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‘People should not buy a quick test kit at home’

Leaders of the Ho Chi Minh City Department of Health advise people not to buy nCoV rapid test kits for self-testing, the results may be inaccurate.

Press conference on the afternoon of July 16, Deputy Director of Ho Chi Minh City Department of Health Nguyen Hoai Nam said that the nCoV rapid antigen test kit belongs to medical equipment and supplies, which should be recognized by the Ministry of Health.

“Quick test kits for sale online, if their names are not on the list announced by the Ministry of Health, are of course illegal, low sensitivity, inaccurate results leading to the risk of community infection,” he said. Nam said.

According to Mr. Nam, Ho Chi Minh City has trained to use Covid-19 rapid test in export processing zones, industrial parks, high-tech parks and businesses in the area, but There are no instructions for people to do it themselves. The process of taking a sample of fluid in the oropharynx, reading the test results quickly is not too difficult, but each rapid test has different predictive value, sensitivity, and specificity. The types of rapid tests used by the city’s medical facilities are appraised by the Ministry of Health.

Expert reviews, variety Quick test is selling in low sensitivity market. Due to the lack of high accuracy, when testing negative results, people lose their vigilance, go to many places, and come into contact with many people. “While in fact that result may be positive, the risk of spreading and spreading the disease to the community,” Mr. Nam analyzed.

The city deploys nCoV testing by RT-PCR (confirmation value) and rapid test (screening value) at many medical facilities, people can test the service when you need. Service prices at public facilities are about more than 230,000 VND for a rapid test sample and 734,000 VND for an RT-PCR test sample, according to the price bracket set by the Ministry of Health.

According to the HCM City Center for Disease Control, in recent days, the city has been tracing F0 cases in the community with a focused and focused testing campaign. The number of F0 cases is expected to increase rapidly, but will gradually decrease after the city implements continuous testing.

The number of infections in Ho Chi Minh City from April 27 to the morning of July 17, announced by the Ministry of Health, reached 25,682.

Rapid antigen testing in the community. Image: Ho Chi Minh City Center for Disease Control.

Hospitals are facing a shortage of medical and protective equipment when recording thousands of new infections every day. To support the frontline, individuals and businesses can accompany the program “Powering the epidemic center”. See details here.

Le Phuong

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An international expert proposes an effective vaccination plan for Vietnam

Experts say Vietnam needs to set up an online booking system, mass vaccination points, and closely monitor side effects after injection.

Vietnam is entering the largest vaccination campaign in history. The government aims to buy 150 million doses of the vaccine, enough to inject 70% of the population this year.

Professor Jin Dong-Yan, University of Hong Kong, said that Vietnam can learn from the online vaccination registration model in Hong Kong, while ensuring a safe distance of 1.5 m at vaccination points.

“With that, the executive board can monitor the implementation of social distancing. The risk of infection is reduced to a minimum,” he said.

According to Professor Jin, Hong Kong authorities make use of the stadiums to vaccinate more than 50,000 people every day. Immunization centers are run by various volunteer groups. The University of Hong Kong is mobilizing nursing alumni to support the implementation.

Dr. Litjen Tan, Strategy Director, Alliance for Immunization Action (IAC), proposed Vietnam to establish mass vaccination sites (MVCs), which have proven effective in the US. MVC helps to vaccinate many people in a short time and effectively. The injection rooms are set up in non-traditional places such as parking lots, the premises of large buildings, or the roadside for drivers and pedestrians.

“People should be separated when they come to get the vaccine to reduce the risk of infection,” Tan said.

He emphasized that Vietnam needs to ensure the vaccination process is convenient. People can get vaccines everywhere, from public hospitals, shopping malls to grocery stores.

According to him, there should be a system to closely monitor side effects after injection, medical staff must know all the health status of vaccine users.

People in Ho Chi Minh City get a Covid-19 vaccine, June 24. Image: Huu Khoa.

Dr. Jason Kindrachuk, University of Manitoba, said that when there is not an abundant supply, Vietnam should consider giving the first dose of vaccine to as many people as possible. This strategy worked for Canada. Accordingly, Canada allows a maximum interval of 90 days, instead of 3-4 weeks as recommended by the manufacturer. To date, about two-thirds of the country’s population has been vaccinated with a dose of the vaccine, ranking third in vaccine coverage in the G7 bloc, with 67.29 doses per 100 people.

As a result, the number of infections among vaccinated people has decreased significantly. Even with the disease, they do not have serious symptoms. “This helps to reduce the strain on the Canadian health system, while also reducing transmission rates in some epidemic hotspots,” Kindrachuk said.

However, Vietnam needs to ensure that disadvantaged groups such as the elderly, people with underlying diseases, and immunocompromised patients receive a second dose within the prescribed time period, a few weeks after the first dose.

Consensus of the people

As in many other countries, it is important to build public trust in vaccines. According to Jin, authorities need to transparently disclose information about serious side effects such as blood clots, complications and death, although rare.

Hong Kong authorities have collaborated with businesses to create a program to encourage vaccination. People have a chance to win houses and cars if they participate in lucky draws after the injection. They also do not need to be isolated, are allowed to gather with friends and relatives.

For example, after real estate corporations announced on May 28 that fully vaccinated people could enter a sweepstakes to win a $1.4 million apartment, the number of vaccination applications in Hong Kong rallied nearly 48,000 on June 1. The day before the announcement, the number was only 20,200 applications. From May 27 to June 3, the number of people vaccinated each day increased by 38.5%, from about 26,000 to 36,000.

Professor Jin believes that vaccination is the only way to get out of the pandemic. Awareness education is very important, because many people are still afraid of vaccines.

“Hong Kong is still trying to convince people to get vaccinated,” he said.

According to Professor Nguyen Van Tuan, School of Public Health, University of New South Wales, Australia, advice from general practitioners and family doctors has a great impact on patient psychology.

As a professor of diagnostic medicine, Mr. Tuan said the risk from vaccines is not too great. On the contrary, it reduces the severity of Covid-19, increasing the chances of survival for the sick. He admitted the vaccine causes some serious side effects such as blood clotting, cardiovascular.

“However, a lot of research shows that the benefits of vaccines outweigh the risks,” he added.

Big challenge

According to Mr. Tuan, the goal of vaccinating 70% of Vietnam’s population is “a huge challenge”. With supply shortages amid a new wave of infections, the critical task now is to get more vaccines. Ideally, the vaccine would be produced domestically, but that would take time, he said.

The government has asked many countries to transfer technology. Mr. Tuan said that this is a practical decision.

“I believe Vietnam has the infrastructure to produce vaccines, hopefully that infrastructure will be used for the Covid-19 vaccine,” he said.

According to Professor Tuan, the new outbreak in Vietnam and around the world is a warning that the virus will not disappear in a short time. Communities need to learn to live with the disease. He said that Vietnam could receive a few more waves of infections. Covid-19 is becoming endemic, which means it will be long-lived. People need to adapt and find ways to protect the most vulnerable.

He warned Vietnam should maintain social distance even after vaccination. Citing research published in the journal Nature Medicine in December 2020, he said the best measures would be to close educational institutions and limit borders.

“Even though we have been vaccinated, we should still maintain social distance for a while,” he said.



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Ho Chi Minh City sets up a ‘red list’ of people who have to be isolated in concentrated isolation

HCDC put the 6th floor of Concentrix building, District 12 and the Church of the Renaissance Mission Church, Go Vap on the “red list”, people here must be isolated instead of isolated at home.

Late on May 28, the City Center for Disease Control (HCDC) announced a change in the level of medical supervision, from home isolation to centralized isolation, with two locations. It is the 6th floor of Concentrix building, Quang Trung Software Park in District 12 and the church of the Renaissance Missionary Church, Nguyen Van Cong Street, Ward 3, Go Vap District.

The period of concentrated isolation is 21 days, monitoring at home for another 7 days. The total number of sampling times for nCoV testing is at least 5.

In addition, HCDC added 5 locations related to Covid-19 to the list of 14-day home isolation, sampling for testing, including:

– Hoan My Saigon Hospital, Phu Nhuan District, from 9am to 11am on May 27.

– Alley 80 Luu Chi Hieu, Tay Thanh Ward, Tan Phu District.

– 23C Luy Ban Bich, Tan Thoi Hoa Ward, Tan Phu District.

– Lot B, Lotus Garden Apartment (Lotus Garden) at 36 Trinh Dinh Thao, Hoa Thanh ward, Tan Phu district.

– Election point of Information Technology University, Tan Phu district, from 17h-17h30 on 23/5.

An alley on Thong Nhat street, ward 15, Go Vap district had to be blocked because there were two Covid-19 cases and 5 suspected combined test samples. Image: English Letter.

Previously, on the afternoon of May 28, there were 44 places with Covid-19, belonging to 13 districts in the city that were counted by the HCDC and put into medical supervision. Most of these points are related to the outbreak in the Renaissance Mission Church. Thus, up to now, the city has 49 isolation points, specifically:

District 1

– Cashier counter on the ground floor, to the left of the entrance of Nguyen Hue Bookstore, 40 Nguyen Hue, Ben Nghe Ward, District 1, from 18:30 to 8:40 on May 14.

– Sheraton Hotel, 88 Dong Khoi, District 1, from May 13.

– Starbucks Coffee Store, at the corner of Pham Hong Thai and Nguyen Thi Nghia, District 1, from 21h to 21h45 on May 13.

District 3:

– Grove Group Joint Stock Company, 129 Pasteur, Vo Thi Sau Ward, District 3, from May 13.

– Alley 287 and 289 Nguyen Dinh Chieu, Ward 5, District 3, from May 12 to 20.

– Alley 404 Nguyen Dinh Chieu, District 3, from May 13.

District 7:

– Mini apartment on 3rd street, Tan Kieng ward, district 7 from May 13.

– JAF Company, 20C4, Street 66, Quarter 2, Tan Phong Ward, District 7 from May 13.

– VIB Bank No. 5 -7 Nguyen Thi Thap, Tan Hung Ward, District 7 from May 17 to 27.

District 10:

– Medic Medical Center (Hoa Hao Hospital), District 10, from 8 am to 14 pm on May 19.

12 district:

District 12 – 6th floor of Concentrix building, Quang Trung Software Park, District 12, from May 13.

– Block A2 Moscow Tower Apartment 19 Tan Thoi Nhat 17, District 12, from May 13.

– Group 8, Quarter 3B, Thach Loc 19, District 12, from May 13.

Binh thanh district

– Alley 178 Binh Quoi, Group 41, Quarter 4, Binh Thanh, from May 13.

Go vap district:

– Alley 891 Nguyen Kiem, Go Vap district, from May 13.

– Thien Khai Clinic, Ward 9, Go Vap District, from 14h-18h20 on May 26.

– Tran Diep Khanh Clinic, 25 Nguyen Oanh, Go Vap District, from 17h-19h on 20-5.

– Alley 637 Quang Trung, Go Vap District, from May 13.

– Street 53, group 36, quarter 5, ward 14, Go Vap district, from May 13.

– Alley 1358 Quang Trung, Go Vap district, from May 13.

– Alley 415 (Church of the Renaissance Missionary Church), Nguyen Van Cong, Go Vap District, from May 13.

– Alley 456 Nguyen Van Cong, Go Vap District, from May 13.

Hoc Mon province:

– Dead-end alley on Thoi Tam Thon 15, Tam Dong 2, Thoi Tam Thon, Hoc Mon district, from May 13.

– Dead-end alley on Nguyen Thi Thanh, Tam Dong 2, Thoi Tam Thon, Hoc Mon district, from May 13.

– Alley 129 Tam Dong 2, Thoi Tam Thon, Hoc Mon district, from May 13.

– Alley opposite number 129/5, Tam Dong 2 Thoi Tam Thon, Hoc Mon district, from May 13.

– Alley 83, group 15, Hung Lan, Ba Diem, from May 13.

Nha Be District:

– Alley 33 Dao Tong Nguyen, Quarter 7, Nha Be district, from May 13.

Phu Nhuan district:

– 30 Dang Van Ngu, Ward 10, Phu Nhuan District, from May 13.

– 57 Dang Van Ngu, Ward 13, Phu Nhuan District, from May 13.

– Hoan My Saigon Hospital, Phu Nhuan District, from 9am to 11am on May 27 27

Tan Binh district:

– Alley 333 Le Van Sy, Ward 1, Tan Binh District, from May 13.

– 139 Bach Dang, Tan Binh district, from May 13.

– No. 1 Hoang Viet, Tan Binh district, from May 13.

– VNPT Company Vietnam Network Infrastructure Center (Extended No. 2 Bac Hai), Tan Binh District, from May 13.

Tan Phu District:

– Alley 25 Nguyen Minh Chau, Phu Trung, Tan Phu district, from May 13.

– Lot C Son Ky Apartment, Son Ky, Tan Phu district, from May 13.

– Alley 17 Go Dau, Son Ky, Tan Phu district, from May 13.

– Alley 710 Luy Ban Bich, Tan Thanh, Tan Phu district, from May 13.

– Alley 80 Luu Chi Hieu, Tay Thanh Ward, Tan Phu District.

– 23C Luy Ban Bich, Tan Thoi Hoa Ward, Tan Phu District.

– Lot B, Lotus Garden Apartment (Lotus Garden) at 36 Trinh Dinh Thao, Hoa Thanh ward, Tan Phu district.

– Election point of Information Technology University, Tan Phu district, from 17-17:30 on May 23.

Thu Duc City:

– Block A1, Sunview apartment building, Thu Duc, from May 13.

– 74/2/4 Street 36, Linh Dong, Thu Duc, from May 13.

– No. 35, Street 59, Thao Dien, Thu Duc City, from May 13.

– No. 29 Thao Dien, Thu Duc City, from May 13.

– No. 14E Quoc Huong, Thao Dien, Thu Duc City, from May 13.

– Block C2 Tropic Garden Apartment, No. 49, Street 66, Thao Dien, Thu Duc City, from May 13.

HCDC notes that people who have been to/from the above locations within 14 days need to make a local medical declaration to collect samples for testing and be isolated at home for full 14 days from the last day of arrival/departure. If the arrival/departure time has exceeded 14 days, a medical declaration is required to collect samples for testing and self-monitor.

On May 27 and 28, 62 cases were recorded in Ho Chi Minh City. In which, the number of infections from the missionary outbreak is 58, they reside in 16 districts. Including the two children of the pastor and his wife, 34 members of the Renaissance Mission Church tested positive. 57 people have been announced by the Ministry of Health, given identification codes, and one has not been announced, considered to be infected. The remaining four patients belong to another infection chain, a couple in Tan Phu district who went to Hoan My Saigon Hospital for medical examination and two F1s were positive.

By the afternoon of May 28, Ho Chi Minh City had identified 708 F1 (639 negative samples for nCoV, 69 waiting for results) and 11,644 F2 (5,658 negative test samples, 5,986 waiting for results) of related Covid-19 cases. of the Renaissance Missionary Church. This is an ongoing chain of infections, and the cases have a test indicator that shows they are newly infected.

Currently, both these sequences have not found the source of infection, only the results of nCoV gene sequencing of 5 patients in the church epidemic cluster are of the Indian variant. The city continues to rapidly deploy tracing, zoning, and testing activities to cut off infection chains and prevent further spread.

English Letters


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Dozens of children get HIV from reused needles

PakistanDozens of children infected with HIV mysteriously, authorities investigated clues from illegally reused needles.

One day in February 2019, Nazeer Shah carried his one-year-old daughter Eman into the clinic. Her condition alarmed Dr. Imran Arbani. I fell into a coma, my whole body limped on my father’s shoulder. Eman was breathing rapidly and shallowly, and was difficult to wake up unless he woke up from a severe cough. Drool was flowing from the little girl’s mouth, her tongue covered with a white diaper layer – typical symptom of immunocompromised people. Eman weighs only 5 kg.

Eman, who was born healthy, was normal three months ago, Shah said. After that, she had diarrhea every day, quickly lost weight and had frequent fevers. Every day my condition gets worse. Shah gave Dr. Arbani a plastic bag filled with syrup and more than 10 different drugs, which Eman had been taking for several months, but to no avail.

After testing and related procedures but no result, Dr. Arbani said that she could be infected with HIV.

“Doctor, are you joking, how could she have HIV, how could she?”, Shah said.

He drove his child to a local laboratory to have an HIV test, waited half an hour and got a “Weak positive” result.

“At that time I was still confident. I thought that my child was negative,” he said. He gave the results to Dr. Arbani and sent another sample to the laboratory at Aga Khan University Hospital, one of the country’s leading clinical health centers. A few days later, he and Dr. Arbani checked the results online. Seeing the words “positive”, he burst into tears.

After talking to a friend about his daughter’s situation, Shah received a shocking reply. “My baby also has HIV,” his friend said.

As it turns out, Eman is not the first child in Ratodero, where 300,000 people live, infected with HIV. Your son Shah was also diagnosed positive. In both cases, their parents were HIV negative.

Nazeer Shah and daughter Eman. Image: NY Times

By 2020, about 2.8 million people under 20 years old worldwide will be living with HIV, half of which are under 10 years old. Most of the infection is from their mother. The unusual thing about the two cases in Ratodero is that neither the parents are infected. Both also never had a blood transfusion or had to undergo routine dialysis – which are the main causes of HIV exposure.

After Eman’s diagnosis, Dr. Arbani began testing more patients for HIV. In just a few months, he identified 14 patients infected with the virus. All are under 10 years old.

He transferred the patient to the HIV treatment center in Larkana and Karachi, saying that authorities would conduct an investigation. But weeks passed, the public health agency did not make any move. Finally, in April, he received a call regarding the incident, but not from the government. A reporter in Karachi City, named Yousif Jokhio, said she was reported on the case of a child dying of HIV in Ratodero that day.

“I was shocked, how can a 2-month-old baby be HIV-positive when his parents are negative?”, Jokhio said.

Arbani was relieved to finally have someone interested in this strange thing. Two days later, Jokhio’s newspaper revealed the full story of HIV-positive children in Ratodero. An hour later, another TV station did the same thing. Radio correspondent Gulbahar Shaikh said he had begun an investigation after seeing the Facebook post of Nazeer Shah, father of baby Eman. The news quickly spread throughout the region, to the whole country.

The extreme media attention creates intense pressure, forcing medical officials to act. The World Health Organization (WHO) declared the Ratodero incident a state of emergency. When the press arrived, the government also dispatched doctors and epidemiologists into the area.

They found that many HIV-infected children went to see a doctor named Muzaffar Ghanghro. He was forced to test for HIV and received a positive result, potentially infected with the virus from two blood transfusions in a car accident. Officials concluded the man “was somehow trying to infect children”. Arrested Ghanghro, considered the sole cause of the outbreak.

Pakistani children play on trash-rich soil.  Photo: NY Times

Pakistani children play on trash-rich soil. Image: NY Times

At this time, Dr. Arbani continues to look for HIV cases to move to new treatment facilities. He believes that some children have previously received false negative results. Clinical experience tells him: they have too many HIV-related symptoms such as weight loss, persistent cough and diarrhea. He also argues that public laboratories are not as accurate as private facilities. He sent his patients to the Aga Khan University testing center, as he did with Eman in February.

Again, his guess was correct. Dozens of cases have false results. Children infected with HIV while receiving a negative diagnosis, their parents did not know this. Delaying treatment affects prognosis for some people.

Pakistan’s Ministry of Health, with support from Aga Khan University, United Nations agencies, WHO, the US Centers for Disease Control and Prevention (CDC), went to Ratodero to investigate the outbreak more thoroughly. They realize that Dr. Muzaffar Ghanghro is not the only cause of many children getting the virus.

The specialist discovered a myriad of unsafe medical practices in the area. According to a survey of hundreds of parents, most of the positive children received an injection of a drug in the previous year. Furthermore, HIV-infected children have nearly three times the number of injections compared to children without the disease. Needles and IV needles were illegally reused.

According to international research, Pakistan has the highest number of unsafe vaccinations in the world. This grim truth is an inevitable part of a weak health system. But the cause is very complex, interrelated, dominated by economic factors, social factors, longstanding beliefs and the lack of investment and supervision of the government.

Standards for epidemic prevention and safety measures are inadequate in tertiary medical education. According to a survey, more than 80% of medical students said they want more formal training. Health care workers sometimes skip the step of hand washing, sometimes reuse disposable syringes and do not dispose of medical waste properly.

Domestic waste is mixed with medical waste in the central square in Ratodero, where children often play.  Photo: NY Times

Domestic waste is mixed with medical waste in the central square in Ratodero, where children often play. Image: NY Times

The stage of medical education supervision in this country is also not strict. Private medical school mushroomed. These institutions set the admission and graduation criteria of the “upper yellow lower bran” type. According to Mishal Khan, a professor at University College London, Pakistan has at least 70 registered medical colleges, about 50 are unregistered or undercover.

As a rule, the country does not require health workers to continue to learn, update the latest infection control standards from year to year. In poorer regions like Ratodero, medical facilities reuse medical supplies to cut costs.

The number of HIV infections decreased significantly elsewhere, but increased in Pakistan. The main reason is due to inconsistent and unbalanced government spending in the health sector. According to the World Bank, just over 3% of the country’s gross domestic product goes to medicine, the distribution among the lowest globally. The average life expectancy of the Pakistanis is 67 years old, 10 years lower than that of the US. Pakistan is also one of the two countries that have not been able to eliminate polio.

When the pandemic is nearing its end, the HIV problem in Pakistan still needs to be solved, in order to contribute to the post-Covid-19 global health advancement. The pandemic has put pressure, if not the destruction of many countries’ outdated healthcare systems, hurting poor countries – a fact Ratodero has long tasted.

Thuc Linh (According to the NY Times)


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WHO has left open many questions about the origin of COV

Many experts believe that the WHO report left open important questions about when, where, and how nCoV began to spread.

The final draft report on joint research results of the World Health Organization (WHO) and China on Covid-19 origin was published by media on March 29. Experts conclude that it is very likely that nCoV was first transmitted from bats to humans through an intermediate animal. Document length 319 pages, shared with member countries prior to the official announcement date.

This report shows the UN health agency’s efforts to find the source of the pandemic that killed 2.8 million people. The answer that may fulfill the basic requirement is to learn about how viruses emerge, helping to prevent another pandemic in the future. However, some experts said WHO left some important questions open.

“I don’t think the global public can count on this report because of the lack of data transparency from China or the close relationship the team has with the country,” said Larry Gostin, professor of data from China. Health law at Georgetown University, comment.

The earliest positive cases reported, on December 8, did not have any association with Hoa Nam seafood market. But experts also believe that asymptomatic cases have been ignored. Therefore, scientists cannot make certain conclusions about the role of the marketplace in the Wuhan translation cluster.

Peter Ben Embarek, head of the WHO delegation to China explained the nCoV infection diagram. Image: AP

The report recommends a closer look at the Chinese authorities’ identification of only 92 primary Covid-19 cases, out of more than 76,000 patients with respiratory symptoms between October and November 2019. But then, the scientists ruled out this possibility, concluding that nCoV could not be transmitted before December.

The WHO delegation once again confirmed it most likely The virus travels from animals, such as bats or pangolins, to an unidentified vector, then to humansi. However, until now, the specific path of infection remains a mystery. The scientists recommend conducting additional research on other nCoV-susceptible animals, such as cats and weasels.

The WHO delegation is calling for blood banking antibody testing in Wuhan and other regions of China as of September 2019. On the other hand, they also suggested looking at respiratory disease data from clinics where the Military Olympics was held in October 2019. Chinese officials earlier said that the US delegation participating in the event brought the virus into Wuhan. Washington denies this. The appendix of the WHO report also states “there is no sign of Covid-19 at military clinics”.

According to scientists, the trip to the Wuhan Virus Institute lasted several hours. They toured the facility, heard about the rigorous biosafety protocol in the lab, and told that their colleagues there were not working with viruses close to nCoV.

In a televised interview after the trip, virus expert Marion Koopmans, a member of the WHO delegation, said that researchers at the Wuhan Virus Institute were ill in the fall of 2019. But she also rejected conspiracy theories. nCoV leaks from the lab. The final report confirmed that the researchers here were not involved with Covid-19, but did not go into detail on the data analysis.

In China, the expert group has little access and thorough investigation. Initially, this country strictly limited, ensuring decision-making power for the participants and expanding the scope of research to other countries. The investigation also delved into the sensitive issue of how long the virus had spread in China before it reported fully to WHO. The organization is caught between Beijing – where officials claim the Covid-19 is from outside China and Washington – where the Biden administration questions transparency and data integrity.

Virus expert Peter Daszak, a member of the WHO delegation in Wuhan in February. Photo: Reuters

Virus expert Peter Daszak, a member of the WHO delegation in Wuhan in February. Reuters

White House press secretary Jen Psaki said the government would not comment further on the report while it was assessed by 20 experts from various agencies.

“We have made it clear that an independent, technically sound investigation is needed,” she said.

Chinese Foreign Ministry spokesman Trieu Lap Kien defended the report’s points. “When will WHO experts be invited to the United States to probe the origin of the virus, when will they get into the US military laboratory,” he asked. He asserted that Chinese officials had provided all important data to the WHO delegation.

Robert Garry, a virologist at Tulane University School of Medicine, said the report excelled in defining the direction of future research. “Anyone who thinks it’s sketchy will be disappointed,” he said.

Thuc Linh (According to the WSJ, Washington Post)


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Enterprises are encouraged to import vaccines Covid-19 – VnExpress

According to the Ministry of Health, currently AMV Group, Vabiotech, Vimedimec are approaching with other partners from the US and India. The goal is to increase coverage of Covid-19 vaccination for the people, proactively fight back the epidemic.

To date, the supplies of vaccine against Covid-19 for Vietnam include from the support of Covax and the order VNVC Company ordered. The first 800,000 doses from Covax are expected to return to Vietnam in the next three weeks, due to delayed distribution. VNVC is one of three organizations that AstraZeneca has agreed to provide vaccines in Vietnam, along with the Covax Facility and UNICEF.

It is expected that the next batch of AstraZeneca vaccines from VNVC’s contract, with a total of 29.87 million doses, will return to Vietnam in April (1.48 million doses), May (2.76 million doses), month 6 (5.04 million doses), July (7.32 million doses) and August (13.27 million doses).

On March 23, the Ministry of Health conditionally approved the Russian Sputnik V vaccine for urgent need of epidemic prevention in Vietnam. Thus, Sputnik V is the second Covid-19 vaccine that has been approved for use by the Ministry of Health, after AstraZeneca. Vietnam is the 56th country that has approved emergency use of this vaccine.

According to the Ministry of Health, to get official approval for the use of Sputnik V vaccine in Vietnam, by the end of 2020, the Center for Research and Production of Vaccines and Medical Biologicals (POLYVAC) under the Ministry of Health contacted and awarded exchange with Russian partners to coordinate research, production, import and distribution of vaccines.

Last December, POLYVAC signed a confidentiality agreement with the Russian Federation of Direct Investment Fund Joint Stock Company (DIRF) for the purpose of producing and distributing the Sputnik V vaccine in Vietnam. After negotiations with the participation of representatives of the Ministry of Health of Vietnam, the Embassy of the Russian Federation, POLYVAC, RDIF and the Gamalaya Research Institute, the two sides signed a cooperation agreement. The Russian side has authorized POLYVAC to register, import, distribute and produce Sputnik V vaccine in Vietnam, meeting the needs of domestic use and export.

In the coming days, POLYVAC will negotiate with the Russian side “Vaccine Supply Agreement”. There is no specific plan for supply in 2021.

In addition, the Ministry of Health and the vaccine and pharmaceutical suppliers are working with Johnson & Johnson and Moderna, manufacturers of India and other countries, to formally announce the possibility of vaccine supply. Up to now, no unit of these firms has said about the ability to supply in 2021.

In addition to imported sources, the Ministry of Health is promoting the progress of research and development of vaccines in the country. Nanocovax vaccine developed by Nanogen Company has been injected into a second stage clinical trial in humans since February 26. The Covivac vaccine developed by IVAC began clinical trials on March 15.

So far, Vietnam has received more than 117,000 doses of AstraZeneca vaccine ordered by VNVC. These vaccines have been allocated to provinces and cities to inject the group of frontline health workers against the epidemic.

Nearly 38,000 people were vaccinated, of which Hai Duong had the highest number of injections with 17,248 people. Some reactions after injection, most are common. The post-injection response rates are equivalent to those reported by the manufacturer. Very few cases of severe reactions after injection have been treated and recovered.


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Lessons from the fastest vaccinated country in the world

Chile has become the world’s fastest immunization of Covid-19 thanks to a well-organized plan, a strategy to buy a variety of vaccines and a solid public health system.

On March 9, Our World in Data organization released data showing that Chile overtook Israel as the country with the most people receiving Covid-19 vaccination in the world. Accordingly, Chile has injected an average of 1.08 doses of vaccine / day / 100 people in the past 7 days. While Israel injected an average of 1.03 doses / day / 100 people.

A country of 18 million people has received about 5 million doses of Covid-19 vaccine, almost a quarter of its population, since the campaign’s inception in December 2020. The government is expected to vaccinate the entire population by June.

Formal vaccination plan

Chile has been successful with its existing medical infrastructure and centuries of experience in mass vaccination campaigns.

“Chile has a strong primary health care system, a flexible immunization program with an electronic profile, making things quick and organized,” said Eduardo Undurraga, public health specialist, assistant professor University of Pontificia Católica de Chile, said.

The government tries to get vaccines closest to people, set up vaccination sites at universities or stadiums. The Ministry of Health publishes a schedule that states “who is eligible to receive vaccines on which day”, without an appointment. National agencies easily track when and where everyone’s vaccination is and when the second shot is given. Residents are encouraged to use the hashtag #YoMeVacuno (# I have been vaccinated) on social media after receiving vaccines.

Elderly people line up to vaccinate Covid-19 of the pharmaceutical company Sinovac, China, in Santiago. Image: AFP

Roberto Orellana Ovalle, manager of a hospital living in the suburbs of Santiago, says the vaccination process in Chile is orderly, fast and efficient. He just got a second shot, rest assured his grandmother in his hometown is also being vaccinated.

Pediatrician Joxelin Flores Taborda, Santiago, says vaccines bring hope. Her patients are children, most of whom do not get worse after infection with the virus. But many of Flores’s colleagues had to treat the elderly. Like many doctors and doctors, they spent a year exhausted from the pandemic.

“We don’t know if it’s over yet. But at least hope is tangible. It’s something you can feel,” she said.

Buying strategy from all sources

Chile reported its first case of nCoV infection on March 3 last year. A few weeks later, officials began planning the vaccination. Ministries ranging from Science, Technology, Health to International Affairs are working together to find safe and effective vaccines. The original idea was to have as many vaccines as possible, based on technology ranging from individual manufacturers as quickly as possible.

“They focus on diversity early on. They look at Western products, consider Chinese vaccines and join Covax,” said Katherine Bliss, senior fellow in global health policy at the Research Center. Strategy and International Studies (CSIS), comments.

Chile are betting on multiple doors, making deals when the effectiveness and safety of the vaccine have yet to be confirmed. “They buy from different mechanisms and are ahead of their time,” said Arachu Castro, President of Public Health at the Samuel Z. Stone Endowed center.

“The government buys more vaccines than it needs to supply people, of course they have been criticized for restricting other countries’ access to vaccinations. But for sure for the Chileans, this is an advantage. “, he added.

People were vaccinated against Covid-19 at a stadium.  Photo: AFP

People were vaccinated against Covid-19 at a stadium. Image: AFP

Chile opens its doors to pharmaceutical companies to phase 3 clinical trials, including Sinovac, China’s CanSino, America’s Johnson & Johnson and Britain’s AstraZeneca.

“This gives the vaccine experience of different companies, as well as an advantage when negotiating to buy,” said Katherine Bliss.

As of March 1, according to the Ministry of Finance, Chile has successfully negotiated 14 million doses of vaccine with Sinovac (has received nearly 10 million doses); 10 million doses from Pfizer (received approximately 700,000 doses), 4 million doses from AstraZeneca and another 4 million doses from Johnson & Johnson.

Chile is also a member of Covax – the World Health Organization’s (WHO) equitable vaccine distribution initiative, which is set to receive 7.6 million doses of vaccine through this mechanism. The government is in further talks with the Gamaleya Institute in Russia to buy the Sputnik V vaccine.

Chile buys vaccines from many sources, everywhere, not to be influenced by politics.

“One of the most important things is that politics is never considered. It all depends on science, technology,” Deputy Minister Paula Daza said.

Seasoned vaccination experience

Chile’s population is not large, but scattered across more than 4,800 km of the country, along the west coast of South America. Some areas are rural, remote areas. In order to get vaccines into the hands of each person, the government relies on profound experience before that.

Chile has a public and private health model that has been criticized for creating inequality. But the primary care network plays a role in the backbone of the Covid-19 vaccination campaign. Public clinics that exist across the country provide quick connections to remote communities.

The National Immunization Program dates back a century, from the late 1800s to fighting smallpox. Chile has been vaccinated against seasonal flu since the 1980s, having given emergency vaccines in response to natural disasters, said Magdalena Bastías, representative of the Inter-American Health Organization.

Chile's Ministry of Health has sent medical staff to vaccinate residents who cannot travel to public places.  Photo: AP

Chile’s Ministry of Health has sent medical staff to vaccinate residents unable to travel to public places. Image: AP

That infrastructure and experience allowed Chile to launch vaccinations from day one.

“Once the vaccine arrives, we immediately distribute it to the people effectively. People understand and believe in our previous successes, which is also extremely important,” said Rafael Araos, anti-Covid scientific advisor. -19 under the Chilean Ministry of Health, stated.

In addition to public clinics, the government set up mobile vaccination booths in commercial centers, universities, football fields, … The country currently has 1,400 points.

Basically, Chile had achieved its original goal of vaccinating 5 million people by the end of March. But the country was still in the early days of the campaign. Despite many purchase and sale contracts, the amount of vaccine delivered is not enough for the entire population. The country is also struggling to contain the pandemic as the number of new cases is about 5,000 per day, the highest in months.

Thuc Linh (Follow Vox)


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VNVC transferred 30 million doses of Covid-19 vaccine to the Ministry of Health – VnExpress

On the afternoon of March 10, the inter-ministerial working group comprising leaders of ministries: Health, Finance, Planning and Investment, Foreign Affairs, and Public Security held a meeting to discuss the reception of 30 million doses of Covid- 19 that Vietnam Vaccine Joint Stock Company (VNVC) bought from AstraZeneca. Of these 30 million doses, the first 117,600 doses, produced by SK Bio Korea, returned to Vietnam on February 24 and stored in the cold storage of VNVC, is being deployed to vaccinate forces on the front line. translation in 13 provinces and cities.

The inter-ministerial working group agreed to submit to the Prime Minister for consideration and decision to receive all 30 million doses of this vaccine on the principle of non-profit, the transfer price is equal to the price that VNVC bought from AstraZeneca and other costs such as tax. VAT, insurance, transportation, receipt, preservation … All costs incurred before the time of transfer are borne by VNVC.

Details of prices, as well as costs incurred in the process of buying, selling, transporting, preserving … are not disclosed.

Up to now, the sources of vaccine against Covid-19 for Vietnam include: Support from Covax and the supply of VNVC Company.

VNVC is one of three organizations that AstraZeneca has agreed to provide vaccines in Vietnam, along with the Covax Facility and UNICEF.

It is expected that the next batch of vaccines from VNVC’s contract, with a total of 29.87 million doses, will arrive in Vietnam in April (1.48 million doses), May (2.76 million doses), month 6 (5.04 million doses), July (7.32 million doses) and August (13.27 million doses).

Covid-19 vaccine was transferred from VNVC cold storage to Ho Chi Minh City Hospital for Tropical Diseases, on 8 March for vaccination. Image: Huu Khoa.

In addition, according to the announcement of United Nations Children’s Fund (UNICEF), on March 25th, the first batch of vaccine from Covax Facility with 1.37 million doses of AstraZeneca vaccine in the commitment to support 30 million doses, will arrive in Vietnam. The next batch with 2.8 million doses will continue to Vietnam on April 25. Thus, by the end of April, Vietnam will receive 4.17 million doses from Covax. The remaining 25.9 million doses in Covax’s support commitment are expected to be shipped back to Vietnam from August to November this year.

The Covax Facility is a mechanism produced by the World Health Organization (WHO), the Global Alliance on Vaccines and Immunizations (GAVI), UNICEF, the Innovation and Disease Readiness Alliance (CEPI), manufacturers. vaccines and partners create, to ensure that all countries have fair and effective access to the vaccine.

In order to have a supply of vaccines with the aim of ensuring vaccination coverage for the Vietnamese people, and proactively preventing the epidemic soon, the Ministry of Health has been and continues to negotiate with vaccine manufacturers such as Pfizer, Moderna, Johnson & Johnson, Gamaleya (Sputnik V) to have access to all sources to quickly deploy the expansion of vaccine coverage in Vietnam.

The Ministry of Health also encourages all eligible enterprises to approach and negotiate with other Covid-19 vaccine suppliers around the world to import for domestic use.

Vietnam is the second country in Southeast Asia to deploy AstraZeneca’s Covid-19 vaccination.


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Covid-19 has sparked more than 400 attacks on physicians

The Association for the Protection and Resolution of Conflict in Health (SHCC) publishes statistics showing at least 1,172 cases of violence and attacks targeting medical staff or facilities in 2020.

According to a report released on March 2, of the attacks, there were 412 directly related to Covid-19. In Mexico, for example, a nurse was assaulted by a group that accused her of transmitting the virus. In Dakar (Senegal), people threw stones at 3 medical staff because they did not want Covid-19’s body to be buried near their home. In Birmingham (UK), a medical worker was spit on and insulted by a neighbor.

80% of the perpetrators of the attacks are civilians, but violence also comes from public authorities. In Egypt, health officials who criticized the government’s handling of the pandemic were detained by security forces, charged with spreading false information and viewed as terrorism.

Insecurity Insight – which developed maps for SHCC – recorded 802 attacks that occurred in countries at war or aimed at victims of civil conflict, such as hospital bombing in Yemen and kidnapping doctor in Nigeria.

Christina Wille, director of Insecurity Insight, said: “The data shows that violent and intimidating behavior against health workers is truly a global crisis in 2020, affecting 79 countries.”

Leonard Rubenstein, president and founder of SHCC, and professor at Johns Hopkins University, USA, urges governments to protect health workers and fight misinformation.

Mai Dung (Follow AFP)


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11 things Hai Duong needs to do to fight epidemics in new normal conditions

Experts propose 11 solutions for Hai Duong to well implement the dual goal of “disease prevention, socio-economic development” at the end of social isolation.

At 0:00 on March 3, Hai Duong will end social isolation and change to a new normal state.

Associate Professor, Dr. Tran Nhu Duong, Deputy Director of the National Institute of Hygiene and Epidemiology, Head of the Mission of the Ministry of Health in Hai Duong, said that Hai Duong has made remarkable results in the prevention of Covid- 19. However, the risk of epidemic outbreaks again can happen if Hai Duong neglects, is subjective, does not continue to drastically take measures to prevent epidemics.

Experts from the Ministry of Health proposed 11 solutions for Hai Duong, specifically:

– Continuing to update, supplement and complete the provincial master plan on epidemic prevention, in which detailed plans and scenarios are planned. Experts note that Hai Duong ensures resources and facilities for each situation based on reviewing and learning from experience after this anti-epidemic process so as not to be passive and unexpected.

– Continue to properly and fully implement the 5 strategies set out by the National Steering Committee: effectively prevent, detect, isolate, quarantine and localize the epidemic.

When new cases appear, it is necessary to “crank” tightly, thoroughly handle the outbreak, not to give the epidemic a chance to break out. Follow the motto “extinguish the epidemic right from when it was a small fire, determined not to spread into a fire”. In the immediate future, Hai Duong needs to focus on zoning to extinguish the outbreak in Kim Thanh district in the shortest time.

– Well maintained regular and effective operation of Covid-19 community groups in all residential areas. “It must be considered as a strategic measure, a long-term basis for the prevention of epidemics in Hai Duong”, Mr. Duong emphasized.

– Focus on surveillance and implementation of epidemic prevention measures at offices, offices, schools, companies, businesses, and industrial parks. Quickly set up Covid-19 safety groups with the same structure and duties as the community Covid-19 nest.

Ensure absolute safety for hospitals, resolutely not let pathogens enter medical facilities without knowing it.

Chi Linh people apply the form of tickets to the market after the social gap. Image: Ministry of Health.

– Invest in human resources and human resources for the surveillance system at all levels to be able to immediately detect suspected cases, not to let the epidemic have a chance of outbreak. The province ensures funding for monitoring, sampling and testing in all cases of fever, cough, sore throat, and respiratory tract inflammatory syndrome, both in the community and in the hospital. This is a very important epidemic monitoring indicator, which must be done to avoid missing cases.

– Periodically take samples to test for some high-risk groups of people and communities such as companies, factories … to assess risks and monitor the epidemic situation in the province.

– Follow up the central plan and direction to have a plan to prepare and well deploy the Covid-19 vaccination in the province in the coming time.

– Continuing regular and continuous propaganda about measures to prevent epidemics so that people can see their responsibilities and protect their families and communities.

– Regularly check from the top to the lower level, down to the residential community to know the essence of what is happening at the facility. During the test, where and who did well should be praised. Where, who do not do well, should review and specific criminal responsibility.

– Continue to review and comprehensively consolidate the concentrated isolation zones in the area to respond in all situations, avoid overloading as well as ensure safety in the future.

On March 2, Hai Duong recorded 11 cases. The total number of infections in this province over the past month was 684.

Thuy Quynh