Covid, the 7 principles to face contagion | Giordano and Vespignani



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We live in a fantasy. A fantasy in which the system surveillance ei protocols and the infrastructures created in recent months, combined with personal protective equipment and everything else, would have guaranteed us coexistence with the virus, without approaching collapse.

In light of what has already happened, not what is about to happen, we can admit that Living with the virus was a promising slogan, but reality tells us more. That’s that the virus is much more efficient of our idea of ​​efficiency.

Stating this does not constitute a liability waiver for anyone: Political responsibilities exist and are crucial, as determinants are those of those who have perpetuated a communication once, instead of an orientation, to disorientation of public opinion (and politics itself). But this, at this point, we understand.

The unfortunate news is another: if the progression of infections is revealed similar to Milan and Aosta Valley, Italy and France and Germany, with differences in population dynamics, numbers, health management, etc., it means that not only is the guide flawed, but faulty are also certain principles on which our hypothetical coexistence was based.

The scene, already foreshadowed by many in spring, of a switch between probation and possible locks, won in odds. It is not what we want to hear, not at all what we want to imagine, but at this point it must be taken into account, because half truths and delicacies are harmful, delusions Harmful and short-range thinking, especially that, harmful.

Until we are able to exclude the auspicious elements from the discussion, beginning with certain unscrupulous vaccine advertisements -, we will not have a rational approach to contagion.

And if anyone believes otherwise, that the approach so far has already been rational, well, no, not at all. The approach so far has been based on the inevitability: act only when the context makes it unavoidable, act only when the gravity of the situation makes the restrictions seem justifiable to the majority of the population. That before intervening, people needed to see the hospital wards full, was repeated already in February and March in all the crisis units in the world, when the scenarios required immediate movement.

Recently even Angela Merkel reiterated the same concept. understandable: expecting citizens to have the appropriate emotional disposition to understand why a certain decision is made is a democratic principle, perhaps even part of our shared values. Too bad it doesn’t work in the situation we’re in, too bad we’ve painfully experienced it once before. If you expect people to have a vivid perception of danger, it means that it is already very, very late.

If, furthermore, those people are constantly bombarded with contradictory information, the collective perception of risk will be increasingly slow to achieve.

It is not unusual for sensible policy decisions to differ from broad consensus, but the divergence has never been as pronounced as in recent months. Those who drive should be aware of it and take ownership of it.

The sacrifice of one’s popularity is sadly indispensable to the cause. Why what we are going through is immensely bigger and more important than anyone’s popularity.

The second round we lost it.

We did not lose it last Sunday or with the first Dpcm, and perhaps not even in September, when there was still an objective possibility of slowing down the acceleration: We lost it in all the lack of preparation with which we arrived, in September. Unfortunately, the second wave is already supported by health personnel (by the way, why is there no longer talk of a criminal shield for doctors?), And this is synonymous with system failure. While they deal with it, we should broaden the time horizon and we are preparing for the winter to come, setting an agenda right now and expecting it to be implemented immediately.

But to establish a rational strategy it is necessary, first of all, to agree on some truths, too often questioned, explicitly or not, in recent weeks.

We summarize them here:
the virus is no less dangerous than in the spring;
as cases increase, hospitalizations, intensive care and deaths also increase, only late;
I know mortality it is kept to a minimum when hospitals are running efficiently, as soon as they get into plausible problems it will re-emerge;
asymptomatic and presymptomatic are contagious and should be tracked
Otherwise, we might as well put on a blindfold and hope on God;
the exponential growth trend will always be there
, in the multiplicative nature of contagion, there will be with or without masks, with or without plexiglass, a risk inherent in any form of collection and it cannot be canceled, everything that can be done to mitigate it;
However, without mitigation, the time will come when infections will grow faster than health resources;
when health is overwhelmed, they too the empty speeches of those who contrast health and economy: the economy will continue to be paralyzed by the saturation of the health system, and it will be worse for everything, for the economy, for health, for us.

Any reasoning dispenses, even subtly, from these flawed and inconsistent assumptions, dictated by misunderstanding, vanity, or worse still: bad faith. Agreeing on this handful of crude truths also leads to inscribing the distilled measures of the last month in the paradigm of inevitability.

If we want to move, at least from now on, to a new regime, from that of inevitability to that of more rational predictability, therefore a change of pace is needed, it is necessary to tune in to a series of principles different from those applied so far.

Let’s try to list them, without going into the technical merits of the individual problems (test modality and capacity, adequate number of trackers, immune, etc.) because, although in a fragmentary way, they are talked about a lot everywhere.

7. Participation

Citizens must feel that they actively participate in containing the epidemic, not being considered passive subjects who wear a mask or not, who behave well or badly or so and so on, and then suffer the consequences of their deficiencies. All sectors, public and private, should be used to the maximum of the resources that they can offer to the common mitigation objective. Transportation, national and private laboratories, voluntary associations, restaurants, theaters, cinemas, hotels. In the spring we talked about the necessary war effort, perhaps now it is clearer what was meant. But nothing of the kind has been undertaken. The effort made so far could be defined, in the best of cases, administrative. Continuing like this, citizens will feel increasingly alien, overwhelming and hateful, a common cause that should instead involve all of us. We drowned the first wave thanks to national harmony, now we run the risk of succumbing to the second by discord and fear of unpopularity. But on this perhaps we can reassure our political decision-makers, of all degrees: the people understand. They may be confused by the interpretation of trends and percentages, by the different types of tests, but they instinctively understand whether it is a rational approach or not. And when they realize that it is, and that the stakes are high, those people are ready for repeated sacrifice. There is still a margin of availability, but not for long. Lost that, we will have lost everything. In the next round, the awe performance will no longer be tolerated by anyone.



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