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“It will be difficult weeks, I expect a sense of responsibility on the part of the youth and young adults. A self-imposed confinement, to prevent the situation from worsening even more, putting the health system to a severe test ”. The overwhelming return of the Coronavirus after a summer of apparent truce, the complex situation in Arezzo, the forecasts for the coming months and the hopes related to the vaccine: the professor speaks Marcello caremani, “senior” doctor, former infectious diseases guide at San Donato di Arezzo.
Are you suffering from healthcare in Arezzo?
“In Arezzo we are under pressure on Intensive Care. Beds have nearly doubled across the country, a great sign, even if they have yet to be fully activated. But the beds are not enough, there must be adequate numbers of doctors and nurses. and in training to manage them. In this phase, I think, you have to hire young doctors ”.
How does Arezzo compare with other regional realities?
“The situation is serious: there is a higher incidence of cases, it is true. But there is no case for Arezzo. Our province is part of a vast area, with Grosseto and Siena. The movements of the sick The Intensive Care Units that do not find a place in San Donato are made in Grosseto, a hospital that has given availability. Not in Siena, where, they say, there is no place. Here, I hope this place is found fast and that there is maximum collaboration. possible within the vast area: it is one thing to transfer a seriously ill person from Arezzo to Grosseto, another from Arezzo to Siena; in the latter case, the way forward is half “.
How did the infections spread?
Covid returned to circulation after returning from vacation and abroad. Then it exploded with infections mainly in the family environment. Only 3% is attributable to the school, where the organization has fallen behind. There are other situations to monitor: I think about transportation, which was a weak element of the programming, with insufficient space to have adequate social distancing. And then after-school children’s or young adult gatherings. The afternoons together, the hugs, the use of the wrong mask. With the colder period, the droplets emitted by the nose and mouth tend to remain in suspension for a longer time and do not dry out as quickly as in summer. That’s why you have to pay attention to spacing. “
How to act?
“It is correct to protect the weakest, such as our elderly. We have to preserve them. We have three groups: healthy professionals, for example, who must continue working. Then there are retirees: healthy people who can leave home, but perhaps only to go to the pharmacy, to do the shopping, and obviously with the mask correctly on. The third group is the elderly with chronic illnesses. Here these people must stay at home. But a social network is needed to help them. the other age groups: families, especially towards children, must be very incisive in remembering the rules of distance, hygiene and correct use of the mask. I say more, youth and young adults must impose blockade. We need to adopt a new modus vivendi. And then the follow-up is essential: not counting China, where there is a strict limit on personal freedoms, I want to remember how South Korea, Australia and Japan enjoy Favorable action with respect to the spread of the virus, thanks to capillary tracing. We, on the other hand, laugh at the Immuni app. “
All this until when?
“Until the contagion curve falls, until the grip of the coronavirus loosens, it will not be able to reopen. And it is very difficult to make a serious forecast. We must evaluate week by week. The strategy of the Government’s Dpcm.” It is this: it moves to close little by little and evaluate if they have positive effects, to obtain the maximum in terms of reducing infections with the minimum of restrictions. I say this: in England, today, there are the highest number of deaths in Europe, in Germany and France it has been very bad for a long time. The Italian situation has worsened since October, we can get out of it but only if there is the will and conscience of all ”.
How will we finally get out of it?
There are two forms: monoclonal antibodies, useful as a cure and as a prevention, which will guarantee a certain immunity. And the vaccine: many of us are working on it, now we. The first doses will be ready in January, for limited groups of people: the first to be vaccinated will be health workers, then law enforcement officials and the elderly with chronic diseases. Before May, I don’t think it will be possible to extend vaccination to other categories ”.
What to expect from the next Christmas holidays? Is a partial reopening conceivable?
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“It is unthinkable now to imagine the situation we will live in at Christmas. Perhaps, and hopefully not, we are in complete lockdown. Of course, we will have to avoid Christmas and New Year lunches and dinners, both with friends and family who don’t live together, let’s remember that Spagnola had not only two waves, but three and, in some countries, up to four ”.
