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Hue City Tour 1 Day From Hoi An and Da Nang - Small Group Tour

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DMZ - Small Group Tour from Hue City!

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VM Travel - All You Need to Know BEFORE You Go (2024)

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The trip to Central Vietnam is excellent

I recently had the pleasure of experiencing VM Travel's 5-day Central Vietnam package tour, and it undoubtedly deserves a glowing 5-star rating. From the moment I joined the tour, it was evident that VM Travel had crafted a seamless and enriching adventure through the heart of Vietnam.

Date of experience : February 10, 2024

This was the best vacation I've ever had

This was the best vacation I've ever had, not only because of the incredible sights I visited but also because of how effectively the entire tour was planned and carried out. And full credit goes to VM Travel for treating us like family at every stage of our trip in Vietnam. They listened to my requests from the start and gave me the exact timetable that I was looking for. They made sure that each day was eventful while still leaving time for travel and relaxation. The VM Travel team also arranged our internal flights fast, so we didn't feel pressured. VM Travel also maintained frequent communication and ensured that our cabs and pick-ups were on time; literally, the staff looked after us like a close family member. Thank you so much for everything.

Date of experience : May 10, 2023

Smooth and hassle-free trip from/to Da Nang International Airport

My colleague and I were looking for a private car service going to Da Nang International Airport from Hue coz we had a flight last January 7th to Thailand and we found this website, VM Travel. They're offering private car service and airport transfer for a cheap rate but quality of vehicles and services so we decided to book it through them. It was a smooth trip as we had a time to sleep and relax. Going back from Thailand to Hue, we opted to book again an airport transfer through them. Thank you VM Travel for the smooth and hassle-free trip, until next time!

Date of experience : January 07, 2024

Awesome experience in Vietnam

Thank you VM Travel for a very interesting trip! Vietnam has so many beautiful places and I love the food here. Very delicious! I think I will get fat after this trip! Once again thank VM Travel for everything.

Date of experience : April 08, 2023

Nice drive from Danang Airport to Hue

Just arrived from Thailand and I was hoping I could simply take Grab from the airport to Hue City. After almost an hour of waiting to get a driver, I gave up and search for car rental instead. VM Travel responded almost immediately and my car arrived in less than 20 minutes. Plus they even asked if I needed a stop since I haven't had lunch. Really nice people. I highly recommend them.

Date of experience : January 09, 2024

Great Places, Great adventure, Great People

From booking to actualization of our trip with my partner-smooth sailing! What a nice experience in Vietnam! Foodies is very delicious, too. Kodus to Joana or Jonna who process evrything, from arrival to departure - no hassle!

Awesomeness!!

Although my planned trip will not happen anytime soon i would like to extend my thanks to Joanne who was very patient and answered all question. Joanne - you are awesome. 😉😉😉 I contact you soon again.

Date of experience : January 01, 2024

Safely and conveniently arrived in the…

Safely and conveniently arrived in the tourist spots I wanted to visit. Just had a language barrier with the driver but he is very nice.

The driver is really nice and the guide…

The driver is really nice and the guide is really good at taking photos. I felt like a disney princess with the service. 🤣 We enjoyed our visit and thanks for the IG worthy shots!😘

Date of experience : January 05, 2024

Perfect experience

Joanna is the best person who organizes the trip for me. All spots are worth seeing and very beautiful. Thanks, Joanna!

Date of experience : January 03, 2024

A destination that left me with memories and a longing to return

I had an exceptional vacation experience in Vietnam, thanks to the VM Travel that planned every detail of my trip. Their planning, personalized itineraries, and attention to detail made my trip seamless and memorable. From exploring vibrant cities to immersing in local culture, every aspect exceeded my expectations. The knowledgeable guides, comfortable accommodations, and smooth transaction showcased their commitment to customer satisfaction. I highly recommend this travel agency for a hassle-free and enriching experience in Vietnam. Kudos to Joanna for arranging everything and capturing all my pictures. Such an expert!🥰📸

Date of experience : January 19, 2024

Joanne is the best!

Joanne is very accomodating. She knows what she’s doing and really really kind too.

Date of experience : January 13, 2024

Their Danang tours are amazing

Their Danang tours are amazing. I and my family had a really great time, thanks to J & her tour guides friends. They are so thoughtful and kind.

everything is great

Date of experience : December 21, 2023

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Hue City Tour 1 Day From Hoi An and Da Nang - Small Group Tour

From Hue: Explore Hue City Full Day - Deluxe Small Group Tour

Hue Imperial City Private Tour From Hoi An / Da Nang

DMZ - Small Group Tour from Hue City!

Hue Airport to City Center - Hue Airport Transfer

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VM TRAVEL (Hue) - All You Need to Know BEFORE You Go

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7-Hour Hue Architectural ...

Visit the famous historical sites of Hue such as the royal tombs, Thien Mu Pagoda, the busiest markets, bridges and more. ...

4-Hour Hue Street Food Night ...

Savour the local cuisine of this central Vietnamese city, Hue. Find out why this ancient capital's food is spicier than the ...

7-Hour Hue Tomb & Temple Bike ...

Visit the famous historical temples & tombs of Hue such as the royal tombs, Khai Dinh Tomb, Tu Hieu Temple, Tu Duc Tomb, ...

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About Company!

At the moment, not many tour operators in Vietnam have the license to do travel business in the international field.VM Travel is a proud owner of this [sensitive content] w we can proudly organized tours for foreign tourists, traveling to Vietnam.Business License Number: 46-028/2015/TCDL-GP LHQT.

We are an international tour operator and we aim to provide tourists with the best quality services in tours and activities, accommodation and transport through all of Vietnam.With the wish of becoming your companion once you step foot in Vietnam, every day we always strive to develop and improve the quality of services to be able to meet any of your needs.Especially, Hue private car, which always has a high rank on Tripadvisor, is a flagship product of our company.

With many years of operation we are known for our professionalism by many travelers all over the world.

Some of our services which are highly appreciated by the guests are:

Transport Services in Central of Vietnam:

- Explore Hue city by private cars,

- Hue to Hoi an by private car or Hoi An to Hue

- Airport transport services (Phu Bai airport to Hue, Da Nang airport to Hoi An...).

Daily tour in Central of Vietnam:

- Hue city small group tour

- Hue to Phong Nha - Ke Bang Cave

- Hue to Paradise cave

Hoi An city tour.

Besides these services, we also have other services to help you with your flight tickets, train tickets, and hotel, which are all waiting to serve you.

We always care for each service and always want to give our customers wonderful moments and interesting trips.With friendly, active and experienced staff, we are confident that one day in the future, we can totally implement this strategic goal as our slogan: “Let us show you Asia".

TourHQ ID: VN36028

Private Tours Operator in: Hue

Other Guiding City: Hanoi, Hoi An, Danang, Ho Chi Minh, Halong, Nha Trang

Languages spoken by our guides: English, French

Articles See all Articles

Why discovering Hue ...

An ancient city like Hue city always attracts tourists by its quietness and antiquity. When travelling in Hue, many ...

Exploring the ancient ...

Hue – the ancient capital of Vietnam, is a city full of green trees with a peaceful atmosphere, quiet but equally ...

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Hue City Tour

Small group tour.

Discover the vibrant history and culture of the poetic city with our Hue City Tour. Let us guide you through the glorious past, explore ancient citadels, and savor a taste of Hue.

Bana Hills Tour

With breathtaking views and a touch of European charm, explore the magic of Bana Hill with our Bana Hill Tour.

My Son Sanctuary Tour

Journey through the ancient Champa Kingdom and uncover the mysteries of this World Heritage site with My Son Sanctuary Tour.

Hoi An Travel

Discover the magic of vietnam's historic town.

Officially established in mid-2014, VM Travel is licensed as an International Tour Operator Company. We aim to provide tourists with the best quality services in Tours and Activities, Accommodation and Transport through all of Vietnam. We wish to become your companion once you set foot in Vietnam. With friendly, skilled staff and experienced managers who have extensive working experience in tourism. Our young VM Travel team commits to satisfy all the guests! We specialize in organizing Vietnam Package Tour , Daily Tour programs, and Car Rental Services in Vietnam.

Together with my team we will make your time in Vietnam wonderful and unforgettable.

Why choose us?

What do we do.

Officially established in mid 2014, VM Travel is proud to be the qualified international tour operator with inbound license. For the last 9 years, we have welcomed and served thousands of domestic and international tourists

Customer satisfaction is our top priority at work and we guarantee the quality of our tours to clients. Our passionate and enthusiastic team are well experienced to provide you excellent travel assistance service in Vietnam.

At VM Travel services, we work on organizing accommodations, plane tickets, transfers, multi- languages local guides, tour sightseeing, restaurant reservations and other travel activities.

Vietnam is a wonderful land to discover the diverse culture and customs, you will enjoy every moment when you visit here

Our team is looking forward to becoming your professional companion to organize your holiday throughout Vietnam.

The Most Popular Tours from Hoi An

We provided a Hoi An Tours list based on our experience. When you stay in Hoi An, you will have the opportunity to visit famous attractions and learn about history, culture, and local life.

Hue Day Trip From Hoi An & Da Nang

Bana Hills And Golden Bridge Small Group Tour

My Son Sanctuary Small Group Tour

Hoi An Day Tour From Da Nang

Popular destionations in central vietnam.

Come and immerse yourself in the captivating beauty of the ancient town, a UNESCO World Heritage site

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We provided Car Rental Services with a Professional Driver for trips departing from Hoi An, with FLEXIBLE BOOKING and THE BEST PRICE GUARANTEE . Discover all of the ways to save with Amazing Trip in Hoi An Travel.

Hue to Hoi An & My Son Sanctuary

Hoi An To Hue By Car – transfer hue from hoi an

Hoi An to Dong Hoi by private Car

Da Nang Airport To Hoi An By Private Car

Hoi An Travel Guide

Introduce Hoi An Viet Nam

Hoi An Lantern Festival 2023 - 2024

Discovery My Son Sanctuary

Cam Thanh Coconut Village

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Volume 29, Number 4—April 2023

Monkeypox Virus Infection in 2 Female Travelers Returning to Vietnam from Dubai, United Arab Emirates, 2022

Cite This Article

Mpox was diagnosed in 2 women returning to Vietnam from the United Arab Emirates. The monkeypox viruses belonged to an emerging sublineage, A.2.1, distinct from B.1, which is responsible for the ongoing multicountry outbreak. Women could contribute to mpox transmission, and enhanced genomic surveillance is needed to clarify pathogen evolution.

By January 12, 2023, more than 84,500 mpox cases and 80 deaths had been reported from 110 countries because of an ongoing multicountry outbreak ( 1 ). Cases from Europe and Americas accounted for >98% of reported cases, and only 35 cases had been reported from Southeast Asia ( 1 ). The outbreak has been characterized by involvement of networks of men who have sex with men; women have accounted for only 3.4% of 74,673 reported cases for which gender data were available ( 1 ). We report virologic, epidemiologic, and clinical features of mpox occurring in 2 women returning to Vietnam from travel to Dubai, United Arab Emirates.

The case-patients were treated at the Hospital for Tropical Diseases (HTD) in Ho Chi Minh City, Vietnam. HTD is a tertiary referral infectious diseases hospital and the designated hospital for receiving and treating mpox patients in Ho Chi Minh City, which has a population of ≈10 million. The study was approved by the HTD Institutional Review Board (approval no. 1066/BVBND-HDDD) and Oxford Tropical Research Ethics Committee (approval no. 1023-13). The patients provided written informed consent for the study.

Figure 1 . Monkeypox virus lesions from 2 female travelers returning to Vietnam from Dubai, United Arab Emirates, 2022. A–D) patient 1; E–H) patient 2. Images show lesions sporadically distributed on different body...

Patient 1 was a 35-year-old woman who was referred to HTD in September 2022. At admission, she had maculopapular lesions on various parts of her body ( Figure 1 , panels A–D), including the genital area (not shown). The patient had been in Dubai during July–September 2022 and had sexual contact with 2 male partners during her stay. The most recent contact was in mid-September; 5 days after the contact, she had fever, headache, chills, cough, sore throat, muscle pain, and tiredness, accompanied by a maculopapular rash in the genital area. Her symptoms resolved after 4 days except for the rash, and she returned to HCMC. Upon returning, additional lesions developed in her mouth and on her back and upper and lower limbs. No information on the clinical status or sexual orientation of her partners was available. Her admission lesion swab tested positive for monkeypox virus (MPXV) by LightMix Modular Monkeypox Virus Kit (TIB Molbiol, https://www.tib-molbiol.de ) with a cycle threshold (Ct) value of 18.05 ( Appendix Table 1) and for varicella zoster virus (VZV) by VZV Real-TM (Sacace Biotechnologies, https://sacace.com ) with a Ct of 30.5.

Patient 2 was a 38-year-old woman who was a friend of patient 1. She reported that she was in Dubai during late September through mid-October 2022 and had a sexual encounter with a male partner at in early October. She noted that the partner had a small rash on his penis and mild fever on the day of the encounter. No information about the partner’s other sexual contacts is available. Nine days after the contact, she had fever, tiredness, and vomiting. Although her symptoms resolved after 4 days, a maculopapular rash started to develop on various parts of her body, including her face, a finger of the left hand, the arch of her right foot, and her abdomen ( Figure 1 , panels E–H). After consulting patient 1, patient 2 decided to fly back to Vietnam for treatment. Before departure she contacted Ho Chi Minh City Center for Disease Control for guidance on the isolation procedure at arrival. Patient 2 was transferred to HTD on arrival. She tested positive for MPXV by PCR at admission via LightMix Modular Monkeypox Virus Kit with a Ct value of 19.40.

At admission to HTD, both patients were afebrile. Except for an elevated alanine aminotransferase in patient 2, all blood test results were unremarkable ( Appendix Table 2). All vital signs during hospitalization were measured by using wearable devices ( Appendix Figure), as part of an observational study to enable remote patient monitoring ( 2 ), and measurements were within reference limits (data not shown). Test results for HIV and syphilis were negative. Because of the VZV co-infection, supporting a recent report ( 3 ), patient 1 was given oral acyclovir (800 mg 5×/d for 5 d). No other specific treatments were given. The patients were isolated, according to local health regulations, and their conditions remained stable without complications. After all lesions were completely healed, they were discharged.

Figure 2 . Phylogenetic tree of monkeypox virus infection in 2 female travelers returning to Vietnam from Dubai, United Arab Emirates, 2022. A) Maximum-likelihood phylogenetic tree illustrating the relatedness between virus sequences obtained...

To characterize the virus, we used metagenomics to obtain whole-genome sequences from the admission swab sample from patient 2 and a lesion swab sample with Ct value of 18.19 collected from patient 1 during follow-up ( 4 , 5 ) ( Appendix Table 1). We obtained 2 nearly complete MPXV genomes with coverage of 97.7% from patient 1 and 95% from patient 2. We determined viral lineage by using NextClade ( 6 ). Phylogenetic analysis suggested the sequences belonged to clade IIb, sublineage A.2.1 ( Figure 2 ). Both sequences carried defined mutations of sublineage A.2.1, including C25072T, A140492C, and C179537T ( 7 ). In addition, we found a novel nonsynonymous substitution from threonine to isoleucine in amino 717 (T717I) of the polymerase protein in the sequence from patient 1. This mutation was not detected in any previously reported MPXV genomes. The estimated time to the most recent common ancestor of lineage A.2, including sublineage A.2.1, was May 27, 2019 (range August 3, 2018–January 23, 2020).

Additional samples were collected from patient 1 for PCR testing during follow up. Of those, 1 rectal (Ct value 33.30) and 1 pharyngeal lesion (Ct value 33.27) swab sample were also positive for MPXV by PCR ( Appendix Table 1). Whole-genome sequencing of follow-up samples was hampered by low viral load ( Appendix Table 1). We performed Sanger sequencing of a 531-bp PCR amplicon spanning the nonsynonymous mutation ( Appendix Table 3), which confirmed presence of the T717I substitution in both the rectal and pharyngeal lesion swabs (data not shown), suggesting that this mutation was sampling-site independent ( 8 ).

MPXV consists of 2 main clades, I and II ( 9 ), and clade II includes subclades IIa and IIb. Clade I is endemic in Central Africa and clade IIa in West Africa. Clade IIb is responsible for the ongoing multicountry outbreak, and B.1 is the predominant virus lineage ( 9 ). In contrast to lineage B.1, sublineage A.2.1 of clade IIb has only recently been documented in a cluster of persons from India with a travel history to United Arab Emirates ( 7 ). In addition, 3 other A.2.1 sequences deposited to GISAID ( https://www.gisaid.org ) originated in the United Kingdom, the United States, and Nigeria ( Figure 1 ). Because MPXV evolves slowly, the genetic difference between the 2 sequences in this study coupled with the long branches of the A.2.1 cluster on the phylogenetic tree point to the possibility of silent transmission. Alternatively, the current sampling approach might have failed to comprehensively capture the genetic diversity of circulating MPXV strains worldwide. Collectively, these data suggest that lineage A.2, including sublineage A.2.1, likely represents an emerging MPXV lineage, supported by the results of time-scale phylogenetic analysis. Thus, multiple MPXV lineages likely are circulating and causing the ongoing multicountry outbreak.

Conclusions

We report 2 MPXV infections in women returning to Vietnam from Dubai, adding to the few reports of mpox in women ( 10 , 11 ). The viral strain belonged to sublineage A.2.1 and was phylogenetically distinct from sublineage B.1 circulating and causing the ongoing multicountry outbreak in Europe and Americas ( 9 , 12 ). Both patients had sexual contacts with male partners in Dubai, 5 and 9 days before symptoms developed. Our findings suggest that contribution of women in MPXV transmission networks might be greater than previously appreciated. Enhanced genomic surveillance is needed to clarify the epidemiology and evolution of MPXV.

Dr. Dung is director of the Hospital for Tropical Diseases in Ho Chi Minh City, Vietnam. His research interests include hepatitis viruses and emerging infections.

Acknowledgments

We thank the patients for participating in our clinical study and our colleagues at the Hospital for Tropical Diseases for providing clinical care for the patients. We also thank Le Kim Thanh and Lam Anh Nguyet for logistic support and Tze Minn Mak for support with data interpretation. We thank all data contributors and their laboratories for obtaining the specimens for this study, and we thank the laboratories that submitted and shared their generated genetic sequence and metadata via GISAID, on which this research is based.

This study was funded by Wellcome of Great Britain (grant nos. 106680/B/14/Z, 222574/Z/21/Z, and 225437/Z/22/Z).

• World Health Organization . 2022 Mpox (Monkeypox) outbreak: global trends [ cited 2023 Jan 12 ]. https://worldhealthorg.shinyapps.io/mpx_global
• Chau  NVV , Hai  HB , Greeff  H , Phan Nguyen Quoc  K , Trieu  HT , Khoa  LDV , et al. Wearable remote monitoring for patients with COVID-19 in low-resource settings: case study. BMJ Innov . 2021 ; 7 ( Suppl 1 ): s12 – 5 . DOI Google Scholar
• Hughes  CM , Liu  L , Davidson  WB , Radford  KW , Wilkins  K , Monroe  B , et al. A Tale of two viruses: coinfections of monkeypox and varicella zoster virus in the Democratic Republic of Congo. Am J Trop Med Hyg . 2020 ; 104 : 604 – 11 . DOI PubMed Google Scholar
• Anh  NT , Hong  NTT , Nhu  LNT , Thanh  TT , Lau  CY , Limmathurotsakul  D , et al. Viruses in Vietnamese patients presenting with community-acquired sepsis of unknown cause. J Clin Microbiol . 2019 ; 57 : e00386 – 19 . DOI PubMed Google Scholar
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• Aksamentov  I , Roemer  C , Hodcroft  E , Neher  R . Nextclade: clade assignment, mutation calling and quality control for viral genomes. J Open Source Softw . 2021 ; 6 : 3773 . DOI Google Scholar
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• Ulaeto  DO , Dunning  J , Carroll  MW . Evolutionary implications of human transmission of monkeypox: the importance of sequencing multiple lesions. Lancet Microbe . 2022 ; 3 : e639 – 40 . DOI PubMed Google Scholar
• Isidro  J , Borges  V , Pinto  M , Sobral  D , Santos  JD , Nunes  A , et al. Phylogenomic characterization and signs of microevolution in the 2022 multi-country outbreak of monkeypox virus. Nat Med . 2022 ; 28 : 1569 – 72 . DOI PubMed Google Scholar
• Zayat  N , Huang  S , Wafai  J , Philadelphia  M . Monkeypox virus infection in 22-year-old woman after sexual intercourse, New York, USA. Emerg Infect Dis . 2023 ; 29 : 222 – 3 . DOI PubMed Google Scholar
• Vallée  A , Chatelain  A , Carbonnel  M , Racowsky  C , Fourn  E , Zucman  D , et al. Monkeypox virus infection in 18-year-old woman after sexual intercourse, France, September 2022. Emerg Infect Dis . 2023 ; 29 : 219 – 22 . DOI PubMed Google Scholar
• Luna  N , Ramírez  AL , Muñoz  M , Ballesteros  N , Patiño  LH , Castañeda  SA , et al. Phylogenomic analysis of the monkeypox virus (MPXV) 2022 outbreak: Emergence of a novel viral lineage? Travel Med Infect Dis . 2022 ; 49 : 102402 . DOI PubMed Google Scholar
• Figure 1 . Monkeypox virus lesions from 2 female travelers returning to Vietnam from Dubai, United Arab Emirates, 2022. A–D) patient 1; E–H) patient 2. Images show lesions sporadically distributed on different...
• Figure 2 . Phylogenetic tree of monkeypox virus infection in 2 female travelers returning to Vietnam from Dubai, United Arab Emirates, 2022. A) Maximum-likelihood phylogenetic tree illustrating the relatedness between virus sequences...

DOI: 10.3201/eid2904.221835

Original Publication Date: January 25, 2023

Table of Contents – Volume 29, Number 4—April 2023

Please use the form below to submit correspondence to the authors or contact them at the following address:

Le Van Tan, Oxford University Clinical Research Unit, 764 Vo Van Kiet, ward 1, district 5, Ho Chi Minh 7000, Vietnam

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