Forum: Indonesia Outbreaks XVI

Previous thread is here

AnnieB – at 00:03

Just in on the news threads is confirmation of a 67 year old woman who died last night

Indonesia confirms 54th bird flu death Posted: 16 October 2006 1127 hrs

JAKARTA : A 67-year-old woman who was confirmed Monday as being infected with the bird flu virus died overnight, bringing Indonesia’s bird flu death toll to 54, the head of the team of doctors treating her said.

“She died last night at 10:00 pm (1500 GMT) with complications from the virus affecting all of her organs,” the doctor, Hadi Yusuf, told AFP from the hospital where she died in West Java’s Bandung. Link http://tinyurl.com/ugzt3

Michelle in OK – at 00:08

Indonesia Summary - Updated as of 10/15/06

Comment

This article provides a name for the woman.

Indonesia’s bird flu toll jumps to 54

<snip>

 Runizar Rusin, head of the ministry’s national bird flu information centre, identified the pair as Mamah Komariah, who had been hospitalised in West Java’s Bandung, and Aulia, the boy who died in Jakarta.

 Hadi Yusuf, who headed the team of doctors treating Komariah in hospital, said the woman died late Sunday “with complications from the virus affecting all of her organs.”

 “She had been unconscious for the previous two days,” he told AFP.

 Yusuf said last week that the woman was also suffering from encephalitis, or inflammation of the brain, believed to be caused by the virus….

http://tinyurl.com/y58khd

You know, as I read Niman’s repeated posts on the likelyhood of little connection between H5N1 human cases and bird cases since the virus differs, it is hard to not imagine we just have NO IDEA what is going on there. I CAN imagine easily dozens of cases unreported for every reported case. In particular, the unreported cases could be steadily increasing with no clue to that occurance. I just don’t find the repeated “sick birds in the area” comments to be reassuring, in fact the opposite!.

Is there ANY testing occurring on flu symptom deaths AWAY from sick bird H5N1 outbreaks? How tight is the connection. Their cultural relationship with hospital care would really point to the idea that people could be dying at home regularly, and if the regular medicine people aren’t canvassing other than the areas of sick birds, no “officials” would know or care!

On Monday, October 16 2006 13:24 WIB
http://tinyurl.com/y5v2xp (Excerpt)
Several locations in Bali Potential the AI Spread
Denpasar — MIOL: Several locations in Bali potential the spread of bird flu, after being done by the taking of the sample of blood, the waste, and the saliva towards all the livestock kinds. -snip-
Blood sampling of various poultry kinds was carried out simultaneously in 68 villages to 26 subdistricts in Bali, as well as 15 villages to eight subdistricts in NTB and NTT. -snip-
From various kinds of the property poultry 15 heads of households could be it was hoped taken the sample of chicken blood, the duck, the pig and entok respectively five tails. This activity involved 40 lecturers, 40 students and 40 veterinary surgeons as well as was helped by their respective Livestock Breeding Service. Mahardika explained, the taking of the sample of blood of various kinds unggal in three areas was expected to have been finished for two months, that afterwards were followeded by the laboratory inspection. The raging virus H5N1 polluted 37 subdistricts (67 percent) from 55 available subdistricts in Bali or 53 villages (34 percent) from 152 available villages in the Island of the Gods.

http://tinyurl.com/ycqlco
16/10/2006 13:02 WIB
Carcass Chicken was found in the Bringharjo Market
Santos - Yogyakarta, At Least 30 carcass chickens were found was sold in the Market of Bringharjo Yogyakarta. This discovery when being done by the market operation by the Industry Service, the Trade and the Co-operative in Yogyakarta, on Monday (16/10). Carcass chicken was the first time found by the official together with the discovery of beef glonggongan at the front of the market, the place sold meat, both beef and chicken. And when the operation was carried out dibagian in the market, dozens of carcass chicken were found from the traders in pockets of meat that was kept by them. The section head the Industry, the Trade and the Co-operative in Yogyakarta, Syahbenol Hasibuan that led the operation to ELSHINTA justified the discovery 30 carcass chickens that will be sold in the Bringharjo Market. According to him, when being done by the raid, the seller said that the carcass chickens were the order from someone who will make use of him to give ate the dog. However the official stated that only a reason, because of the sale of chicken for the animal was not carried out in the Bringharjo Market. Therefore, from results of this discovery, as many as two traders were at once pacified to be done by the process of the further law. (der)

odd- in the Indonesia summary totals, the numbers peaked in august, and have been declining. Why? Lack of news reporting on their behalf? People are staying away from the chickens? More chickens culled? A death every few days does not sound like a “raging H5N1 virus” to me. In the chickens yes, in humans, no. I’m just making an observation. My PPF is still hold strongly at 3.

Comment: Cottontop - as with the most recent cases in Jakarta of MK and the 11 year-old, there are often birds in the area of where a human infection has been found. Both of these families adamantly insist that there were no sick birds found recently in the area of their homes. The tie to the birds is inconclusive sometimes, but they cull the nearby birds anyway just in case.

MetroTVonline / 16/10/2006 12:30 / http://tinyurl.com/vu3t3

Jakarta: The Ulujami Community Health Centre Side, Southern Jakarta, checked intensive the family and the neighbour the Merciful Saint, the child was 11 years that died resulting from bird flu in the Sulianti Saroso Infection Hospital, Sunter, old Jakarta North.

The kept poultry around the Saint’s residence also was destroyed. According to the Ulujami Community Health Centre side, the number of poultries that was burnt totalling one hundred tails. The Community Health Centre side also carried out counselling to the head of the subdistrict, the district, and the community about the danger of the bird flu virus.

While the intensive inspection of the Saint’s family will continue to be carried out for two weeks to anticipate expanded him the bird flu virus in the Ulujami region and surrounding area. [Comment: in birds or in humans?]

Hey Pixie-

thanks for all the hard work you do for us. reading these reports at times is madding for me, because they are hard to follow at times. (language barrier) My coffee cup’s up to you girl. Hope you have a good day, and have some good news to report today.

So, the girl turned into a boy, Aulia. Well, at least that mystery is solved.

Two things I just posted on the news thread…

Indonesia’s bird flu toll jumps to 54

Posted: 16 October 2006 1127 hrs

http://tinyurl.com/ugzt3

JAKARTA : Indonesian health authorities confirmed Monday that two more people had died of bird flu, bringing the national toll from the H5N1 virus to 54 — the highest in the world….

Samples taken from a 67-year-old woman who died overnight and an 11-year-old boy who died two days ago returned positive results from two laboratories, the health ministry said….

The bird flu centre’s Rusin also said that another patient, whose details he did not provide, had returned positive results to an initial test but the results from a second laboratory were not yet available.

 and today’s update from WHO…

Avian influenza – situation in Indonesia – update 36 WHO

16 October 2006

http://tinyurl.com/yxeqnx

The Ministry of Health in Indonesia has confirmed an additional three cases of human infection with the H5N1 avian influenza virus. All three cases were fatal.

The first newly confirmed case occurred in a 67-year-old woman from West Java Province. She developed symptoms on 3 October, was hospitalized on 7 October, and died on 15 October. Diagnosis was complicated by the presence of chronic diseases. Chickens reportedly died in her household and neighbourhood prior to symptom onset.

The second case was an 11-year-old male from South Jakarta, Jakarta Province. He developed symptoms on 2 October, was hospitalized on 5 October, and died on 14 October. His recent history included exposure to dead chickens in his neighbourhood.

The third case was a 27-year-old female from Central Java Province. She developed symptoms on 8 October, was hospitalized on 12 October, and died on 13 October. The source of her exposure is currently under investigation.

Of the 72 cases confirmed to date in Indonesia, 55 have been fatal.

more info on Parimun, Banyumas, Central Java: dated 10–16–06 http://tinyurl.com/yg84le note: he worked on poultry farm in Jakarta.

 Indosiar.com, Banyumas - After one patient suspect bird flu from the Banjarnegara Regency, Java was dying, other the patient entered space isoloasi RSUD Banyumas, Central Java.

The patient who was 21 years old experienced the disturbance of breathing and the temperature of the high body. Parimun, villagers Krinjing, the Lightning Village, the Purwonegoro Subdistrict, Banjarnegara, Central Java this was treated in isolation space since Saturday early afternoon. Same like Mistinem casualties died several days ago Parimun beforehand also received the maintenance in RSUD Banjarnegara and afterwards was reconciled to RSUD Banyumas.

According to the speech on the family, Parimun for 6 months worked in the poultry farm in Jakarta. Since indef art previous month that was relevant often complained the fever and breathless’. The family suspected Parimun only suffered typhus. However his condition increasingly descended with the condition for the temperature of the body that rose. Till last Sunday (15/10), the condition for the patient was not yet restored.

With the entry of this patient was recorded already 5 patients suspect bird flu that was treated in RSUD Banyumas. 1 patient was named Mistinem from Banjarnegara that died after undergoing the maintenance for 12 hours. (Nanang Anna Conscience/soup)

[New Patient - see bolded text below] http://tinyurl.com/ymncv7
Mama Komariah Positif Terserang Flu Burung

Bandung (Antara News) - the Patient Mama lunar (67) that died in the Handsome Sadikin Hospital (RSHS) Bandung to last Sunday night (15/10) around struck 22.00 WIB, positive was attacked by the virus H5N1 or bird flu. “Was based on results of the DNA inspection in the Department of Health several times and apus the throat evidently the patient Mama Komariah positive was affected by bird flu”, said the Managing Director RSHS Bandung, Dr Cissy Sudjana the officer to the press in Bandung, on Monday. According to the Chairman Tim the Control of Bird Flu in RSHS Bandung Dr Hadi Yusuf, on Sunday early afternoon (15/10), the patient Mama his blood pressure could descend again and emerged failed the kidney as well as had the disturbance of the other body organ till finally on Sunday night died. He said, the patient Mama was not late memeriksakan his health to RSHS Bandung because since two days experienced the fever, immediately was brought to RSHS Bandung on Saturday afternoon (7/10), but because of many organs that experienced the disturbance, then the patient MK not strong and often his condition worsened through to finally died. In the meantime, the Member Tim the Control of Bird Flu in RSHS Bandung Dr Rizal Sp nerves, mentioned, the cause of the death of the patient MK still could not be ascertained, but the possibility was caused by the existence of the brain that resulted in the level of his awareness descending of the inflammation. “However available results were to have AI in the cover liquid of the brain.” If being not found by the AI existence in the cover liquid of his brain, then we could not mention the occurrence of the brain of the inflammation was caused because of the virus H5N1, he said while mentioned, could was affected by him the inflammation of the brain was caused because of the other virus. The patient baru

On Monday morning (16/10) around struck 09.45 WIB, RSHS Bandung again received the patient suspect bird flu had the initials AR (35) the citizen of the Village of Bojong Asih the Village Dayeuh Conservative the Subdistrict Dayeuh Conservative the Bandung Regency. Asien AR that raised fish in the area of the Cirata reservoir, Cianjur had contact with the poultry because his property duck that was bought totalling 140 tails died suddenly totalling 15 tails. “However, the condition for the patient not menunjukan the sign like bird flu because did not experience breathless, there was no cough, but experienced the fever with the temperature of the body achieved 38 levels celcius,” said Hadi Yusuf. In the meantime, the Member Tim the Control of Bird Flu Dr Arto Yuwono Suroto, Sp to, said, there were no compatibility that the patient AR was affected by bird flu because did not experience breathless, although being gotten by the inflammation of the lungs, as well as his respiration was also good. According to the patient’s older brother AR, Aisyah (39), since znumanyz weeks ago his brother experienced the fever and since znumanyz days ago his fever increasingly worsened and immediately was brought to RSHS Bandung ascertained his illness. With the existence of the patient that new that, the total patient suspect bird flu that had been treated in RSHS Bandung totalling 64 people, nine people among them positive bird flu, namely seven people died and two other people up to now still are living.

Excerpt from a Bloomberg story on the latest cases in Indonesia, repeating already stated details. However, this excerpt may get the attention of some, as Bloomberg is mainstream media: http://tinyurl.com/vanhf October 16, 2006 02:37 EDT <snip>

Case Fatality Rate

<snip>

Indonesia, the world’s fourth-most-populous country, surpassed Vietnam in August as the country with the most H5N1 fatalities.

Indonesia has reported 71 H5N1 cases, giving it a case- fatality rate of 75 percent — the highest after Cambodia, where all six of that country’s known H5N1 patients died, giving it a case-fatality rate of 100 percent.

Commentary

Fatal H5N1 Encephalitis Case Raises Pandemic Concerns Recombinomics Commentary October 16, 2006

The “PCR test first, second, fourth, and the five results of the negative.” Only that third that said false positive or positive border line

‘’‘The above description of the most recent confirmed H5N1 positive case raises additional questions about testing in Indonesia. The patient developed encephalitis and died. Multiple organs, including her brain were involved, yet most of the testing yielded negative results.

Negative results have also been reported for other severely ill contacts of H5N1 cases, including the large Garut cluster. These negatives, frequently in samples collected after Tamiflu treatment has started, continue to raise concerns on the true extent of H5N1 infection in Indonesia.

Sequencing data clearly show that the vast majority of cases are not linked to H5N1 positive poultry, yet a poultry link is usually required for H5N1 testing of patients with bird flu symptoms.

Now H5N1 is being detected in patients with symptoms of encephalitis. The sole surving member of the Karo cluster also developed a brain infection, but that infection was said to be negative for H5N1’‘’.

The current H5N1 positive fatal encephalitis case increases concerns hat H5N1 in human is much greater than the number of WHO confirmed cases. http://tinyurl.com/y5a3tg

Commentary

H5N1 Fatality in Banyumas Central Java Recombinomics Commentary October 16, 2006

startled by the death of the patient with the sign of bird flu in RSU Banyumas from the Sigedang Village, the Kaliurip Village, the Madukara Subdistrict, Mistinem (32), on Friday (13/10).

More again startled when knew had a citizen of the Krinjing Village, the Lightning Village, of the Purwonegoro Subdistrict that currently also is treated in RSU Banyumas with the same sign.

The Krinjing village that beforehand had not canned be heard his name, currently suddenly became attention of the community.

A party of the official from the Health Service of the Regency (ET AL) also checked the condition for the Parimun house (17), the new patient RSU Banyumas.

The above translation describes the confirmed H5N1 fatality in Banyumas in Central Java, as indicated in today’s WHO update. Local media describe a second hospitalized patient who also transferred to RSU Banyumas from RSUD Banjarnegara. The second patient was from a neighboring village, Krinjing.

The two cases in Central Java as well as the confirmed cases from South Jakarta and Bandung died on consecutive days. These three confirmed H5N1 deaths in three regions on Java are cause for concern.

Although the vast majority of confirmed H5N1 cases in Indonesia are from Java, a source of infection has not been identified. All human cases, except one from an infection in August, 2005 have been infected with H5N1 with a novel cleavage site. These patients fall into two groups. One, consisting of three patients infected in 2005 map to the upper branch of the bottom of the phylogenetic tree presented at a WHO meeting in Jakarta in June. The vast majority of Java cases however, map to the lower portion of the tree. All human sequences that have been made public since the meeting, also map to the lower portion. This lower portion has no avian isolates.

The match failure was noted at the meeting, and 91 recent samples were sent to a WHO affiliated lab in Australia, Over 50 bird sequences have been made public from these recent samples and only one bird isolate from Java had the cleavage site. However, it match the small group of three patients from 2005. This duck isolate was from Indramayu, but the patients from Indramayu mapped with the majority of cases, which are on the lowest branch.

Two chicken isolates did map to the lower branch. By these isolates were from 2005 in Central Sumatra, far from the human cases on Java, which have stretched from East Java to West Java and isolated during a time from from the index case in July, 2005 through the most recent deposits, from the summer of 2006.

The origin of these infections is unknown. The only non-human Java match was from cat, also from Indramayu. That sequence was closely related to the human sequences, including those from Indramayu.

The failure to identify the source of the H5N1 infections in Indonesia remains a cause for concern. http://tinyurl.com/y6r8rr

I have just heard back from Helen at ToggleText about why the site was down. Can you believe it? lol!

Hello Pixie sorry - we had a finger problem and had accidentally turned off the website! Its now back on.

Thanks for letting us know about how you use our translator - its very rewarding for us to know that we are helping to make a difference.

all the best Helen

Pixie – at 11:41 Hello Pixie sorry - we had a finger problem and had accidentally turned off the website! Its now back on.

Pixie, Are you sending them a roll of duct tape? You must not know whether to laugh or cry!

“we had a finger problem”? Perhaps this is another one of those phrases that just doesn’t translate from Indonesian into English, or maybe they are using their proprietary software to translate their reply?

Comment: Updates on MK (67) and Doni (3).

MK’s body was buried right away, and it sounds like no autopsy was done in spite of the confusion over whether she was H5N1 positive, and in spite of the unusual affects the virus had on her brain and other organs.

Doni seems to be doing better, but this article notes that he had contact with birds. His mother, in another article, stated uncategorically that he did not have any contact with any birds or other animals.

BANDUNG/LAMPUNG

Metrotvnews / 16/10/2006 21:22 / http://tinyurl.com/vzosr

The BODY Mama lunar was buried

The Body Mama lunar was buried in the Village of the Love Round, the Village of bar Sand, the Cisarua Subdistrict, the Bandung Regency, West Java, on Monday (16/10). Mama died when being treated in Handsome Sadikin space of the Hospital isolation, Bandung, West Java, because of being infected by bird flu. The body Mama arrived in the funeral parlour in the Village of the Love Round, on Monday morning. After disalatkan, the family at once buried the body Mama in the funeral of the family.

The atmosphere confused coloured the burial late. Moreover, casualties’s child could faint. Wawan, the son late justified the existence of your kept chicken him that died suddenly. However, he did not learn his mother was attacked by the bird flu virus.

Now from Banda Lampung, Lampung, was reported by the Doni condition, pre-schoolers suspect bird flu [Doni] that currently is treated in RS the Public Abdoel Moeloek experienced the progress. The patient’s body heat has descended and he has begun to eat.

According to the Chairman Tim Doctor RSU Abdoel Moeloek, the doctor Paddilangga, his side today sends the sample of the patient’s blood to the Body of the Health of the Department’s Research And Development in Jakarta with the sample swap the throat and the Doni nose. Paddilangga added, results of the medical inspection mentioned, apart from having the story of contact with the poultry, the content of the patient’s leucocytes was far below normal, that is 1.

DeJure - no, it is no translation problem - ToggleText is an Australian company! EdnaMode - I told them they are mission critical around here. Maybe we should send them one of those big red “Easy Buttons” from Staples.

small blub on “Doni’s” progress: Bada Lampung, Java: dated 10–16–06 http://tinyurl.com/vzosr

……Now from Banda Lampung, Lampung, was reported by the Doni condition, pre-schoolers suspect bird flu that currently is treated in RS the Public Abdoel Moeloek experienced the progress.

The patient’s body heat has descended and he has begun to eat. According to the Chairman Tim Doctor RSU Abdoel Moeloek, the doctor Paddilangga, his side today sends the sample of the patient’s blood to the Body of the Health of the Department’s Research And Development in Jakarta with the sample swap the throat and the Doni nose. Paddilangga added, results of the medical inspection mentioned, apart from having the story of contact with the poultry, the content of the patient’s leucocytes was far below normal, that is 1. 300.

New Case: Medan, North Sumatra, pre-schooler, age 2 y.o. dated 10–17–06. http://tinyurl.com/ye4q3g comment: it mentions another suspect pre-schooler case, as well. The only other ones we know about are “YT” (Sept 29) and “DL” (Sept 28). They are 7 and 9 years old, not exactly pre-school age.

One of the citizen’s Simalungun pre-schoolers was suspected suspect bird flu underwent the intensive maintenance in isolation space of RSUP H Adam the Medan Owner, on Monday (16/10). Casualties were to be 2 years old.

According to information, started him the high fever and pilek as well as coughs that were suffered by casualties was several days ago. Here, at the time near casualties’s house was gotten by the chicken suddenly died suddenly. Further the family brought him to the private hospital in Tebing Tinggi. From results of the doctor’s inspection, high fever casualties, coughs and pilek so as to be suspected suspect bird flu. Saw the condition for casualties, the doctor referred to Adam’s hospital the Owner in order to gets the further maintenance.

“Beforehand around the location of the house was gotten dozens of tails of the poultry of the chicken kind died suddenly.” After that, casualties suddenly experienced the high fever and pilek. Because frightened matters that was not wanted, furthermore casualties were brought took medicine to the closest hospital, mentioned he. Deputy Director Pelayanan Medis RSUP H. Adam the Owner Dr. M. Nur Rasyid Lubis, SpB with the head treated inap suspect bird flu Dr. Adlin Adnan, Sp. THT during it was confirmed, justified one of the citizen’s Simalungun pre-schoolers experienced suspect bird flu was undergoing the maintenance. “Casualties at this time was undergoing parawatan in Adam’s isolation space the Owner.”

Whereas the medical team has taken sample blood and the throat liquid to be checked in the Laboratory. Moreover, has been given medicine anti bird flu (tamiflu) as well as anti biotik other, said Rasyid.

Rasyid added, with the entry of these pre-schoolers of the number of patients suspect bird flu became two people. Here, beforehand one of the citizen’s pre-schoolers Street. The Ginting guarantee, Kec. Pancurbatu underwent the maintenance because of being suspected suspect bird flu.

Ugh. Another grim day.

On a happy note, my mind is expanding. I’ve always been a big dog person and I still maintain that there’s nothing quite like a big retriever — but I can no longer be even the teeniest snooty about little dogs — pugs and pugmoms are clearly wonderful.

Thanks for all that you continue to do to keep us informed.

5 new cases over the weekend, and now 2 new cases this morning.

Olymom—my best friend had a wonderful, huge, hairy, Old English Sheep Dog and his name was Oly!! My puggies thank you for your kind words.

Pugmom - I think they may be talking about the other 3 yr. old? I have: (3) (no name?) admitted 10/12 RSUP Adam The Medan Owner. From Pancurbatu. Deli Serdang Regency.

And then of course, the other 3 year old is from Lampung.

Comment: Apparently Ministem (27, deceased) and Parimun (17) both come from the same small inaccessible village called Krinjing. The article is asking “what are the odds?” that two H5N1 cases could come from this same small village, that is now the focus of much government attention.

BANJARNEGARA

Viewed the Patient’s House the Sign of Bird Flu (1) did not have Bridge, crossed the Lima River the COMMUNITY’s

SuaraMerdeka / Senin, 16 Oktober 2006 / http://tinyurl.com/wgsmu

Banjarnegara Time was startled by the death of the patient with the sign of bird flu in RSU Banyumas from the Sigedang Village, the Kaliurip Village, the Madukara Subdistrict, Mistinem (32), on Friday (13/10).

More again startled when knew had a citizen of the Krinjing Village, the Lightning Village, of the Purwonegoro Subdistrict that currently also is treated in RSU Banyumas with the same sign.

The Krinjing village that beforehand had not canned be heard his name, currently suddenly became attention of the community.

A party of the official from the Health Service of the Regency (ET AL) also checked the condition for the Parimun house (17), the new patient RSU Banyumas.

To head towards the Krinjing Village needed time around one hour with the motor from the Banjarnegara City. The settlement of the farmer that the majority buried cassava and tapped the coconut was among them southern part hills of the Banjarnegara Regency. Only several kilometre shared a border with the Kebumen territory of Regency hills. The geographical condition in the hills made some of his community’s members did not hope many of the sectors of agriculture. They planted his land with cassava and partly tapped the coconut. In the meantime, his young men many that left home to the city to get the work.

<snip> (The rest of the article is about how difficult the village is to get to, and about their hopes that a new bridge wil be built).

Comment: They apparently did find H5N1 in Mama Komariah’s spinal fluid.

BANDUNG

MetroTVNews / 16/10/2006 11:11 / http://tinyurl.com/wsnsh

The PATIENT BIRD FLU RSHS died

Mama Komariah, the positive patient Handsome Sadikin Hospital bird flu (RSHS) Bandung, West Java, died, Ahad (15/10) around struck 22. 00 WIB. the Body Mama disemayankan in isolation space RSHS. That Night the Body Mama disemayankan in RSHS isolation space. Mama Komariah was the citizen of the Love Round, the Cisarua Subdistrict, of the Bandung Regency, West Java. He began to be treated in RSHS since Saturday the week set.

The infection that was suffered Mama was stated attacked the network of the brain.

Tim was medical also found the bird flu virus on the spinal cord Mama.

The discovery was appropriate results pemeriksanan the Hall of Health Research And Development (Balitbang) Jakarta. The Health body of the World (WHO) mentioned Mama as casualties of the 54 bird flu in Indonesia.

CG: I think you are right about the pre-schooler—I had lost the reference in my tattered notes somewhere. Thanx.

Little more info on AR (Post 09:26): http://www.pikiran-rakyat.com/cetak/2006/102006/17/0203.htm
AR ”Suspect” Bird Flu Baru Bandung, (HOMEWORK). - Poinciana Tree Space of RSHS Bandung again received the patient suspect bird flu. This time, a fish breeder from Jangari, Cirata, Kab. Cianjur. AR (35) arrived in Poinciana Tree Space struck 9.45 WIB, on Monday (16/10). When entering, he felt breathless and hot high achieved 38 levels celcius. That he felt not long after 15 from his 140 kept ducks died suddenly while four days were endless. ‘’‘Beforehand, AR could take medicine to the clinic 24 hours in the Dayeuhkolot area, Kab. Bandung’‘’. “Tapi, panasna teu descended-descended. Cenah karaosna very stiff, lalinu,” said the older brother AR, Aisyah (39). Namu, after undergoing the beginning inspection, the AR condition was categorised light. From results x-rayed, the team of the doctor suspected had few inflammation on his lungs. “Karena had the story of contact with the poultry, then we rawat,” the Chairman’s words Tim the Control of Bird Flu of RSHS Bandung, Dr. Hadi Jusuf, Sp.

Trying to find info on the Kaliurip and the Sigedang villages. Only Sigedang Village even comes up on a map. It has a population of 82,000. But I don’t know how far it is from Kaliurip Village. I would like to know more info about Kaliurip Village. (I wonder if it is as isolated and remote as Cikelet?)

pugmom? You’ve got to be more specific than that! (joking…) we’ve had 5 or so patients in the last 3 days. I have no idea where you are talking about? And who :-)

Bird flu death toll in Indonesia reaches 55

To date, according to the World Health Organisation (WHO), the sprawling archipelago has had 72 cases of human bird flu which spread from Asia in 2003 and has now touched Europe, the Middle East and Africa.

http://www.news-medical.net/?id=20538

pugmom – at 17:17

Kaliurip is about 62 miles as the crow flies from Sigedang. They are both in Central Java. Kaliurip is down towards Yogyakarta but not in Yogyakarta province.

Comment: Further details on MK and AR:

BANDUNG

Kompas / 10/15 / http://tinyurl.com/l9fan

<snip> The assurance of the status Mama positive bird flu was just received RSHS on Monday (16/10). This after through a series of PCR test (polymerase chain reaction), serology, and squensing DNA. “Secara official has had his letter from Litbangkes and Namru 2 has mengindentifikasi the existence of the virus H5N1 to the woman aged 67 tahun,” said the Chairman Tim the Control of RSHS Bird Flu Dr Hadi Jusuf, Sp.To (K).KPTI. <snip>

In the meantime, around struck 9.45, RSHS again received the patient suscpect bird flu, AR (35). The citizen of the Bojongasih Village, the Village/the Dayeuhkolot Subdistrict, this Bandung Regency suffered hot for the last ten days. At least 15 ducks that was maintained by AR around the Cirata Reservoir….<snip>

Tim the control of RSHS bird flu said, was not found by the supportive other sign that AR was attacked by the virus AI, his Condition for the health still quite good’. “Respirasi good, good also pulse blood pressure. Only temperatures of his body that 38 levels celsius. He here (RSHS) also Street sendiri,” he said. From results x-rayed, said Arto, the AR possibility was attacked by the bacteria. “Masih many memungkinan. But continued to be treated by us as suspect because clear had contact with poultry,” Arto words.

Here is a map of Sigedang:

http://uk.multimap.com/wi/129966.htm

And this site is very useful for local Indonesian maps. Unfortunately, the towns are not listed in alphabetical order:

http://uk.multimap.com/index/ID1.htm

Look at this link to see where Kaliurip is: http://tinyurl.com/y9l6cf

Look at this link to see where Sigedang is:http://tinyurl.com/y8zw5x

I don’t think they are close. Sigedang is almost on the north coase of Java. Kaliurip is in the middle of the land-mass of Java.

I guess we are all searching for maps again. Thanx Okieman. 62 miles means they are not contiguous villages (like all those villages around Cikelet.) In my searches, I found out that Sigedang is home to a huge artesian underground spring and it has been bought by a private company and tapped out and bottled up. The women villagers there have formed a consortium to try to break up the monopoly that is bottling all the water, as the farmers no longer can irrigate their fields and the drinking water is running out, as they have depleted all the underground water. (Just an aside.)

They said (at 14:52) “To head towards the Krinjing Village needed time around one hour with the motor from the Banjarnegara City….southern part hills of the Banjarnegara Regency” so the Krinjing and Kaliurip villages would seem to be in the hills.

I saw an elevation for Kaliurip and it was 1850 feet. What I couldn’t find was the population size of Kaliurip.

correction: Kaliurip is 1460 feet.

You folks are so good, it’s scary!!! Thanks for your monumental efforts!!! WOW!!!

Pugmom 20:15

Look at your email.

Pugmom: 20:15

I was looking for news and although I couldn’t translate it, it looked like on the news ticker on metrotvnews.com there was a 6.6 earthquake near Port Moresby, PNG.

Influentia2 – at 21:52

USGS site indicates a 6.5 shaker 355 miles northeast of Port Moresby.

Thank you Okieman 22:00 I was hoping you would see my post. All I can find right now was the news ticker on Indonesian TV and I am not very good at reading Bahara yet. I was doing some looking around and saw the pictures of the volcano that erupted on New Great Britain there 10/7. I was trying to broaden my knowledge a little bit when I saw Port Moresby come up on the ticker. I looked at your links but there weren’t any updates and the one site needs translated too but I think I can handle that one and add it to my list to search.

Thanks again I may go look at the USGS site too.

Bloomberg on the earthquake: http://tinyurl.com/ygxmur

A magnitude-6.9 earthquake struck the New Britain region of Papua New Guinea, which may generate a tsunami that threatens local areas…There’s no danger of a Pacific-wide destructive tsunami, the center said.

Comment: In Bali, they are taking samples from pigs, chickens, ducks, and other animals in order to determine how widespread H5N1 really is. They hope the results of their study will be available in December. They are not revealing the locations in which they are doing this livestock testing for fear of social unrest.

BALI

Several locations in Bali Potential the AI Spread

Senin, 16 Oktober 2006 13:24 / MediaIndonesia / http://tinyurl.com/y5v2xp

Several locations in Bali potential the spread of bird flu (avian influenza/AI), after being done by the taking of the sample of blood, the waste, and the saliva towards all the livestock kinds.

The “strong assumption against pollution of the AI virus was still necessary the further research to ascertain him,” said Director Program Kajian and the Socialisation of Bird Flu and the Medical Pandemic of the Faculty’s influenza the Animal (FKH) the Udayana University, Dr Drh I Husti Ngurah Mahardika, in Denpasar, on Monday.

Nevertheless he refused to name the locations that were pointed out dirtiest the AI virus to avoid the unrest in the social circle.

His side still was doing pegambilan the sample towards all the livestock kinds to support the study of the spread of the flu illness furung Bali, the West Nusa Tenggara (NTB) and East Nusa Tenggara (NTT). <snip>

Mahardika explained, the taking of the sample of blood of various kinds unggal in three areas was expected to have been finished for two months, that afterwards were followeded by the laboratory inspection. The “process of the laboratory inspection it was hoped took place for a month, in the hope that late this coming December could have been known the map of the spread of the flu illness furung in three areas,” said ahardika. <snip>

Comment: More details on MK’s testing and diagnosis. Dr. Cissy says DNA sequencing produced an H5N1 positive. We heard in another story that the spinal fluid had also tested positive, but here the neurologist says that they did not obtain a positive from the spinal fluid, and he still does not know if H5N1 is what caused MK’s neurological symptoms. Another doctor agreed that the answer “could not be seen” as to why MK suffered MODS or mulit-organ failure.

<snip> (the first part of the article repeats the details about AR we already know)

Positively flu burung

Pikiran Rakyat / Selasa, 17 Oktober 2006 / http://tinyurl.com/ykh32l

In the meantime, late MK (67) was stated positive terjangkit the virus H5N1 was based on the inspection of Balitbang Department of Health and the NAMRU Laboratory 2 Jakarta.

That was known after undergoing five Polymerase Chain Reaction inspection times (PCR) and results sequencing DNA. “Hasil sequencing DNA repeatedly that produced confirmation that there is the infection H5N1,” Managing Director words of the Handsome Sadikin Hospital (RSHS) Bandung, Dr. Cissy R. Sudjana the officer, on Monday (16/10).

Moreover, the inspection serologis showed the level of 1/120 in the seventh day. “Dalam the inspection serologis that was carried out twice, although the first inspection results of the negative, if second was how many the level of him, that could be said positif,” said Dr. Hadi.

Despite this, the team of the doctor still could not ascertain the cause of the brain of the inflammation (encephalitis) that was suffered MK. for that, RSHS sent liquor that the last time and the inspection the other network. “If was not found by AI in liquor, we could not mention enchepalitis him as a result of by AI,” words of the nerves expert RSHS Bandung, Dr. Ahmad Rijal, Sp.S.

According to Dr. Arto Yuwono Suroto, Sp.PD., the cause of MK’s death could not be seen partially. “Semua him one unity of the incident, not only because of failing the kidney. The matter was like that mentioned by him multi the organ disfunction syndrome or MODS, the series of his illness trip be hit by to the liver and kidney,” he said.

Gempa bumi= earthquake

Comment: An enterprising journalist has made a trip to Parimun’s remote and rather primitive village and has come up with a very compelling human interest story. A very hardscrabble and impoverished life is described here. Also, it appears that Parimun was working in Tangerang and had not been home to his village for a while.

Viewed the Patient’s House the Sign of Bird Flu (2-Completely) Hope got the Lightness of the Cost Perawatan [they hope the government will help cover the medical costs]

Selasa, 17 Oktober 2006 / http://suaramerdeka.com/

AFTER crossing the river totalling five times and following the land road in the slope of the hill, finally until also in a yard land of the citizen that rather wide. Around the place, just was seen a bridge headed the Country PRIMARY SCHOOL 3 lightnings. A citizen said if the area has entered the Krinjing Village, the Lightning Village, the Purwonegoro Subdistrict, to be precise Grumbul Simaling.

The Parimun house was in grumbul upper. Be kept following this land road, said he sembari showed a land road that went upwards.

A male child was told by him to deliver the Independent Voice as far as the family’s Parimun house (17), the patient RSU Banyumas that it was suspected suffered bird flu. The road went upwards really tiring through to finally arrived at a walled house bamboo walls have a roof critical normally. When entering this house, an age man 40 yearly welcomed in a friendly manner. He invited us to sit in his sitting room, whereas he asked permission for the zuhur prayer.

‘’‘A table and two long wood seats filled up the fenced house sitting room bamboo walls that began to be fragile in various sides. In one corner of this sitting room was gotten the goat pen, with six Javanese thoroughbred goats that were eating the foliage. In the meantime, in the pen of the waste that began to thicken of heap appearance’‘’.

The land that became the house foundation was felt increasingly hard in this dry season. Not long afterwards, came a man was named Kastuji that claimed still relatives Parimun. He was the father’s older brother Parimun. Because of Suwarji, the father Parimun, speech tuna, then Kastuji that said much the matter of his brother’s family.

Parimun was the couple’s eldest child Suwarji and Sikem. His two brothers, respectively Sinul (12) and thank heavens (5), still sat in the SD. Parimun bench personally could not pass the PRIMARY SCHOOL and already in the last six months worked in a poultry farm in Tangerang. Since that, he had never come home. Possibly because the illness has been serious, when coming home from Tangerang he has been confused and could be lost, did not know again his house where.

To pay the taxi bike until was finished hundreds of thousands of, because muter-muter. The profit on the way, his brother could see till finally him was brought came home, said Kastuji.

Sesampai in the house, for five days, he could be requested medicine to the shaman, before finally diperiksakan to the local midwife. Because his condition has been weak, he was then reconciled to the Body of RSUD Banjarnegara et cetera was reconciled to RSU Banyumas.

The two parents Parimun worked as the farmer. Occasionally the work as the farm labourer by the Rp pay 6 thousand part-time or Rp 12 thousand a day. Six goats in their house were the person’s other goat that was treated by parents Parimun.

Till yesterday, they did not yet have the shadow will pay the maintenance cost with what, because of not having enough money. They hoped had the lightness from the government for the maintenance cost of his beloved son.

Cottontop comments; “odd- in the Indonesia summary totals, the numbers peaked in august, and have been declining. A death every few days does not sound like a “raging H5N1 virus” to me.” This atitude is commonly expressed. Now we are finding H5N1 in “Encephalitis” patients. Have found H5N1 after 7 tests and only in autopsy in one patient. and on and on. I am probably nuts, but I cannot get any confidence with these types of detections that H5N1 is declining, the thing declining is our recognition of its advance. Is there any basis for assuming these difficult detections are of unique cases, something that I am missing? I am so pleased to see the survey of animals being done, but I sure wish that process was transparent, not location, just results.

I think those of us on the Indonesian thread were a bit winded after this weekend, and did not have the feeling that any threat was dimishing. We’ve had 7 new cases in 3 days, along with 3 deaths.

And, as you remarked, there is more confusion, rather than less, over patient symptoms and diagnosis. I think that as time went on, we may have expected more clarity in H5N1 testing and swift handling of suspect patients. Instead, things seem to be moving the other direction, and confusion is building along with what seems like a continual flow of new cases and deaths.

Indonesia confirms 55th bird flu death by Bhimanto Suwastoyo Mon Oct 16, 11:26 PM ET

JAKARTA (AFP) - The death toll in Indonesia from bird flu rose to 55 after officials confirmed that a 27-year-old woman who died last week was infected with the virus.

ADVERTISEMENT

The death is the third to be confirmed in two days in Indonesia, which is grappling with the world’s highest number of deaths from avian influenza.

“Both tests showed her to be positively infected with the bird flu virus, making her the 55th fatal casualty” in Indonesia, said Tontro, an official at the health ministry’s national bird flu information centre.

Positive results from two Indonesian laboratories mean that the World Health Organization (WHO) includes the case in its records.

The woman from Central Java province, identified by the centre as Mistiyem, developed symptoms on October 8 and was hospitalised on October 12. She died a day later, according to a statement posted on the WHO website.

The WHO said the source of her exposure to the virus was currently under investigation.

The vast majority of cases in the archipelago nation have been spread by contact with infected poultry, though several cases of limited human-to-human transmission have also occurred here.

More human cases of the virus — 72 have now been reported in Indonesia, the world’s fourth most populous nation — increase the possibility of the H5N1 virus mutating to become easily transmissible among people.

Scientists fear that this could lead to a global flu pandemic with a potential death toll of millions.

On Monday, the health ministry confirmed the deaths of a 67-year-old woman who died in West Java’s Bandung late Sunday and an 11-year-old boy, who died in Jakarta on Saturday.

Both were believed to have had contact with poultry before they died, the WHO statement said.

Health officials said that the woman had been suffering from encephalitis, or inflammation of the brain, believed to be caused by the virus and the first case of its type in Indonesia.

The UN’s senior bird flu official appealed to international donors last month to speed up the disbursement of promised aid to Indonesia to help it fight the spread of H5N1 among the population.

Officials here have said they need around 250 million dollars a year for the next three years to effectively combat the virus, but next to no funds have arrived since donors pledged millions at a conference in Beijing this year.

Critics have charged that the country, which was accused of initially covering up outbreaks, has been slow to fight bird flu.

Metrotvnews.com, Bandung: the Hospital (RS) Handsome Sadikin Bandung, West Java again treated a patient suspect bird flu. Agus Suhana, the citizen Bojong Soang, Dayeuh Conservative, Bandung entered isolation space RS Handsome Sadikin, on Tuesday (17/10), after experiencing the high fever for 11 days. Agus was also reported suffered breathless and the cough continually. Uptil now, Agus worked as the duck breeder. A week before being sick, totalling Agus’s 15 kept ducks died suddenly. With the other entry of the patient suspect bird flu, ‘’‘RS Handsome Sadikin has treated 65 patients. Nine including being stated positive bird flu and seven people died’‘’. metrotvnews October 17

http://tinyurl.com/y983ay

Oct. 17 (Bloomberg) — Bird flu killed a 27-year-old woman on Indonesia’s Java island, the third person to die of the virus there in less than a week, the World Health Organization said.

The woman from Central Java province died on Oct. 13, a day after she was admitted to the hospital and five days after she developed flu-like symptoms, the United Nations health agency said in a statement yesterday. The source of her infection by the H5N1 avian flu strain is under investigation, the WHO said.

Avian influenza may have infected the brain of a 67-year- old woman from West Java province before it killed her on Oct. 15, Indonesia’s doctors said yesterday. An 11-year-old boy from a southern suburb of the capital, Jakarta, died on Oct. 14 from his H5N1 infection, possibly contracted from the diseased chickens in his neighborhood, the WHO said.

snip

Almost all human cases have been linked to close contact with sick or dead birds, such as children playing with them or adults butchering them or plucking feathers, according to the UN agency. While the virus doesn’t spread easily between people, some human-to-human transmission may have occurred.

Influentia2′s post at 05:27 mentions Agus Suhana. Now…stay with me here….AR (35) that was reported yesterday is referred to below as Agus Rohana. I think Suhana and Rohana are the same person. Feedback please. Also, this article mentions Kokum that died Sunday night. Are they referring to Mama Komariah? Probably.
http://tinyurl.com/ye2rmu
Bandung — MIOL: Agus Rohana, 35, the patient suspect bird flu, that since Monday (16/10) was treated in isolation space Framboyan the Handsome Sadikin Hospital (RSHS) Bandung, West Java (West Java), experienced the disturbance to the lungs, or pneumonia. So needed the respirator, beside the temperature of his body was still uncertain. The chairman of the team of the control of bird flu of RSHS Bandung Hadi Jusuf, said was based on results of the medical research that was carried out by the team of the control doctor of RSHS bird flu for one day, evidently villagers’s lungs the Dayeuhkolot Subdistrict, the Bandung Regency experienced the disturbance, beside the temperature of his body was not yet stable. Nevertheless, explained Hadi, his side still could not say whether Agus positive was affected by the bird flu virus or not. Ganguan on the lungs and the temperature of Agus’s body that unstable, still could not be categorised positive the bird flu virus. “So, the team of the doctor RSHS today sends the sample of Agus’s blood to the Department’s laboratory of the Health in Jakarta,” said Hadi, on Tuesday. The disturbance to Agus’s lungs unlike that was experienced Kokom lunar, that died, on Sunday night (17/10). Because of the disturbance to the Kokom lungs resulting from the attack of the bird flu virus. The “disturbance to Agus’s lungs was not as serious as being experienced by Kokom.” Only resulting from the disturbance on his lungs, Agus experienced the disturbance of breathing and needed equipment to stabilise again his breathing, said Hadi. Agus was the 64th patient who was treated in space of the Poinciana Tree isolation of RSHS Bandung. The disturbance of breathing that was experienced by Agus for 10 days. To make the maintenance effective, the team of the doctor RSHS increased several medicines that were needed, apart from (medicine) antibiotik. “Usually after being given by the addition of the patient’s medicine suspect bird flu will come back was normal like originally, except that has been affected (bird flu),” he explained. Since the last two month, Agus, that also the fish businessman, maintained belasan the tail of the chicken. However, 10 days or the last 12 days the chicken peliharaa him that died suddenly. Two days after his chicken died, Agus experienced the disturbance of breathing and the temperature of his body was high, and immediately was brought to RSHS.

This is a caption under a picture. Very crowded airport (I assume), looks much like our Holday’s here in the US. Extremely crowded - the Indonesians are no different than anyone else, as far as traveling by air goes.
http://tinyurl.com/vst53
The JUMP of passengers - the Surabaya Candidate of aim passengers waited the arrival KM the magic stone in the waiting room Bandarmasih, Trisakti Banjarmasin, of the passenger Port on Monday (16/10) dawns. The flow went home in this port began to be seen and to jump approaching lebaran. The photograph: BPost/Apunk

I’ll post this here for future reference, if needed. Sounds like food poisoning though.
http://tinyurl.com/y6plte
Eat the Fried Chicken, seven children Panti Keracunan (17 Oct 2006, 38 x, printed, Comment) MAKASSAR — occupants’s seven children of the Al-message Orphanage that was located in Street Urip Sumoharjo 2 No. 11 was forced to be run off with to the Ibnu Sina Hospital, yesterday. They poisoning after eating the fried chicken. This food was contributed by one of the citizens for the Panti occupants for the meal opened the fast. Aswar, one of the Panti occupants that accompanied his friend in RS Ibnu Sina, explained, the chicken his plan was eaten to be opened (on Sunday, Red) but because of having the invitation so as they could not eat him. “His chicken was kept to be eaten by the predawn meal (on Monday, Red), the chicken not yet basi,” explained the Panti caretaker bernamaRahman. After eating the predawn meal, seven Panti occupants suddenly experienced the sign of the headache, nauseas, in fact there are those that did not make themselves aware. All the Panti child who ate this chicken also it was reported had a headache and nausea. Aswar with a caretaker immediately accompanied his seven colleagues to the Karuwisi Community Health Centre. “From our seven friends, three people including being reconciled to the hospital because worst,” explained Aswar, on Monday October 16, the afternoon yesterday, in the RS Ibnu Sina Intensive Care Unit. The Panti child who currently is treated in the hospital was Nur Idah, 20, Ana, 18, and Rasmin,12. According to, the Nur Idah acknowledgment, himself could be limp and was not powerful after eating this chicken. “Earlier has been treated, already two bottles of the liquid that entered.” The doctor also has given medicine, he said could have come home, said Nur that imitated the doctor’s words jaga him, Dr. Jane, that checked in the morning. Resulting from the incident that could make the Panti child panic because of thinking his friend was affected by this bird flu. All of them did not fast. Most of them chose to drink the coconut juice to minimise the impact of poisoning.

This is always good to know……
http://tinyurl.com/y5hdaz (Excerpt):
Hundreds of Foreign tourists stopped over in Parepare

Parepare, the Stand — Although many countries gave travel warning for his citizen who wanted to visit to Indonesia because of the concern of the terrorism threat, but did not reduce the interest of foreign tourists to the Motherland, including visiting to South Sulawesi. At least, so that was seen in the Parepare City, on Tuesday morning (17/10). As many as 116 foreign tourists arrived in the city through the Port Indonesian Archipelago Parepare. Hundreds of foreign tourists generally are the United States citizen (the USA), one of the countries that applied travel warning for his citizen that want to to Indonesia. They came by the ship to go for a trip mV Clipper Odyssey that was manned by 76 people that most of the the Philippines.

Commonground - at 6:15:

Yes, it seems that AR and AG are the same person - same age (35), both stories mentioned 15 ducks that died.

They seem to be stressing that Angus is not in the same terrible condition that MK was, but they do note that he needed assistance breathing:

Agus experienced the disturbance of breathing and needed equipment to stabilise again his breathing, said Hadi.

Pixie - thanks for the reply. Glad we got it straightened out now. Don’t need to be more confused than we already are…. :-)

The lower half of this article talks about the 30 dead chickens found at the market, that I posted yesterday (06:36). It also says the chickens were to be fed to pigs in addition to dogs
http://tinyurl.com/yj87p4
Rumours of meat celeng and glonggongan made the team of the combination from Metro Jaya regional police and the Ethnic Group of the Livestock Breeding Service of the Special Capital District of Jakarta spread out the raid in several markets in Jakarta, on Monday (16/10). The traders claimed since rumours of meat oplosan spread their turnover descended around 20 percent. One of the markets that was visited was the Market Kebayoran Old. The team did not find forest pork or meat glonggongan in this market. However the team of the combination appealed to the community to not find it easy to be deceived to buy beef that was offered with the price cheaper. Because of meat oplosan, generally was sold in the Rp range 25 as far as Rp 35 thousand while the price of beef at this time revolved Rp 50 thousand per kilogram. Moreover, the characteristics of meat glonggongan was often contained water when being oppressed. Whereas meat celeng had the physical texture that was different to beef [read: Glonggongan, Beef had a quality the Carcass]. In the meantime, thousands of cattle in 11 subdistricts in the Barru Regency, South Sulawesi, were given by the anthrax vaccination. As far as this is concerned was not found by the anthrax illness in the Barru Regency, but this anticipation was carried out to release cattle from the anthrax illness when the requirement for meat will increase during Lebaran later. Officially local livestock breeding prepared 20 thousand vaccines antravet to be given to available cattle in the Barru Regency. Giving of the vaccine free of charge this was welcomed the owner of cattle so as in a short time totalling 3. 400 cattle queued to divaksin. Be different to the two areas above, dozens of chicken carcasses were found in the Beringharjo Market, Yogyakarta. To tell lies to the buyer, the chicken carcass was inserted with fresh chicken. The case was exposed in the raid that was carried out by the Service and the Yogyakarta Co-operative of the Trade Industry, yesterday. Ms Beadj Tentrem that sold the carcass chicken admitted to bringing this meat to the Beringharjo market not was sold but for dog food and the pig. Peaceful claimed to be the carcass chicken was sold costing Rp 2.000 until Rp 3.000 per kilogram now fresh chicken he sold Rp 17 thousand per kg. However the team did not believe like that

Comment: Kalimantan is in Indonesia, on the Island of Borneo (shared with Malaysia). Pontianak is one of the two urban municipalities in West Kalimantan. Dengue. I have no further comment.

Thousands of West Kalimantan citizens were attacked by Dengue Fever

16/10/2006 07:16 / Liputtan6 / http://tinyurl.com/y3vb4e

The plague of dengue fever raged in Pontianak and the other area in West Kalimantan as far as Ahad (15/10).

Not not all that 1,200 casualties that most children were treated since the last two months.

Moreover 15 of the patients died.

One of the hospitals that treated the dengue fever patient in Pontianak was RS Saint Antonius. The number of numbers of the patient’s casualties made the hospital biggest in this city was overwhelmed.

As a result the dengue fever sufferer that most aged five until 15 years were forced to be treated in selasar or the hospital path. Moreover had also the bed that was forced to be used by two people.

Was based on the note of the hospital side, since the last two months was recorded by 777 dengue fever sufferers and five including dying in RS Saint Antonius. Whereas for West Kalimantan, completely was recorded 1,200 sufferers that was treated and 15 including dying.

Ironically the local health service apparently did not yet care and carry out some sort actions.

Influ2: Kokum Lunar is Mama, as they referred to her often as MaMa Lunar. Also, on that sad article on Parium (Pixie at 00:07) it sounds like Parium has had some type of neurological symptoms for a while, what with confusion and not knowing where his house was.

“….previous month that was relevant often complained the fever and breathless. The family suspected Parimun only suffered typhus….”

And now he is hospitalized with worsening breathing problems and fever. I don’t know what we are seeing here, but it reminds me of the long-term sequelae we read about in John Barry’s book, of people chronically ill after infection. If Parmium has been infected all these months, he would surely be a carrier at this point.

There is no lessening of PPF, at least on my part, and I think of those that follow this thread every day. The infected and suspect cases are growing, and they are reaching into all parts of Indonesia, even remote areas. The so-called cluster cases have increased (familial relationships, people living in same village, districts, or even streets.) There is very little attenuation of the CFR. There seems to be no resolution of over a 100 suspect cases. There have been no epidemiology reports/analyses. This virus seems to have free-reign to experiment and mutate to its heart’s desire. We have had no analysis of the effectiveness of the Tamiflu blanket, which initially was a pretty nifty idea/slogan, but now just seems as an act of desperation. We have no idea what the vectors are. We seem to be Neanderthals in our understanding of it. My only question is will it erupt this winter or next winter. In my hopeful moments, I am able to envision a scenario where the clusters grow slowly and percolate along, and the explosion will not take place till the winter of 2007–2008. That is the ONLY question in my mind—whether it happens this winter or next. We still haven’t seen the real monsoons, of which the Indos are so afraid of, as they know viral virulence increases greatly. Those rains are coming soon. And, once again, to you nay-sayers, I ask you to do just one thing---go to the Wiki and print out the case summaries that Michelle, et al, have been tracking since June. Print that out and then, after analyzing it, make your own determination about just how close we are to PanFlu.

pugmom – at 10:54

“And, once again, to you nay-sayers, I ask you to do just one thing---go to the Wiki and print out the case summaries that Michelle, et al, have been tracking since June. Print that out and then, after analyzing it, make your own determination about just how close we are to PanFlu.”

Actually, even with that evidence, no one can say how close or how far we are to PanFlu. Nay-sayers or not, no one knows at this point, as frustrating as that is.

We can all envision scenarios, both horrific and quite pleasant - but the virus will do what it will do regardless. All we can do is keep a close eye on it. How you react while we watch it is up to you. So far, the nay-sayers have been right. It doesn’t mean they will always be (and if they are not prepping they are losing some very good opportunities).

Hi all. Thanks AnnieB for continuing the summary last night. The total count in my spreadsheet agrees at 196. No new cases yet today.

AnnieB, you are right… Mondays are my day off from work; however, that is not my excuse for not posting a summary last night. I think I’m rebelling… the weekends are supposed to be slow news times, but you wonderful news hounds had to work harder than ever this past weekend. That is making it very hard for me not to retreat from this issue, much as a turtle finds safety within its own little realm. Thanks again to all, my apologies for bailing on you. It just didn’t seem right to post numbers after the sad article Pixie posted regarding Parimun.

The kids will be out on fall break starting tomorrow, and we may be off camping at times. If I’m a no-show again, I’m not bailing… just enjoying a break :)

Mystery virus attacking communities in Langowan, N.E. Sulawesi. (population of Langowan is 16,500). Dated 10–17–06. http://tinyurl.com/y3cax66.

 The Independent people.

The Mysterious virus that was similar to the illness cikungu him, attacked several communities in the unbalanced Village the Subdistrict Langowan East. Serious him, this virus was not yet known emerged because of the problem what.

This virus personally his spreading was very fast. His article, if one of the family’s members has been attacked by this virus, all of the family’s member in one house very possibly tertular. But, the Virus that resembled the illness that attacked several citizens of the community in the Taraitak Village and this Kopiwangker according to the Head of the Wolaang Community Health Centre Dr Ingrit Giroth only was the virus that emerged because of the change in the weather.

“Sampel him while being checked. But this virus was not dangerous, because in the period several days, the patient that was attacked by this virus it was confirmed direct sembuh,” firm Giroth sembari membentulkan that the spreading of this virus was indeed very fast.

Posted by T. Modesto at FluTrackers.
Excerpt: http://tinyurl.com/yal3m7

Bird Flu Kills Third Indonesian in a Week, WHO Says (Update1)
By Karima Anjani and Jason Gale

Oct. 17 (Bloomberg) — Bird flu killed a 27-year-old woman on Indonesia’s Java island, the third person to die of the virus there in less than a week, the World Health Organization said.

Tests on the woman from Central Java province showed she had the H5N1 strain of avian influenza when she died last week, the WHO said in a statement yesterday. A 67-year-old woman from West Java province and an 11-year-old boy from a southern suburb of the capital, Jakarta, also died from the disease.

The virus is reported to have killed a person every four days this year, more than double the 2005 rate, creating chances for it to mutate and spread easily among people. Pandemic flu could kill millions, and nations should decide in advance which groups of people would receive drugs and vaccine first, world health officials say. Almost a third of nations surveyed prioritized neither in their preparedness plans, researchers say.

Because it is estimated to take six months to mass produce strain-specific vaccine, and global antiviral production and stockpiling is increasing, priority-setting for antivirals may prove to be more critical to pandemic preparedness,’‘ according to a study by Lori Uscher-Pines and colleagues from the Johns Hopkins Bloomberg School of Public Health and the Ben-Gurion University of the Negev, Israel.

WHO officials say that the world is now closer to another influenza pandemic than at any time since 1968, when the last of the previous century’s three major outbreaks occurred. The threat is putting governments under pressure to get ready for a global outbreak of flu.
-snip-
Avian flu has killed people in Indonesia at the rate of more than one a week this year. Doctors fear the pace of new infections might pick up heading into the Northern winter, when seasonal influenza tends to be more prevalent.

``We have noticed a relatively quiet period during the Northern hemisphere summer months, with a rise in cases beginning in October, Dick Thompson, a WHO spokesman in Geneva, said in an e-mail today. In Indonesia, there has been no quiet period. Unfortunately, new cases have appeared there throughout the year.

pugmom at 11:34… let’s hope that H5N1 doesn’t collide with the virus ‘that spreads very fast.’

pugmom - at 11:34 - good thing I have waders. I needed them for that article. :-) Actually, that article is scary.

I wouldn’t be surprised if we get a ‘leak’ soon from the WHO that they are at Level 5.

Commonground – at 11:44
Can you check the link again for the Bloomberg story? I’ve tried it twice and it comes up as a blank Bloomberg page. Is it, perchance, available only to subscribers?

Disregard above. I found it through a search from the Bloomberg home page
http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aY_OYEkFGiHo

Interesting, though, that I do not find the article in PLoS Medicine that is referenced in the Bloomberg story. PLoS Medicine provides information to PubMed in advance of print publication (at least some of the entries in PubMed have that notation) but there are only two PLoS Medicine articles that have reference to H5N1; one in August of this year (Live, Attenuated Influenza A H5N1 Candidate Vaccines Provide Broad Cross-Protection in Mice and Ferrets) and one in September (Reducing the impact of the next influenza pandemic using household-based public health interventions). Neither article was authored by Uscher-Pines.

Dennis in Colorado - at 12:19: Here’s the direct link:
http://www.bloomberg.com/apps/news?p…o&refer=canada

Sorry, try this:
http://www.bloomberg.com/apps/news?pid=20601082&sid=aY_OYEkFGiHo&refer=canada

More info on Parmiun, their trust in Shamans, and that Mistenem was a neighbor: dated 10–18–06. http://tinyurl.com/ybel3e comment: I will go try and find out info how close Kaliurip and Krinjing are to each other.

 Banjarnegara (KR) - Parimun (17) the citizen of the Village Krinjing the Purwanegara Village of Subdistrict Lightning, the Banjarnegara Regency, is currently treated in the Banyumas regional Public Hospital after showing the sign was attacked by bird flu.
 the child from Suwardji (74) that, originally was treated in RSUD Banjarnegara and was sent to RSUD Banyumas, following the Mistinem death (32) the citizen of the Village Sigedang the Kaliurip Madukara Village resulting from ‘suspect’ bird flu, on Thursday night (12/10).

Received by information, Parimun beforehand worked as the worker in Tangerang. He had a temperature, coughs and experienced laryngitis. Because did not recover-recovered, he afterwards returned home to the village. In his village, the Parimun illness increasingly serious to the end was learnt the next one was reconciled to RSUD Banjarnegara by the local village midwife,. Kastuji (50) the uncle Parimun stated, his nephew had been brought to a shaman and was given the pure water, but continued to not recover.

On Saturday early afternoon (14/10), several officials of the Health of the Regency of the Service (ET AL) Banjarnegara came to parents’s Parimun house to carry out the research.

This family be classed as could not and still trusted the clever person (the shaman) like generally the local citizens.

In to that, casualties’s neighbours died, Mistinem, in the Sigedang Kaliurip Village, since Saturday till Monday (16/10) in a crowd sold the chicken piaraan they, because worried was affected by the bird flu virus….

Pugmom - at 17:55

You know, as I was reading your detail above about the shamans, of course my blood pressure and frustration level went up.

But then I began to think about how many physcians here that I have spoken to recently just do not “believe” in a pandemic. Each one has smiled in that way that says that they know better than this layperson. No physicans here will prescribe antivirals or antibiotics in advance of the imagined pandemic for their patients who they took an oath to protect. I shake my head each time I encounter this response from the medical community here, and it has made me realize that it is not only the Indonesians who have “beliefs” that are preventing lives from being saved. Our university trained Western doctors do too.

Excerpt from an article about Mt. Merapi’s eruption last May. (As it turns out, Krinjing is right next to Mt. Merapi, and I found out on a locator map that it is 35 miles to the village of Kaliurip.)

“The village of Krinjing, six kilometres west of the crater, is among those that have been alerted about Merapi’s increasing activity, and temporary shelters are already in place, said village chief Sarijo”.

Indonesia Summary - Updated as of 10/17/06

Pixie and others: your earlier post about all the Dengue cases in Kalimantan made me uneasy. I have searched alot for any info on this, and have found none, even in the local Kalimantan papers. It is something we need to keep our eye on (in our spare time). This may help: Dengue fever = Demam Berdarah

excerpted article on Dengue in Indo written by an infectious disease expert: http://tinyurl.com/y9jwle

September 06, 2006 Dealing with Dengue Fever: Indonesia… Dengue fever is a relatively new disease, appearing initially in the 1950s in Southeast Asia and causing just a few thousand cases in that decade. The infection has since spread to most tropical and subtropical areas.

During the 1990s there were nearly 200,000 cases in all of Southeast Asia. In just the first half of this decade, there have been over 300,000 cases in Indonesia alone. The dengue problem grows steadily worse. There is no drug that prevents or cures infection. There is no vaccine. If you get dengue fever, you ride it out…

Last year in Indonesia there were about 80,000 reported cases, and nearly 1,100 deaths caused by dengue. Most experts consider the disease underreported by a factor of two or three — one reported case for two or three actual cases.

Most people infected by dengue experience mild-to-severe discomfort, typically a headache (especially behind the eyes), malaise and maybe a rash. But about 1 to 2 percent develop a more severe form of the disease called Dengue Hemorrhagic Fever (DHF).

The case fatality rate for DHF ranges from 1 percent to 40 percent, depending on promptness and quality of supportive clinical care. Dengue is a fact of life in Jakarta, with thousands of cases and dozens of deaths each year, and most cases occur during the rainy season….

Dengue is transmitted by a mosquito that is abundant in Jakarta, Aedes aegypti (and a sister species, Aedes albopictus), the Asian Tiger mosquito. It loves the rainy season. The Asian Tiger bites during the day… When you see insecticide fumigation going on, this represents a sure sign of failure to effectively control breeding sites. Fumigation effectively knocks down the adult mosquitoes that happen to be present when it occurs, but many resting mosquitoes survive and can safely take to the air just a few minutes afterward.

Aedes mosquitoes can be born with dengue virus inherited from their mothers. That’s right — a mosquito hatched in your yard and never going anywhere else can transmit dengue fever….

(The writer is an expert in tropical infectious diseases and worked formerly with the U.S. Navy as a microbiologist. He is now a section editor for the American Journal of Tropical Medicine & Hygiene). J. Kevin Baird, Ph.D.

pugmom – at 23:51

Here are some articles that I saved back a month or two ago when I was chasing down the outbreak you speak of in Pontianak in Kalimantan. Ultimately I decided not to post them because I decided that it was indeed dengue fever. I don’t think the links work anymore.

DenguePasien Diarrhoea in Pontianak Melonjak

Liputan6.com, Pontianak: The Number Of diarrhoea patients and dengue fever in the Pontianak City, West Kalimantan, continued to jump even to be judged extraordinary. The plague of the illness especially often attacked children. Several hospitals have in this city been overwhelmed accommodated the patient, on Friday (1/9). Several patients were forced to be treated in the hospital path. Five children and diarrhoea of the dengue fever sufferer it was reported died.

http://www.liputan6.com/view/12,128434,1,0,1157167779.html

On Saturday, August 26 2006 the Patient was treated in the House Path Sakit the DBD Case and Muntaber Membudak

Pontianak,- Rain that had descended in recent times to the cause of the emergence of the illness of dengue fever dengue fever and muntaber in the Pontianak City and surrounding area. The hospital St Antonius since early last August said in general accepted at least 4 sufferers muntaber and DBD. the “changing Weather made children susceptible to the DBD illness and muntaber.” Especially from water, explained Dr Antonius T Frendi, to Pontianak Post, as the doctor was on duty at the Intensive Care Unit (UGD) RSSA Pontianak. However Antonius reluctantly named this as the Extraordinary Incident. According to him, that determined the extraordinary incident not from the hospital, but from the Health Service. “Possibly also had the other indicator.” Only the fact is had the jump of the patient that suffered muntaber and DBD, he revealed. In this UGD space from Observation Pontianak Post was met by dozens of patients who entered time that almost simultaneously. The bed that was prepared for the patient UGD that was observed then did not suffice accommodated pasein that arrived.

<snip>

http://www.pontianakpost.com/berita/index.asp?berita=Utama&id=123560

On Friday, August 11 2006 was on the alert, the DBD Case and ISPA increased

On Friday, August 11 2006 was on the alert, the DBD Case and ISPA Membengkak Pontianak,- the Citizen was asked to be on the alert because of the case of Dengue Fever Dengue Fever (DBD) began to increase sharply. In the 31st week in 2006 (on July 30 till August 5), was recorded by as many as 39 cases all over Pontianak. “Year round this, the case in the 31st week was what was highest,” said the Section Head the Health of the Pontianak City, Dr Hj Lily Sa’diah, yesterday. This data was assembled by Diskes from all over the available community health centre in Pontianak. If compared with the data last year, said Lily, the number of DBD cases jumped drastic. “In the same week in 2005, only was recorded by as many as 4 DBD cases,” he revealed. Even, there was the DBD trend of the sufferer’s figure in this year will continue to increase. “We were very anxious also in the 32nd week (on August 6–12) this.” The matter is, for the last four days (on August 6–9), has been recorded by as many as 21 cases, he added. Therefore, he made a plea so that the citizen increases vigilance by doing the eradication action of the mosquitoes nest. Not only DBD, the case of the Acute Respiratory Tract Infection (ISPA) also experienced the significant increase.

>snip>

http://www.pontianakpost.com/berita/index.asp?berita=Metropolis&id=122828

On Thursday, July 27 2006

Dengue Fever Claim 4 Nyawa was on the alert!

Pontianak,- the Illness of Dengue Fever Dengue Fever (DBD) began to claim casualties. A last week, RSUD Soedarso Pontianak recorded approximately four citizens who died as a result of being attacked by dengue fever. The “patient came after in the condition shock dengue fever.” Or that was known with Shock Syndrome Dengue Fever (DSS). This the highest level in the dengue fever illness. If the patient already in this level, his opportunity to recover very small, said RSUD Soedarso Pontianak Director, Dr Muhammad Subuh MMPM to Pontianak Post, yesterday. According to him, four patients that died that the bleeding in and around his side has happened. Although the number died was high enough in a week, to still could not be said as the extraordinary plague. Because, in the same month last year, the number of his sufferers relative descended. “His case very few, only of his mortality rates were high,” he said. As a result, the infusion liquid and the injection could not enter. “Maximal efforts also were difficult to be carried out because of the probability to recover very small.”

<snip>

http://www.pontianakpost.com/berita/index.asp?berita=Utama&id=121946

Thanx Okieman—it appears the Dengue outbreak started last July and is still going on. After having digested all these posts and writings on Dengue in Indo today, I think I will be slightly less worried when I hear about the “thousands” of cases occurring, whether in Kalimantan or Jakarta. But that is good, as I don’t really want to get too distracted—tracking H5N1 is hard enough.

Comment: More on Doni here (Dn), perhaps, who is reported as being (5). They are diligently looking for a link to birds with AI, but report that Doni seemed to have had no contact with infected animals.

LAMPUNG

Rabu, 18 Oktober 2006 / LampungPost / http://tinyurl.com/tazdq

Metro - Bird Flu: the Penularan Anticipation Service

METRO (Lampost): the Metro agricultural Service continued to carry out the co-ordination Officially the local Health followed the assumption of the existence of bird flu that fell on Dn, the citizen Street Yos Sudarso, Plain, the Metro City. This was done to anticipate the possibility of the occurrence of the spread.

The child was 5 years old was stated suspect bird flu, since being reconciled to RSUAM on October 15 from RSU A. Yani Metro. The clinical inspection/the temporary diagnosis that was carried out in RSU A. Yani Metro, Dn was stated suffered tuberculosis (the TB).

The head of the Field (the Head of Sector) Livestock Breeding and the Health of the local Eni Fermi Animal of the agricultural Service said at this time all the Dn family has also been taken his blood to be researched. Moreover, said he, his side also carried out the survey in the location of the sufferer and the environment around. Results, was not found by the existence of the other sufferer who also was expected by bird flu.

Apart from the sending of the sample of blood of the sufferer’s family — was taken by 5 people — to the Health Service of the Lampung Province, also was done by counselling to the sufferer’s family and the environment around. Officially Agriculture, said Eni Fermi, also carried out investigation to the environment around the sufferer’s family that had the poultry. Including, did the inspection and the test of the poultry that was sick, spraying of the pen. “We also carried out the revaccination against the poultry in the Metro district, and gave counselling to the owner of the livestock around the sufferer’s house,” he said.

From results of the interview with the sufferer’s family and the owner of the livestock in the environment around, the team concluded several possibilities from where this bird flu virus came.

Firstly, from the chicken abattoir (TPA) belonging to Sumantri — that to last October 4, his chicken positive was infected by Avian influenza. The distance of the sufferer’s house with TPA Sumatri only revolved 100 metre. From the same abattoir the waste of the waste of his chicken it was thought was not yet carried out truly and hygienically.

Then, a week before the sufferer took medicine to RSU A. Yani Metro, the family prenderita once contact with the living chicken that was bought from the market and afterwards disembelih to be consumed. Known, evidently the AI chicken came from Sukadamai, Lampung South.

According to Eni Fermi, the certain diagnosis the sufferer still could not be done because of being waiting for results of the laboratory inspection.

Whereas the source of the spread still could not be also ascertained because of the sufferer beforehand not direct contact was with the animal infected.

Comment: More details on Doni’s condition, which was very poor seems to have improved.

Bird flu: RSUAM formed Tim Khusus

Selasa, 17 Oktober 2006 / LampungPost / http://tinyurl.com/y2jwtd

RSUAM formed the special team in order to handles Dn (3 years 8 months), the inhabitants Metro that it was suspected contracted bird flu. The hospital side also sent swap the Dn throat to the Penelitan Hall and the Development of the Health Department of Health Jakarta, on Monday (16–10).

The chairman Tim the Handling Suspect RSUAM Bird Flu, Dr. Pad Dilangga, Sp. P., said was based on results of the inspection and results of the laboratory, the Dn condition headed in bird flu. “The number of Dn leucocytes very low.” This showed the condition for the patient’s immunity very low, said Pad, yesterday. He said the number of normal leucocytes between 5,000 and 10 thousand, while the number of Dn leucocytes, was based on results of the Hospital inspection of Ahmad Yani, only 2,500. Afterwards when arriving in RSUAM, descended to 1.700. Yesterday, again descended to 1,300.

Moreover, was based on results x-rayed, the expansion of pneumonia happened (the inflammation of the lungs) to the right lungs. The “expansion of pneumonia happened that very fast especially to the right lungs.”

Moreover, the patient also experienced hot high, more than 38 Celsius levels, he said. Moreover, on Sunday (15–10), ‘’‘hot him achieved 39.1 Celsius levels. However, yesterday the temperature of the Dn body descended to 37.7 Celsius levels’‘’.

Results of the laboratory inspection, only lymphocytes numbers the good patient, 80, from 50 in the normal condition. According to Pad, because the condition for the patient heads in the case of bird flu, currently still to suspect. “To confirm, we were still being waiting for results of Jakarta, and hopefully in three days had results,” said he.

To increase resistance of the patient’s body, since Sunday (15–10), the patient was given by Tamiflu (bird flu medicine) and antibiotik to handle pneumonia that spread.

Whereas the team that was chaired by Pad consisted of the child’s specialist doctor, the lung specialist doctor, the part of the nutritive installation, and other. A “day, Dn was examined by two specialist doctors, the specialist doctor and the child’s specialist of the lungs.” We gave attention more to this patient, because of having the story took the form of the chicken died and the condition for the patient showed suspect, said he.

Till yesterday, Dn still treated in isolation space. However, to the child’s body only was installed by the infusion without the oxygen hose because he refused. “His condition began to improve, hot him has descended,” said the paramedic who was assigned in isolation space.

Comment: Doni continues to improve, but the rapid tests on the chickens in his neighborhood have shown no signs of avian influenza. They have also tested Doni’s family, but seem to be judging whether they are ill based on haemoglobin and leucocyte levels.

LAMPUNG

 Rabu, 18 Oktober 2006  / LampungPost  /  http://tinyurl.com/w7ou3

‘’‘Bird flu: the Sample of the Negative Chicken, the Condition for the Membaik Patient’‘’

Was based on results of the fast test (rapid test) the Metro Service of City Agriculture, the sample of ‘’‘the chicken that died and was sick in Street Yos. Sudarso the city territory the bird flu negative’‘’.

Whereas the Dn condition (3 years 8 months) that it was suspected was affected by the bird flu virus began to improve.

The head of the Sub- Service (Kasubdin) the Health of the Animal (Keswan) the Lampung Service of Province Livestock Breeding drh. Nurcahyo said was based on results of the fast test research, the sample of the chicken that was taken by the bird flu negative. “However, we continue to memvaksin the chicken and gave chicken disinfectant in and around Street Yos.” Sudarso Metro, said he.

In the meantime was based on results of the blood test against the Dn family, namely the father and his mother, Ag (39) and RI (38), did not point out the sign of bird flu. The “blood test against the two parents Dn good,” said a paramedic in RSUAM isolation space, yesterday. Was based on results of the complete blood test that was carried out against Ag it was known the level of haemoglobin or red blood cells 13.7 of the normal numbers between 13,5 and 18 gr/dl. While leucocytes or Ag white blood cells reached 6,700 of the normal numbers 4,500 — 10 thousand units/litre. In the meantime, haemoglobin RI 10,5 gr/dl, leucocytes 4,300 units/litre.

The “condition for his mother was indeed worse compared with his father, but that still in the normal limit.” Possibly his mother stress and the fast because that results lower against the normal figure, said this paramedic.

The Dn condition increasingly improved. The temperature of his body, yesterday, again descended from 37,7 the previous day became 37.4 Celsius levels. Dn also began to eat the porridge despite just a few. “Today (yesterday, red) was x-rayed by us to know the condition for his lungs.” Tomorrow (today, red) we will drip complete blood, said this official.

A little more on “AR”: Bandung, West Java: dated 10–18–06 http://tinyurl.com/yyn4el

…results of the temporary laboratory inspection showed the existence of the infection on the AR lungs (35), suspect bird flu that currently still is isolated in Poinciana Tree space RS Handsome Sadikin Bandung. Suspected, the infection emerged because of the normal bacteria. SOPIAN (29), showed a duckling that died in the pen belonging to AR, to be precise in the “Maya Kp Water” Pond.

…Hasil x-rayed indeed was inflamed, but not typical flu burung,” said Dr. Hadi Jusuf, Sp. Despite this, said Hadi, his side was still opening the possibility of the outbreak of the bird flu virus. Moreover, AR had the story of contact with the poultry that died suddenly. “Sehari after being treated, the AR situation improved. Continue to have the cough, crowded, and was sick the throat. Now, the temperature of his body has begun to descend. Even, could be below 37 0 Celsius,” he said….

Investigating the death of ducks implicated in the illness of “AR” in Bandung. Officials worried as they have only had large deaths in chickens, but never ducks. dated 10–18–06. http://tinyurl.com/y9avuf comment: seems like an insignificant little article, but could this represent something new for the virus—it is now killing ducks, whereas before it only infected them??

 Cianjur, (HOMEWORK).

- followed up the existence of the assumption suspect bird flu (Avian influenza/AI) from Jangari Kec. Mande Kab. Cianjur that currently is treated in RSHS Bandung, Tim the Health of the Animal and the Perternakan Service Fish and Kab fisheries. Cianjur, on Tuesday (17/10) entered to the location. The team that consisted of the official participatory disease response (FDR) and partisipatory disease surveillance (FDS) was doing investigation, in order to ascertains the possibility of the existence of the death of the duck livestock.

His article from the news that they received, before this patient menderita was sick, belasan his property duck experienced the death. “Tim PDS and PDR, has entered to the field did penulusuran.” Until this we did not yet accept the report. We just knew from the mass media that in RSHS Bandung had the patient suspect AI that was treated, there it was mentioned the patient from Jangari Kec. Mande Kab. Cianjur, said Kasubdin the Health of the Perternakan Service Animal and Kab fisheries. Cianjur, Adianto Wachidin, on Tuesday (17/10). According to him, the team was at this time working was focussed on the search for the death of the duck livestock. His article from the patient’s news that was expected suspect bird flu and was treated that, before suffered was sick, was preceeded with the death belasan his property duck. Nevertheless was acknowledged, his side still the difficulty found the location of the residence that was expected suspect this bird flu.

Increased again, uptil now his side and the official in the field had never gotten the report or found the existence of the death of the sudden duck livestock in a large number.

“We were the focus to penelurusan, there was or not the death of the duck in the Mande Subdistrict.” The matter is, before this regional incident also including safe, did not yet have the report or the case findings of the death of the duck and the poultry belonging to the citizen. Usually, there was the death of the poultry, between five tails liked to have the report, he said….

Appeals to the citizens to take extra precautions with the rains coming. dated 1–18–06. http://tinyurl.com/ssfyo

Dinkes Deli Serdang appealed to the citizen of Anticipation of infectious diseases to be written by editorial staff on October 18 2006 at 09:56 the Pakam The Deepest Part (SIB) To anticipate the increase in infectious diseases like the fever berdarah dengue fever (DBD), vomited menceret (Munmen) and the acute respiratory tract Infection (ISPA) that was resulted in by the nature weather that uncertain, the Deli Serdang Health Service appealed to the citizen to more increased vigilance. The appeal was raised by the Section Head the Deli Serdang Health Dr H Masdulhaq Siregar Spog (K) MHA, on Monday (16/10) in his office in the Pakam The Deepest Part.

According to Dr Masdulhaq was accompanied by Kasubdin P2P drg was willing Sondang Hutajulu and Kabag Administration M. Nisrajuddin SE, his side must dismiss the appeal considering lately the rainy season and the uncertain nature weather.

The condition could cause various infectious diseases sorts that the possibility will be experienced by the citizen especially in welcomed the Idul Fitri Holiday 1427 H. Consequently, to anticipate and the prevention of the DBD illness the citizen must carry out PSN (the eradication of the mosquitoes nest) with 3 M. + 1 T that is; drained, cleaned the bath, tempayan, the fish-pond, the flower vase, the place drank birds and the place of the water reception very other in a week. Buried the second-hand thing/the forum that could accommodate water like tin, bottles, the coconut coconut shell and second-hand tyres. Closed the meeting of the place of the water reception like gentong and the jug as well as laid empty forums down. Whereas for the prevention of the diarrhoea illness/Munmen was appealed to so that the citizen maintains the cleanliness and the health of food with washed before before being cooked. Guarded the source of the drinking water was not dirtiest the waste, washed the hands with soap before eating…

Tally of resp. infections in Medan during month of Sept. due to “change in weather, rains” Dated 10–18–06. http://tinyurl.com/ym2pew

 Resulting from the Change in the Illness Weather ISPA increased in Medan during September had data collected on it by 9679 cases of the Upper Respiratory Tract Infection (ISPA) in Medan increased in connection with the change in the weather.

Proven during September 2006 the ISPA illness that was reported 39 community health centres in Medan numbering 9679 cases….

Whereas since January 2006 till September 2006 completely numbering 83086 cases. However as far as this is concerned did not yet have his sufferer who died because of could be rescued in the Community Health Centre and in hospitals…

Further he said, the ISPA illness generally attacks pre-schoolers (the age baby under 5 years). The cause and his risk factor was caused by the existence of the change in the rain weather was accompanied hot caused the illness emergence pilek, flu was accompanied by coughs…

Asthma or BF in Makassar? dated 10–18–06. http://tinyurl.com/y3m8wu

The student the JUNIOR HIGH SCHOOL Rappang was expected by Doctor’s Bird Flu: Only contracted Asma

Parepare, the Stand — A class student two junior high school 2 Rappang, the Sidrap Regency, Asr (13), must be reconciled to the Hospital (RS) A Makkasau, the Parepare City, on Tuesday (17/10), because of being expected suspect bird flu. Asr could be handled a day in RS Arifin Nu’mang Rappang, the Sidrap Regency, before being moved to RS A Makkasau Parepare. From the report on RS Arifin Nu’mang reconciliation, this patient was it was suspected attacked by bird flu.

The Asr family brought him to the local hospital after experienced breathless, the cough had phlegm, and the high fever for two days.

He could it was known be directly touching with the poultry died before being sick. “Possibly because that so as information in reconciliation, he was reported suspect bird flu.” However, after being checked by us, he evidently only contracted asthma. His patient has also been given by us the injection anbiotik, said Dr Amir, from the installation part treated the RS A Makkasau emergency, yesterday. In encountered in the maintenance ward, on Wednesday (18/10), Asr was seen still was limp with the infusion on the right hands. He was guarded by his two uncles, because his parents did not yet come..

Before being sick, Asr admitted to be able to be directly touching with his 10 kept chickens that died suddenly.

Asthma does not cause ‘high fever’.

Pugmom - I remember reading way back around Feb/March that the ducks are carriers, but show no signs of the illness. Don’t know the specific breeds, or where the ducks were tested from. But maybe if someone here at the wiki could enlighten us on this subject? My opinion, and I’ve just got a HS Degree - is that if the ducks are dying, that’s not a good sign - but what do I know???

CG: I think you know more than you think you know. It has been commented on that ducks are typically carriers, but do not display symptoms or deaths. Maybe this is another sign of the virus breaking out, or gaining virulence in other species.

Also see Fredness’ just posted thread on the possiblity of novel strains emerging in ducks due to Tamiflu excreted by humans entering waterways via sewage.

There have been some symptomatic cases in wild ducks, although most have been aysmptomatic carriers. Researchers in Thailand also found sick and dead ducks, although reading this they sound sicker than I remember. From a PNEAS paper: http://tinyurl.com/yff94k

“The biology of the H5N1 viruses changed dramatically for the first time in late 2002, when the viruses were isolated from dead wild aquatic birds in Hong Kong and from decorative waterfowl that died in Kowloon Park, Hong Kong (6,7). After the Z genotype of H5N1 influenza became established as the dominant H5N1 influenza virus in eastern Asia, it was transmitted to persons in Vietnam, Thailand, and Cambodia. In 2004, a distinguishable genotype was transmitted to persons in Indonesia (8).”

About domestic ducks in Thailand, the PNEAS paper said:

“As previously mentioned, our laboratory received 450 sick, moribund, or dead ducks, which were studied for pathologic features of H5N1 infection. These birds had been raised in the open house system or were from backyard flocks. They exhibited signs of disease such as high fever, dyspnea, depression, and diarrhea, and nervous signs such as ataxia, incoordination, and convulsions (Figure 3A). Most had ocular and nasal discharge accompanied by conjunctivitis; 20%–100% of the birds in each flock from which these ducks originated were dead. All cloacal and tracheal swabs and tissue samples were positive for H5N1 by HI and RT-PCR (results not shown).

At necropsy, gross lesions were detected, including ecchymotic or petechial hemorrhage of leg and footpad; serous fluid surrounding the heart, pancreas, liver, and abdomen; cyanosis of the oral cavity; and mild pleural effusion. On histopathologic examination, the most striking lesions were found in the lung, with extensive pneumonia and severe pulmonary edema with hyaline material in the alveolar space and slight mononuclear infiltration in the area surrounding congested vessels (Figure 3B). Nonsuppurative encephalitis with perivascular cuffing of mononuclear cells and gliosis were detected in the brains of ducks that displayed nervous signs. Hyaline degeneration and necrosis of myocardium with mononuclear infiltration were detected predominantly in dead ducks from fast-growing breeds such as the Pekin and white Cherry Valley ducks. Necrotizing pancreatis with mononuclear infiltration was detected in all affected ducks. Most affected ducks exhibited focal hepatitis, tubulonephritis, splenic lymphoid depletion or necrosis, and enteritis. Virus antigen was detected by immunohistochemical tests in all organs tested, including trachea, lung, liver, pancreas, rectum, bursa of Fabricius, spleen, brain, heart, and kidney (Figure 4).”

It used to be thought that ducks were asymptomatic carriers of influenza viruses, but when H5N1 appeared on the scene, that pattern no longer held true in all instances. There are now numerous sequences of H5N1 from ducks in the databases. While the records don’t always state whether the sample was from a dead or live duck, I remember from old news reports that at least some of them were dead.

Some of the locations include China, VietNam, Novosibirsk, Egypt, Italy, Bavaria, Iraq, various locations in Africa, etc. As for Indonesia there were locations in Bali, and at a place called Parepare. There may be more locations, I did not look through everything.

There is probably a serious lack of testing on ducks (as is true with mammals). But I find it hard to believe that most of the sequences were from live ducks, quite the contrary, they were probably from sick or dead ones. While there is significant monitoring of healthy ducks in North America and probably some locations in Europe, that’s probably not the case in many other countries due to lack of funds; therefore in certain areas of the world it would be reasonable to surmise that samples came from dead ducks…

Pixie at 11:23, thanks for the excellent article about ducks, with full information on symptomology and related details.

There has probably been a certain mortality rate in ducks from H5N1 all along. But the thing that caught my attention in this article about the suspect case who tends ducks is that the duck-death in this one little area is a new phenomenon for that area. The “Tim” has been sent out to investigate this new occurrence. It may be things like this, that is, miniscule little changes in viral behavior, that will give us the heads-up and show us the slowing evolving trend lines.

Oh Yeah, and I forgot one other thing—remember Dr. Niman and that now famous Indramayu duck—the only thing that matched a human sequence. (I think I have that Indramayu duck burned into my brain.)

Posted by Dutchie at CurEvents:
http://tinyurl.com/ybyxh2
The baby Suspect Meninggal Bird Flu
19 Oct 2006, the Taking of the Sample of Lima Blood the Citizen MAROS — the Official of the Maros Health of the Service took the sample of blood against five citizens in the Bontopaddingin Village, the Bontotallasa Village, the Subdistrict Toss Up, on Wednesday October 18 yesterday. The taking of the sample of this blood, related the death a baby, Fajrin, 2 months that was expected suspect avian influenza (AI) or bird flu. They who were taken the sample of his blood respectively the two parents Fajrin, the Dervish, 22 years with his wife, dahlias, 29 years. Three other citizens were still being the grandfather and the close Fajrin family respectively Kurdin, 60 years, Hj Indeed, 55 years, and Harbiah, 35 years. A Service staff the Maros Health, Muhammad Said, SKM M. Cash that led the taking of the sample of this blood in the location, mentioned, from the five citizens, two including being expected suspect bird flu.
-snip-
The “baby Fajrin personally died several times upon arrival at RSU Regional Dr Wahidin Sudirohusodo Makassar after being reconciled from RSUD Salewangang,” he explained. That definitely, continued Said, in this location indeed has many kept poultries the citizen who died suddenly with the sign was attacked by bird flu.

Commonground - at 11:55:

the death a baby, Fajrin, 2 months that was expected suspect avian influenza

led the taking of the sample of this blood in the location, mentioned, from the five citizens, two including being expected suspect bird flu.

Well, we know the baby had a slim to none liklihood of direct contact with poultry. There are two adults suspected of having H5N1 here as well, so it looks like the beginning of a possible H2H family cluster.

geeze Pixie at 11:23 after reading all of that I feel sick! That was horrible reading. The first paragraph under “about domestic ducks in Thialand”, sounds to me, like Newcastle Disease. But the second paragraph doesn’t even remotely support that. sounds like an alien has invaded!

Pixie - at 12:01 - I agree. Let’s see where the “spin” goes on this.

Ducks are negative in Bandung: dated 10–19–06. http://tinyurl.com/yh9v24

Cianjur, (HOMEWORK). - the Health Sub- Service of the Animal and the Livestock, the Livestock Breeding Service and Cianjur Regency fisheries concluded results of the inspection rapid test that was carried out by the official against several ducks, in three locations including in the Pond Japung Maya Water, on Wednesday (18/10) evidently all of them the negative. The inspection was carried out in order to follows up the existence of the death of the duck belonging to the citizen have the initials AR….

The “team has done rapid test, in three locations including against the duck belonging to AR. we were relieved because of results of all the negatives”, he said…

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I’ve been doing some cross referencing lately against our spreadsheet. So far, so good. Regarding the 2 month old above, Fajrin, I was surprised to see 7 people in Maros on August 29th. All were given Tamiflu, Tested and gone home. Except for the last person whom was not tested, but was given Tamiful and gone home. Sounds like a Tamiflu blanket if you ask me. In any event…..none of the names matched up to any of the people in above post (at 11:55). It may be important to cross reference in the future.

Possible New Case: American student living in Parepare, Sulawesi. Dated 10–19–06. http://tinyurl.com/vaw9e

The student Rappang was expected Terjangkit Burung Flu (19 Oct 2006, 11 x, printed, Comment) PAREPARE — the Student from Rappang, the USA, 13, was expected has terjangkit the bird flu virus.

The citizen from Street Poros Rappang-Enrekang, this, in fact since last October 17 has been treated in RSU Andi Makkasau, Parepare. The USA that was recorded as the class student of Ii SMP was delivered by his father, Sudirman, entered the Intensive Care Unit’s space (UGD) RSU Andi Makkasau, around pukul 13. 05 Wita, on Sunday, on Tuesday, October 17.

The same day, Asrullah was moved to Interna Space (the Water Lily) the III Class. Syamsuddin, the US uncle that guarded him in kamar said, they brought the USA to the hospital, because hot his body was very high.

The condition had begun since dozens of his chickens died suddenly. The USA, said he, could be treated in the Rappang hospital before being reconciled to Parepare. Information that was assembled by the Dawn in the hospital mentioned, apart from the temperature of the high body, since the last two days, the USA also experienced breathless, the cough had phlegm, myalgia, was sick during swallowed, and sometimes had a headache.

The hospital side denied it if the USA suspek bird flu. According to Dr Reny Angreani , one of the doctors that handled the USA, this patient was only attacked by asthma. “That suspicious if he was attacked by the bird flu that di there (RS Sidrap, red).” If we here were not available. That was based on the picture of the laboratory.

So if wanting to ask the matter of bird flu that attacked the USA, please asked to Sidrap, said Reny. Was based on results of the photograph, according to Reny, clean also results. “If bird flu must have the picture penemoni.” But Asrul not. Results of his photograph were clean. His white blood cells were also not high. Nevertheless we every day controlled him, explained the doctor muda this while continued that the temperature of the US body 38 levels celcius. According to him, the matter of results that showed the level of SGOT (the function of the heart) high, reached 43 U/I, not the characteristics of bird flu. Nevertheless, Reny acknowledged that the patient that suffered breathless that also one of the indications of bird flu.

“My conclusion with the team radiobiologi, as well as the laboratory was concluded that is not found signs suspek bird flu.” His blood also will not be sent by us to Makassar, stated Reny. In the meantime, from the monitoring of the Dawn, the afternoon yesterday, the USA was still being rolled over weak the room of his place doctor was treated. He claimed to be the temperature of his body rose after his chickens died. Nevertheless, he claimed already rather baikan.

here is an Indo news report about the flu. (it is in indonesian) but if you click on the little camera at the top you can see inside the hospital.

It looks like they are getting serious (at least from the first picture a few months ago with the windows open, people walking by the open window, parents sitting on the bed, HCW without masks or hoods,….. Just thought the group here might enjoy the video. You will have to wait a while for the reporter to talk and then you can see the HCW’s

http://tinyurl.com/wsnsh

?? translation at 16:04. May not be someone from USA. In the Indo article, the word is “AS”. When you put that into Toggletext, it comes out “the USA.” So, “AS” may be the name of the person. Frankly, I am not sure how to read the translation. (I thought the student’s name was Asrullah). Maybe “AS” is a contraction of his name. Thanx Influentia2 for wondering about the same thing.

Comment: This is very mainstream reporting (UPI) but it contains several errors, among which is the statement that MK was the only Indonesian H5N1 case experiencing encephalitis (information which the reporter probably got from Mr. Runizar Ruesin, the Health Ministry’s bird flu info chief).

Indonesia defends H5N1 fight

By Kate Walker Oct 18, 2006, 19:00 GMT / http://tinyurl.com/yhcv8r

LONDON, England (UPI) — In a week that has seen three deaths from avian influenza in three days, all in Indonesia, the country defended its efforts in the battle against bird flu.

‘We are doing the best we can,’ said Nyoman Kandun, a senior Health Ministry official.

While it has been established that the best way to eradicate avian influenza in poultry is by mass action, be it culling or vaccination, the Indonesian government says that it is unable to offer sufficient compensation to the country`s millions of backyard poultry farmers. The sheer number of domestic flocks in the country makes any vaccination program costly and unwieldy.

Last month the Indonesian government launched a bird-flu information campaign, teaching people how to avoid contracting the disease through proper hygiene and due care. But the recent spate of deaths — Indonesia has suffered the highest avian-influenza toll of any country — seems to indicate that such programs are not working.

On Friday a 27-year-old woman from Central Java died a day after being hospitalized with flu-like symptoms. Her death was confirmed Wednesday by the World Health Organization as being directly attributable to avian influenza — Indonesia`s 55th such death.

Then Saturday an unidentified 11-year-old boy died in Jakarta`s Sulianto Saroso Hospital for Infectious Diseases.

On Sunday a 72-year-old grandmother died of avian influenza in a highly unusual case that also saw her affected by encephalitis. The woman, from Cisarua in West Java, was placed in a bird-flu isolation ward Oct. 7 and lost consciousness for a day due to encephalitis. Her kidneys were also affected.

No other Indonesian bird-flu victim has been affected by encephalitis; the only other reported case occurred in Vietnam in 2004. Encephalitis is an inflammation of the brain that is associated with viral diseases, bacterial diseases such as bacterial meningitis, or complications arising from diseases including syphilis and rabies. Avian influenza, on the other hand, traditionally attacks the lungs.

“ The virus in her was highly pathogenic, very vicious. She is the 54th casualty out of 71 cases,” said Runizar Ruesin, the Health Ministry`s bird-flu information center chief.

<snip>

Pixie: at 17:22--well, I suppose if one is a complete niggler for details and parses every word, then you could argue that she was the only encephalitis. Jonas Ginting officially had a brain abscess, but we never heard back from his spinal tap. In the world of finicky parsers, (not me) the two are defined differently. Influentia2 and I had a long email discussion on this topic, and I think she told me that the results on Jonas were never released. She will probably weigh in on this soon. Of course, if Jonas had died, like Mama (thank goodness he made it), but if he had died, of course they could have settled it with a post-mortem.

Pugmom 17:30

I don’t think I am a finicky parser, but I didn’t and don’t believe MaMa was the first person with encephalitis. That is just my opinion and I am not a medical person. To me something ended up messing up their brain period. I don’t know for sure THEY know either or if THEY do they aren’t telling. I do know that Jonas Ginting had an abcess of some kind and I have this from the article from when he came home.

He could also experience brain access in his head because of the bird flu attack. That was ‘known after doing the inspection with CT Scan so as to be seen by the pus collection in the Jones brain part. But, because kedisplinan and Jones diligence to take medicine, finally he was free from the bird flu illness and brain access and only was kept experiencing the pulmonary disease. So, Jones will be appointed to take medicine the road a week very much up until 6 length months.

Anyway, just my personal belief. I am not trying to be a finicky parser I just think there is something rotten in Indonesia. I think a Niman commentary tells what THEY thought he had.

17:45 is me. I bumped this before I left for work today.

Comment: I was wondering just how much general pneumonia and other respiratory diseases an area in Indonesia typically suffers. It seems that most of the H5N1 patients are brought first to a community clinic, and only if their case proves very stubborn and life threatening are they referred to a larger hospital. From East Java:

 Thousands of citizens were in Malang attacked by pneumonia

MediaIndonesia / Minggu, 15 Oktober 2006 / http://tinyurl.com/am6wk

Malang — MIOL: the Health Service of the Government of the Regency (the Regional Government) Malang, East Java stated at this time thousands of citizens were attacked by the pneumonia illness. This illness sufferer was dominated by under age children five years. The “minor pneumonia illness and was handled the community health centre, but difficult pneumonia was handled the hospital, the” headword” of the Illness and Regional Government Sanitation of the Environment of the Health Service of the Eradication Field. It was unfortunate, East Java, Dr Mulyatim Koeswo, m.Cash to the Indonesian Media, on Sunday (15/10).

<snip> As far as this is concerned did not yet have the sufferer who died. “All could have been handled,” he stressed.

<snip>

Influentia2--you know and I know that both Mama died and Jonas almost died from overwhelming H5N1 infections. MaMa probably had a worse case and went into total body failure. Jonas was younger—probably what saved him. But the way they wiggle out of confirmation of H5N1 invading the brain is to use very precise medical terminology. You can have a brain abscess (pus pocket) with no encephalitis. Brain abscesses are usually bacterial in origin. Encephalitis is usually associated with virues (as Western Equine Encephalitis). Encephalitis is a general term meaning inflammation of the brain/and/or cerebro-spinal fluid. You can often diagnose the causative agent of encephalitis by getting at the fluid that surrounds the brain, ie a spinal tap. You cannot always diagnose what is inside a brain abcess by doing a tap, as a tap only tests the fluid that bathes the brain. You can see a brain abcess on a CAT scan though or by directly getting tissue from the pus pocket itself. So, if they never did a spinal tap on Jonas (and he would probably have to sign a consent form and we all remember he wasn’t too compliant), then they would never be able to say that there was H5N1 in his cerebro-spinal fluid (viral encephalitis), and if they never tested for H5N1 in the fluid, then it is like it never happened. And since he didn’t die, they didn’t perform tissue sampling on his brain. So, the old rule applies: if it wasn’t done, or it wasn’t written down, or if it wasn’t tested for and documented, well then, obviously it never happened. Sorry I rambled on so long. Maybe these are just glaring omissions by Indo doctors (fortunately, for us here in this great country, we would have a differential diagnosis of what was going on in the brain within several days—no stone would be left unturned.) I am not convinced that it is a deliberate cover-up by the Indo PTB, or just sub-standard care/knowledge.

threads are soooooooooo slow tonight. traffic must be heavy. that’s a good thing.

pugmom - technically, we are still awaiting confirmation of MK’s spinal fluid tests. They were supposed to be returned on Tuesday. I have looked all over for them and there is no mention of these final test results anywhere (and since it is now Thurs. in Indonesia, I am beginning to think there won’t ever be any final confirmation). At first we heard that the tests of the spinal fluid came back positive. Then we heard that the tests had not been done yet. Finally they promised test results would be returned this past Tues.

The doctors at the hospital surely seemed like they were going full-out to find the cause of MK’s illness, quite apart from a bit of professional infighting that is not unusual in high profile situations anywhere. Since they seemed so diligent, I really did think they would follow up and release the final spinal fluid test results as soon as they were returned. I am rather puzzled that they have not.

I am even more puzzled by hearing from all of you that no final spinal fluid test results were returned for Jonas. That fact had slipped by me completely. Perhaps I had just read Niman’s strong commentary on that situaion and assumed that the final results had become known and I had somehow missed them. I always thought we had final test results for him too, until you ladies clued me in. Pugmom, your thoughts about whether this is all intentional or something that has just fallen through the cracks is worth pondering. (Especially after reading that PNEAS report today which stated that the H5N1 positive ducks also had encephalitis).

Comment: You have just got to love this title. But that is the only thing funny about this story: there are new cases, a new fatalilty, and a report of 25 suspected cases treated in the hospital in Makassar within the last three weeks.

MAKASSAR

Liputan6 / 19.10.2006 - 08:20:00 / http://tinyurl.com/wck7p

For The Umpteenth Time, the regional Public Hospital of the doctor Wahidin Sudirohusodo, Makassar, of South Sulawesi, again received the assumption patient of bird flu

Two people entered the hospital with the sign similar to bird flu on Wednesday (18/10).

‘’‘The patient had a name Beautiful from Parangtambung and Asrianti from the Maros Regency currently was treated in isolation space.

Two the previous day, RSUD the doctor Wahidin Sudirohusodo could treat the Dawn that still was below five years old. The dawn that also came from Parangtambung died because his condition has worsened.

In three last weeks, RSUD the doctor Wahidin Sudirohusodo received 25 assumption patients of bird flu. Was based on results of the sample inspection of blood, only a patient from Makassar that was proven to be positive bird flu.

The assumption patient of bird flu was also found in Parepare, South Sulawesi. Hasrullah was reconciled to RSU Parepare because his condition was increasingly bad.

Beforehand, this Sidrap citizen was treated in one of the hospitals in Sidrap. The patient it was known had contact with the poultry that died as a result of bird flu.

Is ToggelText down again, or is it just me?

Pixie—you might look for those spinal taps results on MaMa for the umpteenth time!! It just would not surprise me if we never hear. I am too tired to digest your article at 21:43, will tackle it in the am and try to decipher if these are new names, but I don’t think it is good news. Maybe tomorrow’s newspapers will have clarification. Sometimes I think we have all reached the end of our Indo-snooping rope.

I know how you feel, pugmom.

We do have two new patients here who are both from Parangtambung (one named Beautiful and one named Dawn). I wonder whether we have had any other cases from that village - really it is amazing that you guys can keep track, but somehow you do!

Pugmom 22:15

I know you know what you are talking about concerning the brain abcess/encephalitis issue. I think sub-standard care is probably involved in a LOT of cases including misdiagnoses. I still think, just my opinion, that it is 1. Half the time they don’t know what they are doing over there or 2. When they do know, they aren’t going to tell the truth, they will spin the truth or hide it. 3. I have read too many articles about BF effecting tourism, just before their National Bird Flu Campaign was launched I read two articles about that very subject including mentioning $ goes towards BF not to line officials pockets, now that tells me something, so my personal jury is still out on whether anything is intentionally withheld by Indo PTB. But if I were to poll that jury today, I would say it is leaning towards a guilty verdict. Just my opinion anyway, I could be wrong. Time will tell. Get some rest catch you tomorrow.

So Pixie “for the umpteenth time” is a real translation? What is umpteenth in Bahara?

Influentia2 - at 22:41

Well, I don’t know if it is a “real” translation, but is is the ToggleText translation! It certainly gave me a chuckle. And it is almost like they are saying that THEY are loosing track of how many suspected H5N1 patients are being seen at Wahadin too! When they put out an article with the title saying that there were “a whole heck of a lot, we mean really a lot” of suspect patients seen, we are clearly in trouble.

Speaking of which, can you get into the ToggleText site? I cannot.

Pixie at 21:43… I’m having a little trouble associating all the names and places. The best I can figure, the Dawn may refer to Fajrin reported earlier today as dying. Except I showed Fajrin as from Maros, not Parangtambung. In addition, I’ve added Asrianti from Maros and Beautiful from Parangtambung (I couldn’t find that location on a map… If it’s a subdivision of Maros, that would clear up the confusion regarding whether Fajrin and the Dawn are the same person.)

I don’t have the other new patient from Maros, Asr/USA/Asrullah (13),as entering RSU Wahidin Sudirohusodo but instead the Hospital(RS)A Makkasau.

If anyone sees corrections I should make, just let me know. This is the information I’ll use in the count tonight. Again, our sympathy goes out to those affected by this devastating disease.

Indonesia Summary - Updated as of 10/18/06

Comment: More on the patient “USA” here, and on the condition in the local hospital.

MAKASSAR

19 Oct 2006 / FarjarOnline / http://tinyurl.com/w4f2b

Isolated in the Dokter

PAREPARE — the USA since October 17 already three times moved the room. First entered, he direct to UGD. after that he was moved to Interna Space (the Water Lily) the III Class, et cetera was brought to the room of the doctor in Maintenance Space of the Orchid.

Although still one building and only was different the room, the hospital side stressed did the isolation terhadap the USA. “He has been isolated.” His proof was separated by us he from the other patient. Ia only remained personally in the room of the doctor, said Dr Reny Anggreani, the afternoon yesterday.

The matter of the existence of two US families that continued to accompany him in the room without the safety device anything, Reny said that was natural.Because, said he, the USA was only attacked by asthma.

From the monitoring of the Dawn in RSU yesterday, several penjenguk and the guard of the patient tried to carry out surveillance of the USA that terbaring on the close bed the window. Mereka did that because of seeing several gathered reporters.

Only, after learning that the patient who was seen it was suspected was attacked by bird flu, they then at once stepped aside.

On the other hand, as the reconciliation hospital, RSU Andi Makkasau was still being very worrying. Especially related their preparations received the bird flu patient. The isolation building Avian influenza (AI) belonging to RS not usable. From observation of the Dawn, the building that was at the back of RS was seen was not treated. The building like the warehouse. The bed inside built up and was not treated. The matter of the condition for the AI isolation building that not appropriate same was justified by Dr Reny Anggreani. According to him, the government must intervene helped. The “available building now second-hand the building SARS. Because of not having the sufferer, therefore also was used for the bird flu isolation.” “We were forced to treat the appropriate patient available facilities.” But if having the government fund was better, because of us this RS reconciliation, he said. “Basically the building was not yet ready with.” That, female words wore a veil this.

Pixie 5:13

I couldn’t get toggletext last night either. I wasn’t ignoring you but this site was so slow last night I stopped posting. Do you ever sleep?

Comment: More on Hasrullah (13, “USA”) and a new patient, Mario. Blood samples from 8 of Hasrullah’s family and neighbors was sent to Jakarta.

MAKASSAR

Liputan6 / 19/10/2006 13:53 / http://tinyurl.com/y9d6gj

Hasrullah was reconciled to RSU Andi Makkasau

Parepare: Hasrullah, the assumption patient of bird flu, was reconciled to the Public Hospital of Andi Makkasau, Parepare, South Sulawesi, recently.

Beforehand, villagers Mario, Kulo Rappang, the Sidrap Regency, this was treated in RSU Parepare because of experiencing the high and breathless fever after contact with his ten chickens that died, five days set [

read: two citizens Makassar was expected by Bird Flu].

Apart from Hasrullah, the Health Service of the South Sulawesi Province also took the sample of blood of eight relatives of casualties including several neighbours. All the example of blood was sent to Jakarta to confirm positive not him Hasrullah was infected by bird flu. Results of the inspection could be just known three days more.

Michelle in OK - at 00:27: Hi, I was wondering if the next time you work on the spreadsheet you could fix the font fo entries in S. Sulawesi. Sort #28. Date: 10/2. I can’t read it very well? I have no reference in my list for Beautiful and Asrianti. I can not locate any reference to Dawn (under 5) or Hasrullah either. I checked the spreadsheet and can’t make a correlation their either.

Pixie - O.K. Husrullah is the same as Asrullah/Asr (13) with a “Hu” instead of an “A”. Right? Same person?

Pixie - at 05:40: “Beforehand, villagers Mario, Kulo Rappang, the Sidrap Regency, this was treated in RSU Parepare”.

I don’t think this is stating a patient “Mario”. I think Mario is a Village. Could be wrong.

One more question: USA is the same person as Husrullah/Asrullah (13) right?

Too much confusion and I havent even started looking at todays newspapers in Indonesia.

Comment: Reports of lab results for chickens in various areas, and continued effort to tie chicken deaths to the human cases. There are also more new suspect cases: Ang (10), Sus (35) and March (36). Also, Doni’s blookwork continues to show improvement, but his pneumonia has worsened.

BANDUNG/LAMPUNG

LampungPost / Kamis, 19 Oktober 2006 / http://tinyurl.com/yyj5y5

‘’‘Umbul the Positive Key to Bird Flu: RSUAM Again treated the Suspect’ Patient’‘’

Banda Lampung (Lampost): the Banda Lampung Citizen must more guard against the spreading of the virus avian influenza (AI) or bird flu. Results of the inspection of the assumption of bird flu of the case laboratory in the District Umbul the Key, Telukbetung West, last week, evidently positive.

The section head Agriculture and Banda Lampung City Livestock Breeding, Zulhana Paita, said results of the laboratory inspection of the case of the death of four chickens belonging to Cepi, the local citizen, evidently positive bird flu. “But, up until currently, there was no citizen that experienced was sick that was expected by bird flu,” said Zulhana, on Wednesday (18–10).

With these results, said he, the agricultural Service and Livestock Breeding again will unload Tim Participatory Disease Surveillance (PDS) that have a membership drh. Kristin and Nursudadi that will be assigned found whether having the case of bird flu or not. Moreover, Tim Participatory Disease Response (PDR) that was assigned to carry out spraying, the vaccination, and the training to the community in the control of bird flu.

“Hopefully, there were no bird flu casualties to the citizen,” said he.

Zulhana appealed to the community that found the case of the chicken to die suddenly immediately could report in time 1 x 24 hour to the subdistrict machinery that got the task of handling the problem of the control of bird flu. “Like the citizen Umbul this Key, he immediately lapor and the chicken that died was at once burnt and buried,” said Zulhana.

Asked by the matter of the case of the death 30 chickens in the Sukajadi Village, Pidada, Long, Zulhana said did not yet have the report produced by the laboratory. However, he estimated if the death of the chicken belonging to the citizen not bird flu. The “citizen that experienced hot high then has improved.” But, we continue to monitored, said he.

In the meantime, Kasubdin the Health of the Animal and the Health of the Lampung Province Animal of the Livestock Breeding Service drh. Nurcahyo said from results of the inspection of bird flu of the assumption laboratory, just from the Metro City that was stated by the negative.

Whereas the case of the assumption of bird flu in Banda Lampung, as far as this is concerned was not yet known by his certain results.

‘’‘In the meantime, RSUAM again treated the patient suspect bird flu from the Metro City. Ang (10), the first daughter Sus (35) and March (36), was reconciled to RSUAM because breathless’‘’.

Susilowati acknowledged had several of his neighbouring chickens that died suddenly. Because, when being brought to the Hospital of Ahmad Yani Metro with the hot complaint high, Ang was at once reconciled to RSUAM.

Whereas the Dn condition, the patient suspect bird flu that was treated in RSUAM isolation space since last week increasingly improved. Was based on results of the complete blood inspection in the laboratory, the number of his leucocytes increased from 1,300 to 4,100 (normal 4,500 — 10 thousand). His lymphocytes also rose to 32 (normal 40), trombosit 126 thousand (normal 150 thousand). “Although the condition for his blood improved, the expansion of pneumonia happened (the inflammation of the lungs),” said Kerizabel Dalela, the paramedic that was assigned in isolation space, yesterday.

http://tinyurl.com/y39f3y
On Thursday, October 19 2006 10:57 WIB the HUMANITIES - Kesehatan ‘’‘RSHS Bandung was Still being Thorough Damage Suspect AI

 of the Patient’s Kidney’‘’

Bandung — MIOL: Tim the control doctor of Handsome Sadikin Hospital bird flu (RSHS) Bandung still treated intensive Agus Rohana, 35, the patient suspect bird flu or avian influenza (AI), including researching the damaging virus his kidney. The chairman of the team of the control doctor of the bird flu virus of RSHS Bandung Hadi Jusup, on Thursday, said his side did still not know the kind the damaging virus Agus’s kidney, that since Monday (16/10), was treated in Framboyan RSHS isolation space. The “team of the doctor was still researching the patient Agus.” However was not yet known by the kind the damaging virus Agus’s kidney, said Hadi. However, Hadi said that the condition for Agus’s health gradually improved. Moreover, the temperature of his body that originally unstable currently has begun to be normal, that is between 36 up to 37 Celcius levels. The “condition for Agus’s health was considered to be good.” However, stayed still necessary the special maintenance because of experiencing the disturbance to his kidney, he said. Nevertheless, continued Hadi, his side continued to carry out the supervision specially teradap Agus, because of the bird flu virus always attacked the human body organ suddenly. “So still still was waiting for results of the test (the sample of blood) in the Department’s laboratory of the Health in Jakarta,” he stated.

You will all have to excuse me if there are any repeated stories. I only have so much allocated time to search and post - my time this morning is running out. I thinks it’s better to get the articles down here than worry about repeats. So, I just post everything I find. We can sort it all out throughout the day.
http://tinyurl.com/yjotnw
On Thursday, October 19 2006 07:54 WIB INTERNATIONAL - ASEAN ‘’‘Malaysia Put Into Effect ‘was on the alert’ against’ Burung Flu’‘’
Kuala Lumpur — MIOL: Malaysia on Wednesday dismissed the decision to put the policy of “being on the alert” against” poultry flu into effect that the big possibility entered the country through the Sabah territory, the state in the Kalimantan island the northern part. The possibility of the virus H5N1 entered the Malay country was open with the arrival of the poultry animal from the group that lived in the wild that migrated from from one place to the other place, was like this the report on the local mass media. Birds or the available poultry animal were in this territory placed in one special “temporary house was” built” in the central territory of the aim of the tour in Kota Kinabalu, by opening the opportunity for wild birds to come and stop over as well as go along enjoyed ate together with the local poultry, the daily the New Strait Times reported. The experts monitored the chicken livestock to see whether they were infected and afterwards took the further action of stopping the spreading vitrus poultry flu around the local poultry animal good that peliharan or not. “If being found by the local poultry animal there are those that was infected then we will immediately destroy all the poultry in the radius territory five km,” said Agriculture Minister Abdul Rahim said to the New Strait Times. Sabah as far as this is concerned did not have the case of poultry flu but because of the territory bebatasan with the Kalimantan territory the Indonesian part where the spreading of the illness around the livestock of the poultry animal, happening then Sabah must continue to be on the alert. Malaysia banned import the chicken, the egg and his whim from countries that were infected by the illness with the sign of influenza, including the country tertangga Indonesia. However as far as this is concerned did not have the case was infected around humankind to humankind happened in the Kalimantan island and Malaysia was stated free from the infectious diseases to Jumi then.

Comment: Update on Agus Rohana (35) whose test results are not back yet, but who now is suffering kidney involvement. However, otherwise his fever is down and his health has improved according to Dr. Hadi.

BANDUNG

MediaIndonesia/ Kamis, 19 Oktober 2006 10:57 /http://tinyurl.com/am6wk

RSHS Bandung was Still being Thorough Damage Suspect AI of the Patient’s Kidney

Tim the control doctor of Handsome Sadikin Hospital bird flu (RSHS) Bandung still treated intensive Agus Rohana, 35, the patient suspect bird flu or avian influenza (AI), including researching the damaging virus his kidney.

The chairman of the team of the control doctor of the bird flu virus of RSHS Bandung Hadi Jusup, on Thursday, said his side did still not know the kind the damaging virus Agus’s kidney, that since Monday (16/10), was treated in Framboyan RSHS isolation space. The “team of the doctor was still researching the patient Agus.” However was not yet known by the kind the damaging virus Agus’s kidney, said Hadi.

However, Hadi said that the condition for Agus’s health gradually improved.

Moreover, the temperature of his body that originally unstable currently has begun to be normal, that is between 36 up to 37 Celcius levels. The “condition for Agus’s health was considered to be good.” However, stayed still necessary the special maintenance because of experiencing the disturbance to his kidney, he said.

Nevertheless, continued Hadi, his side continued to carry out the supervision specially teradap Agus, because of the bird flu virus always attacked the human body organ suddenly.

“So still still was waiting for results of the test (the sample of blood) in the Department’s laboratory of the Health in Jakarta,” he stated.

Excerpt: http://tinyurl.com/eqkxj

Avoided the Toxoplasma Danger We often heard the rumour that maintaining the cat was dangerous because of could spread the Toxo virus. In fact what and how, Toxoplasma that often was acknowledged as this cat virus by the person? True the cat could cause Toxoplasma, quite a few people that maintained the cat but stayed healthy. Toxoplasmosis indeed including one of the illnesses zoonosis (the illness that could spread between the animal and humankind). This illness was caused by protozoa (the group of the parasite) that was named Toxoplasma gondii, so not by the virus. Protozoa or Toxoplasma this in the breeding cat intestines sexually, so as to produce the egg, and to go out with excrement. To the other animal apart from the cat, Toxoplasma was in blood, the saliva (saliva), sperm and other body fluids, and breeding with the splitting of the cell. So, did not produce the egg, but produced tropozoit (results of the splitting of the cell) that will gather formed the Toxoplasma cyst. This cyst could be in the network of the body like the brain, the eyes, the heart, the muscle, the digestive organ and the respirator.

Why humankind could tertular Toxoplasma? Humankind could tertular Toxoplasma because of swallowing the Toxoplasma egg through food, the drink and equipment ate. The Toxoplasma egg from Toxoplasmosis excrement of the sufferer’s cat after 48 hours would bersporulasi (developing) to the stage infektif (could infect humankind or the other animal). Moreover, the spread also very possibly happened from food that was not cooked correctly. The cyst that was in the network of the animal body could enter the other animal body and humankind. So, from now on, persuaded that meat that was bought by you were cooked until really ripe before before you and the family ate him including your pet cat. Certainly, you did not want your cat to suffer Toxoplasmosis, did you? Below this had several tips that could be used by you to avoid the Toxoplasma danger to your pet cat:

Comment: Another new patient in Lampung, a girl named Anggina.

BANDAR/LAMPUNG

Metrotvnews / 19/10/2006 10:02 / http://tinyurl.com/y6c445

RS Abdul MOELOEK received the most FLAT PATIENT BIRD FLU

The hospital of Abdul Moeloek, Banda Lampung, again received the flattest patient bird flu.

‘’‘The patient was named Anggina was reconciliation from the Hospital of Ahmad Yani, Metro, Lampung. An arrival in the hospital, Anggina was at once brought to isolation space Instalansi Serious the Hospital Emergency Abdul Moeloek.

At this time the weak and breathless condition inpatient, although the temperature of his body still in the normal situation. According to his mother, Wati, his child was suddenly limp and experienced breathless when was in the school, so as the school side and the family at once brought Anggina to the Hospital of Ahmad Yyani.

The medical official of the Hospital of Ahmad Yani afterwards reconciled Anggina so that immediately was brought to the Hospital of Abdul Moeloek because of his sign was similar to the bird flu illness.

According to Wati, his child had not experienced breathless and several tails of his neighbouring chicken there are those that recently died. At this time, the Hospital side of Abdul Moeloek was still treating intensively Anggina and was taking the sample of his blood to be checked in the laboratory.

An article on the increase in passengers on the buses. Informational purposes only.
Excerpt: http://kompas.com/

Tangerang, the CITY NEWS- The Number Of passengers who will go home through the Poris Plawad Bus Terminal, the Tangerang City, on Wednesday late afternoon (18/10), increased drastic. Estimated the number of returnees will in the Poris Plawad Terminal continue to improve until reaching his peak to H-3 Lebaran or Saturday (21/10). “Since entered H-7 Lebaran, the increase happened the number of departing passengers from the Poris Plawad Terminal.” If a week beforehand the number of AKAP bus passengers (intercity inter-province — Red) headed cities in Java and Sumatra only revolved between 400–500 passengers per the day, then since yesterday, the amount increase to 800 and 1. 000 passengers per the day. Or had the increase through to 100 percent, said the Head of the Bus Terminal of Poris Plawad the Syaiful Rachman smoke to the City News in his office, on Wednesday late afternoon. Agus Susanto, the official of the Lebaran Command Post said, most departing passengers went through the Poris Plawad Terminal will head cities in Central Java and East Java, as well as Lampung, and South Sumatra. “Most returnees will head Solo, Wonogiri, Madiun, Pacitan and Ponorogo.” Whereas that to Sumatra, most headed Banda Lampung and Palembang, he explained. According to Agus, from 56 companies otobus (PO) that operated in the Poris Plawad Terminal, all of them were with passengers. Several of PO in fact reported that the ticket headed Solo, Wonogiri, Semarang, and Palembang, for the departure on Saturday and on Sunday, were finished was sold. “Returnees possibly were on the alert frightened run out of, until they had ordered the ticket since long before,” said Agus.

MAKASSAR

Metrotvnews / 19/10/2006 12:06 / http://tinyurl.com/t2ule

RS Dr WAHIDIN MAKASSAR treated 2 most FLAT patients BIRD FLU

Up To Now, the Hospital Dr Wahidin Sudiro Husodo, Makassar, treated two flattest patients bird flu. The two patients had a name Beautiful (33), the citizen of the Sartako Complex, Makassar, and Asriyanti (3 months), the citizen of the Carangki Subdistrict, Maros.

Asriyanti was treated since last Monday. At that time, Asriyanti suffered the sign of the illness similar to bird flu, like the temperature of the high body, the cough and crowded.

Currently, the two patients were treated in one room. The hospital side still menuinggu results of the sample inspection of their blood whether they were attacked by bird flu.

For the last three months, the Hospital Dr Wahidin Sudiro Husodo treated as many as 26 bird flu patients.

From the number, one including dying, that is the baby was named Fajri, aged more one year. Fajri, villagers Bonto Talasa, Toss Up, Maros, died last Monday. He could only undergo the maintenance several hours in special space the maintenance of the bird flu patient. Beforehand, Fajri was often made dependent diayunan that depended in their cellar that usually is used as the chicken coop.

Currently, the South Sulawesi Health Service carried out the taking of the sample of parents’s blood and the Fajri family to undergo the further inspection. According to Rosmiati, the official of the South Sulawesi Health of the Service, a week beforehand his side got the report in this area was found the poultry that died suddenly. However, at that time the citizen refused dilakulkan the extermination of the poultry.

http://tinyurl.com/y964a2
On Thursday, on October 19 2006, Java Tengah Hundreds Of chickens died Suddenly
Salatiga (KR)- Hundreds Of nonpedigreed chickens and Bangkok property of the citizen in the Village Tegalombo the District Blotongan the Salatiga City died suddenly since this week. Suspected by the death of this chicken the reason was infected by the bird flu illness. Nevertheless the regional government’s side did not yet dare to ascertain the cause of this death. According to Sutrimo (48) the breeder, himself startled when 60 Bangkok chickens that were maintained by him, in stages suddenly died without pointing out the sign anything. Moreover among the chicken partly vomited blood. “Gejala him did not appear, and suddenly our chickens died suddenly in stages for this week. What this that was named flu burung,” said Sutrimo was met by the reporter, last week. Was separated, the nonpedigreed chicken breeder, Supriyanto (35) revealed initially only 20–30 tails that died suddenly, but almost every day since Monday last week his chicken fluttered and died. From the chicken nose issued mucus, the body swelled and his cock’s comb changed colour became bluish. In fact, according to him in the morning chickens like in the healthy condition but one hour afterwards died. “Ayam that died immediately was burnt by me and was buried. Frankly I worried the death because of flu burung,” he said. This situation made the citizen and the breeders restless and frightened, so as they reluctantly maintained the chicken

This article is dated 10/17, so the death occurred on 10/16. I don’t have a record of it……
http://tinyurl.com/ynbtfh

17/10/2006 19:07 WIB

Officially Agriculture and Bandung Livestock Breeding took the Sample of Unggas Blood Sahroji - Bandung, the agricultural Service and Bandung Regency Livestock Breeding today take the sample of blood to several poultries belonging to the citizen in the Village of Sand of the Subdistrict bar Cisarua the Regency Bandung West Java, followed the lunar death (67) that was expected resulting from bird flu yesterday. According to the Head Sub the Service and Bandung Regency Livestock Breeding of resources of the agricultural Service, Drh. Adiyoto to ELSHINTA, on Tuesday (17/10), ;;;himself accepted the report on the existence of two chickens that died before the lunar death’‘’. Therefore, he said, his side currently carries out the research, including the taking of the sample of blood to several chicken livestock belonging to the citizen. The sample of this blood will be brought to the laboratory was done by the research. According to Adiyoto, if being learnt these poultries were attacked by the bird flu illness then his side will carry out the extermination against livestock belonging to this citizen. In the meantime, according to the side’s information RS Handsome Sadikin Bandung that could treat lunar stated that he died yesterday and positive terjangkit bird flu. Therefore, the side of the Bandung Regency of the Health Service carried out the taking of the sample of blood to casualties’s family, including against the neighbours around casualties’s house. (dir)

Commonground: I think the death they are speaking of is MK (67) who they sometimes called Mama Lunar. They did take samples from her family and neighbors, and they were trying desperately to tie her H5N1 infection to bird flu in birds in the local area.

I am overwhelmed. I don’t know how to keep track of all the cases and sort them out. If I leave the computer, or get tired and have to take a break, I fall behind. I need a summary by Michelle, but it is not fair to keep asking her to provide an update. I have to go take care of business today for 4–6 hours and I can’t imagine getting caught up, sorting the mess over there out. Where are we at??—as a group?? Are we any where near the exhaustion point? The point where we just translate and post the articles, but give up on the careful enumeration of every detail and body count? I don’t mind doing the work, but I get so frustrated when I can’t keep everything organized and listed properly. Maybe I am just tired, but I really need feedback from you guys, so that we can assess our current strategy and ability to keep going at this pace as a group.

pugmom:

I think it is important to continue with the detail at this juncture. In two locations, Bandung and Makassar, we are very close from what we hear to the WHO definition of Level 4 clusters - 25 people or more infected. Right now, the only thing that is preventing that from being true in fact is that we are seeing the cases spread out over weeks, rather than days (and the WHO says nothing particular about timing), plus many cases never seem to receive any definitive test results. It seems that if a patient gets better, they are assuming it is not H5N1, whether at a local community hospital or an H5N1 reference hospital.

We know that the information is not flowing out of Indonesia, and so must be ferretted out. Neither Indonesia nor WHO is enthusiastic about seeing this thing go to the next level, so I doubt there will be any clear confirmations from them. We are left, then, with the usual detective work, and I vote that we continue.

I’ll make up a spreadsheet to keep track also of the cumulative cases. You are right that there is a creeping realization that half a day away from the situation can leave us feeling that circumstances have outrun us, but maybe another person following along with spreadsheet detail will help to fill in Michelle in Ok’s official talley.

http://tinyurl.com/vhyql
The business of Chicken Seedling Cultivation came back Bergairah on Thursday, 19–10–2006
Medan the Business – Medan After could be buried post rumours of bird flu, the business of seedling cultivation of the piece chicken in North Sumatra (North Sumatra) currently again passionate. This was proven with the rise in the selling price of the age chick one day (day old chicken/DOC) from Rp 600 per the tail became Rp 3.000 per the tail. “Harga this was the price that was enough ideal,” the Chairman’s words of the Combination of the Company of Poultry Seedling Cultivation (GPPU) North Sumatra, IGK the Man Of Letters, to Medan the Business, on Wednesday (18/10). According to the Man Of Letters, the DOC production the national scale during 2005 in general per the week reached 23.000.000 tails. However at that time the DOC production was still being very low because of the influence of rumours of bird flu that struck the homeland. At this time, he explained, the requirement for the piece chicken for consumption in North Sumatra still could be satisfied and not the lack, because of the availability of the DOC production that sufficed. The level of consumption of the community against the piece chicken then at this time was stable enough dikarenakan the community did not hesitate again towards rumours of bird flu, to be proven permanently the height of the market request. “Yang still became the problem at this time was, the breeders still worrying rumours of bird flu that stayed warm and they still the trauma. Because of the impact of bird flu on their efforts to be very big, the breeder many that complained because of suffering the loss that quite big at the time. However, was hoped the breeders will come back was active to achieve the production passion, especially in Sumut,” he said.

OK Mom—you have given me hope that maybe we can keep going just a little bit longer. I need to lose some of my obsessive/compulsive habits. You are right—we are very close to large clusters breaking out. Can’t quit now. Need to authenticate them. That may be the only thing that alerts the FW. Will push forward. Thanx.

I have to go now and continue packing up my house - I am moving. Here is what I have:

South Sulawesi
Parangtambung
? Dawn (under 5) died - RSUD
new Beautiful (33) from Parangtambung - Admitted 10/17
new Asrianti - (3 months) - from Maros Regency - Admitted 10/16
? Hasrullah - from Parepare - Reconciled to RSU parepare
Bandung/Lampung - Pixie: 06:01
Metro City?
RSUAM? Is that RS Absul Moeloek?
new Ang (10) - reconciled to RSUAM - Breathless
new Sus (35) - reconciled to RSUAM
new March (36) - reconciled to RSUAM
Dn - treated in RSUAM since last week ????
new Anggina (I believe this is Ang (10) above) (Post at 06:01)
new? Lunar? (67) (post 06:56): Died 10/18. Tested Positive? Testing family & neighbors.

Pugmom- at 07:09

we have asumed a responsibility that is overwhelming us from time to time. But we are comitted to our responsibility, and that is what we have chose to do. I can’t make anything out of those reports, so for you to make that information somewhat coherent for the rest of us, is amazing. If if wasn’t for you, pixie, and the rest of this gang, I would not even know who is what and what is where. We desperately need you and the rest. devoting time to this is becoming increaingly harder as more and more news comes out, and new events develope. vent when you need to. we understand.

more info on death of “Fajri”, Maros, Sulawesi. dated 10–18–06. http://tinyurl.com/ykqltv

 Dinkes South Sulawesi took the Sample of Blood 7 citizens Maros was worried by Burung

Flu Maros, the Stand — the Health Service (Dinkes) the South Sulawesi Province with Dinkes Maros took the sample of blood of seven citizens who lived in Street Bambu Runcing, the Bontolangsa Village, of the Padinging Village, the Subdistrict Toss Up, the Maros Regency, on Wednesday (18/10). The seven citizens were worried terjangkit bird flu, after the death of a child from Maros was one month old more, Fajri, in RS Wahidin Sudirohusodo, on October 15 2006.

Fajri was the child from the couple dahlias (25) and the Dervish (25) that was expected suspect bird flu. Six from seven people who were taken his sample still one family and had blood relations with Fajri, including parents of the deceased.

The close family other was Harbiah (Tante), Agus (the uncle), Hj Indeed (the grandmother), Thank Heavens (the cousin), and Kurding (the neighbour). The Observation part of the Illness Dinkes the South Sulawesi Province, Rosmiati, said, the taking of the sample of this blood to confirm they were attacked by bird flu or not. “Frightened by us eventually really terjangkit bird flu.” Therefore from now was ascertained with the taking of the sample to not spread to that other, he explained.

The Fajri Rosmiati sample added, the sample of blood of the seven people will be sent to Jakarta to be checked and results will be known around the next two weeks. The taking of the sample of this blood was carried out on the instruction of Dinkes South Sulawesi after the Fajri death. He explained, the sample of Fajri blood has been sent to Jakarta and it was estimated results arrived this Sunday. The Fajri family maintained the chicken in his cellar, so as to have their assumption terjangkit bird flu. From Maros, the party of Dinkes South Sulawesi headed towards RS Andi Makkasau in Parepare. “From Parepare, we will to Sidrap also take the sample of blood of several citizens there,” he said.

Started from Hot And Cold the deceased’s FATHER Fajri, the Dervish, explained, if his pet child that was born to August 23 2006 that blew out the last breath in RS Wahidin Sudirohusodo, on Sunday night (15/10). Beforehand, in the morning in the same date, his first child suffered deman that high. With his wife, dahlias, they afterwards brought Fajri to RS Salewangang, Maros. However, was reconciled to RS Wahidin Sudirohusodo, Makassar. Several hours afterwards, his baby died. Dahlias admitted to not knowing precisely the cause of the Fajri death. “The day, his body was hot and cold, therefore we immediately brought to the hospital”

Pugmom and everyone else keeping this thread moving -

Thank you for all your hard work and anxiety over this thread. The work you are doing is soooo appreciated and no doubt, in the long-run, you are saving lives. You are truly appreciated!

A dedicated lurker

worried in Western Sulawesi: dated 10–19–06. http://tinyurl.com/yk7yw3

 Four subdistricts in Mamuju the Flu Danger Burung

on Thursday, October 19 2006 | 12:23 WIB The Interactive TIME, Mamuju: four subdistricts in the Mamuju Regency, Sulawesi West, was stated by the bird flu danger. The subdistrict covered Tapalang, Mamuju, Sampaga, and Topoyo that were the route of the livestock traffic from various areas. The head of the Mamuju Muh Arifin Animal of the Service of Regency Livestock Breeding of the Sub- Health said, the four areas became the priority in the prevention. The “vaccination of all the poultry was in this area carried out,” said Arifin in Mamuju, on Thursday. Arifin explained, the supervision of the traffic and meat of the livestock animal that came from outside the area in tightened. The official installed several command posts of the inspection of the livestock animal in the area of the border between Mamuju-Majene. The Mamuju port was also minded tight the arrival of the poultry. According to Arifin, every time had the chicken that was sick or it was suspected contracted bird flu immediately was taken the sample of his blood to be checked in the Big Hall of Veterinir South Sulawesi. “As far as this is concerned was still safe, was not yet found by the existence of the deadly virus”. He said.

Thank you all for your great work! I learn so much from you folks!And know you are all appreciated by me and others! Thank you again!

how does a one month old child come in contact with a chicken? they don’t play with them. they don’t eat chicken. this family is being tested, and none have reported sick. one month old is nursing. puzzling!

Your welcome everyone. Maybe someone out there would like to take and cross reference these new patients with past patients on the spreadsheet to see if there is a connection, or a repeated patient?

I just went through CE, and their threads helped straighten me out.
We are still not sure if Fajrin and Dawn are the same person.
Hasrullah and Asrullah are one and the same.
In Bundung/Lampung, Sus (35) & March (36) are the parents, but not new patients.
And Dn = Doni.

Recap:
3 definite new cases:
S. Sulawesi/Parangtambung
Asri (Beautiful) (33)
Asrianti (3 months)
Bandung/Lampung:
Anggina (Ang) (10)
Possible 2 new cases:
Makassar
Dawn (Fajrin?) died
Bundung
Lunar? (67) Died 10/18

When I first started reading the post from Commonground – at 06:34, I was hoping maybe the 100% increased in bus passengers had something to do with the end of Ramadan.

The last sentence might explain that’s the reason.

“Returnees possibly were on the alert frightened run out of, until they had ordered the ticket since long before,” said Agus.

Does it mean at first Agus thought people where afraid that they might not be able to get on the buses , but then he tells them if they had bought the tickets long before, they were guaranteed a seat?

And they refer to the passengers as returnees.

I hope I am correct in my assumption that it is Ramadan related. The last thing we need is wholesale villages jumping onto buses, fleeing a infected area, and into major cities.

In my mind it says: Passengers were concerned that there would be no (tickets) available, unless they had been purchased well in advance. JMO

JWB - at 09:58 - the reason I posted it was for just that reason. To watch for a possible fleeing. But in this instance, I think they were afraid they wouldn’t be able to get a ticket, they were afraid they would run out of tickets, they were not afraid of bird flu. But I go through 17 newspapers/websites each morning, and I don’t have time to scrutinize each story too deeply. I’m keeping my eyes out for any mass evacuations though. Buses, planes, etc. That’s why I posted the captiion under the very crowded terminal the other day.

Scratch Lunar (67) in Post 09:30 - It is Mama.

Thanks all!

I don’t know how this gang decifers all this Indo mumbo jumbo.

I read through this thread for just a few minutes and I have to get up and go get some tea here at work. When I walk into the kitchen my co-workers ask if I want any coffee, and I blurt out , “I maintain terjangkit tea to continue to instructed continued to be done by !”

I guess the up side is that:

Crowded co-workers improved has increasingly decreased!

My father-in-law worked as a missionary doctor in India for many years. His favorite local newspaper had a story one day about a traffic accident that read “so rarely the case in our community, the victim died without the aid of a physician.”

JWB - at 10:23

I just dam near fell out of my chair laughing at your post! Thanks for the uplifting humor. I needed that after my PPF went to 10 this morning when I was scaning this thread and read about a “USA” case. I really need to slow down and read everything more carefully.

Pugmom… anytime you want a new spreadsheet just mention it. It is no problem, as I try to keep it updated nightly. All of your efforts are tremendous.

As there were 6 new suspected cases added just yesterday alone, it is time for an updated spreadsheet. I’ll forward one to Dude shortly.

JWB… my kids in the next room asked what I was laughing about.

Regarding the bus situation. Five Indonesian airports were closed this week due to the smog from their forest fires which have caused a terrible haze throughout the region. This would increase the number of bus passengers in a hurry.

Until the spreadsheet is posted, perhaps this will help. It is a list of patients added since the last spreadsheet was posted. P.S. Commonground, I’ve tried to fix the font for the S. Sulawesi patients :)

1. Jakarta, Jakarta 10/4 - Awalyna/Aulio Rahman (11M)/Merciful Saint (13F) hospital, suspected typhus, transferred twice, died 10/14 54 died RS Veteran/RS Int’l Bintaro/Sulianti Saroso, Jakarta North
2. Makassar, South Sulawesi 10/5 - Hasifa (4) reported, symptoms - tested (at home) n/a
3. Bandung, W. Java 10/7 - AR (35M)/Agus Suhana symptoms, hospital 10/17, fish farmer whose ducks died (RSHS) Bandung
4. Makassar, South Sulawesi 10/7 - Ratnawati hospital, isolation 10/10 Wahidin Sudirohusodo Makassar Jakarta
5. Makassar, South Sulawesi 10/7 - Siti Maimunah symptoms, hospital 10/11 (neigh. chickens died) Wahidin Sudirohusodo Makassar Jakarta
6. Sigedang, Central Java 10/8 - M/Mistinem (27F) symptoms, hospital 10/12, pneumonia, died 10/13 n/a 55 died RSUD Banjarnegara \(RSUD) Banyumas Jakarta
7. Kediri, E. Java 10/8 - Dimas Amir Ahmad (2) (child of Mujammil) symptoms n/a
8. Banda, Lampung 10/10 - Doni (3) hospital, transferred 10/15, no chickens Rumah Sakit Daerah Metro/(RS) Abdul Muluk
9. Medan, N. Sumatra 10/12 - (3) hospital, father’s chickens died Pancurbatu Comm. Centre/RSUP H Adam the Medan Owner Jakarta
10. Simatupang, N. Sumatra 10/12 - Lokot Siregar (33) hospital RSU H Abdul Manan Simatupang
11. Krinjing, Central Java 10/13 - Parimun (21M) hospital (Chickens died), neighbor of Mistinem RSUD Banjarnegara \(RSUD) Banyumas
12. Jakarta, Jakarta 10/15 - sibling of Aulio cough, fever, nasal swab
13. Medan, N. Sumatra 10/16 - (2) hospital, intensive RSUP H Adam the Medan Owner
14. Parepare, South Sulawesi 10/17 - Asr/USA/Asrullah (13), hospital, mentions asthma w/ fever Hospital (RS) A Makkasau
15. Maros, South Sulawesi 10/18 - Fajrin (2 months) died died RSU Regional Dr Wahidin Sudirohusodo
16. Maros, South Sulawesi 10/18 - RE: Fajrin, 5 tested, 2 w/ symptoms tested
17. Maros, South Sulawesi 10/18 - RE: Fajrin, 5 tested, 2 w/ symptoms tested
18. Maros, South Sulawesi 10/18 - Asrianti (3 months) hospital RSU Regional Dr Wahidin Sudirohusodo
19. Parangtambung, S. Sulawesi 10/18 - Beautiful (33) hospital RSU Regional Dr Wahidin Sudirohusodo
20. Banda, Lampung 10/19 - Anggina (10) hospital (limp, no fever) Hospital Emergency Abdul Moeloek

JWB - Yes, it is just a busy travel season in Indonesia. They are about to celebrate the huge Muslim holiday feast of Id-Il-Fitr and apparently everyone (and they really do mean EVERYONE) goes back home to the countryside to spend the holiday with their families.

The holiday comes around October 24 - 26th this year, depending on which sect one belongs to. Everyone has purchased their tickets months in advance because there are reports that airplane tickets rise by 100% during this period, for example, and seats are scarce.

They are noted as “returning” because everyone is returning to their home villages. Apparently about 2/3 of Jakarta clears out at this time. Everyone will feast with their families, eat plenty of holiday chickens, let the kids play in the country barnyards, and then they will all travel back to the cities sometime after October 26th.

I forgot to resort by location, so the above sort is by date. It would have been clearer by location… my apologies. Also, the reference to Jakarta at the end of some lines is confusing so just ignore it. It belongs to the column for “Lab where samples were sent.” The n/a applies to some of the people who were never admitted to a hospital.

Michelle in OK - at 12:01

Thanks so much for the great update. It is incredibly helpful

(But what I really want to say is “make it stop”. Ok, I am better now).

Commonground - good luck with your move. I hate to move!

Commonground: “Dawn” translates as “farjar” so Farjin probably is Dawn.

Pixie - I’m finding out that am getting too old to move!!! Good news is, I’m getting rid of a lot of junk!!!
Michelle in OK - Thanks for the update. I went through everything and compared notes. I have some additional info. I know you can’t squeeze it into your spreadsheet, but maybe for your own personal use? I’m not saying I’m 100% correct. It’s just what I happen to have written down. I’ll refer to each one by number equivalent to your post.
(3) AR - Town: Cisarua. Brother: Alsyah (39)
(4) Tested Negative
(5) Female
(9) Deli Serdang Regency
(10) Asahan (Regency? Village?). Intensive Care: 10/13. Wife: Nuraini
(11) Worked on a Poultry Farm
(12) Don’t know about this one? Could it be sibling of Aulia Rahmani (11). I have a brother: Mamira: tested.
(13) From Tebing Tinggi. Simalungun District
(14) Attended “Ii SMP School”. Father: Sudirman Reconciled to RSU Parepare.
(15) Died: 10/14. Brought to RSUD Salewangang after death (?). Parents: Dervish (22); Dahlias (29). Citizen of Bontopaddingin/Bontotallasa Village. Maros Regency. Testing done on family/neighborhood 10/18.
(19) Beautiful: Name is Asri (CurEvents). Admitted on 10/17 From: Sartako Complex
(20) Parents: Sus (35); March (36)

Thanks to everyone for clearly up the transportation issue here.

I’m glad some of you got a chuckle from my last post, but seriously I read this and the India thread religiously for clues to when the dam is going to collapse.

JWB - Can you let me know? :-)

Michelle in OK, Thanks for the continual updates on the spreadsheet! You are very “pintar”, “cerdas”, and “indah”, and you’re very much “menghargai”!

JWB at 13:01 - I also read this thread religiously for the same reason. I too got a chuckle out of your post at 10:23. It is getting to the point where my husband asks me every evening “How many were run off with to the hospital with the hot high and breathless today?”

Michelle—thankyou, thankyou, thankyou!

Details on “Asrullah/Hasrullah/USA”, ParePare, Southern Sulawesi. dated 10–20–06. http://tinyurl.com/y665jr comment: there is that reference to “Mario” again. Must be another village, but that one article said “2″ suspect BF cases, so I am not sure of the other name.

 It was related that the Bird Flu Virus

PAREPARE — the Assumption spread him the bird flu virus was at once responded to serious the side of the Province of the Health Service. On Wednesday, October 18, the team survailands Dinkes the Province descended to Sidrap and Parepare to take the sample of blood of eight citizens, including the USA, 13, that at this time was treated in the room of the doctor, Orchid Space of RSUD Andi Makkasau, of Parepare.

Apart from the USA, his ‘’‘two parents, Sudirman and Nuraeni, also also were taken the sample of his blood in Parepare. Now, five other citizens were taken the sample of his blood in Mario’s Village’‘’, the Kulo Subdistrict, Sidrap, in the same day. They were their respective; the US older brother, Sum, 15, the US grandmother, Itang 67, the US brother, Kartika, 8, as well as his two neighbours, Muz, 18, and Riska, 22.

The sample of blood of the eight citizens was furthermore brought to Makassar and will be sent to Jakarta. Results of his laboratory inspection were just known three or four days in the future.

Tim survailands Dinkes the Province that came by the car of the technical hall of the field laboratory the health of the Makassar environment, carried out the taking of the sample of blood was accompanied by the staff Dinkes Sidrap. The team from the province personally was led, Rusmiati. According to the team survailands dinkes Sidrap, Abdul Wahid, on Thursday, October 19 yesterday, the taking of the sample of the family’s blood as well as the close US neighbour, because all of them have been directly touching with the patient….

In the meantime, pantaun the afternoon Dawn yesterday in Orchid Space of RSUD Andi Makkasau, the USA was seen fresher. He could sit for a moment to eat by being fed by his mother. After that, the USA again slept.

Commonground – at 13:03 JWB - Can you let me know? :-)

It would be nice to have some software where you could input phone numbers and email addresses and with a push of a button the “Grandma is ill”, message goes out.

Perhaps a few trusted souls here, stratigcally located around the world so fluwiki is monitered 24/7, would, could, have said software with said info.

We could call such system The Global Fluwiki TSHHTF Alert.

(The Sh*t HAS Hit The Fan)

Commonground – at 13:03 JWB - Can you let me know? :-)

It would be nice to have some software where you could input phone numbers and email addresses and with a push of a button the “Grandma is ill”, message goes out.

Perhaps a few trusted souls here, stratigcally located around the world so fluwiki is monitered 24/7, would, could, have said software with said info.

We could call such system The Global Fluwiki TSHHTF Alert.

(The Sh*t HAS Hit The Fan)

I don’t know about phone numbers, but e-mail would be pretty easy.

Just make up the e-mail in advance with all of the addresses entered and then save it instead of sending. Then when you want to send it just go to your folder with “unsent e-mails” and hit the send button for the appropriate one.

On AOL the folder is called “mail waiting to be sent.”

To all… You are welcome. I’m glad the information helps. De jure, I just had to Toggletext your post… Thank you. Commonground, I’ll try to add some of the details.

Our electricity was out for a while and now my in-laws are visiting, so I think the rest of my day is committed. Hope you all have a nice slow-news day.

We could have different phases of concern. We could model it after the WHO’s phase syst……er…uh…nevermine.

JWB at 15:19; the only problem with that is that all our grandmas would be getting sick at different times. (Meaning, not one of us can agree on when to tell people the sky is falling.) However, I do think it helps to give little “bullet” updates frequently, as: 6 new cases added yesterday (10–18) and 3 definite and 2 possibles added today (10–19). Those numbers tend to focus one’s mind.

Pugmon. I agree. It doesn’t take that much effort to check the Flu Wiki. Besides my email gets so much incoming mail it would get lost for days.

 I guess we all have that same feeling of really wanting to know ASAP.

pugmom – at 16:10

(Meaning, not one of us can agree on when to tell people the sky is falling.)

That is certainly is true at the WHO. 8-D

That’s why we are here!

And me with my move, I’m not even going to have the same e-mail address……I just reminded myself to call the Doctor tomorrow for my mamogram xrays throughout the years. Want to give them to my new Doctor (whoever that may be……). Good Grief Charlie Brown.

I don’t know if this has been posted or not so here goes:

http://tinyurl.com/zhn6f

The patient Suspect Bird Flu was reconciled to Semarang Pati - A male patient, was the 40 s old the year, villagers Triguno, the Pucakwangi Subdistrict, on Wednesday (18/10), was forced to be reconciled to the Hospital (RS) Kariadi Semarang Doctor because of suffering bird flu.Beforehand, on Tuesday (17/10), he was treated in UGD RS RAA Soewondo Pati.Kasubdin the Eradication of infectious diseases and Sanitation of the Settlement Environment (KP2MPLP) the Health Service of the Regency (ET AL) Pati the doctor H Edy Sulistyono, on Thursday (19/10), proposed, reconciliation to Semarang was forced to have to be carried out so that the patient receives the maintenance with health facilities that more complete.Like that got the report, his side with the service rank/the related agency at once entered to the location for the verification.Received by the data, the patient was the expatriate who just returned to the origin village several days before Ramadan.But, last Thursday (12/10), around the patient’s residence kedapatan several poultries that originally healthy suddenly died suddenly.The cause of his death was expected because of being attacked by bird flu so as to be not closed the possibility of this patient carried out contact with the poultry.To prevent the bird flu attack, for the last 10 day his side continued monitored in this village.Moreover’, we have also coordinated Officially Agriculture and Livestock Breeding (Distannak)’, he said.Must be on the alertTherefore, Edy Sulistyono words, especially for the handling against the poultry that died suddenly and it was suspected as a result of being attacked by bird flu were the Distannak task.Regarding that, spraying efforts with disinfektan was done.His side appealed to the community’s member to be able to not be restless, although continuing to increase vigilance against the poultry piaraan.If finding the poultry that suddenly suddenly died, his side asked the incident immediately to be reported.Moreover, if this incident had taken part in with the patient’s emergence that beforehand carried out contact with the poultry that died suddenly that.He mentioned, for the illness that at this time also must be guarded against was the outbreak of dengue fever dengue fever (DBD).Because, several last days began to rain although not yet menyuluruh.Besides this, his side just accepted the report that in this month of a casualty died resulting from the DBD attack in the Temple Village, the Subdistrict Besides this, his side just accepted the report that in this month of a casualty died resulting from the DBD attack in the Temple Village, the Pati Subdistrict. The other person, in the Blaru Village, last September also experienced same fate but his incident was just reported now.

Posted twice is better than not at all.

http://tinyurl.com/y964a2

Thursday, 19 October 2006, Jawa Tengah Ratusan Ayam Mati Mendadak

Salatiga (KR)- Hundreds Of nonpedigreed chickens and Bangkok property of the citizen in the Village Tegalombo the District Blotongan the Salatiga City died suddenly since this week. Suspected by the death of this chicken the reason was infected by the bird flu illness. Nevertheless the regional government’s side did not yet dare to ascertain the cause of this death. according to Sutrimo (48) the breeder, himself startled when 60 Bangkok chickens that were maintained by him, in stages suddenly died without pointing out the sign anything. Moreover among the chicken partly vomited blood. “Gejala him did not appear, and suddenly our chickens died suddenly in stages for this week. What this that was named flu burung,” said Sutrimo was met by the reporter, last week. Was separated, the nonpedigreed chicken breeder, Supriyanto (35) revealed initially only 20–30 tails that died suddenly, but almost every day since Monday last week his chicken fluttered and died. From the chicken nose issued mucus, the body swelled and his cock’s comb changed colour became bluish. In fact, according to him in the morning chickens like in the healthy condition but one hour afterwards died. Ayam that died immediately was burnt by me and was buried. Frankly I worried the death because of flu burunghe said. This situation made the citizen and the breeders restless and frightened, so as they reluctantly maintained the chicken.

You are right Influ2--the man from Semarang, East Java, is a new one—that makes 4 definites and 2 possibles for today.

Long thread closed and continued here

Last relevant posts copied to new thread

I have reviewed the spreadsheet, Michelle, and I think we are completely up to date! Aaahhh---fresh start! The fellow from Semarang (I call him “ex-pat” till we get a name on him) is the only one not on there. I removed Mama from the bullet update I gave at 20:29, so that makes 4 definites and 1 possible for today. Dahlia and Dervish, the 2 parents of the little baby Fajri that died, are not on the spreadsheet, but that is OK as we have not had confirmation that they have symptoms or are in the hospital. (yet). I am going to really study the spreadsheet tonight and see where the clusters are forming.