This report describes norovirus (NoV) and sapovirus (SaV) infections in hospitalized children with acute sporadic gastroenteritis in Ho Chi Minh City, Vietnam. Stool specimens collected between December 1999 and November 2000 were examined for NoV and SaV using reverse transcription-PCR and phylogenetic analysis. NoVs were detected in 72 of 448 rotavirus-negative specimens, counted as part of an overall annual detection rate of 5.4% (72 of 1,339 children). This included four NoV genogroup I (GI) strains and 68 NoV GII strains. Only one SaV GI strain was detected in the rotavirus-negative specimens. Over 73% of the NoV sequences belonged to GII/4 (Lordsdale cluster) and were detected in all months except March. We also detected GII/3 strains (Saitama U201 cluster), a naturally occurring recombinant NoV, between January 2000 and March 2000 but not after this period. Other NoV strains belonging to GI/4, GI/8, GII/1, and GII/7 were also detected but were infrequent. In addition, two almost identical NoV GII strains (strains 026 and 0703) collected six months apart were classified into a new genotype that includes the Mc37 strain, which was previously shown to be a recombinant NoV. During this one-year study, the NoV prevailed at the end of the rainy season and the beginning of the dry season. Further epidemiological studies may be necessary to determine whether the GII/4 strains continue to dominant in this region.

Genetic and antigenic characterizations of 70 strains of adenovirus type 41 (Ad41), isolated between 1998 and 2001 from children in Japan, Vietnam, and Korea, were done by DNA restriction enzyme (RE) analysis, sequencing analysis, and monoclonal antibody (MAb)-based enzyme-linked immunosorbent assay (ELISA). Eight genome types were observed in the present study, among which D25, D26, D27, and D28 were novel genome types. These eight genome types were divided into two genome-type clusters (GTCs) based on phylogenetic analysis of the hypervariable regions (HVRs) of the hexon. GTC1 includes D1, D25, D26, D27, and D28, and the GTC2 contains D4, D12, and D22. The amino acid homologies among the members within a GTC were 97 to 100%, whereas between the members of different GTCs the homologies were 92 to 94%. The specificity of the GTC classification was confirmed by ELISA with MAb 1F, which was selected by the Ad41 prototype Tak strain. It was found that only the isolates of GTC1 but not of GTC2 reacted with MAb 1F. These results suggest that Ad41 isolates from the three countries should be classified into two subtypes. The accumulation of amino acid mutations located in HVRs of hexon are indicative for the classification of Ad41 subtype.Adenoviruses are responsible for a wide range of disease symptoms. To date, there are 51 recognized serotypes of human adenovirus that are classified into six subgenera (A to F) based on several antigenic, morphological and molecular criteria. Among them, subgenus F, represented by the two serotypes adenovirus type 40 (Ad40) and Ad41, is associated with diarrhea in children; it is found in 1 to 20% of fecal specimens from children with acute gastroenteritis (3,9,12,15,22,35). The two serotypes (Ad40 and Ad41) of subgenus F are termed enteric adenovirus (EAd) because of their tropism for the gastrointestinal tract (10, 32). The subgenus F adenoviruses grow poorly in most cell culture systems, in contrast to other cultivable "nonenteric" adenoviruses, and are therefore also termed "noncultivable" or "fastidious" adenovirus (7, 16).Earlier surveys had shown that the occurrences of Ad40 and Ad41 are approximately equal (6, 11). However, several studies have recently reported a decrease in the rate of isolation of Ad40 and a concomitant increase in the rate of isolation of Ad41 (5,8,25,34). After 1986, Ad41 infection became dominant over Ad40. Our previous studies confirmed that Ad41 was the prevailing serotype of adenovirus associated with acute diarrhea among children also in Japan, Vietnam, and Korea (19). The change in prevalence of Ad41 might have been caused by an antigenic drift, thus increasing the incidence of infection in susceptible individuals (3). Therefore, it is important to characterize these Ad41 strains. In the last decade, there were relatively few comprehensive epidemiological studies of subgenus F adenoviruses from children with diarrhea in Asian countries. The objectives of the present study were (i) to describe the genome types of Ad41 isolates by DNA restriction end...

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An epidemiological study of the G serotype and P genotype distribution of group A rotaviruses by using ELISA and/or RT-PCR was conducted in children (aged 1 month to 15 years) with diarrhea that were admitted to the General Children's Hospital No. 1, Ho Chi Minh City, Vietnam from December 1999 to November 2000. The results showed that rotavirus is associated with 65.6% (889/1355) of diarrheal admissions. Rotavirus infection mostly affected children under 2 years of age with a peak incidence in children 1 to 2 years of age (75.7%) and it occurs year round with a slight seasonal pattern; 99.5% of the specimens could be G-typed: G1 was predominant (68.7%), followed by G4 (15.4%), G2 (12.3%), G3 (0.6%), and G9 (0.5%). High identities of VP7 nucleotide (96.3 to 96.9%) and deduced amino acid (98.1 to 98.4%) were found between two Vietnamese G9 strains and also the recent emergence of G9 strains US 1205, Brazilian R143, and Malawian MW69. Mixed infections were identified in 17 (2.0%), and 5 strains (0.5%) remained untypable. The four most common worldwide strains, G1P[8], G2P[4], G3P[8], and G4P[8], constituted 81.1% of all rotaviruses typed with G1P[8] being the most prevalent type (58.2%). Unusual G/P combinations (11 strains) were detected in 11.7% of all strains, of which, G1P[4] was the most prevalent, accounting for 5.6% of the total. Several combinations of G and P types were observed in this study, suggesting a complex rotavirus infection pattern in Vietnam. This study has provided for the first time clear indication on the circulating G and P genotypes among hospitalized children in Ho Chi Minh City, Vietnam. The results suggest that these viral infections are prevalent among hospitalized children and that the four most common worldwide G types as well as the four most common G-P combinations were also infecting children in Ho Chi Minh City, Vietnam. This result could have important implications for rotavirus vaccine programs and for understanding the epidemiological characteristics of human rotavirus in Ho Chi Minh City, Vietnam.

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BackgroundIn Vietnam, a country with a high tuberculosis (TB) burden, health professionals in both TB-specialized and non-TB-specialized general hospitals have a high risk of acquiring TB. The aims of the present study were to clarify the difficulties in TB infection control at non-TB specialized hospitals and whether any associated risks of latent TB infection exist among health professionals in Vietnam.MethodsWe conducted a cross-sectional study in a national tertiary and general hospital of Hanoi, Vietnam. Participants were health professionals, including physicians, nurses, and other health professionals. We assessed difficulties in TB infection control by conducting a knowledge, attitude, and practice (KAP) survey. We also collected data on the results of tuberculin skin tests (TSTs) conducted during health check-ups for hospital staff to determine whether health professionals had latent TB infection or TB disease. KAP scores were compared among health professional groups (physicians vs. nurses vs. other health professionals). Factors influencing knowledge scores were evaluated using multiple regression analysis.ResultsA total 440 health professionals at the study site participated in the KAP survey, and we collected the results of TSTs from a total of 299 health professionals. We observed a high prevalence of latent TB infection (74.2%), especially among participants in the emergency department. Although participants had high KAP scores, some topics were less understood, such as symptoms and risks of TB, proper use of protective equipment such as N95 respirators, and preventing transmission by patients with confirmed or suspected TB. Factors influencing knowledge scores associated with TB were age, a belief that TB is the most important infectious disease, being a medical professional, having previously attended workshops or seminars, and knowing that Vietnam has a high burden of TB.ConclusionIn a non-TB specialized hospital of Vietnam, we observed a risk of TB infection among health professionals and difficulties in properly controlling TB infection. Early awareness regarding patients with suspected TB, to apply proper measures and prevent transmission, and education regarding obtaining updated knowledge through scientific information are crucial to enhancing TB infection control in general hospitals of Vietnam.

With increasing water reuse applications and possible stringent regulations of phosphorus content in secondary and tertiary effluent discharge in Florida, USA, alternative technologies beyond conventional treatment processes require implementation to achieve low phosphorus (P) and nitrogen (N) concentrations. A pilot scale membrane bioreactor (MBR) system, operated in Florida, adopted the University of Cape Town (UCT) biological process for the treatment of domestic wastewater. The system operated for 280 days at a wastewater treatment facility with total hydraulic retention time (HRT) of 7 h and sludge retention time (SRT) of 20 days. Operating conditions were controlled to maintain specific dissolved oxygen (DO) concentrations in the reactors, operate at suitable return activated sludge (RAS) rates and to waste from the appropriate reactor. This process favored biological phosphorus removal and achieved 94.1% removal efficiency. Additionally, chemical oxygen demand (COD) and N removal were achieved at 93.9% and 86.6%, respectively. Membrane operation and maintenance did not affect the biological P removal performance but enhanced the process given the different operating requirements compared to that required with the conventional UCT process alone. Conclusively, the result of the pilot study demonstrated improvement in biological phosphorus removal. The UCT-MBR process tested achieved average effluent nitrogen and phosphorus concentrations of 5 mg/L as N and 0.3 mg/L as P.

In this study, the advanced oxidation processes (AOPs) using Fenton reaction (F-AOPs) was applied in order to remove colour in combined wastewater from pulp and paper industry after treated by a combination of coagulation and activated sludge. The effects of key operating parameters, such as the concentration of iron (II) sulfate, hydrogen peroxide dosage, pH, visible light as well as photocatalyst TiO2 on the decolorization were studied and discussed. Some kinetic rate constants at different conditions have been determined. The results shown that F-AOPs was a suitable technique for removing colour from effluent from pulp and paper industry. At optimum conditions, the colour removal was more than 90% and 100% without with photocatalyst after 40 minutes of reaction, respectively.