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HEALTH

Italy warned schools ‘must reopen at any cost’ despite new coronavirus outbreaks

One of Italy's leading government health experts insisted on Monday that school reopenings must go ahead as planned in September - though more businesses may have to close "if people do not follow the rules".

Italy warned schools 'must reopen at any cost' despite new coronavirus outbreaks
Photo: AFP

“We will reopen the schools at any cost,” said Franco Locatelli, President of Italy's Higher Health Council and a member of the government's technical scientific committee (CTS), which advises ministers on implementing and relaxing measures aimed at stopping the spread of the coronavirus.

READ ALSO: Italy shuts discos and orders mask-wearing at night as Covid cases rise

“The infections are increasing, but we can contain the epidemic,” Locatelli insisted in an interview with Italian newspaper Il Corriere della Sera on Monday.

Will more businesses be shut down?

While Italy is “fortunately still in a privileged position for now”, he said that could change as “the number of cases is increasing so much so that in a week it has gone from 200-300 per day to over 600 on August 15th.”

“Either we follow the rules or we risk having to close other businesses, after the discos,” he said.

Italy's health minister had on Sunday night ordered all nightclubs to close for three weeks amid concerns that social distancing and other precautionary measures were not being followed.

Locatelli said the nightclub closures “will have an economic impact, unfortunately, but health comes first, and the gatherings we have seen in discos must be avoided otherwise we risk finding ourselves in a more alarming situation soon”.

He said further business closures couldn't be ruled out, and urged people to continue to take basic precautions – wearing masks in public places, frequest hand.washing, and maintaining a distance from others.

 
But Locatelli stressed that keeping schools closed beyond September 14th is “out of the question”.
 
“We need to reopeìen schools with the lowest possible number of cases,” he said. “The better we are doing on September 14th, the higher the probability of resuming lessons without the risk of having to close classes or buildings.”

Locatelli insisted that Italian authorities had not been too hasty in relaxing the rules after the strict lockdown, however.

“Undoubtedly the beginning of the summer season involved the need to consider some reopenings, in order not to damage the tourism economy and to allow Italians to enjoy their holidays in mountain and seaside resorts – avoiding going abroad.”
 
 
Photo: AFP
 
Where are Italy's new cases coming from?

Locatelli said many recent outbreaks were connected to international travel – often by Italians holidaying abroad, or by foreign residents travelling back to their homes in Italy.

Cases are “now widespread throughout the country with hundreds of outbreaks,” he said.

“The phenomenon is partly linked to vacationers.”

“Depending on the region, 25-40 percent of cases were imported by fellow citizens who had returned from travel abroad, or by foreigners residing in Italy.”

The italian government last week introduced mandatory testing for all travellers returning to Italy from Spain, Greece, Croatia, and Malta, in the hope of stemming new outbreaks.

READ ALSO: Where are Italy's new coronavirus clusters?

 

Meanwhile Locatelli said “cases imported by migrants, understood as being desperate people who flee, are minimal.” 

“No more than 3-5 percent are positive, and some become infected in reception centers where it is more difficult to maintain adequate health measures.”

Many Italian media reports have suggested that young holidaymakers in particular may be to blame for many of the new cases, and the Italian Health Ministry says the average age of infected persons in recent weeks has dropped to 40, the lowest yet, compared to about 61 during the first stage of the pandemic.

READ ALSO: 'Joyful contagion machines'? Italy's clubbers spark controversy

But Locatelli was reluctant to blame the recent surge in cases on younger people.

He said “their risk of becoming infected is similar to that for anyone else”.

“There is a reduction in the age of infected people due to the fact that we have learned to protect the elderly,” he expained. “Young people can become infected and are not safe from serious symptoms. Many twenty-year-olds have been hospitalized.”

“Nobody is immune.”

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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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