As virus surges anew, Milan hospitals under pressure again
MILAN » Coronavirus infections are surging again in the region of northern Italy where the pandemic first took hold in Europe, renewing pressure on hospitals and health care workers.
At Milan’s San Paolo Hospital, a ward dedicated to COVID-19 patients and outfitted with breathing machines reopened over the weekend, a sign that the city and the surrounding Lombardy region is entering another emergency phase of the pandemic.
The regionwas the hardest hit area of Italy in the spring, when Italy spent weekswith theworld’s highest reported virus-related death toll before being overtaken by the United States. For themedical personnel in Lombardy who fought the virus the first time around, the long-predicted rebound came too soon.
“On a psychological level, I have to say I still have not recovered,” said nurse Cristina Settembrese, referring to the period inMarch and April when the region accounted for one-third of Italy’s confirmed cornavirus cases and nearly half of Italy’s COVID-19 deaths.
“In the last five days, I am seeing many people who are hospitalized who need breathing support,” Settembrese said. “I am reliving the nightmare, with the difference that the virus is less lethal.”
Months after Italy eased one of the globe’s strictest lockdowns, the country on Wednesday posted its highest daily number of newcaseswith7,332— surpassing the previous high of 6,557 that was recorded during the virus’s most deadly phase in March.
Lombardy is again leading the nation in case numbers, an echo of the traumatic spring months when ambulance sirens pierced the silence of stilled cities.
The Italian government
is eager to avoid another nationwide lockdown to protect the country’s economy but has not ruled out closing cities or provinces.
Increased testing is partially responsible for the latest round of high case numbers, and many of the individuals who have tested positive are asymptomatic. So far, Italy’s daily COVID-19mortality figures remain significantly belowthe spring heights, hovering around 40 in recent days. That compares with the high of 969 dead reported on one day in late March.
In response to the current outbreak, PremierGiuseppe Conte’s government tightened nationwide restrictions twice inside a week. Starting Thursday, Italians are prohibited from playing
casual pickup sports, bars and restaurants face amidnight curfew, and private celebrations in public venues are banned. Masks are mandatory outdoors as of last week.
But there is also growing concern among doctors that Italy squandered the gains itmade during its 10week lockdown and didn’t move quickly enough to reimpose restrictions. Concerns persist that the rising stress on hospitals will force scheduled surgeries and screenings to be postponed— creating a parallel health emergency, as happened in the spring.
Italy is not the only European country seeing a resurgence in confirmed virus cases. French President Emmanuel Macron announcedWednesday that 18 million people living in nine regions of France, including in Paris, will have a curfew starting Saturday through Dec. 1 in an effort to curb new infections.
Macron also reinstated a nationwide state of health emergency that had ended three months ago. France has a total of 798,000 confirmed cases and nearly 33,000 deaths, while COVID-19 patients occupy a third of intensive care unit beds nationwide.
“We won’t go to restaurants after 9 p.m., we won’t see friends, we won’t party, because that’s how to pass on the virus,” Macron said during a during a televised interview.
Italy so far is faring better than its neighbors this time around. Italy’s cases per 100,000 residents have doubled in the last two weeks to nearly 87 — a rate well below countries like Belgium, the Netherlands, France, Spain and Britain that are seeing between around 300 to around 500 per 100,000. Those countries have also started to impose new restrictions.
This time, Milan is bearing the brunt, accounting for half of Lombardy’s daily cases, which spiked past 1,800 on Wednesday. Bergamo — which was hardest hit last time and has been seared into collective memory by images of army trucks transporting the dead to crematoria — had just 46.
The resurgence as the weather cools has so far beenmost strongly linked to vacations, both at home and abroad, as Italians flocked to beaches and crowded islands during a remarkably relaxed summer.
“The lockdown is a treasure that we scraped together with great effort and great sacrifice. We risk losing the results from a summer that in some ways was rather reckless,” Massimo Galli, the director of the infection disease ward at Milan’s Sacco Hospital, told The Associated Press. “The whole country acted as if the infections never existed, and was no longer among us.”
His hospital is on the front lines of the pandemic, but he declined to say how many beds were occupied with coronavirus patients.
Dr. Anna Carla Pozzi, a family physician in aMilan suburb, said she feared that fatigue is weakening the public’s response to the virus’s resurgence. That’s creating a situation similar to the one inJanuary andFebruary, when the virus was circulating undetected in Italy, and nothing was being done, she said.
“In the last five days, Iam seeingmany peoplewho are hospitalized who need breathing support. I am reliving the nightmare, with the difference that the virus is less lethal.”
— Cristina Settembrese, nurse at San Paolo Hospital in Milan