19.11.2008 Indonesia - Dengue in Semarang Health officials in Semarang confirmed 3,368 dengue cases between 1 January ando 10 October 2008 in Semarang, of there 15 people died. Based on data from the Dept. of Health (DinKes) Semarang, in 2006 there were 1,845 cases and the year 2007 there were 2,924 cases. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


16.11.2008 Indonesia - Sulawesi/Minahasa
Major Earthquake
22:33 UTC with magnitude 5.1
18:20 UTC with magnitude 5.5
17:34 UTC with magnitude 5.6
17:02 UTC with magnitude 7.5
135 km (85 miles) NW of Gorontalo, Sulawesi, Indonesia
305 km (190 miles) W of Manado, Sulawesi, Indonesia
1485 km (920 miles) S of MANILA, Philippines
1890 km (1170 miles) ENE of JAKARTA, Java, Indonesia


13.11.2008 Indonesia - Avian influenza (Human) A 15-year-old Indonesian girl has died of bird flu in central Java, a health official in Indonesia confirmed yesterday, bringing the country's death toll from the disease to 113. The girl died last week after being treated at the Doctor Karyadi hospital in Semarang. Including the latest death, the virus has now infected 388 people in 15 countries, killing 246 of them, according to data from the World Health Organisation. Indonesia has the highest toll of any nation. Although bird flu remains an animal disease.


12.11.2008 Indonesia - Dengue From January till October this year, 28 people died of Dengue in Balikpapan City (East Kalimantan). Since the beginning of November, 39 cases were reported, with no death. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


10.11.2008 Indonesia - Rabies An 8 year old pupil in the city of Ende, Flores/East Nusa Tenggara died last Tuesday after being bitten in September by a suspected rabid dog. There have been 135 such fatalities in the province over the past 10 years, with 3 this year. Rabies is usually transmitted through the bite of an infected animal. Other animals that can transmit the virus include bats, cats, foxes, raccoons and skunks. Travelers should be aware of the continuing risk of exposure to rabies virus infection by contact with domestic and feral dogs in this region.

28.10.2008 Indonesia - Chikungunya Chikungunya has been reported several times for the last weeks in Indonesia, mainly in rural areas. The clinic at the German Embassy in Jakarta reported several cases of Chikungunya in 'expats' living in Jakarta, which is new compared to previous years. Apart from the typical clinical findings the cases were all confirmed by PCR (polymerase chain reaction) and antibody screening. As the rainy season has not yet really started we can predict higher numbers in the following weeks, especially in the urban area of Jakarta.


17.10.2008 Indonesia - Chikungunya On Sumatra, chikungunya virus has infected a total of 5,200 villagers in Pangke, Kabupaten Tanjung Balai Karimun, of Kepulauan Riau province. In West Sumatra dozens of residents of Pauh subdistrict, Kota Padang have also infected with the mosquito-borne Chikungunya virus.


13.10.2008 Indonesia - Handwashing Many of the deaths caused by diarrhea and respiratory infections in Indonesia could have been prevented had people washed their hands more often with soap.
According to the World Health Organization, of the 161,000 children that died in Indonesia in 2006, 18 percent died from diarrhea and 14 percent from pneumonia.
Only 14 percent of Indonesians wash their hands with soap before eating, 11.7 percent after defecating and 7.4 percent before feeding a child.
UNICEF, the World Bank's Water and Sanitation Programme, the US Center for Disease Control and Prevention (CDC) and several other agencies will jointly launch the first-ever Global Handwashing Day.
Please visit: www.globalhandwashingday.org

07.10.2008 Indonesia - Sulawesi
Volcanic Eruption at Soputal Volcano
An eruption occurred at Soputan Volcano in Indonesia yesterday. Ash was emitted to a height of 1000 m. The nearest villages are 8 km from the crater, and no evacuations were necessary. A lava dome has continued to grow in the crater since 1991. Eruptions are usually occurring from the lava dome. The volcano has been increased to level 3 alert, out of a maximum 4.
The small Soputan stratovolcano on the southern rim of the Quaternary Tondano caldera on the northern arm of Sulawesi Island is one of Sulawesi's most active volcanoes. The youthful, largely unvegetated volcano rises to 1784 m and is located SW of Sempu volcano.

29.09.2008 Indonesia - Diarrhea About 70 residents of Curug sub district, Tangerang District (Banten Provinz), were suffering from acute diarrhea, local health officials said yesterday. The source is not know yet. The latest data of the Curug community health center (Puskemas) showed that there were still 42 patients being hospitalized for diarrhea at Tangerang Public Hospital. Some 28 others had been allowed to go home as they recovered. The diarrhea started to spread out on Tuesday (Sept. 23), when three residents had to be rushed to a nearby Puskesmas for diarrhea.On Wednesday (Sept. 24), two villagers were hospitalized, and again 14 others on Thursday, 15 on Friday, 32 on Saturday (Sept. 27) and four others on Sunday (Sept. 28). The diarrhea patients were among other things from Cukanggalih, Curug Kulon, Kadujaya, Panongan, Ciakar, Peusar Binong, Bitung,
Sentul, Soka, Rancagong, and Sukabakti villages.


01.09.2008 Indonesia - Dengue Health officials in Malang (East Java) appointed the status to be on the alert of dengue and malaria. Since the beginning of 2008 seven people in the region died as a result of a dengue infections. At this time the territory has entered the rainy season. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.

22.08.2008 Worldwide - TEMOS Quality in Medical Care. Worldwide. TEMOS has just launched its brand new website!
No frills, easy to navigate, all information about the network at your fingertips – that is the new TEMOS website.
New features:
- TEMOS Services: Find exactly the information you need!
Learn more about the certification procedure and benefits, teleconsultations and tele-education.
- Downloads & News: Interested in becoming a member of the network? Download the “Medical Facility Short Information Chart”, fill it in on your PC, return it to TEMOS by e-mail and become a TEMOS Basic Member – for free! Download our journal The TravelMedicus and stay up-to date with our news section.
- Meet the team: Who is behind TEMOS? Learn more about the people and find the right person to answer your specific question.
Please visit and bookmark: www.TEMOS-International.com


22.08.2008 Indonesia - Southern Sumatra
Earthquake
07:21 UTC with magnitude 5.2
225 km (140 miles) SSE of Bengkulu, Sumatra, Indonesia
250 km (155 miles) W of T.-Telukbetung, Sumatra, Indonesia
355 km (220 miles) SSW of Palembang, Sumatra, Indonesia
420 km (260 miles) W of JAKARTA, Java, Indonesia


08.08.2008 Indonesia - Kepulauan Mentawai Region
Earthquake
07:32 UTC with magnitude 5.3
145 km (90 miles) W of Bengkulu, Sumatra, Indonesia
340 km (210 miles) SSE of Padang, Sumatra, Indonesia
395 km (245 miles) SW of Jambi, Sumatra, Indonesia
685 km (425 miles) WNW of JAKARTA, Java, Indonesia


08.08.2008 Indonesia – Southern Sumatra
Strong Earthquake
06:37 UTC with magnitude 6.0
132 km (82 miles) W from Bengkulu, Sumatra, Indonesia
340 km (212 miles) SSE from Padang, Sumatra, Indonesia
384 km (239 miles) SW from Jambi, Sumatra, Indonesia
655 km (407 miles) SSW from SINGAPORE


07.08.2008 Indonesia - Grand opening at YARSIS/Surakarta
TEMOS director Dr. Claudia Mika presents the TEMOS certificate to Surakarta Islamic Hospital
600 invited guests attended the grand opening of the new facilities at Surakarta Islamic Hospital. In the presence of the governor and important representatives from economy, politics and the islamic community Dr. Mika presented the TEMOS certificate to Dr. Djufrie, the director of the hospital.
The Indonesian health care sector welcomed TEMOS as a gateway to showcase their medical expertise to the international health care community.
Read more about TEMOS in Indonesia in the September edition of the TravelMedicus.
More information available on: www.TEMOS-International.com

06.08.2008 Indonesia - Sumbawa Region
Earthquake
22:41 UTC with magnitude 5.9
140 km (85 miles) WNW of Raba, Sumbawa, Indonesia
210 km (130 miles) NE of Mataram, Lombok, Indonesia
260 km (160 miles) ENE of Denpasar, Bali, Indonesia
1215 km (750 miles) E of JAKARTA, Java, Indonesia


04.08.2008 Indonesia - Flores Region
Earthquake
03:26 UTC with magnitude 5.0
165 km (100 miles) WNW of Ende, Flores, Indonesia
175 km (110 miles) E of Raba, Sumbawa, Indonesia
1245 km (770 miles) WNW of DARWIN, Northern Territory, Australia
1515 km (940 miles) E of JAKARTA, Java, Indonesia


04.08.2008 Indonesia - Avian Influenza (Human) Yesterday, a health ministry official in Indonesia said, a 20-year-old Indonesian man died from bird flu, bringing the total death toll from the virus in Indonesia to 112. Tests confirmed the man was infected with the H5N1 strain of avian influenza when he died in a hospital in Tangerang, west of Jakarta. Indonesia has the highest toll of any nation. Although bird flu remains an animal disease, experts fear the H5N1 virus might mutate into a form easily passed from human to human, sparking a pandemic in which case millions could die.


01.08.2008 Indonesia (West Papua) - Cholera At least 172 villagers have died in a cholera outbreak in Indonesia's remote eastern Papua. Church aid workers in the Kamuu valley (West Papua) confirmed the victims had died from severe diarrhea and vomiting caused by cholera. The source of the outbreak, which began in April 2008, was still unknown, but the disease appeared to be spreading via drinking water from a river and products in markets in the highland region.

23.07.2008 Indonesia - Avian Influenza (Human) An Indonesian cargo worker died of bird flu, relatives confirmed last Thursday, raising the unofficial toll in Indonesia to 111. The government recently started delaying announcements about bird flu fatalities, sometimes by several weeks. But health workers speaking on condition of anonymity confirmed the tests came back positive. The 38-year-old father from a town near Jakarta died in hospital on July 10th, days after he came down with symptoms of the disease, including high fever, coughing and breathing difficulties. A doctor told his family he died of bird flu and the tests came back positive from Jakarta. The WHO has reported 110 bird flu human deaths from H5N1 in Indonesia since 2005.


21.07.2008 Australia/exIndonesia – Dengue Since the beginning of May 2008, 4 travellers from Bali have had dengue confirmed soon after arrival in north Queensland, Australia. All 4 were probably viraemic whilst in north Queensland, and all 4 were confirmed as having dengue serotype 3. This indicates that dengue 3 is currently circulating in destinations frequented by travellers/tourists in Bali. The only other importations into north Queensland from Bali this year were 2 travellers with confirmed serotype 4 dengue in March 2008. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


19.07.2008 Indonesia (Bali) - Chikungunya The mosquito borne Chikungunya virus has infected between 10 and 20 residents in RT 02, Banjar Yeh Sumbul, Yeh Sumbul, Mendoyo over the past 2 weeks. Most residents claimed that they did not know the cause and regarded it only as a normal fever. Symptoms occurred in residents in several households. Affected individuals reported fever and pain, especially of the hands and feet, characteristic of chikungunya virus infection. A Chikungunya virus outbreak has been reported in Java and Sulawesi, Indonesia, earlier this year in may. Now there is a newly-recognized focus with this current report from Bali. Since Bali is a major tourist destination, if the outbreak intensifies, it could have a negative impact on tourism.


08.07.2008 Indonesia - Dengue In Jakarta Timur(East), 46 of 65 districts were designated "red" for cases of dengue fever. Duren Sawit was still in 1st place in the number of the dengue fever sufferers with 1,610 cases, followed by Cakung with 1,358 cases, Jatinegara (765 cases), Pulogadung (748 cases), Kramatjati (651 cases), Matraman (490 cases), Makasar (437 cases), Ciracas (366 cases), Cipayung (364 cases), Pasar Rebo (237 cases) and others. The total of dengue sufferers in Jakarta East at this time reached 7,026 cases. In Jakarta East there were also 18 "yellow" districts. Those that are in the yellow list, could become red this week. Nevertheless, there is still one district that has the "green" status, that is in Kel. Pondok Ranggon. To maintain that green status there must be continued vigilance so as not to have dengue cases in the territory. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


03.07.2008 Indonesia - Cholera New reports in West Papua state that 85 people have died in a cholera outbreak over the past 3 months (April-June 2008) in the adjacent Nabire and Paniai regencies of West Papua. This cholera epidemic was first reported in Paniai in early April 2008 at Ekemanida village. It has spread to nearby villages at Kamuu and North Kamuu Districts. The villages where the disease was reported are Ekemanida, Idakotu, Dogimani/Idadagi, Makidimi/Egebutu, Ekimani/Nuwa, Denemani/Apagogi, Kimupugi, Dikiyouwo, Duntek, Boduda, Deiyai, Goodide, Idakebo, Mogou, and Dogimani. In March and April 2006, in the highland regencies of Jayawijaya and Yahukimo, 178 and 33 indigenous West Papuans respectively died reportedly from cholera.


20.06.2008 Indonesia - Avian Influenza (Human) Yesterday, the Ministry of Health of Indonesia has announced 2 new cases of human H5N1 avian influenza infection. The 1st is a 16-year-old female from South Jakarta, DKI Jakarta Province. She developed symptoms on 7 May 2008, was hospitalized on 12 May 2008 and died on 14 May 2008. Investigations into the source of her infection indicate exposure to sick and dead poultry. The 2nd case is a 34-year-old female from Tangerang District, Banten Province. She developed symptoms on 26 May 2008, and was hospitalized on 2 Jun 2008 and died on 3 Jun 2008. Investigations into the source of her infection are ongoing.
Of the 135 cases confirmed to date in Indonesia, 110 have been fatal.


19.06.2008 Indonesia - Dengue in Jakarta Last week, health officals in Jakarta said, during April there were at least 3.741 dengue cases in Jakarta and 3 of them died. In May, 4.774 cases were recorded in the city with 4 deaths, indicating an increase of 1.031 dengue cases in Jakarta. Up to June 11th, the number of dengue cases in the Jakarta area reached 1.164 for this month. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


13.06.2008 Indonesia - Nias Region
Earthquake
16:13 UTC with magnitude 5.0
166 km (103 miles) WSW from Sibolga, Sumatra, Indonesia
319 km (198 miles) SSW from Medan, Sumatra, Indonesia
380 km (236 miles) NW from Padang, Sumatra, Indonesia
525 km (326 miles) WSW from KUALA LUMPUR, Malaysia


10.06.2008 Indonesia (Flores/NTT) - Dengue Dengue has affected Alok, East Alok, West Alok, Talibura, Lela, Koting, Kewapante, and Kaegae districts in Sikka regency on the Island of Flores, East Nusa Tenggara. At least 5 people have died and 58 are being treated at Maumere General Hospital. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


07.06.2008 Indonesia (Sulawesi) - Eruption at Soputan Volcano Yesterday, Soputan volcano in the north of Sulawesi erupted. At 10 am (local time) yesterday, pyroclastic flows were recorded extending 4 km from the summit, and ash emissions reached 2 km above the volcano. During the rainy season, phreatic eruptions are possible from the hot lava dome. The closest inhabitants are 8 km from the peak. There is a camping ground 3-4 km from the summit which is in the danger zone. The alert status at Soputan volcano was increased to level 3 (out of maximum 4) on 6th June. A 6 km exclusion zone has been placed around the volcano. Climbing the volcano is not permitted, and the camping ground is closed. Residents should be alert for lahars in the rivers such as Ranowangko, Pentu, Lawian, and Popang.


04.06.2008 Indonesia - Sulawesi
Earthquake
01:25 UTC with magnitude 5.1
145 km (90 miles) SSW of Gorontalo, Sulawesi, Indonesia
305 km (190 miles) E of Palu, Sulawesi, Indonesia
1590 km (990 miles) NW of DARWIN, Northern Territory, Australia
1860 km (1160 miles) ENE of JAKARTA, Java, Indonesia


03.06.2008 Indonesia - Kepulauan Mentawai Region
Earthquake
22:49 UTC with magnitude 5.4
130 km (80 miles) SSW of Padang, Sumatra, Indonesia
310 km (195 miles) NW of Bengkulu, Sumatra, Indonesia
605 km (375 miles) SSW of KUALA LUMPUR, Malaysia
870 km (540 miles) WNW of JAKARTA, Java, Indonesia


03.06.2008 Indonesia - Flores Region
Strong Earthquake
22:04 UTC with magnitude 6.0
21:03 UTC with magnitude 5.7
17:31 UTC with magnitude 5.9
170 km (105 miles) E of Raba, Sumbawa, Indonesia
170 km (105 miles) WNW of Ende, Flores, Indonesia
1245 km (780 miles) WNW of DARWIN, Northern Territory, Australia
1515 km (940 miles) E of JAKARTA, Java, Indonesia


02.06.2008 Indonesia - Sulawesi
Earthquake
19:47 UTC with magnitude 5.4
70 km (45 miles) SSE of Gorontalo, Sulawesi, Indonesia
235 km (145 miles) SW of Manado, Sulawesi, Indonesia
1605 km (1000 miles) NNW of DARWIN, Northern Territory, Australia
1965 km (1220 miles) ENE of JAKARTA, Java, Indonesia


01.06.2008 Indonesia - Volcanic Activity at Dukono Volcano Dukono Volcano in Indonesia was upgraded to level 3 alert (out of maximum 4) on 30th May 2008. Volcanic explosion earthquakes increased from 32 per day to 280 per day between April and May 2008. On 25th May, ash emissions reached 800 m above the crater, and booming noises were heard coming from the summit. Ash emissions reached 1000 m above the summit on 29th May. Residents close to the volcano are warned to be alert for ashfall. A 3 km exclusion zone has been placed around the volcano.
Geologic Summary: The isolated volcano of Dukono at the northern end of Halmahera Island, is one of Indonesia's most active. He has a broad profile and is capped by many compound craters. Dukono has displayed more or less continuous explosive activity since 1933, occasionally accompanied by lava flows.

29.05.2008 Indonesia - Chikungunya Aedes aegypti mosquitoes have become a serious threat in Makmur City in Sulawesi. The number of chikungunya patients has increased. From January to May 2008, the number of chikungunya patients numbered 524. The increase in dengue and chikungunya was caused by the low level of awareness of the community regarding the control of mosquito breeding sites.


24.05.2008 Indonesia - Semeru Volcano on Java
Volcanic activity
Last Wednesday (21.05.2008), Semeru Volcano on Java in Indonesia was upgraded to level 3 alert (out of a maximum 4). During the period 15-19 May there were 432 explosion earthquakes and 6 pyroclastic flows at the volcano. On 20th May there were 92 eruption earthquakes. Eruption of ash continued for periods of 20-30 minutes at a time and reached 400 m above the summit. During the night, ash emissions were accompanied by glowing lava. Some villages are under threat from eruptions, lahars and pyroclastic flows. A 4 km exclusion zone has been placed around the southeast slope of the active crater due to the risk of pyroclastic flows. Volcanic material is building around the crater, and this could mobilise after heavy rain, causing lahars. Evacuations have not been ordered at this stage.


20.05.2008 Indonesia - Avian Influenza (Human) Two teenagers from the same family died within 10 days because of suspected Avian Influenza in Jakarta, Indonesia. A 16-year-old girl died 4 days after admission. She was later confirmed to have infected with Avian Influenza virus. Her 15-year-old brother died ten days before her death. He had symptoms of high fever, cough and syncope. He died after a brief treatment in another hospital and no blood test was performed.


18.05.2008 Indonesia - Dengue Fever In Central Java of Indonesia, a total of 160 Dengue Fever cases including 7 deaths were reported during the first 3 months of this year. Two children died from the disease in April this year. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


13.05.2008 Indonesia - Dengue in Kalimantan Up to 28 Apr 2008, dengue has caused 41 fatalities in East Klimantan. Mostly, the patients died because they were handled too late,said Mr.Parmono Head of Sub Bidang Penanggulangan of Infectious Diseases in the Health Service of East Kalimantan. According to the data of the Health Service, sincethe beginning of 2008, 2,396 dengue patients have been reported in the region. Of this number, 41 people died. Balikpapan city was recorded as the area having the most dengue patients, with 865, 13 of whom died. This area was followed by Samarinda in 2nd place, with 743 patients and 10 deaths, and the Kutai Kartanegara region, with 231 patients and 8 deaths. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


09.05.2008 Singapore/exIndonesia - Chikungunya Yesterday Singapore's Health Ministry confirmed the 17th case of the mosquito-borne chikungunya disease in Singapore since the beginning of 2008. The ministry revealed that the latest victim was a man, among the 4 new cases that caught the disease overseas recently. He believed he caught the virus while playing golf at Jakarta's Jagorawi Golf and Country Club a month ago. Since the 1st locally-transmitted case was detected on 14 Jan 2008, so far 13 people have been infected locally, while another 4 caught the virus overseas. Like the dengue virus, the chikungunya virus is spread by the Aedes mosquito. Currently, there is no vaccine to prevent chikungunya fever, which is characterized by fever, joint pains, chills and nausea. The best way to prevent chikungunya fever is to take precautionary measures to prevent mosquito breeding around the house and to protect oneself against mosquito bites.


05.05.2008 Indonesia (Java) - Chikungunya Chikungunya virus has infected a total of 473 people in Sukoharjo District (Surakarta), during the 1st 4 months of 2008. The chikungunya cases were found in 27 villages located in 9 subdistricts. Gatak Subdistrict has the largest number of cases with 37 chikungunya patients.


16.04.2008 Indonesia (NTT) - Volcanic Eruption at Mount Egon Volcano Yesterday, mount Egon on Flores island started to erupt and emitted ash up to 4.000 metres above the crater. About 600 people have been evacuated after the volcano began spewing ash. People in the area should take precautions not to inhale volcanic ash because of the effects on the respiritory system.


11.04.2008 Japan/exIndonesia - Murine Typhus A 23 year old Japanese man who returned from Bali, Indonesia, was diagnosed and confirmed to have murine typhus on 10 Apr 2008. When he stayed on Bali from 20 Jan 2008 to 11 Mar 2008, he often went surfing at Madewi and Kuta beaches. He was admitted to hospital in Japan on 24 Mar 2008 (on the 7th day of illness). Fever, thrombocytopenia, and renal impairment were seen on admission. Rickettsiosis was suspected since erythematous rash appeared on his 8th day of illness. _Rickettsia typhi_ DNA was detected from his blood and skin specimen by PCR at the National Institute for Infectious Diseases (NIID), Japan. Furthermore, an indirect immunofluorescence assay (IFA) and immunoperoxidase assay (IP) for antibodies reactive with _R. typhi_ antigens showed raised levels of IgM and IgG. He was treated and completely recovered.
Surprisingly, another case of murine typhus was reported in Chiba, Japan, this April 2008. The NIID detected _R. typhi_ DNA from the patient's blood. Murine typhus is not believed to be endemic in Japan. Considering the incubation period of murine typhus, they contracted the disease abroad. Further investigation of the 2nd case is continuing. These 2 consecutive cases of imported murine typhus in Japan may be alarming that murine typhus might be endemic at some surf spots in Bali.


08.04.2008 Indonesia (Halmahera Island) - Ibu Volcano There has been an increase in volcanic earthquakes and emissions at Ibu Volcano on Halmahera island. Ash emissions reached 150 m above the crater on 17th March, 300 m on 31st March, and 700 m on 5th April. Ibu volcano has been on level II alert since 1999, and the alert level may be increased if unrest continues. The Centre for Volcanology and Geological Hazard Mitigation has advised local residents to remain calm and not believe rumours about potential eruptions. Visitors and tourists are not permitted to climb Gunung Ibu. People in the area should take precautions not to inhale volcanic ash because of the effects on the respiritory system.
Geologic Summary: The truncated summit of Gunung Ibu stratovolcano along the NW coast of Halmahera Island has large nested summit craters. The inner crater, 1 km wide and 400 m deep, contained several small crater lakes through much of historical time. The outer crater, 1.2 km wide, is breached on the north side, creating a steep-walled valley. A large parasitic cone is located ENE of the summit. A smaller one to the WSW has fed a lava flow down the western flank. A group of maars is located below the northern and western flanks of the volcano. An eruption producing a lava dome that eventually covered much of the floor of the inner summit crater began in December 1998.


03.04.2008 Indonesia - Dengue Fever On the Island of Java, an outbreak of Dengue Fever was reported in Yogyakarta. Up to the middle of March, 64 people were treated in a regional hospital. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


03.04.2008 Indonesia - Avian Influenza H5N1 (Human) A 22-month toddler in Indonesia's West Sumatra province has been tested positive of bird flu, health officials in Indonesia said yesterday. The toddler was among three patients at a hospital in the provincial capital of Padang who were being treated for allegedly developing bird flu symptoms. The two other patients are a 29-year-old woman and a 21-month baby girl. Indonesia has so far confirmed 133 bird flu cases in human with 107 deaths.


31.03.2008 Indonesia - Avian Influenza (Human) Today, a health ministry official in Indonesia confirmed 2 more deaths due to an infection with bird flu. The two Indonesian youths taking the confirmed death toll in the country to 107. A 15-year-old boy from Subang, in West Java, died on Wednesday and an 11-year-old girl from Bekasi, east of Jakarta, who died on Friday also tested positive for the virus. Including the latest deaths, Indonesia has had 132 confirmed cases of the virus. Contact with sick fowl is the most common way of contracting the H5N1 virus, which is endemic in bird populations in most of Indonesia. According to United Nations Food and Agriculture Organisation (FAO) bird flu has infected 31 out of 33 provinces in Indonesia.


31.03.2008 Indonesia - Avian Influenza H5N1 (Human) A 22-month-old girl from Sumatra's Bukit Tinggi has tested positive for bird flu, a health ministry official said today. The girl fell sick on March 19 and she is being treated at a Padang hospital. The ministry is checking her neighbourhood for possible backyard farming. This is the country's 130th H5N1 case and Indonesia has had 105 human deaths from the bird flu virus.


19.02.2008 Indonesia - Dengue At least 37 people died of dengue fever in Central Java province during January 2008. According to the record of the Central Java provincial administration, there were 2347 cases of dengue fever in January 2008. During the 1st 2 weeks of February 2008, at least 57 local people in the province were infected with the dengue fever virus. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


16.02.2008 Indonesia - Avian Influenza (Human) A 3-year-old Indonesian boy has died of bird flu, health officials said today, announcing a second death from the illness in one day. The two cases, which were apparently unrelated, brought Indonesia's death toll from the disease to 105. The latest victim was identified only as Han, a 3-year-old boy from the southern part of the capital, Jakarta, who died yesterday at a hospital. Laboratory tests confirmed the boy had the dangerous H5N1 strain of the bird flu virus, Kandun said. Earlier today, the Health Ministry in Indonesia said that a 16-year-old Indonesian boy from Central Java province died of bird flu. The boy became ill on Feb. 3 with a cough and other respiratory symptoms, according to the Health Ministry's Web site. He died a week later in a hospital in the city of Solo, about 450 kilometers (280 miles) southeast of Jakarta. Tests confirmed the boy had been infected the H5N1 virus, the ministry's Web site said.


16.02.2008 Indonesia (Flores/NTT) - Rabies In the last two weeks of January 2008, about 39 people infected with rabies in West Manggarai regency, East Nusa Tenggara. 2 of them have died since the beginning of February. All of the infections resulted from the victims being bitten by dogs. Since the beginning of 2008 until February 2nd, 4 people have died of rabies in the West Manggarai. The 39 rabies cases were recorded in 5 districts: Komodo with 15 cases, Sanonggoang (2), Lembor (15), Kuwus (5) and Macang (2).


12.02.2008 Indonesia - Avian Influenza (Human) A 15-year-old Indonesian girl from West Jakarta has been infected by avian influenza, bringing the total cases to 127 with 103 of them fatal, Indonesian health ministry said today. The girl was a daughter of a 38-year-old woman who was previously infected by the disease and first developed the symptoms of the disease on Jan. 23. The girl is treated in a hospital and she is in critical conditions.


06.02.2008 Indonesia - Avian Influenza (Human) The Ministry of Health of Indonesia has announced 2 new cases of human H5N1 avian influenza infection. The 1st is a 29-year-old female from Tangerang City, Banten Province who developed symptoms on 22 Jan 2008, was hospitalized on 28 Jan 2008 and died on 2 Feb 2008. Investigations into the source of her infection are ongoing. The 2nd case is a 38-year-old female from West Jakarta, Jakarta Province who developed symptoms on 24 Jan 2008, was hospitalized on 26 Jan 2008, and is currently in hospital in a critical condition. Investigations into the source of her infection are ongoing. Of the 126 cases confirmed to date in Indonesia, 103 have been fatal.


01.02.2008 Indonesia - Avian Influenza (Human) In Indonesia, the Ministry of Health announced 4 new human cases of H5N1 Avian Influenza infection. The first case was a 31-year-old female from Jakarta Province who died of the disease on 31 January. Investigation indicated that she visited a wet market where live poultry were sold three days prior to symptom onset. The second case was a 9-year-old boy from Depok Municipality who died of the disease on 27 January. Investigation indicated that the victim lived next door to a wet market where live poultry are sold. The third case was a 32-year-old male from Tangerang Municipality, Banten Province who died of the disease on 29 January. Investigations into the source of his infection are ongoing. The fourth case was a 23-year-old female from Jakarta Province who died of the disease on 27 January. Investigations into the source of her infection are ongoing. Of the 124 cases confirmed to date in Indonesia, 102 died of the disease.


22.01.2008 Indonesia - Avian Influenza (Human) The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. An 8 year old boy from Tangerang District, Banten Province, developed symptoms on 7 Jan 2008, was hospitalized on 16 Jan and died in an AI referral hospital on 18 Jan 2008. Of the 119 cases confirmed to date in Indonesia, 97 have been fatal. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


16.01.2008 Indonesia - Avian Influenza (Human) The 16-year-old Indonesian girl died of bird flu, putting the total fatalities to 96 out of 118 cases in Indonesia, the health ministry confirmed. The girl from Bekasi, an outskirt city of Jakarta, has been treated at the bird flu-designed hospital of Persahabatan in East Jakarta (see 11.01.2008). To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


14.01.2008 Indonesia - Avian Influenza (Human) A 32-year-old Indonesian woman died from bird flu, the Health Ministry in Indonesia said today. Two laboratory tests confirmed she was infected with the H5N1 strain of the virus, an official at the Bird Flu Information Center said. The woman from Tangerang District, Banten Province, developed symptoms on Thu 3 Jan 2008, was hospitalized on Wed 9 Jan 2008 and died on Thu 10 Jan 2008. This is the 118th H5N1-case and the 95th H5N1-fatality in Indonesia, and the 350th case and 217th fatality from H5N1 virus infection globally. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


11.01.2008 Indonesia - Avian Influenza (Human) A 16-year-old Indonesian girl has been infected by avian influenza, putting the total number of cases in the country to 117 with 94 fatalities, the health ministry in Indonesia said today. The girl from Bekasi city has been treated at the bird flu-designed hospital of Persahabatan in East Jakarta since Wednesday. Two laboratories tests of her blood samples are positive, a health oficcial said. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


08.01.2008 Taiwan/exIndonesia - Chikungunya While using fever screening upon arrival at international airports in Taiwan, the Taiwan Centers for Disease Control (CDC) identified 2 imported cases with chikungunya fever on 28 and 30 Dec 2007. One of these patients is an Indonesian worker; the other is also an Indonesian, who came to visit his relatives. Chikungunya is a viral illness spread by the bite of infected mosquitoes. The disease resembles dengue fever and is characterized by severe, sometimes persistent, joint pain as well as fever and rash. Rarely is the fever life-threatening.


05.01.2008 Indonesia - Chikungunya The mosquito-borne Chikungunya disease has infected thousands of people in Bandarlampung on Sumatra in December 2007. In the worst hit area, Waydadi subdistrict in Sukarame, Chikungunya has struck about 500 residents in 3 neighborhood units. Chikungunya is a viral illness spread by the bite of infected mosquitoes. The disease resembles dengue fever and is characterized by severe, sometimes persistent, joint pain as well as fever and rash. Rarely is the fever life-threatening. Chikungunya, which was 1st identified on the African continent, was 1st detected in Indonesia in 1973. The 1st cases were reported in Samarinda, East Kalimantan. The disease then spread to Kuala Tungkal, Martapura, Ternate, and Yogyakarta, and later reached other areas across the country.

29.12.2007 Indonesia - Dengue in Central Java The Health Service of Central Java released the dengue fever data from January up until December 2007; there were 11.636 inhabitants infected including 217 people who died. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.

25.12.2007 Indonesia - Avian Influenza (Human) A Indonesian woman from West Jakarta has died from avian influenza, putting the total fatalities in the country to 94, the Indonesian Health Ministry said today. The 24-year-old woman died today at Cengkareng Hospital in the capital and both of her laboratory tests showed that she was positively infected by H5N1 virus, said Nyoman Kandun, director of the ministry. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


17.12.2007 Indonesia - Chikungunya From Monday (10 Dec 2007) till Saturday (15 Dec 2007) approximately 997 residents of the Jepara Regency, Central Java, were infected by chikungunya. Chikungunya is a viral illness spread by the bite of infected mosquitoes. The disease resembles dengue fever and is characterized by severe, sometimes persistent, joint pain as well as fever and rash. Rarely is the fever life-threatening.


13.12.2007 Indonesia - Avian Influenza (Human) A 47-year old Indonesian man from Tangerang died from bird flu on today, the head of the bird flu centre in Jakarta said, bringing the total number of deaths in from the illness in Indonesia to 93. The man, who had kept ducks at his home, had tested positive for bird flu on Wednesday as Indonesias 116th person to be infected with bird flu. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


12.12.2007 Indonesia - Avian Influenza (Human) A 47-year-old man from the outskirts of the Indonesian capital has been confirmed as the 115th person to be infected with bird flu, the health ministry in Indonesia said today. The man is being treated in a Jakarta hospital for the deadly disease, which has claimed 92 lives in Indonesia. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


11.12.2007 Indonesia - Avian Influenza (Human) An 28-year-old Indonesian woman has died of bird flu, taking the country's death toll from the virus to 92, a health official in Indonesia said today. The woman from Tangerang, southwest of Jakarta, died on Monday after being treated in a hospital in the capital. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


05.12.2007 Indonesia - Chikungunya In Indonesia, an outbreak of Chikungunya Fever affecting hundreds of residents was reported in Bogor Regency of West Java. In addition, the other outbreak of the same disease continued to affect Kabupaten Malang in East Java with 181 people infected so far. Chikungunya is a viral illness spread by the bite of infected mosquitoes. The disease resembles dengue fever and is characterized by severe, sometimes persistent, joint pain as well as fever and rash. Rarely is the fever life-threatening.


02.12.2007 Indonesia - Chikungunya (update) The attack of chikungunya in the Kepanjen Subdistrict territory, Kebupaten Malang, continued to increase. Moreover, since yesterday afternoon (01 Dec 2007), the Kepanjen Community Health Centre was appointed as an emergency unit. The data in the Kepanjen Community Health Centre indicated that until yesterday afternoon (01 Dec 2007) 181 residents were recorded as having been infected by the illness resulting from virus transmitted by bites of mosquitoes. The disease resembles dengue fever and is characterized by severe, sometimes persistent, joint pain as well as fever and rash. Rarely is the fever life-threatening.


26.11.2007 Indonesia - Chikungunya In Indonesia, an outbreak of Chikungunya Fever affecting 26 people was reported in Kabupaten Malang, East Java. Chikungunya is a viral illness spread by the bite of infected mosquitoes. The disease resembles dengue fever and is characterized by severe, sometimes persistent, joint pain as well as fever and rash. Rarely is the fever life-threatening.


11.11.2007 Indonesia - Anak Krakatau Volcano
Volcanic activity
In the last weeks Anak Krakatau volcano has showed increasing unrest. Last thursday 195 explosions and 71 volcanic earthquakes were reported at the volcano. Ash erupted 800m above the crater and glowing lava reached the sea. The sand beaches on the island became hot. The volcano is on level 3 alert and there is a 3km exclusion zone around the island.
Geologic Summary: Renowned Krakatau volcano lies in the Sunda Strait between Java and Sumatra. Collapse of the ancestral Krakatau edifice, perhaps in 416 AD, resulted in a 7-km-wide caldera. Remnants of this volcano formed Verlaten and Lang Islands; subsequently Rakata, Danan, and Perbuwatan volcanoes were formed, coalescing to create the pre-1883 Krakatau Island. Caldera collapse during the catastrophic 1883 eruption destroyed Danan and Perbuwatan volcanoes, and left only a remnant of Rakata volcano. The post-collapse cone of Anak Krakatau (Child of Krakatau), constructed within the 1883 caldera at a point between the former cones of Danan and Perbuwatan, has been the site of frequent eruptions since 1927.


09.11.2007 Indonesia - Avian Influenza (Human) A 31 year old man from Riau province on Sumatra island has been confirmed as having died of bird flu, raising the toll in the nation worst affected by avian flu to 91. The 31-year-old died on tuesday at a government hospital in Pekanbaru on Sumatra island. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


09.11.2007 Indonesia (Java) - Kelud volcano
Volcanic activity
Kelud volcano was downgraded to level 3 alert, based on visual, seismic, deformation and crater lake temperature. Volcanic tremor has declined in the last days. A ground deflation has occured. On 6th November, thermal imaging of the crater showed a temperature of 75°C and the lava dome had a temperature of 150-210°C. There is still a possibility of a phreatic eruption (also rain may produce a phreatic eruption), which could destroy the lava dome. The volcano is still producing dangerous gases which can be harmful to people. Traveler and residents are urged to follow advice from local authorities.
Geologic Summary: The relatively inconspicuous 1,731-m-high Kelud stratovolcano contains a summit crater lake that has been the source of some of Indonesia's most deadly eruptions. A cluster of summit lava domes cut by numerous craters has given the summit a very irregular profile. More than 30 eruptions have been recorded from Gunung Kelud since 1000 AD. The ejection of water from the crater lake during Kelud's typically short, but violent eruptions has created pyroclastic flows and lahars that have caused widespread fatalities and destruction.


05.11.2007 Indonesia - Avian Influenza (Human) A 30-year old indonesian woman has died of bird flu, taking the country's death toll from the disease to 90 with 112 confirmed cases of the disease in humans, an official at the health ministry's bird flu centre confirmed today. The woman lived in Tangerang, west of the capital Jakarta. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


03.11.2007 Indonesia (Java) - Kelud Volcano
Volcanic Eruption
Based on seismographic signals, Mount Kelud volcano appears to have erupted, but the volcano is obscured from view by heavy cloudcover. An estimated 350,000 people live within 10 km (6 miles) of the volcano. An official at Indonesia's Centre for Vulcanology and Geological Hazard Mitigation told Reuters that the centre had detected continuous tremors in the volcano indicating that it had erupted, even though it was impossible to see any sign of ash or lava because of heavy cloud in the area.
Geologic Summary: The relatively inconspicuous 1,731-m-high Kelud stratovolcano contains a summit crater lake that has been the source of some of Indonesia's most deadly eruptions. A cluster of summit lava domes cut by numerous craters has given the summit a very irregular profile. More than 30 eruptions have been recorded from Gunung Kelud since 1000 AD. The ejection of water from the crater lake during Kelud's typically short, but violent eruptions has created pyroclastic flows and lahars that have caused widespread fatalities and destruction.


30.10.2007 Indonesia - Anthrax Health authorities on Flores Island recorded 761 people from 3 villages falling ill after eating buffalo meat infected with anthrax. The villages in Ende district have been closed off to outsiders. Veterinary teams had been sent to the district to locate and vaccinate livestock, reinforcing several sent last weekend [27-28 Oct 2007] after 20 villagers were initially reported ill. In April 2007, 5 people died after consuming infected beef on nearby Sumba Island. Health officials sealed off a number of villages there for several weeks to contain the disease. Flores and Sumba are in East Nusa Tenggara province, where anthrax is endemic.


29.10.2007 Indonesia - Avian Influenza (Human) A three-year-old Indonesian boy has tested positive for bird flu, a health ministry official said today. The boy from Tangerang, west of the capital Jakarta, lives in the same neighbourhood as a five year-old girl who died of bird flu last week. He is suffering only minor symptoms of flu and is being treated at Sulianti Saroso hospital, Jakarta's main bird flu treatment centre. Contact with sick fowl is the most common way for humans to contract the deadly H5N1 strain of the virus. Indonesia, which has now had 111 confirmed cases of the disease in humans, has suffered more fatalities than any other country. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


25.10.2007 Indonesia (Sulawesi) - Mount Soputan
Volcanic Eruption
Today Soputan volcano on the northern tip of Sulawesi has erupted. Hundreds of residents from different villages in Southeast Minahasa district were evacuated.
Geologic Summary: The small Soputan stratovolcano on the southern rim of the Quaternary Tondano caldera on the northern arm of Sulawesi Island is one of Sulawesi's most active volcanoes. The youthful, largely unvegetated volcano rises to 1784 m and is located SW of Sempu volcano. It was constructed at the southern end of a SSW-NNE trending line of vents.


23.10.2007 Indonesia - Avian Influenza (Human) A young indonesian toddler from Tangerang (west of the capital Jakarta) has died of bird flu, a health ministry official said today. The girl died yesterday after being hospitalised two days earlier. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


23.10.2007 Indonesia - Avian Influenza (Human-susp.) The 10-year-old girl in Riau seems never been tested positive for H5N1. An official at the health ministry's bird flu information centre said, the test result was negative. Why Health Minister Siti Fadilah Supari said it was H5N1, and that the girl's aunt might also have died of it, is a mystery. It would be prudent to await a confirmatory statement from WHO before the toll of fatalities in Indonesia is raised to 89.


22.10.2007 Indonesia - Avian Influenza (Human-susp.) Indonesian Health Minister Siti Fadilah Supari confirmed today that the death of a 10-year-old girl in Riau Province was caused by bird flu. She was admitted to hospital on Saturday but died less than 12 hours later. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.

17.10.2007 Indonesia (Java) - Activity at Volcano KELUD
Today, fears of an imminent eruption prompted the evacuation of thousands of residents near Indonesia's Mount Kelud. The alert on the volcano located 90 km (55 miles) southwest of Surabaya, was raised to maximum yesterday, meaning it could erupt within 24 hours. Authorities had ordered the evacuation of more than 100,000 people from a 10-km (6-mile) zone near the 1,731-metre (5,712-foot) volcano.
Geologic Summary: The relatively inconspicuous 1,731-m-high Kelud stratovolcano contains a summit crater lake that has been the source of some of Indonesia's most deadly eruptions. A cluster of summit lava domes cut by numerous craters has given the summit a very irregular profile. More than 30 eruptions have been recorded from Gunung Kelud since 1000 AD. The ejection of water from the crater lake during Kelud's typically short, but violent eruptions has created pyroclastic flows and lahars that have caused widespread fatalities and destruction.


13.10.2007 Indonesia - Avian Influenza (Human) The 12-year-old Indonesian boy (see: 11.10.2007) died of bird flu today, raising the toll in the nation worst affected by avian flu to 88. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


11.10.2007 Indonesia - Avian Influenza (Human) A 12-year-old Indonesian boy was confirmed today to be suffering from bird flu, bringing the country's cases of the H5N1 avian influenza virus to 109, according to Indonesia's Health Ministry. The boy, from the Tangerang district in Banten province, bordering the capital Jakarta, was admitted to hospital on Monday with bird flu symptoms. Yesterday he was transferred to Persahabatan Hospital in Jakarta, which is designated to treat bird flu patients. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


11.10.2007 Indonesia (Java) - Volcano KELUD
Volcanic activity
According to news articles, carbon dioxide and other gases emitted from Kelud reached 7 times normal levels. Increased seismicity and gas emissions prompted people from villages near the summit to self-evacuate. Villagers and tourists were advised not go within a 5 km radius of the active crater.
Geologic Summary: The relatively inconspicuous 1,731-m-high Kelud stratovolcano contains a summit crater lake that has been the source of some of Indonesia's most deadly eruptions. A cluster of summit lava domes cut by numerous craters has given the summit a very irregular profile. More than 30 eruptions have been recorded from Gunung Kelud since 1000 AD. The ejection of water from the crater lake during Kelud's typically short, but violent eruptions has created pyroclastic flows and lahars that have caused widespread fatalities and destruction.

08.10.2007 Indonesia - Avian Influenza (Human) A 44-year-old woman from Indonesia's Sumatra island has died of bird flu, raising the toll in the nation worst affected by the disease to 87, the health ministry in Indonesia said today. The woman died at the general hospital in Pekanbaru, central Sumatra. Two samples taken from the woman tested positive for the H5N1 virus. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


06.10.2007 Indonesia (Java) - Volcano KELUD
Volcanic activity
The centerfor disaster anticipation and refugees management in Indonesia is in full alert for the possible eruption of Mount Kelud which has been on level three alert status since last week. At least 52 units of tents have been prepared in anticipation for refugees, tents, provided by Health Ministry, had arrived since yesterday evening and would be built in five spots including Wates, Plosokklaten, Puncu, and Kepung areas. The team would also set up six "public kitchen" and logistic centers to supply the refugees' daily needs. The center would distribute around 50,000 masks for residents at around Mount Kelud and they need another 10,000 for the people. Villagers and tourists were advised not to go within a 5 km radius of the active crater.
Geologic Summary: The relatively inconspicuous 1,731-m-high Kelud stratovolcano contains a summit crater lake that has been the source of some of Indonesia's most deadly eruptions. A cluster of summit lava domes cut by numerous craters has given the summit a very irregular profile. More than 30 eruptions have been recorded from Gunung Kelud since 1000 AD. The ejection of water from the crater lake during Kelud's typically short, but violent eruptions has created pyroclastic flows and lahars that have caused widespread fatalities and destruction.


01.10.2007 Indonesia - Avian Influenza (Human) An Indonesian man died from bird flu in the capital Jakarta, raising the country's death toll from the virus to 86, the Health Ministry in Indonesia said today. The 21-year-old man from west Jakarta died last weekend after being treated in hospital for three days. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


25.09.2007 Indonesia - Avian Influenza (Human-NOT) Two tests on samples from an Indonesian woman feared to have died of bird flu at the weekend have cleared her of carrying the virus, a health ministry official said. "Both test results were negative", said Dr Ningrum who was on duty at the health ministry's bird flu information centre on Tuesday. She was referring to a 30-year-old woman who died in hospital in the West Java city of Bandung on Saturday displaying symptoms of infection with the H5N1 virus. (see 23.09.2007)


24.09.2007 Indonesia - Avian Influenza (Human-susp.) Two Indonesian children were in critical condition at a hospital in Riau Province (Sumatra) with doctors strongly suspecting them of having developed bird flu symptoms. The two children are being treated in isolated rooms at the Arifin Ahmad Hospital in the provincial capital of Pekanbaru. Based on the preliminary results of a rapid test, one tested negative and the other one tested positive for bird flu but further tests in Jakarta are needed for confirmation.


23.09.2007 Indonesia - Avian Influenza (Human-susp.) A 30-year-old Indonesian woman suspected of being infected with bird flu, died yesterday in Bandung City hospital, West Java. According to a Bandung Hasan Sadikin general hospital staff member, blood samples from the woman have been sent for testing in the capital Jakarta. Ttwo tests samples must show positive for the H5N1 string virus before a victim is confirmed to have infected by bird flu. Indonesia has the highest in the world for bird flu death cases at 85. The suspected woman was showing symptoms of bird flu infection, such fever, coughing, breathing difficulties and low red blood count. If the woman is confirmed to have been infected with the H5N1 strain of the virus, she will be the 86th human fatality in the country. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


20.09.2007 Indonesia (Java) - Volcano KELUD
Volcanic activity
Last week the Alert Status of Kelud was raised from 1 to 2 (on a scale of 1-4). According to a news report, the water in the crater lake increased in temperature and changed color from the usual green to yellow. Villagers and tourists were advised not to go within a 5 km radius of the active crater.
Geologic Summary: The relatively inconspicuous 1,731-m-high Kelud stratovolcano contains a summit crater lake that has been the source of some of Indonesia's most deadly eruptions. A cluster of summit lava domes cut by numerous craters has given the summit a very irregular profile. More than 30 eruptions have been recorded from Gunung Kelud since 1000 AD. The ejection of water from the crater lake during Kelud's typically short, but violent eruptions has created pyroclastic flows and lahars that have caused widespread fatalities and destruction.


12.09.2007 Indonesia - Great Earthquake A magnitude 8.4 earthquake that hit South Sumatra today is the largest of four of magnitude 8 or above that have hit worldwide in 2007. All four locations are on the Pacific "Ring of Fire", a horse-shoe shaped 25,000 mile (40,000 kilometre)-long arc of volcanoes and fault lines that generates about 90 percent of the world's earthquakes. It was the most powerful to hit Indonesia since the magnitude 8.6 "Nias" earthquake in March 2005, according to the U.S. Geological Survey (USGS). The 17 magnitude 8+ quakes since 1990 have killed about 285,491 people.

06.09.2007 Indonesia - Avian Influenza (Human) The 33-year-old male plantation worker from Indonesia`s Sumatra Island died of bird flu today, bringing the death toll in Indonesia to 85, health officials said. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


06.09.2007 Indonesia - Avian Influenza (Human-conf.) The 33-year-old Indonesian man, who was contracted by avian influenza, is in critical condition in a hospital at Riau province in Sumatra Island, the Health Ministry said today. Both of laboratory tests showed that he is positively infected by H5N1 virus. The confirmation has brought the total cases to 106 with 84 fatalities in Indonesia. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


04.09.2007 Indonesia - Avian Influenza (Human-susp.) A 33-year-old Indonesian man, who is being treated at a hospital in Riau province, has been suspected of having avian influenza, as an initial laboratory test showed he is positively having the disease, the Health Ministry said today. Health authorities were waiting for the second laboratory test for confirmation that he was positive of having H5N1 virus. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


29.08.2007 Indonesia - Avian Influenza Three bird-flu suspect cases have been tested negative for the H5N1 virus based on the tests conducted by the Health Research and Development Center Laboratory of the Ministry of Health. The suspects were NKS (F, 43 year-old) and L (F, 50 year-old), both from Bali, and HB (M, 47 year-old) from West Nusa Tenggara (NTB). Overall, the total number of confirmed human H5N1 case in Indonesia still stands at 105 cases with 84 fatalities. The case fatality rate stands at 80%. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


28.08.2007 Indonesia/Sulawesi - Earthquake
04:51 PM local time at epicentre with magnitude 5.1
85 km (50 miles) SSW of Palu, Sulawesi, Indonesia
295 km (185 miles) E of Balikpapan, Kalimantan, Indonesia
395 km (245 miles) N of Ujung Pandang, Sulawesi, Indonesia
1500 km (930 miles) ENE of JAKARTA, Java, Indonesia


26.08.2007 Indonesia - Avian Influenza (Human-susp./neg.) An Indonesian woman suspected of being infected with bird flu has died on the Indonesian resort island of Bali, stoking fears of a wider outbreak on the island. Samples from the 43-year-old woman, a resident of the island's main city Denpasar, have been sent to Jakarta for testing. Two tests must come back positive for the H5N1 virus before a victim is confirmed as part of the official bird flu death toll in Indonesia, which is the highest in the world at 84. The woman, who died yesterday, was suffering from serious lung infection, one of the main symptoms of avian influenza. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene. Further tests showed that she is not infected by H5N1 - see 29.08.2007.


24.07.2007 Indonesia - Avian Influenza (Human-susp.) Another suspected case of human infection with bird flu virus was discovered today on Bali. The suspected case, age 18 months, is being treated at Sanglah Hospital in Denpasar. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


24.08.2007 Indonesia/Java - Earthquake
04:14 UTC / 11:14 AM local time with magnitude 4.8
150 km (95 miles) S of Sukabumi, Java, Indonesia
155 km (95 miles) SSW of Bandung, Java, Indonesia
170 km (105 miles) SW of Tasikmalaya, Java, Indonesia
240 km (150 miles) S of JAKARTA, Java, Indonesia


22.08.2007 Indonesia - Avian Influenza (Human-conf.) A second woman have died from bird flu on the Indonesian resort island of Bali. The 28-year-old Indonesian woman from Tabanan was tested positive for H5N1 after a second test in Jakarta. She died yesterday in a hospital on Bali. Indonesia has had 105 confirmed human cases from bird flu, out of which 84 have been fatal, the highest for any country in the world. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


21.08.2007 Indonesia - Avian Influenze (Human-susp.) A second woman may have died from bird flu on the Indonesian resort island of Bali. The 28-year-old Indonesian woman from Tabanan suspected of being infected with the bird flu virus died today on the resort island of Bali. A health ministry official from the bird flu information centre in Jakarta says the woman, who tested positive for bird flu at the local laboratory, died today. Two tests must come back positive for the H5N1 virus before a victim is confirmed as part of the official bird flu death toll in Indonesia. Preliminary test results show the 28-year-old had the deadly H5N1 strain, an Indonesian Health Ministry staffer says. If more reliable tests being carried out in Jakarta confirm the results, she will be the second person to have died in Bali from the virus within two weeks. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


21.08.2007 Indonesia - Avian Influenza (Human-susp.) Health authorities suspect two more people may have contracted a potentially deadly strain of bird flu on the Indonesian resort island of Bali. A 58-year-old man from Jembrana district and a 28-year-old woman from Tabanan are undergoing treatment in Bali’s Sanglah Hospital, a Bali Health Agency official said today. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


21.08.2007 Indonesia/Papua - Earthquake
06:30 AM local time with magnitude 5.9
100 km (60 miles) NE of Tanahmerah, Papua, Indonesia
150 km (95 miles) NNW of Lake Murray, New Guinea, PNG
1350 km (840 miles) NE of DARWIN, Northern Territory, Australia
3765 km (2340 miles) E of JAKARTA, Java, Indonesia


20.08.2007 Indonesia - Avian Influenza (Human-susp.) A two-year-old girl is being treated at the Arifin Achmad general hospital in Indonesia's Riau province, for a possible bird flu infection. The girl had developed fever symptoms similar to those of bird flu for over a week. She is now undergoing bird flu therapy and blood samples were sent to Jakarta today. The girl has had a high fever since August 10. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


20.08.2007 Indonesia/Sulawesi/Siau - Volcano Karangetan
Volcanic Eruption
The alert status for Mount Karangetang was raised to maximum at the weekend after hot clouds started moving eastwards, posing a threat to hundreds of people. Today Indonesia's Vulcanology Survey has recommended evacuation for entire districts and they are pushing for the complete evacuation of at least two villages located 5 km (3 miles) from the volcano's crater. At least hundreds of the 30,000 people living on the popular diving resort island are at grave risk. Another volcano 175 km south of Mount Karangetang (Mount Soputan, which lies on the northern tip of the Sulawesi island) has also been spewing ash and sending debris down its slopes.


19.08.2007 Indonesia/Papua - Earthquake
19:09 UTC / 20.08.2007 04:09 AM local timewith magnitude 5.5
90 km (55 miles) NE of Tanahmerah, Papua, Indonesia
130 km (80 miles) NNW of Lake Murray, New Guinea, PNG
1335 km (830 miles) NE of DARWIN, Northern Territory, Australia
3780 km (2340 miles) E of JAKARTA, Java, Indonesia


19.08.2007 Indonesia/Nias Region - Earthquake
13:34 UTC / 08:34 PM local time with magnitude 4.9
13:12 UTC / 08:12 PM local time with magnitude 4.8
175 km (105 miles) WSW of Sibolga, Sumatra, Indonesia
325 km (200 miles) SSW of Medan, Sumatra, Indonesia
530 km (330 miles) WSW of KUALA LUMPUR, Malaysia
1290 km (800 miles) NW of JAKARTA, Java, Indonesia


19.08.2007 Molucca Sea - Earthquake
03:55 UTC / 12:55 PM local time with magnitude 4.7
200 km (125 miles) N of Ternate, Moluccas, Indonesia
325 km (200 miles) ENE of Manado, Sulawesi, Indonesia
1515 km (940 miles) SSE of MANILA, Philippines
2505 km (1550 miles) ENE of JAKARTA, Java, Indonesia


18.08.2007 Indonesia/Simeulue - Earthquake
04:38 UTC / 11:38 AM local time with magnitude 4.9
240 km (150 miles) W of Sibolga, Sumatra, Indonesia
275 km (170 miles) SW of Medan, Sumatra, Indonesia
570 km (355 miles) WSW of KUALA LUMPUR, Malaysia
1440 km (900 miles) NW of JAKARTA, Java, Indonesia


17.08.2007 Indonesia/Kepulauan Babar - Earthquake
23:17 UTC / 18.08.2007 08:17 AM local time with magnitude 4.6
215 km (135 miles) WNW of Saumlaki, Tanimbar Islands, Indonesia
405 km (250 miles) SSE of Ambon, Moluccas, Indonesia
615 km (380 miles) NNW of DARWIN, Northern Territory, Australia
2535 km (1570 miles) E of JAKARTA, Java, Indonesia


17.08.2007 Banda Sea - Strong Earthquake
03:04 UTC with magnitude 6.2
02:16 UTC with magnitude 5.7
235 km (145 miles) SE of Ambon, Moluccas, Indonesia
360 km (225 miles) NW of Saumlaki, Tanimbar Islands, Indonesia
795 km (500 miles) N of DARWIN, Northern Territory, Australia
2520 km (1560 miles) E of JAKARTA, Java, Indonesia


16.08.2007 Indonesia - Avian Influenza (Human) A 17-year-old Indonesian girl has died of bird flu, taking the country's death toll from the virus to 83, a health ministry official said today. Her death comes days after a 29-year-old woman living on Bali died of the disease, becoming the resort island's first known human fatality from the H5N1 virus. The 17-year-old girl from Tangerang west of Jakarta died on Tuesday after falling ill with a high fever last week. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


14.08.2007 Indonesia - Avian Influenza (Human) As of Tue 14 Aug 2007, the Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. A 29-year-old female from Bali Province developed symptoms on 3 Aug 2007 and was hospitalized on 7 Aug 2007. She died on 12 Aug 2007. Investigations into the source of her infection indicate exposure to sick and dead poultry. The case's 5-year-old daughter was sick with a respiratory illness in the days preceding the onset of illness in the confirmed case. The daughter's onset of symptoms was 26 Jul 2007, she was hospitalized on 30 Jul 2007, but died without suspicion of avian influenza infection on 3 Aug 2007 in the district hospital. The child had contact with sick and dead poultry before becoming ill. Of the 103 cases confirmed to date in Indonesia, 82 have been fatal. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


08.08.2007 Indonesia (Central Java) - Foodborne Illness A team of medical experts from Gajah Mada University has suggested that bacteria caused a mystery illness that claimed 10 lives in an Indonesian village of densely populated Java island. Before becoming ill, the victims ate "tempeh gembus", a locally made fermented soy bean dish commonly sold door to door. In addition to 10 people who died in a village in Magelang district, 20 other victims have been brought to 3 hospitals in the province after complaining of stomach pain, nausea, and headaches.


10.07.2007 Indonesia (West Java) - Accident at Salak Volcano At Salak Volcano in West Java, 6 children were killed while camping at the volcano. Presumably the children were poisoned by gas from the volcano. Traveler should be aware while exploring a volcano


09.07.2007 Indonesia - Avian Influenza (Human) Last weekend, a 6-year-old indonesian boy died of bird flu, bringing the country's death toll from the disease to 81, a health ministry official said today. The boy, from the city of Cilegon in Banten province, suffered from high fever and breathing difficulties before he died of multi-organ failure on Sunday. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


23.06.2007 Indonesia - Avian Influenza (Human) An Indonesian girl has tested positive for the virulent H5N1 bird flu virus after coming into contact with sick chickens, a health official said. The three-year-old girl is being treated at a hospital in Pekanbaru, the provincial capital of Riau on Sumatra island. She is the 101st confirmed human case of bird flu in Indonesia, of those, 80 have died. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


14.06.2007 Indonesia - Avian Influenza (Human) A 29-year-old Indonesian man has died of bird flu, bringing the country's death toll from the H5N1 avian influenza virus to 80, the world's highest, a health official said today. The man died in a hospital in Pekanbaru, capital of Riau province on Sumatra Island, after undergoing one day treatment. To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


05.06.2007 Indonesia - Avian Influenza (Update) The DepKes stated that until today, there have been 99 people positive of AI, with 79 people dead in Indonesia. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


01.06.2007 Indonesia - Avian Influenza (Human) Today a health ministry official in Indonesia said a 15-year old girl died of bird flu. The girl from Kendal near Semarang (Central Java) died yesterday. If confirmed, her death brings the number of confirmed human fatalities in Indonesia to 79. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


31.05.2007 Indonesia - Chikungunya About 100 people in Bandarlampung (Southern Sumatra) have been affected by an outbreak of chikungunya. Chikungunya is a viral disease spread to humans by the aggressive daytime biting aedes aegypti mosquito. The outbreak has been centered in the village of Langkapura in Kemiling district. Most of those infected have not sought medical treatment because they cannot afford to go to a community health center or see a doctor. Travelers are advised to use insect repellents containing DEET for exposed skin and permethrin on outer clothing.


30.05.2007 Indonesia - Avian Influenza (Human) Last monday (28.05.2007) a 45-year-old Indonesian man from central Java has died of bird flu, a health ministry official said today. The man from Grobogan was hospitalised on thursday 17.05.2007. His death brings the number of confirmed human fatalities in Indonesia to 78. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


23.05.2007 Indonesia - Avian Influenza (Human) A five-year-old Indonesian girl from Central Java province has died of bird flu, a health ministry official said today. The girl from Wonogiri died last Thursday after being hospitalized on May 17 suffering from fever and respiratory problems. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


22.05.2007 Indonesia/Bali - Dengue According to reports by local broadcaster Metro TV on Bali, at least 10 more people every day have been treated for dengue fever in the island's main Sanglah Hospital, in Denpasar, since the outbreak began in January 2007. The lack of space at the hospital forcing many of the patients to lie in beds placed in the hospital's corridors. The health official Subrata stated that more than 1.163 cases of dengue fever have been identified since January 2007, with 8 people dying of the disease. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


15.05.2007 Indonesia - Dengue 3 people have died in a dengue fever outbreak that has affected more than 200 people in Cilacap regency, Central Java in the last 5 months. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


13.05.2007 Indonesia - Avian Influenza (Human) Indonesia's health ministry says a woman who tested positive in preliminary tests for human bird flu died today. The 26-year-old woman was four months pregnant with her second child. She died at a hospital in Medan/North Sumatra. If confirmed it takes Indonesia's death toll from the virus to 76. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


12.05.2007 Hong Kong/exIndonesia - Dengue The Centre for Health Protection in Hong Kong confirmed an imported case of Dengue Fever. The patient, a 63-year-old woman, developed symptoms of fever, chill, muscle pain and nausea on 25 April. She was hospitalised and was in stable condition. She had travelled to Indonesia from 30 March to 27 April 2007. Her travel companion did not have any symptoms of Dengue Fever. This was the seventh imported Dengue Fever reported in 2007. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


08.05.2007 Indonesia - Avian Influenza (Human) Yesterday a health ministry official in Indonesia confirmed the country's 75.th human death from bird flu. A 29-year old woman from Pekanbaru in Riau province on Sumatra island, died on May 3. The H5N1 virus had been confirmed after two laboratory tests on samples from the victim. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


03.05.2007 Hong Kong/exIndonesia - Dengue The Centre for Health Protection in Hong Kong confirmed an new imported Dengue Fever case. The 59-year-old woman travelled to Indonesia from 29 March to 15 April 2007 and came down with fever, headache and a rash on 11 April. This is the sixth imported Dengue Fever case reported this year. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


27.04.2007 Hong Kong /exIndonesia - Dengue The Hong Kong Department of Health confirmed the fifth imported case of Dengue Fever in 2007. The 30-year-old man developed symptoms of fever and mild headache on 10 April. He was hospitalised on 16 April and discharged on 18 April. He had travelled to Indonesia prior to onset of symptoms. Spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travelers should use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and wear light-weight long sleeve shirts and pants when outdoors.


18.04.2007 Indonesia - Dengue In Indonesia, more than 4 400 cases of Dengue Fever had been reported in Jakarta in March 2007, compared to 2 249 registered during the same period in 2006. A total of 42 people have died of dengue since this year. Dengue is spread by the daytime biting aedes aegypti mosquito, there is no vaccine to prevent the disease. Travellers are urged to use repellents containing DEET on exposed skin and Permethrin on clothing, bedding and mosquito netting and to wear light-weight long sleeve shirts and pants when outdoors.


16.04.2007 Indonesia - Avian Influenza (Human - susp.) Five-member of a family were admitted to Hospital in Garut, West Java, suspected they had contracted the bird flu virus. The family members ranging in age from 50 to six years old. Two of the family members are in critical conditions. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


14.04.2007 Indonesia - Anthrax The deaths of 5 people in 2 villages in West Sumba region, East Nusa Tenggara (Nusa Tenggara Timor - Lesser Sunda Islands), have led authorities to quarantine both areas due to a suspected outbreak of anthrax. The residents, from Kapaka Madeta and Kawangohari villages, died after consuming beef at the end of last month.


11.04.2007 Indonesia - Avian Influenza More than 1000 ducks have been culled in Jimbaran, Bali after some of the birds tested positive for the H5N1 strain of the bird flu virus. This provides a very brief description of another H5N1 event in the country. Indonesia sources continue to report a spate of human deaths, 5 last month and 2 so far this April 2007. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


07.04.2007 Indonesia - Avian Influenza (Human) A 29-year-old Indonesian man from Central Java province has died of bird flu, a health ministry official said on today, taking the human death toll from the virus in the country to 74. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


06.04.2007 Indonesia - Avian Influenza (Human) The 15-year-old indonesian girl has died of bird flu in Jakarta (see 05.04.2007 Indonesia - Avian Influenza), bringing the toll in the country hardest hit by the virus to 73, a health ministry offical said today. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


05.04.2007 Indonesia - Avian Influenza (Human) A 15-year-old girl from central Jakarta was tested positive for H5N1, an official of the Health Ministry said on today. Including the new case, bird flu cases in Indonesia have reached 93, and 72 persons out of them have died. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


04.04.2007 Indonesia - Avian Influenza (Human) A 23-year-old woman has died of bird flu, raising the country's toll to 72, a Health Ministry official said today. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


29.03.2007 Indonesia - Avian Influenza (Human) A 14-year-old boy and a 28-year-old woman have died of bird flu in Indonesia, a health ministry official said today. The deaths brought Indonesia's confirmed human death toll from the H5N1 virus to 71. The boy was from West Sumatra and died on March 24, while the woman was from the capital, Jakarta, and died on Wednesday. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


28.03.2007 Indonesia - Avian Influenza (Human) The 15-year boy from Indramayu of West Java who died last Sunday, the 22-year-old woman from Palembang of South Sumatra who died last Saturday and a 39-year old man died from bird flu a health ministry official said today. The three had been confirmed to have been suffering from the H5N1 virus after a second test. The latest deaths take the death toll from the virus to 69 in Indonesia. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


27.03.2007 Indonesia - Avian Influenza (Human - susp.) Two people suspected of being infected with avian influenza virus died in Indonesia, Indonesian Health Ministry said in Jakarta today. A 15-year boy from Indramayu of West Java died on Sunday and a 22-year-old woman from Palembang of South Sumatra on Saturday, an official of the anti-bird flu center said. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


24.03.2007 Indonesia - Batu Tara Volcano (NTT)
Volcanic Activity
The alert level at Batu Tara volcano has been raised to 3 (out of maximum 4) and many people have been evacuated from Lembata Island, close to the volcano.
Geological Summary: The small isolated island of Batu Tara in the Flores Sea about 50 km north of Lomblen Island contains a scarp on the eastern side similar to the Sciara del Fuoco of Italy's Stromboli volcano. Vegetation covers the flanks of Batu Tara to within 50 m of the 748-m-high summit. Batu Tara lies north of the main volcanic arc and is noted for its potassic leucite-bearing basanitic and tephritic rocks.


21.03.2007 Hong Kong/exThailand and exIndonesia - Dengue Fever The Hong Kong Department of Health were investigating two imported cases of Dengue Fever. The first case was a 63-year-old man who developed fever, muscle pain and tiredness on 25 February. He was hospitalised and discharged. He had travelled to Thailand prior to the onset of symptoms. The second case was a 29-year-old lady who developed fever, muscle pain, bone pain etc. on 22 February. She recovered without hospitalization. She had been to Indonesia before the onset of symptoms. A total of 4 imported Dengue Fever cases were reported in Hong Kong in 2007.


20.03.2007 Indonesia - Avian Influenza (Human) The 21-year-old Indonesian woman has died of bird flu, bringing the human death toll in the country from the virus to 66, a health ministry official said today. The woman died yesterday in a hospital in Surabaya/East Java. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


19.03.2007 Indonesia - Avian Influenza (Human) Today the Health Ministry in Indonesia confirmed a new case of H5N1. The young woman is in critical condition after two weeks of hospitalization in the East Java town of Surabaya. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


16.03.2007 Indonesia - Avian Influenza (Human) A 32-year-old man from Indonesia's capital Jakarta who died on Thursday, was tested positive of avian influenza, putting the fatality of the disease to 65 out of 86 cases in the country, the Indonesian Health Ministry said today. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.

13.03.2007 Indonesia - Volcano Batu Tara (NTT)
Volcanic Eruption
Based on satellite imagery, the Darwin VAAC reported that an ash cloud from Batu Tara reached an altitude of 4.3 km and drifted north.
Geologic Summary: The small isolated island of Batu Tara in the Flores Sea about 50 km north of Lomblen Island contains a scarp on the eastern side similar to the Sciara del Fuoco of Italy's Stromboli volcano. Vegetation covers the flanks of Batu Tara to within 50 m of the 748-m-high summit. Batu Tara lies north of the main volcanic arc and is noted for its potassic leucite-bearing basanitic and tephritic rocks. The only known historical eruption from Batu Tara, during 1847-52, produced explosions and a lava flow.


12.03.2007 Indonesia - Avian Influenza (Human) A 20-year-old woman being treated for bird flu remains in critical condition in East Java, Indonesia. The victim was confirmed to have the H5N1-virus yesterday, a Health Ministry official said. The public should strictly observe personal and environmental hygiene, and stay away from dead birds, avoid contact with wild birds and live poultry and their droppings.
To prevent infection, mediScon calls people travelling to areas with avian influenza cases to be vigilant and observe good personal hygiene.


01.03.2007 Indonesia - Leptospirosis An outbreak of Leptospirosis had killed 14 people in the Greater Jakarta of Indonesia, following a huge flooding in the area. There were also 91 Leptospirosis patients who were still hospitalised, while 102 others had recovered.


28.02.2007 Indonesia - Dengue (Update) The number of death toll of seasonal Dengue Fever since January this year in Indonesia had climbed to 380 out of 27 000 infected people.


27.02.2007 Indonesia (Flores/NTT) - Rabies Already two people (a 15-year old boy and a 3-year old girl) on the island Flores (NTT) infected with rabies by dogs since January 2007. The boy already died and the young girl was in very critical conditions. Travellers going to the lesser sunda islands region should be vigilant.


24.02.2007 Indonesia - Kepulauan Sula
Earthquake
18:45 UTC with magnitude 5.2
210 km (130 miles) SSW of Ternate, Moluccas, Indonesia
330 km (205 miles) NNW of Ambon, Moluccas, Indonesia
1335 km (830 miles) NNW of DARWIN, Northern Territory, Australia
2295 km (1430 miles) ENE of JAKARTA, Java, Indonesia


21.02.2007 Indonesia - Halmahera
Earthquake
02:19 UTC with magnitude 5.5
190 km (120 miles) S of Ternate, Moluccas, Indonesia
320 km (200 miles) NNW of Ambon, Moluccas, Indonesia
1335 km (830 miles) NNW of DARWIN, Northern Territory, Australia
2355 km (1460 miles) ENE of JAKARTA, Java, Indonesia


20.02.2007 Indonesia - South of Sumbawa
Earthquake
23:12 UTC with magnitude 5.1
310 km (195 miles) S of Raba, Sumbawa, Indonesia
360 km (225 miles) SE of Mataram, Lombok, Indonesia
410 km (255 miles) SW of Ende, Flores, Indonesia
1440 km (900 miles) ESE of JAKARTA, Java, Indonesia


20.02.2007 Indonesia - Kepulauan Sula
Earthquake
14:25 UTC with magnitude 5.8
210 km (130 miles) SSW of Ternate, Moluccas, Indonesia
320 km (200 miles) NNW of Ambon, Moluccas, Indonesia
1335 km (830 miles) NNW of DARWIN, Northern Territory, Australia
2310 km (1430 miles) ENE of JAKARTA, Java, Indonesia


20.02.2007 12:45 UTC - The threat of a tsunami from the strong earthquake that struck off Indonesia's eastern Moluccas islands today has passed, Indonesia's meteorology agency said.
20.02.2007 Indonesia - TSUNAMI WARNING
Indonesia issued a tsunami warning today after a strong earthquake struck off the Moluccas islands in the country's east. The magnitude 6.6 quake occurred at 3.04 pm (0804 UTC) with the epicentre 45 km (28 miles) southwest of Labuha in North Maluku province, the Indonesian Meteorology and Geophysics Agency said in a fax message. The U.S. Geological Survey separately put the earthquake at 6.5 magnitude and at a depth of 31 km.


20.02.2007 Indonesia - Kepulauan Obi
Strong Earthquake
08:04 UTC with magnitude 6.5
210 km (130 miles) S of Ternate, Moluccas, Indonesia
315 km (195 miles) NNW of Ambon, Moluccas, Indonesia
1320 km (820 miles) NNW of DARWIN, Northern Territory, Australia
2325 km (1440 miles) ENE of JAKARTA, Java, Indonesia


20.02.2007 Indonesia - Dengue A seasonal dengue fever outbreak in Indonesia has killed more than 300 people and sickened more than 20 000 others this year, health officials reported. Health Minister Siti Fadilah Supari warned of a possible major spike in mosquito-borne dengue fever cases during the next weeks because of the torrential rains in the last weeks, which flooded the capital Jakarta and 2 neighboring provinces. The Indonesian Health Ministry had declared 8 of the country's 33 provinces, including all provinces on densely populated Java Island, as high-risk for dengue fever because of the skyrocketing number of cases.


19.02.2007 Indonesia - Southern Sumatra
Earthquake
15:13 UTC with magnitude 5.5
97 km (60 miles) SE from Bengkulu, Sumatra, Indonesia
241 km (150 miles) SW from Palembang, Sumatra, Indonesia
286 km (178 miles) WNW from T.-Telukbetung, Sumatra, Indonesia
466 km (290 miles) WNW from JAKARTA, Java, Indonesia


18.02.2007 Indonesia - Ceram Sea
Earthquake
13:32 UTC with magnitude 4.5
105 km (65 miles) NE of Ambon, Moluccas, Indonesia
365 km (225 miles) SW of Sorong, Papua, Indonesia
1065 km (670 miles) NNW of DARWIN, Northern Territory, Australia
2460 km (1530 miles) E of JAKARTA, Java, Indonesia


18.02.2007 Indonesia - Nias Region
Earthquake
12:26 UTC with magnitude 4.8
195 km (120 miles) WSW of Sibolga, Sumatra, Indonesia
310 km (195 miles) SW of Medan, Sumatra, Indonesia
555 km (345 miles) WSW of KUALA LUMPUR, Malaysia
1350 km (840 miles) NW of JAKARTA, Java, Indonesia
10:45 UTC with magnitude 5.0
170 km (105 miles) WSW of Sibolga, Sumatra, Indonesia
310 km (190 miles) SSW of Medan, Sumatra, Indonesia
530 km (330 miles) WSW of KUALA LUMPUR, Malaysia
1305 km (810 miles) NW of JAKARTA, Java, Indonesia


15.02.2007 Indonesia - Semeru
Volcanic Activity
Based on a news report, eruption plumes from Semeru drifted east on 10 and 11 February. Ashfall was reported from areas including the town of Lumajang, about 35 km east of the volcano.
Geologic Summary: Semeru is the highest volcano on Java and one of its most active. The symmetrical stratovolcano rises abruptly to 3,676 m above coastal plains to the south and lies at the southern end of a volcanic massif extending north to the Tengger caldera. Semeru has been in almost continuous eruption since 1967. Frequent small-to-moderate Vulcanian eruptions have accompanied intermittent lava dome extrusion, and periodic pyroclastic flows and lahars have damaged villages below the volcano. A major secondary lahar on 14 May 1981 caused more than 250 deaths and damaged 16 villages.


15.02.2007 Indonesia - Northern Sumatra
Earthquake
03:12 AM local time with magnitude 5.2
115 km (70 miles) WSW of Banda Aceh, Sumatra, Indonesia
320 km (200 miles) SSE of Misha, Nicobar Islands, India
1155 km (720 miles) SW of BANGKOK, Thailand
1875 km (1160 miles) NW of JAKARTA, Java, Indonesia


15.02.2007 Indonesia - Nias Region
Earthquake
03:46 AM local time with magnitude 5.8
201 km (125 miles) WSW from Sibolga, Sumatra, Indonesia
337 km (210 miles) SSW from Medan, Sumatra, Indonesia
412 km (256 miles) WNW from Padang, Sumatra, Indonesia
560 km (348 miles) WSW from KUALA LUMPUR, Malaysia
02:49 AM local time with magnitude 5.5
215 km (135 miles) SW of Sibolga, Sumatra, Indonesia
375 km (230 miles) WNW of Padang, Sumatra, Indonesia
570 km (355 miles) WSW of KUALA LUMPUR, Malaysia
1275 km (790 miles) NW of JAKARTA, Java, Indonesia


14.02.2007 Indonesia - Kepulauan Talaud
Earthquake
07:22 PM local time with magnitude 4.9
275 km (170 miles) NNW of Ternate, Moluccas, Indonesia
295 km (185 miles) NE of Manado, Sulawesi, Indonesia
1410 km (880 miles) SSE of MANILA, Philippines
2460 km (1530 miles) ENE of JAKARTA, Java, Indonesia


12.02.2007 Indonesia - Nias Region
Earthquake
11:44 AM local time wiith magnitude 5.0
185 km (115 miles) W of Sibolga, Sumatra, Indonesia
280 km (175 miles) SW of Medan, Sumatra, Indonesia
540 km (335 miles) WSW of KUALA LUMPUR, Malaysia
1365 km (850 miles) NW of JAKARTA, Java, Indonesia


11.02.2