Vietnam: Cases of A/H1N1

Excerpts:

Thursday, 20/05/2010
Putting the child is not sick in cold weather


Although North bold new step into the cold wave, but the number of people to visit and hospitalization due to weather increased disease, and matched cases of influenza A (H1N1) early complications.



Dr. Le Thanh Hai, deputy director of the Central Pediatrics Hospital [Bệnh viện Nhi Trung], said last week from now, every day the hospital received nearly 2,000 children.

Còn bác sĩ Đỗ Thị Khánh Hỷ, Viện phó Viện Lão khoa Quốc gia, thông tin: hiện mỗi ngày Viện tiếp nhận trên 150 cụ tới khám, tăng gần 50% so với trước đây.

Now doctors Do Thi Khanh Hy, deputy Institute National Institute of Gerontology, Information: The Institute is a day to receive over 150 instruments examined, up nearly 50% compared with before.

According to incomplete statistics, at the pediatric hospital of some other localities such as Bach Mai Hanoi, Paul Green, Thanh Nhan ..., to visit some children also increased by 20% compared with before.

Theo tiến sĩ Hải, phần lớn trẻ nhập viện đều do chịu ảnh hưởng thời tiết lạnh và chủ yếu mắc các bệnh như viêm đường hô hấp cấp, sốt virus, cảm cúm và tiêu chảy cấp.

Dr Hai, most children are hospitalized affected by cold weather and major diseases such as acute respiratory infections, viral fever, flu and acute diarrhea.

Có nhiều trường hợp bệnh nặng, biến chứng viêm phổi do sự chủ quan của cha mẹ, đặc biệt nhiều gia đình tự ý cho trẻ dùng một số kháng sinh gây tình trạng kháng thuốc, nên việc điều trị kéo dài.

There are many cases of serious illness, complications of pneumonia due to the subjectivity of the parents, particularly for many young families voluntarily taking some antibiotics cause drug resistance, so the treatment lasts.

Also, in recent days, children with diarrhea caused by rotavirus has also increased.

Tiến sĩ Nguyễn Tiến Dũng, Trưởng khoa Nhi Bệnh viện Bạch Mai, cho biết bệnh này thường kéo dài 3 - 7 ngày, virus tồn tại trong không khí và dễ phát triển khi điều kiện vệ sinh không bảo đảm, rất dễ lây từ trẻ này sang trẻ khác.

Dr. Nguyen Tien Dung, Head of Children's Bach Mai Hospital, said the disease usually lasts 3-7 days, the virus exists in the air and easy to develop when sanitation is not guaranteed, easily spread from child to other children.


The Institute has received a number of cases of influenza A (H1N1) after 2-3 days has triggered pneumonia.

Điều này rất nguy hiểm nếu người bệnh nhập viện muộn.

This is hazardous for patients admitted late.

[contact me for link]

Human Health Tragedy in the Making: Gulf Response Failing to Protect People

Grand Bayou, Louisiana -- The federal agencies delegated with protecting the environment, worker safety, and public health are in hot water in the small coastal communities across Louisiana, Mississippi, and Alabama.

Fishermen responders who are working BP's giant uncontrolled slick in the Gulf are reporting bad headaches, hacking coughs, stuffy sinuses, sore throats, and other symptoms. The Material Safety Data Sheets for crude oil and the chemical products being used to disperse and break up the slick -- underwater and on the surface -- list these very illnesses as symptoms of overexposure to volatile organic carbons (VOCs), hydrogen sulfide, and other chemicals boiling off the slick.

When the fishermen come home, they find their families hacking, snuffling, and complaining of sore throats and headaches, too. There is a good reason for the outbreak of illnesses sweeping across this area.

Last weekend, the U.S. Environmental Protection Agency (EPA) posted its air quality monitoring data from the greater Venice, Louisiana, area. The data showed federal standards were being exceeded by 100- to 1,000-fold for VOCs, and hydrogen sulfide, among others--and that was on shore.
These high levels could certainly explain the illnesses and were certainly a cause for alarm in the coastal communities.
I wrote an article based on EPA's information. So did chemist Wilma Subra with the Louisiana Environmental Action Network (LEAN). Baton Rouge-based LEAN is an advocate of public health and worker safety, and a trusted source of information on chemicals, exposure, and safety monitoring throughout this region.
Two days after the EPA posted its air quality monitoring data, most of it vanished from its website--except for the data showing the very highest level of airborne chemicals. Subra reports that she had a conference call with EPA officials yesterday and those officials confirmed that the higher levels they initially reported had remained on the site and were accurate.

"The detection levels on the instrumentation used by the EPA were not accurate enough to report airborne chemicals at lower levels," explains Subra. "So the EPA removed the data showing low levels from their website. But the EPA maintained the higher levels--those concentrations of 5 to 10 parts per billion, the concentration where you start getting acute health impacts."

This raises serious concerns for people in and around the coastal city of Venice, Louisiana, where the data were collected. And concentrations of oil and chemical dispersants are expected to be much, much higher offshore above the slick. How high? Five oil rigs have been shut down in the Gulf near BP's blowout allegedly because of concerns about fire. However, many of the fishermen in this area also work on the rigs. And the fishermen know the oil workers coming in from the rigs are suffering identical symptoms to the fishermen and their families.

But oilmen and fishermen are not being treated the same by BP and other oil companies operating in the Gulf. Oilmen are being evacuated because of high concentrations of dangerous chemicals, according to the fishermen, not fire danger. Meanwhile, fishermen responders are not even being provided with respirators for cleanup work - much less being protected from "fire danger."

As someone who witnessed the Exxon Valdez disaster, I saw this same charade unfold 20 years ago in Prince William Sound-and the result was literally thousands of sick cleanup workers who thought they had "the Valdez Crud," or simple colds and flu. Instead Exxon likely dismissed injured workers - and its own responsibility/liability to take care of these people - using an exemption for reporting "colds and flu" in hazardous waste cleanup regulations. 29 CFR (1904.5(b)(2)(viii)

The response to the BP leak is starting to look an awful lot like what happened during the Exxon Valdez cleanup. BP is not a self-regulated company, but it sure is acting like one.
The federal agencies responsible for monitoring public health and worker safety need to take aggressive action to prevent human tragedy. EPA should do continuous monitoring of air quality across the oil-impacted Gulf states--rather than only in communities where the oil is coming ashore--and EPA should post all the data it collects.
It is public information and the people have a right to know about a toxic menace in their communities. If air quality continues to exceed public safety standards, the federal government has an obligation to act to evacuate people-just as it would in response to a hurricane, except at BP's expense.

Further, the U.S. Occupational Health and Safety Act (OSHA) officials should be monitoring BP's worker-safety program. OSHA has a responsibility to order BP to take steps to figure out why workers are getting sick and to order BP to take immediate preventative action. This is all supposed to be part of BP's worker-safety program and it's up to the federal government to make sure BP's plan works in practice as stated on paper.
The current situation is a disaster in the making. Fishermen who ask BP for respirators jeopardize their cleanup jobs. So, they've stopped asking. Fishermen are aware that only three workers need to request a Health Hazard Evaluation for the federal government to take action. But no one has stepped up because fisheries have closed and spill response might be the only job they have--even if it might cost them their health or life, as happened to Exxon Valdez workers.
Americans need to demand that Congress authorize the National Institute of Occupational Health and Safety to conduct a Health Hazard Evaluation of the Gulf situation. Failure to have our regulatory agencies act immediately to protect people's health in impacted coastal communities is a crime our country cannot afford to commit.

Vietnam: Children's Hospital Viral Fever Epidemic Season

Excerpt:

19/05/2010

In recent days the number of patients to examination at Children's Hospital [Benh vien Nhi TU] increases from 1800-2200 children per day (up about 700 patients per day). Average daily hospital has about 15 pediatric patients hospitalized due to fever virus, typhus, pneumonia, viral fever virus usually have two possible states: continuous high fever and mild fever.

[contact me for link]

Vietnam: Extreme Weather: outbreak of viral fever

19/05/2010

Adults and children are suffering fever virus
Recorded at a number of health facilities in localities such as Ha Noi: Paul Green Hospital, Bach Mai Hospital, Central Hospital, Hospital 103 ..., in those days, the volume of patients to examination and treatment increase, up from 30% to 50%. Most cases were admitted to the examination and by viral fever with symptoms: fever 38 - 40 ° C, headache, fatigue, sore joints ... For example, the number of patients to examination at the Central Pediatrics Hospital increased on the 1800-2200 children per day, which, accounting for most viral fevers. At Bach Mai Hospital to the number of cases examined and treated, then there are nearly 1 / 3 cases of viral fever. Not only the two hospitals, Hospital Paul Green day also examined and treated hundreds of cases due to viral fever. Scientific examination of 103 hospitals, many patients are diagnosed on examination by a virus and fever ... worryingly, this year, not only increasing fever virus in pediatric patients, but also "attack" adults. So many families are in turn both fever virus.

Review of the medical professionals, often fever virus increases in the winter - spring fever virus but is now growing and spreading rapidly. This year due to weather fluctuations, sudden hot and cold, with rain causing high humidity create conditions favorable for disease-causing viruses thrive, which fever virus. Furthermore, with this weather-resistant human loss caused susceptible to attack. Meanwhile, the fever is a viral disease spread by the powerful working environment, as crowded schools, offices ... so the risk of outbreaks and rapid spread inevitable. Interesting to note, many cases have wrong opinions about fever virus, fever virus have a fever that week, a febrile illness ... but express how completely different in each person and depends on the type virus infection should have a high fever, some interesting sauce is only slightly warm. So many people see only slight fever, not very subjective fatigue should not treated, isolated right - this is the work of spreading germs to other members of the family and community.

Do not look down when fever virus
Symptoms of viral fevers usually are fever, chills, shivering cold then hot, body aches, fatigue, can include coughing, runny nose ... But health experts warn, is currently is a time when many outbreaks of disease risk: A/H5N1 influenza, dengue fever, meningitis ... initial manifestation of this disease is relatively similar and the same fever virus. Therefore, when these symptoms need medical facility for examination and treatment. Most children with fever is probably the expression of many diseases should absolutely not family therapy for children themselves but to take children to health facilities when children are accompanied by high fever and other symptoms. For some young children with fever virus also up continuously seizures associated breathing conditions, if not detected immediately taken to the emergency medical facility in time is easy to incalculable complications such as seizures, inflammation of brain membranes ... warning that the status of parents taking their own children. Most, of children with fever to hospital after self-use of antibiotics that are ineffective. In fact, many children also were more diarrhea due to side effects of antibiotics. This difficult process of diagnosing and treating disease. Or found a fever from the long day is not arbitrarily antipyretic drug overdoses or intravenous fluids at home to compensate for water and electrolytes without a doctor's appointment, this is extremely harmful to patients but not improved also can cause more severe complications and mortality.

Usually the virus will suffer from fever after 5-7 days of treatment. With no cases from this period after the body was definitely superinfection occurs, do the following tests to diagnose and treat promptly. There are also many patients relapse several times, both from the disease after a high fever a couple of days back. These cases mainly due to lower resistance, the body does not have natural immunity to the virus so easily trapped. Thus, the body is resistant to, confront the agents of viruses, bacteria are thriving medical experts recommended, should enhance resistance by eating nutritious food, drink many countries, vitamin supplements from fruits, reasonable rest ... If you have symptoms of viral fever, the patient should limit contact with others to prevent transmission to family members and spread to the community.

[contact me for the link]

The risk of an outbreak of blue ear pig in HCMC

(Source: Nguoi Lao Dong)

(Employee) - Afternoon 19-5, HCMC DARD development conference to enhance prevention of blue ear pig disease in the province.

Mr. Phan Xuan Thao, Heads of Sub-City Animal Health Department, said laboratory monitoring of blue ear pig disease herd livestock in the city there are four samples with 32 samples positive for the virus causing epidemic this. Multiple sample transport pigs without quarantine, of unknown origin, have to be 17/24 samples positive for blue ear pig virus.

In addition, tests on a number of monitoring herd in the surrounding provinces have also found blue ear pig virus circulation. This further increases the risk of blue ear pig city in the province, especially in recent days, the Binh Thanh, Tan Binh, Go Vap continuous transport detect many pig diseases of unknown origin .




Previously, HCM City has just written request of district - district office - the - industry collaboration to strengthen prevention of blue ear pig in area city.

Vietnam: Hai Duong Prov.: PPRS + Cholera + Severe Pneumonia w/no root origin

Hai Duong Province is about 50 miles East of HaNoi

PPRS
5/14/10
Department of Epidemiology
Currently, there are 15 provinces of Hai Duong, Thai Binh, Thai Nguyen, Hưng Yên, Bắc Ninh, Hải Phòng, Hà Nội, Nam Định, Hà Nam, Lạng Sơn, Nghệ An, Quảng Ninh, Bắc Giang, Hòa Bình và Cao Bằng có dịch Tai xanh chưa qua 21 ngày. Hung Yen, Bac Ninh, Hai Phong, Hanoi, Nam Dinh, Ha Nam, Lang Son, Nghe An, Quang Ninh, Bac Giang, Hoa Binh and Cao Bang PRRS not over 21 days.
http://tinyurl.com/3a3vbz4

5/14/10:

The Prime Minister has signed Decision requested the Ministry of Agriculture and Rural Development grant export charge Benkocid 55,000 liters of pesticides and 23,000 doses of vaccine in swine under the national reserve for the four northern provinces. Under the decision, and the production of Hai Duong province for 23,000 doses of cholera vaccine and 10,000 liters of pig Benkocid disinfectant, disinfectant of the remaining three levels of Hung Yen, Nam Dinh and Ha Nam.

http://tinyurl.com/36ypzz9

5/4:

Department of Animal Health, said long-term phase of sunshine then the rain made blue ear pig thrives in the northern provinces…. By the end of 2-5 days, there were 12 provinces such as Hai Duong, Thai Binh, Lang Son, Hung Yen, Nam Dinh, Ha Nam, Nghe An, Bac Ninh, Hai Phong, Hanoi, Quang Nam, Thai Nguyen has translated Blue ear pig, about 40,000 pigs were infected, nearly 17,000 children have been destroyed.

According to Hoang Van Nam, Director of Animal Health, Ministry of Agriculture and Rural Development, as soon as blue ear pig discovered in Hai Duong province, has warned the Department and require careful local epidemic prevention wide, many local nevertheless slow deployment and part owner for three years because there is no public service should be the prevention of neglect.

http://tinyurl.com/32wexfe

Cholera
5/14:
Morning 14 / 5, Preventive Medical Center of Hai Duong Province have confirmed the appearance of acute diarrhea epidemic in Lai Cach, Cam Giang District, Hai Duong province.
This is the 2nd, the emergence of cholera in 2010 in Hai Duong. Outbreak first appeared in a Hong Vinh, Binh Giang District, in April 2010. Five people positive for cholera after eating away at the funeral marry Me Trai hamlet, Vinh Hong, Binh Giang.
http://tinyurl.com/3ymcd8l

5:14:
Outbreak of cholera appeared in Cam Giang
5/14/2010 06:15:55 AM
On 13-5, Center for Preventive Medicine in the hamlet of Lai Cach (Cam Giang) appeared outbreak of acute diarrhea. The patient is Mr. Do Thanh Loi, 53, has tested positive for cholera.
Epidemiological causes leading to patients infected with cholera is very difficult to determine, most likely due to food and water from the meal contract staff in family organization.

Center for Preventive Medicine provinces identified cholera outbreak in rural infant may appear more widespread and new outbreaks. In the village there are cases with symptoms of abdominal pain and go out several times but not related to the outbreak in his family Loi. The health sector has direct health Cam Giang district zoning and thorough handling of the whole rural environment ministries, market towns and garbage dumps near residential waste;…
http://tinyurl.com/32p9p88

4/27:
http://vovnews.vn/Home/Cac-benh-dich-co-xu-huong-gia-tang/20104/142104.vov

Severe Pneumonia - cannot trace root origin
5/14:
Name: Đỗ Thị Xoan,
Age: 19
From: Hải Dương
Adm: 5/5 Central Tropical Diseases Hosp.
Onset: Severe breathing manifested after 2-3 days of high fever.
Notes: 24 monthsPregnant.....but so far to day 10 in this treatment, the patient was conscious and are more positive signs of recovery. 5/19: Still on vent, critical.
Diagnosis: Severe Viral Pneumonia. Tested negative for H5N1, A/H1N1, A/H3N2.

Prevention is used to treat patients suspected of a serious disease transmitted through respiratory tract, such as SARS, influenza A/H5N1 ...

MSc Nguyen Hong Ha, deputy hospital director, said when put to use testing to date, there were three patients with severe lung injury was successfully treated, including patients infected with an influenza A/H5N1 and two pregnant women with severe viral pneumonia.
http://tinyurl.com/263t5u5

Patients treated in isolation rooms are special people who are diagnosed with the disease is spread through respiratory disease, severe lung damage caused by viruses.
For nearly two months of trial, negative pressure isolation rooms have contributed to the successful treatment of three patients with severe complications influenza A/H5N1
http://tinyurl.com/2ue6teh

Vietnam: Quang Ngai - Hospital Increase 2-3 Times for Respiratory + Recent H5N1 Poultry

In the past week, they have had an increase of 2-3 time, due to respiratory problems.
They also have had a H5N1 outbreak in poultry recently.



We posted the story over the Hospital Overload here

Monday, 05.17.2010
Doctor Nguyen Tan Accessories, Head of Pediatrics, Hospital of Quang Ngai, said during the week, on average more than 160 patients hospitalized patients treated with the summer such as respiratory infections, fever super vi, bronchitis ... increased two to three times over the last week making pediatrics becomes overloaded.

In the afternoon or evening, many private clinics in the city of Quang Ngai also busy parents hug their children to visit. According to preliminary statistics of some private clinics here, the average daily receiving medical examination and treatment of a total of more than 1,000 patients suffering from diseases caused by summer heat.

The H5N1 in Poultry is here

5/7: The 6-5, in the hamlet of An Tho, Tinh Son commune, Son Tinh district appears more a bird flu outbreak on his family's flock of Lam Ha with over 200 dead ducks. According to Nguyen Thanh Tung - Chairman of the CPC Shandong Province, four outbreaks have occurred in the communes with over 8,000 children are destroyed.
http://tinyurl.com/28hvlq7

5/2
Mr. Nguyen Thanh Son, vice president of CPC Son Tinh, Son Tinh District, Quang Ngai, said that until now has nearly 7,000 full social destruction caused by a duck infected with bird flu.
http://tinyurl.com/264tkx3

4/25:
avian flu was first discovered on the 3670 flock (not vaccinate vaccine) in an animal protection farming commune in Son Tinh, Son Tinh district (Quang Ngai), made 550 children ill and killed 150 children.

Hanoi Map & Outbreaks

In the past 22 days, Hanoi has had outbreaks of Dengue, PPRS, Cholera, and the 2 recent pregnant women, with severe pneumonia, where their virus' cannot be diagnosed.



Green Postmark:

Name: Xoan Do Thi

Age: 19

From: Hai Duong province

Adm: 5/5 Central Tropical Diseases Hospital

Onset: Severe breathing problems manifested after 2-3 days of high fever

Notes: 24 months pregnant. 10 days hospitalized. Signs of recovery. 5/19: Still on ventilation (critical)

Confirmation: Viral Pneumonia [http://tinyurl.com/263t5u5]

http://tinyurl.com/29peza2 Tested negative for H5N1, A/H1N1 and A/H3N2.

Name: Nguyen Thi My Linh

22 yo – 34 weeks pregnant

From: Duc Hoa, Soc Son, Hanoi

Adm: Tropical Disease Hospital, 1 week of treatment – on ventilaltion whole time

Onset: Severe breathing problems manifested after 2-3 days of high fever

Notes: Upon admission, in coma, immediate Mechanical ventilation. Child born at 35 weeks, 1.7 kg. 5/19: Patient not on ventilation, discharge in a few days.

Diagnosis: Severe Pneumonia Unknown Cause. Negative for H5N1, and A/H1N1, A/H3N2

Pink Tack:
Dengue
4/27
150 Cases
http://tinyurl.com/26wnurg

Purple Tack:
Cholera
5/12:
In Hanoi, cases were detected most recently in the case of a female patient aged 65, residing in Dong Da district is being treated at the Tropical Disease Hospital Central. Results distribution of transplanted patients showed positive for cholera.
According to epidemiologists, patients suffering from cholera in Hanoi early this year have not yet determined what caused food.
Thus, from the beginning of the year, this was to appear Monday in Hanoi patients with acute diarrhea in danger. The first song recorded in mid-March, a female patient in Tay Ho district, Hanoi.

4/27
http://vovnews.vn/Home/Cac-benh-dich-co-xu-huong-gia-tang/20104/142104.vov

Green Tack - [See also undiagnosed Pneumonia case above from Son Soc]
Human Streptococcus Case

From: Duc Hoa, Soc Son, Hanoi

5/17
Duy Van Tuy patients, 45 (Soc Son, Hanoi) pigs infected with streptococcus bacteria by eating blood pudding was necrotic foot.
http://tinyurl.com/38sfl6n

Green Tack
Hanoi, Gia Lam District
PPRS
5/8:
eight communes appear disease

4/28:
Although the blue ear is at risk of outbreak, but the outbreak is in 5 communes in Gia Lam District, Hanoi, Tien Phong Online Reporter has noted the situation is not secretly selling pork quarantine in When staff at the commune veterinary checkpoints are drunk .. sleep.

7 am on 28 / 4, PV Pioneer Online available in the market Adhesives, Kim Son commune, Gia Lam District, Hanoi. Các quầy bán hàng đều không thấy bán thịt lợn. The sales counters are not sold pork. But when we asked to buy, many sellers are asking is can not buy much, if any, then wait a moment, they will bring, because there is a ban, should not be shown publicly.

Green Tack
Hanoi
PPRS
5/17:
Currently, the blue ear epidemic has appeared in the Gia Lâm, Phú Xuyên, Mê Linh, Thường Tín, Thanh Oai
http://tinyurl.com/2743996

5/11:
According to the Department of Agriculture and Rural Development Hanoi, blue ear epidemic has appeared in 17 communes in five suburban districts as Gia Lam, Phu Xuyen, Thanh Oai, Thuong Tin and Me Linh. /.
http://thoibaoviet.com/tintuc.kinhte.dichvu.40956.tbv

5/7:
At this point, in Hanoi, in addition to nine communes.
Gia Lam has 8 communes. and
Phu Xuyen district has 1 commune
also has areas of electricity generated Chien Thang Commune, Me Linh 31 pigs have been destroyed. Gia Lam has 8 communes.

5/4:
According to the Hanoi Department of Animal Health: The blue ear epidemic in Hanoi has appeared in six communes in two districts in Phu Xuyen and Gia Lam.

4/28:
Although the blue ear is at risk of outbreak, but the outbreak is in 5 communes in Gia Lam District, Hanoi, Tien Phong Online Reporter has noted the situation is not secretly selling pork quarantine in When staff at the commune veterinary checkpoints are drunk .. sleep.

4/26:
First Reported

Vietnam: Connecting Some Dots

I will take some time today, to connect some of our recent articles, particularly those on hospital overloads, with my Map statistics. Here is my map of Vietnam. It is for the year 2010.

Red: H5N1 Human Confirmed
Blue: H5N1 Poultry Confirmed in assoc. with Human Confirmed
Yellow: H5N1 Confirmed Poultry Outbreaks
Purple: H1N1 Confirmed Humans
Green: Misc. ex: H5N1 Suspected Cases, Respiratory; hospital overloads...
Purple Thumbtack: Cholera
Pink Thumbtack: Dengue
Green Thumbtack: PPRS
Light Blue Thumbtack: Hand-Foot-Mouth

North


Central


South

Supreme National Committee to combat bird flu confirm the absence of the Palestinian territories of the disease

Wednesday, May 19th 2010
Nablus - Imad Saadeh - said the Supreme National Committee to combat bird flu, did not prove the existence of any bird flu case suspected at the farm in the town of Bala and the surrounding places in the province of Tulkarem.



The committee said in a press release issued by that all Altaqariralambrip until late Wednesday, 19/5/2010, confirming the instability of any case of avian influenza H5N1, adding that the veterinarians and staff in the ministries of agriculture and health have made great efforts in the field survey of epidemic on the diameter of 10 km from the farm suspected, samples were examined in the laboratory the Palestinian and Israeli alike.

The Committee indicated that the presence of other diseases, especially poultry, but bird flu, noted that the veterinary medical procedures have significantly reduced mortality of poultry because of these diseases.

She said the High Commission that it were done Hjraly of the region and cooperation in this area with the security "was a health measure, recommended by international health organizations and animal. The farm was suspected and needed procedures and processes and finding awaiting the results.

The risk of leg amputation due to eating blood pudding

The risk of leg amputation due to eating blood pudding
(As News Online)

According to Doctor Nguyen Hong Ha, Deputy Director of the Institute of Tropical INVESTMENT BV, the last time there were 22 deaths in acute hospital admissions for pigs weighing conditions.

Patients are hospitalized for complications of diseases such as meningitis pus, sepsis, abscess, necrosis of more ...

Bệnh nhân Duy Văn Tuý, 45 tuổi (Sóc Sơn, Hà Nội) nhiễm vi khuẩn liên cầu lợn do ăn tiết canh đã bị hoại tử chân.

Typically patients Le Ngoc Sinh, 43 (Pacific country) was severe sepsis with renal failure. We have patients who are ventilator and continuous dialysis patients with adverse events. According to Dr. Ha, when exposed to pigs (not just green ear), swine streptococcus bacteria penetrate right through the skin, attack the blood and cause infection. Only after a very quick time, patients fall into a "shock" severe hypotension, dyspnea, pale, rapid liver failure and kidney. If the emergency is not timely, easily lead to death.

Duy Van Tuy patients, 45 (Soc Son, Hanoi) pigs infected with streptococcus bacteria by eating blood pudding was necrotic foot.

Two feet of patients Duy Van Tuy, 45 (country Soc Son, Hanoi) was gangrene. To date 18 / 5, Tuy patients were treated by chronic stable demand situation but the risk of leg amputation must be very high. According to initial investigations, although there are patients who eat pig blood pudding. According to Dr. Ha, pig blood pudding is rich swine streptococcus bacteria will attack very fast so after 16 hours after eating.

Palestine-Meeting with the health and agriculture ministries to review the backgrounds bird flu situation

19:05:10 - 16:54
PNN-met with Ministry of Health and the Ministry of Agriculture has been the review of all backgrounds the case of avian influenza reported by the laboratory in Israel and all that has been the repercussions of the Ministry of Agriculture and the National Commission on the background of what came from the media about the inconsistent statements and opinions of officials and by the ministries of agriculture and health understanding and full cooperation declare as follows:

"All the reporting laboratory to date at the second evening" on 19/5/2010 instability of any case of H5N1 bird flu despite the great efforts made by the veterinarians and staff in the ministries of agriculture and health in the survey epidemiological Qatar 10 km from the farm suspected of knowing that samples were tested in both laboratories, the Palestinian and Israeli alike.

It was announced previously for the presence of other diseases, especially non-poultry avian influenza H5N1 note that the veterinary medical procedures have limited the poultry deaths and a significant decrease in mortality.

If it were done of stone, the region and cooperation with security agencies was a measure healthy "recommended by international health organizations and animal where the farm was suspected and this was needed to confirm the finding large for the work of other actions recommended by these organizations, as stated by both Ministers of health and agriculture, note that each of them was still adheres to the recommendations of international organizations and provided for by the Palestinian national plan to combat bird flu.

The Supreme National Committee to combat bird flu when added on Saturday, has assessed the epidemiological situation and dates of various reports of the laboratory and the scientific to the spread of the disease and the incubation period for this disease and the number of deaths declining, and the absence of any symptoms in poultry refer to this disease, especially that the report the only one who was in the hands of the Committee had before it two weeks, and the Committee found there was no need to take any action as long as the situation has been controlled and this can Nazih to the following:
Individual case is weak infection and this rarely happens, but it happened.

Laboratory error received from the other party.

But all indications point to the lack of an epidemic and in the herd or region.

Although it was held a telephone conference with the Israeli party meeting was held the next day between teams of medical services Veterinary both sides, where the discussion of all things technical, administrative and procedural, where there was a consensus of the validity of action taken by the Authority Palestinian National Authority.

Despite all that, the Ministries of Agriculture and Health recommends that the staff to intensify the effort in the process of epidemiological survey, which is already in routine work as the area affected and the possible arrival of the disease is contained.

The Ministries of Health and Agriculture to deal with full transparency with this event and any event where it is part of the Palestinian national strategy, and do everything in our power to protect Palestinian citizens first, and the national economy, II.

More than 78,000 pigs infected with PRRS

07:19 19/05/2010


TP - 18-5 afternoon, Mr. Van Dang Ky, Chief of Epidemiology, Department of Animal Health (MARD) said, PRRS has appeared in 291 communes, 52 districts of 15 provinces. 78,000 children infected with PRRS, in which death and destruction is over 36,200 children.

But the provinces and there is blue ear 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 and Cao Bang.

Last few days, epidemic continues to spread in some provinces such as Lang Son, Hung Yen, Ha Nam, Nghe An ... The announcement of policies to support the destruction of pigs is not clear; vets, some government Local irresponsible that some local people are scared, the control and suppression services to meet obstacles.

Rift Valley fever spreads to areas close to Mandela Bay

May 19 2010 1:31PM

2010/05/19 DEADLY Rift Valley fever is spreading rapidly in the Eastern Cape and has reached as close to Nelson Mandela Bay as Humansdorp and the Tsitsikamma area. Senior manager and director for veterinary services in the Eastern Cape, Dr Cedisa Mnqeta, said there were now 45 farms in the province which had tested positive for the fever and more test results were outstanding. There have also been eight confirmed human cases in the province. Rift Valley fever can be spread to humans by handling animals and their blood, and by mosquitos. The latest outbreak of the disease has just been confirmed on a Tsitsikamma dairy farm and the Eastern Cape Veterinary Services believe this outbreak is potentially very serious as it is unlikely mosquitoes will die out over winter in this area. Mnqeta confirmed that farms which tested positive for Rift Valley fever are in the Cradock, Humansdorp, Middelburg, Hofmeyr, Steynsburg, Graaff- Reinet, Jansenville and Tsitsikamma areas. Of the eight confirmed human cases, two were veterinary services staff members, five were farm workers who worked with animals and one was a township resident suspected of coming into contact with diseased meat. There are almost 200 confirmed cases in the country. Agri Eastern Cape has warned farmers to take preventative measures, such a vaccinating livestock to prevent the disease from spreading, which would impact negatively on the province’s agricultural economy. The manager of veterinary services in the western region of the Eastern Cape, Dr Jane Pistorius, said it was important that farmers vaccinate their stock, even in areas to which the disease is not expected to spread . She expressed concern that many farmers did not report possible outbreaks of the disease because of the fact that China had stopped importing SA wool because of the disease.

Japan to Triple Cattle, Hog Cull on Foot-and-Mouth (Update1

May 19 (Bloomberg) -- Japan will almost triple the number of animals to be culled in Miyazaki prefecture, a major farming region, as an outbreak of foot-and-mouth disease threatens the nation’s livestock industry.

All pigs, beef cattle and dairy cows in areas where most cases of the disease were discovered will be culled, raising the figure by about 205,000, from 118,160 animals as of yesterday, Agriculture Minister Hirotaka Akamatsu told reporters in Tokyo today. The government will vaccinate them before slaughter to slow the spread of the virus, he said.

Foot-and-mouth is one of the most contagious livestock diseases and can have high mortality rates in young animals, according to the Paris-based World Organization for Animal Health, or OIE. Miyazaki is Japan’s second-largest pig-farming region and third-largest producer of beef cattle.

“Supply of domestic meat may become tight,” Susumu Harada, senior director at the U.S. Meat Export Federation, said today by phone. Exporters of pork and beef to Japan “may benefit if the disease continues to spread.”

Japan’s imports of pork and beef have not been affected so far as the nation has large stockpiles from last year, when the economic slump cut consumption, Harada said. Japan is the largest importer of U.S. pork, and was the biggest buyer of U.S. beef before it cut imports when mad-cow disease was discovered there in 2003.

High Risk

Of the 205,000 additional animals to be culled, 155,000 are pigs, Akamatsu said. They are at high risk of being infected as they live within a radius of 10 kilometers of the affected farms, he said. Previously the government only killed animals on farms where suspected cases of the disease were discovered.

The government will also require growers in a radius of 10 kilometers to 20 kilometers of the disease-hit farms to ship their animals to local slaughter houses as soon as possible, Akamatsu said. This is aimed at decreasing the number of animals at risk of contracting the disease, he said.

The number of staff who will cull and bury animals will be increased, Akamatsu said.

“A lack of manpower may be blamed for the slow pace of culling,” he said. “We need to add more people.”

The government will pay the costs of culling and compensate farmers for lost animals, Akamatsu said, without disclosing how much will be spent.

Cabinet Team

Japan’s previous foot-and-mouth outbreak occurred in 2000, when 740 animals were killed in Miyazaki prefecture and on the northern island of Hokkaido.

Prime Minister Yukio Hatoyama has set up a cabinet team to deal with the problem as opposition parties’ criticism of Akamatsu’s handling of the issue intensifies before the nation’s upper-house election planned for July.

Miyazaki accounted for about 9.2 percent of Japan’s total swine herd, which was estimated by the agriculture ministry at 9.9 million as of Feb. 1, 2009. The prefecture also represented 10 percent of the country’s total herd of beef cattle estimated at 2.9 million.

The foot-and-mouth virus found in Miyazaki is similar to the type discovered in South Korea, according to the ministry.

In South Korea, the farm ministry said April 22 that two cases were found at a pig farm in Chungju, south of Seoul, indicating the virus had spread inland. A new outbreak was discovered on April 9 on Ganghwa island, less than a month after the nation declared itself free of the disease.

China in March reported an outbreak of the disease in pigs.

Indonesia: Karanganyar | AI Case in Waru, Health intensively monitor citizens

AI cases in Waru, Health intensively monitor citizens
By Beautiful Septiyaning on May 19, 2010

Karanganyar (Espos)-Department of Health (Health Office) District Karanganyar conduct intensive monitoring of health of citizens of Waru Village, Kebakkramat, following the findings of positive cases of avian bird flu or avian influenza (AI) in lingkungansetempat, recently.

Head of District Health Office Karanganyar, Heru Cucuk Kusumo, said it has deployed a team to check-hamlet residents in the hamlet of spreading AI outbreak locations. In addition officers also held socialization Puskemas to vigilance against possible transmission of disease to humans.

"There is already a team of P2PL (Disease Eradication and Environmental Health), which came to citizens. So far there are no signs or indications which lead to it. But our team at the health center and the village will continue to monitor developments, "he said contacted Espos, Wednesday (19 / 5).

Previously reported, dozens of chicken on a hamlet in the village of Waru sudden death due to bird flu outbreak. Delay in the community to report such cases to make the spread of AI virus Disnakkan to other neighborhoods in the surrounding areas is rapid.

Dong Thi Xoan pregnant women, 19 (Hai Duong) suffered pneumonia ventilator're strange (Photo: VK).A severe pneumonia patients are being treated in isolation room pressure center, a tropical disease hospital

Vietnam: 3 Pregnant Woman in past week, critical condition w/undiagnosed viral pneumonia

3 Pregnant women admitted in critical condition, one in a coma.... in the past week, with severe pneumonia brought on 2-3 days after high fever is concerning. Posted here

Deputy Head of Emergency - active treatment, Hospitals PRIVATE Tropical Diseases, said this when all three patients were hospitalized with severe breathing problems manifested after 2-3 days of high fever and associated X-ray results showed that very severe pneumonia and mechanical ventilation are required.

Patients who show symptoms of severe pneumonia due to respiratory failure and we are progressing patients with suspected viral pneumonia, should have taken samples to test with some influenza viruses are circulating, as influenza virus A/H5N1, A/H1N1, A/H3N2 flu but results were negative for

Two of the women, were mentioned during the inauguration of the Negative Pressure rooms at the Tropical Disease Hospital. The two women are:

Hanoi Province

Nguyen Thi My Linh

22 yo – 34 weeks pregnant

From: Duc Hoa, Soc Son, Hanoi

Adm: Tropical Disease Hospital, 1 week of treatment – on ventilaltion whole time

Onset: Severe breathing problems manifested after 2-3 days of high fever

Notes: Upon admission, in coma, immediate Mechanical ventilation. Child born at 35 weeks, 1.7 kg. 5/19: Patient not on ventilation, discharge in a few days.

Diagnosis: Severe Pneumonia Unknown Cause. Negative for H5N1, and A/H1N1, A/H3N2

Hai Duong Province

Dong Thi Xoan

19 yo – 24 months pregnant

From: Hai Phong

Adm: 5/5 Central Tropical Disease Hospital

Onset: Severe breathing problems manifested after 2-3 days of high fever

Notes: Critical, still on ventilation

Diagnosis: Severe Pneumonia Unknown Causes. Negative for H5N1, and A/H1N1, A/H3N2
Confirmation: Viral Pneumonia

We do not have information yet, on the 3rd Pregnant Woman. In my Commentary of the 14th I ruled out the 3 patients that had utilized the Negative Pressure room here

I believe this room treated 3 patients, 1 with H5N1 and 2 with viral pneumonia. Trung Van H., 22 (in Cho Moi, Bac Kan) would be the H5N1 patient, and
Xoan Do Thi, 19, in Hai Duong province and one other would be the "2" with viral pneumonia.....

On May 17, we posted this here

17/05/2010 3:25 Doctor Nguyen Hong Ha, Deputy Director of the Hospital Central Tropical Diseases, said in some cases of severe pneumonia admitted to hospital has treated some cases appear not determine the exact cause.

On May 14^th, we posted of patients in Hanoi and surrounding areas…here

....On 14-5, doctor Nguyen Hong Ha, Deputy Director Infectious Disease Hospital countries, said these days the hospital has received many patients with fever rash, severe pneumonia, sepsis and inflammatory state bronchial spasm, but no known cause. Most of these patients in Hanoi and surrounding areas.
According to doctors Ha, but no evidence of disease in swine streptococcus bacteria spread from person to person but from the outbreak of blue ear pig in many localities, the number of Streptococcus have also increased.

On May 14^th, we posted on Hospital Overload….here

14/05/2010
Hospitals that also overload

Respiratory Sciences of the hospital every day to receive around 40 cases admitted to hospital treatment. Number of in-hospital patients are at from 110-120 grandchildren, east double beds. Afternoon 13 / 5 in science has to be respiratory failure 14 grandchildren're heavy breathing machine. Results of preliminary statistics of the Hospital for Tropical Diseases Hospital 115 and the rate of hospital admissions in the country now has increased from 20-30% over the same period last year.

Some Information on Children's Hospital

Back on May 14^th, we posted this here

Vietnam: Respiratory diseases increased

Since early this year, only 2 Children's Hospital has recorded three children died of complications from pneumonia causing respiratory failure. Dr. Tran Thi Thu Loan, Head of Children's Respiratory Hospital 2, the respiratory illness to severe complications, many children must be treated positively, ventilator support new drama of danger.

On May 17th we posted here:

Monday, 17/05/2010
In recent days the number of patients to examination at Children's Hospital INVESTMENT (Hanoi) increased from 1800 to 2200 children per day (up about 700 patients per day).

Average daily hospital has about 15 pediatric patients hospitalized due to viral fever, typhus, pneumonia, viral ...

Again, on the 17th we posted here:

17/05/2010 3:25

Dr. Nguyen Thanh Liem, Director of Children's Hospital said, in this hospital had patients died of severe pneumonia, while the test samples of patients not identify virus strains / bacteria. Not finding the exact root cause will make the treatment more difficult.