Malang, East Java ::: Islamic school students develop flu symptoms

This is related to the previous post.

 

Malang, East Java – Hundreds of islamic school students of Pondok Pesantren Babussalam developed flu symptoms. Prior to the incident, number of chickens suddenly died around the school’s area, as head of public health center of Pagelaran, dr Rosihan Anwar stated.

However, further examination done by Livestock and Animal Health Service of Kabupaten Malang showed no evidence of bird flu infection to the dead chickens. “Livestock service said that the chickens were negative bird flu infection,” he said.

Before the flu symptoms observed on those students, three locals from Banjarejo were reported to have flu on 12 July. They have been treated with common drugs instead of Tamiflu. For the recent case, Health Service has also treated the students with common flu drugs, and not Tamiflu, until the cause of disease is confirmed. However, Health Service has distributed about 200 tamiflu tablets to 39 public health centers, including Pagelaran area.

Despite of Babussalam islamic school, two other islamic schools in Singosari experienced flu attacks. Those schools are Alquran Nurul Huda and Al Ishlahiyah. Previously, flu attacks have been occurred in islamic schools around Ponorogo and Jombang areas.

Regarding to this, Head of Health Service in Kabupaten Malang, dr Agus Wahyu Arifin, asked all islamic schools in his duty areas to maintain their sanity, health and food quality.

For further examination, five throat swab samples of the sick students from Singosari and seven from Pagelaran, have been sent to Syaiful Anwar hospital (RSSA). “We collected samples from the students who developed severe symptoms,” said Agus. The result, Agus added, may be issued within five days if RSSA has the detection system for bird flu or swine flu infection, otherwise it may take a week to complete the examination.

The head of Babussalam islamic school, Hj Darwis mentioned that she had asked the students to clean the area of Babussalam islamic school. “We’re afraid that this is caused by swine flu virus. Hopefully, health service can provide masks for our students,” she said.

 

Source: Indonesia local newspaper, Malang Raya. http://malangraya.kabarku.com/Berita-Kota-Malang/Santri-Flu-Burung-Minta-Ponpes-Karantina-Pasien-16724.html

 

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Malang, East Java ::: 250 students suspected to contract bird flu infection

Malang, East Java – Numbers of islamic school students in Pondok Pesantren Babussalam, Gondanglegi, Kabupaten Malang, East Java, who are suspected to contract H5N1 virus infection, increased.

Up to present moment, number of H5N1 suspected students are 250 people; they are 40 male students and 160 female students. They are reported to develop high fever and cough, according to post examination done by local public health center officials.

It is suggested that the sick students transmitted the disease to healthy students. This condition is also worsened by unhygienic environment of the school.

Until now, the cause of disease has not been confirmed. However, hundreds of chickens were found suddenly died of avian influenza virus,  around the school’s neighborhood.

 

Source: Indonesia TV news, Metro TV. http://www.metrotvnews.com/index.php/metromain/newscat/sosbud/1381/30/7/2009/Santri-Suspect-Flu-Burung-di-Malang

 

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Away

Due to research purpose, BFIC team will be away for a while. We may not be able to do case updates during the period.

We’d really sorry for this inconvenience.

 

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Padang, West Sumatera ::: Deceased novel H1N1 flu suspect boy tested negative

Padang, West Sumatera – A nine-year-old boy, Sultan Farhan, the novel H1N1 flu suspect patient who died last Sunday (13/7) in M Djamil hospital, Padang, tested negative novel H1N1 flu or swine flu infection.

Head of Health Service of West Sumatera, Rosnini said, test result had been issued by Ministry of Health in Jakarta, last Thursday. “It was negative. About the cause of death, it will be the authority of patient’s doctor in Yos Sudarso hospital, Padang. We only able to announce blood examination result,” said Rosnini.

Currently, two newly introduces novel H1N1 flu suspect are treated in M Djamil hospital, Padang.

They are siblings, initialized as J (7) and H (17 months). They were referred from Yos Sudarso hospital on Thursday (16/7) to M Djamil hospital. Both patients are the children of surfing ship captain, a New Zealand citizen, who is used to taking foreign tourist to Mentawai. The wife is coming from Aceh, and this family has been living in Padang for a few months.

“They both stated as novel H1N1 flu suspects according to the symptoms, such as flu, cough and high fever,” said Rosnini. Blood samples of the patients have been sent to Ministry of Health in Jakarta. Test result assumed will be issued within a week.

 

Source: Indonesia newspaper, Tempo Interaktif. http://www.tempointeraktif.com/hg/nusa/2009/07/18/brk,20090718-187903,id.html

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Lampung ::: Thousands of birds die of bird flu infection

Punduh Pidada, Lampung – Thousands of birds suddenly died in three villages of Kecamatan Punduh Pidada, Kabupaten Pesawaran.

The death of birds has been occured since two weeks ago, and distributed within three villages, Bandingagung, Baturaja and Bawang. The Health Sevice and Livestock Service Pesawaran confirmed bird flu infection to the death birds.

Until Friday (17/7), the officials of Livestock Service underwent socialization of bird flu spreading in the area. “We give socialization about bird flu anticipation and simple control to prevent its spreading to human,” said a member of the team.

From the incoming reports, the sudden death of birds is still continuing. “In a day, dozens of death bird cases are reported. Unreported cases probably more. Reports are coming from Baturaja only, we don’t know about other villages,” said a local.

Meanwhile from Bawang village, a local mentioned that mostly bird deaths found in backyard chickens because they didn’t have large scale poultry farming in their area. Another source from Bawang village also mentioned that since they had reported the case two weeks ago, that was the first time officials came for investigate the incident. “We have reported the first case about two weeks ago, but the officials just came when thousands of chickens have died. We’re afraid whether the disease will infect people,” said Awaludin, a resident of Bawang village.

 

Source: Indonesia local newspaper.Lampung Post. http://www.lampungpost.com/cetak/berita.php?id=2009071800303421

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Bekasi, West Java ::: Another novel H1N1 suspect death

Bekasi, West Java – A novel H1N1 flu suspect patient from Bekasi died in Persahabatan hospital Jakarta. Identity of patient remained confidential.

“Patient is suggested to have died of swine flu virus in accompany with other disease. We’re still waiting for Ministry of Health confirmation test,” said Head of Health Service of Bekasi, dr Retni Yonti in Bekasi (17/7).

Retni couldn’t mention the identity of the victim, and also victim’s child who was also suspected to have infection.

Victim was suggested to have swine flu infection by the local public health center and given tamiflu administration.  Victim was then referred to Persahabatan hospital until the day of fatality.

Regarding to the case, health officers administrated tamiflu to the people who had contact with suspect.

 

Source: Indonesia newspaper, Warta Kota. http://www.wartakota.co.id/read/warta/7932

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Ponorogo, East Java ::: Possible pandemic flu domestic infection in students

Ponorogo, East Java – Ten students of Islamic School Gontor 1, in Desa Gontor, Kecamatan Mlarak, Kabupaten Ponorogo, East Java, suspected to contract novel A/H1N1 flu.

Head of Health Service Kabupaten Ponorogo, Andi Nurdiana, on Thursday (16/7), said that those students had been admitted and treated in dr Aisyah hospital Ponorogo according to swine flu treatment procedure.

“They were admitted to hospital on Wednesday (15/7) under weak condition and showing signs as cough, cold, high fever over 38℃ and breathing difficulty. They are quarantined, because we suspected swine flu infection, “said Andi.

Throat swab samples have been taken for further check in swine flu referral laboratory in Surabaya or Jakarta.

Andi also mentioned that those students had no history visiting foreign countries or other swine flu affected cities in Indonesia. But, for confirmation the Health Service would do further investigation in their school.

“There is possibility that they had visit from outsiders who came from affected areas. But for accuracy, Health Service of Ponorogo and medical team of East Java province will do further investigation,” he said.

The patients, Andi added, will be referred to dr Sudono Madiun hospital if necessary.

Despite of 10 students who are treated in dr Aisyah hospital, 90 students are also showing mild flu symptoms.

“They are showing common flu symptoms and treated at the school’s clinic. Hopefully they will recover soon,” said Andi.

 

Source: Indonesia local newspaper, Surya. http://www.surya.co.id/2009/07/16/10-santri-ponpes-gontor-diduga-suspect-flu-babi.html

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Deli Serdang, North Sumatera ::: A rubber plant worker bird flu suspect

Deli Serdang, North Sumatera – A rubber processing plant worker is being treated in Lubuk Pakam hospital, Deli Serdang, North Sumatera, on Thursday (16/7). The patient, with initial S, is suggested to contract bird flu infection because he has fever up to 39.2℃.

S is currently treated at Class II, Mawar Unit, Lubuk Pakam hospital. Patient is a resident of Kampung Sekata, Jalan Perjuangan II, Dusun II, Desa Sigara-gara, Kecamatan Patumbak, Kabupaten Deli Serdang. He was referred to the hospital because of deteriorating condition. He developed high fever after number of chickens belonging to his neighbors suddenly died these past few days.

“According to Basori, patient’s relative, S was first rushed to Sembiring hospital in Jl Besar Patumbak, on Monday (14/7) evening. He was then referred to Adam Malik hospital in Medan for further examination.

“He received examination in isolation unit Adam Malik hospital, but then he was released in early Tuesday. He still had high fever at that moment,” said Basori.

Because of the high fever, patient was then rushed again to Sembiring hospital and finally transferred to Lubuk Pakam hospital.

Public relation of Adam Malik hospital, Syairi, confirmed that patient was examined for few hours in Adam Malik hospital. He was allowed to return home because the hospital couldn’t find any bird flu indications, even tough he had fever up to 39℃。

Until now, Health Service either Livestock Service of Deli Serdang haven’t done any investigation to the death of chickens around patient’s house.

 

Source: Indonesia newspaper, Detik. http://www.detiknews.com/read/2009/07/16/192558/1166578/10/rsu-lubuk-pakam-sumut-rawat-pasien-suspect-flu-burung

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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/jakarta/2009/07/16/brk,20090716-187494,id.html

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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/layanan_publik/2009/07/15/brk,20090715-187339,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).

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