HIV/AIDS

CDC in Vietnam
Factsheet The Centers for Disease Control and Prevention (CDC) established the CDC Vietnam office in 2001. CDC works in partnership with the Government of Vietnam (GVN) and local and international organizations to strengthen capacity and infrastructure to address the HIV/AIDS epidemic, to foster sustainable surveillance, research, preparedness and outbreak response for influenza and other zoonotic diseases, and to address key public health priorities and concerns in Vietnam. Top 10 Causes of Deaths in Vietnam
1. Ischaemic heart disease 2. Cerebrovascular disease 13 % 11% 8% 5% 4% 6. Perinatal conditions 7. Diabetes mellitus 8. Road traffic accidents 9. Stomach cancer 10. Diarrheal disease 4% 2% 2% 2% 2%

Funding: Approximately $41 million Staffing: 11 U.S. Assignees 34 Locally Employed

3. Chronic obstructive pulmonary disease 4. Lower respiratory infections 5. Tuberculosis

Source: WHO World Health Statistics 2006

Impact in Vietnam
More than 650,000 persons per year receive HIV testing and counseling Care and support provided to more than 38,000 people living with HIV/AIDS at 59 government run adult and pediatric outpatient clinics TB study on patients coinfected with TB and HIV in Vietnam, Thailand, and Cambodia led to global guidelines recently published by WHO National Influenza Surveillance System detected 25 of Vietnams 26 human cases of avian influenza since 2006

HIV/AIDS

CDC directly supports the Ministry of Health (MoH) Vietnam Administration for AIDS Control to work with 28 provinces and 8 national institutes to strengthen the health system and to support HIV prevention and care and treatment services across the continuum of care. CDC also supports the Ho Chi Minh City Provincial AIDS Committee in providing technical support in HIV prevention, care and treatment, strategic information, and laboratory infrastructure to ensure comprehensive HIV programming. For Vietnams HIV epidemic, which is predominately injection drug user (IDU) driven, CDC works with the GVN to develop evidence-based addiction treatment programs targeting current and recovering IDUs, including risk reduction interventions, medication-assisted therapy, and other addictions recovery support, in addition to interventions such as provision of antiretroviral therapy. CDC supports Vietnam in developing sustainable infrastructures to accurately and efficiently diagnose, stage, and monitor HIV treatment. Activities include evaluation of various HIV diagnostic tests and HIV drug resistance monitoring. CDC supports strategic planning and the creation of national testing guidelines. In 2010, CDC trained 660 in-service laboratorians, updated the medical laboratory technology official curriculum, created a new training tool for TB laboratory managers based on the latest testing technologies, and supported the development of quality management systems. CDC provided technical and financial support for the completion of two major surveys: the Integrated Biological and Behavioral Survey and the National Survey of Adolescents and Vietnamese Youth. Findings from these surveys have been important in determining the potential for increased HIV/AIDS risk, as well as attitudes towards HIV/AIDS in the general population.

Center for Global Health Centers for Disease Control and Prevention

CDC builds in-country capacity to design, implement, and evaluate surveillance systems and improves national health information systems to collect, store, analyze, and use high-quality data essential to HIV prevention, care, and treatment programs. CDC works with the National Institute of Hygiene and Epidemiology (NIHE) to support implementation of HIV surveillance, monitoring, and evaluation activities, and with the General Statistics Office of the MoH to assist in the collection, analysis, and interpretation of HIV/AIDS data.

Influenza
Since 2006, CDC has supported Vietnams National Influenza Surveillance System to conduct continuous active and passive surveillance for influenza-like illness and severe acute respiratory illness caused by seasonal, pandemic, and animal-origin strains of influenza. CDC strengthened Vietnams pandemic preparedness plans and communication strategy to quickly detect influenza viruses and to respond rapidly. Working with the MoH and Ministry of Agriculture and Rural Development partners, CDC conducts research on influenza and other zoonotic diseases to better define the transmission of viruses between species.

Field Epidemiology Training Program (FETP)

CDC works in partnership with the World Health Organization, MoH, and Hanoi School of Public Health to train public health professionals through a two-year FETP that builds capacity to address communicable and non-communicable health priorities and disease threats. CDC also supports leadership and management training of public health officials through the Sustainable Management Development Program. As a result, system improvements include an increased number of clients visiting and returning for HIV test results, better adherence to treatment for opportunistic infections, and improved DOTS (a proven TB control strategy) implementation.

Vietnam at a Glance
Population: Per capita income: Life expectancy at birth women/men: Under 5 mortality:
Population Reference Bureau, 2010

88,900,000 $2,700 76/72 yrs 15/1000 live births

Tuberculosis (TB)
CDC works with the Vietnam National TB Program to reduce TB and lung related disease, death, and transmission, and to prevent the development of TB drug resistance. In 26 provinces, CDC supports expanding implementation of the three Is: increased TB case finding, INH prophylaxis (use of a drug to prevent active TB in persons infected with TB), and improved infection control to reduce TB transmission among people living with HIV/AIDS. In 2010, the University of California San Francisco and the Hanoi Lung Hospital joined the CDC-supported Tuberculosis Trials Consortium network for the 2010-2020 period. Also, CDC supports the immigrant TB screening program in Ho Chi Minh City.

Viral Diseases
CDC provides guidance in the areas of surveillance, monitoring, evaluation, and health information systems that helps control and prevent diseases, including a recent outbreak of Hand, Foot, and Mouth Disease. This work includes recommendations for surveillance priorities, health education messaging, and identifying risk factors. Also, CDC provides expertise for in-country development of a vaccine for rotavirus, a viral disease that causes many deaths and hospitalizations, mostly among children. Training and guidance is provided to improve laboratory practice and for surveillance/studies on the potential impact and cost effectiveness of the rotavirus vaccine. CDC supports the country elimination and eradication goals
For more information please contact Centers for Disease Control and Prevention: CDC-Atlanta 1600 Clifton Road NE, Atlanta, GA 30333 Email: cgh@cdc.gov Web: www.cdc.gov/global

Publication Date: October 2011