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QUvETlllNHI_~S(?~! Tlc'_'!-!,L\I D·ua;~';~h~ duy~t "K~ hoach hanh dQngphong ch8ng dich cum A(H7N.9)I D \i\,-S-6:-~~-, , " , ,,,~-,, t~i Vi~t Nam"

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_____c? (r,r-Xet d~ nghi cua Cl,IC tnrong Cue y t~du phong, iQUYET DlNH: f I

f)i~u 1. Phe duyet "K~ hoaeh hanh dQng phong ch5ng dich cum A(H7NP~tai Viet Nam'', I i

f)i~u 2. KS hoaeh hanh o¢ng phong ch6ng djch cum A(H7N9) t?i V~~~Nam lit din eu d6 cac dja phucmg xay dung k8 hoach heat dQng eu th~ tai rumgdia phuong va trlnh Oy ban nhan dan tinh, thanh ph5 dAu tu kinh phi d€ th qhi~n. I

f)i~u 3. Quy~t dinh nay co hi~u l\l'c k6 ttr ngay kv, ban hfmh va thay tQuyet dinh s5 1126/QD-BYT ngay 05/4/2013 ella BO"truang B9 Y te v€ viban hanh "K~ ho?ch hanh d9ng phong chang dich cum A(H7N9) t~i Vi~tNam '.

Di~u 4. Cac ~ng. ba: Chanh Van phong Bo; Chrinh Thanh tra BQ; V~tru6'ng; ~lJe tru6n~; T6ng C,1JCtru6ng cac Vv~Cve, TAng Cl,lC thuoc Bo Y ~~~Giron doc. So Y te; Giam doc Trun~ tam Y te d\l' phong cae tinh, thanh p~o~Giron d5c Trung tam KiSm dich Y te qu6c tS eac tinh, thanh ph6; Thu truOngj)jt8 cae B9, nganh; Thu truang cac don vi co lien quan chiu tnlch nhi~m thi hanri

J. .. .... ~ _ ! iQuyet dlnh nayJ. I ;KT. nO TRU'ONGTHir" TRUONG

(da ky)Nguy~n Thanh Long

sa Y TE HAl DUONG SAO Y BAN CHiNH

S6: 03/SY -SYT HcdDuong, ngay 02 thimg 3 nam 2017

Nui nh~n:- Cac don vi tnrc thu9C;- PhOngNVY;- Luu: VT.

s8\ ChUng thu: BQY ISco; '. ; Ngay Jcy: 23/02/201711:19:51~'...J H~ thong VOffice B9 Y Te

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2. Th~i ti~t giao mila Ia di~u ki~n thuan loi cho cac benh duong ho hAp va di~lcum gia cam lay Ian va bung phat.

, 3: Ngu6~ ta.y benh vfin chua ducc xac dinh ro rang, chua xac dinh duoc cJcyeu to dic~ te lien, quan gitra cac ~emg hQPmac benh, Nh?11g ph§n I<?'nnguai m~cb~nh c6 tien sti tiep xuc voi gia cam va su dung cac san pham illgia cam. I, .4. Vi rut rut cum ~(H7N9) khong gay benh va khong gay chet gia cAm vi VIrilt kh6 phat hien gia cam nhi~mvi rut.

S. Hien chua co v~c xin phong benh, chua co thu5c di~u tri d~c hieu, cac bi. npha~ phong benh hien nay chu y~u dua vao v~ sinh en nhan va ngan ngira l~Ytruyen tai cong dong. I

I

II. MVC TIEU I

1.M\lc tieu chung: I, Phat hien sorn, xu 1.9kip t. hiYikhOng de dich lay lan, h\m ehe d&! mire thip

nhat tu vong do dich clml ACH7N9).2. Ml}c tieu cl} th~ theo t1nh huAng djch: I2.1. Tinh Iwang hClzu'aco IntUng11(1pbfllh tretl nglriri. i

Phat hi~n s6m cae truemg hQP rn~c b¢nh cum ACH7N9) dAu tien xam nh pv~o Vi~t Narn ho{ic xufit hi~n t?i cQng dang d~ xu ly tri~t dS, trarm Hiy Ian ra co g!dong.

2.2. Tinlt huang 2: Co eae Irlf?mg h{1pnhilm ellm A (H7N9) tren ngtrlJi nhmgcltll'a ph at hi~fl lfiy tir ngll'(),jsang nglroi. . I

Khoanh vilng, xir ly kip thm triet de eae 6 dich nhfun han eh€ th~p nhdt vifellay Ian dieh tit dQng v~t sang nguai ho~e illnguai sang nguCri. i1.3. l1n" lmlmg 3: Pluff IIi?n co cac trltirng h(JPnhilm cum A(l17N9) lay tlfngzrbi sang IIgltol IlI11mg it pJz(1mvi hfP /1O(1e nlrlmg ca tJO'flIi. I

• 't. \ t .r:Dap (mg OOanh khoanh vimg, xu ly kip thai tri~t de cac 0 djeh nham h~n c e

thdp nh~t vi~c lay Ian ra c¢ng d6ng.2.4. Tinlt huang 4:DicIt bungpltat ra C~ftgdOng.

Giam thi~lItac dQngcrmdieh d5i v6i CU9C s6ng eua nguai darl.IU. cAeH04T DQNG CHlNH

1. nnh huAng 1: Chtra co trrrOng hgp bfnh tren ngrrOi.TiIDg cuang ho~t dong eua Ban chi d~o ph6ng ch5ng dieh b~nh nguy hi~mrn6i nbi cae cdp. Xiiy dl,l11gk€ ho~ch phong ch6ng dich cac edp trinh VBphe duy~t; ehi d~o tri6n khai cae hOl?tdQng t1;1icac don vi y t€ dia phuang.

• Ph5i hQ'PcMt che v6'i nganh nong nghiep theo doi tinh ~inh dich ~enhvalUll hanh eua chting vi rut cumA(H7N9) tren eae dan gia eam, thuy cam.

Ph6i hop voi nganh nang nghiep, nganh cong thuong tang cuong gifun~.kiern tra nl1~pkl1~ugia d.rn, san ph~m gia dm qua bien gioi, ngan ngira .l~u gia cAm nham ngan chan kip thoi gia dm khong ducc kiern djch xa';TInh.1PVa? Vi~t Nam. Bay manh cac heat d¢ng quan 1y mua ban gia cam, '}ham h~che vi~e hru thong gia earn khong duoc kiem djch, khong ro nguon goe tren itnrong.

- Tlnrc hien t6t vi~c giam sat nguoi, Q¢ng v~t va hang h6a tai cua khau va uvue bien gioi; thuc hien viec kiem tra sang IQcnhfun phat hi~n cac tnrong hnghi ngo tai cira khAuthong qua sir dung may do than nhiet tit xa.

- CI~udOng giarn sat phat hien die tr:uang hQP benh, tang cuong giam sat tai e4cdiem ghim sill cum In;mgdiem quae gia va dic khu vve ~6 n~y co eao. Ti~p!t~ICthlJc hi~n giam sat eac truOng h9'P viem duang ho hap cap tinh khong ~'anguyen nhan, giam sat cae truang hqp viem duang h6 hftp efip n~g t~i c cdi~m giam sat trQIlgdi€m (SARI), giam sat cae trucmg hqp viem ph6i n?J1gt icae b¢nh vien tren toan qu6e (SPV). giam sat dva vao SlJkien CEBS),rna r¢llggiam sat cac d6i tugng n~uy eq ea~ e6 tikp xuc v6'i gia dm nhu ngum eh Inuai, buon ban, ,v~ ~huy~n, ~iet mo gia earn, d~e bi¢t nhfr;1gngum, buon b I

t?i cac chg gia cam dau moi de phat hien s&rn trubng hQ'Pmac b~nh dau tien. !

Vi~t Narn eta c6 du nang lye daxct nghi~rn cum A(H7N9). Tuy nhi~n d~ n itcae vi~n VSDTlPasteur tiep We hom chinh guy trinh xct nghi~m, to chue t pihufin cho die can bQxet nghi~rn quy trinh c~p nh~t. Chu6n bj sfut sang cac tr gthi~t bi, sinh phfun y t~d~ xct nghiem chfuJdOMxac dinh vi rut cum A(H7N9 .

- Cac C(J sa kham, chua b~nh chufuIbi s~n sang ecrs6 thu6c, khu Vl,l'ecaeh ly; ssang t6 chuc t6t vi~c thu dung, caeh Iy, di~u tri b~nh nhan, h~ ch~ tfr vong ic6 b~nh nhun. Thj~t l~p m~g lucri cae dan vi thu dung di~u tri b~nh nhan euA(H7N9).

- Xem xct c~p nh~t cae hu6ng dAnkj thu~t v~ giam sat, dv phong xu 1:96 dic ;huang dful chAndoan ditu trio I

, • '\, ~.ITiep t1,leday m~nh cae ho~t d¢ng tuyen truyen kip thai cung cap thong tin ~nguai dan khong hoang mang 10 lfu,g, thl!e hi~n t6t cae bi~n phap phong b~nh I

- Ki~n toan cae doi ch6ng djch ccr d¢ng (RRT), doi dp eCruluu dong; t6 ch dthuang lIVephong" ch6ng dich t~i cac dan vi y t€. H6 trQ'dia phuang ki~n to ~cae doi ecrdong chong dieh. '

- Chudn hi sin sang kinh phi, v~t tu, h6a chdt, phuang ti~n, kip thai tri~n khai cbi~n phap phong, ch6ng khi e6 dieh xlly ra.

- Ph6i hqp ch?t che vai TB chue Y te the gi6'i, d~u m6i IHR va cac T6 chue qut€ khae eang nhu cac nuae trong khu Vl,l'e,d~c bi~t la Trung QU6c, H6ng Ko(TQ) d~ kip thai n~m b~t thong tin thl!c hien cac bi~n phap phong ch5ng dieh.

- T6 chue cae doan ki~m tra giam sat, hu&ng dfu1 t~i cae dia phuong.

- Kinh hoat van phong dap tmg khAn cdp voi dich benh (EOC) n~u tinh hj' . 1qu6c t~c6 nhirng di€n bi€n phiro tap.

2. Tinh huang 2: Co cac truong hQ'Pnhi~m cum A(H7N9) tren ngu'O'inh gchtra phat hi~n liiy tif ngU'o; sang nguirl :

- Ban chI,dao phong chong d,ichb~ryhnguy hiem va moi n6i cac .d.P t6 clnrc hfiphang ~an va d<)txuat de thong nhat chi dao trien khai cac heat d<)ngtal cac dvi y te dia phirong.Kinh hoat Van phong dap irng khAn edp voi dich benh (EOC), thea doi sat di nbi,€ntlnh hlnh trong va ngoai mroc. Cung d.p thong tin kip thai cho ban chi 040de c6 nhtrng dap img phu hop. iNang mire canh bao cong d6ng d~ chlnh quyen va ngiroi dan neu cao tinh th~c.anh giac, tich C\[C chu d<)ngthllChi~n cac bi~n phap ch5ng dich. . j. I

Chu d<)ng giam sat phat hi~n cae wOng hop b~nh, tang cuemg giam sat c' Ctnremg hop viem duang ho hlip cAptinh khong ro n~uyen nhan. Ti~p:tvc th. Chi~n giam sat cae truang hop viem duang ho hap cap ni;ingt?i cac diem ghlsat trc,mg di€m (SARI), tiep t\lc gitim sat cae lrWJI1g hqp viem ph6i n~g t~i c cb~nh vi~n tren toan qu5c (SPV), giam sat dva VaG SlJki~n (EBS). D?c bi~t th. Chi~n 16tvi~c giam sat nguai, o<)ngv~t va hang h6a t?i clia kh~u va khu yVC bi ngiui. Ap dl:ltlg hinh thuc khai baa y t~ t?i cae Ctta khfru qu6c teoTIwc hi~n tri€n khai cac bi~n phap cach ly ch1;1tche cac truang hop m~c b~cfing nhu nghi nga; di€u tra, thee doi ch~t che suc kh6e cac truang hop ti~p

- Ph6i hop ch?t che v&inganh nong nghi~p xu ly tri~t d€ cac 6 dich cum A(H 9tren cac dan gia dm, thuy cfim.

- Ti1ng cubng gianl sat, xet nghi~m de xac dinh s\!' luu hfl.nh, bi@n 06i, I11UCdQ 1 Y i

Ian vi rut cUmA(H7N9).- Cac co sa kham, chua b~nh tf> ch{rccac kIm V\l'C, cach ly rieng, d~c thil cho vi c

di€u tri b~nh nhan cUmA(H7N9).- Tf> chuc thuang trgc phong, ch6ng djch cyi cae don vi y t€; cac dQ,ich6ng di

co d<)ng(RR T), dQi dIp Clm lUlld<)ngh6 trg cac dia phuong xu Iy 0 dich.- Thuang xuyen danh gia rut kinh nghi~m trong cong tac giam sat, ch~ do

di~u tri, dlJ phong xU ly 6 dich d€ klP thai di6u chinh cac hu6ng ddn, chi d aphu hqp vai d~c diem djch b~nh.

- Thuang xuyen c~p nh~t cac thong tin, sUa d6i cac thong di~p truy€n tho ,khuy~n cao phong ch6ng dich phil hop voi cac d5i tuqng nguy ca.Tiep tl)c dAyrn~ cac ho~t d<)ngtuyen truyen 19P thai cung cfrp thong tinnguai dan khong hoang rnang 10 lfutg, thlJc hi~n tot cae bi~n phap phong b~nh

- Can cli vao dt,rbaa tlnh hlnh dich tiep tvc bO sung kin}}phi, v~t !U, h6a chphuang ti~n, kip thm trl€n khai cae bi~n phap phong, chong dich de phong dj Ibung phat tren di~n f<)ng.

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I- Tlnrong xuyen danh gia rut kinh nghiem trong cong tac giam sat, chc1ndo

di~u tri, du phong xu ly 6 dich d~ kip thai di€u chinh cac hirong dfuI, chi d.ophu h91' voi d~c di~m dich benh.

- Thirong xuyen e~p nh~t cac thong tin, sua d6i cac thong di~p truyen thon ,khuyen cao phong chang dich cho phu hop voi cac d6i nrong nguy ca.

- Ti~p tuc dAyrnanh cac heat dQng tuyen truyen kip thM cung cdp thong tin ~ngtroi dan khong hoang mang 10 lang, thuc hien tat cac bien phap phong benh

- Can cir van dir bao tinh hlnh dich ti~p tuc b6 sung kinh phi, v~t tu, h6a ch 1,phirong tien, kip thai trien khai cac bien phap phong, chang dich o~phong d] hbung phat tren dien rong. i

, ".' , i- Yeu cau cac dan vi, co sa san xuat, cung cap cac dich V\l thiet yeu xay dlJIlg cae

k€ ho?ch dam bao cung d.p dich VI,l trong wang h91' dich bung phat ian rQng.- PhM hQpch~t che v&iT6 chacY t~ th~giai, dAumM IHR va cac T5 chuc qu e

t€ khac d~kip thm nb b~t thong tin thl,1'chi~n cac bi~n phap phong ch5ng di h- T5 chue cae doan ki€m tra giam sat, hu6ng dfuJ41i cae dia phuong.- Th1,l'chi~n bao cao hang ngay va chia se thong tin kip thm.4. Tlnh huang 4: Djch bung phat ra cqng dang.

- T6 chuc hop Ban, chi ,O?Oph?ng chang di9h b~nh nguy hi~m va mai n6i vao~4gilt hang ngay de thong nMt chi d?o triEn khai cae ho?t dOng t<ti ng!inh, dr"phuong. ITiep D,lC duy trl tinh tr?ng ho?t d9ng cua Van phong dap (mg khAnc~p vai diqhbenh (EOC). i

- T~6n&ba? muc c[mh ba~ cc)ngd6pg cao nhk ~em,xet mue d9 nghiem tr9qgde xuat dip c6 tham guyen ban bo tinh tr~ng khan cap thea quy dinh eua Lu)phong ch5ng b~nh truy~n nhi€m.

- Ph5i h9P vrn eae nganh de xuftt ehinh quy€n dja phuO'llgdong eua cae chq bu nban va cO'sa gi~t me, gia dm.Phai hoP v6i cae BQ, ngfmh h6 trg cac dan vi, 0'sa san xudt, cung dp cac djch Vl,l cung cdp dich V\l thi6t y6u cho ngum dkhong d~r5i IOl;lllcae ho~t d(>ngve kinh t~xa h91.

- T6 chuc khoanh vung 5 djch, tri€n khai cae bien phap h?ll ch€ di l~i,ap d\l gcac bi~n phap phong b~nh r<)ngrai, b~t bui)c d5i vrn toan bi) nguai dan tro gkhu V1,l'C {) dich.

- Bao cao hang ngay tlnh hinh di€n bi~n cua dich, thuang xuyen va tharn m 1

cho Ban Bi thu, Thtl tuang Chinh phtl, Van phong Trung uO'ng Dang, V'phong Chinh phu cac bien phap phong ch5ng dich d~ nh~. dugc cae .chi d 0kip thai. Trong wang hgp dich bUngphat amuc dc)nguy hiem, kh6 kiem soat,c6 th~ tham muu Thil ru6ng Chinh phu trinh Uy ban thl1crng VI,l Qu6c hQi ho' cChu tjch nuCtccong b6 tinh tr~g kh~ndp.

6

- Huy dong cac ban, nganh doan th~ tham gia VaG cac d¢i sa ciru, huang d?lngiroi benh va nguoi nha b~nh nhan cac bien phap cham soc va phong benh,

- T6 chirc thirong true phong, chong dich tai cac don vi y t~;eu cac doi ch6dich ca dong (RRT), dQid.p ciru hru dong h6 tro cac dia phuong xu 19 6 dich,

- 'Thi~t l?p cac benh vien d~ chien t~!~c khu VI,TC dong benh nhan tranh qua t iibenh vien. M6 rong cac don vi y te tiep nhan benh nhan, phan loai benh nh Idi~u tri tai cac tuyen: d6i voi tnrong hop nhe theo d5i, di~u tr] tal Tram Y t€ a!han che di chuyen benh nhan.

- Tang cUCrnggiam sat, xct nghi~m d~ xac dinh S1/ luu hfmh, bi~n d6i, muc do I ylIan vi rut cum A(H7N9). !

- ThuOng xuyen danh gia rut kinh nghi~m trong cong tac giam sat, chfuI do 11di~u tri, dV ph6ng xu ly 6 dich d~ kip thai dieu chinh cac huang dfrn, chi d.olphu h9]) vai d?c di~m dich b~nh. I

i

- l1mang xuyen C?P nh~t cac thong tin, sua d6i cac thong di~p truy~n thonJ,'!khuy€n cao phong ch6ng dich cho phu hqp vai cac d6i tUQ11gnguy ca. ITiep tl,lc dAym~nh cae ho?t dQn&tuyen truytn ~ip thai cung c§p thong tin elnguai dan khong hoang mang 10 lang, thl,TChi~n tot cae bj~n phap phong b~nh :

- T6ng hQ'Pnhu du kinh phi, v~t w, h6a chAt, phuO'l1gti~n tit cae don vi tim clBQy t~,cae tinh, thanh ph6 trlnh Thuwang Chinh phli dp b6 sung. I

- Keu gQi cac T6 chuc qu6c t~h5 trQ' kip tho; thu5c khang vi rut, trang bi pho g!ho va cac thu6c v~t tu h6a chat phvc VI) phong ch6ng djch. IT6 chuc cac doan ki~m tra giam sat, huang dfrn t~i cac dia phuong. I

IV. cAeGW PHAP CHUNG

1.T8 chirc, chi d~oT(li trullg lfong:

Tang cUCrngho~t dOng Ban chi d?o phong ch6ng dich b¢nh nguy hiem va m Un6i, dfty m~nh ho?t dong cae ti€u ban, muc dOho~t dong thea timg tinh hu6 gjdich, dot xm1t,hang tuftn, hang ngay. I

- Thvc hi~n giao ban tr1,!c tuy~n hang tuAn, dot xu:it, hang ngay dam bao fuuxuyen trao d6i thong tin v& tinh hinh dich gifra trung uang va cac khu Vl,l'C. :

, , l, i- C{ipnh?t tinh hinh djch tren the gi6i, thong nhat cac bi~n phap dap (rng th q

di~n bi~n Clla djch; chi dQ-o,don d6c, ki~m tra cac dia phuong tren toan qu ~thl)'chi~n. i

Baa cao tinh h1nh di~n bi~n Clla dich tren th~ giai thuang xuyen va tham m ,eho Ban Bi thu, Thil ttr6ng Chinh phl'l, Van phong Trung uang Dang, V :phong Chinh phL!cac bi~n phap phong ch6ng djch de nh~ duqc cac chi d d~~. I

~II

I

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- Ph6i hop ch?t che voi cac dan vi nganh thu y nam ch~c tlnh hinh djch benh tr nlgia, cAm, they c~m, chim troi tren dia ban, bao cao kip thai cho ban chi dao a 'II

phoi hop xu ly 0 dich,

ThlJChien day dIl cac ch~ dOchinh sach cho can bo tham gia chong dich cu IA(H7N9): phu cftp chong dich, true dich ...

2. Xay dung k~ hoach, d§u nr tai chinhBO Y t€ xay dung k~ hoach phong chong dich cum A(H7N9), tri~n khai kiphi giam sat phong chong dich nam 2013.

- Sa Y t~ cac tinh thanh phi> tbng hop nhu cAn kinh phi bi> sung cua cac dan ';1giam sat, di~u tri, truyen thong trong tinh trinh UBND tinh phe duyet, I

, • "" ITrong tnrong hop dich xam nhap, keo dai, B9 Y te tong hop nhu can bo sung 'jcac don vi thuoc Bo, cac tinhlthanh ph6 trinh Thu tu6ng Chinh phIl phe duy~t. I

3. Chuyen mOll k.Y thu~t j

3.1 Cacgiiii p/zap giiim l1uic I- Tang ClIOn~nang h),cgiam sat b~nh cum A(H7N9) dam bao ?Il kha na,ng x 'tl

n~i~m chan doan xac dinh. phat hi~n sam cac truang hqp mac b~nh dau ti nlde co bi~n plulp cach ly, thu dung, dieu tri kip thai I

- N~mchic thong tin tinh hinh dich b~nh tren the giai va trang mrac, k~ ca vihIll h~ vi rut cum A(H7N9) tren cac dan gia dm, thuy cAm,chim trai d~ k pi~~~~~~~~~~ I

- Ph6i hqp vai nganh nong nghi~p xu Iy tri~t d~ cac 6dich tren cae dan gia d ,Ithuy cAm, chim trm, khong d~ lay Ian sang nguai ho~e khong d~ lay Ian 'ngum sang nguai. r

- Xem xet c~p nh~t huang dfu1giam sat, phong eh6ng dich cum A(H7N9); th ejhi~n diSu tra djch t~ ca b~nh, di@utra nguai ti~p xuc va ngu6n lay truySn d€ 61k~ hOl;1ch,bi¢n phap phong, ch6ng thich hgp. '

I

- Diy ml;1nhhOl;1tdong ~ia~ sat cUm tn;mg di~m qu6e gia, giam s~t cae tru' ~hQ'Pviem duang ho hap ~ap n?ng tI;1i cae diem giam sat trQng d~em,giam s '~cac truang hqp viem phoi n~g tl;1icac b~nh vi~n tren tOM quoe. Chu y '~nghi~m phat hi~n cae truang hqp cUmA(H7N9) trong c9ng d6ng. I

- Clli;g e6. va duy tri ho~t dong eua d9i co dong ch6ng dich t~i dan vi y t~ c ~tuyen. To chuc trve chong dieh 24/24 gia trong tho'i gian e6 djch. I

- T6 chuc chi~n dieh tuyen truyen v~ d9ng nhan dan thl)'Chi~n an toan v~ si ,thl,Tcpham, v~ sinh ca nhan phang b~nh cum A(H7N9). I

- Tang ctremgcong tac an toan v~ sinh thvc phfun. II

- Thanh l~~ cae doan lien nganh tang cuong cong Me ki€m tra cong tac s~n sa ~phong chong dich b~nh tl;1icae dia phuong truac, trong va sau thai gian x:iy .~dich. I

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- Tuyen truyen o~n cac o6i tuong nguy co lay nhi€m tlr khach nh?P canh, ngu&imroc ngoai ngan chan cac ca benh xam nh~p van Vi~t Nam qua duong nh4pcanh, lNang cao kha nang dap irng ella h~ thong can bQ tuyen truyen trong va ngo~inganh y t€ v~ trinh d(>,phuong tien, nhan luc, Huy dOng cac bO, ban, nganh,dean th~ tham gia cong tac tuyen truyen phong, chong dich.

- Thong bao di8n bien, tinh hinh dich benh hang ngay cua cac nuoc dang e6 d] htren cac phuong ti~n thong tin d~i chung tal trung trong va dia phuong, C' Ctrang tin dien ttr.

- Ph6 bi~n cac bien phap phong chang thuong xuyen tren cac phuong ti~n thor gtin dai chung d~ nguaj dan Chll dong phong eh6ng, bi~t cach tt.r bao v~, ta gcUOngv~ sinh ca nhan, nang cao th~tri;Ulg,h?n ch~ oi I~id€n vung c6 6 dieh.

- Tuyen tIuy~n ttvc ti~p (ta rai, phat thanh) cho mOt s6 d6i tuQl1gnguy co cqoti~p xue vai nguai Viet Nam va nguai nuae ngoai tra v€ tiI vling c6 djch.

,\" i- Tang cuang cong tac truyen thong, truyen thong nguy ca, ghio dve sue kh6 ,1

ph6 bi~n ki~n thtic v€ cac bi~n phap phang b~nh tren cae k8nh thong lin tru gluong va dja phuO'ng. :

!# '\ , ,.,. j

- Cac cO'quan thong tan, bao chi, truyen hlnh, truyen thanh, bao viet phoi h91'v 'jr .. • , I !

nganh y te de tri,en khai ho~ltd9ng truyen thong ph6ng, chong cum A(H7N9)., I- Trung tam truyen thong giao d\lc sue kh6e trung uang, cac trung tam truy n

thong giao d\lc s(rc kh6e tuy~n tinh tri~n khai cae n(>idung tnIybn thong th· 0yeu cfruClla cong tac phong, ch6ng dich cum A(H7N9).

S. Ph6i hQ1>lien nganh- Huy dong SI! tham gia cua cac ban, nganh, doan thS (Ph\l nfi', thanh nien, H II

nang dan, Hoi chi! th?p do) trong vi~c v?n dong nhan dan tri€n khai cae bi nlphap phong, ch6ng djeh cum A(H7N9). i

,Tang cubng ph5i h91' v6'i cac nganb nong n~hi~p tron& vi~c giam sat S\1' I . ihimh vi rut cum A(H7N9) tren cac dan gia cam, thuy cam, chim trai, xu ly (}djch eLml A(H7N9) tren gia efun va (]nguai. Ph6i hgp giam sat chu dQng t.',li c cdan gia dm, thuy d.rn nh~m phat hi~n sam cae trucmg h91' nhi~m vi rut kh6 gbi~u hien b~nh.

- Ph6i hqp v6i nganh nong nghi~p, nganh eong lhLCang tang CUC1I1g giam s t,ki~m tra nh?p khdu gia dm, san phfun gia c§m qua bien gi6i, ngan ngira nh pI~u gia cfun nh&mngan chi;inkjp thai gia dun kh6ng dlIQ'Cki~m djeh xam nh<P,van Vi~t Nam. Dfry m~nh cac ho?t d9ng quan 19 mua ban gia cfun, nhfun h Ich€ vi~c hru thong gia dm khong duqc ki€m dich, khong ro ngu6n g6c tn!n t iJtruOng.

. • - IDay m~ cac ho~t dong tuyen truyen hu6ng dan ngucrj dan th1Jchi~n su dl,l g'th1Jcphfrm gia cfun s~ch, fO ngu6n g6c xu§t xu, dam bao an toan v~ sinh th cphfim.

- Kip thai thong bao va chia se thong tin voi BQ Y v§v~ tinh hlnh dich d€ Ph~iihop tri,en khai cac bien phap ngan n~, a khong d6 dich lay truyen :ang ngtroi.

- Thanh l~p cac dosn lien nganh kiern tra cong tac phong, chong dich CUIA(H7N9) tren gia cfrmva tren ngiroi tai cac dia phuong. I

6. Hop tac quae t& i

Ph6i hop eh?t che voi \VHO va cac T6 chirc qu6c t~ chia se thong tin v~ tlnhhinh dich benh va cac bien phap phong chang dich; huy dQng str h6 tro v~ thu6lkhang vi rut, trang thiat bi, V?t nr phuc V1,l cong tac phong chong dich. I

I

7. Nghicn elm khoa bQc "', • I- Cac V!~n V~ sinh dich telPasteur tiep 1:\IC chu dong trien ,khai ,cae nghi~n C\~

djch Ie hQCP,han t, ir,vi ~It ~6m,A(H7N9) danh gill nguo,:n goe, S\! bien, d~,phuong thuo lay truyen de de xuat cac bi~n phap phong chong. .1

- Nghien elru d?c di~m dich t€ h9C, d~c di~m 15msang, danh. gift k~t qua di8u trid,ekip thai aua ra c,k giai phap ghim m~c, tu 'long phll hqp thea di~n bi~n thqcte eua b~nh. i

VI. T6 eHtre TH Ir'c HIEN iV • I

!,(1.Tuyen Trung lfO'I1g

a) C{IC yd d{ip/tong

- Tham mtru BOtruang Bo Y t~trong vi~c chi d~o cae don vi y t~ tren toan qu ctri~n khai cong tae phong, eh6ng dich b~nh cum A(H7N9) thea rung tmh hu6! gidich. '

- Xem xet c~p nh?t huang d§n giam sat, phong ehAng dich cum A(H7N9) trl hiUinh d?o BO ph€ duyet.

I

- Tham rpttu B{>truang BQY te thvc hi~n viec cong b6 dich khi c6 du di~u ki~ncong bo dich thea guy dinh cua Thu tu&ng chinh phu. I

- Tn.rc ti~p chi d~o, don d6c, kiem tra cae, dia phuong, don vi thuQch~ y t~ t,Iphong triSn khai cae bi~n phap phong, ch6ng dich benh cum A(H7N9).

- Chi d~o cae Vien VSD'IZPasteur sfut sang trang thi~t bi, sinh phfun chlin do txet nghi~m xac dinh vi rut cum A(H7N9); tri€n khai tfch qrc vi~c giam s' t!trQng diSm cum gu6c gia, phat hi~n S&n1 Sl,Tluu hanh eua vi rut cUmA(H7N9) I

- Ph6i hqp veri cae BO/Nganh trien khai cac ho~t dOng phong, ch6ng djch clll'llA(H7N9). I

I

- Dft? m5i thanh l~p cae doan cong tae tn,rc ti8p chi d?o, ghlm sat cong tac phonF,chong dich tl,ti cae dia phuong. !

!b) CflC Qmin If k/ulm c/zfru bfnh I- Tharn rntru eho Bo truallg BQY tS trong vi~c chi d?o, di~u harm cong tac di ui

tri dlch b~nh cum A(H7N9). .

-------------- - - --

; i

- Xem xet c?p nh?t huang d~n chan doan, di~u tri cum A(H7N9) trlnh Lanh l' !ae phe duyet. IXay dung mang lucri co so y tt~thu dung, dieu tri benh nhan cum A(H7N9) th Itt:ng tinl! huong djch, khong d~ xay ra tinh trang qua tai; han eh~ van chuyanlbenh nhan. I

True tiep chi dao don d6c t§t cn cc s6 kham chtra benh trong h~ thong di~unr Trung irong den dia phuong trong cong tac di~u tri phong, chong dich b¢cum A(H7N9).

Chi dao t~p hu~ cho can be;;h~ di~u tri, ki~m tra cong tac di~u tri djch b~trong pham vi ca mroc. Tong ket, rut kinh nghiem cac tnrong hQP ill vong.Chi dao cac Vi~nIB~nh vi~n tnrc thuoc Bo, benh vien tinh/thanh ph6 chuandAy du thuoc, trang thi~t bi h6i suc dp Clru va eac phuong ti~n can thi~t d~ ssang ti~rnh?n, dp elm va di~u tJi h~nh nhan. , i

- Tang cu6ng cong tac ki~m tra giam sat cong tac kitm soat nhi~m khufuI b~dhivi~n, lay truytn cheo trong b~nh vi~n va thuang uvc ch6ng djch. f !

c) V(I Truy€n t/tong - Thi dlla klzen Ill1rong~ , "" -l. I

- To chuc chi d~o, phoi hgp vai cae don vi truyen thong trong vi~c tuyen truye ,Igino d"IC ph6ng, ch6ng dich b~nh ctlm A(H7N9) tnTCrc, trong va sau khi dj h,cum A(H7N9) ghi nh~ va xciyra t~iVi~t Narn.Xay d1!I1gcac thong di~p truy€n thong, chuy~n t<ii d~n eae dja phuong phti h.thea tlrng giai dO~I1 dich.

- T6 chuc h"p bao khi cAnthi~t.d) V{IKI hO(lch- Tai chlnlt

- Chu dOng tham mUll eho lanh d~o b¢ ve ~o ngu6n, sir d\mg va dieu ph6i c cingu6n hIe tir ngan sikh nhil nuae, cae t6 chue trong va ngoai nuac cho cong t c!ph6ng, ch6ng djch b~nh cum A(H7N9). .

- S6m trinh B,e;;Y t~ pharr ~6kirih phi phong ch6ng dich n~m 2017 eho cae V iC\lc, Vien de chu dong trH~nkhai cac ho?t oQng phong. chong dich. .fJieu ph6i ngu6n d\}'trfr thu6c tamiflu va c6 k~ ho~ch d~ xufrt mua b6 sthu6c trong tru6ng hQ'pdich cum 6 nguai bUng phat tren di~n rong, keo dai.Ddu m6i t6ng hqp d~ xu~t kinh phi b6 sung ttl cae dan vi tr\!'C lhuOc BOY teill cac dja phuong trinh Thu tu6ng Chinh phu c~p b6 sling trong tnrOng hdich xam nl1~Pvao Vi~t Nam, Ian re;;ngva keo dfli.

e) C{/CAI1 loall vf sinh tlu!'cpliant- Chl d~o hu6ng dfuJ cae dan Y1tang cuang cae bi~n pha,p thl,fc hi~n v~ sinh

toan th\IC ph~m cho cong d6ng: huang dful ngl.TCtitieu dung bi~t chc.mthph~m an tmin, khong Slr dl,lnggia dm eh~t, 6m d~ ch~ bi~n thuc an.Tang cu6ng eong Ulethanh tra, ki~m tra v¢ sinh an toan th\!Cphfun. I

3!I

J) C{ICQuon Ijma; truirngy IiChi dao, tri~n khai thuc hi~n t3t chi&n dich v~ sinh moi tnrong, v~ sinh

nhan de khong ch~ khong cho phat tan rong ra moi tnrong lay sang nguoi.g) Vfl HfJp tdc quae ti

BAu mai lien h~, huy dQng S\I h6 tro tlr cac T6 chirc quae t~ cho cong ephong chang dich cum A(H7N9): tai chfnh, ky thust, thuac men, trang thj~tphong chong dich./1) Cdc Vii" Vi sinh dioh tllPasteur- Chu dQng slin sang trang thi8t bi, sinh phAm dam bao xet nghiern chan doan x~c

dinh v! rut cum P;(H7N9) a ngiroi, tang cirong cong me thu th~p va xet nghi¢1:ncac mau benh pharn tim vi rut gay benh.

* Chi dao, h6 tro cac Tru~g tam Y t6 du phong thuec khu vue duoc phan CO~glp.hu trach tr~ng. ~i~c t. rien kh~i ea~ hO<;1tdong ~h6ng: chong dich ~~nh CUfll....A(H7N9). To chue cac lap t<;1Phuan phong, chong dleh eho cac dla phLr~g,trong khu vt,reph\! trach. ! •

Thanh I~p cae doan eong tae tn,rc ti~p h6 trQ', giam sat cae dia phuong c6 co Ja!nhi~m b~nh, tu vong do cum A(H7N9). I

T6 chuc ~p huBn chuyen mon ky thu~t giam sal, phung va chang dich b~l}hcum A(H7N9). i

.. Dv- trii' hoa chat khfr khufin, thi6t bi, v~t tu chuyen d\tng, tri~n khai cac hob!:dong ch6ng dich, sfut sang h6 trQ' dia phuong khi c6 djeh. 'Nghien cUukhoa hQcve djch t~hQc, vi rut hQcva mj~n dich hQc.

iJ Cae bfnh vifn fuyil1 Trung mmg ,- Th\Ic hi~n nghiem chinh, thang ~~t S\I chi 0<;10,_di€u hanh eua C\lC Quan Iy'

~am chua b~n~ trong cong tac dieu. trj, ph?ng, chong dich. , ,I- To chuc ~p huan cho can bO h~ dieu tri ve tiep nh~, each Iy, dieu tri cap C

b~nh nhan theo phful cong cua Cvc Quan 19 kham, chua b~nh.- H6 trQ' cac B~nh vi~n da khoa, chuyen khoa tuy~n tlnh, huy~n va mOLs6 b¢ 1~

vi~n nganh chuAn bi dAy du thuac, trang thi~( bi h6i suc cfrp Clru va cac phu glti~n cAnthi~t o~ san sang ti~p nh~ cAp ctru va di~u tri b~nh nhan. '

- Chu oQng chuAn bi giub'ng benh, co k€ ho?ch duy trl ho~t dQng thuang xuy~ncua b~nh vi~ khi c6 dich 100. 'Tang cub'ng n11ngl\Ic xet nghi~m chan eoan tac nhan gay b~nll. I

- Tht,rc hi~n ki€m soat nhi~m trUng b~nh vi~n, ch6ng Hiy nhi~m cheo, h6 trQ' cl, c;b~nh vi~n tuy~n du6'i.

- Chu d<)ng ph~i hqp v&icae don vi y t8 dl,l'phong trong cong tae thong tin, b' qcao ca b~nh truyen nhi~m dfty du, chinh xac, kip thai thee quy dinh. I

4

I!

1 ,

I2. Dia plnrong I I0) Gidm dOc SiJ Y t! cdc tlnh, titan" pltd I i- Tham rmru cho UBND tinh, thanh ph6 tang cirong cac heat d¢ng phong, ch6~gl

dich benh cum A(H7N9) tai cac cap t:J dia phirong; tang ctrong heat dOng etalB,an chi dao phong cl:6ng di.ch, thong nhat ca,c bi~nlhap. pho~g chOng~ihIcum A(H7N9) thea chi dao cua Ban ChI dao phong chong dich benh nguy hie ,va maion6i ~ua ~o y ,t~.Thvc hien ddy ~u. ca~ eh~ .do chinh ?ach eho can ~¢Jtharn gia chong dich cum A(H7N9): phu cap chong dich, tnrc dich ... i .

- L?p k~ hoach phong chong dich cum A(H7N9) cua tinh, thanh ph6. D~u m~iit?P hQ'Pcac d8 xuftt kinh phi b6 sung cua cac dan vj y t~ trinh UBND tinh pijelduyet. I I

, I

- D6i voi cac dia phuong eo cira khftu qu6c t€, chi d?o kitm dich ch(tt che kha 'hinh?P canh tiT cae vlmg dang c6 dich, khong d~ b~nh djch xam nh?p.

- Ph6i k~t hQ'Pch(tt chi'!vai cel quan, dan vi lien quan trong cong tac giam sat ab~nh e6 hoi chUng cUm tl;1i c¢ng d6ng. ;

i

- Ph6i hqp ch~t che v&i cae dan vi nganh th(1y n~m ch~c tinh hinh dich b~nh tr nlgia,(~fun,th~y,c?m? chim trai tren dia ban, bao cao kip thai cho ban chi dl,lotalphO!hQ'Pxu ly a dlCh. ! I

- Ph6i hqp vai n§?anh nang nghi~p thrum I~p cac doan kiem tra lien ngimh tr1nldia ban tinh. Kiem tra eh?t che cong me v~ sinh moi wOng tren dia ban. : !

- Tuyen truyen, hu6ng dfullman dan IhlJc hi~n cae bi~n pbap phong, eh6ng di hb~nh.Ki€m tra danh gin hi~u qua cong tac phong, ch6ng dich b~nh cua cac dontrong tinh, thfll1hph6.

b) BiJ1/t vifn da k/lOa tin/vIII/mit phD va bfl1lt vifll kltu V{I'Ctilth, tit/mit phD- Xay dl,.rng k~ ho~ch r6 chuc tlm dung, dp cUu va di~u lri dich b~nh, duy ttl ha~ltJ

dong thuang xuyen eua b~nh vien khi c6 dieh. 1 ,

- Chi d?o cae B~nh vien huyen chu§.n bi day au' thu6c, trang thi€t bi h6i sue ei picUu va cac phuang ti~n c§.nthi€t d€ s~n sang ti~p nh~n, c:1pCUu va di€u tMb~ hnhan.

- T~p huftn phac d6 dp c(ru, di8u trj, hu6ng dfin cae co sa di~u tr! thlJc hi~n.- Chi d~o tuy~n va h6 trO' tuy~n du6i v8 m~t ehuycn mon, nhful IllC, v~t It,rc il

efuJ thi~t, ki~m tra giam sat cong tac phong, eh6ng dich ella cac cO'sa kha tI .

chua b~nh trong ph~m vi dja phuong. I :- Thvc hi~n ki~m soat nhi@mkhufrn b~nh vi~n, phong, chang lay nhi~m chf9

trong b~nh vi~n. I I- Chu. dong ph5i hqp v&i cae dan vi Y t~ dll phong trong cong tac thong tin, b

cao ca b~nh truy~n nhi~mdAydu, chfnh xac, kip thai thea quy dtnh.

9,

l 'qu!p hob odt{l !.Ql{l d!)j 'ot}x quJt{o 'l)P h¥P W2!t{u U?h11.l1qu?q110 opoI .~q 'u!l ~uQlll oYl13ugo ~uOJl ~uQqd tip VlA !A uop ono !-9Adoq !9qd 21ugp tiqJ -

'1JQQ B!P U~l1.uyqu ruw, t.p{ ~uQqd VA~X ~l A uran ~y:) uyp 8UQnq '!Jl O~!P 'O!}::>dUo9P oyqd tryntI d~l. -

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't[U~q tp!p uyqu qu9Q tn n~!p ~A nno dlJo 'u~t{u d;?!l BUT?s Ul1S ~p It>!t{lr 0 u~p ~uonttd oyo VA nne d¥o On,S !~tJ!q lVNl ~uell '09ntp t)p ,\WPN!q'nwnqJ -i 'q:->!p90 IIp{ U~!Aqu~q tlt)o u~Anx aUQIlql

5~gp 1UOttIII Anp ~A uyqu qu~q tIl n0!p VAAI lloyo '~unp olll qouoq ~){21tUipAUX -i \ ,I

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I i 'yl A 98 u\10 ~p ~u-9nll o~41tp!p 9 vp l~!ll 6(l)x ~ugp lBOq !BIp{U?!ll. -i . 'quip ,{nb Odql qo!p tfUIll'tp;tTl U~!q U~!p !.Qt[ld!)f o~ 0?8 '!.Qt{l dj)j 61 l)X \lA 75ll\lAqUBOtp( ilP l.JU!PB!l3 gtJ;''9uQniId ~x'd~ 'ugt[l P~lu~p n~p qu~q J~m no W-9sU~!qH1qdsLI::;~~qo~?SLUY!D -

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"~q){ u.t)~;)P 1mb n~4){dytfU 'quv~dliqu u9q 5U1?tIVA !Vl ~A u~p ZJuonqd 'l-Qn3U l?S tl~!~i'tV~Wy!)j ;~!A auo.!} n¥tJ)f Ul)~~ 'BUlJU~J)4~ 'Bu6nr o.r'lI OV~!.<)A ~tIJ lVq~ dOq !9tId -,I I 'LUUNl~!A OVA111}4){dylftl 'tfUvo dyqu U94'a¥Vq 'Illl ugA u~n ~u.ontId ot}oWA !9P ~l .t)XVAUll W?l'){ 'ws Ul'?!~'BUQno8u~1. -

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'9qd LfUV411lJUll8 j (6NLH)v UII)O Lp!P 'tfU~q ~U9lp '5uQqd qO'8ot{y){ lYl[U d-go VA i1urtp A~X -

Vtfd'IU'!tll r'lUjl JJuqljd iJp PAUl(}I aUnJX (:J

g) Tram y tlxa- T6 clurc di~u tra, giam sat, phat hien each ly, xU 1ykip thai khong de dich I

Ian.

T6 chirc cdp ciru ban dAuva di~u tri benh nhan khi m~c benh. Theo doi, giasat cac tnrong hop di~u trj ~i nha,Thanh l~p dQi chong dich xii g6m cac can bQy te, doan thanh nien, phu ne,...tri~n khai cac bien phap phong, ch6ng tai cac hQgia dinh:Tuyen truyen cho nhan dan ttr giac khai bao khi phat hi¢n gia cAm 6m, chetthuc hien cac bi¢n phap phong, chong dich benh.

Ban ke hoach nay se duoc ~p nh?t va dieu chinh thirong xuyen, kip thoi ~phil hop voi di~n bien cua tlnh hinh djch ding nhu qua trlnh tri~n khai cong tc C

phong ch6ng djch tren th1,l'C teo