Viet Nam Coronavirus Disease 2019 (COVID-19) Situation Report #47 20 June 2021 Report as of 20 June 2021 Viet Nam COVID-19 Situation Report #47 Report as of 20 June 2021, 18:00 Situation Summary Highlights of Current Situation Report − The current outbreaks continued to evolve with various clusters being brought under control while a number of provinces experience a surge with community cases and clusters of unknown sources of transmission. − Ho Chi Minh City (HCMC) continued to report high daily cases with multiple clusters in many places including those with unknown or unclear epidemiological links. Ha Tinh, Nghe An and Tien Giang provinces started reporting cases from community with unknown sources of transmission especially in the past five day. Bac Giang, Bac Ninh continued to report new cases but majority were among the contacts of previously reported cases or those in the lockdown areas. − A total of 2,673 new cases were reported during this week (increased 49% compared to previous week) including seven deaths. These included 2,611 locally acquired cases and 62 imported cases. Of the 62 imported cases, there were three foreigners and 59 repatriated citizens. − In the current outbreaks, as of 20 June 2021, there have been 9,943 locally acquired COVID-19 cases including 163 health care workers (HCW) reported from 42 cities and provinces across the country. Twenty-four (31) deaths (PFC 0.3%) have been reported. − Five cities/provinces reported highest number of cases include Bac Giang (5,406); HCMC (1,618); Bac Ninh (1,525); Ha Noi (263); and Da Nang (191). See Figures 3 and 4. − Twenty-one (21) provinces have passed at least 14 days since the last local cases reported: Yen Bai; Quang Ngai; Quang Ninh; Quang Tri; Thua Thien – Hue; Tuyen Quang; Son La; Ninh Binh; Thanh Hoa; Thai Nguyen; Hung Yen; Hai Phong; Tay Ninh; Gia Lai; Bac Lieu; Dien Bien; Dak Lak; Dong Thap; Tra Vinh; Thai Binh; and Vinh Phuc. − Six (6) provinces have not reported secondary transmission: Hoa Binh, Nam Dinh, Phu Tho, Quang Nam, Bac Kan, An Giang. Highlights on the outbreak situation and response measures taken from major ongoing clusters: 1) Bac Giang: the situation continued to improve gradually with no new clusters being reported. As of 20 Jun, 5,406 cases have been reported. During the week, on average around 194 cases were reported per day (increased 43% compared to previous week daily average) and mostly among the Industrial Park (IP) workers who are in lockdown areas or have been in quarantine. New cases reported during the week still also included cases that were previously detected but have not been officially notified for national tally. Most of the cases have well-established epi links. At least 25,520 F1 contacts identified and tested. - Cases have been reported from all 10 city and districts in the province, 6 hubs of industrial parks (IP) (mostly concentrated in two IPs of Van Trung and Quang Chau in Viet Yen District. Community cases are mainly from three communes of Quang Chau, Van Trung and Nenh town where big numbers of IP workers reside. See Figure 5 for Epi curve and Geographical distribution of cases in Bac Giang. - Six other provinces have reported cases which are related to Bac Giang included Lang Son, Tuyen Quang, Bac Ninh, Son La, Thanh Hoa and Thai Nguyen. - Given the stabilizing situation in the province, the special unit for outbreak control (headed by VM Nguyen Truong Son) has been dissolved and supported workforces (both from national level and other provinces) have gradually decreased since the second week of June. 2) Ho Chi Minh City (HCMC): During the week, the cities continued to report multiple clusters in many places and in various settings including residential areas, factories, office buildings, shops, marketplaces, health care facilities, etc. - As of 20 Jun, 1 618 cases have been reported from all the 24 districts. During the week, on average 118 new cases were reported per day. - Between 3-19 June, more than 900 new cases have been reported 35 hospitals and 4 health centres across the city which do not have clear epi links. Investigations are ongoing. Cumulatively, around 1050 cases without known sources of transmission are being investigated. 1 | P a g e Viet Nam Coronavirus Disease 2019 (COVID-19) Situation Report #47 20 June 2021 Report as of 20 June 2021 - About 29 clusters have been recorded in the city of those 23 clusters continue to report daily new case and 6 clusters (including Phuc Hung religious mission cluster) have been brought under control. Of note, there are 9 clusters related to enteprises and industrial companies which are under close monitoring. - The cluster at HTD/ HCMC is being under a high attention and closely followed up. From 11 Jun to 20 Jun, a total of 85 cases have been reported which are related to this clusters (27 additional cases reported during the week). All the cases were among the close contacts of the initial cases and already in quarantine. (See previous Sitrep for a background information of this cluster) - The City has strengthened NPI measures in the affected areas. The City People’s Committee has issued its own Directive No. 10 on 19 Jun to guide public health measures (even more strict than PM’s Directive No. 16 for some measures) to be applied in specific places with the effort and determination to take control of ongoing transmission within one week. - A Special Unit for outbreak commander and control has been established as per the MOH Decision No. 2910/QD-BYT headed by VM Nguyen Truong Son; three vice heads include Director of Cho Ray hospital, Director of PI HCM and Director of IPH in HCMC. There are 5 sub-units to support the city response which include i) Surveillance and case investigation; ii) Laboratory testing; iii) Medical environment management (quarantine operations, IPC in different settings); iv) Case management; and v) Communication. 3) Bac Ninh: A daily case number fluctuated during the week but overall has been on a down trend. As of 20 Jun, 1,525 cases have been reported from all the 8 districts/towns in the province; around 7,567 F1 contacts have been identified and tested. - Four main clusters include: 1) Bac Ninh city: 719 cases reported from 14 wards; mostly related to AAC company with additional cases detected among staff of a lockdown area (a kindergarten) in Khac Nien Dist.; 2) Thuan Thanh cluster: recorded the highest number of cases in the province (591 cases) but outbreak spots have been under control; 3) Que Vo cluster: recorded 127 cases in 12/23 communes and towns; source of transmission was identified mainly from Que Vo IP since 17 May, last cases were on 16 Jun; and 4) Others: 79 cases were scattered from other districts; mostly related to Mao Dien and Thuan Thanh communes; last cases reported on 3 Jun; lockdowns have gradually been lifted in various locations. - While the situation seemed brought under control in most areas in the province last week, 6 new cases were detected in AAC Technologies Viet Nam company, inside Que Vo 1 IP, mostly due to cross infection. The workers continued to go under quarantine while working inside the factory since the first case was reported. 4) Ha Noi – The situation continued stabilizing during the week. As of 20 Jun, 263 cases have been reported (5 new cases reported last week among those in quarantine) in 22 out of 30 districts and in 12 clusters. Approx. 4,072 F1 identified and tested. - The T&T – Times City cluster remains without unknown epi links - 5 Clusters being brought under control but still under close observation: K hospital (14 cases; last case reported on 31 May; lockdown lifted on 14 Jun; hospital was back to normal operation on 20 Jun); T&T group (unclear epi links, 63 cases reported since 22 May, so far only cases found among F1 contacts); NHTD#2 (20 cases in Phuc Tho (8); Dong Anh (7); Soc Son (2); Dan Phuong (2); Me Linh (1); Da Nang related (52 cases reported; last case was on 1 Jun); and Hung Yen related (8 cases reported; last case was on 16 May) clusters. - 7 Newly reported clusters: Centralized quarantine facility in Son Tay Dist. (56 cases reported since 23 May); HCMC related (1 case from 30 May on flight from HCMC-HAN, so far no additional cases detected among contacts); Bac Ninh related cluster (26 cases as of 1 Jun related to Mao Dien/ Thuan Thanh Dist. including 2 cases linked with Canon company in Que Vo IP); Bac Giang related cluster (3 cases reported starting from a case who returned from Viet Yen Dist. on 30 May); Hai Duong related (1 case detected through community screening at Duc Giang hospital on 30 May; all 19 F1 contacts tested negative so far); and Dong Anh cluster (starting from a vegetable market vendor who was detected on 7 Jun with unknown epi links, a total of 16 cases have been reported as of 9 Jun; 161 F1 and 283 F23 contacts identified); Duc Giang general hospital in Ha Noi (first case was detected on 14 Jun (a security staff); another staff (an accountant) was detected on 15 Jun. Both were without known sources of transmission. The hospital was put on temporary lockdown on 14 but lifted on 21 Jun after investigation and contact tracing were completed. - Even though Ha Noi situation continued to be stabilizing, having multiple clusters with different sources of infection including those with unknown epi links, urged the local health and authorities to maintain a close surveillance and monitoring.