Flu Burung
First, I want to address a couple of safety concerns. I’m back in Jakarta now, but it’s true that I was deep inside an area with a history of H5N1 infection among birds and humans for the story. It’s also true that this is still a very rare disease among humans, and that when it is transmitted from birds to humans, it’s through close contact with sick birds. People who have contracted the virus have done so largely through handling them or being in an environment where their blood or dander can get into the respiratory system. I was very careful not to get too close to birds, and I wore an antibiotic mask and took other sanitation measures to keep myself from dangerous contact.
It’s also true that Jones Ginting is part of a cluster of people who contracted a mutated version of the virus from contact with each other. This is an extremely rare case, and scientists think genetic disposition in that family in combination with the mutation may have enabled the unusual vector. Ginting is not considered to be contagious, and the mutated version of the virus is considered to have died out with its last victim.
I understand some of the concerns I’m hearing from my family, and I just want to let everyone know I wasn’t reckless about exposure.
Having said that, I also have to add that I saw some frighteningly inefficient and unsanitary (not to mention inhumane) practices in the handling of the birds during mass culls, and it raises a lot of questions for me about the effectiveness of this strategy. But I’m ahead of myself.
Terus.
The first night I arrived in Kaben Jahe, rumors were circulating that lab tests from five chickens in the area had come back positive for the H5N1 virus. When I arrived at the local health department command post, it was teeming with Indonesian soldiers, police and brown-uniformed medical staff. The driver I had hired from Medan slipped his black Toyota SUV into a parked convoy of military and government vehicles. We waited in the car for an hour while the police and soldiers mustered in formation, passing out protective masks and gloves.
Finally, the group spread out into five teams to cover the five affected areas. Their orders were to kill and collect every domestic bird in a one kilometer radius around the five positive test sites across the district. The birds were killed in the streets in front of their owners. It was brutal, inefficient, and unsanitary in my opinion. Children gathered to watch in curiosity, and came well within the risk area from what I saw. The whole affair was a real nightmare.
13 Comments:
Chad - I had to say "be careful" in the last comment, because that's what parents say. I fully trust that you know what you're doing. Once again, though, you are witnessing some really awful stuff! I'm always amazed at the continuum of experiences you've had and probably will continue to have. Sharing those experiences is a talent of yours that is appreciated by all who benefit from it. Love, Dad
chad,
so glad to hear how much care you've taken with your health and safety. the whole ordeal sounds horrific - most especially for the families and children in the area.
i am puzzled as to how the spilling of potentially infected bird blood onto the streets in front of peoples' homes is a preventative health measure. ???
is the idea simply to keep it from spreading out of that immediate area, local residents be damned?
stay well,
michele
Yes, I agree the strategy is baffling, because it put onlookers and workers at risk during the slaughter. They made an attempt to contain the spilling of fluids and the flapping up of clouds of dander, but in the end I feel many people were exposed to both. The idea of doing these mass bird destructions is to keep the virus from passing from bird to bird - like a firebreak. But there are millions of infected birds, and this spot 'culling' is not doing the trick. Vietnam and Thailand have been mostly successful in containing the disease among birds - in those places the mass slaughter was done all at one time and in huge numbers. It turns out that there are international standards for these cullings, some that protect (to some degree) against cruelty, and I saw many, many violations. In Indonesia, there is apparently still no standard procedure for the slaughter of potentially infected foul.
Very compelling post. This is going to sound weird, but I stumbled upon your blog and I think we might have gone to high school together. BHS Class of '89, by chance?
--Emily
Emily! Yup, go Rams! If I'm not mistaken, I'm pretty sure we sat next to each other in at least a couple of classes. Were you in Mrs. Pulley/Pike's English class? The one where she changed her name in the middle of the year? And I'm thinking we had some crazy teacher in another one - so I'm going to guess it was Mr. Salisbury. Because he was a nut.
What have you been up to?
Chad:
Oh wow, yeah, what a small world! We *did* go to school together :) (And I seem to recall you made something out of sugar cubes in Mr. Salisbury's class? And that you were his pet ;) As for me, I've been living in California since 1997; I'm married and have two kids. I'm working at a mid-size newspaper as a copy editor. Good to know that you're doing well and reporting on vital issues; I've been interested in the conflicting reports of bird flu we run in the paper (one day, it's "omg, we're all going to DIE!" and the next, it's "don't worry, be happy.") I think I found you via your (wife's? fiancee's?) blog...amazing.
Any updates from Garut in West Java? Cluster may be larger than Karo and may involve a new H5N1.
P.S. Chad if you are mistified by an influx of new readers and comments it may be due to a link being pasted at www.Flutrackers.com which is an active site (5000+ posts on the Garut situation alone). Niman, Dark Horse & I are all members. Check out Dark Horse's article on the WHO http://www.crimelibrary.com/news/original/0706/1402_who_looking.html
& Henry Niman's 'Whats New' page is always very useful when trying to keep abreast developments. http://www.recombinomics.com/whats_new.html
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