Sardikin Giriputro, director of the Sulianti Saroso Infectious Disease Hospital in Indonesia, told an infectious disease conference in Kuala Lumpur that misdiagnoses and the late administration of drugs were partially responsible for the high mortality rates.
'It (H5N1) is misdiagnosed initially as dengue, bacterial pneumonia, typhoid and upper respiratory tract infection because of similar clinical features (symptoms),' Mr Giriputro said.
In a bid to reduce the death rate, the Indonesian government has begun distributing Tamiflu to health centres in areas where H5N1 cases have occurred.
'When doctors see influenza-like illnesses and where there is evidence of contact with sick poultry, then they give Tamiflu (without waiting for laboratory results),' Mr Giriputro said.
The above comments further support the interpretation that the reduction in confirmed H5N1 cases in Indonesia this season is largely dependent on misdiagnosis and false negatives. The misdiagnosis describe above was also noted in a New England Journal report earlier this year, which was displayed in a table of initial diagnosis for H5N1 confirmed cases in Indonesia. Only 12% of the cases were initially diagnosed as avian influenza. The most common initial diagnosis was pneumonia (46%) followed by upper respiratory illness (27%), dengue (12%), and typhus (4%). Since this update on avian infleunza in humans was written by WHO consultants, it is clear that WHO is well aware of this problem.
However, the WHO updates on confirmed H5N1 cases in Indonesia fail to mention that relatives of three of the last five confirmed cases died with a diagnosis of “lung inflammation”, dengue fever, and typhus. These relatives died within days of the H5N1 confirmed cases and represent clear H5N1 clusters that almost certainly involved human-to-human transmission (H2H).
A GLOBAL PANDEMIC WHICH WILL KILL A LEAST TENS OF MILLIONS OF PEOPLE IS COMING.
AND IT IS COMING SOONER THAN YOU HAVE BEEN LED TO BELIEVE.
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