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Indonesia Says It Is Facing Bird Flu Epidemic

The World Health Organisation's biggest fear is that H5N1 may mutate, acquiring genes from the human influenza virus that would make it highly infectious as well as lethal.

Jakarta (AFP) Sep 21, 2005
Indonesia's health minister on Wednesday warned the country was facing a bird flu epidemic as two more possible victims died after showing signs of infection.

With four Indonesian deaths already confirmed in two months and mounting international concern that bird flu could mutate into a major killer of humans, Health Minister Siti Fadilah Supari warned of more infections ahead.

"This can be classified as an epidemic and most definitely there will be others as long as we are unable to positively identify the sources," Supari told reporters.

A strain of bird flu known as H5N1 has killed 63 people in Southeast Asia since 2003, the majority of them in Vietnam. Health experts say a major and quick-spreading pandemic could kill millions internationally.

The World Health Organisation's biggest fear is that H5N1 may mutate, acquiring genes from the human influenza virus that would make it highly infectious as well as lethal.

"It's obvious that a pandemic will occur, all the conditions are in place," WHO director general Lee Jong-Wook said on Monday. "The problem now is time."

A team of US officials are in Indonesia to see how they can help Indonesia's efforts to curb bird flu, US embassy spokesman Max Kwak said. The five-person team from the Centers for Disease Control and other agencies arrived Sunday and will leave Saturday as part of a regional fact-finding mission.

Supari said Indonesia will this week receive 9,000 more Tamiflu capsules to supplement the 3,000 already available. The WHO recommends stockpiling of Tamiflu, an antiviral medication which can stop flu if given quickly when symptoms develop.

The Indonesian government on Monday gave bird flu "extraordinary incident" priority status to focus attention on the outbreak in the world's fourth most populous nation.

"I do not want to wait for more deaths to take place," the health minister explained.

But The Jakarta Post said in an editorial that it remains to be seen how the "extraordinary" situation is dealt with on the ground.

The newspaper called for public information campaigns and questioned whether the government did enough to prevent the virus from taking hold when it first appeared two years ago.

"It should be clear that it is no longer the time for choosing between the interests of the poultry industry and those of the public at large," it said.

A five-year-old girl who died in hospital showing symptoms of bird flu may be the latest victim, said Sardikin Giriputro, deputy director of the Sulianti Saroso Hospital for respiratory ailments.

"The patient that was admitted (Tuesday) has now died," he said.

Sardikin cautioned that the cause of death had not been confirmed.

In another possible case a two-year-old girl died at Jakarta's Christian PGI Hospital after a high fever and respiratory problems, said Rosiana, the hospital spokeswoman.

"This should be considered as a suspected case by the health ministry," she said, adding samples had been sent for analysis by the ministry.

A ministry official said he had not received a report on the infant's death.

Sardikin said that as of Wednesday afternoon, three more patients with symptoms of bird flu were being treated at his respiratory hospital, bringing the total to nine.

One patient, a nine-year-old girl, had visited Jakarta's Ragunan Zoo just before officials ordered it closed last Sunday because of a bird flu outbreak. The other two patients are teenagers who had contacts with birds before they became sick.

Authorities announced on Friday that a 37-year-old Jakarta woman was Indonesia's fourth confirmed bird flu death.

Health officials have not revealed exactly what caused her death but Georg Petersen, WHO's Indonesia representative, said she lived in an area with many chickens, ducks and even a slaughterhouse.

A Jakarta father and his two daughters died of bird flu in July. The government has said infected chicken droppings are suspected to have caused those deaths.

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United States To Press For Bird Flu Action Plan In APEC Summit
Manila (AFP) Sep 20, 2005
US President George W. Bush will push for an action plan against bird flu during the Asia Pacific Economic Cooperation (APEC) forum summit in November, a senior US official said Tuesday.







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