Published Date: 2008-01-24 23:50:00
Subject: PRO/MBDS> Avian influenza, human - MBDS region (02): Viet Nam (Tuyen Quang)
Archive Number: 20080124.0301
AVIAN INFLUENZA, HUMAN - MBDS REGION (02): VIET NAM (TUYEN QUANG)
A ProMED-mail post
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In this report:
 Viet Nam - WHO confirmation
,  Viet Nam (Tuyen Quang) - newswires
 WHO confirmation
Date: 24 Jan 2008
Source: WHO Epidemic and Pandemic Alert & Response [edited]
Avian influenza situation in Viet Nam - update -- 24 Jan 2008
The Ministry of Health in Viet Nam has confirmed
a new case of human infection of H5N1 avian
influenza. The case has been confirmed by the
National Institute of Hygiene and Epidemiology (NIHE).
The case is a 34 year old male from Tuyen Quang
Province. He developed symptoms on [10 Jan 2008],
was hospitalized on [16 Jan 2008] and died on [18
Jan 2008]. The case had contact with sick and
dead poultry prior to his illness. Poultry
infected with H5N1 avian influenza were
identified in the case's village following his illness.
Control measures have been implemented and close
contacts have been identified. All remain healthy
and will continue to be monitored.
Of the 102 cases confirmed to date in Vietnam, 48 have been fatal.
 Viet Nam (Tuyen Quang), newswire
Date: Wed 23 Jan 2008
Source: China View, Xinhua Net Agency [edited]
Vietnamese man dies of bird flu
A 32-year-old man from Viet Nam's northern Tuyen
Quang province died from bird flu, local
newspaper Youth reported Wednesday [23 Jan 2008].
The man from Son Duong district ate dead fowls,
developed bird flu symptoms on [16 Jan 2008], and
died on [18 Jan 2008]. His specimens were
initially tested positive to bird flu virus H5N1,
the newspaper quoted its unspecified source as reporting.
Suffering from severe pneumonia and his weakened
viscera, the man from Cao Lan ethnic group was
admitted to the Tropical Disease Hospital in
Hanoi on [16 Jan 2008]. Earlier, he and some of
his family members slaughtered and ate dead fowls raised by them for meal.
In late December 2007, after detecting no human
cases of bird flu infections for nearly 4 months,
Vietnam's Health Ministry confirmed that a
4-year-old boy from Moc Chau district, northern
Son La province died from bird flu on [16 Dec 2007].
The boy died after being admitted to the National
Hospital of Pediatrics in Hanoi on [14 Dec 2007].
He was treated at a hospital in the district on
[12 Dec 2007] after showing signs of fever and pneumonia.
Viet Nam has confirmed a total of 101 human cases
of bird flu infections, including 47 fatalities,
since the disease started to hit the country in
December 2003. The country has yet to confirm the
latest human case of bird flu infection.
[Byline: Jiang Yuxia]
 Viet Nam (Tuyen Quang) - newswire
Date: Wed 23 Jan 2008
Source: The China Post [edited]
Bird flu kills man in northern Viet Nam, country's 1st human case this year
Bird flu has killed a man in northern Viet Nam,
marking the country's 1st human case this year
, health officials said Wednesday [23 Jan 2008].
The 32-year-old man from Tuyen Quang province,
about 80 kilometers (50 miles) northwest of
Hanoi, died last week [14-20 Jan 2008], 2 days
after being admitted to the national tropical
disease hospital in Hanoi, said To Doan Hong of
the Provincial Preventive Medicine Center.
Test results later came back positive for the
H5N1 strain of the virus, he said. It was the
country's 48th death reported since the virus
began raging across Asia in late 2003. Nguyen Huy
Nga, director of the Ministry of Health's
Preventive Medicine Department, confirmed the results.
Hong said the man developed bird flu symptoms
after slaughtering and cooking 6 geese and 2
chickens that had died at his backyard farm on [9
Jan 2008]. Tests on poultry also came back
positive for the H5N1 virus. "Specimens taken
from his family members and neighbors have been
tested negative for the bird flu virus," Hong
said. "We have disinfected his house and areas in the neighborhood."
Health officials have warned that the increased
movement of people and poultry combined with cool
weather could help spread the virus prior to the
Lunar New Year festivities that begin [7 Feb 2008].
Tuyen Quang and the northern province of Thai
Nguyen, along with the central province of Quang
Binh and southern Tra Vinh remain on the government's bird flu watch list.
Bird flu remains hard for people to catch, but
health experts worry the virus could mutate into
a form that passes easily among humans, sparking
a pandemic. So far, most human cases have been
linked to contact with infected birds. At least
219 people have died worldwide from the virus,
according to the World Health Organization.
Australia Viet Nam Science Technology Link
[This is the 1st reported human case of avian
influenza infection in Viet Nam in 2008,
following the earlier death of a 4-year-old boy
from northern Son La province on 16 Dec 2007 (see
prior PRO/MBDS posting Avian influenza - MBDS
region: Viet Nam (Tra Vinh, Thai Nguyen) 20080103.0033, listed below).
The health officials announced that the death of
the 32-year-old man from Tuyen Quang province was
due to infection with the H5N1 virus, which was
confirmed by the tests from Ministry of Health's
Preventive Medicine Department. It is noteworthy
that according to all reports above, the H5N1
activity in poultry in the area surrounding where
the case resided was not identified until after
identification of the human case. Not an unusual
occurrence based on other experiences (see prior
PRO/MBDS postings listed below. This current
case report raises the total number of deaths
attributable to H5N1 human infections in Viet Nam
to 48. (see the table: Cumulative Number of
Confirmed Human Cases of Avian Influenza A/(H5N1)
Reported to WHO, current as of 24 Jan 2008 and available at:
To date, further testing of his family members
and neighbors have been negative for H5N1 infection.
It is important to raise the awareness of the
local people widely across the whole country to
prevent further outbreak during the Lunar New
Year festival in coming February 2008 when there
will extensive people movement throughout the
country. Remembering that the Lunar New Year
festival is a time when poultry dishes are
considered a delicacy and there is a high volume
of poultry movement and slaughter during this
period, activities that have been associated with
geographic spread as well as human infection (as
suggested in the above case report as well).
For maps of Viet Nam with provinces, see:
The HealthMap/ProMED-mail interactive map of Viet Nam can be accessed at:
This map shows other outbreaks in Viet Nam and
surrounding countries that have been reported on
ProMED-mail. The postings can be directly
accessed through this map. - Mods.YMA/MPP]