OPINION: Covid passports are Italy’s only choice – but they must be a right, not a privilege

The problem with Italy's extended health passport isn't civil liberty or Covid-19 vaccines – it's the fact that Italian bureaucracy is preventing people from getting them, writes British-Italian journalist Adriana Urbano.

OPINION: Covid passports are Italy's only choice - but they must be a right, not a privilege
Protests against Italy’s ‘green pass’ vaccine passport at Milan’s Piazza Duomo on July 24th. Photo: Miguel Medina/AFP

The Beatles famously sang ‘All You Need Is Love’, but I am starting to think all you really need is the threat of a miserable summer. 

In the 24 hours after Italian Prime Minister Mario Draghi announced the expansion of the use of the so-called ‘Green Pass’ in Italy, over half a million Italian residents stormed regional vaccination booking systems. In Lazio the website crashed. Friuli-Venezia-Giulia saw the highest increase, with demand for a jab jumping by 6,000 percent. 

The health pass will certify that holders are either immunised, recovered or tested for Covid-19. Not having it means being barred from indoor eateries, cinemas, gyms, museums, conferences and much more from August 6th. 

EXPLAINED: When, where and why will you need a Covid health passport in Italy?

PM Draghi was clear: the green pass is the only alternative to lockdowns. With the highly infectious Delta variant becoming dominant in Italy, there is no time to waste. 

The aim is clear: curb the spread of the virus, prevent hospitals from being swamped and stave off the virus from evolving into a potentially more dangerous strain. To quote Draghi: “An invitation not to get vaccinated is an invitation to die, or to let others die.”

The announcement set off a predictable wave of dissent.

Navigating the cacophony of vaccine resistance in Italy is like wading through a quagmire. If Dante were still alive, he would create a new circle of hell for the vitriol spewed on social media. 

READ ALSO:  How big is Italy’s anti-vax movement really?

Protests sprang up all over Italy, with many taking place over the last weekend. Some of the largest events were in Rome and Turin, where respectively 3,000 and 5,000 people protested.

In Florence things turned ugly quickly: Fanpage journalist Saverio Tommasi, widely known for his humane video reports, was repeatedly attacked and insulted by protesters, who damaged his camera. The police had to intervene.

The hashtag “health dictatorship” trended on Twitter. The green pass was compared to the Star of David that Jews were forced to wear by the Nazis. Liliana Segre, Holocaust survivor and an Italian senator for life, described the inane comparisons as “folly” and “ignorance”.

Anti-Green Pass protestors in Rome compare themselves to victims of the Holocaust. Photo by Andreas SOLARO/AFP

Things don’t seem to be better in France, where the number of protestors at anti-health passport demonstrations has increased since the French government announced a similar scheme.

Though the debate in Italy has taken terrifying turns, reports show there are actually relatively few anti-vaxxers here. 

A July 2021 report by ResPOnsE Covid-19, a project run by the SPS Trend laboratory at the University of Milan, highlighted that only 5 percent of Italians are against getting the shot, down from 12 percent in December 2020. A total of 85 percent of Italians are pro-jab, and half of the individuals surveyed are in favour of making it compulsory. 

Unpacking vaccine skepticism in Italy means delving into a cocktail of different factors, ranging from widespread lack of faith in authorities, uneven educational attainment, unreliable information, and a questionable understanding of personal freedom.

However, not all unvaccinated people fall under the violent ‘No-Vax’ umbrella. Many are yet to be vaccinated because they are hesitant, whereas others are struggling to access the shot.

As in many other countries, the pandemic has laid bare complex structural failings: the green pass is yet another opportunity for these issues to rear their ugly heads.

OPINION: Bureaucratic barriers must not stop Italy vaccinating its foreign residents

An Italian Red Cross volunteer on duty at a vaccination centre in Rome. Photo: Tiziana FABI/AFP

Poor quality information on the pandemic is a key player. Many Italian contacts have told me ‘non so più a chi credere’ (‘I no longer know who to believe’), expressing exhaustion and confusion, especially after the chaos surrounding potential side effects of the AstraZeneca jab.

The Italian public’s distrust towards the media is also fuelled by it being historically constrained by political interest – Italy has often been classified as having only “partial freedom of press” by the watchdog Freedom House. Needless to say, nothing justifies attacks against journalists. 

To make matters worse, anti-vax campaigns In Italy are an old problem, with fake news on childhood vaccinations long running rampant.  

Addressing the causes of vaccine-resistance here will take years – time we do not have.

The hesitant need to be handled sensitively. But we cannot indulge the idea that doubts rooted in unscientific views are a valid concern when they could spell disaster for the health of so many people. Nor can we promote an idea of freedom that curtails the safety – and liberty – of those who cannot, for whatever reason, receive the life-preserving jab.

Furthermore, another wave of lockdowns would be a terrible blow for a battered Italian economy, hitting the most vulnerable within society. By the end of 2020, the worst hit were short-term workers, the young, the self-employed and women, who account for the majority of jobs lost during the pandemic.

The green pass is a much-needed compromise to re-open the country as safely as possible and stem the trauma and loss that has shattered Italy and beyond.

However, for some, getting the shot is a challenge. A campaign launched by NGO Action Aid highlighted how 300,000 people in Italy are struggling to be registered as residents – a bureaucratic caveat that hinders access to services such as health care, a significant obstacle for vaccination. 

READ ALSO: ‘Be tenacious as hell’: How people in Italy have managed to get vaccinated without a health card

The NGO Emergency had to step in to vaccinate foreign farm labourers in Sicily, who play an important part in the agricultural sector. According to Emergency organiser Ahmedi Echi, there are approximately half a million “invisible people” who were not given the right to access the shot. 

The real question here is who is slipping through the cracks – and how to stop this.

Whether it be social exclusion or legal discrimination, the green pass makes sense only when the shot is truly accessible to all. 

A vaccination centre near Turin. Photo: Marco BERTORELLO/AFP

Even those who can access the shot are experiencing worrying issues.

The vaccine rollout ran at different speeds across the country – meaning many younger people are yet to receive their first shot. Others who are vaccinated but do not have an Italian health card are struggling to download their pass

However, obtaining a healthcare card is also a challenge – something The Local has covered in depth. It involves navigating Italian bureaucracy during a pandemic, with public offices working in fits and starts. For some, caught between the dilemmas of bureaucracy, enrolling has been nigh impossible. 

The introduction of the green pass will also be a test for Italian bureaucracy. So far, it is not looking good.

By the time you read this I will have received my second shot. I consider it a privilege. Not only will I be protected from serious illness and damage to my organs, but I will be part of an armour shielding the most vulnerable in society. 

That is freedom. And it should not be a privilege.

Adriana Urbano is a British-Italian multimedia journalist and editor. She is currently based in Florence.

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Italy opens Covid booster jab bookings from Monday

Regional health services in Italy will open bookings for Covid-19 booster shots to priority groups from Monday as the first deliveries of updated vaccines arrived in the country.

Italy opens Covid booster jab bookings from Monday

“From Monday, September 12th, bookings for the new dual-strain vaccines can begin at the regional level,” said director general of the Italian Medicines Agency (Aifa), Nicola Magrini, at a health ministry press conference on Friday.

Booster shots will not be mandatory and will be offered to priority groups first, health authorities confirmed.

READ ALSO: Italy gives green light to new dual-strain Covid vaccines

“The arrival of the new vaccines should strengthen the conviction of those who have to take the fourth dose because of their age or because they have other conditions,” Magrini said. 

Aifa on Monday approved the Comirnaty (Pfizer) and Spikevax (Moderna) dual-strain vaccines, which are effective against both the original strain and the more recent Omicron variants.

Italy will receive 19 million doses of the new vaccines in September, said Franco Locatelli, president of Italy’s Higher Health Council (ISS), at the press conference. 

The updated vaccines have been shown to “generate an antibody response against the Omicron Ba4 and 5 variants, which are the prevalent ones,” he said.

They represent “96 percent of all strains isolated in Italy so far”, he said.

Italian healthcare workers preparing doses of Covid vaccine.

The new dual-strain vaccines will be offered first to at-risk patients, including people aged over 60 and care home residents. Photo by Marco BERTORELLO / AFP

Covid vaccines “have been a triumph of science and medicine” and “have saved millions of lives”, Locatelli added.

Booster jabs are currently recommended for those in higher-risk categories as Italy begins its autumn vaccination campaign.

Priority will be given to those who are still waiting to receive a second booster dose (the so-called fourth dose); therefore over-60s and people with health conditions that make them more susceptible to developing more severe forms of the Covid-19 disease, according to the latest memo from the health ministry.

READ ALSO: What is Italy’s Covid vaccination plan this autumn?

Magrini said the priority list also includes “health workers, pregnant women, and residents of facilities for the elderly”.

But “it can also be administered to those under 60 who ask for it,” he added.

Booster shots can only be administered to those who received their last dose at least 120 days (about four months) earlier.

The vaccination campaign is expected to be expanded to all over-12s who have only completed the initial vaccination cycle. For this category, the new booster shot would be their third dose.

How do you book a booster shot?

As in previous vaccination campaigns, each regional health authority will manage their own local vaccination programmes, including their timing.

Bookings should work in much the same way as before, with patients being able to book their appointments through GPs, pharmacies or their ASL’s website where available.

Shots can be administered by family doctors as well as at designated vaccination hubs in more densely populated areas.

The autonomous province of Trentino said it will begin administering jabs immediately from Monday and will allow residents to begin booking jabs from Saturday, September 10th.

Other regions and autonomous provinces are expected to announce their plans in the coming days.

For further information on availability and reservation in your region, see the official vaccination booking website.