Unable to contact the ward’s health care provider or waiting for a few days with no confirmed results, for fear of spreading to the family, fear of becoming serious, many F0 went to medical facilities by themselves.
Mr. Nam, in Dong Da district, on December 5 lost his sense of smell, took a quick self-test at home and called the ward medical support. His family has 7 people, including: 91-year-old old man, parents over 60 years old and his family has a 2-year-old child. The next morning, the ward contacted again and asked to go to the health station for a quick test, but the next three days the results were not available. In the meantime, the medical staff asked him to self-isolate at home.
Ms. Lan (Nam’s mother) said that the whole family had been vaccinated but still worried because they did not receive any instructions or support from the local health care such as drugs or testing… Impatient, Nam’s brother and his wife and children She went to a private facility for a quick test, both mother and daughter were positive and were taken to isolation. A few days later, Nam’s brother and his father also tested positive.
“Because there was no one to guide me, my family was self-isolating at home, each person had a separate room. We kept calling the ward’s medical center, but the phone was busy, so we had to take care of ourselves,” said Ms. Lan.
Anh Son, 30 years old, in Nam Tu Liem, suspected of having Covid-19 since November 25, informed the ward health and building management board. Initially, he was instructed by medical staff to take vitamins and electrolytes and told to stay in place, avoid spreading, and wait for the ward to collect samples. The next afternoon, the ward medical staff went to the house to collect samples for PCR testing. At 11 pm on the night of November 27, the result was positive, the ward continued to enter the house to collect the application form. Two days later, he received a protective suit given by medical staff and told him at 4 p.m. to be transferred to isolation. “But it wasn’t until 9 am the next morning that I was picked up by the ambulance 115. At that time, my health was much better,” he said.
Also without timely support from the ward medical staff, Mr. Phong in Hoang Liet and Hoang Mai had to write a letter to the authorities. He said the apartment floor has a family of F0, two young children with no care, no instructions for waste disposal and no medical treatment for the sick. His application was not handled by local leaders, so he posted it on social media asking for help.
“We are adults who have had two vaccines, but the children need to be cared for and treated in a timely manner,” he said.
Recently, Hanoi hospitals such as Thanh Nhan, Duc Giang always receive F0 who come to the hospital by themselves after a quick test at home. Most patients are worried and expect to be treated for Covid-19 at a hospital instead of a collection facility. A few are not guided by local health workers, find it difficult to contact local health care providers, so they go to the hospital by themselves. The commune health station is very crowded with patients, the test sample is large, so sometimes “medical staff can hardly be attentive to everyone”.
For example, in Dong Da district, district leaders said that the unit is overloaded with work and seriously lacks human resources. Specifically, Tho Quan ward has about 20,000 people, the ward has to make an appointment for people who test positive to come to the health station for re-testing and medicine distribution, at the specified time frame and area. Or O Cho Dua ward, Dong Da with more than 40,000 people has only 8-10 medical staff.
In Hoang Liet ward, Hoang Mai district, the leader confirmed that the medical facility was overloaded due to the high number of people infected with Covid, and the relocation of F0 must depend on whether the collection facility accepts it or not.
Doctor Hoa, a medical officer in Nam Tu Liem district, said that the epidemic was very stressful, “the transfer of patients is delayed, so I hope people will sympathize with the medical force, should not be too impatient”. In addition, the transfer of patients is still waiting for PCR results, but because of the large sample size, it is not possible to “go to the hospital with a positive quick test”.
Leaders of Hanoi Department of Health on December 9 acknowledged that many communes and wards are lacking health workers. Many districts have a population of up to 90,000 but only one medical station. Most of the stations are faced with inadequate and degraded medical facilities and equipment.
Khong Minh Tuan, Deputy Director of the Center for Disease Control (CDC) in Hanoi, said: The number of samples to be tested is very large and the medical force focuses on processing. He compared before, all 1,000 samples were negative, so the test time was fast, but now the number of samples increases more, must do “carefully, be sure, if there are positive samples, you have to test for the second time, 3 has confirmed results, so it’s slow”. Every day, Hanoi handles more than 10,000 test samples, including isolated samples and many samples that have to be tested many times.
In addition, the process of handling and receiving treatment is classified and transferred by lower-level medical facilities. When to move patients, to which facility depends on the allocation regulations, the number of beds available, the patient’s condition and the response capacity of the health system at that time, “trying to meet timely, the principle of not letting the epidemic break out”.
However, this situation has also been specifically measured by the city, “to what extent it will be handled to that extent and in the most appropriate way,” according to the CDC Deputy Director.
In the face of complicated epidemic developments, Hanoi has implemented many plans and prepared response scenarios.
Secretary of the Hanoi Party Committee Dinh Tien Dung has directed to arrange more mobile medical stations in densely populated areas. Each district, town and town must determine the need to arrange mobile medical stations according to the population and epidemic level. He said that “the victory or defeat in the current fight against the epidemic lies in grassroots health”.
The doctors recommended the Department of Health to train district health workers and ward health centers to know how to stratify and monitor and guide F0 in a timely manner. The Department of Health trains medical staff with specialized knowledge of F0 care, so that they can trust and rest assured to monitor at home, avoid going directly to the hospital, causing difficulties and confusion in treatment flow.
The Ministry of Health allows Hanoi to use rapid antigen test results to determine F0, instead of waiting for a confirmatory PCR test. The city is planning a rollout.
Last week, the number of new cases in the capital averaged more than 750 cases/day compared with about 460 cases/day a week earlier. The number is forecast to continue to increase despite the city’s many control measures. Currently, the whole city has nearly 10,000 cases being treated, most of which are mild and asymptomatic patients.
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