Published Date: 2008-02-27 17:01:54
Subject: PRO/MBDS> Avian influenza, human - MBDS region (13): Viet Nam, RFI
Archive Number: 20080227.0796

AVIAN INFLUENZA, HUMAN - MBDS REGION (13): VIET NAM, REQUEST FOR INFORMATION
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In this update:
[1] Viet Nam: (Phu Tho), WHO confirmation
[2] Viet Nam: (Hung Yen, Thai Nguyen), new suspected cases
[3] Viet Nam: (Tuyen Quang, Hai Duong, Ninh Binh), FAO update

******
[1] Viet Nam: (Phu Tho), WHO confirmation
Date: Tue 26 Feb 2008
Source: World Health Organization (WHO) Epidemic and Pandemic Alert
and Response (EPR) disease outbreak news [edited]
<http://www.who.int/csr/don/2008_02_26b/en/index.html>


Viet Nam: avian influenza situation - WHO update 4
--------------------------------------------------
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 23-year old female from Cam Khe district, Phu Tho
province. She developed symptoms on [14 Feb 2008] was hospitalized on
[19 Feb 2008] and died on [25 Feb 2008]. The case had contact with
sick and dead poultry prior to her illness.

Of the 105 cases confirmed to date in Viet Nam, 51 have been fatal.

--
Communicated by:
ProMED-MBDS
<promed-mbds@promedmail.org>

[This is the confirmation report from WHO on the latest death
attributable to avian influenza (H5N1) infection in Viet Nam. It is
the 51st fatality in Viet Nam since 2003. The table of cumulative
number of confirmed human cases of avian influenza A/(H5N1) reported
to WHO, last updated on 26 Feb 2008, is available at
<http://www.who.int/csr/disease/avian_influenza/country/cases_table_2008_02_26/en/index.html>.
- Mod.YMA]

******
[2] Viet Nam: (Hung Yen, Thai Nguyen), new suspected cases
Date: Wed 27 Feb 2008
ChinaView, Xinhua News Agency report [edited]
<http://news.xinhuanet.com/english/2008-02/27/content_7677650.htm>


Viet Nam's National Institute of Infectious and Tropical Diseases is
treating 2 people from northern Hung Yen and Thai Nguyen provinces,
who have developed bird flu symptoms, according to local newspaper
Pioneer on Wednesday [27 Feb 2008].

Specimens from a 23-year-old person from Hung Yen and a 48-year-old
person from Thai Nguyen, who currently need respiratory assistance
because their lungs have been severely damaged, are being tested for
bird flu virus strain H5N1, the newspaper quoted Nguyen Hong Ha, vice
director of the institute in Hanoi, as saying.

Initial investigation has shown that the 2 patients had contacted
with fowls before exhibiting bird flu symptoms.

To date, Viet Nam has confirmed a total of 105 human cases of bird
flu infections, including 51 fatalities, in 35 cities and provinces
since bird flu started to hit the country in December 2003.

Viet Nam currently has 8 localities having poultry being hit by bird
flu: Thai Nguyen, Quang Ninh, Hai Duong, Nam Dinh, Tuyen Quang, and
Ninh Binh in the northern region, and Long An and Vinh Long in the
southern region, the country's Department of Animal Health said [26 Feb 2008].

[Editor: An Lu]

--
Communicated by:
ProMED-MBDS
<promed-mbds@promedmail.org>

******
[3] Viet Nam: (Tuyen Quang, Hai Duong, Ninh Binh), FAO update
Date: Tue 26 Feb 2008
Source: UN Food & Agriculture Organisation (FAO), Viet Nam [edited]
<http://www.fao.org.vn/new1.pdf>


Human infection of HPAI [highly pathogenic avian influenza] since January 2008
---------------------------------------------------------------------------
1st case
WHO reporting date: 24 Jan 2008
Case: 34 years old, male
Province: Tuyen Quang
Onset date: 10 Jan 2008
Hospitalized date: 16 Jan 2008
Status: died 18 Feb 2008

2nd case
WHO reporting date: 15 Feb 2008
Case: 40 years old, male
Province: Hai Duong
Onset date: 2 Feb 2008
Hospitalized date: 8 Feb 2008
Status: died 13 Feb 2008

3rd case
WHO reporting date: 21 Feb 2008
Case: 27 years old, male
Province: Ninh Binh
Onset date: 3 Feb 2008
Hospitalized date: 12 Feb 2008
Status: died 14 Feb 2008

--
Communicated by:
ProMED-MBDS Rapporteur Vern Weitzel

[The newswire in section [2] above describes 2 new suspected cases of
avian influenza infection in residents of northern Hung Yen and Thai
Nguyen provinces. Both suspected cases have a history of contact with
poultry before the onset of symptoms that were described as
compatible with H5N1 infection, although laboratory tests were not
available as yet.

The rapid confirmation of the suspected case in Phu Tho (see WHO
confirmation in section [1] above), has one wondering if the other 2
pending suspected cases -- a 7-year-old boy from Hai Duong province
that was reported by a newswire to have been confirmed by the
national laboratory to have H5N1 infection, and a newswire report of
a suspected case in a 40-year-old man from Bac Lieu province who died
from a pneumonia illness with a history of contact with sick poultry,
but where no information on laboratory testing was provided -- were
ruled out as being due to H5N1 infection, since they have been
"pending" for some time now. Clarification of the status of these
suspected cases reported in the lay press would be greatly
appreciated by PRO/MBDS.

The newswire above [2] with information on yet another 2 suspected
cases of human infection with avian influenza virus that are being
tested, combined with the earlier reports of suspected but as yet
unconfirmed reports of human cases leads one to conclude that the
local media are highly sensitized to the possibility of human
infections with the H5N1 virus and are therefore "reporting"
suspected cases before laboratory confirmation is available. Given
that heightened awareness on the part of the local media, if these
pending 4 suspected cases are not confirmed to have H5N1 infection,
it may be a signal for us at PRO/MBDS to await laboratory
confirmation of H5N1 infection before posting newswires with
"suspected" cases so that we do not fall victim to "sensationalist" reporting.

For a map of Viet Nam with provinces, see
<http://www.lib.utexas.edu/maps/middle_east_and_asia/vietnam_admin01.jpg>
and <http://www.angelfire.com/co/hongnam/vnmap.html>.

The HealthMap/ProMED-mail interactive map of Viet Nam can be accessed
at <http://healthmap.org/promed?v=14.9,108.5,5>. 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]

See Also

Avian influenza, human - MBDS region (12): Viet Nam, RFI 20080226.0770
Avian influenza, human - MBDS region (09): Viet Nam, RFI 20080221.0703
Avian influenza, human - MBDS region (08): Viet Nam 20080216.0618
Avian influenza, human - MBDS region (07): Viet Nam (Nam Binh), RFI
20080214.0584
Avian influenza, human - MBDS region (06): Viet Nam (Hai Duong) 20080214.0581
Avian influenza, human - MBDS region (02): Viet Nam (Tuyen Quang) 20080124.0301
Avian influenza, human - MBDS region: Viet Nam, RFI 20080103.0034
Avian influenza - MBDS region (16): Viet Nam, FAO, OIE 20080225.0765
Avian influenza - MBDS region (14): Viet Nam 20080220.0678
Avian influenza - MBDS region (13): Viet Nam, Laos 20080219.0665
Avian influenza - MBDS region (12): Viet Nam, FAO 20080215.0593
Avian influenza - MBDS region (09): Viet Nam, Thailand, RFI 20080202.0425
Avian influenza - MBDS region (05): Viet Nam, Thailand 20080124.0303
Avian influenza - MBDS region (04): Viet Nam, FAO 20080111.0145
Avian influenza - MBDS region (03): Viet Nam, RFI 20080109.0120
Avian influenza - MBDS region (02): Viet Nam, FAO 20080104.0053
2007
----
Avian influenza, human - MBDS region (26): Viet Nam, WHO 20071228.4162
Avian influenza, human - MBDS region (25): Viet Nam, susp, RFI 20071226.4134
Avian influenza, human - MBDS region (23): Viet Nam, susp., RFI 20071108.3623
Avian influenza, human - MBDS region (22): Viet Nam 20070909.2970
Avian influenza, human - MBDS region (21): Viet Nam, WHO 20070831.2868
Avian influenza, human - MBDS region (20): Viet Nam, RFI 20070807.2574
Avian influenza, human - MBDS region (19): Viet Nam, susp., RFI 20070802.2501
Avian influenza, human - MBDS region (18): Viet Nam (Ha Tay) 20070731.2463
Avian influenza, human - MBDS region (15): Viet Nam 20070706.2153
Avian influenza, human - MBDS region (14): Viet Nam, WHO confirmation
20070629.2099
Avian influenza, human - MBDS region (13): Viet Nam, susp., RFI 20070626.2059
Avian influenza, human - MBDS region (12): Viet Nam, RFI 20070621.2005
Avian influenza, human - MBDS region (11): Viet Nam, RFI 20070616.1964
Avian influenza, human - MBDS region (10): Viet Nam, RFI 20070612.1916
Avian influenza, human - MBDS region (09): Viet Nam, RFI 20070601.1773
Avian influenza, human - MBDS region (08): Viet Nam 20070523.1649
Avian influenza - MBDS region (57): Viet Nam (Tra Vinh), RFI 20071228.4161
Avian influenza - MBDS region (56): Viet Nam, H7N3, RFI 20071224.4127
Avian influenza - MBDS region (55): Viet Nam, RFI 20071220.4094
Avian influenza - MBDS region (54): Viet Nam, RFI 20071214.4025
Avian influenza - MBDS region (52): Viet Nam, RFI 20071127.3832
Avian influenza - MBDS region (51): Viet Nam (Ha Nam) 20071108.3624
Avian influenza - MBDS region (50): Viet Nam, FAO 20071105.3594
Avian influenza - MBDS region (49): Viet Nam, FAO 20071031.3538
Avian influenza - MBDS region (48): Viet Nam (Cao Bang), FAO 20071026.3480
Avian influenza - MBDS region (46): Viet Nam (Quang Tri) 0071025.3464
Avian influenza - MBDS region (45): Viet Nam (Tra Vinh) 20071012.3343
Avian influenza - MBDS region (43): poultry smuggling 20070912.3016
Avian influenza - MBDS region (42): poultry smuggling 20070911.3012
Avian influenza - MBDS region (40): Viet Nam 20070831.2870
Avian influenza - MBDS region (37): Viet Nam, illegal transport 20070713.2249
Avian influenza - MBDS region (36): Viet Nam, vaccination policy 20070712.2230
Avian influenza - MBDS region (35): Viet Nam (Dien Bien, Ca Mau) 20070712.2224
Avian influenza - MBDS region (34): Viet Nam (Ca Mau), RFI 20070709.2183
Avian influenza - MBDS region (33): Viet Nam, vaccination 20070705.2136
Avian influenza - MBDS region (32): Viet Nam (Quang Ninh) 20070629.2086
Avian influenza - MBDS region (31): Viet Nam (Bac Giang) 20070619.1981
Avian influenza - MBDS region (30): Viet Nam (Cao Bang) 20070616.1963
Avian influenza - MBDS region (29): Viet Nam (Ha Tinh) 20070614.1944
Avian influenza - MBDS region (27): Viet Nam, Prevalence, RFI 20070613.1923
Avian influenza - MBDS region (26): Viet Nam (Phu Tho) 20070607.1859
Avian influenza - MBDS region (25): Viet Nam: RFI 20070607.1839
Avian influenza - MBDS region (24): Viet Nam 20070601.1774
Avian influenza - MBDS region (23): Viet Nam 20070530.1745
Avian influenza - MBDS region (22): Viet Nam 20070529.1717
Avian influenza - MBDS region (21): Viet Nam 20070525.1672
Avian influenza - MBDS region (20): Viet Nam 20070524.1657
Avian influenza - MBDS region (19): Viet Nam 20070522.1635
Avian influenza - MBDS region (18): Viet Nam, RFI 20070506.1464
Avian influenza - MBDS region (13): Viet Nam (Ca Mau) 20070331.1101
Avian influenza - MBDS region (12): Thailand, Viet Nam, collab. 20070327.1054
Avian influenza - MBDS region (05): Laos, Viet Nam 20070309.0836
Avian influenza - MBDS region (04): Viet Nam 20070308.0822
Avian influenza - MBDS region (02): Viet Nam 20070226.0697
...................................yma/mpp/mj/mpp

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