On March 19, information from the An Giang health sector said that the test results of the Pasteur Institute in Ho Chi Minh City determined that the child died in Phu Quoc special zone (An Giang) due to group B meningococcal meningitis.
Up to now, the locality still does a good job of management, medical forces have monitored cases of close contact with pediatric patients, and no new suspected cases have been detected.
As previously reported, on March 16, T.H. N. Y (11 years old, residing in Phu Quoc special zone, An Giang) who was in 5th grade at a primary school in Duong Dong was admitted to Phu Quoc Medical Center in a state of fever, rash all over the body accompanied by cyanosis and shortness of breath.
After being admitted to the hospital, it was performed by doctors and nurses of Phu Quoc Medical Center according to the prescribed protocol of the Ministry of Health, but because the disease progressed too quickly and the patient's admission time was late, even though he tried, the patient still did not survive. Initial diagnosis of the patient with unexplained septic shock, monitoring meningococcal meningitis.
After the incident occurred, the Department of Health directed the Provincial Center for Disease Control to coordinate with the Phu Quoc Health Center to verify information about the patient's residence and school. The Phu Quoc Health Center coordinated with Duong Dong Health Station to verify and trace the subject of close contact, the boarding house has 40 rooms with about 34 people. Close contact families include younger brother, father, mother, grandparents. The school has 36 students and a female teacher in the same class. All close contacts are listed for monitoring. At the examination and treatment place, there are about 20 medical staff contacting, visiting, and examining patients and using medical protection (masks) when examining.
Currently, 5 medical staff on duty have direct contact and examination with patients and medical staff from the Emergency and Intensive Care Departments have contact with patients who have used antibiotics to prevent disease transmission. In the community: 5 people in the family living with the patient and 60 people/40 rooms in the boarding house where the patient lives have used antibiotics to prevent disease transmission. At school, in class, out of 36 students studying in the same class as the patient, 3 children have used preventive antibiotics and 18 children have been vaccinated against meningococcal meningitis.
Organize disinfection spraying at boarding houses, classrooms and medical examination and treatment areas and other related areas, encourage cases of close contact with patients to wear masks, wash hands with antiseptic solutions during the health monitoring period of close contact cases. Guide ventilation in accommodation, ensure environmental sanitation. Coordinate with local authorities and the education sector to implement epidemic prevention and control measures at schools and communities.
The Department of Health also said that this is a case of isolated meningococcal meningitis (which is a case of spreading disease) that has not been recorded, detected related to epidemiological factors (source of infection) and has a rapid progression, becoming severe and causing death due to family factors being subjective, bringing the patient to the hospital late, the patient has entered a state of shock, with a severe prognosis. No more similar cases have been recorded in the community. However, we cannot be subjective because the risk of spreading can occur if close contacts are not well controlled.
The Department of Health requests affiliated units to focus on serious implementation of their functions and tasks, strengthen epidemiological surveillance. Closely monitor close contact cases, and proactively monitor disease cases according to the index monitoring system and event monitoring at schools and crowded residential areas.
Prepare sufficient essential medicines, supplies, chemicals, and medical equipment to serve epidemic prevention and control and medical examination and treatment, especially infectious diseases.
