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Vietnam: Girl,8, Hospitalized with H5N1. Sister died of suspected H5N1
Sister of Vietnam bird flu patient dies: health official
<!-- end .byline -->HANOI (AFP) ? The sister of a Vietnamese bird flu patient died in hospital last week, health officials said Thursday, while denying the virus was to blame, even though no tests were carried out before she was buried.
The eight-year-old girl was only admitted to a district hospital after her elder sister had died and was quickly taken to a larger provincial hospital after an X-ray showed damage to her lungs, she said.
A third child -- a five-year-old boy living next door to the girls' family who had also eaten chicken and duck dishes -- was being treated for respiratory symptoms in the district hospital, said Mau.
"However, he had only normal pneumonia and we received an answer from the provincial level that he is negative for bird flu," she added. "He will be discharged from hospital today as he is OK now."
Fatal H5N1 Cluster in Thanh Hoa Vietnam Raises Concerns
Recombinomics Commentary 07:33
January 8, 2009
said on 25-12-2008 daughter of his family he is BTTh. (13 years old, her daughter's baby BTT - 8 years old, infected with influenza A H5N1) have symptoms of fever, cough, difficulty breathing should be brought to the family clinic in, and then onto Hospital Ba Thuoc treatment. But due to the serious illness, the child of morning 2-1-2009. has died at the hospital district.
A third child -- a five-year-old boy living next door to the girls' family who had also eaten chicken and duck dishes -- was being treated for respiratory symptoms in the district hospital, said Mau.
"However, he had only normal pneumonia and we received an answer from the provincial level that he is negative for bird flu," she added. "He will be discharged from hospital today as he is OK now."
The above translation and comments describe two additional patients associated with the confirmed H5N1 case (8F) in Thanh Hoa, Vietnam (see satellite map) and suggest the fatally infected index (13F) case infected her sister and neighbor (5M).
The index case was taken to the family clinic on December 25, suggesting disease onset was several days earlier. Her sister (8F) developed symptoms on December 27, but was not hospitalized until her sister (13F) died on January 2. The disease onset date for the neighbor is not known, but since he is still hospitalized, his history is likely to be similar to the confirmed case, who is also recovering and will likely be discharged soon. Although he tested negative, false negatives are common and a test of convalescent antibodies, which should be from a serum sample collected a week or two after discharge, is warranted.
This cluster is cause for concern. The index case was not tested, even though her sister developed symptoms a week before the index case died. The neighbor tested negative, but was likely on Tamiflu because one neighbor died with bird flu symptoms and another tested positive for H5N1. The collection date of the negative sample, relative to the start of Tamiflu treatment is not described.
This cluster in Vietnam follows a cluster in Beijing. In that cluster the index case died and was H5N1 confirmed. A nurse developed symptoms and one media report indicated she had bird flu, but recovered. It is likely that the cluster was associated with clade 7, which was confirmed in Jiangsu outbreaks last month. The OIE report on the bird outbreaks indicated the infected birds were asymptomatic.
In August, clade 7 was also reported in Vietnam, raising concerns that the current cluster is also linked to clade 7. The proposed WHO vaccine target for clade 7 is from Vietnam and is likely from the August outbreak.
Sequence data from the clusters in China and Vietnam as well as poultry outbreaks would be useful.
.
"The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation
Vietnam bird flu patient's sister had same symptoms
Wed Jan 7, 2009 11:30pm EST
* Bird flu patient's sister dies in Vietnam
* Vietnam second behind Indonesia on bird flu deaths
* Beijing may lift bird flu alert by Jan. 12
By Nguyen Nhat Lam
HANOI, Jan 8 (Reuters) -
The sister of Vietnam's first confirmed bird flu patient of the year died with similar symptoms last week and the director of the hospital where she was treated said she probably also had avian flu.
"We suspect that it was bird flu that caused her death," said Truong Thi Mau, director of the Ba Thuoc district hospital.
"But we can't be 100 percent sure because there was no sample for tests. At the time we thought her illness was something else," Mau said by telephone from Ba Thuoc, about 150 km (95 miles) south of Hanoi in Thanh Hoa province.
Earlier this week, Vietnamese authorities said the 13-year-old girl's younger sister was in hospital with an H5N1 virus infection.
Both girls had eaten duck and chicken raised on the family farm, Mau said.
The 13-year-old developed a high fever and severe cough on Dec. 25 and died in the district hospital on Jan. 2, Mau said.
After her 8-year-old sister was confirmed to be infected with H5N1, about 50 children with flu symptoms were brought in by nervous parents in the area but tests for avian influenza were negative on all of them, she said.
Five Vietnamese people died of bird flu in 2008 out of six reported H5N1 infections, all in the north of the country in the first quarter of the year, when cooler temperatures allow the virus to thrive.
The H5N1 strain has killed 247 people globally among the 391 confirmed cases since 2003, according to the World Health Organisation (WHO).
Before the latest case in Vietnam, the WHO said Vietnam had had 106 human infections, the second highest after Indonesia among 15 countries with known human cases.
NO HUMAN-HUMAN TRANSMISSION
Health authorities in Beijing said this week that a 19-year-old woman died of H5N1 after coming into contact with poultry. It was China's first case in almost a year.
Chinese state media on Thursday quoted Deng Xiaohong, spokeswoman for the Beijing Health Bureau, as saying the city's bird flu alert would probably be lifted by Jan. 12 if people who had contact with the dead woman did not fall sick themselves.
But Deng said further suspected human cases could not be ruled out, and authorities had designated two city hospitals to treat any bird flu patients.
"At present there is no biological basis for human-to-human transmission, so there is almost no posibility of human-to-human transmission in Beijing. I hope everyone in the city can rest easy," Deng told state television.
The virus mostly affects birds, but experts fear it could mutate and become easily transmitted from person to person, sparking a pandemic that could kill millions of people worldwide.
In Vietnam, the authorities have confirmed outbreaks among poultry in two areas near Hanoi, including Ba Thuoc, where nearly 8,000 poultry had been slaughtered to prevent it from spreading.
In China, the agriculture ministry said on Thursday it had found no bird flu cases amongst poultry in Beijing or areas surrounding the city where the 19-year-old woman had died.
(Reporting by Nguyen Nhat Lam in Hanoi and Ben Blanchard in Beijing; Writing by John Ruwitch; Editing by Alan Raybould)
-
Updated : 4:00 PM, 01/08/2009
Bird flu patient recovers well
<TABLE class=dtContentImgWrap cellSpacing=0 cellPadding=0 align=right border=0><TBODY><TR><TD class=dtContentImgFig></TD></TR></TBODY></TABLE>Bui Thi Thao, an 8-year-old child in Dien Trung commune, Ba Thuoc district, central Thanh Hoa province was confirmed to be infected with the avian influenza A/H5N1 virus on January 3. After five days of special treatment, she has recovered well.
Her older sister, Bui Thi Thuong, a 13-year-old girl, died on January 2 with symptoms of fever, cough and troubled breathing. One month before the cause of infection was identified, the patient and her family had eaten sick poultry.
According to Lo Van Len, vice chairman of the Ba Thuoc district people?s committee, 9,000 heads of poultry in Dien Trung commune were already culled and destroyed to prevent the spread of the disease, while check points were established to control the trade in live poultry.
Flocks of poultry in neighbouring areas continue to be inoculated against the epidemic, aiming to circumvent any possible outbreaks in future.
Re: Vietnam: Girl,8, Hospitalized with H5N1. Sister died of suspected H5N1
[Hard to understand....]
Rao riet prevention HPAI
Previous events complex of HPAI in Thanh Hoa, causing the death of a patient infected with influenza A/H5N1 virus, 7.1 days, NNPTNT Minister Cao Duc Phat sent electricity to the provinces to timely implementing all measures rooms and before and after Tet Ky Sưu.
Accordingly, the local authorities quickly established mission to inspect the prevention epidemic levels take time, review all of influenza vaccine under the object in the province, additional injection of influenza is omitted, strictly control the transport trade of cattle and poultry over the border.
At the country only 2 Thai Nguyen, Thanh Hoa has HPAI not last 21 days. In Thanh Hoa, from 28.12.2008 to date, avian influenza outbreaks have occurred in 6 / 12 villages (Fill in China, Ba Thuoc district) more than 380 children sick birds died. Its italy province must completely vacate the 7800 influenza this village of 6.
Also in 7.1, NNPTNT approval of projects to use vaccine to control disease and payment HPAI in the high period 2009 to 2010. Expenditure for this project over 120 billion VND (T.U capital budget), including the purchase of H5N1 vaccine, the cost of monitoring and vaccination propaganda guidance, workshops.
Own costs organizations vaccinated by each locality by the local budget guarantee. In the case of enterprises, households have poultry of over 500 children, the object will not be in the list of eligible expenses above and must ensure that each expenditure prevention outbreaks.
* On 7.1, at the Hospital Thanh Hoa province, he Bui Van International - the child's Bui Thi Thao been confirmed infected with influenza A H5N1 strain - for girls The first Bui Thi Thuong, 13 years old, is her daughter's bowel Thao has been fatal in Hospital Ba Thuoc district today 2.1. The couple, he is very worried for their daughter's ?t Bui Thi Thao influenza A H5N1 infected are being treated in isolation BV protected province.
The English told: "On 11.12.2008, he made The meat two thousand. Then 3 days found 2 chicken x? hair as he should be sick as meat and all the food together. To date 25.12 daughter Bui Trade Market have symptoms of fever, cough and difficulty breathing family should take to commune clinics. Two days later, he Thao also have similar symptoms should be transferred to Ba Thuoc district BVDK treatment. The Trade am dead 2.1 ".
23:01 '08/01/2009 (GMT +7)
- Hemp patients Bui Thi Thao, 8 years old Thanh Hoa is determined A/H5N1 flu infection death after eating poultry meat. There has not determined the cause of this death.
On 8 / 1, Nguyen Ngoc Thanh, Deputy Director of the Department of Health, said Thanh Hoa, Bui Thi patients Trade 13 years old (she is the daughter of patient Thao) deaths are due to hospital too late.
The patient was sick from 29/12/2008, the family self-treatment. Due to the serious disease on 2/1/2009, bringing new families to commune clinics. Here is usually diagnosed inflammatory bowel excess and transferred to the district hospital on 3/1/2009.
Patients hospitalized in the state colic dội data, the liquid, symptoms of severe cold. While the doctors are concentrated emergency patients are detected most often think the hearse and death after a hospitalization. Symptoms of the patient does not clearly indicate respiratory failure, only on the incline, chill. Maybe, the cause of death has declined due to the increase.
Giap Tet not through poultry quarantine still launch market, more and more
Currently, patients infected with influenza A/H5N1 Thao is being treated at the General Hospital in Thanh Hoa province aware of the situation, of fever, dry than breathing.
On this case, TS. Nguyen Huy Nga, Department Chief of Department of Health and Environment (Ministry of Health) said the patient died quickly by many causes. For patients Trade, the time of death can be the same for random and not related to influenza A/H5N1.
Talking to the press on 8 / 1, Dr. Nguyen Tran Hien, Director of Institute of Hygiene epidemiology Central said: "Immediately after the test results patients Bui Thi Thao in Thanh Hoa positive for influenza A virus / H5N1, sanitation Institute epidemiological Central sent a delegation of officials to investigate the disease. Through investigation epidemiology study showed that, since early this month to 12/2008, 6 / 12 villages in the commune began to appear sick poultry died scattered. The birds have died but a series of people not reporting government agencies and local animal health. "
Mr. Show more information, most of the sick birds are dead locals slaughter as food. At the family's niece this (you Thao - PV), before the start of the first symptoms of 8 days, poultry family were sick.
Family did eat meat and some birds were sick this. Therefore, the people of, not inform the veterinary and local authorities when outbreaks in poultry and while slaughter sick birds / dead and eat is as causes for infected with avian influenza virus A/H5N1.
"If this still continues, could lead to the springiness of rapid outbreak of influenza A/H5N1 on a large scale" - Dr. Hien said.
Institute of Sanitary epidemiological Central collaborated with Center YTDP Thanh Hoa province, and local medical conduct epidemiological investigation and sample testing identified influenza A/H5N1 virus for a total of 37 people are exposed to intimate patients, including the mother, grandmother, neighbor of patients, medical staff direct examination, treatment and patient care, and patients are manifesting suspect.
Fortunately, the results of tests of hygiene epidemiology Central is offering all forms this disease are negative for influenza A/H5N1 virus.
The results of research monitoring of influenza A/H5N1 virus vaccine during a recent Institute of Hygiene central epidemiology shows that avian influenza virus A/H5N1 vaccine is causing the disease are in the high.
Last edited by AlaskaDenise; January 25, 2009, 05:34 AM.
Reason: remove photo
Re: Vietnam: Girl,8, Hospitalized with H5N1. Sister died of suspected H5N1
Institute of Sanitary epidemiological Central collaborated with Center YTDP Thanh Hoa province, and local medical conduct epidemiological investigation and sample testing identified influenza A/H5N1 virus for a total of 37 people are exposed to intimate patients, including the mother, grandmother, neighbor of patients, medical staff direct examination, treatment and patient care, and patients are manifesting suspect.
Fortunately, the results of tests of hygiene epidemiology Central is offering all forms this disease are negative for influenza A/H5N1 virus.
I interpret this to mean that 37 relatives, HCWs, and other patients that had contact with Bui Thi Thao have been tested and the results were negative.
I interpret this to mean that 37 relatives, HCWs, and other patients that had contact with Bui Thi Thao have been tested and the results were negative.
Like the neighbor (5M) hospitalized with pneumonia.
Even the early 2009, outbreaks of influenza A H5N1 have come back again even before the function has continued to warn about the risk of disease risk in this B?ng the winter-spring and Chinese New Year. Around this issue, we discussed Dr. Nguyen Huy Nga, Department Chief of Department of Health and Environment (Ministry of Health).
- PV: He can give more information about cases and suspected deaths due to influenza A H5N1 in Thanh Hoa?
Dr. Nguyen Huy RUSSIA: Right now confirmed infected with a H5N1 influenza A child is Bui Thi T. (8 years) Fill in China, Ba Thuoc district, Thanh Hoa province. Patients with this disease started from 27-12-2008, but on 2-1-2009 New hospitalized with symptoms of fever, cough, difficulty breathing, have taken X.quang Photo by pneumonia virus and the disease blood test Products Institute in sanitation epidemiology central to positive results for influenza A H5N1.
On the death of the child Bui Thi. (13 years) is a disease of her bowel Bui Thi T. do not do the blood test disease products, we are not confirmed by the H5N1 virus, though the child. there are also manifestations of the disease as children. However, notification of the Department of Health, Thanh Hoa, the child. death is shock due to infections.
Also to say, all 2 cases, the epidemiological investigation showed that, before the disease started 1 week, patients and families eat infected birds. And in families and patients around the poultry have died unknown causes.
- The influenza A H5N1 outbreaks in people have come back, he can indicate the risk of causing any disease dangerous to thrive in the winter-spring?
Flu, particularly the influenza A H5N1 may appear around the year but often have the highest was in the winter - spring. Because, cold weather, moisture conditions are favorable for the type of flu virus develops and spreads to people, especially those in low resistance, such as the elderly or children. It also thrive in places with highly populated, apartment in the narrow and lack of hygiene, especially after the floods. Besides, this is also a time of near Chinese New Year of poultry should be stored and consumption increased rapidly cause germs from poultry diseases and to distribute more.
- Recently veterinary agencies Lang Son have found H5N1 virus in the throat and most of China's chicken import illegal. Meanwhile, the number of illegal imported chickens in Vietnam does not yet control. He can warn people how this situation before?
In 2008, the country had recorded 5 cases of H5N1 influenza A, and all cases and all deaths related to influenza. This shows that H5N1 flu is a risk to health and strong people.
Chinese New Year is coming near and it is time consuming poultry in most people need to be very alert, even in areas not detect HPAI.
- So far, H5N1 vaccine is still in the research experiment. According to him, should have flu vaccination by tuyp to improve the situation or can not?
The vaccination for seasonal flu vaccine is still the health sector recommendations to help the people and the common flu. This is also the aim to prevent the re-combination of regular flu vaccine for influenza A H5N1 tuyp conversion into a new flu vaccine more dangerous, more easily spread in the community as recommended by the Health in the world.
Thanh Hoa: Patients with influenza A H5N1 has recovery
Updated: 8/1/2009 17:24
As news, child 8 years old baby in Thanh Hoa province is a case of influenza A H5N1 infected the first 10 months after the Vietnamese have no cases. Until this time, you baby's health was good recovery, of fever, aware, and almost all difficulty breathing.
Even when the results form the disease from Thanh Hoa sent out, the delegation of scientists under the sanitation epidemiology central to survey the situation in the province are infected. Group 4 consists of the scientists have to Delete the village commune, Dien Trung, Ba Thuoc district, Thanh Hoa province, where the patient 8 years old must be hospitalized several days ago. You children hospitalized with severe symptoms are: high fever, difficulty breathing and is not aware of. Earlier, family and child did eat dead chickens.
Scientists found, from 12/2008 to present, many households in the village Delete dead birds have scattered, the phenomenon this year will appear in the winter-spring. People do not know the cause why the birds died, and probably natural governments and local animal italy also not known. Under normal routine, when birds die, people will do to eat meat, hair and also to dispose of the chickens around the living environment.
Concerns about the spread of the virus in the environment that the scientists are most concerned about by the winter, exposed to the risk of infection with avian influenza is very large. In the area where the fold is the outbreak, the risk of influenza infections bring healing very high. The types of viruses hidden for this opportunity is released and people are infected object first. According to scientists, to ensure safety for human health, should all poultry in the outbreak. At the village Delete above, even when there is more a case of other mild fever and sore throat, patient samples have been made subject to testing. Results showed that negative, people in this area is still healthy.
According to scientists, this is the season of Respiratory Diseases and flu, the most dangerous is influenza A H5N1. During this sensitive point, people should perform good personal hygiene, keep warm, enhance nutrition for good health to create resistance, prevention of illness.
Thanh Huong
Re: Vietnam: Girl,8, Hospitalized with H5N1. Sister died of suspected H5N1
Rao riet prevention HPAI
Lao Dong 6 Date 08/01/2009 Updated: 8:18 AM, 08/01/2009
(LD) - Before the complex variables of HPAI in Thanh Hoa, causing the death of a patient infected with influenza A/H5N1 virus, 7.1 days, NNPTNT Minister Cao Duc Phat sent to the local electricity to the timely implementation all epidemic prevention measures before and after Tet Ky Sưu.
Accordingly, the local authorities quickly established mission to inspect the prevention epidemic levels take time, review all of influenza vaccine under the object in the province, additional injection of influenza is omitted, strictly control the transport trade of cattle and poultry over the border.
At the country only 2 Thai Nguyen, Thanh Hoa have HPAI not last 21 days. In Thanh Hoa, from 28.12.2008 to date, avian influenza outbreaks have occurred in 6 / 12 villages (Fill in China, Ba Thuoc district) more than 380 children sick birds died. Its italy province must completely vacate the 7800 influenza this village of 6.
Also in 7.1, NNPTNT approval of projects to use vaccine to control disease and payment HPAI in the high period 2009 to 2010. Expenditure for this project over 120 billion VND (T.U capital budget), including the purchase of H5N1 vaccine, the cost of monitoring and vaccination propaganda guidance, workshops.
Own costs organizations vaccinated by each locality by the local budget guarantee. In the case of enterprises, households have poultry of over 500 children, the object will not be in the list of eligible expenses above and must ensure that each expenditure prevention outbreaks.
* On 7.1, at the Hospital Thanh Hoa province, he Bui Van International - the child's Bui Thi Thao been confirmed infected with influenza A H5N1 strain - for girls The first Bui Thi Thuong, 13 years old, is her daughter's bowel Thao has been fatal in Hospital Ba Thuoc district today 2.1. The couple, he is very worried for their daughter's ?t Bui Thi Thao influenza A H5N1 infected are being treated in isolation BV protected province.
The English told: "On 11.12.2008, he made The meat two thousand. Then 3 days found 2 chicken x? hair as he should be sick as meat and all the food together. To date 25.12 daughter Bui Trade Market have symptoms of fever, cough and difficulty breathing family should take to commune clinics. Two days later, he Thao also have similar symptoms should be transferred to Ba Thuoc district BVDK treatment. The Trade am dead 2.1 ".
Re: Vietnam: Girl,8, Hospitalized with H5N1. Sister died of suspected H5N1
B?ng risk of avian influenza Tet festival
Updated at 09h00, on 09/01/2009 -
(VnMedia) - While the year has nearly 1 HPAI not appear in Vietnam but in the end of the year 2008 beginning in 2009, the appearance of a mass outbreak of the retail tẻ found that the risk of re B?ng the flu influenza to Chinese New Year festival is very large.
The risk of re-translation of B?ng
Bui Quang Anh, Director Department of Animal Health Department concerned before the many local owners are very important against the disease caused the situation may change in trend of complexity. Around The UK does not give local time, but Currently, many authorities have not actively developed vaccin vaccine for poultry thoroughly and not to conduct propaganda for the people to prevent outbreaks. From all of which led to occur outbreak in small farms, such as Thai Nguyen, Thanh Hoa, Quang Male ... That the cause is mainly due to the poultry are not vaccinated or vaccinated vaccin not properly regulated, the rate of vaccine achieved results very low.
Although at present the country is Thai Nguyen and Thanh Hoa have HPAI not last 21 days, but if the prevention of outbreaks of agencies and localities not drastically, in the sense of home people on the CGC B?ng of the Chinese New Year festival is difficult to avoid.
According to a report by Th? y tỉnh Thanh Ho? province, from 28/12/2008 to present avian influenza outbreaks have occurred in 19 households in 6 / 12 villages of Điền Trung huyện B? Thước (Thanh Hoa) to make 383 cầm sick and dying must destroyed nearly all of the 8000 influenza in 6 villages. Especially 1 baby girl by eating infected poultry must be sick.
Status poultry died series also occurred in Quảng Nam . From 31/12/2008 to present, in Lộc Ngọc, x? Tam Tiền (N?i Th?nh), ducks out of 2 households raising L? Xu?n Đ?i, Ng? Văn Minh died on 400. According to the veterinary staff here, and can spread from poultry markets in Kỳ Trung.
Hoang Van Nam, Deputy Director General Animal italy (MARD) said that, to extinguish the outbreak of new, and prevent recurrence, protect people's health, especially with the change climate unusual period from now to Tet, need to check closely the trade, transportation of poultry from areas of the city.In particular, need to handle the situation ended points transporting illegal poultry through the border gate and through sub-quota. This is the most harmful, causing HPAI B?ng the strength and spread on a large scale.
Must be vaccinated for 100% poultry
On 7 / 1, Minister Cao Duc Phat has sent the urgent local requirements must be vaccinated 100% for poultry, not to people contact and eating sick birds died.
Accordingly, to extinguish the outbreak of new, and prevent recurrence, to protect human health, especially in weather conditions unusual changes in the coming time, Minister Cao Duc Phat Title of the ministries, departments and government leaders of the local establishment of the mission to inspect and guide epidemic prevention to level villages, hamlets, monitoring and early detection and timely reporting on the epidemic.
Specifically, the mission focused testing phases vaccinated, review all of influenza vaccine under the object in the province have not been vaccinated or vaccinated nose not enough vaccine to supplement, especially with us cầm waterway in flocks (required vaccination of 100% for the ducks to the old rules).
Along with that, the provincial implementation of quarantine, control movements of poultry traders, animals before and after Chinese New Year; disseminating knowledge to help people understand the danger of disease caused by avian influenza, to avoid exposure and eating sick birds died, absolutely not eat more cultivation, measures to prevent disease, and prevent avian influenza spread to humans. The agencies need to coordinate closely, clenching the trade, transport, slaughter, consumption of poultry and poultry products in the country as well as through the border.
Difficult to control imported live poultry to Hanoi
On 8 / 1, the delegation check sectoral safety and hygiene of food Hanoi by Deputy Director of the Department of Health Nguyen Van Yen leader went to check and see, shops selling chicken hair, not even chickens through quarantine, still quite popular in the one most consumers still prefer to buy live poultry.
Re: Vietnam: Girl,8, Hospitalized with H5N1. Sister died of suspected H5N1
Bui Thi Thao, an eight-year-old girl from the mountainous Ba Thuoc District of Thanh Hoa Province, 153 kilometers (95 miles) south of Hanoi, no longer has a fever and didn?t need respiratory aid as of Friday, the statement said.
Thao was confirmed on Tuesday as having contracted the H5N1 virus after eating sick poultry at home.
?Thao has recovered after 10 days of treatment, even though she will need to stay in the hospital for another two weeks for further treatment and until tests indicate no presence of the virus,? according to the statement.
Thao?s elder sister, Bui Thi Thuong, died last Friday, the statement said, citing Nguyen Ngoc Thanh, standing director of the province?s Department of Health.
Her death may not be related to the H5N1 strain of avian flu virus, according to Vietnamese authorities.
There is not enough evidence to show her death was caused by bird flu as no samples were taken, even though she also ate the sick bird and had similar symptoms to her sister, the statement said.
The H5N1 virus in meat and eggs is killed when it is heated above 70 degrees Celsius, making properly cooked poultry meat and eggs safe to consume.
Thuong developed fever, fatigue, stomach pains and digestive disorders on December 29, two days after her younger sister fell ill, the statement said. At the local district hospital she was diagnosed with appendicitis, the statement said.
She later encountered multiple organ failure and doctors said she had typhoid fever before she died last Friday, according to the statement.
The H5N1 viral strain killed five people in early 2008 but no new human deaths have been reported since last March. Vietnam has confirmed 52 bird flu deaths, the second highest toll after Indonesia with 113 deaths so far.
Since 2003, the World Health Organization has reported 393 human cases of bird flu, not including the latest case in Vietnam, of which 248 have died.
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