Four days ago, in Watching Indonesia: Media Reports Two H5N1 Cases In Tangerang, we saw unconfirmed media reports of two recent (fatal) H5N1 cases in Tangerang, very near the capital Jakarta. Although these reports continued over the weekend, today the Indonesian MOH has finally posted a statement on their Sehat Negeriku (Healthy Mine Own Country) website.
Between 2006 and 2008, Indonesia was the undisputed leader in human H5N1 infections (122 cases & 112 deaths over 3 years), a dubious mantle claimed from Vietnam which led the pack between 2003 to 2005. In 2009 Egypt took the title, and except for Cambodia’s brief run up in 2013, has held it since.
Over the past three years Indonesia’s bird flu cases have dwindled down to single digits, with only 2 cases reported in 2014. Their case fatality rate, however, remains among the highest in the world at 83.9% – more than double that we’ve seen in Egypt and a full 50% higher than the global average.
In today’s report we learn that a 40 year-old man and his son fell ill 4 days apart (son first) earlier this month, both were treated and released by different local hospitals – then readmitted as their conditions worsened – and both died within 48 hours of each other.
Diagnosis of H5N1 did not come until each was at or very near the end of their life, a delay perhaps exacerbated by the decline in local H5N1 cases reported over the past 5 years. Media reports have linked their infections to a visit to the man’s sister’s farm where poultry had recently died, but their exact exposure remains under investigation.
Ministry of Health, through the Directorate General of Disease Control and Environmental Health announced two new cases of bird flu have been confirmed by the Center for Biomedical and Health Technology Association, Agency for Health Research and Development.
The first case of an employee initials TS (L, 40), a resident of the city of Tangerang, Banten province. On March 15, 2015, the case began to complain of not feeling well, but still works. Dated March 17, 2015, symptoms of fever, coughing and outpatient treatment to a private hospital. Dated March 21, 2015 TS Hospital emergency room treatment to other private, chest X-ray results show dextra pleuropneumonia . Because fixed fever and cough accompanied by weakness and nausea, in the evening treatment case back to the hospital and treated with a working diagnosis of pleural effusion dextra et causa pneumonia . On March 23, 2015, and a worsening case admitted to the ICU with a diagnosis of pleural effusion dextra, pneumonia and liver dysfunction. The next day the date of March 24, 2015 and grew more difficult cases diagnosed as Suspect Bird Flu, getting worse and and died at 16:25 pm. Dated March 25, 2015, stating Balitbangkes PCR laboratory test results TS Positive cases of H5N1.
The second case initials MAIPS (L, 2 years) is a subsidiary of TS cases, lived one house with his parents. Dated March 11, 2015, symptoms of fever, cough and runny nose then went to a private hospital and treated. On March 16, 2015, the case out of the hospital, but at home complaining of bloating and cough. Circumstances of the case there is no change, the case complained of tightness and referred to other private hospitals. Because of deteriorating, dated March 26, 2015, the case was referred to the Friendship Hospital hour 02:40 pm, and died at 4:10 pm. Dated March 26, 2015, stating Balitbangkes PCR laboratory test results MAIPS Positive cases of H5N1.
DG team and PL, Research and Development Agency, the Department of Health and PHC Tangerang Tangerang City, Rapid Response Unit Strategic Animal Diseases (URCPHMS) - Ministry of Agriculture has been an epidemiological investigation into the homes of people and the environment. In case the house does not have a good pet birds or other, but in the neighborhood there are many cases of people who maintain ornamental birds and pigeons. Possible risk factors in the case, among others, domestic poultry neighbors around the house case; and the direct and indirect contact with domestic poultry sister case in the District. Bogor.
With the increase in these two cases, from 2005 until this news was published, the cumulative number of AI cases in Indonesia is 199 cases with 167 deaths.
Director General of Disease Control and Environmental Health dr. Mohamad dawn, MPPM as the National Focal Point for International Health Regulations (IHR) has been informed about the case to the WHO.
The government together with the whole community has made various efforts to control bird flu since 2005. In the 10-year period (2005-2014) looks downward trend avian influenza in animals and humans. During the nine months from June 2014 until February 2015 no cases of Bird Flu in Indonesia.
The success of AI control is determined by the role and support of the whole community, especially the role of society in prevention efforts. Efforts to do community is to avoid contact with sick or dead birds suddenly; maintain personal hygiene and the environment clean and healthy life behavior; and recognize the symptoms of Bird Flu include fever / high heat, cough and sore throat. If there are signs of AI immediately went to the clinic or hospital.
This information is published by Center for Public Communication, Secretariat General of the Ministry of Health. For more information please contact via telephone: 021-52907416-9, fax: 021-52921669, Call Center: 021-500567 and 021-30413700 or e-mail address email@example.com ; info @ Ministry of Health .go.id ; firstname.lastname@example.org .