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There are those who speak of an anomaly, others of a specific case. Of a outbreak that not only overshadows the championship A league, but it divides scientists who have been chasing theses, antitheses and patients for months for certainties about COVID-19. The 14 staff members of the Genoa positive Alabama virus, despite the negativity of the first and, in some cases also of the second swab, trigger the debate on the effectiveness of the medical test, but above all they open a front that generates great concern in the governmentsince, according to many scholars, the only real remedy against the spread of Sar-Cov-2 would be theisolation, the quarantine, the true distancing from everything. In short, a kind of emergency shutdown that politics really don’t want to listen.
Genoa, Crisanti: «We need more isolation. Loosening it was a mistake “
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and Timor
“We will see the effects of the resumption of the school in two weeks – the Deputy Minister of Health, Pierpaolo Sileri- intervenes on the subject – surely there will be outbreaks, in fact there already are, it is the new normal. I am more concerned about the controls of these outbreaks, the diagnostic firepower through swabs or saliva tests so that the virus can be limited to where it is found. And I’m even more concerned about quarantines because we run the risk that when we find a positive guy it means that a good number of people end up in isolation. And then it may happen that with the concomitance of the influenza syndrome Italy can be stopped not by the closure, but by the multiplication of quarantines.
With regard to football and the precision of the analyzes, what emerged is certainly anomalous: of the 14 positives from Genoa football, 10 came out on the third swab made 36 hours after the second. Protocol error, lab error, or rule commit exception? “That a whole group becomes positive a few days after the previous test is something that, until I see it confirmed, leaves me doubtful”, says Massimo Galli, specialist in infectious diseases at Sacco di Milano. “It is the Waterloo of tampons”, the clearest judgment of Matteo Bassetti, director of the San Matteo infectious disease clinic in Genoa. “No, swabs are gold standard tests at the international level,” says Carlo Tranquilli, a former sports doctor for the Olympic and football team, who helped draft the FIGC protocols. However, he adds: “In reality, we are touching the limits of a non-infallible test: it is no coincidence that Local Health Authorities often ask for a second tampon within 48-72 hours.”
It is in the hourly scan that the yellow of the false negatives among the players who went to the Naples field was able to find a solution. Also responding to doubts about series A protocols, for which virologist Andrea Crisanti asks for the reintroduction of quarantine. Because the belief of those who fought Covid on the front lines is that the pads are accurate, but only as a snapshot of the moment, and the only real solution is self-isolation. “We are sure that all the players who got on the plane to Naples were negative,” said the Genoa CEO.
Reconstruction
The facts: Febrile Perin on Friday night activates the procedure at club rossoblù, with positivity on Saturday morning and a first round of swabs for the entire team. At night the negativity, the doubt about Schone, a personalized quick swab, the positivity (slight, according to club sources), a second round of tests, the negativities on Sunday morning, the departure for Naples. Upon his return on Monday morning, the Genoese ASL warning: another proof is needed. And it is on this occasion that the other 12 cases arise. The FIGC protocol was respected, assured the Sports Prosecutor’s Office. The current one provides swabs every 4 days, and in case of positive isolation of infected and new controls, with swabs on the day of the meeting. The light protocol, announced but not yet in effect, provides only a buffer 48 hours after the game.
Wrong results
In short, the case of Genoa would be the perfect storm of correct procedure, but with incorrect results. “Football – explains Tranquilli – has put in place the best possible safety net for the championship and its deadlines. The problem is that within hours of an infection, the viral load can be so low that the molecular test cannot detect it. We await the results of the Naples swabs: finding infections by coincidences would be a scientific discovery. ‘ As well as a blow to the championship and its protocols.
Genoa, Crisanti: “We need more insulation. It was a mistake to loosen it up”
The effectiveness of tampons is being tested. The only certainty, so far, to verify the positivity of those who have been infected with the Coronavirus. But woe to tell virologists that the test works badly or that it is bad too often, because, they say, “the errors are in the behavior and not in the effectiveness of the test.”
Last updated: 07:24
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