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Influence And COVID-19 they are creating a very difficult situation in hospital emergency departments. In fact, this year the flu season, with the so-called Australian flu, had a rather abrupt start, without considering the unstoppable spread of Covid-19. A dangerous mix which made it grow 50%, compared to last September, access to the emergency room. And the situation will only get worse in the coming weeks, especially during the holiday period, when the exchange of viruses is usually higher. A dramatic situation wholly expected, but nothing has been done to avoid it. This is it complaint by the president of the Italian Society of Emergency and Urgent Medicine (Simeu) Fabio De Iacoaccording to which “the situation is dramatic almost everywhere, no longer localized only in regions such as Lazio, Sardinia, Piedmont, Campania, Lombardy, but also in Veneto, Emilia Romagna, Tuscany or Friuli Venezia Giulia”explains the expert toHandle. “We expect peak during the holidayswhen we will have more elderly patients but also more sick colleagues and therefore the need to cover more shifts with the same staff, which is already very scarce”.
The sum of the factors
In addition to one flu season anticipated by about a month compared to past years, which is especially affecting the majority young, the spread of Covid-19 has started to increase againwith numbers, according to De Iaco, which are much greater than the official ones reported by the positivity of the swab. “Many arrive with flu symptoms in the emergency room and we discover that it is Covid only at the time of the swab”says the expert. “Besides, i symptoms today they are indistinguishable. And for the positives we have difficulty finding spaces and personnel for isolation ”.
An underestimation, that relating to the diagnosis of COVID-19which is reflected in a recent study published in the magazine Epidemiology and prevention of the Italian Association of Epidemiology, according to which up to two out of three diagnoses of Covid-19 may have never been notified. More precisely, according to the analysis, in the first two years of the pandemic, the distribution by age of the frequencies of diagnosis had been fairly constant, while from January to last November a decrease in diagnoses was observed among young people and an increase in that among the elderly. The hypothesis put forward by the experts is that many diagnoses may have remained hidden and never communicated to the local health authorities. “It seems to be possible to believe that unnotified diagnoses could be more frequent in younger subjects who thus intend to escape checks albeit, we hope, maintaining a correct isolation behavior”the experts explain.
Evolution
Furthermore, according to the estimates reported by monitoring independent of Gimbe Foundationrelating to the week from 2 to 8 December 2022, the number of total swabs it is down (-5.2%), in particular rapid swabs by 4.7% and molecular ones by 7.3%. “The 7-day moving average of the positivity rate rises from 13.5% to 14% for molecular swabs and from 17.8% to 18.1% for rapid antigens”, reads the document. On the front of hospitals hospitalizations are rising both in intensive care (+4.7%) and in the medical area (+9%) and also the deaths. According to the analysis, in the week of December 2 to 8, deaths for COVID-19 have increased by8% (from 635 to 686, of which 15 refer to previous periods), with an average of 98 per day, compared to 91 in the previous week.
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