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Rome, November 5, 2020 – Press conference at the Ministry of Health on the analysis of data monitoring regional control room. The president of the National Institute of Health, Silvio Brusaferro, and the General Director of Prevention of the Ministry of Health, Gianni rezza, illustrated the indicators that led to Dpcm of November 4 to contain the epidemic of COVID-19.
“We do not have updated data, the control room produces them weekly, they will be produced in the next 48 hours ”, these are the first words of the president of the ISS, Silvio Brusaferro. “The update of the new data will take place in the next few hours. The path is shared and the regions, the CTS, the ministry are seen as actors ”.
“However, we can face the analysis ofepidemic and its phases: from the containment of the curve to the decreasing period and to the new period of regrowth, that is the phase we are experiencing – said Brusaferro -. Therefore, it is contain the growth curvea and bring it back to a trend of stability and then decline, with containment measures and monitoring of contagion, to make sure we get back on call step 3. Today we are in one transition phase and modulation, in which there are outbreaks in which it is necessary to control the diffusion, so that we can face the next few months hoping to be able to get into phase 3. First we go below 1 as Rt and before that we will see a decrease in cases. We know that, like a train, the virus doesn’t stop instantly either. Strong interventions are needed to stop the race. “
“The flow of information weekly is generated in the regional health services, they come from Asl, assembled by Regions and sent toIss me ministry, these are evaluated according to a risk dimension. This is done in close collaboration between the regional services, ISS and the Ministry – explained Brusaferro -. There control room It is represented by 3 representatives of the State-Regions Conference. “The path is shared and sees the Regions, the ISS, the CTS and the Ministry of Health as actors.”
Some Regions, especially those at higher risk, “have a data stability problem,” due to difficulties “in data collection,” Brusaferro said. “There are regions like Valle d’Aosta – he explained – that have difficulty collecting data over a consistent period, which carries a high risk according to the defined algorithm. It would exclude the obstinacy of the Regions. There has been a huge increase in cases in recent weeks with rapid growth and this puts the system in difficulties. The considerable workload can cause delays ”.
Gianni rezza, general director of prevention of the ministry of health, spoke about the indicators, in total 21, to assess the growth of the Coronavirus epidemic: “We work on indicators such as incidence, Rt, bed occupancy: if there is a region with apparently few cases and high occupancy of intensive care, that is a suffering region. data that must be read in its entirety. Data referring to incidence, Rt and resilience ”.
“A region that is in red or orange band, will stay at least two weeks in this risk range – Rezza explained – After 14 days there may be a decalcification for the regions, just as if in the next control room there were different situations, other regions could turn red. There is the possibility of making red zones even in a region that is not red ”. Rezza also spoke of the case of Campania, which ended up on the list of yellow regions: “Campania en yellow band? It has many cases but it has a much lower Rt than, for example, Lombardy or Calabria. Because obviously the transmission has increased a lot in the last few weeks, but now it has stabilized a bit, so there is not a particularly high Rt. Obviously, regional ordinances may have had a certain effect on transmission. “
“The number of cases a March was lower than today, but everyone was focused now they are distributed throughout the national territory Rezza continued. This gives us more time, before letting the system suffer, but tells us that the whole country is affected. Today there are 34,505 new cases of coronavirus contagion, it is not a good sign, even if the swabs were 220 thousand. And sadly, even approaching 500 deaths is not good news. In short, it is a situation that, after having seemed to stabilize in recent days, still seems to have a clear upward trend. It seems to me that the virus continues to work globally. It needs to be stopped. “
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