Forum: Indonesia Outbreaks XVII

Continued from here

Influentia2 – at 19:11

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.

pugmom – at 20:29

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

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.

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.

The monitoring of Ditingkatkan

20 Oct 2006 / Farjaronline / http://tinyurl.com/yal64m

MAROS — the Monitoring of the spreading of the bird flu illness continued to be increased by the related agency in Butta Salewangang.

Since Fajrin, the baby suspect bird flu died, last Sunday October 15, the official of the Health and the Livestock Breeding Service of the Service, Marine, and fisheries (PKP) appearance increased preparedness. The section head (Kasi) the Prevention of the Originating Illness the Animal (P2B2) the Maros Health Service, Muhammad Said SKM that led the taking of the sample of blood, was good towards the citizen who was expected suspect avian influenza (AI) and still was limited by contact, acknowledged if his side continued to carry out the monitoring. Officially the Health co-operated PKP continued to increase preparedness towards the bird flu illness, including the possibility of the emergence of the anthrax illness.

It was clear, the sample of the citizen’s blood that was taken was at once sent to the centre to be researched, positive AI or not.

“Whereas for the sample from the animal, was enough to be researched in the Big Veteriner Hall Laboratory (BB-Vet) Maros,” explained Muhammad Said.

In the meantime, the Section Head (Kadis) PKP, Ir HM Syata Sanusi separately acknowledged if his side carried out the eradication of several poultry in the Bontotallasa Village, Toss Up or around the baby’s residence that died because suspect this AI. However had some citizens who still were refusing his poultry was eradicated on the basis of still was just very healthy. But when results of the laboratory mentioned if the sample of livestock blood that was taken was proven to be positive bird flu, then did not have the reason for the citizen to not eradicate the poultry or his livestock.

Since the case of bird flu spread in Butta Salewangang, the PKP Service continued to carry out the vaccination in several places. Love, beside the limitations of the fund and the power, possibly still the existence of the lack in the activity occasionally was difficult to be avoided. But we continued to try as maximally as possible so that all the livestock could be vaccinated, he added.

I have just finished a new H5N1 suspect case map and have emailed it to DemFromCT for posting at his convenience.

As you already know, there are new locations showing up, but the one area consistently reporting suspect cases over the last month or two is the Makassar, S. Sulawesi area. Once the new map is posted, I would recommend folks look over the maps in the Indonesia Summary thread paying attention to the numbers around Makassar.

Man you people are great!! I am really having trouble following this, much less understanding the translation. One thing though, is that 1 month old baby. I had no doubt that he did not come into contact with a bird, ex. play with, did not eat any bird. Baby was no doubt nursing. Let me just pose this question. If the parents are infected, could the mother pass it along in her breastmilk? O.K., a little gross for some guys, but nursing passes on alot from whatever the mother ingested. If she ate infected chicken, would something show up in her milk? Unless, (parents, family members), sneezed on the baby. I can’t find one logical conclusion for that baby to have gotten infected, if he/she is.

Indonesia Summary - Updated as of 10/19/06

cottontop – at 23:12

The baby’s momma might have just gotten through gathering the eggs before she nursed him/her. That is just one example. In a farm setting there are upteen numbers of ways a baby could come in contact with virus contaminated materials.

Okieman- this is true. Cowpox comes to mind. and given we don’t know exactly how sanitary these people are with hand washing, ect., it is very plausible. thanks for the insight.

Hmm…I know a number of people here in America, that are not very sanitary with hand washing. And every time I pet my outdoor cat, I wonder if I will be able to continue doing that in the future. There are so many ways a virus can spread!

We can stop searching now Pugmom

JAKARTA (Reuters) - Indonesia, the country with the highest number of bird flu deaths in the world, intends to bar city residents from keeping chickens and other poultry in their backyards, ministers said on Friday.

Indonesia has become a frontline in the battle against the virus that has killed 55 people in the sprawling country, where millions of chickens roam freely in urban residential areas.

<snip>

However, Indonesia’s chief welfare minister Abrizal Bakrie said there were no indications this would happen soon.

“There is no indication leading to a pandemic. There has been no mutation and the spread is still from poultry to humans,” he said after ministers met to discuss bird flu developments.

http://tinyurl.com/yn4bru

Where did they get their “solid” information? And can we have access to this same information?

http://tinyurl.com/y8lb5z
The PLAGUE of Serang DIARRHOEA the CITIZEN GILIRAJA -the News of the Health - the Communication Body and Kab Information. Sumenep, 20–10–2006 10:10 WIB - Totalling 31 citizens Giliraja the Giligenting Subdistrict was attacked by the diarrhoea illness since yesterday afternoon. Ironically, the cause of the plague of the diarrhoea resulting from clean water in the area contained the bacteria.

The section head the Health of the Sumenep Regency, Dr. E. Shinta Utomo explained, from results of the temporary research, his side predicted the cause of the plague of diarrhoea that struck the citizen Giliraja the Giligenting Subdistrict, disebabkab the existence of pollution of several sources of clean water in this area. According to Dr. Shinta Oetomo, for the dry season of many wells in Giligenting that experienced the drought, so as to cause the bacteria, moreover the community before drinking the water was not boiled before. Untu mengantisapasi that, his side dropped Tim off Medical that brought the medicine and medical equipment other. The section head the Health of the Sumenep Regency, Dr. Shinta Utomo explained, was seen from the aspect of the number of plague sufferers of diarrhoea that fell on the community in 3 villages, namely Lombang, Banmaleng and Banbaru already including the Extraordinary Incident (KLB). Whereas from 31 citizens who suffered diarrhoea, 22 people were treated in the auxiliary Community Health Centre Giliraja, 9 people have come home kerumah respectively and 1 person on behalf of Suryana the age villagers’s 12 years Lombang meningal the world. Most citizens who were attacked by the diarrhoea illness came from the Lombang Village.

Cottontop 5:33

Just a guess if you are talking about the last paragraph, it sounds like an old quote from Dick Thompson and Norman Kandun back in the Karo cluster days.

Sorry couldn’t resist that one.

20/10/2006 11:34 WIB http://tinyurl.com/ymgk9s
More details on the newest patient.
A Patient Suspect Bird Flu was reconciled to RS Dr. Karyadi Semarang
Parma Andika - Semarang, A man was 40 years old that was suspect bird flu was at this time reconciled to RS Dr. Karyadi Semarang Central Java after several were the previous day treated in RS Suwondo Pati. This matter followed a villager the Urip Time, the Country’s Series it was confirmed died because positive bird flu. According to Central Javan Vice-Governor, Ali Mufiz to ELSHINTA in Semarang Central Java, on Friday (20/10), as the step followed up this matter and to avoid the unrest in the middle of the local citizen, the team of the health from the province at once was dropped off to the Country’s Series and Pati to monitor the health in depth against the family. Moreover also intensified the socialisation to the community by mobilising several officials of the available field. He said, as the prevention also will be given medicine tamiflu that at this time in the Central Javan territory still was available 12 million ampoules. “So we several times carried out the socialisation activity to the community.” In Central Java personally, the number tamiflu that around 12 million ampoules, said Ali Mufiz. As is known, the male patient that came from the Village Triguno the Puncakwangi Subdistrict, Pati this was forced to have to be reconciled to RS Dr. Karyadi, considering his condition that continued to worsen and health facilities that more adequate. Received by the data, this patient was the foreign region that just returned to his origin village several days before Ramadhan. Moreover, 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 the patient carried out contact with poultry-ungas that. (dir)

CG 6:06

Good article.

intensified the socialisation to the community by mobilising several officials of the available field. He said, as the prevention also will be given medicine tamiflu that at this time in the Central Javan territory still was available 12 million ampoules.

Does that sound to you like officials are starting to distribute the Tamiflu?

Thanks Influentia2. Yes, it did sound like it. Hmmmmm.

Semeru’s ash rises pneumonia case

http://www.thejakartapost.com/detailnational.asp?fileid=20061020.G10&irec=9

MALANG, East Java: Ashfalls from Mount Semeru in East Java have had a severe impact on air quality in the region, resulting in more than 1,000 cases of pneumonia in the last 10 months.

The head of environmental health and disease prevention at the Malang, East Java, health office, Mulyatim Koeswo, said Tuesday that 75 percent of the pneumonia suffers were children, while the rest were adults and teenagers.

He said pneumonia was triggered by untreated respiratory illnesses. In certain cases, the condition could lead to death, especially in children under the age of five, he added.

Mulyatim said the children affected by the disease were mainly those who had not been immunized against diphtheria, whooping cough and tetanus. He said the disease easily affected malnourished children.

“Currently, there have been no deaths from the disease. All (cases) have been handled by the medical team at the hospital or community health centers,” Mulyatim said.

Pneumonia’s symptoms include a rising temperature, up to 38 degrees Celsius, breathing problems and a worsening cough. According to Malang health office data, between January and October this year 1,176 people in the regency have suffered light to serious pneumonia.

Mulyatim urged parents to immediately seek treatment if their children showed such symptoms.

He said it was important that people maintained clean and healthy lifestyles and not smoke around children. “For infants, breast milk will help them avoid getting the disease,” he added.

He also asked residents wear masks while outside their homes, especially when riding motorcycles.

“Mount Semeru’s volcanic ash can also cause pneumonia,” he said.

Thick ash could be seen all over the city.

A resident, Putra Wisesa, said he was tired cleaning ashes from his car. “It’s tiring if I have to clean up every time,” said the 24-year-old university student. —JP

Comment: A bit about the politics of bird flu in Indonesia:

Liputan6 / 20.10.2006 - 18:52:49 / http://tinyurl.com/yyspfq

Two years already the couple President Susilo Bambang Yudhoyono and Vice President Jusuf Kalla governed Indonesia. Both of them were the first President and Vice President that was chosen directly by the people by gaining 69 million voices or more than 60 percent of the voter.

<snip>

The matter of the handling of bird flu, for example, not rare between Health Minister Siti Fadilah Supari and Agriculture Minister Anton Apriantono often dismissed the opinion was different. Moreover each one tended to blame each other. So that the duet of SBY-JK does not break on the way, the Pledge suggested needed the existence of the management of the good conflict.

Comment: Maybe there will be progress here - the government will begin testing migratory birds for low-path and high-path H5N1 in several areas. One of those areas is Indramayu, the location where previous testing found the one duck and the one cat with H5N1 containing genetic sequences that, so far, are the only ones that match the sequences found in the human cases in Java (the sequences found in poultry do not match the human sequences).

The GOVERNMENT would RE- INDUSTRIALISATION of the POULTRY

Metrotvnews / 20/10/2006 14:10 / http://tinyurl.com/y8cykm

The government will do re-industrialisation the poultry followed the concern about the increase in the case of bird flu in Indonesia.

That was revealed by Coordinating Minister for People’s Welfare Aburizal Bakrie in being in a meeting of the Kesra Co-ordination about the handling of the case of bird flu in Jakarta, on Friday (20/10).

Until at this time the government carried out the research to water birds in the settlement cluster that terindikasi the virus H5N1, including the Trisik area, Yogyakarta and the Eretan Coast, Indramayu.

The research was meant to get further information the virus H5N1, both in the pathogenic level high and low from the population and the wild poultry of migrant birds. Aburizal said, the government will anticipate the spreading of the bird flu virus constructively the network of information to detect and take the upper action the possibility of the death in large scale from migrant birds as the disseminator of the virus H5N1.

Till at this time was recorded by 72 cases of bird flu in Indonesia and claimed 55 casualties died.

Comment: The health authorities in Lampung are taking pro-active action. Chickens are being tested quickly, and citizens are urged to report fevers to their community health clinics who have been urged to consider H5N1 in these patients. An extraordinary amount of the limited resources and available manpower is being devoted to seriously investigating the H5N1/chicken connection which is laudable, if the infections are indecoming from chickens - other avenues of infection just do not seem to be getting consideration. Some of the chickens in the area near human infections have tested negative for H5N1, however.

BANDUNG/LAMPUNG

LampungPost / Jum’at, 20 Oktober 2006 / http://tinyurl.com/ykd4qw

Bird flu: the Citizen was asked for by Periksakan Diri

After the agricultural Service and and Banda Lampung City Livestock Breeding ascertained the sudden death of four chickens belonging to the citizen Umbul the Key, Telukbetung West, positive resulting from the bird flu virus, the territory community was asked for memeriksakan the health to the closest community health centre.

The Banda Lampung mayor Eddy Sutrisno, on Thursday (19–10), said if a chicken died suddenly, the citizen was asked immediately to report to the service/the related agency. For the case Umbul the Key, Eddy appealed to the citizen memeriksakan their respective health in order to anticipates the spreading of the deadly virus.

“I have also asked the Health Service to check the citizen, especially the owner’s family of the chicken that died suddenly,” said Eddy, on Thursday (19–10).

In the meantime, the Section Head the Health of the Banda Lampung City Dr. Reihana said his side has dropped the medical team off to check the citizen Umbul the Key and investigate the possibility spread him the bird flu virus. “Results, we did not yet find the citizen who it was suspected was attacked AI. But, remembered results of the positive poultry inspection H5N1, we would the cheque continued the citizen around the last few days,” said Reihana, yesterday.

Towards the case of this bird flu, said Reihana, the service and all the available community health centre in Banda Lampung has done early vigilance by asking the citizen immediately to take medicine to the community health centre if experienced hot high. “So not only against the District Umbul the Key, all the available community health centres were in Banda Lampung asked to be on the alert would the possibility of the bird flu danger,” said he.

Was based on the note Lampung Post, in two last weeks happened the death of the sudden chicken in the Sukajadi Village, Long, and the District Umbul the Key, Telukbetung West. However, the case of the death 30 chickens were belonging to the citizen of the Sukajadi Village stated by the bird flu negative, whereas in the District Umbul the Key postif H5N1. Beforehand, the Section Head Agriculture and Livestock Breeding Banda Lampung Zulhana Paita again asked the citizen immediately to report to the district or the subdistrict if finding the case of the chicken died suddenly. According to him, what was done by the citizen of the District Umbul the Key by burning and burying the chicken died suddenly was the good step that indeed must be carried out.

Influentia at 05:24: Oh no we can’t. article dated 10–20–06. http://tinyurl.com/y7j9j9

 Sidrap, the Stand — totalling 13 Muslim scholars who were bundled into the Muslim Scholar’s Indonesian Council (MUI) South Sulawesi spread out the Ramadan Safari that was coordinated with with the socialisation of the prevention of bird flu to 13 mosques in the Sidrap Regency, on Thursday (19/10).

This activity was results of the co-operation between MUI South Sulawesi, the Health Service of the South Sulawesi Province, and UNICEF. Tim the Ramadan Safari that was led by Prof Dr H Abd this Yunus Uterus also distributed the small book about the prevention of the bird flu illness in the Islam analysis to the mosque that was visited by them.

The Sidrap regency was chosen to one of the areas that became this activity target because Sidrap was the place that had biggest poultry livestock breeding in South Sulawesi. Moreover, Sidrap also was the most serious area that had been attacked by bird flu that destroyed 429. 417 chickens belonging to the breeder during 2004.

In mosques, the Muslim scholar carried out the socialisation by becoming disentangled the characteristics, the danger, and prevention efforts of bird flu that was justified in the Islam teaching. Tim the Ramadan Safari for the socialisation of the prevention of this bird flu furthermore will spread out the same activity in several regencies in South Sulawesi like Maros, Pangkep, and Gowa as the area that entered the category of bird flu of the danger.

I just received my holiday catalog from www.heifer.org, an organization which provides the means whereby we can make a gift of livestock to those in less developed countries.

One of the photos and its caption caught my eye. You never know where you will learn a bit more about how things are done in Indonesia. I had a vision in my mind of a more stationary style of domestic duck farming, but the ducks are eating, walking, and pooping over quite large areas, it seems:

Photo shows farmer walking with his flock of ducks. Caption:

“After the rice harvest, a Heifer partner (duck farmer) in Indonesia begins his 100-mile trek across the island. Along the way the (local) rice farmer allows his ducks to eat fallen rice; in exchange, his (the duck farmer’s) flock fertilizes their fields. At the end of the journey, the ducks will be grown and ready for sale. Having been fertilized by the ducks, the farms will yield more abundant crops.”

Comment: We have this patient Asrul (13) suspected of H5N1 or asthma already, but maybe there are some new details here.

SULAWESI

Metrotvnews / 20/10/2006 20:05 / http://tinyurl.com/trtud

RS PARE-PARE received the PATIENT SUSPECT BIRD FLU

Pare-pare: the Hospital (RS) Andi Makkasao Pare-pare received the patient suspect bird flu from Mario’s Village, the Kulo Subdistrict, the Sidrap Regency, South Sulawesi, on Friday (20/10). The patient was named Asrul was 13 years old was reconciled from in RS Arifin Nu’mang, the Sidrap Regency.

RS Arifin Nu’mang diagnosed Asrul suspect bird flu was based on the clinical sign of the temperature of the body heated up was accompanied by coughs. Moreover, around the patient’s village was gotten dozens of tails of the chicken died suddenly.

Another with results of the photograph of x-raying RS Andi Makkasao. The patient was only stated suffered asthma. RS Andi Makkasao also took the sample of the patient’s blood to be brought to the Laboratory of the Health of the Department’s Research And Development in Jakarta.

The RELATED NEWS of ‘Bird Flu’:

the Government will ban the inhabitants Maintain Unggas the Government would Re- Industrialisation of Unggas RS Dr Wahidin Makassar treated 2 most Flat patients Flu of Burung RS Abdul Moeloek accepted the most Flat Patient Flu of Burung RSHS the Arrival of the Patient Suspect Bird Flu of Baru <snip>

Comment: Hundreds of chickens in this locality have died, but the machine that allows officials to test the chickens for H5N1 is broken, so they must rely only on clinical observation.

Hundreds of chickens died Suddenly

Farjaronline / 21 Oct 2006 / http://tinyurl.com/y5fsye

MAMUJU — Around the 100 ‘s the tail of the chicken belonging to the citizen in the Binanga District and Mamunyu, Mamuju, died suddenly during Ramadan. The worried citizen, the death of this chicken because of being attacked by the bird flu virus.

Nurdin, one of the citizens in Street Husni Thamrin, said that since the beginning Ramadan till at this time, his 25 chickens died suddenly. He did not know his cause.

Abdul, the citizen Street Patalunru, also admitted that his 20 chickens died during Ramadan.

Whereas Sitti Aminah, the citizen of the Kalubi’bi Village, the Mamunyu District, lost 12 chickens.

Moreover the three citizens said that the chicken of his neighbours then experienced the same thing.

So as to be estimated, the chicken livestock that died during Ramadan this reached around the 100 ‘s the tail more. They said, signs that was met to their chicken livestock before dying, outside mucus from his nose. Gotten very spotty red in the part foot and snored when sleeping.

Officially Mamuju Livestock Breeding and Sulbar that accepted the information at once descended to the field, yesterday. The citizen’s chicken that still was living was at once checked with the virus detector Afian influenza (AI). Unfortunately, the AI virus detector only one unit then. That has then been broken. So as results of the inspection not more maximal. The reason for the broken implement, Kasubdin the Health of the Animal and Veterinir, the Service Mamuju Mamuju Livestock Breeding, Muh Arifin and Abdul Rasyid from the Sulbar Livestock Breeding Service, only carried out the inspection through observation then.

However they said that the illness that attacked the citizen’s livestock not symptoms of the bird flu virus.

Here’s a bit of analysis on my part. I am a firm believer of “watch what the do…..not what they say”.
Today is 10/20. There seems to be two trouble spots. South Sulawesi and North Sumatra. Let’s go back 10 days to 10/10. We have had 4 patients in South Sulawesi. Of these 4, 2 have been under 6 months old. In North Sumatra, we have had 5 patients in the last 10 days. Out of the 5 patients, 3 of them have been 3 years old and under. So between South Sulawesi and North Sumatra, we have had 5 children under the age of 3 years old in the past 10 days.
Now, here are some clips from todays newspapers:
“Since Fajrin, the baby suspect bird flu died, last Sunday October 15, the official of the Health and the Livestock Breeding Service of the Service, Marine, and fisheries (PKP) appearance increased preparedness.”
“JAKARTA (Reuters) - Indonesia, the country with the highest number of bird flu deaths in the world, intends to bar city residents from keeping chickens and other poultry in their backyards, ministers said on Friday”.
“The government will do re-industrialisation the poultry followed the concern about the increase in the case of bird flu in Indonesia.” “That was revealed by Coordinating Minister for People’s Welfare Aburizal Bakrie in being in a meeting of the Kesra Co-ordination about the handling of the case of bird flu in Jakarta, on Friday (20/10).”
“The Banda Lampung mayor Eddy Sutrisno, on Thursday (19–10), said if a chicken died suddenly, the citizen was asked immediately to report to the service/the related agency.”
“the Section Head the Health of the Banda Lampung City Dr. Reihana said his side has dropped the medical team off to check the citizen Umbul the Key and investigate the possibility spread him the bird flu virus.”
“totalling 13 Muslim scholars who were bundled into the Muslim Scholar’s Indonesian Council (MUI) South Sulawesi spread out the Ramadan Safari that was coordinated with with the socialisation of the prevention of bird flu to 13 mosques in the Sidrap Regency, on Thursday (19/10).”

The article posted by Commonground at 6:06 references a confirmed positive death from the villager the Urip Time. I did a little digging and found that this statement is in reference to Mistinem. This is an exerpt from the pugmom post at 16:01 on the Outbreak XV thread:

“Purwokerto – Mistinem (27), the citizen of the Giana Mountain Village, the Urip Time Village, the Madukara Subdistrict, the Banjarnegara Regency, on Friday (13/10) at dawn struck 03. 00 WIB died it was suspected resulting from bird flu.”

The new patient (40M) is stated as being from Triguno and is now at the hospital in Semarang. I couldn’t locate Triguno, but Semarang is a little over 60 miles (as a crow flies) from Sigedang, the location listed for Mistinem. Can anyone identify where Triguno is? I find the reference to Tamiflu in the community at Commonground’s 6:06 post a little odd.

I have been looking with diligence for maps which can tell us where Triguno is, and where the small villages cited in Goju’s report are located as well. All these villages seem to be too small to appear on any maps so I have had no luck yet.

However, during my search for these villages I did come across a very interesting FAO Document: Geospatial Analysis of HPAI (H5N1) Outbreaks in Indonesia from 2003 - 2005, that was published Feb. 2006. http://tinyurl.com/y56776

Their research found a couple of things that caught my eye:

“Examining outbreaks throughout the whole period from 2003–2005, duck density is a better indicator of likelihood of infection than is industry chicken density…<big snip>… results should be interpreted cautiously, but it may indicate that ducks fulfil a significant role in the epidemiology of HPAI infection in Indonesia…<big snip>…More detailed epidemiological investigations should be conducted to examine the role of ducks in the epidemiology of HPAI in Indonesia.”

well that certainly is interesitng, Pixie. it’s just that they have been steering our attention so much on the chickens, that ducks did’t even become a fore runner in my mind.

Michelle in OK- everytime I put triguno for a search, it would come back, “did you mean Trigueno?” I have found nothing. given that triguno is in Puncakwangi’s subdistrict, I would have to say it’s way out in the boon docks.

Lordy we have snow showers here! ugh!!

Pixie at 11:58: Pare-pare: the Hospital (RS) Andi Makkasao Pare-pare received the patient suspect bird flu from Mario’s Village, the Kulo Subdistrict, the Sidrap Regency, South Sulawesi, on Friday….Well, at least I think we can say that Mario was indeed the name of a village and not the local Italian pizza-maker!

CG at 12:32: good analysis. I know they are finally in a high state of alertness. Talking about NO chickens in yards in Jakarta and possibly other cities as well. In my opinion, it is still too little too late.

cottontop - weren’t you from Watertown? North of Buffalo NY? I’m from Saratoga NY area.

Yes pugmom - to me, they sound worried.

Hey neighbor! I don’t think there are too many of us up here. I personally hate the winters here. I’m actually between watertown and clayton, closer to clayton. Nice to meet you.

Pixie… the duck information is very interesting and possibly a key point.

The (40M) is stated to be from Village Triguno the Puncakwangi Subdistrict. I’ve located Puncakwangi at the attached link. It is east of Semarang, while Sigedang is to the west. It does not appear that the two cases are close in proximity. I’ll show Puncakwangi, Central Java, as the location for the (40M).

Link to MSN Encarta

Nice to meet you too cottontop!!! I’m moving, but been in upstate NY all my life. You watch and see, because I’m moving, we will have snow early this year.

are you moving out of new york state? Because if you are, TAKE ME WITH YOU!!!

pugmom at 13:39… the attached link shows Parepare and Mario in S. Sulawesi.

Link to MSN Encarta

Regarding the link to Mario, you have to click and zoom in once for it to show up.

Yes, cottontop, I’m moving directly east to the Lakes Region of New Hampshire. I don’t mind the winter.

welcome to NH, commonground. I’m here in the Lakes region too.

I was hoping you were moving south. Oh well…. I hope you and your family have a safe journey, and the move is uneventful for ya’ll.

anybody moving south?

I think I speak for all fluwikians when I say, “Thanks, to all of you tracking this beast in Indonesia. It’s a daunting task and greatly appreciated.”

Wow, you guys are good with a map!

And thanks Oremus.

I live in CT, but went to school in Upstate NY in the snow belt. My dh is driving back from Toronto now and I told him to pick me up a giant bucket of wings as he ventured past Buffalo.

To corroborate CG’s post at 12:32: Complete restructuring of Indo health system, along the lines of Thailand and Hong Kong. article dated 10–21–06. http://tinyurl.com/yn79ny

 Indosiiar.com, Jakarta - the Siti Faddilah Supari Health asked the government to carry out the restructuring of the health system and animal husbandry.

“This was important because in Thailand and Hong Kong has had the banning of the poultry in urban areas, they have had his regulations”.

Results of the team’s national recommendation of the control of the bird flu virus, concluded 5 points that will be done by the department of livestock breeding and kesenatan. Five points first did the campaign of information communication, sufilant epidemologi to the animal and humankind, penangan the virus to the poultry, the increase in facilities and the capacity and the restructuring of the health system and animal husbandry. “Four from 5 points in livestock breeding and that one for the health, so the Department of Health only 1.5 points.” That meaning that the problem that most difficult was in the poultry, clear Siti.

His side claimed this year 10 thousand villages will be made the alert village bird flu and alert the disaster. Including maximising the available community health centre capacity didaerah this. “So we must the restructuring clearly,” said Siti hard. , be the same as that was applied in Hong Kong that might not have the poultry in urban areas and must outside the city.

However that definitely, according to him between humankind and the animal must be separated. Now the minister for agriculture Anton Apriantono mentioned from 33 provinces that were stated as pendemi the disseminator’s animal of the bird flu virus, has berkuang 14 among them. Now 8 provinces outside from the number, has been freest from the status of the territory pendemi penuluran bird flu from the animal and humankind. His side has mengluarkan decision fibre of the minister for the maintenance regulation of the animal in the settlement and the densely-populated area. The reference has diimplementasikan in several regional governments with mengleuarkan handling Regional Regulations of bird flu. “Like in the Special Capital District of Jakarta already, but kenyataa him could not direct but must be in stages,” he stressed.

Eventually, the restructuring of the health and animal husbandry that were made become regulations will be made the foundation of the law for the regional government applied Regional Regulations. So not have again the refusal from the community, because this was related to the safety of humankind, imbu

ColdClimatePrepper - at 14:10, I was going to respond to your thread “what the @*!* is going on”, but, I erased it. My little “analysis” above sort of tells it all for me. My main concern is where are the babies getting sick from? If it were even the seasonal flu the caught, wouldn’t they catch it from a parent, and wouldn’t the media mention that the parents had seasonal flu? Where are these little children getting it from? Isn’t that nice that you are from the Lakes Region also. I will be moving there permanently December 10th. I just hope that the snow can stay away till then? It is absolutely beautiful there, we don’t know anything about the area. We literally pulled out an Atlas, saw Lake Winapausakie and spotted a little town. Drove there, loved it, rest is history. Now I’ll retire there.

So they have changed their tune……… Why.

Pugmom - at 14:53: So not have again the refusal from the community, because this was related to the safety of humankind……

commomground- that is my concern too, about the babies getting sick. someone said that mama could have just collected eggs, and didn’t wash, ect, and picked up baby, transfering the infection. It’s an idea, but I don’t know. given the family is suspect, I’d say someone was around the baby and sneezed. these babies months ols, had no contact what so ever. someone brought it to them. that’s just my thought.

I am not sure CG—capitulation to pressure from the WHO?/true realization of what a mess they have on their hands?/an influx of that promised money just now?/scared out of their wits?/realization their tourism will die out?/. Can’t be done though, they still have over 1 billion chickens left in Indo. I wonder, do you really think that if they slaughtered every chicken in Indo this very day, the human infections would go away???

cottontop - o.k. if we say it was the handling of eggs, that’s plausable, but for all 5 babies (I say babies, children under 3 years old). So, all 5 infants would have to have caught it by parents touching eggs? Or not washing appropriately after touching their chickens? Why aren’t the parents sick? Then, extrapulate that thought, and you’d have to believe they could catch it by mearly touching an infected chicken? Remember a while back, they were saying “plucking, culling, etc.” were involved. Now, they don’t say that anymore. All they say is “dead chickens somewhere nearby”. Ugh. Deep sigh.

pugmom, it couldn’t be done, first of all. Second, I don’t believe it’s the chicken. May be the manure. May be the water from the manure. But not the chicken. Actually, I’m thinking cat, dog, pig, rats. Who the %*!* knows.

commonground- exactly. if it was just the 1 baby you could probably get away with that reasoning. But your right, all 5 of them? man, I hope we don’t start to see an increase in babies getting it.

I’m just totlly confused with all of this. It just reads like a huge melting pot of this and that. and now they start to panic. What, did they finally get the chicken out of their…..? This is what’s upsets me the most about their government, or any government. Deny for as long as you can, then say “What?”

If I didn’t know better, I would interpret this as saying the 9 people were in the hospital. And the part about not knowing immediately if they were related. Right. Sure. What do you guys think???
http://tinyurl.com/yf9cbg Pro-Med Article
Tests for bird flu are being run on 9 people from a province of Indonesia’s eastern island of Sulawesi, where one of the patients, a 1-year-old boy, probably died of the virus this week.

The child from the South Sulawesi district of Maros died 17 Oct 2006, hours after he was admitted to the Wahidin Sudirohusodo Hospital in Makassar with flu-like symptoms, said Halif Saleh, a doctor who treated the infant. Samples from the boy are being tested for the H5N1 strain of avian influenza, Runizar Ruesin, head of the Health Ministry’s Avian Flu Center, said in a phone interview today.
-snip- ‘’‘Tests for the H5N1 virus are being run on 8 others being treated in the Wahidin Sudirohusodo Hospital’‘’. They are all from South Sulawesi province, where the disease is known to have infected poultry, Ruesin said. ‘’‘It wasn’t immediately known whether the patients are related’‘’, he said.

It didn’t go bold……8 others being treated in the Wahidin Sudirohusodo Hospital
Do you guys have 8 others being treated in this hospital?

I just want to point out that the new spokesperson we are now hearing from, Runizar Ruesin, does not seem to be lending clarity to the situation. His pronouncements are often a bit “off” and while are mostly accurate, are not wholey accurate. Fuzzy pronouncements coming directly from the head of the Health Ministry’s Avian Flu Center is the last thing we need and the first thing that will engender lack of confidence in, and nervousness about, how Indonesia is handling things. We need accuracy and clarity, Mr. Ruesin.

Commonground - at 15:23:

This was posted about Hasrullah (13, the one with “asthma”) in Sulawesi, but it was never clear if the 8 people in Sulawesi being tested were Hasrullah’s relatives or relatives of other casualties. And it does sound like the patients are IN Wahidin Hospital from the report you posted.

“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.”

Wasn’t it fleas that carried the plague? The situation is certainly not getting any better.

commongound- How about the cat or dog? one of these could be in the house around these young babies. the cat or dog rubs up against the baby, or the baby touches the animal, hands not washed, ect. What do you think? Plausable?

I have a theory on the 5 babies getting sick that I will throw out there. It is the start of the rainy season, yes? And isn’t the poultry in that culture routinely allowed in the house?

So it’s raining more, the chickens are/want to be inside more, and having been a baby once when I was young I can tell you from experience that I spent a lot of time crawling around on the floor. So maybe that’s it. I don’t know. It sure is sad no matter what the reason is.

Or maybe it’s just an anomoly. (?)

JWB…”having been a baby once when I was young” LOL! I know some people who are babies when the are old! But you bring up a point. I forgot about the chickens inside the home. And what else do babies do? They put everything into their mouths……..what do chicken’s drop? I think I handled that pretty well. :-)

Could be cottontop, but remember - they don’t treat their dogs and cats like pets. I would think they would be strictly outside animals. The babies crawling around sounds plausable. They got into something. Could be outside crawling around. Maybe it’s the water? The rains have begun, but are not in full force yet.

commonground- yep. they eat their animals, forgot. Ok. the baby crawling on the floor, yes, had two of my own that did just as you said, but that still doesn’t explain the 1 month old. what’s missing?

When do the rains usually come in force in that part of the world? Is it fairly predictable? Like the tree’s peak in color here this week ever year.

cottontop – at 16:17

Then we are back to just the ‘one’ one month old. Poor hygiene on the part of any family member.

I was reading that they are hoping that when the rains stop and the temp drops this will “go away.” India is hoping for the same thing. I think the rains are coming to an end. Think anyway.

JWB - at 16:01: I have a theory on the 5 babies getting sick that I will throw out there. It is the start of the rainy season, yes? And isn’t the poultry in that culture routinely allowed in the house?

That’s an excellent question and maybe an answer to one of my questions. The thing that jumped out at me after one of the stories about a baby becoming infected (and I wondered aloud how that could have happened) was that they said in a followup story that the family’s chickens had been kept in the cellar. I wondered at the time why that would be the case as it seemed so strange, but maybe your theory about the rainy season is right.

I still don’t think a two-month-old baby would have had much contact with chickens, however, and there are no report that that family’s chickens were ill or died. The only reports we have seen so far are that the baby died, the parents were being tested, and the mother’s initial test results showed she was not quite as healthy as the father, but they put that down to the Ramadan fast (although I’m not quite sure nursing mothers are either expected or required to participate in the Ramadan fast as people who are ill or have special health needs are exempted).

One thing that I do know is that if I ever get into trouble, I think I want an Indonesian defense attorney. They seem to be very creative in thinking about ways to direct attention away from not thinking about the obvious.

No, they are just entering their rainy season….. One month old, could be poor hygiene. Parents are very lucky they didn’t get it. I’m sure they breastfeed there. That would rule out water. Ought to be interesting to see how the parents are doing……hmmm

I was reading earlier today on RSOE, that they are expecting cooler weather in India and that they thought it would help the Dengue problem. I am posting it below as I think it also applies to Indo. I think I will start checking the weather in various Indo areas to see what the temperatures are. Once things “cool off” the mosquitoes should start to die and there should be an immediate drop in Dengue and Chickungunya cases. Once the weather cools, if the numbers of the cases continue or increase, then it may very well be something else. JMHO

From RSOE (Note, if you don’t have High Speed Internet this site is hard to impossible to load, or so I have been told.) http://tinyurl.com/y49gv3

The death toll due to dengue continued to mount on Thursday with seven deaths, taking the total to 47. Eighty-five new cases of dengue have been reported in the last 24 hours. Six persons succumbed to the dengue fever at All India Institute of Medical Sciences (AIIMS) and fifty-three fresh admissions were made in the dengue ward. One patient died at Ram Manohar Lohia (RML) Hospital. “One of our patients died due to dengue in the last 24 hours. But he also had liver problems which contributed to the death. The patient was a resident of Shahdara,” said Dr N.K. Chaturvedi, Medical Superintendent, RML Hospital. At AIIMS, 65-year-old Riyaz from Muzzaffarnagar in Uttar Pradesh and 32-year-old Yashpal Singh from Palam succumbed to Dengue Shock Syndrome (DSS) while 55-year-old Shivdevi and Ramnath Kumar (25) from Kotla Mubarakpur, Jitender Kumar (25) from New Kondli and Hanuman Singh (70) from Mainpuri in Uttar Pradesh died due to Dengue Hemorrhagic Fever (DHF).

Doctors and health experts are now banking on the change in weather for the outbreak to be curbed. And the overnight rain and the subsequent dip in temperature have already signalled that there will now be a downturn in the the transmission of the dengue virus. “We need to see daytime temperature of 16 degree Celsius. Decrease in daytime temperatures would certainly lead to a change in the disease pattern. The Aedes mosquito thrives on hot, humid and high temperature, which is anywhere between 20–30 Degree Celsius,” said P.L. Joshi, Director of National Vector Borne Disease Control Programme. According to doctors, the next couple of days could be vital. “This is definitely a good sign, but it is too soon to say if the rain will eventually lead to reduction in dengue and chikungunya cases. The mosquito transmission goes down only when the days are cooler,” said Dr D.K. Sharma, Medical Superintendent of AIIMS

I wonder how much it would cost to hire a private detective over there that speaks English?

Thanks Snowhound1, I appreciate it!

Although a few years now, I do remember while breast feeding both my babies, they would wrap their little hand around my finger while nursing. And of course, they were always putting a thumb or fist into their mouth (mom’s dirty hand to baby’s hand to mouth??). Also, I am assuming, unlike here in America, it is customary to breast feed each child for several years. any thoughts?

Hot in Indonesia for the next 10 days…highs of 94–95F

According to what I posted before about Dengue…needs to be about 60F for it to have an impact on the mosquitoes. So no relief in sight in Indo.

You’re absolutely right cabingirl. I have forgotten so much….been so long since they were babies.

Snowhound1 – at 17:13 Indo temps

Lower temps may help dengue but it will allow a Type A virus to live longer in the environment. I was half way expecting the R0 to start increasing as things cool or the virus moves to more temperate regions.

Pugmom Pixie CG everybody

I have went back and tried to catch up on all today’s news. I don’t see in either article about the 40 year old manwhere he travelled to for Ramadan. Is that just an oversight by the reporters or an intentional omission? What I would really like to know is where he went, how he got there and how he got back. All I find in the first article is Temple Village. If I missed where he went please let me know because I have been wondering about that all day along with the reporting of the 12 million ampoules of tamiflu. I would really like to know that bit of information.

Pugmom I was just kidding that we can stop looking now. I wanted to put that article on the joke thread but couldn’t find one.

Pixie that was a good find about the duck farmer, very interesting.

The babies could have been crawling or just plain bad hygiene who knows at this point. I was concerned all day that another tamiflu blanket was being put in place in Central Java.

Influentia2 - you didn’t miss it - they did not say where he came from, or his mode of transportation……

Commonground, cabingirl-

A little breastfeeding info re Indonesia. Second link gives nice, concise descritpion of health services structure and needs as well as breastfeeding stats.

http://tinyurl.com/yaklrh http://tinyurl.com/ya62dx

CG 18:09 I will be on the look out for that piece of info. That really is bugging me. Other than that I thought your observation about the 8 people hospitalised in South Sulawesi was right. I thought I saw an article about that on Bloomberg before I left for work but I was running late due to posting that joke article about backyard chickens in Indonesian cities. Now about the babies I really cannot guess, I don’t know that the officials would tell the truth about anyone else in their families being sick unless they absolutely had to. Hate to sound paranoid but I really don’t trust them over there there are too many tourism $$$ at stake I wonder what all is omitted that we may never find out or find out too late. Thanks again for all your hard work I wish I had more time but til I do I will do what I can to help out.

Influentia2:

The 40 yo unnamed man who traveled to his village from Jakarta probably is still there. The big holiday for which they all traveled to their home villages does not take place for a few more days. Only after it is over will everyone return to Jakarta. Commonground is right - so far they haven’t given out the name of the village. It takes a couple of weeks for everyone to get to their home villages, and a couple of weeks for everyone to get back to the cities. (Life moves at a slower pace there!).

Wait - Michelle in OK did have the name of the 40 yo who is now in the Semarang hospital (sorry - it all starts to blend together sometime).

Michelle in OK - at 13:46:

“The (40M) is stated to be from Village Triguno the Puncakwangi Subdistrict”

God help us. It is a perfect (viral) storm, isn’t it?

that’s the one we couldn’t locate at first.

this patient was the foreign region that just returned to his origin village several days before Ramadhan

This is from the post at 6:06 and there is one similar in the previous thread. To me they could have just as easily said what foreign region and his original village before Ramadan. Maybe I am being one of those finicky parsers but leaving that out makes me wonder. I tried looking for Triguno like you guys did but only similar names come up. I probably am reading to much into them leaving this info out anyway.

new pic on the nocommentary2 thread, and the Indonesia page.

I’ve tried to figure out if we could have 8 patients in Wahidin Sudirohusodo Makassar from the ones we had listed. At one point we matched, with 2 patients as follows:

• Nur Azis (6 )/Nurasiah
• Ical Mahendra/Faisal (7), neighb. Apriani

Then 2 more were added:

• Ratnawati
• Siti Maimunah (F)

After Fajrin died, we had 2 more as hospitalized:

• Asrianti (3 months)
• Beautiful/Asri (33)

That gets us to 6 patients. Two people related to Fajrin were listed as having symptoms… if they were hospitalized, that would be 8. I’m hesitant to add more without additional details.

To JWB et al: I must have missed something. Have you guys made some connections somewhere re: villages/names/viral storms, etc. What is it you are trying to figure out?

All this talk of babies getting sick. Look this is not suburban USA. Babies are not being placed on clean blankets in the grass or scrubbed linoleum floors. These folks are living in rural villages where chickens are in and out of the house. They probably have dirt floors, or at best wooden floors. Chickens poop everywhere. (Believe me, I have chickens and they poop about every 10 minutes!) Kids are rolling around on the floor. This is not a sterile situation. I would actually think the babies would be the first to get in contact with germs from the chickens. Adults probably are a bit more careful to clean their hands before sucking their thumbs! ;)

Here is a quote from Niman last June 24th on the RESSKKRR thread that just popped up again (I made up those initials because I can never remember them.):

niman – at 11:51 anonymous, The surveillence in Indonesia remains exceedingly poor. At this time the most likely mammalian reserve is homo sapien.

comment: I have felt for a long time that it is humans giving it to each other. I feel the chicken deaths are independent of the human deaths. That would mean there is an asymptomatic carrier state in the humans (remember that fellow just the other day from Kaliurip who has been ill for months, can’t remember where his house is, mentally confused, can’t breathe and now is a suspect case?) Remember Typhoid Mary? She had it her whole life and never was ill with it. That would explain a 1 month old baby dying of it.

There were no changes in the summary since last night, so I won’t repost. The only additional patient since the spreadsheet was uploaded is the (40M) from Puncakwangi, Central Java.

May you all have a nice slow-news weekend. (It is my hope that no news truly is good news.)

I don’t follow the country threads very much but it looks like we have some very commited people here and I appreciate the effort. If you have not already been told there is a parallel effort in the Flu Clinic Indonesia thread. There is a summary of confirmed and suspected patients posted by MomCares every few days. We will all benefit by working together.

Dutchie also posted a note about tools to find news from Indonesia.

Theresa42 posted useful news and language tools also here and here. We should make a wiki page for search tool references (if there is not one already). I am not certain all the foreign language characters would copy over.

Comment: Update on Doni (3.7) who still has no confirmed diagnosis but whose pneumonia is spreading. Once again we see that they are having trouble obtaining definitive test results. They say they have done three blood tests and have sent these to Jakarta three times for PCR testing., but no results yet.

BANDUNG/LAMPUNG

Sabtu, 21 Oktober 2006 / Lampungpost / http://tinyurl.com/yzwyvd

SUSPEK Bird Flu: Negative Serology, Meluas pneumonia

Results of the serology test from the Hall of Health Research And Development (Balitbangkes) against the patient suspek bird flu, Dn (3 years 8 months), that was treated by RSUAM, pointed out results of the negative.

However, the team of the handling of the RSUAM bird flu patient was still being waiting for results of the PCR test (polimerase chain reaction) from Balitbangkes because, pneumonia on the Dn lungs continued to spread.

The chairman of the team of the handling of the RSUAM bird flu patient, Dr. Pad Dilangga, Sp. P, on Friday (20–10), said clinically Dn increasingly improved. The “illness that was contracted by Dn not penumonia normally, we mentioned him atipical pneumonia or special pneumonia,” said Pad. ‘’‘This pneumonia was not caused by the bacteria, but was caused by the virus. “However, we could not confirm whether this virus H5N1 (bird flu) or not.” Because we were still being waiting for results of the test of Balitbangkes Jakarta, said he’‘’.

According to him, was acknowledged as special by pneumonia because generally in the case of pneumonia, the patient’s tall leucocytes reached tens of thousands. Now in the Dn case his leucocytes was low, in fact far below normal that is 1,300 (normal 4,500–10,700). However, was based on results of the complete blood test that was carried out on Friday (20–10), the number of leucocytes or the blue blood gap to the Dn body continued to increase, that is 6.700. Likewise red blood cells or trombosit also increase to 257 thousand (normal 150 thousand — 400 thousand). Pad said results of the serology test could not become the standard.

Therefore, his side was still waiting for results of the PCR. Balitbangkes test to “ask for us again sent wiped off the throat and blood to confirm whether Dn contracted bird flu or not,” said he. Yesterday, the medical team again took wiped off the throat and Dn blood to be sent to Jakarta. “Balitbangkes asked for us sent wipe off tengorokan and blood totalling three times for the PCR test,” said he.Said he.IN UNI/K-2

According to Pad, in the PCR test, the researcher checked RNA (ribo nucleic acid) to know the virus what caused pneumonia that continued to spread on the Dn lungs. For clinical therapy, the team of the control of bird flu gave antibiotik to overcome penumonia. Moreover also food therapy and psychological to the patient.The UNION

Comment: The Agriculture Minister clarifies here that the new policy on poultry is meant not to remove humans completly from contact with chickens, but rather to ensure that the chickens are kept in cages (imprisoned). Also, this article answers a question I had about the Kalimantan area where hospitals have been overrun with dengue patients but they do not seem concerned that it could be H5N1. Why? There is no bird flu in birds in Kalimantan - that area encompasses 4 of the remaining 14 bird flu free provinces.

Bird flu: 14 provinces were stated by Bebas

Sabtu, 21 Oktober 2006 / Lampungpost / http://tinyurl.com/yhxazz

Jakarta (Lampost): since bird flu spread in Indonesia, 30 provinces were stated terjangkit. However, for the last six months, 14 provinces were stated free bird flu. “The 14 provinces were free bird flu to the poultry and humankind as well as still had 22 free provinces bird flu to humankind,” said Menkokesra Aburizal Bakrie ended rakor bird flu in his office, Street Medan Merdeka Barat, Jakarta, on Friday (20–10).

The 14 provinces; South Kalimantan, East Kalimantan, Central Kalimantan, West Kalimantan, South Sumatra, Sulawesi West, Central Sulawesi, the Riau Island, Bangka Belitung, Riau, Irian Jaya West, the West Nusa Tenggara, Jambi, and Nangroe Aceh Darusalam. He said 150 regencies were also stated free bird flu.

Currently, said he, the community realised to destroy the poultry if there are those that died suddenly. Although compensation Rp12,500 per the poultry was given by the government, not yet all the regency put forward money for the replacement.

“Now did not yet have signs of the indication to the side of the pandemic and the mutation of the virus,” he said.

According to him, although in Bali and Tangerang was found by the pig being attacked by bird flu, did not yet have proof that the pig could spread bird flu.

To minimise the spreading of the Bird Flu virus in Indonesia, Menkes Siti Fadilah Supari said the policy concerning the separation of the poultry and humankind immediately must be applied. “This part of the restructuring of the livestock breeding system and the health of the animal.” This was very urgent, said Health Minister Siti Fadilah Supari ended rakor bird flu in the Co-ordinating Minister’s office Kesra, Street Medan Merdeka Barat, Jakarta West, on Friday.

‘’‘Now, Agriculture Minister Anton Apriantono said the separation did not mean the living poultry as far as possible from humankind. The “poultry was not then placed in an island, this appeal already since long before and I the feeling must as soon as possible,” he said. According to him, in the area of densely-settled urban areas, the poultry ought to be did not roam about in the page, must be imprisoned’‘’.

JAKARTA

Metrotvnews / 21/10/2006 / http://tinyurl.com/urh3j

The GOVERNMENT will restructure the LIVESTOCK BREEDING SYSTEM

The Government will focus the handling of bird flu in by restructuring the livestock breeding system and the health of the animal. This was carried out to anticipate the spread of the virus H5N1 from humankind to humankind.

The government will also make regulations that forbade the citizen to maintain the poultry in the area of urban areas.

This decision was results of the welfare co-ordination of the people of the meeting (kesra) the level of the minister about bird flu in the Co-ordinating Minister’s Kesra Office in Jakarta, Jum’at (20/10).

Other steps that will be followed were to give information concerning bird flu to the community by doing the preceptive movement of bird flu. <snip>

Comment: Officially, there is a firm link between chickens and H5N1 infections in humans, and the Health Minister believes that if bird flu can be controlled in chickens, it will be prevented in humans. They also speak of the case fatality rate here, which has reached 76%.

14 provinces were stated Free Bird Flu

Sabtu, 21 Oktober 2006 / MediaIndonesia / http://tinyurl.com/ugjxv

The Area jangkitan the infection of the bird flu virus (Avian influenza/AI) that originally covered 30 provinces in Indonesia currently descended because 14 provinces were among them stated free from the virus infection H5N1 during the last six months.

The chief executive of the National Commission of the Daily the Control of Bird Flu and Preparedness faced the influenza Pandemic, Bayu Krisnamurthi, in Jakarta, on Saturday, mentioned the 14 provinces in part consisted of South Kalimantan, West Kalimantan, Nanggroe Aceh Darussalam, West Sumatra, the West Nusa Tenggara and Sulawesi West. He added also that the case of bird flu also was not found in South Sumatra, Bangka Belitung, Riau, Jambi, East Kalimantan, the Riau Island, Irian Jaya West and East Kalimantan for this period.

Beforehand Health Minister Siti Fadilah Supari said the condition was pleasing enough because when the case of bird flu could be to the poultry controlled then the case emergence of bird flu to humankind also can be prevented. “His problem was in the poultry.”

If the infection in the poultry could be controlled then the poultries will not spread his illness to humankind vice versa if still had the poultry that was sick then the possibility he could spread him to humankind, he said in the evaluation of the achievement of the Department of the Health that was held in Jakarta, on Friday (20/10). Therefore, he explained, control efforts of the infection of the bird flu virus in the poultry must be intensified to prevent the case emergence of the new infection in humankind that at this time the amount was high enough.

Since July 2005 till October 17 2006 bird flu attacked 72 people in Indonesia and 55 including dying. The mortality rate (Case Fatality Rate/CFR) resulting from the deadly illness that generally was spread by the poultry, said he, reached 76.39 percent.

‘’‘In order to overcomes the problem, the Department of the Health distributed Oseltamivir/Tamiflu — medicine antivirus influenza that was recommended in the handling of the patient who was infected by AI — to available health services in the area. “We have also prepared 44 reconciliation hospitals and will increase him to 100 hospitals,” he said. He added his side also intensified the socialisation activity of the prevention and the control of bird flu as well as reinforced the monitoring system of the illness (surveilans) to be able to find and handle the case of the infection as early as possible so as the level of his fatality could be minimised’‘’.

Morning chuckle for the Indo thread:

My daughter asked me the other day if I knew how to say “hello” in Indonesian.

I told her no, but I know at least three ways to say “chicken.”

Lisa in Southern Maine at 18:18: Thanks for the article. It is not long at all. I recommend scanning it (6 pages or so). Easy reading. Can’t copy it over so I wrote this down for future reference:

“96% breastfed to begin with. 42% breastfed at 4–6 months.
Women must return to work shortly after birth of child and leave their babies often in the care of entended families.

Pixie 4:49 Halo

Halo is hello.

I haven’t had my coffee yet so I wasn’t sure what the morning chuckle was. At first I thought it was the 14 provinces that are stated free from bird flu until I reread your posts. So Halo to you and your daughter. Halo to CG too.

What about me? :(

Halo PG I didn’t know you were on. Is this a repost? I cannot tell. I have had 1/2 a cup of coffee.

On October 20 2006, 12:02:03, the Report Eddy Prasetyo

Worried by Flu Burung two children SURATMAN was supervised by Dinkes Surabaya Ssnet| two children SURATMAN the citizen Street. Bendul merisi Big South 93 C that complain about was sick coughs currently in the supervision of Dinkes Surabaya. They were worried terjangkit bird flu after 1 from 2 chickens that died belonging to SURAMAN positive was affected by bird flu. Two children SURATMAN that continued to be supervised of Dinkes Surabaya were their respective SEPTIAN Tri WIDODO (14) and MARDIANTI (8). Both of them could be examined by the doctor in the Sidosermo Community Health Centre and were taken sample his blood yesterday. Dr. INA ANIATI Kasubdin P2P the Health Service the Surabaya Municipal Government to suarasurabaya.net said both of them were not yet stated as suspect bird flu. Sample blood that was taken from the two children SURATMAN could be just known by results this afternoon. “Sampai now, two children still was in his house. The leucocytes test to sample his blood to know the status suspect they berdua,” accused INA. In the meantime SUHARTATI (44) the mother of the two children was not convinced his children terjangkit bird flu. “Biasa then. SEPTIAN and MARDIANTI played like usually now. Indeed, they could coughs but that because his weather is now hot and many debu,” SUHARTATI words. Acknowledged by SUHARTATI, before dying, the proven rooster bird flu indeed close to SEPTIAN. “Ayam indeed his pity SEPTIAN. he maintained from small to now. If coming home from school, my child often carried him. Dicucuk-cucuki begitu,” he said. He hoped the concern of Dinkes Surabaya was unproven. He has indeed known the impact of bird flu of the media and did not hope his children became casualties from this illness.

http://tinyurl.com/yedtgn

On October 20 2006, 11:43:13, the Report Eddy Prasetyo

Positively Flu Burung Spraying of the Radius 200 Metre from the SURATMAN Pen Ssnet| After 1 from his 2 chickens that died was stated positive was affected by bird flu, the chicken coop belonging to SURATMAN in Street. Bendul Merisi South 93 C and the radius territory 200 metre was scolded disinfectant by the fisheries Service, Marine, Livestock Breeding, Agriculture and Surabaya City Forestry. Drh. YETTY the Section Head the Health of the Animal and the Community Veteriner the fisheries Service, Marine, Livestock Breeding, Agriculture and Surabaya City Forestry to suarasurabaya.net, on Friday (20/10) explained this step was the procedure continue to the handling of bird flu. “Dari results of the cloaca inspection of a chicken belonging to SURATMAN yesterday, clinically were ascertained by us this chicken was affected avian influenza or bird flu. Finally we his owner’s contact to destroy all of his property poultry that still was living. There were 8 chickens and 2 geese that were destroyed by us kemarin,” said YETTY.

Same link as 7:12 post.

Pixie at 0354: “We have also prepared 44 reconciliation hospitals and will increase him to 100 hospitals,” he said.”

comment: Watch what they do, not what they say.

Influ2: these are new. Can you pinpoint where they are? Is it close to Surabaya?

Pugmom 7:29 I took it as in Surabaya from the address but no city or village given. I should get a map and look. Then I found the next article and it had the same address.

Bendul merisi Big South 93 C

I cannot pay an East Java link to open all week. I don’t know why. My other links are opening ok. This one is EJ and it was OK this morning. I don’t think it is my PC. I will go try to verify where this is.

Influentia2 - at 07:12: “two children SURATMAN was supervised by Dinkes Surabaya Ssnet”. I wish they could be more specific. I’m taking that as they are home and not hospitalized. What province is it?

pugmom - I went through all my sites, didn’t find anything. Mass return of everyone, clogged roads, terminals, etc.

Surabaya is a city in the Region of East Java. Influ2 says we haven’t had any cases out of Surabaya yet, so could be a new one we are adding to our map.

Sounds like the kids are only coughing, but staying at home. Also sounds like the only test we will get back this afternoon is the blood leukocyte count. (in viruses, the leukocyte (white blood cells) is low. in bacteria, the leukocyte count is high.) IE—this is a very non-specific test for viral infections, and certainly not a specific test for H5N1. (so don’t hold your breath.)

Surabaya is the second largest city in Indonesia and the capital of East Java. http://tinyurl.com/y244f6

If I remember correctly the patients from Tulungagung are taken there for better treatment and from other areas but Surabaya itself had not had a case yet. I may be remembering wrong and I have tried to download the spreadsheet three times and get nothing but little boxes. I downloaded the last one just fine. I looked at the chart and it doesn’t show a case from Surabaya, I think Eni was sent there for treatment.

Halo Influentia2. My notes for Eni say: Dr. Soetomos Hospital - Anathesi Building one. I have Tulungagung right underneath Surabaya. So you’re right, all patients from Tul… are taken there. The above reference of mine is not mentioned in your article.

Sounds like Septian was carrying chickens around on his way home from school and the chicken died. It sounds like Septian raised the chicken since it was small. Next article gives same address and chickens tested positive. I think I will add this to my East Java list of wait and see.

Halo everyone! Halo!

My daughter will be happy now. She thinks it is “wrong, just wrong” that I could probably diagnose exotic diseases in a hospital, or order off of a complicated restaurant menu, with my Indonesian, but had no idea how to say hello to anyone (she thinks we are obsessed…shhhhh!).

Comment: Maybe it will be a slow news week, like the week between Christmas and New Years is here. Everyone is back at grandma’s house now, probably including the journalists. The President of Indonesia has returned to East Java, near Surabaya. Do you think we’ll hear many details about H5N1 cases while he’s on holiday in that area? (Coincidentally, the Agriculture Minister is with him).

SURABAYA, EAST JAVA

Oct 21, 2006 / http://tinyurl.com/y37rj7

President begins his Ramadhan Safari in East Java

Surabaya, East Java (ANTARA News) - President Susilo Bambang Yudhoyono and Mme Ani Yudhoyono began their Ramadhan Safari in a number of cities in East Java on Sunday.

The president who was accompanied by a number of ministers, arrived at Juanda airport at 9 am and was welcomed by East Java governor Imam Oetomo.

<snip>

The president, accompanied by first lady Ani Yudhoyono and Agriculture Minister Anton Apriantono, would grant a development fund for the construction of a health service post at Al Qodiri Islamic boarding school.

President Yudhoyono`s visit to Jember is part of his Ramadan safari, in addition to having first hand information about the real condition of the local farmers.

On Monday, Yudhoyono and his entourage are scheduled to observe the Paiton steam-fired power plant (PLTU) in Probolinggo district and to visit Pamekasan district in Madura.

CG 8:08

I can’t find any mention of the hospital in connection with the 8 and 14 year old anywhere. So maybe they are at home, since the parent doesn’t seem to believe it could be AI maybe she did not permit them to be hospitalized. Who knows anymore? It wouldn’t be the first time a parent didn’t want a child to be monitored in a hospital. Way to much room to speculate concerning Indonesia especially with the lack of details and the way articles translate. Like I said I will just add these to the wait and see list from East Java.

Hi all. I’ve included the 2 kids from Surabaya. Let’s hope they just have the normal seasonal punies (as my Dad would call it) and get to stay home with their parents.

Pixie, that is really funny! I tried to explain to my husband how comical JWB’s post was the other day, and he thought I was nuts. I just got back a blank look. Still, my laughter has increasingly decreased.

Influentia2 - I just got done updating my personal worksheets. I decided to highlight all the villages I have noted in green. I’m going to start looking correlations with the villages, if I can. It was interesting to note that in South Sulawesi, both Fajrin (2 months) and Asrianti (3 months), were both from Maros Regency. I have to see if I can find out what Village Asrianti is from. Fajrin is from Bontopaddingin/Bontotallasa.

In N. Sumatra, I need to find a name for the (3) yr old, and a Village. The 2 year old (also no name) is from the Village: Tebing Tinggi.

good work CG---keeping track of all the villages. I don’t seem to have the patience to go as far as the villages, but it really is the only to see if H2H is occurring.

pugmom - I will keep track for the names of the villages. But I don’t have the patience to go over maps looking for distances….so between you and I, and everyone else here - we can do it.

If you go to data and filter and then auto filter on the spreadsheet you can narrow the locations down that way. I put that on the chart after I download it and then I can look at the cases from a certain location.

CG: I have an automatic distance locator in one of my sites. Here it is, try it out, I about fainted when I first used it, it is so unbelievable. Maybe you won’t be able to open it, I think I sent it to you once before. http://tinyurl.com/y92naj Influ2--I don’t have a clue what you are talking about—too bad we live 2,000 miles apart, or you could run over here, have a cup of coffee, say Halo and teach me your computer skills.

Fredness at 0134: thanx for the helpful hints and sites. I will go browse them and pick up some pointers later, as today is slow news day so far. Thanx, and I agree, it is nice to have fellow Indo snoopers on other forums—we all can help each other.

Hey Pugmom I may be able to teach you how step by step on email. I do this at work all the time on spreadsheets. If we can learn translating 2000 miles apart we can do this it is super easy to do. Let me know it won’t take long at all I promise.

Commentary

Fatal Suspect H5N1 Cluster in South Sulawesi

Recombinomics Commentary October 20, 2006 http://tinyurl.com/yjypoq

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.

The above translation describes a suspect fatal H5N1 bird flu case in South Sulawesi. In addition, at least two family members are hospitalized and several contacts are being tested. The H5N1 situation in South Sulawesi remains unclear.

Last month a fatal confirmed case from Mekassar was announced. However, the patient had died in June. The WHO update indicated the delay in reporting the confirmation was because it was collected during routine testing. However, the WHO update failed to mention the deaths of two family members who also had bird flu symptoms. Thus, the failure to report, couple with the misleading characterization by WHO is cause for concern.

Between the earlier fatal cluster and the current suspected fatal cluster, a large number of suspect cases have been hospitalized in South Sulawesi. Although these cases have tested negative, patients have been treated with Tamiflu which may lower the level of circulating H5N1 to a level that is below detection. False negatives are common in H5N1 cases and frequently multiple tests are required to detect H5N1. A recent confirmed H5N1 fatality in Thailand was tested nine times over several weeks, yet H5N1 was only detected at autopsy.

The frequency of H5N1 infections in Indonesian remains unclear. The H5N1 in patients does not match the H5N1 in poultry. Since a link to dead or dying poultry is usually required fro H5N1 testing, the level of H5N1 infections in patients with bird flu symptoms, but without a bird link is largely unknown.

If these patients have been infected with H5N1, they will have antibodies that can be detected 3–4 weeks after disease onset. It remains unclear how many of any surviving patients with bird flu symptoms are tested for convalescent H5N1 antibodies.

Similarly, sequence data from H5N1 positive cats has not been released. The only cat H5N1 sequence released to date does match the human H5N1 sequences, which provides additional evidence for a mammalian reservoir. Similarly, analysis of recently released H5N1 sequences in China show that recombination is frequent, and regions of identity are found in Indonesian patients, providing evidence for the introduction of new polymorphisms in Indonesia via migratory birds. H5N1 sequences from wild birds in Indonesia are also lacking.

The latest suspect cluster in Indonesia again highlights the need for expanded surveillance and more timely reporting.

Recent media reports indicate that there will be testing of waterfowl in the Trisik area, Yogyakarta, and the Eretan Coast, Indramayu. Thus far the only reported bird H5N1 from Java with the novel cleave site was from Indramayu. Although it did not match the majority of human cases, it was close to a small subset of patients infected at the end of 2005. The only other bird isolates with the novel cleavage site were from central Sumatra.

 Although the novel cleavage site has not been detected outside of Indonesia, many polymorphism from patients in Indonesia have been detected in H5N1 in China, strongly implicating these isolates in the evolution of H5N1 worldwide, including several polymorphism that were widely detected in Indonesian patients.  Moreover, the origins of these H5N1 sequences in China could be found in low path isolates in Hong Kong in the late 1970’s indicating low path flu sequences are also closely involved in the evolution of H5N1, which is largely driven by recombination, which was readily detected in the H5N1 from poultry, waterfowl, and swine in China.

Pixie – at 09:17

I know exactly how you feel… My husband laughed when I told him what I was doing, one day a while back. I asked him what was so funny. He said,”Most men would answer the question,” What does you wife do for fun after work” with answers like “watch TV”, “Go to happy hour”, “See a movie”…

He said, “I would have to answer that my wife translates indonesian into english.

:)

FloridaGirl - at 15:36

It’s an original hobby that we here have, isn’t it? I didn’t post on the “I had my first pandemic dream” thread because I don’t ever have dreams “about” a pandemic, but I do dream in ToggleText sometimes. I also speak fluent Boxun Chinese, btw. I am hoping to one day add these newfound skills in ToggleText Indonesian and Boxun Chinese to my resume (do you think there is much of a call for that?). :)

I think this is a new on treated at Soewondo Pati, not sure.

The patient Suspect Bird Flu Meninggal Pati - Alfian (12), the citizen RT 2 RW 3, the Sumberejo Village, the Rivet Subdistrict, the Jepara Regency, on Friday (20/10) approximately struck 17.00 died in the Hospital (RS) RAA Soewondo Pati. The death of the male child because of being attacked by the bird flu virus. Like that accepted this information, revealed Kasubdin the Eradication of infectious diseases and Sanitation of the Settlement Environment (KP2MPLP) the Service Kesahatan the Regency (ET AL) the doctor H Edy Sulistyono, his side immediately coordinated with the RS RAA Soewondo rank. Before dying, the patient was before treated in RS Kelet, the Rivet Subdistrict, Jepara. From results of observation was known, the illness resulting from bird flu so as immediately was reconciled to RS RAA Soewondo Pati. But in the reconciliation hospital, he could not be rescued. The handling of his body must be treated specially, including the security in delivering him. After disucikan, the Alfian body was put into the case. Upon arrival at the funeral parlour, the case might not be opened and that same evening around struck 20.00 was buried in the local cemetery of the village public. The standard of the ‘handling of the body that died as a result of the bird flu attack indeed was like this’,’ he stated. (ad-41j) http://tinyurl.com/zhn6f

Influentia2 at 07:12 & at 17:02….what Regions are these two articles from? Sumatra, Java, etc.

The RS Soewondo is the same hospital where the (40M) is. It’s in Central Java. The attached link shows the village Sumberejo (a little different spelling, so not sure it’s exactly the location.)

Link to MSN Encarta

http://tinyurl.com/w8vg9

Central Java Commonground Halo Wasn’t the 40 yr. old ex-pat treated at Soewondo Pati also? I believe that it is in your post at 6:06.

This is from the 0606 post by CG talking about “expat”: “man was 40 years old that was suspect bird flu was at this time reconciled to RS Dr. Karyadi Semarang Central Java after several were the previous day treated in RS Suwondo Pati. This matter followed a villager the Urip Time, the Country’s Series it was confirmed died because positive bird flu”…

It mentions several already treated in this same hospital. Also did we ever figure out who it was that died from the Village Urip Time? Maybe that is “Alfian.” But doubtful, as “Alfian” is from the village Sumberejo. ????? It is starting to look like 2 separate deaths.

This is copied off a Google search for the village Urip Time:

Australia helps strengthen detection of AI in Indonesia … Purwokerto – Mistinem (27), the citizen of the Giana Mountain Village, the Urip Time Village, … www.curevents.com/vb/showthread.php?t=60204&page=3 - 128k - Cached - Similar pages

CurEvents.com - A Global Current Events Discussion Forum - Search …JAKARTA, Indonesia An 11-year-old Indonesian boy has died of the… … the citizen of the Giana Mountain Village, the Urip Time Village, the Madukara … www.curevents.com/vb/search.php?do=finduser&userid=2579 - 58k -

These are 2 entries from CE. Both Mistinem and the 11 yo old boy were also from Urip Village and both died. I don’t remember the name of the 11 yo boy. Will need to research more, but the scarey thing is this little village keeps popping up (and it is so small I can’t find it on my usual Indo map sources.)

Maybe the 11 yo old boy is Alfian??

I think they are talking about two different people - two different hospitals? First quote is the 40 yr old man, 2nd quote is Urip Time whom died? both quotes are from 06:06 Post.
1st Quote: A Patient Suspect Bird Flu was reconciled to RS Dr. Karyadi Semarang Parma Andika
2nd Quote: As is known, the male patient that came from the Village Triguno the Puncakwangi Subdistrict, Pati this was forced to have to be reconciled to RS Dr. Karyadi, considering his condition that continued to worsen and health facilities that more adequate. Received by the data, this patient was the foreign region that just returned to his origin village several days before Ramadhan. Moreover, 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 the patient carried out contact with poultry-ungas that.

http://tinyurl.com/yg77xy

I found a Jepara which is a lot closer to Pati if that is where the hospital is located.

o.k. Urip Time Village is not a person…..Halo? lol!! I don’t have an 11 yr old in Central Java. I do have a Ron (11) RSHS. Admitted: 10/8.

From first post at 18:40 40 yr old was moved to Semerang for better treatment had been in Soewondo Pati.

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.

It just dawned on me. Urip = Kaliurip. Same villages, just a contraction. I am not sure why they hang the “Time” off of it. So who is the 11 yo boy? I reviewed all of the posts at CE and can’t find it (not used to navigating over there.)

CG: I have often been confused when they talk about chickens dying and then say “cause of his death was expected” you think they are talking about a human death, but they use “his” to refer to the dead chickens in the preceding words. Many times I have thought there were dead humans we were missing. This is what may be going on in your post at 1859.

Pugmom 19:08 post at the bottom, there was another death but at the time it was accepted as dengue(DBD)in the Temple Village. Another in Blaru Village last September but just now reported. Forgive the doubled up translation in that I went past my 300 words.

There may be some missing reported as dengue again. will see where Blaru is in this mess.

pugmom – at 19:09 It just dawned on me. Urip = Kaliurip. Same villages, just a contraction. I am not sure why they hang the “Time” off of it

I just toggled “Kali”: it is “The Time.”

O.K. my freshly printed personal spreadsheet is now all marked up. Knew it wouldn’t last. Here’s what I got:
Septian Tri Widodo (14) - Examined in Sidosermo Comm. Hlth. Ctr. 10/20. Home
Mardianti (8) - Examined in Sidosermo Comm. Hlth. Ctr. 10/20. Home
Alfian (12) Admitted to Soewondo Pati 10/20. Died: 10/20. Village: Sumberejo. Subdistrict: Rivet.

I’ve changed the hospital of the (40M) to RS Kariadi Semarang. I’ve got Village: Triguno.

Please anyone, correct me if I’m wrong.

Sorry, hit post to soon. Just realized you might have already known the Kali = time business. Misread your post.

http://tinyurl.com/waw8e

Kaliurip is in West Java closer to Jakarta.

Commonground at 19:28… my records are in agreement. But, as Influentia2 noted on the (40M), before being tranferred to (RS) Kariadi Semarang he was treated in Doctor UGD RS RAA Soewondo.

I keep thinking that somehow knowing the hospital is important. I guess it’s because every time I took my kids to the doctor for their periodic wellness checkups, they would inevitably come down with something.

pugmom at 18:35… I thought the same thing, but decided that the phrase “several were the previous day treated” might mean he was treated there several days before being transferred. In light of this young boy’s death, my understanding was likely incorrect. I wonder how many others are being treated?

Just my 2 cents but I think there is the 40 year old ex-pat, 12 year old Alfian, a death at the temple village in this month and a death at Blaru village in September just now reported and the last two were thought to be dengue but now maybe AI since Blaru villager was thought to have suffered same fate as Temple Villager who at the time was thought to have dengue. Just my two cents also but I’ll bet they all had contact with sick chickens too. Notice too that they mention the rain in association with the dengue but as we all have learned rain is also associated with a rise in the AI cases.

Anyway that is my take on this situation in Central Java.

Don’t forget Mistinem the 27 yo woman who died and was from Kaliurip. (Thanx Milo for the time explanation.) But I guess I am nervous as we have 2 people from Kaliurip that are dead. It is either 1. Mistinem and an 11 yo boy whom we don’t have a name on OR 2. Mistinem and Alfian (and they got his village wrong.) Other than that, I agree with your assessment at 2008 Influentia2. However, let’s not forget 21 yo Parmiun admitted Oct 13th and was from the village Krinjing, and was the one ill and confused and short of breath for months before being hospitalized. (I still think he might be an asymptomatic carrier.) I remember him, as I spent the better part of half a day trying to determine if his village of Krinjing was close to Mistinem’s village of Kaliurip (as I recall they are about 30 miles apart.) But at the time everyone on FW was wondering if there was a link between those 2 people. Now we have another death from that same village of Kaliurip. I guess we need to research to see if the village Kaliurip is close to Triguno or Sumberejo.

pugmom – at 20:39

After looking extensively for Triguno I have come to believe that it is not a village name. Could it be the patients name?

There are numerous “populated places” with the name Sumberejo around Yogyakarta and between it and Semerang. In short, Kaliurip is within 60 miles or less of the places labeled Sumberejo.

I looked the article that mentions the 40 yr male in conjunction with the word Triguno. It appears that he had just returned to his families home for Ramadan a few days before he got sick. He very well may have caught the virus somewhere else before he traveled back home for Ramadan.

pugmom… I thought the reference to Urip Time village in the article about the (40M) was referring to Mistenem and not a second death. Is there an article I have missed which indicates there has been a second death from that village?

I have read some more on this thread and yes Triguno is a village. I sure have not had any luck tracking it down though. (And here I thougth my map data set had every populated nook and cranny in Indonesia. Oh well.)

At 1855 I posted this Google Search: CurEvents.com - A Global Current Events Discussion Forum - Search …JAKARTA, Indonesia An 11-year-old Indonesian boy has died of the… … the citizen of the Giana Mountain Village, the Urip Time Village, the Madukara … www.curevents.com/vb/search.php?do=finduser&userid=2579 - 58k -

Here is my dilemma: I read this as the death of the 11 year old boy/girl was in the same notation as the Urip Village. In other words, I thought the 2 phrases were related. I have surfed all over CE and I now feel there is no connection to these phrases. I think the 11 yo is Aulia from Jakarta. If so, that means there has only been one death from Kaliurip and that the 11yo (presumed Aulia) is different than Alfian. Can anyone here confirm that? Can anyone familiar with Googling and finding references on CE confirm that those are 2 separate topics separated by periods?? I sure hope I was wrong about 2 deaths from Urip Time Village. Talk about confusing.

Michelle at 2206: see my post above—I think I was totally confused. Sorry to have dragged anyone into my mental state along with me. Your map info is helpful Okieman, even though I was confused over deaths in Kaliurip. Fiddliesticks, I think I will just have to think about it tomorrow.

Pugmom 20:39

IMO it is 1. Mistinem and an 11 yo boy whom we don’t have a name on. Kaliurip is in West Java. The Jepara Regency and Pati, Semarang etc. are in Central Java.

From 6:06 post

This matter followed a villager the Urip Time, the Country’s Series it was confirmed died because positive bird flu.

I think that sentence means that the matter concerning the 40 yr. old followed the confirmation of Mistenem as a postive case. Just the other day MaMa and Mistenem were confirmed WHO cases. I really don’t think Urip Time has anything to do with the 40 yr. old ex-pat or Alfian. I think the 40 yr. old and 12 yr. old are from around the same area and Mistenem and the 11 yr. old are from a totally separate area in West Java. Parmiun has more to do with the area of Urip time and Mistenem and the unkownn 11 yr. old. These are two totally different situations. One is in Central Java and one is in West Java. There are two situations independent of the other going on here. Anyway that is my two cents about this. Trying to link the two areas/people together I don’t think will work unless they all were on one of those diahrrea trains together going to Ramadan and I am just kidding about that really.

Comment: Do we have a cluster in Pati? This is Triguna Village, Pati.

PATI

22/10/2006 06:04 / Metrotvnews / http://tinyurl.com/we3mp

Returnees THAT was expected most FLAT BIRD FLU EVIDENTLY the NEGATIVE

One of the returnees from Pati, Central Java, that beforehand terindikasi suffered flattest bird flu evidently the negative suffered bird flu.

The sufferer at this time still was undergoing the maintenance in Doctor’s space of the Hospital isolation of Kariadi Semarang.

The team of the doctor stated he was negative menderiat bird flu was based on results of the blood test in the Department’s laboratory of the Health.

The sufferer was run off with to the Hospital Doctor Kariadi because when arriving in the village halama him in The Triguna village, Pati, the sufferer experienced the sign similar to bird flu, namely the hot body high that was accompanied by the sign of the disturbance of breathing.

He could be treated in the Suwondo Hospital, Pati. However, the hospital side reconciled the sufferer in order to be brought to the Hospital Doctor Kariadi for reasons of this.

At first again around casualties’s residence was found several tails of the poultry died suddenly.

While being based on results of the inspection of x-raying it was known the sufferer experienced the infection in and around his respiratory tract.

Indonesia Summary - Updated as of 10/21/06

SPRAYING TO anticipate BIRD FLU’

22/10/2006 09:05 / http://tinyurl.com/y9q56h

Pacitan:Anticipated the entry of the bird flu virus around Idul Fitri, the Pacitan Livestock Breeding Service, East Java, carried out spraying in each owner of the breeder and the birds market of the piece chicken.

This spraying was carried out to anticipate the spreading of the bird flu virus that uptil now happened in Bandung, West Java.

Although up to now the Livestock Breeding Service does not yet find the existence of the case of the chicken died suddenly and the bird flu virus, this spraying was the anticipation action. Spraying, in part, was carried out in the biggest piece poultry farm in Pacitan in the Arjo Winangon Village.

Because, as years beforehand, gazed at Lebaran of the request of the piece chicken increased sharply, in fact could reach 81 percent.

After checking all the usual sources, it looks like there’s no new news from Indo right now.

Pixie 22:59 Evidently not a cluster or bird flu, safe to put up those 12 million doses of Tamiflu, move along now NOTHING to see here

Influentia2 - Our work is done.

Geesh, at least there weren’t 40 stories to post from the last 12 hours.

yeah and word by word too like last week.

Pixie-@01:20 what kind of spray do you suppose they are using? If it’s that effective, why aren’t these hot spots using it? sounds as if this spray kills this H5N1 virus.

Kisah the Older Brother was siblings died was in order Pemalang - the Older Brother was siblings Wiji Riyati (7) and Yusuf Maulana (4), villagers Pedurungan, the Garden Subdistrict, of Pemalang died in order, last Saturday (21/10). Beforehand, several tails of the chicken belonging to the neighbour died suddenly. The two children then it was suspected were affected by bird flu. The death both of them attracted attention of the official muspika. Up until Sunday (22/ 10) the afternoon yesterday, casualties’s two bodies were not yet buried, because of being waiting for the inspection by the doctor. Doctor Solahudin said, results of the inspection of physical the two casualties did not show the sign of bird flu, although his sign was similar. Casualties before dying suffered the hot fever high, cramps, and coughs. The possibility both of them suffered the respiratory tract infection. But, could also because meningitis or the inflammation of the cerebral membrane. This illness could spread, said the doctor the Garden Community Health Centre. According to parents of casualties Tinyati (44) and Farikhin (45), his two children the previous day did not show the sign anything. They were still playing. Afterwards, to last Saturday (21/10) struck 05.30, suddenly the body both of them hot. Tinyati gave them medicine puyer. However, until their body heat afternoon did not descend, in fact higher. Struck 15.00, both of them were brought to the official of the health of the village was examined. At the time the Yusuf body cramps. That not yet Pasti

They were afterwards brought came home back to the house. To struck 15.30, Yusuf blew out the last breath. Afterwards, to struck 17.30 followed Wiji Riyati. Tinyati did not know whether his child was affected by bird flu or the normal illness. That he remembered, beforehand several tails of the neighbouring chicken died suddenly. However his two children not the happy child held the chicken. The sub-district head the Solahudin Garden, Kapolsek AKP Utomo, and Danramil Captain Makmuri took part in visiting the funeral parlour before the funeral, yesterday afternoon. They also witnessed the check-up by the community health centre doctor. The sub-district head asked the Livestock Breeding Service to carry out the inspection of the poultry around casualties’s residence. Although the death of certain casualties did not yet be resulting from bird flu, must be done by the inspection or spraying disinfektan, he stated. (sf-58v) http://tinyurl.com/zhn6f

http://tinyurl.com/y82dua

map link to Pemalang, Central Java

at least 100–120 miles west of Jepara, Pati area of Central Java, almost into West Java maybe 40–50 miles from the border.

What can kill you like that in one day?

In this follow up I think they are saying malnutrition, tetanus or respiratory tract inflammation could be the cause of death of the two kids. ABBF. First story meningitis or the inflammation of the cerebral membrane. SAME LINK

Horrible story just the same.

The NEWS about the Wiji Riyati death and his brother, Yusuf Maulana, the first time spread in the middle of the community widely as a result of being attacked by bird flu. Although later the assumption of missing, could become serious attention of the agency’s related service. The sixth and seventh child from the couple Tinyati (44) and Farikhin (45), villagers Pedurungan West, the Garden Subdistrict, Pemalang, everyday lived in inadequacy. Imagined, their father as the support of the pole of the family’s economics only worked as the bricklayer, whereas his wife lived in the house. Our child all of them seven. All of them were still becoming our security, not yet there are those that worked, whereas their father his production was uncertain. Because, he only a bricklayer, said Tinyatin. The woman appeared strong with his husband faced this disaster. They did not appear to cry when coming across several mourners and the party of the guest from the subdistrict and the regency, including the Section Head the Health of the doctor Brotoseno the MARCH. Perhaps because of the condition for economics that barely adequate that, the health of their children was not thought about. That was in accordance with the Brotoseno analysis after checking the two casualties. According to him, the two unfortunate children malnutrition. That was seen from the physical situation thin casualties, and the weight that was not in accordance with his age. Not Burung Flu The condition for casualties’s house very simple. Was at the edge of the Elon Time embankment that from time to time could overflow and cause the flood. Moreover, the aspect pengudaraan (ventilation) the house also not all that. Results of the inspection of casualties’s body that was carried out by the Health Service showed malnutrition to the two children. The family’s member there are those that was stated had suffered the inflammation of ears, whereas the cause of the death of the two children was the tetanus illness or the inflammation of the respiratory tract. So, ‘not bird flu’, stressed Brotoseno. After being checked, the two casualties were buried after the zuhur prayer in the funeral of the Row Village (the neighbour the Pedurungan Village), on last Sunday. The funeral is carried out like usually. Was not treated like casualties of the bird flu illness. For example to be packed with the plastic package or aluminium voil. The similar matter was also revealed by the Sub-district Head the Garden of Sunaryo SIP. the News about the Wiji death and Yusuf the first time spread indeed resulting from bird flu. That was sent by several citizens because beforehand around casualties house had the poultry belonging to the inhabitants who died suddenly. However to anticipate the dangerous illness emergence, the Health Service has carried out spraying disinfektan. Moreover, the official also checked several livestock that still were living. However did not have signs like that was estimated by the citizen. Therefore, all the sides were asked to stay calm and to always maintain the health of the family and the environment.

Cephalic tetanus is uncommon and usually occurs following head trauma or otitis media. Patients with this form present with cranial nerve palsies. The infection may be localized or may become generalized.

From second article: The family’s member there are those that was stated had suffered the inflammation of ears, whereas the cause of the death of the two children was the tetanus illness

From first article:

Struck 15.00, both of them were brought to the official of the health of the village was examined. At the time the Yusuf body cramps. That not yet Pasti

They were afterwards brought came home back to the house.

Why would they come home and not treat this then? What killed the neighbor’s chickens?

Anyopne have any thoughts on this? Cephalic tetanus sounds possible to me, Pugmom could use you here. I couldn’t find that this killed you in a day in the links I looked at.

Influentia2 – at 21:39

So from the symptoms they aren’t sure if it was tetanus, a respiratory tract infection, meningitis, or malnutrition or maybe a combination of the above.

But these same symptoms were clear enough to rule out bird flu? I couldn’t tell from the articles, did they take any samples to determine the exact cause of death?

Though of course I can understand why they want to say “not bird flu,” bury the poor kids, and move on. So sad.

Wasn’t there an infant recently who also was admitted with cramping and fever?

Influentia - at 21:02 & 21:39:

It unfortunately sounds like these children were too poor to even be “run off with” to a community hospital, (nevermind an H5N1 reference hospital), even though the usual question about whether birds had died nearby was answered in the affirmative. That these siblings both became mortally ill at almost the same time, and died at almost the same time, makes an outside agent other than just malnutrition suspect here. It’s really hard to say what is going on - even untreated otis media, or a simple ear infection (they mention ear inflamation), can progress if untreated to fever, vomiting, and even meningitis-like symtoms (although most children are treated far before that point with antibiotics and they may have not been here). But still, what are the chances that two children, reported healthy beforehand, would die of something like that within two hours of each other?. What outside agent could act upon them both so quickly? Does the sick poultry nearby implicate H5N1? Most likely we will probably never get a clear diagnosis in this case since there has been no involvement, and thus no implied responsibility, of a doctor and medical clinic or hospital. If not for the chance mention of the chickens, we would probably have never even heard about these children’s deaths.

It is really odd, and frightening, that the mother said the children were both well and were playing just hours before their deaths.

Terrible—those 2 little boys died within 2 hours of each other. I don’t know what cephalic tetanus is (so preventable with routine vaccinations). I will go research that particular definition of tetanus. Tetanus usually doesn’t kill that fast—usually a long, draw-out, painful death. The only thing I know that kills children this fast and with this much rage is meningococcal meningitis/septicemia. They were symptomatic one day, dead the next. Meningococcemia kills that fast. It is also contagious. Awful, awful they were not rushed to an intensive care hospital.

Cottontop - at 15:42: what kind of spray do you suppose they are using? If it’s that effective, why aren’t these hot spots using it? sounds as if this spray kills this H5N1 virus.

I am not sure what kind of spray they are using in Indonesia, but here people who raise domestic animals use things like Virkon-S as a disinfectant spray and my understanding is that it is effective against many viruses. China also routinely disinfects the areas in which there have been H5N1 outbreaks with disinfectant sprays, and plenty of it from what I can gather.

I assume routinely cleaning and disinfecting a chicken coop would be a good idea if one feared H5N1 infection. If wild birds bring HPAI H5N1 to North America, that will probably be exactly what farmers and backyard poultry owners will do even more frequently than they do now. However, in Indonesia such disinfecting is expensive, and is probably beyond the means of almost everyone. I have not heard of rigorous spraying, as they do in China, even when H5N1 infections are found in flocks (they may do it, but they do not stress that they do it if they do, while China typically releases photos of many men in full PPE spraying everything in sight). Why they are releasing photos of the recent spraying in East Java I don’t know, but I do know that the President of Indonesia is visiting farms in East Java during his holiday “safari” there this week (along with the Minister of Agriculture). Not that I think they’d do anything special for them or anything.

little blurb on cepahlic tetanus: Cephalic tetanus: Cephalic tetanus generally follows head injury or develops with infection of the middle ear. Symptoms consist of isolated or combined dysfunction of the cranial motor nerves (most frequently the seventh cranial nerve). It may remain localized or progress to generalized tetanus. This is an unusual form of tetanus with an incubation period of 1–2 days. The prognosis for survival is usually poor.

comment: The reason I don’t think the 2 boys died of this is that they both came down with it at the same time. Odds on that happening are astronomical. Also, cephalic tetanus is not infectious between the 2 boys. Something else happened.

Do we have a count of cases and suspected cases from Pati?

The location of the 2 children is said to be Pemalang. That is in Central Java. As a crow flies, it is about 10 miles from Sigedang. I show Sigedang to be where Mistinem (27F) lived. Mistenem showed symptoms of pneumonia on 10/08 and died 5 days later. She tested positive for H5N1.

I really hope they are correct that these 2 children died from something else. I’ve added their names to the spreadsheet anyway. My sympathy goes out to their family.

Pixie at 22:37… I haven’t listed any of the locations as Pati. Perhaps I’ve captured a different level of data (i.e. town vs regency vs ?… I can hardly keep it all straight.)

These are the patients I’ve added since the last spreadsheet was posted. If anything needs to be changed, please let me know.

1. Pemalang, Central Java 10/21 - Wiji Riyati (7) siblings fever, health center, back home, died tetanus? died
2. Pemalang, Central Java 10/21 - Yusuf Maulana (4) siblings fever, health center, back home, died tetanus? died
3. Sumberejo, Central Java 10/20 - Alfian (12), hospital transfer, died died RS Kelet, the Rivet Subdistrict, Jepara/RS RAA Soewondo
4. Puncakwangi, Central Java 10/17 - (40M) hospital, transferred 10/18 UGD RS RAA Soewondo/(RS) Kariadi Semarang Doctor
5. Surabaya, E. Java 10/21 - Widodo (14) samples Sidosermo Comm Health C. - chicken died
6. Surabaya, E. Java 10/21 - Mardianti (8) samples Sidosermo Comm Health C. - chicken died

Indonesia Summary - Updated as of 10/22/06

On the Pati connection, North Central Java, in a 30 mile wide triangle on that peninsula we have:

1. Mystery Man (40) Triguno Village, who had been visiting in Puncakwangi Subdistrict, Pati. Treated first at RS RAA Suwondo Hospital, Pati 17/10, then run off with to Karidari Hospital, Semarang, when his condition worsened 18/10. Respiratory tract/ isolation. Several chickens died suddenly on 12/10. Has tested negative.

2. Alfian (12) from Sumberejo village, Rivet subdistrict, Jepara regency (Influentia2 - 17:02). Treated first in RS Kelet, then due to poor condition immediately transfered to RS RAA Suwondo Hospital, Pati. Brought there on 10/10 and deceased 10/20. (Jepara is about 20 miles from Pati).

3. A dengue (DBD) fatality from Temple Village, Pati subdistrict.

4. Another dengue (DBD) fatality in Blaru village in Sept.

We also had the preschooler, Bimo Alamsyah (2.7) from Kedungpane districts, the Mijen Subdistrict, Semarang (about 25 miles from both Jepara & Pati). He was treated in isolation space of RS Kariadi, Semarang on 30/9, given Tamiflu, then was stated negative (3X) This was the case where the family’s poultry died, but also 6 chickens, 7 goats and 4 cats died suddenly and they ate the goat, including Bimo.

Halo everyone. I checked all my sources this morning and there is no news.

Halo Commonground- That is good new. Maybe we will get lucky and this will die out. India is reporting things are settling down too. Let’s keep our fingers crossed.

Take a deep breath and enjoy the lull. I’m afraid when all the city folk have returned from their holiday in the country we will see a flurry of new cases. I figure the end of this week it will begin picking up in a big way (not necessarily pandemic). Hopefully I am wrong.

Thread is long, so closing and continuing here