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Coronavirus: Medical waste piles up at the epicentre of Italy’s outbreak

Contaminated waste is piling up in hospitals at the epicentre of the coronavirus crisis in Italy due to the number of patients being treated.

Coronavirus: Medical waste piles up at the epicentre of Italy's outbreak
A waste disposal worker at a hosital in Cremona. All photos: Miguel Medina/AFP

Medics at the Cremona hospital in the northern Lombardy region say the enormous surge in the number of patients since March has made the issue of safe disposal particularly difficult.

Staff must be trained to properly handle everything from sheets and masks to syringes – standard hospital items now laced with added danger in a pandemic caused by a new and still unexplored disease.

“Compared to the time before the pandemic, the amount of potentially infectious waste has doubled or nearly tripled,” the hospital's waste management director Maria Rosaria Vino told AFP.

The virus has officially killed around 27,000 in Italy.

Its spread is slowing, and the country's leaders are preparing to gradually lift some of the strictest confinement measures from May 4th.

READ ALSO: 'Phase two starts now': What's Italy's plan for life after lockdown?

But the mood at the Cremona hospital remains tense.

“The risk is increased because we handle potentially infectious waste,” said Luciano Masseroni, a waste operator. “We collect the waste from various services, but we do not know which ones they are.”

The waste is now sealed in plastic bags and stored in a separate room to prevent airborne particles from spreading across hospital halls.

The bags are then boxed and hermetically sealed, their contents labeled on the outside. The boxes are eventually packed onto carts and sent for removal in sealed metal containers.

All the waste is evacuated by freight elevator and a special passageway to it in the hospital basement.

None of it can spend more than five days waiting to be shipped out by subcontractors.

READ ALSO: 

“We have trained disposal teams to wear all the protective equipment. They do not face any added risk,” hospital medical director Lorenzo Cammelli said.

“The transport officials find the containers already sealed. There is no additional risk for them either.”

But caution is on everyone's mind.

Nurse Omar Semlali is one of the first to handle the equipment – and the first to start the process of its removal.

“The disposal containers fill very quickly and the most important thing is not to overstuff them because then they do not close properly,” Semlali said. “We are particularly careful making sure that they are properly sealed.”

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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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