.e

BOYTE CONG HOA xA HOI CHU NGHiA VIET NAM. . .

S6: J3 /CT-BYT

D{)cl~p - TV do - H~nh phuc

HaN(>i,ngayJ.1 thdng 10 ndm 2020

CHiTHIV~ vi~c tang ctrong cong hic phong ch~ng dich b~nh mua dong xuan

Hien nay tinh hinh dich benh tren thS gioi vfin di~n biSn plnrc tap, dai dichCOVID-19 vfin tiSp tuc bung phat; benh truyen nhiem nguy hiSm nhu benhMERS-Co V va mot s6 benh luu hanh nhu benh s6t xu~t huyet, benh tay chanmieng, benh soi, benh bach hfru vfin gia tang tai nhieu quoc gia; cac chung cumgia earn d9C lire cao vfin co nguy co bung phat va xam nhap vao mroc tao TaiVi~t Nam, dich COVID-19 da:va dang diroc kiSm soat t6t, trong nhieu ngay quakhong ghi nhan tnrong hop m~c tai cong d6ng, song nguy co ghi nhan ca benhmoi vfin hien hiru; da s6 benh truyen nhi~m luu hanh co xu huang giam nhungvfin co s6 m~c cao, gia tang C\1Cb9, ghi nh~n cac 6 dich t(;lim9t s6 dia phuO'llgho~c co s6 illvong cao nhu b~nh s6t xu~t huySt, b~nh tay chan mi~ng, b~nh b(;lchhfru, b~nh d(;li;cac 6 dich cum tren gia cfrm vfin ghi nh~n rai rac t(;lim9t s6 tinh,thanhph6.

Trong nhfrng thang mua dong xuan cU6i nam 2020 va dfru nam 2021, tinhhinh dich b~nh co nguy cO'cao tiSp t\1Cdi~n biSn phuc t(;lP,b~nh COVID-19 chuaco v~c xin d\1phong, cung v6i nhiSu ySu t6 b~t lqi (hi~n vfin dang trong mua muakhu V\l'CmiSn Nam, thai tiSt l(;lnh~m khu V\1CmiSn B~c, ng~p l\1tkhu V\l'CmiSnTrung, thay d6i b~t thuemg vS khi h~u, qua trinh do tm hoa, S\1gia tang giao luudi l(;li...) t(;lodiSu ki~n r~t thu~n IQ'icho cac b~nh truySn nhi~m bung phat, d~c bi~tla cac b~nh nhu COVID-19, sai, rubella, b(;lchhfru, ho ga, s6t xu~t huySt, tay chanmi~ng .... DS chu d9ng va tang cuemg cac bi~n phap phong ch6ng dich b~nhtrong mua dong xuan, nh~m h(;lnchS t6i muc th~p nh~t s6 truemg hgp m~c va tuvong do b~nh truySn nhi~m, B9 truang B9 Y tS chi thi:

1. so-y t~ cac tinh, thimh phB

- Tham muu cho Uy ban nhan dan tinh, thanh ph6 quySt dinh ki~n toan BanChi d(;lophong ch6ng dich tinh, thanh ph6; d6ng thai dS xu~t dS Uy ban nhan dantinh, thanh ph6 chi d(;loki~n toan Ban Chi d(;lophong ch6ng dich cac c~p, giaotrach nhi~m C\1thS cho timg thanh vien Ban Chi d(;lo.

- TiSp tvc tham muu v6i Uy ban nhan dan tinh, thanh ph6 chi d(;lochinhquySn cac dja phuO'llg, cac So', nganh duy tri triSn khai quySt li~t cac hO(;ltd9ngphong ch6ng djch COVID-19 theo cac chi d(;locua Chinh phu, Thu tuang Chinhphu, Ban Chi d(;loQu6c gia va B9 Y tS v6i quan diSm khong chu quan, 10'la, kienquySt ngan ch~n cac ngu6n lay, khoanh vling, xu ly tri~t dS 6 dich; duy tri va th\1chi~n hi~u qua cua t6 phong ch6ng dich COVID t(;liC9ng d6ng.

- Chi d(;locac dO'nvi y tS d\1phong tang cuemg giam sat t(;lic9ng d6ng, cuakh~u, phat hi~n sam, dap Ung kip thai, d~c bi~t la b~nh COVID-19, MERS-CoV,cum A(H7N9), b~nh cum A(H5Nl), A(H5N6), chu tr<.mgtriSn khai cac bi~n

phap phong chong benh dai, cac benh dich lay truyen qua duong ho h~p (bachhau, soi, rubella ...) va cac benh luu hanh (tay chan mieng, s6t xu~t huyet. .. ), xuly triet dS cac 6 dich, khoanh vung, khong dS bung phat Ian rong,

- TiSp tuc t6 clnrc chien dich diet bo g~y quy mo IOn tai cac tinh, thanhpho; duy tri hoat dQng diet bo g~y (hang tuan tai khu V\fCco nguy co cao, hangthang tai khu V\fCkhac), phun hoa ch~t chu dong khu V\fCnguy co cao.

- Tang cirong trien khai hoat dQng tiern chung thuong xuyen va tiem chungdich vu, dam bao ty l~ tiem chung dat 95% tren quy mo c~p xft; thuc hien tiemchung an toan trong b6i canh dich COVID-19, xu ly kip thai cac phan ling sautiem chung. D~y nhanh tiSn dQ triSn khai kS ho~ch tiem chung thuemg xuyen vatiem b6 sung dft dugc BQY tS phe duy~t.

- Chi d~o cac ca sa kham b~nh, chua b~nh th\fc hi~n t6t cong tac thuemgtr\fc c~p cUu, phan lo~i sang 19cb~nh, phan lu6ng kham b~nh, thu dung, cach ly,thl;l'chi~n nghiem vi~c kiSm soat nhi~m khu~n b~nh vi~n, khong dS lay nhi~mcheo trong b~nh vi~n.

- T6 chilc tuyen truySn cac bi~n phap phong, ch6ng djch b~nh thuemg g~ptrong mua dong xuan, thong di~p 5K phong ch6ng COVID-19 (g6m Kh~u trang _Khu khu~n - Khoang cach - Khong t\1 t~p - Khai bao y tS) dSn tUng hQgia dinh,cQng d6ng vai cac hinh thilc va ngon ngu phu hgp vai tUng dia phuang.

- Ph6i hgp ch~t che vai nganh Giao d\1cva Dao t~o dS triSn khai m~nh mecac ho~t d<)ngphong ch6ng djch b~nh t~i cac ca sa giao d\1c, d~c bi~t la phongch6ng COVID-19; th\fc hi~n v~ sinh thuang xuyen truemg h9c; b6 tri du xaphong, nuac s~ch; phat hi~n sam cac truemg hgp m~c b~nh t~i cac ca sa giaod\1c, thong bao kip thai cho ca quan y tS dia phuang.

- Ph6i hgp nganh Nong nghi~p va Phat triSn nong thon, nganh Congthuang, Cong an, Quan dQi va dan vi lien quan trong vi~c giam sat, phat hi~nsam, xu ly tri~t dS cac 6 djch 6 d<)ngv~t, d~c bi~t la cum 6 gia c:1m;phong ngua,ngar; ch~n v~n chuySn, kinh doanh gia c:1mva cac san ph~m gia c:1mkhong r6nguon goc.

2. Cae Vi~n V~ sinh djeh t~,Vi~n Pasteur

- Thuemg xuyen danh gia, phan tich djch t~, nguy ca bung phat djch d6i vaitung b~nh truySn nhi~m va d\f bao di~n biSn tinh hinh djch dS tham muu, dSxu~t giai phap phong ch6ng djch d6i vai tUng khu V\l'C,tUng tinh, thanh ph6.

- T6 chilc va duy tri cac d<)idap ling nhanh, h6 trg dja phuang giam satdjch b~nh, khoanh vung, xu ly 6 djch, xet nghi~m h6 trg va chuySn giao kythu~t, nang cao nang l\fc xet nghi~m cho cac dan vj, dja phuang.

- Giam sat, h6 trg dia phuang d~y m~nh triSn khai cac ho~t d<)ngphongch6ng djch COVID-19; chiSn djch di~t b9 g~y, phun hoa ch~t xu ly 6 djch vaphun chu d<)ng t~i cac diSm nguy ca ca~; d~y nhanh tiSn d<)th\Ic hi~n cac kSho~ch tiem v~c xin phong ch6ng dich, kS ho~ch tiem b6 sung v~c xin; ra soat,th6ng ke d6i tugng tiem chung.

2

3. Cac Benh vien true thudc BB Y t~. . . . .- T6 chirc t6t viec viec phan luong kham benh, thu dung, each ly, c~p ciru,

thuc hien nghiern tuc viec kiem soat nhiem khuan, khong d@lay nhiem cheotrong benh vien, d~c biet la cac khoa co nguy co cao lay nhiSm nhir h6i sire c~pciru, th~n nhan tao, truyen nhiem. T6 chirc tuyen truyen cho nguoi benh, nguoicham soc vS cac bien phap phong benh, phong lay nhiem tai co sa y t~.

- S~n sang cac dQi c~p cuu co dQng cua benh vien d@kip thai h6 tro cacdan vi tuyen duoi khi co yeu c~u. Tang cuong cong tac chi dao tuyen va h6 trotuyen duoi, d~c biet la h6 tro trong cong tac t~p hu~n vS ch~n doan, phan lo~ib~nh, diSu tri, cach ly, phong ch6ng lay nhiSm cheo.

4. CI}CY t~ d1}'phong

- Tham mUll cho Lanh d~o BQY t~ ti~p t\lCchi d~o cac dia phuang, dan vithvc hi~n nghiem tilc chi d~o cua Chinh phu, Thu tu6ng Chinh phu, Ban chi d~oqu6c gia vS cong tac giam sat va phong ch6ng dich b~nh d~c bi~t la COVID-19,b~nh d~i, b~nh s6t xu~t huy~t, b~nh tay chan mi~ng, b~nh b~ch h~u va cac b~nhtruySn nhiSm mua dong xuan.

- Chi d~o, don d6c, ki@mtra cac dia phuang, dan vi thuQc h~ y t~ dv phongtri@nkhai cac bi~n phap phong, ch6ng dich b~nh, nang cao ch~t IUQ'llgcua ho~tdQng giam sat, phat hi~n sam cac truang hQ'Pm~c mai, cach ly kip thai, l~y m~uxet nghi~m va tri@nkhai cac bi~n phap xu ly tri~t d@6 dich.

- Chi d~o cac dia phuO'ng tang cuang cong tac tiem chung rna rQng, cacchi~n dich tiem chung ch6ng dich, chi~n dich tiem chung b6 sung va d~y m~nhtiem chung dich V\l.

5. CI}CQuan If kham, chua b~nh

- Ti~p t\lc chi d~o hi~u qua cong tac thu dung, cach ly, diSu tri b~nh nhanCOVID-19; thvc hi~n phan tuy~n diSu tri b~nh nhan m~c b~nh truySn nhiSm,bao dam t6t vi~c thu dung, cach ly, c~p Clru,diSu tri b~nh nhan, phong ch6ng laynhiSm cheo, xay dvng phuang an rna rQng diSu tri khi dich b~nh Ian rQng.

- Chi d~o xay dvng phuang an thuang trvc, dv tm cO's6 thu6c, dich truySn,v~t tu, hoa ch~t, b6 tri cO's6 giuang b~nh, phuang ti~n c~p Clruva c~p Clrungo~ivi~n, s~n sang dap t'rngphong ch6ng dich b~nh.

6. CI}CQuan If MBi truCrng y t~

Chi d~o cac dia phuang tri@nkhai cac ho~t dQng v~ sinh moi truang, tangcuang v~ sinh ca nhan; giam sat ch~t IUQ'llgnuac dung cho an u6ng, sinh ho~t vacac cong trinh v~ sinh t~i hQgia dinh.

7. CI}CQuan If du(}'c

Chi d~o cac b~nh vi~n, cong ty duQ'c ph~m tinh, thanh ph6 xay dvng vatri@nkhai k~ ho~ch dV tru thu6c ph\lc V\l phong ch6ng b~nh dich va chua b~nhd@dam bao cung t'rng du thu6c, khong d@xay ra tinh tr~ng thi~u thu6c diSu tri,tang gia dQtbi~n, tang gia hang lo~t.

3

8. VI}.Truy~n thong va thi dua, khen thurmg

- Xay dung kS hoach t6ng thS truyen thong phong chong dich benh truyennhiem, tiSp tuc dAymanh cac hoat dQng thong tin va truyen thong nham nangcao nhan thirc vS phong chong dich COVID-19 va cac dich benh khac cua caccfip uy Dang, chinh quyen dia phuong va cong d6ng.

- Chi dao tang cuong cac hoat dQng tuyen truyen voi ngon ngfr phil hop taitirng dia phuong vS nguy co mAc benh truyen nhiem thtrong g~p mila dongxuan, cac bien phap phong chong va tiem vAcxin phong benh.

9. Trung tam Truyen thong giao due sue khoe Trung urmg

Bien soan, san xuat cac loai tai lieu truyen thong phong chong dich benhmila dong xuan; t6 chuc truySn thong giao dvc suc khoe, v~ sinh moi truOng, v~sinh ca nhan, bao dam an toan thvc phAm va v~n dQng nguai dan tham gia tiemvAcxin phong b~nh dung Iich, du mlii tiem.

10. VI}.K~ ho~ch - Tai chinh

T6ng hc;rpnhu cfiu va dS xufit phan b6 kinh phi phong, ch6ng dich b~nh chocac Vv, Cvc, cac dan vi thuQc, trvc thuQc BQ Y tS. Huang d§n cac dia phuang,dan vi thvc hi~n cac chS dQphv cfip d~c thil va chS dQphv cfip ch6ng dich dambao dung qui dinh.

Nh~n duQ'c Chi thi nay, Thu truang cac dan vi thuQc, trvc thuQc BQ Y tS,Giam d6c Sa Y tS tinh, thanh ph6 triSn khai ngay cac ho~t dQng tren, dinh kyhang thang bao cao kSt qua thvc hi~n va bao cao dQt xufit vS BQY tS (Cvc Y tSdv phong).

Noinh~n:- PTTg Vii Duc Dam (d~ bao cao);- Van phong Trung uang Dang (d~ bao cao);- Van phOng ChU tich nuac (d~ bao cao);- Van phOng Chinh phU (d~ bao cao);- D/c Quy8n B<)truang (d~ bao cao);- Cac D/c Thu truang B<)Y tS;- UBND tinh, thanh ph6 tqrc thu<)cTrung uang;- Cac Vv, Cvc: YTDP, QLKCB, TT-TDKT;- Cac dan vi tr\!'Cthu<)cB<);- Sa Y tS tlnh, thanh ph6 tf\l'Cthu<)cTW;- Trung tam KSBT, YTDP tinh, thanh ph6;- Luu: VT, DP.

4