Dengue - March 21, 2009 +

[Commonground]

Re: Dengue - March 21, 2009 +

Hemorrhagic fever: Risks from fever 3
SXH early days usually only manifested high fever but from day 3 onwards, it is easy to appear shocked, not emergency in time, the patient may die.

With disease SXH, often in dangerous first 3-6 days of fever. SXH signs of pain the money shock liver, but withdrawal, irritability, less urination, blood pressure dropped, which is more severe than the arteries, blood pressure (expression of access circuit). Without timely intervention, the drug improved blood pressure, improve vascular risk patients, the mortality is very high.

Especially this year, the virus usually causes SXH tube 2 virus capable of re-infection should be high risk for re-infection is very great shock. In all of the medical examination and treatment were informed of the tube ca SXH D2 cause organ damage is severe. In addition to the classic manifestations such as lower platelet ago, hemorrhage, shock, vascular access, the patient still vulnerable organs (heart membrane epidemic, epidemic of lung membranes, increased hepatic enzyme ...). As patients die recently in pediatrics BV Bach Mai, hepatic enzyme increased to 4,000, than 40-50 times higher than normal.

Thus, during SXH, the patient should always be closely monitored. Although only the first few days of fever, the patient should be lying absolute rest, eat easy target substances, especially drinking plenty of water to reduce the risk of blood clots. When any signs that as the money shock, it should immediately take the patient to hospital for emergency in time.

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[Commonground]

Re: Dengue - March 21, 2009 +

Infected with influenza A/H1N1 and dengue: Pole dangerous!


Influenza A/H1N1 in the service situation and hemorrhage increased rapidly as the ability to present patients with both diseases simultaneously is significant. If both the evolutions severe disease, complications may be especially difficult in the treatment ...

The Institute for infectious diseases and tropical countries currently face severe overload by the time of this outbreak of influenza A/H1N1 and the service hemorrhage, many of which ca be dengue shock (shock). Two patients simultaneously both influenza A/H1N1 and dengue fever have been discharge. By TS. Nguyen Van Kinh, Director of Institute of the infectious diseases and tropical countries, the risk of cross infection and influenza A/H1N1 dengue fever occurred in their families, communities. Be difficult when treating this disease if infected both.

Ca 80% of dengue fever admitted in weight can

TS. Nguyen Van Dear said, this year's service dengue occurred in the northern provinces, where Hanoi is the specific focus of the service pathogens mainly serum Dengue type 2. This is the type easily cause severe shock, patients with high risk of death if not diagnosed and treated promptly. Up to 80% of patients hospitalized in critical condition, the level evolutions of dengue was divided into four levels from mild to severe and attitudes to treatment for each different level.

By TS. Glass, the clinical evolutions of dengue type 2 complex, in two patients on the first day of fever, fatigue. But step into the period from 3rd to 6th on a very dangerous phase, patients will be more fatigue, fever, pain the news of liver, a bleeding under the skin, epistaxis, bleeding root, platelets drops below 50,000 units ... Patients usually pay attention more to bleeding under the skin that subjective with epistaxis and bleeding feet that because these cases are easy to cerebral bleeding, gastrointestinal bleeding, bleeding lungs ... Complications shock occurs very rapidly during this period, the patients most at risk of failure viscera, blood coagulation disorders, electrolyte, liver enzyme increases, bleeding and organ ... and can die quickly.

Treatment guidelines dengue issued by the Ministry of Health has promoted efficiency, but the risk of shock in Dengue type 2 is highly recommended experts from concerned not difficult treatment under the line. TS. Glass that important issue today is to treat anti-shock training for doctors online below.

Two treatment regimens in patients newly infected dengue fever has infected influenza A/H1N1

World has had seven cases of dengue fever has infected influenza A/H1N1 infected, of which one died ca. The Infectious Disease Institute in tropical countries and also recorded two cases of the first two questions and coordinate disease. It is a 59-year-old male patient in Thanh Tri - Ha Noi and a 32-year-old female patient in Hoang Mai - Hanoi. Previous two patients who are completely healthy, without chronic diseases.

TS. Dear said both patients were determined simultaneously infected dengue fever and influenza A/H1N1 from the clinic: "The first two cases of Dengue virus and infected all influenza A/H1N1 virus at first we should should know are confused patients located in any area of treatment. But soon after we decided to treat two patients in the area of influenza A/H1N1 patients disease is spread by direct hemorrhagic fever Templates mosquitoes spread the disease to be transmitted disease. To treat two patients we used two regimens for the treatment of influenza A/H1N1 and treatment guidelines hemorrhage. The combination of these two regimens nothing special particular, is also used multiple antibiotic against infection, transmission of electrolytes and use tamiflu. The second patient was stable and discharge.

How disease trends in the winter?

By TS. Sincerely, current weather turned to cold weather, so this theory of ca hemorrhage will reduce the density of mosquitoes will eventually go but at least they still show signs of decline. But when the air is colder and drier sure progress will significantly reduced the disease by mosquitoes do not thrive as conditions of hot weather. However, respiratory disease not only influenza A/H1N1, but also many other factors such as bacterial pneumococcal, Hib bacteria, viruses with cells, viral influenza season through thuong.vv .. there will be more favorable than thrive in winter. Therefore, the risk of coordination types of viruses, bacteria that can cause respiratory diseases may occur. To avoid risk, measures to prevent individuals and can improve nutrition status should be noted, should be vaccinated with the vaccine were disease prevention, especially those at high risk.
By sk & Ds

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[Shiloh]

Re: Dengue - March 21, 2009 +

Source: http://www.thanhniennews.com/healthy/?catid=8&newsid=53595


Thanh Nien
Chief Editor : Mr. Nguyen Quang Thong
Managing Deputy Editor: Mr. Dang Thanh Tinh
Last Updated: Thursday, November 12, 2009 11:48:48 Vietnam (GMT+07)

Doctor says Hanoi tries to hide dengue fever deaths

Dengue fever patients at the Vietnam National Institute of Tropical and Infectious Diseases.

The Hanoi Health Department concealed five dengue fever deaths this year, hospital records reveal.

A report by Hanoi Health Department to the Prime Minister on October 22 stated that ?Hanoi had recorded 7,813 dengue fever infections, but no deaths, as of October 22, 2009,? according to newswire Vietnamnet.

But director of the National Institute of Tropical and Infectious Diseases Nguyen Van Kinh said the report was blatantly false.

?Five dengue fever deaths have occurred in Hanoi this year, including two at the institute and three at Bach Mai Hospital,? a Tuesday report by the same newswire quoted Kinh as saying.

The two deaths at the institute included Nguyen Tien Dat, 17, who was admitted September 19 and died the same day, according to medical records at the hospital. Ngo Hong Quang, 20, died on September 29, one week after he was hospitalized, the records said.

Shortly after Kinh spoke to Vietnamnet, Hoang Duc Hanh, deputy head of the Hanoi Health Department, told Tuoi Tre on Tuesday evening that two dengue fever patients had died in Hanoi this year. In contrast with official department figures, Hanh said there had been about 9,000 dengue cases recorded in the capital city this year.

He said the department was checking figures at Bach Mai and other hospitals. He said Bach Mai doesn?t report regularly to the city health authority but directly to the Preventive Health and Environment Department at the Ministry of Health.

Department head Nguyen Huy Nga said Hanoi Health Department would have no way of knowing about any deaths that hadn?t been reported by hospitals.

But Kinh said his institute had emailed the city department every day with dengue fever patient updates.

Do Le Huan, director of the Hanoi Preventive Health and Environment Center, refused to comment on the issue. He said he had just returned from Thailand and did not know what was going on.

Anti-dengue efforts to no avail

Reports by the Preventive Health and Environment Department showed that pesticide spraying operations had failed to reduce the number of mosquito larva in the city as the program had failed to reach most of the 5,200 ?hot-spots? identified in 29 districts.

The number of dengue fever patients hospitalized in Hanoi has dropped since late October but they were being admitted in more critical condition. Many were suffering from low blood pressure and even blood loss and others have needed respirator assistance.

Around 80 percent of in-patients with dengue fever at the National Institute of Tropical and Infectious Diseases had been admitted with signs of Dengue shock syndrome, Kinh said.

His deputy Nguyen Hong Ha said half of the 600-700 people admitted to the institute every day were dengue fever patients. The institute is treating 250 in-patients, mostly from Hanoi, he said.

In contrast with both the official figures from the department and those given by Hanh to Tuoi Tre, Ha said there had been 8,709 cases of dengue recorded in Hanoi as of Wednesday.

Source: Thanh Nien

 

[Shiloh]

Re: Dengue - March 21, 2009 +

Source: http://english.vietnamnet.vn/Health/200911/Hanoi-two-more-die-of-dengue-fever-879908/

Hanoi: two more die of dengue fever
18:01' 20/11/2009 (GMT+7)

VietNamNet Bridge ? Dengue fever has killed two more patients in Hanoi, reported the Hanoi Department of Health on November 19.



The victims are a 53-year-old woman in Ha Dong district and a 15-year-old boy in Dong Anh district. In late September, the capital also had two fatal cases.



Following confusion accusations of covering hiding the number of deaths, The Health Ministry asked the Hanoi Department of Health, the National Hospital of Infectious and Tropical Diseases and the Bach Mai Hospital to verify the number.



After the check, the Hanoi Department of Health confirmed the official figures were accurate.



The numbers of people suffering dengue fever in Hanoi are going down. However, there are still several serious cases, infected with virus type D2.



According to the Health Ministry, Vietnam had over 77,000 dengue fever patients in 33 out of 63 provinces and cities in January-October period. The number of patients rose by 7.3 percent year on year while the number of deaths felt by over 11 percent.



Notably, the number of dengue fever patients in the southern region reduced in both the number of cases and deaths while there were increases in other regions in the country, especially the north, where figure were four fold.



PV

 

[Commonground]

Re: Dengue - March 21, 2009 +

Tumultuous story two children died from dengue fever
Labor Day 284 of December 14, 2009 Updated: 7:58 AM, December 14, 2009

Two children dying from ca hemorrhagic fever just two days apart in Long An Hospital doing endless story in TP.Tan An.
"Black Week" of pediatrics

For more than 11 months of 2009, BVDKLA receiving treatment over a thousand ca SXH, but only occur a case of death by patients from remote areas, Tan Thanh district up too late. However, only 3 days (from 3 to 5:12) Left two deaths occurred in pediatrics BVDKLA.

In case the (8 year-old girls as Italian) family have nothing to complain, because the baby from Moc Hoa to BVDKLA too late.

The second (baby Chau Phuoc Sang, age 6, Ward 1, TP.Tan An) family are responded fiercely, because in his Ngoc Binh Chau - Sang grandson's father - said, as his new spouse a child, the family very hard love. Friday, November 27 evening, after further study (grade 1) on, detect fever grandchildren, families were brought immediately to BVDKLA. Grandson was hospitalized with the diagnosis of "viral infection".

News 3 days later, ie on November 30, the doctors (BS) new conclusions were descendants of I. SXH Disease and increased level II, level III and Sang baby died early on Thursday, March 12, ie 6 days after admission.

According to Binh, his family fiercely urgent response to the grandchildren because BVDKLA Sang BVDKLA not be taken to delay (or even too early) and during the treatment many times family descendants proposed for transfer to hospital Sang Children 1 (HCMC), but hospitals have declined. Initially, the doctor answered "sick nothing here worth extra effort," then later "moved very dangerous."

As well as daylight, during treatment Sang grandson, the doctor, the nurse was not due attention to the patients and their families, and not cranky about condition. According to Binh, the family he wanted to clarify death grandchildren Sang (which must rule by BVDKLA charge) not for compensation, but to "the other nephew died unjust similar. [?]

Hospital treated properly?

Dr. Vu Van Ben - Dean BVDKLA Children - said, he (along with some other BS) has direct treatment for grandchildren Sang. According to medical records, I Sang been on top (of the disease SXH) SXH not when symptoms appear, so BS diagnosis "fever virus". Next day visit that grandson to which the throat, the doctor treating "sore throat" for monitoring.

As of November 29, Dr. Ben examined directly for grandchildren Sang and prone to disease diagnosis SXH. To the BS on November 30 officially recognized degree SXH and I started treatment regimen in accordance with the Ministry of Health.

Explaining to patients SXH BVDKLA still very early death, Dr. Ben think that is something that modern medicine still "owe the disease," it belongs to "death rates for" for disease SXH .

Dr. Ben also said that early in 2009, pediatric treatment has received hundreds of ca SXH moving to the very severe (level III, level IV) but were treated successfully.

Dr. Phan Loi - Vice Director BVDKLA - said, he was the person to receive condolences and reflect the family's descendants Sang.

Council of Science - Engineering hospitals met on July 12 to review cases of death and concluded no mistakes during the treatment.

Dr. Loi also said that medical BVDKLA will take up a Children's Hospital to get reviews, comments.

Things to draw on experience in this case, Dr. Loi said: "If the assessment landscape serious illness, prognosis cautiously to tell the right people, and to respect, help to facilitate the selected establishments treatment required. Some hospital staff should be sympathetic and happier in the process of communicating with patients and their friends.

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[Commonground]

Re: Dengue - March 21, 2009 +

Translation dengue slowdown
December 14, 2009
In the past week, Hanoi recorded 236 cases, down 30% compared to last week.
Talking to press on September 12, Mr. Do Le Huan, Director of TT YTDP in Hanoi, SXH services in the area are declining all over each week, averaging 20-30% of patients per week.

This was due to cold weather in the North have limited the spread of Dengue virus causes translation. Dry climate, little rain, not suitable for reproduction and activity of mosquitoes.

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[Commonground]

Re: Dengue - March 21, 2009 +

Southern: hemorrhagic fever accounts for 75%

10:29 'December 15, 2009
Statistical first 10 months of 2009, dengue fever increased 7.3% over the same period, the number of 77,000 cases of infection, which makes up 75% South and 63 deaths.

Information given at the meeting on preventive medicine to the area Men took place yesterday in HCMC. Meanwhile, in Central in 2009, the number of malaria increased by more than 36% in three cases death.

Meanwhile, representatives of the Organization and Personnel of the Ministry of Health, said that the units in preventive medicine (YTDP) also posted notices have recruited doctors and specialist scientific preventive medicine widely but the of doctors applying less, even no.

According to Mr. Pham Le Tuan-Director of the Department of Planning and Finance, Ministry of Health, several local budget for YTDP only about 13% of the total budget while the Resolution dated 3-6-2008 shall 18-2008/NQ12 to spend at least 30% YTDP.

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[Commonground]

Re: Dengue - March 21, 2009 +

Timely rescue ca severe dengue
(AFP) - On December 17, Dr. Nguyen Thanh Thien, Islamic Scientific Jewelry, Children's Hospital 2 City, said, hospitals have emergency promptly BNT boys 28 years old, live Di An, Binh Duong, shocked severe, convulsions due to complications of dengue 4.

It is known that patients with fever from December 10 until noon on December 13 but, when that child has no fever but much more severe manifestations, Baby T. will be brought to the emergency hospital Children 2. Although quite awake but patients T. continuous vomiting, heart palpitations, cold limbs, severe respiratory distress, blood pressure was not measured, the circuit does not start but still quite awake.
The emergency department doctor has conducted anti-shock, communication services for patients, but patients still high fever, difficulty breathing, the doctor set ventilator internal trachea simultaneously for antibiotic use. We have over attack patients still critical but not ventilation.
According to Dr. Thanh Thien, patients experience severe complications due to hospitalization too late, mainly due to confused with common illnesses such as sore throat when I saw the red throat congestion.
"Parents should take children to hospital immediately if your baby fever than 2 days without that support," Dr. Shan recommendations.

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