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HEALTH

When will Italy’s lockdown ‘phase two’ begin and what will it involve?

As the Italian government plans “phase two” of the national lockdown measures, here's what we know so far about what that means, when it might happen, and how long it will last.

When will Italy's lockdown 'phase two' begin and what will it involve?
Central Rome stands empty on Wednesday April 15th. Photo: AFP

The next phase of Italy's quarantine restrictions could be in place for “six to eight months”, some Italian health experts believe, while those eager to get the economy running again want measures loosened from May.

The Italian government continues to consult its panel of scientific experts on when and how to implement the so-called “phase two”, an intermediary period between the current strict lockdown and “phase three”, during which the country will begin its gradual return to normality.

Not much is known yet about official plans for phase two of quarantine. But the government is looking at making changes from the end of the current lockdown period on May 3rd.

Photo: AFP

Italian Prime Minister Giuseppe Conte announced on Friday that some types of business and industry could reopen, including bookshops and children's clothing shops – which are deemed low risk as they rarely attract crowds of shoppers.

The national government allowed such businesses to reopen from Tuesday April 14th – although some of Italy's regional authorities refused to allow re-openings, and some businesses themselves chose to remain closed.

READ ALSO:  Why the coronavirus quarantine rules aren't always the same around Italy

The government has been facing pressure from business groups and opposition politicians pushing for industrial activity to be allowed to restart.

A broader lifting of restrictions – with social distancing still in place – could be allowed as early as May 4th, they argue.
 

Meanwhile, medical experts argue that social distancing measures must stay in place for months yet – some say until the end of the year – amid fears that loosening measures too early could trigger a new wave of contagion, and a new lockdown.

So will “phase two” simply be about gradually reopening businesses, or will any other measures be lifted?

At the moment, not much is known about the government's plans.

Many people are keen for the government to allow outdoor exercise. Some regions, such as Veneto, have announced people may take limited amounts of exercise – no further than 200 metres from home, for no more than one hour per day.

But in most regions, this is not allowed. The rules on outdoor exercise across Italy are a little hazy, and change from region to region. But in most areas, no more than a short walk or jog around the block is allowed – and even then, some police officers may not deem this an acceptable reason to be outside.

When will schools reopen?

Schools are expected to remain closed until at least September, Italian media reports. This has not been officially confirmed by the government.

Medical experts reportedly view the idea of reopening schools during this school year as too risky, due to the fact it would mean some 12 million people – students, teachers, school staff, caterers, and others – moving around.

From September, ministers are considering a staggered or partial reopening of schools, or perhaps having all classes taught remotely.
 

Other restrictions are expected to stay in place for many months.

Long walks, restaurant visits, coffee on the piazza, and trips out of town aren't expected to be part of normal life in Italy again any time soon.

Is Italy facing a summer without travel?

A summer without trips to the beach is unthinkable for many Italians, and owners of private beach clubs and lidos are now scrambling to find ways to enforce social distancing on the beach in the hope that they might be able to reopen this season.

Alessandro Vespignani, an expert on epidemiology and the spread of disease, said this year Italians would be facing a summer “without travel”.

READ ALSO: When will it be possible to travel to Italy again?

It's not clear yet how long the government expects the second phase to last. But Vespignani commented that “it is a process I see lasting for the next six to eight months”.

“The second phase will continue for a long time. We must not think that we can return to normality in July or August,” he said in a television interview on Wednesday.

Is testing the route out of lockdown for Italy?

The government has said repeatedly that phase two would involve “coexistence with the virus” and is likely to rely on testing to get people back to work.

“In phase two, we would like to extend the testing across the country to find those who are infected as early as possible – including those without symptoms,” Italy's ISS public health institute director Silvio Brusaferro said.

Photo: AFP

However, some doctors at the centre of the outbreak in Italy's Lombardy region on Wednesday cast doubt on the idea of mass testing, saying it was unrealistic, partly because of the shortage of swab tests.

Milan's Polytechnic Institute professor Davide Manca said it would take five years to conduct swab tests on everyone in the region at the current rate, adding that “you need people tested every 15 days for it to have any meaning.”

Daily new infections would need to slow to less than one percent before phase two could be brought in, experts have said.

The rate stood at 1.9 percent on Tuesday April 14th.

Italy's evidence-based medicine group Gimbe estimates that Italy won't see new cases at zero until at least June.

READ ALSO:

While business groups stress that continuing the lockdown past May would carry “heavy risks” for the economy, Italian Prime Minister Giuseppe Conte remains cautious.

He cites the scientific community when he insists that the lifting of the lockdown cannot be rushed because it could spark a new epidemic in another part of the country.

Officials have serious concerns about the prospect of a major outbreak in Italy's poorer south, where hospitals would not be able to cope.
 

Italian Health Minister Roberto Speranza has repeatedly warned that, although numbers of fresh cases are slowing, there's a very long way to go.

“We mustn't think we've won. The situation is and remains serious, it cannot be underestimated,” he said on Tuesday.

The World Health Organization's Italian government adviser Walter Ricciardi told Italy's La Stampa newspaper that social distancing measures might have to be enforced “until the end of the year.”

We will continue to bring you updates on the Italian government's plans for phase two as they are announced.

See all of The Local's reporting on 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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