COVID-19 pandemic in Italy

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Confirmed COVID-19 Cases in the Provinces of Italy per 100,000 Population

Italy is one of the countries in Europe that was hit very early and particularly badly by the COVID-19 pandemic . The SARS-CoV-2 virusspread across Italy; the focus of the infection was in northern Italy . The health system in many northern Italian provinces was so overloaded that many patients could not be treated or treated adequately and clinicians were forced to perform a triage . In many places protective masks were missing or missing; This is one of the reasons why many members of the medical staff have become infected with the virus. On March 19, 2020, Italy counted 3,405 COVID-19 deaths, the first time more victims than China.

The Italian government initially sealed off the epicentres; Since March 8, measures have been adopted in quick succession that prevented many economic activities and restricted the freedom of movement of citizens; Public events have been canceled, churches and museums have been closed, and the Venice Carnival has been canceled. From the second week of March, many shops and a little later also production plants had to close; massive exit restrictions applied to the general public, but these were relaxed in the first week of May.

statistics

Numerous COVID-19 infection routes passed through Italy to other countries in which no or only few other COVID-19 infections were known (marked orange)

The tables in this section are based on the figures from the national Istituto Superiore di Sanità, where each sample is checked again before the case is considered a confirmed infection.

According to statistics, on March 3, 2020, over 10% of positively diagnosed people were in intensive care units. On March 25th it was about 6%, this figure is well above the proportion in other countries, e.g. B. 1.6% in Austria. This comparison does not take into account the fact that in Italy not all intensive care patients are given a corresponding place for a long time. One reason for noticeable differences in the hospitalization rate and in mortality could be the high number of unrecognized cases in Italy, which falsifies the statistics. A model calculation from March 16, 2020 comes to the thesis that the actual cases in Italy are probably a multiple of those confirmed in the laboratory and are possibly in the one to two-digit million range. Other reasons for the high mortality, which was a calculated 9% as of March 21, are the high percentage of antibiotic resistance (about 1/3), the overloaded medical system, the high average age of the infected and the air pollution in the Po- Seen level . The fact that the epidemic started earlier in Italy than in other European countries and has now developed more severe courses probably also plays a role.

A tendency towards close physical contact (e.g. greeting with kisses on the cheek) as well as the fact that in many Italian families grandparents regularly look after the children, who can be infected without symptoms and thus spread the disease in a highly endangered age group, have been cited as further explanations . In several reports it was speculated that the high mortality could result from the counting method, among other things, since in Italy every deceased with a proven infection counts as a COVID-19 death, i.e. also persons with underlying illnesses for which the cause of death could not be clearly determined . According to the Robert Koch Institute , however, the same counting method is used in Germany, which has a very low mortality rate (approx. 0.3% on March 22, 2020). There is no evidence to support the opinion, discussed in reader comments and on social media, that a “deadlier strain of virus” has established itself in Italy.

According to some mayors of northern Italian municipalities, the actual number of those who died from COVID-19 is significantly higher than known. Claudio Cancelli, mayor of the municipality of Nembro ( Bergamo province , 11,000 inhabitants) is convinced that around four times as many people died of COVID-19 in his municipality as officially stated; this estimate is based on a study comparing current deaths in Nembro with past deaths. The main reason given for the undetected cases is the fact that people who died in old people's homes or at home were not tested. In addition, according to the virologist Christian Drosten, the pathogens of COVID-19 are sometimes no longer detectable in the throat as early as the second week, but only in the lungs (so that negative throat swabs can lead to wrong conclusions). These local observations also confirmed nationwide studies: between February 20 and March 31, 2020, according to a study by the national statistical office Istat and the Istituto superiore di sanità, which is subordinate to the health department, 25,354 more people died in Italy than the average between 2015 and 2019 during this period. Officially, there were 13,710 Covid-19 deaths between February 20 and March 31, 2020.

In Lombardy there were massive bottlenecks in the intensive care units: patients who needed intensive therapy had to be transferred to other wards. When the epidemic broke out, Italy had a total of 5,100 beds in intensive care units, around 8.5 beds per 100,000 inhabitants. This rate is higher than in Great Britain (6.6 beds per 100,000 inhabitants), but much lower than in Germany (29.2 beds). The number of normal hospital beds is also comparatively low in Italy (340 per 100,000 inhabitants, compared to 830 in Germany), while the number of doctors does not differ significantly from Germany.

Evolution of the epidemic

Development of active infections in Italy
according to data from the Ministero della Salute

Confirmed infections (cumulative) in Italy
according to data from the Ministero della Salute

New infections (daily difference from the accumulated infections) in Italy
according to data from the Ministero della Salute

Confirmed deaths (cumulative) in Italy
according to data from the Ministero della Salute

Confirmed deaths (daily) in Italy
according to data from the Ministero della Salute

date Infections (cumulative) Infections (difference to the previous day) recovered (cumulative) Deaths (cumulative) active infections Increase / decrease in active infections / 24 h [%] Isolation at home hospital Intensive care unit
Jan 28, 2020 2 0 2
Feb 21, 2020 39 37 0 39
Feb 22, 2020 79 40 2 77 097.4%
23 Feb 2020 159 80 2 157 103.9% 26th
Feb. 24, 2020 229 70 1 6th 222 041.4% 23
Feb 25, 2020 326 97 1 11 314 041.4% 35
Feb 26, 2020 400 74 3 12 385 022.6% 36
Feb. 27, 2020 650 250 45 17th 588 052.7% 56
Feb 28, 2020 888 238 46 21st 821 039.6% 64
Feb 29, 2020 1,128 240 50 29 1,049 027.8% 105
01st Mar 2020 1,694 566 83 34 1,577 050.3% 140
02nd Mar 2020 2,036 342 149 52 1,835 016.4% 166
03rd Mar 2020 2,502 466 160 79 2.263 023.3% 229
04th Mar 2020 3,089 587 276 107 2,706 019.6% 295
05th Mar 2020 3,858 769 414 148 3,296 021.8% 351
06th Mar 2020 4,636 778 523 197 3,916 018.8% 462
07th Mar 2020 5,883 1,247 589 233 5,061 029.2% 567
0March 8 2020 7,375 1,474 622 366 6,387 026.2% 2,180 3,557 650
09 Mar 2020 9,172 1,797 724 463 7,985 025.0% 2,936 5,049 733
10 Mar 2020 10.149 977 1.004 631 8,514 006.6% 2,559 5,915 877
11th Mar 2020 12,462 2,313 1,045 827 10,590 024.4% 3,724 6,866 1,028
March 12 2020 15,113 2,651 1,258 1,016 12,839 021.2% 5,036 7,803 1,153
13 Mar 2020 17,660 2,547 1,439 1,266 14,955 016.5% 6,201 8,754 1,328
14 Mar 2020 21,157 3,497 1,966 1,441 17,750 018.7% 7,860 8,372 1,518
15th Mar 2020 24,747 3,590 2,335 1,809 20,603 016.1% 9,268 9,663 1,672
16. Mar. 2020 27,980 3.233 2,749 2.158 23,073 012.0% 10.197 11,025 1,851
17th Mar 2020 31,506 3,526 2,941 2,503 26,062 013.0% 11,108 12,894 2,060
18 Mar 2020 35,713 4,207 4.025 2,978 28,710 010.2% 12,090 14,363 2,257
19 Mar 2020 41,035 5,322 4,440 3,405 33,190 015.6% 14,935 15,757 2,498
20 Mar 2020 47.021 5,986 5,129 4.032 37,860 014.1% 19,185 16,020 2,655
21 Mar 2020 53,578 6,557 6,072 4,825 42,681 012.7% 22,116 17,708 2,857
22 Mar 2020 59,138 5,560 7,024 5,476 46,638 009.3% 23,783 19,846 3,009
23 Mar 2020 63,927 4,789 7,432 6,077 50,418 008.1% 26,522 20,692 3,204
24 Mar 2020 69,176 5,249 8,326 6,820 54.030 007.2% 28,697 21,937 3,396
25th Mar 2020 74,386 5,210 9,362 7,503 57,521 006.5% 30,920 23,112 3,489
26th Mar 2020 80,539 6,153 10,361 8,165 62,013 007.8% 33,648 24,753 3,612
27 Mar 2020 86,498 5,959 10,950 9.134 66,414 007.1% 36,653 26,029 3,732
28 Mar 2020 92,472 5,974 12,384 10,023 70.065 005.5% 39,533 26,676 3,856
29 Mar 2020 97,689 5,217 13,030 10,779 73,880 005.4% 42,558 27,386 3,906
30th Mar 2020 101,739 4,050 14,620 11,591 75,528 002.2% 43,752 27,795 3,981
31 Mar 2020 105,792 4,053 15,729 12,428 77,635 002.8% 45,420 28.192 4.023
0Apr 1, 2020 110,574 4,782 16,847 13,155 80,572 003.8% 48.134 28,403 4,035
0Apr 2, 2020 115.242 4,668 18,278 13,915 83,049 003.1% 50,456 28,540 4,053
0Apr 3, 2020 119,827 4,585 19,758 14,681 85,388 002.8% 52,579 28,541 4,068
0Apr 4, 2020 124,632 4,805 20,996 15,361 88,274 003.4% 55,270 29,010 3,994
0Apr 5, 2020 128,948 4,316 21,815 15,887 91,246 003.4% 58,320 28,949 3,977
0Apr 6, 2020 132,547 3,599 22,837 16,523 93.187 002.1% 60,313 28,976 3,898
0Apr 7, 2020 135,586 3,039 24,392 17.127 94,067 000.9% 61,557 28,718 3,792
0Apr 8, 2020 139,422 3,836 26,491 17,669 95,262 001.3% 63.084 28,485 3,693
0Apr 9, 2020 143,626 4,204 28,470 18,279 96,877 001.7% 64,873 28,399 3,605
Apr 10, 2020 147,577 3,951 30,455 18,849 98.273 001.4% 66,534 28,242 3,497
Apr 11, 2020 152.271 4,694 32,534 19,468 100,269 002.0% 68,744 28,144 3,381
Apr 12, 2020 156.363 4,092 34,211 19,899 102.253 002.0% 71,063 27,847 3,343
Apr 13, 2020 159,516 3,153 35,435 20,465 103.616 001.3% 72,333 28,023 3,260
Apr. 14, 2020 162,488 2,972 37,130 21,067 104.291 000.7% 73.094 28,011 3,186
Apr 15, 2020 165.155 2,667 38.092 21,645 105,418 001.1% 74,696 27,643 3,079
April 16, 2020 168.941 3,786 40.164 22,170 106,607 001.1% 76,778 26,893 2,936
Apr 17, 2020 172.434 3,493 42,727 22,745 106,962 000.3% 78.364 25,786 2,812
Apr 18, 2020 175,925 3,491 44,927 23,227 107,771 000.7% 80.031 25.007 2,733
Apr 19, 2020 178,972 3,047 47,055 23,660 108.257 000.5% 80,589 25,033 2,635
April 20, 2020 181.228 2,256 48,877 24,114 108,237 0−0.0% 80,758 24,906 2,573
Apr 21, 2020 183,957 2,729 51,600 24,648 107,709 0−0.5% 81,104 24.134 2,471
Apr 22, 2020 187,327 3,370 54,543 25,085 107,699 0−0.0% 81,510 23,805 2,382
23 Apr 2020 189,973 2,646 57,576 25,549 106,848 0−0.8% 81.710 22,871 2,267
Apr 24, 2020 192,944 2,971 60,498 25,969 106,527 0−0.3% 82.286 22,068 2.173
Apr 25, 2020 195.351 2,407 63.120 26,384 105,847 0−0.6% 82,212 21,533 2,102
Apr 26, 2020 197,675 2,324 64,928 26,644 106.103 000.2% 82,722 21,372 2,009
Apr 27, 2020 199.414 1,739 66,624 26,977 105.813 0−0.3% 83.504 20,353 1.956
Apr 28, 2020 201.505 2,091 68,941 27,359 105.205 0−0.6% 83,619 19,723 1,863
Apr 29, 2020 203,591 2,086 71,252 27,682 104,657 0−0.5% 83,652 19,210 1,795
Apr 30, 2020 205,463 1,872 75,945 27,967 101,551 0−3.0% 81,708 18,149 1,694
01st May 2020 207,428 1.965 78,249 28,236 100,943 0−0.6% 81,796 17,569 1,578
0May 2, 2020 209.328 1,900 79.914 28,710 100,704 0−0.2% 81,808 17,357 1,539
0May 3, 2020 210.717 1,389 81,654 28,884 100.179 0−0.5% 81,436 17,242 1,501
04th May 2020 211,938 1,221 82,879 29,079 99,980 0−0.2% 81,678 16,823 1,479
05th May 2020 213.013 1,075 85.231 29,315 98,467 0−1.5% 80,770 16,270 1,427
0May 6, 2020 214,457 1,444 93,245 29,684 91,528 0−7.0% 74,426 15,769 1,333
0May 7, 2020 215.858 1,401 96.276 29,958 89,624 0−2.1% 73.139 15.174 1.311
0May 8, 2020 217.185 1,327 99.023 30,201 87,961 0−1.9% 72.157 14,636 1,168
0May 9, 2020 218.268 1,083 103.031 30,395 84,842 0−3.5% 69,974 13,834 1,034
May 10, 2020 219.070 802 105.186 30,560 83,324 0−1.8% 68,679 13,618 1,027
May 11, 2020 219.814 744 106,587 30,739 82,488 0−1.0% 67,950 13,539 999
May 12, 2020 221.216 1,402 109.039 30,911 81,266 0−1.5% 67,449 12,865 952
May 13, 2020 222.104 888 112,541 31,106 78,457 0−3.5% 65,392 12,172 893
May 14, 2020 223.096 992 115.288 31,368 76,440 0−2.6% 64.132 11,453 855
May 15, 2020 223,885 789 120.205 31,610 72,070 0−5.7% 60,470 10,792 808
May 16, 2020 224,760 875 122,810 31,763 70.187 0−2.6% 59,012 10,400 775
17th May 2020 225,435 675 125.176 31,908 68,351 0−2.6% 57,728 10,311 762
May 18, 2020 225,886 451 127,326 32.007 66,553 0−2.6% 55,597 10.207 749
19th May 2020 226,699 813 129,401 32,169 65,129 0−2.1% 54,422 9,991 716
May 20, 2020 227.364 665 132,282 32,330 62,752 0−3.6% 52,452 9,624 676
May 21, 2020 228.006 642 134,560 32,486 60,960 0−2.9% 51.051 9,269 640
May 22, 2020 228,658 652 136,720 32,616 59,322 0−2.7% 49,770 8,957 595
May 23, 2020 229,327 669 138,840 32,735 57,752 0−2.6% 48,485 8,695 572
May 24, 2020 229,858 531 140.479 32,785 56,594 0−2.0% 47,428 8,613 553
May 25, 2020 230.158 300 141,981 32,877 55,300 0−2.3% 46,574 8,185 541
May 26, 2020 230,555 397 144,658 32,955 52,942 0−4.3% 44.504 7,917 521
May 27, 2020 231.139 584 147.101 33,072 50,966 0−3.7% 42,732 7,729 505
May 28, 2020 231.732 593 150.604 33,142 47,986 0−5.8% 40.118 7,379 489
May 29, 2020 232.248 516 152.844 33,229 46.175 0−3.8% 38,606 7.094 475
May 30, 2020 232,644 416 155,633 33,340 43,691 0−5.4% 36,561 6,680 450
May 31, 2020 232.997 333 157.507 33,415 42,075 0−3.7% 35,253 6,387 435
0June 1, 2020 233.197 178 158.355 33,475 41,367 0−1.7% 34,844 6,099 424
02nd June 2020 233,515 318 160.092 33,530 39,893 0−3.6% 33,569 5,916 408
03rd June 2020 233.836 321 160.938 33,601 39,297 0−1.5% 33.202 5,742 353
04th June 2020 234.013 177 161,895 33,689 38,429 0−2.2% 32,588 5,503 338
05th June 2020 234,531 518 163,781 33,774 36,976 0−3.8% 31,539 5,301 316
0June 6, 2020 234,801 270 165.078 33,846 35,877 0−3.0% 30,582 5,002 293
0June 7, 2020 234.998 197 165.837 33,899 35,262 0−1.7% 30.111 4,864 287
0June 8, 2020 235.278 280 166,584 33,964 34,730 0−1.5% 29,718 4,729 283
0June 9, 2020 235,561 283 168,646 34,043 32,872 0−5.3% 28,028 4,581 263
June 10, 2020 235.763 202 169.939 34,114 31,710 0−3.5% 27.141 4,320 249
June 11, 2020 236.142 379 171,388 34,167 30,637 0−3.4% 26,270 4.131 236
June 12, 2020 236,305 163 173.085 34,223 28,997 0−5.4% 24,887 3,893 227
June 13, 2020 236,651 346 174,865 34,301 27,485 0−5.2% 23,518 3,747 220
June 14, 2020 236.989 338 176,370 34,345 26,274 0−4.4% 22,471 3,594 209
June 15, 2020 237.290 303 177.010 34,371 25,909 0−1.4% 22,213 3,489 207
June 16, 2020 237,500 210 178,526 34,405 24,569 0−5.2% 21.091 3,301 177
17th June 2020 237,828 329 179,455 34,448 23,925 0−2.6% 20,649 3.113 163
June 18, 2020 238.159 333 180,544 34,514 23.101 0−3.4% 20,066 2,867 168
19th June 2020 238.011 251 181.907 34,561 21,543 0−6.7% 18,750 2,632 161
June 20, 2020 238.275 262 182,453 34,610 21,212 0−1.5% 18,586 2,474 152
June 21, 2020 238,499 224 182,893 34,634 20,972 0−1.1% 18,510 2,314 148
June 22, 2020 238,720 218 183.426 34,657 20,637 0−1.6% 18,472 2,038 127
June 23, 2020 238.833 122 184,585 34,675 19,573 0−5.2% 17.605 1,853 115
June 24, 2020 239.410 190 186.111 34,644 18,655 0−4.7% 16,938 1,610 107
June 25, 2020 239,706 296 186,725 34,678 18.303 0−1.9% 16,685 1,515 103
date Infections (cumulative) Infections (difference to the previous day) recovered (cumulative) Deaths (cumulative) active infections Increase / decrease in active infections / 24 h [%] Isolation at home hospital Intensive care unit

On February 25, the Istituto Superiore di Sanità decreed that a COVID-19 test should no longer be carried out if there is a suspicion of an infection, but only if there are symptoms.

Since February 28, the Istituto Superiore di Sanità has been verifying that all deaths are actually due to the virus.

The active infections are formed from the difference between the accumulated infections minus the dead and recovered. The percentage increase in active infections therefore relates to the respective active focus of infection and not to the accumulated infections.

Regional distribution

region Hospitalized
with symptoms
Intensive care unit Domestic
quarantine
Total currently
infected
Difference currently infected
compared to the previous day
Recovered Died Entire cases Testing
Lombardy
Flag of Lombardy.svg Lombardy
176 27 7,749 7,952 -59 70,461 16,760 95.173 1,155,050
Piedmont
Flag of Piedmont.svg Piedmont
175 9 730 914 -139 26,478 4.115 31,507 454.092
EmiliaRomagna
Regione-Emilia-Romagna-Stemma.svg Emilia-Romagna
93 9 1,087 1,189 -4 23,511 4,271 28,971 554.781
Veneto
Flag of Veneto.svg Veneto
29 2 396 427 15th 16,952 2,041 19,420 1,076,719
Tuscany
Flag of Tuscany.svg Tuscany
8th 2 301 311 -24 8,894 1,125 10,330 375.745
Liguria
Flag of Liguria.svg Liguria
23 0 171 194 -24 8,283 1,561 10,038 164,739
Lazio
Flag of Lazio.svg Lazio
188 10 696 894 2 6,616 846 8,356 373.026
Brands
Flag of Marche.svg Brands
4th 0 156 160 1 5,658 987 6,805 150,309
Trentino
Flag of Trento Province.svg Trentino
2 0 24 26th 0 4,450 405 4,881 134,858
Campania
Flag of Campania.svg Campania
16 1 235 252 -1 4,095 432 4,779 304,517
Apulia
Flag of Apulia.svg Apulia
10 0 58 68 0 3,926 547 4,541 204.917
Friuli Venezia Giulia
Flag of Friuli-Venezia Giulia.svg Friuli Venezia Giulia
4th 0 82 86 6th 2,907 345 3,338 214,706
Abruzzo
Flag of Abruzzo.svg Abruzzo
19th 0 102 121 -22 2,740 467 3,328 115,444
Autonomous Region of Sicily
Flag of Sicily.svg Autonomous Region of Sicily
4th 0 133 137 14th 2,695 283 3.115 238,702
South Tyrol
Flag of South Tyrol.svg South-Tirol
6th 0 89 95 0 2,287 292 2,674 92,044
Umbria
Flag of Umbria.svg Umbria
4th 0 4th 8th 0 1,362 80 1,450 107,301
Sardinia
Flag of Sardinia.svg Sardinia
4th 0 6th 10 0 1,230 134 1,374 94.052
Calabria
Flag of Calabria.svg Calabria
5 0 52 57 0 1,062 97 1,216 106.176
Aosta Valley
Flag of Valle d'Aosta.svg Aosta Valley
3 0 1 4th 1 1,046 146 1,196 19,707
Molise
Flag of Molise.svg Molise
1 0 8th 9 -4 414 23 446 24,875
Basilicata
Flag of Basilicata.svg Basilicata
3 0 2 5 0 374 27 406 42,851
total 777 60 12,082 12,919 -238 195.441 34,984 243,344 6.004.611
Source : Protezione Civile -> Operations Dashboard for ArcGIS ,
updated on July 14, 2020 at 5:00 p.m.

On March 7th, 2020, the Civil Protection of Italy ( Italian Protezione Civile ) created an application via ESRI's ArcGIS online platform to ensure effective and transparent information for the population about the current development of COVID-19 cases in Italy. This is available in two versions, a desktop version and a mobile version. Using a geographic map of Italy, the current number of infections and other data can be displayed and downloaded not only for regions but also for the individual provinces. The data is updated daily at 6:00 p.m.

Influence of age, gender and previous illnesses on mortality

A study by the Istituto Superiore di Sanità, which considered 105 cases by March 4, 2020 , identified the following distribution by age, gender and previous illnesses:

Share of deaths by age group:

  • under 50 years: no deaths
  • 50 to 59 years: 2.8%
  • 60 to 69 years: 8.4%
  • 70 to 79 years: 32.4%
  • 80 to 89 years: 42.2%
  • 90 and over: 14.4%

The average age of the deceased is 81 years (men 79.9 years, women 83.4 years).

Influence of previous illnesses (proportion of deaths by number of previous illnesses):

  • Max. 1 previous illness: 15.5%
  • 2 previous illnesses: 18.3%
  • 3 or more previous illnesses: 67.2%

The pre-existing conditions are dominated by hypertension (74.6%), ischemic heart disease (70.4%) and diabetes mellitus (33.8%).

The examination of 2,003 deaths with positive COVID-19 findings by the same institute showed a similar distribution on March 17, 2020 (percentages rounded):

  • 30–39 years: 5 people (0.2%)
  • 40–49 years: 12 people (0.6%)
  • 50–59 years: 56 people (2.8%)
  • 60-69 years: 173 people (8.6%)
  • 70–79 years: 707 people (35.1%)
  • 80-89 years: 852 people (42.5%)
  • over 90 years: 198 people (9.9%)

Significantly more male deaths than female deaths were counted in all age groups. Among the people who were younger than 70 years there were 50 women compared to 196 men, among those who were 70 and older there were 533 women and 1224 men. According to this, 70.9% of those who died with a COVID-19 diagnosis are male. The female deaths averaged 83.7 years old, the male 79.5 years.

Of those who died in 2003, the data of 355 people were examined in more detail. Of these, only 0.8% of the examined deceased had no previous illness, 25.1% had one previous illness, and two previous illnesses 25.6%. Three or more pre-existing conditions were found in 48.5% of the cases examined. The frequency of hypertension (76.1%) and diabetes mellitus (35.5%) is almost unchanged compared to the first study, while the proportion of cases of ischemic heart disease (33.0%) has decreased significantly.

The investigation of 14,860 deaths with positive COVID-19 results by the same institute showed a similar distribution on April 6, 2020 (percentages rounded):

  • 0–29 years: 8 people (0.05%)
  • 30–39 years: 34 people (0.2%)
  • 40-49 years: 136 people (0.9%)
  • 50–59 years: 567 people (3.8%)
  • 60-69 years: 1724 people (11.6%)
  • 70-79 years: 4909 people (33.0%)
  • 80-89 years: 5956 people (40.0%)
  • over 90 years: 1525 people (10.3%)

Significantly more male deaths than female deaths were counted in all age groups. Among people who were younger than 70 years, 540 women were compared to 1929 men; among people who were 70 and older, there were 4,258 women and 8132 men. According to this, 67.8% of those who died with COVID-19 were male.

Of the 14,860 deceased, the data of 1,281 people were examined in more detail. Of these, only 1.8% of the examined deceased had no previous illness, 13.9% had one previous illness, and two previous illnesses 21.5%. Three or more previous illnesses were found in 62.9% of the cases examined. The pre-existing conditions are dominated by hypertension (74.7%), diabetes mellitus (29.0%), dementia (20.7%) and heart failure (20.6%).

course

The Italian civil defense at the
identity check at Bologna Airport , beginning of February 2020
First aid station of the Italian civil defense in Padua , mid-February 2020

2019

In a follow-up examination of 40 wastewater samples from sewage treatment plants in northern Italy, the national Italian health institute ISS found that the genetic material of the pathogen Sars-Cov-2 was found in Milan and Turin on December 18, 2019 and then in January and February 2020. Control samples from September 2018 to June 2019 as well as October and November 2019 were negative. In Bologna, a sample from January 29, 2020 was positive.

January 2020

The first two cases known in Italy were Chinese tourists who reported themselves because of their symptoms and who tested positive in Rome on January 28, 2020 . The two are out of the question as a trigger of the pandemic and it is unclear how the infection was first brought to Italy.

February 2020

  • On February 19, 2020, a UEFA Champions League football match was played in Milan's San Siro Stadium in front of over 44,000 spectators . 2,500 fans had come from Valencia , the rest of the audience, including many older Atalanta supporters, came mainly from Bergamo ; 540 alone came from Val Seriana , which later became a hotspot of the pandemic. Since two weeks after the game the number of cases in Bergamo and the surrounding area rose extremely, this soccer game was subsequently referred to as Partita zero ("game zero"), or the stadium as Stadio zero (both alluding to the term patient zero ). The Italian civil defense sees no evidence for the thesis that the game contributed significantly to the spread of the disease, but does not rule out the possibility. This is countered by the fact that, despite numerous overnight stays and celebrations by football fans, there was no sudden increase in illnesses in Milan.
  • On the night of February 22, 2020, the first coronavirus-related deaths among Europeans were reported in Italy. Those affected were a 78-year-old man from the vicinity of Padua and a 77-year-old woman from the vicinity of Cremona who had died the night before and who subsequently turned out to be infected.
  • In Lombardy , 39 people were initially reported infected on February 22nd, later 46 people, with an accumulation of cases in the city of Codogno ; there were also 12 infected people in Veneto . "Patient 1", a 38-year-old, to whom at least the infections in Lombardy were attributed, is in a stable state of health.
  • In Codogno and nine other surrounding communities, schools and public bars were closed for a week. On February 22, the 50,000 people living there were ordered to stay at home and the affected ten municipalities in Lombardy and one municipality in Veneto were cordoned off. Those who resist the order risk up to three months in prison.
  • Numerous security measures were enacted on February 23, 2020. The fashion house Giorgio Armani decided to close production facilities and offices in several locations for a week. The Armani fashion show as part of the Fashion Week on Sunday took place without an audience, but could be followed in the live stream. The last two shows of Fashion Week scheduled for Monday will also be held according to this scheme. Schools, universities and museums were closed in Veneto , as was St. Mark's Basilica . The Teatro La Fenice stopped playing, weddings and funeral ceremonies can only take place in close family circles. The Vaporetti of Venice underwent a major disinfection campaign. In addition to the Veneto region, it was decided to close schools and universities by March 1 for the regions of Lombardy, Liguria, Piedmont, Emilia-Romagna and Friuli-Venezia Giulia. The following day, the Autonomous Province of Trento joined the decision.
  • On February 25, 2020 it was announced that travelers from Lombardy had tested positive in numerous regions of Italy and countries in Europe. Various media spoke of a Europe-wide epidemic. Also Brazil is the first country in South America and Algeria as the second country in Africa were faced with positive test results, which had originated in Lombardy.
  • On February 26, 2020, Attilio Fontana , the governor of Lombardy, announced that one of his employees had a positive test result and that he was therefore going into self-chosen isolation. He canceled a planned press conference.
  • On February 28, the Italian government initiated emergency aid for affected areas. Citizens should be able to temporarily suspend payments to utility companies and insurance companies, and companies should receive specific economic aid.

March 2020

  • The regional school closings were extended from March 2nd to March 8th, but many museums and other institutions reopened.
  • On March 4th it was announced that schools and universities across Italy would initially be closed until March 15th. The government said it was considering taking a parent off work or financial compensation for childcare.
  • It was ordered that congresses, particularly in the medical field, be postponed in order not to otherwise bind the medical staff. Access to private clinics and hospices has been restricted, and escorts have been banned from access to hospital emergency rooms.
  • Previously applicable recommendations for “red zones” have been extended to the whole country: a minimum distance of one meter between people; Greeting without kissing, hugging or handshaking on the cheek; Avoiding crowded places; Exit ban in the event of any fever or suspicion of infection; All persons aged 75 and over and persons aged 65 and over with health restrictions must stay at home. Cinemas and theaters were initially allowed to remain open if they guaranteed that chairs would only be occupied in such a way that the minimum distance was observed; a few days later they had to close completely.
  • It was decreed that the number of beds in the intensive care units for pulmonology and infectology should be increased by 100% and those in other intensive care units by 50%, the examinations for admission to the practice of specialist medical professions and the final exams for nurses to be brought forward. The government also began to bring doctors back from retirement. A total of 20,000 medical professionals are to be recruited.
  • On March 6th, the Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI) published recommendations on clinical ethics on the issue of access and termination of intensive therapy, applicable in the event of an exceptional imbalance between necessity and available resources. The prioritization of medical services and triage are explicitly discussed.
  • On March 8, a total of 13 provinces and a metropolitan city in the regions of Emilia-Romagna , Marche , Piedmont and Veneto as well as all of Lombardy were cordoned off and restricted areas with "restricted mobility" were set up in order to curb the spread of the infection and congestion of the Avoid hospital facilities. Around 16 million people are affected.
  • On March 9th at around 9 p.m. all of Italy was declared a restricted zone with effect from March 10th.
  • On March 10, for the first time since the outbreak of the epidemic, no newly infected people were registered in Codogno. The first case of infection was registered in Codogno on February 21, whereupon the place developed into one of the foci of infection in Italy and was cordoned off on February 23.
  • On March 11th, the Italian government decided that numerous shops and restaurants must be closed. The discussion is about building a short-term hospital in Milan based on the Chinese model with 500 places for intensive therapy.
  • On March 13, the media reported that on that day and the following days at 6 p.m., flash mobs had been announced on windows and balconies throughout Italy in order to make the cohesion tangible. The national anthem was to be sung on the first evening , Azzurro the next day , Il cielo è semper più blu the next day .
  • On March 16, the authorities in numerous regions of Italy confiscated more than 60,000 goods that had been hoarded, some of which were offered for sale at inflated prices. It was mainly disinfectants and breathing masks.
  • On March 17, 18 and 19, the number of deaths continued to rise. The civil protection agency reported 475 deaths in just one day - more than died of COVID-19 in one day in China. The number of those who tested positive rose to over 35,000 on March 18; in northern Italy alone, 1,200 COVID-19 patients were receiving intensive therapy at that time. On the night of March 18-19, a column of military trucks drove through Bergamo to take coffins with dead people to crematoria in the area. The morgues and funeral homes in town were overcrowded and overburdened; Coffins had to be stored in churches. The military trucks were sent to Bergamo to transport the coffins to neighboring provinces.
Nurses and nurses published a video - appeal (later with the help of the nurses association FNOPI also in English), to draw attention to the dramatic situation in the hospitals of northern Italy and to ask for international help.
  • On March 18, the mayor of Bergamo (120,000 inhabitants) reported on the dramatic conditions in Bergamo's hospitals and appealed to his German counterparts to counter the spread of the virus as early as possible: "Make sure that people don't meet each other , but instead Go distance. Make good use of the time you still have available! "
  • On March 19, the medical director of the “Papa Giovanni XXIII” hospital in Bergamo, Stefano Fagiuoli, described in a video message that there was a lack of staff, as well as drugs, beds, ventilators, protective suits and masks. The "Cesvi", one of the largest humanitarian organizations in Italy, is even trying to support the hospital in procuring the missing equipment with the help of an appeal for donations via the crowdfunding platform GoFundMe . The Governor of Lombardy, Attilio Fontana, said: “We need doctors. I had hoped that the appeals we made to retirees and interns over the past few days would get more feedback - but there weren't any ”.
Due to full hospital capacities, even general practitioners accept infected patients as inpatients, but without the hospital hygiene facilities and safety precautions necessary for self-protection. Of the 600 doctors in Bergamo province, 118 were sick or in quarantine, while 13 known names have already died of COVID-19.
  • After Silvio Berlusconi had donated ten million euros on March 17th for the establishment of new intensive care units in Milan, several large industrialists followed his example. The entrepreneurial family Agnelli and the fashion clothing company Moncler each donated around ten million euros.
  • On March 21, the New England Journal of Medicine published a report by a group of Italian doctors who reported disastrous conditions in Bergamo and the surrounding area: 70% of all intensive care beds in Bergamo are in critical condition for COVID-19 patients, but with a reasonable chance of survival reserved, older patients would not be resuscitated, hospitals had become COVID-19 herds over the past few weeks. They called for transnational, long-term coordination, which must go beyond an exclusive consideration of the intensive care units.
  • On March 23, the state of Saxony announced that it wanted to accept corona patients from Italy; capacities are currently free and one can learn to deal with the virus by treating patients. Eight patients were to be flown to Saxony on an Italian military plane on the same day.

April 2020

  • Similar to Saxony before, Mecklenburg-Western Pomerania also offered Italy at the end of March to admit patients. Due to declining cases in the intensive care units, Italy no longer had any need and turned down the offer on April 6.
  • According to the Italian Medical Association, one hundred medical professionals were among the deaths up to April 9.
  • On April 27, the special commissioner for the corona crisis, Domenico Arcuri, presented a special ordinance that set the price for the masks sold by pharmacies and other sales outlets at a maximum of 50 cents in order to prevent misuse. As a result, the gross price for the end customer is 61 cents. According to the media, the price is based on an agreement with the pharmacy association; some producers said the price was too low to cover the cost. The President of the South Tyrolean Chamber of Pharmacists, Maximin Liebl, stated that the price was below the purchase price and that the trade regulations forbade pharmacies from selling goods below the purchase price.

May 2020

  • On May 27, it was reported that at least 165 doctors with Covid-19 findings died.
  • On May 30, according to the Johns Hopkins University, 152,844 of the 232,248 infected were cured and 33,229 had died.

August 2020

The average age of those last infected with COVID-19 has dropped to 30 years. 50 percent of the newly infected are younger than 25 years. In summer, the discipline of young people in particular has fallen sharply. Sardinia , one of the most popular holiday islands for Italians, is Italy's new Corona hotspot. In the first phase of the pandemic, it was largely Covid-free.

Italy closes all nightclubs in the country, as well as all outdoor beach discos and other dance events, from August 17 to at least September 7, 2020. From 6 p.m. to 6 a.m., a mask is mandatory for gatherings in front of bars and in places where many people in Italy like to meet.

In the first three weeks of August, more than 70 migrants tested positive for Covid-19 in Sicily and Lampedusa . Soldiers are deployed to ensure that all migrants adhere to the mandatory two-week quarantine. The Sicilian regional president Nello Musumeci again accused the Italian government and the EU of leaving Sicily and Lampedusa (which belongs to the Sicilian province of Agrigento ) alone with the migration across the Mediterranean to the EU . Regional elections will take place in seven of Italy's twenty regions on September 20, 2020 . Around 30 percent of the registered new infections are people returning from travel (especially from high-risk countries such as Croatia and Spain).

The reopening of daycare centers, schools and universities in mid-September is being prepared.

Lockdown of individual municipalities, provinces and regions (until March 10th)

Crisis meeting of the national civil defense mission committee chaired by Prime Minister Giuseppe Conte

Before the closing of all Italian borders with March 10th was ordered on March 9th, there were restrictions for the following areas:

Sealed off communities
local community Residents province since
Codogno 15,991 Lodi February 23, 2020
Casalpusterlengo 15,293
Castiglione d'Adda 04,646
Somaglia 03,836
Maleo 03,098
Fombio 02,317
San Fiorano 01,839
Castelgerundo 01,498
Bertonico 01,118
Terranova dei Passerini 00.927
Vo 03,304 Padua
Sealed provinces, cities and regions
Province or city Residents region since
Modena Province 00.705.393 Emilia-Romagna March 8, 2020
Parma Province 00.451.631
Province of Piacenza 00.287.152
Reggio Emilia Province 00.531.891
Rimini Province 00.339.017
Province of Pesaro and Urbino 00.358.886 Brands
Alessandria Province 00.421.284 Piedmont
Asti Province 00.214,638
Novara Province 00.369.018
Verbano-Cusio-Ossola Province 00.158.941
Vercelli Province 00.170.911
Padua Province 00.937.908 Veneto
Treviso Province 00.887.806
Metropolitan city of Venice 00.853.338
All provinces 10,060,574 Lombardy

Overview of other measures taken by the Italian authorities

On January 31, 2020, the Italian government declared a six-month health emergency ( stato di emergenza sanitaria ) after the WHO had declared a health emergency of international concern the day before . At this point there were two COVID-19 cases in Italy. The Declaration of Health Emergency later enabled the government to issue numerous decrees and ordinances that overrode civil liberties and prohibited economic activity.

Since the lockdown of eleven northern Italian municipalities from February 23, 2020 could not stop the increase in the number of cases and infections were found in more and more provinces, the Italian government drastically restricted the freedom of movement of around 16 million Italians on March 8 by closing Lombardy and largely cordoned off 14 other areas in northern Italy and issued exit restrictions. At the same time, cinemas, theaters and museums were closed for the whole of Italy and demonstrations and many other events were banned.

On March 9, the Italian government issued a decree circumscribed Io resto a casa (“I stay at home”), which extended the restrictions applicable to Lombardy to all of Italy with effect from March 10. However, only a few documents had to be filled out to cross the state border. School and university closings across the country have been extended to April 3 and a few days later beyond that date. The game of sports leagues, such as that of Italian football, has been discontinued. International train and air connections as well as domestic local public transport, however, were not suspended. There was a ban on gatherings that affected gambling halls as well as churches. You were only allowed to leave your own apartment for necessary errands or visits to the doctor, to work, to support people in need, to return to your own place of residence or in cases of absolute necessity. In addition, individual exercise in the open air (sports, walks) was allowed. People with symptoms of respiratory infection associated with fever were "strongly advised" not to leave home and to keep contact to a minimum.

Individual reports in Italian media misrepresented the regulations, for example claiming that walking was prohibited. In the municipality of Messina (Sicily) there was actually such a ban, in other municipalities walks (including with the dog) were limited to 50 or 500 meters from the apartment.

To enable the executive bodies to control exit restrictions , the principle of autocertificazione ("self- certification ") was applied. With every change of location or every stay in public places, every person should carry a self-filled form with them, from which it can be seen why their own home was left; however, it is also permissible to fill out the form only after an inspection. The authorities can subsequently check the validity of the justification. Violations of the regulations were to March 24 as a misdemeanor punishable by up to three months in prison or a fine of a maximum of 206 euros. Incorrect information in the autocertificazione could be prosecuted as false certification . According to media reports and a video by the Polizia di Stato, if infected people fail to adhere to the quarantine, they face a prison sentence of up to twelve years, but violating a preventive quarantine (in suspected cases) could result in prison sentences of several years. In other European countries, violations of general exit restrictions are sometimes only punished with fines, but violations of personal quarantine by infected people can also be threatened with imprisonment.

On March 11th, the Italian government decided that shops and restaurants had to remain closed from the following day, although numerous industries were excluded. In addition to supermarkets and pharmacies, electrical and photo stores, specialist construction markets, tobacco shops and pet shops were allowed to remain open, while bookstores, hairdressing salons and clothing stores were affected by the ban. In the restaurant area, delivery services, factory canteens and motorway restaurants, among other things, were allowed to continue to operate.

On March 20, the Italian government issued an ordinance that further restricted the freedom of movement of citizens from March 21 to 25. Individual sports and walks were now to be restricted to the immediate vicinity, games or other outdoor activities were expressly prohibited, and playgrounds and sports fields were no longer allowed to be entered. In addition, it was forbidden to go to other apartments on or before public holidays and weekends, making it impossible to use one's own holiday home at these times.

On March 21, the Italian government banned all economic activities defined as “non-essential” for the period from March 25 to April 3, 2020, but the production of plastic and rubber items of all kinds as well as coal mining remained permitted.

On March 22nd, the Italian government issued an ordinance effective on the same day without a time limit, according to which the municipality of the current stay could only be left for work or health reasons, while the previously permitted return to one's own place of residence was now also prohibited.

From March 11 to March 24, nearly 2.5 million people were checked in connection with the exit restrictions, resulting in over 110,000 reports of violations of the restrictions and a further 2,500 reports of false notarization. In addition, almost 1.2 million companies were checked and around 2,500 owners reported. In the meantime, the mayors and regional presidents outbid each other with different additional regulations. In some cases, bike lanes were closed, nocturnal bans were imposed, jogging or long walks with dogs were banned.

On March 25, the Italian government passed a legislative decree that would take effect the following day , with which, among other things, the criminal provisions should be adapted to the situation and ambiguities should be cleared up. The previously valid classification of the violations as an offense meant that legal proceedings had to be initiated for each case, which could, however, be discontinued against payment of half the amount of the maximum fine (i.e. 103 euros instead of 206 euros), provided the court approved. With the new legislative decree, violations of the general exit restrictions are considered mere administrative offenses and are punishable by fines of 400 to 3000 euros, which can be increased by a third if the violation was committed using a vehicle. This regulation applies retrospectively for previously committed violations, but in this case only a fine of 200 euros is imposed. At the same time, a law from 1934 was updated, according to which - as an alternative to the possible administrative penalty - a prison sentence of 3 to 18 months and a fine of between 500 and 5000 euros can be imposed. Previously, this law may have been overlooked by the government as it was not mentioned in previous decrees and official opinions. If infected people who have been quarantined leave their own homes, they face prison sentences of between one and five years; The allegation previously spread by official bodies that there was a threat of imprisonment of up to 12 years was doubted by some lawyers from the start, since the corresponding law referred to the malicious triggering of an epidemic (in the sense of an act of terrorism or biological warfare) . In the event of violations by entrepreneurs, there is a risk of the company being closed for between 5 and 30 days in addition to the penalty. The legislative decree also lays down rules for future ordinances, especially those that are issued by regional presidents or mayors. With this in mind, it contains an extensive list of possible restrictions for persons, institutions and companies that can be implemented by individual authorities if necessary. However, all ordinances issued on this basis are limited to 7 or 30 days (depending on the authority that issued them) and lose their validity with the end of the health emergency on July 31, 2020.

Affected regions (until March 10th)

Lombardy

A number of soccer games were canceled or took place without spectators, and Scala stopped playing. The Mayor of Milan, Giuseppe Sala , announced the closure of schools in Milan until at least the end of the week. The government set up “sterile corridors” for the supply of food and medicines in the “red zone”, i.e. the sealed off communities in the province of Lodi, through which suppliers, who were equipped with face masks and protective clothing, could deliver goods at certain times.

The number of infected people rose to 150 by February 23, including people from the non-sealed provinces of Bergamo and Trento for the first time . On February 24, it was announced that a third and a fourth fatality had been recorded here. Both men were in poor health prior to their COVID infection. At that time there were over 200 registered infected people. Two more people died during the day.

Empty shelves in a supermarket in Bergamo, February 26, 2020

On March 8, all of Lombardy was cordoned off. Bergamo was particularly hard hit by the epidemic. So many people died there that corpses had to be temporarily stored in cemetery churches. The chief of the local health department called on retired medical professionals to come forward and provide assistance. On March 21, it became known that the army had moved coffins to neighboring towns because the city's crematoria were overloaded. In Catholic Italy, the cremation of a corpse is seldom practiced, which is why there are only a few crematoriums.

Lombardy remained by far the region of Italy most affected by the corona pandemic . The excess mortality reached enormous values ​​in many of their provinces: by far the worst affected (as of May 8, 2020) was the province of Bergamo with an excess mortality of 578%, followed by the province of Cremona (391%), the province of Lodi (371%) and the province of Brescia (291%).

Veneto

One of the two Italian foci of infection has been identified in the municipality of Vo in the Euganean Hills in the province of Padua . The first Italian fatality, who died on February 21, 2020, also came from Vo. Then the entire community was completely tested there, which made it possible to fully identify the carriers of the infection and to eradicate the infection there. However, this approach cannot be applied to larger cities or regions.

In addition to the province of Padua, infections were subsequently recorded in the province of Treviso and in the metropolitan city of Venice .

In addition to the cordoning off of the municipality of Vo, the ordinance signed by the President of the Region Luca Zaia of February 23, closed kindergartens, schools, universities and museums in the region until March 1, as well as suspending all types of outdoor or indoor events.

The regulation also affected all events in connection with the Carnival in Venice , which was ended prematurely, as well as the performances at La Fenice . The services in St. Mark's Basilica in Venice , which was also closed to visitors, and the services in the Basilica of St. Anthony in Padua were also canceled .

In Venice, a planned shooting of Mission: Impossible 7 was canceled at short notice by Paramount Pictures . On March 8, the provinces of Treviso and Padua as well as the metropolitan city of Venice were cordoned off.

Emilia-Romagna

In Emilia-Romagna , only the province of Piacenza was initially affected . In the following period, infected people were also reported from the provinces of Parma , Modena and Rimini .

On February 24, 2020, the number of diagnosed cases was 18, 25 there were 26 On February 26, the first death was registered in the region, while it was a Lombard patient in a hospital in Parma in treatment was.

By decree of the Italian Minister of Health and the President of the Emilia-Romagna Region of February 23, kindergartens, schools, universities and museums in the region were closed until March 1, and all kinds of outdoor and indoor events were suspended.

On March 8, the provinces of Rimini , Reggio Emilia , Piacenza , Parma and Modena were cordoned off.

The province of Piacenza remained by far the hardest-hit province of Italy outside of Lombardy and had an excess mortality rate of 264% on May 8, 2020.

Lazio

Three cases were originally recorded in Lazio . An elderly couple from China called 911 in Rome on January 28, 2020 and described the symptoms. They were in a Roman hotel and were immediately isolated and hospitalized. The diagnoses were confirmed two days later. The government then suspended all flights to China. The third case in Rome involved an Italian researcher who had returned from the province of Wuhan. At the Spallanzani Institute for Infectious Diseases (Rome), the sick were ventilated, given oxygen and treated with new antiviral drugs that are commonly used for AIDS and Ebola. It was announced on February 27, 2020 that they were all healed. On February 29, 2020, the ministry announced that there were three new positive diagnoses.

Other regions

Public life has come to a standstill: Chiavari in Liguria , March 12, 2020

In the 1st week of March, infections were found in all regions of Italy, and the number of cases continued to rise everywhere. On March 18, 2020, an infection was found in the only previously unaffected province of Isernia (Molise region).

At the end of February 2020, three tourists from Bergamo tested positive in Palermo . The entire tour company (originally 30 people, mostly pensioners from Lombardy) was hospitalized or quarantined, and another 20 people were isolated. The director of the hotel went into voluntary quarantine.

Also in the last week of February, three holidaymakers from Lombardy in Trentino tested positive for the corona virus. They were brought back to Lombardy under strict precautionary measures and hospitalized there. Governor Maurizio Fugatti said that the probability that the tourists could have been infected during their stay in Trentino someone who was not great. Those affected would have stayed in a holiday apartment and not in a hotel. They also would not have visited public places because they felt sick. In retrospect, this turned out to be a false report because the holidaymakers had gone to a bar, whereupon three people were isolated as a precaution.

In Liguria, on February 25, 2020, an 86-year-old tourist from Lombardy, who had been in Alassio for a long time with a tour group, tested positive in the San Martino hospital in Genoa. She died there on March 3, 2020.

On February 29, 2020, an 87-year-old tourist from Lombardy died in her hotel room in Laigueglia (near Alassio). The corona test post mortem was positive.

Restrictions for Italian tourists / travelers abroad

Entry bans

As of February 26, 2020, the following countries have imposed entry bans for Italian citizens: El Salvador , Jordan , Cape Verde , Kuwait , Mauritius , Seychelles , Turkmenistan and Vietnam . This was followed by entry bans for everyone who had been in Italy in the past 14 days in the following countries: Aruba , Cook Islands , Fiji , Israel , Lebanon , Mongolia and St. Lucia .

On March 10, 2020, Austria imposed an entry ban for travelers from Italy with the exception of travelers who travel through to Germany without stopping and for travelers with a current medical certificate that they are not ill. Likewise, on March 10, 2020, the neighboring country of Slovenia sealed off the border with Italy for travelers from Italy.

On March 12, 2020, the United States imposed an entry ban on travelers from various countries in the Schengen area , including Italy.

On March 20, Germany imposed an entry ban on travelers from Austria, Switzerland, France, Luxembourg and Denmark. Those wishing to enter Germany are only allowed to enter Germany for “good reasons”. This ban also applies to travelers from Italy and Spain. German citizens are allowed through, as well as foreigners with a German main residence.

Quarantine for Italian citizens

By February 26, 2020, the following countries have decided to keep Italians entering the country in quarantine for 14 days: China , Kazakhstan and Kyrgyzstan . In Romania , this rule only applies to those arriving from the Red Zone. Other travelers from Lombardy and Veneto have to undergo a 14-day "voluntary quarantine" at home. Even Iceland and Malta require a "voluntary quarantine" for all citizens of Emilia-Romagna, Lombardy, Piedmont and Veneto. In addition, many countries have put in place a number of control measures that include fever measurements, physical exams, form filling, interviews and reporting requirements. Samoa requires a medical certificate, which cannot be older than three days, and in the UK there is “self-isolation” for 14 days for all those entering the country with symptoms of illness.

Travel warnings from other countries

As of February 26, the following countries have advised against traveling to Italy: France , Greece , Ireland , Croatia , Russia , Spain and Turkey .

On March 10, 2020, the federal government of Austria issued a travel warning with the highest security level (6) for Italy and San Marino.

The German Robert Koch Institute (RKI) classified the province of Lodi and the city of Vo as risk areas on February 26, 2020 . On February 27, 2020, the risk areas in Italy were expanded to include the Lombardy region . South Tyrol was classified as a risk area on March 5, 2020 because, according to the RKI President Lothar H. Wieler, there are 36 corona cases in Germany in connection with this Italian province. According to statistics from the Italian Ministry of Health, there was only one case there at the time of classification. On March 10, 2020, the RKI classified all of Italy as a risk area.

Research and Development

On February 2, 2020, the scientists Maria Rosaria Capobianchi , Concetta Castilletti and Francesca Colavita from the National Institute for Infectious Diseases Lazzaro Spallanzani in Rome announced that they had succeeded in removing the SARS-CoV-2 virus , the causative agent of the lung disease COVID-19 , to isolate . A partial sequencing of the genome of 2019-nCoV / Italy-INMI1 has been published on the GenBank database . This result expanded the possibilities of studying the virus at other research institutions.

A group led by Marco Ranieri invented a double ventilation device that makes it possible to provide two intensive care patients with one breathing device . A prototype was deployed in the Sant'Orsola hospital in Bologna . The former chief doctor Renato Favero developed with a company in Brescia a method snorkel masks based on additional in 3D printers transform-made parts in masks for breathing apparatus.

In the search for drugs against COVID-19, Italian doctors are also taking part in clinical studies, including the use of the Ebola drug Remdesivir .

The Italian epidemiologist Adriano Decarli is currently investigating (notification of March 26, 2020) whether an accumulation of pneumonia in the third quarter of 2019 could be related to the SARS-CoV-2 virus. The diseases occurred particularly around Milan and Lodi. However, the British medical professor Paul Hunter considers the thesis to be very unlikely. The virologist Christian Drosten from the Berlin Charité does not rule out in principle that the virus could have appeared in Europe before mid-January 2020, but currently sees no evidence of it. Serum samples he examined and which were used to clarify suspected cases retrospectively were negative in all cases. The sequencing that has been carried out so far (examinations of the virus genome, which allows conclusions to be drawn about the ways in which the infection is spread) speak against such an early occurrence in his opinion.

A study published on June 18, 2020 by the Italian National Health Institute (Istituto Superiore di Sanità, ISS) now confirms that traces of SARS-CoV-2 virus have been detectable in wastewater since the end of 2019. Corresponding traces of virus were detected in wastewater samples from December 18, 2019 from Milan and Turin - also in the following months.

International cooperation

In the 1st week of March, the Austrian Health Minister Rudolf Anschober announced that the EU would support Italy with medical material.

On March 14, 2020, Germany relaxed the ban on the export of protective clothing that had been imposed ten days earlier so that Italy could more easily get urgently needed protective equipment.

In mid-March 2020, China sent experts dealing with the coronavirus to Rome and delivered the latest version of a drug that has been used in China against the virus. China's ambassador to Rome, Li Junhua, said that Italy had helped China in the past and that it was now China's responsibility to return aid in the name of great friendship. He recalled two Chinese patients who were treated and cured at the Lazzaro Spallanzani Institute, as well as the Italian flight on February 15, 2020 with 18 tons of sanitary equipment for Wuhan. The Chinese Red Cross has now brought 31 tons of breathing apparatus, monitoring equipment, tens of thousands of protective suits and breathing masks as well as herbal medicines to Rome. Alibaba donated a million respirators and 100,000 swabs to the Italian Red Cross.

In March 2020, Cuba sent medical personnel to Italy. Germany sent hundreds of ventilators , Russia sent both medical personnel and medical equipment.

Saxony was the first German federal state to admit sick patients from Italy for intensive therapy; other federal states followed. On April 2, 2020 it was reported that at least 32 Italians in Germany are being treated on ventilators and intensive care beds are reserved for a further 49 patients from Italy.

The Italian government around Giuseppe Conte repeatedly campaigned for corona bonds at the European level .

Economic consequences

The Italian economy is dependent on exports (31.8% of GDP) and tourism (13.2%). As a result of the epidemic, a recession with a decline in gross domestic product of 3.4 percent is expected for 2020 (Goldman Sachs assessment according to a press release of March 17, 2020). From the outbreak of the epidemic in Italy until mid-March, the Italian benchmark index FTSE MIB fell by around forty percent. Since Italian agriculture is highly dependent on seasonal workers (approx.370,000 people), there is also a serious shortage of personnel in this area, which, according to estimates by the Coldiretti producers' association, could lead to a loss of 25% of the harvest (as of 18 March 2020).

Companies were promised high government guarantees for multi-year loans. A planned loan approval for the Fiat Chrysler Automobiles company is politically controversial . In 2014, the company relocated its headquarters to the Netherlands and the tax domicile to the UK for tax reasons. In the wake of the Corona crisis, the company started negotiations with the Italian government for a possible three-year credit line of 6.3 billion euros. According to Prime Minister Giuseppe Conte, the loans should not benefit the parent company, but the group subsidiaries in Italy.

Ecological consequences

Due to the reduced traffic caused by the economic activities being shut down, it is possible that some ecosystems are partially regenerating. Dolphins appeared in the port of Cagliari , but this was not the first time.

Awareness of problems, need for information, and misinformation

On February 4, 2020, the opinion research institute Osservatorio SWG carried out a survey in which 37% of the respondents stated that they had changed their behavior; the most frequently cited changes in behavior were avoiding Asian restaurants and “Asians” and canceling vacation trips.

The daily La Repubblica published an article on February 2nd and February 27th to clear up common misconceptions about COVID-19 that are circulating on social media. In this context, she spoke of an infodemia (" infodemia ") (not limited to Italy ), the fight against which the WHO was also concerned.

In a survey of 800 adults carried out from March 11 to 13, less than 70% of respondents said they keep their distance from other people and avoid crowds. A week earlier, however, this proportion was significantly lower.

According to a SWG survey of 400 adults on March 22nd, only 51% of respondents thought it was more likely that they could become infected. 60% thought it was more likely that a family member could become infected.

A March 24 video by the Polizia di Stato claimed that walking and jogging could help spread the disease, as drops of sweat and “wheezing” were a source of infection.

On March 25, the Istituto Superiore di Sanitá put a website online, the content of which was described as dalla suola delle scarpe alle zampe degli animali ("from the soles of a shoe to an animal's paw"). Widespread uncertainties regarding the transmission routes of the virus are dealt with here. It deals with the questions of whether shoe soles and dog paws should be cleaned after returning to the apartment or whether one's own hair and clothing can become a source of infection after walks.

On March 26th, the Italian Ministry of Health published a website against misconceptions and newspaper ducks related to COVID-19. For example, the site warns against gargling with bleach or ingesting acetic acid and advises that hot drinks, garlic or citrus fruits cannot prevent or cure an infection. It is explained that the infection as a respiratory disease cannot be transmitted through mosquito bites and that there is no connection with the 5G mobile network. Finally, the 24-point list mentions that trimming the beard cannot prevent infection; The underlying error is apparently based on a cursory examination of an infographic published by the American CDC , which indicates that certain beard styles should be avoided when wearing a protective mask.

See also

Web links

Commons : COVID-19 Pandemic in Italy  - Pictures, Videos and Audio Files Collection

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