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Giám sát sự lưu hành của virus cúm a h5n1 ở gia cầm tại 4 chợ đầu mối trên địa bàn thành phố hà nội

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GIAM SAT suf LlfU HANH CUA VIRUS CUM A/H5N1 0 GIA CAM TAI 4 CHU OAU MOi THEN DjA BAN THANH PHO HA NOI Nguyen Huy Ddng Sa Nong nghiep va PTNTHd Noi TOM TAT Ket qua dieu tra hien trang

Trang 1

GIAM SAT suf LlfU HANH CUA VIRUS CUM A/H5N1 0 GIA CAM TAI 4 CHU OAU MOi THEN DjA BAN THANH PHO HA NOI

Nguyen Huy Ddng

Sa Nong nghiep va PTNTHd Noi

TOM TAT Ket qua dieu tra hien trang budn ban gia cdm va gidm sat su luu hdnh cua virus cum A/H5N1 tai

4 chp ddu mdi tren dia bdn thdnh ph6 Ha Npi cho thdy:

- Trong s6 4 chp ndi tren, chp Ha Vy Id chp budn ban gia cdm Idn nhdt va ty le gia cdm ngoai tinh dua ve cung nhieu nhdt so vdi 3 cho cdn lai (chp Bde Thdng Long, chp San, chp Chiic Son) Cdng tdc kiem dich va kiem sodt gilt mo da dupc cdc ca quan chiic ndng chii y qudn ly chat che d nhimg chp nay

- O ca 4 chp ty Ie luu hanh virus ciim A trung binh d miic 11,28%, trong do ty le liru hdnh ciia virus ciimA/H5Nl Id 2,54% Diln bien sir luu hanh cua virus ciimAndi chung la dn dinh qua nhifiu nam,

ty 1§ luu hanh cao hem thudng xuat hien tir thang 12 nam trudc den thdng 5 nam sau

- Su luu hdnh cua virus ciim A/H5N1 tai 4 chp la 1,11 % (nam 2009); 0,31 (nam 2012) va 0,17% (trong 6 thang ddu nam 2013), cd mdi lien quan chat che den ngudn g6c gia cam ngoai tinh, ty le tiem phdng vd ty le bao hp ciia gia cam sau tiem phdng

- Su luu hanh cua virus ciim A/H5NI tai 4 chp tap trung vdo cdc thdng 1- 5 trong nam, day id thdi diem luu thdng, ti8u thu gia cam nhieu nhdt (trudc va sau tit NguySn dan) vd Id giao thdi ciia dpt tiem phong vacxin cum A/H5NI dot 1 trong nam

Tir khoa • Virus cum A/H5NI, Su luu hdnh, Ty le tiem phdng, Ty le bdo hp

Surveillance on prevalence of A/H5N1 virus in poultry

at 4 wholesale markets in Hanoi city

Nguyen Huy Dang

SUMMARY

T h e result of survey on situation of poultry trade and surveillance on prevalence of A/H5N1 virus at 4 wholesale markets in Ha Noi city indicated that:

Out of 4 above mentioned markets, Ha Vy market was the largest poultry wholesale market and the rate of poultry at this market coming from the outside of Ha Noi city was also highest Close management on disease Inspection and slaughter control works was paid by the competent authorities at these markets

In all of 4 markets, the average prevalence rate of A influenza virus was 11.28% Of which, the prevalent rale of A/H5N1 virus was 2.54% In general, the development of A influenza virus prevalence was stable in the last many years The highest prevalent rate was usually occurred

in duration from December to May of the next year

The prevalence of A/H5N1 virus at 4 markets was 1.11% (in 2009), 0 3 1 % (in 2012) and 0.17% (in the first 6 months, 2013) having close relation with the origin of poultry coming from,

Trang 2

The prevalence of A/H5N1virus at 4 markets concentrated from January to May, that is time for the highest transportation and consumption of poultry (before and after Tet holidays) and the transition time for the first A/H5N1 vaccination in the year

/keywords: A/H5N1 virus Prevalence, Vaccinated rate Protective rate

LDATVANDE

Chan nudi gia cam giii mdt vai trd quan trpng

trong nganh ndng nghiep Viet Nam Nhiing nam

gdn ddy, chdn nudi Id mpt trong nhung nganh

cd budc phdt triln manh, ngdy cang chiem vi tri

quan trpng trong su chuyin dich ca cdu kinh tl,

xod ddi giam ngheo va 1dm gidu trong ndng th6n

Tuy nhien nganh chan nuoi da gap phdi

khdng it kho khan Trong do dich benh la mpt

trong nhiing trd ngai ldn nhdt, dac biet benh

ciim gia cdm Benh ciim gia cam chung ddc

lire cao (HPAI) Id mpt benh truyen nhiem nguy

hiem, co toe dp Idy lan rdt nhanh vai ty Ie gdy

chet cao trong dan gia cdm nhilm, gay thiet hai

nghiem trpng den nen kinh te va siic khoe ciia

con ngudi

Thdnh ph6 Ha Npi co nhu cdu tieu dimg thuc

phdm cd nguon gdc tir dpng vat rdt ldn, tnmg binh

600 - 700 tdn / ngay, trong do ty le thit gia cdm

chiem 30 %, trong khi thdnh phd mdi tu cung cap

dupc 60%, cdn lai nhap tir cdc tinh khac hoac

nhap khdu; gilt md gia cdm chu yeu nhd le trong

khu ddn cu, viec kilm sodt giet md - ve sinh thii

y cdn nhieu han che Viec budn bdn, gifit md gia

cdm khdng ro ngudn gdc, gia cdm nhap ldu vdn

tai dien thudng xuyen Ddy la mdt trong nhiing

nguy8n nhdn lam Idy lan dich bSnh

Trudc tinh hinh tren, lam the nao d l co thi

chu ddng biet dupc nai dang luu hanh dich, ty

Ie luu hdnh va nai dd dang luu hanh chimg gay

benh nao, ddng thdi phdt hien cdc chiing mdi

mpt cdch chinh xdc nhdt Vi vay md chiing tdi

tien hanh thuc hien de tdi: "Gidm sat su luu

hdnh ciia virus ciim A/H5N1 d gia cdm tai 4 chp

ddu mdi tr8n dia ban thanh phd Ha Ndi", vdi

muc dich lam can cii cho ca quan qudn ly dua ra

dupc cac gidi phdp chii ddng phdng chdng dich

cd hieu qua

N NQI DUNG, VAT LIEU VA PHU'ONGPHAP

2.1 Npi dung nghien cuii

- Hien trang budn bdn gia cam d mpt s6 cha ddu m6i tren dia ban thdnh ph6 Ha Npi (chp gia cdm Hd Vy - H.Thudng Tin; chp Bde Thdng Long - H D6ng Anh; chp Chiic Son - H Chuong MJ; chp Sdn - H Thach Thdt)

- Gidm sat su luu hanh cua virus ciim A/ H5N1 tren dan gia cdm tai 4 chp

2.2 Vat lieu va phuvng phap nghi€n cihi

2.2.1 Vat lieu

- Mdu swab gia cdm Idy tir 4 chp ddu moi

buon bdn gia cdm

- Bp Idt phdt hien ciim A/H5N1

2.2.2 Phuffngphdp nghien cau

- Phuang phap dieu tra h6i ciiu vd dieu tra

thuc dia d mdt sd chp ddu mdi tren dia ban thanh pho Hd Npi

- Phuong phap lay mlu: Diing tam b6ng Idy mdu swab tai 4 chp: chp Hd Vy Idy 60 mdu gpp/ thdng; 3 chp cdn lai 12 mdu gpp/thdng Tong cdng 96 mdu swab gdp/thang

- Phucmg phdp Real-time RT-PCR xac dinh sir lim hdnh cua virus cum A/H5N1

III KET QUA NGHIEN CUtJ

VA THAO LUAN

3.1 Hien trang budn bdn gia cam t^i 4 chgr dau m^i

Bdn chp ddu mdi budn bdn gia cam deu nSm tren cdc true giao th6ng, d6ng thdi Id tryc buon

Trang 3

Chp gia cam Hd Vy: Chp gia cdm Ha Vy la

chp gia cdm ddu mdi ldn nhdt Ddng Nam A vdi

156 gian kiot tren dien tich 1,62 ha Trong do,

da s6 hp chi bu6n ban mpt loai gia cdm la ga

(81/156 hp) hodc vit (48/156 hp)

C6ng tdc kiem djch, kiem sodt gilt md va

kiem tra ve sinh thii y ciing da dupc thuc hien

nghiem tiic Trudc cdng chp cd chdt kilm dich

lien nganh gom 3 luc lupng: Thii y - Cong an

- Quan ly thi trudng, true 24/24 gid Chdt cd

nhiem vu kiem dich kilm tra nguon g6c gia cdm,

khir triing tieu ddc phuang tien van chuyin,

xu Iy gia cam khdng ro ngudn g6c va gia cdm

khdng cd gidy chiing nhdn kiem dich, kiem soat

giet md tai 20 hd giet md gia cam trong chp (cdn

bd thii y kiem tra va ddng ddu vao thdn thit gia

cdm giet md)

Chp Bac Thang Long cd dien tich 30.000 m-,

trong do dien dch sii dung la 12.000 m^ s6 hp

kinh doanh gia cam sdng la 40 hp; s6 hp kinh doanh gia cdm da gilt md la 20 hd Gia cdm dua vao chp cd ngudn g6c chu yeu Id tu huyen D6ng Anh va Soc San cua thanh ph6 Hd Npi va tir cdc tinh Thdi Nguyen, Vmh Phuc, Bde Giang Gia cdm bu6n bdn tai chp cung dupc kiem tra bdi can bd ciia Tram thii y

Chp Thi trdn Chiic San vd chp San la nhung chp hoat ddng mang tinh chat cung edp hdng hda cho ngudi dan dia phuang la chinh Cha hoat dpng theo phien, khu vuc bu6n ban gia cam chua dupc quy hoach each ly vdi cac khu vuc khdc Gia cam budn ban tai chp phan Idn do cac

hp chan nudi tren dia bdn huyen cung cap Gia cdm budn ban tai chp ciing dupc kiem tra bdi cdn bd ciia Tram thii y

Tinh hinh budn ban gia cam d 4 chp ddu m6i dupc th6ng ke d bang 1 va bang 2

Bang 1 So lu'o'ng gia cam buon ban moi ngay tai 4 chp' dau moi

Nam

2008

2009

2010

2011

2012

Tong

Ch? H^ Vy

65.000

76.000

81.000

15.000

17.000

254.000

Bac Thang Long 2.500 2.500 2.500 3.000 3.200 13.700

Chp* San

500

500

600

600

650 2.850

Ch<?' Chuc Sen

400

450

500

500

500 2.350

Tbinh 17.100 19.863 21.150 4.775

5 338 68.225

Bang 2 Nguon goe gia cam ban tgi 4 cha dau moi

Nguon

Ngi tinh

Ngogi tinh

Chy H4 V f

Con

152.400

101.600

%

60

40

Bac Thang Long Con 10.960 2.740

%

80

20

Chp- San

Con

2.565

285

%

90

10

Cho Chuc Son

Con

2232

118

%

90

5

Tbinh

Con

55.433 12.792

%

81.25 18.75

Thdng ke tinh hinh budn bdn gia cdm tai 4

chp ddu mdi cho thay, hang ngdy cd 13.645 (sd

trung binh qua 5 ndm d bdng 1) gia cam luu

thdng tai 4 chp ddu mdi, trong do cd 81,25% ga

cd ngudn gdc tgi Ha Npi vd 18,75% cd ngudn

gia cdm bu6n ban mdi ngay rat Idn, cao diem nam 2011 len tdi 81.000 con/ ngdy, ddng thdi gia cam tir ngoai tinh dua ve chp chiem den 40% (trong sd do khdng loai trir cd ca gia cam tir bien gidi) Vi vay, nguy ca gia cam mang mdm

Trang 4

3.2 Kit qud gidm sdt virus cum A/H5N1 tai 4

ch? aiu m6i nSm 2009-2013

Dupc su hd trp ciia Dg an VAHIP - Bp Ndng

D ^ e p va Phat triln Ndng thon, chiing toi da

giam sat virus cum gia cam thudng xuyen tren

dia ban thdnh pbd Ha Npi tii nam 2009 din nay Hang thdng, can bp thu y thuc bi$n vi?c Idy mdu giam sat tai moi chp mdt ldn Kit qud gidm sdt giai doan 2009 - 2013 duac trinh bay d bang 3

va hinh 1

Bang 3 K e t qua g i a m sat virus c u m A / H 5 N 1 4 cho' d a u m o i

Nam

2009

2010

2011

2012

2013

T6ng

S6 m i u XN

m

450

1056

96

960

576

3138

Dipomg tinh cum A (gene M)

(nl)*

16

141

10

123

65

355

Tyl^%

3,56 13,35 10,42 12,81 11,28

11,31

Dvong tinh

HS (gene HS)

CD*

5

0

0

3

1

9

7 y ; e %

1,11 0,00 0,00 0,31 0,17

0,29

Ty le HS/A (n2/n1) %

31,25 0,00 0,00 2,44 1,54

2.54

Ghi chu

Djch*

Thang 2

Binth^ng 6

Ty ie (%

Nam 2009 2010 2011 2012 2013

Trang 5

Ket qua d bang tren cho thdy: Trong tdng sd

3138 mau xet nghiem giai doan 2009 - 2013,

cd 345 mlu duong tinh vdi virus ciim A (duang

ti'nh vdi gen M), chilm ty le 11,31% Trong dd

CO 9 mdu duong tinh vdi cd gen H5 (theo th6ng

bao ciia Cue thii y vd Vien thii y, cdc mdu duong

tinh H5 d gia cam den thdi diem nay diu la

H5N1), chilm ty le 2,54%

Qua gidm sdt dinh ky 5 nam (ngoai trii ndm

2011 chi 1dm 1 thang) co 355 mdu duong tinh

trong sd 3138 mdu xet nghiem, chilm 11,31%

vdi gen M (phdt hien virus cum A bdt ky type

nao), ty 1^ duang tinh virus ciim A giao dpng

tir 11,28 din 13,35 % cho cdc nam tir 2010 din

2013, chiing td sir luu hanh cua virus cum A d

chp gia cdm sdng la phd bien {ll,31%i) Tuy

nhien, virus ciim AyH5Nl chi chilm 2,54 %

trong s6 cdc virus ciim A da dupc phat hien

Rieng ndm 2009, ty Ie nhilm virus cum A

nay Id thdp nhdt (chi 3,56 % so vdi 11,31% qua

5 ndm); ly do cd thi Id d giai doan ddu trien khai

gidm sdt virus, vi$c thu thdp mdu va bao quan

mdu trong qud trinh chuyen ve phdng thi nghiem

chua thuc sy dap iing yeu cdu tieu chudn nhu

thudng quy thuc hien vao nhihig ndm ke tiep Tuy nhien, nam 2009 lai c6 ty 1? dinnig tinh gen H5 trong tdng s6 mau duong tinh virus ciim A

la cao nhdt (31,25%) Ly do ebu ylu c6 thi la trong ndm 2009, dich xdy ra d mpt so huy?n thupc dia ban thanh pho Ha Ndi va thdi dilm Idy mdu triing hpp vdi thdi diem dich dang xay ra

Sd lieu d bang 3 dupc minh hpa dudi dang bieu do d hinh 1 cho thdy trong khi ty 1$ nhilm cac virus cum A ndi chung khd dn dinh d miic 11,28% thi ty le luu hanh cua cdc virus cum A/ H5N1 CO khuynh hudng gidm ro r?t Cy thi: 1,11 % ndm 2009 gidm xudng 0,31% nam 2012

va 0,17% nam 2013 (tinh din didng 6/2013) Tuong tu, ty le duang tinh H5 trong tdng s6 cac virus ciim A cung gidm: tii 31,25% ndm 2009 xu6ng 2,44% nam 2012 va 1,54% ndm 2013 D€ tim hieu them nguyen nhan ciia si^ luu hdnh virus ciim A/H5N1 tai 4 chp dau m6i, chiing tdi tidn hanh phdn tich dien bien cua duang tinh virus cum A/H5NI trong mdi tuong quan vdi ngudn g6c gia cam luu th6ng tai chp Ket qua dupc trinh bdy d bdng 4

Bang 4 Nguon goe gia cam va SIP 1U>U hanh virus ciim A/HSNI

Ngudn

Ngoai tinh

Cum A

H5N1

Ch? Ha Vy

40%

6,82%

0,31%

Bic Thang Long

20%

33,08%

0

Cho San

10%

13,89%

0,76%

Chf' Chiic Som 5%

9,09%

0

Ket qud d bdng tren cho thdy, duang tinh ciim

A/H5NI chi xay ra d 2 chp: chp Ha VJ - huyen

Thudng Tfn vd chp San - huyen Thach Thdt

Trudng hpp mdu duang tinh d chp San chi

xay ra vdo dung dpt cd dich ndm 2009 Nhffng

ndm cdn lai cdc mlu d chp Sdn cung dm tinh

tuang ty nhu cdc mdu d chp Bac Thdng Long

va chp Chiic Son Ket qud nay chiing td su luu

thdng gia cam chii yeu cd ngudn gdc tir Thanh

phd Hd Npi it cd nguy co nhilm virus ciim PJ

H5NI Tuy nhien khdng thi chu quan vdi nhdn

xet nay vi th\rc te da xdy ra 3 trudng hpp duang

tinh cum A/H5N1 cho ndm 2009 khi dich xuat bien vd cdc mlu nay diu cd ngu6n gdc npi tinh

Sd mdu duang tinh cdn lai chi tap trung d khu vuc chp Ha Vy, nai cd 40 % sd gia cdm luu thdng cd ngudn gdc ngoai tinh (khdng loai trir kha ndng gia cam nhap tir bien gidi) Nhdn xet nay cho thay, viec giam sdt virus tai chp gia cdm song la ddc biet quan trpng d6i vdi nhimg ddu mdi cd su giao luu nhieu gia cdm c6 ngudn gdc ngoai tinh, noi ma Thanh phd khdng the chu dpng kiem dich, khong the kiem sodt neu gia cam da dupc hem phdng vacxin ciim A/H5N1

Trang 6

D I 1dm sang td mdi tuong quan giua ty le

nhilm virus ciim A/H5NI tai chp ddu mdi vd

vdi ty le tiem phdng vd bao hp d gia cdm cd

ngudn gdc npi tinh, chiing tdi phdn tich ty le

duang tinh virus ciim A/H5N1 so vdi ty le tiem phdng trong nh&ng nam vira qua, ket qua dupc trinh bay d bang 5

Bang 5 Ty le tiem phong cum A/H5N1 tai dja ban va va sir lu-u hanh virus tai chg>

Nam

2009

2010

2011

2012

2013

Trung binh

Virus cum A

3,56 13,35 10,42 12,81 11,28

11,31

Virus cijm A/H5N1

1,11 0,00 0,00

0,31 0,17 0,29

Ty le tiem phong

52,30 88,10 82,50 104,90

81,95

Ket qud a bang 5 cho bi^t qua 5 nam theo ddi,

(ngoai trir nam 2009) ty le tiem phdng vacxin

ciim A/H5N1 dudng nhu khdng cd dnh hudng

den ty le luu hanh cac virus ciim A noi chung

(6n djnh d miic 10,42 din 13,35% tii 2010 din

nay), tuy nhien cd the anh hudng den sir luu

hanh ciia virus ciim A/H5N1 So lieu thdng k6

d bang 10 cho biet thdng tin ve cdc trudng hpp

duong tinh virus ciim A/H5NI tai chp Ha Vy va

chp San nam 2009 cd lien quan mat thiet den ty

Ie bdo hp sau tiem phdng; trong nam 2009, ty le

tiem phdng tren tdng dan chi dat 52,3 % (va kit

qua giam sat sau tiem phdng cho biet, ty le bdo

hp sau tiem phong ciing chi dat 56,48 % [khdng

ddn s6 lieu]) va dich ciim gia cam do virus ciim

A/H5NI xay ra tai mpt sd diem thupc dia ban

thdnh phd Do chp Sdn chu yeu luu th6ng cac

gia cdm cd ngudn gdc trong tinh (90%), sd gia

cdm CO ngudn gdc ngoai tinh chi chiem 10%

Tren thuc te, chiing tdi cung da xac nhan cd

mau duang tinh H5 nam 2009 tai chp San diu

CO ngudn gdc tir ga nudi tai dia phuang Hoan canh d chp Ha Vy phiic tap han rat nhieu do gia cdm dupc nhap tir nhieu ngudn khac nhau; gia cdm mdi va gia cdm cu chua ban het dupc nhdt chung d mot mat dp cao Co thS

nhin nhan qudn the gia cdm a chp Ha Vy la rapt

quan the h6n hpp cua ga va thiiy cdm du loai, du gidng da dupc tiem phdng (cd ngudn gdc tir dja phuang) va cd the chua dupc tiem phdng (tir cac ngudn goe khdc) Qudn the ndy chiia dung mpt nguy CO nhilm vd lay nhilm ciim A/H5N1 rat cao ma sau do phdt ra theo dudng v^n chuyen gia cam sdng

D I danh gia diem ndng nguy ca theo thdi gian thdng trong nam, chung tdi sii dung so lieu cdng ddn theo thang qua 5 ndm thuc hien

chuong trinh gidm sat Kit qua dupc trinh bdy a

bang 6 va hinh 2

Trang 7

B a n g 6 Dien bien s ^ lu>u hanh virus t^i cho' dau moi theo thang (2009-2013) Thang

1

2

3

4

5

6

7

8

9

10

11

12

Tong

So mau

giim sat

96

288

288

384

384

384

288

258

192

192

192

192

3138

Diromg b'nh cum A

19

50

113

54

25

9

13

10

11

13

18 ^

20

355

T y i e %

19,79 17,36 39,24 14,06 6,51 2,34 4,51 3,88 5,73 6,77 9,38 10,42

11,31

Duvng b'nh cumA/H5N1

1

0

3

2

3

0

0

0

0

0

0

0

9

T y i f %

1,04 0,00

1,04

0.52 0,78 0,00 0,00 0,00 0,00 0,00 0,00 0,00

0,29

(A) Ty le nhi^m virus cum A: So miu cd gene M/tong so mau xet nghiem

n ^ n n n n Fh

1.20

1.00

— 0.80

•fl)

•|? 0.60

-0.40

0 20

0.00

•M

(B) Ty le nhl§m virus cum A/H5N1; S6 mlu co gene H5/t6ng s6 mau xet nghiem

1

Thang 1 2 3 4 5 6 7 8 9 10 11 12

Hinh 2 DiSn bien luu hanh virus ciim theo thing (2009-2013)

Trang 8

Kit qud tren cho thdy duang tinh virus cum

A ndi chung tap trung trong khoang thdi gian tir

thdng 12 nam trudc den thang 4 nam sau, duang

tinh ciim A/H5N1 cham han 1 thang, chu yeu

tap trung vao thang I din thang 5

Cd the coi day la thdi diem nhay cam luu

hanh virus ciim A/H5NI lien quan den 3 yeu

td chinh:

- Day la thdi diem trudc vd sau Tet cd truyen,

la thdi diem cd su luu thdng gia cam manh nhdt

trong nam va tat nhien bao gdm ca su luu thdng

va buon ban gia cam cd ngudn goe ngoai tinh

- Ddy la thdi di8m ma thdi tiet, khi hau dm va

mua nhieu la dieu kien thudn Ipi cho su t6n tai

va lim hanh vims cum A ndi chung, virus cum

A/H5NI ndi rieng

- La giao thai cua dinh ky tiem phdng dai tra

(thang 4 tiem dpt 1) va cung la Iiic tai dan vdi sd

lupng ldn Thdi diem nay cd nhieu gia cdm chua

duoc tiem phong hoac dupc tiem phdng da ldu,

het thdi han bao hp,

Nhu vay cd the xdc dinh thai diem ndng

va nhay cdm ddi vdi sir luu hanh virus ciim A/

H5N1 la thdi diem trudc va sau tet c6 truyen,

cung la thdi diem trudc khi tiem phdng vacxin

ciim A/H5N1 dai tra dpt I trong nam

IV K E T L U A N V A D E N G H I

4.1 Ket ludn

- Trong 4 chp, chp Ha Vy la chp budn ban

gia cam ldn nhdt, cao diem Ien tai 81.000 gia

cam/ngay va ty Ie gia cam ngoai tinh dua ve

cung nhieu nhdt tdi 40% so vdi 3 chp (chp Bde

Thang Long, cha San, chp Chuc Son) Cdng tac

kiem dich va kiem sodt giet md da dupc cdc co

quan chiic nang chii y quan Iy chat che

- Tai 4 cho dau m6i, ty le luu hanh virus ciim

A trung binh d miic 11,28%, trong dd 2,54%

Id virus ciim A/H5NI Diln biln luu hanh ciia

virus cum A ndi chung Id 6n dinh qua nhilu

nam, trong nam ty le luu hanh cao han tii thdng

- Su luu hanh cua virus cum A/H5N1 tai 4 chp ddu moi tir 1,11% nam 2009; 0,31 vd 0,17

Vo cho nam 2012 va 6 thang dau nam 2013 co

m6i lien quan chat che den den ngudn gdc gia cdm tii ngoai tinh, ty le tiem phong va ty le bao

hd gia cam sau tiem phdng

- Su luu hanh cua virus cum A/H5NI tai 4 chp dau moi chu yeu vdo cdc thang 1- 5 trong nam la thdi diem tieu thu, luu thdng gia cdm manh (trudc vd sau Tet Nguyen dan) dong thdi

la giao thdi ciia dpt tiem phdng vacxin ciim A/ H5N1 dot 1 trong nam

4.2 De nghi

- D I nghi Thanh phd duy tri kinh phi de ca quan chuyen mon gidm sat chat che, dinh ky sir luu hanh ciia virus ciim A/H5N1 de du bao sdm tinh hinh dich benh, ddc biet chii y ddi tupng

la thuy cam vd vao giai doan trudc vd sau Tet Nguyen dan

- Chi dao tiem phdng ddm bdo cho dan gia cam cd ty le tiem phdng va ty le bao hg cao Tiem phong bd sung kip thdi va triet de cho doi tuong cd quy md dan tir 100 - 5000 con, giam thieu kha nang nhilm virus neu cd tir cac ngudn ngoai tinh

- Tang cudng cdng tac kiem dich vd kiem soat gilt md tan gdc, giam thieu viec nhap, xuat gia cdm sdng ngudn gdc ngoai tinh va khong qua kiem dich

T A I L I E U T H A M K H A O

1 BCDQG Ban chi dao Qu6c gia phong chdng benh ciim gia cdm (2013) Bdo cao tdng kit cdng tdc 2 nam phdng chdng dich ciim gia cdm, Hpi nghi tdng ket 2 ndm

phong chdng dich ciim ga ngdy 18 thdng 4 nam 2005, Hd NQI

2 Cue thu y (2013) Website Cue thu y hftp:f/ cucthuy.gov.vn

3 Nguyen Tien Diing, Dao Thanh Vdn, Bin Ngoc Anh, Ken Inui, Nguyin The Vinh,

Trang 9

(2005) Gidm sat tinh trang nhiem virus cum

gia cdm tai d6ng bang sdng Cim Long cuoi

ndm 2004 Tap chi Khoa hgc f^ thudt Thu y

2(12) 13-18

Truong Vdn Dung (2008) Nhung Kit qua

nghien ciiu da dat dupc ve benh cum gia

cdm d Viet Nam Tap chi Khoa hoc ky thual

thuy \5 {A) 5-%

Td Long Thanh (2004) Benh ciim gia cdm d

ngudi vd van dl phong chdng Tap chi Khoa

hoc ky ihugt thuy 3 (11) 76-83

Council of European Communities [1992]

Council Directive 92/40/EEC of J 9th May

1992 introducing Community measures

for the control of avian influenza Official

Journal of Eropean Communides, 1-15

Hinshaw,V.S., Webster,R.G., Easterday,

B.C., and Bean,W.J., Jr [1981] Replicadon

of avian influenza A viruses in mammals

Infect Immun, 354-361

8 Kawaoka.Y [1991] Difference in receptor specificity among influenza A virus from different species of animals J.Vel.MedSci,

357-358

9 Kishida,N., Sakoda,Y., Isoda,N., Matsuda,K., Eto,M., Sunaga,Y., Umemura,T., and Kida,H [2005] Pathogenicity of H5 influenza viruses

for ducks, ^rc/7 Viwl, 1383-1392

10 OIE and Council of European Communities [1992] Council Directive 92/40/Eec of

19 th May 1992 introducing Community measures for the control of avian influenza Official Joumal of European Communities, 1-15

Nhdn ngay 7.11.2013 Phdn bien 20.11.2013

TO CHlTC HOI THAO PHO BIEN KIEN THlTC

CUA HOI THU Y VIET NAM NAM 2013

Ngay 11/12/2013 dugc sytai trgrkJnh phiciia Lien Hiep cac Hoi Khoa hpc va Ky thuat Viet Nam, HpiTTiii

y Viet Nam da phoi hop vai Chi eye Thii y Bac Ninh t6 chiic hpi thao pho biln kiln thiic voi chuyen de " Mot

so benh truyen nhilm nguy hiem d dpng vat lay sang ngudi" cho cac can bp lam cong tac chuyen mon ve ch5n nuoi, thii y cua So N6ng nghi?p & PTNT, Chi eye thii y, Trgm thu y, cac trang trai chan nuoi tap trung va cac

hpi vien cua Hoi Thii y a Bac Ninh So dai bleu tham dir hoi thao tren 200 nguai

Den d\f Hpi thao c6 dai bieu ciia Lien Hiep cac Hpi Khoa hoc va Ky thuat Viet Nam, d^i bieu cua So Nong

nghiep va PTNT tinh Bac Ninh

Phat bieu khai mac hoi thao, GS.TS D^u Ngoc Hao - Chii tjch Hpi Thii y Viet Nam d3 neu ro muc dich, y nghTa ciia hoi thao la viia pho bien kien thiic ciia cac chuyen gia, dong then cac dai bieu se ihao luan sau sic

cac chil de de cap de lain ro duqc trong thuc te lam sao han che toi da nhiing benh truyen nhiem nguy hiem 6

Bac Ninh

Sau bai trinh bay ciia cac chuyen gia: TS Nguyin Van Cam, GS.TS Dau Ngoc Hao ve "Mot so benh truyen nhiem nguy hiem 6 dpng vat lay sang ngucri" va mot s6 "chuyen de chuyen mon" ma can bp chan nuoi, ihii y tinh sdc Ninh quan tam la phan trao doi Ihao luan ciia cac dai bieu

TS Nguyin Nhan Limg - Chi eye truong Chi cue thii y Bde Nmh da chii tri buoi thao luan, cac chuyen gia giai dap, trao doi nhthig y kiln neu len cua cac dai bieu tao nen khong khi ccn mo, than mat va hieu biet sau s3c nhihig vdn de de cap trong hpi thao

Thay m3t cho Ban t l chiic Hpi thao, GS.TS Dau Ngpe Hao - Chii tich Hpi Thu y Viet Nam chan thanh cam

an SV giup dd t^n tinh ciia Ban lanh dao Chi eye thii y B k Ninh trong khau to chile, cam on Lien hiep cac Hpi Khoa hpc va Ky thu^it Viet Nam da giiip d& vl mat kinh phi d l t l chiic Hpi thao thanh cong toi dep

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