Friday, April 9, 2010

Vietnam: Bac Kan Province: Index Case + 1 confirmed, 21 on Tamiflu Yen Dinh Vill., 5 Family Hospitalized Na Cao

Bac Kan Province

Trung Van Hoa (22) – Confirmed Case #6 – Index Case

From: Na Cao Hamlet, Nhu Co Commune, Cho Moi District

3/27 – began fever, cough

3/30 – Adm. Cho Moi district hospital, X-ray shows normal lungs

Next 3 days, new symptoms of difficulty breathing, X-ray shows both lungs with lesions

4/2 – Transferred to Bac Kan Provincial Hospital. Symptoms progress to respiratory failure. X-ray shows widespread damage to both lungs. Samples taken @ 21 hours on 4/2, sample shows confirmed H5N1.

4/3 – Dept. of Health directs coordination with DPC to all organizations.

4/4 – National Inst. Of Hygiene & Epidemiology sends missions to support Bac Kan flu A (H5N1). From investigation finds people’s awareness of H5N1 is very low, (eat sick poultry, don’t report sick/dead birds, throws poultry in river/streams. Initiative in prevention of H5N1 on local level is not high.

Directive for districts according to Decision No. 1812: Upon death, cremation.



4 other people in Nhu Co Commune show simlar symptoms. Under quarantine and treated at Bac Kan provincial hospital, in stable condition. The 22 yo is in critical condition. Index Case: history of eating sick chickens.


8 Cases – Na Cao Hamlet

Nguyen Thi Thanh Thu (27 mos old) – confirmed

Adm: Cho Moi District Medical Ctr.–

From: Na Cao

5 other family members hospitalized w/cough, fever, trouble breathing.

All 6 had contact with Index Case or contact w/sick poultry (consumed).

Total 8 cases of cough fever, difficulty breathing – suspected H5N1.

1 Case – Yen Dinh Village

Luc Van Ha – hospitalized medical center Cho Moi, w/fever, cough, dyspnea and diarrhea. 4-5 days before hospitalized had access to epidemic area (Na Tao).

21 Cases taking Tamiflu.

- 14 cases are stable health

- 7 admitted to the District Health Center, fever cough, diarrhea


District has been given 700 doses of Tamiflu, protection equipment, & medical supplies.

1,000 poultry and aquatic birds destroyed.

3 checkpoints set up, preventing movement of poultry vehicles, spraying vehicles.

Active monitoring changes in the disease situation in poultry/birds.

Thursday, April 8, 2010

Avian flu occurs in Quang Ninh and Bac Kan

Social Friday, 9/4/2010, 8:30 (GMT +7)

GiadinhNet - On 8 / 4, Department of Animal Health says it has bird flu appeared in two provinces of Quang Ninh and Bac Kan, Thai Binh province also appeared on the blue ear pig.
Specifically, in Bac Kan province on 19 / 3 as of 04/06/2010, avian influenza has occurred in 16 rural farming households in Cao Na, As Stock commune, Phu Luong district. Total number of poultry deaths and destruction in the 318 households on a child.

In Quang Ninh, on 03/29/2010, avian influenza has occurred in four households in 4 communes in Tien Phong village of Hung Yen. As on 06/04/2010 the total number of bird deaths and the destruction of four households on the 1554 children (including ducks and 50 chickens, 1504).

On the PRRS swine in the Pacific, occurred at the third service is the Hop Tien commune, Phong Chau and Chau Phu district of Dong Hung, to 306 infected children, including 84 sows and 222 pigs for pork.

Notice where patients with influenza A (H5N1) in Bac Kan province and some preventive measures for avian influenza A (H5N1) emergency

04/08/2010 15:18

On 05/04/2010, Steering prevention of acute respiratory tract infections caused by viruses of Bac Kan province issued emergency notices 47/TB-BCD number of cases of patients with influenza A (H5N1) in Bac
Kan and some preventive measures for avian influenza A (H5N1) emergency.

Notice shall specify: Last time that happened all over the country scattered cases of morbidity and mortality caused by influenza A (H5N1). Currently, the province of Bac Kan also had flu patients, testing positive for influenza A (H5N1). Specifically as follows:
Notified by the Ministry of Health, in the first months of 2010 there were some cases of influenza A (H5N1): 01 cases in Khanh Hoa province (on 27.1.2010), 01 cases in Son Duong district - Tuyen Optical (on 02.19.2010) has 02 cases of death from influenza A (H5N1), the first case in Cai Be district, Tien Giang Province (died on 23/2/2010), the second case Binh Duong Province (died on 17/3/2010). In the case of patients with influenza A (H5N1), some cases have no direct contact with infected poultry.

As reported by the Department of Health, in Bac Kan province had 01 patients with influenza A (H5N1): Patients with a history of eating sick chickens, in which the patient resides (As can commune, Cho Moi) going outbreaks in chickens.
On 27/3/2010, the disease began to develop symptoms such as fever, cough. On 30/3/2010, the patient in Cho Moi district hospital treatment, results shooting the film normal lung. Through 03 days of treatment in hospital for New symptoms more severe signs: continuous fever, difficulty breathing, shooting the film X. Optical images show lesions spread both lungs. The patient was transferred to the Hospital (BVDK) province in 15 hours 30 minutes on 02/4/2010 at the Department of Infectious treatment. Capture X.quang found widespread damage to the lungs than film in Cho Moi district hospital, the patient started showing signs of respiratory failure.
Center for Preventive Medicine province took samples and sample survey of the Central Hygiene and Epidemiology Institute. 21 hours 00 Hoi on 02/4/2010, the patient was transferred to hospital treatment of infectious and tropical diseases. Laboratory at the Institute of Hygiene and Epidemiology: samples positive for influenza A virus (H5N1).

On 03/4/2010 from Health Department has directed and coordinated with the DPC to all organizations in anti-social services like her. On 04/4/2010 National Institute of Hygiene and Epidemiology has sent missions to support Bac Kan flu A (H5N1).

Report of the Department of Health through the actual work of investigation in the outbreak and work with the DPC Cho Moi showed people's consciousness about the prevention of influenza A (H5N1) is very low (still eat poultry meat sick / die, do not report translated for local authorities, identify birds indiscriminately thrown into rivers, streams, causing pollution and high risk spread in the province, to other locations); the initiative in prevention of avian veterinary staff on the local level is not high. These issues should be relevant sectors and authorities at all levels of interest, correct time.

To actively in the work for prevention of influenza A (H5N1) in people over the province, the Steering Committee asked the health sector, the Agriculture and Rural Development, the departments concerned and the People's Committee districts, some urgently implement the following key tasks:

For Health Services:

Strengthening supervision cases first infected with influenza A (H5N1) in treatment at all levels, from the commune health centers to district hospitals, provincial general hospital. In the process of receiving, diagnosing and treating patients must strictly comply with the guidance in the Decision on 19.08.2008 30/2008/QD-BYT guiding the diagnosis, treatment and prevention of flu A (H5N1) in humans;

To direct the provincial Preventive Medicine Center, TTYT the districts:

Prepare machinery, chemicals, protective equipment and strengthening of Preventive Medicine team, ready to support local anti-epidemic when required. Implementing anti-guide service in accordance with Decision No. 1812/QD-BYT on 05/23/2005 by the Health Ministry issuing process outbreak of avian influenza A (H5N1).

If a patient's death, burial must be held as stipulated in Circular No.: 02/2009/TT-BYT of the Health Ministry in guiding the cleaning operation burial, cremation.
Enhance communication to raise awareness of people about flu in poultry. To well implement the Health Ministry's recommendations on prevention of influenza A (H5N1) from birds to infect humans.

For the Department of Agriculture and Rural Development:

To expeditiously examine and supervise the local situation in the province of HPAI in poultry; enhance direct veterinary staff at all levels on prevention of avian influenza ; coordinate well with the public health sector in the prevention and control outbreaks in poultry and avian influenza A (H5N1) in humans.

Two Health and Agriculture and Rural Development to urgently formulate a regulation to coordinate their operation against disease spread from cattle and poultry to humans, especially flu A (H5N1) to respond proactive preventive measures right from the stage occurred in poultry.

For the People's Committees of districts and towns:
To organize the inspection and supervision of the management of state animal health in the province; reorganize the work report, translate reports from villages, communes to district levels; Emergency School Steering Committee to consolidate prevention and control of local direct the departments of professional, relevant departments of local People's Committees of communes, wards and towns strictly implement the direction of the health sector , Agriculture and Rural Development and the Provincial Steering Committee, which plans to timely prevention and control to limit the spread of avian influenza A (H5N1) from poultry to people, minimize the number of patients died .

In this announcement, Steering prevention of acute respiratory tract infections caused by viruses requires Bac Kan provinces, the departments concerned to expeditiously implement. /.

9 suspected avian influenza cluster

Focus for prevention of influenza A (H5N1)
07:06 '09/04/2010 (GMT +7)
Appear as local flu A (H5N1), Cho Moi district is focusing all resources and conditions for prevention services.

Add a case positive for influenza A (H5N1)

After the patient Chu Van Hoa, 22, residing in rural Cao Na (as) - first patient, have tested positive for influenza A (H5N1) Steering Committee for prevention of respiratory infections acute health sector virus Bac Kan, Cho Moi district has directed the professional sector, in particular the district health center inspection organization, to the list of people who have had contact with patients and poultry and aquatic birds sick. Simultaneous deployment of medical examination and treatment in time for the cases show signs of fever, cough, shortness of breath in the locality. Up to date 8 / 4, the district health center has received nine more cases have manifested as fever, cough, shortness of breath. Of these 8 patients are residing in villages Na Tao, a patient residing in Yen Dinh. Cases of patients with Luc Van Ha (Yen Ting), hospitalized in a state of fever, cough, dyspnea and diarrhea.
Before hospital about 4-5 days, patients had access to the epidemic areas. Notably, out of 8 patients residing in rural areas, the patients Na Cao Nguyen Thi Thanh Thu (27 months old) had tested positive for influenza A (H5N1). Letters Apart patients, five other family members of patients hospitalized in the state also cough, fever, trouble breathing. All these patients have had contact with the patient first or eat meat, contact with sick poultry. Thus, up to date Cho Moi district has two cases positive for influenza A (H5N1) and 8 cases of cough, fever, difficulty breathing, have expressed suspicion of avian influenza A (H5N1).

Luc Van Ha patients being treated at the medical center Cho Moi district

Comrade Liu Xuan Hoa, deputy director of the district health center, said: "Immediately after Chu Van Hoa patients admitted to hospital, district health centers were examined, timely treatment for cases of cough , fever, difficulty breathing, the presence of influenza A (H5N1). Of the 21 cases the presence of HPAI was taking Taminflu there were 14 cases of stable health, the rest are cases where continued therapy at the Center. Unless the patient's Nguyen Thi Thanh Thu, tested positive for influenza A (H5N1), the remaining cases had fever, cough, diarrhea, is progressing well. However, should the pathogen is still likely to appear more patients expressed similar unavoidable, particularly in the day 8 / 4 Center to continue to receive two additional patients with suspected signs problem, a history of contact with patients before. "

Nguyen Thi Thanh Thu patients 27 months of age (Na Tao, as there are) treated at the Medical Center of Cho Moi district

Along with the examination and treatment time for patients who have expressed doubts, the Centre has directed the district health team focused preventive health development work spray disinfection in rural Na Cao. Up to date 8 / 4 preventive medicine team has conducted the 3rd spraying disinfectant in the service and advocacy organizations to people to personal hygiene, environmental hygiene to reduce the risk around flu spread. The center also simultaneously direct the commune health stations, village nurse supervision, monitoring closely the situation in local disease to detect, on routes to transfer patients timely treatment. Known at this time, the district has been granted 700 doses of Tamiflu, the protection equipment, medical supplies have been adequate preparation for the examination and treatment locally.

Destroyed nearly 1,000 poultry and aquatic birds in the translation
Immediately after cases of avian influenza A (H1N1) in humans first appeared, the Steering Committee for prevention of the district has directed the departments to focus advocacy expertise, deployment inspection, destruction the local epidemic prevention. Specifically, the district has set up three checkpoints in the commune seemed to include a major spill at the dam, at the Pass Key 2 The Quat, in key 3 Buddha Pass (path to the remote Try Quang Chu). At these checkpoints, inter-agency representatives from the district veterinary stations, police districts, market management, commune officials were inspecting, preventing the movement of poultry, poultry products hydro, timely handling of violations according to regulations and spray disinfection of vehicles from the area. Simultaneously with work on the district also conducted some completely destroyed poultry and aquatic birds (965 children) of Na Tao Village and held spray disinfection in Na Tao village, the town or village nearby. Work disinfectant spray is conducted periodically once a day at the village Na Tao - epidemic areas, also with the other villages in the commune, to conduct the spraying three times a day.

As checkpoints in social problems

Besides, the vaccination for poultry and aquatic birds are continuing to be deployed. In addition to 10 villages of the commune As it lies in the high-risk areas surrounding the five communal services include: Van Binh, Quang Chu, Cho Moi township, Yen Dinh, Thanh Binh also simultaneously implement vaccination for poultry aquatic birds. There currently are 50 districts have prepared thousands of doses of vaccines to vaccinate 47,500 children for poultry and aquatic birds conducted on 9 / 4. According to Tran Trung Kien, Vice Chairman District: "The district is continuing to promote the vaccination for poultry and aquatic birds, disinfection at the rural commune of the neck, five neighboring communes. At the same time actively monitoring changes in the disease situation in poultry and aquatic birds in the local time for prevention, to prevent epidemic spread. Immediate direct the district are local, industry, mass propaganda to push people about prevention and effective, to avoid confusion among the people and the direction of veterinary staff facilities, authorities of communes and towns tracking, monitoring changes in the disease situation in the province, reported to the authorities promptly handled. /

Original Text:

Chợ Mới:
Tập trung phòng, chống dịch cúm A (H5N1)
07:06' 09/04/2010 (GMT+7)

Là địa phương xuất hiện dịch cúm A (H5N1), huyện Chợ Mới đang tập trung mọi nguồn lực, điều kiện để phòng, chống dịch.

Thêm một trường hợp dương tính với cúm A (H5N1)

Sau khi bệnh nhân Chu Văn Hoà, 22 tuổi, trú tại thôn Nà Tào (Như Cố) - bệnh nhân đầu tiên, có kết quả xét nghiệm dương tính với cúm A (H5N1) Ban chỉ đạo phòng, chống dịch viêm đường hô hấp cấp tính do vi rút của ngành y tế Bắc Kạn, huyện Chợ Mới đã chỉ đạo các ngành chuyên môn, cụ thể là Trung tâm y tế huyện tổ chức kiểm tra, lên danh sách những người đã tiếp xúc với bệnh nhân và gia cầm, thuỷ cầm bị bệnh. Đồng thời triển khai công tác khám, chữa bệnh kịp thời cho các trường hợp có biểu hiện sốt, ho, khó thở tại địa phương. Tính đến ngày 8/4, Trung tâm y tế huyện đã tiếp nhận thêm 9 trường hợp có biểu hiện sốt, ho, khó thở. Trong đó có 8 bệnh nhân đều là trú tại thôn Nà Tào, 1 bệnh nhân trú tại xã Yên Đĩnh. Với trường hợp của bệnh nhân Lục Văn Hà (Yên Đĩnh), nhập viện trong tình trạng bị sốt, ho, khó thở và bị tiêu chảy. Trước khi nhập viện khoảng 4-5 ngày, bệnh nhân này đã tiếp cận với vùng có dịch. Đáng chú ý, trong số 8 bệnh nhân trú tại thôn Nà Tào thì bệnh nhân Nguyễn Thị Thanh Thư (27 tháng tuổi) đã có kết quả xét nghiệm dương tính với cúm A (H5N1). Ngoài bệnh nhân Thư, 5 thành viên khác trong gia đình bệnh nhân cũng nhập viên trong tình trạng ho, sốt, khó thở. Tất cả các bệnh nhân này đều đã tiếp xúc với bệnh nhân đầu tiên hoặc ăn thịt, tiếp xúc với gia cầm bị ốm. Như vậy, tính đến thời điểm này huyện Chợ Mới đã có 2 trường hợp dương tính với cúm A (H5N1) và 8 trường hợp bị ho, sốt, khó thở, có biểu hiện nghi vấn của cúm A (H5N1).

Bệnh nhân Lục Văn Hà đang điều trị tại trung tâm y tế huyện Chợ Mới

Đồng chí Lưu Xuân Hoà, Phó Giám đốc trung tâm y tế huyện cho biết: “Ngay sau khi bệnh nhân Chu Văn Hoà nhập viện, Trung tâm y tế huyện đã tiến hành kiểm tra, điều trị kịp thời cho các trường hợp bị ho, sốt, khó thở, có biểu hiện của cúm A (H5N1). Trong số 21 trường hợp có biểu hiện của dịch cúm đã được uống thuốc Taminflu thì có 14 trường hợp đã ổn định sức khoẻ, các trường hợp còn lại đang tiếp tục điều trị tại Trung tâm. Ngoại trừ trường hợp của bệnh nhân Nguyễn Thị Thanh Thư, kết quả xét nghiệm dương tính với cúm A (H5N1) thì các trường hợp còn lại đều đã giảm sốt, ho, tiêu chảy, có tiến triển tốt. Mặc dù vậy, do mầm bệnh vẫn còn nên khả năng xuất hiện thêm những bệnh nhân có biểu hiện tương tự khó tránh khỏi, cụ thể là ngay trong ngày 8/4 Trung tâm tiếp tục tiếp nhận thêm 2 bệnh nhân có biểu hiện nghi vấn, có tiền sử tiếp xúc với các bệnh nhân trước đó”.

Đi đôi với công tác khám, điều trị kịp thời cho các bệnh nhân đã có biểu hiện nghi vấn, Trung tâm y tế huyện đã chỉ đạo Đội y tế dự phòng tập trung triển khai công tác phun thuốc khử trùng tiêu độc tại thôn Nà Tào. Tính đến ngày 8/4 Đội y tế dự phòng đã tiến hành phun khử trùng lần thứ 3 tại vùng dịch và tổ chức tuyên truyền đến người dân cần vệ sinh cá nhân, vệ sinh môi trường sống xung quanh để giảm nguy cơ dịch cúm lan rộng. Đồng thời Trung tâm cũng chỉ đạo Trạm y tế các xã, y tá thôn bản giám sát, theo dõi chặt chẽ tình trạng dịch bệnh tại địa phương để phát hiện, chuyển người bệnh lên tuyến trên kịp thời điều trị. Được biết đến thời điểm này, huyện đã được cấp 700 liều Tamiflu, các trang thiết bị bảo hộ, vật tư y tế đã được chuẩn bị đầy đủ phục vụ công tác khám, chữa bệnh tại địa phương.

Tiêu huỷ gần 1.000 con gia cầm, thuỷ cầm trong vùng dịch

Ngay sau khi ca bệnh cúm A (H1N1) ở người đầu tiên xuất hiện, Ban chỉ đạo phòng, chống dịch của huyện đã chỉ đạo các ban, ngành chuyên môn tập trung tuyên truyền, triển khai công tác kiểm tra, tiêu huỷ, phòng dịch tại địa phương. Cụ thể, huyện đã thành lập 3 chốt kiểm dịch tại xã Như Cố gồm: chốt 1 tại Đập tràn, chốt 2 tại chân đèo Bản Quất, chốt 3 ở chân đèo Bụt (đường đi từ xã Như Cố sang Quảng Chu). Tại các chốt kiểm dịch này, cơ quan liên ngành gồm đại diện Trạm thú y huyện, Công an huyện, Quản lý thị trường, cán bộ xã đã tiến hành kiểm tra, ngăn chặn việc vận chuyển gia cầm, sản phẩm thuỷ cầm, kịp thời xử lý các trường hợp vi phạm theo quy định và phun thuốc khử trùng tiêu độc các phương tiện đi ra từ vùng dịch. Đồng thời với hoạt động trên huyện cũng đã tiến hành tiêu huỷ hoàn toàn số gia cầm, thuỷ cầm (965 con) của thôn Nà Tào và tổ chức phun thuốc khử trùng tiêu độc tại thôn Nà Tào, các thôn, xã lân cận. Công tác phun thuốc khử trùng được tiến hành định kỳ 1 lần/ngày tại thôn Nà Tào – vùng có dịch, còn với các thôn khác trong xã thì tiến hành phun thuốc 3 ngày 1 lần.

Chốt kiểm dịch tại xã Như cố

Bên cạnh đó, công tác tiêm phòng vác xin cho gia cầm, thuỷ cầm cũng đang tiếp tục được triển khai. Ngoài 10 thôn của xã Như Cố nằm trong vùng có nguy cơ cao thì 5 xã lân cận vùng dịch gồm: Bình Văn, Quảng Chu, thị trấn Chợ Mới, Yên Đĩnh, Thanh Bình cũng đồng loạt triển khai tiêm phòng cho gia cầm, thuỷ cầm. Hiện tại huyện đã chuẩn bị được 50 nghìn liều vác xin để tiêm phòng cho 47.500 con gia cầm, thuỷ cầm tiến hành từ ngày 9/4. Theo ông Trần Trung Kiên, Phó Chủ tịch UBND huyện: “Hiện tại huyện đang tiếp tục đẩy mạnh công tác tiêm phòng cho gia cầm, thuỷ cầm, khử trùng tiêu độc tại các thôn thuộc xã Như Cố, 5 xã lân cận. Đồng thời chủ động theo dõi diễn biến tình hình dịch bệnh trên gia cầm, thuỷ cầm tại các địa phương để kịp thời phòng, chống dịch, tránh để dịch lan rộng. Trước mắt huyện đang trực tiếp chỉ đạo các địa phương, các ngành, đoàn thể đẩy mạnh tuyên truyền đến người dân về cách phòng, chống dịch hiệu quả, tránh gây hoang mang trong nhân dân và chỉ đạo các thú y viên cơ sở, chính quyền các xã, thị trấn theo dõi, giám sát diễn biến tình hình dịch bệnh trên địa bàn, báo cho các cơ quan chức năng kịp thời xử lý”./.

Israel: Health Ministry to keep swine flu vaccine doses in storage

Although the US government may discard millions of superfluous H1N1 swine flu vaccines, the Health Ministry told The Jerusalem Post on Wednesday that it intends to keep its remaining supplies in storage.

Jerusalem health officials said they intend to hold on to the more than three million doses that were purchased and not used due to lack of demand, because they might be needed in the fall or winter.

The ministry said that the expiration dates on the vaccines it purchased in the US and Europe have not passed.


Vietnam: Strengthening flu A/H5N1

Thursday, 8/4/2010, 14:6 (GMT +7)

On 6 / 4, Department of Preventive Medicine and Environment (MOH) has confirmed cases positive for influenza A/H5N1 in Bac Kan province. He TVH patients., 22, Na Tao Village, commune such as grass, Cho Moi district, Kan Bac. It is cases of influenza A/H5N1 6 of Vietnam since early this year. So within three months of the year, the number of cases of influenza A/H5N1 was reported in our country has a higher total of all cases in 2009. SK & DS reporters had a quick exchange with other departments of the Ministry of Health functions prevention of influenza A/H5N1.

Eng. Level of patients being treated for H. influenza A/H5N1 infection in the Central Hospital of Tropical Diseases. Photo: Minh Tran

Eng. Intermediate Nguyen, Deputy Director of Emergency Department, Hospital Central Tropical Diseases: "Here the patient can live poultry death phenomenon."
Patient H. hospitalized in very serious condition, pale body, thought most organs, including lungs was most severe (severe respiratory failure), heart and kidneys also began to suffer.

According to epidemiological investigation, in which patients live with the phenomenon of dead poultry. As it is also at the commune there are 4 more people with symptoms of high fever and cough, are isolated, tracking. But the health of all four men are stable.

Eng. Alert level, people in areas with sick poultry phenomena, all die should be vigilant and to immediately notify authorities and agencies in the locality. In addition, the appearance of symptoms such as fever, cough, difficulty breathing, especially after contact with poultry you should think of influenza A/H5N1 and to right the nearest treatment facility for counseling, according Health monitoring and detection, timely treatment.

According ThS.Cap, now, a tropical disease hospital was put into use isolation rooms with negative $ 250,000 funding by Oxford University funding for isolating, treating patients with SARS, influenza A/H5N1 . However, if large numbers of patients, the hospital will have to mobilize more of the other preventive service for the treatment of patients with dangerous infectious diseases.

TS. Luong Ngoc Khue-director of the Department of Health, Ministry of Health: "The hospital is always ready to take the initiative in treatment services."

The weather this season easily create favorable conditions for virus spread and development in poultry as well as the risk of spreading avian influenza and can spread easily to humans.

Therefore, the Department of Health Management has requested a written emergency hospitals, hospital beds under the Ministry, the Provincial Health Department, and city health departments plan to urgently when there is active outbreak out; a permanent plan, the reserve of drugs, fluids, equipment, materials and layout of the number of hospital beds, emergency facilities available to ensure the content of the collection, treatment and isolation patients according to guidelines for prevention.

Related to the treatment of influenza A/H5N1 epidemic, he said Khue, Health Administration has asked the hospital last line in the treatment system must be ready to receive the flu treatment of severe cases and difficult to treat, and support facilities on the lower level of health prevention services.

Accordingly, the receive and treat patients and the average online by the hospital treating influenza primarily in charge of the system. Private line extensions and treatment system in place in the treatment of influenza, will take on the detection of suspected cases in the community to guide and coordinate, online social support in surveillance, treatment and fight against epidemic.

TS. Nguyen Van Binh, deputy director of the Department of Preventive Medicine and Environment: "Do not be" sleeping "on the service."
Currently avian appear scattered in several provinces. Besides, cold weather, humidity, the virus will have the opportunity to develop and spread in poultry should spread the risk is great. The people should cooperate with authorities and agencies in detecting the phenomenon of bird illness, death and especially not in use, slaughter, transport, trade poultry of unknown origin, especially in the area flu outbreak in poultry. Advocacy on issues of mass media for people to understand and comply with the Health Ministry's recommendations on measures against bird flu should be "temperamental predominance" again. Because the service via a long lull, it seems that people and even the authorities in some localities as "sleeping" makes the disease a chance to come back and threaten public health .

Egypt: Qaliubiya-Update on Poultry Culling + Shops Closed

Thursday, April 8th, 2010


...Adly Hussein, governor of Qaliubiya...

The Hussein continued the onslaught by the regulatory agencies and food to keep the stores in violation of the decision to ban the sale of poultry, live, pointing out that the bird flu crisis continues in some farms, where the follow through market execution of 17 thousand birds infected with avian influenza and the closure of 293 shops selling of live birds.

Vietnam: Global Overview-January 2010-Prepared by EMPRES/FAO GLEWS


The question still remains as to where the virus hides during inter-epidemic periods in the complex and variable poultry production systems comprising chickens, ducks and rice fields. Consistent outbreak investigations are not undertaken on infected farms and key information is usually missing from the field.

In January 2010, a human case was observed in a 3-year old female from Khanh Hoa Province. The source of exposure is under investigation. Her family raises chickens but did not report any mass poultry illness or death.

Based on the monitoring of surveillance activities, three currently circulating virus clades have been isolated: (1) HA Clade 1 (predominant in southern Viet Nam and also isolated in Cambodia); (2) HA Clade 2.3.4 (predominant in northern Viet Nam and also circulating in China); and (3) HA Clade 7 (detected in poultry seized at the Chinese border and at markets near Hanoi). In 2009, ten viruses were sent to the U.S. Centers for Disease Control and Prevention (CDC) for sequencing and, to date, no new circulating clade has been detected.
A recent study by Carrel et al. (2010) showed that there have been at least six independent H5N1 introductions into Viet Nam and there were nine newly emerged reassortants from 2001 to 2007. H5N1 viruses in Viet Nam cluster distinctly around Hanoi and Ho Chi Minh City. More information is available at…

While the interactions between time, space and genetic evolution could potentially be circumvented by repeated introductions of H5N1 strains of different lineages into Vietnam, we would still expect to see the northern region around Hanoi and the southern region around Ho Chi Minh City acting as important sites of genetic differentiation rather than the central region of the country.

Genetic distance between case pairs is higher in 2005 and 2007 than in the first two years of the dataset, an indication that these influenza viruses have evolved as local epidemic strains in domestic poultry after sweeping over Vietnam during the 2003–2004 outbreaks.

By 2007, however, genetic distances are similar for the within- and between-region categories. The significant three-way interaction (Table 1) indicates that genetic variation in Vietnamese HK821-like cases is systematically different between regions, years and gene segments, and that these three factors interact in ways that affect genetic distances between virus case pairs.

India: Global Overview-January 2010-Prepared by EMPRES/FAO GLEWS

H5N1 HPAI outbreaks/cases in poultry and wild birds in South
Asia, by country, between January 2009 and January 2010
(Source: FAO EMPRES-i)

According to the last surveillance report, between 28 December 2009 and 7 February 2010, 17 419 active surveillance samples were received at the High Security Animal Disease Laboratory (HSADL), Bhopal. Testing was completed on 14 083 samples (some from the previous month), all but 20 (all from West Bengal) with negative
results, and another 12 180 were under test or pending.

Egypt: Global Overview-January 2010-Prepared by EMPRES/FAO GLEWS

Confirmed outbreaks of H5N1 HPAI in Africa (Egypt) over the
last six months are presented in Figure 5.

Compared to 2009, when most cases were in children under four years of age, five out of the seven human infections so far in 2010 have been in adults. The observed CFR is also higher so far in 2010 (43% compared to 10% in 2009, although it had decreased from 50% in 2008). The relative increase in H5N1 HPAI outbreaks in poultry (50 in January 2010 compared to seven in the same month in 2009) is a result of the improved surveillance and reporting rate, mainly because of the effectiveness of CAHO.

During January 2010, 116 farms in five governorates were subjected to active surveillance and no HPAI infections were detected. On the other hand, two of the nine HPAI notifications (passive surveillance) received from commercial poultry farms were found positive for H5 HPAI.

Global Overview-January 2010-Prepared by EMPRES/FAO GLEWS

Issue No. 19


Data from previous years have shown a peak in the number of outbreaks/cases during the January-March period in both poultry outbreaks (Figure 11) and human cases (Figure 4), although there is a decreasing trend in the height of the peak as years go by.

A similar, although not so evident trend, is observed when looking at the number of countries reporting outbreaks (Figure 10). As expected, during January 2010 we
have seen an increase in the total number of outbreaks and countries affected. January constitutes the peak so far (both in terms of number of outbreaks and number of affected countries) since the previous January-March period.

Against the decreasing trend observed since 2004, it seems that the peak height in January 2010 is very similar in magnitude to that of 2009.

Moreover, in terms of number of outbreaks, 2010 has already surpassed the peak of 2009, which was also reached one month later (February 2009).

This may be partially explained by the implementation of more intensive surveillance programmes in countries such as CAHO in Egypt, together with the fact that vaccination of backyard poultry was stopped in July 2009). It may also be related with a reduction on the efficacy of control programmes in endemic countries (fatigue).

During January 2010, H5N1 HPAI has re-surfaced in several countries, where the disease was believed to have been eliminated (without vaccination): Cambodia, Nepal and Israel.

It is still too early to evaluate whether these are reintroductions, where wild birds and hunting/poaching play a significant role, or whether the virus was circulating
undetected by surveillance programmes.

In the cases of Bangladesh and India, that had reported no outbreaks in the
second half of the year, a new wave of cases has been observed since the beginning of 2010.

Wednesday, April 7, 2010

Vietnam: Quang Ninh Prov.: Disclosure of avian influenza in Tien Phong commune (Hung Yen)


7-4 morning, provincial People's Committee Decision No. 923/QD-UBND avian announced in Tien Phong commune, Yen Hung district.

It is known, from 29-3, in four villages some households, Tien Phong commune has the phenomenon of mass bird deaths.

The sample for this bird were positive for the H5N1 virus.

Immediately after the test results, the functional bodies of Hung Yen has conducted a number of measures to put services, not to prevent a widespread epidemic.

Up to 6-4 days, Hung Yen has culled 1,602 poultry diseases, including 1552 and 302 ducks lay eggs; set up checkpoints at the local level for social Pioneer 72 liters of chemicals is spray disinfection; 10,000 doses of bird flu vaccines.

Currently, forces are conducting functional testing on the flu situation in the whole district and conduct disinfection spray the entire area is translated, the work of surveillance, inspection of all neighboring communes. If the findings will proceed promptly destroyed.

Earlier, in February and early March, flu occurred in the hamlet of Mai Hoa and Dong Mai Commune Nam Hoa with the number 670 infected children.

Vietnam: Avian Flu & Foot & Mouth Still Raging in some Provinces/Cities

Interested in prevention and disease for cattle, poultry

April 8, 2010

ND - From the Lunar New Year so far, avian flu, foot and mouth disease in cattle again raging in some provinces and cities, causing thousands of poultry, cattle disease.

Immediately after detecting the disease, the local initiative in carrying out anti-epidemic measures. However, because of complicated disease and the subjectivity of people have created favorable conditions for disease spread and development.

According to experts, the causes of recurrent disease on livestock and poultry vaccination is due process and implementation measures for prevention of people at the grassroots level and bad.

The most worried is the status of transportation, slaughtering and trading of poultry products is widespread, very difficult to control; the quarantine of animals is limited, so it can not detect cattle are incubation.

In addition, although people's awareness in the prevention and diseases have been raised, but not less farmers also subjective, not implemented the measures for prevention seriously.

In some localities, diagnostic capacity of veterinary staff is weak.
Households when the disease is not detected immediately with vets that arbitrarily treated with traditional measures, causing difficulties in detecting and stamping service enclosure.


Tuesday, April 6, 2010

H1N1 Outbreaks in US, Abroad Carefully Monitored

H1N1 Outbreaks in US, Abroad Carefully Monitored PDF Print E-mail
by Anthony L. Kimery
Tuesday, 06 April 2010

'We are not seeing any significant evidence of a resurgent ‘third wave’

As the deadly H1N1 flu is making a comeback in places around the world, including in the southwest United States – Georgia in particular, which has been hit particularly hard – authorities are wondering whether these new outbreaks of the influenza virus represent a worrisome “third wave,” a new mutation, or whether something else is in play that’s responsible.

Alabama and North Carolina also have reported outbreaks, Centers for Disease Control and Prevention (CDC) officials reported in their latest update on the spread of the virus. CDC warned Georgians to get vaccinated for the H1N1 flu. Georgia has one of the lowest rates of vaccination among its population, which some experts believe is likely contributing to the increase in new infections there.

Local activity has also been reported in Arkansas, Louisiana, Mississippi, Tennessee, Virginia, Hawaii, New Mexico and Puerto Rico.

Across the world in Malaysia, new A H1N1 clusters have been detected throughout the country, putting the country’s Health Ministry on high alert.

Between March 21 and 27, 83 people in Selangor, Malacca and Terengganu were confirmed infected with the virus.

Health Director General Tan Sri Dr Ismail Merican said the sudden clusters indicate the H1N1 virus is still active, but stressed that the government is on top of the new outbreaks.

The World Health Organization (WHO) reported that the H1N1 pandemic influenza remains the most prominent influenza virus circulating around the world and that the virus remains active in parts of the tropical zones of Asia, the Americas, and Africa.

Elsewhere, "an increasing trend in pandemic influenza activity for at least one week during March," according to the WHO, occurred in Guatemala, Nicaragua, El Salvador, Panama, Brazil, Peru, and Bolivia all reported.

“At present, we are not seeing any significant evidence of a resurgent ‘third wave’ in the US,” the “notable exception [being] the recent sharp increase in cases in Georgia,” was told be a senior government public health preparedness official.

“CDC was concerned enough to hold a conference call last week, where we learned that the state had this absolute lowest vaccination rate in the country last year. Thus it was left with a vulnerable population at a time when the virus was still in circulation.

The official said “the average vaccination rate for the whole country stands at ~ 23 percent.”

In Connecticut, in comparison, the rate is one of the highest in the country, at 43 percent.

“Other New England states also fared well in this regard, a result of their intense regional cooperative planning,” the official noted.

“Regarding H5N1, there have been sporadic reports of minor changes in viral structure, but none that have thus far led to increased transmissibility,” the official added, saying that “virulence remains the same with a consistent 60 percent mortality rate in the human population. The most recent cases are still coming from Egypt and Viet Nam. Overall, WHO’s case count now stands at 492 documented cases, with 291 associated deaths.”

Authorities continue to be concerned that as pandemic H1N1 comingles with the highly fatal H5N1 bird flu there could be a genetic “reassortment” of the two viruses, potentially resulting in a deadly new flu virus.

Writing in his latest bulletin, Michael Osterholm, director of the Center for Infectious Disease Research & Policy (CIDRAP) and director of the National Institutes of Health-supported Center of Excellence for Influenza Research and Surveillance within CIDRAP, said “recent novel H1N1 influenza developments in the southeastern region of the United States merit … attention. They're prime examples of why we must vigilantly expect the unexpected.

Osterholm pointed out “an unusual level of hospitalizations linked to lab-confirmed novel H1N1 influenza in the state of Georgia prompted CDC to call a short-notice press briefing and describe the uptick as a ‘worrisome trend.’”

“Most of the hospitalized patients are adults who have chronic medical conditions and did not get the H1N1 vaccine,” Osterholm wrote, adding “Georgia had one of the lowest rates of H1N1 vaccination last fall, and people with chronic medical conditions are among the groups considered at high risk of developing complications if they're infected by the novel H1N1 pandemic virus.

“I don't know the last time in April we've seen an increasing number of hospitalizations for influenza,” Osterholm stated, adding, “of note, the number in Georgia is similar to the number of hospitalizations seen at the height of the second pandemic wave last October. In short, the trend is unexpected. Does it portend a third wave of the pandemic? We just don't know … But I sure wouldn't rule out the possibility.”

“For now, what we do know is that what's happening in Georgia is unusual for this time of the year and that people who are getting sick enough to need hospital care did not get vaccinated and are among the groups considered to be at high risk of developing complications,” Osterholm wrote.

Meanwhile, researchers have reported in a new a study published in Science Translational Medicine that the H1N1 swine influenza virus shares an important surface protein with the virus responsible for the 1918 flu.

Swine flu scare was unnecessarily exaggerated: WHO

STAFF WRITER 17:30 HRS IST New Delhi, Apr 6 (PTI) A top official of the World Health Organization today admitted that the global swine flu scare was unnecessarily exaggerated, an allegation the international body faced when the killer disease claimed thousands of lives in several countries including India.

"Yes, yes," said Dr Samlee Pilanbangchang, regional director, South-East Asia, WHO, when asked whether the swine flu scare was unnecessarily exaggerated.

He was addressing an function here on the eve of World Health Day.

When the WHO official made the candid admission his colleagues in the organisation intervened and he did not speak further on the matter.

WHO was criticised last year for its handling of the swine flu pandemic and was accused of exaggerating the danger of the virus under pressure from different countries and drug manufacturers.

Malaysia: H1N1 Mother/Daugher Confirmed - Update

[This sounds to me like the Mother had recently contracted H1N1, probably from her daughter, but it did not disperse enough to cause her death.]

54 yo (Mother)
Adm: 3/30
Notes: Diabetic
DOD: 3/31

From the Ministry of Health Website:

The first case was a 54-year-old woman who is a diabetic (diabetes mellitus). He was admitted on March 30 with symptoms of Inclusion and further treated with Tamiflu. Laboratory tests confirmed he was positive for H1N1. However, he also experienced problems, uncontrolled diabetes, the complications caused "severe metabolic acidosis" due to total kidney failure, other bacterial infections (sepsis) and diabetes was not controlled. X-ray of the lungs did not show any signs of pneumonia to be associated with H1N1. So his death was directly caused by complications of diabetes.

hat-tip RoRo

Malaysia: National Svc. Training Prg. @ Gua Musang - 40 quarantined in Hospital

Berita Harian
Selasa, 06/04/2010 Tuesday, 06/04/2010

40 trainees in Gua Musang quarantined

KOTA BHARU: A total of 40 trainees of the National Service Training Program (NS) at Camp Ethnobotany, Gua Musang, quarantined since yesterday afternoon after experiencing symptoms of disease detection, such as influenza (Inclusion).

All students involved are now placed under strict surveillance Gua Musang Hospital and other health workers involved in the camp is not allowed to interact and mingled with 310 other trainers at the camp said.

Director General of the National Service Training Department (JLKN), Datuk Abdul Hadi Awang Minor, said up to yesterday, the health status of 40 students involved, including 11 women had no concern for treatment, including medication to prevent flu that they suffer from prolonged.

"We still have not received confirmation of whether the student is infected 40 Influenza A (H1N1) or not because so far the medical officer conducting the examination to only inform the group that appears to be the inclusion of symptoms that concern," he said when contacted yesterday.

"However, to ensure their health guaranteed, 40 trainees are not allowed to participate in any activities and training with other trainers, but quarantined in two blocks of each food they are normally well enough drugs," he said when contacted yesterday.

Abdul Hadi said, JLKN also have direct management of the camp is to increase the level of cleanliness around, in addition to ensuring that canteen operators maintain personal hygiene and cooking food properly to avoid the problem persists.

"I have ordered 79 NS camps around the country ready to face a variety of possibilities including the second wave of H1N1 is reported to be affected due to the Ministry of Health warned," he said.

He said parents who are now quarantined students do not need to worry because their health condition is not worrisome, other will follow the usual practice after a medical officer.

Meanwhile, Kelantan Health Department Deputy Director, Dr Wan Mansor Hamzah, said his party is carrying out vaccination against 5.091 injections health officials around the country, as well as 2.270 other officers of various agencies working in the front line, and 1.370 of the public, especially among high risk groups affected infection.

Alor Setar: Test sample inclusion disease, which is taken from students and staff of the three schools in Langkawi last week has been confirmed in laboratory Sungai Buloh Hospital, Selangor as H1N1 infection.

Until yesterday another school of the Chinese National Type Schools (SJKC) Chung Hwa in Langkawi closed for five days from the day it closed four schools in the country, while two of the National Secondary School (SMK) Mahsuri and the Mara Junior Science College (MRSM ) is in the attention of the State of NSW Department of Health following the spread of diseases such as influenza (Inclusion).

. Langkawi District Health Officer, Dr Mansor Ismail, said that at about 8.30 am yesterday the Special Task Force (CDC) Langkawi District Health Office to bring more than 40 students SJKC Chung Hwa to Madiun Health Clinic to receive treatment early after infection Inclusion.

hat-tip kiwibird

Malaysia: Fourth school in Langkawi closes over flu-like illness

Previous reported here . Update on the 3 schools last week:

Alor Setar: Test sample inclusion disease, which is taken from students and staff of the three schools in Langkawi last week has been confirmed in laboratory Sungai Buloh Hospital, Selangor as H1N1 infection. Link


ALOR SETAR: A fourth school in Langkawi has closed after its pupils were found to be suffering from influenza-like illness.

The Kedah Education Department closed SJKC Chung Hwa after 40 pupils were found with the illness.

Department director Shahidan Abdul Rahman said the school would be closed for five days beginning today.

“This is the fourth cluster of influenza-like illness in Langkawi and the Health Department is closely monitoring all schools on the island.

“Last week, SMK Langkawi Pulau Tuba, SK Bagan Nyiur Selat and SMK Teknik Langkawi were ordered closed between five and six days,” he added.

Shahidan said SMK Langkawi Pulau Tuba was re-opened on Sunday, SK Bagan Nyiur Selat was re-opened yesterday while SMK Teknik Langkawi would be opened today.

It is learnt that the state Health Department is also closely monitoring SMK Mahsuri and Maktab Rendah Sains Mara after more than 20 students from both schools were treated for flu yesterday.

Meanwhile, Kedah Health Committee chairman Dr Ismail Salleh said 200 students from SMK Langkawi Pulau Tuba, SMK Teknik Langkawi and SK Bagan Nyiur Selat were confirmed positive for the A(H1N1) virus.

“All of them were given anti-viral drugs and then quarantined at home.

The state had earlier recorded a total of 14 A(H1N1) cases with no deaths recorded.

“The state Health Department will closely monitor all schools, higher learning institutions and colleges,” he added yesterday.

hat-tip Pathfinder

Malaysia: Quarantine Family of Mother/Daugher Confirmed Deaths

From previous post:

He added that Mustaza’s family and his youngest daughter Fatimah, 17, were put under house quarantine for a week since Friday and that the authorities were monitoring their condition daily.
Berita Harian
Isnin, 05/04/2010 Monday, 05/04/2010

Two-child family of fatal H1N1 quarantined
Oleh Amir Mamat By Amir Mamat

JASIN: Family of two who died after birth confirmed infected with the epidemic of Influenza A (H1N1) on Tuesday, while quarantined in their homes in Batu 14 Jalan Jasin, Merlimau near here, to avoid spreading the disease.

Chairman of the Committee of Women, Family and Health states, Datuk Norpipah Abdol, Jasin said the Health Department is directed to monitor the cleanliness of the home involved while ensuring that residents are not independent of external activities. He said his house was also ordered residents to wear face masks at all times when outside the home than they need to keep the house clean of any contamination. "They should not leave home independently until certified safe by the State Health Department.

"I hope that the family comply with all instructions from the relevant parties," he said when contacted here yesterday.

The newspaper reported yesterday, Maimunah Dimah, 54, died on Wednesday last before, followed her second child, Sumarni Md Nor, 30, last Friday due to H1N1 infection.

More sad family involved when Sumarni not find time to see a small child she brought a new, four days ago that had to be placed in the Intensive Care Unit (ICU) Melaka Hospital unconscious shortly after undergoing surgery to remove her baby.

hat-tip kiwibird

Malaysia: H1N1 Mother & Daugher Confirmed; Died

Previously reported here and here ... [We still do not have an onset date....]

Monday April 5, 2010
Wife’s last wish to hubby — look after family and mum

MALACCA: Be strong and don’t worry, these were the last words Mustaza Sarmat, 29, said to his wife Surmani Mah Nor as he held her hands before she underwent a Caesarean operation to save their child at the Malacca Hospital last Wednesday.

“I was by her side. I told her to be strong. I even promised her that both of us would raise our family together,” a tearful Mustaza said as he related his last moments with his wife who slipped into a coma during the operation and died two days later on April 2.

“She told me to look after our family and her mother,” he added. Surmani, 29, and her mother, Maimunah Dimah, 54, who died on March 31, had both contracted the A(HINI) virus.

He said that Surmani, who had a mild fever and slight cough, had sought treatment at a private clinic near their home in Jalan Jasin, Merlimau.

He added a routine pre-natal check up at the Malacca Hospital on March 29 revealed the baby’s heart was beating rapidly, prompting doctors to perform a Caesarean to save the girl.
The 2.95kg baby is free from the A(HINI) virus and is in an incubator at the hospital.

“We have yet to name her,” said Mustaza, a contract worker with Indah Water Consortium in Muar.

Meanwhile, Maimunah’s husband and Surmani’s father, Mah Nor Mah Nasir, 65, was still in shock over the family’s double loss but accepted it as fate.

He said the family had not told Surmani’s three-year-old daughter Nuraira Batrisyia of her mother’s death.

He added that Mustaza’s family and his youngest daughter Fatimah, 17, were put under house quarantine for a week since Friday and that the authorities were monitoring their condition daily.

hat-tip kiwibird

More bird flu cases arising in Vietnam

Tuesday ,Apr 06,2010, Posted at: 15:02(GMT+7)

Another person suffering from a severe case of avian influenza is being treated at the National Tropical Diseases Hospital in Hanoi, the hospital announced on April 5.

Vets will spray chemicals to disinfect the areas where have had infected bird flu patients

A 22-year-old male from the northern province of Bac Kan, the sixth bird flu case since the beginning of the year, is in serious condition and requires the use of a breathing machine, said the hospital’s director Nong Quoc Chi.

The patient was transferred to the hospital from the province’s General Hospital on April 3 with symptoms including a cough and high fever.

Tests conducted by the National Epidemiology Institute on April 4 showed he was positive for the bird flu virus (A/H5N1).

An investigation has revealed there were dead waterfowl in the man’s neighborhood. Four other residents from the man’s commune also showing bird flu symptoms have been quarantined and are also under treatment at the National Tropical Diseases Hospital.

Bird flu has claimed two lives in Vietnam so far this year.

Monday, April 5, 2010

Vietnam: Outbreak of encephalitis, meningitis in children


In the emergency room less than 30m ² of the science-NERVES Infection Children's Hospital 1, more than 15 children will be breathing machine and fall into the encephalitis, meningitis. Dr. Truong Huu Khanh, Dean, said in two weeks encephalitis, meningitis abnormal increase in number of hospital admissions. If the past 3-4 days I shall only about 40 yesterday (5-4) already are 58 grandchildren.

"Since the New Year so far Dan Geng cases continued to increase. This is unusual, because the previous year every month only a few scattered cases. But now it is up to tens of cases, "said Dr. Khanh.

Meanwhile, Dr. Tran Van Ngoc, Head of Children's A City Hospital for Tropical Diseases, said that recent weeks of children with meningitis, encephalitis also increased significantly. Dr. Ngoc warning meningitis are due to seasonal weather changes, prolonged hot ... Information from the Department of Children's Hospital Infection 2 City yesterday said more than 10 children being treated with meningitis, encephalitis increase over the previous week.

Commonground's Map Vietnam H5N1 & H1N1 Outbreaks

Vietnam 2010 [click on map]

Red: H5N1 Human Confirmed
Blue: H5N1 Poultry Confirmed in assoc. with Human Confirmed
Yellow: H5N1 Confirmed Poultry Outbreaks
Purple: H1N1 Confirmed Humans
Green: Misc. ex: H5N1 Suspected Cases, Respiratory; hospital overloads...

Vietnam: H5N1 Human Confirmed Case+4 others in Hospital w/symptoms (2 articles)

Young men critical because bird flu
Thứ hai, 5/4/2010, 18:20 GMT+

The dead poultry slaughter contagious bird flu. Photo: Hoang Ha.

Patients 22 years old, hamlet Nà Tào, commune Như Cố, Bac Kan province newly identified positive for H5N1. He is in critical condition, have ventilation.

Mr. Nong Quoc Chi, Director of Health Department of Bac Kan province, said on 2 / 4, patients in the provincial hospital with signs of fever and cough. A day later, he was transferred to hospital treatment in the central tropical diseases, to breathing machines.

To date 4 / 4, Institute of Hygiene and Epidemiology result of male patients tested positive for H5N1. According to epidemiological investigation, in which patients live poultry have died phenomenon.

Chi also said, in the commune seemed to have four more people with symptoms of high fever and cough, are isolated, tracking. But the health of all four men are stable.

Recently, in Soc Son, Hanoi, a pregnant women infected with H5N1 has killed nearly three times over 20 days in hospital.

Many experts are worried that H5N1 viruses are getting stronger motivation, especially the ability to combine with influenza H1N1 virus, spread rapidly.

In 2010, Vietnam has also recorded cases of death due to this virus is the first female patients, aged 38, in An Thai Trung commune, Cai Be district, Tien Giang Province. In the last year, including five cases of H5N1 have died.
hat-tip Treyfish

A bird flu case detected in Bac Kan province
: 6:52 PM, 04/05/2010

The Director of the Bac Kan provincial Health Department, Nong Quoc Chi, confirmed an A/H5N1-infected case on April 5.
The patient, Trung Van Hoa, 22, from Na Tao hamlet, Nhu Co commune, Cho Moi district, is currently in critical condition. He is being treated at the Central Hospital for Tropical Diseases.
The patient got sick on March 30 with symptoms of high fever and cough. He was admitted to Bac Kan provincial hospital, and then sent to the Central Hospital for Tropical Diseases on April 3 where he tested positive for the lethal strain of A/H5N1 virus.
At present, four other people in Nhu Co commune show similar symptoms of high fever and cough. They are under quarantine and being treated at Bac Kan provincial hospital.
hat-tip Treyfish

Sunday, April 4, 2010

Egypt: Case #109 Died - Fayoum

[This is from Egypt State Information Service]
Sunday, April 4, 2010
Ministry of Health announced in a statement in 3 / 4 / 2010, for a new human virus (H 5 to 1) causes AIDS "bird flu", bringing the total casualties since the disease appeared in Egypt in 2006 and so far 109 cases.

وأوضحت وزارة الصحة أن المصابة سيدة تبلغ من العمر 18 عاما من "إطسا" بمحافظة الفيوم -صعيد مصر- وحالتها حرجة,حيث دخلت مستشفى حميات الفيوم يوم 31 مارس الماضي وهى تعانى من ارتفاع شديد فى درجة الحرارة وصعوبة فى التنفس وضيق فى الصدر. The ministry of health, to the infected woman at the age of 18 years of "Atsa" Fayoum Governorate - Upper Egypt - and in critical condition, where he entered the hospital admitted Fayoum on March 31, suffering from high fever and difficulty in breathing and tightness in the chest.

وذكر البيان أنه تم إعطاء المصابة عقار "تاميفلو" على الفور إلا أن حالتها حرجة وتم تحويلها إلى مستشفى صدر الجيزة. The statement said it was given infected drug "Tamiflu" immediately but in critical condition was transferred to a hospital in Giza.

Egypt: Listing of H1N1 Confirmed/Suspected/Death & H5N1 Poultry Outbreaks

Swine Flu

[Death #273 and #274 - the location is not known]

Confirmed Death

9 mos

From: Asafra

DOD: 4/3

Suspected Cases

4/3: 20 yo

From: Kafr el-Dawwar

MOH Report Confirmed

4/3: 274

Admitted: 16

Total Cases: 16,183

Confirmed Cases


22(F) – Sidi Bach district

37 - Kabary district– West

32 – Amiriya district (6 mos preg.)

9 mos – Asafra area district park – DOD: 4/3

5 yo – Sidi Bishr – Park

6 yo - (Frankincense?)

27 yo – Samouha East District (8 mos preg.)

Avian Flu Poultry


350 Birds executed

48 issued sale of live birds

17 breeding nests removed

10 stores closed

Execution of 924 birds, East & West Alexandria.... to remove 122 of breeding birds nest and re-closure of 28 shops selling live birds.

East & West of the City...arrest 47 in Alexandria, issue of sale of live birds have been culled 550 birds alive and in the framework of the efforts of security officers,...remove 20 of the breeding birds nest and re-closure of 23 shops for the sale of birds...And seized a truck carrying 270 live birds before they are sold in markets east of the city

Malaysia: Johor Bahru: 40 H1N1 Confirmed Cases

April 4, 2010

JOHOR BARU: A total of 40 patients in Johor have been confirmed positive for A (H1N1) virus this year.

State Health department director Dr Mohd Khairi Yaakub said that all the cases, which were recorded in the first three months this year, were transmitted locally and no deaths were reported.

“All the infected patients have been quarantined.

“These patients are being treated at the respective hospitals in the state,” he said adding that, the state recorded a total of 704 positive cases were recorded last year.

Dr Mohd Khairi, who was speaking to newsmen after attending the launch of the Malaysia Clinic in Taman Megah Ria here, said the department was continually conducting checks at various checkpoints in the state to prevent the virus from spreading.

He also reminded the people to take precautionary measures such as going for medical check-up when experiencing coughing or flu and wearing masks.

“The people must not be complacent by thinking that the virus is not around anymore.

“They must always be on their guard to prevent infection or spread of the virus,” he said.

Meanwhile, he also announced that the state had already recorded 691 dengue cases this year, resulting in three deaths.

“Two of the patients died in Segamat while another in Kota Tinggi.

“It is a serious matter and thus, the people must play their part in curbing the spread of dengue,” he said.

He added that the people must ensure the cleanliness of their homes or premises to prevent the breeding of mosquitoes.

MALAYSIA: two schools closed due to pandemic

Previously reported here:

Langkawi island district authorities, the state of Kedah, Malaysia has decided to temporarily close two schools to ...

Langkawi island district authorities, the state of Kedah, Malaysia has decided to temporarily close two schools to prevent contagious diseases when there are nearly 200 school children here suffer from symptoms of cough and high fever.

As representatives of the local health agency, has 112 students from a cold, cough and fever, the island of Pulau Tuba schools have closed six days, longer school Pulau Dayang Bunting Island Elementary School has closed for more than 50 students suffer from these symptoms.

In addition, a technology center in Langkawi also in a state of being closely monitored and shut down because of suspected influenza infection students exceed safe levels.

Langkawi authorities then formed a specialized team to monitor the situation and not to prevent the disease spreading. "We have sent samples to the Sungai Buloh Hospital tested, but so far no results so provisional that is not yet determined what flu strains," a member state of Kedah for the Department of Health know.

At many other schools in Langkawi, students and teachers went to school with medical masks.

Egypt: H5N1 Human Case #109 - Died

2010-04-04 PM

She died Saturday, April 3rd - Amani welcome on the rain - 20 years - mother of a child one year old and a half from the village of Minya Hait Atsa Fayoum as a result of being infected with avian influenza.

Have been booked Ms. after the suspected condition Wednesday afternoon at the hospital admitted Fayoum, but poor care and lack of network gas, which crashes on a respirator for work, and the lack of intensive care at the hospital increased the deterioration in her condition, was transferred Friday evening to a hospital in the urban province Giza, but woman has died there .

The cause of bird flu is dealing directly with domestic birds.
The breeding domestic birds with a high priority in the villages of Fayoum, especially after the rise in prices of meat and poultry in the last period.