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Analysis: How much longer will all of Italy remain a Covid-19 ‘white zone’?

As coronavirus cases begin to rise again in Italy it seems only a matter of time until health measures are reimposed. But this may not happen for a while longer than first thought, due to upcoming changes to the country's tiered system of restrictions.

Analysis: How much longer will all of Italy remain a Covid-19 'white zone'?
Photo: Filippo Monteforte/AFP

There has been widespread concern about just how quickly health restrictions – potentially including restrictions on businesses and the banning of large events – could make a comeback in Italy after several regions recently recorded sharp increases in the infection rate.

Since the end of June, every region of Italy has been in the low-risk ‘white’ zone – the least restrictive of the country’s four tiers or zones: white, yellow, orange and red.

READ ALSO: What are the rules on travel to Italy right now?

But the steep trajectory of the recent rise in cases in several areas means that, under current rules, some regions risk having ‘yellow’ or potentially even ‘orange’ zone rules reimposed within weeks.

The regions of Sardinia, Sicily, Veneto. Campania and Lazio are thought to be at the highest risk of turning ‘yellow’ in the coming weeks, based on the most recent weekly health data report published by the Higher Health Institute (ISS) and Italian health ministry on Friday.

Currently, regions automatically move from the white to the slightly more restrictive yellow zone if they record more than 50 infections per 100 thousand inhabitants in a seven-day period for three weeks in a row.

Photo: Miguel Medina/AFP

Overall Italy’s average nationwide incidence rate is now 19 cases per 100,000 inhabitants, ISS data shows, with significant variation between regions.

Sardinia and Sicily have the highest incidence rates in the country at 33.2 and 31.8 respectively. They are followed by Veneto (26.7), Lazio (24) and Campania (21.7).

Despite the rise in cases however ISS head Silvio Brusaferro said on Friday that, for now, “the impact on hospital admissions remains minimal”.

Regional leaders have asked the health ministry to act amid concerns about the economic impact if restrictions made a comeback by August – Italy’s busiest month both for international tourist arrivals as well as for domestic holiday bookings.

Hospitalisation and intensive care occupancy rates will now become more important factors in deciding whether to impose new restrictions, Health Minister Roberto Speranza has confirmed.

“The number of infected people is rising, especially among children, but in most cases there is no need for hospitalisation and for this reason we have chosen to leave businesses open, favouring those who decide to inoculate themselves in order to prevent the circulation of the virus,” Speranza told reporters on Sunday.

Speranza was referring to the government’s plan to expand the use of its ‘green pass’ health certificate, requiring people to show proof of full vaccination, testing or recovery in order to enter more venues and potentially even to visit restaurants and gyms.

READ ALSO: What is Italy’s digital ‘green pass’ used for and how do you get it?

Italy’s green pass has been in use since June 17th, but at present it is only needed in order to access care homes or large events like concerts, sports matches and wedding receptions.

The government is hoping that the altered parameters and the extended green pass system will be enough to keep restrictions low and businesses open until at least the Ferragosto holiday in mid-August, according to Italian media reports.

European countries including Italy which are now seeing a rise in cases driven by the Delta variant are looking to the UK, where hospitalisation rates are now rising, to understand how long it could take before they too see an increase in the number of Covid-19 patients being admitted and how big that increase could be.

The Italian health ministry previously adjusted the zone criteria in May to focus more on hospitalisations and intensive care bed occupancy, aiming that time to allow more regions to relax measures in time for summer.

Government ministers are expected to finalise a new decree setting out the details of its changes on Tuesday following debates on Monday, newspaper Corriere della Sera reports

An official announcement is expected by the middle of this week.

For further details on the current coronavirus situation in Italy, see the Health Ministry’s website (in English).

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Italy allows suspended anti-vax doctors to return to work

Italian heathcare staff suspended over their refusal to be vaccinated against Covid-19 can now return to work, Prime Minister Giorgia Meloni confirmed on Monday.

Italy allows suspended anti-vax doctors to return to work

Italy become the first country in Europe to make it obligatory for healthcare workers to be vaccinated, ruling in 2021 that they must have the jab or be transferred to other roles or suspended without pay.

That obligation had been set to expire in December, but was brought forward to Tuesday due to “a shortage of medical and health personnel”, Health Minister Orazio Schillaci said.

READ ALSO: Is Italy’s government planning to scrap all Covid measures?

Italy was the first European country to be hit hard by the coronavirus pandemic in early 2020, and has since registered nearly 180,000 deaths.

Schillaci first announced the plan to scrap the rule on Friday in a statement saying data showed the virus’ impact on hospitals  “is now limited”.

Those who refuse vaccination will be “reintegrated” into the workforce before the rule expires at the end of this year, as part of what the minister called a “gradual return to normality”.

Meloni said the move, which has been criticised by the centre-left as a win for anti-vax campaigners, would mean some 4,000 healthcare workers can return to work.

This includes some 1,579 doctors and dentists refusing vaccination, according to records at the end of October, representing 0.3 percent of all those registered with Italy’s National Federation of the Orders of Physicians, Surgeons and Dentists (Fnomceo) 

Meloni’s post-fascist Brothers of Italy party railed against the way Mario Draghi’s government handled the pandemic, when it was the main opposition party, and she promised to use her first cabinet meetings to mark a clear break in policies with her predecessor.