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Italy today

Postby Kazirg В» 21.02.2020

.

That glimmer of hope has turned the conversation to the daunting challenge of when and how to reopen without setting off another cataclysmic wave of contagion.

To do so, Italian health officials and some politicians have focused on an idea that might once have been relegated to the realm of dystopian novels and science fiction films. That debate is in some ways ahead of the science. Researchers are uncertain, if hopeful, that antibodies in fact indicate immunity.

But that has not stopped politicians from grasping at the idea as they come under increasing pressure to open economies and avoid inducing a widespread economic depression. Prime Minister Giuseppe Conte said that while the lockdown remained in place, the government had begun working with scientists to determine how to send people who have recuperated back to work.

Italy was the first European country to announce a nationwide lockdown, which it began on March 9. But the rate of new infections slowed this week — on Saturday, there were about 4, new cases, less than in recent weeks — leading officials and emergency medical workers alike to talk with guarded optimism. But the debate over an antibody-based work force has once again placed Italy at the unfortunate vanguard of Western democracies grappling with the virus, its uncomfortable ethical choices and inevitable aftermath.

Such questions have already been raised by the wrenching decisions of doctors to treat the young, with a better chance of life, before the old and sick. But at some stage, nearly all governments will have to strike a balance between ensuring public safety and getting their countries running again. They may also find themselves weighing what is best for society against individual rights, using biological criteria in ways that almost certainly would be rejected absent the current emergency.

Scientists in Italy, like their counterparts in Germany, the United States, China and beyond, are already studying whether antibodies are a potential source of protection or immunity from the virus.

China has slowly reopened its economy, focusing on preventing another wave of infection arriving from overseas. In New York, Gov. Andrew M. Cuomo has envisioned a strategy in which younger people, and people who have antibodies showing they have been cured of the virus, can go back to work. No country has been hit harder by the coronavirus than Italy, and no province has suffered as many losses as Bergamo. Photos and voices from there evoke a portrait of despair.

Italy, by dint of its early and widespread exposure to the virus, has an opportunity to gain insight into how the virus works and the biological properties that protect against it. Next week, Veneto plans to begin collecting , blood samples from people across the region — first from thousands of health care workers and then public employees — to study in labs the antibodies of people who have the virus and those who have healed from it.

Nowhere in Italy is the pursuit of the antibody strategy more intense than in Veneto. With its wealth of resources, high-profile consultants and biotech presence, it may now be uniquely positioned to influence the global conversation and provide insights for the rest of the world. After the outbreak, officials there took the extraordinary step of swab-testing the entire population of 3,, including people without symptoms.

That helped eliminate an outbreak, and now officials plan to carry out antibody testing and genome sequencing on the entire population to try to detect patterns in who was and was not susceptible to the virus. Crisanti emphasized the need for a carefully designed strategy to unlock Italy that would make use of contact tracing, protective gear and aggressive testing of post-virus antibodies.

Crisanti said. Scientists in Italy said the virus resulted in two types of antibodies, a first that usually appears within five to six days after exposure to the virus, and which fades after 20 days. As a person heals, that antibody, which indirectly shows contagion, is slowly replaced by another antibody, which indirectly shows that a person has had the virus.

When only the second antibody is detected, it means the person is probably no longer infected. The antibodies in healed Italians could be a valuable tool in determining who could safely exit quarantine to work, Dr. Martini said, the comprehensive testing identified people who were infected but asymptomatic and kept them from spreading the disease.

But the outcomes may not be great news for individuals who, potentially under the law, will remain marginalized from society. In Veneto, Mr. Because Italy was further along in cases, researchers are able to track many patients over a long period of time to determine if immunity had developed. This is a difficult question, because a lot depends on how well the virus is contained. McClellan, Lauren Silvis and Crystal Watson staked out four goal posts for recovery : Hospitals in the state must be able to safely treat all patients requiring hospitalization, without resorting to crisis standards of care; the state needs to be able to at least test everyone who has symptoms; the state is able to conduct monitoring of confirmed cases and contacts; and there must be a sustained reduction in cases for at least 14 days.

The Times Neediest Cases Fund has started a special campaign to help those who have been affected, which accepts donations here. Charity Navigator , which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak.

You can give blood through the American Red Cross , and World Central Kitchen has stepped in to distribute meals in major cities. More than 30, coronavirus-related GoFundMe fund-raisers have started in the past few weeks.

The sheer number of fund-raisers means more of them are likely to fail to meet their goal, though. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

The C. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. They will decide if you need to be tested. It seems to spread very easily from person to person, especially in homes, hospitals and other confined spaces. The pathogen can be carried on tiny respiratory droplets that fall as they are coughed or sneezed out.

It may also be transmitted when we touch a contaminated surface and then touch our face. Clinical trials are underway in the United States, China and Europe.

But American officials and pharmaceutical executives have said that a vaccine remains at least 12 to 18 months away. Unlike the flu, there is no known treatment or vaccine, and little is known about this particular virus so far. It seems to be more lethal than the flu, but the numbers are still uncertain. And it hits the elderly and those with underlying conditions — not just those with respiratory diseases — particularly hard.

If masks are available, both the sick person and the caregiver should wear them when the caregiver enters the room. Make sure not to share any dishes or other household items and to regularly clean surfaces like counters, doorknobs, toilets and tables. Plan two weeks of meals if possible. But people should not hoard food or supplies. Despite the empty shelves, the supply chain remains strong.

And remember to wipe the handle of the grocery cart with a disinfecting wipe and wash your hands as soon as you get home. Even if you just hang out in a park, rather than go for a jog or a walk, getting some fresh air, and hopefully sunshine, is a good idea. Watching your balance go up and down can be scary. The Coronavirus Outbreak. Fearing a new outbreak, China warns its citizens in Russia to stay there.

See more updates Updated 4m ago. More live coverage: Markets U. New York. Emma Bubola contributed reporting from Verona. Home Page World U.

Coronavirus update: Italy struggles to combat 'tsunami' of cases - DW News, time: 9:47
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Postby Yozshusar В» 21.02.2020

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Postby Maulkree В» 21.02.2020

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