2

II. CAC HOAT BONG THONG, CHONG DICH BtNH Kill XUAT 114N TRUONG HOT BtNH XAM NHAP VAO DIA BAN TiNH

1. COng tic chi din, dinh htrang thong tin

- Ban Chi dao,Phong, chang dich COVID-19 eüa tinh .t6 chec h9p khan true tuyan d trkrc tip chi dao va de ra cac bien phap phong, cheng dich benh vol phucmg cham: (I) SO chat ccic bin phap nhte tinh huong 1; (2) Ngan chart ngay se lay lan tie ca benh dau teen; (3) San sang clap (mg v&i tinh hu Ong dich lay Ian ra cang &Mg.

- Bao cao Chinh phü, Be Y tá theo quy dinh; d nghi BOY t cong be dich.

EM nghi sr heS tre five flap cüa cac th phan üng nhanh, cac chuyen gia tit BO Yte.

T chile hyp bao, ra thong cao bao chi, dinh hueng du luan.

- Thuerng true chong dich tai Ban CM dao tinh 24/24h (c6 danh sach tryc tgi Phu lyc 01 kern So).

2. Cich ly, dieu benh nhin

Truerng hey ca benh (tau tien së dirge dieu tri tai pheng each ly dc biet dm Beth vien Da khoa tinh hoc Beth vien Da khoa khu virc Nghla LO, co may they san sang hoat dOng; dieu tri tich cue theo phac do hueng dan dm BO Y te; siet chat kiem soat nhiem khu'an, pheng lay nhiem trong benh vien. Theo sat din bin cüa benh nhan, bat k khi nao cif.) din bien nang d xuat benh vien tuyen Trung ucmg he try. Chuyen tuyen dei vol nhcmg trireng hep benh Ong hoac benh nhan la ngtrei nuec ngoai ve Benh vien Beth nhiet dei Trung ucmg de -dap tpc dieu tri.

Trung tam Y te thanh ph a va cac huyen chuan bi sail sang khu dieu trj each ly d'e tiep nhan thu dung dial tri cac ca benh nhe tai ch8; phan loai cac ca benh nang chuyen ve tuyen tinh

- Mt6i co se dieu tri phai có t6i thieu 02 kip dieu tri thay aM nhau va có phucmg an san sang be sung khi can thiet (co danh sach dal dieu tri tgi Phy lye 02 kern theo).

Khi co tir 10 benh nhan ter' len thi trien khai ngay benh vien da chin tai Beth vien Lao va Beth phoi vei quy me 100 giueng benh nhu phircmg an a xac dinh trong KO hoach phong, cheng dich benh COVID-19 ten dia ban tinh (Ke hoach se 16/KH-UBND ngay 31/01/2020 cna Uy ban than clan tinh). Lfic nay Beth vien Da khoa tinh chi de dieu tri cac benh nhan nang, phai the may. Cac benh than Ichac khong phai the( may thi chuyen sang diet' tri tai Beth vien cla chien (co phteong an huy clang thiet bi, &thin kw lam viec tgi benh vien da chien rieng). Benh vien Da khoa khu vue Nglita LO va cac Trung tam Y t tuyen huyen tiep tuc di'eu tri cac benh than nhe theo kha nang toi da.huy deng duce (so Wong da so benh nhein ca. the dieu VC) ,may tho chi tit tgi Phu lyc 03 kern theo), se con lai chuyen ve Benh vien da chien.

3

3. Dieu tra dich tg, 14p danh sich ngtriri tip xüc gan

Tip tie duy tri hog dOng cüa dOi phan Ung nhanh eüa cac don vi nhu giai doan 1. Trung tam Y t tuyan huyen noi benh nhan cu tré chiu tech nhiem, Trung tam kiem sok benh tat ho try, huang dan chuyen mon (co danh sach cac d5iphán zing nhanh tat Phy lyc 04 kern theo), co nhiem vv:

Khai thee tren sir tip the cüa benh nhan (dai tucyng Fo) tir khi tip the gan veri nguon lay benh (neu c6) hoac tir khi khOi phat benh (ho, sat, kho ther...),an khi dirge each ly dieu tri; ghi chap theo thir tv thin gian, lap danh saeh, ve so a; thong bao cho cac co quan chile nang, cac dia phuang, tO chic, ca nhan CO lien quan clang thvc hien dieu tra dich t-8, lap danh sach nguai tiep the (F1, F2, F3).

Veri danh sach nhitng ngued tip the gan benh nhan (dai tucmg F1 ) thi tin hanh tip can, fa chic dim vao co sor each ly tap trung, lAy mu benh pham dA xet nghiem. Nau ket qua xet nghiem am tinh, tiep tvc cho each ly tap trung den het 14 ngay; nu kat qua xet nghiem ducmg tinh, lap tire dua benh than vao benh vien each ly, dieu tri tai benh vien, chuyen thanh ded tuong Fo.

Vol danh sach nhcmg nguii tip xic veld nguOi tip the gan a tren (dai Wong- F2) thi tO chic each ly tai nha. Giao nhiem vi cho tram y t6 tuyen xa thvc hien theo del sic khee tai nha hang ngay cho den khi xet nghiem cia ngued tip the gan (F1 ) am tinh. Neu kat qua xet nghiem eüa nguai tip the gan (F1) throng tinh thi lap tire chuyan nhing ngued tiap xic gan vii nhtmg ca throng tinh nay thanh dai tucmg F1 va dua vao khu each ly tap trung.

Dai ved nhihig nguii tiep the c6 lien quan khac ngoai the &Si tuemg Fi, F2 neu tran (ded tugng F3, F4): Lap danh sach va huerng dan tv theo d'Oi sire kh6e trong yang 14 ngay, nau c6 biau hien sat, ho, kh6 thi phai lien he ved co set y ta a duge lcham, dieu tri kip thed.

4. TO chat tht.rc hien xet nghiem (giao Trung tam Kiem sofit benh tat tinh chin trach nhiem)

Trvc tip lay mau benh pham nhitng ca benh dAu tien, khi sa lugng .benh than con it (khi so luemg benh nhan nhieu thi cac co ser dieu tri tuyen tinh, tuyan huyen phai tv lay mu giri ve Trung tam Kiem soat benh tat tinh da xet nghiem).

Thvc hien xet nghiem mu benh pham nhanh „chi:mg, chinh xac, van chuyen mu benh pham ve Trung uung dé xet nghiem khang dinh throng tinh.

TA chic dao to lai, chuyan giao cho Trung tam Y ta tuyan huyen each thuc lay mu, van chuyen mu benh pham.

5. Xir dich

a) Nguyen tac: Dam bao diau kien cho ngueri clan sang va sixth hoat binh throng tai gia dinh minh, khOng ducyc phep ra khei ving each ly.

4

Tning tam Y tá tuyan huyan nai bOnh than cu tra chiu tech nhiem:

- Ta chat phun khfr tiling, thanh Ichiat mai truOng toan b0 khu vrc có lien quan dan ca b'enh theo huang clan xfr 1Y o dich dm BO Y tá.

- Huang dan nhfing thanh vien trong gia dirt ngued duvc each ly va ngued quail noi thuemg xuyen \TO sinh khir tang nai ô nhu lau nan nha, be mat dung cu, tay /lam cfra a gia dinh bang xa phong hoc cac chat khfr trang, tay rira thong thuemg.

Chinh quyan, cac t6 chirc doan thadja phuong 110- try nguai dan thvc hien cling tac ve sinh phong, dap dich, tao thanh phong trao trong Ong d8ng.

6. TO chat tht.rc hin cach ly y 4 \Tong den ctr

6.1. Tip tuc duy tri cac hinh that each ly da thvc hien trong tinh hung 1. "rang thed, lchi co clau hieu dich bat du lay lan ra cOng dang, có ta 01 ca lay nhigm thir that trer len thi ngay, lap tat thvc hiOn viec khoanh vang each ly 6 dich. dich la noi (thon, )(Om, to, khu pha, khu du lich, khu km trU, xa, phuemg, thi cep tir 01 ca b'enh xac dinh trer len. Phan cong nhiem \Tv cu tha cho cac nganh d thiat lp khu each ly o dich theo dia giai hanh chinh nhu sau (Throng d /in chi tilt tgi Phy lyc 05, 06 kern theo).:

Cap ay, chinh quyan dia phucmg cap xa chiu trach nhiem t6 chat thvc hian va chi dao toan dien viec khoanh sling each ly khu dan cu nu sling each ly trong pham vi thon, t8, xom... Neu yang each ly la cap xa thi cap ay,,chinh quyen phuang cap huyen chiu tech nhiem toan dian viec chi So va t8 chile thvc hiOn; BI thu cap ay cac cap trvc tiep lath dao, chi dao viec each ly; viec dam bao nhu you pham cung cap cho ngued clan hang ngay; dam bao an ninh tat tv, an toan cho ngueri dan yang each ly; dam bao on dinh deli sang tinh than cho nguesi dan ,vang each ly, khong d nguori dan . hoang mang, sa hai.

Cac nganh theo chirc nang nhiem \Tv se tham gia nhu sau:

- Set Y ta cha tri, phai hop yeti chinh quyan dja phucmg cap huyen xac dinh vang dan cu phai khoanh sling each ly, dê nghi Uy ban nhan dan ,quyat dinh khoanh vang each ly trong truemg hop yang each ly la cap Id; cap ay, chinh quyen cap huyan quyet dinh khoanh yang each ly trong truemg hop vang each ly la them, t6, xom, khu du lich, khu luu trá sau 'chi có sr thong nhat cüa Seir Y tec. Trung tam y th cap huyan chiu trach nhiem theo dOi six khoe ngueri dan, phun kith tiling khu we each ly.

- COng tac lap chat kiam soat, cart gac, bao dam an ninh: Do nganh &Ong an chi dao, thuc hien, trong do: Giam dc COng an tinh chi dao trong truang hop vang each ly la cap xä; Tnremg COng an cap huyen chi dap trong truemg hop vang each ly la thon, t8, xom, khu du lich, khu km

5

- Dam bao an sinh xa hOi trong vang each ly: Cap ay, chinh quyan cap huyan va cac ca quan chire nang dam bao cac nhu cau thiet yeu ve an sinh xä hOi cho nguai clan trong vang each ly thong qua viec cung Ung, thiet lap cac diem ban hang binh on,gia trong khu each ly thay cho vied hop clic de cung cap

Nhu yeti pham, lucmg dure, thuc pham, nang Mang, xang du, thu8c chaa banh thiet yeu; dam bao cung cap din, nuerc sach, thu gom va xà 15/ rac thai sinh hoat; cung Ung cac nguyen vat lieu khac nhu vat lieu xay dung, vat li'au din, nuere; her trio chi phi sinh heat bang tin hoac lucmg tiurc, thue pham cho ngtred dan trong vang each ly pha hop veri kha nang dap ling elm dia phuang. Cac s("y, nganh chirc nang ella tinh co trach nhiam huong dan, he) tics cap ay, chinh quyen cap huyan trong viac dam bao an sinh xa hi trong vang each ly.

- Dam bao ding tac kham chaa benh cho nguai dan khu each ly.

6.2. Mer rOng cac dim, khu each ly tap trung;

Tai cac huyen, thi xa, thanh ph6: Ban CM dao phong choc rig dich benh cap huyen flan hanh Ichao sat, xay dung, thiet lp m6i huyen, thi xa, thanh pH) co 01 khu each ly tap trung dam bao thu dung it nhat cho 50 ngueri trer len.

Tai tuyan tinh: Giao cho BO Chi huy quan sr tinh chi tri, ph& hop vai Cong an tinh va S& Y,te kith° sat, xay dung, thiet lap them 2 khu vue each ly tap trung (tai thanh pith Yen Bai va thi )(a NgFifa LO) de dam bao co the thu dung khoang 500 ngtrai cling mOt Mei diem. CO phucmg an be, sung nhan lye phuc vu the khu VJJC cach ly khi so ngueri vao each ly tang diat Men. Du kin sit dung toeing Cao dang Nghe Yen Bai va Truerng trung h9c ph6 thong Dan tOc,noi tra Mien Tay (thi xa Nglila LO) de thiet lap cac khu voc each ly tap trung tuyen tinh.

7. COng tac truyen thong

Tiap tve the bien phap truyan th6ng nhu ô tinh hung 1. ,Thong cao bao Chi hang ngay de cung cap thong tin, dua tin kip thai, chinh xac ve tinh hinh dich benh va cac Nan phap phong thong (th thong tin bao cao). Nhan tin ten din thoai di dOng de truyen thong den nguoi dan.

Chinh quyan dia phuang ck cap tuyen truy'an math me 6 6'n dinh tu tuerng, khong gay hoang mang, scs hai trong than dan. Trien khai cong,tac dan van Or thon, to, khu pith CO b'anh than ngay lap the de on dinh tu tuamg. Wing tiled thoc hien viec twang tac math me \to:9i nguai din qua mang xa giao km true tuyen de kip tiled truyen tai cac thong dip phOng, chong dich b'anh.

Nganh y tá tang etrong nhan lye duemg day nOng 6 tra led hOi dap theo kin thue to ph& sinh.

8. Ging tfic hau can y te

, a) Giao Sä Y ta tiap tuc rá soot va ca se( vat chat, trang thiat bi, itha chat, thuoc, vat tu do tra kith phi bt sung cho phü hcrp \Teri tinh hinh dich.

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TT

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10 0 Chuyen 1 may th6 tai BVDK tinh

COng 168 13 .

GM dui: *Hai trong s6 nay se ducm mua trong 10 ngay tel. ** Hai trong s6 nay se &rye mua trong 10 ngay t6i. *** May Ur nay se duce mua trong 10 ngay teri.

Phy lyc 04

DANK C DOI PHAN UNG NHANH rig CAC DON 'VT

(*; theokP1tgr h sO 6?: /KH-BCD ngOylithcfng 3 nom 2020 ng, cheng ditch benh COVID- 19 tinh Yen Bai)

-e,td

1. DO ay vita 4 nh a Trung tam Kiem snit bOh tat CS-a*

* i

TT •

Hy vi tan Trinh da* chuyan infin

Chet vy Ghi chit

1 Nguyen Trong Plna . T* SY Ph6 giam doe Trung tam Di trueng

2 Nguyen Mb Ding BSCKI Ph6 throw khoa phong

ehOng benh truyen nhiem -

3 Tan Trong Phfic Mae sy Khoa Sire khan mei

trueng

4 Hoang Trong Nruili ' Bee sy Phemg kharn da khoa

5 Doan Thi Thant] Thity Cir nhan xet nghiem Khoa xet nghiem va chart

doin hInh anh -Thant do cite nang

6 Ha Thanh Nam , Lai xe PhOng Heath Chinh Xe 8 tO SKS 21A00310

- ' TT Hy WI tan TrInh da

chuyan mon Chet vy Ghi clui

1 Ha Minh Thu - BSCKI Ph6 Giem doe DOi trueng

2 Le Wing Quang BSCKI Truemg khoa phong

&Ong berth truyen nhiem

3 De Van Curing BSCKI Truemg khoa Site khee

Si trueng

4 Dan Minh Tuyen Bac sy Phang kham da khoa

5 Doan Thi Hang Haph Bac sy Tnreng khoa xet nghiem

va chart doom hinh anh - Thttm de ehire Ilan

6 Le Anh Dire Lid xe PhOng Hanh Chinh Xe 8 to SKS

21A00322

2. Trung tam Y t huy§n Mu Cang Chit

* üng cho khu I):

TT Hu vi tan Trinh da chuyen man

Chit vy GM chit

1 Giang A Dinh Bac sy da khoa Trueng khoa xet nghiem vi chin dofin hinh anh

Di trueng

2 thing A Vinh Bac sy da khoa Khoa ngoai, lien chuyen khoa

3 Bid Van Long Cir nhan xet nghiem

Tnreng khoa xet nghiem va chart doin hinh anh

4 Nguyen The Mai Cir nhan dieu duang

KhoeN8i-Hei site cep °fru-Truyen !Nem

, 5 Giang A Phong Dugc sy dai hgc Truong khoa Dugc-Trang thiet

bi, vat tu y te

* Dal sa 2 (Dip *lig cho khu II):

TT H9 va ten Trinh da chuyen mon

Chet vy Ghi chit

1 LY A Vang Bac sy da khoa ,

Khoa chain s6c sue khoe sinh san , ,

DOi truemg

2 VII Trung Hai Bac sy y hgc cO truyen

Khoa Y hgc co truyen phuc hal chuc nAng

3 CU Dao Thom Y sy Khoa ngoai, lien chuyen khoa

4 Giang Thi Cha Kyr thuat vien Khoa khoa xet nghiem va chan doan hinh anh

5 Giang A Trir Dugc sy dai hgc Tnrang khoa Dugc-Trang , thiet bi, vat tu y te

* DOi A 3 (Dip img cho khu III):

TT By vi ten Trinh da chuyen man

Chirc vy Ghi chi

1 Giang A Lu BSCKI Truemg khoa Ngoai, Lien chuyen khoa

Diai truemg

2 Phfing Nggc Kien Bac sy da khoa Khoa NOi — HOi slit cap dm — Truyen nhlem

3 Ha Math Than' g Cao dAng dieu du6ng

Khoa Xet nghiem Ira chan doan hinh anh

4 Sung TM Chau Kyr thuat vien Khoa Xet nghiem va chan doan hinh anh .

5 VII Thi Anh Cao dang dugc Twang khoa Dugc-Trang thiet bi, vat tu y te

* OQi A 4 (Dip *lig cho khu IV):

TT By vi ten Trinh d'a

chuyen mon Chat vy Ghi chi

1 IChang A Tu BSCKI Twang Ngoai, Lien chuyen khoa

DOi truerng

2 MA Trung Thanh Bac sy da khoa Khoa Nhi

3 Tit Trung Hieu Dieu dirOng trung hgc

Truemg khoa Ngoai, Lien chuy'en khoa

4 Luc Thi Van icy thuat vien Khoa xet nghiem va chan' doan hinh anh

5 Sing Thi DO Dugc sy dai hoc Throng khoa Dugc- , Trang thiet bi, vat fir y te

3. Trung tam Y t thi x'd Nghia LQ

* Dai dip frng nhanh

TT 119 vl ten Trinh dO chuyen

mon Chtit Ng! Ghi chi

I Nguyen Thi 14 / Bac sy y lice du phOng

Giam doe Ph6 DOi truemg

2 LO Thay An Bac s y hec du y , phOng

Twang khoa Kiem soat dich b'e'nh va phong chong HIV/AIDS

DOi pho

3 Ha Thanh Trung Y sy Khoa Kiem sok dich b'enh va phOng chong HIV/AIDS

Thanh vien

4 Pham Thi Thu ‘ Huyen

Cu nhan y le cOng cOng

Khoa Klein soat dich benh Ira phOng thong HIV/AIDS

Thanh vien

5 Lao Viet Hung khoa xet nghiem va chan doan hinh anh

Thanh vien

* DOithanh khiet mai truing

TT H9 va tell Chit Trinh 110 chuyen mon

vu Ghi chi

1 Nguyen Thi Ly Bac sy y hec du phOng

Ph6 giam doe DOi truemg

2 Lo Thi ThUy An Bac sy y h9c du phi:mg

Truemg khoa Kiem soat dich benh va pheng chong HIV/AIDS

DOi pho

3 Ha Thanh Trung y sy Khoa Kiem soat dich benh va phemg chong HIV/AIDS

Thanh vien

4 Pham Thi Thu Huyen Cu nhan y te ding cOng

Khoa Kiem soat dich b'enh vã pheng ch6ng HIV/AIDS

Thanh vien

5 LAo Viet Hung Cu nhan xet nghi'em

Can b0 khoa xet nghiem va chAn doan hinh anh

Thanh vien

* DOi giim sit

TT H9 vi ten Trinh do chuyen

mon Chtit v9 Ghi cho

1 Nguyen T Minh Anh Bac sy y h9c du phOng

Truemg khoa Y te cOng cOng và dinh du'Cmg

Doi twang

2 TrAn Huyen Trang Bac sy y hoc du phOng

Thong 1(6 hoach nghiep vu Doi ph6

3 Vu Thanh Tung Y sy Khoa Kiem soat dich benh va phOng thong HIV/AIDS

Thanh vien

4 Phan Math Hung Ky thuAt vien xet nghiem

Co so Methadone Thanh vien

5 Dinh T Thanh Huyen Y sy PhOng Ice hoach nghiep

v3 /41 Thanh vial

* 001 hOu can

TT H9 va ten Trinh do

chuye'n mon Chit vu Ghi chi

1 Nguyen Anh TuAn CO titian y t6 cling cOng

Truemg phong Ka hoach nghiep vu

Doi truang

2 Nguyen Thi Nhung Y sy Pho phOng to chtic hanh chinh

. Doi pho'

3 Trait Thi Vinh Thuan Ka toan Ka toan trueng Thanh vien

4 Pham Thi Hang Loan Dirge sy PhOng Ka hoach nghiep Vii

Thanh vial

5 Lo Van Khanh Bac sy Co stir Methadone Thanh vien

6 Ha Thanh Tung Y sy Co so Methadone Thanh vien

7 Nguyen Phi Hai Y sy Co sO Methadone Thanh vien

8 Nguyen Xuan Dinh Bao ye Co so Methadone Thanh vien

4. Trung tam Y a huyn VAn Chan

* Giam sat, dieu tra dich bEnh

TT Ho va ten Trinh dO

chuyen mon Chat vu/Don vi cOng tac Ghi chi

1 Nguyen Dinh Lien BSCKI PM giam dac DO truemg

2 De Thi Kim Tuyan Bac sy Truemg Khoa Ki6m sok dich b'enh va phOng chong HIV/AIDS

3 Hoatig Minh Hai BSCKI Twang Khoa An toan thgc phAm

4 '

Ngo TN Thu Huang Bac sy Pho truemg Khoa chain sac sat Ichoe,sinh son

5 Sa Hang Triu Cir nhan Khoa Kiem soat dich benh va phOng thong HIV/AIDS

6 De Thi Thu Hang K5'r thuat vier' xet nghiem

Khoa Kim soat dich b'enh va phOng ch'Ong HIV/AIDS

7 Hoang TIM )1( Ky thuat vien xet nghiem

Khoa )(et nghiem — Ch'An doan hinh anh

8 Bid Duy Tian Lai xe Phong Ta chIrc - Hanh chinh X21ema to00B0K53S

* Truyen thong, tang hop bao eau dich bEnh

TT Ho vi ten Trinh dO chuyen

mOn Chat yo/Don vi ding tic Ghi the

1 Nguyen Duy HuYnh Bac sy CKI

Twang PhOng Ka hoach nghiep IT

. , DOI truong

2 Bid Thi Yan Bac sy Truerng phOng Ta chile hanh chfnh

3 2, ,

Nguyen Thuy Linh Bac Si Phong Ka hoach nghiep vi

4 Hoang Van Hinh Bac sy

Khoa KSBT-HIV/AIDS

Nguyen Thi Minh 5

L Bac s5r A A Tnrang Khoa Y te cong c9ng Phuang

6 Bai Trung Thanh Lai xe Pheng T8 chirc hanh chinh Xe 8 to BKS 21A00019

* Hai dim bin ding tic hau an

TT H9 va ten Trinh di

chuyen mon Chet vu/Dun vi cling tac Ghi chi

1 Khang Thanh Binh BSCKI Ph6 giam dc DOi truarng

2 Hoang Thanh Titan Cir nhan e Tnrang PhOng K hoach

nghiep vu

3 DO Dim Dung Cit nhan Pho truang PhOng t8 chirc hanh chinh

4 Nguyen Van Chung Cir nhan Ph() throng PhOng Ke hoach nghiep vii

5 BM Van ting Trung cap PhOng t6 eh& hanh chInh

6 Nguyen Thi Wing Trung cap PhOng tO chirc hanh chinh

5. flung tam Y a thanh phO Yen Bai

TT H9 va ten Chfit vy/Firrn vi &Ong tfic Ghi chi

I T61

1 Hoang Xuan Truamg Khoa Mem soat clich benh va phOng chong HIV/AIDS

To truarng

2 Nguyen Thi Um Hien Khoa Ngoai

3 Pham Tuyet Nhung PhOng Dan se

4 Nguyen Xuan Bien Khoa Y te ding cOng

II TO II

1 va Viet Duang Khoa an toan thirc pham TO tnremg

2 Nguyen Thi Thanh Tam Khoa Kim soat dich benh va phong chong HIV/AIDS

3 Nguyen Thi Thanh PhOng Dan so

4 Truang Thi Thu Khoa Y tO c8ng cOng

III _ TO III

1 Nguyen Trong Long Phong Dan so TO tnramg

2 Nguyen Thi Mai Lien Khoa Kim soat clich benh va phOng chlong HIV/AIDS

3 HE Thi Minh Khoa Y le c8ng cOng

4 DO TN Huang Khoa Y tO ding cOng

III TO IV

1 Bei Thi Phucmg Khoa Kiem soat dich benh va phOng chong HIV/AIDS

To twang

2 Pham Ng9c Van Khoa An toan ve sinh thvc phAm

3 Nguyen Kieu Thuang Khoa San

4 Chu Thi Thu Ha Khoa Y te cong cOng

6. Trung tam Y a huyen Trym Tau

TT Hy va ten Trinh da chuyen man

Chat vy/Dcm vi cling tfic Ghi chti

1 Dao Xuan Ng9c Bac si PM Giam dec DOi truerng

2 Nguyen Thi Nghia Y sy Khoa 'Gem sok dich b'enh \TA phOng chong HIV/AIDS

3 Vucmg Xuan Quy

Y sy Khoa Kim soat dich benh va pilling ch8ng HIV/AIDS

4 Pham Duy Khucmg Y sy Khoa Kim soat dich benh va

phong chting HIV/AIDS

5 Nguyen Van Quy Y sy- Khoa Kim soat dich b'enh va

phong chting HIV/AIDS

6 Hoang Long Y sy Y th cong cOng, dinh duemg, an toan thvc pham ,

7 Maa A Khua Mr thuat vien Khoa xet nghiem, chan doan hinh anh

8 Nguyen Long An Lai xe Ph6ng t6 chirc hanh chinh

7. Trung tam Y 4 huyen Yen Binh

TT Hy va ten Trinh do

chuyen mon Chic yy/Dan yi ding

tfic Chi chi

1 Quach (ha Khanh Bac sy chuyen lchoa I

Trueng khoa Klein soat benh tat vã HIV/AIDS

Doi twang

2 Phan Ng9c Hoang Bac sy chuyen khoa I

Trueng khoa Y te ding &Ong Doi 06

3 Lucmg Viet Chien Bac sy da khoa TnrOng khoa An toan ve sinh thvc pilau'

. Thanh' wen

4 Hoang Anh H8ng Y sy Khoa Y te c8ng cOng Thanh vien

5 Tan Xuan Tnremg Y sy khoa Kim soat benh tat

va HIV/AIDS Tha' vien nh

6 Nguyen Hoang Thai Lai xe Phong TC Hanh chinh Xe 6 to BKS 2IC

2456

8. Trung tam Y 4 huyen Van Yen

TT Hy va ten Chic vy Nhiem vi

1 BS. Le Dinh Tien Ph6 Giam dee DOi Twang

2 YS TrAn Minh Sam Ph6 Khoa Kim soat benh tat va phOng ch8ng , HIV/AIDS

DOi Ph6

3 CN. TrAn Duy Manh Khoa ICiem soat benh it va phOng chtmg HIV/AIDS .

Thanh vien ,

4 YS. Doan Quang Thai Khoa Kiem sok benh tat va phOng chong HIV/AIDS

Thanh vien

5 YS.VO Thi Minh Tam Khoa Kim soat benh tat va phong chAng HIV/AIDS

Thanh vien

6 CN Pham Tun Deng Truerng Khoa Y t6 gong cOng

Thanh vien

7 CN. Ngo Thi Tinh Truemg PhOng Ke hoach nghi'ep va

Thanh vien

8 Bs. Nguien Van NhAt Khoa An toan ve sinh thug pham

That'll vi'en

9 CN. D8 Thi Hue Twang Khoa An toan ve sinh thug pham ,

Thanh vien

10 DS. Hoang Kim San Khoa Dugc — Kiem soat nhiam khuAn

Thanh vien

11 KTV.Vii Duy Lugng BO . phan xet nghiem Thanh vien

12 Nguygn Van Tan Phong Hanh Chinh Thanh vien

9. Trung tam Y te huyen Trait Yen

TT Hy vi ten Chit vy Ghi chit

I TO Giim sit, truyen thong

1 Bs. Pham Van Thai Ph6 Giam dgc T6 twang;

2 Ys. Chu Math TuAn T6 Ph6 Khoa }Gem soat benh tat va

pheng chong HIV/AIDS ph6;

3 CKIYTCC .Mai Anh Nam Threw Khoa Y te gong cOng va

Dinh.duang TO ph6;

4 Wang Thi Dung Truemg Pilot-1g Diu clueing TO pito;

5 CN. Nguy8n TM Thay PhOng Ka hoach nghiep vg T6 vien;

6 CN. Mai VO Khanh Khoa Kim sok benh tat va phong

chgng HIV/AIDS T6 vien;

7 DD. Le Thanh Than Khoa Kim sok benh tat va phOng

chong HIV/AIDS T6 vien;

8 Ys. Doan Nguyen Nggc Khoa Ki6m sok b'enh tat va phOng

chtmg HIV/AIDS T6 vien;

9 Ys.Nguyen Thi Huyen Khoa Kim sok b'enh tat va phOng

gifting HIV/AIDS ; .. To wen;

10 Ys. Nguyen Van Ming Khoa Y te c8ng cOng vã dinh duang TO vien;

11 Ys. BUi Thi Thu Huyen Khoa Y t6 &Ong cOng vá dinh duang TO vien;

12 CN.Ngo TN Kim Lien Pho Khoa An toin thuc pham TO vien;

13 CN. Dang Thi Thanh Hai Khoa An toan thuc pham TO vien;

14 TO Dieu duer'ng truang khoa, Trugng PKDIOCV, Tram Y tá va can b0

phu trach truyen thong cat x a , thi Van' . vien;

III. TO thong tin va tOng

Imp ban can

1 Bs Dao Van Khang TnrOng Phong Ke hoach nghiep vu TO truerng;

2 Bs Nguyen TM Kim Binh Tnremg khoa kiem soat benh tat TO ph6;

3 Ds Nguyn Van Throng PhOng Ke hooch nghiep vu TO vien;

4 CN Hoing Thi Kim Thoa Khoa Kiem soat benh tat TO vien;

5 Bs Nguyen Thi Huang Phong Ice hoach nghiep vu TO vien.

IV. TO hOu can

1 CN Ha TM Lien Tnrang phOng Tai chinh —1(6 toan TO tnremg;

2 CN Mai Doi Nam Tnrerng phong TO chfrc — Hanh

chinh To phi();

3 CN Le Anh Hai Pho phong TO chat — Hanh chinh TO vien;

4 CN Dao Thi Thanh Tam Trirong pheng Tai chinh — Ke toan TO vien;

5 Ds Pham Thu Mai TruOrng Khoa Dugc TO vien;

6 Ds Nguyen Thi Duyen Khoa Dirge TO vien;

7 Lx Phom Him Quynh PhOng TO chuc hanh chinh To vien;

8 Lx Ngo Van Phac PhOng TO chirc hanh chinh TO vien.

10. Trung tam Y a huyen Luc Yen

TT _ Hy va ten Trinh de chuyen man Chiit vu/Dan vi cong

tac Ghi cho

1 Hoang Van Gia Bac sy chuyen khoa I Ph6 Giam doe D'Oi truemg

2 VU Dong Giang Bac sy chuyen khoa I Truong khoa Kiem soat dich benh •

3 Cam Thi Thuyen Y syr Ph6ng truyen thong Gido du Silt khoe

4 [Yang Thi Xuan Cu nhan y te cong cOng

Khoa Y te c6ng cOng

5 Nguyen Thi Huyen Y sy Khoa Kiem soat dich benh

6 Le Thanh Hai Dieu clueing trung hgc Khoa Kiem soat dich benh

7 LOc TM DO Cu nhan drat duang 1Choa Kiem soat ditchbenh

8 ,Hoang Van Thuong

Y sy 1Choa Ki8m soat dich benh ' ,

9 Nguygn TM Bich Y sy Khoa Klein soat dich 138nh

10 Dinh Ng9c QuST Y sy Khoa Kim soat dich benh

11 Him Thi Hu8 Ys y Khoa An than thwujc phitn

12 Hoang Ng9c T6a Lai xe Pheng To chirc hanh chinh

Xe 6 to min thuung BKS 21M00026 _

/7-Caen,. ernAhecisif,

ah Chi d

Ph y lac 05 TO alit THvc HItN Y Tt 'YUNG CO MICH COVID-19

so fr/KH-BCD ngizyiethcing 3 pram 2020 g, ch6ng chch benh CO Vii)- 19 tinh Yen B60

Kho toan be yang dich, dap dich triet clE, IchOng dé dich lay Ian sang cac trcmg khac.

II. Tata Ditm XEM XET THIET LAP VUNG CACH LY Y TE KM yang dich da có sir lay lan trong cOng den va có nguy ca lam lay Ian

sang cac dia phucing Ichic trong khi hau het cac dia phucmg lchac chua có ca benh hoc chi có Met so it ca berth xam nhap.

IILQUYMÔ Toan xa/phtrang/thi tran hoc toan thon/d0i/khornthp/te clan phoildur

phoilchu du lich/khu Thu tra clang co dich. Quy mo khoanh vimg each ly thy theo tinh hinh dich thUc to tai dia phuang.

TERfn GIAN Cach ly t6i thieu 21 ngay ké tir ngay thgc hien each ly. Tay theo dign bien

tinh hinh clich va nguy cc( lay lan trong yang each ly ma thai gian each ly co the keo dai hon.

CACH T.HVC HItN Quyet dinh thiet lap yang each ly

ser Y th chci id, phei hgp voi chinh cwyen dia phucmg cap huyen xic dimh vang dan cu phai khoanh vang each ly, do nghi Isly ban nhan dan guy& dinh khoanh yang each ly trong truemg hcp yang each ly la cap xä; cap Uy, chinh

i d quyen Cap huyen quyet .nh khoanh vimg each ly trong trtreyng hop \ding each ly là th8n, tã, xem, Idu du lich, !dui km fru sau khi có str theng nhat caa St' Y to. Trung tam y ta cap huyen chiu trach nhiem theo doi sue Ichee ngthai clan, phun kb* trUng Ichu vtre each ly.

TO chile thtyc hian 2.1. Côngtdc truy'dn thong (mac khi hien ctich ly

chirc truYen thOng bang nhieu hinh thac, thOng bao ye num dich, nghiat str can thiet elm viec lap vimg each ly y te; Truyen thong, van deng than dan ye trach nhiem trong vie thyc hien each ly chang dich.

2.2. Thilt leip chat, trgm kiln; so& ra/vao yang cdch ly

- Lap ch6t, tram kiem sok tai tat ca dutmg chinh, duang lang, lei ma rake.° yang each ly.

- Phan ding va b6 tri lye Wong tai cac chot/tram kiem sok. - Thanh phan chott/tram kiem soat: CO the huy d'Ong tic lye lugng nhu can

ba xa, can ba y te, dan quart, the doan the, cling an, bo di...

2

- Nhiem \Tv dm chat/tram kiem soat: + Kiem sok chat che va han eh4 ngued ra,,vao vang each ly. Ngued ra vao

vang each ly phai dirge sir 'Jong )2 eüa chinh quyen dia phucmg. Lap danh sach, do than nhiet, quan sat tinh tang sire khoe tAt ca ngueri

dirge phep ra vao yang each ly. Kiem sok vat plim, dOng vat, thuc phAm va cac hang Itha khac cif) kha

nang lay truyen dich benh. + Kim soat, Ulu tn:ing than b phucmg tien dirge phép ra/vao vang each ly. 2.3. Diim boo an ninh, trot try trong yang each ly

Cap ay, chinh quyen va cac co quan chirc nang trien khai cac bien pita') dam bao an ninh, tat ty cho ngued dan trong yang each ly.

Khong te chile ck hoat dOng tap trung &Ong ngueri trong viing each ly. He sinh trong vang each ly nghi h9c trong suet thbi gian each ly.

2.4. Dam bcio an sinh xas hOi trong yang each ly ,CAp üy, chinh quy'en va cac co quan chac nang dam bao cac nhu,cAu thiet

you ye an sinh xã h6i cho nguôi dan tong ,vang each ly nhu: Nhu, yeu pham, luong dux, thuc phAm, nang ltrong, xang dau, thuoc chaa berth thiet you, dam bao cung cap dien, nuem sach, dam bao viec thu gom va xir ly rac thai sinh

3. Tinge hi0 the hot dOng y a phong chting dich trong Wing caddy 3.1. Thilt !Op he thong gilm sit ph.at hien chii clang b'Onh dich tgi

cOng dOng

- Lap danh sach toan be cac he gia dinh va cac thanh vien gia dinh trong yang each ly.

Huy deng nhan lye nhu y tathôn, truang them, cac t chirc doan the... trong xA chia lam cac nit giam sat, it nhat m6i nh6m 02 nguti.

- Lap danh sach phan cong cac nheom chiu trach nhiem giam sat sat Mine tang ho gia dinh. Mi nh6m phu trach khoang 40 - 50 h6 gia dinh.

T6 chi:re tap huan nsan gon ve each iliac dux hien giam sat tai he gia dinh va giao nhiem \RI cho tat cã cac thanh vion.

- Cung cAp the bieu mau giam sat, nhiet ká, khAu trang va dung dich sat khuan tay cho cac thorn giam sat.

- Xay thing ban tin ngAn phat ten loa truyen thanh hang ngay "Thong bao cho ngued dan ye hoat dOng theo dOi sac khoe he gia dinh" de than clan biet va hop the.

Cung cap s6 dien thoai duemg day n6ng bao dich cho toan the nhan dan trong vang each ly Net dê nguti dan ehü &Ong thong bao lchi ban than hoe ngued trong gia dinh c6 bieu hien nghi mac benh.

- Hang ngay, nh6m giam sat "rã tirng ngo, go tirng nha" duty hien do than nhiet, hoi timg ngueri tai ho gia dinh ye tinh hinh sire Ichoe do ph& hien ngay nhang ngueri c6 dau hieu nghi nger mac benh. Ghi chep ket qua vao bieu mau giam sat, theo dOi sac kh6e ho gia dinh

3

-Phan cling can b0 y te tuyen ten ding can 13,0 y th xã cam eh& tai tram y ye' x'ai de tram bat thong tin ye dich benh vá dam bao yiec lcham chaa benh, cap cfru cac benh thong thuong. Tai Tram Y te xä bid tri 2 xe cdu thucmg, mat xe de chuyen chet benh nhan nghi nger mac COVID-19 len khu each. ly, mat xe de chuyen ft& nhang benh nhan cap ciru khac.

- Khi phat hien truemg hçxp nghi nger mac benh tai ha gia dinh, nhorn giám sat cho benh nhan deo Ichau tang và bao cao ngay bang dien thoai cho tram y to xã.

- Rd soat, lap danh sach toan 130 nhang ngued tiap xac gn vad ca benh xac dinh hoac ca benh nghi nger.

Tram y th xas bao cao vã phoi hop yeti y ta tuyan huyen dua b'enh nhan nghi ng6 mac benh \fa nhang ngued flap Vic gait den ca sà each ly, dieu tri, lay mau benh pham theo quy dinh.

Hang ngay nhom giam sat ho gia dinh tang hop bao cao cuoi nny gin cho Tram Y to xã, Tram Y te xa tong hgp bao cao hang ngay cho y te tuyen huyen va. Trung tam kiem soat benh tat tinh.

3.2. Td chat each ly y te

Trong yang each ly can thgc hien cac bien phap each ly y tá d& voi cá nhan nghiem ngat han so yoi cac nal khac, co the nhtr sau:

3.2.1. Ca Nnh xac clinh mac COVID-19

Cho benh nhan each ly nghiem ngat va dieu tri tai ccr sec dieu tri chuyen biet theo quy dinh dm BO Y te.

3.2.2. Nhom tigpr xac gan voi ca benh xthc clinh Ngtroi sling trong ding ho gia dinh Yeti ca benh xac dinh

Phai dugc cach ly vâ theo dOi sire kh6e nghiem ngat tai ca ser each ly tap trung khu ygc nguy ea cao. Sau 14 ngay neu khong c6 bieu hien nghi ng6 mac benh thi chuyen ye cach ly tai nha them 7 ngdy clued str theo &Si caa tram y te xã Ara c6 ag cam ket caa ngued dirge each ly ved chinh quyen xa.

Ngued dap xfic gan khac (hang x6m, ban be...): Phdi dirge each ly \fa theo clOi chat che. tai ca sâ cach ly tap trung trong 14

ngay cid sr cam ket cüa ngued dui:ye each ly ved co sa. Sau 14 ngay neu khong c6 bieu hien nghi ng& mac benh thi chuyen ye each ly tai nha them 7 ngdy duari str theo cloi dm tram y te xa va có sr cam kat dm ngued ducyc each ly yed chinh quyen xi

3.2.3. Ca b:enh nghi nga mac COVID-19 Cho benh than deo khau trang ya din di ,cach ly ngay tai co kr dieu tri.

Benh nhan nghi ng& mac . b'enh can dirge sap xep cach ly 0 khu Hang yed khu dieu tri benh than xac dinh.

Nati c6 ket qua xet nghiem ducmg tinh \Tod COVID-19 thi chuyen benh than sang diet' tri vá each ly la ca benh xac dinh. .

Nu c6 kat qua xet nghiem am tinh veri COVID-19 thi chuyen b'enh nhan sang ph6ng cach ly rieng de dieu tri.

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‘Sau 14 ngay cach ly, nu thong c6 bat dr trieu chang gi thi chuyen benh than ye nha va tiEp tyc each ly them 7 ngay nih duai sr theo dOi dm tram y te xa va c6 sy cam kEt cna nguori dugc each ly vói chinh quyen xã.

Sau 14 ngay, neu van con trieu chUng thi lay mu xet nghiem l'an 2, nu am tinh thi chuyen benh nhan sang dieu tri nhu cac benh thong thuang khac.

3.2.4. Nhom tiepr xac veri ca benh nghi nger Nu c6 ket qua xet nghiem ducmg tinh voi CoVID-19: ap dyng each ly

nhu thorn tier) mac voi ca benh xac dinh (nave 3.2.1). - Neu co kat qua xet nghiem am tinh: each ly tai nha clued sysiam sat chat

che cUa tram y te xã trong yang 14 ngay ke tir ngdy tiep xfic lan cuoi voi ca benh nghi ngsa.

3.2.5. Hogt clang xicl.V mai trwemg, kher Wang khu vwc a dich a. Di vol h0 gia dinh benh nhan COVID-19

Can b0 y tá tryc tier, xir lY moi truang, kith trUng tai nha benh than: Lau nn nha, tay nam cira, ban ghe va be mat cac d8 vat khac trong nha bang dung dich khfr tiling chira 0,5% do hog tinh.

- Phun kha trUng dung dich khfr tang chfra 0,5% .clo hoat tinh cac khu vtrc khac nhu khu bep, nha ye sinh, san, xung quanh nha...

Tat nhat nen dong cang/cfra nha benh nhan lchong cho nguori ngoai ra vao nha trong khi benh nhan va thanh vien gia dinh benh than dang dugc each ly tai ca sg y te.

b. Di voi ho gia dinh lien k xung quanh: - Phai dugc Ulu tiling: Lau nn nha, tay nam cfra, ban ghe va be mat cad

do vat khac trong nha bang dung dich khir trUng chin 0,5% do boat tinh. Phun khir trUng dung dich khir tang chlra 0,5% do hoat tinh cac khu

we khac nhu khu bep, nha ve sib, san, xung quanh nha Dai yeti h0 gia dinh ca benh nghi ngd: Xfr 1 nhu dai vgi ca benh xac dinh. Dai vOl cac khu we lchac:

Try so. fly ban than dan xã, truemg hgc, tram y te, thy... Phun 'chit tiling dung dich kith trang chira 0,5% do boat tinh.

Tang ve sinh &rang lang ngi5 x6m, tin bath phun khir tang dung dich khir tiling chira 0,5% do hoat tinh nhtmg nai ca nguy ca 6 nhiem...

- 3.3. Tot char cac hoa &Ong kham be:nh, chit!a bfnh ya cham sac the khde cho nhan dein yang each ly

, 3.3.1. Huy clang nhein lwc tic benh vin tinh, benh Wen huyen v Tram Y tixii de three hien cong tac kham benh, chi:ea benh, so cap catt thwong trice 24/24h.

3.3.2. Huy clang va fro sung Wang thiet bi, phwang tin cein thiet: (co danh myc Wang thiet bi huy clang tgi phy lyc 5 kern theo)

- Xe ciru thucmg: it nhat co 2 xe ciru thuang thuemg tryc tai tram y tá xa.

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-,May chvp X-quang di d'6ng, may stet' am, monitor, may do huyat áp, nhiet ke dien tü va cac phuung tien, dung cv tham kham khac bao dam sir dvng rieng cho ngueri benh nghi nhiem va nguoi benh kh8ng nghi nhiem.

3.3.1 Ba sung thuac bcio dam tai thieu danh myc va s ltrang thuac dap nhu cau,kham benh, chira benh cac benh thuang gap, benh mgn tinkngay

tgi Tram Y th nfl Trung tam Y te huyen chiu trach nhiem cung &ng dzi thueic cho Tram yte xa va ma congthanh toan bcio hiem y te ngay tgi tram y te

3.3.4. ‘Ta chirc trien khai cong tac cop' ant, yclieu tri cho ngtreri benh vtrat kha neing dieu tri ctia Trgm Y té xd chuyen len tuyen tren.

Tai Trung tam Y ta tuyOn huyen va benh vien da khoa tuyen tinh, cAn b6 tri mot Ichu vvc each 17 cho nhang benh nhan tir yang each ly chuyen len. Ngubi benh &rye van chuyen ve khu we each ly tuyen tren phai bang xe.6 to ciru thuong.

3.3.5. Bao dam mat s a dich vy y te thie t yeu khac: Cap Methadone, thutic ARV ngay tai Tram Y ta xa. Lion he' vOi cac benh

vien tuyen teen de cung Ung kip tiled thuoc dOi vai ngubi benh cüa viing each ly dang dirge quail 1, diet' tri cac benh man tinh khong lay nhiem va cac benh man tinh khae. Trung tam y to huyen phoi hop vol Trung tam kiem sok benh tat dm tinh cung frng dich vv tiem chang deli \raj mOt s6 dich vv .tiem chang khong the tri hoah (vi dv: tiem phong uon van cho ba me mang thai, tiem phong benh dai...). Tam hoan viec tiem chang ththang xuyen trong thong tai \rang each ly cho an lchi het thai gian each ly.

3.4. Hoist dOng Irwin thong phbng thong dick trong yang each ly - Truyen thong van dOng than dan phong chang dich COVID-19, dc biet

trong viec &Ong thuan thvc hien each ly tai vang dich, cac khuyen cao phong, chong dich benh.

- Cap that tinh hinh dich benh tai dia phuong d tuyen truyen cho ngithi clan trong khu vvc each ly.

Pha bin kin thuc; Oat tä rui, cung cap tai lieu huong din cac 110 gia dinh phong, ch6ng dich benh COVID-19.

Ph& hop quan 15T cac tin an, thong tin thiau chinh xac va tinh hinh dich benh tai dia phucmg, ngan chan kip thai cac thong tin sai lech.

Thong bao cho nhang nguai nghi mac benh truyen nhiem va nghi mac COVID-19 trong vang each ly chi di kham benh ban dan tai Tram Y te xa.

4. Kim tra, giam sat Ne6i t6 an ph& thon, ban phai thanh lap 1, dOi lien nganh vol thanh vien

Om can b0 chinh quyen, dai dien mOt s6 doan the cila xa hang ngay di kiem tra, giam sat, don doe, tuyen truyen ding tac phong chong dich tai tat ca cac to dan ph6, thon, ban.

Phy lye 06

DAN!! MVC C THIET Bj PHVC VV IMAM Cala BWH CHO NOVO! H LY miqc HUY BONO DEN TRW Y TE

69- /KH-BCD ngay•thang 3 nom 2020 cheing d1ch benh CO via 19 tinh Yen BO

STT NI% %till"' S6 lung Huy d(ing fir

1 Xe dm thumg 02 Berth vien da khoa tinh 1; Benh vin da khoa khu wc Ngliia LO 1

2 May X quang di deng 01 Trung tam y te Van Yen 1;

3 Sieu am 01 Trung tam y te thanh phe Yen Bai 1

4 May theo del benh nhan A ten 3 theng so

02 Trung tam y MYen Binh 1; Berth vin da khoa khu wc Nghia L6 1

5 Barn tient dien 2 Berth vien da khoa khu we Nghia LO 2 6 May truyen dich 01 Berth vin Da khoa khu we Nghia 14 1

7 May khi dung 02 Benh vin da khoa khu we Nghia 16 1; Trung tam y te Yen Binh 1

8

Cie dung cu Barn beth khic (thy tinh hinh then

• bin dich se huy deng tit eac Tram Y te Ichic)