Strengthening efforts to prevent, control, and eliminate malaria in Vietnam in 2023
Has the Official Dispatch on strengthening efforts to prevent, control, and eliminate malaria in Vietnam in 2023 been issued yet? - Mr. Cuong (Ha Noi)
Strengthening efforts to prevent, control, and eliminate malaria in Vietnam in 2023
On October 9, 2023, the Ministry of Health issued Official Dispatch 6475/BYT-DP in 2023 on strengthening the prevention and control of malaria in 2023.
In order to continue to proactively take measures to prevent, control, and control malaria in the whole country, the Ministry of Health requests the People's Committees of all provinces, centrally-run cities to direct the implementation of the following tasks:
(1) Continue to direct and implement decisively the work of prevention, control, and elimination of malaria in the province, city; review and supplement the plan for prevention, control, and elimination of malaria in 2023 and the plan for prevention, control, and elimination of malaria in the next phase, especially the evaluation of results, progress of the implementation of malaria elimination in localities that are still endemic.
Maintain the sustainable results of malaria elimination in localities that have been announced to have met the malaria elimination criteria.
(2) Review and consolidate microscope points, train and improve skills in monitoring and testing of health facilities.
Strengthen the work of detecting cases of malaria in a timely manner by microscopy or rapid diagnostic testing, to reduce the loss of patients.
(3) Train to improve the capacity of diagnosis and treatment of malaria for medical facilities. Direct medical facilities to comply with the guidelines for the diagnosis and treatment of malaria issued together with Decision 3377/QĐ-BYT 2023.
(4) Review the actual coverage of the allocation of treated mosquito nets and the actual percentage of households in the risk group for malaria to have a plan for additional supply and implementation of mosquito net, mosquito net, and mosquito net in malaria prevention.
(5) Propose appropriate solutions to manage the risk of malaria, appropriate measures to reach all at-risk groups.
(6) Organize health education, risk communication, and behavior change in the implementation of malaria prevention measures for at-risk individuals and people in malaria-endemic areas, implement sleeping in treated mosquito nets both at home and when sleeping in the forest, when infected with malaria, go to a health facility for timely examination and treatment of malaria, use malaria treatment drugs fully according to the latest guidelines of the Ministry of Health.
Provide mosquito nets, mosquito nets, and mosquito nets with insect repellent, personal mosquito repellent; quickly implement the process of treating mosquito nets, mosquito nets, and mosquito nets with insect repellent for people and spraying residual insecticide at households and high-risk areas.
(7) Strengthen and promote the effective operation of the health system, especially community health, and strengthen effective coordination between government and agencies in malaria prevention.
Allocate human resources to ensure that the requirements for malaria prevention activities are met; allocate adequate professional activity funds in the regular tasks of the local budget.
Direct medical facilities to always ensure adequate needs for chemicals, reagents, drugs, and equipment for malaria prevention work in the area.
(8) Closely monitor the situation of malaria and evaluate the results of the implementation of malaria prevention intervention measures to promptly have further guidance measures for localities.
Direct units of health to monitor, report timely and fully the epidemic situation through the infectious disease reporting software in accordance with the provisions of Circular 54/2015/TT-BYT.
Strengthening efforts to prevent, control, and eliminate malaria in Vietnam in 2023 - Source: Internet
According to the law in Vietnam, what are the symptoms of malaria?
According to Subsection 1, Section 2 of the Guidelines for the diagnosis and treatment of malaria issued together with Decision 3377/QĐ-BYT in 2023, persons suspected of malaria will have the following symptoms:
- Fever: The patient is currently feverish or has a history of fever in the past 3 days.
+ Typical symptoms of a malaria attack: chills, fever, and sweating, with a cyclical pattern.
+ People who have malaria for the first time often do not have typical malaria attacks but often have fever that does not form attacks (the patient feels chills and goose bumps) or high fever that continues or fluctuates.
- Epidemic factors: visiting malaria-endemic areas, currently residing in or returning from malaria-endemic areas, or having a history of malaria.
All suspected cases of malaria must be tested for the presence of malaria parasites.
If the first test is negative, but there is still suspicion that the person has malaria, the blood smear must be retested after 8-24 hours, preferably at the time the patient is having a malaria attack.
How to differentiate common malaria with other diseases in Vietnam?
According to Subsection 4, Section 2 of the Guidelines for the diagnosis and treatment of malaria issued together with Decision 3377/QĐ-BYT in 2023, the following are the differential diagnosis of malaria:
Differential diagnosis of malaria
4.1. Differential diagnosis of common malaria with other diseases
In cases where the results of the test for malaria parasites are negative, it is necessary to distinguish it from fever caused by other causes such as: dengue fever, typhoid fever, scrub typhus, influenza, pharyngitis, tonsillitis, meningitis, etc.
4.2. Differential diagnosis of severe malaria with other severe conditions
In cases where the test for malaria parasites is negative, additional tests must be performed, and the relevant epidemiological factors must be carefully investigated to find the causes:
- Coma due to encephalitis, meningitis, severe infection, etc.
- Jaundice due to spirochetes, biliary tract infection, viral hepatitis, hemolysis.
- Septic shock, sepsis, scrub typhus.
- Acute respiratory failure due to other causes.
Therefore, the differential diagnosis of common malaria with other diseases is as follows:
The results of the test for malaria parasites are negative, it is necessary to distinguish it from fever caused by other causes such as: Dengue fever; Typhoid fever; Scrub typhus; Influenza; Pharyngitis; Tonsillitis; Meningitis,...
Best regards!
