Government warns of more suspected bird flu infections

Government warns of more suspected bird flu infections

Hera Diani and Suherdjoko, The Jakarta Post, Jakarta/Semarang

Minister of Health Siti Fadilah Supari said on Monday that avian
influenza had most likely caused the death of a woman over the
weekend.

A surveillance team was also sent to the neighborhood of the
37-year-old dead woman, identified only as RD, to do blood tests
on people who had contact with her before she died.

A sample of her blood has been sent to the WHO-sanctioned
laboratory in Hong Kong to verify if the resident of Petukangan
Utara subdistrict in South Jakarta was killed by the H5N1 strain
of the virus.

Siti said that clinical symptoms indicated that the woman was
Indonesia's fourth human fatality from avian influenza, after the
death of Tangerang resident Iwan Siswara and his two daughters in
July.

"She most likely had bird flu, although several lab tests
conducted here gave conflicting results. So we are still waiting
for results from lab tests in Hong Kong," Siti told a media
conference at her office.

The results are expected within six days.

Siti said the woman was admitted to Bintaro International
Hospital in Tangerang, Banten, on Sept. 6 for severe pneumonia
after suffering from flu for several days and leukopenia, a
drastic decline in white blood cells to under 6,000 cells per
cubic centimeter. The symptoms are common with bird flu
infection.

The woman lived near a chicken slaughterhouse in a crowded
neighborhood, but was not in frequent contact with chickens.

Siti said she expected an increase in the number of suspected
human infections in the country due to the rising alert level.
She called on people not to panic because while the source of the
virus in either case had not been found, there was no case of
human-to-human transmission of the virus.

Meanwhile, the dead woman's family urged the government to
explain the cause of her death.

Her husband, Agus Mardeo, said he was baffled by the media
coverage saying that his wife had died of bird flu, as the
Bintaro International Hospital indicated that pneumonia was the
cause of death.

"I'm confused. I'd like to report the media to the Indonesian
Broadcasting Commission. And I want the government to explain to
me the cause of my wife's death," said Agus, who looked weary and
upset.

Agus' wife was buried at Cantung Cemetery in Semarang on
Sunday afternoon.

Despite a WHO recommendation to cull all poultry within a
three-kilometer radius of an outbreak, the government conducted
only a minor cull in Tangerang, following the death of Iwan and
his two children.

Only 31 pigs and 40 ducks were slaughtered after the Tangerang
outbreak.

The government has also closed the investigation into the
source of the virus that killed Iwan and his daughters, which was
thought to be the droppings of an infected chicken.

However, outbreaks have continued to occur among some 1.6
billion chickens in the country, and around 45 millions ducks. It
has affected 22 out of 33 provinces since 2003, killing over 9.5
million birds.

"Reports continue to come in, but it's almost impossible to do
a mass culling. It would take trillions of rupiah," Ministry of
Agriculture's Director of Animal Health Tri Satya Putri Naipospos
said at Monday's press conference.

However, Tri said, the ministry continued to improve
biosecurity, selective culling, vaccination and regulating the
poultry trade.

Steven Bjorge, technical officer of communicable diseases at
the WHO office in Jakarta, said culling would be complicated in
Indonesia as 70 percent to 80 percent of the chickens in the
country were backyard chickens.

"We have to expect there will be more cases because the virus
clearly has been endemic in the bird population," he said.

Bjorge said that WHO has no criticism of the Indonesian side
as this was a complicated and unprecedented matter.

"As for my confidence in the Indonesian response from the
health side, I know that people are working very hard. Every lead
is being followed."