A/H5N1 influenza viruses change, a situation made more complex?

Interview with Dr. Nguyen Tran Hien, Director of the Institute of Hygiene and Epidemiology

Recently, the Food and Agriculture Organization (FAO) warning about the variability of influenza A/H5N1 virus in Vietnam and China, are resistant to the vaccine is used for poultry. This change is made whether the disease situation becomes more complex this winter?

Dr. Nguyen Tran Hien, Director of the Institute of Hygiene and Epidemiology, talk to PV News reports around this problem.

Modification of the A/H5N1 influenza virus recommended by FAO is worrying not, sir?

On 29 / 8, FAO warns of rising again of influenza A/H5N1 in birds and poultry due to the transformation, transmission and dissemination of the virus circulating influenza A/H5N1 subtypes 2.3. 2 in many Asian countries, including Vietnam (replacing the previous subheading 2.3.4). This is only a small variation of the virus, rather than large changes to create a new virus strains.

On 30 / 8, World Health Organization announced that the transformation of the virus does not increase the risk of public health for humans. Picture of bird flu in humans have not changed. Avian influenza A/H5N1 occurred sink and sporadic development in humans, primarily in the areas of circulation of the virus in birds, through contact with poultry or contaminated environments, but no transmission from person to person.

From this year, Vietnam has not detected any cases of influenza A/H5N1 which, the most recent case earlier this month 4 / 2010. As in 2003, Vietnam had 119 cases of influenza A/H5N1 in which 59 people died. The sporadic cases occurred and spread out in the provinces most exposed or meat / poultry products, disease, mainly in winter-spring, there is no evidence of spread from person to person.

However, there is need to strengthen monitoring virus circulating in poultry for early detection of the virus to change and make the control strategy appropriate translation services in poultry and human health protection.

Institute of Hygiene and Epidemiology has discovered and reported to the Ministry of Health on the variation of influenza A/H5N1 virus has not, sir?

Institute of Hygiene and Epidemiology regularly updated and informed the Health Ministry on the results of monitoring of human influenza viruses, including influenza A/H5N1 virus. All of the influenza A/H5N1 virus strains isolated in the period 2007 to 2010 under subheading 2.3.4 (first identified in 10/2005). Period 2003 - 2005, is the circulation of subgroups 1.

On the poultry in the northern provinces are circulating influenza A/H5N1 virus mainly grouped 2.3.2 (have not found A/H5N1 influenza virus subtypes in humans 2.3.2), also in southern provinces still circulating influenza A/H5N1 virus mainly grouped 1.

Institute of Hygiene and Epidemiology is working with the Center for Prevention and Disease Control United States conducted the studies monitoring the evolution and interaction of the influenza virus circulating in animals (like pigs), in poultry (chickens, ducks ...) and in person to provide information about the variability of the influenza virus.

Influenza A/H5N1 virus change, can resist the current influenza vaccine, Vietnam will face the risk of what?

The risk of greatest concern is influenza A/H5N1 virus can continue to make small changes in the natural evolutionary process, gradually changing into the adult or recombination with other influenza viruses circulating in animals and humans to form a new influenza virus strains can spread from person to person. Therefore, the important thing to do is to strengthen the monitoring the virus in poultry and active application of appropriate preventive measures. The goal is to prevent the spread of epidemics in poultry and prevent transmission from poultry to humans.

Does influenza A/H5N1 outbreaks can sharply fall and winter this year? To prevent this disease, people should do, sir?

The situation of avian influenza A/H5N1 in Vietnam in the future depends on our efforts to control avian influenza in poultry and preventing disease transmission from birds to humans. The biggest difficulty now is influenza A/H5N1 viruses circulating in poultry flocks, especially in the form of healthy birds carry the virus without signs of disease. People may not know the bird was sick as a precaution. Moreover, after a long time without human cases, arises very subjective psychology, for the service has been controlled should absolutely not perform regular preventive measures for food hygiene and health personal hygiene. In addition, recent virus subtypes have been converted to 2.3.2 so that vaccines do not work anymore.

In Vietnam, avian influenza in humans occur in the winter-spring. To prevent this disease, people should ensure the principles of food safety, implementation of biosecurity in livestock, regular cleaning and disinfecting cages with antiseptic, destruction and injected vaccines for poultry, lifestyle changes ... Can early detection of the phenomenon of mass death of poultry and notify local authorities to promptly prevent epidemic stage. Absolutely not slaughter and use of suspected bird flu. When someone has a high fever related to infected poultry must immediately go to health authorities for examination and detection, treatment and handling of the outbreak in time.

Thank you!

Sulawesi: Virus is spreading

Serious! The spread of bird flu virus (H5N1) in the City Kotamobagu began to spread everywhere. Until Tuesday (06/09) afternoon, at least three different villages of three districts in Kotamobagu found chickens died suddenly. Mayor Drs Hi Djelantik Mokodompit was immediately held a closed meeting with a range of systems, in order to take strategic measures to overcome this problem. Including to prevent spreading the virus continues to spread.

Is in the Village District Upai Kotamobagu Uta-ra, the last location that was found of chickens died suddenly. Here, the DP4K (Department of Agriculture farm Plantation Fisheries and Food) Ko-tamobagu, Few find the rise of two chickens died suddenly, due to exposure to the virus which is also called Avian Influenza (AI) is.

Previously, the flu has hit danger in The Village Gogagoman Kotamobagu camatan West. [Kelurahan Gogagoman di Ke-camatan Kotamobagu Barat] Here, at least 40 chickens belonging to a resident is dead suddenly in the span of nearly a week. Apart from "me-nyikat" 40 chickens, the virus has also forced the owner of the birds known to her profession domestic poultry traders (chicken, red) in this Kotamobagu Market Match li-ma plus family members, must be treated intensively in the department of Prof. Dr. RD Kandou Manado.

Not quite up there. Five family members are still bound by their family, but living in the dumb-anger-tan Kotamobagu Kotobangon Kecama East, also becomes suspect bird flu. Even among the five residents of this Kotobangon, terda could a toddler aged three years and a young mother who was four months pregnant.

Meanwhile, the culling of chickens that died suddenly in Upai led Head (Chief) Ranch DP4K Kotamobagu, Nurochim P Mokoagow SP. How, then buried in a burned-in. Had been a tug between the owners of gas expression with DP4K officer. But once explained the danger to the virus, it finally the owner is lately known husband and wife are civil servants (civil servants) in the City Government Kotamobagu, let it go.
Previously, the site was also visited by a team of AI handling of fast motion of the North Sulawesi Province. There, they conduct an investigation, whether the inhabitants of the house where the discovery of dead birds had been exposed.
"We do not see any signs that the occupants of the house in Upai where dead chickens were found, had been exposed to the virus," said Julius Malinggas MPH and Abdul Azis Hunta SKM MSI, two rapid response team personnel when meeting comments on Kotamobagu, yesterday.

Quick reaction team itself is a composite of North Sulawesi Health Office, Technical Center for Environmental Health and Communicable Disease (BTKL-PPM) Class 1 Manado, North Sulawesi and the Animal Husbandry Department. In addition to Julius Malinggas (North Sulawesi Health Office) and Abdul Aziz Hunta (BTKL), there is also a Ferry Alooy SKM (North Sulawesi Health Office) and Dr. Budianna Tombi Langi (BTKL). The team was accompanied by Sri Wahyuni ​​Mokoginta Kotamobagu SKM from the health office.

In addition to the Upai, before his team had come to the location of the first invention, namely in Gogagoman. "We will also visit and monitor the situation in the Village of Koto-Bangon and Market Match,[Kelurahan Koto-bangon dan Pasar Serasi]" added Dr. Budianna.

MEETING
Mayor Drs Hi Djelantik Mokodompit quite devastated by this bird flu cases. Moreover this is not the sera with the first, but already the second time and considered even more powerful than the first case in mid-April. Response to this condition, he immediately summoned yesterday afternoon Assistant II Setkot (City Secretariat) Kotamo-bagu, Ir Hi Moh Moko-dompit Hardi, head of health office of Dr. MA Head Salmon Helweldery DP4K Mintoharjo Moko-dompit Ir, and Spokesperson Pem-kot Hi Moh Great Adati MSi ST.

They held a closed meeting at the "House of the People"-the term of office for Mayor Kotamobagu house. There, the mayor immediately ordered Kadinkes to continue to closely monitor the progress of the 11 residents who suspect bird flu after being treated in RSU Kandou dang. "Similarly to other societies, especially the neighbors of the 11 citizens was called, I asked the Office of Health to give serious attention anyway," said Djelantik Mokodompit Just as quoted by the Supreme Adati.

While the Chief DP4K, Papa Raski-familiar greeting Djelantik Mokodompit-remind, to re-tighten the supervision of entry-exit activities in Kotamobagu poultry. Especially the, in some gates, both in Mongkonai (from and towards Manado), ja-AKD eggs to and from the Du-hope, as well as in-mobagu Moyag City East Mongkonai [(dari dan ke arah Manado), ja-lur AKD dari dan ke arah Du-moga, serta di Moyag Kota-mobagu Timur]. "This is because the pe-oversight of the activities in and out of poultry to be loose, so this case happen again. Though there's been incidents in mid-April, "he regrets.

In another section, which is now H5NI virus spread in the City-mobagu definite origin is unknown, but there are robber-rigaan from Gorontalo. "There is a possibility of Go-rontalo. Because of the recent Muslims celebrate Eid al-Fitr and the chickens that go into the City Kotamobagu was uncontrollable, "said the Head of Department of Agriculture and Animal Husbandry Province of North Sulawesi, Ir Johanis Penelewen through Head of Animal Health and Veterinary Public Health, Ir Eveline latitude, Tuesday (06/09)

Indonesia: On The Subject of Dead Poultry Showing Symptoms

This is an article from July, 2011.

Wednesday, July 20, 2011 7:50 pm
REPUBLIKA.CO.ID, BENGKULU - Department of Animal Husbandry and Animal Health Bengkulu Province recorded thousands of birds in the area were found to be positive contracted the bird flu virus during 2011.

"We have found as many as 2035 birds infected with avian influenza virus positive during 2011. Birds that are positively infected, including chicken, ducks and geese," said Coordinator of Center for Disease Control Avian Influenza Animal Husbandry and Animal Health of Bengkulu province, Emran Kuswady, Tuesday (19 / 7).

According Emran, thousands of positive birds infected with bird flu virus is threatening the population of other birds which reached 9461 tails. Cases of bird flu virus was first discovered in 2011 attacked the 12 birds owned by residents in the Village Like Rami, District wide, the city of Bengkulu on January 12, 2011.

Attack the bird flu virus then spread to the region Kepahiang Regency, Rejang Lebong, Kaur, Lebong, Central Bengkulu, Seluma, and North Bengkulu. The last case of bird flu virus attacked the nine birds in the village of Duku Ilir District East Curup Rejang Lebong on June 12, 2011.

Emran explained, from 10 counties and cities in the province of Bengkulu, only in South Bengkulu Regency Mukomuko and undiscovered cases of bird flu virus because dead birds disposed of their owners. [edit: dead birds disposed by their owners]

"We ask the public to immediately report to the Animal Husbandry Department in their respective areas of poultry died suddenly when found, so the officer can check whether the bird flu virus infected or not," he said.

Indonesia: H5N1 Birdflu in Poultry in Wonogiri

[This talks of infected poultry in Wonogiri, but they were found dead, so we don't know if they displayed symptoms. Wonogiri is in Central Java.]

Tuesday, 06/9/2011
The death of poultry due to bird flu or avian influenza (AI) still occurs in Wonogiri in this dry season.

A total of eight chickens were found dead in two different places for two consecutive days, Friday (09/26/2011) and Saturday (27/08/2011). The results of laboratory tests to make sure the eight chickens that tested positive for AI viruses.

Head of Animal Health Animal Husbandry Department of Fisheries and Marine (Disnakperla) Wonogiri, drh Ismaryati, told reporters in his office on Tuesday (09/06/2011) revealed eight chickens are dead, five were found at Kelurahan Wonoboyo, District Wonogiri on Friday (26/08/2011) and three more were found in the tail Watusomo Village, District Slogohimo on Saturday (27 / 8).

"Everything has been tested in the laboratory and the results are positive AI-infected. This should concern all citizens, and vigilance must be increased. The dry season should inhibit the development of AI viruses because dry air is not suitable for growing the virus. But the fact is there on these findings, "explained Ismaryati.

Two patients Suspect Bird Flu Treated in Hospital Sardjito

Wednesday, September 7, 2011 16:21 AM
REPUBLIKA.CO.ID, YOGYAKARTA - Two people (a mother and son) of Bantul suspected H5N1 cases to date (Wednesday 7 / 9) was treated at General Hospital Center (Dr) Dr Sardjito, Yogyakarta.

Victims who are referred from one hospital in Bantul since 2 September, is still undergoing special treatment in Ward Kartika RSUP Dr Sardjito, Yogyakarta.

''Both are still undergoing special treatment in Ward Kartika,''Head of Legal and Public Relations department of Dr. Sardjito, Yogyakarta Sunaring Princess Rini on Reuters on Wednesday (7 / 9). During the year 2011 Dr Dr Sardjito just received two cases of H5N1.

In a special treatment, the patient for a while yet if it should be dijenguk must wear special clothing and should not everyone can enter their own wishes. Therefore, it is the living room steriil.Namun currently the second patient's general condition was good and temperature is normal, he said.

Until now not known whether patients affected by H5N1 or not true, because it is still awaiting results of blood tests that have been sent to Jakarta, said he

Three residents of Bantul Suspected Bird Flu Virus

Three residents of the hamlet Singgelo, Poncosari Village, District Srandakan, Bantul, since Friday (2 / 9) until now (7 / 9) was treated at General Hospital Center (Dr) Dr Sardjito, Yogyakarta.

All three people from one family, allegedly attacked by the bird flu virus which is still undergoing special treatment in the department of Ward Kartika.

"All three are still undergoing special treatment in Ward Kartika," said Rini Sunaring princess Kes, Head of Legal and Public Relations department of Dr. Sardjito, Yogyakarta, Wednesday (7 / 9).

In a special treatment, patients were temporarily not allowed dijenguk. Penjengguk only allowed to enter the treatment room to be sterilized if already wearing special clothes.

According to Rini, the trio entered Sardjito on Friday (2 / 9) then and is still undergoing intensive care.

However, all three can not say bird flu because it is still undergoing treatment and are still awaiting the results of diagnosis. Therefore, the tests are still waiting Balitbangkes Jakarta.

"To fix it we have to wait for the results of Balitbangkes Jakarta," said Rini explained.

It is said, all three patients suspect bird flu was the referral of patients from one hospital in Bantul, with initial symptoms such as bird flu.

Three residents of Bantul Suspect Bird Flu

Rabu, 7 September 2011,
A mother and two children in intensive care in Ward Kartika, Dr Sardjito Yogyakarta.
Three residents of Bantul, Yogyakarta, each pair of mother and child - Erna Maryatun (35) and Zaky Wiryawan (11), as well, a baby's initials H is 2.5 years old in intensive care in Ward Kartika, Dr Sardjito Yogyakarta. They are suspected of having bird flu.

Head of Legal and Public Relations department of Sardjito Yogyakarta, Rini Princess Sunaring justify, the existence of three residents of Bantul, which is a mother and two children, a special dibangsal treated for bird flu patients.

"In Ward Kartika we are treating three patients suspect bird flu that kesemuannya of Bantul, Yogyakarta," he said, Wednesday, September 7, 2011.

He said three patients suspect bird flu was the referral of patients from one hospital in Bantul, with initial symptoms such as bird flu. However, to ensure all three positive bird flu, still awaiting lab results from Balitbang in Jakarta.

Rini stated further that since the three patients treated at Dr Sardjito in a special ward Kartika has gradually improved. "The condition of the patient since referred and admitted to Ward Kartika in early September, the condition is getting better," he said

Rini added the entire cost of the patient suspect bird flu free to use. "The patient suspect bird flu free to use during care at Dr Sardjito," he concluded

Meanwhile, the Regent of Bantul, Yogyakarta, Sri Suryawidati said, his department has not received reports of residents of Bantul who became suspect bird flu. "I actually have not received reports of residents of Bantul who became suspect bird flu," he said, briefly. (Eh)

14 Reported Dead Sudden Chicken Tails in Madidir

Bitung,
Residents in Bitung City should be wary. Reportedly, 14 chickens died suddenly in Madidir. Information collected on Monday (09/05) and then, in the Village Madidir Unet his right in off the factory of PT Union some residents have 14 chickens died suddenly tail abruptly. Among local residents suspected that the illness is an attack of chicken bird flu.

Rahmat Olong one of the witnesses admitted that the neighbor's chickens suddenly died suddenly. "Usually, when chickens can be seen from the physical pain. However this is another in the afternoon and evening still look normal, but suddenly suddenly Monday night chicken condition which amounts to 14 tail immediately died at home, "he said.
Head of Agribusiness and Forestry Lusye Makawa-lang when confirmed to ngakui if it did not yet know it. But he would send his staff to do the checking.
"Although we do not have the H5N1 detection equipment to ascertain whether it is bird flu or not, but by naked eye we could see it. If indeed there is tan-da-sign like that then him we would take his samples and sent to the Laborataturium in Ma-nado soon, "added her

Two patients suspect bird flu (using masks) in hospitals Kandou, not isolated specifically.

Dua pasien suspect flu burung (menggunakan masker) di RS Kandou, tidak diisolasi secara khusus.

Patient Suspect Bird Flu Suspected in RSUP Kandou

Pasien Diduga Suspect Flu Burung di RSUP Kandou (foto beritamanado)

Indonesia: Patients Await Lab Result - Conditions Improved

Wednesday, September 7, 2011 1:41 pm

Ten patients suspect bird flu from the City Kotamobagu treated at the Hospital Prof. Kandou Malalayang not allowed to go home.

According to the Chief Medical Officer Dr. Maxi Rondonuwu Flammable DHSM conditions to the ten patients had improved but still needs insulation because waiting for results of laboratory tests of the Center for Health Research and Development (Puslitbangkes) Center on Tuesday (09/06/2011).

"Five minutes ago I just see patients, they can already sing-sing, the roads, but remain in the isolation room," he said.

Currently, all patients had no fever and no shortness of breath, even a pregnant woman is one of the 10 patients the condition had recovered.
However, special treatment is performed, doses of tamiflu drug is given by Maxi adapted to the conditions of pregnant women. "Medics, they already know and are trained in handling," said kadinkes.

He added that what is done perupakan fixed procedures (SOPs) and aiming for zero percent mortality. The sooner the better handled there was no shortness of heat no longer be active but in an isolated room.
Currently just waiting for the results of examination of Puslitbangkes Center, where the negative can be directly repatriated.

In addition to the handling of the patient suspect bird flu, officials of North Sulawesi Health Office has been doing outreach to surrounding communities. Most important to socialize so that people increasingly have to keep cleaning kesaradaran clean environment, lest any cattle sheds behind the house because it is not good for health.

Then when there is sudden and there were dead birds with flu after direct contact with poultry or poultry in the vicinity, immediately contact the village or local health officer. "It's SOPs we take the patient directly, we will not take risks," he explained.

Indonesia: Sulawesi: The Case Of The Dead Chickens

Cases of suspected bird flu outbreak from Lorong Kembang RT 07 Kelurahan Kecamatan Kotamobagu Gogagoman West to the East Village Kotamobagu Kotobangon District, due to 11 residents of two villages this was a rope tied in kinship. More ironically, because the H5N1 virus is attacking them at the time were celebrating Eid al-Fitr 1st Shawwal 1432 Hijri.

As the narrative AM aka War (58), one of 11 patients suspect bird flu that is now being treated in a special room RSU Prof. Dr. RD Kandou Manado, began when he found a tail of chickens died on Monday (08/29) last week. Originally War which everyday living as free-range chicken traders (chicken, red) in this complex Match Markets, thinks of dead chickens was not unusual.

"We think we kwa pe chicken was just plain dead. So we think there is anything Nyanda noh. Lye instead of the day there are two tails that we cut, so prepare for mo Lebaran menu. Only when we cut the two tails that tu, no determination blum tu kalu when the feast, "he said in a thick Mongondow language, through a mobile phone connection from Kotamobagu, then translated by the village chief Mahmud Gogagoman Soleman SE.

According to War, plans to cut two small chickens that will be serving the menu at the feast if the results of confirmation hearings set 1 Shawwal 1432 Hijri on Tuesday (08/30). Where, on the day of the festival he and his family would entertain guests who came to stay in touch, including who is expected to visit is besannya. MK aka namely Mus (58) and his wife, Mrs. NM aka Nen (54), the parent of HK aka Rah (29). Young women who were pregnant with second child four months of age this content, is the wife of AM aka Af (31), eldest son of War and Mrs Nur.
Apparently, the results of confirmation hearings set 1 Syawal 1432 H falls on Wednesday (08/31). Conversely, because the two had already cut the chicken tail, then the War decided to keep taking them with her ​​family in Gogagoman. People who cook was none other than his own wife's War, which is assisted by Mrs. NM aka Nur CHM.
Coincide on the first day of Eid al-Fitr, continued War, he found seven chickens died suddenly tail again. This discovery began to arouse suspicion in his mind. Moreover two days later, precisely on Friday (09/02), the number of chickens that died of his growing. Even Friday, chickens that died at once as many as 18 birds.

"On Saturday my wife and one of the people I work with a sudden high fever accompanied by cough and bringus (flu). I'm getting panicky. Moreover, besides the two of them, are still growing also fallen ill. I also report to the government, so they come right conduct, "said War with a faltering voice.

Until the Sunday before he and 10 others were referred to the RSU Kandou, War still had time to count how many of his chickens died. Where the total to 40 chickens.
Meanwhile, as the village chief Mahmud Soleman Gogagoman confirmed, although the Office of Health and DP4K (Plantation Department of Agriculture Livestock Fisheries and Food) Kotamobagu have intervened, but it still ask for all citizens, especially in Lorong Kembang, to increase alertness. "If there are incidents of chickens died suddenly, we are asking residents to report immediately to the nearest government officials. Starting from the steward RT, RW, environment up to me as the headman, "he said. (Cop)

Indonesia: Sulawesi Update: Isolation Room Being Repaired, 11 Suspected Cases Roam Free

9/6/11
Kandou RS isolation space is being repaired
Patients Roam Free

It's really very unfortunate. Because the 11 patients suspect bird flu from Kotamobagu sent in RS Prof. dr Kandou in Manado (Malalayang), not isolated in a special care room. Instead of monitoring reporters yesterday (05/09), the suspect seen prowling outside the room where the visitors passing by the hospital.
In response, the Director of Medical Nursing Hospital Kandou Dr. Jemmy Panelewen when confirmed said that the condition is due to the special care for the patient or the patient suspect bird flu that can spread certain diseases, is being repaired. According to him, responsibility for repairs and reparations special space handling
patients such as bird flu, are handled directly the World Health Organization (WHO).

To overcome this problem, I Panelewen, the hospital Kandou take the initiative to care for the patient suspect bird flu from those in the room Kotamobagu sitostatica which is also a place that can handle and care for such patients.
"It's just that we are aware, the room where these treatments have not been able to treat patients with a maximum of this dangerous disease," explained Panelewen visible direct review and sterilize the place of the other visitors with some of his staff.

Related patients from Kotamobagu, I Penelewen, arrived at the hospital Kandou on Sunday (04/09) night. "Of the 11 people who allegedly contracted the virus, six of them male, including one infant and five women, one pregnant again. They were at the time taken for treatment here, experiencing pain with decreased body condition after being in contact with pet chickens that tested positive for bird flu. But now state they have already improved. Nevertheless, we are in the hospital continue to monitor their condition. All patients suspect bird flu victims have a family and other relatives still too close neighbors, "concluded Panelewen.

Separately, Chief Medical Officer (Health Office) North Sulawesi Province, Dr. Maxi Rondonuwu DHSM when questioned, could not confirm the 11 patients had been tested positive for H5N1 virus. "Despite the events of chickens died suddenly, but we can not declare these patients had positive bird flu. At present we can give a statement, they suspect, "he said through Dr. Jemmy Lampus, Head of Controlling Health Problems (FMD), North Sulawesi Health Office, told reporters on Monday.
Lampus said, all 11 residents were initially received treatment from the Hospital (RS) Datoe Binangkang later on Sunday (04/09) afternoon, referred to a RSU Prof Kandou. "The reports we received, they are subjected to high heat, cough and shortness of breath. Now they are isolated in one room of Prof. Dr. RD Kandou RSU, "he explained, adding, the RSU Prof Kandou have taken blood samples for testing lab. "Just wait for lab test results from Jakarta. If the results are already there, it was discovered that patients positive for bird flu or not, "continued the short Lampus.

Meanwhile, he stated that the health office of North Sulawesi has provided medicines free of charge to those patients. In fact, it has also lowered the surveillance team to the City Kotamobagu well as bringing medical aid to hospitals Datoe Binangkang.
Separately, Head of Agriculture and Livestock (Distanak) North Sulawesi Province, Ir Johanis Panelewen when confirmed via the phone, said it has fielded to Gogagoman. "It is true there are the chickens that died suddenly. Now the chickens immediately destroyed by burning. Even the chickens around the site has been quarantined to avoid bird flu outbreak, "he said.
Panelewen admitted confused where it came from the bird flu disease that attacks chickens in Gogagoman. "Not to know where it came from. Therefore, while our team is currently investigating, "the key Panelewen.

3 Children Contract Flu Virus After Attending County Fair

September 5, 2011 10:40 PM
WASHINGTON, Pa. (KDKA) — Several agencies are investigating after several children who attended the Washington County Fair contracted the flu.

The fair ran from August 13-20.

Brandi Hunter-Davenport, a spokeswoman for the PA Health Department, said three children contracted a new strain of influenza-A of swine origin containing the H1N1 virus connected to the flu pandemic in 2009.

It’s undetermined how the virus was transmitted. There is no evidence it was spread through person-to-person contact.

“The one commonality that they do have at the moment is they all attended the county fair out in that part of the state,” she told KDKA-TV.

“However, we are saying to everyone we are still looking at other factors that may be a commonality amongst those three,” she continued.

The first child came down with symptoms on August 17. The virus was confirmed several days later. The child has recovered.

Two other cases were confirmed over the weekend.

The Centers for Disease Control and the state’s Department of Agriculture are also investigating.

Those most vulnerable to the flu are the elderly, children, and people with certain medical conditions.

Indonesia: Sulawesi Outbreak Update - 11 Family Members From 2 villages

9/6/11

RS Rawat Kandou 11 Suspect Bird Flu
Bird flu virus (H5N1) hit back Kotamobagu. Even the attacks this time far more sinister than the first event in late April. If the first attack only resulted in tens of poultry must be destroyed, this time 11 people Kotamobagu had to be sent and treated in the department of special (General Hospital), Prof. dr Kandou, Malalayang Manado.

The 11 residents suspect bird flu, known to consist of three families (Head of Family). Sadly, these three families are still bound kinship rope. Starting from the husband-wife, child, grandchild, son-,-laws up to the job of one family. The home of the victims of this H5N1 virus attacks, located in the Village District Kotamobagu Gogagoman West and East Village Kotamobagu Kotobangon District.

The AI-infected patients who are suspected of such, each AM aka War (58) and his wife, Mrs. NM aka Nur (55), then Mrs OM (48), OM (58), FM (29), and CHM. The six of them citizens of Village Gogagoman Lorong Kembang. Then five residents Kotobangon, each of HK (30) aka Rah was four months pregnant and her husband, AM aka Af (31) and their eldest son AM aka Naf (3), with both parents of Rah. Ie, the initials MK aka Mus (58) and his wife, Mrs. NM aka Nen (54).
As for the bond of brotherhood among these patients, because the eldest son of War and Mrs. Nur ie Af, married with a Rah. Women who are now pregnant with baby 4 months old, is the son of Mus and Mrs. Nen. Mus itself known to retired civil servants (civil servants) in one of the agencies Bolmong Pemkab. Even positions that never bears when it is strategic enough, the secretary of the department.

Based on information gathered comments, the first outbreak was on Saturday (09/03) last week. That day, body temperature and CHM attacked Mrs Nur high heat followed by a cough and runny (flu). Both were immediately check their health to physicians. Unexpectedly, there Mrs Nur namely Af met his eldest son who drove his wife, Rah, for the same illness. In fact, Mrs. Nur and CHM live in Gogagoman, while Af and his wife settled in Kotobangon Rah.

Original text of above paragraph:
Berdasarkan informasi yang dikumpulkan Komentar, kali pertama merebaknya kasus tersebut pada Sabtu (03/09) pekan lalu. Hari itu, suhu badan Ny Nur dan ChM terserang panas tinggi diikuti batuk dan beringus (flu). Keduanya pun langsung memeriksakan kesehatannya ke dokter. Tak dinyana, di situ Ny Nur bertemu putra sulungnya yakni Af yang mengantar istrinya, Rah, karena menderita sakit yang sama. Padahal, Ny Nur dan ChM tinggal di Gogagoman, sementara Af dan istrinya Rah bermukim di Kotobangon.

Over time, other family members also begin to develop the same disease: high body temperature, cough-cough with flu. Finally, as if there is a commanding, they went to hospitals Datoe Binangkang. At hospitals owned by Regency Bolmong this, they were given a makeshift treatment. Moreover there is no special room prepared this hospital. On Sunday (09/04) afternoon at around 15:00 pm, the Public Health Service Kotamobagu decided to refer the patient to the RSU 11 Kandou.
-snip-
"It was (yesterday, red) I spoke by phone with one patient. They say the average body temperature had dropped. But the results of the examination record of the heart, urine tests as well as the lungs have not come out, "said Chief Kotamobagu Health Office, Dr. Salmon Helweldery MA told this daily.
-snip-
In addition has brought the patients to Hospital Kandou, the chickens were found dead suddenly in the location of the discovery had been destroyed by fire. "We just went with disinfectant (spraying) to the area about 200 meters from the point of discovery," explains Helweldery.

Unfortunately, as the Head of Ir Mintoharjo Mokodompit DP4K can not be questioned. The reason, his two mobile numbers in an inactive state when reporters wanted to ask for confirmation, the findings related to cases of bird flu. Fortunately, there is Head (Chief) Ranch DP4K Nurachim P Mokoagow SP said, so receiving information regarding the findings of H5N1 in Gogagoman then direct it to do a rapid test to 26 chickens. "Apparently, 25 of 26 tails that we quickly test it, H5N1 positive. So, we were immediately destroy it by fire, "he said.

-snip-

40 TAIL OFF
On the other hand, the number of domestic poultry (chicken, red) of War that died suddenly it turns out more than those found DP4K parties. According to the War which was contacted by telephone by the village chief Gogagoman, Mahmud Soleman SE, until Sunday chickens that died suddenly it's his total are 40 tails.
"On Monday August 29, one tail. Two days later, or right in the first seven Eid tail, two days after next or Friday tatambah 18 tails. Once we count, samua to 40 tail, "War said via telephone.
Then, how the condition now? Middle-aged men who are also officials Gogagoman Village, the claim began to change, although not yet fully stabilized. "Kalu was so hot body down, mar the results of the examination laeng blum kaluar. Way it records heart, urine tests deng Check new tests of the lungs, it blum kaluar, "he said in language that is interpreted by Mahmud Mongondow Soleman. (Cop)

Bird Flu Suspected Start Rambah Bitung

Posted by ayk Bitung City Tuesday, September 6, 2011 18:02
Bitung-This is a sign of alert for the community and municipal Bitung in preventing infectious diseases like bird flu into this port city. Section, Monday (5 / 9) night, residents Madidir Unet precisely at Lorong Union were surprised by the findings of dozens of chickens that suddenly died suddenly.

Own citizens suspected, the chickens died suddenly due to bird flu infected so they panicked. "I'll cut a few chickens to be used as a side dish at the feast of the diamond but strangely even die all without cause," said one resident was reluctant to mention his identity.

In fact according to him, chickens that died suddenly not only affects him, but there are also chicken neighbors. "I believe there are 14 chickens that died in the compound without cause jela," he said.

Meanwhile, Head of Agribusiness and Forestry Bitung City Government, Lusye Makawalag when confirmed to admit that it did not yet know it. And just knowing when dikonfitmasi, but he would send his staff to do the checking.

"Although we do not have detection equipment to ascertain whether it's H5N1 bird flu or not, but by naked eye we could meihatnya, if indeed there are signs like that then we will take a sample and sent to the Labortaturium in Bitung Manado because the city itself no laboraturiumnya, "explained Makawalag.

3 Pa. children contract rare flu after county fair

Published 12:30 p.m., Monday, September 5, 2011


HARRISBURG, Pa. (AP) — State officials say three Pennsylvania children who attended an agricultural fair in southwestern Pennsylvania have contracted a new strain of influenza containing the H1N1 virus.

Authorities say all three children attended the Washington County Agricultural Fair the week of Aug. 13 to Aug. 20.

They say one child has recovered, while two confirmed ill over the weekend are recuperating.

The cases are similar to past human infections with swine-origin H3N2 viruses. But the new strain also contains the H1N1 virus linked to the 2009 flu pandemic.

The state is investigating how the illness was transmitted. But health department spokeswoman Christine Cronkright says there doesn't appear to be any human-to-human contact.

Anyone who attended the Washington County Fair and has flu-like symptoms should contact their medical provider or call 1-877-PA-HEALTH.

Hong Kong-Passengers are required to declare. H5N1 virus in poultry meat frozen anti-immigration ban

Official 05/09/2011 23:02

(Cloth City 5 Bernama) Veterinary Department director Datuk Abdul Aziz said the council would write to the Cabinet and the Ministry of Agriculture to recommend a dog stationed at various points to send to prohibit passengers from carrying undeclared frozen meat and poultry, to prevent possible infection with the H5N1 virus or Hendra virus in poultry and frozen meat into Hong Kong.
Abdul Aziz in the veterinary bureau headquarters today held a press conference, say so.

In any case, Abdul Aziz confirmed that China has not yet found the H5N1 virus.

He appealed to the public, once suspicious poultry deaths, must immediately through Veterinary Bureau, the Bureau will send the investigation team within 2 hours to come to the investigation.

"This is the best means to prevent transmission of the virus, Veterinary Bureau, with the Consumer Council and the Health Ministry, save, and joint monitoring of virus spread."...

Health Office of South Minahasa Anticipation Virus Transmission to Humans

Wednesday, April 20, 2011 14:34 A

TRIBUNMANADO.CO.ID, Amurang - The discovery of bird flu or H5N1 virus to chickens in the village of Palelon and Makaruyen, Modoinding, making the Department of Health (Health Office) South Minahasa quick action in anticipation of transmission to humans.

"Yesterday a direct meeting with the head of Puskesmas Modoinding, talking about the anticipation of transmission to man, and until now there has been no human bird flu," said Dr. Jeffrey Rogi, Kadis health office in South Minahasa Manado Tribune, Wednesday (04/20/2011).

Rogi said, residents are positive chicken owners and a radius of 50 meters around it will continue to be monitored, if attacked by fever and flu-like symptoms will be directly examined. "We also monitor kesehetan residents around the Village Palelon and Makaruyen let alone a radius of 50 meters whose chickens positive" Rogi said.

Tin Health Office of South Minahasa other precautions send one to a health center tamiflu drug dos Modoinding, so if there are symptoms of bird flu directly administered drug.

. "We can be three-dos from the province, one box containing 100 capsules. Where one has been sent to the health center dos Modoinding, if the man had been attacked and badly then the province will definitely send it," he said.

In addition, South Minahasa health office immediately wrote to health centers in all districts in South Minahasa immediate dissemination to point directly to the citizens of bird flu around.

"In order for clinic to the citizens of the introduction of direct socialization traits of bird flu, such as avoiding direct contact to poultry especially the area indicated as positive," he said.
For symptoms in people who attacked him said, like a sore upper respiratory infections, ie, heat above 38 degrees Celsius, cough, runny nose, sore throat, where previously there was a history of contact with poultry.

"If for example there are residents fell ill after our care at health centers by providing tamiflu, then immediately referred to the Hospital Prof. Kandou because they can determine whether someone is stricken with bird flu or common cold. If he is positive of bird flu, the region around the isolated, "he explained.

Health Office together South Minahasa district police today also, and continues to anticipate Distanak South Minahasa on Border Post.Where Rogi said, the budget prepared by them for the handling of specific infectious diseases prior to the virus from animals to Rp 66 million.

"But if this is endemic to humans, there must be some tactical funds from South Minahasa regency," he said.

Dr Ketut Wayudiarta, a veterinarian in South Minahasa Distanak, said the current residents who have poultry in the village and Makaruyen Palelon a radius of 50 meters above the chicken possitif been cooperative to report their chickens.

"They've been reported, so we've done also a disinfectant spraying anti-bird flu in their chicken coop," he said.

The two villages continued to be monitored up to 14 days ahead of existing poultry, since the first day found the chicken posotif bird flu.

While for the District of New Tompaso and Maesaan, which was destroyed yesterday in the village Raratean 19 and 3 in the Village Temboan, it turns out the chicken from Mongkudai, Bolmong East.

Market Speak : Maize Plummets As FAO Warns Indian Poultry Feed Affected by Bird Flu Disease

Strong selling intensified in maize market after the outbreak of bird flu disease in Indian feed quality of maize. The NCDEX maize futures wilted almost Rs. 80 per quintal in last three days.

The Food and Agriculture Organization (FAO) issued a latest statement calling on major importing countries to guard against a possible resurgence of the bird flu disease in countries such as Bangladesh, Egypt, India and Indonesia.

After the FAO warning , major importing countries such as Indonesia has issued a statement to confiscate and destroy poultry and poultry products coming from India, China, Vietnam and other affected countries.

Therefore , dearth of export demand in domestic market plunged the maize September futures ...

RS Kandou Isolate 11 Patient Suspect Bird Flu

BERITAMANADO.COM-JP: The bird flu virus is estimated to have returned raged. In fact, this time there is suspicion of a virus previously known to frequent contact with the animals, has mutated. PR RS Kandou, Jemmy Tomuka, say, 11 patients suspect bird flu Kotamobagu origin.

"These patients go on Sunday morning, at 6 am inside. 10 people in fact, an introduction to one another 10 people, "he said.

Tomuka, said the suspect is still conjecture, to know the patient, positive for bird flu is still going on to do further tests. "It was ordinary, will be a series of bird flu tests, observations of what meets the criteria of bird flu," he said. Currently a number of suspected patients placed in isolation rooms RSUP Kandou D5.