Decision No. 2787/QD-BYT the COVID-19 prevention plans at the production and business establishments

DECISION
ON THE PROMULGATION OF “THE GUIDANCE FOR PANDEMIC PREVENTION AND CONTROL PLANS WHEN COVID-19 CASES ARE RECORDED AT THE PRODUCTION AND BUSINESS ESTABLISHMENTS OR INDUSTRIAL PARKS”

___________

THE MINISTER OF HEALTH

Pursuant to the Law on Prevention and Control of Infectious Diseases dated November 21, 2007;

Pursuant to the Law on Medical Examination and Treatment dated November 23, 2009;

Pursuant to the Government’s Decree 75/2017/ND-CP dated June 20, 2017, defining the functions, tasks, powers, and organizational structure of the Ministry of Health;

Pursuant to the Decision No. 2194/QD-BCDQG dated May 27, 2020, on the promulgation of "the Guidance for prevention, control and assessment of the risk of COVID-19 infection at workplaces and dormitories of employees";

Pursuant to the Prime Minister’s Official Dispatch No. 680/ CD- TTg dated May 24, 2021, on ensuring safety against COVID-19 in industrial parks;

At the proposal of the Director of the Health Environment Management Agency under the Ministry of Health,

HEREBY DECIDES:

Article 1. To promulgate together with this Decision "the Guidance for pandemic prevention and control plans when COVID-19 cases are recorded at the production and business establishments or industrial parks".

Article 2. This Decision takes effect from the date of signing.

Article 3. Chief of Ministry Office; Chief Inspector of the Ministry Inspectorate; Heads, Directors, General Directors of Departments, Agencies, Administration under the Ministry of Health; Directors of Institutes under the Ministry of Health; Chairpersons of the People's Committees, Heads of the Steering Committee for COVID-19 Prevention and Control of the provinces/municipalities; Directors of Health Departments of provinces/ municipalities; Leaders in charge of health of ministries and sectors; Heads of relevant units shall be responsible for implementing this Decision.

GUIDANCE FOR PANDEMIC PREVENTION AND CONTROL PLANS WHEN COVID-19 CASES ARE RECORDED AT THE PRODUCTION AND BUSINESS ESTABLISHMENTS OR INDUSTRIAL PARKS

(Issued together with the Decision No. 2787/QD-BYT dated June 5, 2021 of the Minister of Health)

These guidelines were based on the guiding documents and guidelines of the National Steering Committee for COVID-19 Prevention and Control, the Ministry of Health, relevant ministries and sectors, the World Health Organization, the International Labor Organization as well as the guidelines and plans for pandemic prevention and control which have been implemented in provinces and municipalities.

I. OBJECTIVES AND REQUIREMENTS

1. Objectives

- To actively detect in the early stage and promptly handle suspected cases of COVID-19 at the production and business establishments or industrial parks/clusters (hereinafter referred to as industrial parks for short).

- To ensure safe production and realize the dual goal; to limit the impact of the pandemic on economic development and social security.

2. Requirements

- Follow the principle that the heads of the Party Committees and the authorities directly instruct and take responsibility for the prevention and control of the pandemic in their respective localities.

- Local authorities and units shall thoroughly uphold the spirit of "active attack", follow the principle of pandemic prevention and control "active prevention, early detection, prompt quarantine, effective treatment, definitive handling, and quick stabilization”, and always ready themselves for worse scenarios.

- Consider the task of COVID-19 prevention and control as the key, urgent and regular task. Request production and business establishments or industrial parks and employees to strictly follow the directions of the Secretariat, the Government, the Prime Minister, the National Steering Committee for COVID-19 Prevention and Control, implement all guidelines of the Ministry of Health and other ministries and sectors in preventing and controlling the COVID-19 pandemic.

- Deploy synchronously, drastically, and effectively solutions to prevent and combat the pandemic, in the spirit of "fighting the pandemic like fighting an enemy" with the strategy of switching from defense to active attack, considering pandemic prevention to be a basic, strategic, long-term, and decisive task; attaching the responsibilities of leaders to the pandemic prevention and control.

- Actively prepare logistics to meet quarantine requirements, testing and treatment capacity with "the four on-the-spot motto" in order to respond promptly, urgently, and effectively.

II. MEASURES TO PREVENT AND FIGHT THE PANDEMIC AT THE PRODUCTION AND BUSINESS ESTABLISHMENTS OR INDUSTRIAL PARKS

The production and business establishments or industrial parks shall implement the Decision No. 2194/QD-BCDQG dated May 27, 2020 guiding the prevention, control, and assessment of the risk of COVID-19 contagion at workplaces and dormitories of employees, especially the following contents:

1. As for production and business establishments or industrial parks:

- Establish the Steering Committees for COVID-19 Prevention and Control at the industrial parks or production and business establishments, COVID-19 Safety working groups at the industrial parks or production and business establishments (detailed in Appendix 1);

- Develop pandemic prevention and control plans when COVID-19 cases are recorded at workplaces; periodically organize rehearsals of plans for pandemic prevention and control and develop vaccination plans against COVID-19 for employees; make commitments to complying with regulations on pandemic prevention and control with local authorities; self-assess risk and update on the COVID-19 safety map.

- Arrange means of transportation for employees in compliance with regulations on pandemic prevention and control; increase ventilation in workshops and canteens; separate employees into groups at designated workshops, on production lines, and in the shuttle of employees; reduce the density of employees at each working shift or meal shift; reduce close contact by placing shields between seats at the cafeteria and providing individual meal sets; conduct online meetings, work from home (as for administrative and accounting units, etc.); install cameras to monitor at-risk areas; make a list of employees to manage information and send it to the Management Boards of industrial parks and relevant health agencies; ask the employees to follow “5K regulations” and record their daily contacts.

- Manage the employees and require mandatory medical declarations from them, especially those going to or coming from pandemic-hit areas or participating in high-risk crowded events; carry out screening tests for employees.

2. Ensure pandemic prevention and control at boarding houses, hostels, and dormitories of employees (hereinafter referred to as hostels): Chairpersons of the district-level People's Committees shall be responsible for strictly managing all hostels in their respective localities in accordance with the guidelines detailed in Appendix 2; establish Management Boards or COVID-19 Safety working groups at the hostels; arrange employees of the same workshops in the same rooms (for dormitories); ask employees to sign commitments and follow regulations on the pandemic prevention and control.

3. As for establishments providing services for production and business establishments or industrial parks (providing meals, foods, raw materials, security services, transportation and shuttle of experts, employees, banking, electricity, waste collection and treatment, logistics, repair and maintenance of water supply and drainage, etc.): Request them to sign pandemic prevention and control commitments with the Management Boards of the industrial parks, production and business establishments, and local authorities; to coordinate with the production and business establishments or industrial parks in managing employees, their schedules and working time; periodically perform rapid antigen testing for all employees; ask employees to follow “5K regulations” and record their daily contacts.

4. Enhance dissemination and guidance with simple and easy-to-understand information; monitor and urge the pandemic prevention and control at the production and business establishments or industrial parks.

5. Establish local interdisciplinary working groups: to inspect and supervise the implementation of regulations on pandemic prevention and control at the production and business establishments or industrial parks, especially large-scale and contagion-prone establishments; strictly handle establishments that violate regulations on pandemic prevention and control, even suspend their operations.

III. MEASURES TO BE TAKEN WHEN COVID-19 CASES ARE RECORDED

3.1. Cases are recorded at 01 production and business establishment or industrial park

3.1.1. Pandemic prevention and control measures to be taken immediately

- Immediately roll out the approved pandemic prevention and control plans for the situations when COVID-19 cases are confirmed.

- Decide to temporarily isolate the entire production and business establishment or industrial park, or each workshop/production line/production team/production area/working position where the confirmed cases (F0 cases) are recorded, depending on the practical situation.

- Isolate the F0 cases on the spot at the production and business establishment or industrial park, and immediately notify the health agencies for quarantine and treatment of them as well as zoning and disinfection the place in accordance with the regulations.

- Notify all employees present at the production and business establishment or industrial park; require them to seriously make medical declarations, follow “5K regulations”, and stay still at their workshops; do not let confusion and anxiety arouse among employees.

- Inspect all employees in the production and business establishment or industrial park as in the management list; urgently track down all cases of close contact (F1 cases) and cases of contact with F1 cases (F2 cases), with no one to be missed; concentratedly quarantine all F1 cases and quarantine all F2 cases at their home or residential places. Before F1 cases are concentratedly quarantined, they should be grouped by work position and exposure risk in order to arrange the cases with the same work position and exposure risk into the same quarantine areas.

- Make lists of  F1 and F2 cases, and other cases that are not present at the production and business establishment or the industrial park at the time of quarantine and send them to the provincial/municipal Departments of Health/the medical centers of the districts where the employees are staying in order to handle in accordance with the regulations, and at the same time coordinate with health agencies to notify such cases to stay at their home/residential places, make medical declarations and take measures to prevent and control the pandemic at the request of health agencies;

- Coordinate with the Departments of Health and the Centers for Disease Control of the provinces/municipalities to collect specimens for testing from the employees based on their risk of being exposed to the virus.

- Assess the epidemiological relations of workshops/production lines/production teams/production areas/working positions other than those with F0 cases:

(1) If they have epidemiological relations with the area where confirmed F0 cases are recorded and run a risk of widespread contagion for the entire production and business establishment or the industrial park, they shall be handled as prescribed in Scenario 1, Section 3.1.2, Part III of this Guidance.

(2) If they only have epidemiological relations with the area where confirmed F0 cases are recorded, they shall coordinate with the local authorities to isolate all employees of such workshops at their home in accordance with the regulations; and take specimens for testing from people isolated at home for the purpose of zoning.

(3) If they have no epidemiological relations with the area where confirmed F0 cases are recorded, they shall further carefully check the employees to detect F1 cases. If F1 cases are recorded, they shall be isolated and put in concentrated quarantine areas immediately.

3.1.2. Plans in response to the scenarios when test results come out

a. Scenario 1: Many confirmed cases work in most of the workshops/production lines/production teams/production areas/working positions.

- Isolate F0 cases on the spot and immediately notify health agencies for quarantine and treatment of them as well as zoning and disinfection of the places in accordance with the regulations.

- Urgently track down all F1 cases and F2 cases of newly-recorded F0 cases to isolate them in accordance with the regulations. All employees in the same workshop/production line/production area/work location with a confirmed case are recorded are considered F1 cases and shall be immediately put into concentrated quarantine.

- Temporarily isolate the entire production and business establishment or the industrial park.

- Immediately notify local authorities, Steering Committees for COVID-19 prevention and control at all levels; expeditiously investigate and track down all relevant cases and inform relevant agencies, neighboring production and business establishments or industrial parks; establish a concentrated quarantine plan at the production and business establishment or the industrial park in cases where it is necessary to isolate a large number of employees.

b. Scenario 2: Many confirmed cases concentrated in the same workshop/production line/production team/production area/working position.

- Isolate F0 cases on the spot and immediately notify health agencies for quarantine and treatment of them as well as zoning and disinfection of the places in accordance with the regulations.

- Urgently track down all F1 cases and F2 cases of newly-recorded F0 cases to isolate them in accordance with the regulations. All employees in the same workshop/production line/production area/work location where confirmed cases are recorded are considered F1 cases and shall be immediately put into concentrated quarantine.

- Require all employees to make mandatory medical declarations with local authorities and health facilities where they reside for coordination in monitoring and management.

c. Scenario 3: No more cases detected; all specimens tested in the production and business establishment, or the industrial park are negative

Inspect all employees in the production and business establishment or industrial park as in the management list in order to further monitor, supervise and periodically perform screening tests to promptly detect suspected cases.

3.2. Cases are recorded at many production and business establishments, or industrial parks

- The production and business establishments, or industrial parks where confirmed cases are recorded shall take measures to prevent and control the COVID-19 pandemic as guided in Section 3.1, Part III of this Guidance.

- Each production and business establishment or industrial park shall regularly assess the risk of COVID-19 contagion as guided in the Decision No. 2194/QD-BCDQG dated May 27, 2020.

Based on the results of the risk assessment and the actual development of the pandemic at the production and business establishments, or industrial parks, the Chairpersons of the provincial-level People's Committees shall consider and decide to continue or stop their operations to comply with the regulations on pandemic prevention and control and to ensure production safety.

3.3. Sanitation and disinfection at the production and business establishments or industrial parks where confirmed cases are recorded

Clean and disinfect the places in accordance with the Official Dispatch No. 1560/BYT-MT dated March 25, 2020 of the Ministry of Health providing temporary guidelines for disinfection and environmental treatment of areas where COVID-19 patients are recorded in the community.

IV. TESTING PLANS FOR EMPLOYEES

4.1. When no COVID-19 cases are recorded

Organize screening tests by rapid antigen testing or pooled RT-PCR testing of SARS-CoV-2, at least every 05-07 days for: all employees providing close-contact services for employees at the production and business establishments and at least 20% of high-risk employees at the production and business establishment (Focus on: production team leaders, workshop managers, company leaders, transporters, shippers, etc.). If the test results are positive, they shall be isolated and specimens of them shall be taken for RT-PCR test to confirm.

4.2. Confirmed cases are recorded at 01 production and business establishment or industrial park

- Take specimens from F1 cases working in the same workshop/production team/same working position for RT-PCR tests.

- Perform rapid antigen tests for the cases considered as F1 working at the same production and business establishment, or the industrial park, but in other workshops/production groups/working positions.

+ If the results are positive, single specimens shall be taken for RT-PCR tests.

+ If the results are negative, pooled RT-PCR tests shall be performed on the principle of pooling specimens from the same workshop/production team/working position, same hostel room, same accommodation, etc.

- All other employees shall undergo rapid antigen tests, if the test results are positive, then single specimens shall be taken for RT-PCR test.

4.3. Cases are recorded in many production and business establishments or industrial parks

4.3.1. At the production and business establishments or industrial parks where confirmed cases are recorded: Conduct screening tests as guided in Section 4.2 of this Guidance.

4.3.2. At the production and business establishments or industrial parks where no confirmed case is recorded: Perform rapid antigen tests or pooled RT-PCR tests for: All employees (if possible) or at least 50% of the employees. Prioritize testing for high-risk employees.

V. MEDICAL QUARANTINE PLANS

5.1. General principles

- Prioritize on-the-spot quarantine at the production and business establishments or industrial parks, limit the travelling of employees to non-pandemic areas, except the cases where the production and business establishments or industrial parks do not have concentrated quarantine areas.

- Arrange quarantine zones for F1 cases by their risk groups on the principle that people in the same workshop/production line/production area/working position shall be arranged in the same area; Perform testing for F1 cases periodically for prompt response.

- In cases where the number of F1 cases exceeds the capacity of the local quarantine zones, employees who are F1 cases may be quarantined at the places where they live, such as employee-packed hostels, but strict management and supervision must be ensured.

5.2. Concentrated medical quarantine at isolated areas where many F1 cases live

- Follow the guidelines in the Decision No. 3986/QD-BYT dated September 16, 2020 of the Ministry of Health on the promulgation of the "Handbook for organizing quarantine at COVID-19-hit areas ".

- In case the density of employees in the hostels is too high, and COVID-19 cases continuously are recorded, 50% of the employees who are not F1 cases may be moved to other concentrated quarantine facilities. Organize cleaning and disinfection after applying distancing (employees may be instructed to disinfect themselves) in accordance with the guidelines in the Official Dispatch 1560/BYT-MT dated March 25, 2020 of the Ministry of Health.

- Perform screening tests for SARS-CoV-2 every 03-05 days for F1 cases.

- Inhabitants in the same houses, hostels and residential places with the quarantined employees shall be quarantined at their places in accordance with the Decision No. 879/QD-BYT dated March 12, 2020 of the Ministry of Health guiding quarantine at home and residential places for the COVID-19 pandemic prevention and control. In addition, the following requirements must be fulfilled:

+ Quarantine time: full 28 days

+ Medical staff/community-based COVID-19 working groups shall measure body temperature and monitor the health of quarantined people at least twice a day (in the morning and afternoon). In cases where there are not enough staff to measure the body temperature of the quarantined people, each quarantined person/each quarantine room shall be provided with 01 thermometer for self-measurement and notify the medical staff (except for the cases with COVID-19 symptoms); guide, check, and remind the quarantined people to make daily medical declarations.

+ The communal-level police force and medical staff, heads of residential group/village or the community-based COVID working groups shall make medical declarations, supervise the compliance of quarantined people, and promptly handle violations.

+ Perform SARS-CoV-2 tests for quarantined people and supervisors at least 04 times (in the first day, 14^th day, 20^th day, 28^th day of quarantine).

VI. TRANSPORTATION PLANS FOR EMPLOYEES

6.1. When no confirmed cases are recorded

6.1.1. Vehicles

- Register specific schedules and do not carry more than the number of people stated in the granted licenses; open windows and vents if possible while moving; providing hand sanitizers (licensed by the Ministry of Health); stick QR codes of quarantine checkpoints on doors of the vehicles; equip the vehicles with trash cans and surveillance cameras.

- Manage people on the vehicles by management lists/cards, designate fixed seats for each person on the vehicles.

6.1.2. Employers: Make lists of employees designated to each vehicle; notify the Departments of Health of the localities where the employees stay in order to get their joint supervision.

6.1.3. Drivers, assistant drivers

- Regularly disinfect hands and wear facemasks during the transportation; only allow employees whose names are on the lists to board the vehicles and travel on the allowed fixed routes; do not stop or park along the roads; clean and disinfect the vehicles at the end of each day.

- Ask employees to scan their cards and the QR codes on doors of the vehicles, disinfect their hands before getting in the vehicles and wear facemasks throughout the transportation.

6.1.4. On-board employees: Always follow “5K regulations”; scan their cards and the QR codes on doors of the vehicles, disinfect their hands before getting in the vehicles and stay still in their designated seats.

6.1.5. Employees using private or public means of transportation: Follow “5K regulations”, install and use the “Bluezone” mobile application, record their travel schedule. Those using public means of transportation shall record information about the vehicles; do not use public means of transportation when having one of the symptoms of fever, cough, sore throat, shortness of breath.

6.2. When confirmed cases are recorded in communities where production and business establishments or industrial parks are located

- Follow the guidelines in Section 6.1, Part VI of this Guidance; drivers and assistant drivers must measure the temperature of passengers before they board the vehicles; notify the production and business establishments or industrial parks and local health agencies when people have fever, cough, or shortness of breath.

- Encourage the production and business establishments or industrial parks to organize shuttles for employees or encourage employees to use personal vehicles to limit travel by public means of transportation.

6.3. When confirmed cases are recorded at the production and business establishments or industrial parks

Organize concentrated accommodation for employees at each production and business establishment or industrial park.

6.3.1. Transportation of employees from their residences to their concentrated accommodations

a. Vehicles: As guided Section 6.1, Part VI of this Guidance; reduce the seats on the vehicles by 50% less than that stated in the granted licenses, mark the seats with marks for conveying appropriate distancing.

b. Employers:

- Make lists and collect information of employees to be transported and send them to the Management Boards of the industrial parks in order to confirm their eligibility to work; only transport people who have been confirmed to be eligible to work.

- Based on the number of employees to be transported, the production and business establishments shall build transportation plans and send them to the provincial/municipal Department of Transport and the Management Boards of the industrial parks for monitoring and management.

c. Drivers, assistant drivers: As guided at Point c, Section 6.1, Part VI of this Guidance; measure body temperature of employees before they board the vehicles; ask the employees to sit in their designated seats.

d. On-board employees: As guided at Point d, Section 6.1, Part VI of this Guidance.

6.3.2. Shuttle of employees between their concentrated accommodations to their workplaces

a. Vehicles: As guide at Point a, Section 6.3.1 of this Guidance; display the names of the on-board employees, as in the lists, on their seats for conveying appropriate distancing.

b. Employers: Work out plans on shuttle of employees; arrange people working in the same workshop/office/shift in the same vehicle, arrange people quarantined in the same area to work in the same shift.

c. Drivers, assistant drivers: As guided at Point c, Section 6.3.1, Part VI of this Guidance; make medical declarations before the start of the shuttle; be arranged in the same concentrated accommodation with the employees they transport; always follow “5K regulations”.

d. On-board employees: As guided at Point d, Section 6.3.1, Part VI of this Guidance.

VII. CONCENTRATED ACCOMODATION PLANS FOR EMPLOYEES

7.1. Types of concentrated accommodation

- Concentrated accommodation places (Concentrated boarding houses, dormitories; hotels, motels, schools, gymnasiums, vocational schools, etc. whose functions were converted to suit concentrated accommodation);

- Makeshift accommodation places at the production and business establishments or industrial parks.

7.2. Concentrated accommodation places

Each place of concentrated accommodation shall be stayed in by only employees of 01 production and business establishment or industrial park. The concentrated accommodation places must ensure that:

- Their entrances are under control; they are convenient for shuttle of employees; there are signboards saying “CONCENTRATED ACCOMMODATION AREA - NO ENTRY”; medical declaration areas, QR codes of pandemic checkpoints placed at the entrances; there are places for receiving food and essential supplies; disinfecting vehicles and goods, and washing hands with soap/hand sanitizer solution; surveillance camera systems are equipped at the gates/entrances; the places of accommodation shall have shared spaces and be connected to the information system of the communes or districts to get their joint supervision.

- The requirements for accommodation conditions prescribed in Section 1, Part II, Appendix 2 of this Guidance are satisfied.

- Environmental sanitation, disinfection, and waste management as prescribed in Section V of the Decision No. 2194/QD-BCDQG dated May 27, 2020 shall be ensured.

- Establish management boards of concentrated accommodation to organize and control employees entering and leaving the places in accordance with the approved lists; inspect the implementation of regulations on prevention and control of the COVID-19 pandemic; assess the risk of COVID-19 contagion; disseminate information about the COVID-19 pandemic prevention and control; publicize the phone numbers of the heads and hotlines of management boards.

- Establish COVID-19 working groups at concentrated accommodation places, each of which shall consists of: representatives of the local authorities/residential groups (as heads of the working groups), representatives of the management boards of concentrated accommodation, representatives of the employees at the accommodation areas and representatives of the production and business establishments or industrial parks (as deputy heads of the working groups); Each place of concentrated accommodation may has one or more than one working group.

7.3. Makeshift accommodation places

As guided in Section 7.2, Part VII of this Guidance. In addition, the makeshift accommodation places shall ensure:

- Being separate from production zones or hazardous zones, surrounded by barriers and divided into disinfection areas, accommodations, canteens, shared toilets, clothes drying areas, and garbage dumping areas.

- Arranging employees of each production and business establishment or industrial park to stay in a separate area to limit cross-infection.

VIII. TREATMENT PLANS FOR COVID-19 PATIENTS

8.1. General requirements

- On-the-spot treatment of COVID-19 patients in industrial parks:

+ Setting up quarantine facilities for on-the-spot treatment, applicable to schools, factories, factories, offices, military units, etc. that have COVID-19 patients.

+ Mobilize human and material resources (equipment, drugs, supplies, etc.) for patient treatment units. Provide professional and technical support, mobilize human resources to localities with complicated pandemic developments.

- Ensure medical examination and treatment in the quarantine zones (isolated areas).

+ Set up at the communal-level health station (hereinafter referred to as CHS for short) in the quarantine zone a temporary general medical clinic, which must be divided into 02 separate areas to avoid contagion, including: an area for reception, examination, temporary quarantine of COVID-19 patients, and another area for reception, examination, and emergency of other common patients.

+ Mobilize human resources from provincial-level and district-level hospitals to CHSs to perform medical examination, treatment, and first aid on a 24/7 basis, including general practitioners, doctors specialized in infectious diseases, obstetrics, and pediatrics, internal medicine physicians, and nurses.

+ Mobilize and equip more necessary equipment and means: at least 02 on-duty ambulances at one CHS (01 carrying suspected cases, 01 carrying common patients who need to be transferred), portable X-ray machines (mobile X-ray vehicles), ultrasound machines, patient monitors, blood sugar concentration rapid testers; equip more blood pressure monitors, electronic thermometers and other means and tools to examine patients, ensuring that they are used exclusively for suspected and non-suspected patients.

+ Provide more drugs to ensure the types and quantity of drugs meeting medical examination and treatment needs for common diseases and chronic diseases at the CHSs, using the list of drugs covered by health insurance prescribed in the Circular No. 39/2018/TT-BYT dated 30/11/2018. The district-level health centers shall be responsible for providing enough drugs for the CHSs and opening the health insurance payment gateways at the CHSs.

- Transfer patients beyond the treatment capacity for emergency and treatment of the CHSs to the provincial-level general hospitals:

+ Transport them to the isolated treatment areas of ​​the provincial-level general hospitals by ambulances.

+ At the provincial-level general hospitals, arrange separate isolated treatment areas for patients transferred from the quarantine zones. The isolated treatment areas should have about 50-100 general hospital beds (based on the population of the quarantine zones).

+ In case it is not possible to arrange operating rooms at the hospitals, there must be separate rooms for patients from the quarantine zones in the Departments of Surgery. The Departments of Hemodialysis also need separate rooms for people needing dialysis, who are residents of the quarantine zones.

- The Ministry of Health designates highest level hospitals to treat COVID-19 patients.

8.2. Treatment plans for COVID-19 patients

8.2.1. Screening and classification of COVID-19 patients in accordance with the Decision No. 2008/QD-BYT dated April 26, 2021 of the Minister of Health guiding the diagnosis and treatment of COVID-19.

a) COVID-19 patients without clinical symptoms.

b) COVID-19 patients with clinical symptoms.

8.2.2. Treatment and medical care plans for COVID-19 patients

a) The group of COVID-19 patients without clinical symptoms

- Transfer all asymptomatic COVID-19 patients with positive RT-PCR test results to QUARANTINE ZONES FOR MEDICAL OBSERVATION for monitoring and medical care. During medical observation, if clinical symptoms are recorded, they shall be separated to other rooms for medical care (the rooms shall be equipped with monitoring cameras, oxygen tanks and some emergency vehicles) pending being transferred to treatment facilities for COVID-19 patients. COVID-19 patients who then have negative RT-PCR test results shall be separated to other rooms.

- Guidelines for setting up, managing, and operating the QUARANTINE ZONES FOR MEDICAL OBSERVATION are prescribed in Appendix 3 of this Guidance.

b) The group of COVID-19 patients with clinical symptoms

- Transfer these people to treatment facilities for COVID-19 patients or set up field hospitals for care and treatment of them.

- There are 02 options for setting up treatment facilities for COVID-19 patients:

+ Requisition existing hospitals as treatment facilities for COVID-19 patients: Transfer all non-COVID-19 patients being treated at the hospitals to other treatment facilities. Use the entire infrastructure of such hospitals as facilities dedicated to treating COVID-19 patients.

+ Set up field hospitals: Use facilities with existing infrastructure conditions for clean water supply, toilets, wastewater collection and treatment systems.

IX. PRODUCTION PLANS WHEN THE PANDEMIC HITS PRODUCTION AND BUSINESS ESTABLISHMENTS OR INDUSTRIAL PARKS

9.1. General requirements

- All production and business establishments or industrial parks, before resuming their operations, must be reviewed, checked, and assessed for safety conditions for COVID-19 pandemic prevention and control in production and have sufficient pandemic prevention and control plans in case of recording COVID-19 cases, which are approved by competent authorities.

- The production and business establishments or industrial parks must commit to strictly complying with the production regulations, conditions and plans in order to prevent and control the COVID-19 pandemic, with the production scale prescribed by the local authorities.

- Provincial-level agencies and district-level People's Committees shall strengthen management, inspection and supervision of production and business establishments or industrial parks in implementing measures to prevent and control the COVID-19 pandemic in production.

9.2. Requirements for resuming production at the production and business establishments or industrial parks

9.2.1. General conditions for production

- Only use employees who have been confirmed by health agencies and local authorities where they permanently or temporarily reside that the risk of pandemic infection on them were under control within 28 days before the expected working date and who have negative RT-PCR test results for two times within 14 days before the expected working time (of which the last test shall be taken 01 day before they return to work at the production and business establishments or industrial parks), and have no suspicious symptoms.

- Accommodation for employees: Must meet the requirements in Section VII of this Guidance. If the COVID-19 pandemic develops complicatedly, the localities may require employees, if they leave the workplaces or concentrated accommodation places, when returning to their production and business establishments or industrial parks, they must undergo 21-day concentrated quarantine and take RT-PCR tests for 03 times with negative results (each test is 07 days apart, the last test shall be taken 01 day before they return to work) before returning to work.

- At least 03 days before resuming production: The production and business establishments or industrial parks shall transport their employees to concentrated accommodation places or makeshift accommodation places and test all employees for SARS-COV-2 by rapid antigen tests.

- Set up concentrated quarantine areas for employees when necessary.

- Organize inclusive management of employees by workshops, groups, teams (under 30 employees each) from their production places to accommodation places; arrange production areas separate by groups of employees with no more than 30 people per area.

- Screening for employees periodically, as required by local health agencies.

- Weekly send a list of all client companies, service providers that regularly deal directly with the production and business establishments or industrial parks to the Management Boards of the industrial parks and the provincial/municipal Departments of Health for monitoring.

- For units providing services for production and business establishments or industrial parks: Their employees must have negative RT-PCR test results in 01 day before the production and business establishments or industrial parks resume their operations, and be screened 01 time/week; they shall weekly report the lists of their employees to the Management Boards of the production and business establishments or industrial parks for management and monitoring; arrange buffer zones for delivery of commodities.

- Minimize the use of short-term and seasonal employees. In case of necessity, such employees must be quarantined for 21 days at the concentrated quarantine areas of ​​the production and business establishments or industrial parks and have 03 RT-PCR tests with negative results (each test is 07 days apart, the last test shall be taken 01 day before working at the production and business establishments or industrial parks) as well as must be tested and screened weekly.

- If there are no medical units at the production and business establishments or industrial parks, they must sign contracts with the medical units.

- Strictly comply with the provisions of the Decision No. 2194/QD-BCDQG dated May 27, 2020 and follow “5K regulations”.

9.2.2. Scale of employment: Based on the pandemic developments to reduce the scale of employment by 25-50% as for the production and business establishments or industrial parks with more than 500 employees.

9.2.3. The production and business establishments or industrial parks must commit to complying with regulations on COVID-19 pandemic prevention and control

- Regulations on COVID-19 pandemic prevention and control at workplaces, dormitories, and residences of employees; regulations on the shuttle plans for employees; concentrated accommodation places, concentrated quarantine areas; screening testing, etc.

- Other regulations at the request of local authorities.

X. CRITERIA FOR SELECTING PRIORITY GROUPS FOR COVID-19 VACCINATION

10.1: Select the production and business establishments or industrial parks in the following order of priority

- The production and business establishments or industrial parks where F0 cases are recorded

- The production and business establishments or industrial parks with F1 cases

- The production and business establishments or industrial parks near the production and business establishments or industrial parks where F0 cases are recorded

- The production and business establishments or industrial parks located in commune-level administrative areas with the F0 cases

- The production and business establishments or industrial parks located in commune-level administrative areas with the F1 cases

- The production and business establishments or industrial parks near the production and business establishments or industrial parks with F1 cases

10.2. Select the persons of the production and business establishments or industrial parks

Prioritize the injection of COVID-19 vaccines to the employees (both Vietnamese and foreigners) in the following order:

- The persons with close contact with the F1 cases who have complete their quarantine but have not yet been vaccinated.

- The employees living in areas where confirmed cases are recorded or traveling from places with pandemic outbreaks.

- Leaders of the production and business establishments or industrial parks and heads of the workshops and divisions.

- Medical staff.

- Officers and employees working at the canteens.

- Persons who delivers, transports, and provides commodities.

- Security officers, garage guards

- Janitors.

- Members of the COVID-19 safety working groups of the production and business establishments or industrial parks.

- Employees and other workers.

Based on the actual situation, the leaders of the production and business establishments or industrial parks may decide to add some other entities.

XI. ORGANIZATION OF IMPLEMENTATION

11.1. People's Committees/Steering Committees for COVID-19 Prevention and Control of provinces and municipalities shall:

- Work out detailed plans to implement the pandemic prevention and control plans when COVID-19 cases are recorded at the production and business establishments or industrial parks; inspect and supervise the implementation of them; strictly handle or decide to terminate the operations of the production and business establishments or industrial parks that do not have or do not implement plans to prevent and control the COVID-19 pandemic;

- Allocate sufficient resources to implement the plans when COVID-19 cases are recorded at the production and business establishments or industrial parks.

11.2. Management Boards of the industrial parks, Departments of Labor, Invalids and Social Affairs of provinces and municipalities shall

- Establish Steering Committees for COVID-19 Prevention and Control at the production and business establishments or industrial parks;

- Request the production and business establishments to sign commitments to implement measures to prevent and control the pandemic.

11.3. Departments of Health of provinces and municipalities shall

- Issue regulations on safety and prevention of COVID-19 in production as assigned; advise the provincial People's Committee to terminate the operations of the unsafe production and business establishment and industrial parks.

- Develop plans and options for testing, medical observation, healthcare, and treatment.

11.4. Other departments, agencies, and sectors shall

- Follow the assignment of the provincial-level People's Committee/ Steering Committees for COVID-19 Prevention and Control;

- Provincial/municipal Departments of Industry and Trade shall urge the production and business establishments, industrial parks to update the COVID-19 safety map.

- Provincial/municipal Departments of Transport shall guide and inspect the implementation of the plans on shuttle and transportation of employees.

- Provincial/municipal Departments of Construction shall promulgate and inspect the implementation of regulations and guidelines on concentrated accommodation for employees at the production and business establishments or industrial parks.

- Provincial/municipal Police Departments shall manage permanent and temporary residency of employees; ensure security and order at concentrated quarantine zones/isolated areas, the production and business establishments, industrial parks.

11.5. The production and business establishments or industrial parks shall

- Implement COVID-19 prevention and control activities in accordance with the Decision No. 2194; develop and implement pandemic prevention and control plans when COVID-19 cases are recorded at the production and business establishments or industrial parks.

- Sign commitments to carry out COVID-19 prevention and control activities with the provincial-level Management Boards of the production and business establishments or industrial parks.

- Require service providers to sign commitments to fully implement measures to prevent and control the COVID-19 pandemic and inspect their implementation; report the lists of service providers to the Management Boards of the production and business establishments or industrial parks.

The abovementioned contents are the guidelines for pandemic prevention and control plans when COVID-19 cases are recorded at the production and business establishments or industrial parks. Based on this Guidance and the actual developments of the pandemic in the areas, the authorities at all levels and the production and business establishments or industrial parks shall consider and decide to apply appropriate pandemic prevention and control measures and ensure the production safety. This Guidance will be updated and revised in accordance with the actual situation of the pandemic prevention and control.

During the course of implementation, if there are difficulties or problems, please contact the Ministry of Health (via the Health Environment Management Agency) for guidance and settlement.

APPENDIX 1.
GUIDELINES FOR ESTABLISHING THE “COVID-19 SAFETY WORKING GROUPS”AT THE PRODUCTION AND BUSINESS ESTABLISHMENTS, INDUSTRIAL PARKS

1. Objectives

Support dissemination of information, supervision and implementation of COVID-19 prevention and control activities at workshops/production lines/production groups of the production and business establishments or the industrial parks.

2. Methods of organization

- Based on the actual situation and needs of each locality, large-scale production and business establishments or industrial parks may consider establishing “COVID-19 Safety working groups” at their workplaces.

- Each “COVID-19 Safety working group” shall consist of 03-05 persons, including: leaders of the units/workshops, members of the Safety and Hygiene Specialist Network/Occupational safety and hygiene officials/exemplary employees with high sense of responsibility.

- The "COVID-19 Safety working groups" shall be established under the decisions of directors of the production and business establishments or industrial parks.

3. Tasks of the “COVID-19 Safety working groups” at the production and business establishments or industrial parks:

Support the Steering Committee for COVID-19 Prevention and Control of the production and business establishments or industrial parks in implementing the guidelines for pandemic prevention and control prescribed by the Decision No. 2194/QD-BCDQG dated May 27, 2020 as follows:

- Disseminate, remind, inspect, and supervise the implementation of measures to prevent and control the COVID-19 pandemic of the employees at their workplaces.

- Monitor, check and monitor the health of the employees

- Detect and warn violations on pandemic prevention and control at the workplaces and request the competent persons to promptly handle them in accordance with the regulations on pandemic prevention and control of the production and business establishments or industrial parks and the local authorities. Timely report to the managers and health decisions of the production and business establishments or industrial parks when detecting cases of employees showing suspected COVID-19 symptoms (cough, fever, shortness of breath, etc.) for handling in accordance with the regulations.

- Support the production and business establishments or industrial parks and functional agencies to track down F1 and F2 cases as well as emergency cases when the production and business establishments or industrial parks record COVID-19 cases or are quarantined under the decisions of competent authorities.

- Perform other appropriate pandemic prevention and control tasks assigned by leaders of the production and business establishments or industrial parks.

APPENDIX 2.
REQUIREMENTS FOR THE COVID-19 PANDEMIC PREVENTION AND CONTROL AT BOARDING HOUSES/HOSTELS OF THE EMPLOYEES STAYING IN THE COMMUNITY

I. Subjects of application

- Landlords.

- Employees who are house boarders/tenants.

- People's Committees of communes where the boarding houses/hostels are located.

- Production and business establishments which are employers of the house boarders/tenants.

II. Requirements for pandemic prevention and control at boarding houses/hostels

1. Requirements for conditions of the hostels

- Ventilation shall be ensured and each room shall ensure not less than 05m ^2/person.

- There shall be areas to wash hands with soaps or hand sanitizers at the shared space of the boarding houses/hostels.

- There shall be leaflets and posters on 5K regulations; phone numbers of the community-based COVID-19 working groups, hotlines of the health agencies and the managers of the boarding houses/hostels shall be publicized.

- Ideally, each room shall have one self-contained toilet; in cases where shared toilets are used, they must ensure no more than 12 people to use a same toilet.

- There is enough clean water for drinking and living demands.

- There shall be common detergents, water containers/pots, mops for self-cleaning and disinfection of the residential places.

- There shall be trash cans with lids for daily waste collection.

- The conditions of security and order, and fire safety shall be ensured.

2. Requirements for responsibilities of related entities

2.1. Responsibilities of house boarders/tenants

- Strictly making medical declarations, installing “Bluezone” mobile application, following “5K regulations” and regulations in pandemic prevention and control at the residential places.

- Not gathering within the hostels. Not leaving the hostels unnecessarily.

- Declaring their health situation when having one of the symptoms such as fever, cough, sore throat, shortness of breath and other health problems to the communal-level health stations or to the hotlines of the health sector and the production and business establishments or industrial parks.

- Signing commitments to prevent and control the COVID-19 pandemic with the landlords and local authorities. Coordinating with the community-based COVID-19 working group to take measures to prevent and control the COVID-19 pandemic.

2.2. Responsibilities of the keepers/landlords of the boarding houses/hostels

- Ensuring the conditions for prevention and control of the COVID-19 pandemic for the boarding houses/hostels as mentioned in Section 1 of this Appendix.

- Signing commitments to fully implement regulations on COVID-19 prevention and control with the commune-level People's Committees and asking the employees to sign commitments to comply with regulations on COVID-19 prevention and control.

- Daily providing the lists of people staying at their places the commune-level People's Committees.

- Regularly checking and reminding employees in the hostels to strictly comply with regulations on COVID-19 prevention and control.

- Notifying the communal-level People's Committees when someone staying at the hostels show one of the symptoms such as fever, cough, sore throat, shortness of breath and other health problems.

- Coordinate with the community-based COVID-19 working groups to take measures to prevent and control the COVID-19 pandemic.

2.3. Responsibilities of Communal-level People’s Committees

- Strictly managing all hostels where the employees stay in their respective localities.

- Establishing community-based COVID-19 working groups at the hostels, of which members include the keepers/landlords of the boarding houses/hostels and representatives of the employees.

- Imposing penalties within their competence on employees who do not comply with the regulations on COVID-19 prevention and control in the hostels and then notify their employers.

- Requiring the keepers/landlords of the boarding houses/hostels sign commitments and take responsibilities for managing the employees who are their house boarders/tenants in order for them to comply with the regulations on COVID-19 prevention and control.

- Regularly inspecting the strict compliance of the keepers/landlords of the boarding houses/hostels with the Regulations on COVID-19 prevention and control on in the hostels. Strictly handling violations of COVID-19 prevention and control regulations.

APPENDIX 3.
GUIDELINESS FOR SETTING UP, MANAGEMENT, AND OPERATION OF QUARANTINE ZONES FOR MEDICAL OBSERVATION OF PEOPLE INFECTED WITH SARS-COV-2 WITHOUT SYMPTOMS

I. Objectives

Isolate and monitor the health of people infected with SARS-CoV-2 without symptoms in order to prevent the spread of the disease into the community as well as reduce the overload of COVID-19 treatment at hospitals in the context of the SARS-CoV-2 confirmed cases increasing in the provincial-level areas.

II. Forms of quarantine

Quarantine at concentrated quarantine facilities as prescribed in the 2007 Law on Prevention and Control of Infectious Diseases with health observation and medical care.

III. Entities to be quarantined for medical observation

People infected with SARS-CoV-2 without clinical symptoms.

IV. Time of quarantine for medical observation

At least 14 days from the date of having positive RT-PCR test results and meeting the criteria for people infected with SARS-CoV-2 without symptoms as prescribed in the Decision No. 2008/QD-BYT dated April 26, 2021.

V. Setting up of quarantine zones for medical observation

1. Select locations to set up quarantine zones for medical observation and make decision to establish them in accordance with Decision No. 878/QD-BYT dated March 12, 2020 on guidelines for quarantine at concentrated quarantine facilities against the COVID-19 pandemic.

2. Arrangement of parts/units of a quarantine zone for medical observation

2.1. Security station

- Arranged in accordance with the guidelines in the Decision No. 878/QD-BYT dated March 12, 2020.

- Put a warning sign with red background and yellow letters saying, "QUARANTINE ZONE FOR MEDICAL OBSERVATION - NO ENTRY".

2.2. Area for disinfecting means of transportation

- Arranged near the entrance to the quarantine facility.

- All means of transportation allowed to enter and exit the quarantine zone for medical observation must be disinfected with a solution containing 0.1% active chlorine.

2.3. Separate entrances for infected people, medical staff, and service staff

2.4. Interior arrangement

a) Subdivision for infected people

- Select the location that is:

+ Ideally an isolated areas at the end of the windward side, easy to observe and access.

+ Far from functional areas and surrounding residential areas.

- Zoning subdivision for infected people:

+ Surround the quarantine subdivision with soft fences or hard fences, depending on the actual conditions.

+ Put up a red background warning sign with yellow letters saying, "AREA FOR PEOPLE INFECTED WITH SARS-CoV-2 - NO ENTRY"

- Exit and entrance to the quarantine subdivision:

+ Set up an exit and entrance to the quarantine subdivision barriered by soft fences.

+ Arrange at the exit and entrance of the quarantine subdivision:

* Yellow bins with lid opening pedals, lined with bags specially used to contain infectious waste and labeled "WASTE POSSIBLY CARRYING SARS-CoV-2".

* Hand-washing place/area equipped with soap and clean water. In cases where a hand-washing area cannot be arranged, there must be a hand sanitizer containing at least 60% alcohol.

- Area for receiving quarantined entities:

Choose a convenient, large enough, ventilated area located in the quarantine subdivision to receive, conduct initial medical examination, and classify quarantined people immediately upon reception of them.

- Rooms for quarantined people:

+ The rooms must be well ventilated with their windows often opened and no air conditioner used.

+ Quarantine beds must be placed at least 1 meter apart. Bunk beds can be used.

+ In front of the door of each room, arrange hand sanitizers; yellow bins with lid opening pedals, lined with bags specially used to contain infectious waste and labeled "WASTE POSSIBLY CARRYING SARS-CoV-2".

+ In the quarantine room, there shall be brooms, mops, rags, 02 buckets and disinfectant solution or common detergents for infected people to clean and disinfect the room themselves. Insects in quarantine rooms must be all killed.

+ There is a table of rules of in each quarantine room, imprinted with a round-the-clock hotline number for infected people in need to call.

- Quarantine rooms for infected people who have negative results:

+ Arrange an area with a number of quarantine rooms for infected people who have negative test results (at least 02 rooms);

+ The quarantine rooms for infected people who have negative results should have personal beds, hand sanitizers, gloves, masks, yellow bins with lid opening pedals, lined with bags specially used to contain infectious waste and labeled "WASTE POSSIBLY CARRYING SARS-CoV-2".

- Rooms for monitoring people with symptoms pending hospital transfer: arrange from 01-02 reserve rooms to transfer people with symptoms of the disease during their quarantine. Such rooms shall be individually arranged, equipped with surveillance cameras, oxygen tanks and some emergency vehicles.

- Buffer room/area for quarantine staff to change their protective clothing:

+ The buffer room/area shall be located at the beginning of the entrance to the quarantine zone for its staff to change their protective clothing when entering and leaving the quarantine zone.

+ The buffer room/area shall have a locker for personal protective equipment, quick hand sanitizers, cloth-changing chairs, and yellows bins with lid opening pedals, lined with bags specially used to contain infectious waste and labeled "WASTE POSSIBLY CARRYING SARS-CoV-2";

- Toilets and bathrooms in the quarantine subdivision: at least 01 toilet/bathroom for every 30 people.

Ideally, each quarantine room shall have its own toilet and bathroom, in cases where the quarantine room does not have its own toilet and bathroom, toilet and bathroom areas must be arranged in the quarantine subdivision, which are:

+ Separately arranged for male and female.

+ Equipped with soaps and clean water, toilet paper, common detergents, yellow bins with lid opening pedals, lined with bags specially used to contain infectious waste and labeled "WASTE POSSIBLY CARRYING SARS-CoV-2";

+ Daily cleaned.

+ For mobile sanitation facilities, waste must be collected and treated when the bins are full.

b) Area for the Executive Board, medical staff, and service staff (Operating area):

- The operating area shall be arranged in a location separate from the quarantine subdivision, convenient for travel and easy to observe the quarantine subdivision, and at the same time ensuring that:

+ It is equipped with computers, printers, and office supplies.

+ Communication, Internet and wi-fi shall be ensured.

- Set up a system of loudspeakers or use portable speakers to disseminate information, remind and notify the quarantined people and staff in the quarantine zones.

- Hand-washing place/area equipped with soaps and clean water. In cases where there is no place to wash hands, there must be hand sanitizers.

- There shall be male and female toilets; such toilets shall have enough soaps and clean water to wash hands and shower. They shall also be equipped with common detergents.

- There shall be household trash bins with lid opening pedals, lined with bags.

c) Arrangements of canteens, stairs, elevators, lobbies, supply reception areas: Follow the guidelines in the Decision No. 878/QD-BYT dated March 12, 2020.

d) Temporary waste storage area

- Arrange a separate covered area on a high foundation for easy drainage with warning signs to temporarily store waste of the quarantine facility, which is convenient to transport the waste to treatment.

- There shall be yellow bins with lid opening pedals, lined with bags specially used to contain infectious waste and labeled "WASTE POSSIBLY CARRYING SARS-CoV-2".

- There shall be household trash bins with lid opening pedals, lined with bags.

- There shall be hand-washing place/area equipped with soaps and clean water.

- There shall be equipped with disinfectant solution containing 0.05% active chlorine to disinfect waste containers after they are used.

dd) Medical equipment for medical observation of infected people

- First aid equipment: stretchers, oxygen tanks with breathing apparatus, and some emergency equipment: squeeze balls, anaphylaxis emergency medicine boxes, antipyretic medicines.

- Examination and monitoring instruments: Thermometers, stethoscopes, sphygmomanometers, SpO2 sensors: from 01-02 for every 100 infected people.

- Equipment for taking testing specimens: Blood test kits, swabs for taking specimens of SARS-CoV-2 test.

- Mobile X-ray equipment.

e) Handling of medical staff's linen: At least 01 washing machine and 01 dryer shall be installed.

l) Waste management, environmental disinfection, and treatment: comply with the Decision No. 3455/QD-BCD dated August 05, 2020 and the Official Dispatch No. 1560/BYT-MT dated March 25, 2020.

2.5. Medical staff:

- 01 doctor and 02 nurses for every 50 infected people, and the medical staff shall work in shifts to ensure round-the-clock service.

- X-ray technicians and drivers to operate mobile X-ray vehicles.

- Workers in charge of infection control: at least 01 worker as for a facility with less than 200 infected people. A facility with more than 200 infected people shall have at least 01 infection control worker for every 200 infected people.

- Workers handling equipment, linen, and waste: 02 workers for every 50 cases.

- Surface cleaning workers: 02 workers for every 50 infected people.

2.6. Other service staff: follow the guidelines in the Decision No. 878/QD-BYT dated March 12, 2020.

VIII. Organization of the quarantine and medical observation

Follow the guidelines in the Decision No. 878/QD-BYT dated March 12, 2020 and the following contents:

8.1. Prevention of infection for officials and staff in the quarantine zones for medical observation

- Medical staff shall take anti-droplet measures and contact prevention measures when entering the quarantine rooms.

- Quarantine zones for medical observation shall make lists and monitor the daily health of officials and staff regularly carrying out their duties in the quarantine subdivisions.

- When there are suspicious symptoms of infection, they shall be quarantined and treated, and their specimens shall be taken in accordance with the regulations.

8.2. Handling of cases of infected people in the medical observation quarantine zones showing symptoms:

1. Immediately report to the persons in charge of the medical observation quarantine zones, and the provincial/municipal Departments of Health.

2. Immediately transfer the infected people with symptoms to the rooms for monitoring people with symptoms. Transfer them to hospitals for COVID-19 treatment within 12 hours.