Coronavirus, report number: 12 regions with Rt above 1. “Progressive deterioration”. Increase the percentage of admitted to intensive care



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A progressive worsening over the course of 8 weeks and ten regions where coronavirus cases have increased. All this in front of 2868 active shoots of which 832 new. But not only: the percentage of hospitalized in intensive care, suffering from Covid 19, has increased from 3 to 4%. The usual weekly monitoring of the Higher Institute of Health – which comes the day in which the highest number of deaths is registered since the end of the confinement – not only records worrying data about the epidemic caused by Sars Cov 2. In the period 3 – 16 September 2020, the TR calculated on symptomatic cases equals 0.95, below 1 at its average value for the second consecutive week.

Progressive worsening – The worsening of the epidemic is reflected in a greater burden on health services. This trend, although it reflects a trend common to many European countries (in Spain, France and Great Britain in particular), in Italy is for the moment more contained. Is should not lead to underestimating the risk of a rapid epidemic recovery due to an excessive relaxation of the measures, with authorization of events and initiatives with risk of aggregation in public places, and of individual behaviors also linked to moments of improvised aggregation. These days the partial reopening of stadiums is being discussed, which the CTS scientists do not like at all.

Increasing cases in 10 regions – Ten Regions and Autonomous Provinces reported an increase in the number of diagnosed cases compared to the previous week. Increasing cannot be attributed solely to an increase in imported cases (from a foreign country and / or another Region) or an increase in detection activity. Most of the reported cases (84.2%) continue to contract in the national territory, with a slight decrease in cases imported from abroad (8% of new cases diagnosed this week compared to 10.8% the previous week) and also of imported cases from another Region / AP (3.3% in the current week versus 5.5% the previous week). 27.6% of newly diagnosed cases nationwide were identified by put on screen, while 35.8% within the business of contact tracking. The remaining cases were identified as symptomatic (31.4%) or the reason for the diagnostic evaluation was not reported (5.2%).

The Rt index – The Rt index is below the value 1, “however – explains the ISS – the national transmission index must be interpreted with caution at this particular moment of the epidemic. In fact, Rt calculated on symptomatic cases, while remaining the most reliable indicator at the regional level and comparable in time to monitor transmissibility, could slightly underestimate the true national transmission of the virusis. Therefore, the national TR must always be interpreted taking into account the incidence data as well. Regarding age, although in the last three weeks there was an increase in the median age of reported cases, This week the average age remains stable at 41 years. However, there are twelve regions with Rt above 1: Abruzzo 1.1, Basilicata 0.73, Calabria 1.13, Campania 1.1, Emilia-Romagna 0.78, FV Giulia 1.11, Straight 0.85, Liguria 1.31, Lombardy 0.75, Trademarks 0.99, Molise 1.04, Prov. Aut. Bolzano 1.28, Piedmont 0.96, Prov.Aut. Trento 1.24, Apulia 1.06, Sardinia 0.77, Sicily 1.2, Tuscany 0.93, Umbria 1.06, Aosta Valley 0.59, Veneto 1.01.

ICU locations – At the national level, the occupancy rate for beds in the medical area increased from 4% to 5%, while the occupancy rate for beds in intensive care increased from 2% to 3%. with values ​​higher than 10% in some Regions / PA. Although there are still no signs of health services overload, the observed trend could soon be reflected in increased engagement. In addition, the important and growing commitment of local services (Prevention Departments) to ensure that current outbreaks are identified and investigated promptly is confirmed.

Sprouts – The report also notes that a total of 2,868 active outbreaks were reported, of which 832 new ones, both on the rise for the eighth consecutive week (2397 active outbreaks were reported in the previous monitoring week, of which 698 new ones). Outbreaks have been reported in almost all provinces (102/107). Despite the high number of active outbreaks, 28.7% of new cases are not associated with known transmission chains. Most outbreaks continue to occur in home / family environment (76.1% of all active outbreaks), with a slight increase in outbreaks associated with Recreational activities (6.3%) and the workplace (5.6%). “The adopted definition of outbreak, specified in the report, foresees the identification of 2 or more positive cases connected to each other.

The impact of schools – The reopening of schools, which has generated so much anxiety, does not currently affect these figures. “It is not possible to assess, at the moment, the impact that the opening of schools in Italy will have on the progress of the epidemic. It is believed that this aspect will be evaluable from the next 2-3 weeks.It is “. Therefore,” the reopening of schools continues to be one of the elements to be carefully monitored. ” numerous sporadic cases in conjunction with the reopening of schools. The high attention to which the measures put in place were subjected (screening, daily temperature detection, procedures for the management of suspected symptomatic cases in the school environment) contributed to the rapid identification and diagnosis of cases. Numerous epidemiological investigations are underway and quarantine procedures have been activated when necessary. “

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