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New circular of the Ministry of Health regarding how to treat me cases of influenza in schools.
The resumption of face-to-face classes is already a reality throughout Italy, but there is no shortage of schools in which one or more cases of coronavirus have been found: 400 institutes have been attacked and 75 of them have been closed.
A situation that required a series of clarifications by the Ministry of Health: for some time, in fact, doctors and pediatricians have been asking for clarity on the need that students me teachers, as well as all those who work in the school, are subjected to the hyssop in case the first appear Symptoms of COVID-19.
Until now, in fact, the indications given to return to class were not very clear on this front: in the case of flu symptoms, in fact, there is only one obligation to stay home me contact your doctor, who is in charge of evaluating the case. However, this evaluation is not straightforward since, at least in the initial stage of the disease, COVID-19 usually presents the same symptoms as normal flu.
The only tool with which to know if it is one or the other is to undergo buffer. And it is precisely in this aspect that the Ministry of Health intervened with the circular of September 24, issued for “provide clarification on certificates of cure for Covid-19 or non-Covid-19 disease for students and school staff”.
Necessary test for students and teachers in case of flu symptoms
In the circular of the Ministry of Health there is an important change: in detail, this clarifies that in case of suspicious symptoms For students and school staff, the pediatrician or family doctor should make immediate request for diagnostic test to the prevention department.
This indication applies to four different scenarios:
- if the student is in class and has more than 37.5 fever and symptoms compatible with COVID-19;
- if the same hypothesis occurs when the student is at home;
- if it is the school worker who has symptoms when at school;
- if the school worker experiences symptoms when at home.
In all these situations it is necessary to call the pediatrician or family doctor first, who will give the necessary information to perform the swab.
In the case of the flu, therefore, it will be necessary to do a swab to ensure that no coronavirus infection; In this regard, the circular also adds that to the waiting list school workers and students have priority.
What happens in case of positivity to the coronavirus
The circular also clarifies What happen in the event that a student, a teacher, or even a school collaborator, turns out to be positive in the test. Indications that are valid both for cases verified at school and for domiciliary ones.
The positivity must be immediately notified to the prevention department that initiates the search for contacts and will give instructions to the school on the necessary actions to contain the contagion. IS for back to school We will have to wait “cure according to current criteria“This means that only re-entry will be authorized after which two swabs will be negative (made 24 hours apart from each other).
If, on the contrary, the test is negative, and therefore it is only a normal flu, it will be up to the pediatrician or the treating physician to evaluate the trajectory most appropriate clinical and diagnosis, with the possibility that these require repeat the test.
