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The Ministry of Health has sent some inspectors to Campania to understand whether the number of infections transmitted to the government by the Regional Crisis Unit has been correctly gathered and to assess the impact that the coronavirus epidemic is having on Naples hospitals. . In fact, for days the government has been considering moving Campania from the yellow zone to the orange or red zone, taking into account a series of difficulties and suffering that seem to be affecting the regional health system. Speaking of the decision to send inspectors, Silvio Brusaferro, president of the Istituto Superiore di Sanità (ISS), said the controls could “capture aspects” that have so far escaped surveillance.
Brusaferro recalled that the last ISS report spoke of the possibility that four regions – Campania, Emilia-Romagna, Friuli Venezia Giulia and Veneto – were displaced towards a high risk, “in which more restrictive measures should be anticipated.” At the moment, the general risk classification for Campania, according to the indicators used by the government to define the red, orange and yellow areas, is “moderate with a high probability of progression to high risk”.
For Campania, the concerns refer mainly to the provinces of Naples and Caserta, where the highest number of new infections and hospital admissions are recorded. In recent days, Naples hospitals appear to be particularly under pressure. Last Saturday, for example, doctors at the Cotugno hospital were forced to intervene directly aboard ambulances and private cars to help patients with Covid-19, due to the line of vehicles that had been created in front of the Entrance . The next day, similar scenes were seen in other hospitals in the city.
Giuseppe Galano, head of 118 and coordinator of the regional emergency rescue network, had spoken of a “total crisis in the reception of Covid patients” and had said that ambulances had started to carry Covid-19 patients even more hospitals. small, such as the Pellegrini and the San Paolo, structures that however “are in difficulty because they have few places reserved for Covid suspects and they flood quickly.” Silvestro Scotti, president of the union Fimmg (Italian Federation of Family Physicians) also expressed many concerns, who SkyTg24 He said that “the health environment of Campania, both with regard to territorial medicine and hospital, believes that it is necessary to go to maximum containment” and, therefore, adopt new restrictive measures.
According to data from the ministry, in Campania the occupancy threshold of 30% of places in intensive care by patients with Covid-19 has also been exceeded, that is, the limit beyond which the ministry believes that resuscitations have problems. Other indicators would seem less alarming than in other Italian regions: for this reason the government has decided, at least until now, to keep Campania in the yellow zone.
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Now, however, the ministry inspectors are touring four of the most important hospitals in Naples: Cardarelli, Ospedale del Mare, Cotugno (reference center for infectious diseases) and Monaldi. It is not yet known if they have encountered serious problems. Republic wrote that they had already encountered “obvious critical issues”, “both in the organization of care and in the lack of personnel (anesthetists and pulmonologists)”, as well as in the home care of patients with respiratory diseases and the lack of a effective relationship between local health authorities and family doctors. However, to have confirmation, it will be necessary to wait for the final report.
The president of Campania, Vincenzo De Luca, affirmed that it was he who asked the government for inspections, as an “operation of transparency, public and in all directions, to eliminate any gray area, even fictitious ones”. De Luca said there would be “nothing more to decide and wait,” alluding to the fact that Campania will not be transferred to a higher risk area, but added that he would have asked for stricter measures to ensure compliance with the regulations. (“Images like the ones on the Naples waterfront are absolutely intolerable,” he said).
Regional Affairs Minister Francesco Boccia told a Cartabianca, Program Rai3, that the government will not make decisions before Friday, and will do so on the basis of the new report that the ISS will release and presumably on the basis of the conclusions reached by the inspectors.
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