🇻🇳 Vietnam ‘modern field hospital for 500 #Covid19 patients’, let’s look at INFECTION CONTROL in Asia
thread with Google Translate, HT @DzungLeVN for link) 1/
zingnews.vn/benh-vien-da-c…
‘Hospitals use ventilation one-way to avoid cross infection’ 2/ Image
‘This is considered one of most modern facilities in Vietnam to treat #Covid19 patients. The hospital is in 3 zones
🟩 Green area- administration
🟨 Yellow area- dormitory, canteen, testing & equipment
🟥 Red area- treatment’ 3/ Image
‘Treatment area consists of 500 beds... 9 VIP (single rooms?), 20-bed blocks for severe & critical patients, 38-bed blocks for patients with mild symptoms’ 4/ Image
‘all project units (bed spaces) are ready to install medical equipment.. partitions, oxygen supply, monitoring camera, ventilator, AIR PURIFIER & other machines’ 5/ Image
‘all wards are equipped with a camera system to promptly monitor patients progress. The hospital will be operated, monitored & consulted remotely’ ( to reduce risk to staff?) 6/ Image
‘leading hospital for air conditioning to treatment rooms..one-way VENTILATION SYSTEM to limit spread of virus & prevent cross-infection

At head of bed there will be system to suck exhaust gas from patient.. specialised FILTER at air intake.. ULTRAVIOLET LIGHT to treat virus’ 6/ Image
‘system of 360 specialised AIR PURIFIERS to decompose, inhibit mould & neutralise viruses by 99%’ 7/ Image
‘roads around hospital marked “clean” & “unclean” lanes (low & high risk areas).. BUFFER ZONE of 69 disinfecting bathrooms & green spaces. People entering & leaving treatment area must undergo disinfection steps (again, protection of staff?) 8/ Image
‘Liquid oxygen storage tower with capacity of 16m3 ensuring supply for all patients.. each of these towers will be sufficient for 2 days’ 9/ Image
‘construction work 3 consecutive shifts.. “one route, two destinations” to ensure limited contact & avoid risk of infection’ 10/ Image
‘When operational (in coming weeks) there will be 1,000 medical staff.. nearly 300 doctors & 700 nurses’ 11/ Image
[aside: yes, the construction company really is called Delta deltacorp.vn/en/general-con… ] 12/ ImageImage
‘hospital is isolated from residential areas to ensure safety’ /13 Image
‘by 29 August (yesterday), the project had completed 95% of construction..it is expected to be inaugurated 31 August & after 3 days will start accepting #Covid19 patients’ /14 Image
foundations of the 500-bed hospital that will have patients this week were completed on 31 July 2021 (yes, 1 month ago) /15 Image
‘Vietnam’s #Covid19 response had been one of most effective in world until recently..but surge of delta &..Vietnam is struggling to contain variant.. like most developing countries Vietnam lags behind countries that we able to secure vaccines earlier’ /END
brookings.edu/blog/order-fro… Image

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More from @Orla_Hegarty

13 Sep
🇮🇪 #Covid19 It’s been one year since the LongForgottenDublinPandemicExperimentOf2020™️

If we had paid attention, 2021 could have been much, much better. Here’s why..

[we didn’t learn, but it’s never too late!] 1/ Our World in Data graph of Covid-19 cases in Ireland March 2
On 13 Sept 2020 the national 7-day average was 187 cases/day (it’s currently 1,300 almost 7 times amount)

In context of summer 2020, there were concerns. So govt brought in new restrictions ~for Dublin only~

Most significant was a ban on indoor dining & pubs ~in Dublin only~ 2/ Graph of 2020 cases
[+ an inter-county travel ban, limits on gatherings, closure of museums, & limits on some other not-so-high risk activities]

Most significant difference between Dublin & the Rest of Ireland was that indoor dining & pubs were open outside Dublin 3/
assets.gov.ie/87604/405b1065…
Read 8 tweets
12 Sep
(rough maths)
HEPA filtration €400 per classroom is < weekly cost of 1 contact tracer

We pay *900* contact tracers

HEPA for EVERY classroom ~as permanent protection for EVERY variant, virus & pollution~ would cost <6 more months of 900 contact tracers
irishexaminer.com/news/arid-4069…
(rough maths #2)

HEPA for EVERY classroom would be < cost of hospitalising 1,800 children (for average 1 week each)

1,800 schoolchildren is the number that would be expected to be hospitalised if 1 in 4 of all schoolchildren were infected in the coming months (0.25%)
(rough maths #3)

HEPA filtration for EVERY classroom as permanent protection would cost less than the *increase* in funding to horse & greyhound racing this year (up from €84m to €96m in 2021)
rte.ie/sport/racing/2…
Read 4 tweets
9 Sep
#Covid19 Children & managing class outbreaks

🇫🇷 France: full class isolate

🇮🇹 Italy: full class isolate

🇪🇸Spain: full class isolate

🇮🇪 Ireland: isolation of ‘close contacts’ if not vaccinated

🏴󠁧󠁢󠁥󠁮󠁧󠁿 England: no isolation of any under 18s for any reason
🇫🇷 France #schools “masks, mandatory from age 6.. classrooms regularly ventilated… In primary schools, if one child tests positive, class will close for 7 days.. In high schools children positive & not vaccinated placed into isolation for at least 1 week” amp.france24.com/en/france/2021…
🇮🇹 Italy ‘masks for everyone aged over six, staggered entrance/exit times, quarantine rules for classes with positive cases & some classes taught online, depending on the health situation in local area’ thelocal.it/20210831/expla…
Read 10 tweets
1 Sep
[Thread] Workplaces & #Covid19

😷 Many people WFH are concerned about risks in offices, schools, colleges & other buildings

🏢Workplace safety is regulated in EU (& other places). Virus is a biological agent & that requires precautions @EU_OSHA 1/
osha.europa.eu/en/themes/covi…
‘identification & assessment of risks is starting point for managing occupational safety & health.. Employers are obliged to revise risk assessment when there is change, to consider all risks, including affecting mental health..& to make an action plan’ 2/ oshwiki.eu/wiki/COVID-19:…
In Ireland, workplace safety is the responsibility of the Health & Safety Authority @TheHSA hsa.ie/eng/

#Covid19 resources here: hsa.ie/eng/topics/cov… 3/
Read 17 tweets
31 Aug
😷 👧🏼 #Covid19 #Schools #Delta
Masks are the most effective & simplest protection we have for children

Mask are worn very successfully from age 5 in schools in many countries

It’s not forever, & we will never regret doing it now. We must protect children
all the evidence for masks from Professor of Primary Care, Oxford @trishgreenhalgh
info from Professor @linseymarr Virginia Tech (expert in viral aerosols)
Read 5 tweets
29 Aug
(rough maths)
Let’s say 6,000 cases/day by late Sept..& let’s say 1/3 are children..so that’s 14,000 kids/week.. that’s 1 infected child in half all classrooms in Ireland..& then add close-contacts, siblings, teachers… & add parents off work, minding kids & isolating.. & worse..
.. let’s say 1 in 100 have to go to hospital, that’s 140 children/week.. & if only 10% of them need ICU that’s 14 children.. in a country where there are only 31 ICU beds for all sick children

This crisis was foreseeable.
[6,000 cases/day is NPHET Central1 range, 14 Jul slide)
.. so if 14 in ICU (say €2,500/night) & 126 in hospital (say €1,000).. that’s €1 million/wk cost.. & add deferred treatments & surgeries for other sick children.. & the other 13,860/wk kids with ‘mild illness’ (not hospitalised)?
Over 1,500 will likely get Long Covid (>5 wks)
Read 4 tweets

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