Re: Vietnam - Man, 52, first H5N1 bird flu death in 2014
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HealthWednesday, 22/01/2014 - 10:45
Lo deadly bird flu
(AP) - Vietnam has first case of death from H5N1 bird flu after 9 months of no recorded human pandemic, plus avian evolution complex in the south, the state of consumption Tet smuggled chickens that risk spreading A/H5N1 flu. >> Numerous students hospitalized with flu symptoms
Rapid progression, high mortality
Mr. Tran Dac Phu, director of the Department of Preventive Health (MOH) said that the patient is a male deaths (52, Binh Minh commune, Bu Dang district, Binh Phuoc). On 11/1 patients appear fever, cough, shortness of breath and was taken to visit family, treated in Bu Dang General Hospital with a diagnosis of viral pneumonia. After 7 days of treatment here, the patient was transferred to the General Hospital with a diagnosis of Binh Phuoc and over, in very serious condition. Lung injury patients increasing, continuous dyspnea patients should continue to be referred to the Tropical Disease Hospital in Ho Chi Minh City Tuesday 18/1 and died because of severe lung injury.
These are the first cases of influenza A/H5N1 in 2014, after 9 months of Vietnam Maleno human cases reported. So far Vietnam has recorded 153 cases, 63 deaths due to influenza A/H5N1.
Meanwhile, in Hanoi, night 20/1, Department of active treatment, Hospital for Tropical Diseases, Central 1 patient receiving 39-year-old woman in Thanh Oai, Ha Noi suffered severe respiratory ventilation. Patients discharged after 4 days in respiratory distress, rapid progression of lung injury. Samples of these patients were also taken for testing. Near the patient's family also has chickens died of unknown causes.
According to Dr. Nguyen Hong Ha, deputy chairman of the Vietnam infectious, influenza A/H5N1 incidence of mortality but not high but they accounted for 50% of cases, brought by the A/H5N1 virus highly pathogenic, causing severe lung damage, disease progresses very quickly.
If influenza A/H5N1 virus infection, early treatment gives new value for the first 3 days of illness and the treatment time gold antiretroviral effectiveness. "It is early antiviral use will control the virus, the body's response to pathogens will be reduced, milder lung lesions. As late treatment is difficult because rapid disease progression, severe lung damage. Most of the deaths were not caught early, antiviral drug treatment after 3 days to manifest the disease, "said Dr. Ha.
"Worth mentioning, the expression of influenza A/H5N1 is the same with all strains of influenza, and respiratory infections other than urine fever, cough," said Dr. Ha.
According to Dr Nguyen Van Kinh, Director Central Hospital for Tropical Diseases, most are manifestations of influenza A/H5N1 and influenza like respiratory tract infections such as fever, cough, sore throat, runny nose . Therefore, doctors often rely on epidemiological factors, and thus patients suspected drug use Tamifflu soon. Accordingly, the case of viral pneumonia progression, have exposed bird, dead bird, dead poultry in that area ... need to think about the risk of A/H5N1 flu treatment Tamiflu soon.
High risk outbreak
Dr. Nguyen Van Kinh, Director of the Central Hospital for Tropical Diseases said A/H5N1 flu threatening to Vietnam. Previously, when the epidemic to offer new poultry to humans. For now through surveillance of poultry in the market suggests that many bird asymptomatic, become carriers of avian pathogens, so people more likely subjective, higher risk.
Meanwhile, neighboring Cambodia is experiencing outbreaks of H5N1 bird flu the most serious since this strain was detected. Meanwhile, the trafficking trade in the local common border with Cambodia is not tightly controlled, along with the psychological subjectivity of livestock, poultry slaughter, led waterfowl influenza A / H5N1 in the southern provinces always outbreak.
Department of Preventive Medicine, said Tran Dac Phu, after detecting cases of influenza AH5N1 deaths in Binh Phuoc province, the Ministry of Health has directed the Department of Health Binh Phuoc epidemiological investigations and enhanced surveillance, prevention against disease, Pasteur Institute of Ho Chi Minh City Investigation Group established cases, test points poultry locally.
The Ministry of Health also recommends Veterinary Department (Ministry of Agriculture and Rural Development) enhanced monitoring, detection and thorough handling of the bird flu outbreak, and coordinate the implementation of preventive measures, anti-bird flu infecting humans.
According to the Health Ministry advised people not to use absolute poultry of unknown origin, dead sick poultry, make good personal hygiene, wash hands frequently with soap, cooked boiled drinking. Limiting close contact with sick people have expressed an acute respiratory infection, avoid hand-to-nose and mouth, and ventilation in work places, clean the surface regularly, tools and supplies around the patients with normal detergents ..
"When you have flu symptoms, cough, fever, should seek proper treatment for the disease. Patients should not drink when buying Taminflu of flu symptoms so will lead to the risk of drug resistance if the latter bird flu patients will no longer specific drugs to treat, "Dr. Ha promotion
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