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PALERMO – It is true that in the last report of the Istituto Superiore di Sanità that we anticipated in yesterday’s edition the Rt index has dropped from 1.42 to an estimate of 1.28, but that is not enough. Sicily for the moment remains orange and, on the horizon, the specter of a second national closure looms on the horizon that, according to rumors, could be declared between Sunday afternoon and next Monday.
The fact is that in the transmissibility index that would place Sicily at 1.28, a debate has been opened with some experts.
Professor Cristoforo Pomara, Professor of Forensic Medicine at the University of Catania and a member of the Regional Scientific Technical Committee for the Covid-19 emergency, expects a total closure, provided that subsequent steps are immediately planned and organized.
“Too early to jump to conclusions, Beyond indices, colors and political differences, what matters are the patients, the Sicilians and the island. I am concerned, as a citizen and as a technician, about this widespread quota of litigation at all levels at a time when, on the contrary, unity of purpose and compactness against the virus are needed. I worry about seeing the crowded boardwalk, beaches and markets – the virus runs there. I agree with most of the front-line colleagues in the hospitals, to close everything and everyone for 15-21 days. Do we want to start with the metropolitan cities? Do it and then see how it goes. I also believe that all schools of all levels and levels should be closed, and I say this with death in my heart as a teacher. All this today is necessary to take a breather and try not to block the rest of the offer of assistance. It is the only weapon we have to stop the progression of the virus.
Pomara adds: «I am in favor of the closure of everything and everyone, but only if we already agree in summer, not at Christmas. Do you want to wait for the vaccine? Wrong. We also need a plan B: rearrange Christmas, Easter, May 1, and summer. It must be done now, at the regional and national level. At the national level, the decree of the USCA institutions is restarted and the integrated generalist service model is immediately integrated, the contribution of General Medicine can no longer be ignored. It begins with the reprogramming of admissions to medical schools and the system of specialization of general practitioners is also reviewed. We can’t always be talking about finalist closings without planning and organization. It no longer makes sense.
Infectious disease specialist Alessandro Bivona also says: “In my opinion, the figure that Sicilia maintains orange is the number of patients hospitalized in intensive care evaluated by age and concomitant pathologies and the number of deaths also evaluated by age and concomitant pathologies. The Rt transmissibility index was initially emphasized, then it was resized and now it is back in fashion, but let’s remember that it is affected by many variables (such as asymptomatic patients) and as a clinician and not as an epidemiologist, I am interested in patients who are hospitalized for serious illnesses and those who unfortunately do not succeed ».
Meanwhile, Sicily is thinking of dealing with the shock wave of rising new positives.
General manager Mario La Rocca, from the Strategic Planning Department of the Regional Health Department, sent a circular to all the general managers of health companies, hospitals and polyclinics asking them to organize hospitals. In short, we must prepare for the worst.
«If there is a shortage of personnel Within the departments involved in the care of Covid patients and specifically infectious diseases, pulmonology, Utir and emergency areas – writes La Rocca – it is necessary to integrate the team by hiring structured medical administrators identified between equivalent or similar disciplines and subsequently also from other operating units “.
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