What is a coronavirus?
Coronaviruses are a large family of viruses known to cause diseases ranging from the common cold to more serious diseases such as the Middle East Respiratory Syndrome (MERS) and the Severe Acute Respiratory Syndrome (SARS).
They are positive-stranded RNA viruses with a crown-like appearance under the electron microscope. The subfamily Orthocoronavirinae of the family Coronaviridae is further classified into four coronavirus (CoV) genera: Alpha-, Beta-, Delta- and Gammacoronavirus. The Betacoronavirus genus is further divided into five subgenera (including the Sarbecovirus)
Coronaviruses were identified in the mid-1960s and are known to infect humans and a variety of animals (including birds and mammals). Epithelial cells in the respiratory and gastrointestinal tract are the primary target cells.
To date, seven coronaviruses have been shown to infect humans:
What is a novel coronavirus?
A novel coronavirus (nCoV) is a new strain of coronavirus never previously identified in humans. In particular, the virus named SARS-CoV-2 (formerly 2019-nCoV), was never identified before it was reported in Wuhan, China, in December 2019.
What is SARS-Cov-2?
The virus that is causing the current coronavirus outbreak has been named ‘severe acute respiratory syndrome coronavirus 2’ (SARS-CoV-2). This designation was communicated by the International Committee on Taxonomy of Viruses (ICTV), virus taxa (i.e. species, genus, family, etc.). The name was given by a group of experts specially appointed to study the novel coronavirus. According to this pool of scientists, the novel coronavirus is a sister to severe acute respiratory syndrome coronaviruses (SARS-CoVs); this is why it has been named SARS-CoV-2.
What is COVID-19?
The disease caused by the novel Coronavirus has been named ‘COVID-19’ (where "CO" stands for corona, "VI" for virus, "D" for disease and "19" indicates the year in which it occurred). This was announced on 11 February 2020 by the Director-General of the WHO, Dr Tedros Adhanom Ghebreyesus.
Is the new virus the same as SARS?
No. The novel Coronavirus (now named SARS-CoV-2, formerly labelled 2019-nCoV) belongs to the same family of viruses as the Acute Severe Respiratory Syndrome (SARS) virus, but it is not the same virus.
The novel Coronavirus, which is responsible for the respiratory disease now named COVID-19, is closely related to the SARS-CoV and is genetically classified in the genus Betacoronavirus, subgenus Sarbecovirus.
Why did the novel coronavirus appear?
The appearance of new viruses that originally only infected animals but then make the jump from animal to humans is a well-known phenomenon (‘spillover’), and this is what seems to have happened with the new coronavirus (SARS-CoV-2). Currently, the scientific community is trying to identify the source of the infection.
Source: ISS - National Institute of Health
What are the symptoms of Covid-19?
How dangerous is the new virus?
Some people get infected but do not develop any symptoms. Symptoms are usually mild, especially in children and young adults, and have a gradual onset.
About 1 in 5 people with COVID-19 become seriously ill and develop breathing difficulties, requiring hospitalization.
How long is the incubation period?
The incubation period is the time between infection and the onset of clinical symptoms of disease. It is currently estimated to range between 2 and 11 days, up to a maximum of 14 days.
Who are the people most at risk of developing a severe form of the disease?
People at higher risk for severe COVID-19 are senior citizens, people with underlying conditions such as hypertension, heart disease or diabetes and individuals with a weakened immune system (due to congenital or acquired disease or to immunosuppressive treatment, transplant recipients).
What are the recommendations for people at higher risk?
The Prime Minister's Decree of 8 March 2020 provides that senior citizens, people with chronic or multiple health problems or with congenital or acquired immune deficiency should avoid leaving their homes unless strictly necessary and should keep away from crowded places where it is not possible to maintain a safe distance of at least one metre between people.
If you must leave your home for reasons of necessity, take with you the self-declaration form issued by the Ministry of the Interior.
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Can Coronaviruses and the novel Coronavirus be transmitted from person to person?
Yes, some Coronaviruses can be transmitted from person to person, usually after close contact with an infected patient, for example, between family members or in a healthcare centre.
The novel Coronavirus responsible for respiratory disease COVID-19 can also be transmitted from person to person through close contact with a probable or confirmed case.
How is the novel Coronavirus transmitted from person to person?
The new coronavirus is a respiratory virus which spreads primarily through close contact with an infected person. The primary route is through respiratory droplets from the infected persons, for example through:
In rare cases, faecal contamination.
Normally, respiratory diseases cannot be passed on through food. However, safe food hygiene practices should be followed, and contact should be avoided between raw and cooked food.
Studies are under way to better understand how the virus is transmitted.
What is the definition of close contact?
The European Centre for Disease Prevention and Control defines close contact as follows:
The epidemiological link to a probable or confirmed case may have occurred within a 14‐day period before the onset of illness in the suspected case under consideration.
Source: ECDC
How to manage a close contact with a confirmed COVID-19 case?
Under the Ministry’s orders, the local health authorities must place any close contacts of a probable or confirmed case under quarantine with active surveillance for 14 days.
Can the new Coronavirus infection be contracted by a case that presents no symptoms (asymptomatic)?
It is known that the virus spreads mainly through respiratory droplets expelled by coughing or other symptoms.
However, some evidence suggests that transmission can also occur from an infected person, who has only mild symptoms.
Some reports have also indicated that people without symptoms can also transmit the virus. This is particularly true in the early stages of the disease, especially two days before symptoms develop. Studies to assess the likelihood of such event are currently underway.
Who is at greater risk of infection?
People who live or have travelled in areas at risk of novel coronavirus infection or people who have been in close contact with a confirmed or probable case of COVID-19.
The areas at risk of novel coronavirus infection are those where local transmission of SARS-CoV-2 is present, as identified by the World Health Organization. The risk level in those areas is higher than in areas where only imported cases are present.
Can I be infected by the new coronavirus (SARS-CoV-2) by touching rails of handles on buses or in the metro or by being close to someone who is coughing? (ISS)
Since the virus can spread via contaminated surfaces, it is always a good practice in order to prevent respiratory and other infections to wash your hands frequently and thoroughly, after touching potentially contaminated objects and surfaces, and to avoid touching your face, eyes and mouth with unwashed hands.
Please remember that we are in the midst of the flu season. Therefore, if you experience symptoms such as fever, cough, sore throat, headache and, especially, breathing difficulties, you should consult your doctor. In any case, it is always a good practice in order to prevent respiratory and other infections to wash your hands frequently and thoroughly, after touching potentially contaminated objects and surfaces, and to avoid touching your face, eyes and mouth with unwashed hands.
Are health workers at risk from a novel coronavirus?
Yes, they can be, because they come into contact with patients more often than the general population. The World Health Organisation (WHO) recommends that health workers follow appropriate prevention and control measures for infections in general and respiratory infections in particular.
When can a confirmed case of COVID-19 be declared recovered?
A COVID-19 patient can be considered cured after the resolution of symptoms (fever, rhinitis, cough, sore throat, difficulty breathing, pneumonia) and after two negative swab tests for SARS-CoV-2 performed 24 hours apart.
Can the new coronavirus be transmitted by mosquitoes?
How long does the novel Coronavirus survive on surfaces?
Currently available scientific evidence shows that the survival time of the virus on surfaces varies depending on the type of surface considered. The recent report of the Higher Institute of Health concerning the recommendations on the sanitization of non-healthcare facilities in the current COVID-19 emergency (surfaces, indoor environments and clothing) and the May 22, 2020 memo report the detection time of viral particles on the most common surfaces, varying from several hours (e.g. on paper) to several days (e.g. on plastic and stainless steel).
However, it must be considered that the data available so far, being generated by experimental conditions, must be interpreted with caution, also taking into account that the presence of viral RNA does not necessarily indicate that the virus is vital and potentially infectious.
The use of simple disinfectants can kill the virus by eliminating its ability to infect people, e.g. disinfectants containing alcohol (ethanol) or sodium hypochlorite (bleach).
Remember to clean frequently used items (mobile phone, earphones, microphone) first with soap and water or other neutral detergents and then disinfect them with products containing sodium hypochlorite (bleach) or ethanol (alcohol), following the manufacturer's instructions.
How does the novel Coronavirus spread?
The new coronavirus is a respiratory virus which spreads primarily through contact with the respiratory droplets of infected persons, generated when, for example, they cough or sneeze or blow their nose. It is therefore important that infected people practice respiratory hygiene measure. For example, sneeze or cough into a flexed elbow, or use a tissue and discard it immediately into a closed bin. It is also very important for people to wash their hands frequently with soap and water or a alcohol-based hand rub.
The purpose of hand washing is to ensure proper hand cleansing and hygiene through mechanical action.
Common soap is sufficient for hand hygiene. In the absence of water, so-called alcohol-based hand sanitizers can be used.
If soap is used, it is important to rub your hands for at least 60 seconds. If soap is not available, use a hydroalcoholic solution for at least 20-30 seconds.
Commercially available products for hand sanitization in the absence of soap and water (medical and surgical devices and authorised biocides with microbicidal action) should be used when the hands are dry, otherwise they are not effective.
It is important to wash your hands:
Before
Before and after
After
It is also a good practice to cough/sneeze in your elbow crease to avoid contaminating your hands, with which you can subsequently transmit your microorganisms (e.g. by touching your mobile phone, door handle, etc.).
Finally, it is recommended to use disposable tissues to blow your nose, (possibly eco-friendly tissues), and to dispose of them in the waste, washing your hands, immediately after use.
What is the difference between sanitation, disinfection, sanitization, and other cleaning procedure
Sanitization: it is a "series of cleaning and/or disinfection procedures and operations", which includes the maintenance of good air quality, changing the air frequently in all environments.
Disinfection: is a treatment to reduce the microbial load of environments, surfaces and materials and must be carried out using disinfectant products (biocides or medical and surgical devices) authorized by the Ministry of Health. These products must be labelled with the registration/authorisation number.
Hygiene: this is the equivalent of cleaning and is intended to make the environment hygienic, i.e. to clean the environment by eliminating the harmful substances present. Products without an authorisation from the Ministry of Health, which are labelled with indications on their activity, e.g. against germs and bacteria, are not products with a proven disinfectant activity but are simply environmental cleaners (sanitisers).
Cleansing: consists in the removal of dirt and microorganisms, with a subsequent reduction of the microbial load. Cleaning is mandatory before disinfection and sterilization because the dirt is rich in microorganisms that actively multiply in it and can reduce the activity of disinfectants.
Cleaning: cleaning is carried out using environmental cleaning/hygienising products - the two terms are equivalent - which remove dirt by mechanical or physical action.
Sterilization: physical or chemical process that leads to the targeted destruction of every living microbial form, both in vegetative and spore form.
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Is it safe to receive packages from countries where COVID-19 has been reported?
Yes. The WHO has stated that the likelihood of an infected person contaminating commercial goods is low and the risk of catching the virus from a package that has been exposed to different conditions and temperature is also low.
Is it necessary to spray the streets with disinfectants (e.g. hypochlorite)?
There is no evidence that walking surfaces are involved in transmission of the virus. Moreover, spraying hypochlorite could increase the amount of harmful substances in the environment. Street cleaning with conventional soaps/detergents is still advised.
Can humans become infected with the novel coronavirus from animals?
Detailed investigations found that SARS-CoV was transmitted from civet cats to humans in China in 2002 and MERS-CoV from dromedary camels to humans in Saudi Arabia in 2012. Several known coronaviruses are circulating in animals that have not yet infected humans. As surveillance improves around the world, more coronaviruses are likely to be identified.
The animal source of the novel Coronavirus has not yet been identified. It is likely that the first reported human infections in China were originated by an animal source.
Can I get infected from my pet?
There is no evidence that pets play a role in the spread of SARS-CoV-2, as it has been proved that interhuman infection is the main route of transmission.
However, since veterinary surveillance and experimental studies suggest that pets are occasionally susceptible to SARS-CoV-2, it is important to protect pets living with patients with COVID-19 by limiting their exposure. It is recommended to wash hands frequently with soap and water or using alcoholic solutions before and after contact with pet, their litter or food bowl.
Are any animals or animal products imported from China?
Due to the presence of some contagious animal diseases in China, only a few live animals and unprocessed animal products from China are authorised for import into the European Union.
There is no evidence that any of the animals or animal products authorised for entry into the European Union pose a risk to the health of EU citizens as a result of the presence of SARS-CoV-2 in China.
Is it possible to import food products from China?
As with the imports of animals and animal products, due to the animal health situation in China, only a few products of animal origin are authorised for import into the EU from China, on the condition that they meet strict health requirements and have been subjected to controls.
For the same reasons, travellers entering the EU customs territory are not allowed to carry any meat, meat products, milk or dairy products in their luggage.
What should I do when I return from a walk with my dog
When returning from walks, to protect our pet friend, it is advisable to take care of their hygiene, taking special care to wipe their paws, avoiding aggressive and alcohol - based products that could cause any irritations or itching, and preferring to use products without added fragrance (e.g. water and mild soap).
As far as their fur coat is concerned, it is advisable to br ush them and then wipe them with a damp cloth.
If my pet is sick, where do I ask for assistance?
Veterinary assistance is one of the essential services provided for in the recent legislation. Please contact your vet, who will tell you what steps you need to take to take your pet to a clinic.
Do I need to change my pet’s diet?
It is recommended not to change your pet’s the diet. However, you could slightly decrease its daily intake, considering that during this period outdoor activity is reduced
Is there a vaccine against the novel coronavirus?
No, since this is a new disease, there is currently no vaccine available and it could take up to 12-18 months to develop one.
Am I protected from COVID-19 if I got a flu shot this year?
Influenza and the virus that causes COVID-19 are two different viruses and the seasonal flu vaccine does not protect from COVID-19. However, the flu vaccine is strongly recommended because it helps to avoid confusion with COVID-19 if you develop symptoms, enabling earlier isolation of possible coronavirus cases.
Is Tuberculosis vaccine (TB) protective against COVID-19?
Since at present there is no scientific evidence that TB vaccine can provide protection against the new coronavirus (SARS-CoV-2), this vaccine remains indicated for vulnerable categories of the population exposed to these infections.
Is it necessary to continue with the normal vaccination activities envisaged in the general vaccination schedule?
What can I do to protect myself?
Please stay up to date with the latest information on the spread of the pandemic, available on the WHO website and on the Italian Ministry of Health website and take the following personal protection measures:
If you have a fever, cough or experience any breathing difficulties and you suspect that you have been in close contact with a person with respiratory disease Covid-19:
Can the virus be transmitted via food?
Normally, respiratory diseases cannot be passed on through food. However, safe food hygiene practices should be followed, and contact between raw and cooked food should be avoided.
It is safe to drink tap water, thanks to treatment processes that remove viruses, environmental conditions that compromise virus vitality (temperature, sunlight, high pH levels) and the final disinfection step.
Source: ISS - National Institute of Health
When should I wear a mask?
As of May 4th 2020, in order to contain the spread of the COVID-19 virus, it is mandatory throughout the country to use respiratory protection in closed spaces that are accessible to the public, including means of transport, and in any case on all occasions when the maintenance of a safe distance cannot be guaranteed.
Children under six years of age, as well as people with disabilities that are not compatible with the continuous use of a mask, their carers and people interacting with them, are not subject to such obligation.
In some regions, the mandatory use of masks has been extended to other contexts.
Within our communities, disposable masks or washable masks may be used, even if they are self-made. The masks should be made of multilayer materials providing an appropriate barrier and guarantee comfort and breathability at the same time. The shape and adherence of a mask should ensure proper coverage, from the chin all the way to above the nose.
The use of community masks is considered an addition to other protective measures aimed at reducing contagion (such as physical distancing and constant and accurate hand hygiene), which remain unchanged and an absolute priority.
It is not useful to wear multiple overlapping surgical masks. A sensible use of surgical masks is important to avoid unnecessary waste of valuable resources.
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How should I put on and take off the mask?
Follow these steps:
Watch the video
What are the recommendations for people in solitary confinement with suspected or confirmed COVID-19?
Anyone with suspect or confirmed COVID-19 should stay away from other family members, if possible, in a well-ventilated single room and should not receive visitors
The sick person must rest, drink plenty of fluids and eat nutritious food, and wear a surgical mask that needs to be changed every day. If he/she does not tolerate the mask, he/she must adopt a strict respiratory hygiene: cover his/her mouth and nose with a disposable paper tissue/handkerchief when he/she coughs or sneezes and throw it away immediately, or wash it after use, wash his/her hands with soap and water or with hydroalcoholic solution.
What are the recommendations for family members caring for people in home isolation under suspicion of or confirmed COVID-19?
After completing the home isolation period, if you developed no symptoms, you may return to work. The days you stayed home are covered by the certificate issued at the beginning of the isolation period.
Should somebody develop symptoms during the period of fiduciary isolation, the Department of Public Health, which is responsible for the national health surveillance, will carry out a test with the SARS-CoV-2 swab. In the event of a positive outcome, clinical recovery (i.e. complete absence of symptoms) is required, before going back to work. At that point, two consecutive swabs will be performed within 24 hours, to confirm that the patient has completely recovered. If both swabs are negative, the person can go back to work, otherwise the fiduciary isolation period will be resumed.
Is there a treatment for the novel coronavirus?
At present, there is no specific treatment for the disease caused by the new coronavirus.
Treatment remains mainly based on a symptomatic approach, providing supportive therapies (e.g. oxygen therapy, fluid management) to infected people, which can nevertheless be highly effective.
Several clinical trials are underway for the treatment of COVID-19 disease. The Italian Medicines Agency (AIFA) provides information on its website about the drugs that are made available to COVID-19 patients.
See the dedicated page on the site: Italian Medicines Agency (AIFA)
Can antibiotics be useful to prevent infection with novel coronavirus?
No, antibiotics do not work against viruses, they only work on bacterial infections.
Can high-blood pressure medications with ACE inhibitors or sartans or nonsteroidal anti-inflammatory drugs (e.g. ibuprofen) worsen COVID-19?
There is no scientific evidence of any correlation between the use of ibuprofen or antihypertensive drugs and worsening of the COVID-19 disease. Therefore, on the basis of current knowledge, there is no recommendation to change your current treatment.
There are psychological support initiatives for people in this time of stress related to the COVID - 19 pandemic
Since April 27th, the psychological support toll-free number 800.833.833, set up by the Ministry of Health and the Civil Protection, is active.
The number, which is active every day from 8AM to midnight, can also be reached from abroad dialling +39.02.20228733. Access to this service is also guaranteed to hearing impaired citizens.
To learn more, go to the page Psychological Support Free-toll Number on the New Coronavirus themed site of the Ministry of Health.
Is the mask also mandatory for children?
Before you put the mask on:
When you are using your mask
When you remove your mask
In case of reusable masks
What is the difference between the so-called community masks and surgical masks?
Surgical masks are specifically intended for medical use, developed for use in a healthcare environment and certified according to their filtering capacity.
They respond to the characteristics required by UNI EN ISO 14683-2019 and prevent the transmission of the virus.
Community masks, as described in article 16, paragraph 2, of the Decree-Law DL March 17 2020, have the purpose of reducing the circulation of the virus in daily life and are not subject to any specific certifications.
They should not be considered either medical devices or personal protective equipment, but merely a hygienic measure to reduce the spread of SARS-COV-2 virus.
It is possible to wash community masks, if they are made of materials that resist washing at 60 degrees. Commercial community masks are considered disposable or washable, according to the relevant instructions provided on the packaging. These may also include the number of washes allowed without diminishing their performance
These masks must:
The use of gloves within the community only adds to the other protective measures aimed at reducing contagion, which remain a priority.
However, the use of disposable gloves remains recommended in purchasing activities, particularly for the purchase of food and beverages.
In addition, when using public transport, or in workplaces and construction sites, when it is not possible to keep an interpersonal distance of at least one metre and other organisational solutions are not possible, using masks and other protective equipment (including gloves, goggles, overalls, etc.) that comply with the provisions of the scientific and health authorities is strictly necessary.
The use of gloves, similarly to the use of masks, may help preventing infections only under certain conditions. Otherwise, such protective devices may become a vehicle of infection themselves.
Gloves are ok if:
How should masks, gloves and other waste be disposed of, if there are positive or quarantined people in the house?
In households where there are family members who have been tested positive, in isolation or compulsory quarantine, separate waste collection must be discontinued.
Any household waste, regardless of its nature (including tissues, toilet/kitchen rolls, disposable sheets, masks and gloves), must be considered as undifferentiated waste and therefore disposed of in the container used for undifferentiated collection (if possible, with foot pedal), taking care to place the waste inside at least two sealed resistant bags (one inside the other) first, to avoid contact with sanitation workers.
On the other hand, in households where there are no positive subjects in isolation or in compulsory quarantine, it is recommended to continue respecting the waste procedures required by the local territory, without interrupting the separate waste collection.
However, as a precautionary measure, any used tissues, masks, and gloves should be disposed of in the undifferentiated waste.
The Istituto Superiore di Sanità (Italian Higher Institute for Health Care) has issued a document concerning the PPE and medical devices recommended for the prevention of SARS-CoV-2 infection in the workplace (health care workers, cleaners, laboratory technicians, patients with/without symptoms, accompanying persons, ambulance workers, etc.) and recipients of the guidelines.
Read the document
What preventive measures have been introduced at national level for this virus in relation to donors of blood, organs and tissues?
The National Blood Centre and the National Transplant Centre have established specific measures to suspend temporarily acceptance of donors coming from affected areas.
I am a blood donor. What should I do?
Remember that you can only donate blood if you are in good health; even a simple cold or sore throat, without any connection to the Coronavirus, would cause temporary exclusion.
If you think you have been exposed to the risk of coronavirus infection, wait at least three weeks before donating blood.
When you go to give blood, always inform the interviewing doctor of any recent travel, especially if in one of the areas affected by the novel Coronavirus.
Also inform the doctor if you have been diagnosed with the infection or if you have had symptoms associated with those caused by the Coronavirus (fever, cough, breathing difficulties) even when the symptoms have already been resolved, on their own or following treatment. The interviewing doctor will examine you and may decide to disqualify you temporarily from donating blood.
If you have already donated blood, remember to contact the Blood Transfusion Service if you develop symptoms similar to those caused by the Coronavirus.
Are pregnant women more susceptible to infection or at increased risk of developing a severe form of COVID-19?
There are no scientific reports on the susceptibility of pregnant women to the virus. Pregnancy involves changes in the immune system which may increase the risk of viral respiratory infections, including SARS-CoV-2. Pregnant women might also be at higher risk of developing a severe form of viral respiratory infections.
The advice for pregnant women is to take normal preventive actions to reduce the risk of infection, such as washing hands often and avoiding contact with people who are sick.
What are the effects of COVID-19 during pregnancy?
There are no scientific reports about the effects of COVID-19 during pregnancy. In cases of infection during pregnancy with other related coronaviruses [SARS-CoV and MERS-CoV], cases of miscarriage have been observed, while high fevers during the first trimester of pregnancy may increase the risk of birth defects.
Can pregnant women with COVID-19 pass the virus to their fetus or new-born?
From the limited data in the literature, no cases of transmission of infection by other coronaviruses (MERS-CoV and SARS-CoV) from mother to child have been reported. Recent data on children born to mothers with COVID-19 indicate that none of the infants tested positive. Additionally, SARS-CoV-2 was not detected in the amniotic fluid.
Do pregnan t women with COVID - 19 need to have a Caesarean section?
In relation to the current limited knowledge and results of the only study carried out in China, where the presence of SARS - CoV - 2 has not been demonstrated in umbilical cord blood, amniotic fluid and breast milk, there is no elective indication for caesarean sectioning in women with COVID - 19, therefore the current indications for caesarean sectioning remain valid.
Furthermore, considering that caesarean section is an independent risk factor for matern al mortality, it is appropriate to carefully assess this mode of delivery in pregnant women with COVID - 19.
Can women who test positive for the new coronavirus have contact with their newborn immediately after birth?
Whenever possible, the preferred option is the joint management of mother and newborn to facilitate the interaction and initiation of breastfeeding.
Should the mother be asymptomatic and feel able to manage her newborn independently, mother and newborn can be managed together. In this case, rooming - in for mother and infant is applicable, applying normal precautions for airborne respiratory diseases. If the mother has a frankly symptomatic respiratory infection (fever, cough and respiratory secretions, myalgia, sore throat, asthenia, dyspnoea ), mother and newborn are temporarily separated.
The decision whether or not to separate mother and newborn should be taken for each individual couple, taking into account the information and consent of parents, the logistical situation of the hospital and possibly also the local epidemiological situation regarding the spread of SARS - CoV - 2.
Can women who tested positive for the new coronavirus breastfeed their baby?
If the mother is asymptomatic, she can breastfeed, taking all possible precautions to avoid transmitting the virus to her baby, washing her hands and wearing a surgical mask while breastfeeding.
If breast milk squeezed with manual or electric breast pump is used, the mother should wash her hands and follow the recommendations for proper cle aning of the instruments after each use. If possible, consider using donated human milk.
If the mother has a frankly symptomatic respiratory infection (fever, cough and respiratory secretions, myalgia, sore throat, asthenia, dyspnoea), mother and newborn s hould be transiently separated. In this case, the automatic use of breastmilk substitutes should be avoided, by implementing the pumping of breastmilk or the use of donated human milk. In cases of severe maternal infection, breastmilk pumping may not be ca rried out, according to the general condition of the mother. The compatibility of breastfeeding with drugs that may be administered to the woman with COVID - 19 should be assessed on a case - by - case basis. The use of positive SARS - CoV - 2 mother's pumped breas t milk for the newborn in a Neonatal Intensive Care Unit follows specifics protocols.
What containment measures are planned in Italy?
The Decree- law of May 16, 2020, n. 33 outlines the framework of the so-called "Phase 2". These measures apply from May 18 to July 3, 2020.
The decree DPCM May 17 2020 defines the new prevention and containment measures for co-existing with the coronavirus during the resumption of productive, commercial, and social activities.
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According to the Decree Law of May 16, 2020, n. 33, starting on May 18, travelling on the Italian national territory will be regulated as follows:
Travelling within the Region
As from May 18, 2020, all measures restricting movement within the regional territory shall cease to have effect. Those measures may be adopted or repeated only regarding specific areas of the territory affected by a worsening of the epidemiological situation.
Travelling between Regions from May 18 to June 2
Until June 2, 2020, it is forbidden to travel, by public or private transport, to a region other than the one in which you are currently located, except for proven work reasons, absolute urgency, or for health reasons; in any case, you are allowed to return to your home, domicile, or legal residence.
Travelling between Regions from June 3
From 3 June 2020, travel between regions will be permitted. Inter-regional travel may be limited only by measures taken in relation to specific areas of the national territory, in accordance with the principles of adequacy and proportionality to the epidemiological actual risk present in those areas.
It is advisable to contact the regional emergency COVID-19 toll free number of your specific Region for further information, also with reference to any existing requirements for quarantine and fiduciary isolation, upon return from your travels.
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Restrictions:
Permitted activities with limitations
It is also advised that all citizens respect simple preventive recommendations.
Which shops and services are open?
Starting from May 18, economic, productive, and social activities are resuming, in compliance with protocols and/or guidelines aimed at preventing or reducing contagion.
To ensure that the activities are carried out safely, Regions will monitor the epidemiological situation in their territories daily. Conditions and suitability of each regional health system shall be reassessed accordingly, in relation to the development of the epidemiological situation in the regional territory. The situation shall be ascertained according to the criteria established by the Decree of the Minister of Health, April 20, 2020.
Each Region, after informing the Minister of Health, may introduce derogatory, extensive, or restrictive measures.
The following activities will remain closed:
Who should I contact?
If you have flu symptoms or think you might be at risk of infection, stay at home, do not go to the emergency room or the doctor's surgery but call your family doctor, paediatrician or the ‘guardia medica’ (out-of-hours primary care service). Alternatively, call the regional information hotline.
Find out more:
Where can I find more information about the novel Coronavirus?
The Ministry of Health has set up dedicated website: www.salute.gov.it/nuovocoronavirus
The Regions have activated local helpsline to handle the many requests for information and advice.
Find out more on Ministry's website:
You can find specific information for schools, universities and art and music colleges in the dedicated page of the Ministry of University and Research and the Ministry of Education.
Updates on the evolution of the outbreak are released daily by the Civil Protection and published in the dedicated pages Situation in Italy and Situation in the world of the Ministry's website.
Go to the Civil Protection website
If you are planning to travel abroad, you will find useful information on the Ministry of Foreign Affairs’ travel advice website Viaggiare sicuri.
More information is available on the Epicentro website of the National Institute of Health (ISS).
What is recommended to travellers?
Travel to and from abroad from May 18 to June 2
Until June 2, 2020, travel to and from abroad by public and private transport is prohibited, unless:
Travel to and from abroad from June 3
From June 3, 2020, travel to and from abroad is permitted.
Movements may only be restricted by measures taken in relation to specific States and territories, in accordance with the principles of adequacy and proportionality to the epidemiological risk and in compliance with the constraints arising from EU law and international obligations.
Travel between the Vatican City State or the Republic of San Marino and neighbouring regions
Travel between the Vatican City State or the Republic of San Marino and neighbouring regions are not subject to any restrictions.
For further information please refer to:
Until June 2, whoever intends to enter Italy by air, sea, lake, rail or land transport or by private means, is required, for the purpose of access to the service, to deliver to the carrier a detailed and clear certification upon boarding, in order to allow verification by carriers or shipowners, to:
All travellers entering Italy, even if asymptomatic, are obliged to immediately notify the Prevention Department of the competent territorial health service and are subject to health surveillance and fiduciary isolation for a period of fourteen days at the home or residence stated at the time of boarding.
In the event of the onset of COVID-19 symptoms, travellers are obliged to report this situation promptly to the Health Authority via the dedicated telephone numbers.
Obligations for carriers and shipowners
Carriers and shipowners shall obtain and verify the documentation required from travellers before boarding, taking care to take temperature measurements of individual passengers and forbidding boarding in case of fever, as well as because of incomplete documentation.
Carriers and shipowners are also required to adopt any necessary measures to ensure at all times an interpersonal distance of at least one meter between passengers during the journey, and to promote the use of individual means of protection by the crew and passengers, providing clear directions concerning any situations in which such protections may be temporarily removed. Air carriers shall ensure that all passengers without protection are provided with personal protective equipment upon boarding.
The above provisions shall not apply to:
Learn more:
Are foreign nationals required to observe the same travel limitations as Italian citizens?
Yes, the restrictions to travel and movement apply to all persons in or entering/exiting Italy, regardless of their nationality.
What are the WHO’s recommendations for countries?
The WHO encourages all countries to strengthen preventive measures, active surveillance, early detection of cases, their isolation following appropriate management and containment procedures, and accurate contact tracing to prevent further spread.
Countries are asked to continue to improve their preparedness for health emergencies in line with International Health Regulations (2005) and to share information on cases and on the measures they implement.
Where are the COVID-19 cases happening?
On March 11th, 2020, the World Health Organization (WHO) declared that the international outbreak of the new coronavirus SARS-CoV-2 infection can be considered a pandemic.
The epidemiological situation is constantly evolving. Every day the WHO publishes the epidemiological update of the disease on the page Coronavirus disease (COVID-2019) situation reports.
Learn more about the New Coronavirus on the following website pages:
Can I get a prescription from my doctor by email or cell phone message?
Yes. By Order of 19 March 2020, you can now get the ‘Electronic Prescription Number’ from your doctor without having to pick up a paper prescription. This is a further measure to reduce the movement of people and stop the spread of the novel coronavirus infection.
Your doctor may:
After receiving the Electronic Prescription Number and the tax identification number on your health card, the pharmacist will supply you with the medication.
With the introduction of national restrictive measures, have the activities of anti-violence centres for women been suspended?
No, the anti-violence centres remain open and accessible without restrictions.
Women who are victims of violence and stalking can:
Download the infographics.
I Am deaf, where can I ask for information?
You can write an email to 1500coronavirus@sanita.it. You will be answered by doctors ready to give you the explanations and help you need.
Where can I find information on measures for citizens with disabilities?
The Presidency of the Council of Ministers and the Ministry of Health publish all updates regarding the new Coronavirus on the website: www.salute.gov.it/nuovocoronavirus.
The Office for Policies in Favour of Citizens with Disabilities publishes specific updates relating to regulations applying to citizens with disabilities on the following website:
New Coronavirus: Frequently Asked Questions for Citizens with Disabilities
In addition to answers to the most frequently asked questions about the measures taken by the Government for people with disabilities and their families, the website also contains the Ministry of Health's vademecum in an accessible format.
The announcements of the Civil Protection Department are available, also in LIS (Italian Sign Language) version, on the YouTube Department channel.
Extracts of the announcements are available, in writing, on the Department website.
I would like to make a donation to give my contribution during this national emergency, how can I donate?
The Civil Protection website has opened a bank account dedicated to the New Coronavirus emergency.
You will find the relevant information on the page: Coronavirus Emergency: the current account to make your donation is now active
You may also make a donation to the financial support fund dedicated to the families of deceased health care workers because of the Covid-19 emergency. This fund has been set up by the Civil Protection. Donations can be made by bank transfer, both from Italy and abroad.
Read more:
For further information:
What monitoring device has been introduced for this virus nationwide?
For the management of Phase 2, a specific monitoring system on epidemiological data and response capacity of regional health services has been activated, introduced with the decree of the Ministry of Health of April 30, 2020. The monitoring is developed by a “control booth” consisting of the Ministry of Health, the Higher Institute of Health and the Regions.
In Italy, specific surveillance for this virus is also active at national level since the beginning of the epidemic.
The situation is constantly monitored by the Ministry, which is in permanent contact with the WHO, the ECDC, the European Commission and promptly publishes any new updates on the portal www.salute.gov.it/nuovocoronavirus.
In view of the WHO's declaration of an "International Public Health Emergency", the Council of Ministers declared a state of emergency on January 31, 2020, because of the health risk associated with Coronavirus infection.
What do the R0 and Rt values indicate?
The R0 value (reads R with zero), i.e. the "basic reproduction number", indicates the average number of infections directly caused by each infected individual, at the beginning of the epidemic and in the absence of containment measures. If R0 is 2 it means that on average each infected person will infect two people, if it is 3 it will infect 3, each of which will infect the same number of people.
The higher the R0 value, the higher the risk of spreading the virus.
If R0 is less than 1 (i.e. each infected person will infect less than one), it means that the infection will tend to die out naturally, because the number of infected people will gradually decrease.
Rt (reads R with t) is the expression of the same index at a given time of the epidemic, depending on the containment measures undertaken.
The closer Rt is to zero, the faster the infection is eliminated in the population.
Rt makes it possible to measure the effectiveness of any prevention and restriction measures adopted to limit and contrast the spread of the disease.
What does it mean that those who have been in contact with SARS-CoV-2 positive people in the previous days are not allowed to attend a religious service?
“Contact" is to be understood as "close contact" with a probable or confirmed case, as defined by the Circular of the Ministry of Health of March 9, 2020, namely:
In this case, the epidemiological link may have taken place within a period of 14 days, before the onset of the disease.
I am a health care worker working in a COVID-19 department. Can I attend religious services?
Yes, access to a place of worship is permitted, as long as appropriate personal protective equipment (PPE) has always been used during the healthcare activity provided.
What is meant by quarantine, active surveillance, and fiduciary isolation? What are the differences?
Quarantine is a period of isolation and observation, of different lengths of time, that is required for people who may carry germs that are responsible for infectious diseases.
The advised time for quarantine may vary, according to the different infectious diseases and in relation to the incubation period identified for that particular infectious disease.
For the new Coronavirus, the quarantine time has been set to fourteen days.
Quarantine is used to keep those who may have been exposed to an infectious agent, such as SARS-CoV-2, away from others. Quarantine helps prevent the spread of disease by potentially infected people before they know they are sick.
People in quarantine must stay at home, monitor their health conditions, and follow the health and hygiene instructions provided by a public healthcare professional and required by law.
Fiduciary isolation is used to separate people with a confirmed contagious disease from those who are not infected.
People who are in isolation must stay at home, separate from the other persons living in the same household (keeping to their own room and using, if available, a separate bathroom), monitor their state of health and follow the hygienic-sanitary indications provided by a public healthcare professional, according to the regulations in force.
Active surveillance is a measure that involves a public healthcare professional, who contacts the person under surveillance on a daily basis, in order to obtain information on their health conditions.
Do children have an increased risk of infection?
Currently, there is no evidence that children are more susceptible to new coronavirus infection. According to a recent study carried out in China, the majority of the confirmed cases of COVID-19 occurred in adults.
However, as with other respiratory diseases, some populations of children may be at greater risk of serious infection, such as children with underlying medical conditions.
Therefore, children too should follow the recommended prevention measures. In particular they should wash their hands frequently with soap and water or an alcohol-based hand rub and avoid contact with sick people.
What can parents do to protect their children from infection?
You may encourage your children to help stop the spread of COVID - 19 by teaching them the rules of hygiene and infection prevention:
CDC source
What can parents do to promote physical activity?
During this emergency phase, characterized by extended time to spend at home, it is particularly important to offer children some activities and movement games. Physical exercise, intended as a game of movement, has a priority role for health in the develo pmental age and, in addition to being fun, it helps to improve physical health conditions and promote psychological well - being, functional to achieving a healthy growth. At this time, movement games, more or less structured, to be played together at home, can therefore be very useful to deal with this particular situation with in a more relaxed way: such activities can in fact help children and young people to elaborate emotions and experiences that are sometimes difficult to express, as in playtime childr en have an opportunity to express their emotions, moods and experiences, both pleasant and unpleasant.
To promote physical activity parents may:
Please refer to the website of the Italian Higher Institute for health, where you will find more information for the different age groups:
Source ISS
Fonte:
Directorate-General for Preventive Healthcare
Data di ultimo aggiornamento: 27 maggio 2020
