“I can think that the administration of a possible fourth dose of the anti-Covid vaccine could be useful to people with significant frailties who, in a documented manner, have not responded to the third dose. The response of fragile categories to vaccination should be evaluated.” Massimo Galli, former director of Infectious Diseases at the Sacco hospital in Milan, tells Adnkronos Health about the ‘race forward’ on a further vaccination dose in some countries. “The countries that start administering a fourth dose will give us data before the others. Let’s see what will happen and from this information we can make suggestions. But a strategy like this, on the spot, without having other data”, according to the expert “it does not make sense”. COVID CASE COUNT – According to Galli, eliminating asymptomatic people from the Covid case count would be “absolute nonsense. People who are infected with the virus represent a defining context for the epidemiological state. And it makes absolutely no sense to do cosmetic operations by deciding. to consider only the symptomatic. We are faced with an infection that spreads on the basis of the number of people who become infected. And therefore those must be counted. Covid cases. “These – he underlines – are ideas for pretending that things are less relevant than they actually are. It is absolutely useless to define the counts in different terms. And among other things, with respect to the proposal, the question is: up at what point should we consider the symptomatic picture? We only evaluate who is in hospital? But what sense does it make! Really take into consideration what is happening – exhorts the expert – that is, that many people are becoming infected. And that we must try to put a barrier to all this. Instead, we don’t need to pretend that things are better than reality “.