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Epidemiology and public health response in early phase of COVID-19 pandemic, Veneto Region, Italy, 21 February to 2 April 2020.
Euro Surveill. 2020 11; 25(47)ES

Abstract

BackgroundVeneto was one of the Italian regions hit hardest by the early phase of the coronavirus disease (COVID-19) pandemic.AimThis paper describes the public health response and epidemiology of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in the Veneto Region from 21 February to 2 April 2020.MethodsInformation on the public health response was collected from regional health authorities' official sources. Epidemiological data were extracted from a web-based regional surveillance system. The epidemic curve was represented by date of testing. Characteristics of hospitalised COVID-19 cases were described and compared to those never admitted to hospital. Age- and sex-stratified case-fatality ratios (CFRs) were calculated.ResultsKey elements of the regional public health response were thorough case-finding and contact tracing, home care for non-severe cases, creation of dedicated COVID-19 healthcare facilities and activation of sub-intensive care units for non-invasive ventilation. As at 2 April 2020, 91,345 individuals were tested for SARS-CoV-2 and 10,457 (11.4%) were positive. Testing and attack rates were 18.6 per 1,000 and 213.2 per 100,000 population, respectively. The epidemic peaked around 20 to 24 March, with case numbers declining thereafter. Hospitalised cases (n = 3,623; 34.6%) were older and more frequently male compared with never-hospitalised cases. The CFR was 5.6% overall, and was higher among males and people > 60 years of age.ConclusionIn the Veneto Region, the strict social distancing measures imposed by the Italian government were supported by thorough case finding and contact tracing, as well as well-defined roles for different levels of care.

Authors+Show Affiliations

Regional Directorate of Prevention, Food Safety, Veterinary Public Health, Regione del Veneto, Padova, Italy.Screening and Health Impact Assessment Unit, Azienda Zero, Regione del Veneto, Padova, Italy.These authors contributed equally. Regional Directorate of Prevention, Food Safety, Veterinary Public Health, Regione del Veneto, Padova, Italy.These authors contributed equally. Regional Directorate of Prevention, Food Safety, Veterinary Public Health, Regione del Veneto, Padova, Italy.Regional Epidemiological Service Unit, Azienda Zero, Regione del Veneto, Padova, Italy.Hygiene and Public Health Unit, Department of Cardiovascular Medicine and Public Health, University of Padova, Padova, Italy.Regional Epidemiological Service Unit, Azienda Zero, Regione del Veneto, Padova, Italy.Informative Systems Unit, Azienda Zero, Regione del Veneto, Padova, Italy.Regional Epidemiological Service Unit, Azienda Zero, Regione del Veneto, Padova, Italy.Clinical Governance Unit, Azienda Zero, Regione del Veneto, Padova, Italy.Regional Directorate of Prevention, Food Safety, Veterinary Public Health, Regione del Veneto, Padova, Italy.Regional Epidemiological Service Unit, Azienda Zero, Regione del Veneto, Padova, Italy.Screening and Health Impact Assessment Unit, Azienda Zero, Regione del Veneto, Padova, Italy.Director General, Health and Social Area, Regione del Veneto, Padova, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33243356

Citation

Russo, Francesca, et al. "Epidemiology and Public Health Response in Early Phase of COVID-19 Pandemic, Veneto Region, Italy, 21 February to 2 April 2020." Euro Surveillance : Bulletin Europeen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin, vol. 25, no. 47, 2020.
Russo F, Pitter G, Da Re F, et al. Epidemiology and public health response in early phase of COVID-19 pandemic, Veneto Region, Italy, 21 February to 2 April 2020. Euro Surveill. 2020;25(47).
Russo, F., Pitter, G., Da Re, F., Tonon, M., Avossa, F., Bellio, S., Fedeli, U., Gubian, L., Monetti, D., Saia, M., Zanella, F., Zorzi, M., Narne, E., & Mantoan, D. (2020). Epidemiology and public health response in early phase of COVID-19 pandemic, Veneto Region, Italy, 21 February to 2 April 2020. Euro Surveillance : Bulletin Europeen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin, 25(47). https://doi.org/10.2807/1560-7917.ES.2020.25.47.2000548
Russo F, et al. Epidemiology and Public Health Response in Early Phase of COVID-19 Pandemic, Veneto Region, Italy, 21 February to 2 April 2020. Euro Surveill. 2020;25(47) PubMed PMID: 33243356.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epidemiology and public health response in early phase of COVID-19 pandemic, Veneto Region, Italy, 21 February to 2 April 2020. AU - Russo,Francesca, AU - Pitter,Gisella, AU - Da Re,Filippo, AU - Tonon,Michele, AU - Avossa,Francesco, AU - Bellio,Stefania, AU - Fedeli,Ugo, AU - Gubian,Lorenzo, AU - Monetti,Daniele, AU - Saia,Mario, AU - Zanella,Francesca, AU - Zorzi,Manuel, AU - Narne,Elena, AU - Mantoan,Domenico, PY - 2020/11/27/entrez PY - 2020/11/28/pubmed PY - 2020/12/15/medline KW - COVID-19 KW - Italy KW - SARS-CoV-2 KW - coronavirus KW - pandemic JF - Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin JO - Euro Surveill VL - 25 IS - 47 N2 - BackgroundVeneto was one of the Italian regions hit hardest by the early phase of the coronavirus disease (COVID-19) pandemic.AimThis paper describes the public health response and epidemiology of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in the Veneto Region from 21 February to 2 April 2020.MethodsInformation on the public health response was collected from regional health authorities' official sources. Epidemiological data were extracted from a web-based regional surveillance system. The epidemic curve was represented by date of testing. Characteristics of hospitalised COVID-19 cases were described and compared to those never admitted to hospital. Age- and sex-stratified case-fatality ratios (CFRs) were calculated.ResultsKey elements of the regional public health response were thorough case-finding and contact tracing, home care for non-severe cases, creation of dedicated COVID-19 healthcare facilities and activation of sub-intensive care units for non-invasive ventilation. As at 2 April 2020, 91,345 individuals were tested for SARS-CoV-2 and 10,457 (11.4%) were positive. Testing and attack rates were 18.6 per 1,000 and 213.2 per 100,000 population, respectively. The epidemic peaked around 20 to 24 March, with case numbers declining thereafter. Hospitalised cases (n = 3,623; 34.6%) were older and more frequently male compared with never-hospitalised cases. The CFR was 5.6% overall, and was higher among males and people > 60 years of age.ConclusionIn the Veneto Region, the strict social distancing measures imposed by the Italian government were supported by thorough case finding and contact tracing, as well as well-defined roles for different levels of care. SN - 1560-7917 UR - https://www.unboundmedicine.com/medline/citation/33243356/Epidemiology_and_public_health_response_in_early_phase_of_COVID_19_pandemic_Veneto_Region_Italy_21_February_to_2_April_2020_ L2 - http://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.25.47.2000548 DB - PRIME DP - Unbound Medicine ER -