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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