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Large Suspect H5N1 Cluster in Lampung Indonesia


Recombinomics Commentary 12:22
March 13, 2008

The ten patients were treated on the Long community health centre recommendation.

The existence of the assumption of bird flu, because apart from the sign that was suffered by the patient resembled AI, also the existence of the story of the death of the positive poultry was contracted by AI in their village.

From the patient suspek AI this, five including being children.

They were Sanpidi (43) and  his child of Imas (10),  the older brother was siblings Adi Sutihat (8) and Dani (8 months), Nurdin (52) and his child of Hariyanto (11),  Aminah (20), Fedi (2), Aniti (42),  Lala (20).

However, from ten patients suspek bird flu, two among them Aniti and Lala refused to be treated in the hospital.

Now two other, Sanpidi and Imas on Wednesday night bolted from the hospital, around struck 21,30 WIB.

According to the official RSU Abdul Muluk, on Thursday (13/2/2008), overnight already did not find the father and this child in isolation space for the sufferers or suspek bird flu.

The above translation describes a ten person cluster in Lampung, Indonesia.  Two of the family members have more severe bird flu symptoms, including high fever, and their poultry has tested positive for H5N1.  However, as noted above, some family members have refused hospitalization, while others have left the hospital.  Family members have been given Tamiflu.

Clusters have been reported in Lampung previously, but the only confirmed cluster was in late 2005, and the cluster had mild H5N1 (all three survived and two of the three were confirmed by antibody levels).

Larger suspect clusters have been reported, and large numbers have been placed on Tamiflu, which may have limited detection of H5N1. 

The use of Tamiflu in the current cluster may also limit confirmation.

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