- Note - This first paragraph is a software translation
of an Indonesian news story.
- Till Wednesday struck 14.00 WIB, four new patients who
it was suspected were infected by birds flu underwent the maintenance in
RSPI Sulianti Saroso.
- The number of patients admitted to hospitals throughout
Indonesia continue to rise. Media accounts described 12 recent admissions.
At Sulianti Saroso there were four admissions yesterday and three more
- However, there has also been reports of recent admissions
in East Java (35F), central Java (58M), Bandu (1.5 F), and Bandar Lumpung
(20 M and brother)
- The four admissions at Sulianti Saroso yesterday included
two brothers, Arir Nurwitano and Fuazan Tonq, (10M and 8M) who had been
to Rangunan Zoo, a 3 year old child, Ni Made Superior, who lived near a
chicken slaughterhouse, and Ahmad Zaenudin (23M), whose doves had died.
- Today, Syifa, a 10 month old girl, 25 year old Salmet
Wibodo, and 27 year old Adam Budi were admitted. They also had ties to
- The large number of cases, spread across Indonesia is
cause for concern. Most of these patients initially check into primary
care facilities where no clinical samples are collected. By the time they
are referred to a facility specializing in infectious diseases, the virus
has moved from the upper respiratory tract to the lower respiratory tract,
so PCR tests are negative. Similarly, serum samples are then collected
too early for significant antibody titers to have developed, so those HI
tests are also negative.
- Thus, sample collection is far from ideal, and most tests
are negative even though it is likely that many of the patients are H5N1
positive. If the patient recovers, there is no autopsy material, and in
many cases autopsies are not preformed on fatal cases because of religious
- Thus, many of the H5N1 infections are not detected by
initial lab tests, so the true extent of H5N1 infections in Indonesians
is largely unknown.
- Indonesia Now Reports 61 Cases Of H5N1 Bird Flu
- From Patricia Doyle, PhD
- JAKARTA (AFP): At least 63 people have been infected
with or are suspected to have contracted bird flu in Indonesia this year,
a health official said Thursday.
- "For the whole of Indonesia, a total of 63 people
have been suspected of infection or diagnosed as infected with bird flu
since the first human infection case was found," said the official.
- Of the 63, six have died but further tests are still
being carried out on the latest fatality to confirm that the victim died
of the virus.
- Some of those infected with the virus have not shown
any symptoms and others have made a full recovery, officials said.
- Bird flu has killed 43 in Vietnam, 12 in Thailand and
four in Cambodia.
- The health ministry official said that the 63 cases of
bird flu could be broken down into three categories -- confirmed, probable
and suspected cases.
- A patient is suspected to have bird flu if the person
showed clinical symptoms of the disease such as high fever, said Sardikin
Giriputro, deputy director of Sulianti Saroso hospital, the main hospital
treating bird flu patients.
- Probable cases refer to those who have had initial tests
that strengthened suspicion of infection, including X-rays showing that
pneumonia had developed, he said.
- Confirmed cases refer to cases which had been clinically
and serologically tested positive, and had the results confirmed by the
World Health Organization through further tests in Hong Kong.
- Only five of the 63 were confirmed bird flu cases, nine
were probable cases, while the rest were suspected. (***)
- Patricia A. Doyle, PhD
- Please visit my "Emerging Diseases" message
- Zhan le Devlesa tai sastimasa
- Go with God and in Good Health