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Building a Health History

Discussion: Building a Health History

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your instructor.

to prepare:

USE THIS LINK FOR REQUIREMENT READINGS The History and Interviewing Process | Nurse Key. TO COMPLETE THIS Assignment

SCENARIO TO USE TO COMPLETE THE ASSIGNMENT:

55-year-old Asian female living in a high-density public housing complex

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.

How would your communication and interview techniques for building a health history differ with each patient?

How might you target your questions for building a health history based on the patient’s social determinants of health?

What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?

Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient

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A regulatory issue in health care

 Research and identify one article or a current legal case within the last 3 to 5 years that involves one of the following issues:

A regulatory issue in health care

A regulatory issue specific to institutional health care

In 350 words

Summarize the case or article.

Define a law involved with the chosen regulatory issue from both a state level (choose one common state) and a federal level.

Explain how and why the law was created.

Consider what you have read in the article or legal case on the selected regulatory issue, and explain the impact that regulatory issues and trends have on the health care industry.

1 peer-reviewed, scholarly, or similar reference to support your paper.

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Obtaining a safety and health certification

QUESTION 1

Explain the benefits that may result from obtaining a safety and health certification. Discuss which certification you believe would be the most beneficial to your present job or a job you would like to have in the future. What do you believe would be the biggest hurdle to you obtaining the certification?

FYI, I am in Aviation. I would like to be an aviation safety coordinator for Airside Operations. Please incorporate this in the above question when responding.

Your answer must be at least 200 words in length.

QUESTION 2

  1. Discuss the organizational system that you believe would be the most effective for the safety officer in a medium-sized (100-200 employees) manufacturing facility. Explain how you would balance the company’s requirements for production and your job of providing a safe work environment.Your answer must be at least 200 words in length.

QUESTION 3

1.      The Acme Company lost 650 hours due to accidents on the job in the first quarter of the year. The average hourly wage of the employees who contributed to the lost hours was $15.00. The company benefits add 25% to the wages. Using the cost-of-lost-hours formula (employee hours lost X average loaded labor rate = cost), calculate the direct cost of the lost work hours. Discuss the approach you would use to estimate the hidden costs that would also be associated with the lost hours.Your answer must be at least 200 words in length.

QUESTION 4

1.      Choose three organizations that you believe have had the greatest impact on the current state of safety and health programs in the United States. Summarize the purpose of each organization, and discuss how you believe you can use these organizations to improve your ability to perform your duties as a safety and health professional.Your answer must be at least 200 words in length

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health issue and pathophysiology, explanation of major concepts based on findings from contemporary literature,

The written assignment for this unit is based on students choosing a topic from the list of topics provided and undertake a literature search relevant to the chosen topic (10 references, including at least 8 peer-reviewed journal articles). Students will then provide critical analysis of the chosen topic with the support of the literature reviewed including a description of the health issue and pathophysiology, explanation of major concepts based on findings from contemporary literature, presentation of a nursing management plan from the literature and a discussion on how the knowledge gained will assist in advancing their role in the workplace.
Please note the discussion is based on ONE condition (health disorder) selected from the list below.
Principles of nursing management of patients/clients with a condition relevant to the respiratory system.
Principles of nursing management of patients/clients with a condition relevant to the cardiac system.
Principles of nursing management of patients/clients a condition relevant to the gastrointestinal system.
Principles of nursing management of patients/clients a condition relevant to the hematological/vascular system.
Principles of nursing management of patients/clients with a condition relevant to the cerebral/ neurological system.
Principles of nursing management of patients/clients with a condition relevant to the endocrine system.
Principles of nursing management of patients/clients with a condition relevant to the renal system

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Implement mental health nursing care informed by psychotherapeutic practice

Learning outcomes:
ILO4: Implement mental health nursing care informed by psychotherapeutic practice, neuroplasticity, psychological trauma, and recovery orientation.
ILO8: Use psychotherapeutic theory and practice to develop a meaningful formulation.
Criteria for assessment
In this assessment task you are required to write an academic essay based on a formulation of a psychotherapeutic session(s). You will be exploring the psychotherapeutic elements of a therapy session(s). The formulation should include the process of establishing a therapeutic relationship to understand the consumer’s narrative (for example, life events, social circumstance, relationships with others), the consumer’s explanation of the causes of their presentation and/or issue, and your explanation of the causes of their presentation and/or issue as a therapist. You will need to demonstrate an understanding of the psychotherapeutic relationship, power and its relationship in therapy, mutuality and connectedness, recovery alliance, and the use of trauma-informed principles of care. The essay should have contemporary and relevant evidence-based literature to support all formulations and clinical decision making.
The formulation can be based on a de-identified consumer. You are not required to provide the therapy session, but to access de-identified clinical information that will support your formulation of a session(s).
To ensure you do not breach consumer and/or carer/family confidentiality, you must make sure there are no identifiable factors, such as no consumer/carer or family member’s name, date of birth, address, dates of admission, health service, staff members associated with the consumer care, and any medical/clinical record dates. If you are unsure of any requirements re: breach of confidentiality, please review Maintaining confidentiality ( a guide for students): Psychotherapy Essentials (NURS90141_2021_SEP (Online)) (unimelb.edu.au)
In preparation for this task, you will need to:
1. Make use of the resources available in each module to support your understanding of the content discussed.
2. Attend the webinar in week 7 to gain a greater understanding of the requirements of the task and provides an opportunity for you to discuss this assessment task with your teacher and your peers.
3. Review the rubric to ensure you have a clear understanding of the criteria for marking.
4. Correctly apply academic rules of grammar, spelling and punctuation, and use APA 7th edition style referencing.
5. Upload your file onto Canvas using the Start Assignment button in the top right-hand corner of this page. Ensure you have followed the process for submissions as per university guidelines for submission. Refer to the LMS for assistance.
6. Check the TurnItIn similarity report for the assignment prior to submission.
7. Submit your essay before the due date and time.
Marking
You will be marked according to the rubric provided. The rubric will indicate a mark out of 50 marks that will be converted to 50 per cent.
Plagiarism declaration
By submitting work for assessment I hereby declare that I understand the University’s policy on academic integrity and that the work submitted is original and solely my work, and that I have not been assisted by any other person (collusion) apart from where the submitted work is for a designated collaborative task, in which case the individual contributions are indicated. I also declare that I have not used any sources without proper acknowledgment (plagiarism). Where the submitted work is a computer program or code, I further declare that any copied code is declared in comments identifying the source at the start of the program or in a header file, that comments inline identify the start and end of the copied code, and that any modifications to code sources elsewhere are commented upon as to the nature of the modification.
Rubric
NURS90141 Assessment task 3: Formulation
NURS90141 Assessment task 3: Formulation
Criteria Ratings Pts
Introduction 5 pts
Outstanding H1: 80–100%
Articulately outlines the key elements of the essay by clearly introducing and explaining what the essay intends to cover. The introduction is of excellent quality, and the parameters and scope are clearly specified with deep reasoning. 4 pts
High standard H2A: 75–79% H2B: 70–74
Outlines key elements of the essay by introducing and explaining what the essay intends to cover. The introduction is of high quality, and the parameters and scope are specified with moderate reasoning. 3 pts
Sound work H3: 65–69%
Outlines some key elements of the essay, introducing and explaining what the essay intends to cover. The introduction is reasonably good quality and the parameters are specified with some reasoning. 2.5 pts
Satisfactory Pass: 50–64%
Outlines minimal key elements of the essay, by introducing what the essay intends to cover. The introduction is of adequate quality; however, the parameters are not clearly specified and there is no associated reasoning. 2 pts
Unsatisfactory work Fail: 49%
Fails to outline the key elements of the essay. The introduction is of poor quality, either too long or brief and does not state the parameter of what it intends to cover.
5 pts
Content 20 to 18.0 pts
Outstanding H1: 80–100%
Demonstrates a high level of formulation by: emphasising the consumer narrative and an exploration of the consumer’s explanatory model; demonstrating a high level of understanding of the psychotherapeutic relationship, power and its relationship in therapy, mutuality and connectedness, recovery alliance, and trauma informed principles of care; accessing contemporary and relevant evidence-based literature to support all formulations and clinical decision making; exploring with reasoning the relationship between the theory and practice; and seeks to explore and analyse concepts on all occasions. 18 to 16.0 pts
High standard H2A: 75–79% H2B: 70–74
Demonstrates a moderate level of formulation by: stating the importance the consumer narrative and an exploration of the consumer’s explanatory model; demonstrating a moderate level of understanding of the psychotherapeutic relationship, power and its relationship in therapy, mutuality and connectedness, recovery alliance, and trauma informed principles of care; accessing contemporary evidence-based literature to support nearly all parts of the formulation and clinical decision making; exploring with reasoning the relationship between the theory and practice; and moderately seeks to explore and analyse concepts. 16 to 13.0 pts
Sound work H3: 65–69%
Demonstrates a reasonable level of formulation by: stating the consumer narrative and consideration to the consumer’s explanatory model; demonstrating a reasonable level of understanding of the psychotherapeutic relationship, power and its relationship in therapy, mutuality and connectedness, recovery alliance, and trauma informed principles of care; accessing evidence-based literature to support parts of the formulation and clinical decision making; exploring with some reasoning the relationship between the theory and practice; and reasonably seeks to explore and analyse concepts. 13 to 10.0 pts
Satisfactory Pass: 50–64%
Demonstrates some level of formulation by: incorporating the consumer narrative; demonstrating some level of understanding of the psychotherapeutic relationship, power and its relationship in therapy, mutuality and connectedness; however, it fails to discuss recovery alliance and trauma informed principles of care, accessing minimal evidence-based literature to support the formulation and clinical decision making; exploring with little reasoning the relationship between the theory and practice, and minimally seeks to explore and analyse concepts. 10 to 0 pts
Unsatisfactory work Fail: 49%
Fails to demonstrate any evidence of formulation by not addressing the consumer narrative, not demonstrating an understanding of any of the psychotherapeutic relationship, and not accessing evidence or exploring theory and practice.
20 pts
Critical analysis 15 to 13.0 pts
Outstanding H1: 80–100%
There is evidence of a strong critical analysis of the relationship between theory and practice. The academic writing demonstrates extensive reading in psychotherapeutic concepts and relationships. Critically and thoroughly examinines the formulation by accurately reflecting on all information discussed, exploring areas of improvement to improve therapeutic outcomes, analysing their own personal learnings, and considering alternatives and multiple perspectives with evidence. 13 to 11.5 pts
High standard H2A: 75–79% H2B: 70–74
There is evidence of moderate critical analysis of the relationship between theory and practice. The academic writing demonstrates reasonable reading in psychotherapeutic concepts and relationships. Critically examinines the formulation by reflecting on nearly all information discussed, exploring areas of improvement to improve therapeutic outcomes and analysing own personal learnings considering alternatives. 11.5 to 9.5 pts
Sound work H3: 65–69%
There is evidence of some critical analysis of the relationship between theory and practice. The academic writing demonstrates some reading in psychotherapeutic concepts and relationships. Examines the formulation by reflecting on parts of information discussed, exploring some areas of improvement and states own personal learnings but does not consider alternatives. 9.5 to 7.5 pts
Satisfactory Pass: 50–64%
There is evidence of minimal analysis of the relationship between theory and practice. The writing demonstrates limited reading in psychotherapeutic concepts and relationships. Makes attempts to examine the formulation by reflecting on some areas, but little evidence of the need to improve or provide personal learnings. 7.5 to 0 pts
Unsatisfactory work Fail: 49%
There is no evidence of analysis of the relationship between theory and practice. There is no demonstration in reading in psychotherapeutic concepts and relationships. No attempts to examine the formulation.
15 pts
Academic writing: grammar, spelling and punctuation 2.5 pts
Outstanding H1: 80–100%
Presents ideas that are highly logical. Uses mental health terminology throughout the discussion and within context. Correctly applies academic rules of grammar, spelling and punctuation. 2 pts
High standard H2A: 75–79% H2B: 70–74
Presents ideas that are moderately logical. Uses mental health terminology on nearly all occasions throughout the discussion and within context. Correctly applies academic rules of grammar, spelling and punctuation. 1.5 pts
Sound work H3: 65–69%
Presents ideas that are logical. Uses mental health terminology on most occasions throughout the discussion and within context. Mostly applies correct academic rules of grammar, spelling and punctuation. 1.25 pts
Satisfactory Pass: 50–64%
Presents ideas that are minimally logical. Uses mental health terminology rarely throughout the discussion and within context. Correctly applies some academic rules of grammar, spelling and punctuation. 1 pts
Unsatisfactory work Fail: 49%
Fails to present logical ideas, use mental health terminology, and/or apply academic rules of grammar, spelling and/ or punctuation.
2.5 pts
Sources and referencing 2.5 pts
Outstanding H1: 80–100%
Uses credible, contemporary and relevant references. This includes mostly peer-reviewed journal articles. Accurate use of APA 7th edition citation referencing style (as set out in Re:cite) on all occasions. In-text referencing and reference list demonstrate a high level of consistency and are formatted correctly and according to APA guidelines. 2 pts
High standard H2A: 75–79% H2B: 70–74
Uses mostly credible, contemporary and relevant references. This includes mostly peer-reviewed journal articles and few grey literature. Accurate use of APA 7th edition citation referencing style (as set out in Re:cite) on nearly all occasions. In-text referencing and reference list demonstrate a moderate level of consistency and are formatted correctly and according to APA guidelines. 1.5 pts
Sound work H3: 65–69%
Uses some relevant references. More use of grey literature than journal articles cited. Accurate use of APA 7th edition citation referencing style (as set out in Re:cite) on some occasions. In-text referencing is good but reference list has some inconsistent adherence with APA guidelines. Some references are more than five years old. 1.25 pts
Satisfactory Pass: 50–64%
Uses limited relevant references and mostly grey literature cited. Minimal accurate APA 7th edition citation referencing. In-text referencing and reference list is inconsistent with the APA guidelines. Many references are more than five years old. 1 pts
Unsatisfactory work Fail: 49%
Fails to use APA 7th edition references both in text and in the reference list. Many inconsistencies with referencing overall.
2.5 pts
Conclusion 5 pts
Outstanding H1: 80–100%
Articulately summarises the main points of the essay and succinctly restates the reasoning and critical analysis. The submission’s conclusion is of excellent quality and links well to the essay. 4 pts
High standard H2A: 75–79% H2B: 70–74
Summarises the main points of the essay and concisely restates the reasoning and critical points. The submission’s conclusion is of high quality, and links well to the essay. 3 pts
Sound work H3: 65–69%
Summarises some of the main points of the essay and restates the reasoning. The submission’s conclusion is of reasonably good quality and links to the essay. 2.5 pts
Satisfactory Pass: 50–64%
States a main point of the essay. The submission’s conclusion is of adequate quality, but does not clearly link to the essay. 2 pts
Unsatisfactory work Fail: 49%
Fails to summarise or state the main point of the essay. Reintroduces new topics to the essay. The submission’s conclusion is of poor quality and not linked to the essay.
5 pts
Total Points: 50

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Biopsychosocial Population Health

Instructions: Biopsychosocial Population Health …

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Health care consumers receive various communications about different health care options

 External Influences on Consumer Choice Worksheet

HCS/490 v11

Page 2 of 2

C:\Users\djshirey\OneDrive - University of Phoenix\F_Drive\Style Guides\UPX Logos\Horizontal format\UOPX_Sig_Hor_Black_Medium.pngExternal Influences on Consumer Choice Worksheet

Health care consumers receive various communications about different health care options. It is important to understand consumer demographics to determine the impact (positive or negative) media, social networks, branding, marketing, and communication play in health care consumer choices.

In this assignment, you will research managed care plans to determine what impact social media and other external influences have on consumer behaviors. Research the different insurance plans listed below by reviewing various health care organizations or resources.

Consider within your research who might access the health care systems (i.e., age, generation, socioeconomic status, military/veteran, and health care insurance plans, etc.).

List 4 advantages and 4 disadvantages of HMOs, PPOs, and CDHPs in the following chart.

Health Maintenance Organization (HMO)Consumer Directed Health Plan (CDHP)Preferred Provider Organization (PPO)
Advantages1.2.3.4.1.2.3.4.1.2.3.4.
Disadvantages1.2.3.4.1.2.3.4.1.2.3.4.
This is the best plan for what type of consumer?

Write a 90- to 175-word response to each of the following prompts. Consider the information you listed in the chart above as well as what you know about consumer behavior when you compose your response.

· Explain the impact media and social networking have on consumers when choosing the most appropriate managed care health insurance plans. Consider the positive and negative impacts.

(Insert answer here)

· Describe how branding, marketing, and communication influence a consumer’s choice when considering an appropriate managed care health insurance plan. Consider positive and negative influences.

(Insert answer here)

· Explain how communication and education to consumers differ by generation when marketing managed care health insurance plans. Consider why it is important to communicate and educate differently across generations.

(Insert answer here)

Cite 2 peer-reviewed, scholarly, or similar references.

Copyright 2021 by University of Phoenix. All rights reserved.

Copyright 2021 by University of Phoenix. All rights reserved

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Health care is prohibitively expensive for citizens without health insurance

Step 1 Consider the scenario.

Imagine that you need to submit a proposal for an informative speech about one topic of your choice. If your proposal is accepted, you will have 30 minutes to present your speeches.

Step 2 Choose a topic and create a title for your speech based on the chosen topic.
Step 3 State the general purpose for this topic.

Step 4 State the specific purposes for the topic.

Step 5 Write the thesis statement.

Step 6 Identify and generate a minimum of three (3) main points you will discuss in the speech.

Step 7:  Generate a question that would reflect the audience’s concern about your topic. 

Step 8:  Enter the thesis statement, question, and main points into a Word document using the format in the example shown here:

Example

Thesis Statement: The government should (or should not) provide health insurance coverage to all citizens.

Question: Why should the government provide health insurance coverage to all citizens?

Main Points:

  • Health care is prohibitively expensive for citizens without health insurance.
  • The first question you are asked when you call most doctors’ offices in the United States is, “What type of insurance do you have?”

People without health insurance may be unable to get the health care they need

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Software developer at a health insurance firm

Course: Organization leader and decision making

My job title: software developer at a health insurance firm. 

 Needs to be specific to this course and your job – no generalities 

Assignment:
Provide a reflection of at least 500 words (or 2 pages double spaced) of how the knowledge, skills, or theories of this course have been applied, or could be applied, in a practical manner to your current work environment. If you are not currently working, share times when you have or could observe these theories and knowledge could be applied to an employment opportunity in your field of study. 

Requirements:

  • Provide a 500 word (or 2 pages double spaced) minimum reflection.
  • Use of proper APA formatting and citations. If supporting evidence from outside resources is used those must be properly cited.
  • Share a personal connection that identifies specific knowledge and theories from this course.
  • Demonstrate a connection to your current work environment. If you are not employed, demonstrate a connection to your desired work environment. 
  • You should not, provide an overview of the assignments assigned in the course. The assignment asks that you reflect how the knowledge and skills obtained through meeting course objectives were applied or could be applied in the workplace. 
  •  Don’t forget that the grade also includes the quality of writing

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The World Health Organization (WHO) today recommended the use of anti -inflammatory monoclonal

WHO advises 2 monoclonal antibodies for

severe COVID

Lisa Schnirring | News Editor | CIDRAP News July 6, 2021

Yaroslav Kryuchka / iStock

The World Health Organization (WHO) today recommended the use of anti -inflammatory monoclonal

antibodies — tocilizumab and sarilumab — alongside corticosteroids for treating patients who have severe

or critical COVID -19 infections.

In other global developments , some countries including Indonesia, Vietnam, and Bangladesh, reported

new record daily highs for infections, as COVID -19 cases continued to rise in parts of Europe.

Meta -analysis reveals life -saving impact

The WHO’s treatment recommendation comes in the wake of a study published today in the Journal of

the American Medic al Association (JAMA) , in which researchers analyzed 27 randomized trials that

involved nearly 11,000 patients.

They found that the interleukin -6 antagonists tocilizumab and sarilumab reduced the risk of death and

the need for mechanical ventilation. The W HO coordinated the study, which included partners from the

United Kingdom.

The investigators found that the drugs were most effective when given with corticosteroids.

Hospitalized patients who got one of the drugs along with corticosteroids had a 17% reduc tion in death

compared with corticosteroids given alone. The combination cut the risk of mechanical ventilation or

death by 21% compared with corticosteroids alone.

Immune system overreaction is a feature of severe COVID -19 infection, and the two drugs —bot h initially

developed to treat rheumatoid arthritis — were thought to have the potential to inhibit the interleukin -6

cytokines that the immune system generates during those instances. Earlier individual studies were

inconclusive, ranging from benefit to no effect to harm. For the study, the WHO and UK researchers combined data from 27 randomized trials spanning 28

countries. Taken together, the meta -analysis included 6,449 patients who were randomly assigned an

interleukin -6 antagonist and 4,481 who received usual care or placebo.

The risk of death within 28 days was lower in those who received the drugs, and outcomes were better

in patients who were also treated with corticosteroids. For every 100 patients treated with

corticosteroids, 4 more survived. And w hen the team looked at death and mechanical ventilator

outcomes, they found that adding the drugs meant that, for every 100 such patients, 7 more will

survive.

Janet Diaz, MD, clinical management lead for the WHO’s health emergencies program, said in a Kin g’s

College London news release that bringing togeth er the results of international trials is one of the best

ways to determine which treatments will save lives.

“While science has delivered, we must now turn our attention to access. Given the extent of global

vaccine inequity, people in the lowest income c ountries will be the ones most at risk of severe and

critical COVID -19. Those are the people these drugs need to reach,” she said.

In a related commentary , two scientists who weren’t involved in the study said the treatments are

promising for hospitalized patients with progressive disease and substantial oxygen requirements. The

authors are Michael Matthay, MD, an acute respiratory disease specialist, and Anne Leutkemeyer, MD,

an infectious disease expert, both based at the University of California, San Francisco.

They said questions surround how the drugs compare to other interventions and what threshold to use

for using them, though for now, they don’t seem destined for w idespread use in patients with mild

disease or in patients who have been on prolonged mechanical ventilation.

Record COVID in Southeast Asia

Indonesia’s daily COVID -19 total rose to a new record high of 31,189 new cases, with a daily record 728

deaths reported, according to Xinhua , China’s state news agency. Cases have been reported from all of

the country’s provinces, though roughly one third of the daily cases are from Jakarta.

The country’s surge is overwhelming some hospitals, as well as the supply of oxygen. Dozens of patients

reportedly died at a public hospital on the island of Java when the facility ran out of oxygen over the

weekend, accor ding to the Washington Post .

Meanwhile, Vietnam yesterday reported 1,102 new cases, the first time the country — known for its

strong public health response — has topped 1,000 in a single day, according to Reuters . The country’s

latest COVID wave started in late April, and though cases have been reported across the country, Ho Chi

Minh City accounts for the most, according to the VN Express newspaper.

Article retrieved from cidrap.umn.edu/news on October 1, 2021

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