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Restrictions differentiated by regions with the definition of three risk areas. “We must intervene with prudence and maximum attention for new more restrictive measures with a containment strategy, it must be modulated in the territories depending on the criticalities of the territories,” said Prime Minister Giuseppe Conte during his communications about the Covid emergency in the classroom. of the room. “In the next Dpcm we will indicate 3 areas with three risk scenarios with increasingly restrictive measures”, belonging to one area or another “will depend exclusively on the risk coefficient of that territory. The inclusion of a Region will be carried out with an ordinance of the Ministry of Health and always with an ordinance of the Ministry will be able to enter and to leave an area ”.
The “reading of the report on the evolution” of the Covid produced “weekly by the ISS forced us to presage a new corpus of restrictive measures even before November 4, the date set for my communications in Parliament. After a new conversation with the presidents of the Chambers, I asked to be able to advance my communications to date so that parliament can express itself before adopting the measure, ”Conte said in the Chamber, thanking the presidents of the House and Senate for having already made it possible to anticipate his speech today.
“The national RT is 1.7, but in some regions the figure is higher. There is a high probability that 15 regions will exceed the critical thresholds in the ICU and medical areas in the next month,” said the prime minister. announced for the entire national territory only some specific measures: shopping centers closed on weekends, stops at slot machines, museum and exhibition closures, new restrictions on public transport at 50%, travel ban between regions at risk. Then Conte touches on the subject of the curfew, announcing a squeeze at night closings, but he doesn’t give the time even though we’re talking about 21
Italy projects towards scenario 4, the most serious, according to the ‘Prevention and response to COVID-19’ plan prepared by the Istituto Superiore di Sanità, which provides for different scenarios and the related measures to be implemented based on the trend. of the epidemic. This was certified by Prime Minister Giuseppe Conte himself, in his speech before the House. Scenario 4 occurs in cases of uncontrolled transmissibility with criticalities in the health system in the short term. One of the parameters taken into account is the Rt contagion rate region by region. The red alert occurs when 1.5 is exceeded, and there are 13 regions that in the latest ISS report are above the threshold: two of these even exceed 2, they are Piedmont (2.16) and Lombardy (2, 09).
The other regions of interest are Calabria (1.66), Emilia Romagna (1.63), Friuli Venezia Giulia (1.5), Lazio (1.51), Liguria (1.54), Molise (1.86) , Province of Bolzano (1.96), Province of Trento (1.5), Puglia (1.65), Umbria (1.67) and Valle d’Aosta (1.89).
In addition, there must be “high incidence of cases and clinical severity”, with “sustained pressure for the prevention and welfare services departments” in the different regions. A scenario in turn divided into three bands: moderate, high / very high for less than three consecutive weeks or high / very high for more than three consecutive weeks and an unmanageable situation. In the latter case, the objectives are: “Mitigate the spread of the virus, reduce the number of cases, end generalized community transmission.” How? “Generalized restrictions with extension and duration to be defined with respect to the epidemiological scenario”, together with “mobility limitations to / from the areas in question”, but also the “closure of school / university structures”, again due to the extension and duration required of the progress of the epidemic, “and activation of distance education whenever possible.”
In addition, the ISS document suggests the activation of additional external personnel to support the prevention departments, but above all, given the congestion of the system, the offer of the buffer only to “suspicious cases and close and risky contacts, with priority to symptomatic subjects ”, a strategy of“ simplification of contact tracing and active surveillance ”that changes a lot compared to scenario 1, which prescribes“ the search and diagnostic confirmation of all suspected cases. ”The“ strengthening of hotels for cases of isolation “.
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