Italy’s biggest cities ‘out of control’, warns health expert as new cases top 15,000

As Italy's new cases hit a record high, one of the government's top health advisors has warned that the biggest Italian cities are already beyond the point where tracing and testing can contain the surge.

Italy's biggest cities 'out of control', warns health expert as new cases top 15,000
Passengers non a crowded metro in Milan this week. Photo: Miguel Medina/AFP

“Certain metropolitan areas like Milan, Naples and probably Rome are already out of control in terms of containing the pandemic,” said infectious disease expert Walter Ricciardi, who advises Italy's health ministry on Covid-19.

“Their numbers are too high to be contained by the traditional method of tracing and testing. And as previous epidemics teach us, when you can't contain you have to mitigate, namely you have to block movement.”

Italy reported another record increase in coronavirus infections on Wednesday, registering 15,199 new cases in 24 hours. 

Another 127 people died, up from 89 the previous day.

Two of the regions currently reporting the highest numbers of new cases, Lombardy and Campania, have imposed the strictest limits on movement since Italy ended its nationwide lockdown.

In Campania, residents are now restricted from leaving their own province unless it's essential, while in Lombardy from Thursday people must stay indoors nightly between 11pm and 5am. 

READ ALSO: Curfews, closures and distance learning: How Italy's regions are tightening Covid-19 restrictions

The northern region on Wednesday reported its highest number of new cases in one day since the pandemic began, detecting more than 4,000 positives out of some 36,000 tests in the past 24 hours.

In Lombardy's biggest city, Milan, a field hospital in a conference centre has been reopened as local authorities brace for a surge in more serious cases.

As regions tighten the rules locally, some experts are calling for new national restrictions – something that the government has so far resisted since phasing out its long and costly lockdown in May.

Having acted swiftly at the beginning of the emergency, Italy “has followed the decision-making model of other countries, whose leaders had neither the courage, the capacity nor the timing to take the right decisions at the right moment,” said Ricciardi on Wednesday, in comments to a webinar quoted by Rai News.

He urged politicians “to be brave and understand that you can't rebuild the economic fabric unless you secure your people's safety”. 


But Prime Minister Giuseppe Conte insisted that Italy could avoid another general lockdown.

“We can't use the same strategy to fight the second wave as we did in spring,” he told the senate on Wednesday. “Now we're in a different situation that we were in in March: back then we didn't have the means to diagnose, now we're readier thanks to the hard work and sacrifices of all.”

Schools would remain open, Conte said, albeit with partial distance learning for older pupils, and the government would avoid general, nationwide closures of businesses.

Yet the prime minister encouraged people to stay at home voluntarily: “We must all strive to limit infections, to limit unnecessary travel. If we make these sacrifices, we will avoid harder measures.” 

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WHO expects more monkeypox-related deaths in Europe

The World Health Organization's European office said Saturday that more monkeypox-related deaths can be expected, following reports of the first fatalities outside Africa, while stressing that severe complications were still be rare.

WHO expects more monkeypox-related deaths in Europe

“With the continued spread of monkeypox in Europe, we will expect to see more deaths,” Catherine Smallwood, Senior Emergency Officer at WHO Europe, said in a statement.

Smallwood emphasised that the goal needs to be “interrupting transmission quickly in Europe and stopping this outbreak”.

However, Smallwood stressed that in most cases the disease heals itself without the need for treatment.

“The notification of deaths due to monkeypox does not change our assessment of the outbreak in Europe. We know that although self-limiting in most cases, monkeypox can cause severe complications,” Smallwood noted.

The Spanish health ministry recorded a second monkeypox-related death on Saturday, a day after Spain and Brazil reported their first fatalities.

The announcements marked what are thought to be the first deaths linked to the current outbreak outside Africa.

Spanish authorities would not give the specific cause of death for the fatalities pending the outcome of an autopsy, while Brazilian authorities underlined that the man who died had “other serious conditions”.

“The usual reasons patients might require hospital care include help in managing pain, secondary infections, and in a small number of cases the need to manage life-threatening complications such as encephalitis,” Smallwood explained.

According to the WHO, more than 18,000 cases have been detected throughout the world outside of Africa since the beginning of May, with the majority of them in Europe.

The WHO last week declared the monkeypox outbreak a global health emergency.

As cases surge globally, the WHO on Wednesday called on the group currently most affected by the virus — men who have sex with men — to limit their sexual partners.

Early signs of the disease include a high fever, swollen lymph glands and a chickenpox-like rash.

The disease usually heals by itself after two to three weeks, sometimes taking a month.

A smallpox vaccine from Danish drug maker Bavarian Nordic, marketed under the name Jynneos in the United States and Imvanex in Europe, has also been found to protect against monkeypox.