Covid, doctors: “Dpcm is the last chance to avoid the blockade”

10/26/2020 Health



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With infections of COVID-19 that for the first time since the start of the pandemic exceed 20,000 in just 24 hours, touching the register 21,273, the alarm among doctors and infectious diseases For him maintaining hospitals Just the day that Prime Minister Giuseppe Conte illustrated the restrictive measures of the new dpcm. Measures that, health professionals warn, now represent thelast chance before an inevitable general lockdown.

“We must not only see the number of deaths, but we must also see it stress from hospital and healthcare facilities. This is also one of the reasons that prompted us to act with more determination with this dpcm ”, explained Conte. And the Minister of Health, Roberto Speranza, warned that we must react “immediately and with determination if we want to avoid unsustainable numbers.” Never the numbers keep increasing and the epidemic curve seems “now out of control”, he observes Massimo Andreoni, scientific director of the Italian Society for Infectious and Tropical Diseases (Simit), underlining how concern is also growing because the peak has not yet been reached. The jump in new infections was registered before 161,880 swabs made, more than 15,700 less than yesterday. On the other hand, the victims are decreasing: 128 in the last 24 hours (yesterday they were 151).

And between the regions is still there Lombardy to mark the highest number of new cases, 5,762, followed by Campania (+2,590), Piedmont (+2,287), Tuscany (+ 1-.863), Lazio (+1,541). The number of hospitalizations is also worrying: 12,006 in ordinary wards, an increase of 719 compared to Saturday, another 1,208 are in intensive care (+80) and 209,027 are people in home isolation.

A photograph of the pandemic in the country before which the measures adopted with the new dpcm Limiting contacts are judged by doctors as the last possibility, with the strong fear that they are not enough. They represent “the government’s last attempt at a unavoidable total lockdownIf they don’t work, ”said Filippo Anelli, president of the National Federation of Medical Orders (Fnomceo). That of the government, he points out, “is a great bet to keep production and health protection together, but if within 15 days the indicators worsen, I think it is government responsibility to take action even more drastic with a total lockdown. Carlo Palermo, secretary of the largest union of hospital doctors, Anaao-Assomed, speaks of a “very serious” situation in hospitals: “The emergency room and wards are now jammed and 118 overwhelmed with calls. With this rate of infections a the second week of November the intensive therapies will be saturated ».

Also according to Palermo, the dpcm is «a point of balance between economic and health needs, but it may not be enough “because the pressure on the hospitals” is becoming unsustainable, as the possibility of containing the epidemic through local services has practically disappeared. “The President of the Conference of the Regions Stefano Bonaccini also calls for reorganizing the follow-up activity identifying priorities, with first smears on the symptomatic ones. The measures decided, however, are only “temporary and not definitive”, says Andrea Crisanti, professor of microbiology at the University of Padua, and “until a surveillance plan is drawn up to consolidate the results that may emerge. “From the measures, we will inevitably continue in this spiral of contagion.”

Meanwhile, Prime Minister Conte, illustrating the new dpcm, addressed the general practitioners defining them as “precious allies in this strategy to combat Covid-19” and announcing that the Minister of Health is already working and there is a renewal on the table. contract that will also serve to motivate general practitioners to involve them in new diagnostic and monitoring tasks. Precisely tomorrow, October 26, a table is scheduled between medical unions and Regions to define the guidelines for the use of quick swabs in the offices of family doctors and the contractual news.