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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
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.
-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 and Public health -Nutritional institute
-National center for quality control of Biological (Cencobi) - Poliovac center -Vaccine institute in Nhatrang - Company for production of vaccines and biological No.1
-National institute of Malaria-parasitologica Entomology -Sub-institute of Malaria-parasitologica Entomology in HCMC -Institute of Malaria-parasitologica Entomology in Quinho
64 Centers for 3 Centers for preventive medicine Occupational and at provincial level Environmental health
NIHE
General clinics, children clinics, infectious clinics District hospitals Private clinics
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
10
12
Reporting periods
Urgent report Diseases: SARS, H5N1, Cholera, Plague, any outbreak. Weekly report Monthly report
How to report:
Telephone, Fax.
Other EWARS
NAMRU 2
Rumor: Press, newspaper, unofficial. Pro-MED
Centre for Preventive Medicine at province level. Regional Institutes. Communicable diseases Division MHO.
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.