Abstract

We describe the epidemiological and clinical characteristics of patients who died from influenza A(H1N1)pdm09 in hospitals in Viet Nam between August 2009 and March 2010. Of 58 fatal cases, 32 (55%) were below 30 years of age and 14 (24%) were pregnant females. Forty-five (78%) patients had at least one underlying medical condition including chronic heart, kidney or lung diseases or pregnancy. Twelve (21%) cases sought medical attention on the day of symptom onset. Only 13 (36%) of 36 cases for whom treatment data were available had been given antiviral drugs within the recommended two days of symptom onset. The clinical and epidemiologic characteristics of the patients who died from influenza A(H1N1)pdm09 are similar to those reported from other countries. To improve preparedness and response to future pandemics, Viet Nam needs to strengthen the surveillance of influenza; increase laboratory capacity to test for influenza viruses; and develop strategies for promoting the timely attendance of at-risk individuals at health facilities and the early administration of antiviral drugs, particularly for persons with underlying medical conditions and pregnant females.

Highlights

  • METHODSThe emergence and spread of A(H1N1)pdm[09] was first reported in Mexico in the spring of 2009.1 This novel virus spread rapidly across the world

  • The pandemic was introduced into Viet Nam via Ho Chi Minh City in early June 2009 by passengers flying in from countries affected by the pandemic, the United States of America and Australia

  • The number of cases increased in August as the virus spread to other regions, and by March 2010, 11 208 laboratory-confirmed cases were reported across Viet Nam

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Summary

Introduction

METHODSThe emergence and spread of A(H1N1)pdm[09] was first reported in Mexico in the spring of 2009.1 This novel virus spread rapidly across the world. By March 2010, 213 countries had reported cases with laboratory-confirmed A(H1N1) pdm[09] and 17 483 associated deaths.[2,3]

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