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Jakarta Post Issues H5N1 Alert for North Sumatra
Recombinomics Commentary 20:39
August 11, 2008

"Indonesia has been the worst hit by the bird flu epidemic, with more than 110 people dead. The virus has struck again, with at least 11 people hospitalized in North Sumatra. What's wrong with the government program handling the problem? Send your thoughts by SMS to [phone]. Please include your name and city. –Editor"

The above bird flu alert was published in the Jakarta Post today.  The lack of transparency on the status of H5N1 in Indonesia has created concern within the country, as well as the international community. The United States consulate general in Medan, as well as a team from WHO, are seeking information and clarification.

Although no confirmed H5N1 cases have been reported in North Sumatra, poultry is H5N1 positive and patients have died or have been hospitalized with bird flu symptoms.  The initial three fatal cases were buried without testing, and subsequent hospitalized patients are said to be negative for H5N1, although some have now been said to be suffering from dengue fever.  However, dengue fever is not usually fatal, but fatalities have been reported in adjacent areas,

Indonesia has announce that they will delay reports on H5N1 confirmed cases, even though IHR requires notification of WHO within 24-48 hours after confirmation.  There were two laboratory confirmed H5N1 fatalities in July, but neither Indonesia nor WHO has issued an update acknowledging the fatalities.  The Ministry of health refused to confirm or deny the first case and acknowledged the second, but WHO has not recorded either as a confirmed case, even though the first case died a month ago on July 10.

The concerns over the delayed reporting have been amplified by the denial of clear H5N1 clusters in recent cases.  Although H5N1 had been confirmed, relatives who died with bird flu symptoms were said to have died of lung inflammation, typhus, and dengue fever.  These earlier examples of misdiagnosis increase concerns over the large number of hospitalized patients, including those said to be suffering from dengue fever.

Thus, the media in Jakarta has appealed to citizens fro clarification on the confusing situation in North Sumatra.

http://www.recombinomics.com/News/08110806/H5N1_Sumatra_Alert.html

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