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HEALTH

How will Italy’s Covid-19 strategy change under the new government?

As Italy's newly sworn-in government sets to work this week, it has already begun changing the coronavirus rules. Are major changes to the country's strategy now on the way?

How will Italy's Covid-19 strategy change under the new government?
Some tourism has been allowed to restart in Italy under the current system of regional rules - but is this about to change? Photo: AFP

Italy’s ski slopes had been set to reopen on Monday, February 15th, for the first time this winter season under coronavirus restrictions.

But on Sunday evening, the new Italian government unexpectedly blocked the planned reopening, causing outrage among local authorities, tour operators and the public .

READ ALSO: Anger in Italy as Monday's reopening of ski slopes cancelled

The sudden about-turn was down to rising concerns about the spread of new coronavirus variants, according to the health ministry.

“Concern about the spread of this and other variants of Sars-Cov-2 has led to similar measures being taken in France and Germany,” the ministry said in a statement.

While anger at the move was largely directed at the health minister, Italian media on Monday reported that the decision came from Palazzo Chigi – the new prime minister’s office.

Many are now asking whether this is a sign of major changes to Italy’s coronavirus strategy to come under Draghi’s new government.

Under the previous government, restrictions in Italy were loosened in recent weeks. Health experts said Italy was “bucking the trend”, while many other European countries tightened rules amid concern about variants.

But the new government is under increasing pressure to change course and implement similar measures to France and Germany.

Italy's new prime minister Mario Draghi was sworn in on Saturday. Photo: Alberto Pizzoli/Pool/AFP

The government's technical and scientific committee (CTS), which advises on – but does not decide – the rules, on Monday called for reinforced measures to “contain and slow” the spread of variants.
 
While it's not immediately clear what measures it recommends, several leading health experts have recently called for an urgent lockdown.

Walter Ricciardi, professor at Rome's Catholic University and a member of the CTS, said it was “urgent” for the new government “to immediately change the strategy to combat Sars-Cov-2”.

READ ALSO: Where are the new Covid variants spreading in Italy?

“It is clear that the strategy of coexistence with the virus, adopted so far, is ineffective and condemns us to instability, with a heavy number of deaths every day,” he told news agency Ansa.

“An immediate total lockdown is needed throughout Italy, but of limited duration. I will talk about it with (Health) Minister Speranza this week,” he said.

Virologist Andrea Crisanti, another government health advisor, also called for “a tough lockdown immediately, to prevent the English variant from becoming prevalent and to prevent it from having devastating effects like in England, Portugal and Israel,” stressing that the current zone system was “not enough”.

Others, including the director of Rome's Spallanzani Infectous Diseases Institute, Francesco Vaia, and the Puglia region's health councillor, Pierluigi Lopalco, say the future strategy should be more focused on “selective” closures.

Italy’s current regional tiered system of restrictions has been in place since November 6th – except for during the Christmas holidays, when a series of nationwide ‘mini-lockdowns’ were enforced.

Restaurants, shops and other businesses are subject to closures under Italy's tiered system of coronavirus measures. Photo: AFP

The current rules mean regions can be moved in and out of red, orange and yellow zones, each with different rules, based on the level of contagion risk locally. Classifications are revised weekly based on regional health data.

In recent weeks however, many towns and provinces have been declaring their own local lockdowns or red zones in response to spikes in infection rates. 

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

There has been no comment so from ministers in the new government, which must yet face a vote on Wednesday to gain parliamentary approval. This is widely seen as a formality, however, and the government is not expected to face any problems passing the vote.

Draghi is expected to outline a strategy when he speaks in the Senate this week.  He has already indicated that controlling the spread of variants is a priority for the new government, along with speeding up the mass vaccination campaign.

For now, he has warned members of his cabinet only to make announcements “when there is something to say”.

Italy’s current set of rules is expected to stay in place until March 5th, when a revised emergency decree is due – the first to come under Draghi’s government.

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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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