Supporting Activities for Epidemiological Surveillance and Contact Tracing in Enna, Catania and Palermo in Sicily, Italy
- The Nando and Elsa Peretti Foundation response to the CoViD-19 emergency (Mother project)
- COVID 19 EMERGENCY - Implementation of Anti-COVID-19 Measures to Give Support to the Homeless Population and/or Socially Excluded People in Informal Settlements in Rome
- COVID 19 EMERGENCY - Support to Third Sector Organizations in Agrigento and Trapani, Sicily
- COVID 19 EMERGENCY - Distribution of 2000 Hot Meals to Needy and Homeless People in Rome (Italy)
- COVID 19 EMERGENCY - Support to the Palliative Care Team of the Breede River Hospice in the Western Cape, South Africa
- COVID 19 EMERGENCY - Improving the Hygienic-Sanitary Conditions of the Selam Palace Community in Rome
- COVID 19 EMERGENCY - Support to School Children and People in Need in Sicily (Siracusa, Noto, Modica Pozzallo, Scicli, Pachino)
- COVID 19 EMERGENCY - Support to 80 families living in situations of serious social and economic hardship; support to two social cooperatives in Naples, Campania
- COVID 19 EMERGENCY - Distribution of Food, Emergency Vouchers, Hygiene Kits and Awareness on Hygiene Rules to Prevent the Spread of Covid-19 and Improve Living Conditions of the most Vulnerable Households in Kabul, Afghanistan
- COVID 19 EMERGENCY - Grant to Fondazione Albero della Vita for Distribution of Food, Protective Materials and Basic Commodities among Communities in Hingalganj, West Bengal, India
- COVID 19 EMERGENCY - Distribution of Food and Personal Hygiene and Sanitary Products to Elderly People and People with Disabilities and Rebibbia and Regina Coeli Detainees in Rome, Italy
- COVID 19 EMERGENCY - Support to “Fondazione Prelz Onlus” for the supply of food and the Provision of Medical-Veterinary Care for the Animals Hosted in the Kennel in Campagnano Romano, Rome
- COVID 19 EMERGENCY - "No House is Far Away" initiative: Psychological and Educational Support to Students from the Ragazzi Don Bosco Village and Food Assistance for Families in Need (Rome, Italy)
- COVID 19 EMERGENCY - Distribution of Food and Primary Necessities to Children Living in the Informal Roma Camps of Tor Bella Monaca District and the Slums of Castel Romano, Tor Cervara and Salone in Rome.
- COID 19 EMERGENCY - Supporting the Virgin Niña-EPDB Center in Favour of the Most Needy Families in the Community Of El Alto, Bolivia
- COVID 19 EMERGENCY - Containing the Social and Sanitary Impact of Covid 19 among the Weakest Roma Communities
- COVID 19 EMERGENCY - Supporting RE-Wild Liguria ODV 's Activities to Restore Wilderness in Ligurian Apennine, and Monitor and Protect the Feral Horses Population in Aveto Regional Park (Italy)
- COVID 19 EMERGENCY - Hay, Food Supply and Veterinary Care for Horses at Risk of Starvation
- COVID 19 EMERGENCY - Promoting Horses' Welfare during the Emergency: Food and Support for Three Stables in Need in Padua, Rome and Urbino (Italy)
- COVID 19 EMERGENCY - Supporting ACEEGi "All For Horses" campaign to ensure welfare of riding school horses and adequate supplies of fodder and feed (Girona, Spain)
- COVID 19 EMERGENCY - Support to the Compassion and Care Centre in Rome Dedicated to the Teachings of Dharma and the Preservation of Tibetan Culture
- COVID 19 EMERGENCY - Supporting Preparedness and Response Actions against COVID19 Outbreak in South Sudan
- COVID 19 EMERGENCY - Supporting an Emergency Plan in the Wakiso District, Uganda
- COVID 19 EMERGENCY – Supporting an Emergency Plan in the Chin State in Myanmar
Project location: ITALY, Sicily
Project start date: April 2020 - Project end date: December 2020
Project number: 2020-028
Beneficiary: Medici Senza Frontiere Italia
MSF has been working in Italy since 1999. In particular, in Sicily Médecins Sans Frontières (MSF) continued to provide psychological and medical assistance to migrants and refugees in Italy, including specialized care for victims of torture. During the past years, MSF also ran a clinic in Catania for patients requiring care after discharge from hospitals in Sicily. MSF psychologists also supported asylum seekers in reception centers in the province of Trapani, handing over activities at the end of the year as planned. In Palermo, they provided support and orientation to more than 800 people to access national health services. MSF also distributed relief items such as blankets and tents to migrants and refugees living in informal settlements, in particular in Rome and around Italy’s northern borders.
Their presence within the region gives MSF the chance to plan a brand-new intervention against the Covid-19 pandemic faster and effectively.
Sicily is the 4th most populated region in Italy. The health system is divided into 9 health provinces ("aziende sanitarie provinciali" - ASP), one for each province. The ASP services integrate private health facilities, the main one located in Palermo and Enna. According to the regional epidemiological observatory the analysis of the number of cases should consider:
- 30.419 people reported themselves to health system after arriving in Sicily in March but many more arrived from the North of Italy in March at the beginning of the lockdown. These people have not been tested nor tracked.
- Elderly people centers (RSA – Residenze sanitarie assistenziali and other kind of centers) are the most hit by the disease and in some provinces like Enna more than half of the cases reported are there.
- Lack of chemical reagents and poor laboratory capacity does not allow a proper data collection (33.787 test to date). Health authorities report 3 weeks delay to receive the results of the tests. In other words, the number of positive cases is supposed to be much higher.
In response to the Covid-19 emergency, the Nando and Elsa Peretti Foundation has awarded a grant to MSF to support its covid-19 emergency response in Sicily, and in particular to cover human resources costs related to 1 epidemiologist, 1 Medical doctor per the telecovid activity, and 2 nurses for three months.
MSF’s coronavirus response in Sicily is based on activities of surveillance and contact tracing, and in particular:
1) Telecovid – remote surveillance and patient follow up
2) Support of epidemiological surveillance to the 3 identified provincial departments (Enna, Catania, Palermo) for:
- Data collection and encoding in the database
- Contact tracing
- Data analysis through statistics and epidemiological models
- Coordination with a regional observatory for a consistent approach
3) Health promotion and outreach: support to local NGOs.
During the explo an urgent need to focus on most vulnerable situation was raised by the local NGOs and infectious diseases ward director in Palermo main hospital. The main target suggested are:
- Highly-densed population of urban poor areas. This reality is mainly in Palermo and includes migrants as well as Italians.
- Prisons. Prisons are overcrowded and no special measures have been adopted to prevent the spread of Covid infection. No systematic testing and isolation were started, and patients are treated only if have symptoms. Police personnel affected to the prisons are also exposed since DPI distributed are not enough.
- Migrants working in agriculture. MSF worked in this reality in the past years and the problems of exploitation and lack of access to health care has not improved since then. This is especially true in Vittoria area (Ragusa province) where authorities have no data on how many workers are there and no actor is present. Some doctors are trying to organize a volunteer mobile clinic to do active screening/detection of cases (depending of availability of testing tools) in the area but they have little or no experience on health promotion.