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The indications refer to 4 scenarios: the case in which a student has more than 37.5 fever or a compatible symptomatology in class; the case where this occurs at home; the case where a school worker has a fever or other symptoms at school; and finally if the school worker experiences symptoms at home. In all these situations the swab is carried out, so the document emphasizes that “school operators and students have a priority.”
If a student or operator is positive, the case is notified to the prevention department, which initiates the search for contacts and indicates the extraordinary actions to clean up the school structure in its interested party, in accordance with the provisions of the ISS document on the reopening of schools inaugurated in August.
Coronavirus, ISS Document: “School Must Restart, Here’s How”
“For the return to the community – read the circular – we will have to wait for the cure according to the current criteria”, that is, the execution of two swabs (molecular biology test) 24 hours apart with double results. negative, which may be followed by the end of isolation. “The student or school worker,” he says, “will return to school with proof of recovery and authorization to enter or return to the community.”
In the event of a negative result, however, “the pediatrician or treating physician will evaluate the most appropriate clinical and diagnostic pathway (for example, a possible repeat of the test) and in any case the opportunity to go to school.” In the event that a pathology other than Covid-19 is found, the person will remain at home until clinical recovery following the doctor’s instructions. If, on the other hand, the student or the operator lives with an established case, they will be quarantined. Any close contact between them, such as the quarantined student’s classmates, on the other hand, “does not require quarantine, unless the Prevention Department conducts new evaluations following the positive result of any diagnostic test on the close contact of a case”.
The Italian Federation of Pediatricians is satisfied. “The circular says out loud what we have been asking for for weeks: a child or a child with at least one of the symptoms should be subjected to a swab,” says director Paolo Biasci. “The document – observes Biasci – does not refer to the number of days, but the indication is to do it ‘punctually’, as soon as possible”. For the pediatrician, the only possible way to distinguish a trivial flu from the coronavirus is the only possible way. However, at the same time “we need a commitment of resources in the area for investments in test centers, laboratories and personnel.” In fact, the question will arise in an important way and will have to face new forces: “The parents are angry and they are right – Biasci answers – They do not know what to do, they are waiting for a phone call from ASL to do the swab but times are ticking. longer”.
