Saturday, February 6, 2010

Vietnam: Bird flu appears in the Central Highlands

QĐND - Saturday, June 2, 2010, 1:3 (GMT +7)
QĐND - Afternoon 5-2, Department of Animal Health said that the avian influenza are at risk of outbreak back in many places. Notably, in the same time, both the North (Dien Bien province), Central (Ha Tinh) and Southern (Ca Mau, Soc Trang) appeared translated flu.

In Ca Mau, flu recurrence after service last May 12-2009, services continuing past arise in two families in An Xuyen commune, Ca Mau City more than 1040 ducks died and forced destruction. Until now, progress has spread to eight communes in three districts of the city of Ca Mau province with a total poultry destroyed the 1018 chickens, ducks 3112 and 24 thousand children.

Days 5-2, Chi Kon Tum provincial Veterinary Bureau has also destroyed nearly 1300 ducks, 157 chickens and 64 thousand children, 250 eggs of a breeding households residing in rural Dak Me, Bo Y commune, Ngoc Hoi district for bird flu.

Original:
Cúm gia cầm xuất hiện tại Tây Nguyên
QĐND - Thứ Bẩy, 06/02/2010, 1:3 (GMT+7)
QĐND – Chiều 5-2, Cục Thú y cho biết, dịch cúm gia cầm đang có nguy cơ bùng phát trở lại tại nhiều địa phương. Đáng chú ý là trong cùng thời điểm, cả miền Bắc (tỉnh Điện Biên), miền Trung (Hà Tĩnh) và miền Nam (Cà Mau, Sóc Trăng) đã xuất hiện dịch cúm.

Tại Cà Mau, sau khi dịch cúm tái phát cuối tháng 12-2009, vừa qua dịch tiếp tục phát sinh tại hai gia đình ở xã An Xuyên, thành phố Cà Mau làm hơn 1.040 con vịt bị chết và buộc tiêu hủy. Đến nay, dịch đã lan ra 8 xã thuộc 3 huyện, thành phố của tỉnh Cà Mau với tổng số gia cầm bị tiêu hủy là 1.018 con gà, 3.112 con vịt và 24 con ngan.

Ngày 5-2, Chi cục Thú y tỉnh Kon Tum cũng đã tiêu hủy gần 1.300 con vịt, 157 con gà và 64 con ngan, 250 quả trứng của một hộ chăn nuôi trú tại thôn Đăk Mế, xã Bờ Y, huyện Ngọc Hồi vì bị cúm gia cầm.

Friday, February 5, 2010

Bird flu outbreaks in Tebo

Sabtu, 06 Februari 2010 10:31
Bird flu outbreaks in Tebo
Stock Tamiflu Safe

MUARATEBO - Afian Virus Influenza (AI) or bird flu virus now endemic in Kab re Tebo. Unmitigated, hundreds of chickens residents in one village reportedly died suddenly. This deadly virus was not immune to 'burned' from Earth Simultaneously Serengkuh Pole Paddle by service agencies teerkait.

Various efforts have been anticipated and the eradication of relevant agencies to do this the virus get out of Tebo. For example, by doing tight control over cross-lau-chicken. Therefore, it is feared would infect humans.

Meanwhile, Public Health Service to ensure stocks of flu drug, Tamiflu, is safe. Kabid Public Health Services and Pharmaceuticals, Dr Indra, said stocks of Tamiflu are always available in the Diskes to anticipate the occurrence of unwanted things regarding bird flu outbreaks.

"Stock Tamiflu we still safe. Still available in the office. In fact, the health center, health center is one we have spread," he said, yesterday.

Furthermore, Indra explained, the concern now is that the bird flu infecting people. The spread of this deadly virus very quickly. For that, it called on the public remain vigilant, particularly in chickens died suddenly.

"If there are chickens died suddenly, do not touch. For humans can contract with a direct contact with chickens that died suddenly," he said.

Explained, the incident of bird flu outbreaks this is the second time during 2010, after a couple of weeks ago a similar case occurred in the Middle Tebo district marked by dozens of chickens died suddenly people. It is expected that all citizens continue to be cautious and continue to obey the instructions that have been submitted the team handling the bird flu virus.

Where it came from this virus, he also could not be sure. What is clear, he said, the H5N1 virus is dangerous and very mysterious. "It could be infected from outside, because they shed dirt and so forth," he concluded.

Vietnam: Translated influenza A/H1N1 spread in many localities

9:01 PM, 05/02/2010

(VOV) - After the discovery of 144 students School [Trường PTCS] Dong Xa, the village Na Rì, Bắc Cạn influenza A/H1N1 infected, there were more people in 26 communes of the village Hữu Trác, district Na Rì, infected this virus.

Under these circumstances, preventive health center of province Bac Kan district Na RI sent staff to the service, the local government spraying toxic chemicals to disinfect environmental objectives, isolation of patients and localized stamping service .

Local health sector has also planned throughout the day directly from provincial to district level, commune level to detect and treat patients in time from now until New Year. The materials and equipment is ready, antiseptics Cloramin B as well as drug Tamiflu is guaranteed. The social services also have implemented proactive measures to prevent virus spreading.

Mr Ma Van Dinh, Nguyen Nguyen Huu Trac Chairman said, the propaganda has been disseminated to all the villages to the right precautions. Commune health stations was reported to county health center to prepare drugs and deployment services to the households are being isolated, spraying for epidemic prevention.

Also in Kon Tum, 5 / 2, Sub-Department of Animal Health Organization Province destroyed nearly 1300 ducks, 157 chickens and 64 thousand children, 250 eggs of all kinds of household Lê Minh Đức, residing in rural Đăk Mế, village Bờ Y, district Ngọc Hồi vì bị cúm A/H5N1 for flu A/H5N1.

Previously, 2 / 2, at his home Minh had 814 sick and dead ducks. Immediately after receiving the news report, Sub-Department of Animal Health Kon Tum has conducted inspection, monitoring, localized organizations, isolation of infected ducks and disinfected the area target single captivity birds, aquatic birds.

Offices also urgently samples sent for examination to diagnose the cause of disease. Pm to 4 / 2, all three samples sent to the Animal Health Agency 4-Da Nang were positive for influenza A/H5N1 virus.

Immediately after the destruction, the functional units also has implemented measures against the plug as signs, limiting traffic through the area with service, disinfect the entire target exclusive breeding area and surrounding area as well as against the service plan. This is the first locality in the province of Kon Tum with avian influenza this year. /.

Results of the Bird Flu Test Not Yet Completed

Previously reported here:
http://pandemicinformationnews.blogspot.com/2010/02/indo-update-on-4-cyprus-crew-members.html

Jumat, 5 Februari 2010 | 23:15 WITA

The health section head (Dinkes) South Kalimantan drg Rosihan Adhani, on Friday (5/2) say, up to now results of the laboratory test against four ABK berk warga negaraan foreign (the FOREIGN NATIONAL) that it was suspected was affected by the bird flu virus was not yet known.

Beforehand, he confirmed results of this laboratory test could be known yesterday.

Evidently, the sample that was sent to the Department's laboratory of the Health (the Department of Health) evidently did not yet have results. "Now did not yet have the report about results" of "this laboratory test." Therefore continue to we were waiting, he said. With not yet he explained results of this test, his side still could not confirm whether the four crews were positive bird flu or not. Because that became the guide to confirm, only referred with results of this laboratory. So, the health service continued to be waiting for results of this testing. "His rule must be based on results" of the "lab." So yes must we were waiting how results later, he accused. Still according to Rosihan, up to now they continue to receive the tight supervision of the medical official despite his condition in a manner gradually began to improve. Up to now, in South Kalimantan did not yet have the spreading of the bird flu virus that spread to humankind. That has been found, still the spreading from the poultry then happened.

Egypt: Case #96 - Clarification

Previously posted here:
http://pandemicinformationnews.blogspot.com/2010/02/egypt-confirmed-h5n1-human-96.html


Regarding this excerpt, I consulted Twall, from FluTrackers.com, on the question of Tamiflu resistance.

The statement added that the situation got a Tamiflu-resistant to disease once they enter the hospital issued Menouf, but that the continuation of their health in a critical situation prompted the hospital was converted to the Abbasid
He has reassured me that it was a translation error.

commonground, "this group of words (التاميفلو المقاوم للمرض ) really means that tamiful is used to treat the dieases of bird flu.

it also reads like they were forced to transfer the person because of how sick they were."


Thank you Twall, you are very much appreciated!

Commonground: Change in Diagnostic Methods in Indonesia & Egypt??

Indonesia:
February 3, 2010
..."
Bandung – Bird flu/avian influenza/AI H5N1 case has reached over a half of total cases recorded in West Java on 2009. At the beginning of 2010, about 70 bird flu cases had been found in ten municipals (kabupaten). Head of Livestock Service of West Java, Koesmayadi Tatang Padmadinata stated that current situation had been a warning..."The increase of cases was suggested because of the change of diagnostic method. The Public Health Division of Livestock Service of West Java, Sri Mudjiatiningsih mentioned that the procedural change had been an agreement between FAO (who managed the Participatory Diseases Surveillance and Response) with Livestock Services. Previously, bird flu control measures would be done if only molecular biology or PCR test showed positive of AI to the samples which had been tested positive by rapid test. However, new policy of diagnostic method would be done by applying every bird flu control measures when rapid test showed positive. Control measures here would be biosecurity procedure and vaccination. Depopulation would be done only when PCR showed positive, described Sri."...
http://www.tempointeraktif.com/hg/nusa/2010/02/03/brk,20100203-223094,id.html

Egypt:
January 19th:
...."
MALR/GOVS on 19 January 2010 announced 17 household cases in 8 governorates (marked below with an asterisk * ). GOVS said the volume of cases was a result of the strengthening of passive surveillance in veterinary clinics. Veterinarians in the clinics were trained in a new HPAI case definition and use of a rapid field test. The veterinarians were given tasks for early detection of cases in the village, i.e., regular checks on the clinical status of birds in surrounding villages and testing for sick chickens in consistency with the case definition by using the rapid field test. In the cases announced January 19 (*), all samples taken by rapid field test were sent to the laboratory for confirmation by PCR technique regardless of the result of the rapid field test.".....
http://www.saidr.org/en/animals.php

HPAI outbreak in Cambodia border


Tuoi Tre Online
CNN.com - Friday, 5 / 2

-TT - TT - On 3-2, the Ministry of Health in Cambodia confirmed avian influenza H5N1 outbreak in the province of Takeo is adjacent to the border of Vietnam.

Phnom Penh Post reported his words led Ly Sovann, deputy director of Agency for infectious disease control in Cambodia, confirmed test result from poultry in the village Pralay, social Romenh district Koh Andeth have positive results with H5N1 virus.

The same day, the Ministry of Agriculture, Forestry and Fisheries of Cambodia requested the agricultural province of Takeo destroyed all live poultry within a radius of 5km and stop selling fresh poultry within 10km around the outbreak area services.

Up to 3-2, in District Andeth Koh has more than 16,000 poultry died of H5N1 infection, and 31,000 live poultry are symptoms of infection. Takeo provincial government advised people not to eat meat from infected poultry, sanitation and epidemic prevention around place to live if the fever to hospital immediately for treatment in time.

Avian influenza began to appear in Cambodia from 2005 to seven people dead.

Mentan: 30 Provincial Bird Flu Not Freed


Friday, 05 February 2010, 16:13 pm


SUKABUMI - A total of 30 provinces in Indonesia are still not free from bird flu pacification. Impact, poultry exports to other countries can still be done.

Data from the Ministry of Agriculture says there are only three provinces that the bird flu-free North Maluku, Gorontalo, and recently West Kalimantan. There are as many as''30 provinces that have not been free from bird flu,''said Minister of Agriculture, Suswono after declaring a national movement of livestock breeders healthy and unhealthy, Tenjolaya Village, Sub Cicurug, Sukabumi District, Friday (5 / 2).

National movement that aimed to improve community health status. Announce activities centered on the location of movement farmer group farm Ayam Kampung Sukabumi (Kepraks).

Suswono According to the government to prioritize the handling of bird flu cases. Thus, expected in the next year, there are a number of other provinces, which is free from the flu is still being done by burung''Penanganannya National Avian influenza and therein, including the Minister of Agriculture,''said Suswono.

The existence of the National Commission on Avian Influenza itself in the near future will soon be replaced with a new institutional. Suswono added, if the bird flu problem could be overcome so Indonesia could take advantage of export opportunities abroad extraordinary. But unfortunately, the potential of the poultry sector in Indonesia, which has been realized only reached 60 percent.

These conditions Suswono light, either because the bird flu problem. Movement declaration healthy farm, a government effort to overcome the spread of avian flu burung''Pemeliharaan will not open or removed, because it will not be profitable,''said Suswono. The reason such a system maintenance is very vulnerable to the spread of disease and difficult to control.

Regent Sukabumi, Sukmawijaya, added that his party supports the efforts of bird flu made the central government. Among the activities of bio tightening security, culling of birds positive for bird flu vaccination of healthy poultry, and so forth.

Sukmawijaya explained, in early 2010, in Sukabumi District, has been one case of mass deaths of 569 birds tail. The case is currently being handled by the Department of Animal Husbandry (Disnak) of Kenya.

Only Three Provinces Free Bird Flu


Friday, 05 February 2010, 18:54:00
SUKABUMI, (PRLM) .- Minister of Health (Minister) RI, Dr.Endang Rahayu Setianingsih, Friday (5 / 2), reveals only three provinces in Indonesia which declared free of bird flu virus. It is the third province of North Maluku, Gorontalo, and West Kalimantan. While the thirty other provinces, the government still has not pulled out and given still fragile spread of bird flu or Avian Infuenza (AI).

Thus expressed sidelines Menkes top program launched "Healthy Farmers, Healthy Livestock". Activities that took place in the yard Tenjolaya Village, Kec. Cicurug, Kab. Sukabumi was also attended by Minister of Agriculture (Mentan) RI Ir. Suswono.

While the number of cases against people suspected of bird flu virus reached 161 cases. From as many cases handled by the government of birds were recorded almost 82% died of suffering from bird flu.

"But the case nearly every year has decreased. But the community may be unaware tida. We must always have to remain alert to symptoms of suspected bird flu," said Health Minister (Menkes) RI, Endang Rahayu Setianingsih, to "PRLM".

Nepal: bird flu registered in Pokhara


05 февраля 2010, 10:18

As the representative of the Ministry of Agriculture, tests made in a London laboratory, confirmed the suspected presence of avian influenza H5N1 in Pokhara.

The need to conduct tests came after the farm of a local Poultrymen 100 dead chickens and 38 ducks. Currently taking all possible measures to prevent the further spread of the virus. Also created a special committee, which monitors implementation of all necessary procedures.

About 10 thousand heads of birds may go to slaughter to prevent contamination of other areas. The government hopes to resolve the problem within a week.

Continuous care provided during the Tet


The Minister of Health Nguyen Quoc Trieu, gave 1 February instruction on continuity of care at the New Year of the Tiger. It recommended the hospital to develop teams capable of continuously treating 24 h/24 all emergencies. The Minister also asked the media to publicize the addresses of the pharmacies. Inspectors of the Ministry, the Health Services of provinces and cities will in turn strengthen their controls on food security, before, during and after Tet, as well as surveillance, detection and treatment of persons suffering from contagious diseases, including influenza A/H1N1 and A/H5N1.

Duck, chicken culls go on in an effort to contain flu




AUTHORITIES continued to destroy ducks and chickens on Thursday in the second day of a cull intended to prevent an outbreak of bird flu from spreading beyond Takeo province’s Pralay Meas village, agriculture officials said.

“We destroyed 50 ducks and 150 chickens in Pralay Meas village today,” said Thai Ly, Takeo province’s chief officer of domesticated animals.
Thai Ly said that authorities would continue the cull until all fowl in the village were eliminated.

“At that point, we will closely monitor the village [for infections] for the next 30 days and continue to ensure that no poultry is sold or trafficked through the area,” he said.

Thai Ly said that officials will soon hold talks with farmers and vendors across Koh Andeth district to discuss the ban on selling poultry and other temporary measures critical to containing the bird flu outbreak.

Nhib Sron, director of the Takeo agriculture office, said that almost all of the ducks in the village had been destroyed on the first day of the cull, allowing authorities to focus their attention on elusive and highly mobile chickens.

“There aren’t nearly as many chickens as ducks in the village, which makes them harder to pin down, compounded with the fact that unlike ducks they tend to walk around everywhere,” he said.

He said that as an additional precaution, the perimeter of the village was being sprayed with an antibacterial agent called TH-4, although the compound is not effective against viruses.

Nhib Sron also said that authorities planned to confine the cull to Pralay Meas village despite instructions from the Ministry of Agriculture, Forestry and Fisheries to kill all poultry within 5 kilometres of the outbreak area.

“Within the 5-kilometre range, we are still going to enforce the commercial ban on poultry and teach people about the dangers of the disease,” he said, adding that no human infections had been reported.

On Wednesday local authorities and representatives from several ministries launched their response to the outbreak, which centred on a village-wide poultry cull that saw 710 ducks and 350 chickens eliminated by day’s end.

The ministry ordered the cull on Tuesday after several ducks killed in an unidentified outbreak tested positive for the H5N1 virus, commonly known as bird flu. Before the results were announced, more than 19,500 ducks had died and 35,000 had fallen ill.

Cambodia reported its first case of H5N1 in poultry in January 2004. Four human cases of bird flu were reported in Cambodia between February and May of 2005, all of them fatal. There have been nine known cases of bird flu in Cambodia. Two of them, including the case of a Kampong Cham man diagnosed in December, have been non-lethal.

Thursday, February 4, 2010

Vietnam: Nghe An Province - H5N1 Poultry Outbreak

05-02-2010

ND - Ministry of Agriculture and Rural Development, has a number of electric posts 04/CÐ-BNN-TY People's Committees of provinces and cities Surgeons, ministries of Health, Industry and Trade, Transportation, Information and Communication, police about controlling the slaughter, sale, processing, transporting livestock, poultry and livestock products and poultry before and after Tet Canh Dan, asking:

People's Committees of provinces and cities held Surgeons slaughtering cattle and poultry concentrated in the places specified in cities and towns, prohibit marketing of cattle, poultry and unknown origin Veterinary Quarantine failed; banned live poultry trade in the inner city, urban; prohibit selling more cattle farming, poultry; in rural areas do not have avian flu: Allows slaughtering poultry in markets where a special slaughter in other sectors, the poultry slaughter equipment protection is minimal. People's Committees at all levels to strengthen the inspection and treatment of serious violations ...

At Dien Bien province, translated foot and mouth disease (LMLM) are spread over large and very complex evolutions. Since the public service (on 29-1), the province has more in communes, wards and district Dien Bien, Muong Cha district of Dien Bien Phu and Ho appear translated, with more than 232 cattle disease, bringing the total to 717 animals sick children.

4-2 days, the Department of Agriculture and Rural Development said Nghe An, in two days, progress in bird flu has appeared in 19 communes in Nghi Phong neighbors, Nghi Loc district. Initially 405 ducks have been identified as infected have brought to destruction.

Egypt: Confirmed H5N1 Human #96

The 29-year-old woman from Sadat Center Monofiya ..
"Health" detected 96 bird flu infection

Thursday, February 4th, 2010 - 20:20

The Ministry of Health this evening, Thursday, discovered the case of the 96 human cases of bird flu, a woman, aged 29 years of Sadat Center Menoufiya Governorate.

A statement issued by the Ministry of Health, The symptoms of avian influenza began to appear on the case Jan. 27, after 7 days on this date entered the hospital issued Menouf has been suffering from double pneumonia, high fever, difficulty in breathing after exposure to birds suspected of being infected with bird flu.

The statement added that the situation got a Tamiflu-resistant to disease once they enter the hospital issued Menouf, but that the continuation of their health in a critical situation prompted the hospital was converted to the Abbasid

Indo: Update on 4 Cyprus Crew Members Suspected of BF

I count three....
Previously posted here:
http://pandemicinformationnews.blogspot.com/2010/02/flu-patients-wait-two-more-days.html ... and here:
http://pandemicinformationnews.blogspot.com/2010/02/indonesia-four-cyprus-crew-allegedly.html
Two People Expressed Negative

Thursday, February 4, 201

BANJARMASIN, THURSDAY - Entering the day-to-6, four citizens of Ukraine who became ill of influenza like illness, Thursday (4/2/2010) this morning asked for the menu of bread and fried eggs soft-boiled. While the late morning, they asked for chicken soup.

From the description of Public Relations and Information Kasie Ulin HM Joseph Hospital, which is indication of the three ILI disease, two people expressed negative.

Now, it just waiting for the results of one more person. All four were still being treated at the Hospital 5th floor Bougenville Ulin Banjarmasin.

Kalimantan & H5N1 in Poultry

Regarding the previous post of Dengue Hemorrhagic Fever (DHF) in South Kalimantan, I thought I would post my listing of H5N1 Poultry outbreaks this year. The blue would be the outbreaks.

There are 9 regencies and two cities in South Kalimantan as listed below with their capitals:

* Balangan (Paringin)

* Banjar (Martapura)

* Barito Kuala (Marabahan)

* Hulu Sungai Selatan (Kandangan)

* Hulu Sungai Tengah (Barabai)*

* Hulu Sungai Utara (Amuntai)

* Kota Baru (Kotabaru)

* Tabalong (Tanjung)

* Tanah Bumbu (Batulicin)

* Tanah Laut (Pleihari)

* Tapin (Rantau)

*Not Confirmed

Banjarmasin

is the capital of South Kalimantan, Indonesia. It is located on a delta island near the junction of the Barito and Martapura rivers. As a result, Banjarmasin is sometimes called the "River City".

4 Foreign Residents Suspected Bird Flu – 2/1

Banjarbaru

Banjarbaru has an area of 371,3 km2, divided into 3 subdistricts (kecamatan): Banjarbaru, Cempaka and Landasan Ulin. In order to stimulate development, City Government planns to increase the number of subdistricts to 5. Currently subdistricts cover 4 to 7 administrative villages (kelurahan) each, i.e.:

Banjarbaru District covers:

* Banjarbaru Utara

* Loktabat Utara

* Loktabat Selatan

* Sungai Besar

* Sungai Ulin

Cempaka District covers:

* Sungai Tiung

* Bangkal

* Cempaka

* Palam

Landasan Ulin District covers:

* Landasan Ulin Barat

* Landasan Ulin Tengah

* Landasan Ulin Timur

* Landasan Ulin Utara

* Guntung Payung

* Guntung Manggis

* Syamsuddin Noor

Central Kalimantan

Central Kalimantan is divided into 13 districts or regencies, which are headed a regent. (Capitals listed in brackets)

* South Barito (Buntok)

* East Barito (Tamiang Layang)

* North Barito (Muara Teweh)

* Gunung Mas (Kuala Kurun)

* Kapuas (Kuala Kapuas)

* Katingan (Kasongan)

* West Kotawaringin (Pangkalan Bun)

* East Kotawaringin (Sampit)

* Lamandau (Nanga Bulik)

* Murung Raya (Puruk Cahu)

* Pulang Pisau (Pulang Pisau)

* Sukamara (Sukamara)

* Seruyan (Kuala Pembuang)

and the provincial capital:

· Palangkaraya

The subdistricts of Central Kalimantan with the regency it falls into are as follows:

* Antang Kalang, Kotawaringin Timur

* Arut Selatan, Kotawaringin Barat

* Arut Utara, Kotawaringin Barat

* Awang, Barito Timur

* Baamang, Kotawaringin Timur

* Balai Riam, Sukamara

* Banamatingang, Pulang Pisau

* Barito Tuhup Raya, Murung Raya

* Basarang, Kapuas

* Benua Lima, Barito Timur

* Bukit Batu, Palangka Raya

* Bulik, Lamandau

* Cempaga, Kotawaringin Timur

* Danau Sembuluh, Seruyan

* Delang, Lamandau

* Dusun Hilir, Barito Selatan

* Dusun Selatan, Barito Selatan

* Dusun Tengah, Barito Timur

* Dusun Timur, Barito Timur

* Dusun Utara, Barito Selatan

* Gunung Bintang Awai, Barito Selatan

* Gunung Purei, Barito Utara

* Gunung Timang, Barito Utara

* Hanau, Seruyan

* Jekan Raya, Palangka Raya

* Jelai, Sukamara

* Jenamas, Barito Selatan

* Kahayan Hilir, Pulang Pisau

* Kahayan Hulu Utara, Gunung Mas

* Kahayan Kuala, Pulang Pisau

* Kahayan Tengah, Pulang Pisau

* Kamipang, Katingan

* Kapuas Barat, Kapuas

* Kapuas Hilir, Kapuas

* Kapuas Hulu, Kapuas

* Kapuas Kuala, Kapuas

* Kapuas Murung, Kapuas

* Kapuas Timur, Kapuas

* Karau Kuala, Barito Selatan

* Karusen Janang, Barito Timur

* Katingan Hilir, Katingan

* Katingan Hulu, Katingan

* Katingan Kuala, Katingan

* Katingan Tengah, Katingan

* Kota Besi, Kotawaringin Timur

* Kotawaringin Lama, Kotawaringin Barat

* Kumai, Kotawaringin Barat

* Kurun, Gunung Mas

* Lahei, Barito Utara

* Lamandau, Lamandau

* Laung Tuhup, Murung Raya

* Maliku, Pulang Pisau

* Mantangai, Kapuas

* Marikit, Katingan

* Mendawai, Katingan

* Mentawa Baru, Kotawaringin Timur

* Mentaya Hilir Selatan, Kotawaringin Timur

* Mentaya Hilir Utara, Kotawaringin Timur

* Mentaya Hulu, Kotawaringin Timur

* Montalat, Barito Utara

* Munuhing, Gunung Mas

* Murung, Murung Raya

* Pahandut, Palangka Raya

* Paku, Barito Timur

* Pandih Batu, Pulang Pisau

* Pangkalan Banteng, Kotawaringin Barat

* Pangkalan Lada, Kotawaringin Barat

* Parenggean, Kotawaringin Timur

* Patangkep Tutui, Barito Timur

* Pematang Karau, Barito Timur

* Permata Intan, Murung Raya

* Pulau Hanaut, Kotawaringin Timur

* Pulau Malan, Katingan

* Pulau Petak, Kapuas

* Rakumpit, Palangka Raya

* Raren Batuah, Barito Timur

* Rungan, Gunung Mas

* Sanaman Mantikei, Katingan

* Sebangau Kuala, Pulang Pisau

* Sebangau, Palangka Raya

* Selat, Kapuas

* Sepang, Gunung Mas

* Seribu Riam, Murung Raya

* Seruyan Hilir, Seruyan

* Seruyan Hulu, Seruyan

* Seruyan Tengah, Seruyan

* Sukamara, Sukamara

* Sumber Barito, Murung Raya

* Tanah Siang, Murung Raya

* Tasik Payawan, Katingan

* Tewah, Gunung Mas

* Tewang Sangalang Garing, Katingan

* Teweh Tengah, Barito Utara

* Teweh Timur, Barito Utara

* Timpah, Kapuas

Indo: S. Kalimantan: Dengue Hemorrhagic Fever: 11 Died in 2009; 10 Died in January 2010

Friday, February 5, 2010
The attack of dengue hemorrhagic fever (DHF) in South Kalimantan (Kalimantan) has not abated. From January to early February has claimed 10 lives.

Figures presented Chief Public Health South Kalimantan, drg Adhani Rosihan menganggetkan enough. Understandably, from the data in 2009, the year 11 people died, while in 2010, only a month had 10 people died.

The high mortality rate that should really pay attention, because the health office estimates that the peak dengue South Kalimantan is still going on until February. Although impressed seasonal, as always happens every year, especially at the beginning of the rainy season, this month may fall victim remains.

One cause of increased cases of dengue, because of the changing seasons of extreme enough to the summer rainy season. Change the season to make Aedes aegypti mosquitoes to breed rapidly.

Of note during the last three years, DHF patients had not been out of numbers in the hundreds. In 2009 then, there were 113 people who attacked South Kalimantan dengue, 11 of whom died. That figure is far more than in 2008 and with 740 patients, eight people died. During 2007 there were 1321 cases, 16 of whom died.

DHF vulnerability occurs evenly in almost all districts in South Kalimantan. Even from the 13 districts / cities, listed nine areas declared extraordinary events (KLB) DBD.

-snip-

Commonground's Map of Southern Vietnam/Cambodia Outbreaks

Click on link for the full map, and the description.
Yellow is H5N1 Poultry Outbreaks; Green is Misc.



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Indonesia.....Can Someone Let Them Know That Tamiflu does not PREVENT Bird Flu.....

Beware citizens of Bird Flu
Suddenly, dozens of Chicken Dead

Thursday, February 4, 2010 - 17:43 pm
BOGOR (Pos Kota) - Dozens of chickens that died suddenly in Kampung Neglasari RT.001 RW 01, Kelurahan Ciparigi North Bogor District was caused tetelo disease. However Department of Health (health office) Kota Bogor ask local residents wary of the spread of H2N1 virus or bird flu.
Lurah Ciparigi, Men Gunandi, said Thursday, after health office staff and the Department of Animal Husbandry and Partanian (Disnakan) Bogor City investigation, including frequently asked questions by residents
confirmed 12 local chicken warha sudden death was caused tetelo disease.
"Not found a history of chicken died suddenly because of bird flu in Kampung Neglasari," he said.

Previously local residents to panic after 14 chickens died suddenly of their pets. IYUS, part owner of a chicken to admit, surprised to find dead chickens littered the yard. Tomorrow day a similar incident happen again in other chickens. "The number of dead chickens residents and 14 tails we report this to the ravine," he said.

While Kadinkes Bogor City, Triwanda Elan, appealed to local residents and the City of Bogor wary of the spread of bird flu virus. Especially as the current rainy season is expected until next March. "For that we have spread 5000 Tamiflu tablets to sleuruh Puskesama in Bogor City," he said.

But until now, the drug has not been used. He said, Tamiflu is used when there are cases of bird flu in a region. "Because of the nature of this drug for prevention of bird flu," he said.

Until now it has not found any cases of bird flu. "Only a year ago in 2009 there were four cases, two of whom died," he explained.


Indonesia, East Java: Ponorgo-H5N1 -75 chickens died suddenly

Thursday, 04 Februari 2010

PONOROGO - The attack of bird flu in Ponorogo increasingly mengganas. A day yesterday (3 / 2), found 75 chickens died suddenly. From the results of agricultural research services (disperta) the local chickens died of the H5N1 virus positive. Conclusion''while the chicken is bird flu,''the light of Livestock Development Kasi Disperta Andi Susetyo, yesterday.

Chicken sudden death cases occurred in Kelurahan Beduri, Ponorogo District (City). Precisely in Glatik Road and Crane Road. Road Glatik recorded 45 chickens died suddenly. Chickens are dead in the morning without previous symptoms. The cranes are on the Road 30 chickens died suddenly. ''All the chicken that was immediately burned and buried,''he said.

For the surviving chickens it directly to the isolation. The goal, to avoid contracting the virus dead chickens. ''In theory, it should have turned off all the chicken, but because farmers can not ya just finally isolated,''he explained.

Similar expressed M Rodisun, disperta field officers. In addition to the process of culling and isolation, it also conducts spraying disinfectant in the livestock pen. In addition, disinfectants are also distributed to some farmers. Spraying''done to viruses and bacteria can not spread,''he said.

Bird flu cases have also occurred in Kelurahan Nologaten. Dozens of residents of livestock chickens died suddenly. Having done the research, the chicken was allegedly attacked by the H5N1 virus. In addition to the urban, the virus that can infect humans that has spread in many rural areas. As in the case findings and Kauman Jenangan.

Indonesia, West Java: H5N1 Poultry- Highest Count in 4 Years, Scattered in 70 Villages

During the January 70 Case Happen

Thursday, February 4, 2010 | 14:06 pm

BANDUNG, KOMPAS - The number of cases of bird flu in poultry in West Java during January 2010 was the highest in four years. This condition is expected due to climate anomalies, such as high rainfall, floods, rising sea water to the surface, strong winds, and earthquakes, which cause the spread of the virus and the source of poultry diseases increased.

Based on data Jabar Animal Husbandry Department, the number of cases of bird flu that hit poultry farms during January reached 70 cases. As at January 2009 there were only 21 cases, in January 2008 appears 53 cases, and in January 2007 found 67 cases.

Head of Animal Husbandry Department Padmadinata Tatang Kusmayadie Jabar, Wednesday (3 / 2) in Bandung, say, 70 cases of bird flu, which occurred during January 2695 resulted in dead chickens scattered in 70 villages, 52 subdistricts, and 10 districts. Distribution areas include the case of Cirebon City, County Majalengka, Kuningan regency, Indramayu district, Bandung regency, West Bandung regency, Sumedang District, Garut Regency, Tasikmalaya District, and District Ciamis.

"We will raise awareness of bird flu in poultry with socialization menggencarkan biosecurity, depopulation, and the dangers of bird flu to poultry production centers in West Java to suppress the spread of this virus," he said.

Reduce production

Kusmayadie added, the spread of bird flu virus thought to reduce domestic poultry meat production in West Java in 2009 of 2.1 percent compared with the previous year. The decline also occurred in the production of duck population by 5 percent in 2009 compared with 2008.

Head of Animal Health and Veterinary Public Health Animal Husbandry Department Mudjiartiningsih Sri Jabar said, from 70 cases of bird flu were reported, including 13 cases of confirmed positive tests based on polymerase chain reaction (PCR). (GRE)

Cambodia: Official fears cholera cases in Prey Veng

Thursday, 04 February 2010 15:04

SIX villagers in Prey Veng province have been stricken with an illness that one commune official said he believed to be cholera, although health officials have yet to hand down an official diagnosis.

The villagers from Reak Chey commune have suffered from intense diarrhoea and vomiting since Monday, commune chief Hong Sophal said.

“We have sent a man to Calmette Hospital [in Phnom Penh] because he is suffering, even though the doctors here have tried to help him,” he said.

The man’s daughter, Srun Vanthon, said her father’s condition has not improved since entering the hospital, and that doctors have not told her what is causing her father’s illness.

“He is still in bad condition,” she said. “I am worried about his life.”

Health officials have not confirmed the presence of cholera in the area.

Sambath Narin, the director of the health centre in Reak Chey, said he has not met with anyone complaining of similar symptoms.

“I cannot say it is cholera because I have not met with the patients,” he said. “Few people here have diarrhoea or are vomiting.”

Ly Sovann, deputy director of the Communicable Diseases Control Department at the Ministry of Health, said he also had not received reports of cholera outbreaks in Prey Veng.

The information comes after Vietnamese media reported that seven Cambodians infected with cholera were being treated in Vietnamese hospitals.

The report in Thanh Nien Daily said that the seven patients, all from Takeo and Kandal provinces, had been admitted to Vietnamese hospitals between January 19 and 28. A total of 45 people were first admitted with symptoms of “acute diarrhoea”, but the report did not specify whether any of the other patients were Cambodian. The report said the patients were being treated in An Giang, which borders Cambodia and is also home to an ethnic Khmer minority population.

In early January, Cambodian health officials warned citizens against a potential cholera outbreak.

Cambodia: Duck culling begins in Takeo

Excerpt:
Thursday, 04 February 2010

HUNDREDS of ducks and chickens in Takeo province’s Pralay Meas village were destroyed on Wednesday in the first day of a cull that officials said was ordered to contain a newly confirmed outbreak of the H5N1 virus, commonly known as bird flu.

Kao Phal, director of the Animal Health and Reproduction Department at the Ministry of Agriculture, Forestry and Fisheries (MAFF), said that authorities killed about 710 ducks and 350 chickens in and around Pralay Meas village, located in Romenh commune, Koh Andeth district. The ministry’s bird flu containment protocol requires all farm fowl within a 5-kilometre radius of the outbreak zone to be destroyed.
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Thai Ly, chief of domesticated animals at the Takeo province agriculture department, said that nearly 20,000 ducks had died and that 35,270 had fallen ill before the first specimens were sent for testing on January 31, and that an unspecified number had succumbed to the virus since then.

He said Wednesday’s cull was accompanied by the gathering of additional bird samples from around the affected village.
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hat-tip RoRo

Nepal reports outbreak of bird flu

Kathmandu, February 04, 2010

Nepal has reported an outbreak of bird flu in the country, a media report said on Thursday.

Six samples collected from a poultry farm in the western district of Pokhara tested positive to the H5N1 virus, Xinhua quoted Hari Dahal of the agriculture and cooperatives ministry as saying.

The samples were sent to London's Weybridge Laboratory for confirmation after they tested positive in Nepal, Dahal said on Wednesday.

Health authorities collected the samples after about 100 chicken and 38 ducks in a farm in Ghoripatan died in January.

Meanwhile, the government has formed a committee headed by Agriculture and Cooperatives Minister Mrigendra Kumar Singh Yadav to take steps to control the spread of the disease.

A cabinet meeting Wednesday decided to send a Rapid Response Team (RRT) to the affected area, some 140 km west of Kathmandu, for close surveillance.

About 10,000 chicken, ducks and other birds in the area could be killed to prevent the spread of the disease. Dahal said the ministry was planning to ban movement of poultry products to and from the affected area.

Wednesday, February 3, 2010

CIDRAP: H5N1 vaccine problems, outbreaks in 2 countries

Feb 3, 2010

Indonesian scientist says H5N1 may be outwitting poultry vaccines
An Indonesian virologist says the H5N1 avian influenza virus in Indonesia may have evolved so as to make the poultry vaccines used there less effective, according to a report in the Jakarta Globe. The virologist, I Gusti Ngurah Mahardhika, said genetic differences of up to 8.7% were found when viral isolates collected at farms with vaccinated flocks in 2008 and 2009 were compared with a virus isolated from Legok, Banten, in 2003. The Legok virus is still being used by most vaccine producers in Indonesia, the story said. Mahardhika suggested that the viral mutations may explain a series of outbreaks in Indonesian flocks over the past 2 years and said he had "strong evidence" that vaccines based on the Legok virus are not effective against newer strains. Another scientist, Amin Soebandrio of the University of Indonesia, said he concurred with Mahardhika's findings and commented, "We need to see whether the changes increase the capacity of the virus to infect the human respiratory system."
Feb 2 Jakarta Globe report

Cambodia, Vietnam report H5N1 outbreaks
Cambodian authorities began culling ducks yesterday to control an H5N1 avian flu outbreak that killed more than 15,000 ducks last week in the southern province of Takeo, the Associated Press reported. Samples tested positive for the virus yesterday. Meanwhile, more than 1,000 ducks were infected with avian flu on a farm in Vietnam's central province of Quang Tri, leading to the culling of another 1,000 ducks, vaccination of 8,300, and other control measures, Viet Nam News reported today. The province's animal health officer said the ducks' owner was slow to report the outbreak, which allowed the disease to spread.
Feb 2 AP report on Cambodian outbreak
Feb 3 Viet Nam News report

CEL-SCI to Present at 12th Annual BIO CEO & Investor Conference (& Some Background)

[5 articles]

Posted on: Wednesday, 3 February 2010, 08:00 CST

VIENNA, Va., Feb. 3 -- CEL-SCI Corporation (NYSE AMEX: CVM) announced that Geert Kersten, Chief Executive Officer, will be presenting at the 2010 BIO CEO & Investor Conference. Hosted by the Biotechnology Industry Organization (BIO), the conference will take place February 8-9 at the Waldorf=Astoria in New York.

Mr. Kersten's presentation will be on Tuesday, February 9th, at 1:30 p.m. EST. The presentation will be webcast live with slides and archived until May 11, 2010. The webcast can be accessed at http://www.veracast.com/webcasts/bio/ceoinvestor2010/05209268.cfm.

About CEL-SCI Corporation

CEL-SCI Corporation is developing products that empower immune defenses. Its lead product Multikine® is being readied for a global Phase III trial in advanced primary head and neck cancer. CEL-SCI is also developing an immunotherapy to treat H1N1 hospitalized patients using its L.E.A.P.S.(TM) technology platform. This investigational treatment involves non-changing regions of H1N1 Pandemic Flu, Avian Flu (H5N1), and the Spanish Flu as CEL-SCI scientists are very concerned about the creation of a new more virulent hybrid virus through the combination of H1N1 and Avian Flu, or maybe Spanish Flu. This investigational treatment is currently being tested in a clinical study at Johns Hopkins University. The Company has operations in Vienna, Virginia, and in/near Baltimore, Maryland.


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CEL-SCI Announces Start of First Clinical Study of Investigational LEAPS-H1N1 Treatment for Hospitalized H1N1 Infected Patients at Johns Hopkins University School of Medicine

Wednesday, 18 November 2009
CEL-SCI Corporation, a developer of vaccines and therapeutics for the prevention and treatment of infectious diseases and a late-stage oncology company, announced today the start of the Company's first clinical study for hospitalized H1N1 patients at The Johns Hopkins University School of Medicine (Johns Hopkins). The study is being led by Principal Investigator Jonathan M. Zenilman, MD, Professor of Medicine, Johns Hopkins School of Medicine and Chief of Infectious Diseases Division, Johns Hopkins Bayview Medical Center. This initial study will involve taking blood from 20 hospitalized, laboratory-confirmed H1N1 patients and activating their cells with the LEAPS-H1N1 investigational therapy in order to assess the cells' response as the basis for the planned future treatment of this patient population under a next-stage clinical trial protocol. In parallel, the study will involve taking blood from 20 healthy individuals not infected with H1N1 and activating their cells with the LEAPS-H1N1 investigational therapy to serve as a control for the patient group in the study.

In September, the Company announced that the FDA had indicated that the Company could commence this study. In order for FDA to fully consider a next-stage clinical trial to evaluate LEAPS-H1N1 treatment of hospitalized patients with laboratory-confirmed H1N1 Pandemic Flu under an Exploratory IND, FDA has asked CEL-SCI to submit a detailed follow-up regulatory filing with extensive additional data.

"We are pleased that we have been able to move so fast with this first study of our LEAPS-H1N1 treatment," said Geert Kersten, CEL-SCI's Chief Executive Officer. "As we move forward, we hope that our investigational immunotherapy can be shown to modulate patients' immune responses to be effective without the cytokine storm that CEL-SCI's scientists believe may be responsible for so many deaths."

The initiation of CEL-SCI's rapidly-accelerated LEAPS-H1N1 clinical development program builds on CEL-SCI's pioneering work with its LEAPS technology in the context of H1N1. CEL-SCI's L.E.A.P.S.(TM) (Ligand Epitope Antigen Presentation System) technology allows the Company to direct an immune response against specific disease epitopes. In the case of CEL-SCI's investigational LEAPS-H1N1 treatment, this involves non-changing regions of H1N1 Pandemic Flu, Avian Flu (H5N1), and the Spanish Flu. This is intended to enable stimulation of the specifically-needed immune responses, while avoiding the administration of regions of H1N1, and other viruses, which may exacerbate the problem of cytokine storm, which CEL-SCI scientists believe may be involved in the death of some H1N1 patients.
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http://www.redorbit.com/news/health/1788273/celsci_announces_start_of_first_clinical_study_of_investigational_leapsh1n1/index.html

CEL-SCI Files Patent Application to Support Company's Treatment for More Virulent Strain of H1N1 Swine and Other Influenza Viruses

Posted on: Wednesday, 24 June 2009, 08:25 CDT
VIENNA, Va., June 24 -- CEL-SCI CORPORATION (NYSE AMEX: CVM) announced today that it has filed a provisional U.S. patent application covering its L.E.A.P.S.(TM) immune therapy drugs (vaccines) for the prevention/treatment of H1N1, swine, bird flu, Influenza A and/or evolving mutants or variants of these viruses. Some experts believe that by the next flu season the swine flu virus will have evolved and/or combined with other viruses to create a much more lethal new virus. That is what happened in the case of the Spanish flu pandemic. CEL-SCI's efforts to fight this virus are focused on using conserved epitopes from essential proteins to be found in the A influenza virus for H1N1, H1N5, swine, bird flu and Spanish influenza to create an effective vaccine/treatment that could potentially fight such a mutant virus.
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http://www.redorbit.com/news/health/1710699/celsci_files_patent_application_to_support_companys_treatment_for_more/index.html

CEL-SCI's L.E.A.P.S. Technology Shows Potential to Treat Swine Influenza in Preclinical Studies

Posted on: Tuesday, 28 April 2009, 08:37 CDT
Peptide-based vaccines could prove efficacious for both prophylactic and therapeutic treatments
VIENNA, Va., April 28 /PRNewswire-FirstCall/ -- CEL-SCI Corporation (NYSE AMEX: CVM) announced today that preclinical studies have demonstrated that vaccines utilizing its proprietary L.E.A.P.S.(TM) (Ligand Epitope Antigen Presentation System) vaccine technology could potentially induce protection against illnesses such as swine influenza. In pre-clinical studies using mouse models, several different L.E.A.P.S. conjugates focused on different diseases induced protection and disease improvement. In addition, it was recently presented that the L.E.A.P.S. vaccines work on human cells and that the L.E.A.P.S. vaccines are able to induce cellular responses without excessive amounts of proinflammatory cytokines. In the case of prior pandemic influenza, such as the "Spanish Influenza" and more recently in avian flu, patients with stronger immune systems had a greater chance of dying because their immune response was too strong (too many proinflammatory cytokines). A L.E.A.P.S. vaccine may be able to work around that problem. While normally cytokines may play a key role in preventing and treating swine flu, in some cases excessive cytokine amounts may exacerbate disease as it appears that, unlike the normal flu which affects the very young and very old most severely, swine flu may be more like the avian flu which hits people in their prime more severely.
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http://www.redorbit.com/news/health/1678629/celscis_leaps_technology_shows_potential_to_treat_swine_influenza_in/index.html

CEL-SCI's CEL-1000 Shown to Significantly Enhance Immune Response Against Avian Flu Antigen in Animals

Posted on: Wednesday, 23 May 2007, 09:00 CDT

VIENNA, Va., May 23 /PRNewswire-FirstCall/ -- CEL-SCI CORPORATION announces that CEL-1000 increased the immune response against H5 avian influenza antigen in combination with MAS-1, a water-in-oil adjuvant delivery system. These findings were presented on May 23, 2007 by Dr. Daniel Zimmerman, Senior Vice President of Research, Cellular Immunology at CEL-SCI at the American Society of Microbiologists 107th annual general meeting in Toronto, Canada.

This new finding with CEL-1000 may have broad application for the enhancement of immune responses by individuals who have a poor immune response to vaccinations. It also has application for antigen sparing (reducing the amount/dose of antigen required for protective immunity), and to biodefense and pandemic settings for anti-infectious vaccines.

CEL-1000 has previously been shown to increase the antigenicity of hepatitis B virus (HBV). In challenge studies, CEL-1000 has also previously been shown to protect animals against infection against viruses and unrelated diseases, specifically herpes simplex virus, viral encephalitis and malaria.

CEL-1000 appears to activate innate (very early stage) and Th1 type (cellular) immune responses to induce a broad-spectrum protection against infection in animal models. The innate immune system is generally accepted to be the first line of defense against infectious agents.

CEL-1000, derived from the beta chain of human MHC-II, is a modified version of a human immune-based protein known to bind to both human and mouse immune cells and appears to act by enhancing the host's protective immune response. More information on CEL-1000 is available at http://www.cel-sci.com/.

MAS-1 is a water-in-oil adjuvant delivery system owned by Mercia Pharma.

CEL-SCI Corporation is developing new immune system based treatments for cancer and infectious diseases. The Company has operations in Vienna, Virginia and Baltimore, Maryland. The Company's lead product Multikine(R) is cleared to enter a global Phase III clinical trial for a first line indication in advanced primary head and neck cancer in the U.S. and Canada.
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http://www.redorbit.com/news/health/943607/celscis_cel1000_shown_to_significantly_enhance_immune_response_against_avian/index.html

Egypt: Surprise: Birds get flu despite vaccination

Wednesday, February 3rd, 2010 - 17:25

Warned Dr. Saber Abdel Aziz, director of the Department of Preventive Medicine Authority Veterinary Services Ministry of Agriculture, the risk of neglect and inaction in the immunization of fowl, as well as home, pointing to bird flu was still present, which is reflected in the well, which appear from time to time.

Mr. Abdul-Aziz said that the committees of the ongoing campaigns in the work of finding the virus, resulting in enabling the execution of thousands of birds on a farm 9 status Talkha Daqahalia proved to be infected with the virus.

According to a report issued by Dr. Mona Mehrez director of the Institute of Animal Health and the Director of Central Laboratory for the control of poultry production, the farm proved to be infected, although they are immune at the age of 19 weeks.

Dr. Saber Abdel Aziz, Director of the Department Director of the Department of Preventive Medicine, that the injury to farm the disease may be the result of human error, adding or all currently existing vaccines, the body and the markets are good.

Mr. Abdul-Aziz said of the vaccination of domestic birds are currently being addressed in a manner to the provinces which show the many spots.

Flu Patients Wait Two More Days

Wednesday, February 3, 2010 | 21:40 PST


BANJARMASIN, WEDNESDAY - To ensure that suspected bird flu disease experienced by the four foreign citizens (foreigners) who were undergoing treatment in hospitals Ulin Banjarmasin, had to wait for laboratory test haisl conducted health services (health office) South Kalimantan.

"Insa Allah two days the lab results are completed. So can be known, is really positive or negative," said health department chief Kalimantan, drg Rosihan Adhani.

Further, he says, the result will laboaratorium that it made reference uintuk conclusions. Treatment efforts, including medical teams to four people.

Mentioned about the treatment performed medical team, according to the former head of Banjar district is no different. That is, during the official has not suffered a bird flu virus is still being treated in hospitals that Ulin.

Unless the laboratory results were positive of bird flu, the direct isolation imasukkan. So that only certain officers are allowed to enter the room, to avoid things like the unwanted spread of the virus.

"If it will bear positive charges. But as long as there is no certainty it like other patients," explained Rosihan. (Choiruman)