Ats Milano: “We cannot trace all infections. Anyone who suspects that a contact is at risk should stay home. Authorities must make more incisive decisions”

“We cannot track all infections, to actively isolate people. Anyone who suspects they have had a risky contact or symptoms stays home“. The message is from Vittorio Demicheli, medical director ofAts Milan to SkyTg24 after almost 3 thousand new cases of 31 thousand swabs have been registered in Lombardy in the last hours: of these, 1,463 were registered in Milan with 727 cases in the city alone. “What worries us”, recognized Demicheli, “is that we do not know exactly in a large metropolis speed with which the phenomenon can occur. What we are working on at the moment is to invite the authorities to make more incisive decisions, when we closed the activities at 6 pm on the epidemiological curve there was a sharp slowdown ”. How Varese me MonzaFurthermore, “Milan was marginally hit” during the March wave and “what we see is that the infection circulates faster in the less affected areas the last time, when the confinement intervened.” That is why Demicheli renewed “the invitation to citizens so that each one does their part. Everyone will have to give up something, because at the moment the containment phase is unfortunately ineffective“.

Tracking difficulties are among the most worrying aspects of these hours. In total, there are only 9 thousand “tracers” and the Regions have made less than three hundred hires. A difficulty that Italy also shares with other European countries, such as the Germany wave France where, according to the latest reports, 75 percent of new cases do not appear to be contacts of already known patients.

Speaking of Lombard’s situation, the alert was also given Lombardia peeked by Anaao. “The second wave of the virus,” read a note, “now runs the risk of overwhelming not only Lombardy but all of Italy again.” According to the regional union of doctors and hospital directors, “they are there are still many improvements to be made to the entire Lombard health system to face this new epidemic wave with strength and efficiency ”. “In recent months, undoubtedly, the Lombardy Regional Health Service has been strengthened to ensure effective management of the Covid-19 emergency: doctors and nurses have been hired, beds have been opened in intensive and sub-intensive care, reinforced the offer of individual protection devices (Dpi) in hospitals and territories “. But that is not enough and new interventions are needed. “First of all more effort is needed in recruiting staff (including third-year trainees), who must receive prior training, especially if they do not perform specialist functions related to the management of Covid-19. In addition, it is necessary to prepare structures and beds in hospitals, always identifying the appropriate entry and exit security routes ”. Once again, “remains critical intensify contact tracking through the Immuni app currently in use in Italy, but to make it easier to use and more operational. “And it is necessary to” increase the capacity to make swabs, even quick ones, to avoid the risk of contagion in case of failure and immediate communication of positivity, strengthening thus the personnel of the laboratories with managers and technicians. Finally, it is essential to always guarantee the health personnel an adequate supply of Dpi and, in particular, of masks, both surgical and Ffp2 / Ffp3. ”Therefore, the union concludes: “We, the medical and health managers, even if we are tired and worried, are ready again to do our part“Against the new wave of Covid-19. However, it is also necessary that all citizens, especially the young, and not so young, do their part.”

Also for this reason, to face the most critical situation in large cities, there is no shortage of curfew proposals. “You have to consider the possibility of a curfew in the afternoon and at night in cities like Milan, Rome and Naples and in all those areas of the country where the situation could

precipitate quickly, ”the virologist and member of CTS Lombard told the agency Ansa. Fabrizio Pregliasco. In his opinion, there is a need to “do everything possible to avoid being locked up at Christmas, which in addition to being very sad, would be a serious problem for schools and work.” And he explained: “This can only happen if the provisions contained in the new Dpcm are applied in the best possible way and possibly more restrictions are implemented, such as the curfew, although this unfortunately causes damage to many economic activities.” Pregliasco stressed that it was impossible “to continue living like yesterday,” but said that he is in favor of maintaining face-to-face teaching. “Schools are essential and they are a safe place, but it is necessary to govern how students get to them. And this can only be achieved by applying new methods of transport, such as staggered schedules to avoid crowds in vehicles ”.