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Hanoi basically controls infectious diseases

Báo Đầu tưBáo Đầu tư24/01/2025

According to the report of the Hanoi Department of Health, the infectious disease situation in the area in 2024 has been basically controlled.


Medical news on January 22: Hanoi basically controls infectious diseases

According to the report of the Hanoi Department of Health, the infectious disease situation in the area in 2024 has been basically controlled.

Hanoi basically controls infectious diseases

Dangerous, emerging or acute infectious diseases such as A/H5N1 influenza, Marburg virus disease, Ebola, Mers-CoV, and monkeypox were not recorded in the area. Along with that, the Covid-19 epidemic was effectively controlled, the number of cases remained low, and there were no new deaths.

Non-communicable diseases are a burden in health care. Illustration photo

Hanoi also recorded no deaths from rabies last year. In particular, diphtheria, one of the public health concerns, did not appear.

Other endemic diseases such as dengue fever, hand, foot and mouth disease and swine streptococcus all have a tendency to decrease in the number of cases compared to previous years. However, some diseases such as measles, whooping cough and meningococcus have shown signs of increasing in the number of cases, but these cases are all scattered, with no large outbreaks recorded.

Medical examination and treatment at medical facilities have also met the needs of the people. Medical centers in the area have not had any serious medical incidents or professional errors. This shows the stability and quality of health care for the community.

Regarding food safety, Hanoi continues to maintain and implement programs, projects, schemes and pilot models on food safety.

In 2024, the City managed 80,267 food production, trading and processing establishments. Of which, the Health sector managed 46,105 establishments, including: 3,874 establishments in the City, 8,165 establishments in districts, towns and 34,066 establishments in communes, wards and towns.

One of the highlights in the City's food safety work is the implementation of a food safety control program at food and beverage services and street food.

These food safety pilot models have been widely deployed in 100% of wards and towns, as well as 60 civilized streets in 30 districts, towns and cities. This not only helps protect people's health but also creates a safe and healthy food consumption environment.

Over the past year, the City also maintained food safety control models at large gatherings in 440 communes, wards and towns in 20 districts, towns and cities.

Models to improve the capacity of self-management of collective kitchens at schools have been implemented in 20 kitchens in 10 districts. Recently, the model of food safety control in collective kitchens at primary schools has been replicated in 15 districts, towns and cities with a total of 324 schools.

In the coming time, Hanoi City will continue to strengthen food safety work, especially during the Lunar New Year and Spring festivals in 2025.

Authorities will carry out inspection, monitoring and traceability of food, with special attention to controlling food safety at large gatherings. This is to prevent food poisoning and protect public health during the holidays.

Man had to have his limb amputated because of a mini gas tank explosion.

Viet Duc Friendship Hospital has just received a case of serious injury from an accident caused by a mini gas cylinder exploding. The victim is Mr. N.D.H, 48 years old, residing in Tuyen Quang, who was seriously injured while cooking at home.

According to information from Master, Doctor Nguyen Moc Son, Department of Upper Limb Surgery and Sports Medicine, the patient was hospitalized with many serious injuries, including: crushed right leg, open fracture of left leg, complex wounds on both hands and closed abdominal trauma.

Due to the severity of the injury, doctors decided to amputate one-third of the patient's right leg, repair the stumps of fingers 4 and 5, and treat the wounds on the hand.

Doctors at Viet Duc Friendship Hospital warn that in the days leading up to Tet, the use of mini gas cylinders for cooking in households has become more popular. This also poses many potential risks of serious accidents if users do not comply with safety rules when using mini gas cylinders. In particular, mini gas cylinders of unknown origin are more likely to be dangerous.

This is not the only case of an accident caused by a mini gas cylinder exploding. Doctors advise people to be extremely careful when using this device and always check it carefully before use. In case of injury due to an accident, the patient should go to the nearest medical facility for timely treatment.

Another problem that doctors also note is the situation where many patients, after being treated at the hospital, arbitrarily buy herbal medicine or use leaves to apply on their wounds.

This practice carries the risk of infection and worsens health conditions. Therefore, doctors recommend that people should not self-treat at home, but should go to medical facilities for timely examination and treatment to avoid serious risks.

Boy's neck swollen due to rare Kikuchi's disease

On January 20, 2025, a special case related to Kikuchi's lymph nodes was discovered at the hospital, when 10-year-old Tri had swollen lymph nodes in his neck and had to undergo lymph node dissection surgery to determine the cause.

Baby Tri started showing signs of abnormality when a small tumor about 2cm appeared on the right side of his neck. Then, this tumor gradually grew larger, causing pain and taking up nearly half of his neck.

The family took the child to many hospitals but could not determine the disease. When the tumor grew 4 times its original size, the family decided to take the child to Tam Anh General Hospital for examination.

At the hospital, doctors conducted tests and took X-rays and MRIs, suspecting that the disease could be lymphoma or tuberculosis. The baby was prescribed antibiotics and anti-inflammatory drugs.

However, after three days of treatment, the disease did not improve, the tumor was still swollen and painful, requiring lymph node dissection and biopsy to determine the cause.

The surgery, which lasted nearly 120 minutes, was successful. The lymph node was completely removed and the pathological results, along with immunohistochemistry, confirmed that the child had Kikuchi lymphadenitis. After the surgery, the child was treated with corticosteroids combined with antibiotics. After 5 days of treatment, the child's health gradually stabilized and he was discharged from the hospital.

Kikuchi's lymphadenitis, also known as necrotizing lymphadenitis, is a rare disease. According to medical research, there are only about 590 cases of the disease recorded worldwide, and this disease often appears more in women than men, at a ratio of 4:1. In particular, the disease is rare in children and boys like Tri's case.

Kikuchi's lymphadenopathy usually occurs in the neck, but can also develop in the armpit or groin. The disease is benign and was first described in Japan in 1972 by Dr. Kikuchi. Although the disease is not dangerous in most cases, if not detected and treated promptly, it can cause serious complications.

Dr. Nguyen Do Trong, a pediatric surgeon at Tam Anh General Hospital, said that Kikuchi's lymphadenopathy often has symptoms such as painful swelling in the neck, armpits, or groin, accompanied by mild fever, night sweats, rash, sore throat, headache, weight loss, and leukopenia.

The disease is easily misdiagnosed as other diseases such as malignant lymphoma. According to one study, about 30% of lymph node biopsy samples are misdiagnosed as lymphoma.

The exact cause of Kikuchi's disease is unknown. Some studies suggest that the disease may be related to a virus or the activation of the immune system when the lymph nodes are attacked. Viruses such as Epstein-Barr, human T-cell leukemia virus type 1, human herpesvirus type 6, and cytomegalovirus are all thought to contribute to the disease.

Although there is no specific treatment, Kikuchi's ganglion can be controlled with corticosteroids or nonsteroidal anti-inflammatory drugs. In more severe cases, your doctor may use immunosuppressive drugs.

Doctor Trong recommends that Kikuchi's lymphadenopathy is a benign disease but needs to be detected and treated early to avoid serious complications such as blood infection or leukopenia.

When parents see signs of swollen lymph nodes in their children, especially in the neck, armpits, and groin, accompanied by symptoms such as fever, sore throat, and weight loss, they should take their children to medical facilities for timely examination and treatment.

In addition to Kikuchi's lymphadenopathy, lymphadenitis in the head and neck area can also be caused by other causes such as tuberculosis, Epstein-Barr virus infection, cytomegalovirus, HIV, toxoplasma or syphilis, and even malignant diseases such as lymphoma. Therefore, accurate diagnosis is very important for the right treatment plan.



Source: https://baodautu.vn/tin-moi-y-te-ngay-221-ha-noi-co-ban-kiem-soat-dich-truyen-nhiem-d241921.html

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