Emergency departments are collapsing across all Italy from Turin to Lombardy to Rome. Days of wait just to get an hospital bed. Ambulances stuck in a queue. Covid, influenza and even lack of staff due to the festive season
In Lazio, the Rome's region, public healthcare had to buy over 500 hospital beds from private institutions at the cost of 33 million € to front the emergency. Yet, even this wasn't enough and people are still fighting for care
Hundreds of people have been stuck in emergency departments in Lombardia, the early Covid epicenter of 2020 [apparently, "hybrid immunity" hasn't been achieved 🙄]. Emergencies in Milan, Lombardy's capital, are under siege
@xabitron1 progresses with Lazio 🙂
At Turin's hospital Le Molinette, in Piedmont, north Italy, even stretchers have been lacking
Many healthcare professionals are down with Covid and influenza too, leading to a lack of staff. In Modena, patients are being mainly seen by junior doctors who finished specialist training one month ago, or the like. The Emilia Romagna region is in fact under duress, too
In Lombardy, which is severely affected by the crisis, it appears access to rehabilitation centres has been halted as to move hospitalized patients who do not necessitate acute treatment anymore to such structures (2020 vibes. I hope such patients aren't infectious anymore..)
According to La Repubblica newspaper, on Thursday almost half of the ambulances in use during daytime (64 out of 150) were stuck in queues outside hospitals in Lazio-Rome, as not enough hospital places were available to accept the patients
Translation and summary by myself from the original Italian newspaper article
Medical professionals for example from the SIMET association have been raising the alarm too. Many patients with respiratory and febrile conditions do have Covid on test
A severe situation in Lombardy, with Welfare's Guido Bertolaso reportedly meeting up with hospital directors to tackling the emergency. Niguarda hospital emergency had 500 patients between Thursday and Wednesday (photo is archive). Covid and influenza
From one week ago, a difficult situation also in Naples, with the ICU full at the Cotugno hospital. Covid and flu key drivers. A patient had to wait 24 hours for needed treatment.
Covid positivity rate now at 20.4% (+2.3%)
Newborn from Italy, late December 2023, infected with SARS-CoV-2, RSV and pneumococcus. I redacted part of the original tweet for privacy but it's publicly available. I thought a bit before sharing but I think it's important people are aware of the risks and current situation
Data in the tweet above shared publicly by an Italian MD. JN.1 is reportedly, now, the dominant variant in Italy (37%), which probably explains the rise in deaths and hospitalizations
On 30 December 2023, Lazio and Rome are still under duress, with hundreds of patients at various emergency departments + medical practitioners also under pressure because of a boom of infectious diseases, including Covid 🧵👇
Lombardy, the early Covid epicenter in north Italy, has now decided to block "non-urgent" hospitalizations (e.g. planned surgeries) to free thousands of hospital beds for the severe influx of Covid and influenza patients
@SkyNews Italy now estimates 1 million people in Italy symptomatically affected by Covid, influenza and respiratory diseases (night 31 December 2023 - 1 January 2024)
#LongCovid is associated with widespread alterations in cerebral microstructure not seen in controls. Sample of 89 patients with persistent LC symptoms offered DMI, a powerful scan which can track micro/meso structures in the brain nature.com/articles/s4146…
The study "show[s] that COVID-19 leads to microstructural changes in the brain, which differ between participants with and without PCC [post Covid condition] symptoms." (the study used the clinical case for LC by WHO, under the name post Covid condition)
"Correlations between imaging parameters and clinical symptoms reveal affection of distinct cerebral networks related to cognitive or olfactory impairment, and fatigue."
SARS-CoV-2 infection/Covid/Long Covid are known risk factors and drivers for diabetes. There are many scientific publications on the topic. Possibly not the only factor for such "sharp rise in diabetes". But ongoing SARS-CoV-2 spread must be factored in
Four years ago today the term #LongCovid was first used as a Twitter hashtag. A single tweet by a patient linked a grassroots movement of people, who weren't recovering from Covid. Feels strange to tweet this another time. So much research. So many articles. We're still fighting
#LongCovid was first identified, named, defined by patients finding one other on social media like Twitter in early/mid 2020. By August 2020, Long Covid was openly recognised by WHO after intense advocacy-research by a collective, international, grassroots movement of survivors
By mid 2020 to early 2021, #LongCovid was entering the biomedical literature. Guidelines were being written. The mechanisms underlying the disease, the symptoms, the epidemiology were being described, studied, elucidated. Patients were at the forefront of advocacy and discovery
New research from Italy 🇮🇹 on a large sample of Covid survivors showed persistent risk for cardiovascular and cerebrovascular events for at least three years post Covid. Control group: a pre-pandemic cohort (obviously Covid negative)
"All major adverse cardiovascular and cerebrovascular events considered showed a significantly higher risk in COVID-19 individuals. Incidence calculated for each 6-month period after the diagnosis of COVID-19 in our population was the highest in the first year ..
While the risk of cardiovascular and cerebrovascular events was higher in the first year post Covid in the study cohort, "it remained significantly higher than in the COVID-19-free patients [=pre-pandemic] throughout the 3 years [considered in the Covid study]."
This comes after other events, such as the top Giro d'Italia tour in elite cycling, have been flagged as possible Covid clusters, with racers falling ill and, in some cases, forced to withdraw, with "flu symptoms"
#LongCovid can kill. It's scientifically proven it can. #LongCovid can present with cardiovascular and thrombotic manifestations. It's scientifically proven it can. If you're glossing over this, you're not on the side of patients. You are, also, not on the side of science