Doctor on call whenever, wherever

Doctor on call whenever, wherever

Thu Vân HÀ NỘI — On Valentine’s Day, Nguyễn Văn Tuấn wanted to send flowers to his wife, but he didn’t.

He was called away from Hà Nội on an emergency and didn’t have time to.

Unexpected calls are part of being a doctor, and Tuấn, a doctor at the National Hospital for Tropical Diseases, was not surprised.

But this was no ordinary emergency.

Tuấn was part of a team of medical professionals who treated the first Vietnamese patients to test positive for the novel coronavirus at the end of January.

He stayed in hospital for 14 days, sleeping on a camp bed in his room.

“It was uncomfortable, but just like my colleagues, I was too tired every night to even think about it,” Tuấn said.

On February 14, he received a phone call from his boss telling him he had been assigned to a special task force to work on the prevention and control of the COVID-19 epidemic in Bình Xuyên District, Vĩnh Phúc Province.

Vĩnh Phúc Province is home to 11 of the 16 confirmed COVID-19 infections recorded thus far in Việt Nam. The source of the infection was a group of eight workers who’d returned from China’s Wuhan City on January 17.

Tuấn was only able to call his wife late that night after he was “settled” at the heart of the nation’s epidemic fight.

“She was worried. But it’s my job…”

Standing at the gate of Vĩnh Phúc Province’s Quang Hà General Clinic with a mask covering his face, Tuấn said he missed his wife and two kids because he hadn’t been home for almost a month, but also said he was ready to see everything through.

“When I read the news about doctors who had died of the virus in China, I was heartbroken.

“We doctors and nurses tell ourselves we have to stay safe and healthy so we, together with our colleagues in preventive healthcare, can fight the epidemic until it’s over,” Tuấn said.

Doctor Nguyễn Văn Tuấn from the National Hospital for Tropical Disease pictured with the first patient to recover from the novel coronavirus who was discharged from hospital on February 18 in Bình Xuyên District, Vĩnh Phúc Province. Photo Courtesy of Nguyễn Văn Tuấn

Nguyễn Trọng Khoa, deputy head of the Department of Medical Examination and Treatment under the Ministry of Health, arrived in Vĩnh Phúc on February 13, but his involvement with the epidemic started much earlier.

On January 11, he held his first meeting about the novel coronavirus and its potential risks to Việt Nam with Government leaders. On January 24, the first novel coronavirus cases were reported in Việt Nam.

Since then, he has only taken one day off – the first day of the Lunar New Year – when he took his family to see his parents-in-law in Thái Bình Province.

On February 13, he met up with the special task force and headed to Vĩnh Phúc. The first week was very tense, since a whole commune had been locked down.

Nguyễn Trọng Khoa, deputy head of the Department of Medical Examination and Treatment under the Ministry of Health, works with a member of a task force assigned to monitor suspected cases after the last coronavirus patient in Bình Xuyên District recovered on Tuesday. VNA/VNS Photo Đoàn Tùng

“There were so many things that needed to be done. It was not only about screening suspected cases and treating people who tested positive, it was also about controlling and preventing the disease from spreading further, and providing normal healthcare services for those in need,” he said.

Some 160 doctors, nurses and healthcare staff from central and regional hospitals were sent on the special mission to Bình Xuyên District.

They were divided into different groups: one in charge of screening suspected cases and treating infected cases; another in charge of monitoring and controlling the epidemic; and another in charge of providing on-the-spot healthcare services.

Sơn Lôi Commune, home to 10,600 people, has been locked down since February 13. Three quarantine stations were set up in Bình Xuyên District: Quang Hà General Clinic, Phúc Yên Hospital and the provincial Military College 2.

“You can imagine the workload,” Khoa said.

But it was not just hard work and the risks involved that stressed the healthcare staff.

One of them, who was sent to work at Quang Hà General Clinic, said his family had faced discrimination when their neighbours found out where he was working.

“My family, with whom I have had no direct contact since I joined the task force, was isolated and discriminated against by our own neighbourhood, and that made me very sad,” he said.

No time to lose

Doctor Trần Như Dương, deputy director of the Central Institute of Hygiene and Epidemiology, has been placed in charge of the overall operation of the task force.

On February 13, after arriving in Vĩnh Phúc, he attended a six-hour training course for more than 200 doctors, nurses and healthcare staff.

That night, in a small room provided by local authorities, Dương and his colleagues worked on guidelines to quarantine suspected cases.

“It was an important, urgent task, so we had no time to lose,” he said.

The task force set up 60 local health groups, each in charge of 20 families in communes where special supervision was needed.

Every day, these groups of both local healthcare staff and members of the task force visited each and every family to take their temperatures and give clear and detailed instruction on how to prevent the epidemic from spreading.

People with suspected symptoms such as coughing or a high fever were taken into quarantine stations.

“It was crucial to make people understand and co-operate with us in the fight to stop the epidemic from spreading,” Dương said.

While doctors on the frontline face the risk of being infected, it’s no less dangerous for those involved in preventive and control jobs, Dương added.

Doctor Nguyễn Trung Cấp, head of the Emergency Department at the National Hospital of Tropical Diseases, said his colleagues in the preventive healthcare sector had done a really good job.

“When the virus is detected, treatment is usually in the final stages. The most important thing is to stop the epidemic from entering the country again, and if it does, preventing it from spreading,” he said.

“The success depends largely on these two stages – if disease prevention and control is done properly, we won’t have to do anything, or at least, the workload would be much easier to handle. So far, it has been successful,” he said.

It’s not over yet

Last Sunday at around 10pm, Khoa received a phone call from Doctor Trần Như Dương.

The sixteenth coronavirus case in Việt Nam, who is receiving treatment at the Quang Hà General Clinic in Bình Xuyên, had tested negative for the virus for a second time.

“I think it was the most joyful and touching moment I’d felt since I became involved in the epidemic task force. I could feel relief flooding through me,” Khoa said.

In an online meeting on Tuesday morning, Deputy Prime Minister Vũ Đức Đam announced that Việt Nam’s last case of the 16 novel coronavirus infections had recovered. No new infections have been reported in the country over the past 13 days.

But Khoa knows his job is far from done.

The latest developments in the COVID-19 outbreak in South Korea and other countries means Việt Nam’s health sector cannot afford to let its guard down.

After South Korea raised its epidemic alert to the highest level, the Vietnamese Government tightened controls for visitors from the country. Anybody coming from South Korea will have to submit health declarations, and those with symptoms will be quarantined for a minimum of 14 days.

As of Tuesday, the global COVID-19 death toll had climbed to 2,700, and confirmed infections topped 80,000. More than 27,000 patients have recovered, but health experts have sounded pandemic warnings.

Vietnamese healthcare staff on the frontline are well aware their work is not done and are braced for more cases.

“I’ll only return to Hà Nội once Vĩnh Phúc is free of the epidemic, but the fight will go on for at least several months.”

“We must pay close attention to the disease because the situation now is becoming more complicated in other regions. There is a person from South Korea, where hundreds of people have tested positive for the virus, who has returned to the district. We have already quarantined that person and will monitor the situation closely.”

Doctor Tuấn was forthright: “Ever since I started working as a doctor, I knew I would always have to be on the frontline.”—VNS

World News Day 2020

Indian Printer and Publisher is one of the publications supporting World News Day and we will be publishing shared stories from around the world with an emphasis on stories from the Indian newsrooms such as The Hindu Business Line, The Quint, and The Indian Express that have made their stories available, as well as a couple of our own stories.

Our own stories concerning the education, publishing and print industries that we are putting forward to share in the celebration of World News Day are:
Indian government Stop Print! by Shardul Sharma 
Indian media fatalities to virus exceed those to violence by Nava Thakuria Indian print media to lose Rs 18,000 crore in FY 20-21 by Naresh Khanna The end of the great international trade shows? by Ron Augustin

2023 promises an interesting ride for print in India

Indian Printer and Publisher founded in 1979 is the oldest B2B trade publication in the multi-platform and multi-channel IPPGroup. While the print and packaging industries have been resilient in the past 33 months since the pandemic lockdown of 25 March 2020, the commercial printing and newspaper industries have yet to recover their pre-Covid trajectory.

The fragmented commercial printing industry faces substantial challenges as does the newspaper industry. While digital short-run printing and the signage industry seem to be recovering a bit faster, ultimately their growth will also be moderated by the progress of the overall economy. On the other hand book printing exports are doing well but they too face several supply-chain and logistics challenges.

The price of publication papers including newsprint has been high in the past year while availability is diminished by several mills shutting down their publication paper and newsprint machines in the past four years. Indian paper mills are also exporting many types of paper and have raised prices for Indian printers. To some extent, this has helped in the recovery of the digital printing industry with its on-demand short-run and low-wastage paradigm.

Ultimately digital print and other digital channels will help print grow in a country where we are still far behind in our paper and print consumption and where digital is a leapfrog technology that will only increase the demand for print in the foreseeable future. For instance, there is no alternative to a rise in textbook consumption but this segment will only reach normality in the next financial year beginning on 1 April 2023.

Thus while the new normal is a moving target and many commercial printers look to diversification, we believe that our target audiences may shift and change. Like them, we will also have to adapt with agility to keep up with their business and technical information needs.

Our 2023 media kit is ready, and it is the right time to take stock and reconnect with your potential markets and customers. Print is the glue for the growth of liberal education, new industry, and an emerging economy. We seek your participation in what promises to be an interesting ride.

– Naresh Khanna

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