Too late, too much

Today the Minister of Health, Professor Ferruccio Fazio, was asked in Parliament what to do with the unused doses of the swine flu vaccine. He was also questioned about the safety and efficacy of the vaccine itself, and about the costs of the campaign. Professor Fazio admitted that “the vaccine was available only when the first wave of the epidemic has begun”, and that the flu was, “thankfully”, really mild. These two facts have kept people away from the vaccine. Some 850,000 people got vaccinated, using a small fraction of the 10-million available doses. But there is this lesson of the swine flu, the vaccine supply was too late.

The Government expect to pay 184 million euros for 24 millions of doses, but the final figure could be less than that. According to the Minister, “the Government is evaluating some possibilities that could guarantee an appropriate use of the commitments decided by the Government against the swine flu.” The pronouncement isn't very clear, but it could mean the Government is going to sell the vaccine stock.

Newly appointed minister

Today Professor Ferrucio Fazio has been appointed to the newly created role of Minister of Health. He has received strong  support by his party's MPs, but also by  medical associations and business unions. In the last months he managed to prepare for the pandemic of swine flu, and many people owe that to him.
Things are going quite well,  especially in North Italy. In the southern regions, in Campania, Puglia and Calabria there's the highest death toll.
Total deaths 149
Abruzzo 3
Basilicata 1
Calabria 16
Campania 32
Emilia Romagna 10
Lazio 14
Liguria 4
Lombardia 9
Marche 1
Molise 3
Piemonte 8
Puglia 19
Sicilia 11
Toscana 4
Umbria 5
Veneto 8
P.A. Bolzano 1

An Italian vaccine

Italy have done well against the swine flu, and the country is ready to research a new universal vaccine against all the flu viruses. Yesterday the Deputy Minister of Health Ferruccio Fazio talked about the pandemic in Italy. Fazio said also that one of the goals of the Istituto Superiore della Sanità is the universal vaccine, active against all the influenza viruses. The target of the research will be the hemagglutinin, "the primary protein responsible for binding to receptor sites on the cell membrane, allowing the virion to enter the cell" (some weeks ago New Scientist published an article about this issue). Professor Fazio said also that Italy has spent for the vaccine campaign less money than other European countries, obtaining better results. However, it's too soon to draw conclusions: the number of cases is decreasing, and so the number of deaths, but the pandemic hasn't stopped yet, said Professor Fazio. In order to end  it it's important to continue the vaccination plan, he said. In Italy there's an high incidence only in Sardinia right now.

Flu peaked in Italy, maybe

As the death toll soars to 85, the swine flu is still in the news. Today the Italian Deputy Health Minister Ferruccio Fazio has said that the vaccine is still effective, even though the virus has mutated. According to Fazio, it's likely that the flu pandemic has already peaked in Italy, infecting only some milions of people. Nevertheless, it's crucial that people in the high risk group get the vaccine, said Fazio. Gianni Rezza, Director of Infectious Desease Department of Istituto superiore di sanità, has confirmed that people need to stay alert and get vaccinated (if at-risk). According to the Ministry, more than 300,000 people have got the vaccine, out of almost 4 milions of doses available.

A mutated flu virus in Norway

At least 68 flu-related deaths have been recorded by Italian Health Ministry, a high number in this time of year. Campania's health authority has reported 25 fatal cases, and it's the hardest hit region. The hospitalized cases have climbed to 489, while 241 people needed intensive care. Italian newspapers report today about a mutated version of the influenza virus, found in three patients in Norway, and this seems the most interesting thing of today. The Italian Deputy Health Minister, Professor  Ferruccio Fazio, is still inviting all the people at risk to get the vaccine shot. Today the newspapers cover also a story about a diet agains the flu. Black grapes, bananas, oranges and cauliflower can protect you, claims Fabio Firenzuoli, President of National Association of Phytotherapist Doctors. Also peppers work, if they are in different colours.

Swine flu at its peak: Week 46

Maybe the swine flu in Italy has reached its peak. Today InfluNet, the Italian surveillance network, has released updated datas for week 46, from November 9 to November 15. The incidence is 1.253%, a bit more than last week (1.227%). In the island of Sardinia  there's still one of the lowest incidences of flu cases (0.69%). The highest rate is again in Marche region (4.197%), followed by Abruzzo (3.492%), and Emilia-Romagna (1.917%), all in central Italy.

The vaccination campaign starts everywhere

Two fatal cases of swine flu have been confirmed today, in Umbria and in Campania. The death toll is now 34. The Deputy Health Minister Ferruccio Fazio has asked newspapers "to not rise useless alarms", while insisting that people in the risk group should get the vaccines, which "are safe and are used around the world." There are large differences in the vaccine distribution to population in Italy. Some regions, for example Sardinia, will start tomorrow the first phase of the vaccination campaign, while other regions have already proceeded at step two. However the outbreak has already caused 700,000 flu cases.

What the minister is asking

Another fatal case of swine flu occurred in Italy. A 37 years old musician died in Salerno, a city south of Naples. Italian newspapers keep track of the death toll, now 18, even though yesterday the Deputy Minister of Health Ferruccio Fazio asked the media to suspend it. Professor Fazio explained that this flu is milder then the seasonal one and that there is no need to worry. However, the Minister from now on will issue a daily update of the pandemic. So, maybe Professor Fazio himself doesn't think the uproar is going to be abated very soon. Actually, he pleaded everyone not to rush to the emergency room, but to consult first the family's doctor.

Death toll rises in Naples

Other two fatal cases of swine flu occurred in Naples, Corriere del Mezzogiorno reports. A 42 years old, overweight woman died today at Cotugno Hospital, while a 72 years old woman, with respiratory disease died yesterday at Cardarelli Hospital. So the death toll in Naples has risen to 8. Italian newspapers are reporting all the deaths caused by the H1N1 virus, and maybe this can be alarming for the general public. The Deputy Minister of Health Ferruccio Fazio keeps assuring that all the people who died were already ill, and that healthy people should not worry. Another big issue is the vaccine campaign: in the past days Professor Fazio has blamed on local authorities for the delays in the vaccine distribution, while praising the producer, Novartis, for having sent the first batch of two million doses in advance of a fortnight.

Quite surprisingly, nobody talks about antiviral drugs. Maybe this is good luck for the Ministry. According to a study, "the antivirals stockpiled in Italy are sufficient to treat only 7 million individuals, corresponding to the 12% of the population." 

A network of health care centers

Today Ferruccio Fazio, Health Deputy Minister, has announced that it has been created a network to tackle the severe cases of the flu. The government and the Regional governments have located 14 centers to give treatment to these patients because not all the Regions have the specialized units (Agi press agency).
According to Ansa press agency Professor Fazio also explained that the case-fatality rate for A/H1N1 influenza has been 0,03‰, less than seasonal influenza rate (2‰).

Flu death in Naples

More details about the patient who died yesterday in Naples after being infected by H1N1 flu virus. He was a doctor, affected by anaemia, obesity and cardiac disease. On Monday he was admitted at Cotugno Hospital because of pneumonia. According the local newspaper Il Mattino, he didn't got vaccination because the regional health units have run out of the doses, primarily used for health care workers. The Italian Deputy Minister of Health Ferruccio Fazio said in an interview that the pandemic has started off and that in some part of Italy,, especially in South Italy, the vaccination campaign is late.
Personally, I don't understand who is late, the vaccine manufacturer, the national health structure or the local one.