Ho Chi Minh City uses the strategy of ‘remote interception’ to prevent severe F0 from dying

The current Covid-19 treatment strategy of the HCMC health sector is to deploy “remote interception”, with the goal of reducing hospitalization and death rates, in the context of increasing infections.

Mr. Nguyen Hong Tam, deputy director in charge of the Ho Chi Minh City Center for Disease Control (HCDC), said this information at a press conference on the afternoon of November 25, and made it clear that in order to achieve the goal of preventing severe cases, the health sector determined Early care determination of F0 as soon as it is detected is very important.

The city’s interception strategy is to strictly manage F0 by the local health department, approach within 24 hours, assess the situation, and take timely support measures such as distributing medicine bags. After that, F0 received adequate care, tailored to its own condition. If they are not eligible for home isolation, the patient will be taken to an isolation area or a field hospital. The health sector has increased the use of drug bags C (antiviral) to help patients get negative early, reduce the risk of seriousness and death.

Ho Chi Minh City still has 7,000 doses of antiretroviral drug molnupiravir (including the city has 2,000 doses in stock, the Ministry of Health has just issued 5,000 more doses). Today, the Ministry of Health sent a written notice that it will provide the city with 120,000 anti-viral drugs favipiravir (the same type as molnupiravir). When the health station has dispensed all of molnupiravir, favipiravir will be included in the treatment regimen, Chief of Office of the Department of Health Nguyen Thi Huynh Mai added.

The city is treating 14,342 Covid patients, including 578 children under 16 years old and 357 critically ill patients on ventilators, 10 ECMO (extracorporeal circulatory system) interventions. About 57,000 other F0 are isolated, treated at home. From November 19 to 24, the number of deaths in Ho Chi Minh City was 42, 50, 59, 62, 77 and 59, respectively.

Some F0s reported not being able to connect with local health care when they tested positive themselves. Pham Duc Hai, deputy head of the Ho Chi Minh City Steering Committee for Covid-19 Prevention and Control, explained that this may be due to a malfunction in communication phones, or some wards and communes, and the medical force is still thin. Like a ward of 170,000 people, but only 10 medical staff – that is, a medical staff has to manage 17,000 people.

In the near future, in addition to increasing personnel for fixed and mobile medical stations from the Department of Health, the city plans to have mechanisms and policies to make this force more operating conditions. The City Command sent more military medical and militia forces along with medical staff, Hai said.

Record The number of new cases has increased, Ms. Mai said this was expected, when the city opens, production and business establishments will operate as normal.

“The city has assessed and affirmed that ‘wherever it is safe, the door is open'”, according to Ms. Mai. However, despite the health sector’s efforts with many measures, the number of F0 still tends to increase slightly in the near future, leading to an increase in the mortality rate, mainly patients over 65 years old and not vaccinated. Covid-19 room.

Chart of the number of infections in Ho Chi Minh City from November 19 to November 25, according to the Center for Disease Control of Ho Chi Minh City.

The Department of Health has developed and submitted to the City People’s Committee about health strategies in this period, as well as regulations on coordination of F0 management and care at home and at treatment facilities, according to Ms. Roof. On November 23, the Department updated the home health care guidelines for F0 to the latest version (1.6), including instructions for using drug packages A (drugs to reduce fever and improve health), B ( anti-inflammatory, anticoagulant), C (antiviral drug molnupiravir).

In the past week, the Department of Health coordinated with relevant units to monitor the activities of mobile medical teams in communes and wards. The Department has set up 8 contact groups on social networks, members are the director of the Department, the professional department, the city’s Center for Disease Control (HCDC), the director of the district health center and the head of the medical stations. The team is responsible for regularly exchanging professional issues in the locality to come up with the best care solutions for the people, especially F0.

10 teams to check the activities of 22 districts and Thu Duc city were established by the Department of Health, in order to grasp the epidemic situation and promptly handle the support needs of the people. At the same time, it is necessary to strengthen the crews on the hotline, switchboard 1022, and re-establish the Network of Companion Doctors who are ready to provide remote consultations for F0 at home and at district and district levels. The city’s Oriental Medicine Association also distributes traditional medicine for F0 at home.

Medical units that do not respond to people’s calls for support, or hospitals that do not accept patients, are corrected by the Department of Health. The city’s requirement is that no infection occurs in the hospital but still have to ensure health care for the people. Many medical staff were dispatched to multi-storey field hospitals, supplementing health stations in localities with signs of increasing infections such as Hoc Mon and Binh Chanh.

As of November 24, Ho Chi Minh City recorded more than 461,000 cases of Covid-19, announced by the Ministry of Health.

The mobile medical team of the Military Medical Academy supported the Mobile Medical Station of Ward 11, Binh Thanh District, taking care of F0 at home, at the end of August 2021.  Photo: Quynh Tran

The mobile medical team of the Military Medical Academy supported the staff of the Mobile Medical Station of Ward 11, Binh Thanh District, taking care of F0 at home, at the end of August 2021. Photo: Quynh Tran

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