The first cases of Coronavirus disease-2019 (COVID-19) were reported on 21 February in the small town of Vo’ near Padua in the Veneto region of Italy. This event led to 19,286 infected people in the region by 30 June 2020 (39.30 cases/10,000 inhabitants). Meanwhile, Rovigo Local Health Unit n. 5 (ULSS 5), bordering areas with high epidemic rates and having one of the world’s oldest populations, registered the lowest infection rates in the region (19.03 cases/10,000 inhabitants). The aim of this study was to describe timing and event management by ULSS 5 in preventing the propagation of infection within the timeframe spanning from 21 February to 30 June. Our analysis considered age, genetic clusters, sex, orography, the population density, pollution, and economic activities linked to the pandemic, according to the literature. The ULSS 5 Health Director General’s quick decision-making in the realm of public health, territorial assistance, and retirement homes were key to taking the right actions at the right time. Indeed, the number of isolated cases in the Veneto region was the highest among all the Italian regions at the beginning of the epidemic. Moreover, the implementation of molecular diagnostic tools, which were initially absent, enabled health care experts to make quick diagnoses. Quick decision-making, timely actions, and encouraging results were achieved thanks to a solid chain of command, despite a somewhat unclear legislative environment. In conclusion, we believe that the containment of the epidemic depends on the time factor, coupled with a strong sense of awareness and discretion in the Health Director General’s decision-making. Moreover, real-time communication with operating units and institutions goes hand in hand with the common goal of protecting public health.

中文翻译：

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全球最古老的人口之一的威尼托大区地理区域的SARS-CoV-2大流行的早期管理

2月21日在意大利威尼托大区帕多瓦附近的Vo'小镇报道了首例2019年冠状病毒病（COVID-19）。到2020年6月30日，该事件导致该区域19 286名感染者（39.30例/ 10,000居民）。同时，罗维戈地方卫生部门。5（ULSS 5）处于高流行地区并且是世界上最古老的人口之一，在该地区感染率最低（19.03例/ 10,000居民）。这项研究的目的是描述在2月21日至6月30日的时间范围内通过ULSS 5进行预防感染传播的时间和事件管理。根据文献，我们的分析考虑了年龄，基因簇，性别，地理位置，人口密度，污染和与大流行有关的经济活动。ULSS 5卫生总干事在公共卫生，领土援助和养老院领域的快速决策对于在正确的时间采取正确的行动至关重要。确实，在流行开始之初，威尼托地区孤立的病例数量是所有意大利地区中最高的。此外，最初没有分子诊断工具的实施，使医疗保健专家可以进行快速诊断。尽管立法环境不明确，但由于指挥系统牢固，决策迅速，决策及时，行动令人鼓舞。总而言之，我们认为疫情的遏制取决于时间因素，再加上卫生总干事的决策意识和判断力强。此外，