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[CORONAVIRUS] Urgent measures for the management of the epidemiological emergency

coronavirus

The toll-free number 800 033033 is available every day from 8:30am to 6pm.

Where to find information on the new Coronavirus?
The Ministry of Health has created a dedicated website: www.salute.gov.it/nuovocoronavirus
More information on the Epicentro website by the Higher Institute of Health - https://www.epicentro.iss.it.

How is the new Coronavirus transmitted from person to person?
The new Coronavirus is a respiratory virus that spreads mainly through close contact with a sick person. Human coronaviruses are transmitted from one infected person to another through:

  • saliva, coughing and sneezing
  • direct personal contacts
  • hands, e.g. by touching mouth, nose or eyes with contaminated hands (not yet washed)
  • faecal contamination (rare).

Respiratory diseases do not normally spread through food, which however must be handled in accordance with good hygiene practices and avoiding contact between raw and cooked food.

Can asymptomatic people transmit the new coronavirus infection?
Based on the data currently available, the WHO confirms that contact with symptomatic cases (people who have contracted the infection and have already shown symptoms of the disease) is the main driver of transmission of the new Coronavirus.
The WHO is aware of the possible transmission of the virus from infected, but still asymptomatic people, and stresses its rarity, concluding that transmission from asymptomatic cases probably is not one of the main drivers of transmission of the new Coronavirus.

The definition of close contact as provided by Annex 1 to Circular 6360 of February 27th, 2020

  • a person who lives in the same house as a COVID-19 case
  • a person who has had direct physical contact with a case of COVID-19 (e.g. handshake)
  • a person who has had unprotected direct contact with the secretions of a case of COVID-19 (e.g. touching used paper handkerchiefs with bare hands)
  • a person who has had direct (face-to-face) contact with a case of COVID-19, at a distance of less than 2 meters, for at least 15 minutes
  • a person who has been in a closed environment (e.g. classroom, meeting room, hospital waiting room) with a case of COVID-19 for at least 15 minutes, at a distance of less than 2 meters
  • a health care professional or other person providing direct assistance to a COVID-19 case, or laboratory personnel handling samples of a COVID-19 case without the use of recommended PPE or with improper PPE
  • a person who has travelled by aircraft seated in one of two seats adjacent, in any direction, to a COVID-19 case, his/her travelling companions or caregivers, and crew members in the section of the aircraft where the index case was seated (if the index case has severe symptoms or has moved within the aircraft, resulting in increased exposure of passengers, consider all passengers seated in the same section of the aircraft or throughout the aircraft as close contacts).

The epidemiological link may have occurred within a period of 14 days before the onset of the disease in the case under investigation.

How to handle close contact with a confirmed COVID-19 case
Based on the Ordinance "Further prophylactic measures against the spread of the infectious disease COVID-19" of February 21st, 2020, the Local Health Authority in charge must apply the quarantine measure, with active surveillance for fourteen days in confirmed cases (presenting symptoms of disease).

More explicitly, it is specified that contacts (family, friends, etc.) of close contacts, as defined above, are not subject to specific survellaince measures.

Areas at risk
Information on the development of the epidemic worldwide can be found on this website
In Italy there are no longer differentiated risk zones, since the Prime Ministerial Decree (DPCM) of March 9th, 2020 extends the emergency containment measures against the contagion, provided for in Article 1 of the previous DPCM of March 8th, 2020, to the whole country.

What to do if you enter Italy
Anyone intending to enter the national territory by air, rail, sea and road transport (but not by their own or private vehicle) must submit to the carrier, at the time of boarding, a declaration stating

  • the reasons for the trip
  • the full address of the house or residence where he/she will spend the period of health observation and fiduciary isolation
  • a telephone number, fix or mobile, on which to receive communications during the abovementioned period of time.

As soon as you arrive at the residence (whose address must coincide with the one previously declared on departure), even in the absence of symptoms, you must contact the Department of Public Health by sending an email and notifying your arrival and the beginning of the period of fiduciary isolation.
Persons who enter Italy using their own or a private vehicle, even if asymptomatic, must immediately notify their entry to the Prevention Department of the Local Health Authority in charge of the province of entry into the national territory, and are subject to health surveillance and fiduciary isolation for 14 days at the address indicated in the same communication.
In any case, should symptoms appear during this period of time, the person must phone the toll-free number of the Local Health Authority.

Who can be tested?
Tests for COVID-19 are only suitable for suspicious cases. The definition of a COVID-19 suspicious case provides the following alternatives:

  • a person with acute respiratory infection (sudden onset of at least one of the following signs and symptoms: fever, cough and breathing difficulties) who has travelled in a country/area where local transmission was reported during the 14 days before the onset of symptoms
  • a person with acute respiratory infection who has been in close contact with a probable or confirmed case of COVID-19 in the 14 days prior to the onset of symptoms
  • a hospitalized person with severe acute respiratory infection (fever and at least one sign/symptom of respiratory disease: cough and respiratory difficulty).

In the suspicious cases as defined above, the indication to perform the diagnostic test is given by the Department of Public Health in agreement with the General Practitioner and it is not a service that can be provided to the citizen on request, since the test is not intended as a screening method but aimed at confirming a diagnosis.
The result of the test performed has a limited value in time because it photographs a momentary situation.

CONTAINMENT AND PREVENTION MEASURES

It is reiterated that these measures are active throughout the national territory.
All forms of gatherings are prohibited throughout the national territory in public places or places open to the public.
It is strongly recommended that you stay at home and limit your social contacts; outings should be limited to strict necessities.
In addition:

  • those who show symptoms of respiratory infection and fever (higher than 37.5°C) should contact their general practitioner
  • mobility outside of home is strictly forbidden for persons under quarantine or persons found positive for the virus (the Legislative Decree n.19 of  March 25th further tightened the sanctions that had been introduced by the DPCM of March 8th on non-compliance with these obligations).
  • all persons are prohibited from moving or commuting by means of transport, public or private, to a municipality other than the one in which they are currently located, except for:
    • work needs
    • situations of absolute urgency
    • health reasons
    • it is not allowed to return to one's home, residence or domicile if in a municipality other than where the person is presently located.

Measures on mobility
You can't leave your house except for valid reasons.
Police checks will be enforced.
You can leave the house to go to work, for health reasons or situations of absolute urgency, remaining within the municipality where you are presently located. In order to prove these needs, you must compile a self-declaration which can also be filled on the forms supplied to the Police. The truthfulness of the declarations will be subject to subsequent checks. 
On public holidays, Sundays, Saturdays and on the days immediately preceding or following such days it is forbidden to move to houses other than the main one, including second homes used for vacations.
You can visit elderly people who are not self-sufficient, bearing in mind, however, that seniors are the most vulnerable population and therefore need to be protected from contacts as much as possible.
You are allowed to perform motor activities individually, in the proximity of your home, maintaining the interpersonal distance of 1 meter.
You can walk the dog for the daily management of its physiological needs.
The Legislative Decree n.19 of  March 25th further tightened the sanctions that had been introduced by the DPCM of March 8th on non-compliance with these obligations and limitations.

What to do if you have come into contact with people from areas identified as at risk
If you are worried because you have come into contact with people from areas identified as at risk, you can contact the toll-free number of your Local Health Authority.

REGIONAL TOLL-FREE NUMBER 800.033.033

Local Health Authority Departments of Public Health
Piacenza   +39 0523 303600
Parma +39 0521 396436
Reggio Emilia +39 0522 339000
Modena +39 059 3963663
Bologna +39 051 2869406
Imola +39 0542 604959
Ferrara 800 550 355 (from Italy only)

Romagna

Ravenna +39 335 7355317
Forlì +39 338 3045543
Cesena +39 3383542508
Rimini +39 339 7720079

 

What to do if I am under quarantine
Strictly follow the indications received from the Public Health operator, in summary:

  • measure your body temperature twice a day, morning and evening
  • maintain the state of isolation for 14 days from the date indicated, avoiding social contacts, outings and travels, with the obligation to remain reachable for surveillance.

If symptoms appear, you must:

  • immediately notify your doctor or paediatrician and the Public Health operator
  • wear the surgical mask provided at the start of the health procedure and move away from other residents
  • remain in your room with the door closed ensuring adequate natural ventilation, while waiting for your transfer to the hospital - if necessary.

Failure to comply with the obligations shall be punished under Article 650 of the Penal Code.

HYGIENE AND PERSONAL PROTECTION MEASURES
How to behave (hygiene measures) to protect yourself and others

  • Wash your hands often: it is recommended that hydroalcoholic solutions for hand washing are made available in all public places, gyms, pharmacies, supermarkets and other places of aggregation
  • Avoid close contact (- 2 metres) with people suffering from acute respiratory infections
  • Avoid hugs and handshakes
  • Maintain an interpersonal distance of at least 1 meter in social contacts
  • Respiratory hygiene (sneeze and/or cough in a handkerchief avoiding hand contact with respiratory secretions)
  • Avoid the promiscuous use of bottles and glasses, especially during sports activities
  • Do not touch your eyes, nose, mouth with your hands
  • Cover your mouth and nose if you sneeze or cough
  • Do not take antiviral drugs or antibiotics unless prescribed by your doctor
  • Clean surfaces with chlorine and alcohol-based disinfectants
  • Use the mask only if you suspect that you are ill or if you attend people who are ill.

How to behave in the presence of symptomatology
It is recommended that you do not go to the emergency room if you think you have symptoms related to the presence of the virus. Contact your General Practitioner for more information. In case of emergencies, the number 118 is of course always available.
Do not take antiviral drugs or antibiotics unless prescribed by your doctor.

Do I have to wear a mask to protect myself?
The World Health Organization recommends wearing a mask only if you have symptoms such as coughing or sneezing, or if you suspect that you have contracted the new Coronavirus.
The use of the mask helps to limit the spread of the virus but must be taken in addition to other respiratory and hand hygiene measures. It is not useful to wear several masks on top of each other.

I am a senior person/chronically ill/immunodepressed
All seniors or people suffering from chronic or multimorbid pathologies or with congenital or acquired immunodepression are expressly recommended to avoid leaving their homes if not strictly necessary, and to avoid crowded places where it is not possible to maintain the interpersonal safety distance of at least 1 meter.

Household waste management
By way of derogation from the normal collection methods, the following items shall be disposed as indifferentiated waste:

  • waste of any kind produced by household units with subjects positive for the test, in isolation or mandatory quarantine
  • waste composed of PPE (masks, gloves, handkerchiefs, etc.) used for the prevention of the COVID-19 contagion, produced by domestic units even without subjects positive for the test, in isolation or mandatory quarantine.

This mode shall be maintained until the state of health emergency has ceased, with an addition of 30 days, necessary to restore the correct and ordinary waste management public service.

Is there a vaccine for the new Coronavirus?
No, since it is a new disease, there is no vaccine yet and it can take a relatively long time to make a specific one (estimation: 12-18 months).

I'm a blood donor. How should I behave?
Blood can only be donated if you are in good health, so even a simple cold or sore throat, without any connection to the Coronavirus, would cause temporary exclusion.
Remember that it is good to wait 28 days before donating if:

  • you recently returned from a trip to the areas identified by the WHO as being at risk
  • you think you've been exposed to the risk of Coronavirus infection
  • you have been treated for SARS-CoV-2 infection (for documented infection or symptomatology compatible with SARS-CoV-2 infection).

When you donate, always inform your doctor of your movements, especially if in areas affected by the new Coronavirus.
Also tell doctors if you have been diagnosed with the infection or if you have had symptoms associated with those caused by the Coronavirus (fever, cough, breathing difficulties), even if the symptoms in question have already been resolved as a result, or not, of a therapy; the doctor in charge of the selection, who will examine you, may decide to temporarily suspend you from donation.
If you have already donated, remember to contact your Transfusion Service in case of the appearance of symptoms associated with those caused by the Coronavirus.
Keep donating without worries: healthcare professionals protect themselves for your protection.

Job selections
Public and private selection procedures are suspended on the whole national territory, with the exclusion of cases in which the assessment of candidates is carried out exclusively on the basis of curricula and/or electronically, and with the exclusion of selections for health personnel, including national exams and qualification exams for the profession of medical doctor, and those for the Civil Protection personnel, which should preferably take place at distance or, otherwise, guaranteeing the interpersonal distance of 1 meter.

Is it safe to receive packages from China or other countries where the virus has been identified?
Yes, it is safe. The WHO has stated that people who receive packages are not at risk of contracting the new Coronavirus because it is not able to survive on surfaces for long.
However, in order to limit contacts between postal service workers and addressees, postal operators shall deliver these items and packages by prior verification of the presence of the addressee or of a person authorised to receive them, without collecting the signature, with subsequent delivery of the consignment  in the mailbox of the house, office or company, on the floor or at another location at the same address, indicated for this purpose by the  recipient or by the person entitled to collect. The postal service operator  will sign the delivery documents, also certifying the abovementioned delivery method. This specific measure is valid until June, 30th.

Can my pet infect me?
No, at the moment there is no scientific evidence that pets, such as dogs and cats, have contracted the infection or can spread it. Please remember that it is always advisable to wash your hands frequently with soap and water or to use alcoholic solutions after contact with animals.

MEASURES AFFECTING SCHOOLS

Suspension, until April 3rd, 2020 of childcare educational services (including recreational services) and teaching activities in schools of all levels, as well as attendance to schools and higher education activities, including universities, professional courses, master degrees, courses for the health professions and universities for the elderly, excluding courses for doctors in specialist training and trainees in the health professions, provided in any case the possibility of carrying out distance learning activities.
In order to maintain social distance every form of alternative aggregation shall be avoided. 
Educational trips, exchange or twinning initiatives, guided tours and educational outings, however they may be called, planned by educational institutions of all levels are suspended.
Readmission to schools of all levels after absences due to infectious diseases that are subject to mandatory notification, lasting more than five days, shall take place, until March 15th, 2020, upon presentation of a medical certificate, also in derogation of the provisions in force.
School principals who have suspended the teaching activity due to the health emergency shall activate distance teaching methods, also having regard to the specific needs of students with disabilities.
Universities where students are not allowed to take part in teaching or curricular activities, due to the needs connected to the health emergency, can carry out these activities at distance, where possible. After the restoration of the ordinary functionality, it will be possible to ensure the recovery of training activities as well as curricular activities, or any other test or verification, also intermediate, that is functional to the completion of the educational course.
University students who cannot participate in the teaching or curricular activities may be offered a distance learning method, identified by their Universities and Institutions, also taking into account the specific needs of students with disabilities.
Premises for childcare educational services, schools of all levels, universities must display in public places information on the prevention measures made known by the Ministry of Health.

MEASURES CONCERNING SPORTING ACTIVITIES

Sporting events and competitions of any level and discipline in public or private places are suspended.
It is still permitted to hold the aforementioned events and competitions, as well as training sessions, inside sports facilities used behind closed doors, or outdoors without the presence of the public, only for professional and non-professional athletes recognised as being of national interest by the CONI and their respective federations, in anticipation of their participation to the Olympic Games or to national or international events.
Sporting events and competitions organized by international bodies inside sports facilities used behind closed doors, or outdoors without the presence of the public, are allowed.
Associations and Sports Clubs, through their medical staff, are required to carry out appropriate controls to contain the risk of spread of the COVID-19 virus among athletes, technicians, managers and all accompanying and participating persons.
You are allowed to perform motor activities individually, in the proximity of your home, maintaining the interpersonal distance of 1 meter.
Public access to parks, villas, playgrounds and public gardens is prohibited.
On the whole territory of the Emilia-Romagna Region the activities of gyms, sports centers, swimming pools, swimming centers, ski facilities are suspended. 

MEASURES AFFECTING SOCIAL ACTIVITIES

It is reiterated that all situations involving gatherings of people must be avoided and that the interpersonal distance to maintain is of at least 1 meter.
On the national territory:

  • parks and gardens are closed to the public
  • cycling and footing are allowed exclusively for the motivations permitted for the movements of natural persons (work, health reasons or other needs such as food purchase)
  • if the motivation is motor activity (walking for health reasons) or walking the dog for its physiological needs, it is mandatory to remain close to home
  • all organized events are suspended, as well as events in public or private places, including those of cultural, recreational, sporting, commercial or religious nature, even if held in closed places but open to the public such as, for example, big events, cinemas, theatres, pubs, dance schools, games rooms, betting agencies, bingo halls, discos
  • the activities of gyms, sports centers, swimming pools, swimming centers, wellness centers, spas (except forthe provision of essential healthcare services), cultural centers, social centers, leisure centers
  • the opening of places of worship is conditional on the adoption of organizational measures to avoid crowds of people, taking into account the size and characteristics of the places and such as to ensure that visitors can maintain a distance of least 1 meter. Civil and religious ceremonies are suspended, including funerals
  • municipal cemeteries are closed to the public, ensuring, in any case, the provision of services for the transport, reception, burial, cremation of the bodies
  • museums and other cultural sites are closed to the public
  • congresses, meetings, and social events addressing health care personnel, or personnel in charge of carrying out essential public services or public utilities are suspended. Any other conference or convention activity is postponed until after April 3rd, 2020
  • activities of semi-residential centers for the elderly and for disabled persons (day centers) and socio-occupational centers for disabled persons throughout the regional territory are suspended, encouraging, where possible, domiciliary alternatives
  • driving licence examinations to be held in the local offices of the Department of Motor Vehicles are suspended; an extension is hereby granted to those applicants who have been unable to take the tests due to the suspension, also prior to the Decree of March 8th.

MEASURES AFFECTING COMMERCIAL ACTIVITIES
(valid until March 25th, 2020)

  • Retail sales activities dedicated to the sale of food and basic goods are open. Among these: Hypermarkets - Supermarkets - Food Discounts - Minimarkets and other non-specialised outlets of miscellaneous foodstuffs - Newstands - Pharmacies - Parapharmacies - Tobacco Shops - see the attached full list). If located inside shopping malls, these shops must have their own access
  • The opening of commercial activities is conditional on the adoption of organizational arrangements that allow regulated access to the premises, or in any case such as to avoid the gathering of people, taking into account the size and characteristics of the premise open to the public, and ensuring the maintenance of a distance of at least 1 meter between visitors; in the presence of structural organisational conditions that do not allow for the respect of the interpersonal safety distance of 1 meter, the abovementioned structures will have to be closed
  • Until April 3rd, on public holidays all retail and wholesale trading activities, including food sales activities, are suspended, in the context of both neighborhood business and medium and large sales structures, also including shopping centers or shopping malls, with the exception of pharmacies and parapharmacies
  • All industrial and commercial production activities not included in the attached Annex (see Annex 1 to the DPCM of March 22nd, 2020 - in Italian - please refer to the ATECO code) are suspended
  • Bathing premises and their related areas are closed to the public; only staff engaged in proven site activities and work in progress may have access
  • The activities of catering services (including bars, pubs, restaurants, ice cream shops, pastry shops) are suspended, except for workplace canteens and continuous catering on a contractual basis, which guarantee the interpersonal safety distance of 1 meter
  • Catering via home delivery to the customer's domicile or residence, in compliance with health and hygiene regulations for the activity of both packaging and transport, is permitted, with the prescription for those who organize the home delivery (operator or platform) to avoid personal contacts when delivering to the customer
  • Activities involving the administration of food and beverages within commercial establishments, such as tobacco shops, newstands, groceries stores are suspended
  • Until April 3rd, food and beverages dispensing shops are only open within the service and refuelling areas located on the highway network; they shall only sell take-away products to be consumed outside the premises
  • Dispensing shops inside hospitals and airports remain open, with the obligation to respect the interpersonal distance of at least 1 meter
  • Public administrations may provide that owners of bars or catering activities keep open, if located within facilities that serve offices and public services performing urgent tasks that require presence, ensuring the maintenance of an interpersonal distance of at least 1 meter
  • The only allowed personal services are:
    • Laundry and cleaning of textile and fur products
    • Activities of industrial laundries
    • Other laundries, dry cleaners
    • Funeral services and related activities
  • All activities that are necessary for homecare (plumbers, electricians, etc.) and transport (tyre fitters, car electricians, mechanics, tow trucks, etc.) also remain open
  • The activities of hairdressers, barbers, beauty saloons, among others, are suspended
  • Banking, financial, insurance services remain guaranteed, in compliance with health and hygiene regulations, as well as agricultural and zootechnical activities operating in the agri-food processing, including the supply chains that provide them with goods and services
  • Until April 3rd all markets are closed, including activities selling groceries only.

MEASURES AFFECTING WORK ACTIVITIES

For all non-suspended activities, maximum use of smart working methods is recommended.
Public and private employers are recommended to encourage the use of periods of time of ordinary leave or vacation.
Ordinary leaves of health and technical personnel, as well as of personnel whose tasks are necessary to manage the activities required by the crisis units set up at the regional level, are suspended until April 3rd.
Without compromising the activities that are strictly functional to the management of the emergency, Public Administrations ensure the regular performance of their personnel's tasks via smart working, also in derogation of individual agreements and information obligations, and identify activities that require presence and cannot be postponed.
In the conduct of all meetings, with particular reference to health and social-health structures, public utility services and coordination groups activated in the context of the COVID-19 emergency, remote connection modalities shall be preferred, in any case ensuring the interpersonal security distance of 1 meter and avoiding crowds.
In the access areas to health service facilities, as well as in all rooms open to the public, disinfectant solutions for hand washing are made available to employees, users and visitors.
Regarding production and professional activities:

  • maximum use of smart working methods should be implemented by companies for activities that can be carried out at home or at distance; until April 30th, 2020 employees with disabilities or with a disabled person in the household (law 104) are entitled to smart work from home, provided that this modality is compatible with the characteristics of the work performance
  • paid absence and paid leave for employees, as well as others instruments provided for by collective contracts, are encouraged
  • activities of company departments that are not essential to production are suspended
  • enforce security protocols against the contagion and, where not possible, maintain the interpersonal distance of 1 meter as the main measure of containment, with the adoption of personal protective equipment
  • sanitation operations over the workplace are encouraged, including the use of social benefits for this purpose.

The measure of quarantine with active surveillance for individuals who have had close contact with confirmed cases of COVID-19 does not apply to employees of companies operating in the production and dispensing of pharmaceuticals, medical and diagnostic devices and related research, and in the integrated supply chain for subcontractors. These workers shall suspend their activity in case of respiratory symptoms or positivity for COVID-19.
The worker who is placed under fiduciary home stay (quarantine) must present a medical certificate with the corresponding code; no fiscal inspections are carried out on this type of certification.
Concerning the economic treatment provided for by the legislation, the period of time spent under quarantine or fiduciary homestay with active surveillance is treated as a sick leave. Until April 30th, for public and private employees who are recognised as having a serious disability, and workers in possession of a certification issued by the competent medical and legal bodies, attesting a condition of risk caused by immunodepression, outcomes of oncological pathologies or by their related life-saving treatments, the period of absence from service, mandated by the competent Health Authorities, is equated with hospitalization.
The worker who has been in close contact with people who are positive for the virus, or who has returned to the Emilia-Romagna region from abroad, has the obligation to communicate this circumstance by contacting the toll-free number of his/her Local Health Authority, which will activate the Department of Prevention for the adoption of the fiduciary home stay measure (quarantine) with active surveillance.
Workers who have been in contact with suspected cases of COVID-19 can't be forcibly placed at home by companies; they must report their condition to the toll-free number of their Local Health Authority, which will assess whether or not quarantine should be ordered (see the paragraph "What to do if you have come into contact with people from areas identified as at risk”).
In the exercise of transport activities by taxi cabs and rental services with drivers, starting from March 11th until April 3rd, drivers must wear a mask and disposable gloves; periodic and regular sanitization of the vehicle is also required.
By the decree of March 17th, commercially available surgical masks are authorised as personal protective equipment (PPE) for all workers who are objectively unable to maintain an interpersonal distance of 1 meter in the course of their work activities. Until the end of the state of emergency, individuals on the whole national territory are authorised to use filter masks without CE markings and produced in derogation from the standards in force for their commercial marketing.
The costs of environment and working tools sanitization, incurred by persons engaged in a business, art or profession are recognised a tax credit of 50% up to a maximum of 20.000€ for each beneficiary.

MEASURES AFFECTING HEALTH AND SOCIO-HEALTH ACTIVITIES
Persons accompanying patients are forbidden to remain in the waiting rooms of the Emergency and Acceptance Departments and First Aid Departments, unless specifically indicated by the medical staff in charge.
Access of relatives and visitors to hospitality and long-term care facilities, assisted healthcare residences, hospices, rehabilitation structures and residential facilities for the elderly, self-sufficient or not, is limited only to cases indicated by the Health Management of the facility, which is required to take the necessary measures to prevent the possible transmission of infections.
Activities of semi-residential centers for the elderly and for disabled persons (day centers) and socio-occupational centres for disabled persons throughout the regional territory are suspended, encouraging, where possible, domiciliary alternatives.
The provision of programmable and non-urgent services by private healthcare  facilities is suspended.
Ordinary leaves of health and technical personnel, as well as of personnel whose tasks are necessary to manage the activities required by the crisis units set up at the regional level, are suspended.
In the conduct of meetings or gatherings, with particular reference to health and social-health structures, public utility services and coordination groups activated in the context of the COVID-19 emergency, remote connection modalities shall be preferred.

SPECIFIC INFORMATION FOR PREGNANT WOMEN

  • Are pregnant women more susceptible to the infection or have a higher risk of developing a severe form of COVID-19?
    No scientific data are reported on the susceptibility of pregnant women to the virus. It remains recommended for pregnant women to follow the normal preventive actions to reduce the risk of infection, such as washing their hands often and avoiding contact with sick people.
  • What are the effects of COVID-19 during pregnancy?
    There are no scientific data on the effects of COVID-19 during pregnancy.
  • Can pregnant women with COVID-19 transmit the virus to the fetus or infant?
    No cases of transmission of infection by other coronaviruses (MERS-CoV and SARS-CoV) from mother to child have been reported by the limited data in the literature.
  • Can women with Covid-19 breastfeed?
    Yes, if the clinical conditions permit so and in accordance with her wishes. In order to reduce the risk of transmission to the child, it is recommended that preventive measures are taken, such as hand hygiene and the use of a mask while feeding.

SPECIFIC ORDINANCE FOR THE MUNICIPALITY OF MEDICINA

Without prejudice to state, regional and municipal measures already in force to limit the risk of virus spread, from March 16th, 2020 until April 3rd, 2020, with reference to the territory of the municipality of Medicina and its hamlet Ganzanigo (BO) as shown on the map in Annex 1, which is an integral and substantial part of this ordinance, the following further measures are applied:

(a) prohibition to leave for all individuals that are presently in the territory of the municipality of Medicina and its hamlet Ganzanigo

(b) prohibition to enter the inhabited territory of the municipality of Medicina and its hamlet Ganzanigo

(c) it is allowed, in any case, to return to the domicile or residence within  the area defined by the attached map, for those who were outside the area at the time when this ordinance came into force

(d) suspension of the activities of public offices, granted the provision of essential and public utility services

(e) suspension of all production and commercial activities with the exception of food shops and basic necessities (pharmacies and parapharmacies - bakers -  pet food retailers - automotive fuel distributors for public use - retail sale of optical equipment - transport activities related to the supply of essential goods) of social and health care facilities: Health Houses, Retirement Homes and Residential Homes for non-self-sufficient seniors

(f) with reference to the prohibitions on movement of natural persons as provided in Article 1, paragraph 1 letter a) of the DPCM of March 8th, 2020, and point b) of the present ordinance, only the personnel employed in the facilities and services and in the activities listed under point (e) of this ordinance, and in essential public services may be exempted, with a prior authorisation by the Mayor of the Municipality of Medicine

(g) suspension of all work sites

(h) closure of public parks, public gardens, dog areas, free sporting areas, public and private toilets for public use, with prohibition to use their facilities

(i) suspension of all public transport stops

(j) closure of municipal cemeteries to the public, ensuring, in any case, the provision of services for the transport, reception, burial, cremation of the bodies

(k) services for waste collection and disposal, and home delivery of medicines and groceries for people under fiduciary home stay will be guaranteed in any case.

SPECIFIC ORDINANCE FOR THE TERRITORY OF THE PROVINCE OF RIMINI

Without prejudice to state, regional and municipal measures already in force to limit the risk of virus spread, from March 22nd, 2020 until April 3rd, 2020, with reference to the territory of the Province of Rimini, the following further measures are applied.
The production of goods and services by individuals and companies in the territory of the Province of Rimini is supended, with the exclusion of:

  • food production activities and goods production activities, provided the verified need for the final production and for the shipping of products stored in warehouses; they shall operate exclusively through the implementation of appropriate organizational and operational protocols, subject to the preparation of specific risk assessment documents pursuant to the Legislative Decree n. 81/2008, which provides for measures of contagion prevention such as:
    • employment of staff primarily from the health district of the Province of Rimini where the company is based
    • use of any specific, necessary protection device against contagion (masks, gloves and kits)
    • systematic sanitization of work environments
    • respect of the distance between people of at least 1.5 meters
    • staggering of entry times to prevent an influx of the whole personnel at the same time
    • use of personnel in presence strictly limited to the essential staff needed for the above activities and extensive use of distance working and smart working
    • closing of changing rooms and places of aggregation inside and outside of the production facilities
    • prohibition of attending physical meetings both outside and inside the company
    • closure of access to people who do not have a working relationship with the companies.

The obligation to close is not applicable to the production of urgent service activities for the household (plumbers, electricians, etc.) and those which are essential to enable mobility through the use of automation vehicles (mechanics, car electrician, tyre dealers, etc.), those instrumental to the provision of public services and to the activity of Public Administrations.
Only the following activities may remain open: shops for goods and services, grocery stores, pharmacies and parapharmacies, bakeries, pet food retailers, newsstands, public transport gas stations, retail trade of optical material, agricultural production and breeding, services for the refilling of cigarettes vending machines, services for the refilling of banknotes at ATMs and Postamat counters, transport activities connected with the supply of essential goods.
In order to limit as far as possible the concentration of people, allowed access to shopping premises should be limited to only one component per core family, except for the need to bring along minors, disabled or elderly people.
Agricultural activities carried out with resident staff, or staff otherwise present on the provincial territory, are permitted.
The following are excluded from these prohibitions: social and healthcare activities such as hospitals, Health Houses, private nursing homes currently operating.
All work sites are suspended with the exception of those urgently needed in connection with land security and those related to public works of sum urgency and to the restoration of public places.
Municipal cemeteries are closed to the public, ensuring, in any case, the provision of services for the transport, reception, burial, cremation of the bodies.
Services for waste collection and disposal, and home delivery of medicines and groceries for people under fiduciary home stay will be guaranteed in any case.
Public parks, municipal gardens, dog walking areas, private and free beaches, areas adjacent to the sea, promenades, free sports areas, public and private toilets for public use are closed to the public, and the use of their facilities and recreational areas is prohibited.

SPECIFIC ORDINANCE FOR THE TERRITORY OF THE PROVINCE OF PIACENZA

Without prejudice to state, regional and municipal measures already in force to limit the risk of virus spread, the following further measures are applied:

  • for reasons of health emergency, all production activities of goods and services by individuals and companies in the territory of the Province of Piacenza are suspended, with the exclusion of
    • (a) agricultural, agri-food activities and related supply chains, food production activities
    • (b) goods production activities, provided the verified need for the final production and for the shipping of products stored in warehouses, and provided that they operate exclusively through the implementation of appropriate company organisational and operational protocols
  • all the activities referred to in letters a) and b) of the previous paragraph must anyway and in any case operate in compliance with the provisions by the "Shared Protocol for the regulation of measures to fight and contain the spread of the COVID-19 virus on the workplace", signed on March 14th, 2020 between employers' organizations and trade unions
  • logistics and warehousing companies may continue their activities, limitedly to the management of products whose receipt, storage, processing and shipment (including retail sale through online retail platforms) is connected to activities or supply chains concerning essential goods, as listed in Annex 1 of the DPCM of March 11th, 2020
  • the obligation to close is not applicable to the production of urgent service activities for the household (plumbers, electricians, etc.) and those which are essential to enable mobility through the use of automation vehicles (mechanics, car electrician, tyre dealers, etc.), those instrumental to the provision of public services and to the activity of Public Administrations
  • only the following activities may remain open: shops for goods and services, grocery stores, pharmacies and parapharmacies, bakeries, pet food retailers, newsstands, public transport gas stations, retail trade of optical material, agricultural production and breeding, services for the refilling of cigarettes vending machines, services for the refilling of banknotes at ATMs and Postamat counters, transport activities connected with the supply of essential goods
  • in order to limit as far as possible the concentration of people, allowed access to shopping premises should be limited to only one component per core family, except for the need to bring along minors, disabled or elderly people
  • the following are excluded from these prohibitions: social and healthcare activities such as hospitals, Health Houses, private nursing homes currently operating
  • all work sites are suspended with the exception of those urgently needed in connection with land security and those related to public works of sum urgency and to the restoration of public places
  • professional offices, headquarters of employers' associations, trade unions and trade associations are closed to the public; the activity is carried out with smart working methods; only permitted is the presence of one single person at the headquarters or professional office
  • municipal cemeteries are closed to the public, ensuring, in any case, the provision of services for the transport, reception, burial, cremation of the bodies
  • services for waste collection and disposal, and home delivery of medicines and groceries for people under fiduciary home stay will be guaranteed in any case
  • public parks, municipal gardens, dog walking areas, free sports areas, playgrounds and public and private toilets for public use are closed to the public
  • granted the respect of interpersonal safety distances, all gatherings involving more than 2 persons are prohibited.

 

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