UBND TiNH LAo CAlSaYTE

s6Jf02 IBC-SYT

CONG HOA xA HOI CHU NGHiA VItT NAMDQc l~p - T\f do - Hl;lnh phuc

Lao Cai, ngayAf thang 8 ndm 2017

BAocAoCONG TAC Y TE THANG 8 NA.M2017

(Ticngay 211712017din 201812017)

Trong thang 08 nam 2017, Nganh Y t~ Lao Cai thuc hien cac hoat dongcong tac chuyen mon thea chi tieu k~ hoach nha mroc nam 2017 va Chuang trinhmuc tieu Y t~ - dan s6, k~t qua cu thS nhu sau:

I.TINH HINH THljC HI:¢N CONG TAc Y TE THANG 8/20171. Churrng trinh muc tieu Y t~ - dan sa1.1. Dl}'an Phong chang mQt sa b~nh co tinh chfit nguy hi~m dai vci

cQng dang- Phong chong lao, phong, sot xuat huyet:+ Kham phat hien benh nhan Lao: 248 benh nhan, liiy k~: 2.450 BN =

59,8% KH nam; phat hien BN lao moi: 13 BN, liiy k~: 177 BN dat 64,8% KH;trong do AFB + tinh: 06 BN, Iiiy k~: 104 BN dat 79,9% KH nam.

+ Kham sang 19Cbenh phong: Kham phat hien benh nhan phong: 979ngtroi (dieu tra: 447, long ghep kham sire khoe nguoi lao dong: 532), khong phathien benh nhan phong maio S6 BN dang quan ly: 19 (dang DT: 02, g/s sau DT:05; CS tan t~t: 12).

+ S6t xu~t huy~t: Mic mai: 37 ca (36 ca duqc xac dinh mic b~nh t~i naikhac, sau khi tra vS dia phuang mai phat b~nh; 01 ca mic t~i Porn Han, TPLao Cai, chua co k~t qua xet nghi~m). Dang diSu tri: 10 ca (BVDK tinh: 08,BVDK Bao Thing: 01, Bat Xat: 01); khong co truo'ng hqp til vong, cac truanghqp con l~i da kh6i va khong co di~n bi~n n~ng. K~t qua xet nghi~m: L~y m~u29/30 ca mic diSu tri t~i Lao Cai, 15 (+),07 (-), 07 m~u chua co k~t qua.

- Phong ch6ng s6t ret: Khong co BN mic trong thang, lUy k~ toan tinh:24; khong co BN s6t ret ac tinh; t6ng s6 lam, test xet nghi~m: 1.429.

- Phong ch6ng cac b~nh tang huy~t ap, dai thao duang va r6i lo~n n9iti~t, chuySn hoa khac: T6ng s6 kham: 3.735, luy k~: 28.702/35.000 luqt BN(d~t 82% KH nam); trong do: Kham nQi vi~n: 27.052/30.000 (90,2% KH);kham ngo~i vi~n: 1.650/5.000 (33% KH). T6ng s6 BN dang quan 1y diSu tri:

. 3.920 (DTD: 2.413, basedow: 560, suy giap: 249, BC dan thu~n: 06, b~nhtuy~n giap khac: 692).

- Duy tri thvc hi~n ho~t dQng bao v~ suc khoe tam th~n cQng d6ng va treem t~i 1641164 xa, phuang.

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1.2. DlJ an TH~m cluing mo' rQngTiern chung thuong xuyen trong thang: S6 tre <1 tu6i duoc TCDD: 1.210,

Iiiy k~: 8.719/14.166 (dat 61,5% s6 tre); tiem v~c xin viern gan B trong 24 giod~u sau sinh: 842/991 (dat 85%), liiy k~: 6.033/7.203 (dat 83,8% s6 tre); tiern u6nvan cho PNCT: 1.108, liiy k~ 8.581/14.200 (dat 60,4%).

1.3. D\I' an Cham soc SKSS va cai thien tinh trang dinh duo-ng tre emCham soc sire khoe sinh san: S6 PN de: 1.265, s6 PN de duoc quan ly

thai: 1.194 (94,4%); s6 PN de duoc kham thai 3 l~nl 3 thai ky: 771 (60,9%);tong s6 ba me va tre so sinh diroc cham soc sau sinh: 765 (60,4%); s6 PN deduoc can b9 y t~ do': l.115 dat 88,1%. Co 02 ca m~c tai bi~n san khoa do banghuyet va san giat, khong co truong hop tir vong me,

Cai thien tinh trang dinh duong tre em: T6 chirc can, do va thea doi tangtnrong cho tre em <5 tuoi bi suy dinh dirong, s6 tre em <5 tu6i dii thoat khoisuy dinh duong: 167. S6 PNCT duoc uong vien sat/vien da vi chat: 1.404.

1.4. DlJ an Dan sa - KHHGDTi~p nhan, c~p phat cac phuong ti~n tranh thai, d\f tru thu6c, v~t tu c~p

phat cho cac dich vv KHHGD. Tri~n khai cac ho~t d9ng sang I9C tru6c sinhcho 523 truang hQ'p, phat hi~n 07 truang hQ'p di t~t thai nhi, dii th\fc hi~n tuv~n va dinh chi thai nghen; sang 19Cso sinh 42 truang hQ'p, 03 truang hQ'pnghi nga thi~u men G6PD.

Duy tri ho~t d9ng mo hinh giam tinh tr~ng tao hon va k~t hon c~n huy~tt~i 14 xii cua 07 huy~n; ti~p tvc th\fc hi~n khao sat s6 li~u d~u vao 02 xii tri~nkhai m6i (Phong Hai - Bao Th~ng; Hoang Thu Ph6 - B~c Ha). Th\fc hi~n ho~td9ng D~ an giam tinh tr~ng m~t can b~ng gi6i tinh khi sinh t~i 100% xii,phuang. Giam sat tri~n khai D~ an Giam tinh tr:;mgm~t can b~ng gi6i tinh khisinh t~i 104 cau l~c b9.

Bi~n d9ng dan s6 d~n thang 7/2017: T6ng s6 tre sinh ra: 7.138, s6 nfr:3.278, ty s6 gi6i tinh khi sinh: 117,7 tre traillOO tre gai; s6 sinh con thu 3 tralen Ia 977, ty l~ sinh con thu 3 (+): 13,69%.

1.5. DlJ an Dam bao an toan v~ sinh thlJc ph~mTrong thang xay ra 01 VVng9 d9C th\fc ph~m c~p tinh t~i thon Ban T~p 3,

xii Bao Ha, huy~n Bao Yen lam 01 nguai m~c va tu vong. Thuc an nguyen nhan:Thit cac (gan, trtrng coc). Can nguyen:D9c t6 t\f nhien co trong gan, trtrng coco

Th\fc hi~n cong tac ki~m tra ATTP t~i 186 co sa tren dia ban toan tinh:142 co sa d~t TCVS (76,3%); 44 co sa khong d~t su dVng khu V\fCch~ bi~nkhong dam bao v~ sinh, khong co dVng cv che n~ng, mua, ngan con trung vad9ng v~t gay h~i; xu ly hanh chinh 09 co sa.

Test nhanh 141 m~u, 137/141 m~u d~t, 04 m~u khong d~t duong tinh v6iPhoac mon; ki~m nghi~m Labo 09 m~u , 100% m~u d~t.

C~p 18 Gi~y chung nh~n co sa du di~u ki~n VSATTP; ky cam k~t dambao ATTP d6i v6i 47 co sa dich vv an u6ng va thuc an duang ph6; c~p Gi~y

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tiep nhan ban cong b6 hop quy cho 03 san pham; xac nhan kiSn thirc ATTP cho84 ca nhan.

1.6. DlJ an Phong chang HIV/AIDS- Thong tin, giao due va truyen thong: PTTT dai chung: 87 bu6il 657

phut; true tiep tai xa, phuong trong diSm: 57 bu6il 1.442 nguoi tham gia; taixa, phuorig khac: 124 bu6il 2.574 nguoi; tai cau lac bo: 52 buoi/ 290 nguoi.

- Can thiep giam tac hai du phong lay nhiern HIV/AIDS: S6 ngiroinghien chich ma tuy duoc tiep can: 5.858 luot; s6 phu nu mai dam duoc tiepcan: 218 luot; cap phat: BKT sach: 72.297 chiec, bao cao su: 7.287 chiSc.

- H6 tro di~u tri HIV/AIDS: S6 nguoi nhiem HIV/AIDS quan ly: l.302, s6benh nhan nhan thuoc: 826, lily kS: 1.341. S6 phu nu mang thai duoc tir van, xetnghiem va tro lai nhan kSt qua: 830.

f)i~u tri thay thS nghien cac ch~t d';1ng thu6c phi~n b&ng thu6cMethadone t';1i07 ca sa: S6 BN dang di~u tri: 1.572/1.950 (d';1t80,6% KH),tinh rieng nganh y tS: 1.19111.425 (d';1t 83,6%), hlY tich BN di~u tri:1.89511.425.

- Tinh hinh dich HIV tren dia b~m tinh: S6 BN nhi~m HIV mai phathi~n: 15 (lily kS: 2.955 nguai), s6 nguai nhi~m HIV con s6ng: 1.507; s6 b~nhnhan AIDS mai: 09 (lily kS: 2.326 nguai), s6 b~nh nhan AIDS con s6ng: 878;s6 BN AIDS tu vong: 01, lily kS s6 b~nh nhan AIDS tu vong: 1.448; dam baoan toan truy~n mau 100% dan vi mau duqc sang lQcHIV truac khi truy~n.

2. K~t qua cae cong tac chuyen mon, chuyen nganh2.1. Cong tac phong chang dich b~nh, thien tai, tham hQaCong tac giam sat dich b~nh duqc duy tri thuang xuyen, chi d';1okip thai

cong tac giam sat, kiSm tra va phong ch6ng cac dich b~nh noi chung, chu trQngdich b~nh luu hanh t';1idia phuang, canh bao nguy ca b~nh cac b~nh thea mua,dich b~nh viem nao, dich b~nh s6t xu~t huy~t va cac dich b~nh nguy hiSm khac.f)~y m';1nhhO';1tdQng giam sat dich b~nh, duy tri cac tb giam sat dich b~nh,thuang tn,rc cong tac phong ch6ng dich b~nh, thien tai tham hQa.

Tinh hinh dich b~nh trong thang 07: Khong xay ra cac dich b~nh nguyhiSm; mQt s6 b~nh truy~n nhi~m nhu cum mua, tieu chay, tay chan mi~ng, thuyd~u xay ra rai rac t';1icac huy~n, thanh ph6 duqc giam sat phat hi~n, di~u tri kipthai khoi b~nh. Phat hi~n 13 ca viem nao vi rut t';1icac huy~n Van Ban, Sa Pa,Bat Xat, Muang Khuang trong do l~y m~u 10 ca, 07 ca (+) vai viem nao Nh~tBan B; IllY kS toan tinh: 22 ca; dang di~u tri: 03 ca t';1iB~nh vi~n San Nhi. Cacca b~nh con l';1ida khoi va khong co di~n biSn n~ng.

Sa Y tS da chi d';1Ocac dan vi y tS tang cuo'ng cong tac truy~n thongphong ch6ng b~nh S6t xu~t huyst va Viem nao virus, thvc hi~n phun hoa c~~tt';1igia dinh, khu dong dfm cu, vung nguy ca cao. Tang cua~g cong tac kiemtra, giam sat nh&m phat hi~n sam, di~u tri kip thai, khong de b~nh bung phattren di~n rQng.

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Truce tinh hinh thien tai bao W co di~n bi~n phirc tap, nganh y t~ tieptuc thuc hien chu dong co s6 thu6c va nhan lire s~n sang dap irng cho cong tacc~p ctru, dieu tri nan nhan; s~n sang phuong tien c~n thiet, thuoc cho cong tacphong chong dich benh trong va sau mira W; bao cao nhanh tinh hinh thien taitham hoa thea dirong day n6ng.

S6 phoi nhiem da tiem v~c xin phong dai: 207 ngiroi, lily k~: 1.365nguoi; tiern huyet thanh khang dai: 25 nguoi, liiy k~: 187 nguoi, khong cotnrong hop ur vong nghi do benh dai,

(Th6ng ke cac benh truyen nhiim gay dich chi titt tai Phu luc s6 1).2.2. Cong tac kham chua b~nhT6 chirc t6t cong tac kham chua benh a cac tuyen; kham chua b~nh bao

hiSm y t~, kham chua b~nh cho nguai ngheo, c~n ngheo, tre em du6i 6 tu6i duqcquan tam thuang xuyen.

Cong tac KCB BHYT duqc dam bao; thvc hi~n d~y du vi~c chuySn dfrli~u kham chua b~nh BHYT len h~ th6ng thong tin giam dinh BHYT theadung quy dinh dS dam bao vi~c t(;lmung, thanh toan chi phi cho cac dan vi·

Dam bao cong tac y t~ cho cac sv ki~n duqc t6 chuc tren dia ban tinh:Giai C~u long tinh Lao Cai, Giai Wushu tre toan qu6c, Giai B6ng ban tre toanqu6c, LS ky ni~m 70 num Ngay thuong binh li~t sy.

C~p chung chi hanh nghS: C~p m6i: 06, c~p l(;li:04.Cong su~t su d\lng giucmg b~nh binh quan trong toan tinh la 135,2%;

trong do t(;lituy~n b~nh vi~n: 142,6%, PKDKKV: 95,8%.(Th6ng ke tinh hinh kham chua b¢nh trang thang chi tzit tgi Ph1;l/1;lc2).2.3. Ho~t d<)ng ki~m dich y t~ bien gi&iKiSm tra y t~: Phuong ti~n v~n chuySn hang hoa xu~t nh~p canh (XNC):

14.247 phuong ti~n; khach XNC: 28.242 luqt. Xu ly y t~: 8.013 luqt phuongti~n nh~p canh; phun khu trung 21 l~n t(;likhu vvc cua kh~u, khu kiSm hoa;222 luqt nguai qua l(;libien gi6i duqc ap d\lng bi~n phap dv phong b~nh s6tret. Khong phat hi~n truang hqp m~c b~nh kiSm dich y t~ qu6c t~.

2.4. Truy~n thong - GDSKTuyen truySn tren phuang ti~n thong tin d(;li chung: 180 tin, bai, anh;

tren Bao Lao Cai: 23 tin, bai, anh; tren C6ng thong tin di~n tu cua nganh: 53;tuyen truySn tren song truySn hinh, phM thanh huy~n, thanh ph6: 70 luqt; trenh~ th6ng loa truySn thanh xa: 1.674 luqt; truySn thong trvc ti~p t(;licQng d6ng33.330 l~n v6i 57.939 lugt ngmJi tham gia. NQi dung tuyen truySn: Cong tacchi d(;lOdiSu hanh cua Sa Y t~, ph6 bi~n ki~n thuc dam bao ATVSTP, phongch6ng b~nh theo mua, b~nh phM sinh sau thien tai tham h9a; phong ch6ng tach(;lithu6c la, phong ch6ng b~nh s6t xu~t huy~t, lien c~u 19n, viem nao ...

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2.5. Cfmg tac Giam dinh y khoa va Phap yGiam dinh y khoa: Giam dinh cho 75 d6i tuong, trong do: HUll tri: 44, tai nan

lao dong: 13, v~t thuong tai phat: 01, tu~t: 02, khuyet tat: 12, ch~t d9Choa hoc: 02,thea yeu c~u: 01.

Giam dinh phap y: Thuong tich: 15 ca, tir thi: 14 ca.2.6. Cong tac bao v~ cham soc SU'C khoe can bQ dien tinh quanTrong thang, tong s6 kham: 330 luot, trong do kham thirong ky: 245,

vao vien diSu tri: 74, chuyen tuyen trung uong: 11.2.7. Cong tac diro'cCong tac d~u th~u thuoc: Dang tong hop nhu c~u thuoc d~u th~u nam

2018 cua cac dan vi y t~.Thong bao dinh chi hru hanh 23 my pham, thu h6i 43 s6 tiep nhan Phi~u

cong b6 san pham my pham thea thong bao cua C\lCQuan 1y DUQ"c.C~p 04 Chung chi hanh nghe DUQ"c;02 Giay chirng nhan du diSu ki~n

kinh doanh thu6c; 02 Gi~y CN thvc hanh t6t nha thu6c. Thu h6i Gi~y chungnh~n du diSu ki~n kinh doanh dUQ"Cva Gi~y chung nh~n d<:ttnguyen t~c thvchanh t6t nha thu6c cua 03 ca sa.

Dap ung nhu c~u thu6c, v~t tu y t~ cho kham chua b~nh, phong ch6ngdich b~nh va ung cuu thien tai thilln hQa.

2.8. Cong tac ki~m nghi~mL~y 44 m~u (duQ"cph~m: 39, phan tich d9C ch~t: 05). Cong tac ky thu~t:

DuQ'c ph~m: 48 (09 m~u chuySn tu thang 07/2017) trong do: D<:ttch~t lUQ"ng:36, dang kiSm nghi~m: 12; phan tich d9C ch~t: 05/05 m~u kh6ng co d9C ch~t.

2.9. Cong tac thanh tra, giai quy~t khi~u n~i, tB cao va phong chBngtham nhung

Thvc hi~n 02 CU9Cthanh, kiSm tra cong tac y t~ v6i 04 ca nhan t<:tihuy~nSa Pa; ph6i hQ'p tham gia 01 cUQcthanh tra chuyen nganh vS vi~c ch~p hanhcac quy dinh cua phap lu~t vS phong ch6ng rna tuy t<:tiUBND c~p huy~n, x§ vacac trung tam cai nghi~n thea QD cua Cong an tinh. S6 vi ph<:tm:01 ca nhan,d§ thvc hi~n nh~c nha.

Cac dan vi thvc hi~n: 03 CU9CkiSm tra; s6 ca sa dUQ"cthanh, kiSm tra:30 (17 TC, 13 eN); s6 vi ph<:tm:04 CN, 01 TC, d§ thvc hi~n xu ly hanh chinh06 ca so.

Ti~p nh~n 01 dan khi~u n<:ti,01 dan t6 cao, dang giai quy~t.II. cAc HO~T DQNG KHAcD~y m<:tnhcong tac chu~n bi cho diSn t~p khu vvc phong thu c~p tinh

nam2017.Thvc hi~n giam sat hO<:ttd9ng cua cac b~nh vi~n, TTYT va tr<:tmy t~ cac

huy~n, TP tren dia ban tinh.Duy tri va d~y m<:tnhcac ho<:ttd9ng doan thS

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III. DANH GIA CHUNGThang 08 nam 2017, Nganh Y tS tiSp tuc d~y manh thuc hien kS hoach

cong tac nam; cong tac chi dao di~u hanh kip thai, cu thS cho tung linh vue,cac du an Chuang trinh muc tieu y tS - dan s6 va heat dong chuyen mono

Tang cuong cong tac giam sat dich benh nguy hiSm nhu: S6t xu§.t huyet,benh u~u nho do vi rut zika, viem nao virus, ta, soi, cum A/H5N 1, cumA/H7N9, bach hau, ... phong chong dich benh thea mila; s~n sang dap irng kipthai, d~y du phuang tien, h6a chat, thuoc, nhan lire cho phong chong dichbenh, thien tai tham hoa. Thuc hien t6t cong tac tiern v~c xin dinh ky cho treem. Tang cuong kiem tra duoc, my pham, Dam bao VSATTP, s~n sang irngph6 kip thai, hieu qua voi thien tai, tham hoa xay ra tren dia ban tinh.

Kham chua b~nh duQ'c duy tri t6t a cac tuySn; cong su§.t Slr d\lng giuangb~nh cao, binh quan t?-ib~nh vi~n la 142,6%, PKDKKV la 95,8%. Kham chuab~nh BHYT duQ'c quan tam, thu~n lQ'icho nguai b~nh Slr d\lng dich V\ly tS.

Cong tac dang, uoan thS duQ'c quan tam th\}'c hi~n; duy tri t6t cac phongtrao thi dua, giao d\lc y duc cho can b9 nhan vien trong toan nganh.

IV. NHI~M Vl) CHU YEU THANG 9/20171. T~p trung d~y m?-nh tiSn d9 KS ho?-ch s6 26/KH-UBND ngay

20101/2017 cua UBND tinh vS thvc hi~n DS an Phat triSn y tS, cham s6c vanang cao suc khoe nhan dan nam 2017.

2. Huy d9ng lvc luQ'llgtham gia luy~n t~p va hoan thanh nhi~m V\ldiSn t~pkhu vvc phong thu tinh Lao Cai nam 2017.

3. Don d6c tang cuang cac bi~n phap giam sat, phong ch6ng dich b~nhnguy hiSm, d~c bi~t la b~nh s6t xu§.t huySt cac b~nh dich luu hanh c6 tinh ch§.tdia phuang; chu d9ng trong phong ch6ng b~nh dich, thien tai tham hQa.

4. Chu d9ng thvc hi~n Chuang trinh m\lc tieu y tS - dan s6; d~y m?-nhho?-t d9ng cham s6c suc khoe ba mtf - tre em, chiSn dich l6ng ghep, tang cuangcac ho?-t d9ng cong tac dan s6 - KHHGD.

5. D~y m?-nh nhi~m V\lbao dam an toan VSTP, tang cuang cong tac kiSmtra, nang cao trach nhi~m cua cac nganh cac c§.ptrong thvc hi~n tren dia ban tinh.

6. Phat triSn dich V\ly tS, tang cuang dich V\l kham chua b~nh vilng kh6khan, nang cao ch§.t lUQ'ngdich V\l, tiSp t\lC thvc hi~n cac giai phap ch6ng quatai b~nh vi~n; chu d9ng, ph6i hQ'pcac nganh lien quan thao gO'kh6 khan trongkham chua b~nh BHYT; don d6c thvc hi~n DS an tv chu cua cac b~nh vi~n.

7. D~y m?-nh nhi~m V\lnang cao ch§.t lUQ'ngho?-t d9ng tr?-m y tS, cac giaiphap ph§.n d§.ud?-ttieu chi qu6c gia vS y tS xa va xay dVng nong thon maio

8. Dam bao h~u c~n, thu6c, v~t tu y tS cho phong b~nh, chua b~nh vaphong ch6ng thien tai tham hQa; tang cuang thanh kiSm tra bao dam ho?-t d9ngdung phap lu~t va nang cao ch§.t lUQ'ngdich V\l.

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9. Ra soat, dS xu~t thao gO' kh6 khan vuong mac trong hoat dong d~u nr,d~y nhanh tien d9 cac cong trinh va giai ngan hieu qua kS hoach von nam2017.

10. Duy tri, d~y manh cac hoat dong doan thS, phong trao thi dua.

Not nh~n:- TT.TU, HDND, UBND tinh;- BQ Y tS;- Ban Chi dao Tay B~e;- Ban Tuyen giao Tinh uy;- Ban Dan v~n Tinh uy;- Ban VHXH (HDND tinh);- S6' KH&DT; Cue Thong ke;- Ban Giam d6e ;- Cac dun vi y tS (email);- Cong thong tin f:'~n ttl"SYT (email);- Liru KHTC,VT. ""~-----

GIAMDOC

Nong Ti~n Cirong

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Phu luc 1: Tong hop benh f"'-1Uc~n nhiern trong thang 08 nam 2017.• . ~ .. w~

~0'TT I ~n§6 .I;~ 8 thang 2017 8 thang 2016zt ,::.

1 Bach Hau IJ y ,... If: 0 0"2 B~i Li~t \.~ L-J 0 0

3 B~nh do Lien cau lQ1l~) 511 0

4 Benh do vi rut Adeno 567 540

5 Cum 7859 14603

6 Cum A(H5Nl) 0 0

7 CumA(H7N9) 0 0

8 D~i 0 0

9 Ho ga 5 010 Lao phoi 50 011 Ly'A mip • 31 9112 Ly. tnrc trung l ,80 23813 Quai bi

. ·840 1375

14 Rubella (Rubeon) 0 0

15 Soi 4 31

16 Sot ret 1 1217 Sot xuat huyet Dengue 36 0

18 Ta 0 0

19 Tay - Chan - Mieng 35 399

20 Thuy d~u 609 720

21 Tieu chay 2963 5459

22 Uon van khac (M/C) 4/1 111

23 Uon van sa sinh (M/C) 411 111

24 Viern duong ho hap Trung dong (MERS-Cov) 0 0

25 Viem gan vi rut A 3 0

26 Viem gan vi rut B 53 0

27 Viem gan vi rut C 25 0

28 Viem gan vi rut khac 9 186

29 Viem mang nao do nao mo cau 1 0

30 Viern nao Nhat Ban 10 0

31 Viem nao vi rut khac (M/C) 12 42/3

32 Xoan khuan vang da (Leptospira) 1 0

33 Zika 0 0

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