Saturday, May 16, 2020

BBC News - Vietnam dealing with Covid-19

Despite a long border with China and a population of 97 million people, Vietnam has recorded only just over 300 cases of Covid-19 on its soil and not a single death.

Nearly a month has passed since its last community transmission and the country is already starting to open up.

Experts say that unlike other countries now seeing infections and deaths on a huge scale, Vietnam saw a small window to act early on and used it fully.

But though cost-effective, its intrusive and labour intensive approach has its drawbacks and experts say it may be too late for most other countries to learn from its success.

'Extreme but sensible' measures

"When you're dealing with these kinds of unknown novel potentially dangerous pathogens, it's better to overreact," says Dr Todd Pollack of Harvard's Partnership for Health Advancement in Vietnam in Hanoi.

Recognising that its medical system would soon become overwhelmed by even mild spread of the virus, Vietnam instead chose prevention early, and on a massive scale.

By early January, before it had any confirmed cases, Vietnam's government was initiating "drastic action" to prepare for this mysterious new pneumonia which had at that point killed two people in Wuhan.

When the first virus case was confirmed on 23 January - a man who had travelled from Wuhan to visit his son in Ho Chi Minh City - Vietnam's emergency plan was in action.

"It very, very quickly acted in ways which seemed to be quite extreme at the time but were subsequently shown to be rather sensible," says Prof Guy Thwaites, director of Oxford University Clinical Research Unit (OUCRU) in Ho Chi Minh City, which works with the government on its infectious disease programmes.

Vietnam enacted measures other countries would take months to move on, bringing in travel restrictions, closely monitoring and eventually closing the border with China and increasing health checks at borders and other vulnerable places.

Schools were closed for the Lunar New Year holiday at the end of January and remained closed until mid-May. A vast and labour intensive contact tracing operation got under way.

"This is a country that has dealt with a lot of outbreaks in the past," says Prof Thwaites, from Sars in 2003 to avian influenza in 2010 and large outbreaks of measles and dengue.

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