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Fatal H5N1 Cluster In Bali Indonesia Raises Concerns
Recombinomics Commentary 02:20
October 17, 2011

Wayan Aldiawan, 10, and his 5-year-old sister Nengah Rika Ani died Sunday after being treated for two days, Sanglah hospital official Elzarita Arbain said.

'Throat swabs and blood samples came back positive for H5N1,' he said, referring to the deadliest strain of bird flu.

The chief of the hospital's bird flu ward, Ken Wirasandi, said the children had contact with dead fowl in their neighbourhood in Bangli district.

The above comments describe a fatal H5N1 cluster in the Bangli district on the island of Bali in Indonesia. Although these fatalities have not yet been confirmed by the Indonesian Ministry of Health or WHO, confirmation of fatal cases is far more common than suspect cases that survive, including those confirmed locally.

This cluster is of concern because of reports indicating the mother of the above children has been hospitalized with symptoms, including a low platelet count, which is characteristic of H5N1 infections.  More detail on the mother and other symptomatic contacts would be useful.

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