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The Profile of Vietnam health sector & current Surveillance capacity of the infectious Diseases in Vietnam

MBDS Vietnam

Contents
General information  National surveillance system  Goal, objectives  Principles  Database system  Existing analysis tools

Highland)  Climate: Tropical and subtropical  Rainfall: 1500-2000 ml/year (average)  Profession: 80% agriculture  GDP (2004): 450 US$/pers  .516  Regions: 4 (North.General Information Population: 80 902 000  Provinces: 64  Districts: 659  Communes: 10. Center. South.

516  Number of medical doctors: 50.1  Life expectancy at birth: 71.311 beds  Commune health centers: 10.000 inhabitant: 6.000 lbs  .100  Doctor per 10. 800 provincial hospitals).0/100.Hospitals: 856 (30 central hospitals.3  IMR: 21%o  Under 5 MR: 32.8%o  MMR: 85. 196.

7  % of communes with MD: 65. obstetrict assistants: 93.0  .1  % of people used safe water: 60.8  % of communes have midwife or pediatric.Under weight malnutrition children < 5: 28.4%  Fully vaccinated (%): 96.4  % of communes have communal health workers: 79.9  % of food poor households: 10.

National surveillance system .

.Goals  To reduce the adverse impact of communicable disease on health and social and economic status in Vietnam.

health information system and specific diseases program.Medium-term objectives Strengthening ability to detect.  .  To integrate communicable diseases surveillance system. identify and respond rapidly to epidemic-prone and emerging infectious diseases.

Poliovac center -Vaccine institute in Nhatrang .Dept.of preventive medicine -National institute of hygiene and epidemiology -Pasteur institute in HCMC -Institute of hygiene and epidemiology in highland -Pasteur institute in Nha trang -National institute of occupational and environmental health -Institute of hygiene and Public health -Nutritional institute -National center for quality control of Biological (Cencobi) .1 -National institute of Malaria-parasitologica Entomology -Sub-institute of Malaria-parasitologica Entomology in HCMC -Institute of Malaria-parasitologica Entomology in Quinho 20 Centers for social Diseases control 29 Centers for malaria control 64 Centers for 3 Centers for preventive medicine Occupational and at provincial level Environmental health 7 Frontier health Quarantine centers 659 district health centers (preventive medicine teams) .Company for production of vaccines and biological No.Ministry of health G.

children clinics.Surveillance system for communicable disease in Vietnam Ministry of health General dept. of preventive medicine & HIV/aids control NIHE General clinics. infectious clinics Central hospitals Regional Surveillance Unit Regional HE/Pasteur Institutes Pediatrics. children clinics. infectious clinics District hospitals Private clinics Surveillance Unit District surveillance teams Commune medical station . infectious ward Provincial hospitals General clinics. infectious wards Central hospitals General clinics. infectious clinics Provincial hospitals Surveillance Unit Provincial Preventive Medicine Centers Pediatrics. children clinics.

List of communicable diseases Cholera (A00)  Typhoid and paratyphoid (A01)  Bacterial dysentery (A03)  Ameba dysentery (A06)  Diarrhoea (A09)  Acute encephalitis syndrome (A83-A89)  Dengue fever  Dysentery syndrome  .

List of communicable diseases Viral hepatitis A. B02)  Diphtheria (A36)  Pertussis (A37)  Neonatal tetanus (A33)  Other tetanus (A35)  .D.C.E (B15-B19)  Rabies (A82)  Meningococcal meningitis (A39)  Chicken pox-zona (B01.B.

11).List of communicable diseases           Acute flaccid paralysis Measles (B05) Mumps (B26) Influenza (J10. including H5N1 APC-Adeno virus (B30) Plague Anthrax Leptospirosis HIV/AIDS Malaria .

it is important for the early warning systems in area.  Centre for Preventive Medicine implements surveillance activities.  . hospital.  District Preventive Medicine Team usually take surveillance action in the field and clinic.Principles Regional institutes responsible for provinces in region.

Monthly report   Annual report . Routine report: .Principles  Urgent report for outbreaks: Within 24 hours.Weekly report .

2003 as of .10 12 0 1 0000 11 12 77 3 2 6 11 3 0 111 6 0 1 2 0 1 00000000000 1 0 1 0 1 2 00000000000000000000 25/02 26/02 27/02 28/02 01/03 02/03 03/03 04/03 05/03 06/03 07/03 08/03 09/03 10/03 11/03 12/03 13/03 14/03 15/03 16/03 17/03 18/03 19/03 20/03 21/03 22/03 23/03 24/03 25/03 26/03 27/03 28/03 29/03 30/03 31/03 01/04 02/04 03/04 04/04 05/04 06/04 07/04 08/04 09/04 10/04 11/04 12/04 13/04 14/04 15/04 16/04 17/04 18/04 19/04 20/04 21/04 22/04 23/04 24/04 25/04 26/04 27/04 28/04 2 4 6 8 Number of SARS cases by day April 28.

Email Fax. official letter. Email .Reporting periods Urgent report Diseases: SARS. Cholera. Plague. official letter. Typhoid. Fax. Plague. 26 diseases Cholera. H5N1. Fax. Measles. How to report: Telephone. H5N1. DF/DHE. Weekly report Monthly report SARS. any outbreak.

newspaper. unofficial. Pro-MED   .Other EWARS  NAMRU – 2 Rumor: Press.

Location of database system  Centre for Preventive Medicine at province level.   . Communicable diseases Division – MHO. Regional Institutes.

Existing analysis tools Routine surveillance data: .  .SPSS.Excel .EPI-INFO .GIS  Research data: .STATA .

Distribution of sars in vietnam Ha Noi Ninh Binh .

– Standardize database network. .Future plan  Strategy up to 2010 – Electronic data transmission. – Laboratory verification. – FETP Training . – Improve communication.

natural and other disasters. Support the establishment of Regional Task Force Committee for control of diseases. 2. . Establish mechanism for collaboration between ministries and international organizations in sharing information and organizing immediate control activities.recommendations 1.

influenza A (H5N1). Establish website to inform and exchange experiences on communicable disease control.recommendations 3. Collaborate in study of epidemiologic characters of dangerous diseases such as SARS. 4. . diseases report in the MBDS countries and with WHO. Establish information system. establish Regional Center to research influenza.