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H5N1 Bird Flu Kills Viet Nam
Man - Indonesia Cases

Viet Nam Youth Dies Of H5N1
A patient, 23 years of age, resident of Sam Min city of Dien Bien, had   eaten quantities of duck soup for about a week before he fell ill. His   death is the 5th fatality this year [2009] as a consequence of avian   influenza H5N1 virus infection.
According to the Department of Preventive Health and Environment   (Ministry of Health), on 18 Nov 2009 the patient developed sudden high   fever, cough, and shortness of breath. 6 days later his medical   condition worsened and he was transferred on 25 Nov 2009 to the Clinic   in the area of Phu. A day later he was transferred to the provincial   hospital in Dien Bien, was diagnosed with severe pneumonia and he   received antibiotic and antipyretic treatment. The patient's condition   continued to deteriorate and he died on 28 Nov 2009.
On 29 Nov 2009 the Institute of Hygiene and Epidemiology reported that   the patient had tested positive for H5N1 virus infection.
http://afludiary.blogspot.com/2009/11/return-of-bird-flu.html translated from the Vietnamese original at http://vnexpress.net/GL/Doi-song/2009/11/3BA162F1/
Communicated by ProMED-mail
Official confirmation of this suspected human case of avian influenza   (H5N1) virus infection in Viet Nam is awaited. If confirmed this will   be the 5th case in Viet Nam during 2009, and the 57th overall. There   has been no proof in the past in any country that avian influenza   (H5N1) virus infection can be contracted by consumption of cooked   poultry or poultry products. It must be presumed that the victim in   this incident had been exposed to live or recently deceased infected   ducks. - Mod.CP
Date: Mon 30 Nov 2009 Source: Bird Flu Information Corner
Duck Farmer Suspected Of Contracting Bird Flu
A 37-year-old resident of Tanjuang Durian, suspected to have   contracted bird flu [avian influenza A/(H5N1)] virus, (has been) admitted to M Djamil hospital.
The patient is a duck farmer who had been raising hundreds of ducks.   He is reported to have found that almost of all his ducks suddenly   died. Subsequent to this [event], he buried the dead ducks. He   developed high fever at noon the same day, and his family gave him an   antipyretic drug, a brand of paracetamol. His fever [increased during]   the afternoon and his family took him to Pasa Baru Public Health   Center in the evening. The Public Health Center then referred the   patient to M Zein Painan Hospital, where he was diagnosed as a bird   flu suspect. The patient was transferred then to M Djamil hospital to   receive [more appropriate] treatment as a suspected bird flu patient.
Communicated by ProMED-mail
An interactive map of the Indonesian Island of Sumatra can be accessed at: http://www.mapofsumatra.com/
Numerous suspected human cases of avian H5N1 influenza have been   reported regularly in various regions of Indonesia, mostly in the   local press, but none have been confirmed subsequently. According to   the WHO Timeline there has been no confirmed case of avian influenza   (H5N1) virus infection in Indonesia throughout 2009 http://www.who.int/csr/disease/avian_influenza/country/cases_
During 2009 so far Egypt has been the most affected country with 39   confirmed cases, followed by China with 7 cases and Viet Nam with 4. -   Mod.CP
Indonesia's poultry/waterbirds industry has been heavily and   continuously H5N1-infected. I have recently met one of the   international experts with Indonesian experience and he confirmed that   this is still the situation. ProMED-mail have posted 32 items on avian   influenza in Indonesia (including 25 on suspected human cases) since   the beginning of 2009. - Mod.AS/JW
Patricia A. Doyle DVM, PhD Bus Admin, Tropical Agricultural Economics Univ of West Indies Please visit my "Emerging Diseases" message board at: http://www.emergingdisease.org/phpbb/index.php Also my new website: http://drpdoyle.tripod.com/ Zhan le Devlesa tai sastimasa Go with God and in Good Health 
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