CIDRAP: News Scan

Apr 6, 2009

H5N1 strikes another Egyptian child
Egypt's health ministry said yesterday that a 6-year-old boy from Qalyubiya governorate, just north of Cairo, is hospitalized in critical condition and on a ventilator with an H5N1 avian influenza infection, Egypt-based Strengthening Avian Influenza Detection and Response (SAIDR) reported yesterday. He got sick on Mar 22, was hospitalized on Mar 28, and received oseltamivir (Tamiflu) on Apr 3. The report did not say if the boy had been exposed to sick or dead poultry. If the World Health Organization (WHO) confirms the boy's case, he will be listed as Egypt's 63rd H5N1 case-patient, of which 23 have died of their infections.
[Apr 5 SAIDR report]

Kentucky and Germany report H7 at poultry farms
Agriculture officials in Kentucky announced on Apr 3 that they were investigating a suspected low-pathogenic avian influenza outbreak at a broiler/breeder farm in the western part of the state. The farm processes hatching eggs for Perdue Farms, Inc., which in mid March noted a drop in egg production and found that the birds had antibodies for avian influenza. Testing by the National Veterinary Services Laboratory (NVSL) in Ames, Iowa, found evidence suggesting exposure to an H7 virus, and further tests confirmed the finding. Perdue plans to cull 20,000 chickens from two of the farms' barns, and state agriculture officials are conducting surveillance within a 2-mile radius of the farm. Elsewhere, animal health officials in Germany will cull 17,000 turkeys at a commercial farm in Kleve district in the western part of the country near the border with Holland after a low-pathogenic H7 virus was detected in preliminary tests, according to a translation of a German media report that appeared on ProMed mail, the Internet-based reporting system of the International Society for Infectious Diseases. The samples are undergoing further testing at the Friedrich Loeffler Institute on the Isle of Riems.
[Apr 3 Kentucky Department of Agriculture press release]
[Apr 3 ProMed mail post]

Japanese researchers find raccoons had H5N1 exposure
Japanese researchers said today that they have detected H5N1 avian influenza antibodies in 10 wild raccoons, the first such finding in the country's mammals, the Daily Yomiuri reported today. They presented their findings at a conference of the Japanese Society of Veterinary Science and warned that infected raccoons could spread the virus to chicken farms. They based their findings on blood from 998 raccoons that were collected since 2005 from three locations in western Japan and one site in the eastern part of the country. They said that the 10 raccoons that showed H5N1 antibodies were probably infected by eating the carcasses of sick birds or inheriting the antibody from a parent. In December 2008, US researchers reported in Emerging Infectious Diseases (EID) that they found antibodies to a variety of influenza subtypes in raccoons. When they experimentally infected the raccoons, they found that the animals can become infected with avian and human influenza A viruses, shed and transmit the virus to other animals, and seroconvert. Raccoons have avian- and human-type cellular receptors, which could make the animals a mixing vessel for creating novel flu strains.
[Apr 7 Daily Yomiuri story]
[Dec 2008 EID report]
hat-tip Carol@SC

CIDRAP: Agencies build partnerships to dispense emergency medications

CIDRAP
Editor's Note: CIDRAP's Promising Practices: Pandemic Influenza Preparedness Tools (www.CIDRAPpractices.org) online database showcases peer-reviewed practices, including useful tools to help others with their planning. This article is one of a series exploring the development of these practices. We hope that describing the process and context of these practices enhances pandemic planning.

Apr 6, 2009 (CIDRAP News) - When dispensing a large number of medications during an emergency, one site might not be enough. Many US communities are seeking alternate methods of dispensing. One such method, which involves distributing medication through some agencies to reduce the influx at public sites, is called the "Push Partner Program."

The Centers for Disease Control and Prevention (CDC) has identified the need for communities to provide prophylaxis to 100% of their population within 48 hours. Some planners feel general public point-of-dispensing (POD) sites could not meet such high demand in a short time. The Push Partner Program, which is being used in several states, is one way to ease the burden on public POD sites.

This dispensing strategy involves "pushing" medications to partner agencies, such as community-based organizations and private businesses. These agencies then dispense the medication to the people in their organizations such as employees, employee family members, and even clients, if applicable. Unlike the general PODs, partner agencies are not open to dispense to the general public during an emergency.

The National Association of County and City Health Officials (NACCHO) is conducting a survey on the partnership between local health departments and their push partner agencies, said Katie Dunkle, a NACCHO program manager. She said she believes the alternate dispensing option is becoming increasingly popular.

"It is pretty overwhelming to hand out medications to the entire public within such a short period of time. A lot of health departments have started looking to community organizations and businesses to partner with to better accomplish this task in the event of an emergency," Dunkle said.

The Oklahoma and Oregon departments of health have had Push Partner Programs for more than 2 years, which may reduce demand at the regular PODs during an emergency.

Mark Schultz, LPN, MSM, is the western district coordinator for the Oklahoma State Department of Health. "Our largest push partner is Oklahoma University. They are able to dispense medication to up to 60,000 people during an emergency," he said. Continued
-snip-
hat-tip Carol@SC

Karen Grech Hospital to become avian flu emergency facility

Map of Gwardamanġa, Malta
Click on map

07 April 2009

The Karen Grech Hospital in Gwardamangia will be set up specifically to take care of any potential pandemic avian flu outbreak that many experts are certain will surface sooner or later.

During a press conference held at Mater Dei for World Health Day, Parliamentary Secretary for Elderly and Community Care Mario Galea and Parliamentary Secretary for Health Joe Cassar outlined Malta’s plans in case of natural emergencies, such as a pandemic avian flu outbreak.

Cassar said how the government was following advice from the European Centre for Disease Prevention and Control (ECDPC), and guidance from World Health Organisation (WHO) on how to address a possible pandemic avian flu outbreak, adding that Health Plans are being devised in a way that if a virus starts spreading, priority cases take precedence, while emergency operations are carried out and priority care is provided.

Cassar explained how, during a conference which he attended in Egypt recently, many experts were of the opinion that an avian flu outbreak was imminent, and that the only question was of when it would start spreading.

In this light, he said the government’s plans are based on various models of possibilities of how the pandemic flue could affect the country, particularly taking into considering the percentage of the population affected by the virus.

Principally, the plans aim for prevention and control, Cassar said. In case of a pandemic flu outbreak, the first priority would be to limit mass activities. Schools would be closed, he said citing an example, to limit the spread of the infection.

He added that, where possible, the virus would be treated and controlled by primary health workers and only bad cases would sent to hospital for intensive care.

Cassar also said how the Health division already has a stock of virus medication that is checked periodically.

The present stock of 25% he said, however, would expire shortly.

He spoke of the government’s plans to equip the Karen Grech hospital to deal with an outbreak should one surface, adding that the hospital would be fitted with temperature chillers and oxygen piping.

He explained that the decision was reversed in recent months because authorities preferred to first complete patient and staff migration. Since it has now settled down, following the completion of the migration, Cassar said that the hospital was now ready to be converted specifically to cater for a potential pandemic avian flu outbreak.

He added that the Government has already made arrangements with medicinal companies to obtain a vaccine for the virus as soon as one is developed.

-snip-

He added that, during emergencies, pharmacies and medical supplies would also be very important. In Mater Dei, he said, rucksacks and aluminium cases containing pre-prepared medical equipment are present which emergency workers can simply pick up and take to emergency areas.

Should an emergency arise, he added, parts of the hospital were built appropriately so that they can change according to the needs of the emergency, Cassar said, adding that one particular recovery area could be turned into an ITU bed ward.

Cassar also spoke how working priorities for staff would change during emergencies to focus on emergency cases. Elective surgery facilities would become trauma centres, and staff would take up emergency-related duties. He added that hospital staff was already trained to this aim, and protocols are already in place.
hat-tip DryHeat

Japan: 10 raccoons discovered with bird flu antibodies

The Yomiuri Shimbun - (Apr. 7, 2009)

UTSUNOMIYA--"Ten wild raccoons have been found with signs of previous H5N1 bird flu infections, according to a joint study by Tokyo University and Yamaguchi University. This is the first time mammals in this country have been found with bird flu virus antibodies, which develop as a result of infection. Before the discovery, only birds had been found with bird flu antibodies.

The research team, which presented a paper on its findings at a conference of the Japanese Society of Veterinary Science in Utsunomiya on Saturday, warned that infected raccoons could introduce the virus into chicken farms and noted that countermeasures were needed. It is believed that the H5N1 strain of the bird flu virus is highly likely to mutate into a new type of influenza. In Japan, there have previously been reports of domestic chickens, wild whooper swans, jungle crows and mountain hawk-eagles infected with the virus.

The research team collected and examined blood from 988 raccoons captured since 2005 at three locations in western Japan and one location in eastern Japan. In the blood of 10 raccoons from three of the locations, the team found antibodies that had developed after past H5N1 infections. In two of the three places, not even birds had been found with the antibodies before this time." - excerpt
hat-tip Rickk

Recombinomics: Toddler to Toddler H5N1 Transmission in Beheira Egypt

Commentary

Recombinomics Commentary 18:29
April 7, 2009

Boy, age 2, began experiencing fever and cough symptoms on March 27.
Boy, age 2, began experiencing fever, cough and runny nose on March 31.

The above comments describe the two most recently H5N1 confirmed toddlers in Egypt. These two cases were next door neighbors in the Kom Hamada district of Beheira and represent toddler to toddler transmission of H5N1. This cluster follows a spate of toddler cases in Egypt this year. 10 of the 12 confirmed cases have been toddlers and 9 of the 10 toddler cases have been mild. Both patients above are described as being in "good general condition" and will likely be discharged soon. None of the H5N1 cases this year in Egypt have died, which is similar to the mild cases of H5N1 in Egypt in the spring of 2007. However, unlike earlier cases, which included 6 toddlers over a three year period, the percentage of toddler cases has dramatically increased in 2009.

Although the two cases above are said to have had contact with dead or sick poultry, the confirmation of neighboring cases who developed symptoms four days apart is unlikely to be due to two independent poultry infections. There have been no confirmed poultry cases in the Kom Hamada area. Since March 1 there were 24 confirmed H5N1 poultry outbreaks in Egypt, and although 7 were in Beheira, these outbreaks were well to the north and not near the toddler cluster (see updated map). Over 60 outbreaks have been confirmed this season, and none were close to Kom Hamada. Similarly, the toddler case preceding the cluster was in Qena, and there have been no confirmed poultry outbreaks in Qena this season (see updated map).

Although there are clearly more H5N1 outbreaks than those confirmed, the targeting of toddlers raises concerns that old age groups have developed protective immunity, signaling a significant silent spread of H5N1 in Egypt. Over 6000 patients with poultry links have been hospitalized, but less than 1% have tested positive. However, it remains unclear if the low confirmation rate is due to an aggressive testing program, or a lack of sensitivity in the testing.

Confirmed H5N1 clusters have been rare in Egypt have been rare. The largest was the Ghabiya cluster at the end of 2006, but the prior clusters were among relatives and did not have the gap in disease onset dates. The Beheira cluster has the classical gap and there has been no indication that the two toddlers were related. Although it is likely that mild H5N1 has was transmitted human to human, based on the sequence identity between isolates from unrelated cases, the current cluster has the time and space signature associated with human to human transmission.

Sequences from this cluster, as well as testing of toddlers that have symptoms but lack a poultry link would be useful.
Media Links

The patient Suspect was treated Intensive

Rabu, 08 April 2009

-the Patient had the initials ”FO”, pre-schoolers suspect (was expected) bird flu was 1.5 years old from Dharmasraya, still was coiled around by the infusion on all over the of his body. During Padang Ekspres monitored the condition for casualties yesterday, several nurses guarded that was assigned in the door in front of maintenance space of the Isolation of Instalasi Rawat Inap C Penyakit Dalam RS Dr M. Djamil Padang, did not permit this newspaper to enter, on the basis of the condition for the patient still was not different far from the condition during the first time in treated in the hospital.

The head of the Field of Layanan Medis RS Dr M. Djamil Padang, Irayanti said, his side was still continuing to carry out the intensive maintenance against the patient. However, the hospital still could not confirm whether the patient was quite positive was contaminated by this deadly virus. ”Perlu had results of the Labor Party test against the patient. This test usually takes up time 5 days till 1 week. But that was clear, the handling against the patient continued to be carried out by us was as maximal mungkin,” he said.

The couple's child Ngatemen and Marsiah this was suspected of suffering bird flu, after experiencing the high fever was accompanied breathless during the last three days. During the last time was checked, haemoglobin of the patient's blood was abnormal, only 9.5 with the number of leucocytes as far as 15,000. According to the medical expert, this indicated the existence of the infection in the patient's body. Ideally, the number of leucocytes in the human body necessarily 6,000-10,000.

Indonesia Summary as of 4/7/09

West Java
Bekasi

Adm: 3/3
Name: R (5)
From: Karawang
Hospital: Mitra Keluarga Bekasi East
Sym: fever, shortness of breath
Recon:
Notes: contact w/positive poultry. Map: http://tinyurl.com/4ngovu
Confirmation: none
DOD: 3/4 (21:01 WIB)



Adm: 3/3
Name: Hermina S (29)
From: Kemakmuran, Margajaya village, Bekasi South Dist.
Hospital: Hermina, Bekasi
Sym onset:
Recon:
Notes: contact one w/positive dove, thrown away
Confirmation: none

Adm: 3/29/09
Name: R (50)
From: Kampung Pasir Konci RT08/RW03, Desa Sariljaya, Kec. Majalaya, Kab. Karawang
Hospital: RS Hasan Sadikin
Sym Onset: 3/21, fever, breathless
Recon: Lamerta Clinic and RS Dewi Sri, Karawang
Notes: On 3/23, fever & breathless subside. Reoccur on 3/28. Chickens died on his property and around the neighborhood.
Confirmation:
DOD:

Adm: 3/24
Name: UR (23)
From: Pelamunan IX Hill
Hospital: Hasan Sadikin (RSHS)
Sym Onset: At adm: breathless, high fever
Recon:
Notes:
Confirmation:
DOD:


Garut

Adm: 3/24
Name: Aning (30)
From: Tabrik Lebak Village, Cintamaya, [Kampung Pabrik RT 0l, RW 12, Cintanagara, Cigedug] Garut
Hospital: RSU Dr. Slamet Garut
Sym Onset:
Recon: Comm. Hlth Center
Notes: Became sick after his brother Ikah displayed symptoms. Currently no breathless, no fever. See notes under Ikah (35)
Confirmation: Negative (3/28) Home.
DOD:

Adm: 3/24
Name: Ikah/Eka (35)
From: Tabrik Lebak Village, Cintamaya, [Kampung Pabrik RT 0l, RW 12, Cintanagara, Cigedug] Garut
Hospital: RSU Dr. Slamet Garut
Sym Onset: on adm: limp, can not speak, cramps, high fever/breathless.
Recon: Comm. Hlth Center
Notes: Currently no breathless, no fever. Dozens poultry around residence, 50 meters away, died suddenly 1 week ago Neighbor suffered flu sym’s a few days later. Did not go to Comm. Hlth. Ctr. Not long afterward, abruptly Ikah had sym’s of high fever, crowded breathing, followed by Aning. Child, Yuyun (8) also had sym’s, but not serious. Treated normal maintence at home. Brother-in-law: Majid (34).
Confirmation: Negative (3/28) Home.
DOD:


Indramayu

Adm: 3/25
Name: Wasan (33)
From: Mangun Jaya village, Anjatan sub-district
Hospital: UGD RSUD Indramayu
Sym Onset: On admission: fever, breathless
Recon: Rumah Sakit MA Sentot Patrol for 1 day
Notes: contact w/dead chicken. 2 days later developed fever. Father: Raman (60)
Confirmation: negative (3/29). Diag: common fever
DOD:

Adm: 3/31
Name: Tarlan (60)
From: Telukagung, Indramayu
Hospital: RSUD Indramayu
Sym Onset: 3/24
Recon: Comm. Hlth. Ctr.
Notes: Darsinih (45) brother, Noni (50) wife. All 3 went to Comm. Hlth. Ctr. Darsinih diagnosed with bronchitis.
Confirmation:
DOD:

Adm:
Name: Ade (50)
From: Kampung Cikeukeup, Village Cidadap, District Campaka
Hospital: Sukabumi
Sym Onset:
Recon:
Notes:
Confirmation: Negative
DOD:


Bandung
Cipatat

Adm: 4/3
Name: Agung (25) (Father)
From: Cipatat, Bandung West, Halte Village (RT 01/19)
Hospital: RSHS Bandung (Sadikin)
Sym Onset: 3/31. On adm: fever, cough, breathless
Recon: Cipatat Comm. Hlth. Ctr.
Notes: Contact w/poultry. Surprise inspection from poultry die-off on Monday. Patients blood drawn.
Confirmation: Negative. Ran Out Hospital. Article states first test was positive. http://www.flutrackers.com/forum/showpost.php?p=217726&postcount=474
DOD:

Adm: 4/4
Name: Firman (14 months) (Childl of Agung)
From: Cipatat, Village Halte, RT01/RW04, Bandung West
Hospital: RSHS Bandung (Sadikin)
Sym Onset: On adm: fever, cough, breathless
Recon: Cipatat Comm. Hlth. Ctr.
Notes: Contact w/poultry. Surprise inspection for poultry die-off on 3/30. Father left hospital early with baby. 2nd test negative. 1st test positive.
http://www.flutrackers.com/forum/showpost.php?p=217726&postcount=474
Confirmation: Negative
DOD:


Adm: 4/4
Name: WI (2 1/2) child, WE (2 1/2) child of Agung above ; IN (2) not immediate family.
From: Kam. Halteu, RT/RW 19, Cipatat Bandung.
Hospital: RSHS Bandung Sadikin
Sym Onset: fever, cough, runny nose, breathless
Recon:
Notes: AT (65) Grandfather treated @ home. Reported by drh. Wiwin Aprianti on 4/4. Dead birds reported since 3/31. Ate sick chickens, fried. Children held sick poultry. Sick birds found previously but not in Cipatat.
Confirmation:
DOD:

4/7: KLB Declared.
11 chickens died, tested positive, belonging to Isom Supandi (70), resident of Kampung Andir RT 02/14, Desa Ciptaharja, Kecamatan Cipatat. 2 families (10 people) who lived next door, moved to relatives house for fear of catching bf.
Report that patients above have returned home.
http://www.flutrackers.com/forum/showpost.php?p=217658&postcount=464


South Jakarta

Adm: 3/4
Name: Sarah Dila Wulandari (4)
From: Jl Peninggaran I RT 04 RW 09 Kebayoran Lama north
Hospital: RSU Tangerang (22:00)
Sym Onset: 2/25, cough, fever
Recon: RS Fatmawati, RS Sari Asih, Cileduk (1 night) with x-ray diag: suspect bird flu.
Notes: Parents gave fever medicine on 2/25. Taken to RS Fatmawati, result bood test: negative. Fever increased, cough & crowded breathing.
Confirmation: Yes Local Media: http://www.flutrackers.com/forum/showpost.php?p=215607&postcount=369
DOD: 3/5 (22:00 WIB)


Central Java
Klaten

Adm: 3/3
Name: Hasan Saefullah (8)
From: Dukuh Jamban, Desa Sabrang Lor, Kec. Trucuk, Klaten
Hospital: RSUP Dr Soeradji
Sym Onset: [?] Sym’s: Fever, breathless
Recon: Trucuk Comm. Hlth. Ctr
Notes: Poultry died/tested positive.
Confirmation:
DOD:

East Java

Adm: 3/17
Name: R (2)
From: Sidokerto, sub-district Karangjati, regency Ngawi
Hospital: Dr Suroto, Ngawi
Sym Onset: 3/14, sym: fever, cough, occassional breathless
Recon: Karangjati Comm. Hlth. Ctr.
Notes: 30 chickens died nearby, tested positive. Father: Slamet
Confirmation: Negative (3/28). Diag: Bronchitis. Home.
DOD:

Adm: 3/19
Name: NY Semi (70)
From: Kanigoro Village, sub-district Saptosari, Wonosari
Hospital: Dr Sardjito Jogja
Sym Onset: 3/18 (?) fever
Recon: RSUD Wonosari
Notes: Dozen of poultry owned by him died, they were burnt.
Confirmation:
DOD:


South Sulawesi
Makassar
Adm: Posted on 3/5
Name: Anshar (3)
From:
Hospital: Wahidin Sudirohusodo
Sym Onset:
Recon:
Notes: currently improving
Confirmation:
DOD:


Riau

Adm: 3/21
Name: Wahyu Ibnu Saputra (2)
From: RT7/RW4, Kel. Tanjung Rhu, Limapuluh, Street Kuantan VII, Pekanbaru
Hospital: RSUD Arifin Ahmad
Sym Onset: 3/12 On adm: temp: 40 degrees, cough, breathless
Recon: RS Ibnu Sina, Pekanbaru on 3/15
Notes: Temp is down, breathing improving. Parents worked as breeders & duck traders. Evening of 3/25 condition deteriorated drastically.
Confirmation: Positive
DOD: 3/26
http://pandemicinformationnews.blogspot.com/2009/03/from-previous-post-rev.html
http://pandemicinformationnews.blogspot.com/2009/03/balita-deceased-kuantan-vii-positif-flu.html

Adm: Reported on 4/1
Name: Tumirah (59); Kadiran (64) Grandparents of Ibnu (2) confirmed.
From: Street Kuantan VII, Kedurahan Tanjung Rhu, Kec. Limapuluh, Pekenbaru, Riau.
Hospital: Arifan Achmad
Sym Onset: High fever
Recon:
Notes:
Confirmation:
DOD:

Adm: Reported on 4/3
Name: SP (15)
From: Village Sekijang, Pelalawan, Riau
Hospital:
Sym Onset:
Recon:
Notes: Article states 9 suspects since 1/2009. Pekanbaru (1); Siak (2), Rohul (1); Dumai (3); Pelalawan (2)
Confirmation:
DOD:


West Sumatra

Adm: 4/5
Name: Fitri Oktaviani (1)
From: I Penang Makmur, Kec. Sawalunto Sijunjung, Kab. Dharmasraya
Hospital: RSUP M. Djamil Padang
Sym Onset: Last week (?) fever/cough/breathless.
Recon: Comm. Hlth. Ctr.
Notes: Chickens died “last Friday”...4/3, or 3/27. On oxygen & infusion.
Confirmation:
DOD:

Padang, West Sumatera ::: 1,8-year-old suspect under treatment

[This article states she was sick for one week. That would put the onset at 3/29. And the poultry died on 3/27...Toggletext is not doing us any favors in some of these translations lately. Here is the original sentence: "Fitri telah sakit sejak seminggu lalu,"...dictionary definitions: "Fitri [already/by now] sick [since/from] a week previous/last". Dictionary link: http://indodic.com/popupindex.html]

April 7, 2009

A female pre-schooler suspect bird flu was treated in space of the internal disease isolation, RSUP M.Djamil Padang. These pre-schoolers, Fitri Oktaviani, 1.8 years came from falling on I Penang Makmur, Kecamatan Sawalunto Sijunjung, Kabupaten Dharmasraya . Fitri was treated in M. Djamil since Sunday (5/4) around struck 17,00 WIB after suffering the high fever and coughs.

"Purity was sick since a last week, he was feverish and coughs as well as breathless, has been brought to the Community Health Centre but did not recover," said Ngatiman, 35 years, the Fitri father when being met in the hospital, on Monday (6/4).

Finally the community health centre side suggested Fitri was brought to M. Djamil because of last Friday had approximately 40 chickens tetangganta that died suddenly. "But his condition has improved, he could have been asked by his mother playing, despite diruang the isolation while being waiting for Labor Party results of Jakarta," said Ngatiman. Although his condition improved, but Fitri still was given okigen and the infusion. His mother of Marasiah was forced to have to wear special clothes to enter isolation space to accompany his child.

Pre-schoolers from Dharmasraya Suspect

[The previous article spoke of the chickens dying "last Friday". That would put them dying on 4/3 or 3/27. Here it says Fitri developed a fever 3 days after the chickens died. She was also reconciled from a Comm. Hlth. Ctr. So, the poultry probably died on 3/27. She was brought to the Comm. Hlth. Ctr. sometime after developing a fever on 3/30.]

Selasa, 07 April 2009

SUSPECT FLU BURUNG: pre-schoolers from Dharmasraya ”FO”, 1.5 years, was expected (suspect) bird flu was accompanied by the mother underwent the maintenance in isolation space of RSUP Dr M. Djamil, Padang.

Padang, Padek -- RSUP Dr M. Djamil Padang again received the patient it was suspected (suspect) bird flu, on Sunday night (5/4). The patient had the initials ”FO”, 1.5 years, that the resident Pinangmakmur, Kenagarian Timpeh, of Kabupaten Dharmasraya. Three days before suffered the fever, the patient could physical contact with the chicken that afterwards died suddenly. ”FO” was the first patient, after five months space of the isolation of the bird flu patient in RSUP M. Djamil Padang empty.

The couple's child Ngatemen and Marsiah this, was suspected of suffering bird flu, after experiencing the high fever was accompanied breathless during the last three days. He got the maintenance in the room of the isolation. ”Pasien came with the condition for the high fever. The temperature of his body 39.7 levels celcius as well as breathless. Beforehand, the patient had the story of contact with the chicken that died suddenly. So as to be severed by us to treat in the room of the isolation, reduced the risk tertular,” said the Head of the Layanan Medis RSUP Field M. Djamil Padang, Irayanti to Padang Ekspres in his office, yesterday. Nevertheless, the doctor still could not confirm whether the positive patient bird flu. Because, to know positive not him contracted bird flu, must pass a series of Labor Party inspection. At this time, the patient was taken swap (throat mucus) to be checked in Balitbang Department of Health RI, as well as the taking of the sample of blood for the inspection in Labor Party.

When coming the condition for the patient had haemoglobin was abnormal, only 9.5 with the number of leucocytes as far as 15,000. This indicated the existence of the infection in the patient's body. In the ideal condition, maximal the number of leucocytes in the human body necessarily 6,000-10,000 leucocytes. In the room of the Rawat Inap Installation isolation (Irna) C Penyakit Dalam RSUP M. Djamil Padang, the patient was seen was accompanied by his mother, Marsiah. The patient was very weak with the coil of the infusion on left arms, and the slip of the oxygen hose on his nose. From time to time was seen by the patient experienced breathless in his mother's lap.


The optimist could recover
Ngatemen, the patient's father said, his daughter three days later suffered the fever was accompanied breathless. Before the fever, his child was taken by his mother went to the neighbouring house that maintained the chicken, and afterwards died suddenly. The Ngateman house clearance with his neighbouring house approximately 100 metre. Nevertheless, Ngatemen was not sure his child suffered bird flu, his article uptil now if suffering his child's fever also experienced breathless. ”Saya was, sure my child did not suffer bird flu, only was feverish. That could be carried out by me at this time only prayed, my second daughter could recover kembali,” he said. Ngateman also told, for the last three days, how several chickens belonging to his neighbour suddenly died suddenly. According to the Service staff local Livestock Breeding, three of the chickens that died this, evidently positive contracted bird flu. So as to recommend him to carry his daughter, direct to RSUP M.Djamil Padang.

Two Suspect Flu Burung Run Off from RSHS

Two patients suspect A bird flu (26) and F (14 months) bolted from the Hasan Sadikin Hospital. Both of them were the father and the child who were reconciled to RSHS by the Cipatat Community Health Centre on Friday (3/4/2009). The lack of the two patients suspect this bird flu was justified by the Managing Director RSHS Cissy R S Prawira. His incident was known on Monday (6/4/2009) the night. However Cissy denied both of them bolted. "They not bolted, but went out without permission," he said sembari informed that both of them have returned to their house in Cipatat.

Cissy said, if the patient wanted to come home had to have to to continue to say goodbye against the official that was in the room. But unfortunately, the security unit who guarded this room also did not know that the two patients left the room. "Yes, usually said goodbye." Usually had the security unit that guarded. But he also did not know, because knew-knew both of them already was not in the room, continued Cissy. He added, this was the first time to be experienced by RSHS for the patient suspect bird flu. Therefore, his side will tighten the security, including increasing the guard's personnel.

Uptil now Flamboyan Space the place suspect bird flu was treated was guarded by a security unit. While the gate headed Flamboyan Space also was not locked. "We never the key because beforehand had not happened like this," obviously Cissy.

Two Patients Bird Flu Run Off From Hospital

Selasa, 7 April 2009

Two patients suspect bird flu that was treated in RS Hasan Sadikin, (RSHS) Bandung escaped. The patient, the child's father, Faisal and Agus this was known escaped, on Monday struck 12,00 WIB on April 6 2009. Both of them escaped from Poinciana Tree space that was special space the isolation for the bird flu patient. "He has come home had (the term kedokteran,red)," said RS Hasan Sadikin Bandung Director, Cissy Kartasasmita, on Tuesday (7/4/2009). The two patients from Cipatat, Kabupaten Bandung Barat, this West Java made use of the official's carelessness of the Security Unit and the nurse of Poinciana Tree space. At "that time, the official and the nurse were having lunch, possibly he make use of moment this," obviously him. When bolting, Faisal brought his child of Agus. His side then will not carry out the search against the two patients.

"Because the laboratory side done to declare the negative to both patients those," he stressed. Even though a point in time even touched status both patients above-mentioned positive. Cissy will at once drop the team of the search off because of being worried will spread against the other resident. "Because this patient brought the illness that was very dangerous for the resident around and was easy to spread," he stressed. He admitted psychologically the patient who was treated in the room of the Poinciana Tree indeed did not put on the patient. "Possibly because SOP him that made them shock." In the future we will increase the guarding but also important parts as the window or the door will be tightened, he said
hat-tip Sally for link

Pre-schoolers Suspect Flu Burung Dirawat in M. Djamil

[Dharmasraya is in West Sumatra, map below story]

SENIN, 06/04/2009

A female pre-schooler suspect bird flu was treated in space of the internal disease isolation, RSUP M.Djamil Padang. These pre-schoolers, Fitri Oktaviani, 1.8 years came from falling on I Penang Makmur, Kecamatan Sawalunto Sijunjung, Kabupaten Dharmasraya . Purity was treated in M. Djamil since Sunday (5/4) around struck 17,00 WIB after suffering the high fever and coughs. "Purity was sick since a last week, he was feverish and coughs as well as breathless, has been brought to the Community Health Centre but did not recover," said Ngatiman, 35 years, the Fitri father when being met in the hospital, on Monday (6/4). Finally the community health centre side suggested Fitri was brought to M. Djamil because of last Friday had approximately 40 chickens tetangganta that died suddenly. "But his condition has improved, he could have been asked by his mother playing, despite diruang the isolation while being waiting for Labor Party results of Jakarta," said Ngatiman. Although his condition improved, but Fitri still was given okigen and the infusion. His mother of Marasiah was forced to have to wear special clothes to enter isolation space to accompany his child.

Click on map:

Official:: bird flu injured relatives and neighbors

Officials said he did not concern the spread of the disease Village

الأحد، 5 أبريل 2009 - 11:22 Sunday, April 5, 2009 - 11:22

Patients aged two years and years and 9 months

A Magdy Attallah Al-Chief of the Unit for the local center town of Badr in Beheira, the 61 cases and 62 of the bird-flu-affected children, Mohamed El-Shahat Mohamed Hassan Amer, two years, and Jamil Hassan Mohamed Hassan Amer, years and 9 months, with two children and live in adjacent houses and there is no is reason for concern about the spread of the disease in the village, pointing out that the discovery of the No. 62 came in the wake of the Committee of Five, consisting of health and veterinary medicine and the environment, security and the local unit to clean the child's home as soon as infection is suspected in the case 61, and suspected in 62 cases the situation has been booked Bhmyat revealed Damanhour analysis of HIV infection.
And Dr. Mahmoud Farid Director of the Directorate of Veterinary Medicine Lake, it was clear the area and that work is underway in the villages neighboring the region, pointing out that the situation is stable and there is no danger of the spread of the disease.

Bird flu enters the Egyptian children

القاهرة ـ (رويترز) - السبت 04 ابريل 2009
CAIRO (Reuters) - Saturday, 04 April 2009
According to reports yesterday that the Egyptian children were the virus that causes bird flu, and this is the case in which the sixty-second confirmed case of bird flu virus in Egypt, the States most affected by bird flu outside Asia, announced the seven human cases since the first of March.
And children, Hasan Jamil Hassan Mohammed, at the age of 21 months from the lake in the northern province of Egypt and that in the case of (good) after the treatment drug (Tamiflu).The injury comes after several days of a child at the age of two years of the same county the same virus.It was not known how the virus was a child but it is believed that the majority of Egyptians who were moved by the bird flu virus from infected domestic birds. Since the 2003 avian flu virus has infected at least 410 people in 15 countries and killed 254 of them And led to the deaths or culling of more than 300 million birds in 61 countries in Asia and the Middle East, Africa and Europe.He died after about 23 Egyptians infected with HIV, mostly after coming into contact with infected domestic birds in a country where the adoption of almost five million households that kept poultry at home as an important source of food and income.

6 residents Cipatat was expected by Burung Flu

Minggu, 05 April 2009

Six residents were expected suspect (was expected) bird flu in the Halteu Village, RT 1 RW 19, the Cipatat Village, Kec. Cipatat, Kab. Bandung was West. They experienced the hot sign, the cough, pilek, breathless, after holding and eating the chicken was sick. The six residents came from two families that that was neighbours. They were IN (2), whereas five other people came from one family that is AT (65), AG (25), the twin WI and WE (2.5), and FS (14 months). AT was the father from AG and the grandfather the three AG children that is FS, WI, and WE. In the meantime, in the environment of the sufferer's residence suspect the bird flu was found seventy poultries died, that is in RW 2, RW 5, and RW 19. The death of this poultry has been reported by the resident since last March 31.
That was sent by Kasie Kesehatan of the Dinas Peternakan Animal and Kab fisheries. Bandung was Barat, drh. Wiwin Aprianti through his mobile phone, on Saturday (4/4). According to him, after having the report from the resident, his side at once descended to the field. Further, the official took the example of a poultry died and did rapid test. "Results were proven, the sample" of the "poultry died that positive was affected by the virus H5N1." Afterwards we carried out selective depopulation or the limited extermination against the poultry that a pen, a yard, and that was seen was sick, he said. Wiwin explained, the death of this poultry was around the sufferer's house suspect bird flu. According to the acknowledgment of the wife AG, his family ate the poultry was sick that was fried. Moreover, his twin had held the poultry that was sick.

According to Wiwin, his side co-operated with Dinkes in his control. The three children AG have been carried to the Hospital of Hasan Sadikin Bandung on Saturday (4/4) struck 12,30 of WIB. Sebelumnya, on Friday struck 22,00 WIB AG has been reconciled more previously to RSHS. Sedangkan DI and AT still was treated in their house was their respective. According to him, the bird flu findings in this village were the first time. Beforehand, had been found by the similar case in Kec. This Cipatat but in the different territory. Membaik In the meantime, the Secretary of the Kab Health of the Service. Bandung was Barat, Iwan Mulyawan said, six people suspect bird flu was reconciled to RSHS. Mereka was treated in Flamboyan Space.

Up until Saturday afternoon, according to Iwan, the AG condition began to improve. "This condition not yet endemi and lest endemi," he said. That was also justified by Tim Doctor Penanggulangan Chairman of RSHS Bird Flu, Dr. Hadi Jusup, Sp.P.D.-KPTI. Menurut he, the condition for the patient suspect the resident's bird flu Cipatat Kab. Bandung gradually got better. The "patient AG entered Space of Flamboyan RSHS Bandung, on Saturday (4/4), struck 3,00 of WIB. Dia came with the cough complaint, pilek, and hot." The condition was like that experienced by AG since three days ago, said Hadi Jusup. Whereas FS that was the child from AG, entered RSHS several hours at intervals of, with the condition for the cough and hot. "The two patients were put into Flamboyan Space." The two patients have been taken the sample of blood and apus the throat, henceforth was sent to Balitbangkes Pusat, he said. (A-62/A-183/A-187) ***

RSHS Rawat Ayah and the Child Suspect Flu Burung Bandung

04/04/09 20:01 (Antara News) - Great (25) and Firman (14 months), the Father and the child of the Village of the Village Stop of Cipatat RT01 RW04 of the resident's uterus the Bandung Regency West be forced in treated in RSHS Bandung because susfect (was expected) Bird Flu. The head of the Cipatat Community Health Centre, drg Wahyu, on Saturday, said, before being reconciled to RSHS Bandung, yesterday (3/4) Great and Firman could receive the maintenance from his side. "Beforehand we indeed came to the father's residence Firman and after being checked indeed had affected signs" of "bird flu like the cough, breathless and feverish," he said. According to him, knew the existence of signs of bird flu, his side at once reconciled Firman to RSHS Bandung to get the maintenance was more intensive. The "night yesterday, around struck 09,30 nights, we brought Firman to RSHS Bandung whereas his child of Firman was carried this morning around 10.00 the morning" he said. He explained, on the Monday (30/3) then, his side got the report from the Kesehatan Service of the Regency Bandung Barat that in the area of the Halte Village often was found by the chicken died suddenly. On "last Monday, Dinas Kesehatan carried out the surprise inspection to the Halte Village related the report" on the "resident who stated many chickens died suddenly," said drg Wahyu. Knew this matter, the Kesehatan Service and Livestock Breeding of Kabupaten Bandung immediately did penyemporatan the liquid disinfektan in the Halte Village. At this time, the two patients susfect bird flu was from this Halte Village treated in Poinciana Tree space of RSHS Bandung. The side of RSHS Bandung, went through the Team of the Handling of Bird Flu, Dr Hadi Yusuf confirmed that there is two patients susfect bird flu from Cipatat, Kabupaten Bandung Barat in treated in Poinciana Tree space of RSHS Bandung. It was "true that had the new patient suspect bird flu that in treated here, his initials of A his age" 25 years and F his age 14 months, both of them that the father and the uterus child," he said short. He explained, that two patients could carry out direct contact with the poultry in his residence that died suddenly. The "poultry in the patient's residence many that died, suddenly, were frightened by them was affected by bird flu," said Dr Hadi. (*)

Quang Ninh declared free of bird flu disease

April 4, 2009

Nhan Dan –The People’s Committee of northern province of Quang Ninh on April 2 declared that the province had been free from bird flu and foot-and-mouth diseases. However, the provincial unit in charge and local authorities are assigned to enhance further the control over the poultry and cattle slaughter, monitor food safety and hygienic conditions for poultry trading in the province.

The risk of infected wild slaughter of dogs, cats

---

Thói quen ăn thịt chó phổ biến Habits eat dog common ở nhiều nước châu Á. in many Asian countries. NDĐT - Tạp chí phản biện y học quốc tế PLoS Medicine vừa công bố một nghiên cứu cho thấy nguy cơ mắc bệnh dại từ việc giết mổ chó và mèo. NDDT - Journal reflective action international medical PLoS Medicine has published a study showing the risk of infected wild slaughter of dogs and cats. Trong nghiên cứu công bố ngày 18-3 trên tạp chí PLoS Medicine, TS Heiman Wertheim thuộc Mạng lưới nghiên cứu lâm sàng các bệnh truyền nhiễm ở Đông – Nam Á* và các đồng nghiệp thuộc Viện Các bệnh truyền nhiễm và Nhiệt đới Quốc gia và Viện Vệ sinh Dịch tễ Trung ương ở Hà Nội, đưa tin hai người bệnh phải nhập viện với triệu chứng bệnh dại và sau đó đều tử vong. In research published on 18-3 on the magazine PLoS Medicine, Dr. Heiman Wertheim Network clinical research of infectious diseases in East - South Asia * and colleagues under the Institute of Infectious Diseases and Tropical Country Institute of hygiene and epidemiology in central Hanoi, says two people to hospital with symptoms of the disease and then is death. Cả hai không hề bị các động vật có khả năng truyền bệnh dại cắn những tháng trước đó. Both are not animals can transmit diseases to wild bites months previously. Người bệnh thứ nhất là một công nhân xây dựng 48 tuổi, giết mổ và ăn thịt con chó bị xe chẹt chết trên đường hai tháng trước khi nhập viện. Patients first is a construction worker 48 years old, slaughter and eat dogs were dead car died on the road two months before hospitalization. Bệnh nhân kể, khi giết mổ con chó này, ông có đi găng tay bảo hộ lao động. Including patients, the slaughter this dog, he has gloves to protect workers. Ông không cho rằng mình đã bị xướt xát hay đứt tay khi làm thịt chó. He does not believe that they have been xuot xát or break your hands when making dog meat. Những người khác ăn thịt chó hôm đó đều vẫn khoẻ mạnh. Others eat the dogs that are still healthy. Thịt chó đã được nấu kỹ trước khi ăn. Dog meat has been cooked thoroughly before eating. Người bệnh thứ hai là một nam nông dân 37 tuổi, giết mổ và ăn thịt con mèo bị ốm từ ba ngày trước đó. The second patient is a male age 37 farmer, slaughter and eat the cat was sick three days before. Ba tuần sau khi ăn thịt mèo, ông phải nhập viện. Three weeks after the cats eat, he must be hospitalized. Những người khác ăn thịt mèo hôm đó vẫn bình thường. Others eat the cat is still normal. Các chuyên gia không thể kiểm nghiệm các con vật bị giết thịt có mắc bệnh dại hay không nên không hoàn toàn khẳng định những con vật này là nguồn bệnh. Experts can not test the animals are killed meat with infected wild or not it is not completely confirmed the source of this disease. Tuy nhiên, họ lưu ý, việc giết thịt các con chó/mèo chưa được tiêm vaccine ở những nước vẫn còn bệnh dại có thể là yếu tố dẫn đến truyền bệnh. However, they note, the meat to kill the dog / cat has not been injected vaccine in the country is still wild disease may be factors leading to disease transmission. TS Wertheim và các đồng nghiệp cho rằng, việc lây bệnh nhiều khả năng do giết mổ chứ không phải do ăn thịt, bằng chứng là nhiều người khác cũng ăn thịt những con vật đó nhưng vẫn khoẻ mạnh. Dr. Wertheim and colleagues believe that the spread the disease more likely to slaughter do not eat the meat, evidence that many other people also eat the animals that are still healthy. “Chúng ta cần cảnh báo cả người dân và các thầy thuốc lâm sàng về nguy cơ chung quanh việc giết mổ và chế biến thịt chó, mèo. "We need to alert the people and their doctors about clinical risk around the slaughter and processing of dog meat, cat. Người dân không nên giết mổ những con vật có thể đã mắc bệnh dại. People should not slaughter the animals may have infected wild. Bệnh dại có thể phòng ngừa bằng vaccine và những người phơi nhiễm với bệnh dại có thể đi chủng ngừa sau phơi nhiễm, nhưng phải càng sớm càng tốt. Diseases we can prevent with vaccine and cure infection with the disease can go wild immunized infected after exposure, but as soon as possible. Một khi đã xuất hiện triệu chứng của bệnh dại thì hầu như cầm chắc tử vong. Once symptoms appear the disease is long, they most certainly as death. Các bác sĩ Việt Nam đã coi việc giết mổ là yếu tố nguy cơ dẫn đến lây truyền bệnh dại nhưng điều quan trọng là các cán bộ y tế khác, các nhà hoạch định chính sách, cả ở trong và ngoài Việt Nam, nhận thức được yếu tố nguy cơ này,” TS Wertheim nói. Doctors Vietnam has seen the slaughter as risk factors to disease spread wild but it is important that health staff other, the policy, both in and outside Vietnam, awareness be factors this risk, "said Dr. Wertheim. Ở Việt Nam, những người làm việc ở các lò mổ chó được tiêm vaccine phòng bệnh dại theo chương trình phòng chống bệnh dại quốc gia. In Vietnam, people who work in the furnace open to the injected vaccine with prevention programs to prevent disease wild country. Tuy nhiên, việc giết mổ chó, mèo tại nhà còn khá phổ biến. However, the slaughter dogs, cats at home are quite common. Bệnh dại rất nguy hiểm và hầu hết các trường hợp mắc bệnh đều tử vong. Wild disease is dangerous and most cases are fatal. Ước tính ở châu Á, khu vực có nhiều nước còn phổ biến thói quen ăn thịt chó, mỗi năm có hơn 30 nghìn người tử vong vì bệnh dại. Estimated in Asia, the area also have many common habits eat dog, every year more than 30 thousand people died because of disease wild. Triệu chứng bệnh dại gồm co giật , sốt, sợ nước và không còn phản xạ uống, cuối cùng là tử vong. Disease symptoms include wild CONVULSIONS, fever, fear and no longer drink reflexes, ultimately death. Các con vật có thể truyền bệnh dại qua vết cắn của mình là chó, mèo và dơi. The animals may transmit disease long traces bite your dog is, and move cats. Thời gian ủ bệnh thường kéo dài từ một đến ba tháng. Time ủ disease usually lasts from one to three months. --- --- * Mạng lưới nghiên cứu lâm sàng các bệnh truyền nhiễm ở Đông – Nam Á do Quỹ Wellcome Trust của Anh (chuyên tài trợ các nghiên cứu về y sinh) và Viện Nghiên cứu Quốc gia về các bệnh dị ứng và truyền nhiễm, Viện Y tế Quốc gia của Mỹ tài trợ. * Network clinical research of infectious diseases in East - South Asia Fund by Wellcome Trust UK (specialist funded research on medical students) and Research Institute of the National allergic disease and infection, health Nationality in American funding.

Philippines-Foot and Mouth restrictions.

04/04/2009 01:50:27
Enforcement agents of the Bureau of Customs will be on alert against imported cattle and meat products from Taiwan and Lebanon following the reported outbreak of foot and mouth disease in the two countries.
This was stressed by Intelligence and Enforcement Group (IEG) acting chief Jairus Paguntalan who said that it is part of the Bureau’s standard operating procedure to circularize any memorandum from any government agency and issue their own memorandum to alert their personnel, especially if it concerns the health and safety of the Filipino consumers.
Customs Intelligence and Investigation Service (CIIS) OIC at the Port of Manila Johnny Martinez said that even without the ban, they are already very vigilant against the entry of contaminated food products.
"This is a year round activity, we are monitoring all shipments but we are especially wary of the entry of any poultry products contaminated by bird flu and also, for meat—for those contaminated by foot and mouth disease," he said.
Martinez also said that refrigerated containers bearing such goods are also required to undergo x-ray scanning and 100 percent examination in accredited cold storage facilities of the National Meat Inspection Services (NMIS).
In compliance to the ban order, Martinez said that incoming meat shipments from the two countries will immediately be placed on alert, until such time clearance is granted by the Bureau of Animal Industry (BAI).
Agricultural goods are regulated items that require import permits from government line agencies such as the Bureau of Plant Industry and the BAI prior to importation. Absence of the document would immediately deem the shipment as contraband, subject to seizure and forfeiture.
The Department of Agriculture (DA) has ordered a ban on the importation of cattle and other animals from after the World Animal Health Organization (WAHO) confirmed the outbreak in Taiwan and Lebanon.
FMD was detected in a dairy cattle farm in the province of Kamed El-Iouz in Lebanon while the disease was discovered among swines in the Maoliao township, Yun-Lin and Beidou town in Chang-hua, Taiwan

RSHS Again treated 2 Suspect Flu of Burung Tya Eka Yulianti -

Saturday, 04/04/2009 18:04 of WIB detik
Bandung Bandung - came back Rumah Sakit Hasan Sadikin (RSHS) Bandung received two patients who were expected terjangkit bird flu. The two patients this was the resident Cipatat, Kabupaten Bandung Barat, and one family. According to Chairman Tim of the Handling of Bird Flu, Dr Hadi Yusuf, the patient A (26) and F (14 months) was the recommendation from the community health centre in Cipatat. From both of them was found by the story of contact with the poultry. "Their neighbouring chicken there are those that died suddenly, was frightened by him was affected by bird flu," said Hadi. It was further that Hadi said, the two patients when entering RSHS in the hot situation high was accompanied by the cough. "But was not crowded (the breath)," said Hadi. At this time was second this patient was treated in poinciana tree space of RSHS Bandung. Hadi said the condition both of them in the good situation and was not installed respiratory aids.

Egypt: a threat to the transformation of crows bird flu pandemic

Hamida Mohammed from Cairo: source warned the Institute of Plant

"

Protection Research Center of Agricultural Research of a disaster, because millions of Araban epidemic spread widely prevalent in a large number of governorates of Egypt, the source said that the center of the Ilaf received many complaints, especially from the provinces affected farmers according to the channel is broad and sustained large losses due to the proliferation of crows, which feed on crops and plants, he said, adding that turned into crows from eating the carcass, which is available in the provinces of the Canal during the war to have their crops at this time.
What constitutes a serious capacity of these crows fly friction and poultry production plants, which could lead to carry the avian influenza virus result feels poultry, and the result is disaster, epidemic," said the source.

The bird flu arrived in Egypt to the alarming level of the global health community having reached the number of human cases of the disease to 60 people since it appeared in Egypt in 2006, is the children and women victims of avian flu in Egypt, which is one of the countries with high rates of infection due to the proliferation of breeding birds indoors, particularly in rural areas and the occurrence of Egypt on the path of migratory birds carrying the disease.

The Government has begun to deal with the disease in an unorthodox manner, after years of negligence in the prevention of the disease to the accusations of an international health organizations as long as the reports confirmed the inadequacy of the Egyptian efforts in dealing with the problem. The Environment Ministry has decided to use a sophisticated system for monitoring the disease, which carried by migratory birds comes to the natural reserves in Egypt, using satellites, a move was delayed for several years, according to some.
This method relies on the development of precision machines for migratory birds and follow-up of the use of satellites anywhere in the world and track their migration routes, in order to know the extent of its proximity or remoteness from the sources of infections disease.
Minister of Environment Maged George - the development of precision machines in the feet of birds and follow-up of 45 satellites, and use this system, China, Nigeria and Kenya.

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More, Dead Poultry Mendadak

Saturday, April 04, 2009, 07:07:00


PEKANBARU (RP) - Based on the findings of Public Health (Diskes) Pekanbaru Friday (3 / 4), found two people fell ill on the road Rejosari fever heat. Officers also found two chickens that died suddenly poultry. This location is just 500 meters from the place of Ibn Wahyu Saputra, victims of bird flu.

But Kasi Observation and Disaster Diskes Pekanbaru, SKM Naviri can not ensure that the birds died suddenly with this because if the bird flu virus.

Identisifikasi still need to be more about the death of this bird.

Identisifikasi''in the field, we have the findings of the two residents fever heat. From the results of the health check, only two people this fever are common. But we still give tamiflu drug,''said Naviri to Riau Pos, Friday.

According to him, the death of Revelation are very psychological impact on the residents. Most residents feel fear again mewabahnya bird flu virus in humans. These problems are diminimalisir by the City Government (Pemko) Pekanbaru.

Diskes as institutions that have any obligation to do prevention, continued, until Saturday (11 / 4) future, Diskes akan conduct in the supervision. Home residents, especially the distance of 500 meters.

''Agriculture and Public Health Pekanbaru given the task to handle specific problems this bird flu virus. Distan also make your own disinfectant and depopulasi, housing residents who have poultry,''he said.

It is feared bird flu could become more frightening

M. Azis Tunny , THE JAKARTA POST , RANTEPAO, TORAJA Sat, 04/04/2009 10:21 AM Headlines

There is a need to raise awareness of bird flu because of a real threat: It could turn into something much more frightening than the H5N1 virus.

The frightening thing would be if the virus caused a pandemic if and when it became able to spread among humans, Coordinator of Surveillance and Monitoring at the National Commission on Bird Flu Control and Awareness on Influenza Pandemic (Komnas FBPI) Heru Setijanto said Friday.

Setijanto said Indonesia was currently ranked highest in the world in the number of deaths from bird flu, and was unprepared as to how to deal with a pandemic.

“The incubation period of the virus is very fast and deadly when contracted by humans. We are
not ready to face a pandemic if the situation arises,” Setijanto told The Jakarta Post on the sidelines of a national seminar on a Bird Flu Pandemic Response Simulation in Toraja, South Sulawesi.

He said Indonesia was ill-equipped to face the bird flu pandemic because training was only provided so far to personnel at government ministries and agencies.

“When it turns into a pandemic, it becomes a multi-sector problem and would involve every sector. We are unprepared as of now, especially for other sectors to [cope with] the epidemic,” he said.

According to Setijanto, the bird flu virus will always mutate and this is a cause for grave concern.
When contracted by humans, the incubation period of the H5N1 virus could cause death rapidly, in as little as five days.

Indonesia so far remains on top of the world chart with the highest number of deaths from H5N1.

Data at the Health Ministry showed 121 of the 145 patients diagnosed as infected with the virus had died, a very high fatality rate.

He added a bird flu pandemic could claim many lives and that 30 percent of the world’s population could be at risk.

In Indonesia, said Setijanto, a bird flu epidemic from the H1N1 viirus once took place in Toraja. The disease, then termed a mysterious breathing disease, reportedly claimed 210,000 lives.

Head of the Makassar office of the United Nations International Childrens’ Education Fund (UNICEF) Purwanta Iskandar told the Post that bird flu should not be taken lightly.

The disease has been recorded over the past 100 years and has claimed millions of lives throughout the world, including in Indonesia. For example, in Toraja in 1918, about 10 percent of the local population reportedly died from lung disease.

“Experts have said that it is highly likely that we will experience it again in the near future, although the exact time remains unclear. Our assumption is that a pandemic is very likely to infect 30 percent of the population,” said Purwanta.

In the framework of preparing in anticipation of a pandemic, Komnas FBPI has worked together with UNICEF, the Canadian government and the South Sulawesi provincial administration to help organize the national seminar on a Bird Flu Pandemic Response Simulation in Toraja from April 1 to April 4.

Alert over sore throat bug that has killed more than 100 people in three months

More than 100 people have died from a bug that normally causes sore throats as cases rise by two thirds and all GPs are warned to be on the look out for signs of the infection.

Last Updated: 1:51PM BST 03 Apr 2009

Officials have warned cases of invasive Streptococcal A have risen sharply this year, a more deadly strain of the bug is circulating and it is thought to have claimed the lives of one in four of those infected.

Strep A normally causes sore throats but in some cases it can infect other parts of the body causing meningitis, pneumonia, sepsis and septic arthritis and other complications. One in five people die within a week, rising to between 40 and 50 per cent of those who suffer toxic shock syndrome, another possible complication of invasive Strep A.

The Department of Health has issued an urgent written alert to all GPs to warn them of the symptoms to look out for which can be vague and similar to flu, but prompt action is vital to ensure patients are given the best chance of survival.

In the letter Prof Brian Duerden, Inspector of Microbiology and Infection Control, said between November last year and February there have been over 500 cases, a 62 per cent increase on the same period in the previous year.

He said: "This is of particular concern as initial reports suggest a possible increase in the case fatality rate to around 25 per cent."

Cases are spread out and not found in clusters with the disease striking all ages but older people are at greatest risk, Prof Duerden said.

People who have skin lesions, have recently had chickenpox, had a child recently or have had a respiratory infection are at greater risk along with people suffering from long-term conditions such as heart disease, cancer, diabetes, alcoholism or have a weakened immune system.

Prof Duerden told GPs: "Suspected invasive group A Streptococcal cases should be assessed rapidly in hospital and treated promptly.

"Clinical deterioration in patients with iGAS can be very rapid. Early recognition of possible signs and symptoms of iGAS and prompt treatment may be life saving."

He listed symptoms as general malaise, high fever, severe muscle aches, unexplained diarrhoea and vomiting, dizziness, low blood pressure, confusion, localised muscle tenderness or severe pain out of proportion to external signs and a flat red rash over large areas of the body.

Previous strep throat infection should be considered and close contacts of confirmed cases should be given antibiotics if they have symptoms, the letter said.

The Health Protection Agency monitors invasive group A streptococcal infection which normally affects around 1,200 people each year.

Dr Robert George, from the Health Protection Agency, said: "Group A strep is a common bacterium found in the throat and on the skin and may be carried for long periods of time without causing any illness. The infections we are talking about here remain uncommon and are at the severe end of the spectrum.

"Invasive strep infections can be treated with antibiotics and clinicians have received a timely reminder of the signs and symptoms of this infection and how to treat it.

"The current increases we're seeing may be attributable to the natural cycle of the disease with some 'quiet' years followed by a year of high incidence.

"The HPA is monitoring the situation closely."

Scientist ill from dengue virus

Michael McKenna April 04, 2009

DENGUE fever claimed its first victim outside the sub-tropics when a Brisbane-based scientist fell ill while working on concentrated strains of the virus.

It is not yet known how the Queensland Institute of Medical Research scientist contracted the virus 10 days ago.

Queensland Health said yesterday there was "no risk" of dengue spreading to the southeast corner of the state.

Chief Health Officer Jeanette Young said tests were being conducted on other QIMR researchers and stricter safety protocols had been ordered at the laboratory at Herston, in Brisbane's inner north.

"From a public health point of view there is no risk at all," Dr Young said. "For a member of the public to be infected with the virus, they must be bitten by an Aedes aegypti mosquito that is carrying the virus. This mosquito does not currently inhabit southeast Queensland."

The male researcher was admitted to hospital and has since been released. Dr Young said there were strict safety protocols at the laboratory, including multiple air-lock doors.

"He was working on a concentrated strain of the virus," she said. "We don't know how he has actually been infected but we are enhancing personal protection in the laboratory."

The Brisbane infection follows a summer-long outbreak of the disease, which last month claimed the life of an 82-year-old Cairns woman.

It was the first death in Australia associated with dengue fever since two Torres Strait Islanders died in 2004.

Since a dengue outbreak was declared in Cairns last December, there have been more than 560 people confirmed to have contracted the virus.

Another 70 people have been infected in a separate outbreak in Townsville and small clusters of cases have been reported in Port Douglas, Yarrabah, Injinoo and Innisfail, Queensland.

ten of Kecamatan Terserang Flu Burung Jember

On Saturday, April 04 2009]
- the Jember Resident ought to be on the alert with increasingly spread him the bird flu illness in the Jember territory. This considering, the Peternakan Service data, Perikanan, and Marine the Jember Regional Government mentioned, has been found by the spreading of bird flu in 10 subdistricts. Covered Kecamatan Jenggawah, Kalisat, Sukorambi, Panti, Ambulu, Ajung, Sumbersari, Patrang, Tempurejo, and Pakusari. This was revealed by Siti Nurul Hayati, Head of Sector Kesehatan of the Animal in the Peternakan Service, Perikanan, and Marine the Jember Regional Government. On the reality so, his side continued to make an effort to carry out the prevention so that the spreading of the bird flu illness does not increasingly spread. One of them by spraying the poultry animal with medicine glutanol that was sold in the Gebang market of the District chicken, Kecamatan Patrang, yesterday. According to Nurul, spraying that was carried out yesterday, in fact has been carried out some time before. "Spraying in Gebang this the routine activity." In one month was carried out by four spraying times. This to anticipate expanded him the bird flu illness, he said. According to Nurul, that most had difficulty being anticipated It is not surprising when in the Jember territory, said he, has had several positive areas terjangkit bird flu. Then from so, so that the spreading of bird flu does not increasingly spread, said he, his side at once carried out spraying against the chicken that was brought in from outside Jember. "Moreover, many chicken traders from outside the city entered Jember," he explained. Moreover, chickens that entered Jember, partly also were thrown again to Banyuwangi and Lumajang. "This that caused difficulties for the official," he revealed. Nurul added, his side did not only carry out spraying in several poultry markets. The traders and the owner of the poultry were also given bird flu medicine free. Nurul hoped, if in the environment around was found many poultries that died suddenly, then immediately reported that. This had the intention, if evidently was caused by bird flu, as soon as possible could be prevented so as his spreading not until spread. (jum)

The MASHURI KURNIAWAN report,

Pekanbaru Officially Kesehatan Pekanbaru stated the residence territory of Wahyu Ibnu Saputra (2.9) in the extraordinary condition (KLB) bird flu. In the location that was in Street Kuantan Street Kuantan VII, RT 7, RW 4, the Tanjung Rhu District, Kecamatan Limapuluh this, the Kesehatan Service carried out three programs continued as the step in the prevention to spread him the bird flu virus. This was revealed by Plt Dinas Kesehatan (Diskes) Pekanbaru, Dr Rini Hermiyati to Riau Pos, on Thursday (2/4). In the prevention became an epidemic him the virus H5N1, Diskes more he, berkerja was the same as the Pertanian Service (Distan) Pekanbaru. Was based on the Kesehatan Service data (Diskes) Pekanbaru, was recorded by three people died because terjangkit the virus H5N1. In 2007 happened in the Rumbai Subdistrict and Marpoyan Damai, to the number of cases died duani two people. In 2008 was not available. Afterwards in 2009 improved other in the Limapuluh. Subdistrict (new)

For 2009, already 9 cases Suspect Bird Flu in Riau

on Thursday, April 2 2009 07:39
the Father casualties Bird Flu suffered the Fever The bird flu virus it was worried about spread post the death of Ibnu Wahyu Saputra resulting from this deadly illness. At this time the deceased's father was suffering the fever. Riauterkini-Pekanbaru- the Ordeal for the Haryono family, the resident Street Kuantan VII RT 07/ RW 04 Keluarahan the Hru Cape, the Subdistrict of fifty still brlanjut. After on Thursday (26/3/09) then the only one of the family's sons, Wahyu Ibnu Saputra (2,5) dies resulting from bird flu, currently Haryono suffered the fever. Since last Tuesday Haryono experienced the sign of the fever. His family worried his fever of Haryono not only the common fever, but the fever resulting from tertular the virus of H5N1 Avian Ilfluenza or bird flu. Because of that the very fast family memeriksakan Haryono. It was lucky that results of the medical Haryono inspection only suffered the common fever. "Results" of the "inspection pointed out the patient (Haryono.red) only suffered the common fever, not mengindap the bird flu virus," said the Co-ordinator the Control of RSUD Arifin Achmad Bird Flu, Azizman Saad. In the meantime as the handling follow-up post he confirmed Wahyu's death resulting from bird flu, the Kesehatan Service at once carried out several steps. In part with took sempel blood 20 people that once direct contact with Wahyu when undergoing the maintenance period. They consisted of the family close to the deceased but also several nurses in RS Ibnu Sina and RSUS Arifin Achmad, the place of the deceased underwent the medical maintenance. Moreover, the Service of Peternakan Pekanbaru also at once took the step in the prevention with destroyed uanggas-poultry around Wahyu's house. Only the extermination of the poultry by means of being burnt this did not go maximal. At least had eight residents who denied their kept poultry was destroyed. *** (mad)

For 2009, already 9 cases Suspect Bird Flu in Riau

since early January 2009, in Riau nine cases has happened suspect bird flu. From respectively this case, 1 among them died, 1 case was waiting for results of the research of Jakarta. Whereas the rest of them were stated by the bird flu negative. The staff Surveilanc Flu Burung Dinas Kesehatan of the Province Riau Pebliaji, said that when being met in his office the road of Cut Nya Dien. Respectively this case among them, Pekanbaru 1 person, Siak 2 people, Rohul 1 person, Dumai 3 people and Pelalawan 2 people. For Pekanbaru, the bird flu patient on behalf of Wahyu Ibnu Sahputra that still was 2.9 years old died some time before. These casualties were stated positive after through the testing of the sample of blood in Jakarta.

For Pelalawan, to be precise in the village A Kijang, the man was 15 years with SP initials at this time also old was stated suspect bird flu. However to confirm whether SP really positive, at this time still was waiting for results of the testing of the sample of blood in Jakarta.
-snip-

Pekanbaru, Riau ::: Exceptional bird flu status (KLB)

April 3, 2009

Pekanbaru, Riau – Health service of Pekanbaru announced exceptional bird flu status (KLB) on neighborhood of bird flu victim, Wahyu Ibnu Saputra (2.9), Jalan Kuantan Jalan Kuantan VII, RT 7, RW 4, Kelurahan Tanjung Rhu, Kecamatan Limapuluh. Health service conducts three standard programs for prevention of bird flu virus spreading.

Actions taken are: Area monitoring to Jalan Kuantan VII, RT 7, RW 4, Kelurahan Tanjung Rhu, Kecamatan Limapuluh; Proclaiming bird flu alert status to people who had contact history with victim; and Giving tamiflu and hospital recommendation to people who develop high fever.

This is mentioned by Pekanbaru health service officer, dr Rini Hermiyati Thursday (2/4). For this prevention purpose, Health service is working together with Agriculture service Pekanbaru.

“People with high fever will receive Tamiflu administration and recommendation for regional hospital. This is done for bird flu exceptional circumstances status areas”, said Rini. Investigation and preventive measures will be done for 30 days started from Monday (30/3) to neighborhood 500 meter around victim’s house.

Bird flu H5N1 virus has killed 3 people in Riau since 2007. Two fatalities reported in 2007 at Kecamatan Rumbai and Marpoyan Damai; and one fatality in 2009 at Kecamatan Lima Puluh.
hat-tip Dutchy

Egyptian toddler contracts bird flu virus

03 Apr 2009 17:20:09 GMT
Source: Reuters
CAIRO, April 3 (Reuters) -

An Egyptian toddler has contracted the highly pathogenic bird flu virus, the latest in an upswing of cases in the most populous Arab country, state news agency MENA said on Friday.


The case brings to 62 the number of confirmed cases of the H5N1 avian flu virus in Egypt, which has been hit harder by bird flu than any other country outside of Asia and has reported seven human infections since March 1.

The 21-month-old boy, Hassan Gamil Hassan Mohamed, is from the province of Beheira in northern Egypt and was in a "good" condition after being treated with the antiviral drug Tamiflu, MENA reported.The new infection came several days after a two-year-old boy from the same province contracted the virus.MENA did not say how Mohamed contracted the virus, but most Egyptians who have fallen ill with bird flu are believed to have contracted the virus from infected household birds.

Egypt is one of the few countries affected by bird flu that does not compensate farmers when poultry is destroyed, though many experts say this is the best way to ensure the rapid detection of new outbreaks.

Since 2003 the H5N1 avian influenza virus has infected at least 410 people in 15 countries and killed 254 of them. It has killed or forced the culling of more than 300 million birds in 61 countries in Asia, the Middle East, Africa and Europe.

Some 23 Egyptians have died after contracting the virus, most after coming into contact with infected domestic birds in a country where roughly 5 million households depend on domestically raised poultry as a significant source of food and income.

While H5N1 rarely infects people, experts say they fear it could mutate into a form that people could easily pass to one another, sparking a pandemic that could kill millions.

(Writing by Cynthia Johnston)
hat-tip ironorehopper
-

Flying in the face of challenge

2 - 8 April 2009


Published in Cairo by AL-AHRAM established in 1875




According to a World Health Organisation report, Egypt is on the front line in the battle against avian flu. Reem Leila examines the threat

--------------------------------------------------------------------------------

Two-year-old Israa Saad Abdel-Shafi is the 60th case of the H5N1 strain of avian flu virus recorded in Egypt since the first outbreak of the disease in 2006 and the ninth victim since the start of the year. Twenty-three out of the 60 have died, the majority young girls or women from rural areas who raise fowl domestically.

In early March the World Health Organisation (WHO) called for an investigation into why Egypt is seeing increasing numbers of victims. The WHO has identified the country as being at the forefront of the spread of the disease though Abdel-Rahman Shahin, official spokesman to the Ministry of Health, points out that despite the high number of victims the percentage of fatalities from bird flu in Egypt is still less than in other countries that have seen outbreaks of the disease.

Egypt has reported nine cases since the beginning of the year, with zero fatalities. There were eight cases with four fatalities in 2008. Vietnam has reported two fatalities, and China seven victims with four fatalities. Shahin argues the figures indicate the disease is being controlled in Egypt.

"This year we do not have any fatalities whereas last year it was 50 per cent. The fatality rate in China this year is more than 50 per cent, and in Vietnam it is 100 per cent. The situation in Egypt is improving, not deteriorating."

Bird flu presents a massive challenge to the government given the uncertainty about the course of any possible pandemic. The virus has become endemic and it could take years to rid the country of the most virulent strain. The government, says Shahin, has prepared a detailed national plan to be implemented in case of a pandemic according to which half of Egypt's 150,000 hospitals beds will be reserved for avian flu patients.

Hamid Samaha, head of the General Authority for Veterinary Services, says the government is focussing on comprehensive public health efforts -- monitoring outbreaks in order to identify any change in the virus, increasing anti-viral stockpiles and building a more robust capacity for vaccine production.

Settlement patterns in Egypt, where 95 per cent of the population is concentrated on five per cent of the land, has serious implications for any pandemic outbreak. The virus has been found at nearly 300 sites and is now "rooted in the Egyptian environment" says Shahin, who now believes that following the first incidents of avian flu Egypt should have culled all poultry and taken draconian measures to stamp out the continued domestic rearing of birds.

"The whole country must resort to consuming frozen chicken instead of purchasing fresh birds. We cannot afford to implement such a scheme at the moment, but the least we must do is ensure that in cities people abide by the regulations and limit direct and indirect communication with poultry."

Shahin suggests the mortality rate resulting from bird flu infections is decreasing due to growing awareness in the wake of information campaigns conducted by the Ministry of Health.

The WHO is still concerned that human infections have escalated over a relatively short period of time, leading some experts to accuse the government of inadequate planning. Health officials, they say, are endeavouring to enforce preventive measures but are incapable of ensuring they are strictly implemented.

"Government planning is random. It is using the wrong vaccine to combat the virus," insists Talaat Khatib, professor of veterinary medicine at Assiut University. "American scientists have already confirmed the H5N1 virus has evolved into two genetically distinct strains, potentially increasing the risk to humans." Khatib believes public awareness campaigns to date have been too weak and Egypt should have begun to plan its preventative measures when the virus was first reported in the country in February 2006.

In Egypt, where poverty and illiteracy rates are high and urban rooftop and backyard rearing of poultry has long been a way of life, a more systematic approach to monitoring the disease needs to be put in place, says Samaha. "People do not respect instructions from the authorities. They consider poultry capital for which it is worth risking their health, and the health of their neighbours."

Egypt is one of very few countries affected by bird flu that does not offer compensation to farmers when poultry is destroyed. Since 2003 412 human cases of the virus have been reported in 15 countries, resulting in 256 deaths. More than 300 million birds have been culled worldwide.

Hundreds of chickens in Cianjur died was attacked by Bird Flu

Cianjur -- noodles: the Peternakan Service, Perikanan and Marine Kabupaten Cianjur, confirmed that the poultry that died in four subdistricts, as a result of the virus avian influenza (AI) or bird flu. At least 132 poultries of the chicken kind talk to was found died suddenly in the period several last days in four territories, respectively the Mande Subdistrict, Sukaluyu, Cilaku, and Campaka. Whereas 12 tails among them, were based on results rapid test (the fast test) was stated positive was infected by the bird flu virus. These results were reinforced with the existence of the resident who it was suspected was infected by this virus. Ade (50), one of the residents of the Cikeukeup Village, Desa Cidadap, of Kecamatan Campaka, it was suspected was infected by the AI virus.
His article, was based on results of the report on the official participatory diseas survailance and the response (PDSR), he suffered the sign that headed in suspect AI. Meski Demikian, Dinas Peternakan, Perikanan and Marine, still could not conclude whether the sign that was experienced by Ade headed in suspect AI or not. The head of the Kesehatan Field of the Animal and the Verteriner Masyarakat Dinas Peternakan Health, Perikanan and Marine Kabupaten Cianjur, Ir Adiyanto Wahidin, justified this matter. Hundreds of tails of the chicken that died suddenly this was spread in four subdistricts. In the Cidamar Village, Desa Bobojong, Kecamatan Mande, the number of chickens that died totalling 76 tails. The village of Cikeukeup RT 06/09, the Cidadap Village, the Campaka Subdistrict (26 tails), in the Kamiran Round Village, the Selajambe Village, the Sukaluyu Subdistrict (23 tails). And in the Rahong Village, Desa Munjul, Kecamatan Cilaku (7 tails).

"From results rapid test that was carried out in four subdistrict territories, totalling 12 chickens among them that was in the Mande Subdistrict, Sukaluyu, and Campaka, was stated positive," he said. Whereas in the Rahong Village, Desa Munjul, Kecamatan Cilaku, results rapid test against two tails of the chicken carcass was stated by the negative. He justified the existence of the report from the officials PDSR that mentioned that one of the residents was in the Cikeukeup Village expected terindikasi the virus of AI. Saat Ini, this resident was getting the maintenance in one of the hospitals in Sukabumi. "Indeed was based on his report, he experienced the sign that headed in the infection of AI. Tapi this was not yet certain, because still in the inspection," he said. For the process of his handling according to him hundreds of tails of the poultry that experienced this sudden death most had been buried and burnt (depopulation), to the spreading of his virus could diminimalisasi. (Ant/OL-03)

Correction

From the post below:

RSHS Kembali Merawat Pasien ”Suspect” Flu Burung RSHS,
On Tuesday, March 31 2009
the Handsome Sadikin Hospital (RSHS) again treated the patient suspect bird flu, that is RA (27), the resident of the Sand Village of RT 02/RW 05, Street.

Quote:

RA entered isolation space around struck 20,00 WIB, on Sunday (29/3), because experienced breathless and feverish. RA could get the maintenance in the Clinic of Dewi Sri Bekasi, before being reconciled to RSHS. Menurut the wife of the patient, Raisem (40),

This has to be R (50). Same wife, same village, same adm. date.