Friday, November 14, 2008

Makassar Summary Update II

Makassar
RS Wahidin

2 Families & various neighbors

From: Tangki Jangang Village, RW2 RT5 Patte’ne, Sudiang, Biringkanaya
Recon: Sudiang Community Health Centre
symptoms: high fever, vomiting, coughing. breathless.

Admitted 11/12:
Family
Mother: Dg Nginga
Father: Rizal

Nurul Awaliah/Andia/ (3), (1st one sick) (08.00) (blood sent) Intensive Care, Pakis sib.
Nurfadillah /Nur Matan/ (4 months), No blood taken. (between 08-12.00) Intensive Care Pakis Bldg. sib. Home: 11/14.
Salman (6/4), (08.00) (blood sent) Intensive Care, Pakis Bldg. sib. Sym onset: 11/10 (?)
Saleha (12)/Saleha (10/11), sib. (12.00) (blood sent) Isolation/observe, RS Wahidin


“Two families that were other”: Yohani & Irwan.
Irwan (5/6/8), (12.00) (blood sent) Isolation/observe, RS Wahidin.
Johani (60)/Yohani (50). (12.00) (blood sent) Isolaltion/observe, RS Wahidin

Admitted 11/13:
Family
firdaus (6), 11/14: Condition good, except fever still high. Isolation/observe, RS Wahidin. Played with chicken that died.
Fauzi Ibn Rajab (3 months) Intensive Care, Pakis Bldg. Fever/breathless since night of 11/11.
Father: Jufri (30)
Older Brother: Ahmad Hidayat


Neighbors
Ilham (2), Isolation RS Wahidin
Alif (3 months) Isolation RS Wahidin
Desi (5), Isolation RS Wahidin
Eki Desviani (5 months) Isolation RS Wahidin
Rahmawati (2) Isolation RS Wahidin
Hartati/Nartati (26), isolation/observe, RS Wahidin
Nuraine/Nuraeni (31), isolation/observe, RS Wahidin
Hasnawati (34), isolation/observe, RS Wahidin
Annisa (6), isolation, observe


General Notes:
6 patients: influenza A
3 of the 6 have bronchopneumonia
2 days lapse between kids.
3 toddlers onset sym: Monday, 11/10.
Sprayed chicken farms in the area.
Of 6 reported, 5 were taken blood. [reinforces above note that Nur Fadillah did not have blood drawn]
Meanwhile, today, Thursday (13/11) Unit emergency hospitals also receive the same psien also stated that suspeck bird flu as many as 10 people.
These are also identified as suffering the same complaint with the previous seven patients, which is the neighbors.

He added, from 23 regencies/the city in South Sulawesi, Makassar was the endemic area of the virus of H5N. Salah Satu his indicator was the case suspect most bird flu in this city. "The only free area bird flu" was Enrekang," he said.

11/15: Two hospitals ready to accomodate: RS Faisal & RS Akademis.
Samples sent to two labs: Unhas Lab & Litbangkes.
Maintenance space of the patient diperketat,tidak was allowed to enter except the patient's family and the medical staff. ”Di the room we for two zones, namely the yellow zone still could be entered and the red zone only for the team medis,”

Notes on 2nd Family:
Jufri, 30, Sir from Fausi, 3 months, said, the eldest child from two related this experienced the fever was accompanied breathless since last Tuesday night (11/11).
He was personally surprised his article his child had not carried out direct contact with the poultry that was around his residence. [talking about the 3 month old]
”Pada late last week my kept chicken will also die totalling seven tails, but I at once destroyed him by means of being burnt.
Exterminated 100 tails after many chickens died in the last 2 weeks. After that his child and 6 other neighbors suffered cough, fever & breathless)

Notes on Poultry Die Off [all taken from various stories here]

Several days before being treated, the inhabitants around his house found dozens of chickens died suddenly with the condition for the coloured body blue and rotted.

Location in the residence, we found some chickens dying and the positive of bird flu.

"They were taken to the hospital because of this experience fever with body temperature higher, and in the vicinity of his home found dozens of dead chickens rot with a bluish body," said a nurse at the hospital ruanga isolation Wahidin, Fatimah, Thursday.


About the chickens were found dead around the patients house, the head of the Office of Makassar Health Naisyah Tun Asikin said based on the results of Health Office of Makassar on the sample of dead chickens known chickens are positive to have the H5N1 virus.

"To anticipate the spread of bird flu patients around the house, officials of the Health Office in Makassar have to destroy tens of fowl in the region RT 5 RW 2 Neighborhood Sudiang," he said.

All the 17 patients are being treated at Wahidin Sudirohusodo Regional General Hospital came from the same area of Jl Pate' ne in Sudiang District Biringkaya Subregency, where several chickens were found dead. Husbandry Directorate at the Regional Office of Maritime Affairs and Fisheries announced that the virus was found on the chickens.


Meanwhile, Jefri (30), the father of one suspect bird flu patients, Fauzi, who is still three months since said two weeks ago that the environment for tens of chicken house owned by neighbors died suddenly.
And according to officials from the animal husbandry office in Makassar, the chickens are neighbors who were found infected by the H5N1 virus.
"After many chickens that died, two weeks ago it carried out the destruction around seratusan chicken by the health office. After that, my children and six other neighbors suffered cough, fever and shortness of breath," he explained.
Jefri admitted to wonder, for himself does not raise chickens, and never the type of contact with poultry that almost every house pets to be around.

Kurnia said 31 chickens had died in the subdistrict in the past week before three toddlers started to show symptoms Monday.

She said she had sent officers to cull 20 birds and spray disinfectant at chicken farms in the area.

”Dugaan this bird flu to strengthen with respect towards 17 pasients here after hundreds of poultries in and around his environment died suddenly since a week of last,” expressed Kepala IRD RS Wahidin that also the team's member of the handling of bird flu Dr Wasis Udaya yesterday.

Information that was received by SINDO, it was known if since last Saturday (9/11) was gotten by 27 chickens that died suddenly

Casualties's family said, in their residence territory was found by several chickens died suddenly. Not long after this incident of several residents was known began to suffer the fever that was accompanied breathless.

As far as this is concerned the extermination against the poultry animal in the patient's residence was carried out to prevent the spreading of the spread of the virus from chickens that died suddenly.

11/15: The extermination of this poultry was carried out to that his three times, yesterday.

Twice beforehand has destroyed 106 poultries (the chicken, the duck, birds), and yesterday improved 61 tails.

11/15: Culled 167 poultry infected with virus. The step in the extermination of this poultry dilakukan,terkait the report on the resident around that stated the number of livestock chickens that suddenly died suddenly in time for the last three days. most poultries that were destroyed were poultry, and after being checked in the laboratory veteriner the Maros animal the chicken carcass indeed contained this dangerous virus. For that, as anticipation so that the virus does not spread, then all the poultry was at a distance of the radius 1 kilometre from the location of the incident all of them would be destroyed. The extermination of this poultry was witnessed, the member Komnas Flu Burung, Dinas Kesehatan South Sulawesi Livestock Breeding Service, the Service Perikanan,Kelautan and Makassar Food Endurance (DPKP), the sub-district head as well as the village heads.

1 article states residents willingly give over poultry, another article says they were forced.

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