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Ministry of Health: Accelerate and Thoroughly Track F1, F2 of COVID-19 Patients
Suckhoedoisong.vn – According to the recently released instruction manual for tracking people in contact with patients, the Ministry of Health requires speed and thoroughness, not to leave people in contact with people with SARS tests. -CoV-2 is positive.
On December 3, the Ministry of Health published a manual that guides the practice of tracking people in contact with examinees. SARS-CoV-2 positive.
According to the Ministry of Health, in order to guide health workers in locating people who have been exposed to cases, organize isolation, timely management, prevent COVID-19 from spreading to the community and on the basis of With the experience gained in responding to services in Vinh Phuc, Hanoi, Hai Duong, Da Nang and other locations in recent years, the Ministry of Health has developed this Manual for dissemination to other agencies, implemented locally.
In accordance with these guidelines, track people who have come into contact with the case to organize isolation, timely treatment, and prevention of the spread of the epidemic. Therefore, the tracing work must be fast and thorough, leaving no people in contact. 2 – The provincial, district and communal steering committees for the prevention of epidemics, the agencies and related units mobilize all the resources to the maximum to ensure rapid and effective traceability.
Tracking people in contact with the case to organize isolation, timely management, prevent the spread of the epidemic.
According to these guidelines, COVID-19 is a group A infectious disease caused by the SARS-CoV-2 virus. The disease is transmitted from person to person. The incubation period is approximately 14 days. Patients may present with various clinical symptoms: fever, cough, sore throat, fatigue, body aches, decreased or loss of taste and smell, shortness of breath, severe pneumonia, acute respiratory failure. and mortality, especially in people with underlying, chronic and elderly diseases.
It should be mentioned that there is a high proportion of people infected by the SARS-CoV-2 virus that do not present clinical signs (around 40%) and can be a source of infection in the community, which makes surveillance and prevention difficult.
Currently, COVID-19 does not have a specific treatment and the preventive vaccine is widely used in the community. Monitoring, early detection, tracking, tracing and zoning, and quarantine of early transmission sources remain the main measures to prevent epidemics from spreading in the form of epidemics.
1- Trace the follow-up as soon as possible, as soon as the case information is available.
2- Determine “epidemiological reference points” first, then trace back to each contact.
3- Using at the same time many traceability forces to quickly trace according to the “epidemiological milestones” detected.
4- Apply many traceability measures; These measures can collect duplicate but complementary information, help to track contacts in a complete and systematic way.
5- Invest resources and time to complete the F1 tracking in the shortest time possible; the F2 trace is basically done after the completion of the F1 trace.
6. “Epidemiological landmarks” and close F1 contacts should be traced within 3 days prior to the onset of the case until the case is quarantined for medical reasons.
7. In performing tasks, tracing participants should take steps to prevent infection.
According to these guidelines, F1 is a person who had within 2 m of close contact with a known case between 3 days before the start of the case until the case was placed in medical quarantine.
Case onset is counted as the day the patient first noticed an abnormal symptom, possibly one of the following: fever, fatigue; body pain, cold thorns; decrease or loss of taste and smell; fever; cough; sore throat … If the carrier is a carrier (not having any symptoms), the onset date is the sampling date of the sample that tests positive for SARS-CoV-2.
F2 is a close contact of 2 m with F1 between the first day of exposure to the case (from 3 days before the onset of the case) until F1 is medically isolated.
The epidemiological milestone is the place or event to which the case attended or participated in the period of 3 days before the onset of the disease until the patient was in medical isolation.
The Traceability Practice Guide for People with a Positive Test for SARS-CoV-2 describes 5 steps of F1 tracing. Include:
Step 1: Identify “Epidemiological Milestones”
Step 2: Announce “epidemiological milestones” to the traceability coordinator (coordinator)
Step 3: implement F1 tracking
Step 4: review and complete the F1 list
Step 5: organize isolation and sampling of patient samples
After you have basically completed the F1 trace, you can trace F2 in the following ways:
1- Submit self-report form F2 to self-report F1.
2- The concentrated quarantine facility, local authorities and grassroots health facilities continue to investigate and track F2 in the community, as well as requesting to exploit F1’s F2 at the concentrated isolation facility.
3. Transfer trackable F2 list to local authorities to arrange home medical isolation in accordance with regulations.
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