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China’s 21-day medical isolation policy

China applies a 21-day quarantine on arrivals stemming from the “Zero Covid-19” policy, fearing risks if it opens in a hurry.

China is one of the countries with the longest Covid-19 quarantine regulations in the world, part of the “zero-tolerance” (Zero Covid) epidemic suppression policy. According to this strategy, community infections and close contacts are quickly placed in isolation. Local authorities will blockade the high-risk area, continuously testing millions of people for F0.

Visitors to China also have to self-isolate for longer than many other countries. The time depends on the city and province, but at least 21 days. For example, a person arriving in Beijing is quarantined for 14 days in a hotel, then for 7 days at home, and finally “under health monitoring” for another 7 days. In Shenzhen, people need to isolate for 14 days, then monitor symptoms for 7 days (maybe at home). Many areas require longer quarantine, like Shenyang for 28 days in a hotel and 28 days at home.

According to scientists, China estimates the quarantine period based on the incubation period of Covid-19. The Wuhan strain of nCoV has an incubation period of about 6 days, while the Alpha variant is about three days.

According to research on the outbreak in Guangdong from May to June, published in the journal EClinicalMedicine, The contagious Delta variant has an average incubation period of 4 days. The Hong Kong Health Authority said that most people with Covid-19 show symptoms within 14 days of contracting the virus, most commonly 5 days.

Epidemiologist Ben Cowling and virologist Jin Dong-Yan of the University of Hong Kong say a 21-day quarantine is too long. According to Cowling, the appropriate time is from 10 days to 14 days. Mr. Jin said that it is possible to shorten the isolation with fully vaccinated people.

“Vaccinations can shorten the time it takes to spread the virus. Vaccinated people have antibodies, they already repel the virus,” he said.

Experts also say that a 21-day quarantine could cause hygiene concerns or increase the risk of nCoV infection at the hotel.

However, some studies have shown that the incubation period is longer than 14 days. In October, a Hong Kong woman tested positive 5 days after the quarantine period.

Medical workers help people move to an isolation ward at Renji Hospital affiliated to Shanghai Jiaotong University Medical School, Shanghai city, China, January 2021. Photo: Reuters

China’s zero-tolerance strategy is supported by the people. Academician Chung Nam Son, an adviser on Covid-19 said the country would stick to this policy “for a long time”. He said the global Covid-19 death rate is 2%, too high for China to accept even if there is a vaccine. He said the price paid for opening so quickly was not worth it. China will follow other countries’ “Covid-19 coexistence” plans.

According to some experts and medical reporters, China may reopen the country, but is in no hurry to do so. Some middle- and upper-class people may complain about international travel restrictions, but most people are satisfied with the government.

The Xinhua news agency said that nCoV is a pathogen that is different from previous viruses in both transmission and mortality rate. Accordingly, the world has only two options: completely eliminate Covid-19 or let the pathogen spread widely (to achieve herd immunity). According to Xinhua News Agency, when winter comes, the Northern Hemisphere and many countries no longer apply the mask-wearing measure, it is likely that the epidemic will break out again. The World Health Organization has warned that Europe will record an additional 500,000 deaths from Covid-19 in the next three months, after easing epidemic prevention measures. According to Chinese experts, the virus does not go away on its own. The best hope remains to fully immunize most of the population and lead to a highly effective cure.

Thuc Linh (Follow BBC, SCMP)


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Preparing a Covid vaccine plan in 2022 – VnExpress

The Ministry of Health requires localities to review and report the number of vaccines received, injected and the need for use for 2022.

“The results of this report are the basis for the distribution of vaccines in November-December and determine the vaccine demand in 2022,” according to the official dispatch the Ministry of Health has just sent to localities, the Ministry of Public Security and the Ministry of National Defense. From this year’s vaccine demand, the Ministry of Health plans to access the supply to ensure it is fully met.

Reply VnExpressMinister of Health Nguyen Thanh Long said that so far, Vietnam has had agreements, orders and contracts of up to 195 million doses of vaccine. This number of vaccines is enough for Vietnam to achieve the goal of vaccine coverage by the end of 2021 for 70-80% of the population. It is expected that in November-December, a large number of vaccines will arrive, and the Ministry of Health will immediately allocate two doses to vaccinate all people aged 12 and over. “We are accelerating the speed of bringing the vaccine back by the end of the year,” Mr. Long said.

Therefore, localities need to increase vaccination progress, Priority is given to people aged 50 years and over, achieve coverage of 1st dose for 100% of the population 18 years of age and older and dose 2 for those who have had 1st dose for the full time. On November 10, while giving an explanation on epidemic prevention and control, at the second session of the 15th National Assembly, Deputy Prime Minister Vu Duc Dam also said that he would provide enough vaccines for the provinces in November to complete the pandemic. Two-shot socks for adults.

By the end of 9/11, the country had distributed 81 rounds of vaccines with a total of 112.7 million doses. To date, the country has injected 94 million doses, of which about 63 million doses of the first dose and 31 million doses of the second dose.

The Ministry of Health assessed that localities have accelerated the vaccination schedule to keep up with the schedule of vaccine supply and rapidly increase vaccination coverage. Some provinces and cities with high vaccine coverage have developed plans and started to vaccinate children 12-17 years old.

The Ministry of Health is starting to consider a plan to give the 3rd dose (repeat) for people who have had 2 full doses of the vaccine, in the immediate future, priority will be given to the group on the front lines against the epidemic, the elderly, and people with underlying medical conditions, according to the Minister. Long answered questions at the second session of the XV National Assembly on November 10. However, the Ministry of Health has not yet announced a specific plan for the 3rd injection.

Children in Ho Chi Minh City are vaccinated against Covid-19. Photo: Thanh Nguyen

12 provinces and cities that are implementing vaccination for children 12-17 years old are Ho Chi Minh City, Dong Nai, Binh Duong, Kien Giang, Vinh Long, Soc Trang, Ca Mau, Da Nang, Quang Ninh, Ninh Binh, Lang Son, and Lao Cai. . In total, more than 1.11 million doses of the vaccine have been given to children.

The 15 provinces that cover at least one dose of vaccine for over 95% of the population 18 years of age or older are: Hanoi, Bac Ninh, Vinh Phuc, Quang Ninh, Da Nang, Khanh Hoa, Ninh Thuan, HCMC, Ba Ria – Vung Train, Dong Nai, Long An, Lam Dong, Vinh Long, Binh Duong, Hau Giang.

12 provinces covered at least one dose of vaccine under 70% of the population aged 18 years and over; in which the 5 provinces with the lowest coverage rate are Son La, Thanh Hoa, Nam Dinh, Cao Bang and Nghe An.

The 15 provinces that cover enough 2 doses for over 50% of the population 18 years and older are: Long An, Khanh Hoa, Quang Ninh, Ho Chi Minh City, Dong Nai, Lang Son, Binh Duong, Hanoi, Bac Ninh, Ninh Binh, Ha Nam, Tay Ninh, Dong Thap, Binh Phuoc and Lam Dong.

Le Nga

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Nearly 800,000 children in Hanoi prepare to receive Covid-19 vaccine

519,547 children from 12 to under 16 years old and 272,374 children from 16 to under 18 years old in Hanoi are subject to Covid-19 vaccination.

According to the interdisciplinary plan to deploy Covid-19 vaccine for children 12-17 years old, just issued by the Hanoi Department of Health, the target audience is all children 12-17 years old (including children going to school in Hanoi). schools are located in the city and children who do not attend school are living in Hanoi). Age calculation is the child’s full birthday as of the date of injection.

The vaccination campaign is carried out according to the age-reducing route (from 17 years old to 12 years old, equivalent to 12th graders getting vaccinated first, then 11th grade and then 7th grade).

It is expected that Hanoi has a total of 791,921 children under this vaccination period, including 519,547 children from 12 to under 16 years old, 272,374 children from 16 to under 18 years old.

The injection implementation time is expected from the fourth quarter of 2021 to the first quarter of 2022. The city will organize vaccination right after receiving the vaccine and depending on the supply progress of the Ministry of Health. The goal is that over 95% of children 12-17 years old are eligible to receive 2 doses of Covid-19 vaccine.

Hanoi has set up mobile vaccination points at schools (including junior high and high schools, continuing education schools; colleges, vocational secondary schools, social protection centers with foster children. 12-17 years old…), and other mobile sites.

Children can also be vaccinated at the Health Station or vaccination point, for groups that are suspended at school and children who do not attend school.

Organize injections at the hospital for children with congenital diseases, chronic diseases of the heart, lungs, digestive system, urinary tract, blood… abnormal heart and lung auscultation, grade 3 anaphylaxis with any allergens .

Medical staff prepare dose of Covid-19 vaccine for people in Ho Chi Minh City. Photo: Thanh Nguyen

The plan to vaccinate children against Covid-19 in Hanoi is part of a nationwide vaccination campaign starting from October 29. The Ministry of Health has approved two vaccines for use in children, including Pfizer’s Comirnaty and Moderna’s Spikevax, and is expected to give at least one vaccine to all children 12-17 years old in the fourth quarter. Ho Chi Minh City, Ninh Binh and Binh Duong are pilot provinces, the first injection from October 26.

Doctor Khong Minh Tuan, deputy director of the Centers for Disease Control (CDC), said that vaccination campaigns for children will be less favorable than adults because children are often afraid of doctors, have a chain effect, need Family members accompany to take care of, leading to an increase in the number of people coming to the vaccination site… Therefore, in order to vaccinate effectively and safely, the vaccination facility needs to prepare adequate facilities to meet the needs. needs of children and guardians, plans to safely vaccinate children at school… Children need to be psychologically prepared before and during injection. Parents should encourage and reassure children to avoid psychological anxiety.

In addition, children are still young and have not yet been able to self-monitor and promptly notify post-injection reactions. Therefore, the family needs to closely monitor the child’s post-injection reaction for at least the first 7 days. Parents and children should stay at the vaccination site within 30 minutes after vaccination to be closely monitored by medical staff.

Thuy Quynh