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Coronavirus, Rt index at 1.01. Iss: the burden on health services increases

In the period 10-23 September 2020, the transmissibility index Rt calculated on symptomatic cases is equal to 1.01. There are 12 Regions / PPAA with an Rt greater than 1 this week. The data of the usual weekly monitoring of the Ministry of Health and Higher Institute of Health confirms the progressive deterioration trend reported by the report in the last nine weeks. And the consequence is a greater burden on health services.

It is also necessary “to interpret with caution – the report states – the national transmission index at this particular moment of the epidemic. In fact, the Rt calculated on symptomatic cases, while remaining the most reliable indicator at a regional level and comparable over time for the monitoring of transmissibility, could slightly underestimate the real transmission of the virus at national level “.

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The numbers of infections

The reported active outbreaks are a total of 3,266, of which 909 are new: numbers both increasing for the ninth consecutive week (in the previous monitoring week 2,868 active outbreaks were reported, of which 832 new). Outbreaks have been reported in almost all the provinces (101/107). This week, 14 outbreaks were also reported in which transmission may have occurred in the school setting, although not always confirmed. In the coming weeks, the impact of infections in schools will be better assessed.

Despite the increase in active outbreaks, the Regions reported “3,026 new cases not associated with known transmission chains (+ 13.7% compared to the previous week)”. As regards the transmission context, the percentage of outbreaks that occurred within the family remains stable (76.5% of all active outbreaks vs 76.1% the previous week). The percentage of outbreaks verified in the workplace increased (7.2% vs 5.6% last week), while outbreaks associated with recreational activities decreased (4.5% vs 6.3% the previous week).

And those of the shelters

At the national level, the number of hospitalized people continues to rise (2,846 versus 2,365 in the medical area, 254 versus 222 in intensive care on 27/9 and 20/9, respectively) and, consequently, the occupancy rates of hospitalizations in the area are increasing. medical and intensive care.

The need to comply with quarantines and other measures recommended by the health authorities is therefore confirmed both for people returning from countries for which quarantine is envisaged, and following a request from the health authority having been identified as close contacts of a case.

“Respect the anti-contagion measures”

“The cases of Covid 19 continue to increase in our country and the RT exceeds unity even slightly – comments Gianni Rezza, director general of the Prevention Ministry of Health – There are outbreaks and sporadic cases in all Italian regions which demonstrates widespread transmission of the virus. Even if there is no overload of hospital facilities, hospital and intensive care admissions tend to gradually increase. It is recommended to behave cautiously: physical distancing, masks, hand washing and above all avoid assemblies of any kind “.

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The ministry underlines that the current situation “shows important warning signs linked to an increase in local transmission. At the moment the data confirm the appropriateness of the additional prevention and control measures adopted by the Regions / PPAA and invite us to be ready to activate further interventions in case of deterioration “. In this context, the report states, “a relaxation of the measures, in particular for events and initiatives at risk of aggregation in public and private places, and of individual behaviors, also linked to moments of impromptu aggregation, makes the risk of a rapid epidemic worsening “.

And again: “It remains essential to maintain a high awareness of the general population about the worsening of the epidemiological situation and the importance of continuing to strictly comply with all the measures necessary to reduce the risk of transmission such as hand washing, the use of masks. and physical distancing “.

To contain the infections – reports the monitoring – “it is important to strengthen, also through the use of technological tools such as the” Immuni “app, of the services in the activities of diagnosis and contact search”.

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