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Tracking the next pandemic: Avian Flu Talk

Vietnam fights bird flu yet again

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    Posted: August 28 2006 at 5:53am

LATEST NEWS THREAD: VIETNAM

 ALL NEWS ON THIS THREAD PERTAINS SPECIFICALLY TO THE REGION OF VIETNAM

 

__________________________________________
Vietnam fights bird flu yet again
Disease/Infection News
Published: Monday, 28-Aug-2006
     

 

 

Animal health officials in Vietnam say they have detected the H5N1 bird flu virus on a small duck farm, this second case within a month, has sparked fears of a possible resurgence of the H5N1 virus in the country.

This comes as a disappointment as Vietnam has been free of human bird flu cases so far this year and has had considerable success in the past in dealing and eradicating the deadly virus.

The discovery was made in one duck in the southern Mekong Delta province of Ben Tre, and follows recent reports of new outbreaks of the H5N1 virus in Vietnam's neighbours Laos, China and Thailand.

The virus appeared among eight samples taken from a farm of 45 ducks in Thanh Phu town.

According to Vietnamese authorities in the area all the ducks on the farm were immediately culled on Saturday and ducks in 14 nearby farms were also tested for the virus, but to date the results were all negative.

The source of the virus is as yet unknown and no one in nearby villages has become sick from the infected birds.

It seems the that the ducks were raised in an enclosed farm and had not been let out in the open for some time.

The farm and surrounding areas have been disinfected.

Another H5 subtype of the virus resurfaced in Vietnam in recent weeks, mainly in ducks and wild storks, but there have been no human infections of H5N1 since last December.

The Vietnamese authorities are aware that although the virus remains essentially an animal disease, it can return at any time and any mutation could trigger a pandemic.

Earlier this month Indonesia overtook Vietnam as the country with the most human deaths from avian flu; Indonesia has now suffered 46 reported deaths compared to Vietnam's 42 since the virus re-emerged in late 2003.

The government had imposed a ban on hatching and raising water fowl, which can carry the virus without showing symptoms but the ban was said to be largely ignored by farmers.

There are estimated to be as many as 50 million to 70 million water fowl in the country.

Earlier this month, Prime Minister Nguyen Tan Dung put the nation on high alert after new outbreaks were reported in neighboring countries and urged local governments to tighten control along the land borders to prevent poultry from being smuggled into the country.

The country had been commended for controlling the spread of the virus through strong political commitment and a mass vaccination campaign.

According to the World Health Organisation, worldwide, 141 people have been killed, and millions of birds have either died from the virus or been culled because of it.

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Rain, storms, diseases make food more expensive
08:51' 30/08/2006 (GMT+7)
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VietNamNet Bridge – Bad weather and diseases have all led to the sharp increase of vegetable and food prices, which raises the concern that the consumer price index (CPI) will be high in 2006.

 

The prolonged rain in mid August spoiled many hectares of vegetables and led to the sharp increase of vegetable prices by 50-100%. Households that spent VND5-6,000 for every meal, now have to pay VND10,000 for the same quantity.

 

Analysts said that vegetable prices will keep increasing in the coming days due to the short supply. The prices will only decrease in September when farmers begin harvesting new vegetable crops.

 

Meanwhile, the spread of bird flu and foot-and-mouth diseases will keep food prices increasing. The supply will be seriously short as state management agencies will keep strict control over animal slaughter and circulation.

 

As the prices of pork and beef, the main food of Vietnamese people, increase, seafood will be the alternative food. However, the supply will be tight as Vietnamese seafood processors will need more product to fulfil export contracts in the last months of the year.

 

Analysts believe that a food price hike will lead to a higher inflation rate in 2006 and it will be very difficult to keep the inflation rate below 8% as targeted by the National Assembly.

 

Meanwhile, the prices of goods and services are also skyrocketing. Gas prices in Vietnam have increased by 49% over the same period last year. In the international market, the price of gas has surged by another $10/tonne to reach $557/tonne. People now have to pay 15-20% more for travelling as transport companies have all announced their intentions to raise transport fees due to higher fuel prices.

 

Phuoc Ha

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Ben Tre discovery sparks scare
15:05' 29/08/2006 (GMT+7)

The finding of the H5N1 virus in ducks in southern Ben Tre Province has promoted a call for agencies and municipalities to re-double their effort to contain bird flu.

The Bird flu Control Committee was told at its weekly meeting in Hanoi yesterday that HCM City's Animal Health Centre had detected the virus in healthy, unvaccinated ducks last Friday.

The entire flock was immediately destroyed.

The committee warned that although the virus had not been detected in Vietnam's birds for eight months, it was prevalent in waterfowl, especially birds mat had not been vaccinated. Farmers had also bred new birds while outbreaks were reported from neighbouring countries.

"The outbreaks mean the risk the return of bird flu is extremely high, especially in the provinces with a high waterfowl population," says the committee in a written report.

The committee urged co-operation to stop the spread of bird flu. It recommended the appointment of ad-hoc teams to respond immediately to any epidemic.

The committee says surveillance of household farms should be assigned to village elders and commune veterinarians. Each locality should provide a hot-line telephone number and the address of responsible officials to receive any information about suspected bird flu infections.

The committee suggested that individuals and organisations that discover and declare outbreaks be rewarded.

Southern An Giang Province reward of between VND200,000-300,000 for such reports was provided as an example.

The committee says that municipal officials and ad-hoc teams must immediately slaughter any infected-birds and disinfect the surrounds when an outbreak is detected.

"The first objective is to quarantine the affected zones and stop the sale of sick birds," it says.

The committee asks farmers to monitor waterfowl; register to vaccinate their poultry and agree not to let allow them to range freely.

Those who break the rule must slaughter their birds. The committee says commune officials must control the migration of ducks with those birds transported to other provinces without vaccination certificates or hatched after last Friday slaughtered.

(Source: Viet Nam News)

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Live poultry easily found at rural markets 
 

s sell like poultry at Dai Phuoc Market in Dai Phuoc Commune, Nhon Trach District, HawkerDong Nai Province, about 30 kilometers from downtown HCMC. The street-front market provides quick and easy access for buyers, sellers and passers-by alike, but also makes quarantine restrictions difficult to implement 

By DAO LOAN


(SGT-DONG NAI)
Authorities are applying many precautions to protect citizens from bird flu but sometimes the supervisory implementation is lax, with live ducks and chickens, eggs and meat freely available in markets despite guidelines recommending segregation.


Unlike in HCMC, where all food processing companies that supply poultry are obliged to guarantee food hygiene and safety, over the river in Dong Nai’s Nhon Trach District, customers can freely buy live fowls, and their meat and eggs in clear and blatant contravention of the recommended safety and hygiene market regulations.


Furthermore, if they want, buyers can ask the sellers to slaughter and process the animals immediately on the spot, which apart from being a rather unsanitary practice is potentially dangerous.


However, the realities of the situation are that poultry only costs about VND30,000 to VND35,000 per kilo respectively, or VND1,400 to VND1,500 for an egg from each, and so is still relatively inexpensive in comparison with other food such as fish or pork.
Therefore, many people are still choosing poultry for meals as well as for the taste.


Many of these small market stalls supply meat products to restaurants around the large industrial parks in the Nhon Trach district, and many of the factories that have their own canteens to feed thousands of workers, so food poisoning could have dramatic and devastating effects on both the local population and economy, as well as on that of neighboring HCMC in the case of some form of contagious bird flu evolving.


However, vendors still report doing a brisk business and several of those interviewed added that customers never ask about animals’ health or preventative quarantine conditions.

 

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HCMC airport told to set up bird flu quarantine
Ho Chi Minh City airport officials have said there is no space to quarantine passengers suspected to have type A H5N1 bird flu but the city health agency has rejected the argument and insisted they set up one.

Tan Son Nhat Airport managers said at a meeting with the HCMC Health Department on Wednesday that since the airport was too small they were unable to set up a quarantine but instead immediately sent suspected patients to hospital by ambulance. 

Le Truong Giang, the department deputy director, insisted however that a separation area was imperative.

He explained that since equipment available at the airport could not diagnose bird flu, people with other fevers were also rushed to hospital, an act that could panic other passengers as well as affect other airport activities.

Source: Sai Gon Giai Phong – Translated by An Dien

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Vietnam cracks down on bird flu threat
10:23' 30/08/2006 (GMT+7)
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VietNamNet Bridge - The National Steering Board of Bird Flu Prevention (NBBFP) announced Monday that newly-hatched chicks must be culled as part of a nation-wide preemptive strike against the deadly virus.

 

The chicks must be culled after September 1 as the number of newly-hatched chicks continues to increase in spite of the Ministry of Agriculture and Rural Development’s ban on hatching until February, 2007.

 

Minister of Agriculture and Rural Development Cao Duc Phat has warned local leaders and agencies on the spreading of the bird flu virus among unvaccinated or already infected water-fowls and has encouraged an full offensive against possible threats from the virus.

 

NBBFP asked relevant agencies to tighten controls over the incubation and husbandry of water fowls.

 

Incubation units will be closed if continued hatching is found and People’s Committees can even decide to stop the hatching of fertilized ducks’ eggs.

 

Those responsible for newly-hatched chicks before September 1 must vaccinate their entire flock or else the flock will be eliminated without compensation.

 

Any pilot breeding farms must be approved by authorities and the Ministry of Agriculture and Rural Development.

 

To deal with a possible flu epidemic actively, the board will now test and analyze fowl samples on a large scale.

 

To prevent the spread of the virus from other countries, especially the border regions in the northern province of Lang Son, Minister Cao Duc Phat asked relevant agencies to build up border security to prevent smuggling of goods and poultry products from neighbors.
  
Meanwhile, Dinh Cong Than, head of the Kien Giang Animal Health Branch said that the nation’s veterinary force, market controllers, police, and border guards are all tightening fowl imports at border gates.

 

The Kam Pot authority made a commitment with the Kien Giang authority on strictly banning poultry transportation between the two countries.

 

The Mekong Delta province of An Giang also reached an agreement with the two Cambodian provinces of Kandal and Takeo to tighten illegal fowl imports.

 

As well, the An Giang Animal Health Branch has just culled nearly 2,000 ducks in Chau Doc commune, Phu Tan and Tinh Bien districts.

 

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Bird flu checks tightened

(01-09-2006)

HCM CITY — The examination of passengers at HCM City’s Tan Son Nhat international airport with suspected bird flu have been made tightened, reports Southern Aviation Authority Deputy General Director Vu Van Ngu.

The deputy general director announced the tighter assessment procedure at a meeting to establish a co-ordinated action plan to cope with any new outbreak on Wednesday.

The new procedure – part of the action plan – would help identify people suspected as having been infected and arrange for them to go to hospital as soon as possible.

The Health Department would also issue the aviation authority with daily bird flu reports from throughout the world so that any arrivals could be monitored.

Health officials, airport customs officers and police and representatives of the international health examination centre attended the meeting.

The plan is expected to have been approved by the end of next week with the Southern Aviation Authority responsible for its implementation among the 25 international airlines that fly in and out of HCM City.

The Customs Office in Dien Bien Province warns that examination of humans and goods for bird flu at border gates has not yet been properly implemented.

The office reports that work has been entrusted to the provinces customs and border guard teams. But the teams, confined to administrative procedures and tax and fees collections, needs help to do the job.

The province shares three border crossings with China and Laos.

A total of 11,782 people entered and exited with more than 200,000 tonnes of goods through the Tay Trang gate with Laos during the first eight months of this year.

A lax examination of humans and livestock, including birds, has been attributed to smugglers avoiding checks by using the numerous tracks between Viet Nam, Laos and China. — VNS

http://www.birdflubreakingnews.com/templates/birdflu/window.php?url=http%3A%2F%2Fvietnamnews.vnagency.com.vn%2Fshowarticle.php%3Fnum%3D01HEA010906
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Oisanatta Quote  Post ReplyReply Direct Link To This Post Posted: September 01 2006 at 7:29pm
Vietnam finally comes out of the closet.
The only thing worse than a brutal lie is the brutal truth. (M Twain) I waited patiently for the LORD; He turned to me and heard my cry. He lifted me out of the pit; He set my feet on a rock. Psalm40
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Inflation expected to rise 0.6% this month
Vietnam Economic Times, Vietnam - 2 hours ago
The country’s consumer price index (CPI) is expected to rise 0.6 per cent in September due to impacts of weather, and diseases such as bird flu and foot-and ...
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CP increases supplies of chickens, pigs  
 

A line of slaughtering chicken at Dong Nai-based CP Vietnam in Bien Hoa II Industrial Park 

By KIM LOAN

(SGT-DONG NAI) CP Vietnam has increased supplies of slaughtered chickens and pigs by between 7% and 10% to the market,despite  concerns over outbreaks of bird flu and foot-and-mouth diseases.

The company is supplying supermarkets in HCMC and other provinces, and at its 37 Fresh Mart shops some 200 pigs and 20,000 chickens a day, including both slaughtered and processed meat. It also supplies 200,000 chicken eggs and ten tons of sausage everyday.

However, CP Vietnam’s rising sales turnover is not correlative with its increasing output due to a steep decline in prices.

 

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Thanks once again to the data posters tracking many times with no comment the real events and the real danger.

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[QUOTE=Sand]

Bird flu checks tightened

(01-09-2006)

HCM CITY — The examination of passengers at HCM City’s Tan Son Nhat international airport with suspected bird flu have been made tightened, reports Southern Aviation Authority Deputy General Director Vu Van Ngu.

The deputy general director announced the tighter assessment procedure at a meeting to establish a co-ordinated action plan to cope with any new outbreak on Wednesday.

The new procedure – part of the action plan – would help identify people suspected as having been infected and arrange for them to go to hospital as soon as possible.

The Health Department would also issue the aviation authority with daily bird flu reports from throughout the world so that any arrivals could be monitored.

Health officials, airport customs officers and police and representatives of the international health examination centre attended the meeting.

The plan is expected to have been approved by the end of next week with the Southern Aviation Authority responsible for its implementation among the 25 international airlines that fly in and out of HCM City.

The Customs Office in Dien Bien Province warns that examination of humans and goods for bird flu at border gates has not yet been properly implemented.

The office reports that work has been entrusted to the provinces customs and border guard teams. But the teams, confined to administrative procedures and tax and fees collections, needs help to do the job.

The province shares three border crossings with China and Laos.

A total of 11,782 people entered and exited with more than 200,000 tonnes of goods through the Tay Trang gate with Laos during the first eight months of this year.

A lax examination of humans and livestock, including birds, has been attributed to smugglers avoiding checks by using the numerous tracks between Viet Nam, Laos and China. — VNS

http://www.birdflubreakingnews.com/templates/birdflu/window.php?url=http%3A%2F%2Fvietnamnews.vnagency.com.vn%2Fshowarticle.php%3Fnum%3D01HEA010906
[/QUOTE]
 
I am hoping they will become more vigilant in tracking air passengers. Part of this could be done with simple infra-red sensors to pull out the highly febrile people who are carriers.
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       Vietnam workers on the move .........
 
 
Vietnam sends 50,000 workers abroad in eight months
16:44' 06/09/2006 (GMT+7)
<>

VietNamNet Bridge - Vietnam sent more than 50,000 workers abroad in the first eight months of the year, according to the Overseas Workers Management Division of the Ministry of Labour, War Invalids and Social Affairs (MOLISA).

While working to maintain their traditional markets, such as Malaysia, Taiwan, the Republic of Korea and Japan, labour exporters have been looking for new markets in the Middle-East, Australia and some European countries, said Nguyen Ngoc Quynh, deputy head of the division.

Airserco, a labour export company of the Vietnam Airlines Corporation, for instance, has just won a contract to send 6,500 workers to Qatar from now till the end of the year. At present, 750 Airserco's guest workers are working in hotel and construction services in Qatar, director Nguyen Xuan Vui said.

The Overseas Workers Management Division rated Qatar as a potential labour market due to a high demand of foreign labourers in various jobs. A manual worker in Qatar can earn a monthly average income of 5-7 million VND.

For better management of labour export activity, MOLISA is working with relevant agencies as well as Vietnam's consulates in foreign countries to prevent Vietnamese labourers from working illegally, Quynh added
.

 

(Source: VNA)

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Action month to prevent avian flu begins
09:19' 08/09/2006 (GMT+7)
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VietNamNet Bridge - The National Avian Flu Prevention Steering Committee kicked off an action month Friday aiming to promote ways stopping  bird flu before it starts, such as sanitation and decontamination across the country.

 

Poultry houses will clear out surrounding plants and trees, take out all waste and garbage, as well as clean out local sewage.

 

Farmers are required to sterilize all the hencoops, breeding farms and bird flu-prone areas at least three times a week.

 

Slaughtering areas must be sprayed before admitting new flocks of chickens and after working shifts.

 

Rural markets will be required to have poultry areas in clean and sterilized status at the end of each day.

 

(Source: Nhan Dan)

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VND1bil grant provided for H5N1 experiments on human
09:28' 08/09/2006 (GMT+7)
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VietNamNet Bridge - Researching on the production of virus against the H5N1 strain of bird flu tested on humans following its successful trials on animals shows a positive result, said the director of the Central Institute of Hygiene and Epidemiology Dr Nguyen Tran Hien Wednesday.

 

The quality of vaccine against H5N1 from monkey’s kidney made in the laboratory is stable.

US$1 million grant provided by the US Health Ministry would go to the human trials.

 

The institute is now awaiting permission from the Ministry of Health and the Ministry of Science and Technology for carrying out this national-level research.

 

On the same day, the Ministry of Agriculture and Rural Development launched the action month for environmental hygiene and sterilization, focusing on live poultry markets, public places and slaughterhouses.  

 

The government decided to spend VND1,000 billion on equipment, said Deputy Health Minister Trinh Quan Huan.

 

(Source: SGGP, TN, TT)

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Home >> Life
UPDATED: 15:01, September 11, 2006
Vietnam prepares for potential bird flu outbreaks among humans
 

Vietnam's Health Ministry has assigned 14 hospitals in major cities to closely supervise and promptly cope with any bird flu outbreaks among people, according to local newspaper Labor on Monday.

The hospitals and preventive medicine centers are to ensure the operation of disease surveillance systems around the clock, and the sufficient supply of facilities for treatment of bird flu patients.

The ministry said if the outbreaks spread, general hospitals in provinces had to form an isolation area at their infectious disease departments, and mobilize healthcare workers and equipment from first aid and pediatrics departments. Each hospital should set aside 10-20 beds for receiving bird flu patients.

The Vietnamese government has recently instructed state agencies and localities nationwide to intensify prevention of and fights against bird flu, including placing a temporary ban on import of live poultry and related products from countries hit by the disease. It has urged relevant ministries and People's Committees of localities to speed up bird flu vaccination among fowls nationwide, and maintain operation of anti-bird flu steering committees at all levels in preparation for potential outbreaks of bird flu among both fowls and humans.

Bird flu outbreaks, starting in Vietnam in December 2003, have killed and led to the forced culling of dozens of millions of fowls. The last outbreak of bird flu among poultry in the country was in December 2005, according to the Department of Animal Health under the Vietnamese Ministry of Agriculture and Rural Development.

To date, Vietnam has detected 93 bird flu patients, the country 's Health Ministry said on Monday, noting that it has seen no new human cases of infections since mid-November 2005.

Source: Xinhua Ouch

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US  I SEARCH I HOME PAGE I ABOUT VIETNAM NEWS
Monday, September 11, 2006

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Preparing for return of bird flu

(11-09-2006)

The director of the HCM City Animal Health Department, Huynh Huu Loi, talks about plans to deal with any reoccurrence of bird flu with Tuoi Tre (Youth) newspaper.

What is being done to ensure safe, clean poultry?

HCM City is a huge market for poultry so the effort to ensure that bird flu does not reoccur is a major challenge. Tests of 455 birds arriving in the city showed only 30 per cent with disease-resisting antibodies. It’s a low percentage. Meanwhile, there has been the illegal transport and trading of poultry of unknown origin.

More than 6,500 incidents have been detected since earlier this year. It means that strict measures are needed to prevent and, if necessary, control any outbreak and to ensure an abundance of safe, clean food.

Do you think the proposal to have slaughter houses and egg vendors sign contracts with poultry farmers is feasible?

The city wants to control poultry and eggs at every farm and retailer and I think contracts would benefit farmers, traders and slaughter houses. The city successfully played an intermediary between farmers and slaughter houses during previous outbreaks.

Perhaps the proposal will not be realised this time but eventually my department will require each locality to register the number of households raising birds and the scale of their production. The municipal Animal Health Department will co-operate with neighbouring provinces to enforce measures to control pandemic as well as help farmers and slaughter houses to sell their produce to avoid dumping.

How will the city prepare an abundance of safe food, if we have another outbreak of birdflu?

The department has instructed the city’s slaughter houses to make proper preparations for any renewal of birdflu. The department is also writing a list of large-scale poultry farming households that will be helped with vaccination of their birds and pandemic control to ensure supply to the city’s slaughter houses. If the preparations are properly done, the supply of safe, clean poultry is assured.

Where can the city’s consumers find safe poultry?

Traders sell safe poultry produce under 46 commercial names. Consumers should buy poultry that carries a certificate of origin in supermarkets and the major produce markets. — VNS

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Southern Vietnam to check passenger temperature to prevent bird flu
  

Vietnam's southern Ho Chi Minh City has assigned its International Quarantine Center and the Tan Son Nhat International Airport to check body temperature of international arrivals to the locality amid recent bird flu outbreaks in some countries, local media reported Tuesday.

Remote temperature-measuring machines using infra-red rays and specialized thermometers are installed, ready to operate around the clock, newspaper Agriculture said.

Those who have temperature of over 38 Celsius degrees will be invited to enter isolation rooms for bird flu diagnosis.

Vietnam's Health Ministry has assigned 14 hospitals in major cities to closely supervise and promptly cope with any bird flu outbreaks among people. The hospitals and preventive medicine centers are to ensure the operation of disease surveillance systems around the clock, and the sufficient supply of facilities for treatment of bird flu patients.

The Vietnamese government has recently instructed state agencies and localities nationwide to intensify prevention of and fights against bird flu, including placing a temporary ban on import of live poultry and related products from countries hit by the disease.

Bird flu outbreaks, starting in Vietnam in December 2003, have killed and led to the forced culling of dozens of millions of fowls. The last outbreak of bird flu among poultry in the country was in December 2005, according to the Department of Animal Health under the Vietnamese Ministry of Agriculture and Rural Development.

To date, Vietnam has detected 93 bird flu patients, the Health Ministry said on Monday, noting that it has seen no new human cases of infections since mid-November 2005.

Source: Xinhua           OuchOuch I'm feeling heated now .

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.
 

   
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Above is how it appears from WHO...
 
Please see an excerpt from the above under
 
General Discussion.
 
More people will see it that way.
 
Vaccines and Cancer
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Vietnam set to use locally-made bird flu vaccines
Vietnam is expected to use locally-made bird flu vaccines that have been tested successfully on chickens and white-winged ducks for poultry starting early next year.

The Central Animal Health Institute was determining a suitable dosage and completing formalities for standard recognitions of safety and production processes, the institute's director Truong Van Dung said.

Vietnam plans to build 64 cold store facilities in all cities and provinces for the vaccines.

Tests of specimens taken randomly from poultry on September 5-11 had been negative for the H5 strain of bird flu virus, the Animal Health Department reported.

Following the recent completion of the year's first batch of bird flu vaccination among fowls across the country, the government hopes to finish the second batch by late November.

Testing specimens from vaccinated chickens and ducks in 19 cities and provinces indicated that 60 percent of the fowls in the northern region, 85 percent in the central region, and 75 percent in the southern region had developed resistance to the H5 strain, the department said.

Bird flu has killed at least 141 people in 10 countries since December 2003.

Vietnam has registered 42 fatalities, second only to Indonesia where 49 have been killed. No new human cases have been reported since mid-November 2005.

Bird flu outbreaks have killed and led to the forced culling of dozens of millions of fowls.

Source: Lao Dong

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 - September 14, 2006

FAO official appreciates Vietnam's anti-bird flu efforts

“Vietnam has made very good progress in developing a compensation strategy for farmers during avian influenza outbreaks," said Anni McLeod, a livestock policy senior officer of the Food and Agriculture Organisation of the United Nations (FAO).

She made the comment while speaking with the Vietnam News Agency during the APEC Capacity Building Seminar on Avian Influenza in Hoi An ancient town, Quang Nam province, on September 13.

Topics addressed at the seminar focused on preventing avian influenza (AI) at its source and compensation for breeders. The seminar commenced on September 12.

“One thing that is very interesting in Vietnam is that after the first outbreak of AI, Vietnam reviewed its compensation policy and eventually changed it,” Anni said.

She said her organisation believes quite strongly that compensation is important and it should be implemented by the government or by a state-owned agency.

The FAO has provided technical assistance and training as well as materials to help Vietnam combate any future AI outbreak, Anni said.

During the last two years, Anni, who works at the Livestock Information, Sector Analysis and Policy Branch of the Animal Production and Health Division of the FAO’s Agriculture Department, has visited Vietnam nine times and she said she enjoyed working with the Vietnamese government and people.

“It [Vietnam] is a dynamic country, it is changing very quickly and there are a lot of things going on, so it’s very rewarding to come to work here,” Anni said.

She also said that she was impressed with Vietnam’s organisation of the APEC Senior Officials’ Meeting and related meetings. (VNA)

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dlugose Quote  Post ReplyReply Direct Link To This Post Posted: September 14 2006 at 4:50pm
H5N1 seems to be controllable in countries with a well functioning public health system and veterinary system.  That has been true in every country.  Vietnam has done a fairly good job considering their poverty and lack of medical technology.  Since it is endemic in some birds (lies dormant), when you knock it down once with bird culls and vaccines, you might have to start over again the next year, esp. in countries with a lot of poultry smuggling.  That would be less of a problem in the US.  The big danger is only if it goes through significant new mutations that make it a very different H5N1.
Dlugose RN AAS BA BS Cert. Biotechnology. Respiratory nurse
June 2013: public health nurse volunteer, Asia
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Originally posted by Dlugose Dlugose wrote:

H5N1 seems to be controllable in countries with a well functioning public health system and veterinary system.  That has been true in every country.  Vietnam has done a fairly good job considering their poverty and lack of medical technology.  Since it is endemic in some birds (lies dormant), when you knock it down once with bird culls and vaccines, you might have to start over again the next year, esp. in countries with a lot of poultry smuggling.  That would be less of a problem in the US.  The big danger is only if it goes through significant new mutations that make it a very different H5N1.
 
       Or they embezzel the BF fund's ............Ouch
 
 
Bac Lieu health officials ‘benefits’ from bird flu
16:09' 15/09/2006 (GMT+7)

VietNamNet Bridge – The Director of the Department of Health of southern Bac Lieu Province and her inferiors falsified documents to embezzle over VND1 billion ($62,500).

 

Avian influenza attacked Bac Lieu two times in 2004, causing losses of more than VND40 billion. Bac Lieu was considered the province that performed anti-bird flu tasks best in the Mekong Delta. However, some health officials took advantage of the outbreak to embezzle money through the purchase of equipment to counter bird flu.

 

In early February 2004, the Bac Lieu provincial Department of Health signed contracts to buy 5,100 comforters at a cost of VND15,872/unit. But on the invoice, they listed the price at VND50,000/unit – a profit for certain individuals of VND180 million at the expense of the local budget.

 

At the same time, the department signed a contract with a medical equipment shop in HCM City to buy 6,000 specialised protective uniforms at VND68,000/set. However, investigation shows that those outfits were bought from some establishments in Bac Lieu at a price of VND30,8000/set only. The amount of money falling into the pockets of some individuals in this case was VND223.2 million.

 

In August 2004, this agency signed a contract with another company to buy 1,000 specialised comforters at VND40,000/unit, while this kind of comforter was sold in the market for just VND4,000/unit. Through this contract, some officials at the Bac Lieu Department of Health embezzled VND35 million.

 

The same trick was detected in other contracts, as the price listed for equipment was often 2-3.5 times higher than the real prices.

 

Director of the Bac Lieu Department of Health Ha Ngoc Chien signed all of those contracts.

 

In addition, investigators discovered that many contracts were signed between this agency and other companies through post offices and intermediaries. The total amount of money that some officials of the Bac Lieu Department of Health embezzled via those contracts is estimated at more than VND1 billion.

 

The provincial investigation body has transferred the case to local police for further investigation.

 

(Source: NLD)http://english.vietnamnet.vn/social/2006/09/612262

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ASEAN shares experience in avian influenza combat

(15-09-2006)

HA NOI — ASEAN Regional Forum members shared their experience in mobilising military forces and civil institutions to combat infectious diseases like SARS and avian influenza.

Officials from 26 countries of the forum discussed regional, and then worldwide, bird flu issues at the two-day seminar titled The Role of Military and Civil Co-operation in Prevention and Control of Communicable Diseases Such as SARS and Avian Influenza, which began yesterday.

The participants –mostly military, foreign affairs and health care officials and scientists — also learned about varying prevention mechanisms and training activities to help stifle the epidemic.

They also shared rapid response models and warning systems in case of outbreaks.

Viet Nam is presenting its experience in co-ordination, planning and training military forces and civil organisations to counteract widespread infection. The country successfully extinguished several previous outbreaks including the Severe Acute Respiratory Syndrome outbreak in 2003 and bird flu in 2004 and 2005.

The ultimate goal of the seminar, chaired by assistant foreign minister Nguyen Trung Thanh and Commander Robyn Walker of the Australian Defense Force, is enhancing co-operation between ARF members to combat non-traditional security challenges. The seminar was approved by ARF’s foreign ministers in July. ARF is a forum comprising 10 ASEAN members and 16 other countries in the region including Australia. — VNS


http://vietnamnews.vnagency.com.vn/showarticle.php?num=01HEA150906
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City starts crackdown on meat hygiene
12:59' 18/09/2006 (GMT+7)

The HCM City Animal Health Department began inspecting slaughterhouses last week in line with stricter meat-hygiene standards recently implemented in the city.

Director of the department, Huynh Huu Loi, said that the inspections are to ensure compliance with the HCM City People's Committee's Decision No. 31, which recently tightened the city's slaughtering hygiene regulations.

Cattle and poultry used to be slaughtered on the floor without sufficient clean water to clean the meat, and untreated water discharged, polluting the environment and groundwater.

The decision requires slaughtering facilities to install a system whereby cattle and poultry are hung above the ground for slaughter. Also, the facilities will have to comply with waste treatment standards to protect the environment.

The recent municipal authority regulation also requires workers to wear protective uniforms. Treatment of discharged water and waste from the facilities will also be inspected.

Loi said that his agency has been providing training courses on food safety for meat facilities in the city.

But of the 32 permitted slaughtering facilities in the city, he said that only 17 have completed installing this new system, while the remaining 15 are currently in the process.

The inspection will ask the local authorises to suspend the permits of the facilities that have not implemented the new slaughtering system and fail to meet the food safety regulations.

Loi said that he would also report the name of the delinquent facilities to the media to alert consumers.

However, he said that unlicensed slaughtering operations still provide about 10% of the city's meat.

According to the city People's Committee decision, slaughterhouses must be relocated out of residential areas.

The city People's Committee has asked the VISSAN Export - Import Corporation, the Nam Phong Food Processing Company and the HCM City Co-op Alliance to invest in the establishment of new slaughterhouses in the city's outer-districts of Binh Chanh; Hoc Mon and Cu Chi.

To prevent a bird flu epidemic, the city has only permitted three companies, the Phu An Sinh, Huynh Gia Huynh De and An Nhon, to slaughter poultry in the city.

(Source: Viet Nam News)http://english.vietnamnet.vn/social/2006/09/613013

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Originally posted by Oisanatta Oisanatta wrote:

Vietnam finally comes out of the closet.


I would say so. You might reasonably extrapolate here:

1) There are far more cases than are being reported.
2) The situation is worse than  has been stated.
3) Any time Vietnam declares itself "Bird Flu Free" within a very short period
of time there is an outbreak.

I would buckle up for another serious ride. Remember, these are the areas that seem to develop the worst strains, have documented cases of human transmission (CDC) - restated like in a rule out  Myocardial Infarction, "there is a definite possibility of human transmission and all precautions should be taken."
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International research into bird flu in Southeast Asia
Vietnamese research institutes together with the Pasteur Institute in Cambodia, China, and France, and Laos’s Virus Research Laboratory would conduct a study on the bird flu epidemic in Southeast Asia.

The Vietnamese Institute of Epidemic Prevention said the 6 million euro (US$7.6 million) project, to be sponsored by France and to last four years, would start by year-end and establish a network to monitor, detect, and control the epidemic in the region.Since it began ravaging Asian poultry stocks in late 2003, the H5N1 virus has killed at least 144 people. No human H5N1 bird flu cases had been reported in Vietnam in the last 10 months but the threat of an epidemic continued to loom, the Health Ministry has warned repeatedly.

With the epidemic still raging in several Asian countries, the ministry is worried it might recur in Vietnam in winter or next spring.

Source: Thanh nien – Translated by Luu Thi Hong

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Vietnam has been fighting this avian battle for a long time now.  It is easy to sit here and at first glance criticize their seemingly futile efforts.  Their stakes are exactly the same as they are here and it would be unfair to assume otherwise.  We may have more highways and skyscrapers here but I do not have the confidence in our system here to fare any better.  This is an unrelenting unpredictable virus that apparently does not give up easily.  This is why we need to prep and keep our eye on the ball.
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They must of seen your post Cruiser
 
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No H5N1 found in humans in 10 months
20:53' 23/09/2006 (GMT+7)
 

VietNamNet Bridge - No human H5N1 bird flu cases have been reported in Viet Nam in the last 10 months but the threat of an epidemic remains, the Health Ministry has warned repeatedly.

The Pasteur and the Hygiene and Epidemiology institutes together with their counterparts in Cambodia, China, and France, and Laos’s Virus Research Laboratory will conduct a project on the bird flu epidemic in Southeast Asia, said Dr. Nguyen Tran Hien, director of the Institute of Hygiene And Epidemiology.

Starting by year-end, the EUR6 million (US$7.6 million) four-year project sponsored by France will establish a network to monitor, detect, and control the epidemic in the region.

(Source: TN, SGGP) http://english.vietnamnet.vn/tech/2006/09/614615

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Precautions discussed at bird-flu meeting
14:40' 28/09/2006 (GMT+7)
<>
 

VietNamNet Bridge - A meeting on urgent measures against the spread of avian-flu was held by the National Steering Board for Bird Flu Control (NSBBFC) in Hanoi yesterday.

 

The NSBBFC asked municipal authorities to stop poultry slaughtering at markets and populous areas immediately while strictly controlling the trade and transportation of poultry across the border.

 

The NSBBFC also asked relevant agencies to quickly implement the second phase of bird flu poultry vaccination plan, scheduled for completion in October.

 

Thirty-four provinces and cities nationwide have already completed their required 54.4 million poultry vaccinations this year.

 

In another defensive move, Minister Cao Duc Phat instructed the veterinary department to re-inspect batches of imported vaccines in response to  the Ministry of Public Security’s warnings of their poor quality.

 

The current cold weather could pave the way for the wide spread of the avian virus, said Mr. Cao Duc Phat, minister of Agriculture and Rural Development and head of the NSBBFC.

 

Bird flu has been recently detected in nearby nations and the number of human transmissions of the disease is increasing gradually.

 

Avian outbreaks are cyclical, usually detected in October every year.

 

No bird flu outbreak has been found in the past nine months.

 

(Source: http://english.vietnamnet.vn/social/2006/09/616730

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Bird flu ‘well under control’

(28-09-2006)

HA NOI — Viet Nam has vaccinated approximately 54.4 million poultry and the bird flu epidemic in localities is still well under control, according to Ministry of Agriculture and Rural Development’s Animal Health Department.

Report at a meeting held by Central Steering Committee on the Control of Bird Flu and Foot and Mouth Disease on Tuesday, the department said there were 34 cities and provinces that had carried out the second vaccination on poultry this year.

Minister of Agriculture and Rural Development Cao Duc Phat said there were still more than 10 million geese not vaccinated yet.

He urged the department to complete the project emphasising the demand of vaccination for goose stocks as soon as possible. It was expected that the project would be sent for Government approval this month in order to import more vaccine before the Lunar New Year.

He wanted cities and provinces nationwide to closely examine small-scale poultry slaughter, strictly enforce regulations and crack down on violators. — VNS

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This will leave its effects for many months to come .  

Typhoon Xangsane Hits Central Vietnam
Another tropical low pressure is forming off the Philippines
Tran Van Loi (loitran)    
Published 2006-10-02 11:55 (KST)
At 10 a.m. local time, the Typhoon Xangsane made landfall on the central city of Da Nang and neighboring Quang Nam province, killing three, injuring 100 and causing much damage to the infrastructure in the region.
After hitting the mainland, the typhoon weakened and downgraded to a tropical storm. According to the Central Meteorological Office of Vietnam, the storm's eye left Vietnam and entered Laos early this afternoon.
Da Nang, the fourth largest city in Vietnam with more than 1 million people, is the hardest hit by the typhoon, the most powerful to hit the city since 1975. About 5,500 buildings lost their roofs, hundreds of houses were destroyed. Traffic in the city was severely affected due to uprooted trees and fallen electric and telecommunication poles. Electricity and running water have been cut and communication is difficult.
As of 4 p.m. local time, 4 people had died and nearly 100 had been injured. Some 130 people have been hospitalized at the Da Nang City Hospital. Most were injured by flying roofs and falling trees. The Han River rose sharply, flooding a large area of the city. Many boats anchored at safe ports were swamped by the high waves.
Deputy Prime Minister Nguyen Sinh Hung, who is in Da Nang, said in an interview, "The most worrisome issue is the rising floodwaters in rivers and the risk of landslides in the mountains around here."
The storm also devastated the nearby ancient imperial capital of Hue to the north and the United Nations cultural heritage site of Hoi An to its south.http://english.ohmynews.com/articleview/article_view.asp?at_code=363924&no=320779&rel_no=1

      
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Vietnam to import bird flu vaccines from Italy
People's Daily - 0 KB- Found: 2 hours ago
Vietnam will, sometime this month, import six million doses of bird flu vaccines to be used among white-winged ducks, according to local newspaper Labor .  http://www.alltheweb.com/search?cat=news&cs=utf8&q=bird%20flu&rys=0&itag=crv&_sb_lang=pref&sort=date

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Vice Director Le Xuan Canh said the institute was testing some 400 people for rhinitis and sore throat daily.Most people contracted the two diseases because of the onset of autumn which was causing chilly weather in the mornings and evenings, and the change in humidity levels.Environmental pollution caused by vehicle exhaust and industrial effluents too contributed to the respiratory illness.

Patients with rhinitis and sinusitis had nasal congestion, facial pain, headache, fever, thick green or yellow discharge, facial 'fullness' which worsened when bending over, tooth ache, and others.Over 85 percent of chronic patients could be treated with drugs while the rest needed surgery.During the last week, NENTI had performed operations on 10-15 chronic cases each day.But post-operative patients needed to be careful since the surgery did not provide immunity against the diseases, Canh said.In August a report on pollution in HCMC made by the city’s Natural Resources and Environment Department warned that increasing environment pollution put more and more children at risk of contracting sore throat, rhinitis, bronchitis, sinusitis, bronchial asthma, pneumonia, inflammation of the middle ear, and other illnesses.

Source: Thanh Nien, Tuoi Tre – Compiled by Luu Thi Honghttp://www.thanhniennews.com/healthy/?catid=8&newsid=20721

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No new bird flu outbreaks reported over ten months

Vietnam's bid to prevent the reoccurrence of avian influenza has shown progress, as no new outbreaks of bird flu had been reported nationwide since the last December. ....................

According to a report dated Oct. 8 by the Veterinary Department to the Ministry of Agriculture and Rural Development (MARD), 40 out of 64 cities and provinces throughout the country had provided second vaccinations in 2006 to nearly 70 million poultry head.

The department requested local authorities throughout the country to reinforce measures to prevent bird flu from returning, particularly their task to monitor raising poultry at household farms.

The department also asked localities nationwide to halt the incubation of waterfowls and quails until the end of February 2007. (VNA)Confused move along nothing to see here .............

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Viet Nam tightens bird flu controls for rest of 2006

(13-10-2006)

Breeders at a chicken farm in Dong Anh district, Ha Noi, use an anti-bird flu chemical. — VNA/VNS Photo Bui Tuong

HA NOI — Viet Nam has been bird flu free over the first nine months of the year. But the country’s future successful control of the pandemic will depend largely on the country’s efforts over the remaining three months, said Deputy Minister of Agriculture and Rural Development Bui Ba Bong.

Members of the National Steering Committee for Bird Flu Control have again urged caution as winter looms. Research has shown that cool air is a major contributor to the virus spreading quickly through poultry and water bird flocks.

Nguyen Dang Vang, director of the Animal Breeding Department, said that breeding was again on the increase as farmers try to match demand brought on by the upcoming wedding season and the Tet (Lunar New Year) holiday. The increased demand for poultry coupled with the recent foot and mouth outbreaks in cattle have driven the price for chicken products upward.

Vang said the price of one kilogram of processed chicken was between VND60,000-VND70,000 in Ha Noi. This is great news for poultry breeders but a challenge for those charged with epidemic control.

In Ha Tay Province, where the country’s leading poultry industry is located, animal health workers still maintain a 24 hour vigil at 322 communes out of the 14 towns and districts where poultry are raised.

The provincial authorities have been aggressive in their efforts to control the disease, having recently spent VND1 billion for developing quarantine systems. The province has also budgeted for another VND1 billion to be spent this year. The Animal Health Department has also continued it’s efforts by organising training courses on biological safety for poultry breeders and launching campaigns to vaccinate poultry and clear environment.

Nguyen Thi Lien, a breeder in Chuong My District, said her family members were very worried when a bird suddenly died at her farm. "We invited an animal health worker to our house to guide us on the best approach to deal with the virus. When we discover unusual symptoms in our herd, we have the training and knowledge to solve the problem," said Lien. — VNS

As the robot in lost in space would say warning warning master will , warning ...........


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Reportage on province general hospital-based emergency ward
To statistics from province general hospital, its emergency ward received over 2,600 traffic accident cases and hundreds of other cases in the first 8 months of this year. The figure sees an overload for ward’s doctors whilst its manpower is limited.

The hospital-based doctors’ work, especially in emergency ward, is always busy on year round. They’re even busier on holidays and at nights because that’s when the number of patients increase highly whilst a shift only has 2 doctors and 8 nurses.

Noticeably, 2/3 of patients at the emergency ward are heavy trauma cases. Doctors therefore have to focus to save them. Many patients have escaped death by an inch, thanks to the ward doctors’ help. The entire community always respects their mute dedication.

However, the ward staff’s serving way makes up a unpleasure attitude for patients. The most highlighted is that staff herein has not paid much attention to change aseptic drapes on stretchers, owing to their overload work. This is regarded as a danger for patients…

• Reported by Hoang Hung
• Translated by Thu Thanh http://www.baobinhduong.org.vn/newsdetail.asp?newsid=15077&catid=81

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Little Ngoan was buried behind her parents' hut three weeks ago. Her grave, a bulky concrete tomb like others dotting the Vietnamese countryside, rests on high ground between a fishpond and yellow-green rice fields. At one end her family laid out her cherished possessions: a doll's chair, a collection of shells, plastic sandals. They painted her tomb powder blue.
 
While Ngoan's parents are off helping with the rice harvest, other relatives share their memories. "She was so small, just ten years old," says her grandmother, sitting on a hammock. "She was very gentle and a good student. If you look at her older sister"—the 17-year-old hangs back shyly—"you can imagine what she was like." Ngoan's grandfather, silent with grief, lights a stick of incense at her grave.
 
The loss of a beloved child has hit this family hard. But ordinarily, the wider world would pay little attention to a child's death from infectious disease in this remote corner of Vietnam's Mekong Delta. Old scourges like dengue fever and typhoid still take a toll here, and HIV/AIDS is on the rise.
 
Yet Ngoan's death and more than 50 others in Southeast Asia over the past two years have raised alarms worldwide. Affected countries are struggling to take action; other nations are sending aid and advisers while stockpiling drugs and developing vaccines at home. And scientists have stepped up their research into the fateful traffic of disease between animals and people.
 
Why? Because Ngoan died of the flu. for more on Asia ................
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Ducks die en mass in Vietnam's central highland province
    

Hundreds of ducks in Vietnam's central highland Lam Dong province have died with unidentified causes, Vietnam News Agency reported Thursday.

The ducks in a farm in Duc Trong district have died with symptoms of head and eye oedema, and diarrhea. Local veterinary agency has slaughtered all the flock of 4,000 ducks to prevent bird flu.

The disease is likely to return Vietnam in October when weather conditions favor the development of bird flu viruses, according to the Department of Animal Health under the country's Ministry of Agriculture and Rural Development.

Bird flu outbreaks, starting in Vietnam in December 2003, have killed and led to the forced culling of dozens of millions of fowls. The last outbreak of bird flu among poultry in the country was in December 2005, according to the ministry.

Source: Xinhua http://english.people.com.cn/200610/20/eng20061020_313613.html

 
Vietnam conducts anti-bird flu rehearsal
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Vietnam Thursday carried out a rehearsal on combating potential bird flu outbreaks among humans in capital city of Hanoi, Vietnam News Agency reported.

Earlier, similar rehearsals were conducted in Hanoi capital, the central provinces of Thua Thien Hue and Quang Ngai, southern Ho Chi Minh City and southern Can Tho City.

The Vietnamese Health Ministry said on Thursday that the country has seen no new human cases of bird flu infections since mid-November 2005.

Vietnam has confirmed 93 cases, including 42 fatalities, in 32 cities and provinces since December 2003.

Source: Xinhua http://english.peopledaily.com.cn/200610/20/eng20061020_313619.html

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This just came thru ..........
 
Vietnam prepares against potential bird flu outbreaks among human
 

Vietnam is actively preparing human forces, health equipment and medicines to combat potential bird flu outbreaks among people, the local newspaper Youth reported Monday.

The country has prepared 1 million tablets of anti-bird flu medicine Tamiflu, 1,000 respirators, 100 tons of disinfection chemical Chloramin B, and hundreds of thousands of gloves and masks.

Last week, Vietnam carried out a rehearsal on combating potential bird flu outbreaks among humans in the capital city of Hanoi.

The Vietnamese Health Ministry said on Monday that the country has seen no new human cases of bird flu infections since mid- November 2005.

Vietnam has confirmed 93 cases, including 42 fatalities, in 32 cities and provinces since December 2003.

Source: Xinhua   

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  They are still saying they have to be ready to fight it again ............and I won't mention the ducks blood at all ................

_
_
 
http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/oct2506vietsuccess.html
 SPECIAL REPORT
Vietnam's success against avian flu may offer blueprint for others

Maryn McKenna * Contributing Writer

Editor's note: This is the first of a two-part Special Report on bird flu in Vietnam. Part two, "When avian flu control meets cultural resistance," will be published Oct 26.

Oct 25, 2006 (CIDRAP News) – HANOI, Vietnam – Among countries affected by avian influenza H5N1, Vietnam stands out twice over.

It was one of the first hit by the virus in the current outbreak: It discovered its first human infections in December 2003 and its first widespread poultry outbreaks in January 2004. And it was one of the hardest hit, with 66 million birds culled to prevent spread of the virus, and more human infections than any other country to date.

But it has also controlled the virus more successfully than any other country where the disease became endemic, with no new human cases since last November and only a handful of infected birds this year—12 farm chickens and ducks, and a small flock of tame storks in an amusement park.

The shift is so striking that international health authorities are asking whether Vietnam's success can be replicated elsewhere. But reproducing its efforts faces an unusual hurdle: sorting out which of its aggressive interventions actually made a difference.

"The absence of human cases is a direct reflection of the lack of cases on the animal side," said Dr. Richard Brown, a World Health Organization epidemiologist based in Hanoi. "But it is actually difficult to know exactly what that is due to, because there were a number of different interventions applied in the latter half of 2005 on the animal health side."

After responding to its 2004 outbreaks mainly by culling infected flocks, Vietnam in 2005 became the first country to institute mandatory nationwide poultry vaccination.

In addition—and almost simultaneously—the national government banned poultry rearing and live-market sales in urban areas; restricted commercial raising of ducks and quail, which can harbor the virus asymptomatically; imposed strict controls on poultry transport within Vietnam and agreed to examine illegal cross-border trade; and launched an aggressive public education campaign that deployed radio and TV advertising, neighborhood loudspeaker announcements, and outreach by powerful internal groups such as the Women's Union and Farmers' Union.

The country also compensated farmers for birds that had to be killed—initially at 10% of the birds' market value, and now at 75%.

"Who knows what impact any of these interventions had? This is a natural experiment" that lacks controls that could measure impact, said Dr. David Dennis, the Hanoi-based Vietnam influenza coordinator for the US Centers for Disease Control and Prevention. "How much [of the reduction in cases] is due to the natural history of this organism in birds? We don’t know."

Outside the country, experts presume the engine of flu control to be the pervasive influence of Vietnamese-style socialism, which extends from the national government through provinces, districts, and communes to individual "neighborhood committees."

Dr. David Nabarro, the United Nations' senior coordinator for avian influenza, implicitly endorsed that view in a Sep 19 Financial Times story, when he contrasted Vietnam's continued control of the virus with Thailand’s recent uptick in human cases during a time of political turmoil.

"You don't maintain control over this disease unless there is regular top-level direction from a senior committed political figure that wants to be sure the necessary activities are being undertaken," Nabarro told the Financial Times.

But within Vietnam, workers in avian-flu control say the country's success depends as much on the population's support as it does on political coercion—a factor that may bode well for the national government's plans to change the country's entire culture of poultry rearing, distribution, purchase, and sale. (See tomorrow's follow-up story for more details.)

"What makes the system work is not that it is top-down, but that it achieves consensus at every level," said Don Douglas, chief of party for Mekong Region avian flu efforts at Abt Associates, a US consulting firm that in July was awarded a 3-year contract for avian flu assistance in north Vietnam. "Imagine the stigma associated with being the farm that lets everyone down and causes all its neighbors' chickens to be culled."

At the village level, flu education efforts are already struggling against selective amnesia.

"Some farmers may not understand that they cannot eat duck blood, because they see that the duck looks healthy," said Nguyen Van Mai, a trainer with the humanitarian organization CARE International, an Abt Associates partner. "Some think that [avian flu] has stopped already, and do not believe that it is coming back." (Photo at right* shows the village hall in Lien Ap village, Viet Doan commune, north Vietnam, at the start of an avian flu educational event hosted by CARE International.)

The farmers' confidence is not shared by health authorities apprehensive over the approach of winter—Vietnam's regular flu season, and also the time of year when avian flu cases have spiked.

"I think Vietnam . . . has to prepare to deal with the comeback of this epidemic," said Dr. Le Truong Giang, vice-director of the health department in Ho Chi Minh City, which is Vietnam’s largest municipality and has enacted the strictest local flu controls.

Asked whether the city could keep the virus at bay indefinitely, Dr. Giang paused. "We try to do that," he said. "But we are not sure."

*Photo ©2006 Maryn McKenna. Used with permission.

Reporting for this story was supported by the East-West Center, Honolulu (www.eastwestcenter.org).

 


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SPECIAL REPORT
Vietnam's success against avian flu may offer blueprint for others

Maryn McKenna * Contributing Writer

Editor's note: This is the first of a two-part Special Report on bird flu in Vietnam. Part two, "When avian flu control meets cultural resistance," will be published Oct 26.

Oct 25, 2006 (CIDRAP News) – HANOI, Vietnam – Among countries affected by avian influenza H5N1, Vietnam stands out twice over.

It was one of the first hit by the virus in the current outbreak: It discovered its first human infections in December 2003 and its first widespread poultry outbreaks in January 2004. And it was one of the hardest hit, with 66 million birds culled to prevent spread of the virus, and more human infections than any other country to date.

But it has also controlled the virus more successfully than any other country where the disease became endemic, with no new human cases since last November and only a handful of infected birds this year—12 farm chickens and ducks, and a small flock of tame storks in an amusement park.

The shift is so striking that international health authorities are asking whether Vietnam's success can be replicated elsewhere. But reproducing its efforts faces an unusual hurdle: sorting out which of its aggressive interventions actually made a difference.

"The absence of human cases is a direct reflection of the lack of cases on the animal side," said Dr. Richard Brown, a World Health Organization epidemiologist based in Hanoi. "But it is actually difficult to know exactly what that is due to, because there were a number of different interventions applied in the latter half of 2005 on the animal health side."

After responding to its 2004 outbreaks mainly by culling infected flocks, Vietnam in 2005 became the first country to institute mandatory nationwide poultry vaccination.

In addition—and almost simultaneously—the national government banned poultry rearing and live-market sales in urban areas; restricted commercial raising of ducks and quail, which can harbor the virus asymptomatically; imposed strict controls on poultry transport within Vietnam and agreed to examine illegal cross-border trade; and launched an aggressive public education campaign that deployed radio and TV advertising, neighborhood loudspeaker announcements, and outreach by powerful internal groups such as the Women's Union and Farmers' Union.

The country also compensated farmers for birds that had to be killed—initially at 10% of the birds' market value, and now at 75%.

"Who knows what impact any of these interventions had? This is a natural experiment" that lacks controls that could measure impact, said Dr. David Dennis, the Hanoi-based Vietnam influenza coordinator for the US Centers for Disease Control and Prevention. "How much [of the reduction in cases] is due to the natural history of this organism in birds? We don’t know."

Outside the country, experts presume the engine of flu control to be the pervasive influence of Vietnamese-style socialism, which extends from the national government through provinces, districts, and communes to individual "neighborhood committees."

Dr. David Nabarro, the United Nations' senior coordinator for avian influenza, implicitly endorsed that view in a Sep 19 Financial Times story, when he contrasted Vietnam's continued control of the virus with Thailand’s recent uptick in human cases during a time of political turmoil.

"You don't maintain control over this disease unless there is regular top-level direction from a senior committed political figure that wants to be sure the necessary activities are being undertaken," Nabarro told the Financial Times.

But within Vietnam, workers in avian-flu control say the country's success depends as much on the population's support as it does on political coercion—a factor that may bode well for the national government's plans to change the country's entire culture of poultry rearing, distribution, purchase, and sale. (See tomorrow's follow-up story for more details.)

"What makes the system work is not that it is top-down, but that it achieves consensus at every level," said Don Douglas, chief of party for Mekong Region avian flu efforts at Abt Associates, a US consulting firm that in July was awarded a 3-year contract for avian flu assistance in north Vietnam. "Imagine the stigma associated with being the farm that lets everyone down and causes all its neighbors' chickens to be culled."

At the village level, flu education efforts are already struggling against selective amnesia.

"Some farmers may not understand that they cannot eat duck blood, because they see that the duck looks healthy," said Nguyen Van Mai, a trainer with the humanitarian organization CARE International, an Abt Associates partner. "Some think that [avian flu] has stopped already, and do not believe that it is coming back." (Photo at right* shows the village hall in Lien Ap village, Viet Doan commune, north Vietnam, at the start of an avian flu educational event hosted by CARE International.)

The farmers' confidence is not shared by health authorities apprehensive over the approach of winter—Vietnam's regular flu season, and also the time of year when avian flu cases have spiked.

"I think Vietnam . . . has to prepare to deal with the comeback of this epidemic," said Dr. Le Truong Giang, vice-director of the health department in Ho Chi Minh City, which is Vietnam’s largest municipality and has enacted the strictest local flu controls.

Asked whether the city could keep the virus at bay indefinitely, Dr. Giang paused. "We try to do that," he said. "But we are not sure."

 

Reporting for this story was supported by the East-West Center, Honolulu (www.eastwestcenter.org).

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: October 26 2006 at 11:40am
"...H5N1 seems to be controllable in countries with a well functioning public health system and veterinary system. ..."
...................................................................................................................
 
True in many instances but the post stating 1.3 million birds dead birds in Russia, I just saw, is sad and looking more like China. 
 
How does the world rate their systems?  I thought they were good? 
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SPECIAL REPORT
When avian flu control meets cultural resistance

Maryn McKenna * Contributing Writer

Editor's note: This is the second of a two-part special report on bird flu in Vietnam. Part one, "Vietnam's success against avian flu may offer blueprint for others," appeared Oct 25.

Oct 26, 2006 (CIDRAP News) – HANOI, Vietnam – Nguyen Van Tich's farm lies at the end of a narrow dirt road that runs under the tall edges of rice paddies and snakes between old bomb craters turned into fish ponds.

The tucked-away property, one of the largest in this 10,000-person district 20 miles from Hanoi, is new-looking and prosperous. In the 7 years they have owned it, 44-year-old Tich and his wife have stocked their 1.75 acres with citrus trees, coconut palms, pig pens, a duck pond, and a long brick coop filled with fuzzy chicks that skitter away from a stranger's shadow.

The couple went into debt to build the farm, and their care for their investment shows in the wire mesh that swathes the chicks' shelter and the vaccinations recently administered to their 1,000 ducks and hens—measures prescribed by Vietnam's central government to contain the threat of H5N1 avian influenza.

Tich

"I am a professional; [this farm] is my life," Tich said through an interpreter. "If I lose it, I lose everything."

The willingness of Tich, pictured at right,* and thousands of small farmers like him to follow the government's orders does much to explain Vietnam's dramatic change of fortune on avian flu, from one of the countries hardest hit by the virus to one of the most successful in controlling it (see part one of this series).

The Vietnamese government is openly proud of those results, and international animal and human health experts have applauded its apparent success. Yet some of those experts caution, and interviews with farmers and consumers confirm, that Vietnam's continued success is not guaranteed—because it may depend on new and stricter government prescriptions that the populace may find hard to accept.

"What is being talked about is trying to change really basic behavior that people have been engaged in all their lives," said Dr. Richard Brown, a World Health Organization (WHO) epidemiologist based in Hanoi. "It is going to be a slow process."

As the H5N1 outbreak expands, planners worldwide are acknowledging that scientific and political efforts to control the virus will fail unless they are accompanied by willing cultural change. Vietnam's attempts to create that change are being closely watched.

A model for success
Vietnam's success against avian flu has made the country an island of viral suppression in a sea of transmission—this year, according to reports from the World Organization for Animal Health (OIE), H5N1 has recurred in neighboring Cambodia, China, Laos, Myanmar, and Thailand.

And Vietnam's successful measures are stringent and strictly maintained.

In Ho Chi Minh City, for instance, raising chickens in the city has been banned, and chickens raised in the countryside are inspected twice before they cross the city limits—once by rural authorities and a second time at one of four municipal checkpoints. More than 2,000 trucks pass through the checkpoints each day; if the birds' paperwork is in order, the truck carrying them is allowed to proceed along limited designated routes to one of three new slaughterhouses.

If the birds do not pass inspection, they are confiscated on the spot. "We take them to the incinerator," Dr. Truong Thi Kim Chau, vice-director of the city's sub-department of animal health, said through an interpreter.

The country's health authorities do not take success for granted.

"The risk of bird flu still exists in Vietnam," said Dr. Bui Quang Anh, the Hanoi-based director general of the department of animal health in the agriculture ministry, pointing to the likelihood that the virus still circulates in ducks, geese, and quail within Vietnam, and the possibility of its being carried over the Chinese border in smuggled live chickens.

Strict additional measures
To counter that perceived threat, the ministry proposes strict additional prevention measures in its Integrated National Operational Program for Avian and Human Influenza, known because of its binding as the "Green Book."

The measures vary. One proposal is to permanently ban the raising of ducks, an integral component of the rice-growing economy because they are herded into harvested paddies to clean and fertilize them. Another is to take poultry raising out of the hands of the backyard growers, who make up 70% of producers, and concentrate the industry in large, biosecure farms.

Most controversially, for many Vietnamese, the government proposes to alter the way that chicken, a major food, changes hands. It is phasing out the markets where consumers choose live birds and have them slaughtered, and substituting birds killed in a modern slaughterhouse and sold shrink-wrapped and chilled in supermarkets.

The change—already instituted in Ho Chi Minh City and under way in the north—would alter much more than basic commerce. It challenges deep-rooted food preferences, because already-dead chickens are considered less tasty and nutritious. It could affect social patterns, because markets are where neighbors meet each morning. It touches even religious practice: Slaughtering and cooking chicken on behalf of family ancestors is a crucial observance during Lunar New Year.

"This is the big challenge in Vietnam," said Dr. Le Truong Giang, vice-director of Ho Chi Minh City's health department. "Not all the population agree, but more and more people agree with us."

But in Hanoi, Tran Thi Tuyet—a university graduate working in a silk shop to perfect her English—vigorously disagreed.

"We know bird flu is very dangerous," she said. "But Vietnamese people, we like to go to the market, we want to see the birds. Where I live, outside the city, there are many markets selling chickens still."

Meeting cultural resistance
In Vietnam's health agencies, and in the cities and villages, there are scattered signs that acceptance of anti-bird flu measures may not be complete.

The two-shot poultry vaccination campaign mandated last year by the agriculture ministry inoculated approximately 160 million birds—80% of the country's total—in late 2005, Dr. Anh said. But a repeat this year, meant to catch a new crop of birds, vaccinated 140 million, about 65%. And a campaign to halve the country's duck population, which stood at 60 million in 2003, has stalled at 40 million birds.

"We are thinking of how to change the jobs of the duck farmers in the countryside," Dr. Anh said. "The farmers are very poor. We should have something else for them to do."

On a mid-September morning in Viet Doan commune—where 1,500 ducks were culled in 2005—400 local farmers followed along eagerly as a team from CARE International staged games and contests with an anti-flu theme. The gathering was part of a program that the humanitarian agency has been testing in Vietnam since 2004 that coaches rural residents to evaluate their own understanding of avian flu and teaches them preventive measures, from handwashing to keeping poultry away from other animals.

Ducks

"Some food shops in the commune have stopped selling poultry meat or duck's blood," said Dr. Nguyen Thi Tuyet Mai, a trainer on the program's staff. "Some farmers keep their poultry behind a fence. But it is difficult to change behavior; it requires a long time."

Tich, the farmer, did not attend the gathering. At his farm down the road, there was a modest fence, two strands of barbed wire slung loosely between low posts. A chicken flapped over it, landing clumsily in a mob of month-old ducklings (see left*)—ducklings that, under a strict interpretation of government guidelines, should not exist.

Asked about the ducks, Tich looked nonplussed. News of the ban, he said, had reached him only 10 days ago; he had bought the ducks 3 weeks before.

"What I heard is, the local authority just encouraged not to raise new ducks." he said through the interpreter. "It is not a policy."

Tich had complied with most of the policies in the government campaign against avian flu. In addition to vaccinating his adult birds and confining his chicks until they are a month old, he scours his chicken coops with disinfectant every time a crop is sold, wears gloves and a mask when he kills a bird for his own use, and buries dead chickens in a hole with lime instead of eating them or feeding them to fish.

But he seemed skeptical of the effort and expense in some of the further measures yet to come.

"Avian influenza is a very big concern for our family, because we have invested quite a lot of capital in our poultry," he said. "But if the government banned duck-raising, I might switch to raising other animals. I might not grow poultry anymore."

*Photos ©2006 Maryn McKenna. Used with permission.

Reporting for this story was supported by the East-West Center, Honolulu (www.eastwestcenter.org).

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