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It is no longer appropriate to ban F0 from leaving the house

We have opened up to international travelers, no longer requiring testing and isolation. So for people with Covid-19 in the country, it is also advisable to relax the regulations if that regulation is no longer appropriate.

Currently, the number of new Covid-19 cases in the country every day is over 100,000, but in my opinion, the actual number is much higher. However, the good news is that the mortality rate is very low because we have done a good job of vaccinating.

Vietnam is one of the countries covered Covid-19 vaccine Best in the world. It is an undeniable success with the policy of the State and the efforts of the Ministry of Health.

It is no longer appropriate to ban F0 from leaving the house
Home F0 management needs to be loosened up?

However, in recent days, public opinion has also been stirred up about a regulation of the Ministry of Health in the Guidelines for managing at home with people with Covid-19. That is F0 must not leave the house. Exactly, F0 is allowed to leave the isolation room and move around in the house, provided that they wear a mask and ensure a distance from people in the house.

Myself and many doctors think that banning F0 from leaving the house is no longer appropriate. Umpteen. In particular, the spread and number of Covid-19 infections in the community increased, but the mortality rate was very low.

The current trend is to live with Covid-19 in a safe, adaptive manner. The Prime Minister has directed the need to accurately assess the situation, proceed to normalize with the epidemic, consider Covid-19 as an endemic disease, an endemic disease.

And even the Ministry of Health has proposed that F0 be allowed to work during the quarantine period, with conditions attached, of course. However, this proposal seems a bit “contradictory” to the regulation that F0 must not leave the isolation place.

In fact, if the regulations are open to patients, managers may be concerned about the risk of an outbreak. But too tight makes it difficult for people. And in fact, that regulation is not appropriate and … can not do.

Firstly, the grassroots health care, wards and commune health stations do not have enough staff to come to the house to test, take samples, and distribute medicine to F0. Medical staff do not care.

The implementation of F0 management via electronic software of Ho Chi Minh City is only piloting in some wards and communes. Thus, the majority of F0 in the city still need to go to the Station to declare, confirm and get a certificate of completion of isolation. They need to get out of the house.

Second, F0 still needs to go to the doctor. It’s not a medical examination for Covid-19, they may have to check for diabetes, cancer, blood pressure… Currently, it is no longer a matter of providing an ambulance for F0 to the hospital like at the peak of the epidemic. Thus, F0 still has to move to take care health.

Third, now a lot of people have Covid-19. There is a family where all members are infected, or there are no people who are negative. They must have food, drink and daily necessities. The local support force could not supply or go to the market to help as before. Neighbors going to the market for them is not an option for most people.

So, F0 needs to go out to the market.

They have legitimate needs. If F0 had to stay at home completely, our health system wouldn’t be able to handle it.

It is no longer appropriate to ban F0 from leaving the house
Take samples for testing at a health station.

Regulations may be appropriate one time, but not other times. I example of keeping distance, not gathering in the slogan 5K.

People have returned to work, schools have opened, new normal social activities, distance and not gathering have become obsolete.

Secretary of the Ho Chi Minh City Party Committee Nguyen Van Nen said, “If we keep calling for the implementation of 5K, without correcting it to suit reality, it will be difficult to implement, or say it is impossible. Parents, schools and people face difficulties.”

The Secretary also suggested that the city should reconsider to guide the implementation of the 5K rule appropriately and feasible.

Back to F0 management, what are the requirements for F0 now?

Consciousness and responsibility. People with Covid-19 must be very conscious, keep others safe. If going to a doctor, F0 needs to notify the medical facility so that they can be placed in a separate area to avoid the risk of infecting others. They need to ensure masks, keep their distance if possible.

We need to continue to cover the Covid-19 vaccine – the most important weapon. In addition, trying to import more drugs to treat Covid-19 other than Molnupiravir, creating favorable conditions for patients to access legal drugs, easily, and blocking the way of smuggled and counterfeit drugs.

Now, the city is also living in very different days, no longer isolation, blockade, no longer as fierce as July and August 2021.

We have opened up to international tourism with a very open policy, domestic flights have also been busy. We accept to live together safely with Covid-19, sooner or later… we can’t leave each other.

So, don’t be too strict with Covid-19 patients!

Doctor Nguyen Trieu Vu, Thu Duc City Hospital

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