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      COVID-19 in Italy: impact of containment measures and prevalence estimates of infection in the general population

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          Abstract

          Since the beginning of the COVID-19 epidemic in Italy, the Italian Government implemented several restrictive measures to contain the spread of the infection. Data shows that, among these measures, the lockdown implemented as of 9 March had a positive impact, in particular the central and southern regions of Italy, while other actions appeared to be less effective. When the true prevalence of a disease is unknown, it is possible estimate it, based on mortality data and the assumptive case-fatality rate of the disease. Given these assumptions, the estimated period-prevalence of COVID-19 in Italy varies from 0.35% in Sicily to 13.3% in Lombardy.

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          Universal Health Coverage in Italy: lights and shades of the Italian National Health Service which celebrated its 40th anniversary

          The Italian National Health Service (I-NHS) was established in 1978 to guarantee universal access to healthcare. Prominent in international reports, the I-NHS has reached a satisfactory level of efficiency and excellent standards of care in many regions, in forty years. Along the years, I-NHS has developed a structural public-private partnership in health services delivery that in some regions contributes to the achievement of very high standards of healthcare quality. However, the I-NHS is currently facing some major challenges: (a) Italy is experiencing a remarkable aging of its population with increasing health needs; (b) the recent and constant cuts to public expenditures are reducing the budget for welfare. It is of utmost importance to ensure that on-going efforts to contain health system costs do not subsume health care quality. In addition, monitoring of the essential levels of care (Livelli Essenziali di Assistenza, LEA) highlights significant differences in healthcare delivery among Italian regions that, in turns, contribute to the burdensome migration of patients to best-performing regions. Therefore, a more consolidated and ambitious approach to quality monitoring and healthcare improvement at a system level is needed to guarantee its sustainability in the future.
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            What Other Countries Can Learn From Italy During the COVID-19 Pandemic

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              Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand

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                Author and article information

                Journal
                Acta Biomed
                Acta Biomed
                Acta Bio Medica : Atenei Parmensis
                Mattioli 1885 (Italy )
                0392-4203
                2531-6745
                2020
                10 April 2020
                : 91
                : Suppl 3
                : 175-179
                Affiliations
                [1 ] School of Medicine, Vita-Salute San Raffaele University, Milan
                [2 ] Past-President Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)
                [3 ] Johns Hopkins Center for Humanitarian Health
                [4 ] IRCCS San Raffaele Scientific Institute, Milan
                Author notes
                Correspondence: Carlo Signorelli School of Public Health (Igiene e medicina preventiva) University Vita-Salute San Raffaele Via Olgettina, 58 20132 - Milano (Italy) E-mail: signorelli.carlo@hsr.it
                Article
                ACTA-91-175
                10.23750/abm.v91i3-S.9511
                7975916
                32275287
                14ceb4c9-cc26-40e7-858e-affe2b7a501c
                Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA

                This work is licensed under a Creative Commons Attribution 4.0 International License

                History
                : 07 April 2020
                : 08 April 2020
                Categories
                Short Papers

                covid-19,containment,prevalence,mortality
                covid-19, containment, prevalence, mortality

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