Dengue & DHF in Vietnam - March 2007 - July 24, 2008

[Gert van der Hoek]

Officials look into dengue outbreaks

(23-03-2007)

HCM CITY ? Authorities are investigating sanitation problems that might have caused more than 4,800 dengue fever cases over the past three months.

Deputy director of the Ministry of Health?s Preventive Medicine Department Nguyen Van Binh said that most dengue fever cases were reported in HCM City and the Mekong delta provinces of Dong Thap, Soc Trang, An Giang and Kien Giang.

Binh is concerned that these people caught the fever during the dry season while the peak dengue season is usually from March to May.

At the moment, many families in the Mekong delta still keep safe water in their own unsanitary containers where mosquitoes thrive.

Binh said that the MoH has proposed that the Ministry of Agriculture and Rural Development?s Clean Water Supply Programme build community water tanks for Mekong delta residents.

In addition, a steering committee for dengue fever control has been established under the leadership of the HCM City Pasteur Institute. The institute will co-ordinate with the local healthcare agencies to fight and prevent outbreaks of the fever.

These new measures come as residents from HCM City?s Binh Thanh, Binh Chanh, and Tan Phu districts have reported what appears to be an abnormal increase in the number of mosquitoes over the past two months.

Most of these people live near the Nhieu Loc ? Thi Nghe canal, which is seriously pollutted.

Deputy director of the HCM City Department of Health Le Truong Giang said that many construction projects in these areas were blocking the flow of the canal.

He said that local people were contributing to the problem by littering in the polluted canal and added that his department would organise a meeting to ask for inter-agency co-operation in reducing mosquito density in these areas.

In addition, people living near the Dong Thanh dumping site in Hoc Mon District on the outskirts of HCM City are also suffering from the sudden arrival of large fly populations since last month.

There are so many flies in the area that restaurant owner Tran Thanh Liem has had to hang mosquito nets around his restaurant to protect his customers from the pests.

While flies don?t transmit dengue, their rising numbers are of major concern to local health agencies because they spread other bacterial ailments such as diarrhoea.

Locals noticed the sudden increase of flies last month after garbage trucks began dumping waste from septic tanks in the Dong Thanh dumping site.

The HCM City Department of Natural Resource and Environment has asked the Urban Environment Company to limit the dropping of the waste en route as well as to spray the trucks and site with disinfectants. ?

http://vietnamnews.vnagency.com.vn/showarticle.php?num=01HEA230307

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Last updated: 16:0 - March 23, 2007


5,000 estimated cases of dengue fever in Vietnam

So far there have been in the region of 5,000 cases of dengue fever in Vietnam, mainly in southern provinces, according to Assistant Professor Pham Ngoc Dinh, Vice Director of the Central Institute of Epidemiology.

So far, there have been few cases found in the north because the disease often occurs between June and November.

However, according to estimates, the incidents of disease tend to rise, especially in the north.

To cope with the situation, the executive board of the Dengue Fever Control Project has actively trained grassroots health care workers and co-ordinators to keep close watch over the development of the disease and has called on people to take preventive measures.

http://www.nhandan.com.vn/english/life/230307/life_500.htm

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

(19-04-2007)

Dengue fever, diarrhoea ravage Mekong Delta

The incidence of dengue fever and diarrhoea is on the rise in the Cuu Long (Mekong) Delta province of Bac Lieu, with the province?s General Hospital attributing it to weather conditions and unseasonable rains.

The hospital has received around 2,000 patients this month, more than 80 per cent are children.

Nhan Dan (The People)

http://vietnamnews.vnagency.com.vn/showarticle.php?num=01DOM190407

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Dong Thap sees rash of dengue fever cases

Dong Thap Province has had 1,639 dengue fever cases so far this year, a rise of 689 cases compared to the same period last year.

It has registered the highest number of cases in the Cuu Long (Mekong) Delta, said the province?s Preventive Medicine Centre.

Local authorities attributed the rise to the storage of water in tanks near or inside residences, which is an ideal breeding ground for mosquitoes.

Most local residents sleep with a mosquito net at night but not during their noon nap. The Dong Thap Province People?s Committee has told local authorities to try to curb the mosquito-borne disease by educating residents about the need to cover water tanks.

http://vietnamnews.vnagency.com.vn/showarticle.php?num=01DOM230507

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Southern Vietnam reports more dengue fever infections

Vietnam's southern region experienced 10,551 dengue fever patients in the first five months of this year, a year-on-year rise of 30 percent, according to the Ho Chi Minh City Pasteur Institute on Wednesday.

Of the patients, 10 have died of dengue fever. Weather conditions in the region and local people's habit of storing water in containers at their houses favor the breeding of mosquitoes, the disease's transmitter.

Local healthcare agencies are asking residents to frequently clean up environment around their accommodations, mainly by keeping water containers close and clean and killing mosquitoes and their larvae, the institute said.

In 2006, Vietnam faced over 77,800 cases of dengue fever infections, including 68 fatalities. Up to 84 percent of the infections and 91 percent of the deaths were reported in the southern region.

Source: Xinhua

http://english.people.com.cn/200705/30/eng20070530_379285.html

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Dengue ravages southern Vietnam


The southern region accounts for 85 percent of the dengue patients in the country, experts told a conference held Tuesday in Dong Thap province to discuss mobilizing the battle against mosquito larva.

According to statistics of the Health Ministry and the Ho Chi Minh City-based Pasteur Institute, over the past five months, the southern region saw more than 10,000 dengue patients resulting in 10 deaths, or 91 percent of fatalities around the country.

The hardest-hit was Dong Thap province with 1,182 cases, up 146.2 percent compared to the same period last year.

Director of Dong Thap provincial Heath Protection Center, Nguyen Ngoc An said his province has been devastated with 138 of 142 communes stricken with the epidemic.

The number of people contracting dengue nationwide has increased by 30 percent this year.

Deputy Head of the Pasteur Institute, Le Hoang San said most of the cities and provinces either were neglectful or paid little notice to epidemic prevention, and case by case reporting has been suspect.

With only six cities and provinces implementing the fight against mosquito larva so far, San said he feared dengue cases could swell in the coming months.

At the conference held by the Health Ministry and the Pasteur Institute, authorities and experts agreed on mobilizing people to carry out preventative measures as well as provide local hospitals with modern equipment and medicine against the epidemic.

http://www.thanhniennews.com/healthy/?catid=8&newsid=28610

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Dengue fever outbreak plagues Mekong Delta region

(07-06-2007)

HCM CITY ? Dengue fever is on the rise in the Mekong River Delta as the rainy season continues, according to health officials.

Over the last two months, more than 10,000 dengue fever cases were reported in the region, including two fatalities.

In Dong Thap Province, 2,000 people are currently suffering from dengue fever.

The emergency division of Tam Nong District?s hospital has received 157 dengue fever patients since the beginning of the rainy season.

Nguyen Kim Thinh, deputy director of Tam Nong District?s Preventive Medicine Centre, said the number of dengue fever patients had increased severalfold compared with the same period last year.

Thinh said there were also some serious cases that needed to be tranferred to city-level hospitals for treatment.

Most patients under treatment at the district?s hospital were children under 15 years old.

She attributed the growing dengue fever cases to the public?s lack of awareness about preventing the disease.

The health sector in the Mekong River Delta is strongly advocating preventive measures, including the spraying of mosquito repellents in densely populated districts and waterlogged areas in communes.

Local health workers have been sent to rural areas to disseminate information on sanitation methods, dredging of canals and culverts, and the use of mosquito nets.

In Tien Giang and An Giang provinces, 2,000 people have been struck by dengue fever.

The director of Tien Giang Province?s General Hospital, Hoang Tho Man, said the Mekong Delta this year was facing a high risk of a widespread outbreak of dengue fever.

He aslo called for prompt measures to effectively fight and prevent an epidemic in the rainy season.

Dengue fever patients whose high fever has not abated within a day should go to a hospital and not stay at home, health officials said. ?

http://vietnamnews.vnagency.com.vn/showarticle.php?num=01POP070607

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Severe dengue fever outbreak in Vietnam


Dengue fever has been raging in Vietnam this year with 14,000 people infected, an increase of 10 percent over last year.

Dr Pham Ngoc Dinh, deputy head of the Central Institute for Epidemic Prevention, said ten of them had died.

Only eight people had died in the whole of last year from the disease.

Hot weather and heavy rains were to blame for the periodic outbreak of dengue, he added.

Its incidence peaks between June and October in the south and center and between July and September in the north. Children are most vulnerable to the fever, making up 95 percent of the total patients.

Vietnam faces a major dengue epidemic every three to five years, with the worst one in recent times occurring in 1998 when 300,000 people were infected and 480 died.

http://www.thanhniennews.com/healthy/?catid=8&newsid=28941

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Mekong Delta provinces on dengue alert


Provinces in Vietnam’s Mekong Delta are on high alert for dengue fever with six localities especially badly hit.

In Dong Thap province over 2,350 people have been struck by the disease and hospitalized.

The disease has spread to most districts in the province, with Thanh Binh the worst affected with 380 patients, 16 times more than last year.

Kien Giang province has reported over 1,800 cases, An Giang 1,190, Ben Tre 860, Can Tho 498, and Tra Vinh 144.

Dengue has affected not only the south but has, in fact, been raging across the country with 15,000 people infected so far, 10 percent more than last year.

Twelve people have died.

There is, typically, a major breakout in Vietnam every three to five years, with the worst one in recent times occurring in 1998 when 300,000 people were infected and 480 died.

The southern region usually accounts for 85 percent of the cases because of its hot weather and heavy rainfall.

http://www.thanhniennews.com/healthy/?catid=8&newsid=29197

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Dengue strikes Vietnam with 25 percent more cases year-on-year


Vietnam has recorded 20,000 dengue fever patients this year, 25 percent more than the same period last year, the Ministry of Health said Thursday.

Of the 20,000 dengue patients, 15 have died, an increase of 40 percent over the first half of last year.

The southern region has been most seriously struck by the disease due to its hot weather and heavy rainfall. The north has recorded only 100 dengue cases.

Epidemiologists have warned that the disease might become more severe in the coming summer months? hot weather and heavy rain.

http://www.thanhniennews.com/healthy/?catid=8&newsid=29283

 

[Niko]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Hat-tip Sharpe

Hospitals overloaded with Dengue fever, respiratory ills

(23-06-2007)​

HCM City ? The number of children suffering from respiratory related diseases and Dengue haemorrhage fevers (DHF) is reportedly on the rise in southern Viet Nam.

​

By last Sunday, there were 151 DHF child patients at Nhi Dong children hospital, of which 57 cases were critical. Many came from the western provinces and quite a few others from Districts 3 and 6, Binh Thanh and Tan Binh districts in HCM City.​

By Wednesday, the hospital was crammed with young patients with two, or even three, children having to share one bed.

​

According to Doctor Nguyen Dac Tho, deputy director of the HCM City Preventive Medicine centre, the number of DHF cases has increased over the last two weeks, with an average 20 cases per week.
​

Doctor Nguyen Le Da, deputy director of Dong Nai children hospital said that since early June, the number of children admitted for examination and treatment has increased rapidly.

​

"Every day from 1,000-1,200 children come to the hospital," said Da adding "at the beginning of the week, the number even climbed to 1,500."

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The hospital has only 560 beds, but the number of in-patients is often 650-670.

​

The most common diseases among children are viral infections and DHF.

​

Doctor Bui Hung Viet, head of the examining ward of Can Tho children hospital said that over the last 10 days the number of children admitted increased markedly due to illnesses related to the hot weather like respiratory fevers and DHF.

​

"In one day, up to 900 children came to the hospital, of which 60 per cent had acute respiratory problems and high fever," said Viet.

​

Every day doctors have to examine some 100 patients on average.

​

Doctor Ly Mai Phuong, deputy director of the Soc Trang General Hospital, said on Wednesday alone 56 children were hospitalised due to DHF and four others were treated in the intensive care unit. ? VNS​

<hr color="#c1ebff" size="2">

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Health Ministry warned increase of dengue patients

28/06/2007


VietNamNet Bridge - The number of dengue patients is on the rise but there is not a safe and effective vaccine against denue fever, announced Director of Preventive Health Department under the Ministry of Health Nguyen Huy Nga in Hanoi on June 25.

At present, the number of infected people throughout the country has reached 22,000. Mr. Nga stressed that at present, there is not a safe and effective vaccine against dengue fever, so the best preventive measures are to raise public awareness about environmental hygiene and to kill the Aedes Aegypti mosquitoes.

He added that the Ministry of Health has submitted a proposal to the Prime Minister for approval, under which fines will be imposed on individuals or households that fail to abide by dengue prevention programs.

At the same time, epidemic specialists warned that if urgent preventive measures are not taken in an effective way, dengue fever will spread extensively throughout the country between August and November.

So far, dengue in Vietnam is mainly caused by type 2 viruses. Epidemic specialists, however, warned that the country has not only witnessed an increase in the number of infected people this year, but also the return of type D1, which poses a higher risk of fatality.

Epidemic experts also forecast that dengue fever will spread in the North due to unexpected changes of the weather.

In related news, pediatrician Tran Thi Thuy, deputy manager of the Infection Department of Children?s Hospital 2, revealed that 40 children suffering from dengue fever were admitted to the department for treatment on June 25. Among them, 39 reside in Ho Chi Minh City.

Also according to Ms. Thuy, since the beginning of the month, the hospital has received from 20 to 25 dengue patients for treatment daily.

At the Children?s Hospital 1,150 dengue patients were hospitalized on the same day. Pediatrician Nguyen Thanh Hung, deputy director of the hospital, reported that since last week, around 130 infected children have been admitted to the hospital for treatment each day, more than half of them from the Mekong Delta.

A recent report from the Ho Chi Minh City Preventive Health Center pointed out that so far this year, there have been 1,700 cases of dengue fever in the city, among which are patients from areas badly hit by the epidemic such as Districts 7, 9, Binh Thanh, Thu Duc and Nha Be.

http://english.vietnamnet.vn/social/2007/06/711419/

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

PM calls for action to check worst dengue outbreak in years


The Vietnamese government called Friday for drastic measures to contain the dengue fever epidemic that is raging around the country, which experts fear could be the worst in recent years.

In letter to leaders of provinces and cities, Prime Minister Nguyen Tan Dung told them to ensure that their subordinates carried out preventive measures to eradicate mosquitoes and their larvae.

Those failing to check dengue outbreaks would be penalized, the letter warned.

The Vietnam Administration of Preventive Medicine (VAPM) reported that 21,300 people had contracted the disease this year, 23 of them fatally, respectively 23 percent and seven fatalities more than last year.

The southern region has accounted for 88 percent of the cases and almost all the fatalities.

VAPM experts are also concerned that dengue has been breaking out regularly this year, and not just during ?seasons? like in past years.

The concentration of mosquitoes that transmitted dengue was very high in many southern provinces, they said.

In some places, it was up to 1.8 mosquitoes per house while the outbreak warning threshold was just 0.5.

Vietnam sees a major dengue epidemic every three to five years, with the worst one in recent times occurring in 1998 when 300,000 people were infected and 480 died.

http://www.thanhniennews.com/healthy/?catid=8&newsid=29553

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Dengue fever spreads in Da Nang, Ben Tre

15:42' 01/07/2007


VietNamNet Bridge - Reports from the Department of Epidemiology of the Da Nang Preventive Health Center have shown that dengue fever has spread to Da Nang city, where there were recent reports of 108 new cases.

The main cause of the epidemic is believed to be the unpredictable weather and unhealthy environment around the local slums.

The Preventive Health Center has cooperated with local authorities to spray anti-mosquito chemicals in high-risk areas and provide those families with more than two family members already suffering from dengue fever with an insect spray.

Since June, the southwestern province of Ben Tre has seen 1,400 dengue fever cases, the majority of which have been reported in the suburban district of Binh Dai.

Every day, the Nguyen Dinh Chieu hospital receives 70-80 dengue fever patients. The hospital is currently upgrading its system and employing more staff to cope with the ever-increasing number of dengue fever patients.

The Ben Tre People?s Committee has also ratified a project worth VND1.6 billion (approximately US$100,000) to buy more medicine, upgrade equipment and train staff to deal with the epidemic

http://english.vietnamnet.vn/social/2007/07/712595/

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Dengue fever grips central Vietnam


Heath agencies in central Vietnam have reported several dengue fever outbreaks recently as the disease has struck 27 percent more people this year than the same period in 2006.

Among the central region?s 11 provinces, the worst-hit by dengue are Binh Dinh, Quang Ngai, Khanh Hoa, and Binh Thuan. Some experts say recent weeks? hot weather and heavy rain are to blame for the abundance of fever-carrying mosquitoes.

According to Nguyen Hoang Minh from Binh Dinh General Hospital, the number of infections has increased nearly threefold in two weeks.

Four fatalities have been reported in the province this year and the hospital is now reporting 30 new cases a day, said Minh.

The disease is still spreading throughout the province and shows no signs of easing up, he warned.

In Quang Ngai province, well over 300 dengue cases have been reported this year, a fourfold increase year-on-year.

The central highlands province of Gia Lai has reported 136 cases over the same period.

Prime Minister Nguyen Tan Dung has instructed relevant authorities to exterminate mosquitoes in affected areas.

According to the Vietnam Administration of Preventive Medicine, 21,300 people have contracted the disease this year, 23 of them fatally. This is 27 percent more patients and 7 more deaths than over the same period last year.

Vietnam?s worst dengue epidemic in recent times occurred in 1998 when 480 died out of 300,000 cases.

http://www.thanhniennews.com/healthy/?catid=8&newsid=29582

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Dengue fever swamps Mekong Delta

Health centers in the Mekong Delta are overloaded with dengue fever patients as some provinces have registered upwards of 200 cases a week over the past few months.

Since the beginning of the year, Dong Thap province has seen over 3,000 dengue cases while neighboring provinces like Kien Giang and An Giang have been hit with 2,350 and 2,200 cases, respectively.

Phu Quoc island?s district hospital has received 20-30 dengue patients a day over the past few weeks.

Additionally, health agencies in central Vietnam have reported several dengue fever outbreaks recently.

The disease has struck 27 percent more people this year than over the same period in 2006.

According to the Vietnam Administration of Preventive Medicine, 21,300 people have contracted the disease this year, 23 of them fatally. This is 27 percent more patients and 7 more deaths than over the same period last year.

http://www.thanhniennews.com/healthy/?catid=8&newsid=29604

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Vietnam reports more dengue fever cases

Posted: 2007/07/19


HANOI, July 19 (Xinhua) -- Vietnam has so far this year detected 32,900 dengue fever patients, including 34 fatalities, a year-on-year increase of nearly 40 percent in the number of infection cases, the local newspaper People reported Thursday.

Most of the cases have been found in the country's southern Mekong Delta, whose weather conditions and local people's habit of storing water in containers at their houses favor the breeding of mosquitoes, the disease's transmitter.

The delta's Tien Giang province has seen 4,800 infection cases, including five deaths; Dong Thap province, 4,600, including four deaths; and Kien Giang province, nearly 3,200, including six death.

Local healthcare agencies are asking residents to frequently clean up environment around their accommodations, mainly by keeping water containers close and clean and killing mosquitoes and their larvae.

In 2006, Vietnam reported over 77,800 cases of dengue fever infections, including 68 fatalities. Up to 84 percent of the infections and 91 percent of the deaths were found in the southern region.

http://mathaba.net/news/?x=558167

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam


Dengue fever swamps Vietnam


Vietnam has recorded 50 percent more dengue fever infections this year than over the same period last year and the disease shows no signs of relenting, according to the Ministry of Health.

Over 88 percent of the mosquito-borne infections have occurred in the south, said health experts.

Nearly 53,000 of the nation’s 60,000 cases were reported in 20 southern provinces and cities, especially the Mekong Delta region where muggy weather and the abundance of large outdoor household water containers have proved conducive to the growth of mosquito populations in residential areas.

The worst-hit province, Dong Thap, has seen eight fatalities and nearly 8,000 infections this year, mostly in Hong Ngu, Thanh Binh, and Thap Muoi districts.

Head of the provincial health department Doctor Doan Hong said local hospitals and health centers had been overwhelmed.

The situation has shown no signs of easing up, according to health experts
The provincial administration has allotted over VND5 billion (about US$309,000), to control the epidemic this year alone.

Reported by Quang Minh Nhat – Translated by Tuong Nhi


Story from Thanh Nien News

Published: 23 September, 2007,

http://www.thanhniennews.com/print.php?catid=8&newsid=32187

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Dengue fever runs riot in the South

05/10/2007

VietNamNet Bridge - Ho Chi Minh City has seen an unprecedented number of dengue fever deaths this year and the government agencies must do more to get the epidemic under control, Dr. Le Hoang San from the HCMC Pasteur Institute warned yesterday.

Already this year the disease has struck 61,632 people in southern Vietnam, which is 50 percent more than last year, and killed 56, an increase of 40 percent.

Dr. Le Bich Lien, who heads the Department of Dengue Hemorrhagic Fever at Children?s Hospital No. 1, said the disease was spreading and showing no sign of easing up. Moreover, this year the transmitted virus is usually type D1 or D2.

The disease is changing in a complex way, especially in Ho Chi Minh City, where people still store water in open buckets and pots, observed Dr. San.

Local officials must marshal their resources to control the epidemic, publicize the latest news on the disease?s development, and bring in drastic measures to counter the rising death toll, another health official said.

 

[Gert van der Hoek]

Re: Dengue in Vietnam

Re: Dengue in Vietnam

Alarm raised as dengue fever spreads among HCMC adults

13:03' 12/10/2007 (GMT+7)


VietNamNet Bridge - The recent development of dengue fever in people over 15 years of age is puzzling officials, reported local health centers.

According to the statistics, the Ho Chi Minh City Hospital for Tropical Diseases has lately been receiving huge patient loads, with an average of around 70-100 dengue fever cases per week.

This disease, which typically affects young children, is increasingly being diagnosed in adults.

Regardless of age, the hospital is not equipped to handle the numbers. Patients have had to share beds or stay temporarily in corridors.

According to Mr. Nguyen Dac Tho, Vice Director of the Preventive Health Center in HCMC, the risk of dengue fever is still high. The outbreak areas in the suburbs of the city are currently under control; however the districts in the inner city such as Binh Thanh, Tan Binh, Districts 8 and 11, and others are now reported as epidemic areas.


Around 300 dengue cases are being hospitalized every week for diagnosis in the city. The patients are mostly immigrants who come from other provinces and cities looking for work, and most are living in the slums. Since the beginning of the year, the epidemic has killed 6 including two adults.

The causes of the demographic change, from children to adults, have not yet been brought to light. However, scientists theorize the reasons may include a decline in general disease immunity within the community.


Symptoms of dengue fever can be more severe in adults than in children, and may include high fever, severe headaches, nausea, vomiting, bellyache, and diarrhea.

Several serious clinical signs such as myocarditis, hepatitis, and bleeding in the digestive tract can occur among adult patients who have been infected by Type D dengue fever.

Other symptoms may include a high level of ALT and AST liver enzymes, accompanied by low blood sugar and yellow skin.


The Steering Committee for Dengue Fever Protection asked the localities and health centers to help curb the spread of dengue fever by providing knowledge and education about the disease, transmission, and prevention to all people.

The committee also mandates that people who have a fever come to health centers immediately for timely treatment.

http://english.vietnamnet.vn/social/2007/10/749030/