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TEMPORARY GUIDANCE ON HOME-BASED MANAGEMENT OF PEOPLE INFECTED WITH COVID-19

The Ministry of Health promulgates the Decision No. 4038/QD-BYT on promulgating the "Temporary guidance on home-based management of people infected with COVID-19" on August 21, 2021.

According to this Decision, people infected with COVID-19 shall be under home-based management if they don’t have any clinical symptoms; or have mild clinical symptoms, show no signs of pneumonia or lack of oxygen; and satisfy at least one of the following two criteria: Having got full 2 doses, or 1 dose, of COVID-19 vaccines after 14 days, OR having full 03 following factors: (1) Age: Children over 1 year of age, adults under 50 years of age; (2) No underlying medical conditions; (3) Not pregnant. Also, the patients must be able to take care of themselves, to contact medical staff, to communicate normally and have available means of communication; or have caregivers who meet the above criteria.

Facilities in charge of managing people infected with COVID-19 at home shall guide the people infected with COVID-19 to self-monitor their health. Upon detecting any one of the following signs, the patients must immediately report to the managing facilities, the health stations of communes and wards, etc. to hospitalize them for emergency treatment and timely hospital transfer: Shortness of breath, difficulty breathing, or children with signs of abnormal breathing: groaning while breathing, chest-indrawing, etc.; Respiration rate ≥ 21 breaths/minute (for adults), ≥ 40 breaths/minute (for children from 1 to under 5 years of age, ≥ 30 breaths/minute (for children from 5 to under 12 years of age); etc.

Additionally, people infected with COVID-19 must report on their any unhealthy condition or other suspected symptoms such as: Tachycardia > 120 BPM or bradycardia < 50 BPM; Low blood pressure: Systolic blood pressure < 90 mmHg, Diastolic blood pressure < 60 mmHg (if measurable); Frequent chest pain, feeling of tightness in the chest and the pain that increases when taking a deep breath; Changes in consciousness: Confusion, narcolepsy, lethargy, very tired/exhausted, children being fussy, anaemic, difficult to wake, or convulsions; etc.

This Decision takes effect on the signing date.

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