24/03/2020
Like page
News Roma
Italy’s Health Care System Groans Under Coronavirus — a Warning to the World
In less than three weeks, the virus has overloaded hospitals in northern Italy, offering a glimpse of what countries face if they cannot slow the contagion.
Image
A makeshift emergency unit at the Brescia hospital, in northern Italy, on Thursday.
A makeshift emergency unit at the Brescia hospital, in northern Italy, on Thursday.Credit...Luca Bruno/Associated Press
Share on FacebookPost on TwitterMail
By Jason Horowitz
Published March 12, 2020
Updated March 17, 2020
ROME — The mayor of one town complained that doctors were forced to decide not to treat the very old, leaving them to die. In another town, patients with coronavirus-caused pneumonia were being sent home. Elsewhere, a nurse collapsed with her mask on, her photograph becoming a symbol of overwhelmed medical staff.
In less than three weeks, the coronavirus has overloaded the health care system all over northern Italy. It has turned the hard hit Lombardy region into a grim glimpse of what awaits countries if they cannot slow the spread of the virus and ‘‘flatten the curve’’ of new cases — allowing the sick to be treated without swamping the capacity of hospitals.
If not, even hospitals in developed countries with the world’s best health care risk becoming triage wards, forcing ordinary doctors and nurses to make extraordinary decisions about who may live and who may die. Wealthy northern Italy is facing a version of that nightmare already.
“This is a war,” said Massimo Puoti, the head of infectious medicine at Milan’s Niguarda hospital, one of the largest in Lombardy, the northern Italian region at the heart of the country’s coronavirus epidemic.
ADVERTISEMENT
He said the goal was to limit infections, stave off the epidemic and learn more about the nature of the enemy. “We need time.”
This week Italy put in place draconian measures — restricting movement and closing all stores except for pharmacies, groceries and other essential services. But they did not come in time to prevent the surge of cases that has deeply taxed the capacity even of a well-regarded health care system.
Italy’s experience has now underscored the need to act decisively — quickly and early — well before case numbers even appear to reach crisis levels. By that point, it may already be too late to prevent a spike in cases that stretches systems beyond their limits.
ADVERTISEMENT
With Italy having appeared to pass that threshold, its doctors are finding themselves in an extraordinary position largely unseen by developed European nations with public health care systems since the Second World War.