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.

Notes:

4/5/10:

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.

4/9/10:

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

Notes:

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.