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People in 106 Binh Tien Alley (District 6, Ho Chi Minh City) received outside supplies after being blocked to fight epidemics – Photo: HOANG AN
As of December 5, Ho Chi Minh City has had no more COVID-19 cases in the community after 4 recently discovered cases. However, a number of ‘barriers’ have been put in place to prevent the spread of COVID-19.
The hospital has established several rounds of screening tests, expanded high-risk group testing, proposed isolating all international flight crews, some schools took a break or switched to online learning and stopped events. they pile up and punish people who don’t wear masks …
Track, expand test for high risk groups
The Ho Chi Minh City Center for Disease Control (HCDC) is actively tracking and expanding tests to monitor high-risk groups. High-risk groups include exposure to new positive cases 1342, 1347, 1348, 1349 (F1, F2); International flight crews staying in Ho Chi Minh City; Immigrants stay in segregated accommodation facilities paid for for a fee; people who have performed isolation in other provinces to reside in Ho Chi Minh City.
In addition, there are 14 risk points that must be supervised to perform the tests, including restaurants, coffee shops, karaoke, gyms, English centers and universities … where the cases have been or someone in close contact.
“Why are we so focused on investigating and handling F1, F2 cases? Because if we manage this group well, we basically have control over the chain of transmission. The F1 test will detect the positive cases early and then the health sector will track and will locate further to cut off the most effective transmission source, “confirmed HCDC Director Nguyen Tri Dung.
One problem that arises is that when the test track is expanded, does the testing capacity meet the requirements or not? “The testability is no longer as worrying as the timing of the outbreaks. In addition to maintaining existing facilities, we also suggest other units to urgently develop plans for approval and review. test before date 31-12 “- said Mr. Tang Chi Thuong, deputy director of the City Health Department.
Functional forces blocked an area in Ho Chi Minh City yesterday 4-12 to control the epidemic – Photo: NGOC PHUONG
Increase inspection and monitoring of insulation.
Mr. Tang Chi Thuong stated that Cu Chi Field Hospital, Can Gio COVID-19 Treatment Hospital is still open to receive patients in isolation and treatment. For severe cases, the Ho Chi Minh City Hospital for Tropical Diseases will be the “brain” ready to receive and treat the hospital over time.
According to Mr. Thuong, with Ho Chi Minh City not only located in concentrated areas of isolation, an equally important issue is isolation in the home and accommodation facilities. On the afternoon of December 4, the number of people who were in quarantine in the concentrated isolation sites was 1,743, while the number of people who were isolated in the home / accommodation was 2,390.
To reduce the burden of concentrated isolated areas, the leaders of the Ho Chi Minh City Department of Tourism said they are coordinating with the Health Department to continue evaluating the expansion of the quarantine network for a fee. In addition to operating 3 to 5-star hotels, units are considering more low-priced hotels and motels (around VND 1 million / day), catering to a variety of conditions for long-term segregators. .
Directly inspecting medical isolation at two hotels in Phu Nhuan and Tan Binh districts (where crew members are isolated), Mr. Nguyen Huu Hung – Deputy Director of the Ho Chi Minh City Department of Health – have requested district health centers and ward health posts to enforce inspection and supervision of selected hotels for compliance medical isolation.
Units should guide and assist the accommodation in implementing the process for receiving quarantined objects as crew members.
“Hotels must mobilize quarantined people to voluntarily comply with quarantine area regulations, they absolutely must not contact each other,” emphasized Mr. Hung.
Many-step detection at the hospital
115 People’s Hospital, which receives thousands of cases for examinations and treatments every day, has organized two inspection doors, medical declaration, each door is divided into many branches with the declaration forms on paper and on the computer.
“Not only by declaring at the door of the hospital, since the beginning of the epidemic season the director of the hospital asked each department to have an epidemiological team, and at the same time installed a medical checkpoint. So when the patient entered each department. some other nurses at the door to check last time, eligible to be admitted, “said Mr. Tran Van Song, deputy director of People’s Hospital 115.
Similarly, Phu Nhuan District Hospital for many days also requires people coming for medical examination and treatment to wear a mask, disinfect hand spray, medical statement … right in the parking lot. In departments, medical staff constantly remind patients to wear a mask 24 hours a day and to feel safe.
“Protecting myself is protecting others and the community, so although it is a bit slow, I find it very necessary,” said Ms NTN (50 years old), who visits the hospital frequently.
Assessing the status of the epidemic has shown no signs of stopping and the potential risk of spreading in the community, in an online meeting organized by the Ho Chi Minh City Health Department, Mr. Nguyen Van Vinh Chau – Director of HCMC Zone Heat Illness Hospital – believe the cases that have just appeared are due to isolated “perforation” because there have been no cases in the community for several months.
According to Mr. Chau, to control this well, hospitals should focus on 2-step detection, in addition to the door latch, it is necessary to establish an additional post in the departments to fully prevent the risk of infection in the hospital. .
Why is F2 assigned to home isolation?
According to HCDC, the possibility of F2 infection is highly dependent on the results of the F1 test. If F1 is negative, F2 will be released because by the time F2 is in close contact with F1, F1 is unlikely to spread disease. If F1 is positive, F2 becomes F1 and takes preventive action for F1. While waiting for the F1 test results, to limit the possibility of spreading the disease to the community, F2 must comply with the regulations on home isolation.
The HCDC recommends that current Ministry of Health regulations on contact tracing and management only stop at F1 and F2. Some cases are classified as F3, F4, F5 … not in accordance with the regulations of the Ministry of Health.
Keeping less than 10 cases will prevent infection in the third stage
The functional forces of the Pham Ngu Lao neighborhood, District 1, Ho Chi Minh City sanctioned a case of not wearing a mask on the afternoon of 4 to 12 – Photo: DANH
Answer your questions in the program online exchange Organized by the Tuoi Tre newspaper in coordination with the Ministry of Health on December 4, Assistant Professor Dr. Tran Dac Phu, former director of the Department of Preventive Medicine of the Ministry of Health, said that yesterday was the third day without additional cases of additive disease. VND in Ho Chi Minh City and if the number of this COVID-19 infection is controlled below 10 cases, the third cycle of infection can be prevented.
“I think it is possible to extinguish the outbreak in Ho Chi Minh City, but we should not be subjective because there may be undetected cases because there are many cases without symptoms or symptoms. It is slight that people do not report and do not go to the medical station, do not detect and it can spread “- said Phu.
Phu said that if the F1 test (which has close contact with the patient within 2m) is negative, then F2 (which has close exposure to F1) will no longer have to be isolated. However, F2 needs to monitor health and if any problems arise, the health facility should be informed for timely guidance and advice, especially the need to apply preventive measures recommended by the health sector.
As for the questions from readers is whether schools are necessary for students to drop out, according to Dr. Than Manh Hung, deputy director of the emergency department at the National Hospital for Tropical Diseases, whether or not to allow students to drop out. the school relies on reviews from health authorities and local authorities.
Some readers asked whether to celebrate the wedding at this time, Mr. Tran Dac Phu reported: “Currently in Ho Chi Minh City, the organization of festivals and weddings in places other than buds is not prohibited. People must follow the instructions of the local authorities and strictly follow the anti-epidemic measures guided by the locality. “
Meanwhile, Dr. Than Manh Hung recalled: “According to studies in the world and in Vietnam, 30-40% of patients with COVID-19 have no symptoms. Preventive measures recommended by the Ministry of Health, such as always using a mask in public, wash hands frequently, keep your distance, do not meet in crowded places ”.
Phu said that these COVID-19 cases in Ho Chi Minh City are not as complicated as the outbreak in Da Nang because the authorities detect early, know the source of the disease (case F0) and strongly deploy the traceability measures to manage cases F1 and F2, zoning the timely implementation of epidemic control measures. Especially, the epidemic has shown no signs of spreading to the hospital as was the case in Da Nang.
Mr. Phu said that the epidemic situation in the world is very complicated, flights entering Vietnam often have positive patients (usually 3 to 20 cases on the flight), so there is a risk of infiltration epidemic in Vietnam. It is excellent if prevention measures are not well implemented.
Answer your question Youth Regarding the most effective prevention measures during the time of a rising epidemic in the world and an “astonishing” outbreak in Vietnam, Mr. Phu recommended that the measures to prevent epidemics be applied correctly, namely, ” 5K “. The guidance of the Ministry of Health includes: wear a mask, disinfect, keep your distance, do not collect and make medical reports. In particular, 2K “masks” and “disinfection” are considered effective protective measures during the epidemic season.
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