Italy is having a rapid increase in cases and deaths. As always, the sooner action is taken the better. While Italy will be strengthening its region-based lockdowns, the way this will be done is critical for the next stage of the outbreak response.
A “red zone” strategy, where restrictions are strengthened as cases go up, and relaxed as cases go down is exactly the prescription for health and economic disaster through yo-yo lockdowns.
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In contrast, a green zone exit strategy has been advocated by advisor to the Minister of Health, Riccardi Walter @WRicciardi
Italy is already doing many of the right things for the Green Zone strategy.
The current ban on travel between regions is a critical piece of the strategy, preventing new outbreaks in areas that are successful in stopping transmission.
The key is combining a communication campaign, a strong 4-5 week lockdown with support measures and economic protection, isolation and quarantine residences, quarantining travelers, and reopening normally in the Green Zones without community transmission.
For the win!
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Here could be the reward (OK not rugby but we get the idea) @wicmar#ZeroCovid
"To beat the virus, Italy must make a courageous choice: adopt the "No Covid strategy", which also includes a lockdown, the only one that allows you to get out of the "vicious circle" of "months of yo-yo between partial closures and reopening ".
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"Walter Ricciardi, advisor to the Minister of Health for the Covid emergency and public health scholar, writes it in today's "Avvenire", explaining that "mass vaccination", while essential, "will take months if not years to guarantee adequate protection".
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Denmark cases increased rapidly recently, likely due to new variants particularly the UK variant. Implemented measures are not adequate in this context and its advantageous geographic location on multiple islands and peninsula have not been exploited to stop imports.
Out of all Nordic countries, Denmark currently has the highest vaccination doses administered per 100 people. It even has the highest rate in the European Union.
However, Denmark recently suspended the use of AstroZeneca vaccine while the officials investigate reports of blood clots in people who received the vaccine
With 786 new cases (weekly average) for the entire country Portugal is only weeks away from 0 new cases.
Portugal cases down 95%+ from peak, lowest since September.
Deaths are also down significantly, more than 90%.
On March 11, the government will announce plans to ease the lockdown.
Will they opt for (1) a sector based relaxation, or (2) a Green Zone exit (geographic) strategy, relaxing only areas with cases controlled by contact tracing, to reach elimination?
Last week 55,000 new cases, only 35,000 this week.
Cases are down to 1/5 of peak.
Progress in nearly every region in Spain.
Catalonia, Madrid, Andalucia, Valenciana are among regions with the highest number of cases from this ‘wave’ of infections. All are reporting significant declines in cases.
To avoid further disruption and return to normalcy, Spain should adopt the Green Zone exit strategy. Breaking the country into small regions, or ‘zones’, allows green zones to open up while red zones continue to recover.