HANOI, VIETNAM — Dr. Bui Xuan Hiep, the head of tuberculosis control in this city’s Hoang Mai district, paged proudly through a large handwritten patient log.
“This district’s cure rate averages 90 percent,” he said. Still, Dr. Bui could see problems.
Seven patients had turned up with multidrug-resistant tuberculosis; four had been cured, two had died — and one had simply disappeared.
It’s a story repeated throughout Vietnam. The nation was once racked by a tuberculosis epidemic, one of the worst in which H.I.V. was not the driving force. But officials fought back fiercely.
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