the second booster dose bookable with the flu vaccination, reduced isolation times
At the press conferenceISS on Covid procedures and update on the vaccination campaign.
Doctor Pierluigi Arcangeli, territorial Covid responsible group, update on the new procedure that will be followed to manage positive patients. “IS changed the shape in which the virus appears, – he announces – we change too, we try to adapt, always keeping the reference points under control “. To guarantee the patient safety a virtuous circuit will be established between Covid Team and general medicine. Underlines the importance of managing, alongside the “strongest” patients, i immunosuppressed subjects, which must be followed in the territory one by one. The communication of positivity goes communicate in real time, without waiting for days to activate the necessary safeguards. Another fundamental point is the correct and complete information that must reach the positive patient.
Then stress the importance of rationalize and monitor the resources available, which are not infinite. “We have to make sure that the hospital alivesurvive – he explains – and recover the work of previous years, without leaving positive patients alone “. The role of Inter-territorial Operations Center which will refer patients from now on mainly to the general practitioner in the case of mild symptoms. Faced with situations of important symptom there will be an exchange of resources between covid team and general medicine, who will work in harmony even if a home visit is necessary.
The patient with positive symptoms can interface with useful numbers to communicate your symptoms and reserve the tampon. In the case of positive a person a high risk contact with the covid team takes place during the day because its needs are different and higher than the normal population.
They have been for a few days changed the times of isolationcome to Italy routine isolation is 5 dayswith exit from the disease with a negative buffer. See the swab it’s still positive after 5 days there are two possibilities: the exit 9 days later, on the fourteenth day without a tampon. Otherwise there is the possibility of getting out of isolation by reserving a tampon within the fourteenth day, if it is then negative.
The health figure of the the quarantine has been lifted, but remember the importance of washing your hands, airing them, using disposable cooking, isolating laundry washing and using face masks. “They don’t want patients to feel in prisonbut only follow-up “specifies. The doctor Ivonne Zoffoli specifies that the patients’ positivity will be written on the electronic health record, by telephone if they have not activated it.
Doctor Agostino Ceccarini, director of primary care, highlights the new role of general practitioners, contactable through the COT, which takes over the management of patients in this phase in which the virus appears less aggressive. With important symptoms, the doctor will decide whether to contact the covid team for a different management. He points out that for immunocompromised patients there will be a careful management, even on a daily basis.
Regarding the management of patients in time slots outside working hours or in weekend there emergency medical Service will have the honor and the burden of starting the procedural process necessary to monitor the infection and not postpone the start of isolation. The insertion of the swab of the medical file will be managed in this case by medical and nursing staff, to ensure the exact timing of the isolation. If a certificate of illness is required, an email can be sent to the covid team with the result of the swab to receive it.
Arcangeli regards that, as far as i childrenthe reference point remains there pediatrics, which also continues to deal with clinical management. A positive swab and a negative swab also provide a healing certificate on the electronic health record, which is still in great demand by some work facilities.
From February 2021, it highlights Ivonne Zoffoliwas 82% of the population vaccinated from 5 years of age with two doses, the 60% did the third dose. With the second dose boosterrecommended for the elderly, have been vaccinated 498 people. “She was the demand is very low of fourth doses “he notes. He announces that the anticovid vaccination of the booster doses will be carried out in conjunction with the influenza vaccines.
“The results obtained with vaccinations are extraordinary, – explains Dr. Massimo Arlotti, infectious specialist and former extraordinary commissioner of the pandemic, – the initial objective was to obtain aa herd immunity in the population to reduce the circulation of the virus and lead to extinction “. “It was not possible – reported – for the ability of the virus to mutate and because of the loss of efficacy of immunity both vaccines and end of illness “.
“Vaccines – he adds – have had and will play the role of in the future protection from the spread of the disease“. He explains that their effectiveness has made it possible to prevent the serious evolution of the disease. The impact in health facilities of the latest wave is less due to the reduced effectiveness of the virus reached up thanks to vaccinations. “The last variants I’m no less aggressive, – specifies – I am less effective because most of the population has it immunized“. The European health authorities recommend for the new vaccines, ambivalent and trivalent more effective against variants, vaccination in some groups of people, especially those who have greater chance of having serious damage from the virus.
A new anticovid vaccination it is especially recommended for over 60 if the health conditions are not optimal, essential for those who have more than 65 years oldas well as for i subjects at riskguests and staff RSA and the pregnant women. It is about dose booster which can be used after the second or third dose. The newly introduced vaccines are much more effective against the new variants.
“The epidemic is probably having an all-time low, – he declares – the WHO Director said that there has never been such a low point”. The cases are probably underestimated given that there are also those who do not swabs, but the fact remains that “mortality is greatly reduced”, so “the efforts made have served”.
On the flu vaccination, he specifies that the flu has already appeared this year with the H2N3 virus. “The flu is likely to give more problems than in the past“, given that after two years of covid the circulation of the flu has been lower and a critical mass of people has formed who can be infected. Abroad, the flu has been a consistent problem. He therefore advises to combine the vaccination anticovid for those at risk with the flu.
The vaccination campaign will start when the vaccine supply reaches San Marino. The ISS will communicate times and places as soon as they are available in the pharmaceutical center.