The Regions “will be able to anticipate the start of the administration of the ‘booster’ dose in favor of subjects aged between 40 and 59 years as long as at least 6 months have elapsed from the completion of the primary vaccination cycle”
Rome – “The contagion curve rises in our country and, even more, in the European countries close to Italy. The vaccine is the main tool to reduce the spread of the virus and severe forms of the disease. It is therefore right to bring the vaccination recall campaign for the 40-59 age group to November 22 “.
This was announced by the Minister of Health, Roberto Speranza. Commissioner Figliuolo then signed the order: “In light of the evolution of the epidemiological situation in recent weeks with the progressive increase in the weekly incidence of new cases and the growth of infections – reads the document of the Presidency of the Council – considering that the current evidence shows after about six months of vaccination an initial decline in the level of efficacy of vaccines against symptomatic forms, while maintaining a high protective capacity against severe forms of disease, taking into account the current wide availability of vaccines in the ” high capacity of administration of the vaccination points currently operating, after consulting the Minister of Health, without prejudice to the priorities established in the circulars in reference“, the Regions” will be able to bring forward to next November 22, 2021 the start of the administration of the ‘booster’ dose in favor of subjects aged between 40 and 59 years as long as at least 6 months have elapsed from the completion of the primary vaccination cycle “.
Intensive care in trouble
A month and a half. This is, in the worst case scenario, the estimated holding period of intensive care in the Italian regions if, in the face of the increase in infections and the epidemic curve also in our country, there is no tightening of strict compliance with the Green pass and the third vaccination doses against Covid-19 will not be encouraged to the maximum. The forecast comes from the president of the Italian hospital anesthetists association (Aaroi-Emac) Alessandro Vergallo, who warns that alarm situations are currently occurring in Friuli Venezia Giulia and in the Autonomous Province of Bolzano, while Veneto is to be monitored given the faster growth of cases.
“Currently – explains Vergallo to Ansa – there is an alarming situation for the employment of intensive care units in FVG, which is over the 10% threshold, and the Autonomous Province of Bolzano, also due to the greater exchanges with the areas of the most affected borders such as Slovenia and the concentration of no vax protests. The situation is also worrying in Veneto “. In general, he warns, “if the green pass rule is not strictly applied and third doses are not encouraged, we could reach a dramatic situation in about a month and a half across the country”. According to the president of resuscitators, it is therefore essential first of all, “to reduce the duration of the green pass to 6 months, given the decrease in the effectiveness of the vaccine after this period. This is precisely to prevent an increased circulation of the virus”. In short, we are not yet in a situation of general alert in resuscitation, but “we need to look at the data in perspective and act accordingly: there are about 3 weeks between the contagion and the possibility that an intensive hospitalization is needed and the numbers are worrying “.
But everything, he specifies, “will depend precisely on the progress of third doses and vaccinations for those who are not yet immunized, in addition to the correct use of the measures”. Therefore, the worst can be avoided because the tools to slow the epidemic wave are there, “but they must be applied strictly and politics – is Vergallo’s warning – must take responsibility for making decisions”. The number of beds in intensive care, say the experts, is not in any case the solution because “it cannot be multiplied indefinitely and we must instead aim for reasonable measures”. To date, according to Aaroi estimates, there are around 6,000 places available nationwide, or 900 more than those registered before the pandemic. At the moment there are about 500 hospitalized in intensive care, but with strong differences between Regions. Furthermore, according to a recent Aaroi study, until 2025 it will not be possible to increase the resuscitation beds beyond the current ones unless “we do not want to reduce the minimum quality requirements”, and only from 2026, if the recruitment of at least 600 new specialists every year, it will be possible to increase the places for a total of no more than 7,500 reachable no earlier than 2028.
A complex framework against which the Regions are however organizing. Lazio, for example, is expanding the Covid bed network. There will be a maximum of 1500 ordinary places and 250 intensive places. The Veneto, on the other hand, keeps the 1,017 intensive places in its hospital network ready, reinforced after the pandemic. About half are actually active and sufficiently welcome both Covid patients – today 62 – and those with other pathologies. The others can be activated within 24 hours. The most serious situation is in FVG, especially in Gorizia and Trieste: here the medical unions have also asked Doctors Without Borders for medical and nursing support to deal with a “dramatic” situation due to the exponential growth of infections.
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