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You can be assured our editors closely monitor every feedback sent and will take appropriate actions. One case occurred after secondary spread from a person who had not visited China. Initial Virus Shedding in SARS-CoV-2, Utah, USA, https://www.medrxiv.org/content/10.1101/2020.03.28.20040097v1.full.pdf, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports, https://www.iata.org/contentassets/5c8786230ff34e2da406c72a52030e95/safely-restart-aviation-joint-aci-iata-approach.pdf, https://ec.europa.eu/commission/presscorner/detail/en/ip_20_1035, https://www.vietnam-briefing.com/news/covid-19-vietnam-travel-updates-restrictions.html, https://moh.gov.vn/web/dich-benh/huong-dan-chuyen-mon/-/asset_publisher/NxZAa8ST2KXb/content/quyet-inh-so-343-q-byt-ngay-07-02-2020-ve-viec-ban-hanh-huong-dan-tam-thoi-giam-sat-va-phong-chong-benh-viem-uong-ho-hap-cap-do-chung-moi-cua-vi-rut-c, https://www.who.int/news-room/commentaries/detail/transmission-of-sars-cov-2-implications-for-infection-prevention-precautions, https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200327-sitrep-67-covid-19.pdf?sfvrsn=b65f68eb_4, https://www.iata.org/en/pressroom/pr/2020-05-05-01/, https://www.iata.org/contentassets/4cb32e19ff544df590f3b70179551013/roadmap-safely-restarting-aviation.pdf, https://apps.who.int/iris/handle/10665/331488, Transmission of SARS-CoV 2 During Long-Haul Flight, U.S. Department of Health & Human Services, Khanh N, Thai P, Quach H, Thi N, Dinh P, Duong T, et al. According to a report by the Department of Agricultural Products Processing and Market Development, Vietnam exported 895,000 tons of rice worth $410 million in the first two months of the year, a 27 percent increase in volume and 32.6 percent rise in value year … It measures the capacity of provincial … Los Angeles. We found no strong evidence supporting alternative transmission scenarios. Mehmet Serkan Tosun . As of Thursday, Vietnam’s Ministry of Health confirmed a total of 76 Covid-19 cases in the country. 2019 Novel coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. Among >1,300 close contacts of VN54 passengers and crew members, 5 confirmed cases were identified, 3 of whom were household personnel linked to case 1. Perhaps most remarkably, unlike South Korea, which has spent considerable funds on aggressive testing, or Singapore, which has established strong epidemiological surveillance, Vietnam has followed a budget-friendly approach that has proven equally effective. Vietnam's response to COVID-19 has been praised by many, with the official death toll at zero. Dr. Khanh is an epidemiologist at the Department of Communicable Diseases Control, National Institute of Hygiene and Epidemiology. Comment submitted successfully, thank you for your feedback. The third quarter Business Climate Index score of European firms in Vietnam reached its highest level since the Covid-19 outbreak at 57.5 points. Although Vietnam Airlines keeps business class passengers separated from economy class passengers during most procedures before and during the flight, contact with the 2 economy class cases might have occurred after arrival during immigration or at baggage claim. Although testing had not been implemented on a large scale nationwide at that time (19), community transmission in the United Kingdom was not yet widely established (20), making the presence of multiple persons on board incubating the illness unlikely. We do not guarantee individual replies due to extremely high volume of correspondence. Severe acute respiratory syndrome coronavirus 2 shedding by travelers, Vietnam, 2020. Public masking: an urgent need to revise global policies to protect against COVID-19. The 2019 novel coronavirus – now formally known as COVID-19 – has massively restricted that as both nations try to limit the spread of the virus, which to date has killed 1,800 people. In summary, this outbreak investigation identified six cases of COVID-19 resulting from transmission in Vietnam. Khanh, N., Thai, P., Quach, H., Thi, N., Dinh, P., Duong, T....Anh, D. (2020). The business class was exclusively reserved and separated from the premium economy and economy classes by a service/toilet area (Figure 1). … Lack of COVID-19 transmission on an international flight. Vietnam stopped a coronavirus outbreak with early and robust action Vietnam is a lower-income, densely populated country that shares a large land border with China, where the outbreak first began. Flight-associated cases were considered to have very likely acquired infection on board VN54 and were hence classified as probable secondary cases in this analysis if the following 3 criteria were met: 1) they experienced signs/symptoms 2–14 days after arrival or if they were SARS-CoV-2 positive by PCR 2–14 days after arrival in the absence of signs/symptoms; 2) in-depth investigation did not reveal any potential exposure to SARS-CoV-2 before or after the flight during their incubation period; and 3) they had shared cabin space with the probable index case during the flight (14–17). The aviation industry has experienced a sharp decrease in passenger volume this year. Nguyen, Danh C. Vu Figure 2 shows an even higher negative correlation (−0.74) between the number of COVID‐19 cases per 1000 persons and the provincial competitiveness index (PCI). Vietnam is partially open to travellers. According to … New York. In early March 2020, there was no evidence of community transmission of SARS-CoV-2 in Vietnam (18). Epub 2020 Mar 4. We also note that 2 passengers, in the seats between the 2 cases in economy class, were lost to follow-up. Sign up for updates via the map, and be the first to know if they do. At that time, 1,593 persons had tested negative for SARS-CoV-2 infection in Vietnam, and according to official policy at that time, another 10,089 contacts and travelers returning from COVID-19–affected areas overseas were under preemptive quarantine directly at the time of arrival. Please choose a departure airport . On January 24, Vietnam suspended air travel from mainland China, Hong Kong, and Taiwan and, as the epidemic spread worldwide, gradually expanded travel bans, mandatory quarantine, and testing measures to incoming passengers from other countries ( 10 ). Our objectives were to estimate the probability that transmission of SARS-CoV-2 occurred on the flight in question and to identify risk factors associated with transmission. Vietnam stopped a coronavirus outbreak with early and robust action Vietnam is a lower-income, densely populated country that shares a large land border with China, where the outbreak first began. First cases of coronavirus disease 2019 (COVID-19) in France: surveillance, investigations and control measures, January 2020. These close contacts were also contacted, tested, and quarantined for 14 days. Your email address is used only to let the recipient know who sent the email. Page updated: October 17, 2020 10:23 PM EDT, Page reviewed: October 17, 2020 10:23 PM EDT, Centers for Disease Control and Prevention. The impacts of Covid-19 and unfavorable weather conditions have sunk air passenger volume this year, according to the latest report from the Civil Aviation Administration of Vietnam (CAAV) on December 18. The information you enter will appear in your e-mail message and is not retained by Medical Xpress in any form. Combating the COVID-19 Epidemic: Experiences from Vietnam. 17) (18). 10 10 The PCI was started in 2005 as a joint effort between the Vietnam Chamber of Commerce and Industry (VCCI) and the United States Agency for International Development (USAID). CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Figure 2. The impacts of Covid-19 and unfavorable weather conditions have sunk air passenger volume this year, according to the latest report from the Civil Aviation Administration of Vietnam (CAAV) on December 18. The third quarter Business Climate Index score of European firms in Vietnam reached its highest level since the Covid-19 outbreak at 57.5 points. Flight VN54 departed London at 11:10 am local time on March 1, 2020, and arrived in Hanoi at 5:20 am local time on March 2; the nonstop flight lasted about 10 hours. Vietnam's response to COVID-19 has been praised by many, with the official death toll at zero. To identify factors associated with in-flight infection risks, we calculated risk ratios and 95% CIs. All successfully traced passengers and crew members were interviewed by use of a standard questionnaire, tested for SARS-CoV-2, and quarantined in designated facilities or at home. By using our site, you acknowledge that you have read and understand our Privacy Policy Thank you for taking your time to send in your valued opinion to Science X editors. Click here to sign in with Review article: influenza transmission on aircraft. The latest patient is a 29-year-old Vietnamese woman who has a registered address in the northern province of Thai Binh, the health ministry elaborated. On top of the complications posed by the Covid-19 outbreak, tea producers have also faced an unprecedented drought, added Rajadurai. It has attracted companies exiting China. data, https://www.medrxiv.org/content/10.1101/2020.03.28.20040097v1.full.pdf). Although the international flight industry has judged the risk for in-flight transmission to be very low (7), long flights in particular have become a matter of increasing concern as many countries have started lifting flight restrictions despite ongoing SARS-CoV-2 transmission (8). or. Two meals were served, and flight attendants worked in 2 teams, 1 for the business and premium economy sections and 1 for the economy section. Bank of Thailand Launches First Government Savings Bond based on Blockchain Technology. Coronavirus (COVID-19) Check the latest information on risk from COVID-19 for Vietnam on the TravelHealthPro website. See the healthcare information … Estimated effectiveness of symptom and risk screening to prevent the spread of COVID-19. However, all persons with flight-associated cases departed from the United Kingdom (none transited from other countries); and until the departure date of flight VN54, only 23 COVID-19 cases had been recorded in the United Kingdom. Initial investigations of the probable index case generated our working hypothesis of in-flight transmission and guided further investigations. The COVID-19 pandemic has given the global fintech market a boost, with firms in areas including digital custody, digital asset exchange, digital savings, wealthtech and digital payments recording above-average increases in transaction volume in H1 2020, according to a joint study by the World Bank, the Cambridge Centre for Alternative Finance at the University of Cambridge’s Judge … What are the Most Popular Sports by Betting Volume? Furthermore, none of the 30 colleagues of case 4, who shared the same preflight travel history but were all seated in economy class, were infected (Appendix). Among the 16 persons in whom SARS-CoV-2 infection was detected, 12 (75%) were passengers seated in business class along with the only symptomatic person (attack rate 62%). Identification and monitoring of international travelers during the initial phase of an outbreak of COVID-19—California, February 3–March 17, 2020. In-flight transmission that probably originated from 1 symptomatic passenger caused a large cluster of cases during a long flight. On February 22, case 1 and her sister returned to Milan, Italy, and subsequently traveled to Paris, France, for the yearly Fashion Week before returning back to London on February 25. It marked a rebound from the 33.6 points recorded in the second quarter and was double that of the historic low of 26.7 points in the first quarter, when Vietnam recorded its first Covid-19 patients, according to the European Chamber of Commerce … Our study has several limitations. Travel safety during COVID-19 Find out about the measures we’re taking to protect you at every step of your journey . Covid-19 takes a heavy toll on Vietnam aviation industry. Evidence of airborne transmission of the severe acute respiratory syndrome virus. As of March 1, 2020, only 16 cases of COVID-19 had been reported in Vietnam, and 17 days had passed since the last reported case (case 1 reported here became Vietnam case no. First, thermal imaging and self-declaration of symptoms have clear limitations, as demonstrated by case 1, who boarded the flight with symptoms and did not declare them before or after the flight. As long as COVID-19 presents a global pandemic threat in the absence of a good point-of-care test, better on-board infection prevention measures and arrival screening procedures are needed to make flying safe. Figure 1. The 2019 novel coronavirus – now formally known as COVID-19 – has massively restricted that as both nations try to limit the spread of the virus, which to date has killed 1,800 people. Vietnam is challenging China's dominance of coronavirus diplomacy with the donation of medical supplies to Europe and Southeast Asia and even … We acknowledge important contributions and guidelines from the following committee and institutions: Vietnam National Steering Committee for COVID-19 Prevention and Control, Ministry of Health, Ministry of Science and Technology, and National Institute of Hygiene and Epidemiology. Over the past two months, Vietnam's rice exports to a number of countries have increased sharply following the Covid-19 pandemic. None of the additional cases showed COVID-19 symptoms while on board VN54. Search for … All told, the COVID-19 epidemic will result in an estimated loss of between $5.9 and $7 billion for Vietnam’s tourism in the next three months. Case 1 was the only symptomatic person on board and was the only person with a flight-associated case who had established contact with a person with a confirmed case (her sister) during her incubation period. Domestic flights largely returned to normal by the end of May, but airlines still face a tough environment. Transmission and control of an emerging influenza pandemic in a small-world airline network. The largest epicenter of the coronavirus outbreak in Vietnam - Volume 41 Issue 8 - Trang H.D. Asia Pacific News; Submit a Press Release; Real Estate. The aviation industry has experienced a sharp decrease in passenger volume this year. Among passengers seated within 2 meters from case 1, which we approximated in business class to be <2 seats away, 11 (92%) were SARS-CoV-2–positive compared with 1 (13%) located >2 seats away (risk ratio 7.3, 95% CI 1.2–46.2) (Table 2). BOS. In-flight transmission has been hypothesized but not substantiated sufficiently in a non–peer-reviewed report of a cluster of 10 flight-associated cases in China in February (N. Yang et al., unpub. Importation and human-to-human transmission of a novel coronavirus in Vietnam. VietReader. A study of a COVID-19 cluster with 16 infected flight passengers from Singapore in February 2020 identified only 1 instance of potential in-flight transmission (28). Third, our assessment of passengers’ preflight exposure to other confirmed cases relied on interviews only. "All of us think that COVID is our enemy, so we are preparing for a battle... We have to prepare very carefully and we have to win (this battle)," he told reporters, describing the work on the clinical trial. Seating proximity was strongly associated with increased infection risk (risk ratio 7.3, 95% CI 1.2–46.2). Ages of affected persons ranged from 30 to 74 years (median 63.5 years); 9 (>50%) were male, and 12 (75%) were of British nationality (Table 1). Latest travel advice for Vietnam, including how to stay safe during the coronavirus (COVID-19) pandemic and information on returning to the UK. Passengers and crew had traveled on to 15 provinces in Vietnam, ranging from Lao Cai and Cao Bang in the north to Kien Giang in the south. Photo: Vietnam Airlines . Azerbaijan increases foreign exchange reserves since early 2020 Finance 18 December 16:50. Source: A.I. Transmission of SARS-CoV 2 During Long-Haul Flight. The incubation periods for all persons with confirmed flight-associated cases overlapped with the timing of the flight (Figure 2). Face masks were neither recommended nor widely used on airplanes in early March, in particular not among travelers from Europe (24–26), who constituted the majority of passengers on flight VN54. We also recognize Matt Moore for his suggestions and support in the course of investigation and writing the paper. In particular, we investigated all possible exposures of all persons with flight-associated cases during their incubation period in relation to the timing of the flight, including locations where flight-associated cases may have crossed paths before and after the flight. The number of probable secondary cases detected in our study is on the upper end of hypothesized estimations for SARS-CoV-2 transmission on airplanes in the absence of face mask use, although the movement of aerosols and droplets in the specific conditions of a flight cabin remains poorly understood (27). Outbreak investigation for COVID-19 in northern Vietnam Lancet Infect Dis. Over the past two months, Vietnam's rice exports to a number of countries have increased sharply following the Covid-19 pandemic. Two Vietnamese adults returned to their home province of Vinh Phuc in northern Vietnam on Jan 17, 2020, from Wuhan, China, where they had been living since Nov 15, 2019, for a business trip. Chicago. Original Publication Date: September 18, 2020. We defined confirmed flight-associated COVID-19 cases as passengers or crew members on flight VN54, regardless whether signs or symptoms developed, who had positive SARS-CoV-2 real-time reverse transcription PCR results from nasopharyngeal swab samples (13). Transmission of SARS-CoV 2 During Long-Haul Flight. 2These last authors contributed equally to this article. An outbreak of a novel coronavirus was reported in Wuhan, China in late December, 2019, and has since become a global health emergency.1,2 This letter describes the first Vietnamese case of coronavirus disease 2019 (COVID-19) acquired from China. Perhaps most remarkably, unlike South Korea, which has spent considerable funds on aggressive testing, or Singapore, which has established strong epidemiological surveillance, Vietnam has followed a budget-friendly approach that has proven equally effective. Brazil's COVID-19 death toll tops 185,000 Other News 08:55 2021 Tokyo Olympics to cost around $15.4 billion Other News 08:38 Germany's COVID-19 … For example, Apple and Samsung have already begun operating in the country. This policy change eliminated the need for resource-intensive contact tracing of flight passengers altogether and enabled detection of another 106 cases among »5,000 passengers on 44 flights until all international flights were halted on March 28. Thai, H.-L. Quach, N.-A.H. Thi, T.N. Ticket flexibility Extend the validity of your ticket . Blocking middle seats, currently recommended by the airline industry (7,35), may in theory prevent some in-flight transmission events but seems to be insufficient to prevent superspreading events. No evidence indicated that the regular air conditioning and exchange system on flight VN54 were malfunctioning. Potential transmission of SARS-CoV-2 on a flight from Singapore to Hangzhou, China: An epidemiological investigation. Please use the form below to submit correspondence to the authors or contact them at the following address: Cong-Khanh Nguyen, Department of Communicable Diseases Control, National Institute of Hygiene and Epidemiology, 1 Yersin St, Hai Ba Trung District, Hanoi 100000, Vietnam. For example, airline crew often use business class toilets while on board, which might explain the case among the crew serving in economy class, for whom no other potential source of infection could be established. Nanogen's Nanocovax is one of four under development in Vietnam, and a company representative said it is expected to cost around $5 a dose. This concerns passengers travelling to Hanoi (HAN) and Ho Chi Minh (SGN). China and Vietnam share a land border that stretches nearly 800 miles, allowing freight to travel between the countries by road. On the 2-row rule for infectious disease transmission on aircraft. Our case investigations supplemented by information obtained from media reports indicated that she had traveled to Italy on February 18 with her sister, who was later confirmed to be SARS-CoV-2–positive in London, and back to London on February 20 to stay with her sister for another 2 nights. Human-to-Human Coronavirus Transmission in Vietnam The authors describe transmission of 2019-nCoV from a father, who had flown with his wife from Wuhan … This case illustrates the importance of isolating patients and suspected cases for at least 14 days after exposure and of community-wide screening to enhance diagnosis of COVID-19. IAH. Epub 2020 Mar 4. The best pockets of recovery are domestic travel in Taiwan, Thailand and increasingly, Vietnam, said John Brown of Agoda, a subsidiary of Booking Holdings. By March 10, all 16 (100%) of the flight crew and 168 (84%) of the passengers who remained in Vietnam had been traced; 33 (16%) passengers had already transited to other countries. for Social Data Lab, Hanoi. Travel requirements for Dubai Learn more . Making mask wearing obligatory and making hand hygiene and cough etiquette standard practice while on board and at airports seems an obvious and relatively simple measure (27). 2020 May;20(5):535-536. doi: 10.1016/S1473-3099(20)30159-6. At the time of flight VN54 arrival, all passengers from COVID-19–infected areas, including the United Kingdom, had their body temperature screened by thermal imaging and were required to declare any COVID-19 symptoms; only passengers arriving from China, South Korea, Iran, or Italy were required to undergo SARS-CoV-2 testing and 14-day quarantine. Among the 217 passengers and crew members on a direct flight from London to Hanoi in early March 2020, we identified a cluster of 16 laboratory-confirmed COVID-19 cases. No in-depth investigations among passengers on those flights were conducted, and no evidence indicated that transmission had occurred during the flights themselves. University director Do Quyet said medical personnel were well prepared in case any participants developed problematic side-effects. Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR. On January 24, Vietnam suspended air travel from mainland China, Hong Kong, and Taiwan and, as the epidemic spread worldwide, gradually expanded travel bans, mandatory quarantine, and testing measures to incoming passengers from other countries (10). Of the 201 passengers, 21 occupied business (75% seats occupied), 35 premium economy (100%), and 145 economy (67%) seats (Figure 1). Vietnam donated US$100,000 worth of face masks and medical equipment to Japan as well as 200,000 facemasks to the US to assist these countries in the fight against COVID-19. Message not sent. Vietnam has won plaudits worldwide for its handling of the pandemic—with just over 1,400 cases and 35 deaths in a country of around 96 million people. This means that without an approved visa for Vietnam, you will not be granted entry. On airborne transmission and control of SARS-Cov-2. They continued to reside in London until February 29, when case 1 started to experience a sore throat and cough while attending meetings and visiting entertainment hubs with friends. Any symptomatic person was isolated immediately until the test result was received. The most likely route of transmission during the flight is aerosol or droplet transmission from case 1, particularly for persons seated in business class (23). Also, systematic testing, quarantine policies, or both, for inbound passengers at arrival might be justified for countries with low levels of community transmission, high risk for case importation, and limited contact tracing capacity (5). First, we did not have genomic sequencing data available to support our hypothesis of in-flight transmission. Guidelines for preventing SARS-CoV-2 infection among air passengers should consider individual passengers’ risk for infection, the number of passengers traveling, and flight duration. Photo: Vietnam Airlines . Second, we lacked detailed data on activities of the cases while on board (e.g., movements or seat changes, use of toilets, or sharing meals), which might have enabled us to pinpoint the precise route of transmission. The 274 seats on the airplane were divided into business class (28 seats), premium economy class (35 seats), and economy class (211 seats); there were 4 toilets for business and premium economy classes and 5 for economy. Outbreak investigation for COVID-19 in northern Vietnam Lancet Infect Dis. Epidemiologic and clinical timeline for passengers on Vietnam Airlines flight 54, from London, UK, to Hanoi, Vietnam, March 2, 2020, for whom SARS-CoV-2 infection was later confirmed. How COVID-19 regulations are changing landlord-tenant dynamics. She landed in Da Nang from Russia on board flight VN5062 on Sunday and was quarantined upon entry. Vietnam has smartly exploited the disruption of global supply chains, monopolised by China, due to the global spread of coronavirus and the trade-wars. All persons in quarantine were checked twice daily for clinical signs/symptoms and fever; oropharyngeal swabs were collected on the day of admission, after 3–5 days, and on day 13, unless signs/symptoms developed, in which instance a specimen was collected immediately and the person was isolated and monitored until receipt of the test result. To assess the role of in-flight transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), we investigated a cluster of cases among passengers on a 10-hour commercial flight. Contact with case 1 might also have occurred outside the airplane at the airport, in particular among business class passengers in the predeparture lounge area or during boarding. Transmission on flight VN54 was clustered in business class, where seats are already more widely spaced than in economy class, and infection spread much further than the existing 2-row (36) or 2 meters (37) rule recommended for COVID-19 prevention on airplanes and other public transport would have captured. Boston. Department of Economics, The College of Business, University of Nevada, Reno, USA. The coronavirus pandemic is continuing to spread across much of the world, but one country that set out to defeat it has apparently succeeded: Vietnam. Three volunteers received the jab on Thursday and will be monitored for 72 hours at the Vietnam Military Medical University. Flight or Flight + Hotel. Vietnam is widely reported to have successfully minimised the economic damage from Covid-19 and according to figures and analysis from the International Monetary Fund (IMF) earlier this month, its economy is projected to have grown 2.4% this year – the only … There are errors on this page. Investigation Team. We also thank the Civil Avian Administration, Immigration Bureau, Vietnam Airlines, and all passengers on flight VN54 for their cooperation and support. Among persons in business class, the attack rate was 62% (13/21). At that time, importation of COVID-19 had been documented in association with 3 flights to Vietnam, including a cluster of 6 persons who had index cases and were evacuated from Wuhan; 6 secondary cases resulted from virus transmission in Vietnam (11). China and Vietnam share a land border that stretches nearly 800 miles, allowing freight to travel between the countries by road. Last, we found a clear association between sitting in close proximity to case 1 and risk for infection (Table 2). Similar results with similar limitations have been reported from flights arriving in France (31,32) and Thailand (33) in January and February. In early March, when much of the global community was just beginning to recognize the severity of the pandemic, we detected a cluster of COVID-19 cases among passengers arriving on the same flight from London, UK, to Hanoi, Vietnam, on March 2 (Vietnam Airlines flight 54 [VN54]). In the absence of genomic analysis, we were unable to completely rule out alternative transmission routes. Covid-19 cases in selected countries, as of 1 April 2020. Second, long flights not only can lead to importation of COVID-19 cases but also can provide conditions for superspreader events. Samsung is a major player in the Vietnamese economy: in 2017, its local subsidiary … We consider local transmission after arrival in Vietnam unlikely. … Vietnam, lauded in coronavirus fight, reports first local case in 100 days A 57-year-old grandfather in the city of Danang, with no history of travel, tested positive and has been hospitalized. Your opinions are important to us. First imported case of 2019 novel coronavirus in Canada, presenting as mild pneumonia. Check our live COVID-19 map for Vietnam travel restrictions, and to find out if you'll need to quarantine on arrival. None of the couples or individual cases traveled or stayed with another couple or individual case before the flight or after arrival in Vietnam. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. We defined cases of SARS-CoV-2 infection according to Vietnam Ministry of Health guidelines in place at the time of our investigation (12). The first case of coronavirus disease (COVID-19) in Vietnam was recorded on January 23, 2020; the patient was a visitor from Wuhan, China (9). Furthermore, all persons with suspected or confirmed flight-associated cases were asked to identify persons with whom they had had close contact (<2 meter distance for >15 minutes) between arriving in Vietnam and the start of quarantine/isolation. ORD. Last, given the delay between arrival and confirmation of the probable index case, no environmental samples could be collected from the airplane. The short-term impact of coronavirus outbreak (i.e., 2019-nCov) on Vietnam’s economy could be significant, as high 6-10 percent of monthly output, but short-lived if the outbreak is rapidly contained.

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