• Vaccines, over 82 million doses administered

  • Vaccines: still without first dose 3.4 million over 50

  • Green pass.

    Brusaferro: "The goal is to convince the many hesitant, soon to remove masks"

  • Third dose, Rasi: "For now let's start from fragile, then we'll see the data for other categories"

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20 September 2021 Italy starts today the administration of the third dose of the anti-Covid vaccine for fragile and at risk subjects, around three million patients. Also today, the publication in the Official Gazette of the decree with which the Greenpass will become mandatory from 15 October for an audience of about 23 million workers is expected. Smart working cannot be an alternative to having a green certificate.



Who will receive the third dose


Various regions say they are ready to start with the third dose, from Lombardy to Veneto to Tuscany, to Puglia. In Lazio, Rieti has already started last week with 40 transplants. In reality we should speak of an additional dose to complete the primary vaccination course of 2 doses, to achieve an adequate level of immune response. It will be administered at least 28 days after the second, and as soon as possible if this time has already elapsed. The vaccines are those with mRna (Pfizer and Moderna). Ten categories of recipients of this additional dose. Then the 'booster' doses will come for those who, after some time, or perhaps because of the variants, need a dose of reinforcement in the face of the drop in immune coverage such as over-80s, residents of the RSA and healthcare professionals. This to be administered 6 months after the last dose.   



A circular from the Ministry of Health of 14 September last clarifies all aspects while a study conducted in Israel and published in the New England Journal of Medicine, based on data from the Israeli Ministry of Health on over 60 vaccinated with full cycle, shows that respect to the Delta variant, the third Pfizer dose "would bring vaccine efficacy among booster subjects to approximately 95%, a value similar to the original vaccine efficacy reported against the Alpha variant."



And, the researchers say, cases of contagion and serious illness drop "substantially" with an infection rate, at least 12 days after the 'booster', "11.3 times" lower than the two doses and a disease rate severe "less than 19.5" times. The study was conducted from July 30 to August 31 on 1.13 million over 60s who had completed immunization 5 months earlier, divided into two groups: those who received the third dose and those who received two. Still hot topic if the third dose is for everyone, just like in Israel (now 30+).   



At this stage, says the president of the Higher Institute of Health, Silvio Brusaferro, in 'La Stampa' "we are still evaluating whether, when and to whom to give a further injection. The issue, however, is not a third dose of rain" . Invites to wait for more data the virologist of the University of Milan and director of IRCCS Galeazzi, Fabrizio Pregliasco, about a third "universal" dose while he considers it essential "to reinforce the most fragile and allow them safely compared to an expected blow of tail of the virus in winter ". 



On the third dose to all "the policy will have to return to what will be the scientific indications on the third dose, the important thing is to be prepared when the time comes" said the Undersecretary of Health Andrea Costa as a guest of 'Agorà' on RaiTre.



The push of the Green pass


Meanwhile, the campaign is advancing and accelerating again, pushed by the green pass. The decree with which the Green pass will become mandatory from 15 October for an audience of about 23 million workers, including volunteers, trainees and interns, is expected to be published today in the Official Journal. In order to apply the eight articles, the guidelines will be fundamental, on which Palazzo Chigi and the various ministries concerned are working. The rumors of a derogation from the obligation to have a digital certificate for judges in the courthouses, where instead according to the decree they will be able to access without lawyers, consultants, experts and other parties to the trial have been defined as unfounded.



Still on the justice front, there is the protest of the honorary robes, which underline that they are "the only workers for which 'dismissal' is foreseen" because, they explain "there is still no rule that also provides for the graduation of sanctions for these workers. disciplinary "as for ordinary magistrates. The scenario will be clearer with the guidelines, valid only for the public sector. In the private sector, compliance with controls promises to be easier in large companies, many of which are integrating certificate verification to digital readers of turnstiles. Small and medium-sized enterprises could use the same 'VerifiCa19' application used in those sectors where the Green pass is mandatory since the beginning of the month, trains, airplanes, schools, restaurants and canteens.



Companies with fewer than 15 employees then await a discipline for the temporary substitutions of workers without a Green pass. It is not excluded that in the next few hours there will be a technical meeting on workplace safety protocols. While unions continue to ask for free swabs, homologation of salivary tests is expected on Thursday, a less invasive solution for obtaining the vaccination certificate. Meanwhile, today the Commissioner for the emergency Francesco Figliuolo is expected in Veneto, one of the leading regions in the vaccination campaign and then in Sicily, one of the few under the 70% threshold, together with Valle d'Aosta, Calabria and the Autonomous Province of Bolzano . The commissioner's hope is that the trend that has seen dose bookings increase between 20 and 40% in the week ofapproval of the Green pass, even fivefold among fifty-year-olds in Friuli Venezia Giulia.



Smart working cannot be, at least in a formal way, an alternative to the possession of the green pass even if, in all likelihood, on occasions when you work from home you will not be called to show the certificate. The reading that is being consolidated among technicians and professionals is that those who are not vaccinated and do not undergo the swab will not be able to automatically obtain the ok to smart working because they do not want to create, and so will at least be in the public, any lane preferential to no vax and no green pass. The spirit of the Super green pass in fact, as the ministers have repeated in recent days, is to convince people to get vaccinated, so we will try to prevent work from home becoming a ploy to avoid the obligation of the certificate.



Green pass, Fig: "Rules will also apply to the Chamber "


"Today, as has always been the case, what happens outside will happen inside Parliament. So the rules that will apply outside will apply to the Chamber of Deputies". Thus Roberto Fico, president of the Chamber of Deputies, on Rai Radio1 at Gr1, speaking of the Green pass.