In Mexico, it’s hard to do without mass

The forecourt is very deserted on this Mother’s Day Sunday in Mexico. Some families cross paths while respecting safety distances without much effort, facing the gigantic reinforced concrete architecture of the Basilica of Our Lady of Guadalupe in Mexico City, adjacent to the ancient temple, in the very Mexican baroque style.

In front of a side door, there is a rush: devotees want to attend mass. But it will be celebrated behind closed doors. Due to the coronavirus crisis, the Mexican Catholic Church is adapting, and this place which receives 20 million visitors a year – surpassed only by the Vatican – is no exception.

→ READ. Deconfinement: the rapid resumption of masses in debate

Faustino Suarez and his two children came to deposit a statuette of the Virgin of Guadalupe in a chapel, behind “La Villa”. He lights a candle, kneels. “We come every Sunday, but because of the pandemic, we listen to the office through the doors. ” As he stood up, Don Faustino added: “We could do it from home, but it’s more frustrating. “

“At home, there are more bad vibes”

The ceremony is celebrated behind closed doors but it is broadcast on public television and on the Internet. A lesser evil, “Even if it’s not the same. At home, there are more bad waves, regrets José Ignacio Sanchez, T-shirt of the virgin on the back, frame of the Guadalupe hanging on the belt. You are less comfortable. On TV, you feel less faith filtering through you. The basilica is more relaxing. “

Cardinal Carlos Aguiar Rates, Archbishop of Mexico City, himself called the presbyteral body “To appeal to creativity and alternative means of communication” to practice faith. Many Mexicans discovered the mass by television, like Bertha Dorador, who had to attend the funeral ceremony of her brother … via the Facebook account of the parish. “I couldn’t move anyway. It’s the first time I’ve watched a Mass on the Internet. “

Certainly, new technologies represent a solution for living your faith, “But for the Eucharist and the confession, this system has limits”, regrets Father Alfredo Ramos, of the Christ Roi parish, in a residential district of Mexico City. “Believers need a place for these sacraments, and it is irreplaceable. “

“It’s a lesson from God”

This priest also had to adapt for weddings and funerals, ceremonies limited to 15 people. “For the Covid-19 dead, whose bodies had to be locked in funeral bags due to health restrictions, the parents tell me” I feel like I didn’t say goodbye to him properly. ” It can be very badly lived. “

→ READ. In Mexico, the Church on the front line for migrants

For his part, Cardinal Carlos Aguiar Rates wants to draw positive lessons from this crisis: “God manifests himself to dictate to us what he wants from us, in order to redirect us towards solidarity, fraternity, justice, peace. ” The faithful also learn from this pandemic, like José Ignacio: “There is less pollution, the animals come out as before …” The young man then turns to the statue of the Virgin. ” It’s a lesson that God gives us. “

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the difficult equation of employed parents

Édouard Philippe discussed with the social partners this Thursday, April 30, on the conditions for resuming economic activity. Beyond the occupational safety and health problems linked to the coronavirus pandemic, many employees are wondering about the link between return to work and childcare.

→ LIVE. Coronavirus: the latest news in France and worldwide

In his speech on the deconfinement plan, the Prime Minister had indicated a gradual reopening of kindergartens and elementary schools from May 11, then colleges in certain departments from May 18 and finally high schools in early June. All under conditions of strict compliance with health rules and a maximum of 15 children per class. Friday 1er May, the Minister of National Education, Jean-Michel Blanquer, must also officially unveil the health protocol to frame this recovery.

But for working parents, these announcements have raised new questions: Will they still be able to babysit even if the school is open? Will they be compensated in this case? Can their employers force them to put their children in school? What if there are not enough places in the classroom?

Partial unemployment to babysit

We must distinguish two phases, we explain to the Ministry of Labor. During the first, from May 11 to June 2, parents who do not want to send their children to school for fear of the epidemic or who cannot send them there, either because the school is closed or because classes are full, will always be covered.

They will depend on the partial unemployment scheme, like all parents currently on work stoppage for childcare, who will automatically switch to this device from 1er may. During the month of May, employees who look after their children and cannot telecommute will therefore receive at least 70% of their gross salary, even if the school is open. 1.7 million parents are currently compensated for childcare.

A certificate from the school required

As of June 2, and provided that childcare is more fluid, parents will have to put their children in school. In the event that it remains closed, or if it cannot take care of all the pupils, the parents may continue to benefit from partial unemployment provided that they provide proof of a certificate from the school. If the school is only open two or three days a week, for example, they may be partially unemployed for childcare on other days.

In summary, from June, employees will only be able to benefit from the system if the school really cannot accommodate their child. “Please note that all of this may change in the meantime, depending on the epidemiological situation and the reality in the territories”, we warn the ministry of labor.

“The resumption of activity will be gradual and therefore support for employees must also be gradually maintained; it is not possible to have a cleaver date on June 2, argues Laurent Escure, secretary general of UNESCO. Everything will have to be decided on a case-by-case basis, company by company, and school by school. “

The responsibility of mayors

The government has for the moment referred crisis management in schools to mayors, who will have to decide whether to reopen it or not in consultation with the principals. Municipalities will also be responsible for establishing priority criteria for childcare, so that classes do not exceed 15 students.

“Mayors do not want to be suicide bombers on a responsibility that was not theirs at the startreplied François Baroin, president of the Association of Mayors of France during a hearing before the National Assembly. Today 40 to 45% of parents would agree to return their children to school, this figure could increase slightly with the health protocol for establishments, around 55%. “

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Coronavirus: the slow and difficult manufacture of a vaccine

Epidemiologists, virologists, public health experts, all agree: it is thanks to massive vaccination campaigns that we will be able to stop the SARS-Cov-2 pandemic.

→ LIVE. Coronavirus: the latest information and France and worldwide

A challenge. “So far, no effective vaccine has been created against a human coronavirus”, virologist Christian Bréchot, former director of the National Institute of Health and Medical Research (Inserm), told AFP.

What are the current projects?

The sequencing of the genome of the new coronavirus in mid-January, then the worldwide spread of the disease, has boiled all that the planet has of vaccine research laboratories. The big names in pharmacy, assisted by a myriad of biotechnology laboratories, are in the ranks: more than 100 vaccine projects are currently under development.

The European Medicines Agency (EMA) indicates that it is in contact with those responsible for a “Dozen” vaccine projects, two of which are already in clinical trials. In France, the Institut Pasteur alone carries out three “Vaccine candidates” while China is conducting clinical trials for three potential vaccines head-on.

Pharmaceutical industry giants Sanofi of France and Britain’s GSK of Britain hope to jointly offer a vaccine by next year. Their American competitor Johnson & Johnson is betting on its own vaccine formula in early 2021.

What are the obstacles to overcome?

The development of a Covid-19 vaccine must first take into account the immune response in severe cases. How to stimulate the antiviral reaction with a vaccine without leading to a runaway of the immune machinery? “In this phenomenon, we have not yet fully understood the role played by antibodies, explains Frédéric Tangy, vaccine specialist at the Institut Pasteur. Under certain conditions, antibodies can make the disease worse. “

→ READ Coronavirus: Sanofi and GSK team up to find a vaccine

Another difficulty, he says again: coronaviruses “Mutate a lot”, which makes it more difficult to develop a targeted vaccine. This is why the Institut Pasteur is also working on a “Universal coronavirus vaccine”, directed against proteins common to this family of viruses, explains the scientist.

Researchers also face a final complication: it is easier and more efficient to develop a vaccine and distribute it before an epidemic wave. Recruiting guinea pig subjects then becomes more difficult since it must be ensured that they do not or will not be infected, which would distort or complicate the interpretation of the results.

When will a vaccine be?

“Success in the fall is possible if everything goes to perfection”, told the British newspaper The Times, British vaccine specialist Sarah Gilbert, a professor at the University of Oxford and already engaged with her biotech Vaccitech in clinical trials.

At the Institut Pasteur, where the first tests will start in July, Frédéric Tangy also believes that a vaccine could arrive “In late fall or early winter”.

But the European Medicines Agency is more cautious: “The timetable for vaccine development is difficult to predict. Based on past experience, it could take at least a year before a vaccine is ready to be approved and available in sufficient quantity to allow widespread use. “

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China’s difficult closure of wild animal markets

Civets, owls, rodents, snakes, monkeys, pangolins, peacocks, porcupines and other exotic Chinese “delicacies” were officially banned from sale and consumption in wild animal markets on February 24. The order was given by the standing committee of the Chinese Parliament which wants “Abolish the bad habit of consuming too much wild game and effectively protect the health and life of the people”.

→ LIVE. Coronavirus: the latest news in France and worldwide

Bats or pangolins (perhaps both) are strongly suspected of being the cause of the global Covid-19 pandemic which has forced containment of more than half the planet. According to the official Chinese speech, the fate of these tens of thousands of wild animal markets in China therefore seems sealed. In reality, we will have to wait until the end of the year before this new legislation is incorporated into the law for the protection of wildlife …

Wild animal markets have already reopened

Meanwhile, dozens of markets like Huanan in Wuhan, where the coronavirus epidemic is believed to have started, have reopened in the provinces of Guangxi, Jiangxi and Yunnan. Eating habits die hard in China as elsewhere: if the consumption of wild meats has decreased in big cities, it continues to illustrate a certain social success. “My father, a businessman in Hunan, always invites his customers to eat rare and expensive dishes to show his success”, regrets Émilie Chen, 30 years old.

→ READ. Coronavirus: China bans wildlife trade

“China will be able to publish all the laws it wants, and there are already many that relate to wildlife markets, but as long as there is no real control of market directors, provincial authorities and mafia networks that manage this business, it will be useless ”, warns Jean-Marc Chaumet, agroeconomist and specialist in the livestock market in China. He recalls that the economic, commercial and social dimension of this market “Is huge”.

100 billion euros and 14 million people

According to the 2017 Chinese Academy of Industry, this economy generates nearly 100 billion euros a year and employs more than 14 million people. Not to mention illegal traffic which is not counted. With subsidies and financial aid, the government itself has continued to encourage activities linked to the breeding of wild animals in recent years.

The authorities quickly forgot the first SARS epidemic in 2003 (800 dead and 8,000 cases in China, 300 dead in Hong Kong). Already at the time, Beijing had banned the hunting, trade and consumption of wild animals. Tens of thousands of civets, responsible for the epidemic, had also been drowned or electrocuted. But these bans were lifted three months after the crisis ended.

→ INVESTIGATION. The very juicy pangolin traffic

Rather than banish this trade, China then attempted to organize it. The National Forest and Grassland Administration has announced that 54 species of wild animals, including the civet, could be sold and consumed, but only if they came from livestock farms. These farms are generally in the hands of conglomerates based in the major cities of the country who directly negotiate the authorizations with the provincial authorities.

A civet at 200 €, an owl at 240 € and 120 € per kilo of pangolin…

Problem, the trafficking of wild animals has not disappeared with the establishment of livestock farms. In 2019, an administration in the south of the country issued a permit to breed pangolins to a steel company in Guangdong, which is itself involved in trafficking 50,000 pangolins from Nigeria. According to the testimony of a former member of the Foundation for the Development of Biodiversity and Preservation of Nature, a Chinese NGO, “These companies that traffic these animals are the country’s biggest criminals, worthy of the arms and drug traffickers.”

→ READ. China is already rewriting the history of Wuhan coronavirus

Under the pretext of “Protect wildlife”, this new system has not stopped promoting the large-scale development of a juicy business. On the wild animals market, the civet sells for 200 € each, the owl 240 €, the peacock 140 €, the pangolin more than 120 € per kilo… The meat of rarer animals sometimes reaches 300 or 400 € for some monkeys and even more for the tiger or bear paws.

Behind the scenes of these “official” breeding farms, supposed to be well controlled, there are also poachers who continue to hunt animals which will be sold later under the label “farm breeding”.

The weight of the Chinese pharmacopoeia

Another difficulty is that various laws are superimposed around the wildlife trade, with rules on food, skin and furs and even the traditional pharmacopoeia. The latter in fact needs the scales of pangolins, rhinoceros horns, bats, bear bile or deer yards… Chinese medicine, according to many experts, represents the greatest obstacle to the ban on wildlife trade.

Beijing in fact continues to defend traditional medicines, a national “treasure” that generates 130 billion euros per year in revenue in China. Officially 85% of patients treated for coronavirus were treated this way.

“If China really wanted to put an end to this reality, it would have the means, political and coercive”, assures Jean-Marc Chaumet, who still doubts: “Only the argument of health risk, given the Covid-19 disaster, could really push it to eradicate the wild animal markets. “

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The government sees it as difficult for large music festivals to be held in the summer

Government is finding it difficult to hold music festivals this summer. This was stated yesterday by the counselor of the Presidency, Meritxell Budó, after the executive council. “Unfortunately, nothing makes us think we can enjoy these shows in the summer,” added Budó. According to a study on the impact of the music festivals of the Ministry of Culture, in Catalonia there are 400 festivals concentrated especially between spring and summer in the districts of Girona and Barcelona. So far, only the Polo Music Festival and the Terramar in Sitges have been canceled. For its part, the Primavera Sound has been postponed to the end of August.

The 250 music festivals subsidized by the Culture Department added 2.1 million viewers last year, which is 4% more than in 2018. The increase has a lot to do with the public of medium and large festivals such as Cruïlla, which doubled the audience, Anolia (with 70% more), Ithaca (40%) and Figueres’ Acoustics (11%). According to the same study as to the impact of these appointments, the top 10 events cite 46% of viewers, while there are a constellation of small pageants throughout the region (190) that do not exceed 5,000.

According to a study presented by the Ministry of Culture in March, they received 2.1 million viewers, which is a 4-point increase over 2018. The public concentration is noticeable in 10 music events that bring together 46% of all festival goers throughout the year. The flagships are Primavera Sound (220,000), Barcelona International Jazz Festival (144,000), Acoustics (120,000), the Live Music Market in Vic (115,000) or Sónar (105,000).

Until the fall of 2021?

Despite the fact that there are many festivals that have opted to move their dates to the end of summer or the autumn months, the uncertainty in the sector, especially in the field of live music, continues to grow. In fact, some experts point out that major events will not return until next year. “Larger meetings, conferences, concerts, sporting events … will be the last to return. Being realistic, we are talking about fall 2021, “said Zeke Emanuel, a bioethics and health policy specialist at a panel recently organized by the newspaper. The New York Times about returning to normal in the USA.

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Government is finding it difficult to host music festivals this summer

Government is finding it difficult to hold music festivals this summer. This was stated by the Minister of the Presidency, Meritxell Budó, after the executive council on Tuesday, in which a shock plan of 31 million euros was approved for the culture sector.

“Unfortunately, nothing makes us think we can enjoy these shows in the summer,” added Budó. According to a study on the impact of music festivals on the Ministry of Culture, In Catalonia there are 400 festivals concentrated especially between spring and summer in the districts of Girona and Barcelona.

So far, only the Polo Music Festival and the Terramar in Sitges have been canceled, and the Primavera Sound has been postponed to the end of August.

The Polo Music Festival was to take place from May 22 to June 7 in Barcelona, ​​while the Terramar in Sitges was scheduled for July 24 and August 14. The busiest festival in Catalonia, the Primavera Sound, moved the edition of the twentieth anniversary of the end of June, when it takes place every year, on August 26, 27, 28, 29 and 30.

The 250 Department of Culture-subsidized music festivals totaled 2.1 million viewers last year, up 4% from 2018.

The increase has a lot to do with the public of large and medium-sized festivals such as Cruïlla, which doubled the number of spectators, Anolia (with 70% more), Ithaca (40%) or Figueres Acoustics ( 11%). According to the same study as to the impact of these appointments, the top 10 events cite 46% of viewers, while there are a constellation of small pageants throughout the country (190) that do not exceed 5,000.

Acoustics or Sónar

According to a study presented by the Ministry of Culture in March, they received 2.1 million viewers, which is a 4-point increase over 2018. The audience concentration is notable in 10 music events that bring together the 46% of all festival goers throughout the year. The flagships are Primavera Sound (220,000), Barcelona International Jazz Festival (144,000), Acoustics (120,000), the Live Music Market of Vic (115,000) or Sónar (105,000).

But except for Acoustics, which did increase its audience by 11%, The appointments that have fattened the total number of viewers for 2019 are medium, especially the Cruïlla festival (which, adding to its various calls during the year, more than doubled the attendees of 2018), the Itaca (with 40% more attendees), the Festivalot de Girona (33% more) and Anolia, with a growth of 70%.

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China is faced with the difficult balance between returning to normal and preventing another wave

Two months ago, in the middle of the rush hour, one could lie on the running banks of the Shanghai subway. Although the economic capital of China failed to enact complete population confinement, the closure of all nonessential companies and fear drained the streets and public transportation. Today both have filled up again. The shop is trying to get back into rhythm, and the cars are crowded again at 8 in the morning and at 6 in the afternoon. Of course, the mask is still mandatory and users try to avoid touching the grab bars and handles. In bars and restaurants the bustle surprises and they have already turned their backs on the distance that government offices still require.

With the exception of Hubei, the epicenter of the pandemic, Shanghai is in the last group of territories to resume classes. It will do so on the 27th in the case of the last Secondary courses, and after the holidays of May 1 in the rest. The dreaded Selectivity – called ‘gaokao’ here – will be held the second week of July. The unknown is when will entertainment venues reopen such as movie theaters, which had to be kept closed after they were initially given the green light because contagion was detected in neighboring Zhejiang province, and mass events such as football matches or concerts will be held again. For the latter there is no date yet.

Direct | This is how the fight against the coronavirus progresses

Normality is returning to China two and a half months after Beijing decreed the quarantine of Hubei province on January 23. There is still a long way to go to that point, and throughout the country there is concern that the return to normal life will cause a second wave of infections. As a result, as soon as a few cases are detected, Jia County in Henan and Suifenhe, on the north-eastern border with Russia, have once again demanded confinement. Asymptomatic and imported infections are now the greatest danger, but authorities are optimistic.

Neighborhood control

Epidemiologist Zhong Nanshan, the most visible face of fighting the epidemic in China, has been convinced that the Asian giant can avoid that second wave and has opted for neighborhood control as one of the most effective weapons to achieve this. Therefore, to move between cities and access many services, it is still required to show the QR code generated by a government application on the mobile of all residents, temperature controls are maintained, and messenger access to the complex is still prohibited. residential.

“The epidemic is basically under control, but we must not let our guard down because the number of imported cases continues to be high – a record 98 was registered this Monday – and these patients are usually highly infectious. Therefore, we must encourage the participation of society to prevent a second wave, “Zhong said in statements to the official television channel CCTV. Chinese scientists are also more confident because they believe that, unlike what happened when they were fighting an unknown virus, now they are designed containment plans appropriate to beat SARS-CoV-2.

It will be more difficult to revive the economy, because the fear of a global crash has reduced consumption. “There are many people who have become unemployed Or you’re afraid of losing your job, so now is the time to save in case things go wrong, ”says Li Miao, a young office worker in Shanghai. However, little by little the accounts are improving in businesses of all kinds. “Last weekend we were already full,” says Malaga chef Sergio Moreno, head of the kitchen at Commune Social. “It is appreciated to see people on the street again and enjoying life,” he says.

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the difficult count of the dead

“We know that deaths in hospital represent only a small part of mortality”, Jérôme Salomon, the director general of health, acknowledged on Tuesday 24 March, announcing 240 additional deaths due to the coronavirus in the space of 24 hours and a number of deaths in France then exceeding 1,000 people (1 331, Wednesday March 25 evening, Editor’s note). The official balance sheet, which only counts deaths in the hospital environment, is much lower than the reality and only corresponds to an estimate.

→ LIVE. Coronavirus: France in its tenth day of confinement

Indeed, it does not take into account deaths occurring at home and in nursing homes. Several dozen deaths have been reported in recent days in several establishments, despite a strict confinement of residents. Sixteen people died in a retirement home in Saint-Dizier (Haute-Marne), seven in Haute-Savoie and twenty in another nursing home in the Vosges. But as of yet, no overall casualty toll has been released.

A difficult count in the Ehpad

Jérôme Salomon underlined it, “The two main places of death are the hospital and the nursing homes”. Why are deaths not counted there? “It is very complicated to count deaths in real time, even those occurring in hospitals. The system is not made for that “, advises the Ile-de-France regional health agency to Release. In Ehpad, things would be all the more complicated: ” These establishments are not connected to the system which makes it possible to make the link with hospitals, which complicates the feedback. “

→ INVESTIGATION. Coronavirus: in Ehpad, the fear of a catastrophic scenario

In addition, in Ehpad, patients suffering from symptoms associated with Covid-19 are not systematically tested, making a possible count difficult. “It’s difficult to know if these deaths are related [à l’épidémie] because, like everywhere in France, we no longer systematically detect new cases ”, explains an establishment manager in Thise (Doubs), where fifteen deaths took place.

A more precise count in the coming days

Without giving a specific date, Jérôme Salomon announced on March 24 the establishment “In the coming days” of a “Daily monitoring of mortality” in the Ehpad. “We will also have mortality monitoring data in the city, because there may be deaths at home or in institutions, and not in the hospital environment”, he also said on Friday March 20. It remains to be seen how the deceased, probably suffering from Covid-19 but not tested, can be taken into account.

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difficult hospital priority rules

“We’re a little busy these days”, euphemizes Professor Michael Darmon, assistant to the head of the medical resuscitation department at Saint-Louis hospital in Paris. Currently, this doctor has in his hands the lives of ten Covid-19 patients.

→ LIVE. Coronavirus: 4th day of total containment in France, all the info

“Like all Ile-de-France hospitals (where 2,177 cases were confirmed on March 18, editor’s note), we already have a lot of patients, when we are only at the beginning of the epidemic “, does he alert. If they expect “To an exceptional crisis”, the carers of his establishment are still far from “What the colleagues of the Grand Est are going through”. In Strasbourg, Colmar and Mulhouse, these “colleagues” are now in the process of “sorting” between patients, for lack of available resuscitation beds.

Which patients should be given priority? Based on what criteria? In many hospitals, the question is not settled. “For the moment, we have not issued prioritization rules”, reports doctor Mathieu Mattei, anesthesiologist-resuscitator at the Nancy University Hospital. To initiate reflection, he asked the president of the ethics committee of his establishment, of which he is himself a member. Because “The water level is rising”he said, and the situation could turn upside down from day to day, precipitating doctors into serious questioning.

→ READ. Coronavirus: “ethical cells” are being set up throughout France

In Nancy, the medical resuscitation service is already complete. “We moved on to higher level, says doctor mattei. From now on, patients with respiratory problems will go to surgical resuscitation. As operations have been scheduled, beds have become available. ” Then, new “sheave” beds will be opened in other units. “ And after ? Afterwards the hospital will be saturated, unable to welcome new patients.

“We will do with the means at hand”

But before reaching this point, other difficulties arise, notably the lack of equipment. At the Perpignan hospital center (Pyrénées-Orientales), stocks of respirators, essential for resuscitation care, are limited. “In all, we have 48 respirators, 24 very efficient and 24 fairly efficient. When they are all used, we will do with the means at hand “, says Anne Geffroy-Wernet, anesthesiologist-resuscitator.

“Are we going to have to choose who to ventilate among the patients in respiratory distress?” “ The doctor wonders, when in just a few days, a wave of patients from Covid-19 has swept over his establishment, previously preserved.

“Before the weekend, we had no patients in intensive care. Tuesday we had four in the morning, nine at noon, nineteen in the evening. One person died. We’re going into the tough, she testifies. Exhaustion, stress, all that, we know how to manage. But the material, we cannot invent it. “

Same situation at the Limoges University Hospital. ” For the moment, says a nurse, we only have one patient. But there won’t be a respirator for everyone, and doctors will have to choose between patients. ” And if “The administration has programmed hospitalizations in order to move the caregivers to the services that will need them”, arms will surely be missing, she said.

“We were already having trouble treating everyone”

“In my service, two nurses and a nursing assistant are already missing; four beds have been closed since summer 2019, she explains. And it’s like that everywhere. Even before the epidemic started, it was difficult to treat everyone. The lack of staff leads to delays in care, which makes patients lose chances. “

A loss of opportunity contrary to the values ​​of the public hospital, forced to cut corners on certain ideals in times of health crisis. “Our health system consists of constantly adapting our resources (doctors, drugs, beds, etc.) so that they benefit the greatest number, stresses Professor Darmon. Sorting is only the extension of this principle to an exceptional situation. The idea is not to use these resources unnecessarily for people who are likely to be fine, to reserve them for those who will benefit the most. Everyone will be treated, but I cannot guarantee that everyone will be treated as well. “

“Acceptable” deaths?

Concretely, this means that some people, who normally could have been hospitalized, will be sent home and followed up at home, hoping that their condition will not worsen. Are we going to favor young people, as we sometimes hear? “The choice will not be made according to age, replies Professor Darmon, but, again, depending on the benefit that hospitalization will bring to the person and the cost that this will represent in terms of resources. “

A ridge line “Complicated” recognizes the doctor, “But we are guided by several principles”: collegiality – “you never decide alone the fate of a patient”; transparency – ” explain decisions to patients and their families “; and autonomy – ” we take into account their wishes

→ PRACTICAL. Containment: why we should not use digital certificates

This principle of prioritization between patients, Anne Geffroy-Wernet explains it more bluntly, at the risk of shocking. ” There is has three types of profiles among very serious patients, she sums up. Those who we know will die, whatever we do: they are inevitable deaths. Then, patients who already have severe pathologies, which in some cases represent “acceptable” deaths. Finally, the “unacceptable” deaths: young patients with no history. Our goal is to have zero unacceptable deaths. “

So much for the theory. But in practice, she fears, such dilemmas will inevitably leave traces with some caregivers. “We will see depression, post-traumatic stress, and probably people who will want to completely change their profession. “

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Covid-19, the difficult daily life of Lombard quarantine entrepreneurs

Francesco Monteverdi has not seen his wine business since February 25 and he does not know when he will be able to go there again. Like all the inhabitants of Casalpusterlengo, man cannot leave this city in the north of Italy which the coronavirus has isolated from the world. “We have 12 employees, they are all unemployed. I have calculated that in two weeks our turnover will drop by 10%. The same goes for many SMEs ”, He continues.

→ INFOGRAPHY. Coronavirus: new cases in France, spread in Italy… Where is the epidemic?

President of a professional association in the province of Lodi, he notes everywhere a slowdown in activity, even a total suspension, in particular in the mechanical sector, food services and logistics. An impact that will be felt throughout Italy. “Economic losses are already in the order of 6-7 billion euros and Italy is really risking a recession”, says Paolo Uggè, vice-president of the national transport and trade confederations.

In fact, even businesses outside the containment zone are affected. Claudio Fraconti heads the Trial transport and logistics company in San Giuliano Milanese, a town 15 km from the red zone. It employs 60 people, only one of whom is on sick leave.

Considerable delays

Although its customers are not located in the quarantined territory, the work of truckers is considerably delayed. “It takes an additional 8 hours for a delivery, due to controls in commercial ports, explains Claudio Fraconti. In addition, customers refuse to allow our staff to approach their establishment without a protective mask. But they are nowhere to be found! If the epidemic continues and the government does not relax certain measures, we will have to fire staff. “

But the coronavirus crisis can also be an accelerator to new modes of operation. Neurovendita, a company specializing in neuroscience applied to marketing, is located in the heart of the infectious focus in Lombardy, in Castiglione d´Adda. Lorenzo Dornetti, founder of the company, tells how his team of 30 experts in cognitive psychology decided to take the lead by installing with the help of computer scientists, a telework system, the weekend preceding the compulsory containment measures .

Suddenly, all psychologists are operational. “This epidemic is also a lesson for the future in Italy where telework is practiced by less than 8% of businesses and public administrations, continues Lorenzo Dornetti. By working from home, you can increase your productivity and you benefit much better from your family! “

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