Slow third doses while the fourth wave arrives: the government reduces the interval to 5 months, so the audience increases. The strategy of the Regions: those who have chosen the direct call remain the most virtuous

Reduce from 6 to 5 months the interval between the second and the third dose to be able to vaccinate a greater number of people immediately and guarantee the anti-Covid “booster” to an audience wider before the new wave overwhelm Italy too. Behind the move announced on Monday by the government to the Regions are hidden the numbers of the vaccination campaign: at the moment he has received the third dose only one in five over 60 (21.76% as of November 22). One more number very low, partly due to delays from the Regions in contacting citizens for the new administration, but which must also be explained by looking at what was happening 6 months ago. According to the government’s numbers, in fact, to date the audience that can be vaccinated with the third dose is barely 5.13 million people: these were the over 60s and health workers who already had the second dose as of May 22nd. The 63,9% of them received the booster (3.28 million). There’s a 35% late, therefore, but for a true acceleration something else is needed: reduce the interval to 5 months allows you to increase suddenly the audience and be able to increase the speed of the campaign. But now the Regions they will have no more excuses: continue in scattered order risks compromising the attempt to increase protection before infections reach their peak. And as already happened at the beginning of the month, the most virtuous Regions to date are those that have activated the possibility of direct call: a sms per advise the citizen who has come his turn and can receive the booster.

The (few) third doses – Solo 3.280.887 booster, to which to add 667.449 additional doses given to the immunocompromised. The numbers of the third doses are al merciless moment compared to the need to strengthen the efficacy of the vaccine (after 6 months the protection from the risk of infection is reduced to just over 50%). But a bigger problem concerns the near future: the great acceleration in the administration of second doses in Italy took place between mid-June and mid-July. It means that for a large part of the vaccinated population – especially adults – the fateful ones six months Will “expire” in mid-December e Mid January, just when the new wave of Covid is likely to be at its highest point. Open to over 40s from first December not enough, because many of them have completed the vaccination cycle in July, so they should wait January. Anticipate everything one month, reducing the interval 180 to 150 days, on the other hand, it allows you to act in advance and really start the third dose campaign before reaching the peak of infections.

The two most virtuous Regions – To keep pace with June-July, however, an acceleration on the part of the Regions will now be needed. In three weeks it has gone from 90 thousand administrations on Friday 29 October at 134mil on Friday 19 November. But since mid-June, second-dose administrations were traveling at an ever-higher rate 200 thousand a day, also peaking above the half a million in 24 hours. The car will have to be able to restart at full speed, not like in the last two months, when instead the few bookings led to a 35% delay (1.85 million people). With the numbers still so small, the rankings they are still unreliable. At the moment, however, the most virtuous Region is the Molise, where according to the elaboration of Gimbe on government data the 98% of the vaccinable audience received the third dose. Follows the Piedmont, where coverage is at82,6%. They are the two cases that had reported in early November: they immediately chose the direct call and they were the regions with the best performances. More than two weeks later, the situation has not changed.

Dose booster – Gimbe chart

The other examples – Not only that: also the Tuscany, who administered the booster to the 76,5% of the stalls, uses the system of direct call for transplanted and immunocompromised people. Furthermore, for the others it is possible to contact the family doctor, but also the option to go directly to the hubs without a reservation. Also in Lombardy – which is 73.1% – the immunocompromised are reached by invitation. For the third dose to the over 60s, however, the focus is above all on the already tested booking through the online platform. In Lazio, which always according to the elaboration of Gimbe reached 67.1%, some were particularly effective open day, however, accompanied by the work of family doctors and pharmacies. In Campania, on the other hand, where coverage with the third dose is 66% of the audience, a call is scheduled again for direct call. On the other hand, it was the directive that came from the structure of Commissioner Figliuolo with a circular dated 4 November last, which read: “Systematically resort to the ‘active call'”.

The commissioner does not force – Today, thanks to the resumption of administration in recent weeks, the commissioner explains that the trend is positive and no longer arises an adhesion problem. Each Region, they add, has its own strategy and it is not easy to understand what are the reasons for any delays some than others. A text message that warns of the possibility of carrying out the third dose, however, seems to be synonymous with at the moment success: this is demonstrated by the cases of Molise, Piedmont and Tuscany, all on the “podium”, but also the direction that other Regions have taken. There Liguria, for example, which results back with just over 50% of boosters made, has opened on Monday reservations for the population group 40-59 years: in 5 ore have already been successful about 18 thousand reservations (through the dedicated portal, pharmacies, Cup counters and the toll-free number). And he predicted sending sms to all those entitled to remind them of the possibility to book right away, without waiting for six months after the last dose.

Emilia-Romagna – It is another Region that with the 65,5% audience coverage is above the national average. On Monday they were done 383mila third doses, almost the 10% than those carried out at national level. On the first day for the 40-59 year olds they arrived almost 20 thousand reservations. Emilia-Romagna has diversified his strategy: it can be booked through the Single Online Reservation Center, by telephone and also at the counters, as well as through the Electronic Health Record. In addition, the possibility is foreseen for the health care companies from to send a message to the population to reserve the booster. So here’s another example of active call, which has already been activated by the Ausl di Modena e Reggio Emilia, while in other provinces it has only left for now some categories.

The Regions further back – Resorting exclusively to portals and call centers therefore risks do not take off the third dose: as long as the numbers are small, it takes very little to recover. The audience, however, will soon expand and will be useful the same accession as six months ago to keep up with the virus. At the moment the regions further back are Veneto, Sicily, Basilicata and Calabria: in Veneto 47 vaccination centers are active and remain open even in the evening and on weekends. In Sicily the hubs and health facilities will remain active and, in some cases, will be strengthened or assisted by doctors and pharmacies. In Basilicata, where access to third doses is free for the moment, an evaluation will be initiated based on the “flow” expected from 1 December. In Calabria the Civil Protection has issued the Open Vax Days, with the possibility of appearing in the 38 hubs of the region. The next few weeks will tell if this will be enough to pick up the pace.

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