Six months was not enough to Campania to organize in anticipation of a second wave that more than one scientist had foreseen. Shortage of doctors, schools are left alone to deal with cases of positive students and teachers. Tampon delays and a home care network in serious trouble. Here are all the critical issues.
In Campania, the overload of local health services in charge of tracking and monitoring new Covid positives could soon be reflected in a stress on hospital care services. Flu shots, beds, hires, swabs and follow-up: what went wrong in Campania after the shutdown? Let’s start with screening for positives: extinguishing outbreaks by ASL prevention departments is a crucial role. Although they have been mobilized with vacation reminders, this work was done with few men and means. The strengthening envisaged by the ministerial plan began only partially while hygienists, epidemiologists and prevention technicians are still lacking. At times, the massive influx of tourists from all over the world was tolerated without special controls, especially during the first weeks of summer. The need to reactivate the main economic sectors brought to their knees by the crisis that followed the epidemic has prevailed. However, the obligation of tampons when returning from vacation for residents, initiated on August 12 in an even more restrictive way than in the rest of Italy (appropriate measure), however did not achieve the expected result due to deficiencies in the controls and mechanisms for the reservation, execution and communication of the results of the swabs and also for the underestimation of the risks of spreading infections by asymptomatic positive citizens.
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In the first weeks, the incidence increased in neighborhoods with a higher standard of living, affecting population groups with greater purchasing power and more prone to mobility. As of September, on the other hand, the virus has migrated to the most popular and densely populated areas where many centers characterized by socioeconomic hardships, precarious, young people, who use public transport in a massive way, live in small houses with many components. , less inclined to the controls also to avoid breaks from work. The absence of hotels and Covid Resort was felt for quarantines.
The ASL workload has grown dramatically even in the face of daily buffer limitations. One of the trump cards played during the confinement, that is, the execution of specific tests, in the absence of the stoppage of economic and labor activities, turned out to be an insufficient strategy. The inexplicable brake on the liberalization of testing in private laboratories, recently adopted, did not help. The progressive commitment to hospital then showed limits, especially with respect to the lack of personnel. The hiring made at the first signs of the crisis affected mainly nursing, while in the medical part there was no timely solution to the chronic shortage of key figures. A stumbling block that also runs the risk of breaking the new plan to improve the beds of the Covid network while awaiting a modest response to the request of 600 doctors and 800 nurses made by Governor De Luca to Civil Protection.
THE TERRITORY
The shortage of doctors and specialists has also been felt in the field where an effective routine for the care of patients at home has not been established. After all, family medicine has given inhomogeneous responses without adequate improvement. Many meetings of the crisis unit have focused their lights on the hospitals but little on the organization of this healthcare portion despite the codification of new and more articulated healthcare functions and tasks included and paid for in the contracts (Additions between doctors from each neighborhood , telemedicine and telecare). The acceleration imparted by the virus has far exceeded the slowness of the organizational processes. Only Usca, for domestic tampons, has been used effectively. Finally the vaccines: here the Region has moved in time doubling the purchase of doses but not all the family’s white coats have joined the current campaign and the doses will not reach pharmacies (as in all of Italy).
THE DESKS
The first riddle of the banks. The coveted single-seater benches. They arrived north first, as Commissioner Arcuri had announced. In Naples, compared to the request for 250,000 single-seater seats with flaps, less than a third, or 65,000, were delivered at the end of last week. Numbers that have complicated the lives of school leaders.
THE ASSUMPTIONS
In 1943 he retired among Ata professors and staff only in Naples. Two thousand entries to the post carried out this year, 4,600 provisional assignments, 6,000 places in derogation covered in support and up to 10,000 substitutes throughout Campania. Not all places have been covered by substitutes, 400 are missing in the whole region, 250 only in Naples. Covid staff were late. The mecanism is the next. The Ministry of Education has allocated 256 million euros to the Campania region for additional staff, divided among the various educational institutions based on the number of registrations. Each manager, in practice, has the choice between hiring custodians or strengthening the teaching staff. An operation, this one, began just after the start of the school that is generating confusion especially in the front of the custodians: now that the schools are open but without students, will they keep their jobs? Because already yesterday there were several cases of Covid janitors that were well attended.
TEACHINGS TO DISTANCE
In reality, the year began at a distance. At the Umberto institute, for example, the students took turns at home and two days in person, the following week they changed, three in person and two remotely. Situation similar to Righi. In all schools, precisely because they could not accommodate the entire school population, this system was also adopted in some middle schools. The mechanism has now run after the crash experience. Yesterday they started the procedure. There are those who leave from next Monday and those who, on the other hand, did not want to miss today. On the other hand, primary school students where the situation is more complex and where they are preparing. The regional office of the school, headed by Luisa Franzese, with the inspectors has organized an emergency meeting for the dad (distance education) and the did (integrated education) to support the schools.
Transportation
The various changes in capacity have caused the system to plummet. For the start of the school year, the fixed capacity limit was 80%. The school lines have been restored and reinforced. Nine rows and thirty more vehicles (already suspended yesterday) in total with staggered routes depending on the entry of students. There is talk of the transport that an average of 15,000 students on buses and 30,000 in the subway have seen in recent days. In essence, only 60% of students used public transportation to get to school compared to the previous closure. Now, for the reopening of the schools, we are thinking of doubling the means precisely to guarantee even more the safety distance. Queues and crowds at stops, but not just from students, De Luca doesn’t want to see more. So much so that a few days ago there was a summit in the Region with all Campania’s local transport companies to address critical issues, assuming (a recently approved law allows) the use of tourist buses with driver.
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