Forum: Indonesia Outbreaks XII

Old thread here.

http://tinyurl.com/ng75s

A little news but nothing about any classmates or HCW’s of Abram

Alertly one Bird Flu! Guard against the Chicken was sick that was sold by Bebas

 TULUNGAGUNG

- ‘’‘the Supervision of the mutation of the chicken was in Tulungagung tightened. That to prevent the spreading of bird flu that wider. This step was taken following the Tulungagung status that was stated alert one towards bird flu.’‘’ The section head Tulungagung Danduk Sudarham Livestock Breeding acknowledged the alert status one towards this bird flu. Nevertheless, he asked the community to be able to not panic and frightened. “I hoped the community should not panic.” The area that still serious that only in the Kaligentong Village and surrounding area.

excerpt:

AI vaccine supplies at this time really quite thin.Stock of the vaccine that was owned at this time only an amount 13 thousand doses.But might not worry because of next week, has had the consignment from Surabaya totalling 250 thousand doses, stressed Danduk. As being reported, Tulungagung was most casualties bird flu in East Java. That is two people were killed because of the virus berkode H5N1 that.Abram, 11, villagers Kaligentong, the Pucanglaban Subdistrict, died to last Monday, September 11. Also Tio Setyawaning Praise, villagers Sukoharjo, the Bandung Subdistrict, that died at the end of last June.

raina – at 16:49

your summary of patients and details of events, helps give validity to what the Indo Team has been doing with such diligence. I had been trying to keep up with that, but now I seem to have gotten off on another project.

Please post your summaries also, so we have the opportunity to look at data from 2 different perspectives. Michelle does an amazing job of clarifying information. Pugmom, Commonground, Influentia2, Okie, a a few of the other “moms” have an incredible ability in locating,and translating news from foriegn newpapers.

Your accounts and reporting of the information gives both credibility.

 Thank you 

raina at 16:49 of the prior thread… Fantastic summary!

Thanks to all for the words of encouragement. I plan to forward the spreadsheet to Dude and Okieman for posting this evening, and Okieman plans to do a new map tonight for cases which surfaced during the last 10 days.

Thanks Anon-451 - I needed a pat on the back…..thanks everyone, I appreciate it.

raina at 16:49:

I have Amos Gugun Gunawan (19) (Bandung) hospitalized on 9/28. Does anyone else have this person hospitalized???

Commonground at 20:02… I never saw an article which indicated that Amas was 19 years old. I did show that Amas was hospitalized, and I show that the General was also called Amah. In order to match the hospital records of 3 being treated, I assumed that Amas was the same as the General.

The only information I saw on Gugun Gunawan (19) indicated that he had symptoms but was at home. I hope this helps. I could have misinterpreted the reports or missed something.

Michelle in OK - at 20:14:

I found it! Over at FT, Bandung Cluster W. Java Thread, Post # 76. I guess when they said “brought to the Community Center”, I interpreted it as hospitalized. Here it is:

“They were Gugun Gunawan (19) that claimed experienced hot since the last four days, Hani (21) that felt very stiff, and Santi (20) that suffered pilek, the cough, and the fever.

But, the three of them were not given Tamiflu. “Only was given normal medicine and was brought to the community health centre. Further will be monitored by us for 20 days in the future,” said Wawan Setiawan, the official surveilans the Health Service of the Bandung City.”

Michelle—somewhere in all these posts today we proved that Amas=Amos=Gugun=Ganawan=Useful and is a 19 yo. male neighbor. The General is a female named Amah age 41, but also from Bandung. CG may have it better cataloged than I, she can correct me, or Raina too.

Cg at 20:34--I remember reading that Gugan, the neighbor, was scared to death and staying very “quietly’ in his own home and was hoping to get the special medicine. Apparently he is not so bad that he will check himself into the hospital. But you had the sense he sure knew the risk, and was just going to wait it out. BTW—Who the heck is Hani?

On the earlier thread, someone made a comment about people being blase about the state of affairs in Indonesia. I understand that comment perfectly, as I’ve been wondering about it myself. But I think Okieman hit the nail on the head. I think people are resigned to the fact that this thing is happening, and many are engaged in watchful waiting.

I used to hang on every nuance of translation, but about a couple of weeks ago, I had a transformation/realization. As August progressed, it became clear to me that Indo is out of control, and god knows what’s happening in China. I shifted from hanging on details to a sense of resignation. I have been finalizing preps and checking in here to see when we have positive HCWs, classmates, and more/larger clusters—which we may be seeing at this point.

The details of the various clusters are (as you all know) very confusing, and all of you who hunt the news, sift the details, and prepare the summaries do an excellent job.

Aside from the fact that I don’t feel I have enough of a handle on the confusing details to comment intelligently, there are really no words to convey the growing, sickening sense of inevitability I think a lot of us have been coming to terms with since August.

Thanks pugmom and CG… I’ve corrected my spreadsheet to show Amas as the correct person. The one that is posted dated 9–29 has already been sent though, so it will not show the correction.

I’m with Edna Mode on this. What is there to say now? I am very grateful to everyone for doing all this hard work. I follow this thread closely, but like EM I have gone from hanging on to the details to a sense of resignation. Very similar to when my MIL was diagnosed with ALS. At first we didn’t know what it was-we followed every symtom, hung on to every word that docs said maybe its this, maybe its that. After a while it sinks in and your just left with this really sickening numb feeling.

very pessimistic folks.

On the PPF Part IV thread I posted today around 3 pm relating a report from a good friend who met a high ranking Indonesian government person recently. The bottom line: Different parts of the government find it hard to cooperate. Birdflu will not get real priority emergency attention until it is too late. Dr. Nabarro is right that a lot is under-reported. There are not enough resources or direction or coordination. We are right to be very concerned.

 Let me tip my hat to those of you working so hard on this. It is a real contribution and we owe you thanks. If it seems like things are not under control, it is because they are not. 

Medan, North Sumatra: Family of Marlina Sitorus (deceased 11 yo girl) doing much better and may soon go home. dated 9–30–06 http://tinyurl.com/kpjtz

Zainul abdi Medan the Business – Medan RSU the Centre H Adam the Medan Owner in the near future will return Binary Sitorus (33) and his wife Lena br Tampubolon (31) as well as his child of Retno br Sitorus (12) to his house

His article, villagers the Fence of Teak, the Pakam The Deepest Part Subdistrict, of the Deliserdang Regency were stated increasingly has improved after beforehand was stated suspect bird flu. “Kita was kept waiting results of the sample of blood from Jakarta in the near future. After that, just we pulangkan,” Deputy Director’s words RSU the Centre H Adam the Medan Owner Dr M. Nur Rasyid, on Friday (29/9), yesterday.

According to Rasyid, results of the inspection and the diagnosis that were carried out by the team of the handling of bird flu RSU the Centre H Adam the Owner that consisted of Prof Dr Luhur Soerosa, Dr Adnan Adlin and the medical team other, the three of them very far from the sign suspect bird flu. Because of the lungs the three of them were not found spotty pneumonia as being proper for the bird flu patient. Whereas the fever the three of them have also been normal namely 37 levels celcius. Moreover did not have the breathless feeling.

sorry Green mom about the diagnosis. Very rough.

GreenMom, and all…I’ve been reluctant to post here since I had to pull out of my offer to help…the guilt was heavy but I wanted to comment that “really sickening numb feeling” is EXACTLY what I’ve been feeling. It’s constant, and I have the same quiet resignation to prep. I’ve had to accept that I probably don’t have time to prepare as much as others, and I’ll just have to make due on the four months we have. I am making use of every spare dollar in every paycheck for something on my list. I was truly hoping for another year.

Orlandopreppie

You HAVE another year. You have it because you are 99.99999% ahead of the rest of the population of the planet.

If I could physically smack you guys, I WOULD!

Orlandopreppie at 22:26… no need to feel guilty for other duties. Please post anytime… and keep prepping.

The summary will look a little odd compared to last night. I had incorrectly interpreted a report on the Medan family to mean that 1 of the 3 hospitalized had died (which obviously isn’t the case since a report today said they are all improving.) I’m very glad, as the family has suffered much already. My apologies for the miscount last night. Also, I deleted the count of E(25) as a separate person, as the consensus seems to be that various ages have been stated for Eni.

Indonesia Summary - Updated as of 09/29/06

Michelle in OK

Thanks for bringing the thread back to reality.

Orlando Preppie- please don’t feel guilty-everybody does what they can and everybody has stuff that they need to do off the wiki. I know what you mean about hoping for more time. My finances are tight too, and I agonize and prioritize over every item on my list.

PugMom-Thanks for your kind words. My Mil passed away a couple of years ago-fortunantly, we were able to take care of her at home with the help of Hospice. But that experience has also driven home how extreamly hard it is to care for a patient at home, and that really worries me because most folks have absolutly no idea what they are up against in this regard.

Sorry to sound so pessimistic and bleak but the news has just not been good. On a more cheerful note, I do feel a little better about the odds of fluwikians getting through this, but its still gonna be a rough time ahead.

Green Mom,

 I offer only words of encouragement for your loss. My brother-in law also died from ALS. He stayed home for those six years. 

Believe it or not, after the grief fades, you will realize you developed an inner strength, not many will understand.

Worried towards the bird flu virus, the citizen of the Sembung Mountain Village, the Kawalu Subdistrict, Tasikmalaya, evacuated their children to the place that was believed in still was safe from the bird flu threat. The citizen’s concern was caused by the existence of three citizens who currently are treated in space of the isolation of the regional Public Hospital (RSUD) Tasikmalaya because of having signs that were similar to bird flu. The intention of evacuating children was reinforced again because apart from having three citizens that currently flattest bird flu, since a last week also many of the citizen’s poultry that died suddenly.

In the meantime, the team of the doctor up to now still is waiting for results of the test against the sample of blood that was taken from the three flattest patients this bird flu. For the citizen in this area, maintained the chicken was a part of daily they. It was not rare, chicken coops were made join with the citizen’s house that usually makes use of low space as the chicken coop. (link http://www.metrotvnews.com/)

This may not be new but might give more information on the cases mentioned above

The team of the doctor from the Health Service of the West Javanese province took the sample of the citizen’s blood in the Improper Mountain Village, the Kawalu Subdistrict, Tasikmalaya. The taking of the sample of blood was carried out against six people, that is the wife of the patient trpapar bird flu and the neighbour terdekat him. From the fast test, the team of the doctor found a child was 10 years old was named Ajis experienced the sign like bird flu. Currently, the Ajis condition still in observation of the official of the Kawalu Subdistrict Community Health Centre. Moreover, the Tasikmalaya Livestock Breeding Service did penyisiran against the ‘’‘ poultry to the radius 500 metre from the patient’s house suspek bird flu. From results of the fast test, was not found the affected poultry bird flu. ‘’‘ (Also from Metrotvnews)

Sorry, in that last post, wanted to highlight that the poultry tested did not show signs of bird flu - aagghh!

http://tinyurl.com/flat4
Jum’at, on September 29 2006 16:26 WIB
Klaster Bird Flu improved To Nine Kasus
Jakarta — MIOL: The Number Of cases of bird flu (Avian influenza/AI) gathered to humankind (klaster) in Indonesia improved to nine cases with he confirmed the case of the new infection in EW (21) and Ab (11) in Tulungagung, East Java. The official of the Command Post of the Health, Suhardaningrum, of the Department’s Bird Flu in Jakarta, on Friday, said results of the inspection of RT-PCR against the EW specimen, the older brother from the patient Ab that was stated positive was infected by the bird flu virus and died on September 18 2006, showed that the woman positive was infected by the AI virus. The case klaster bird flu beforehand also happened to Ze (27) and RF (14) in Solok (West Sumatra), AT (10) and the USA (18) in Bandung (West Java), the USA (29) and his five relatives in the Karo Regency (North Sumatra), Nr (13) and En (4) in the Indramayu Regency (West Java), Is (19) and IJ (18) in Tangerang (Banten), Hn (21) and HS (4) in Tanggamus (Lampung), Rd (34) and Fr (9) in Southern Jakarta (the Special Capital District of Jakarta) as well as Is (37) and S (8) in Tangerang (Banten).

The increase the number of cases klaster bird flu always showed the concern would the occurrence of the spread of the AI virus (H5N1) from humankind to potential humankind caused the influenza pandemic. Nevertheless till at this time results of the research into Ribonucleic Acid (RNA) the virus that generally was spread by this poultry showed that the virus that infected all the patients in Indonesia was the kind of the influenza virus that spread from the poultry to humankind. The researchers beforehand also said that till at this time the change or the significant mutation in this virus that enabled the occurrence of the spread of the virus between humankind did not yet happen. The inter-member spread of the family that happened to almost all the cases klaster in Indonesia was estimated happened because of the equality susceptibilitas or the sensitivity of the peer of the family’s member towards the infection.

The doctor’s hospital Wahidin Sudiro Husodo, Makassar, South Sulawesi, accepted again one assumption patient of bird flu. Apriani, the child was eight years, on Saturday old (30/9) was treated because the temperature of his body was high, often the cough, and issued mucus. The team of the doctor sent the example of Apriani blood to Jakarta. The previous day, Paturangi (seven years) also was treated in the space of the hospital isolation with the clinical sign a kind [read: A Child in Makassar was expected by Bird Flu]. According to the family’s information, Apriani that settled in Street Makmur, beforehand played with the neighbouring poultry that later died suddenly. Although the death of the poultry was reported, the local Livestock Breeding Service did not yet carry out some sort actions. In the Makassar territory, bird flu has claimed the life of a child who lived in Street Maccini. Casualties died, in September set after being stated positive terjangkit the virus avian sub-type influenza H5N1. After the case of bird flu spread in the Motherland since 2004, the poultry traffic was more tightened. The chicken traders in the reduction house in the Pulogadung chicken, Jakarta East, for example. They claimed selective accepted supplies and only wanted to accept the healthy chicken complete with the certificate from the Livestock Breeding Service. Jakarta uptil now got chicken supplies from Tasikmalaya and Semarang. The restriction on the poultry traffic was also carried out by means of refusing chicken supplies from the serious area tertular the virus H5N1, like Tanggerang, Banten [read: stopped Bird Flu flew]. The other method prevented the plague that is intensifying spraying disinfektan by the Dinkes official in each territory. (Ken/Tim Coverage 6 SCTV) Lupitan6 dated September 30 I have tried not to repost any news if I have I apologize.

http://tinyurl.com/z9z8q
Only excerpts taken from this article - it’s much too long.
On Saturday, September 30 2006 12:53 WIB
the Citizen Tulungagung Eny Wulandari Positive was infected H5N1
TULUNGAGUNG — MIOL: Teka-teka the illness kind that attacked Eny Wulandari, 25, villagers Kaligentong, Tulungagung, of East Java, finally had been answered. Eny that since the last four days was treated in special isolation space the Hospital (RS) Dr Soetomo, Surabaya, was stated positive tertular the bird flu virus (H5N1)
-snip-
At this time, said Rukmi, Eny Wulandari got the intensive maintenance in isolation space of RS Dr Soetomo because the condition for his breathing was critical\\ “That was heard by us the Eny respiratory system received the serious handling,” said Rukmi. Was based on the Media’s Indonesian note that was received from the Tulungagung Health Service mentioned with the AI case findings to Eny, then up to now has had three citizens Tulungagung that positive was infected by the virus H5N1, two including dying namely Tyo Styawaning Praise, 8, villagers Sukoharjo, the Bandung Subdistrict, and Abram, 11, the full brother Eny Wulandari. ‘’‘Beforehand several medias launched has had three bird flu fatalities before Eny. Reported, Aditya Ryan Saputra, 8 months, villagers Sukowiyono, the Karangrejo Subdistrict, died to last June 2006 after being stated suspect bird flu. However the local health service denied the Aditya death because of the bird flu virus although could be treated in AI isolation space in RSUD Dr Iskak because terindikasi suspect AI’‘’.
-snip-
Alert I
The Discovery of the case of the AI virus that third this increasingly alarmed the citizen in Tulungagung. The Tulungagung Regional Government at once stated the area in the Alert I status bird flu.
-snip-
Only was acknowledged by Dandung that up to now his side the difficulty divided the allocation of the vaccine anti bird flu to the breeder, because of stock that was owned by him diminished that is only remained at approximately 13 thousand doses. “We have asked for the addition of the allocation of the vaccine from Depertemen Agriculture melaui the East Java Livestock Breeding Service, but up to now did not yet come,” said Danduk. He will say in the near future at least Tulungagung needed 250. 000 AI vaccines for the livestock

From 06:47:
two including dying namely Tyo Styawaning Praise, 8, villagers Sukoharjo, the Bandung Subdistrict,
I don’t have this person listed? Anyone else?

CG This is out of my files from earlier this summer

Metrotvnews.com, Tulungagung: the Animal Service the Tulungagung Regency, East Java, on Wednesday (5/7), finally took the sample of blood and the organ in the poultry in the Sukorejo Village, the Bandu Subdistrict, Tulungagung. This was carried out following the discovery of the case of bird flu that killed a child was five years in this village old. Casualties Nur Setianing Praise died on June 14 set.

I will do some more research but I remember the last name. I will check some more old files and let you know. If I remember correctly, and I may not be, there are articles where Nur was called Tyo and is already a WHO confirmed case from June.

Thanks Influentia2. Hopefully, just some older statistics. Here’s something interesting. I guess the Lab. Health official is in the Hope hospital, not feeling well?
http://tinyurl.com/j64a8
The patient Suspect Membaik

 Jum’at

Bird Flu, on September 29 2006 | 11:59 WIB

The Interactive TIME, Jakarta: Mariyani, the patient suspect bird flu that was treated in the Sulianti Saroso Infection Hospital, Jakarta North, yesterday improved. “His condition was stable and hot him began to descend,” said the Chairman Tim the Handling of RSPI Sulianti Saroso Bird Flu, Sardikin Giri the son, yesterday. However, the team of the doctor still could not confirm whether Mariyani terjangkit the bird flu virus. “Results of the laboratory inspection were still not obtained,” said Sardikin. His reason the official of the laboratory was from the Department of the Health being sick and was treated in our Hope Hospital, Jakarta West.

CG from WHO website

Avian influenza – situation in Indonesia – update 21

4 July 2006

The Ministry of Health in Indonesia has confirmed the country’s 52nd case of human infection with the H5N1 avian influenza virus.

The case, which was fatal, occurred in a 5-year-old boy from Tulungagung district, East Java Province. The boy became ill on 8 June, was hospitalized on 14 June and died two days later on 16 June.

You can google these names and find discussions from June regarding the case you are talking about having different names, ages but the location is the same. I don’t know if anyone ever figured out if Nur Praise and Tyo Praise was one and the same. WHO knows:) I gave up on this one awhile back and just moved on to the next one. If someone knows by now set me straight.

Anyway good morning CG.

CG 16:50 They casualties’s neighbour was killed that was stated positive bird flu, Tio Setiyaning Praise, 5, villagers Sukoharjo, the Bandung Subdistrict

from jawapos.com July 22 in my old files. This is when they had tested nine others then that had contact with Tio. IMHO opinion not worth much, I think Tio is an old WHO confirmed case. Well clear as mud. Time for me to be productive and get some work done around here and some further prepping. That is something I can do something about. Catch up with you and Pugmom later today.

Influentia2; I wonder who they are referring to here: “In the Makassar territory, bird flu has claimed the life of a child who lived in Street Maccini. Casualties died, in September” see post at 06:25 The only Sept admissions we have are Hendra and Sahrul. Hendra was 10 yo. We heard nothing back on them Also very scarey to again hear about people fleeing their homes for the hills in Tasikmalaya (post at 02:04). They did the same thing several weeks ago in Lower Rumoong, and again, we never heard how that played out. I wonder about them every day, but when google it, just get a dead end. The local people are very frightened, to pick up and leave and go somewhere where there may be no protection from the upcoming rains and no certain food, etc. It must be chaos over there. Can you imagine if the same thing would happen in Jakarta, for example? It is our equivalent of “bugging out.”

CG 7:45 Getting to be too many suspect cases and unnamed sickness with too many names for me to keep straight. That is why I am going to get somethings done I need to get done today. Too many to chase down, I need a break so I will catch up to you and Pugmom later, I am becoming burnt out and I know it. Right now I need to focus on the homefront, Indonesia is on their own for today, she’s a big girl. I will check in later, have a good one, try to enjoy your day and have some fun. I am.

BTW, you are doing such a great job at keeping all this straight and getting me and others informed, you have saved me so much time on this I cannot thank you and everyone else enough, don’t give up but please do have some fun. What will be will be.

I have a Patarungi (7) from Makassar, Hospitalized 9/26. Is this someone new? Can someone look for the article for Patarungi (7), and double check on the date of admittance? Same hospital?
http://tinyurl.com/zhn6f
The PRIMARY SCHOOL student in Makassar was infected by Burung

 Makassar

Flu, CyberNews. Perishable (8) a class pupil Ii SD Maccini that remained dikompleks the Veteran Street Prosperous Lr 21 Panakukang subdistricts, the Karuwisi District, Makassar, South Sulawesi was undergoing the intensive maintenance in RS Wahidin Sudirohusodo because of being expected terjangkit the bird flu virus. According to his uncle of Ismail to Antara, on Saturday (30/9), Perishable suffered the high fever since Thursay (28/9), so as on Friday at midnight was run off with to the Wahidin Hospital to be treated. According to the doctor who examined him, Perishable pointed out the sign like the patient who was infected by bird flu so as he must be treated in this RS space of the ferns isolation. The doctor also took Perishable blood to be checked, but up to now not yet have confirmation concerning results of the sample inspection of this blood. Beforehand, on Friday late afternoon (29/9), belasan the tail of the chicken was belonging to the citizen of the Veteran of the complex destroyed personally by the citizen by means of menyembelih and burnt him after since Thursday, several tails of the nonpedigreed chicken belonging to the local citizen died suddenly with the mouth issued mucus. The citizen has reported the incident kepda the official of Makassar City Livestock Breeding of the Service, but did not yet have the official who came to check these chickens so as finally they decided to destroy him.

CG: This is from the post at 06:25. It looks like Apriani and Perishable are the same child. Both are 8 and went into Wahidin Hospital on 9–30–06.

“The doctor’s hospital Wahidin Sudiro Husodo, Makassar, South Sulawesi, accepted again one assumption patient of bird flu. Apriani, the child was eight years, on Saturday old (30/9) was treated because the temperature of his body was high, often the cough, and issued mucus. The team of the doctor sent the example of Apriani blood to Jakarta. The previous day, Paturangi (seven years) also was treated in the space of the hospital isolation with the clinical sign a kind [read: A Child in Makassar was expected by Bird Flu].”

Oh just great, all we get is Great. He/She was brought in today (9/20), but is 9 yrs. old. Could they be talking about Azis (10). No, I don’t think so. Great is from Improper Mountain Village, Kawalu Subdistrict, and I have Azis from Gunungsumbang Village, Kawalu Subdistrict? But the article says it “improved to 3 people”. Which would make sense if it were Azis. When did Azis enter the hospital?
http://tinyurl.com/espgs
Metrotvnews.com, Tasikmalaya: the Patient suspect bird flu that was treated in space the Tasikmalaya isolation of bird flu of the regional Public Hospital, West Java, this Saturday (30/9), improved to three people. The patient just had a name Great, whereas two first patients that was treated since three days set was Ateng and Muslihah. The three patients together came from the Improper Mountain Village, the Kawalu Subdistrict, Tasikmalaya. Great that was nine years old enters isolation space from today. Great was reported experienced the cough and hot high. The sample of Great blood has been checked by the team of the West Javanese Health of the Service. Apart from against Great, the sample inspection of blood was also carried out against the citizen of the Improper Mountain Village, the Kawalu Subdistrict, the residence the three patients. However, as far as this is concerned did not yet have the patient who was stated positive bird flu

CG: print out Michelle’s summary. As of last night, she said she was caught up except for getting Amos and Amah mixed up.

Pugmom - at 08:20, Thanks. I didn’t refresh the page, and just kept posting articles. So now we have one more patient in addition to Patarungi.

I remember that Aziz was only in observation. If this is the same person, she/he has been moved to isolation. My intial impression is it is the same person (does Gungunsumbang mean improper mountain?), but has worsened and been moved to isolation.

correct—one more patient, Perishable=Apriani, and of course, that obscure reference to a child dying in Sept in Makassar.

pugmom at 8:36… the article posted by Influentia1 at 6:25 which referred to a child dying may be discussing Akhira/Akira Wisnu Liyanti (14F). She died 6/24, but the positive test results were not received until 9/06.

Metrotvnews.com, Tasikmalaya: the Patient suspect bird flu that was treated in space the Tasikmalaya isolation of bird flu of the regional Public Hospital, West Java, this Saturday (30/9), improved to three people. The patient just had a name Great, whereas two first patients that was treated since three days set was Ateng and Muslihah. The three patients together came from the Improper Mountain Village, the Kawalu Subdistrict, Tasikmalaya. Great that was nine years old enters isolation space from today. Great was reported experienced the cough and hot high. More about the suspect patient named “Great”. Sorry if this is a repeat.

The sample of Great blood has been checked by the team of the West Javanese Health of the Service. Apart from against Great, the sample inspection of blood was also carried out against the citizen of the Improper Mountain Village, the Kawalu Subdistrict, the residence the three patients. However, as far as this is concerned did not yet have the patient who was stated positive bird flu. (Mg/DEN)

http://www.metrotvnews.com/

Has this patient been reported? I do not believe it has.

Metrotvnews.com, Semarang: the Plague of bird flu again spread in several areas.

In Semarang, Central Java, was reported a pre-schooler was two years old seven months already two days were treated intensive in the special room of the doctor’s Karyadi Hospital after experiencing the sign similar to bird flu. The unfortunate baby experienced the high fever was accompanied by coughs and breathless. When it was confirmed the reporter Metro the TV, the doctor Diwastoro Dadianto from RS the doctor Karyadi said, up to now the condition for this child is stable. However, the medical team was still continuing to monitor the condition for this baby remembering the other fact, that is the existence of the poultry that died suddenly in the village of the patient’s residence, that is the leaves Village, the Kedungpane District, of Semarang. According to Diwastoro, in the leaves Village had several tails of the chicken as well as four cats also six goats that died suddenly without being known by his cause. These chickens were thrown away to the time without being burnt as it should be the flattest assumption of bird flu. Whereas the goat that died could disembelih and was consumed by the local citizen, including the patient. Diwastoro said, his team took the sample of the patient’s blood to be sent to the Research And Development Laboratory (Research And Development) the Department of the Health in Jakarta. However, results were just known next week. Followed up the report about the sudden death of several chickens, earlier today, the official of Semarang City Agriculture of the Service visited the leaves Village and took the sample of poultry blood in this region. This step was welcomed the local citizen that willingly brought their kept poultry was taken the sample of his blood. The citizen wanted to ascertain their kept poultries terjangkit the bird flu virus or not. According to the Section Head Agriculture Semarang Toto Sutanto, sejuh this was not yet known by the existence of the chicken that was infected by bird flu. Moreover, the agricultural Service co-operated Officially the Health of the Semarang City gave counselling to the citizen concerning anticipation of bird flu. The official also sprayed disinfektan to pens of the citizen’s poultry. (Mg/DEN)

http://www.metrotvnews.com/

Goju – at 22:23 very pessimistic folks.

Goju, What’s pessimistic? That we are resigned to the fact that the H5N1 situation is out of control at this point, and that it almost assuredly is moving toward a pandemic influenza strain? I think the concensus here is that that position is realistic, not pessimistic. If not that, please tell us what you think we are being pessimistic about.

“several tails of the chicken as well as four cats also six goats that died suddenly without being known by his cause.”

Morning all-Its a gorgous day here and I’m going to try NOT to be so glum. I’ll take Influenza2′s advice and try to have some fun.

FloridaGirl at 1:05- I’m sorry about your BIL. Als is a horrific disease, but you are right, I do feel more of an inner strength. That will come in handy dealy with this flu.

CG-Lab tech being out sick sounds rather ominous. Of course, could be anything, infected ingrown toenail, hangover, “friday fever” still…. dosn’t sound good.

CG at 8:10 “The citizen has reported the incident kepda the official of Makassar City Livestock Breeding of the Service, but did not yet have the official who came to check these chickens so as finally they decided to destroy him.”

I’m assuming that it was the CHICKEN that was destroyed, not the OFFICIAL. Still, its a thought when officials drag their feet……

Tasikmalaya, West Java: more on Ateng, his child Muslihan, his neighbor, Great (age 10), and now we can add Mae (age 42), who is Ateng’s wife, to the list. They are fervently hoping it is just Newcastle’s Disease. dated 9–30–06 http://www.jawapos.co.id/ (tinyurl not working this am, sent only partial url, look under Nusantara).

The ferocity of Bird Flu Threaten Tasikmalaya Tasikmalaya - the Official from Dinkes West Java continued to enter to the location on last Friday morning took the sample of blood of four citizens. The taking of the sample of the blood to confirm whether the four of them were attacked by bird flu. Despite results rapid the test to the chicken died suddenly in the Subang Mountain Village, the Cilamajang District, the Kawalu Subdistrict, the Tasikmalaya City, was stated by the bird flu negative.

Two among four citizens currently was placed in isolation space of RSU Tasikmalaya. They were Ateng, 60, and his youngest child, Muslihan, 13 the citizen of the Subang Mountain Village, Tasikmalaya, West Java.

Two people more, Great, 9, the neighbour Ateng was treated in the house and Mae, 42, the wife Ateng…..

However, from results rapid the test, the attack evidently the newcastle disease….

However, only Ateng and Muslihan that was treated Great chose to be treated in the house

 the Ateng condition and Muslihan appeared to improve

The testing that was carried out by the nurse moments after pointing out the temperature of the body both of them stable in the figure 36 levels celcius. The frequency of his breath was then normal 22 times per the minute. Witnessed from over glasses, Ateng and Muslihan more terbaring in their respective bed. From time to time Muslihan get up and sat-sat in the bed. According to one of the nurses, if seeing his condition, small their possibility was attacked by bird flu.

 Mae, 42, the mother Muslihan, when being found in his house said, Muslihan began suffered hot around the last nine days.

Mae’s husband on Wednesday September 27 began to be very hot. “When my husband was brought to the community health centre on Thursday immediately was reconciled here (RSU, Red.” ) by the doctor to be on the alert, including Muslihan, he explained.

“Because of results rapid the test beforehand the negative, yes we only gave the socialisation to the community while showing results rapid the test.” Praise the Lord, the citizen not to panic, he said. NY Aminah, 50, the citizen of the Subang Mountain Village, said, before the official from the Livestock Breeding Field came, the anxious citizen, let us hope not Ateng and Muslihan were affected by bird flu.

Main Entry: pes·si·mism Pronunciation: ‘pe-s&-“mi-z&m Function: noun Etymology: French pessimisme, from Latin pessimus worst — more at PEJORATIVE 1 : an inclination to emphasize adverse aspects, conditions, and possibilities or to expect the worst possible outcome 2 a : the doctrine that reality is essentially evil b : the doctrine that evil overbalances happiness in life - pes·si·mist /-mist/ noun

It is somewhat alarming that the mood here has gone from watchful waiting to resignation.

while we all sort of knew this monster was coming, there was that little place in the deep recesses of our minds that “they” were right… that “it” would go away or get real mild.

It looks like we are past that point.

I have received amazing acceptance from everyone i have spoken with, from City Hall, the media, the business community, my own doctor (she didnt argue this time) down to the individual over the last few weeks - THAT is scary!

Yes, Goju, and that little place in the deep recesses of our minds has finally, for many of us, come to terms with reality. Pessimism to me connotes giving up. I am not, nor do I think anyone here, is giving up at all. We are just staring the beast in the eye with a new sense of resoluteness born of realism.

Main Entry: re·al·ism Pronunciation: ‘rE-&-“li-z&m Function: noun 1 : concern for fact or reality and rejection of the impractical and visionary 2 a : a doctrine that universals exist outside the mind; specifically : the conception that an abstract term names an independent and unitary reality b : a theory that objects of sense perception or cognition exist independently of the mind — compare NOMINALISM 3 : the theory or practice of fidelity in art and literature to nature or to real life and to accurate representation without idealization

When the poltury became infected, and millions of chickens were being culled, and villagers got sick from the infected birds, I don’t recall villagers moving their children in panic to a safer place. After all, this has been going on for quiet some time know, and people have been taken ill or died because of the infected poultry. I don’t recall the news reporting the villagers panicking, until now. They didn’t seem to be too concerned about getting ill from chickens, but now their “running for the hills”. Something has them very spooked! I wish we knew what they know.(since they are closer to the source).

It doesn’t sound to me like they are running from infected chickens. Chickens have been dying all around them for a long time. These people depend on their poulty. Until we get more coherent news from these people, we are left to guess, and try to fill in the blanks.

From Okieman - at 09:14 (new patient in Central Java):
…According to Diwastoro, in the leaves Village had several tails of the chicken as well as four cats also six goats that died suddenly without being known by his cause. These chickens were thrown away to the time without being burnt as it should be the flattest assumption of bird flu. Whereas the goat that died could disembelih and was consumed by the local citizen, including the patient.

We are going to have to keep our eyes open in the area. I would imagine some local citizens may get sick.

This article is old news about The Dawn (9) who tested positive, but at the bottom it gives two names of individuals for which we previously only had initials. Also, they are now reported as negative.

…There were 2 patients Suspect Bird flu that currently is treated in Cempaka RSPI Space that is NY Rosmah (60) the Bekasi citizen and Novi (9) the Tangerang citizen. Results of the laboratory showed the bird flu negative to the two patients.

Link to deticom

Michelle in OK - at 11:00 - Got it! It sure is nice to cross people off. Rather than add them. So It looks like South Jakarta is pretty much a clean slate again.

New case in Bandung if I am not mistaken, but it could possbly be dengue. Sounds like they are not sure. This is a long article from an on-line newspaper in Bandung, but it also provides some additional info concerning some of the other cases at Bandung

RSHS Receive ”Suspect” Just the Virus AI Hinder to Sapan Bandung, (HOMEWORK).

- After infecting the Kel region. Kebonwaru, Kec. Batununggal, the Bandung City, the bird flu virus was expected hindered to Bandung City outskirts. Handsome Sadikin space of the Isolation of the Hospital Poinciana Tree (RSHS) Bandung, on Friday (29/9) approximately struck 1. 00, again accepted the new patient suspect bird flu. NY. ‘’‘A (41) the citizen of the Village Sapan the Tegalluar Kec Village. Bojongsoang Kab. Bandung was run off with to RSHS, because suffered hot and breathless, after his neighbouring chicken there are those that died suddenly. However, results of the temporary inspection, NY. A did not head to bird flu, but rather to deman bloody dengue fever (DBD) or the difficult infection. According to the Chairman Tim the Control of RSHS Bird Flu, Dr. Hadi Jusuf, NY. A came to RSHS with the hot complaint the body for six days with one crowded day. Although A did not have the story of the cough pilek, several of his neighbouring chickens there are those that died suddenly in these weeks.’‘’

“Unclear contact, only his neighbour had the chicken that died in the weeks, that is when A was sick,” he said. According to him, results of the physical inspection the A lungs clean. So, breathless that fast that, not was caused his lungs, but because asimidosis or had the illness/the difficult infection that could be caused by the bacteria or everything. The “condition for this mother was not feverish, the fast breath because asimidosis, that is on his blood his atmosphere was sour that was caused by the difficult infection.” His lungs were clean, but his awareness indeed descended. Moreover, there was the bleeding.

So, we mikir also what not DBD, but we also did not ignore the possibility of bird flu, he said.

Because, more he, the bird flu his clinical picture varied from beginning that light to that heavy, and could was begun from signs of the certain organ.

Director RSHS, Dr. Cissy R. Sudjana the officer said, at this time RSHS treated three patients suspect bird flu. The last patient, A was sent from RS Majalaya as suspect bird flu. “However, we were still carrying out the inspection, because results of the blood inspection did not head to bird flu,” he said.

Positif

In the meantime, results of the further test with the method polymerase chain reaction (PCR), in the sample of poultry blood that was taken from the environment around the TJ house in Kel. Kebonwaru Kec.

Batununggal last Tuesday (26/9), it was confirmed was contained by the virus H5N1 (Avian influenza/AI). Before being done by the PCR test, from eight samples of blood that was taken, three including being stated positive contained the virus through the serology test.

Was like this it was said Kadisnak West Java, Rachmat Setiadi. In the meantime, Sekda the Bandung City, Edi Siswadi spread out the meeting dadakan by calling the Section Head Agriculture and the Health Service, to discuss the matter of bird flu, on Friday (29/9). “Di the Bandung City was not yet stated by the plague of bird flu, moreover the poultry in Kebonwaru not original from the Bandung City, but the gift from luar,” he said.

Moreover, the Bandung Municipal Government was opened hotline around bird flu, the number 081322 367935 (Distan) and the number 081320473000 (Dinkes).

The patient in Tasik

In the meantime, the condition two patients suspect bird flu, Atg (50) and his child, Mus (13), from the Subang Mountain, the Cilamajang Village, Kec. Kawalu, the Tasikmalaya City, began to improve, a day after was in space of the isolation of the regional Public Hospital (RSUD) the Tasikmalaya City. However, both of them continue to was in the intensive supervision from the medical team that was led, Dr. Dedi Riswandi, SPD.

‘’‘The official of the health also monitored the And health (9) in the village. This child also experienced the fever as well as coughs.’‘’ The distance of the child’s house with the house two suspect only 20 metre. But, the team of the health, did not yet recommend, the child to be treated to Isolation space of RSUD Tasikmalaya.

In the meantime in Kab. Garut, the poultry that terjangkit the bird flu virus (H5N1) has stricken 12 subdistricts namely Kec. Cikelet, Cibalong, Cisurupan, Leles, Bayongbong, Sukawening, Karangtengah, Malangbong, Kersamanah, Banyuresmi, Tarogongkidul, and Tarogongkaler.

http://www.pikiran-rakyat.com/cetak/2006/092006/30/0101.htm

These portions in the article above should have been highlighted but it did not take.

A (41) the citizen of the Village Sapan the Tegalluar Kec Village. Bojongsoang Kab. Bandung was run off with to RSHS, because suffered hot and breathless, after his neighbouring chicken there are those that died suddenly. However, results of the temporary inspection, NY. A did not head to bird flu, but rather to deman bloody dengue fever (DBD) or the difficult infection. According to the Chairman Tim the Control of RSHS Bird Flu, Dr. Hadi Jusuf, NY. A came to RSHS with the hot complaint the body for six days with one crowded day. Although A did not have the story of the cough pilek, several of his neighbouring chickens there are those that died suddenly in these weeks.

The official of the health also monitored the And health (9) in the village. This child also experienced the fever as well as coughs.

Okieman at 12:25… I believe A (21) to be the same as the General/Amah (41) which is on our list.

And (9) may be the same as Azis/the Great (10)/neighbor of the Muslihan child’s family with an age discrepancy. Azis was being monitored at home, but was hospitalized 9/30.

Michelle in OK – at 12:36

Thanks Michelle. I checked the spreadsheet but must have missed them. Differing initials and names and ages just baffle the dickens out of me. I’m glad you are keeping track.

On a different note, DemFromCT emailed me and said he would be posting the updated map later today.

Okieman at 9:14: “According to Diwastoro, in the leaves Village had several tails of the chicken as well as four cats also six goats that died suddenly without being known by his cause. These chickens were thrown away to the time without being burnt as it should be the flattest assumption of bird flu. Whereas the goat that died could disembelih and was consumed by the local citizen, including the patient.”

They are going to eat the dead goats because they are being told that this is a “bird flu.” That is just too much meat for these people to waste, in their minds.

Dem, thanks for posting the map.

Pixie – at 13:02

I agree. I would not of thought goats were a risk either until recently. Although I would never eat something that died of natural causes (ie- sickness of some kind). But, I am not in their shoes, and if I were hungry would probably do the same.

Note to self: Kill and preserve all ruminants before pandemic, not during.

Niman has been saying for at least a year that this virus would attack other animals, specifically mammals. The cats, the goats, the pigs - they can all be transmittors and mixing vessels too.

If it is virulent enough to kill these animals outright now, their entire food supply is at risk. Yes, people in these nations do quickly eat many animals that die because there is need to, and until H5N1 it was most likely considered to be a non-risky practice as long as the food was prepared properly. This happened in Turkey, too, but now we are talking about very valuable goats, and maybe prize pigs too. And the cats run wild.

Nabarro has begun calling this “an animal and human pandemic.” I hope they get this message out to these people via FAO, OIE, etc.

Okieman and DemCt—every time I see that map I just sit and marvel at what a work of art it is. I also think it is really cool you posted it here on the Indo thread.

No tamiflu blanket planned for Tulungagung as was done in Cikelet. dated 9–30–06 http://tinyurl.com/gpoc2

…..For the prevention in Tulungagung, he said need not yet be spread out by mass medical treatment (mass prophylactic) to humankind around the A residence and E. That was different to the handling of the case of bird flu in Cikelet, the Garut Regency, West Java, where in an epidemilogis manner, geographical, and social filled the condition to be done by mass medical treatment with the model massoseltamivir administration……

OKieman- I would think that the goats are getting infected from the feathers etc, the virus now in animals. I thought once it turns into a human one, would’nt it be a different beast then ? A huiman virus would not infecst them, or not? -We raise goats and they are pets to me, hate the thought of having to kill them. We also have cats and dogs, now goats-I’m getting depressed. this virus is turning into a monster.

Pugmom at 09:22 - Newcastle Disease? Well since humans do not, so far as I know, catch ND, then how come there are sick humans next to poultry that died of ND? I mean, it could, of course, be any ordinary flu, but can the chickens be infected by both ND and BF at the same time? What would happen to the “rapid test”? Do they test simultaneously for both, or for ND first, and once it’s found to be ND, then no further testing of the same chickens? Indonesia has not reported any ND to OIE in 2006 and 2005, though they declared some in 2004, 2002 and previous years.

I love reporting negatives!… as long as they are truly negatives.

Bandung — MIOL: the Managing Director of the Handsome Sadikin Hospital (RSHS) Bandung, Cissy Sudjana the officer, revealed three patients suspect bird flu that was treated in the hospital was stated by the virus negative H5N1.

As for the three patients suspect bird flu that underwent the maintenance in RSHS Bandung was Int (15), San (18) and NY General (41). “The three of them were expected strong the bird flu negative.” Int has been checked by as many as three times and results of the negative, now San results of the first inspection the negative, and NY General did not point out the sign of bird flu. But we continued to be waiting for results of the laboratory inspection selengkap him, he said to the press in Bandung, on Saturday.

Link to Media Indonesia Online

FrenchieGirl; I thought the same thing myself—just wishful thinking on their part, and an easy out, since no one in Indo is too afraid of NewCastles, as you are right, it only kills the chickens. I think they are saying that to keep them from panicking and running to the hills, which, of course didn’t work in Tasikmalaya.

Tulungagung: Eni not doing well. dated 9–30–06 http://tinyurl.com/am6wk

… Eny Wulandari got the intensive maintenance in isolation space of RS Dr Soetomo because …the condition for his breathing was critical. “That was heard by us the Eny respiratory system received the serious handling,” said Rukmi.

Bandung: Azis not doing well: moved to isolation hospital. dated 10–1−06 http://tinyurl.com/glo8a

….space of the Isolation of the Hospital Poinciana Tree (RSHS) Bandung, on Saturday night (30/9), again received suspect reconciliation bird flu from RSUD Tasikmalaya. Az , 9 yo’‘’

 hot him achieved 40 levels celsius.

Because hot him did not descend-descended, after being checked, the specialist of the child’s illness, Dr. Ali Firdaus, decided to reconcile Az to RSHS Bandung. The Az condition, according to the Head of the Kawalu Community Health Centre, Tasikmalaya, Dr. Ali Sab’an, since Friday (29/9) at midnight worsened.

pugmom - thanks for these updates. I really thought Az was adorable. I won’t be going to the Lupitan or Metro News site. I can’t take the pictures. Just letting you know. Poor little guy.

pugmom – at 18:47

Maybe the people in Tasikmalaya have figured out that they’re not getting bird flu from chickens. They’re getting from EACH OTHER!

yeah, they have figured it out, even if WHO has not.

http://tinyurl.com/k8snx Abram’s parents, nurses, doctor negative

On Sunday, October 01 2006 Eni Tertular Unggas Casualties Bird Flu that Currently is treated in RSU Dr Soetomo

 TULUNGAGUNG

- Eni Wulandari, 25, villagers Kaligentong, the Pucanglaban Subdistrict, that positive bird flu not the reason tertular from Abram, his full brother. However casualties terjangkir the virus avian influenza (AI) the reason tertular from the available poultry in his environment. The statement was revealed Kasubdin the Prevention and the Eradication of the Illness of the Health Service of Tulungagung Bahrudin Budi Santosa. According to him, his side was very pessimistic if the case that was experienced by Eni Wulandari was the case of the third phase. Namely the AI spread from humankind to humankind. Meaning that Eni tertular from his full brother, Abram, 11, that was killed positive bird flu to last September 18. Bahrudin stressed, ‘’‘that was experienced by Eni Wulandari was the case of the second phase. Namely the spread from the poultry to humankind.’‘’ “Was thought by me Eni tertular from the available poultry in the surrounding environment.” Because Eni remained at one house with his brother, Abram. Whereas around their house indeed was found by many chickens that died because of AI, said Bahrudin yesterday. The first phase was the spread of the AI virus from the poultry to the poultry. The second phase, the spread of the AI virus from the poultry to humankind. And the third phase, the spread of the virus H5N1 from humankind to humankind. This third phase that currently most is frightened. As is known, Eni Wulandari was stated positive terjangkit the virus AI. he was run off with to RSU Dr Soetomo, Surabaya, to last Monday, September 29. Beforehand, the Abram older brother was treated in RSUD Dr Iskak Tulungagung because suspect (it was supposed) terjangkit the AI virus. Bahrudin admitted the possibility of the spread of humankind to humankind indeed was available. His article during Abram was sick AI, Eni that most often direct contact. Both for Abram in the house and during in the hospital. But, continued Bahrdin, the assumption was very small. ‘’Alasanya that had the history of direct contact with Abram not only Eni, but the two parents Siyah and Sutris. As well as the doctor and the nurse in RSUD Dr Iskak for Abram was sick.’‘’ If his spread humankind to humankind, certainly not Eni

But that all of them also tertular. But in fact results of the laboratory inspection of the two parents and the nurses nagatif and only Eni that positive, he said firm. It was related that the alert status one bird flu, said Bahrudin, the Tulungagung Health Service has determined the step in anticipation. His side has mengintruksikan to the official in the Pucanglaban Subdistrict Community Health Centre to do the monitoring of the routine in the Kaligentong Village. The supervision was carried out routinely, especially to casualties’s family and the community around it. “Specially the Kaligentong Village continued to be monitored by us every day,” obviously him. Especially for the citizen Kaligentong if being found had the person who was sick and was suspected, then the local community health centre must as soon as possible refer to the hospital. So as later could be done by the inspection that in more detail. If it was considered was directed bird flu will be brought to Surabaya. “Lest this handling late.” Because this AI virus was very cruel and in in no time. We also provided Tamiflu for early medical treatment to the person who was suspected, added Bahrudin.

I think this is the same child as in Okieman’s post but there is a nme and a hamlet listed and info on their condition.

On Sunday, October 01 2006 the Semarang Citizen was expected by Bird Flu Semarang - A Semarang citizen suspect bird flu. At this time casualties were treated in RS Dr Kariadi, Semarang. The child was 3.7 years old was the citizen RT 4/RW 3 Dawung hamlets, the Kedungpane District, the Mijen Subdistrict, Semarang. The existence suspicion of the virus infection avian influenza (AI) to the child was named Bimo Alamsyah started from the death 10 poultries in casualties’s residence. Increased, the complaint of casualties’s illness resembled signs terjangkit him the bird flu virus. When being brought by his parents to RS Dr Kariadi last Thursday, the temperature of the Bimo body very hot, on 38 levels celsius. Casualties also complained similar to the ISPA illness, like the cough and pilek. “As the step in anticipation, casualties were treated by us like suspect bird flu.” Moreover, he once contact with the poultry, said Dr Agus Suryanto from RS Dr Kariadi to the reporter yesterday. Results of the temporary inspection were known, the number trombosit casualties were still being normal, 385 thousand. In the meantime, to the bird flu patient, trombosit tended to descend under the normal number, 150 thousand for children. The number of casualties’s leucocytes also still was in the normal line, that is 10. 400. The decline only appearance to numbering lymphocytes 2. 900, from the normal condition 3 thousand above. “That below normal only lymphocytes.” That then the fall very few, added Dr Agus that was accompanied by Dr Dwi Wastoro Dadiyanto the spokes. Results of the photograph of x-raying casualties, according to Dwi Wastoro, clinically did not show the existence of the bird flu illness. On results of this inspection, the temporary assumption of casualties contracted the inflammation to the throat or had the ISPA attack in the upper part. However, casualties continued to be treated was proper for the patient AI. For Example, was placed in isolation space and was given by Tamiflu. Moreover, the sample of casualties’s blood was taken that results were just known next week. Currently the condition for the patient gradually gets stable. The temperature of the body that originally hot high gradually has gotten normal to 37 levels celsius.

http://tinyurl.com/gtd6f

Semarang, Central Java: New Case, name: Bimo Alamsyah age 3.7 yo. dated 10–1−06 http://tinyurl.com/qlox8 comment: Okieman reported on a 2 year 7 month old child (post 9:14) who has been in ICU for 2 days. This may be the same child. Till we get the ages and names straight, just don’t know.

Semarang - A Semarang citizen suspect bird flu. At this time casualties were treated in RS Dr Kariadi, Semarang. The child was 3.7 years old was the citizen RT 4/RW 3 Dawung hamlets, the Kedungpane District, the Mijen Subdistrict, Semarang. The existence suspicion of the virus infection avian influenza (AI) to the child was named Bimo Alamsyah started from the death 10 poultries in casualties’s residence. Increased, the complaint of casualties’s illness resembled signs terjangkit him the bird flu virus. When being brought by his parents to RS Dr Kariadi last Thursday, the temperature of the Bimo body very hot, on 38 levels celsius. Casualties also complained similar to the ISPA illness, like the cough and pilek…..

worrywart – at 14:23

I do not know for sure that the goats were infected with bird flu and the folks eating them were in turn infected. I guess my post was a reflection upon the fact that there just seems to be more questions than answers and more surprises than firm facts with this virus. The question of H5N1 infecting ruminants is still just that for me right now, a question. Time will tell, if the WHO does not.

Wait till it goes pandemic……It will be like trying to grab hold of a nucluer reaction.

Influentia-21:52 The article you posted argues that Eni (25) could not have been infected by her brother, because in that case the nurses, the doctor etc would have also been infected by her as well. May she had closer cosntact with him and she was not wearing PPE’s like the professionals? Okieman Your comment about putting ruminants in the freezer before the pandemic startled me. I think it is far too early to panic and cull livestock or get rid of cats and dogs at this time and I would discourage anybody thinking about it from doing so.

Indonesia Summary - Updated as of 09/30/06

worrywart – at 23:47

Okieman was just kidding about killing the critters and putting them in the freezer before the pandemic comes! (Right Okieman? Err, you WERE jut kidding, right?…)

With the Great entry, the Handsome Hospital of Sadikin Bandung currently treats four flattest patients bird flu. Three that other was the Diamond and Santi, the full brother and the cousin’s brother Zakaria Divine Guidance, bird flu casualties that died, as well as the Woman Ama, the bird flu patient from Bojongsoa, West Java

The above is from the MetroTV but gives the names of the 4 patients all under treatment in Bandung. “the Great” is Azis (the photo of him just breaks your heart). Hope this helps piece the puzzles together ….

Pugmom 22:22 May or not be same child. I don’t know, I am guessing.

Worrywart 23.47 I believe the hospital in Tulungagung does not have “the isolation space” like the one in Surabaya does and that may be why HCWs were tested. I believe the officials think there is a chance it could have been H2H so they were being careful. I also believe Eni was negative and then tested positive which led to some confusion at first to who she was, so as far as others in that area being negative I will wait and see because time will tell. I don’t know how the officials arrive at their conclusions in Tulungagung maybe they are guessing too:) WHO knows:)

Edna Mode 9:39 In 100% agreement with your post.

Pugmom - at 18:55: This is very interesting. This article below describes Enu as getting slightly better. Your article describes Enu as not doing better. Your article is dated 9/30. When I clicked on your tinyurl, it gave me the article below. Same exact time (15:27). Same exact website. Huh.
http://tinyurl.com/pbhrv

On Sunday, October 01 2006 15:27 WIB Indonesian Archipelago - Java Timur the Condition for the Bird Flu Patient in Surabaya Membaik

The writer: Faisol Taselan Surabaya — MIOL: After six days underwent the maintenance, Eni Wulandari, 25, the patient suspect bird flu from the Time Village Gentong the Pucang Laban Tulungagung Subdistrict increasingly improved and stable. “His cough increasingly subsided and decreased, but the team of the doctor continue to treated was in accordance with the assumption of the affected patient suspect bird flu,” said the Chairman of the Forum for the RSU Press Dr Soetomo, Dr Urip Murtedjo when being contacted by the Indonesian Media in Surabaya, on Sunday (1/10). According to Urip, the condition for the woman who did not yet have this child, increasingly improved. Nevertheless, the family was still not permitted bertatap the face, apart from the medical team. The condition improved, said Urip, was seen from results of the inspection on casualties’s lungs was seen began to improve compared with several days ago. Nevertheless, the patient still mengunakan respiratory aids. “Oxygen that has been given by us slowly began to be reduced by us because the condition began to improve, hopefully in not old time the condition continued to improve,” said Urip. Moreover, the temperature of the body of the patient has been normal and not again hot, although at one time the temperature of his body was again hot. Nevertheless, the team of the doctor continued to guard against the patient who has received the maintenance in RSUD Dr this Ishak. His article, his brother, Abram, who still was 11 years old died by means of suddenly, that beforehand experienced hot high for 5 days, but was still not known whether positive bird flu or not. The medical team monitored for 24 hours, because of the condition for the patient suspect bird flu always changed. Now improved the ray also in several hours afterwards worsened again.

Pugmom at 18:55 - I went into the archives and found your article. For the record, I’m posting it below. So, on 9/30 Eni not doing well at all. 10/ Edi improving.
http://tinyurl.com/z9z8q
On Saturday, September 30 2006 12:53 WIB the HUMANITIES - Kesehatan the Citizen Tulungagung Eny Wulandari Positive was infected H5N1

The writer: edy s TULUNGAGUNG — MIOL: Teka-teka the illness kind that attacked Eny Wulandari, 25, villagers Kaligentong, Tulungagung, of East Java, finally had been answered. Eny that since the last four days was treated in special isolation space the Hospital (RS) Dr Soetomo, Surabaya, was stated positive tertular the bird flu virus (H5N1). The section head the Health of the Tulungagung Rukmi Regency replied the reporter said this matter and named the condition for the deceased’s full sibling Abram, 11, that died last week that was rather worrying. “We just accepted the news from the Big Hall the Health Laboratory (BBLK) Surabaya that stated Eny positive tertular AI (avian influenza),” said Rukmi that was contacted through the telephone, on Friday night (29/9). According to Rukmi, the sample test of blood and the Eny nose liquid that were done by BBLK that co-operated with the Research And Development Body (Balitbang) the Department of the RI Health was in Jakarta done by as many as three times. In the first inspection and the two samples of blood and the nose liquid of Eny was stated by the negative. Just in the inspection to three that was carried out by Balitbang Department of Health RI was found by the virus H5N1. At this time, said Rukmi, Eny Wulandari got the intensive maintenance in isolation space of RS Dr Soetomo because the condition for his breathing was critical. “That was heard by us the Eny respiratory system received the serious handling,” said Rukmi. Was based on the Media’s Indonesian note that was received from the Tulungagung Health Service mentioned with the AI case findings to Eny, then up to now has had three citizens Tulungagung that positive was infected by the virus H5N1, two including dying namely Tyo Styawaning Praise, 8, villagers Sukoharjo, the Bandung Subdistrict, and Abram, 11, the full brother Eny Wulandari. Beforehand several medias launched has had three bird flu fatalities before Eny. Reported, Aditya Ryan Saputra, 8 months, villagers Sukowiyono, the Karangrejo Subdistrict, died to last June 2006 after being stated suspect bird flu. However the local health service denied the Aditya death because of the bird flu virus although could be treated in AI isolation space in RSUD Dr Iskak because terindikasi suspect AI.

Last weekend I had what I suspected (correctly) was a whopping case of strep throat but refrained from hitting the fishymycin because the validity of the strep test, after 72 hours of treatment with antibiotics, would have been in question. I might have tested negative when in fact the resuts were positive for strep.

Does anyone know if the early treatment of H5N1 contacts with Tamiflu can result in similar false negatives? Has Roche had anything to say about this?

And has the WHO definition of “H5N1 positive” been broadened to allow for counting a contact as a positive if they become symptomatic in some way and yet were earlier given Tamiflu? Otherwise, a new way to keep the official case count low may have been stumbled upon.

I am concerned that they have said this, about the upper respiratory tract and throat involvement of patients they are prudently treating as AI patients:

Influentia2 – at 22:10: “Results of the photograph of x-raying casualties, according to Dwi Wastoro, clinically did not show the existence of the bird flu illness. On results of this inspection, the temporary assumption of casualties contracted the inflammation to the throat or had the ISPA attack in the upper part.”

That’s just ducky! – at 01:27

Yes, I was just kidding.

N. Sumatra Sounds like Bitner (Binary), Lena and Retno may be coming home soon.
http://tinyurl.com/nkdh6
The patient Suspect Bird Flu from Pakam would Dipulangkan on Saturday, 30–09–2006
RSU the Centre H Adam the Medan Owner in the near future will return Binary Sitorus (33) and his wife Lena br Tampubolon (31) as well as his child of Retno br Sitorus (12) to his house. His article, villagers the Fence of Teak, the Pakam The Deepest Part Subdistrict, of the Deliserdang Regency were stated increasingly has improved after beforehand was stated suspect bird flu. “Kita was kept waiting results of the sample of blood from Jakarta in the near future. After that, just we pulangkan,” Deputy Director’s words RSU the Centre H Adam the Medan Owner Dr M. Nur Rasyid, on Friday (29/9), yesterday. According to Rasyid, results of the inspection and the diagnosis that were carried out by the team of the handling of bird flu RSU the Centre H Adam the Owner that consisted of Prof Dr Luhur Soerosa, Dr Adnan Adlin and the medical team other, the three of them very far from the sign suspect bird flu. Because of the lungs the three of them were not found spotty pneumonia as being proper for the bird flu patient. Whereas the fever the three of them have also been normal namely 37 levels celcius. Moreover did not have the breathless feeling.

Long article, but it contains some pertinent info concerning the suspect cases in Bandung.

On Saturday late afternoon Az was reconciled to RSHS Bandung

 ”Suspect” AI Tasik Memburuk

Bandung, (HOMEWORK).

- Handsome Sadikin Space of the Isolation of the Hospital Poinciana Tree (RSHS) Bandung, on Saturday night (30/9), again received suspect reconciliation bird flu from RSUD Tasikmalaya. Az (9), the citizen Kp. The mountain Sudang the Cilamajang Kec Village. Kawalu this Tasikmalaya City, arrived in UGD RSHS Bandung approximately struck 19. 15 WIB was delivered by his two parents, Wawan Setiawan (49) and Neneng Suryanah (46).

According to the acknowledgment the mother, before being sick, his son did not carry out direct contact with the poultry. At that time, his kept poultry not there are those that then was sick or died suddenly. But, in several last days, his 20 neighbouring chickens died suddenly. Therefore, Neneng concerned just as his child was sudden the high fever. His child, according to Neneng, began to be sick on Tuesday (26/9) approximately struck 12. 00 WIB, with the sign of the cough, crowded, and the fever. “Could be treated in the Kawalu Community Health Centre a day overnight.” Because hot him achieved 37 levels celsius, he was brought came home but in observation of the doctor, he said. While two days in the house, were said by Neneng, his child’s fever continued to rise through to 39 levels celsius and on Friday night was reconciled to RSUD Tasikmalaya, because hot him achieved 40 levels celsius. Because hot him did not descend-descended, after being checked, the specialist of the child’s illness, Dr. Ali Firdaus, decided to reconcile Az to RSHS Bandung. The Az condition, according to the Head of the Kawalu Community Health Centre, Tasikmalaya, Dr. Ali Sab’an, since Friday (29/9) at midnight worsened. Hot him did not descend-descended, achieved 40 levels celsius. Az also experienced crowded and coughs. Moreover, after being reconciled to RSUD Tasikmalaya, his condition continued to worsen, so as on Saturday afternoon approximately struck.

5. 15 WIB, he was reconciled to RSHS.

In the meantime, IM, one from three patients suspect that still was treated in RSHS Bandung, was stated by the bird flu negative. Whereas NY. A (41) was known positive terjangkit dengue fever dengue fever (DBD). “Results of the first, second and third sample inspection, IM was stated by the negative.” He was healthy and on Monday, the possibility was returned, said RSHS Bandung Director, Prof. Dr. Dr. Cissy B Kartasasmita, M. Sc. , on Saturday (30/9). According to information, the Az residence in the Sundang Mountain, Tasikmalaya, was neighbouring with the Atg house (50) and Mus (13), that before entered Isolation space RSUD the Tasikmalaya City. However this first and second patient, till yesterday still was treated in RSUD Tasikmalaya and the condition him has begun to improve. The emergence suspect bird flu, became attention of the Tasikmalaya inhabitants. Moreover, this case was that the first time, after isolation space for the patient suspect bird flu was opened in RSUD the Tasikmalaya City. Several citizens hope for was done by the mass vaccination to all the poultries in this city. The citizen felt lega

The citizen Kp.

Sapan the Tegal Village Outside Kec. Bojongsoang Kab. Bandung, somewhat relieved like that heard a person suspect bird flu from the village, NY. Amas (41), only suffered dengue fever dengue fever (DBD). The news concerning the DBD illness that was suffered by NY. Amas, was broadcasted by several medias, on Saturday (30/9) so as to make the citizen around casualties’s house bersuka feelings. “We could worry, for the last two month many affected citizens the illness with the sign like bird flu,” said Aminah (42), the neighbour Amas.

Said by Aminah, the citizen’s unrest started last Sunday (24/9) in the first day the fast. Amas that the previous day consumed “entog” suddenly was attacked by the sign resembled the bird flu illness as that was explained by the official of the health several the previous day. Around “munggah” (Sabtu,23/9) approximately struck 16. 00 WIB, Amas consumed meat entog, and approximately struck 19. 00 WIB experienced the high fever, had a headache, limp and vomited again and again. “That same evening in brought to the Ebah Majalaya hospital and it was said was affected by the sign of bird flu,” said Aminah.

Despite the similar sign had attacked belasan the citizen around for the last two month, but the NY illness news. Amas, made the citizen worried. But like that had the news from RSHS that Amas suffered DBD, the citizen became relieved. Sobur Anwar, the Chairman RW local permitted for the last two month approximately 250 heads of households to feel restless, because by turns they were attacked by the sign that resembled the sign of Bird Flu. But like that has undergone the maintenance in RS Ebah Majalaya evidently they suffered dengue fever and recovered.

http://www.pikiran-rakyat.com/cetak/2006/102006/01/0101.htm

CG 7:14

This caught my eye from your post.”Aditya Ryan Saputra, 8 months, villagers Sukowiyono, the Karangrejo Subdistrict, died to last June 2006 after being stated suspect bird flu. However the local health service denied the Aditya death because of the bird flu virus although could be treated in AI isolation space”

Excerpt: 15 Juni: As is known Tulungagung became one of the endemic areas of bird flu. The Media’s Indonesian note mentioned in 2003 - 2004 at least 300 thousand livestock, especially the chicken in the area died and were destroyed because of being affected by AI.

Exceprt: The concern would the AI danger increasingly big after two older brothers were siblings from the Sukowiyono Village, the Karangrejo Subdistrict, namely Adtya, 11 months and Rizal, 7, was run off with to the regional Public Hospital (RSUD) Dr Iskak because diindikasi suspect bird flu.

Aditya had finally died after experiencing the high fever, coughs as well as breathless. Whereas Rizal could be treated for a week because of the similar sign.

Later after being done by the verification of the sample of blood in RSU Dr Soetomo Surabaya for the time being Rizal the AI virus negative.

http://tinyurl.com/qyv5s This one has had me curious.

Influentia2 - at 11:23, yes, I found that interesting also. My problem is I cannot open up the Spreadsheet, as my Mac does not want to accept the FTP file, and it opens under Apple Works. So, I can’t see if this has already been recorded or not.

Influentia2 and Commonground… Aditya and Rizal were discussed back on the Indonesia V thread (and others). At that time, our tracking period started at the end of July when the Cikilet cluster started. For this reason, they were not added to the list at that time.

Later, our time period expanded backwards (perhaps because of the confusion over names surfacing). I’m not sure all of the discussed cases were added to the spreadsheet, as I only added names as requested when they surfaced again. I’m wasn’t sure it added any value to spend time tracking backwards.

Thanks Michelle in OK. My husband helped me out and now I can use the spreadsheet, which will really help!

I am posting this on both the Indonesia thread and the Daily News thread due to the nature of the content of the article relating to H5N1 in cats, dogs and pigs.

The cat & the Dog was expected the Adaptor of the Flu Virus Burung

Bandung, (HOMEWORK). -

with the existence of the positive patient bird flu in Kel. Kebonwaru Kec. Batununggal the Bandung City, the Centre of the tropics Illness and the Infection (TDIC) the Airlangga University will take the cat specimen and the available dog in the Bandung City and the Handsome Sadikin Hospital (RSHS) Bandung. The two animals were expected as the adaptor of the bird flu virus, apart from the pig. “Pengambilan the cat specimen will be done in wet market or the traditional markets and reconciliation hospitals, one of them RSHS that prepared gave izin,” said the Head of the Centre of the tropics Illness and the Infection (TDIC) the Airlangga University, Dr. drh. C. A. Nidom, when being contacted via telephoned, on Sunday (1/10). But, the Managing Director RSHS Bandung, Dr. Cissy R. Sudjana the officer rejected this matter. He did not feel he had given permission to any side to take the available cat specimen in RSHS. ”Gak knew, I gak could the written request for permission from anywhere. If gak with permission, yes, gak could. Moreover the cat that mana,” he said. The research that has gone for the last two week, continued Nidom, was based on the cat fact to the virus adaptor through the poultry was infected that was eaten by him. Moreover, he had found the virus H5N1 on the cat body in several areas in Indonesia.

“Memang, was based on results of the research beforehand, just the proven pig could as the virus adaptor and afterwards spread him to manusia,” he said. According to him, the cat and the dog became the animal that was expected strong at could become the virus adaptor H5N1 as in the case of the pig. Added, the spread of the bird flu virus could not be only seen from the poultry to humankind, like that uptil now was carried out by the Department of the Health. The bird flu virus, added he, could be spread through the other animal, that is the pig that has been proven in Tangerang, last year. “Selama this often the distortion in the handling of the case of bird flu has happened because that was seen by only spreads of the poultry to manusia,” he said. The government he thought immediately did not follow up the discovery about the pig. The spread from the poultry to humankind, small his possibility because of two obstacles. Firstly, the place of attachments to the virus receptor between the poultry and the humankind were different. “Ayam that spesifitas his receptor 23, whereas humankind 26. Now, the pig had the two receptor kinds tersebut,” he said. Secondly, the temperature of the chicken body with the humankind was different far. The temperature of the revolving poultry body 40 to 41 Celsius levels, whereas humankind only 36 Celsius levels. “Oleh because that, the virus needed the adaptor. Until this just the pig that could because he had two receptors that were the same as the poultry and humankind and the pig had the temperature of the body that be the same as manusia,” he revealed.

The handling of the patient Was based on the data in the Health Service of the West Javanese Province, the patient that was stated positive terjangkit the bird flu virus had 23 people, 19 including dying. Now, the patient that had been treated in RSHS Bandung from eight positive people, six including dying. Uptil now, the monitoring of the patient who was stated positive, but did not die, was handed over to the hospital that reconciled him. “Memang did not have the provisions how long they must the control. Usually three months berturut-turut,” said Dr. Cissy. On this, Dr. Nidom suggested that the Department of Health carried out the monitoring continually against positive patients who still were living. “Saya was sure he brought the virus, but recovered. I worried the virus did not yet form antibodies et cetera could unload blood cells putih,” he said.

Dipindah

In the meantime, the patient suspect bird flu, A (41), has been moved from Poinciana Tree Space to Internal Disease Space of RSHS Bandung. “Ia positive was attacked by dengue fever and the flu negative burung,” said Dr. Cissy. Now, the IM situation (15) continued to improve. The laboratory test totalling three times showed results of the negative. The big possibility, today IM is returned to his house. Twice the laboratory test also showed results of the upper negative the sample from suspect San (18) that still relatives IM. While Az (9), the reconciliation patient of RSUD Tasikmalaya that arrived in RSHS, on Saturday night (30/9), at this time was still feverish but breathless decreased. “Kemungkinan him was negative, because of his leucocytes tinggi,” said Dr. Cissy.

Membaik

In the meantime, the condition for the health of two patients suspect bird flu that was treated in Isolation space RSUD the Tasikmalaya City on Sunday (1/10) increasingly good. Atg (50) or his child, Mus (13), has not been feverish and again breathless. “However, for the patient Mus still had his cough.” But, his cough not often. Generally the condition both of them improved, the temperature of his body was also normal, said Lusi, the nurse that handled the two patients. According to Lusi, the two patients were on Sunday morning examined by the condition for his health by the internal disease specialist, Dr. Dendi. Results of the inspection showed the condition for his health improved. “But, they were not yet allowed to come home and continue to in observation,” he said.

The chairman Tim the Handling of Bird Flu RSUD the Tasikmalaya City, Dr. Dedi Riswandi said, because of entering the room of the isolation so as the treatment of the two patients as in the case of was given to the patient suspect bird flu. They were minimal for a week was in this isolation space. If his condition improved and results of the test that was carried out the health laboratory in Jakarta the bird flu negative, they could come home.

http://www.pikiran-rakyat.com/cetak/2006/102006/02/0102.htm

Question (also posted in news thread):

I have noticed this extremely long toggletext articles from Indo both here and in the Indo threads. Are they being posted in their entirety as a service to readers so they don’t have to translate them themselves? They are really long and I know the wiki has been having speed problems of late. Are these treated/seen in a different light than regular English language news articles where only a couple of paras are posted with a link?

Thank you.

anonymous – at 14:43

This long article was posted due to it’s importance. The Pikiran-Rakyat is given credit, and my personal thanks for the gumption to print and post it on the their website.

Oh, by the way…get a name. Thanks.

(also posted in news thread)

CG 11:44

I posted what I had on Adyta and Rizal for information only not to add to the cases. I know they were before July when the tracking started. Personally, I try to keep the old cases/areas and info straight and I like to compare what was said then with what is being said now if something happens in the same area again.

Okieman 14:38 14:56

Great article. Well worth the space. Which “several areas of Indonesia” I wonder?

update on condition of Bimo Alamsyal from Semerang, Central Java. article dated 10–2−06 http://tinyurl.com/pb6qb (must only be this one child. There was confusion last night if it was one or two children.)

 Liputan6.com, Semarang: the Bimo Alamsyah Health that was expected terjangkit bird flu showed the sign improved.

However the child was two years old still was treated in space Kariadi Semarang, Central Java, of the isolation of the doctor’s Hospital of Ahad (1/10). Was based on the medical note, Bimo suffered the acute respiratory tract infection (ISPA). Tim was medical also concluded Bimo did not suffer pneumonia or the inflammation of the lungs. After four days were treated, the temperature of the Bimo body tended stable and appeared clear while playing [read: the Bird Flu Sufferer in Tasikmalaya improved]. The sign improved also it was demonstrated Great that was treated in the Handsome Hospital of Sadikin Bandung, West Java. Was different to Bimo, Great still the cough and breathless although the temperature of his body was normal. Therefore the team of the doctor still placed Great in isolation space. Great came from the Subang Mountain Village, the Cilamajang Village, the Kawalu Subdistrict, Tasikmalaya, West Java. The location that was the same as Atang and his daughter, Muslihah that was expected terjangkit bird flu and was treated in RSU Tasikmalaya…..

anonymous – at 14:45

The answer to your question is yes, to some extent. The information on this thread is used to try to keep track of what is really happening in Indonesia… Since we are not seeing this informaiton in MSM.

The amount of work that this group of people put into this effort is enormous.

In order to get the most accurate information, and be sure to not miss important facts, is to post most or all of the article… Which is necessary. Otherwise, these individuals and others (like me) will have to go back and re-translate the article to find information necessary to complete special projects. A time consuming task that would NOT be peformed by many.

If the article is not posted with most of the content, you run the risk of missing clues, relationships, persons infected or not infected, and so on… when that happens, you lose credibility.

Worse… we all might miss those first few clues a pandemic might break out.

This is a community project that has implications beyond the frustration of reading long posts. In order to acknowledge that frustration, in the beginning, this indonesia team asked for a thread to be dedicated just to post summaries, maps, and other information they put together. That way they hoped to help Alleviate some of that frustration.

I hope you find some solace in the fact that this is a working thread, and the information garnered here may benefit you and your family.

FloridaGirl – at 22:05

Well said. Thank you.

http://tinyurl.com/m2d46
On Monday, October 02 2006 12:56 WIB
Bird Flu, RSHS Bandung did not yet ascertain the Condition for the Aziz Patient
Bandung — MIOL: the Handsome Sadikin Hospital (RSHS) Bandung, West Java, still could not confirm whether Great, 9, the citizen of the Sagudang Mountain Village, the Cilamanjang Village, Tasikmalaya, positive was affected by the bird flu virus or not. “To clarify whether Great positive was affected by the bird flu virus or not, the team of the doctor RSHS today sends the sample of great blood to three laboratories, including the laboratory in Jakarta,” said the Chairman of the team of the control of the bird flu virus of RSHS Dr Hadi Yusuf, in Bandung on Monday. Till this Monday, the team of the doctor was still continuing to carry out the inspection intensively towards the condition for the Great health, 9, that since Sunday night (30/9) last week was treated in space of the Poinciana Tree isolation of RSHS Bandung. The “condition for the Great health has begun to improve, like his breath that originally often crowded, currently has begun to be normal.” Even so the temperature of his body that could achieve 3.9 Celcius levels, currently has come back normal became 3.6 Celcius levels, said Hadi. However, he said, the team of the doctor RSHS will not be affected by the improvement of the patient. “Because in the certain situation the condition for the health of the bird flu patient will change drastically.” And, most was not helped (his spirit). That that always was worried by us, said Hadi explained. So, further Hadi, his side will not be reckless in handling the patient that suspect bird flu. “We will continue to monitor the Great development for 24 hours.” Because his condition was still necessary the supervision of the doctor, he explained. As information, Great was run off with to RSHS on Sunday (30/9) after could be treated in the regional Public Hospital (RSUD) the Tasikmalaya Regency. Apart from Great, RSUD Tasikmalaya was also treating two patients suspect other bird flu, that is the Strategy and Apeng, both of them the citizen of the Sagudang Mountain Village, the Cilamanjang Village, the Kawalu Subdistrict, the Tasikmalaya Regency. However, the Great condition day after day increasingly worrying, including being often breathless and the temperature of his body was abnormal. So, the Chairman of the team of the Control of the Illness and environmental Sanitation (P2-PL) RSUD Tasikmalaya Dr Hasni suggested so that Great immediately was brought to RSHS. “We berkesimpulan that Great must get the service that more, because of his condition was increasingly worrying,” he said

Looks like we have two suspect cases from Lembang placed in the hospital in Bandung.

Liputan6.com, Bandung: Three from six assumption patients of bird flu that was treated in Handsome Sadikin space of the Hospital isolation (RSHS), Bandung, West Java was ascertained by the bird flu negative. The condition for the precious stone Diamond, Santi Susanti, and Amas till this Monday (2/10) improved. Moreover the Diamond and Santi have begun to be able to go. The chairman Tim the Handling of Bird Flu of RSHS Bandung the doctor Hadi Yusuf said, the Diamond and Santi were immediately returned. They only will undergo treated the road. In spite of that the Azis condition, the reconciliation patient from RS Tasikmalaya currently continues to improve [read: the Great Condition and Eni improved]. ‘’‘RSHS Bandung last night also received two patients from Lembang that was expected by bird flu. In the meantime, the Jakarta Regional Government will tighten the supervision of the poultry from outside the city. This was carried out so that the community in Lebaran later could mengonsumsi the safe poultry and free from bird flu.’‘’ One of the places that will be supervised tight was the chicken trade centre in the Pulo Gadung Lock region, Jakarta East. The chicken that entered there in general was brought in from Jakarta, Bogor, Depok, Tangerang, Bekasi, Tasikmalaya and partly Central Java. Every day not less than 200 thousand to 300 thousand tails entered there. Padagang claimed to be the poultry that was sold will not be attacked by bird flu. His article if the chicken that was sent died or was affected by the illness immediately will be returned to the place of his origin. Moreover the Special Capital District of Jakarta Regional Government will also increase the supervision of the poultry traffic that entered the Capital. The method is, that is by placing the official in the place of the poultry reception. Regarding that the government also asked for the community’s participation in order to take part in supervising the movement in and out of the poultry that came from outside their environment.

http://www.liputan6.com/view/7,130161,1,0,1159790772.html

Two more new cases in South Sulawesi. Also good news out of Medan reported in the later portion of the article.

Metrotvnews.com, Makassar: the doctor’s Hospital Wahidin Sudirohusodo in Makassar, South Sulawesi, on Monday (2/10), this received two patients suspect bird flu.

Mustariza, four years and the Lamp, seven years, at this time in the unstable condition. The citizen Street Perintis Breakingprep Kemerdekaan, Makassar, earlier arrived in the hospital around struck 12. 00 WITA. the two older brothers were siblings this suffered the high fever and was accompanied by the cough. They were received in the serious part the emergency and was placed in maintenance space of ferns. Saw the sign that was similar to bird flu, the team of the doctor at once took the sample of blood from Mustarisa and the Lamp. Parents Mustarisa and the Lamp claimed, before being sick, his child could play played with the chicken carcass that died suddenly as a result of being attacked by the illness that was similar to bird flu. Beforehand, this hospital also received the patient suspect bird flu, Paturungi, the class student two primary schools. From Medan was reported, three patients suspect bird flu was from the Sitorus family stated by the negative by Adam’s side of the central Public Hospital the Medan Owner, North Sumatra. They are currently permitted to come home in the Melintang Market Village, the Pakam The Deepest Part Subdistrict, Deli Serdang, North Sumatra. The side RSUP Adam the Owner stated, results of the blood test, the saliva and the lungs pointed out the Sitorus family, namely Bitner Sitorus, the wife Bitner — Lena Boru Tampubolon — and his daughter, Retno Sitorus not terjangkit the bird flu virus. Beforehand, this Sitorus family could receive the maintenance and the tight guarding from the doctors in RSUP Adam the Owner. However, after several days were treated, the doctor that checked stated the three patients of the bird flu negative and was permitted to come home. Lena Boru admitted to liking information from the side of RSUP Adam the Owner. Only, since returning to the house, he could be expelled by the citizen around because of the assumption of the bird flu illness that was suffered by him. (DEN)

http://www.metrotvnews.com/

Info concerning two from Lembang and good news concerning some of the suspect patients in Bandung.

Liputan6.com, Jakarta: Health Minister Siti Fadilah Supari blamed the community because bird flu is still being contagious in Indonesia. In the Menkes view, the citizen not all that responded to the government appeal, as not maintaining the poultry near the house to press the spreading of the virus. “Separate humankind from the poultry in the settlement.” Secondly, if having the poultry died immediately reported. Was thought by me, if that was done by the community, will not have casualties again, said Menkes Siti in Jakarta, on Monday (2/10). In the meantime, two patients from Lembang that was expected terjangkit bird flu was treated in the Handsome Sadikin Hospital, Bandung, West Java. Up to now already seven patients were treated in RSHS with the similar sign. A person died, the week set, that is Divine Guidance. Whereas the brother Divine Guidance, the precious stone Diamond still in isolation space with five other patients. The condition for the Diamond, Santi Susanti, Great, Eni, and Amas it was reported continued to recover. Moreover the Diamond and Santi could have gone [read: the Great Condition and Eni improved]. The department of the Health recorded in Indonesia 52 people died because of being attacked by bird flu. The virus avian sub-type influenza H5N1 attacked 30 provinces. Nine provinces were stated positive the bird flu territory. In the Special Capital District of Jakarta from 17 cases, 15 including dying. Banten eight cases with seven cases died. West Java 22 cases with 18 people including dying. Central Java three cases two died. East Java four cases three died. Now North Sumatra seven cases with six died. South Sulawesi one died. Whereas Lampung and West Sumatra respectively three as well as two cases. However, bird flu in the two provinces did not claim casualties. (DNP/Tim Coverage 6 SCTV)

http://www.liputan6.com/view/3,130143,1,0,1159791578.html

Okieman – at 08:24: Mustariza, four years and the Lamp, seven years
I’m at work, so I can’t check this out, but I remember someone else whose name translated as “The Lamp.” It may be a really common name, and I’m not even sure it was in Sulawesi, but if nobody else has a chance to check into it before tonight, I’ll see what I can find when I get home.

Okieman - at 08:24: Need some clarification from anyone out there.

“Beforehand, this hospital also received the patient suspect bird flu, Paturungi, the class student two primary schools.” I have 2 new patients today, and I have Paturungi (7) hospitalized 9/26. In addition, I have Apriani (8) hospitalized 9/30. Is this correct?
Okieman - at 08:27: “Moreover the Diamond and Santi could have gone”. I have Diamond as going home. Is Santi also going home?
In N. Sumatra, I have BS (33), LT (31) and RS (12) all released.
4 new cases today. 2 sets of siblings. 2 from S. Sulawesi, and 2 from W. Java, Lembang Subdistrict.

CG: I also have Apriani going in on the 30th. Okieman: I remember the name “the lamp” in all the Cikelet names. So there are 4 new cases, but I didn’t specifically read where the 2 from Lembang are siblings. Did I miss something?

Pugmom - it’s at Okieman’s post at 8:24:

Mustariza, four years and the Lamp, seven years, at this time in the unstable condition. The citizen Street Perintis Breakingprep Kemerdekaan, Makassar, earlier arrived in the hospital around struck 12. 00 WITA. the two older brothers were siblings this suffered the high fever and was accompanied by the cough.

pugmom at 10:28 and Pixie at 11:16… very hard to keep straight. Pixie, the article you quoted with siblings is regarding the patients in Makassar. pugmom, I also did not find anything stating the patients in Lembang are siblings. I may have missed something as well.

Posted by Dutchie at FT:
Now 2 suspect patients from Lembang in hospital Bandung

Metrotvnews.com, Bandung: the Handsome Hospital of Sadikin Bandung, West Java, again treated two patients suspect bird flu. With the addition of this new patient, RSHS Bandung at this time treated four bird flu patients. Two older brothers were siblings Wildan and Krisna, villagers the Kahuripan Warehouse, the Lembang Subdistrict, Bandung, that entered special space bird flu since Ahad (1/10) nights.

According to Dadang, the patient’s father, both of them experienced the sign was sick they were similar to the bird flu sufferer. Wildan and Krisna could be treated in the Lembang Hospital for two days. Because his condition continued to worsen, Wildan and Krisna were reconciled to RSHS Bandung.

Now in the same day, the precious stone Diamond was permitted to come home because of being stated by the bird flu negative. Orantua the Diamond did sujud thank heavens because his child was freest from bird flu.

The diamond was the full brother Indra and Zakaria Divine Guidance, the patient that died resulting from bird flu. Whereas the condition for the other bird flu patient, Santi and Great increasingly good. http://www.metrotvnews.com/berita.asp?id=25324

Forgot the tinyurl and now I’ve caused a side scroll…….sorry

Long thread closed and continued here