Death returns to Riau
Scott McPherson
in influenza and infectious diseases
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Authorities are returning to Riau, Indonesia, in the wake of another suspected family cluster (for reference, see my earlier post All Eyes on Riau, http://www.scottmcpherson.net/journal/2007/10/8/all-eyes-upon-riau-indonesia.html ).
Over the weekend, 10 year old Gozi Sultia Ningsih died of a confirmed H5N1 infection. Her 17-year old aunt, Riri Rianti, also died after being hospitalized on October 11, but, incredibly, no samples were taken for analysis. Just how, in perhaps the most bird flu-ridden province in Indonesia, can no samples be taken of a young girl with suspected H5N1 symptoms?! This is beyond the imagination of any competent medical professional or layperson.
This fact is not lost on the central government in Jakarta, which is growing increasingly frustrated with the inability of local medical authorities to observe suspected human H5N1 protocols. The exasperation is clearly noticeable in the quotes from Dr. H Djuharman Arifinof, chairman of the Dewan Perwakilan Rakyat Daerah (DPRD), or Regional Council of Representatives, representing the Riau district.
The following is again from intrepid Flu Wiki/Flutrackers poster and nimble-fingered lay translator Commonground. Don't try to read each word literally; scan the translation and then read between the lines.
Related To Fall Again Casualties Flu Burung
All Element Must Work Extra
22 Oct 2007 14:32 wib
Pekanbaru (RiauInfo) - Rep. Chairman DPRD Riau, Drs H Djuharman Arifin, APT, MP
require/demand/beg and summon to Government Province Riau Government Kota, Regency and all element must be able to carry out work extra towards handle matter of suspect flu bird in Riau. Do not to the point of to wait for casualties new now this be handled.
"Yes, I feel method like that not effective which as long as this now we see someone manner handling when there is casualties to fall. Recent activity directly to fall toward location incident. Better Pemerintah Provinsi Riau should have step that accurate," say Djuharman Arifin toward RiauInfo in Kantor DPRD Riau, Senin (22/10). (bold mine)
According to Djuharman, matter that all important carried out toward prevention should have concept that clearly conveyed toward Government Center. Concept important which should be executed Pemerintah Provinsi Riau that is by give immunizatio to community in order thatthe immune to virus H5N1 mentioned. Second, question/issue/problem pountry should looked into/verified correctly in order that domestic animal poultry did not spread virus and third, Pemerintah Provinsi must be able make map/chart geographic region that endemic flu bird.
Until concept aforementioned be obtained exceed all problems which take place when this. Map region endemic that very necessary because we will be able to see someone who which infected/spread or which not infected/spread," he said.
For the moment that, Chief Commission D DPRD Riau, Ir Fendri Jaswir to augment before/not yet many to fall casualties soul Dinas Health Diskes and Dinas Peternakan must proactive task with the result that be able to overcome virus extinguish now (flu burung). The problem is from sum suspect flu bird more lacking/insuffient 23 people, 4 died, and 4 positive. (bold again mine)
http://www.riauinfo.com/main/news.php?c=6&id=2777
"Yes, it was positive (of bird flu)," she told reporters at the State Palace here.
The girl's aunt had died earlier of suspected bird flu, she added.
"But we are not certain about her aunt because we didn't take her blood sample," the minister said.
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