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Compared to the number of CCs on 30 January, the 24 July number had increased The date of 24 July also marked the day with the highest number of new cases NCs in the past six months , NCs [ 3 , 4 , 5 ]. COVID deaths also reached a peak on 24 July of deaths since a record high of deaths on 30 April [ 3 , 4 , 5 ]. Only 48 cases were being treated As of this date, 99 days in Vietnam had been spent without any NCs infected from the local community [ 8 , 9 ].

In this study, we offer an overview of the pandemic prevention and control in Vietnam, which was successful and effective, up to 24 July. Within the scope of this study, the CCs and policy responses and actions put in place to minimize infection and spread over the initial six-month term from 23 January to 24 July were gathered, analyzed, and assessed. This marked the beginning of period V, with complicated and unpredictable developments in terms of both the pandemic [ 15 ] and social safety due to a series of Chinese people entering Vietnam illegally through border roads and waterways [ 16 ].

As of 15 December, the whole country had recorded 35 deaths and CCs [ 6 ]. From 25 July to 15 December days an additional NCs were reported—equivalent to 6. In the first days of period V, there were up to dozens of NCs daily for many consecutive days. Period V also saw 35 deaths, following a period of no deaths because of the coronavirus in all four previous stages [ 17 ]. The main cause was identified as a mutation of the virus, leading to infection in the family and high cross-infection [ 18 ].

This was the sixth identified strain of COVID in Vietnam, with the characteristic of spreading faster than previous strains recorded [ 16 ]. As of 15 December, Vietnam had witnessed 79 days with no more deaths, remaining at a confirmed number of 35 since 3 September [ 6 ].

Therefore, a question arises: Why in so many nations and territories across the world, including the most wealthy countries such as the USA, Brazil, France, the UK, and Germany, did the pandemic spread and cause hundreds, even thousands of deaths daily [ 19 , 20 ], whereas in Vietnam—a small, densely populated neighbor of China with only , km 2 land area [ 21 ] and over In some studies, Vietnamese scholars pointed to the prompt and effective policy responses as one of the most important factors contributing to COVIDrelated successes in Vietnam.

The study by La et al. This study offers an overview of the policy responses to the COVID pandemic in Vietnam from the preparation phase on 16 January before the first 2 CCs on 23 January to 24 July by synthesizing and evaluating the relevant policy system in different classifications, including by agencies, time periods, types of policy communication, and category of policy responses. We further report findings from collecting, classifying, and synthesizing COVID policy documents PDs from different government levels from central national to provincial.

Other relevant documents were also obtained from database analysis of recent policies, official press, articles, reports, briefs, and presentations from reliable data sources in Vietnam and globally. A total of documents were obtained during the period of analysis. Within our research, PDs under the provincial level districts and communes were not collected for analysis. Although at the 13th National Assembly session, the district and commune authorities officially obtained the right to issue legal documents after 22 June [ 28 ], so far, there is no official channel for storing COVID PDs promulgated by district and commune levels.

Corrections were made to some inaccurate information points about 4 CCs in La et al. To specify, F0 people are confirmed as infected, F1 people are suspected as infected or contacted F0, and F2 people contacted F1 and similarly the next generations F3, F4, etc. The map of CCs Figure 1 illustrates that with timely and drastic government policy responses, the rate of infection after F1 strongly declined.

The whole country has 24 F0 CCs 5. This led to 12 F2 CCs 2. In each of the F3 and F4 generations only one CC appeared, which originated from CC —one of the super infectious cases and the fastest spreading case in period III 20 March—21 April —the time with the highest number of cases of infection in the country [ 10 ].

During these days, there was a total of CCs nationwide. Over more than six months of combat, an average of 2. There were RCs [ 7 ] out of CCs [ 33 ] accounting for The second period lasted two weeks 6—19 March and confirmed a total of 69 cases, corresponding to 4. Vinh Phuc province to train in Wuhan city for 2.

With CC 17, Vietnam ended a consecutive string of 22 days without any NCs and officially entered the second phase with CCs coming from abroad [ 37 , 38 ]. Compared to periods I and II, period III 20 March—21 April occurred over the highest number of 33 consecutive days with recorded NCs due to positive test results with the new strains of COVID from both Vietnamese and foreign passengers from the flights from period II, still having flights to welcome repatriated Vietnamese, and especially outbreaks of infectious chains in the community.

This phase recorded a total number of CCs 5. Period IV existed for 94 days 22 April—24 July and confirmed a total of cases 1. The most significant and widely noted aspects of stage IV were, first, that the pandemic was well controlled [ 46 ], with all CCs originating from flights welcoming returning overseas Vietnamese. As of 24 July, Vietnam had experienced 99 days without new infections from the community [ 8 ]. Second, there was an acceptance of the situation of living with the pandemic, to move to a longer, more radical, anti-outbreak stage along with socio- economic development [ 47 ].

This indicator can be compared to other countries considered to have strong pandemic management in the first stages, such Taiwan, Hong Kong, Singapore, and South Korea [ 48 , 49 , 50 ]. Databases of international statistics organizations [ 51 , 52 ] demonstrate that these figures in Taiwan and Hong Kong were 0.

As of 24 July, Taiwan had spent days in the outbreak and detected CCs [ 51 , 52 ], corresponding to 19 CCs per 1 million population [ 51 ] and 2. These typical indicators illustrate that Vietnam attained significant achievements in the global fight against the COVID pandemic. Vietnam carefully prepared to respond to the pandemic before the appearance of the first two positive cases from Wuhan, China, on 23 January, [ 26 , 45 ], which were confirmed at Cho Ray hospital in HCMC, just two days before the Lunar New Year holidays [ 34 ].

On the same day, the MOH expeditiously issued decision No. From 20 to 22 January, each day witnessed one legal document released by this ministry: Decision No. These legal documents were the first ministerial documents and dealt directly with the core professional problems of providing diagnosis and treatment guidelines, plans for acute pneumonia that were published one week earlier than the first CCs in Vietnam.

This points out the proactive nature and high level of preparedness to cope with the pandemic that existed in the country. New PDs were issued almost every day. On average, each day 2. Although only the first 16 cases coming from China [ 10 , 37 ] were confirmed in the 43 days of period I 23 January—5 March , the emergency PDs were issued promptly with documents 4.

Meanwhile the 14 days of the second period 6—19 March witnessed 69 CCs and—with CCs from abroad [ 10 , 37 ]— relevant PDs, corresponding to 4. New PDs at all levels, especially at the provincial levels, were issued every day to strengthen the pandemic management in the new context of complicated developments.

This period confirmed a total of cases and PDs, corresponding to 1. The classification of four PD levels of management is based on the organizational diagram of the State of the Socialist Republic of Vietnam in [ 73 ]. All PDs from this study were categorized by the issuing authority at each level. The PPCs include all 63 provinces.

Vietnam covers 63 provincial units with 61 provinces and two special urban units under central authority, including HCMC and Hanoi capital—equivalent to the provincial level [ 74 , 75 ]. By 24 July , Vietnam saw CCs in 36 out of 63 provincial units. In Hanoi and HCMC, where the two largest international airports, Noi Bai and Tan Son Nhat, are located, these provincial units had peak numbers of CCs and 62, respectively as well as the most significant quantities of legal documents 45 and 39, respectively see Figure 3 and Figure S3.

The multi-level policy approach came from 33 different agencies from the national to provincial levels , classified in five groups including 4 CL units, 4 CFL units, 18 MA units, 6 MLA units, and 63 PPC units , in all periods from the beginning days of the outbreak see Figure 4 and Figure S4.

Figure 5 and Figure S5 illustrate the result of a review of the number of PDs classified by 33 different agencies from the early days of the outbreak to 24 July The whole process saw COVID PDs released, with 7 in the preparation period, in the first period, in the second, and and in the third and the fourth, respectively, from the central government to the ministry levels and a group of PPCs including all 63 provincial units nationwide. One of the findings of La et al.

With the highest number of PDs in period I from the CLs 15 , this analysis demonstrates that the political system of Vietnam put in place strong prevention and control measures from the early days. This extended from the central to local levels throughout the country.

Not only did many government agencies promulgate PDs quickly, but each authority also issued different types of PDs. The special circumstances may lead to the need to apply emergency measures to limit damage caused by natural disasters, prevent and control epidemics, or protect sovereignty, territorial integrity, political security, and social order [ ]. A resolution is also a kind of document made by socio-political organizations, social organizations, and unions on issues of their activities [ ].

Other documents with lower rates included 51 announcements 5. The lowest ranks belonged to circulars and guidelines, with each used only by two agencies see Figure 7 and Figure S7. The policy responses to the COVID emergency have varied between countries and there have been different methodologies used to assess the nature and role of COVID policies across the world. They include school closings, workplace closings, cancellation of public events, shutting down of public transport, public information campaigns, restrictions on internal movement, and controls on international travel [ 77 ].

Another methodology to assess country responses was built by the team at Eurasia Group across three areas: healthcare management, political response, and financial policy response. Some of these findings are similar to those of other scholars [ 20 , 25 , 79 , 80 ]. Some Vietnamese scholar groups have classified the COVID policy responses in Vietnam according to specific content, such as fake news prevention, assessment of the prevention or of the threat, education, emergency response, market control, national funding, preventive action, reward, social distancing announcement, citizen support, and travel restrictions [ 26 ].

In this study, eight key overall policy measures were observed, as described in Box 1 and more detail in Appendix B see Table A1. First, outbreak announcements and steering documents were published promptly and continuously at all different stages of the pandemic [ 27 , 81 , 82 ]. These measures included various types of medical declarations MDs , from the compulsory level for all people entering the country from 7 March [ 38 , 83 , 84 ], and even for all people nationwide from 20 March [ 38 , 85 ] to voluntary declarations for all people nationwide from 10 March [ 86 ], for all subjects in educational schools and organizations from 26 March [ 87 ], and for all domestic travelers from 21 March [ 88 ].

Third, school blockade measures included the students of all 63 provinces nationwide having a significantly longer vacation, from early February to 4 May due to the pandemic three months, whereas the annual summer vacation usually lasts two months.

All schools of all 63 provinces nationwide were closed from 6 February [ 9 , 92 , 93 , 94 , 95 ] to the end of April [ 96 , 97 , 98 , 99 , ]. The MOET also decided to adjust the plan framework twice for the — school year, which delayed the end of the school year and the national high school exam. The second semester program of all general education levels was streamlined to accommodate the extended vacation for the students [ 82 , ].

Fourth, emergency responses such as a series of COVID QRTs established at the ministerial levels for hospitals [ 9 , , , ], and many urgent government meetings from the national to provincial levels were implemented immediately, irrespective of day or night, if any NCs were detected that had moved in the community [ 44 , 65 , , , , , , , , ]. Fifth and sixth, Vietnam also conducted other strong measures, including border and entry control [ 9 , 10 , 45 , 78 , , , , , ] and social isolation in many places such as bars, villages, streets, towns, and cities where sources of infection from the patients were confirmed [ 10 , 37 , 39 , 40 , 41 , 43 , 45 , 94 , , , , , , , , , , , , , ], and even nationwide social isolation [ 10 , , ].

For the first time in history, Vietnam thoroughly implemented all models of isolation: compulsory centralized isolation, home isolation, isolation in place, and even nationwide social isolation. This is considered the most effective measure to limit the spread of the outbreak. Not every country applied the same strict quarantines as in Vietnam such as nationwide social isolation [ 82 ]. Tens of thousands of people were sent to concentrated isolation areas with free support about food, accommodation, medical examination tests, and other living expenses within 14 days, and treatment [ 9 , 82 , ].

In the current global context, it can be said that no pandemic has had such a profound impact on all aspects of socio-economic life for countries worldwide as COVID Moreover, never in the past have so many unprecedented new policy documents PDs been issued widely and continuously in Vietnam to promptly respond to the pandemic [ 82 ].

To have these impressive numbers, the early preparation and immediate policy responses of government levels from national to provincial, as well as the consensus of all strata, were some of the fundamental contributors to the positive outcomes of these timely and effective measures. It should be noted that similar to Vietnam, other countries in the region such as Mongolia [ ], Taiwan, Hong Kong, Singapore, and South Korea also performed effective policy responses in the early stages of the epidemic [ 48 , 49 , 50 ].

For example, in Mongolia, the first public preventive measures were introduced by the MOH on 6—12 January, [ ]. With rising CCs in China and the appearance of the first CC in South Korea on 20 January, Mongolia issued PDs dated from 20—26 January requiring all educational institutions to be temprarily closed until 30 March and travel restrictions applied to China [ ]. This is a key component of epidemic preparedness in Taiwan.

The CECC is then dissolved once the commanding official confirms that the threat level is low enough, pending approval from the national government. Our analysis demonstrated the multidimensional approaches taken from different relevant government levels 33 agencies from 4 levels from central to local, including, most notably, all 18 ministries and all 63 provinces in the country in issuing various types of PDs nine tools: resolution, decision, directive, circular, announcement, plan, dispatch, and guideline as well as a range of policy measures eight groups: outbreak announcements and steering documents, medical measures, blockading schools, emergency responses, border and entry control measures, social isolation and nationwide social isolation measures, financial supports, and other measures.

As a result of these wide-ranging policy measures and communication tools, issued in a timely manner, the pandemic situation was controlled effectively in the first six months 23 January—24 July. COVID is at risk of becoming one of the toughest trials for humanity to confront in modern history [ , ]. According to Dr. In the context of much frustration, the policy responses to the COVID pandemic in Vietnam were diverse, proactive, prompt, and widely supported.

The proactiveness was not only in legal documents providing guidance before the first two CCs appeared in Vietnam, but also in a series of rapid and drastic larger scale measures that were later deployed synchronously and unprecedentedly [ 27 , 81 , 82 ].

The most important factor deciding the success of this fight appears to be the great unanimous force of the integration of the whole society, from authorities of all government levels, security forces, and the military to individuals acting together against the outbreak [ 81 , ].

Vietnam is one of the very few countries that mobilized the entire troops, for example, to participate in the pandemic prevention and control from the early days [ 81 ]. This mobilization strategy resembles wars that the Communist Party of Vietnam led against the French and American forces in the last century [ ]. In particular, the consensus among all classes of people in this war was considered one of the decisive factors in the success [ 27 ].

As a result, the country has been praised by governments and scholars across the globe, and within the Vietnamese population. The strategy of preventing, detecting, tracing, isolating, localizing, and suppressing the pandemic has been thoroughly applied in Vietnam [ 78 , 79 , 80 , 81 , ].

Depending on the specific situation, tactics may change, but the strategy has always been to tighten the defense line for the country against the onslaught of the COVID pandemic [ 81 ]. For example, patient CC 17 was hospitalized on 6 March. Similar to the first one, marked by the epidemic declaration, the government escalated its public health response to flatten the curve [ 45 ], by applying not only compulsory MDs for all people entering the country [ 38 , 83 ], but also voluntary MDs for all people nationwide from 10 March [ 45 , 86 , ] the same day as the arrival of CC 34, who infected 11 other cases and became the most SCC in period II [ 38 ].

Instantly, the rule of compulsory MDs was put in place for all people nationwide [ 38 , 85 ], and electronic MDs were requested for all domestic travelers from 21 March [ 88 ]. In terms of treatment, Vietnam has built and maintained connections from the front line in the concentrated isolation centers to hospitals through QRTs to share, exchange, and support each other in professional work and treatment regimens that are constantly updated for all infectious generations.

The application of science and technology in the pandemic prevention and control was accelerated [ 81 ], making Vietnam one of four countries that cultured and successfully isolated the SARS-CoV-2 virus in the early period [ 81 , 89 , 90 ]. The country also conducted research into the production of test kits, proactively produced medical equipment and materials, and promoted the application of information technology in a series of pandemic prevention and control stages from tracing, following, monitoring, reporting, supporting treatment, etc.

Vietnam was the first country in the world to apply MDs, and also one of the early adopters of electronic MDs [ 81 ]. During the pandemic, special policies on education, health care, and social security have been put in place that did not previously exist. This included welcoming every Vietnamese to the homeland, even though on the flights many people carried the virus, which was the main cause in increasing the number of CCs [ ], and the unprecedented packages of social security support to reduce difficulties for all classes affected by the pandemic [ ].

In addition, in the awareness campaigns for pandemic prevention and control, media forces have never participated together so unanimously and drastically as during this time, from the official newspapers and network operators to social networks [ 81 , ]. With the spirit of publicity and transparency [ 81 , , , , ], information on steering, prevention, and control recommendations as well as outbreak developments has been conveyed quickly to the public to raise public awareness [ 81 , ].

PDs were widely and regularly disseminated, which helped to effectively increase public awareness. Promptly prepared and released PDs provided knowledge and measures for all walks of life to prevent and control the pandemic and protect themselves and others in the community. Although not a rich country, Vietnam has become a model for other countries in the fight against the COVID pandemic, with lessons learned in controlling the spread of the outbreak and for overall responses to a public health crisis [ 26 , , ].

We would like to thank three anonymous reviewers for their comments, which informed the final version of this manuscript. The authors also would like to dedicate this research to Vietnam, to the Vietnamese government, to all the brave and kind healthcare workers, and to all other Vietnamese people and international supports, as well for the all efforts conducted together in the fight against the COVID pandemic.

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