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Covid endemic in Italy how does it affect? What experts say


Could covid be part of our lives like flu, becoming endemic? And if so, how long will it take? From Bassetti to Gismondo passing through the ema, here’s what the experts think. Bassetti Spain is preparing to manage the pandemic as a flu “and I don’t see big differences between that country and Italy. We must try to change the minds of those who govern us especially in the Ministry of Health with less theory and more practical. Italy too is ready to turn from pandemic to endemic. There are, however, too many laws, little laws, snares and snares, which are complicating our lives in an impressive way. Italy with a change of pace, follow the Spanish model “. So at Adnkronos Salute Matteo Bassetti, director of the Infectious Diseases Clinic at the San Martino hospital in Genoa. “We have almost 90% of Italians who are vaccinated (82%) or cured of the infection, and in these days with the massive increase in infections, more and more people are also protecting themselves naturally from infection – recalls Bassetti – We are therefore close to herd immunity. We have to finish doing some things that were fine a year ago but are no longer good today: the daily report of the infections that frankly does nothing but make those who read it anxious; it no longer makes sense. dab asymptomatics let’s focus on those who have the symptoms as we do with the flu; we classify as Covid cases only those who have pneumonia, listening to the doctors; let’s run with the third doses; let’s put the vaccination obligation – suggests the infectious specialist – for those he has not yet been immunized because these are the people who crowd the hospitals; but then it is necessary to have a different vision, to give the vaccinated an advantage over the non-immunized by intervening on the length of quarantines “. Ricciardi Begin to manage the pandemic with ordinary tools such as the flu? “It is everyone’s wish, but the conditions are not right. The feasibility of such a strategy must be confirmed by scientific evidence that I do not think exists at the moment. It remains wishful thinking for now”. This was explained to Adnkronos Health by Walter Ricciardi, advisor to the Minister of Health Roberto Speranza and professor of Hygiene at the Catholic University of Rome, commenting on the orientation of Spain which is preparing to prepare a plan to exit emergency management. “It is the aspiration that we all share – Ricciardi reiterates – but that must be consolidated through concrete steps and decisions based on science. It is. It is still a serious pandemic disease, with respiratory viruses, with a whole series of unknowns related to the variants that can emerge and that have emerged in an important way in the past year. To achieve this ambition, a series of measures are needed. based on evidence. It is not yet time. ” Pregliasco “There is a desire for normality, but we are in a transition phase, because we have to pass this night which is a bit long, a night that will include a commitment, let’s say until March. But the various governments want to send a message positive, the same one that we launched with the school. I share the challenge, even if I expect a number of classes in Dad in the near future, but this is the emphasis that is given by politics: we want to overcome the emergency, let’s get ready to a new normality and a coexistence with the virus “. Thus the virologist Fabrizio Pregliasco, professor at the State University of Milan, comments with the Adnkronos Salute. “In some cases they are proclamations – observes the expert – but of approach, also because otherwise the consensus diminishes and there is a risk of depression, so it takes”. As for the United Kingdom, “they perhaps let the oxen out of the barn more than us while we wanted to mitigate. It is clear that letting the oxen out – continues with the Pregliasco metaphor – you have a very fast bell curve with a peak that is reached earlier. By mitigating we lower the curve, but we spread everything over a longer time, but managing to manage everything better “. But what are the numbers that will also allow us to start managing the virus as an endemic? “The values ​​of the white zone – replies the virologist sharply – If we go further, there is still a problematic condition. There are still too many deaths, probably because we have a mix of Omicron and Delta, to be able to manage it as a flu. We are. in this transitional phase. “So the horizon is spring? “It will always depend on the unknown of new variants. However – clarifies the doctor – we will have to consider new aspects of normality. We laughed when we saw oriental tourists with masks – recalls Pregliasco – but now I think it is cleared through customs and we must clear this approach in the future. . We will no longer be able, as unfortunately happened in the past, to fall into underestimation and send the child with some line of fever to school by stuffing him with Tachipirina. In short, it will take more attention – recommends the expert – Let’s start thinking about planning, but it still takes time. The night must pass. ” Gismondo In the management of Covid-19, in Italy “unfortunately we still live in a hysteria that must end. And above all this ‘tampon factory’ must end, which is useless and is making us waste so many economic and human resources that could be invested differently” . With this consideration, the microbiologist Maria Rita Gismondo invites us to look instead at Spain, which “according to what its premier said is preparing a good plan to return to normal life. A model of coexistence with the virus which, as I have been saying for some time, we should have start planning too “, underlines Adnkronos Salute the director of the Laboratory of clinical microbiology, virology and diagnostics of bioemergencies at the Sacco hospital in Milan. If Spain’s intention is to” propose a project to be discussed at EU level for a sharing at least in the European area – the expert reasons – I believe that the time has really come to put it into action, because we have understood that this virus will remain with us for many years or perhaps forever, and because today we have the means to live together with Sars-CoV-2 minimizing its damage as much as possible: weapons such as vaccines, above all, but also such as the new antiviral drugs “. Also considering that” the trend is rso a replacement of the Delta variant with the Omicron, very contagious but with a lower pathogenicity now established “, according to Gismondo” we have all the elements to be able to think of managing Covid-19, as explained by the Spanish premier, as a seasonal flu . A disease that certainly should not be underestimated, especially for fragile people – he points out – but which is not an emergency “. Lopalco” The ordinary management of the pandemic, to be treated as a complex endemic flu, is a point of arrival for which we need to get there soon. Of course it is complicated to do it overnight. And it is impossible in full wave. But as soon as this wave has passed, in my opinion this must be the direction. “The epidemiologist Pier Luigi Lopalco, professor of hygiene at the University of Salento, tells Adnkronos Health, commenting on Spain’s decision to develop a plan for managing the pandemic with ordinary tools, as if it were an endemic flu. According to Lopalco, therefore, “a progressive approach to this modality is necessary. We don’t have to do it tomorrow, but it should be our strategy. After all, this is what we set ourselves when we began to say that, thanks to vaccination, we would have reached a peaceful coexistence with the virus. Switching to ordinary means of epidemic management is none other than this: peaceful coexistence with the virus. And it is a strategy that we have already chosen. “Cavaleri (Ema) The spread in Europe of the Omicron variant of Sars-CoV-2” worries “because, even if it seems to cause a milder disease, it will cause” many hospitalizations. At the same time, the fact that the virus is so transmissible means that many people will be exposed. This will boost immunity, “adding” a layer “of natural immunity to that provided by vaccination.” We can think that after this wave passes in Europe and other parts of the world, we will have strong “collective immunity, which is what” could open the way to “an endemic scenario, explains Marco Cavaleri, head of EMA’s vaccines, during a video briefing with the press in connection from Amsterdam, where the agency is based.” Nobody knows when we will reach the end of the tunnel , but we’ll get there. We are seeing that we move “towards a scenario where Sars-CoV-2” becomes more endemic, but we cannot say that we have already achieved that status, “he adds. The virus, he continues,” still behaves like a pandemic virus and the emergence of Omicron clearly shows this. We must not forget that we are still in a pandemic, “he says soon after.” Nonetheless, with increased immunity in the population and with Omicron there will be a lot of natural immunity beyond that given by vaccination, we will quickly move to a closer scenario. to the endemic “of the coronavirus, concludes Cavaleri.



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