Vietnam: Two persons dead after contact with diseased pigs - Update: Possbily due to S. suis; pigs tested positive for PRRS; 3 additional people hospitalized

[Catbird]

There was a ProMed report on an outbreak of Streptococcus suis that led to 3 deaths a few weeks back. The following report of 2 additional deaths may be a continuation of the same outbreak.


"Two persons dead after contact with diseased pigs

Wednesday, Feb 13, 2013

On February 2, Tran Van Mai, deputy chairman of the People’s Committee of Dai Loc District in Quang Nam Province said vets had destroyed eight pigs that were diseased and could have been the reason for the deaths of Pham Thi Nguyet, 42, owner of a slaughter house in Binh Tay Village who died on February 8; and Nguyen Nguyen, 41, owner of a slaughter house in Xuan Tay Village who died February 10.

Health staff took samples of the two persons to test at the Department of Animal Health in the central city of Da Nang.

On February 4, Nguyet bought 24 pigs from vet Vo Thien Sinh in Dai Thang Commune for selling in the market.

However, after killing eight pigs she experienced symptoms of fever, diarrhea and internal bleeding. She was rushed to hospital but succumbed to the infection on February 8.

Later, vet Sinh brought the remaining pigs to Nguyen and asked him to slaughter them. Nguyen had the same symptoms as Nguyet after he killed two pigs and died on February 10."

[alert]

S. suis?

Published Date: 2013-02-15 15:13:22
Subject: PRO/AH/EDR> Unexplained deaths - Viet Nam: (Quang Nam) pigs and humans, RFI
Archive Number: 20130215.1544235

UNEXPLAINED DEATHS - VIET NAM (QUANG NAM) PIGS AND HUMANS, REQUEST FOR INFORMATION
************************************************** ********************************
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 13 Feb 2013
Source: Saigon Daily [edited}
http://www.saigon-gpdaily.com.vn/Health/2013/2/104147/

Two persons dead after contact with diseased pigs
-------------------------------------------
Health authorities in the central province of Quang Nam suspect cause of death of two persons due to contact with diseased pigs. On 2 Feb 2013, Tran Van Mai, deputy chairman of the People's Committee of Dai Loc District in Quang Nam Province said vets had destroyed eight pigs that were diseased and could have been the reason for the deaths of the 42-year-old [female] owner of a slaughter house in Binh Tay Village who died on 8 Feb 2013, and the 41-year-old owner of a slaughter house in Xuan Tay Village who died on 10 Feb 2013. Health staff took samples of the two persons to test at the Department of Animal Health in the central city of Da Nang.

On 4 Feb 2013 the Binhh Tay resident bought 24 pigs from vet Vo Thien Sinh in Dai Thang Commune for selling in the market. However, after killing eight pigs she experienced symptoms of fever, diarrhea and internal bleeding. She was rushed to hospital but succumbed to the infection on 8 Feb 2013.

Later, vet Sinh brought the remaining pigs to the Xuan Tay villager and asked him to slaughter them. The villager developed the same symptoms as the other owner after he had killed two pigs and he died on 10 Feb 1013.

After the local residents tipped of the authorities, vets from the Department of Animal Health in Dai Loc District arrived at the houses of the two owners to bury the remaining pigs.

(By N. Khoi and translated by Uyen Phuon)

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall


[The descriptions of the deaths of the pigs and the disease developed by the two pig-keepers in separate villages in Quang Nam Province are too sparse to suggest a causation. The deaths of the two villagers slaughtering the pigs seems to have been rapid and abrupt. Curiously a local vet and the Animal Health Department vets dealing with the situation so far seem to have been unaffected. Further information is awaited.

A map showing the ovation of Quang Nam province can be accessed at: http://www.mapsofworld.com/vietnam/v...tical-map.html, showing Quang Nam in the middle the of the country. - Mod.CP]

[sharon sanders]

I merged 2 threads.

[alert]

Originally Posted by sharon sanders

I merged 2 threads.

Thank you. I was aware of Catbird's previous post, but was unable to find it.

[Catbird]

This is the earliest report that I've seen and the only one that mentions anything about a conflict with local villagers. Machine translated from original article :

02/12/2013

"Quang Nam: 2 people died of swine diseases

Consecutive two deaths from swine disease in the past 3 days (8 and 10/2) that the people of Dai Loc District, Quang Nam panic.

The afternoon of 11/2, hundreds of villagers Spring West, Dai Tan Commune, Dai Loc District, Quang Nam gather in rural Xuan mound West to prevent local authorities from destruction pig disease.

He sharpened, Chairman Dai Tan confirmed the pigs destroyed the of Vo Thien Born, head of the veterinary and General Tan. Previously on 4/2, she Pham Thi Nguyet (42) Binh Tay village pig slaughterhouse owner, Dai Thang buy his 24 pigs Born furnace brought to slaughter sold.

However, after surgery, eight pigs, Nguyet with symptoms of fever, diarrhea, and intestinal bleeding.

Family for Nguyet admission but to date 8/2, Nguyet death. Then he Born to bring the remaining pigs to slaughter pigs by Nguyen Nguyen, 41, Xuan West, Dai New to surgical help. But when the surgery was 2 pigs, Mr. Nguyen has symptoms like Nguyet and light 10/2, Mr Nguyen's death.

Mr. Phan Thanh Thien, Dai Loc district veterinary station, said when receiving information from the commune, Dai Loc district veterinary station sent someone to the victims' families to move some pigs for destruction.

However, hundreds of people did not agree, requires local government to check swine disease swine and do not want to bury patients at village should have prevented and occurs clashes with security forces.

"Right now we do not identify the pig disease that was nothing but two people died when exposed to pigs. First, we will destroy the remaining diseased swine disease swine and submit the form to the Regional Veterinary IV in Da Nang to check the results and will soon have to reassure people, "Thien said. "

[Catbird]

This article from local media seems to be reporting a possible link between these deaths and a new outbreak of PRRS (see new FT thread here), but also mentions the strep (S. suis?) in the pigs as well.

Machine translation of original article:

15/02/2013 05:42

"Quick PRRS outbreak in Quang Nam

TT - The government confirmed the Dai Loc District People's Committee (Quang Nam province): PRRS in pigs broke up in Dai Tan.
By the afternoon of 14-2, the district has infected nearly 160 pigs, including 20 pigs died (mainly in Dai Tan). It is worth mentioning that this outbreak is believed to cause the death of the two slaughterhouse owner Pham Thi Nguyet (Resident Dai Thang) and Nguyen Nguyen (residents of Dai Tan). Both victims were dead comfort due to streptococcal infection in pigs.

At the Dai Tan, Dalian Minh Thang people worried about the blue ear pig disease is showing signs of outbreak. At each home, people take all measures such as spraying lime, chemical sanitizer spray pens and around the house. Start with people in Dai Tan condition determined to prevent, not for the government to bury pigs died and are suffering locally because that will cause environmental pollution.

Phan Duc Tinh, vice president of Dai Loc District People's Committee, said that from the 1st festival of Dai Loc District People's Committee in collaboration with the Department of Animal Health Quang Nam focuses zoning, inspection and disposal of dead pigs. There is also concentrated chemical disinfection in housing in the district."

[Catbird]

This article from Radio Free Asia reports that S. suis has been confirmed as the cause of death of the 2 people, but that the pigs tested positive for PRRS.

Machine translation of original article:

"Two people died of swine Streptococcus
RFA-14-02-2013

Vietnam has two deaths from swine streptococcal infection occurred at Victory University and Tan, Dai Loc District, Quang Nam Province.

According to information from the Vietnamese people, the two victims died in the last Lunar New Year with high fever, chills, bleeding under the skin, chest, arms and legs.

After autopsy, the Central Hospital for Tropical Diseases doctors said patients with sepsis caused by swine streptococcus with the expression characterized by sudden high fever, rapid drop in blood pressure, shock and failure of organs and appearance of the characteristic notes of skin necrosis.

Meanwhile, the test results of the Veterinary Authority IV (Da Nang), said the samples obtained with blue-ear pig disease results.

Currently in the Dai Loc district has nearly 160 pigs of 20 households with blue ear pig disease."

[Catbird]

There are now several reports of 3 more possible cases that have been hospitalized.

Machine translation of original article:

"Chief veterinary stations sell sick pigs, 2 dead

02/15/2013

In Dai Loc District, Quang Nam has 2 dead, 3 people with diseases related to the transport and slaughter of pigs diseases of veterinary station chief General Tan.

...As a leader Dai Tan Commune, in addition to the two victims died at the local three men involved in the slaughter and transportation of his disease of pigs born, are treated in Danang Hospital...".

[Ronan Kelly]

Pig Disease Kills Two Persons in Vietnam
2013-02-23 16:15:38 Xinhua Web Editor: Luo Dan
Two local people in Vietnam's central Quang Nam province have died of Streptococcus suis, a type of bacteria that causes clinical diseases in pigs, local Voice of Vietnam reported on Friday.

The two victims were Pham Thi Nguyet, 45, living in Binh Tay village, Dai Thang commune, and Nguyen Nguyen, 43, in An Chanh village, Dai Tan commune. They were both butchers.

Nguyet was hospitalized on Feb. 7 with high fevers, abdominal pain, and vomiting. She died on the following day.

The other man was admitted to the provincial hospital on Feb. 9 with similar clinical symptoms and also died on the following day.
...
Last year, three local people were infected with S. suis in Quang Nam and two of them died.
http://english.cri.cn/6966/2013/02/23/191s750188.htm