[ad_1]
Keep Milan. Prevent the most populous province of Lombardy, more than 3 million inhabitants, from being overwhelmed by infections and hospitalized refilling the wards, bringing the Region’s largest health facilities to the brink of collapse. For the Pirellone, the restrictive measures that came into force in the last hours, from the closure of all schools to the ban on visiting family and friends, are the last obstacle before the Red zone to an epidemiological situation that in some areas of the capital is already spiraling out of control. As to Like, Monza Brianza me Brescia, with data that the Region already defines since the lockout. Or in municipalities surrounding the city, from Vimodrone (535 cases per 100,000 inhabitants) a Cologno Monzese me Cinisello Balsamo, both above 250, up to Branded (293), Sesto San Giovanni (230) e Cormano (228). It seems the same dynamic as last spring, when Lodigiano and the province of Bergamo were overwhelmed by Milan. But with a difference: today there is also fear English variant, up to 40% more contagious than the traditional strain and which already dominates to a great extent throughout the Region.
The effects in hospitals are already being seen, as explained by a Ilfattoquotidiano.it Cristina Mascheroni, anesthetist for Asst Settelaghi and president of the Lombard section of the Association of Anesthesiologists (Aaroi-Emac). “Intensive care is in trouble again. Last week the alarm was raised at level 3 of 4 and all the main centers in the Region have begun to convert beds to dedicate them to Covid patients, ”he says by phone. In some areas there is still a “margin of free places”, as in Pavia, Varese and partly in Alta Valtellina. “All of Bresciano, on the other hand, is very difficult, like Franciacorta. Here the resuscitations are complete and have already started since the weekend. transfer patients to the Fair in Milan “. A situation that is spreading like wildfire” to Monza Brianza, in Mantovano, a Cernusco, in Melegnano. “Mascheroni was not at all surprised when he learned that in 24 hours the Region has decided to close all schools. The impression is that we are trying “save milan. If we combine the contagion of the British variant with the fact that the Milanese population moves a lot by works and there is a high population density, of course what is fear“. We must avoid at all costs, he clarifies, that there is” a high impact in the city”.
On the other hand it was the governor himself Attilio fontana admit it, explaining that he had put the entire Region in reinforced orange with the aim, “as well as containing the increase in infections, preserving the areas not yet affected due to a high incidence. “In the last 24 hours peak cases was found in Milan (+1,593, of which 655 only in the city), with an increase of more than 100% In two weeks. But if you look at the average incidence in 7 days For every 100,000 inhabitants, the highest figure is Brescia (527 out of 100,000), followed by the provinces of Mantua (306) e What (301). In general, according to the latest weekly monitoring of the ISS, the figure has exceeded the quota 250 cases per 100,000 throughout the Region. And it is destined to rise even more, so much so that experts speak of a “high risk” linked to the increase in infections, the lack of tracing of close contacts (at 81%, the lowest level in the country) and the pressure on hospitals. Hospitalizations are increasing almost everywhere, with 4,804 people in the medical area (approximately + 17% weekly) and 543 in intensive care (+ 30%). According to the give Agenas, the percentage of beds occupied by Covid patients in the wards is 43% and in the resuscitation of the 38%, both beyond criticality thresholds. The sign that the trend is growing also comes from emergency rooms: call 188 for respiratory or infectious reasons in the last week have been on average almost 100 per day in the region. By mid-February they were halfway there.
Figures aside, what really worries healthcare professionals is the decline of the middle ages of those hospitalized. TO Bologna, as told by the Fatto.it in a long report, it is a phenomenon that becomes more and more evident. And so also in Lombardy. “We are seeing the same thing. We have a large number of patients between 40 and 60 yearsSays Dr. Mascheroni. “Just yesterday a colleague told me that in recent days patients have been admitted to the intensive care unit 38enni, 40enni, all in good health and no pre-existing pathologies that could precipitate his clinical picture. “The reason?” It seems that the variant is more widespread among young people and therefore affects them plus“There is no evidence of an increase in fatality, he adds, but” in young people we noticed a difficulty in ‘weaning’ from the ventilator for those who have been intubated. “The resuscitation course can last” up to 30-40 days if you arrive. in complex situations. “With respect to teenagers and children, “Also in this case the admissions seem to be growing, although not with serious pictures“.
For doctors, nurses and healthcare professionals, this all means a emotional chargeAs well as the work, which adds to an already devastating experience. And that in recent months has never given a break. “In October, when the infections flared up again, we had a bit of a truce thanks to the summer. But now we’re in the middle of this third wave with ICUs already overcrowded with people we have not been able to dispose of “, continues the president of the Aaroi-Emac association of Lombardy. In short, the real risk is that hospitals may saturate early. “We are more and more disheartened and tired ”, admits Mascheroni in a weak voice. “At the news of the school closings, we all asked ourselves: ‘Why? Why are we still here? It is possible that people have not yet understood the severity of the disease and after a year we find ourselves To the starting point? “The doctor knows that citizens are” tired “and perhaps” less inclined to follow the rules “, but in the face of the new outbreak of the pandemic it is difficult not to lose heart. Also because, he concludes, between the moment of infection and intensive hospitalization “On average about twenty days go by. We are only at the beginning of the curve.” It means that the effects of 5,000 daily infections that are being registered in the last days will only be seen at the end of March.
[ad_2]
