Commentary
Suspect H5N1 Cluster Near Semarang Indonesia
Recombinomics Commentary 09:51
December 21, 2008
the condition for the patient could worsen because he showed the sign was similar to the bird flu illness, like the hot body high that was accompanied breathlessly
the patient was detected having the decline in leucocytes or white blood cells, so as his body immunity continued to decrease , he said. According to him, the patient suspect this bird flu experienced breathless, as well as the temperature of the hot body high.
two the previous day the patient could direct contact with his property poultry that died
The above translation describes a hospitalized child with bird flu symptoms, which developed after handling poultry that died. The poultry in the area was H5N1 confirmed. The area is between Demak and Semarang and close to another suspect case (50F) from the same sub-district (see updated map).
In addition to the two suspect cases in Karangtengah, there were two fatal cases on the east side of Sermarang. Thus, all four cases were within a few miles of each and have been reported over the past month.
The initial fatal case (15F) was lab confirmed, yet the Ministry of Health denied the positive lab results. Thus, although there have been four suspect cases, including two fatalities, in a relatively small area with H5N1 confirmed poultry, none of the patients in this geographical cluster are WHO confirmed cases.
Although there were two recently confirmed cases in Indonesia in Riau and East Jakarta, clusters have been under-reported, including familial clusters where the index case was mis-diganosed as having lung inflammation, dengue fever, and typhus. All index cases died, as did the H5N1 confirmed family member, yet none of the index cases are official cases and none of the confirmed cases are official clusters. After these three clusters were reported, Indonesia imposed a news blackout. Moreover, a large cluster in Makassar, which involved PCR confirmed cases, was also denied.
Thus, the continuing lack of confirmation of familial or geographical clusters remains a cause for concern.
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