About
About Flu Wiki
How To Navigate
New? Start Here!
Search FW Forum
Forum Rules
Simple HTML I
Simple HTML II
Forum Shorthand
Recent Active Diaries
RSS Feed

Search




Advanced Search


Flu Wiki Forum
Welcome to the conversation Forum of Flu Wiki

This is an international website intended to remain accessible to as many people as possible. The opinions expressed here are those of the individual posters who remain solely responsible for the content of their messages.
The use of good judgement during the discussion of controversial issues would be greatly appreciated.

H5N1 International Diary 2

by: Bronco Bill

Tue Feb 21, 2012 at 15:36:40 PM EST


With recent cases of H5N1 occurring in people in several countries, including China, Cambodia, Vietnam, Indonesia, Zimbabwe, and Egypt, it has been hard to keep track of all the case developments.  This diary will be devoted exclusively to people with H5N1.

The previous H5N1 International diary is here

Bronco Bill :: H5N1 International Diary 2
Human H5N1 Cases Reported by WHO
(case onset from Sep 1, 2011)
# Location Age/
Gender
Symptom Onset Death Notes
1 Egypt/ Gharbia 1M Sept 17 Recovered  
2 Indonesia/ Bali 5F Sept 27 Oct 9 Family contact w/ Cases 3 & 4
3 Indonesia/ Bali 10M Sept 30 Oct 10 Family contact w/ Cases 2 & 4
4 Indonesia/ Bali 29F Oct 10 Oct 17 Family contact w/ Cases 2 & 3
5 Egypt/ Cairo 2F Oct 30 Recovered Treated on an outpatient basis
6 Egypt/ Dakahlia 31F Nov 10   Nov 29: In critical condition
7 Egypt/ Dakahlia Adult F Nov 26 Dec 3 24 weeks pregnant; family
contact w/ Cases 8 & 9
8 Egypt/ Dakahlia Child F Nov 26 Recovered Family contact w/ Cases 7 & 9
9 Egypt/ Dakahlia 29M Dec 8 Dec 19 Family contact w/ Cases 7 & 8
10 Egypt/ Menofia 42M Dec 16 Dec 22  
11 China/ Guangdong 39M Dec 21 Dec 31 No reported poultry contact
12 Indonesia/ Jakarta 23M Dec 31 Jan 7 Family contact with Case 15
13 Egypt/ Fayium 31M Jan 1   Jan 19: In critical condition
14 Cambodia/
Banteay Meanchey
2M Jan 3 Jan 18  
15 Indonesia/ Jakarta 5F Jan 7 Jan 16 Family contact with Case 12
16 Vietnam/ Kien Giang 18M Jan 10 Jan 16  
17 China/ Guizhou 39M Jan 6 Jan 22 No reported poultry contact
18 Vietnam/ Soc Trang 26F Jan 23 Jan 28 Patient was pregnant
19 Indonesia/ Banten 19F Feb 8 Feb 13  
20 Egypt/ Menofia 45F Feb 10 Recovering (as of Feb. 22)
21 Egypt/ Gharbeia 1F Feb 14 Recovering In good medical condition
22 Egypt/ Behira 32M Feb 16 Feb 28    
23 Egypt/ Kafr Elshihk 37F Feb 18 Feb 26    
24 Indonesia/ Bali 12M Feb 11 Feb 21 Risk factors are "under investigation"
25 Vietnam/ Binh Duong 22M Feb 17 Recovering Mar. 7: Released from hospital; some lung damage
26 Bangladesh/ Dhaka City 40M Feb 26 Recovered    
27 Bangladesh/ Dhaka City 26M No info Recovered From the same live bird market as #26
28 Bangladesh/ Dhaka City 18M No info Recovered From the same live bird market as #26
29 Indonesia/ Bengkulu 24F Feb 23 Mar 1 Had "exposure to a potentially contaminated environment" where sudden poultry deaths recently occurred
30 Vietnam/ Dak Lak 31M Feb 29 Recovered Patient "was involved in the slaughter and consumption of sick poultry"
31 Egypt/ Dakahlia 40F Mar 6 Mar 15 Patient "had exposure to sick backyard poultry"
32 Indonesia/ Nusa Tenggara Barat 17M Feb 28 Mar 9 Sudden poultry die-offs in neighborhood
33 Egypt/ Demiatta 2F Mar 19 Recovering Had exposure to dead backyard poultry
34 Egypt/ Giza 15F Mar 25 Mar 31 Source of exposure unknown
35 Cambodia/ Kampong Chhnang 6F Mar 22 Mar 30 Exposure to sick or dead poultry
36 Egypt/ Giza 36F Apr 1 Apr 7 Exposure to backyard poultry
37 Indonesia/ Riau 2M Apr 17 Apr 27 Parents were quail egg vendors
38 Cambodia/ Kampong Speu 10F May 20 May 27 Prepared sick chickens for food
39 China/ Guangdong 2M May 23 Hospitalized Visited a wet market in mid-May
Tags: , , , , , , (All Tags)
Print Friendly View Send As Email

Absence of Poultry Contact for H5N1 Tangerang Fatality
Recombinomics Commentary

Tests on the victim after she died confirmed she had contracted the virus, but a health ministry team that surveyed her house and neighbourhood was unable to determine its source.

Nine Indonesians died from the virus last year, including two children on the resort island of Bali in October, according to authorities.

The above comments describe a WHO confirmed H5N1 in Tangerang on the outskirts of Jakarta.  (Snip) as was seen in the recent case in Bali, no poultry source has been identified.

The Bali case follows a three person cluster in October.  Sequences from those three cases were released promptly, and the sequence from the mother (39F), was a recombined sequence from the children (5f, 10M).  (Snip) the above comments only cite two of the three cases (even though sequences from all three have been released at GISAID).

The recent clusters and cases without a poultry link increases concerns that the H5N1 in Indonesia is evolving toward the sequence used in the Ron Fouchier experiments, which killed all 40 of the exposed ferrets, yet was efficiently transmitted in the ferret model.
(Snip) http://www.recombinomics.com/N...

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

     


Absence of Poultry Contact for H5N1 Bali Indonesia Fatality
Recombinomics Commentary

Of the interrogation Sanglah party, according to Ken, could not be ascertained whether the WM had contact with poultry. "The family is still denying that the victims had contact with poultry. We are therefore of bird flu team is digging deeper than where the victim of a virus," explains Ken. But from the VCR in Sanglah examination showed that the victim was positive for influenza WM birds. Due to the bad condition when taken to the hospital Sanglah, WM can only last for five hours and finally died at 03.00 pm, Tuesday (21/2) yesterday.

The above translation, describing the recent fatal case near Bali, Indonesia notes the lack of a reported bird contact.  This case follows a cluster of three with disease onset dates which supported human to human transmission, which was also supported by the recombinant H5N1 sequence from the mother (39M) of the first two cases (5F, 10M).

These lab confirmed cases increase concerns that the H5N1 in Indonesia is evolving toward efficient transmission.  Clade 2.1 was the source for the H5N1 used by Ron Fouchier.  After 10 passages in ferrets the virus had 5 changes in 2 genes and 4 of the 5 changes have been found in published sequences.
(Snip)
The relative ease in the creation of a transmitting H5N1 or an H5 reassortant highlights the lack of preparation for a transmitting H5N1.

The current vaccine program has largely stockpiled older isolates, and although newer targets have been selected. Pandemic preparedness lags, and the only clade 2.1 vaccine target is the 2005 isolate from the initial Tangerang cluster. http://www.recombinomics.com/N...

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

     


One More Bird Flu Victim Dies
February 21, 2012
http://www.tempo.co/read/news/...
One More Bird Flu Victim Dies
Jakarta, Indonesia:  The list of victims of the H5N1 strain known as bird flu has increased by the death of of Kh, 19 years old, a domestic servant from South Tangerang.

"The latest victim of bird flu cases is Kh. She was a domestic originating from Kebumen Tangerang," said Director of Animal Disease Control Sourced (P2B2) Dr. Rita Kusriastuti, MSc.

Rita explained that before she died, Kh had returned home to Kebumen. After returning to Jakarta, on February 8, 2012, she had symptoms of fever, cough, and runny nose.  Later on February 9, 2012, this girl went to the doctor in a private clinic and finally on February 12, 2012, she was treated at Mercy Hospital Sari, Karawaci, Tangerang.

"She died on February 13, but she tested positive for H5N1 on 15 February," said Rita.

According to Rita, they had been doing the examination, either in Kebumen or in Tangerang. The results of the investigation stated that Kh was not in contact with poultry infected with the H5N1 virus.  Nor were there any poultry that died suddenly in Kh's environment around the house, both in Kebumen and in Tangerang.  The people closest to Kh, such as family, have also been examined, but no sign of anyone infected with the virus.

"We're still investigating this case because the cause of Kh's affection remains unclear," said Rita.

A release of the Health Ministry said other possible risk factors were treating the case of a sick chicken on February 4, 2012 in her hometown of Kebumen.  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 the case to the World Health Organization (WHO).

With the case of Kh, then the number of cases of bird flu victims in 2012 are three people. Previously, two more bird flu deaths were an uncle and nephew pair, PDY, 23, and ASR, 5 years.  PDY died on January 7 and ASR died on January 16, 2012.  Meanwhile, RO, 17, in Tangerang, who was thought to have contracted bird flu H1N1 virus, apparently died of pdm09.


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


Bird Flu Claims Third Victim This Year in Jakarta
February 21, 2012
Tests on a 19-year-old woman who died last week showed she had contracted the bird flu virus, Indonesia's third human death from the deadly disease this year, the Health Ministry said on Tuesday.

Concerns about avian influenza have risen in the region with China, Cambodia and Vietnam all reporting deaths from the H5N1 virus this year.

The latest Indonesian victim died on Feb. 13, a day after being admitted to a hospital in Tangerang district on the outskirts of the capital Jakarta, the ministry said.

Tests on the victim after she died confirmed she had contracted the virus, but a health ministry team that surveyed her house and neighborhood was unable to determine its source.

The ministry added the woman had a fever for four days before arriving at the hospital.

Indonesia recorded two bird-flu fatalities in Jakarta in January. The country has been the hardest-hit by bird flu, with 150 deaths reported between 2003 and 2011, according to the World Health Organization.

Nine Indonesians died from the virus last year, including two children on the resort island of Bali in October, according to authorities.

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 kill millions in a pandemic.

http://www.thejakartaglobe.com...

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


RS Rawat 5 Wahidin Makassar Suspect Bird Flu Patients
February 21, 2012

MAKASSAR, Indonesia: Hospital DR. Wahidin Sudirohusodo, Makassar, . Wahidin Sudirohusodo, Makassar, treating five patients with suspected bird flu suspect. The five patients were from Kunjungmae Hamlet, Village Panakkukang, Pallangga, Gowa regency, South Sulawesi.

Director of Medical Services Hospital Wahidin Sudirohusodo, Khalid said the five patients were referred from hospitals Sheikh Yusuf Gowa, Monday night. They experienced similar symptoms of bird flu symptoms, such as high fever up to 38 degrees, cough, and flu.

However, five patients were not yet certain whether the positive for the H5N1 virus or not. "We merely take the blood and saliva samples for laboratory study.  So, we wait for the results in two days, "said Khalid, Tuesday, February 21, 2012.

She said the five men who were undergoing treatment in a special isolation room bird flu is Masnaeni (39 years), Surti (32 years), M Agung (6 years), Holy Ramadani (7 months), and the Holy Maharani (3 months) .

Before the fifth experiencing fever, cough and flu, in their area there are dozens of cases of birds that died suddenly. However, the hospital hopes that only five of these patients have symptoms of common cold and not bird flu. (*)

http://makassar-news.com/

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


Bird Flu Suspect's Condition Improves
http://regional.kompas.com/rea...
February 22, 2012
Palangkaraya, Indonesia:  The condition of the bird flu suspect patient, M (49), who is currently being treated at General Hospital (Hospital) Doris Sylvanus, Palangkaraya, Central Kalimantan, has improved.  This is indicated by the improvement in the patient's platelet count and checking lab results.  Hospital director Doris Sylvanus, Suprastija Budi, in Palangkaraya, Wednesday (02/22/2012), said that M is a Murui villager, from the Middle District of Kapuas, Kapuas, who was rushed to the hospital after coming into contact with chickens that died suddenly.  On arriving at Hospital Doris Sylvanus, the referral hospital to deal with bird flu patients on Saturday (02/18/2012), he had a platelet count of 149 000 M for per m3.  Based on laboratory results, M's platelets are currently at 154 000 per m3 of blood while the normal number is 150000-400000 per m3.

"The doctor had examined M with a stethoscope. When viewed with naked eye, the patient can be considered at normal condition," he said.

If sitting, M did not now need the help of nurses.  An indicator of improvement in the patient was also shown by the results of checks in the laboratory, using electron microscopy.  While the results of the examination showed the patient was negatively affected by bird flu.

"But these are interim results.  If the results are negative, I suspect the overall results were also negative. Hopefully it is not bird flu," said Budi. The overall results are expected to be known, by the end of this week through the checking of patient blood samples.

"In addition to electron microscopy, a culture examination is required to determine the virus. Until results are known, the patient is treated as a bird flu suspect," said Budi.


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


5 Possible Bird Flu Cases in S. Sulawesi
February 22, 2012

Five people from a remote village in Gowa district, South Sulawesi, were rushed to the Wahidin Sudirohusodo Hospital in Makassar late on Monday under suspicion that they had contracted the avian flu virus.

The hospital's medical service director Khalid said on Tuesday that the five, who lived in the same village and included two babies less than 7 months old, had not tested positive for the H5N1 virus but said they had been showing symptoms similar to those infected.

"We have taken their blood and saliva samples to be tested in our laboratory," the doctor said. The results should be available on Thursday. 

http://www.thejakartaglobe.com...

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


Housemaid dies of bird flu in Tangerang
The Jakarta Post | Wed, 02/22/2012 9:54 AM

JAKARTA: The Health Ministry confirmed on Tuesday that KH, a housemaid in Tangerang, Banten, died of avian influenza, stating that the 19-year-old woman was the third victim of the deadly virus in Greater Jakarta this year.

Rita Kusriastuti, the director of animal-borne infectious disease control at the Health Ministry, said that KH died on Feb. 13 after being treated for one day at Sari Asih Hospital in Karawaci, Tangerang.

KH started to display symptoms of the bird flu on Feb. 8 and went to a clinic for treatment for high fever and a cough. Her condition deteriorated and she was admitted to the hospital on Feb. 12.

The ministry had monitored her workplace in Tangerang and hometown in Kebumen, Central Java. Rita said that KH temporarily returned home early this month. "But we found no sick poultry that she could pick up the virus from at either place. It was probably from a sick fowl she cooked at her home on Feb. 4."

KH was the third casualty after North Jakarta resident PDY died on Jan. 7 and his little sister ASR on Jan. 16.

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

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


Five Bird Flu Suspects Are Still Maintained
http://index.okezone.com/read/...
February 22, 2012
MAKASSAR, Indonesia:  Five bird flu suspect patients in Makassar, South Sulawesi, are still undergoing intensive care in a special isolation room for bird flu infection centers at Wahidin Sudirohusodo RSU.  The patients are still awaiting lab results from Jakarta.  One patient is a one-month-old baby.  The baby is still having fever so high that is continuously crying.

General and Operations Director RSU Wahidin Sudirohusodo Kalsum Patonangi Andi on Wednesday (2/22/2012), said the five patients were experiencing bird flu-like symptoms, including high fever, for five days.  Related to this case, the municipal government of Makassar has implemented the alert status of bird flu infection.  Moreover, dozens of birds died suddenly at the home of the patients were confirmed positive for bird flu.

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


South Bali: 12-Year-Old Child Dies of Bird Flu
Child Dies of Bird Flu in Bali
12-Year-Old Child Dies of Bird Flu at Bali's Sanglah General Hospital

(2/23/2012)
Radar Bali reports the death of a 12-year-old child from South Bali due to Bird Flu. The child, identified only with the initials WM, died in the isolation ward of Denpasar's Sanglah General Hospital at 3:00 a.m. on Tuesday, February 21, 2012.

The child was transferred to the Bird Flu Unit at Sanglah Hospital only 5 hours prior to its death after being warded for five days at the Puri Raharja Hospital, also in Denpasar.

Dr. Ken Wirasandshi, the head of the Bird Flu Team at Sanglah Hospital, said the child was suffering from respiratory distress with laboratory tests showing the virus for Avian influenza.

The child's parents, however, deny any contact with poultry prior to the onset of the disease. Initially misdiagnosed, the child was admitted to the Puri Raharja Hospital with a for typhus

http://www.balidiscovery.com/m...

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


Development of Bird Flu Cases
http://sehatnegeriku.com/perke...
February 24, 2012
Balitbangkes, Indonesia:  The Ministry of Health through the Directorate General of Disease Control and Environmental Health has announced that a new case of H5N1 have been confirmed by the Center for Basic Biomedical and Health Technology, Balitbangkes.  The case is on behalf of DWM (male, 12 years) resident of Badung, Bali.  On February 11, 2012, his fever symptoms developed and he saw doctors in private clinics and hospitals.  On February 16, 2012 the case was being treated at RS.  Because of increased shortness (of breath), on February 20, 2012, the case was referred to the Referral Hospital Bird Flu, but eventually the case died on February 21, 2012.

Epidemiological investigations have been conducted in the home and neighborhood environment.  The case by the local Health Department with the results of risk factors is unclear.  With the increase of this case, the cumulative number of bird flu in Indonesia since 2005 until this news was broadcast were 186 cases with 154 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 informed the WHO about the case.
(more)


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


Examination of Patients Are AI Negative
February 24, 2012
http://regional.kompas.com/rea...
Palangkaraya, Indonesia:  The examination of patients suspected of bird flu at the General Hospital (Hospital) Dr. Doris Sylvanus was negative.  The hospital patients in Palangkaraya, Central Kalimantan were previously treated in isolation but have now been allowed to mingle with other patients.

Deputy Director of Medical and Hospital Care at Dr Doris Sylvanus, Irly Yulia, in Palangkaraya, Friday (02/24/2012), said that the patient AD was excluded from the isolation room on Thursday afternoon yesterday.  The patient was rushed to hospital on Saturday (18/02/2012) and immediately put in isolation.  According to Irly, M could only be added to the usual care after waiting for the results of tests carried out in Jakarta.  Along with M, three members of his family were treated.  

"All the members of M's family were out of the isolation room last Wednesday," he explained.

They are expected to be returned to the village Murui homelands, Central District of Kapuas, Kapuas, Central Kalimantan, next week.  At present, the condition of M and the members of his familyare  quite well.  They do not have a fever, cough, runny nose, and have a normal appetite.

"We are still awaiting the results of viral culture. Result are still only known for a long time, about three weeks," said Irly.  

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


Egypt reports two cases of bird flu this week
The Egyptian Ministry of Health notified the World Health Organization on Wednesday and Friday concerning two new, separate avian influenza H5N1 cases according to a Global Alert and Response (GAR) report.

The case reported Wednesday was a 45-year-old female from Menofia governorate. She developed symptoms on 10 February 2012, received oseltamivir (Tamiflu) treatment on 17 February 2012 and is still recovering. The case was laboratory confirmed by the Central Public Health Laboratories last Saturday.

The second case reported to the WHO today is a one-year-old female infant from Gharbeia governorate. She developed symptoms on 14 February 2012 and was admitted to a hospital on 15 February 2012, where she received oseltamivir treatment upon admission. She is in good medical condition.

The investigations of both cases show the presence of backyard poultry in their respective residences.

Egypt has one of the lower avian influenza case-fatality rates at 34%.

http://www.examiner.com/infect...


WHO confirmation of 2nd Egyptian case
http://www.who.int/csr/don/201...

Avian influenza - situation in Egypt - update

24 February 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 one year-old female from Gharbeia governorate. She developed symptoms on 14 February 2012 and was admitted to a hospital on 15 February 2012, where she received oseltamivir treatment upon admission. She is in good medical condition.

Epidemiological investigation into the source of infection is ongoing. Preliminary investigations indicate presence of backyard poultry in her area of residence. (snip) Of the 160 cases confirmed to date in Egypt, 55 have been fatal.  


Vietnam: Disease in cattle, poultry complicated
Translated

Binh Duong authorities confirmed he had found Phu Truong Son 22 years old (Snip) (positive) H5N1 flu. He was born in H. Hoang Son Hoa, Thanh Hoa (where there is avian influenza), visited relatives in the Pacific.

Before entering the Pacific, his Son eat duck. Upon detection of the disease, his Son has symptoms of high fever, difficulty breathing, low platelets ..., now in Tropical Diseases Hospital (HCMC) (for) treatment. Department of Animal Health, Center for Preventive Medicine Pacific zoning conducted, blood samples exposed to the Son to be tested.

Yesterday, the Department of Animal Health (MARD) said at the same time appeared the 3 kinds of dangerous epidemics as bird flu, blue ear pig and foot and mouth disease. Bird flu is attacking chickens, ducks, of the 11 provinces and cities across the country. After recurrence in the Pacific, foot and mouth disease has appeared in Ha Giang and Nam Dinh, as 140 infected cattle. Blue ear pig epidemic continues to spread in Lao Cai, on the outbreak of the breeding herd in the districts of Bao Thang, Bao Yen and Pho Rang town. Animal Health Department says the risk of outbreaks and the spread on a large scale is very high, the localities should actively implemented measures synchronized prevention. http://www.thanhnien.com.vn/pa...  

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

     


Vietnam: Detect cases of influenza A (H5N1) in humans in Binh Duong
Translated

Update: Sunday, 26/02/2012 - On 25-2, Pacific Health Department, said the newly discovered cases of influenza A (H5N1) (Snip) the patient named Phu Truong Son, born 1990 in Hoang Hoa district, Thanh Hoa province, currently resides at home of uncle, Mr. Tran Dinh Hau, at the 12, eight quarters, Phu Loi, Thu Dau Mot town, Binh Duong Province.

(Snip) a week before Tet, Son was home for Tet, (Snip) on the day of Feb. 17, Son Binh Duong infection (showed symptoms). On Feb. 23, Son was brought into Hospital for Tropical Diseases, Ho Chi Minh for treatment. The sample showed Phu Truong Son positive for influenza A (H5N1) and is continuing treatment at this hospital. It is not clearly identify influenza patients in any locality, by the time the Son moving parts.

Right after the test samples, the Veterinary Department, Center for Preventive Medicine Pacific, Institute of Pa-xto Ho Chi Minh City has examined his family and Hau Tran Dinh (uncle)and took sample for testing. (collected samples from the family for test)

Representatives of the Veterinary Department said Binh Duong province, will also take serum samples for testing poultry in eight neighborhoods where patients live and conduct regular inspection of poultry around the area measures to prevent and combat time. http://nhandan.org.vn/cmlink/n...

(Note: If I understand this correctly, 22 year old male, Phu Truong Son resided with his family in Hoang Hoa district. He went to visit his uncle, Mr. Tran Dinh Hau, in Binh Duong Province. He ate some duck the night before he left his family's home. He became ill and is hospitalized and under going treatment. He is positive for H5N1. The authorities have taken samples from his family and done an inspection there. They have also inspected the home of his uncle and are doing test on him too.)

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

     


Vietnam: Binh Duong reports first human bird flu case
The southern province of Binh Duong has confirmed the first case of bird flu in humans and the patient has been carried to Ho Chi Minh City for treatments.

The patient is Truong Phu Son, born in 1990. He was living in a house in Phu Loi Ward, Thu Dau Mot Town (Snip)

He returned to his home province of Thanh Hoa during the Lunar New Year holidays late January, and had come back to Binh Duong to work. On February 17, he had high temperatures and breathing difficulty, and was brought to a local hospital. On Feb. 23, he was transferred to the Ho Chi Minh City Hospital for Infectious Diseases and Tropical Diseases as his conditions became worse. Blood samples later showed that Son was infected with the deadly bird flu virus A/H5N1.

Health officials said where he was infected with the virus was still unknown.

Health officials also quarantined those who had contacts with Son in his rented house in Phu Loi Ward and disinfected the area with chemicals. http://www.saigon-gpdaily.com....

(Note: Vietnamese newspapers say he was in Binh Duong at the same home as his uncle when he was hospitalized.)

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

     


Gowa Resident Allegedly Infected with Bird Flu
February 26, 2012
http://www.metrotvnews.com/rea...
Gowa, Indonesia:  Rusdi, a resident of Parang Banoa Village, District Pallangga, Gowa, South Sulawesi, is a bird flu suspect.  Rusdi, according to his family, started a high fever and cough shortly after hundreds of his chickens died suddenly.   The family was worried because earlier some Gowa residents tested positive for bird flu. Rusdi was treated in hospital Sheikh Yusuf Gowa, before being admitted to hospital Wahidin Sudirohusodo, Makassar.  Saminah, a Sheikh Yusuf hospital nurse, said the victim had to be moved because he needed intensive care.  

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

Vietnam: Man in critical condition with bird flu
Feb 27, 2012 - A 22-year-old man living in southern Binh Duong Province who has contracted bird flu is in a critical condition (Snip)

The patient, Truong Phu Son, was hospitalised on February 23 after experiencing a high fever and respiratory failure. Son subsequently tested positive for the H5N1 avian influenza virus and has received intense treatment.

(Snip) during the Tet holiday Son ate chicken and duck of unknown origin several times in the central provinces of Thanh Hoa and Binh Duong Province, as well as in HCM City. (Snip) http://it.tmcnet.com/news/2012...  

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

     


Fourth person in Vietnam catches bird flu
Hanoi - A man in south Vietnam was in critical condition after catching bird flu from a meal of duck blood (Snip)

The 22-year-old from Binh Duong province was the fourth person to get the virus this year, two of whom had died (Snip) Truong Phu Son was first taken to hospital on 17 February with a high fever and respiratory failure. Tests showed he had contracted the H5N1 strain of the virus. Son is thought to have caught the virus from a meal of duck blood pudding, a kind of noodle soup that is served with pieces of congealed blood.

On Sunday, the Animal Health Department raided shops in Son's hometown illegally trading in live poultry and slaughtering birds (Snip) The area around his home was also disinfected. The department has prepared 1.2 million doses of vaccine (for poultry) against the virus which it will start using on Thursday.

There have been 121 confirmed human H5N1 infections and 61 deaths in Vietnam since the virus first appeared in the country in 2003. (Snip) http://news.monstersandcritics...  

 

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

     


[ Parent ]
Parangbanoa Kunjungmae Village is Isolated for Bird Flu
February 29, 2012
http://www.seputar-indonesia.c...
Bird-Flu-Parangbanoa Kunjungmae isolated
Sungguminasa, Indonesia:  Gowa Department of Animal Husbandry, Fisheries, and Marine (DPPK) has isolated Parangbanoa Kunjungmae Village, District Pallangga, for a month because hundreds of chickens in the two villages are indicated with the bird flu virus or H5N1.
This step was taken to anticipate the spread of bird flu in order that it not spread.  Head of Gowa DPPK Muhlis said that isolation is in Parangbanoa Kunjungmae and emergency measures are to prevent transmission of bird flu.

"We regularly spray all residents' chicken houses that indicated the bird flu virus contamination," he said .

In addition to the two villages, DPPK also routinely sprayed disinfectant into the chicken coop farms in District Bontonompo, Bajeng, and Barombong.  Meanwhile, the Central Laboratory (BBL) Makassar ensured that five Kunjungmae residents who were hospitalized in Makassar Sudirohusodo Wahidin were negative for avian influenza (AI).

Likewise with Dg Rusdi Mile, 45, a resident of Parangbanoa. After undergoing treatment in hospital Wahidin Sudirohusodo, Rusdi was only suffering from gastritis.   The Head of Gowa Sangkala N Dinas Kesehatan BP3 revealed that the results of blood samples, from all six people and poultry in the village Parangbanoa Kunjungmae were H5N1 negative.

"Five people suspected of bird flu who are being treated in the department of Dr. Wahidin Sudirohusodo BBL have also been examined. The results showed they were negative," he said.


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


Egypt: WHO confirms 2 human H5N1 cases, both fatal
http://www.who.int/csr/don/201...

The first case is a thirty-two year old male from Behira governorate, in the Abo Elmatameer District. He developed symptoms on 16 February 2012 and was admitted to hospital on 21 February 2012 where he received oseltamivir treatment upon admission. He died on 28 February 2012.

The second case was a thirty seven year-old female from Kafr Elshihk governorate in the Kelleen District. She developed symptoms on 18 February 2012 and was admitted to hospital on 23 February 2012 where she received oseltamivir treatment upon admission. She died on 26 February 2012.  


Bangladesh: Human H5N1 case
(Hat-tip to Mike at Avian Flu Diary, who hat-tipped Ronan Kelly on FluTrackers)

http://www.iedcr.org/ and http://www.iedcr.org/images/pd...

A 40 year old male has been diagnosed as fourth case of Human Avian Influenza (H5N1) in Bangladesh. This case has been reported from live bird market surveillance system in Dhaka City on 26 February 2012. This was confirmed by rRT-PCR. The patient is a live bird market worker.

The case presented with cough. Throat and nasal swabs were collected and found positive for H5N1. Presently he is free from symptom. IEDCR & ICDDR,B jointly investigating the case and monitoring the situation.  


Lots of good hat-tipping going on there!


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

[ Parent ]
How come other countries get positive results so quickly
and Indonesia's tests seem to take an inordinately long time, then come back negative, and only turn out positive after the patient dies??

Is that only my take on it, or do you all see it that way too?  If so, there are a couple of possible reasons:  a) incompetent testing personnel or procedures,b) cover-ups, or c) a virus so mutated away from the original form - on which the tests were based - that the tests no longer show positive unless and until there are so many virus particles it can't help but register.

Thoughts?

Always have a plan B.


[ Parent ]
Bird Flu Suspect's Condition Has Not Improved
http://www.tribunnews.com/2012...
March 1, 2012
BANDUNG, Indonesia:  The condition of 42-year-old man who allegedly contracted the H5N1 virus (bird flu) has yet to improve.  This man was referred to Hasan Sadikin Hospital (RSHS) from Immanuel Hospital on Wednesday (29/2) evening.  When arriving at RSHS at 18.00 pm, the man was put on a ventilator due to respiratory failure.  He had also suffered kidney failure and disorders of other organs such as the liver.  He immediately entered the Bubble Flamboyan, and received treatment such as the provision of medicines to stabilize his blood pressure.

"Currently, the patient was still unconscious, because he is using a ventilator. So far he has been rather stable, but not both," said a spokesman for Infectious Diseases Special Medical Team Dr. Primal Sudjana RSHS Bandung, when contacted by telephone on Thursday (1/3 / 2011).

This is the second case in 2012 of bird flu suspect cases that is being handled RSHS.  Previously, SA (37), a resident of Kampung Mengger Girang, Village Pasirluyu, District Regol who was suspected of having bird flu, has died at the Bubble Flamboyant Hasan Sadikin Hospital on Tuesday (02/07/2012) at 16:35 pm.



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


Bird Flu Suspect in RSHS Increasingly Critical
March 1, 2012
http://www.inilahjabar.com/rea...
Bandung, Indonesia:  A bird flu suspect patient with the initial A (42) and a resident of Ranch Sawo, Marga Asih Buahbatu District, is still in the infectious disease isolation room for treatment at  Flamboyan RSHS Bandung.  Spokesman for Special Handling Team of Infectious Diseases at Hospital Dr. Hasan Sadikin Bandung, Primal Sudjana, said that because his condition is more critical, the patient is now fitted with a ventilator or auxiliary breathing aid.

"His condition is getting critical. Now we have fitted our patient with a ventilator as a tool, because the patient had liver failure, kidney and (was not?) breathing well," Primal told reporters when met about conducting the examination.

Primal explained that on Wednesday (29/02/2012) at 16:00 when going to Immanuel Hospital, he was suspected to be infected with Avian Influenza.  Previously, the patient complained of fever, aches, cough and cold.  But two days later the patient experienced shortness of breath and then went to Ujungberung.  Because the equipment did not support him, he was then referred to Immanuel Hospital.  Once his condition worsened, the patient was referred to RSHS and ICU admission.

"According to information from the wife of A, this patient was working as a farmer and maintained certain birds such as chickens and ducks," he said.

Primal was also recognized as the second time in 2012 that RSHS dealt with avian influenza after a few weeks ago U.S. died.  But from the sample specimen, the U.S. was declared negative.


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


Indonesia:Saliva Samples Suspect Bird Flu Investigated Soon
March 1, 2012
Bandung, Indonesia: The saliva samples of patients identified as a suspect bird flu in Bandung RSHS be examined to ascertain whether positive or not infected with avian influenza.  Patient suspect bird flu H5N1, or the current condition and continue to be monitored more critical Doctor Tim RSHS Special Handling of Infectious Diseases. In addition fitted with a ventilator, for his blood pressure was also helped by drug injection.

"We have sent last night samples from the patient specimens, including saliva, sputum, smear, and blood. Since the entry of yesterday afternoon, so we sent last night," said spokesman Tim Infectious diseases Special Handling RSHS dr Primal Sudjana told reporters, Thursday (03/01/2012).

He said the samples will show a positive or negative patients infected with avian influenza or bird flu.  
"At this time the patient was getting worse, because it is not aware of a patient given the drug by injection, and also have installed a tool. While the samples have been sent, new possibilities could be the result tomorrow," he concluded.

http://www.inilahjabar.com/rea...

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


Indonesia: WHO reports human H5N1 case
http://www.who.int/csr/don/201...

Avian influenza - situation in Indonesia - update

1 March 2012 - The IHR National Focal Point in Indonesia has notified WHO of one new case of human infection with avian influenza A (H5N1) virus.

The case was a 12 year-old male from Badung, Bali. He had onset of symptoms on 11 February 2012 and was admitted to a private clinic on 16 February 2012. His condition continued to worsen, resulting in severe difficulty breathing. He was referred to an avian influenza referral hospital on 20 February 2012 where he died on 21 February 2012.

Epidemiological investigation into the source of infection indicated contact with poultry, though no poultry deaths within the household or neighborhood have been reported. The risk factors are still under investigation.

Of the 186 cases confirmed since 2005 in Indonesia, 154 have been fatal.  


Bird Flu Suspect Patient's Condition Still Poor
March 2, 2012
http://jabar.tribunnews.com/20...
Bandung, Indonesia:  After three days in a doctor's care a Ruma Hasan Sadikin Bandung, A (42), a patient suspected of contracting avian influenza (AI), his conditions are better than the previous day, Thursday (1/3).   According to a spokesman for the medical team RSHS Bandung Special Diseases, Dr. Primal Sudjana, his conditions are still not good.

"He still has respiratory failure and is still using the ventilator.   He still has kidney failure, liver failure, unstable blood pressure, and is also away from the normal platelet count.  When entering, his platelet count is only 7000.  This should be increased because of the risk of bleeding. Normally it is 150,000," he said at a news conference at RSHS, Friday (2/3) afternoon.

With the patient's condition still far from good, the hospital decided to take no action other than drug administration until the platelet count is at 50,000.

"We have already started to have improved platelet count despite only reaching 29,000. It also remains to be continually added," he said.

The patient began to feel unwell on Thursday (23/2), and the next day he went to the GP.  His condition did not improve, and he even experienced shortness of breath.  On Monday (28/2), the patient was brought by his family to Immanuel Hospital for treatment.  His condition continued to deteriorate until the next day, Tuesday (29/2) evening, the patient was transferred to RSHS and straight into the Bubble Flamboyan.

AI virus is suspected of infecting patients and cannot only be transmitted through direct contact with poultry, but also contact with poultry manure.

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


PCR Results H5N1 Negative for Poultry
http://www.inilahjabar.com/rea...
March 2, 2012
London, Indonesia:  Head of Animal Disease Prevention Eradication of Agriculture and Food (Dispertan) Bandung Sudarmaji said that the results of tests on blood samples of poultry in Rancasawo Buahbatu Bandung are known to be negative for bird flu.  Likewise the test through a process of Polymerase Chain Reaction (PCR), the results remained negative.  He said that since the patient with the initial A went into Rancasawo District Buahbatu Flamboya RSHS Jakarta, on Wednesday (02/29/2012), on Thursday (03/01/2012) he sent 6 people from the bird flu rapid action team to immediately conduct a search.  When they went, they took eight samples of poultry manure and everything but the results were negative.

"The results of PCR testing of 8 cloacal swab samples, including entog cloacal swabs, 2 chicken cloacal swabs, 1 duck cloacal swabs, and two from the suspected location of FB, which we sent directly to lab Cikole, all results are negative," he explained on Friday (2/3/2012 ) saying these birds were around the victim's home.

The victim's own poultry were sold for medical expenses.  Based on the recognition of the victims, said Sudarmaji, poultry victims.  Yet not only the victim's poultry grazed , but many people.

"It's the victim this time who was in direct contact with poultry, but the poultry or birds that are around the victim's house proved to be negative.  But because we are still awaiting the human results, then we do prevention as early as possible.  We'll let the public continue to always be vigilant and provide an understanding of maintenance-related birds," he said.


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


Patient Suspect Bird Flu Symptoms Similar to the Late U.S.
http://www.inilahjabar.com/rea...
March 2, 2012
London, Indonesia: A, the patient suspect bird flu that is now being treated in RSHS symptom that has many similarities with the first patient in the U.S. this year (37), Pasirluyu Village residents who died allegedly suspect bird flu a few weeks ago.

"There are so many similarities with the first, as worsening conditions very quickly, the same failure of respiratory function, and also both suffered multiple organ failure," said spokesman Tim RSHS Special Handling of Infectious Diseases Dr. Primal Sudjana told reporters when met at the Flamboyant isolation room RSHS Pasteur Street, Friday (03/02/2012).

Until now, he added, in addition to providing tamiflu drug, the doctors also provide a cure for pneumonia.

"The symptoms of bird flu is also accompanied by the same symptoms as some other diseases, many of the organ failed to function with the addition of platelets hopefully will improve organ function little by little," he said.  

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


Vietnam: Suspected bird flu patient recovers
HCM CITY - The third person to have caught bird flu in Viet Nam is recovering (Snip)

Truong Phu Son, 22, still being kept under surveillance, was hospitalised with high fever and respiratory problems on February 23 after slaughtering and eating ducks in Cu Chi District. Tests confirmed the man from Binh Duong Province had contracted the H5N1 virus. (Snip) http://vietnamnews.vnagency.co...  

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

     


Bangladesh reports first case of bird flu of 2012
Bangladesh health officials have confirmed the fourth case of human infection with H5N1 avian influenza (Snip)

(Snip) a 40 year-old male from Dhaka City, who was identified as part of the live bird market surveillance system on 26 February 2012. The case presented with cough and currently has recovered. The man is a live bird market worker.

Health officials are investigating the source of the man's infection.

The (Snip) IEDCR confirmed the case of H5N1 avian influenza on throat and nasal swabs on the patient. The virus was confirmed by rRT-PCR.

In addition to the first case in 2008 and the current case, there were two cases of human infection of bird flu last year in Bangladesh. http://www.examiner.com/infect...


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

     


Check Diskes and Standardized Suspect
http://jabar.tribunnews.com/20...
March 3, 2012
Bandung, Indonesia:  Bandung Public Health and the Department of Agriculture are handling suspected cases of bird flu that are being treated in RSHS by examining family and pets.

"The pace of the handling of bird flu suspect patient care is according to standard operating for bird flu," said Chief Medical Officer of Bandung City Hall Ahyani Reksanagara in Bandung, West Java, on Friday (02/03/2012).

Ahyani said they had examined the health of the patient and the families who had contact with the patient.

"According to clinical examination, the results are all healthy so they do not need blood tests and throat swabs," said Ahyani.

Ahyani said the Department of Agriculture is carrying out inspection of animals to check the chicken coops and excrement.

"We are in RT, RW and communities to improve environmental hygiene," said Ahyani.

Ahyani said the Health Department conducted education and awareness of bird flu and the Clean and Healthy Lifestyle and monitoring of the public about the flu-like symptoms of  'over 38 drjt fever, cough, runny nose, body contact with poultry.'  


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


More on bird flu suspect.
http://news.asiaone.com/News/A...
March 4, 2011

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

[ Parent ]
Bird Flu Suspect Dies
http://www.tribunnews.com/2012...
March 4, 2012
BANDUNG, Indonesia:  Atep (42), a bird flu suspect patient treated at RSHS since Tuesday (2/28/2012), died in the Bubble Flamboyan around 20:15 pm, Saturday (03/03/2012).
His body was immediately taken to the mortuary RSHS and taken home by his family at around 22:15 on the same day.

"The patient suffered multiple organ failure and could not be helped," said a spokesman for the medical team at RSHS Bandung Special Diseases, Dr. Primal Sudjana, speaking to the Tribune by telephone on Sunday (03/04/2012) afternoon.

Previously the patient was still experiencing respiratory failure and had to be on a ventilator.  Several other organs were not in good condition.

"He still had kidney failure, liver failure, unstable blood pressure, and was also away from the normal platelet count. When entering, his platelet count was only 7000 only.  It needed to increase because of the risk of bleeding.  Normally it is 150,000," said Dr. Primal Sudjana, Friday (03/02/2012) .

Since being referred to the RSHS, Tuesday (28/02/2012), the patient had experienced a bit of progress, especially with his platelets.  As for the other organs of state there was no progress. The patient began to feel unwell on Thursday (2/23/2012), the next day he went to the GP.  His condition did not improve, and he even had experienced shortness of breath.  On Monday (2/28/2012), the patient was brought by his family to Immanuel Hospital for treatment.  His condition continued to deteriorate until the next day, Tuesday (29/02/2012) evening, the patient was transferred to RSHS and straight into the Bubble Flamboyan.   The patient's last breath was about 20:15 on Saturday (03/03/2012).

The AI virus that is suspected of infecting patients can not only be transmitted through direct contact with poultry, but also contact with poultry manure.  The patient was known to maintain a variety of birds in the neighborhood.  Even a few months ago, the patient's duck died.



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


Rancasawo Bird Flu Suspect Patient Dies
March 4, 2012
http://www.inilahjabar.com/rea...
Bandung, Indonesia: A bird flu suspect patient who was being treated at Hasan Sadikin Hospital drew his last breath at about 20:20 pm, Saturday (03/03/2012).   The patient with the initials A sub Stone Fruit (42) was treated at Flamboyant room since Thursday (03/01/2012).   He was referred to the room for suspected H5N1 virus infection.  Spokesman for Special Disease Management Team, Primal Sudjana RSHS doctor, said that patient A died of multiple organ failure with complications of respiratory failure, kidney failure and liver failure.

"At around 20:20 pm patient A died from organ failure," Primal said when contacted on his cell phone on Sunday (02/04/2012).

The special team of doctors treating the disease had already sent H5N1 smear samples to a laboratory in Jakarta.  Swab samples were taken three times but until now the results were not received by the team doctors.  

"The samples have been sent to Jakarta. We have taken (swabs?) three times but there have been no official results," added Primal.

Patient A on Monday (2/27/2012) yesterday was rushed to a hospital in Bandung.  But due to lack of adequate equipment and isolation for patients, he was referred to Hasan Sadikin Hospital in Bandung.  From there the patient's health no progress.  


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


Dinkes Handles Suspect's Funeral
March 4, 2012
http://jabar.tribunnews.com/20...
Bandung, Indonesia: Chief Medical Officer of Bandung Dr. Ahyani Raksanegara said they are handling the funeral of Atep (42) according to the bird flu, although his test results were negative.

"The first examination of the bird flu suspect patient Atep is negative," said Ahyani, Sunday (03/04/2012).

The examination of the patient's family, including chicken manure, was also negative.

"We repeated the tests on the patient who died as a whole, but the result was just finished three weeks," said Ahyani.

Even though there were negative test results, the funeral of the deceased was treated like a bird flu funeral.  Officials wore special uniforms.


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


Patient Suspect Died at RSHS Bandung
March 4, 2012

http://bisnis-jabar.com/

BANDUNG, Indonesia: origin of bird flu suspected patients Margasari Village, Stone Fruit District, the city of Bandung, the initials A (42/pria) who were treated at Hasan Sadikin Hospital (RSHS) Bandung since Thursday (29/2) then , was pronounced dead.

"Patient A who were treated from the date of February 29, 2012 and then, last night at around 10 pm over declared dead," said a spokesman for Infectious Diseases Special Medical Team Dr. Primal Sudjana RSHS Bandung, when contacted on his cell phone on Sunday.

Primal said, A dead multiple organ failure due to the complications of respiratory failure, renal failure and liver failure.

He said that since the first treatment in hospital Hasan Sadikin Bandung, A critical condition. "Currently, the patient's condition is not good since when coming here," he said.

Rumah Sakit Emmanuel. A patient, said Dr. Primal, previously referred to Hasan Sadikin Hospital, and previously he was admitted in hospitals Edge Berung Emmanuel Hospital Bandung and Bandung City "on Saturday, the patient was taken to the Hospital End Berung but because there is no place in the Hospital End Berung was then referred to Emmanuel Hospital. Emmanuel Hospital patient's condition deteriorates.  Therefore referred to here, "says Primal.

He said that during intensive treatment in RSHS Bandung Bandung Emmanuel Hospital, patient A was fitted with a respirator or ventilator.

According to records, A is the second suspected bird flu patient who died after intensive medical treatment in the Bubble Special Hasan Sadikin Hospital in Bandung.
Earlier, on February 7, 2012 and then, a patient suspected of bird flu that is Mr. SA, a resident of Kampung Mengger Girang, Regol District, City of London, who were treated at Flamboyant room Hasan Sadikin Hospital Bandung, also died after intensive care for several days.  

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


Indonesian woman becomes fifth bird flu victim this year
(Note: I am posting this for the "Indonesia Newshounds" because they can't do it. They are all sleeping right now! LOL)

A 24-year-old woman has died of bird flu on Indonesia's Sumatra island, the fifth human death from the virus this year, a health ministry official said on Wednesday. "She tested positive for the H5N1 virus by the health ministry's laboratory. (Snip)

Concerns about avian influenza have risen in Asia since China in late December reported its first fatality from the H5N1 virus in 18 months. Since then one more person has died in China, according to the health ministry.

Indonesia has been the nation hardest-hit by bird flu, with 150 deaths reported between 2003 and 2011, according to the World Health Organisation. Nine Indonesians died from the virus last year.

"The woman was living in an area where there are many ducks and chickens. She also had some (poultry) in her house," Kusriastuti said, adding that she died on March 1 in a hospital in Bengkulu city. Continued: http://www.telegraph.co.uk/new...  

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

     


Third bird flu patient of the year recovers, leaves Vietnam hospital
Vietnam's third bird flu (H5N1) patient of this year was discharged Tuesday after being treated for nine days in a Ho Chi Minh City hospital.

A Tuoi Tre newspaper report quoted a doctor as saying that Truong Phu Son, 22, was no longer in a critical condition.

He is now in stable health, said Dr. Nguyen Thanh Truong, chief of the Contagious Diseases Ward at the HCMC Hospital for Tropical Diseases.

However, he still needs weekly check-ups, since damage caused to lungs by H5N1 virus-related pneumonia cannot be fully healed, Truong said.

Truong also said Son's case was as critical as cases recorded in 2003 when bird flu first broke out in Vietnam. Without timely and intensive treatment he could have not been able to recover, he added.

Son, a Thanh Hoa native who has been working in the southern province of Binh Duong over the past year, had a fever on February 17.

http://www.thanhniennews.com/i...


Another Resident in Bengkulu Dies From Bird Flu
March 7, 2012
http://www.metrotvnews.com/rea...
Bengkulu, Indonesia:  A resident of Bengkulu has died from bird flu.  Meanwhile, a toddler is also being treated for fever-like symptoms of bird flu in the Hospital Doctor Muhammad Yunus, Bengkulu.  Certainty of the death of a patient due to bird flu was discovered at the hospital, after the victim with the initials MP died on March 1 last.  It's in the can after twice sending samples to the Laboratory Research and Development of the Ministry of Health Jakarta.

Meanwhile, a toddler, a resident of Swamp Prosperous Village, Bangkahulu Muara District, is in isolation for suspected bird flu.  The toddler's parents admitted that three days earlier, he had contact with poultry that died suddenly in their home environment. Until now, the toddler is still receiving care from the hospital.


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


H5N1 Claims Fifth Victim This Year in Indonesia
March 7, 2012
http://gulftoday.ae/portal/47f...
JAKARTA, Indonesia:  A 24-year-old woman has died of bird flu on Indonesia's Sumatra island, the fifth human death from the virus this year, a health ministry official said on Wednesday.

"She tested positive for the H5N1 virus by the health ministry's laboratory. It's the fifth death here this year," the ministry's head of animal-borne infectious diseases, Rita Kusriastuti, told AFP.

Concerns about avian influenza have risen in Asia since China in late December reported its first fatality from the H5N1 virus in 18 months. Since then one more person has died in China, according to the health ministry.
(snip)

"The woman was living in an area where there are many ducks and chickens. She also had some (poultry) in her house," Kusriastuti said, adding that she died on March 1 in a hospital in Bengkulu city.
(more)  

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


Two Toddleer Bird Flu Suspects Isolated in RSU Bima
March 8, 2012
http://news.detik.com/read/201...
Mataram, Indonesia: Two toddlers, aged 11 months and Lt Az, 2.5 months old, were isolated in RSU Bima, West Nusa Tenggara (NTB).  Allegedly, both are infected with bird flu or H5N1 virus.  To be sure, the two blood samples are now being tested in the laboratory.

"The symptoms that indicated the two toddlers are like the symptoms of people infected with bird flu virus. Therefore they are being treated in a special room in the Milky General Hospital," said Chief Medical Officer of NTB, Mochammad Ismail in Mataram on Thursday (03/08/2012).

Both children were previously treated at the Bolo Health Center, then referred to the General Hospital of Bima.  Bolo is one of ten districts where the bird flu virus attacked, where at least 8500 birds died suddenly.  Ismail said the toddler's body heat was 37.5 degrees.  Referring to the initial clinical symptoms, doctors initially suspected the two young children were suffering from  common lung infections.

"But we did not want to miss.  Therefore to anticipate things that are not desirable, we chose to care for both infants in a special room. Moreover, they come from districts that had avian bird flu virus," said Ismail.

Blood samples were taken and are now being examined in the laboratory.   It is estimated that testing the blood samples will take three days.  Although the laboratory results have not been obtained, the two toddlers will still be handled according to standard operating procedures and the handling of bird flu patients treated in a special room. Based on reports from the Milky Hospital, both toddlers had high fever for three days.  The parents seemed to neglect the children, because they thought their children had common colds.  Both new toddlers were brought to the clinic after their body temperatures would not go down.

Ten districts in Bima have been attacked by the bird flu virus and have now entered the second week.  Cases of bird flu were first discovered late in February 2012.  The mass of the incubation period will last for 14 days and people in the Milky area are encouraged to be alert.  Medical Officer of NTB has spread medication Tamiflu, the drug for bird flu, in ten districts.  Currently the Health Department is requesting additional NTB tamiflu drugs from the Ministry of Health, since the bird flu virus attack in the Milky increasingly rages.  


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


Clearly that should be toddlers not toddleer!


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

[ Parent ]
Bima Bird Flu Suspects Referred to Mataram
March 9, 2012
http://suaramandiri.blogspot.c...
Bima, Indonesia: To ensure patients suspected of being infected with symptoms of bird flu, aka H5N1, one of them was referred from General Hospital (Hospital) Bima to the Provincial General Hospital (Dr) Mataram.   Bima Hospital Public Relations, Dr H Sucipto, on Thursday said to a number of journalists that the referred patient was Azhar Mataram (2.5 months) while the other patient, Latifa (11 months) was forcibly repatriated by concerned parents who believe that operational costs and economic conditions are not allowed for the purpose during the Mataram (treatment?).  In fact, the government eliminated the cost of treatment and care are concerned.

The conclusion to refer patients suspected of bird flu he explained, is to find out for sure if the patients are suffering from bird flu bacteria.  Given that the availability of equipment in hospitals is incomplete and an inadequate means of support to know for certain if the diseases are deadly and contagious, it was decided to refer them to the department of Mataram, a more complete and adequate care and treatment infrastructure.  As a follow-up to find thousands of birds that died suddenly Bima region, the office has sent samples of dead birds to the Bali, Denpasar Laboratory.  From the results of Denpasar lab tests, said Cipto, the new note said certainly there is H5 bacteria H5 while N remains unknown and needs further lab tests.  And that he said existed in Bandung and Jakarta.

"We are still awaiting lab results on two areas," he explained, "to determine if N is in the poultry that died suddenly, N1 or N number."

Test samples, said Cipto, are very important.  It is not only to know the symptoms that are suspected of having avian bird flu alone, but rather on the symptoms that caused implications for humans.  If there is an H5N1 diagnosis from the symptoms samples, they must maintain and deal with the impact directly on humans.  They certainly will provide a special sterile space and keep citizens safe from the reach of other patients served in the hospital.  Hospital director will coordinate with the local Bima government, he explained, if they find patients with bird flu symptoms.  For the safe care in hospital, they will be transferred to Sanolo.


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


Seven Children in West Tenggara Are Bird Flu Suspects
March 9, 2012
http://www.metrotvnews.com/rea...
Bima, Indonesia: A total of seven children under the age of (no age given) residents from Districts Sila, Monta, Belo, and the Malays, the city of Bima, West Nusa Tenggara, are allegedly suffering from bird flu virus (H5N1).  The seven children were known to have bird flu virus after experiencing high fever, cough, runny nose, fatigue, vomiting, and decreased appetite.  Director General Hospital (Hospital) Bima, Tini Wijanari, Friday (9/3), said the patients had been isolated in emergency isolation.

Except for two children forcibly removed by their families because they have no cost.  But the hospitals have to supervise the children.  Prior otherwise indicated suffering from bird flu virus, at least in the region of 8000 chickens died suddenly.  


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


One More, Suspect Bird Flu Victim
http://harianrakyatbengkulu.co...

Published On: Sun, Mar 11th, 2012Headline News | By editor
SHARE THIS

BENGKULU - The Hospital M Yunus returned to receive one additional patient suspect (suspected) infected with H5N1 virus or bird flu virus known. The third suspect this patient on behalf of, Ad (21) Garden Village residents Dahri. The patient was immediately rushed to the Kemuning, Friday (9/3) afternoon.

While one other patient suspect bird flu, RJ (2), Jalan Bandar Raya toddlers residents Swamp Makmur declared negative. That was after the hospital received the results of lab test patient specimens that are still toddlers.

"It is true there is a new patient suspect entered earlier (yesterday, red) in the afternoon.

We have also made ​​Anamnesa or frequently asked questions relating to problems faced by clients. The results of therapeutic communication, be aware that previous pet birds such patients died suddenly yesterday (Thursday, red), "explained Deputy Director (Vice Director) Field of Medical Care and Nursing RSMY, Dr. Lista Cerlyviera, MM told RB today.

According to the woman who was familiarly called Lista's Mother, it has put the suspect patient is isolated in one room RSMY Kemuning space. Not long after the victims of domestic birds have died suddenly, the patient is known as one of the students in the city of Bengkulu PTS is suffering from a cough, shortness of breath over high heat until medium.

"The patient is (Ad, red) were referred directly by the Village Health Center Anggut with sore throat diagnosis. But after Anamnesa on patients and their families, the patient suspect bird flu was established and placed in the Myrtle, "Lista said.

Negative
Meanwhile, the good news was covering the family of RJ, one of the suspected patients who are waiting for results of lab specimen test report. RJ so that patients previously treated in the Kemuning certainly be transferred to the Edelweiss.

"Alhamdulillah, the hospital was a portrait of that lab test results are sent to Jakarta some time ago was negative. But we still give up all medical treatment to the hospital, "said the victim's father Muksin.

Thrice
According to Lista, it had received word of three oral specimen results sent to Jakarta. From the results of the three specimens of patients ascertained RJ, suspect bird flu negative. But the hospital has not received a copy of the lab test results. The plan, a team from the center will send the lab results via fax today.

"If there is no obstacle tomorrow (today, red) has sent faxes related to the patient's lab specimen RJ. Ideally, a single negative lab test will be repeated until the second and third specimens. In contrast to the positive results, if positive results of the first specimen, it is not necessary to test the second and third lab. For the results of lab tests patient specimens RJ, after three negative ternayata all done, "beber Lista.

2 Suspect
In addition to Ad, another victim of bird flu suspect, YO (22), a resident of Village Cage, is still treated in the Myrtle RSMY. Monitoring the condition of the patient suspect RB who entered Thursday (8/3) evening decreased platelets. YO impaired throat and shortness of breath after 4 days before being taken to RSMY, note 9 chickens died suddenly his home environment.

"It's early, patient's platelet count had dropped YO. The results of the examination medical officer, trombosti patient known only 105 thousand. Normal platelet count is between 150.000-450.000/cmm examination, "said Vice Director of Medical Services and Nursing Field RSMY, Lista.

After taking the specimen to the victim, the hospital and the authorities of Research and Development Center to send samples directly to Jakarta for further investigation. "We have sent specimens to the nearest YO patients. Hopefully the result is negative, "please Lista.

Proceedings Menkes
Assembled the results of the meeting the Director of Hospital M Yunus, dr. H. Yusdi Zahrias Tazar, Kes the Health Minister (Menkes) RI, Endang Rahayu Sedyaningsih in Jakarta, Lista has not been able to disclose it. Meeting at the offices of Minister of Health, yesterday afternoon, Acting Governor of Bengkulu also involve, H. Junaidi Hamsyah, S.Ag, Kadis M.Pd and provincial health, dr. Zulman Zuhri Amran.

"Someone seems to be the result. But it was not possible to report to the director of a subordinate. Let's wait after the delegation left for home to Bengkulu Jakarat yes. Hopefully tomorrow morning (today, red), has come back to Bengkulu, "said Lista.

Arif: Never Easy State Suspect
Meanwhile, Head of Agriculture and Livestock (Dispertanak) the city of Bengkulu, Ir.Arif Gunadi ask parties not to be easy to convict the suspect. Because according to a growing number of verdicts suspect Bengkulu residents increasingly anxious.

"We ask the parties whether the hospital or health office should not be too quick to suspect any findings. For as that experienced by village residents Cage (YO) is suspect because it is expressed by veterinarians report that reviewed the site this morning (yesterday) was not found either a history of suspect poultry and other livestock, "says Arif.

"Do not be if there were a high fever and flu that is directly exposed to bird flu suspect. Can not, at least should first coordinate with the Provincial Department of Animal Husbandry and Dispertanak whether it is at home or around there no poultry or livestock. Then finally issued a statement that the suspect, "said Arif.

Yesterday the doctors Dispertanak City and Province Dispertanak along with the doctors of the Central Veterinary Investigation (BPPV) Region III Regional Sumbagsel, spraying and sampling at home YO.

Arif also urged people to not be too panicky response to bird flu cases. But must remain vigilant, particularly for residents who raise poultry and livestock in order to always maintain the cleanliness of the cage.

With the discovery of cases of bird flu which claimed the lives of MV did in fact make people wary. This was evidenced by the many residents who came to the office to request the City Dispertanak disinfectant.

This was revealed by Section Pencegaha and Disease Rejection Dispertanak City, Dumilan Afandi, RB SP told yesterday (9/3). Until the office closed at 11.00 yesterday residents who come amounting to 8 people.

"From the arrival of citizens can be concluded that they were very worried about bird flu as well. During these two days is a lot of people who come disinfectant demanded, he said, just in case. We are here ready just because the stock is there, but if disenfektan is not used effectively it would be redundant, "said Dumilan.

"This morning alone there were 8 people who came from various districts. Some are asking for 1 liter, 2 liter we love ya. We have 4 types of disenfektan Glutosep, Destan, H1-6 Plus and Glutacap, but today Glutacap is up. In general, the function 4 disenfektan the same as washing the pests, only the name and production are different, "Dumilan. (MRX / uwa)


The patient Suspect Bird Flu Continues'' Coming into Hospital Bima<
http://koranlombok.wordpress.c...

http://www.suarantb.com/2012/0...

Bima (Voice NTB) -
Ever since four days ago, the referral of patients suspected of ( suspect ) bird flu continued to flock to hospitals Bima. To Friday (9/3) yesterday, there were already seven patients treated. Only, three of seven patients choose home force due to cost.

Hospital director Dr. Tini Wijanari Bima when met Friday (9/3) yesterday, said the past four days has been noted that seven patients suspect bird flu that were referred to hospitals. Six of the patients while one patient Bima regency of Bima city. Each of the Az (2.5 months), LB (11 months), Mf (3) from Bolo District, Rus from the Village District Monta Monta, Mel Madapangga, and another from Belo district. While San (3.2) of the exact origin of the Milky City District Asakota Malay Village.

Only, the light Tini, of the seven patients are not all suspect . The reason is simply suffering from pneumonia and drug reactions. So that the parents of three of four patients to choose their children forcibly repatriated. Each LB, Az, and Mf. While the other three are still being treated intensively in a special room.

"Although they were forced to go home, they continue to be monitored by officers of Health (Dikes)," said Tini. The result, after a review in their homes, the patients are getting better. While the rest of the treated condition is getting better. It's just two people who entered last night's development is unknown. If the results of medical examination, his condition continued to decline, they will be referred referred to Mataram.

In dealing with patients suspected of bird flu, he added, certainly in the Milky hospitals ready to handle. In fact it is preparing for the scenario. That is, once referred to hospitals Bima, the patient was immediately taken to the emergency room and then proceed to the isolation room. For patients whose condition is good then transferred to the recovery room.

Most importantly, he added, is a matter of prevention carried out by the Department of Animal Husbandry and Dikes. While the Hospital is only dealing with the impact of suspect to be referred. (use)


Bengkulu Hospital to Handle Bird Flu Patients
March 11, 2012
http://www.antarabengkulu.com/...
Bengkulu, Indonesia:  General Hospital M Yunus Bengkulu to date is already handling as many as four patients suspected of H5N1 virus or bird flu.

"We've been treating as many as four patients with suspected bird flu infection, and the fourth was identified as Ad (21), a Garden Village residents Dahri Bengkulu city," said Deputy Director of Medical Services and Nursing General Hospital M Yunus Bengkulu, Lista antarabengkulu Cerlyviera told reporters. com on Sunday.

The fourth patient was treated since Friday (9/3) due to suspected bird flu when his pet bird died suddenly on Thursday (8/3).  Consequently the patient was placed in isolation room in the yellow room.

"The fourth patient's blood sample was taken on Saturday (10/3) and sent to the Ministry of Health Balitbang," he said.

Earlier, three other patients suspected of contracting bird flu, including YO (22) a citizen of the city of Bengkulu Village Cage who is still being treated in isolation rooms, RJ (2) a Swamp Makmur Village resident, and MV (24) who had died some time ago.

"For patient RJ (2) we received word by telephone that his blood sample test results were negative that he contracted bird flu virus, and once we received the news, we directly transferred him to a regular ward," he said.

The boy was only exposed to respiratory infections and the development of health will continue to be evaluated for 1-2 days.  If he is getting better, he will be allowed to go home.  Previous RJ rushed to hospital suffering from fever, shortness of breath, cough, runny nose, sore throat and found to have contact with poultry around his home.

While for YO (22), although the family did not deny that the patient contracted the deadly virus, the hospital will continue to wait for the results of patient blood samples from Jakarta.

"The patient YO has been examined.  He suffered respiratory infections and decreased to 105 000 platelets per cubic millimeter, his platelet count was a little down right now," he said.
(more)



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


Beware of the Bird Flu Suspect Your Area (24 y.o. suspect dies)
http://www.theglobejournal.com...

Beware of the Bird Flu Suspect Your Area
dr. dr. Abdul Razak MH Pulo | Kontributor Abdul Razak MH Pulo | Contributors

Friday, March 9, 2012 11:23 PM
Bengkulu - It was unexpected that one day we will establish the diagnosis of suspected bird flu (H5N1) in a human. Edi Hidayat, also from Aceh, which was sent on duty at the Hospital Muhammad Yunus (RSMY) Bengkulu as an Internal Medicine Resident of Palembang Unsri FK, examining a patient.

As reported by People's Daily Bengkulu, (6/03) of a patient, MP, 24-year-old woman died from bird flu infected. Keesokan harinya, MetroTV juga menayangkan berita yang sama. The next day, Metro TV also broadcast the same news.

We began to suspect the patient's condition is declining very rapidly, within hours, and also no response to drugs that have been granted.Patients experiencing severe shortness, high fever, and coughing. The results again showed a thoracic X-ray picture of the extensive consolidation in the left lung and an overview perselubungan homogeneous in basal right lung. Laboratory results also strongly support that direction. Until we are assured that these patients had a viral infection, but virus what can make a very rapid deterioration?

Initially we were hesitant because of the interviews with patients and their families do not get a history of contact with poultry.Edi Hidayat discussion, re-read the literature on avian influenza.  Until we finally conclude the patient is likely infected with H5N1, the bird flu virus. Immediately, we report these findings to Konsulen Specialist Internal Medicine, and the patient immediately transferred to the isolation room.

To prove whether or not the bird flu case, then the local health office RSMY and send samples to the laboratory research and development of the Ministry of Health in Jakarta. A few days later the results obtained, and it turns out positive for bird flu, H5N1. But unfortunately, the patient died, despite being first can get the maximum handling.

From BBC.co.uk I got the news that the bird flu patient deaths in Bengkulu last week making Indonesia the country with the highest number of H5N1 victims in the world, according to World Health Organization,  Of the 349 deaths from bird flu worldwide since 2003, 155 of which occurred in Indonesia.  

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


Bengkulu Back on Bird Flu Alert
March 12, 2012
http://infopublik.kominfo.go.i...
Bengkulu, Indonesia:  Bengkulu City Residents told InfoPublik they are restless now because of the bird flu virus outbreak.  This growing unrest occurred after Riva Julianingsih, a two-year-old boy, was rushed to the Hospital M Yunus (RSMY) on Friday (9/3), because his condition was critical.   Riva Julianingsih Jalan Bandar Raya, a resident of RT 8 RW 4 Swamp Prosperous Village was a stated bird flu suspect. The second child of couple Herlinda (38) and Muksin (41) was allegedly suffering from the deadly disease, after the clinic was no longer able to handle the victim.

When he was referred to the RSMY, a team of paramedics immediately gave special treatment to the bird flu suspect boy.  They wore special masks.  Not only that, the victim was also isolated from other public patients.

Told by the victim's mother, Herlinda, beginning around 17:30 pm on Friday (9/3), the victim suffered a high heat and during the day, the heat did not go down, with cough and flu.  Looking at his condition, she immediately took her daughter (son?) to a neighborhood health center.  Upon examination at the center, it was unknown if the victim was strongly suspected of bird flu disease who needed special care, and was referred to the RSMY Bengkulu.

"According to the description of the health center, my child should have been referred to hospital M Yunus Bengkulu," Dewi said yesterday.

He also said the family was busy day-to-day raising chickens.   Said Dewi, a lot of his pet chickens within the last 3 days died suddenly.  Every day there were two or three chickens died suddenly.  The carcasses of dead chickens were thrown away, without being buried or burned, he said.

"The distance between the chicken coops with our house, it is very close to gold.   But I do not know if I was attacked by a chicken bird flu virus as seen on television, " he said.

Due to fear of all chickens that died suddenly, they were immediately sold at a low price.  Unfortunately, the incidence of chickens that died suddenly was not directly related to a personnel report.  Luckily the hospital reported to the Department of Animal Husbandry and Health of Bengkulu Province.  

"We are doing the handling of patients.  As for the handling of poultry infected with bird flu and their location, we have coordinated with the Animal and Public Health," said M Yunus Bengkulu Hospital Director, Dr. Yusdi Zahrias.

Dr Yusdi Zahrias also determined to make the treatment of victims who allegedly contracted the bird flu.  The findings of the bird flu suspect patient has been submitted to Strathmore University.  


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


S.Korea reports first suspected avian influenza case
(Thanks Ruby)

SEOUL: A suspected case of avian influenza was reported for the first time in South Korea in nearly 10 months with test results of a more detailed examination due later in the day, the government said today.

A suspected case was filed yesterday by a poultry farm in South Chungcheong Province where about 100 out of some 450 chickens are showing symptoms of avian influenza, South Korea's Yonhap news agency quoted an official with the Ministry for Food, Agriculture, Forestry and Fisheries, as saying.

About 40 chickens at the farm have already died with an initial test on 10 chickens with symptoms producing positive results.

http://www.nst.com.my/latest/s...


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


WHO table updated but situation updates not yet published
WHO updated their case count today (March 12), showing 2 new cases:
- 1 new case (fatal) in Indonesia
- 1 new case (recovered) in Vietnam

As soon as they post the Situation Updates for these cases, I'll update the table here.


Patient Suspect Bird Flu continues to Grow
http://www.kendarinews.com/new...

Note: previous articles have said that 3 children were forcibly  removed by their parents. One of them was Latifah, one of the original suspects. This article was one long block of text. I had to separate sentences in order to understand it at all.

Written by Crew, KN  
Tuesday, 13 March 2012 -

KENDARINEWS.COM: The number of patients with suspected suspect bird flu (Avian Influenza) treated in RSU Bima continues to grow.

Yesterday, there were five children undergoing treatment at the Hospital setempat.

Pasien bird flu suspect treated in the Milky RSU Sulastri, 1.3 years, Village residents Penaraga, Nabila, 10 months, Panggi Village residents. Daughter, 2.5 years, villagers Simpasai, District Lambu, and Safara, one year, villagers Samili, District WOHA.

Two children from the city of Bima, undergoing treatment at the Hospital since Sunday Afternoon Bima ago. While the patient named Princess, a resident of the Village Simpasai, Lambu into Sunday night.

The last patient Safara, enter RSU Bima, yesterday afternoon around 10:30 pm. ''

One other patient, Azhar Sonco 2.5 months from Hamlet, Village Sanolo, Bolo has been referred to the District Hospital Mataram,'' call the Public Relations RSU dr H Milky Sucipto.

four patients suspected of having bird flu, is now undergoing treatment in the insulation class II, a short distance from another patient care room.

Although recognized that wards are not yet qualified under the provisions of the Minister of Health. '' A number of patients treated in RSU Bima average have symptoms, runny nose, cough, hot and breathless,'' he said.

Sucipto admitted, a number of suspected patients with suspected bird flu, has so far not sent his blood sample. To make sure they are positive for bird flu or the H5N1 virus or not. Because there is no clarity from the Department of Health and Department of Animal Husbandry, the virus that attacked chickens in H5N1 or H5N2 Milky category. ''

The information that certain viruses that cause the death of thousands of chickens in the Milky H5 category,'' he admitted. Of particular concern, if the virus that attacked chickens in H5N1 or H5N2 Milky kind, very threatening for humans.

Because deaths from the virus could reach 60 percent. '' That needs to be aware of, transmission of the virus from human to human. People with the H5N1 and H5N2 virus to be completely isolated from other patients. While the condition of the Milky RSU, the mobility of visitors is very crowded,'' he explained.

Two of four patients suspect bird flu found in isolation RSU RSU Bima Bima admitted they entered Sunday afternoon. Previously they had been in care at the health center. ''

The pain had been four days with cold symptoms, cough and heat. Once brought to the health center Mpunda, the heat does not go down then we take it to the RSU Bima.

Hospital doctors are advised to enter the isolation room, due to high heat conditions,'' said Sabriani, mother of the patient Nabila, Village Panggi origin, found in the isolation of class II Bima RSU.

Asked if the victims had direct contact with chickens? Sabriani said there was never any direct contact, because they have not kept chickens. Genesis'' the neighbor's chickens died suddenly,'' he admitted.

The same conditions on the victim Sulastri, 1.3 years Penaraga Village residents. Although never in direct contact with chickens. But the sudden death of many chickens around their homes. "Before we get to the RSU Bima, had twice taken to health centers in both the health center and Mpunda PenanaE. But the heat did not want to go down,''

I Mardianingsih, mother of the victim Sulastri. Similarly, the symptoms are felt Sulastri, a runny nose, cough, hot and vomiting.

The last patient entered in the name of the Milky RSU Safara, Village Samili origin, in addition to having a cold, cough, hot, well short of breath. For these patients, although not in direct contact with chickens, but a lot of their pet chickens that died suddenly. (JPNN)


Bima Hospital Treating Bird Flu Suspects
March 14, 2012
http://www.metrotvnews.com/rea...
Bima, Indonesia:  Bima General Hospital, West Nusa Tenggara, is treating 10 patients suspected of bird flu.  The ten patients are young children and infants.  The hospital claimed to have received the whole results of blood samples of patients.

Finally, four patients are Nabila (10 months), Sulastri (1 year 3 months), Princess Rahma (2 years and six months), and Alfarah (one year 5 months).  The four were being treated in isolation rooms.  

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


Hospital Treats Bird Flu Suspects
March 14, 2012
http://www.suaramerdeka.com/v1...
Bima, Indonesia:  Bima General Hospital, West Nusa Tenggara, is caring for at least 10 toddlers who are suspected of bird flu infection.  The hospital admitted that they have not received the results of whole blood samples of patients. Finally, four patients were Nabila (10 months), Sulastri (1 year 3 months), Princess Rahma (2 years and six months), and Alfarah (one year 5 months).  The four were being treated in isolation rooms.  The patients had high fever, cough, runny nose, fatigue, vomiting, and decreased appetite. Previously at least 8000 chickens in the area died suddenly.



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


10 Bird Flu Suspects Improved
March 15, 2012
http://www.beritasatu.com/kese...
Bima, Indonesia:  Clinical symptoms have improved and no indication was found of infection with H5N1 virus.  The health conditions of 10 residents of Bima Regency, West Nusa Tenggara, who are in intensive care because of unexpected (suspect) bird flu, are getting better and leads to a negative status of Avian Influenza.

"These patients have improved.  Clinical symptoms better and we have found no indication of Avian Influenza virus H5N1 or negative," said Chief Medical Officer (DHO) province of West Nusa Tenggara (NTB) Dr. Ismail H Moch, in Mataram on Thursday (15 / 3).

They underwent medical treatment in Bima hospitals and were referred from a number of health centers.  Including two patients who were toddlers, Lativa (11 months) and Azhar (2.5 months), referred from Bolo health centers, because their body temperature reacheds 37.5 degrees celsius.
But medical care is entering the recovery phase, as it shows any significant change after being in intensive medical treatment.  Ismail appreciated the support of the people who were willing to bring his relatives suspected of being infected with bird flu, which refers to increased body temperature to exceed the threshold of 27.5 degrees celsius.

"Community participation in preventing the spread of bird flu virus from poultry to humans is very important.  Society Milky is aware of it so if temperature is high quickly bring the patient to a hospital or health center," he said.


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


Indonesia: 10 Patient Health Bird Flu Contingencies Improved
http://www.antaramataram.com/

March 15, 2012

Bima, Indonesia:  The health condition of 10 citizens of Bima Regency, West Nusa Tenggara, which is in intensive care because of unexpected bird flu, getting better and leads to a negative status of Avian Influenza.
"These patients had been improved. Clinical symptoms better and found no indication of Avian Influenza virus H5N1 or negative," said Chief Medical Officer (DHO) province of West Nusa Tenggara (NTB) Dr. Ismail H Moch, in Mataram on Thursday.

Ten patients suspected of bird flu that medical treatment in hospitals Bima, who are referred from a number of health centers. Including two patients who were toddlers each Lativa (11 months) and Azhar (2.5 months) who were referred from health centers Bolo, because his body temperature reached 37.5 degrees celsius.
However, medical care has entered the recovery phase, as it shows any significant change after being in intensive medical treatment.

Ismail appreciate the support of the people who are willing to bring his relatives suspected of being infected with bird flu, which refers to increased body temperature to exceed the threshold of 27.5 degrees celsius.
"Community participation in preventing the spread of bird flu virus from poultry to humans, it is very important and people in the Milky aware of it so quickly over high heat to bring the patient to a hospital or health center," he said.
As is known, an indication of the spread of bird flu virus in livestock sticking in Bima Regency on February 28, 2012 and has now spread in 10 of 18 districts in Bima Regency. Soromandi the tenth township, Madapangga, Bolo, WOHA, Belo, Donggo, Wawo, Sape, and Ambalawi Langgudu.

In fact, had spread to three districts in the city of Bima district of West Rasanae, Rasanae East, and Sub Asakota.
The results of laboratory examinations of a number of blood samples of pet chickens, two of which were positive for H5N1 virus (bird flu).

Department of Animal Husbandry and Animal Health and the province Bima, then destroy infected livestock suspected, will be able to prevent transmission to humans.
Pet chickens at least 4500 in 10 districts in Bima Regency suspected bird flu, has been destroyed, in addition to about 8,500 chickens that died suddenly.

Chickens and other poultry suspected of contracting destroyed, cages and other objects are considered tainted also destroyed. In fact, buried in the ground to ensure the safety of the things that are not desirable.
For those who are still healthy livestock, given vaccinations and kept away from the suspected bird flu.  

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


Bird Flu Case Confirmed in Western Lombok
http://www.antaranews.com/beri...
March 26, 2012
Jakarta, Indonesia:  Directorate General for disease Control and Environmental Health (P2PL) Ministry of Health has announced a new case of bird flu (H5N1) in West Lombok, West Nusa Tenggara.

"This case has been confirmed by the Center for Biomedical and Health Technology, Ministry of Health Balitbangkes, as positive bird flu," said Head of Public Communication Murti Utami Health Ministry in a press release here on Monday.

The case of bird flu was found in the man with the initial D (17) who was a resident of Lingsar, West Lombok regency, West Nusa Tenggara Province and who worked as a construction worker. According to Murti, the chronological case started on February 28, 2012 with symptoms of fever.  On March 1 the patient received outpatient treatment to a health center Lingsar until March 4 and was treated at Health Center Narmada.  On March 7, the case was referred to the department of Mataram and he was treated at the hospital but the patient's health condition worsened and on March 9, he died at 23:50 pm.

"In this case, epidemiological investigations have been carried into the homes of people and the environment by the Integrated Team Ministry of Health and local health office.  They obtained the possibility of environmental risk factor was contact with the death of poultry (chickens) in the neighborhood," said Murti.

With the increase in one case, the cumulative number of bird flu in Indonesia since 2005 to date is 188 cases with 156 deaths.  Director General of the Ministry of Health P2PL Tjandra Yoga Aditama as the focal point of the International Health Regulations (IHR) called Murti who has informed about the case to the WHO.  

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


17 year-old Indonesian has died of bird flu
Xinhua | March 27, 2012

A 17 year-old Indonesian had died on avian influenza in West Nusa Tenggara, putting the total fatality in the country to six this year, Health Ministry said here on Tuesday.

The boy died on March 9 after being treated in a hospital and a health clinic for one week.

Two laboratory test confirmed that he had H5N1 viruses, the ministry said in a statement.

The boy first got the symptoms on February 28 as he suffered from fever, then on March 1 he went to a doctor and then was treated in a health clinic and a hospital.

Investigation indicated that he likely had contacted with chickens, as officials found some chickens had died around his house.

The latest death put the total fatality on bird flu since the virus attacks the country in 2005 to 156.

Bird flu had attacked Indonesia, the hardest, since 2005, and then the attacks were eased significantly. But, it has reemerged again since last year, by killing nine people in 2011.

Concerns on the bird flu attacks appear in the region following the reports of the death on the viruses in Indonesia, Cambodia, China and Vietnam.

http://www.globaltimes.cn/NEWS...

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


6th Indonesian Bird Flu Victim
March 27, 2012
http://www.straitstimes.com/Br...
Jakarta, Indonesia:  17-year old construction worker has died of bird flu on Indonesia's Lombok island, the sixth death from the virulent disease this year, a health ministry official said on Tuesday.  The man developed fever on Feb 28 and was admitted to a local hospital five days later where he died on March 9, the ministry's head of animal-borne infectious disease control said.

"A laboratory result confirmed that he tested positive for the bird flu virus," Rita Kusriastuti told AFP, adding that the man contracted the H5N1 virus from poultry living around his house. "Some ducks and chickens in his neighborhood died of the virus, which has also been confirmed by a lab result," she said.  

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


Two bird flu suspects are being treated
March 28, 2012

Two bird flu suspects are being treated at a hospital in Bengkulu province after three others tested negative for the disease, the Bengkulu agriculture and livestock affairs office said. Head of Bengkulu's agriculture and animal husbandry office, Arif Gunadi said here on Tuesday that eight chickens had died in the outbreak of bird flu which affected six villages in Koja.

More than 100 chickens affected by bird flu had been culled by their owners, he said. Arif said his office has publicised to the chicken owners in Bengkulu to immediately provide disinfectants to the affected chickens and to clean their hen coops. Meanwhile, head of public communication centre of the Health Ministry, Murti Utami said in a press release obtained on Monday that a new case of bird flu (H5N1) was reported in West Lombok, West Nusa Tenggara. A construction worker from Lingsar, Lombok Barat district developed fever symptoms on March 1 and was later treated at the Narmada public health centre. He was shifted to Mataram regional hospital on March 7 but his condition continued to worsen, said Murti. The patient finally succumbed to the virus on March 9.

http://www.bernama.com/bernama...

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


Vietnam: 31-year-old man has become the 2nd patient for H5N1
A 31-year-old man has become the 2nd patient to be successfully treated for bird flu (H5N1) so far this year in Vietnam.
The Hospital for Tropical Diseases in Ho Chi Minh City (HCMC) announced that the patient has recovered and been discharged from the hospital after 19 days of intensive treatment.

His family said they had previously slaughtered and eaten a sick home-raised chicken more than 10 days earlier, from which he later developed a cough and high fever. The entire flock of chicken also died.

In a previous case, the hospital successfully treated a 22-year-old bird flu patient from Binh Duong Province.

Vietnam has so far this year reported 4 bird flu infections, 2 of which have been fatal, after a 20-month absence.

On 21 Mar, the Animal Health Department announced that Vietnam was free of bird flu. According to relevant regulations, a province is considered free from an infectious disease if there is no new infection in three weeks.

http://www.worldpoultry.net/ne...

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


Toddler Dies of Suspect Bird Flu
March 29, 2012
http://www.jpnn.com/read/2012/...
(Comment:  He and she were used interchangeably throughout the article to describe the victim.  To make the story more easily read, I kept the victim's gender female.  Hopefully more articles will clarify this point.)

Parigi, Indonesia:  Allegedly attacked by H5N1 virus (bird flu), a toddler patient treated at Hospital Undata died on Wednesday (28/3) yesterday.   The patient who died of suspected H5N1 virus with the initial Ar was a resident of District Moutong Parigi.  The five-year-old patient died in the special care or bird flu isolation room at around 11:00 pm.  Previously, Ar was treated in the Hospital Intensive Care Unit (ICU).  Ar was in isolation just a few hours before she finally breathed her last.  Deputy Director (Vice Director) Undata Hospital Services, Dr Amsyar Pradja SpA, explained when she first entered, the patient was showing symptoms of bird flu infection.

"Her parents complained that their child had shortness of breath and coughing," said Dr. Amsyar, who is also the child's physician.

Amsyar concluded allegations of bird flu after seeing the signs in the patient, who suffered itchy throat, cough, shortness of breath, and soon her condition immediately dropped her endurance.

"A team of doctors who deal with victims found signs of bird flu victim.  But it is still a conjecture.  Only the results of laboratory tests can answer all of them," said Amsyar.

Amsyar said that assumptions of the suspect bird flu was familiar considering a history of the patient's pain testimony was strengthened by the recognition of both her parents.  According to both parents, Ar was suspected of being infected while in Makassar when accompanying the victim's father who is undergoing intensive treatment at a hospital in Makassar.  While accompany her father, the victim and her family stayed in one of the homes of her parents'relatives.   At home, according to the victim's parents, sudden death occurred in a few chickens belonging to the host.

While Ar began showing new symptoms of virus infection, also known as the avian virus, upon arriving a few days back to Palu.  Arriving on a flight from Makassar Palu, Monday (26/3) both of the victim's parents took the initiative to bring the victim to the hospital because her condition was getting worse.  When newly arrived at the airport in Palu Mutiara, the victim had sudden coughing with shortness of breath to make her physically weak.  Worried, the family then took Ar to undergo an examination at the Hospital Undata, precisely on Monday (26/3).

According to a team of doctors, the victim was suspected of having bird flu, so she was moved from ICU to then be placed in the bird flu isolation room of the hospital.  But Undata personnel could not be sure if AR was positively infected with bird flu.  According to Amsyar to prove this it is necessary to check the status of the patient's blood in the laboratory.  In Indonesia, only one laboratory examination of the bird flu virus exists, which is in Jakarta.  But Undata already took the patients' blood specimens for testing in the Jakarta lab.

"Maybe in a couple of days we will send blood to Jakarta.  The results could be out in another week or so. So we can not say if this patient died of bird flu positive. But judging from the symptoms, it is very strong leading to it," said Amsyar .

The body of the victim who was buried in the Undata mortuary was taken directly to the victim's parents wgi returned to Moutong, yesterday  

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


Health Minister might be involved in bird flu graft case
Ina Parlina, The Jakarta Post, Jakarta | Fri, 03/30/2012

Former director general of medical services at the Health Ministry, Ratna Dewi Umar, said Health Minister Endang Rahayu Sedyaningsih may have been involved in a botched procurement project of health equipment used to mitigate bird flu 2006 and 2007.

On Thursday, the Corruption Eradication Commission (KPK) once again grilled Ratna, a suspect in the case that centers on the alleged mark-up of the equipment's price.

Ratna said that Endang was in charge of the department that proposed the procurement at the time of the case.

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


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


Cambodia: Bird flu leaves one child dead
A six-year-old girl from Kampong Chhnang province's Kampong Tralach district died on Friday in the year's second H5N1 fatality, Health Ministry and World Health Organisation officials said yesterday. (Snip) officials from the Health Ministry's communicable disease control department had confirmed that Noy Makara had died of the virus (Snip)

Noy Makara had fallen ill after eating the meat of a sick chicken, and her family had attempted to treat her with medicine and injections, he said. "She did not get better and her family sent her for treatment at the Kuntha Bopha hospital on March 28, and she died on March 30," (Snip)

This was the first case of H5N1 influenza ever recorded in Kampong Chhnang province (Snip)

WHO public health specialist Nima Asgari confirmed the death was the year's second from H5N1, and said further details would be known after investigation. http://www.phnompenhpost.com/i...

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

     


Bird Flu Spreads In Jembrana
http://bali.antaranews.com/ber...

Wednesday, April 4 2012 13:59 PM | Voices of Bali |

State (Between Bali) - Birds that tested positive for H5N1 or bird flu in Jembrana spreading more and more and expanding territory.

After its introduction in several villages in the district Melaya, now dead birds because of bird flu were also found in the district of the State as well as some areas other in west

Bali. Dewa Ketut Kariada, Rening Hamlet, Village Baluk, said Wednesday his 25 chickens died Tuesday (3/4) then. Of these, five are tested by the officers of Animal Husbandry Department has tested positive Jembrana attacked bird flu.

Also, Dewa Ayu Diah Komang Trisnawati (4), son Kariada currently observed by the Public Health Service Jembrana due to illness. (GBI/T007)


WHO cumulative table puzzle
WHO updated the cumulative table of cases updated yesterday to add the recent fatal case in Cambodia, but the situation update has not yet been posted.

More interestingly, while adding the 1 fatal case in Cambodia, they eliminated 1 fatal case in Egypt, reducing the total 2012 cases from 8 to 7 and the deaths from 4 to 3.

Since they had already reported 8 cases and 4 deaths (see case #s 13, 20-23, 31 and 33-34 above), the begs the question of which of these cases they are now re-classifying as not being a confirmed H5N1 case.

http://www.who.int/influenza/h...


On what basis would they reclassify this case?
I can understand moving a suspect case or "negative case" to positive status, as so often the initial tests have been negative and then - often after the patient dies - a further test shows positive results.

Now, what I can't figure out is how, after they are so very reluctant to declare a bird flu victim positive until tests conclusively prove it, how does one go to negative after that. Just doesn't make sense to me.  Can you get false positives on these tests? And if you test again and it's negative, is that necessarily more true, since these tests are inaccurate 50% of the time?

Finally, why and how would you do a follow up test post mortem when the victim was already positive for H5N1?

Always have a plan B.


[ Parent ]
Suspected Bird Flu Patients suffering Stay Watched
http://www.balipost.co.id/medi...

Monday, April 7th, 2012 | BP
Improved conditions ..

ALTHOUGH his health continued to improve, but the District Health Office Jembrana keep doing intensive supervision of Dewa Ayu Diah Trisnawati Komang. 

Four-year-old boy suspected of having bird flu. This is due before the illness, many family-owned poultry that died and tested positive for bird flu.

Chief Medical Officer of Jembrana dr. Putu Suasta, M. Kes., Thursday (5/4) said that although the birds belong to the boy's parents in the hamlet Rening, Baluk village, died of bird flu, since the beginning Trisnawati not contracted the virus. 

According Suasta, one of the early symptoms of virus-infected humans is body temperature reached 38 degrees Celsius or more. "The temperature at the onset of the child is not up that much, even now gradually improved," he said. But it still took the child's blood sample to be tested in the laboratory in Denpasar. Until now, the DHO Jembrana still awaiting results of laboratory tests. 

Suasta confirmed that the matter of blood sampling is only performed on patients who are sick and in the surrounding environment no poultry deaths. He said, though no poultry deaths, if the temperature of the patient in accordance with the early symptoms of bird flu, then it still took blood samples to be checked. 

"We do not want such incident in the village of Dangin Tukadaya a few years ago. There was no poultry deaths, but there is a man who contracted bird flu," he said. 

Previously, 25 chickens owned by Dewa Ketut Kariada died suddenly, Tuesday (3/4) ago. Some of them have died from bird flu positive. Almost simultaneously with the demise of these birds, Dewa Ayu Diah Komang Trisnawati Kariada sick child. (Kmb26)


Cambodia: WHO confirms fatal human H5N1 case
http://www.who.int/csr/don/201...

(This was announced on April 5, but still hasn't been linked on the main WHO webpage for H5N1.)

5 April 2012 - The Ministry of Health (MoH) of the Kingdom of Cambodia has announced a confirmed case of human infection with avian influenza A (H5N1) virus.

The 6 year-old female from Kampong Chhnang Province developed symptoms on 22 March 2012. After initial treatment at the village, she was later admitted to hospital in Phnom Penh on 28 March. She died on 30 March. Infection with avian influenza A (H5N1) virus was confirmed by Institut Pasteur du Cambodge on 30 March.

It was reported that the patient had contact with sick or dead poultry prior to onset of illness. (continued)


Boy Bird Flu Patient Dies in Denpasar
http://www.metrotvnews.com/rea...

National | Wednesday, April 25, 2012 15:43 PM

Metrotvnews.com, Denpasar: Patients suspected bird flu berinisal P (8) died while undergoing treatment at Sanglah General Hospital, Denpasar, Bali

Clinically the patients showed disease.
 It is said Secretary of Management Committee for Avian Influenza Disease Sanglah Hospital Dr. Ken Wirasandhi IGB, Wednesday (25/4). "We treat patients who are clinically direction to the bird flu, then based on a simple laboratory examinations in hospitals Bangli also showed a picture of viral infections, "Wirasandhi said.

Girl from Kintamani, Bangli, it was treated in Nusa room, isolation room bird flu patients, since datanga Tuesday (24/4) afternoon. results of the examination, Ken continued, the patient is believed to be positive for bird flu. It was supported from the serial images of patients. "In addition, supported also by the results of polymirasea chain reaction (PCR) in the laboratory in Bali, and tested positive for bird flu," said Ken. 

Ken explained, the patient arrives in shock conditions are. Just a few hours of his life being treated not helped. The body was taken the family. Handling of the bodies were carried out according to the operational standards, which is close to either use a crate that has been sealed to prevent the spread of bird flu virus. (Ant / BANG)


Conceded Bangli Again Back Swallow Bird Flu Victim
http://health.kompas.com/read/...

Muhammad Hasanudin | Asep Chandra | Wednesday, April 25, 2012 | 13:54 pm

DENPASAR, KOMPAS.com - A boy of 8 years the patient suspect bird flu from Banjar Hamlet, Abang village, Kintamani, Bangli, Bali has died at the General Hospital Center (Dr) Sanglah, Denpasar, Tuesday (04/24/2012) night.

Victim identified as INP, was referred from hospitals Bangli to Sanglah Hospital on Tuesday afternoon and immediately addressed the team doctor Sanglah Hospital, London in the Nusa Indah isolation or Bird Flu.

"Arrive already in a state of shock, clinically and RS Lab Bangli support symptoms of bird flu virus," said Secretary Tim Bird Flu Prevention Sanglah Hospital, Dr. Ken Wirasandhi, told reporters on Wednesday (4/25/2012) afternoon.

After being admitted to a few hours, IVI exhaled last breath at about 22:15 PM last night. The body was immediately taken to the residence of their family home in Bangli. From the results of visual confension reaction (VCR) in the laboratory Sanglah Hospital, tested positive for bird flu victim.

"Serial photographs and examination actually leads to bird flu. VCR positive lab results," said Dr. Ken.

Until now, the Sanglah Hospital are still investigating the cause of bird flu virus infected IVI. According to family, IVI had contact with birds died two months ago. But in theory the cause of the doubt because the doctor thinks Ken incubation period the children were 7 to 12 days. There may be other causes are not known to the family.


Bali Boy Dies From Bird Flu
Made Arya Kencana | April 25, 2012

Denpasar. An eight-year-old boy died from bird flu in a Bali hospital on Tuesday night.

The boy, Ni Putu Purnami, was in critical condition when he was transferred from Bangli Hospital to Sanglah Hospital on Tuesday afternoon and he was immediately isolated.

"Clinically, and supported by the VCR (Visual Convention Reaction) laboratory result, the victim was positively infected with the H5N1 virus," said Sanglah Hospital spokesman Ida Bagus Ken Wirasandi on Wednesday.

Putu died at 10:15 p.m. after four hours at the hospital.

Ken said Putu's family told him the victim was in contact with dead poultry two months ago.

The Bali Health Agency head Ketut Suarjaya said that seven people on Bali have died since the virus first reached the island in 2007.

"In 2011, 46 patients were suspected to have of avian flu [in Bali]," Suarjaya said.

http://www.thejakartaglobe.com...

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


Two Labs Show Different Results Death Nyoman Puspita Who 'Claimed' Bird Flu Still Controversy
http://www.lensaindonesia.com/...

Friday, April 27, 2012 3:46 pm

LENSAINDONESIA.COM: Death of Nyoman Puspawati (8 ) from Bangli on Tuesday (4/24/2012), is still controversial. Because the laboratory results have shown different results.

Among others, the lab RS Sanglah has previously stated Nyoman positive contracted the bird flu virus. Meanwhile, the results of Research and Development Jakarta mention different results, ie negative.

This was confirmed Head of Legal and Public Relations Sanglah Wisadha Putu Putra. According to him, Secretary Team Bird Flu Handling Sanglah Dr. Ken Wirasandhi while giving a press conference about the dubious history of pain Nyoman Puspawati death toll from bird flu. "If she was infected because the birds died two months ago it was very unlikely. Because, the incubation period is one week, "he explained.

Meanwhile, Chief Medical Officer Dr Ketut Suarjaya Bali said it has started conducting searches in the poultry markets. The move was done in cooperation with Disnak (Veterinary Services).


Hundreds of Poultry in Bali Bird Flu Positive
The authority implemented focal culling or restrictive elimination.

Friday, 27 April 2012

VIVAnews - The death of a child in Kintamani, Bangli District, Bali, with the initials of NP, 8, from bird flu infection, has forced the Department of Animal Husbandry in Denpasar and Bali Province to conduct poultry inspection in Satria Bird Market in Denpasar.

Applying rapid test method, the officers discovered hundreds of poultry being marketed carry the deadly virus.
"The chickens are bird flu positive. We conducted a restrictive extermination to cut the cycle of H5N1 virus distribution," said Head of Animal Health Laboratory of the Animal Husbandry Department in Bali Province, Wayan Sukanadi, on Thursday.

Sukanadi said the decision to inspect the poultry is due to the many reports about the sudden deaths of chickens. Before NP's death, officers have also received reports about chickens that died shortly after being purchased from the market.

Considering these symptoms, the Department of Animal Husbandry in Denpasar finally implemented supervision and discovered two dead chickens that were going to be sold. The chickens were positive with the H5N1 virus.
The authority then implemented focal culling or restrictive elimination in the Satria Bird Market, Denpasar.

As many as 231 fighting cocks from Probolinggo and Jember, East Java were exterminated, buried and disinfected.
The exterminated chickens were from seven poultry traders in the market. The Denpasar Town Government compensated the traders with Rp50 thousand per chicken.
In 2012, two Bali residents died from bird flu virus. In February, bird flu killed a Tabanan resident.

http://us.en.vivanews.com/news...

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


BIRD FLU CASE REPORT: Pekanbaru Toddler Fatality Positive for H5N1
http://depkes.go.id./index.php...

BIRD FLU CASE REPORT
Jakarta, May 1, 2012 the Ministry of Health, "Directorate General of Disease Control and Environmental Health" announced one new cases of H5N1 have been confirmed by the Center for Biomedical and Health Technology base, Balitbangkes. case on behalf of MAF (Female, 2 years) who Siak , Pekanbaru, Riau province. 

Dated 17 April 2012 symptoms of fever, dated 20 April 2012 the case to the Private Clinic but no improvement so the evening went to the hospital Z. On 21 April 2012 cases admitted to hospital and treated EB. Treating physician to report to the Command Post Riau Provincial Health Office. On 27 April 2012 AA patients were referred to hospitals. The situation gets worse case and the case died on 27 April 2012 at 23:45 pm in the Hospital AA. 

Epidemiological investigations have been carried into the homes of people and the environment by the local health office team, acquired risk factors, namely the possibility of contact with poultry (quail eggs) for the case of parents selling quail eggs.

With the increase of these cases, the cumulative number of bird flu in Indonesia since 2005 until this news was broadcast on 189 cases with 157 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. 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, Call Center: 021-500567 and 021-30413700 or e-mail addresspuskom.publik @ yahoo.co.id ; info @ department of health . go.id ; kontak@depkes.go.id


Pre-Schooler Suspect Bird Flu Was Treated In RSUP [SA in Padang]
http://www.antarasumbar.com/be...

Thursday, 03/05/2012 23:49 of WIB

Padang, (Antara): A pre-schooler had the initials "SA" the resident of the Andalas Village, Padang Timur [East] Subdistrict, Padang City was run off with to the Central Public Hospital (RSUP) Dr M Djamil Padang because of being expected suspect bird flu.

The head of public relations of RSUP Dr M. Djamil Padang Gustafianof in Padang, on Thursday, said, pre-schoolers were 4 years and 8 months old that has undergone the maintenance since May 1 2012.

"At this time the temperature of his body was still being considered to be high namely 37.3 levels celsius. The patient was handled by the child's specialist doctor Dr Teddy as well as was done three times x-rayed," he said.

While being treated in isolation space, the patient suspek the bird flu will undergo a series of medical inspection and observation to know the assurance of the illness that was suffered by him.

"The sample of blood was sent to Jakarta to be carried out the laboratory test, whereas results of the possibility just went out a week again," said Gustavianof.

He told how, initially this patient was left at his grandmother's house at the region Ulak Karang and still in the healthy situation last week. At that time, casualties's grandmother bought four chickens where two tails including being cooked, whereas two tails are still maintained with 13 bantam chickens belonging to her.

Suddenly on Friday (27/4) two of the chicken that was bought died suddenly was followed by other 13 bantam chickens. Estimated casualties experienced the high fever because of physical contact happening to the chickens.

The case suspek this bird flu is the second were handled by the side RSUP M. Djamil. The same case had happened in March 2012. But, at that time the doctor's side stated the patient of the bird flu negative was based on the laboratory test.


Indonesia: WHO confirms fatal H5N1 case
http://www.who.int/csr/don/201...

Avian influenza - situation in Indonesia - update

2 May 2012 - The Indonesian IHR National Focal Point of the Ministry of Health has notified WHO of a new case of human infection with avian influenza A(H5N1) virus.

The case is a 2 year-old male from Riau Province. He developed fever on 17 April 2012 and was hospitalized on 21 April 2012 but he died on 27 April 2012.

Epidemiological investigation is ongoing. Preliminary findings indicate that the case's parents are quail egg vendors. (continued)


Thanks for the H5N1 Information
Thanks a lot for this info.

Regards


[ Parent ]
Boy Allegedly "Suspect" Bird Flu
http://www.balipost.com/mediad...

»District News
May 11, 2012 | BP

Singaraja (Bali Post) - A boy from the village of District Tamblang Kubutambahan, Putu Rad (13), undergoing intensive care in hospitals Buleleng since Wednesday (9/5) last. The boy suspected suspect bird flu because in the neighborhood occurred the death of dozens of chicken that tested positive for bird flu. 

The information collected in hospitals Buleleng, Thursday (10/5) yesterday, said Putu Rad accompanied by his biological father, Made Pasma, treated in a special isolation room patient suspect bird flu. In the isolation room was not random people are allowed to pass by the hospital staff to prevent possible undesirable. In fact, a number of journalists who tried to take a picture of the patient's condition is not authorized by the parents of patients. 

While the Head of Service, dr. Nengah Kastawa permission from the Director of Hospital Buleleng dr. Nyoman explained mardana Rad Putu patients admitted to hospital on Wednesday (9/5) and at 10:20 pm. 

During observation in hospitals Buleleng, Putu Rad handled by dr. Ketut Budiasa, Sp.A. The patient arrived with a letter of referral from health centers Kubutambahan with the characteristics of contracting bird flu virus. With that condition, hospital doctors and treat patients according to SOPs treatment bird flu patients. 

Of the diagnosis, doctors at the hospital have not dared to make sure whether it's Rad Putu patient suspect bird flu or the common cold. To ensure the patient's illness, the treating doctor is still awaiting results of laboratory tests of samples that are being studied in Mol Bio Lab School of Medicine ( FK) Udayana University. 

"After the patient entered the hospital, we have performed according to standard operating handling handling patient suspect bird flu. However, from the initial diagnosis, the patient suffered from pneumonia (bronchial asthma).  And after we had a stable body temperature observations and to ensure the disease, we are still waiting sample results, "he said. 

According Kastawa, Putu Rad alleged patient suspect bird flu because of the condition of the environment in their homes. There had been a dead chicken's people around by way of a sudden. In fact, observations by the officers of the Department of Agriculture and Livestock (Distanak) Buleleng declared dead chickens tested positive contracted bird fulu. 


Cambodian girl, 10, dies from bird flu: WHO
PHNOM PENH - A 10-year-old Cambodian girl has died from bird flu, the World Health Organization said Monday, the country's third fatality from the virulent disease this year.

The child developed a fever and shortness of breath on May 20 and died on Sunday, the WHO said in a joint statement with the Cambodian health ministry. Hospital tests confirmed she had contracted the H5N1 strain of avian influenza.

"There is evidence of recent deaths among poultry in the village and the patient prepared sick chicken for food prior to becoming sick," the statement said.  The girl, from southewestern Kampong Speu province, is the 21st person in Cambodia to become infected with the H5N1 virus since 2003. Nineteen of those cases have been fatal. (continued)

http://www.google.com/hostedne...


Avian influenza - situation in Cambodia - update
http://www.who.int/csr/don/201...

29 May 2012 - The Ministry of Health (MoH) of the Kingdom of Cambodia has announced a confirmed case of human infection with avian influenza A (H5N1) virus.

The case was a 10 years old female from Kampong Speu Province. She developed symptoms on 20 May 2012 and after initial treatment at the village was eventually admitted to the hospital on 25 May with symptoms of fever and shortness of breath. Infection with avian influenza A(H5N1) virus was confirmed by Institute Pasteur du Cambodge on 26 May 2012, however, despite intensive medical care, she died on 27 May 2012.

There are reports of recent deaths among poultry in her village and the patient prepared sick chicken for food prior to becoming sick. (continued)


[ Parent ]
CIDRAP: Cambodia reports H5N1 death
Cambodia's health ministry has announced that a 10-year-old girl died from H5N1 avian influenza, (Snip) The girl, from Kampong Speu province in central Cambodia, got sick May 20 and was treated in her village before admission to a hospital on May 25. The Pasteur Institute in Cambodia confirmed the presence of H5N1 on May 26, and the girl died on May 27, despite intensive treatment (Snip)

An investigation (Snip) found that recent poultry deaths were reported in her village and that the girl had prepared sick chicken for food before she became ill. The girl is Cambodia's 21st H5N1 case since 2005 and its 19th death from the disease.

So far this year Cambodia has reported three H5N1 infections, all involving children and all fatal. The new case pushes the WHO's global H5N1 count to 604 infections and 357 deaths. http://www.cidrap.umn.edu/cidr...

May 29 WHO statement http://www.who.int/csr/don/201...

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

     


[ Parent ]
Suspected Bird Flu, Dozens Of Chickens Sudden Death In Sidawangi [West Java]
http://cirebonnews.com/Berita/...
Shared by dbg of PFI:

Wednesday, May 30, 2012 9:05 pm

Sumber, (CNC). - Eighty village chickens died suddenly in Sidawangi Village, Sumber Subdistrict, Cirebon Regency, Tuesday (29/5). After review of Department of Agriculture, proved the chickens tested positive for bird flu.

Information compiled, while an employee of Animal Unit, Kusmana (26 years) who are the local villagers to get reports from Mari (70 years), that the chickens died suddenly.

After receiving a citizen reporting, Kusmana finally check the condition of the chicken. He then took him to the Animal Husbandry Unit. After being questioned at a local laboratory, it was chicken that died suddenly was positive for bird flu.

"At first I got a report from Mari, then he's a dead chicken, I take saliva samples. Having studied in the laboratory, the chicken was tested positive for H5N1 virus or bird flu, "said Kusmana.

The next day, some of the parties involved came to the village of Sidawangi, where the scene of a suspected case of bird flu. Together representatives Distanbunnakhut Cirebon, as well as Livestock Unit Cirebon, Village Government, represented Sidawangi Head of Economic Affairs and Building (Kaur Ekbang), spraying at the point that became known early suspect Sidawangi bird flu in the village.

"Once I figure out to the community, was the case of chickens that died suddenly had occurred two weeks earlier, but there is a report just yesterday," said Kaur Ekbang Sidawangi Village, Kurnen.

One resident RT 04 RW 04 Sidawangi Village, Ani (51), explained to Distanbunnakhut that his neighbor, Amnah (39 years) having symptoms such as fever traits affected by bird flu. But unfortunately, Amnah not at home and is doing the treatment at local health centers.

One resident, who experienced his chicken that died suddenly, Juhedi (45 years), admitted that no caged chicken that fell from the tree without any cause. Sudden death, experienced three chickens in one night.

"Last night, my cock that was already used to not grounded, all of a sudden I found was on the ground and die, whereas in the afternoon to look healthy," said Juhedi.

The first location thought to be the beginning bird flu suspect in Sidawangi Village is a yard owned by residents that is a children's playground.

Head of Animal Health Distanbunnakhut Cirebon, Yulli Mulyana told the local health center staff that handle almost every day of her pet chickens cases of people who die suddenly. Overcome it, Yulli recommends that every community a healthy lifestyle as much as possible.

"I suggest that if the children have direct contact with chickens, must wash hands using soap. Because the chicken is still alive it is not necessarily free from bird flu, "he said.

Village Government, represented Sidawangi Ekbang Kaur, Kurnen explained that the presence of an event like this, it will exert every Chairman of RT and RW to promote early treatment on the incidence of the chickens that died suddenly and it was positive for bird flu.


China: Alerts raised after boy gets avian flu (Guangdong province)
The Centre for Health Protection is investigating the case of a two-year-old boy who has become infected with avian flu. (Snip) the Government's Preparedness Plan for an influenza pandemic has been activated, and the Hospital Authority has activated the Serious Response Level in public hospitals.

The infected child developed fever and runny nose 10 days ago in Guangdong province. He came to Hong Kong last Saturday and sought medical attention from a private clinic in Mong Kok.

He (Snip) developed a fever and convulsions and was taken to the Accident and Emergency Department of Caritas Medical Centre on Monday (Snip)

Tests later showed he has H5 Influenza A. He is now in stable condition. http://rthk.hk/rthk/news/engli...  

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

     


China: Guangdong boy in Hong Kong has bird flu
Hospitals have been put on serious alert after a boy who came to Hong Kong from Guangdong was confirmed to have caught bird flu.

(Snip) the two-year-old, who lives in Guangdong but was born in Hong Kong, arrived last Saturday and sought medical attention from a private clinic in Mong Kok three days after developing fever in Guangdong. He subsequently suffered convulsions and was taken to the accident and emergency department of Caritas Medical Centre on Monday, where he was admitted for suspected encephalitis. Last night he was transferred to the infectious disease centre at Princess Margaret Hospital, Kwai Chung, for isolation treatment.

A spokesman for the centre said the boy tested positive for AH5 bird flu virus. It will require further testing to tell whether the boy is suffering from the deadly H5N1 subtype of the disease. He said the boy lived in Guangdong with his parents and maternal grandmother. How he contracted the virus was still being investigated.
(Snip)
The government's "serious response level" for influenza pandemic has been activated. That means more stringent infection control measures in public hospitals, including a ban on visiting at isolation wards unless on compassionate grounds.
(Snip)
The last bird flu scare was in January after a man who contracted the H5N1 virus died in Shenzhen, where thousands of chickens had been culled after three birds tested positive a month earlier.

Last year the UN and the WHO warned of a possible resurgence of the deadly virus after a mutant strain of H5N1, which can apparently side-step the defences of existing vaccines, was found spreading in China and Vietnam. http://www.scmp.com/portal/sit...

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

     


China: Hong Kong sees first human bird flu case in 18 months
HONG KONG: Hong Kong health authorities on Saturday urged the public not to panic after the southern Chinese city reported its first human case of bird flu in 18 months in a two-year-old boy.

Authorities said the Chinese boy was in serious condition after testing positive for the deadly H5N1 strain of avian influenza and the city had raised the bird flu alert level to "serious" as well as increasing checks on live chickens imports.

The boy lives in the neighbouring Chinese province of Guangdong but came to seek treatment in Hong Kong on May 26.

"The boy's parents are all along asymptomatic, which means the chance of a human-to-human transmission is slim," (Snip) The spokesman said the boy was in intensive care while his parents were being quarantined at the same hospital.

Health Minister York Chow said it was an "isolated" case as he sought to reassure public that there was no reason to panic.

"We feel that there is no need for panic among Hong Kong citizens," he told reporters, adding that the authorities had no plans to ban imports of live poultry for the time being.

(Snip)

The last reported human case of bird flu in Hong Kong was in November 2010 involving a 59-year-old woman. 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

     


China: Guangdong on alert after Hong Kong bird flu case
GUANGZHOU, June 2 (Xinhua) -- South China's Guangdong province is on high alert after a Hong Kong hospital confirmed that it has admitted a two-year-old boy infected with the H5 strain of avian influenza.

The boy was admitted to a Hong Kong hospital on May 28 with convulsions after arriving from Guangdong's capital city of Guangzhou. (Snip)

The boy was confirmed to have been in contact with a live duck between May 17 and 19 at a farmer's market in Guangzhou. However, tests conducted at the market and surrounding markets, as well as a hospital in Zhuangzhou that had admitted the boy, found no signs of a bird flu outbreak (Snip)

(Snip) the province has launched an avian influenza response plan and is keeping track of the whereabouts of those who were in close contact with the child, as well as monitoring their health. Continued: http://www.shanghaidaily.com/a...

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

     


China: Boy confirmed with bird flu in Hong Kong
HONG KONG, June 2 (Xinhua) -- Hong Kong health authority said on Saturday that a two-year-old boy has been confirmed with H5N1 Influenza A and urged the public not to panic.

The Center for Health Protection said the boy's condition has changed from stable to serious after testing positive for the deadly avian influenza, while his parents' tests for influenza were negative.

(Snip) The boy was put to intensive care treatment while his parents were in quarantine in the same hospital.

A native of China's southern city of Guangzhou, the boy went to Hong Kong with his family on May 26 to seek medical treatment after running a fever for weeks.

(Snip) the city government raised its bird flu alert level to "serious" and tightened control on live chickens imports, and strengthened supervision of local farms and markets.

The authority has intensified disease monitoring and infection control in public hospitals. Hospital staff will keep close watch over visiting patients and enforce triage assessment and appropriate segregation at waiting areas in line with clinical guidelines.

(Snip) all 30 local chicken farms will be inspected within two days to ensure that their chickens are healthy and biosecurity and health measures are followed strictly.

The Center for Food Safety has contacted with its mainland counterparts in search of the infection source. Once the source is located, an area within 13 km radius will be declared an import control zone. Imports of live poultry and poultry products will be suspended for 21 days in the zone. Continued: http://news.xinhuanet.com/engl...

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

     


China: Boy with bird flu treated in HK as contacts traced
China: Boy with bird flu treated in HK as contacts traced.
HONG Kong's health authority said yesterday that the two-year-old boy confirmed with bird flu on Saturday is receiving isolated treatment at Princess Margaret Hospital and his condition remains serious. (Snip) the boy had been to Anhui Province with his parents from May 20-22, where he had no direct poultry contact. He had visited a wet market with live poultry near his residence in Guangzhou in mid-May.

The department said it is continuing to trace the boy's contacts. Apart from his parents, the boy came into contact with patients in the private medical clinic in Mong Kok, ambulance personnel and people at Caritas Medical Center (CMC), totaling around 80 people.

Among them, two health-care workers from CMC developed respiratory symptoms, but their nasal samples tested negative for bird flu. Lab tests of the boy's parents, two health-care workers at the private clinic and another patient who attended the same clinic also tested negative. Continued: http://www.shanghaidaily.com/a...

(Note: The 2 healthcare workers developing respiratory symptoms is of concern, especially if only a rapid test was done on them. Rapid test are not that reliable, IMO.)

This from the WHO website: "The incubation period for H5N1 avian influenza may be longer than that for normal seasonal influenza, which is around two to three days. Current data for H5N1 infection indicate an incubation period ranging from two to eight days and possibly as long as 17 days. WHO currently recommends that an incubation period of seven days be used for field investigations and the monitoring of patient contacts." http://www.who.int/mediacentre...

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

     


China: Bird flu boy spends 5 days in ward after wrong call (Hong Kong)
A two-year-old boy who is seriously ill with bird flu at Princess Margaret Hospital missed out on treatment for the disease for several days after doctors at another hospital failed to diagnose H5N1, it emerged last night. The toddler is in intensive care with obstructive hydrocephalus, or water on the brain, a spokesman for the Centre for Health Protection said.

His Hong Kong father and mainland mother do not have symptoms but have been quarantined at the hospital.

The boy was transferred to Princess Margaret on Friday from Caritas Medical Centre where he had been treated in a general pediatrics ward for five days. A spokeswoman for the Hospital Authority told The Standard that Caritas doctors suspected upper respiratory tract infection. "We can't put all patients with flu in isolation and it depends on the case," she said.

When asked when the antiviral drug Tamiflu was given to the boy, she said: "What I can tell you is the boy has been given Tamiflu ... at Princess Margaret."

The boy is believed to have contracted bird flu when he and his mother bought a live duck at a wet market in mid-May in Guangzhou and had it dressed on the spot. The Centre for Food Safety said there is no registered poultry farm within 30 kilometers of the patient's usual residence in Guangzhou.

On May 23, the boy developed fever and a runny nose and was taken to two doctors in Guangzhou within three days. He came to Hong Kong on May 26 and visited a private clinic in Mong Kok. He started convulsing and was taken to the accident and emergency department of Caritas Medical Centre a week ago.

About 80 contacts of the boy at the private clinic, ambulance, and Caritas including children are being traced. Two health-care workers from Caritas developed symptoms but were not diagnosed with H5N1.

University of Hong Kong virology professor Guan Yi said the virus will be tested to see whether it has mutated. Continued: http://www.thestandard.com.hk/...

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

     


great, he was in the general pediatric ward for 5 days!
How many children with compromised immune systems or other health issues did he expose to the H5N1 virus during that time?  With this kind of oversight (NOT) we better pray the virus remains very difficult to transmit.  

Always have a plan B.

[ Parent ]
China: Hong Kong on heightened alert for avian flu
HONG KONG -- Hong Kong was on heightened alert over avian flu, after health authorities reported over the weekend that a mainland child had tested positive for the H5N1 virus (Snip) The health authorities raised the bird flu alert to "serious" and called for tests on about 80 people who came into contact with the two-year-old who lives in the nearby southern Chinese city of Guangzhou. The boy, who is said to have visited a live poultry market in the past month, remains in serious condition (Snip) http://www.marketwatch.com/sto...

(Note: The 80 peole mentioned don't include all the ones he was in contact with on the mainland or in traveling to Hong Kong.)

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

     


China: No bird flu mutation as tot fights on
The bird flu virus that left a two-year- old boy fighting for life in hospital has not mutated but health experts warn Hongkongers not to let their guard down. Experts said the quick detection of the case means Hong Kong has the right system to catch in midtrack the deadly H5N1 avian flu - seen as a potential pandemic strain even before H1N1 swine flu emerged in 2009.

The boy, who caught the virus in Guangdong, remains in serious condition in the pediatric intensive care unit at Princess Margaret Hospital. Doctors gave him the antiviral drug Tamiflu in a bid to save his life.

He was admitted for five days to a general pediatric ward at Caritas Medical Centre and treated for obstructive hydrocephalus - or water in the brain - before the H5N1 diagnosis. He was then transferred to Princess Margaret Hospital and put in isolation while his Hong Kong father and mainland mother were quarantined. Hong Kong health officials have asked the Guangdong authorities to monitor the boy's grandmother who lives with the family.

Children in the Caritas ward were among 80 people put on medical surveillance for 10 to 14 days. Others include doctors and staff at a private clinic in Mong Kok the boy visited and the ambulance workers who transferred him.

The toddler caught bird flu when a duck that his mother bought in a Guangzhou wet market was slaughtered in front of them. He also has an "atypical" presentation of hydrocephalus, which puzzled doctors, said Malik Peiris, professor of virology at the University of Hong Kong School of Public Health.

Gene sequencing analysis announced last night by the Centre for Health Protection found the H5N1 that infected the boy belongs to the dominant strain - clade 2.3.2.1, the same one as isolates from wild birds detected this year and last, and in an imported human infection case in late 2010.

University of Hong Kong professor of virology and gene sequencing expert Guan Yi said the strain has been detected in Hong Kong, the mainland, Mongolia and Eastern Europe. The center added that the genes are of avian origin and there is no evidence that the strain is resistant to Tamiflu.

Peiris said: "I don't think we can remain relaxed, we should remain vigilant about H5N1. "We know this virus remains endemic and established in poultry in many countries all the way to Bangladesh, India, Indonesia, Vietnam Cambodia, Guangdong and other provinces, infecting poultry and humans." Continued: http://www.thestandard.com.hk/...

(Note: The imported human infection case in late 2010 mentioned in this article was also imported from mainland China. If I remember correctly, a woman visited relatives on the mainland and was diagnosed with H5N1 shortly after returning to Hong Kong.)

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

     


China: Boy's case isolated, bird flu outbreak unlikely (Hong Kong)
All of the contacts of a 2-year-old boy who tested positive for the H5N1 strain of avian influenza in Hong Kong and the Chinese mainland were either asymptomatic or tested negative for bird flu, authorities of the special administrative region and Guangdong province said, suggesting that the chance of an outbreak was slim.

The boy was still in serious condition after a week of treatment in Hong Kong. He is being kept isolated in the pediatric intensive care unit at Princess Margaret Hospital.

It was the city's first human case of bird flu in 18 months. The boy is thought to have been infected with the deadly virus during his visit to a wet market in Guangzhou last month.

Hong Kong kept the bird flu alert level at "serious" after raising it on Friday, and stricter visiting restrictions were imposed in the city's public hospitals.

Imports and sales of poultry have continued as usual - unlike in December, when an infected live chicken was found. Samples collected from 30 local chicken farms on Sunday all tested negative for bird flu, a spokesperson from the city's agriculture, fisheries and conservation department said.

York Chow Yat-ngok, secretary for food and health, assured the public that it was an "isolated" case and the city is well guarded against all types of infectious diseases. "We feel that there is no need for panic among Hong Kong residents," he said. "All in all, I would only advise the public to maintain a good level of personal and environmental hygiene."

Though summer is not considered a peak season for flu, Chow said human flu cases are not seasonal in nature, as observed in tropical countries, like Vietnam and Indonesia.

The boy's illness was first reported before midnight on Friday. His condition was said to be stable, but it worsened to serious on Saturday. The boy, who lives with his parents and maternal grandmother in the Haizhu district of Guangzhou, had visited a wet market on Nanyuan Street in mid May where his mother had bought a live duck.

Returning home from a three-day tour to Anhui province, the boy developed a fever and runny nose on May 23. He was taken to a private medical clinic in Hong Kong three days later. Continued: http://www.chinadaily.com.cn/c...  

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

     


China: Boy with bird flu still in serious condition in HK
HONG Kong's health authority said yesterday that the two-year-old boy confirmed with Influenza A (H5N1) infection on Saturday is receiving intensive care at Princess Margaret Hospital and his condition remained serious.

According to the health department's investigation, the H5 gene of the isolate belonged to clade 2.3.2.1, which is the same clade as the isolates from wild birds detected in 2011 and 2012 and in the imported human infection case in late 2010. So far, all the genes characterized belong to avian origin and there is no evidence of resistance to the antiviral agent oseltamivir (Tamiflu).

Officials have kept some 80 contacts under medical surveillance. Nasopharyngeal aspirates from the parents and the five contacts who have reported respiratory symptoms tested negative for Influenza A (H5N1). Continued: http://www.shanghaidaily.com/a...

(Note: I think the two most recent human cases in (mainland) China were also infected with clade 2.3.2.1 and both of them died. The first one was a man from Shenzhen and he died the end of Dec. 2011 and the other man was from Guizhou and he died in Jan. 2012.)

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

     


China: Brain worries ease for tot with bird flu (Hong Kong)
The condition of a two-year-old boy who is seriously ill with bird flu and water on the brain has improved slightly. The SAR-born boy, who resides in Guangzhou (Snip) remains in a serious condition in the pediatric intensive care unit (Snip) the pressure from his brain condition - obstructive hydrocephalus - has eased.

University of Hong Kong School of Public Health virology professor Malik Peiris has told The Standard that hydrocephalus is an "atypical" presentation of H5N1 infection. Patients with bird flu usually exhibit cough and fever.

H5N1 was not suspected when the boy was first admitted for five days at a general pediatric ward at Caritas Medical Centre. When diagnosed with H5N1, he was then transferred to Princess Margaret isolated and put on a regime of the antiviral drug Tamiflu.

(Snip) although the boy may have been infected during a trip to a Guangzhou wet market (Snip) between May 17 and 19, it cannot be ruled out that the source of infection was in Anhui. (Snip) http://www.thestandard.com.hk/...  

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

     


Please post new human H5N1 stories..
Menu

Make a New Account

Username:

Password:



Forget your username or password?



Active Users
Currently 3 user(s) logged on.

Contact
  DemFromCT
  pogge (In Memorium)
  Bronco Bill
  SusanC (emeritus)
  Melanie (In Memoriam)

  Flu Wiki (active wiki resource)
  How To Add To Flu Wiki
  Get Pandemic Ready (How To Start Prepping)
  Citizen's Guide v 2.0
  Effect Measure
  Dude's FTP

Home
Powered by: SoapBlox