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.
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.
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.
With the goal of reducing the rate of Covid-19 patients who become seriously ill when treated at home, the Hope Foundation launched the “F0 medicine bag” program. Each donation of 380,000 VND corresponds to one medicine bag. Readers can see details here.