Circular detailing certain provisions of the Law on Preventive Medicine

 

CIRCULAR

Detailed provisions for certain articles of the Law on Disease Prevention

_______________________________

 

Based on the Law on Disease Prevention No. 114/2025/QH15; Based on Decree No. 42/2025/NĐ-CP

dated February 27, 2025 by the Government regulating the functions, tasks, powers, and organizational structure of the Ministry of Health;

In accordance with the proposal of the Director of the Disease Prevention Bureau, The Minister of Health promulgates this Circular to detail certain articles of the Law on Disease Prevention.

CHAPTER I;

GENERAL PROVISIONS

 

Article 1.
Scope and application

 

1. This Circular details certain provisions of the Law on Disease Prevention, including: a) Surveillance subjects; guidance on surveillance, locations for surveillance, information reporting systems, and surveillance report submission as detailed in paragraph 7 of Article 13; b) Criteria for classifying infectious disease groups, criteria for determining epidemics as detailed in paragraph 4 of Article 15;

c) Reporting of infectious disease information as detailed in point b of paragraph 1 of Article 16;

d) Organization of risk assessment, epidemic warning; investigation, handling of outbreaks and epidemics, reporting, and information dissemination on diseases as detailed in paragraph 1 of Article 18.

2. Applicable subjects

This Circular applies to agencies, organizations, individuals related thereto; medical facilities, testing laboratories, and other health institutions under the Ministry of Public Security when receiving, treating patients who are not within the management scope of the Ministry of Public Security, Ministry of Defense. This Circular does not apply to surveillance, information reporting activities for infectious diseases concerning persons within the management scope of the Ministry of Public Security, Ministry of Defense.

Article 2. Interpretation of terms

Outbreak is a community area below the commune level (household clusters, residential areas, units, platoons, schools or equivalents; villages, communes or equivalents), where cases of infectious diseases occur and there are factors for disease transmission.

Reservoir is a place where the causative agents of infectious diseases can exist and develop.

Endemic infectious diseases are infectious diseases that appear regularly, continuously, or cyclically in a certain area or population with relatively stable incidence rates over time.

1. Signs of infectious disease are initial information about infectious diseases, potential health risks, and communicable disease outbreaks before verification. Event

2. of infectious disease is verified signs of infectious disease indicating the risk of infection and communicable disease outbreak.Syndrome of infectious disease is a collection of typical clinical and subclinical symptoms commonly seen in a group of infectious diseases or a specific infectious disease with unclear causative agent.

3. Case B in infectious disease surveillance is a person exhibiting clinical signs, epidemiological factors, or test results to be reported, investigated, and handled during infectious disease surveillance.

4. Article 3. Information system for disease prevention surveillance 1. The information system for disease prevention surveillance has the function of receiving, updating, managing, summarizing, analyzing, utilizing, providing feedback, sharing data, and supporting the implementation of reporting systems on communicable diseases, non-communicable diseases, mental disorders, nutrition, and injuries in communities as prescribed by this Circular.

5. 2. Agencies, organizations, health institutions, and individuals related thereto are responsible for updating, providing, sharing, utilizing data on the information system for disease prevention surveillance according to the provisions of this Circular; ensuring the accuracy, completeness, and timeliness of updated, provided, shared data. 3. Management, updating, extraction, connection, interlinking, and sharing of data on the information system for disease prevention surveillance are carried out in accordance with the laws on network security, cybersecurity, data protection, and personal data protection. Article

6. . Principles, format

7. andinformation, report templates 1. Reporting principles:

a) Information and reporting are carried out according to the prescribed subjects, content, reporting periods, deadlines, and levels as stipulated in this Circular;

b) In case of discovering missing, inaccurate, or inconsistent information and data reports, relevant agencies, organizations, units, individuals have the responsibility to check, update, adjust, and supplement within their authority.

2. Reporting formats:

a) Carrying out online reporting through the information system for disease prevention surveillance;

b) Carrying out reports in writing or on paper when the information system for disease prevention surveillance encounters technical issues or does not fully meet the functions prescribed in paragraph 1 of Article 3 of this Circular, or due to requirements from higher authorities. In case of reporting by written documents due to technical issues with the information system for disease prevention surveillance or its failure to fully meet the functions prescribed in paragraph 1 of Article 3 of this Circular, data must be updated and supplemented into the information system for disease prevention surveillance after the technical issues of the information system for disease prevention surveillance are resolved or completed. 43. Lists, monitoring templates, report templates are carried out according to the professional guidance from the Disease Prevention Bureau. Formulation and various information reporting models1. Information and Reporting Principles: a) Information and reports are submitted in accordance with the specified recipients, content, reporting period, and reporting level as stipulated in this Circular; b) In cases where reported information or data is found to be incomplete, inaccurate, or inconsistent, relevant agencies, organizations, units, and individuals shall check, update, adjust, and supplement according to their authority. 2. Information and Reporting Forms:

a) Submitting information and reports online through the Disease Surveillance System;

b) Submitting information and reports in writing or on paper when the Disease Surveillance System encounters technical issues or does not fully meet the functions specified in Clause 1, Article 3 of this Circular, or due to instructions from higher authorities. In cases where information and reports are submitted in writing due to technical issues with the Disease Surveillance System or its failure to meet the specified functions as per Clause 1, Article 3 of this Circular, data must be updated and supplemented into the Disease Surveillance System after the technical issues have been resolved or completed.

3. Monitoring and Reporting Templates are carried out in accordance with the professional guidance provided by the Department of Prevention.

- The Department of Prevention, Institutes under the Preventive Health System: responsible for receiving information from ministries, sectors, localities, and international organizations;

- Community health centers, provincial disease control centers, the Department of Prevention, and Institutes under the Preventive Health System actively collect information from communities, healthcare facilities, mass media channels.

c) Screening, verifying, and evaluating information to determine whether a communicable disease or infectious disease has emerged.

2. Monitoring locations based on events: communities, health facilities, relevant agencies, organizations.

 

Chapter II
SURVEILLANCE FOR PREVENTION AND CONTROL OF INFECTIOUS DISEASES

Section 1
OBJECTIVES, CONTENT, AND LOCATIONS OF SURVEILLANCE

Article 5. Objects of Surveillance in prevention and control infectious diseases

1. Persons infected with infectious diseases, carriers of pathogens causing infectious diseases, persons suspected to be infected with infectious diseases, persons in contact with such individuals, and deceased due to or suspected to have died from infectious diseases.

2. Pathogens causing infectious diseases: viruses, bacteria, parasites, fungi, and other biological agents capable of causing infectious diseases.

3. Reservoirs of pathogens causing infectious diseases, vectors for the transmission of infectious diseases, and risk factors:

a) Reservoirs of pathogens causing infectious diseases, vectors for the transmission of infectious diseases: persons, insects, animals, environment, food, and other items that may carry pathogens capable of transmitting disease;

b) Risk factors related to economic, cultural, social, environmental conditions.

Article 6. Types of Surveillance in prevention and control infectious diseases

1. Indirect surveillance: conducting the collection of regular, continuous information on basic disease, epidemic, and infectious disease data from healthcare facilities across the country.

2. Key surveillance: conducting the collection of regular, continuous specialized information on certain infectious diseases and priority health issues at selected key surveillance points over a specific period.

3. Indirect surveillance based on conditions: collecting, screening, verifying, and evaluating warning signs from communities, social media, mass media, agencies, organizations, and healthcare networks regarding events of infectious disease outbreaks, syndromes with potential for causing disease, and infectious disease epidemics.

Article 7Content and locations of surveillance based on indicators 1. Content of surveillance: a) Administrative information: personal information; place of residence; place of study or work; contact information;

b) Epidemiological factors;

c) Pathogens causing infectious diseases, reservoirs of pathogens, vectors for the transmission of infectious diseases;

d) Clinical information, diagnosis, and treatment;

e) Collection of samples and laboratory testing to identify causative agents.

2. Locations of surveillance: healthcare facilities, communities, and other relevant locations.

3. Specific content and locations of surveillance for each infectious disease are carried out according to the professional guidelines of the Department of Disease Prevention.

Article

Content and locations

of key surveillance

1. Content of key surveillance: 8a) The content of surveillance as specified in paragraph 1 of Article 7 of this Circular; b) Specialized information specific to each infectious disease. 2. Locations of key surveillance: healthcare facilities, communities, and other relevant locations. 3. Content and locations of surveillance are carried out according to the professional guidelines of the Department of Disease Prevention.

4. The Ministry of Health issues a national plan for key surveillance.

5. People's Committees at provincial level issue plans for key surveillance within their jurisdictions; ensure funding and organize implementation of key surveillance based on the national, provincial plans, and actual conditions in their regions.

Article

Content and locations

of surveillance based on events

1. Content of event-based surveillance:

a) Information sources from:

- Reports and notifications from the public, village health workers, and other relevant parties; reports from agencies, organizations, border posts about suspected infectious disease cases; 9. - Healthcare facilities regarding clusters of undetermined cause infectious disease cases, unusual increases in the number of patients or healthcare workers infected or suspected to be infected with infectious diseases, or other abnormal medical events;- Mass media reports on infectious disease outbreaks;

- Agriculture and environment sectors about infectious disease outbreaks among animals.

b) Methods for providing, receiving, and collecting information:

- Agencies, organizations, and individuals provide information to one of the following agencies: Village Health Stations, Provincial Disease Control Centers;

- Village Health Stations: primary point of contact for information from agencies, organizations, and individuals within their jurisdictional area;

- Provincial Disease Control Centers: primary point of contact for information from Village Health Stations, agencies, organizations, and individuals within their jurisdictional area, border posts, healthcare facilities;

- Department of Disease Prevention, Institutes under the preventive health system: primary points of contact for information from various ministries, regions, and international organizations;

- Village Health Stations, Provincial Disease Control Centers, Department of Disease Prevention, Institutes under the preventive health system actively collect information from communities, healthcare facilities, mass media.

c) Screening, verification, evaluation of information to determine whether infectious or epidemic diseases are present.

2. Locations of event-based surveillance: communities, healthcare facilities, and other relevant locations.

3. Content and locations of event-based surveillance are carried out according to the professional guidelines of the Department of Disease Prevention.

3. Content and monitoring locations based on events are carried out in accordance with the professional guidance provided by the Department of Prevention.

1. Reporting content: personal information, health status, exposure history, travel history, and other relevant information related to the process of contracting a communicable disease.

2. Information reception: Community Health Centers or healthcare facilities or health quarantine organizations at border crossings are responsible for receiving, processing reported information, and guiding individuals on appropriate preventive measures specific to each communicable disease.

c) Local government authorities in provinces, within their capacity and conditions for responding to and mitigating the consequences of an epidemic.

2. Criteria for determining level 2 civil defense against epidemics: when all criteria specified at points (c) of paragraph 1, Article 17 or paragraphs 2 or 3 of Article 16 of this Circular are met in all communes as specified in point (a) of paragraph 1 of this Article.

Part 2
REGULATIONS FOR INFORMATION AND REPORTING OF SURVEILLANCE ON INFECTIOUS DISEASES

Article 10. Information, bReporting in surveillance based on indicators

1. Persons, organizations, and individuals who discover a suspected case of infectious disease shall have the responsibility to report within 24 hours to the local commune health station.

2. Local commune health stations and healthcare facilities, testing centers:

a) Provide information and report surveillance subjects in accordance with the provisions set forth in Clause 3 of this Circular on the Information System for Surveillance in Disease Prevention related to infectious diseases;

b) Report cases of death due to or suspected to be caused by an infectious disease: healthcare facilities shall report within 24 hours from the time a case of death occurs at such facility; local commune health stations are responsible for reporting within 24 hours from the completion of verification of the case of death in the community;

c) Provide urgent information and reports as required by competent authorities.

3. Provincial Disease Control Center: inspect, summarize, analyze surveillance information, and provide feedback to local commune health stations; report on disease conditions and infectious disease outbreaks discovered to the specialized health agency under the People's Committee of the province and one of the following agencies according to their respective territorial responsibilities as assigned by the Ministry of Health: Central Epidemiology and Public Health Institute, Western Region Epidemiology and Public Health Institute, Pasteur Institute of Ho Chi Minh City, Pasteur Institute of Nha Trang (hereinafter referred to collectively as "Epidemiology and Public Health Institutes", "Pasteur Institutes"), Central Institute of Tropical Diseases, Quy Nhon Institute of Tropical Diseases, Ho Chi Minh City Institute of Tropical Diseases (hereinafter referred to collectively as "Institutes of Tropical Diseases").

4. Epidemiology and Pasteur Institutes, Institutes of Tropical Diseases: summarize, analyze, evaluate surveillance data from localities under their respective territorial responsibilities; provide feedback to provincial Disease Control Centers and report on such data to the Central Epidemiology and Public Health Institute, Central Institute of Tropical Diseases.

5. Central Epidemiology and Public Health Institute, Central Institute of Tropical Diseases: serve as a focal point for summarizing, analyzing, evaluating national surveillance data; provide feedback to Epidemiology and Pasteur Institutes, Institutes of Tropical Diseases and report such results to the Department of Disease Prevention.

6. Central Pulmonary Hospital: serve as a focal point for summarizing, analyzing, evaluating national data on tuberculosis and report such information to the Department of Disease Prevention, Department of Healthcare Management.

Article 11. Information, bReporting focused surveillance, event-based surveillance

Provide information and reports for focused surveillance and event-based surveillance in accordance with the professional guidance provided by the Department of Disease Prevention, tailored to each type of surveillance and surveillance subjects.

Part 3
REPORTING INFORMATION ON INFECTIOUS DISEASES

Article 12. Method of reporting information Individuals shall report in accordance with the provisions set forth at point c, clause 2 of the Law on Disease Prevention as follows:

1. By telephone, in person, or through other means to the local commune health station or the nearest healthcare facility; for persons exiting or entering the country, they shall report to the health quarantine organization at the border port.

2. Through an electronic reporting application of the health authority (if available).

Article 1

Content and reception of information3. 1. Reporting content: personal information, health status, exposure history, travel details, and other relevant information related to the process of contracting infectious diseases. 2. Reception of information: local commune health stations or healthcare facilities, or border health quarantine organizations are responsible for receiving, processing reported information, and guiding individuals on appropriate disease prevention measures specific to each type of infectious disease.

Paragraph . Criteria for determining

civil defense level 3 against infectious diseases

Part 4
CRITERIA FOR DETERMINING THE CLASSIFICATION OF INFECTIOUS DISEASE GROUPS; CRITERIA FOR DETERMINING EPIDEMIC DISEASES BASED ON CAPABILITY, CONDITIONS FOR RESPONSE AND MITIGATION

Article 14. Criteria for determining classification of infectious disease groups

1. Infectious diseases are classified according to the following four criteria:

a) Severity of the disease;

b) Potential for transmission;

c) Specific intervention measures using vaccines and treatment drugs;

d) Circulation level and potential for epidemic or pandemic.

2. The method for calculating points for the four criteria specified in paragraph 1 of this Article is carried out according to Appendix I attached hereto.

Article 15. Classification of infectious disease groups based on determining criteria 1. Criteria for determining infectious diseases classified as Group A include one or more of the following cases:

a) Infectious diseases with a total score according to the provisions of paragraph 2 of Article 14 of this Decree reaching ten points or more;

b) Highly dangerous newly emerging infectious diseases for which the causative agent is not yet clear.

2. Criteria for determining infectious diseases classified as Group B: are infectious diseases with a total score according to the provisions of paragraph 2 of Article 14 of this Decree reaching from seven points to nine points.

3. Criteria for determining infectious diseases classified as Group C: are infectious diseases with a total score according to the provisions of paragraph 2 of Article 14 of this Decree below seven points.

Article

. Criteria for determining epidemic infectious disease 16based on capability, conditions for response and mitigation of the epidemic in the community at the commune level 1. Criteria for determining an epidemic of infectious diseases within the administrative area of a commune: a) For Group A infectious diseases: the number and duration of cases of disease appearing according to the professional guidelines of the Disease Prevention Bureau for each specific disease;

b) For Group B and C infectious diseases circulating in the administrative area of a commune: an epidemic is determined when within any month, the cumulative number of cases at the end of the month exceeds twice the standard deviation above the average number of cases per month over the previous five years (excluding years with an epidemic) for that commune;

c) For Group B and C infectious diseases not circulating in the administrative area of a commune: an epidemic is determined when within any month, there are at least five cases of disease recorded and they are epidemiologically related to each other.

2. Criteria for capability, conditions for response and mitigation of the epidemic by specialized forces, part-time forces, and other forces in the administrative area of a commune include:

a) The commune health station has sufficient capacity to perform professional tasks related to disease prevention and control;

b) The commune health station has sufficient human resources and resources to respond when an epidemic occurs;

c) Specialized forces, part-time forces, and other forces in the administrative area of a commune have sufficient human resources and resources when required to participate in disease prevention and control and post-epidemic response.

3. Criteria for determining the end of an infectious disease epidemic within the administrative area of a commune:

a) For Group A infectious diseases: according to professional guidelines of the Disease Prevention Bureau for each specific disease;

b) For Group B and C infectious diseases: when the cumulative number of cases in one month at the commune level is below the criteria specified in paragraph 1 or paragraph 2 of this Article.

Article

. Criteria for determining civil defense level 1 against infectious disease epidemic

when the epidemic within the administrative area of a commune exceeds the capability and conditions for response and mitigation by specialized forces, part-time forces, and other forces in the administrative area of a commune as stipulated under civil defense law 171. Criteria for determining level 1 civil defense against an infectious disease epidemic when all of the following criteria are met: a) There is an epidemic within the administrative area of a commune at the criterion specified in paragraph 1 of Article 16 of this Decree;b) Specialized forces, part-time forces, and other forces in the administrative area of a commune do not meet one or more of the criteria specified in paragraph 2 of Article 16 of this Decree; c) The local government at the commune level has the capability and conditions for responding to an epidemic. 2. Criteria for determining the end of level 1 civil defense against an infectious disease epidemic: when the evaluation criteria regarding the criterion specified in paragraph 2 or paragraph 3 of Article 16 of this Decree are met.

Article

. Criteria for determining civil defense level 2 against infectious disease epidemic

when the epidemic within the administrative area of a province exceeds the capability and conditions for response and mitigation by the local government at the commune level as stipulated under civil defense law

1. Criteria for determining level 2 civil defense against an infectious disease epidemic when all of the following criteria are met:

a) Within the administrative area of a province, there is at least one commune at the criterion specified in points a and b of paragraph 1 of Article 17 of this Decree;

b) The local government at the commune level where the epidemic occurs does not have sufficient capacity and resources to implement disease prevention and control measures as stipulated; lacks the ability to mobilize forces locally to control and mitigate the consequences of the epidemic, and requires support from higher levels; 18c) The local government at the provincial level has the capability and conditions for responding to an epidemic. 2. Criteria for determining the end of level 2 civil defense against an infectious disease epidemic: when the evaluation criteria regarding the criterion specified in point c of paragraph 1 of Article 17 or paragraphs 2 or 3 of Article 16 of this Decree are met at all communes specified in point a of this paragraph.Article . Criteria for determining civil defense level 3 against infectious disease epidemic when the epidemic within one or several provinces, cities exceeds the capability and conditions for response and mitigation by the local government at the provincial level as stipulated under civil defense law

1. Criteria for determining level 3 civil defense against an infectious disease epidemic when all of the following criteria are met:

a) Within one province or several provinces, there is at least one commune at the criterion specified in points a and b of paragraph 1 of Article 18 of this Decree;

b) The local government at the provincial level where the epidemic occurs does not have sufficient capacity and resources to implement disease prevention and control measures as stipulated; lacks the ability to mobilize forces locally to control and mitigate the consequences of the epidemic, and requires support from higher levels.

when an epidemic on the ground in one or several provinces exceeds the capacity and conditions for responding to and mitigating the consequences of local government authorities at provincial levels as stipulated by laws on civil defense.

1. Criteria for determining civil defense level 3 against epidemics when all of the following criteria are met:

a) In one province or several provinces, there is at least one commune meeting the criteria specified in points (a) and (b) of paragraph 1, Article 18 of this Circular; 19b) The local government authority at provincial level where the epidemic occurs does not have sufficient capacity and resources to implement disease prevention and control measures as stipulated; lacks the ability to mobilize local forces to control and mitigate the consequences of the epidemic and requires support from higher levels. d) Community health centers report epidemics, conclude epidemic reports according to the provisions in paragraph 3, Article 4 of this Circular. Epidemic outbreak reporting is conducted daily until the end of the outbreak. 2. Reporting and information dissemination at various civil defense or emergency levels. The declaration and lifting of civil defense levels for epidemics and emergency states are carried out in accordance with laws on civil defense or laws on emergencies.

3. Provincial disease control centers compile information, report surveillance results for non-communicable diseases to the competent health agency under the provincial people's committee, Institutes under the preventive health system responsible for their respective areas within 15 working days from the end of the reporting period specified in Article 32 of this Circular; provide feedback on non-communicable disease surveillance results to community health centers.

4. Institutes under the preventive health system compile information, report surveillance results for non-communicable diseases and submit them to the Department of Prevention or other Institutes when assigned as a compilation head within 20 working days from the end of the reporting period specified in Article 32 of this Circular.

5. The lead unit conducts regular investigations and reports to higher management agencies within five working days after obtaining investigation results.

2. Criteria for determining level 3 civil defense against disease: when the evaluation criteria specified in point c of clause 1 Article 18 or point c of clause 1 Article 17 or clause 2 Article 16 or clause 3 Article 16 of this Circular apply to all communes as specified in point a of clause 1 of this article.

Article 20. Criteria for determining state of emergency due to disease

1. A state of emergency is declared when the disease develops exceptionally seriously, spreading widely across multiple provinces with a risk of widespread transmission throughout the country or across borders; it has an exceptionally serious impact on public health, security, order, and society; it exceeds the level 3 civil defense capacity, conditions for responding to, and mitigating the consequences of the disease.

2. The declaration and termination of a state of emergency, as well as its implementation, shall be carried out in accordance with the provisions of the law on states of emergency.

Section 5
ORGANIZATION OF DISEASE RISK ASSESSMENT, DISEASE WARNING; EPIDEMIC AND DISEASE INVESTIGATION, DISPOSAL, REPORTING, AND INFORMATION DISSEMINATION

Article 21. Organization of assessing risk and level of disease risk for infectious diseases

1. Annual assessment of the risk of infectious diseases:

a) Identifying highly risky infectious diseases that may cause an outbreak in the year;

b) Identifying factors that increase the risk of disease on the ground for each infectious disease;

c) Determining capabilities and resources to support proactive epidemic prevention and control work;

d) Enhancing capacity, allocating resources, preparing, and implementing appropriate preventive and control measures corresponding to the risks and diseases identified in points a and b of this clause.

2. Assessment of sudden disease risk

The assessment of sudden disease risk is divided into four levels: low, medium, high, and very high, and is carried out when any of the following signs are present:

a) Unusual increase or spread of infectious diseases;

b) Changes in clinical presentation, characteristics of the causative agent, and transmission vector;

c) Risk of introduction of infectious diseases from outside;

d) Factors that increase the risk of an outbreak;

e) Discovery of new or re-emerging infectious diseases or those with unknown causes;

f) Biological safety incidents, biological security incidents;

g) Health system is at risk of overload or reduced response capacity;

h) Other signs as recommended by the World Health Organization.

3. Competent health authorities at all levels organize and implement disease risk assessment according to the professional guidelines provided by the Disease Prevention Bureau.

Article 22. Disease warning

1. A disease warning is issued in any of the following situations:

a) For group A infectious diseases: when a confirmed case appears within the commune level;

b) For group B and C infectious diseases circulating at the commune level: a disease warning is determined when, within a week, the cumulative number of cases in the commune exceeds 1.25 times the average weekly incidence of the same period over the previous five years (excluding epidemic years) plus two standard deviations for that commune;

c) For group B and C infectious diseases not circulating at the commune level: a disease warning is determined when, within a week, three cases with epidemiological links are recorded in the commune;

d) For infectious diseases not yet reported in Vietnam: based on the sudden disease risk assessment results specified in clause 2 Article 21 of this Circular, with a level of medium or higher.

2. Content of disease warning and preventive measures:

a) The content of the disease warning includes the time, location, scope, and scale of potential disease outbreaks;

b) Competent health authorities at all levels organize and implement disease warnings, taking appropriate preventive measures according to specific infectious disease conditions as per the professional guidelines provided by the Disease Prevention Bureau.

Article 23. Investigation of Outbreaks and Communicable DiseasesInvestigation of outbreaks and communicable diseases shall be conducted in accordance with the following steps, which may be adjusted based on the nature of the outbreak or disease:

1. Preparation for investigation of outbreaks and communicable diseases.

2. Verification of diagnosis.

3. Confirmation of the existence of an outbreak or communicable disease.

4. Investigation to identify cases and suspected cases of disease according to professional guidelines specific to each disease.

5. Describing the outbreak in terms of time, place, and people.

6. Formulating hypotheses about the outbreak, disease, source of infection, agent, mode, route of transmission, intermediate host or vector, exposure, risk factors.

7. Evaluating and validating the hypothesis.

8. Refining the hypothesis and conducting additional research.

9. Developing preventive measures and control strategies.

10. Reporting the results of the outbreak investigation.

Article 2

Handling4. Outbreaks, Communicable Diseases 1. Within the capacity and conditions for responding to and mitigating disease outbreaks, including specialized and part-time forces at the commune level: depending on the specific disease, implement some of the following measures: a) Handling the source of infection;

b) Controlling the transmission route of the disease;

c) Protecting the community from infection;

d) Communicating risks and preventive measures to the community;

d) Disinfecting areas affected by the outbreak or communicable disease;

e) Epidemiological investigation and handling cases of death due to communicable diseases;

g) Conducting inter-agency cooperation activities and international collaboration;

h) Containing, controlling, and preventing the spread of the disease between affected areas and non-affected areas;

i) Conducting follow-up reviews before and after responding to outbreaks or communicable diseases;

k) The Department of Disease Prevention provides specific professional guidance on information, reporting, handling outbreaks or communicable diseases for each communicable disease; guiding the establishment and operation of rapid response teams.

2. Exceeding the capacity and conditions for responding to and mitigating disease outbreaks:

Applying measures as stipulated in paragraph 1 of this Article and provisions of laws on civil defense, emergency law.

Article

Content

Information about 25the presence of communicable diseases, the end of communicable diseases1. Content of information on the presence of a disease: a) Name of the disease;

b) Time;

c) Location of the outbreak;

d) Recommendations for preventing and controlling the disease.

2. Content of information on the end of a disease:

a) Name of the disease;

b) Time when the disease ends;

c) Recommendations.

Article

Reporting,

Communicable Disease Information 261. Reporting and information on communicable diseases within the capacity and conditions for responding to and mitigating disease outbreaks, including specialized and part-time forces at the commune level:a) Implementing agency: Commune Health Station; b) Process of reporting the presence of a disease: Within 24 hours, when the Commune Health Station confirms that there is an outbreak on its territory based on criteria specified in paragraph 1 of Article 16 of this Circular, the Director of the Commune Health Station issues disease information according to Model No. 01 attached as Appendix II to this Circular and reports such information to the Chairperson of the People's Committee at the commune level, specialized health agencies under the provincial People's Committee, Provincial Disease Control Center, specialized and part-time forces, other forces in the commune, and publicly announces it to the community within the territory;

c) Process of reporting when the disease ends: Within 24 hours, after confirming that the situation on the ground at the commune level meets the criteria for declaring the end of an outbreak as specified in paragraph 3 of Article 16 of this Circular, the Director of the Commune Health Station issues information about the end of the disease according to Model No. 02 attached as Appendix II to this Circular and reports such information to the Chairperson of the People's Committee at the commune level, specialized health agencies under the provincial People's Committee, Provincial Disease Control Center, specialized and part-time forces, other forces in the commune, and publicly announces it to the community within the territory;

d) The Commune Health Station shall report on disease outbreaks and their conclusion according to the provisions of paragraph 3 of Article 4 of this Circular. Reporting of an outbreak is carried out daily until the end of the outbreak.

2. Reporting and information on communicable diseases at various levels of civil defense or emergency status.

The declaration and lifting of a civil defense level for disease outbreaks and an emergency state for disease outbreaks are implemented in accordance with laws on civil defense or laws on emergency states.

6. Monitoring and reporting templates are carried out in accordance with the provisions in paragraph 3, Article 4 of this Circular.

b) Nutritional risk factors.

Monitoring location: at areas where unusual disease conditions or nutritional risk factors arise related to nutrition

 

Chapter III
MONITORING IN PREVENTION AND CONTROL OF NON-COMMUNICABLE DISEASES

Section 1
OBJECT, CONTENT, AND LOCATION OF MONITORING Article 27. Objects of Monitoring in Prevention and Control of Non-Communicable Diseases 1. Persons with non-communicable diseases, deceased persons, and individuals at risk of common non-communicable diseases.

2. Persons with non-communicable diseases, deceased due to other non-communicable diseases.

3. Risk factors for non-communicable diseases:

a) Risk factors related to behavior and lifestyle;

b) Risk factors due to metabolic disorders.

Article 28. Types of Monitoring in Prevention and Control of Non-Communicable Diseases

1. Continuous monitoring through activities such as medical examination, treatment; regular health check-ups; screening examinations; annual school health checks.

2. Periodic investigation-based monitoring: national surveys on risk factors for non-communicable diseases every five years.

3. Sudden monitoring: conducted when there is an unusual situation regarding the disease or at the request of a competent authority, organization, or individual. Article 29. Content and Location of Continuous Monitoring1. The content of continuous monitoring for persons with non-communicable diseases, deceased due to such diseases; individuals at risk of non-communicable diseases includes the information to be collected:.

a) Administrative information: personal information; residential information; contact information as needed;

b) Clinical examination results, disease diagnosis and treatment management in the community;

c) Information on deaths due to non-communicable diseases;

d) Other monitoring contents.

2. Location of continuous monitoring:

a) Township health stations, medical examination and treatment facilities, and other relevant facilities;

b) In the community.

Article 30. Content and Location of Periodic Investigation-Based Monitoring

1. The content of periodic investigation-based monitoring for risk factors of non-communicable diseases:

a) Information on behavioral and lifestyle risk factors including tobacco use (exposure to secondhand smoke); alcohol and beer consumption; unreasonable nutrition; lack of physical activity;

b) Information on metabolic disorder risk factors: hypertension index, overweight, obesity, high blood sugar, abnormal cholesterol levels;

c) Other risk factors.

2. Location of periodic investigation-based monitoring: in the community.

Article 31. Content and Location of Sudden Monitoring

1. The content of sudden monitoring:

a) Incidence and deaths due to non-communicable diseases;

b) Risk factors: behavior, lifestyle, environmental conditions, working, learning, living conditions, and other factors related to non-communicable diseases.

2. Location of sudden monitoring: in the area where an unusual situation regarding the disease or risk factor for non-communicable diseases arises, or at the request of a competent authority, organization, or individual.

Section 2

REPORTING AND INFORMATION SYSTEMS

Article

. Reporting Periods

1. Monthly reporting period: from January 1 to the last day of the month being reported.
2. Annual reporting period: from January 1 to December 31 of the year being reported.

Article 32. Reporting and Information Systems

1. Medical facilities located within a province or city report results of non-communicable disease monitoring to the provincial health center within five working days after the end of the reporting period specified in this Circular.

2. Township health stations report results of non-communicable disease monitoring to the provincial health center within ten working days after the end of the reporting period specified in this Circular.

3. The provincial health center compiles and reports monitoring results for non-communicable diseases to the competent authority of the People's Committee at the same level, relevant institutes under the preventive healthcare system according to their assigned areas within fifteen working days after the end of the reporting period specified in this Circular; provides feedback on monitoring results to township health stations. 334. Relevant institutes under the preventive healthcare system compile and report monitoring results for non-communicable diseases to the Department of Disease Prevention or relevant institutes when assigned a headquarter for compilation within twenty working days after the end of the reporting period specified in this Circular.

5. The lead unit reports investigation results to the superior management authority within five working days after obtaining such results.

6. Formats and templates for monitoring and reporting are as per the provisions of paragraph 3 of Article 4 of this Circular.

or as required by authorized agencies, organizations, and individuals.

a) Annual surveys on nutritional status and risk factors for children under 5 years old from January 1 to December 31 of the reporting period;

b) Periodic community nutrition surveillance every five years starting from January 1 of the first year until December 31 of the fifth year of the reporting period.

3. Information and Reporting Procedures:

 

Chapter IV

MONITORING IN THE PREVENTION AND CONTROL OF PSYCHIATRIC DISORDERS

Section 1
OBJECT, CONTENTS, AND LOCATIONS OF MONITORING

Article 34. Objects of monitoring in the prevention and control of psychiatric disorders

1. Persons with mental disorders, deceased persons, and individuals at risk of common mental disorders.

2. Persons with mental disorders or deceased due to other types of mental disorders.

3. Risk factors for developing mental disorders.

Article 35. Types of monitoring in the prevention and control of psychiatric disorders

1. Continuous monitoring: collecting information continuously through medical examination, treatment; regular health check-ups; screening examinations; annual health checks at the beginning of the school year..

2. Periodic surveillance monitoring: epidemiological surveys, risk factors for developing mental disorders, conducted every five years once.

3. Sudden monitoring: carried out when there is an unusual situation regarding psychiatric disorders or upon request by competent authorities, organizations, or individuals.

Article 36. Contents and locations of continuous monitoring

1. The content of monitoring for persons with mental disorders, deceased persons, and those at risk of developing mental disorders includes the information to be collected:

a) Administrative information: personal information; residential information; contact information as needed;

b) Collection of information on psychological testing results or screening risks, diagnosis of mental disorders, and community management and treatment processes;

c) Collection of information on deaths;

d) Other monitoring contents.

2. Locations for continuous monitoring:

a) Township health centers, medical examination and treatment facilities, and other relevant facilities;

b) In the community.

Article 37. Contents and locations of periodic surveillance monitoring

1. Monitoring content: psychiatric disorders and risk factors for developing mental disorders.

2. Locations for periodic surveillance monitoring: in the community.

Article 38. Contents and locations of sudden monitoring

1. Monitoring content: incidence, deaths, and risk factors for developing mental disorders.

2. Locations for sudden monitoring: at the area where unusual conditions regarding disease or risk factors causing psychiatric disorders arise or as requested by competent authorities, organizations, or individuals.

Section 2

INFORMATION AND REPORTING SYSTEMS

Article 39. Reporting periods

1. Monthly reporting period: from the first day of the month to the last day of the month being reported.

2. Annual reporting period: from January 1st to December 31st of the year being reported.

Article 40. Information and reporting systems

1. Medical examination and treatment facilities, social welfare institutions located within the province or city shall report the results of monitoring psychiatric disorders to the provincial health center within five working days from the end of the reporting period specified in this Circular.

2. Township health centers shall report the results of monitoring psychiatric disorders to the provincial health center within ten working days from the end of the reporting period specified in this Circular.

3. The provincial health center shall compile and report the results of monitoring psychiatric disorders to the competent authority for health under the People's Committee at the provincial level, as well as relevant institutes under the preventive healthcare system according to their assigned areas within fifteen working days from the end of the reporting period specified in this Circular; provide feedback on the monitoring results to township health centers.

4. Relevant institutes under the preventive healthcare system shall compile and report the results of monitoring psychiatric disorders to the Department of Disease Prevention or relevant institutes when assigned a head office for compilation within twenty working days from the end of the reporting period specified in this Circular.

5. The designated unit shall submit the results of periodic surveys, along with their reports, to the superior management authority within five working days after obtaining the survey results.

6. The list and format for monitoring and reporting are as per the provisions of paragraph 3 of Article 4 of this Circular.

 

Chapter V
NUTRITIONAL MONITORING IN HOSPITALS

Section 1
SUBJECTS, CONTENT AND LOCATIONS OF NUTRITIONAL MONITORING

Article 41Subjects of nutritional monitoring in hospitals

1. Individuals suffering from nutrition-related diseases including individuals with various forms of malnutrition, anemia, micronutrient deficiencies, and individuals with metabolic disorders related to nutrition.

2. Individuals at risk of developing nutrition-related diseases.

3. Risk factors for nutrition-related diseases.

Article 42. Types of nutritional monitoring in hospitals

1. Continuous Monitoring

Carrying out the continuous and regular collection of information on individuals with disease, those at risk of developing a disease, and risk factors related to nutrition through medical examinations, periodic health check-ups, screening, annual health checks for schoolchildren, and local public health programs.

2. Periodic Survey Monitoring

a) Annual surveys on the nutritional status and risk factors among children under five years of age;

b) Surveys on individuals with disease, those at risk of developing a disease, and related risk factors every five years.

3. Emergency Monitoring

Carried out when there is an unusual situation regarding nutrition-related diseases or upon the request of competent authorities.

Article 43Content and locations of continuous monitoring 1. Content of Continuous Monitoring

a) Administrative information: personal information; place of residence; place of study/work; contact information;

b) Anthropometric and nutritional status, including weight, height; various forms of malnutrition at different age groups; acute malnutrition in children under five years of age;

c) Information on vitamin A, iron, zinc, and other micronutrient supplementation among children; micronutrient supplementation (iron, zinc, folic acid, and other nutrients) for pregnant women and lactating mothers; other risk factors;

d) Other monitoring contents.

2. Locations of Continuous Monitoring

a) Community health centers, medical facilities, and other relevant locations;

b) In the community.

Article 4

Content and locations of periodic survey monitoring41. Content and locations of annual surveys on nutritional status and risk factors among children under five years of age

a) Monitoring content: - Information as specified in Point a, Clause 1, Article 43 of this Circular; weight, height, various forms of malnutrition (wasting, stunting, thinness, overweight, obesity);

- Risk factors for nutrition-related diseases among children under five years of age;

- Other monitoring contents.

b) Monitoring locations: in the community.

2. Content and locations of every-five-year surveys

a) Monitoring content:

- Information as specified in Point a, Clause 1, Article 43 of this Circular;

- Risk factors for nutrition-related diseases;

- Other monitoring contents.

b) Monitoring locations: in the community.

Article 4

Content and locations of emergency monitoring

1. Monitoring content:5a) Unusual situations related to nutrition;

b) Risk factors related to nutrition.

Locations for Emergency Monitoring: in the areas where unusual situations regarding diseases or risk factors related to nutrition arise, or upon request of competent authorities.

b) Risk factors related to nutrition.

2. Monitoring location: at the area where abnormal conditions of disease arise, risk factors causing disease related to nutrition or upon request of an authorized agency, organization, or individual.

Part 2

INFORMATION AND REPORTING REGIME

Article 46. Information and reporting regimeRegular 1. Reporting period:

a) Six-monthly reporting period: from January 1 to June 30 for children under five years of age;

b) Annual reporting period: from January 1 to December 31 for all life stages.

2. Information and reporting regime:

a)

The commune health station is the primary entity responsible for collecting, summarizing information related to nutrition in disease prevention from medical facilities, preventive healthcare institutions, educational institutions, and other healthcare facilities within its jurisdiction and submitting such information to the provincial disease control center for consolidation and review within ten working days from the end of the reporting period as stipulated in this Article;: b) The provincial disease control center: reviews and consolidates information reported by the commune health station, submits it to the competent health authority under the people's committee at the same level and to the Institute of Nutrition, Pasteur Institute Nha Trang, West Zone Epidemiology Institute, and Public Health Institute of Ho Chi Minh City within twenty working days from the end of the reporting period as stipulated in paragraph 1 of this Article; c) The Institute of Nutrition: consolidates and reviews information related to nutrition in disease prevention based on reports from provincial disease control centers across the country, submits a report to the Department of Disease Prevention within thirty working days from the end of the reporting period as stipulated in paragraph 1 of this Article. 3. Monitoring sample and reporting form are implemented according to the provisions of paragraph 3 of Article 4 of this Circular. Article 1 Information and reporting regime

Through periodic surveys

1. Annual reporting on nutritional status and risk factors for children under five years of age is conducted annually, while community-wide monitoring is carried out every five years through a periodic surveillance survey.

2. Reporting period:

a) Annual survey on the nutritional status and risk factors for children under five years of age: from January 1 to December 31 of the reporting year; 47. b) Five-yearly community-wide nutrition monitoring survey: from January 1 of the first year to December 31 of the fifth year of the reporting period.3. Information and reporting regime: a) Through annual surveys on nutritional status and risk factors for children under five years of age: The provincial disease control center is responsible for collecting, summarizing information on the nutritional status and risk factors for children under five years of age within fifteen working days from the end of the reporting period as stipulated in paragraph 2 of this Article, and reports to the competent health authority under the people's committee at the same level and the Institute of Nutrition; The Institute of Nutrition consolidates and reviews such information and submits a report to the Department of Disease Prevention within sixty working days from the end of the reporting period as stipulated in paragraph 2 of this Article;

b) Through five-yearly community-wide nutrition monitoring surveys: The Institute of Nutrition is responsible for collecting and summarizing survey results, submitting reports to the Department of Disease Prevention within fifteen working days after the publication of the survey results.

4. List and reporting forms of units as specified in paragraph 3 of this Article are implemented according to the provisions of paragraph 3 of Article 4 of this Circular.

a) Through annual surveys on nutritional status and risk factors for children under 5 years old from January 1st to December 31st of the reporting period;

b) Through periodic monitoring surveys every five years on community nutrition from January 1st of the first year of the reporting period to December 31st of the fifth year of the reporting period.

3. Information and reporting system:

a) By investigating the nutritional status and risk factors for children under five years of age: The provincial disease control center shall be the primary entity responsible for collecting and summarizing information on the nutritional status and risk factors for children under five years of age within fifteen working days from the end of the reporting period as stipulated in Clause 2 of this Article, reporting to the competent health agency under the People's Committee at the provincial level and the Institute of Nutrition; The Institute of Nutrition shall compile, review, and submit reports to the Department of Disease Prevention within sixty working days from the end of the reporting period as stipulated in Clause 2 of this Article;

b) By conducting a regular five-year nutritional surveillance investigation: The Institute of Nutrition shall be the primary entity responsible for collecting and summarizing information on the results of the investigation and submitting reports to the Department of Disease Prevention within fifteen days from the date the investigation results are published.

4. The list and format of reports as specified in Clause 3 of this Article shall be implemented in accordance with the provisions set forth in Clause 3 of this Circular.

 

Chapter VI
MONITORING OF PREVENTIVE MEASURES AGAINST COMMUNITY INJURIES

Section 1

SUBJECT, CONTENT AND LOCATION OF MONITORING

Article 48. Subject of monitoring in preventive measures against community injuries

1. Persons injured in the community include:

a) Persons injured in the community who seek and receive treatment at the Township Health Station and other medical facilities; b) Persons who die from injuries seeking and receiving treatment at medical facilities within 30 days prior to death, and cases where death occurs at the location of injury.

2. Factors that may lead to community injuries.

Article

. Content and location of monitoring for persons injured 491. Regular monitoring: a) Monitoring content: collection of information on persons injured in the community who seek and receive treatment at the Township Health Station and other medical facilities; causes of injury and severity of injuries;

b) Location of monitoring: Township Health Stations and other medical facilities.

2. Sudden monitoring:

a) Monitoring content: information on persons injured, causes of injury, factors that may lead to injuries;

b) Location of monitoring: areas where unusual situations involving persons injured or factors leading to injuries arise, or as required by competent authorities.

Article

. Content and location of monitoring for persons who die from injuries

1. Regular monitoring: 50a) Monitoring content: collection of information on deceased individuals and causes of death due to injury;

b) Location of monitoring:

- Township Health Stations, other medical facilities;

- Locations where injuries occur in the community.

2. Sudden monitoring:

a) Monitoring content: deceased individuals, causes of death due to injury; factors that may lead to injuries and severity of injuries leading to death;

b) Location of monitoring: areas where unusual situations involving deaths from injuries or factors leading to injuries arise, or as required by competent authorities.

Article

. Content and location of monitoring for factors that may lead to community injuries

1. Regular monitoring:1a) Monitoring content: factors related to the environment, behavior, and other risk factors;

b) Location of monitoring: households, educational institutions, public areas such as roads, ponds, rivers, seas, markets, recreational areas, community living areas, other locations. Local authorities shall determine appropriate monitoring locations based on injury trends and local characteristics.

2. Sudden monitoring:

a) Monitoring content: factors that may lead to injuries. Based on actual circumstances of injuries or when potential risk factors for multiple serious injuries are identified, competent authorities will determine the appropriate monitoring content;

b) Location of monitoring: areas where such risk factors are detected and pose a significant threat, or as required by competent authorities.

Section 2

REPORTING AND INFORMATION SHARING

Article

. Reporting periods

1. Six-month reporting period: from January 1 to June 30 of the reporting year.22. Annual reporting period: from January 1 to December 31 of the reporting year.

1. Six-month reporting period: From January 1 to June 30 of the reporting year.

2. Annual reporting period: From January 1 to December 31 of the reporting year.

Article 53. Information and Reporting System

1. Educational institutions shall conduct monitoring, evaluation, record-keeping of information and reporting, and submit the results of monitoring factors leading to injuries on a regular basis every six months and annually within five working days from the end of the reporting period specified in Paragraph 3 of Circular No. 52.

2. The local health station shall conduct monitoring, evaluation, record-keeping of information and reporting, and submit the results within ten working days from the end of the reporting period specified in Paragraph 3 of Circular No. 52 to the provincial disease control center including: monitoring results of injured individuals; community-based monitoring results of factors leading to injuries every six months and annually; annual monitoring results of fatalities due to injuries.

3. Medical facilities shall record information, report monitoring results of injured individuals on a regular basis every six months and annually, and submit the reports within five working days from the end of the reporting period specified in Paragraph 3 of Circular No. 52 to the provincial disease control center.

4. The provincial disease control center shall compile information, report monitoring results of local health stations and medical facilities on a regular basis every six months and annually, and submit them within twenty working days from the end of the reporting period specified in Paragraph 3 of Circular No. 52 to the competent authority for health under the People's Committee at the provincial level and the National Institute of Occupational Health and Environmental Medicine, the National Institute of Public Health, Ho Chi Minh City, the Pasteur Institute Nha Trang, and the West Zone Epidemiology Institute according to their assigned areas including: monitoring results of injured individuals; community-based monitoring results of factors leading to injuries every six months and annually; annual monitoring results of fatalities due to injuries.

5. The National Institute of Occupational Health and Environmental Medicine shall compile information, report annual monitoring results of injured individuals, fatalities due to injuries, and factors leading to injuries in the community nationwide within thirty working days from the end of the reporting period specified in Paragraph 3 of Circular No. 52.

6. The format for monitoring and reporting is as per the provisions of Paragraph 3 of Article 4 of this Circular.

Chapter VII
RESPONSIBILITIES FOR IMPLEMENTATION

Article 54. Local Health Station

1. Develop a plan to implement monitoring according to the provisions of this Circular, report to and obtain approval from the People's Committee at the local level before organizing its implementation after approval.

2. Collect, receive information on community-based monitoring from agencies, organizations, and individuals; organize verification and conduct monitoring reports in disease prevention (including infectious diseases, non-communicable diseases, mental disorders, injuries in the community, and nutrition in disease prevention) according to the provisions of this Circular.

3. Provide technical guidance and support for monitoring in disease prevention as per the provisions of this Circular to kindergartens and primary schools within its jurisdiction.

4. Coordinate with the provincial disease control center and relevant units under the competent authority for health at the provincial level to implement activities related to preventing infectious diseases, non-communicable diseases, mental disorders, community-based injury monitoring, and nutrition in disease prevention.

5. Receive, process information on infectious disease reporting, assess risks, issue disease alerts, conduct investigations, handle outbreaks, and report and inform about infectious disease outbreaks according to the provisions of this Circular.

6. Conduct monitoring of infectious diseases, non-communicable diseases, mental disorders, community-based injuries, and nutrition in disease prevention within its jurisdiction according to the provisions of this Circular.

Article 55. Provincial Disease Control Center, International Health Quarantine Center

1. Provide advice to the competent authority for health at the provincial level on developing a plan to implement monitoring as per the provisions of this Circular.

2. Serve as the main contact and coordinate with local health stations, medical facilities, and relevant units in organizing and implementing disease prevention activities and reporting according to their functions, duties, and the provisions of this Circular.

3. Coordinate regular and sudden investigations related to disease prevention as required by the Ministry of Health and the competent authority for health at the provincial level.

4. Cooperate with agricultural and environmental sector units and relevant organizations in conducting disease prevention monitoring.

5. Receive, process information on infectious diseases, assess risks, issue disease alerts, conduct investigations, handle outbreaks, and report and inform about infectious disease outbreaks according to the provisions of this Circular.

6. Share information on infectious diseases related to international epidemiological factors between health quarantine units and relevant authorities as per regulations.

7. Provide technical guidance and support for implementing the provisions of this Circular in local health stations and medical facilities within its jurisdiction. Organize training and capacity-building programs for units under their jurisdiction according to assigned areas and fields.

Article 56. Medical Facility, facility social assistance laboratory facility, 1. Implement the relevant provisions of this Circular.

2. Coordinate with preventive health agencies in monitoring, investigation, sample collection, sharing of samples, and reporting related to diagnosis and treatment information for patients.

Article

Competent Authority for Health at the Provincial Level 57. 1. Develop a plan to implement monitoring according to the provisions of this Circular, report to and obtain approval from the People's Committee at the provincial level before organizing its implementation after approval.

2. Direct health agencies within its jurisdiction in implementing disease prevention activities; report information on disease prevention, assess risks, issue disease alerts, conduct investigations, handle outbreaks, and report and inform about infectious disease outbreaks according to the provisions of this Circular.

2. Directing health agencies and units within the jurisdiction to implement disease prevention activities, including reporting information on disease prevention, assessing risks, issuing disease alerts, conducting investigations, handling outbreaks and diseases, and reporting and disseminating infectious disease information in accordance with the provisions of this Circular.

3. To inspect and supervise healthcare organizations and units within the jurisdiction regarding the implementation of the provisions in this Circular.

4. Coordinate with units under the agriculture and environment sector, education sector, and relevant agencies to implement surveillance measures for disease prevention, exchange information, share samples, conduct investigations, handle outbreaks, disseminate information, provide training, and engage in scientific research on preventing, controlling infectious diseases, non-communicable diseases, mental disorders, and nutrition within the context of disease prevention.

Article 58. The Institutes under the Preventive Medicine System Directly under the Ministry of Health

1. Implement matters related to the provisions in this Circular.

2. Develop professional guidelines for supervision, ensure quality testing, and meet disease prevention requirements as assigned by the Ministry of Health.

3. Guide, support technical expertise, direct lower levels; inspect, supervise, evaluate the implementation of activities stipulated in this Circular.

4. Organize training and capacity-building programs to enhance professional skills and supervision for units within the designated area or sector.

5. Conduct reference and specialized testing in supervision and meet disease prevention requirements as assigned by their functions and duties.

6. Aggregate, analyze, evaluate, and store surveillance data for disease prevention according to the responsible region and sector; implement regular and ad-hoc reporting systems on supervision for disease prevention to the Department of Disease Prevention.

7. Coordinate with units under the agriculture and environment sector, education sector, and relevant agencies to implement disease prevention measures, exchange information, share samples, conduct investigations, handle outbreaks, disseminate information, provide training, and engage in scientific research on preventing, controlling infectious diseases, non-communicable diseases, mental disorders, and nutrition within the context of disease prevention.

Article 59. The Bureau of Health under the Ministry of Health

1. Report supervision according to the provisions in this Circular (report case information, store, and report); guide, direct lower levels, provide technical guidance, organize supervision, evaluate the implementation of supervisory activities and response measures at specialized technical units within the assigned region or sector.

2. Collect samples for diagnosis, conduct diagnostic testing. Aggregate, analyze, evaluate, and store surveillance data; implement reporting systems on disease prevention activities for units in the designated region or sector.

3. Develop professional guidelines and technical procedures for supervision and response to disease prevention as assigned by the Ministry of Health.

4. Coordinate with Institutes under the Preventive Medicine System directly under the Ministry of Health in supervisory work, sample collection, sharing samples for disease control efforts.

5. The designated national surveillance hospitals by the Ministry of Health for infectious diseases, non-communicable diseases, mental disorders, and nutrition implement data collection, aggregation, and reporting to the Department of Disease Prevention and the Department of Medical Examination and Treatment.

Article 60. Department of Disease Prevention

1. Serve as the guiding authority for organizing implementation, inspecting, and supervising the execution of professional and technical supervision provisions in this Circular nationwide and report to the Ministry of Health leadership.

2. Organize and coordinate training, workshops, and capacity-building programs to enhance the capabilities of healthcare personnel at all levels in implementing specialized activities, techniques, and supervision for disease prevention.

3. Lead, collaborate with relevant units to manage, operate, ensure information security, and maintain the surveillance information system.

4. Coordinate with units under the agriculture and environment sector, education sector, and relevant agencies in implementing disease prevention measures, exchanging information, sharing samples, conducting investigations, handling outbreaks, disseminating information, providing training, and engaging in scientific research on preventing, controlling infectious diseases, non-communicable diseases, mental disorders, and nutrition within the context of disease prevention.

5. Manage national data on communicable diseases, non-communicable diseases, mental health, injuries in communities, and nutrition for disease prevention; share information internationally regarding communicable diseases, non-communicable diseases, mental health, and nutrition for disease prevention.

Article 61. Clause CSection Health and Disease Management1. Direct, urge, guide, organize implementation and inspect, supervise the implementation of monitoring activities in disease prevention at healthcare facilities.

2. Guide and direct healthcare facilities to connect online, interlink information, data between the software of healthcare facilities with the monitoring system software.

3. Direct, inspect, supervise healthcare facilities in implementing the provisions of this Circular.

Article 6

Ministries and Offices of the Ministry of Health21. Direct and coordinate the implementation of activities stipulated in this Circular according to their assigned functions and tasks.

2. Coordinate inspections and supervision of the implementation of the provisions of this Circular.

Article

State Management Agency for 63. Information Technology under the Ministry of Health 1. Propose technical solutions in information technology for disease prevention, interlinking data between systems and software.

2. Serve as the entity to deploy infrastructure and host locations for system and software operations related to disease prevention.

3. Coordinate the development, management, and operation of information systems and software for disease prevention.

Article

People's Committees at all levels 641. Provincial People's Committee:

a) Direct the health department under the provincial people's committee to implement specialized technical activities related to continuous and periodic monitoring, reporting of information on disease prevention; organize implementation of risk assessment, epidemic warning, investigation, handling of outbreaks, epidemics, and report and inform about infectious diseases;

b) Direct units in agriculture and environment, education sector, and relevant agencies under its jurisdiction to implement disease prevention monitoring, exchange information, share samples, conduct investigations, handle outbreaks, communicate, train, and engage in scientific research on preventing, controlling infectious diseases, non-communicable diseases, mental disorders, nutrition during disease prevention;

c) Ensure financial and human resources; mobilize local forces to respond to and mitigate the impact of epidemics; integrate disease prevention activities into local economic and social development programs;

d) Direct inspections, supervision, urging the implementation of specialized technical activities in disease prevention according to the provisions of this Circular.

2. Commune People's Committee:

a) Approve plans for implementing contents stipulated in this Circular and allocate resources for their implementation;

b) Direct the commune health station to implement specialized technical monitoring activities on disease prevention within its jurisdiction; organize cooperation in investigation, handling of outbreaks, epidemics, and reporting and informing about infectious diseases according to regulations;

c) Direct the commune health station to cooperate with relevant agencies at the local level to implement disease prevention activities (including communicable and non-communicable diseases, mental disorders, community injuries, and nutrition during disease prevention) in accordance with local plans and guidance from higher-level health authorities;

d) Direct inspections, supervision, urging the implementation of disease prevention regulations for households, educational institutions, and public places under its management according to the provisions of this Circular.

d) Directing inspections, monitoring, and urging compliance with disease prevention regulations for households, educational institutions, and public places within the jurisdiction as stipulated by this Circular.

 

Chapter VIII
PROVISIONS FOR IMPLEMENTATION

Article 65. Commencement of Operation

1. This Circular shall come into force on July 1, 2026.

2. The following documents shall cease to have effect from the date this Circular comes into force:

a) Circular No. 17/2019/TT-BYT dated July 17, 2019 by the Ministry of Health on guiding surveillance and response to infectious diseases;

b) Circular No. 54/2015/TT-BYT dated December 28, 2015 by the Ministry of Health on guidelines for information reporting and declaration systems for infectious diseases;

c) Joint Circular No. 16/2013/TTLT-BYT-BNN&PTNT dated May 27, 2013 by the Ministers of Health and Agriculture and Rural Development on guiding cooperation in preventing and controlling zoonotic diseases;

d) Decision No. 25/2006/QĐ-BYT dated August 22, 2006 by the Minister of Health on promulgating additional forms for injury accidents into the health system.

Article 66. Transitional Provisions

1. By January 1, 2030 at the latest, reports on surveillance of non-communicable diseases, mental disorders, nutrition in disease prevention and community injuries must be submitted through the Disease Surveillance Information System.

2. Professional guidelines issued by the Ministry of Health prior to the date of this Circular shall continue to be implemented until replaced by new professional guidelines from the Department of Disease Prevention.

Article 67. Enforcement Responsibilities

The Director of the Office, Director of the Department of Disease Prevention, Director of the Department of Medical Examination and Treatment, Heads of Departments and Bureaus under the Ministry of Health, Heads of subordinate agencies and units of the Ministry of Public Security and Ministry of National Defense, Chairmen of People's Committees of provinces and cities, and relevant organizations shall be responsible for enforcing this Circular.

In case of difficulties or obstacles during implementation, entities, organizations, and individuals should report to the Ministry of Health (Department of Disease Prevention) for consideration and resolution./.