Commentary
Dengue Fever Diagnosis In Sumatra Raises Concerns
Recombinomics Commentary 02:11
August 11, 2008
The concerned atmosphere was mixed with panic covered casualties's family from the Asahan Regency, they expected his two children terjangkit bird flu because by chance their area was found by casualties suspect bird flu. “Melihat our child's fever did not descend-descended we concerned was mixed with panic, we suspected our child of being affected by bird flu because in our area was found by bird flu casualties but after being brought by us to this hospital and results were stated positive DBD not flu burung” clear Zuhaina the mother Fitra and Aiman to the reporter.
the Team of the doctor suspected the patient of being suspected of by bird flu having the initials F (7) was attacked by dengue fever dengue fever or DBD. the Content trombosit in the F body was below normal.
We were not sure the dengue fever attack happened from here (Medan), said public relations of RSUP Adam Malik Medan Sinar Ginting, on Sunday (10/8).
The volunteer furthermore was assigned to monitor 5 to 10 families that suffered the sign of bird flu.
The above translation describes the hospitalization of more patients with bird flu symptoms. These comments suggest multiple members from the same family are being hospitalized, and some reports have piu the number of patients seeking treatment above 70. The above translation indicates some patients being hospitalized in Medan are being diagnosed with dengue fever.
Fatal dengue fever cases are being reported in other cities in the area, which raises additional concerns. In the past, H5N1 patients have been misdiagnosed as dengue fever because symptoms are similar, especially for the more serious dengue hemorrhagic fever. However, the dengue fever diagnosis for a family member of a confirmed H5N1 case raised serious questions about an increased reliance of a dengue fever diagnosis to reduce the number of confirmed H5N1 cases. This diagnosis was of particular concern because it was repeated by the Director General at the Ministry of Health, Nyoman Kandun, who has also indicated the the dramatic increase in hospitalized patients is due to villager concern over the H5N1 poultry. However, H5N1 positive poultry is common in Indonesia, where it has been declared endemic.
Recently, WHO has dispatched a team to North Sumatra in the absence of any confirmed H5N1 cases, raising concerns that the public denials of cases is inconsistent with the situation on the ground. Similarly, Japan agreed to supply an additional 500,000 courses of Tamiflu to southeast Asian countries, raising additional concerns regarding the situation in Indonesia. The earlier shipment of 500,000 courses of Tamiflu was stored in Singapore, which is adjacent to North Sumatra.
More information on the patients with bird flu symptoms and those being diagnosed with dengue fever would be useful.
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