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HEALTH

Coronavirus: Hospitals in Italy’s vulnerable south face race against time to be ready

It's a race against time at the Cardarelli hospital in Naples, where a new intensive care unit is being assembled as southern Italy's long-underfunded and overstretched health system braces for an epidemic.

Coronavirus: Hospitals in Italy's vulnerable south face race against time to be ready
Tents set up outside the Cardarelli hospital in Naples for testing suspected coronavirus cases. All photos: Carlo Hermann/AFP

The rooms in “Building M” have been stripped out, with just the last few gurneys to be removed before new life-saving equipment, medicines and supplies can be installed in the freshly named “Coronavirus Wing”.

Scenes are much like those previously reported by medical staff in Lombardy, the Italian region hit hardest by the outbreak, in the past few weeks.

Italy is the worst-affected country in Europe, with 827 fatalities and nearly 12,500 people infected by the virus as of Wednesday.

Over 1,000 patients are in intensive care, with almost 600 of those in Lombardy alne.

Though the worst of the outbreak is across northern parts of Italy, where healthcare is generally better funded and hospitals well-equipped, virologists have warned the disease risks becoming an epidemic in the poorer south too.

The leak to the media Saturday of the imminent “lockdown” of a large area of the north as a containment measure sparked panic and prompted people to flee south overnight – potentially carrying the disease with them.

Many of those who initially stayed would later take advantage of government permission to return home.

Lombardy currently has a 5,763 of the known cases, while Calabria at Italy's southern tip has 17, and neighbouring region Basilicata has just eight.

The south has also seen very few deaths. Five have been reported in Puglia so far, while the Campania region, of which Naples is a part, reported its first fatality on Wednesday.

Ever-tighter quarantine measures have been imposed this week in attempt to control the spread, amid fears of a major outbreak happening in the south.

With even Lombardy's first-class health system creaking under the strain, the concern is hospitals
in southern regions, desiccated by years of budget cuts, will be unable to cope.

READ ALSO: 'Hospitals are overwhelmed': Italian doctors describe the struggle of fighting the coronavirus outbreak

“The south is less prepared, and could pay a serious price for it,” Cararelli's director Giuseppe Longo, 63, told AFP.

“The state has asked us to get ready. We are employing hundreds of new doctors, nurses and medical staff,” he said.

Of the 5,400 or so intensive care beds in Italy, the seven southern regions and islands counted just 1,582 between them, according to the Repubblica daily.

Prime Minister Giuseppe Conte, who extended the “lockdown” to the whole country this week, said Wednesday the production and distribution of intensive care equipment for hospitals across the nation would be ramped up.

The Campania region currently has 149 cases: 56 are being treated in Naples' infectious diseases hospitals, with 11 in intensive care.

Should those numbers swell, the city's other hospitals – starting with the Cardarelli – will step up.

Its reconverted building will have eight intensive care beds and 12 high-dependency beds.

Should they fill up too, the hospital is ready to convert other wings, such as the elective surgery wards.

Masked figures in white protective suits stand ready at a tent set up outside the accident and emergency department, where any new arrivals presenting suspect symptoms will be tested.

“The north was caught unawares, but we've had a bit of time to prepare. I hope it will be enough,” said Maria De Cristofaro, head of intensive care at the Cardarelli.

She said intensive care doctors were “being depicted as heroes… but we cannot perform miracles”.

It was “difficult to justify” the decision by many southerners working in the north to return home, she said, “bringing to virus into their houses, directly to their loved ones”.

READ ALSO: The everyday coronavirus precautions to take if you're in Italy

Across the south, from Sicily to Puglia, people have also been contributing to fundraising campaigns for local hospitals.

One such campaign, launched by 23-year old medical student Federica De Masi, has already raised nearly 338,000 euros ($380,000) for the Cotugno infectious disease hospital in Naples.

“We have to help each other, because we have neither the necessary resources nor the equipment at the moment to fight,” she wrote on the gofundme website.

Find all The Local's coverage of the coronavirus outbreak in Italy here

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HEALTH

Italy’s schools warned to ‘avoid gatherings’ as Covid cases rise

As Italy’s new school year began, masks and hand sanitiser were distributed in schools and staff were asked to prevent gatherings to help stem an increase in Covid infections.

Italy’s schools warned to ‘avoid gatherings’ as Covid cases rise

Pupils returned to school in many parts of Italy on Monday and authorities said they were distributing masks and hand sanitiser amid a post-summer increase in the number of recorded cases of Covid–19.

“The advice coming from principals, teachers and janitors is to avoid gatherings of students, especially in these first days of school,” Mario Rusconi, head of Italy’s Principals’ Association, told Rai news on Monday.

He added that local authorities in many areas were distributing masks and hand sanitizer to schools who had requested them.

“The use of personal protective equipment is recommended for teachers and students who are vulnerable,” he said, confirming that “use is not mandatory.”

A previous requirement for students to wear masks in the classroom was scrapped at the beginning of the last academic year.

Walter Ricciardi, former president of the Higher Health Institute (ISS), told Italy’s La Stampa newspaper on Monday that the return to school brings the risk of increased Covid infections.

Ricciardi described the health ministry’s current guidelines for schools as “insufficient” and said they were “based on politics rather than scientific criteria.”

READ ALSO:

Recorded cases of Covid have increased in most Italian regions over the past three weeks, along with rates of hospitalisation and admittance to intensive care, as much of the country returns to school and work following the summer holidays.

Altogether, Italy recorded 21,309 new cases in the last week, an increase of 44 percent compared to the 14,863 seen the week before.

While the World Health Organisation said in May that Covid was no longer a “global health emergency,” and doctors say currently circulating strains of the virus in Italy are not a cause for alarm, there are concerns about the impact on elderly and clinically vulnerable people with Italy’s autumn Covid booster campaign yet to begin.

“We have new variants that we are monitoring but none seem more worrying than usual,” stated Fabrizio Maggi, director of the Virology and Biosafety Laboratories Unit of the Lazzaro Spallanzani Institute for Infectious Diseases in Rome

He said “vaccination coverage and hybrid immunity can only translate into a milder disease in young and healthy people,” but added that “vaccinating the elderly and vulnerable continues to be important.”

Updated vaccines protecting against both flu and Covid are expected to arrive in Italy at the beginning of October, and the vaccination campaign will begin at the end of October, Rai reported.

Amid the increase in new cases, Italy’s health ministry last week issued a circular mandating Covid testing on arrival at hospital for patients with symptoms.

Find more information about Italy’s current Covid-19 situation and vaccination campaign on the Italian health ministry’s website (available in English).

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