Quyết định 3986/QD-BYT

DECISION

ON PROMULATION OF “HANDBOOK FOR QUARANTINE PRACTICES IN AREAS WITH REPORTED CONFIRMED COVID-19”

THE MINISTER OF HEALTH

Pursuant to Government's Decree No. 75/2017/ND-CP dated June 20, 2017 on functions, tasks, powers and organizational structure of the Ministry of Health;

At the request of Director of Department of Preventive Medicine affiliated to the Ministry of Health,

HEREBY DECIDES:

Article 1. Promulgate together with this Decision a “Handbook for quarantine practices in areas with reported confirmed COVID-19”.

Article 2. “Handbook for quarantine practices in areas with reported confirmed COVID-19” is a guiding document applicable nationwide.

Article 3. This Decision comes into force as of the date of signing and supersedes Decision No. 904/QD-BYT dated March 16, 2020 of the Ministry of Health.

Article 4. The Chief of the Ministry Office; the Ministerial Chief Inspector; Directors, Director General of Departments, General Departments affiliated to the Ministry of Health; Directors of hospitals affiliated to the Ministry of Health; Directors of Institutes affiliated to the Ministry of Health; Directors of Departments of Health of provinces or central-affiliated cities; Heads of health ministries and central authorities; Heads of relevant units shall implement this Decision. /.

HANDBOOK

FOR QUARANTINE PRACTICES IN AREAS WITH REPORTED CONFIRMED COVID-19
(Issued together with Decision No. 3986/QD-BYT dated September 16, 2020 of the Ministry of Health)

TABLE OF CONTENTS

I. Purpose

II. Time to consider setting up a quarantined area

III. Legal bases

IV. Scope

V. Duration

VI. Method

1. Decision to set up a quarantined area

2. Implementation

2.1. Communication practices before quarantine

2.2. Set up checkpoints in the quarantined area

2.3. Ensure security and safety in the quarantined area

2.4. Ensure social security in the quarantined area

3. Medical practices in the quarantined area

3.2. Quarantine practices

3.3. Medical examination and treatment and health care for the people in the quarantined area

3.4. Ensure infection control and prevention at designated health facility

4. Covid-19 prevention and control communications practices in the quarantined area

6. Inspection

HANDBOOK FOR QUARANTINE PRACTICES IN AREAS WITH REPORTED CONFIRMED COVID-19

I. Purpose

Localize and isolate the entire area with reported confirmed COVID-19, thoroughly suppress the spread of the pandemic, prevent the pandemic from spreading in the community and to other regions or localities.

II. Conditions to apply

When development of the area with reported confirmed COVID-19 becomes complicated, epidemiological factors are difficult to control and the pandemic is at risk of spreading widely.

III. Legal bases

Implementation of the Law on Prevention and Control of Infectious Diseases 2007.

IV. Scope

Depending on the developments of the pandemic, the size of quarantined area may be:

- a residential area

- a neighborhood, blocks

- a village or group

-  a commune, ward or town (hereinafter referred to as commune)

- an agency or unit: depending on the specific situation (particularly to a health facility, Decision No. 1551/QD-BYT dated April 3, 2020 of the Ministry of Health on guidelines for isolation practices in health facilities in the prevention and control of COVID-19).

V. Duration

Quarantine for at least 14 days, depending on the situation of the epidemic, the quarantine duration may be longer.

VI. Method

1. Decision to set up a quarantined area

Based on the request of the Director of the Department of Health, the Head of the Steering Committee for control of the pandemic of central-affiliated city or province (hereinafter referred to as province) shall consider putting an area with reported confirmed COVID-19 under quarantine, clearly stating the location, time and scope of the quarantined area.

2. Implementation

2.1. Communications practices before quarantine

Provide public information in different media formats to each and every household to heighten their awareness of policies and give advocacy messages to officials, Party members and the people for them to generate consensus and support in establishing a quarantined area, in specific:

- Deliver public information about purpose, significance and necessity of establishing the quarantined area in question;

- Deliver public information about the role and citizen’s responsibility and social responsibility of each person and household in the quarantine practices to control the pandemic.

- Launch a movement for all people to participate in disease prevention and control.

2.2. Set up checkpoints in the quarantined area

- Survey the geographical location and topography of the entire quarantined area.

- Map every main roads, village roads, alleys, entrances and exits of the quarantined area as well as canals, rivers and streams related to the quarantined area.

- Map the checkpoints at every main roads, village roads, alleys, entrances and exits of the quarantined area.

- Assign and arrange forces at checkpoints.

- A checkpoint should be composed of police officers, the military, commune officials, health workers, militia, socio-political organizations, unions, in which the checkpoint leader should be a police officer.

- Tasks of a checkpoint:

+ Strictly prevent unauthorized persons from entering or leaving from the quarantined area 24 hours a day. Persons authorized to enter/leave the quarantined area are those who are performing assigned tasks in the quarantined area; some other special cases require the approval of the local authorities.

+ Strictly prevent unauthorized goods and vehicles from entering and leaving the quarantined area 24 hours a day. Only entry or exit of goods and vehicles intended for quarantine practices are allowed; some other special cases require the approval of the local authorities.

+ Make a list, check temperature and observe the health condition of all persons authorized to enter/leave the quarantined area.

+ Require all persons authorized to enter/leave the quarantined area to wear masks and disinfect hands a quick hand sanitizer; dispose of used masks to the designated place and disinfect hands with a quick hand sanitizer.

+ Control and disinfect all vehicles authorized to enter/leave the quarantined area.

In order to ensure strict control at the checkpoints, depending on the actual situation, choose from 2-3 "open" checkpoints that are convenient for control and only allow people, vehicles and goods to enter/leave these checkpoints. All other checkpoints are "closed", which means that only the barriers are set up and guarding forces are sent without allowing any people, vehicles or goods to cross the checkpoint.

2.3. Ensure security and safety in the quarantined area

- The local government and authorities shall take measures to ensure security, safety and order for people in the quarantined area.

- Ensure fire safety in the quarantined area.

- Do not hold mass gatherings, funerals, weddings, death anniversaries, house-warming parties, parties, religious activities, etc. in the quarantined area.

- Do not open up markets; close unnecessary stores and shops. Only stores selling essential goods are allowed to open with prior permission from the local authorities.

- Suspend construction works in the quarantined area.

- Students in the quarantined area will stay off school; students, teachers and workers in the quarantined area who have studied and worked outside the quarantined area will stay off school or work and may not go out during the quarantine duration.

- Persons on duty in the quarantined area are allowed to enter or leave the quarantined area while on duty or are allowed to move from the quarantined area to the designated eating and resting area and must strictly comply with infection prevention and control measures.

2.4. Ensure social security in the quarantined area

The local government and authorities must ensure the availability of basic necessities for the people in the quarantined area, including:

- Ensure availability of basic necessities through the supply and establishment of price stabilization sale outlets and mobile vending vehicles in the quarantined area instead of a market to supply: essentials; food; energy; petrol and oil; essential medicines, adequate electricity and clean water; personal protective equipment: masks, soap, common antiseptics; other materials such as: electrical and water materials and product, etc

- Ensure collection and treatment of domestic garbage.

- Ensure human resources and facilities for healthcare, first aid and treatment of patients, and surveillance and prevention of infection in the quarantined area.

- Provide food and essential products for people in the quarantined area if the local government can afford them.

3. Medical practices in the quarantined area

3.1. Community-based epidemic prevention and control

3.1.1. Establish groups to prevent and control COVID in the community (hereinafter referred to as COVID community team)

The People's Committee of commune shall issue a decision to establish a "Supervising and disseminating prevention and control of COVID-19 in the community" team, hereinafter referred to as "COVID community team" in the quarantined area. The Covid community team is the active link which connects the local government, the health sector and the people in the pandemic prevention and control practices, helping people feel secure, trust and implement well prevention and control measures.

- Composition:

Each Covid community team consists of 2-3 people, so they should be officers of groups, villages, neighborhoods, socio-political organizations, unions, and volunteers in residential areas. Depending on actual circumstances, each team is in charge of 40-50 households and assigned a list of specific households.

- Tasks:

The Covid community team will, every day, go through every alley and knock on every door to:

a) Disseminate and remind every household to practice prevention and control measures as follows: everyone must stay at home, avoid going out; wear a mask; wash hands with soap; keep physical distance; avoid contact with people outside; monitor health, check body temperature and proactively make health report when someone in the household is suspected or confirmed to have a disease, etc.

b) Ask, monitor, detect and immediately report by phone to the local government and health facility of commune on suspect cases of Covid-19 detected in the households, who have: fever; cough; sore throat; flu; fatigue; respiratory tract infection, etc. for further isolation and taking samples for timely testing.

c) Detect and report to competent authorities on cases that do not voluntarily make health declaration; do not comply with prevention and control measures as prescribed; people who return from epidemic areas but have not made health declaration.

d) Assist the local government and health authority in tracing F1 and F2 when there is any case in the area under their responsibility.

e) Perform other duties in accordance with their capabilities assigned by the Steering committee for pandemic prevention and control of commune.

- Ensure safety for the Covid community team:

Covid community team members, when on duty, must always wear a mask; use hand sanitizer; face shield (if any). When on duty, the Covid community team may not go inside the house of any citizen, just knock on the door, stand outside to ask people to wear a mask and keep a minimum distance of 2 meters when communicating with members of the household to ensure safety to prevent infection.

3.1.2. Implementation

- Hold a brief training for the Covid community team in the tasks, safety and method (Appendix 1).

- Make a short daily broadcast on the public loudspeaker "Notify the people of the activities of the Covid community team" for better understanding and cooperation (Appendix 2).

- Ask and guide people to take daily self-temperature measurements for family members (if the family has a thermometer). Take a sudden temperature measurement when someone in a family shows signs of fever or illness.

- Provide the emergency hotline and phone number of the Covid community team for all people in the quarantined area to report when they find themselves or anyone having fever, cough, illness or any suspected signs of Covid-19.

- Everyday, the Covid community team will go to each household assigned to perform the tasks.

- Assign health workers of superior level and the commune health workers to stake out the commune health station to grasp information on the pandemic and ensure the examination and treatment, and first aid of common diseases for the people.

- Inform the community to request the sick person in the quarantined area to only go for initial medical examination at the commune health station, not deliberately go for medical examination beyond the commune level.

3.2. Quarantine practices

In the quarantined area, the following quarantine measures must be strictly taken:

3.2.1. Quarantine of households

- Quarantine each and every household in the community as follows: house is separated from house; nobody goes to someone else’s house; do not let anyone come in your house; everybody stays at home, avoid leaving the house, and do not meet anyone outside. Households only send people out to buy necessities when needed.

- In order to ensure good quarantine of households, the local government should distribute “movement pass for households” to each household to buy necessary groceries on even and odd days of the week to limit mass gatherings at the same time and in the same place. This pass grants the holder permission to leave the house but within the quarantined area only (Appendix 3).

- Set up a patrol and control force in the quarantined area. This force should be composed of the police, militia, local government officials and other volunteer forces to ensure the community’s adherence to quarantine requirements; impose penalties in accordance with the law on violations against epidemic prevention measures or going out for no reason or without a pass.

3.2.2. Isolation of confirmed cases and those in contact

a) Confirmed cases

Confirmed cases shall be strictly isolated and treated at the health facility as quickly as possible upon detection.

b) Those in close contact with a confirmed case (F1):

- Isolate those in close contact at a concentrated isolation facility for 14 days from the date of last contact with the confirmed case. It is preferred to establish a concentrated isolation facility exclusively for those in close contact as these people are at higher risk of infection than other people subject to concentrated isolation. In the absence of a separate isolation facility, in a concentrated isolating facility, it is necessary to arrange a separate isolation zone for those in close contact. People who live in the same household, live in the same house, share the same room, or work in the same office with the confirmed case should be separated from others because they are most at risk of infection. <0}

- Take samples to test for SARS-CoV-2 virus using PCR method at least 2 times during isolation.

- Take the first sample as soon as possible after they are isolated:

+ If the PCR test result is positive for SARS-CoV-2, then treat them as confirmed case.

+ If the PCR test result is negative for SARS-CoV-2, then continue to isolate them and monitor daily health (measure body temperature, detect symptoms) at the concentrated isolation facility for full 14 days from date of last exposure to the confirmed case. During follow-up process, if they show any suspected symptom, continue to take their samples for SARS-CoV-2 test.

- Take the second sample on the end day of isolation:

+ If the PCR test result is positive for SARS-CoV-2, then treat them as confirmed cases.

+ If the PCR test result is negative for SARS-CoV-2, the isolation ends.

c) People in contact with those in close contact (F2)

- Require them to self-isolate at home and instruct them on how to self-prevent disease and self-monitor health while waiting for results of PCR tests of F1:

+ If the PCR test result of the F1 is positive for SARS-CoV-2, then move the F2 up to F1.

+ If the PCR test result of F1 is negative for SARS-CoV-2, then instruct the F2 to continue implementing epidemic prevention and control measures like other people in the quarantined area.

d) Suspect cases

Let the patient put on a mask and take him/her to the isolation area in the health facility separated from the area for confirmed cases.

- Take the first sample to test for SARS-CoV-2 using PCR method upon their admission:

+ If the PCR test result is positive for SARS-CoV-2, then treat them as confirmed cases.

+ If the PCR test result is negative for SARS-CoV-2, then move the suspect case to an isolation area exclusively for the patients with negative test results and continue isolating them for 14 days from the date of last exposure to the source of transmission.

- Take the last sample to test for SARS-CoV-2 virus using PCR method at least 2 on the last date of isolation.

+ If the PCR test result is positive for SARS-CoV-2, then treat them as confirmed cases.

+ If the PCR test result is negative for SARS-CoV-2, the isolation ends.

e) Those in close contact with the suspect case

Require them to self-isolate at home and instruct them on how to self-prevent disease and self-monitor health while waiting for test result of the suspect case:

- If the PCR test result of the suspect case is positive for SARS-CoV-2, then move these people up to F1.

- If the PCR test result of the suspect case is negative for SARS-CoV-2, then instruct those in close contact to continue implementing epidemic prevention and control measures like other people in the quarantined area.

3.2.5. Environmental cleanup and disinfection of outbreak area

a) For the household of the patient with COVID-19

- Health workers personally clean and disinfect the patient's house: wipe the floor, doorknobs, furniture and other surfaces of the house with a disinfectant solution containing 0,05% active chlorine.

- Spray disinfectant solution containing 0.1% active chlorine in other areas such as kitchen, toilet, yard, around the house, etc.

- It is advisable to close the gate/door of the patient’s house to prevent any entry while the patient and the patient's family members are being isolated at the health facility.

b) For neighboring households:

- Adjacent households must be disinfected: wipe the floor, doorknobs, furniture and other objects in the house with a disinfectant solution containing 0.05% active chlorine.

- Spray disinfectant solution containing 0.1% active chlorine in other areas such as kitchen, toilet, yard, around the house, etc.

c) For households with suspect cases: Handle in the same manner as confirmed cases.

d) For other areas:

- Head office of people’s committee of commune, schools, health station, markets, etc. Spray disinfectant solution containing 0.1% active chlorine.

- Do the thorough cleaning of streets, villages, spray disinfectant solution containing 0.1% active chlorine in places where there is a risk of pollution etc.

3.3. Medical examination and treatment and healthcare for people in the quarantined area

During the quarantine duration, the people in the quarantined area may not go out of the quarantined area, so the health branch must ensure essential medical services, including: first aid, medical examination and treatment of common diseases and chronic diseases, medical services and vaccination for special groups of people, palliative care, etc. To ensure this, the following activities should be implemented:

a) Establish at a commune health station (CHS) in an quarantined area ​​a temporary polyclinic, which must be divided into two separate zones to avoid infection, including: an area which receives, examines and temporarily isolates suspect cases of COVID-19 and an area which receives, examines and gives first aid to other common patients. If possible, it is advisable to establish a ​​clinic in the quarantined area which isolates suspect cases of COVID-19 separately from the commune health station (called Covid clinic). A cultural house or school may be used as a Covid clinic.

Right at the gate of the health station, there should be a desk to guide and triage patients and display clear signage. All cases with signs of cough, fever, sneezing, runny nose, sore throat, flu signs, and respiratory tract infections must be triaged and immediately directed to the area which receives, examines and temporarily isolates suspect cases of COVID-19 or Covid clinic.

b) Mobilize human resources from province and district hospitals to the commune health station to perform medical examination and treatment, 24-hour first aid, including general practitioners, infectious disease doctors, obstetricians, internal medicine doctors, pediatricians and nurses.

c) Mobilize and supplement necessary equipment and vehicles:

- Ambulance: at least 2 ambulances are on duty at the commune health station. A vehicle dedicated to bring patients suspected of having COVID-19 to referral facilities; the other vehicle is used to transport other common patients.

- Portable X-ray machine (or mobile X-ray truck), ultrasound machine, monitors, blood glucose kits; blood pressure monitors, electronic thermometers; and equipment and devices for suspect cases must be separated from those for non-suspect cases.

d) Supplement drugs to ensure, at least, the list and quantity of drugs will serve the need of medical examination and treatment of common diseases and chronic diseases right at the CHS, use the List of drugs covered by health insurance according to Circular No. 39. The district health center is responsible for supplying enough drugs to the CHS and open the health insurance payment gateway right at the CHS.

dd) Refer the patients to the upper-level hospital for first aid and treatment if the patients’ condition go beyond the treatment capacity of the CHS but still ensure the isolation of people in the quarantined area.

At the upper-level hospital, it is necessary to arrange a separate isolation ward to provide emergency, intensive care, treatment, baby delivery, surgery, renal replacement therapy, etc…for patients referred from the quarantined area. The isolation ward should have between 50 - 100 general hospital beds (depending on the size of the population in the quarantined area). In case it is not possible to arrange an operating room here, a separate operating room must be arranged for the patient in the quarantined area in the Surgery Department of the hospital. Renal Replacement Therapy Department should also have a separate room for recipients of renal replacement therapy who are the people of the quarantined area. Patients who go beyond treatment capacity at the CHS shall be referred the isolation ward of ​​the upper-level hospital by ambulance both in round trip. Agree on the process of referring patients to the upper-level hospital for treatment and contact points, ensuring synchronous coordination.

e) Ensuring a number of other essential medical services:

Switch the provision of Methadone and ARV drugs from the district level to the CHS. Contact higher level hospitals for timely supply of specific drugs to patients in the quarantined area who are receiving treatment of chronic non-communicable diseases and other chronic diseases, and palliative care at the upper-level hospital. The district health center cooperates with the center for disease control in province/city in providing vaccination services for cases which cannot be delayed such as: tetanus or rabies vaccination. Postpone monthly vaccination in the quarantined area until the quarantine duration expires to avoid the impact of post-vaccination reactions on epidemic control and surveillance in the quarantined area.

3.4. Ensuring infection control and prevention at treatment facilities

Objectives: Prevent transmission to healthcare workers, to other patients and to the community, the prevention and control of infection at the health station, isolation ward are very important, each facility (health station, hospital, facility that accepts Covid patients - accepting facility for short) has to perform the following tasks:

- Review and reassess all the necessary conditions for infection control at the CHS, the facility that accept patients and suspected patients, and the upper-level hospital of the accepting facility.

- After reviewing and making a list of necessary equipment and means for infection control, Department of Health immediately supplements equipment and facilities in shortage and mobilizes support from central hospitals and other units if needed. - Provide detailed training courses in infection control for health workers of commune health stations, accepting facilities, patients and suspected patients, and upper-level hospitals of accepting facilities.

- Each unit appoints 01 highly qualified and responsible staff member to be a supervisor specialized in infection control who is trained in infection control monitoring under the direction of an infection control specialist.

- Infection control specialists personally examine infection control practices in facilities.

Through inspection, the specialists evaluate  practical capacity and the change in awareness, attitude and practice of infection control of health workers.

In order to prevent infection at a COVID-19 treatment facility, it is necessary to subdivide and separate groups of patients, specifically as follows:

- Special isolation area for treatment of confirmed cases of COVID-19.

- Isolation area for suspected patients waiting for test results.

- Isolation area for suspected patients with negative result for SARS-COV-2.

- Isolation area for suspected patients with positive result for seasonal influenza virus.

- Area of ​​patients confirmed with COVID-19 who have completed treatment, are monitored and recovered, awaiting discharge (no clinical symptoms, 2 negative tests at least 1 day apart).

- Quarantine area for people in the same household with the confirmed patient.

4. Communications practices to prevent pandemic in the quarantined area

- Raise the people’s awareness of their roles and responsibilities for contributing to the prevention and control of COVID-19 pandemic, especially in agreeing to implement quarantine practices in the quarantined area.

- Update the epidemic situation in the locality, stick to the epidemic development, and provide public information for the local people in the communes, villages and hamlets to stabilize their lives.

- Deliver public information about active participation of Party committees, authorities and health sectors in COVID-19 disease prevention and control measures to make people feel secure.

- Disseminate measures to prevent and control COVID-19 pandemic in the commune, specifically: Provide widely guiding documents; guidance of the health sector on disease prevention and control; recommendations on disease prevention and control to each commune, village, hamlet and local people.

- Disseminate knowledge; hand out leaflets, provide guidance on prevention and control of COVID-19 pandemic and guide households on how to prevent and control the pandemic.

- Coordinate to manage rumors and inaccurate information about the disease situation in the locality, and promptly prevent false information.

- Set good examples of typical individuals and households that strictly take all measures as well as practice quarantine to prevent and control the pandemic.

- Mobilize all people to participate in pandemic prevention and control.

5. Ensure logistic support for the quarantined area

5.1. Ensure logistic support  for healthcare professional practices

The COVID-19 Steering Committee for pandemic prevention and control provides adequate quantity and types of personal protective equipment for COVID-19 pandemic forces at their places of use, in specific:

- Ensuring a full range of infection prevention equipment: masks, protective clothing, all kinds of emergency solutions, boots, gloves, splash goggles of all kinds, masks, antiseptic throat lozenges, etc.

- Ensure adequate supply of all types of equipment, machinery, materials, chemicals, fuels, ambulances, repair equipment, etc. for pandemic control practices.

5.2. Ensure means of transportation

The Steering Committees for COVID-19 pandemic prevention and control ensures adequate means of transporting people, transporting equipment, machinery, materials, chemicals, etc. from daily gathering location to locations of use inside the medical isolation zone; ensure that means used for transporting people must be put in the medical isolation zone according to regulations. Based on the practical situation and working distance between the inner and outer areas of the medical isolation, the COVID-19 Steering Committees for pandemic prevention and control shall arrange a sufficient number and types of civil cars, special-use cars and other vehicles to ensure that the COVID-19 pandemic forces complete their tasks.

5.3. Ensure logistics for COVID-19 pandemic forces

Steering committees ensure logistic support for COVID-19 pandemic forces, including direct and indirect forces. The following shall be provided: accommodation, meals, equipment and machinery for daily activities (washing machines, clothes dryers; electric fans in summer, electric water heaters in winter) etc.

Based on local practical circumstances, the Steering Committees for COVID-19 Prevention provide logistic support for a single contact point or assign forces’ members to organize themselves but have to provide sufficient and timely funding and ensure the best logistic support for the pandemic prevention and control practices.

6. Inspection

Establishing interdisciplinary teams at all levels which are composed of officials of local government, departments, and mass organizations to inspect, monitor, urge and deliver public information on pandemic prevention and control in the quarantined area on a daily basis.

In case of any difficulties or problems during the implementation of this Decision, the Ministry of Health (standing agency of the National Steering Committee for COVID-19 Prevention and Control) will provide appropriate updates and amendments.

APPENDIX 1.

GUIDELINES FOR THE MISSION OF THE COVID COMMUNITY TEAM

I. Purpose: Actively monitor and deliver public information about COVID-19 prevention and control to each household. The Covid community team is the active link which connects the local government, the health sector and the people in the pandemic prevention and control practices, helping people feel secure, trust and implement well prevention and control measures.

II. Composition:

Each Covid community team consists of 2-3 people, so they should be officers of groups, villages, neighborhoods, socio-political organizations, unions, and volunteers in residential areas. Depending on actual circumstances, each team is in charge of 40-50 households and assigned a list of specific households.

III. Tasks:

The Covid community team will, every day, go through every alley and knock on every door to:

1) Disseminate and remind every household to practice prevention and control measures: everyone must stay at home, avoid going out; wear a mask; wash hands with soap; keep physical distance; avoid contact with people outside. Ask and guide people to take daily self-temperature measurements for family members (if the family has a thermometer). Provide phone number and ask the people to make health declarations if they found themselves or any family member having fever; cough; illness or any suspected sign of Covid-19.

2) Ask, monitor, detect and immediately report by phone to the local government and health facility of commune on suspect cases of Covid-19 detected in the households, who show: fever; cough; sore throat; flu; fatigue; respiratory tract infection, etc. for further isolation and taking samples for timely testing.

3) Detect and report to competent authorities on cases who do not voluntarily make health declaration; do not comply with prevention and control measures as prescribed.

4) Assist the local government and health authority in tracing F1 and F2 when there is any case in the area under their responsibility.

5) Perform other duties in accordance with their capabilities assigned by the Steering committee for pandemic prevention and control of commune.

IV. Prevention of infection to Covid community team:

Covid community team members, when on duty, must always wear a mask; use hand sanitizer; face shield (if any). When on duty, the Covid community team may not go inside the house of any citizen, just knock on the door, stand outside to ask people to wear a mask and keep a minimum distance of 2 meters when communicating with members of the household to ensure safety to prevent infection.

APPENDIX 2

NOTIFICATION TO PEOPLE ABOUT ACTIVITIES OF THE COMMUNITY COVID
(To be broadcast on loudspeakers of the village or commune)

In order to proactively prevent and control COVID-19 pandemic in each and every household, the commune people's health care steering committee, through the Covid community team, every day, will deliver public information, mobilize, and remind prevention and control measures in each household; ask for, monitor, detect signs such as: fever; cough; sore throat; flu; fatigue; respiratory tract infections of each person in households in the whole commune. We sincerely recommend all people to work together to do this well.

In addition, it is suggested that each person in the household should actively monitor their health regularly, measure their own temperature daily, if one of the signs is detected: fever or cough or runny nose - sore throat or shortness of breath, immediately report the CHS by phone number: ................................ ........ Thank you very much!

APPENDIX 3

FORM OF MOVEMENT PASS FOR HOUSEHOLDS

APPENDIX 4

FORM OF COMMITMENT TO PRACTICE HOME-BASED ISOLATION

SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom – Happiness
---------------

......... [Location]….,[date]………….

COMMITMENT

to practice home-based isolation measures for COVID-19 prevention and control

Full name of the isolated person: .......................................................................................................

Full name of the head of household in which the person is isolated: .........................................................................

Address: ............................................................................................................................................

Phone: ......................................................................................................................................

To proactively prevent and control COVID-19, my family and I declare to the local government to practice well home-based isolation measures below:

1. Strictly take pandemic prevention and control measures at the request of local government and the guidance of the health sector.

2. Abide by the home-based isolation within the prescribed time.

3. Do not leaving the accommodation during the period of isolation.

4. Do not join parties, mass gatherings at the accommodation.

5. Individuals in the household strictly observe the health self-monitoring, do not hide the disease, and immediately report the commune health workers when one of the suspected symptoms is detected: fever (temperature above 37.5°C); cough; shortness of breath; runny nose-sore throat, etc.

6. Individuals and family members daily take disease prevention hygiene measures:

- Wear a mask; wash hands often with soap.

- Keep the house well-ventilated and hygienic: wipe utensils, furniture, floors, door handles ... with disinfectants, common detergents.

7. Family members encourage, share, and help each other feel secure in quarantine during monitoring period.

My family and I declare to fulfill all above commitments. If violating, we will take all legal responsibility./.

Phone number to report in case of signs of disease: ..................................................

APPENDIX 5

FORM OF COMMITMENT TO PRACTICE ISOLATION AT CONCENTRATED ISOLATION FACILITY

SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom – Happiness
---------------

COMMITMENT

To practice isolation measures at concentrated isolation facility for COVID-19 prevention and control

Full name of the isolated person: ......................................................................................................

Address: ...........................................................................................................................................

Phone: .....................................................................................................................................

To proactively prevent and control COVID-19, I declare to practice well isolation measures at the concentrated isolation facility below:

1. Abide by the isolation according to the provisions and rules of the isolation facility.

2. Take personal hygiene measures, wear a mask, and wash hands often with soap or other hand sanitizer.

3. Check temperature at least 2 times a day (morning, afternoon) and self-monitor health.

4. Notify the health worker in charge as soon as possible one of suspected symptoms: fever, cough, shortness of breath, runny nose-sore throat.

5. Refrain from leaving the isolation room and gathering, and avoid direct contact with other people in the quarantined area.

6. Collect used masks, towels, tissue separately according to the facility’s instructions.

7. Collect domestic garbage according to regulations.

I declare to fulfill all above commitments. If violating, we will take all legal responsibility./.

......... [Location]….,[date]………….

APPENDIX 6

PROCEDURE FOR ACCEPTANCE OF PATIENTS FOR EXAMINATION AT COMMUNE HEALTH STATION IN THE QUARANTINED AREA

APPENDIX 7

PROCEDURE FOR REFERRAL OF EMERGENCY PATIENTS AND PATIENTS OF OTHER COMMON DISEASES GOING BEYOND THE TREATMENT CAPACITY OF COMMUNE HEALTH STATION TO UPPER-LEVEL HOSPITAL

APPENDIX 8

PROCEDURE FOR ACCEPTANCE AND TRIAGE OF SUSPECT CASES OF COVID-19 FOR EXAMINATION AND TREATMENT OF ISOLATION FACILITY

APPENDIX 9

HUMAN RESOURCES, EQUIPMENT AND FACILITIES NEEDED FOR COMMUNE HEALTH STATIONS IN THE QUARANTINED AREA

1. Human resources:

- Doctors, physician assistants: 4

- Nurses: 7

- Pharmaceutical worker: 1

- Accountant: 1

- Security, administration, and other support staff who ensure meals for health workers, supply electricity, water, and communications.

- 01 doctor or nurse in charge of inspecting compliance with infection prevention practices.

- 02 head counts in charge of environment hygiene.

- 01 head count in charge of collecting cloth, waste and treating tools.

- Transfer 02 ambulances and permanent drivers at the station:

+ 01 ambulance to transport people suspected to have COVID-19 to assigned medical facilities

+ 01 ambulance to transport people with other diseases who need to be referred to upper-level hospitals

- Depending on the actual circumstances of the quarantined area, it is possible to transfer more doctors and nurses to participate in medical examination and treatment, epidemiological investigation and other human resources.

2. Medical equipment and facilities at the examination and screening area

3. List: Protective and anti-infection equipment: (used for 60 suspect cases seeking examination, 02 doctors, 02 nurses/shift x 2 shifts/day, for 3 weeks):

APPENDIX 10

HUMAN RESOURCES, EQUIPMENT FOR ACCEPTING FACILITY OF DISTRICT (50 hospital beds)

1. Human resources:

- Doctor: 9 (specialized in infectious disease, intensive care, pediatrics, internal medicine, general department)

- Nurses: 8

- Pharmacist: 1

- Laboratory technician: 1

- Medical orderly: 2

- Accountant: 1

- Driver: 1

- Security, administration, and other support staff who ensure meals for health workers, supply electricity, water, and communications.

- 01 doctor or nurse in charge of inspecting compliance with infection prevention practices.

- 02 head counts in charge of environment hygiene.

- 01 head count in charge of collecting cloth, waste and treating tools.

2. Equipment

3. List: Protective and anti-infection equipment: (used for 20 patients, 02 doctors, 07 nurses/shift x 2 shifts/day, for 3 weeks):

APPENDIX 11

LIST OF INFECTION CONTROL EQUIPMENT TO BE FURTHER SUPPLIED TO PROVINCIAL POLYCLINIC HOSPITAL PROVIDING TREATMENT FOR SUSPECT PATIENTS OF COVID-19 AND PATIENTS REFERRED FROM THE QUARANTINED AREA (100 hospital beds)

1. Equipment and facilities at the examination and screening area

2. List: Protective and anti-infection equipment: (used for 60 suspect cases seeking examination, 03 doctors, 03 nurses/shift x 2 shifts/day, for 3 weeks):