situation of avian influenza a(h5n1) in vietnam and role of national institute of hygiene and...
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Situation of Avian Influenza A(H5N1) in Situation of Avian Influenza A(H5N1) in VIETNAM VIETNAM
and role of National Institute of and role of National Institute of hygiene and epidemiology, hanoi, hygiene and epidemiology, hanoi,
vietnamvietnam
Dr. Nguyen thi Hong hanhDr. Nguyen thi Hong hanh
nihe,hanoi,vietnamnihe,hanoi,vietnam
ContentsContents
Situation of Avian Influenza A(H5N1).Situation of Avian Influenza A(H5N1). Role of National Institute of Role of National Institute of
Hygiene and epidemiologyHygiene and epidemiology in in Vietnam.Vietnam.
Situation of Avian Influenza Situation of Avian Influenza A(H5N1)A(H5N1)
General Information about vietnamGeneral Information about vietnam
Area:Area: 332,600 km2332,600 km2 Provinces:Provinces: 6464 Districts:Districts: 668668 Communes/wards: Communes/wards:
10,73210,732 Population: Population: 82 82
millionsmillions
THE GROWTH OF POUTRY RAISING IN VIETNAM
million
Total
Chicken
Duck
Total
Chicken
Duck
POULTRY RAISING STRUCTUREPOULTRY RAISING STRUCTURE
Poultry raising at small scale: back-yards Poultry raising at small scale: back-yards and small farms: 65%.and small farms: 65%.
Poultry raising at semi-industry: 20%.Poultry raising at semi-industry: 20%. Poultry raising at industry: 15%.Poultry raising at industry: 15%. Annual growth rate: 6,5%.Annual growth rate: 6,5%.
AVIAN INFLUENZA AVIAN INFLUENZA SITUATION IN SITUATION IN
VIETNAM, DEC 2003 – VIETNAM, DEC 2003 – january 2006january 2006
3 epidemic waves of avian 3 epidemic waves of avian influenza A/H5N1.influenza A/H5N1.
61 provinces reported 61 provinces reported outbreaks in poultry; 44.5 outbreaks in poultry; 44.5 million poultry killed among million poultry killed among more than 250 millions more than 250 millions poultry population.poultry population.
32 provinces32 provinces have human have human cases; Total 93 cases, 42 cases; Total 93 cases, 42 deaths (CFR: 45,2%).deaths (CFR: 45,2%).
map of avian flu in vietnammap of avian flu in vietnam
present timepresent time
until now:until now: - Last case A(H5N1) 13 november 2005.- Last case A(H5N1) 13 november 2005. - From 14/11/2005 untill 13/01/2006, not any - From 14/11/2005 untill 13/01/2006, not any
case is confirmed case is confirmed From 8 january 2006 until now in the From 8 january 2006 until now in the
Vietnam free of Avian InfluenzaVietnam free of Avian Influenza
MAGNITUDE OF THE EPIDEMIC
1st epidemic
2nd epidemic
3rd epidemic
11STST AI EPIDEMIC: AFFECTED COMMUNES AI EPIDEMIC: AFFECTED COMMUNES AND RIVER NETWORKAND RIVER NETWORK
rivers outbreaks
Nam §inh (1/1)* Dec 2003
Timeline and Geographic Timeline and Geographic
distribution of h5n1 cases distribution of h5n1 cases
in Vietnamin Vietnam
Bac Ninh (2/1) Jan 2004
Bac Giang (1/0) Jan 2004
Thai Binh (2/2)* Jan 2004Ha Tay (1/1) Jan 2004
HCM City (3/1) Jan 2004
Tay Ninh (2/2) Jan 2004
Soc Trang (1/1) Jan 2004
Dong Nai (2/1) Jan 2004
Lam Dong (4/3) Jan 2004
Binh Phuoc (1/1) Jan 2004
Thanh Hoa (1/0) Feb 2004
Ha Nam(2/2) Dec 2003
57 provinces had poultry outbreaks; 43.9 million poultry killed. 13 provinces have human outbreaks; 23 cases, 16 deaths; CFR: 69.6%.
wave 1: from dec 2003 to mar 2004wave 1: from dec 2003 to mar 2004
17 provinces reported poultry outbreaks; 84,000 poultry killed). 3 provinces had human outbreaks; 4 cases, 4 deaths; CFR: 100%.
Hau Giang (1/1) Aug 2004
Timeline and Geographic Timeline and Geographic
distribution of h5n1 distribution of h5n1
cases in Vietnamcases in Vietnam
wave 2: from July 2004 to aug wave 2: from July 2004 to aug
20042004
Ha Noi (1/1) Aug 2004
Ha Tay (2/2) Jul 2004
Timeline and geographic Timeline and geographic
distribution of h5n1 distribution of h5n1
cases, in Vietnamcases, in VietnamThaiBinh (8/2) Dec 2004
Tay Ninh (3/3) Dec 2004
Dong Thap (3/3) Dec 2004
Tra Vinh (2/2) Dec 2004Hau Giang (2/2) Dec 2004
Tien Giang (1/1) Jan 2005
Long An (1/1) Jan 2005
Bac Lieu (1/1) Jan 2005
Nam §inh (1/1) Mar 2005
Ha Tay (2/1) Mar 2005
Quang Binh (5/0) Mar 2005
Ha Tinh (1/0) Mar 2005
Hai Phong (7/0) Mar 2005
Quang Tri (2/0) Mar 2005
Quang Ninh (1/1)Mar 2005
36 provinces have poultry outbreaks; 470,000 poultry killed.25 provinces have human outbreaks; 66 cases, 22 deaths; CFR: 33.3%).
wave 3: from dec 2004 wave 3: from dec 2004
until nowuntil now
Ha Noi (8/2) Jan 2005
Hung Yen (2/0) Jan 2005
Phu Tho (1/1) Jan 2005
Yen Bai (1/ 0) Apr 2005
NUMBER OF AVIAN INFLUENZA CASES NUMBER OF AVIAN INFLUENZA CASES AND DEATHS BY MONTHAND DEATHS BY MONTH
0
2
4
6
8
10
12
14
16
18
20
Month/Year
Case Death
DISTRIBUTION OF CASES AND DISTRIBUTION OF CASES AND
DEATHS BY AGE GROUPDEATHS BY AGE GROUP
distribution of death by age group distribution of death by age group
Tuæi
1615
22
17
4
9
3 3
16
8
47
2 0 1 00
5
10
15
20
25
30
0-9 10-19 20-29 30-39 40-49 50-59 60-69 >70
Case Death
number of avian influenza cases number of avian influenza cases and deaths by genderand deaths by gender
Death by gender
50%50%
Male
Female
Case by gender
54%
46%
Male
Female
family-clusters of h5n1 cases in some family-clusters of h5n1 cases in some
northern provinces, Wave 1 (2003-2004)northern provinces, Wave 1 (2003-2004)
Em g¸iEm g¸i
Thai BinhHa Nam
Nam Dinh
Hai Phong
Hai Duong
Ninh Binh
Hung Yen
20 Dec 2003
Nghia Loi, Nghia Hung
1. D. T. H (patient-unconfirmed)
2. D.V. T (brother)
26 Dec 2003
Thanh Ha, Thanh Liem
1. P.T.V (patient)
2. P. T. B (mother)
6 Jan 2004,
De Tham, Thai Binh city
1. N.L. H (patient-unconfirmed)
2. N.L. H (sister)
3. N.L H (sister)
Thai Binh
Vu Thu
Thai Thuy
Tien Hai
Hung Ha
Quynh Phu
Kien Xuong
Dong Hung
Thai Binh town
Thaibinh.shpDistrict.shp
N
EW
S
FAMILY-CLUSTERS OF H5N1 CASES FAMILY-CLUSTERS OF H5N1 CASES IN THAI BINH PROVINCE, WAVE 3 (2004-2005)IN THAI BINH PROVINCE, WAVE 3 (2004-2005)
26 Dec 2004
Nam Cao, Kien Xuong
1. N. H. V (patient)
2. N.H. H (brother)
3. N. H. H (brother-carrier)
14 Feb 2005
Thuy Luong, Thai Thuy
1. N. S. T (patient)
2. N. T. N (sister)
3. N. H. K (grandfather-carrier)
4. N. D. T (HCW)
19 Feb 2005
Quyet Tien, Kien Xuong
1. P.K.T (patient)
2. L.T. Them (wife-carrier)
Thai Binh
Hai Phong
Hai Duong
21 Mar 2005
Hung Dao, Kien Thuy
1. V. V. S (patient)
2. N. T. L (wife)
3. V. T. N (daughter)
4. V. T. T (daughter)
5. V. T. D (daughter)
Family-cluster of H5N1 cases Family-cluster of H5N1 cases in hai phong city, Wave 3 (2004-2005)in hai phong city, Wave 3 (2004-2005)
REMARKS ON EPIDEMIC SITUATIONREMARKS ON EPIDEMIC SITUATION11. . Epidemics among poultryEpidemics among poultry
– Linked with two main river systems (Red Linked with two main river systems (Red and Mekong delta) – high density of ducksand Mekong delta) – high density of ducks
– 22ndnd and 3 and 3rdrd epidemics: only small farm epidemics: only small farm affected., more ducks infected than affected., more ducks infected than chickens.chickens.
2. H5N1 viruses seem to be more infectious for 2. H5N1 viruses seem to be more infectious for people:people:– Human cases occured sporadically in Human cases occured sporadically in
more provinces.more provinces.– Human cases occured in all age Human cases occured in all age
groups, with the increasing mean groups, with the increasing mean age.age.
3. Majority of human cases have 3. Majority of human cases have exposured history to infected poultry.exposured history to infected poultry.
REMARKS ON EPIDEMIC SITUATIONREMARKS ON EPIDEMIC SITUATION
4. Disease patterns is changing: 4. Disease patterns is changing: Clinical symptoms become Clinical symptoms become milder, more asymptomatic milder, more asymptomatic cases; case-fatality rate is cases; case-fatality rate is decreased.decreased.
5. Genetic factors may play very 5. Genetic factors may play very important role in susceptibility to the important role in susceptibility to the virus.virus.
REMARKS ON EPIDEMIC SITUATIONREMARKS ON EPIDEMIC SITUATION
6. No clear evidence of human to human 6. No clear evidence of human to human transmission is available, but it’s possibility transmission is available, but it’s possibility should be considered :should be considered :
Number of human cases increased, including Number of human cases increased, including number of healthy carriers.number of healthy carriers.
Number of infected family cluster is increasingNumber of infected family cluster is increasing Number of infected individuals in each family Number of infected individuals in each family
cluster is increasing.cluster is increasing. Some cases without clear exposure history to Some cases without clear exposure history to
sick poultry.sick poultry.
REMARKS ON EPIDEMIC SITUATIONREMARKS ON EPIDEMIC SITUATION
7.Virus may have slightly changed it‘s 7.Virus may have slightly changed it‘s antigenicity and pathogenicity:antigenicity and pathogenicity:
HA gene homogeneity reduced from 99.1% HA gene homogeneity reduced from 99.1% in 2004 to 98.2% in 2005.in 2004 to 98.2% in 2005.
One amino acid deletion occurred in the One amino acid deletion occurred in the multi-basic amino acid cluster (cleavage multi-basic amino acid cluster (cleavage site), which may be associated with site), which may be associated with reduced pathogenicity.reduced pathogenicity.
RESPONSESRESPONSES
1.1. National and Provincial Steering National and Provincial Steering Committee for AI epidemic prevention Committee for AI epidemic prevention and control and control (as SARS Committee)(as SARS Committee)
– The leadership of the Communist Party, and The leadership of the Communist Party, and Government.Government.
– Meeting every two weeks, especially every day Meeting every two weeks, especially every day during intensive epidemic.during intensive epidemic.
2. Set up the system for the 2. Set up the system for the identification, investigation, diagnosis identification, investigation, diagnosis and treatment of AIand treatment of AI
– Enhancing the community-based surveillance Enhancing the community-based surveillance system by providing financial incentives for AHWssystem by providing financial incentives for AHWs
– Cooperation closely with Public Health authorities. Cooperation closely with Public Health authorities.
STRUCTURE OF THE NATIONAL STEERING COMMITTEE STRUCTURE OF THE NATIONAL STEERING COMMITTEE FOR SARS CONTROLFOR SARS CONTROL
national steering committee
1. Chairperson: Minister of Health. 2. Member: Ministry of Foreign Affaires, Culture and Information, Social Security, Defense, Finance, Communication and Transport, General Department of Tourism, Office of the Government
Sub-committeefor logistic
1. Chair: Director, Dept. of planning and Finance
2. Members:Office of MOH, Dept. of Personnel & Organization, Dept. Medical Equipment & Health Programes, Dept. of Drug Administration, Dept . of International Cooperation
Sub-committee for Therapy
1. Chair: Director Dept. of Therapy - MOH
2. Members: B¹ch Mai Hospital Institute for Clinical- Research in Tropical-Medicine.Dept. of Science and Training
sub-committee for surveillance
and control1. Chairperson: Director, General Department for Preventive Medicine and HIV/AIDS Control2. Members: NIHE,Dept.of Military Health ,Military IHEDept. of Immigration,Detention Service,Border Defense command,Communication & Transport, General Dept of Tourism
Sub-committee for education
1.Chair: Director, Dept. of – Legislation - MOH
2. Members:- Dept. of International CooperationCenter for Health Communication and Education, Ministry of Foreign Affairs, Ministry of Culture and Information, Vietnam News Agency, People’s Newspaper,Vietnam Voice
RESPONSESRESPONSES
Strengthening of disease surveillance.Strengthening of disease surveillance.– Upgrading diagnostic capability.Upgrading diagnostic capability.– Improving disease reporting system.Improving disease reporting system.
3. Extensive IEC on 4 measures for AI 3. Extensive IEC on 4 measures for AI prevention and control: prevention and control: mass media mass media (newspaper, TV, internet....), (newspaper, TV, internet....), distribution of distribution of pamphlets, booklets.pamphlets, booklets.
3.1 Early detection of poultry epidemic 3.1 Early detection of poultry epidemic and inform the local authorities.and inform the local authorities.
– Culling of all birds in flocks if found sero-Culling of all birds in flocks if found sero-positive with H5N1 virus or virus isolated. positive with H5N1 virus or virus isolated. Compensation for farmers.Compensation for farmers.
CONSTRAINTS/CHALLENGESCONSTRAINTS/CHALLENGES
A/H5N1 avian influenza is a nA/H5N1 avian influenza is a new and emerging ew and emerging disease: lack of full knowledge about disease: lack of full knowledge about transmission mechanism, clinical spectrum, transmission mechanism, clinical spectrum, treatment and prevention.treatment and prevention.
Capacity and resources for surveillance, research Capacity and resources for surveillance, research and responses are still limited. and responses are still limited.
Some studies data show that virus maintain Some studies data show that virus maintain among ducks as asymptomatic hosts with very among ducks as asymptomatic hosts with very high prevalence, from 70%-80%.high prevalence, from 70%-80%.
There are still lack of animal health laws on There are still lack of animal health laws on transportation, quarantine, slaughtering of transportation, quarantine, slaughtering of poultry poultry
CONSTRAINTS/CHALLENGESCONSTRAINTS/CHALLENGES Most households raise ducks and chickens at backyard, Most households raise ducks and chickens at backyard,
for income and food. Outbreaks may escape detection, for income and food. Outbreaks may escape detection, are difficult to control, and increase the likelihood of are difficult to control, and increase the likelihood of human exposures, which may occur when children play human exposures, which may occur when children play in areas shared by poultry or when families slaughter in areas shared by poultry or when families slaughter or prepare birds for consumption.or prepare birds for consumption.
Awareness of people about the risks of Awareness of people about the risks of infection with infection with H5N1 avian influenza is still low.H5N1 avian influenza is still low.
More effective collaboration between human and More effective collaboration between human and animal health sectors is needed.animal health sectors is needed.
The national preparedness plan for influenza pandemic The national preparedness plan for influenza pandemic prevention and control should be completed as soon as prevention and control should be completed as soon as possible.possible.
STRATEGIC PLAN STRATEGIC PLAN
FOR INFLUENZA PANDEMIC FOR INFLUENZA PANDEMIC PREVENTION AND CONTROL PREVENTION AND CONTROL
IN VIETNAMIN VIETNAM
OVERARCHING GOALOVERARCHING GOAL
To ensure rapid characterization of To ensure rapid characterization of the new virus subtype and early the new virus subtype and early detection, notification and rapid detection, notification and rapid response to additional cases.response to additional cases.
OVERARCHING GOALOVERARCHING GOAL
early
detection early
detection Confirmativ
e diagnosis Confirmativ
e diagnosis rapid, effective
intervention
measures
rapid, effective intervention
measures
surveylance, investigatequaranty,
surveylance, investigatequaranty,
determine the most reliable
diagnostic procedure
determine the most reliable
diagnostic procedure
To early prevent
To early prevent
combination
combination
combination
combination
nihenihe
Hightland IheHightland Ihe
Pasteur institute of Nha Trang Pasteur institute of Nha Trang
Pasteur institue of Hå ChÝ minh city
Pasteur institue of Hå ChÝ minh city
Role of National Institute of Role of National Institute of Hygiene and epidemiologyHygiene and epidemiology in in
Vietnam.Vietnam.
Founded in 1926: Pasteur Institute of Founded in 1926: Pasteur Institute of HanoiHanoi
1945 – 19611945 – 1961: : Institute of Institute of MicrobiologyMicrobiology
1962 – 19961962 – 1996: : Hanoi Institute of Hanoi Institute of Hygiene and EpidemilogyHygiene and Epidemilogy
1997- Until now: National Institute 1997- Until now: National Institute of Hygiene and Epidemiologyof Hygiene and Epidemiology
Development HistoryDevelopment History
Board of directorsBoard of directors
Admin. and logisticAdmin. and logisticdepartmentsdepartments
TechnicalTechnicaldepartmentsdepartments
Epidemiology Dept.Epidemiology Dept.
Microbiology Dept.Microbiology Dept.
Virology Dept.Virology Dept.
Molecular Bio. and Immuno. Dept.Molecular Bio. and Immuno. Dept.
Training and Research Man.Dept.Training and Research Man.Dept.
Administration Dept.Administration Dept.
Personnel Dept.Personnel Dept.
Material and Medical Material and Medical Equipment Dept.Equipment Dept.
Network Network Coordinating Dept.Coordinating Dept.
Planning Dept.Planning Dept.
National Health Program OfficesNational Health Program Offices
Center of Experimental AnimalsCenter of Experimental Animals
Company for Vaccines and Biological Production No.1
Scientific Committee
Finance & Finance & Accounting Dept.Accounting Dept.
Total: 472Total: 472– Professor: 7Professor: 7– Assistant Professor: 13Assistant Professor: 13– PhD: 40PhD: 40– Master: 26Master: 26
StaffStaff
FunctionsFunctions
• A leading research institution responsible A leading research institution responsible for scientific and technical issues related for scientific and technical issues related to transmissible diseases control as well to transmissible diseases control as well as vaccine research and development as vaccine research and development nationwide.nationwide.
• Technical consultant for the government Technical consultant for the government of Vietnam for national policies of of Vietnam for national policies of preventive medicine and vaccination preventive medicine and vaccination strategies.strategies.
FunctionsFunctions Act as leading part to direct the Act as leading part to direct the
provincial and district level (preventive provincial and district level (preventive medicine centers, epidemic preventive medicine centers, epidemic preventive hygiene groups and units); hygiene groups and units);
organize and mobilize the population as organize and mobilize the population as well as other associated authorities and well as other associated authorities and sectors in effectively penetrated sectors in effectively penetrated infectious diseases prevention and infectious diseases prevention and eradication.eradication.
FunctionsFunctions
Upgrade and perfect the system of Upgrade and perfect the system of preventive medicine throughout preventive medicine throughout Vietnam, ensure the training in technical Vietnam, ensure the training in technical skills, equipment supply… for junior skills, equipment supply… for junior levels with priority given to mountain levels with priority given to mountain and island remote areas and to ethnic and island remote areas and to ethnic minorities.minorities.
FunctionsFunctions
Participate in international scientific co-Participate in international scientific co-operation in order to be conversant with the operation in order to be conversant with the latest progress of preventive medical latest progress of preventive medical technology, including monitoring of technology, including monitoring of emerging and re-emerging infectious emerging and re-emerging infectious diseases, developing vaccines and diseases, developing vaccines and biological, training professional staff.biological, training professional staff.
Role of National Institute of Hygiene and Role of National Institute of Hygiene and epidemiologyepidemiology
NIHE has made considerable contribution to NIHE has made considerable contribution to health sector in general and public health in health sector in general and public health in particular. particular.
NIHE cooperated with other related ministries and NIHE cooperated with other related ministries and agencies to establish the preventive medicine agencies to establish the preventive medicine system for the whole country which has helped system for the whole country which has helped Vietnam obtain a remarkable success in Vietnam obtain a remarkable success in improvement of people health especially in the improvement of people health especially in the field of preventive health field of preventive health
Role of National Institute of Hygiene and Role of National Institute of Hygiene and epidemiologyepidemiology
Mortality and morbidity rates due to Mortality and morbidity rates due to communicable diseases which are NIHE’s communicable diseases which are NIHE’s responsibilities have been reducing annually. responsibilities have been reducing annually. Epidemics are combated relatively efficiently Epidemics are combated relatively efficiently
Suffering from SARS epidemic as many other Suffering from SARS epidemic as many other territories and countries of the world, Vietnam territories and countries of the world, Vietnam was the first country retaining the SARS was the first country retaining the SARS outbreak. Despite of lacking necessary tools outbreak. Despite of lacking necessary tools and equipments, NIHE’s staff has detected and equipments, NIHE’s staff has detected SARS virus. This has clearly contributed to the SARS virus. This has clearly contributed to the success of Vietnam in containing the epidemic.success of Vietnam in containing the epidemic.
Role of National Institute of Hygiene and Role of National Institute of Hygiene and epidemiologyepidemiology
As assigned by the MOH, NIHE has been As assigned by the MOH, NIHE has been responsible for implementing studies on responsible for implementing studies on virology, bacteriology and immunology, virology, bacteriology and immunology, epidemiology and so on to prevent and epidemiology and so on to prevent and control infectious diseases comprising control infectious diseases comprising circulating diseases, eliminated ones which circulating diseases, eliminated ones which tend to come back and also other emerging tend to come back and also other emerging ones ones
Problem and barrierProblem and barrier
the facilities are still poor; some of them the facilities are still poor; some of them are outdated because of non-are outdated because of non-synchronized and inappropriate synchronized and inappropriate investment, unable to meet the working investment, unable to meet the working demands. demands.
Some modern molecular biological Some modern molecular biological techniques cannot be implemented yet techniques cannot be implemented yet in Vietnam because of lacking in Vietnam because of lacking necessary equipments. necessary equipments.
Problem and barrierProblem and barrier
incapable of conducting profound studies on incapable of conducting profound studies on the viral nature and pathogenic mechanism the viral nature and pathogenic mechanism as the biosafety place with accompanying as the biosafety place with accompanying essential facilities is not available essential facilities is not available
At the moment, NIHE still does not have a At the moment, NIHE still does not have a laboratory of standard biosafety (BSL 3) in laboratory of standard biosafety (BSL 3) in order to work peacefully with hazardous order to work peacefully with hazardous microorganisms (group 4) such as anthrax, microorganisms (group 4) such as anthrax, SARS avian influenza viruses, or another ...SARS avian influenza viruses, or another ...
Problems and barrierProblems and barrier
due to the financial shortage, the training for due to the financial shortage, the training for NIHE staff appears to be spontaneous and NIHE staff appears to be spontaneous and part-time part-time
To quickly master advanced technology in the To quickly master advanced technology in the field of medical biology, better meet the field of medical biology, better meet the professional demand/ requirement such as professional demand/ requirement such as providing timely reliable diagnostic tests providing timely reliable diagnostic tests
it is extremely important to train and enhance it is extremely important to train and enhance the research ability of the staff in developed the research ability of the staff in developed countries with highly advanced science and countries with highly advanced science and technology technology
Proposals for activitiesProposals for activities
Reorganize and strengthen network Reorganize and strengthen network for early detection, confirmative for early detection, confirmative diagnosis and rapid intervention. diagnosis and rapid intervention. Set up a National Reference and Set up a National Reference and High Tech Center at NIHE in order High Tech Center at NIHE in order to improve and reassure the quality to improve and reassure the quality of confirmative diagnosisof confirmative diagnosis..
Proposals for activitiesProposals for activities
Confirmative diagnosisConfirmative diagnosis
Confirmative diagnosis known as the re-Confirmative diagnosis known as the re-confirmation of early detection is confirmation of early detection is performed by the combination of performed by the combination of epidemiological investigations, clinical epidemiological investigations, clinical consultation and higher-level laboratory consultation and higher-level laboratory test. test.
Proposals for possible Proposals for possible collaborationscollaborations
Being a country leading organization in Being a country leading organization in the field of preventive medicine and the field of preventive medicine and public health, the National Institute of public health, the National Institute of Hygiene and Epidemiology (NIHE) has Hygiene and Epidemiology (NIHE) has been also responsible for providing been also responsible for providing graduate studies in public health, graduate studies in public health, epidemiology, virology and bacteriology. epidemiology, virology and bacteriology.
Proposals for possible collaborationsProposals for possible collaborations
Currently NIHE would like to cooperate Currently NIHE would like to cooperate with 4 Medical Universities, who has with 4 Medical Universities, who has responsibility providing medical responsibility providing medical personals for Northern Region in order personals for Northern Region in order to enhance its training quality to enhance its training quality
possible collaborationspossible collaborations 1. Undergraduate study1. Undergraduate studyto improve education quality by co to improve education quality by co
organizing training programs, organizing training programs, workshops, providing books and workshops, providing books and journals, educational materials, journals, educational materials, exchanging students and faculties in all exchanging students and faculties in all specialties including bacteriology, specialties including bacteriology, virology, epidemiology and public health virology, epidemiology and public health for undergraduate students, faculties at for undergraduate students, faculties at medical schools and health medical schools and health professionals as wellprofessionals as well..
possible collaborationspossible collaborations
2 Graduate study 2 Graduate study In order to meet the need for health In order to meet the need for health professionals in the fields of public health professionals in the fields of public health and preventive medicine for the national and preventive medicine for the national preventive medicine network as an preventive medicine network as an assigned duty of NIHE, graduate study at assigned duty of NIHE, graduate study at NIHE in cooperation with NIHE in cooperation with medical medical schools schools will be enhanced by improving will be enhanced by improving training quality for Ph.D. program and training quality for Ph.D. program and launching Master program.launching Master program.
possible collaborationspossible collaborations
3. Research3. Research
Enhancing close collaboration amongst Enhancing close collaboration amongst
NIHE, medical schoolsNIHE, medical schools and Preventive and Preventive Medicine Centers to carry out scientific Medicine Centers to carry out scientific researches, apply new techniques in field researches, apply new techniques in field trials.trials.
Surveillance system for communicable disease in Vietnam
Ministry of healthGeneral dept. of preventive medicine
National institute of hygiene and epidemiology
General clinics, children General clinics, children clinics, infectious clinicsclinics, infectious clinics
Central hospitalsCentral hospitals
Regional Surveillance UnitRegional IHE/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
THANK YOU FOR YOUR THANK YOU FOR YOUR ATTENTIONATTENTION