DrElisabetta Profile picture
virologist & Lecturer in Global Health; development of affordable vaccines for global deployment. migrating to: https://t.co/7uTCpBRqJ9

Feb 27, 2020, 5 tweets

#COVID19Italy
Today's SitRep highlights the complexity of Italy as a state and the consequences for outbreak response & communications outside Italy.

Italy isn't a federal state, but Regions (ie Lombardia, Veneto,etc) have vast powers: health care is handled at Regional level

Regions collect samples, test, quarantine, delineate Red Zones, lock downs, school closures, etc.

The national body for health care is the @MinisteroSalute that is based in Rome: it is now re-testing all positive samples and sharing data with @WHO

@MinisteroSalute @WHO The "Dipartimento di Protezione civile" @DPCgov is yet another agency, one that responds to national threats (think earthquakes, flooding). They are a fantastic high-readiness force that works alongside armed forces, regional and national government.

@MinisteroSalute @WHO @DPCgov They have clearly filled in the gap between regions and Rome. But overall, especially when numbers are involved, it all becomes a little confusing.

At the moment, my personal opinion is that the twice daily press confs by @DPCgov are the most rigorous source of data for Italy

@MinisteroSalute @WHO @DPCgov I shall continue to share @DPCgov reports, while also keeping informed about national @MinisteroSalute, regional (like @RegioneLombardi ) and international levels

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