Covid, here are the 21 parameters to decide the red, orange and yellow areas

With the last Dpcm Italy was divided into Three colors, corresponding to so many risk bands: yellow, orange and red. They describe the progressive severity of the health emergency in the different territories. The government will depend on them to establish the closures, differentiated from one region to another, to stop the wave of contagion.

To assign each Region to a risk band, the criteria that have been identified by the Scientific technical committee and of Ministry of Health. am 21 parameters that were introduced in April 30th with a decree of the Minister of Health, Roberto Speranza. The parameters have been developed to keep the health risk trend under control and are divided into three categories: there are indicators in capacity from surveillance; those in the capacity of evaluation diagnosis, investigation and management of contacts; and performance indicators related to the stability of transmission and to the farm of Health services.

Traceability indicators

1. Number of symptomatic cases notified for month where he start date symptoms / total symptomatic cases reported to the surveillance system in the same period.
2. Number of cases reported per month with a history of hospitalization (in rooms other than IT) indicating the date of admission / total cases with a history of hospitalization (in rooms other than IT) reported to the surveillance system in the same period.
3. Number of cases reported per month with a history of ttransfer / admission to the intensive care unit (ICU) indicating the date of transfer or admission in Tl / total of cases with a history of transfer / admission to intensive care notified to the surveillance system in the same period.
4. Number of cases reported per month in which Place of residence or residence / total of cases reported to the surveillance system in the same period.
5. Number of Check list administered weekly to residential health and social facilities (optional).
6. Number of residential social and health structures respond to the weekly checklist with at least one criticality found (optional).

Indicators of ability to diagnose and manage contacts

1. Percentage of positive swabs excluding as far as possible all the screening activities and the “re-evaluation” of the same subjects, globally and by macro-set (territorial, HCP / hospital, others) per month.
2. Time between date first symptoms and date of diagnosis.
3. Time between date first symptoms and date of isolation (Optional).
4. Number, type of professional figurethat is, time / person dedicated in each territorial service to contact tracking.
5. Number, type of professional roles and time / person dedicated in each local service to the activities of pick up / send to reference laboratories and monitoring of close contacts and cases placed in quarantine and isolation respectively.
6. Number of confirmed cases of infection in the region for which a regular one was performed epidemiological investigation with search of close contacts / total of new confirmed cases of infection.

Indicators of stability of transmission and resilience of health services

1. Number of cases reported to Civil protection in the last 14 days.
2. Rt calculated on the basis of integrated surveillance Iss (Two indicators will be used, based on the date of onset of symptoms and the date of hospitalization).
3. Number of cases reported to sentinel surveillance Covid-net per week (optional).
4. Number of cases by date of diagnosis and date of onset of symptoms reported in integrated surveillance Covid-19 by day.
5. Number of new shoots transmission (2 or more epidemiologically linked cases or an unexpected increase in the number of cases at a defined time and place).
6. Number of new cases of confirmed Sars-Cov-2 infection by region not associated a chains broadcast notes.
7. Number of accesses to First aid with Icd-9 classification compatible with syndromic images attributable to Covid-19 (optional).
8. Cup of bed occupancy totals of Intensive carea (code 49) for patients with Covid-19.
9. Employment rate of Beds totals of Medical area for patients with Covid-19.