Coronavirus, Iss: “The worsening accelerates, for the first time signs of significant criticality. It is essential to avoid aggregations”

In Italy, there was a phase change of the epidemic, with a 10 consecutive week increase in cases and, “for the first time, significant signs of criticality relating to the dissemination of virus“ SARS-CoV-2, that now circulates throughout the country. The analysis is contained in the weekly monitoring carried out by Faculty of Health me Ministry of Health in the period from September 28 to October 4, with data updated to October 6. ISS and the ministry urge to maintain a “rigorous behavior”, noting that “a remarkable local service charge that should be monitored for its potential impact on wellness services. “It is essential avoid events and initiatives at risk of aggregation in public and private places ”, the report emphasizes,“ and it is mandatory to adopt rigorous and conscientious individual behavior to limit the risk of transmission to avoid a greater and faster worsening of the epidemic ”. “It remains fundamental,” they reiterate, “to maintain ahigh awareness of the general population about the deterioration now clear and faster than the epidemiological situation and on the importance of continuing to strictly comply with all the necessary measures to reduce the risk of transmission: hand washing, use of masks and physical distancing ”.

The report shows that, for the 10th week in a row, new cases continue to rise. The cumulative incidence in the 14 days between September 21 and October 4 is 44.37 per 100,000 inhabitants, compared to 34.2 per 100,000 inhabitants in the September 14-27 period. There is also an increase in the number of cases symptomatic: 8,198 in the period 21 / 9-4 / 10 against 6,650 in the period 14-27 / 9. The number of people hospitalized also continues to increase: 3,287 against 2,846 in the medical area, 303 versus 254 in intensive care on 10/4 and 9/27, respectively. Consequently, occupancy rates for medical and intensive care hospitalizations are increasing.

17 Autonomous Regions / Provinces reported an increase in the number of diagnosed cases compared to the previous week, the report reads. Decreases the percentage of new cases that have been detected through contact follow-up activities (31.8% compared to 35.8 the previous week). In contrast, the percentage of new cases detected through the detection activities (33.2% vs 28.2%). 29.1% of the new cases were detected by the appearance of symptoms and in 5.9% the diagnostic evaluation was not carried out. In Italy they are totally 3,805 outbreaks, of which 1,181 new, increasing both figures for the tenth consecutive week: in the previous week there were 3,266 active, of which 909 were new. Outbreaks that were registered in almost all Italian provinces (104 out of 107), and that in most cases (77.6%) continue to occur in the home environment. On the other hand, the percentage of outbreaks detected in the context of Recreational activities (4.1% vs 4.5% of the previous week).

There was a slight increase in those in which transmission may have occurred in the school environment. However, in general, a limited transmission dynamics of 2.5% of all new shoots in which the transmission context was reported. According to data released by the Ministry of Education Lucia azzolina students who test positive for Covid-19 as of October 3 are 2,3480.037%. While among the faculty there are 402 positive cases (0.059%). Non-teaching staff that test positive is 0.079% (144 cases). As of September 26, the infected students were 1,492 (0.021%), the infected teachers 0.047% of the total (349 cases), and the non-teaching staff 0.059% (116 cases).

According to the ISS report, it is important to strengthen local services, through the extraordinary participation of professional support resources and also through the use of technological tools such as the app Immune, in the activities of diagnosis and contact tracing in order to identify all transmission chains early and ensure efficient management, including the quarantine of close contacts, and the immediate isolation of secondary cases.

In the period from September 17 to 30, thecontagion index “Rt calculated on symptomatic cases is equal to 1.06 (95% confidence interval: 0.97-1.16) “. The contagion index Rt exceeds the threshold value of 1 in 13 Regions and 2 autonomous provinces, in Trento and Bolzano. Campania has the value higher, with 1.24, followed by Sicilia with 1.22 and Trento with 1.18, Molise improved with 0.61, Emilia Romagna with 0.84 and Marche with 0.91 ”. There are outbreaks and sporadic cases in all regions and the number of hospitalizations tends to increase, even if there is no intensive care overload, ”he says. Gianni rezza, general director of the Ministry of Health Prevention. In this phase “we must be extremely cautious, absolutely avoid aggregations and events, both public and private, always use the mask, use measurements of spacing physical and healhand hygiene“.

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