Vietnam - Government report: Vietnam records first human case of bird flu in 8 years - 5 yr. old female in Phu Tho Province - A/H5 type - October 21, 2022 - H5N1 confirmed

[Shiloh]

Source: https://e.vnexpress.net/news/news/vi...s-4526014.html

Vietnam records first human case of bird flu in 8 years
By Le Nga October 20, 2022 | 03:25 pm PT

A 5-year-old girl in the northern Phu Tho Province has become Vietnam's first human case of A/H5 avian flu since 2014, the health ministry said Thursday.

Tran Nhu Duong, deputy head of the National Institute of Hygiene and Epidemiology, said a team has been sent to where the girl lives, and in cooperation with the Department of Animal Health, the Ministry of Agriculture and Rural Development and local authorities, they have performed a medical investigation regarding the case.

65 samples of those who've had contact with the patient have all returned negative with the A/H5 virus, and their health is normal. It has not been confirmed how the girl got infected in the first place.

Deputy health minister Nguyen Thi Lien Huong has requested medical authorities to ramp up measures to monitor and detect avian flu cases early in order to extinguish hotspots. Avian flu prevention guidance also needs to be re-checked, while plans to prevent outbreaks need to be drafted...

...Since 2003, Vietnam has recorded 128 human cases of A/H5, all of them infected with the H5N1 virus. 64 people died, according to the National Institute of Hygiene and Epidemiology. In 2014, there were two cases of H5N1 in the southern provinces of Binh Phuoc and Dong Thap, and both of them died. They've had contact with poultry beforehand...

[Shiloh]

Source: https://e.vnexpress.net/news/news/gi...y-4526255.html


Girl contracts avian flu after ingesting sick poultry
By Le Nga October 20, 2022 | 11:27 pm PT

Vietnam's first recorded human case of A/H5 avian flu in eight years had consumed sick poultry a week before her first symptoms appeared, the local CDC said Friday.

The patient, a 5-year-old girl in the northern Phu Tho Province, had consumed the meat of sick chickens and ducks beforehand. On Oct. 5, she began to cough and suffered a fever, with family medicines proving ineffective.

Two days later, her skin and eyes began to turn yellow and she began to vomit. She was taken to the Thanh Ba District medical center, where doctors diagnosed her with acute liver and kidney failure, the cause of which has yet to be confirmed.

She was then taken to the Phu Tho obstetrics and pediatric hospital, where doctors confirmed the previous diagnosis. On Oct. 8 she was transferred to the National Hospital of Pediatrics, where she tested positive for A/H5 avian flu two days after. A second test by the National Institute of Hygiene and Epidemiology on Oct. 17 confirmed the result.

The girl is now suffering from respiratory failure, as well as acute liver and kidney failure, septic shock and A/H5 avian flu. She is continuing treatment at the National Hospital of Pediatrics...

[sharon sanders]

Government report:

Phu Tho province recorded a case of influenza A/H5 in humans




Recently, in Phu Tho province, a case of influenza A/H5 was recorded in a female patient, 4 years old, located at Area 10, Dong Thanh commune, Thanh Ba district, Phu Tho province.

According to the report of the Center for Disease Control of Phu Tho province, this first case of influenza A/H5 infection is a 4-year-old girl, located in area 10, Dong Thanh commune, Thanh Ba district, Phu Tho province. Previously, on October 5, 2022, the patient had a cough, fever, the family bought medicine to take it but it did not help. On October 7, 2022, the patient appeared tired, yellow skin, yellow eyes, vomiting a lot, the family took the patient to Thanh Ba District Health Center for examination and was diagnosed: acute liver failure, acute kidney failure not yet. clear cause; transferred to Phu Tho Obstetrics and Children's Hospital, where the child was examined and also diagnosed: acute liver failure, acute kidney failure of unknown cause. On October 8, 2022, the patient was transferred to the National Children's Hospital. On October 10, 2022, the child was tested by the National Institute of Pediatrics for Influenza A/H5; October 17, 2022, The National Institute of Hygiene and Epidemiology confirmed positive for influenza A/H5 virus. Currently, the patient is in a state of respiratory failure, intubated, is being treated at the Internal Medicine Department - National Children's Hospital with a diagnosis of acute liver failure, acute kidney failure/septic shock/multiple organ failure /Influenza A/H5.

To proactively prevent epidemics and influenza from spreading from poultry to humans, we must strictly follow the recommendations of the Ministry of Health.
According to the patient's family, about 1 week before the child was admitted to the hospital, the family had a swan, chicken showing signs of illness to eat. The households around the place where the patient's family lives have not yet found that the poultry and waterfowl households show signs of illness or death; have not detected patients with the same disease as pediatric patients.
According to the announcement of the Provincial Sub-Department of Livestock Production and Veterinary Medicine, the results of avian influenza surveillance in the province in March 2022 have circulating highly pathogenic avian influenza viruses: 02 samples were positive for A/H5N6. and 4 samples positive for strain A/H5N1 in 5 communes of 2 districts, including: Son Thuy, Hoang Xa, Bao Yen, Dong Trung, Thanh Thuy district; In My Thuan commune, Tan Son district, all poultry in the above communes have been vaccinated against the disease.
As soon as receiving information about the case, the Provincial Center for Disease Control directed the Thanh Ba District Health Center to urgently implement the following measures to investigate and handle the outbreak. :
Investigate, review, make a list and guide the health monitoring of close contacts; Disinfect the entire housing area and the area of barns, poultry breeding of the patient's family and 04 surrounding families; Propaganda on commune radio stations on the characteristics of avian influenza, ways to recognize and declare the disease, and measures to prevent it; take samples for testing with relevant cases; coordinate with the provincial Sub-Department of Livestock and Veterinary Medicine to take samples for testing on poultry at the patient's family and surrounding households...
Up to now, it has been 14 days since the patient showed the first symptoms, now all close contacts are in stable health, have been tested, the results are negative for Influenza A virus. /H5; Around the area where the patient's house lives, no similar cases have been recorded; No other outbreaks have been detected in poultry, so the risk of spreading to the community is low. However, it is necessary to continue to monitor and closely monitor after 21 days since the appearance of the case.
In order to proactively prevent the spread of influenza from poultry to humans, the Department of Health of Phu Tho province strongly recommends that people take the following measures:
Do not eat poultry, poultry products sick, dead and unknown origin; make sure to eat and drink well; Wash hands with soap before eating.
Do not slaughter, transport, trade in poultry and poultry products of unknown origin.
When detecting sick or dead poultry, they must not be slaughtered and used, but must immediately notify the local authorities and veterinary units in the area.
When you have flu symptoms such as fever, cough, chest pain, shortness of breath related to poultry, you must immediately go to a health facility for advice, examination and timely treatment.

http://kiemsoatbenhtatphutho.gov.vn/Chuyen-muc-tin/Chi-tiet-tin/tabid/92/t/tinh-phu-tho-ghi-nhan-ca-nhiem-cum-a-h5-tren-nguoi/title/18934/ctitle/18/language/vi-VN/Default.aspx

[Shiloh]

Source: ://nld.com.vn/suc-khoe/be-gai-mac-cum-a-h5n1-da-hoi-phuc-rut-noi-khi-quan-20221022091936848.htm

The girl with influenza A/H5N1 has recovered, extubated
October 22, 2022 - 09:41 |

(LDO) - The health of a 5-year-old child infected with influenza A/H5N1 is recovering. The baby is now extubated, fully awake and continues to monitor kidney function

Information from the National Children's Hospital on October 22 said that up to now, the health of a 5-year-old child in Phu Tho has been infected with:influenza A/H5N1is being treated at the Intensive Care Unit, National Children's Hospital, has recovered. The baby has now been extubated, fully awake and continues to monitor kidney function.

Before that, on the afternoon of 8-10, the patient was transferred to the National Children's Hospital in a state of multi-organ failure, very severe multi-organ failure, and septic shock. On October 10, the child was tested by the National Children's Hospital to identify type A/H5. On October 17, the Central Institute of Hygiene and Epidemiology confirmed that the patient was positive for influenza A/H5 virus.

Before that, on 7-10 days, the child appeared tired, yellow skin, yellow eyes, vomiting a lot, the family took the patient to Thanh Ba District Medical Center (Phu Tho) for examination and was diagnosed with acute liver failure. acute renal failure of unknown etiology.

The patient was transferred to Phu Tho Obstetrics and Children's Hospital, where the child was examined and diagnosed with acute liver failure, acute renal failure of unknown cause. Then one day the patient was transferred to the National Children's Hospital.

Immediately after identifying the case, the authorities took 65 patient samples from people in contact with the patient (both distant and close contacts), the test results showed that all were negative for the virus. influenza A/H5N1. Currently, the health status of those in contact with the patient is completely normal.

This is the latest human case of influenza A/H5N1 in Vietnam since February 2014. Accumulated from 2003 to present, the whole country recorded 128 cases of influenza A/H5N1.

According to the Department of Preventive Medicine under the Ministry of Health, avian influenza is a dangerous infectious disease caused by influenza A/H5, influenza A/H7... The disease is spread through the respiratory tract, through contact with contaminated objects, contact and use of sick or dead poultry due to avian influenza infection. Symptoms: fever, cough, fatigue, body aches, muscle aches, sore throat. The disease progresses rapidly and can lead to death with a high rate (nearly 50%). Currently, there is no specific treatment and no vaccine for humans.

[Commonground]

21 December 2022

WHO
Understanding of the virus
Rapid Risk Assessment

Assessment of risk associated with recent influenza A(H5N1) clade 2.3.4.4b viruses

Excerpt:

Human infections with influenza A(H5N1) 2.3.4.4b viruses

Since the beginning of 2020, detections in humans of influenza A(H5N1) clade 2.3.4.4b viruses have been reported to WHO from the following countries1: China (one case)[1], Spain (two cases)[2], the United Kingdom of Great Britain and Northern Ireland (one case)[3], the United States of America (USA) (one case)[4], and Viet Nam (one case)[1]. All four human cases reported in Europe and North America were asymptomatic or mild, with only fatigue reported for the case detected in the USA. The case detected in China resulted in a fatality while the case in Viet Nam had severe symptoms but recovered. All human cases had exposure to infected poultry either through participation in response activities to poultry outbreaks or direct exposure to infected poultry in backyard holdings or live bird markets.

https://cdn.who.int/media/docs/default-source/influenza/avian-and-other-zoonotic-influenza/h5-risk-assessment-dec-2022.pdf?sfvrsn=a496333a_1&download=true