Search Results (14)

Rotavin-M1 (POLYVAC) was licensed in Vietnam in 2012. The association of Rotavin-M1 with intussusception, a rare adverse event associated with rotavirus vaccines, and with adverse events following immunization (AEFI) have not been evaluated and monitored under conditions of routine use. From February 2017 to May 2021, we conducted a pilot introduction of Rotavin-M1 into the routine vaccination program in two provinces. Surveillance for intussusception was conducted at six sentinel hospitals. AEFI reports at 30 min and 7 days after vaccination were recorded. Among 443 children <12 months of age admitted for intussusception, most (92.3%) were children ≥ 6 months. Of the 388 children who were age-eligible to receive Rotavin-M1, 116 (29.9%) had received ≥1 dose. No intussusception cases occurred in the 1–21 days after dose 1 and one case occurred on day 21 after dose 2. Among the 45,367 children who received ≥1 dose of Rotavin-M1, 9.5% of children reported at least one AEFI after dose 1 and 7.3% after dose 2. Significantly higher AEFI rates occurred among children given Rotavin-M1 with pentavalent vaccines (Quinvaxem^®, ComBE Five^®) compared to Rotavin-M1 without pentavalent vaccines. There was no association between intussusception and Rotavin-M1. The vaccine was generally safe when administered alone and when co-administered with other vaccines. Full article

Rotavirus (RV), norovirus (NoV), sapovirus (SaV), and human astrovirus (HAstV) are the most common viral causes of gastroenteritis in children worldwide. From 2016 to 2021, we conducted a cross-sectional descriptive study to determine the prevalence of these viruses in hospitalized children under five years old in Nam Dinh and Thua Thien Hue provinces in Vietnam during the pilot introduction of the RV vaccine, Rotavin-M1 (POLYVAC, Hanoi, Vietnam). We randomly selected 2317/6718 (34%) acute diarrheal samples from children <5 years of age enrolled at seven sentinel hospitals from December 2016 to May 2021; this period included one year surveillance pre-vaccination from December 2016 to November 2017. An ELISA kit (Premier Rotaclone^®, Meridian Bioscience, Inc., Cincinnati, OH, USA) was used to detect RV, and two multiplex real-time RT-PCR assays were used for the detection of NoV, SaV and HAstV. The prevalence of RV (single infection) was reduced from 41.6% to 22.7% (p < 0.0001) between pre- and post-vaccination periods, while the single NoV infection prevalence more than doubled from 8.8% to 21.8% (p < 0.0001). The SaV and HAstV prevalences slightly increased from 1.9% to 3.4% (p = 0.03) and 2.1% to 3.3% (p = 0.09), respectively, during the same period. Viral co-infections decreased from 7.2% to 6.0% (p = 0.24), mainly due to a reduction in RV infection. Among the genotypeable samples, NoV GII.4, SaV GI.1, and HAstV-1 were the dominant types, representing 57.3%, 32.1%, and 55.0% among the individual viral groups, respectively. As the prevalence of RV decreases following the national RV vaccine introduction in Vietnam, other viral pathogens account for a larger proportion of the remaining diarrhea burden and require continuing close monitoring. Full article

Shrimp–mangrove farming is a favorable production model suitable for the Red River Delta, Vietnam. This study was carried out in Nam Dinh province to evaluate the effectiveness and stability of the shrimp–mangrove farming model in the area. A participatory approach was carried out through surveys, focus group discussions, and interviews with 415 farming households in the Giao Thien and Giao An districts, the buffer zone of Xuan Thuy National Park, in 2022. We then used a cost–benefit analysis model to evaluate the financial performance and stability of the shrimp farming model. SWOT analysis was also used to identify opportunities and threats to this model. The research results showed that the shrimp–mangrove model has the advantages of low investment costs, diversified income sources, low risk, and environmental sustainability. However, the limitations of the model are low financial efficiency and not high stability. The main difficulties of the model are poor quality breeds, diseases, limited farming techniques of farmers, limited infrastructure system, the impacts of climate change, and low productivity. The study also proposes management implications to enhance the effectiveness and sustainability of shrimp farming in the Red River Delta, Vietnam. Full article

A pixel-based algorithm for multi-temporal Landsat (TM/ETM+/OLI/OLI-2) imagery between 1990 and 2022 monitored mangrove dynamics and detected their changes in the three provinces (i.e., Thai Binh, Nam Dinh and Hai Phong), which are located on the Northern coast of Vietnam, through the Google Earth Engine (GEE) cloud computing platform. Results showed that the mangrove area in the study area decreased from 2960 ha in 1990 to 2408 ha in 1995 and then significantly increased to 4435 ha in 2000 but later declined to 3502 ha in 2005. The mangrove areas experienced an increase from 4706 ha in 2010 to 10,125 ha in 2020 and reached a highest peak of 10,630 ha in 2022. In 2022, Hai Phong province had the largest area of mangrove (3934 ha), followed by Nam Dinh (3501 ha) and Thai Binh (3195 ha) provinces. The overall accuracies for 2020 and 2022 were 94.94% and 91.98%, while the Kappa coefficients were 0.90 and 0.84, respectively. The mangrove restoration programs and policies by the Vietnamese government and local governments are the key drivers of this increase in mangroves in the three provinces from 1990 to 2022. The results also demonstrated that the combination of Landsat time series images, a pixel-based algorithm, and the GEE platform has a high potential for monitoring long-term change of mangrove forests during 32 years in the tropics. Moreover, the obtained mangrove forest maps at a 30-m spatial resolution can serve as a useful and up-to-date dataset for sustainable management and conservation of these mangrove forests in the Red River Delta, Vietnam. Full article

In Vietnam, data on the risk factors for diarrhea at the community level remain sparse. This study aimed to provide an overview of diarrheal diseases in an agricultural community in Vietnam, targeting all age groups. Specifically, we investigated the incidence of diarrheal disease at the community level and described the potential risk factors associated with diarrheal diseases. In this prospective cohort study, a total of 1508 residents were enrolled during the 54-week study period in northern Vietnam. The observed diarrheal incidence per person-year was 0.51 episodes. For children aged <5 years, the incidence per person-year was 0.81 episodes. Unexpectedly, the frequency of diarrhea was significantly higher among participants who used tap water for drinking than among participants who used rainwater. Participants who used a flush toilet had less frequent diarrhea than those who used a pit latrine. The potential risk factors for diarrhea included the source of water used in daily life, drinking water, and type of toilet. However, the direct reason for the association between potential risk factors and diarrhea was not clear. The infection routes of diarrheal pathogens in the environment remain to be investigated at this study site. Full article

Objective: To determine the prevalence of cotton dust-related allergic asthma and associated factors among textile workers in Nam Dinh province, Vietnam. Methods: A cross-sectional study was performed with 1082 workers in two textile garment companies using the asthma diagnostic criteria of the GINA (Global Initiative for Asthma) 2016 guidelines. Results: Among study participants, 11.9% had suspected asthma symptoms, 7.4% were diagnosed with asthma, and 4.3% (3.6% in men and 4.5% in women) were diagnosed with cotton dust-related allergic asthma. Overweight, seniority more than 10 years, history of asthma, allergic rhinitis, family history of allergy, and exposure to cotton dust from more than one hour per day in the working environment were found to be important predictors of cotton dust-related allergic asthma among textile workers. Conclusions: Textile workers in two companies in Nam Dinh, Vietnam had a high prevalence of dust-related allergic asthma compared to estimates from the general population. There is a need to design appropriate measures of prevention, screening, and care for dust-related asthma in the textile industry. Further evaluation with better exposure assessment is necessary. Full article

To cause a pandemic, an influenza virus has to overcome two main barriers. First, the virus has to be antigenically new to humans. Second, the virus has to be directly transmitted from humans to humans. Thus, if the avian influenza virus is able to pass the second barrier, it could cause a pandemic, since there is no immunity to avian influenza in the human population. To determine whether the adaptation process is ongoing, analyses of human sera could be conducted in populations inhabiting regions where pandemic virus variant emergence is highly possible. This study aimed to analyze the sera of Vietnamese residents using hemagglutinin inhibition reaction (HI) and microneutralization (MN) with A/H5Nx (clade 2.3.4.4) influenza viruses isolated in Vietnam and the Russian Federation in 2017–2018. In this study, we used sera from 295 residents of the Socialist Republic of Vietnam collected from three groups: 52 samples were collected from households in Nam Dinh province, where poultry deaths have been reported (2017); 96 (2017) and 147 (2018) samples were collected from patients with somatic but not infectious diseases in Hanoi. In all, 65 serum samples were positive for HI, at least to one H5 virus used in the study. In MN, 47 serum samples neutralizing one or two viruses at dilutions of 1/40 or higher were identified. We postulate that the rapidly evolving A/H5Nx (clade 2.3.4.4) influenza virus is possibly gradually adapting to the human host, insofar as healthy individuals have antibodies to a wide spectrum of variants of that subtype. Full article

Recently, the coastal zone in Vietnam has experienced more intensive sea attacks due to severe typhoons, climate change, and humsection an activities. Sea level rise has been recorded all along the coast. Moreover, sand exploitation and engineering measures have significantly changed local reliefs and led to apparent sea water level change on the coast of Nam Dinh province. Coastal erosion and sea dike failures have become a serious problem in the region. The site investigation of nearshore topography shows the recent changes to the coast. Hydrodynamic models show that changes of relief and increased wave attacks on dikes. The main reason for sea dike instability is soil erosion due to wave topping; meanwhile, the dikes are stable in terms of sliding. The coast should be reinforced with properly constructed revetments, wave topping preventive measures, and nearshore sand exploitation should be halted. Full article

Background and Objectives: In northern Vietnam, nearly 37,100 hectares of mangroves were lost from 1964–1997 due to unsustainable harvest and deforestation for the creation of shrimp aquaculture ponds. To offset these losses, efforts in the late 1990s have resulted in thousands of hectares of mangroves being restored, but few studies to date have examined how effective these efforts are at creating restored mangrove forests that function similarly to the intact mangroves they are intended to replace. Materials and Methods: We quantified and compared soil carbon (C) stocks among restored (mono and mixed species) and intact mangrove forests in the provinces of Quang Ninh, Thai Binh, Nam Dinh and Thanh Hoa in northern Vietnam. A total of 96 soil cores up to a depth of 200 cm were collected every 25 m (25, 50, 75, 100, 125, and 150 m) along 16 linear transects that were 150 m long and perpendicular to the mangrove upland interface (six cores along each transect) at Quang Ninh (four transects), Thai Binh (five), Nam Dinh (four) and Thanh Hoa (three). Five-cm-long soil samples were then collected from the 0–15 cm, 15–30 cm, 30–50 cm, 50–100 cm, and >100 cm depth intervals of each soil core. Results: The study confirmed that the soil C stock of 20–25-year-old restored mangrove forest (217.74 ± 16.82 Mg/ha) was not significantly different from that of intact mangrove forest (300.68 ± 51.61 Mg/ha) (p > 0.05). Soil C stocks of Quang Ninh (323.89 ± 28.43 Mg/ha) were not significantly different from Nam Dinh (249.81 ± 19.09 Mg/ha), but both of those were significantly larger than Thai Binh (201.42 ± 27.65 Mg/ha) and Thanh Hoa (178.98 ± 30.82 Mg/ha) (p < 0.05). Soil C stock differences among provinces could be due to their different geomorphological characteristics and mangrove age. Soil C stocks did not differ among mangroves that were restored with mixed mangrove species (289.75 ± 33.28 Mg/ha), Sonneratia caseolaris (L.) Engl. (255.67 ± 13.11 Mg/ha) or Aegiceras corniculatum (L.) Blanco (278.15 ± 43.86 Mg/ha), but soil C stocks of those mangroves were significantly greater than that of Kandelia obovata Sheue, Liu & Yong (174.04 ± 20.38 Mg/ha) (p < 0.05). Conclusion: There were significant differences in the soil C stocks of mangrove forests among species and provinces in northern Vietnam. The soil C stock of 20–25-year-old restored mangrove forest was not significantly different from that of intact mangrove forest. Full article

Antimicrobial resistance (AMR) is influenced by antimicrobial use in human and animal health. This use exerts selection pressure on pathogen populations with the development of resistance and the exchange of resistance genes. While the exact scale of AMR in Vietnam remains uncertain, recent studies suggest that it is a major issue in both human and animal health. This study explored antimicrobial use behaviors in 36 pig farms in the Nam Dinh Province (North) and the Dong Nai Province (South) of Vietnam (with a median of 5.5 breeding sows and 41 fattening pigs). It also estimated the economic costs and benefits of use for the producer. Data were collected through a structured face-to-face interview with additional productivity data collected by farmers during a six-week period following the initial interview. Overall, antimicrobial use was high across the farms; however, in-feed antimicrobial use is likely to be under-reported due to misleading and imprecise labelling on premixed commercial feeds. An economic analysis found that the cost of antimicrobials was low relative to other farm inputs (~2% of total costs), and that farm profitability was precariously balanced, with high disease and poor prices leading to negative and low profits. Future policies for smallholder farms need to consider farm-level economics and livestock food supply issues when developing further antimicrobial use interventions in the region. Full article

Sleep quality among heroin-dependent patients receiving methadone maintenance treatment (MMT) is not fully investigated in Vietnam. This study explored the prevalence of poor sleep quality in methadone-maintained patients and associated factors. This cross-sectional included 395 MMT patients at three clinics in Nam Dinh province, Vietnam. The Pittsburgh Sleep Quality Index (PSQI) was employed to measure patients’ sleep quality. Sociodemographic, clinical, behavioral, psychological, and social support characteristics were collected. Multivariate Logistic and Generalized Linear Regression models were applied to identify associated factors. Among 395 patients, 26.6% had poor sleep quality according to the PSQI scale. People having jobs were less likely to have poor sleep quality and lower PSQI scores compared to unemployed patients. Those having spouses had lower PSQI scores than single patients. High depression, anxiety, and stress scores were associated with poor sleep quality and high PSQI scores. A longer duration of MMT increased the likelihood of experiencing poor sleep quality. Patients smoking tobacco daily or concurrently using drugs had lower PSQI scores than those that did not. This study highlights a moderate prevalence of poor sleep quality among Vietnamese MMT patients. Regular evaluation, appropriate psychological management, and social support, as well as the provision of employment opportunities, potentially improve the sleep quality of methadone-maintained patients. Full article

Methadone maintenance treatment (MMT) has been scaled up significantly in recent years. This study aimed to investigate the pattern of polysubstance use in 395 MMT patients and its contextualized associated factors. A cross-sectional study was performed in three outpatient MMT clinics in Nam Dinh Province. Multivariate Poisson regression was used to identify factors associated with polysubstance use status. The mean MMT duration and the current MMT dose was 3.3 years and 69.2 mg, respectively. Among participants, 24.8% reported daily alcohol use, 68.6% smoked regularly, and 6% used illicit drugs. Peer pressure and MMT suboptimal adherence were found to associate with continual usage of drugs (47.8%). Participants who lived with a spouse/partner, were self-employed, and smoked were more likely to drink alcohol. Those who drink were also more likely to smoke, and vice versa. Recommendations for policymakers include community-based education and promotional programs aiming to decrease substance usage in the community as well as encouraging and supporting the private health sector in establishing private MMT services and clinics. Further longitudinal studies on polysubstance usage among MMT patients should also be conducted. Full article

Antiretroviral therapy (ART) improves the health and well-being of people living with the human immunodeficiency virus (HIV, PLWH), and reduces their risk of transmitting the virus to sexual partners. However, patterns of sexual risk behavior among HIV-positive patients taking ART in Vietnam remain largely unknown. In this study, we sought to examine sexual risk behaviors and their associated factors among HIV-positive patients receiving ART in northern Vietnam. The socio-demographic characteristics, ART use, health status, and sexual behaviors of 1133 patients taking ART in the Hanoi and Nam Dinh provinces were explored through face-to-face interviews. There were 63.5% of patients who had one sex partner, while 3.6% and 5.6% of patients had sexual intercourse with casual partners or sex workers, respectively, in the previous 12 months. Most participants tended to use condoms more often with commercial sex partners (90.2%) and intimate partners (79.7%), and less often with casual partners (60.9%). Higher age (odds ratio, OR = 1.0; 95% CIs = 1.0, 1.1) or suffering pain/discomfort (OR = 1.7; 95% CIs = 1.2, 2.4) were factors more likely to be associated with multiple sex partners. Patients who were self-employed were more likely to have sexual intercourse with casual partners/sex workers (OR = 2.1; 95% CIs = 1.1, 4.0). Meanwhile, a higher score on the EuroQol visual analog scale (EQ-VAS), an unknown HIV stage, and a longer duration of ART were adversely associated with not using condoms with casual partners/sex workers. Patients with longer durations of ART had a lower likelihood of not using a condom with casual partners/sex workers (OR = 0.5; 95% CIs = 0.3, 0.8). Our study underscored a relatively high rate of unsafe sexual behaviors among HIV-positive patients. Continuing to improve the physical and psychological well-being of HIV-positive patients in Vietnam is important in reducing the spread of HIV via risky sexual behaviors. In addition, safe-sex education should be provided to older people, and to those who are self-employed. Full article

Highly Pathogenic Avian Influenza (HPAI) subtype H5N1 poses severe threats to both animals and humans. Investigating where, when and why the disease occurs is important to help animal health authorities develop effective control policies. This study takes into account spatial and temporal occurrence of HPAI H5N1 in the Red River Delta of Vietnam. A two-stage procedure was used: (1) logistic regression modeling to identify and quantify factors influencing the occurrence of HPAI H5N1; and (2) a geostatistical approach to develop monthly predictive maps. The results demonstrated that higher average monthly temperatures and poultry density in combination with lower average monthly precipitation, humidity in low elevation areas, roughly from November to January and April to June, contribute to the higher occurrence of HPAI H5N1. Provinces near the Gulf of Tonkin, including Hai Phong, Hai Duong, Thai Binh, Nam Dinh and Ninh Binh are areas with higher probability of occurrence of HPAI H5N1. Full article