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The number of cases is increasing dramatically. Long lines to do tampons. Health facilities that do not yet have enough areas and pathways for patients. COVID-19. The “Second wave“It had already been announced during emergency shutdownHowever, several realities seem to be lagging behind in the organization of the devices to face the emergency.
Professor Matteo Bassetti, director of the Infectious Diseases Clinic of the San Martino hospital in Genoa and member of the COVID-19 working group of the Liguria Region, what is happening?
“In my region, for the last four months, we have been working to decide where the intensive, semi-intensive, low and medium complexity places were. It should have been made throughout Italy. If there are already regions in difficulty, it means that what should have been done has not been done. We had to keep the car running with the engine running.
Covid Italia, today’s newsletter October 16: 10,010 new infections and 55 deaths. More than 150 thousand tampons
Covid, the appeal of doctors: “The moment of self-locking has come”
The feeling is that of a “run-up” …
And it shouldn’t be like that, also because at this moment the situation is mainly of low and medium complexity: there are many hospitalizations but of people with symptoms that can also be managed in medical departments, not complicated cases like in March / April “.
But there are problems, just think about the queues for the tampons.
“When I see a person queuing for eight hours for a tampon, I think clearly something went wrong. We should also be more careful when requesting tampons, in some cases it is a way of discharging responsibilities, they are done even if there are no symptoms or there has been no real contact.
Many current difficulties were already evident in the first wave: why don’t we prepare in the meantime?
“Of course I don’t want to justify it, but it is not easy, for example, to convert a clinic in a short time. Our bureaucracy is the most complicated in the world. I don’t think it’s a problem of will. I believe that all governors want to give a better service to citizens, but if funding has not been released, if access to funds has been complex, if they have not been able to contract because they have not been able to make contracts, there is always subtlety and well … I repeat, I don’t think it’s a question of will ».
However, there is a delay.
«The Italian bureaucracy is the worst enemy in the fight against Covid. I think that everyone in the regions has prepared the pandemic plans, the reason why they have not been done yet, I don’t think it is linked to someone’s incapacity but to the fact that ours is a very plastered system. We need to learn the lesson from Covid and make it more flexible, as well as putting in much more money than has been spent in recent years. If there is an emergency, you must handle the emergency rules. Covid is a disease in which time is of the essence. Should hurry. How do you deal with a slow and cumbersome system? ».
How much do we risk paying for these delays?
“Unfortunately, we run the risk of paying them a lot. Let’s go back to the hyssop. It is clear that if it takes eight hours to do this, the person could infect others. The hyssop is made to avoid contagion, so there is a risk of producing the opposite effect.
Does the rest fall apart?
“Sure. If we do 150,000 swabs and 10,000 people are positive, it is clearly to be expected that there will be an increase in hospitalizations. The number grows, in some cases even inappropriately.”
Would we need alternative management methods?
“We must organize out-of-hospital facilities due to low complexity, where to send those who do not need hospital care or who no longer need oxygen but are not yet in a position to return home. Some regions have them, others don’t. In addition, at the central level, the parameters to be given to the regions, on the basis of which to take action, must be evaluated. They would be more useful than a single measure for Italy, which may not work. Another blockade would not be economically, socially and healthily possible. Better blocking and red areas identified at the regional level ”.
Looking ahead, what do you see?
“No one can tell. Of course, if we continue with the current growth rates, the system cannot last until March, it becomes really difficult.
Covid Italia, today’s newsletter October 16: 10,010 new infections and 55 deaths. More than 150 thousand tampons
Covid Italia, today’s newsletter October 16, 2020. There are 10,010 new coronavirus infections in Italy. The dead are 55 in the last 24 hours. Swabs exceed 150 thousand (150,377). The Region with the highest number of cases is Lombardy with 2,419, followed by Campania with 1,261 and Piedmont with 821.
Last updated: 22:46
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