Indonesia H5N1 2012

[Kassy]

2011 thread here.

http://www.thejakartapost.com/news/2...tangerang.html

An 18 year old died is suspected to be a victim of H5N1 in Tangerang.

---------- Post added at 12:26 AM ---------- Previous post was at 12:23 AM ----------

And more:

Fatal Suspect H5N1 Case In Cengkareng Indonesia
Recombinomics Commentary 14:15
January 25, 2012


Now, allegations of similar cases are also found in West Jakarta, where a boy aged three years initials RV, a resident of RT 15/07 Cengkarengtimur Village, District Cengkareng , died on Monday (23 / 1) around 06.00 after previous intensive care at Friendship Hospital, East Jakarta.

Regarding the victim's body is covered a coffin and not allowed to open, say Parwathi, it was according to the procedure as a form of anticipation of the hospital for suspected cases of bird flu. Despite the negative results of bird flu, disclosed Parwathi,

The above translation describes the death of a suspect H5N1 case (3M) in Cengkareng, Indonesia, which is adjacent to Tangerang, where another suspect H5N1 case (18M) also died after testing negative for H5N1. These two cases had bird flu symptoms and were buried in a sealed coffin, which is customary for H5N1 cases.

The failure to detect H5N1 in these two fatal cases in adjacent areas on the west side of Jakarta is in addition to the suspect case in Bekasi, on the east side of Jakarta, as well as the confirmed cluster in North Jakarta, where the second case initially tested negative for H5N1.

These five cases in the Jakarta area raise concerns that H5N1 is being more efficiently transmitted as it evolves away from the sequences being used in the H5N1 PCR test.

http://www.recombinomics.com/News/01...engkareng.html

[Exodia]

There was another child that died, 3 yo I think (different than the confirmed 5 yo) who had all the symptoms, but tested negative a couple of times, and then died (similar to the 5yo). I'll try to find an english language story tomorrow.

[Exodia]

OK, this is a google translate version or a story over at PFI. The child has been buried, so do not expect any additional testing, so this will likely remain a negative. I get the impression that the folks treating him working under the impression it was H5N1.

JAKARTA, KOMPAS.com - Suspected cases of bird flu on a boy aged three years who is a citizen of the initials RV Cengkareng, West Jakarta, was not evident after the three test results come out. But unfortunately, the soul of the RV was not helped and been buried on Monday (1/23/2012) ago.

Chief Medical Officer of DKI Jakarta, Dien Emmawati, said the little boy was treated at Friendship Hospital since last Friday (20/01/2012). At this hospital, he had twice taken blood samples and found to negatively affected by bird flu virus.

http://translate.google.com/translat...Burung&act=url

[Exodia]

Ninman's Commentary:

Fatal Suspect H5N1 Case In Tangerang Indonesia
Recombinomics Commentary 12:45
January 25, 2012

Patient suspect bird flu, Rohmat (18), resident of RT 09/03, Ciodeng Village, Village Blooms Jaya, District Panongan, Tangerang regency, died after being treated for five days in critical condition in RSU Tangerang District, on Wednesday.

Previously the patient's condition was critical since it first entered isolation space bird flu," said Public Relations RSU Tangerang Regency Ahmad Muchlis when confirmed on her cell phone. According Muchlis, until now is still not clear whether Rohmat died from bird flu or not. "There is no certainty. But the results of observations in the home environment Rohmat by the Health Department yesterday was negative bird flu," he said. He added that the next will Rohmat shrouded corpse in the mortuary. Chances are, he said, Rohmat not take home to his family home. "The possibility is not taken home, but immediately buried," explained Muchlis.

The above translation describes the death of a suspect H5N1 case (18M) in Tangerang, Indonesia, which is on the northwest side of Jakarta. The death follows a confirmed H5N1 cluster in North Jakarta, as well as suspect fatal cases in Cengkareng, which is adjacent to Tangerang, as well as Bekasi, which is on the east sided of Jakarta.

Although the three most recent cases have not been H5N1 confirmed, the second case (5F) in the North Jakarta cluster tested negative multiple times before H5N1 confirmation at autopsy, raising concerns about the sensitivity of the H5N1 for the bird flu currently circulating in Indonesia.
False negatives in Indonesia are common because patients are tested after the start of Tamiflu treatment, which lowers the RNA level. Patient who recover continue to test negative and are not reported as confirmed cases, while those who die have increasing H5N1 RNA levels, which eventually test positive. This testing procedure accounts in part for the high case fatality rate, which ha been near 80% in Indonesia since the first confirmed cases were reported in 2005.

However, at least two the three cases adjacent to Jakarta have tested negative, even though the patients have died with H5N1 symptoms, and have been quickly buried, per protocol for confirmed H5N1 cases.
These recent fatalities and the failure to link the cases to infected poultry, has raised concerns that the H5N1 in Indonesia is being transmitted more efficiently, as seen in the confirmed cluster in North Jakarta as well as the Bali cluster.

Sequences from the Bali cluster included receptor binding domain changes (D187N, A188G, R193M), as well a clear examples of recombination. Moreover, these chnages are likely to lead to immunological escape.

Release of sequences from the North Jakarta cluster would be useful.

http://www.recombinomics.com/News/01...erang_18M.html

[kelee877]

update from promed

he has died of H1N1 not H5N1(well they say they still have to do more test and still cannot release the true cause...)


AVIAN INFLUENZA, HUMAN (15): INDONESIA (JAKARTA), NOT
************************************************** ***
A ProMED-mail post
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Date: Fri 27 Jan 2012
Source: The Jakarta Post [edited]
http://www.thejakartapost.com/news/2012 ... istry.html


Tangerang man positive for swine flu: Health Ministry
---------------------------------------------
The 18-year-old man in Tangerang, who was suspected of being infected with bird flu [avian influenza H/(H5N1) virus infection] and who died on Wednesday [25 Jan 2012], has tested positive for swine flu [influenza A/(H1N1)pdm virus infection], the Health Ministry said. The Ministry's head of research and development, Trihono, told The Jakarta Post on Thursday [26 Jan 2012] that the man had contracted the H1N1 virus which caused a pandemic in 2009.

http://www.promedmail.org/?p=2400:10...6386702832::::

[Kassy]

http://news.xinhuanet.com/english/he..._131424873.htm


Indonesia reports the 3rd H5N1 related death this year. The victim is a 19 year old woman from Jakarta

---------- Post added at 02:44 PM ---------- Previous post was at 02:42 PM ----------

While in South Sulaswesi 5 people from one village are in hospital with suspected bird flu symptoms:

http://www.thejakartaglobe.com/home/...ulawesi/499788

[Kassy]

Jakarta Post gives a bit more details on the third fatal case:

http://www.thejakartapost.com/news/2...tangerang.html

[Catbird]

There's been another fatality, making it 4 so far this year, this time in Bali.

"12-year-old boy dies from bird flu in Bali"

"The boy developed fever on February 11 and was admitted to hospital five days later...

"He suffered shortness of breath and eventually died on February 21. Laboratory tests confirmed he died from the H5N1 virus," she added."

This blog cites the MoH announcement with further details:

"...resident of Badung, Bali. Dated February 11, 2012 fever symptoms develop, see a doctor in private clinics and hospitals. On February 16, 2012 the case was being treated RS. Because of increased shortness, on February 20, 2012 the case was referred to the Referral Hospital Bird Flu, but eventually the case died on February 21, 2012.

Epidemiological investigations have been conducted in the home and neighborhood environment cases by the local Health Department with the results of risk factors is unclear."

[Catbird]

The official details probably won't be out until later this week.

"Suspected bird flu patient dies in Bandung"

"An official at the Hasan Sadikin Hospital in Bandung,West Java, confirmed on Sunday that a patient, identified only as A, 42, died on Saturday evening after having been treated for bird flu symptoms since Feb. 29 at the hospital’s Flamboyan isolation room.

...Primal said that the patient suffered multiple organ failure as his kidneys, respiratory system and liver malfunctioned.

According to Primal, the patient was in a severe condition upon his admission to the hospital.

The patient had been treated previously at the Ujung Berung Hospital and later the Emmanuel Hospital, both also in Bandung."

[Catbird]

This is being called the 5th fatality, so maybe the 42 yr. old in Bandung wasn't confirmed.

"Bird flu claims fifth victim this year in Indonesia"

"AFP
A 24-year-old woman has died of bird flu on Indonesia's Sumatra island, the fifth human death from the virus this year, a health ministry official said Wednesday.

"She tested positive for the H5N1 virus by the health ministry's laboratory. It's the fifth death here this year," the ministry's head of animal-borne infectious diseases, Rita Kusriastuti, said.

...Nine Indonesians died from the virus last year.

"The woman was living in an area where there are many ducks and chickens. She also had some (poultry) in her house," Kusriastuti said, adding that she died on March 1 in a hospital in Bengkulu city."

So, 9 deaths in all of 2011 and already 5 in 2012 and it's only March. I'm wondering if there's been some change - maybe environmental - that might be creating different conditions that might explain this.

[Kassy]

Published Date: 2012-03-13 19:41:06
Subject: PRO/AH/EDR> Avian influenza, human (34): Indonesia, Viet Nam, WHO
Archive Number: 20120313.1069571

AVIAN INFLUENZA, HUMAN (34): INDONESIA, VIET NAM, WORLD HEALTH ORGANISATION
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******

[1] Indonesia

Date: Mon 12 Mar 2012

Source: World Health Organisation (WHO), CSR, Disease Outbreak News [edited]

http://www.who.int/csr/don/2012_03_12b/en/index.html





Avian influenza situation in Indonesia -- WHO update


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


As of 12 Mar 2012, the Ministry of Health of Indonesia has notified WHO of a new case of human infection with avian influenza A(H5N1) virus.



The case is a 24-year-old female from Bengkulu Province. She developed fever on 23 Feb 2012 and was hospitalized on the following day. She had breathing difficulty; her condition deteriorated, and she died on 1 Mar 2012.



Epidemiological investigation conducted by a team of public health and animal health authorities indicated an exposure to a potentially contaminated environment where sudden deaths of poultry had occurred recently.



The case was confirmed by the National Institute of Health Research and Development, Ministry of Health. To date, of the 187 cases reported in Indonesia since 2005, 155 have been fatal.



--

Communicated by:

ProMED-mail Rapporteur Marianne Hopp



[This represents the WHO confirmation of the previously suspected human case of avian A/(H5N1) influenza virus infection reported in the ProMED-mail post "Avian influenza, human (29): Indonesia (WJ) susp 20120305.1061611".



Curiously the residence of the deceased patient is now stated to be Bengkulu (also known as Southwest Sumatra) province of Indonesia, and not West Java as stated previously. Bengkulu is located on the southwest coast of the island of Sumatra, and borders the provinces of West Sumatra, Jambi, South Sumatra and Lampung. Bengkulu can be located in the HealthMap interactive map at: http://healthmap.org/r/1ZW9. - Mod.CP]



....

http://www.promedmail.org/direct.php...120313.1069571

[Kassy]

Published Date: 2012-04-26 14:22:02
Subject: PRO/AH/EDR> Avian influenza, human (47): Indonesia (BA) child
Archive Number: 20120426.1114894

AVIAN INFLUENZA, HUMAN (47): INDONESIA (BALI) CHILD
************************************************** *
A ProMED-mail post
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ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org


Date: Wed 25 Apr 2012

Source: The Jakarta Globe [edited]

http://www.thejakartaglobe.com/home/...ird-flu/513982





An 8 year old boy died from bird flu [avian influenza A/(H5N1) virus infection] in a Bali hospital on Tuesday night [24 Apr 2012]. The boy was in critical condition when he was transferred from Bangli Hospital to Sanglah Hospital on Tuesday afternoon and he was immediately isolated. "Clinically, and supported by the VCR (visual convention reaction) laboratory result, the victim was positively infected with the H5N1 virus," said Sanglah Hospital spokesman Ida Bagus Ken Wirasandi on Wednesday [25 Apr 2012].



The boy died at 10:15 pm after 4 hours at the hospital. Ken said the boy's family told him the victim had been in contact with dead poultry 2 months ago. The Bali Health Agency head Ketut Suarjaya said that 7 people on Bali have died since the virus first reached the island in 2007. "In 2011, 46 patients were suspected to have avian flu [in Bali]," Suarjaya said.



[byline: Made Arya Kencana]



--

communicated by:

ProMED-mail rapporteur Mary Marshall

[The death of this child is reported to have been confirmed as the result of avian influenza A/(H5N1) virus infection. If confirmed officially this will become the 189th case in Indonesia, and the 157th fatality, since the onset of the outbreak in 2005. The reliability of the diagnose is uncertain, however, since the exposure of the child to dead poultry was 2 months prior to his death. Furthermore there have been 46 suspected cases in Bali during 2011, but only 7 officially confirmed deaths overall [and only one by WHO this year].



Maps of Denpasar district and Bangli in the Indonesian island of Bali can be seen at http://www.bali-maps.com/badung_bali_map.html and http://www.bali-maps.com/bangli_bali_map.html respectively. The HealthMap/ProMED-mail interactive interactive map of Indonesia can be seen at http://healthmap.org/r/1nkj. - Mod.CP]


http://www.promedmail.org/direct.php...120426.1114894

[Kassy]

http://www.thejakartaglobe.com/home/...in-bali/514576

A poultry market in Denpasar has been closed after at least 4 chickens tested positive for H5N1.

The reason for the return of Birf Flu in Bali seems to be that despite a ban on moving poultry from island to island there are at least two shipments from East Java coming in every day...

Maybe they'll do something about it because of the newest death.

BTW: that one is probably not related to this story because they stated contact with sick poultry two months before the death but that's too long to be related.

[Kassy]

Published Date: 2012-04-30 22:03:40
Subject: PRO/AH/EDR> Avian influenza, human (48): Indonesia (BA) fighting cocks
Archive Number: 20120430.1118785

AVIAN INFLUENZA, HUMAN (48): INDONESIA (BALI), FIGHTING COCKS IMPLICATED
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ProMED-mail is a program of the
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http://www.isid.org


Date: Sun 29 Apr 2012

Source: Bali Discovery Tours [edited]

http://www.balidiscovery.com/message...e.asp?ID3D8145





Bali Animal Health Officials have again recorded a new outbreak of bird flu among Bali's poultry populations. Officials warn that Bali, as an area endemic to the avian H5N1 influenza virus, can expect the disease to sporadically present itself at any location around the island from time to time.



Quoted by Beritabali.com [All About Bali], the head of the Livestock and Animal Health Department for Bali, Putu Sumantra, blamed the appearance of bird flu in Bali over the past year on low levels of bio-security, particularly at bird and traditional markets where traders place little importance on following guidelines to eliminate the disease. The implementation of bio-security measures, by both traders and consumers, is little considered. Because of this, the disease is sporadically appearing, with 12 cases identified to date, explained Sumantra. Another factor making Bali vulnerable to the disease is the widespread tendency to allow poultry to roam freely in areas of human populations. As many as 230 fighting cocks were rounded up and destroyed by officials at the Satria Bird Market in downtown Denpasar on Thu 26 Apr 2012. The slaughter followed the death of an 8-year-old child from Kintamani identified by preliminary laboratory tests as a victim of avian A/H5N1 virus infection [see: Avian influenza, human (47): Indonesia (BA) child 20120426.1114894] and the sudden death of a chicken purchased from the Satria Bird market.



Dr (veterinarian) Wayan Sukandi of the laboratory of the Livestock and Animal Health Department said: "The destruction of hundreds of chickens was done to interrupt the cycle of contamination by the H5N1 virus." The mass culling of birds took place after a rapid test confirmed that the virus was present in the market's bird population. The birds, originating from Probolinggo and Jember in East Java, were euthanized through fatal injections before having their remains burned.



In 2012, Bali has recorded 2 [human] deaths linked to [avian] A/H5N1 virus infection. In February 2012, a resident of Tabanan died from bird flu. The latest death of the child from Bangli, Kintanani on 24 Apr 2012 was tied to the virus, but subsequent confirmatory tests carried out in Jakarta reportedly proved negative for the H5N1 virus.



--

Communicated by:

ProMED-mail Rapporteur Mary Marshall

[The death of the 8-year-old child from Bangli, Kintanani on the Indonesian island of Bali was suspected initially to be the result of avian influenza A/(H5N1) virus infection [See ProMED: Avian influenza, human (47): Indonesia (BA) child 20120426.1114894], and the report may have contributed to the destruction of fighting cocks at the Satria Bird Market in downtown Denpasar described in the preceding report. However, according to the current report, the diagnosis of avian influenza virus infection has not been confirmed by subsequent investigation, and this child's death is probably unrelated to the extensive outbreak of avian influenza in poultry on the island. Further information clarifying the cause of death of the child is awaited.



Maps of Denpasar district and Bangli on the Indonesian island of Bali can be seen at http://www.bali-maps.com/badung_bali_map.html and http://www.bali-maps.com/bangli_bali_map.html, respectively. The HealthMap/ProMED-mail interactive map of Indonesia can be seen at http://healthmap.org/r/1nkj. - Mod.CP]



[Since the onset of the HPAI H5N1 panzootic in Eastern Asia in 2004, fighting cocks, often illegally traded nationally and internationally, have been incriminated many times as the vector of the virus. Such suspicions have been reported in not less than 84 of ProMED-mail's postings throughout the years from several countries, including Thailand, Viet Nam, Malaysia and Indonesia. For instance, smuggled fighting cocks from Thailand were found by the Malaysians to be the mode of the H5N1 avian influenza virus introduction in August 2004. Similarly, Indonesia reported that the virus was introduced by smuggled fighting cocks. - Mod.AS]


http://www.promedmail.org/direct.php...120430.1118785

[Kassy]

Published Date: 2012-05-02 18:53:15
Subject: PRO/AH/EDR> Avian influenza, human (49): Indonesia (RU) child
Archive Number: 20120502.1120713

AVIAN INFLUENZA, HUMAN (49): INDONESIA (RIAU), CHILD
************************************************** **
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ProMED-mail is a program of the
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http://www.isid.org


Date: Wed 2 May 2012

Source: The Jakarta Post [edited]

http://www.thejakartapost.com/news/2...-fatality.html





A 2-year-old boy died from bird flu [avian [A/H5N1) virus infection] last Friday [27 Apr 2012] in a state hospital in Riau, the Health Ministry has confirmed.



A ministry team has investigated the boy's neighborhood and found that he may have had contact with quails' eggs because his parents sold them, the Ministry's directorate general for disease control and environmental health said in a press statement released on Tuesday night [1 May 2012].



The boy, a resident of Siak in Pekanbaru, was brought to a private clinic on 20 Apr 2012 after developing a fever on 17 Apr 2012, the statement said. He was then rushed to a private hospital on the night of 20 Apr 2012 because his condition had not improved, it said. On 21 Apr 2012, he was treated in another hospital identified only as EB, where doctors reported the case to the Riau Health Agency's post command. He was referred to a state hospital, identified only as AA. "[The boy's] condition deteriorated, and he died on 27 Apr 2012 at 11:45 p.m. at Hospital AA," the statement said.



The total number of bird flu cases since 2005 now stands at 189, with 157 fatalities after the latest case. Director general Dr. Tjandra Yoga Aditama has reported the latest case to the World Health Organization, the statement said.



[Byline: Mustaqim Adamrah]



--

Communicated by:

ProMED-mail Rapporteur Mary Marshall

[Not all reports of human cases of avian influenza virus infection in Indonesia are subsequently confirmed. However, this report emanates from the Indonesia Ministry of Health and is likely correct. Therefore, this case will become the 7th case and 7th fatality to be recorded in Indonesia in 2012.

Riau is a province of Indonesia located in the center of the island of Sumatra. The capital and the largest city is Pekanbaru. The interactive HealthMap of Riau province can be accessed at: http://healthmap.org/r/2iLo. - Mod.CP]




See Also
http://www.promedmail.org/direct.php...120502.1120713

[Kassy]

AN 8 year old Indonesian girl died of H5N1:

http://www.upi.com/Health_News/2012/...7981341489536/

http://www.radioaustralia.net.au/int...ke-asia/974594

[Kassy]

Published Date: 2012-07-07 13:25:08
Subject: PRO/AH/EDR> Avian influenza, human (59): Indonesia (WJ) child, fatal, WHO
Archive Number: 20120707.1193191

AVIAN INFLUENZA, HUMAN (59): INDONESIA (WEST JAVA) CHILD, FATAL, WHO
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ProMED-mail is a program of the
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[1]

Date:: Fri 6 Jun 2012

Source: World Health Organization (WHO), CSR, disease Outbreak News [edited]

http://www.who.int/csr/don/2012_07_06/en/index.html





Avian influenza situation in Indonesia -- WHO update


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


The Ministry of Health of Indonesia has notified WHO of a new case of a human infection with avian influenza A(H5N1) virus. The case is an 8 year old girl from the province of West Java. She developed fever on 18 June 2012 and then travelled on vacation the following day to Singapore, where she saw a private physician who diagnosed pharyngitis on 20 June. The case returned to Jakarta on 24 June and was still feeling unwell with coughing, decreased appetite, and vomiting. Her family took her for treatment to the local hospital. Her condition deteriorated and she was transferred to intensive care, but died on 3 July. Infection with avian influenza A(H5N1) virus was confirmed by the National Institute of Health Research and Development (NIHRD), Ministry of Health.



Epidemiological investigation has been conducted in the case's neighborhood and nearby market, which revealed that the case had contact with poultry when she went to a market with her father to buy live chickens. She was present when the chicken was culled in the designated part of the market.



The Ministry of Health in Singapore has been informed about the case under the International Health Regulations.



To date, the total number of human influenza A(H5N1) cases in Indonesia is now 190 with 158 fatalities.



--

communicated by:

ProMED-mail rapporteur Marianne Hopp




******

[2]

Date: Fri 6 Jul 2012

Source: Singapore News channelnewsasia.com [edited]

http://www.channelnewsasia.com/stori...12018/1/.html?





Indonesian girl who travelled to Singapore dies of avian flu


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


SINGAPORE: The Health Ministry says it has been informed of a case of avian influenza A (H5N1) [virus infection] in an 8 year old girl from Indonesia who had travelled to Singapore. In a statement, the ministry said the girl developed fever in Singapore on 18 Jun 2012 and returned to Indonesia on 24 Jun 2012. She died on 3 Jul 2012.



The ministry said human cases of avian influenza A have been reported in a number of countries, including Indonesia, from time to time since 2004. To date, the efficient spread of H5N1 from person to person has not been reported. And the Health Ministry has not been notified of any local cases of H5N1. Singapore's Health Ministry is in close contact with the Indonesian health authorities and WHO.



The Indonesian health authorities have reported that the girl had exposure to poultry while in Indonesia, a few days before her travel to Singapore. They are monitoring her close contacts, including family members. All contacts have remained well. As a precautionary measure, Singapore's Health Ministry has alerted hospitals to the case and commenced contact tracing in Singapore. The girl stayed at a hotel in Singapore with her mother and other relatives from 19 to 24 Jun 2012 on a vacation. She was brought to see a general practitioner for high fever on 22 Jun 2012 and was given treatment. Her relative who lives here and the general practitioner who treated the case are both well.



--

communicated by:

ProMED-mail rapporteur Mary Marshall

[This case becomes the 190th in Indonesia since the onset of the outbreak in 2005 and the 158th fatality. Like the majority of previous cases of avian A/(H5N1) virus infection in Indonesia and elsewhere, only a solitary individual has become infected in each incident, and none of the affected individual's relatives or contacts. Consequently the expectation is that there will be no onward transmission of avian influenza A/H5N1 virus infection to any of the deceased girl's contacts during her stay in in Singapore.



The interactive HealthMap of West Java can be accessed at http://healthmap.org/r/2HZy, and that of Singapore at http://healthmap.org/r/2yqD. - Mod.CP]




See Also
http://www.promedmail.org/direct.php...120707.1193191

[Kassy]

A 37 year old male has died 30-07-2012 of H5N1. Ninth victim of the year.
The cause: he lived close to poultry farms.

http://www.bangkokpost.com/news/asia/307193/