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HEALTH

EXPLAINED: Has Italy’s coronavirus second wave reached its peak?

There were hopeful signs reported by Italy’s health authorities this week, but experts warn there's a long way to go before we're out of the epidemic. Just how much is the situation really improving?

EXPLAINED: Has Italy’s coronavirus second wave reached its peak?
Medical workers move an intensive care patient at the newly built Columbus Covid 2 temporary hospital in Rome. AFP

Experts predicted earlier this month that the number of new infections recorded during Italy’s coronavirus second wave would peak on Friday November 27th.

In fact, data now shows that the curve started to drop a few days earlier.

READ ALSO: Where to find the latest Covid-19 information for your region of Italy

Trento University physicist Roberto Battiston said on Thursday that Italy’s curve was starting to fall – as he had predicted on November 12th.

According to his calculations, the national Rt number, or transmission rate, is now dropping below 1.

But Battiston warned that “having reached the peak does not mean that we are out of the epidemic, but rather that we are in the most acute phase.”

In an interview with Italian newspaper La Repubblica on Friday, he warned politicians and the public that the apparently improving picture did not mean it was time to “loosen our guard.”

“Even if the overall data indicates the beginning of a descent, there are Italian regions which are still far from the peak,” he said.

Which parts of Italy are seeing the most improvement?

Large regional variations in the coronavirus situation mean that, while Battiston says he is certain that the hard-hit Lombardy and Piedmont regions had already reached the peak of new infections, in Veneto “the number of infected is still growing: the climb should, however, stop in two or three days.”

The number of current infections will peak in Emilia-Romagna by December 8th, he said.

IN GRAPHS: Track the spread of coronavirus in every region of Italy

The number of hospitalizations and intensive care admissions in these areas will peak within a couple of days after the number of infections starts to fall, he explained.

“But then there are regions which still very far from the peak,” he said, naming Abruzzo, Basilicata, Sicily, Sardinia and Puglia.

“The projections tell us that the peak could be reached there at Christmas.”

“In these areas of the country the epidemic is rising again, the Rt goes down too slowly, with frequent oscillations,” he explained. “This is a sign that something is not working.”

The president of Gimbe, Italy’s evidence-based medicine foundation, said that the change would be more gradual this time than during the first wave.

“The effects of the containment measures are also beginning to manifest themselves on the curves of hospitalization and intensive care”, Dr Nino Cartabellotta told Italian news agency Dire.

He pointed out that this “tends to take on the appearance of a plateau, rather than a peak similar to that recorded in the first wave.”

“Therefore it will take much longer to ease the pressure on hospitals than last spring, because the extent of the current containment measures is significantly lower than the total lockdown,”

Would it be safe to relax coronavirus restrictions in December?

The first hopeful signs come as the government this week works on the next set of coronavirus rules, set to come in from December 4th and to cover the Christmas period.

READ ALSO: 'A different kind of Christmas': What will Italy's coronavirus rules be over the holidays?

Though little has yet been officially confirmed by ministers, Italian media is speculating about the possible removal of current restrictions – including shop closures in red zones and the nationwide  evening curfew – before or during Christmas.

Battiston slammed the suggestion of relaxing restrictions at this point as “playing with dynamite”.

“It would cause an explosion,” he told Repubblica.

“I repeat that we are at the peak of the second wave,” he said. “It is as if, in the middle of the peak last time at the end of April, when there were 110,000 active infected, we were asked to reopen.”

“In fact things reopened in June, when the number of infected had dropped to a tenth of that. Today, it should be remembered, the number of currently infected is above 800,000.”

The European Center for Disease Prevention and Control (ECDC) has warned EU member of the risks of revoking restrictive measures too early.

According to its most recent predictive models, revoking restrictions around either December 7th or 21st would lead to a rise in hospitalizations, respectively around Christmas or in the first week of January 2021.

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BREXIT

‘We are desperate’: Why the UK must help Britons with Italian healthcare charges

A 74-year-old British woman has explained the "frustration and fear" Britons in Italy are facing when trying to access healthcare and appealed to the UK government for help.

'We are desperate': Why the UK must help Britons with Italian healthcare charges

Pat Eggleton, a teacher and writer from the UK, appealed to the UK’s Foreign Secretary David Cameron in the letter sent April 9th about the “desperate” situation faced by UK citizens entitled to free healthcare in Italy – but unable to access it.

British nationals residing in Italy before Brexit, and covered by the Withdrawal Agreement (WA), are in many cases being told by Italian health authorities that they must pay steep new fees at a minimum of 2,000 a year – even though they are exempt from paying at all.

READ ALSO: ‘Life or death situation’: Brits facing high Italian healthcare costs amid rule change uncertainty

In her open letter seen by The Local, Ms. Eggleton, who has lived in Italy since 2005, highlighted that the current minimum is a huge jump from the previous €387, and said that the sum was “difficult, or even impossible, for some to find when there had been no prior notification and there is no option to pay in instalments.”

“A great deal of undeserved worry, frustration and even fear has ensued,” she wrote.

“Some of our group have serious, ongoing health conditions. All we require is for one sentence from the Italian government confirming that Withdrawal Agreement beneficiaries do not have to pay for healthcare access to be circulated to all regional health authorities.

“We implore you to act before this becomes even more serious. As someone put it, “This is a matter not only of money, but of health.” 

Ms Eggleton’s letter came exactly one month after the British government confirmed that all WA agreement beneficiaries are exempt from paying the 2,000 fee, provided they were living in Italy before January 1st 2021.

But there were no details available at the time from the Italian government setting out how the rules would be implemented or communicated to local health authorities around Italy.

Since then, there has been no further information released by the Italian government on any official platform. 

One Withdrawal Agreement beneficiary, Graham Beresford, told The Local last week how he was having trouble accessing healthcare, even though he has a right to it.

Mr. Beresford suffers from blood cancer and needs access to the Italian healthcare system to obtain his medication. 

“Every time I go to my ASL (local health unit) 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.”

The Local has written to the Italian health ministry for comment.

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