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Viet Nam - Quang Ngai: Undiagnosed illness, 26 fatalities since April 2011

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  • #16
    Re: Undiagnosed illness - Viet Nam: Quang Ngai, ProMED RFI - environmental contamination suspected

    Unidentified disease spreads in central Vietnam
    Last updated: 12/10/2011 15:40



    A strange skin ulcer that has plagued the central province of Quang Ngai since April is showing no sign of lessening as another 18 people have been hospitalized, bringing the total cases to 79, including one death.

    The provincial health department on Friday said the disease, alleged to be caused by plant protection chemicals, now isn?t limited to Ba To District, but has already spread to Minh Long District.

    In addition to ulcers that look like the aftermath of severe burns on hands and feet, new patients have suffered ulcers in their mouths, on their backs and bellies, the department said.

    Tests on several patients also found that their levels of blood, blood calcium and proteins were lower than normal, while their liver enzymes were five to 10 times higher, according to a report on Vietnam News Agency Friday.

    ...

    Meanwhile, most of the previous patients are recovering after proper rests together a dietary regimen, Vietnam News Agency reported. Some patients have received serum therapy along with proteins and B vitamins.

    By Hien Cu, Thanh Nien News

    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

    Comment


    • #17
      Vietnam: Four-year-old succumbs to strange skin disease which is spreading

      Source: http://www.saigon-gpdaily.com.vn/Health/2012/1/99234/

      Thursday, Jan 05, 2012, Posted at: 14:46(GMT+7)
      Four-year-old succumbs to strange skin disease

      A four-year-old boy from Ba To District in the central province of Quang Ngai succumbed to a strange skin ulcer which has affected many people in the region.

      The General Hospital in the central province of Da Nang announced on Wednesday that four-year-old patient Phan Van Thuan had died after undergoing treatment for one day.

      The kid was taken to the hospital with skin ulcers that looked like severe burns on his palms and soles of his feet, besides also suffering serious liver damage.

      Until now, the mountainous district of Ba To in Quang Ngai Province has reported 98 patients suffering from this strange malady which causes ghastly skin ulcers on the palms and soles. 25 children have so far been affected, with 2 reported deaths.

      The disease seems to be spreading rapidly in the central province. Experts at the Vietnam Central Dermatology Hospital conducted a study early October on 61 of the victims and concluded that the disease is being caused by harmful farm pesticides.


      Most of the victims range between the ages of 16 to 49. The youngest so far has been 4, and the oldest has been 72 years of age.
      By H. Minh - Translated by Anh Quan

      Comment


      • #18
        Re: Vietnam: Four-year-old succumbs to strange skin disease which is spreading

        see http://www.flutrackers.com/forum/sho...d.php?t=173491 for 2011 thread
        Twitter: @RonanKelly13
        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

        Comment


        • #19
          Re: Undiagnosed illness - Viet Nam: Quang Ngai, ProMED RFI - environmental contamination suspected

          I have merged the two threads.

          Comment


          • #20
            Re: Undiagnosed illness - Viet Nam: Quang Ngai, ProMED RFI - environmental contamination suspected



            Second child dies of skin disease from unknown cause

            Updated : Thu, January 5, 2012,4:44 PM (GMT+0700)

            A patient suffers injuries in his hands and feet in Quang Ngai Province
            Photo: VnExpressFour-year-old Pham Van Thuan died in Quang Ngai Province Monday after suffering palmoplantar keratoderma, which is characterized by an even, thick, symmetric hyperkeratosis over the whole of the palm and sole.

            Following a similar case that happened to an under-10-year-old child last year, Thuan was the second child in the province to have died of the skin disease for which doctors have yet to find the cause, VnExpress newswire quoted Nguyen Xuan Men, deputy director of the provincial Health Department, as saying.

            The boy, of Ba Dien Commune, mountainous Ba To District, was admitted to Quang Ngai General Hospital on December 31 after developing palmoplantar keratoderma, ulcers on the hands and feet, and serious liver function disorder, doctors said.

            On January 2, Thuan was transferred to the Da Nang General Hospital but he died after one day of treatment.

            As of January 4, 98 people, including 25 children, have suffered from the skin disease, the department reported.

            A patient with the palmoplantar keratoderma being treated in Quang Ngai General Hospital (Photo: VnExpress)

            In December 2011 alone, 11 children under 10 were hospitalized with ulcers in their hands, feet, mouths, backs and abdomens. Most of them were in poor health condition and suffered from liver function disorder.

            The department has ordered the Ba To Health Center to treat patients in accordance with the instructions from the Quy Hoa National Leprosy Dermatology Hospital in Binh Dinh Province.

            The center must transfer all patients in critical condition to that hospital or the Quang Ngai General Hospital, where they will be given free meals, the department said.

            On December 26-27, 2011, the Quang Ngai health authorities have given medical checkups and provided medicines to 300 people in Ba Dien Commune, where the skin disease broke out. Medical workers also sprayed antiseptic chemicals in the commune.

            A doctor examines a boy with skin injuries in Ba Dien Commune, Ba To District (Photo: VnExpress)

            “Though the health sector has yet to identify the cause of the skin disease, everybody should not worry excessively. We are continuing with our investigation and discovering some factors that might give rise to the disease, such as pesticide, fertilizer, and chemicals that are being used locally,” Dr. Tran Hau Khang, director of the National Hospital of Dermatology and Venereology, told VnExpress.

            Doctors should continue treating patients under the hospital’s instructions, including requesting patients to spend more time for resting, prescribing them with vitamins of the B group, Zn supplements, suitable ointment, liver tonics, or applying transfusion to patients with liver injuries, he said.

            Comment


            • #21
              Re: Undiagnosed illness - Viet Nam: Quang Ngai, ProMED RFI - environmental contamination suspected

              The symptoms and high copper levels in blood samples do suggest some kind of heavy metal toxicity. Copper is often found with other more toxic metals (such as lead, cadmium, arsenic, nickel, cobalt, etc.) that are present at much lower concentratons. Some toxic metals accumulate in fat tissue, organs, or other parts of the body and are not found at high concentrations in blood. So, although copper has been detected, it might not be the primary causative agent.

              On the other hand, copper is also a common component of many pesticides and herbicides, so earlier suggestion of toxic levels of pesticides is also a distinct possibility.

              Toxicity from metals or pesticides causing the symptoms listed would suggest an acute exposure that would likely have occurred only since shortly before the first symptoms appeared. If the people showing symptoms live in communes, then it would help to note any changes over the past year that could have created an exposure pathway. The first would be the source of drinking water. Do they have new sources of water or a recently installed water system? Poorly manufactured copper piping can leach high concentrations of metals into the water. Next would be a food exposure - any new food sources where chemicals would have been used? There could be a direct skin exposure from soil, building materials, etc. Given the lesions on the hands and feet, a direct contact exposure seems very possible. Inhalation seems less likely based on the symptoms, but it should also be considered. Any recent burning of building materials or trash? Some poor communities have been known to melt recycleable metals from electronics in their cooking pots. Something like this would create multiple exposure pathways, including inhalation. It could also be a combination of two or more pathways from different causes.
              "I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." - Mother Teresa of Calcutta

              Comment


              • #22
                Re: Undiagnosed illness - Viet Nam: Quang Ngai, ProMED RFI - environmental contamination suspected

                12 patients cured of unknown skin disease
                The Quy Hoa National Leprosy Dermatology Hospital in the central province of Binh Dinh has cured 12 patients suffering from an undiagnosed skin disease that causes ulcers on hands, feet, mouth, back and abdomen, said Dr. Nguyen Thanh Tan, director of the hospital on Sunday.

                Ten patients were discharged from the hospital and two of them will return home in a few days.

                Within the last four months, the hospital had received 12 patients, who were transferred from hospitals in the central province of Quang Ngai.

                ...

                The Department of Health in Quang Ngai said 98 people, including 25 children, have suffered from the skin disease, with some succumbing to it.

                Among the 12 discharged patients, 20 year-old Pham Thi An was taken to the hospital in severe condition.

                Her organs had all failed and she suffered a heart attack. Her husband and mother-in-law were cured, but her 4-year-old son died of the disease after 10 days of treatment in the General Hospital in Da Nang City.

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                Twitter: @RonanKelly13
                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                Comment


                • #23
                  Re: Undiagnosed illness - Viet Nam: Quang Ngai, ProMED RFI - environmental contamination suspected

                  Could this be a form of leprosy? This is the first mention of that disease in conjunction with this outbreak.



                  Last update 12/01/2012 02:00:00 PM (GMT+7)


                  Central province entreats help from Health Ministry
                  VietNamNet Bridge ? The authorities of Quang Ngai province on January 11 asked the Ministry of Health?s urgent intervention to control a strange skin disease which is quickly spreading in the province.

                  The province?s Chair Cao Khoa asked the Ministry to send another working group to the mountain district of Ba To, to research and define the reason that cause the strange disease, to suggest treatment methods in order to prevent the epidemic.



                  Despite many measures carried out by the local health department and big hospitals in Vietnam, the number of patients is on the rise in Ba Dien commune of Ba To district.



                  Last October, the Ministry of Health?s experts visited Ba Dien to survey and give examination to local peole but they did not find out the reason.



                  By January 11, Quang Ngai had 106 patients who committed this strange disease. Some 90 of them recovered while 10 are now cured at the Quang Ngai Policlynic and six at the Quy Hoa Leprosy ? Dermatology Hospital.



                  Since June 4, many residents in Ba Dien commune have committed with a skin disease disease, which cause ulcerates on their hands, feet, mouth, back and abdomen.



                  Tests reveal that these people have high liver enzyme, anemia, kidney failure but doctors could not find out the reason.



                  Dr. Nguyen Thanh Tan, director of the Quy Hoa Leprosy ? Dermatology Hospital, said that if the disease is detected earlier, patients can recover otherwise it will be very dangerous, especially for kids.

                  Comment


                  • #24
                    Re: Undiagnosed illness - Viet Nam: Quang Ngai, ProMED RFI - environmental contamination suspected

                    I don't know the size of the village, but if "most" of the children are being kept out of school, with only about 100 or so total cases over the past year, perhpas something in the school itself is linked to this outbreak? The report of 12 deaths is likely an error, given the other posts in this thread, and should likely read 12 cases in children.

                    This seems like an unusual step given what we know so far.



                    Most of students in Ba Dien Commune, Ba To District, Quang Ngai Province have not gone to school after 12 children, most of them under 10 years old, died allegedly from palmoplantar keratoderma, which is characterized by an even, thick, symmetric hyperkeratosis over the whole of the palm and sole, with unknown cause. The provincial Health Department is looking into the “strange” disease.

                    Comment


                    • #25
                      Re: Undiagnosed illness - Viet Nam: Quang Ngai, ProMED RFI



                      Published Date: 2012-02-15 03:49:11
                      Subject: PRO/MBDS> Undiagnosed illness - Viet Nam (03): Quang Ngai, update
                      Archive Number: 20120215.0379

                      UNDIAGNOSED ILLNESS - VIET NAM (03): QUANG NGAI, UPDATE
                      ***********************************************

                      A ProMED-mail post
                      ProMED is the largest publicly-available surveillance system conducting global reporting of infectious diseases outbreaks. Subscribe today.

                      ProMED-mail is a program of the
                      International Society for Infectious Diseases
                      The International Society for Infectious Diseases (ISID) brings together a network of individuals from around the world.


                      Date: Thu 9 Feb 2012Source: Thanh Nien News [edited]http://www.thanhniennews.com/index/pages/20120209-vietnam-looks-to-seek-help-from-intl-experts-to-identify-disease.aspx


                      Vietnamese health authorities are seeking help from international
                      experts in identifying an unusual skin condition -- suspected to be
                      caused by agrochemicals -- that has plagued the central province of
                      Quang Ngai since last year [2011], Tuoi Tre reported Thursday [9 Feb 2012].

                      Nguyen Trong Khoa, deputy chief of the Ministry of Health's Medical
                      Services Administration, told the newspaper that his agency also planned
                      to study the condition, which has affected more than 150 people and
                      killed 2 children as of last December [2011].

                      Patients have ulcers on their hands and feet that look like they were
                      caused by severe burns, stiffness in the limbs, and, in serious cases,
                      liver damage.

                      Local health officials have linked the condition with plant protection
                      chemicals.

                      Tuoi Tre said Deputy Minister of Health Nguyen Thi Xuyen recently
                      approved a regimen for diagnosing and treating the condition. It says
                      mild symptoms can be treated with ointments, anti-inflammation drugs,
                      and vitamins, together with a dietary regime and liver supplements.
                      Those with severe symptoms have to be admitted to hospital for treatment.

                      The regimen also advises people to wash their hands and feet after
                      coming back from fields and avoid coming in contact with plant
                      protection chemicals.

                      --
                      Communicated by:
                      PRO/MBDS
                      <promed-mbds@promedmail.org>

                      [This newswire reports that more than 150 people were affected by a
                      strange disease with skin and liver symptoms; among those, 2 people
                      died. The reported number of affected cases in this newswire is larger
                      than the number of 98 cases reported by media earlier (see prior
                      PRO/MBDS posting Undiagnosed illness - Viet Nam (02): Quang Ngai, update
                      20120110.0073.). This report states that the exact pathological agent of
                      the disease has not been identified, though agrochemicals are suspected.

                      PRO/MBDS would appreciate further information from knowledgeable sources
                      regarding this undiagnosed illness in Quang Ngai province, Viet Nam.

                      Comment


                      • #26
                        Re: Undiagnosed illness - Viet Nam: Quang Ngai, ProMED RFI

                        The fatality rate this year seems higher than last. This year, they seem to be reporting 7 fatalities oout of 63 (or 70?) cases, for a CFR of 11.1&#37; (or 10%). Last year they reported 2 fatalities out of over 100 cases, for less than a 2% CFR. One has to wonder whether a change in surveillance is responsible (perhaps unrelated conditions were included last year?) or perhaps the increase in fatality rate is real (perhaps due to a higher concentration of a toxin?). A change in CFR might also suggest a multiple etiology outbreak, which would also explain the variation in reported symptoms.

                        Four fatalities in two weeks this April seems like an acceleration of the outbreak.

                        ProMED is the largest publicly-available surveillance system conducting global reporting of infectious diseases outbreaks. Subscribe today.


                        Published Date: 2012-04-14 10:07:13
                        Subject: PRO> Undiagnosed illness - Vietnam: RFI
                        Archive Number: 20120414.1100691

                        UNDIAGNOSED ILLNESS – VIETNAM : REQUEST FOR INFORMATION
                        ************************************************** *******
                        A ProMED-mail post
                        ProMED is the largest publicly-available surveillance system conducting global reporting of infectious diseases outbreaks. Subscribe today.

                        ProMED-mail is a program of the
                        International Society for Infectious Diseases
                        The International Society for Infectious Diseases (ISID) brings together a network of individuals from around the world.


                        Date: 11 Apr 2012
                        Source: Saigon GP Daily
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                        One more dead from strange skin disease in Quang Nai Province An unidentified skin disease spreading in the central province of Quang Ngai since last year has killed one more person last week, bringing the total number of fatalities in the first fortnight of April to four, said a medical official on 10 April 2012.

                        Dr. Dang Thi Phuong, director of Ba To District Medical Centre, confirmed that a 4-year-old from Lang Rieu village in Ba Dien Commune died of the unidentified disease at the Quy Hoa National Leprosy Dermatology Hospital on April 9.

                        This is the 4th patient to have died of the disease within the first fortnight of April. Since the beginning of the year, 7 people have died in the province from this unusual and as yet unidentified skin disease. Their deaths were caused by multiple organ failure, such as liver damage.

                        According to Dr. Phuong, since the beginning of this year, 63 people have suffered from conditions like stiffness in the limbs and ulcers on hands and feet, that resemble severe burns and flaking of skin. Three patients are still in critical condition.

                        Last year the province recorded more than 150 people with similar symptoms.

                        While Vietnamese health authorities have yet to identify the disease, the Ministry of Health has approved a regimen for diagnosing and treating the condition.

                        Under this protocol, mild symptoms can be treated with ointments, anti-inflammation drugs and vitamins, together with a dietary regime and liver supplements.

                        Those with severe symptoms, including liver damage, have to be admitted to hospital for treatment.

                        The regimen also advises people to wash their hands and feet after coming back from the fields, and avoiding direct contact with pesticides and other such chemicals.

                        A mission team from the Ministry of Health will arrive in Quang Ngai Province and Ba Dien Commune on 13 April 2012, to check on areas where most of the patients were reported, to study the cause and development of the disease.
                        --
                        Communicated by:
                        ProMED-mail Rappateur Mary Marshall



                        [There are only a few clinical signs and hints in this piece. Pesticides are hinted at, as is liver failure and several layers of severity of this malady. It also seems to affect all ages. So one has to wonder if it is brought in from the fields, carried by the water of is something else. There are not enough clinical signs to rule out or rule in anything specific.

                        While the article indicates it may be a contact type of situation, it does not tell us the immune status of any of the people involved and that may or may no be a factor in the malady.

                        We hope there will be more official information to share.

                        Vietnam may be found on the interactive healthmap at: http://healthmap.org/r/1jtz. - Mod.TG
                        ]

                        Comment


                        • #27
                          Re: Undiagnosed illness - Viet Nam: Quang Ngai, ProMED RFI

                          Some new symptoms and epidemiology as well.

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                          Friday, Apr 13, 2012, Posted at: 15:02(GMT+7)

                          Bizarre skin disease continues to spread
                          More people are reported suffering from stiffness of the limbs, respiratory problems and miscarriages, caused by a peculiar and unidentified skin ulceration that has plagued the central province of Quang Ngai since April, said medical authorities from the province.


                          Pham Thi An, 20, in Reu village, Ba Đien commune, Ba To District is recovering ( Photo: Thanh nien)
                          According to statistics of the Son Ha District Medical Centre on April 11, the numbers of people suffering from the bizarre skin disease have increased to 50, most of them being residents of Son Ba and Son Ky Communes.

                          Since March 8 to date, three inhabitants of Son Ky Commune have succumbed to the disease and 13 others are suffering from eye disease and respiratory problems.

                          Medical experts suspect the victims are suffering from poisoning from chemical herbicides, as they were affected soon after spraying the chemical in cassava fields.

                          The provincial health authorities have yet to determine the cause of deaths, but believe use of high contents of chemical herbicides have polluted the water sources in the commune.

                          Residents in these communes use an American brand herbicide named Kanup 480 SL, imported by the Viet Thang Company in the northern province of Bac Giang. The chemical was offered for sale on the company’s catalog on November 5, 2011.

                          Samples of water, soil from cassava fields and herbicide packages have been collected for testing. Preventive medicine centres in the province have warned people not to use the present water source but find an alternative source. Farmers must eat meals before spraying on fields and drink sugar water when experiencing symptoms and visit a medical centre immediately.

                          [snip]

                          -----------

                          This one is a week old:



                          Unidentified skin condition kills three more in central Vietnam
                          Last Updated: Thursday, April 05, 2012 05:00:00

                          An unidentified skin condition that has been seen in the central province of Quang Ngai since last year killed three residents in the past week, the Dan Tri newswire reported Thursday.

                          The new cases have brought to five the number of people in the province that died because of the unusual condition, which has been suspected of being caused by plant protection chemicals.

                          The latest victims were two girls aged 15 and 10, and a 21-year-old woman.

                          They died of multiple organ failure, including their livers, the report said.

                          According to Quang Ngai’s Department of Health, since the beginning of this year, 59 people have suffered the condition - ulcers on their hands and feet that look like they were caused by severe burns, and stiffness in the limbs

                          Last year the province recorded more than 150 people with the symptoms.

                          While Vietnamese health authorities have yet to identify the disease, the Ministry of Health has approved a regimen for diagnosing and treating the condition.

                          Under this protocol, mild symptoms can be treated with ointments, anti-inflammation drugs, and vitamins together with a dietary regime and liver supplements.

                          Those with severe symptoms, including liver damage have to be admitted to hospital for treatment.

                          The regimen also advises people to wash their hands and feet after coming back from the field and avoid coming in direct contact with plant protection chemicals.

                          Comment


                          • #28
                            Re: Undiagnosed illness, 7 fatalities - Viet Nam: Quang Ngai, ProMED RFI - herbicide poisoning suspected



                            Last update 15/04/2012 09:00:00 AM (GMT+7)


                            Bizarre skin disease continues to spread
                            More people are reported suffering from stiffness of the limbs, respiratory problems and miscarriages, caused by a peculiar and unidentified skin ulceration that has plagued the central province of Quang Ngai since April, said medical authorities from the province.





                            According to statistics of the Son Ha District Medical Centre on April 11, the numbers of people suffering from the bizarre skin disease have increased to 50, most of them being residents of Son Ba and Son Ky Communes.

                            Since March 8 to date, three inhabitants of Son Ky Commune have succumbed to the disease and 13 others are suffering from eye disease and respiratory problems.

                            Medical experts suspect the victims are suffering from poisoning from chemical herbicides, as they were affected soon after spraying the chemical in cassava fields.

                            The provincial health authorities have yet to determine the cause of deaths, but believe use of high contents of chemical herbicides have polluted the water sources in the commune.

                            Residents in these communes use an American brand herbicide named Kanup 480 SL, imported by the Viet Thang Company in the northern province of Bac Giang. The chemical was offered for sale on the company?s catalog on November 5, 2011.

                            Samples of water, soil from cassava fields and herbicide packages have been collected for testing. Preventive medicine centres in the province have warned people not to use the present water source but find an alternative source. Farmers must eat meals before spraying on fields and drink sugar water when experiencing symptoms and visit a medical centre immediately.

                            Comment


                            • #29
                              Re: Undiagnosed illness, 7 fatalities - Viet Nam: Quang Ngai, ProMED RFI - herbicide poisoning suspected

                              And the above article reveals the chemical:



                              [snip]

                              Active ingredient: Glyphosate IPA salt 480gr / l

                              --------------



                              Glyphosate From Wikipedia, the free encyclopediaJump to: navigation, search Glyphosate

                              Glyphosate (N-(phosphonomethyl)glycine) is a broad-spectrum systemic herbicide used to kill weeds, especially annual broadleaf weeds and grasses known to compete with commercial crops grown around the Globe. Initially patented and sold by Monsanto Company in the 1970s under the tradename Roundup, its U.S. patent expired in 2000. Glyphosate is the most used herbicide in the USA.[3] Exact figures are hard to come by because the U.S. Department of Agriculture stopped updating its pesticide use database in 2008.[4] The EPA estimates that in the US during 2007, the agricultural market used 180 to 185 million pounds (82,000 to 84,000 tonnes) of glyphosate, the home and garden market used 5 to 8 million pounds (2,300 to 3,600 tonnes), and industry, commerce and government used 13 to 15 million pounds (5,900 to 6,800 tonnes), according to its Pesticide Industry Sales & Usage Report for 2006-2007 published in February, 2011.[5][6] While glyphosate has been associated with deformities in a host of laboratory animals, its impact on humans remains unclear.[6]

                              Comment


                              • #30
                                Re: Undiagnosed illness, 7 fatalities - Viet Nam: Quang Ngai, ProMED RFI - herbicide poisoning suspected

                                And a huge amount of info here, although I can't help notice there is no mention of skin problems. Could we have two different undiagnosed illnesses going on here? And the links above indicate this is a fairly common herbicide, marketed worldwide. If this is the cause of the illness, why is the illness only present in one area? Could there have been a bad batch of pesticide?

                                Also, the above post indicates that the pesticide comes in one liter bottles, containing 480 grams of active ingredient (powder?) to which the farmers fill with water and spray. If there is a problem in the local water supply, it will end up in the herbicide as well, so it may be difficult to differentiate between the two cases.

                                The situation remains very unclear.

                                (Thời báo Kinh tế Việt Nam ngày 13/4/2012) Những ngày gần đây, một số báo thông tin về việc phun thuốc diệt cỏ mỳ (sắn) làm 2 người chết, nhiều người mờ mắt tại Quảng Ngãi đã khiến dư


                                Clarify the cause of many people in Quang Ngai blurred vision

                                (Vietnam Economic Times on 04/13/2012)
                                In recent days, some information in the wheat herbicide spraying (cassava) as two people died, many of blurred vision in Quang Ngai has made public opinion that the herbicide does not guarantee quality. Plant Protection Department of Quang Ngai province and the authorities have been findings.

                                - Chu Restore -

                                On some mass media recently reported on his Dinh Van Tuc (SN 1984) at Son Ky, Son Ha district, Quang Ngai province, after pumping 8 potion grass, home drinking dead, so absorbed herbicide. At the same time, she is his wife Tuc Dinh Thi land, grass while he sprayed Tuc has not been drunk and emergency medicine in time should have died. In recent years the whole area of ​​wheat in the Village Rieng village, Son States, people were spraying herbicides simultaneously, then new phenomenon of "strange" as above. According to CPC Son States, by 2010 the price of cassava increased, so farmers in the communal cassava area expansion. Currently, the commune has 500 ha of cassava. Previously farmers not using herbicides, only two years, farmers in the commune began to switch to spray weed competition for cassava cultivation. Many have blamed the herbicide households in Son States to use quality assurance, is the cause of death of two people, and 13 had blurred vision.
                                After the incident, Department of Plant Protection (Plant Protection), Quang Ngai province has worked with the CPC and the people at Son Ky Rieng villages to verify the facts. Report of the Plant Protection Department of Quang Ngai, said on the morning of 3/16/2012, Mr. Warranty Technical along with 10 others to collect plants for him to prepare the soil Warranty Technical field grown wheat. By noon, he felt a tired Warranty Technical and vomiting. Families invited to commune health and medication infusion, but a half hours of the morning, he Warranty Technical convulsions and died. So he and 10 others went Warranty Technical clearing land to grow wheat field, without the injection of pesticides and poisoning as one of the issues mentioned. Dinh Thi Le, his wife said Warranty Technical, around before the Lunar New Year, he is going Warranty Technical spraying herbicide for wheat Dinh Van temperature, while keeping the dispenser, the 480 SL KANUP Vietnamese company Thang in production of Bac Giang on 11/05/2011. Pesticide bottle stations Son Ha is currently stored. In the case of death of Dinh Thi Set (Warranty Technical mother his wife), on 7/3012 in the village have organized to celebrate the day 8/3, she placed participate and get drunk, then died the next day. Thus died she placed a week earlier, she placed no weeding the wheat while he sprayed Warranty Technical lead poisoning death as some newspapers reported.
                                Currently Rieng village has 13 people with blurred vision, of which only two suspects linked to the herbicide. With Mr. Dinh Van Marriage cases, a month ago, he was grazing cattle on the mountain spring water drink, when home, dizzy vomiting and blurred vision. Health has identified the medicine and water transfer but so far his eyes still see poorly. The particular cases specified, Nature (Rural Water Tiling, Son States), the CPC leadership said on 30/3, Fuel down her Son States Health Station emergency treatment due to severe eye redness, pain sensitivity. Before that, she and her husband Fuel spraying herbicide on the field for cassava, more than her husband Fuel injection. In the afternoon the same day, both have severe symptoms of vomiting, pale skin, blurred vision, Nature has her own symptoms more severe, very severe red eyes, sharp pain. The remaining cases of blindness not determined the cause. The authorities of Quang Ngai Province and Son Ha district authorities are continuing to test to find cause and cure for all people in the shortest time. To date only a few days of treatment, seven people were out and back home.
                                Vo Duy Loan, the Director of the Plant Protection Department of Quang Ngai confirmed two deaths not due to direct contact with the pump and wheat herbicide, blurred vision cases, the cause is unclear. But most recently, have added Dinh Van Lom in this village died on 04.05.2012, the family also suspected to be caused by herbicides. Chief of Quang Ngai Health Department, Dr. Le Huy stated opinion: "These types of herbicides are less toxic, the circulation is not likely to cause doc.Con shortest way to determine the cause the autopsy to the dead to take samples for testing. "However, the autopsy of the dead who are ethnic H're" bundle hand. " By their opinion, if removing parts of the body of the dead, when "the bottom, the ghost will be missing on demand, scared", and relatives of the dead not be determined.
                                Wang Changjiang, head of medicines management (PPD) said herbicide KANUP 480SL is the list of pesticides used in Vietnam, the herbicides registered for use on arable land. Now there are about 30 companies registered to trade in pesticides and NK drug business. With the content of active ingredients Glyphosate IPA Salt 480gr / l, the drugs are less likely to cause toxicity to the user. According to Director of Vietnam Thang Co., Ltd. (TP Bac Giang, Bac Giang province), the Company is providing KANUP 480SL herbicide for many farmers in communal areas are true Son States. KANUP 480SL herbicide only been this company register and bottling imported for consumption in the domestic market from 2011. Immediately after hearing media reports about the incident reflected and poisoning deaths, suspected by the company's herbicide caused officials of the company branch in Quang Ngai Son States directly to inquire into the facts. This company claims directors, herbicide is provided by the company with absolutely no quality problems! People in Son Ky improper spraying techniques, there is no protection and safety in use. Son Ha District has written recommendations for herbicide use, Division of Agriculture requires coordination with other communes and towns guidance to farmers to use drugs for production of biological proper technique , no pollution, to ensure the health of humans or animals.
                                At a recent press conference in Hanoi, Mr. Nguyen Xuan Hong, Director of Plant Protection, said: Among the pesticides, herbicides are the least toxic. All the commonly used herbicide in agriculture are now generally less toxic to humans and livestock with pesticides, fungicides (except for a few herbicide Paraquat). Recent years, has never recorded any cases of serious poisoning by herbicides used caused. Thus, the occurrence of death and poisoning due to drug use at Son Ky is not normal, should be thoroughly investigated to find out the cause. I was assigned to Quang Ngai Department inspector to clarify, verify the information. Initial results show that deaths from information herbicide is unwarranted. The PPD has taken the form of herbicides at the cassava growing areas in Son States to take tests, quality control, when the result, the Department will notify the public.

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