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The second death of a Tangerang child in the past two weeks has raised concerns that something is emerging there.  Here is a map showing the location of Tangerang (red start) to the capital of Jakarta.

JAKARTA, Oct 23 (Reuters) - An Indonesian toddler from Tangerang, west of the capital Jakarta, has died of bird flu, bringing the country's death toll from the disease to 89, a health ministry official said on Tuesday.

The four-year-old girl died on Monday after being admitted to hospital two days earlier, health ministry spokeswoman Lili Sulistyowati said by telephone.

The girl, who had been suffering from fever, died after being transferred to Persahabatan hospital in Jakarta.

Officials were still investigating the case, but four chickens had previously died in the girl's neighbourhood, another official at the ministry's bird flu centre said.

Contact with sick fowl is the most common way for humans to contract the deadly H5N1 strain of the virus.

Bird flu is endemic in bird populations in most parts of Indonesia, where millions of backyard chickens live in close proximity with humans.

Indonesia, which has now had 110 confirmed cases of the disease in humans, has suffered more fatalities than any other country.

http://www.alertnet.org/thenews/newsdesk/L23739948.htm

This follows a death just last week.  The details are listed in an Antara news story.

Tangerang, Banten (ANTARA News) - A 12-year-old child at Ceger village in Tangerang district, Banten province, died of the H5N1 virus over the weekend, bringing to 88 the death toll in bird flu cases in Indonesia, a health official said.

The child, identified as Irfan, was brought to a local midwife on Oct. 3 after suffering from fever for three days, Head of Communicable Disease Control and Prevention Section at the Tangerang District Health Office dr Yuliah Iskandar said on Monday.

As his health condition deteriorated, Irfan was later transferred to Tangerang Regional Hospital where he underwent a medical test on Oct. 8, Yuliah said.

He was later moved to Persahabatan Hospital in Jakarta on Oct. 9 for further medical treatment as he had tested positive for bird flu based on the result of a laboratory test conducted by the Health Research and Development Agency and the Eijkmann Institute, she said.

To anticipate the possible spread of the H5N1 virus in the area, the district health office had sent officers to Ceger village to take samples of the blood of Irfan`s relatives and neighbors, she said.

Yuliah said Irfan did not have contact with dead chicken before being infected with the bird flu virus. Neither did his parents raise poultry in their backyard.

"But there is backyard poultry about 500 meters from the victim`s house," she said.

This marks the seventh human H5N1 case in Tangerang in the past twelve months, according to the U.S. Department of Defense Pandemic Influenza Watchboard, located at  http://fhp.osd.mil/aiWatchboard/index.jsp .  An archive of Indonesian cases can be found at  http://fhp.osd.mil/aiWatchboard/archivedcases.jsp#oct_12_2007 . Don't forget to add the 4-year old girl to the cases when adjusting your scorecard at home.  That includes six deaths -- an 85% Case Fatality Rate.

If you have not done so already, add Tangerang to Riau and Bali as potential incubators of the Next Pandemic.  By the way, all but two of the human Tangerang cases (and all but one of the area's fatalities) are girls or women, ranging from ages 4 to 38.