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H5N1 Cases (Sep 1, 2012 - Aug. 31, 2013)

by: AlohaOR

Wed Jun 06, 2012 at 23:46:28 PM EDT


Last updated October 7, 2013

The previous H5N1 International diary is here

The table of WHO-confirmed H5N1 cases from Sept. 1, 2011 - Aug. 31, 2012 is here.

Diary for cases from Sept. 1, 2013 on is here.

AlohaOR :: H5N1 Cases (Sep 1, 2012 - Aug. 31, 2013)
Human H5N1 Cases Reported by WHO
(case onset from Sep 1, 2012)
# Location Age/
Gender
Symptom Onset Death Notes
1 Indonesia/ West Java 4M Nov 30 Dec 6 Exposure to neighborhood poultry
2 Egypt/ Demietta 2F Dec 1 Recovering Exposure to backyard poultry
3 Cambodia/ Phnom Penh .5M Jan 8 Recovering Exposure to poultry
4 Cambodia/ Takeo 15F Jan 11 Jan 21 Prepared sick chicken for food
5 Cambodia/ Kampong Speu 35M Jan 13 Jan 21 Prepared sick chicken for food
6 Cambodia/ Kampong Speu 1.5F Jan 13 Jan 28 Had a history of coming into contact with sick poultry
7 Cambodia/ Kampot 9F Jan 19 Jan 28 Recent poultry deaths in village
8 Cambodia/ Takeo 5F Jan 25 Feb 7 Recent poultry deaths in village
9 China/ Guizhuo 21F Feb 2 Feb 13 No recent poultry contact reported
10 China/ Guizhuo 31M Feb 3 Feb 22 No recent poultry contact reported
11 China/ Beijing 19yo Not reported Jan (??) Death of a migrant worker in January was reported Feb. 11
12 Cambodia/ Kampot 3F Feb 3 Feb 13 Recent poultry deaths in village; history of contact with poultry
13 Egypt/ Beheira 36F Jan 16 Jan 26 History of contact with sick poultry
14 Cambodia/ Kampot 2M Feb 6 Feb 19 Recent poultry deaths in village
15 Cambodia/ Kampong Cham 35M Feb 8 Feb 26 History of contact with sick poultry
16 Egypt/ Menofia 40F Mar 3 Hospitalized History of contact with sick poultry
17 Cambodia/ Kampot 6M Mar 31 In critical condition    
18 Vietnam/ Dong Thap 4M Mar 23 Apr 4    
19 Egypt/ Daqahliya 26M Not rep Apr 16 Exposed to healthy pigeons and neighborhood poultry
20 Bangladesh/ Chittagong 2M Feb 11 Feb 18 Strong epidemiological link with backyard poultry deaths; reported Apr 20, 2013
21 Vietnam/ Long An 20F Apr 11 In stable condition Dead poultry in neighborhood
22 Cambodia/ Kampong Speu 5F Jan 28 Recovered Reported May 17; no known exposure to poultry
23 Egypt/ Sohaq 25F Apr 25 May 5 Reported June 4; exposure to sick and dead backyard poultry (link)
24 Indonesia/ West Java 2.5M June 10 June 19 From Bekasi (link)
25 Cambodia/ Kampot 6F June 24 June 28 From Preyleu village, Bantheay Meas commune (link)
26 Cambodia/ Prey Veng 3M July 7 Hospitalized (link)
27 Cambodia/ Battambang 9M July 26 Aug 18 (link and link)
28 Cambodia/ Kandal 5F Aug 1 In critical condition (link)
29 Cambodia/ Kandal 6M Aug 17 Recovered (link)
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Egypt: WHO confirms 1 human H5N1 case
http://www.who.int/csr/don/201...

Avian influenza - situation in Egypt - update

7 June 2012 - The Ministry of Health and Population of Egypt has notified WHO of a new case of human infection with avian influenza A(H5N1) virus.

The case is a four year-old female from Kfr -Elsheikh governorate. She developed symptoms on 25 April 2012, was admitted to a hospital on 26 April 2012 and received oseltamivir treatment upon admission. She was discharged from the hospital on 7 May 2012.

Investigations into the source of infection indicated that the case had exposure to backyard poultry. (continued)


Cambodia: H5N1 investigation
CIDRAP News June 4, 2012 - An investigation into the recent H5N1 avian flu death of a 10-year-old Cambodian girl led to the identification of the virus in chickens and ducks in her Kampong Speu province village (Snip) Samples obtained from local chicken and ducks were positive for the virus. The outbreak killed 564 of 1,304 susceptible birds. Authorities culled the remaining 740 poultry (Snip) http://www.cidrap.umn.edu/cidr...  

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Indonesia: Livestock Service Officials Destroyed 650 Quails [East Java]
Shared by dbg: http://www.lensaindonesia.com/...

Birds died suddenly, 75 thousand AI vaccine distributed to Bojonegoro
Friday, June 22, 2012 20:15 pm.

Lensaindonesia.com: After was found four people had suspected Avian Influenza, Animal Husbandry and Fisheries Bojonegoro, East Java, immediately distribute 75 thousand doses of vaccine "Avian Influenza" (AI) in anticipation of the spread of a virus known as bird flu.

SNIP
 


Indonesian Girl Dies of Bird Flu
July 5, 2012
http://www.upi.com/Health_News...
Jakarta, Indonesia:  An 8-year-old Indonesian girl has died from the H5N1 bird flu virus, health officials said Thursday.  The girl, identified as K.K., fell ill June 18, six days after carrying home five recently butchered chickens from the Karawang Market in West Java, Indonesia's Antara news agency reported.  Tjandra Yoga Aditama, director general of disease control and environmental health at the Indonesian Health Ministry, said it's likely she contracted the disease at the market.

"She was in contact with live poultry," Tjandra said.  "She went to the market with her father and sibling and bought five live animals.  She chose to hold the chickens after they have been killed."

The girl first became ill during a trip to Singapore.  A doctor there diagnosed her with laryngitis, Tjandra said.  By June 24 she was admitted to a hospital in Jakarta with a high fever, persistent cough and nausea.  Doctors believed she had pneumonia, Antara reported.  K.K. tested positive for the H5N1 virus June 29.  

"Her condition got worse and on July 3, 2012 at 22.45 she died," Tjandra said.
(more)


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


WHO situation update
http://www.who.int/csr/don/201...

6 July 2012 - The Ministry of Health of Indonesia has notified WHO of a new case of a human infection with avian influenza A(H5N1) virus.

The case is an 8 year-old female from the province of West Java. She developed fever on 18 June 2012 and then travelled on vacation the following day to Singapore, where she saw a private physician who diagnosed pharyngitis on 20 June. The case returned to Jakarta on 24 June and was still feeling unwell with coughing, decreased appetite and vomiting. Her family took her for treatment to the local hospital. Her condition deteriorated and she was transferred to intensive care, but died on 3 July. Infection with avian influenza A(H5N1) virus was confirmed by the National Institute of Health Research and Development (NIHRD), Ministry of Health. (continued)


[ Parent ]
Indonesia Girl Who Travelled to Singapore Dies From Avian Flu
July 7, 2012
http://www.channelnewsasia.com...
SINGAPORE: The Health Ministry says it has been informed of a case of avian influenza A (H5N1) in an eight-year-old girl from Indonesia who had travelled to Singapore. In a statement, the ministry said the girl developed fever on June 18 in Indonesia. She was in Singapore from June 19-24 on vacation. She returned to Indonesia on June 24, and later died on July 3 this year.
(snip)

The Indonesian health authorities have reported that the girl had exposure to poultry while in Indonesia, a few days before her travel to Singapore. They are monitoring her close contacts, including family members. All contacts have remained well.  As a precautionary measure, Singapore's Health Ministry has alerted hospitals to the case and commenced contact tracing in Singapore.  The girl stayed at a hotel in Singapore with her mother and other relatives from 19 to 24 June 2012 on a vacation.  She was brought to see a general practitioner for high fever on 22 June and was given treatment. Her relative who lives here and the general practitioner who treated the case are both well.



"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Source of Bird Flu Virus is Still Mysterious
July 11, 2012
http://www.mediaindonesia.com/...
West Java, Indonesia:  The death of KK, 8, a resident of Karachi, West Java, due to the bird flu virus attack, is still a question mark.  One was about the source of the virus that infected the victim.

"We've studied birds around the victim's home, neighbors, and relatives of victims, and all have negative exposure to the bird flu virus.  The Karachi Chicken Market is referred to as a source of transmission, we also do not have poultry infected with the virus," said Rasim, Head of Disease Control Department of Health and Environmental Diseases Karachi, yesterday.

From the investigation it is believed the victim contracted the bird flu virus from poultry, not humans.  She is also suspected to be infected from poultry in Karachi, but it could have been outside the country, because the victim went to Singapore.

"To date in Falkirk, we still have not found an outbreak of bird flu virus in poultry.  Residents do not need to worry," he said.  

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Source of Infection for the 8 year old girl
The WHO report on this girl (see above) states that she was symptomatic before leaving for Singapore. Therefore, she was infection in Indonesia, not while she was traveling outside the country.  

[ Parent ]
Residents of a Grasshopper "Suspect" Bird Flu
http://www.balipost.co.id/medi...

July 20, 2012 | BP

Tabanan (Bali Post) - The case of suspected bird flu reappeared in Tabanan. This dangerous virus detected attacking one of the residents in the village of Grasshoppers, Karachi, on Sunday. 

This case preceded the death of poultry several days in a row. Despite the negative results of the examination, Tabanan regency through the Department of Health said the alert. patient suspect bird flu was found in Kediri III health centers, village Beraban, Saturday (7/7) then. One resident, Yun (27), sudden high fever.

 After three days of fever attacked with the heat to 38 degrees Celsius, the victim was rushed to the clinic. The results of medical detection, this woman allegedly infected with bird flu virus. Because, before falling fever, chicken sudden death of the victim. Totaling seven tails. 

"Due to suspicious, we refer the victim to a special room of Tabanan Hospital bird flu," said Kadis Tabanan Health dr. Nyoman Suratmika, Thursday (19/7) yesterday. explained, the results of rapid tests on the negative end of bird flu victims, including those found in birds died suddenly. However, team or intelligence suvrvailen Health Department continue to monitor the development of the victim. 

According Suratmika, victim condition improved after three days in intensive care. "The heat down and allowed to go home. But, we continue to monitor developments," he explained. 

Although negative, the control of the spread of bird flu virus remains tight. Therefore, this deadly virus could emerge at any time. Usually preceded by sudden death and poultry, respectively. 

Anticipating a similar case, the Department of Health set up at least 9 tamiflu box.
 This medicine is for people who likely contracted the bird flu. "If it appears the case, we already have special wards in hospitals. Everything can be handled here," said Suratmika.

Finally, cases of bird flu appeared in Tabanan, in 2011 in the village of babahan, Penebel. To suppress such cases, poultry farmers are required to maintain health of domestic livestock, especially free-range chicken that used to live in freedom. Previous experience, the bird flu virus mostly attacks the wild chicken, and then transmitted to the residents. (Kmb30)


The article above is from Bali, Indonesia


Disnaktanbun: Do Not Have Bird Flu In Mimika [Papua, Indonesia]
Shared by dbg of PFI: http://rri.co.id/index.php/det...

Thursday, July 19 2012 19:45:22
By: Waddi Armi

KBRN, Timika: the Livestock, Agriculture, and Plantation Service, Mimika Regency stressed untrue had casualties died resulting from infected the bird flu virus in the area.

The Disnaktanbun Mimika head, John Wicklif Tegai in Timika, on Thursday (19/7) said on June 24 a resident of the Omawita Hamlet, District Mimika Far East was treated in the Mitra Community Hospital (RSMM) Timika.

After being treated several days, this patient died. This hospital side stated this patient died because of being attacked by the bird flu virus. All around the patient's residence were many chickens that died.

The report on the death of the patient who it was suspected was attacked by this bird flu virus was sent to the Ministry of the RI Health in Jakarta et cetera was continued to the Ministry of Agriculture and the Director General of Livestock Breeding.

Responded to this information, Disnaktanbun Mimika followed up by sending the Head of the Animal Health Field drh Sabelina Fitriani with the staff to the Omawita Hamlet.

Sabelina with his staff took the sample specimen swab (mucus on the throat and the cloaca) the chicken livestock in the Omawita Hamlet and his blood serum to be sent to the Great Veterinary Hall Maros, South Sulawesi in order to is researched further.

The team that was led by Sabelina also did rapid test to know whether the chicken livestock in this Omawita Hamlet really was attacked by the bird flu virus or not. The team also carried out the carcass difference against the chicken livestock that was sick. Results of the test indicate produced the negative of bird flu.

The Great Veterinary Hall Maros also recommended results of bird flu of the negative against the sample of chicken blood from the Omawita Hamlet. Was based on results of the laboratory test, Disnaktanbun Mimika stressed that till at this time did not have the case of bird flu in Timika.

According to John Tegai, in March his rank has done surveillance towards the health of the chicken livestock in Mimika and results surveillance showed results of bird flu of the negative.

As for the case of the death of the chicken livestock in a large number in this Omawita Hamlet, was like this John Tegai, resulting from the virus attack Newcastle Deases (ND) or the newcastle disease that already endemic happened in each poultry farm.

John Tegai added, the case of bird flu had happened in Timika around 2004. At that time, the death of the chicken in large quantities in several locations around the Timika City happened. The step that was carried out by Disnak Mimika at that time that is carrying out the extermination of the property chicken of the breeders.

However in the period for the last three years, was not found the case of bird flu in Timika. The ministry of Agriculture through Director General Livestock aimed in 2013 at Papua received free certification of bird flu.


Avian influenza - situation in Indonesia - update
Hat tip to Michael Coston of Avian Flu Diary: http://www.who.int/csr/don/201...

10 AUGUST 2012 - The Ministry of Health of Indonesia has notified WHO of a new case of human infection with avian influenza A(H5N1) virus.

The case is a 37 year old male from Yogyakarta province. He developed fever on 24 July 2012, was hospitalized on 27 July and died on 30 July.

Epidemiological investigation on the case found that the case had four pet caged birds in his home, which is about 50 metres from a poultry slaughter house and near a farm.
Infection with avian influenza A(H5N1) virus was confirmed by the National Institute of Health Research and Development (NIHRD), Ministry of Health and reported to WHO by the National IHR Focal Point.


Bird Flu Case report 191
Hat tip to Michael Coston of Avian Flu Diary: http://translate.google.com/tr...

Bird Flu Case report 191
AUGUST 9, 2012 | 7:11 PM

Ministry of Health through the Directorate General of Disease Control and Environmental Health announced a new case of H5N1 have been confirmed by the Center for Biomedical and Health Technology base, Balitbangkes.

Case on behalf of AW (Female, 37 years) who Prambanan, Sleman District, Yogyakarta Special Province, is a self-employed. Dated July 24, 2012 symptoms of high fever, the following day case treatment to a hospital outpatient PR. Because of persistent high fever and started coughing case, dated July 27, 2012 the case went to the hospital again and finally treated PR. Care hospital in public relations, the more elevated fever accompanied by cough and shortness, so that on July 29, 2012 the case was referred to Hospital B and ventilator. Circumstances of the case gets worse and finally died on July 30, 2012 at 12:05 pm.

Epidemiological investigations have been carried into the homes of people and the environment by the Integrated Team Ministry of Health, the local Health Department, Animal Husbandry Department and Officer PDSR Kab.Sleman DIY province, the provincial Agriculture Department DIY, acquired risk factors, namely the possibility of contact with the environment in the workplace and ornamental birds around 50 meters from the house there are cases where the cuts of chicken, quail and duck farms and there is also the case in the home environment.

With the increase of these cases, the cumulative number of bird flu in Indonesia since 2005 until this news was broadcast on 191 cases with 159 deaths.

Director General of Disease Control and Environmental Health Yoga Aditama Prof.dr.Tjandra as the focal point of the International Health Regulations (IHR) has been informed about the case to the WHO.

This information is published by the Center for Public Communication, Secretariat General of the Ministry of Health. For further information please contact via telephone: (021) 52907416-9, fax: (021) 52921669, Fast Response Response Centre (PTRC): 500-567 and 081 281 562 620 [kode lokal](sms), e-mail or contact @ depkes.go.id


The Report On Bird Flu Case 191
Shared by dbg: http://www.depkes.go.id/index....

Note from bgw: dbg looked this article over carefully and ascertained that the victim was male. The two previous articles did not agree on gender after a machine translation.

Jakarta, August 9 2012 [just posted today]

The ministry of Health RI, "Director General Control of the Illness and Environmental Sanitation" announced one new case H5N1 that was confirmed by the Centre Biomedic and basic Health Technology, Balitbangkes.

The case on behalf of AW (M, 37 years) the resident Prambanan, Sleman Regency, Province Yogyakarta Special District, was an entrepreneur. On July 24 2012 emerged the sign of the high fever, the next day the case have outpatient treatment at RS PR. Because the fever stayed high and the case began coughs, on July 27 2012 the case again have treatment at RS PR and finally was treated. In the maintenance of RS PR, the fever increasingly rose was accompanied by coughs and crowded, so as on July 29 2012 the case was afterwards reconciled to RS B and was installed the ventilator. The case situation increasingly worsened and finally died on July 30 2012 at 12.05 WIB.

Was carried out epidemiology investigation to the sufferer's house and the environment around by the Health Ministry Integrated Team, local Health Service, the Livestock Service Sleman Regency and the Official PDSR [Participatory Disease Search and Response] the DIY province, Agriculture Service the DIY province, was gotten the possibility of the risk factor that is environmental contact with the existence of birds decorated at the work place and around 50 metre from the case house was gotten the chicken abattoir, quail and the duck as well as was gotten also the community's livestock breeding in the environment of the case house.

With the increase of one case, the cumulative number bird flu in Indonesia from 2005 to this news was broadcasted was 191 cases with 159 deaths.

Director General Control of the Illness and Environmental Sanitation Prof. dr. Tjandra Yoga Aditama as focal point International Health Regulation (IHR) informed about this case to WHO.


Bird Flu Claims Ninth Victim This Year in Indonesia
http://www.channelnewsasia.com...
August 11, 2012
Jakarta, Indonesia: An Indonesian man has died of bird flu, the health ministry said Saturday, in the country's ninth fatal case this year.

"The deceased was a self-employed 37-year-old male," according to the report on the ministry's website.

The man was hospitalised on July 24 with a high fever and was placed on a ventilator five days later, according to the report. He died on July 30.  Authorities do not know how the man contracted the virus, but said he lived near poultry farms.
(more)


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


CIDRAP: Indonesia Confirms Fatal H5N1 Case
August 10, 2012
http://www.cidrap.umn.edu/cidr...
Jakarta, Indonesia:  Indonesia's Ministry of Health confirmed H5N1 avian flu in the death of a 37-year-old man, the World Health Organization (WHO) reported today, bringing to eight the number of H5N1 cases confirmed in the country this year.  All eight cases have been fatal.

The man, from Yogyakarta province, experienced a fever on Jul 24, was hospitalized on Jul 27, and died Jul 30. He kept four caged birds as pets in his home and lived 50 meters from a poultry slaughterhouse and near a farm, the report said, without specifying whether he had contact with sick or dead birds.
(more)  


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Victims of Bird Flu Increases
August 11, 2012

According to the official website of the Ministry of Health, the latest victim of the initials AW, a resident of Prambanan, Sleman, Yogyakarta, aged 37 years.

Information collected by Ministry of Health said the AW show symptoms of high fever on July 24 last and outpatient treatment to a hospital in Yogyakarta. Fever shows no signs of abating and even with a cough and these conditions make the AW later hospitalized.

On July 29 AW is still experiencing a high fever and shortness of breath. His condition deteriorated and died the next day AW.

Of epidemiological investigations into the homes of people and the environment by the Ministry of Agriculture and the Ministry of Health officials note that the victim suffered from bird flu may be caused by environmental contact, because there are ornamental birds in the workplace.

Approximately 50 meters from the victim's home, where there are cuts of chicken, quail and duck. There is also a community farm in the victim's home environment, Ministry of Health statement said.

With the increase of these cases, the cumulative number of bird flu in Indonesia since 2005 until this news was broadcast on 191 cases with 159 deaths.

translated
http://www.bbc.co.uk/indonesia...

United we stand: Divided we fall
www.flunewsnetwork.com


One More Suspect Dies of Bird Flu
August 11, 2012

Translated

http://www.suaramerdeka.com/v1...
11/126820/

Satu-Lagi-Suspect-Flu-Burung-Meninggal-Dunia
Jakarta, Indonesia: Page Ministry of Health reported a male suspect had died of bird flu. This adds to the long list of deaths from this disease in 2012 to nine people.
"The deceased was a self-employed 37 year-old male," the report said on Saturday (11/8).

Mentioned, he was hospitalized on July 24 due to high fever and was placed on a ventilator five days later..Authorities do not know how he contracted the virus, but suspected of contracting the virus because the victims are located near poultry farms.

This deadly virus continues to anticipate the government of Indonesia. Where in 2003 there were 159 deaths from bird flu in Indonesia, accounted for 359 deaths worldwide, according to World Health Organization data.Bird flu, also known as H5N1 virus, usually spread from birds to humans through direct contact, but experts fear it could mutate into a form easily transmitted between humans.  

United we stand: Divided we fall
www.flunewsnetwork.com


Bird Flu Case Report to 191
http://medicalzone.org/2012/08...
August 9, 2012, Translated Article
Jakarta, Indonesia:  Ministry of Health, "Directorate General of Disease Control and Environmental Health" announced one new case of H5N1 that has been confirmed by the Center for Biomedical and Health Technology base, Balitbangkes.  The case on behalf of AW (Female, 37 years) who is from Prambanan, Sleman District, Yogyakarta Special Province, is self-employed.  On July 24, 2012 she had symptoms of high fever, and the following day the case received treatment at a hospital outpatient PR.  Because of persistent high fever and starting to cough, on July 27, 2012 the case went to the hospital again and was finally treated at PR.  During hospital care hospital public relations, the case had more elevated fever accompanied by cough and shortness of breath, so that on July 29, 2012 the case was referred to Hospital B and put on a ventilator.  Circumstances of the case gets worse and she finally died on July 30, 2012 at 12:05 pm.

Epidemiological investigations have been carried into the homes of people and the environment by the Integrated Ministry of Health Team, the local Health Department, Animal Husbandry Department and Officer PDSR Kab.Sleman DIY Province, the Provincial Agriculture Department DIY.  There are acquired risk factors, namely the possibility of contact with the environment in the workplace and ornamental birds around 50 meters from the house.  There are cases where there are chicken, quail and duck cutting farms and there is also the case in the home environment.
(snip)

Director General of Disease Control and Environmental Health Yoga Aditama Prof.dr.Tjandra as the focal point of the International Health Regulations (IHR) has been informed about the case to the WHO.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


H5N1 story carried by Associated Press and Canadian Press.
http://www.cbc.ca/news/world/s...

http://hosted.ap.org/dynamic/s...  

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


<b>Dozens Of Chickens Died Suddenly In Grobogan and there's a human suspect - Central Java
Shared by dbg: http://jogja.okezone.com/read/...

Sunday, September 16 2012 12:40 WIB

Grogoban - Was expected infected bird flu, a resident of Kemoloko Village, Grobogan Regency, Central Java, was run off with to the local midwife. Beforehand, hundreds of tails of the chicken in the area died suddenly.

Darsih, the grandmother 70 years, at once were carried to the local midwife to get treatment. Already three days experienced the cough and felt feverish. Residents claimed concerned over what was experienced by the woman normally was called by Miss Darsih. Moreover, their approximately 40 property chickens died suddenly.

A resident, Agus, afterwards took the initiative of burning and burying all the chicken. He has with the resident reported the incident to the Livestock Service the area.

"Livestock breeding Service gave disinfectant medicine to all the Kemloko resident to be carried out spraying," said Agus in the location, on Sunday (16/9/2012).

The resident hoped with the implementation of spraying, the resident around would be free from the virus H5N1 that could cause this death.


97 Wonosobo Residents Suffer Bird Flu
http://www.suaramerdeka.com/v1...
September 19, 2012
WONOSOBO, Indonesia:  A total of  of 97 villagers in Plobangan, District Selomerto Wonosobo had bird flu on Wednesday (19/9).  Residents that were attacked were from three hamlets namely Hamlet Depok, Wonosobo, and Hamlet Plobangan Wetan.  All the victims were gradually examined by the medical teams at local village health centers.  Dozens of victims of that number are children of elementary schools and the rest are parents.  The Plobangan village head Ismail said this is the first time that cases of bird flu hitting some residents has happened.  He said more than 250 poultry breeds of chickens and ducks suddenly died suddenly in a week.  

"Handling is done every day. Village health centers are open 24 hours for service," he said.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Same article as above with a little more information.
http://www.suaramerdeka.com/v1...


Google translation:

19 September 2012 | 12:12 pm
 
WONOSOBO, suaramerdeka.com - A total of 97 villagers Plobangan, District Selomerto Wonosobo bird flu on Wednesday (19/9). Residents attacked from three hamlets namely Hamlet Depok, Wonosobo, and Hamlet Plobangan Wetan

All the victims were examined by the medical team gradually local village health centers. Dozens of victims of that number are children of elementary school and the rest of the parents.

The village head Plobangan Ismail said cases of bird flu that hit some residents is the first time this has happened. He said more than 250 poultry breeds of chickens and ducks suddenly died suddenly in a week. "Handling is done every day. Village health centers we service open 24 hours," he said.

The team from the health department and animal husbandry department dispatched to the location. The case rose to the status of extraordinary occurrence (KLB) and all residents are asked to be aware of.
( Edy Purnomo / CN26 / JBSM ) 


[ Parent ]
Same article as above with a little more information.
http://www.suaramerdeka.com/v1...


Google translation:

19 September 2012 | 12:12 pm
 
WONOSOBO, suaramerdeka.com - A total of 97 villagers Plobangan, District Selomerto Wonosobo bird flu on Wednesday (19/9). Residents attacked from three hamlets namely Hamlet Depok, Wonosobo, and Hamlet Plobangan Wetan

All the victims were examined by the medical team gradually local village health centers. Dozens of victims of that number are children of elementary school and the rest of the parents.

The village head Plobangan Ismail said cases of bird flu that hit some residents is the first time this has happened. He said more than 250 poultry breeds of chickens and ducks suddenly died suddenly in a week. "Handling is done every day. Village health centers we service open 24 hours," he said.

The team from the health department and animal husbandry department dispatched to the location. The case rose to the status of extraordinary occurrence (KLB) and all residents are asked to be aware of.
( Edy Purnomo / CN26 / JBSM ) 


[ Parent ]
Sorry; that was a double post. I thought I was in another thread.


[ Parent ]
97 residents Wonosobo was attacked by Burung Flu
http://www.suaramerdeka.com/v1...

September 19 2012 | 12:12 wib

Toggletext translation:

WONOSOBO,suaramerdeka.com - totalling 97 villagers Plobangan, Kecamatan Selomerto Wonosobo was attacked by bird flu, on Wednesday (19/9). The resident who was attacked came from three villages namely the Depok Village, Wonosobo, and the Plobangan Wetan Semua Village casualties were checked in stages by the medical team of the local village Community
Health Centre.

From eleven to 19 casualties from this number were children the PRIMARY SCHOOL and parent. The village head Plobangan Ismail said the case of bird flu that fell on several residents was the first time to happen. According to him more than 250 poultries and the sudden suddenly duck of the chicken kind died in this week. The "handling was carried out every day."

The village community health centre was opened by us the service 24 hours, he said. The team from the health service and the service livestock breeding was dropped to the location. This case rose the status to the extraordinary incident (KLB) and all the resident was asked for guard against.  


[ Parent ]
Bird Flu Attacks Poultry, Citizens Have Health Checks
Bird Flu Attacks Poultry, Citizens Have Health Checks
http://krjogja.com/read/143685...
September 19, 2012
WONOSOBO, Indonesia:  As many as 97 people in three hamlets in Plobangan, District Selomerto, Wonosobo who suffer from the symptoms of bird flu have been checked at the village health post (PKD), Wednesday (19/9).  The inspection was carried out after the discovery of hundreds of birds, either chicken, duck, and stuck belonging to several residents, died suddenly.

"In recent days there were a lot of birds that died suddenly. Then a lot of people were suffering from the flu, with fever, heat, and coughing.  Residents immediately went to the PKD," Ismail told KRjogja.com Plobangan Kadesh on the sidelines culling, Wednesday (19/9).

After the Department of Animal Husbandry and Fisheries (Disnakan) Wonosobo ensured that the hundreds of birds that died suddenly were positive for bird flu, said Ismail, they immediately killed hundreds of other birds.  They also sprayed disinfectant in poultry cages.  

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Does this mean 97 are suspected of bird flu, rather than confirmed?
The first few translations were alarming because it stated they all had bird flu as if this were a confirmed fact, but this last article sounds as if what has happened is 250 birds died, and simultaneously 97 people in the area came down with ILI, so at this point bird flu is suspected but not confirmed...is this correct?

(It's still very worrisome, but I was ready to duck and cover if it were a confirmed cluster of almost 100)

Always have a plan B.


[ Parent ]
At this point, Mary, we just don't know.
To err on the side of caution, I would assume that these people are only showing symptoms.  I do wonder what tests have been done and if they have had time to get lab test results. Nevertheless 97 people with symptoms is still serious.

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson

[ Parent ]
Mary, here is the Toggletext translation.
I had meant to post this ToggleText translation too instead of the Google translation twice. I got sidetracked. The phrase "Belasan children" means  11 to 19 children. Evidently the remainder of the people being examined are adults.  Usually we see more children suspects than adults.  

I don't think there have been any test results yet. Reporters get excited and state conjectures as facts. It is significant that they have declared a KLB. I haven't seen one of these in a while.

On September 19 2012 | 12:12 wib

97 residents Wonosobo was attacked by Burung Flu

WONOSOBO,suaramerdeka.com. - totalling 97 villagers Plobangan, Kecamatan Selomerto Wonosobo was attacked by bird flu, on Wednesday (19/9). The resident who was attacked came from three villages namely the Depok Village, Wonosobo, and the Plobangan Wetan Semua Village casualties were checked in stages by the medical team of the local village Community Health Centre.

Belasan casualties from this number were children the PRIMARY SCHOOL and parent. The village head Plobangan Ismail said the case of bird flu that fell on several residents was the first time to happen. According to him more than 250 poultries and the sudden suddenly duck of the chicken kind died in this week.

The "handling was carried out every day." The village community health centre was opened by us the service 24 hours, he said.

The team from the health service and the service livestock breeding was dropped to the location. This case rose the status to the extraordinary incident (KLB) and all the resident was asked for guard against.


Thanks for posting these, bgw
What do you make of the stories?

[ Parent ]
You really can't tell at this point.
We've seen many situations that seem dire but so far none of them have led to a breakout they couldn't control. There is just no way to tell at this point. We'll just have to watch the situation and hope they give us some accurate information soon. You can't count on that from Indonesia. The new Health Minister seems good but she just hasn't been there long enough to tell how she is going to handle release of information on flu burung cases.

[ Parent ]
Positive Bird Flu Flourishing in Poultry
September 21, 2012
http://e-wonosobo.com/index.ph...
Wonosobo, Indonesia:  Since last week sudden death cases continue to occur in the Village District Plobangan Selomerto.  Even until yesterday (19/9) the number of birds that died suddenly reached 290 tails.  Laboratory test results of these mass poultry deaths are due to bird flu or avian influenza (AI).  According to Mahuri Ahmad, 45, a resident of Plobangan and a chicken farmer, he claimed that about two days ago 30 of his chickens died suddenly and simultaneously.  He claimed he then threw the chickens into the pond behind the house.  After his birds died suddenly, a number of people were also exposed to the same case.

"The dead birds were not only mine, but my neighbors are also experiencing the same thing," he said.

The village head of Plobangan, Ismail, said that initially the villagers had dozens of birds dying suddenly from 9 September until Wednesday (19/9) when the total of dead birds had reached 290 tails.  The details, in the hamlet of Wonosobo, is that there are 43 heads and 247 tails in Plobangan Wetan.

"People knew these cases were a symptom of bird flu since last week," he said.

Head of Wonosobo Animal Health and Husbandry Department of Fish and Fisheries, drh. Sutomo, said that the sudden deaths of mass poultry in the Village District Plobangan Selomerto started since 11 September.  By the next day it  amounted to 112 dead birds.  Afterwards laboratory tests confirmed the chicken deaths were due to symptoms of bird flu.

"We've done lab tests and confirmed the death of the poultry is due to bird flu," he said.

After that, he said, the number of poultry, including chicken and ducks that died, continues to grow.  Until yesterday it amounted to 290 birds.  To attempt to suppress the spread of bird flu virus, they have conducted spraying at homes and residential areas.

"Once we have done spraying, we will continue to monitor, because the number of birds that die continues to grow," he said.

Head of Wonosobo District Health Office dr. Okie Hapsoro said that with the detection of bird flu cases, they had lowered the medical team to do counseling and check directly with the citizens.  In addition, immediate treatment  was also carried out for 70 Plobangan residents who had symptoms of regular flu without fever.

"There are no serious symptoms of bird flu affected.  The results of our medical team are that people just have the flu," he says.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Omitted portion.
Even so, said Okie, health officials revealed that every day in the Plobangan village they will do counseling and direct examination.  This is to anticipate the people infected with bird flu.

"To this day there have been no positive victims of bird flu.  Transmission is only among birds," he concluded.



"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


[ Parent ]
Omitted portion.
Even so, said Okie, health officials revealed that every day in the Plobangan village they will do counseling and direct examination.  This is to anticipate the people infected with bird flu.

"To this day there have been no positive victims of bird flu.  Transmission is only among birds," he concluded.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


[ Parent ]
Eight Year Old Dies of Suspected Bird Flu
October 8, 2012
http://m.inilah.com/read/detai...
Bandung, Indonesia:  Tia Lia Lestari (8), of Kampung Ciganitri RT 4/4 sub Desa Cipagalo Bojongsoang Bandung regency, died on Saturday (10/06/2012).  Lia allegedly died from bird flu (H1N1).  This assumption is in line with the dozens of chickens that died suddenly in the village.

"In addition, one of the doctors who care for children in RSHS asked me who was raising chickens at home or in the past few days were there chickens that died suddenly?  And indeed in this ward, precisely at RT 2, since 4 October today there are dozens of chickens that died suddenly," said Entis Sutisna (40), a parent of the deceased Lia when he was found at his residence, Monday (08/10/2012).  According to Entis, children are often playing at RT 2 with his aunt called Rohimah (35).  The distance of their homes to RT 2 was only about 300 meters.  

"When the doctor at RSHS also asked, I said we do not raise chickens.   So could my child have been exposed to bird flu at RT 2 while playing there," he admitted.

Sutisna said it was early to tell what happened to his son.  On Friday (09/29/2012) then Lia began developing fever illness.  He took him to a doctor who practices near their home.  However, Lia's fever does not go away, and he brought back him to the doctor for the second time.  However, Lia's condition was getting worse, and the doctors raised their hands and advised Entis to take him to RSHS.

"My son was experiencing shortness of breath, dizziness and fever.  On Friday (10/05/2012) night, I take it to RSHS. Following treatment, including intravenous fluids, the disease does not go away," said Entis.

Then, at night, feeling tired, Entis intended to go home to rest.  While in RSHS, Lia's brother-in-law, Yono (25) awaited.  However, just as Entis reached his home, Yono called and let him know that Lia was in critical condition.

"Recently I got home, then I went back to RSHS.  Officials there suggested that Lia was immediately taken to have the autopsy report.  But after the hospital officials saw his room upstairs was full," he said.

Unfortunately, before getting back care, Lia's life, the boy who had just sat in class 2 SD's, was not helped.  Lia exhaled on Saturday (10/06/2012) at 9:45 pm.  

"My son died shortly after I was looking for a post mortem room," he said softly.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


8 Year Old Boy Bird Flu Suspect Death
http://bisnis-jabar.com/index....
October 8, 2012
BOJONGSOANG, Indonesia:  A boy named Lia Lestari (8) of Kampung Ciganitri, Cipagalo Village, District Bojongsoang, Bandung regency allegedly died from bird flu (H1N1) on Saturday (6/10).   The victim's father, Entis Sutisna, 40, said initially Lia suffered on Friday (29/9).  Later, his son was given drugs and recovered.

"However, starting Tuesday my son's pain was back," he said when met at his house on Monday (8/10).

At that moment, he took her straight to the doctor to be checked twice.  "My son was taken to the doctor twice.  But, when they examined the child on Friday, the doctors could no longer (do anything?) and referred him finally to  RSHS,"  he said.  On Friday (5/10) at 22.00 pm, they arrived at RSHS, and she was cared for.  "Until there she had to be handled by a doctor.  However, my son continued fever, stomach nausea, and shortness of breath," he explained.
New on Saturdays at 12.00 pm Lia died at RSHS.  "After Lia's death, the doctor inquired whether or not we had chickens in the house?   Then I said, that the first had a month back and had been cut (killed?)," he said.

Then, he continued, the doctor informed him that Lia was a suspected bird flu positive.  The victim's mother, Yani Maryani, 38, added that her son often played at his aunt's home in the RT02 Rohimah RW04.  

"There were a lot of dead chickens.  Maybe my son contracted this there," he said, adding that a lot of chickens had died since October 4.  "Earlier also there was a check from the government, about four chickens that died suddenly," he explained.

In the meantime, Head of Animal Health (Keswan) Department of Animal Husbandry and Agriculture Bandung regency, Euis Rohayani admitted his office had come to the scene and inspected that poultry that died suddenly and lived.

"For a while, the conclusion was that there were found suspected birds that tested positive for bird flu.  It was derived from the results of the quick samples," he said.

According to him, some samples will be examined during the first 14 days.  After that, the new note is much more suspected avian bird flu or not. Euis said that this region does not include the bird flu endemic areas.  However, he added, that with the discovery of the dead birds, then it will be endemic.  

"One was that included in the endemic area," he said.

He explained that when there are birds that die suddenly, people can directly report to the village or services if there are signs of sudden deaths of poultry, then they will move quickly to get down to the field.  Asked when bird flu had occurred in Bandung Regency, he said it happened in Cileunyi to two people in 2006.  

"They tested positive for bird flu and died," he said.

During the year 2011, there were eight areas in Bandung Regency infected.  The eight areas included the Village District Cijagra Paseh, Village Pangauban Katapang, Village Cileunyi Cileunyi Kulon District, village constable Cimaung District, Village District Margahurip Banjaran, Village Waluya Cicalengka District, Village Patrol Arjasari Sari subdistrict, district and village Maruyung Pacet.  Maria explained that most infections with bird flu were caused by the average free-range chicken.

"To prevent the spread of infection, the eight regions will be re-vaccinated for Avian Influence (AI / AI), including Newcassel Deases (ND / Tetelo).  Besides, we also provide biosecurity in each poultry cage belonging to farmers," he said, adding, all areas will be given the same biosecurity.

Graphing the spread of bird flu, usually occurs in early January-June and November-December.  "This happens because of bad climate and growing population without handling poultry biosecurity and good health," he explained.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Tia's Death Not Bird Flu
http://m.tribunnews.com/2012/1...
October 9, 2012
Bandung, Indonesia:  Hasan Sadikin Hospital (RSHS) confirmed that Tia (8), a patient from Bojongsoang, Bandung Regency, died of severe pneumonia and not due to the H5N1 virus or bird flu.  Therefore over at RSHS they handled Tia as well as other patients and he was not treated specially as a bird flu suspect patient.  RSHS Bird Flu Team Handling, Dr Sri Sudhawati, said that when he came to Emergency (IGD) RSHS, the patient was severely ill.  They were aware that the patient also had begun to decline and there was a problem in some organs such as respiratory illness and the heart rate was very fast also.

"Because there was respiratory failure, we decided to go into a pediatric patient intensive care unit.  And because the patient was experiencing stopped breathing, we installed tools to help breathing, but we could not (help?).  Due to the patient also suffering an infection in various organs and the leukocytes tended to be low," he said when met at RSHS Tuesday (9/10).

Related to the alleged suspect bird flu, Dr. Sri confirmed that in every case of respiratory disorders, patients who come are asked their history.  In fact they not only ask if there is a history of contact with dead birds, patients were also asked if there was contact with pulmonary tuberculosis (TB).  This rule must be made in emergency status, including the patient Tia.  And from the patient's history, there was no history of contact with dead poultry.

"Not all bird flu is pneumonia. We reiterate this patient had no history of contact with dead poultry.  The patient experienced severe pneumonia and is caused by other consequences," he said.

As reported, The patient Tia entered IGD RSHS on 5 October at 22:31.  And the patient was pronounced dead on October 6 at 11:00.  

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


RSHS Says Tia's Death Not From Bird Flu
http://www.seputar-indonesia.c...
October 10, 2012
Jakarta, Indonesia:  The Hasan Sadikin Hospital (RSHS) Bandung has ensured (assured?) that the death of the patient Tia Lestari, 8, a resident of Bojongsoang, Bandung Regency, is not due to bird flu.  Bird Flu Handling Team at RSHS Dr Sri Sudhawati confirmed that the patient died due to pneumonia or severe lung disease.  

"The patient was not suffering from bird flu, he suffered from severe pneumonia.  Because before he had contact with poultry that died suddenly," he said when met at RSHS, yesterday.

The procedure is always performed when it is known that any patient experienced severe respiratory distress or pneumonia.  As reported previously, Tia allegedly died of bird flu.  While there were 15 chickens that died suddenly around the victim's house and his aunt, these were examined by the Department of Animal Husbandry and Fisheries (Disnakkan) Bandung regency.

Bandung Regency Chief Medical Officer (PHO) Achmad Kustijadi RSHS asserted that as a result of information, the cause of death of the victim is not bird flu, he said yesterday.  Even so officers and Disnakan Bandung District Health Office also performed related steps in anticipation of bird flu.  


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Cipagalo Residents Worry About Bird Flu Virus
http://m.inilah.com/read/detai...
October 10, 2012
Bandung, Indonesia:  After the death of TL (8), of Kampung Ciganitri RT 4 RW 4 sub Desa Cipagalo Bojongsoang Bandung Regency, which was allegedly caused by avian flu (H5N1),  village residents fret though death toll from the virus has not been shown.

"Especially when there are unknown chickens that tested positive for bird flu virus.  Of course we worry, despite similar disinfectant fluid sprayed by the Department of Animal Husbandry and Fisheries," said Henry Gunawan (37), a resident of RT 2, Wednesday (10 / 10/2012).

Moreover, they  have known since October 4 yesterday that a lot of chickens died suddenly in his village.  Thus, he and his family chose to clean up the house and keep poultry cages, poultry, or pet birds.

"We'd better stop, before the incident.  Moreover, based on the news that I have seen in a variety of media, if any of the birds are found, then the area can be declared as endemic," he said.

Henry said there were a number of chickens owned by residents in his hometown that died suddenly, the first time this has happened.  Previously, there was never any here.  Thus, because of the incident, he and other villagers were quite surprised.  

"From the first, then there are events like this.  I do not know what the cause is," he said.

However, he and other residents have a little breathing space after the Department of Livestock and Fisheries and the Department of Health directly intervened.  Thus, although there is still a feeling of worry, he and other residents began to know the procedures for the handling of poultry, or how to handle if there is one resident who had a flu or fever who should be quickly brought to the nearest health center.

"Just as officers of the government came to spray enclosures while providing counseling," he said.

As reported previously, TL (8) of Kampung Ciganitri RT 4 RW 4 sub Desa Cipagalo Bojongsoang Bandung regency, allegedly died of bird flu (H1N1 virus).  The victim died on Saturday (10/06/2012).  This assumption is in line with the dozens of chickens that died suddenly in the village.



"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Kulonprogo Hospital Suspects One Toddler Hit by Bird Flu
http://www.republika.co.id/ber...

December 11, 2012
Kulonprogo, Indonesia:  House of Regional General Hospital (Hospital) Kulonprogo District has a toddler suspected of contracting bird flu.  The toddler who is from the District of Mercy and has fever and symptoms of bird flu was treated in Hospital Kulonprogo, early last month in December 2012.

"Hospital Admission on Sunday (2/12) was due to the heat and almost similar to the symptoms of bird flu.  Near his home there are no dead birds," said Bambang Haryatno, Chief of Kulonprogo Hospital, in his office, Tuesday (11/12 ).

Since there was no information about the dead birds, the hospital moved quickly to deal with the case as handling a bird flu patient.  Even blood samples were sent to Jakarta to be examined whether they were positive or negative bird flu.

"It was after his blood was checked, there were negative laboratory results of bird flu. The toddler was allowed to go home on December 4th," said Bambang.

Bambang explained they had to disseminate to the public to be alert to the symptoms of bird flu. Socialization is expected by society to be responsive and to bring citizens suspected of bird flu to the nearest health center or hospital.  So workarounds are not too late.

 

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


4 year old dies of suspect H5N1
DECEMBER 14, 2012 | 3:56 PM

Ministry of Health, Directorate General of Disease Control and Environmental Health announced a new case of H5N1 has been confirmed by the Center for Basic Biomedical and Health Technologies, Balitbangkes.

Case on behalf of the IT (male, 4 years old) residents of Kampung Nagreg, Gorowong Village, District Parung Panjang, Bogor regency, West Java. Dated 30 November 2012 symptoms of fever, December 1, 2012 the case went to Pustu. Dated December 4, 2012 because there was no change in the case of seeing a private doctor, dated December 5, 2012 morning the case went to the health center and in the afternoon the case was referred to the Private RSIA for hospitalization. Dated December 6, 2012 the case was referred to the Tangerang District Hospital because of fever, cough, and shortness. The situation gets worse case and the case eventually died at 23:40 pm.

Epidemiological investigations have been conducted into the hospital, and the case surrounding the Integrated Team MoH and local health service, possible risk factors that come in direct contact with poultry carcasses (entog) in the neighborhood.

With the increase of these cases, the cumulative number of bird flu in Indonesia since 2005 until this news broadcast is 192 cases with 160 deaths.

this article is translated
http://afludiary.blogspot.com/

United we stand: Divided we fall
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Indonesian Boy Dies of Bird Flu
http://sehatnegeriku.com/lapor...
December 14, 2012
West Java, Indonesia:  The Ministry of Health, Directorate General of Disease Control and Environmental Health has announced that a new case of H5N1 has been confirmed by the Center for Basic Biomedical and Health Technologies, Balitbangkes.  The case is on behalf of IT (male, 4 years old), a resident of Kampung Nagreg, Gorowong Village, District Parung Panjang, Bogor Regency, West Java.  On 30 November 2012 he had symptoms of fever, on December 1, 2012 the boy went to Pustu.   On December 4, 2012 there was no change in the case after seeing a private doctor.  On December 5, 2012 in the morning the boy went to the health center and in the afternoon the boy was referred to the Private RSIA for hospitalization.   On December 6, 2012 he was referred to the Tangerang District Hospital because of fever, coughing, and shortness of breath.  The situation worsened case, and the boy eventually died at 23:40 pm.

Epidemiological investigations have been conducted into the hospital, and the case surrounding the Integrated Team MoH and local health service.  Possible risk factors were that he came in direct contact with poultry carcasses (entog) in the neighborhood.
(snip)
Director General of Disease Control and Environmental Health, Prof. dr. Tjandra Yoga Aditama as the focal point of the International Health Regulations (IHR) has informed WHO about the case.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Two Persons Die of Bird Flu in Jogja
http://krjogja.com/read/154531...
December 16, 2012
Yogyakarta, Indonesia: The case of bird flu (H5N1) in the DIY in the past four months has left two people dead.  Both come from the Sleman district where one person tested positive for H5N1, and the other one is a suspect H5N1.  Head of Disease Control and Health Issues (P2MK) DIY Health Department Daryanto Chadorie revealed that one positive case of H5N1 occurred about four months ago in the area of Prambanan, Sleman.  The patient was a man about 39 years old who died in Bethesda hospital.

"The other one is still a suspect H5N1 case, a toddler.  Blood samples also were sent to health laboratories in Jakarta last week. Yet until now there has been no result," he said, Sunday (16/12)

According to him, because of the deaths of two people with bird flu, the case should have been declared an Extraordinary Incident (KLB).  However, the decision to declare the outbreak is contained in each county/city.

"Although there has been no declaration of bird flu outbreaks, the handling is done as an outbreak of bird flu in Prambanan.  When patients tested positive for bird flu, the epidemiological investigation (began) immediately," he said.

Meanwhile, the case of the death of a toddler allegedly because of AI was also expressed last week by H5N1 Team Prevention H5N1 Dr Dr. Dr. Sardjito Sumardi, SpPD (K).

"A week ago there was information that the infant suspected of bird flu would be referred to the department of Sleman Sardjito.  However not yet (before he) reached the department of Dr. Sardjito, the patient died. Due to the death not (occurring in) Dr Dr Sardjito, then we did not do a sample," he added.



"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Bird Flu Kills 4-Year-Old in Indonesia
http://www.news24.com/World/Ne...
December 18, 2012
Jakarta, Indonesia:  A 4-year-old Indonesian boy has died from bird flu, bringing the death toll to 160 in the country hardest-hit by the deadly virus, a health official said on Tuesday
(snip)

The boy died on 6 December in Tangerang city, just west of Jakarta, the capital, said health ministry official Rita Kusriastuti.  He developed symptoms of a cold and fever on 30 November and was treated at a public health center before being hospitalized the same day he died.  Kusriastuti said the boy, from the West Java district of Bogor, was believed to have been infected with the H5N1 virus after having direct contact with dead fowl around his house.
(snip)

Last week, Kusriastuti said a form of the H5N1 virus not previously detected in Indonesia had killed hundreds of thousands of ducks on the main island of Java.
(snip)

The new form of the virus is believed to have entered Indonesia through imported ducks, but Kusriastuti said it's also possible it may have evolved on its own from existing strains.
(more)


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


WHO Confirms 2 H5N1 Cases
December 19, 2012
http://www.cidrap.umn.edu/cidr...
In a sketchy monthly update, the World Health Organization (WHO) yesterday confirmed an H5N1 avian flu case in a 2-year-old Egyptian girl earlier this month and an H5N1 death in a 4-year-old Indonesian boy that local media had reported this week. The few details that the WHO provides about the girl, from Demietta governorate, are confusing. The agency lists her date of illness onset as Dec 3, but it also says she was hospitalized on Dec 1. It says she received oseltamivir (Tamiflu) on Dec 4 but doesn't specify whether she has recovered. Her case is Egypt's 11th this year, 5 of which have been fatal, according to WHO data. The Indonesian boy, from West Java, became ill Nov 30, was hospitalized Dec 5, and died Dec 6, the agency said. Indonesia has now confirmed nine H5N1 cases this year, all fatal. The two countries lead the world in 2012 H5N1 cases, with Vietnam, at four cases, reporting the third-highest number. Since 2003, the WHO has confirmed 610 cases, 360 of which (59%) have been fatal. The WHO's previous update was Nov 5. The agency recently said it would report global cases monthly.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson

Suspected bird flu victim in Semarang
Ainur Rohmah, The Jakarta Post, Semarang | Archipelago | Wed, December 19 2012, 7:55 PM
The Central Java Health Agency says it has received a report of a suspected case of bird flu in the province.
The 54-year-old man, a resident of the Sambiroto subdistrict, was currently under treatment at St. Elisabeth Hospital in Semarang, officials said.
"The man has been suffering from a cough, a cold and a high fever, with temperature above 38 degrees Celsius," Rorry Hartono, the agency's disease control and environmental health division chief, said on Wednesday.
More than 62,000 ducks have thought to have died from the H5N1 virus in 21 regencies and cities in the province as of Tuesday, according to officials.

Central Java Animal Husbandry Agency head Whitono said that the virus, which apparently mutated since it was brought to Indonesia via migrating birds, has spread quickly since the first case was reported in the province in September.

"This case is quite new because bird flu commonly infects chickens," he said.
The Central Java Agriculture Agency has distributed 9,300 liters of disinfectant, calling on farmers to report any ducks who have recently died to the agency.

http://www.thejakartapost.com/...

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Bird Flu Suspect Isolated in Semarang
December 20, 2012
http://m.merdeka.com/peristiwa...
Semarang, Indonesia:  Suspected (of contracting the) bird flu virus, a man with the initials of Semarang District Court is undergoing treatment at the Bubble Vincent Elizabeth Hospital in Semarang, Central Java.  The male patient came with symptoms and complaints of cough, cold and hot with high temperatures.   He was hospitalized Monday (17/12) until now.

"The patient has a farm in the area Bergas, Semarang regency, with three or four dead chickens. Fearing his condition and his shortness of breath, the man reported," said Public Relations Elizabeth Hospital Semarang Probowati Tjondronegoro reporters in his office, Thursday (20/12).

Personnel at RS Elizabeth finally reported to the City Health Office (DKK) Semarang that directly fielded a team to inspect the condition of the Constitutional Court.  Based on the results of the photo such as piston Elizabeth Hospital and the other shows the patient's condition is
good.  While the results of the examination of the DKK team are still undergoing laboratory tests, the results will be known on Saturday (22/12) tomorrow.

"If there is a (positive result), then we'll move (refer) to RSUP Kariadi because there is a room for tackling patients with suspected bird flu," he said.

Chief Medical Officer (PHO) of Central Java Province Anung Sugihantono describes that this is the first time in the year 2012 that a confirmed case of suspect bird flu that hit the man with the initials MK in Elizabeth Hospital.

"In epidemiology, the Court considers this suspect because of a history of contact with dead poultry.  Governance (patients) as well as bird flu, its handling is split," he said on Thursday (20/12).

Examination of the health department has been done.  But the results of the examination of suspected bird flu or H5N1 could only come out on Saturday (22/12) future.

"We have not yet dared to make sure the relevant (MK) contracted the bird flu virus and is a suspect. Let's wait for the result on Saturday (22/12) tomorrow," he concluded.



"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


15-Year-Old Bird Flu Suspected Isolated in Central Java Hospital
Affected by Bird Flu Virus, ABG Resident Isolated in Kendal
December 22, 2012
http://m.merdeka.com/peristiwa...
Central Java, Indonesia:  For the second time, a resident in Central Java is suspected of bird flu virus and isolated in hospital.  The second victim this time is an older new child (ABG), 15 years old.  The boy, with initials MAK, had to be treated in hospital isolation room at Doctor Soewondo Kendal Regency, Central Java.

Doctors Hospital Soewondo Kendal PR, Endang Setyorini confirmed to merdeka.com on Saturday (22/12) that the patient came to the hospital on Friday (21/12).  The patient complained of head dizziness, cough, runny nose and body high heat.

"His complaint was initially really like the common flu.  However, the fact that the complaint appears to say there were a lot of birds in the surrounding environment that died suddenly, the patient was immediately placed in isolation.  We are concerned if this is positive bird flu," he said.

According to Muarifin (15), who is a relative of MAK, the patient comes from Pare district of Kediri Regency, East Java.  Since Monday (17/12) he and MAK were at the home of relatives at Hamlet Dodokan RT 2 RW 5 Navan Rural District Patebon Kendal to attend a niece's wedding.

"But on Friday morning MAK suddenly complained of pain.  It is a fact we had never been in direct contact with poultry but often by chance we see a duck coop adjacent.  Before complaining hot, so amazing.   On Thursday we even had time to play PS (playstation) together. MAK was brought to the health center, but was subsequently referred to the hospital," said Muarifin.

Deputy Director of Field Services Kendal Soewondo Doctors Hospital Saeikhu said that in addition to the space, a special diet for the patient is also considered so his condition does not drop.

"Currently, blood and saliva samples of the patient are being conducted for laboratory tests in hospitals Dr. Kariadi Semarang.  Samples have been sent.  To determine if it is positive or not, we wait for the results," said Saekhu.

Shaeku added that MAK is the first patient in Soewondo Hospital in 2012 suspected of bird flu. But to anticipate the surge in bird flu suspect patients, they have set up some other isolation.
Previously, as reported to merdeka.com, Kendal DVO poultry in six states had tested positive for bird flu.  Additionally there were Patebon, the District Weleri, Rowosari, Cepiring, South Kaliwungu and Brangsong.

With suspect MAK, the Kendal resident is isolated due to the AI virus in Central Java had two patients undergoing treatment in the isolation room at the two hospitals. The first alleged AI suspect victim was MK, a Bergas citizen, Semarang regency who is a poultry farmer.  MK is undergoing treatment in the isolation room Semarang Elizabeth Hospital since Thursday (20/12) as a suspect patient who complains of AI-like virus.

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Cilegon Bird Flu Suspect
January 4, 2013
http://www.radarbanten.com/bet...
Cilegon, Indonesia:  The public is asked to increase their vigilance against bird flu.  This is because the disease caused by avian influenza (AI) is thought to have begun infecting people.
Yesterday, Purnama Sari Indah (22), a resident of Environment Ciberko, RT / RW 02/02, Village Kalitimbang, District Ciberer, was declared a bird flu suspect.  Since Wednesday (2/1), Purnama experienced fever, dizziness, and shortness of breath.  He suffered this after discarding some of his birds and poultry that died suddenly.
 

"It's been a few days my chickens, ducks, and pigeons died suddenly.  Originally they had seizures with blue eyes, and then died.  Fearing the end I threw the carcasses into the river near the house.  I threw the chicken carcasses last Wednesday (2/1) afternoon," Purnama told the clerk at the Department of Agriculture and Marine (Disperla) Cilegon who visited yesterday.

After hearing Purnama's explanation, the officer immediately checked his blood birds.  The Disperla officer who arrived related reports of the birds that died suddenly in Kalitimbang.  

"I did have a report to Disperla that my birds died suddenly.  I suspect that the chickens and ducks had bird flu, even now it seems I am also affected by bird flu," said Purnama.

He admitted that he had to check his health to the health center Ciberer.  Personnel referred him to the hospital clinic Cilegon, on Village Panggungrawi, District Jombang.  In the Cilegon hospital Purnama had a blood test.  Unfortunately, he claimed not to know the results of the test.  

"After the blood was taken, I went home.  The problem is, after the blood tests at night, I want to break a strong baseball," he complained.

Hospital Director Dr. Zainoel Arifin Cilegon contacted last night said the blood tests performed in the Ministry of Health Laboratory (MoH).  

"Directly we send this to the Ministry of Health, because we do not have the tools for the observation of bird flu," he said.

Meanwhile, Head of Control and Environmental Health (P2PL) at the Department of Health (PHO) Cilegon Retno Windarwati admitted monitoring the progress of the illness Purnama. Therefore, he was not sure when Purnama (contracted?)  H5N1 virus (bird flu).  

"The processed blood tests are the property of Purnama, until now we have not received the results.  Because of the illness has not been confirmed that Purnama has bird flu," he said.  "We are also awaiting the results of the examination by Disperla Cilegon related the the birds that died suddenly.  If the birds died from bird flu, we will take precautions so it will not attack humans," added Retno.

In the meantime, Head of Animal Health (Keswan) and Public Health Feteriner (Kesmafet) on Disperla Cilegon Dr. Dina Safitri Animals recorded more than 20 birds and chickens that died suddenly in the Citangkil and Ciberer.  They are now investigating the case.  

"We've taken some blood samples.  Now we must test to find out if indeed this is a bird flu attack," he said.

Dina said the case is different from previous years.  This time the alleged attack of bird flu is more contagious to waterfowl, namely ducks.  

"Usually it is attacking chickens, but now the water fowl get this attack," he said.

He said Cilegon is not an endemic area of bird flu.  Moreover, during 2012 it accounted for only ten cases of alleged reports of bird flu.  Nevertheless, he asked people to keep improving alertness.  Therefore, this rainy season increases the potential for bird flu.  

"The attacks of bird flu are common in the rainy season.  Therefore, I hope people who raise poultry are more diligent in cleaning cages, washing well with coir.  Birds must always be in the cage, so that if there is a sudden death, it does not spread to other areas," he said.  


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Bird flu infects three in Cambodia, killing two
http://www.cbsnews.com/8301-20...

BS/AP/ January 25, 2013, 10:08 AM

PHNOM PENH, CAMBODIA Bird flu has infected three humans in Cambodia, killing two, health officials said Friday.

The cases that have occurred in the first three weeks of this year amount to as many cases the country reported throughout all of 2012.

The cases are among the first reported in 2013 for the virulent virus, known as H5N1, which the World Health Organization says has killed 360 other people worldwide since surfacing in 2003.

WHO and Cambodia's health ministry announced that a 15-year-old girl in a village in southeastern Takeo province and a 35-year-old man in central Kampong Speu province died after being hospitalized with bird flu. An 8-month-old boy in the capital, Phnom Penh, was treated and survived.

Cambodia reported three cases last year, all of them fatal. Since 2005, it has recorded 21 cases, 19 of them fatal.

[continued at link]


More details
From the joint press release from the MOH and WHO:

The first case, an 8-month old infant boy from Chrey Korng Village, Sangkat Chorm Chao, Khan Por Sen Chey, Phnom Penh has been diagnosed with H5N1 influenza. He developed symptoms on 08th January 2013 then was brought to the National Paediatric Hospital for consultation on 9th January with fever, cough, runny nose, and vomiting. The boy was registered in the Influenza-Like Illness Sentinel Surveillance and the samples were sent to the National Institute of Public Health's laboratory on 11th January. The result was confirmed by Institut Pasteur du Cambodge on 22nd January 2013. The infant has recovered and had history of coming into contact with poultry prior to becoming sick.

The second case, a 15-year-old female from Snao village, Snao commune, Prey Kabass district, Takeo Province, has been diagnosed with H5N1 influenza on 22nd January 2013. She became sick on 11th January suffering with fever and cough. She was initially treated by local private practitioners. Her condition worsened and she was admitted to Kantha Bopha Hospital on 17th January with fever and shortness of breath. Unfortunately, despite intensive medical care, she died on 21st January. There is evidence of recent deaths among poultry in the village and the patient prepared sick chicken for food prior to becoming sick.

In the third case, a 35-year-old man from Trapeang Sla village, Preah Nipean commune, Kong Pisey district, Kampong Speu province has been diagnosed with H5N1 influenza on 23rd January 2013 by Institut Pasteur du Cambodge. He became sick on 13th January, 2013 suffering with fever and cough. He was initially treated by local private practitioners. His condition worsened and he was admitted to the Khmer-Soviet Friendship Hospital in Phnom Penh with fever and dyspnea on 21st January. Samples were taken the same day and sent to the National Institute of Public Health's laboratory. Despite intensive medical care, the patient died soon after the samples were taken. There is evidence of recent deaths among poultry in the village and the patient prepared sick chicken for food prior to becoming sick. The man is the twenty-fourth person in Cambodia to become infected with H5N1 virus, and the third person this year and the twenty-first person to die from complications of the disease.

Of all the twenty four cases [to date], 15 were children under 14, and fifteen of the twenty four confirmed cases occurred in females.


[ Parent ]
Bird flu claims two victims in Cambodia
Cambodia has reported three new human cases of bird flu, two of them fatal, in the first three weeks of this year.

The cases are among the first reported in 2013 for the virulent H5N1 virus (Snip). http://www.scotsman.com/news/i...

(Note: These human cases most likely are caused by the newer clade 2.3.2 strain out of China. (JMO) That clade has spread in the poultry over a large portion of Vietnam during the past year. There were 4 confirmed human cases of H5N1 in Vietnam in 2012 and 2 of them died. This same clade has been found recently in the poultry in Indonesia. Confirmed human cases of H5N1 in Indonesia totaled 9 with 9 deaths in 2012. Cambodia had 3 confirmed human cases in 2012 with 3 deaths and now 3 new cases with 2 deaths in 2013. IMO, the clade 2.3.2 is the scariest strain to evolve so far.)

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


[ Parent ]
Two Cambodians die from bird flu: WHO
Two Cambodians have died from bird flu (Snip), the World Health Organization said Friday.

Tests on the victims, a 15-year-old girl and a 35-year-old man who died earlier this week, confirmed they had contracted the H5N1 strain of avian influenza (Snip).

An eight-month-old boy admitted to hospital in Phnom Penh on January 9 was also infected with H5N1 but later recovered (Snip).

There was evidence of infections among poultry in the villages of the two who died and the pair "prepared sick chicken for food prior to becoming sick", (Snip).

Cambodia has recorded 24 cases of H5N1 since 2003 with all but three of the victims dying. Continued: http://www.terradaily.com/repo...  

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Cambodia has second 2013 bird-flu death
(Note: This is a little more information on these cases that were officially reported last week.)

PHNOM PENH, Cambodia, Jan. 28 (UPI) -- (Snip) a teenage girl who suffered from bird flu died Monday, the second death from the H5N1 virus this year.

There have been four reported cases of the avian disease and that is probably the "tip of the iceberg," said Dr. Philippe Buchy, head of the virology unit at the Institut Pasteur du Cambodge that tested the recent cases.

The girl, 15, was from the village of Snao in Takeo province.

On Saturday, more than 4,000 chickens and ducks were killed and burned outside her village, district Gov. Ith Sa said. The village was sprayed and medicine was distributed to eradicate the virus, the governor said.

The other person killed by the disease since the beginning of the year was a 35-year-old man (Snip).

(Snip) a 2-year-old girl from Kampong Speu was diagnosed Saturday after being admitted to a Phnom Penh hospital. More than 40 chickens at the child's house had become sick and died before she was hospitalized (Snip). http://www.upi.com/Top_News/Wo...


Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


[ Parent ]
Bird flu kills two more children in Cambodia
The Cambodian office of the U.N.'s World Health Organization said a 17-month-old girl from central Kampong Speu province and a 9-year-old girl from southern Kampot province died Monday after being hospitalized.

Last week, Cambodia reported three human cases of bird flu, two of them fatal. For of all 2012, the country reported a total of three cases, all fatal.

Cambodia since 2005 has reported 26 cases, 23 of them fatal. Continued: http://medicalxpress.com/news/...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


WHO: Fourth and fifth new human cases of avian influenza H5N1 in Cambodia in 2013
http://www.wpro.who.int/mediac...

Joint news release of the Ministry of Health of the Kingdom of Cambodia and World Health Organization

PHNOM PENH, 29 January 2013 - The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that two new more cases of avian influenza has been confirmed positive for the H5N1 virus.

The fourth case is a 17-month-old girl from Prey Nheat village, Prey Nheat commune, Kong Pisey district in Kampong Speu province has been diagnosed with H5N1 influenza on 26th January 2013 by Institut Pasteur du Cambodge. She developed symptoms on 13th January 2013 with fever, cough, runny nose, and vomiting. She was initially treated by local private practitioners. Her condition worsened and she was admitted to Kantha Bopha Hospital on 17th January with fever, cough, somnolence, and dyspnoea. Unfortunately, despite intensive medical care, she died on 28th January. There is evidence of recent deaths among poultry in the village and the girl had history of coming into contact with poultry prior to becoming sick.

In the fifth case, a 9-year-old girl from Thmei village, Thmei commune, Toeuk Chhou district, Kampot province has been diagnosed with H5N1 influenza on 28th January 2013 by Institut Pasteur du Cambodge. She became sick on 19th January, 2013 suffering with fever and cough. She was initially treated by local private practitioners. Her condition worsened and she was admitted to Kantha Bopha Hospital with fever cough, somnolence and dyspnoea on 27th January. Despite intensive medical care, the patient died on 28th January. There is evidence of recent deaths among poultry in the village. This girl is the twenty-six person in Cambodia to become infected with H5N1 virus, and the fifth person this year and the twenty-three person to die from complications of the disease. Of all the twenty six cases, 17 were children under 14, and seventeen of the twenty six confirmed cases occurred in females. (snip)

The Ministry of Health's Rapid Response Teams (RRT) have gone to the hospitals and the field to identify the patient's close contacts, any epidemiological linkage among the three cases and initiate preventive treatment as required. (continued)


Proximity of cases 3, 5 & 6
Cases 5 & 6 are from the same district in Kampong Speu province:

Case 5:
35M
Trapeang Sla village, Preah Nipean commune, Kong Pisei district, Kampong Speu province
Developed symptoms Jan. 13; died Jan. 21

Case 6:
17 month-old girl
Prey Nheat village, Prey Nheat commune, Kong Pisei district, Kampong Speu province
Developed symptoms Jan. 13; died Jan. 28

Kong Pisei district is about 50km southwest of Phnom Penh, where case 3 was located.


[ Parent ]
New Bird Flu Case Raises Fears in Cambodia
PHNOM PENH -  (January 28, 2013 ) Two Cambodians have already died from bird flu in 2013, making a worrying start to the year. Now a two-year-old Cambodian girl is in a serious condition in Phnom Penh after being hospitalized with the H5N1 virus (Snip).

Sonny Inbaraj Krishnan, the communications officer for the World Health Organization in Phnom Penh, says the development has health professionals concerned. "This is the fourth case this month of human influenza H5N1," Krishnan said. "Last year we had three cases, so within one month in the new year we've got four cases, and we're quite concerned about that."

(Snip)  

The latest victims here were a 15-year-old girl, who died a week ago, and a 35-year-old man, who died last Wednesday. A baby who fell ill earlier in the month has recovered. Over the weekend officials culled and burned more than 4,000 chickens and ducks in the village that was home to the 15-year-old victim.

However, other diseases such as dengue and malaria kill many more people than H5N1, so Krishnan was asked what is the concern with avian flu? "Well our specific worry is that this H5N1 virus could undergo what we call a recombination and then re-assortment with another influenza virus," he explained, "and that could give rise to a new virus that is transmittable between humans - so that's our main concern."

Cambodia is a predominantly agricultural nation, and every village has its chickens and ducks. Health ministry staff are monitoring those who came into contact with the patients who were infected, and teams from the agriculture ministry are testing poultry in the affected villages and destroying sick birds.  

On Friday Health Minister Mam Bunheng called on parents to ensure their children wash their hands regularly, and stay away from sick and dead poultry. He also advised that children who develop breathing difficulties should be taken directly to the nearest health clinic.

Krishnan says TV and radio are being used to spread that message. "So from this week onwards we're going to increase the number of radio and TV spots - telling them how to protect themselves and their families from avian influenza," he explained. "Especially to watch out for children playing with chickens - and also a very important message is to wash your hands."

Cambodia reported its first cases of H5N1 in 2005 when four people died. To date the worst year was 2011 when eight people were infected. All eight died.

The country's weak health sector is a hindrance and likely goes some way to explaining why Cambodia's avian flu fatality rate of nearly 90 percent - 21 dead from a total of 24 infected - is so much higher than the global average of around 60 percent.

(Big Snip)

One looming complication is Chinese New Year, which starts on February 10. It is a time when large numbers of poultry are transported to markets, and that raises the risk that infected birds could spread the disease. (Snip). http://www.voanews.com/content...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Cambodian bird flu deaths prompt awareness drive
PHNOM PENH, 28 January 2013 (IRIN) - Health authorities in Cambodia will bolster public awareness campaigns on H5N1 avian influenza after four people became infected in January, resulting in two fatalities. "Ongoing public awareness campaigns need to be reinforced through TV and radio," Sok Touch, director of Cambodia's Communicable Disease Control Department (CDC), told IRIN on 28 January, calling on people to be vigilant. "We're planning on doing this immediately as there is no room for complacency."

The four cases of H5N1 avian influenza, commonly known as bird flu, are the first confirmed in Cambodia this year. There were three recorded cases (all fatal) in 2012.

Since 2005, 24 people have been infected resulting in 21 deaths, according to WHO, with over half of the infections in children under 14.

According to a joint statement from the Ministry of Health and World Health Organization (WHO) on 25 January, an eight-month-old boy from the capital Phnom Penh recovered after being infected with bird flu, while a 15-year-old girl from southwestern Takeo Province and a 35-year-old man from southwestern Kampong Speu Province died after contracting the virus.

The CDC said the boy had contact with chickens at a market, but the girl from Takeo and the man from Kampong Speu both fell ill after cooking dead chickens gathered from their villages. A fourth case, also in Kampong Speu, was confirmed by the Ministry of Health on 27 January, when a 17-month-old girl tested positive for H5N1.

"We are working closely with the Ministry of Health to enhance surveillance of H5N1," said Sonny Krishnan, communications officer with WHO in Phnom Penh, adding that WHO did not know yet if there was a link between the cases of the girl and 35-year-old man. "We just did a map of the two communes and they're not far from each other, so there could be an indication of a movement of poultry," Krishnan said. Continued: http://www.irinnews.org/Report...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Five Toddlers Have Probable Bird Flu Infection
http://news.mnctv.com/index.ph...
January 30, 2013
Padang, Indonesia:  Five toddlers in the city of Padang are allegedly infected with the bird flu virus and hospitalized in Muhammad Jamil.  The five children whoare allegedly infected with bird flu in the city of Padang, allegedly had contact with dead poultry.  They were treated intensively in isolation with the suspected disease in hospital M Jamil.  Some of them had been treated for three days.

Until now, their condition is not stable and they are still experiencing shortness of breath and high fever. To make sure whether they are positively infected by the H5N1 virus, blood samples have been sent to a hospital in Jakarta.  Based on information from the patient's parents, their sons had direct contact with chickens that died suddenly in the home environment.  Anticipating the spread of the H5N1 virus, the Padang Animal Husbandry Department has been spraying and checking poultry in the traditional markets.  Since its inception in 2011, they have found 10 cases of birds that died suddenly in the city of Padang.  Dozens of dead birds were positively infected with the H5N1 virus.  Traders are advised to keep them in their chicken coops.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Cambodia: Bird flu claims fifth Cambodian victim this year
PHNOM PENH: A five-year-old Cambodian girl has died from bird flu, bringing the country's toll from the deadly virus to five so far this year, the World Health Organisation (WHO) said on Friday.

The girl, from the southern province of Takeo, died on Thursday in hospital and tests confirmed that she had contracted the H5N1 strain of avian influenza (Snip).

She had come into contact with poultry prior to becoming sick, the statement said.

Cambodia has recorded 27 cases of H5N1 since 2003, all but three of them fatal. Four Cambodians, including a 17-month-old girl, died from the strain last month. Continued: http://www.channelnewsasia.com...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Bird flu deaths reach five in Cambodia
The fifth fatality from the H5N1 virus was a 5-year-old from Takeo province, who died in hospital on Thursday, said Sonny Inbaraj Krishnan, a spokesman for the World Health Organization (WHO).

A sixth victim recovered in January, he said, adding that no human cases of bird flu have been reported outside Cambodia this year.

A team from the Ministry of Health had travelled to the girl's village to test residents and advise them on how to avoid infection, he said.

"They will take swabs and draw blood and test it for the virus soas to rule out human-to-human transmission." All human cases of H5N1 have been infected by contact with poultry, but health professionals fear the virus could combine with another or mutate and gain the ability to pass between people.

The authorities in Takeo province in south-eastern Cambodia were also checking that infected birds are not moved. Last month agriculture teams culled 4,700 chickens and ducks in Takeo after another death from the disease. Continued: http://www.nationmultimedia.co...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


[ Parent ]
Sixth New Human Case of Avian Influenza H5N1 in Cambodia in 2013
http://www.wpro.who.int/mediac...

(Joint news release of the Ministry of Health of the Kingdom of Cambodia and World Health Organization)

PHNOM PENH, 8 February 2013 - The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that one new more case of avian influenza has been confirmed positive for the H5N1 virus.

The sixth case is a a 5-year-old girl from Angk Krasang village, Prey Lvea commune, Prey Kabass district in Takeo province has been diagnosed with H5N1 influenza on 7th February 2013 by Institut Pasteur du Cambodge. She developed symptoms on 25th January 2013 with fever, cough, and vomiting. She was initially treated by local private practitioners. Her condition worsened and she was admitted to Kantha Bopha Hospital on 31st February with fever, cough, and dyspnoea. Unfortunately, despite intensive medical care, she died on 7th February. There is evidence of recent deaths among poultry in the village and the girl had history of coming into contact with poultry prior to becoming sick. The girl is the twenty-seven person in Cambodia to become infected with H5N1 virus, and the sixth person this year and the twenty-four person to die from complications of the disease. Of all the twenty seven cases, 18 were children under 14, and eighteen of the twenty seven confirmed cases occurred in females. (continued)


[ Parent ]
This is the 2nd fatal case this year from Prey Kabass district
Case #4 (in the table above) was also from Prey Kabass district, Takeo province, but from a different commune.

[ Parent ]
Bird Flu Suspect Hospitalized in Padang
February 9, 2013
http://news.okezone.com/read/2...
Padang, Indonesia:  A resident of Kampung Lintang, Sunur Nagari, District Nas Sabaris, Padangpariaman regency, West Sumatra was treated at Dr M. Djamil Padang.  The senior, 73 years old with the initial D, is an alleged bird flu virus (H5N1) suspect.  Giving Information and Documentation Officer (PPID) Dr M.  Djamil Padang, Gustafianov, confirmed they are nursing a bird flu suspect patient, who is now in the isolation space.  

"From the symptoms he suffered suspected bird flu, lest other people are now infected with the same patient in isolation.  The symptomsare  similar to bird flu," he told Okezone, Saturday (02/09/2012).

He continued that today they are giving intensive care for the patient while waiting for laboratory results.  "We are still awaiting the results of the examination in the laboratory, whether these patients truly affected by bird flu or not," he said.

Gustafianov continued that the patient was admitted to the hospital on Friday, February 8 at approximately 12:00 noon EDT.  From the description of the family, he continued, the patient had three days of high fever, coughing, and difficulty breathing.  "Initially, the patient was taken to the hospital Padangpariaman, but the hospital referred the patient here," he said.

While based on information from the family, the patient was not in contact with farm animals.  Only, hundreds of ducks around at their home died suddenly on Wednesday, February 6 last.  Allegedly, the ducks were affected by bird flu.  

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Suspect Bird Flu, Citizen Referred to M. Djamil
February 9, 2013
Pariaman - A resident Korong Kampuang Latitude, Sunur Nagari, District Nan Sabaris, Pariaman suspected suspect bird flu. Patients experiencing symptoms of high fever, cough and colds. The patient was initially taken to the health center Pauh Kamba, then referred to the hospital M. Djamil Padang on Friday (8/2).
Korong Kampuang Latitude is an area of ​​the discovery of thousands of ducks died suddenly and tested positive for H5N1 clade 2.3.2.1 since a few days ago.

Hundreds of ducks have been culled officers for breaking the chain of dangerous virus in the area.

Virus H5N1 clade 2.3.2.1 is the latest variant of the H5N1 bird flu virus that has previously been widely known. Today, new virus was recently detected attack duck. Yet all kinds of birds. The virus also has the potential to infect humans.

Head of Disease Control and Prevention and Environmental Health, Public Health Service Pariaman, Aspinuddin Singgalang confirmed, confirmed there were patients from being referred Korong Kampuang Latitude Pauh Kamba health center personnel to the hospital. M.Djamil.

"Yes, there are people Korong Kampuang Latitude referenced. Patients suspected suspect bird flu. Because the symptoms of fever, cough and colds, such as the characteristics of the bird flu. The patient was referred Friday morning, "said Aspinuddin.

As per standard operating procedure (SOP) for handling suspect cases of bird flu, the Department of Health does not have the authority to provide information related to the patient's name and identity of the suspect is suspected. More information is authorized RS M. Djamil.
Patient suspect bird flu was found medical team assigned to monitor the health of people in Korong Kampuang latitude, after the discovery of bird flu cases duck attacked thousands of residents in the area since last week.

24-hour surveillance

It is said, since the discovery of bird flu cases in Kampuang latitude, DHO team accidentally alerted Padangpariaman 24 hours in the area.

The team checked periodically to public health since the past few days.

Yesterday, a team of health received a report there was a resident in the vicinity of duck farms in the surroundings that had a high fever accompanied by cough and colds.
These characteristics are identical to the symptoms of the bird flu virus that infect humans.
The team moved quickly to home health patients. The patient was then taken to the health center Pauh Kamba to undergo further tests.

Because the assessed had a history of contact with the dead ducks and fever led to the avian flu, the patient eventually was referred to the hospital. M. Djamil.
"Rather than risk, also referred patients that day. What is clear according to SOP handling cases of bird flu, if found patients with bird flu-like symptoms, patients suspected suspect. The patient should be immediately referred to the hospital, "said Aspinuddin.

At the hospital, usually the patient suspect bird flu will be isolated and treated in a special room. In Sumatra, only RS. M. Djamil defined as hospital case management and positive patient suspect bird flu.
Patients suspected blood sample will be taken, saliva, sputum and other samples by a team of doctors. The samples will then be tested in the laboratory to ascertain whether or not the patient acquired the bird flu virus. "Test sample take some days," he explained.

http://hariansinggalang.co.id/...

United we stand: Divided we fall
www.flunewsnetwork.com


Two infected with bird flu in southwest China
(Posted by bgw on News Reports for February 10, 2013)
http://wtaq.com/news/articles/...

BEIJING (Reuters) - Two people in southwest China have tested positive for the H5N1 bird flu virus and are critically ill, state news agency Xinhua said on Sunday, citing the Chinese health ministry.

A 21-year-old woman and 31-year-old man in Guiyang had tested positive for the highly pathogenic H5N1 virus on Sunday after developing symptoms on February 2 and February 3 respectively, Xinhua cited health authorities as saying.

"They are in critical condition and medical workers are carrying out emergency treatment," the health ministry was quoted as saying. "No epidemiological connections have been found between the two cases."

Millions of Chinese are currently travelling in crowded buses and trains across the country to celebrate the Lunar New Year, raising the risk of the spread of infectious diseases.

People who had close contact with the patients are under medical observation but none have fallen ill, the news agency said.

The pair did not have contact with fowls before they fell ill, Xinhua said. In most cases, victims had direct contact with infected birds, mostly chickens. The virus is especially abundant in the faeces and respiratory secretions of affected birds.

[snip]  


One H5N1 patient dies in SW China
GUIYANG, Feb. 13 (Xinhua) -- One of two people confirmed by the Ministry of Health to have contracted avian influenza H5N1 died in a hospital in southwest China's city of Guiyang Wednesday morning.

The patient, a 21-year-old woman, died of multiple organ failure at the Guizhou Provincial People's Hospital at 9:41 a.m. Wednesday.

The woman and the other patient, a 31-year-old man, are both Guiyang residents. They developed symptoms on Feb. 2 and 3, respectively. Both of them tested positive for the H5N1 virus on Sunday (Snip).

Epidemic control experts have not found any indication that the patients had close contact with birds, nor have they found any epidemiological connection between the two cases.

People who have had close contact with the two patients have been put under medical observation. None have exhibited symptoms. Continued: http://news.xinhuanet.com/engl...

(Note: Anytime the Chinese government admits there are human H5N1 cases, I always figure what they are admitting is only the tip of the iceburg. So I'm wondering...... how many human cases are there really in Guiyang? JMO)

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


21-year-old woman dies of bird flu in Guiyang, China
A woman in southwestern China died of bird flu on Wednesday, state media said (Snip). The 21-year-old patient from Guiyang passed away 13 days after showing symptoms, Xinhua news agency said, citing the health ministry.

Another city resident, a 31-year-old man who developed signs of the virus around the same time, was reported over the weekend to be in critical condition.

(Snip)

China is considered one of the nations most at risk from bird flu epidemics because it has the world's biggest poultry population and many chickens in rural areas are kept close to humans.

Separate outbreaks among birds were reported last year in the northern region of Ningxia and the remote northwestern region of Xinjiang, prompting massive culls of chickens. http://www.scmp.com/news/china...  

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


[ Parent ]
Toddler is Cambodia's 6th bird flu death of year
PHNOM PENH, Cambodia (AP) - A 3-year-old Cambodian girl has become the sixth person to die from bird flu in the country this year.

(Snip) the child was in contact with poultry in her village in southern Kampot province, where there were recent deaths among poultry.

Cambodia has registered seven human cases this year of the virus (Snip) H5N1. Only one has survived.

(Snip)

The WHO says bird flu has killed 365 other people worldwide since surfacing in 2003. http://washingtonexaminer.com/...

(Note: This many cases/deaths in Cambodia in such a short amount of time, plus China actually admitting they have cases, is starting to make me nervous! JMO)

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Cambodia: Seventh new human case of avian influenza H5N1 in Cambodia in 2013
http://www.wpro.who.int/mediac...

Joint news release of the Ministry of Health of the Kingdom of Cambodia and World Health Organization

PHNOM PENH, 13 February 2013 - The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that one more new human case of avian influenza has been confirmed positive for the H5N1 virus.

The seventh case, a 3-year-old girl from Trapeang Kamphleanh village, Ang Phnom Toch commune, Angkor Chey district in Kampot province, was found positive for influenza H5N1 on 11th February 2013 by Institut Pasteur du Cambodge. She developed fever and a red rash on 3rd February 2013 and was initially treated by local private practitioners. Her condition worsened and she was admitted to Kantha Bopha Hospital on 6th February 2013 with fever, abdominal pain and somnolence and died on 13 February 2013. There is evidence of recent deaths among poultry in the village and the girl had history of coming into contact with poultry prior to becoming sick.

The girl is the seventh person this year and twenty-eighth person to become infected with H5N1 virus, and the twenty-fifth person to die from complications of the disease in Cambodia. Of the twenty-eight confirmed cases, 19 were children under 14, and nineteen of the twenty-eight were female. (continued)


Cambodia reports unusual rise in bird flu cases
Cambodia reports unusual rise in bird flu cases
Cambodian health officials have reported an unusual rise in the number of bird flu cases this year following a young girl's death. It brings the country's death toll from the virus to six this year alone.

The girl died in a Phnom Penh hospital with tests confirming she was infected with the H5N1 strain of avian influenza. (Snip) the three-year-old regularly came into contact with poultry in her village in the southern province of Kampot.

Four Cambodians, including a 17-month-old girl, died from the strain last month and a five-year-old girl died last week. The country has recorded 28 cases of H5N1 since 2003, with all but three of them proving fatal.

(Snip)

Mutation fears
The virus typically spreads from birds to humans through direct contact. But experts fear it could mutate into a form easily transmissible between humans, with the potential to trigger a pandemic.

Dr Touch says Cambodian health officials and the World Health Organisation are on alert for any signs of human-to-human transmission.

"For this rise in case, we're working closely to rule out that we don't have any human-to-human transmission," he said.

Continued with a report, which is just a repeat of  information, on the death of a 21 year old woman in China:  http://www.radioaustralia.net....  

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Bird Flu Suspect Referred to Sanglah Hospital
http://www.balipost.co.id/medi...
February 14, 2013
Bangli, Indonesia:  MD (2.5) of Hamlet Sidawa Tamanbali village, Bangli was referred from hospital to Sanglah Hospital.  MD was referred to Bangli hospital on Wednesday (13/2) and then, with symptoms of fever, breathlessness and coughing since three days earlier.  After the lab examination in hospital Bangli and a history of poultry that died suddenly at the patient's home, hospital Bangli took shortcuts to refer him to the Sanglah Hospital.

Bangli Hospital CEO dr. Wayan Sudiana, on Thursday (14/2) yesterday admitted referring MD, a child who is a bird flu suspect to Sanglah Hospital, Wednesday (13/2).  The patient was referred to hospital Bangli by his family, on Tuesday (12/2) at 19:30 pm.  Diagnosis and the history that is taught to the medical team in charge of the lab tests were finally done.  In lab tests they conducted, it leads to the patient being a bird flu suspect.  Given the limitations of the equipment owned by hospital Bangli in detecting disease, they decided to refer the toddler to Sanglah Hospital Wednesday at 9:00 pm.

"We do not want to risk something happening.  Neither the safety of the toddler or the officers themselves.  Due to the detection of the bird flu virus, this has caused the disease to need more comprehensive treatment,'' he said.

Later after being referred to Sanglah Hospital, he will be tested in the form of test swab (Biomol), including checks by Research and Development Lab in Jakarta.  Meanwhile, the Bangli District Head of Livestock and Fisheries Ir. AA Ngurah Samba admits there are some villages in Bangli that have bird flu based on the positive results of rapid tests.  They have deployed officers to conduct spraying or biosecurity and control stock traffic in and out of the Bangli entrance. As well as regular spraying disinfectant in animal markets Bangli.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Bird Flu Patient Discharged
February 15, 2013
http://padangekspres.co.id/?ne...
Padang, Indonesia:  A bird flu suspect patient was sent back to his village Kanagarian Padangpariaman Sanur district, yesterday (14/2).   The laboratory results stated he was negative for the H5NI virus negative.  Official giver of information and documentation (PPID) Dr Dr M Djamil Padang Gustafianof said the medical team that handled the patient named Darali, a resident of kenagarian Padangpariaman Sanur district left the treatment room yesterday afternoon.  This was done because the patient's condition was initially very weak and is now fully recovered.

According to the information summarized in Padang Express Dr M Djamil Padang, the cost of the treatment of patients is dealt with entirely by the State.  However, when questioning the Chief Medical Officer of West Sumatra, Rosnini Savitri, he said that for patients who tested negative for bird flu, the costs are not borne by the West Sumatra Health Office.  

"The treatment is borne by the patient's family and is not covered by the city of West Sumatra.  Since the results are negative, meaning this disease is a common disease.  For the cost of treatment, patients can use a card that has, for example Jamkesmas or Askes," he explained.  


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


I believe this is the 73-year-old senior with the initial D.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson

[ Parent ]
Patient Suspect Bird Flu Treated in Hospital Elisabeth
February 15, 2013

Semarang, Indonesia:  After appearing in Yogyakarta, bird flu viruses that infect humans occurred also in Semarang district. One person who is still in the status of the suspect, now being treated at the St. Elisabeth Hospital in Semarang.  Patient suspect bird flu is being treated in isolation Elisabeth Hospital Semarang. These patients were male sex and 54-year-old, a citizen of Sambiroto Semarang, yet lived in Sub Bergas, Semarang regency.

PR Elisabeth Hospital in Semarang, Probowati Condronegoro, said the patient goes to the hospital since December 17 last year. Before the illness, patients known to raise poultry at home. Although still suspected to be similar to the symptoms of bird flu, but the patient has been treated in accordance governance bird flu.

Treatment is given according to the standard as antiflu, intact and oxygen delivery in the intensive care.

"The patient did have a poultry house. However, when a cold, he felt scared and immediately we treat at the hospital, "said the Probo.  

http://kabar17.com/2012/12/pas...

United we stand: Divided we fall
www.flunewsnetwork.com


Bangli Boy Negative for Bird Flu
February 17, 2013
http://www.balitv.tv/btv2/inde...
Bangli, Indonesia:  The boy in Reference Hospital Bangli with suspect avian influenza A was treated in Nusa Indah RSUP Sanglah Hospital, and is otherwise negative for bird flu.  Head of Public Relations at Sanglah Hospital, Doctor Kadek Nariyantha, said the child with initials MD is experiencing severe pneumonia.

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson

Bird Flu Suspect Treated in Elisabeth Hospital
http://kabar17.com/2012/12/pas...
February 19, 2013
Semarang, Indonesia:  After appearing in Yogyakarta, the bird flu virus that infects humans has occurred also in the Semarang District.  One person who is still in the status of the suspect, is now being treated at the St. Elisabeth Hospital in Semarang.  The bird flu suspect patient is being treated in isolation at St. Elisabeth Hospital Semarang.  The patient is a 54-year-old male, a citizen of Sambiroto Semarang, who lives in Sub Bergas, Semarang regency.

PR Elisabeth Hospital in Semarang, Probowati Condronegoro, said the patient went to the hospital since December 17 last year. Before the illness, the patient is known to raise poultry at home. Although he is still suspected to have symptoms similar to bird flu, the patient has been treated in accordance with governance bird flu.  Treatment is given according to the standard as antiflu, intact and oxygen delivery in the intensive care.

"The patient did have a poultry house. However, when cold, he felt scared and immediately we treated him at the hospital," said the Probo.


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


WHO reports Egyptian H5N1 death
http://www.cidrap.umn.edu/cidr...

(This CIDRAP story includes details of the most recent H5N1 case reported (with no details) by WHO on Feb. 15).

Feb 18, 2013 (CIDRAP News) - A 36-year-old Egyptian woman from Beheira governorate recently died from an H5N1 avian influenza infection, pushing the world's number of infections reported so far this year to 10, according to an update on the disease from the World Health Organization (WHO).

The woman started having symptoms on Jan 16 and was hospitalized and started on oseltamivir (Tamiflu) treatment on Jan 20. She died on Jan 26. An investigation into the source of her illness found that she had been exposed to sick poultry before she got sick. Beheira governorate is in northern Egypt's Nile Delta. (continued)


Cambodia reports 7th death of bird flu this year
Cambodia reported on Thursday that another 2-year-old boy died of Avian Influenza H5N1, bringing the death toll to seven and the number of cases to eight in 2013.

The toddler lived in Angkor Chey district of Southwestern Kampot province. He died of the virus in the early hours of Tuesday morning at the Kantha Bopha Hospital in Phnom Penh, 18 hours after he was admitted (Snip).

(Snip)

Last week, a 3-year-old girl from the same district also died of the virus at the hospital.

The country sees the worst outbreak of the virus this year since the disease was first identified in Jan. 2004. To date, the country has reported 29 human cases of the virus, killing 26 people. http://www.globaltimes.cn/NEWS...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


WHO Press Release on latest H5N1 case in Cambodia
http://www.wpro.who.int/mediac...

PHNOM PENH, 21 February 2013 - The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that one more new human case of avian influenza has been confirmed positive for the H5N1 virus.

The eighth case, a 20-month-old boy from Ang Romduol village, Angkor Chey commune, Angkor Chey district in Kampot province, was found positive for influenza H5N1 on 19th February 2013 by Institut Pasteur du Cambodge. He developed fever and runny nose on 6th February 2013 and was initially treated by local private practitioners. His condition worsened and he was admitted to Kantha Bopha Hospital on 18th February 2013 with fever, cough and dyspnea and died on 19th February 2013. There is evidence of recent deaths among poultry in the village.

The boy is the eighth person this year and twenty-ninth person to become infected with H5N1 virus, and the twenty-sixth person to die from complications of the disease in Cambodia. Of the twenty-nine confirmed cases, 20 were children under 14, and nineteen of the twenty-nine were female.  


[ Parent ]
Second bird flu death in China
23 February 2013 - The deadly H5N1 strain of bird flu has killed a 31-year-old man, the second death reported in south-west China.

The Guizhou provincial health department said on its website that the man died of multiple organ failure yesterday at a hospital in the city of Guiyang.

The man was the second of two people to have died in Guiyang after contracting bird flu early this month. The first fatality was a 21-year-old woman.

The official Xinhua News Agency says both patients had close contacts with birds.

Xinhua says 110 people who had contact with the patients have been released from quarantine. Continued: http://www.independent.ie/worl...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Bird flu kills 2nd victim in China
Beijing - A man in southwestern China has died of bird flu, health authorities said on Saturday, becoming the second fatality from the H5N1 virus this year.
The 31-year-old died in hospital in the city of Guiyang on Friday, the Guizhou province health department said in a statement, adding that no other human cases of avian flu had been reported in the province.

Another city resident, a 21-year-old woman, died from the virus earlier this month.

(Big Snip)

China is considered one of the nations most at risk from bird flu epidemics because it has the world's biggest poultry population and many chickens in rural areas are kept close to humans.

China has in the past been accused of covering up the extent of bird flu outbreaks, exacerbating fears when new cases are reported.

Separate outbreaks among birds were reported last year in the northern region of Ningxia and the remote northwestern region of Xinjiang, prompting massive culls of chickens. http://www.news24.com/Green/Ne...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


[ Parent ]
Sorry for forgetting to post these 2 articles here last night.


Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


[ Parent ]
Cambodia reports 9th bird flu case
(Cross-posted from daily news diary)
http://www.nst.com.my/latest/c...

PHNOM PENH: Cambodia reported on Tuesday that a 35-year-old man died of Avian Influenza H5N1, bringing the death toll to eight and the number of cases to nine in 2013 (Snip). The man, identified as Thoeun Doeun, lived in Trung Trang district of Eastern Kampong Cham province.    

"He died of the bird flu virus last night after a four-day medical treatment at the Calmete Hospital in Phnom Penh," Suon Sokhy, younger sister of the victim, told China's Xinhua news agency over telephone. She said that her brother became sick after he took a dead duck to cook and ate. "Doctor told me that he died of bird flu," she said.    

Sonny Krishnan, communications officer with the World Health Organization (WHO) in Cambodia, confirmed the death on Tuesday.    

Meanwhile, he appealed to people to be high vigilant over the virus, saying that home slaughtering and preparation of sick or dead poultry for food is hazardous.    

(Snip)    

He added that parents and guardians should keep their children away from poultry -- do not allow them to touch feathers and do not keep poultry in their house.    

(Snip)    

"I'd like to urge people not to eat ill or dead poultry," (Snip). Poultry must be cooked well. Properly cooked poultry meat is therefore safe to consume."    

The country sees the worst outbreak of the virus this year since the disease was first identified in 2004. To date, the country has recorded 30 human cases of the virus, killing 27 people.  


9th Cambodian case details
http://www.wpro.who.int/mediac...

The ninth case, a 35-year-old man from Kbal Ou village, Me Sar Chrey commune, Stueng Trang district in Kampong Cham province, was confirmed positive for influenza H5N1 on 23rd February 2013 by Institut Pasteur du Cambodge. He developed fever on 8th February 2013 and his condition worsened on 10th February 2013 with fever, frequent cough, and dyspnea. Local private practitioners initially treated him but his condition further deteriorated. On 13th February he was admitted to the Kampong Cham Hospital with fever, severe cough and dyspnea and was immediately treated with Tamiflu. He developed pneumonia on 21st February and was transferred to Calmette Hospital in Phnom Penh. Unfortunately, despite intensive medical care he died on 25th February. There is evidence of recent deaths among poultry in the village and the man had history of coming into contact with sick poultry prior to becoming sick. The man is the ninth person this year and the thirtieth person to become infected with the H5N1 virus, and the twenty-seventh person to die from complications of the disease in Cambodia. Of the 30 confirmed cases, 20 were children under 14, and 19 of the 30 were female.  


Summary of Workshop on H5N1 Research Controversy
Perspectives on Research with H5N1 Avian Influenza:
Scientific Inquiry, Communication, Controversy: Summary of a Workshop
Free PDF download available from National Academies Press

http://www.nap.edu/catalog.php...

... When, in late 2011, it became public knowledge that two research groups had submitted for publication manuscripts that reported on their work on mammalian transmissibility of a lethal H5N1 avian influenza strain, the information caused an international debate about the appropriateness and communication of the researchers' work, the risks associated with the work, partial or complete censorship of scientific publications, and dual-use research of concern in general.

Recognizing that the H5N1 research is only the most recent scientific activity subject to widespread attention due to safety and security concerns, on May 1, 2012, the National Research Council's Committee on Science, Technology and Law, in conjunction with the Board on Life Sciences and the Institute of Medicine's Forum on Microbial Threats, convened a one-day public workshop for the purposes of 1) discussing the H5N1 controversy; 2) considering responses by the National Institute of Allergy and Infectious Diseases (NIAID), which had funded this research, the World Health Organization, the U.S. National Science Advisory Board for Biosecurity (NSABB), scientific publishers, and members of the international research community; and 3) providing a forum wherein the concerns and interests of the broader community of stakeholders, including policy makers, biosafety and biosecurity experts, non-governmental organizations, international organizations, and the general public might be articulated. ...



ITW(Joel J)
Courage is resistance to fear, mastery of fear - not absence of fear.
- Mark Twain
 


Sukoharjo Resident Tested Positive for Bird Flu
May 13, 2013
http://www.merdeka.com/peristi...
Central Java, Indonesia:  A resident of District Mojolaban, Sukoharjo, Central Java initials S has tested positive for bird flu virus (avian influenza / AI).  Currently, the 70-year-old grandfather,  is receiving special treatment in the isolation room Moewardi Hospital Dr. Solo.  Public Relations Moewardi Hospital Dr., Dr. Eliza, said S has been in intensive care since three days ago.  S previously never had a history of contact with dead birds infected with AI.

"Earlier, he did make contact with dozens of dead chickens that were exposed to AI. Thereafter, S is in pain and is referred to here to get special treatment," Eliza told reporters on Friday (10/5).

Based on the results of a team of doctors, said Eliza, blood leukocytes for S are far below normal.  However, from the examination, fthey ound no pneumonia.  As for the results of laboratory tests and a throat swab, results have not been received.

"During our three-day hospitalization, development conditions are good. Nevertheless we will continue to implement the status of the patient as a bird flu suspect until laboratory results and swab are received," he said.

For the next status, said Eliza, the Hospital is still awaiting the results of laboratory tests and swabs.  Regarding the cost of care for a patient who is declared suspect, Eliza disclosed that all medical expenses will be borne by the state.

Two residents from Mojolaban, Sukoharjo were also referred to Hospital Dr. Moewardi Solo by Sukoharjo District Health Office, since Wednesday (8/5).   They referenced that the two residents suffered flu symptoms after the deaths of a number of chickens in the Village area Wirun, Mojolaban in the last 3 days.

Chief Medical Officer Sukoharjo, Guntur Subiyantoro dr said two people were admitted to hospital in Solo Moewardi, one of them named Mardi (73), a resident of Ngambak Kalang, Wirun Village, Mojolaban, as well as a resident for whom they are still confirming his name and address.

"Initially we only have the name Mardi who was referred to RS Moewardi.  However no report again if there is one citizen who suffers the same symptoms, and was also referred to the hospital Moewardi.  Chickens that died suddenly were positive for bird flu," said Guntur on Thursday ( 9/5).

Earlier, dozens of chickens in Ngambak Kalang, Wirun, Mojolaban died suddenly in the past week.  Dozens of dead chickens were positive bird flu (Avian Influenza / AI).  Head of Agriculture Sukoharjo, Giyarti said, this time, the cases of bird flu in the region is still in the handling of Mojolaban.  In addition to taking samples of chicken for rapid test at the Great Hall of Verteriner Yogyakarta, relevant agencies have also taken preventive measures.  Department of Agriculture has been vaccinating chickens in Ngambak Kalang and surrounding areas. The Agriculture department has also instructed citizens on how to cull chickens infected with bird flu symptoms in accordance with the burning or burying of chickens.  

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


WHO: Avian Influenza Weekly Update Number 383 (17 May 2013)
http://www.wpro.who.int/emergi...

Since 2003 to 07 May 2013, the number of cases reported from 15 countries worldwide is 629 and 374 were fatal (CFR 59.4%). Among the countries with more than 10 reported cases, Cambodia had the highest CFR of 84.3% (27 out of 32).

Age distribution of the reported cases ranged from 3 months to 81 years old (median 18 years, n=606). The age group with the largest number of cases was 20-29 years of age (22.4%, 136/606), relative to other age groups (0-4; 5-9; 10-19; 30-39; 40-49; 50-59; 60-69; 70+ years). The highest CFR (74.0%) was among persons 10-19 years of age and lowest was among persons 70+ years old (25.0%). 53.8% of the cases were female (325/604). However, age and sex distributions vary by country.

(includes summaries of previously-reported cases)


A Toddler Killed in Bekasi, Suspected Bird Flu
http://www.108csr.com/default/...
June 20, 2013
Bekasi, West Java, Indonesia:  Bagasse respati Prasetyo, a 2.6 year old baby died allegedly due to H5N1 virus or bird flu.  A citizen of Housing BTN Masnaga, Jakamulya, Southern District of Bekasi, West Java, he died at Friendship Hospital, Jakarta.  Before he died, the son of Respati Seno Putro and Emmy Diah Susanti was treated in RS Hermina, Galaxi, Bekasi South and Hermina on Prosperity Road, Bekasi.  Bagasse was admitted since Saturday (15/6) when experiencing fever and shortness of breath.

"Tuesday night, Hermina doctor told me that my child is positive (Bird Flu)," Seno, Bagasse's parent, told reporters in Calcutta on Wednesday (19/06).

The notification was not without reason.  Therefore, the previous team at Bekasi City Health Department and the Health Research and Development Ministry took samples of blood and the white fluid that almost covered the entire lung of Bagasse on Tuesday (18/9) afternoon.  Nevertheless, on Wednesday (19/06) morning Bagasse was referred to the Friendship Hospital, Jakarta.  However, after treatment for 30 minutes, Bagasse declared dead.  When confirmed by the reporter, the Friendship Hospital, Jakarta said they could not conclude Bagasse's related illness.   They are still awaiting the results of research from the Ministry of Health.

At present, the body was interred by the funeral home on BTN Masnaga Housing Block C Jalan Bondol 13 RT 003/004, Jakamulya South Bekasi, due to consideration of her illness.  The body was buried at Pondok Kelapa cemetery.



"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Toddler in Bekasi Died of Bird Flu
http://jakarta.okezone.com/rea...
June 20, 2013
JAKARTA:  After a victim died, Bekasi City Government will only act to perform sterilization for the H5N1 avian flu virus.  The victim was a 2-year-old boy who died after contracting the bird flu virus.  The Bagasse boy, named Respati Prasetyo, was the son of Seno Respati Putro and Emmy Diah Susanti, BTN Housing residents Masnaga Bondol Road Block C 13 RT 003/004, Jakamulya, South Bekasi.  He died after being treated at two different hospitals, RS Hermina Bekasi and Friendship Hospital, Jakarta.   The two designated hospitals determined the 2-year-old boy contracted the H5N1 virus.  Although they took time to get help, the boy died on Wednesday, June 19, 2013, at around 08.00 yesterday at Friendship Hospital.  Related to the accident as well, Bekasi mayor Rahmat Effendi immediately took action to attempt sterilization of the H5N1 virus or bird flu in the village Jakamulya, South Bekasi District.

"This case is the first in Bekasi and we condole and will respond as soon as possible for sterilization in the region," said Ramhat Effendi, Thursday (06/20/2013).

The Bekasi mayor explained that the sterilization will be at the location that is thought to be the source area of the emergence of bird flu that killed Bagasse, namely, the patient's family residence in Jalan Bondol Masnaga BTN Housing Block C 13 RT 003/004, South Bekasi Jakamulya and Market Jamblang located 3 kilometers from his home.

"We will do sterilization in these two places that are thought to be the starting point of the victim contracting the bird flu virus," he said.

This was done after getting the information from relatives who said the victim had experienced pain before (after?) eating chicken meat.

"The possibility of a chicken that was purchased by her mother at Market Jamblang and eaten by the child could be a factor for the victim of bird flu on Saturday, then," he explained.

Sterilization activities will involve district and village officials and officials from the Department of Health and the local Health Department have been instructed to make the case Veterinary Bagasse handling as the main focus.

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Bird Flu Positive Two Year Old Bekasi Infant Died

June 24, 2013
http://m.metrotvnews.com/read/...
Jakarta, Indonesia:  The Ministry of Health (MoH) has ensured that RBP, 2, a resident of Bekasi, West Java, was positively infected by the H5N1 virus that causes bird flu.  With that case, the cumulative total amount of bird flu in Indonesia since 2005 was 193 cases with 161 deaths.

"Based on laboratory test results from the Technology Basic Biomedical Center and Health Research and Development Agency Ministry of Health, he was positive for bird flu," said Director General of Disease Control and Environmental Health Ministry of Health Tjandra Yoga Aditama when contacted in Jakarta, Monday (24/6).

To find the source of infection, epidemiological investigations have been conducted into the homes of people and the environment by the Ministry of Health Integrated Team, BBTKL-PP Jakarta, Bekasi City Health Department, and the Department of Animal Husbandry Bekasi.  Based on the search, Tjandra, said that acquired risk factors, namely the possibility of contacts polluted environment in the market which is about 200 meters from the case.  Because two days before she entered the hospital on Saturday (8/6), his mother went to the market to buy chicken pieces.

Tjandra explained the chronology of the H5N1 virus infection that struck the boy.  On Monday (10/6) it was reported that RBP started with a fever, then was taken to a private practice pediatrician and given medication for fever.  Because he still had a fever, the concerned parents sought medical care at RSHG and received a diagnosis of typhoid fever.  However, on Monday (18/6), RBP had a high fever, cough, and progressive shortness of breath.

Because of this, he was referred to RSHB RSHG.  He was placed in intensive care in the ICU and put on a ventilator.  On Wednesday (19/6), based on the analysis of medical, it was indicated that it was a case of bird flu.  However, due to the limitations of equipment, he was referred to RSHB RBP RSPP in Jakarta.  At approximately 7:40 pm, he received corresponding treatment in the ICU AI RSPP.  According to Tjandra, the hospital  tried its utmost to provide medical help, but due to the deteriorating condition (coma), RBP could not be helped and breathed his last at 08.40 pm.

With positive cases of bird flu that lead to death, Indonesia became a part of other countries which in 2013 reported positive cases of bird flu to the World Health Organization (WHO).
Previously, only 5 countries had reported cases of H5N1 avian influenza infection in 2013, namely Bangladesh (1 case, 1 death), Cambodia (11 cases, 8 deaths), China (2 cases, 2 died), Egypt (4 cases, 3 died), and Vietnam (2 cases, 1 death).  Furthermore Tjandra said, at the level of the world, the total number of cases of H5N1 infection since the beginning found to date has amounted to 630 cases with 375 deaths.  

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


6-year-old girl becomes ninth Cambodian to die of bird flu this year, as virus remains threat
PHNOM PENH, Cambodia - A 6-year-old girl has become the ninth person to die of bird flu in Cambodia this year, as the virus continues to pose a threat to the country (Snip).

It said there have been 13 confirmed cases of the H5N1 bird flu virus among humans in Cambodia this year (Snip). This year, there have been 20 cases worldwide through June 4, 15 of them fatal, WHO said.

The ministry said the girl came from a village in southern Kampot province, where she was likely to have been exposed to infected poultry. She was treated but died last Friday. (Snip).

Of Cambodia's 34 confirmed cases, 23 were children under 14, and 21 of the 34 were female, the ministry said.

"Avian influenza H5N1 remains a serious threat to the health of all Cambodians," (Snip). "Children also seem to be most vulnerable and are at high risk because they like to play where poultry are found." http://www.canada.com/health/6...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Cambodia reports 14th case of human H5N1
The Chinese news source, Xinhua reports that a three-year-old boy from Cambodia's eastern Prey Veng province has been confirmed positive for the avian influenza H5N1, bringing the number of the cases to 14 so far this year (Snip).

The boy is the 14th confirmed case of H5N1 avian influenza in Cambodia this year. He was was admitted to the Kantha Bopha Hospital with fever, dyspnea and cough Monday. At the hospital, he was treated with Tamiflu and is currently in stable condition (Snip).

(Snip)

This current case follows the report last week of a  fatal case of human H5N1 avian influenza in a six-year-old girl from Preyleu village, Bantheay Meas commune, Bantheay Meas district in Kampot province.  Continued: http://www.theglobaldispatch.c...  

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Cambodia reports 17th human case of bird flu this year
A six-year-old boy from Cambodia's southern Kandal Province has been confirmed for the H5N1 virus, bringing the number of the cases to 17 so far this year, (Snip).

The boy was confirmed positive for human H5N1 avian influenza on Aug. 17 after he caught fever, headache, abdominal pain, vomiting, cough and lethargy, the statement said, adding that the boy came into contact with sick poultry.

"The boy has now recovered," it said. Only 7 out of the 17 cases this year survived, (Snip).

The latest death from the virus was a 9-year-old boy from northwestern Battambang Province, who died on Sunday.

Avian influenza H5N1 remained a serious threat to the health of all Cambodians, Health Minister Mam Bunheng said. "Children also seem to be most vulnerable and are at high risk because they like to play where poultry are found," he said in the statement. Continued: http://www.globaltimes.cn/cont...  

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Although Still in a Coma, NKA is Indicated Negative
October 7, 2013
http://www.harianjogja.com/bac...
Indonesia :  A bird flu suspect patient with the initials NKA, 35, is in intensive care in the isolation room at Hospital Dr Sardjito, Jogja, still in a coma and has not regained consciousness.  Head of Legal and Public Hospital Dr. Sardjito, Trino Heru Nugroho, admitted the company was dealing with a patient suspected of contracting avian influenza virus or H5N1.

"Based on the reports that I received, the result is negative.  However, we still put NKA in the intensive care isolation room with the aid of a ventilator breathing assistance and specialty pharmaceuticals," he said when meeting Jogja.com Daily.

Heru explained that NKA was initially treated at Bethesda Hospital Yogyakarta before being referred to Dr.Sardjito.  Since his entry on Wednesday (28/08/2013), NKA has been in a comatose condition.  Heru added that during his care, NKA has been handled by three specialists in internal medicine, chaired by Dr. Soewardi.

"Until now NKA is still in a coma. From the initial reports , the patient stated as a bird flu suspect, needs to be addressed here.  We also have sent blood samples to Jakarta for examination.   Unfortunately, the chairman of the medical team is in Barcelona [Spain] now," he said .

From daily searches by Jogja.com , NKA is a young researcher at the Center for Economic and Policy Studies, Ministry of Agriculture in Bogor. NKA received a farm degree ( majoring in Industrial Technology Agriculture ) from the University of Gadjah Mada in 1999, S2 in the travel education at the same university and completed the degree of Master of Science (MS) in 2001. In a structural position , NKA served as Head of Sub-Field Evaluation and Reporting at the Center for Socio-Economic Analysis and Agricultural Policy Research and Development in the Ministry of Agriculture, since August 2010 until now.

"Currently, patients cannot be found. I do not know what caused the coma because of the authority of NKA's team doctors.  I also do not know the whereabouts of his family," said Heru.  

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Indonesia Reports 9th Bird Flu Death This Year
October  7, 2013
http://afludiary.blogspot.com/...
Comment:  Big hat-tip to bgw in MT who found this story by Michael Coston at afludiary.blogspot who originally found this posted by Gert van der Hoek of Flu Trackers.  All three are excellent sources for bird flu news.

Here is the machine translated MOH release:
Bird Flu Case Report-194 in Indonesia
October 3, 2013 | 7:55 am
Ministry of Health, Directorate General of Disease Control and Environmental Health announced a new case of H5N1 have been confirmed by the Center for Biomedical and Healthcare Technology Association, Balitbangkes.  Case on behalf of the U.S. (Male, 28 years) who Cibitung, Bekasi, West Java Province, is a bottled water company driver.

Chronology of the case, on 16 September 2013 starting symptoms of fever, aches and back pain. Then, on 18 September 2013, the case of outpatient treatment to one of the private hospitals in Bekasi. But because there is no change, the case back for treatment and was admitted to the hospital on 20 September 2013.

In hospital care, the rising fever accompanied by cough and shortness. On 25 September 2013 the disease more severe cases, fever and increasingly crowded conditions, and cases in intensive care in the ICU. The next day on 26 September 2013 in the morning, suspected cases of suspected bird flu. Subsequently, the case was referred to the Friendship Hospital for treatment on 27 September 2013. However, the case died at about 20:10 pm on the same day.

Epidemiological investigations have been carried to the hospital, the case and the surrounding environment by the Ministry of Health Integrated Team, Team Ministry of Agriculture, Department of Animal Husbandry and Health Department of West Java Province, Department of Health and Bekasi District Veterinary Office, obtained the possible risk factors for contact environment, with ornamental birds and in the case of pigeons. Furthermore, approximately 50 feet in front of the house there is a court case that once a week is used as an arena for pigeon racing. In addition, around the neighborhood there are many cases of birds, especially pigeons were maintained by the residents.

With the increase of these cases, the cumulative number of bird flu in Indonesia since 2005 until this news broadcast is 194 cases with 162 deaths.  Director General of Disease Control and Environmental Health, Prof.. dr. Tjandra Yoga Aditama as the focal point of the International Health Regulations (IHR) has been informed about the case to the WHO.
(more)


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


1 Bengkulu Citizen Suspected to be Affected with Bird Flu
http://regional.kompas.com/rea...
October 14, 2013
Bengkulu , Indonesia : A General Dusun chief of staff  in Bengkulu City, Roger ( 53 ) citizen, was taken to M Yunus hospital and has been undergoing medical treatment since Saturday  (10/12/2013).  It is feared that bird flu infected chicken meat was allegedly consumed.  Roger's wife, Rogaya, said that on Tuesday , Roger consumed some males with hen chickens in Bengkulu Cityscape Market.  He planned to redeem around 35 chickens that were owned.

Unexpectedly, after that, in a matter of a few days , the two remaining chickens were dead.  In the same period of time , he sacrificed some pet chickens for consumption .  After completely consuming them, Roger was said to suffer abdominal pain and cough.  Separately Dinas Farm in the city of Bengkulu, Helni Kusuma Dewi, said that on Saturday they received a report that cattle belonging to Burhan sudden died.

"After we conducted the rapid test was received, Burhan was assured that the chickens tested positive for bird flu.  It is recommended that the chickens that are still alive  alive be destroyed. Because we do not have the funds to replace the chicken hens belonging to people, we only recommend it," said Helni .

Until this news was revealed Burhan was being treated in room number 9 RSUD M.Yunus yellow for observation .

"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


2 Residents of Jalan Manggis Bird Flu Suspects
http://rakyatbengkulutv.com/20...
October 16, 2013
Bengkulu, Indonesia:  Bengkulu City residents are reminded to be vigilant.  This relates to outbreaks of bird flu found in several areas in the city.  This case is getting worrisome as Saturday afternoon, two residents of RT 20 Jalan Manggis Village 1 Jalan Besar, are also suspected of being infected with the disease known as H5N1.  Both father and son with the name Burhan, a 53-year-old entrepreneur, and his son, Dedek Rustandi, aged 25 years.  Both are bird flu suspects after the city health department team was informed that the father and son are experiencing dizziness after eating their pet chickens infected with bird flu virus.  The city health department was responsive to this deadly disease and immediately brought Burhan to the Hospital M Yunus Bengkulu.

Although he had not yet fully experienced the withdrawal symptoms of bird flu disease,  a team of city health department still carried Burhan Dedek to M Yunus Hospital. This was to facilitate checking and treatment in case suspect was infected with bird flu suspicion.  Moreover, the father and the child were known to have a history of direct contact with bird flu affected chickens.  In fact they had time to consume chicken meat that has been declared contaminated with the bird flu virus.

Upon arrival at the hospital, the Burhans were immediately isolated in a hospital Kemuning M Yunus Bengkulu.  This room is reserved for patients who need special care.  Meanwhile, the doctors at RSMY were not willing to provide information until they did an examination of father and son.  Earlier, the Chief Medical Officer, Doctor Edriwan Mansour said the two patients who dicurgiai bird flu are expected to be isolated for two weeks, pending the results of Jakarta laboratory that will ensure whether or not the family is infected with this deadly virus.



"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson


Mods, could we have a new H5N1 Diary?


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson

Done
Diary for cases from Sept. 1, 2013 on is here.

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