UBND HUYEN HAT HA BAN CHI DSO PHONG,

CHONG BICH BENH nCoV

Se: 49 /PA-BCD

ONG HOA XA HQ1 CHt NGHIA V1U NAM Dc lap - Tau do - Hanh phtic

Heti Ha, ngay 4 thOng 02 nam 2020

PHU'ONG AN Dap Crag voi cac cAp di) dich benh viem duimg ha hap cAp

do chung mói ctia vi nit Corona tai Ht1)7'0 Hai HA

Can dr Ke hoach se) 15/KH-UBND ,ngay 01/02/2020 oh Oy ban nhan clan tinh Quang Ninh ve dap Ung vei cac cap dO dich benh, viem duang ho hap cap do chung mai caa vi rat Corona ,va phuang an so 07/PA-BCD ngay 01/02/2020 cua Ban chi dao phong, cluing dich benh do vi rat Corona tinh Quang Ninh ye dap ang vai cac cap do dich benh viém clueing ho hap do chung mai caa vi rat Corona tai ara khau Bac Luan (M6ng Cai), Bac Phong Sinh (Hai Ha) va Hoanh MO (Binh Lieu).

Nham dap Ung dap ang yeti ck cAp do dich benh viem duong ho yap cap do chang mai cOa vi rat Corona tai huyen Hai Ha. Ban chi So phong, chong dich benh do vi nat Corona huyen Hai Ha xay dung phuang an, cu the nhu sau:

I. TiNH HiNH DICH BtNH

Tren the gioi

- Theo thong tin tir BO Y,te, tinh den 14 gi& ngay 03/02/2020, the giai da ghi nhan 17.394 trueng hop mac benh viem dutmg h8 hap cap do 2019-nCoV, trong do 17.209 trueng hop tai Trung Quoc \id 183 truang hop ngodi Trung Quoc; 362 trusting hyp tir vong, 487 nguti binh phuc. Ben ngoai Trung, Quick, ghi nhan 185 trutmg hop benh xam nhap tai 26 guile gia va van lanh they Nhat Ban (20), Thai Lan (19), Singapore (18), Han Quoc (15), Hong Kong (15), Australia (12), Hoa (11), Dire (10), Dai Loan (10), Malaysia (08), MaCao (08), Phap (06), Viet Nam (08), UAE (05), Canada (04), An DO (02), Nga (02), UK (02), Italia (02), Philippines (02), Campuchia (1), Tay Ba Nha (01), Nepal (01), SriLanka (01), Phan Lan (01), Thy)/ Dien (01).

-, T6 chat Y te The giai (WHO) tuyen b6 sin bang phat nCoV la tinh trAng khan cap y te toan cau.

Tai Vilet Nam:

Tre'n ca mite, tinh den 14 gier ngay 03/02/2020 c6 08 true:mg hgp mAc 05 tinh thanh: Thanh ph6 H6 Chi Minh (03), Ha NOi (02), Khanh 1-16a (01), Thanh Wm (01), Vinh Ph& (01).

Tai Quang Ninh:

Hien tai Quang Ninh chua phat hien ca benh xac dinh, melt s6 truong hop

1

nghi nga dang dugc cach ly,.theo dôi, dieu tri, ch6 kat qua xet nghiem. Hien chtra co can be y tébi lay nhiem benh.

Can cir vao tinh hinh va,dac,diam dich t6' cOa b'enh, kat qua danh gia nguy co ctia Trung tam dap (mg khan cap su kin y te ding cOng Viet Nam cho thay benh viem duang ho hap cap do chung mei cüa vi rut Corona co kha nang lay Ian thanh dich tai cOng dong neu khong quyet liet trien khai cac bin phap phong thong do:

- Hai Ha c6 &rang bien giai giap yeti Trung Quac (xa Quang San, Quang Dix), co caa khau Bac Phong Sinh, co khu cong nghiep Texhong nai c6 nhieu nhiett nguti lao &Ong thuec cac dia phuang trong nu& den lao dOng, dac bit nguai air Trung Quoc sang lam viec, do vay s'e nhieu nguy co dich benh xam nhap vao dia ban huyen.

- Hien nay yeti dieu kin khi hau,mita thing xuan lanh Am rat thuan lgi cho tác nhan gay benh ph& sinh va ph& trien.

- Benh chua co vac xin va thuOc dieu tri dac hieu. Cac bien phap phong benh hien nay chn yeti dra vao v sinh mad twang, ve sinh ca than, ngan ngira xam nhap liven hgp benh, phong Chong lay truyen tai Ong &Ong.

U. M1,JC TIEU

Phat hien sem truang hgp viem duerng ho hap,* do chtIng mei cüavi rot Corona, xir IY kip thai thong de dich lay Ian, han the den mac thap that sO mac va tic vong.

III. CAC HOAT FONG CHINH

1. CAp di) 1: Chtra co trtroung hcrp bOh xam nh4p

a) Ceng the chi &Jo, kihn Ira

'Cy ban nhan dan huyen true tiap chi dao cong tac phong, chang dich.

- Chi dao Y ta, Ban Quan 1 Caa khau, Den Bien Phong phOi hgp yeti cac co quan chirc nang tren dia ban huyen trien khai cac hog dOng tang cuemg truyen thong phong chong dich benh, giam sat, ph& hien, xir lY 0 dich tai cac dia phucmg, clan vi.

- Theo dOi sat din bin tinh hinh dich benh tren the gi6i, Viet Nam, tai Quang Ninh vá huyen Hai Ha clanhe gia tinh hinh hang ngay, de' kip tiled chi dao trien khai cac boat &Ong ph6ng, chong djch. Thuang xuyen bao cao cap tren ve tinh hinh dich benh vã to chirc thuc hien cac chi dao, diet] hanh dm cap tren.

, - Chi, dao Kiam dich Y t'a Caa khau BAC Phong Sinh tang cutng ding tac Iciem tra kiern dich y te tai Cm khau,,phoi hop vei Trung tam Y te huyen va cac nganh chtrc nang to elm:re each ly dieu tri doi veri nhang truang hop nghi nga mac 2019-nCoV.

- Chi dao cac co ser kham benh, chaa benht tren di.a ban that chat‘cong tac that hien serm ca benh nghi ngai, Trung tam Y te thu dung, each ly diet' tri dOi voi nhang nguti nghi net va mac 2019-nCoV.

2

, -,Chuan bi cac diem each ly tam thari ngtrgi ,nghi ng6 nhiem benh tai ctra khau Bac Phong Sinh (nha tam); tnmg dung mOt so nha nghi, khach san tren dia ban huyen.

- Chi dao Trung tam Y te h-6116 trg chuyen mon kyr thuot cho tram Y té xã, thi tran.

b) Citing Mc glom sat, dp/thng

- Tang cueing giarn sat the truirng hop viem &rang h8 hap cap c6 )(ELI to' dich te' lien quan, tang cuerng giam sat, lay nth xet nghiem de phat hien som cac twang hgp,mac benh, trien lchai the bin phap khoanh yang, xCr 19 triet de 0 dich khi xuat hien tnrerng hop benh dau tien, khong dé lan rOng.

- Giant sat, theo dOi hang ngay tinh trang the kh6e cUa nhang nguti cc') tip xüc gAn yeri ngtred benh, tiep Vic gAn yeti nhimg twang hap ce, sot, ho, kho the. ye tit yang dich trong \rang 14 nay ke tir khi tiep ;cite lan cuoi; each ly y te Uwe hien theo quy dinh tai Nghi dinh s6 101 /2010/ND-CP ngay 30/09/2010 ctia Chinh phü ye Quy dinh chi trot thi hanh mOt s8 dieu etia luat phong, chong benh truyen nhiem ye áp dung bien phap each ly y te, cueing che each ly y tC ye chong dich dc thit trong then gian c6 dich. cac truerng hop mac benh/ nghi ng6 mac benh can lay mau xet nghiem.

- Tiep tue tam climg cac hoat dOng xuAt nhap khAu, xuAt nhAp conk tham than, tao mei Ira mua ban, trao doi hang hoa cOa cu dan bien gieri tai cac diem xuat hang, loi ma ya ccra khau Bac Phong Sinh.

- Day manh giam sat dva yao sr kin tai cac ca ser kham benh, chera benh ya cOng,dong, tO chic dieu tra phat ,hien 0 dich, khoanh yang, xf.r 19 triet de kh8ng de bOng phat dich trong cOng &mg.

- Tang cuerng giarn sat, lay mu benh phAm cac tubing hop yiem dutng ho hap cap tinh, yiem phoi nang tai Trung tam Y te de giri xet nghiem xac dinh tac nhan gay berth.

- TO chic thu&ng trtre phong, dieing dich 24/24 gi6 tai cac don vi y te'; cif the (lei dap Cm* nhanh, di chOng dich ca dOng Trung tam Y te 116 trg,xa the dia phuang xtr 19 dich. Hang ngay to chi:re danh gia nguy ca vã de xuat cac bin phap can thiep phit hgp.

c) Cling ttic didu

- To chose thverng trvc car p dm, thu dung, dieu tri tai Trung tam Y te huyen. Khuyen cao chuyen benh nhan theo phan tuyen dieu tri, hart che chuyen tuyen.

- Trung tam Y t huyen b8 tri khu we rieng dE dieu tri benh nhan. Khu wc each ly duce chia thanh ba don nguyen: benh than nghi ngg, benh nhan dugc than doan xac dinh ya khu ltru girt benh nhan tar& khi xuat

- Thvc hien nghiem ngat yiec kiem soat nhiem khuAn, phong cheng lñv nhiem cheo tai eac ca sä kham benh, chita benh theo quy dinh. Thvc hien dav äü cac bin phap phong ho cá nhan phong lay nhiem cho cac can 66' y t true

3

tiep tham gia dieu tra dich t6, lay mat' va van chuyan benh pham, xet nghiem, kham, dieu tri, cham s6c benh nhan va nhang nguti lien quan khde khOng de lay nhiEm benh cho can be y te.

- Chi do Trung tam Y ta t6' chire tap huan lai cho can 1)1) y t ve quy trinh cach ly, dieu tri, quail 19 ca benh, bao dam an toan cho nhan vien y to, nguai nha va Ong &rig theo quy dinh.

That hien lay mail benh pham cac true:mg hop nghi ngo mac benh, benh nhan nang, tam vong nghi do viern phai nang chua re nguyen nhan, gin mau benh pham ye Trung tam kiem sok benh tat tinh Quang Ninh dO xet nghiem xac dinh.

Thuang ”xuyen cap nhat, danh gia rat kinh nghiem trong cong tac chart (loan diet] tri, kiem thao tit vong (neu co), cap nhat phac do c.han doan, each ly, dieu tri benh nhan va phong lay nhigm phi; hop vai dc diem dich benh.

- Chan bi phucmg an, huy dOng nguOn lye, co ka hoach thu dung dieu tri de kip theri &ng pho khi dich benh bang phat Ian rOng.

- Bao cao kip theri cac truemg hop mac benh, tt1r vong tai co se( khan benh, chira benh theo qui dinh tai Thong tu so 54/20 I5/TT-BYT.

d) Cling Mc truygn thong

Cap ,nhat tinh hinh dich benh, cac khuyan r cao phong chang thuerng xuyen ten Cong thong tin then tit. cila BO Y to; cung cap thong tin cho Ong dOng.

- Tuyen truyen manh me din bin, tinh hinh dich benh hang ngay bang nhieu hinh that trail cac phuang tien thong tin dai chang, mang xã hi, Oat to roi, tuyen truyen mieng den timg he gia dinh, tirng nguti dan de mpi nguti deu nhan rO tinh chat nguy hiem va tac hai nghiem tong cüa dich do chi:mg mai vi rat Corona gay ra; th8ng tin kip tiled, chinh xac theo phuang cham lay ngiteri dan lam trung tam, lay phong ngira lam chinh, trang bi da kien thde, nang cao nhan that, 9 thirc, trach nhiem, thay doi thai dO, hanh vi cüa moi,nguai clan de hp tu phong, to' tranh, to: bao ye ban than, gia dinh minh \fa Ong 'Jong.

- Thuemg xuyen trao di, cung cap thong tin va dinh htrang dim tin kip then va chinh xac ve tinh hinh dich benh, trien khai cac bien phap phong chOng.

Xay dung cac thong diep truyen thong, cac tai lieu truyen thOng, khuyan cao phong chOng dich cho pha hop vti cac doi arcing nguy co va ph8 bien tren cac phuang tien thong tin dai chang, mang xã hOi.

Day mph truyen thong, khuyan cao phong chong dich benh tai elc xã, thi tram Tuyen truyen khuyan cao thong dip huemg dan ngueri tir Trung Qat:pc ye phai dirge cach ly, can b(5 y te theo dei sue khoe hang ngay trong vong 14 ngay, cung cap sap then thoai de nau c6 dau hieu Om trong yang 14 ngay sè thong bao ngay.

Cong khai vá duy tri hoat deng &rang day nong cUa UBND huyen.

Thuc hien viec tuyen truyen manh me voi nguai elan qua mang xa

4

hi nghi, hop them ban, khu ph6... de kip thai truyen tai cac thong dip phOng cheng dich benh.

- Phi hop guan 131, cac tin den ve tinh hinh dich benh ngan chan kip alai cac th6ng tin phong dai, thong tin sai, khong chinh xac ve tinh hinh dich gay hoang mang trong ceng clang.

et) Cang tdc h(iu can

- Can dr vao dv bao tinh hinh dich, chuan bi san sang kinh phi, vAt tu, hoa chat, phucmg tien kip then trien khai cac Men phap phang, cheng trong trutng hop dich bung phat ten din (Ong.

- Dam bao kinh phi cho viec cap cum thu dung, dieu tri nguesi benh. Thvc hien chinh sach cho cac can be thvc hien cling tac dieu tra, xac mirth ô dich, thuting trvc phong chong dich va can be thvc hien thu dung, dieu tri, charn see benh nhan.

- Ra soat so luvng hien co va xay citing ke hoach dv b6 sung thuoc, vat tfr, trang thiet bi, kinh phi phvc vv cling tac phong chong dich trong twang hqp dich Ian fang, keo dai.

- Xay di,mg phuang an tip nhan vien tra ve thaw, vat tu, hoa chat, trang thiet bi t& tuyen tren.

2. Ch ditl 2: Kb co ca xuAt hilen ye co lay nhiern trong cang dang: a) Cling Mc chi dgo, kiem Ira

Huyen üy, UBND huyen Hai Ha truc tip chi dao &Ong tac phong cheng dich. Tang cuang,hoat deng cüa dei dap Cling nhanh, dei co deng phong cheng

dich Trung tam Y te; PhOng Y te, Trung tam Y te cap nhat thOng tin, &mil ,uia tinh hinh dich benh hang ngay, tham muu kip thei \Teri Ban chi dao phong chOng dich benh de chi ciao trien khai cac boat clang ph6ng cheng dich.

CM dao trien khai cac hoat deng tang cfrang truyen th6ng phong chong dich benh, Om sat, Oat hien, xir 15/ 6 dich tai cac dia phuang.

- Tip tpc tam ding cac boat citing xuAt nhap khau, xuat nhap canh, tham than, tao me va mua ban, trao &Si hang boa cua cu dan Men giai tai cac diem xuat hang, 16i ma va cira khau Bac Phong Sinh. Ap dyng bin phap cach ly then doi 14 ngay dei voi tat ca nht-rng nguti nhap canh tLr yang dich (bo tri dia diem, dam bao an ninh, trat tv, Trung tam Y tE hat try chuyen man trong khan' theo clei ScIC khOe).

- Thuang xuyen thvc hien che de bac, cao v tinh Oy, UBND tinh, So! Y tinh hinh dich benh de co sv chi ciao kip that' va to chirc thvc hien cac chi

dao, dieu hanh.

- Duy tri che de giao ban thuang xuyen Ban chi dao phong, chang dich benh huyen hang ngay hoc det xuat khi cif) yeu eau.

- Thvc hien guy die nguti phat nein ve tin.h hinh dich benh theo guy dinh.

5

To chat cac doan kiem tra chi dao, hueng dan tai cac dia phtrcmg va danh gia viec trien khai cong the phong chong djch cüa cac die phuong.

b) Cling tric giant sat, dy• phang

Tang cueing giam sat cac truerng hap viem duerng ho hap cap c6 yeti t6 djch Calien quan, tang cueng giam sat, lay mau xet nghiem de phat hien sem cac twang hgp,mac benh, trien khai cac bien that) khoanh yang, x& lY triet de 6 djch khi xuat hien twang hop benh dau tien, khong de lan rOng.

Giam sat, theo doi hang ngay tinh trang the kit& dm nhOng ngueri co flap xác gan yeti ngtrai benh, tiep xtic gan yeti nhang truerng,hgp co sot, ho, kh6 thet ve tit yang di& trong yang 14 ngay ke tit khi tiep xac Ian cuoi; huong dan ngueri tiep ?cue gan tu theo doi sot khoe va khai bao cho co quan y te khi c6 dal hien nghi riga mac benh. Pheng Y te, Trung tam, Y te phai chü dOng nam thong tin ve tinh hinh sac kit& cua ngtrai tiep xne gan hang ngay. Cach ly ngay nhang twang hgp nghi ngify mac benh/ mac benh lid lay mu gui xet nghi01.

Day manh giarn sat din vao skr kien tai the co se Icham berth, chtla benh va Ong, dong, to chUc dieu tra phat ,hien ô djch, khoanh vUng, xir 1 triet de khong dê bang that djch trong Ong eking.

Tang cuang giam sat, lay mau benh pham the trueng hgp viem duang ho hap cap tinh,,viem ph6i nang tai cac cct soy te gui ve Trung tam Kiem sok benh tat tinh de chan doan tac nhan gay benh.

T6 chirc thuang truc phong, cheing djch 24/24 gier tai cac don vj y CO.

- Cap nhot huong clan giam sat phong cheng theo huemg dan cüa To chdc Y te The Oen va 130 Y to va the thong tin cap nhat mai ve benh, danh gia rut kinh nghiem va cap nhat cac tai lieu chuyen mon trong cong tac giam sat, chan doan, xü ly 6 djch.

c) Cang tác dint tri

Te chdc thuang truc cap dm, thu dung, dieu trj tai Trung tam Y tE huyen theo phuang cham "Bon tai cho".

- Trung tam Y te b tri khu \rue rieng d kham benh, d dieu tri benh nhan. Khu vuc each ly dugc chia thanh ba don nguyen: benh than nghi, riga, benh nhan da duce than doan xac dinh valchu km gill benh than truck khi xuat vien.

Khu vut benh nhan chart doan xac dinh: Ti Khoa Truyen nhiem (30 giuong benh)

Khu vue benh nhan nghi net: Tai Tang 1 Khu nha B (Khoa nhi ca), (30 givang benh)

Khu vvc km giQ benh nhan truerc khi xuat vien: Tai tang 2 Khu nha C (Khoa HSCC 61)-(30 giuong benh)

- Trien khai each ly, dieu trj, quan ly ca benh, dam bao an toan cho nhan vien y te, ngueri nha va cong deng theo quy dinh.

6

To chirc phan loai ngtred benh ngay ta khi ngueri benh den clang ky khan) benh tai cac ca s& kham berth, chaa benh: Phan lung va bo, tri bung kham rieng doi yeti nguevi berth cótrieu,chUng viem duCing h8 hap cap tinh , (ho,

dac biet km khi c6 yeu to dich te caa nguti benh song hoac den ta Trung Quoc trong yang 14 ngay.

T chat throng true cap cot thu&ng xuyen, lien tuc; san sang tip nhan, thu dung dieu tri, quan 19 ca benh: Khi ca ngued benh nghi ng& viem &rang ho hap cap tinh do chung mai coa vi rat Corona dugc tiep nhan va theo dai cach ly triet de tai dan vi. Khi cat dien Hen nang hoc dugc xac dinh throng tinh vOi chang vi rat Corona mai se chuyen ngued benh tai lchu each ly dieu

Thuc hien nghiem ngat viec kiem soat nhiem khuan, phong cluing lay nhie'm cheo tai cac co sey kham benh, chaa benh theo quy dinh. That hien day cla cac bien phap phOng ho cd than phong lay nhiern cho cac can be y to true tiep tham gia dieu tra dich té, lay mau va van chuyen benh pham, xet nghieni, kham, dieu tri, cham s6c benh nhan va nhang nguoi lien quan khac khong de lay nhiem benh.

That hien My mau berth pham cac twang hap nghi nger mac benh, b'enh nhan nang, tU vong nghi do viem phOi nang chin no nguyen nhan, gal mau benh pham ve Trung tam kiem soat benh tat tinh Quang Ninh.

Thuong xuyen cap nhat, danh gia rat kinh nghiem trong clang tac chan doan dieu tri, kiem that, tfr vong (neu c6), cap that phac de chAn doan, each ly, diet' tri benh than vã phong lay nhiem pha hop vai dac diem dich benh.

- To chat trim va giao ban hg‘i chan true tuyen 24/24h vai cac benh vien tuyen ten vã SO Y te.

ChuAn bi phucmg an, huy dOng ngun Irc Trung tam y t , c6 ke hooch thu dung dieu tri de kip thed timg ph6 khi dich benh bang phat lan reng.

d) Cong ttic truy'ht thong

- Cap nhat, bo sung cac thong dip truyen th6ng, cac tai lieu truyen thong, khuyen cao phong chOng dich pha hyp tinh hinh dich benh; the) hien rOng rãi tren cac phuang tien themg tin dai chang, mang xa hOi. Cung cap thong tin day dü, chinh xac, lien kw, thuong xuyen cho cOng (tong; tranh gay hoary, mang trong than clan vã du luan.

- That hien truyen thong true tiep, khuyen cao pheing chOng dich benh tai cat khau, ca s see dieu tri vã cOng d8ng.

Thuc hien viec tuyen truy'en,manh me vai nguari dan qua mang xa hOi. hei nghi, hop then, ban, thu pito de' kip tiled truyen tai cac thong diep phong chOng dich benh. Thut hien cac that &Ong truyen thong truc tiep cho nguti clan tai cOng &mg.

PhOi hop quan 19 cac tin dan ve tinh hinh dich benh ngan chan kip thOi cac thong tin phong dai, thong tin sal, kitting chinh xac ye tinh hinh dich gay hoang mang trong Ong &rig.

7

d) Cong toc hem can

Ththang xuyen ra soft b6 sung kinh phi, vat tu, h6a chat, phuang den, kip thai trien khai cac bien phap phong, ch6ng trong truerng hop dich bang phat tr'en din rOng.

Dam bao kinh phi cho viec cap dm, thu dung, dial tri ngueri berth, thkrc hien chinh sach cho cac can be thkrc hien ding tic dieu tra, xac minh O dich, thuang truc phong chong dich va can b0 thue hien thu dung, dieu tri, cham sac benh nhan.

Trien khai eke hoach du till, be) sung thu6c, vat tu, trang thiet bi phtic vy cong tac phong chong dich trong truang hop dich Ian rOng, keo dai.

e) Cong ttic phJi hpp tuy'dn tren

PhM hop chat che veri cac don vi &au m6i, tuyen trent de nAm bat Ara chia se thong tin ye tinh hinh dich benh.

3. dp d11 3: Dich Pah lay Ian tren 50 truieng hcrp mac trong Ong dOng:

a) Cling ttic chi dpo, kiitn tra

Huyen Uy, UBND huyen truc ti'ep chi dao ding tac phong ch6ng dich; huy deng, van dOng toan the Ikrc lugng xa hi tham gia cac hoat &Ong dap img dich benh.

- Tang cueing hog deng DOi dap ung enhanh, DOi ch6ng dich luu dOng Trung tam Y te va dOi chong dich ede tram y to.

Tip tyc tam dirng cac hog Ong xuat nhap khau, xuat nhap canh, tham than, tao m0 va mua ban, trao d6i hang h6a cüa cu dan bien gieri tai the diem xuat hang, loi ma va cüa khau Bac Phong Sinh. Ap dung hien phap cach ly theo dOi 14 ngay doi voi tat cá nhirng nguoi enhap canh tat vang dich (bo tri dja diem, dam bao an ninh, trt tu, Trung tam Y té ho try chuyen mon trong kham theo dOi sat khOe).

- Bao cao din bien tinh hinh dich berth hang ngay, tham muu veri Tinh UBND tinh, So Y te cac bien phap phong ‘chong dich de nhan duce skr chi

dao kip theri va to chat thuc hien cac chi dao, dieu hanh cita tinh Uy, UBND tinh, SO Y te.

Huy &Ong t& da cac nguon lye cüa huyen c16' then khai cac hoat &ling phOng dicing dich berth trEn dia ban. Rh soat, dart gia Icha ;fang dap ung caa huyen de chit dOng xay dung phuang an pheng chong dich, diet' tri. Trong tnrerng hop vuot qua kha rang caa huyen, bao cao Ban chi ciao phong ch6ng dich tinh de ea ho try kip thai.

Van dOng skr giap der caa cac th chüc, cá nhan trong va ngoai nuerc cho the hog deng pheng ch6ng dich benh.

Thuang xuyen bao cao, danh gia hieu qua cac bien pith') dap (mg d dieu chinh ket hoach pith hop veri tinh hinh thkrc te.

8

b) ("Ong Mc gitim sdt, dy. phOng

- Trion khai cac bi'en phap khoanh yang, xü ly? triet de 6 dich me-i. II-lye hien viec giam sat truemg hgp benh, dieu tra va theo dOi chat che cac throng hop tie!) Vic. Tang cueing giam sat cac chum ca benh viem dugng ho hap cap co yeu to dich te lien quan tai the ca sg kham benh, chfla benh va Ong clang.

- Tang cueing giam sat dga vao sg kien, giant sat viem ph8i nang do vi kip thoi xac minh, to chirc dieu tra ph& hien 6 dich, khoanh yang, xCr sem the

dich trong cong &Ong. Daub gia nguy ca thueng xuyen de then khai cac bien phap dap !Mg pho hop va hieu qua.

- Thugng trgc phon, chOng dich 24/24 gig tai dan vi y te. Huy dOng tOi da lgc Luang nhan vien y te, quan - clan y, y te tu nhan trong toan huyen tham gia cheng dich.

- Tang cueing giam sat, lay tau xet nghiem d xac dinh six luu hanh, bien doi, mire dO lay Ian cOa dich benh.

- Thuong xuyen cap nhat, danh gia rut kinh nghiem va cap ,nhat the tai lieu chuyen m8n trong cong tac giam sat, KY I)? 0 dich d'e kip theri dieu chinh the huemg dan, chi dao phit hgp vgi dc diem dich benh.

c) Cling teic didu

Thyc hien,nghiem tuc cong tac thugng trge cap dm, thu dung, dieu tn benh nhan thu cap dO 2, d8ng thei be sung the hoat deng sau:

- Thgc hien tip nhan, thu dung dieu tri, quail 15' ca benh vá theo dOi each ly triet de tai Trung tam Y tE (tai Khoa truyen nhiem), chi chuyen ngugi benh toi Beth vien tuyeryinh khi ce, dien bien nang. CO phuorng an chili dOng ma (Ong viec thu dung, dieu tri benh nhan, nham giarn viec chuyen berth nhan.

- Trong trugng hgp cal the ca benh nang: xin hOi chan chuyen mon veri tuyen tit hoc xinh-6 trg tuyen tir tinh.

- Thgc hien nghiem ngat viec kiam soat nhiem khuan, phong chong lay nhiem cheo tai cac ca sà kham benh, chtia benh theo quy dinh. Thgc hien day chi cac bien phap phOng hO ca nhan phong lay nhiem cho cac can bo y te true tiep tham gia dieu tra dich te, lay mau va van chuyen benh pham, xet nghiem, kham, dieu tri, chain sac benh nhan va nhang ngugi lien quan khac khOng de lay nhiem benh cho can bO y te.

- Thiet lap ea see each ly dieu tri tai chi") áp dung (Lai vgi khu cong nghiep Texhong, don vi quan c6 cac truong hop nhiem benh ( khi can thiet).

- Huy dOng ngutin than lye, vat lye (trang thiet bi, thuac, vat ur ...) cho the dan vi diéu tri benh nhan. HO trg chuyen men k9 thuat, dieu den2 nhan lye tap trung cho dia phuang c6 tinh hinh dich benh din bien phirc tap.

d) Cling Mc truidn thong

- Cap,nhat, bo sung cac thong diep truyen thong, cac tai lieu truyen thong, khuyen cao phong ehong dich phit hgp tinh hinh dich benh; ph() bie'n

9

renvai nit) the phuang tin thong tin dai chang, mang xä hi. Cung cap thong tin day cIU, chinh xac, lien we, thuemg xuyen cho Trung tam Truyen thong - van hea, ceng &Ong; tranh gay hoang mang trong nhari dan va du luan.

- Tiep tie khuyen cao ban che tap trung thing ngueri, tip )(lie vài ngueri mac benh; htrang dan sa dung phong he eá nhan.

Tuyen truyen throng xuyen veri ngued dan qua mpg xã hi, hi nghi, hop then, ban, khu pho... de kip thin truyen tai the thong dip phong cheng dich benh. Thuc hien the boat deng truyen thong truc tier) cho ngueri dan tai Ong

d) Cling Mc OR can

Xay dung kinh phi dap Ung cho cong tac phong eheng dich khan cap va dich có the kelp dai tai dia phucrng. Can dr van clu bao tinh hinh dich tie!) we be sung kinh phi, 4t tu, hem chat, phuang tin, kip tiled trien khai cac bin phap phong, cheng dich.

Thut hien chinh sach cho the can be thue hien cong tac dieu tra, xac minh ô dich, thuong truc phong chong dich va can be dux hien thu dung, diet' tri, chant sec benh nhan.

- Trien khai phucrng an huy ding ngtilin nhan luc,, vat lye (trang thigt bi, thuec, vat, cho Trung tarn Y te, huy Ong cac nguon du tra elm cong the ph6ng chong dich. Huy deng cac phucmg tier' van chuyen, cap ciru nguai mac de thu dung, cach ly, diet' tri ngueri benh.

Be sung kinh phi cho ding tac truyen thong phong cheng dich benh: chinh saa be sung thong dip ILA tai 1iu truyen thong, t6 chde cac boat deng truyen thong khan cap tren cac phuang tien thong, tin dai chang, mang xä hi ILA

truyen thong true tigp tai cong (long, quan ly tin don.

Tang cuang su ket noi van tuyen tren de nhan dugc su tre giup ye chuyen mon k5 thuat va nguen Luc cho ding tac ph6ng chang dich benh.

e) Cling Mc hvp Mc tuyan tren

- Ph ei hop chat che voi the don vi tuyen tinh de nam bat vã chia se theng tin ve tinh hinh dich benh.

IV. CAC GIAI PHAP CHUYEN MON Ki7 THU4T

I. Cie giai phi") giam mac:

1.1. Trien khai cdc hien phdp gidm sat, tint kiem ca benh, dich

Glom sat cha deng cac ca benh viena dueng he hap cap tinh nang nghi do virus tai ca sO diet} tri, tha khau Bac Phong Sinh ngan chan cac benh dich nguy hien' xam nhap.

Dieu tra dich te' va lay mu benh pham xet nghiem 100% cac ca viem duerng he hap cap tinh nang nghi do virus, dac biet cha trong cac ca benh di ta yang dich den (dc bit la ta Trung Quoc).

10

Lay matt benh pham, vd'n chuyen, bao quan gui Trung tam Klein soat benh tat tinh de xet nghiem vi rat Corona (nCoV).

Duy tri và thkrc hien co hieu qua dOi ca dOng chOng dich, dOi dap ang nhanh cüa Trung tam Y te, DOi pheing chOng dich cüa Tram Y {6, san sang khi co dich xay ra. Thuc hien >dr 19 ca benh/6 dich triet de.

- TO chirc live dich 24/24 Oa tai cdc ca so y te trong tried gian co dich.

Chun bi day dia co sO thutic, hod chat, vat tu, trang thiat bi can thiet cho &Ong tdc ph6ng, chong dich troll dia. bAn.

Thut hien giam sat va xi? 19 6 dich theo Quyat dinh sO 181/QD-BYT ngay 21/01/2020 cua BO Truerng BO Y te ve,viec Huang dan tam died Gam sat va phong chong benh viem duerng h8 hap cap do chung mai cüa vi rut Corona (nCoV).

1.2. He thong xit nghiem hogt clfmg có hien gull

Ddm bdo c6 dü h6a chat, sixth phAm, m8i truang van chuyen, bao quan be'nh pham duong ho hap con han sir dung, ddp img firth hu6ng khi c45 dich xay ra.

- CO can bt xet nghiem co the My mu benh pham theo dung qui din!).

2. Cie giii phap giam tir vong:

- Ciing c6 va kien todn dOi dieu tri va cdc dOi dieu tri cap dm ca Ong Trung tam Y te de khan] chirra benh khi c6 ngueri benh vao dieu tri va san sang 118 trg cho cdc tram y té khi co you cau.

- To chirc tap huan cho the khoa phong dieu tri theo Quyet dinh sE 125/QQD-BYT ngay 16/01/2020 ctita BO Y te ye viec ban hanh Huang dan Chan doan vã dieu tri benh viem plied cap do chimg vi rut Corona mei (nCoV) nham tang cuang nang luc chuyen mon cho nhan vien y to truc tie)) tham gia Gong tac dieu tri, phong chong dich, dc bit IA chuyen nganh Truyen nhiern, Hoi sirc cap ciru, Nhi, Kiem sodt nhiem khuan.

- BO tri khu each ly, chuAn bi dü co sO thuOc, trang thiet bi hOi sire dip ciru, xe ciru thuang dam bao ding tdc Icham chaa benh.

- Trang bi phucmg tin phong he) cho can b0 y t , phucrng tin chan doan, dieu tri cap ciru benh nhan dO dat muc tieu gram tir vong.

3. Cong tac truyen thong, gião dyc stit khae:

- Tang cuang c8ng tdc truyen thong, gido due sirc khOe, cung cap thong tin ye tinh hinh dich benh va cdc bin phdp phong chOng dich cho nguai dan de ngtrai dan khong hoang mang va chit dOng áp dung cac bien phap bao ve ban than, gia dinh va cOng dOng nhu ap dung cdc bin phap bdo ve, tang cithng vt-; sinh cá nhan, ban che den yang c6 dich.

- Tuyen truy8n den cdc doi arcing nguy co lay nhiem air Ichach nh'ap canh, nguai nu& ngoai vac, dia ban huyen Hai HA, nhang nguari tren dia ban huyen di lao dOng, lam viec và du lich tad yang có dich benh ye (dc bit air Trung Quoc).

11

- Nang cao kha nang dap ung caa h th6ng can be tuyen truyen trong vá ngodi nganh y te ye trinh d, phtrang tien, nhan lye. Huy dong cac co quan, ban, nganh, doan the tham gia ding tac tuyen truyen phong, chong dich.

- Thong bao din bin, tinh hinh dich benh hang ngay cüa cac nu& clang

c6 dich trEn cac phuang tin thong tin clai chang tai dia phucmg, cac trang tin din tit; tang cuang cong tac truyen thong, giao dye the kh6e, phô bien kien thac ye cac bin phap phong berth de nguai dan chit' dng phong, chong, biet cach tu bao ve, tang cuerng ve sinh ca nhan, hart che den vang c6 dich.

4. ang tic phi hqp lien nganh:

Chi dao cac co quan, dart vi lien quan phei hop chat che trong viec trien khai cac bin phap phOng Chong dich pha hop vai chat nang, nhiem \fa duct giao.

-,Day manh phi hop vai thanh vien BCD PCD benh caa huyen trong chi dao, kiem tra giam sat vã thuc hie'n the ke hoach phemg ch6'ng dich dac biet c6 ke hoach duy tri cac float dOng thiet yeti trong twang hop dich bang Oat rOng.

S. Gong tic chuan bi san sang viat tir boa chat, thaw vã cac phtrong tin dieu tri, chtmg dich:

Kiem tra vã du tra cla CO so thuoc, boa chat, may phun boa chat.

Cang CO del cheing dich co &Ong; DOi dap Ung nhanh Trung tarn Y te.

- Chuan bi San sang cac khu we cach ly benh than.

- Dam bao ca au thu6c dieu tri, the phucrng tin d thu dung va dieu tri benh nhan. Han che toi da lcha nang tit vong do benh.

6. Cong tic kiem tra, giam sat, thong tin, ha° cao

- Tang cuang ding tac kiem tra, giam sat dich benh va den khai cac bin phap dap dich kip theyi. Nam bat thong tin thuang xuyen ve tinh hinh dich de co Ice hoach chi dao phoi hop float Ong gitla cox ban, nganh.

Ca che thong tin, bao cao: Thu truang cac nganh chat nang, Cha tich UBND cac xà, thi wan thgc hien bao cao ve co quan thuerng tray caa Ban chi ciao phong, chong dich (Phemg Y te) theo quy dinh tai Chi thi so 02/CT-UBND, ngay 31/01/2020 caa UBND huyen Hai Ha ye pile:mg, chong chOng dich benh viem phoi cap do chang mai cña vi rat Corona gay ra.

VI. TO CHI:JC THIX HItN

I. Ban chi dao phang chismg dich benh nCoV cap huyen:

- Chi ciao, dieu hanh plied hop git'z'a the co quan, ban nganh, doan the, UBND cac xã, thi tan trong viec phOng, cheng dich b'enh viem duemg he hap cap do chang mai vi rut Corona wen dia ban huyen va cüa Ichau B'a'c Phong Sinh.

TO chat phoi hop glib the co quan, don vi, lye luong va trang dOng quan ten dia ban huyen, UBND cac xa, thi tran veri eac ca quan eüa Dang, Mat wan T6 quOc va cac doan the nhan dan nham huy Ong nguan hit tham gia va ho

12

trg thpc hien ke hoach khan cap phOng, ch6ng dich benh viem dutng ho hap cap do chi:mg mai cüa vi r6t corona.

7 - To chile thpc hien rva don d6c kiem tra cac cac co quan, ban nganh, doan the, LIBND,cac, xa, thi tran thpc hien ke hoach phong, chong dich benh viern duemg ho hap cap do chi:mg mai cüa vi rat corona.

2. Cac nganh thanh vien:

2.1. Ngenh Y te:

2.1.1. Phong Y re:

- Tham muu lanh dao UBND huyen chi dao cac dan vi y t tr8n dia ban, frac bit7 la xã Quang Due trien khai ding tac phong, chong dich benh theo tUng tinh huong. Thuerng xuyen cop nhOp, tOng hop tinh hinh dich quoc te, trong

tinh Quang Ninh vã Huyen Hai Ha, bao cao lanh dao UBND huyen.

- PhOi hgp yeti PhOng Van boa - Th6ng tin va Trung tarn truyen thong - van hoa thpc hien cong tac truyen thong phong cheing dich benh.

- Chi dao cac tram y tg:

+ Chi dao cac Tram Y t6 cac xa, thi tan xay clknig U hoach, thpc hien tOt cong tac giam sat dial chti dong vá giam sat dich thuong xuyen. Duy tri trien khai giam sat7benh dip vao sp kin. Nam bat tinh hinh dich benh ti dia phuong, hO gia dinh dé khoanh \ding va xü ly kip tiled.

+ To chic dieu tra, giam sat, phat hien each ly, xfr ly kip theri khang de dich lay Ian. Theo d'Oi, giam sat cac tnxerng hop cach ly, theo dal tai nha, tai khu each ly.

+ Thpc hien tOt cong the truyen thong, huang clan nhan dan thpc hien cac bien phap pilot-1g chong dich benh.

+ Bao cao kip tiled din bin tinh hinh dich theo quy dinh.

- Tong hop nhu cau kinh phi phong, chong dich tü cac don vi trinh UBND huyen phe duyet.

2.1.2. Trung Mm Yd:

- Chi ciao, hireling dan cac dia phuang, cac don vi thpc hien nghiern viec giam sat, phat hien serm cac truerng hop lay nhi8m.

- Phi hgp ved 1rc lugng kiem dich y th dra Ichau Bac Phong Sinh thpc hien khai bao y te theo quy dinh.

- Trienichai giam sat chat cac truerng hop di tir yang dich, ,quan 19 cac trutng hop mac benh, giam sat cOng deng, giam sat tai the co sâ y te.

- Cop nhap Ira ph o bier' huoing din giam sat, phong chong berth dich huerng dan chart doan dieu tri do BO Y te ban hanh.

- Chi dao, dieu hanh, thpc hien cOng tac cap dru, thu dung, dieu tri benh nhan, thpc hien kiem soat nhie Ichuan, phong cheing lay nhiem chef) tai Trung tam y te.

13

Tong hap nhu cau phong, chong dich ciaa dan vi trinh UBND huyen phe duyet. Dieu phoi nguOn cltr trQ thu6c va DA ké hoach de xuAt mua 136 sung thuoc trong taremg hap dich bung phat tren din rOng, keo dai.

2.2. Ph/mg Van hoa - Thong tin; Trung tam Truydn thong - van boa:

Ph61 hap voi nganh Y t thong bao din bin, tinh hinh dich benh hang ngay bang nhieu hinh thattren cac phuang tien thong tin clai chiang, mang xa hOi, Oat to Tai, tuy'en truyen mieng den tilrng ho giao dinh, timg nguti dan de m9i nguCri du nhan rô tinh chat nguy him vA tac hai nghiem trang cUa dich do chilng mod vi rat Corona gay To; thong tin kip thel, chinh xac theo phucmg cham lay ngubi dan lam trung tam, My ph6ng ngira lam chinh, trang bi dü kien thdc, nang cao nhan that, thdc, trach nhiem, thay d6i thai do, hanh vi cüa m6i nguti dan de h9 tcr phong, ttr tranh, ttr bao ye ban than, gia dinh minh va Ong (long; ben canh de, thong hoang mang, dao &Ong truck cac thong tin }<hong chinh thong ve dich benh. Khuyen cao nhan dan thong nen dry top nhang nai (tong nguti, 18 II& va nen deo khau trang tai nai c6ng Ong.

2.3. Cling an huy'en:

Phoi hop vei nganh y re, cac lrc Itrong vu trang (dac biet IA Dan Bien phong Quang Day) tang cuOng cab bin phap ngan chan, phat hien vá xCr 1Y, nghiem cac trutng hap xuat, nhap canh trai phep;

- Bao dam an ninh cho viec cach ly y t bat buOc cac truerng hap mac benh, nghi nger mac benh; chia se cac thong tin ve hanh khach nhOp canh vâi

nganh y t.

- TO chirc xac minh va xir 1Y7 nghiem cac trutng hap tung tin khOng dung ve tinh hinh dich, gay hoang mang trong Ong &mg.

2.4. Dan BMn ph/mg Quang Dar:

- Ph& hap vOi nganh y t thirm hien nghiem viec giam sat, kiem soat chat che dich tai cCra khau, chia se cac thong tin ve khach, nhap canh vOi nganh y Tam ding cac hoat dOng qua lai bien giai tai cüa khau phi, 16i m& bien giói va cUa khAu Bac Phong Sinh.

2.5. BQL khltu Bac Phong Sinh, Chi cyc Hiii Quan Bac Phong

Sinh, Kiam dich Y d ctra khau Bac Phong Sinh:

- Th6ng bao, thang nhat yeti phia ban ye chili truang tam dung car hoat clOng xuat, nhap earth hang boa, giao thucmg gitra hai ben qua Crra khau Bac Phong Sinh; Ph& hap N./6i dOn bien Phong Quang DU.c tang cuerng tuan tra, canh gac d9c tuy6n bien giOi, dixOng mon, 16i mer. Nghiem cam viec di lai, giao thuang trai phep tren cac tuyen Hen giOi, dubng mOn, loi met.

Thac hien kiem soat chat che khach qua lai tai cfra khau Bac Phong Sinh.

14

PhOi hap voi cac ca quan chat nang cüa huyen xay dtmg Ichu cach ly tai lchu vgc cüa khau.

2.6. Phbng Lao dOng - Thawing binh viz Xi?

Chi dao cac doanh nghiep lien quan thtrc hien giam sat chat che tinh hinh sire kit& etia nhiTing ngtrai lao Ong, lam viec xuat phat, tra ve tir cac khu vtrc dang có dich dc biet tfr Trung Quoc.

2.7. Phbng Gitio dye - Dao tcw:

Thong tin teci the hoc sinh,,gido vien d chu Ong khong den cac khu vyc dang có dich, dc biet khong den Trung Qu6c va ty áp dung the bien phap phOng cheing dich.

Ph O bien thong tin ve tinh hinh dich, cac bien phap phông chOng dich teri hoc sinh, giao vien; có trach nhiem tham gia the boat Ong pheing chOng dich khi ea you cau.

2.8. Phbng Tâi chink - hotich:

CO trach nhiem tham muu tbao dam kinh phi phyc vv cong tac phong, chang dich khi co nhu cat" can thiet. Ap dung thgc hien che do phy cap cl4c tha di vài cong chirc, vien chirc, ngtrai lao Ong trong cac ,co so y te va cac co quan don vi tham gia cong the phOng thong dich benh truyen nhiem nhom A.

2.9. Chu tich UBND cdc xd, thi trim:

D6ng chi Bi thy vã Chi' tic"' UBND the xã, thi tran tryc tip chi dao the co quan, don vi, ,doan the' tai dia phtrang quyet liet then khai dong bO cac giai phap theo timg cap dO dich benh.

San sang va chd Ong dap ling \fel cac tinh huong phong, ch6ng dich, han che thap nhat so ngtren mac, khong de dich lay Ian ra cOng ding; han che sO nguai ta. vong.

Chu Ong phei hop veil nganh y t6 trong viec viec triki cac hog Ong, bao dam cung cap day dU phtrang tien, vat ttr, thuoc, trang thiet bi, kinh phi cho the boat dOng phOng, ch8ng dich.

2.10. Dj nghkKhiii Agit trOn 16 auk va cdc doan the chink tri xd hOi hav'en: Chi dao the to chire thanh vien tich cut, chili Ong phi hop vai nganh y te va chinh quyen cac xa, thi tran thyc hien tuyen truyen, van Ong nang cao nhan that, tech nhiem cüa toan xa. 11'61 doi vOl cong tac phOng ch6ng dich benh nay.

VII. PHI

- Kinh phi dy phOng trong cong the phong chOng dich cda huyen

- Tü nguen kinh phi hop phap Ichae.

15

_M JAN CHI DSO o t G BAN

Ke hoach nay se dugc cap nhat, bo sung va dieu chinh thuemg xuyen, kip then de phü hgp vói din hien cu the dm tinh hinh dich cling nhu qua trinh trien khai ding tac ph6ng chong dich tren thgc te./.1p2

Noi nhfin: - UBND tinh Quing Ninh(B/c); - Huyen by Hui HA (b/c); - Cac nganh thanh vien BCD (t/h); - Um: VT.

ND HUYtN Ph4m Xuan Dal

6