Indonesia: H5N1 or H1N1?

[flourbug]

Hat tip, AB

Indonesia: H5N1 or H1N1?

Via Bird Flu Information Corner, a report with an important comment: Tangerang, Banten ::: Vet’s family infected by A/H1N1 virus. I'm posting the entire report, including the blog administrator's comment:

A family of four in Kecamatan Curug, Kabupaten Tangerang infected by H1N1 Mexico flu.

“Ministry of Health laboratory test showed positive H1N1,” said the head of Health Service, Kabupaten Tangerang, Hani Heryanto, on Wednesday (15/7).

Until now, this family is still being treated at isolation unit Tangerang public hospital. The family members are W (44), I (39), R (4) and L (14). W is a veterinarian who’s working for Health Service of Kabupaten Tangerang.

Hani said, W was assigned to check sick birds in a chicken farm located in Curug. After visiting the farm, W developed high fever with bird flu-like (H5N1) symptoms.

“Because he had contact with sick birds, we suggested that he had bird flu infection, and gave him tamiflu administration,” said Hani.

Because W didn’t get better, in particular his wife and two children also developed symptoms; they were rushed to Tangerang hospital last Sunday (12/7) and treated at isolation unit.

Hani admitted that the test result was surprising. “We thought of H5N1, but the result showed H1N1 instead,” said Hani.

Following to the result, Health Service of Kabupaten Tangerang collected samples from people who had contact with W and family.

Source: Indonesia newspaper, Tempo Interaktif. http://www.tempointeraktif.com/hg/la...187339,id.html

A friend reminds me about possibility of dual infection H1N1 and H5N1. From this report, we should consider about this possibility. In dual infection sometimes one virus may be dominating, and this can cause positive result to only one virus. I remember one isolate tested H1N1 2009 positive, but when we did the re-check, it was H3 positive and negative H1. Further check showed dual infection of H1N1 and H3N2.

Seeing the history of chicken farm visit, I hope the government will continue to a more detailed test for H5N1 (adm)

http://crofsblogs.typepad.com/h5n1/

[flourbug]

Here's the article referred to in the first paragraph. The tempopoint article is not in english:

Tangerang, Banten ::: Vet’s family infected by A/H1N1 virus

Tangerang, Banten – A family of four in Kecamatan Curug, Kabupaten Tangerang infected by H1N1 Mexico flu.

“Ministry of Health laboratory test showed positive H1N1,” said the head of Health Service, Kabupaten Tangerang, Hani Heryanto, on Wednesday (15/7).

Until now, this family is still being treated at isolation unit Tangerang public hospital. The family members are W (44), I (39), R (4) and L (14). W is a veterinarian who’s working for Health Service of Kabupaten Tangerang.

Hani said, W was assigned to check sick birds in a chicken farm located in Curug. After visiting the farm, W developed high fever with bird flu-like (H5N1) symptoms. “Because he had contact with sick birds, we suggested that he had bird flu infection, and gave him tamiflu administration,” said Hani.

Because W didn’t get better, in particular his wife and two children also developed symptoms; they were rushed to Tangerang hospital last Sunday (12/7) and treated at isolation unit.

Hani admitted that the test result was surprising. “We thought of H5N1, but the result showed H1N1 instead,” said Hani. Following to the result, Health Service of Kabupaten Tangerang collected samples from people who had contact with W and family.



Source: Indonesia newspaper, Tempo Interaktif. http://www.tempointeraktif.com/hg/la...187339,id.html



A friend reminds me about possibility of dual infection H1N1 and H5N1. From this report, we should consider about this possibility. In dual infection sometimes one virus may be dominating, and this can cause positive result to only one virus. I remember one isolate tested H1N1 2009 positive, but when we did the re-check, it was H3 positive and negative H1. Further check showed dual infection of H1N1 and H3N2.

Seeing the history of chicken farm visit, I hope the government will continue to a more detailed test for H5N1 (adm).

http://birdflucorner.wordpress.com/2...y-ah1n1-virus/

[Auburn Boy]

Thanks to Flourbug for posting this for me. I've been busy flagging it elsewhere..,

The keys points to not in this case are:

1.) Vet assigned to check sick birds takes ill.

2.) Docs at his initial presentation concluded it might be H5N1, because of 1.) above, and symptoms.

3.) Tests later show H1N1 (PanFlu or Seasonal?????) rather than H5N1.

4.) The vets family took sick as well!!!

Okay. Better than Science Fiction.

Now for the kicker:

“Because he had contact with sick birds, we suggested that he had bird flu infection, and gave him tamiflu administration,” said Hani.

Because W didn’t get better, in particular his wife and two children also developed symptoms; they were rushed to Tangerang hospital last Sunday (12/7) and treated at isolation unit.

[CanadaSue]

Breathe - I'm speaking to myself here - LOL.

First of all, were the birds CONFIRMED or strongly presumed to have H5N1? Or was it something, ANYTHING else?

Secondly, even if the birds had H5N1 - doesn't mean the family did. I'm wondering about timelines - when did dad develop symptoms? How soon after did the rest of the family? Then... the ages of all four lead me to think more H1N1 than H5N1 - with the four year old being an 'outlier', (barely), age-wise.

Clearly though, this sample needs genetic sequencing & if Indo DOESN'T do, the WHO had bloody well be all over them to give up samples. Me - I want samples of ALL family members, the flock involved & the chicken farmer.

[CanadaSue]

Incidently, what symptoms exactly led them to think H5N1? Or just the fact that he had flu-like AND had been checking out a sick flock?

Rhetorical questions unless someone can find more detail somewhere. Article doesn't offer much.

[Kassy]

Just the fact, it says that much. The place isn't mentioned in the H1N1 thread. Since it looks resistant it might seasonal H1N1 but it's one to watch.

[CanadaSue]

True that - article didn't specify if it was seasonal H1N1 or the pandemic version.

And boy, you can get some pretty severe symptoms 'just' from a seasonal strain.

[Auburn Boy]

As of 5:00 P.M. Pacific, this story is getting more coverage in Indonesia.

See the Indonesia thread at Pandemif Flu Information.

http://www.singtomeohmuse.com/viewtopic.php?t=3354

[Auburn Boy]

Now someone comes along to change the story..,

Originally the Vet (W) had contact with chickens, and was suspected of H5N1infection.

Now she had contact with pigs and was out of the country..,

http://www.jurnalnasional.com/?media... laman%20Muka

Hat tip to DBG at PFI for the translated version!!!

Jakarta | Thursday, July 16 2009 One Positive Family Pig Flu By: Jan Prince Permata The family's four members of a veterinary surgeon who lived in the Curug Subdistrict, Kabupaten Tangerang, Banten positive was affected by influenza of A-H1N1 or pig flu. The head of the Control Field of the Control of the Illness and the Environment (P2PL) the Health Service of the Tangerang Regency, Yully S Dewanti said the four people were W (44 years), I (38 ), R (4) and L (14). "They were one family that was kept in one house, afterwards being attacked by pig flu in fast time," said Yully. According to Yully, W was one of the women veterinary surgeons who worked in the Agriculture Service and Livestock Breeding of Kabupaten Tangerang. While I was the brother W that worked as the official of the Health of the Tangerang Regency of the Service. R was the child W and L was the nephew W. "The veterinary surgeon W often gave the socialisation in several service offices and the office of anticipation of the spread of the illness of the livestock animal of the matter subdistrict like pig flu and bird flu," he said. He said, on Monday (13/7) W suddenly experienced the high fever. During was in his house in Curug, W carried out direct contact with I, R, and L. The four of them were afterwards examined and finally was stated positive pig flu. Currently the four of them are treated in space of the Public Hospital isolation of Daerah Tangerang. W admitted to not carrying out direct contact with the sufferer of pig flu and was directly touching with the animal of the pig livestock and went on a trip outside the country. "How was to the end W attacked by pig flu still was investigated by us," said Yully. The husband W and 31 people that had carried out contact with the W family also was checked. "The husband of the veterinary surgeon not indicate positive signs of pig flu, while 31 people were still being done by the inspection," said Yully. <snippy>

Now, who to believe????

[Auburn Boy]

Health Officials in Tangerang Indonesia deny any mutation (resassortment/recombination) of H5N1 H1N1 in case involving Vet worker assigned to investigate sick poultry last week.

Hat-tip to DBG at PFI.

Bird Flu information Corner: http://birdflucorner.wordpress.com/2...flu-infection/

Tangerang, Banten ::: Domestic A/H1N1 flu infection
Tangerang, Banten – Livestock Service of Kabupaten Tangerang denies assumptions of swine flu infection that attacked a family in Curug, Tangerang, was caused by bird flu H5N1-mutated H1N1 or swine flu virus.

“No virus mutation,” said the Head of Animal Health and Veterinary Public Health Division of Livestock Service Kabupaten Tangerang, Mawardi Nasution, on Thursday (16/7).

The swine flu case, Mawardi said, has no relation to sick chickens in Curug farms which were visited by the infected veterinarian. He ensured that W (44) and his family members got H1N1 infection from other source, and not from birds.

According to Mawardi, this suggestion was based on further check done to the birds around Curug area. “No birds tested positive H5N1 either H1N1,” he said.

Regarding to this finding, Mawardi asked Health Service officials to keep on doing surveillance and finding out the source of infection by tracking back the patients activity before he developed illness.

Previously, Vice Mayor of Kabupaten Tangerang, Rano Karno, suspected if the swine flu positive case found in a family resided in Curug, was caused by mutated H5N1 into H1N1 virus.

Rano judged that swine flu case in Tangerang was extraordinary, because it was happened domestically without any report of foreign introduction. In particular, the patient had contact history with sick chickens. “This is worrying us,” said Rano.



Source: Indonesia newspaper, Tempo Interaktif. http://www.tempointeraktif.com/hg/ja...187494,id.html

Good of them to be wrorried, I'd say.

Keeping eyes and ears open for further information..,