Coronavirus: 52 positives in the Chiaravalle home for the elderly. A health bomb

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An outbreak that threatens to tilt the entire Calabrian regional health system. A residence for the elderly that, after Lodi, Palermo, Messina, Brescia, and the countless ones still under observation, turns into a potential health bomb. At Domus Aurea in Chiaravalle Centrale, in the province of Catanzaro, out of 60 guests and 41 employees, in less than 24 hours 52 positive cases were ascertained coronavirus, including 40 inpatients and 12 operators, of whom 34 already with fever and 7 immediately transferred to hospital. Another 15 other cases are to be re-evaluated because they are doubtful. “A catastrophe” is commented to the Health Department of the Region, where we start to think about the numbers. And the scenario is potentially disastrous.

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Three weeks from first lockdown that closed Italy at home and made concrete and urgent the need to prepare throughout the national territory for the potential spread of the epidemic, Calabria continues to deal with the small size of its health system. In spite of the promises of rapid expansion, the 107 intensive care places, already 80% occupied, therefore with just over 20 beds actually available, increased only a few dozen three weeks ago. Now there are 139 on paper, but the budget has already been eroded by the first 23 Covid-19 positive patients who need respiratory assistance. Translation, in the whole region there would remain only about forty places, less than 52 positive results only in Chiaravalle, while the contagions are growing throughout Calabria.

“We have 73 pulmonology posts, 53 in activation, and 146 posts in infectious diseases,” said the governor yesterday Jole Santelli to the Regional Council, which met two months after the elections for the first time. But since the last regional bulletin 101 have already been occupied, with a percentage of growth of cases that is around 30 more per day. A number destined to splash towards the other with what is already the “Chiaravalle case” in Calabria.

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To reveal the trouble, the rapid worsening of the health conditions of a patient over the age of ninety. Persistent fever, relentless cough. The symptoms were clear and all too well known and she was immediately subjected to a tampon. When the positive result arrived, the alarm immediately went off. Patients and staff have all been screened and the result – still partial – is a cause for alert for the whole region. And not only because an outbreak in a structure in which “sensitive cases” and high-risk hospitalization, as well as mortality, are concentrated, it risks putting the entire system in trouble, but above all because the social networks that are intertwined with potentially Domus Aurea of ​​Chiaravalle.
A village of six thousand souls overlooking the Ionian Sea from the hills, central Chiaravalle acts as a hinge between the Catanzaro and Vibonese areas and lives in symbiosis with all the neighboring municipalities. Together with four others, it has been declared a red area from which you cannot enter or exit, but the viruses do not respect the check points and it is an entire area – from which employees and families of patients come, until recently authorized to regular visits – to gravitate around the Domus Aurea. An epidemiological investigation, however, is currently substantially impossible. According to some rumors, there are not enough swabs and operators. Masks, suits, glasses are missing. For now, therefore, we are trying to close the gap. The Region has entrusted the establishment of a crisis unit to the Security Department to manage the situation, but at the moment it is possible to manage.The possibility of moving inpatients and positive operators to a hotel for quarantine, due to unavailability of managers or structural deficiencies, has been decided to divide them by floors within the same residence. A drastic change of course dictated by the regional crisis unit, which overturns the first provisions with which the managers of the residence had forced everyone – including negative employees – not to leave the structure, without having any type of division by cluster.

In the meantime, attempts are made to at least reconstruct the map of the contacts of operators and patients on paper, in order to have a clear understanding of the army of people to be monitored and quarantined. To test them there seem to be no means. And then there is the yellow on how the epidemic has come among the elderly of the Domus Aurea. According to rumors, the “patient zero” would be an operator, who immediately warned the managers of the facility to have a positive acquaintance at Covid-19. But his request to abstain from work for the necessary quarantine would be sent back to the sender. All circumstances to be verified, say from the Region. But after. Now the priority is to try to plug the leak, in the hope that it will not become a crater capable of sinking the ship.

Coronavirus: updates and latest news

Coronavirus, the Covid-19 pandemic: the situation

information updated to March 24, 2020

The epidemic in Italy and in the rest of the world of Covid-19, the disease caused by coronavirus Sars-Cov-2, goes on. In Italy there are about 40 thousand infected and the victims in our country have exceeded those in China: we are the country with the most deaths in the world. The emergency is bringing entire regions to their knees, especially Lombardy. The biologist: “From Lombardy senseless numbers“.

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