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A time-consuming but crucial part of the vaccination campaign in Italy are house-to-house visits to deliver doses to the elderly. The country has the world’s second-oldest population and tends to care for its aged at home rather than in institutional facilities.

Alessandro Tarantino and Gordon Walker have been out in the Lazio region for Associated Press with Dr. Elisa Riccitelli and nurse Luigi Lauri on their rounds. The doctor and nurse manage just 12 shots a day — six in the morning, six in the afternoon, but it is seen as a vital job in protecting Italy’s most vulnerable from the pandemic.


Doctor Elisa Riccitelli, right, and nurse Nurse Luigi Lauri wear protective gear before entering in the home of an elderly Rome resident. Photograph: Alessandra Tarantino/AP

In the Lazio region around Rome, some 30,000 people over age 75 and with conditions that made it impossible for them to get to vaccination centers

To make sure they hit all their appointments on time — one vial of Pfizer for the morning six, one vial for the afternoon — the local public health center struck a deal with Uber so its visiting vaccination teams could have a dedicated car and driver. The 500 free rides from Uber cut down on time spent finding parking spots in Rome’s notoriously congested streets.

And when they ring a doorbell, they are welcomed inside like heroes.

“It’s really a very nice feeling,” Riccitelli said. “We often vaccinate bedridden patients who cannot move, the extremely elderly, so the feeling is that we’re doing something really useful.”

“I feel amazing, like yesterday and the day before that, amazing,” said 96-year-old Patrizia Cumbo, who has dementia, after she got her shot. She lives with her caregiver and received her jab from the living room recliner where she spends most of her days.

Doctor Elisa Riccitelli with Patrizia Cumbo, 96 years old, after she had a dose of Covid vaccine in her home.

Doctor Elisa Riccitelli with Patrizia Cumbo, 96 years old, after she had a dose of Covid vaccine in her home. Photograph: Alessandra Tarantino/AP

A bedridden Giorgio Tagliacarne, 85, said he hoped his jab would spell the end of a year of isolation, which was particularly acute given he and his wife used to sail for pleasure around the world.

“This way now maybe my grandchildren can come visit me, which until now is something I have avoided,” he said, as his wife sat nearby.

Doctor Elisa Riccitelli talks with 85-year old Giorgio Tagliacarne, in his bed, after he received a dose of Covid vaccine at his home in Rome.

Doctor Elisa Riccitelli talks with 85-year old Giorgio Tagliacarne, in his bed, after he received a dose of Covid vaccine at his home in Rome. Photograph: Alessandra Tarantino/AP

Riccitelli and Lauri take full precautions when they enter each home, donning dedicated protective gear and masks. Riccitelli notes relevant medical data and handles consent forms, while Lauri prepares and administers the vaccine, which they carry in an insulated bag to keep it cold. Then they wait 15 minutes to ensure there are no adverse reactions, and move onto the next appointment.

“Fortunately we have never seen any side effects,” Riccitelli says. “After 15 minutes we say goodbye with a big smile.”



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