Home » Covid, Sileri on Sky TG24: “During the pandemic, other diagnoses drop”

Covid, Sileri on Sky TG24: “During the pandemic, other diagnoses drop”

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The Undersecretary of Health underlined this during the “Timeline”, according to which “we must defeat Covid, to return to 100% operations”. To do this, he said, it is necessary “to pass from a pandemic to an endemic phase: unfortunately Covid exists, it will exist, someone will always get sick with Covid, probably those who are not vaccinated will get sick in a more serious form, while those who are fit less serious, but this is a disease that has entered our books “

“Unfortunately, in this year and a half of the pandemic, we have had a reduction in diagnoses, for example of some cancers and several million services among specialist outpatients. It is true that maybe some of them were superfluous, because many times people go to the emergency room because unfortunately they do not find an answer in the area, but a large part of these are assistance to patients, for example, neoplastic patients, missed early diagnoses and so on ” . This was reported during Timeline, broadcast on Sky TG24, by the Undersecretary of Health, Pierpaolo Sileri. And, he continued, precisely in this perspective “we must defeat Covid, to return to 100% operations”.

Going from pandemic to endemic

For this reason, the goal must be to “move from a pandemic to an endemic phase: unfortunately Covid exists, it will exist, someone will always get sick with Covid, probably those who are not vaccinated will get sick in a more serious form while those who it is in a less severe form, but this is a disease that has entered our books ”, Sileri underlined. “We must transform the pandemic phase into an endemic phase, but we cannot do it alone, like Italy: in our country we can go ahead with vaccination, introduce the Green pass widely, check the numbers, which are going very well, but if at a global level, thanks to vaccination, there is no struggle in countries that cannot afford the vaccine like us then we will always have some outbreak of possible variants that could then arrive in Europe and Italy ”, he continued during his speech.

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The capacity of cinemas and theaters

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Still on the subject linked to the Green pass, with the possible increase in capacity in theaters and cinemas, the CTS and the Government will speak “next week”. In fact, the undersecretary said, “on Monday there is another meeting of the CTS, and I believe that the time is ripe to go towards an expansion. Now, unlike some time ago, we have the Green pass, which in its double form, diagnostic with the swab and vaccine, therefore prophylaxis against Covid, allows you to enlarge these meshes. Or rather, going forward we too will reach the point of being able to say that the mask is no longer needed, the distance is no longer needed: it is premature to say this, but it is not premature to increase the seats in the cinemas, to reopen the stadiums, to do concerts “, he reported. All this, however, will have to be performed “gradually, and will also depend on the type of activity because theater is one thing, cinema is another thing, and the concert is still another thing. Especially on the latter, where the risk may be greater, there is a need for greater guarantees. The Ministry of Health is working on all the hypotheses, including that of the concerts ”.

Safe activities with the Green pass

Sileri then took stock of the restart of some activities. “I am among those who pushed the most for the reopening and I guarantee that in days we will offer the solution also to demonstrate, and of this I am convinced, that with the Green pass these activities are safe”, he said. “Unfortunately, a misconception has spread, namely that the disco, the concert is the means for the spread of the virus: this could have been true a year ago, but today with the Green pass, with controlled access, and from this point of view I think that the Green pass is even better than temperature control, these activities can be done, ”he explained. However, we still need to wait “a couple of weeks, because after the summer we have resumed practically all activities, including schools which are the ones that cause more fear and you will see that there will be safety there too. Let’s see how the infections go, that is, we do not make the mistake of last year, that there was an increase in infections in September with the arrival of the second way, and then the blame was placed on the discos, even if the blame it was not theirs since the same thing had happened in other countries, but it was simply the natural course of this pandemic ”, he added.

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“The tests are to be used judiciously”

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Salivary tests: where will they be used and which ones are valid for the Green pass

Among the topics touched by Sileri, that of the tests for Covid-19. “Not all tests have a reliability. The molecular buffer remains the standard, it is evident. So based on what the industry offers us, and which science confirms as valid or not, these tests are applied depending on the type of population in front of you. The gold standard is the swab, and in between are other types of tests that are more or less usable for screening for low-risk people. There is flexibility in the use of tests also to free people from useless quarantines, for example, or to do sentinel tests perhaps in a school to see if the virus has entered there. We have a broad spectrum of diagnostics and we have to use it judiciously, not like that, randomly, ”he explained. But what is better? “Where there is high risk a molecular test is better, where there is low risk an antigenic is better, while where it is not possible to do anything better a salivary test. The use must be adequately done according to the risk class of that patient “. Then, a clarification. “Not all of these tests can be used for the Green pass because some, unfortunately, are not 100% reliable. So, since the best way to get a Green pass, and be almost certain not to get the disease or if you do take it lightly, is obviously the vaccine, we have also inserted the tampon. But be careful, because the swab cannot be superimposed on the vaccination, that is, with the swab you have a photograph of that particular moment ”, said Sileri.

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School, yes to the hypothesis of reduced quarantine

On the possibility that at school the quarantine will be reduced, and that it will be limited to classmates without being extended to the whole class, when the tests are negative for everyone, “we are working on it. Further data must be purchased: everything will depend on how the virus will circulate in the coming weeks, but it is inevitable that this will happen. I would say that in two / three weeks we will be able to make a point about the school, around 10 October ”, he confirmed.

Green pass not required in church

Among the latest issues examined, that relating to the green certificate for religious services. “Why is the Green pass in church not necessary? Because there are already strict rules that date back to a protocol of May 2020. If those rules are removed then the Green pass is inserted, but if they are maintained then it is useless. The restrictions already in place are probably better than the Green pass, ”he commented.

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