#H1N1 Vietnam Case List 2013

Vietnam H1N1 2013

Name—From—Adm--Condition

46M—Yen Bai—3/28—DOD: 3/30

27(M)—Yen Binh Dist., Yen Bai—4/14—DOD: 4/18

12(F)—Thanh Hoe—DOD 4/23

72M--HCMC Dist. 11—Cho Ray Hosp--DOD early May

56M—Hau Giang—April—DOD 5/21

61M—An Long, Dist. Tam Nong, Dong Thap-Cho Ray Hosp--DOD 6/3

3yo—Dong Thap—Childrens Hosp HCMC—contact of 61M--recovered 

24F—HCMC Dist. 9—6/1 Cho Ray Hosp-- DOD 6/5

49M—HCMC Dist. 3—5/24 Gia Dinh Hosp HCMC--DOD 6/3 

48M—Ben Tre—6/9—DOD 6/12

Nurse—Ben Tre—6/?—Stable

47F—My Thanh, Ben Tre—6/2—DOD 6/12

50M—HCMC Dist. 3—Nhan Gia Dinh Hosp.

Justice Dept Empl.—Tien Giang—6/3—discharged 6/21

Justice Dept Empl—Tien Giang—6/3—discharged 6/21

Justice Dept Empl—Tien Giang—6/3—discharged 6/21

Justice Dept Empl—Tien Giang—6/3—discharged 6/21

Woman—Mang Thit Dist, Long Tan Comm.,Vinh Long—6/15—DOD 6/17

55—Ward 8, Vinh Long—Gia Dinh Hosp—DOD 6/14

69(M)—Nguyen Phich, U Minh, Ca Mau—5/21

no name—Hoa Hiep, H. Tam Binh Vinh Long—6/21—

no name—Hoa Hiep, H. Tam Binh Vinh Long—6/21

30(M)—Binh Thanh Dist , HCMC—6/23

Le Hoang Be—Ca Mau—6/19—Pham Ngoc Thach Hospital

67M—U Minh, Ca Mau--6/26—U Minh Hospital

30F—Cai Doi Vam, H.Phu, Ca Mau—6/27—

58M-- Vĩnh Viễn, Hau Giang Prov.—6/18—DOD 6/27

30M-- Đầm Dơi (Cà Mau)

Detailed Listing:

Yen Bai Province

Name:  46(M)

From:  Yen Bai

Adm:   3/28  Central Hosp. for Tropical Diseases [was transferred]

Sym’s on adm: severe respiratory distress

Note: 7 days cough fever, 4 more days difficult to breath, sought dr.  No comorbidities.

DOD:  3/30

Yen Bai Province

Name:  27(M)

From:  Yen Binh dist., Yen Bai Province

Adm:  4/14 Bach Mai Hospital

Sym’s on adm.: respiratory failure, hypoxemia have ventilation, coagulopathy, multiple organ failure.

DOD:  4/18

Thanh Hoe Province

Name:  12(F)

From:  Thanh Hoe Province

DOD:  4/23

Ho Chi Minh City

Name:  72(M)

From:  HCMC – District 11

Adm:  Cho Ray Hospital

Sym’s on Adm:  Breathlessness

DOD:  Early May

Ha Giang Province

Name:  56(M)

From:  Lung Sinh, Lam Commune, Xuyen Dist. Ha Giang Province

DOD:  5/21

Hau Giang Province

Name:  56(M)

From:  Hau Giang Province

Adm:  April

DOD:  4/21

Dong Thap Province

Name:  Ly Kim Sen (61M)

From:  An Long, Tam Nong District, Dong Thap, Farmer

Adm:  6/1  Cho Ray Hospital

Adm:  5/24 Dong Thap General Hospital

Sym’s on Adm:  Abdominal pain, cough fever, shortness of breath

Note:  patient sellf-medicated, condition worsened.  According to relatives, infected with duck meat cooked.

DOD:  6/1 a few hours after admission

Dong Thap Province

Name:  Hiện 3yo (contact of 61M above)

From:  Tam Nong District, Dong Thap

Adm:  Children’s Hospital 1,  HCMC

Note:  Granddaughter of Ly Kim Sen (61M) above. 

Confirmed:  Positive, PCR Test

Ho Chi Minh City

Name:  Le Thi Cam Van  (24F)

From:  HCMC – District 9 (worked)

From:  Native of Kom Tum Province.

Adm:   6/1 Cho Ray Hospital

Syms on Adm:  respiratory failure

Adm:   5/31 Tu Du Obstetric Hospital, delivered baby, lived.

Note:  Husband had flu 3 days prior to onset of wife.  She worked at TPHCM (Tech Park, HCM)

DOD:  6/5

Ho Chi Minh City

Name:  Nguyen Xuan Thien  (49M)

From:  HCMC – District 3

Adm:  5/24 Nhan Gia Dinh People’s Hospital

Sym’s on Adm:  fever, diarrhea, entered gastroenterology

DOD:  6/3

Ben Tre Province

Name:  Nurse

From:  Ben Tre. Province

Onset:  5/28

Adm:  Cho Ray Hospital, Saigon

Confirmed:  Positive.

Note:  Out of danger. Worked at Gen. Hosp. Binh Dai district

Ben Tre Province

Name:  Phan (47F)

From:  Thuan An Village, Mỹ Thạnh An

 Commune, Ben Tre City.  Ben Tre Province

Onset:  6/2

Adm:  Trans. to Pham Ngoc Thach Hosp, HCMC

Adm:  6/10 Cho Ray Hospital, HCMC

Note:  Sold Rice.

DOD:  6/12

Ho Chi Minh City

Name:  50M

From:  HCMC – District 3

Adm:  Nhan Gia Dinh People’s Hospital

Sym’s on adm:  Breathless, lung damage

Tien Giang Province

Name:  Employee Justice Department

From:  Tien Giang

Onset:  5/31

Adm:  6/3:  L'Hôpital Français de Hanoi, HCMC

Note:  Tested positive.  Stable condition

Note:  Discharged 6/21

Tien Giang Province

Name:  employees Justice Department

From:  Tien Giang

Onset:  6/6 Headache, dizziness.  Private Treatment.

Adm:  6/8 French Hospital HCMC.

Note:  Discharged 6/21

Vinh Long Province

Name: Phan Thị Lài

From:  Mang Thit District, Long Tan Commune, Vinh Long Prov.

Onset:  6/11

Adm:  6/15

Note:  Bought chicken at market in commune on 6/8.

DOD:  6/17

Tien Giang Province

Name:  employees Justice Department

From:  Tien Giang

Adm:  No.  Monitored only at Tien Giang Gen. Hosp.

Note:  Discharged 6/21

Tien Giang Province

Name:  employee Justice Department

From:  Tien Giang

Adm:  No.  Monitored only at Tien Giang General Hosp.

Note:  Discharged 6/21

Vinh Long Province

Name:  55yo

From:  16B Dinh Tien Hoang St., Ward 8, Vinh Long

Adm:  Gia Dinh Hospital, Vinh Long

Note:  Was in Cancer Treatment 12.6 days (12 ½).  Showed signs of illness and went to Gia Dinh Hospital.

DOD:  6/14

Ca Mau Province

Name:  69M

From: Nguyễn Phích, huyện U Minh, Ca Mau

Adm:  5/21

Sym’s:  breathless

Conf.  Positive

Vinh Long Province

Name:  Reported on 6/24/13 

From: Thuận, H.Vũng Liêm và xã Hòa Hiệp, H.Tam Bình Vĩnh Long province

Adm:  6/21 Vinh Long Hospital

Sym’s on Adm: high fever, sore throat, nasal pharynx. 

Note:  X-ray normal.  Treated w/tamiflu.  Pay special attention to patients receiving treatment Hoa Hiep Commune in HCMC Tropical Hospital.

Good Condition.

Confirmation:  Positive 6/24.  Recovered.  Discharged 3/7/13.

  

Vinh Long Province

Name:  Reported on 6/24/13

From: Thuận, H.Vũng Liêm và xã Hòa Hiệp, H.Tam Bình Vĩnh Long province

Adm:  6/21 Vinh Long Hospital

Sym’s on Adm: high fever, sore throat, nasal pharynx. 

Note:  X-ray normal.  Treated w/tamiflu.  Pay special attention to patients receiving treatment Hoa Hiep Commune in HCMC Tropical Hospital.

Confirmation:  Positive 6/24.  Recovered.  Discharged 7/3/13.

Ho Chi Minh City

Name:  30(M)

From:  Binh Thanh District, HCMC

Adm:  6/23 Nhan Dan Gia Dinh Hosp.

Sym’s at hosp: high fever, breathless

Adm:  6/26 Tropical Disease Hospital

Sym’s at adm: respiratory failure, serious pneumonia

Note:  hepatitus C

Ca Mau Province

Name:  Lê Hoàng Bé,  Dir. of Interior

From:  Ca Mau

Onset:  6/18, while traveling in Ha Noi

Adm:  6/19 Gen. Hosp. Cau Mau, Trans. to HCMC

Adm:  6/26 trans. to Pham Ngoc Thach Hosp (HCMC)

Syms on 6/26: high fever, shortness breath

Confirmed:  6/27

Ca Mau Province

Name:  67(F) Lương Văn Đua

From:  Nguyen Phich Commune, U Minh District, Ca Mau

Adm:  6/19 U Minh Hospital

Note:  10 days of treatment, recovered.  discharged.

Ca Mau Province

Name:  30(F) Trần Thị Mùa

From:  Cái Đôi Vàm town,  Phu Tan District, Ca Mau

Onset:  6/24

Adm:  6/27  Cai Nuoc Hospital

Sym’s on adm:  shortness of breath, fever, cough

Hau Giang Province

Name:  Ly Van Thanh (55/58)M

From: Vĩnh Viễn, Hau Giang Province

Adm:  6/18 Private Hospitals, fever, cough

Adm:  6/24 Hospital Long My district

Adm:  6/26 Military Hospital 121, Can Tho City

DOD:  6/27

Ca Mau Province

Name: 30(M) Trần Hoàng Thám

From: Bến Bàu, xã Quách Phẩm Bắc, H. Đầm Dơi Dist., Ca Mau

Adm:  4/7

#H7N9 Flu Virus’ Ability to Replicate Deep in Lung Triggers Dangerous Immune Response

[This article is much easier to understand, than the one I posted out of China.]

by Kathy Jones on  July 04, 2013

Editing is mine - Excerpt:
A new study revealed that the H7N9 bird flu virus has the ability to replicate deep in the lungs from where it can trigger a dangerous response from the immune system.

In addition, no one is likely to have pre-existing immunity to H7N9 and so-called seasonal vaccines cannot protect against it, the study said, confirming suspicions among many virologists. 

And while lab tests show that leading anti-flu drugs are effective, there are concerns the virus may acquire gene mutations to blunt these weapons, it added. 

The study, published in Nature by the Chinese Centre for Disease Control and Prevention (CDC) in Beijing, delved into the genetic ID of the virus which emerged in China in February. 

The virus has been characterised by severe symptoms of pneumonia and respiratory distress, with a high fatality rate, especially among the elderly. 
-snip-

The paper said "the first epidemic has subsided" but a potent threat remains. 

"Together with the challenges in the available treatments for H7N9 infection caused by its clinical severity and emerging antiviral resistance, further unpredictable evolution and adaptation of the H7N9 virus and the lack of pre-existing immunity leave the human population at high risk," it said. 

"The threats of the H7N9 virus with pandemic potential should not be underestimated and intensive surveillance must be undertaken." 

H7N9 kills more than a third of hospitalised patients, The Lancet reported last month. 



http://www.medindia.net/news/h7n9-flu-virus-ability-to-replicate-deep-in-lung-triggers-dangerous-immune-response-121501-1.htm?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+allhealthnews+(Medindia+Health+News)

Argentina - Catamarca: The Ministry of Health does not know if there are cases of #H1N1

[Catamarca is a province of Argentina, located in the northwest of the country.]
Translation
July 4, 2013

While Catamarca already confirmed more than 20 cases of Influenza A, even the Ministry of Health could not confirm whether it is the H1N1 subtype, according to what the Department of Epidemiology reported that at the same time stressed that currently Several viruses are in circulation, creating flu-like boxes. 

Patricia Valdez, director of epidemiology in the province, said that to date could not be confirmed if you drive in Catamarca H1N1 subtype, since the samples were Malbrán drifts to the Institute and arrive in the coming days. 

Moreover, the official warned that at this time of year the viruses are distributed in the population with a predominance of Respiratory Syncytial Virus (RSV), which is what occurs in children younger than 2 years on frame flu or bronchiolitis. 
And thus estimated that 60% of children who present these paintings in the country is affected by RSV. In Catamarca recorded a rate ranging between 50 and 70%, depending on seasonality and the harshness of the weather, said Valdez. 
At the same time, said different circulating strains of influenza virus, these agents Guests seeking different populations such as children or the elderly, he said. Among the viruses in circulation, the official said Parainfluenza, Adenovirus, Metapneumovirus and influenza virus A and B with their respective subtypes. 
All of these viruses, he said, causing flu-like tables in general, but treatment must be specific to make each. In this regard, he cautioned that there are many cases without laboratory diagnosis but with a clinical diagnosis. This is a professional medical determination caring for the patient, he said. 

The official acknowledged that no circulation of influenza type A, but until now it was unclear if this is a seasonal or H1N1 strain, which began circulating in the country in 2009. 

told also that all swab samples that tested positive for type A were derived and is waiting for the results. When there is clinical suspicion, he said, a complaint is made ​​compulsory and apply the mechanisms of action, ie a sample and proceeds to the patient's medication while continuing the process of determining viral. The patient is medicated with oseltamivir, an antiviral for influenza A. In this regard, he said that this medication is provided by the health portfolio, since it is not sold in pharmacies.

Thousands of pesos to pay the reagents

Despite the current demand, the Central Laboratory of the ministry does not have reagents for determining the presence of the H1N1 subtype. Lara Sader, in charge of the laboratory, said the property comprises reagents for determining the presence of the strain of the influenza type A and to perform other analyzes. 
Moreover, said he was asked this specific reagent but the problem, said, is the obstacle to imports. 
It is an economic measure imposed by the Ministry of Internal Trade, as the kit to determine the subtype has a cost of $ 21,000 and can only be used up to 50 people, is said to ministerial sources . 
the official added, moreover, that the order was made ​​last year and it was confirmed a month ago.However, he clarified that the Laboratory has reagents to determine the strain of the influenza type A or B, each of which has a cost of $ 1,600 (per patient), as could find this newspaper. 
Sader noted that it is imported inputs and at the same time, there is a great demand across the country.

Deputies requested reports

Recently introduced in the House of Representatives a project to ask the health portfolio a report on prevention and contingency plan pandemic influenza A/H1N1. The request was made ​​by Legislator Silvina Acevedo. 
asked Congresswoman accurate data on actual number of cases detected and treated by the Ministry, detailing zoning thereof; specify whether preventive measures are applied and under what protocols and detail what the measures to take in the winter break during National Day and International Poncho. 
was also requested to be attached to each of the points above the supporting information and certified by the responsible area. 
"the main foundation of my order responds to the need the information officially released to date is only for public transcended made ​​by officials and which take many contradictions. I wonder if these contradictions are only the lack of internal information regarding the current status of this pandemic, "he argued.

 http://www.elancasti.com.ar/informaciongral/El-Ministerio-de-Salud-aun-no-sabe-si-hay-casos-de-H1N1-20130703-0077.html

Study clarifies role of bacteria in pandemic diseases

http://phys.org/news/2013-07-role-bacteria-pandemic-diseases.html

5 hours ago

(Phys.org) —Wolbachia are intracellular bacteria that infect invertebrates at pandemic levels, including insects that cause such devastating diseases as Dengue fever, West Nile virus, and malaria. While Wolbachia-based technologies are emerging as promising tools for the control of the insect vectors of these deadly diseases, the processes underlying Wolbachia's successful propagation within and across species remain elusive.

A new study by CAS researchers sheds light on some of these processes by providing evidence that Wolbachia target the ovarian stem cell niches of its hosts—a strategy previously overlooked to explain how Wolbachia thrive in nature. The study, "Evolutionarily conserved Wolbachia-encoded factors control pattern of stem-cell niche tropism in Drosophila ovaries and favor infection," has been published in the current issue of PNAS Early Edition, available online here. Michelle Toomey, a CAS Biology PhD student, and Kanchana Panaram, a former postdoctoral fellow in the Frydman Lab at the Department of Biology, are the study's co-first authors.
Although Wolbachia are mainly vertically transmitted (from the parental generation of the species to the offspring), there is also evidence of extensive horizontal transmission (from one individual to another in the same generation). The study shows that both vertical and horizontal transmission occurs through Wolbachia's preference for the region of the insect ovary that contains stem cells, known as "stem cell niches". Tropism—in which different viruses or pathogens evolve to preferentially target specific cell types within a host—for stem cell niches is pervasive in Wolbachia that infect the Drosophila (fruit fly) genus.
Using cell biological, phylogenetic, genetic, and transinfection tools, the BU team found evidence that stem-cell niche tropism is an evolutionarily conserved mechanism for Wolbachia hereditary and non-hereditary transmission, and that this tropism is a widespread occurrence across the Drosophila genus. Phylogenetic analyses also revealed selective pressures promoting strong conservation of the same pattern of niche tropism among closely related Wolbachia strains. Using hybrid crosses and transinfection experiments, the researchers demonstrated that Wolbachia-encoded factors, rather than the host genetic background, are the major determinants of different patterns of stem cell niche tropism.
"Because Wolbachia are maternally transmitted, their presence in the germ line is essential for their vertical propagation to the next generation," says Toomey.  "However, Wolbachia are often found in several somatic tissues as well, and this distribution varies among different Wolbachia–host associations."
The study indicates it is easier for Wolbachia to reach the germ line through the stem cell niches during vertical transmission and probably during horizontal transmission as well.
"Wolbachia represent the first reported case of bacteria living in a stem cell niche. The data presented in this study provide the foundation for future methodologies toward the identification of genetic pathways mediating Wolbachia's stem-cell niche tropism in hosts," says Horacio Frydman, assistant professor of biology. Understanding the basis of Wolbachia targeting of specific tissues in the host and its consequences toward bacterial transmission will provide further insight into their extremely successful propagation and help identify new Wolbachia-based vector control approaches.

Vietnam: #H1N1 - One of 2 new cases of H1N1 influenza were most discharged

Afternoon 03/07/2013, Dr. Nguyen Thanh Tu-director of the Center for Preventive Medicine in Vinh Long province, said A/H1N1 flu patients treated at Hospital for Tropical Diseases in Ho Chi Minh City hospital after recovery for good and have a negative test result for influenza virus. This is one of two new cases in Vinh Long are Ho Chi Minh City Pasteur Institute confirmed positive for H1N1 virus on 24/6 last.

According to Dr. Nguyen Thanh Tu, the remaining cases are still in general hospital treatment regimen Vinh Long Department of Health, after the results of the test specimen remains positive for the flu virus.

Up to the present, Vinh Long province recorded 4 cases positive for influenza A/H1N1, including 2 cases were fatal. One of two deaths in the general hospital in Vinh Long province last week in June and then in hospital leadership this case is very strange transmission.

http://www.baovinhlong.com.vn/newsdetails.aspx?newsid=73416 

Vietnam: Reports Dating Back to Spring 2013 for H1N1 Deaths

Please note the dates of these articles.  Reported here for documentation purposes.
Translation/Excerpt

More of deaths from A/H1N1 flu
 24.04.2013 [April 24, 2013]

This information is confirmed by the Ministry of Health in the National Steering Committee pandemic human influenza, which took place in Hanoi on 23-4. Dr. Tran Dac Phu, deputy director of the Department of Preventive Medicine, said current circulating in Vietnam at the same time as many types of flu A/H5N1 and A/H1N1, influenza A/H3N2 and influenza B, with many deaths due to the influenza virus. For influenza A/H5N1, from early 2013 to now, there are two cases of this flu in Dong Thap and Long An province, including one case in Dong Thap province have died.

Meanwhile, the A/H1N1 flu situation is also complicated, with multiple consecutive deaths from the virus. In particular, the latest death was a 12-year-old girl (in Vinh Loc, Thanh Hoa Hospital mortality in tropical Central 23-4 in the morning. This is the 3rd case of death due to influenza A / H1N1 in Tropical Diseases Hospital Central early this year (last two deaths were in Yen Bai).

MA Nguyen Hong Ha, deputy director of Tropical Diseases Hospital Central, said the patients in the hospital in a state of severe respiratory distress, placed endotracheal tube, mechanical ventilation. Results showed that patients testing positive for the H1N1 virus.

Notably, representing the Department of Preventive Medicine also said flu surveillance results showed key nations, nearly 1,000 samples of flu syndrome surveillance from early 2013 to date shows that of the 119 samples syndrome positive for influenza A/H1N1 infection rate is at most (48%), followed by influenza B, and the third is the A/H3N2 flu.

http://baoangiang.com.vn/newsdetails/1D3FE1946A6/Lai_them_ca_tu_vong_vi_cum_A_H1N1.aspx 

Excerpt/Translation:  
A Yen Bai H1N1 flu fatalities
4/6/2013 (April 6, 2013)

The patient was transferred to the hospital on 28/3 in severe respiratory distress, two injured lung infiltrates whole. Although mechanical ventilation, use of Tamiflu but of the disease worsening. The patient died two days later in hospital.

Dr. Nguyen Hong Ha, deputy director of the Tropical Disease Hospital Central, said: "Currently, we focus on the new H7N9 influenza strain. However, not so that people with all the other strains . Such a case male patients dying from H1N1 flu on history perfectly healthy, with no chronic conditions.

http://giadinh.vnexpress.net/tin-tuc/song-khoe/nhip-song/mot-nguoi-yen-bai-tu-vong-vi-cum-h1n1-2652498.html




And here is the 2nd death in Yen Bai:
Excerpt/Translation:
One patient died of influenza A/H1N1
4/19/2013 (April 19, 2013)

TP - On 18/4, data from active medical treatment - Bach Mai Hospital (Hanoi) said that same morning, 27-year-old male patient (in Yen Binh district, Yen Bai province) of influenza A/H1N1 (Pioneer reported) deaths with complications severe multi-organ failure.

On 14/4, hospitalized patients in respiratory failure, hypoxemia have ventilation, coagulopathy, multiple organ failure, prognostic risk of death. From early 2013, with 3 deaths from influenza A/H1N1. On 4/4, 4-year-old boy in the southern province of Dong Thap and A/H1N1 flu fatalities on 9/4, another patient died at Hospital for Tropical Diseases central levels.

http://www.tienphong.vn/Suc-Khoe/623455/Mot-benh-nhan-mac-cum-AH1N1-tu-vong-tpp.html

Who gets H1N1 From Duck Meat, and Dies? Vietnamese do. Who buys chicken on 6/8 and is dead on 6/11 w/fever, caused by H1N1? Vietnamese do...

In May 6-2013, the western provinces have about 15 cases positive for A/H1N1 flu virus to 5 deaths

The health authorities recommend that when patients with suspected influenza A/H1N1 have the right medication rather than wait for test results MANY cases of influenza (CAPT) On 1-7, the regional health Mekong Delta provinces recommendations, influenza A/H1N1 outbreak strong and had some deaths. After the test results of the HCM City Pasteur Institute, Hospital confirmed in Cái Nước area, Trần Thị Mùa (born in 1983, ngụ khóm 5, Cái Đôi Vàm town, Phú Tân district, Ca Mau) positive with influenza A/H1N1. On 27-6, Season sister hospitalized with high fever, cough and shortness of breath. Being the dedicated doctors cure far X-ray results showed that the lungs of patients with good recovery. The health sector is disinfection where patients According to the report of the health sector in Ca Mau province, from 20 to 27-6, the province has three cases of influenza A/H1N1 infection. It is Lê Hoàng Bé, Provincial Director of the Department of the Interior.  When traveling in Ha Noi, said Bé fever. Nearly a week of treatment at Hospital Ca Mau province, Mr. Bé health tends bad. Patients with high fever, difficulty breathing, has been transferred to the Pham Ngoc Thach Hospital, Ho Chi Minh City. Test results, Mr. Be positive for influenza A/H1N1. Also infected with the disease, Mr. Lương Văn Đua (67 years old, live social Nguyen Plugs, U Minh district, Ca Mau) health recovered after 10 days of treatment. A patient being treated for H1N1 flu Currently, complicated influenza A/H1N1 in the Mekong Delta.  Long Mỹ District, Hậu Giang confirmation, Lý Văn Thanh (55 years old, live hamlet 12, Vinh Vien) had A/H1N1 flu death. According to the Center for Preventive Medicine of Long My district, on 18-6, Thanh hospitalized with symptoms of fever, cough. On 24-6, the family moved patients to hospital Long My district. On 27-6, his illness tends bad bar should be moved to the Military Hospital 121, Can Tho City to continue monitoring. However, due to the severe illness, he died Bar. Test results, Mr. Thanh positive for influenza A/H1N1. This case is the first swine flu death in Hau Giang Province. Other provinces such as Ben Tre, Tien Giang, Vinh Long, Dong Thap ...patients also infected with influenza. The first case of swine flu death,  Lý Kim Sến (60 years old, live in An Long, District Tam Nông, Đồng Tháp).According to relatives, before Mr. Sen infected with duck meat cooked.  Shortly thereafter, Tien Giang Department of Justice officials discovered four tested positive for H1N1.   On 8-6, Phan Thị Lài (ngụ huyện Măng Thít, Vĩnh Long) buy ready-made chicken at Long Tan on the processors. On 11-6, her fever. Four days later, the family put hospitalized patients but did not survive. In Ben Tre, a village of people living Thuan An A (My Thanh An commune, TP.Ben Tre) and death from influenza infection. Poultry of unknown origin still being sold at the market DO NOT EXCEED THE CONTROL SERVICES Soon after the discovery of patients positive for A/H1N1 flu, local health sprayed disinfectant, killing germs and guide the patient's body to disease prevention. In the health sector, if detected in time, the correct treatment regimen, it will not be dangerous for patients. In case of four Justice Department officials Tien Giang province infection were treated according to protocol, were both critical attack. Dr. Nguyen Thanh Dan, director of the Center for Preventive Medicine in Ca Mau province, in addition to the propaganda that people sense precaution against disease, the treating physician should be flexible in the examination and treatment. Dr. Dan says: "When a patient is admitted with signs of flu, doctors have to drink even cure. If you wait three days with the test results of treatment, and the patient died. " Besides the work of sanitation, disinfection in place of the flu, the health sector has established Vinh Long live the epidemic 24/24. Department of Health Vinh Long buy Tamiflu to cure for affiliated institutions, serving time in the treatment. According to the regional health Mekong Delta, influenza A/H1N1 influenza season appeared. If detected early when symptoms such as fever, cough, sore throat, headache ... the patients were isolated from patients and will soon spread out to avoid community. Currently, the health sector to strengthen advocacy for people consciously prevention to minimize the number of people die from influenza A/H1N1. http://www.baomoi.com/Cum-AH1N1-bung-phat-o-mien-Tay/82/11390038.epi