Individuals who are under isolation need at least three negative PCR tests-one at the beginning and two at the end of quarantine-to be discharged. All the close contacts of F0 (called F1) must be taken PCR test immediately and if it is negative, they must comply with 14 days centralized quarantine, later increased to 21 days due to the emergence of the new variants. Then, the local rapid response teams will thoroughly initiate contact tracing with the F0 following the case investigation prioritization hierarchy. The individuals must comply with at least 14 days of isolation and need three negative PCR tests-one at the beginning and two at the end of isolation-to be discharged. When a new case was detected, the patients (who are F0) would undergo isolation at once and must indicate their close contact (within a distance of 2 m). Residents have to send their health declaration online daily and self-declaration is compulsory in public high-risk areas such as hospitals, schools, or theaters. This strategy can be applied in combination with several measures: detect new cases early, fast tracing and zoning areas of substantial/high transmission, and then applying isolation or quarantine. Second, to control the COVID-19 pandemic, we must suppress the potential waves as soon as possible. The force provided enormous local human resources, responsible for tracking all the contacts when new cases are detected, and disseminating necessary healthcare information and policies to the community. The students then can participate in the rapid response teams to provide a continuous backup force whenever a pandemic occurs. Universities and colleges of medicine have organized training courses that aim to equip their students with fundamental knowledge and skills to prevent and control the COVID-19. At the basic level, a massive number of “rapid response teams” were founded with members recruited from the local stakeholders ( 2). Each province, or two bordering provinces, have facilities belonging to both the central and local routes. The Vietnamese healthcare system can be classified into two main routes: central and local routes. “Publish with care”-misinformation on social media leads to harmful consequences.įirst, the Vietnam authority has prepared a potent preventive healthcare system from the grassroots level with valuable lessons from the previous respiratory epidemics including SARS (2002–2003) and avian flu (2009) ( 7, 8). Prioritizing the use of the COVID-19 vaccine.ĥ. Prevent both the COVID-19 and the non-COVID-19 deaths.Ĥ. Control the potential waves of the COVID-19 pandemic early when new cases were detected with a combination of contact tracing, isolation, and quarantine.ģ. Prepare a well-designed, sustainable preventive healthcare system from the grassroots level to be ready in case of an emergency.Ģ. These lessons could be useful for the other potential global pandemics that will happen in the future, which included:ġ. We have drawn five lessons called “5Ps strategy” that should be adapted to control and/or prevent the COVID-19 pandemic. The CFR was 2.50%, higher than the average number of 2.06% globally ( 4– 6). As of September 12, 2021, 6,01,349 cases and 15,018 deaths were reported in Vietnam. Thousands of community cases have put a massive burden on the whole system including healthcare and contact tracing. It has spread not only in hospitals, where many people are seriously ill with many underlying diseases but also in the local communities and large industrial zones. This wave was confirmed as the most complicated and dangerous with most deaths recorded. The fourth wave of the COVID-19 pandemic (from April 27, 2021, to now) has dramatically changed the situation, mainly related to the Indian variant (Delta variant). Therefore, there is a scarce number of severe cases and no deaths were reported ( 1– 3). Although there were numerous infected people, most of them are young and healthy. The third wave of the COVID-19 (lasts for 57 days, from January 28 to March 25, 2021, included 910 community cases) occurred in Hai Duong with the new British variant. However, the pandemic was successfully controlled. A large number of community cases have resulted in 35 deaths in vulnerable patients, who are old and/or have comorbidities. The second wave of the COVID-19 (lasts for 129 days, from July 25 to December 1, 2020, included 554 community cases) started in Da Nang with the same virus strain.
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