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How to handle Covid-19 cases when adapting safely?

Narrow blockade; F0 treatment according to local conditions and patient’s wishes; only F1 centralized isolation if they agree, are new points when safely adapting to Covid-19.

On October 15, Assoc. Prof. Dr. Nguyen Thi Lien Huong, Director of the Department of Health Environmental Management (Ministry of Health), said that the policy of safe adaptation to Covid-19 is to accept a certain number of F0 in the community. copper. However, localities need to effectively control Covid-19 to maintain stability and develop business.

The response solutions when detecting community infections in a safe adaptive state have many points inherited from the previous anti-epidemic phases, while adding some new points.

With F0Ms. Lien Huong said the principle of treatment is early detection, prompt treatment at a medical facility or at home. According to the Government’s regulations, the treatment of F0 at home applies at all 4 risk levels, based on the guidance of the Ministry of Health and the decision of the local government. The principle is to be suitable for the collection and treatment conditions of each place; ensure living conditions, living conditions and aspirations of infected people.

From mid-July 2021, some places such as Ho Chi Minh City and Binh Duong have piloted the isolation of asymptomatic F0 at home. By mid-August, the home treatment model of F0 in these two localities was expanded to include patients with mild symptoms. The Ministry of Health also has instructions, along with a bag of drugs to treat F0 at home. In addition to Ho Chi Minh City and Binh Duong, other localities are currently applying F0 treatment at medical facilities.

Professional guidance on safe adaptation of the Ministry of Health on October 13 suggested that localities develop plans for the collection, care and treatment of F0, especially ensuring emergency resuscitation beds (ICUs). Hospitals both treat Covid-19 cases and treat other patients.

Medical staff in Linh Tay Ward (Thu Duc City), Ho Chi Minh City examine and distribute medicine for F0 to treat at home, September 3. Photo: Quynh Tran

When F0 is detected, The scope of the blockade of the outbreaks must be the narrowest, maybe just a cluster of a few houses or a part of a village or hamlet, according to Ms. Nguyen Thi Lien Huong. With apartment buildings, it is possible to blockade some adjacent rooms where F0 is located instead of the whole floor or the whole building as before. The zoning of the epidemic must ensure the principle of “minimizing the impact on the people”.

So compared to the past, the new point in the safe adaptation phase is that F0 can be treated at home (countrywide) and the blockade of the outbreak must be as narrow as possible.

With close contact (F1)Ms. Lien Huong said the principle is to be tested and screened early. Depending on the risk factors, the epidemic situation, the extent of the outbreak, the locality will decide who or the area needs to be tested.

Ms. Nguyen Thi Lien Huong said that F1 is the elderly, people with underlying diseases, pregnant women, people under 18 years old are isolated at home, with a caregiver in isolation. With the other F1, the form of isolation is still applied according to the current guidance of the Ministry of Health. Accordingly, the guidance of the Ministry of Health from mid-July 2021, allows F1 to be isolated at home if there is a separate house or an apartment in a dormitory or apartment complex, if there is a private, self-contained room. This guide applies nationwide.

The Government’s current regulations clearly state that if the Ministry of Health guides isolation at home, but the locality has a safe place, it can be isolated in concentration. However, the centralized isolation must be agreed by the individual subject to quarantine.

“If F1 does not agree to go to concentrated isolation, the localities must let them isolate at home. The condition is that F1 must ensure the requirements for private rooms and houses,” Ms. Huong said.

From an expert perspectiveAssoc. Prof. Dr. Do Van Dung, Dean of the Faculty of Public Health (HCMC University of Medicine and Pharmacy), said that the ultimate goal of isolating, treating F0 as well as treating F1 is to limit the spread of disease. out to the community.

He suggested that, for localities with high vaccination rates, when F0 is detected, it should be classified soon. F0 with mild symptoms, no symptoms or vaccinated, are isolated and treated at home. F0 new severe symptoms need to be hospitalized. Because according to the guidelines of the World Health Organization (WHO), once vaccinated, the rate of F0 severe disease and death will decrease.

Measures to prevent epidemics with F1 in areas with large vaccine coverage should also be relaxed. Mr. Dung analyzed that in the past time, many places where F0 has been detected will consider all employees in the same workshop as F1, forcing all to be isolated. This measure causes many F1s to go to concentrated isolation or at home, unable to participate in other activities, leading to the risk of breaking the production chain. “Long-term application of such anti-epidemic methods makes it difficult for businesses to restore production and business, affecting socio-economic development,” Dung warned.

From the above approach, Mr. Dung suggested that the vaccinated F1 participate in social, labor, production and business activities, instead of having to isolate in concentration or at home. The authorities only monitor the epidemiology and require these people to comply with 5K, test every 2-3 days.

Associate Professor Nguyen Huy Nga, former Director of Preventive Medicine (Ministry of Health), also suggested that whenever F0 is detected in the community, instead of tracing F1 like before, localities only need to notify, so that F1 knows. and proactively apply appropriate isolation measures. F1 is also recommended to buy the test yourself to do the test, if positive, notify the health agency.

The house in Long Thoi commune, Nha Be district, Ho Chi Minh City is the place to isolate F1 at home, July 2021.  Photo: Dinh Van

The house in Long Thoi commune, Nha Be district, Ho Chi Minh City is the place to isolate F1 at home, July 2021. Photo: Dinh Van

Doctor Truong Huu Khanh, former head of the Department of Infection – Neurology, Children’s Hospital I, Ho Chi Minh City, suggested that before calculating and applying appropriate measures, each locality must consider the vaccination rate, especially population at high risk of death.

“Where there is widespread vaccine coverage, there is no need to trace and isolate F1. F0 just need to stay at home to self-monitor their health,” he said.

Provisional Regulations Safely adapting, flexibly, effectively controlling the Covid-19 epidemic, promulgated by the Government on October 11, applied uniformly across the country.

The government classifies four levels of disease risk, including: Level 1 (low risk – new normal), blue; grade 2 (medium risk), yellow; grade 3 (high risk), orange; level 4 (very high risk), red. The criteria for assessing the level of the epidemic are based on the vaccination rate; number F0 community/100,000 people/week; treatment capacity.

Write Obedience

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Another 3,797 cases of Covid-19

The localities where the number of infections decreased the most compared to the previous day: Tay Ninh (210), Binh Thuan (61), Dong Nai (61).

The localities that recorded the highest number of infections compared to the previous day: Soc Trang (414), Ho Chi Minh City (222), Ca Mau (168).

The average number of new infections in the country recorded in the past 7 days is 3,559 cases/day.

During the day, 93 deaths were recorded in: Ho Chi Minh City (61), Binh Duong (18), Tien Giang (4), Tay Ninh (2), Long An (2), Dong Nai (2), Dong Thap (1 ), Dak Lak (1), Kien Giang (1), Soc Trang (1).

The average number of deaths recorded in the past 7 days is 101 cases. The total number of deaths in Vietnam so far is 21,043, accounting for 2.4% of the total number of infections.

New infections in Ho Chi Minh City (1,131), Dong Nai (586), Binh Duong (533), Soc Trang (414), An Giang (170), Ca Mau (168), Kien Giang (82), Dong Thap ( 78), Tien Giang (70), Tay Ninh (64), Long An (47), Can Tho (43), Bac Lieu (40), Hau Giang (34), Gia Lai (30), Khanh Hoa (28) , Thanh Hoa (27), Nghe An (25), Thua Thien Hue (22), Tra Vinh (18), Vinh Long (15), Ha Nam (15), Quang Tri (13), Ba Ria – Vung Tau ( 12), Quang Binh (12), Ben Tre (12), Quang Nam (11), Binh Phuoc (11), Ninh Thuan (9), Son La (9), Binh Dinh (9), Lam Dong (8 ) , Dak Nong (8 ), Quang Ngai (7), Phu Tho (5), Kon Tum (4), Ha Tinh (4), Lai Chau (2), Yen Bai (2), Hung Yen (2), Thai Binh (2), Phu Yen (2), Hai Duong (1), Bac Giang (1), Lang Son (1), Lao Cai (1), Hanoi (1). In which, there are 1,475 cases in the community.

Since the beginning of the epidemic, Vietnam has 857,639 infections, ranking 40/223 countries and territories, while with the ratio of infections / 1 million people, Vietnam ranks 155/223 countries and territories territory (8,710 cases per million people on average).

In the fourth epidemic, the number of new infections recorded in the country was 852,986 cases, of which 786,106 patients were declared cured.

There are 4 provinces and cities that have not recorded new cases for 14 days in the country: Bac Kan, Hoa Binh, Thai Nguyen, and Dien Bien.

Localities with high cumulative infections during this outbreak: Ho Chi Minh City (415,875), Binh Duong (224,492), Dong Nai (57,708), Long An (33,614), Tien Giang (14,844).

Regarding treatment, the number of recovered patients in a day was 918, bringing the total number of cured cases to 788,923. The number of serious patients being treated is 3,847 cases.

Regarding testing, in the past 24 hours, more than 120,000 tests have been performed for more than 211,600 turns of people. The number of tests from April 27 to now has done more than 20.7 million samples for more than 57.2 million people.

Regarding vaccination, on October 14, there were 1,311,040 doses of vaccine injected. Thus, the total number of doses injected is more than 59 million doses, of which the 1st dose is more than 41.8 million doses, the 2nd injection is 17.1 million doses.

On the morning of October 15, Hanoi temporarily withdrew the entry/exit checkpoint at the city’s gate number 8 on the Hanoi – Hai Phong highway. At the remaining 21 checkpoints of people and vehicles entering/exiting Hanoi, the regulations still apply that people passing through the checkpoints must have a certificate of having received 2 doses of vaccine, have negative test results for nCoV (rapid test or PCR) and health declaration.

Quang Binh province, on October 15, the Covid-19 patient treatment facility at Central Law College (Dong Hoi City) stopped operating. This is the second Covid-19 treatment facility to stop operating thanks to this locality having controlled the epidemic.


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Dress up as a ‘dead man’ to help the police catch the culprit

RussiaWith the “direction” of the police, a woman is dressed as “dead” with a cut in the neck. The photo was sent to the person who hired her to kill her so he could believe it was real.

Alexander Krasavin, 54, was caught paying £13,000 to someone hired to kill his ex-wife on October 11.

Alexander Krasavin was arrested by the police. Video: East2West

Alexander works as a bus maintenance technician and part-time taxi driver in St Petersburg. He allegedly asked a colleague to kill his ex-wife to get custody of his daughter and not pay alimony.

The colleague at first thought it was a joke, but when Alexander repeatedly suggested it, he believed it to be true. From his information, the police planned to trap Alexander.

After taking out a £15,000 bank loan, Alexander gave his colleague £3,000 in advance and agreed to pay another £10,000 when the job was done.

In the recordings, Alexander said he would work as a taxi driver on the day of the crime (October 11) to have an alibi.

Alexander Krasavin and his ex-wife Nina in the hot days.  Photo: East2West

Alexander Krasavin and his ex-wife Nina in the hot days. Photo: East2West

Nina, 46, Alexander’s ex-wife, said police went to her home without warning, using force to a film studio to disguise themselves. “I spent the whole day in the criminal investigation room thinking this was a joke,” she said.

The process was so secret that Nina was forbidden to contact her children. A makeup artist helped her look dead with a cut on her neck. Then the police took a picture and sent it to Alexander.

Seeing “the ex-wife is dead”, Alexander texted an appointment to meet a colleague to pay the salary. At that moment, the police stopped the car and handcuffed him.

The ex-wife was disguised, pretending to be dead.  Photo: East2West

The ex-wife was disguised, pretending to be dead. Photo: East2West

said she was shocked by the plot of her ex-husband. She thinks they still have a good relationship as they take care of their 9-year-old daughter together. The two used to be very romantic before breaking up due to tensions with her two children. After the divorce, the two still live close to each other.

Alexander disagreed when she asked for an increase in child support. He switched jobs from bus driver to technician with lower salary to reduce alimony.

Tue Anh (Follow Mailonline, Sun)


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Correlation of sales of automobile manufacturers in Vietnam

VinFast is the largest car seller in the market in September, and accumulated from the beginning of 2021, Toyota reclaims the throne from Hyundai.

The Vietnamese auto market entered the last quarter of 2021 with many optimistic signals when the Covid-19 epidemic cooled down in many provinces and cities, and car business gradually resumed. The previous 9 months recorded a 46% decrease in sales compared to the same period in 2020. The sales rankings of the firms also changed a lot.

Toyota with 37,905 vehicles, returning to the number one position in Vietnam’s auto market in terms of passenger car market share after 9 months of 2021, but the gap is only 59 vehicles compared to rival Hyundai, which is distributed by TC Motor. In the same period of 2020, Hyundai is the market leader when selling 3,237 more cars than Toyota.

The B+ CUV model, Toyota Corolla Cross rolled in Binh Thuan. Photo: Toyota

For the Japanese automaker, the weakness of key models such as Fortuner and Innova is offset by the stable and largest attraction of Corolla Cross in the market. The Vios sedan is still the best seller in the B-segment sedan segment, but the market crown is difficult to keep before the power of VinFast Fadil.

Hyundai, in terms of total vehicle sales (including passenger cars and commercial vehicles), is the market leader. The race for market share of cars sold between the Korean automaker and Toyota has been fierce from the beginning of 2021 until now.

Hyundai’s great advantage that was once in 2020 is no longer maintained against its Japanese rival. After 9 months, Hyundai sold 37,846 vehicles. B-class sedan, Accent is the company’s main product when selling 11,644 cars.

That is the popular car brand with the most impressive sales growth, 35%, in contrast to the decline in market share of most brands. No other car company has achieved such good business results as Kia, not including Peugeot with small sales.

Kia Sonet, a rookie CUV class B- was launched on October 9 in Quang Nam.  Photo: Dac Thanh

Kia Sonet, a rookie CUV class B- was launched on October 9 in Quang Nam. Photo: Dac Thanh

27,595 cars sold after 3 quarters of 2021 put Kia in the top 3 car brands with the largest sales in the market. The company has just launched a series of new cars in early October such as Sonet, Carnival (Sedona), K5 (Optima).

VinFast for the second month in a row selling the most cars in the market. In September, the Vietnamese car company had a total of 3,497 cars delivered to customers. Accumulated from the beginning of the year, VinFast sold 25,527 cars, ranking fourth in the list of firms with the largest market share.

Fadil continues to be the golden egg laying hen of VinFast with sales of more than 2,500 vehicles in September. Accumulating from the beginning of the year, the A-size hatchback model sold 17,668 vehicles, leading the entire Vietnamese market.

Mitsubishi sales decreased slightly by about 1% over the same period in 2020. The company sold 16,978 vehicles after the first 9 months of 2021. The Japanese automaker’s product range has almost been upgraded in 2021.

An Xpander model at a dealer in Hanoi.  Photo: Mitsubishi

An Xpander model at a dealer in Hanoi. Photo: Mitsubishi

Xpander is still the sales star of the company with a market share of more than 53%, reaching 9,093 vehicles after 3 quarters of 2021. Particularly in the MPV segment priced at less than a billion dong, Mitsubishi Xpander continues to be the best-selling name.

Mazda share the same roof as Truong Hai, but the sales are different from Kia. The Japanese brand has 16,420 cars to customers after 9 months. Compared to the same period in 2020, Mazda sales decreased by 16%.

Ford and Honda all have sales of less than 15,000 vehicles after the first 3 quarters of 2021. Ford relies heavily on its flagship product Ranger, a pickup model that will be assembled in Vietnam from the second half of July. While Honda depends on the B-class sedan, City also assembles domestically.

New generation City in a test drive event for the media in Hanoi, December 2020.  Photo: Luong Dung

New generation City in a test drive event for the media in Hanoi, December 2020. Photo: Luong Dung

Suzuki Yes, XL7 is currently the sales star of the company, but the sales level in the overall segment is still small. Accumulated to September, the Japanese automaker sold 4,510 cars, 163 more cars than the company ranked behind, Peugeot. With Isuzu, two models classified as passenger cars, including D-Max and mu-X, sold only 190 vehicles, contributing about 3% of the Japanese automaker’s overall sales.

Thanh Nhan


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Administrative denunciations on the rise

Denunciations in the administrative field accounted for 84.6%, much higher than in previous years (64.8% in 2020; 66.6% in 2019).

The above data is stated in the report on citizen reception, settlement of complaints and denunciations in 2021, sent by the Government to the National Assembly. However, compared to 2020, the number of applications decreased sharply with 35.1%, the number of cases decreased by 18.7%. The main content is still denouncing cadres and civil servants for violating the law in the management and performance of official duties.

Judging by the case, the situation of complaints and denunciations in 2021 will decrease sharply compared to 2020 (complaints decreased by 23.5%; denunciations decreased by 18.7%). By sector structure, the complaint situation has not changed much compared to previous years, still mainly concentrated in the land sector, accounting for 64.6% (61.5% in 2020; about 67 in 2019). %).

The Law Committee, the agency that examines the report, proposes to the Government to supplement and clarify the above ratio due to the fact that the operation of the public administration apparatus is still inadequate, the people do not really believe in the law. integrity, objectivity, fairness of a part of civil servants, competent persons in settlement or for any other reason…

Through the settlement of complaints and denunciations in 2021, the authorities have proposed to handle over 570 people, including 442 officials and civil servants. 12 cases with 15 civil servants and 2 individuals were transferred to the investigating agency for further handling.

The above decisions were made after settling nearly 17,300 cases of complaints and denunciations (reaching 76.3%, down 7.2%). The competent authorities also proposed to return to organizations and individuals VND 441 billion, 41.6 hectares of land; restore and ensure the interests of 51 organizations and more than 1,000 individuals.

According to the Law Commission, the number of 12 cases with 17 people mentioned above is “very modest”. Therefore, the Government is requested to provide more information and clarify this content.

The Law Commission also suggested that the Government complete the national database on citizen reception, handling of petitions, settlement of complaints and denunciations; building a legal framework to ensure connectivity and interoperability in data sharing. This is in order to improve the quality of citizen reception, handling of applications, limiting the situation of transferring duplicate applications, transferring applications for cases that have been resolved according to their competence, without new details.

Hoang Thuy