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**wotan** · July 28, 2009, 06:57 PM

Re: H1N1 with H5N1 possible co-infection in Vietnam?

Welcome Shadman!

Wow, so much potentially bad news this evening.

**Rwilmer** · July 28, 2009, 06:59 PM

Re: H1N1 with H5N1 possible co-infection in Vietnam?

hat-tip to commonground for this:

[This article says that he died from neither H1N1 or H5N1. Also a teacher at the school is infected with H1N1. She is not tied in any way to the victim that just passed away]

Vietnam: In case of death in Ha Tinh not by influenza A/H1N1 or A/H5N1

Patients have many epidemiological factors, clinical symptoms similar to 2 types of flu, but this official test result negative.

This morning (27 / 7), Nguyen Tran Hien, Director of Institute of hygiene and epidemiology in Central confirmation of the death of a male patient in Ky Tien, Ky Anh district, Ha Tinh province not by influenza A/H1N1 and influenza A/H5N1.

Also in this morning (27 / 7), Institute of Sanitary epidemiological Central for patients infected with influenza A/H1N1 first in Ha Tinh is a woman 47 years old, the hamlet Yen Thinh commune, Ky Tien, Ky district UK. Presently, the Department of Health and Medical Center for Ha Tinh conducted isolation patients to treatment and monitoring, anti-fold region and at the hamlet Yen Thinh, spray chemicals, to restrict influenza A/H1N1 large spread.

Patient is female teacher schools with private Nguyen, Ho Chi Minh City, where outbreak of influenza A/H1N1 in the Tien Ky in 24 / 7. Patients with signs of fever and monitor health at home. 25 / 7, Health Center for Ha Tinh conduct examinations and patient samples sent subject test in about epidemiology Center. Last tested in the epidemiological hygiene Central identify patients with this positive influenza A/H1N1.

Cases patients have died of bowel is you who these women are signs of fever on 22 / 7 and be treated at home to 24 / 7 to be examined, treated at the Faculty Hospital infection Ha Tinh protected status in high fever, severe respiratory failure. Although the emergency treatment of samples and testing for diseases, but too heavy to patients has died in hospital on 26 / 7. In fact, about events and clinical epidemiology of a random match between the male patient deaths and female patients with positive influenza A/H1N1 after returning to the same local time. But test results determined male patient deaths not related to influenza A/H1N1, A/H5N1 flu and not related to patient female teachers High School private Khuyến Nguyen in Ho Chi Minh City. /.

http://vovnews.vn/Home/Truong-hop-tu...097/117479.vov

**Rwilmer** · July 28, 2009, 07:01 PM

Re: H1N1 with H5N1 possible co-infection in Vietnam?

There are also several articles in the vietnam forum that says that h5n1 was not in this case.

**alert** · July 28, 2009, 07:02 PM

Re: H1N1 with H5N1 possible co-infection in Vietnam?

That original post was on ProMed today, but you are right, the case is negative for both viruses. The only reason for suspecting H5N1 was that he raised poultry.

http://www.promedmail.org/pls/otn/f?p=2400:1001:3765778408494755::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,78521

**Rwilmer** · July 28, 2009, 07:04 PM

Re: H1N1 with H5N1 possible co-infection in Vietnam?

This needs to be sent to promed now. To avoid confusion.

**alert** · July 28, 2009, 07:05 PM

Re: H1N1 with H5N1 possible co-infection in Vietnam?

Go ahead and send it. I'm sure FT would like to be mentioned in another ProMed posting.

Please change the title of this thread. How about "NO H5N1 or H1N1 in fatality in Vietnam". I can't think of ANYTHING scarier than what this thread's title would imply.

**Shadmin** · July 28, 2009, 10:04 PM

Re: Vietnam Death Not H1N1 or H5N1

Ministry cautions about swine flu spread on public vehicles
-----------------------------------------------------------
After 3 people with swine flu were found traveling by train from Ho
Chi Minh City to Hanoi on 26 Jul 2009, the Ministry of Health has
sounded a warning about the threat of contracting [influenza pandemic
(H1N1) virus infection] by using public transport. The passengers on
the train were told to isolate them at homes, monitor their health
condition, and inform health authorities immediately if they suffer
flu symptoms of fever, cough, and sore throat.

Meanwhile, the disease continues to spread in Viet Nam, with 45 more
new cases reported on 26 Jul 2009, taking the total number so far to
612, health officials said. The Department of Preventive Medicine in
the southern province of Binh Duong said an expatriate working for
THP Company tested positive for the virus and he is also suspected of
transmitting it to a colleague. Health authorities have quarantined
them as well as a 3rd person with flu symptoms who had been in
contact with them.

The deputy director of the Department of Preventive Health in the
central province of Ha Tinh, Nguyen Luong Tam, confirmed on 26 Jul
2009 that a 30-year-old man died of bird flu at the General Hospital.
The man had been rushed to hospital the previous day with pneumonia,
high fever, headache, muscular and joint pain, cough, breathing
difficulty, and vomiting. Doctors diagnosed him as having avian
influenza and isolated him. They found his lung to be seriously
damaged. He died on 26 Jul 2009. Health workers later found diseased
poultry at the man's house. He also had contact with a female
relative, a teacher at Ngo Thoi Nhiem private High School in District
9, where 73 students and 5 teachers have contracted swine flu [that
is, influenza pandemic (H1N1) 2009 virus infection].

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[This suspected case of avian influenza A (H5N1) virus infection, if
confirmed, will become the 112th case and the 57th death to have
occurred in Viet Nam. The most recent previous case died on 27 Apr
2009 in Thanh Hoa province.

The concern in the current (suspected) case is that there is a
potential epidemiological link with an outbreak of influenza pandemic
(H1N1) 2009 virus infection among teachers and children at a school
in the same province.

Confirmation of the H5N1 diagnosis is awaited as are more details of
the investigation of the outbreak at Ngo Thoi Nhiem private High School.

A map of the provinces of Viet Nam, showing Ha Tinh province in the
central region, can be accessed at
<http://www.angelfire.com/co/hongnam/vnmap.html>.
The HealthMap/ProMED-mail interactive map of Viet Nam is available at
<http://healthmap.org/r/008c>. - Mod.CP]

**Shadmin** · July 28, 2009, 10:26 PM

Re: Vietnam Death Not H1N1 or H5N1

This is the whole story? If it is incorrect then thats good cause I am sure no one wants to see H5N1 combine with H1N1 into some Armageddon flu virus or something like in "The Stand"? It is confusing the way it is written? Did a 30 year old man die from H5N1 at General Hospital in Vietnam on July 26th, 2009 as reported by the Department of Preventative Health in Vietnam? The story said "diseased poultry" at his residence? And also goes into symptomology and possible exposure of several other people including a teacher at Ngo Thoi Nhiem private school? I can see how it got combined with the H1N1 outbreak which is also going on there but it seems to me unless the story is totally incorrect that this 30 year old man did die from H5N1 on 26 July, 2009?

**Rwilmer** · July 28, 2009, 10:29 PM

Re: Vietnam Death Not H1N1 or H5N1

From the articles that we found the guy did not die from either h5n1 or h1n1.

**Shadmin** · July 28, 2009, 10:51 PM

Re: Vietnam Death Not H1N1 or H5N1

Thank you for the info then? I will let you know if I turn up anything else? I have some friends living in Vietnam who I talk to regularly? I will try to find out whether they have read anything about this situation and exactly what?

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Vietnam Death Not H1N1 or H5N1

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