. (08/09)


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Translation



The report on the Reporter Kompas Agustina Liliasari


The SOLO, Kompas- A patient was expected by bird flu, W (40 years) from Ngawi, East Java, was treated in the regional Public Hospital Dr Moewardi Solo, since Sunday (15/4). W was stated was suspected by bird flu on Monday (16/4) struck 03,00 after experienced failed the breath.

The chairman of the Team of the Control of Bird Flu from the regional Public Hospital (RSUD) Dr Moewardi Solo, Dr Reviono Sp, on Thursday (18/4) said when the patient entered RSUD last week, W experienced the breathless sign, the high fever with the temperature 40 Celcius levels, was accompanied by the cough. At the time, W was still being stated suffered the fever.

Despite still was stated by the fever, the doctor did x-rayed and stated that W suffered pneumonia. Supported by the laboratory inspection, the number of white blood cells (leucocytes) the patient who reached 5,300, as well as in struck 03,00 the next day W experienced failed the breath, the doctor suspected the patient of suffering bird flu.

Reviono stated, the patient was brought to RSUD Dr Moewardi after seven W days suffered the fever and was treated in the community health centre around his residence in the Rejo Cape, Trejo Wood, the Widodaren Subdistrict, the Ngawi Regency, East Java. The patient suffered the fever after several tails of the chicken around his residence died suddenly.

http://www.kompas.com/ver1/Kesehatan/0704/19/140547.htm 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: April 21 2007 at 10:01pm
It is not clear from this grab what kind of disease is involved but
there seems to be a lot of it.


Situbondo is the site of recent human H5n1 cases


The PATIENT RSUD SITUBONDO OVERCAP

the News of the Health - the Service of Infokom & PDE Kab. Situbondo., 12-04-2007 10:10 WIB -
.
SITUBONDO: since the last one weeks the condition for the patient in the regional Public Hospital (RSUD) Situbondo increased sharply, in fact resulting from katerbatasan maintenance space that in had RSUD Situbondo, dozens of patients be forced must in treated in hospital paths by using the mattress extra that in prepared especially by the RSUD side.

The number of patients that in treated in RSUD Situbondo paths of maintenance space of the amount berfariasi that is between 2 until 8 people, even the patients could just enter the room of the maintenance if having the patient who was permitted to come home but if not having the patient who still was occupying maintenance space, this new patient could not put forward moved the maintenance in the room of the hospital.

During in confirmation of Director RSUD Situbondo, drg. Edi Purnomo, said his side justified the existence overcup the patient's capacity in RSUD Situbondo that happened since several last months, in fact this situation not resulting from the illness that membawah but because increasingly the height of the awareness of the Situbondo community wanted to take medicine medically, at first against the patient who got the subsidy from the Government that used Askeskin.

It was further that Edi said, there was no difference of the service towards the patient that used askeskin and the patient generally, despite was outside maintenance space, the doctor's side RSUD Situbondo continued to pay attention to the condition for the health of the patient, even them was treated outside maintenance space not very in scattered to the floor, the patients in treated on the special mattress that in provided RSUD Situbondo.


by: bgw in MT @ Sun Apr 15, 2007 at 22:08:37 PM EDT

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The patient Suspek AI entered, the Medical Team Berhamburan
Health care workers freak out?

MedanBisnis - Medan
the medical Official ought to indeed serve each patient well.
Including the patient who suffered the dangerous illness even.

But unfortunately, the attitude so that was not shown by the medical official RSU the Centre of H Adam the Owner, Medan, on Thursday (19/4).
That morning, the doctors and the nurse in the Serious Installation the Emergency (IGD) in this hospital, immediately jumped outside the room after they knew the assumption of the illness that was suffered by a patient who just entered.
He said began when a man had the initials S (54) that came to IGD with his wife of Nur Elida (44) with the complaint suspeck bird flu.
When they entered the room and informed his complaint that suspeck bird flu, spontaneous the doctors and the nurse jumped outside the room.
"Kok we came in IGD, the doctor and the frightened nurse and did not want to handle my husband.


Moreover they at once sentenced my husband suffered bird flu.
Frankly I was very disappointed with the doctor's action and the nurse in IGD," annoyed Nur Elida opposite the reporter and public relations of RSUP H Adam the Medan Owner the Ginting rays
.

When giving the explanation to the reporter in A Longing space, Nur Elida terisak crying as the shape of his annoyance on the paramedic attitude in this hospital.
In fact, he continued, uptil now, the community was always appealed to to come to the hospital when experiencing the sign of the illness suspeck bird flu.

Received the Nur Elida acknowledgment, public relations of RSUP H Adam the Medan Owner most startled.
It was damaged that the intent rays calmed Nur Elida that was crying and promising to report the incident to Deputy Director I Dr M. Nur Rasyid Lubis SpB (Finacs).

snip
The inhabitants Street Al Falah VI No 15 Glugur this Medan Timur Subdistrict Land said, his husband was reconciled to RSUP H Adam the Medan Owner on the guidance Dr Zurial Zubir SpPD where beforehand, on Wednesday night (18/4) S received the maintenance in the place of the practice in Street Pertahanan
"Suami I experienced the fever, the cough and breathless for three days after contact with the chicken peliharan we who died.

His work the welder and strong smoked.
Indeed he has for a long time been sick the lungs.
But he said not be the same saya," mentioned Nur Elida sembari added after being checked and carried out the photograph toraks, results of the S lungs were seen dirty.
Nur Elida said, their kept chicken died was in order.

The first incident, on Friday night (13/4), his two chickens died.
The next night two chickens peliharan him following died.
"Jumlah our chicken livestock 20 tails.
All of them were penned under the house.

snip
Touched on whether his husband direct contact with the kept poultry, Nur Elida said when burying the chicken that died, his husband wore gloves.
"Suami I has understood how him to be not affected.
We did not yet know whether the kept chicken that died positive bird flu.

snip
Concerning his condition, mentioned the rays, the temperature of the S body around 36.5 levels celcius and his situation was normal.
The temperature of the body 36.5 levels celcius, blood pressure 130/80 and the pulse 88 times permenit.
Only the side of RSUP H Adam the Medan Owner continued to give the service because S it was known had the story of direct contact with his kept poultry that died.
"S come here on his will personally after being suggested by the doctor who beforehand treated him.
It was not yet known whether he suffered bird flu.
We again did the photograph toraks.
Whereas asupan the throat, the nose as well as the sample of blood will be taken by the official Dinkes Sumut," he explained.

http://www.medanbisnisonline.com/rubrik.php?p=88092&more=1#more88092
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..................

 maybe.... maybe not.

http://www.royalsoc.ac.uk/downloaddoc.asp?id=3555

excerpt....
 
No results of surveillance studies of people in contact with infected poultry in SE
Asia have been released. But, from the evidence of the infections in The
Netherlands, there must have been 1000s of people subclinically infected in Asia
with H9N2 and H5N1 over the last 10 years, but a pandemic has not yet
occurred.

This fact may offer some assurance that an H5N1 pandemic may never occur.
But if the suggestion that the 1918 pandemic was the result of an avian virus
jumping without reassortment from birds to humans is true, the more people
infected the more likely this mechanism may be likely to occur again.

 
 
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Poultry deaths Bangkalan District - authorities take no action .

*****ine Translation  
On Monday, 23/04/2007 00:02 WIB
Horrifying, 70 chickens died Suddenly printed E-mail

Bangkalan - As Many As 70 chickens in the Bangkalan District of the Palace of the City Subdistrict during the last week died suddenly.
Up to now, the agricultural Service and Livestock Breeding (Dispertanak) Bangkalan did not yet carry out the action anything although the resident sent the report.
Mat the Predawn Meal, 35, the resident of the Palace District said, the local resident of panic because of these chickens at once died.
“Ayam-chicken that was not sick how come Sir.
Suddenly died, without being known because musababnya”, explained the Predawn Meal to the reporter, yesterday.
According to him, their respective condition for the chicken carcass had the resemblance.
The head and the part foot him was black bluish.
The father of two children claimed, did not understand with this condition.
Touched on by the possibility was attacked by bird flu?
The predawn meal shook the head of the sign did not know.
As you know, uptil now the related side had never carried out the socialisation concerning the virus avian infulenza (AI) that.
Nevertheless, his side claimed heard if this deadly virus entered the Madura territory.
Only, in a manner details like whether this illness, the Predawn Meal often did not know.
“Kami indeed heard if bird flu entered Madura.
But till now, we did not yet understand true his characteristics.
Let us hope not our chicken was attacked by flu burung”, he stated.
Because of panicking, finally the resident agreed immediately buried this chicken carcass.
Moreover, several residents immediately contacted apart the village to report this incident.
His hope, this case also arrived at Dispertanak.
However, a week passed by evidently did not have the action anything from the related service.
In the meantime, according to the latest report the Dispertanak Setjabudi Head could not be contacted.
Several times was contacted, his cellular phone was inactive.
In spite of that, was contacted via short massage service (the sms) was not repaid.
In the place was separated, the Member the Commission of D DPRD Bangkalan understood the unrest earga this Palace District.
According to him, while not getting the explanation that memadahi, the resident will be always restless.
Therefore, his side urged Dispertanak for active mensosialisaikan the spreading of bird flu.
Moreover, every time had the report from the resident immediately must be had action taken against him lanjuti.
“Kalau until the report on the resident was not followed up, that really keterlaluan”, he said.
This PDIP cadre added, before this deadly virus attacked humankind, better Dispertanak

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     Translated by Software from Indonesian 
     Report   23/04/2007 
A Resident was expected Terjangkit Bird Flu printed E-mail

Jember - A resident of the resident of the Village Wiraksana the Arjasa Kec Arjasa Situbondo Village, Maksum (54), again was reconciled to RSUD Dr Subandi Jember.

He was reconciled because of being suspected of being affected suspect the plague of bird flu.
The wife Maksum, Setiawati said, his husband was reconciled to RSUD Dr Subandi since last Friday April 20.
Beforehand, Maksum knew was approximately 8 from 10 nonpedigreed chickens belonging to his neighbour that is Mustofa died suddenly.
Because the remnants of two chickens, then Maksum intended to maintain him.
Learned 8 chickens died suddenly that, finally the Situbondo Livestock Breeding Service examined him and results of the chickens positive was affected by bird flu.
"Secondly the chicken that also was sick earlier was bathed disungai and dipijat by Maksum."
From the neck of the chicken went out the white liquid.
Further in the afternoon Maksum complained his body was hot and feverish, said Setiowati,, on Sunday (22/4/2007).
The reason for the condition for the body increasingly worsened, was accompanied the stone and breathless, Maksum diperiksakan to the Kec Arjasa Community Health Centre.
Was based on the doctor's request the Community Health Centre, the man bermata the search for the farm labourer was asked to refer to RSUD Situbondo.
The "doctor's words had the assumption" of "bird flu, therefore we were asked to refer to the Jember hospital," he said.
Was based on results of the beginning diagnosis when Maksum was reconciled showed the temperature of the body around 38-40 levels celcius.
Moreover his blood pressure was it was known low that is 100/70 millimetre-hidrogram.
As far as the patient who was expected by bad flu and was reconciled to RSUD Dr Subandi yesterday, meaning that is recorded by approximately four people.
They were Andika (5), Maftuhatul Khoiriyah (7), Uyunil Kamalia (5) as well as Maksum (54).
Kesemua the patient was the reconciliation patient from the resident of the Situbondo Regency.

Nevertheless, after ebebrapa the day was reconciled, the patient who was expected by the bird flu that is Andika, Maftuhatul and Uyunil Kamalia have been returned and negatid from the assumption of bird flu.
Now the doctor from the Co-ordinator the Team Penangulangan Bird Flu Dr Edi Nurcahyo said, his side justified the existence of the patient from Situbondo that was reconciled to RSUD space of the bird flu isolation Dr Subandi Jember.
The "sample" of "blood and the photograph test has" of "the lungs been sent to"

http://www.okezone.com/index.php?option=com_content&task=view&id=15242&Itemid=67

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Translated by Software from Indonesian

On Monday, 23/04/2007 23:45 WIB
was expected by Bird Flu, 50 chickens died Suddenly printed E-mail

Magelang - Approximately 50 chickens belonging to the resident of the Kulon Mansion Village, the Bondowoso Village, of the Mertoyudan Subdistrict, Kab Magelang, suddenly died.

The head of the Village of Gedongan Kulon Abdul Great said, the chicken died suddenly not only very much this.
Several months set, in fact the chicken that died more.
"But pelaporan just was carried out several days ago," said Great in Magelang, on Monday (24/4/2007).
He worried, the death of the chickens resulting from bird flu.
As anticipation, the resident was asked to imprison his poultry in the pen.
Moreover, was held by spraying disinfektan and opened the command post in the KH Asmuni Kholik house, former Kades Bondowoso.
"The command post was established for the place coordinated the related problem" of "bird flu."
For example, there was the resident who was sick with signs like bird flu, could fast was helped, obviously him.
In the meantime, the Sub-district Head Mertoyudan Sujadi at once asked for help of the technical team that had a membership of the element of the Community Health Centre, Livestock Breeding, fisheries as well as the Subdistrict to check the location.
He worried, these chickens died as a result of the bird flu virus.
The authorised official has also taken the sample of blood of two chickens that it was suspected were affected by the bird flu virus.
"Further, the technical team held spraying disinfektan to the inhabitants's chicken coop," he said.
In order to not have the wandering chicken, the resident of the Kulon Mansion was appealed to mengkandangkan all of his poultries.
If finding the sudden chicken died, he asked for the resident to immediately destroy him.
That is, by means of menyembelih afterwards was burnt and buried.
The section head the Health of Kab Magelang Hendarto said, himself assigned the official from the Community Health Centre of Mertoyudan Ii (Kalinegoro) to hold observation of the field for 10-14 days after having the report.
His side, also monitored against the resident who was suspected terjangkit the illness that his signs were similar to bird flu as well as gave counselling about the pattern of the clean and healthy life.
"However, through to as far as this is concerned, was not yet found by the existence" of the "resident who it was suspected was affected by the sign" of "bird flu," he said.
(

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This report is a few days old ( 19/04/2007  )  I include it  because of the statistics it contains.





The REGENCY/the CITY IN ORDER TO allocate the BUDGET of the BURUNG
FLU VACCINE [on Thursday, April 19 2007 struck 16:19 WIB.
| 13 readers | 3.
659 byte]
Sumenep-Kominfo News cream: the Government of the Regency/the City that already meng- allocated the budget of the handling of bird flu it was hoped also could buy the requirement for his vaccine.
This was caused the East Java province at this time occupied the level of five in the spreading of the plague Avian influenza (AI) in Indonesia.
East Java Governor, H. Imam Utomo ended opened Musrenbang East Java in 2007 in the Office Governor East Java, on Wednesday (18/04) said, apart from the provisions of the budget from the Regency/the City, the East Java Provincial Government also will ask for to the government of the centre in order to help the provisions of the bird flu vaccine.
Was based on information, the government of the centre at this time provided 20 thousand vaccines for East Java.
“Kebutuhan we at this time 74 million doses of the vaccine, but still was available 33 million doses.
This would still kurang,” he said.
The section head the Health of the East Java province, Dr. Iwan Muljono, MPH in his paper was entitled the policy and the Control Strategy of Bird Flu to Humankind said, bird flu has in Indonesia been endemic in 30 provinces or 233 regencies/the City.
In East Java attacked 33 regencies/the City.
Now the AI Case in Indonesia up until March 1 2007 totalling 84 people, 64 people died.
This case was reported in nine provinces and included 29 regencies/the City.
In 2006, in East Java had 35 people suspect bird flu to humankind from 10 regencies/the City and it was reported five positive AI cases, namely Surabaya one person, Kediri one person and Tulungagung of three people.
From five cases, three people died (two people from Tulungagung and one from Surabaya).
Since January-March 2007 was gotten by 10 cases in the process of investigation or investigation, that is three people were not taken the specimen, three people were waiting for results of the lab and four people produced by the lab of the flu negative burung
Moreover, was reported 15 suspect bird flu, that is 12 people of bird flu and three people of the negative were waiting for results of the lab.
Dinkes East Java applied seven control strategies of bird flu, that is penatalaksanaan the case of bird flu, the protection to the high risk group, surveilans

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More outbreaks in livestock . Not sure of date ,  24/04/2007  I think .



Sedikitya 100 chickens in two settlement regions of the inhabitants in the Blitar City, East Java, were found died suddenly for the last three days as a result of being attacked by bird flu.

the Case of the death of the livestock respectively happened in the Gardenia Environment, the Kepanjen Kidul District and the Knife District, the Kepanjen Kidul Subdistrict.

the case findings of this bird flu were what was first in the Blitar City, as being sent by the Head Subdin the Health and the Protection of the Animal, the Blitar Service of City Agriculture, Purwo Rijanto when being met by the reporter, on Wednesday (25/4).

Initially had the report from the resident of the owner of the worried livestock the number

their livestock that died the last few days.
We then carried out the inspection with < I > rapid test < /I >, evidently positive bird flu, said Purwo Rijanto.

faced this condition, continued Purwo, his side immediately carried out the extermination of the poultry as well as spraying disinfektan in the settlement of the inhabitants, namely the radius < /p >
100 metre from the location of the livestock findings that died that.

Moreover, he said, the findings were at once reported to Local Disease Crisis Center (LDCC) the East Java Service of Province Livestock Breeding to be carried out by most united handling efforts.

But, he still could not confirm when the extermination of the other livestock was carried out because still was waiting for results of the official's stocktaking of the field.

In The Meantime, Aldi,27, the resident Street Kaca Piring that reported his livestock

that died to the agricultural Service, claimed very concerned with these findings.

we asked that his handling was again faster, because we did not want this virus to spread kepara the resident around, said Aldi.

The Same Thing was also said by Kabul, 42, the resident of the Knife District that claimed to be his chicken died suddenly since Monday night (23/4).
"I have burnt all of my livestock at the request of the official," said Kabul.

Several residents of the Knife District that was around the poultry farm belonging to Kabul asked that the Blitar Municipal Government gave compensation before carrying out the extermination of their property livestock.



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Confirmation of earlier undated report on dead poultry in East Java

On Wednesday, 25/04/2007 04:41 WIB
Hundreds Of chickens were infected by Bird Flu printed E-mail

Blitar - Dozens Of tails of the chicken livestock in the Blitar City, in several last days died suddenly.
From results of the test and the Protection of the Animal of the Health Service, this chicken positive was attacked by the virus H5N1 or bird flu.
The virus H5N1 this attacked 2 locations of the resident's livestock breeding or the doll house (the sector 4) in the Blitar City territory, that is in Kel Kepanjen Kidul and Kel the Knife in Kec Kepanjen Kidul.
The head of the Health Field and the Protection of the Blitar Animal of the Service of City Agriculture, Drh Poerwo Rijanto, stressed, livestock breeding in the sector 4 quite serious positive the bird flu virus.
Since receiving the report, his side has taken the action.
Among them, by destroying the chicken livestock belonging to the resident that was in a radius of 100 metre from the livestock that died because positive bird flu.
"We also carried out spraying disinfektan to neutralise the bird flu virus," said Poerwo, yesterday.
The livestock belonging to the resident who died belonging to Aldi.
His chicken died suddenly since last Sunday (22/4).
According to him, he just knew his chicken died after the chicken carcass was tested by the official of the health of the animal of the service.
“Begitu knew positive was affected by bird flu, we at once carried out spraying and maintained the cleanliness around kandang,”ujar Aldi.
Responded to that, the Blitar Municipal Government afterwards the co-ordination with Local Desease Crisis Center (LDCC) the East Java Service and the Health Service of the East Java province of province Livestock Breeding.
This was carried out to carry out the prevention so that the virus does not spread to humankind.
Kabul, the resident of the Knife District, claimed to be his chicken died suddenly since Monday night (23/4), after being carried out by the official's inspection of the cause of the death of his chicken positive was affected by bird flu.
“Atas the official's suggestion that carried out the inspection, we were asked to burn the chicken carcass that died suddenly.
After that was sprayed used disinfektan, because we were frightened ketularan flu burung,” he revealed.
(Edi purwanto/SINDO/fmh)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Neeruam Quote  Post ReplyReply Direct Link To This Post Posted: April 25 2007 at 11:40pm
This is the scenario which keeps me up late and from sleeping some nights. All they really need is for one incidence of bird flu (like mentioned in the above posts by Ross and others here), to slip through the crack. It has the time to go H2H and it's all over for everyone all over the world, not just in Indonesia.

It doesn't seem fair, does it?

    
     
    
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More dead chooks  Aceh  ,  25/04/2007


ps - Neeruam , what worries me about Indonesia , is that it consists of
       approx.  17,500 Islands and we are hearing about what is happening
       in only the 4 or 5 largest .
       Leaving only roughly   17,495  unaccounted for ( but hey! what could go wrong  ?    Smile  )



http://www.serambinews.com/index.php?aksi=bacaberita&beritaid=28040&rubrik=1&kategori=2&topik=15

Again, Thousands Of of the Resident's chickens died Suddenly
[the column: the Veranda | the topic: the Health]
SUBULUSSALAM - the Case of the death of the chicken suddenly in the Subulussalam territory, the Subdistrict Simpang Left, Acehinese Singkil, continued to continue.
In two last weeks, thousands of tails of the piece chicken belonging to the resident of the Path Cepu Beautiful, the Subulussalam Village, was found died.
Moreover, on last Tuesday (24/4), the resident Subulussalam could the commotion after developing rumours that the virus Avian influenza (AI) or bird flu was contagious in the area of the border between the Regency Acehinese Singkil and the North Sumatran Province.
In the atmosphere was like this, busy also the resident around the chicken market after the most Solid Subulussalam Terminal Complex that complained about the stink resulting from the chicken carcass that died mass, but immediately was buried or destroyed by his owner.
Chickens that died suddenly in the market complex was determined as belonging to Dual (37), the resident of the Path Cepu Beautiful.
According to the trader's woman, on Thursday (19/4) totalling 150 chickens that would he sold suddenly died suddenly.
This not the first disaster for the determined woman tried this.
Was based on the data from the Community Health Centre Simpang Left, the chicken piaraan Dual also had died mass in the bigger number, reached 1.
200 tails.
These chickens died suddenly in time extension 7 till last April 18 in the pen belonging to Dual.
Whereas that 150 tails, the death precisely in the market when would he sold.
Separately, Dual that it was confirmed the Veranda tell about, before died-chicken piaraan him that mencret was white and like really was cold.
“Pada in the evening still appeared healthy, e, his morning has died massal,” revealed Dual.
For the chickens when living, Dual admitted to giving the supplement take the form of vita chick and vitamins NG00.
Whereas for food, he gave pur and code 511.
However, all that did not help.
He claimed often was unfortunate, so also the other trader in the area resulting from the number of livestock he who died.
Moreover, Dual also complained about the decline in the community's purchasing power together with flew him rumours of bird flu finally


..............


“Dari results rapid test, all of them negatif,” said the Kresna Sembiring Worship, one of the officials Disnak Aceh Singkil to the Veranda, on Tuesday (24/4).
In spite of that, totalling 1.
200 chickens belonging to Dual that died first in no way could be checked, because keburu was thrown away to the river and washed away was brought by the flow.
Wrongly the procedure
According to the Kresna Worship, the death 150 chickens were belonging to Ms Maybecopula Ganda caused wrong the procedure when being brought from Sidikalang.
This chicken was carried by means of being tied by each other between one with that was other, and several tails.
In fact, necessarily this chicken was carried by using the basket, so as he free did not move and pull each other in fact acted the cannibal (preyed on his peer).
Apart from reporting the ideal method carried the chicken from far, the Disnak side also carried out the vaccination and spraying against chickens in the region.
This was carried out to kill various dangerous viruses, so as to not spread to the inhabitants's region.
The worship was accompanied by Drh Husni Rizal appealed to the chicken breeders in order to be not shy reported to his side or the health side and police, when finding the poultry died suddenly in the mass number.
The worship also hoped that the chicken carcass that died was not thrown away at random, moreover to the river or the time.
“Seharus him the carcasses immediately ditanam,” Worship words.
Responded to that, a chicken trader in the most Solid Subulussalam Terminal Complex rejected that he left his carcass of the property chicken scattering in sembarang the place.
“Yang was responsible for against this carcass being the official of the cleanliness of the service, because we the routine paid the cleanliness fee to mereka,” said the trader who asked his name to be not stated.
He also regretted if the official of the cleanliness carried the waste of three times a week.
Because, the automatic chicken carcass spread the smell was not delicious if for a prolonged period was left alone in the place of the waste dump.
“Kami was damaged.
Just because the waste immediately was not carried, our chicken that died suddenly that was affected getahnya,” said one of the traders.

The white area
According to Drh Husni Rizal, until this Acehinese Singkil still berstatus the white area of the free alias bird flu.
However, Acehinese Singkil was the area that was threatened by bird flu, because of being adjacent with the North Sumatran Province, the area that some time before positive berjangkut the bird flu virus.
In the situation like this, according to Husni, the resident Acehinese Singkil ideally heeded the ban to not put the poultry from North Sumatra into the Singkil territory.
This to interrupt the link jangkitan the bird flu virus from the neighbour.

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  Fighting indifference and ignorance to tackle avian flu in Indonesia

UNICEF Image
© UNICEF Indonesia/2007/Mohamed
Wiyatno, a farmer in Sragen, Central Java, surveys the empty coop that once held 1,000 chickens, before avian influenza spread through his entire flock.

By Steve Nettleton

SRAGEN, Indonesia, 27 April 2007 – In a small village in Central Java, Wiyatno, a farmer, surveys the dark and empty chamber that was once his chicken coop. Dried droppings and the odd feather are the only proof that the gloomy structure was once home to 1,000 chickens.

Wiyatno had his entire flock slaughtered in 2005 after avian influenza spread rapidly through the coop. He fed some of the dead birds to his stock of catfish and burned and buried the rest. The culling was a financial blow. Wiyatno wants to try raising chickens again, but he is waiting for the price of feed to go down.

While the community is aware of bird flu, many see it as more of an economic nuisance than a life-threatening concern. “Most of the community takes it for granted, because they think avian flu only strikes chickens and not people,” says Wiyatno.

In reality, however, Indonesia has suffered a high human cost from avian influenza. More than 90 Indonesians have been infected with the H5N1 bird flu virus, and about three-quarters of them have died. Particularly at risk are rural villagers who keep small backyard flocks of chickens and ducks to provide food and supplement their income.

Participatory learning projects

Sitam is a shopkeeper who keeps a pen of about 20 chickens behind his home in Central Java. He regularly disinfects the area and has vaccinated his chickens against the virus. “We are afraid of avian flu,” says Sitam. “But we are doing whatever we can to protect ourselves.”

UNICEF Image
© UNICEF Indonesia/2007/Mohamed
Kindergarten teacher Srirahayu surveys her small flock of chickens at home in Central Java.

UNICEF Indonesia and its partners have been raising awareness and encouraging such prevention efforts through print and broadcast media campaigns. UNICEF has also trained journalists across the country on reporting about the disease.

In addition, the organization is working with local communities on Participatory Learning and Action, or PLA, projects. Through these projects, community members create songs, dramas and posters to which local people can relate. Community leaders also seek to ensure that their neighbours are taking action to stop the spread of avian influenza.

Community approach is working

Srirahayu is a kindergarten teacher in the village of Kecik who tends a cage of chickens at home. She is an enthusiastic participant in local PLA activities, joining in songs and performances and speaking to her peers about keeping safe. She believes the community approach is working.

“The PLA has an impact,” says Srirahayu. “One thing I noticed is that if we put into practice those messages we learned from the PLA, it will actually help the economy. The community has learned to identify the symptoms of bird flu and to report it immediately.”

Yet many Indonesians still say they don’t know enough. In a recent independent audit of UNICEF’s campaign in Western Java, about half of those surveyed said they were not well informed about the virus. In addition, two-thirds of poultry farmers felt the risk of avian flu in their communities was small.

Need for more knowledge

Only a few hundred metres down the road from Srirahayu’s home, chickens and ducks roam freely. Their owners show little concern about their poultry getting infected.

“I don’t really know anything about avian flu. I just know it’s contagious,” remarks Darsih, whose family tends to the birds. “I’m not worried about it. All my chickens look healthy.”

It’s an appearance that may be deceiving and potentially deadly – and a suggestion that providing more technical knowledge about the disease and its spread may be necessary to keep avian influenza in check.


 

 
 





 





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Suspected new cluster , 4 people , Central Java
Report dated  27/04/2007


Metrotvnews.com, Grobogan: four residents from two villages in the Tawangharjo Subdistrict, the Grobogan Regency, Central Java terindikasi suspect bird flu.
One from the four patients, pre-schoolers have the initials the AB name, currently was treated in space of the Hospital isolation (RS) Sudjati, Purwodadi.
The patient AB that came from the Plosorejo Village, of Tawangharjo this already two days were treated after experienced breathless was accompanied by the cough, pilek and the high fever.
Now the other pre-school patient that still one village was with AB treated in the child's ward dahlias.
The patient had the initials this NR name experienced the high fever.
The section head the Health of the Grobogan Palti Siregar Regency stated the four patients were indeed handled as over the diagnosis towards the bird flu illness.
This was done to ascertain the truth of the patient's illness.
(NTF)

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More human cases , handing-out free Tamiflu in East Java !

I worry that ..........

1.  The use of Tamiflu Prophylactically like this will reduce its
     effectiveness before the main event even starts.

2.   That the use of Tamiflu like this maybe causing many false
      negative PCR readings  and disguising actual recoveries.

3.   Unless there has been clear evidence of H2H transmission
      why would you handout Tamiflu like this .
      Although it is not clear whether the Tamiflu is being used or put in the
      cupboard for a rainy day ( or both ) .

On the other hand if I was in that area , I would probably want Tamiflu available also, so I guess that makes me a hypocrite.

Jum'at, 27/04/2007 21:40 WIB
the Child Suspect Bird Flu was reconciled to Jember printed E-mail

SITUBONDO – the Assumption of the spread of the bird flu virus (Avian influenza/AI) H5N1 continued to haunt the resident Situbondo.
terjangkit the AI virus, currently If beforehand the older brother's two children were siblings from the Glugur Kec Mangaran Cape Village it was suspected
one child is again stated suspect AI.
The child who still was three years it was known old was named Ferdiansyah, the child, the Inspiration, 30, and Susiani of the husband and wife's couple, 27, the resident RT 1 of RW VII the Village/Kec Mangaran.
Was based on results of the medical inspection the team of the doctor RSUD Situbondo, the child of a Inspiration puppet and Susiani was stated suspect bird flu.

Ferdiansyah was at once reconciled to RS Dr Soebandi Jember could be after beforehand treated in the Physical Maintenance Unit (UPF) RSUD Situbondo.
“Dari results of the team's inspection of the doctor RSUD Situbondo, Ferdiansyah terindikasi suspect bird flu.
So as we decided immediately to reconcile him to RSUD Dr Soebandi Jember,” obviously Dr GM Chandrawati to the reporter, on Friday (26/4/2007)
Was based on the family's information, before Ferdiansyah terindikasi suspect AI, three chickens belonging to his parents died suddenly last Monday (23/4).
Moreover, according to the official of Livestock Breeding of the Service (Disnak) that at once descended to the location, the poultry belonging to his parents, positive terjangkit the virus H5N1.
”Hasil rapid test quite positive terjangkit the virus AI. But to confirm, we will send the sample of the organ of the poultry body to the Laboratory in Malang,” said Pj the Disnak Asmuni Head yesterday.
In the meantime, Pj the Section Head the Health (Dinkes) drg Solikhin went through the Head of Sector the Eradication and the Prevention of the Illness (P2P) Dr Ahmad Khusnul said from rapid test repeated that was carried out by Dinkes, three positive poultries terjangkit the virus H5N1.
To deal with the resident's unrest around that was worried tertular, Dinkes with the official of the Mangaran Community Health Centre at once descended to the location.
”Kita gave medicine tami flu and ampicilin free to the resident sekitar,” said Khusnul.

Results of the monitoring of the team in the location, also were found several poultries that died in the environment around and his environmental sanitation was also dirty.
”Kita hoped the resident always maintained environmental sanitation that
was also dirty.
”Kita hoped the resident always maintained environmental sanitation that was clean to prevent spread him the virus H5N1 and now while 10 stopping days consumed chicken and telurnya,” he said.
(ishomuddin/Sindo/uky)



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New human suspect Banyuwangi and more sick chicks.

Banyuwangi is at the very eastern End of the Island of Java close to
Bali.


The Banyuwangi RADAR on Sunday, April 29 2007

On Sunday, April 29 2007
spread to the Banyuwangi
City
A Nenek Suspect Flu Burung
Banyuwangi - the Spreading of the bird flu virus has entered the Banyuwangi Subdistrict.
Dozens of chickens that died suddenly in the Environment Krajan North, the carpenter's District yesterday, was stated positive was affected by the deadly virus.
Moreover, Sri Maimunah, 70, the owner of this chicken was also stated as suspect the bird flu sufferer.
The resident and the Official of the Surfelan Data (PDS) the Banyuwangi Livestock Breeding Service at once destroyed the chicken that died suddenly that yesterday.
The chairman PDS drh Gozali said, the sample of three chickens that died suddenly that has been stated positive bird flu.
After being carried out repitest and positive results.
"Could not have been ignored again, if the chicken died suddenly that has been positive bird flu."
To not creep, the chicken in the environment around must be burnt, he said.
The community at once did voluntary work caught and menyembelih the chicken afterwards burnt him.
The "fast community preceptive."
Like that had the chicken died suddenly, they at once reported, said Gozali.
He added, the humid weather transition to the dry situation at this time made the spreading of the bird flu virus increasingly fast.
The team at once determined the environment Krajan North, the carpenter's District as the area endemi in the Banyuwangi Subdistrict.
In the meantime, Sri Maimunah that was stated as suspect bird flu was at once checked by the official of the community health centre.
The old woman claimed to be the cough and experienced breathless during the last three days.
The temperature of his body also continued to heat up.
"To confirm, he must carry out the further inspection," said Gozali.

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Suspected BF Patient dies Grobogan Regency

Software Translation

Suspect BF patient dies

A suspect BF patient dies in the Dr Moewardi hospital in Solo at 2 o´clock on Monday morning. The patient whose initials are AS (12) is from Dusun Ledok, Darwan village, Geyer, Grobogan regency. This adolescent was admitted to Dr Moewardi hospital on Saturday (28/04)and was referred by a private hospital in Grobogan. The spokesperson on BF affairs at the Dr Moewardi hospital Dr Reviono says that the condition of AS was critical when entering the Dr Moewardi hospital. He ran a fever, had breathing difficulties (shortness of breath) and water in the lungs?. Reviono continued that AS had a high? fever on Monday. Samples were taken from AS and sent to the Health Department laboratory.



 

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Flu rages in Banyuwangi


On Monday, 30/04/2007 23:18 WIB
the Banyuwangi City was expected Endemi Bird Flu printed E-mail

Banyuwangi – the Banyuwangi Subdistrict (the city) could be considered as the area endemi bird flu (Avian influenza/AI).
This temporary conclusion could be seen from continuing the discovery of the case of the death of the poultry because terjangkit bird flu in several districts in the city territory.
For the last four days, was found by the chicken that died and positive was attacked by the bird flu virus in three districts.
Yesterday, the official of Livestock Breeding of the Service (Disnak) again found chickens died and positive was attacked by bird flu in Kel Kertosari and Kel Sobo Kec Banyuwangi.
In Kertosari, the official found 2 tails and in Sobo had 8 chickens that died.
“Setelah was carried out rapid test, evidently also positive flu burung,” revealed the Official of the Surveillance Disnak Data drh.
Gozali in Banyuwangi, on Monday (30/4/2007).
Several officials who were involved at once carried out spraying of disinfectant in the location around and the extermination of the living poultry that was worried also tertular.
“Di Kertosari, we only destroyed 2 chickens that died positive bird flu.
And in Sobo, we destroyed 21 living chickens to avoid the spreading virus,” he said.
Two days ago, the official also found 3 chickens died positive bird flu and destroyed 71 chickens in the environment Krajan North (the Valley) Kel the carpenter.
Gozali hoped the resident immediately reported to Disnak if having the case of the death of the poultry, not only the chicken.
Before in the city territory, the official also found hundreds of chickens died because terjangkit bird flu in the Wetan tiles Village, Kec tiles and the Tegal Village fragrant Kec Sempu.
In two villages, the official carried out spraying of disinfectant and the extermination of the poultry (depopulation).
The total poultry that died and was destroyed in two villages was their respective totalling 74 tails and 164 tails.
In the meantime, the official yesterday again intensified spraying of disinfectant in Kel the carpenter.
Moreover one of the residents, Sri Maimunah, 77, was expected suspect bird flu.
Till yesterday, Maimunah was still being checked intensive in RSUD Blambangan.

Spraying in this carpenter was second spraying after three days


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Not clear whether this guy has BF or not ?



The Semarang RADAR on Thursday, May 03 2007

On Thursday, May 03 2007
the Kendal Resident was expected by Suspect AI

Kendal - the Health Service (Dinkes) Kendal, on last Wednesday (2/5) took the sample of blood of the patient's family suspect bird flu (Avian influenza), Darmin, 76, in the Kemloko Hamlet, the Kalibareng Village, Kec Patean, Kendal.
Eleven close people Darmin that yesterday was taken his blood from the wife, the child, the grandchild to the proximity neighbour.

Darmin was personally treated in RSUD isolation space Dr H Soewondo Kendal since last Tuesday night (1/5).

All the samples of blood that was taken this, yesterday immediately was sent to the Hall of the Health of the Centre of the Department's Research And Development, Street Percetakan Negara No 29, Jakarta the Centre.
The taking of the sample was led Kasubdin the Prevention and the Eradication of the Illness (P2P) Dinkes the doctor Rochmat.
Apart from taking the sample of blood of the patient's family, the team from the Livestock Breeding Service also took the sample of the chicken that was sick.

Said by Dr Rochmat, results of the sample of blood could be just known around the next 20 days.
From results of the temporary checking he claimed not yet be sure that the positive patient bird flu.
Everything was based on the acknowledgment of his family, since the last 10 years the patient has experienced coughs.
"But to more was convinced him, we were waiting for results" of the "sample research" of "blood that was sent by us," he accused.

Now the official of Kendal Livestock Breeding of the Service the veterinary surgeon Hudi Sambodo admitted to not finding signs of the chicken that terjangkit bird flu around this Darmin residence.
Only to ascertain him his side needed the chicken carcass that just died.
Because of the chicken that yesterday was checked only experienced seldom was sick.
Kades Kalibareng Ngahadi, 34, claimed to be several of his residents indeed had reported the case of the death of the poultry suddenly around one month set.
One of them, birds livestock breeding puyuh property of his resident named Sodikin, totalling 2 thousand tails died suddenly.
Also the chicken belonging to Busari, Parmin, and Mono also died suddenly.
The "chicken that died suddenly all of them have only been buried, but was not burnt," he accused.

In the meantime the condition for the patient in isolation space was still stable.
The hospital side yesterday also took the sample of blood and the patient's saliva to be sent to the Department of Health Research And Development Hall.
Plt the Managing
Director

Here is slightly  different  version of the same story from another news agency.

The Kendal resident Suspect Flu Burung
on Wednesday, May 2 2007

Newsroom Kendal – RSUD Dr H Soewondo on Tuesday, (1/5) around struck 20.
30 WIB the night accepted the patient's reconciliation suspect bird flu (avian influenza).
The patient was named Darmin, 76, the resident of the Kemloko Hamlet, the Village of Kalibareng RT 04/II, of Kec Patean was beforehand treated in RSK Ngesti Waluyo, Parakan, Temanggung.
In this private hospital, the patient only around two hours.
Because of experiencing contact with the chicken died around five days set, the patient had finally been carried to RSDU Dr H Soewondo Kendal as the hospital of bird flu reconciliation.
The arrival of the patient used the ambulance belonging to RSK Ngesti Waluyo nopol AA 1956 HE. three nurses and the doctor from this hospital wore complete clothes along with the mask.
All the visitors that was in maintenance space of the change was asked to enter the room when the patient came.
The patient who was expected suspect was placed in isolation space was most southern.
This isolation space has been prepared since striking 17.
00 WIB. all equipment like the respirator, the ventilator, and spring bed has been prepared.
Likewise the nurses and the doctor already the stand by since the afternoon.
Plt the Managing Director RSUD Dr H Soewondo the doctor Rivai Koesen when it was confirmed admitted to not yet learning this patient was still being limited probable, suspect, or positive.
For 2007, just this time isolation space was used.
However this room always was ready with if from time to time had the patient came.
To diagnose the patient's illness, his side formed the team of the control of bird flu.
The team that was formed consisted of the internal disease specialist, the general practitioner, radiology, and the laboratory.
“Besok the team just carried out the comprehensive inspection of the condition for the new patient masuk,” he accused disela-gap checked isolation space, last night.
Admitted, the story of the patient who just entered had the hot sign high, the cough, pilek, and breathless.
Moreover, casualties's four chickens died suddenly five days set.
Therefore, for the sake of the security of the patient, his side placed in isolation space.
Equipment that was owned the hospital he said was adequate enough.
Estimated results of the blood test of the patient could be known





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Chicken trader AI ?  ( maybe yes , maybe no )


ToggleText Translation

The Solo RADAR on Thursday, May 03 2007

On Thursday, May 03 2007
the Trader the Chicken was expected by Suspect AI
Treated in RSUD Wonogiri

Wonogiri - Other the resident Sukoharjo was expected to suspect bird flu (Avian influenza).
Su, 26, a trader Tiyaran, the Hair Subdistrict, of the resident's chicken of Sukoharjo, yesterday afternoon was treated in isolation space of RSUD Wonogiri.
Two neighbours Su, that is Sugeng and Sutarno said, Su diperiksakan to the doctor because of suffering the high and breathless fever.
"Yesterday (on Tuesday afternoon) Su was examined by the practice doctor in Tiyaran."
Earlier (yesterday) was reconciled here, explained Sugeng.
Su entered RSUD Wonogiri around struck 10.00.
According to both of them, since the last two years, Su traded in chickens with Pound, 55, his mother.

Every day, [he] used the motorcycle sembari brought the nonpedigreed chicken lived of their merchandise.
Observed the background, when Su suffered the high fever, the family and the resident around immediately was suspicious he was affected by bird flu.
Saw this story, the official RSUD Wonogiri carried out the handling in accordance with the handling procedure of the patient terindikasi AI. Su was at once carried to isolation space.

All the officials who went out entered maintenance space put on the complete patron.
The official also obliged Pound -that tended his child outside the room- put on the mask.
In isolation space, Su was seen suffered.
With arms tertancap the infusion, the well-built young man was that was seen stretched-geliat kept was sick on the bed.
The head of RSUD Wonogiri, Dr Dwi Handoyo MM through the telephone permitted the existence of the patient to be suspected of by bird flu entering the hospital that was led by him.
In accordance with the procedure, the patient was x-rayed and tested the laboratory.
Nah, from this test, Dwi said, Su not terindikasi AI. But was attacked by the complication bronchitis and diabetes.
"The patient terindikasi was affected by the attack bronchitis, blood sugar a time was also high," explained Dwi.
With the results, RSUD Wonogiri considered repeated the plan sent Su, to RSUD Dr Moewardi, Solo.
As is known, RSUD Dr Moewardi was the hospital of bird flu reconciliation in Karesidenan Surakarta.
If results of the laboratory test pointed out Su positive AI, RSUD Wonogiri will as soon as possible refer to Solo.
"Because" 
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Debate rages because the Government will not declare a KLB Status
in this area ( KLB = Extraoridnary  Incident  , roughly meaning a state of emergency )


 

The Javanese area of Timur
Regional Government Deny the Status KLB
on Wednesday, 02/05/2007

Kediri (SINDO) – the Commission of D DPRD Kab Kediri urged the Kediri Regional Government immediately to state the status of the extraordinary incident (KLB) towards the case of bird flu.

This pressure was meant so that the deadly illness, that swallowed 8.
002 tails of the poultry during the last four months, spread and spread the virus to the other poultry.
However, this pressure was refused unconditionally the Regional Government.
Kabag public relations of the Regional Government Kediri Sigit Rahardjo said, the death fact 8.
002 tails of the poultry still could not be stated officially as KLB. ”Jumlah was too small to be stated KLB. Moreover, when being compared by the number of poultry populations all over Kab Kediri.
That was most important, how handled what already terjadi,”ungkap him.
The pressure to put the KLB status into effect reverberated in the Council's Building.
The chairman of the D Gatot Priyono Commission stated, the KLB determination will bring the impact of the handling of more serious bird flu.
”Seharus him, the Kediri Regional Government immediately stated KLB with the death of thousands of tails of the poultry.
We not want to if late handled bird flu, then his virus spread to manusia,”tegas him, yesterday.
With the KLB determination, said he, then the Regional Government will not play again in handling bird flu.
Because, uptil now the handling towards this deadly virus was not more optimal.
He gave an example, RSUD Pare was not yet ready when when- time received bird flu casualties.
”Apalagi, in Kab Kediri also many poultry breeders.
If being not handled maximally, many worried sides will spread him the flu virus burung,” he stated.
As being reported, the peak of the bird flu attack in Kab Kediri happened in April 2007.
As many as nine subdistricts were together attacked by the virus Avian influenza (AI), among them, Kayen Kidul, Ngancar, Plemahan, Flat, Cement, Wates, Plosoklaten, Gampengrejo, Ngancar, and Possibly.
The total chicken that died suddenly during Januari–April 2007 totalling 8.
002 tails from the poultry population 22.
303 tails.

In the meantime, that was destroyed for prevented spread him bird flu to the other poultry totalling 14.
301 tails.
In the meantime, the spreading of the bird flu virus in Kab Kediri it was warned was begun from Kec Kandat.
Moreover, this territory has been maintained as the red territory the bird flu virus.
This assumption was formed the background by the Kandat position that became livestock breeding centres in Kab Kediri, at the same time the border territory with Kab Blitar.
”Ini that made us guard against Kec Kandat,” revealed the Animal Section Head I Ketut Widanan, when being met by the reporter, yesterday.
The matter of the KLB status bird flu, he reluctantly explained.
Widanan only stressed, the Animal Service has provided the bird flu vaccine totalling 4.1 million doses.
Up until this April 2007, has been given 10.
000 doses.
Totalling seven residents RT I/7, Kel Tinalan, Kec the Islamic School, the Kediri City, was it was suspected infected by the bird flu virus.
They it was warned carried out contact with the positive poultry was infected by bird flu.

That just recently, in the residence environment of the seven residents indeed was found by five chickens died suddenly.
After being checked by the official of Agriculture of the Service, this chicken was positive terjangkit.
The seven residents were Sentot,54; Supatmi,80; and Wise Puji,25, (the three of them remained a house).
Four other, Mbah Bidi, Diono, NY Kasmuji, and Tutut.
”Kami was stated not tertular bird flu, but all of my chicken dimusnahkan,” revealed Wise Praise.
(Edi purwanto) the Regional Government Deny the KLB
Status

Kediri (SINDO) – the Commission of D DPRD Kab Kediri urged the Kediri Regional Government immediately to state the status of the extraordinary incident (KLB) towards the case of bird flu.
This pressure was meant so that the deadly illness, that swallowed 8.
002 tails of the poultry during the last four months, spread and spread the virus to the other poultry.
However, this pressure was refused unconditionally the Regional Government.
Kabag public relations of the Regional Government Kediri Sigit Rahardjo said, the death fact 8.
002 tails of the poultry still could not be stated officially as KLB. ”Jumlah was too small to be stated KLB. Moreover, when being compared by the number of poultry populations all over Kab Kediri.
That was most important, how handled what already terjadi,”ungkap him.
The pressure to put the KLB status into effect reverberated in the Council's Building.

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We are indebted to another Bird Flu site for this list ( Its not my work )


List of hospitalized Indonesian H5N1 (suspect) patients

RS Hasan Sadikin, Bandung, West Java

SM (14f) - 04/21 RSHS {from Sukra, Subdistrict Sukra, Indramayu Regency}

RS M. Djamil, Padang, West Sumatra

Feri (80) who is in critical condition and Refi (17 months) both from Batang Kapas, Peisir, Selatan and Zahra (2) from Tunggul Hitam Padang

RS Dr Soebandi, Jember, East Java

Maksum (55m) - 04/22 in RS Jember {via CHC via RS Situbondi, dead poultry contact, from Krajan I Village, the Arjasa Village}

Ferdi (3m) - 04/26 in RS Dr S via RS Situbondo and CCH { also called Ferdiansyah, the eldest son of the Inspiration, 30, and Susiani, 27, from RT 01/07, the Village/the Mangaran Subdistrict}

Sri Mainumah (77f) - health check because of dying chickens, signs of BF symptoms {from Krajan North, Banjuwangi, Banjuwangi Regency, East Jakarta, Community Health Center, hospital?}

RS Sudjati, Purwodadi, Central Java

AB () - in RS Sudjati {from Plosorejo Village, Tawangharjo Subdistrict, Grobogan Regency, Central Java}

plus three more residents from two villages in the Tawangharjo Subdistrict, the Grobogan Regency

RS Dr Moewardi, Solo, Central Java

AS (12m) - 04/28? in RS Dr Moewardi {died on 04/30, fever 8 days rior to his hospitalization?, BF symptoms}


Novel suspect cases coloured in yellow

RS Dr Dr H. Soewondo, Kendal, Central Java

Darmin (76m) - 05/01 in RS Dr H. Soewondo, Kendal {in stable condition, reported to have been coughing for the last ten years, his blood samples and those of his contacts were sent to Jakarta, whther H5N1 infected poultry raom his village is presently disputed between the officilas and villagers, from Kemloko hamlet, Kalibareng village, Patean, Kendal, Central Java}

RS Wonogiri, Wonogiri, Central Java

Su (26m) - 05/02 in RS Wonogiri {live chicken trader with his mother, first examination 05/01, initial diagnosis bronchitis and diabetes symptoms, from Tiyaran, Bulu, Sukoharjo, Central Java}



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Post Options Post Options   Thanks (0) Thanks(0)   Quote Goju Quote  Post ReplyReply Direct Link To This Post Posted: May 03 2007 at 8:20pm
what forum did that come from Ross?
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Discussion of Past cases and ability to handle new cases in Aceh

Software translation.
03/05/2007 11:32 WIB Aceh the Danger of the Bird Flu Virus Kutaraja the Banda Aceh Health - Kadis the Health of the Acehinese Province, Dr T Anjar Asmara said, Aceh the danger of the virus threat Avian influenza (bird flu) to humankind.
the threat could emerged suddenly, especially after seven residents in the province tetangga
(North Sumatra), died after terjangkit the virus AI. the Statement was sent the Asmara Anchor ended opened the training of the handling of bird flu in manusia
in the hall of Wisma Kuta Nature, kema-rin.
The training for three days, was carried out by the Service of Kesehatan
Aceh for the general practitioner who was assigned in the intensive care unit (UGD) the public hospital more than one Aceh, RS Kesdam, RS the policeman and PMI the Lhokseumawe City.
although in Aceh was not yet found by the case to humankind, said the Anchor, for the last two year, 21 cases suspect (the assumption) the AI virus to humankind emerged in three regencies and the city in Aceh.
respectively 19 suspect in Aceh North, one in Bireuen and two in Banda Aceh.

however, after being researched in the laboratory, all of them menujukkan results of the negative.
according to the Anchor, Indonesia currently is the tallest country experienced the case of bird flu that menelan
fatalities.
From 94 cases Avian influenza that attacked humankind, 74 people died.
the spreading of the AI virus in Indonesia was very high and seven cases claimed fatalities happened in North Sumatra.
So, the Acehinese resident must be on the alert because of Medan our neighbour; he said warned.
to mencengah KLB happened the AI virus to humankind, the Acehinese Health Service co-operated with the UN agency, the donor country and NGO carried out the training and mensosialisasikan the threat of the flu virus brung kepada
the wider community.
However, he admitted now the regency in the middle and south-east region not yet tersosialisasikan.
the NAD regional government, asked NGO or the donor country, if having the training activity and sosialiasasi virus
AI still should not be centred in the area that has been done, but did to the area of the middle region dan
south-east.


Like the true Regency Merry, Aceh Middle, Gayo Flexible and Aceh South-east.
Anjas really hoped, the case of the AI virus did not emerge to humankind in Aceh.
because, his handling really be difficult and needed the special respiratory machine that his price reached Rp 1 billion perunit.
RSU Zainal Abidin Banda Aceh, currently only has two machine units pernafasan

especially bird flu that the operational cost until Rp 12 million perorang during one day.
if the AI case emerged more than two, definitely will emerge the difficulty with limited equipment.
uptil now in Aceh the AI virus has been found to the poultry in 10 regencies/the city in 14 Kecamatan
that was spread in 17 villages.
Among them in Banda Aceh (5 cases), in Pidie (3 cases) ,
in Bireuen (2 cases), in Aceh North (4 cases), in Aceh East (4 cases), in Acehinese Tamiang (2 cases) ,
in A South-east (2 cases), in A South (12 cases), in Aceh Big (1 case) and Lhokseumawe (1 case).
Goju - Cannot give link because it will be automatically blocked .
           But search on   w w w . C u r e v e n t s . c o m



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Again, citizen Kendal suspect AI
May 5, 2007

Kendal (SINDO) – RSUD Dr H Soewondo Kendal, yesterday the arrival of the patient suspect bird flu (avian influenza/AI).


The patient had a name Taru, 58, warga the Kebongembong Village, Kec Pageruyung, entered isolation space around struck 04.00 WIB.
Beforehand, the patient was treated in RSK Ngesti Waluyo, Parakan, Temanggung. The patient could be treated in this private hospital for five hours. Because his sign was similar to the sufferer AI, the patient was reconciled to RSUD Soewondo. Moreover, many chickens in the patient's village that died suddenly.

Since one month set, hundreds of chickens belonging to the resident died suddenly. Beforehand, the hospital received the patient had a name Darmin, 76, warga the Kemloko Hamlet, the Village of Kalibareng RT 04/II, Kec Patean. Because his condition was stable, the patient has been moved to normal maintenance space in Kenanga space. The wife Taru, Wati, 55, said, his husband experienced the hot sign high was accompanied by the cough and breathless since one week set. Before experiencing the sign, around the last one months hundreds of tails of the chicken belonging to the resident died suddenly. His property chicken also took part in dying, but that buried him, not his husband.

Most, the chicken died suddenly in livestock breeding belonging to his neighbour, Bejo. The amount of hundreds of tails. Although not direct contact with the chicken that died suddenly, he claimed, his husband each went to the paddy-field beyond the poultry farm belonging to Bejo. ”Hampir daily he through the livestock breeding because of his location close to the paddy-field that digarap,” aku him. Wati claimed did not yet know whether the illness that was suffered by his husband because tertular bird flu or not.

Plt the Managing Director RSUD Dr H Soewondo Dr Rivai Koesen SpA when it was confirmed, yesterday confirmed had the patient who entered space of the bird flu isolation. To ascertain the condition for the patient, the team of the doctor has carried out the inspection intensively, including taking the sample of blood. However, his side still could not confirm whether the patient suspect or positive. ”Kita still monitored the condition for the patient by involving the team of the doctor that has we tunjuk,” he accused. In the meantime, the Young Man Muhammadiyah Kendal, yesterday declared the team of the bird flu volunteer. As many as 108 volunteers will be assigned in six subdistricts that were considered by the danger of the bird flu attack.

http://www.seputar-indonesia.com/ed...suspect-ai.html
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