Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 - December 16, 2009

[Commonground]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

The patient who is recovering and tested negative (4F) was admitted 3/20.

correct

Most articles say she died (on 3/20) 4 days after admission.

correct.

I have her (26 yo) as Recon from Community Clinic 3/16. With Adm: to Gen. Hosp. Bac Lieu on 3/20. So....you're saying she was admitted to Gen. Hosp. on 3/16? Maybe she arrived at the Community Ctr and was reconciled on the same day, 3/16.

 

[HenryN]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Commentary at

http://www.recombinomics.com/News/03210901/H5N1_Soc_Trang.html

 

[AlaskaDenise]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Commentary at

http://www.recombinomics.com/News/03210901/H5N1_Soc_Trang.html

Commentary

Likely H5N1 Fatality in Soc Trang Southern Vietnam

Recombinomics Commentary 13:23
March 21, 2009

According to report of Hospital Bac Lieu am 20 / 3, patients Ly Thi Hang, 26 years old, living at 23 Hamlet, Chau Hung Commune, Thanh Tri district, Soc Trang, have died of infection by the H5N1 virus.

The above translation describes another suspect H5N1 fatality in southern Vietnam. This case is about 35 miles south of the two earlier cases in Dong Thap (see updated map). In Dong Thap, the initial case (3M from Phu Hoa Hamlet in Chau Thanh district) died March 19 and was H5N1 lab confirmed. The second case (4F) was from an adjacent hamlet (An Hoa hamlet in Chau Thanh district) and is recovering. This case has tested negative.

However, the case fatality rate in Vietnam is high, raising concerns that milder cases are testing negative. The other two cases in the south have died, as have three of four confirmed cases in northern Vietnam. However, the only reported survivor in northern Vietnam was the sister of a fatal case (13F) who was not tested. The surviving sister (8F) initially tested negative on the rapid test, but was subsequently PCR confirmed twice, meeting the WHO definition of an H5N1 confirmed test. However, local media reports indicated the lab confirmation was inconclusive, citing the negative rapid test, and the attending physician tried to justify the lack of testing of the fatal case, even after the sister was twice PCR confirmed. The comments regarding this cluster in the north raise questions about testing and reporting of H5N1 cases in Vietnam in general.

Previous, in the spring of 2005, northern Vietnam had an increase in the number of clusters and a dramatic drop in the number of fatal cases (less than 10% CFR). Similar mild cases have been reported in Egypt in the spring of 2007, and this year all 8 confirmed cases in Egypt have been discharged or stable. The most recent confirmed case in Egypt was symptomatic for 4 days, raising concerns that the number of mild cases in Egypt this year is markedly higher than the 8 confirmed cases, since most suspect cases without a link to dead or dying poultry are not tested fro H5N1, and milder cases would commonly be diagnosed as seasonal flu.

In Vietnam, the current cluster of three cases in the south are the first reported this year, and last year the vast majority of confirmed cases were also in the north. These recent cases in the south raise additional concerns of unreported milder cases in Vietnam, as well as other countries which report high case fatality rates, such as Indonesia and China.

.

 

[Commonground]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Here is my listing for Vietnam:
* Adm. date edited on 3/23.

 

[Shiloh]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Source: http://news.xinhuanet.com/english/2009-03/23/content_11057057.htm

Vietnamese woman dies of suspected bird flu
www.chinaview.cn 2009-03-23 11:15:46

HANOI, March 23 (Xinhua) -- A Vietnamese 26-year-old woman from Mekong Delta province of Soc Trang died with symptoms similar to bird flu patients, the local newspaper Labor reported on Monday.

The woman, named Ly Thi Hang, was admitted to the Bac Lieu general hospital on March 16 to treat symptoms of coughing, difficulty in breathing, and pneumonia, said Nguyen Minh Tung, head of the hospital's preventive health center.

Hang's condition worsened, and she died on March 20, said Tung.

Hang ate death duck about a month ago before being taken to the hospital, said her family member.

According to Nguyen Huy Nga, Head of the Department of Preventive Health and Environment under the Ministry of Health, her blood sample will be tested to confirm the case.

Soc Trang province where the victim comes from was previously reported of being hit by avian flu and has been lifted out of the black list of infected areas in Vietnam, according to Vietnam's Department of Animal Health under the Ministry of Agriculture and Rural Development on Monday.

Vietnam has reported four human cases of bird flu so far this year, three of them died.

In 2008, bird flu killed five people in Vietnam.

Currently, Vietnam reports four provinces nationwide hit by avian flu including two provinces in Mekong Delta, namely Ca Mau and Bac Lieu, and two northern provinces of Quang Ninh and Dien Bien, according to Department of Animal Health on Monday.

 

[Commonground]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Dong Thap to step up bird flu fight after death of 3-year-old boy

Health officials have called for strengthened precautionary and preventive measures against the spread of bird flu in the Mekong Delta province of Dong Thap.
The call came after the death of a three-year-old boy from the province?s Chau Thanh District on Thursday. Nguyen Huy Nga, head of the Health Ministry?s Preventive Health Department, Friday ordered the district to treat itself as an epidemic hotspot.
Nga said a locality is normally considered to have an epidemic after two locals test positive for the avian influenza virus.
?But now that the virus has spread quickly and poses a high threat, one human case is enough.?
Three-year-old Tran Cong Phuc from the district, admitted to Ho Chi Minh City?s Tropical Diseases Institute on Monday, is the country?s third human victim of bird flu so far this year.
The two other victims, from the northern provinces of Quang Ninh and Ninh Binh, had both slaughtered and eaten sick fowls.
Nga said the 100 percent death ratio so far in avian flu cases was caused mainly by late discovery and treatment.
Another boy of four-year-old from Chau Thanh District, identified as N.T.K.T., was transferred to the Tropical Diseases Institute Thursday with bird flu symptoms but Friday tested negative for the H5N1 virus.
Doctors said T. didn?t eat and touch poultry but his Hoa Tan Commune neighbors Phuc?s Phu Long Commune and he lives 100 meters from an area where three chickens have died for unknown reasons.
T. is still segregated and being treated as a bird flu victim.
Le Vinh Tan, vice chairman of the province People?s Committee, asked health officials to continue sterilization at the two communes, ban the transport of poultry out of the communes, and keep constant watch for any sign of human infection, in order to prevent an outbreak in the province.
Doan Phi, deputy director of Dong Thap Province Health Department, said the department has started to vaccinate all the fowls in Chau Thanh District and cull those in Phuc?s neighborhood.
Five of Vietnam?s 63 provinces, cities are currently battling bird flu outbreaks, according to the Animal Health Department.
According to the World Health Organization, the H5N1 virus has killed more than 250 people since 2003. Vietnam has the world?s second-highest bird flu death toll after Indonesia, with 55 deaths.
Reported by Nam Son ? Thanh Tung ? Ngoc Tram

 

[Commonground]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Avian Influenza - often can not be considered!

Only within 3 months, the health of the 3 patients with influenza A H5N1 and unfortunate that all 3 patients are fatal. Meanwhile, the flu on poultry, the source only spread the disease to be present to still continue, and tends not them. The authorities, once again, similar to a bell to alert status to "deaf not fear guns" of the people and the authorities now.

Thuy Cam - potential outbreak

Report of Veterinary Department (MARD) showed that more than 40 outbreak in more than 20 districts belonging to 13 provinces and cities were discovered since the beginning of the year to now making over 52 thousand poultry must all, in this up to 73% is from water cầm (ducks, Muscovy ducks). This again shows the potential of harm from carrying out marine cầm virus can be sprung at any time.


Exercise emergency patients with avian influenza.

Face the risk of disease can be spread out a large scale, MARD has established many mission in person by Minister Cao Duc Phat and Deputy to the test and directed prevention of HPAI in method. Before that, a line of communication with 12 provinces and cities by the Standing Deputy Prime Minister Nguyen Sinh Hung has chaired a command prompt the provinces can not lơ is considered and often. Deputy Prime Minister stressed: HPAI is not only affecting the production, but also affecting the social life and networks of people. Government and local authorities must be responsible, with timely solutions to extinguish and to avoid damage to property and people. We must realize that the weaknesses in the prevention to overcome, measures to prevent and effectively.

Deputy Prime Minister proposed the problem of high responsibility at all levels of government, from President provinces, districts and communes to the village chief, the. In addition, the responsibilities of the industry, all levels, especially agriculture, health and related agencies also need to improve. Prevention must be considered as particularly important. The vaccination, sanitation chuồng farms are difficult even to start also conducted drastically effective. Organizations control the situation when detected and overcome, to prevent the spread of large scale. For prevention of avian influenza reaching effect, levels, departments need to work closely and effectively with the unions at local and breeding.

Influenza virus has not spread from person to person

While HPAI in poultry are still continue, 3 patients spread the disease from poultry is also not a new release from death. Fame set to reasonable questions influenza viruses are changing in the more powerful, spread speed faster? Answers to this question, PGS.TS. Nguyen Tran Hien, Director of Institute of Hygiene Central epidemiology confirmed: the death rate in patients influenza A H5N1 was detected this year not to say what is. Up to this point has not recorded a significant variation of influenza A H5N1 virus. Studies on the virus in cases of influenza A H5N1 in recent times that type of virus causing the disease for the flu vaccine is the H5N1 type A 2.3.4. This flu vaccine is discovered circulated since 2005 and are related to influenza vaccine virus detected in China. According to TS. Visible, the nature of the virus is continually changing and the flu virus is not exception. Therefore, do not exclude cases can type virus will change up or re-combination with an influenza virus vaccine usually to become a new vaccine virus in the strong, rapidly fatal and dangerous than all is can spread directly from person to person. And then, a global pandemic has experts warning is entirely possible.
-snip-

 

[Giuseppe]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Vietnam. Woman suspected of dying from bird flu tests negative - Thanh Nien Daily

Woman suspected of dying from bird flu tests negative

A woman suspected of dying from avian influenza at a hospital in southern Bac Lieu Province last Friday has tested negative for the virus, the Bac Lieu Preventative Health Center said Monday.


The center?s director Nguyen Thanh Tung said tests had confirmed that patient Ly Thi Hang from the Mekong Delta province of Soc Trang had not contracted the H5N1 virus.

Hang was admitted to the hospital last Monday with symptoms similar to those of bird flu including headache, fatigue, and respiratory distress.

A person familiar with the matter said Hang had eaten sick ducks about a month ago.

Reported by Tran Thanh Phong
-
​

<cite cite="http://www.thanhniennews.com/healthy/?catid=8&newsid=47340">Vietnam latest news - Thanh Nien Daily</cite>

 

[Commonground]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Of deaths due to H5N1 tests negative

Mortality after 4 days to fever with symptoms caused physicians and flu infected chickens, but test results this morning showed that patients age 26 in Soc Trang are not H5N1.


Talking to VnExpress.net, doctor Nguyen Thanh Tung, Director of Health Center for Bac Lieu province, said, as a report from the Institute Pasteur HCMC, form the patient's death has negative with avian virus cầm.

16 / 3, the patient was taken to a clinic in the local situation cough, fever. Treatment for 3 days does not decrease, the patient was transferred to General Hospital and Bac Lieu provinces have been the 20 / 3.

Pursuant to the manifestation of the disease and the families of underprivileged, before about 3 weeks the patient can eat ducks died, Hospital Bac Lieu sent sample products to patients HCMC Pasteur Institute tests.

19 / 3, a disease of 3 years old live in Chau Thanh, Dong Thap, died 3 days after hospitalization. Tests from Pasteur Institute Hospital and Tropical Diseases, HCMC that you close HPAI.

The same day, a 4 year old patient, indicated at the Dong Thap also be transferred to hospital in Tropical Diseases, HCMC with manifestations of influenza, H5N1 suspected. However, disease testing products then negative. There you have the baby in hospital.

Chuong Thien

 

[Treyfish]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

<TABLE id=_ctl0_tblNews border=0 cellSpacing=0 cellPadding=0 width="100%"><TBODY><TR><TD><TABLE border=0 cellSpacing=0 cellPadding=0 width="100%"><TBODY><TR><TD class=textTintucDate width=120>25/03/2009 </TD><TD></TD></TR><TR><TD colSpan=3>
</TD></TR></TBODY></TABLE></TD></TR><TR><TD style="PADDING-TOP: 6px"></TD></TR><TR><TD><TABLE border=0 cellSpacing=0 cellPadding=0 width="100%"><TBODY><TR><TD><TABLE border=0 cellSpacing=0 cellPadding=0 width="100%"><TBODY><TR><TD height=24 noWrap> HPAI spread in the Mekong Delta: The sale is still comfortable, food ... </TD></TR><TR><TD>

*​

Only within the last 2 days last week, in the Mekong Delta region has been dead for 2 HPAI. However, people still lethargy to this deadly disease ...
The death of <?xml:namespace prefix = o ns = "urn:schemas-microsoft-comfficeffice" /><o></o>
Information judicious Thi Hang (26 years old, live Chau Hung, Thanh Tri district, Soc Trang) deaths 20-3 last days of infection by avian influenza has made many people close to the patient ... 22-3 days, meeting with journalists NTNN, Russian women - a friend of Ms. Hang, affirmed: Previous shortly victims each meeting, cooking and eating sick poultry. Then about 1 week, her symptoms with hot fever, headache lasts ....
Patients started with signs of severe, you are sent a family treatment at Hospital Bac Lieu on 16-3. The symptoms of the patients hospitalized as fever, headache, difficulty breathing, coughing ... completely the same as the clinical symptoms of the flu on the poultry. The information on the cause of health, doctors Hospital Bac Lieu give patients predicted Hang H5N1 virus from infected poultry. Hospital quickly send patients to test products and inform the authorities.
Hang her death have to do A-H5N1 flu or still pending by the agencies. The Center for Health Soc Trang has associated with animal health sector implementation of measures to fold area, spray khử drug targets in the same area in a radius of 2km around the patient in Chau Hung.
On 22-3, we find Phu Hoa Hamlet, Long Phu district, Chau Thanh (Dong Thap) - where the family child Tran Cong Phuc (19-3 on deaths due to influenza A-H5N1. Grandma's grandchildren Ph?c for Ph?c previously had contact with flocks of ducks run by a neighbor and eat the birds sick. Currently Mr. Tran Cong Loi (Ph?c father) and has a child at home mother of bowel . The flocks of ducks run "camps" on the home soil advantage before he was moved. The people in around that current poultry raising khoẻ still, if you need to do is eat meat now. .. However people are also agencies recommended to prevent disease occurring.
Government determined ...
Despite warnings, but the record of our motorcycles are transported from the ducks of the regular market.

​

A staff in quarantine stations animals Chau Thanh district, said, up to this station has not detected the transport of poultry diseases do. People in the district still run of raising ducks, the duck meat purchase is normal ...

​

Meanwhile, Mr. Duong remorse - Director of Health Center for Dong Thap province, said, immediately after the information you Ph?c infected influenza A virus H5N1-health sector has quickly process step spray xịt chemical preventive stipulated. Industry Veterinary Emergency and destroyed all poultry within a radius of 300m (from the outbreak) to the influenza outbreaks of B?ng. Functional agencies and local governments have information warning people absolutely not contact, trade, processing and use of food from influenza disease, death. Dong Thap People's Committee also requested the industry to continue to monitor closely the situation in patients 2 and Long Phu Hoa Tan commune, Chau Thanh district, strengthening control of influenza outbreaks - enter the province, clenching management of ducks running ...
Dan lethargy!
According to records of NTNN day yesterday, raising the drop, sales slaughter chickens and ducks in the area populated rural colonial yourself Tri (Soc Trang), Chau Thanh (Dong Thap) and sub-domain access other place still very normal.

​

Many people said, in the residential sector still has a habit of slaughter and use of meat chickens, ducks with signs infected, because psychological "free handout to take ..."(?) .
In Hau Giang, one of the first publication on avian influenza and also the local people to have more deaths due to influenza A-H5N1, situation awareness alert people's still very worrying. Many rural markets in Long My, Vi Thuy, Phung Hiep Find a few people buy chicken meat, the journalists expressed concern of avian flu, in a primary trading market Nang Mau detachment: "I buy chicken drop garden, chickens find new khoẻ sold. Where to chicken industry worry that the flu? ".
Also recorded by the journalists, the phenomenon of the dead poultry were some poor awareness dispose spine canal still appear, it seems local authorities are difficult to control. Participation, advocacy and monitoring of the mass base remains only a form or have not developed effective. <o></o>
</TD></TR></TBODY></TABLE>
</TD></TR></TBODY></TABLE>
</TD></TR></TBODY></TABLE>
:tiphat:http://translate.google.com/transla...=C%C3%BAm+gia+c%E1%BA%A7m&hl=en&sa=G&as_qdr=d

 

[Laidback Al]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

The young boy from Chau Thanh District, Dong Thap Province has now been officially confirmed by WHO. see: http://www.flutrackers.com/forum/showpost.php?p=214495&postcount=47

Avian influenza ? situation in Viet Nam - update 5

8 April 2009 -- The Ministry of Health in Viet Nam has reported a new confirmed case of human infection with the H5N1 avian influenza virus. The case has been confirmed at the National Institute of Hygiene and Epidemiology (NIHE).
The case is a 3 year old boy from Chau Thanh District, Dong Thap Province. He developed symptoms on 12 March, was hospitalized on 13 March, and died on 19 March.
Investigations into the source of infection indicated a history of close contact with sick and dead poultry prior to the onset of symptoms.
Of the 110 cases confirmed to date in Viet Nam, 55 have been fatal.

 

[Gert van der Hoek]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Bird flu kills Vietnamese woman - state radio

HANOI, April 24 (Reuters) - A 23-year-old woman has died from H5N1 bird flu in northern Vietnam, state-run radio said on Friday, the country's fourth human fatality this year.

The woman, from Thanh Hoa province, fell sick and died earlier this month, and tests showed she had been infected by the H5N1 virus, Voice of Vietnam said, quoting the Health Ministry.

It said dead chickens were found in the area where she lived, but it did not say if they were infected with the disease. Thanh Hoa was not in the government's bird flu watch list.

The World Health Organization, which often waits for official announcements from Vietnam's Health Ministry before confirming bird flu cases, had yet to report the woman's death.

Prior to the woman's death earlier this week, Vietnam had reported 110 cases of human infections, of whom 55 had died, the WHO's tally showed.

Avian influenza has affected millions of birds around the world, particularly in East Asia, and can be caught by humans who come into contact with infected birds.

Scientists fear the virus could mutate into one that spreads easily among people, unleashing a pandemic that could kill millions.

According to the latest WHO information, the H5N1 avian influenza virus has infected 421 people in 15 countries and killed 257 of them since late 2003. (Reporting by Ho Binh Minh;Editing by Sanjeev Miglani)

http://wap.alertnet.org/thenews/newsdesk/HAN427328.htm

 

[Sally Furniss]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Translation from Arabic

... And the death of Egyptian and Vietnamese bird flu



Cairo, Hanoi - MENA, AFP: The Egyptian Ministry of Health, yesterday, the death of case No. 26 the result of bird flu, since the disease appeared in Egypt in 2006, a Vietnamese woman died as a result of illness itself.
The ministry said in a statement that Saadia Mohamed Abdel Latif Hamid, who died, aged 33 years and is one of the towns in the province of Kafr el-Sheikh, adding that she had introduced the "fever" in the middle of this month and was suffering from high fever and severe shortness of breath.
The statement added that the tests confirmed positive for bird flu due to contact with infected domestic birds.
So, the ministry spokesman Abdel Rahman Shahin, yesterday, the No. 68 human infection with bird flu, of a woman, aged 34, from West province north of Cairo, pointing out that the onset of symptoms in the affected 21 of this month, and to the impact the hospital suffering from a rise in temperature after exposure to sick and dead birds suspected to be infected.
In Hanoi, a Vietnamese woman died due to bird flu, making it the fourth victim of the disease since the beginning of the year.
The deputy director of health services in the state of Thanh Hoa, Nguyen Ngoc Thanh, said that "a woman of thirty and twenty years of age living in the state of Thanh Hoa died of bird flu Thursday," the past.
Vietnam recorded the second largest number of deaths the disease after Indonesia, with 56 cases.

http://www.dar-al-seyassah.com/news_details.asp?snapt=الأولى&nid=54566

 

[Laidback Al]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Bird flu kills Thanh Hoa woman: official

Last Updated: Saturday, April 25, 2009 22:16:56 Vietnam (GMT+07)
http://www.thanhniennews.com/healthy/?catid=8&newsid=48177

A 23-year-old woman from Thanh Hoa Province died of bird flu on Wednesday, Vietnam?s fourth fatality from the disease this year, an official from the Health Ministry confirmed Friday.

Nguyen Huy Nga, head of the ministry?s Bureau of Preventive Health and Environment, said the victim was Pham Thi Hao from Quan Hoa District in the central province.

Though the bureau confirmed the victim had been infected with the H5N1 avian virus no birds had been affected by the disease in the area recently.

Hao was admitted to Quan Hoa General Hospital last Thursday before being transferred to Thanh Hoa General Hospital in critical condition on Tuesday.

She was suffering from pleural and pericardial effusion and kidney failure at the time.

A team from the National Institute of Hygiene and Epidemiology and local health authorities failed to find any trace of bird flu in Thien Phu Commune, where Hao lived.

All four human bird flu cases in Vietnam this year have proved fatal.


credits Pixie

 

[Commonground]

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Re: Vietnam - Human Suspected/Actual Cases H5N1, February 7, 2009 +

Confirmed H5N1 Cases 2009

Adm:
Name: 13 year old
From: Thanh Hoe
Hospital:
Sym Onset:
Recon:
Notes: 8 year old sister died, never tested
Confirmation: positive
DOD: recovered


Adm: 2/2
Name:
From: Quang Ninh
Hospital:
Sym Onset: 1/28
Recon: Medical Center 1/31
Notes:
Confirmation: positive
DOD: 2/21

Adm: 2/5
Name:
From:
Hospital:
Sym Onset: 2/3
Recon:
Notes:
Confirmation: positive
DOD: 2/25

Adm: 3/16
Name: Tran Cong Phuc (3)
From: Long Phu (Phu Hoa hamlet), Chau Thanh district, Dong Thap
Hospital: Ho Chi Minh City?s Tropical Disease Inst.
Sym Onset: 3/10 sym?s on adm: cough, headache, vomiting, fever
Recon: BVDK SaDec Dong Thap Hospital on 3/14. Sym: fever, cough, breathless
Notes: Ate duck family slaughtered
Confirmation: positive
DOD: 3/19

Adm: 4/21
Name: Pham Thi Hao (23)
From: Thien Phu Commune, Thanh Hoa Province
Hospital:
Sym Onset: 4/15. On adm: serious heart & lung Inf. Put on respirator
Recon:
Notes: chickens died of unknown cause
Confirmation: Positive
DOD: 4/23

Adm: 11/26
Name: Vi Van Minh 23 yo
From: Ward Sam Mun, Dien Bien Phu, Dien Bien Province
Hospital: Dien Bien
Sym Onset: 11/18
Recon: 11/24 - Clinic
Notes: ate duck soup one week before onset. Poultry conf. on 10/21.
Confirmation: Positive
DOD: 11/30
Note: Minh?s Cousin died. Same pathological symptoms. Confirmed positive by Central Hygiene and Epidemiology Institute. Birds from both families positive for H5N1.
Two families of patients died from acute respiratory failure suspected of H5N1 in Luong Van Chua, from Panh mountain village, Thanh Luong commune, and Luong Thi Lau, from Xa Cuong mountain village, Pa Thom commune.