Vietnam: Bac Kan Case Summary

[I was out of town from 4/9 - 4/13. This is the summary I have put together after piecing information together.]

Bac Kan Province

Trung Van Hoa (22) – Confirmed Case #6 – Index Case

From: Na Cao Hamlet, Nhu Co Commune, Cho Moi District

3/27 – began fever, cough

3/30 – Adm. Cho Moi district hospital, X-ray shows normal lungs

Next 3 days, new symptoms of difficulty breathing, X-ray shows both lungs with lesions

4/2 – Transferred to Bac Kan Provincial Hospital. Symptoms progress to respiratory failure. X-ray shows widespread damage to both lungs. Samples taken @ 21 hours on 4/2, sample shows confirmed H5N1.

4/3 – Dept. of Health directs coordination with DPC to all organizations.

4/4 – National Inst. Of Hygiene & Epidemiology sends missions to support Bac Kan flu A (H5N1). From investigation finds people’s awareness of H5N1 is very low, (eat sick poultry, don’t report sick/dead birds, throws poultry in river/streams. Initiative in prevention of H5N1 on local level is not high.

Directive for districts according to Decision No. 1812: Upon death, cremation.

Notes:

4/5/10:

4 other people in Nhu Co Commune show simlar symptoms. Under quarantine and treated at Bac Kan provincial hospital, in stable condition. The 22 yo is in critical condition. Index Case: history of eating sick chickens.

4/9/10:

Nguyen Thi Thanh Thu (27 mos old) – confirmed Case #7

Adm: 4/4 Cho Moi District Medical Ctr.–

Onset: 4/2 -

From: Na Cao

Confirmation: 4/7

Notes: 2^nd and 3^rd test came back negative. [http://tinyurl.com/yyerexm http://tinyurl.com/y6g4e5y]

General Notes:

4/11:

21 Cases taking Tamiflu.

- 14 cases are stable health

- 7 admitted to the District Health Center, fever cough, diarrhea

- 5 other family members hospitalized w/cough, fever, trouble breathing.

- All 6 had contact with Index Case or contact w/sick poultry (consumed).

- Total 8 cases of cough fever, difficulty breathing – suspected H5N1. Discharged from hospital 4/13. Awaiting test results. Tests are negative.

District has been given 700 doses of Tamiflu, protection equipment, & medical supplies.

1,000 poultry and aquatic birds destroyed in Tong Co village, Yen Dinh. Tests confirmed positive for H5N1.

3 checkpoints set up, preventing movement of poultry vehicles, spraying vehicles.

4/15:

33 people (visitors, neighbors, nurses, physicians, relatives) tested and results are negative. (throat swabs). They were monitored for over 16 days.