Hey Hey What Can I Do

Flu Cases Rise Across U.S., Severe Season Feared

It's not too late to get vaccinated, CDC says

FRIDAY, Jan. 4 (HealthDay News) -- In Chicago, a hospital employee describes the emergency department as "knee-deep in flu and pneumonia cases."

In Richmond, Va., Dr. Kenneth Lucas of the Patient First clinic says he's seen a 30 percent rise in flu cases, which "hit the fan around Christmastime" and "really rolled in with the holidays."

And in Rhode Island, where almost 10 percent of emergency room visits in the past week were due to flu-like symptoms, state Health Department Director Michael Fine predicts this could be the worst flu season in years.

This year's influenza season got off to an early start, and according to these and other published accounts it's ramping up as peak flu season nears.

"As we have moved into.. http://health.usnews.com/health-news/news/articles/2013/01/04/flu-cases-rise-across-us-severe-season-feared

Dangerous Flu Season

January 4, 2013 at 11:00 Am

The flu season is off to an early and dangerous start.  Southern and southwestern states, in particular, are reporting large numbers of people with the flu in ER rooms and doctor’s offices seeking relief.

Many doctors have said that they began seeing patients with the flu or flu-like symptoms as early as Thanksgiving and a few even said they saw patients in September. That’s far ahead of the normal beginning of the flu season in December and January.

Typically, the flu just makes people very sick for a week or two, but it can also be deadly for the very young, the elderly and people with compromised immune systems.

However, even people who are otherwise healthy can suffer a fatal bout with the virus.

Max Schwolert , a 17-year. http://www.kvue.com/news/health/kids-doctor/185664511.html

Early flu season accelerates; no peak yet, CDC says

he nation’s early flu season continued to grow in the U.S. this week, with no sign yet of a peak in the spread of coughing, achy, feverish illness, health officials said Friday.

"I think we're still accelerating," said Tom Skinner, a CDC spokesman. 

Twenty-nine states and New York City reported high levels of flu activity, up from 16 states and NYC the previous week. Flu was widespread in 41 states, up from 31 states, according to the latest figures from the Centers for Disease Control and Prevention.

As of the week ending Dec. 29, 2,257 people had been hospitalized with flu, and 18 children had died from complications of the illness, CDC reported... http://vitals.nbcnews.com/_news/2013/01/04/16329989-early-flu-season-accelerates-no-peak-yet-cdc-says?lite

Down By The Seaside

serang indonesia

The Battle of Evermore

The pathobiology of two Indonesian H5N1 avian influenza viruses representing different clade 2.1 sublineages in chickens and ducks 

To determine the pathobiology of Indonesian H5N1 highly pathogenic avian influenza, two viruses representing clades 2.1.1 and 2.1.3 were inoculated into broiler chickens and Pekin ducks via the eyes, nostrils and oropharynx. 
In chickens, both viruses produced fulminant disease; tissue tropism was broad but predominantly endothelial and viral loads in tissues were high. Except for one case of meningoencephalitis, the infection in ducks was sub-clinical, leading only to seroconversion.

 In these ducks, virus and viral antigen occurred in lower amounts, mainly in the respiratory tract (airsac and sinuses), prior to day 7 after inoculation. During clinical disease, chickens shed high virus titres orally and cloacally. Ducks intermittently shed low virus titres from the oral route for up to 8 days post-inoculation.
 We discuss the significance of the data for understanding the pathogenesis and pathobiology of Indonesian H5N1 in chickens and ducks.  http://sciencealerts.com/stories/2142424/The_pathobiology_of_two_Indonesian_H5N1_avian_influenza_viruses_representing_different_clade_21_sublineages_in_chickens_and_ducks.html?utm_source=dlvr.it&utm_medium=twitter

The Wanton Song

WEST BANK-The swine flu death of a baby in the West raise the number to 12

Friday, 04 January, 2013

The Ministry of Health in Ramallah government, the number of deaths swine flu "H1N1" increased to 12 deaths, the death of a child at the age of three months of Nablus, while the number of casualties mounted to 352 cases so far..

http://felesteen.ps/details/news/84182/%D9%88%D9%81%D8%A7%D8%A9-%D8%B1%D8%B6%D9%8A%D8%B9-%D8%A8%D8%A5%D9%86%D9%81%D9%84%D9%88%D9%86%D8%B2%D8%A7-%D8%A7%D9%84%D8%AE%D9%86%D8%A7%D8%B2%D9%8A%D8%B1-%D9%81%D9%8A-%D8%A7%D9%84%D8%B6%D9%81%D8%A9-%D8%AA%D8%B1%D9%81%D8%B9-%D8%A7%D9%84%D8%B9%D8%AF%D8%AF-%D9%84%D9%8012.html

When The Levee Breaks

Thousands of ducks in Subang Pantura Destroyed

,2013-01-04 21:01:00 

(AFP). - At least 4000 ducks in coast region Subang positive for bird flu (Avian Influenza H5N1 strain).Thousands of ducks are located in the District Sukasari and Pusakanagara it was destroyed to prevent the spread of the virus.Thursday, 03/01/2013 - 15:23This was revealed by a survey DVO Subang recently in four locations, namely Batangsari village, district. Sukasari, Kalentambo village, district. Pusakanagara, Tanjungtiga village, district. Blanakan and Tambaksari village, district.Cijambe.  http://www.pikiran-rakyat.com/node/217469

LAMPUNG: Attacked Seven Districts  Bird Flu

Outbreak of bird flu attack in seven districts in Lampung. 

The seventh district is South Lampung, Central Lampung, East Lampung, Metro, Pringsewu, Tulangbawang and Tulangbawang West. The most serious outbreak, hit South Lampung.. http://lampost.co/berita/lampung-tujuh-kabupaten-diserang-flu-burung

2013-01-04 21:15:00

Sent to Lampung and Bengkulu, 200 Duck Dead

BENGKULU (Lampost.co): A total of 200 of 800 ducks that died suddenly at home on Monday (24-12) and in the Village Sukarami, District wide, the city of Bengkulu, Bengkulu, a native of Bradford County, tested positive for the virus or flu H5NI birds. A total of 800 head of 1,000 ducklings, before coming from Brebes, Central Java, and Lampung Province and sent to the city of Bengkulu... http://lampost.co/berita/dikirim-ke-lampung-dan-bengkulu-200-bebek-mati

1000 ducks died from bird flu

Friday, January 4, 2013 21:09 PM | 

Bengkulu (ANTARA News) - A total of 1,000 animals laying ducks on one farm in the city of Bengkulu died from the H5N1 virus or bird flu."Results of the examination of the six tail of 800 tail ducklings that died suddenly, the result was positive for bird flu,..

http://www.antaranews.com/berita/351583/1000-itik-mati-akibat-flu-burung?utm_source=twitte rfeed&utm_medium=twitter

Bird Flu Caution! Hundreds Dead Ducks in Klaten

Friday, January 4, 2013 12:23 PM

KLATEN-About 450 ducks belonging Wiwid 1.5 months old Suyanto, 45, and Andiana Erri, 27, a resident of Hamlet Brongkol, Jatipuro Village, District Trucuk die in two weeks...

http://www.solopos.com/2013/01/04/awas-flu-burung-ratusan-itik-di-klaten-mati-364541

Old Bird Flu Vaccine Can Be Used for Ducks??

REPUBLIKA.CO.ID, experts have produced masterseed or prickly anti-virus to make a vaccine for AI clade 2.3.2. Pathogenicity test results and test cross-reaction also shows similarities with the character of the new vaccine clade 2.1.3 vaccine, which is used in the case of bird flu earlier.  means that the old vaccine can still be used to tackle bird flu that attacked ducks today. "The vaccine is still available at a variety of long and numerous provinces," said Director General of Livestock and Animal Health, Gratitude Iwantoro,
 Friday (04/01) in Jakarta.  vaccine manufacturing process is expected to last for 35 days. During the waiting process is complete, farmers are encouraged to perform a previous vaccination with the vaccine.  giving booster vaccines done by the method, ie by repeating 2-5 times. The circular has been deployed since yesterday, (03/01). 

Feeding and management of good maintenance should also be improved.  Several local farm said duck Thanksgiving began stopping shipments of the affected cases of bird flu. Livestock include in Lampung, Kalimantan and some Sulawe  "There freeze while minimizing the risk of spreading," he told Reuters. Breeders are encouraged to gradually abandon nomadic maintenance system that allows ducks to move when looking for food. Patterns intensive maintenance is costly which led farmers are reluctant to switch.  http://www.republika.co.id/berita/nasional/umum/13/01/04/mg3qu6-vaksin-flu-burung-lama-bisa-digunakan-untuk-itik?utm_source=dlvr.it&utm_medium=twitter

The Citizen Suspected Bird Flu

The Citizens Suspected Bird Flu

FRIDAY, JANUARY 4TH, 2013 | 10:42 PM

CILEGON - Public asked to increase vigilance against bird flu. This is because, the disease caused by avian influenza (AI) is thought to begin infecting people. 
Yesterday, Purnama Sari Indah (22), a resident of Environment Ciberko, RT / RW 02/02, Village Kalitimbang, District CIBEBER, declared suspected bird flu. Since Wednesday (2/1), the wonderful experience fever, dizziness, and shortness of breath. 

This he suffered after discarding some of his birds and poultry that died suddenly. "It's been a few days chickens, ducks, and pigeons I die suddenly. Originally seizures with blue eyes, and then die. Fearing the end I threw the carcass into the river near the house. I throw the chicken carcass last Wednesday (2/1) afternoon, "Lovely told the clerk said the Department of Agriculture and Marine (Disperla) Cilegon who visited yesterday. 

Hearing these beautiful, officers immediately checked his blood birds. Arrival Disperla officer is related reports of the birds that died suddenly in Kalitimbang. "I did have a report to Disperla if my birds died suddenly. I suspect that the chickens and ducks bird flu, even now it seems I was also affected by bird flu, "said Lovely. 

he admitted that he had to check their health to the health center CIBEBER. Parties were referred to the hospital clinic Cilegon, on Village Panggungrawi, District Jombang.
Cilegon Beautiful In hospitals have a blood test. Unfortunately, he claimed not to know the results of the test. "After the blood is taken, I go home. The problem, blood tests at night, I want to break the strong baseball, "he complained. 
Cilegon Hospital Director Dr. Zainoel Arifin said when contacted last night, a blood test performed in the laboratory Wonderful Ministry of Health (MoH). "Directly we send to the Ministry of Health, because we do not have the tools for the observation of bird flu," he said. 

Meanwhile, Head of Disease Control and Environmental Health (P2PL) at the Department of Health (PHO) Cilegon Retno Windarwati admitted monitoring the progress of the illness Beautiful.Therefore, it was not sure when the wonderful middle H5N1 virus (bird flu). "Blood tests are processed Beautiful property, until now we have not received the results. Because of the illness has not been confirmed Beautiful bird flu, "he said. "We are also awaiting the results of the examination Disperla Cilegon related birds that died suddenly. If it's birds that died from bird flu, we will take precautions so as not to attack humans, "added Retno. 

Elsewhere, Head of Animal Health (Keswan) and Public Health Feteriner (Kesmafet) on Disperla Cilegon Dr. Dina Safitri Animals recorded more than 20 birds and chickens died suddenly in the Citangkil and CIBEBER. It is now investigating the case. "We've taken some blood samples. Now only our test to find out if indeed the bird flu attack, "he said.
Dina said, the case is different from previous years. This time the alleged attack of bird flu more contagious to waterfowl, namely ducks and ducks. "Usually attacking chickens, but now the water fowl get this attack," he said.
He said Cilegon not the bird flu endemic areas. Moreover, during 2012 and accounted for only ten cases of alleged reports of bird flu.
Nevertheless, he asked people to keep improving alertness. Therefore, this rainy season increases the potential for bird flu. "The attack of bird flu are common in the rainy season.Therefore, I hope people who raise poultry more diligent in cleaning cages, washing well with coir. Birds that had to be always in the cage, so that if there is a sudden death did not spread to other areas, "he said.

http://www.radarbanten.com/beta/daerah/7761-satu-warga-suspek-flu-burung-

It's All Too Much

Pakistan: Battling measles and mistrust

The disease has claimed hundreds of lives but aid workers must also fight widespread suspicion and death threats.

A major immunisation programme is underway in Pakistan to combat a large rise in the number of people with measles.

"This was a tragedy that was waiting to happen. We have been predicting for a while now that without adequate cover with routine immunisation in many parts of Pakistan, notably in rural populations, that there was bound to be a situation where you would have an outbreak like this .... So what we are seeing this year is an absolute reflection of dropping the ball in covering an adequate cohort of children in rural and poor populations of Pakistan, particularly in the south, against a completely preventable disorder like measles." - Dr Zulfiqar Ahmed Bhutta, a child health expert

The immediate challenge is to vaccinate almost three million people in the worst affected areas. But it is an enormous task - and a dangerous one.

Aid workers involved in vaccinations are being threatened, attacked and even shot dead by armed groups who suspect the programmes are meant to harm them.

The latest figures from the World Health Organization (WHO) show the number of measles cases in Pakistan has increased from 4,000 in 2011 to 14,000 in 2012. Of those, 306 died last year - up from 64 deaths in 2011.

The worst hit area is the southern Sindh province where 210 children have died - almost half of them in December alone.

The United Nations Children's Fund (UNICEF), says measles is still a leading cause of death among young children.

It is a highly contagious virus, infecting the respiratory system, and passed on by coughing and sneezing and close personal contact.

But it can be prevented - vaccination programmes worldwide resulted in a 74 percent drop in measles deaths between 2000 and 2010.

In 2000, there were more than half a million deaths. Ten years on, that figures was down to 139,000.

However, in Pakistan, some people are suspicious of vaccination programmes.

The reason for their suspicion is that, in 2010, the CIA set up a phony vaccination drive against Hepatitis B to help track Osama bin Laden.

"What the government has done is basically they have committed a vaccination suicide themselves. The fact is that in Pakistan, there's a very strong perception which is backed by facts on [the] ground, that this vaccination campaign in Pakistan has been used by [the] CIA and foreign secret services for espionage and spying. When these facts were identified ... the rage and anger in the nation was palpable .... American CIA has committed the greatest disservice to humanity by using these humanitarian programmes for spying and espionage against the state of Pakistan." - Zaid Hamid, a security analyst

A Pakistani doctor was recruited to carry out the work in poor villages. His goal was to gain entry to the compound where bin Laden was suspected of hiding and get DNA samples from those living there.

The programme apparently failed. And the doctor is now serving 33 years for treason.

Some groups say the vaccination programmes are used to sterilise Muslims, or cause them harm.

The Taliban has repeatedly threatened health workers involved in vaccination work. And in recent weeks, a number of health workers have been shot dead.

It is unclear who is behind the attacks.

Gunmen ambushed and shot dead six Pakistani women and a male doctor in northwest Pakistan on January 1. The victims worked for an aid agency involved in health education and vaccinating children against polio.

And just two weeks earlier, nine hea http://www.aljazeera.com/programmes/insidestory/2013/01/20131375914693905.html?utm_medium=referral&utm_source=t.co

It Won't Be Long

Beware of a new type of AI virus transmission to humans
By Nur Fitri Arifenie - Thursday, January 3, 2013 | 7:40 pm

. Attacks avian influenza (AI) aka bird flu (H5N1) is increasingly widespread. After infecting hundreds of thousands of birds in Java, bird flu has now pushed to the outside Java.

Hardiman, Head of the Central Veterinary Research Agricultural Research and Development Agency, said the spread of bird flu virus in ducks has occurred in nine provinces in Indonesia, namely in Central Java, East Java, West Java, Yogyakarta, Banten, Lampung, Riau, West Sulawesi, and South Sulawesi.

But the death of the local ducks that are found on farms and not in commercial farms. "We're working to spread is not up to the Bali ducks there as demand is high," said Hardiman.

Although already spread into nine provinces, the government has not set a status of bird flu in ducks as a plague.

Hardiman sure, Central Veterinary Research has completed studies on the bird flu virus that attacks the ducks lately. As a result, the bird flu virus came from abroad.

Bird flu virus in the clade 2.3.2 is not the result of mutations that have attacked clade2.1 local poultry. "But we're not sure if this virus from wild bird migration or importation of birds from both legal and illegal," said Indi Damayanti, researchers Central Veterinary Research.

Clearly, the bird flu virus in Indonesia has bird flu proximity to the specifications coming from Vietnam and the People's Republic of China in Guangzhou. Although clade 2.3.2 in Indonesia has not been transmitted from birds to humans, all parties asked warily.

Based on the behavior of the bird flu virus clade 2.3.2 in some countries such as Vietnam, China, Hong Kong and Bangladesh, found transmission from birds to humans. In Vietnam and Hong Kong cases of human deaths due to bird flu virus with the clade 2.3.2.

"Awareness of transmission to humans should be improved because H5N1 is a viral zoonosis (infection that can be transmitted from animals to

human or otherwise), "said Indi.

Center for Veterinary research results showed that clade 2.3.2 viruses not only infect ducks, but also pushed into the traditional market. Thus, the virus has spread to the public sector and the risk of infecting other birds and humans.

According Indi, penanggulanan bird flu virus clade 2.3.2 clade2.1 the same as biosecurity, vaccination, depopulation, traffic monitoring poultry, surveillance, restrukrurisasi poultry, and public awarness. The government is also preparing a vaccine to ward clade 2.3.2.

http://industri.kontan.co.id/news/waspadai-penularan-virus-ai-jenis-baru-ke-manusia/2013/01/03

Your Mother Should Know

Sample Results Confirm Influenza A in Swift Current Care Centre

Written by A Erlandson on Thursday, 03 January 2013

Following the news of the Swift Current Care Centre being placed under Outbreak status, the sample results have returned from the Saskatchewan Disease Control Lab.

Consulting Medical Health Officer for the Cypress Health Region, Dr. David Torr has confirmed the results tested positive for Influenza A, which is one of the strains identified in the 2012 influenza vaccination.

Those who recieved their immunizations are considered protected, for those who haven't had their shot, they will be available and free until April 2013, to make an appointment you can call 1-866-786-2510, or your local public health office.

In addition to the immunization, it's very important to exercise other infection control practices, such as frequent handwashing, cough/sneeze etiquette, staying home when you are ill and cleaning commonly touched surgaces regularly.

Visitation at both the Swift Current Care Centre and Gull Lake Special Care Centre continues to be restricted until further notice.  http://www.swiftcurrentonline.com/index.php?option=com_content&task=view&id=20827&Itemid=267

Norwegian Wood (This Bird Has Flown)

Ducks Mass Death 
Spreads to Bali and Lampung 

Friday, January 4, 2013

DENPASAR (AFP): Hundreds of ducks Takmung village, Klungkung regency, Bali, sudden death may be due to the bird flu virus.

"From the lab, my ducks died of bird flu," said I Wayan Sudia, cucumber breeder origin Banjar, village Takmung, told reporters in Semarapura, Klungkung regency, on Thursday.

Since two months ago, he bought 500 head of nursery ducklings poultry in Tabanan. In recent days, the ducks belong Sudia often grazing Kusamba left about 300 left.

"Symptoms are very similar, ranging from cloudy eyes, staggering, neck twisted, until convulsions before death," said Sudia.

Head of Department of Animal Husbandry, Marine and Fisheries, Klungkung regency, I Gusti Ngurah Badiwangsa, acknowledged that hundreds of ducks in the village Takmung died from avian influenza virus. "We are intensifying (extension method) spraying disinfectant into a number of farmers in the village of Takmung," he said.

Disinfectant is distributed free of charge to farmers in Klungkung regency to avoid the spread of disease outbreaks is also potentially infect humans.

Meanwhile, the Department of Animal Husbandry and Animal Health Lampung province and recorded as many as 6627 birds drop dead ducks in Lampung variants of influenza virus H5N1 clade 2.3.2.1 past three months.

"Death on the chicken only 102 tails, while thousands of others attacked the ducks," said Head of Animal Health and Veterinary Public Health and Animal Husbandry Department Lampung, Arsyad, in Sydney, Thursday.

He said that poultry deaths in a row from one region to another, causing a panic for those agencies.

According to him, it's kind of a new variant first outbreak in Lampung and directly on a large scale. The case that until now there has been no significant development because it directly instruct the owner to carry out culling of duck against poultry disease.

Meanwhile, the Government Garut, West Java, wary of the possibility of the spread of duck deaths were reported to have struck four districts with mortality reaching 500 fish.

"Prevention of early so we do not spread by burning and burying the dead birds," said Kasubdin Animal and Veterinary Public Health Department of Animal Husbandry, Fisheries and Maritime Affairs, Garut, Faith Budiman, told reporters on Thursday.

He said reports of deaths began in Kampung Cianten ducks, Cigawir Village, District Selaawi, then expands into sub Leles, Limbangan, and Cibatu.

Based on the report, according to Faith, 400-500 carrying ducks died of unknown cause, because it is still in the process of laboratory tests to check blood samples, organs, and poultry manure.

"We're not sure the cause is due to the bird flu virus or other causes. We are still awaiting the results of laboratory tests," he said.

Efforts services in anticipation of widespread duck's death by burning and burying the carcasses of ducks, then sprinkled lime around the cage.

In addition, people are encouraged or poultry cages and household hygiene and always clean up or wash hands after contact with poultry.

People who have poultry are also required to keep poultry as an impound-ies that do not have a virus from outside. "We also asked not to consume poultry for fear that the disease continues to spread to humans," he said

http://www.suarakarya-online.com/news.html?id=318572

Something

unidentified respiratory illness

Visiting restrictions in effect at two Southwest care centres

Visiting restrictions are in effect at both the Swift Current Care Centre and the Gull Lake Special Care Centre after two different illnesses have reached outbreak status.

An outbreak was declared at the Swift Current Care Centre on Wednesday after 13 residents of the long-term care facility are sick with an unidentified respiratory illness.

Earlier this morning, an outbreak was declared at the Gull Lake Special Care Centre following the outbreak of an unidentified enteric illness. Two residents and three staff members are experiencing symptoms of the illness.

Restrictions are in effect until the outbreak status is rescinded.

The Cypress Health Region has sent samples to the Saskatchewan Disease Control Lab in Regina to confirm both illnesses.

Until further notice, all visitation to the facilities are is restricted in order to reduce the risk of spreading the illness and limiting the potential for community illnesses/viruses to be brought into the facility.

Cypress Health Region officials are reminding the public to do their part in reducing the risks of transferring illness to their families and others around them. Everyone should be mindful of washing their hands frequently and properly, staying home when ill, and increasing cleaning efforts in houses and businesses.

http://www.swbooster.com/News/Local/2013-01-03/article-3149789/Respiratory-illness-strikes-13-Swift-Current-Care-Centre-residents/1

http://hisz.rsoe.hu/alertmap/site/?pageid=event_desc&edis_id=EH-20130103-37718-CAN

..Visitor restrictions have been put in place at another healthcare facility in the southwest.

The Cypress Health Region declared an outbreak for the Gull Lake Special Care Centre this morning, after two residents and three staff members came down with an unknown enteric illness. Samples from the facility have been sent to the disease control lab in Regina to confirm the illness.

Meanwhile, the Swift Current Care Centre also remains under an outbreak status that was declared yesterday after 13 residents showed symptoms of a respiratory illness.

Both facilities have been closed to visitors until further notice, and with two facilities now under outbreak status, the Health Region is urging the public to do what they can to reduce the spread of illnesses, including frequent handwashing, staying home when sick, and thoroughly cleaning homes and businesses.  http://www.swiftcurrentonline.com/index.php?option=com_content&task=view&id=20824&Itemid=267

...As another facility within the Cypress Health Region gets stamped with outbreak status, the public is being reminded to do their part in reducing the risk of spreading illnesses.

Dr. David Torr, the region's consulting medical health officer placed the Swift Current Care Centre under outbreak status yesterday afternoon when residents began showing signs and symptoms of an unidentified respiratory illness.

The regions infection control team is very involved with the outbreak, and enhanced infection control efforts have already been implemented to rid the illness from the facility.

Until further notice, all visitation to the facility will be restricted, with an end of life situation being the only exception, in which case family members are required to speak to the nurse in charge.  

http://www.swiftcurrentonline.com/index.php?option=com_content&task=view&id=20811&Itemid=267

Lady Madonna

Have Not Know Dangers MoH Clade 2.3.2 Virus To Humans

Thursday, January 3rd, 2013 | 22:12 pm

Jakarta: Ministry of Health has not been able to infer the level of danger of bird flu virus to humans clade 2.3.2. The reason, in Indonesia has not been found in cases of human deaths from the new strain.

 "So far the cases are found in ducks and pretty much spread in Indonesia. But so far no attack humans," said Director General of Disease Control and Environmental Health Ministry of Health Chandra Yoga Aditama Port Health Office (KKP) Soekarno Hatta Airport in Tangerang, Banten, on Wednesday (2/1) night.

 Nevertheless, Chandra said, it does not turn a blind eye that clade 2.3.2 has been killed in a number of countries, such as China , Hong Kong, and Bangladesh. MoH has requested an overview to the WHO, but no definitive answer. 

"WHO can not provide specific analysis of what a difference this virus before. Due to a limited number of human cases. Handling still like H5N1 virus (bird flu virus type 2.1 or more first- Ed.)

 In humans could not conclude whether it is dangerous or not, "said

 Chandra. addition to passing the WHO, said Chandra, Ministry of Health monitor the development of clade 2.3.2 viruses through a number of international meetings, particularly with countries affected by the virus. 

Chandra claims to optimize prevention by distributing warning letters to its ranks as Indonesia. "Once there was a circular from the Directorate General of Livestock Services, I also made ​​a circular to all Chief Medical Officer in Indonesia to be aware of anything at all about a new clade, that no human infection , "said Chadra.

 According to Chandra, who chaired the National Commission Zoononis Coordinating Minister for People's Welfare has called a meeting of relevant ministers clade 2.3.2. In the meeting, coordinated things to raise awareness of the virus transmitted to humans. past two months, hundreds of thousands of dead ducks in the provinces of clade 2.3.2 virus. The first case was found in Bradford, Central Java. 

Average occurred in farms. About the origin of the virus and prophylactic vaccines, says Chandra, was a territory Directorate General of Livestock and Animal Health Ministry of Agriculture."Because this occurs in birds, I guess more appropriately asked my friends in the Ministry of Agriculture. because they know the mobility of birds and so on," explains Chandra.   

http://www.metrotvnews.com/metronews/read/2013/01/03/6/120119/Kemenkes-belum-Tahu-Bahaya-Virus-Clade-2.3.2-bagi-Manusia

Chief District Veterinary Office South Lampung, Rusyana Tribunlampung as confirmed on Thursday (3/1) said that indications of bird flu occurred in three districts. Namely District Sragi, Palas and Natar  http://lampung.tribunnews.com/2013/01/03/3-kecamatan-di-lamsel-diserang-flu-burung

Medan Tribune - Thursday, January 3, 2013 22:00 PM

http://medan.tribunnews.com/2013/01/03/ternak-kabulan-sudah-mati-20an-ekor

chicken and wild duck ..

To add nambahi costs mean that school children,

 cook already die in numbers of new services help you kedesa virus busting "he said.