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Minister of Health Dao Hong Lan visited, worked with, and extended Lunar New Year greetings to the Institute of Malariology, Parasitology and Entomology Quy Nhơn
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The specialist clinic of IMPE Quy Nhon has become a reliable address in the detection and treatment of parasitic diseases

Thứ sáu, 25/6/2010, 0:0 , Lượt đọc : 98

Not only is the most hyper-endemic malaria region, Central Vietnam is also reported as a hot spot of parasitic diseases infection such as Fascioliasis, Clonorchiasis, Baylisascaris, Gnathostomiasis, Ascariasis, ect. Confronted with the people's morbidity of these diseases, right from 2004, the leaderships of the IMPE Quy Nhon took the initative in petitioning the Ministry of Health (MoH) to be allowed to open the specialist clinic for receiving and treating patients from the regional provinces.

In order to meet the people's needs of medical examination and treatment according to the Institute's request, the MoH has instructed the Examination and Treatment Administration Department and other concerned departments to examine and allowed the IMPE Quy Nhon to open the specialized clinic with the initial target of 20 beds.

Over six years of operation (2005-2010), the staff of the Institute's clinic has increased constantly in both graduates and post-graduates serving in the medical examination, testing, treatment and consultancy for patients. Besides the professional expertise staff, the Institute's directorate has invested in modern equipments for the examination, testing and diagnosis, such as ELISA immune testing, 36-parameters biochemical machine, 28-parameters hematology machine, 4-dimensional colored ultrasonic scanner, gastro-entero endoscope, high-tech diagnosis by molecular biological technique (PCR) ... so all parasitic diseases such as Fascioliasis, Clonorchiasis, Taeniasis, Strongyloidiasis, Gnathostomiasis, Ascariasis, Necatoriasis, Ancylostomiasis, or larval diseases like Baylisascaris, Cysticercosis are diagnosed quickly and patients could be treated timely.

The clinic's staff taking blood and carrying out biological testing techniques.

Since 2003, Fascioliasis infection in humans has been increasing, especially from 2006 to now, the situation has been at an alarming level because patients in some provinces in Central Vietnam increased sharply, while the anthelmintic drugs for Fascioliasis - Egaten 250mg was scarce, bringing about great pressure of patients to the Institute's clinic. Confronted with the complicated situation of Fascioliasis, in addition to the implementation of the research on epidemiology, diagnostic techniques and treatment regimens for Fascioliasis, the leaderships of the IMPE Quy Nhon has directed the clinic to strengthen receiving patients, scheduling appropriate treatment for each case in accordance with patients' clinical level, and reported the disease situation to the MoH and the World Health Organization (WHO) for being supported with Egaten 250mg to treat patients free.

The situation of Fascioliasis treatment from 2006 to 2009 (Table)

No.	Units	*Number of Fascioliasis* cases treated**				Total
No.	Units	2006	2007	2008	2009	Total
1	Binh Dinh	733	428	249	800	2.210
2	Quang Ngai	288	284	220	400	1.192
3	Quang Nam	-	124	155	150	429
4	Phu Yen	-	151	81	100	332
5	Khanh Hoa	-	38	91	50	179
6	Gia Lai	-	23	99	100	222
7	Da Nang	-	118	60	40	218
8	Thua Thien Hue	-	-	-	50	50
9	Quang Tri	-	6	18	5	29
10	Quang Binh	-	12	5	-	17
11	Dak Lak	-	4	9	10	23
12	Kon Tum	-	2	5	-	23
13	Institute's clinic	2.640	672	820	2.200	6.332
Total		3.661	1.862	1.812	3.905	11.240

According to the above table, within 4 years (2006-2009) Central Vietnam had detected and treated 11,240 Fascioliasis cases, of which the Institute's clinic treated 6,332 cases, accounting for 56.33%.

Besides Fascioliasis, the Institute's clinic also admitted and treated patients infected with other diseases. According to the figures of 2009, there were about 22,090 patients coming to the clinic, including 2,252 of Fascioliasis, 9,559 of follow-up examination, 871 of Baylisascaris, Ascariasis, Gnathostomiasis, Cysticercosis, 186 of viral hepatitis, 686 of respiratory infection, 599 of digestive illnesses and 7,238 of health examination.

The Institute's physicians examining and treating patients at the clinic.

Up to now, the specialist clinic of the IMPE Quy Nhon has affirmed its fame of the quality of diagnosis and treatment, sense of service and medical expertise capacity, developed in accordance with the MoH's requirements and timely met the people's medicinal needs.

Presently, due to the ever-increasing medicinal needs of people, the MoH allowed the clinic to raise the target from 20 beds to 50 beds to promptly diagnose and admit patients for treatment. In the first 4 months of 2010, patients coming to the Institute's clinic increased ceaselessly, including those who were from the provinces of Central Vietnam and other areas nationwide.

No.		Months				Total
No.		1/2010	2/2010	3/2010	4/2010	Total
1	Number of patients	1.632	1.025	5.149	2.149	10.742
2	Number of Fascioliasis cases	95	68	290	28	481
3	Number of follow-up examination cases	199	67	565	288	1.119
4	Number of Baylisascaris cases	521	277	890	717	2.405
5	Number of Cysticercosis cases	155	122	380	267	924
6	Number of Gnathostomiasis cases	295	144	599	473	1.511
7	Number of Ascariasis cases	153	75	310	249	787
8	Number of Amoebiasis cases	167	85	375	115	742
9	Number of other cases	320	330	1.503	894	3.047

Thus, just in 4 first months of 2010, the number of patients examining and treating at the clinic has increased continuously, especially those infected with parasitic diseases such as Baylisascaris, Ascariasis and Gnathostomiasis. Confronted with this situation, the leaderships of the IMPE Quy Nhon have strengthened their staff of doctors and technicians to the clinic for the examination, testing and treatment in a timely way. The Institute's staff not only has carried out scientific research in the field but also been ready to settle the pressure from patients.

From May until now, due to hot and muggy summery weather, patients from provinces across the country are coming in ever-increasing numbers with an average of 300-350 patients diagnosed and treated every day, making the medical work really hard; however, the physicians of the Institute has worked wholeheartedly and attended patients conscientiously.

The operations of the Institute in recent years is consistent with the policies of the Party and State as well as with the medical needs of people. In the coming time, the IMPE Quy Nhon will continue to promote the strengths of experienced technical and scientific staff, high-tech and modern equipments in the diagnosis and treatment of parasitic diseases, enabling people to benefit from the in-depth medical services and actively contributing in serving the public health.

Tác giả: (Translated by Huynh Thi An Khang and Tran Minh Quy)

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