“The decline in incidence, mortality, age of infections and pressure on welfare services continues, while the national over 80 population has almost completed the first dose vaccination” against Covid-19. This was revealed by the weekly report from Altems, the High School of Economics and Management of Health Systems of the Catholic University, Rome campus. “The past week shows a decline in the weekly incidence of infections from Covid-19, recording a national value of 95 per 100 thousand residents – the report emerges – The apparent raw lethality, at national level in the last week, is equal to 2.75 per 1,000 (down from the previous week analyzed, 2.94 per 1,000), while the apparent crude mortality, nationwide, was 2.17% (down compared to the last week analyzed, 2.55 %). As of May 10, all Regions are below the thresholds of 30% and 40%, those beyond which there is an overload respectively for intensive care and for the non-critical area “. The report also underlines “the increase in telemedicine initiatives in the Covid-19 era, but the greatest increase regards initiatives dedicated to non-Covid patients”, it is specified. “The 52nd edition of the report proposes a focus on the resilience of health systems with reference to ordinary services. A good organization – says Americo Cicchetti, director of Altems – is certainly indicative of the resilience capacity of health systems. hospitalization, surgical admissions, day hospital, outpatient specialist) lost in 2020 due to Covid and the reaction capacity of the Regions (measured as speed in defining resolutions and documents for restarting after phase I), we have identified 4 approaches: proactive, proactive non-impacting, reactive non-impacting, reactive “.” The Regions identified as proactive – explains Cicchetti – are those that reacted earlier, issuing resolutions for the resumption of activity immediately after the end of phase 1. This organizational capacity has resulted in a less decrease in activity compared to the previous year On the contrary, the Regions more rea tive, or those that took more days to resume ‘ordinary’ activity, would seem to have paid a heavy price in terms of decrease in activity compared to the previous year “.” Between these two approaches – says Cicchetti – we note two other behaviors from the Regions. In fact, some Regions we have identified with non-impacting proactive activity, despite having promptly approved the resumption of ordinary activities, recorded strong contractions in activity, probably due to the absence of health mobility in income and / or the circulation of the virus that did not allow a full restart. Finally, in other Regions the late restart would seem not to have affected the decrease in activity compared to 2019: these are – concludes Cicchetti – Regions characterized by a reactive, non-impacting approach “.