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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
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
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
Under weight malnutrition children < 5: 28.4%
Fully vaccinated (%): 96.7 % of communes with MD: 65.4 % of communes have communal health
workers: 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
National surveillance system
Goals
To reduce the adverse impact of communicable disease on health and social and economic status in Vietnam.
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.
64 Centers for preventive medicine
at provincial level
3 Centers for Occupational and
Environmental health
20 Centers for social
Diseases control
659 district health centers(preventive medicine teams)
29 Centers for malaria control
-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 andPublic health-Nutritional institute
-National institute of Malaria-parasitological- Entomology-Sub-institute of Malaria-parasitological- Entomology in HCMC-Institute of Malaria-parasitological- Entomology in Quinhon
-National center for quality control of Biological (Cencobi)- Poliovac center-Vaccine institute in Nhatrang- Company for production of vaccines and biological No.1
Ministry of health
G.Dept.of preventive medicine
7 Frontier health
Quarantine
centers
Surveillance system for communicable disease in Vietnam
Ministry of healthGeneral dept. of preventive medicine & HIV/aids control
NIHE
General clinics, children clinics, infectious clinics
Central hospitals
Regional Surveillance UnitRegional HE/Pasteur Institutes
Pediatrics, infectious wardsCentral hospitals
General clinics, children clinics, infectious clinics
Provincial hospitals
Surveillance UnitProvincial Preventive
Medicine Centers
Pediatrics, infectious wardsProvincial hospitals
General clinics, children clinics, infectious clinics
District hospitals Private clinics
Surveillance Unit District surveillance teams
Commune medical station
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,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)
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
Principles
Regional institutes responsible for provinces in region.
Centre for Preventive Medicine implements surveillance activities.
District Preventive Medicine Team usually take surveillance action in the field and clinic, hospital, it is important for the early warning systems in area.
Principles
Urgent report for outbreaks: Within 24 hours.
Routine report: - Weekly report
- Monthly report
Annual report
Number of SARS cases by day as of April 28,2003
1
0 0 0 0
1 1
12
7 7
3
2
6
1 1
3
0
1 1 1
6
0
1
2
0
1
0 0 0 0 0 0 0 0 0 0 0
1
0
1
0
1
2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
25/0
226
/02
27/0
228
/02
01/0
302
/03
03/0
304
/03
05/0
306
/03
07/0
308
/03
09/0
310
/03
11/0
312
/03
13/0
314
/03
15/0
316
/03
17/0
318
/03
19/0
320
/03
21/0
322
/03
23/0
324
/03
25/0
326
/03
27/0
328
/03
29/0
330
/03
31/0
301
/04
02/0
403
/04
04/0
405
/04
06/0
407
/04
08/0
409
/04
10/0
411
/04
12/0
413
/04
14/0
415
/04
16/0
417
/04
18/0
419
/04
20/0
421
/04
22/0
423
/04
24/0
425
/04
26/0
427
/04
28/0
4
Reporting periods
Urgent report
Weekly report
Monthly report
Diseases: SARS, H5N1, Cholera, Plague, any outbreak.
SARS, H5N1, Cholera, Typhoid, Plague, DF/DHE, Measles.
26 diseases
How to report:
Telephone, Fax.
Fax, official letter, Email
Fax, official letter, Email
Other EWARS
NAMRU – 2
Rumor: Press, newspaper, unofficial.
Pro-MED
Location of database system
Centre for Preventive Medicine at province level.
Regional Institutes.
Communicable diseases Division – MHO.
Existing analysis tools
Routine surveillance data:
- Excel
- EPI-INFO
- GIS Research data:
- STATA
- SPSS.
Distribution of sars in vietnam
Ha Noi
Ninh Binh
Future plan
Strategy up to 2010– Electronic data transmission.– Standardize database network.– FETP Training .– Laboratory verification.– Improve communication.
recommendations
1. Establish mechanism for collaboration between ministries and international organizations 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.
recommendations
3. Establish information system, diseases report in the MBDS countries and with WHO. Establish website to inform and exchange experiences on communicable disease control.
4. Collaborate in study of epidemiologic characters of dangerous diseases such as SARS, influenza A (H5N1); establish Regional Center to research influenza.
Recommended