Italian doctor reflects on surviving COVID-19
Every time Francesco Tursi throws his sixmonth-old son Antonio into the air and catches him, he realises that he almost did not live to savour one of the simple joys of being a father. Last year on Feb. 21, the 47-year-old pulmonary disease specialist at Codogno hospital was thrust into the vortex of the coronavirus pandemic when a man from the town became the first person in Italy to test positive for the virus.
The town of 15,000 residents became ground zero for the virus, the unwitting "capital" of the first area in Europe to be locked down. Codogno and 10 nearby towns in the Lombardy region, which became the hardest hit in Italy, and another town in the bordering Veneto region, were isolated from the outside world. Checkpoints were set up, train stations abandoned. Then COVID-19 victims overwhelmed the hospital in Codogno.
"I saw these patients succumb to serious breathing problems and I would apply everything that I had studied, everything I knew, but sometimes these patients just didn't respond," he said. "This just left our hearts in pieces and our heads devastated." A few weeks later, Tursi began feeling extreme fatigue, not explained by his long shifts. Then came strong chest pains.
He had contracted the virus and was sent to a hospital in the regional capital Milan. "My world collapsed," he said, speaking at his home in the nearby town of Lodi. His wife, Valentina Mondini, 34, was five months pregnant with their first child, one he feared he might never see. "I thought maybe the whole year was going to be terrible for me, that maybe my life would end," he said. Instead, he recovered after about six weeks and was back on the job in Codogno, this time with even more empathy for COVID-19 patients.
"It was an additional weapon that I could use," he said. "Finally I was able to fully understand what a patient was feeling." A year on, Tursi is still treating COVID-19 patients in Codogno, which has returned to a semblance of normality. Young people shop for clothes and pensioners reminisce in bars. Everyone wears masks and respects social distancing rules. "I want to live, I want to live for Antonio, for Valentina, I want to live for everyone," he said. "I want to live for my patients."
Meanwhile, England's third national COVID-19 lockdown is helping to reduce infections, a study found on Thursday, but the prevalence of cases remains high as Prime Minister Boris Johnson eyes a cautious route to re-opening the economy. Johnson is due to set out a roadmap out of the lockdown, which began on January 5, on Monday, and has said that it will be a cautious and prudent approach. The study, known as REACT-1 and led by researchers at Imperial College London, found that national prevalence was two thirds lower between Feb 4 and 13 than it had been in the previous survey that covered
Jan 6-22. "It's really encouraging news. We do think that lockdown is having an effect. We've seen this quite rapid decline now between January and this month," Paul Elliott, director of the programme at Imperial, told reporters.
"But... the actual prevalence is still very high. We're only back where we were in September." The latest figures showed that 51 per 10,000 people were infected, down from 157 per 10,000 in the January survey, and that it is taking 15 days for infections to halve. Prevalence fell across all age groups, dropping from 0.93% to 0.30% among the over 65s, although the researchers said they did not have evidence that this was being driven by the vaccine rollout, which has been targeted at older groups.