Assessing the ratio between new Covid-19 cases and new tests for Sars-Cov-2 in Italy by fractal investigation

AIM: processing the heterogeneous data on the Italian Covid-19 epidemic by fractal investigation on the trend curve of the ratio between new Covid19 cases/new Sars-Cov-2 tests. METHODS: New cases of Covid-19 disease and new tests were calculated from raw data freely available on the Italian governing website. The effectiveness of Italian government Decrees aiming to obtain lock-down was assessed by fractal investigation. Self-similarity parameters of presumed fractal shapes obtained 6 days after each Decree were estimated, when possible. Self-organized criticality was also assessed to check for chaos involvement in disturbing the fractal shapes. Shapes were then compared and were used to estimate the number of new tests for Sars-Cov-2 that Italy would be able to perform. RESULTS: The full lock-down changed the biocomplexity of the Covid-19 epidemic in Italy. If the biocomplexity of Covid-19 did not change after the lock-down, Italy should have been able to perform at least 25490 tests daily (±8940) on average, while real data show that a larger number of tests were done (p<0.001) (thereby obtaining the lowering of contagions). If the same biocomplexity was observed before full lock down, Italy would be able to perform 7088 tests daily (±5163) on average, while real data show that a lower number of tests were done (p=0.029) (thereby observing the worsening of contagions). CONCLUSION: in case of heterogeneous data, fractal investigation would be prove useful for assessing and estimating trends. (www.actabiomedica.it)