SELAMAT DATANG Dr. JEFRI SITORUS, M.Kes semoga sukses memimpin KKP Kelas I Medan------------------------ Kami Mengabdikan diri Bagi Nusa dan Bangsa untuk memutus mata rantai penularan penyakit Antar Negara di Pintu Masuk Negara (Pelabuhan Laut, Bandar Udara dan Pos Lintas Batas Darat=PLBD) ------

Disease Outbreak News

Tuesday, May 27, 2008

H5N1 avian influenza : Timeline of Major Events in Indonesia (Part 1)

1. 2 Feb 2004 : Events in Animals : Indonesia first reports H5N1 in poultry in 11 provinces. Outbreaks continue to be reported. Vaccination is allowed.

2. Jun/Jul 2004 : Events in Animals : China reports recurrence of H5N1 in poultry. Outbreaks continue to be reported in Indonesia, Viet Nam and Thailand.

3. Dec 2004 : Events in Animals : Poultry outbreaks continue in Indonesia, Thailand, and Viet Nam and possibly also in Cambodia and Lao PDR. Reported outbreaks continue more or less continuously in Indonesia through August 2006, in Thailand through November 2005, and in Viet Nam though December 2005.

4. 21 Jul 2005 : Events in Humans : Indonesia confirms its first human case. Infection in two other family members is considered likely, but cannot be laboratory confirmed. Subsequent investigation is unable to determine the source of infection. Virus has been circulating in poultry in Indonesia since February 2004.

5. 2 Aug 2005 : Events in Animals : Indonesia reports H5N1 in poultry and pigs during surveillance in the region where the recent human cases lived (Tangerang district, Banten province, West Java).

6. 16 Sep 2005 : Events in Humans : Indonesia confirms its 2nd case.

7. 22 Sep 2005 : Events in Humans : Indonesia confirms its 3rd case.

8. 29 Sep 2005 : Events in Humans : Indonesia confirms its 4th case. Research13 Research describes the clinical features of H5N1 infection and reviews recommendations for the management of cases.

9. 10 Oct 2005 : Events in Humans : Indonesia confirms its 5th human case.

10. 24 Oct 2005 : Events in Humans : Indonesia confirms its 6th and 7th human cases.

11. Jan 2006 : Events in Humans : By the end of 2005, Indonesia has confirmed a total of 20 cases in humans.

12. 13 Feb 2006 : Events in Humans : Indonesia confirms its 25th case and 18th fatality.

13. 12 Apr 2006 : Events in Humans : Indonesia confirms its 31st human case in a 23-year-old man from West Java (onset date 20 March 2006).

14. 19 Apr 2006 : Events in Humans : Indonesia confirms its 32nd human case in a 24-year-old man from Banten (onset date 29 March 2006).

15. 8 May 2006 : Events in Humans : Indonesia confirms its 33rd human case in a 30-year-old man from Jakarta (onset date 17 April 2006)

16. 18 May 2006 : Events in Humans : Indonesia reports the largest family cluster in any country to date, with 7 confirmed cases (the 34th through 39th and the 42nd) from 4 households in the Karo district of North Sumatra. The index case (unconfirmed) develops symptoms on 24 Apr, the last case dies on 22 May. Cases include the index case's 2 sons, (aged 15 and 17 years), her 10-year-old nephew, her 2 brothers (aged 25 and 32 years), her 28-year-old sister, and this sister's 18-month-old daughter. Disease does not spread beyond the extended family. Limited human to human transmission can not be ruled out. Viruses do not show any significant genetic mutations or reassortment.

17. 18 May 2006 : Events in Humans : Indonesia also confirms its 40th human case, in a 38-year-old woman from East Java (onset date 2 May 2006).

18. 19 May 2006 : Events in Humans : Indonesia confirms its 41st human case in a 12-year-old boy from East Jakarta (onset date 7 May 2006).

19. 29 May 2006 : Events in Humans : Indonesia confirms its 43rd - 48th human cases in an 18-year-old man from East Java (onset date 6 May 2006), a 10-year¬old girl and her 18-year--old brother from West Java (both with onset date 16 May 2006), a 39-year-old man from Jakarta (onset date 9 May 2006), a 43-year-old man from Jakarta (onset date 6 May 2006), and a 15-year-old girl from West Sumatra (onset date 17 May 2006). All 6 cases are unrelated to the family cluster in Karo, North Sumatra.

20. 6 Jun 2006 : Events in Humans : Indonesia confirms its 49th human case in a 15-year-old boy from West Java (onset date 26 May 2006).

21. 15 Jun 2006 : Events in Humans : Indonesia confirms its 50th human case in a 7-year-old girl from Banten (onset date 26 May 2006).

22. 20 Jun 2006 : Events in Humans : Indonesia confirms its 51st human case in a 13-year-old boy from Jakarta (onset date 9 June 2006).

23. 4 Jul 2006 : Events in Humans : Indonesia confirms its 52nd human case in a 5-year-old boy from East Java (onset date 8 June 2006).

24. 14 Jul 2006 : Events in Humans : Indonesia confirms its 53rd human case in a 3-year-old girl from Jakarta (onset date 23 June 2006).

25. 20 Jul 2006 : Events in Humans : Indonesia confirms its 54th human case in a 44-year-old man from Jakarta (onset date 24 June 2006).

26. 8 Aug 2006 : Events in Humans : Indonesia confirms its 55th human case in a 16-year-old boy from West Java (onset date 26 July 2006), and becomes the country with the most human deaths (n=43) from H5N1 HPAI infection, surpassing Viet Nam. A system for unified H5N1 nomenclature, developed by the WHO/OIE/FAO Evolution Working Group, is posted on the WHO website and the OFFLU website (www.offlu.net).

27. 9 Aug 2006 : Events in Humans : Indonesia confirms its 56th human case in an 17-year-old girl from Jakarta (onset date 28 July 2006).

28. 14 Aug 2006 : Events in Humans : Indonesia confirms its 57th human case in an 17-year-old boy from West Java (Cikelet/Garut Cluster) (onset date 26 July 2006).

29. 17 Aug 2006 : Events in Humans : Indonesia confirms its 58th human case in an 9-year-old girl from West Java (Cikelet/Garut Cluster) (onset date 1 August 2006).

30. 21 Aug 2006 : Events in Humans : Indonesia confirms its 59th human case in an 35-year-old woman from West Java (Cikelet/Garut Cluster) (onset date 8 August 2006). In this cluster, there was no evidence of human to human transmission, poultry deaths were possibly linked with live chickens returning to village from live animal market, and there were possible additional human cases that were not confirmed.

31. 23 Aug 2006 : Events in Humans : Indonesia confirms its 60th human case in an 6-year-old girl from West Java (onset date 6 August 2006).

32. 8 Sep 2006 : Events in Humans : Indonesia confirms its 61st human case in an 14-year-old girl from South Sulawesi (onset date 18 June 2006). Due to revisions to the WHO case definition, two cases are retrospectively confirmed in Indonesia: The 62nd in an 8-year-old girl from Banten (onset date 24 June 2005) and the 63rd in a 45-year¬old man from central Java (onset date 25 November 2005).

33. 14 Sep 2006 : Events in Humans : Indonesia confirms its 64th human case in a 5-year-old boy from West Java (onset date 4 March 2006)and (through follow up testing) its 65th human case in a 27-year-old male from West Sumatra (onset date 28 May 2006) (brother of 15- year-old girl; was possible human to human transmission).

34. 25 Sep 2006 : Events in Humans : Indonesia confirms its 66th human case in an 11-year-old boy from East Java (onset date 16 September 2006)and its 67th human case in a 9-year-old boy from Jakarta (onset date 13 September 2006).

35. 27 Sep 2006 : Events in Humans : Indonesia confirms its 68th human case in a 20-year-old man from West Java (onset date 17 September 2006).

36. 3 Oct 2006 : Events in Humans : Indonesia confirms its 69th human case in a 21-year-old woman from East Java (onset date 19 September 2006) (the sister of the 66th case).

37. 16 Oct 2006 : Events in Humans : Indonesia confirms its 70th human case in a 67-year-old woman from West Java (onset date 3 October 2006), its 71st human case in a 11-year-old boy from Jakarta (onset date 2 October 2006), and its 72nd human case in a 27-year-old woman from Central Java (onset date 8 October 2006).

38. 13 Nov 2006 : Events in Humans : Indonesia confirms its 73rd human case in a 35-year-old woman from Banten (onset date 7 November 2006) and its 74th human case, in a 30 month old boy from West Java (onset date 10 November 2006).

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