Vietnam: A/H1N1 flu are spread rapidly in the community

12/08/2009

(Dân trí) - "Monitoring influenza at 15 points across the country found that: the number of patients increased influenza A/H1N1, chùm appear in many diseases of local rate-positive patients accounted for 30% of samples tested , many patients infected with influenza A/H1N1 indeterminable source of infection ... ".
It is evaluated by Dr. Nguyen Tran Hien, Director of Institute of hygiene and from meetings in the Steering Committee and national flu in place this afternoon (12 / 8).

Many diseases of unknown infection
At number A/H1N1 flu patients increases daily. Presently, there are 32 provinces with influenza A/H1N1 patients. In the 4 provinces of the disease is chùm Ho Chi Minh, Hanoi, Dong Nai, Khanh Hoa. Only from 4-10/8, at 15 monitoring points Program influenza surveillance in many countries provinces nationwide, the rate of positive influenza A increases. Have the monitoring up to 30% sample test confirmed influenza A/H1N1, concentrated mostly in Vietnam, Hanoi, Quang Tri, Thua Thien Hue. In Hanoi, in recent days, the number of patients examined at the Institute for infectious diseases and tropical countries increased 5-7 times compared to before. Average daily detection of positive 8-10.

According to Nguyen Huy Nga, Director Department of Department of Health and Environment, if patients continue to increase the treatment system does not respond in time, the object in the group as the risk of cardiovascular disease, chronic disease, diabetes, obesity ... there will be risk of death higher.

But Dr. Nguyen Van Kinh, Director of the Institute of infectious diseases and tropical countries that A/H1N1 flu are spread over the community. Manifestation is the appearance of cases do not have a contact with the patient, but living in areas with a patient, but for positive results. As a number of cases infected with H1N1 virus in My Dinh, Vinh Tuy, they could not contact with the object carrying any disease, but found the flu does, hear press propaganda bech much about this disease, the hospital had been examined.

"Even as two of the patients died due to influenza A/H1N1 are unable to identify the epidemiological factors, sources of infection. Latest is TTB patients in Ho Chi Minh City, can not determine the source of disease spread by patients or loiter in the streets, "Dr. Glass said.

Dr. Nguyen Tran Hien, Director of Institute of hygiene and epidemiology TU give proof of the spread of outbreaks of H1N1 disease is chùm Vietnam delegation of 185 participants in a journey through Vietnam. Departing from Ho Chi Minh City today 27 / 7 and 8 / 8, the delegation had the first patient infected with the flu does. This shows that the ability of the large disease infected from the community on the way to the trip.

Or as the disease is detected in the military. 2 positive influenza A/H1N1 in a total of 55 suspects in high-level technical information (Son Tay) was detected after the exchange program We are soldiers held for 3 days from 26-28 / 7 Horses in Pants field, with many units scattered over the provinces of Hanoi, Hai Phong, Quang Ninh participation.

Before the disease spread to the community, he said that Russia must adjust monitoring activities, in accordance with events and in each locality, and also to strengthen monitoring of chùm of disease in the community. People need to raise awareness further, limit the maximum exposure crowded place, wear to the page, wash your hands often.

Should implement screening test
It is suggested by Nguyen Van Kinh, Director of the Institute of Infectious Diseases and Tropical national, state number of previous disease subject samples increased, while the products of the PCR tests are limited.

Hygiene products tested, the difficulties in clearance was about the epidemiology of the additional strengthening of equipment sufficient to make 2,000 sample products disease. However the lens, with the suspect, should first test screening, if confirmed positive influenza A/H1N1 as the new PCR test. This has reduced the waste, has reduced the load PCR samples tested today.

In addition, Dr. Glass also concerns about the treatment for many patients infected with influenza A/H1N1, Dr. Nguyen Van Glass reflects: "The treatment for young children is difficult drug Tamiflu by the membership, 75mg, with children need less, difficult bẻ into 3-4 parts. Therefore, the additional drug Tamiflu siro format for easy use for children. "

Need self-isolation after treatment
Results of treatment of influenza A/H1N1, according to research by the Institute after 5 days using Tamiflu, about 49.5% patients and the virus in most. After 10 days, the rate is 15.6%, after 12 days it is 1.8%, exceeding 15 days, the flu virus does not exist.

So, Dr. Glass petitions, when discharge home, patients should self-awareness isolation for 1 week followed by a whole new virus is, if ko is heal people die to get the community.

Dr. Trinh Quan Huan, Deputy Minister of Health, also said that the isolation For those patients already in hospital is necessary. He emphasized that, in the present, the detection, isolation and early treatment will continue to develop remarkably effective in treatment and reduce mortality. Therefore, the primary treatment still need to coordinate with the military, enhanced training for the treatment of treatment of influenza A/H1N1. Because, coming winter, the weather favorable for development of virus, A/H1N1 flu risk Bùng and strong, can turn into power they have in high. And the number of cases increased, the system is not treated in time to meet the objectives, the risk high easy death.