Coronavirus, Harari: “That’s why infections keep increasing in Europe”



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What happens in France?
“They have surely had a less rigid attitude towards the rules than in Italy – says Sergio Harari, pulmonologist at the San Giuseppe MultiMedica Hospital in Milan and Professor of Clinical Medicine at the University of Milan, who in the past has worked for a long time in France – On the other hand, the reopening of schools (which took place in France after the closure) has played a decisive role and these days the school year is restarting, so there are several factors that differentiate the French situation from the one. our “.

Is the increase in cases in Europe due to the resumption of travel and vacations?
“I would say yes and the Italian experience says a lot in this regard: the fact that during the summer holidays people traveled again has determined the results that we have been registering in recent weeks. When people were confined to their own region, even individual behaviors spontaneously reflected the local epidemiological situation. When people started traveling, the attitude changed depending on the country in which they decided to spend the holidays.

And in Italy, why are the positives increasing?
“I think at some point there was a ‘problem’ of collective repression, with a general decline in attention. The reopening of discos should have been avoided, more attention would have been needed on the beaches. ‘

How is it that the number of hospitalizations does not increase, or at least does so little?
«The clinical manifestations of the virus are less serious than those we saw at the beginning, the case of the RSA in via Quarenghi in Milan is significant: many positive elderly people, but not serious cases at the moment. It is not just age and frailty factors that determine the severity of the disease. There are elements that are still beyond our capacity for scientific evaluation, in the absence of clear and recognized viral mutations. Without knowing the mechanisms of this phenomenon, however, we cannot rule out that things could get worse. I do not think we will return to the situation in March, because we are more prepared, but there are doubts about the future.

In the US, asymptomatic swabs are no longer performed.
«Asymptomatic patients are the” ideal “carriers of the contagion: they do not know that they have the coronavirus and they transmit it. Some may even become “super talkers.” It is important to identify them: so they can be quarantined.

Are we prepared for closed places and public transport?
“It is clear that closed environments favor transmission, but given that this virus could become endemic, we must seek solutions that guarantee coexistence, although they will never be at zero risk.”

And back to school?
“The reopening of schools will increase infections. It will be necessary to find a mediation between the reality data (in terms of classrooms and resources) and a risk considered acceptable from a health point of view. School is an absolute and social priority (together with the University) and you have to start over, but nobody is really ready.

What to do with the flu?
“We will have real problems in the emergency rooms and in the general practitioners’ offices, since the symptoms of the two viruses are very similar: it will be essential to vaccinate the population. I hope the doses are sufficient. Getting a flu shot this year is a kind of civic duty. Rapid and widespread access to tampons will also be important. ‘

You have had Covid-19, how should those who have already taken it behave?
«I think the possibility of reinfection (despite the recent cases reported) is low for at least a few months, in the future we will see what happens. I think those who have already done this can feel relatively safe if an adequate immune response to the virus has developed. However, this does not mean not taking protective measures.

August 29, 2020 (change August 29, 2020 | 7:31 PM)

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