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Daily report

All the processed data collected from various sources are published at the same time on the National Civil Protection Department's interactive:

  • Dashboard map
  • Daily data sheet (Covid-19 Cases update) with the aggregated number of daily cases from the regions/autonomous provinces;
  • Epidemiological-surveillance infographic (ISS Epidemiological Infographic) produced by the Higher Health Institute (ISS), with individual case data from positive tests diagnosed by the regions/autonomous provinces;

Weekly monitoring report Phase 2

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.

Key points Covid-19 weekly monitoring, report of 31 August - 6 September 2020

  • An analysis of the data for the period 31 August - 6 September 2020 is provided below. Due to the time between exposure to the pathogen and the development of symptoms and between these and the diagnosis and subsequent notification, many of the cases reported this week are likely to have contracted the infection in the third decade of August. Some of the cases identified by screening, however, may have contracted the infection in earlier periods.
  • An increase in the new cases reported in Italy for the sixth consecutive week is confirmed, with a cumulative incidence (ISS flow data) in the last 14 days (period 24/8-6/9) of 27.89 per 100,000 inhabitants, up from the period 6/7-19/7. The majority of cases continue to be developed on the national territory (15% of new cases diagnosed in the monitoring week are imported from abroad); in particular, a not negligible percentage of cases imported from other Regions/PAs is observed (11.1% in the current week, a decrease compared to the previous week).
  • In Italy, as in Europe, an epidemiological transition of the SARS-CoV-2 epidemic occurred during the summer, with a sharp drop in the median age of the population contracting the infection. However, in the last two weeks, the median age of the diagnosed cases is increasing again and is now about 35 years. Particularly, people over 50 years of age were around 28% of cases diagnosed in the period 24/8-6/9; these were just over 20% in the previous two weeks. Although circulation in the summer period has occurred more frequently in younger age groups, within a context of an advanced reopening of commercial activities (including places of aggregation) and increased mobility, there are now signs of greater transmission of the virus over the national territory, in the home/family environment, with a circulation that is also affecting older people. The dynamics of transmission remain extremely fluid: the effects of outbreaks associated with recreational activities, already observed in the previous weeks, both on the national territory and abroad, continue to be observed, with a further increase in transmission in the family/household environment during the current week.
  • Starting from June, probably due to the reopening on May 4 -18, and June 3, a slight but constant increase in the national transmission index (Rt) was noticed at national level, which exceeded the threshold of 1, around  August 16, 2020. In the period August 20 - September 2, 2020 the Rt calculated on symptomatic cases is equal to 1.14 (95%CI:0.71 - 1.53). For details on the methods of calculation and interpretation of the Rt reported, please refer to the detailed information available on the website of the Higher Institute of Health.
  • However, the national transmission index must be interpreted with caution at this time of the epidemic. In fact, a Rt calculated on symptomatic cases, while remaining the most reliable indicator at regional level and comparable over time for monitoring transmissibility, could slightly underestimate the real transmission of the virus at national level. Therefore, the national Rt must always be interpreted considering the incidence data.
  • Moreover, during this monitoring week new cases of SARS-CoV-2 infection were diagnosed in all Regions/PPAA. During this week of monitoring, 37% of the new cases diagnosed in Italy were identified through screening activities and 31% through contact tracing activities. The remaining cases were identified as symptomatic (27%) or the reason for the diagnostic assessment is not reported (5%). Therefore, overall, 68% of the new cases were diagnosed thanks to intensive screening activity and case investigation, with identification and monitoring of close contacts.
  • The virus is now circulating throughout the country. Ten Regions/PPAA reported an increase in the number of cases diagnosed, compared to the previous week (ISS flow), which cannot be attributed solely to an increase in cases imported from abroad. A high number of new cases continue to be reported in almost all the regions/PAA and there has been a substantial upward trend for several weeks. Outbreaks are reported in almost all provinces, reflecting a circulation of the virus throughout Italy. This should call for caution, as it shows that the circulation of SARS-CoV-2 in the country is increasing.
  • Compared to the previous two weeks of monitoring (from August 17 to 30, 2020), there has been an increase in the occupancy rate of dedicated beds, in both the medical and intensive care areas in almost all Regions. At national level, the employment rate in the medical area has increased from 1 to 2%, while the employment rate in intensive care has increased from 2% to 3%, with values above 5% for some regions. Although no signs of overburdening of the health care services have yet been identified, the observed trend could be reflected in increased efforts, in the short term. The important and growing commitment of the territorial services (Prevention Departments), to ensure that outbreaks are promptly identified and investigated is also confirmed.
  • During the week of monitoring, a total of 2280 active outbreaks was reported, of which 691 were new outbreaks (the adopted definition of outbreak foresees the identification of 2 or more positive cases linked to each other). Both types have been increasing for the sixth consecutive week (in the previous week of monitoring, 1799 active outbreaks were reported, of which 649 new). This implies an increasing commitment of the territorial services in the search for contacts, managing to contain the local transmission of the virus.

Mortality Report

The  ISS and ISTAT report of July 16, shows that on  May 25, 2020, Covid-19 was the direct cause of death in 89% of deaths of people who tested positive for Sars-CoV-2, while for the remaining 11% the causes of death were cardiovascular disease (4.6%), cancer (2.4%), respiratory system diseases (1%), diabetes (0.6%), dementia and digestive diseases (0.6% and 0.5% respectively).

The latest ISS update shows an average age 80 years in deceased patients and an average of 3.4 pre-existing diseases.

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Data di pubblicazione: 8 settembre 2020, ultimo aggiornamento 15 settembre 2020

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