The First 100 Days of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Control in Vietnam.

BACKGROUND: One hundred days after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first reported in Vietnam on 23 January, 270 cases were confirmed, with no deaths. We describe the control measures used by the government and their relationship with imported and domestically acquired case numbers, with the aim of identifying the measures associated with successful SARS-CoV-2 control. METHODS: Clinical and demographic data on the first 270 SARS-CoV-2 infected cases and the timing and nature of government control measures, including numbers of tests and quarantined individuals, were analyzed. Apple and Google mobility data provided proxies for population movement. Serial intervals were calculated from 33 infector-infectee pairs and used to estimate the proportion of presymptomatic transmission events and time-varying reproduction numbers. RESULTS: A national lockdown was implemented between 1 and 22 April. Around 200 000 people were quarantined and 266 122 reverse transcription polymerase chain reaction (RT-PCR) tests conducted. Population mobility decreased progressively before lockdown. In total, 60% (163/270) of cases were imported; 43% (89/208) of resolved infections remained asymptomatic for the duration of infection. The serial interval was 3.24 days, and 27.5% (95% confidence interval [CI], 15.7%-40.0%) of transmissions occurred presymptomatically. Limited transmission amounted to a maximum reproduction number of 1.15 (95% CI, .·37-2.·36). No community transmission has been detected since 15 April. CONCLUSIONS: Vietnam has controlled SARS-CoV-2 spread through the early introduction of mass communication, meticulous contact tracing with strict quarantine, and international travel restrictions. The value of these interventions is supported by the high proportion of asymptomatic and imported cases, and evidence for substantial presymptomatic transmission.

Burden of Influenza-Associated Respiratory Hospitalizations, Vietnam, 2014-2016.

Influenza burden estimates are essential to informing prevention and control policies. To complement recent influenza vaccine production capacity in Vietnam, we used acute respiratory infection (ARI) hospitalization data, severe acute respiratory infection (SARI) surveillance data, and provincial population data from 4 provinces representing Vietnam's major regions during 2014-2016 to calculate provincial and national influenza-associated ARI and SARI hospitalization rates. We determined the proportion of ARI admissions meeting the World Health Organization SARI case definition through medical record review. The mean influenza-associated hospitalization rates per 100,000 population were 218 (95% uncertainty interval [UI] 197-238) for ARI and 134 (95% UI 119-149) for SARI. Influenza-associated SARI hospitalization rates per 100,000 population were highest among children <5 years of age (1,123; 95% UI 946-1,301) and adults >65 years of age (207; 95% UI 186-227), underscoring the need for prevention and control measures, such as vaccination, in these at-risk populations.

Novel Mutation of SARS-CoV-2, Vietnam, July 2020.

A cluster of severe acute respiratory syndrome coronavirus 2 infections in Danang, Vietnam, began July 25, 2020, and resulted in 551 confirmed cases and 35 deaths as of February 2021. We analyzed 26 sequences from this cluster and identified a novel shared mutation in nonstructural protein 9, suggesting a single introduction into Vietnam.

Transmission of SARS-CoV 2 During Long-Haul Flight.

To assess the role of in-flight transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), we investigated a cluster of cases among passengers on a 10-hour commercial flight. Affected persons were passengers, crew, and their close contacts. We traced 217 passengers and crew to their final destinations and interviewed, tested, and quarantined them. Among the 16 persons in whom SARS-CoV-2 infection was detected, 12 (75%) were passengers seated in business class along with the only symptomatic person (attack rate 62%). Seating proximity was strongly associated with increased infection risk (risk ratio 7.3, 95% CI 1.2-46.2). We found no strong evidence supporting alternative transmission scenarios. In-flight transmission that probably originated from 1 symptomatic passenger caused a large cluster of cases during a long flight. Guidelines for preventing SARS-CoV-2 infection among air passengers should consider individual passengers' risk for infection, the number of passengers traveling, and flight duration.

Synergic effect of CaI2 and LiI on ionic conductivity of solution-based synthesized Li7P3S11 solid electrolyte.

Li7P3S11 doped with CaX2 (X = Cl, Br, I) and LiI solid electrolytes were successfully prepared by liquid-phase synthesis using acetonitrile as the reaction medium. Their structure was investigated using XRD, Raman spectroscopy and SEM-EDS. The data obtained from complex impedance spectroscopy was analyzed to study the ionic conductivity and relaxation dynamics in the prepared samples. The XRD results suggested that a part of CaX2 and LiI incorporated into the structure of Li7P3S11, while the remaining part existed at the grain boundary of the Li7P3S11 particle. The Raman peak positions of PS43- and P2S74- ions in samples 90Li7P3S11-5CaI2 and 90Li7P3S11-5CaI2-5LiI had shifted as compared to the Li7P3S11 sample, showing that CaI2 addition affected the vibration of PS43- and P2S74- ions. EDS results indicated that CaI2 and LiI were well dispersed in the prepared powder sample. The ionic conductivity at 25 °C of sample 90Li7P3S11-5CaI2-5LiI reached a very high value of 3.1 mS cm-1 due to the improvement of Li-ion movement at the grain boundary and structural improvement upon CaI2 and LiI doping. This study encouraged the application of Li7P3S11 in all-solid-state Li-ion batteries.

AC conductivity study of mechanochemically synthesized solid electrolytes of Li6-aMa/nnPS5Cl (M = Ca, Mg, Ba, Zn, Al, Y).

Argyrodite-type solid electrolytes of Li6PS5Cl doped with multivalent cations (Mg2+, Ba2+, Zn2+, Al3+, Y3+) were prepared via a mechanochemical synthesis method. The lattice constant (a0), interplanar spacing (d220, d311, d222), and micro-strain (ε) showed that the doping elements were incorporated into the crystal structure of Li6PS5Cl. The lattice constant and interplanar spacing of the doped samples were smaller than those of Li6PS5Cl. The prepared samples exhibited a positive lattice strain, and the substituted samples exhibited higher strains than Li6PS5Cl. The doped samples exhibited higher ionic conductivity than Li6PS5Cl at 25 °C. Li5.94Al0.02PS5Cl exhibited the highest σDC of approximately 2.36 × 10-3 S cm-1 at 25 °C. The charge carrier movement at the grain boundary changing from long-range diffusion in Li6PS5Cl to short-range diffusion in Li5.94Al0.02PS5Cl enhanced the conductivity.

Anhydrous proton-conducting imidazole triflate-SiO2 composite.

ImidazoleTriflate (ITF)-SiO2 composites xITF-(100-x)SiO2 were prepared by planetary ball-milling method. The structure of the composites was studied by TG-DTA, XRD and FT-IR methods. The ionic conductivity was assessed by alternative current (AC) electrochemical impedance measurement. From XRD results, the crystal size of imidazole triflate became smaller as its loading in xITF-(100-x)SiO2 decreased. With x = 40 weight percent, the calculated crystal size was about 7.3 nm. FT-IR spectra showed the existence of CF3SO3 -···H+ ion aggregates and imidazole-proton bonds. The electrical conductivity of sample x = 50 was about 6.3 × 10-3 Scm-1 at 130 °C under anhydrous condition and about 30 times higher than that of sample x = 100.

Assessment of the environmental carrying capacity of pollutants in Tam Giang-Cau Hai Lagoon (Viet Nam) and solutions for the environment protection of the lagoon.

Tam Giang-Cau Hai lagoon is the largest lagoon in Viet Nam. It has two inlets that exchange water with the sea: Thuan An inlet in the north and Tu Hien inlet in the south. Every year, Tam Giang-Cau Hai lagoon receives a large amount of wastewater from five coastal districts with various waste sources such as residences, aquaculture, livestock and industry among others. Due to the low water exchange through the two inlets, wastewater is discharged into the lagoon and pollutants accumulate in the water. This results in pollution concentrations in the water exceeding the environmental limits and causing adverse effects on aquatic life. This paper presents the environmental carrying capacity (ECC) of the lagoon based on calculations from the Delft-3D model using three scenarios: 1) ECC following Vietnamese regulations; 2) maximum ECC or dangerous scenario (which the water body can no longer purify itself or becomes a dead water body); 3) proposed ECC for the protection of aquatic life. Based on the study results, some solutions have been proposed to protect the lagoon with the construction of wastewater treatment plants being the most important action to reduce pollution load in the lagoon.

The first community outbreak of COVID-19 in Viet Nam: description and lessons learned.

OBJECTIVE: At the time of this study, the prevention of novel coronavirus disease 2019 (COVID-19) relied solely on nonpharmaceutical interventions. Implementation of these interventions is not always optimal and, consequently, several cases were imported into non-epidemic areas and led to large community outbreaks. This report describes the characteristics of the first community outbreak of COVID-19 in Viet Nam and the intensive preventive measures taken in response. METHODS: Cases were detected and tested for SARS-CoV-2 by real-time reverse transcriptase polymerase chain reaction. Contact tracing and active surveillance were conducted to identify suspected cases and individuals at risk. Clinical symptoms were recorded using a standardized questionnaire. RESULTS: In Vinh Phuc province from 20 January to 3 March 2020, there were 11 confirmed cases among 158 suspected cases and 663 contacts. Nine of the confirmed cases (81.8%) had mild symptoms at the time of detection and two (18.2%) were asymptomatic; none required admission to an intensive care unit. Five prevention and control measures were implemented, including quarantining a community of 10 645 individuals for 20 days. The outbreak was successfully contained as of 13 February 2020. DISCUSSION: In the absence of specific interventions, the intensive use of combined preventive measures can mitigate the spread of COVID-19. The lessons learned may be useful for other communities.

Simple approach for the rapid estimation of BOD5 in food processing wastewater.

A simple approach was developed for the rapid and accurate estimation of 5-day biochemical oxygen demand (BOD5) in food processing wastewater. Immobilization of the natural microbial consortium that was collected from an aerobic compartment of a food processing wastewater treatment plant was simply performed by adhesion using a low-cost porous carrier. Pseudomonas aeruginosa, Bacillus cereus, and Streptomyces, whose salt-tolerance and ability to break down organic compounds have been widely reported, were found to be predominant. These microorganisms may cause an enhancement of the bioreactor response in the presence of sodium chloride. Consequently, a modified glucose-glutamic acid (GGA) calibration standard was proposed in which an appropriate amount of NaCl was added; this solution was found to be more effective in terms of accuracy and practicality than both conventional GGA and the synthetic wastewater recipe from the Organisation for Economic Cooperation and Development (OECD). The calibrated self-built packed-bed bioreactor exhibited good precision of 3% or less in predicting BOD5 in influent, which is similar to the performance of the most common commercial biochemical oxygen demand (BOD) bioreactors. There was a statistical agreement between the results obtained from this rapid BOD biosensor and the conventional methods, even when testing treated wastewater samples.

Spatiotemporal analysis of historical records (2001-2012) on dengue fever in Vietnam and development of a statistical model for forecasting risk.

BACKGROUND: Dengue fever is the most widespread infectious disease of humans transmitted by Aedes mosquitoes. It is the leading cause of hospitalization and death in children in the Southeast Asia and western Pacific regions. We analyzed surveillance records from health centers in Vietnam collected between 2001-2012 to determine seasonal trends, develop risk maps and an incidence forecasting model. METHODS: The data were analyzed using a hierarchical spatial Bayesian model that approximates its posterior parameter distributions using the integrated Laplace approximation algorithm (INLA). Meteorological, altitude and land cover (LC) data were used as predictors. The data were grouped by province (n = 63) and month (n = 144) and divided into training (2001-2009) and validation (2010-2012) sets. Thirteen meteorological variables, 7 land cover data and altitude were considered as predictors. Only significant predictors were kept in the final multivariable model. Eleven dummy variables representing month were also fitted to account for seasonal effects. Spatial and temporal effects were accounted for using Besag-York-Mollie (BYM) and autoregressive (1) models. Their levels of significance were analyzed using deviance information criterion (DIC). The model was validated based on the Theil's coefficient which compared predicted and observed incidence estimated using the validation data. Dengue incidence predictions for 2010-2012 were also used to generate risk maps. RESULTS: The mean monthly dengue incidence during the period was 6.94 cases (SD 14.49) per 100,000 people. Analyses on the temporal trends of the disease showed regular seasonal epidemics that were interrupted every 3 years (specifically in July 2004, July 2007 and September 2010) by major fluctuations in incidence. Monthly mean minimum temperature, rainfall, area under urban settlement/build-up areas and altitude were significant in the final model. Minimum temperature and rainfall had non-linear effects and lagging them by two months provided a better fitting model compared to using unlagged variables. Forecasts for the validation period closely mirrored the observed data and accurately captured the troughs and peaks of dengue incidence trajectories. A favorable Theil's coefficient of inequality of 0.22 was generated. CONCLUSIONS: The study identified temperature, rainfall, altitude and area under urban settlement as being significant predictors of dengue incidence. The statistical model fitted the data well based on Theil's coefficient of inequality, and risk maps generated from its predictions identified most of the high-risk provinces throughout the country.

Where has the pollution gone? A survey of organic contaminants in Ho Chi Minh city / Saigon River (Vietnam) bed sediments.

A wide range of persistent organic chemicals, including polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), some insecticides, as well as polybrominated diphenyl ethers (PBDEs) and some perfluoroalkyl substances (PFASs) were analyzed in 17 bed sediments collected along the Saigon River and at adjacent canal mouths from upstream to downstream in Ho Chi Minh City (Vietnam). Concentrations were rather low for PAHs, as well as for legacy PCBs and dichloro-diphenyl-trichlorethane and metabolites (DDTs), or below detection limits for several PFASs and all PBDEs measured. Several insecticides (chlorpyrifos-ethyl, and the pyrethroids cypermethrin and λ-cyhalothrin) displayed rather high concentrations at a few sites within the city. There was no distinct upstream - downstream trend for PAHs, (DDTs) or PCBs. Although adjacent canal sediments tended to be more contaminated than Saigon River sediments, the differences were not significant. Emissions are almost certainly substantial for PAHs, and probably also for other contaminants such as PBDEs and some PFASs. During the dry season, contaminants are presumably stored in the city, either in canals or on urban surfaces. Heavy rainfall during the monsoon period carries away contaminated particle flows into the canals and then the Saigon River. The strong tidal influence in the river channel hinders the accumulation of contaminated particles. Contaminated deposits should accordingly be investigated further downstream in depositional environments, such as the mangrove.