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COVID-19 RULES

Lockdowns and restrictions across Europe ‘averted 3 million deaths’

Lockdowns and restrictions on daily life prevented around 3.1 million deaths in 11 European countries, according to a new modelling study published Monday, as most nations tiptoe out of the strict measures to halt the spread of the new coronavirus.

Lockdowns and restrictions across Europe 'averted 3 million deaths'
Members of the Catalan regional police force Mossos d'Esquadra inform tourists about the lockdown in Barcelona on March 15, 2020

Research by Imperial College London, whose scientists are advising the British government on the virus, found that restrictions such as stay-at-home orders had worked to bring the epidemic under control. 

Using European Centre of Disease Control data on deaths in 11 nations in the period up to May 4, they compared the number of observed deaths in the countries against those predicted by their model if no restrictions had been 
imposed.

They estimated that approximately 3.1 million deaths had been averted by the policies.

The 11 nations were: Germany, France, Italy, Britain, Spain, Belgium, Austria, Denmark, Norway, Switzerland and Sweden, which did not impose a strict lockdown as seen in other countries.

Researchers also calculated that the interventions had caused the reproduction number — how many people someone with the virus infects — to drop by an average of 82 percent, to below 1.0.

“Our results show that major non-pharmaceutical interventions, and lockdown in particular, have had a large effect on reducing transmission,” the authors said in the study, published in Nature Research.

“Continued intervention should be considered to keep transmission of SARS-CoV-2 under control.”

The researchers estimated that cumulatively between 12 and 15 million people had been infected in the period — or between 3.2 and four percent of the population of the 11 nations.

This fluctuated significantly between countries, with only 710,000 people in Germany thought to have caught the virus, or 0.85 percent of the population. 

That compares with Belgium, with the highest infection rate of the countries at eight percent, and Spain, where some 5.5 percent of the population, or 2.6 million people, were estimated to have been infected. 

'Large health benefits'
 
The authors said that since interventions such as restrictions on public events and school closures were imposed in quick succession, it is difficult to tease out the effect of each one separately. 
 
But they found that lockdown measures taken as a whole did have an identifiable and “substantial” effect, reducing transmission by an estimated 81 percent.  
 
The authors acknowledged that one limitation of their model was that it assumes each measure had the same effect on all countries, whereas in reality “there was variation in how effective lockdown was in different countries”.
 
In a separate study, also published in Nature, researchers from UC Berkeley used a different method — econometric modelling used to assess how policies affect economic growth — to evaluate containment policies in China, South 
Korea, Italy, Iran, France and the United States. 
 
Researchers used data on daily infection rates and the timings of hundreds of localised interventions up until April 6. They then compared infection growth rates before and after those policies were implemented. 
 
By comparing this to a scenario in which no policies had been put in place, they estimated that the interventions may have prevented or delayed around 62 million confirmed cases of COVID-19 across the six countries.
 
They said this corresponded to averting around 530 million total infections.

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COVID-19 RULES

EXPLAINED: Has Italy still got any Covid rules in place?

Italy is blissfully free of Covid restrictions this summer - or is it? Here's what you need to know about the country's few remaining rules.

EXPLAINED: Has Italy still got any Covid rules in place?

If you thought Italy’s Covid rules ought to have more or less expired by now, you’d be right – almost. 

There are essentially no travel restrictions, no vaccination or testing obligations, and very few situations in which people are required to mask up.

However, a few nationwide health rules do remain in place that are worth knowing about.

Here’s what they are.

Masks

One notable exception to Italy’s Covid rule relaxations is the continued requirement to wear a mask in parts of health and residential care facilities that house vulnerable or immunosuppressed patients.

This rule had been due to expire on April 30th, but was renewed by decree on April 29th and will remain in place until the end of the year.

READ ALSO: What to expect when travelling to Italy in summer 2023

That means if you work in such a facility or need to visit a friend or family member there, you should come equipped with a mask.

Under-6’s, people whose disability prevents them from wearing a mask, and carers for whom wearing a mask would prevent them from communicating with a disabled patient are the only exceptions.

Quarantine

Then there are the quarantine rules.

‘Italy still has quarantine rules?!’ you ask incredulously.

According to former health director Giovanni Rezza, who retired this May, the answer is yes.

It was Rezza who signed off on a health ministry decree dated December 31st, 2022 that established the country’s latest quarantine restrictions.

Tourists visiting Italy no longer face Covid-related restrictions, though rules may apply in some circumstances. Photo by Filippo MONTEFORTE / AFP

That decree says that those who test positive but are asymptomatic must self-isolate for five days, or until they test negative at a pharmacy or health facility – whichever happens sooner.

Those who do experience symptoms should either test negative before exiting quarantine, or wait until they are symptomless for at least two days.

At the end of the isolation period, those who have left quarantine without taking a test are required to wear a high-grade FFP2 mask in public until the tenth day since the onset of symptoms or first positive test result.

READ ALSO: What are the upcoming strikes in Italy and how could they impact you?

People who have been in close contact with someone who tested positive for Covid should wear an FFP2 mask in public until the fifth day since the last point of contact.

Earlier this month, Rezza told journalists at the national broadcaster Rai that since no expiration date was stipulated, the decree remains in force indefinitely.

The health ministry doesn’t appear to have weighed in on the matter, so for now it should be assumed that the quarantine rules are still active.

Of course, this all relies on the honour system, as most Covid tests these days are taken (if at all) in people’s own homes without the knowledge or involvement of state health authorities.

Travel

Finally, there have been some recent reports of new international travel restrictions specifically relating to China.

There has been talk of Italy’s airports reintroducing tests for arrivals from China. Photo by Alberto PIZZOLI / AFP.

Towards the end of May, newspapers La Stampa and La Gazzetta del Mezzogiorno reported that Covid tests had been reintroduced at Italy’s airports for arrivals from China, which has seen an uptick in cases.

However, neither the health ministry website nor the Foreign Ministry’s Viaggiare Sicuri (‘Travel Safe’) website appear to have published any updates to this effect.

In December 2022, Italy’s health ministry mandated that all arrivals from China must produce a recent negative test result before leaving for Italy and to take a test on arrival, though this rule was due to expire at the end of January.

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