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During the school year, it is common for a child or adolescent to have some fever, cough, or cold. In time COVID-19However, these setbacks can blow up the tampon system. If to allow their children to be readmitted to class, every time families have to go to ASL and take the test, long waits will be inevitable, the answers will arrive after seven or eight days, public laboratories under pressure. In theory, free choice pediatricians or family physicians, alternatively, can simply sign a certificate stating that the child can go back to school because he is cured and not positive. coronavirus.
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Bottom line: you don’t need to use the molecular swab every time, the medical certificate is enough. But Pierluigi Bartoletti, National Vice President of Fimmg (Federation of General Practitioners) responds: “We are not the magician Silvan. How can you certify that a child who has had a fever and coronavirus-like symptoms is not positive without a swab? ”. The problem will soon come to the table of the Scientific Technical Committee, which however is currently facing another weakness of the system: from the regulatory point of view there is a failure, because if a student is absent for a week there is no ‘obligation to bring the medical certificate.
Yesterday the CTS also said no to the reduction of the quarantine period: today is 14 days as indicated by the WHO, in France it has been lowered to 7. The Scientific Technical Committee has decided to take time to evaluate other international experiences, but also the repercussions of the reopening of schools. And here we return to the node of the protocols to follow when a child has a fever and cough.
The situation is complicated and threatens to cause the swab system to plummet, with the ASL which, however, must guarantee screening coverage even in suspected cases involving other sectors, must limit outbreaks, trace the contacts of an infected person, they cannot be monopolized by students. Bottom line: labs won’t be able to scrub every child who gets sick; on the other hand, families run the risk of going into crisis because this will happen: the child has a fever and stays at home; after two days the fever goes away, but he cannot go back to school without a certificate from the family doctor saying that he is cured and that Sars-CoV-2 has nothing to do with it; the family doctor, even before recovery, will always ask for a tampon so as not to make mistakes; They will spend several days, waiting for the answer and the parents, who may be working, will not know where to leave their child for weeks.
The Ministry of Health is monitoring the situation, however, the regulation of attestation after a long absence is included in the Dpcm with attached Higher Institute of Health guidelines. In addition, it is believed that family doctors and pediatricians do not necessarily have to always use a tampon: of course, if there are symptoms such as high fever and cough it is necessary, but in the event of a simple cold the doctor can sign the certificate without flooding the laboratories .
Bartoletti, the national undersecretary for general practitioners, however, is concerned: “We have long said that the reopening of schools will cause the tampon system to plummet. It’s easy to say that the doctor should sign the certificate of negativity in the dark, without the swab. But in the face of symptoms compatible with the coronavirus it would be impossible. In our opinion, there is a workable solution that allows general practitioners to swab in studies. Does it mean forcing general practitioners to do it? ‘It’s about expanding the possibility of swabbing, perhaps using the fast antigens that give a quick response and are easily done. Obviously, it should be on a voluntary basis: for available medical studies, we let the tests run, so as not to drive public laboratories crazy. Alternatively, it may also be open to individuals. “
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