Forum: Indonesia Outbreak IX

Continued from here

Michelle in OK – at 23:19

Thanks to all.

• FloridaGirl at 21:31 that is my understanding as well.
• Blue Ridge Mountain Mom… it’s nice to have an additional news searcher.
• Influentia2… I called the 2 vague cases September suspected symtoms (no city).
• dbg… to get the geographic information shared, I think you would e-mail it to Dude and then he clears everything through the mods. We’d love to see it. His e-mail is listed in his profile.

Hooray for those patients able to go home… Our sympathy to the family of the young boy who died back in March.

FloridaGirl – at 23:27

Goodnight pugmom: I will leave you something to think about for when you are rested.

1. COuld you verify the the preschooler (2) from street Djamin Gintings has tested negative and (I think) was transferred out of the ICU, but has not left the hospital (9/12)

2. and that XL or AI (42M), is really from Minahasa south. (and different than Edi).

Thank you,,,,

I don’t know how you do it. It is becoming mind-boggeling.

Need to check, but I also think there were patients in 2005 that tested positive in Banda Lampung 3 patients? and a couple at least i think…. died.

I will check tomorrow.

Info on the death last March in Bekasi, West Java: article dated 9–14–06. http://tinyurl.com/hdukn

 Metrotvnews.com, Jakarta: the Health Body of the World (WHO) corrected the number of deaths of casualties as a result of being infected by the bird flu virus in Indonesia to 49 people.

The list put the Bondan Abirama Sanyoto name, the Bekasi citizen, West Java, that died on March 19 set.

With the increase in several new criteria the WHO research, the number of casualties died as a result of the plague of bird flu in Indonesia increased. The number of deaths 49 people made Indonesia continue to was in the first place of the case of bird flu in the world, far above Vietnam with the number 42 cases of the death….

Beforehand, the patient Bondan died on March 19 in the Sulianti Saroso Infection Hospital, Jakarta. The Bondan death could seize attention of the public because the hospital of reconciliation of the bird flu patient it was thought late gave help of oxygen when Bondan experienced breathless.

Makassar, South Sulawesi: new case “Sahrul” (a child), date of onset 3 days ago. And mention again of “Edi” from Makassar, but no confirmation of age article 9–14–06 http://tinyurl.com/ggk4f

Liputan6.com, Makassar: the bird flu Virus was still threatening several areas in the Motherland. Two citizens Makassar, South Sulawesi, on Thursday (14/9), was forced to get the intensive maintenance in special space this patient of the deadly virus in the Wahidin Sudirohusodo Makassar Hospital. Sahrul and Edi were treated because of pointing out the sign avian influenza. Sahrul and Edi was expected suffered avian influenza after three days set the temperature of his body was high, coughs, and their lungs were received mucus. To confirm, the sample of the citizen’s blood of the New Beginning, Biringkanaya and the citizen Earth this Sudiang Jewel was checked in the laboratory. According to Spiritual, parents Sahrul a week gazed at the death of dozens of chickens peliharaa him, Sahrul began to be attacked by the high fever and coughs. Acknowledged if his child often contact with the chickens.

In Manado, North Sulawesi, the official of the combination from police and the local regional government men-sweeping the vehicle that carried the livestock from Gorontalo and Makassar. This action was carried out to anticipate the entry of the plague of bird flu to Manado. Each available livestock was in the vehicle seized. Dozens of livestock will be returned after the testing of the sample of blood and it was confirmed freest the virus H5N1.

comment: there is a picture that goes along with this artcle. I assume it is “Edi” in his hospital bed. He is an adult man.

Repeat of earlier article clarifying that this Gilang, age 3, is from Banda Lampung from the province of Lampung. The other Gilang was a 9 yo from the province of West Java on Aug.27. I agree they are two different cases.

Doni Ruhliana - Banda Lampung, After being done by the inspection, Gilang (3) the patient suspect bird flu that was treated in the Public Hospital (RSU) Abdul Moeloek was stated by the bird flu negative. The illness that was suffered by Gilang headed to tuberculosis (the TB). According to Deputy Director Pelayanan RSU Abdul Moeloek, Dr Azizah Aziz, Gilang, the citizen of the Tanjungsenang Subdistrict, Banda Lampung was mentioned suspect bird flu … move gilang in maintenance space of the child RSU Abdul Moeloek Dr Azizah Rabu (13/9) Siang Ini said, was based on results of the doctor’s inspection, the illness that was suffered by Gilang in fact headed to TBC. But although being maintained by the bird flu negative, said Dr Azizah, his side will come back took the sample of blood and mucus to really confirm that this patient did not contract bird flu.

attempt at clarifying location of case named “Al”. Appears he is from Manado, North Sulawesi. http://tinyurl.com/eojlp

Manado - the Sign be careful for North Sulawesi. After attacking thousands of chickens in the Village Rumoong Low, Minahasa South, currently the plague of Bird Flu it was suspected attacks humankind. A Ternate citizen the Cape Wonasa Manado had the initials Al (42 years) on Sunday (10/9) around struck 22.

Thus, in review, I believe that Edi and Al are 2 different people, for the reasons you stated last night, ie, “AL” is from Manado, North Sulawesi and “Edi” is from Makassar, South Sulawesi. I am not sure about your question of whom is from Minahasa. Do these 2 posts from above clarify it at all for you, (or have I muddied the waters even further, that is, have I even answered the right question??—maybe I better go back to bed.)

Pugmom,

Here is why I am unsure of the location of AI.

Your Post: pugmom – at 13:01

Metrotvnews.com, Manado: in Manado, North Sulawesi, a man was 42 years old was brought to the Public Hospital Professor Kandow. The patient had the initials “Al” this suffered the bird flu virus and immediately was treated in Isolation Space, special space to treat the bird flu patient.

 The Ternate citizen the Cape, the Singkil Subdistrict, Manado, this had beforehand carried out contact with the chicken that died suddenly. 

(And then the next sentence reads…)

“Al” was the patient with the case of first bird flu in North Sulawesi. Last week, emerged the bird flu virus to the chicken breeder in the Village Rumoong Low, the subdistrict Amurang West, the Minahasa Regency South.

In the same paragraph it reads like AI is from from two different places. (I think) Manado and Minahasa are very close to each other. Rumoong Low has other patients reported this week.

Thanks for checkin out these… Gotta go to work…

FloridaGirl and Michelle—trying to pinpoint where these people are from: confusing, as Edi and Al are both 42 years old. But Edi is from the south and Al is from the north. About the preschooler from Medan: I went back to Michelle’s post at 22:26 and retranslated the article and indeed it said she was treated from 9–9−06 to 9–12–06, at which time she tested negative and was released to home with her family. The street she lives on is Jamin Ginting.

‘Beforehand the similar incident was experienced by a pre-schooler was two years old, the citizen Street Jamin Ginting, the Market V Medan that was treated since Saturday (9/9), then in RSU H Adam’s Centre the Medan Owner because suspek bird flu. When being done by the inspection intensively, evidently results of the negative terjangkit the virus avian influenza. This child was afterwards shifted came home by his family, on Tuesday (12/9) of the rooms of the A Longing the hospital belonging to the government of this centre.”

If I run across any more references to her today, of course I will post them. Does this help you?

I have lost the directions of how to print out the excellent map in the case summary thread. Someone told me about a week ago and now I can’t find it. I was thinking, whoever knows, maybe you should post the directions on how to do it in that thread itself, instead of here, where it gets lost. I was hesitant to print it at first, as it takes alot of ink, but I have surfed the net for a map as clear and detailed and cannot find one. Do you have a link where you got this map? Thankyou very much.

pugmom, the map on the summary thread is a .jpg file, so you can save it to a picture program and size it as desired to print. As Okieman pointed out on an earlier thread, an .html file is a lot clearer, but there is not a link to that type of file now. The one I saved to my favorites won’t display anymore.

Michelle-thanx! What map do you use? Do you have a favorite one that you have printed out? Also, wanted to thank you for putting the fact they died under the “Other info” column. By the time I get all the pages scotchtaped together, the far columns on the right don’t always line up. Great summary, very easy to access. I like the new cases in Blue—that really helps alot to.

Medan, North Sumatra: more info on Setiadi and the pre-schooler, who has indeed gone home. dated 9–14–06 http://tinyurl.com/jezpr

 Medan the Business – Medan

the Virus avian influenza (AI) apparently continued to haunt the North Sumatran community (North Sumatra). Several times the citizen was from various areas run off with to RSU the Centre H Adam the Owner because suspek bird flu. Finally was Setiadi Fauzi (15) that was reconciled from RSU Tebing Tinggi to RS Adam the Owner because of being expected terjangkit the bird flu virus.

Deputy Director I RSU H Adam the Medan Owner Dr M. Nur Rasyid Lubis SpB to the reporter said, Setiadi Fauzi experienced the high fever through to 39 levels celcius was accompanied by the cough and flu. “Pasien this beforehand was treated in RSU Tebing Tinggi. Because of being suspected by bird flu, he was reconciled to RSU H Adam the Medan Owner in order to gets the maintenance intensif,” he explained.

The medical official gave the special maintenance with gave tamiflu and did the photograph of the piston and the chest to see the development of his health. “Kita also took the sample of his blood to be sent to the Department of Health RI,” he said.

The Setiadi suspicion terjangkit bird flu, began when one of his chickens died suddenly, on Sunday (10/9). At that time Setiadi direct contact with this chicken. The next day, on Monday afternoon (11/9), Setiadi experienced the high fever was accompanied by flu and the cough. The previous family placed was suspicious of what was experienced by Setiadi. Further the same Setiadi day was brought to RSU Tebing Tinggi. The incident then was continued to the Health Service (Dinkes) Tebing Tinggi to be done by upper observation of the death of casualties’s poultry. While a day underwent the medical maintenance in RSU Tebing Tinggi, the Setiadi condition did not experience the change Further Setiadi was yesterday reconciled to RSU H Adam the Medan Owner.

Beforehand the similar incident was experienced by a pre-schooler was two years old the citizen Street Jamin Ginting, the Market V Medan that was treated since Saturday (9/9), then in RSU H Adam’s Centre the Medan Owner because suspek bird flu. When being done by the inspection intensively, evidently results of the negative terjangkit the virus avian influenza. This child was afterwards shifted came home by his family, on Tuesday (12/9) of the rooms of the A Longing the rooms of the A Longing the hospital belonging to the government of this centre.

Makassar, South Sulawesi: more info on “Edi”/last name is Fauzi and is 15 years old dated 9–15–06 http://tinyurl.com/zfgpt

Suspected of being infected by Bird Flu, the Tebing Tinggi Citizen was reconciled to RS Medan Tebing Tinggi, (the Analysis) The series Edi Fauzi (15), the citizen of the LKMD road, the Village the Tall Grass the District the Tebing Tinggi Tall Grass of the Subdistrict of the City Rambutan, on Tuesday (12/9) struck 07. 40 WIB was run off with to RS the Public H. Adam the Medan Owner was expected was determined the bird flu illness.

According to the source, parents of the Series of Edi Fauzi beforehand suffered the fever illness shivered several days ago. Because his condition continued to descend parents of casualties had finally brought his child to RS the Tebing Tinggi Public. Results of the medical inspection showed, casualties in the photograph in the condition for the fever shivered and the temperature of his body 38 levels celcius, the cough did not spit and breathless. Before suffering the illness, casualties beforehand held the chicken poultry that has died. Tomorrow his day casualties in the re-photograph. Evidently results were still being good, his blood was good but the temperature of his body rose reached 39 derjat celcius. Nasal mucus and dahak enough, besides this was still breathless.

The same day casualties the Series of Edi Fauzi in referred to RS the Public H Adam the Medan owner. According to medical, casualties have been affected by the bird flu illness and have been given medicine penangkalnya,” said Kabag Infokom Pemko Tebing Tinggi Drs H Asmali, MBA…

Sorry about wrong info above---the person above is the same as Setiadi Fauzi. “Edi=Setiadi” in this case, so the above is for Edi/Setiadi Fauzi from Medan, North Sumatra.

Thanks for all your work, pugmom. I’m showing Edi/Setiadi Fauze (15) above as from Tebing Tinggi, North Sumatra, since that is where he first entered the hospital. I had Edi from Makassar, South Sulawesi in the 9/12 upload file (which is now loaded). I’ve added Sahrul, also from Makassar, based on the above discussions.

Thanks, Dude, for uploading the file at ftp://www.singtomeohmuse.com/

Michelle—it sounds like to me that they have moved Edi to a more intensive facility in Medan. What do you think?

Yes, pugmom, I agree.

I’ve noted the new retrospectively confirmed cases announced by the WHO as discussed on the Sept. 14 News Thread. They are outside of our time frame, but I’ve shown them on the sheet with prior cases. I think the (27M) developed symptoms 10 days after his (15F)sister… both recovered. She was discussed on the WHO update #15.

Pugmom have you seen this? September 13th

http://tinyurl.com/p2h3o

The spreading of the bird flu virus (Avian influenza) in Kab. Garut it was suspected spread.

That followed the discovery of the chicken terjangkit the bird flu virus in the Cilame RT Village 05 RW 08, the Village/Kec. Cisurupan. In several subdistricts also was reported often the case of the death of the poultry in some last time happened but not yet clear his cause. Beforehand, the case of bird flu in Garut only was found in several villages in the Kec territory. Cisurupan. Apart from the poultry, in this territory also was found by the affected inhabitants the bird flu virus. Following the existence findings of the chicken terjangkit the bird flu virus in the Cilame Village, the Service of fisheries Livestock Breeding and Marine (Disnakanla) Garut at once acted did the vaccination and depopulation of the poultry in a limited way in this village. Disnakanla also carried out the poultry vaccination on a large scale following the number of cases of the death of the poultry in several subdistrict territories in Garut.

In order to prevents the possibility of the spreading of the bird flu virus wider in this area, then was done by depopulation of the poultry in a limited way on Tuesday (12/9). In other words, the chicken that didepopulasi this was limited to several tails of the chicken that was one pen with the chicken that beforehand was ascertained positive terjangkit bird flu. The same chicken coop took part in being burnt until becoming ash. When being contacted, the Head Disnakanla Garut, Ir. Andi Rachmat, M. Justified the existence of the chicken in the Cilame Cisurupan Village that terjangkit the bird flu virus.

‘’‘However, according to him, most chickens that died in the last two weeks were it was suspected strong was attacked by the ND illness or Newcastle disease.’‘’We also carried out depopulation of several tails of the poultry, and carried out the vaccination against 475 chickens in the Cisurupan Village, said Andi. Andi also mentioned, his side in some last time often accepted the report on the death of the poultry in several places, like in Kec.Malangbong, and Kersamanah. So as to prevent that, the Disnakanla side carried out the poultry vaccination on a large scale. Added, 100 doses of the bird flu vaccine that was owned by Disnakanla at this time have almost been finished.

Influentia2--yes, I did see that, I remember reading the part about burning the chicken coop down to ash (they have a way with words.) It seems like every article I pull up has new regions/villages, etc coming down with new diagnoses of avian influenza. It is hard to keep up with peoples’ names, much less all those foreign village names. All I know is it is spreading like wild-fire. (I find it strange Aceh, way up in the corner, has not had any reports yet.)

PUGMOM 18:45 Yes they do have a way with words. I have to agree. This story was from Garut so it caught my eye. I also need you to check your email. I have aquestion for you.

FWIW, Newcastle is endemic in Indonesia and it’s got a cfr of close to 100% in domestic poultry. Wicked nasty virus. (Also, in the same virus family as influenza, if I remember right, though not much of a zoonosis thankfully.)

OTOH, symptoms of newcastle and symptoms of AI are alike. I do hope they’re actually testing those birds.

Almost all of the articles, except one, has declared an epidemic of AI AFTER all the testing procedures have been done. What have you found Influentia2??

Pugmom (all articles)

Thank you much for your interpretation of the articles. And the additional articles that provide more information.

I will change my spreadsheet to reflect the above answers. Hopefully by this weekend, I will have caught up enough to post this version.

http://tinyurl.com/lgany They are testing here

On Friday, September 15 2006 prevented Bird Flu, the Divaksin Chicken Mojokerto - To anticipate the spreading of the bird flu virus, the Mojokerto Service of Regency Livestock Breeding continued to intensify steps in the control. Yesterday for example, Disnak spread out the socialisation and the direct vaccination to several chicken coops belonging to the citizen. Moreover, the sample of blood of several chickens was taken to be tested the laboratory.

‘’‘Several chickens afterwards divaksin Newcastle desease or the ND vaccine, as well as spraying of the liquid disinfektan. That to anticipate the spreading of the bird flu virus, said Diah.’‘’ Apart from memvaksin the chicken, the official of Livestock Breeding of the Service also sprayed the liquid disinfektan to chicken coops, while the other official taught the breeders about the vaccination method and the cleaning of the pen. “We were happy if having the vaccine and spraying like this, we took part in being on the alert,” said the Profit, a breeder. Despite this, till now was not yet found by the case of bird flu in the Mojokerto Regency. However, the Livestock Breeding Service continued to take the sample of chicken blood to confirm terjangkit the virus or not. The sample of this blood will be sent to the laboratory to ascertain results.

FloridaGirl—I just finally had the time to look at your nice spreadsheet. Info in a different format. I could only pull up the cases for Java, West Java, (Java in general). Am I doing something wrong? Also, can you explain the horizontal bars in red, blue and yellow, and what they signify? Thanx for attempting to reorganize our knowledge in different ways.

Why don’t we hear about these rapid tests?

AND interest is Not all That Yes pugmom they have away with words.

http://tinyurl.com/glfzy

SUNGGUMINASA — the vaccination Activity Avian influenza (AI) against the poultry in the Somba Opu Subdistrict that was spread out by the Livestock Breeding Service (Disnak) the Gowa Regency, on Wednesday September 13 yesterday apparently not all that got the community’s local response.That was seen from the shortage of the poultry that could disuntik the vaccine anti bird flu. Ir Junaedi not menyangkali the shortage of the community’s response, especially the breeder towards the implementation of the vaccination that was centred on in this Paccinongan District.The citizen was impressed more uninterested with the poultry vaccination.In fact, the target in the first day the vaccination, totalling 1.000 tails of the poultry. Enthusiastically the community indeed really not all that.’They did not bring his poultry to the place of the implementation of the vaccination.Possibly did not have information from the local government.Usually will have had one special place, but this was not revealed Wakadis in gaps of the vaccination activity was meant.In fact Disnak already menyosialisasikan about the implementation of the AI vaccination a long time beforehand.However, continue to enthusiastic the community really not all that.

His solution, we were forced to visit the citizen’s house that had the poultry one by one.If being not like this, then possibly our target in this first day (his intention yesterday, red) was not reached, I Arfah.In the same opportunity, Kasubdin Keswan, Junaedi, explained, in Somba Opu did not yet have the poultry that diindikasi terjangkit the virus AI. the Condition for the chicken livestock, birds, and the duck in the subdistrict was still safe.We found it easy to know the livestock that has terjangkit the AI virus or not because we had the implement rapid kit test (the bird flu detector).In a period of five minutes, we have known results, said Junaedi, while added, most that divaksin was the nonpedigreed chicken

Pugmom,

The excel document is lots of pages. Each page represents a location. (trying to do it by regency, but I may have to rethink that as I keep having to add pages.)

The very first tab (page) are the directions on how to read it. The Fixed column on the left has the location, name, relationships, and a second line (below) contains all the information about the patient, when they had symptoms, what day admitted or transferred to the hospital (and name), contact (or no) with chickens, and so on. In order to read that easily, all you have to do is click on the box under the name and read it.

The entire right section is moveable, and has dates accross the top. there is a key at the top of each page that tells you what colors represent what. i.e. yellow bars cover the dates symptoms were present, blue bars cover the dates the patient was in the hospital, red covers the day the patient died.

The purpose of laying this out in this fashion is to show the relationships of time elasped between onset of symptoms of people in the same locations who are NOT family members.

If you have not seen the genogram which clearly show the relationships of clusters, you should also look at that.

I asked them to post at flutrackers also, which they graciously did. Here is that link:

http://tinyurl.com/m5y74

It may be easier to open from that link.

One is nomed “order of patient symptoms. . .” and the other is “Genogram. . .” (They made this into a pdf)

They are both within a couple of posts from the top.

Pugmom,

The excel document is lots of pages. Each page represents a location. (trying to do it by regency, but I may have to rethink that as I keep having to add pages.)

The very first tab (page) are the directions on how to read it. The Fixed column on the left has the location, name, relationships, and a second line (below) contains all the information about the patient, when they had symptoms, what day admitted or transferred to the hospital (and name), contact (or no) with chickens, and so on. In order to read that easily, all you have to do is click on the box under the name and read it.

The entire right section is moveable, and has dates accross the top. there is a key at the top of each page that tells you what colors represent what. i.e. yellow bars cover the dates symptoms were present, blue bars cover the dates the patient was in the hospital, red covers the day the patient died.

The purpose of laying this out in this fashion is to show the relationships of time elasped between onset of symptoms of people in the same locations who are NOT family members.

If you have not seen the genogram which clearly show the relationships of clusters, you should also look at that.

I asked them to post at flutrackers also, which they graciously did. Here is that link:

http://tinyurl.com/m5y74

It may be easier to open from that link.

One is nomed “order of patient symptoms. . .” and the other is “Genogram. . .” (They made this into a pdf)

They are both within a couple of posts from the top.

thankyou so much—will take the time to digest it. You have clearly spent alot of time and energy and brain power on all this, and it may show us the links to H2H transmission. Thanx again.

Here is something to think about. I was surfing the other forums and one of them is commenting on how there have been no reported deaths in the media since Aug 17th or 18th. That is a little under a month. And yet, many reported suspect cases, with no follow-up. Do you think there is anything weird about this? Take, for example Ahmad Djafan the Dawn, a 1 1/2 y.o. from Kendari that was put into ICU on 8–25–06. Then nothing more. Or what about the 7 suspected cases being treated “intensively” since 9–9−06 in Tolitoli, Central Sulawesi? Did they all make it? Five days is a long time for someone in critical condition. We should have heard something, anything. Sometimes I wonder if we are spending all this time tracking down people with just bad colds. Maybe there really haven’t been any deaths in the last month, but then again….

Pugmom 21:47

The lack of follow ups could be a lot of things.

Maybe these will end up in the news a few weeks down the road like Ahkira and the 5 year old boy last week?

We just don’t know yet.

I’ve just emailed the geography cheat-sheets to Dude. I did some consolidating, so there are three documents instead of four, but the Regencies/Cities one in particular is easier to search now. Give a shout if there’s something I can do to make them more useful.

Florida Girl 21:05

I just checked out those links. I really admire all the hard work you have done. It is impressive to say the least.

Michelle in OK 23:19

Could this be the 27 year old Kandun refered to? Maybe his geography is off or maybe he’s just up to his old tricks again?

http://tinyurl.com/eobh5

Sept. 14 (Bloomberg) — A 27-year-old Indonesian man with bird flu may have caught it after spending six days caring for a sister hospitalized with the disease, the World Health Organization said.

The case brings the country’s infections to 65 people, including 49 deaths, the United Nations health agency said on its Web site. The man, from Solok in West Sumatra, developed mild symptoms in May and recovered in a few days.

An investigation determined he had exposure to his sister during her hospital stay, and that human-to-human transmission could not be ruled out as the source of his infection, the agency said in a statement today. He reported no contact with dead or diseased poultry before falling ill.

The case represents another instance of possible human-to- human transmission and raises questions about the strain of H5N1 spreading in Indonesia, said Ira Longini, a University of Washington epidemiologist who advises the U.S. government on flu issues. Health officials are concerned that the H5N1 bird flu, which has killed more than half of those infected, may mutate into a form that spreads easily among people.

It’s still an avian strain, but it could be more adapted to human populations, Longini said today in a telephone interview. These human clusters of cases in Indonesia with apparent human-to-human transmission are great cause for concern.

Initial Tests

The man’s initial tests for H5N1 were negative, the WHO said. Follow-up testing of his blood showed a significant increase in antibodies to the H5N1 virus, which met the agency’s criteria to confirm the infection.

If this is a repost from earlier please over look.

Now Pugmom what did I tell you about #5?

Influentia2… could be, but the earler article specifically states that the 27 year old from West Sumatra was a female. It also alluded to the fact that the 2 cases were in the hospital and taking tamiflu. I’m hesitant to take off the (27F), but am hopeful that she isn’t a separate person and somehow related.

Pugmom, I am concerned that there is some tension between authorities behind the lack of information. Cikelet has concerned me for some time, as there was obviously a cluster which occurred. There are (or were) 18 people ill in Cikelet for whom test results have not been released. One of these people is 5 year-old Risman, a sibling of Rubiah and Misbah who both died without tests performed. The last we knew, he was hospitalized with symptoms.

This concern is what prompted the addition of the third sheet in the Upload file dated 9–09 which is called “Sorted for Unknown Test Results.” It highlights the holes in the information. If you haven’t looked at it yet, to me it is troubling, as well.

If these ‘retrospectively confirmed cases’ represent some sort of concession to work out any tension that exists, I hope they get on with it.

Indonesia Summary - Updated as of 09/14/06

pugmom – at 05:45, et al.
A Ternate citizen the Cape Wonasa Manado had the initials Al …
This is really confusing. Manado is a city, and I saw a reference to Wonasa as a district in Manado, but Ternate is a city on a small island to the east (across the Molucca Sea, in North Maluku). Could AI have come to Manado from Ternate for treatment? Visiting from Ternate?
I found a page of maps of the Minahasa region, with cities on one and (color-coded!) regencies on another: (http://tinyurl.com/k3slv) where you can see the area of Manado; it abuts the Regencies of Minahasa and North Minahasa. Rumoong Bawah (Low) is in South Minahasa, very close to Amurang.
This may make more sense in the morning.

More Info about the added cases. I found some details of this story disturbing.

http://tinyurl.com/qaf3h

Human-to-human transmission possible in Indonesia’s 65th avian flu case

Sep 14, 2006 (CIDRAP News) – The World Health Organization (WHO) today recognized two cases of H5N1 avian influenza in Indonesia, including one from March that was first reported yesterday by a WHO official and one from May involving a man who may have become infected after exposure to an ill family member.

In both instances, the WHO has retroactively confirmed the cases on the basis of its new criteria for laboratory confirmation. The boy’s case put Indonesia’s count at 64 cases with 49 deaths, and the man, who recovered, represents the country’s 65th officially confirmed case.

The 5-year-old boy from East Bekasi in West Java province became ill on Mar 4, was hospitalized 2 days later, and died on Mar 19. The WHO said test results using two different assays revealed high antibody titer for H5N1 on serum samples taken on days 11 and 15 of his illness. Field investigators had determined that the boy had been exposed to sick poultry near his home, where some birds had tested positive for the H5 virus subtype.

Investigators identified the second case, in a 27-year-old man from Solok in West Sumatra province, when they traced contacts of the man’s 15-year-old sister who had a confirmed H5N1 infection in May. Her brother spent 6 days caring for her during her hospitalization. On May 28 he experienced mild cough and abdominal discomfort but no fever. His symptoms improved and he recovered in a few days.

Despite his mild and atypical symptoms, the brother was tested as part of the health ministry’s contract tracing and management program. He was given a 5-day course of oseltamivir beginning Jun 1 and was placed in voluntary isolation during his recovery.

Initial samples were negative for H5N1 infection; however, in August, follow-up testing of paired-serum samples found a fourfold rise in neutralization antibody titer for H5N1, a result that meets WHO’s new criteria for laboratory confirmation.

The man reported no contact with diseased or dead poultry before he became ill. Investigators determined that human-to-human transmission resulting from exposure to his sister could not be ruled out.

The WHO issued a report confirming his sister’s H5N1 infection on May 29. It said she remained hospitalized, but no details were available on the outcome of her illness.

In other developments in Indonesia, the director of the country’s main treatment center for avian flu told participants attending a scientific conference in Jakarta yesterday that avian flu will continue to circulate among the country’s poultry flocks because of shortfalls in vaccination and biosecurity measures, according to an article today in The Jakarta Post.

Santoso Soeroso, director of Sulianti Saroso Hospital, said improper vaccination of ducks and chickens may be contributing to the spread of the H5N1 virus. He said authorities are using substandard vaccines and are unable to evaluate the effectiveness of the programs because they lack an unvaccinated control group.

Soeroso said recent research in Bali province revealed a vaccine failure rate of 39% and that 60% of the area’s ducks had avian flu.

Indonesian agriculture minister Bagoes Poermadjaja told the group that only 60% of the country’s 300 million chickens and ducks had been vaccinated. He said the country lacked resources of early detection and is not adequately compensating citizens for slaughtered birds.

He said biosecurity measures are also deficient, and he noted that most cases of avian flu in humans had occurred in provinces where transport of poultry is constant. Poermadjaja also said weak coordination between central government and regional administration hinders the coordination of avian flu prevention and management.

Sorry if this is a repost, but it just seems to highlight some interesting things all in one article.

No mutation, but H5N1 showing different “types” in different areas of Indonesia. dated 9–15–06 http://tinyurl.com/fmvap

 Liputan6.com, Jakarta: Health Minister Siti Fadilah Supari said till at this time the mutation of the bird flu virus did not yet happen like that was frightened by the community.

His matter of being based on the research and the analysis of the Department of the Health and the Department of Agriculture from several cases of bird flu in the Motherland was not found by the mutation of the virus avian influenza. Was like this was sent by Siti in front of the reporters in Jakarta, on Thursday (14/9).

According to Siti from results of this analysis the type of the virus H5N1 that was found in each area not be the same

However this not the mutation of the virus. The difference of the type of the bird flu virus indeed very possibly happened considering the characteristics of each territory was different. He also says currently that must be guarded against was the spreading of the bird flu virus and his control [read: Menkes: the Case of the Land Karo definitely not yet Be Antarmanusia]. (ZIZ/Tim Coverage 6 SCTV)

Pugmom - 1:14 ‘No mutation, but H5N1 showing differnt ‘types’ in different areas of Indonesia’

Ok, science question based on this article:

Does this just look like more adaptation on the road to being efficient H2H, or does this look like multiple strains of H5N1 going pandemic at the same time?

little blurb on being behind in testing and again about the virus becoming more virulent with the change in weather (rains coming). dated 9–15–06. (Kebumen is a regency in Central Java). http://tinyurl.com/k49pd

 KEBUMEN (KR) - the Service of fisheries Livestock Breeding and Marine (Paperla) the Kebumen Regency reminded the poultry breeder so that more paid attention to the health of the pen and his poultries in September.

His article, in September was the peak of the growth of the virus resulting from the change in the temperature and humidity extreme air….

Vigilance and anticipation towards the spreading of the virus, were carried out by the Paperla Service local with biosecurity. The other activity that had not stopped, the taking of the sample swab, the waste and poultry blood all over the subdistrict territory.

At this time, there were 190 samples swab and blood that still was waiting for results of the Big test of Hall virology of Veteriner Wates Yogyakarta.

BRMM at 01:23--I think it depends on which scientist you talk to. Tom DVM posted that he thinks there are different strains and they are all headed for convergence into PanFlu. I think it is well known that there are different “clades’ or sub-groups, based on their genetics. I think one could say yes to both your questions and still be correct. I am no virologist, but to tell you the truth I don’t think anyone really knows or has the answers. They all admit to huge gaps in their knowledge about viral evolution; it appears to be a science still in its infancy (compared to our other sciences.) However, there is a fascinating post on the news thread a few hours ago about the study done at Los Alamos and then Monotreme’s analysis of same. Sheds a glimmer of more light on the matter. (PS—there sure are alot of “moms” on this forum:)) (The second parenthesis represents my double chin.)

pugmom - 02:15

PS—there sure are alot of “moms” on this forum

Who else besides a mother can keep 3 preschoolers alive in a car stuck by flood waters for 3 days from supplies in the diaper bag? (A Japanese woman did this last summer while Hurricane Katrina was going on. She is one of my heroes!)

More culling attempts.

http://tinyurl.com/hbe6n

4,000 poultries in Humbagas Dimusnahkan Medan — MIOL:

Around 4,000 poultry in the Humbang Hasundutan Regency (Humbahas) was destroyed in order to anticipates the outbreak of the bird flu virus in the area.

Management public relations the North Sumatran Provincial Government, ML Tobing, in Medan, on Friday, mentioned, on the basis of that was the same several areas in North Sumatra also destroyed their poultry, like in the Karo Regency, Dairi, Simalungun and the Deli Serdang Regency.

According to him, the poultry that was destroyed in Humbahas was property of villagers Hutabagasan, the Subdistrict Dolok the Bun.

The extermination of the poultry was a policy and the best step that was carried out by the local government to anticipate the spreading of the flu virus burug.

In connection with that, he said, the official from the Livestock Breeding Service, the Health Service and the citizen destroyed the poultry that was expected positive was affected by bird flu.

The extermination of the poultry was carried out by means of the burning, the reduction and the burial.

Moreover, the official of active also Livestock Breeding of the Service gave the vaccine to the citizen’s livestock to prevent so that the bird flu virus does not spread. Asked how many poultries in North Sumatra that was destroyed, Tobing estimated reached 63 thousand tails. The Regional Government/pemko se North Sumatra up to now continues to guard against the plague of the bird flu virus by means of forming the official of the control of this illness. (Ant/OL-02)

What is reduction? (Is that the step where they throw the chickens in the river?)

This report is about poultry - perhaps within days we might have suspect people - sadly seems to be the pattern. (The accompanying picture for this story shows vaccinations being done and no gloves being used!)

Dozens of livestock puyuh in the Drajeg Village, the Subdistrict Initiate, Klaten, Central Java, died suddenly. Therefore, on Thursday (14/9), the Klaten Livestock Breeding Service immediately carried out the test to know whether this poultry terjangkit the bird flu virus or not. Officially Livestock Breeding also carried out spraying of the pen and burnt 300 other poultries. In the meantime, the citizen of the Tonggalan Village brought their poultry got the vaccination anti bird flu free. Apart from the vaccination, the Klaten Livestock Breeding Service also carried out spraying disinfektan in pens of the citizen’s poultry. The step in the socialisation was also carried out by the Livestock Breeding Service by spreading out counselling about the bird flu virus (link http://www.metrotvnews.com/ )

Michelle in OK 23:15 You are probably right. Whenever I read Kandun’s name with any statement I figure he is lying. But this 27 yr. old is probably not the same.

Yes, there are a lot of moms on the wiki, but who are the people who tell people to wash their hands, take their vitamins, and for heaven’s sake get out of those wet clothes before you catch your death of cold(flu)? Good old moms. Moms will be the ones who will be taking care of flu victems-we gotta know what we’re dealing with here.

Medan, North Sumatra: Setiadi Fauzi confirmed positive, WHO and Unicef destroying all poultry in Tebing Tinggi. dated 9–15–06 http://tinyurl.com/gcpd5

Medan the Business – Tebingtinggi the Tebing Tinggi mayor H Abdul Hafiz Hasibuan with Unicef delegation and WHO, through the meeting of the related socialisation of the plague of bird flu, in Tebing Tinggi, on Thursday (14/9), immediately will destroy all the poultry belonging to the citizen. Beforehand, pemko did data collection of all the poultry number belonging to the citizen. “Walikota Tebing Tinggi instructed the village heads and the sub-district head collected data on all the poultry belonging to the community. If data collection already clear, then in the near future all the available poultry will in the Tebing Tinggi City be destroyed by means of being burnt or ditanam,” clear Kabag Infokom Tebing Tinggi, H Asmali, after being in a meeting the socialisation in Space Pemko Tebing Tinggi of the Secretariat’s Data. According to Asmali, to guard suspect bird flu should not increasingly spread in the community, will be planned in the near future all the poultry will belonging to the community be destroyed and to them was given by compensation of Rp 12. 500 per the tail was good for the big and small poultry. “Masyarakat the owner of the poultry must be able to accept the extermination plan ini,” he stressed. This socialisation was followed by several heads of the related agency like Plt the Section Head the Health drg Juliani, RSU Tebing Tinggi Director Dr Nazrin Bey Sitompul SpPD, the sub-district heads and the village head, as well as produced the Consultant Unicef and WHO the North Sumatran Territory, Dr Nurmadi S, that gave the socialisation about the conduct of the prevention of the bird flu virus and the extermination of the poultry.

Positif Separately, RSU Tebing Tinggi Director, Dr Nazrin Bey Sitompul SpPD, during it was confirmed Medan the Business, on Thursday (14/9), confirmed that his patient Setiadi Fauzi positive suspect bird flu.

He explained, casualties when being brought to the hospital (on Tuesday, 12/9) already in the condition for the high fever was accompanied by the cough and breathless, but did not spit. “Suhu the Setiadi body at that time achieved 38 levels celsius,” he explained. Was based on results of the laboratory inspection that stated Setiadi positive suspect bird flu as well as saw his condition, the side of RSU Tebing Tinggi was forced to reconcile him to RS H Adam the Medan Owner, and for the temporary Setiadi prevention was given took medicine Tamiflu. Nazrin said, positive him his patient was affected by bird flu was reinforced with the case of the death of the poultry (the chicken) suddenly in his residence.

Central Java

toggletext from Metrotvnews.com, Klaten: Dozens Of livestock puyuh in the Drajeg Village, the Subdistrict Initiate, Klaten, Central Java, died suddenly. Therefore, on Thursday (14/9), the Klaten Livestock Breeding Service immediately carried out the test to know whether this poultry terjangkit the bird flu virus or not. Officially Livestock Breeding also carried out spraying of the pen and burnt 300 other poultries. In the meantime, the citizen of the Tonggalan Village brought their poultry got the vaccination anti bird flu free. Apart from the vaccination, the Klaten Livestock Breeding Service also carried out spraying disinfektan in pens of the citizen’s poultry. The step in the socialisation was also carried out by the Livestock Breeding Service by spreading out counselling about the bird flu virus.

http://www.metrotvnews.com/ …article title ‘DINAS PETERNAKAN KLATEN MELAKUKAN TES UNGGAS’

another article about the same subject…

the samples from the dead poultry have been sent to Yogyakart for testing.

Metro TV news

Nabarro in Jakarta. 9–15–06 http://tinyurl.com/hq57g

 Metrotvnews.com, Jakarta: Coordinating Minister for People’s Welfare, Aburizal Bakrie, met the envoy Perserikatan Breakingprep Bangsa Koordinator Breakingprep Avian Influenza Secretary General, David Nabarro in the Co-ordinating Minister’s Kesra Office in Jakarta, on Friday early afternoon (15/9).

The meeting produced several lists of control efforts of the bird flu virus and the prevention of the global pandemic. Nabarro sent his appreciation for Indonesia on the fast action the control of bird flu and on the co-operation as well as openness in the handling of bird flu. According to him, several progress were achieved, but still many that must be carried out by Indonesia to deal with bird flu. Moreover, casualties died as a result of bird flu in Indonesia reached 49 people. With opulasi the chicken reached 1.3 billion tails, Indonesia membutuhakan quite a bit of funds for the control of bird flu. In this meeting, several donor agencies like the world Bank, Usaid, and Ausaid stressed his commitment for the funding program of the control of bird flu in Indonesia. At the beginning 2007, the committed world bank gave help of the program with a value of US$ 14,9 million. Whereas Usaid will give help of the program US$ 14,6 million was increased US$ 3.2 million help of other funding. (BEY)

toggletext from… http://www.liputan6.com/view/12,129178,1,0,1158335886.html

Gorontalo: Risman Husni that was expected tertular the bird flu virus died after being rolled over a day in the Alwi Sabu Hospital, Gorontalo.

    The assumption was affected of the virus avian this influenza emerged because several chickens in the child’s house were two years old died suddenly before he was sick.
    At this time, the doctor was waiting for results of the example inspection of his blood.
    Beforehand, Risman could be treated in RS Limboto.
    (TNA/Tim Coverage 6 SCTV)

more on Risman Husni’s case…

toggletext from… http://www.antara.co.id/seenws/?id=42364

Suspected Bird Flu in Gorontalo, died Dunia

Gorontalo (Antara News) - A villager Moluo, the Kwandang Subdistrict, the Gorontalo Regency, was expected (Suspect) tertular the plague of the deadly illness Bird Flu or Avian influenza (AI). The managing director of the Aloei Saboe Hospital (RSAS), your Parrot the Uterus in Gorontalo, on Friday, said that his side received the reconciliation patient from the Dunda Limboto Hospital, that was suspect Bird Flu. However, the male patient had the initials RH and was 2.5 years old, died in RSAS on Wednesday (13/9) struck 20. 00 Wita and was buried on last Thursday (14/9). Your parrot explained, that this child was beforehand treated in the Dunda Hospital and was stated positive suffered Celebralma malaria. However, because of the sign that was experienced increasingly headed to Bird Flu, then this patient was reconciled to RSAS, that was appointed by the government as the place of the maintenance for the sufferer AI. “This patient when entering here indeed already in the comma situation and several minutes after arriving in RSAS he died,” he said. According to him, reconciliation from RS Dunda mentioned that apart from suffering malaria, the patient was also expected tertular the Bird Flu virus was based on the sign that was experienced and the report from casualties‘s family, that beforehand the patient held contact with the poultry that died suddenly. “But for his assurance we were still being waiting for results of the laboratory inspection,” he said. He added, sample casualties’s blood was sent by the Health Service of the Gorontalo Province to Surabaya, and was estimated by results will be accepted next week. In the meantime, the Section Head Livestock Breeding and the Health of the Gorontalo Province Animal, Deny Latama, said that on Thursday (14/9), his side was with the Health Service did the verification of the poultry around casualties’s house. “Evidently was not found had the chicken that died suddenly like that was reported.” So, the big possibility of the patient who died this not terjangkit the AI virus, he said.

I don’t think we had this patient in our files. Here is a blurb on Gorontalo (it is the name of the province, the regency and a city, but is in Sulawesi.

Gorontalo is a province of Indonesia. It is on the island of Sulawesi, and borders Central Sulawesi and North Sulawesi provinces. Gorontalo was split off from North Sulawesi in December 2000,

As of 2004, Gorontalo Province has four regencies (Bonebolango, Gorontalo, Boalemo, and Pohuwato) and one city (Gorontalo, located at 0¡Æ34¡ÇN 123¡Æ4¡ÇE). Therefore the name of Gorontalo may refer to three different area names (province, regency, and city). The capital of Gorontalo Province is Gorontalo; the capital of Gorontalo Regency is Limboto. The area of Gorontalo Province is about 12,215 km©÷ with the total population in 2004 about 887,000 people.

I don’t remember if these two negatives got posted the other day, so am posting so that they, for sure, get recorderd. http://tinyurl.com/jxccs both dated 9–13–06

Parma Andika - Semarang, the Health Service of the Javanese province was saying from results of the intensive inspection of the patient suspect bird flu with SH initials (36 that was treated in the Hospital Dr. Karyadi Semarang, Java was stated by the negative Was like this it was said the Section Head the Health (Dinkes) Central Java Dr. Budihardja to ELSHINTA in Semarang, Central Java, on Wednesday (13/9).

http://tinyurl.com/fvj5y

 Doni Ruhliana - Banda Lampung After being done by the inspection, Gilang (3), the patient suspect bird flu that was treated in the Public Hospital (RSU) Abdul Moeloek was stated by the bird flu negative

The illness that was suffered by Gilang headed to tuberculosis (the TB).

Dr Azizah Rabu (13/9) Siang Ini said, was based on results of the doctor’s inspection the illness that was suffered by Gilang in fact headed to TBC. But although being maintained by the bird flu negative, said Dr Azizah, his side will come back took the sample of blood and mucus to really confirm that this patient did not contract bird flu.

The initials here say SL, but the only patient we’ve shown from the hospital in Manado is XL/AL. I’m assuming it is the same person.

The sample of the Patient’s Blood the Manado Origin the Negative Results of the sample inspection of upper blood the patient suspect bird flu from Manado that was treated in the Hospital Prof Rd Kandou, has been received in Jakarta. Was based on results of the laboratory inspection, the sample of the SL blood of the initial patient was negative. “Hasil pemerik-saan the laboratory against sempel blood of bird flu of the assumption patient from Manado ne-gatif,” added Dr Krisna Nur from bird flu Research And Development Department of Health RI to the Comment in Jakarta, yesterday (15/09).

According to Nur, results of this sample have been sent by him to the command post. “Hasil him has been sent by me to the flu Command Post burung,” he explained. This was justified by the staff of the bird flu command post, Ning-rum. “Kami has received and results negatif,” he explained while invited pengi-rim the sample from Manado the UN-tuk took results. Whereas when being questioned by the matter of the sample of blood of a patient from Gorontalo that died, he admitted to not yet receiving him. “Saya did not yet see hasilnya,” he revealed…

http://hariankomentar.bakudapa.org/

it has gotta be the same person. Good news he is neg.

Michelle, It may not be of significance, but I have Galtia Karundeng as also being treated at Hospital Kandow for rumoong low… very near Manado. (I think).

FloridaGirl, I agree, but I’m already showing Galtia as negative from a news report several days ago. I think (maybe just hoping) this is a new negative.

Indonesia Summary - Updated as of 09/15/06

Did we miss this patient? Or just me?

http://tinyurl.com/ec9t7

In the meantime, the condition for the Hari Tresna Alfajar, the patient suspect bird flu that was treated in the doctor’s Hospital Slamet, Garut, of West Java, since Wednesday set it was reported his condition gradually improved. Tim [team] was medical also moved this patient to normal maintenance space. Hari it was confirmed only was attacked by the disturbance of normal breathing [read: the Condition for the Bird Flu Patient from Garut improved].

Nevertheless, in the environment of Hari residence in the Saroja hamlet, the Mulyasari Village, Bayombong sub-district, Garut, as far as this is concerned was reported did not have the action anything from the local side of the agricultural service. In fact in Hari house often was gotten the poultry. This like that was seen in the Lili house, the grandfather Hari, that was located at the edge of the Mulyasari Village highway.

Lili was still maintaining four chickens that his pen was located by his house. Several neighbours around it also maintained the poultry. According to Lili, his kept chicken had also died suddenly because of being sick. “Indeed there are those that had died one tail but his carcass has been burnt,” said he.

I am pretty sure we missed her—although the name is vaguely familiar. But we haven’t had a case from Bayombong since the whole Ciklelet outbreak. This name is not on our summary. This makes 2 “surprise” discoveries today. IE—reporting the testing without reporting first that they were ever patients. I see a trend here. She must be new—they have only treated her for 2 days. Getting tough to keep up—feel pretty dumb when I can’t remember from one hour to the next who I have reported on. The summary is my whole brain, if it is not on there, it didn’t happen!! I don’t keep lists on my computer, the way Influentia2 does, but she is out for a little while with a very sick little doggie. Thanks FG for helping us out.

pugmom, don’t feel bad. You’re not the only one having trouble keeping track of details of reports. It is bewildering to say the least and would be hopeless without the summaries.

Hi guys - you are doing such a great job, thank you SO much!!

Just looking at the format of the chart - want to make sure I understand - of the 77 suspected cases:- 18 died plus 5 tested positive = 23 total - plus 34 tested neg = 57 total - so where are the other 20? Waiting for test results? no word on them? or is that the wrong way to interpret the chart?? Double entry bookkeeping was never my forte obviously!!

Word files for Indonesia cities, districts, subdivision now loaded to FTP site.

gharris the columns tell you what month the cases were in and those totals are at the bottom. If you want to know about the type of cases then read the rows from left to right-those totals are at the right. the bottom , right number gives you the grand total and you can see it adds up either way-left to right or up and down. there were a total of 134 cases found in the news-of those 9 died and they had no testing done, 9 died who tested positive, 5 others tested positive , 77 were suspect cases and I guess tests are pending etc., 34 (of the total, not the 77 ) tested negative -add them all up and you’ll get 134. Hope I did not confuse you even more;-)

Thanks Dude!

Hi all. Hari Tresna Alfajar Day/AT (14) is on our list, but was in the Suspected symptoms category. I’ve changed the test results to negative.

Gharris, thanks for taking an interest. Worrywart’s understanding of the confusing information is accurate. I’ll change the description on the chart for the line called “Suspected symptoms” to “Symptoms, tests pending.” No one is supposed to be double counted, and the total at the bottom is the grand total.

I changed the description on the first line to “Died, no test results” to encompass even those who have died with tests, but the test results are not yet known. I think only one person in that category had tests done, so if the results become known, either the “Tested negative” or “Died, tested positive” tracking will go up.

Thanks Dude, for uploading the Indonesia geography information from dgb.

OK, Now I found reference to this patient. Is this another one I missed or is this not a patient at all?

Dinkes the Kediri Regency has also prepared 720 pak Tamiflu. His plan tamiflu that will be distributed to 36 community health centres in the Kediri Regency. Each one of his community health centres would in provided as many as 20 pak with the contents 200 items. Moreover, Dinkes has also prepared the fund around Rp 500 million for space of bird flu casualties of the maintenance installation in RSUD Pare.

About human casualties, Dinkes said uptil now in the Kediri Regency numbering one person, Anang Prasetyo, villagers Doko the Gampengrejo Subdistrict.

http://tinyurl.com/js2mw

This is an article about two of the retrospectively confirmed cases, but it highlights why we leave individuals who tested negative in the database…

“…Initial tests of samples collected from the 27-year-old male were negative for H5N1 infection. In August, follow-up testing of paired-serum samples found a fourfold rise in neutralization antibody titer for H5N1, a test result which meets the WHO criteria for laboratory confirmation…”

http://www.medicalnewstoday.com/medicalnews.php?newsid=52023

Michelle, How about this one?

The PATIENT SUSPECT BIRD FLU IN RSPI was moved from ICU August 27, 2006

Metrotvnews.com, Jakarta:

Agun (3), one of the new patients suspect bird flu that was treated in the Infection Hospital (RSPI) Sulianti Saroso, Jakarta, on Saturday morning (27/8), was moved from space of Intensive Care the Unit (ICU) to normal maintenance space. From results of the beginning inspection, Agun was stated by the bird flu negative. However, he was still being examined to ascertain his condition.

In the meantime, the patient suspect other bird flu, Nursiva, his [her] condition increasingly improved. According to RSPI Doctor Sardikin Giri Putro Deputy Director, from results of the inspection third blood, Nursiva was stated by the bird flu negative. However, he was not yet permitted to come home because still experienced the disturbance of the lungs.

http://tinyurl.com/s5226

Do we know who the 27 year old male is?

FloridaGirl at 10:08… the name Anang Prasetyo sounded familiar to me, so I did a search. This was posted by Influentia 2 on the Indo. Outbreak IV thread:

Influentia2 – at 19:27 Last week totalling 2.500 livestock of the piece chicken belonging to Harianto, villagers Srikaton, the Ringinrejo Subdistrict was burnt and buried because of being infected by the deadly virus. Now for the last 4 months one citizen of the Kediri Regency namely Anang Prasetyo, 17, villagers Doko, the Gampingrejo Subdistrict was treated in special space of AI RS Dr Soetomo, Surabaya as suspect bird flu. However Anang was stated by the AI negative after getting the maintenance two weeks in the AI reconciliation hospital in East Java.

I remember deciding not to add the name because she had been sick for 4 months (prior to our tracking period) and had already been declared negative.

I didn’t see this name above http://tinyurl.com/qqpvv

Note: The last statement on my above post was part of Influentia 2′s original posting, wondering if we should add the name back then.

Regarding the 27 year old male, no name was given, but he is from Solok, W. Sumatra, and was ill back in May (before our tracking period.) See the WHO update 31 for their summary.

here is a quick copy of the WHO update on the 27 yo man:

“Investigators identified the second case, in a 27-year-old man from Solok in West Sumatra province, when they traced contacts of the man’s 15-year-old sister who had a confirmed H5N1 infection in May. Her brother spent 6 days caring for her during her hospitalization. On May 28 he experienced mild cough and abdominal discomfort but no fever. His symptoms improved and he recovered in a few days.”

Note: no-one, as far as I have read, has told us how the sister ever did. I assume she is still alive.

I was supposed to be keeping track of Sumatra while Commonground was away, but I’ve been swamped with work. I’m sorry I haven’t been working on this and I’m sorry I didn’t bow out earlier. I kept thinking I’d get a break and catch up. Not going to happen. I haven’t even had time to read the news thread. Sometimes I check to make sure the Wiki Swans are still right side up, but that’s all I’m good for these days.

Anyway, sorry if this caused any problems.

Milo 19:22

I haven’t been able to do much since Thursday night. Friday my dog was diagnosed with canine diabetes and is still in the animal hospital. I have been trying to use my time to study this disease and to get used to the idea of the injections. I also now have to figure out how to prep for the insulin we will now need. I may not be getting anything done with the Indonesian thread for awhile either until we get this situation under control.

I will still try to do a little searching as a break once in a while when I can. Everyone is doing a great job finding news BTW. Sometimes there isn’t a lot to find, lately some of the translated names have been interesting reading too:)

I needed a laugh anyway.

Michelle in OK - This thread seems to be your baby. Do you need help researching anything right? Please just tell me what city/area you need, and I will look for specific news stories…

Milo, I hope you get unswamped soon… It hasn’t been a problem here. The news searchers have grabbed articles from everywhere, and the reporting has slowed way down.

FloridaGirl at 10:25… I think we missed Agun (3) earlier. I’ve added the name for August in Jakarta (since the hospital location is all that’s provided) and shown the test as negative.

Influentia2… I hope your dog gets better soon.

Blue Ridge Mountain Mom… thanks, but I can’t take credit for the thread. I’m just a summarizer of data. I think Commonground, pugmom, Influentia2, and dbg were the organizers, and I’m sure they’d love your help researching. News gathering is very time consuming so many have to jump in and out based on availability.

If y’all have a specific need, please let me know what I can do to help. I’m searching anyway….

Indonesia Summary - Updated as of 09/16/06

BRMM—we are happy you are here to help. I was supposed to be doing Cikelet, but there has been no real news out of there for awhile, so I just scan all the articles to see what I can find. I think Sumatra and Sulawesi and “other” have been officially vacated, but it doesn’t matter, you just post what you find. Anything and everything is appreciated. Some people have favorite newspapers and might catch something that another doesn’t catch. We are all helping each other. I really don’t know how long this exercise will go on. Not because I won’t want to do it any longer, but because, at some point we will all have to evaluate the inherent value of doing it. To extrapolate, what if we find another 100 cases, or 200 cases or 300 cases?? I don’t think the WHO will change their position or the world will take any more notice. I guess why we are all doing it, is because we want to be the ones that have the very first indication that is has gone H2H. We all will have that first “gut” feeling that it has ignited and you won’t hear about it anywhere else. Believe me, I have been close to that feeling. So I will keep on with my feverish looking for info, and I think we all just have to keep sharing with each other the relevance, (or lack therof,) of what we are doing.

I believe this is a new death suspected of bird flu. The article is posted on the right side of the website.

The patient Flu was killed in Gorontalo

Only Undergo 15 Maintenance minutes in RS Limboto The PORT - the Bird Flu Virus has it was suspected entered the Gorontalo territory, and grumbled the life of a child had the initials RH alias Risman (2,5) the year, that finally had died in the Aloei Saboe Hospital (RSAS) the Gorontalo City, on Wednesday night (13/9) struck 20. 00 Wita, after beforehand could in treated in the Hospital MM Dunda Limboto.

Risman fate really quite tragic, according to information that was received by Gorontalo Post (the Group Manado Post) only fifteen minutes after arriving in RSAS on the side’s reconciliation RS MM Dunda, the child who came from this Kwandang Subdistrict Territory blew out the last breath in space G1 the maintenance of the child the B tropics, during the RSAS side was carrying out medical maintenance efforts. From this newspaper investigation yesterday, after doing maintenance efforts breakingprep early, including doing the diagnosis, the medical side in this case the nurses believed in Risman positive suffered the sign (Suspek) the ‘deadly’ illness ‘of’ Bird Flu.

Several medical staff RSAS that could be met said, was seen from the sign that was suffered by Risman like hot high was accompanied by the serious cough as well as several other diagnoses, made the side medical for the time being berkesimpulan this unfortunate child was it was suspected strong at contracting the Bird Flu illness. “Indeed from results of the relevant diagnosis was stated suffered suspek or the sign of the bird flu illness, but did not yet have the assurance, that positive contracted the bird flu illness or not, because the hospital side was still being waiting for results of the blood test of this patient,” said one of the nurses that could be questioned by this newspaper.

In the meantime Director RSAS Dr. Nurindah the Uterus, when being contacted yesterday justified the existence of the child’s patient who died resulting from suffered suspek Bird Flu. “Is it true that, but that still in the assumption stage, and us still will be waiting for results of the further inspection,” explained Nurindah.

<snip>

http://www.manado-news.com/

Some good news:

The condition for the Patient Suspect Bird Flu in Medan began to improve was written by editorial staff on Saturday, on September 16 2006 Medan (the News): the SF Condition (15), the patient suspect bird flu (avian influenza) from Tebing Tinggi, North Sumatra, that currently is treated in RSU H. Adam the Medan Owner, has begun to improve and the temperature of his body no longer is high. The condition for the health of the patient often experienced the change and unlike in days beforehand, said the Chairman Tim the Prevention of Bird Flu to RSU H. Adam the Owner, Prof Dr Luhur Soeroso, in Medan, on Friday. The citizen of the Tall Grass District, the Rambutan Subdistrict, that was reconciled from RS Tebing Tinggi to RSU H Adam the Owner, on Wednesday (13/9) struck 16. 00 WIB. He was run off with to RSU H. Adam the Owner because hot his body high achieved 38 Celcius levels and suffered the cough. Before being sick, his kept poultry it was reported died. Prof Soeroso said, hot the patient’s body has at this time begun to descend to 36 Celcius levels. Nevertheless the team of the doctor who treated him continued to carry out the inspection, good blood, swam the saliva, and the temperature of the body. The team of the doctor has also taken the sample of the patient’s blood and was sent to the Department’s Laboratory of the Health (the Department of Health) in Jakarta to be checked. “We just wait results of the sample inspection of the patient’s blood whether positive or was not affected by bird flu,” he said. (Ant)

http://tinyurl.com/zqpw2

I havn’t posted on this thread because gathering this type of info is WAY out of my league. I read it everyday though- (Sometimes twice! sometimes three times when the ppf goes up!) and I can’t thank you enough for the fantastic work y’all are doing here. I really appreciate knowing (as much as we can) whats going on. Thanks again.

Okieman 8:22 I think we already have that case. Mama posted an article on 9/15 ..however, the male patient had he initials RH and was 2.5 years old died in RSAS on Wednesday 13/9 …. Sorry about the blank post above.

Hi Everyone, I’m back.

Seems like everyone has been very very busy. I’ve added a couple to my list for Sumatra and I think I’m up-to-date. I’ll keep searching Sumatra with the sources I have.

I’m with Green Mom. This sort of investigative digging would be challenging in just one language, much less as is. Y’all do help me feel a good bit better about the start of the day. I check in, see what’s going on and then finalize my plans for the day. Your many hours of work are deeply appreciated.

Amazing how many fluwikian’s are dog people. (One assumes “pugmom” is a wee tad “doggy” as our trainer says). Influentia2, our thoughts are with you and your pooch. We are “owned” by a pair of retreivers and I cherish every day with them.

I am “doggie”, “puggie” to be more exact. Have 6 pugs, 5 of them rescues, which is a wee bit more than wee tad! Run a pug rescue, too (one person operation.) One Fluwikian thought my name came from the fact I lived on Puget Sound!

CG—SO glad you are back—hope things went well with your friend—we missed you.

Gorontola—officials puzzled over the death of “RH” as no chickens have died dated 9–16–06 http://tinyurl.com/eojlp

> > > > > Dinkes Object had Bird Flu in Gorontalo LIMBOTO - the Section Head the Health of the Gorontalo Regency Dr the Lasimpala Moon, denied the death of one of the children from Kwandang the Gorontalo Risman Husin Regency was resulted in by the bird flu virus. According to him, from results of the temporary research in the field did not have the indication of the death of this child as a result of the bird flu virus. In the field, we did not yet find the existence of the poultry that died because of being attacked by the virus avian bird flu.” This was important, because of the source of this virus indeed from the poultry, stressed the Moon, that it was confirmed in his office yesterday.

With the foundation, the Moon considered, too early concluded the Risman death was caused by bird flu. The moon also asked all the sides to be waiting for results of the test of blood that was sent to Surabaya of the sample lab. This was important, to avoid the information deviation that could cause the citizen’s unrest.

On the other hand, Sekprov Gorontalo stressed the death one of the pre-schoolers in the Aloei Saboe Hospital (RSAS) definitely did not yet be resulting from the bird flu virus. “Definitely did not yet be casualties died resulting from bird flu because sample his blood was still being researched in the Surabaya laboratory,” mdq said Sekprov Idris the Uterus, yesterday….

Casualties’s blood to the Big Health Laboratory in Surabaya. “God willing next week results of this laboratory could be known whether casualties died resulting from bird flu or not.” After from labkes Surabaya, sample casualties’s blood will be clarified in the Jakarta laboratory to keakuratan him, obviously him. He explained, the bird flu virus indirectly attacked humankind as long as not attacking the poultry. The “Process of the spreading of the AI virus to the human body needed a long time, because of his spreading channel this virus initially in the poultry,” he said. If results of the poultry diagnosis were attacked by bird flu then prevention efforts immediately must do….

Officially the Health personally he continued, has prepared approximately 1000 bird flu tablets (tami flu-red) to be given to the citizen that terindikasi was affected by this bird flu. Then was like this, Thamrin hoped the community maintained the behaviour of the clean and healthy life.

Hi Pugmom - Thank you for the welcome. DH and I did find a house and will be putting an offer in on it. I may be moving…..2 States away….. I also found out it’s real hard to read Indo translations with a stuffed up head. I’m glad I didn’t get this cold until yesterday though. I assumed you loved Pugs, great dogs!

Statement again that Gorontolo not affected by AI. Note also that now 30 of 33 Indo provinces affected (it was 29/33 several weeks ago.) dated 9–18–06 http://tinyurl.com/f3rtt

 Remain at Gorontalo and the Moluccas were not yet infected by Bird Flu

The danger of the bird flu virus up to now still mengan-cam the Indonesian community. Moreover, 30 from 33 provinces in Indonesia has terjangkit bird flu. Therefore, remained at three provinces that were not yet affected by bird flu….

“Informasi that we da-patkan from the media’s consultant center the Department of the Health Dr Muhammad Nadirin, three provinces that not yet tar-jangkit or did not yet have the case of bird flu was Gorontalo, the Moluccas, and the Moluccas Utara,” said Subagio as being quoted the online compass.

So, how did our little fellow “RH” die? This lab work, due back in a week or two from Jakarta, will be a crucial link in this puzzle. Remember “RH” was only 2 1/2 y.o. If he is positive, his blood work is the one that really needs to be sequenced.

More on “RH” http://tinyurl.com/nkj58
Gorontalo (Antara News) - A villager Moluo, the Kwandang Subdistrict, the Gorontalo Regency, was expected (Suspect) tertular the plague of the deadly illness Bird Flu or Avian influenza (AI). The managing director of the Aloei Saboe Hospital (RSAS), your Parrot the Uterus in Gorontalo, on Friday, said that his side received the reconciliation patient from the Dunda Limboto Hospital, that was suspect Bird Flu. However, the male patient had the initials RH and was 2.5 years old, died in RSAS on Wednesday (13/9) struck 20. 00 Wita and was buried on last Thursday (14/9). Your parrot explained, that this child was beforehand treated in the Dunda Hospital and was stated positive suffered Celebralma malaria. However, because of the sign that was experienced increasingly headed to Bird Flu, then this patient was reconciled to RSAS, that was appointed by the government as the place of the maintenance for the sufferer AI. “This patient when entering here indeed already in the comma situation and several minutes after arriving in RSAS he died,” he said. According to him, reconciliation from RS Dunda mentioned that apart from suffering malaria, the patient was also expected tertular the Bird Flu virus was based on the sign that was experienced and the report from casualties’s family, that beforehand the patient held contact with the poultry that died suddenly. “But for his assurance we were still being waiting for results of the laboratory inspection,” he said. He added, sample casualties’s blood was sent by the Health Service of the Gorontalo Province to Surabaya, and was estimated by results will be accepted next week. In the meantime, the Section Head Livestock Breeding and the Health of the Gorontalo Province Animal, Deny Latama, said that on Thursday (14/9), his side was with the Health Service did the verification of the poultry around casualties’s house. “Evidently was not found had the chicken that died suddenly like that dilapork”

interesting article about 300 citizens in Jakarta rioting at a publicly owned chicken farm. They complained about the stench and the flies. They then broke through the back door, let the chickens out, broke the eggs, damaged the pen and a water pipe. Apparently they lived in public housing close to the chicken farm and are now very afraid of AI. Note also the officials said they had not sprayed for flies, as that would make all the flies go over to the public housing area. dated 9–17–06 http://tinyurl.com/gufy9

The Broken citizen of Livestock Breeding Ayam on Sunday, September 17 2006 | 17:08 WIB The Interactive TIME, Jakarta: 300 citizens of the Sukatani District, the Cimanggis Subdistrict, Depok, demonstrated in the page behind the poultry farm belonging to PT Indocentral

They could also damage this livestock breeding. The citizen that was bundled into the Forum Anti the Poultry Farm prosecuted Indocentral immediately merelokasi their poultry farm because of causing the smell stang. The chairman of the forum, Huseini, said the smell that was caused already could not ditolelir.

It was smelly that the poultry farm has been kissed as far as the radius 100 metre. As a result, many citizens that generally the small child was attacked by the acute respiratory tract infection the reason for the allergy of the livestock breeding smell. Children who were attacked by this ISPA illness were children that was in the Department’s housing Information-Hope just of the Flower Garden.

“His smell was bad and stang,” said the noose that also is the chairman RT 05/10 to the reporter in gaps of the demonstration action today. Apart from being smelly stang, the chicken nest in this livestock breeding also resulted in the fly clustering Huseini said if the livestock breeding manager sprayed the pen, then the flies will jump to the area of the settlement

The other concern was rumours of bird flu that lately stuck up in the Depok city.Many citizens that the fear said Huseini. Huseini had said, since standing PT Indocentral did not yet pocket Permission and Monitoring efforts of the Environment of efforts of the environmental Management from the Cleanliness Service and the Depok City Environment. The forum member appeared possessed when the demonstration took place. They failed to penetrate the front Indocentral gate that was guarded by the citizen who had conversely, a supportive attitude the livestock breeding. The forum member then merengsek the livestock breeding back door. Several forum members could enter the page of livestock breeding, damaged the pen, and issued chickens. That other took eggs from the pen and broke him. The citizen also damaged the water pipe. But the incident did not take place old because of police from Sector Police Cimanggis immediately controlled the situation. Raharjo, the person responsible for the employee PT Indocentral said, related permission rumours of the environment were still being processed.He then denied the matter of the smell…..

Pugman, along those same lines of the citizen’s being afraid of AI:

http://tinyurl.com/e7z8o (excerpt):
In Cimahi, West Java…

“The citizen also gave their poultry willingly was destroyed without compensation on the basis of the health”.

sorry, this is the correct link to the above article about the rioters: http://tinyurl.com/nhudk

article out of Yogyakarta, Java. dated 9–18–06 http://tinyurl.com/jgb7z

YOGYA (KR) - since July 20 2006, the Organisation of the Health of the World (WHO) confirmed 54 cases of bird flu in Indonesia and 42 cases including dying. The number of case whole that it was confirmed in the world by WHO since May 12 2006 was 230, with 132 deaths. This figure caused Indonesia including one of the areas that was susceptible to the bird flu virus. Handewi Pramesti, from UNICEF in Yogyakarta explained, the Union of nations considered the importance gave information to the community would the bird flu danger. Information that was given must include the upper stage of the community’s readiness the bird flu illness and the possibility of the existence of the pandemic

The community’s readiness will it was hoped reduce the spreading of the bird flu virus to the poultry, prevented the spread to humankind, preventing the pandemic, or restricting the spreading when the pandemic happened

Communication was some part of the prevention strategy and the spread. So that this aim could be achieved, UNICEF coordinated giving efforts of information to the community with the strategy of program communication all over the world, especially in countries that were susceptible to bird flu. UNICEF had the experience in many countries and had many networks in the matter co-operated with the community and his leaders. The community and their leader will be given by knowledge that was needed so that they could determine the upper attitude this illness danger that will facilitate the development of information to the community that still more areas again. The prevention program of this bird flu also involved the Organisation of Food and world Agriculture, FAO and the Organisation of the Health of the World, WHO that gave information concerning the technical guidance about the health of humankind and the animal so as the two world bodies coordinated giving of technical information about the development of the virus H5N1. But, because almost half of the all this bird flu casualty was children, then UNICEF had the obligation to give advocacy in order to satisfy the requirement for children in this case. The earthquake that struck DIY and partly Central Java to last May 27 caused the fall of the level of the health of the environment…..

Based on the articles posted today, Setiadi Fauzi (15) might have been better classified as suspect, even though initial lab reports stated the results as a positive suspect bird flu. Confirmation from Jakarta is pending. If you all would like to change the classification to “s” instead of “+”, just let me know.

Just FYI, our count of positive tests is out of sync w/ Indonesia and the WHO for the following patients:

• Setiadi Fauzi (15)
• Hendra (21)
• Gilang (9)

Yea! No new illnesses reported today.

http://tinyurl.com/zbb6p

excerpts:

On Monday, September 18 2006 Be Careful, the Meluas

 TRENGGALEK

Bird Flu Virus - ‘’‘the Plague of bird flu apparently began to spread. After beforehand three subdistricts were stated alert I bird flu, currently one subdistrict still was determined was found by the similar case.’‘’ Hundreds of tails of the chicken were forced to be destroyed to avoid the spreading in the scale wider. The new territory that was stated was on the alert the bird flu actually the Gandusari Subdistrict. Results of the research of local Livestock Breeding of the official of the Service found, at least had 200 chickens the positive citizen terjangkit bird flu.

The spread of the bird flu virus indeed was not yet found to humankind.

To be learnt, the chicken population in Trenggalek personally at this time reached more than 1 million tails.

To anticipate so that this deadly virus does not increasingly spread as happening in Kediri and Tulungagung his side prepared the Rp fund 230 million. The fund as big as that was help from APBD East Java that will be allocated for the procurement of disinfectant, the vaccine for the poultry, the mask, spet to clothes antivirus for the official.

FYI - I decided to change Setiadi Fauzi to the “Symptoms, Tests Pending” category until the lab tests are confirmed in Jakarta. I’ll post a summary shortly.

Indonesia Summary - Updated as of 09/17/06

Thanks Michelle,

I am going back through threads and doing some searches for clarification of information. I am finding conflicting information here and there.

I think, the more articles we can post about patients, will provide the information that can be (better) confirmed. Also, I know some people do not want long articles on this thread, but it is helpful to know you are working from the available information rather than go back and re-translate the entire article.

If you do not mind, I would like to email you and Okieman this excel document for you to review, because some of the data is different. I have begun to add the links to show the sources of data to lessen the confusion. I am not quite finished, but I will have a rough draft ready to review tomorrow night or tuesday, if you guys do not mind.

I am a stickler for trying to get it right.

South Sulawesi

toggletext from… http://www.tribun-timur.com/view.php?id=33481

60 members MUI followed the Orientation of Flu Burung the sermon Material on Friday and the Tarawih Talk Makassar, the Stand — the Body the Union of the Nation Nation of the Childs Affair (the UN), Unicef, co-operated with the Muslim Scholars Indonesian Council (MUI) South Sulawesi carried out the training and the orientation about bird flu. That was revealed by the chairman of the committee, Prof Dr M Galib MA, to the Stand in Makassar, on Monday (18/9). According to him, the activity that took place in Wisma Nur Street the camel, Makassar, will be followed by 60 members MUI and the management of the esteem council more than one South Sulawesi and will take place on September 19–21. The “orientation for the Muslim scholar and the purposeful esteem council so that danger material and the control of bird flu could samapaikan to the community as sermon material on Friday and Tarawih talk material in the Ramadan month with the religious approach,” Normal words that also Sekteratis MUI South Sulawesi. The dean of the Usuluddin Faculty and Filasaf UIN Alauddin added, his plan the closing of the orientation will produce South Sulawesi Governor Amin Syam. In the meantime, Delegation Unicef the South Sulawesi Territory of Husain Abdul said, this activity was part of the Unicef program in the control of bird flu in South Sulawesi. Bird flu was the virus that was spread H5N1. In South Sulawesi, he said, has had eight patients who were treated diberbagai the hospital was in South Sulawesi stated terindikasi the bird flu virus. One among them, namely Akira (14) the citizen Macini Middle, Makassar, died after being stated positive was infected by the bird flu virus. He added, MUI as the strategic agency to become the partner in percegahan bird flu, because MUI and the esteem council had the network down to areas. The lecturer this FISIP Unhas Route of Communication Knowledge, added, each area of the regency/the city sent two people of delegation. The speaker in this activity in part, Unicef delegation, the service petenakan, the South Sulawesi health service, as well as MUI personally. “Out put from this activity was all of the speaker’s material would in united in a pocket book that will be made reconciliation as the talk material of the Muslim scholars and dai in each sermon on Friday and the evening prayer talk in the Ramadan month,” said Husain.

Hi Mama, I have Mondays off. This article matches our data w/ 8 people in S. Sulawesi. Do you remember what ‘terindikasi’ means? I’ll have to go back and look up Mammypoko’s translations. So far we show 2 negatives and 6 pending.

Michelle in OK, it means indicated/suspected. Sorry, I should have noted that when posting(I keep mamypoko’s list handy, just in case:-)

My apologies, the 2 negatives and 6 pending were from SE Sulawesi. Akira was from Makassar where we show 6 others as hospitalized and 9 others with symptoms who were tested but who didn’t spend the night in the hospital. So, there are some discrepancies in our numbers.

From the Outbreak IV thread: terindikasi = indicated/suspected (so I guess we still don’t have additional information for the pending individuals)

Getting ready in East Java: dated 9–19–06 http://tinyurl.com/njgys

 The HUMANITIES - Kesehatan

East Java the Form of the Handling Task Force of Bird Flu The writer: Faisol Taselan Surabaya — MIOL: Red Cross Indonesia (PMI) East Java formed the Official’s Unit (the Task Force) bird flu in 15 regencies/the city in East Java, to anticipate spread him the virus came from the poultry in East Java.

The area that was formed by the bird flu Task Force was the Banyuwangi Regency, Sidoarjo, Bondowoso, Gresik, Malang, Pasuruan, Ponorogo, Nganjuk, Blitar, Ngawi, and the Surabaya City, the Malang City, the Stone City, the Pasuruan City, and the Blitar City.

The “formation of this bird flu task force was the form of the main program of PMI East Java so as to have control readiness of the disaster in a fast manner exact, efesien, and was coordinated,” said the Chairman of the Management of the Area of PMI East Java Subagyo in Surabaya, on Tuesday (19/9)….. “We have put forward 15 PMI branches in the regency/the city to get help of the budget for penangulangan bird flu,” he said…

Respectively the branch that was regarded as serious bird flu was required to prepare his volunteer totalled 15 as far as 20 people to be trained to handle the problem of bird flu. “They were trained for a week, afterwards to be involved to the field together with the agency that was involved,” he said. Asked began when this bird flu task force was involved, Subagyo did not know definitely. Because, his side was still being waiting for the instruction from the centre.

Apart from forming the task force, PMI East Java was also indicated as the pilot project protap the alert handling of the disaster…. PMI East Java also will be made a logistic warehouse by the Red Cross International The warehouse was used for the need of the storage of help…

editorial written in today’s Pikiran Rakyat: dated 9–19–06 http://tinyurl.com/mbb83 (I think the writer is blaming chicken “trade mafias” for the spread of AI.

The COLUMN of Bird Flu THAT the bird flu virus (Avian Infuenza/AI) very dangerous and deadly, yes. Real proof showed bird flu to several patients died, both when undergoing the maintenance in the hospital and the sufferer that could not undergo the maintenance. The writer will not deny the horrifying threat that reportedly continued to spread in West Java, also in Indonesia, in fact in the other part of the world, but meant awakened other vigilance over continued to become an epidemic him this bird flu. Not impossible became an epidemic him bird flu not taken for granted, happened just like that, but by design. There were sides that intentionally spread this virus sembari monitored him thoroughly afterwards immediately memublikasikan him widely to the mass media so as spread all through the corner of the world. Who his perpetrators? Was not difficult to be guessed, the trade mafia in the world chicken. With continually ditemukann him the bird flu patient or was expected terinveksi bird flu, the community increasingly frightened mengonsumsi the chicken or the kind the other poultry. Moreover, livestock breeding belonging to the people one by one was finished to avoid tertular him this deadly virus. The discovery of the tablet anti-AI and the medicine that could ward off grew his flower the bird flu virus was not deadly enough the fear of the Avian danger this influenza. After livestock breeding belonging to the people was finished, not was difficult the trade mafias in the chicken controlled chicken supplies and at the same time his price. That not yet anything of DOC, increasingly bounced his price. The government could not control the price of this seed chick. In fact the Indonesian people the lover ate chicken, for everyday consumption and hajatan certain. Did the writer find proof that the bird flu virus was spread by the network of the trade mafia in the chicken? Not and did not yet have proof. This the task of our intelligence. Nevertheless, the possibility like that was not impossible. Considering, the world increasingly mad. The poet the Surakarta Palace mentioned him as the frantic time. This current developed countries applied the trade not his difference as the war. Moreover not impossible warfare was created to defeat the trade personally. See the war in Afghanistan, Iraq, Lebanon and Palestine, and not impossible continued to spread to Syria and Iran.

many articles relating gearing up of poultry vaccinations and more mass cullings. This is a an example. dated 9–19–06 http://tinyurl.com/gtx9l

As many as 2.5 million doses of the bird flu vaccine were distributed by the government of the centre to North Sumatra. However, that just was received by only 500 thousand doses of the vaccine, whereas the rest will follow 2 or 3 today… In the meantime, totalling 16 kabupaen/the city was in North Sumatra attacked by the bird flu virus and totalling 76. 514 tails of the poultry/the chicken was destroyed in a mass fashion.

“Terakhir, totalling the 3000 ‘s the chicken was also destroyed in Humbahas following the discovery of the chicken died suddenly in the area itu,” Tobing words…

In the handling of Bird Flu in North Sumatran Tobing also explained, the number of poultries that was destroyed this not yet including in the Humbang Hasundutan Regency…

Tobing also added, that his side also accepted newest information that is in the Estuary of the Cape of the shavings Regency also was found by the chicken that died suddenly. However till at this time, was not yet learnt the cause of the death of this chicken….

Question: If 70% of the diagnoses are done in 3 days, why have the test results from so many in August not been disclosed?

“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…”

http://www.antara.co.id/en/seenws/?id=20267

I have looked at a large number of my Indonesia news sources and there is hardly anything mentioning bird flu. The only exceptions seem to be articles about future poultry vaccinations or future funds for vaccinations, or a few culling operations (see pugmom – at 12:18).

All of a sudden there is silence where not long ago there was a huge number of articles all over Indonesia. While part of me wants to say, “Hey, this good news, all is calm in the world of bird flu.” But there is another part of me that wants to say, “Hey, somebody has gotten orders to stop reporting flu burung news or else.” Has there been a news clampdown? I don’t know, but I wonder.

Ditto, cabbagehead!

Okieman, I have to think there has been a clampdown. I started feeling it about 2 weeks ago. It ever so slowly came to a screeching halt.

http://tinyurl.com/pedap

On Wednesday, September 20 2006 the Child was killed because of AI?TULUNGAGUNG- the Plague of the virus avian influenza (AI) or bird flu it was indicated claimed fatalities.Abram, villagers Kaligentong, the Pucanglaban Subdistrict, that was suspected (suspect) bird flu yesterday the night was killed in RSUD Dr Iskak Tulungagung.The child was 11 years old blew out the breath the last time around struck 22.45 WIB. That Is when being treated intensively in the room of the isolation in RSUD Tulungagung Orchid space.Casualties arrived in the Serious Installation the Emergency (IRD) RSUD Dr Iskak Tulungagung on Monday struck 19.00.When being brought to the hospital, his condition was very critical.The temperature of his body was very high, achieved 39 levels celcius.Casualties also experienced breathless and coughs.Because of being suspected of being affected by the bird flu virus, the class student 6 SDN 1 Kaligentong was isolated in the special room.That is the normal room was used to treat the patient who was suspected by bird flu.However because his condition was very weak, finally the fourth son from four related the Sutris couple with Siyah this only could remain 4 hours.Struck 10.45, casualties died.Public relations RSUD Dr Iskak Tulungagung Triwidyono Agus Basuki said casualties were treated in the room of the isolation because of having the high risk tertular bird flu.Because around his residence of many chickens that died suddenly.Increased again by the temperature of his body was high, crowded and coughs.So have the possibility AI. “Because that, as the step in anticipation was treated by us as the patient suspect bird flu,” said Triwidyono Agus Basuki during it was confirmed yesterday.

Nevertheless, Oki-like this Triwidyono Agus Basuki akrap was greeted- claimed still could not confirm whether casualties really tertular bird flu or not. The reason is, when being brought to casualties’s hospital in the diarrhoea situation. And results of the beginning inspection were also found by the existence of the infection. So as to have also the other possibility that the temperature of the high and breathless body was caused from the infection. “But we have taken the example of the nose liquid and the throat as well as the photograph of the chest.” Results of the lab have been sent by us to Surabaya to confirm whether he was indeed infected by the bird flu virus or not, said the father of two children. Usually, continued Oki, the assurance someone was sentenced terjangkit the AI virus or not needed time two weeks. That because of the laboratory inspection that was enough njlimet. ‘’‘Now, Siyah, the mother Abram, acknowledged if in his village of many chickens that died suddenly that was expected because of bird flu. That happened happened in the last two weeks.’‘’ Including his two property chickens also died suddenly. The “chicken that died suddenly indeed was but that for a long time,” obviously Siyah. Before being brought to RSUD, the son of his pity was brought took medicine to the local village midwife, Wiwik. Initially, Abram only fevers to Jum’at then. And the illness subsided after taking medicine to the village midwife. The midwife’s words, Abram was sentenced only was ill typus. But suddenly on Monday early afternoon was sick my child suddenly relapsed again. Because of his condition apparently serious finally was brought by me to this hospital, he said.

Influentia2 – at 20:23

I was hoping to remain in the “all is calm in the world of bird flu” thought process for a while longer, but your post pulled me back. I am tired of the tug-o-war and tired of reading about little children dying.

It feels like the virus is playing games with our heads.

The virus is just doing what it does. It doesn’t care what we do.

Indonesia Summary - Updated as of 09/19/06

Our sympathy to the family of the young boy who died.

Thanks to all who have been searching the news. It is extra difficult when you know no news is not necessarily good news.

I was wondering if anyone out there can help me with this perdicament. This site will not allow me to copy and paste. I hit the print version and still could not copy. The only thing I was able to copy was the headline. While this article does mention flu burung, it also deals with TB and I don’t think it’s that important. But for future use I would like to find a way to toggletext it. Any suggestions?

20/09/2006 08:48:53 the Health Power in Nagan Dilatih

 JEURAM - totalling 40 officials of the health from the Health Service, the regional Public Hospital, the Centre of the S. Health.

. http://tinyurl.com/g28ej

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.

http://tinyurl.com/hnjhb

CG—I am not sure what article you couldn’t copy and paste, as the link just took me to the general newspaper site, but there are several newspapers that have had articles I have wanted to copy and paste and have been unable to do as well. So I think it may be a common problem and not one unique to you or your computer.

Thanks pugmom. Nothing out there today…quiet so far.

Medan, North Sumatra: Setiadi Fauzi declared negative and allowed to go home. Dated 9–20–06 http://tinyurl.com/hx8ty (comment: wasn’t he declared positive by lab tests earlier??)

Medan (SIB) After his clinical sign was not similar to the sign of bird flu, SF (15) the patient that originally was expected suspect bird flu from Tebing Tinggi came home, on Monday (18/9). SF in fact already several days ago was permitted to come home the side RSUP human rights but was not yet it was known certain why the SF family did not yet bring him came home. RSUP human rights permitted SF to come home because of being based on results of the inspection of only normal fevers and the indication of casualties of contracting bird flu was stated by the negative. “Sudah far the day was stated by us SF not bird flu. His clinical sign did not head in the illness, so for a long time has been permitted by us pulang,” Wadir words 1 RSUP human rights Dr Nur Rasyid Lubis to the reporter, on Monday (18/9).

Makassar, South Sulawesi: New Case, Hendra, age 10. dated 9–20–06. http://tinyurl.com/qx5uq (Also mention another “Edi, age 27, that is negative, and a vague reference, first, to another 8 suspected cases, then to another negative as well.)

 The child the Citizen Street Bawakaraeng Suspect Bird Flu

Makassar, the Stand — A child, Hendra (10), the citizen Street Bawakaraeng, Makassar, underwent the intensive maintenance in the Hospital (RS) Wahidin Sudirohusodo, Makassar, on Tuesday (20/9). The child was run off with to RS because of his family worried Hendra terjangkit the bird flu virus. Was like this it was said the Head of the Intensive Care Unit’s Installation (IRD) RS Wahidin, Dr Khalik Saleh SpPD to the Stand, in Makassar, on Tuesday (20/9).

According to the Secretary Tim the Control of this RS Wahidin Sudirohusodo Bird Flu, after getting the maintenance for one day in IRD the Child RS Wahidin, Hendra then then brought to in special isolation space the patient suspect bird flu. “We took the sample of blood and mucus on the Hendra nose.” The sample was afterwards sent to the laboratory of the RI Health of the Department’s Research And Development in Jakarta, said Khalik.

RS Wahidin treated more than eight people who were stated as the patient suspect bird flu

The seller of the Chicken in isolation space, Mira (31), the mother Hendra was seen was alone menuggui his child. Mira that his days worked as the seller of the chicken in this eggplant Market afterwards said that although he sold chickens, his child has not touched the chicken in recent times.

The “chicken that died also was not available.” Previously was month time eight. But that indeed again the season of the chicken illness, said Mira. He afterwards tell about, his child that went to school in the Muhammadiyah PRIMARY SCHOOL this V class suffered the fever, the minor cough, and breathless. “When I between to the community health centre in Maccini, his official to frightened all it was thought bird flu, therefore I here,” said Mira that with his husband already almost ten years sold the chicken.

Edi the Bird Flu Negativetwo patients suspect bird flu, respectively Edi (27), the citizen of the Earth Complex the Sudiang Jewel, Makassar, was stated by the bird flu negative’‘’ Was like this was sent by the nurse in RS Wahidin space of the bird flu isolation, magic, on Tuesday (20/9). “Although the negative, but was not yet permitted to come home because of them would in-bribe again (the taking of the sample of the mouth liquid and the nose)”

Pugmom - at 11:53 - I had him in intensive care? But I didn’t have a confirmation. His family hasn’t come to get him yet.

CG—are you referring to the “Edi” that was admitted on Sept 9th to Wahidin Hospital (in Makassar)? I did not know he was in ICU, or his age. Do you think it is the same person we have on our summary? It must be the same person.

Hi pugmom, no I was referring to Setiadi Fauzi in Sumatra. Sorry to not have been more specific :-)

Commonground at 7:11, sometimes you find sites that don’t allow you to just copy and paste- very frustrating I know. One thing I’ve tried that will work with some of them is to go to your top bar on your screen and right click on ‘edit’, then click ‘select all’, then click on edit again, then click on copy. Open an empty ms-word file and paste the whole page there, copy what you want to translate from there in the usual manner- if you can’t post right away make sure you copy the link too. I hope that helps!

I forgot to mention, I can’t remember for sure who taught me that little trick oh so long ago on the news thread:-) but I think it was ANON-YYZ- whoever it was…thank-you!

Thanks MaMa! I’ll give it a shot.

you’re welcome Commonground! I goofed up the instructions though, you LEFT click not right. That’s what you get for being in a hurry I guess:-), sorry

MaMa - it’s o.k. I’ve got a Mac so I don’t have a left & right click. I once accused the Library of having computers that didn’t work, after trying 3 different ones. That’s when I learned about PC mouses……Your tip did work. I had to go to the Printer icon, and Select All from there and transfer it to a word processing program.

If you go back over the news reports, the slow down in news on suspect cases seems to go hand in hand with announcements of world bank and US funding for the region to fight Bird Flu. Anyone else think there may be a connection? It also goes hand in hand with a great increas in reports of measures being taken to get BF in birds under control in the region with culling.

An increase in BF news appears to cause stock market and economic instability. Therefore, it is the vested interests of global economic stability to keep BF out of the news as much as possible. The money to fight such things is provided by those organisations that seek to maintain global economic stability.

Personally, I think that is what the silence is all about, because, irrespective of what we learn on these sites about the progress of the H5N1 problem, it does not change or lessen the measures being taken to counter the problem on a global scale. Therefore, I think that TPTB think it is in everyones interests to keep a lid on the news of human infections (and so reduce the subsequesnt economic jitters on world markets) as much as possible.

I may be unduly cynical however.

flumonitor… the old phrase “Follow the money” comes to mind.

I tend to think that the news shutdown has been at the testing point in the laboratories (I assume government funded). We haven’t heard of any ‘new’ positive confirmations in a very long while.

Because of this thought, I also have a question… Do you all interpret the two new ‘negatives’ as laboratory confirmations, or as statements from the hospital. I tend to think they are from the hospital saying “They were suspected of having bird flu, but now they are well enough to go home because they don’t have the flu anymore.” That is supposed to be the result when patients get on Tamiflu.

If this is the case, I feel we should continue to show these individuals as suspected cases instead of negatives. Please speak up if you think differently.

I’d have to agree with Michelle about the lack of news regarding human cases. If the labs are goverment funded and the goverment doesn’t want the news released publicly, then likely it won’t be.

OTOH the switch to doing the testing locally only is quite recent and it’s possible the info can’t be released until certain departments in the goverment have been ‘properly’ advised- depending on how that is set up there could be a considerable amount of red tape involved. The delay or lack of current lab results could just be a product of inefficient bureaucracy (redundant? :-)

Michelle in OK, my vote would be that we don’t label people negative until lab confirmation occurs. Clinical diagnosis might send them home, but test results are definitive.

FOLLOW THE $$$$

http://tinyurl.com/fd6ps

The industry of the Loss Poultry Rp13 trillion resulting from Jakarta Bird Flu, on September 20: the national poultry breeding Industry experienced the loss through to Rp13 trillion as a result of spreading him the plague of bird flu that happened since 2003–2005. The chairman of the Centre of National Information of the Poultry Market, Hartono, in Jakarta, on Wednesday (20/9), said, the loss was counted from the decline in the price of the chicken and the chicken egg resulting from this plague.

AND apparently the officials think there will be more cases:

http://tinyurl.com/e5kpn

Indofarma had an opportunity to win the Tender for the Detector of the Flu Virus Burung on Thursday, September 21 2006 | 01:02 WIB The Interactive TIME, Jakarta: PT Indofarma Tbk., had a big opportunity to the winner of the tender for the procurement of the fast detector rapid test kit with a value of Rp 17 billion that was spread out by the Department of Agriculture. This red company of the plate pharmacy offered the lowered price compared with three other companies.

Excerpt: According to him, this price was cheaper compared with the tender last year. The reason is, Firstly, the number of implements that was ordered by three fold times compared with 2005. Secondly, the consumer rapid test this year was the Indonesian Government that notabene was facing the threat of the bird flu pandemic. The “case of bird flu” in Indonesia has been highest in the world, he said. Thirdly, next year the product would have been replaced dgn yg better (combo).Meaning that, said he, one rapid test kit could detect more than 2 illnesses so as more efficient.

I agree with Michelle in OK and MaMa, leave as suspect cases until we see a lab confirmation. Just my two cents.

Compliments of Siam at Flutraker (he didn’t provide a link). As you read below, you will see how Indo has to prove to the world that they will be responsible with the donated money, and that’s why we are hearing about all the plans they have. I posted something on the News thread on how Indo is feeling the economic impact of this. I agree with flumonitor. And then I agree with Michelle in OK because the hospital are funded by the Government.

The UN special envoy for avian influenza, David Nabarro, met last week with senior government officials and discussed the problems fighting the disease in the country. He outlined the issues at hand in an interview with The Jakarta Post’s Hera Diani.

Question: What was the core of your discussion with Coordinating Minister for the People’s Welfare Aburizal Bakrie?

Answer: This is my fourth visit to Indonesia within a year and I have been working closely with your government to examine ways in which avian influenza in both birds and humans is being tackled. In each visit, I want to find out how the government’s response is improving and I’ve been really very pleasantly satisfied with what I see as a real improvement in the last few weeks, particularly with the way in which the avian influenza is being tackled in poultry.

The discussions with the minister were about the plans for extending this animal health work to other districts, about the government finance, about the compensation payments and how the government is proposing to increase the compensation.

We also talked about the vaccination program for birds and the public information campaign. We agreed to create a detailed plan with an action checklist undertaken by different stakeholders in central government and also at the district level. We will look harder at the resources needed and we will try to make sure that the donor communities respond to the promised increase in government funding with an increase in donor funding as well.

Indonesia’s handling of bird flu has been widely criticized. Why do you say you were satisfied?

Well, first of all the changes that I’m describing have occurred quite recently. Secondly, the challenges faced by Indonesia are very big, and it takes time to put in place some of the planning and early development. And thirdly, I’m satisfied that there has been progress, but at the same time there’s a lot to be done, particularly by the agriculture ministry. It is important for somebody in my position to speak out about good progress. At the same time, I must stress that there’s a lot more that needs to be done to get good quality animal health services in all 444 districts in this country.

Could you elaborate in which areas improvements should be made?

The following activities are necessary. First, it is vital that veterinary personnel in each district are looking out for bird flu cases and responding to them. That means the efficient killing of affected birds and those around them, and reliable vaccinations to try to reduce the spread the disease among birds. It also means compensating those who have lost their birds and making sure that the way the birds are cared for reduces the risk of infection in humans.

These are quite difficult activities to introduce, especially because the political system in Indonesia is very decentralized. We need to increase the level of activities at the provincial or district level. And we know that it is difficult work, so from outside we’re expressing solidarity with the government and the people of Indonesia.

The National Committee on Bird Flu Control and Pandemic Preparedness recently said it had not received a single cent from donors. What is your comment?

I think today we were able, in a careful way, to look at the government funding for avian flu and also the way in which the compensation and other activities can be funded. It is clear that there are ways to increase the funding provided by government. I won’t go into detail because you have to ask the government about this.

There has also been a lot of funding for Indonesia. It has not all gone exactly where people might be expecting it, and so we have been discussing ways in which the funding will increase. Not as much as we want, but there are perhaps more than US$40 million of additional assistance that is going to be provided in the next few weeks and months.

We’ve been planning to make more efforts to mobilize even more money from the donors. I need to go to these donors and say “look, Indonesia’s program has improved in the last few weeks, so you should put in more because the government is ready to use the money well.” It is a continuous process of mobilizing money; you don’t do it once and it requires the donors’ understanding of what is happening in the country.

The government, on the other hand, has to demonstrate that the money it has is being used well, that there is a need for new money, and it has to have system to spend the money efficiently and without any losses. These things have to be in place to raise cash. You have to have good program and you have to demonstrate it’s good, and then the cash will come.

The donors are said to provide funding in the forms of goods and technical assistance instead of money. Is that deliberate?

The avian influenza problem in here is very complicated. And so one of the first requirements is for technical specialists, both Indonesian and international ones, who can study the nature of the problem, and then understand its severity in order to plan the control strategy.

You can’t actively research a strategy without having technical people working on these issues. I’m very pleased that there has been a strong technical focus recently. I see that there is a lot more technical expertise here now than there was some months ago.

Is bird flu here getting worse?

One of the things that happens when you improve the surveillance of the country is that you also likely to report more avian flu because you’re finding more cases. So, at the moment we’re certainly have information that tells us that avian flu is quite widespread in more than 290 districts out of 444.

You should not then say that the situation is getting worse. It’s probably because now we know more about this situation. So, I can’t tell you if the situation is getting better or worse, but I can tell you that it’s a serious situation, which is a concern to me and to others.

Michelle in OK - agreed. Money and donations in goods or expertise always come with conditions. I expect that the conditions attached are threefold 1) Step up BF control measures 2) Increase human surveillance and treatment to reduce risks of a transmissible form breaking loose 3) Maintain tight controls on information flow to maintain the illusion that all is well = economic (and therefore political)stability.

The time passage of suspect patients being treated and hospitalised to their release with a ‘dont have flu’ is I think very telling ESPECIALLY since their rapid tests are reported as having only a 3 day time delay in 70% of cases

CG 17:14

 “look, Indonesia’s program has improved in the last few weeks, so you should put in more because the government is ready to use the money well.” 

http://tinyurl.com/r32xn September 19th

Bayu confirmed, steps in the control of bird flu have in Indonesia been appropriate directed by WHO. the Organisation of the health of the same world saw the step that was carried out by Indonesia still was very good, and need not yet do the improvement of new steps. We only must do refokusing. The step that was carried out by Indonesia did not contain the weakness, because we always followed by the book directed by WHO, he stated.

I’m going to go bake some bread now.

I agree we should not remove anyone that has not been LAB tested as negative. I would also like to comment on the fact that there may be more cases that appear milder, are able to recover and go home. This may be a further step in the evolution of the virus on its’ way to becoming a pandemic virus. Several experts have lately voiced the concern that this is another genetic development in viral evolution that shows it is becoming more human-adapted. The fact that we are maybe seeing mild cases (as the boy who nursed his H5N1 positive sister and came down with it, but was only WHO confirmed this week), or cases where the hospital declares the patients did not deteriorate, so they were released-----these are not necessarily good signs. In fact, they may be signs of viral adaptation and progression to transmissibility.

Warning, this may be upsetting to read it is a very sad story about this boy’s family

On Thursday, September 21 2006 was brought to the Midwife the Village, It Was Thought the Sign of Abram typhus, villagers Kaligentong, the Pucanglaban Subdistrict, that was killed It Was Suspected were attacked by Flu Burung the Abram Death, 11, that was expected resulting from tertular the bird flu virus, really startled villagers Kaligentong, the Pucanglaban Subdistrict, especially Sutris and Siyah, his parents. Moreover the death of the class student 6, that was counted so suddenly. Along with his report. Triyoga Agus N, Ratu

The quiet and calm RSUD atmosphere Dr. Iskak Tulungagung in two previous nights was disturbed. Around struck 22.45, in noisy suddenly orchid space. The hysterical scream, the crying sobbing menyeruak as though solving the clarity of the night. Moreover when two officials of the hospital came to the room of the isolation by bringing the hearse. When the Queen came to have the official who was equipped mask equipment and the gloves were wrapping casualties’s body in plastic. Further they brought the body to the morgue. Eni Wulandari, the older brother Abram not the power saw when the brother’s body was brought by the official. He cried as much as possible while calling the name of his brother. Likewise the mother of casualties, Siyah continued menitikkan the tear while screaming tight. The mother four children in fact until terkulai limp in the floor because not strong at keeping this disaster. “You asked everything definitely to be followed by us Dik, but don’t leave us.” Oh lord, don’t take our younger brother the only one, was like this the scream that it was said Eni Wulandari while crying immediately after his brother of Abram was killed yesterday the night. The Siyah crying sobbing did not stop when casualties’s body has been in the morgue. He was alone was waiting for his son’s body. Now his husband Sutris and his child Eni Wulandari arranged administration in the office IRD. “Why to nak how come your age mung sakmene (why his age only until here, red),” said Siyah while keeping the tear. Siyah claimed still was very heavy released the Abram trip, his son. Beforehand, he had not supposed will lose his child forevermore. “I was surprised how come was as fast as this he went, in fact the night yesterday (on Sunday night, red), he still stories with saya,”ujar Siyah.” The mother of four same children claimed did not suppose if the illness that was suffered by his child was serious and result in fatal. Because of this, when the body of Abram panasSiyah only brought him to the village midwife. Everything ended from the midwife, the condition for his son improved. “Your words the midwife of typhus of the sign illness, so as I did not like that panic.” Eh when relapsing again immediately was serious and like this, said Siyah. He admitted, around his four children of Abram was the child who most was loved. Understand he was the only male child. Nevertheless, he not the child that was spoilt to his parents. “He the good child.” Industriously prayed and ngaji, he said. Siyah also remembered words that were revealed by Abram a day before died. The son of his pity every asked was bought the new sarong. His article to Ramadan this, he planned to want the fast and fasting prayers a month was full. “But I could not buy his sarong even he has gone,” he said soft while very much-time gazed at his child’s body on the carriage. Because of his behaviour that exemplary, said Siyah, Abram also really was loved by his three older brothers. Abram including the child that not neko-neko. He had not asked that very strange. “Hopefully, he make room that good beside the Lord,” he said was full please. In his school, continued Siyah, Abram was also known as the diligent child to be studying. Since going to school, from the class one to the class five, casualties always could the ranking. “If not the ranking one, sometimes he could the ranking two.” He the clever child and hard-working studied, explained his mother. Before dying, Siyah admitted to not getting the presentiment anything. Only one day before the illness relapsed, Abram wanted to meet with his nephew. After that he engrosseded in playing with his nephew. “Therefore I did not suspect completely him of going.” I had not imagined that Abram will precede us, tukasnya

http://tinyurl.com/zqlnv

Sorry to barge in, but this thread is really long. I’m going to close it for length, and copy Influentia2′s post to the new thread here