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HEALTH

Italy avoids Europe’s dramatic Covid-19 surge – but for how long?

The first Western country to be struck by the devastating coronavirus pandemic, Italy is today an outlier in Europe with limited new cases compared with neighbours.

Italy avoids Europe's dramatic Covid-19 surge - but for how long?
Photos: AFP

The question is why, and will it last.

While France reported a record 16,096 new Covid-19 infections on Thursday and Spain over 10,000, Italy's number has for weeks remained below 2,000.

It has carried out fewer tests — some 120,000 per day, versus France's 180,000 — but not enough to explain the sharp difference in new infections.

Experts largely point to the success of a severe and lengthy lockdown, combined with a collective trauma.

“The epidemic hit Italy earlier… and it immediately put in place a very tough containment plan,” Professor Massimo Andreoni, an infectious disease expert at Rome's Tor Vergata hospital, told AFP.

READ ALSO: Why has Italy avoided the surge in Covid cases seen in France and Spain?

 'Radical intervention'

The lockdown enforced in early March was not lifted until May, and that much more gradually than elsewhere, he said.

Massimo Galli, infectious diseases chief at Milan's Sacco hospital, agreed, telling Saturday's Corriere della Sera daily “that radical intervention, a longer and stricter lockdown, produced a sort of protection effect”.

The World Health Organization held Italy up as an example this week, praising its “clear government advice, strong public support to reduce transmission” and information-sharing.

Photo: AFP

Masks are mandatory in all crowded public spaces between 6pm-6am – a precaution welcomed by tourists such as Swedish Louis Tietjens, who said he felt “very safe here in Italy” as he visited Rome's Trevi Fountain.

Rome's Fiumicino International Airport was the first in the world to receive five stars from the Skytrax rating agency for its management of Covid-19, which praised its temperature controls, masks, abundant hand gel and physical distancing.

The country is also running “Covid-free” flights between Rome and Milan for those who test negative.

Businesses say they are trying to go the extra mile to prevent contagion in their stores or restaurants.

'Fear of the other'

At the Green Tea restaurant in central Rome, just steps away from the Pantheon, owner Giacomo Rech explained how clients have their temperatures taken at the door, are given hand gel, and provide their details so they can be traced if necessary.

Many schools reopened mid-September, and since then some 400 have reported at least one case of coronavirus, the Sole 24 Ore daily said. Pupils with any suspect symptoms are obliged to take a coronavirus test before re-admittance.

READ ALSO: What happens if there's a Covid-19 outbreak in Italian schools?

Photo: AFP

Hospitals and research institutes have noted a rise in depression and mental health disturbances, which may also play a part in limiting contagion.

Psychologist Gloria Volpato, who works in Bergamo, Italy's worst-hit area, told AGI news agency Saturday she had seen a rise in particular of a “fear of the other”, with all contacts seen as potential contagion risks.

The smallest uptick in the infection numbers was being watched closely.

The biggest concern now is the reopening of schools this week in five southern regions that had delayed their start dates, as well as the recent admission of fans to football stadiums across Italy — though only 1,000 are allowed in per match.

“We'll be able to see the impact (over the next month), and whether Italy succeeds in maintaining these low levels or if she'll join the levels of France and Spain,” Andreoni said.

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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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