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The age parameter alone is not a sufficient element to define a state of frailty.
You can read it in the circular of the ministries of health, labor and social policies containing updates and clarifications, in particular on ‘fragile workers’.
In particular, the greater frailty in the older age groups of the population must be understood together with the presence of comorbidities “(or the coexistence of several pathologies)” that may integrate a condition of greater risk.
In the circular, which Orizzonte Scuola reported this Friday, it is observed that the most consolidated data have highlighted a series of aspects:
- the risk of Sars-Cov infection is not significantly different in the different working age groups;
- 96.1% of the deceased had one or more comorbidities and precisely 13.9% had one pathology, 20.4% two pathologies, 61.8% had three or more;
- the most frequent pathologies were represented by chronic degenerative diseases that affect the cardiovascular, respiratory and renal systems and by metabolic diseases;
- the increasing trend in the incidence of mortality with increasing age is correlated with the higher prevalence of these pathologies in older age groups;
In addition to these pathologies, other diseases have been found that affect the immune system and oncology that do not necessarily correlate with increasing age.
Therefore, according to the circular, the concept of fragility It must be identified in those conditions of the worker’s state of health with respect to pre-existing pathologies that could determine, in case of contagion, a more serious or fatal outcome ”.
“Therefore, there is no automaticity between the personal and health characteristics of the worker and the possible condition of fragility.”
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