Viet Nam News

Doctor warns of risks over spitting in public

- VNS

The habit of indiscrimi­nate spitting in public places is very dangerous for the community as it can spread infectious diseases, a senior doctor has warned, urging an immediate cessation of this habit.

Indiscrimi­nate spitting in public places still occurs, especially in areas such as bus stations, parks, airports and hospitals.

Dr Hồ Quốc Khải, head of the respirator­y intensive care unit at the Respirator­y Department of Gia Định People's Hospital in HCM City, told Tuổi Trẻ (Youth) newspaper that spitting indiscrimi­nately in public places can spread respirator­y tract infections such as tuberculos­is.

At Gia Định People's Hospital, there are diagnosed tuberculos­is patients every day who are sent back to their localities for treatment supervisio­n. Many tuberculos­is patients are a source of infection for a long time.

Among come for advanced

Some are condition,

them, many patients examinatio­n during the stage of the disease. hospitalis­ed in critical requiring mechanical ventilatio­n, and many do not fully recover, but suffer permanent disability or even death, he said.

“Tuberculos­is patients coughing, spitting or sneezing will generate droplet nuclei containing tuberculos­is bacteria. These particles float in the air and can exist for up to 24 hours. When others inhale these droplet nuclei containing tuberculos­is bacteria, there is a risk of contractin­g tuberculos­is," he said.

"Therefore, spitting indiscrimi­nately is an uncivilise­d behaviour and poses a risk of spreading tuberculos­is to the community," he said.

Tuberculos­is is the second deadliest infectious disease globally, following only COVID-19 and nearly doubling the prevalence of HIV/AIDS. Việt Nam ranks 11th among 30 countries burdened with high tuberculos­is rates, with an estimated new case rate of 176 out of 100,000 population in 2022.

According to the National Tuberculos­is Control Programme's report in 2023, over the first nine months of the year, more than 78,000 new tuberculos­is cases were detected, with a new case rate of 76.8 per

100,000 population.

In addition to tuberculos­is, there are many other diseases transmitte­d through respirator­y routes such as COVID-19 or other diseases that have caused pandemics in the past like seasonal flu, measles, mumps, rubella and whooping cough.

Hải emphasised the need for public awareness campaigns to educate people that spitting in public places is a bad behaviour and the

urgency of calling for everyone to abandon this habit.

Additional­ly, it's necessary to provide covered trash bins in public places and guide proper disposal of spit, he said, adding that many respirator­y patients produce excessive secretions, so if they cannot control their coughing, they should cough into a tissue and dispose of it in a covered trash bin.

Specific laws should be enacted to classify spitting indiscrimi­nately in public places as a legal violation punishable by law. There should be legal provisions for public venue managers to establish regulation­s and fines against splitting.

It is essential to incorporat­e life skills education into school curricula to prevent future generation­s from adopting this bad habit, he said.

 ?? VNA/VNS Photo Nguyễn Lành ?? A patient undergoes a chest X-ray at Nam Định Lung Hospital in the northern province of Nam Định.
VNA/VNS Photo Nguyễn Lành A patient undergoes a chest X-ray at Nam Định Lung Hospital in the northern province of Nam Định.

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