Guidance of Department of Health for F0 Caring at Home

1. Identify and make a list of F0 people isolated at home in the area

Retrieve and manage the list of F0 people isolated at home in the district, district, ward, and commune by the "quarantine" function on the software "management system of quarantined people and COVID-19 patients".

Manage those who self-declared as F0 through the "electronic medical declaration" application due to self-testing, those who have suspected symptoms but have not screened through the report of the community COVID-19 team.

2. Guide F0 to take care of your health at home

• Wear a mask regularly, except when eating, drinking, and personal hygiene. Change the mask twice a day or, as needed, disinfect hands with alcohol before removing the mask.
• Regularly disinfect hands, disinfect contact objects and surfaces such as countertops, doorknobs, toilets, lavabo.
• Measure body temperature, blood oxygen level (SpO2) at least twice daily or when you feel signs of fever, shortness of breath. Make a medical declaration at least once a day or when you have unusual symptoms through the "electronic medical declaration" application.
• Eat nutritious food, drink plenty of water.
• Exercise in place; practice breathing for at least 15 minutes a day.
• There is a phone number of medical staff to contact when you need advice and support (the switchboard "1022", the phone number of the quick response team of wards, communes, towns, districts, Thu Duc city).
• All members living in the same house as F0 must declare their health through the "electronic medical declaration" software at least once a day or as needed.

3. Medical examination and health monitoring

The health station sets up a "health monitoring sheet of the person isolated at home based on the daily medical declaration information of the quarantined person via the "electronic medical declaration" application. Through the "health monitoring sheet" To capture symptomatic F0 cases, medical staff call/text to visit and screen for risk symptoms, promptly inform the rapid response team of the ward, commune, district.

The mobile medical team (under the medical station) visited the home of suspected cases of F0 belonging to high-risk groups in the area (the elderly alone, people with mental illness) to bring them to the hospital promptly.

4. Instructions for using home treatment prescriptions

Medicines for home treatment include: antipyretics, health-promoting drugs (vitamins, micronutrients, traditional medicine), antivirals and anti-inflammatory corticosteroids, and oral anticoagulants in Some situations have indications (especially antiretroviral drugs will have instructions for use when guided by the Ministry of Health).

Indications for the use of oral corticosteroids and anticoagulants: patients with early symptoms of respiratory failure (feeling of shortness of breath and respiratory rate > 20 breaths/minute and SpO2 < 95%, if any) and have not been able to contact medical staff for guidance and support.

5. Testing for F0 people isolated at home

Take home samples (rapid test or PCR) for F0 people on day 14 to prepare for the end of the isolation period.

Instruct caregivers or people who live in the same household as F0 people when they have symptoms of suspected COVID-19 to go to a health facility for screening tests.

6. Health advice and emergency support for F0 people isolated at home

If you have any of the following symptoms such as fever over 38ºC, cough, sore throat, diarrhea, loss of smell/taste, chest pain, chest heaviness, feeling short of breath, contact a healthcare provider via call center 1022 (dial 3. for advice from the Medical Association of Ho Chi Minh City or number 4 for advice from the "Companion Physician").

When there are signs of profound change such as shortness of breath manifested by shortness of breath, rapid breathing more than 30 times/minute, lethargy, lethargy, cyanosis of lips, extremities, SpO2 < 95% (if there is an Sp02 measuring device at home) then immediately contact the hotline 115 or the phone number of the ward, commune, district, district quick response team for emergency treatment and timely transportation to the hospital.

Previously, on August 11, the Department of Health of Ho Chi Minh City issued a document to guide people with COVID-19 at home. It clearly states that oral anti-inflammatory and anticoagulant drugs treat COVID-19 for F0 at home, but these drugs are only used in certain situations with indications.

Here are the instructions for home treatment of COVID-19 for adults by the Department of Health of Ho Chi Minh City: