Indonesia: Bandung Patient H5N1 Positive

 

 

# 5126

 

 

Yesterday Dutchy received an email from a Ministry of Health official in Indonesia saying that the 21-year-old woman from West Java, Indonesia admitted to Hasan Sadikin (RSHS) back on November 22nd had tested positive for the H5N1 virus.

 

That confirmation was posted on FluTrackers  here, and was picked up by ProMed Mail  overnight.

 

This morning, the local media in Indonesia has picked up the story as well.  This translation, again from Dutchy, is of an article that appears in today’s Tempo Interaktif.

 

 

A citizen of Bandung Positive Bird Flu

WEDNESDAY, DECEMBER 8, 2010 |

TEMPO Interactive , Bandung - The bird flu virus re-emerged. Specific Diseases and Isolation Team Hasan Sadikin Hospital, Bandung, ensure there is an infection of influenza A subtype H5N1 virus in a resident Street Holis, Bandung.

 

The source of the virus so far unknown.

 

The spokesman said team doctors Primal Sudjana, Hasan Sadikin Hospital has received confirmation from the Agency for Health Development Research Ministry of Health Jakarta, which examine a sample Ny. K, 21 years old. "Today has received a positive result (bird flu)," he told Tempo on Wednesday (8 / 12).

 

<SNIP>

To this day, according to the Section Head of Monitoring Disease Yorisa Sativa, husband and child patients are also neighbors who live in the same house no one contracted the virus.

 

"They did not keep poultry at home also no sudden deaths of poultry in the vicinity of their homes," he said, Wednesday (8 / 12).

 

You can read the entire translation here.

 

Four days ago, I wrote at some length (see Indonesia: The Long Wait For Test Results) about this case, and the amount of time it was taking to get a test result.

 

Testing for the virus can be difficult. The good news is that Depkes – the Ministry of Health – publicly acknowledged the positive result once they had it.  

 

 

As the northern hemisphere moves into winter we are already seeing an uptick in the number of H5N1 reports in humans, wild birds, and poultry. This is to be expected, and has been the pattern since the virus re-emerged in 2003.

 

Despite limitations to surveillance, the number of human infections around the world obviously remains quite low.

 

The virus remains poorly adapted to human physiology, and despite ample opportunities in places like Egypt and Indonesia, only causes rare, sporadic infections.

 

The concern, of course, is that over time that may change.  And so the world remains at Pre-pandemic Phase III on the H5N1 virus, and we continue to watch for signs that the virus is adapting to humans.

 

 

 

Cases such as the one cited above, with no obvious direct contact with sick or diseased birds, warrant additional scrutiny. 

Bandung, Indonesia: Bird Flu Suspect

 

# 5093

 

 

From newshound extraordinaire Dutchy, we’ve a new thread this afternoon on FluTrackers following reports of a 21 year-old woman from from West Java, Indonesia who has been on a ventilator for several days and is suspected of being infected with the H5N1 virus.

 

As always, until we get laboratory confirmation, this is only a suspected case of bird flu. 

 

Here is Dutchy’s machine translation of the report from http://us.bandung.detik.com/.

 

 

 

Unexpected First Bird Flu Patient Treated in RSHS

Oris Riswan Budiana – detikBandung

Bandung - The first patient suspected H5N1 virus or bird flu in West Java this year, being treated at Hasan Sadikin (RSHS) since 22 November. K, 21-year-old woman was living in Bandung Kulon area.

 

This was confirmed by CEO RSHS Bayu Wahyudi when found in RSHS, Pasteur Road, on Friday (11/26/2010).

 

"Yes, there is a patient being treated, the situation is serious. She came 22 November with the state of pneumonia (inflammation of the lung - editor), shortness of breath, decreased consciousness, and other symptoms," said Bayu.

 

He explained that K Flamboyan treated at the Isolation Room. K is placed in that space because the symptoms of respiratory disease severe enough.

 

As is known, space is a special place for the treatment of patients with severe respiratory disease. For example, patients with H1N1 or swine flu (now called influenza A H1N1) and H5N1 or bird flu.

 

"We still do the examination and the results hopefully in the near future can be known," he said.

 

Based on the information collected, the woman suspected of contracting bird flu. That's because the clinical condition of the patient's body become heavy overnight. In fact, patients fitted with a ventilator or a ventilator since the first day of treatment.

 

 

Additional reports, when they are released, will be placed in this thread.  You may also wish to follow @Dutchy on Twitter.

 

I will update this story when we have more information.

 

Currently outbreaks of H5N1 occur primarily in birds, although sporadic,widely scattered human cases are reported around the world as well – most commonly in Egypt and Indonesia.

 

Most (but not all) have been linked to close contact with infected poultry or birds. The source of infection in a small number of human cases isn’t known.

 

While the virus has yet to adapt well enough to human hosts to transmit effectively between people, scientists still fear the virus could mutate into a pandemic strain someday.

Indonesia: 4 Bird Flu Suspects Hospitalized

 

 

 

#4947

 

 

This morning - via Ida at BFIC,  Arkanoid Legent, and Dutchy at FluTrackers  - we have three reports which state that 4 of the 18 people being monitored with flu-like symptoms in the wake of a bird flu outbreak in South Sulawesi (see The Ongoing Bird Flu Flap In Indonesia) are now hospitalized.

 

At this point, laboratory confirmation of H5N1 infection has not been received, and these remain merely `suspect’ cases. 

 

The Indonesian government has displayed continued  reluctance to discuss their country’s bird flu problem  (see Indonesia To Stop Announcing Bird Flu Deaths) – so when or even if - we get official comment on this outbreak is hard to say.

 

We’ll start with a hat tip to Arkanoid Legent - who has developed into a terrific resource and one of the best news gathering sites in Flublogia. 

 

Indonesia : Four Patients Suspected Bird Flu

Another translated report from Liputan 6, bird flu patients in South Sulawesi :

" Makassar: Four suspected bird flu infected patients treated at Wahidin Sudirohusodo Hospital, Makassar, South Sulawesi. The information obtained is SCTV, on Wednesday (29 / 9), four patients consisted of two children and two adults. They are referrals from district hospitals Pinrang.

 

Pediatric patients is Savira origin and Andrian Soppeng District of Pinrang. Two other patients are from Novi and Nawir also Pinrang. Nawir and Andrew are still one family.

 

Although there is no further examination, doctors suspected bird flu because they suffer from high fever after dozens of dead pet chicken."

 

 

Ida at the Bird Flu Information Corner has this translation of a report that appeared in the Indonesian newspaper Tempo Interaktif.   This is just an excerpt, follow the link to read it in its entirety.

 

 

Makassar, South Sulawesi ::: Wahidin Sudirohusodo hospital treats bird flu suspects

Posted by Ida on September 29, 2010

Makassar – Four people are being treated in Inspection Center of Wahidin Sudirohusodo, Makassar, Wednesday 29/09. Those patients are residents of Kabupaten (municipal) Pinrang and Soppeng.

 

Three patients came from Jampue, Kecamatan Lanrisang, Kabupaten Pinrang, identified as Novi (17), Nawir (42) and Adrian (4-year-old). They were admitted to Lanrisang Pinrang hospital at 5,00 am before transferred to Makassar.

 

A 3-year-old girl, Safira, from Kabupaten Soppeng had been admitted to Wahidin Sudirohusodo hospital on the previous day.

 

The four patients are currently having high fever.

 

Director of Wahidin Sudirohusodo hospital, Andi Kalsum Patonangi said those patients were suspected to contract bird flu infection. However, hospital is still waiting laboratory confirmation of bird flu infection.

 

(Continue . . . )

 

And last, but certainly not least, we’ve this translation of a detikNews story by the indefatigable Dutchy  which indicates that the 17 year-old boy may be in the most serious condition, while the three others are slowly improving.

 

This translation is posted on this ongoing FluTrackers Thread.

 

Four Suspects Bird Flu Treated in Hospital Wahidin Sudirohusodo Makassar

Muhammad Nur Abdurrahman - detikNews
Makassar - 4 residents Pinrang and Soppeng District, South Sulawesi, was treated in hospital intensive Wahidin Sudirohusodo DR, Makassar due to high fever.

 

The four were suspected suspect bird flu.

 

Two patients, namely Nawir (42), Adrian (4), derived from Sondra Village, District Jampue. Another patient Novi (17 yrs) from Samaule Village, District Lanrisang Pinrang. While the last patient Sapphire (3), toddlers origin Paroko Village, Sub District Lilirilau Soppeng.

 

All four are now isolated on the first floor space Inpection Center Hospital Wahidin Sudirohusodo. The third patient from the previous Pinrang Lasinrang was treated in hospitals in Pinrang.

 

General & Operations Director RS Wahidin, Kalsum Patonangi, said the four patients had high fever. In the neighborhood around his house, found hundreds of dead birds.

 

"At this time the blood samples of patients still in the examination in the laboratory," said Kalsum.
Kalsum add three patients, in addition to patient Novi, conditions are slowly improving. However the three should still be monitored in a special room Inspection Center.

 

My gratitude goes to these three newshounds - along with dozens of others - who work tirelessly in and around Flublogia to find, translate, and post these stories.  

 

Much of what I do here is dependant upon their fine efforts – which is why I hat tip them at every opportunity.

 

For now, it still isn’t clear whether any of these patients are infected with the H5N1 virus, and if so, how they may have contracted it. Hopefully more details will emerge over the next couple of days. 

 

The newshounds on the Flu forums (see Newshounds: They Cover The Pandemic Front) will keep this under close watch, and you can be sure that Crof, Arkanoid Legent, BFIC, Chen Qi and I will, as well.

 

Stay tuned.