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Combination Dengue hemorrhagic fever & H1N1

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  • Combination Dengue hemorrhagic fever & H1N1

    November 5, 2009

    Weeks, had two cases in the Infectious Disease Institute and tropical countries, has tested positive for H1N1 influenza, dengue fever has been.

    Dr Dr Nguyen Van Kinh, Director of Institute of infectious diseases and Tropical Country said, this is the first two cases in Vietnam is recognized as the two patients with acute infection (H1N1 pandemic influenza and hemorrhagic fever - a clear manifestation of bleeding). After treatment the health of both the stable. The world also had at least seven cases of the two types of this disease.

    "Patients infected with two types of service will be very vulnerable to severe complications, high mortality risk. So while people have expressed a fever should seek medical care immediately to detect the disease early," Dr Dear said.

    Also according to him, since last October, the number of patients with dengue fever tends to decrease markedly. There are between 50 and 60 people hospitalized, down nearly half compared to the October. However, many cases appear serious complications.

    So far, dengue has spread translated into 28 provinces and cities with more than 80,000 ca (up more than 20% over the previous year) and almost 100 cases of death.

    Meanwhile, progress influenza H1N1 has spread to 61 provinces, with 39 deaths. HCMC is the local number most deaths: 7, followed by Dak Lak: 5 and Ben Tre: 4.

    According to the experts, will make the coming winter flu virus H1N1 spreads much more powerful. Besides, many experts worry next time H5N1 could re-export. Vietnam has appeared outbreak of H5N1 avian influenza infection in Dien Bien.

    Therefore, the Ministry of Health advised people of the five high-risk groups (pregnant woman, elderly, children, people with chronic illness, the flu or ...) when signs of disease should go to the grassroots medical treatment in time.

  • #2
    Re: Combination Dengue hemorrhagic fever & H1N1

    Hanoi detects first combinations of dengue fever and swine flu

    Vietnam has recorded its first cases of people testing positive for influenza A (H1N1) virus and having dengue fever symptoms at the same time, a Hanoi-based infectious diseases institute said on Wednesday.

    The two patients, who were admitted to the National Institute of Tropical and Infectious Diseases last week, are now recovering under treatment for both diseases, Director General NguyenVan Kinh said at a meeting without giving more details.

    Also at the meeting the Ministry of Health cited the World Health Organization (WHO) to note that Barbados in the Caribbean has recorded seven cases with both dengue fever and swine flu with one death.

    According to the ministry, 38 people with swine flu have died nationwide since it was first detected here in May with the latest death recorded on Tuesday in Ho Chi Minh City.

    Nguyen Tran Hien, head of the National Institute of Hygiene and Epidemiology, on Wednesday announced that 1.2 million doses of H1N1 vaccines sponsored by WHO will arrive in Vietnam this December.

    ?At the moment we are reviewing and considering which groups of people are to be inoculated,? Hien said, noting that priority will be given to areas like cities and towns and those with high population density and infection cases.

    The country will put the vaccines in use once the supply comes as committed to WHO, he added.

    ?The vaccine is urgent and WHO has suggested omitting some clinical trials, but important ones like those needed to ensure its safety are still included,? Hien said.

    He also quoted WHO as saying that the vaccine is safe and not new, as producers have just introduced H1N1-related factors to production which has been applied for flu vaccines over the past 60 years.

    Vietnam is also speeding up all necessary procedures to import another 500,000 doses of one-shot vaccines, according to Hien.

    However, the official noted that acquiring the vaccine isn?t aimed at limiting the spread of the epidemic, but to decrease the chances of infection among high risk groups like people with chronic diseases and pregnant women.

    Source: Tuoi Tre, VNA


    • #3
      Re: Combination Dengue hemorrhagic fever & H1N1

      November 12, 2009

      Two die of swine flu, dengue fever combination

      Two patients infected with both influenza A (H1N1) virus and dengue fever have died in Hanoi, Nguyen Hong Ha, deputy head of the National Institute of Tropical and Infectious Diseases, said on Wednesday.

      Ha said both patients had been admitted to the institute last week in critical condition.

      The nation?s first two patients with the combination of swine flu and dengue detected early this month had also been treated at the institute. They have been discharged after full recovery.

      According to the Ministry of Health, the World Health Organization (WHO) so far has reported seven cases with both dengue fever and swine flu with one death in Barbados, an island in the West Indies.

      Vietnam has so far recorded 41 deaths related to swine flu since May. A 16-year-old girl who was six-months pregnant in the Mekong Delta province of Kien Giang was the latest victim, the ministry reported.

      The ministry?s Preventive Health and Environment Department said a meeting on H1N1 vaccines distribution among eight Southeast Asian countries will be held Thursday in Bangkok.

      The 1.2 million doses of vaccines that WHO will sponsor for Vietnam are expected to arrive next month.

      The US will support the countries with syringes and training for H1N1 vaccination campaigns, the department said.

      In the meantime, GlaxoSmithKline (GSK) Vietnam Company has applied for a license to import and distribute the vaccines, according to the Drug Administration of Vietnam, which also said all procedures will be completed as soonest possible.

      Vietnam plans to import 500,000 doses of the vaccines as a preventive measure for high-risk population segments like pregnant women and patients with chronic diseases.

      Source: Thanh Nien, Tuoi Tre


      • #4
        Re: Combination Dengue hemorrhagic fever & H1N1

        The frozen fish were infected with H1N1 and SXH death
        12/11/2009 10:23:24
        Both the two patients diagnosed co-infected with influenza A/H1N1 and dengue fever in Vietnam have died last week - Dr. Nguyen Hong Ha, Deputy Director of Institute of infectious diseases and Tropical QG for 12 am / 11.

        According to Mr Ha, so both infected with the disease should be manifested at the patient's illness is quite serious: "We had to use both treatment guidelines dengue and influenza A/H1N1, including translation and transmission taking Tamiflu.

        For WHO, the world has at least seven cases including two at the same time the virus, including one case died. All seven cases were in Barbados.

        Easy mistake and missed diagnosis patients

        That's what Dr. Nguyen Huy Nga, Director of Department of Preventive Health & Environmental concerns.

        "Patients with dengue fever on the scene early signs of disease is unclear, while a long acute respiratory influenza A/H1N1 only diagnosis, hence easy to ignore the disease remaining.

        In contrast, when disease onset is 2-3 days, symptoms of dengue outstanding more manifestation of the disease influenza A/H1N1 scene up or down is very difficult to identify.

        There hard to predict the ability of this virus infected the second is how much%, but the Department of Preventive Health and Environment recommendations, the ability to co-infected with two types of virus is very easy on happen for two different virus together, have two independent spread.

        In particular, the coming winter, H1N1 virus risk developed and wide spread, not to consider the ability of genetically modified virus, as well as recombinant influenza A/H5N1 virus has re-appear.


        • #5
          Re: Combination Dengue hemorrhagic fever & H1N1

          November 15, 2009 | 00:54 GMT +7 Peak One of the two diseases co-infected patients with influenza A/H1N1 and dengue fever (SXH) died, the other serious illness also apply home. This information has been doctor Nguyen Hong Ha, Vice Director of the Institute for infectious diseases and tropical countries, said.

          Thus, from the week, the Barbados broadcast notices discovered seven ca 2 co-infected patients with acute (influenza A/H1N1 - SXH) and a ca died, U.S. announced Monday that the two patients detected the first human infection.

          Can be said that the treatment for both these two ca failed. Failure that makes people very worried by several reasons.
          First, the capacity of treatment in medical facilities than in hospitals in Vietnam are very far distance. The National Institute of Infectious Diseases and Tropical Research National treatment is not for the two patients infected with influenza A/H1N1 - SXH first, though not sufficient basis to say anything much about mortality song clearly, if fall on the basis of the medical treatment will be more difficult and more easy to defeat.

          Monday, SXH online services quickly to the more complicated development makes a series of hospitals throughout the country fell into overload. Data by the Ministry of Health announced that the country has over 74,240 people infected SXH, including 58 deaths. Over the same period in 2008, the number of SXH grew 16.8%.

          Peak service SXH annual fall around September to November. This is also a time when health experts have warned the peak of the epidemic influenza A/H1N1. The peak at the disease, the number of patients infected with influenza A/H1N1 - SXH will certainly not less.

          According to Vu Sinh Nam, Deputy Director Department of Preventive Health and Environment - Ministry of Health, if infected with influenza A/H1N1 at - at SXH be heavy, especially with more of an impact on other diseases, to the value will be very difficult. In the meantime, only the examination and treatment of influenza A/H1N1, not just health areas that right away in big cities such as Ho Chi Minh City, Hanoi, Da Nang ... past have revealed a lot of confusion.

          If this happens the same series of patients infected with influenza A/H1N1 - SXH, the health system of our popular response would be difficult if not necessarily right for the necessary preparation.

          Experience of other countries shows that in the situations, the health sector must be immediately drastic actions, especially to maximize health experts to support medical facilities not stop Left in the broadcast of general direction. Ministry of Health hope our country will in time make the script to deal not embarrassing as happened with the anti-influenza A/H1N1 support services.


          • #6
            Re: Combination Dengue hemorrhagic fever & H1N1

            previous post:
            <table border="0" cellpadding="6" cellspacing="0" width="100%"> <tbody><tr> <td class="alt2" style="border: 1px inset ;"> Thus, from the week, the Barbados broadcast notices discovered seven ca 2 co-infected patients with acute (influenza A/H1N1 - SXH) and a ca died, U.S. announced Monday that the two patients detected the first human infection. </td> </tr> </tbody></table>

            Nguyen Van Kinh, Director of the Institute of Infectious Diseases and Tropical Country, said: "Since last October, SXH hospitalized patients tend to decrease markedly, but many cases appear serious complications.
            Lens info: "Currently, influenza A/H1N1 continues to spread. There were approximately 10 patients infected with the influenza A/H1N1 SXH and hospitalization, which, two patients died.

            SXH situation more complicated in 2009 when the Department of Preventive Health and Environment has said in Hanoi has started a new type of mosquito, scientific name is Aedes albopictus, Chikungunya virus transmission, causes a similar disease SXH. However, the Department can not confirm that this can be the cause of much difference in the translation phase SXH in Hanoi this year or not.

            This is consistent with the actual evolutions in the hospital. According to the report, hospitals Green Pon (Hanoi) has received a SXH patients with signs of infections and flu. The hospital has treated the flu, anti-inflammatory drugs, but tests later showed that patients with only positive and negative SXH with both influenza and infectious diseases. 2009, there are many cases of patients with similar clinical manifestations but SXH test serum was not identified SXH.



            • #7
              Re: Combination Dengue hemorrhagic fever &amp; H1N1


              Vietnam: Save the lives of patients co-infected with H1N1 influenza and SXH [Dengue Hemorrhagic Fever]

              Patients was 9 years old girls, Thu Duc district, hemorrhagic fever on the 6th, being treated at a local hospital. Patients do not reduce fever, vascular collapse or be attached hospital moved patients to Children's Hospital 2 ..

              Many patients with severe hemorrhagic fever is in the emergency room
              Children's Hospital has two tests and positive results for girls influenza A/H1N1. Patients have breathing machine breathing machine NCPAP (continuous positive air through the nose), doctors use tamiflu Nursery 2 days but no results.

              Doctors must use more drugs Zanamivir (Relenza) for the patients are stable and then must use a special antibiotic treatment of pneumonia and multiple anti-infection. Results after 2 weeks of treatment, the patient has recovered well and was discharge home.

              Dr. Chau Vietnamese warning, in some of today's hospitalized patients with dengue fever reduced the number of cases but admitted the worse. We every day in science only a few dozen dengue patients but six ca weight lying in the emergency departments of science, two patients lying in serious scientific resuscitation in shock due to severe emergency, a new death ca .


              • #8
                Re: Combination Dengue hemorrhagic fever &amp; H1N1

                Vietnam: 9 yo - Dengue Hemorrhagic Fever & H1N1 - recovered

                Children's Hospital 2 in Ho Chi Minh City have recently rescued a case of dengue fever have been infected with influenza A/H1N1.

                Patient is a girl 9 years old, living in Thu Duc district, Ho Chi Minh City, was transferred to Children's Hospital of condition 2 in lung damage, respiratory distress, fever ... After examination and investigation Epidemiology, the Children's Hospital doctors discovered two patients suffered from both dengue fever and influenza A H1N1, the process is the treatment of hemorrhagic fever in hospitals under the accidentally infected with influenza A/H1N1 from the patients and lead to very serious complications.

                Doctors Hospital Children 2 to communications services, support patients with breathing machines and use special antibiotic treatment ... After 2 weeks treatment, the patient's health has recovered and was discharge home. / .


                • #9
                  Re: Combination Dengue hemorrhagic fever &amp; H1N1

                  [This article explains how they tell the difference between H1N1 & Dengue]
                  Signs to distinguish influenza A (H1N1) and dengue

                  Contrary to the ND-year, translated dengue outbreak this year strong in northern and "advancing" adults. Relatively minor attention, two influenza A (H1N1) and dengue fever are common symptoms are fever, should make many people puzzled fear confusion when two patients. Dr Nguyen Van Kinh, Director of Institute of the infectious diseases and tropical countries indicate signs of disease for two patients can be distinguished as well as how to prevent and treat effectively.

                  Signs to distinguish right from the first day

                  Dr. Nguyen Van Dear said that the first day, including hemorrhagic fever and flu

                  A (H1N1) is usually only manifested high fever. Thus, to distinguish between two types of disease is not easy. However, if the dengue fever is after taking paracetamol to lower temperature, it will only lower the body temperature in a short time, then patients continued high fever Left back. If the fever virus influenza A (H1N1) caused the hypothermia after the drug will maintain hypothermia for patients with longer.

                  Arrive on Monday, both dengue fever and influenza A (H1N1) are the evolutions clear, change each day. Patients with fever due to influenza A (H1N1) often accompanied by symptoms of cough, sore throat, runny nose, runny nose, muscle aches, people, if patients have more severe symptoms of chest pain, shortness of breath. When blood tests, white blood cells did not increase, not decrease platelet, red blood cells normally not condensed blood. Also mechanisms of dengue pathogenesis different from the mechanism causing the flu. Patients with dengue fever by the still high fever (39-40 degrees C) lasted over five days, antipyretic medication does not reduce the temperature, but no symptoms cough, runny nose and no expression what other.

                  Particularly with dengue fever, many typical signs of bleeding such as root, epistaxis, or bleeding under the skin point, women appear earlier than the business cycle or normal period longer than normal. This is easily seen signs of the disease on Tuesday. In particular, patients still in intense pain in the forehead, the eyeball. Signs of impaired circulation, lower blood pressure or clamping circuit fast weak, skin cold, the withdrawal speed, hard work. But from this point, the patient should be coming in to conduct blood test counts the number of red blood cells, white blood cells, especially the number of platelets. Monitoring patients for signs to the hospital right time is critical.

                  Visit soon to determine disease

                  Doctor Nguyen Van Dung, Scientific Communication infection, Bach Mai Hospital, said that when there is manifested fever, the patient needs hospital examination, the physician will be based on clinical manifestations, risk factors such as exposure close to the positive for influenza A (H1N1) or in the patients with dengue fever progress to determine the test and assign appropriate treatment.

                  In fact, today, many people may have mild manifestations of the disease like flu season just noticed benign isolation at home, increase nutrition, improve health will all patients, especially without using tamiflu . Relatively minor attention to the high risk group of subjects suffered from chronic diseases, pregnant women, children under five, the elderly ... need to be tested and treated early. However, when signs of flu, fever, cough, people should not be subjective, need for hospital and medical treatment early, avoid dangerous complications such as pneumonia, respiratory distress ...

                  Terms & that health professionals are common, while not noticed signs of other patients in the three first days of high fever is often treated primarily in outpatient antipyretic. According to Nguyen Van Dung, the second day of the hemorrhage, the patient may have expressed even minimal bleeding. If examination at the medical facility, physician experience can see the skin of patients with congestive heavily than normal strength by pressing a finger down the skin around that have very clear red halo.

                  Therefore, blood tests of patients towards treatment promptly and efficiently. To avoid shortages are so severe thrombocytopenia in the treatment, the Institute of Infectious Diseases and Tropical countries have treatment guidelines, and hemorrhagic fever based on clinical manifestations to divide patients according to levels. Stage to transfer platelets indicated clearly. When the test platelets is reduced to less than 50,000 hospitalized patients will follow treatment, ready to transfer if platelet expression bleeding, if not higher risk of death. However, patients with platelets below 10,000 but no bleeding no need to transfer only need to pass platelet drugs and services as directed by your doctor.

                  For flu prevention, people should make good personal hygiene, wash hands frequently with soap-rooms, toilets nose and throat with physiological saline, as a mask to crowded places ... The experts warned that people living near or in contact with infected influenza A (H1N1) should be suspected when fever infection influenza A (H1N1) caused by infectious disease capable of very high through saliva, nasal translated information throat through coughing, sneezing or contact with objects that contain viruses ... For cases of people infected live in regions with hemorrhagic fever, the fever should be observed manifestations include bleeding point by dengue fever is caused by mosquitoes from the disease to healthy people.