F0 children increase, HCM City strengthens protection

The number of children F0 increased rapidly last week when students went to school directly, Ho Chi Minh City met with pediatric experts, developed a collection plan for each scenario, provided remote consultation phone numbers for teachers and parents. brother.

Director of Ho Chi Minh City Department of Health Tang Chi Thuong said that from February 14 to now, when students return to school, the number of children infected with Covid-19 has increased significantly. Last week, the city recorded more than 7,500 cases in schools, including more than 700 teachers and nearly 6,800 students. The previous week, 600 F0 was detected.

Most children have mild Covid-19 cases, the number of children requiring inpatient treatment at the city’s three children’s hospitals remains stable. Among 100 children being treated in hospitals (including 15 cases transferred from provinces), 89% have moderate or mild symptoms. 93% of cases are children under 12 years old – a group of children who have not been vaccinated.

At Children’s Hospital 2, Doctor Do Chau Viet, Head of Covid-19 Department, said that out of 52 children being treated, only three cases of respiratory support, the rest are monitored and given symptomatic treatment. background medicine. About 40% of the patients here are from provinces. Some children have underlying diseases such as neuromuscular disease, epilepsy, chronic kidney failure, cancer, diaphragmatic hernia… “Children’s patients increased slightly after Tet but remained at a low level, accounting for a quarter of the number of beds. treated at the department,” said Doctor Viet.

The number of F0 children inpatient treatment at the City Children’s Hospital is less, with 12 cases, and no pediatric patients need respiratory support, according to Doctor Deputy Director Nguyen Minh Tien. At Children’s Hospital 1, out of more than 30 children being treated, only 5 need respiratory support to treat pre-existing medical conditions.

In response to the increasing number of infections, Ho Chi Minh City Department of Health met with leading experts in pediatrics to discuss in depth how to care for children with Covid-19. The pediatric expert team has developed and implemented a treatment plan according to each possible scenario. The Department also monitors the progress of the number of cases, the number of severe cases requiring respiratory support at hospitals to promptly advise the Ho Chi Minh City People’s Committee to consider suspending face-to-face learning if the number of children infected with Covid-19 has severe symptoms. need respiratory support at a rate of more than 100 cases a day.

The Department of Health and a team of experts also provide remote consultation phone numbers at three children’s hospitals to advise and answer questions in time for teachers and parents. Medical centers and health stations are instructed on how to care for and handle when a child Covid-19 case is detected.

Currently, the city’s three children’s hospitals have a capacity of 450 beds and 150 beds for resuscitation. When the number of infections increases, hospitals can expand their capacity, district hospitals with pediatric departments will also divide the treatment fire. The health sector will perform treatment stratification and specific instructions for cases requiring home care.

The city organizes training for the health system on the collection, care and treatment of F0 children at all levels from mild to severe; training teachers on the process of handling F0, handling signs of disease, recognizing warning signs of serious change. The health sector is also preparing to organize vaccination for children 5-11 years old when there are instructions from the Ministry of Health.

Trung Vuong High School (District 1) students return to school on the first day after 7 months of online learning, December 2021. Photo: Quynh Tran

Secretary of the Ho Chi Minh City Party Committee Nguyen Van Nen, at a meeting on the afternoon of February 22, said that when the flow of students back to school was high, they were in close contact with each other, plus the Omicron variant had a higher rate of infection. Rapid infection is dominating, so the increase in the number of Covid-19 cases is not unexpected but expected. However, it is not possible to be subjective, not to be underestimated, but to calculate appropriate solutions in the coming time.

Should require the health sector to prepare a plan to be ready to accept and treat children with Covid-19, focusing on the relationship between the school and parents and the school with the health care provider, setting out specific situations. to take good care of children. The campaign to protect people at risk needs to be supplemented with children, because children have not been able to protect themselves and have not yet implemented 5K. It is necessary to prepare a vaccination plan for children under 12 years of age as soon as possible.

On February 22, the People’s Committee of Ho Chi Minh City issued an official document, guiding epidemic control in schools, creating favorable conditions for students to study directly. Accordingly, the school does not require all students to be tested for Covid-19 before returning to school to study in person, only testing for cases with suspected symptoms or a history of exposure to F0. When detecting that the student has at least two of the symptoms such as fever, cough, sore throat, runny nose, stuffy nose, body aches, fatigue, chills, decrease or loss of taste, smell, headache, diarrhea, difficulty breathing, respiratory infections, schools need to ask students to immediately wear medical masks and stop activities that have contact with others, and notify the anti-epidemic agency.

Experts advise parents to calm down

According to Doctor Viet, although the number of infections has increased, it is still manageable, the rate of severe cases and death rate is still low, so parents need to stay calm. Experiencing the fierce epidemic last year, the doctors and nurses have a lot of experience; the treatment also has very specific regimens; The health sector has enough facilities, medicines, and strategies to respond when the number of cases increases.

Doctor Tien also said that although the Omicron strain has a fast spread rate, it is not a cause for concern because it causes milder symptoms. In fact, at the hospital in recent days, the rate of positive detected through screening in the daily medical examination area has increased (from 5-7 cases to about 12 cases) but the number of hospitalized cases has not increased significantly, most of them for home isolation treatment. Children with the disease usually recover faster than adults, most of which are negative in 3-5 days.

According to Dr. Tien, parents should continue to send their children to school, under the guidance of the health sector. Staying at home, not having social contact for too long can have certain effects on a child’s later development and adaptability. Children of the age to be vaccinated against Covid-19 should be vaccinated by their families. “Children 5-11 years old in the US are vaccinated a lot, now have returned to normal school, vaccination has been well researched by advanced countries, we can rest assured to apply,” the doctor said.

Doctors advise parents not to be subjective and try to minimize infection. Children with mild illnesses can still spread the disease to older people with underlying medical conditions, making them more likely to become seriously ill. On the contrary, when the number of Omicron cases increases rapidly in the community, the group of children at risk will also be more likely to contract the disease, which can lead to danger. Groups of children at risk, if unfortunately, should be closely monitored for signs and treated promptly when worsening.

Parents need to help children form habits in the new adaptation period, focusing on the 5K principle, teaching children to wear masks, wash hands, disinfect, not gather in crowds, dispose of masks in the right places, declare clear medical reports, when children show signs of illness, they should not be sent to school, do not hide their illness. Prepare a spare mask in the child’s bag, provide a separate drinking bottle, advise not to share personal items. Infected children need to be isolated until they are negative to limit the spread of the disease to others.

Le Phuong


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