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Failure to tackle flu in birds threatens Indonesia's human population

BMJ 2006; 332 doi: http://dx.doi.org/10.1136/bmj.332.7554.1354-a (Published 08 June 2006) Cite this as: BMJ 2006;332:1354
  1. Jane Parry
  1. Hong Kong

    Efforts by Indonesia to combat H5N1 avian flu outbreaks in the human population are being hampered by the difficulty in detecting and stamping out the disease in poultry, says an epidemiologist at the World Health Organization.

    The disease has claimed at least 37 lives in the vast archipelago, which has a population of 220 million people. Most cases represent the sentinel case for an outbreak in poultry, said Steven Bjorge, an epidemiologist with WHO in Jakarta.

    “When a human case is reported, field investigations find that birds have been dying [in the area] for days or weeks before. The problem is the virus …

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