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VENEZIA. “In Rovigo, 55% of the teachers have deserted the vaccination without bothering to call for annulment, in Padua we have 20% of dispensations, this attitude seems scandalous on the part of a category that enjoys a status privilege despite that the schools are closed. We are inundated with applications, we have not yet insured the elderly, what do people really at risk have to think? I feel like someone is rejecting AstraZeneca and waiting for Johnson & Johnson, as if we were in the supermarket. Where has the civic sense gone? ».
Luciano Flor, the director of Venetian Health, has a devil for hair, struggling with an uphill campaign, between sudden gear changes, delays and suspensions in drug shipments, the skepticism of the population.
In the ranking of regions, Veneto is in the fifth last position with 78% of the doses administered compared to a national average of 80.5% … “We leave out a fair percentage of bottles for boosters, it was a prudent decision that made it possible to achieve the first objective, that of ensuring health personnel and nursing homes, where infections and deaths have collapsed ”.
“Now the precedence goes to the elderly over 80 years of age and the super-frail subjects, which are the groups where mortality is higher. The commitment is to immunize them by the first week of April and perhaps we could anticipate the goal because Pfizer has announced higher deliveries than expected, 80 thousand doses instead of 56 thousand, to which Astra will be added. At the end of the month or at the latest in early May, the government assures us of Johnson’s arrival and this will allow a blow to the campaign, paralyzed by the shortage of raw materials ”.
“For this reason,” adds Flor, “I find unacceptable behaviors that cancel out the ongoing effort. Rejecting the vaccine is a right, depriving those who urgently need it of this possibility, no. Bad services? Complaints In these conditions, delays are possible but I reiterate the invitation to citizens: everyone will be called, do not block calls, frail patients will be vaccinated in treatment centers, family doctors will attend to patients, the immovable elderly will be address “.
Meanwhile, the enormous flow of hospitalizations does not give respite to the hospital system and the need to guarantee specialized assistance 24 hours a day to patients in intensive care (240 infected patients, more than two hundred extra from Covid) requires the conversion of rooms. and the slowdown in ordinary services.
“During the week we will evaluate a differentiated containment of non-urgent activities”, anticipates Flor “we are not about to suspend them” little However, as a precaution, we hypothesize a postponement of scheduled surgery, guaranteeing instead oncological, thoracic and cardiovascular specialties. Outpatient visits? We will proceed selectively: priorities are out of the question, while controls, in the absence of critical issues, can be diluted. There proportion it is always the same: saving human resources and concentrating energy on the emergency side.
“Our staff is proven, a year of pressure has left its mark, hospitals usually experience moments of pause, for example on weekends; the pandemic, on the other hand, required a continuous and total commitment, I would say suffocating ».
The director does not hide his concern about the effects of the third wave: «In front of 40 thousand people who tested positive, we have 2 thousand hospitalized and about 8 thousand symptomatic patients in home care. It continues to be an important reservoir of contagions, a year ago it would have overwhelmed us, today we have strengthened our defenses but to lower our guard would be crazy ”. Never so many swabs, eight million since the appearance of the virus, but there are those who doubt the efficacy of rapid antigenic agents and those who complain of prolonged times in the outcome of the molecular … In this sense, the legislation provides for processing within After 36 hours, a test that leaves potential contagious vehicles in circulation for 4-5 days is useless, better a less sensitive but immediate product. In any case, the rapids, especially the latest generation ones, are used all over the world: if we adopted only the molecular ones, given the limitations of machinery and reagents, we would not go far ”.
The chain of deaths continues to lengthen … “Scientific literature documents a mortality rate among the sick that varies between 2 and 4%, we must tell our people the truth, we hope other victims but we do not lose confidence, the system hold on and the vaccine will end this tragedy. “-
