Day-3 observed at the Flamboyan, BSP Improved Patient Conditions

Bandung - Patient BSP (45) who were treated at room Flamboyan RS Hasan Sadikin, his condition began to improve. State officials in the city of Bandung has to be observed, diagnosed with symptoms of influenza like illness (ILI) after last week had contact with poultry.

"The development of improved patient today. Crowded reduced. The patient was quiet, breathing spontaneously and in a fully conscious state," said team member Dr. RSHS Handling Special Infections Primal Sudjana in a short message to detikbandug, Sunday (07/03/2011).

Mobilization of the patient was referred to the Primal already active. Blood pressure and pulse were stable. "The temperature of 36.7 degrees centigrade tubunhnya now," he added.

Team doctors today will take samples for laboratory examination day to AI-3.

In earlier reports, the master BSP is known to touch the birds along with the late Chevy Ganda, Pos Kota senior journalist who died last Thursday (06/30/2011). At the moment came, the patient complained of cough, runny nose, fever is not high, and too weak.

But the doctor until now, has not specified the master BSP is suspect bird flu (avian influenza) because they have not known whether positive or poultry that is not touched. In addition there is no news there are also birds that died suddenly.

Previously, the Department of Health (Health Office) Bandung Chevy Dual trace the cause of death, Pos Kota senior journalist who died on Thursday afternoon (30/06/2011). Final examination results showed, Pos Kota newspaper reporter died of pneumonia.

But during the process pemusalaran and funerals, there is an unusual sight. Four officers of Bandung Health Office dressed in white, covered with a watertight cover the entire body from head to foot as well as handling the cases of bird flu. The deceased was sealed from the hospital to take home. The body is inserted into the coffin and nailed.

After the funeral, officers include all clothing, gloves and cloth the rest of the cemetery into plastic bags. They then burn them on vacant land near the cemetery. As with BSP, health office also would not call the reporter who has been acting since 1975 as a suspect.

Suspect Bird Flu Patient Login RSHS

Nusantara / Friday, July 1, 2011 22:33 AM

Metrotvnews.com, Bandung: Hasan Sadikin Hospital (RSHS) Bandung, long unheard of or unexpected treat patients suspect bird flu. But suddenly today, Friday (1 / 7) at around 17:45 pm, there are patients who are suspected of bird flu into hospital.

"Yes there is a male patient, Mr. B, suspected bird flu which was referred to RSHS this afternoon at around 17:45 pm," said a member of the Special Infectious Disease Medical Team Dr. Primal Sudjana RSHS Bandung, when contacted by cell phone Friday night.

Primal said, this time the patient is getting intensive treatment in a special room, the room Flamboyan Hasan Sadikin Hospital in Bandung. "Patients now have entered the room Flamboyan to get intensive care," he said.

According to him, the patient is referred by the officers of Health (Health Office) Cimahi to RSHS Bandung. "Actually, a referral from the health office here, just the location or place of residence of patients in Cimahi, so each officer referred to the Health Office Cimahi RSHS her," said Dr. Primal.

He said, the time of entry into the Hasan Sadikin Hospital Bandung, Mr. B was experiencing flu-like symptoms, fever and cough, but without shortness of breath.

"When patients are referred to here have flu, fever and cough without shortness of breath. Why do we care at the Flamboyan because based on the information obtained, the patient Mr. B had previously been in direct contact with poultry," said Dr. Primal.

Bird flu hits Southern Cape farm

2011-07-03 08:02

George - Specially trained ostriches have had to be culled after testing positive for avian flu, the Sunday Times reported.

The "prize" ostriches had been trained to give rides to visitors and had been a feature of Highgate Farm, outside of Oudtshoorn, for over 80 years.

Arenhold Hooper owns the farm, which is one of 18 where the outbreak occurred. He had not received financial compensation for the loss of his ostriches and had to retrench 39 staff.

Chief executive officer of the SA Ostrich Business Chamber, Anton Kruger, said the disease was particularly serious as it came at a time when the industry was recovering from the recession.

- SAPA

Egypt: Detention of a child and housewife Menoufia for suspected bird flu

29-6-2011
Fever Hospital Ashmun detained two new injuries on suspicion of bird flu Menoufia, following the emergence of symptoms of the disease on them from the pain in the joints and high temperature.

And the Department of Health announced that the two cases Menoufia one to claim a child saw Hafiz Zakaria 5 years from the estate of the village of Al-Basha Casting Bohmon Sunday, and the second case of a housewife called Rabab Ahmed Mohamed Moawad 35 years of estate belonging to the village duck wild Bohmon.
Dr. Ayman Abdel-Moneim, Undersecretary of the Ministry of Health Menoufia to have been sampling them for analysis and to make sure they got the disease, stressing that the two suspects Khaltta dead birds were the encyclopedia reared at home, in addition to that it was sampled from the rest of the family members for analysis in the central laboratories at the Ministry of Health and make sure extent of injury.

France records first E. coli death - different strain than Germany Outbreak

Jul 2 06:15 AM US/Eastern

PARIS (AP) - Authorities have recorded the first death in France's E. coli outbreak.

Dr. Benoit Vendrely at Bordeaux Hospital in southwest France said the 78-year-old woman died early Saturday morning.

She had been hospitalized in Bordeaux since June 24 with hemolytic uremic syndrome—the rare kidney condition that the most seriously ill victims of the outbreak are suffering from.

Vendrely said the strain of E.coli the woman was infected with was not the one implicated in the deaths of 48 people in Germany and one each in the United States and Sweden. He didn't identify the source of the French woman's E. coli contamination.

Seven other patients remain at the same French hospital, six of whom have been confirmed to have the same strain of E.coli as in the outbreak that originated in Germany.

-snip-

Toll 50, NIV blames ‘new virus’

Teena Thacker , Santosh Singh

Posted: Thu Jun 30 2011, 00:14 hrs

New Delhi, Patna: An “uncommon” or a “new virus” may have hit Bihar’s Muzaffarpur, where a mysterious disease has claimed 50 children — all aged below 10 — till now, experts have said.


The National Institute of Virology (NIV), Pune, has ruled out Japanese Encephalitis (JE), Nipah and Chandipura virus after testing the samples. “It could be an unknown or a new virus. We have ruled out JE, Nipah, Chandipura, but are yet to come to a conclusion,” NIV Director Dr A C Misra said.


He said it would take some days to identify the virus as they had not got the “right samples” yet. “We have asked for brain biopsies which we think would help identify the virus. We are likely to get one sample tomorrow,” he added.


Muzaffarpur Magistrate S K Mall confirmed the NIV team collected one brain tissue sample from a child, who died on Tuesday.


A team from the National Center for Disease Control, which had also visited the area, is yet to come out with its results. The team had got samples of cerebrospinal fluids but those would not be enough, according to experts.


A senior official in the Union Health Ministry said nothing could be done unless the virus was found. “As of now, we don’t even know whether it is a water-borne, mosquito-borne or air-borne virus. The interventions will depend on the nature of the virus,” he said.


With three more deaths in the last 48 hours, the toll reached 50 on Wednesday. Over 20 patients are still admitted in various hospitals.


Officials said there was no need to declare an epidemic, the main objective of which would have been to empower doctors to take brain tissues despite objections of the victims’ families because of the procedure of opening the skull.


The NIV team, however, said there was no need to open the skull. It can be collected with a needle through the nostril. “Taking brain tissues after death is not a complicated process,” said Dr Arun Shah, a member of the team.


Bihar Health Minister Ashwini Kumar Choubey said as the main objective to get brain tissues was served, there was no immediate need to segregate a particular region as epidemic -hit.

hattip
RORO

Full Muzaffarpur sick, the poor governance Babu

2 hours 42 minutes ago

The arrogance of good governance on the issue of filling the power of the Nitish Kumar has already failed and is ineffective in terms of health. Polls opened Babu claims of good governance across the unknown disease in Muzaffarpur in Bihar's Muzaffarpur district in the past fortnight has taken the lives of 59 children.

Inseflaitis before the disease was believed to be Japanese, but all tests so far have not known the disease is found. Clearly, after so many innocent lives yet good governance Babu's government is proving to be useless in detecting disease.
Associated with the disease so far 62 samples have been sent to Pune's National Institute Wayroloji. These 22 samples have been checked. After investigation, experts have not yet confirmed by the Japanese Inseflaitis. Check the samples also showed that children are not suffering from NIEPA virus and Chandipura virus. The remaining 40 samples to check the work is still ongoing. Many samples have been sent to Pune, for instance - CSF (Spinal check), blood sample, and more. Reach the affected area in the living animal, bat and Mchcdon the blood sample is being analyzed.
Shri K. Mishra, Principal Secretary, Department of Health National Institute Wayroloji has sought help from the experts. The expert on your part are to provide all the help. Yet still the heart of the matter could not be reached.

Sample of brain tissue that can be checked to find out the disease, but the government has to declare the epidemic disease. Snr Act frightening and horrible plague epidemic in India in 1897 was designed to control. The Act gives powers to the government of the disease prevention with a sample of any part of the patient is likely to check it. The Act provides also that the suffering patient to prevent transmission of disease to be avoided and on the location - clean to be taken care of.

The district collector Santosh Kumar Mall of the State Chief Minister Nitish Kumar has sent a proposal to this effect. Mr. Malla believe that this unknown disease outbreak will be declared to understand the mystery of the disease.

Currently, Dr. Ashok Kumar, Dr. Krishna Kumar, Dr. Brij Mohan, Dr. Arun Shah and Dr. Rajiv Kumar, who specialize in infant as a team in the district are trying to fight the unknown disease. District Magistrate Santosh Kumar Mall from June 26 under the massive cleanup operation is being carried out in 63 affected villages. The sequence of B grade nurses and primary health centers in the designated area, particularly the development of the Seedeepio advised to keep an eye on. The series of these exercises as a sequel is being made to check the health of the elderly
.
Even if it was not yet the disease is unknown. But it can be fitted to the speculation that the disease is associated coil deep **** for sure, because so far have come from the patient Mushri. (Mushri called the place where people live Mushr caste) members of this nation's way of life is very dirty. Their main diet is the rat and pig meat.
It's basically your stomach and raise wages and Deshi Srab are sold.

?

Here is the question that every district Prshasn water after passing through the top of the head comes into action, why? Planned and the administration will work with such an epidemic, we rarely have to face to face...

Two more children die in Bihar, encephalitis toll climbs to 44

26/06/2011











Muzaffarpur, Jun 26 (PTI) Two more children died today due to encephalitis taking the toll to 44 in Bihar''s Muzaffarpur district, officials said.

One child each died of the fever at Srikrishna Medical College Hospital and Kejriwal hospital here, they said.
Twenty-four more children were undergoing treatment for encephalitis at two hospitals in the district, they said.

Meanwhile, district magistrate S K Mall has recommended to the state government to declare the outbreak of encephalitis as an epidemic, official sources said.

New cases of respiratory syncytial virus infection in children

--------------------------------------------------------------
A week after the respiratory syncytial virus (RSV) prompted an alert
by the health minister, Jaime Manalich, it has been reported that
"there is still a substantial increase in cases in the need of
hospitalization." This is because 90 per cent of children who are
referred to health services with respiratory problems require hospital
admission: in 8 out of 10 such cases the infection can lead to
pneumonia.

"800 new cases of RSV infection in children are being recorded every
week," according to the secretary of state. For his part,
under-secretary for health care Luis Castillo said that so far 231 new
beds had been provided in addition to the 535 beds already converted
as part of the Winter Plan, to provide in total 766 additional
pediatric beds in the system. A total of 8 hospitals (Roberto del
Río, Exequiel Gonzalez Cortes, Sotero del Rio, Calvo Mackenna, Padre
Hurtado, Gustavo Fricke, Van Buren and Felix Bulnes) are providing
ventilators and monitors to convert beds to acute care facilities.

The under-secretary stated that this weekend the directors of health
services in the metropolitan region and the areas with the highest
incidence of RSV infection will take steps to verity that the the
network is fully functional. "We have organized a series of hospital
visits for this weekend. In addition information will be circulated
online to monitor the situation in the emergency care network in order
to respond immediately to demands," said Castillo.

Also from this Friday [24 Jun 2011] until 31 Jul 2011, the army will
also be supporting the public health system in dealing with RSV.

--
communicated by:
HealthMap alerts via ProMED-mail
<promed@promedmail.org>

[The delayed appearance of the winter influenza virus season in the
Southern Hemisphere (see ProMed-mail report archived as: Influenza
(42): WHO update 20110623.1921) has revealed the acute stress placed
on health services in some countries (for example, Chile and some
other South American countries particularly) by the recurrent annual
outbreaks of RSV infection affecting children in these countries.

RSV is a respiratory virus that infects the lungs and breathing
passages. Most otherwise healthy people recover from RSV infection in
1 to 2 weeks. However, infection can be severe in some people, such as
certain infants, young children, and older adults. RSV is the
commonest cause of bronchiolitis (inflammation of the small airways in
the lung) and pneumonia in children under 1 year of age. In addition,
RSV is more often being recognized as an important cause of
respiratory illness (and death) in older adults.

People infected with RSV are usually contagious for 3 to 8 days.
However, some infants and people with weakened immune systems can be
contagious for as long as 4 weeks. RSV is often introduced into the
home by school-aged children who are infected with RSV and have a mild
upper respiratory tract infection, such as a cold. RSV can be rapidly
transmitted to other members of the family, often infecting about half
of other household members.

In temperate climates, RSV infections generally occur during autumn,
winter, and early spring. The timing and severity of RSV circulation
in a given community can vary from year to year. There is currently no
vaccine available.

NIV receives blood samples from Bihar

Jun 23, 2011, 06.12am IST
PUNE: The Pune-based National Institute of Virology (NIV) received four samples of blood, urine and fluid surrounding the brain and spine of children infected with a viral infection from Bihar on Wednesday. Twenty-six children have died of a mysterious illness in Muzaffarpur, Sheohar and adjoining districts of Bihar in the last few days. The children were all in the age group of two-and-a-half to six years.

"Prima facie, these are cases that fall under Acute Encephalitis Syndrome (AES), characterised by inflammation of the brain. Fatalities in AES are very high. Globally, the cause in 40 to 50 per cent of encephalitis cases is never ascertained. The Chandipura virus, which occurred in Nagpur, also caused similar illness and fatality," A C Mishra, director of NIV told TOI.

"Around five years ago, a similar outbreak was reported from Bihar. We had collected samples during that time but the disease-causing agent could not be detected," said Mishra. "This happens not only in India but across the world. In 40 % to 50 % of encephalitis cases, the agent is not known. This is because the technology for detecting the disease-causing agent is still not advanced enough.

"We have twice used frontline diagnostic methods in testing the samples we received, but we could not detect the agent. Efforts are on but we need some time. We hope to find out the cause this time," Mishra said.

Tuesday the NIV had ruled out Japanese encephalitis (JE) as the cause of the children's deaths.


The mysterious illness is largely seen in children living near the lychee gardens in the affected districts of Bihar. The lychee fruit ripens when the summer is ending and the monsoon is about set in. We are looking to see if there is any connection. Our seven-member team that has gone to the affected districts are also taking samples of animals and insects from the adjoining areas of the affected districts in Bihar," Mishra said.

AES, including JE, is reported mainly from Assam, Bihar, Karnataka, Tamil Nadu and Uttar Pradesh, which have approximately 80% of cases and deaths with a case fatality rate of 20 to 25 %. Specific antiviral drugs for AES are not available and the cases are managed symptomatically, states the official website of the national vector-borne disease control programme (NVDCP) of the Government of India.

Clinically, a case of AES is defined as a person of any age, at any time of year, with the acute onset of fever and a change in mental status (including symptoms such as confusion, disorientation, coma, or inability to talk.

Other early clinical findings may include an increase in irritability, somnolence or abnormal behaviour greater than that seen with usual febrile illness.

E. coli outbreak caused by mix of 2 deadly strains

(AP) LONDON - A mix of two dangerous E. coli strains caused the recent deadly food poisoning outbreak in Germany, according to a new study of the bacteria’s DNA.

Scientists said the E. coli outbreak strain combined one that makes a toxin and another that sticks to the gut in a way that potentially speeds up the body’s absorption of the toxin. They described it as "unprecedented" in its lethality.

"The two strains are in themselves quite nasty," said Hugh Pennington, an emeritus professor of microbiology at the University of Aberdeen, who wrote an accompanying commentary on the research.

"It may be that more of the bugs are sticking to the intestines, and that may result in more toxin being produced," he said.

Experts had earlier suggested, based on an early DNA sequence of the bacteria, that the new strain was particularly aggressive because it reproduced quickly and released more toxin than similar bacteria.

Unlike previous E. coli outbreaks, the German strain caused three times as many cases of a severe complication that can lead to kidney failureIt was the deadliest E. coli outbreak in history, infecting 3,601 people and killing 39 across Europe, with most cases in Germany. More than 800 people developed kidney problems from the outbreak that peaked in late May.

German officials identified sprouts from an organic farm in northern Germany as the outbreak’s cause, though they don’t know how the sprouts got infected.

There are hundreds of E. coli strains in the environment, and many strains dangerous to humans come from animals like cows and sheep. People naturally carry E. coli in their gut but few strains cause illness. But the bacteria is constantly evolving and swapping genes with other strains, giving it countless opportunities to mutate into a killer version.

Pennington said it is crucial to find out whether this new E. coli strain is widely circulating in animals. "If it turns out to be very common in cattle, that would ring alarm bells that this kind of (outbreak) might happen again in the future," he said.

In the new study, researchers at the University of Muenster and the Robert Koch Institute analyzed samples from 80 patients sent to a national laboratory between May 23 and June 2. The analysis was paid for by the German government and Network Zoonoses. It was published Thursday in the journal, Lancet Infectious Diseases....

Avian influenza situation in Egypt - WHO update 54

Wed 22 Jun 2011
Source: World Health Organization (WHO), CSR, Disease Outbreak News
[edited]
<http://www.who.int/csr/don/2011_06_22/en/index.html>


As of Wed 22 Jun 2011 the Ministry of Health of Egypt has notified
WHO of a new case of human infection with avian influenza A (H5N1)
virus. The case is a 27 year old man from Qena governorate, Deshna
district. He developed symptoms on 5 Jun 2011, was hospitalized and
was put on oseltamivir treatment on 13 Jun 2011. He died on Tue 14 Jun
2011.

Investigations into the source of infection indicate that the patient
had exposure to poultry suspected to have avian influenza.

The case was confirmed by the Egyptian sub-national laboratory for
Influenza in Aswan and the Central Public Health Laboratories in
Cairo, a National Influenza Centre of the WHO Global Influenza
Surveillance Network.

Of the 150 cases confirmed to date in Egypt, 52 have been fatal.

Bihar: Connect with unexplained fever since the death of 50 innocent Patna

22, 2011,18:41
All children die by age 2 years to 10 years. East Champaran and Gopalganj districts of the disease's outbreak. National Institute Wayroloji in Pune Dr. BB Tendle said patients' blood samples and only after the disease will be known.

Muzaffarpur, East Champaran and Gopalganj of the 76 children admitted to the civil hospitals in the undisclosed illness. The officials said they Madikl College Hospital in Muzaffarpur, 18 children have been killed.


[ English summary
Three more children have died due to a mysterious fever in Bihar's Muzaffarpur district, taking the toll to at least 50.

Muzaffarpur

Muzaffarpur in Bihar in a certain way in the last four days, his fever has created havoc. Since the mysterious fever has killed 32 children. 6 dozen children in the hospital while battling life and death.


In fact the last four days in hospital in Muzaffarpur Kejriwal four dozen children are enrolled. One - two dozen children in other Government hospitals are waging a war of life and death.The temperature is just above the neck. The Just - C delay is deadly. To investigate the disease there is no system in Muzaffarpur.
The disease has also sought a report on the state government.

Mystery disease keeps state guessing

OUR CORRESPONDENT

Patna, June 21:

The death toll resulting from the spread of the mysterious disease in Muzaffarpur has gone up to 24 today and the total number of children suffering from the disease has been ascertained at 66 in Bihar since the first case was reported on June 14. However, initial reports have been negative for encephalitis and health department would be bearing all medical expenses for the treatment of the patients hit by the disease, the health department said today.

Besides, individual intensive care unit has been put up at Sri Krishna Medical College Hospital (SKMCH) for treating the patients. Today, a team of National Institute of Virology (NIV), Pune arrived in Patna to collect the culture samples from the affected children. The health department has also proposed establishment of a viral laboratory in the state. “The initial tests on blood samples collected by Rajendra Memorial Research Institute (RMRI) team from the children suffering from this disease have reported negative for encephalitis.
Last year, too, some deaths occurred during this period and samples were sent to NIV, Pune. While the initial reports indicated negative for encephalitis, however, the final finding could not be furnished because of some reservations expressed by NIV regarding collection of samples. Thus, this year NIV team itself has come for blood collection and the respective report is expected to be furnished within 190 days,” said Ashwini Kumar Choubey, state health minister.

The disease, which is still not given a name by the state health department, has spread in seven places in Muzaffarpur including Kanti, Sankara, Bochaha, Mushari, Pary, Meenapur and Kudhani. Children between the age- group of 8 and 14 years are prone to this disease. Total 42 patients have been admitted to Kejriwal maternity clinic till date, among which 10 children have died. Another 24 patients have been admitted to SKMCH wherein 12 among them could not survive. However, health department officials claimed that the admission of children suffering from this disease has come down lately.
The health department has issued some preventive measures to be adopted by the people in the affected regions. “Starting today, a team of antamology from RMRI and local civil surgeons of the affected regions have started marking the houses or villages, which have come with children suffering from this disease. Around 50 such houses would be fogged. DDT and melathinine would also be spread in the areas,” said Choubey.


Hattip RORO

Mystery disease kills four more in Bihar

Patna, June 21 (IANS) Four more children have died of a mysterious disease in Bihar's Muzaffarpur district, taking the death toll to 32, officials said Tuesday.
The children died after reporting high fever followed by convulsions and unconsciousness.

Bihar Health Minister Ashwani Kumar Choubey told IANS that two expert teams will help identify the disease that had killed several children in last few days.

"It is not proper to term it encephalitis," Choubey said.

Locals termed the disease "chamki ki bimari" and said the symptoms were similar to encephalitis, a disease that causes inflammation of the brain.

Over three dozen children are undergoing treatment in hospitals.

Egypt H5N1: Housewife detention on suspicion of being infected with bird flu Menoufia

20-6-2011

Fever Hospital was held Ashmun new case on suspicion of being infected with bird flu, Menoufia, following the onset of symptoms of illness.
Department of Health announced Menoufia that the situation called for a housewife Amina Ibrahim Mahmoud Ibrahim, 40 years old housewife from the village of Abu legs hair Centre Ashmun and that was to take a sample for analysis and to make sure she had been ill and that the suspect had contact with dead birds are reared at home .. In addition, samples were taken from the rest of the family members for analysis in laboratories and the central Ministry of Health to ascertain the extent of the injury or not.

Epilepsy, lung disease outbreaks them dead girl, the family

Date 06/19/2011 (20:21)

Unknown cause interstitial lung disease was endemic in this group of the family, one-year-old woman has died a child.

Kyungnam University Hospital three months ago, one of the fibrosis, interstitial lung disease accompanied by symptoms had been hospitalized died this morning says a little girl.

Meanwhile, the girls' mother and sister with the same symptoms at a hospital in Seoul, has been hospitalized.

Family-onset lung disease deaths a year old girl

Acute lung disease of unknown cause in the mother took three of the 1-year-old second daughter was killed today in worse ill.

Three months ago his lungs stiff and stark with idiopathic pulmonary infection in a 32-year-old mother and 6-year-old first daughter, now all in the hospital in Seoul, which she received a lung transplant is recovering.

Pulmonary disease, epilepsy, children in Gyeongnam Death Knight theme

2011-06-19 15:43
VIDEO CLIP

Suffering from epilepsy, lung disease in Gyeongnam his two-year-old girl has died suddenly ill akhwadwae.



Kyungnam University Hospital in the model of epilepsy in the hospital undergoing treatment for lung disease, his two-year-old girl has died there.

Children who died last March 29th, two are in hospital after ICU spend another serious move has died.

Interview: The deceased family]
"There is no special symptoms, the ICU was moved to see him yesterday evening I felt fine this morning has died on."

At the hospital said the cause of death accompanied by fibrosis, epilepsy, lung disease.

As well as the mother of these children are sick, being pyeyisiksusuleul still in recovery, the ICU moved my sister has been known to serious condition.