# 7977
My thanks to Gert van der Hoek, on Flutrackers, for posting an update from the Indonesian Ministry of Health this morning detailing that country’s latest H5N1 fatality – that of a 31 year-old woman (DL) from East Bekasi, West Java Province – making the third case reported in Indonesia this year.
While once the major source of human H5N1 infections, and still the world’s leader in total number of identified cases (n=195), in recent years the number of cases being reported out of Indonesia has dropped markedly (9 in 2012, 12 in 2011).
Here then is the translated report from the Indonesian MOH.
November 15, 2013 | 3:39 pm
Ministry of Health, "the Directorate General of Disease Control and Environmental Health" announced a new case of bird flu have been confirmed by the Center for Biomedical and Healthcare Technology Association, Balitbangkes.
Case on behalf of DL (female, 31 years) residents of East Bekasi, West Java Province, a housewife. Dated 1 November 2013 starting symptoms of fever and nausea. On 3 November 2013 on the case of a private outpatient clinic and was advised to check into the laboratory within 3 days if there is no change. Since there is no improvement, dated 5 November 2013 case then went to the private hospital outpatient clinic and laboratory permeriksaan done with diagnosed Typhoid Fever. Furthermore, on 6 November 2013 the case went to a different private hospital emergency department with complaints of fever, nausea, vomiting and was treated at the hospital. On June 8 November 2013 state case with complaints worsened cough and shortness. At the date of 11 November 2013 around 02.00 am in the morning, the case of death will be referred to as avian influenza referral hospitals.
Epidemiological investigations have been conducted into the homes of people and the environment by the Ministry of Health Integrated Team, West Java Provincial Health Office, Department of Health and Department of Animal Husbandry obtained Bekasi possible risk factors, namely environmental contact with the ornamental birds in the case. In case the home environment there are about 50-60 birds are scattered about in four locations. About ± 500 meters from the house there is a case of general market spending in the occasional case of the market.
With the increase of these cases, since 2005 until the news was published, the cumulative number of bird flu cases in Indonesia is 195 cases with 163 deaths.
Director General of Disease Control and Environmental Health Yoga Aditama Prof.dr.Tjandra as the focal point of the International Health Regulations (IHR) has been informed about the case to the WHO.
This information is released by Center for Public Communication, Secretariat General of the Ministry of Health. For further information, please contact Halo MOH hotline <country code> lokal> 500-567; SMS 081 281 562 620, fax: (021) 52921669, www.depkes.go.id website and e-mail address kontak@depkes.go.id.
With the level of bird flu activity in Cambodia, the expected return of H7N9 in China, and colder temperatures moving across Asia and the Middle East, we are likely to see more avian flu infections over the next few months.
