Indonesia: Warnings Everywhere!

In Riau (Rokan Hilir) Chief Medical Officer Dr Saleh HM Junaidi Kes."There has been no case of bird flu, if there is we must know and come down to check," he said." http://tinyurl.com/6n2b6az






In Bogor [Tanah Sareal] ...In fact, Mayor Diani Budiarto has instructed related agencies to seriously deal with the possible emergence of bird flu cases in the city of Bogor....Mayor Bogor directly instructed to intensify the spread of the vaccine.







East Java [Banyuwangi]: Head of Animal Health at the Department of Animal Husbandry Banyuwangi, Bambang Sugianto, the RRI, Sunday (29 / 1), explains, it not only has prepared thousands of bird flu vaccines, but have also been done with the precaution of spraying the cleaning chicken coops with disinfectant .

"For this year, in order antispasi emergence of bird flu, Animal Husbandry Department has prepared 62,500 doses of bird flu to Banyuwangi. We will also conduct unified action, do vaccinations, disfinfeksi chicken coop in Banyuwangi," said Bambang Sugianto.

West Java [Sukabumi]: Head of Sukabumi, Asep Sugianto: In addition, the other is how to anticipate intensified poultry cages with disinfectant spray or biosecurity. "We were watching birds coming into Sukabumi," he said. He added that the company or large livestock in the district Sukabumi is now free from bird flu infection. "But somehow we continue to tighten oversight of the spread of bird flu, especially in endemic areas," he added. http://tinyurl.com/7bvslph












Bali: Kadis Animal Husbandry and Fisheries Bangli Ir. AA Ngurah Samba, Sunday (29 / 1) yesterday said the anticipatory steps continue to be done society and government. The government, he continued, vigorous information dissemination in order to be spraying with disinvektan. The drug has also been distributed to the public. http://tinyurl.com/8y85vk3

East Kalimantan [Samarinda]: Citizens of Samarinda, East Kalimantan, was asked to be alert to cases of bird flu or H5N1.
As stated by Head of Department of Fisheries and Livestock of Samarinda, Samsul Bachri.
Described the bird flu is a dangerous disease because it can kill all poultry, spread rapidly to other farms and can attack humans that can cause illness or death.
Samsul appealed to the public, especially poultry keepers more salts to give extra attention in maintaining the cleanliness of the cage and the surrounding environment as well as by spraying disinfectant into poultry cages and surrounding areas twice a week. http://tinyurl.com/876z85o

'There's No Swine Flu in Indonesia'

Saturday, January 28, 2012 15:51 pm

REPUBLIKA.CO.ID, JAKARTA - Swine Flu certainly not the case in Indonesia. Cases referred to patients who contracted swine flu in Tangerang is still classified in the category of influenza A (H1N1) pdm09, said Minister of Health, Endang Rahayu Sedyaningsih, asserted "Not exactly so-called swine flu because the virus is a coalition between the new flu virus in birds, pigs, and man, "said Minister, on Friday (27 / 1) last evening. Naming an circulated in the community calls for not less precise with respect to consumption or contact with pigs.Report the number of the last case in October 2009 and recorded 440 thousand cases in the world. In early 2010, the virus implicated in 214 countries. Director General of WHO declared pandemic post or already passed. Until August 6, 2010, there were 18,449 people worldwide die from this disease. "Since then the disease is considered to be variants of normal influenza. But this type of virus in Indonesia is the most malignant. We do not yet know the cause, "said Minister of Health. Head of Research and Development Kemenkes, Trihono sure if the malignancy of the H1N1 virus makes the drug manufacturers from various countries to test their products against the virus from Indonesia. So, it was always making or tissue culture to develop viruses that can be further investigated. "If an outbreak occurs we can extend the dose or add a variant of the drug," he said.

Indonesia: Bogor - One Man Allegedly Infected with Bird Flu

Previously we posted a Bogor Commentary. I will add this information to it.

Sunday, January 29, 2012 19:22 pm
REPUBLIKA.CO.ID, JAKARTA - The bird flu virus that caused the death of dozens of chickens in the village of Kayumanis, Village Cibadak, Tanah Sareal, City Bogor, alleged to have been transmitted to humans. Ipan Sopian, a local resident, fell ill after consuming his dead chicken. Chickens belonging Ipan including one of dozens of chickens that tested positive for bird flu by the Department of Agriculture Bogor City. "In the afternoon I was still fresh chicken and want to eat, suddenly the morning was dead. Because unfortunately, I cook just for eating. After that even my sick, "said Ipan, Sunday (29 / 1).

When the check into the local health center, Ipan diagnosed with bird flu. He was allowed to go home after being given the drug. "He said bird flu. But now it is little better after a given drug," said Ipan which has now been business as usual. the local Health Department can not be confirmed bird flu related virus transmission to humans of this. When contacted, Section Chief of Infectious Disease Prevention Bogor City Health Office, Ratna Diah, did not give an answer.

Indonesia: Bali Alert #H5N1 #Birdflu

Bird Flu Alert Bangli
January 30, 2012
Bangli (Bali Post)-monsoon season, which continues flushed, and re outbreak of bird flu in some parts of Bali, making Bangli return should be aware of the circulation of the virus. Livestock traffic in and out of Bangli, and the anticipation of continued spraying disinvektan encouraged. Kadis Animal Husbandry and Fisheries Bangli Ir. AA Ngurah Samba, Sunday (29 / 1) yesterday said the anticipatory steps continue to be done society and government. ''Do not let a virus that could make the region Bangli Extraordinary Events (KLB) and scowled some people lives back there,''he said.
The government, he continued, vigorous information dissemination in order to be spraying with disinvektan. The drug has also been distributed to the public. So that could be directly taken to the village head. For the hamlet with dense poultry populations, most should be alert to this. It also will enable the re-post supervision.Although not every day, through the post and out of traffic that cattle could be monitored. "I hope so, medical control can be minimized from the worst," he said. (Kmb17)

This is the 100 referral hospitals in Indonesia Bird Flu Prevention

29 Januari 2012 - 19:23 WIB
Inilah 100 RS Rujukan Penanggulangan Flu Burung di Indonesia
Diposting oleh : Mic hael
Kategori: Kesehatan - Dibaca: 53206 kali
swaooo.com -- Berdasarkan Keputusan Menteri Kesehatan Nomor 414/Menkes/SK/IV/2007 tanggal 10 April 2007, telah ditetapkan 100 rumah sakit rujukan penanggulangan Flu Burung, terdapat di 31 Provinsi di Indonesia. Di wilayah Pulau Sumatera, terdapat 29 RS rujukan Flu Burung, yaitu: RSU Dr. Zainoel Abidin dan RSU Cut Meutia Lhokseumawe, Provinsi Nangroe Aceh Darussalam; RSU H. Adam Malik Medan, RSU Kabanjahe, RSU Pematang Siantar, RSU Tarutung, RSU Padang Sidempuan, Provinsi Sumatera Utara; RSU Dr. M. Jamil Padang, RSU Dr. Achmad mochtar, provinsi Sumatera Barat; RSU Arifin Ahmad Pekanbaru, RSU Kab. Karimun, RSU Tanjung Pinang, RSU Puri Husada, RSU Dumai, Provinsi Riau; RS Otorita Batam, Provinsi Kepulauan Riau; RSU Raden Mattaher, Provinsi Jambi; RSU DR. M. Hoesin Palembang, RSU Lubuk Linggau, RSU Kayu agung, RSD Kab. Lahat, Provinsi Sumatera Selatan; RSU Tanjung Pandan, RSU Pangkal Pinang, Provinsi Bangka Belitung; RsU Dr. M. Yunus, RSU Arga Makmur, RSU Manna, Provinsi Bengkulu; RSU Abdul Moeloek, RSU Kalianda, RSU Mayjen HM Ryacudu, RSU Ahmad Yani, Provinsi Lampung.

Di wilayah Pulau Jawa, terdapat 32 RS rujukan flu burung, yaitu: RSPI Dr. Sulianti Saroso, RSU Persahabatan, dan RSPA Gatot Subroto, Provinsi DKI Jakarta; RSU Dr. Hasan Sadikin Bandung, RSU Dr. Slamet Garut, RSU Gunung Jati Cirebon, RSTP Dr. H.A. Rotinsulu Bandung, RSU R. Syamsudin Sukabumi, RSU Indramayu, RSU Subang, Provinsi Jawa Barat; RSU Serang, RSU Tanggerang, Provinsi Banten; RSU Dr. Kariadi Semarang, RSU Dr. H. Soewondo, RSU Dr. Moewardi, RSU Banyumas, RSU Kudus, RSU Dr. H RM Soeselo W. Slawi, RSU Pekalongan, RSU Tidar Magelang, RSU Prof. Dr. Margono Soekarjo Purwokerto, RSU Dr. Suraji Tirtonegoro, Provinsi Jawa Tengah; RSU Dr. Soetomo, RSU Dr. Saiful Anwar, RSU Dr. Soebandi, RS Dr. R Koesma Tuban, RS Dr S Djatikoesoemo, RS Pare, RS Blambangan Banyuwangi, RS Dr Soedono, Provinsi Jawa Timur; RSU Dr. Sardjito dan RSU Panembahan Senopati Bantul, Provinsi DI Yogyakarta;

Selanjutnya, 9 RS rujukan flu burung terdapat di kawasan Bali dan Nusa Tenggara, yaitu: RSU Sanglah Denpasar, RSU Tabanan, RSU Sanjiwani Gianyar, provinsi Bali; RSU Mataram, RSU Raba Kab. Bima, RSU Dr. R Sudjono, RSU Praya, Provinsi NTB; RSU Prof. Dr. WZ Johanes dan RSU Dr TC Hillers, Provinsi NTT.

Di wilayah Pulau Kalimantan, terdapat 13 RS rujukan flu burung, yaitu: RSU Dr. Sudarso Pontianak, RSU Dr. Abdul Aziz Singkawang, RSU Sintang, provinsi Kalimantan Barat; RSU Dr. Doris Sylvanus Palangkaraya, RSU Dr. Murjani Sampit, Provinsi Kalimantan Tengah; RSU Ulin, RSU H Boejasin Pelaihari, Provinsi Kalimantan Selatan; RSU Tarakan, RSU Dr. Kanujoso Djatiwibowo Balikpapan, RSU H A Wahab Sjaranie Samarinda, RSU Kota Bontang, RSU Panglima Sebaya, RSU Tanjung Selor, Provinsi Kalimantan Timur.

Di wilayah Pulau Sulawesi, terdapat 16 RS rujukan flu burung, yaitu: RSU Prof. DR. RD Kandou, RSU Dr. Sam Ratulangi, Provinsi Sulawesi Utara, RSU Undata Palu, RSU Luwuk, RS Mokopido Toli-toli, RSU Kolonedale, Provinsi Sulawesi Tengah; RSU Dr. Wahidin Sudirohusodo Makassar, RSU Andi Makkasau Pare-pare, RSU Lakipadada Tana Toraja, RS Islam Faisal Makassar, RS Akademis jaury, RSU Sinjai, Provinsi Sulawesi Selatan; RSU Kendari, Provinsi Sulawesi Tenggara; RSU Dr. M. Haulussy Ambon, Provinsi Maluku; RSU Chasan Basoeri Ternate, Provinsi Maluku Utara; dan RSU Prof. Dr. H. Aloei Saboe, Provinsi Gorontalo.

Selanjutnya, terdapat 1 RS rujukan flu Burung di wilayah Papua, yaitu RSU Jayapura.

Saat ini, terdapat 10 RS yang sudah dilengkapi ruang isolasi bertekanan negatif. Pemilihan 10 rumah sakit ini dengan mempertimbangkan endemisitas daerah tersebut terhadap kasus Flu Burung. Saat ini, sudah siap 2 rumah sakit, yaitu RSU Tangerang dan RSUP Persahabatan. (Jk)

H5N1: Flu transmission work is urgent

• Yoshihiro Kawaoka

Nature (2012)

doi:10.1038/nature10884

Published online 25 January 2012

Yoshihiro Kawaoka explains that research on transmissible avian flu viruses needs to continue if pandemics are to be prevented.

Highly pathogenic avian H5N1 influenza viruses first proved lethal in humans in 1997 in Hong Kong. Since 2003, 578 confirmed infections have resulted in 340 deaths (go.nature.com/epb7ts). Now widespread in parts of southeast Asia and the Middle East, H5N1 viruses have killed or led to the culling of hundreds of millions of birds.

To date, H5N1 viruses have not been transmitted between humans. Some experts have argued that it is impossible. But given the potential consequences of a global outbreak, it is crucial to know whether these viruses can ever become transmissible. Work by my group (accepted by Nature) and an independent study (accepted by Science) led by Ron Fouchier of the Erasmus Medical Center in Rotterdam, the Netherlands, suggest that H5N1 viruses have the potential to spread between mammals. As the risks of such research and its publication are debated by the community, I argue that we should pursue transmission studies of highly pathogenic avian influenza viruses with urgency.

To determine whether H5N1 viruses could be transmitted between humans, my team generated viruses that combined the H5 haemagglutinin (HA) gene with the remaining genes from a pandemic 2009 H1N1 influenza virus. Avian H5N1 and human pandemic 2009 viruses readily exchange genes in experimental settings, and those from a human virus may facilitate replication in mammals. Indeed, we identified a mutant H5 HA/2009 virus that spread between infected and uninfected ferrets (used as models to study the transmission of influenza in mammals) in separate cages via respiratory droplets in the air. Thus viruses possessing an H5 HA protein can transmit between mammals.

Our results also show that not all transmissible H5 HA-possessing viruses are lethal. In ferrets, our mutant H5 HA/2009 virus was no more pathogenic than the pandemic 2009 virus — it did not kill any of the infected animals. And, importantly, current vaccines and antiviral compounds are effective against it.

NIBSC/SPL

H5N1 avian influenza virus particles.

Fouchier and his team also generated a transmissible H5 HA-possessing virus — meaning that two independent studies have demonstrated the potential for transmissibility of H5 HA-possessing viruses between ferrets. Their mutant H5 HA virus, generated in the genetic background of an H5N1 virus, did kill infected ferrets.

Some people have argued that the risks of such studies — misuse and accidental release, for example — outweigh the benefits. I counter that H5N1 viruses circulating in nature already pose a threat, because influenza viruses mutate constantly and can cause pandemics with great losses of life. Within the past century, 'Spanish' influenza, which stemmed from a virus of avian origin, killed between 20 million and 50 million people. Because H5N1 mutations that confer transmissibility in mammals may emerge in nature, I believe that it would be irresponsible not to study the underlying mechanisms.

The new work has implications for pandemic preparedness. There is an urgent need to expand development, production and distribution of vaccines against H5 viruses, and to stockpile antiviral compounds. Both studies identify specific mutations in HA that confer transmissibility in ferrets to H5 HA-possessing viruses. A subset of these mutations has been detected in H5N1 viruses circulating in certain countries. It is therefore imperative that these viruses are monitored closely so that eradication efforts and countermeasures (such as vaccine-strain selection) can be focused on them, should they acquire transmissibility.

Consequently, I believe that the benefits of these studies — the knowledge that H5 HA-possessing viruses pose a risk and the ability to monitor them and develop countermeasures — outweigh the risks. High biosafety and security standards can be met. Our experiments were carried out in a high-containment facility by a small group of highly trained individuals who operate under strict procedures to prevent the accidental release of viruses.

However, the US National Science Advisory Board for Biosecurity (NSABB) has recommended that details of both studies (including the mutations that confer transmissibility) should be restricted, and released only to select individuals on a 'need-to-know' basis. I acknowledge the advisory role of the NSABB, but I do not concur with its decision.

The primary justification for the NSABB's recommendation is that publication of our data “could enable replication of the experiments by those who would seek to do harm” (go.nature.com/nywkdy). But redacting our papers will not eliminate that possibility — there is already enough information publicly available to allow someone to make a transmissible H5 HA-possessing virus.

The mechanism that the US government proposes for releasing data would also be unwieldy. Thousands of applications to access the research are likely to be filed, and potential background checks would create a huge administrative burden. We cannot afford to lose time if we are to combat emerging pandemic threats. Even if an efficient process can be established, it would be difficult to enforce continued confidentiality in the scientific community.

By contrast, wide data dissemination will attract researchers from other areas to contribute to the field. This is crucial, because new ideas are needed to answer some of the most urgent questions. For example, the specific mutations that we identified suggest that influenza transmission is more complex than anticipated and involves not only the receptor-binding properties of HA, but other biological and physical properties.

The redaction of our manuscript, intended to contain risk, will make it harder for legitimate scientists to get this information while failing to provide a barrier to those who would do harm. To find better solutions to dual-use concerns, the international community should convene to discuss how to minimize risk while supporting scientific discovery. Flu investigators (including me) have agreed to a 60-day moratorium on avian flu transmission research (go.nature.com/ttivj5) because of the current controversy. But our work remains urgent — we cannot give up.

Indonesia: Yogyakarta Commentary #H5N1 #Birdflu

This commentary will be located on our right side-bar under Maps & Summaries.


1/29/12
On January 27th, we reported that some breeders pet poultry in Bantul, Yogyakarta had died. Article found here:
excerpt:

While in the district of Bantul, Yogyakarta, breeders pet birds died suddenly reported to the Department of Agriculture and Forestry Bantul regency. Reports to the Office comes from the various districts.

Furthermore, on January 28th, we report that 3 (of the 12) chickens owned by a family have died. 3 family members are ill. They live in Pugeran. Article can be found here:

three chickens in Pugeran, District Mergangsan died suddenly during three consecutive days. Of the 12 chickens owned, now live nine tails that do not die suddenly. In addition to the chicken's death, three members of the family owners of chickens also fell ill.

On January 28th, we report that for the past 3 months, there were about 60 free range chickens that died suddenly in Sanden and Srandakan. The Head of Department of Agriculture & Forestry Bantul, can remember how many...but they continue to monitor the condition of the chicken farms in three villages of two districts.

Since the last three months, there were already about 60 free-range chicken that died suddenly in the subdistrict of Sanden and Srandakan.

"But I forget how many numbers are in Sanden yesterday," said Head of Department of Agriculture and Forestry (Dispertahut) Bantul, Edy Suhariyanta.

Currently, Dispertahut still continue to monitor the condition of chicken farms in three villages of two districts. Three villages were Murtigading and Gadingsari, Sanden and Village Poncosari, Srandakan.
http://tinyurl.com/6q6nywe

Indo - S. Sulawesi - Tekalar - Dozens of Birds Die With No Sym's.

29/01/2012
Dozens of chickens died suddenly in Takalar
Dozens of birds in cages as well as those owned by neighborhood residents wandering Ciniayo, Village Candrego, Takalar regency, South Sulawesi, on Saturday (28 / 1) afternoon suddenly drop dead. Chicken deaths which amounted to 70 tail is quite worrying residents. The reason, dozens of dead chickens that have characteristics similar to the avian H5N1 virus or bird flu virus. This assumption is confirmed by tests carried out Takalar Health Department who found no signs of purplish-blue cock's comb and the presence of bleeding under the skin as well as saliva when chickens die out.Although not yet certain whether these birds infected with bird flu virus, health department officials directly to the destruction by fire and buried en masse.

Indo: Bogor - Two Patients That Suffer From Flu

The Worrying about Avian Flu

January 29, 2012

Excerpt:
With existence of this case and the wider community residents worried of course made, let alone the H5N1 virus known as the deadly virus that could spread rapidly. Their concern intensified in the area because there are two people who suffer from the flu. Although Dwi Susanto, Surveillance oficial District team (DSO ) of Bogor City Health Office, said that both patients showed no signs of exposure to bird flu, it still does not make people be quiet. Moreover, two previously existing residents from Tanjung Priok, North Jakarta, died from the virus. Not to mention now there is a suspected bird flu patients are being treated in hospitals dr Murjani, Sampit, Central Kalimantan, which had known contact with poultry that died suddenly.

Must be Sustainable quick handling and anticipation efforts had to be done, given the bird flu has symptoms similar to flu usual, but the disease is also difficult to detect.

To prevent the spread of bird flu virus more widespread, the city of Bogor Agriculture Department, it has been spraying disinfectant around the chicken coop owned by citizens followed vaccination. Bogor City Health Office had already done the socialization of the bird flu prevention residents with a variety of efforts such as distributing pamphlets and brochures about the treatment and prevention of bird flu.

Indo: Bogor - Bird Flu Case: Vice City Government Apply Immediately Prevention

Saturday, 28 January 2012 23:00

Bogorplus.com - The bird flu virus that attacks the citizens of Cinnamon, Cibadak Village, District Land Sareal, Bogor attention Vice Governor of West Java, Dede Yusuf.

Dede Yusuf asked the City Government (City Government) Bogor through the Department of Health and the Department of Agriculture should immediately provide prevention against the spread of the deadly virus.

"Do not let stand and Bogor City Government through the offices concerned shall immediately provide more leverage," he told bogorplus.com , while attending a basketball tournament in GOR Padjajaran on Saturday (01.28.12).

According to Dede, Bogor City Government shall be responsible for the safety of its citizens, if it proves an H5N1 outbreak, it will turn off. This should be a very important concern.

"Office related, issues have to be selective for the benefit of the H5N1 virus. If there is no realization, then there must be decisive action Bogor City Government," he said.

By: Wawan Supriatna

Indo Update from Directorate General of Animal Husbandry and Animal Health Ministry of Agriculture

The development situation of AI in poultry in Indonesia As of January 26, 2012
January 26, 2012

The development situation of AI in poultry in Indonesia

As of January 26, 2012

A. The National AI Situation

1. Since the outbreak of AI in poultry in Indonesia declared in January 2004, the case gradually decreased every year ie in 2011 as many as in 1411, or about 122 cases per month or four cases per day across Indonesia. The amount is lower than the previous year 1502 cases (th.2010) and 2293 cases (th 2009).

2. Provinces with the highest to the lowest order of cases in poultry in 2011 were: West Sumatra, South Sulawesi, Riau, Lampung, Central Java, West Java, Bali, Jambi, Gorontalo, Yogyakarta, East Java, Bali, Bengkulu, West Nusa Tenggara, East Kalimantan, Sumatra, West Sulawesi, Aceh, Sulawesi, Central Sulawesi, Babylon, West Kalimantan, South Sumatra, Southeast Sulawesi, Central Kalimantan, NTT, Riau Islands, South Kalimantan and Jakarta lowest. No cases occurred in Maluku, Papua, West Papua.Province, which until now is still a free AI North Maluku.

3. The purpose of control AI in poultry are (1) prevent the occurrence of AI (AI) from birds to humans and prevent the occurrence of severe influenza pandemic with global implications. (2) Preventing the spread of AI among poultry poultry farmers to increase income.

4. 8 Strategy control and eradication of AI is (1) Biosecurity (2) Depopulation (3) Surveillance (4) Vaccinations (5) Traffic Restrictions Poultry (6) Restructuring Poultry (7) Public Awareness (8) Enforcement of regulations and SOPs.

B. The case of AI in Poultry Situation Year 2012 (1 s / d January 26, 2012)

1. Number of cases: 15 in 31 villages.

2. Number of District / City contracting: 19, namely Cilacap, Sragen, Brebes, Lamongan, Banyuwangi, Penajam North Paser, Samarinda, Manila, Muaro Jambi, Sidrap, Minahasa, Bontang, North Bolmong, Bolamangondow, Gorontalo City, Brebes, City of Tegal, the City of West K., Barito east.

3. Number of Provinces of contracting: 9, namely Central Java, East Java, Riau, Jambi, East Kalimantan, Central Kalimantan, South Sulawesi, Gorontalo and North Sulawesi.

C. The development of AI in Poultry Situation in Jakarta

In connection with the case of the victims died due to AI's PD (23) and U.S. (5) in the Great Sunter - North Jakarta, so we report this with action steps to control Avian Influenza (AI) in poultry has been, is and will be as follows:

1. Based on the identification of risk factors for transmission of avian influenza that:

a. Local / residential neighborhood of AI patients are less hygienic, some residents of surrounding communities still maintain the yard al chicken fowl, wild duck and pigeon racing. PD victim has a history of contact with his racing pigeons.

b. The day before (Saturday) there is a tail of a dead chicken's neighbor the victim with a radius of about 50 meters. chicken carcass was immediately buried by the owner. So when Tim came not obtain samples from dead birds.

2. Surveillance tracking cases of AI in poultry in the vicinity of the victim that the results of laboratory examination of 53 specimens from poultry samples and 31 samples from environmental specimens negative results against H5N1 AI virus.

3. Sweeping / policing culling of poultry and poultry cages that do not have the certification by the Department of Animal Husbandry Jakarta (DKI Jakarta Governor Decree No. 15 Year 2007 on the Control of maintenance and distribution of poultry)

4. Gotong citizens together to perform cleaning and disinfection in poultry cages and neighborhoods as well as certified in the Shelter and Poultry Cutting.

5. Socialization of public concern about the Clean and Healthy Behavior (PHBs), among others: If contact with poultry should wear masks, wash hands with soap, poultry report sick / dead to the officers of the local farming.

6. Encourages the acceleration of the implementation of relocation Shelter and Cuts Poultry in Jakarta (Jakarta Local Regulation No. 4 Year 2007 on Restructuring Poultry)