Giám sát sự lưu hành virus cúm gia cầm tại các chợ buôn bán gia cầm sống trên địa bàn thành phố hải phòng

Đồ án tốt nghiệp

SV: Nguyễn Công Chung -Lớp KSCN K13
LỜI CẢM ƠN

Để hoàn thành chuyên đề này, tôi đã nhận được sự giúp đỡ quý báu của
rất nhiều cá nhân và tập thể.
Tôi xin gửi lời cảm ơn sâu sắc và chân thành tới thầy hướng dẫn TS. Lê
Anh Tuấn đã dẫn dắt, giúp đỡ em trong suốt quá trình thực tập. Tôi cũng xin
chân thành cảm ơn tới Th.S Nguyễn Thị Thanh - Phòng dịch tễ, chi cục Thú y
Hải Phòng đã tận tình giúp đỡ chỉ bảo tôi hoàn thành đợt thực tập tốt nghiệp.
Tôi xin cảm ơn các cán bộ, nhân viên trong Chi cục Thú Y Hải Phòng đã
tạo điều kiện về cơ sở vật chất và nhiệt tình giúp đỡ tôi trong thời gian thực tập
này.
Lời cảm ơn được gửi tới Ban giám hiệu nhà trường cùng các thầy cô
giáo trong Viện Sinh - Nông, trường Đại Học Hải Phòng đã tạo điều kiện
thuận lợi giúp đỡ em trong thời gian thực tập tốt nghiệp.
Tôi cũng xin bày tỏ sự kính trọng, lòng biết ơn tới Th.S Phạm Thị Minh
Nụ đã tận tình chỉ bảo, dạy dỗ, truyền đạt kiến thức cho chúng tôi trong quá
trình học tập.
Cuối cùng, tôi xin gửi lời cảm ơn đến gia đình và những người đã luôn
động viên, ủng hộ và giúp đỡ để tôi hoàn thành luận văn này.
Tôi xin chân thành cảm ơn!

Sinh viên
Nguyễn Công Chung

i


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13
MỤC LỤC

LỜI CẢM ƠN....................................................................................................i
MỤC LỤC.........................................................................................................ii
Tài liệu ngoài nước..........................................................................................55
.......................................................................................................................xliv
PHỤ LỤC........................................................................................................56
.......................................................................................................................xliv
DANH MỤC HÌNH VÀ ĐỒ THỊ..................................................................xlv
DANH MỤC BẢNG..............................................................................lxxxviii
Thuật ngữ và chữ viết tắt............................................................................cxxxi
Nghĩa..........................................................................................................cxxxi
Cs................................................................................................................cxxxi
Cộng sự.......................................................................................................cxxxi
HPAI...........................................................................................................cxxxi
Cúm gia cầm độc lực mạnh........................................................................cxxxi
OIE.............................................................................................................cxxxi
Tổ chức thú y thế giới.................................................................................cxxxi
PBS.............................................................................................................cxxxi
Dung dịch đệm...........................................................................................cxxxi
P.P.P...........................................................................................................cxxxi
Đoạn mồi tạo thành khuôn.........................................................................cxxxi
RT-PCR......................................................................................................cxxxi
Phản ứng dây chuyền..................................................................................cxxxi
Subtype ......................................................................................................cxxxi
Kiểu phụ ....................................................................................................cxxxi
Type............................................................................................................cxxxi
Dạng, Loại..................................................................................................cxxxi

VAHIP........................................................................................................cxxxi
Phòng chống dịch cúm gia cầm, cúm ở người và dự phòng đại dịch ........cxxxi

ii


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

LỜI CẢM ƠN...........................................................................................cxxxii
Phần 1................................................................................................................1
MỞ ĐẦU...........................................................................................................1
1.1. ĐẶT VẤN ĐỀ............................................................................................1
1.2. MỤC ĐÍCH VÀ YÊU CẦU ......................................................................2
1.2.1. Mục đích .................................................................................................2
1.2.2. Yêu cầu ...................................................................................................2
Phần 2...............................................................................................................3
TỔNG QUAN TÀI LIỆU.................................................................................3
2.1. TÌNH HÌNH BỆNH CÚM GIA CẦM TRÊN THẾ GIỚI ........................3
- Tình hình dịch cúm H5N6 trên thế giới..........................................................6
2.2. Tình hình bệnh cúm gia cầm ở Việt Nam .................................................6
2.3 TRIỆU CHỨNG, BỆNH TÍCH CỦA GIA CẦM MẮC BỆNH CÚM.....11
2.3.1 Triệu chứng lâm sàng của gia cầm mắc bệnh cúm.................................11
Hình 2.1. Xuất huyết da chân, mào và tích sưng to, xuất huyết......................12
2.3.2 Bệnh tích của gia cầm mắc cúm gia cầm...............................................13
2.4 Chẩn đoán bệnh.........................................................................................13
2.4.1 Chẩn đoán dựa vào dịch tễ học..............................................................13
2.4.2 Chẩn đoán dựa vào triệu chứng và bệnh tích.........................................14
Hình 2.2. Bệnh tích trên da của gà bị cúm A,H5N1.......................................15

Hình 2.3. Bệnh tích ở tim, gan của gà bị cúm A,H5N1..................................16
2.4.3. Chẩn đoán phòng thí nghiệm................................................................16
2.5. Vacxin phòng bệnh cúm gia cầm.............................................................16
2.5.1. Khái quát các loại vacxin phòng bệnh cúm gia cầm.............................16
2.5.2. Tình hình sử dụng vacxin cúm gia cầm trên thế giới............................18
2.5.3. Tình hình sử dụng vacxin cúm gia cầm ở Việt Nam ............................19
3.1.2. Địa điểm và thời gian nghiên cứu.........................................................21
3.2. NỘI DUNG NGHIÊN CỨU..................................................................21
3.3. PHƯƠNG PHÁP NGHIÊN CỨU............................................................21

iii


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

3.3.1. Nguyên liệu...........................................................................................21
3.3.1.1. Mẫu thí nghiệm ................................................................................21
3.3.1.2. Phương pháp lấy mẫu ........................................................................22
3.3.1.3. Phương pháp bảo quản mẫu...............................................................22
3.3.2. Bố trí thí nghiệm...................................................................................22
3.3.3. Phương pháp điều tra.............................................................................23
3.3.4. Phương pháp xét nghiệm.......................................................................23
Hình 3.1. Cơ chế hoạt động của Taqman probe.............................................24
Phần 4..............................................................................................................29
KẾT QUẢ VÀ THẢO LUẬN........................................................................29
4.1. HIỆN TRẠNG BUÔN BÁN GIA CẦM TẠI 4 CHỢ CỦA THÀNH PHỐ
HẢI PHÒNG ..................................................................................................29
Bảng 4.1. Số lượng gia cầm buôn bán tại 4 chợ của thành phố Hải Phòng....32

Biểu đồ 4.1. Số lượng gia cầm buôn bán tại các chợ qua các năm điều tra....32
4.2 TỔNG HỢP KẾT QUẢ XÉT NGHIỆM MẪU SWAB TẠI CÁC CHỢ
BÁN GIA CẦM TRONG THÁNG 12 NĂM 2015 VÀ THÁNG 1, THÁNG 2
NĂM 2016 CỦA THÀNH PHỐ HẢI PHÒNG..............................................34
........................................................................................................................36
Biểu đồ 4.2 Tỷ lệ lưu hành virus của tháng 12 năm 2015 tháng 1,2 năm 2016
.........................................................................................................................36
........................................................................................................................44
Biểu đồ 4.6. Tỷ lệ lưu hành virus cúm A/H5N6 tại các chợ của thành phố Hải
Phòng tháng 1 năm 2016.................................................................................44
4.3. ẢNH HƯỞNG CỦA TỶ LỆ TIÊM PHÒNG VACXIN TỚI SỰ LƯU
HÀNH VIRUS................................................................................................50
4.4 BIỆN PHÁP PHÒNG TRÁNH VÀ XỬ LÝ KHI CÓ DỊCH CÚM GIA
CẦM XẢY RA................................................................................................51
PHẦN V..........................................................................................................53
KẾT LUẬN VÀ KHUYẾN NGHỊ.................................................................53

iv


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

5.1. KẾT LUẬN..............................................................................................53
5.2. KHUYẾN NGHỊ .....................................................................................53
TÀI LIỆU THAM KHẢO...............................................................................53
PHỤ LỤC........................................................................................................55
Kết quả xét nghiệm mẫu swab tại chợ TT Tiên Lãng tháng 12 năm 2015.....55
TT (KH mẫu)...................................................................................................55

Loại mẫu..........................................................................................................55
Kết quả ...........................................................................................................55
Hầu họng.........................................................................................................55
Phân tươi ........................................................................................................55
Chất thải..........................................................................................................55
Nước thải.........................................................................................................55
Nước uống.......................................................................................................55
A......................................................................................................................55
H5....................................................................................................................55
H7....................................................................................................................55
N1....................................................................................................................55
N6....................................................................................................................55
1.......................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55
0.......................................................................................................................55
0.......................................................................................................................55
2.......................................................................................................................55
x.......................................................................................................................55
0.......................................................................................................................55
3.......................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55

v


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

0.......................................................................................................................55
0.......................................................................................................................55
4.......................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55
0.......................................................................................................................55
0.......................................................................................................................55
5.......................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55
0.......................................................................................................................55
0.......................................................................................................................55
6.......................................................................................................................55
x.......................................................................................................................55
0.......................................................................................................................55
7.......................................................................................................................55
x.......................................................................................................................55
0.......................................................................................................................55
8.......................................................................................................................55
x.......................................................................................................................55
0.......................................................................................................................55
9.......................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55
0.......................................................................................................................55
0.......................................................................................................................55
10.....................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55

vi


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

0.......................................................................................................................55
0.......................................................................................................................55
11.....................................................................................................................55
x.......................................................................................................................55
0.......................................................................................................................55
12.....................................................................................................................55
x.......................................................................................................................55
0.......................................................................................................................55
13.....................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55
1.......................................................................................................................55
0.......................................................................................................................55
0.......................................................................................................................55
1.......................................................................................................................55
14.....................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55
1.......................................................................................................................55
0.......................................................................................................................55
0.......................................................................................................................55
1.......................................................................................................................55

15.....................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55
1.......................................................................................................................55
0.......................................................................................................................55
0.......................................................................................................................55
1.......................................................................................................................55

vii


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

16.....................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55
1.......................................................................................................................55
0.......................................................................................................................55
0.......................................................................................................................55
1.......................................................................................................................55
17.....................................................................................................................55
x.......................................................................................................................55
1.......................................................................................................................55
1.......................................................................................................................55
0.......................................................................................................................55
0.......................................................................................................................55
1.......................................................................................................................55
18.....................................................................................................................55

x.......................................................................................................................55
1.......................................................................................................................55
1.......................................................................................................................55
0.......................................................................................................................55
0.......................................................................................................................55
1.......................................................................................................................55
Tổng ...............................................................................................................55
12.....................................................................................................................55
1.......................................................................................................................55
2.......................................................................................................................55
2.......................................................................................................................55
1.......................................................................................................................55
12.....................................................................................................................55
6.......................................................................................................................55

viii


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

0.......................................................................................................................55
0.......................................................................................................................55
6.......................................................................................................................55
Kết quả xét nghiệm mẫu swab tại chợ Lương Văn Can tháng 12 năm 2015..56
TT (KH mẫu)...................................................................................................56
Loại mẫu..........................................................................................................56
Kết quả ...........................................................................................................56
Hầu họng.........................................................................................................56

Phân tươi ........................................................................................................56
Chất thải..........................................................................................................56
Nước thải.........................................................................................................56
Nước uống.......................................................................................................56
A......................................................................................................................56
H5....................................................................................................................56
H7....................................................................................................................56
N1....................................................................................................................56
N6....................................................................................................................56
19.....................................................................................................................56
x.......................................................................................................................56
0.......................................................................................................................56
20.....................................................................................................................56
x.......................................................................................................................56
1.......................................................................................................................56
1.......................................................................................................................56
0.......................................................................................................................56
0.......................................................................................................................56
1.......................................................................................................................56
21.....................................................................................................................56
x.......................................................................................................................56

ix


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

0.......................................................................................................................56

22.....................................................................................................................56
x.......................................................................................................................56
0.......................................................................................................................56
23.....................................................................................................................56
x.......................................................................................................................56
0.......................................................................................................................56
24.....................................................................................................................56
x.......................................................................................................................56
0.......................................................................................................................56
25.....................................................................................................................56
x.......................................................................................................................56
1.......................................................................................................................56
0.......................................................................................................................56
0.......................................................................................................................56
26.....................................................................................................................56
x.......................................................................................................................56
1.......................................................................................................................56
0.......................................................................................................................56
0.......................................................................................................................56
27.....................................................................................................................56
x.......................................................................................................................56
0.......................................................................................................................56
28.....................................................................................................................56
x.......................................................................................................................56
1.......................................................................................................................56
1.......................................................................................................................56
0.......................................................................................................................56
0.......................................................................................................................56

x

Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

1.......................................................................................................................56
29.....................................................................................................................56
x.......................................................................................................................56
0.......................................................................................................................56
30.....................................................................................................................56
x.......................................................................................................................56
1.......................................................................................................................56
1.......................................................................................................................56
0.......................................................................................................................56
0.......................................................................................................................56
1.......................................................................................................................56
31.....................................................................................................................56
x.......................................................................................................................56
1.......................................................................................................................56
1.......................................................................................................................56
0.......................................................................................................................56
0.......................................................................................................................56
1.......................................................................................................................56
32.....................................................................................................................56
x.......................................................................................................................56
1.......................................................................................................................56
1.......................................................................................................................56
0.......................................................................................................................56
0.......................................................................................................................56

1.......................................................................................................................56
33.....................................................................................................................56
x.......................................................................................................................56
1.......................................................................................................................56
1.......................................................................................................................56

xi


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

0.......................................................................................................................56
0.......................................................................................................................56
1.......................................................................................................................56
34.....................................................................................................................56
x.......................................................................................................................56
0.......................................................................................................................56
35.....................................................................................................................56
x.......................................................................................................................56
0.......................................................................................................................56
36.....................................................................................................................56
x.......................................................................................................................56
0.......................................................................................................................56
Tổng................................................................................................................56
12.....................................................................................................................56
1.......................................................................................................................56
2.......................................................................................................................56
2.......................................................................................................................56

1.......................................................................................................................56
8.......................................................................................................................56
6.......................................................................................................................56
0.......................................................................................................................56
0.......................................................................................................................56
6.......................................................................................................................56
Kết quả xét nghiệm mẫu swab tại chợ Quán Toan tháng 12 năm 2015..........56
TT (KH mẫu)...................................................................................................56
Loại mẫu..........................................................................................................56
Kết quả ...........................................................................................................56
Hầu họng.........................................................................................................57
Phân tươi ........................................................................................................57

xii


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

Chất thải..........................................................................................................57
Nước thải.........................................................................................................57
Nước uống.......................................................................................................57
A......................................................................................................................57
H5....................................................................................................................57
H7....................................................................................................................57
N1....................................................................................................................57
N6....................................................................................................................57
37.....................................................................................................................57
x.......................................................................................................................57

1.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57
1.......................................................................................................................57
38.....................................................................................................................57
x.......................................................................................................................57
0.......................................................................................................................57
39.....................................................................................................................57
x.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57
40.....................................................................................................................57
x.......................................................................................................................57
1.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57

xiii


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

1.......................................................................................................................57
41.....................................................................................................................57
x.......................................................................................................................57

1.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57
1.......................................................................................................................57
42.....................................................................................................................57
x.......................................................................................................................57
1.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57
1.......................................................................................................................57
43.....................................................................................................................57
x.......................................................................................................................57
0.......................................................................................................................57
44.....................................................................................................................57
x.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57
45.....................................................................................................................57
x.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57
46.....................................................................................................................57

xiv

Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

x.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57
47.....................................................................................................................57
x.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57
48.....................................................................................................................57
x.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57
49.....................................................................................................................57
x.......................................................................................................................57
0.......................................................................................................................57
50.....................................................................................................................57
x.......................................................................................................................57
0.......................................................................................................................57
51.....................................................................................................................57
x.......................................................................................................................57
1.......................................................................................................................57
1.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57

1.......................................................................................................................57
52.....................................................................................................................57
x.......................................................................................................................57

xv


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

0.......................................................................................................................57
53.....................................................................................................................57
x.......................................................................................................................57
0.......................................................................................................................57
54.....................................................................................................................57
x.......................................................................................................................57
0.......................................................................................................................57
Tổng................................................................................................................57
12.....................................................................................................................57
1.......................................................................................................................57
2.......................................................................................................................57
2.......................................................................................................................57
1.......................................................................................................................57
11.....................................................................................................................57
5.......................................................................................................................57
0.......................................................................................................................57
0.......................................................................................................................57
5.......................................................................................................................57
Kết quả xét nghiệm mẫu swab tại chợ Đầm Triều tháng 12 năm 2015..........57

TT (KH mẫu)...................................................................................................58
Loại mẫu..........................................................................................................58
Kết quả ...........................................................................................................58
Hầu họng.........................................................................................................58
Phân tươi ........................................................................................................58
Chất thải..........................................................................................................58
Nước thải.........................................................................................................58
Nước uống.......................................................................................................58
A......................................................................................................................58
H5....................................................................................................................58

xvi


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

H7....................................................................................................................58
N1....................................................................................................................58
N6....................................................................................................................58
55.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
56.....................................................................................................................58
x.......................................................................................................................58
1.......................................................................................................................58
0.......................................................................................................................58
0.......................................................................................................................58
57.....................................................................................................................58

x.......................................................................................................................58
0.......................................................................................................................58
58.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
59.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
60.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
61.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
62.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58

xvii


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

63.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
64.....................................................................................................................58
x.......................................................................................................................58

0.......................................................................................................................58
65.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
66.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
67.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
68.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
69.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
70.....................................................................................................................58
x.......................................................................................................................58
1.......................................................................................................................58
0.......................................................................................................................58
0.......................................................................................................................58
71.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58

xviii


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

72.....................................................................................................................58
x.......................................................................................................................58
0.......................................................................................................................58
Tổng................................................................................................................58
12.....................................................................................................................58
1.......................................................................................................................58
2.......................................................................................................................58
2.......................................................................................................................58
1.......................................................................................................................58
2.......................................................................................................................58
0.......................................................................................................................58
0.......................................................................................................................58
0.......................................................................................................................58
0.......................................................................................................................58
Kết quả xét nghiệm mẫu swab tại chợ Đầm Triều tháng 1 năm 2016............59
TT (KH mẫu)...................................................................................................59
Loại mẫu..........................................................................................................59
Kết quả ...........................................................................................................59
Hầu họng.........................................................................................................59
Phân tươi ........................................................................................................59
Chất thải..........................................................................................................59
Nước thải.........................................................................................................59
Nước uống.......................................................................................................59
A......................................................................................................................59
H5....................................................................................................................59
H7....................................................................................................................59
N1....................................................................................................................59
N6....................................................................................................................59

1.......................................................................................................................59

xix


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

x.......................................................................................................................59
0.......................................................................................................................59
2.......................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
3.......................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
4.......................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
5.......................................................................................................................59
x.......................................................................................................................59
1.......................................................................................................................59
0.......................................................................................................................59
0.......................................................................................................................59
6.......................................................................................................................59
x.......................................................................................................................59
1.......................................................................................................................59
0.......................................................................................................................59
0.......................................................................................................................59

7.......................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
8.......................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
9.......................................................................................................................59
x.......................................................................................................................59

xx


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

0.......................................................................................................................59
10.....................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
11.....................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
12.....................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
13.....................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
14.....................................................................................................................59

x.......................................................................................................................59
0.......................................................................................................................59
15.....................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
16.....................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
17.....................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
18.....................................................................................................................59
x.......................................................................................................................59
0.......................................................................................................................59
Tổng ...............................................................................................................59

xxi


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

12.....................................................................................................................59
1.......................................................................................................................59
2.......................................................................................................................59
2.......................................................................................................................59
1.......................................................................................................................59
2.......................................................................................................................59
0.......................................................................................................................59

0.......................................................................................................................59
0.......................................................................................................................59
0.......................................................................................................................59
Kết quả xét nghiệm mẫu swab tại chợ Lương Văn Can tháng 1 năm 2016....59
TT (KH mẫu)...................................................................................................60
Loại mẫu..........................................................................................................60
Kết quả ...........................................................................................................60
Hầu họng.........................................................................................................60
Phân tươi ........................................................................................................60
Chất thải..........................................................................................................60
Nước thải.........................................................................................................60
Nước uống.......................................................................................................60
A......................................................................................................................60
H5....................................................................................................................60
H7....................................................................................................................60
N1....................................................................................................................60
N6....................................................................................................................60
19.....................................................................................................................60
x.......................................................................................................................60
1.......................................................................................................................60
0.......................................................................................................................60
0.......................................................................................................................60

xxii


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

20.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
21.....................................................................................................................60
x.......................................................................................................................60
1.......................................................................................................................60
1.......................................................................................................................60
0.......................................................................................................................60
0.......................................................................................................................60
1.......................................................................................................................60
22.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
23.....................................................................................................................60
x.......................................................................................................................60
1.......................................................................................................................60
0.......................................................................................................................60
0.......................................................................................................................60
24.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
25.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
26.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
27.....................................................................................................................60
x.......................................................................................................................60

xxiii


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

0.......................................................................................................................60
28.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
29.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
30.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
31.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
32.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
33.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
34.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
35.....................................................................................................................60

x.......................................................................................................................60
0.......................................................................................................................60
36.....................................................................................................................60
x.......................................................................................................................60
0.......................................................................................................................60
Tổng................................................................................................................60

xxiv


Đồ án tốt nghiệp

SV: Nguyễn Công Chung - Lớp KSCN K13

12.....................................................................................................................60
1.......................................................................................................................60
2.......................................................................................................................60
2.......................................................................................................................60
1.......................................................................................................................60
3.......................................................................................................................60
1.......................................................................................................................60
0.......................................................................................................................60
0.......................................................................................................................60
1.......................................................................................................................60
Kết quả xét nghiệm mẫu swab tại chợ Quán Toan tháng 1 năm 2016............60
TT (KH mẫu)...................................................................................................60
Loại mẫu..........................................................................................................60
Kết quả ...........................................................................................................60
Hầu họng.........................................................................................................60
Phân tươi ........................................................................................................60

Chất thải..........................................................................................................60
Nước thải.........................................................................................................60
Nước uống.......................................................................................................60
A......................................................................................................................60
H5....................................................................................................................60
H7....................................................................................................................60
N1....................................................................................................................60
N6....................................................................................................................60
37.....................................................................................................................61
x.......................................................................................................................61
1.......................................................................................................................61
0.......................................................................................................................61
0.......................................................................................................................61

xxv