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Bird Flu Case Clusters in Vietnam - Report 2

Recombinomics Commentary
January 28, 2005

>> The first newly detected case is a 10-year-old girl from the southern province of Long An. She developed symptoms on 13 January, was hospitalized on 20 January, and is presently in critical condition.

The second case is a 13-year-old girl from Dong Thap Province, also in the south. She developed symptoms on 20 January and was hospitalized on 22 January. She is also critically ill.

The child from Dong Thap Province is the daughter of a confirmed case announced previously. The 35-year-old mother developed symptoms on 14 January and died on 21 January. <<

The WHO update above will be used to update the report below on H5N1 avian influenza.  Updated information is in red.

Three Brother Cluster in Hanoi area:
Index case, Nguyen Huu Viet, 47M, is a confirmed fatality, died Jan 9 - onset date Dec 26.  Brother, Nguyen, Thanh Hung, 42M, confirmed recovering case.  Onset date Jan 10, discharged Jan 28.  Younger brother from Thai Bihn has no symptoms.  Reported H5N1 positive by media. WHO has not confirmed. 2 year old child of index case died before Dec 25, 2004.  No information on gender or cause of death. Dec 25 raw duck, blood pudding meal not within 2-10 days of onset of symptoms for any members in cluster.

Dong Thap Cluster
Index case, Mai Thi Truc Li, 35F, developed symptoms Jan 14 admitted to local Dong Thap hospital Jan 14.  Transferred to HCM City Jan 21 and died within hours of transfer.  Confirmed, with multiple possible sources of infection (bath, swim, chicken slaughter).  Daughter, 13F, developed symptoms Jan 20, hospitalized Jan 22.  Confirmed and in critical condition at Children's hospital in HCM City (reported helped with chicken slaughter).  No reported relationships to confirmed death (6M) on Dec 30, 2004 of boy from Dong Thap.

Bac Lieu Cluster
Index case Bui Tan Tai, 17M confirmed fatality admitted Jan 10, died Jan 15.  Sister (22F) in critical condition.  From Phuoc Long district.

Long An Cluster
Index case  Vo Thi Ngoan, 10F.  Confirmed case developed symptoms Jan 13, admitted Jan 20. In critical condition in HCM City.  Relationship to suspect fatality (39F) who died Jan 22 in Long An is unknown.

Tien Giang Cluster
Index case, 18F, confirmed fatality admitted Jan 3 and died Jan 18.  Sister, 15F, initially reported as hospitalized in stable condition.  Subsequent media reports indicated sister had no symptoms.  Relationship to 65M suspect case from Tien Giang is unknown.

Tra Vinh Cluster
Index case, 35F, died Jan 18 after being hired to dispose of dead poultry.  Relationship to other Tra Vinh cases including confirmed Jan 4 fatality (9M) following swim, or suspect case (14M) admitted Jan 16 in critical condition, is unknown.

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