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“The infection has spread in the last week with approximately 500 cases a day in our Ats, almost 200 in the city of Milan alone. We have improved the monitoring staff to the maximum, but we are already behind schedule and I do not expect miracles. Vittorio Demicheli, medical director of the metropolitan city of Milan Ats, interviewed by Fanpage.it issues a warning about the spread of the virus, which in the Lombard capital has accelerated in a worrying way in recent days, until send contact tracing in crisis. Sprouts are in danger of spiraling out of control.
Is the situation in Milan again as critical as in spring?
We are faced with a difficulty that is common to all the great realities, even Rome and Naples are in our conditions. Unfortunately, in metropolises, infection control by tracing has greater limits. This time we were better prepared, the increase in cases did not take us completely by surprise, the emergency plan was activated. About thirty more people entered service this morning, but it all depends on the speed of the infection. If you confirm theincrease in cases we had last week, which was from 10-15 percent per day, within the next ten days, this update will be sold out and we run the risk of not being able to keep outbreaks under control.
Has the contagion containment system exploded in Milan?
Already during the control room last week we reported that the the tracking system was in pain. I also confirm this now. The effect is first seen in large cities, it is already seen today in Milan. If this is the growth speed, you can’t chase it.. In our Ats we have reduced compressible activities, the direct reserve system for tampons has been put into operation, we are studying the possibility of alerting the positives via SMS to accelerate this step as well. However, it is absolutely necessary to intervene to stop this growth, because in time, if it does not stop, we will have problems.
What type of interventions do you request? Do you need new closures?
The technical bodies are moving towards a change of strategy for the containment of infections. Not only trace, but also one reduction of contact opportunities. What measures will decide those who govern, making the necessary mediations between health needs and the need not to stop the country. The non-essential activities will be sacrificed first, but these are findings that do not concern us technicians.
Do we need more responsibility in behaviors?
We need to ask people to help us and facilitate containment. Is essential go quickly to isolation when you suspect it is infected and stay there until diagnosis. Now swab testing is fast, but not very fast. As the numbers grow times will lengthen still. We are waiting for all the rapid tests for schools and health care that could help us, but certainly on the side of containment we are asking people for help.
What are the most dangerous places?
Assemblies should certainly be avoided in all respects, regardless of ordinances. And I also talk about situations like baptisms, ceremonies, family gatherings with many people present. These are the times when the young meet the old. For now it is good to avoid it.
Where do infections occur?
Most infections still run in the family, quasi 80 percent of contagion cases that occurred last week in the family. It is not reasonable to think that this situation will change. Within the family, it is the steps between generations that are of greatest concern. But attention should be paid everywhere: with so many infections, the crawl becomes slow, if there are any small outbreaks in the workplace, we take longer to find out.
Is the situation in the hospitals still under control?
For now we have very few serious cases in proportion to the positives, this is because many people at risk are now relatively protected. For this we must do everything possible to ensure that the virus circulates as little as possible in families. From the point of view of figures, the situation of the hospitals does not concern us. In Lombardy the number of beds is sufficient for the moment, but everything will depend on the trend.
How soon could hospitals go into crisis in the event of a rapid increase in infections?
If a 10-15 percent increase in positives per day is confirmed, in the medium term, there is a risk that hospitalization services will be affected. In Lombardy it is not an immediate fear, we still have large margins. Let’s talk about an evolution in the coming weeks. But now we are still away from hospital crisis situations.
How much time left
Compared to March, when with these numbers we were already in crisis, we have more time available. In the technical area, we have already made a series of recommendations and suggestions that need to be discussed, but we point out the need to act to reduce infections. The important is that The number of social contacts is reduced without blocking the vital functions of society.. Politicians have to decide, but I hope they do it quickly. The rumors that came out, that it was better not to go out, are already worrying people.
Could local closures be a solution?
There may be different measures, but in my opinion this runs the risk of complicating everything. If the sacrifices are not fair, people may not understand why. I hope that our rulers decide as quickly and fairly as possible, so that the whole country makes the same effort. In the next few hours I hope to have some answers.
(Ilaria Quattrone collaborated)
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