VIETNAM - June 16, 2007 to Sep 9, 2007 - Human sus & conf cases

[Theresa42]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Machine-translated from Vietnamese:

Add a circumstances suspect contract flu A H5N1
Aug 2, 2007

Afternoon 1/8, in assembly staff instruct prevention country flu epidemic A H5N1 in people, TS Nguyễn Huy Nga, director medical bureau prevention Vietnam say: courtyard epidemic hygiene tễ central just add define a circumstances suspect contract flu A H5N1. Patient is a student male village Thanh Hoa treating in courtyard diseases infection and country tropic. Courtyard epidemic hygiene tễ central holding test each mẫu colour disease of patient and source define infect.

http://www.vovnews.vn/?page=109&nid=45675

 

[Theresa42]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Patient is a student male village Thanh Hoa....

The word for village, "quê", can also mean "native place" (i.e. place one is native of) -- so this suspected case is a native of Thanh Hoa province.

One of the recently confirmed cases who recovered, a 28 yr-old (man? woman?), is from Thanh Hoa:
http://www.flutrackers.com/forum/showthread.php?t=26841&highlight=Thanh+Hoa

 

[Theresa42]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Hat-tip, Solitaire!

Vietnam reports fresh human bird flu case
Aug 2, 2007

A student is under treatment at a Hanoi hospital for suspected bird flu, a national anti-bird flu committee meeting heard Wednesday.

Dr Nguyen Hai Yen of the National Institute for Clinical Research of Tropical Diseases said the student?s samples were being tested for the H5N1 virus strain, which has killed 45 people in Vietnam since 2003, three of them in the past two months.

The student was transferred to the institute from a hospital in Thanh Hoa province where he had been treated for 12 days.

He had ?typical? bird flu symptoms though initial inquiries suggested he had had no contact with poultry, Yen said.

Vietnam, the country worst hit by bird flu in 2003-05, contained later outbreaks through mass vaccination, culling millions of poultry, and public education initiatives.

But the virus returned strongly this year, hitting scores of poultry farms in an unusual summertime outbreak.

Outbreaks have been reported since early May in 18 of the country?s 64 provinces and cities, mostly among unvaccinated ducks and other waterfowl.

Six human cases have also been reported. Two of them, a 20-year-old man and a 28-year-old woman, died in June, the first fatalities since November 2005.

Another 22-year-old woman from Ha Tay died last week of the disease. She was seven month pregnant.

http://www.thanhniennews.com/healthy/?catid=8&newsid=30607

 

[Treyfish]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

<TABLE><TBODY><TR><TD class=tintop_title vAlign=top align=left>Another patient suspected of having type A/H5N1 virus</TD></TR><TR><TD class=news_date vAlign=top align=left height=20>16:40' 02/08/2007 (GMT+7) </TD></TR><TR><TD class=text vAlign=top align=left>VietNamNet Bridge ? A male student at a university in Hanoi is suspected of being infected with type A/H5N1 virus since he has typical symptoms of bird flu in humans.

The student fell ill at his home in Thanh Hoa province. He was treated at the General Hospital of Thanh Hoa province for 12 days without improvement. He was transferred to the National Hospital for Tropical Diseases in Hanoi on July 29.

The Central Institute for Epidemiology is testing samples of this patient?s blood to determine whether he has type A/H5N1 or not since he has all typical symptoms of bird flu in humans. This patient currently doesn?t yet need a respirator. He didn?t have contact with fowls before.

So far this year, Vietnam has diagnosed six type A/H5N1 patients, three of whom have died.

Related to the pregnant woman who died of bird flu recently, the Ministry of Health has sent experts to the home of the woman to take blood samples of 16 people who were in contact with the woman for testing. They have been provided with Tamiflu as well.
http://english.vietnamnet.vn/social/2007/08/725411/
</TD></TR></TBODY></TABLE>

 

[Treyfish]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

<TABLE><TBODY><TR><TD class=tintop_title vAlign=top align=left>Type A/H5N1 patients may receive hospital fee exemptions</TD></TR><TR><TD class=news_date vAlign=top align=left height=20>15:36' 02/08/2007 (GMT+7) </TD></TR><TR><TD class=text vAlign=top align=left><TABLE class="" cellSpacing=0 cellPadding=3 width=200 align=right fck_template="imagecontener"><TBODY><TR><TD>

</TD></TR><TR><TD class=image_desc align=middle>A type A/H5N1 patient</TD></TR></TBODY></TABLE>VietNamNet Bridge ? Expenditures for the treatment of type A/H5N1 patients may reach hundreds of million dong but those patients may possibly be exempted from paying treatment fees.

Dr. Nguyen Huy Nga, Head of the Preventive Health Agency, said that the Ministry of Health and the Ministry of Finance were compiling a decree on the exemption and reduction of hospital bills for some kinds of patients at public hospitals. Accordingly, patients with extremely dangerous diseases like SARS and type A/H5N1 flu would be exempted from hospital fees.

Currently, hospital fees for type A/H5N1 patients are very high, for example VND200 million (US$12,500) for a patient named Ha Van Nguyen at the National Hospital for Contagious and Tropical Diseases from late May to early July. Meanwhile, most flu patients are poor.

Some other kinds of patients will be also be subject to this decree, including victims of other diseases such as schizophrenia, epilepsy, leprosy, tuberculosis, victims of natural disasters, disabled people, orphans or elderly people without any source of income or not having relatives and children under six years old.

Hospital fees will be reduced by at most 50% for children of 6-16 years old who catch serious diseases and have to use hi-tech and costly health services and whose families can?t afford to pay and poor patients suffering from heavy diseases.
</TD></TR></TBODY></TABLE>
http://english.vietnamnet.vn/social/2007/08/725387/

 

[Theresa42]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Some comments from Snicklefritz:

He had ?typical? bird flu symptoms though initial inquiries suggested he had had no contact with poultry, Yen said.

If the patient had no contact with poultry he would not normally be considered a 'suspect' case. That's fine in the beginning. But why, after 12 days are they now listing him as a 'suspect' case and testing samples?

It would have been reasonable to treat with Tamiflu from the beginning, even if they only suspected common flu. If so, is the Tamiflu not working after 12 days? Since, resistance to Tamiflu has occured in patients after infection, and we see cases where patients are reported as responding well and then taking a turn for the worse, I can't help but wonder if something similar is happening here.

Lots of questions, and no answers that I can see.... But, the time lag, the lack of information, and the fact that the patient is a student is concerning.

I think we need to let go of the direct contact with poultry parameter. It could be delaying treatment and costing lives.

 

[Theresa42]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Hat-tip, DennisC!

Vietnam reports new human bird flu case
2007-07-31 10:21:15

HANOI, July 31 (Xinhua) -- A 22-year-old woman from Vietnam's northern Ha Tay province was diagnosed to have contracted bird flu virus strain H5N1, local newspaper Saigon Liberation reported Tuesday.

The farmer from the province's Thanh Oai district, who has respiratory illness and needs respiratory assistance, is being treated in Bach Mai Hospital in Hanoi, the newspaper quoted sources from the Vietnamese Health Ministry as saying.

(...)

http://news.xinhuanet.com/english/2007-07/31/content_6454846.htm

Machine-translated from Vietnamese:

Thanh Oai organization meeting sơ job link graze breed vet and room, against epidemic 6 month beginning of year 2007
Aug 3, 2007

This morning, UBND district Thanh Oai already organization meeting sơ job link graze breed vet and room, against epidemic disease in poultry domestic animal 6 month beginning of year 2007 and launch some centre of gravity mission in some month remains of five.

6 last month, graze job breed of district Thanh Oai quite stable and has development direction: value of ng?nh graze breed occupy around 50 % value yield of agriculture sector; prevention job epidemic in domestic animal, poultry obtain launch synchronism; 100 % poultry number obtain inject room, accomplish 4 total series environment hygiene district whole. Station vet district coordinate with bureau limb vet province verify in time thời when has information circumstanceses doubt collapse mouth long m?ng in domestic animal, bird flu, disease ear green in hog test licence diagnose rapid. Appear district whole not yet discover ổ epidemic which.

Special circumstances a patient in x? Cao Duong die day 28/7 just across because of contract virus H5N1, appear not yet clear patient l?y disease source in where. X? Cao Duong held 3 times hygiene total wash uế, spout room poisonous expenditure. District also will launch a total series poisonous expenditure hygiene whole environment district in day 5/8 to.

In meeting, representatives concentrated give out many measure speed up matter moreover supervise epidemic disease, nice organization serieses inject room for poultry domestic animal, management kill cut open, build investment plan expenditure for graze development breed and epidemic prevention foundation.

http://www.hataytv.com.vn/NewsDetail.asp?ID=1713

 

[Laidback Al]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

hat-tip to Farmer!

WHO has retrospectively confirmed five recent human H5N1 cases from Vietnam.

Here is the list with links. There is a discrepancy of the sex and date of onset between local news articles (as translated) and WHO information for the recovered individual from Thanh Hoa Province.


Friday, August 31, 2007
__________________________________________________________________________________________
caseid: 632
Country: Vietnam
City and Region: Thanh Hoa Province
Name:
Sex: M
Age: 29
Symptom onset: 5/30/2007
Hospital Admission: 5/31/2007
Death:
Outcome: R
WHO confirmed: Yes
Relation:
Cluster
Sequence:
Hyperlink
6/11/2007
http://www.flutrackers.com/forum/showpost.php?p=85550&postcount=2
6/12/2007
http://www.flutrackers.com/forum/showpost.php?p=85594&postcount=4

__________________________________________________________________________________________
caseid: 635
Country: Vietnam
City and Region: Ba Vic District, Ha Tay Province
Name: Seorang
Sex: M
Age: 20
Symptom onset: 6/2/2007
Hospital Admission: 6/8/2007
Death: 6/10/2007
Outcome: D
WHO confirmed: Yes
Relation:
Cluster
Sequence:
Hyperlink
6/16/2007
http://www.flutrackers.com/forum/showpost.php?p=86335&postcount=3
8/31/2007
http://www.who.int/csr/don/2007_08_31/en/index.html

__________________________________________________________________________________________
caseid: 633
Country: Vietnam
City and Region: Ha Nam Province
Name: Phan Thi Xuyen
Sex: F
Age: 28
Symptom onset: 6/3/2007
Hospital Admission: 6/6/2007
Death: 6/21/2007
Outcome: D
WHO confirmed: Yes
Relation:
Cluster
Sequence:
Hyperlink
6/12/2007
http://www.flutrackers.com/forum/showpost.php?p=85594&postcount=4
6/21/2007
http://www.flutrackers.com/forum/showpost.php?p=86966&postcount=1
8/31/2007
http://www.who.int/csr/don/2007_08_31/en/index.html

__________________________________________________________________________________________
caseid: 641
Country: Vietnam
City and Region: Thanh Oai District, Ha Tay Province
Name: Dang Thi Ha
Sex: F
Age: 22
Symptom onset: 7/20/2007
Hospital Admission: 7/22/2007
Death: 7/28/2007
Outcome: D
WHO confirmed: Yes
Relation:
Cluster
Sequence:
Hyperlink
7/30/2007
http://www.flutrackers.com/forum/showpost.php?p=93879&postcount=7
8/1/2007
http://www.flutrackers.com/forum/showpost.php?p=94179&postcount=17
8/31/2007
http://www.who.int/csr/don/2007_08_31/en/index.html

__________________________________________________________________________________________
caseid: 642
Country: Vietnam
City and Region: [thon] Phong My, [xa] Hoang Hoa, Hoang Hoa District, [tinh] Thanh Hoa Province
Name: Cao Trong Toan
Sex: M
Age: 15
Symptom onset: 7/27/2007
Hospital Admission: 8/1/2007
Death: 8/3/2007
Outcome: D
WHO confirmed: Yes
Relation:
Cluster
Sequence:
Hyperlink
8/7/2007
http://www.curevents.com/vb/showpost.php?p=774420&postcount=34
8/7/2007
http://www.flutrackers.com/forum/showpost.php?p=94992&postcount=2
8/8/2007
http://www.curevents.com/vb/showpost.php?p=774603&postcount=39
8/31/2007
http://www.who.int/csr/don/2007_08_31/en/index.html

 

[Treyfish]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

WHO confirms 5 Vietnam H5N1 cases, lists lab test criteria

Lisa Schnirring

Staff Writer

Aug 31, 2007 (CIDRAP News) ? The World Health Organization (WHO) today recognized five human H5N1 influenza cases from Vietnam dating back to late May, after publishing formal criteria for accepting positive test results for H5 flu viruses from national laboratories.
The five cases include four fatal ones, which pushes Vietnam's H5N1 toll to 100 cases with 46 deaths. The country has the second highest number of avian flu cases, after Indonesia.
The five cases now confirmed by the WHO had been reported earlier by Vietnamese authorities. The WHO apparently now has confirmed all the cases announced by Vietnamese authorities this year.
So far this year Vietnam has had seven H5N1 cases with four deaths, and the resurgence in human infections appears to have coincided with fresh poultry outbreaks, mainly in the northern and Mekong delta areas. Previously the country was widely hailed for keeping poultry infections at bay with strict control efforts, including an aggressive vaccination program, but many of the outbreaks this year have occurred in unvaccinated flocks.
In a statement yesterday about new criteria for accepting positive H5N1 findings, the WHO said it will now accept positive polymerase chain reaction (PCR) results from national reference laboratories that (1) have participated successfully in the WHO's new External Quality Assessment (EQA) project and (2) have accurately identified H5 flu viruses in at least three previous cases.
Tiffany Domingo, a technical officer in the WHO's outbreak and pandemic communications department, told CIDRAP News today that the WHO will now confirm positive H5N1 results from Vietnamese labs?as it did today for the latest five H5N1 case patients?so long as the labs meet the new testing criteria.
The WHO did not say which labs in Vietnam fulfilled the requirements, but in a Jun 29 statement on Vietnam's 93rd and 94th cases, the agency said the H5N1 infections were confirmed by the National Institute of Hygiene and Epidemiology (NIHE) in Hanoi, as well as the US Centers for Disease Control and Prevention (CDC).
Most countries that have had human H5N1 cases have had to send specimens to WHO reference labs elsewhere for testing and confirmation. However, the WHO has accepted positive H5N1 results from a few countries, such as China and, in recent months, Indonesia. In May the agency said it had formally assessed the Indonesian national laboratory's capacity to diagnose H5 viruses and would begin recognizing cases confirmed there.
Established in July, the EQA project is conducted by the WHO Global Influenza Programme at WHO headquarters in Geneva and the WHO reference laboratory at the National Influenza Centre in Hong Kong, according to a WHO statement issued in July. The program is designed to build the capacity of labs to use PCR to diagnose both seasonal and avian influenza and to support good laboratory practices. National influenza centers and laboratories are eligible to participate.
To participate in the EQA project, laboratories must test a simulated panel of RNA specimens twice a year and fill out a "Good Laboratory Practice" questionnaire. The RNA specimens include H1, H3, and H5 virus subtypes. The WHO analyzes the test results and reports on the performance of each laboratory.
In yesterday's statement, the WHO spelled out the two main requirements for accepting positive H5 test results from national laboratories:

• <LI class=body>The lab must participate in the EQA project and must have correctly detected all H5 viruses in the most recent set of samples, without reporting any false-positive H5 findings.
• Since 2004, the lab must have tested for human H5 infections and must have made at least three positive diagnoses that were later confirmed by a WHO H5 reference lab.

Countries that don't have a national influenza reference lab, or have a national lab that has not met the WHO criteria, must have their positive H5 test results confirmed by a WHO reference lab or by another WHO-approved national reference lab. :tiphat: http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/aug3107vietnam.html

 

[HenryN]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

WHO confirms five human bird flu cases in Vietnam

Sat Sep 1, 2007 4:20AM EDT
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HANOI (Reuters) - The World Health Organization (WHO) has confirmed five human bird flu cases in Vietnam, four of them fatal, the U.N. agency said in a statement.






The four, including two women, died between June 21 and August 3 while a fifth person, a 29-year-old man, had recovered, it said.
All five cases, which had been confirmed earlier by Vietnam-based laboratory tests, were from the country's north. They brought the total human infections in the Southeast Asian country since 2003 to 100 with 46 fatalities.
Three of Vietnam's 64 provinces -- two in the southern Mekong delta and one in the north -- are still on the government's current bird flu watchlist, the Agriculture Ministry said on Friday.
Bird flu has infected seven people in Vietnam so far this year and officials said the H5N1 virus could return in winter, starting in November.
The H5N1 virus remains mainly a virus of birds, but experts fear it could mutate into a form easily transmitted from person to person and sweep the world, killing millions.
Globally, the H5N1 virus has killed 199 people out of 327 known cases, according to a WHO tally. Hundreds of millions of birds have died or been slaughtered.

http://www.reuters.com/article/worldNews/idUSB57709020070901

 

[Gert van der Hoek]

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

Re: VIETNAM - June 16, 2007+ - Human sus & conf cases

August: No H5N1 victims, but 2 deaths from H3

17:03' 06/09/2007

VietNamNet Bridge ? In August 2007, Vietnam reported no new case of bird flu in humans but the country saw three people infected H3 virus, with two deaths, according to the Health Ministry.

In the past eight months, Vietnam has discovered three people who caught H3 flu. Two of them have died and one is now being treated at Hanoi-based Bach Mai Hospital.

Of the two dead, the one from the northern mountainous province of Son La died by H3N1 virus and the other from Hanoi died by H3N2 virus.

According to Dr. Nguyen Tran Hien, Director of the Central Institute for Epidemiology, the institute?s laboratory tested 27 samples and defined one as positive for H5N1 and three positive for H3 virus.

The Health Ministry reported that at this moment, Vietnam tops the world for the number of H5N1 infected with 100 people and ranks second in the number of people having died from H5N1 with 46 people. In terms of the people killed by H5N1, Vietnam is only behind Indonesia (63 deaths).

http://english.vietnamnet.vn/social/2007/09/737933/