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Deputy Health Minister: ‘Compliance with 3 to 5 screenings, avoid mixing vaccines’

“Three checks and five mats must be followed when injecting vaccines,” Deputy Minister Tuyen said at an online meeting with localities implementing Covid-19 prevention and control, on the afternoon of November 5.

This rule includes checking patient name, drug name, dose; compare drug labels, medication time, drug quality, route of administration, number of beds and number of rooms. This is a well-known principle for medical staff, in order to ensure safety and avoid confusion in drug administration.

Tuyen made this request in the context of a recent incident of mistakenly injecting Covid-19 vaccine for 18 children aged 2-6 months in Hanoi, but did not mention the incident.

Localities and units review vaccination work, the number of vaccines injected, the rest, and human resources, especially in the 19 southern provinces, to report to the Ministry of Health before 5:00 p.m. on November 6. The Deputy Minister requested to speed up the vaccination schedule for people aged 18 and over (priority is given to people aged 50 and older); inject the 2nd dose to the person who has had the 1st injection for enough time; Vaccination for children 12-17 years old.

The two ministries of health and defense have agreed that “any locality that needs it will send military medical forces to support”.

“If we do not receive the report on time, it is considered that the locality does not need support. When there is a delay in vaccination, the Ministry of Health will transfer the vaccine to another place and lead the Department of Health. will have to be responsible to the provincial leaders for the delivery of the vaccine,” emphasized the deputy minister.

As of the evening of November 5, the whole country had injected more than 86.4 million doses of vaccine, of which 32.5 million people injected one dose and 26.9 million people injected 2 doses. For a week now, an average of 1.1 million doses per day have been injected. Some provinces have implemented vaccination for children 12-17 years old, such as Ho Chi Minh City, Binh Duong, Da Nang, Quang Ninh, Ninh Binh… Currently, a total of more than 800,000 children have been vaccinated.

Nationally, the rate of injecting at least one dose of vaccine is 81.2%, with two doses of vaccine being 37.3% of the population aged 18 years and over.

Thirteen provinces with coverage of at least one dose of vaccine for over 95% of the population aged 18 and over are: Hanoi, Bac Ninh, Quang Ninh, Da Nang, Khanh Hoa, Ninh Thuan, Ho Chi Minh City, Ba Ria – Vung Train, Dong Nai, Long An, Lam Dong, Vinh Long, Binh Duong.

The 5 provinces with coverage of at least one dose of vaccine under 50% of the population aged 18 and over are Son La (42%), Nghe An (43.6%), Thanh Hoa (45.4%), Nam Dinh (42%), and Thanh Hoa (45.4%). 46.9%), Cao Bang (48.7%).

Leaders of the Department of Health in some localities in the group of low vaccination rates (number of injections compared to the number of vaccines allocated), explained that “the vaccination data has not kept pace with the vaccination rate” and said that they are coordinating Cooperate with relevant departments and branches to speed up data entry. Localities asked the Ministry of Health to allocate more vaccines to vaccinate children 12-17 years old.

Professor Dang Duc Anh, Director of the Central Institute of Hygiene and Epidemiology, said that as soon as the vaccine is available, the Institute will follow the order of the Ministry of Health to allocate on the basis of the planned plan of the provinces and cities. Therefore, localities need to vaccinate people over 18 years old as soon as the number of vaccines has been allocated. Vaccines for children are distributed in separate batches.

Deputy Minister Do Xuan Tuyen at the meeting on the afternoon of November 5. Photo: Nguyen Nhien

The number of community cases and communes and wards that “change color” at the epidemic level have increased. In the past 7 days (October 29 – November 4), the whole country recorded 40,490 new cases, an increase of 12,632 cases compared to the previous 7 days. In which, 18,073 community cases, an increase of 6,324 cases compared to 7 days ago.

In the past week, there has been a change in the number of communes and wards that “change color” at the epidemic level: a decrease of 142 communes and wards at level 1 and 2; increased by 142 communes and wards at level 3 and 4. 4 areas with communes and wards increased to level 4. Localities check all people returning from provinces and cities with high number of infections (such as Ho Chi Minh City, Binh Duong, Dong Nai, Long An…).

“Actively monitoring and testing high-risk cases and suspected signs of disease for early detection, isolation, health monitoring and timely handling of outbreaks,” Tuyen said.


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‘Do not collect any costs related to Covid-19 vaccination’

Deputy Minister Tuyen said this at Online conference with 63 provinces/cities on the progress of the Covid-19 vaccination campaign. 9/8 pm. He emphasized that “even organizations and individuals that voluntarily support the cost, the units that organize vaccination are not accepted”.

“The organization of vaccination does not create a request – give mechanism, and it is strictly forbidden to be negative in the vaccination organization. Heads of agencies, units and authorities at all levels must bear the main responsibility for prevention work. epidemics including vaccination against Covid-19,” said the deputy minister.

Mr. Tuyen said that over the past time, the Ministry of Health has allocated over 18 million doses of vaccine to institutes and localities to deploy vaccination. However, in some localities, the injection progress is slow compared to the allocated amount, such as Dong Nai, Tay Ninh, Tra Vinh, Binh Duong, Hau Giang, Ba Ria Vung Tau, Tien Giang, and Thanh Hoa.

The Deputy Minister asked all localities and units to speed up the vaccination schedule, not to wait or choose; but when the vaccine is on the way, it will be injected in that batch, “so that we can step by step ensure herd immunity”.

The unit injects vaccines with a low rate compared to the allocated number of vaccines, the Ministry of Health will announce on the mass media for people to know, monitor and supervise. The Ministry of Health proactively transferred those vaccines to other units and localities with high injection rates and fast injection rates.

“At that time, the Ministry of Health will not exchange back, but base on the remaining data to transfer. The view is to give priority to vaccines for Ho Chi Minh City and the southern provinces and cities with epidemics”, Mr. Tuyen said.

Deputy Minister of Health Do Xuan Tuyen held an online conference with 63 provinces/cities on the progress of implementing the Covid-19 vaccination campaign, on the afternoon of August 9. Photo: Tran Minh.

The Ministry of Health requires provinces and cities to approve the master plan on vaccination by July 30. However, until today, there are still localities that say that the province will not approve until August 5. The Deputy Minister requested localities to review and approve before August 15.

Localities arrange both fixed and mobile injection points, as many injection points as possible, avoiding the fact that some places receive tens of thousands of doses of vaccine but do not complete the injection for a whole week. At the same time, there is no limit to the number of injectors in one injection site.

“Inject as much as possible. One injection point is not necessarily only 100 doses a day but can be up to 200-300 or more, but must ensure compliance with anti-epidemic and vaccination safety, against negative in the vaccination,” said the deputy minister.

Regarding the transport of vaccines, Mr. Tuyen said that right after the allocation decision of the Ministry of Health and the vaccine was delivered to the warehouse, it was requested within 5 days by the Central Institute of Hygiene and Epidemiology, the Western Institute of Hygiene and Epidemiology. Nguyen and the Pasteur Institutes must supply to the localities. If more than 5 days, localities shall immediately report to the Ministry of Health.

“We have agreed with the leadership of the Ministry of National Defense that vaccines from the warehouses of the Central Institute of Hygiene and Epidemiology and Pasteur Institutes will be transported by the provincial military command in coordination with the Ministry of Health to deliver the vaccine to the locality. Therefore, localities do not worry about transporting vaccines,” Tuyen said.

After 5 months of vaccination, by the end of August 8, the country had injected more than 9.4 million doses, of which 8,458,225 people received 1 dose of vaccine and 967,400 people received 2 full doses of vaccine.


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Should people with HIV get the Covid-19 vaccine?

People infected with HIV belong to the group of chronic diseases, if infected with Covid-19 can have severe complications, therefore, priority should be given to receiving the Covid-19 vaccine.

Doctor Khuat Thi Hai Oanh, Director of the Center for Support for Community Development Initiatives (SCDI), said that people with chronic diseases are one of 11 priority groups for vaccination against Covid-19.

All Covid-19 vaccines approved by the World Health Organization are safe for immunocompromised people. Some vaccines, such as AstraZeneca and Pfizer, have been tested in some people with HIV and found to be safe. These vaccines do not use live viruses but use genetic material. These genetic materials cannot replicate on their own, so people with weak immunity are not afraid that the vaccine will produce viruses in the body.

“The Covid-19 prevention vaccines being used in Vietnam are completely injectable for people with HIV,” said Dr. Oanh.

In the past, some opinions have suggested that antiretroviral drugs are effective in preventing Covid-19, but so far there has been no accepted evidence. The approved vaccines do not interact with ARV drugs, so the vaccine does not reduce the effectiveness of treatment.

Oanh said that the difficulty of HIV patients is the fear of revealing personal information. This is a well-founded concern because in order to be registered in the priority category, HIV patients need to report their status to a local health facility or vaccination organization.

According to Dr. Oanh, facilities responsible for organizing and implementing injection programs need to practice properly so as not to violate the right to information protection of people living with HIV. If necessary, an information assurance process should be in place and health professionals should be trained in its implementation. The Ministry of Health and the Department of HIV/AIDS Prevention and Control play an important role in monitoring the implementation and removing this barrier so that people living with HIV can safely access vaccination.

According to the Department of HIV/AIDS Prevention and Control, the number of people living with HIV in the community is about 250,000, of which more than 213,000 people have known their HIV status.

On average, every year, Vietnam tests HIV for more than 700,000 people at high risk, detecting 8,000 to 10,000 infected people. The whole country is regularly treating 150,000 people infected with HIV/AIDS with ARV drugs.

Le Nga