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Tracking the next pandemic: Avian Flu Talk

Indonesia

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    Posted: September 05 2006 at 6:20pm

 

LATEST NEWS THREAD: INDONESIA
 
ALL NEWS ON THIS THREAD PERTAINS SPECIFICALLY TO THE REGION OF INDONESIA


Indonesia proceeds with poultry shots

06-Sep-06

THE Indonesian government will press ahead with plans to vaccinate some 300 million poultry from the bird flu virus despite fears by some health officials that vaccines are not effective. The plan will be done in stages with 60 million doses being prepared for vaccinations beginning this month and running through December, The Jakarta Post reported.

Bird flu outbreaks have been confirmed in 29 of 33 Indonesian provinces, affecting tens of millions of birds and killing 46 people the highest death toll in the world.

However, there is debate among health officials in Indonesia as well as abroad on whether mass culls are more preferable to vaccines to prevent and contain outbreaks.

The Jakarta government has been reluctant to do widespread culling, partially because it does not want to compensate poultry farmers.

DPA

http://www.bruneitimes.com.

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Bird flu kills nearly 600 chickens in Indonesia's West Java
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Indonesian authorities have warned of a major bird flu outbreak in the West Java town of Kuningan after 596 chickens died of the disease in August, an official said Tuesday.

Local officials said bird flu attacks were found in two districts, namely Cigugur and Darma.

"The 596 chickens died of bird flu based on rapid tests (at the scene) and laboratory tests," said Nana Adnan, head of the West Java veterinary office.

Following the findings, authorities plan to cull 3,000 chickens in the affected areas, he was quoted by the national Antara news agency as saying.

Local officials have culled some 5,000 chickens in nearby Garut regency after one person died of bird flu based on local tests.

Indonesia now has the world's highest bird flu death toll of 47 out of 62 sufferers since the first human case was confirmed two years ago.

Source: Xinhua

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This isn't right is it ????Tamiflu for chickens ??
 
 
Indonesia to produce millions of tamiflu to combat bird flu
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Indonesia will produce 5 million tablets of tamiflu this year and conduct a massive vaccination of poultry to combat avian influenza, senior officials said here Tuesday.

Two local companies, the Kimia Farma and the Indo Farma have registered to take part in the production, said Director General of Pharmacy Services of the Indonesian Health Ministry Richard Panjaitan.

"The next plan is to obtain (tamiflu) from domestic production, " he told Xinhua.

"Five million capsules of tamiflu will be produced before December this year," said Panjaitan.

However, he said that the materials for the capsules would still be imported from other countries.

Earlier, Indonesia has imported 5 million tamiflu from India and 2 million from Switzerland, he said.

The World Health Organization (WHO) representative to Indonesia George Peterson said that as long as the bird flu epidemic still occurs on poultry, there might be occasional human cases of avian influenza.

Authorities and experts have said the huge territorial and large amount of backyard-centered chicken farms have hampered efforts to completely eliminate the highly pathogenic H5N1 in Indonesia.

And 14 out of 61 people contracted with the avian influenza have survived in Indonesia.

"On human we have seen slightly increasing cases lately," Peterson told Xinhua.

"I think the most important thing is to control the epidemic in the bird, and we know that the government together with donors have bee working on that, that needs to be scaled up," he added.

More than a third of the Indonesian territory has been infected by the avian influenza, according to the health ministry.

Indonesian Minister of Agriculture Anton Apriantono told Xinhua that his ministry would carry out a massive vaccination on hundreds of millions of chickens in the country.

Indonesia reported the biggest cluster in Karo district in North Sumatra province in May, that killed seven people linked by blood.

More than 40 million people were killed in a bird flu pandemic between 1918 to 1919, the WHO has said.

Source: Xinhua

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Spread of bird flu virus in N. Sumatra still worrying



Medan, North Sumatra (ANTARA News) - The spread of the bird flu (Avian Influenza/AI) virus in North Sumatra is still worrying despite the cull of some 73,096 poultry in the province recently, a provincial government official said.

The poultry cull was intended to break the chain of the HN51 virus` transmition, a spokesman of the North Sumatra Administration said here on Wednesday.

Of the total 73,096 culled poultry, some 37,458 were in Karo District, 20,012 in Simalungun, 14,727 in Dairi and 899 in Deli Serdang District.

For every chicken or bird culled, the government provided compensation worth Rp12,500 each.

Bird flu cases have occurred in 16 districts out of the total 25 districts in North Sumatra up to August 2006.

Among the affected districts are Deli Serdang, Binjai, Dairi, Medan, Tebing Tinggi, Langkat, Samosir, Serdang Bedagai, Simalungun, Tapanuli Selatan, Tapanuli Utara, Toba Samosir, Mandailing Natal, Humbang Hasundutan, and Kabupaten Karo.

The bird flu virus infection has badly affected the poultry business in the province.

A total of 10 nations have detected outbreaks of the animal disease in humans. Indonesia had reported some 67 cases, the highest figure in the world. Indonesia`s Ministry of Health recently reported the country`s 43rd death resulting from infection with the H5N1 avian influenza virus.

Like the vast majority of other human cases detected throughout the region, contact with ailing chickens around the household is the apparent means by which the latest human case occurred.

Human cases appeared for the first time in Indonesia in 2005. (*)

/www.antara.co



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Coercion needed in bird flu fight, VP Kalla says
The Jakarta Post - 0 KB- Found: 5 hours ago
The government needs to use coercion to ensure the fight against bird flu is "effective and successful", Vice President Jusuf Kalla said Saturday.

Ouch   This article doesn't post well , Coercion needed in Bird Flu Fight .
Ouch   Indo pays for chickens , Cambodia won't pay their people .
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Indonesia culling 4,500 chickens to halt latest bird flu outbreak

Deutsche Presse Agentur


Published: Tuesday September 12, 2006

Jakarta- Local officials in Indonesia's West Java province have ordered an emergency cull of some 4,500 chickens to contain a new outbreak of the bird flu virus among the poultry population, a local official said Tuesday. No human infections were reported from the quick spread of the H5N1 avian flu virus in two villages of West Java's Kuningan district last week, which killed around 1,500 chickens.

Asep, an official from the Kuningan's district government office, said workers immediately began culling poultry in those villages and in surrounding areas last Saturday to contain the outbreak.

"We will continue until (Sunday)," Asep, who like many Indonesians goes by one name, told Deutsche Presse-Agentur dpa. "After the outbreak was positive, we decided to cull."

Indonesia is the world's worst-affected country by bird flu, with 48 human deaths and millions of bird infected in 29 of the country's 33 provinces.

Vietnam is in second place with 42 deaths, but has reported no new cases this year while Indonesia has had 36.

© 2006 DPA - Deutsche Presse-Agenteur

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Wednesday, September 13, 2006 (Jakarta):

Indonesia's tally of people killed by bird flu climbed to 49 after a 5-year-old boy who died in March was added to the list, a Health Ministry official said on Wednesday.

The child, who died in Sulianti Saroso hospital in Jakarta, was added after a recent change in the testing standards that the World Health Organization sets for cases of the H5N1 virus, said Runizar Roesin, of the ministry's bird flu information center.

The US Centers for Disease Control and Prevention in Atlanta, Georgia confirmed the results. (AP)


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Thanks Candles and July for your hard work.  I'm glad the WHO is allowing some of the "non-official" cases to be counted now, as people need to see numbers more in line with the reality over there.  Anyone who looks into this can see that cases have  fallen through the cracks.   The WHO admits to the multiple problems involved in counting the numbers, yet when it filters down to the mass media, there's no attempt to qualify those numbers.  In my opinion (and they haven't called me latelySmile) there should be a footnote in the WHO updates: "confirmed cases may not reflect actual numbers due to misdiagnosis, false negatives, lack of samples, limited access of health care, and failure to report." 
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Indonesia, foreign donors reach agreement on bird flu 'war'

Deutsche Presse Agentur


Published: Friday September 15, 2006

Jakarta- Saying Indonesia was in a "war on bird flu," key international donors and the Jakarta government reached an agreement Friday to make up a 100-million-dollar shortfall in funds needed to stop the H5N1 virus in the world's worst-affected nation. The sides agreed on a comprehensive plan to expand containment and preventive measures across the vast Indonesian archipelago that they hope would entice donors and international lending agencies to release tens of millions of dollars.

Just last month, donors expressed shock that the Jakarta government was planning to reduce spending on bird flu in its 2007 state budget at a time when it was facing a 100-million-dollar shortfall. Indonesia, which now has 49 human deaths and epidemics among poultry populations in 29 of its 33 provinces, needs 250 million dollars a year to contain the virus.

Indonesia has been criticized for reacting too late and failing to heed international advice after bird flu was first detected in the country in 2003, and now the country is the runaway leader in human and poultry deaths.

"I'm not at all saying it's under control, but I am saying we have reached an agreement today on a way forward," David Nabarro, the United Nation's chief coordinator for avian flu, told a press conference after meeting with Indonesian, World Bank and US government officials.

The Jakarta government has agreed to use some of the hundreds of millions of dollars it has set aside for natural-disaster relief and poverty-reduction programs for prevention and containment, said Aburizal Bakrie, Indonesia's coordinating minister for people's welfare.

"Indonesia is very serious ... in taking down this problem," Bakrie told the press conference, noting that the country has a myriad of other health problems that kill thousands of people each month.

In order to prevent the virus from mutating into a human-to-human form that could create a pandemic and kill millions, the Jakarta government agreed to rapidly expand animal-control measures, by vaccinating and culling poultry as needed and also compensating chicken farmers.

Indonesia's Agriculture Ministry will also triple the number of early surveillance and response programs to 150 provincial districts across the country.

Nabarro said Indonesia had "come a long way" in the past three months, but noted that its planned animal-control expansion hinges on donor money.

"That is our objective. To get the money to start to flow," he said.

The US Agency for International Development announced during Friday's meetings that it would give 3.2 million dollars in new aid, and the World Bank discussed a possible 15 million dollar grant to control the virus and provide funds for culling and compensation.

© 2006 DPA - Deutsche Presse-Agenteur


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let's hope this works
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Strong earthquake jolts eastern Indonesia

Source: Reuters 0

JAKARTA, Sept 16 (Reuters) - An earthquake measuring 6.2 on the Richter scale rattled eastern Indonesia on Saturday, but there were no immediate reports of any deaths or damage, a meteorological ...  Full article  http://www.alertnet.org/db/crisisprofiles/ID_EAR.htm

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This poor country just keeps taking hits.
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UN urges vigilance in bird flu fight

Riyadi Suparno, The Jakarta Post, Singapore

The relative lack of recent media coverage of bird flu does not mean the danger of a global pandemic has passed, and all countries must remain vigilant and prepare for the worst, a UN official warns.

Speaking on the sidelines of the International Monetary Fund/World Bank annual meetings in Singapore on Sunday, UN System Avian Flu Special Coordinator David Nabarro said the possible global fatigue with bird flu was dangerous because the H5N1 virus was still spreading in many countries and could cause a global influenza pandemic.

"There will be another influenza pandemic one day, but we don't know when. The H5N1 virus is capable of causing disease in humans. It's also a virus to which humans do not have immunity, and it's a virus which is all the time undergoing genetic change.

"So we remain concerned that this H5N1 could mutate to a form where sustained or continuous human-to-human transmission becomes possible. We cannot predict when this might happen. We cannot predict how it will happen.

"So we encourage communities, governments and private entities to get prepared for a pandemic that might start anytime, despite the fact we cannot be certain when it will happen," he told a panel discussion on the avian flu.

Also speaking at the discussion was Jim Adams, head of the World Bank's Avian Flu Task Force. He estimated a bird flu pandemic could cost over 3 percent of the global economy because of its impact on trade and economic activities.

"This could cost, in fact, certainly over $1 trillion and perhaps as high as $2 trillion in the worse-case scenario," he said.

Citing the potential losses from a pandemic, Nabarro called for the full engagement of the private sector and civil society in containing bird flu.

"I mean the Red Cross, local communities, because without the engagement of civil society and without the involvement of the private sector, we don't get it working," Nabarro said.

Avian influenza in wild birds or poultry has been confirmed in 55 countries, resulting in an estimated 220 million bird deaths and significant damage to rural livelihoods. http://www.thejakartapost.com/detailheadlines.asp?fileid=20060918.@02&irec=1

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Indonesia's ability to diagnose bird flu still low


Jakarta (ANTARA News) - The ability of Indonesian laboratories in diagnosing the infectious virus of avian influenza was assessed as still low.

"Our diagnosing ability is still low. In Vietnam, such a diagnosis is made in one day, while 70 percent of diagnoses in Indonesia are completed in three days," dr Santoso Suroso, the director of the Sulianti Saroso Infectious Diseases Hospital, said here on Monday.

It will never have a real impact on H5N1-infected patients who needs a quick and effective handling at central level (like in Jakarta), and it may affect the handling of patiens in the regions owing to the lack of laboratories.

"In Jakarta there is no such problem in the handling of such patients, but it will pose an obstacle to the regions if a new patient is put in an isolation room after tested bird flu positive by the laboratory," he said.

It could happen, as the ability of national laboratories was still limited, she said.

"There are now only three national laboratories, namely Balitbangkes (Health Development and Research Agency), NAMRU2 and Eijkman. All three are in Jakarta. In the meantime, specimens to be handled are thousands throughout Indonesia," he said adding that the government`s fund for this need is still limited.

It is for that reason, the government will also build eight regional laboratories in some cities such as Medan, Yogyakarta, Surabaya, Ujung Pandang, Ujung Pandang and Mataram, he added. (*)

 2006 ANTARA

September 19, 2006

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H5NI poultry deaths a concern: Official

MEDAN, North Sumatra: The North Sumatra Animal Husbandry Office says five regions in the province are still experiencing worrying levels of poultry deaths from bird flu.

Office head Abdul Rahim Siregar said Tuesday the five areas were Karo, Deli Serdang, Tebing Tinggi, Simalungun and Dairi.

Eight people had died from the H5N1 virus in Karo regency and several suspected bird flu patients in the other four areas have recovered after being treated at hospitals, Abdul said.

He said some 20,000 poultry had been culled in the five endemic areas during the past three months. "Poultry deaths in the five areas from the H5N1 virus were quite rapid and have become a cause for concern," he told The Jakarta Post.

The office has distributed 500,000 ampules of bird flu vaccines provided by the central government to curb the spread of the virus.

"The central government has provided 2.5 million ampules to the province, but we have only distributed 500,000 of them. We will distribute the rest in a few days," he said. -- JP http://www.thejakartapost.com/detailnational.asp?fileid=20060920.G10&irec=9

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: September 21 2006 at 2:24am
Maybe OT maybe not
 
Dozens of infants hit by diarrhea

The Jakarta Post, Mataram, KupangDozens of children in the cities of East and West Nusa Tenggara have been hospitalized with severe diarrhea in the past month.In West Nusa Tenggara, 30 children with diarrhea were admitted to Mataram Hospital in the past two weeks. Hospital spokesman Rudi Syarif said the number of diarrhea patients had been increasing since early September. Last month, the hospital treated 45 diarrhea patients. "Although the increase is not dramatic, there are certainly more people coming in with the symptoms of diarrhea. We have set aside treatment rooms so as not to disturb the other patients," he said. He said that most of the patients were between the ages of eight months and two years. They stay in the hospital for eight days on average.

The mother of a patient, Hasmi, said her boy had been sick for two days before she took him to the hospital. The 1-year-old was lying weakly in bed with severe dehydration. "I thought he had regular diarrhea but it seems it's a symptom of something more serious," she said.

In East Nusa Tenggara, nine children in the city have died during hospitalization for diarrhea since August. Ronaldus Hada and nine-month-old Anselmus Rondo, died Tuesday. Both were residents of Goreng Meni village in Benteng Jawa district. Twenty-eight other children in the village have moderate or severe diarrhea."We don't know what's causing the diarrhea but it's mostly infants who are sick. We suspect it's caused by unsanitary living conditions...," said Philipus Lampur, the chief of the Benteng Jawa community health center, Wednesday.

A spokesperson for the provincial administration's social services office declined to comment. http://www.thejakartapost.com/detailnational.asp?fileid=20060921.G05&irec=4

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Thanks to everyone that keeps on with updates on Indo
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It is estimated that 100 million Indonesians lack access to safe water. Contaminated water is a leading cause of diarrhea, which is the second leading killer of children under five in Indonesia and is responsible for the deaths of 100,000 Indonesian children each year.

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 Also......   China is now almost totally RED Shocked and Indonesia.
 
 
Find all WHO maps here....
 
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Bird Flu Kills Indonesian Boy, Marking Country's 50th Fatality

By Karima Anjani

Sept. 22 (Bloomberg) -- Bird flu killed an 11-year-old boy in Indonesia, a Ministry of Health official said, pushing the country's death toll to 50.

Tests confirmed the child from East Java was infected with the H5N1 strain of avian influenza when he died on Sept. 18, said I Nyoman Kandun, the health ministry's director general of disease control and environment.

Indonesia, the world's fourth-most-populous country, has recorded at least two new H5N1 cases every month since September last year. Its 65 reported cases account for more than a quarter of human infections worldwide.

The H5N1 virus is known to have infected 247 people in 10 countries, killing 144, since 2003, the World Health Organization said on Sept. 19. Millions could die if the virus mutates to become easily transmissible between people, sparking a lethal pandemic.

Indonesia, with 238 million people, is struggling to control H5N1 in poultry, which are spreading the virus to humans. In the past three years, infected birds have been found in at least 80 percent of the country's 33 provinces.

Poultry are raised in the backyards of about 80 percent of the Southeast Asian nation's 55 million households. Almost all human H5N1 cases have been linked to close contact with sick or dead birds, such as children playing with them or adults butchering them, according to the World Health Organization.

Indonesia attracted international attention in May when seven members of a family from the island of Sumatra contracted H5N1, six of them fatally. The cases represented the largest reported cluster of human cases and the first laboratory-proven instance of human-to-human transmission.

To contact the reporter on this story: Karima Anjani in Jakarta at kanjani@bloomberg.net .

Last Updated: September 22, 2006 05:25 EDT http://www.bloomberg.com/apps/news?pid=20601080&sid=akYPOoFKOMAM

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Quote from article:
 
Poultry are raised in the backyards of about 80 percent of the Southeast Asian nation's 55 million households. Almost all human H5N1 cases have been linked to close contact with sick or dead birds, such as children playing with them or adults butchering them, according to the World Health Organization.
 
Good grief - that means 44 million households with chickens,  all packed into a small area.  It's amazing there haven't been more deaths, but then again, if they can't get a handle on this, it has every opportunity to keep creating new viruses.  I thought this was interesting (from Dr. Niman's website):
 
 In Indonesia there have now been approximately 80 bird isolates sequenced and close to 100 human isolates from almost 50 patients, which have been collected for over a year, yet there is not a single match.
http://www.********.com/News/09170602/H5N1_Indonesia_Evolution.html
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Mahshadin Quote  Post ReplyReply Direct Link To This Post Posted: September 22 2006 at 9:45pm
 There does seem to be no end in Indonesia. Must get animal problem under-contol as a first step.
 
_________________________________________________________________________________________
 

Research Articles

Large-Scale Sequence Analysis of Avian Influenza Isolates

John C. Obenauer,1 Jackie Denson,1 Perdeep K. Mehta,1 Xiaoping Su,1 Suraj Mukatira,1 David B. Finkelstein,1 Xiequn Xu,1 Jinhua Wang,1 Jing Ma,1 Yiping Fan,1 Karen M. Rakestraw,1 Robert G. Webster,2,4 Erich Hoffmann,2 Scott Krauss,2 Jie Zheng,3 Ziwei Zhang,3 Clayton W. Naeve1,4*

The spread of H5N1 avian influenza viruses (AIVs) from China to Europe has raised global concern about their potential to infect humans and cause a pandemic. In spite of their substantial threat to human health, remarkably little AIV whole-genome information is available. We report here a preliminary analysis of the first large-scale sequencing of AIVs, including 2196 AIV genes and 169 complete genomes. We combine this new information with public AIV data to identify new gene alleles, persistent genotypes, compensatory mutations, and a potential virulence determinant.

1 Hartwell Center for Bioinformatics and Biotechnology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
2 Department of Infectious Diseases, Division of Virology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
3 Department of Structural Biology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
4 Department of Pathology, University of Tennessee Health Science Center, Memphis, TN 38163, USA.

 
 
 
"In a time of universal deceit, telling the truth is a revolutionary act."   G Orwell
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press Release
 
New Bird Flu Outbreak in East Java
Sunday, 24-September-2006, 11:44:11
Jakarta, Indonesia-Relief-- The Indonesian Ministry of Health on Friday confirmed that an 11-year-old boy died of H5N1 avian influenza earlier this week. The boy was a resident of Kaligentong, Tulung Agung District, East Java.

''This is a new bird flu outbreak in East Java. This case is the 66th confirmed case of human infection with the H5N1 virus in Indonesia, and the 50th fatality,'' said Komnas FBPI, the Indonesian National Committee for Avian Influenza Control and Pandemic Influenza Preparedness, a committe under MInistry of Health.

The eleven years old boy became ill on September 16 with high fever, coughing and respiratory problems. He was admitted to Iskak Hospital in Tulung Agung on September 18, 2006 and died later that day.

Results from Polymerase Chain Reaction (PCR) tests conducted at the Ministry of Health Litbangkes Laboratory and NAMRU-2 Laboratory confirmed the H5N1 infection.

Chickens belonging to the boy are reported to have begun dying several weeks before he became ill. A team of experts from the Ministry of Health and the Ministry of Agriculture, under the coordination of Komnas FBPI, will go to the area to determine appropriate response measures. ***che***

 
More News on:  
Other Bird Flu News
. UN - Indonesia Top Officials Meet to Strategize War on Bird Flu
. Indonesia Launches Nation-wide Bird Flu Campaign
. Indonesia Thanks Japan for Supporting Bird Flu Campaign
. New Case of H5N1 Confirmed in South Sulawesi
. Japan-Asean Stockpiling Tamiflu in Singapore
http://www.indonesia-relief.org/mod.php?mod=publisher&op=viewarticle&cid=39&artid=1704
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After the the nine year old boy was to become the number 51 on the list , found this article from Papua New Guinea  Newspaper , Indonesia's neighbours                         http://www.thenational.com.pg/092506/column6.htm

Focus

Indonesia pushes bird flu education

Jakarta: Laughter bursts abruptly from the veranda of Punjang’s house. Shaded from the afternoon sun by a thick tree, Punjang sits on the floor, moving beans around a large piece of paper.
His wife watches, bemused, as two of Indonesia’s new bird flu trainers explain the rules of the game.
These are your chickens,” Wiwin, pointing towards a pile of red beans, says. “And these are chickens that are sick.”
Punjang is trying to play along, but he is finding it funny. Wiwin moves some beans across the paper. Punjang shakes with laughter again. Not that Punjang has much to laugh about.
The elderly chicken scratching sedately around the edge of his veranda is the only remaining sign of his livelihood. Six month ago, he had hundreds of birds, he says, but within the space of a day or two, they all suddenly died.
He did not know much about bird flu then. The same is true of almost all Indonesia’s small-scale farmers. Many keep just a handful of birds to supplement the family income. There are around 30 million such households, tucked deep into Indonesia’s vast territory. It is these so-called “backyard farmers” that have presented the government here with a challenge.
Since bird flu first appeared in Indonesia three years ago, it has spread to 29 out of the country’s 33 provinces, leading to the deaths of millions of birds, as well as at least 50 humans.
The latest victim was an 11-year-old boy, who died at hospital in Tulungagung, East Java, last Monday after developing a fever and cough and suffering breathing difficulties.
In villages like Punjang’s where farming is usually free-range, and where chickens mix freely with those from neighbouring houses, viruses like H5N1 spread quickly.
But with outbreaks often occurring simultaneously in villages thousands of kilometres away, getting to the affected areas fast enough to contain the disease is a problem.
And in Indonesia’s heavily decentralised system, policies made in Jakarta are often held up or in practice even blocked at the local level.
So the government is trying a new tactic. Backed by international organisations, it is putting in place specialist teams of vets at the provincial and the district level, to provide rapid response and surveillance at a grassroots level.
Elly Sudiana coordinates the programme from the ministry of agriculture in Jakarta.
She says the new teams have given the government a direct command line to the village level and that as a result, dealing with and reporting outbreaks has been much faster.
But for the scheme to work, the teams will need to prevent future outbreaks too. And that is where the beans come in.
In rural areas, there is little information about how bird flu spreads. So the teams go door-to-door visiting every farmer, teaching them how to protect their chickens and themselves.
Back in Cijeler village in West Java, Wiwin runs through the basic rules with Punjang: put your chickens in a cage; do not keep them too close to the house; disinfect the area regularly; and burn any droppings.
His lone chicken continues to pluck at the ground in front of his house. Punjang is saving up the money to replace his lost stock. He says he wishes he had known before to keep them caged.
There is a desperate need for public awareness in Indonesia – especially in rural areas.
The government has launched a campaign on radio and television to try and get its message across. It has also increased the amount of compensation it will pay to farmers who cull sick birds and stream-lined the way that money can be paid.
But fighting bird flu will take much more money than is currently available. Teams like Wiwin’s are expensive to run; they are currently operating in just nine of Indonesia’s 29 affected provinces.
And government plans to vaccinate bird stocks have been dented by financial constraints too. The agriculture ministry has bought 60 million doses of the vaccine, but there are 300 million chickens in Indonesia, and it is not clear how the shortfall will be made-up.
International donors have pledged around US$50 million next year to help Indonesia fight bird flu. The government says it needs more than US$350 million to carry out its national plan.
But it has also cut its own contribution, something that international organisations say has made it harder to generate donations.
According to John Weaver, a senior technical advisor with the UN’s Food and Agriculture Organisation in Jakarta, part of the problem is that bird flu is competing with other major problems in Indonesia.
“In relation to tsunamis and earthquakes and malaria, this is still a low-profile event,” he says. “So politically, the leaders of these provinces give it the priority you’d expect, which is not very high.”
Indonesia says it needs the money it has cut from the budget to pay for reconstruction in the wake of this year’s earthquake in Yogyakarta.
But while the human cases continue to creep into the headlines, bird flu experts worry that if Indonesia’s problem is left to grow, it could become a global one. – BBC

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HEALTH-INDONESIA:
Building Awarness Against Bird Flu
Marwaan Macan-Markar

JAKARTA, Sep 25 (IPS) - On a recent evening, Muhammad Farhan worked the crowd in an up-market café with the banter that has earned him fame as one of Indonesia's popular talk show hosts. A new book by a local author-- In Bed with Models'-- set the tone for this off-the-air performance.

Hours later, his engaging style of delivery was on display for a wider audience at his regular late-night talk show, ‘OM Farhan', broadcast on the StarAN TV network. ‘'I deal with topical issues, gossip about film stars, and even serious subjects, like the recent earthquake,'' the 36-year-old said over a meal at a restaurant in the Indonesian capital. ‘'I love to perform, do comedy sketches, talk and entertain.''

More than entertainment this Jakarta resident lends his talent for public causes, raising awareness on the dangers of the killer bird flu virus that is stalking Indonesia. ‘'I am concerned because Indonesia has the highest number of human deaths due to avian influenza,'' explains Farhan, who has a round, clean-shaven face and short-cropped hair. ‘'I live in an area in west Jakarta considered one of the most risky. About nine people have died from bird flu there.''

His new role comes across in the 30-second spots he has been appearing in that are broadcast on all nine national television stations in this country of 230 million people since the beginning of September. ‘'We are not focusing on scientific stuff, but simple, every day life,'' he says of the media campaign that will run till December. ‘'Through comedy and simple storylines, we get people to take more care, like proper cooking, keeping chickens outdoors and to getting to a doctor if you have flu.''

This campaign, which is part of a broader awareness drive by the United Nations Children's Fund (UNICEF), is aimed at Indonesia's poor and economically marginalised. ‘'The people in the lowest economic sector are most vulnerable, because they don't understand the bio-security issues and have still not become very serious about safe ways of breeding poultry,'' says Farhan, a father of two boys. ‘'When it rains, they bring theirs chickens indoors rather than keeping them in coops. They don't have money for that.''

The lead taken by UNICEF is not surprising, given the large number of children who have been reported with the H5N1 strain of the avian influenza virus or who have died of bird flu in Indonesia. ‘'Less than half of the reported cases are children and young people under 18 years,'' John Budd, communications officer at UNICEF's Jakarta office, told IPS. ‘'Avian influenza is endemic in Indonesia. But it still remains a disease of animals.''

Indonesian public health authorities confirmed Friday that the latest victim of bird flu was an 11-year-old boy from Karanggentong, a heavily populated part of East Java. The boy, who had died on Monday, had fallen ill after coming into contact with infected chickens.

His death brought to 50 the number of human deaths from bird flu in Indonesia out of 65 reported cases. This South-east Asian archipelago became an area of concern after deaths due to H5N1 virus occurred in July 2005, when Indonesia reported its first bird flu fatality.

So far, 145 people have died due to bird flu out of the 247 cases reported globally, states the World Health Organisation (WHO). Vietnam follows Indonesia in human fatalities, with 42 bird flu-related deaths, after which comes Thailand, where 16 people have died. In China 14 deaths have occurred and in Cambodia, six.

Current numbers suggest the daunting task faced by Indonesia, which has an estimated flock of 1.8 billion poultry. The killer virus has been detected in poultry flocks in 29 of its 33 provinces, according to available reports.

‘'The virus is still very dangerous,'' Chairul Nidom, a veterinarian and researcher at the tropical disease centre at the Airlangga University in Surabaya, said in an interview. ‘'It spreads easily in Indonesia because of poultry trading. We also have a problem with the wet markets and some big poultry companies based in Java.''

‘'The structure of the virus found in Java is the same as what is found in outer Java,'' he added. ‘'There is no difference between the capital and the villages. The situation is the same.''

International concern about Indonesia emerging as the epicentre for bird flu this year -- displacing Thailand and Vietnam after the current outbreak began in the winter of 2003 -- was reflected in the comments made on Wednesday by David Nabarro, the U.N. special envoy for avian influenza. ‘'There's a lot more that needs to be done to get good quality animal health services in all 444 districts in this country,'' he told ‘The Jakarta Post' in an interview. ‘'It is vital that veterinary personnel in each district look out for bird flu cases and respond to them. That means the efficient killing of affected birds and those around them.''

Farhan understands this concern. ‘'We don't want people to reduce chicken consumption, but to change their behaviour when dealing with poultry,'' he said. ‘'The campaign is about leading a healthy lifestyle and for each person to do his bit, even as simple as keeping hands clean, to avoid getting infected.''

‘'When you are involved in this campaign you want to make a difference,'' he adds. ‘'I have begun to include bird flu issues in my regular talk shows to spread the message.'' (END/2006)
 

 
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I bet the word would spread much faster, especially in the poorer sections, if the government offered money to anyone who has information about new outbreaks.  Of course, it would be hard to "turn in" your neighbor's chickens.....
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Indonesia culls fowl near homes of bird flu victims

Wed Sep 27, 2006 10:41 AM BST184 JAKARTA (Reuters) - More than 1,350 birds have been slaughtered this week near homes of the latest Indonesian bird flu victims, a nine-year-old from Jakarta and an 11-year-old from East Java, officials said on Wednesday.

Both boys died this month after contact with sick or dead fowl, pushing Indonesia's bird flu death toll to 51, the highest of any affected nation. The government has faced criticism for not doing enough to combat the disease, endemic in birds in almost all provinces in the archipelago of 17,000 islands.

Unlike other bird flu-affected nations such as Thailand, culling poultry is not easy in Indonesia because of fierce opposition from farmers and the logistical difficulties in dealing with millions of backyard fowl.

Farmers oppose culling because of the low compensation they get for their birds. A full-grown chicken costs 35,000 rupiah ($3.80) in Jakarta, but the government only offers between 10,000 and 12,500 rupiah for each culled fowl.In South Jakarta, officials killed about 850 chickens, ducks and pet birds near the nine-year-old boy's house on Monday and Tuesday.

"The fowl were slaughtered and burned. Those which could not be caught were shot on the spot. Residents wanted this culling to be done," Eko Henry Wicaksono, a senior official at the South Jakarta animal husbandry office, told Reuters. The national team dealing with bird flu said in a statement that officials in the East Java victim's hometown of Tulungagung had culled more than 500 chickens to contain the virus.

The statement also said specimens from relatives of both boys had been taken for further testing.   Continued... http://today.reuters.co.uk/news/articlenews.aspx?type=globalNews&storyid=2006-09-27T094101Z_01_JAK269156_RTRUKOC_0_US-BIRDFLU-INDONESIA.xml&src=rss

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Avian influenza – situation in Indonesia – update 33

27 September 2006

The Ministry of Health in Indonesia has confirmed the country’s 68th case of human infection with the H5N1 avian influenza virus. The patient is a 20-year-old male from Bandung, West Java. He developed symptoms of fever and cough on 17 September and was hospitalized on 24 September. He remains hospitalized.

The man’s 23-year-old brother developed symptoms on 16 September. He died of respiratory disease on 24 September, two hours after admission to hospital. Infection with the H5N1 virus is suspected for the 23-year-old male, but cannot be confirmed as no samples were collected for testing. Both men had direct contact with dead chickens when feeding carcasses to their dogs. Local agricultural authorities also found evidence of H5 infection in household birds.

A third sibling, a 15-year-old female, was hospitalized on 25 September after developing symptoms of fever and cough. Initial test results received on 27 September were negative for the H5 virus subtype and positive for the H1 subtype, indicating an infection with normal seasonal influenza. She remains hospitalized in a stable condition.

Of the 68 cases confirmed to date in Indonesia, 51 have been fatal.http://www.birdflubreakingnews.com

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Thanh Nien Daily Indonesian patient with bird flu dies, raising country's toll to ...
International Herald Tribune, France - 3 hours ago
JAKARTA, Indonesia A bird flu patient suspected of being a member of a new family cluster of infections died Thursday, his doctor said, bringing Indonesia's ...
Only the 15 year old sister left from this cluster .http://www.birdflubreakingnews.com
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The U.S. Provides an Additional $3.2 million 
to Indonesia for Avian Influenza Prevention

 

September 15, 2006

The U.S. Government today announced that the United States Agency for International Development (USAID) is increasing its support for Indonesia to aid in the fight against the spread of avian influenza. Meeting with Coordinating Minister for People’s Welfare Aburizal Bakrie and international donors, USAID Avian Influenza Director Dennis Carroll said: “USAID is pleased to see the Indonesian Government’s recently redefined AI priorities, and applauds the leadership of Indonesia ’s National Avian Influenza Committee (KOMNAS AI) under the direction of Coordinating Minister Bakrie.” Administered through the USAID assistance program, in partnership with the Indonesian Government, these activities are supporting national, provincial and district goals in combating avian influenza in poultry, and reducing the risk of the disease in humans.

Building on its active $14.65 million AI prevention and control program, USAID announced it will expand its support of enhanced surveillance, effective response, and prevention with an added contribution of $3.2 million. Of this amount, $2.2 million will be supplied in the form of needed personal protective gear and disinfection kits. This equipment will be used to support the roll-out of the USAID funded participatory surveillance and response program activities to 159 districts in Java, Bali, and Sumatra . Working with international partners including the UN Food and Agriculture Organization (FAO) and the World Health Organization (WHO), these activities aim to reduce the burden of H5N1 disease in poultry and reduce the risk associated with human exposure.

USAID is also providing Indonesia with an additional $1 million to support an intensified, aggressive agriculture sector response effort. Expanding beyond the current 60 districts where successful surveillance and control efforts are already underway, USAID is supporting intensification of the Indonesian Government’s strategy for culling and vaccination. These activities are implemented in coordination with other donor organizations.

 
 
____________________________________________________________________
 
What is being done in Indonesia??
 
"In a time of universal deceit, telling the truth is a revolutionary act."   G Orwell
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Greenpeace slings mud in Indonesia

An aerial view shows a toll road flooded with mud in Sidoarjo in Indonesia's East Java province September 27, 2006. Environmental group Greenpeace on Wednesday dumped 700 kg (1,540 lb) of mud at the welfare ministry in protest over the government's handling of a mudflow disaster. The mud has swamped four villages over an area larger than Monaco, displacing more than 10,000 people. http://www.alertnet.org/thenews/newsdesk/JAK40244.htm


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Officials in the dark over flue cluster

Yuli Tri Suwarni, The Jakarta Post, Bandung

Officials at the Bandung Agriculture Office are still trying to determine the origin of a possible bird flu cluster in West Java that may have involved human-to-human transmission.Office head Yogi Supardjo said Wednesday the results of serological tests on 13 chickens and four ducks raised by the family of a hospitalized 20-year-old male resident of Bandung, who tested positive for the H5N1 bird flu virus, showed some of the birds were infected with the virus.

The patient's 23-year-old brother died Sunday of bird flu, while his 15-year-old sister was admitted to Hasan Sadikin Hospital after developing a fever and cough. This has led to speculation of a bird flu cluster, though the source of the infection has yet to be determined."We originally thought the infection came from chicken used to feed the family's pet dogs, but then further tests found some of the neighbors' chickens and birds belonging to the family are also positive for the virus," Yogi said. He said that despite tough controls put in place at the city's 26 chicken slaughterhouses, the virus continued to spread in densely populated areas in Bandung's 14 subdistricts. "It's difficult to control the distribution of livestock in Bandung because of all the small access points where there are not checkpoints," he said.

Residents of the Kebonwaru neighborhood unit remain in shock that three of their neighbors have been infected with the virus. They have voluntarily handed over their chickens and pet birds to officials from the agriculture office for culling. "Rather that killing humans, it's better for the birds to die first," said resident Dadang Solihin, who had three pet birds culled.Meanwhile, Health Minister Siti Fadillah Supari confirmed Wednesday the 20-year-old man treated at Hasan Sadikin Hospital had contracted bird flu after the death of his brother. < now both dead>

"On the matter of bird flu, another case is positive," the minister said as quoted by Agence France Presse. Fatimah Resmiati of the West Java Health Office said the patient remained in critical condition Wednesday. She said Tuesday the three family members were being investigated as a possible cluster case, but cautioned that further tests needed to be carried out. Nadirin, a doctor at the national bird flu information center, said the family kept ducks and fighting cocks which had shown immunity to the H5N1 virus, meaning they had been infected at one point. This, along with the fact the family fed dead chickens to their dogs, raises the possibility they caught the virus directly from the poultry, rather than each other.

So-called cluster cases, where the H5N1 virus is spread from human to human rather than from poultry, increase the chance of the virus mutating slightly to become easily transmissible between people. Such a development, scientists fear, could lead to a global pandemic with a potential death toll of millions. http://www.thejakartapost.com/detailnational.asp?fileid=20060928.G02&irec=1

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Officials in the dark over flue cluster

Yuli Tri Suwarni, The Jakarta Post, Bandung

Officials at the Bandung Agriculture Office are still trying to determine the origin of a possible bird flu cluster in West Java that may have involved human-to-human transmission.

Office head Yogi Supardjo said Wednesday the results of serological tests on 13 chickens and four ducks raised by the family of a hospitalized 20-year-old male resident of Bandung, who tested positive for the H5N1 bird flu virus, showed some of the birds were infected with the virus.

The patient's 23-year-old brother died Sunday of bird flu, while his 15-year-old sister was admitted to Hasan Sadikin Hospital after developing a fever and cough. This has led to speculation of a bird flu cluster, though the source of the infection has yet to be determined.

"We originally thought the infection came from chicken used to feed the family's pet dogs, but then further tests found some of the neighbors' chickens and birds belonging to the family are also positive for the virus," Yogi said.

He said that despite tough controls put in place at the city's 26 chicken slaughterhouses, the virus continued to spread in densely populated areas in Bandung's 14 subdistricts.

"It's difficult to control the distribution of livestock in Bandung because of all the small access points where there are not checkpoints," he said.

Residents of the Kebonwaru neighborhood unit remain in shock that three of their neighbors have been infected with the virus.

They have voluntarily handed over their chickens and pet birds to officials from the agriculture office for culling. "Rather that killing humans, it's better for the birds to die first," said resident Dadang Solihin, who had three pet birds culled.

Meanwhile, Health Minister Siti Fadillah Supari confirmed Wednesday the 20-year-old man treated at Hasan Sadikin Hospital had contracted bird flu after the death of his brother.

"On the matter of bird flu, another case is positive," the minister said as quoted by Agence France Presse.

Fatimah Resmiati of the West Java Health Office said the patient remained in critical condition Wednesday.

She said Tuesday the three family members were being investigated as a possible cluster case, but cautioned that further tests needed to be carried out.

Nadirin, a doctor at the national bird flu information center, said the family kept ducks and fighting cocks which had shown immunity to the H5N1 virus, meaning they had been infected at one point.

This, along with the fact the family fed dead chickens to their dogs, raises the possibility they caught the virus directly from the poultry, rather than each other.

So-called cluster cases, where the H5N1 virus is spread from human to human rather than from poultry, increase the chance of the virus mutating slightly to become easily transmissible between people.

Such a development, scientists fear, could lead to a global pandemic with a potential death toll of millions.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: September 28 2006 at 11:25pm
of a hospitalized 20-year-old male resident of Bandung, who tested positive for the H5N1 bird flu virus,Ouch < now dead > showed some of the birds were infected with the virus.

The patient's 23-year-old brother died Sunday of bird flu,Ouch  while his 15-year-old sister was admitted to Hasan Sadikin Hospital after developing a fever and cough. < does she still have the common flu >ConfusedThis has led to speculation of a bird flu cluster, though the source of the infection has yet to be determined. ConfusedConfusedConfusedConfused

"We originally thought the infection came from chicken used to feed the dog but then further tests found some of the neighbors' chickens and birds belonging to the family are also positive for the virus," Yogi said. < he didn't mention they culled and shot the chickens that were trying to get away , tested all known contacts and handed out the meds .> in thta area and surrounding that area ..................Here is a link for more understanding of Bandung      Bandung - Wikipedia, the free encyclopedia

Describe history, government, culture, tourism and economy of Bandung.
en.wikipedia.org/wiki/Bandung - 79k - Cached - Similar pages

http://en.wikipedia.org/wiki/Bandung

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Indonesia man dies of bird flu
Published: Friday, 29 September, 2006, 01:04 PM Doha Time

JAKARTA: A 20-year-old Indonesian man who health officials thought had been part of a family cluster of bird flu cases died of the disease yesterday, a hospital official said.

The man’s 25-year-old brother died on Sunday after displaying bird flu symptoms but there has been no positive confirmation he had the disease because no samples were taken for testing.

A third sibling, a 15-year old girl, is being treated at Hasan Sadikin hospital. Tests for her have been negative.

"He died because of breathing problems which he had suffered since he was admitted to the hospital," said Hadi Yusuf, who heads the bird flu ward at Hasan Sadikin hospital in Bandung, West Java’s provincial capital.

The government said earlier this week the 20-year-old man had bird flu after a series of positive tests for the H5N1 avian flu virus.

Relatives of the three siblings are also being tested.

Health ministry official Runizar Ruesin said bird flu had been ruled out in the girl’s case.

"There is no H5N1 virus in her body. She is only suffering from the common flu," he said, adding that no more tests would be carried out on her.

Yusuf said the brothers had contact with chickens and it was highly unlikely that one infected the other. – Reuters

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Found this on Breaking News.  Looks like a 4th person is involved with this now.  This DOES NOT SOUND GOOD.  We knew about the 2 brothers and sister but now they are talking about a cousin.  Anybody else find anything on this group?
 
 
 
One more person has died of the bird flu virus in Indonesia. Taufik Zakariah, a 20-year-old man from Bandung, died on Thursday four days after his brother. Both were suspected of catching bird flu after feeding their dogs with dead chickens they bought in the market near their house.

After the two brothers died their cousin was also suspected of having bird flu. She was brought to Hasan Sadikin Hospital in Bandung after attending the burial of the brothers. Soon afterwards the 18-year-old female developed a high fever, coughing, and found it hard to breathe. Her body temperature reached 39 degree Celsius. This girl was suspected for bird flu because she lived in the same house as Taufik, the first person to die in the family. However, laboratory tests have yet to be conducted on her blood sample.

Meanwhile, the young sister of this family, a 15-year-old female, is also being treated in Hasan Sadikin Hospital due to a high fever and breathing difficulties. The laboratory test revealed that she was negative for the bird flu virus, but the medical staff still gave her medical treatment. She initially required an oxygen tube but she is now breathing unaided.

The doctors will keep her in hospital for the next seven days to make sure that her condition becomes normal. They are also waiting for a third laboratory test. To prevent the situation worsening, health officers have now taken blood samples for examination from about 20 people who live near the dead patients.

Meanwhile Mike Perdue, a doctor from the W.H.O., was reported by AFP as explaining that H5N1, otherwise known as the bird flu virus, never sleeps and is still a danger. As the rainy season approaches and the weather becomes colder, the risk of virus mutation is more possible and at the same the human body's resistance drops. That is the best time for viruses to hit humans. Perdue warns that although a virus mutation incident has not happened, it remains a possibility.

Health Minister Siti Fadilah Supari said yesterday on television that the government was not too slow-going to fight against the bird flu spreading across Indonesia. She explained what her side had done and would do, including distribute more bird flu antibiotics, especially into the regions where there are bird flu outbreaks.

Another factor behind how the bird flu virus continues to spread and is becoming difficult to stop is economic.

In the latest cluster the victims became infected after buying dead chickens from the market. It is possible that other people actually were infected by the same virus. The problem is understanding what caused the traders to sell the dead chickens. There were undoubtedly economic motivations.

Beside this factor, another factor is awareness about how to prevent the bird flu virus among people who live with poultry or chickens near their houses. Again and again we find that economic considerations prevent people from living their lives without chickens, even for just a little while
 
 
 
 
GG
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The family is the central institution of Indonesian society, and the model for other social relations. The family household includes not only parents and children but also grandparents, other unmarried relatives, and servants. Child-care responsibilities are shared among mothers, grandmothers, older daughters, and others. The father is often the ultimate authority figure, while the mother manages the family money. Remaining at home, children remain dependent on their parents until, and often well into, marriage. Children are duty-bound to take care of their parents in old age. Older siblings likewise help younger ones, even going as far as financing their educationhttp://www.everyculture.com/wc/Germany-to-Jamaica/Indonesians.html  

Tulungung East Java
Bandung West Java   the two clusters .<suspected > Ninmen said a grandmother was in hosptial and mentioned others being tested , also he was looking for another vector , not dog, not chicken . Its covering a large area east , west  .Do we know the head count in this family ? Not seen the cousin mentioned before .
 
Sumatra 2006
Tasikmalaya West central Java < cluster > 2006 June
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Judy Quote  Post ReplyReply Direct Link To This Post Posted: September 30 2006 at 1:03am

http://www.birdflubreakingnews.com/templates/birdflu/window.php?url=http%3A%2F%2Fwww.cidrap.umn.edu%2Fcidrap%2Fcontent%2Finfluenza%2Favianflu%2Fnews%2Fsep2906avian.html

This reports a 21 year old sister of the 11 year old boy who died recently. This is in East Java; the cousin, 2 brothers and 1 sister are from West Java.  Also, the official refers to the 21 year old and the 11 year old as being "genetically susceptible to the virus".   Would someone please tell me what that means as far as what gene is concerned and when that became a scientifically proven fact, not a supposition?  I've heard that if you repeat  a rumor often enough, people will begin to accept it as fact; but if this is fact then they should be working on a vaccine  through the genetic factor.  ??

If ignorance is bliss, what is chocolate?
   
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Post Options Post Options   Thanks (0) Thanks(0)   Quote pcusick Quote  Post ReplyReply Direct Link To This Post Posted: October 02 2006 at 8:51am
I am wondering if they mean the two are from the same "side" of the family tree (paternal or maternal) that the two deceased relatives are from...?
There has been discussion that family clusters in Indonesia are running on one side or the other of the family tree, indicating a possible genetic susceptibility...no firm research into the exact reason for the susceptibility, but it could be as simple as a single amino acid difference in a receptor on the cell surfaces...just MHO...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: October 03 2006 at 12:01am
Bird flu campaign in West Java to involve school children

Yuli Tri Suwarni, The Jakarta Post, Bandung

The West Java provincial administration is mulling the possibility of involving school children in its campaign about the spread of the Fatimah Resmiati, head of the West Java Health Office's environmental sanitation unit, said that the plan to involve school children had been adopted as the current campaign had been ineffective, as shown by the increasing number of people falling sick from bird flu. The campaign would concentrate on the dissemination of information about bird flu with the help of school children, including those attending Muslim boarding schools, Fatimah explained.

She said that West Java had the highest number of bird flu cases, with 23 patients having tested positive for the virus, and 19 having died.By comparison, the total number of people who had been infected with the virus stood at 69, of whom 52 had died, she said, explaining that cases of bird flu-infected fowl livestock had been detected in 23 out of the 26 regencies and municipalities in West Java.

"As we've already become the 'top scorer', we badly need a better prepared campaign to help prevent more fatalities," Fatimah said in Bandung after attending a coordinating meeting with representatives of the Ministries of Health and Agriculture.Over the next two days, Fatimah said officials from the relevant offices would discuss the possibility of establishing a regional bird flu prevention commission"We have to admit that we all walk by ourselves so that whenever there is news about a new case that requires quick handling, we haven't been able to respond to it as soon as possible," she said.

A similar concern was expressed by Fatum Basalamah, head of standardization at the zoonosis subdirectorate of the Ministry of Health, who underlined the importance of involving school children as a means of conveying information on the bird flu danger to their parents and the public at large.

Fatum said that the existing anti bird-flu campaign through the mass media had not been able to heighten public awareness"Despite the huge coverage, the public have not been persuaded to act better. In Bandung, there were patients who were found to have fed their dogs with dead chickens. We have to open our eyes about the problem," she said.

Fatum explained that the exact details of the children's campaign remained to be worked out.A similar campaign involving children was waged by the West Java Health Office during an outbreak of dengue hemorrhagic fever two years ago, when school children were involved in eradicating the mosquito larvae. http://www.thejakartapost.com/detailnational.asp?fileid=20061003.G05&irec=4

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Post Options Post Options   Thanks (0) Thanks(0)   Quote July Quote  Post ReplyReply Direct Link To This Post Posted: October 03 2006 at 5:28am

Avian influenza – situation in Indonesia – update 35

3 October 2006

The Ministry of Health in Indonesia has confirmed the country’s 69th case of human infection with the H5N1 avian influenza virus.

The case is a 21-year-old female from East Java Province. She developed symptoms on 19 September and was hospitalized on 25 September. She remains hospitalized.

She is the sister of a confirmed H5N1 case, an 11-year-old male who died on 18 September. Following that fatal case, health authorities initiated contact tracing, and on 24 September they received reports of symptoms in the sister. In line with the national protocol, she was immediately given the antiviral drug, oseltamivir, and isolated in hospital.

The source of her infection is presently under investigation. Poultry deaths in the family's household were noted both before and during the illness of the brother. The woman was likely exposed to these poultry as well as to her brother.

Of the 69 cases confirmed to date in Indonesia, 52 have been fatal.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: October 05 2006 at 3:07am
 The neighbours Malaysia  ............
 

Four Malaysian family members cleared of bird flu after quarantine
Pravda - 0 KB- Found: 2 hours ago
Four family members who were quarantined after they developed fevers in Malaysia's eastern Kelantan state have been cleared of the deadly H5N1 strain of bird flu , an official said Thursday.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: October 05 2006 at 3:58am

Read the comments below from Dr. Henry L. Niman and consider that humans are not getting infected from poultry in most cases in Indonesia:

The above comments indicate that there are now two confirmed cases in Tulungung cluster. The time gap in onset dates indicate the index case, who died on September 18, infected his sister, who was transferred September 25, prior to the WHO update on her brother, which did not mention her hospitalization. Although stable, she remains on a respirator ad in isolation.

This cluster is in addition to the confirmed cluster in Bandung, as well as suspected clusters in Sumatra and Tasikmalaya.

In the East Java cluster, the grandmother of the two confirmed cases has been hospitalized and samples have been collected from other family members as well as six classmates of the index case.

In the past, H5N1 was isolated from a patient in Kedari, and the sequence of that isolate matched the other human H5N1 bird flu isolates from Java. These sequences do not match the poultry isolates on Java. It is likely that the human cases are being infected by H5N1 evolving in a reservoir other than domestic poultry.

The presences of concurrent multiple clusters throughout Indonesia remains a cause for concern.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: October 05 2006 at 3:16pm
Sorry for the last news report.  I have deleted it.  It came from breaking news but I just noticed the dates were from May 2006.  GG
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: October 05 2006 at 4:52pm
Ynot2K, where did that article come from?  Is it recent?  Can you give us the link? Thanks...
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