Sulawesi
Suspected 11 People – Family and In-Laws
From: West Kotamobagu Subdistrict, Gagagoman Village.
Celebration included people from: East Kotamobagu Subdistrict, Lorong Kembang Gogagoman Village.
Hospital: RSUP Kandou
Recon: Regional Public Hosp. Datuk Binangkang in Kotamobagu City
Adm: 9/3 (Saturday)
Notes: Slaughtered chicken on 8/30. Ate them on 8/31. First Sym: 9/3. Adm: 9/3.
Anwar Mamonto, known as War (58 ), who is a chicken trader in Gogagoman Village, West Kotamobagu Subdistrict, had one of his chickens die on Monday, 8/30. He thought it was a normal occurrence. The same day, the family butchered two chickens in preparation for the Hari Raya feast, part of the Lebaran celebration that was to take place the next day.
On Tuesday, 8/31, War and his wife, NM/Nur (54), celebrated the holiday with family members from Kotobangon Village, East Kotamobagu Subdistrict. They included the eldest son of War, AM/Af (31), his pregnant wife HK/Rah (29), their son AM/Naf (3), plus the in-laws MK/Mus (58 ) and his wife, NM/Nen (54). Also joining them were additional relatives: OM (58 ), Mrs. OM (48 ), FM (29), as well as ChM, residents of Lorong Kembang, Gogagoman Village. War's wife prepared and cooked the chickens with the help of ChM. (ChM may have been the employee War mentioned had fallen ill, and the unrelated individual).
Remarkably, on Saturday, 9/3, War's wife Nur (54) and ChM headed over to the doctor's office where they ran into the son and daughter-in-law, AF (31) and his pregnant wife Rah (29), who were suffering from the same sickness.
With 11 people symptomatic for flu, and the confirmation of H5N1 in War's chickens, the family headed to the hospital. At around 3:00 p.m. on Sunday, 9/4, the first hospital, Regional Public Hospital Datuk (Datoe) Binangkang in Kotamobagu City, decided to reconcile the entire lot of patients over to RSUP Prof Kandou in Manado where they arrived around 6:00 p.m. on Sunday, 9/4.
Several samples have been taken from the 11 suspect H5N1 patients which were sent to Jakarta and the regional labs for testing. Samples were taken upon admission and subsequent samples have also been taken. Now they wait for the post-Tamiflu results to be returned
Sulawesi continued:
9/11: Bird Flu in Poultry spreading to Balaang Mongondow on Friday (9/9/11). In District Lolayan. 20 chickens died suddenly in village of South Tanoyan.
Link: http://translate.google.com/translate?sl=id&tl=en&js=n&prev=_t&hl=en&ie=UTF-8&layout=2&eotf=1&u=http%3A%2F%2Fmanado.tribunnews.com%2F2011%2F09%2F11%2Fdistanak-bolmong-turunkan-tim-antisipasi-flu-burung%3Futm_source%3Dtwitterfeed%26utm_medium%3Dtwitter
Yogyakarta
3/15/11
Name: SS (28)
From: Kab. Gunung Kidul, Yogyakarta
Adm: 3/13 AI Hospital Yogyakarta
Adm: 3/11 Private Hospital
Recon: 3/6-10; several private clinics
Onset: 3/1
DOD: 3/14
Notes: Everyday went to poultry markets, and owned chicks/ducks.
WHO Update #3 [http://www.who.int/csr/don/2011_04_01/en/index.html]
9/7/11
3 Suspected – Family
Names:
Erna Maryatun (35) – Mother
Zaky Wiryawan (11) child
H (2.5) child
From: Singgelo hamlet, Poncosari Village, Srandakan District, Bantul
Adm: 9/2 – intensive care
Hospital: RSUP Dr Sardjito, Ward Kartika
Onset: 9/8
9 others being strictly monitored outside hospital.
9/9: Tested Negative. Diagnosis: Severe Lung Infection.
Chief Medical Officer of Kulonprogo Lestaryono explained, although some residents of the hamlet Singgelo, Village Poncosari, Srandakan Subdistrict, Bantul District, allegedly affected by the bird flu virus, but until now the region Kulonprogo not found the same case. "No cases of bird flu," explained Lestaryono after attending a commemoration of National Sports Day (Haornas) 2011 on the square Kulonprogo, Friday (9 / 9).
According to him, until now Dinkes always coordinate with the Animal Husbandry Department to monitor pertenakan poultry. However, according to two, until now there has been no reports of a number of poultry that died suddenly.
West Java
Date March 2 – WHO Upddate [http://www.who.int/csr/don/2011_03_02/en/index.html]
Name: 26 yo (F)
From: Karawang District,
Adm: 2/3
Onset: 1/30
DOD: 2/8
Notes: bought poultry meat from traditional market and took home chickens that were slaughtered after purchase and prepared at the market. [172 casea]
Date 2/10
Name: A (2)
From: Depok City
Confirmed: Positive
Adm: 2/5 Private Hospital in Depok
Onset: 2/4, fever, rash (redness) in the hands, mouth & feet.
DOD: 2/6
Notes: Vicims neighbor had ornamental birds. In last 2 weeks 4 died.
Date 2/25/11
Name: IL (31)
From: Bekasi City
Adm: 2/28
Recon: 2/25 Private Practice in Bekasi
DOD: 3/1
Onset: 2/23
Confirmed: Positive
Notes: Went often to market 200 meters from home. Many people around house kept ornamental birds.
Date: 4/1/11
Name: An (22 mnths) her Mother died (see above: IL (31)
From: Bekasi City
Adm: 3/9 to AI Referral Hosp. In E. Jakarta
Recon: 3/3
Onset: 3/2
Confirmed: Positive, Recovered
Notes: Recovered. Around the house w/a lot of people who kept ornamental birds. Ctr. Of Vet. Bogor had taken samples of poultry, H5N1 positive.
The child accompanied her mother to the traditional market where live poultry were sold but investigations into the source of infection are ongoing.
Date: 4/13/11
Name: JZ (8)
From: West Jakarta
Adm: 4/8/11
Recon: 4/4/11
Onset: 4/1/11
DOD: 4/11/11
Notes: Wild bird droppings around house and Mother in last week bought 2 chickens from the market.
Date: 4/10/11
Name: KN (1 yo)
From: North Jakarta
Adm: 4/8/11, fever, cough, chest pain.
Onset: 4/3/11, fever, cough, diarrhea & shortness of breath.
Confirmation: Confirmed, Recovered
Notes: Received extensive treatment. Week before his father’s illness, sufferers are invited to a market near his house to buy chicken and KN participated by holding the chicken.
Date: 8/15/11
Name: GA (1)
From: West Jakarta Distrit
Adm: 8/23
Onset: 8/8, fever & Adm HealthCareCtr: 8/8
Recon: Private Hosp. Adm: 8/15
DOD: 8/25/11
Confirmed: Positive
Notes: No reports of chicken deaths within last 14 days. Home catering business use the material processed chicken meat.
WHO Indonesia Update #6 [http://www.who.int/csr/don/2011_10_10/en/index.html]
Bali
Date of Article: 10/8/11
Name: Wayan Aldiawan/ALD/IWA (10) Siblings to NRA
From: Banjar Dinas Antuga, Jehem Village, District Tembuki Bangli, Bali
Adm: 10/7 Sanglah Hospital
Onset: 9/30
Recon: 10/5 Local Hospital
DOD: 10/10
Confirmation: Positive. WHO Update #7.
Name: Ari Nengah Rica/NRA (5) Siblings to ALD
From: Banjar Dinas Antuga, Jehem Village, District Tembuki Bangli, Bali
Adm: 10/7 Sanglah Hospital
Condition: Critical, breathing assistance
Recon: 10/5 Local Hospital
DOD: 10/9
Confirmation: Positive. WHO Update #7
Notes: Both had contact with dead poultry in early October. Chickens in patients home tested negative. Same with the neighbor’s chickens. “Based on the results of rapid tests on chickens that died or live in the home patients were negative. Similar results were also shown by the examination of dead chickens in his neighbor's house. For a more accurate examination, two chickens that died at home the patient was then taken to the Central Veterinary, Pegok, Denpasar.”
Date of Article: 10/16/11
Name: Ni Wayan Pumami (30) (mother of 2 siblings above)
Adm: 10/11 with fever but chose to go home.
From: Banjar Antugan, Jehem Village, District Tembuku
Hospital: Bangli Sanglah
Notes: Escaped. Found at home. Not re-admitted. Bloodwork done on the 15th indicated negative for H5N1. Mostly likely taking tamiflu since her children were admitted into hospital (10/7).
Sym’s: Cough, shortness of breath. Blood platelets decreased dramatically. In “pain”. They don’t know exactly what she has as they haven’t done a thorough examination of her blood.
DOD: 10/17 (at home)
Confirmation: Negative. Blood was drawn while she was in the hospital visiting her son in early Oct. (that was confirmed & died). Lab Biomolecular Research Lab University of Udayana and MOH
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