Indonesian News-current H5N1 situation

110 casualties expire Bird Flu on Monday, July 14 2008 - 17:36 wib

http://news.okezone.com/index.php/ReadStory/2008/07/14/1/127534/110-korban-flu-burung-meninggal

Pekalongan - totalling 110 from 135 affected people the bird flu virus (H5N1) in Indonesia died. Moreover millions of poultries also died, since the discovery of this deadly virus in 2003 till May 2008. That was revealed by the Head of the Informasi Publik Body, Departemen of Communication and Information (Depkominfo), Suprawoto, in gaps followed the interactive dialogue agenda through the performance of the skin puppet, that was spread out in the Mataram Field by the Pekalongan Municipal Government, on Monday (14/7/2008).

According to Suprawoto, the case of the spreading of the bird flu virus was almost equitable all over the corner of the homeland. This illness became an epidemic by causing casualties to die as far as hundreds of people. Therefore, this caused the panic in the middle of the community, because of the worried resident to take part in being attacked. Therefore, the 'government afterwards determined this case as the extraordinary incident', obviously him. Five years since the virus was found, said he, the government carried out various efforts to overcome. Apart from the vaccination to deal with, also was carried out by the socialisation about the bird flu danger to the wider community with various methods, like with the performance of the skin puppet.

The community's participation to be avoided from the virus, was the key to the success of the handling. His article, the community could do many to prevent him. In this case', we necessary mensosialisasikan the bird flu danger, at the same time the method prevented his spread', he explained. Furthermore, he explained the handling of necessary bird flu the co-operation of all the sides. That is built by the partnership between the government and the organisation/the agency, the public figure, and the wider community as well as other. (M. Masrukhin Abduh/Sindo/mbs)

Please keep in mind that there are more articles on Indonesia. I'm only bringing over the ones I translate at the moment. I don't have the time to bring over all the Indo news. I will bring over the very important articles.

Cheers

Rapid BF Test Kits Scandal?

(Note-the following two articles seem to indicate that a scandal has broken out concerning the rapid bf test kits.I could be wrong, but this is what I'm seeing. cottontop)

Iwan and Musny caused a loss to the Country Rp14.898 M. on Tuesday, July 15 2008 - 18:06 wib Yuni Herlina Sinambela - Okezone

http://news.okezone.com/index.php/ReadStory/2008/07/15/1/127886/iwan-dan-musny-rugikan-negara-rp14-898-m

Jakarta - Chairman Pengadaan Rapid Test Influenza, Drh Iwan Sofyan and the official of the manufacturer of the commitment, Drh Musny Suatmojo was kept by Kejagung because of being proven to be damaging the country Rp14.898 billion in the procurement of the test implement to detect turquoise avian influenza (AI) to Director General Kesehatan of the Departamen Pertanian Animal (Deptan). Both of them were kept was based on the letter of instruction of Deputy Attorney General for Special Crimes's investigation: Print -20/F.2/Fd.1/6/2008 on June 30 2008.

The official's two veterinary surgeons Director General Kesehatan Deptan it was considered did not carry out the research on the specification of the product, so as the thing that was bought by the country could not be used. "In fact this product was not in accordance with the specification" of the "contract so as as a result the thing could not be utilised," said Deputy Attorney General for Special Crimes Marwan Effendy, on Tuesday (15/7/2008).

Resulting from this deviation, rapid the test kit rockby to detect the AI illness could not be utilised, so as to result in the country's loss as big as Rp14.898 billion. Marwan stressed at this time his side continued to carry out witnesses's inspection and the suspect as well as to carry out the seizure of the document.

2 suspects Rapid BF Test Kits

Kejagung Tahan 2 suspects Rapid Test Flu Burung on Tuesday, July 15 2008 - 17:52 wib Yuni Herlina Sinambela - Okezone

http://news.okezone.com/index.php/ReadStory/2008/07/15/1/127880/kejagung-tahan-2-tersangka-rapid-test-flu-burung

Jakarta - After carrying out the inspection since this afternoon, finally the Agung Attorney General's Office carried out the detention of two suspects, that is Chairman Pengadaan Rapid Test Influenza, Drh Iwan Sofyan and the official of the manufacturer of the commitment, Drh Musny Suatmojo. In the view of okezone, by getting a lift in the Kijang car of Innova Hitam bernopol B 1493 of WQ, Iwan and Musny were brought left the Bundar Kejaksaan Agung Building to be kept in the Cipinang Correctional Institution, on Tuesday (15/7/2008)

When being confirmed, the PU Division Head to Penyidikan Deputy Attorney General For Special Crimes Andi Darmawangsa Director justified the detention both of them. However, he did not want to comment many. One of the suspects, Iwan appeared to cover his face from the focus of the camera when entering this car. Well Iwan and Musny did not want to comment concerning their detention. Just was learnt, in the control of the plague of the bird flu virus, Director General Peternakan during 2006 held the procurement project of Rapid Diagnosa Kit to detect the bird flu virus totalling 191,000 units with the value of the project Rp17,19 billion.

Suspected of in the determination of the winner of the tender happening pengkondisian that is by changing the technical condition so as PT Bio Farma won the auction with the value Rp14,89 billion. However, after the thing was distributed to the area evidently Rapid Diagnosa Kit could not be utilised completely, so as to be suspected of resulting in the country's loss Rp14,89 billion. (uky)

You know that ole saying, "No news is good news?" Well isn't so in this case. WHO has failed to update their website of 3 more deaths. Other than that, all is still quiet in Indonesia.

13 Suspect bird flu in Indonesia. 3 dead

3 dead in feared bird flu outbreak in Indonesia: officials
August 6, 2008 Wednesday
http://www.straitstimes.com/La…MEDAN (Indonesia) - THREE people have died and 13 have been admitted to hospital with symptoms of bird flu in Indonesia, a nurse treating the patients said on Wednesday.

Officials and residents in Asahan district of North Sumatra province said villagers began showing symptoms of avian flu after a large number of chickens died suddenly last week.

The nurse at Asahan district’s Kisaran hospital said three people had died after suffering bird flu-like symptoms in Air Batu village.

‘According to residents there, a number of chickens died suddenly last week followed by several pigeons. Days later, three people died with the same ailments,’ the nurse, Mariana, said.

Another 13 people had been admitted to the hospital with ‘high temperatures and respiratory problems,’ she said.

Two of these - a baby boy and a seven-year-old girl - were transferred early Wednesday to a bird flu isolation unit at Adam Malik hospital in the provincial capital of Medan, officials said.

Adam Malik hospital spokesman Sinar Ginting confirmed that blood samples from the two children were sent Wednesday to a health ministry laboratory in Jakarta for analysis.

‘We are now waiting for the result,’ he said.

The father of the baby boy, Slamet Riadi, said a lot of poultry had died in the village a week ago. His baby developed a high fever and respiratory problems shortly afterward.

A spokesman for the health ministry could not be reached for comment.

The ministry, which has stopped giving regular bird flu updates, announced earlier this week.



The virus is alive and thriving.

Recombinomics Commentary



Recombinomics Commentary August 6, 2008Three people have died and 13 have been admitted to hospital with symptoms of bird flu in Indonesia, a nurse treating the patients said Wednesday.

Officials and residents in Asahan district of North Sumatra province said villagers began showing symptoms of avian flu after a large number of chickens died suddenly last week.

The nurse at Asahan district’s Kisaran hospital said three people had died after suffering bird flu-like symptoms in Air Batu village.

On Wednesday at dawn struck their 02,00 arrived. The two patients consisted of a male child and the woman, said public relations of RSUP Adam Malik of the Ginting rays, on Wednesday (6/ when being encountered by the reporter.

The official of the Intensive Care Unit (UGD) RSUD Abdul Manan, Ana, said, eleven other patients on behalf of RAPPING (5), IP (6), Spr (33), DY (5), the US (39), M. (32), D (32) Sdr (39), RM (, and D (2).

The “patient D was the last patient who entered this morning (on Wednesday 6/,” said Ana.

The above comments and translation describes three suspect fatal H5N1 infected patients as well as 13 more who are hospitalized at the Adam Malik hospital in Medan in North Sumatra.

This large number of suspect patients is cause for concern. The largest confirmed H5N1 outbreak in Indonesia was also in North Sumatra. (Snip) (Karo cluster) The large number of adults in the above list suggests the cases represent multiple families.

(Snip) Although Indonesia has acknowledged two lab confirmed cases in Tangerang last month, WHO has yet to publish updates on these patients. Similarly, the reporting of the cases preceding the cases last week would reported weeks after confirmation in violation of IHR regulations. The earlier cases were members of clusters, which Indonesia failed to confirm and WHO failed to acknowledge.

WHO’s continuing failure to report these clusters in Indonesia remains a cause for concern. Details on this large cluster and an explanation from WHO on its glaring oversight failures would be useful. http://www.recombinomics.com/N…

Update: 13 villagers suspect bird flu



August 6, 2008,
http://www.kompas.com/read/xml…
A total of 13 Air Batu villagers, from Village Air Batu, County Asahan, North Sumatra were expected as having the status of bird flu. Two of the patients underwent maintenance in the Isolation Space at Rumah Sakit Umum Pusat Adam Malik Medan. The rest underwent maintenance in the Area Public Hospital of Asahan.”The personnel at RSUD Abdul Manan Asahan reconciled two patients here. On Wednesday at dawn around 02,00, they arrived. The two patients consisted of a male child and a woman,” said a public relations person at RSUP Adam Malik of the Ginting Rays, on Wednesday (6/ when being encountered by the reporter.
The official said the condition for the two patients was initially worrisome. Both of them had a fever, the temperature of their bodies reached 38 to 39 levels celsius. Both of them also experienced breathlessness, accompanied by coughing. The team of doctors, who was led by Prof Dr Luhur Soeroso, gave tamiflu and put the patients on IV fluids. The two patients have the initials F (7), a woman, and the male baby, 8 months old, has the initials Ms.

“The two children are neighbors,” said the official.

The team of doctors, he said, has taken chest x-rays, blood samples, as well as liquid samples of the throat and nose. The team took this sample a total of three times to be sent to the Centre of Department of RI Health Research And Development in Jakarta. The community will know results of this testing at least one week after the sending. The official said that two patients who underwent the maintenance never had direct contact with poultry. However one week previous near their house there were poultry that suddenly died.

“The local health officials tested the poultry and evidently they were positively attacked by the virus H5N1,” he said.

As for the other 11 patients was suspected of having bird flu, they underwent the special maintenance in RSUD Abdul Manan, Kisaran, Asahan. The officials of the Intensive Care Unit (UGD) RSUD Abdul Manan, Ana, said that the eleven other patients were RAPPING (5), IP (6), Spr (33), DY (5), the US (39), M. (32), D (32) Sdr (39), RM (, and D (2). The patient D was the last patient who entered this morning on Wednesday.

special maintence or maintenance is Tamiflu

I get on rants sometimes when my frustration level goes through the roof. I believe at this point there is a cover up in Indonesia. Here's my rant:

Something still isn't right with this picture.
WHO comes in on a positive case. Ironically enough, all the villagers tested, turned out to be negative. 3 more villagers show signs of bf.

It is maintained that there are not any H5N1 cases. They start saying "Dengue." They won't speculate with in reason what is infecting these people with flu like symptoms.

What lenght would WHO go to to cover up human clusters of H5N1? Please, someone tell me. They ARE carrying on as if they are dealing with something severe. After all, suspect H5N1 clusters are rare. I don't believe it was the posive case that got WHO running, but "the report of a suspect H5N1 cluster. There are individual postive cases reported quiet frequently, and this kind of action isn't taken on the village the person lived in. Villagers are questioned and checked, not tested, and probably left with some Tamiflu.

I find it odd that the story has now changed since first reported and WHO is now in charge. Those villagers were frightened about something, and it wasn't ordinary flu, or Dengue. What would make those villagers panic? What does
WHO and other agencies have to do to stop their panic, and that of others reading about this? (throw out a PR blanket perhaps)

To me, their answers don't make any sense to the questions.
Or something like that. ;-)

(This article would not allow me to copy and paste for translation, so I had to save it to file, then translate it.)

Aceh Siaga {to be alert; ready; prepared; vigilant} flu burung

137 cases in Indonesia, 112 died

Banda Aceh - despite the case Avian influenza (AI) or bird flu in Aceh
did not yet result in the spread and the death of humankind, the
community continued to have to guard against the possibility of the
occurrence of the pandemic (the plague spread). ? Aceh must prepare
faced the bird flu pandemic, although then this case was not yet found
to humankind. His problem was, uptil now the requirement for the poultry
for Aceh always entered from Medan. Medan had personally been found
cluster biggest the death of humankind resulting from the virus
infection H5N1,? Said Acehinese Governor, Irwandi Yusuf.

In the address that was read out by Kesehatan Aceh Section Head, M
Thaib, to the Stabilisation workshop of Provinsi NAD Preparedness for
the Control of Bird Flu, in the Senat Unsyiah Hall, on Tuesday (26/,
Irwandi asked the Acehinese community specially to prepare itself faced
group-owned infectious diseases zoonosist this. Aceh, said Thaib, was
based on the control program of bird flu nationally berstatus the low
case zone (low insidence).

The regency/the city that has been infected with bird flu among them
Banda Aceh, Acehinese Besar, Pidie, Bireuen, Acehinese Barat, Acehinese
Selatan, Acehinese Tenggara, Lhokseumawe, Acehinese Utara, Acehinese
Timur, and Acehinese Tamiang. All of them still infected to the poultry.

As for the hospital that has been ready to become case reconciliation of
bird flu when happening to humankind that is RSU Zainoel Abidin Banda
Aceh. In the workshop was meant, the academic's circle proposed the
strategy faced bird flu in Aceh by registering the poultry in order to
be able to be known by the origin and could be carried out by
investigation returned from his infection. Moreover, must be made the
livestock breeding compound in gampong so that far from the settlement
and facilitated the controlling of the official.

*Tertinggi in dunia* in the workshop that was initiated by the Unsyiah
School Of Medicine, Pemda Aceh, PMI NAD, and American Red Cross, was
gotten by the newest fact of the number of cumulative cases of the case
of bird flu to humankind per August 2 2008 in the world, a third him
came from Indonesia. ? Indonesia occupied the highest level in the
world. From 386 cases and 245 including dying, totalling 137 cases 112
including dying happened here.

The highest case to humankind happened in a Jabodetabek round,? Flat drh
Heru Setijanto, Koordinator the Surveilans Field and Monitoring Terpadu
Komisi Nasional Flu Burung Pandemik Influenza (FBPI). The height of the
number of cases of this bird flu was caused by Indonesia late took the
action.

The case of bird flu has to humankind been since 2005. In the first year
had 20 cases, 13 including dying. The following year existed 55 cases,
45 died. In 2007 descended was 42 cases, 37 died. This year already 20
cases, only three that still was living. ? Therefore, in the future the
government must guard against all the illnesses that naturally could
spread from the animal to humankind (zoonosist),? Requested Heru.

http://www.serambinews.com/old/index.php?aksi=bacaberita&beritaid=54033&rubrik=1&topik=15

Economic loss due to bird flu

The Tired Bird Flu loss of Rp4,3 Triliun By editorial staff of 04/09/2008 @ 02:44

Jakarta, on Thursday - the Spreading of the plague of bird flu in Indonesia caused the loss that was very big from the aspect of economics. The newest data that was launched by the Nasional Pengendalian Committee of Bird Flu and Menghadapi Pandemi Influenza Preparedness (Komnas FBPI) mentioned, the economic loss resulting from bird flu since 2004 till June 2008 reached Rp.4,3 trillion. "From 2004 to June 2008, bird flu has caused the Rp sacrifice 4.3 trillion and that not only from one because, but many because," said the Chief Executive of the Komnas FBPI Daily, Bayu Krisnamurthi, on Thursday (4/9), when opening Workshop Tantangan Penelitian Avian Influenza in the LIPI Building, Jakarta.

Bayu explained the so big value emerged after the calculation of various factors beginning with the death of the chicken, the decline in the request from consumption of the household, the decline in consumption of the chicken direstoran and other fees that must be paid by the breeder and the government in controlling bird flu and the influence towards the other sector. However this figure not yet including the loss figure resulting from the loss and the decline of the work opportunity asupan protein to the community. The problem of bird flu, continued Bayu, at this time indeed still became the serious problem for Indonesia. Despite tren in the world showed bird flu began to be able to be overcome, but in several last years, the endemic area of bird flu to the poultry in Indonesia was increasingly old increasingly wide.

The data that was expressed by Komnas FBPI showed, the loss that reached trillions that was not free from increasingly expanded him the area of the distribution of the endemic area of bird flu that attacked the poultry in Indonesia. "From 2003 to 2007, his area was increasingly wide." Now, practical almost all the province became the endemic area. Recorded was 31 from 33 provinces, although not all the regency in each affected province, he said. The bird flu threat for humankind personally, said bayu, still will continue shadowed remembered consumption of protein from animal meat in Indonesia still stayed high. Learned from the data last year for example the Indonesian community was recorded mengonsumsi around 1.2 billion chickens, approximately 1.5 million cattle and the water buffalo, 1.3 million goats and 1,5 million ton the fish. "Things if when rotten just a few will be poison." So the illness threat that came from the animal was real. That was real. Zoonotic disease that nyatam not something that was in the laboratory but real and became part of the life of the community, ujarnya./kompas.com

http://www.infeksi.com/newsdetail.php?lng=in&doc=2380

USA - CIDRAP - Indonesia confirms 2 H5N1 cases reported earlier

Indonesia's health ministry reported today that two men have died of H5N1 avian influenza over the past 3 months, marking the government's first official announcement of human cases since early June, when it said it would provide periodic updates instead of case-by-case notifications.
The update-in Bahasa, the language of Indonesia-appeared on the health ministry's Web site, Bloomberg News reported. So far, the government has not posted an English version of the update on the main ministry site or that of the country's avian flu committee.

rest of article:
http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/sep0908indo-br.html

Indonesia:Resident USA (37) was positive for bf

13/07/2008 21:12 WIB
National Aktual Warga Banten Positif Terjangkit Flu Burung Tangerang, CyberNews.

http://www.suaramerdeka.com/beta1/index.php?fuseaction=news.detailNews&id_news=9642

A resident Belendung, Kecamatan Benda, of Kota Tangerang, Banten, the USA (37) that died last July 10 was stated positive terjangkit the virus of kind bird flu H5N1. The executive the Task of the Sub Dinas Pemberantasan Head and the Prevention of the Illness and Lingkungan Sanitation (P2PL) the Kesehatan Service of the Tangerang City, Ati Pramudji Hastuti, on Sunday (13/7), said results of the blood inspection by the Departemen Laboratory of the Health showed that the USA died because positive was infected by the bird flu virus.

The USA that lived in Street Kyai the Pilgrim Kuding RT 04/07 the Blendung Village, the Object, Tangerang, that blew out the last breath in the Public Hospital (RSU) Tangerang (10/7). Before dying, the USA experienced was sick with the condition for the high fever, the difficult cough, and breathless since Monday (5/7), but till three days afterwards, the condition for casualties will never improve, in fact the temperature of his body increasingly increased. Because the condition for casualties continued to worsen, the US wife, Yuliana brought his husband to the Husada Insani Hospital, Cipondoh, Tangerang on Wednesday morning (9/7) and underwent the inspection of the interior body. Results x-rayed in RS Husada Insani showed, the USA was it was suspected strong tertular the deadly virus that came from the poultry so as immediately underwent the maintenance in isolation space.

On that day also (9/7), the USA was carried to RSU Tangerang in order to undergoes the inspection of further blood, but results of the diagnosis changed, casualties were estimated suffered tuberkolosis (the TB) acute. “As the step” in “anticipation, the status” of “casualties was stated by the sufferer suspect bird flu,” said Ati Pramudji Hastuti. However when undergoing the intensive maintenance in special isolation space the bird flu sufferer in RSU Tangerang, the USA died on Thursday early afternoon (10/7), afterwards the US body was buried the Umum Cemetery that was not far from his house. In the meantime, results of the US diagnosis of the blood inspection that was carried out of the Laboratory of Penelitian Dan Pengembangan Kesehatan Department of Health RI stressed the USA positive tertular the virus of kind bird flu H5N1.

Dinkes local recorded the number of Tangerang inhabitants who died because of the bird flu virus totalling eight people and one person succeeded in being rescued. The case of the spreading of the bird flu virus the first time emerged in the Tangerang City during 2005 and at this time this territory was stated as the endemic area towards the spread of this deadly virus.

comment-they thought he had TB?!

Four Residents Lutra Suspect Bird Flu

September 16, 2008

Two Chickens Were Found Positif Avian Influenza

Masamba, Tribun - totalling four villagers Desa Karya Mekar, Kecamatan Mappedeceng, Kabupaten Luwu Utara (Lutra), was stated suspek bird flu. The four of them till yesterday still were treated in the Regional Hospital (RSUD) Andi Djemma, Masamba, Lutra.

The four residents who were treated in this ward of the internal disease public were their respective, Komang Yuliani (22), Jesica (3 months), Kade Kurniati (24), dan Yudi Astawan (4). Yuliani and Jesica were the mother and the child, in spite of that with Kurniati and Astawan.

The plan is, the four patients suspek this bird flu will be reconciled to RSUD A Makassau, Kota Parepare. His article, RSUD A Djemma did not yet have equipment and isolation space to treat the bird flu sufferer.

One of the residents, Ketut Suliha stated, the four mothers and this child began to be attacked by the high fever since the last three days that was accompanied by dying the suddenness of several poultries in this area.

Poultry Positive

The Positif Karena poultry hot that was suffered never recovered, finally the family brought the two mothers and this child to the hospital.

Felt curious with the death of several poultries in the area of their settlement, the resident had finally reported this incident to the livestock breeding service and fisheries.

Was based on results of the inspection in the Besar Veteriner Hall (BB-Vet) Maros, two from five tails of the poultry that was taken his sample was stated positive was attacked by the virus of Avian Influenza.

“After being carried out by the inspection in the laboratory, there were two poultries that were stated positive bird flu, the” Peternakan” Service headword and Lutra fisheries, Kasim Alwi, to the reporter, on Monday (15/9).

Kasim Alwi said, to anticipate expanded him the territory that was attacked by the bird flu virus, his side carried out spraying in a radius of three kilometre from the location of the discovery of several poultries died suddenly.

Moreover, the house belonging to Yuliani and Kurniati for the time being was given the fence of restraint so that the resident does not enter the yard of the house that it was suspected as the place became an epidemic him the bird flu virus.

The Rawan area of the REPRESENTATIVE Regent Lutra, Arifin Djunaidi, that visited the location asked that the related agency made a kind of plan or the map of the sign that said that the Mappedeceng area the bird flu danger.

The local government also distributed basic commodities [rice, sugar, cooking oil, etc.] to the resident who settled around the location of bird flu of the danger to avoid the sufferer’s increase suspek bird flu.

Apart from giving of the sign of bird flu of the danger, the government with the resident also carried out the extermination of the poultry that it was suspected was infected by the bird flu virus, till yesterday, at least 1,000 tails of the poultry were destroyed in the Karya Mekar Village.

The case suspek damaged bird flu made the resident concerned. Increased again by the spreading of this virus really was difficult was determined.

“That we explained is now frightened outside the house and ate available food uptil now,” said one of the residents, Ketut Suliha. He hoped the government immediately distributed the mask to the resident as prevention efforts of early.

http://www.tribun-timur.com/viewrss.php?id=97192

Human bird flu cases down
Control efforts of Bird Flu in June 2005? In August 2008 , on September 18 2008 - the Flu Burung Departemen Command Post of the Health recorded,
from 12 provinces that were infected by Bird Flu to humankind, to August 31 2008 was gotten 7 provinces were not found again that is the Lampung Province (the infection on September 22 2005, 2 years 11 months),

the South Sulawesi Province (the infection on June 18 2006, 2 years 2 months),

the South Sumatra Province (the infection on March 10 2007, 1 year 5 months),

the Riau Province (infekksi on October 31 2007,
10 months did not have the case),

the East Java Province (the infection on March 19, 1 year 7 months),

the North Sumatran Province (the infection on May 3 2007: 1 year 3 months), and the Balinese Province (the infection on August 14 2007, 1 year)

Until this, the spread of Bird Flu (FB) still came from the poultry to humankind. Was based on the specimen inspection and case contact in the period in January - on August 31 totalling 986 (in 2006), 1,218 (in 2007), and 805 specimens (in 2008) and towards case contact, showed the existence of the spread between humankind did not yet happen.

Be based on surveilans Bird Flu epidemiology was at the end of July 2008 found by 1 positive case of Bird Flu on behalf of Jk (L, 20 th) the resident Tangerang Banten that died on July 31 2008. Now in August 2008 was not found by the existence of the new case.

The inspection of 12 people suspek the resident's Bird Flu in Afdeling 5 of Damuli Dusun IV Air Batu, Kabupaten Asahan, North Sumatra, early last August, all of them the Bird Flu negative. The case suspek this Bird Flu was found was based on the activity surveilans active since the date 5 - on August 7 2008 by the Kesehatan Service of the North Sumatran Province and Dinkes Kabupaten Asahan.

The development from January - in August 2008 showed the decline trend of the number of cases. The peak was highest the case of Bird Flu was recorded in May 2007 that is the discovery 18 positive cases klaster Bird Flu in the Karo Regency with 7 cases.

The number of cases of Bird Flu in the same period in January - on August 31 in 2006, 2007 and 2008 were endless that is 45 cases, 31 cases and 20 cases. Meaning that in January - on August 31 2008 the decline in the case of 35.4% against the same period in 2007, happened and descended 55.5% compared with the same period in 2006.

The number of cases suspek the period in January - in August 2008 showed the decline of 45% compared with the same period in 2007, and descended 25% during 2006.

Efforts that were carried out by the government in handling the case of Bird Flu were to carry out counselling, the free maintenance in RS in the case suspek and positive Bird Flu including pemulasaran the body.

The provisions of medicine oseltamivir in the Community Health Centre, RS Rujukan, and the Kesehatan Service of the Regency and the Province. The training of the spokesperson Bird Flu 12 regional, finally, Regional Bali in August 2008. Communication and Information peanggulangan Bird Flu through the mass media.

The Table simulation great the control episenter the influenza pandemic in August in Palu, Provinsi Central Sulawesi. Moreover, the government also compiled the Rencana Kontinjensi Penanggulangan Episenter Pandemi Influenza Module for the Regency/Kota and the Province.

The training of Epidemiologi Investigation for the Team of the Movement of Cepat/TGC the province and the Regency. Asesment the TGC achievement and the Official Surveillans Kabupaten/Kota (DSO/District Surveillance Officer). The recruitment S2 Epidemiologi Lapangan/Field Epidemiology Training Programme/FETP Indonesia of the student's candidate in the University Indonesian Jakarta and the University Gajah Mada Yogyakarta. Also was carried out by the survey of attitude knowledge and the behaviour of Bird Flu in the Jurug Kec village. Mojosongo, Kab. Boyolali, Java.

Not only efforts in the country, the government also carried out the international co-operation with the developing country and the Non Blok Movement that produced the World Health Assembly resolution (WHA 60,28) in May 2007 about the action for the increase transparasi, justice and equality in the utilisation of information, the diagnosis, the medicine, the vaccine and other technology.

Results, the movement permanent representative Non Blok on June 27 2008 ratified the Declaration of the Non Blok Movement about "Responsible Practices for sharing of Avian Influenza Viruses and Benefits Sharing" with the outline of the exchange of information, the virus sharing that berkeadilan, was equal and was open in accessing the vaccine for the developing country.

This news was broadcasted by the Centre of Publik Communication, Sekretariat Jenderal the Department of the Health. For information further could contact through the number of the telephone/fax: 021-52921669 and 5223002, or the e-mail address puskom.publik@yahoo.co.id.

http://www.komnasfbpi.go.id/be...

Three Bird Flu Suspects Refused to be Checked

From Sulawesi

MASAMBA - three villagers Mekar Jaya, Mappedeceng, Luwu Utara, South Sulawesi, that to suspect bird flu or avian influenza (AI) refused to be checked further.

The three of them were Wayan Garong, 50; Wayan Jarum, 34; and Ketut Radita, 60. They refused during the team of the doctor RSUD Andi Djemma, Masamba, to carry out the taking of the sample of blood.

In the meantime, till Wednesday (17/9) four the patient suspect other, namely Yudi Astawan, 48; Wayan Jesika, 3 months; Kadek Purniasari, 24; and Komang Yuliani, 22, was still undergoing the maintenance in RSUD Andi Makassau Parepare.

Director RSUD Andi Djemma, Masamba, Marhani Katma said, four patients suspect this bird flu was still being treated in Parepare.

“Three other residents refused to be taken the sample” of “his blood,” explained Marhani.

The AI virus emergence or bird flu in the Mekar Jaya Village made the Luwu Utara Regional Government isolate this village.

Thousands of tails of the chicken were it was reported destroyed in order to prevents the spreading of the deadly virus.

http://www.jawapos.co.id/halaman/ind…tail&nid=24830

The socialisation of Bird Flu as Social Responsibility the Company
http://www.infeksi.com/newsdetail.php?lng=in&doc=2441

By editorial staff of 25/09/2008 @ 23:33

The bird flu illness (FB), still spread from the poultry to humankind. In fact in many Asian countries, Europe and Africa, the FB pandemic to the poultry has happened. With increasingly the frequency infected humankind, it was worried about the FB virus that Highly Pathogenic Avian Influenza (HPAI-H5N1) bermutasi became the virus that spread between humankind. When this happened, then the big disaster could not be evaded with the number of deaths and pain that many as well as the social disorder economics, the sadness as well as humankind's suffering. Therefore, all the sides including the company multi national was asked to have the FB control strategy and the Influenza Pandemic. Moreover the socialisation of the FB control to the employee and the environment him became part of social responsibility the company or Corparate Social Responsibility (CSR).

Was like this the statement of Menkes Dr. Dr. Siti Fadilah Supari, Sp.JP (K) opposite 100 owners of the company (the CEO) from various kinds of the efforts field, when opening "Sosialisasi Pengendalian FB and Menghadapi Pandemi Influenza Preparedness in the company's environment/industri" in Jakarta on September 23 2008. The Menkes concern was based by the past experience when the Spanish flu pandemic in 1918 happening that caused the death 40-50 million people all over the world in relatively short time. According to Menkes, the government was very serious in the FB control in Indonesia. Through the No. Presidential Regulation 7 in 2006 formed the Nasional Pengendalian FB Commission and Mengdadapi Pandemi Influenza Preparedness (Komnas FBPI) in order to coordinates FB control efforts nationally. The president also issued Inpres No. 1 in 2007 about the Handling and the Control of the FB virus, to press the number of FB sufferers to humankind. "Karena that, unwise when we were not on alert anticipated the threat of the influenza pandemic that will come.

The prevention of the emergence of the influenza pandemic in the period that will come globally to be striven for. If these efforts later evidently was not successful, then the impact of the pandemic must be able to be pressed as on a small scale as possible with preparedness that terencana and was tested rapi", said Dr. Siti Fadilah. The FB control and Menghadapi Pandemi Influenza Preparedness in the environment perusa-haan/the industry was the integral part of national preparedness and global, must be planned and diujicoba neatly and thoroughly. If this was not done, was difficult the impact of the pandemic was made as on a small scale as possible in the company's environment/the industry. This meant his impact on the wider community will stay very big and was not controlled. In fact, episenter this pandemic possibly began to happen in the certain part in the world, said Menkes. The virus H5N1 the first time being detected to the poultry in August 2003 and the sub-type infection H5N1 to humankind the first time it was confirmed in Indonesia in July 2005

The FB challenge increasingly increased both in the national level and in the regional and global level. The case of bird flu has to humankind been detected in many countries that is Azerbaijan, Bangladesh, Cambodia, China, Djibouti, Egypt, Indonesia, Iraq, Laos, Myanmar, Nigeria, Pakistan, Thailand, Turkey and Viet Nam. In the national level, the number of endemic provinces bird flu to the poultry really has increased so as only two provinces that still was free FB that is Gorontalo and the North Moluccas. The Luar Biasa incident (KLB) FB to the poultry still happened in a sporadik manner in various areas, added Menkes. Menkes stated, FB was the relatively new illness. Because of that still needed the study and the research from various experts like epidemiology, clinical, diagnostics, immunology and virology. For example, the early detection and FB beginning medical treatment in the Community Health Centre were needed by some kit fast diagnostics (rapid test) with the level of the sensitivity and spesifisitas high. So also in the aspect of the prevention, the FB vaccine for humankind still in the process of the producer's research of the vaccine and the experts

Total investment in poultry livestock breeding reached 35 Billion American dollar with the circulation of money reached US$*30 Milyar per the year. The livestock breeding industry jugai absorbed 10 million manpower. Whereas the total poultry reached 1.3 Billion tails, where 20% among them was kept behind the house (backyard farm) by 30 million households in Indonesia. Therefore, the control of the FB problem in Indonesia might not be done in a manner sem-barangan, but must terencana and was implemented thoroughly as well as neat. Like in the saying "seperti pulled hair from flour; flour should not be hoarsest and hair lest putus", said Menkes. Menkes stressed, Indonesia has had the Stratejik Nasional Plan for the FB control and Pandemi Influenza Preparedness (National Strategic Plan for Avian Influenza Control and Pandemic Influenza Preparedness) 2006-2008.

Several activities that were increased, in part:

*) developed 8 regional diagnostic laboratories and the Litbangkes Body laboratory to BSL-3 (Bio Safety Level 3), to check the living virus.

*) continued the socialisation of the policy and the intensification penatalaksanaan the case as well as the speed of case reconciliation.

*) reinforced Early Warning System (the early detection) and Surveilans. Equipped the intensive maintenance equipment in 100 reconciliation hospitals.

*) intensified risk communication in developing the awareness of the social stratum.

*) developed the alert village in the health field including the prevention and the FB control.

*) developed "Pilot Project" the prevention and the FB control in Tangerang as the model, co-operated with the Singaporean government.

*) reinforced the co-ordination of the sector passage especially with the Department of Agriculture that was competent in the handling of the source of the infection in the poultry.

*) the epidemiology Research, clinical, the environment and virologis. *) produced Oseltamivir domestic and developed the based vaccine strain H5N1 Indonesia and rapid test to detect the FB virus to humankind, co-operating in a foreign manner. Moreover, also had the Plan.

The price of Generic Medicine will rise?

By editorial staff of 20/10/2008 @ 23:49 Surabaya,

on Tuesday — Menkes Siti Fadilah Supari said, at this time the government was reviewing the price of the generic medicine and the import of the medicine following the financial crisis global. The "price" of "generic medicine has been determined by me and because of the existence" of the "rise US dollar, of course if indeed his difference was very big we will make one adjustment that certainly did not make the people heavier," said Menkes in Surabaya, on Tuesday. It was further, he says, "Now we were counting whether must be adapted or not." If necessary, how many and whether being placed to the people or must we susbsidi.

According to Menkes, at this time the impact of the financial crisis did not yet appear, but possibly so many months still will appear. Apart from the price of generic medicine, the planned also government restricted the import of foreign medicines of the company's patent that will make the balance of the country's finance heavier. "According to me must be considered in being studied by us repeated." If needing to be able to not have the import of medicines and we for generic medicine here, where generic could be produced by the domestic company and the price him could be arranged, he said. Menkes also believed, the medicine that might not be imported better be restricted by means of the mechanism of the import that was obliged to use the special route. "In two Kepres was related to the health it was mentioned that Menkes could arrange that and that important was for the interests" of the "people and the country in order to be able to remain in this economic storm," he said. /Ant

http://www.infeksi.com/newsdetail.php?lng=in&doc=2553

Nurliga's Father Unhappy With Treatment
March 3, 2009
http://news.okezone.com/index.php/ReadStory/2009/03/02/1/197666/bhakti-yudha-salah-diagnosa-pasien-suspect-flu-burung
Depok: The family of Nurliga Mahmudin (5), a bird flu suspect casualty, regretted the diagnosis mistake and indolent handling from RS Bhakti Yudha Depok. According to the casualties's father, Mahmudin Sudin, the doctor diagnosed the wrong illness and if faster action had been carried out possibly Nurliga could have still been rescued.

"I thought this diagnosis was wrong."

After being treated since Monday last week, results of this diagnosis were made Wednesday and was stated by DBD, explained Mahmudin Sudin in his residence at Kp Pulo RW 6 RT 8 Rangkapan Jaya districts, Depok, on Monday (2/3/2009). However on Wednesday night, the patient experienced breathlessness that increasingly worsened so as to be stated that he was affected by the inflammation of the lungs.

"Initially the family agreed, and the patient was given cough medicine to expedite phlegm. Then he was given oxygen as well as having fumigation to his lungs," explained Mahmudin who is also Chairman of the Depok Honorer Teacher's Association.

His condition continued to worsen, then the medical team of RS Bhakti Yudha put the casualty in the Case Treatment Unit (UPK). This was considered so that the restoration of the casualty's health would be more sterile. In the meantime from results of the x-ray photographs there were white flecks that covered all of Nurliga's lung. At approximately 17,00 WIB, hospital personnel could not handle him and decided to reconcile the casualty to RS Persahabatan. The family really regretted the slow work of RS Bhakti Yudha when reconciling the bird flu suspect casualty to RS Persahabatan.

He explained that initially they were promised a special car to bring the patient to RS Persahabatan. While the doctor was busy contacting 116 to ask for the ambulance, finally the car from RS Bhakti Yuda also was used, because the ambulance from Diskes Depok never arrived. The result was that the casualty did not immediately receive the exact maintenance. Upon arriving in RS Persahabatan his condition was serious. Almost all the space on his lungs were filled with white spots that increasingly spread like clouds in the sky.

Mahmudin also suspected RS Bhakti Yudha of making his child a guinea pig, because they took so many samples from several of parts of the child's body. According to him, the family must cover the cost of the maintenance for five days in RS Bhakti Yudha as much as Rp3 million more, whereas in RS Persahabatan it is free because of entering the national bird flu handling program. In the meantime Depok Mayor Nur Mahmudi Ismail with his rank in Dinkes, Distan and Angota DPRD paid a condolence call on the family for the casualty's death. The casualties's father, who is also Depok religious teacher SMAN 1, added that the blood samples have been taken from the hospital and currently are being researched in the laboratory belonging to IPB Bogor. As for the chicken coop that was suspected as the place that infected him with the illness resulting from the virus H2N5, it has been sprayed with disinfectant by Distan Depok. His body already dikemumikan last Saturday, February 28 in TPU Aisyiah or to be precise 300 metres from the casualty's house by using the special case from RS Persahatan.

4 Indonesians die of bird flu; toll climbs to 119
http://www.thejakartapost.com/news/2009/03/03/4-indonesians-die-bird-flu-toll-climbs-119.html
March 3, 2009
Irwan Firdaus , Associated Press , Jakarta | Four Indonesians have died of bird flu, bringing the death toll in the country hardest hit by the disease to 119, an official said Tuesday. Bayu Krisnamurthi, chief of the National Bird Flu Commission, said all the victims were believed to have been infected after coming into contact with sick poultry. They were from Java island and died in January and February.

Indonesia, which has been criticized in recent months for refusing to immediately make public news of human deaths and in some cases hushing them up all together, has been worst affected by bird flu since it started ravaging Asian poultry stocks in late 2003. It accounts for nearly half the 256 human fatalities tallied worldwide, according to the World Health Organization.

So far, most human cases have been linked to contact with infected chickens. But health experts worry the H5N1 virus could mutate into a form that passes easily among humans, sparking a pandemic that could kill millions worldwide. Indonesia is considered a potential hotspot for that to happen.

Krisnamurthi had little details about the latest deaths, saying only that two were siblings from the city of Bogor and the others were women from Bekasi and Surabaya. Health Minister Siti Fadilah Supari has withheld almost all virus samples from WHO since January 2007, arguing that its system is unfair because her country's bird flu specimens can be used to make vaccine that would ultimately be too expensive for most Indonesians and controlled by wealthy nations. She has since called for the creation of a global stockpile of drugs or other forms of benefit-sharing.

http://www.earthtimes.org/articles/show/258227,bird-flu-kills-four-this-year-in-indonesia-death-toll-119.html
March 3, 2009
Jakarta: Four Indonesians have died of bird flu this year, bringing the national death toll from the disease to 119, an official said Tuesday. Three of the victims were from West Java province while the other lived in East Java, said the official, who declined to be identified because the person was not authorized to speak to the media. The official declined to give further details.

Indonesia has the highest death toll in the world from bird flu. Since last year Indonesia has stopped announcing bird flu deaths on a case-by-case basis and instead reported them every few months. The most common way to contract the virus is through human contact with infected fowl. Bird flu remains chiefly an animal disease, but experts fear the virus could mutate into a form that could transmit between humans and spark a pandemic that could kill millions around the world.

http://www.pikiran-rakyat.com/...
The Bird Flu Handling Team Monitors 33 People
Tuesday, March 03, 2009, 19:53:00
BEKASI: The case of bird flu in County Bekasi continued after a child died, Ardiansyah (. The West Java County Bekasi Bird Flu Team said that a total of 33 people in the Sukamantri Village, Desa Suka Raya, Subdistrict Karang Bahagia, received special supervision.

"They were involved in close contact of less than one meter from where the victim died," said one of the team members of County Bekaris Bird Flu Handling Team, Heru Hermawan, in the location of the bird flu incident, on Tuesday (3 / 3).

The majority of the 33 people are relatives of Ardiansyah and some medical staff who had cared for the dead child. Family members are Ilyas (43), Mimin Setiawati (36), Ismawati (4), and Nanang. The medical staff includes clinic owners Kartika Medika, Ipah Latifa and Tarmizi in a house not far from the victim. Heru said that the supervision is done twice during an incubation period of 17 days from the day that Ardiansyah died.

"The goal is to prevent the transmission of avian influenza virus type H5N1 from poultry to humans and from humans to humans. Just because one complains about having the pain like a sick chicken with bird flu, including fever, coughing and congestion, they are not necessarily bird flu positive," said Heru.

The spread of bird flu to poultry in 2009 has occurred in two areas, Subdistrict Sukatani and Subdistrict Setu. The causes, said Heru, is there is not good quality governance for birds. Chickens kept in the wild and penned with sticks to the walls of the house are left dirty.

"The number of attacks on birds in the area that high," said Heru.

I don't know how that smiley face got there. I must have hit something by mistake. I do apologize because it is very inappropriate.

History Lover

I believe it has to do with the software.