Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

[Giuseppe]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

To other contributors/readers:

Are the patients reported in the post above the same confirmed some days ago - namely a young man and a two years old girl?

Are these new cases?

I will appreciate a quick response, thank you for the attention. IOH

 

[sharon sanders]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

I think it is a reference to the same 2 patients we have already identified.

 

[Commonground]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

IOH, I checked the site the story came from. This is only the 2nd story they have had on this outbreak. It is the original 2 cases.

 

[Giuseppe]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

IOH, I checked the site the story came from. This is only the 2nd story they have had on this outbreak. It is the original 2 cases.

Many thanks, Commonground and Sharon for the prompt response:tiphat:

 

[Commonground]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

CIDRAP News Scan
Apr 16, 2010

Vietnam confirms two more H5N1 cases in suspected case cluster

Health officials in Vietnam have confirmed two more H5N1 infections in a suspected case cluster in the country's Bac Kan province, Saigon Daily, Vietnam's Communist Party newspaper, reported today. The two patients were hospitalized in serious condition. Both are from the same village where other H5N1 cases were reported earlier, in a 22-year-old man and a 27-month-old girl. Earlier reports said 11 other patients with similar symptoms were isolated and treated with oseltamivir (Tamiflu). Clusters of H5N1 cases raise fears of person-to-person transmission, which raises the risk of the virus becoming a pandemic flu strain. Dr Tran Nhu Duong of the Institute of Hygiene and Epidemiology, part of the Vietnam's health ministry in Hanoi, told the Daily that two groups recently appointed to conduct an epidemiologic investigation of the village found that the first two patients both had contact with infected poultry, with no evidence of person-to-person spread.
Apr 16 Saigon Daily story

http://ow.ly/1zvo0

 

[Commonground]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

Ministry of Health Website:

Date 16/04/2010
[FONT=&quot]Continue recommendations flu A/H5N1[/FONT] <o></o>

[FONT=&quot]Cục Y tế Dự ph?ng v? M?i trường (Bộ Y tế) tiếp tục khuyến c?o mạnh mẽ người d?n thực hiện c?c biện ph?p ph?ng chống dịch c?m A/H5N1 tr?n người.[/FONT]​

[FONT=&quot]Department of Preventive Medicine and Environment (MOH) continues to strongly recommend people to implement preventive measures for influenza A/H5N1 in humans.[/FONT] <o></o>

[FONT=&quot]Theo Ph? Cục trưởng Nguyễn Văn B?nh, khi ph?t hiện gia cầm ốm, chết tuyệt đối kh?ng được giết mổ v? sử dụng m? phải th?ng b?o ngay cho ch?nh quyền địa phương xử l? kịp thời.[/FONT]​

[FONT=&quot]According to Deputy Director Nguyen Van Binh, as detected poultry sickness, death is not absolute slaughter and use that to immediately notify local authorities handled promptly.[/FONT]

[FONT=&quot]Người d?n cũng kh?ng vận chuyển, mua b?n gia cầm kh?ng r? nguồn gốc, đặc biệt tại c?c khu vực c? ổ dịch c?m tr?n gia cầm; đảm bảo ăn ch?n, uống s?i; rửa tay bằng x? ph?ng trước khi ăn v? sau khi đi vệ sinh.[/FONT]​

[FONT=&quot]People did not transport, purchase poultry of unknown origin, especially in areas with bird flu outbreak on ensuring cooked, boiled drinking, washing hands with soap before eating and after going hygiene.[/FONT]

[FONT=&quot]Đặc biệt, khi c? triệu chứng sốt, ho, kh? thở c? li?n quan đến c?m gia cầm phải đến ngay cơ sở y tế gần nhất để được kh?m v? điều trị kịp thời.[/FONT]​

[FONT=&quot]Especially when there is fever, cough, shortness of breath related to avian influenza should immediately nearest medical facility to be examined and treated promptly.[/FONT] <o></o>

[FONT=&quot]Trước đ?, Cục Y tế Dự ph?ng v? M?i trường th?ng b?o th?m ca bệnh dương t?nh với virus c?m A/H5N1 tại tỉnh Bắc Kạn.[/FONT]​

[FONT=&quot]Earlier, Department of Preventive Medicine and Environment reported more cases of influenza A/H5N1 virus positive in Bac Kan province.[/FONT]

[FONT=&quot]Hiện tại, bệnh nh?n đang được thở m?y, điều trị t?ch cực tại Bệnh viện Bệnh nhiệt đới Trung ương.[/FONT]​

[FONT=&quot]Currently, patients receiving mechanical ventilation, positive treatment in the Tropical Disease Hospital Central.[/FONT]

[FONT=&quot]Điều tra dịch tễ ban đầu cho thấy, tại nh? v? xung quanh khu vực nơi bệnh nh?n đang sinh sống c? hiện tượng gia cầm ốm, chết.[/FONT]​

[FONT=&quot]Initial epidemiological investigation showed that, at home and around the area where patients are living with sick poultry phenomenon, died.[/FONT] <o></o>

[FONT=&quot]Thụy Khu?

http://translate.googleusercontent....&twu=1&usg=ALkJrhhIM_22cBBiu2uEX3vXP1nr6E7EJA​

 

[sharon sanders]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

I have checked several of the newspapers that carried the original story and they do not have any new patients mentioned.

 

[Sally Furniss]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

This appears to be the original of the story above in post #100

Cảnh báo sự xuất hiện chùm ca bệnh cúm A/H5N1
Thứ năm, 15/04/2010, 14:49 (GMT+7)

*
Nguy cơ dịch tả bùng phát lớn

(SGGPO). – Ngày 15-4, TS Nguyễn Huy Nga, Cục trưởng Cục Y tế dự phòng và môi trường cho biết: Chỉ trong vòng những ngày đầu tháng 4-2010, Sở Y tế tỉnh Bắc Kạn xác nhận có 2 bệnh nhân ở một thôn của huyện Chợ Mới nhiễm cúm A/H5N1 trong tình trạng nguy kịch. Việc ghi nhận 2 bệnh nhân ở cùng một thôn mắc cúm A/H5N1 như vậy báo hiệu sự bùng phát một chùm ca bệnh, nguy hiểm hơn nó còn cảnh báo về sự lây lan cúm A/H5N1 từ người sang người, điều chưa từng có ở nước ta.

Trong khi đó, TS Trần Như Dương, Phó Viện trưởng Viện Vệ sinh dịch tễ Trung ương cho biết, Viện đã cử 2 đoàn công tác xuống điều tra dịch tễ tại thôn này. Kết quả cho thấy, cả 2 bệnh nhân đều có tiếp xúc với gia cầm bệnh. Hiện chưa thấy có bằng chứng nào cho thấy có sự lây lan từ người qua người trong 2 ca bệnh này.

Liên quan tới dịch tả, TS Nguyễn Huy Nga cho biết, cả nước hiện ghi nhận 4 địa phương phát hiện có bệnh nhân tả nhưng nguy cơ bùng phát dịch bệnh nguy hiểm này là rất lớn. Thời tiết nắng nóng bất thường tại Nam bộ trong những ngày qua là điều kiện thuận lợi cho khuẩn tả phát triển. Nắng nóng dẫn đến thiếu nguồn cung cấp nước sạch nên nhiều người phải sử dụng nguồn nước không bảo đảm vệ sinh khiến nguy cơ mắc khuẩn phẩy tả tăng cao.

Thêm vào đó, hàng hóa thực phẩm trong điều kiện nóng ẩm không được bảo quản tốt đã làm vi khuẩn có hại, đặc biệt là vi khuẩn tả phát sinh. Mặt khác, mùa hè là mùa du lịch nên nhu cầu đi lại giữa các vùng miền tăng khiến dịch nguy cơ lan rộng.

Để chủ động phòng chống bệnh truyền nhiễm trong thời điểm giao mùa, Cục Y tế dự phòng và môi trường khuyến cáo mạnh mẽ người dân thực hiện vệ sinh cá nhân, vệ sinh môi trường, rửa tay bằng xà phòng trước khi ăn và sau khi đi vệ sinh; đảm bảo ATVSTP, thực hiện ăn chín uống sôi, sử dụng nước sạch để phòng tránh các bệnh lây truyền qua đường tiêu hoá, đặc biệt là phòng tránh bệnh tả; trong vùng có dịch, các gia đình không nên tổ chức ăn uống đông người.

QUỐC LẬP

http://www.sggp.org.vn/ytesuckhoe/2010/4/223553/


Warning appearance A/H5N1 flu cluster
Thursday, 15.04.2010, 14:49 (GMT +7)

*
The risk of major cholera outbreak

(SGGPO). - 15-4 days, Dr. Nguyen Huy Nga, director of the Department of Preventive Medicine and Environment, said: Within the first days of May 4-2010, Bac Kan Province Health Department has confirmed two patients in a rural Cho Moi district of influenza A/H5N1 infection in critical condition. The recognition of two patients suffering from the same village as influenza A/H5N1 outbreaks so signal a cluster cases, more dangerous, it also warned of A/H5N1 influenza spread from person to person, it never have in our country.

Meanwhile, Dr. Tran Nhu Duong, Deputy Director of the Institute of Hygiene and Epidemiology, said the Institute has appointed two working groups to epidemiological investigation in this village. Results showed that two patients both have contact with infected poultry. We have not found any evidence that is spread from person to person in these two cases.

Related to cholera, said Dr. Nguyen Huy Nga said the country recorded four local detection of cholera patients but the risk of an outbreak of serious disease is enormous. Unusually hot weather in the South in those days was favorable conditions for cholera bacteria to grow. Which lead to hot water supply so many have not used water hygiene risk of bacteria causing cholera point increase.

In addition, food commodities in hot and humid conditions are not good storage has harmful bacteria, especially cholera bacteria arise. On the other hand, summer is tourist season should travel demand between the regions that increase the risk of epidemic spread.

To proactively prevent infectious diseases in the time of the season, the Department of Preventive Medicine and Environmental strongly recommends people make personal hygiene, environmental hygiene, wash hands with soap before eating and after using the toilet, ensuring food safety, implementation of drinking boiled cooked, use clean water to prevent infectious diseases through the gastrointestinal tract, especially the prevention of cholera; in epidemic areas, the family should not organization of people eating.

 

[Commonground]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

Post #82:

I have read in numerous stories of late - that Vietnam has 2 deaths for 2010. That is not true. The WHO did not report one death, although they did confirm it. The Ministry of Health confirmed the death. I would think that should be sufficient. Here is my data:

I went to the Ministry of Health website. While there is a post on the confirmation of the 17 yo, there is not a post declaring they died. The only source is the website I mentioned, saying the MOH confirmed. I will adjust my list. We have 2 deaths to date for Vietnam, in 2010.

 

[Giuseppe]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

Avian Influenza, Human -MBDS Region: Vietnam, Bac Can (update, from ProMedMail.org, April 17, 2010, edited)

[Source: ProMedMail.org, (LINK). Edited.]

Archive Number 20100417.1243
Published Date 17-APR-2010
Subject
PRO/MBDS Avian influenza, human - MBDS region (13): Viet Nam (Bac Kan)

AVIAN INFLUENZA, HUMAN - MBDS REGION (13): VIET NAM (BAC KAN)
*************************************************************
A ProMED-mail post <http://www.promedmail.org>
ProMED-mail is a program of the International Society for Infectious Diseases <http://www.isid.org>

Date: Wed 14 Apr 2010
Source: Tien Phong Online [in Vietnamese, trans.& summ., Mod.QCN, edited] <http://www.tienphong.vn/Tianyon/Index.aspx?ArticleID=191661&ChannelID=9>


Influenza A (H5N1) is not transmitted from human to human
----------------------------------------------------------
Yesterday afternoon [14 Apr 2010], at a meeting of the National Steering Committee for pandemic influenza control and prevention, Dr Tran Nhu Duong, Deputy Director of the National Institute of Hygiene and Epidemiology confirmed that influenza A (H5N1) has not been transmitted from human to human.

The investigation of the Institute on 2 cases of influenza A (H5N1) in Na Tao village, Nhu Co commune, Cho Moi District, Bac Kan province did not detect human to human virus transmission.

Reports of 2 investigation teams of the Institute in Bac Kan showed that the 2 patients were living about 100 meters apart, and they had never been in direct contact with each other.

All 33 people who had contact with the patients, including relatives, visitors, neighbors, nurses, and physicians, were tested and monitored for 16 days. There has been no case with symptoms of the disease. All the test results were negative.

--
Communicated by:
PRO/MBDS
<promed-mbds@promedmail.org>

[According to the newswire above, Dr. Tran Nhu Duong, Deputy Director of the National Institute of Hygiene and Epidemiology confirmed that there were 2 confirmed cases of A (H5N1) in Bac Kan province in the north of Viet Nam (see PROMED/MBDS previous postings on these cases: Avian influenza, human - MBDS region (12): Viet Nam (Bac Kan), RFI 20100409.1149). He also reported that the investigation of his institute concluded that there has not been human to human virus transmission in Bac Kan and all 33 suspected cases were negative for influenza A (H5N1).

The 2 confirmed cases in Bac Kan province bring the total of confirmed A (H5N1) cases in Viet Nam in 2010 up to 7.

The cumulative number of confirmed human cases of avian influenza A (H5N1) reported to the WHO, dated 9 Apr 2010, is available at <http://www.who.int/csr/disease/avian_influenza/country/cases_table_2010_04_09/en/index.html>. There have been 117 cases and 59 fatalities reported from Viet Nam to the WHO since 2003, and a total of 5 cases and 2 fatalities have been reported since January 2010. The 2 new confirmed cases from Bac Kan province have yet been added to the WHO report.

For a map of Viet Nam with provinces, see <http://en.wikipedia.org/wiki/File:VietnameseProvincesMap.png>. Bac Kan province can be located on the HealthMap/ProMED-mail interactive map with direct links to other outbreaks in Viet Nam and surrounding countries reported on ProMED-mail and PRO/MBDS at <http://healthmap.org/r/01cg>. - Mod.QCN]

(...)
-
-------

 

[Giuseppe]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

From Laodong.com.vn, http://www.laodong.com.vn/Home/Nguy...n-tai-xanh-toan-mien-Bac/20104/181443.laodong

(...)

Theo số liệu của Cơ quan Ph?t triển Quốc tế Hoa Kỳ (USAID), t?nh đến 15.4, VN đ? c? hơn 3.000 ca dịch c?m tr?n gia cầm v? 119 ca bệnh ở người, trong đ? hơn một nửa đ? tử vong ? đứng thứ hai to?n cầu về tỉ lệ ca bệnh v? tử vong do c?m gia cầm ở người. D.H

(...)

Raw Google Translation:

(...)

According to the Agency for International Development (USAID), up to 15.4, Vietnam has more than 3,000 flu cases in poultry and 119 human cases, of which more than half were fatal - second the rate of global cases and deaths from avian influenza in humans.

(...)

But WHO April 9, 2010 Cumulative Number of Cases and Deaths table for Vietnam reports 117 cases and 59 deaths. (http://www.who.int/csr/disease/avian_influenza/country/cases_table_2010_04_09/en/index.html)

-

So at least two additional cases have been confirmed by Vietnamese health authorities but the official WHO case count has to be updated yet.

 

[alert]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

Evidently ProMed corrected themselves for the post they made earlier in the day. See post #110 above. (sharon sanders)

http://www.promedmail.org/pls/otn/f..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,82302

Archive Number 20100417.1249
Published Date 17-APR-2010
Subject PRO/AH/EDR> Avian influenza, human (31): Viet Nam (BK) cluster, NOT

AVIAN INFLUENZA, HUMAN (31): VIET NAM (BAC KAN) CLUSTER, NOT
************************************************************
A ProMED-mail post
<http: www.promedmail.org="">
ProMED-mail is a program of the
International Society for Infectious Diseases
<http: www.isid.org="">

Date: Wed 14 Apr 2010
Source: Tien Phong Online [in Vietnamese, trans. & summ., Mod.QCN, edited]
<http: www.tienphong.vn="" tianyon="" index.aspx?articleid="191661&ChannelID=9">


Influenza A (H5N1) is not transmitted from human to human
---------------------------------------------------------------------------
Yesterday afternoon [14 Apr 2010], at a meeting of the National
Steering Committee for pandemic influenza control and prevention, Dr
Tran Nhu Duong, Deputy Director of the National Institute of Hygiene
and Epidemiology confirmed that influenza A (H5N1) has not been
transmitted from human to human.

The investigation of the Institute on 2 cases of influenza A (H5N1)
in Na Tao village, Nhu Co commune, Cho Moi District, Bac Kan province
did not detect human to human virus transmission.

Reports of two investigation teams of the Institute in Bac Kan showed
that the two patients were living about 100 meters apart, and they
had never been in direct contact with each other.

All 33 people who had contact with the patients, including relatives,
visitors, neighbors, nurses, and physicians, were tested and
monitored for 16 days. There has been no case with symptoms of the
disease. All the test results were negative.

--
Communicated by:
PRO/MBDS



[According to the press report above, Dr. Tran Nhu Duong, Deputy
Director of the National Institute of Hygiene and Epidemiology
confirmed that there were 2 confirmed cases of A (H5N1) in Bac Kan
province in the north of Viet Nam (see: Avian influenza, human (29):
Viet Nam (BK), cluster, susp. 20100412.1188, Avian influenza, human
(28): Viet Nam (BK), RFI 20100405.1092). He also reported that the
investigation of his institute concluded that there has not been
human to human virus transmission in Bac Kan and all 33 suspected
cases were negative for influenza A (H5N1).

The 2 confirmed cases in Bac Kan province bring the total of
confirmed A (H5N1) cases in Viet Nam in 2010 to 7. The cumulative
number of confirmed human cases of avian influenza A (H5N1) reported
to the WHO, dated 9 Apr 2010, is available at
<http: www.who.int="" csr="" disease="" avian_influenza="" country="" cases_table_2010_04_09="" en="" index.html="">.
There have been 117 cases and 59 fatalities reported from Viet Nam to
the WHO since 2003, and a total of 5 cases and 2 fatalities have been
reported since January 2010. The 2 new confirmed cases from Bac Kan
province have [not] yet been added to the WHO report. - Mod.QCN]

[Bac Kan province in northeastern Viet Nam can be located on the map at
<http: en.wikipedia.org="" wiki="" file:vietnameseprovincesmap.png="">.
The HealthMap/ProMED-mail interactive map of Viet Nam can be accessed at
<http: healthmap.org="" r="" 01cg="">. - Mod.CP]</http:></http:></http:></promed-mbds@promedmail.org></http:></http:></http:>

 

[sharon sanders]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

Thank you everyone.

After reviewing this thread it appears that we were first with the information and we are also the most reliable group who have reported on this event.

Treyfish, Commonground, Dutchy, Shiloh, and others have spent years looking at disease situations in Vietnam. It was apparent to us that the reports of the last 2 days were mentioning the same 2 patients in Bac Kan.

We are aware of what late reporting by a governmental source will do to the news media. They sometimes report what is old news to us, as new. Then different services pick up this old news and report it again.

Thank you to all the experienced news analysts on FluTrackers.

Who, by the way, are not paid. All volunteers from all over the world.

:applause:

 

[Treyfish]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

On 21-04-2010 15:29

Has been translated to control avian influenza A (H5N1) in Bac Can
Four checkpoints in Cho Moi district
will be maintained until the end of avian influenza.
NDDT - After announcing bird flu outbreak (H5N1), Cao Na first in the village, As can commune, Cho Moi district (Bac) on 6-4, this disease has quickly spread to the countryside Total Stock and South Vietnam, Yen Ting (Cho Moi). Thanks to the implementation of positive measures, Bac Kan has now been translated to control avian influenza A (H5N1) in poultry and humans.


This morning, 21-4, Health Department Deputy Director Hoang Van Bac Linh said: The two patients positive for influenza A (H5N1) and other patients with symptoms of cough, sore throat, difficulty breathing, fever was Hospital treatment in Cho Moi district were cured and discharged.


Besides, from 13-4 so far no outbreak of any outbreak of bird flu in the province. In three villages had bird flu outbreak, the authorities in Cho Moi district sprayed disinfectant chemical disinfection than ten times, destroyed more than 5600 birds in the outbreak, the neighboring village, nearly 65 thousand As birds Try Commune, Yen Dinh and surrounding villages with high infection risk have been vaccinated prevent flu vaccine. Cho Moi district currently maintains four checkpoints at the gateway to the provincial outbreak until the end of service announcement. :tiphat:http://www.nhandan.com.vn/tinbai/?top=39&sub=62&article=173007

 

[Laidback Al]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

WHO update . . .

Avian influenza ? situation in Viet Nam - update 11

21 April 2010 -- The Ministry of Health has reported two new confirmed human cases of A(H5N1) avian influenza infection on 6 and 9 April 2010. These cases were confirmed at the National Institute for Hygiene and Epidemiology.
The first case is a 22 year old male from Nhu Co commune, Bac Kan province. He developed symptoms on the 28 of March 2010 and was transferred to the National Hospital of Tropical Diseases in severe condition. Confirmatory test results for influenza A (H5) were obtained on 3 April.
The initial epidemiological investigations show that there were sick/dead poultry at the patient's home and in the surrounding areas.
The second case is a 2 year old girl residing in Cho Moi district, Bac Kan province. She developed symptoms on 2 April 2010. On 4 April, she was transferred to Cho Moi District Hospital for treatment where she is in a stable condition. Confirmatory test results for influenza A (H5) were obtained on 7 April.
The initial epidemiological investigations show that there were sick/dead poultry at the patient's home and in the surrounding areas. The patient's family slaughtered the sick poultry to eat.
There is no epidemiological link between these two cases that would indicate human-to-human transmission.
Of the 119 cases confirmed to date in Viet Nam, 59 have been fatal.

http://www.who.int/csr/don/2010_04_21/en/index.html

 

[alert]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

http://www.afludiary.blogspot.com/

Wednesday, April 21, 2010
WHO H5N1 Update For Vietnam




# 4513





The World Health Organization has posted an avian influenza update (#11) for Vietnam, citing two new cases in Bac Kan province. One is listed in critical condition, the other as stable.



These cases began in late March and early April, and were covered extensively in this blog (here, here, here, and here),on Crofsblog, on Scott McPherson?s blog, and on the flu forums.



Although the two victims lived in close proximity to one another, and came down with the infection within a few days of each other, authorities state they have been unable to establish any epidemiological link suggesting human-to-human (H-2-H)transmission.



The burden of proof for H-2-H transmission of H5N1 has always been high, particularly when other plausible explanations for multiple infections exist.



In this case, sick and dying birds had been reported in and around both homes, and both victims could have been exposed through that route.



The operative words here being `could have?. There is simply no way to know with absolute certainty.



No diagnosis or explanation has been offered for the two dozen others in the village who reported flu-like symptoms, and who reportedly received Tamiflu.



While false negative tests for H5N1 are pretty common, their mass recovery would seem to argue for them having had something other than bird flu, but questions remain.



For now, the good news is that whatever transpired in this village appears to have been brought under control. No new cases have been reported, and most of those treated have apparently recovered.


Here is the WHO update.





Avian influenza ? situation in Viet Nam - update 11


21 April 2010 -- The Ministry of Health has reported two new confirmed human cases of A(H5N1) avian influenza infection on 6 and 9 April 2010. These cases were confirmed at the National Institute for Hygiene and Epidemiology.



The first case is a 22 year old male from Nhu Co commune, Bac Kan province. He developed symptoms on the 28 of March 2010 and was transferred to the National Hospital of Tropical Diseases in severe condition. Confirmatory test results for influenza A (H5) were obtained on 3 April.



The initial epidemiological investigations show that there were sick/dead poultry at the patient's home and in the surrounding areas.



The second case is a 2 year old girl residing in Cho Moi district, Bac Kan province. She developed symptoms on 2 April 2010. On 4 April, she was transferred to Cho Moi District Hospital for treatment where she is in a stable condition. Confirmatory test results for influenza A (H5) were obtained on 7 April.



The initial epidemiological investigations show that there were sick/dead poultry at the patient's home and in the surrounding areas. The patient's family slaughtered the sick poultry to eat.



There is no epidemiological link between these two cases that would indicate human-to-human transmission.



Of the 119 cases confirmed to date in Viet Nam, 59 have been fatal.

Posted by Michael Coston at 12:10 PM 0 comments
Labels: Bird Flu, Vietnam, WHO

 

[alert]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

The bold text is not current; Treyfish's post (#114) indicates that both confirmed cases have recovered and been discharged.

http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/apr2110avian_mws.html

Lisa Schnirring Staff Writer


Apr 21, 2010 (CIDRAP News) ? Cambodia's health ministry today announced that a 27-year-old man died of H5N1 avian influenza, while the World Health Organization (WHO) confirmed two previously reported cases in Vietnam and ruled out human-to-human transmission.

The Cambodian man, whose case is the country's first of the year, lived in the eastern part of the country in Prey Veng province, the Associated Press (AP) reported today. Few other details were available about the case, and the health ministry said it is investigating the man's illness and death. He will be listed as Cambodia's 10th H5N1 case and its 8th death from the disease.

Meanwhile, the WHO today confirmed the H5N1 infections of two Vietnamese patients who are part of a suspected case cluster. The patients, a 22-year-old man and a 2-year-old girl are both from Bac Kan province in the northern part of the country. Their illnesses raise the number of H5N1 cases in Vietnam to 119, of which 59 have been fatal.

Previous news reports said the area where the two live had mass poultry deaths and that at least four other people with flulike symptoms were isolated and treated with antiviral medication. Reports of suspected and confirmed H5N1 infection clusters raise fears that the virus is becoming more transmissible among humans and could become a pandemic flu strain. However, the WHO said an epidemiologic investigation has found no link between the two patients that would suggest human-to-human transmission.

A WHO statement suggests both had similar exposure to the virus. It said an initial investigation revealed sick and dead poultry around both patients' homes and in surrounding areas. It said the girl's family had recently slaughtered sick poultry to eat.

The man is listed in critical condition at National Hospital of Tropical Diseases, and the girl is in stable condition at Cho Moi District Hospital.

The newly confirmed Vietnamese H5N1 cases raise the global H5N1 total to 495 cases, which includes 292 deaths

 

[Sally Furniss]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

News reported 22 Male as being in critical condition on April 5.
http://www.flutrackers.com/forum/showthread.php?t=144305

Thursday, 8/4/2010 hospitalized in very serious condition, pale body, thought most organs, including lungs was most severe (severe respiratory failure), heart and kidneys also began to suffer.
http://www.flutrackers.com/forum/showpost.php?p=351127&postcount=41

Is it possible for him to have recovered and been discharged by now?

 

[Treyfish]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

Wednesday, April 28, 2010

Outbreak under control influenza A/H5N1 in Bac Kan


Thursday, 29/04/2010 - 08:26

(AP) - After a month properly recorded patients infected with avian influenza A/H5N1 and 26 on the first Monday of patients at Cho Moi, Bac Kan, experts have confirmed this outbreak under control . This is two separate cases, there is no transmission.
At meetings of flu in the afternoon 28 / 4, Dr. Tran Nhu Duong, Deputy Director of Institute of Hygiene and Epidemiology said PRIVATE, influenza A/H5N1 outbreak in Cho Moi, Bac Kan completely controlled processing. Because all those involved in these two cases underwent follow-up provisions (21 days) until now completely healthy, no signs of flu.

According to epidemiological investigation also showed that two cases of influenza A/H5N1 in Bac Kan no contact with each other, are two separate cases. This shows that influenza A/H5N1 have not spread from person to person.

:magnify:With two cases of bird flu, the person already has a hospital. A case is being treated at the Institute for Tropical Diseases country. The test of this patient were negative for influenza A/H5N1 and will be in the hospital next week.

Experts recommend that people absolutely do not slaughter poultry to eat meat. When seen live around the phenomenon poultry disease, death should immediately notify authorities. If signs of flu, high fever, sudden need to quickly bring the patient to hospital for examination and treatment promptly.:tiphat:http://dantri.com.vn/c7/s7-393156/khong-che-duoc-o-dich-cum-ah5n1-tai-bac-kan.htm

 

[alert]

Re: Vietnam - 2 Confirmed H5N1 Human Cases in Bac Kan - 11 Treated and Released, 33 Screened & Test Negative

And we reached the 21 days point since the isolation of the most recent confirmed case. I take the bold text to mean that both confirmed cases have indeed been discharged, and only one suspect case remains in hospital, it has tested negative, and will be discharged next week.

http://dantri.com.vn/c7/s7-393156/khong-che-duoc-o-dich-cum-ah5n1-tai-bac-kan.htm

Khống chế được ổ dịch cúm A/H5N1 tại Bắc Kạn Outbreak under control influenza A/H5N1 in Bac Kan
(Dân trí) - Sau đúng 1 tháng ghi nhận bệnh nhân nhiễm cúm gia cầm A/H5N1 đầu tiên và 26 ngày với bệnh nhân thứ hai tại huyện Chợ Mới, Bắc Kạn, các chuyên gia khẳng định đã khống chế được ổ dịch này. (AP) - After a month properly recorded patients infected with avian influenza A/H5N1 and 26 on the first Monday of patients at Cho Moi, Bac Kan, experts have confirmed this outbreak under control . Đây cũng là hai ca bệnh riêng lẻ, không có sự lây truyền. This is two separate cases, there is no transmission.
Tại cuộc họp giao ban phòng chống dịch cúm ở người chiều 28/4, TS Trần Như Dương, Phó Viện trưởng Viện Vệ sinh dịch tễ TƯ cho biết, ổ dịch cúm A/H5N1 tại huyện chợ Mới, Bắc Kạn hoàn toàn được khống chế. At meetings of flu in the afternoon 28 / 4, Dr. Tran Nhu Duong, Deputy Director of Institute of Hygiene and Epidemiology said PRIVATE, influenza A/H5N1 outbreak in Cho Moi, Bac Kan completely controlled processing. Vì tất cả những người có liên quan đến 2 ca bệnh này đã trải qua thời gian theo dõi quy định (21 ngày) đến nay hoàn toàn mạnh khỏe, không có biểu hiện cúm. Because all those involved in these two cases underwent follow-up provisions (21 days) until now completely healthy, no signs of flu.

Theo điều tra dịch tễ cũng cho thấy, 2 trường hợp nhiễm cúm A/H5N1 tại Bắc Kạn không hề có sự tiếp xúc với nhau, là hai ca bệnh riêng lẻ. According to epidemiological investigation also showed that two cases of influenza A/H5N1 in Bac Kan no contact with each other, are two separate cases. Điều này cho thấy, cúm A/H5N1 chưa có sự lây từ người sang người. This shows that influenza A/H5N1 have not spread from person to person.

Với hai trường hợp nhiễm cúm gia cầm này, hiện đã có một người được xuất viện. With two cases of bird flu, the person already has a hospital. Một trường hợp đang được điều trị tại Viện các bệnh nhiệt đới quốc gia. A case is being treated at the Institute for Tropical Diseases country. Kết quả xét nghiệm của bệnh nhân này cũng đã âm tính với cúm A/H5N1 và sẽ được xuất viện trong tuần tới. The test of this patient were negative for influenza A/H5N1 and will be in the hospital next week.

Các chuyên gia khuyến cáo, người dân tuyệt đối không giết mổ gia cầm bệnh để ăn thịt. Experts recommend that people absolutely do not slaughter poultry to eat meat. Khi thấy xung quanh khu sinh sống có hiện tượng gia cầm bệnh, chết cần báo ngay với cơ quan chức năng. When seen live around the phenomenon poultry disease, death should immediately notify authorities. Còn nếu có biểu hiện cúm, sốt cao đột ngột cần nhanh chóng đưa người bệnh tới viện để được khám, chữa trị kịp thời. If signs of flu, high fever, sudden need to quickly bring the patient to hospital for examination and treatment promptly.