1.Large-scale salmonella outbreak associated with banh mi, Viet Nam, 2024
Tinh Huu Ho ; Phuong Hoai Hoang ; Lam Vo Thi Ngoc ; Minh Nguyen Dinh ; Dong Do Thanh ; Viet Nguyen Dinh ; O Phan Van ; Phuong Nguyen Thi Lan ; Thanh Nguyen Quoc ; Nhan Ho The ; Nhan Le Dinh Trong ; Chinh Van Dang
Western Pacific Surveillance and Response 2024;15(3):36-42
Objective: To investigate the cause of a foodborne outbreak that occurred in Dong Nai province, Viet Nam, in 2024, and implement control measures.
Methods: An initial investigation was conducted to confirm the outbreak, which was followed by epidemiological and environmental investigations to find the plausible causative food item. Clinical specimens and food samples were tested to identify the pathogen.
Results: A total of 547 symptomatic cases were recorded, of whom two were in severe condition requiring extracorporeal membrane oxygenation and ventilation, one of whom died. Among 99 interviewed cases, the mean incubation time was 9 hours (range 2–24 hours), with the main symptoms being fever, abdominal pain, diarrhoea and vomiting. All patients had eaten banh mi from a local bakery. Salmonella spp. were identified in food samples and clinical specimens. The bakery halted production, and the outbreak ended after 1 week.
Discussion: All the patients were exposed to only one food in common, which facilitated the investigation process. This outbreak is a reminder to small retailers and take-away shops of the importance of food safety management in preventing similar future outbreaks. All food handlers must comply with food hygiene principles, especially in hot temperatures, which boosts bacterial growth.
2.Field and laboratory investigation of highly pathogenic avian influenza H5N6 and H5N8 in Quang Ninh province, Vietnam, 2020 to 2021
Trong Duc TRAN ; Suwicha KASEMSUWAN ; Manakorn SUKMAK ; Waraphon PHIMPRAPHAI ; Tippawon PRARAKAMAWONGSA ; Long Thanh PHAM ; Tuyet Bach HOANG ; Phuong Thi NGUYEN ; Thang Minh NGUYEN ; Minh Van TRUONG ; Tuan Pham DAO ; Pawin PADUNGTOD
Journal of Veterinary Science 2024;25(2):e20-
Background:
Avian influenza (AI) is a contagious disease that causes illness and death in poultry and humans. High pathogenicity AI (HPAI) H5N6 outbreaks commonly occur in Quang Ninh province bordering China. In June 2021, the first HPAI H5N8 outbreak occurred at a Quang Ninh chicken farm.
Objectives:
This study examined the risk factors associated with HPAI H5N6 and H5N8 outbreaks in Quang Ninh.
Methods:
A retrospective case-control study was conducted in Quang Ninh from Nov 2021 to Jan 2022. The cases were households with susceptible poultry with two or more clinical signs and tested positive by real-time reverse transcription polymerase chain reaction. The controls were households in the same village as the cases but did not show clinical symptoms of the disease. Logistic regression models were constructed to assess the risk factors associated with HPAI outbreaks at the household level.
Results:
There were 38 cases with H5N6 clade 2.3.4.4h viruses (n = 35) and H5N8 clade 2.3.4.4b viruses (n = 3). Compared to the 112 controls, raising poultry in uncovered or partially covered ponds (odds ratio [OR], 7.52; 95% confidence interval [CI], 1.44–39.27), poultry traders visiting the farm (OR, 8.66; 95% CI, 2.7–27.69), farms with 50–2,000 birds (OR, 3.00; 95% CI, 1.06–8-51), and farms with ≥ 2,000 birds (OR, 11.35; 95% CI, 3.07–41.94) were significantly associated with HPAI outbreaks.
Conclusions
Combining biosecurity measures, such as restricting visitor entry and vaccination in farms with more than 50 birds, can enhance the control and prevention of HPAI in Quang Ninh and its spread across borders.
3.Clinical and Laboratory Characteristics of Kawasaki Disease and COVID-19-Related Multisystem Inflammatory Syndrome in Children
Duc Long PHI ; Thi Loi DAO ; Minh MANH TO ; Thanh Binh NGUYEN ; Duy Cuong NGUYEN ; Philippe GAUTRET ; Van Thuan HOANG
Journal of Korean Medical Science 2023;38(49):e410-
Geographical and racial factors constitute important distinctions between Kawasaki disease (KD) and multisystem inflammatory syndrome in children (MIS-C), but no study has been conducted in Vietnam. Forty-one children with KD from January 2018 to July 2020 and 42 with KD/MIS-C from August 2020 to December 2022 were included in this study. Of the patients, 52.3% were aged between 12 and 35 months. Only two were aged over 5 years, and both were belong to the KD/MIS-C group. A 59.5% of the patients were male. Apart from fever, all symptoms tended to be more frequent in patients with KD/MIS-C. The prevalence of diffuse skin rash, hand and foot edema or erythema and gastrointestinal signs was significantly higher in patients hospitalized with KD/MIS-C. There was no significant difference in laboratory findings between the two groups. Coronary artery dilation was more frequently observed in patients with KD/MIS-C compared to those with KD (40.5% vs. 14.6%, P = 0.009).
4.Study on the proportion of patients with uncontrolled hypertension among outpatients and related factors at the Internal Medicine Clinic, Hue university of medicine and Pharmacy Hospital
Vu Thao Vy NGUYEN ; Thi Bich Thuy LE ; Pham Phuoc Long DOAN ; Thi Thanh Nhan TRAN ; Phuoc Thuoc DOAN
Hue Journal of Medicine and Pharmacy 2023;13(7):190-197
Background: Hypertension is one of the dangerous chronic diseases. In the treatment of hypertension, controlling blood pressure to achieve treatment target is paramount to prevent dangerous complications and death. The study was conducted to identify the percentage of hypertensive patients who do not achieve treatment target among outpatients at the internal medicine clinic, Hue University of Medicine and Pharmacy Hospital, and explore some related factors. Methods: A cross-sectional study was conducted among 403 hypertensive patients treated as outpatients at the internal medicine clinic. A multivariate logistic regression model was used to identify the related factors. Results: 46.4% of hypertensive patients did not reach the treatment target. Factors related to uncontrolled hypertension were male, non-religion, comorbidities, no reduction in salt intake, the use of coffee/tea, and non-compliance with medication (p < 0.05). Conclusions: The rate of patients with uncontrolled hypertension was still high. The health sector should consider establishing an outpatient management team; strengthening communication activities and advice on diet and drug use in parallel with medical examination and treatment.
5.The Role of Loneliness and Self-Control to the Association between Nomophobia and Depression Symptoms among Vietnamese High School Students
Be Thi Ngoc Nguyen ; Ngoc Phuong Hong Nguyen ; Long Minh Dau ; Quynh-Anh Ngoc Nguyen ; Uyen Thi Thanh Le
ASEAN Journal of Psychiatry 2023;24(no. 5):1-11
Numerous studies have also revealed that students with a high level of Nomophobia have an increased risk of depression. However, few researchers are interested in examining how the association between nomophobia and depressive symptoms mediates loneliness and self-control. This study aimed to investigate, among Vietnamese High School Students, the association between nomophobia and depressive symptoms, specifically focusing on the role that loneliness and self-control play as potential mediators of that relationship. The Nomophobia Scale (NMP-Q), Depression Anxiety Stress Scale 21 (DASS-21), The UCLA loneliness scale version 3 (UCLA III), and The Brief Self-Control Scale (BSCS) were completed by 556 Vietnamese high school students. Using the PROCESS macro, mediation analyses were conducted to investigate the relationship between variables. According to our findings, nomophobia was positively associated with symptoms of depression, and loneliness and self-control partially mediated this relationship. It is suggested that methods for preventing claustrophobia and depressive symptoms be taken seriously in order to increase self-control and decrease loneliness.
6.THE PERCEPTION OF IMPLEMENTING SOCIAL-EMOTIONAL LEARNING IN SOFT SKILLS AMONG VIETNAMESE HIGH SCHOOL STUDENTS
Vinh-Long Tran-Chi ; Son Van Huynh ; Huan Thanh Nguyen ; Thien-Vu Giang ; Huyen- Trang Luu-Thi
ASEAN Journal of Psychiatry 2023;24(9):1-12
Although the need for social and emotional development has existed for decades,
implementing Social-Emotional Learning (SEL) in schools continues to get considerable
attention as newer generations enter the educational system. The demand for development
is presently increasing daily. No one challenges the significance of social-emotional learning
and the influence of organizations on adolescent development today. Social-emotional
learning matches accurately with the priorities in modern schools. In Vietnam, quantitative
research was conducted on 350 high school students. This research aimed to determine how
students evaluate the implementation of the Social-emotional learning model in soft skills
education. The results revealed students’ interest in implementing the social-emotional
learning model into soft skills education. In addition, the results indicated the obstacles
to implementing the social-emotional learning model in soft skills education. This study’s
findings suggested that school leaders and background educators should implement the
social-emotional learning model and support, monitor, and evaluate program efficacy to
ensure program objectives are reached and students acquire social and emotional abilities.
In addition, the study suggested that specific strategies are necessary to limit the factors
that prevent the implementation of the social-emotional learning model in high schools.
7.Systematic sequencing of imported cases leads to detection of SARS-CoV-2 B.1.1.529 (Omicron) variant in central Viet Nam
Do Thai Hung ; Nguyen Bao Trieu ; Do Thi Thu Thuy ; Allison Olmsted ; Trinh Hoang Long ; Nguyen Duc Duy ; Huynh Kim Mai ; Bui Thi Thu Hien ; Nguyen Van Van ; Tran Van Kiem ; Vo Thi Thuy Trang ; Nguyen Truong Duy ; Ton That Thanh ; Huynh Van Dong ; Philip L Gould ; Matthew R Moore
Western Pacific Surveillance and Response 2022;13(4):82-85
As authorities braced for the arrival of the Omicron variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), infrastructure investments and government directives prompted action in central Viet Nam to establish capacity for genomic surveillance sequencing. From 17 November 2021 to 7 January 2022, the Pasteur Institute in Nha Trang sequenced 162 specimens from 98 150 confirmed SARS-CoV-2 cases in the region collected from 8 November to 31 December 2021. Of these, all 127 domestic cases were identified as the B.1.617.2 (Delta) variant, whereas 92% (32/35) of imported cases were identified as the B.1.1.529 (Omicron) variant, all among international flight passengers. Patients were successfully isolated, enabling health-care workers to prepare for additional cases. Most (78%) of the 32 Omicron cases were fully vaccinated, suggesting continued importance of public health and social measures to control the spread of new variants.
8.The Impact of Covid-19 on Older Adults' Finances, Well-Being and Fear
Chan Van Huynh ; Hai Thanh Phan ; Xuan Thanh Kieu Nguyen ; Kim-Sang Nguyen-Thi ; Vinh-Long Tran-Chi
ASEAN Journal of Psychiatry 2022;23(no. 1):1-8
The COVID-19 pandemic outbreak and subsequent lockdowns impacted the mental health of numerous sociodemographic groups globally. This crisis can produce stress, overwhelm, and powerful emotions in susceptible people, especially older persons. Our study examined the relationship between well-being and fear of COVID-19 among older persons residing in Ho Chi Minh City, Vietnam, during the pandemic. A sociodemographic survey was undertaken. Two scales are used for a month of the COVID-19 outbreak: the Mental Health Continuum Short Form (MHC-SF) and the Fear of COVID-19 Scale (FCV-19S). We surveyed 158 senior citizens in Ho Chi Minh City between February and April 2021. There was no lockdown in Ho Chi Minh before the fourth wave of infection. Despite this, citizens have maintained high compliance with coronavirus prophylaxis. Sociodemographic data were described using descriptive statistics. A one-way MANOVA assessed the financial impact on older individuals' well-being. The Pearson correlation was employed to find the link between happiness and COVID-19 dread. During the COVID-19 pandemic, older persons who received various monthly allowances had statistically significant emotional and psychological well-being differences. There was no association between well-being and COVID-19 dread. The COVID-19 epidemic has disproportionately affected vulnerable groups. Older individuals are a risk population that requires material and mental care.
9.Virological characteristics of cases of COVID-19 in northern Viet Nam, January–May 2020
Hang Khanh Le Nguyen ; Son Vu Nguyen ; Phuong Mai Vu Hoang ; Thanh Thi Le ; Huong thi Thu Tran ; Long Hai Pham Nguyen ; Thai Quang Pham ; Thuy Thanh Nguyen ; Anh Duc Dang ; Anh Phuong Nguyen ; Mai thi Quynh Le
Western Pacific Surveillance and Response 2021;12(4):65-70
Background:
Viet Nam confirmed its first case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection on 23 January 2020 among travellers from Wuhan, China, and experienced several clusters of community transmission until September. Viet Nam implemented an aggressive testing, isolation, contact tracing and quarantine strategy in response to all laboratory-confirmed cases. We report the results of SARS-CoV-2 testing during the first half of 2020 in northern Viet Nam.
Methods:
Between January and May 2020, 15 650 upper respiratory tract specimens were collected from 14 470 suspected cases and contacts in northern Viet Nam. All were tested for SARS-CoV-2 by real-time RT-PCR. Individuals with positive specimens were tested every three days until two tests were negative. Positive specimens from 81 individuals were cultured.
Results:
Among 14 470 tested individuals, 158 (1.1%) cases of SARS-CoV-2 infection were confirmed; 89 were imported and 69 were associated with community transmission. Most patients (122, 77%) had negative results after two tests, while 11 and 4 still tested positive when sampled a third and fourth time, respectively. SARS-CoV-2 was isolated from 29 of 81 specimens (36%) with a cycle threshold (Ct) value <30. Seven patients who tested positive again after testing negative had Ct values >30 and negative cultures.
Conclusion
Early, widespread testing for SARS-CoV-2 in northern Viet Nam identified very few cases, which, when combined with other aggressive strategies, may have dramatically contained the epidemic. We observed rapid viral clearance and very few positive results after clearance. Large-scale molecular diagnostic testing is a critical part of early detection and containment of COVID-19 in Viet Nam and will remain necessary until vaccination is widely implemented.
10.Healthcare Workers’ Knowledge and Attitudes Regarding the World Health Organization’s “My 5 Moments for Hand Hygiene”: Evidence From a Vietnamese Central General Hospital
Huy Van NGUYEN ; Hieu Trung TRAN ; Long Quynh KHUONG ; Thanh Van NGUYEN ; Na Thi Nhi HO ; An Thi Minh DAO ; Minh Van HOANG
Journal of Preventive Medicine and Public Health 2020;53(4):236-244
Objectives:
Although the World Health Organization (WHO) initiative “My 5 Moments for Hand Hygiene” has been lauded as effective in preventing hospital-associated infections, little is known about healthcare workers (HCWs)’ hand hygiene behavior. In this study, we sought to assess knowledge and attitudes towards the concepts in this initiative, as well as associated factors, among Vietnamese HCWs at a general hospital.
Methods:
A structured questionnaire was administered to HCWs at a central Vietnamese general hospital in 2015. Multiple logistic regression analysis was used to identify factors associated with HCWs’ knowledge and attitudes towards hand hygiene.
Results:
Of 120 respondents, 65.8% and 67.5% demonstrated appropriate knowledge and a positive attitude, respectively, regarding all 5 hand hygiene moments. Logistic regression indicated better knowledge of hand hygiene in workers who were over 30 years old, who were direct HCWs (rather than managers), who had frequent access to clinical information, and who received their clinical information from training. Those who worked in infectious and tropical disease wards, who had frequent access to clinical information, and who received information from training were more likely to have a positive attitude towards hand hygiene than their counterparts.
Conclusions
Although many Vietnamese HCWs displayed moderate knowledge and positive attitudes towards the WHO hand hygiene guidelines, a key gap remained. Regular education and training programs are needed to increase knowledge and to improve attitudes and practices towards hand hygiene. Furthermore, a combination of multimodal strategies and locally-adapted interventions is needed for sustainable hand hygiene adherence.


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