Published Date: 2006-04-12 23:50:00
Subject: PRO/AH/EDR> Avian influenza, human - worldwide (45): Indonesia
Archive Number: 20060412.1091

AVIAN INFLUENZA, HUMAN - WORLDWIDE (45): INDONESIA
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In this update:
[1] Indonesia - WHO Official Confirmation of 23rd Case
[2] CIDRAP Report of 11 Apr 2006
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[1] Indonesia - WHO Official Confirmation of 23rd Case
Date: Wed 12 Apr 2006
From: Marianne Hopp <mjhopp12@yahoo.com>
Source: World Health Organization (WHO), CSR, Disease Outbreak News,
Wed 12 Apr 2006 [edited]
<http://www.who.int/csr/don/2006_04_12/en/index.html>

Indonesia: Avian influenza Situation - WHO Update 9
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As of Wed 12 Apr 2006, the Ministry of Health in Indonesia has
confirmed the country's 31st case of human infection with the H5N1
avian influenza virus. The case occurred in a 23-year-old man
employed as a poultry worker in West Java.
He developed symptoms on 20 Mar 2006 and has since fully recovered.
Poultry deaths occurred in the 2 weeks preceding his visit to a farm.
Of the 31 laboratory-confirmed cases in Indonesia, 23 have been fatal.
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[2] CIDRAP Report of 11 Apr 2006
Date: Wed 12 Apr 2006
From: ProMED-mail <promed@promedmail.org>
Source: CIDRAP News, Tue 11 Apr 2006 [edited]

Human Avian Influenza Cases Reported in 3 Countries
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As of Tue 11 Apr 2006, Egypt and Indonesia each reported a new human
case of avian influenza today [12 Apr 2006], while the World Health
Organization (WHO) confirmed a suspected case in Azerbaijan [see
preceding WHO report and ProMED-mail post "Avian influenza, human -
worldwide (44): Azerbaijan, China, Indonesia 20060412.1084"].
Elsewhere in the world, there was mixed news about the impact of the
virus on people.
In Afghanistan, no evidence of avian flu was found in birds in a
remote village where 3 children recently died, Reuters reported
yesterday [Mon 10 Apr 2006]. However, 20 other samples from 7
provinces have tested positive for an H5 avian flu, although the
neuraminidase has not yet been determined. The deaths of the
children, all from the same family in the central province of Ghor,
prompted fears of avian flu, Reuters said. Samples were not taken
from the children before their burial, the stories noted. The lack of
samples left investigators to rely on bird samples. Officials found
no evidence of disease among about 1000 chickens in the village,
Reuters said.
News from West Africa was more worrisome, if a Reuters report from
Nairobi yesterday [Mon 10 Apr 2006] is any indication. A WHO
official, Honore Meda, told Reuters at an avian flu seminar in
Nairobi that human cases of H5N1 may be occurring undetected in
Africans. "So far, there is no confirmed human case of avian flu
virus infection in West Africa, but this is not a reason to say there
is no human case," Meda said. "There is a risk and probability of
human cases occurring in West Africa, but there's no evidence to say
there is or there is not a human case." WHO in February 2006 tested
samples from 4 Nigerians, including a woman who died. The samples did
not yield a clear result, Reuters reported. Four West African
countries have experienced or are experiencing avian flu outbreaks in
poultry.
In India, 7 poultry farmers committed suicide because the H5N1 virus
destroyed their livelihood, according to an Agence France Presse
(AFP) report that cited information from a farmers' organization. The
H5N1 infections and subsequent culling that have swept India have
cost the industry USD 1.8 billion in 6 weeks, the National Egg
Coordination Committee said today [12 Apr 2006]. The 7 suicides are
not an unheard-of response to the stresses of farming in India. The
AFP story noted that nearly 9000 people in 4 Indian states are
thought to have killed themselves in connection with rising costs,
debt, and repeated crop failures in the past 5 years.
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See Also

Avian influenza, human - worldwide (44): Azerbaijan, China, Indonesia
20060412.1084
Avian influenza, human - worldwide (43): Cambodia, Egypt 20060406.1034
Avian influenza, human - worldwide (42): Azerbaijan, Cambodia, Egypt
20060405.1021
Avian influenza, human - worldwide (41): Egypt, Indonesia 20060404.101
Avian influenza, human - worldwide (40): Egypt 20060403.0998
Avian influenza, human - worldwide (39): 20060401.0981
Avian influenza, human - worldwide (38): Afghanistan, susp 20060331.0974
Avian influenza, human - worldwide (37): Egypt, Indonesia 20060330.0955
Avian influenza, human - worldwide (36): Cambodia, Egypt 20060329.0948
Avian influenza, human - worldwide (35): Egypt 20060327.0939
Avian influenza, human - worldwide (34): Cambodia 20060327.0938
Avian influenza, human - worldwide (33): Indonesia 20060325.0919
Avian influenza, human - worldwide (32): Cambodia, China 20060324.0906
Avian influenza, human - worldwide (31): China, WHO plan 20060323.0898
Avian influenza, human - worldwide (30): Cambodia, Egypt 20060322.0890
Avian influenza, human - worldwide (29): Azerbaijan 20060321.0882
Avian influenza, human - worldwide (28): Egypt, Malaysia 20060320.0866
Avian influenza, human - worldwide (20): Asia 20060302.0668
Avian influenza, human - worldwide (10): Iraq, India 20060219.0547
Avian influenza, human - Worldwide (01) 20060209.0433
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