Current Surveillance Capacity of the Infectious Diseases in Vietnam

7/29/2019 Current Surveillance Capacity of the Infectious Diseases in Vietnam

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The Profile of Vietnam healthsector &

current Surveillance capacity ofthe infectious Diseases in

Vietnam

MBDS Vietnam


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Contents

General information

National surveillance system

Goal, objectives Principles

Database system

Existing analysis tools


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General Information

Population: 80 902 000

Provinces: 64

Districts: 659

Communes: 10,516

Regions: 4 (North, Center, South, Highland)

Climate: Tropical and subtropical Rainfall: 1500-2000 ml/year(average)

Profession: 80% agriculture

GDP (2004): 450 US$/pers


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Hospitals: 856 (30 central hospitals, 800

provincial hospitals); 196,311 beds Commune health centers: 10,516

Number of medical doctors: 50,100

Doctor per 10,000 inhabitant: 6.1 Life expectancy at birth: 71.3

IMR: 21%o

Under 5 MR: 32.8%o

MMR: 85.0/100,000 lbs


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Under weight malnutrition children < 5:

28.4% Fully vaccinated (%): 96.7

% of communes with MD: 65.4

% of communes have communal healthworkers: 79.8

% of communes have midwife or

pediatric, obstetrict assistants: 93.1 % of people used safe water: 60.9

% of food poor households: 10.0


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National surveillance system


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Goals To reduce the adverse impact of

communicable disease on health andsocial and economic status in Vietnam.


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Medium-term objectives

Strengthening ability to detect, identify

and respond rapidly to epidemic-prone

and emerging infectious diseases. To integrate communicable diseases

surveillance system, health information

system and specific diseases program.


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64 Centers forpreventive medicineat provincial level

3 Centers forOccupational and

Environmental health

20 Centersfor social

Diseases control

659 district health centers(preventive medicine teams)

29 Centers formalaria control

-National institute ofhygiene and epidemiology-Pasteur institute in HCMC-Institute of hygiene andepidemiology in highland-Pasteur institute in Nha

trang

-National institute ofoccupational andenvironmental health-Institute of hygiene andPublic health

-Nutritional institute

-National institute ofMalaria-parasitologicEntomology-Sub-institute ofMalaria-parasitologicEntomology in HCMC-Institute of

Malaria-parasitologicEntomology in Quinh

-National center forquality control ofBiological (Cencobi)

- Poliovac center-Vaccine institute inNhatrang

- Company for production

of vaccines and biologicalNo.1

Ministry of health

G.Dept.of preventive medicine

7 Frontierhealth

Quarantine

centers


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Surveillance system for communicable disease in Vietnam

Ministry of healthGeneral dept. of preventive medicine & HIV/aids control

NIHE

General clinics, children

clinics, infectious clinicsCentral hospitals

Regional Surveillance Unit

Regional HE/Pasteur Institutes

Pediatrics, infectious ward

Central hospitals

General clinics, childrenclinics, infectious clinics

Provincial hospitals

Surveillance UnitProvincial Preventive

Medicine Centers

Pediatrics, infectious wardProvincial hospitals

General clinics, childrenclinics, infectious clinics

District hospitalsPrivate clinics

Surveillance UnitDistrict surveillance teams

Commune medical statio


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List of communicablediseases

Cholera (A00) Typhoid and paratyphoid (A01)

Bacterial dysentery (A03)

Ameba dysentery (A06)

Diarrhoea (A09)

Acute encephalitis syndrome (A83-A89)

Dengue fever

Dysentery syndrome


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List of communicable diseases

Viral hepatitis A,B,C,D,E (B15-B19) Rabies (A82)

Meningococcal meningitis (A39)

Chicken pox-zona (B01, B02)

Diphtheria (A36)

Pertussis (A37)

Neonatal tetanus (A33)

Other tetanus (A35)


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List of communicable diseases Acute flaccid paralysis Measles (B05)

Mumps (B26)

Influenza (J10,11), including H5N1

APC-Adeno virus (B30)

Plague

Anthrax

Leptospirosis HIV/AIDS

Malaria


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Principles

Regional institutes responsible forprovinces in region.

Centre for Preventive Medicine

implements surveillance activities.

District Preventive Medicine Teamusually take surveillance action in the

field and clinic, hospital, it is important forthe early warning systems in area.


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Principles

Urgent report for outbreaks: Within 24hours.

Routine report: - Weekly report

- Monthly report

Annual report


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Reporting periods

Urgentreport

Weeklyreport

Monthly report

Diseases: SARS,

H5N1,Cholera,Plague, anyoutbreak.

SARS, H5N1,

Cholera,Typhoid,Plague,DF/DHE,

Measles.

26 diseases

How toreport:

Telephone,Fax.

Fax, officialletter, Email

Fax, officialletter, Email


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Other EWARS NAMRU 2

Rumor: Press, newspaper, unofficial.

Pro-MED


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Location of database system

Centre for Preventive Medicine at

province level.

Regional Institutes.

Communicable diseases Division

MHO.


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Existing analysis tools Routine surveillance data:

- Excel

- EPI-INFO- GIS

Research data:

- STATA

- SPSS.

Di ib i f i i


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Distribution of sars in vietnam

Ha Noi

Ninh Binh


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Future plan Strategy up to 2010

Electronic data transmission.

Standardize database network.

FETP Training .

Laboratory verification.

Improve communication.


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recommendations1. Establish mechanism for collaboration

between ministries and internationalorganizations in sharing information and

organizing immediate control activities.

2. Support the establishment of Regional Task

Force Committee for control of diseases,natural and other disasters.


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recommendations

3. Establish information system, diseasesreport in the MBDS countries and withWHO. Establish website to inform and

exchange experiences on communicabledisease control.

4. Collaborate in study of epidemiologiccharacters of dangerous diseases suchas SARS, influenza A (H5N1); establish

Regional Center to research influenza

Documents

Current Surveillance Capacity of the Infectious Diseases in Vietnam