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According to Ricciardi, former president of the Higher Institute of Health and today a member of the WHO’s executive council, “it is very important not to accelerate the reopening: otherwise, the second wave instead of having it later runs the risk of suffering it before the summer ” Ricciardi recalls that “fall and winter, as in the case of the flu, is the period when a combination of climatic, behavioral and immunological events causes the virus to re-emerge.”
The elections of some world political leaders “are responsible for the effects on their peoples. If there have been more deaths than others, it is because decisions were made late or by mistake. The most striking example is that of Great Britain and the United States, where governments have not listened to scientific advisers and have reacted extremely late. “Instead, in countries like South Korea, Finland and Germany” where there is a single line command and a direct relationship between sensitive policies and well-functioning institutions, things are better. “
To prevent the disease from returning and keep it under control by blocking small outbreaks that will certainly cause “physical estrangement, the distance between people who are unsure of their immune status will be important.” Of course, this state can be better known and tracked through more extensive and specific diagnostics and through the use of technologies. There is no doubt that the countries that have reacted best are those that have best used diagnostic weapons and technologies. On this, he concluded, I have invited my colleagues and decision makers for several days to act faster than has been done so far. “
Regarding the Italian health system, Ricciardi explained that “there are three pins to be inspired by: the hospital, general medicine and care in out-of-hospital settings intermediate between home and hospital.” If one of the three pillars does not work there are serious problems. Lombardy is an example “that has the best hospital excellence but not the coordinated management of chronic patients at home or in facilities other than the hospital.”
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Carlo Verdelli
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