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In Cardarelli and Cotugno they found the worst scenarios, the most critical situations, while a bit everywhere there is a problem of human resources: in the sense that there is a lack of anesthetists, doctors, nurses, even administrative personnel capable of inserting the data, updating of files, sending documents to those responsible.
These are the difficulties encountered during the Neapolitan mission of Nas Carabinieri and the working group of the Ministry of Health. Criticities and contradictions destined to lead to a report that will be sent to the Ministry, which will then have to evaluate the opportunity to direct complaints to the Public Ministry, the Court of Accounts or the individual administrative bodies that manage the hospitals in the area. But let’s try to understand what the inspectors will gain, after monitoring the work and reception in four hospitals in the city. As is known, on Monday and Tuesday the working group moved to Monaldi and Cotugno, to Cardarelli and to Ospedale del Mare, with an undeclared objective but too easy to understand: to verify compliance with the data sent to Rome from the region. of Campania, in a flow of information that determines the color of our emergence, the face of our territory, the rhythm of what remains of our economy and daily habitability.
The story is known: if Campania is yellow, it also depends on the information related to the number of beds available, from intensive care, as well as the relationship between coronavirus positives and the resources that will be put in place these days . Data that make the difference between Campania and other regions (marked as red), as is also clear from the note issued yesterday by the president of the region Vincenzo De Luca, precisely in the field of intensive care.
Cold numbers, let’s try to understand what it is. The Region writes: «It is announced that in the week of November 2 to 8, the percentage of occupation of intensive care positions at the regional level is 27%. The intensive care bed occupancy indicator is given by the relationship between the daily rate of hospitalized Covid patients on the index day and the total number of active intensive care beds on the index day multiplied by 100 “. A tongue twister. ¿ So, what does this estimate mean? Just consider one piece of information, to understand what these few lines mean: the alarm threshold (one of the decisive clues to transform the region into a red zone) is thirty percent of intensive care places occupied on a regional scale, just enough to predict the outcome of the next few days. It is around the next intensive care evaluation (as well as ordinary hospitalization places) that the containment maneuver is based on adopt in the vicinity. If we reduce the number of places available in the ICU, we all end up in the orange or red zone. But let’s go back to the two Neapolitan days of the police and inspector s sanitary ware. What are the highlights in the report?
They found lines of cars at the entrance of Cotugno and also recorded the comings and goings of oxygen cylinders to attend to patients who remained in parked vehicles. Scenes known to the Neapolitans, regularly represented these days by newspapers and social networks. And that is not the only knot to untie. Al Cardarelli worries about the lack of anesthesiologists, while in recent days the nursing staff of San Giovanni Bosco (destined to reopen as a Covid hospital, giving up the emergency room) has been transferred to the Hospital del Mar. But let’s stay in the Cardarelli. The conditions of more than a hundred patients in the pre-triage area (which had been installed next to the main entrance), but also of another hundred patients in the emergency room are defined as critical. We are talking about the hospital where the death of a patient with covid was registered (we talked about it in another service), in a collapse scenario announced by the occupation of the beds. Nightmare scenes, also in light of what emerges from a video released yesterday through social networks, with the body of a deceased patient in the bathroom, while other patients wait to be treated between beds and crammed stretchers.
A follow-up followed by the Nas carabinieri, under the command of Commander Vincenzo Maresca, which seems to confirm the efforts made in recent months, but also the weak points in regional health. It is easy to imagine that the inspectors have focused on another background linked to the variant of “available beds”: a voice that deals mostly with the relationship of agreement between private clinics and the Campania region. As if to say: on paper there are dozens or hundreds of beds, but not all of them are immediately accessible, not all of them serve to combat the most serious cases of contagion. Matter for the attention of the Minister, who has the honor to report any anomaly to administrators, accountants or researchers.
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