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New infection registry in Campania: Yesterday’s coronavirus outbreak brings the new positives registered in 24 hours to 390, 103 more than the previous day but with 2,594 more swabs performed (8,311 tests) and 107 negatives in 24 hours. After the September peak, with 5,717 infections recorded (more than the sum of the positives for February, March, April, May, June and July combined), October therefore begins with another increase in the daily contagion curve. The numbers are also worrying Hospital admissions and the commitment of the wards that reached 421 hospitalized (all or almost all with pneumonia) of which 38 in intensive care compared to 107 recovered in the last 24 hours. Critical cases that arrive with their own means to the emergency rooms of Covid centers are also growing. This is the case of a 31-year-old who arrived yesterday afternoon at Cotugno in Naples with a lung that practically no longer works. Stress in the Covid unit that is registered throughout the Region with a growing number of calls also to 118.
The 390 new coronavirus infections registered yesterday in Campania, therefore, begin to generate some concern: yesterday, for the first time since May 4, the number of positives currently exceeds that of all those cured since the beginning of the epidemic. Thereinfectivity indexIn other words, the progression of the infection reached a value of 1.4 (sustained growth), where two is the threshold of care set by the national crisis unit for any restrictive measure. In addition to the figures to be kept under control, there is the progression of cases, the commitment of the hospitals and the operational capacity of the epidemiological services of the territory in charge of contact tracking, swabs, follow-up and home care. Until September 25, the virus was traveling at a positive rate, compared to the tests carried out, of three percent. The jump, to 4.48 percent, was marked on September 26. Since then, the number has remained stable but rewinding the tape and from the beginning of August we observed a progression that suffers jerks and increases every 10 days. The mean incubation time of the virus, in fact.
Difficulties of territorial epidemiological structures can be felt in the participation rules for swabs: in some ASL, swabs refuse to cohabitating family members if it is asymptomatic (although in close contact) of positives that show no signs of infection. Meanwhile, of the positive viruses that are discovered every day, a portion (between five and seven percent) end up in the hospital and one percent in resuscitation. Where is the bar that marks the saturation of health services? It’s hard to say for local medicine, but for hospitals, the number is important. Beds. Campania, with 421 hospitalized and 38 in intensive care, filled all the programmed places available in the low and medium intensity epidemic plans. Only a good part of the 145 planned resuscitation places remain free. Therefore, suffering is felt above all in ordinary and sub-intensive care. We are therefore moving to the maximum commitment phase that foresees the opening of other hospitalization units until reaching between 700 and 800 total beds, of which 563 are ordinary and 204 are sub-intensive.
I’m at work Cotugno that as of Monday it will reach 144 Covid places, and polyclinics. In Federico II, ten ordinary units, nine semi-intensive and 20 resuscitation units will be activated for a total of 39 places between pediatric and gynecological always operative. Vanvitelli should activate 11 within two weeks and 6 intensive (after restructuring). In Naples 1, in the Hospital del Mar, there are 24 ordinary places missing and others of intensive and sub-intensive but the problem to be solved is the hiring of the missing staff. Work in progress to strengthen the offer in all local health authorities. President De Luca’s plan to face these difficult scenarios is to guarantee the maximum of the expected hospital supply (250/300 beds) for Monday. As if that were not enough, immediately afterwards non-urgent surgical activities would be interrupted in all hospitals and finally the use of nursing homes that did not have equipment and personnel problems would be rewarded only for the services actually provided and the current rates for hospitalizations for diseases. long-term or infectious care (related to quarantines).
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