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HEALTH

Italy’s coronavirus deaths slow for second day in a row

Italy reported more than 600 deaths from coronavirus on Monday, a high figure that is nonetheless lower than the record death toll registered a few days earlier.

Italy's coronavirus deaths slow for second day in a row
A closed funeral in Bolgare, Lombardy. Photo: Piero Cruciatti/AFP

Another 601 people have died from the COVID-19 virus since Sunday night, Italy's Civil Protection department announced on Monday evening, down from 651 in the previous 24 hours and a record 793 the day before that.

The number of new infections also rose at a slower rate: by 3,780 on Monday compared to 3,957 on Sunday.

Another 480 people were confirmed to have recovered, bringing the total to 7,432.

ANALYSIS: When will the coronavirus epidemic in Italy peak?

That leaves Italy with 50,418 active cases of the new coronavirus, including 20,692 patients in hospital and 3,204 in intensive care. The remaining 26,522 people infected are self-isolating at home.

In total Italy has now confirmed 63,927 cases of the virus since the outbreak began, 6,077 of them fatal.

“This is an extremely important week to assess the evolution of the epidemiological curve,” said the head of Italy's Higher Health Institute (ISS), Silvio Brusaferro. 

“Our task is to avoid the curves that we've seen in the north occurring in the south.”

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Photo: Carlo Hermann/AFP

The majority of Italy's cases have been in the north, mainly in the region of Lombardy where the first cases of community transmission were recorded in late February.

However, authorities are concerned that people who have travelled from north to south since then have spread the virus to Italy's poorer southern regions.

“The curve doesn't seem to be rising in the south, but in the press I've seen pictures of streets full of people, things we're not seeing elsewhere,” said Brusaferro. 

“If our attitude is rigorous and united throughout the country, there's a concrete possibility that we won't see the curve [in the south] following a similar path to that in the north. But if we're not rigorous, trends don't depend on latitude but on our behaviour.”

READ ALSO: How authorities are battling to keep Italians at home

All 20 Italian regions have now reported at least one death linked to coronavirus, including sparsely populated Basilicata in the south which announced its first fatality on Monday.

More than half of the latest deaths – 320 – were in Lombardy, which has now had 3,776 fatalities among 28,761 cases.

Emilia Romagna (892 deaths as of Monday), Piedmont (315), Liguria (212), Le Marche (203) and Veneto (192) remain the next worst affected regions.

Experts have predicted the number of cases will peak in Italy at some point from March 23 onwards – perhaps in early April – though many point out that regional variations and other factors mean this is very difficult to predict.

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BREXIT

‘In the dark’: Why Brits in Italy are still unable to prove rights to free healthcare

Despite UK and Italian authorities confirming that British residents covered by post-Brexit rules are entitled to healthcare in Italy, many still face "significant problems" in accessing it, the British government has said.

'In the dark': Why Brits in Italy are still unable to prove rights to free healthcare

Cancer patients are among those in need of treatment but unable to access the Italian national health service amid confusion over post-Brexit rules, campaigners say, after clarifications from the UK and Italian governments have so far failed to resolve bureaucratic deadlocks at local authority level.

Since the end of the Brexit transition period in 2021, many British nationals resident in Italy covered by the Withdrawal Agreement (WA) have reported difficulties in proving their right to free healthcare under the Italian public system.

The problem was exacerbated this year after the Italian government in January hiked the minimum annual fee for ‘voluntary’ healthcare registration from €387 to €2,000, which many said they were unable to pay.

The British government in February stepped in to clarify that UK nationals covered by the WA should not be subject to charges for healthcare, and on its Living in Italy website it advised those affected to show their local health authority office (Azienda Sanitaria Locale, or ASL) an official note published by the Italian health ministry on February 15th which sets out their rights (find it here, in Italian.)

WA beneficiaries “can compulsorily enrol (iscrizione obbligatoria) with the Italian National Health System,” states the final section, pointing out that the deal, “in Article 23, provides for equal treatment with domestic nationals.”

But for some local health officials, even this written confirmation does not appear to be enough to clear up the confusion.

READ ALSO: ‘Life or death situation’: Brits facing high Italian healthcare costs amid rule change uncertainty

The UK government on Friday, May 17th, updated its guidance to say it had become aware that “some beneficiaries of the Withdrawal Agreement are facing significant problems accessing health services and renewing their healthcare cards,” despite its advice to show local health authorities the official note.

British nationals continue to report that local health authorities around Italy remain unwilling to issue them with a health card, while campaigners say the situation is further complicated for some by the fact that Italian authorities have also refused to issue proof of their permanent residency status, which entitles them to free healthcare.

This was the case for Graham Beresford, a British citizen living in Abruzzo who has been diagnosed with a rare cancer and remains unable to access the free healthcare he is entitled to, as he says local authorities don’t understand the post-Brexit rules.

Graham told The Local in April that the government’s clarifications on the issue had made little difference – his ASL continues to demand he pay the 2,000-euro charge.

READ ALSO: Can I get a refund after wrongly paying Italy’s €2,000 healthcare fee?

“Every time I go to my ASL office, I always feel like I’m dismissed,” Graham said. “I told the ASL worker I need medication for my cancer and she replied lots of people come in here with sob stories.

“There genuinely seems to be no compassion whatsoever.”

Graham’s story was reported in The Guardian on May 12th ahead of UK foreign secretary David Cameron’s first major meeting with European commission vice-president Maroš Šefčovič to discuss post-Brexit relations.

Campaigners also wrote to Cameron in April to appeal for help with the “desperate” situation faced by those unable to access care in Italy.

In its update to the Living in Italy website on Friday, the British government stated: “Since [the health ministry’s note] was published, and particularly in recent days and weeks, it has become clear to us that not all Italian authorities are consistently following this guidance.”

“We are urgently speaking to all relevant parts of the Italian government to clarify the situation so that we can give clear advice to those affected as soon as possible. 

“We also know that this problem is linked to the many difficulties some are experiencing with obtaining an attestazione di soggiorno permanente and/or the Carta di Soggiorno permanente. We are working to help with these issues too.

“We will update this page as soon as we have further news.”

READ ALSO: ‘We are desperate’: Why the UK must help Britons with Italian healthcare charges

Clarissa Killwick from Beyond Brexit, a group for UK citizens in Italy, said the situation “should never have been allowed to happen” and that there had been “a series of communication failures and inconsistencies.”

“We’re not far short of five months after the introduction of the €2,000 new minimum for voluntary contributions and there is still no clarity,” she added.

“There are fraught exchanges in public offices because people on both sides of the counter are in the dark or with conflicting information.

“People need information they can rely on, unequivocally. What do you say to someone who is waiting for an operation but has no idea what is going on?”

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