Vietnam reports another human bird flu case

[AlaskaDenise]

Re: Vietnam reports another human bird flu case

Commentary at

http://www.recombinomics.com/News/06010701/H5N1_Vietnam_4.html

Commentary

H5N1 Re-emergence in Several Patients in Northern Vietnam
Recombinomics Commentary
June 1, 2007

Vietnam confirmed a new human bird flu case Friday as the latest outbreak swept through 14 provinces within the last month.
A worker at a slaughterhouse in Hanoi had tested positive for the H5N1 virus strain, Nguyen Duc Hien, head of the National Institute for Tropical Diseases, said.

He was admitted to the institute May 26, just 12 days after starting to work at the abattoir. Hien said the man was recovering and his condition stable.

Director of Hanoi?s Bach Mai Hospital, Tran Thuy Hanh, said in the past two days two patients had been admitted with typical bird flu symptoms, one of whom had died Friday.

The hospital had taken samples from them for tests, she added.

The above comments signal a re-emergence of human H5N1 cases in northern Vietnam. It seems likely that the two recent cases will be confirmed, raising the number of recent human cases from two to four. Since three of the patients have been hospitalized in the past few days, more cases are likely.

However, sequence data from the recent infections in birds or patients has not been released. In the past, human cases in Vietnam were due to Clade 1 isolates, while all other human cases outside of southeast Asia have been Clade 2.

Release of sequences from the recent human and poultry outbreaks would be useful.


.

 

[Theresa42]

2 confirmed cases + 5 recent sus cases (3 negs + 2 unknowns)

2 confirmed cases + 5 recent sus cases (3 negs + 2 unknowns)

The 19 year-old confirmed case is in the Institute of Tropical Medicine in Hanoi ["Courtyard clinical diseases country tropic"]. He lives in Ti?n Phong, district Phổ Y?n (in Hanoi?) and works in Đ?ng Anh (Hanoi).

Previously confirmed 30 year-old, Ph?ng Minh Ph?c, lives in Vĩnh Ph?c province, which borders on Hanoi. He is being treated in Bach Mai hospital, Hanoi.

Then the article says, there's been 3 other suspected bf cases in the Institute of Tropical Medicine recently, one of whom died. Test results say none of them had bf.

It continues by saying on 5/31 & 6/1, Bach Mai hospital had 2 other suspected bf cases -- Ph?ng Tiến Đ?ng, 29 year-old, a policeman who, from the sounds of it, has been culling poultry and another person who died. Doesn't sound like test results are back on these two.

Machine-translated from Vietnamese:

People 第二 contract flu H5N1 obtain discover
Jun 2, 2007

Out patient people Vĩnh Ph?c recovering; appear in courtyard clinical diseases country tropic left a case contract bird flu H5N1 more. There is a man village Thai former.

Patient [the 19 year-old abbatoir worker] the above-listed live in x? vanguard [Ti?n Phong], district Phổ Y?n. Day 14/5, anh go to work in a foundation kill cut open poultry in Đ?ng Anh (Hanoi), thereafter 5 day feel interest ngực, difficult tired, r?t, flow country nose. From hospital district, anh obtain move up courtyard clinical diseases country tropic. About from day 21 to 26/5, bilateral lung heavy hurt, men liver monk; patient being tr?n gas m?ng lung, suy respiratory heavy, life denounced. Test result just receive obtain for find anh contracted virus H5N1. Depend obtain active treat, appear patient already across critical a moment, end sốt, although still not yet word thở obtain.

Left patient H5N1 first of year 2007, anh Ph?ng Minh Ph?c (30 year-old, people Vĩnh Ph?c), ended sốt, week finish, respiratory and pulse stable, test for find body eliminated obtain flu virus.

In the past, courtyard clinical diseases country tropic left receive 3 other circumstances has performance pneumonia heavy (a people [one] died), earlier once eat chicken ill die. Nevertheless, test result colour disease all for find they no contract H5N1.

Hospital Bach Mai in two day 31/5 and 1/6 receive 2 patient pneumonia with development specific of flu A H5N1. There is anh Ph?ng Tiến Đ?ng, 29 year-old, is police constable x? once expenditure participation destroy poultry, treating in infection faculty; and a people die. Colour disease their obtained take away test.

http://www.baoquangninh.com.vn/?lang=V&func=newsdetail&newsid=10273&CatID=21&MN=2

 

[Theresa42]

Re: Vietnam reports another human bird flu case

The 19 year-old confirmed case is in the Institute of Tropical Medicine in Hanoi ["Courtyard clinical diseases country tropic"]. He lives in Ti?n Phong, district Phổ Y?n (in Hanoi?) and works in Đ?ng Anh (Hanoi).

Previously confirmed 30 year-old, Ph?ng Minh Ph?c, lives in Vĩnh Ph?c province, which borders on Hanoi. He is being treated in Bach Mai hospital, Hanoi.

Then the article says, there's been 3 other suspected bf cases in the Institute of Tropical Medicine recently, one of whom died. Test results say none of them had bf.

It continues by saying on 5/31 & 6/1, Bach Mai hospital had 2 other suspected bf cases -- Ph?ng Tiến Đ?ng, 29 year-old, a policeman who, from the sounds of it, has been culling poultry and another person who died. Doesn't sound like test results are back on these two.

A little more from another paper...

Machine-translated from Vietnamese:

Come has add patient suspect contract flu virus A H5N1
June 2, 2007

(HNM) - Day 1-6, PGS.TS Nguyễn Đức Hiền, Dean courtyard treat diseases tropic and country infection, say, already has add a patient south arrow [initial?] T. [the 19 year-old] obtain define contract H5N1. This patient village in district Phổ Y?n, province Th?i Nguy?n, work in a foundation kill cut open poultry in Đ?ng Anh (Hanoi).

Obtain know, from day 19-5, this patient has performance flow country nose, interest ngực. Day 26-5, when obtain move up courtyard treat diseases infection and country tropic, patient has token tr?n epidemic m?ng lung, pneumonia heavy, men liver monk. Appear, patient already across critical a moment.

Out 2 patient define contract flu virus A H5N1, in the past has 3 patient other suspect contract H5N1 join courtyard [Institute of Tropical Medicine in Hanoi], an [one] in this number died. Patients all say has eat ill poultry meat but disease test colour all negative with H5N1. Day 31-5 and day 1-6 has add 2 patient suspect contract H5N1 in hospital Bạch Mai. Mẫu colour disease of patients obtaining test.

About patient P.M.P (patient define first contract flu virus A H5N1) [the 30 year-old] appear already health, pulse ordinary, end sốt, foresee will obtain produce courtyard in several day to. Treat expense for patient P. is 60 million copper but in buổi meet with with Health Ministry minister middle decandrous persimmon ceiling war yesterday 1-6 on the occasion of minister work with hospital, family anh suggest obtain miễn reduce money courtyard this cost because of economy environment difficulty.

Today (2-6), in province Vĩnh Ph?c [where the 30 year-old is from], Health Ministry will launch meeting epidemic prevention flu H5N1 for 29 direction place north.

http://www.hanoimoi.com.vn/vn/46/132357/

 

[Theresa42]

Re: Vietnam reports another human bird flu case

A little more from another paper...

Machine-translated from Vietnamese:

Come has add patient suspect contract flu virus A H5N1
June 2, 2007

(HNM) - Day 1-6, PGS.TS Nguyễn Đức Hiền, Dean courtyard treat diseases tropic and country infection, say, already has add a patient south arrow [initial?] T. [the 19 year-old] obtain define contract H5N1. This patient village in district Phổ Y?n, province Th?i Nguy?n, work in a foundation kill cut open poultry in Đ?ng Anh (Hanoi).

The 19 year-old ("T") is from Phổ Y?n district, Thai Nguyen Province, which is just north of Hanoi and just east of Vĩnh Ph?c province (where the 30 year-old confirmed case is from).

 

[HenryN]

Re: Vietnam reports another human bird flu case

<TABLE class=lan18 cellSpacing=0 cellPadding=0 width="95%" align=center border=0><TBODY><TR><TD class=lan18 vAlign=bottom align=middle height=30>Vietnam reports second bird flu patient
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HANOI, June 2 (Xinhua) -- A local man from Vietnam's northern Thai Nguyen province has been tested positive to bird flu virus strain H5N1, becoming the country's second bird flu patient since November 2005, Vietnam News Agency reported on Saturday.
Quoting the Preventive Medicine Department under the Health Ministry, the report said the man from the province's Pho Yen district, who worked at a poultry slaughterhouse in Hanoi on May 14 and developed bird flu symptoms five days later, was admitted to the city-based Tropical Disease Hospital and now has to use a respirator.
Late last month, the ministry confirmed that a 30-year-old man from Me Linh district, northern Vinh Phuc province became the country's latest bird flu patient after a 17-month absence of human infections.
The man named Phung Minh Phuc, exhibiting bird flu symptoms on May 10 after having slaughtered chickens for a wedding party, is recovering well at the city-based Bach Mai Hospital.
The Bach Mai Hospital received two men with bird flu symptoms on May 31 and June 1, one of them died, and the other, a 29-year-old policeman named Phung Tien Dong, who has taken part in culling infected fowls, is under treatment. Specimens from the two people are being tested for bird flu viruses. To date, Vietnam has reported a total of 95 human cases of bird flu infections, including 42 fatalities. However, the World Health Organization has yet to confirm the two latest cases of infections in the country's northern region.

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http://news.xinhuanet.com/english/2007-06/02/content_6188950.htm

 

[Mingus]

Re: Vietnam reports another human bird flu case

From Reuter


http://in.today.reuters.com/news/ne...R_RTRJONC_0_India-301153-1.xml&archived=False
Bird flu infects slaughterhouse worker in Vietnam
Sat Jun 2, 2007 4:17 PM IST

HANOI (Reuters) - A Vietnamese man who works at a poultry slaughterhouse outside Hanoi has been infected with bird flu, the country's second human case in less than a month, state media on Saturday quoted a doctor as saying.
The man was taken to hospital with fever on May 26 and tests conducted in Vietnam confirmed he had the H5N1 virus, doctor Nguyen Duc Hien who heads the hospital treating the man told the Thanh Nien newspaper.
He told the newspaper the patient was in stable condition.
Hien could not be reached for comment.
Last month Vietnam reported its first human case of H5N1 virus infection in a year and a half, a 30-year-old man in a province neighbouring Hanoi who became sick after helping slaughter chickens at a friend's wedding.
The World Health Organisation (WHO) said it was working with the Vietnamese government to verify that suspected case.
Hien said three more people had been admitted to his hospital in recent weeks with serious pneumonia, and one of them had died.
Doctors had suspected the three had bird flu but tests showed they did not, the doctor told Thanh Nien.
Bird flu has hit chickens and ducks in 13 provinces and in Can Tho city since early May.
A total of 42 Vietnamese have died since the virus re-surfaced in Asia in late 2003. It then re-emerged in 2005, last year and early this year.
The virus has infected 309 people in 12 countries, 187 of whom have died, according to WHO figures. These did not include the death on Tuesday of a 15-year-old Indonesian girl.


© Reuters 2007. All Rights Reserved.

 

[Mingus]

Re: Vietnam reports another human bird flu case

From AFP (Agence France-Presse)

http://www.iol.co.za/index.php?set_id=1&click_id=117&art_id=nw20070602130446108C957726

Man contracts bird flu in Vietnam
June 02 2007 at 01:24PM

A Vietnamese man has contracted the deadly bird flu virus, becoming the country's second human case since late 2005, a health official said on Saturday.

The 19-year-old man tested positive for the H5N1 strain of the virus early this week after being admitted to the Institute of Tropical Medicine in Hanoi, a doctor there told AFP.

The doctor, who asked not to be named, said the victim had been admitted on May 19 and was now in a stable condition.

The daily Lao Dong said the patient had been working for a poultry slaughterhouse in the capital before he was taken to the Institute with a high fever and severe respiratory problems.

The director of Hanoi's Bach Mai hospital told the paper two other suspected bird flu victims had been admitted on Thursday and Friday, one of whom died late Friday.

Their samples are being tested in Hanoi, she said.

Last week Vietnam reported that a 30-year-old farmer had been infected with the deadly bird flu virus, the country's first human case since November 2005.

The victim was admitted to Bach Mai hospital in a critical condition but is now improving.

Bird flu has hit 14 of Vietnam's 64 provinces. The government has called for urgent measures to deal with the situation and to raise awareness of the dangers of bird flu.

Between 2003 and November 2005, Vietnam was one of the countries worst hit by bird flu with 42 deaths. The country, however, won international applause for its transparency and effectiveness in curbing the epidemic.

H5N1 has killed almost 200 people and ravaged poultry flocks worldwide since 2003. World Health Organisation experts say a bird flu pandemic among humans would kill millions of people across the globe. - AFP

 

[Mingus]

Re: Vietnam reports another human bird flu case

There is a timeline issue here, Both Xhinhua & AFP point toward May 19 while Reuter point toward May 26, 7 days later...


From Xhinhua : "worked at a poultry slaughterhouse in Hanoi on May 14 and developed bird flu symptoms five days later, was admitted to the city-based Tropical Disease Hospital..."

From Reuter : "The man was taken to hospital with fever on May 26"

From AFP : "The doctor, who asked not to be named, said the victim had been admitted on May 19"

 

[sharon sanders]

Re: Vietnam reports another human bird flu case

Merci Mingus.

 

[Theresa42]

Re: Vietnam reports another human bird flu case

There is a timeline issue here, Both Xhinhua & AFP point toward May 19 while Reuter point toward May 26, 7 days later...

From Xhinhua : "worked at a poultry slaughterhouse in Hanoi on May 14 and developed bird flu symptoms five days later, was admitted to the city-based Tropical Disease Hospital..."

From Reuter : "The man was taken to hospital with fever on May 26"

From AFP : "The doctor, who asked not to be named, said the victim had been admitted on May 19"

Well spotted, Mingus!

Looking at one of the Vietnamese articles, I think the guy was in a district hospital first, admitted on the 19th, and then transferred to the Institute of Tropical Medicine on the 26th (as his condition deteriorated):

Day 14/5, anh go to work in a foundation kill cut open poultry in Đông Anh (Hanoi), thereafter 5 day feel interest ngực, difficult tired, rét, flow country nose. From hospital district [i.e. the district hospital], anh obtain move up [transferred to] courtyard clinical diseases country tropic [the Institute of Tropical Medicine in Hanoi]. About from day 21 to 26/5, bilateral lung heavy hurt, men liver monk; patient being tràn gas màng lung, suy respiratory heavy, life denounced.

Just a thought. ??

 

[Theresa42]

Re: Vietnam reports another human bird flu case

Ph?ng Minh Ph?c -- the 30 year-old -- is looking better. He's not on a respirator anyway:

http://www.nhandan.com.vn/tinbai/?top=39&sub=127&article=95791

 

[Treyfish]

Re: Vietnam reports another human bird flu case

[1] Viet Nam, 16 provinces
Date: Fri 1 Jun 2007
Source: Thanhniennews.com [edited]
<http://www.thanhniennews.com/healthy/?catid=8&newsid=28637>


Bird flu hits more provinces in Vietnam
---------------------------------------
Quang Nam in the central region became the 16th Vietnamese province
to succumb to bird flu, the media reported Thursday [31 May 2007]. In
Vinh Nam hamlet in Duy Xuyen district, 370 out of a flock of 400
ducklings raised by a household had been infected 30 May, the
province's veterinary bureau said. Specimens had tested positive for
the H5N1 strain of the virus, it added.

The central Animal Health Department reported a day earlier that 115
ducks had died on a farm in the Mekong Delta city of Can Tho of H5N1.
The infected flocks in Quang Nam and Can Tho were not vaccinated
against bird flu and animal health workers slaughtered the remaining
685 birds. The number of birds killed by the virus or slaughtered
nationwide has risen to more than 50 000 this month.

Local veterinary agencies reported they had culled all fowls in
affected flocks, disinfected affected areas, and established
quarantine checkpoints around infected areas.

The 16 Vietnamese cities and provinces [out of a country-wide total
of 61. - Mod.AS] affected by bird flu since the beginning of last
month are Quang Ninh, Son La, Nam Dinh, Hai Phong, Bac Giang, Ninh
Binh, Bac Ninh, Ha Nam, Thai Nguyen, Thanh Hoa, and Vinh Phuc in the
northern region; Nghe An, Quang Ngai, and Quang Nam in the central
region; and Can Tho and Dong Thap in the south.
[See administrative map of Viet Nam at:
<http://www.angelfire.com/co/hongnam/vnmap.html>]

The head of the National Steering Committee for Avian Influenza
Prevention and Control on Thursday [31 May 2007] instructed all local
agencies to keep an eye on rural farms and backyard poultry to head
off possible bird flu outbreaks. To deal with the worsening
situation, Prime Minister Nguyen Tan Dung has called on the health
ministry and the Standing Committee of the National Steering
Committee for Avian Influenza Prevention and Control to adopt drastic
measures to control the disease.

Local governments, medical, agricultural, rural development, border
quarantine and preventive medical units have been asked to prepare
and supply bird flu kits to local agencies to prevent transmission to
humans. The health sector has been warned to remain vigilant when
treating patients suspected to be infected with H5N1 by placing them
in isolation wards.

On Wednesday [30 May 2007] Minister of Agriculture Cao Duc Phat said
the country was on the brink of another bird flu epidemic among
poultry after the H5N1 virus had spread rapidly in the past month.
Last week Vietnam reported its 1st human case in a year-and-a-half, a
30-year-old man in Vinh Phuc province near Hanoi. Doctors treating
the man in Hanoi's Bach Mai Hospital said his condition was improving
and that he was now able to breathe without a respirator.

Between 2003 and November 2005, Vietnam was one of countries
worst-hit by the disease, with 42 deaths. It, however, won
international praise for its transparency and effectiveness in
curbing the epidemic. Globally the virus infected 309 people in 12
countries, 187 of whom died, according to the World Health Organization.
http://www.promedmail.org/pls/prome..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,37676

 

[Treyfish]

Re: Vietnam reports another human bird flu case

<TABLE><TBODY><TR><TD class=tintop_title vAlign=top align=left>Vietnam reports second bird flu case in a month</TD></TR><TR><TD class=news_date vAlign=top align=left height=20>15:48' 03/06/2007 (GMT+7) </TD></TR><TR><TD class=text vAlign=top align=left>

<TABLE class="" cellSpacing=0 cellPadding=3 width=200 align=right fck_template="imagecontener"><TBODY><TR><TD>

</TD></TR><TR><TD class=image_desc align=middle></TD></TR></TBODY></TABLE>VietNamNet Bridge - The Public Health Ministry?s Preventive Medicine Department confirmed that a male patient has tested positive for the H5N1 virus.

According to the department, the patient, from Pho Yen district in northern Thai Nguyen province, was a worker at a poultry slaughterhouse in Ha Noi.

The patient had initially shown symptoms of flu and breathing difficulties on May 19 and was then admitted to the National Institute of Infectious and Tropical Diseases.

Late last month, Vietnam confirmed that a 30-year-old man from Me Linh district in the northern province of Vinh Phuc contracted the disease, the first human transmission case in the country for more than 17months.

He is now also undergoing treatment at the National Institute of Infectious and Tropical Diseases.
Minister of Public Health Tran Thi Trung Chien, on June 1, examined the work of human bird flu transmissions prevention at the Bach Mai hospital, where the institute is located.:tiphat: http://english.vietnamnet.vn/social/2007/06/702120/<?xml:namespace prefix = o ns = "urn:schemas-microsoft-comfficeffice" /><o></o></SPAN>​

(Source:
</TD></TR></TBODY></TABLE>

 

[Theresa42]

Re: Vietnam reports another human bird flu case

Two people were admitted Monday with distinct clinical signs of bird flu, doctors at Hanoi’s National Institute for Tropical Diseases said.

Samples from the two Thai Nguyen province residents were being tested for the deadly H5N1 virus strain, they said.

Note that the 19 year-old confirmed case is also from Thai Nguyen province.

Edit: And, they're in the same hospital (Hanoi’s National Institute for Tropical Diseases) as the 19 year-old. Relations?

 

[Theresa42]

Re: Vietnam reports another human bird flu case

The two recently confirmed cases in Vietnam are improving -- the 30 year-old is no longer on a respirator (I think he was taken off that a couple of days ago, actually).

Also, sounds like it took 3 (4?) rounds of tests to determine that the 19 year-old was actually infected. Because of this, the director of the Tropical Disease Hospital in Hanoi, G.S. Hien, suggests that they need to screen more carefully people who have pneumonia....

Machine-translated from Vietnamese:

Two patient contract H5N1 nice restore
June 6, 2007

Two patient obtain define is contract virus H5N1 still obtaining treat in hospital Bach Mai and Tropical Disease Hospital in Hanoi , but health obtaining triển considerable very, TS Nguyễn Huy Nga, Director Medical Bureau Prevention, say afternoon 6/6.

In assembly entrust staff of staff instruct prevention country bird flu and diseases infection above people in Health Ministry, GS Nguyễn Duc Hien, Dean Tropical Disease Hospital in Hanoi, announcement, patient Ph?ng Minh Ph?c [30M] in Vĩnh Ph?c appear no must thở more machine, only must thờ oxy. Hurts in lung also already begin restore.

Many according to this, patient will obtain produce courtyard in several day to. Resemble, circumstances patient [19M] in Thai Nguyen, also ining triển very considerable, GS virtuous say.

Also according to GS Hien, token typical of both this circumstances all distribute disease after 6 day contact with poultry and all has evidence change tr?n gas m?ng lung beside token suy residence many tạng. Therefore, here can see are some token typical of cases contract H5N1.

According to TS Nguyễn Huy Nga, test result times three of patient [19M] in Thai Nguy?n for negative result with virus H5N1, umbrella earlier, this patient has male result with virus H5N1. Has difference about result between each times test because of moments take mẫu different. Therefore, Health Ministry will examine come quy submit and format take mẫu between treat unit and courtyard epidemic hygiene tế central, avoid circumstances nhiễu information, make public opinion alarmed.

According to reflect of represent courtyard epidemic hygiene tễ central, after has information about cases disease H5N1 return above people, appear situation, places send many mẫu colour disease suspect contract bird flu about courtyard demand obtain test.

"Here is nice token , argue places know lo away, has plan room avoid and eliminate. But beside there, make costly about expenditure also like power technology Vienna for this job."

About this matter, GS Hien suggested with Health Ministry solution, in circumstances hospital tuyến province receive some circumstances pneumonia suspect contract, need move up Tropical Disease Hospital in Hanoi infection screen to before when has test demand colour disease.

Like that, after 17 month, up to now, Vietnam formal record 2 circumstances contract flu A / H5N1. And according to GS Hien, appear ph?c đồ treat for patient H5N1 still agency display and can maintain treat to for patients flu if discover.

http://www.hanoimoi.com.vn/vn/print/132957/

 

[Gert van der Hoek]

Re: Vietnam reports another human bird flu case

Bird flu victim recovers, more birds die in Vietnam

11 Jun 2007 11:06:46 GMT

HANOI, June 11 (Reuters) - Vietnam's first human bird flu case in a year and a half left hospital on Monday, doctors said, as the country tries to control numerous outbreaks of the virus in poultry.

The Animal Health Department said four bird flu cases in poultry were found at the weekend in the northern province of Bac Giang and near Haiphong city. Both have been on the government's bird flu watchlist along with 13 other provinces and a city.

A 30-year-old man was admitted to a Hanoi hospital on May 15 after he helped slaughter chickens at a friend's wedding. Vietnamese doctors confirmed he had the H5N1 bird flu virus, the first human case since November 2005.

Doctors at the Bach Mai hospital who treated the man said they increased the dosage of anti-viral drug Tamiflu to 10 days from seven days. They detected the virus in the man's saliva, in his stomach as well as in his excrement.

The patient eventually recovered and was discharged on Monday morning, state-run VnMedia e-newspaper (www.vnmedia.vn) said.

Doctors were still treating a second patient, a slaughterhouse worker from outside Hanoi who became sick late last month. The patient was recovering well, they said.

Bird flu has killed 42 people out of 95 known infections in Vietnam since late 2003. The World Health Organisation (WHO) has not confirmed the two most recent infections in Vietnam.

Globally, the H5N1 virus has killed 189 people out of 310 known cases, according to the WHO. Hundreds of millions of birds have died or been slaughtered, including more than 100,000 in Vietnam's latest outbreaks since early May.

http://www.alertnet.org/thenews/newsdesk/HAN43771.htm

 

[Theresa42]

WHO confirmation

WHO confirmation

Hat-tip, AlohaOR!

Avian influenza ? situation in Viet Nam
29 June 2007

The Ministry of Health in Viet Nam has confirmed two new human cases of influenza A(H5N1) virus infection, the first human cases to have been reported from Viet Nam since November 2005. Both cases have been confirmed by the National Institute of Hygiene and Epidemiology (NIHE) and by the WHO H5 Reference Laboratory, US Centers for Disease Control and Prevention (CDC).

The first case is a 29 year old male from Vinh Phuc Province. He developed symptoms on 10 May some days after slaughtering poultry for a wedding. He was admitted to hospital on 15 May and was discharged on 11 June.

The second human is a 19 year old male from Thai Nguyen Province. He developed symptoms on 20 May following exposure to poultry at a slaughter house. He was admitted to hospital on 25 May and remains in hospital in a stable condition.

To date, there has been no evidence of an epidemiological link between the human cases, and no evidence of infection in close contacts of the cases.

These human cases have coincided with a large number of new poultry outbreaks of highly pathogenic avian influenza reported in Viet Nam during May and June this year.

http://www.who.int/csr/don/2007_06_29/en/index.html