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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