Tag Archives: Italy

Germany, Italy, France to halt AstraZeneca shots, further hitting EU vaccination campaign

By Thomas Escritt and Stephanie Nebehay

BERLIN/GENEVA (Reuters) – Germany, France and Italy said on Monday they would stop administering the AstraZeneca COVID-19 vaccine after several countries reported possible serious side-effects, throwing Europe’s already struggling vaccination campaign into disarray.

Denmark and Norway stopped giving the shot last week after reporting isolated cases of bleeding, blood clots and a low platelet count. Iceland and Bulgaria followed suit and Ireland and the Netherlands announced suspensions on Sunday.

The moves by some of Europe’s largest and most populous countries will deepen concerns about the slow rollout of vaccines in the region, which has been plagued by shortages due to problems producing vaccines, including AstraZeneca’s.

Germany warned last week it was facing a third wave of infections, Italy is intensifying lockdowns and hospitals in the Paris region are close to being overloaded.

German Health Minister Jens Spahn said that although the risk of blood clots was low, it could not be ruled out.

“This is a professional decision, not a political one,” Spahn said adding he was following a recommendation of the Paul Ehrlich Institute, Germany’s vaccine regulator.

France said it was suspending the vaccine’s use pending an assessment by the EU medicine regulator due on Tuesday. Italy said its halt was a “precautionary and temporary measure” pending the regulator’s ruling.

Austria and Spain have stopped using particular batches and prosecutors in the northern Italian region of Piedmont earlier seized 393,600 doses following the death of a man hours after he was vaccinated. It was the second region to do so after Sicily, where two people had died shortly after having their shots.

The World Health Organization appealed to countries not to suspend vaccinations against a disease that has caused more than 2.7 million deaths worldwide.

“As of today, there is no evidence that the incidents are caused by the vaccine and it is important that vaccination campaigns continue so that we can save lives and stem severe disease from the virus,” WHO spokesman Christian Lindmeier said.

The United Kingdom said it had no concerns, while Poland said it thought the benefits outweighed any risks.

“UNUSUAL” SYMPTOMS

AstraZeneca’s shot was among the first and cheapest to be developed and launched at volume since the coronavirus was first identified in central China at the end of 2019 and is set to be the mainstay of vaccination programs in much of the developing world.

Thailand announced plans on Monday to go ahead with the Anglo-Swedish firm’s shot after suspending its use on Friday but Indonesia said it would wait for the WHO to report.

The WHO said its advisory panel was reviewing reports related to the shot and would release its findings as soon as possible. But it said it was unlikely to change its recommendations, issued last month, for widespread use, including in countries where the South African variant of the virus may reduce its efficacy.

The European Medicines Agency (EMA) has also said there was no indication the events were caused by the vaccination and that the number of reported blood clots was no higher than seen in the general population.

The handful of reported side-effects in Europe have upset vaccination programs already under pressure over slow rollouts and vaccine skepticism in some countries.

The Netherlands said on Monday it had seen 10 cases of possible noteworthy adverse side-effects from the AstraZeneca vaccine, hours after the government put its vaccination program on hold following reports of potential side-effects in other countries.

Denmark reported “highly unusual” symptoms in a 60-year-old citizen who died from a blood clot after receiving the vaccine, the same phrase used on Saturday by Norway about three people under the age of 50 it said were being treated in hospital.

“It was an unusual course of illness around the death that made the Danish Medicines Agency react,” the agency said in a statement late on Sunday.

One of the three health workers hospitalized in Norway after receiving the AstraZeneca shot had died, health authorities said on Monday, but there was no evidence that the vaccine was the cause. They said they would continue their probe and that no more suspected cases had been reported since Saturday.

AstraZeneca said earlier it had conducted a review covering more than 17 million people vaccinated in the European Union and the UK which had shown no evidence of an increased risk of blood clots.

Investigations into potential side-effects are complicated as the history of each case and circumstances surrounding a death or illness are examined. Austrian authorities have said their review of the AstraZeneca batch will take about two weeks.

The EMA has said that as of March 10, a total of 30 cases of blood clotting had been reported among close to 5 million people vaccinated with the AstraZeneca shot in the European Economic Area, which links 30 European countries.

The WHO said that as of March 12, more than 300 million doses of COVID-19 vaccines had been administered around the world with no deaths found to have been caused by any of them.

(Reporting by Panarat Thepgumpanat in BANKOK and Andreas Rinke and Paul Carrel in BERLIN, Angelo Amante in ROME, Christian Lowe in PARIS, Toby Sterling in AMSTERDAM, Jacob Gronholt-Pedersen in COPENHAGEN and Stanley Widianto in JAKARTA; writing by Philippa Fletcher; editing by Nick Macfie)

Italy to impose nationwide coronavirus lockdown over Easter weekend – draft decree

By Angelo Amante

ROME (Reuters) – Italy will be placed under a nationwide lockdown over the Easter weekend for the second year running, a draft decree law seen by Reuters said on Friday, underlining the struggle to stem a fresh surge in coronavirus cases.

Non-essential shops will be shuttered nationwide from April 3-5. On those days, Italians will only be allowed to leave their homes for work, health or emergency reasons.

However, a number of regions including wealthy Lombardy, which is centered on Italy’s financial capital Milan, look certain to be placed under full lockdown from Monday because of the recent jump in infections and hospitalizations.

“I hope that this will be the last sacrifice asked of our citizens,” said Lombardy President Attilio Fontana.

Italy, the first Western country hit hard by the pandemic, saw infections rise by 10% this week compared with the week before, and officials have warned that the situation is deteriorating as new, highly contagious variants gain ground.

The country was placed under its first nationwide lockdown a year ago, which lasted 10 weeks. A second lockdown was imposed at Christmas. In recent months, the government has introduced restrictions at a regional level, depending on case numbers.

It was not immediately clear how the decree would affect churchgoers in the Catholic country. However, it was expected to be similar to provisions last Christmas when people were allowed to go to churches in their neighborhoods.

A Vatican source said Pope Francis’ Easter Eve Mass likely would be held a few hours earlier so that faithful could get home in time for Italy’s 10 p.m. curfew and that the pontiff’s Holy Week activities before Easter would be held in the Vatican with a limited number of participants.

Unlike last year, the new decree, which was expected to be approved by Prime Minister Mario Draghi’s cabinet later on Friday, allows for limited visits to friends and relatives over the Easter holiday – for example to see elderly parents.

But the decree also imposes tougher curbs for the country’s low-risk “yellow” regions as of Monday, severely limiting movement between towns and closing restaurants and bars.

“The spread of the virus is accelerating due to the impact of variants. We agree with the government’s choices,” Stefano Bonaccini, president of Italy’s conference of regions, said in a statement after meeting ministers.

Alongside some nationwide measures, Italy calibrates restrictions in its 20 regions according to a four-tier, color-coded system (white, yellow, orange and red) based on infection levels and revised every week.

Italy has reported more than 100,000 deaths from the disease since discovering its first cases 13 months ago, the seventh highest toll worldwide.

(Reporting by Angelo Amante; Editing by Crispian Balmer/Mark Heinrich)

Speeding up vaccinations will lead Italy out of crisis: PM Draghi

ROME (Reuters) – Speeding up Italy’s vaccination campaign will enable the country to overcome the coronavirus crisis, Prime Minister Mario Draghi said on Monday, adding that his government would do whatever was necessary to protect lives.

“The pandemic is not yet over, but with the acceleration of the vaccine plan, a way out is not far off,” Draghi said in a speech to mark international women’s day, his first such public address since taking office last month.

Italy is poised to become the seventh country in the world to register more than 100,000 COVID-related deaths and health officials have warned that the country faces a third wave of cases as a more contagious variant of the disease gains ground.

“We are all facing a new worsening of the health emergency these days,” Draghi said.

“Our task, and I am referring to all the institutions, is to safeguard the lives of Italians by all means possible and to allow a return to normality as soon as possible. Every life counts,” he added.

Since taking charge of the country at the head of a broad government of national unity, Draghi has looked to speed up vaccinations and has put pressure on pharmaceutical companies to honor their contracts and make up supply shortfalls.

Italy, which has a population of around 60 million, had administered 5.41 doses of vaccines as of early Monday, with 1.65 million people receiving the recommended two shots.

Draghi has suggested that first jabs should take precedence rather than stockpiling supplies for eventual second doses.

(Reporting by Crispian Balmer; Editing by Angelo Amante)

Italy 2020 death toll is highest since World War Two as COVID-19 hits

ROME (Reuters) – Italy registered more deaths in 2020 than in any other year since World War Two, according to data that suggest COVID-19 caused thousands more fatalities than were officially attributed to it.

Total deaths in Italy last year amounted to 746,146, statistics bureau ISTAT said, an increase of 100,525, or 15.6%, compared with the average of the 2015-2019 period.

Looking at the period from when Italy’s COVID-19 outbreak came to light on Feb. 21 to the end of the year, the “excess deaths” were even higher at 108,178, an increase of 21% over the same period of the last five years.

The Istituto Superiore di Sanita, Italy’s top health institute, officially attributed 75,891 deaths to the new coronavirus last year, some 70% of this total excess mortality.

Italy has continued to register hundreds of COVID-19 deaths per day this year. Its updated tally stood at 98,974 on Thursday.

Officially, COVID-19 accounted for 10% of deaths in Italy last year from Feb. 21, with marked regional disparities.

It was the cause of 14.5% of all deaths in the northern regions where the outbreak was first reported in Italy. In central areas it was responsible for 7% of all deaths and in southern ones it accounted for 5%.

Of the 100,525 excess deaths last year, 76% of the total were among people over the age of 80 and 20% were among those aged between 65 and 79, ISTAT said.

(Reporting By Gavin Jones, Editing by Timothy Heritage)

Italy reports 348 coronavirus deaths on Monday, 10,800 new cases

ROME (Reuters) -Italy reported 348 coronavirus-related deaths on Monday against 347 the day before, the health ministry said, while the daily tally of new infections fell to 10,800 from 14,245.

However, the number of swab tests also fell, as often happens at the weekend, amounting to just 77,993 against a previous 102,974.

Italy has registered 75,680 COVID-19 deaths since its outbreak came to light on Feb. 21, the highest toll in Europe and the fifth highest in the world. The country has also reported 2.166 million cases to date, the health ministry said.

Patients in hospital with COVID-19 stood at 23,317 on Monday, up 242 on the day before. There were 136 admissions to intensive care units, compared with 154 on Sunday.

The current number of intensive care patients fell by four to 2,579, reflecting those who died or were discharged after recovery.

When Italy’s second wave of the epidemic was accelerating fast in the first half of November, hospital admissions were rising by about 1,000 per day, while intensive care occupancy was increasing by about 100 per day.

(Reporting by Crispian Balmer; Editing by Angelo Amante)

Europe crosses 500,000 COVID-19 deaths as new variant spreads

By Anurag Maan and Shaina Ahluwalia

(Reuters) – Europe became the first region worldwide to cross 500,000 COVID-19 deaths on Tuesday, according to a Reuters tally, as a new variant of the coronavirus discovered in Britain threatened the region’s prevention measures to curb the pandemic.

Reports of the mutated variant out of England prompted a pre-Christmas lockdown and have forced dozens of countries to close their borders to British travelers this week.

Italy, the nation with the highest death toll in Europe, on Sunday detected a patient infected with the new variant as have Denmark and France.

To curb the spread, European countries are considering screening passengers on flights from UK and obligating quarantine for travelers upon arrival.

Earlier this month, the United Kingdom became the first nation to approve the Pfizer Inc – BioNTech vaccine followed by the United States, European Union and other countries.

Europe has reported about 30% of the global COVID-19 fatalities and cases so far, according to a Reuters tally.

Europe’s death toll has accelerated in recent months. Since the first COVID-19 death was reported in France in February, it took eight months for the region to reach 250,000 deaths. It took only 60 days for the region to go from 250,000 to 500,000 deaths.

France, Spain, Italy, the United Kingdom and Russia have reported hundreds of deaths a day and the five countries account for almost 60% of the region’s total fatalities.

Globally there have been 77.52 million cases and 1.71 million deaths, according to a Reuters tally.

(Reporting by Anurag Maan and Shaina Ahluwalia in Bengaluru; Editing by Lisa Shumaker)

“Lock down,” says Italy adviser, as deaths head for wartime levels

By Reuters Staff

ROME (Reuters) – An adviser to Italy’s health ministry has called for coronavirus restrictions to be drastically tightened to avoid a “national tragedy” after the national statistics bureau ISTAT said deaths this year would be the highest since World War Two.

“We are in a war situation, people don’t realize it but the last time we had this many deaths, bombs were dropping on our cities during the war,” public health professor Walter Ricciardi told the television channel la7 on Tuesday evening.

Ricciardi, the adviser to Health Minister Roberto Speranza, said the government, which is considering tightening restrictions over the Christmas and New Year holidays, should lock down the main cities completely.

In an interview with Wednesday’s daily La Stampa, he said Rome had been “constantly late” in responding to the second, autumn wave of the virus.

Italy reported 846 COVID-19 deaths on Tuesday, taking the official total to 65,857, the fifth highest in the world.

As in many other countries, that total is widely considered to be an underestimate because many people who died of COVID-19 during the first wave were never tested for the virus.

ISTAT head Gian Carlo Blangiardo said on Tuesday that the overall number of deaths in Italy this year would exceed 700,000, against 647,000 in 2019.

“The last time something like this happened was in 1944 when we were at the height of the Second World War,” he told RAI state television.

Prime Minister Giuseppe Conte on Tuesday urged Italians to avoid “irresponsible” gatherings over the holidays and said the government might make some “small adjustments” to its current restrictions.

But Ricciardi told La Stampa this was not enough:

“The Netherlands has locked down with half our deaths, Germany has locked down with a third of them – I don’t understand this hesitation. If we don’t take adequate measures, we are heading for a national tragedy.”

Judge orders mass trial as Italy takes on ‘Ndrangheta mobsters

By Crispian Balmer

ROME (Reuters) – A judge on Thursday indicted 444 suspected members of the ‘Ndrangheta mafia on an array of charges, including murder, attempted murder, extortion, money laundering and drug trafficking, a judicial source said.

The trial of 355 of the defendants will start on Jan. 13 and will be one of the largest cases to target organized crime in Italy since the so-called maxiprocesso that severely weakened Sicily’s more storied Cosa Nostra mafia group in the 1980s.

A further 89 suspects agreed to a quickfire trial in the same case, which will start on Jan. 27, said the source, speaking on condition of anonymity, who had a copy of the court indictments. Those who accept such shorter hearings get reduced sentences if found guilty.

The ‘Ndrangheta is based in the southern region of Calabria, the toe of Italy’s boot, and has surpassed Cosa Nostra to become the most powerful mafia group in the country – and one of the largest crime gangs in the world.

Anticipating Thursday’s ruling, a fortified courthouse has been built in the Calabrian city of Lamezia Terme, large enough to house the defendants, lawyers, prosecutors and judges.

The case hit the headlines a year ago when police arrested 334 people, including lawyers, accountants, public officials and court clerks, in one of the largest anti-mob operations ever seen in Italy.

“Obviously mafias change and evolve along with the society around them and they get to look increasingly like the rest of us. Mafiosi are not Martians, they live among us,” Nicola Gratteri, the lead prosecutor on the case, said this week.

“Mafiosi prefer corrupting people rather than killing them, because shootings draw unwelcome attention,” he added.

The last time Italy tried hundreds of alleged mafiosi simultaneously was in 1986 in Palermo in a case which represented a turning point in the fight against Cosa Nostra, marking the beginning of the group’s sharp decline.

The Calabrian trial involves a high number of white-collared workers and does not target the top hierarchies of the ‘Ndrangheta clans in the way the Palermo case did.

Gratteri told reporters that the group had spread far from its remote southern bastion and was present in every region of the country as well as in parts of Europe and north America.

He said it had grown easier for mobsters to infiltrate local administrations and win lucrative contracts or siphon off funds.

“There has been a sharp fall in ethics and morals (in society) in recent years … which has made it easier to corrupt public officials. This doesn’t just involve Italy. It involves the Western world,” he said.

(Reporting by Crispian Balmer; editing by Barbara Lewis)

Europe COVID death toll tops 300,000 as winter looms and infections surge

By Shaina Ahluwalia, Anurag Maan and Roshan Abraham

(Reuters) – More than 300,000 people have died of COVID-19 across Europe, according to a Reuters tally on Tuesday, and authorities fear that fatalities and infections will continue to rise as the region heads into winter despite hopes for a new vaccine.

With just 10% of the world’s population, Europe accounts for almost a quarter of the 1.2 million deaths globally, and even its well-equipped hospitals are feeling the strain.

After achieving a measure of control over the pandemic with broad lockdowns earlier this year, case numbers have surged since the summer and governments have ordered a second series of restrictions to limit social contacts.

In all, Europe has reported some 12.8 million cases and about 300,114 deaths. Over the past week, it has seen 280,000 cases a day, up 10% from the week earlier, representing just over half of all new infections reported globally.

Hopes have been raised by Pfizer Inc’s announcement of a potentially effective new vaccine, but it is not expected to be generally available before 2021 and health systems will have to cope with the winter months unaided.

Britain, which has imposed a fresh lockdown in England, has the highest death toll in Europe at around 49,000, and health experts have warned that with a current average of more than 20,000 cases daily, the country will exceed its “worst case” scenario of 80,000 deaths.

France, Spain, Italy and Russia have also reported hundreds of deaths a day and together, the five countries account for almost three quarters of the total fatalities.

Already facing the prospect of a wave of job losses and business failures, governments across the region have been forced to order control measures including local curfews, closing non-essential shops and restricting movement.

France, the worst-affected country in the EU, has registered more than 48,700 infections per day over the past week and the Paris region’s health authority said last week that 92% of its ICU capacity was occupied.

Facing similar pressures, Belgian and Dutch hospitals have been forced to send some severely ill patients to Germany.

In Italy, which became a global symbol of the crisis when army trucks were used to transport the dead during the early months of the pandemic, daily average new cases are at a peak at more than 32,500. Deaths have been rising by more than 320 per day over the past three weeks.

While the new vaccine being developed by Pfizer and German partner BioNTech will take time to arrive, authorities are hoping that once winter is passed, it will stem further outbreaks next year.

Citi Private Bank analysts described the news as “the first major advance toward a Post-COVID world economy”.

“More than any fiscal spending package or central bank lending program, a healthcare solution to COVID has the greatest potential to restore economic activity to its full potential…” it said in a note.

European Commission President Ursula von der Leyen on Monday said the European Union would soon sign a contract for 300 million doses of the vaccine, just hours after the drugmaker announced promising late-stage trials.

Yet health experts cautioned that the vaccine, should it be approved, was no silver bullet – not least because the genetic material it’s made from needs to be stored at temperatures of minus 70 degrees Celsius (-94 F) or below.

Such requirements pose a challenge for countries in Asia, as well as Africa and Latin America, where intense heat is often compounded by poor infrastructure.

(Reporting by Anurag Maan, Shaina Ahluwalia, Chaithra J and Roshan Abraham in Bengaluru, Sujata Rao-Coverley in London; editing by Jane Wardell, James Mackenzie, Nick Macfie and Mike Collett-White)

Countries turn to rapid antigen tests to contain second wave of COVID-19

By John Miller, Caroline Copley and Bart H. Meijer

ZURICH/BERLIN (Reuters) – Countries straining to contain a second wave of COVID-19 are turning to faster, cheaper but less accurate tests to avoid the delays and shortages that have plagued efforts to diagnose and trace those infected quickly.

Germany, where infections jumped by 4,122 on Tuesday to 329,453 total, has secured 9 million so-called antigen tests per month that can deliver a result in minutes and cost about 5 euros ($5.90) each. That would, in theory, cover more than 10% of the population.

The United States and Canada are also buying millions of tests, as is Italy, whose recent tender for 5 million tests attracted offers from 35 companies. Switzerland, where new COVID-19 cases are at record levels, is considering adding the tests to its nationwide screening strategy.

Germany’s Robert Koch Institute (RKI) now recommends antigen tests to complement existing molecular PCR tests, which have become the standard for assessing active infections but which have also suffered shortages as the pandemic overwhelmed laboratories and outstripped manufacturers’ production capacity.

PCR tests detect genetic material in the virus while antigen tests detect proteins on the virus’s surface, though both are meant to pick up active infections. Another type of test, for antibodies the body produces in response to an infection, can help tell if somebody has had COVID-19 in the past.

Like PCR (polymerase chain reaction) tests, antigen tests require an uncomfortable nasal swab. They can also produce more “false negatives,” prompting some experts to recommend they only be used in a pinch.

Still, the alarming rise in new infections globally has health officials desperately pursuing more options as the winter influenza season looms.

The World Health Organization reported more than 2 million new cases last week, bringing the total worldwide to 37 million, with more than 1 million deaths from COVID-19.

“These point-of-care tests could make a big difference,” said Gerard Krause, epidemiology department director at Germany’s Helmholtz Centre for Infection Research.

NO TEST NO FLIGHT

Krause said low-priority patients – those without symptoms – could initially be screened with antigen tests, leaving the more accurate PCR tests for those showing signs of the disease.

Antigen tests have already gained traction in the travel industry. Italian airline Alitalia offers Rome-Milan flights exclusively for passengers with negative tests and Germany’s Lufthansa has announced similar testing plans.

But the pandemic’s vast scale has strained the ability of countries to test all of their citizens, making it difficult to track the twisting paths of infection comprehensively and prevent a resurgence.

In the United States, for example, reliance on automated PCR machinery over the summer left many patients frustrated as they waited for a week or more for results.

Testing in Europe has also suffered glitches.

France does over a million tests a week but its free-for-all testing policy has led to long queues and delays in results, prompting French researchers to come up with a test they say can produce results in 40 minutes, without using a swab.

Italy does between 800,000 and 840,000 tests a week, more than double April’s levels, according to the Ministry of Health. But a government adviser, University of Padua microbiology professor Andrea Crisanti, said the country needs 2 million tests a week to really get on top of the virus.

In the Netherlands, where infection rates are among Europe’s highest, the government has been scrambling to expand weekly testing and lab capacity to 385,000 by next week from 280,000 now. The target is nearly half a million tests a week by December and just under 600,000 by February.

But people have been waiting days for a test. The authorities blame the overwhelming demand from those without clear symptoms for clogging up the system.

In response, the authorities have restricted rapid antigen tests to health workers and teachers, while others go on a waiting list.

‘GOLD STANDARD’

The various hitches highlight a conundrum for governments: how to get people back to work while tracing the virus within the population quickly – without running out of supplies.

Siemens Healthineers, which on Wednesday announced the launch of a rapid antigen test kit in Europe that can deliver a result in 15 minutes, said the volumes of such diagnostic tests being circulated globally now are “at the limits” of what manufacturers can supply.

Rivals including Abbott Laboratories and Becton Dickinson also offer numerous COVID-19 diagnostic tests, with more and more companies jumping in.

Swiss diagnostics maker Roche, announced plans on Tuesday to launch a new antigen test by the end of the year. Its fully automated systems can provide a test result in 18 minutes and a single lab machine can process 300 tests an hour.

By early 2021, the Basel-based company said it could make some 50 million of the new tests a month, on top of the rapid point-of-care tests it already sells.

Roche said the test could be deployed in places such as nursing homes or hospitals, where speedy results could thwart a potentially lethal outbreak.

“The primary use case is the testing of symptomatic patients,” a Roche spokeswoman said. “The secondary use case is the testing of individuals suspected of infection … which could also include asymptomatic patients.”

Expert opinion, however, on just how to use antigen tests is evolving and remains the subject of debate.

Switzerland, where reported new infections spiked to 2,823 cases on Wednesday from as low as three per day in June, is only now validating the accuracy of the rapid tests.

“Deployment of the rapid tests – where it makes sense – will be integrated into our testing strategy,” a spokesman for the Swiss federal health ministry said. “We’ll update our testing recommendations in November.”

Sandra Ciesek, director of the Institute of Medical Virology at the University Clinic in Frankfurt, Germany said rapid antigen tests could be an option for asymptomatic patients planning to visit elderly patients at nursing homes.

But people should refrain from using them as a definitive substitute to judge their infection status.

“The PCR test remains the gold standard,” Ciesek said. “An antigen test should only be used as an alternative if PCR is not possible in a timely manner.”

(Reporting by John Miller in Zurich, Caroline Copley in Berlin, Emilio Parodi and Giselda Vagnoni in Milan, Josephine Mason in London, Bart Meijer in Amsterdam and Matthias Blamont in Paris; Editing by David Clarke)