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COVID-19 RULES

Lockdowns and restrictions across Europe ‘averted 3 million deaths’

Lockdowns and restrictions on daily life prevented around 3.1 million deaths in 11 European countries, according to a new modelling study published Monday, as most nations tiptoe out of the strict measures to halt the spread of the new coronavirus.

Lockdowns and restrictions across Europe 'averted 3 million deaths'
Members of the Catalan regional police force Mossos d'Esquadra inform tourists about the lockdown in Barcelona on March 15, 2020

Research by Imperial College London, whose scientists are advising the British government on the virus, found that restrictions such as stay-at-home orders had worked to bring the epidemic under control. 

Using European Centre of Disease Control data on deaths in 11 nations in the period up to May 4, they compared the number of observed deaths in the countries against those predicted by their model if no restrictions had been 
imposed.

They estimated that approximately 3.1 million deaths had been averted by the policies.

The 11 nations were: Germany, France, Italy, Britain, Spain, Belgium, Austria, Denmark, Norway, Switzerland and Sweden, which did not impose a strict lockdown as seen in other countries.

Researchers also calculated that the interventions had caused the reproduction number — how many people someone with the virus infects — to drop by an average of 82 percent, to below 1.0.

“Our results show that major non-pharmaceutical interventions, and lockdown in particular, have had a large effect on reducing transmission,” the authors said in the study, published in Nature Research.

“Continued intervention should be considered to keep transmission of SARS-CoV-2 under control.”

The researchers estimated that cumulatively between 12 and 15 million people had been infected in the period — or between 3.2 and four percent of the population of the 11 nations.

This fluctuated significantly between countries, with only 710,000 people in Germany thought to have caught the virus, or 0.85 percent of the population. 

That compares with Belgium, with the highest infection rate of the countries at eight percent, and Spain, where some 5.5 percent of the population, or 2.6 million people, were estimated to have been infected. 

'Large health benefits'
 
The authors said that since interventions such as restrictions on public events and school closures were imposed in quick succession, it is difficult to tease out the effect of each one separately. 
 
But they found that lockdown measures taken as a whole did have an identifiable and “substantial” effect, reducing transmission by an estimated 81 percent.  
 
The authors acknowledged that one limitation of their model was that it assumes each measure had the same effect on all countries, whereas in reality “there was variation in how effective lockdown was in different countries”.
 
In a separate study, also published in Nature, researchers from UC Berkeley used a different method — econometric modelling used to assess how policies affect economic growth — to evaluate containment policies in China, South 
Korea, Italy, Iran, France and the United States. 
 
Researchers used data on daily infection rates and the timings of hundreds of localised interventions up until April 6. They then compared infection growth rates before and after those policies were implemented. 
 
By comparing this to a scenario in which no policies had been put in place, they estimated that the interventions may have prevented or delayed around 62 million confirmed cases of COVID-19 across the six countries.
 
They said this corresponded to averting around 530 million total infections.

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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.”

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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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