Vietnam - Source of Human H5N1 Cases in Hanoi "Unknown"

[Treyfish]

8:31 PM, March 15, 2010
Not found the source of the disease spreading influenza A/H5N1 infection in Hanoi
(VOV) - Before the detection of patients infected with influenza A/H5N1, local detects scattered dead sick poultry. Something worth saying that at least 10% of poultry Phu Linh commune is not epidemic prevention vaccine

Afternoon 15 thirds, Sub-Department of Animal Health, Hanoi announced the results of serum samples and throat service almost poultry from infected patients in family households influenza A/H5N1 and neighboring Phu Linh commune, Soc Son District. Accordingly, 60 samples have tested negative for influenza A/H5N1 virus. That means not find the source of infection of patients with influenza A/H5N1 in Hanoi.

Full Phu Linh commune, Soc Son District, Hanoi has nearly 30,000 poultry. Before the detection of patients infected with influenza A/H5N1, local detects scattered dead sick poultry. Something worth saying that at least 10% of poultry Phu Linh commune is not vaccine epidemic prevention; including 17 chickens of the family of patients.

Sub-Department of Animal Health, Hanoi direct vets base deployed pepper spray toxic chemical environment, destruction of propaganda people dead birds with no known cause and promote the A/H5N1 influenza vaccine for the prevention forums poultry.

Can Mr. Van Binh, Deputy Director Chi Chi Ha Noi Department of Animal Health said: "The prevention of AI in general depends heavily on raising awareness of, the community. Current low rate of vaccination is due to the combination of raising the agency has strict animal health. Many households raising subjective, is ignored, belittled, and no vaccination for their flocks so by improving vaccination rates as well as implementing the work of vaccination to be effective requires a strong direct decision of the authorities, especially the communal authorities.

While at the Faculty of Islamic power positive, Bach Mai hospital, patients infected with influenza A/H5N1 residing in Phu Linh commune, Soc Son District, Hanoi still in critical condition: pneumonia, acute respiratory failure is evolution; Patients with multiple organ failure, multiple organ side, must be artificially ventilated. Doctor Nguyen Van Tuan, the direct treatment of patients said that the concern is that patients with signs of pulmonary membrane and gas spills, low white blood cell is less protected, requiring more intervention procedure so easy to infection and secondary bacterial drug resistance.

From this case, doctors recommend Nguyen Van Tuan: "With the disease so we must be careful to spread resources. For this disease should be conducted carefully and isolate, perform hand hygiene, eating and hygiene. People to discover the disease must be reported functional agencies to stamp out progress soon, the symptoms should go to health facilities to visit soon hope to study new treatment, a higher survival rate " .

Ministry of Health recommended several times: when detecting birds sick or dead absolutely not slaughter and use that to immediately notify local authorities handled promptly; no shipping purchase poultry unknown origin, particularly in areas where the bird flu outbreak, ensuring cooked food, drink boiling; wash hands with soap before eating and after using the toilet.

Thus from the beginning of the year has discovered four local flu A/H5N1 patients. For Hanoi, this is the first patient within 5 years. Other three patients with previously detected in the provinces of Tuyen Quang, Khanh Hoa and Tien Giang, still have not found the source of infection for patients with this disease. /.

:tiphat:http://vovnews.vn/Home/Chua-tim-ra-...uoi-nhiem-cum-AH5N1-o-Ha-Noi/20103/137869.vov

 

[Commonground]

Re: Vietnam - Source of Human H5N1 Cases in Hanoi "Unknown"

Other three patients with previously detected in the provinces of Tuyen Quang, Khanh Hoa and Tien Giang, still have not found the source of infection for patients with this disease. /.

This quote regarding the only H5N1 death this year:

Thursday, April 3, 2010 16:45

Mr. Phan Xuan Thao, Director Chi Chi Ho Chi Minh City Department of Animal Health said: Both countries have five provinces of Ca Mau, Soc Trang, Khanh Hoa, Dien Bien, Nam Dinh has identified avian influenza. But in Tien Giang has not identified avian influenza but had a death from influenza A/H5N1. "The province has announced a service that was positive with dog A/H5N1 such potential. City can not be so subjective, off guard "- he received the Talk.
http://www.flutrackers.com/forum/showpost.php?p=345106&postcount=6

 

[Commonground]

Re: Vietnam - Source of Human H5N1 Cases in Hanoi "Unknown"

See this thread also:

http://www.flutrackers.com/forum/showthread.php?t=143114

 

[Treyfish]

Re: Vietnam - Source of Human H5N1 Cases in Hanoi "Unknown"

No contact with infected poultry remains influenza A (H5N1)
Updated at: 8:28 AM, March 16, 2010

No direct contact with infected poultry, not directly eat meat or poultry sick but she died T., 25, in Phu Ninh, Soc Son, Hanoi still infected influenza A (H5N1).

>> Unpredictable risk of a new influenza pandemic

According to Nguyen Dang Tuan, emergency resuscitation science, Bach Mai Hospital, the direct treatment for Ms. T., ca influenza A (H5N1 first in Hanoi, when the patient was moved to second on years of healthy patients should have a serious decline, most viscera failure. We still have her appear more ventilation and air filled lung membranes. The doctors can not the data on the lives of patients.

Dr. Tran Nhu Duong, Institute of Hygiene and Epidemiology Institute vice Central, said, according to initial epidemiological survey from early March until now, the area around a patient's T. a sick bird, dead scattered. Dr. Yang also for not exclude cases where influenza A virus (H5N1) dispersed in the environment around the house, can be transmitted to the source patient.

Therefore, experts recommend epidemiology, people should notify local authorities if discovered sick birds, dead with no known cause for environmental remediation measures in time. Also, when exposed to infected poultry, poultry sickness, death must be equipped with adequate labor protection, wash your hands with soap and antiseptic solution after contact with poultry. Especially when there are manifestations of fever, cough, shortness of breath, need to just medical facility for examination and treatment in time, especially those with less resistance as the elderly, young children and people with decline of resistance such as pregnant women, new birth or who have chronic ... :tiphat:http://www.baodatviet.vn/Home/doiso...gia-cam-van-mac-cum-AH5N1/20103/84381.datviet

 

[Treyfish]

Re: Vietnam - Source of Human H5N1 Cases in Hanoi "Unknown"

Poultry in Soc Son remained stable, not ill die
(According vietnamplus.vn)

Poultry in Soc Son remained stable, not ill die
Vets injected flu vaccines for poultry office. (Photo: Dinh Hue / VNA)
Sub-Department of Animal Health under the city of Hanoi, 16 / 3, in the commune, Soc Son district towns and cities of Hanoi, the disease situation in poultry and stability, no unusual phenomena ill die .

Local authorities and the Board of Animal Health Phu Linh commune, Soc Son district - where patients with suspected influenza A/H5N1 illness, disease situation in poultry before and after Tet stable, only small dead phenomenon. Board of Animal Health checks to verify suspect disease from the same blood, it must not be large numbers of dead birds.

After receiving information about cases positive for influenza A/H5N1 virus in humans in rural Cong Hoa, Phu Linh commune, Soc Son District, Hanoi Sub-Department of Animal Health has directed Soc Son District Veterinary Station conduct investigate epidemiological situation, disease situation in poultry.

According to the survey results, households in Nguyen Van Construction, a patient sick, not raising 17 chickens vaccinated flu vaccines, currently offline normal chickens without expressed sick or dead.

Householder for patients with Nguyen Thi Thu Thuy is tailor at home, husband and :magnify:farming combined sales pigs, plumber in town, not slaughtering and eating poultry in recent times. Swabs 50 trade, 10 serum samples from poultry in their patients with influenza and two adjacent breeding households to be sent for examination at the Animal Health Diagnostic Center Central was also negative for the virus.

However, for active prevention and disease on the poultry and protect public health, sub-department of Animal Health has instructed the District Veterinary Station and Department of Animal Health Soc Son Phu Linh commune implement immediately the measures as inspection and monitoring disease to every village, hamlet, small animal husbandry, maintenance mode report disease information daily; statistics poultry, especially some birds are not vaccinated for flu vaccine according specified.

Also, the units held toxic environmental sanitation targets in the area three times the whole town a week, at the head of household hygiene and patient goals are unique seven consecutive days, oral antiseptic for the Sub-Department of Animal Health; control tight control of business, transportation, slaughtering poultry; import-restricting poultry and poultry products that, in the communes; resolute handling poultry, poultry products transport, slaughter unknown origin, no paper quarantine transportation.

Strengthening information and communication, increase public awareness about the prevention and combat service, advocacy measures to prevent infection to humans, actively declared when there is progress on poultry; not hide progress, not slaughtering, trading poultry. Deploying additional vaccines and vaccination for H5N1 poultry prescribed. /.:tiphat:http://tintuc.xalo.vn/00717926403/gia_cam_o_soc_son_van_on_dinh_khong_om_chet.html

 

[Treyfish]

Re: Vietnam - Source of Human H5N1 Cases in Hanoi "Unknown"

No food, slaughtering infected birds flu has infected
Labor 59 Days March 17, 2010 Updated: 7:57 AM, March 17, 2010
(Labor) - no direct contact with infected poultry, not directly eat meat or poultry sick die, but her T (25 years old, in Soc Son) influenza A/H5N1 has infected. The experts, the virus can be dispersed in the environment and her T to infections.

T when she discovered influenza A/H5N1 infection, the fence next to the neighbor has a dead chicken, feathers still leaves King v?i around that area. T brought her husband to bury chickens. However, a week later, she began appearing T symptoms of fever, cough, sore throat, headache and began to show signs of difficulty breathing.

Only treatment at home with medications and regular communication should translate her illness worse, on Tuesday will be taken to BV North Thang Long, Hanoi. Here, the patient was diagnosed suspected viral pneumonia and treated with antiviral drugs, antibiotics help.

Three days later, the patient's health is deteriorating, the patient was transferred to T resuscitation science positive, BV Bach Mai and Institute of Hygiene and Epidemiology Surgeons confirmed positive test result for influenza A / H5N1.
On March 15, the BS BV Bach Mai said: When BV was moved on Thursday of the disease, so health has been declining seriously, white blood cells, platelets decreased to 51.000/1ml blood, while in the to reach normal levels in blood 150.000/1ml.
Patients have impaired viscera (4 / 5 organs, including: Tibetan circulatory, respiratory organs, organs and organ blood digestion). Ms. T and the Left have been born three months should be more serious than health. We still have patients appear more ventilation and air filled lung membranes.

From early March until now, the area around the house with her T birds sick or dead scattered. According to the Institute of Hygiene and Epidemiology Surgeons, not exclude cases A/H5N1 virus dispersal in the environment around your home can be a source of infection for patients with this disease.:tiphat:http://www.laodong.com.vn/Home/Khong-an-giet-mo-gia-cam-benh-van-mac-cum/20103/177626.laodong

 

[Treyfish]

Re: Vietnam - Source of Human H5N1 Cases in Hanoi "Unknown"

Influenza A/H5N1 active chemical processing
(24h) - Avian influenza outbreaks increasingly more powerful and danger-risk than previous epidemic.
Recently, scientists have discovered is the exchange and integration between the influenza A/H5N1 virus circulating in Vietnam, creating too fast evolution of this virus and are of highly pathogenic strains.

Number of H5N1 infections in three months by the year 2009

According to latest report of the Department of Preventive Health and Environment (Ministry of Health), from early 2010 until now, the country recorded five cases positive for influenza A/H5N1 in humans, two cases of death.

Looking back at the 2009, Vietnam recorded five ca influenza A/H5N1 infection and this is ca 5 mortality, mortality was 100%, higher than double the previous year.

So only 3 months in early 2010, the number of people infected with both influenza A/H5N1 was in 2009, the number of deaths is approximately ? in 2009.

Dr Le Quynh Mai - Virus Dean, Institute of Hygiene and Epidemiology PRIVATE said that recently, scientists have discovered is the exchange and integration between the influenza A/H5N1 virus circulating in Vietnam, creating a too fast evolution of this virus and are of highly pathogenic strains. Experts have discovered a number of changes of antigen reduces the sensitivity of influenza treatment.

Before this situation, again, the question about the possibility of a mixture of two types of influenza A/H1N1 and influenza A/H5N1 virus became hot issues.

In the past month, the monitoring system of key influenza, cases of influenza A/H1N1 syndrome has decreased, only about 18% of samples tested positive for H1N1 in the previous figure would be 80 -- 100%.

However, Masters Nguyen Hong Ha, Deputy Director of the Hospital for Tropical Investment has estimated that the H5N1 virus from a few years now has always existed in the environment, even the poultry do not die but can still carry the virus. H1N1 virus was reduced but still exists, so, when H5N1 becomes strong, the risk is still recombinant. "Influenza Virus no stability genetically. It has the ability of recombinant, sort and suddenly very high.

Virus H1N1 short-lived but spread quickly from person to person. Virus H5N1gay high mortality but low ability to spread. If the combination, most likely will create a new virus more dangerous, just a quick spread of H1N1 from person to person, just high risk of death by H5N1.



Soc Son in patients being treated at the Faculty of DTTC, Bach Mai Hospital. Photo: TP

Translate only discovered when someone infected?

H5N1 virus in poultry exist then spread to humans. Review 5 ca influenza A/H5N1 infection in Vietnam since early this year, see:

After investigating the residence of patients in Soc Son (Hanoi), dinner 15 thirds, Sub-Department of Animal Health, Hanoi said, there are 60 test serum samples and throat service virtually negative for bird flu virus A/H5N1, still have not found the source of infection of patients.

Patients with H5N1 infection in Binh Dinh (now died), the new functional bodies of local spread the disease to determine the source.

Now patients in Khanh Hoa, patients have no family who are ill, not sick poultry / death. But nearly a month before starting disease patients, ostrich farm (the patient's home near 1 km) with ostrich phenomenon unexplained death.

Families of patients in Tuyen Quang, the chickens are sick phenomenon / death but without a cause.

Patients die in Tien Giang is a slaughtering and processing aquatic birds before the disease but the area also has been warned there is disease.

So, clearly, the collaboration between the Medical and Veterinary not close, most cases of influenza detected in humans before then epidemiological investigation and detection of influenza in poultry.

Can he talk with Van Binh, Deputy Director Chi Chi Department of Animal Health, Hanoi, he concedes prevention poultry weak. The cause is due out depends very much on the raising awareness: People do not bring birds to vaccination, we also bear!

In addition, sub-department staff are difficult to control the number of all poultry consumed each day in Hanoi as the number of restrictions, lack of synchronization between local authorities and the market management.

Bad influenza A/H5N1 back also occurs in many countries around the world, not separate Vietnam. Recently, WHO also for the Ministry of Health in Egypt has recorded five cases of influenza A/H5N1, which has a severe case, there is no death.

Thus, from the beginning of the year, Vietnam is the only national recognition of deaths due to this virus. This trend, along with Indonesia, Vietnam is one of the two countries with many cases of death due to H5N1 virus one. :tiphat:http://us.24h.com.vn/tin-tuc-su-kien/cum-a/h5n1-bien-hoa-khon-luong-c46a284985.html

 

[Commonground]

Re: Vietnam - Source of Human H5N1 Cases in Hanoi "Unknown"

Excerpt:
Service 3 years old baby grandson died of influenza A/H5N1: influenza Alerts service can break out again
Updated on: March 22, 2010 8:31:26

Until today, the story three years old baby grandson Kim Nguyen Thi Muoi (Temporary Residence 5/8A, 2 Binh Duc Hamlet, Binh Hoa, Thuan An) mortality due to influenza A/H5N1 remains a hot story in Binh Duc Hamlet 2 area and other areas. Many people living near baby Muội accommodation is not all anxiety. Considering the macro more stories Muội baby death again warn us that: The risk of influenza A/H5N1 service can break out again ...

Evolutions in case of death

At 2 hours on 17-3, 3-year-old grandson baby Nguyen Thi Kim Muội died at Children's Hospital 2 (HCMC) for influenza A/H5N1. However, the question arises as these girls start when the disease, any signs? As reported by the Health Center preventive provinces baby Muội disease from starting 5-3 with expression high fever, a family member to visit at the Hospital of Thuan An. Then, visit at the Clinic Vu Duong your baby sick but not relieved. To date 10-3, baby put salt on treatment at Children's Hospital 2.

According to Tran Thi Thuy, Dean Children's Hospital Infection 2, admission, baby Muội signs of fever, platelet tests have decreased, was diagnosed with dengue monitoring (SXH) and treated in the SXH. After seeing your baby sick Muội not relieved, the doctors had blood test taken to check the lungs and X.quang baby salt. Results showed that these patients were pneumonia, respiratory insufficiency, not SXH. To date 15-3, hospitals ngoay throat samples PCR test. PCR test results showed that this positive patients with influenza A/H5N1. Soon after, City Health Department has directed the Hospital for Tropical coordination to conduct tests for two Now times are for the baby but positive for influenza A/H5N1.

Baby Muội flu infection where?

Family baby Salt, Tet past, salt to your baby home in hamlet 4, Thanh Hoa, Phung Hiep, Hau Giang. To date 20-2, baby Muội Pacific and back living with his parents at the motel address above. In Hau Giang, baby Muội no contact with poultry, aquatic birds sick, eat chicken because family worship Tet. Family no similar illness. Something worth saying a baby Muội in Binh Duong is 14 days (20-2 to 5-3) will play patients. So, your baby has the disease Muội where, Hau Giang and Binh Duong or elsewhere?

After this case report, the provincial Health Department has directed the specialized agencies of the local office with supervision around the baby of the family accommodation salt. In the surrounding area where no one in your baby's expression as baby fever. Something worth saying is the body functions were discovered near the accommodation of the baby has a household business slaughtering poultry through veterinary quarantine Households in this business 34 chickens Forum Sub-Department of Animal Health and the province has carried out the destruction in place. Then, 16 samples were taken chicken serum test. Earlier, in a different household in the area have four dead and sick chickens killed meat is sold (not sure where the seller)?

The doctor recovery, Head of Company Affairs (Department of Health of Binh Duong) said the afternoon of 17-3, the Department received the test result 16 serum samples from poultry sub-department of the provincial Animal Health. Results for 16/16 negative samples. Thus far, functional departments still find signs of baby infected with influenza A/H5N1 Muội where, just know that the baby died of influenza A/H5N1?

Be wary if awareness

According to Wednesday, after news or baby Muội death, Pasteur Institute of Ho Chi Minh City has coordinated the provincial professional bodies, Thuan An and Hoa Binh carry chemical spray disinfection with 2 times Cloramin B 5% around the patient, chicken cages 400m radius. Those with epidemiological risk factors include high: The houses directly feed the patient, the direct slaughter of poultry, people living near and close contact with patients who have been granted and for taking preventive and Tamiflu the Binh Hoa commune health monitoring health status, monitoring the temperature every day. "How process followed by Health Center Thuan An active, continue to monitor the 10 elements of epidemiology to detect early signs of disease and propagation of measures preventing influenza A/H5N1, conducted spraying in reducing truang next public sector patients and households slaughtering poultry in accordance with "- the doctor said Thursday.

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