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HEALTH

Italy warns public to remain cautious despite ‘encouraging’ vaccine news

Italy’s health minister said the news on Monday that a potential coronavirus vaccine has proved 90% effective in trials was “encouraging” but urged people not to abandon safety measures.

Italy warns public to remain cautious despite 'encouraging' vaccine news
Several potential vaccines are currently in development around the world. File photo: Vincenzo Pinto/AFP
Development of a potential vaccination for coronavirus has taken a huge leap forward after Germany-based BioNTech and its American partner Pfizer on Monday published the results of their first large-scale trials, which are still ongoing.
 
 
Biontech announced that it wants to ask the US FDA (Food and Drug Administration) for authorization to manufacture the vaccine together with Pfizer.
 
Italian Health Minister Roberto Speranza welcomed the announcement, but stressed that the Italian public must continue to follow rules set to prevent contagion.
 
“Today's news about the Covid vaccine is encouraging,” Speranza tweeted. “But a great deal of prudence is still needed.”
 
“Scientific research is the true key to overcoming the emergency. In the meantime we must never forget that the behaviour of each one of us is indispensable in bringing down the (contagion) curve.”
 

 
On Monday, BioNTech and the American pharmaceutical group Pfizer revealed the first data results from their Phase 3 clinical study for the vaccine candidate BNT162b2.
 
Phase 3 of the trial involved 43,538 participants. These participants received two doses of either the immunisation or a placebo, with 90 percent protected from the virus within 28 days of having their injections.
 
 
So that means, according to the results, the risk of contracting Covid-19 was more than 90 percent lower for study participants who received the vaccine than those who didn't.
 
The firms say there have been no serious side-effects.
 
“Today is a great day for science and humanity,” said Dr Albert Bourla, the Pfizer chairman. “The first set of results from our Phase 3 Covid-19 vaccine trial provides the initial evidence of our vaccine’s ability to prevent Covid-19.”
 
“This is the first evidence that Covid-19 can be prevented by a vaccine in humans,” BioNTech CEO Ugur Sahin told Reuters.
 
BioNTech and Pfizer started their final Phase 3 clinical trial at the end of July.
 
 
Meanwhile, Italian researchers are set to begin the third round of clinical trials of a vaccine in December.
 
Volunteers in Italy could receive the first doses in December, as scientists begin the next phase of trials of a potential vaccine developed by Oxford University and the AstraZeneca pharmaceutical group, and partly manufactured and bottled by two Italian companies near Rome.
 
 
The Oxford-AstraZeneca vaccine, one of several in development around the world, is among the most advanced, with a large-scale trial already underway on as many as 10,000 people in the UK.

Phase 3 trials are the final tests before regulators decide whether to approve a drug. The European Medicines Agency, which reviews drugs for use within the European Union, hopes to fast-track approval for Covid-19 vaccines, and the head of Italy's Higher Health Council, Franco Locatelli, has said the first doses could be available in spring 2021.

The new trial is separate from an early-stage trial underway in Rome, where researchers at the Spallanzani National Institute for Infectious Diseases are testing a different vaccine developed by Italian biotech company ReiThera on a much smaller sample of volunteers.

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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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