Covid, why so many deaths in Italy? Blame it on the cuts and the brain drain



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Precisely on the day that Prime Minister Giuseppe Conte illustrated the DPCM Natale, which will regulate holidays in times of pandemic, in Italy the sad was recorded record of death toll in just one day for him COVID-19.

In fact, the December 3 bulletin indicated the peak of 993 dead in the previous 24 hours, never so many since the start of the coronavirus emergency, thus overcoming the peaks of the terrible days of last March.

Since the start of the pandemic, in total Italy There have been 1,664,829 positivity cases for Covid (eighth in the world by number), while confirmed deaths so far have been 58,138 (sixth in the world).

the relationship between the number of infections and the number of deaths however, it is much higher in Italy than in other EU countries. In France in fact there have been 2.3 million cases and 54,200 deaths, in Spain 1.6 million cases and 46,000 deaths and in Germany 1.1 million cases and 18,000 deaths.

In proportion to us, the mortality of Covid was also higher than that of Russia (2.4 million cases and 41,200 deaths), inIndia (9.6 million cases and 139,000 deaths) and United States (14.1 million cases and 276,300 deaths).

However, it must be said that, as far as India is concerned, there are many doubts about the numbers of deaths provided by the Indian authorities, which may be underestimated, but the highest contagion-death rate that is occurring in Italy is a fact.

Covid: why so many deaths in Italy?

Faced with such dramatic figures, it seems legitimate to wonder why there is such a high death rate from Covid in Italy compared to other countries. Trying to answer this question was Massimo puoti, director of infectious diseases at the Niguarda hospital in Milan who was heard by theAdnkronos.

There is no doubt that Covid-19 – said the doctor – It was a tragedy from so many points of view, both in the first wave and in the second wave, that the the death toll was very high, and this requires serious reflection”.

For Puoti, the first cause that has put Italy in difficulties in the face of this pandemic is having “a national health system that by virtue of cuts that have occurred over the years worked making the wedding with dried figs”.

Perhaps what came out of this emergency is that we were working to the limit – explained the director – So everyone made their decisions and there are those who cut the cutting board to maintain a hospital system worthy of the name. Definitely the territorial medicine and prevention they ended up low on the priority list to invest”.

Another delicate point is related to the so-called Brain drainmany specialists trained in Italy have gone abroad, we have not given them attractive careers and 10-20% have left us”.

He wondered why in 6 months, after the first emergency, there was no organization. – added Puoti – But it is considered that an anesthesiologist, an emergency doctor, an infection specialist there it takes years to form”.

So we must consider thehighest average age compared to the rest of the world of the Italian population and the number of Chronically ill, but being an “older” country than others cannot explain this difference in terms of deaths.

There has been an immense commitment from doctors and nurses – concluded Massimo Puoti – But the lack of programming, a inadequate pandemic plan, an NHS that worked to the limit, are aspects that perhaps should be evaluated in this context. It has certainly emerged that we do not have an organizational reserve to withstand the pressure of a large number of cases with this type of pathology.”.

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