- "The H5N1 virus has been detected
among poultry in almost all of the country's 33 provinces. There are many
poultry farms in the middle of crowded Indonesian residential areas. Around
30 percent of the country's more than one billion chickens are backyard
fowl. Kandun said leaders at all levels had to step up efforts to raise
awareness among the public, including having a more robust campaign on
the dangers of bird flu."
- "There are so many people who do
not know what has happened."
- Unfortunately, the comment on people
not knowing what happened in Indonesia is alarmingly clear. The evidence
for the source of the human H5N1 infections in Indonesia is strongly pointing
away from poultry and toward a mammalian source.
- The presence of a novel cleavage site
in the only human H5N1 isolate that is publicly available has raised concerns
that poultry is not the source of H5N1 infections in humans. However,
Indonesia is focused on poultry connections as requirements for H5N1 testing
of patients with bird flu symptoms.
- The testing policies in Indonesia would
grossly underestimate human-to-human or swine-to-human transmission of
H5N1 and is a major cause for concern.
- The human H5N1 sequences from Indonesia
should be released immediately.