Qld to stockpile Hendra virus treatment

PETRINA BERRY

May 30, 2010 - 10:09AM

AAP

Health authorities are negotiating to have stockpiles of an experimental Hendra virus antiserum available in Queensland as soon as possible.

Queensland Health is negotiating with a US medical research facility for the intellectual rights to fast-track production of the potentially lifesaving antiserum.

Trials on ferrets have proven successful but it's not yet proven in humans.

Rebecca Day and her daughter Mollie, 12, on Thursday took their first infusion of the experimental treatment, developed in the US and Australia, after Mollie's horse Cash was put down with the virus at their Tewantin property on May 17.

A Queensland Health spokeswoman told AAP they were still doing well after being discharged from hospital on Saturday morning.

She said Queensland Health were hoping to get stockpiles of the antiserum in case more Hendra cases occurred throughout the year.

"We're hoping to get a stockpile as soon as possible," she said.

The majority of Hendra outbreaks since the first known case in 1994 have occurred during June, July and August.

Four out of the seven people to contract the virus have died.

Ms Day and her daughter will be monitored by their local Sunshine Coast hospital.

Another 10 people who came into contact with Mollie's infected horse are not considered at high risk but will continue to undergo tests over 42 days.

Bats, the natural host of Hendra, are believed to transmit the virus to horses through bodily secretions.

There have only been horse to human transmissions - no human to human transmissions or bat to human transmissions of Hendra.

Vietnam: Update on 37 years old, resident Quang Ngai City

05/29/2010
Excerpt:

Dr. Duong Van birth-Dean-Emergency Hue Central Hospital said: "We, Hue Central Hospital has received written confirmation request causes of mortality of patients with N. and BV is an official letter is a formal reply BN N. streptococcus swine die. " According to BS Biology, although BN N. have negative test results because the grassroots level in the previous Patients already taking antibiotics.

BS confirmed births, BN N. certainly infected swine streptococcus. Besides based on the results of blood cultures, this result may be determined by epidemiological factors (patients eat pork), clinical signs of disease consistent with symptoms of swine streptococcus, in addition the BN also suffered multiple organ meats. Moreover, in many cases results can not grow crops but streptococcus swine infected patients and still present a number of cases being treated in hospital. The medical records of patients N. also stated that there are many spots body hemorrhage, deep black skin, purple lips, the dark eye conjunctivitis, abdominal pain shady forest ...
-snip-
Of the five patients with native TT-Hue central hospital treatment in Hue, after taking a specific list on 28-5, the authorities were coordinating Cloramin B injection in the area of the living patients . Of these 5 patients, 3 patients had the pig but the Animal Health Department inspection, the pigs remain healthy and far, on TT-Hue province has not yet happened blue ear pig. "
-snip-
Dr. Duong Van Sinh-Dean Emergency Recovery Hue Central Hospital, said this time last year each month only 1-2 patients hospitalized swine streptococcus, but in time more than a month back This number of patients hospitalized with this disease increased about 5 times over the same period and some patients died of streptococcus swine higher proportion than ever.

[contact me for link]

Yes or no disease in swine streptococcus bacteria will spread to people? Problem to be understood

25/05/2010


Currently, with the appearance of disease in the streptococcus bacteria make people confused, worried because everyone thought that blue ear pig disease, the disease can spread to the streptococcus bacteria. Scientists think that this is not the correct way for blue ear pig disease and swine Streptococcus disease are two completely different diseases. Not every blue ear pig disease are infected with streptococcus bacteria and infect humans.

To understand this problem, need to distinguish between disease and blue ear disease Streptococcus:

Blue ear disease: This disease is caused by a virus disease in pigs as pigs have high mortality and disease spread in nature with symptoms of redness and fever, particularly heavy bleeding can cause bleeding in the ear edges turn green, in fact this is the disorders reproductive respiratory (PRRS). Point to note is the blue ear pig disease in pigs and only cause infection for pigs, not able to infect humans.

Streptococcus disease in the pig:
It is caused by bacteria called Streptococus suis causes. Patients can usually meningitis, myocarditis, pneumonia, arthritis, bleeding in the skin, causing miscarriage pig ears and killing of bacteria is usually present in the nose and throat of the pig does not usually cause disease. But while meeting some conditions (such as blue ear pig disease, for example), they can cause disease herd. Streptococcus suis is also found in wild boar, horses, goats, cattle dogs and cats and even birds.

Streptococcus pig disease could infect humans through scratches on the skin, on mucous membranes. When transmitted to humans, patients show signs of fever, hemorrhage, meningitis is exponential, high fever, coma.

Relationship between Streptococcus disease in pigs and disease occur in humans.
Previously, sporadic disease occurs in people (not in translation) in several parts of Asia, particularly in 2005 the World Health Organization official notification of these diseases are rampant in China. However, if considering the degree of danger of causing disease, the disease will not easily spread as the disease caused by a virus. Because pathogens are bacteria should be easy to put out more services and can be treated effectively with antibiotics. And now this disease is also confirmed no signs of spread from person to person.

Road transmission: the bacteria can enter the body through open wounds and the wounds by building in and through ingestion.

Do not get confused between the disease and blue ear disease Streptococcus:
Pursuant to the characteristics of mechanisms of transmission lines, pathogens showed disease in swine Streptococcus completely different from blue ear disease. Essentially this is two diseases separately. Two patients only relevance is the blue ear pig disease will be infected and sick if Streptococcus bacteria are available in the surrounding environment and animals susceptible to opportunistic infections such as human being HIV infection. When the blue ear pig disease, the animal's resistance to major multiples are more likely to develop infections accounting for different types of bacteria which can infect both bacteria Streptococus suis.

According to scientific reports, then in 1993-1994, 90% of pigs infected with the virus of Japan and 10% have clinical symptoms blue ear disease, in 2000, in Canada 80% of infected pig ears green. But in these countries do not have shift Streptococcus infection in humans at that time.

That is not any blue ear pig disease that will Streptococcus infection.

People with risk:
Based on transmission lines, these subjects are at risk of infectious people in direct contact with pigs and pork products from undercooked pork, such as the farmers , veterinary staff, who slaughter, carriage trade, the processing of pork products infected. The eating of pork products cooked disease did not spread the disease. According to the results verify the latest working group on disease Streptococcus in swine to infect humans (MARD), the majority of people with this disease are caused by eating more soup (a dish made from blood pig alive , not cooked), and those who live in slaughter pigs

Prevention: Prevention is for people who depend on the disease control on herd. It is necessary to strictly control the movement and slaughter pigs as to ensure pork supply sources are clean sources of disease.

To prevent their own initiative, people absolutely not dead pig slaughtering sick pigs; not do, eat pork processing and disease. While making and food processing from pork meat not handle life on their hands if there are any scratches (since the tape and gloves were not waterproof), which keep food clean and wash hands with soap after handling raw meat every time. Do not share equipment between raw meat and processed meat cooked to avoid infection between raw meat and cooked meat, the meat must be cooked to destroy the bacteria.

Regarding the cases of patients infected with swine streptococcus bacteria in hospital treatment. Experts said that these patients were from the local epidemic is on the pig. Patients with these manifestations: Meningitis latex alone, sepsis alone or in combination of both types. Cases Streptococcus pig disease can cause meningitis coordination between latex and septicemia, the patients expressed very serious, can lead to shock, bleeding under the skin of each major segment, leading to rapid coagulation, multiple organ failure and possibly death.

The signs that, when infected with streptococcus bacteria, the disease has manifested high fever, can get to 40-41 degrees C, accompanied by gastrointestinal manifestations are diarrhea, or more expression encephalitis syndrome, syndrome respiration, especially with the large array of bleeding under the skin necrosis. When there are signs on, the patient needs to hospital immediately for medical treatment in time. People with this disease is by eating the blue ear pig disease or undercooked food contaminated with Streptococcus in processing and preservation.

According to the Ministry of Health, this is not a new illness, previously seen and reported. But at the time of blue ear pig disease outbreak is severe, the infection of Streptococcus and there can be release to occur. To prevent this disease, it is best to make people drink boiled cooked, not absolute slaughter and consumption of pork has expressed sick, sick ..

How to recognize infected pork "blue ear" and Streptococcus
Identifying infected swine Streptococcus difficult to determine with the naked eye, right through to the laboratory diagnostic microbiology. However, people can rely on the symptoms of red skin, red meat than usual and organs should also avoid eating red meat whether any disease is a disease what. Consumers should also buy pork at reputable stores, has Quarantine paper and thoroughly cooked before eating.

Phoenix-area hospitals fight highly toxic 'supergerm'

May. 29, 2010

Maricopa County health officials have confirmed that a relatively new, extremely toxic strain of bacteria has been found in hospitals and other health-care facilities in the Valley.

The germ, known as Clostridium difficile, has long plagued the medical profession and is blamed for an increasing amount of illness in patients.

But this is the first time the new strain, known in medical circles as "NAP1," is believed to have been linked to patient illness and deaths in Arizona, health officials said. It carries at least 20 times as much toxin as the original strain.

According to the county, at least 10 patients have fallen severely ill from this new type of C. diff since early March. Two of those who were infected have died, though the germ has not been named conclusively as the cause of death. All the patients were elderly and suffered from health problems.

"Assuming this continues to evolve, it is going to be a real pain for our health-care communities," said Dr. Bob England, director of the Maricopa County Department of Public Health.

Like other "supergerms," all strains of C. diff are resistant to powerful antibiotics, and the infection is difficult and expensive to treat. The germ causes pronounced diarrhea and, in severe cases, can lead to inflammation of the colon, which can be fatal.

Healthy and younger people usually don't get C. diff. Most cases occur in health-care facilities, and those represent only a small fraction of the tens of millions of admissions to U.S. hospitals and nursing homes every year. But the number of cases has risen sharply over the past decade, to nearly 500,000 in 2007, according to the latest data from the U.S. Centers for Disease Control and Prevention.

The Arizona Republic first learned of an ongoing C. diff outbreak last month after filing a state Public Records Law request to obtain a health alert issued by the Arizona Department of Health Services.

The alert contained no information about how the outbreak started, which hospitals were involved or how many patients were affected. County officials maintained that they were not obligated to provide that information.

This week, officials with the county Public Health Department and Banner Health, a non-profit group, met with a reporter and an editor from The Republic. Banner revealed that Banner Baywood Medical Center in Mesa had identified the strain after seeing some patients become very ill.

The hospital alerted the county to the problem in early March.

"If there's a cluster, an outbreak, we want to report that," said Dr. John Hensing, executive vice president and chief medical officer at Banner Health, a Phoenix-based non-profit health-care group.

Banner officials say they believe that most, if not all, patients came to Banner Baywood with an active C. diff infection, rather than contracting it at the facility. Some arrived from long-term-care facilities and nursing homes or went to the emergency room after falling sick at home.

The patients were elderly, suffered from other health problems and had been on extensive antibiotics. Prolonged antibiotic use can heighten a patient's susceptibility to C. diff because the drugs can kill off the body's "good" bacteria, allowing it to flourish.

Arizona, like many other states, does not track incidences of C. diff.

But a Republic analysis of hospital-discharge records shows that from Jan. 1, 2008, to Dec. 31, 2009, patients at Arizona hospitals were identified as having a C. diff infections more than 15,400 times.

The bug is becoming a major problem for hospitals because it spreads easily. Traditional cleansers and hand sanitizers fail to neutralize its spores, which are often spread through fecal-oral contact. The best ways to deter C. diff is with bleach and aggressive hand-washing.

Banner said officials at Baywood took immediate steps to control the outbreak, including isolating patients who exhibited symptoms of illness.

They also sanitized surfaces and equipment throughout the hospital with bleach and instituted new hand-washing protocols for all patients, including those too sick to get out of bed.

Nurses now bring them bottles of water so they can scrub their hands with soap without getting up, officials said.

They believe they have the outbreak under control.

This is not the first time Banner Baywood has dealt with a spike in germ-related infections.

In April 2008, hospital officials noticed a spike among post-surgical patients. Nineteen cases involved a supergerm known as methicillin-resistant Staphylococcus aureus, or MRSA. Seven infections were tied to the E. coli bacterium, and about a dozen others were caused by various other bacteria, according to the hospital. The facility implemented a series of aggressive procedures over several months to eliminate the problem.

County public-health officials say it's likely that this strain will continue to crop up in community and health-care facilities.

Officials from the U.S. Centers for Disease Control and Prevention agree. The CDC said Tuesday that the NAP1 C. diff strain has been spreading rapidly since it was first identified in health-care settings in six states from 2000 to 2003.

It has now been officially identified in 39 states, although it's likely throughout the country, CDC officials said.

"Do I think it just got here? No. But this is the first time it was reported to public health," said Dr. Rebecca Sunenshine, medical epidemiologist for the county's Public Health Department. "So, I would start operating under the assumption that every strain we see is this new strain."

Deal at stake hospital bacteria

Previously posted here

The disease usually begins suddenly and immediately critical, serious disease events, high mortality (20-30%).

Some earlier cases may have some symptoms such as vomiting, diarrhea or other flu-like illness after a fever, rash ... but in typical cases, common with young febrile convulsions the whole body; the attack occurred consecutively, and then went into a coma, the majority of deep coma.

06/05/2010 10:00 (GMT +7)
excerpt:

Disease "dual"

After a first week of treatment at the hospital, I N.D.T, 6 years old, born in Bac Giang, latex with meningitis had signs of recovery. Suddenly the second week, her appearance of symptoms accompanied by fever, cough, vomiting of all foods. After the diagnosis, the doctor pediatric hospital, confirmed the central, more children are suffering from pneumonia patients. According to the treating physician, patients hospitalized in a state of high fever, convulsions, consciousness disturbances, visual, can be the situation very thin, weak and susceptible to bacterial attack hospital.

Vietnam: Disease Begins Suddenly & Immediately Critical - Mortality: 20-30%

[I believe this article has a lot of "noise". The important bits are bolded]

Saturday, 05/29/2010 | 8:43:54 Morning

Heat waves intermingled with those made on oi [oi = hot and oppressive; sultry] concentration of hospitalized children increased sharply, most of those cases are severe. The causes are different but have the same clinical disease situation.



The disease usually begins suddenly and immediately critical, serious disease events, high mortality (20-30%).

Some earlier cases may have some symptoms such as vomiting, diarrhea or other flu-like illness after a fever, rash ... but in typical cases, common with young febrile convulsions the whole body; the attack occurred consecutively, and then went into a coma, the majority of deep coma.

Children with cardiac arrhythmias or visit circuit, irregular breathing, but no signs of paralysis (or fallen paralyzed the nerves).



Due to sudden weather changes, no time to adapt children, plus environmental pollution should be the number of children infected with respiratory tract, dermatitis also increased markedly. The rate of respiratory tract infections caused by viruses (viral) is quite high, often manifested by symptoms of sore throat, sore nose - throat (fever, cough, runny nose, sore throat) and pneumonia. Many severe pneumonia but her parents thought was the only nose-throat infections common, self-medication for children, when very ill for a sick child, it was late.



Sunny summer weather erratic rainfall, air temperature fluctuations, high humidity environment ... has an opportunity for bacteria, viruses and pathogenic development. To actively prevent the above diseases, the family, parents should pay attention to well implement the following measures:



- Important to ensure adequate nutrition for children. Food is cooked, hot drink, not eat rancid stale, do not eat green fruits and vegetables, drinking enough water, use clean water in living and hygiene when preparing milk for babies, the food processing ;



- Note thoughtful care: personal hygiene, wearing masks when the road; daily to eye drops, nose drops for children (some three times daily) with 0.9% solution of sodium chlorite to clean the nose, eyes;



- Never let children play with the sun, when the sun or go to school hat, broad-brimmed hats; have enough drinking water for children both at home and while in school.



- Housing must be clean, airy and light enough. When using electric fans, fan should be placed toward the wall or screen for cooling, fans not to flush straight into the wind, especially young children. In urban areas, if using air conditioning, so to room temperature lower than ambient temperature outside is about 8-10oC or maintain the room temperature around 28 degrees Celsius, remember to drink enough water to children from dry throat, especially when sitting for long periods in room air conditioners, to prevent children (and adults) from stuffy nose, sore throat, headache, dizziness to the room should be a basin of water or occasionally wipe the floor home with a moist cloth to maintain humidity in the room. When the cold outside the room slowly opened, wait 2-3 minutes to leave the room (to give your body time to adjust to outside air).



- Adequate preventive vaccine.



- Make sure children wear long pants, long-sleeved clothing to avoid mosquito bites, bed nets, including the child's sleep during the day, clearing underbrush, the block drains, remove where mosquitoes lay (a pool of stagnant water, cans of beer , coconut shells, pieces of standing rain water bottles), fish-tailed flag on the tank some food jars to kill the weak throw.



- When you see kids should closely monitor a fever, if the child fever from 38.5 ° C or higher should fever baby clothes by extension, put a warm towel chuom on the forehead, armpits, groin, fever medication ( paracetamol), then putting her to the doctor immediately.

Blue ear pig frightening. Alarms patients swine streptococcus surge

05.29.2010, 09:45

(24h) - In the last few days, some mass media reported patients N. death due to streptococcus swine, affecting people and the psychological community.
In just over a month (late April to May), Hue Central Hospital received 28 patients (BN) in the Central provinces like Quang Ngai, TT-Hue, Quang Tri, Quang Binh ... streptococcus infected pigs in which there are many patients with positive blood cultures and some suspected. Up to date have been 28-5 five patients died due to streptococcus swine and 7 patients were treated at the Faculty of Science-Emergency and spread the Hue Central Hospital.

Patients die in Quang Ngai streptococcus swine?

The patient died of swine streptococcus latest in Hue Central Hospital as he Bui Van N. (37 years old, resident P. Lo District, Quang Ngai City.) Patients hospitalized in light condition 21-5 high fever, pneumonia and multiple organs failure after eating pig blood pudding, to dawn, the death 22-5.

N. In addition patients with 4 patients (including TT-Hue has 2 cases) have died of swine streptococcus. Although the conclusions of BV T. Hue, the patient Ư N. death is due to streptococcus swine, but 26-5 pm, Dr. Nguyen Xuan Men, deputy director of Quang Ngai Department of Health said that the past few days, some mass media reported patients N. death due to streptococcus swine, affecting people and the psychological community.

According to BS Passion infect swine streptococcus disease from pigs to humans by contact or eating undercooked pork, pigs eat more soup. The clinical manifestations of this disease is sepsis, bleeding under the skin throughout the body and form for the necrosis, leading to multiple organs failure and death. Previously, on 24-5, Quang Ngai Department of Health has sent an official letter T. BV Hue Ư mention this problem.

receiving the written request certifying causes of death of BN N. and BV is an official letter is a formal reply BN N. streptococcus swine die. " According to BS Biology, although BN N. have negative test results because the grassroots level in the previous Patients already taking antibiotics.

BS confirmed births, N. patients certainly infected swine streptococcus. Besides based on the results of blood cultures, this result may be determined by epidemiological factors (patients eat pork), clinical signs of disease consistent with symptoms of swine streptococcus, in addition patients also suffered multiple organ meats.

Moreover, in many cases the results of blood cultures grew streptococcus swine but not the patient is still infected and some cases being treated in hospital. The medical records of patients N. clearly also have more notes than full haemorrhage, deep black skin, purple lips, the dark eye conjunctivitis, abdominal pain shady forest ...

People should not be subjective

Although doctors have been advised not to eat pig blood pudding, pig hearts before swine streptococcus status is up, but the observation of PV, quite a subjective and people still did not exclude food "blocks export "outside the menu that morning.

According to Dr. Duong Van Sinh, the symptoms of swine streptococcus infections similar to food poisoning such as vomiting, diarrhea loose stools, fatigue, severe shock, multiple organ failure ... However, some cases occur these signs are as food poisoning, so do not come immediately to hospital visits, and a number of cases to hospital too late when it is very difficult to treat.

Mr. Hoang Huu Nam, deputy director of TT-Hue Department of Health said: "Afternoon 27-5, the Department has collaborated with the Center for Preventive Medicine and Department of Health profession monitor the situation the positive and suspected cases streptococcus infection in swine BV T. Ư Hue. Of the 5 patients with TT-Hue countryside was being treated at Hue Central Hospital, after taking a specific list on 28-5, the authorities were coordinating Chloramin B injection in the BN area that students live. Of these 5 patients, 3 patients but when the pigs of Animal Health Department inspection, the pigs remain healthy and far, on TT-Hue province has not yet happened blue ear pig. "

Situation of swine streptococcus infection increased sharply in the Central, TT-Hue Department of Health to step up propaganda activities. For those cases had positive test results, the Department set up teams to carry out sanitation in areas where patients live.

Dr. Duong Van Sinh warns that people should not use processed food from pork of unknown origin, not cooked, when processed to bring gloves, absolutely not eat pig blood pudding. Bacterial transmission from pigs to humans, so when people exposed to pigs should be protected belongings. Immediately after suspected exposure to germs to wash hands thoroughly.

Especially when people 40-41 degrees high fever, diarrhea, with patches of hemorrhagic necrosis of the skin, stiff neck ... just need basic medical examination and treatment. The functional need urgently to strengthen quarantine and strict prohibition of circulation of cattle diseases by province.

Appears diseases in pigs Luong Thuong

---

10:46 '05/27/2010 (GMT +7)
Within 20 days back, in the commune compensation (Na Ri) has over 50 pigs were sick with a fever epidemic, stop eating, in which 6 pigs of his household and Agriculture Thiem Brown, Pan Discharge village were killed.


His herd of Agriculture Thiem Brown household and village Pan Discharge infected diseases.

It is known that pigs are not vaccinated when vaccine and detect signs of disease, most children are her own against the service, do not follow the guidance of professional bodies, should lead to disease outbreaks on pigs in the commune. Immediately after capture the situation, Na Ri district Veterinary Station area has to examine and take samples for testing. As originally defined by the district veterinary service stations appear on pigs in the Upper Luong in time may be due to infections caused blood disease. We continue to authorities determine the cause of the spread of swine diseases Luong in Shanghai to take measures against the epidemic spread. /

Girl tests experimental drug after virus kills horse

28 May 2010 22:42:08 GMT
WASHINGTON, May 28 (Reuters) - A 12-year-old Australian girl and her mother are the first people to try an experimental treatment for a deadly virus after the girl's horse died from the infection, researchers said on Friday.

The virus, called Hendra virus, emerged in Australia in the 1990s and can kill up to 75 percent of people infected.

Christopher Broder of the Uniformed Services University of the Health Sciences in Bethesda, Maryland, and colleagues sent the treatment, an engineered version of a human immune system protein, to the girl after hearing about the viral outbreak.

Australian media said the girl and her mother took the first doses of the drug on Thursday.

"There was an outbreak last week in a horse in Australia," said Thomas Geisbert of Boston University, who works with the team that developed the treatment. "We have a monoclonal antibody that we have used in the lab."

The U.S.-Australian research team reported about the antibody in the Public Library of Science journal PLoS Pathogens in October. It was developed to work against the closely related Nipah virus. [ID:nN29376987]

Hendra and Nipah viruses are carried by a type of fruit bat commonly called flying foxes. Recent outbreaks have caused severe disease in Australia, Malaysia, Singapore, Bangladesh and India. Hendra also infects horses.

The viruses can cause brain swelling and acute respiratory illness.

The monoclonal antibody attaches to the virus and helps neutralize it. Until this week it had only been tested in animals, but kept them from becoming ill after they were infected with Nipah.

Geisbert and Australian media said the girl and her mother were not sick but had been in close contact with the horse.

"This was the little girl's horse and it was pretty sick when they put it down," Geisbert said. "We shipped the antibody via FedEx to Australia."

The treatment is not licensed but in such emergency situations unapproved treatments may be used.

PRRS - viet nam (04): Human Infection Debated

---

************************************************** *************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 28 May 2010
From: Trevor Drew <t.w.drew@vla.defra.gsi.gov.uk> [edited]


Re: ProMED-mail Porcine reprod. & resp. syndrome - Viet Nam (02),
human fatality suspected 20100526.1751
----------------------------------------------------------------------
I would like to endorse the views expressed by Dr Kelly Lager
(ProMED-mail posting no. 20100527.1762), concerning the supposed
involvement of PRRSV in human deaths in Viet Nam. As a pig virologist
who has spent many years studying this virus, both in Europe and in
Asia, I am also concerned about the claims made by a Vietnamese
medical official, that PRRSV was causative in this and other cases in
that country. There has been no accompanying scientific evidence to
support such a claim and, without such evidence, these claims only
serve to generate significant disruption and possibly panic within
the population of Viet Nam and beyond. Also, quite apart from the
potential damage to the larger-scale pig production in the region,
pigs are a significant part of the rural economy and a major protein
source for the country - constituting more than 70 percent of the
total meat production of the region.

Pigs are also part of the societal fabric, often acting as a form of
savings and additional income at times of hardship, school fees, etc.
So any associated panic could have significant sociological
consequences in the longer term. As Kelly Larger says, there are far
more reasonable explanations for this small number of deaths.

Anyone who has been studying this virus must be concerned about the
increasing diversity exhibited by this virus, particularly in Asia,
where the methods of production and numbers of pigs seem to provide
optimal conditions for its evolution.
And, considering PRRSV is a
virus relatively new to pigs, having been known to science only for
the last 20 years, it would be rash to totally dismiss the
possibility of a jump to another species, including man. But until
this and other cases are carefully investigated, I would suggest it
is the duty of all scientists and communicators of science to present
such information in a responsible way.

I raise the question of whether the inclusion of the caveat within
the initial and subsequent ProMED reports was sufficient, or whether
the opinion of a PRRSV expert should have been sought and published
alongside the original report.

--
Prof Trevor Drew PhD, MSc, CBiol, MSB
Head of Virology Department
Head of Statutory and Exotic Virus Programme
Chair, VLA Academic Board
OIE Reference Expert for CSF, BVD & EVA
Veterinary Laboratories Agency (Weybridge)
New Haw, Addlestone
Surrey KT15 3NB
UK
<t.w.drew@vla.defra.gsi.gov.uk>
<http://www.vla.gov.uk/>

[Editor's comment: We appreciate Prof. Drew's views as an expert on
this topic and thank him for this contribution. ProMED sees its
primary role as a provider of early warnings of emerging disease
outbreaks. Thus we need to balance the requirement for rapid
reporting, needed to recognize and combat an outbreak, with the need
for cautious interpretation of incomplete information and
deliberation among experts. We decided to pass along this news story
(which was already widely available on the Internet and in the public
domain) with our view that the occurrence of PRRS in humans was
unproven and indeed unlikely. Part of our role is to temper media
sensationalism with rational context.

As Prof. Drew states however, species jumps can and do occur
unexpectedly. Such species jumps are an important source of newly
emerging infectious diseases and a major reason for ProMED's emphasis
on "one medicine" in our reporting. We also recognize our obligation
to provide a forum for informed discussion and to present further
evidence, which we eagerly await, as it becomes available. - Ed.LM]

Vietnam: PPRS in Ha Nam Province

5/18:
Excerpt:

In Henan [Ha Nam] province, PRRS has happened in Thanh Thuy Commune, Thanh Liem District to 45th pigs infected, including 10 children were killed and destroyed.

Tính từ ngày 25/4 đến nay, dịch tai xanh đã xảy ra tại 3 xã thuộc 2 huyện Duy Tiên và Thanh Liêm của tỉnh Hà Nam.

Between the date of 25 / 4 to date, PRRS has occurred in three communes in two districts of Thanh Liem and Duy Tien in Ha Nam.

Blue ear pig influx City

Excerpt from previous article posted here

In addition, sources from pig milk outbreak northern provinces into Vietnam is also very large and does not guarantee preservation standards.

Excerpt:
5/28/10

Many lots pig milk into the city discovered five test organ still makes epidemic control more difficult. On the other hand, those days appear status pigs from the northern provinces of "transit" through the City with a large number of provinces to bring about not being controlled, this is a threat to people. More remarkable, the number of pigs will be slaughtered in neighboring provinces and was taken to HCMC consumption, which most likely comes from the pig area.

PRRS herd threatens Vietnam

This is more information, on the article I posted here

05/28/2010 1:33

The amount of sick pigs were transported to HCMC are skyrocketing a unsettling.

According to statistics of the HCM City Department of Animal Health, is every day more than 2,000 pigs had to be transported from the provincial city of consumption. Particularly pig from the North via Highway 1A transportation into the city last week as more than 1,500 children (accounting for 3.5% of the pig). Bring in samples of meat tested, up to 50% of pigs transported unknown origin from other provinces in Vietnam have a positive rate with PRRS virus causing blue ear disease.

City Animal Health Department also discovered a number of weaned pig farms in the area HCMC infected with blue ear virus rate of 12.5%. Shortly after discovering some households weaned pigs infected with blue ear, department carried out the destruction and strengthening monitoring what's happening next at the farmers said.

Most recently, Binh Thanh District Veterinary Station in route discovery of Dien Bien Phu (Saigon Bridge area) two passenger cars and a truck transporting 617 kilograms of pork of unknown origin, not certified quarantine. According to the testimony of the original owners, some meat from the province of Dong Nai. Previously, veterinary forces also captured a city of a large batch of live pigs imported from the Bac Giang translated signs of blue ear disease.

According to the HCM City Department of Animal Health, compared with last year's import of pork and the City average increase from 280 to 300 animals per day, while the number of pigs were slaughtered in Long An, Binh Duong, Dong Nai province into Vietnam has also increased from 280 to 290 children per day. In addition, source milk from pig epidemic northern provinces into Vietnam is also very large and does not guarantee preservation standards.

See more tests on breeding herd being in the provinces of Long An, Dong Nai, Tay Ninh, also discovered various meat samples containing PRRS virus. Although the entire pig blue ear virus have been destroyed and anti-infection treatment for both now rest, no supervision pork originating from the provinces to also be strengthened in 24 districts but the ability to translate pig diseases in the city are spread at an alarming rate.

Vietnam: Worry about return of H5N1 - Hanoi

05/28/2010 09:03

While the blue ear pig is on the big worries of the farmers, the avian flu began stalking. These days, Mr. Nguyen Xuan Cung in Dai Xuyen and Phu Xuyen district (Hanoi) to worry even snoring. Spring is reported that information about avian influenza broke out in some places may sooner or later will affect the breeding and hatching of ducks as well as his family home nearby. The total capital of nearly 200 million he has poured all the incubation of the eggs in the oven. If translation occurs as gone.

He is also one of dozens of families in Dai Xuyen previous fall into debt accumulating as avian influenza occurred. A current affairs than is at this time, farmers are faced with blue ear disease in cattle. Since the epidemic occurred, 21,500 pigs have been destroyed. And according to forecasts, the number of pigs destroyed will increase in time to when the service is complicated. Damage caused to the agricultural sector in our country up to trillion.

Along with the diseases of cattle and poultry, in 2010, farming, aquaculture ... also met many difficulties due to drought, salt water intrusion. Apparently tens of millions of farmers is falling into "gambling" with the sky that portion lost as it was prior notice. Falls are seasonal epidemics occur frequently, severe natural disaster has taken thousands of farmers billion / year. Before the damage that agriculture suffers, the Finance Ministry has recently submitted to the Government pilot scheme BHNN.

-snip-

Vietnam: Cholera Update

5.28.2010

According to the Institute of Hygiene and Epidemiology, from early 2010 until now, the country recorded 44 cases of acute diarrhea caused by cholera (no deaths) in nine provinces.

In the north, radiator service has appeared in five provinces, mainly related to the diet of people. However, Dr. Nguyen Tran Hien - Director of the Institute of Hygiene and Epidemiology warning, most likely cholera can occur at several localities in the future. This is because the source of the outbreak of cholera disease is still mainly from sources such as patients with acute diarrhea caused by cholera germs and bring fresh, water, aquatic plants contaminated with cholera.

With the large cholera outbreak happened in the North during the years 2007-2009, so unavoidable a certain number of identical sound as bringing some surface water sources contaminated with cholera. From these sources, bacteria can easily spread to describe water and any foods that do cause disease in the community.

Vietnam: Livestock "crisis" because of PRRS

28/05/2010
Currently, the purchase price of pig meat in the same household only 17-18000 / kg, in the farms, the higher concentration from 24 to 26,000 VND per kg.

As reported by the Department of Animal Health, on 27 / 5, PRRS continues to drive the new born also in 15 provinces and cities have service. At this point, the infected pigs were up to number approximately 100,000 children. While the disease still tend to develop complex, the negative reaction from the market makes it the farmers millions of hardships. Swine barn to any products but can not consume.

Mr. Nguyen Thanh Son, Deputy Director of Animal Husbandry Department (MARD) said that, if in the first quarter, raising the national rate reached 3% of the children and 3.5% in volume, this increase relatively high growth, the first step to the second quarter, the rate has declined substantially. Moreover, the consumption of pork is faced mounting difficulties by narrowing the market and supply reduction.

In particular, the Mekong Delta, where large quantities of over 30% of total national population, although not yet appeared, but translated by consumer psychology should start from late April until now, consumption of meat pigs decreased, decrease in the market to 40%. Reduce the consumption of pork pulled pork prices decline, export prices pig pens and pigs price has dropped from 10-20% compared with the period before the outbreak.

Currently, the purchase price of pig meat in the same household only 17-18000 / kg, in the farms, the higher concentration from 24 to 26,000 VND per kg.
"If not quickly be put to service that extends into the third quarter, the situation of domestic pigs will be very bleak. The risk of supply shortages in the coming months is difficult to avoid. The loss of Livestock will continue to increase, "Son worry

Vietnam: Appeared infected pig milk - Bac Giang Province

[Tiền Phong is a commune (xã) and village in Yên Dũng District, Bac Giang Province]

28/05/2010

Kết quả xét nghiệm giám sát hội chứng hô hấp và sinh sản ở lợn (PRRS) trên đàn heo sữa tại TPHCM mới đây cho thấy 4 mẫu dương tính với PRRS.

Monitoring test results and respiratory syndrome in swine breeding (PRRS) on dairy herd in the city recently showed that four samples positive for PRRS.

Ông Phan Xuân Thảo – Chi cục trưởng Chi cục Thú y TPHCM cho biết xét nghiệm giám sát trên một số đàn heo tại các tỉnh lân cận cũng phát hiện tại tỉnh Bình Dương có lưu hành virus PRRS này.

Mr. Phan Xuan Thao - Heads of Sub-City Animal Health Department said tests on a number of monitoring herd in neighboring provinces also detected in Binh Duong province with PRRS virus is circulating.

Ông Thảo cho rằng nguy cơ xuất hiện dịch heo tai xanh trên địa bàn TPHCM rất cao khi mỗi ngày lượng heo hơi nhập về TPHCM tăng bình quân 280 – 300 con và khoảng 300 con heo giết mổ khác tại Long An, Bình Dương, Đồng Nai.

Mr. Thao said that the risk of blue ear pig city in the province is very high when the daily amount of pork imported to the city average increase from 280 to 300 children and about 300 other pigs slaughtered in Long An, Binh Duong, Dong Nai.

5th strep suisse death in Vietnam

One person died of swine streptococcus infections
(05/28/2010)
VH-date 25.5, General Hospital of Ninh Binh province has received a male patient (63 years old and living in Nho Quan district, Ninh Binh province) has expressed swine streptococcus infections.

As reported, 21.5 days, patients lard family festivals at home, patients can eat more soup and pork. To 22h on 24.5, febrile patients. The staff was village health treatment but no signs of disease decline. Patients who transferred to the provincial hospital in the state of Libya, pale body, respiratory failure, full body rash necrosis.

The patient was the physician to perform emergency measures such as placing windpipe, heart massage ball pressure, intravenous fluids, set the Monitor to monitor vital functions. Although aid has been positive right from the hospital but due to medical conditions too severe patients died.

Center for Preventive Medicine province took samples sent Epidemiology Institute tests, results, bacterial swabs positive for streptococcus swine. Center has conducted around spraying CloraminB patients living area, monitoring the cases involved.
5.25 pm Soon, the leaders of the Health Services Department of Health and Medical Center Nho Quan district directly to local advocacy to help people understand the risks and dangers of the disease, not alarming; shipping dynamic people to continue implementing measures for environmental sanitation, food cooked, cooked drink, wash hands with soap before eating, before preparing food and after using the toilet. Especially, do not eat more soup, spring rolls and sour, and organ meats are not cooked.On the other hand, when there are manifested as a sudden high fever accompanied by a related factors as sick pigs, dead pigs, our pigs eat, more aligned to the right to basic health advice and treatment promptly.

Vietnam: PPRS - New Province: Son La

Update status of avian influenza, and ear diseases LMLM on 05/27/2010

Son La: From 09/5/2010 until 25/05/2010, discovered PRRS in Chiềng Cang commune in Song Ma district. The total number of 116 children infected pigs, the number of dead is 48 children.
Currently, the provincial Animal Health Department and other agencies have carried out the function of anti-epidemic measures as prescribed.

Hiện nay, cả nước có 16 tỉnh là Hải Dương, Thái Bình, Thái Nguyên, Hưng Yên, Bắc Ninh, Hải Phòng, Hà Nội, Nam Định, Hà Nam, Lạng Sơn, Nghệ An, Quảng Ninh, Bắc Giang, Hòa Bình, Cao Bằng và Sơn La có dịch Tai xanh chưa qua 21 ngày.

Currently, there are 16 provinces of Hai Duong, Thai Binh, Thai Nguyen, Hung Yen, Bac Ninh, Hai Phong, Hanoi, Nam Dinh, Ha Nam, Lang Son, Nghe An, Quang Ninh, Bac Giang, Hoa Binh Cao Bang and Son La have blue ear not over 21 days.

[Also, H5N1 update]:
Department of Animal Health would report on avian flu, foot and mouth epidemic of cattle and swine blue ear as follows:

1. 1. Dịch Cúm gia cầm Avian Influenza

Today, there are no reports of new outbreaks arising from the local.

Currently, the province of Dak Lak is still bird flu is not over 21 days.

PRRS herd threatens Vietnam

05/28/2010 1:33


The amount of sick pigs were transported to HCMC are skyrocketing a unsettling.
According to statistics of the HCM City Department of Animal Health, is every day more than 2,000 pigs had to be transported from the provincial city of consumption. Particularly pig from the North via Highway 1A transportation into the city last week as more than 1,500 children (accounting for 3.5% of the pig). Bring in samples of meat tested, up to 50% of pigs transported unknown origin from other provinces in Vietnam have a positive rate with PRRS virus causing blue ear disease.

Swine streptococcus disease complicated

RFA 05.27.2010
Streptococcus disease situation unusual situation. This is information provided by your doctor Duong Van Sinh, Director-Emergency Department Central Hospital and Hue Thanh Nien make deductions recounted today.

According to two reports in April and then this year is 28 patients and suspected swine streptococcus infections must be treated in hospital-Emergency Department of Hue Central Hospital.

Meanwhile Tropical National Hospital in Hanoi yesterday, said more has to receive a patient infected with swine streptococcus. Epidemiological investigation showed that patients who regularly eat more soup, and before the disease had eaten pig blood pudding.

Recommendations made by blue ear epidemic has not been controlled, so people do not eat swine, meat of unknown origin. Also need to be cooked, boiled drinking, hygiene and body daily.

Blue ear epidemic causing severe economic damage

Blue ear epidemic occurred from 23 - 3 - 2010 in Hai Duong province. As on 26-5 - 2010, epidemic spread and has appeared in 492 communes, wards and towns of 72 districts, towns and cities in 15 provinces. Total number of pigs infected children is 134,427, of which 60,063 children have been killed and destroyed. From 2007 to now, translation often appears on the occasion of the Lunar New Year, and has the property cycle 2-3 years.

Vietnam: Continually appear Ben Tre people with cholera

Thursday, 05.27.2010

Determined positive for cholera, male patients living in Cho Lach district, Ben Tre, the first 12 cases of infection in the province in two weeks.

Ông Nguyễn Bá Minh, Giám đốc Sở Y tế tỉnh Bến Tre nhận định, các ca bệnh xuất hiện liên tục tại huyện Mỏ Cày Nam, Mỏ Cày Bắc và Chợ Lách, cho thấy mầm bệnh có dấu hiệu lây lan tại những địa phương này.

Mr. Nguyen Ba Minh, Director of Ben Tre Department of Health said that the cases occur constantly in Mo Cay District South, North Mo Cay and Cho Lach, showed signs of disease spread at this local .

Ghi nhận từ Trung tâm Y tế Dự phòng tỉnh Bến Tre, cho thấy hầu hết trường hợp mắc bệnh đều nhập viện trong tình trạng đau bụng, đi tiêu phân lỏng liên tục.

Record from Preventive Medicine Center of Ben Tre province, found that most cases were hospitalized in a state of abdominal pain, loose stools bowel continuity.

Một số người nhập viện trong tình trạng cơ thể suy kiệt do mất nước.

A number of people hospitalized in a state of exhaustion due to loss of body water.

Tuy nhiên không có trường hợp nào quá nguy kịch.

However, no case is too critical.

Cũng theo ông Minh, việc truy tìm nguồn gây bệnh và phòng bệnh lây lan đang được tiến hành một cách khẩn trương.

According to Mr. Minh, the search for sources of disease transmission and prevention is being conducted in a hurry.

Điều tra dịch tễ ban đầu cho thấy, hầu hết bệnh nhân tả đều đi tiêu tiểu trên sông rạch.

Initial epidemiological investigation showed that most patients with small bowel are described on the rivers and canals.

Nghi ngại mầm bệnh có thể lưu hành trong dòng nước, Trung tâm Y tế Dự phòng tỉnh đã lấy mẫu nước ở các khu vực có bệnh nhân tả để xét nghiệm.

Suspicion pathogens may circulate in the water, Preventive Medicine Center sampled the water in provincial areas to test for cholera patients.

Tại TP HCM , nơi từng có gần 10 người mắc tả trong tháng 4, hiện chưa phát hiện thêm trường hợp nào.

In HCMC, where nearly 10 people have been described in April, does not detect any further cases.

Tuy nhiên theo bác sĩ Phan Văn Nghiệm, trưởng phòng Nghiệp vụ Y, Sở Y tế, trước tình hình bệnh diễn biến phức tạp ở các tỉnh lân cận, nguy cơ bệnh tái phát là rất cao.

But the doctor Phan Van Test, head of Medical Operations, Department of Health, the situation complicated disease in neighboring provinces, the risk of relapse is very high.

-snip-

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Thua Thien - Hue: swine streptococcus disease are unusual

05/27/2010 9:55

(TNO), Dr. Duong Van Sinh - Dean-Emergency Hue Central Hospital said, only in two in April and 5, there were 28 patients suspected swine streptococcus infections and hospital treatment at the Department of .
Patients mainly from the central provinces. There are scientific treatment for 4 patients positive for streptococcus swine and 3 patients with suspected infection.

On the deaths of patients Bui Van Nhan (37 years old, at the 3, P. Lo District, Quang Ngai City) clinical results showed that patients infected with swine streptococcus. Professor Bui Duc Phu, Director of Hue Central Hospital, said the results of blood culture results were negative. However, Professor Phu, negative results do not mean patients are not infected swine streptococcus, which can be caused by the previous government should have strong antibiotic eliminate pathogens.

05/21 Morning, I got to eat pig blood pudding, until noon, then has a fever, diarrhea, bleeding under the skin necrosis. The family brought the patient to hospital emergency Quang Ngai, and then transferred to Hue Central Hospital. Due to the severe condition, he received were fatal

MARD raises PRRS alert

[27 May 2010]
Vietnam's Ministry of Agriculture and Rural Development has urged the northern province of Bac Giang to take swift action in containing blue-ear disease that has infected over 3000 pigs in 21 communes of the province that is home to nearly 1.1 million pigs or the third largest pig producing hub in the country. So far, the authorities have culled 800 pigs, disinfected farms, vaccinated the pigs and imposed a ban on movement of animals from the affected areas. Hoang Dang Huyen, Head of Bac Giang's Animal Health Department, said the disease spread quickly because the breeders did not inform the authorities that their pigs fell sick and tried to sell the sick pigs instead. So far, blue ear disease or Porcine Reproductive and Respiratory Syndrome (PRRS) has hit 15 provinces and cities across Vietnam with over 50,000 pigs infected.

Vietnam: Possible human fatal infection with PRRS virus

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6:32 AM, 27/05/2010
Quang Ngai: There are no conclusions about the cause of death from suspected swine Streptococcus



Afternoon 26 / 5, Dr. Nguyen Xuan Men - Deputy Director of Quang Ngai Department of Health said the Department had written to directors of Hue Central Hospital confirmed causes of death of Mr Bui Van Nhuan (37 years old ) suspected swine streptococcus bacteria in the ward chief Lo, Quang Ngai city.

In the last few days, some mass media that Mr. Bui Van Nhuan death by suspected swine Streptococcus. This has to affect the psychology of people and communities.

Previous information on, pending the conclusion of the Central Hospital in Hue, Quang Ngai province, the health sector has been assigned to the Center of preventive medicine in promoting active communities on the fields of prevention, such as pigs should not be unknown origin, not given away slaughter and consumption of the pigs died of unknown causes, and recommended people not eat more soup, pig heart or undercooked pork, source unknown Original.

One person died of swine streptococcus

Last Updated: 8:30 AM, 27/05/2010

(Labor) - On 05/26, Dr. Duong Van Sinh, Dean-Emergency Hue Central Hospital, said patients infected and suspected infected swine streptococcus at a hospital to treat abnormal increase compared to year .
Specifically in two in April and 5 with 28 patients, from Thua Thien - Hue and Central provinces. Of these, 37 patients age Bui Van Nhan, in the third, Chief P. Lo, TP.Quang Ngai, died after the Hue Central Hospital two hours by swine streptococcus infections.

By this time, being treated in hospital for seven patients, of which four people were infected and three people suspected swine streptococcus.

Dr. Duong Van Sinh, swine streptococcus disease is a very dangerous disease, caused by blue ear pig disease when infected with immunodeficiency as streptococcus swine develop and infect humans. Streptococcus swine in the viscera, especially in blood.

Persons infected swine streptococcus, about 3 hours after the symptoms appear similar to food poisoning: abdominal pain, nausea, go liquid, hot sauce ... If no antibiotic is given early and proper dosage, the patient may die.

On 26/05, Tropical Disease Hospital received a national patient in Ung Hoa District, Ha Noi swine streptococcus infections. Quite severe disease evolution, is being treated positively, have ventilation.

As for patients, he loves to eat more soup and prior to hospital a few days, he has to eat it.

Case patients and Mrs Little (55 years, in Tien Lu District, Hung Yen) has just admitted a few days is the most serious cases from the year so far but the tropical disease hospital reception.

Before that, Preventive Medicine Center in Hanoi said: There are suburban districts of Ba Vi, Thanh Tri, Quoc Oai, Thuong Tin, Soc Son recorded patients suspected swine streptococcus

Vietnam: Hung Yen Victim Streptococcus

[A more clear translation of the victim in Hung Yen Province]:
Excerpt

She was shocked serious infection, the body floating array bleeding from head to toe. Bệnh nhân cho biết cũng không hiểu vì sao mình lại mắc bệnh này. Patients that do not understand why his or her disease. Từ khi dịch lợn tai xanh bùng phát tại Hưng Yên, bà không hề ăn hay giết mổ lợn, có ai cho cũng không dám lấy. Since the outbreak of blue ear epidemic in Hung Yen, she did not eat or slaughter pigs, nor dare anyone to take. Nhà có nuôi một con lợn nái nhưng không hề bị ốm. House has adopted a sows but not ill.

Tuy nhiên, 3 ngày trước, trên đường sang ăn giỗ nhà em trai, bà Bé có đứng xem một nhà đang bán chạy đàn lợn bị bệnh. However, three days ago, on the way home to eat his brother's death anniversary, her baby can see a stand selling pigs are sick. Hai ngày sau bà bị sốt, trên người bắt đầu xuất hiện những mảng xuất huyết dưới da. Two days after her fever, people began to appear on the plaque hemorrhage under the skin. Ngay tối đó, bà được gia đình đưa vào Bệnh viện đa khoa tỉnh Hưng Yên. Even at that, she was brought home to hospital in Hung Yen province.

Patients infected with streptococcus swine increased-4 dead

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(employee) - From 4-2010 to present, in the Central has had 28 cases of streptococcus infection in pigs which four people died, is his latest BVN, in Quang Ngai dead dawn 22-5. In particular, although some localities have not happened pig blue ear disease has affected people but nay.Trong Meanwhile, Doctor Nguyen Intermediate, Faculty Hospital of Infectious Diseases Tropical Countries, said the hospital has patients receiving a male in Ung Hoa - Hanoi pig streptococcus infection. A day earlier, a female patient in Tien Lu - Hung Yen is also transferred to this hospital and has been identified swine streptococcus infections.

Many suspected cases streptococcus swine in Central Region

(AP) - On 26 / 5, from Science-Emergency Hospital from Hue said earlier this month from 4 / 2010 to now, science has received 12 suspected cases of swine streptococcus. Patients in the central region, was hospitalized in poor health status.
> Một người chết nghi nhiễm bệnh liên cầu lợn" onmouseout="this.style.backgroundColor='#fff'">
Particularly here in two weeks back, at the same time science has treated six patients. In which a 37-year-old patient died in Quang Ngai by swine streptococcus infections dawn 22 / 5.
It is known that the pigs were eating more soup in the morning of 21 / 5, until noon, then sick with symptoms such as fever, diarrhea, hemorrhage, necrosis of the skin.

Morning 22 / 5, patients with vascular failure, multi organ failure, no longer capable of living should be approved for hospital patients home to home, the patient died on the way back.

In addition, three patients have been taken from the hospital on the health condition is too weak, not able to recover. Two cases good health, was showing signs of recovery.

According to the hospital practicing since early 2010, all 25 cases were all admitted with central suspected swine streptococcus. Most patients are infected before they eat pork (suspected swine streptococcus bacteria) engineering as unprocessed pig blood pudding, porridge hearts of pigs, pork bun.

Emergency patients with severe Streptococcus

26/05/2010


City - Central Tropical Disease Hospital has an emergency patient while severe Streptococcus Hue Central Hospital received six cases suspected swine streptococcus.

Nguyen Thi Be Patient (55 years in Tien Lu district, Hung Yen) hospitalized in a state of severe septic shock, purple body, appeared necrotic spots from the top to heel. Initial investigation showed that two days before the family boys Baby patients sick pigs, pig sty and she dropped the following day infected.

lKhoa-Emergency Hue Central Hospital to receive treatment just six suspected cases of swine streptococcus.

A case to stay in Quang Ngai, a few hours after admission were fatal. Three other cases, due to severe illness than patients, who should be brought to the voluntary self-care of home

Vietnam: Update on Human Case of Streptococcus from Hung Yen Province

Previously posted here

Critically ill just because of pigs standing illness

Do not eat or slaughter sick pigs but her baby, 52-year-old Duc Thang commune, Tien Lu District, Hung Yen province, still sick swine Streptococcus.

She was shocked serious infection, the body floating array bleeding from head to toe.

Patients that do not understand why his or her disease. Since the outbreak of blue ear epidemic in Hung Yen, she did not eat or slaughter pigs, nor dare anyone to take. House has adopted a sows but not ill.

However, three days ago, on the way home to eat his brother's death anniversary, her baby can see a stand selling pigs are sick. Two days after her fever, people began to appear on the plaque hemorrhage under the skin. Even at that, people are sick family into hospital Hung Yen province.

By morning 25 / 5, the patient was transferred to the Tropical Disease Hospital Central (Hanoi) in severe septic shock condition, bleeding under the skin from head to foot, blood pressure dropped.

Intermediate Doctor Nguyen, Faculty of active treatment hospital, said patients are being used to improve blood pressure drugs and oral antibiotics. However, the patient's condition is stable so can not be anticipated disease progression in the coming days. Patient's legs are showing signs of numbness, leg pain caused by vascular spasm, can be necrosis.

"People should only eat cooked pork. In any case of contact with sick pigs, care, breeding or slaughter and destruction should be the means of protection.

Streptococcus pig disease transmitted not only food but ...", respiratory physician recommended level. [I retranslated the original sentence.
Original: Bệnh liên cẩu khuẩn lợn không chỉ lây qua đường ăn uống mà cả đường hô hấp
Translation: Streptococcus pig disease transmitted not only food but also respiratory

Since the beginning of the year to date 21 / 5, this hospital has treated 20 patients with streptococcus bacteria, is transmitted to the situation very seriously. The patients scattered in 11 provinces (Ha Nam, Bac Ninh, Hai Duong, Hung Yen, Nam Dinh, Hanoi, Thai Binh, Bac Giang, Quang Ninh, Phu Tho, Thai Nguyen), both are male, with pigs or pig slaughter.

Streptococcus is a disease transmitted from pigs to humans., 3 be: septicemia, meningitis latex or a combination of both. Disease into an epidemic, only scattered throughout the year, but can be fatal if treated late. The death rate of about 7%.

When signs of high fever (40, 41oC), the array appears as hemorrhagic necrosis of skin, diarrhea, stiff neck ... have trouble breathing, liver failure, kidney failure, patients should go to hospital soon , avoiding the risk of death.

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