Vietnam - Dien Bien province, 2 confirmed human deaths from H5N1 + other suspicious deaths due to acute respiratory illness - exposure to H5N1 positive poultry

[Treyfish]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + 2 suspect cases?

Swine flu, bird flu viruses could form deadly cocktail: health official
Thursday ,Dec 03,2009, Posted at: 12:18(GMT+7)
The reappearance of bird flu has opened up the threat of the virus combining with the swine flu virus to become more lethal and capable of human transmission, a health official warned at a meeting of the National Steering Board of Human Flu Prevention on December 2.

Health officials recommend washing hands with soap as an effective measure to protect against the A/H1N1 virus
Dr. Nguyen Huy Nga, chief of the Preventive Health and Environment Department, said the H1N1 virus that causes swine flu could combine with the H5N1 virus and become more deadly than the former and more capable of human-to-human transmission than the latter, especially in winter
He told delegates that two more people have died of swine flu, both from the Mekong delta province of An Giang -- a 33-year-old man from who died on November 20, and a 17-year-old girl who died on November 29.
On November 28 bird flu claimed its fifth victim, a 23-year-old man in the northern province of Dien Bien. Many others have been hospitalized around the country with suspected bird flu.
Officials from the Vietnam Drug Administration said at the meeting that three drug suppliers, GlaxoSmithKline (GSK), Sanoffi Aventis, and Pasteur have registered to sell swine-flu vaccines.
The administration has tested the vaccine made by GSK which would supply 1.2 million doses through the World Health Organization, they said.
They are meant for high risk groups like children aged six to 59 months, pregnant women, people with chronic health conditions including asthma, diabetes, and immune system problems, and health-care personnel who provide direct patient care, the officials added.
Besides buying one million doses of Tamiflu, Vietnam has successfully made an antiviral drug for treatment of both flus called Arbidol (Fludon H1),
So far the country has reported 10,944 swine-flu cases with 46 deaths and five deaths from bird flu.

http://www.saigon-gpdaily.com.vn/Health/2009/12/76628/

[Sally Furniss]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + 2 suspect cases?

Influenza A/H5N1 back
Updated at: 10:49 AM, March 12, 2009

Original says 03/12/2009 i.e. 3rd December 2009

[Sally Furniss]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + 2 suspect cases

Department of Preventive Health and Environment (Ministry of Health) officially confirmed a case of death from influenza A/H5N1 in Dien Bien province.

According to a report from Central Institute of Hygiene and Epidemiology, the patient is male, 23 years old, residing in Ward Sam Min, TP. , Dien Bien, Dien Bien province. Patients starting from 18/11 patients with symptoms of sudden high fever, cough, difficulty breathing, on November 24, the examination at clinics and wards were up Clinic The Phu area and then move Hospital to Dien Bien province. Here, the patient was diagnosed: monitoring severe pneumonia due to viruses and antibiotic treatment, communication services, antipyretic. Patients continued processing heavier, and died on November 28. According to test results of the Central Institute of Hygiene and Epidemiology on November 29 showed that patients positive for influenza A/H5N1 virus. Epidemiological history showed that patients eat more duck soup for about a week before the onset of disease. DDay is the case the first death recorded in the influenza A/H5N1 DDien Bien province since this local message with avian influenza in Do Luong commune and Yen Thanh, Dien Bien on October 21, 2009 . Thus, from early 2009 until now, the country recorded in ca influenza A/H5N1 infection and in this case have died.

After the appearance of avian influenza in the communes Do Luong, Yen Thanh (Dien Bien), Dien Bien Province People's Committee has officially announced the recurrence of avian influenza in the province of Dien Bien district. It is known that translation occurs from 21 - 24/10 in the communes and Do Luong Thanh Yen with infected poultry must be destroyed as the 2283. To prevent disease spread, the Dien Bien PPC prohibit slaughtering, transporting and trading poultry and poultry products in a social service; strict control of the slaughter, sale, transport family birds, poultry products in the communes of Dien Bien City and areas. Dien Bien; prohibiting the sale and use of processed poultry infected poultry farming or more; banned throw the sick birds died down ditches, rivers, streams, ponds ... With a series of measures to prohibit been mentioned, but at service areas who still have to eat more soup and duck ... death soon after few days?

As of November 20, ie after more than a month service, Dien Bien Province People's Committee issued Decision No. 2043/QD-UBND, announced the end of avian influenza in the province of Dien Bien district. Maybe this will be a good news for Dien Bien province, but about cases of death by ducks eat more soup in the service and then infected with influenza A/H5N1 is a lesson never admit warning.

The media continually broadcast messages absolutely not eat more poultry farming, but sad messages that do not reach many people. In areas with services that still exist in more consistent covert sales people for farming or unfortunately this type of their lives to eat more soup bowl, it is a warning to local authorities to think .

DDay as a condition for all kinds of flu develop strong service, including service influenza A/H1N1 and influenza A/H5N1. A/H5N1 flu spread primarily from birds to humans to be first to poultry disease prevention. Current health sector are coordinating closely with the agency for veterinary surveillance in poultry and animal feed, recommends people to poultry disease prevention, especially to vaccination for poultry vaccines. Through monitoring of Central Institute of Hygiene and Epidemiology, current influenza A/H5N1 virus in our country are not genetically modified. However, health experts and veterinary medicine are coordinated to continue studying the H5N1 virus in poultry and in humans infected by the new ca.

http://tintuc.xalo.vn/00-1239765415/loi_canh_bao_nong.html

[Sally Furniss]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + 2 suspect cases

Risk of large outbreaks of livestock diseases, poultry
(Source: Reuters)

Vaccinated poultry disease prevention

Accordingly, the avian flu after a very long time control succeed, recently in the province of Ca Mau, the recurrence of bird flu in ducks forums, to 184 infected children, 350 children died in the General Forum. On progress LMLM, in Yen Khang, Y Yen, Nam Dinh, translation appeared on the 15 cow herd as infected. Thus, to this point, the total number of local service has 21 days LMLM of 16 provinces of Ca Mau province has the avian flu.

Before the disease situation in cattle and poultry at risk of outbreak and spread wide, the Department of Animal Health has sent all the provinces and cities throughout the country requirements, enhancing disease prevention livestock and poultry in the period from now until the Lunar New Year. Also, Department of Animal Health also established four groups to inspect and stamp out outbreaks in some localities are translated

http://tintuc.xalo.vn/00436680896/nguy_co_bung_phat_rong_dich_benh_gia_suc_gia_cam.html

[Sally Furniss]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + 2 suspect cases

Accordingly, the avian flu after a very long time control succeed, recently in the province of Ca Mau, the recurrence of bird flu in ducks forums, to 184 infected children, 350 children died in the General Forum.

Note on translation: Children means chicks or ducklings.

[Commonground]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + 2 suspect cases

See this thread also:

http://www.flutrackers.com/forum/showthread.php?t=132689

[Commonground]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + 2 suspect cases

[bolding mine]

Avian influenza ? situation in Viet Nam - update 7

11 December 2009 -- The Ministry of Health 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 man from Dien Bien Phu city, Dien Bien Province. He developed symptoms on 18 November, was hospitalized at Dien Bien general hospital and died on 28 November 2009.
The source of exposure is currently under investigation. His family keep some chickens and wild geese in their household.
Of the 112 cases confirmed to date in Viet Nam, 57 have been fatal.

http://www.who.int/csr/don/2009_12_11/en/index.html

[Commonground]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + 2 suspect cases

Subject high alert to the risk of combining two services flu
15:29 'December 14, 2009

Destruction of infected birds die of influenza A (H5N1). Photo: PT
DBP - In case of death due to influenza A/H5N1 on November 30 after eating more duck soup Because of Van Minh, 14 teams Pom Middle, Sam Mun commune, Dien Bien make endless story. Test results after the departure of a sudden cousin Minh City (also the same pathological symptoms) were the Institute of Hygiene and Epidemiology central positive with confirmed influenza A/H5N1. [??] The sample birds from two families of patients dying from acute respiratory failure suspected influenza A/H5N1: Luong Van God, the Panh, and Luong Thanh Luong Thi Lau, Cuong commune, Pa Thom commune are positive calculated with influenza A/H5N1. [Edit: Original Sentence: Lường Văn Chựa, bản Pánh, xã Thanh Luông và Lường Thị Lau, bản Xa Cuông, xã Pa Thơm đều dương tính với cúm A/H5N1.] Test results led team of health workers from central to local levels raised concerns about the ability to match the influenza virus A/H1N1 and influenza A/H5N1 virus risk are very close.

Risk of influenza combine two services
Dr. Nguyen Tran Hien, Director of Institute of Hygiene and Epidemiology of the central receiving medical forum on 7 / 12: "The risk of a combination of influenza virus A/H1N1 and influenza A/H5N1 virus is coming very close. We Vietnamese Men full-risk condition for the reality. Check the flocks are raised by families of patients dying from influenza A/H5N1 first in Sam Mun, and patients die in suspected influenza A/H5N1 Thanh Luong and Pa Thom (Dien Bien) results for see: all poultry infected with influenza A/H5N1. "Thus, the first in Vietnam, the same time, influenza A/H1N1 and influenza A/H5N1 occurred in a community population, in both human and AI "said Nguyen Tran Hien stressed.
According to statistics from the Department of Health: Up to December 12, Dien Bien has ca 675 influenza A (number of patients from the hospital treatment of 670 ca) including 15 positive for influenza A/H1N1 ca. Most patients with influenza A/H1N1 age students, the schools, the risk of infection in the community high. Currently in Hospital Provincial, Regional Clinic The Phu (Dien Bien) has five ca influenza A/H1N1 being treated and the results are very encouraging.
Now with influenza A/H5N1, immediately after the first patient death, health center with the provincial Preventive Health Center of Dien Bien district coordination with the District Veterinary culled poultry family illness Because of Van Minh, Luong Van God, Luong Thi Lau. The process deployed outbreak: Template toxic disinfection around the outbreak of communal Sam Mun, Thanh Luong , Pa Fragrant; strengthen surveillance, early detection of avian influenza to promptly handle not to spread to humans. Hygiene team epidemiological investigation, make a list, monitor the health of people exposed to the three patients with suspected influenza A/H5N1 (for adults follow health after 14 days of children under the age of 15 after 21 days ) by measuring the temperature every day, if a fever above 38 0 C, with clinical manifestations of respiratory inflammation long will treatment, isolation, avoiding the spread cumA/H5N1 community.

People still ignore information flu A/H5N1
It also announced the end of avian influenza (H5N1) a few weeks ago. Types of poultry: chickens, ducks are sold back is listed in the Center City, giving you Phu (Dien Bien). People still use bare hands to check the health chickens, ducks before you buy, sell; no mask, not disinfect ... Buyer birds still winter, despite the information that patients die from influenza A/H5N1 in the area. It looks like service where influenza A/H5N1 is still distant, not related to the culinary needs. Poultry prices cheaper than before 10-15 trillion VND / kg, especially duck, duck so as to attract consumers. Here then, the restaurant at Dien Bien Phu City, Dien Bien (center outbreak) still have thousands more soup, duck, dish "khoái export" of god and still crowded.

Patient died on November 30 true influenza A/H5N1 and 2 patients suspected deaths related to influenza A/H5N1 avian influenza (bird samples taken at the family were victims of Hygiene and Epidemiology Institute Central tested positive for influenza A/H5N1). [??] Health sector to promote communication through the first surveillance in geographical areas, can not recommend people ignore the avian influenza risk is spread to humans is very high. Each of raising awareness, subject high alert for influenza A/H5N1 and influenza A/H1N1 translated by diet and hygiene, not eating more soup, comply with strict disinfection procedures, sanitation target poisoning outbreaks . When there is bird flu, to immediately report to veterinary outbreaks destroyed; avoid regret that order cheap poultry slaughtering, selling to fund research, work hard dispersed influenza A/H5N1 virus infection risk spread to humans. Currently, the provincial general hospital is still monitoring and emergency patients with a acute respiratory failure, the warning bell service influenza A/H5N1 and influenza A / H1N1 are very close.

http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF-8&sl=vi&tl=en&u=http://www.baodienbienphu.com.vn/newsdetail.asp%3Fcatid%3D7%26newsid%3D50248&prev=_ t&rurl=translate.google.com&usg=ALkJrhhcAAQBek9G9n LmsANbLZZpa_gHow

[Commonground]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + other dead suspected patients with respiratory failure

Post #23 (dated today):

Test results after the departure of a sudden cousin Minh City (also the same pathological symptoms) were the Institute of Hygiene and Epidemiology central positive with confirmed influenza A/H5N1. [??] The sample birds from two families of patients dying from acute respiratory failure suspected influenza A/H5N1:...

From article dated 12/7:
Promote prevention influenza A (H5N1) in humans
9:52 'July 12, 2009 [edit 12/7]

Before the complicated development of the situation translated influenza A (H1N1) and influenza A (H5N1) in the province, Steering Committee for Prevention disease in humans have been assigned tasks to members to monitor the prevention and control services, especially bird flu after the Institute of Hygiene and Epidemiology Central results confirm the death of patients infected by influenza A (H5N1).

-snip-
Immediately after receiving information about the disease situation, the Department of Health (permanent agency Steering Committee Preventing disease in humans) have an emergency meeting Steering Committee's progress against industry, assigning specific tasks to each units the same time directing preventive health center, Medical Center of Dien Bien spray disinfectant, environmental treatment in the two patients with suspected infection and influenza A infection (H5N1) reside. Department of Agriculture - Rural Development Steering Sub-Department of Animal Health continue to investigate the epidemiological situation in the province of Dien Bien district and surrounding area to determine existing levels of saving bird flu virus in the environment.

-snip-

According to Pham Duc Hien, Director of the Department of Agriculture - Rural Development: After publication all avian influenza in the province of Dien Bien district from November 20, specialized units under the Department continues to take form on family on post test at the center of Central Veterinary Diagnostic and results were negative for influenza A virus (H5N1). This is the basis for determining avian influenza are under control and prevention of disease in poultry have been good in some establishments. However, in disease control in poultry, the ability to prevent disease spread from birds to humans and among humans, the agriculture sectors - rural development is facing enormous pressure, while the service still has flu risk of further outbreaks in the province.

-snip-

It is known that sub-department of Animal Health and Preventive Medical Center of the province will coordinate the implementation of epidemiological surveys on the poultry samples and those in direct contact with patients died of infection and suspected infection because virus influenza A (H5N1) to send Central Institute of Hygiene and Epidemiology diagnostic tests. Simultaneously continue to implement the samples from patients with suspected influenza A infection (H5N1) in the region has no cases to be processed in time direction.

http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF-8&sl=vi&tl=en&u=http://www.baodienbienphu.com.vn/newsdetail.asp%3Fcatid%3D7%26newsid%3D49992&prev=_t&rurl=translate.google.com&usg=ALkJrhgv_C5nQ-0-Mf_Rc2aFczubx0YudQ

[alert]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + other dead suspected patients with respiratory failure

The translator makes things difficult to read, but my take on that last post is that there were two fatal ARI cases in the same general area, and they both returned negative H5N1 test results.

Does anyone agree with me?

Edit: OK. I am confused. I don't think they have test results yet on the other two - they are just suspected fatalities for now. But I'm not sure what their relation to the confirmed case is (or if there even is one).

[Commonground]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + other dead suspected patients with respiratory failure

alert, I agree these translations are hard to understand. But after you read enough of them...you get a feel for them.

I think the article in Post #23, is saying that upon investigation immediately after the confirmed H5N1 death, that 3 other people were suspected of H5N1:

Now with influenza A/H5N1, immediately after the first patient death, health center with the provincial Preventive Health Center of Dien Bien district coordination with the District Veterinary culled poultry family illness Because of Van Minh, Luong Van God, Luong Thi Lau. The process deployed outbreak: Template toxic disinfection around the outbreak of communal Sam Mun, Thanh Luong , Pa Fragrant; strengthen surveillance, early detection of avian influenza to promptly handle not to spread to humans. Hygiene team epidemiological investigation, make a list, monitor the health of people exposed to the three patients with suspected influenza A/H5N1 (for adults follow health after 14 days of children under the age of 15 after 21 days ) by measuring the temperature every day, if a fever above 38 0 C, with clinical manifestations of respiratory inflammation long will treatment, isolation, avoiding the spread cumA/H5N1 community.

Now, December 14th, they report this:

In case of death due to influenza A/H5N1 on November 30 after eating more duck soup Because of Van Minh, 14 teams Pom Middle, Sam Mun commune, Dien Bien make endless story. Test results after the departure of a sudden cousin Minh City (also the same pathological symptoms) were the Institute of Hygiene and Epidemiology central positive with confirmed influenza A/H5N1. [??] The sample birds from two families of patients dying from acute respiratory failure suspected influenza A/H5N1: Luong Van God, the Panh, and Luong Thanh Luong Thi Lau, Cuong commune, Pa Thom commune are positive calculated with influenza A/H5N1.Test results led team of health workers from central to local levels raised concerns about the ability to match the influenza virus A/H1N1 and influenza A/H5N1 virus risk are very close.

I think it is saying the sample from the birds of two families of patients that died from acute respiratory failure but that they were suspected of H5N1. And that the birds have tested positive for H5N1.

Treyfish had earlier spotted an article that mentioned two suspected cases of H5N1 affiliated with this confirmed case.
And my post (#24) of December 7th, reaffirms that:

Immediately after receiving information about the disease situation, the Department of Health (permanent agency Steering Committee Preventing disease in humans) have an emergency meeting Steering Committee's progress against industry, assigning specific tasks to each units the same time directing preventive health center, Medical Center of Dien Bien spray disinfectant, environmental treatment in the two patients with suspected infection and influenza A infection (H5N1) reside.

Remember this is December 7th...

It is known that sub-department of Animal Health and Preventive Medical Center of the province will coordinate the implementation of epidemiological surveys on the poultry samples and those in direct contact with patients died of infection and suspected infection because virus influenza A (H5N1) to send Central Institute of Hygiene and Epidemiology diagnostic tests. Simultaneously continue to implement the samples from patients with suspected influenza A infection (H5N1) in the region has no cases to be processed in time direction.

I believe the two suspected cases died, were diagnosed as "acute respiratory failure"..and that's all we may ever hear.

This is just my opinion.

[Treyfish]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + other dead suspected patients with respiratory failure

Dich HPAI Complicatedly
December 15, 2009 - 12:47 AM


(PL) - At a conference on the work of preventive medicine in southern provinces on 14-12, Director of Department of Preventive Health and Environment Nguyen Huy Nga predicted influenza A/H5N1 in the 2010 progress continued to be dangerous potential, especially in cold weather conditions because the virus can develop.



Spraying disinfection in prevention of influenza A/H5N1 ranch. Photo: CTV

Meanwhile, early in 2009 there are currently four recognized cases of influenza A/H5N1 in the provinces of Quang Ninh, Ninh Binh, Thanh Hoa and Dong Thap, and all four cases were dead. "In 2010, the risk of influenza A/H5N1 in humans may also occur because the influenza situation in poultry also translate complicated development" - he received the Russian.http://www.phapluattp.vn/20091215123...n-phuc-tap.htm

[Laidback Al]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + other dead suspected patients with respiratory failure

My reading . . .


Man (23) from ward Sam Min, the city of Dien Bien, dies on November 28 and tests positive for H5N1. Family birds test positive for H5N1.

Person A dies from ARI in Thanh Lu?ng. Family birds test positive for H5N1.
(Lường Văn Chựa, bản P?nh, x? Thanh Lu?ng)

Person B dies from ARI in Pa Thơm (huyện Điện Bi?n). Family birds test positive for H5N1.
(Lường Thị Lau, bản Xa Cu?ng, x? Pa Thơm )

"Thus, the first in Vietnam, the same time, influenza A/H1N1 and influenza A/H5N1 occurred in a community population, in both human and AI "said Nguyen Tran Hien stressed.

[Commonground]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + other dead suspected patients with respiratory failure

Laidback Al, right, that is my understanding also.

[alert]

Re: Vietnam - Dien Bien province, 23 year old died of H5N1 + other dead suspected patients with respiratory failure

I think I agree too.

What is important is the three fatalities do not appear to be contacts of each other.