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Green Pass Italy, the hypotheses on the table

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Green pass, the extension of validity to 12 months is evaluated. For now the duration of the green certificate is 9 months, but the Technical Scientific Committee is expected to meet tomorrow to discuss an extension of the time as requested by the Ministry of Health. Under consideration there should also be the possibility of standardizing it for everyone, even for the healed. Meanwhile, the meeting with the Regions on the topic of transport and the strengthening of anti-Covid measures is already expected today. “The question of transport – says the Minister of Infrastructure Enrico Giovannini – does not only concern the reopening of schools, but also the return to work: for months we have been working with Regions, Municipalities and local public transport managers to prepare for this restart. guidelines have been defined, in collaboration with the Regions, are now under the attention of the CTS “. Last Monday, he explains, “the deadline by which the Regions had to send us their expansion plans has expired”. “In recent months – he recalls – precisely the loans given by the State have allowed the local public transport service during peak hours to be increased by 15-20% on average and the coverage rate on public transport has been raised to 80%”. Furthermore, “it must also be taken into account that many people will choose private transport, leading to a reduction in demand for public transport, even if this is not good news for city traffic”. the transport sector “is under discussion, as is the use of the green pass for other categories of workers” explains Giovannini.Trasporti, but also schools in view of the forthcoming reopening of schools. “For the safe return to school I see no other solution than the Green pass, both for teachers and school staff” says Massimo Andreoni, scientific director of the Italian Society of Infectious and Tropical Diseases (Simit) and head of Infectious Diseases at the Polyclinic Tor Vergata of Rome. “We are witnessing the demonstration that vaccines work and help us against Covid, just look at what is happening in Sicily, one of the regions with the lowest vaccination rate, with a resurgence of cases”. “If we think that you need a Green pass to eat in a restaurant, I don’t see why anyone who enters a school shouldn’t have it”, remarks the infectious disease specialist, who judges “the correct choice to extend the Green pass deadline” to 12 months. HYPOTHESIS OF THE EXPERTS Among the experts the prevailing opinion is for an extension of the validity of the Green Pass. “I was the first to say that it was necessary to bring the Green pass to 12 months, so the hypothesis of an extension of the deadline seems to me a correct choice” comments, speaking with Adnkronos Health Matteo Bassetti, director of the infectious diseases clinic of the San Martino hospital in Genoa. “Obviously this is only for those who are vaccinated with two doses, absolutely not for those who are cured and have not yet immunized or have decided not to get the vaccine. For the latter, after the verification of the antibodies, the duration of the Green pass could remain 9 months “. “The proposal to extend the validity of the Green pass to 12 months has a scientific logic, there is an objective operational need and in the next 3 or 4 months there is also the hope that a more effective booster vaccine may arrive in comparisons of variants. For these three reasons I believe that a decision in this sense is right “, explains to Adnkronos Salute Carlo Signorelli, professor of Hygiene and Public Health at the Vita-Salute San Raffaele University in Milan. From a scientific point of view” there is no evidence that 9 months after the conclusion of the vaccination cycle there is no longer protection against severe forms of disease. We are now seeing it. Therefore, there is the scientific basis to be able to go in this direction. From an operational point of view then, it allows us to better prepare ourselves to possibly make the third doses. In September, in fact, we still need to do to reach that 80% ceiling “. “Since we have found that the protection given by the anti-Covid vaccination lasts longer than the six months initially observed, reaching 9 and even 12 months, it is clear that it is appropriate to consider extending the validity of the Green pass. This does not mean to say, however, that we must not provide a dose of recall, first, for the most fragile people. The two interventions are not in contradiction with each other but are to be considered synergistic “, comments to Adnkronos Health Walter Ricciardi, advisor to the Minister of Health Roberto Speranza and professor of Hygiene at the Catholic University of Rome. “It is right – reiterates Ricciardi – to consider the extension of the Green pass, in the certainty that people remain protected, because we are gradually accumulating data according to which the protection is more prolonged than we initially thought. But it is unthinkable that this is true in the most vulnerable people. At the same time, different strategies for healthy people who have a protective antibody response even after some time and for people who have less protection “. “I am clearly in favor of extending the Green pass even beyond a year, certainly giving priority to vaccinated people in double doses (except for those recovered who therefore need a single dose) but without abandoning the tampon”. The director of the Inmi Spallanzani of Rome, Francesco Vaia, underlines this, adding, “as other authoritative colleagues have been preaching for some time, it would be the case, especially in schools or other communities, to intensively resume tracing, an instrument that is always valid as we do. always supported “.” We do not use shortcuts for surreptitious decisions but we leave science free to make its own contribution – Vaia recalls – A free science, I will repeat it to the point of being exhausted, by industrial or geopolitical interests “.” From a point of view strictly immunological we are not proceeding exactly according to the canons of personalized medicine. I understand that it can be difficult to create a Green pass ‘tailored’ to the conditions of the individual person, but we cannot ignore the different individual histories and the levels of immunity that have been achieved “. This was stated at Adnkronos Salute by the clinical immunologist and allergist Mauro Minelli, coordinator for Southern Italy of the Foundation for Personalized Medicine. a renewal of the Green pass even at 3-6 months, the other is those who have had the disease and maybe even vaccinated. For the latter the duration of the Green pass could be even more than a year “, observes the immunologist.” the fixed rule that the certificate lasts a year or six months, from the point of view of clinical immunology does not hold, much less also for personalized medicine. Where possible, given that we have the antibody monitoring tool, let’s use it and maybe put it as The Local Health Authorities – suggests Minelli – could monitor the progress of the vaccine before deciding even when the third dose will have to be done, assuming that it will have to be done by force, and begin I love to screen the various situations to evaluate the duration of the antibodies and understand how long the Green pass can last “. “Since we have found that the protection given by the anti-Covid vaccination lasts longer than the six months initially observed, reaching 9 and even 12 months, it is clear that it is appropriate to consider extending the validity of the Green pass. This does not mean to say, however, that we must not provide a dose of recall, first, for the most fragile people. The two interventions are not in contradiction with each other but are to be considered synergistic “, comments to Adnkronos Health Walter Ricciardi, advisor to the Minister of Health Roberto Speranza and professor of Hygiene at the Catholic University of Rome. “It is right – reiterates Ricciardi – to consider the extension of the Green pass, in the certainty that people remain protected, because we are gradually accumulating data according to which the protection is more prolonged than we initially thought. But it is unthinkable that this is true in the most vulnerable people. At the same time, different strategies for healthy people who have a protective antibody response even after some time and for people who have less protection “.

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