JAKARTA TEEN DIES - TAMIFLU NO HELP

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   Teenager dies of suspected bird flu

 The Jakarta Post, Bandung

 February 02, 2006

A 15-year-old boy whose results from local tests 

came back positive for bird flu died at Hasan Sadikin 

Hospital in Bandung on Wednesday morning.

If the local lab tests are confirmed by the WHO-accredited lab in Hong 

Kong, it would be Indonesia's 15th human fatality from bird flu.

The teenager, a resident of Padalarang in Bandung regency, was admitted 

to the hospital Monday with a high fever and in severe respiratory 

distress; classic bird flu symptoms.

"His blood sample was sent immediately to the Heath Ministry's research 

and development bureau and the results, delivered verbally, confirmed he 

had bird flu," hospital director Cissy Rachiana told The Jakarta Post on 

Wednesday.

The teenager, identified only as "Y", was the second suspected bird flu 

patient to have died at the hospital in a month. In mid-January, a three-

year-old boy died of bird flu. The native of Indramayu was being treated 

at the hospital with his sister and parents, who were all released last 

Saturday.

The head of the hospital's infectious diseases unit, Hadi Yusuf, said Y, 

who was referred to Hasan Sadikin by Mitra Kasih Hospital in Cimahi, 

entered the hospital with serious breathing problems and a high fever.

"We used a ventilator, gave him Tamiflu and performed 

all the necessary medical treatment, but God had a different 

plan," Hadi said.

According to Bandung regency's health office, some 20 chickens 

reportedly died near Y's house shortly before he became ill.

His father, Sriyono, said the chickens began to die about 10 days ago just 

10 meters from the house.

"My wife complained about the chickens but my neighbor ignored it," 

Sriyono said.

He said his son had suffered from a high fever since 

Saturday and over-the-counter drugs did not help. The boy 

was then taken to Mitra Kasih Hospital in Cimahi, which

referred him to Hasan Sadikin on Monday.

fileid=20060202.D09&irec=8">http://www.thejakartapost.com/

detailnational.asp?fileid=20060202.D09&irec=8

Edited by Rick

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Guests Members Profile Send Private Message Find Members Posts Add to Buddy List Guest Group	Post Options Post Reply Quote Guests Thanks(0) Quote Reply Topic: JAKARTA TEEN DIES - TAMIFLU NO HELP Posted: February 01 2006 at 7:38pm
	Teenager dies of suspected bird flu The Jakarta Post, Bandung February 02, 2006 A 15-year-old boy whose results from local tests came back positive for bird flu died at Hasan Sadikin Hospital in Bandung on Wednesday morning. If the local lab tests are confirmed by the WHO-accredited lab in Hong Kong, it would be Indonesia's 15th human fatality from bird flu. The teenager, a resident of Padalarang in Bandung regency, was admitted to the hospital Monday with a high fever and in severe respiratory distress; classic bird flu symptoms. "His blood sample was sent immediately to the Heath Ministry's research and development bureau and the results, delivered verbally, confirmed he had bird flu," hospital director Cissy Rachiana told The Jakarta Post on Wednesday. The teenager, identified only as "Y", was the second suspected bird flu patient to have died at the hospital in a month. In mid-January, a three- year-old boy died of bird flu. The native of Indramayu was being treated at the hospital with his sister and parents, who were all released last Saturday. The head of the hospital's infectious diseases unit, Hadi Yusuf, said Y, who was referred to Hasan Sadikin by Mitra Kasih Hospital in Cimahi, entered the hospital with serious breathing problems and a high fever. "We used a ventilator, gave him Tamiflu and performed all the necessary medical treatment, but God had a different plan," Hadi said. According to Bandung regency's health office, some 20 chickens reportedly died near Y's house shortly before he became ill. His father, Sriyono, said the chickens began to die about 10 days ago just 10 meters from the house. "My wife complained about the chickens but my neighbor ignored it," Sriyono said. He said his son had suffered from a high fever since Saturday and over-the-counter drugs did not help. The boy was then taken to Mitra Kasih Hospital in Cimahi, which referred him to Hasan Sadikin on Monday. fileid=20060202.D09&irec=8">http://www.thejakartapost.com/ detailnational.asp?fileid=20060202.D09&irec=8 Edited by Rick

Guests Members Profile Send Private Message Find Members Posts Add to Buddy List Guest Group	Post Options Post Reply Quote Guests Thanks(0) Quote Reply Posted: February 01 2006 at 9:26pm
	Tamiflu is only effective if administrated during the first 48 hours. If he got sick on Saturday, and went to the hospital Monday, it may have been slightly more than 48 hours.

Hope Members Profile Send Private Message Find Members Posts Add to Buddy List Valued Member Joined: February 01 2006 Status: Offline Points: 49	Post Options Post Reply Quote Hope Report Post Thanks(0) Quote Reply Posted: February 01 2006 at 9:32pm
	Has Tamiflu been reported effective on any cases so far?? (Within the 48 hours.) I would assume it has been or the urge to create the stockpile would not be be so great. Please respond if you have heard and site cases...
	Hope

Guests Members Profile Send Private Message Find Members Posts Add to Buddy List Guest Group	Post Options Post Reply Quote Guests Thanks(0) Quote Reply Posted: February 01 2006 at 9:46pm
	http://www.medscape.com/viewarticle/521969 http://www.cnn.com/HEALTH/library/DS/00566.html

Guests Members Profile Send Private Message Find Members Posts Add to Buddy List Guest Group	Post Options Post Reply Quote Guests Thanks(0) Quote Reply Posted: February 01 2006 at 10:34pm
	There was a strong response for the good in Turkey when administered on time.

Guests Members Profile Send Private Message Find Members Posts Add to Buddy List Guest Group	Post Options Post Reply Quote Guests Thanks(0) Quote Reply Posted: February 02 2006 at 10:59am
	The important point is that Tamiflu is not 100% effective. Nobody will guarantee that because it was never intended as a cure, it simply helps your body fight off the virus. The Vietnamese doctor that used Tamilfu in a timely fashion a few months with additonal doses, still lost both of his patients. Bottom line is - try not to catch the virus, use masks or isolation if possible. Even if you catch it and survive, long term health problems are not unkown, as in Vietman, and here a few years ago here in Toronto with SARS. Once the WHO increases raises it's pandemic warning again, you won't be able to beg borrow or steal an N-95. The companies that make them are at 100% capacity. Some doctors and nurses who wore N-95's and were double-gowned, still got sick and died. Granted they were in the thick of things. For others, the masks and gowns worked. ------- Posted 2/1/2006 8:32 PM USA TODAY "Today we have a just-in-time delivery system for masks, syringes, for IV bags," he says. "Most people don't realize that 80% of the drugs we use in this country come from offshore. Right now, the two manufacturers of N95 masks in this country are operating on 100% capacity. They have no surge capacity. We will run out quickly of all these things. And at that time, we'll be dealing with the equivalent of a 1918 health care system." Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. (cut & paste URL manually) http://www.usatoday.com/news/health/2006-02-01-flu- meeting_x.htm Edited by Rick

jackson Members Profile Send Private Message Find Members Posts Add to Buddy List Adviser Group Joined: January 26 2006 Status: Offline Points: 411	Post Options Post Reply Quote jackson Report Post Thanks(0) Quote Reply Posted: February 02 2006 at 11:08am
	This is a very old news story I found about Tamiflu-resistant strains of bird flu. The reason I am posting it is because the article claims that Relenza was still effective to treat those strains. No one has really mentioned Relenza and I know it is not the preferred treatment becuase it requires inhalation,and therefore, can't be used by some people with asthma or breathing problems. Has anyone also gotten Relenza to use if needed? I haven't heard much about it, so I was wondering what people thought about having a supply of Tamiflu and Relenza. ( I know it probably won't hurt to have more than one medication available, but do you think it is a waste of money?) Here is the article , i can't get the link to work: http://www.msnbc.msn.com/id/9697444/

Guests Members Profile Send Private Message Find Members Posts Add to Buddy List Guest Group	Post Options Post Reply Quote Guests Thanks(0) Quote Reply Posted: February 02 2006 at 11:21am
	Relenza needs to be inhaled. Simply put, even if we had something that was 100% effective, they simply don't have the time to physcially produce the stuff. Check out Dr. Niman's remarks about this issue. He sent this to me the other day. ------- "Another worry is that when a pandemic strain of H5N1 avian flu appears, virtually all of the world's flu-vaccine-development and production capacity will shift to producing a vaccine against it, which will leave us vulnerable to the non-pandemic strain(s) that causes the usual annual, or seasonal, flu. The annual flu bug kills, on average, 30,000-40,000 Americans each year -- even when we have an effective, widely used vaccine. An optimistic estimate is that there is sufficient flu vaccine capacity worldwide for approximately 450 million people -- but that calculation assumes that two inoculations of 15 micrograms each would confer protection, whereas in a recent trial (of a vaccine against the current H5N1 strain) two doses of 90 micrograms were required. Other things being equal, that suggests that the true capacity might be closer to . There is enough for only 75 million people (The world's population is over six billion.)" Henry I. Miller, M.D. The Hoover Institution Stanford University