“Immediately beds or patients out of the region”: too many infections and hospitalizations, Sardinia’s health at the limit

09/15/2020 Health



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CAGLIARI. “The situation is serious: there are no beds. If we do not find the answers immediately, we will have to consider, starting today, the possibility of transferring hospitalized patients to other regions ”. And again: “We are saving, so far, the fact that this ‘second wave’ is characterized by young people better able to resist the Covid. But it is a false consideration. This time it is worse ”. More: “Weddings, funerals, birthdays and various parties: they are multipliers of the infection, they must be stopped.” But that’s not all: “The waves are sudden, unpredictable and, therefore, overwhelming and dangerous. Controlling patients spread across the territory is very difficult and requires resources that we do not have. The contagion has moved from the beaches to the interior, involving families and creating clusters in COVID-free countries “.

Marcello Acciaro, head of the crisis unit for northern Sardinia, painted a not very comforting picture – euphemism, of course – about the coronavirus infection in Sardinia: his is a communication sent on Sunday morning (13 September ) to health leaders. Sarda and the heads of all the hospitals on the island. After two days, a positive note should be recorded. His note had a first effect: all health establishments, after not even 48 hours, began the procedures for the creation of new beds: about twenty in Sassari, some on the tenth floor of San Francesco di Nuoro. And the entire Geriatrics pavilion of the Holy Trinity will be transformed, as it happened in March. Thus, at least in the immediate future, the danger of transfers outside the region is avoided. But everything else, with the unpredictable contagion curve, is sadly still very current.

Some numbers, to understand. In Sardinia, according to the latest bulletin of yesterday, September 14, there are 85 hospitalized patients with symptoms plus 16 serious ones in intensive care. So one hundred and one positives in the hospital. On Saturday there were 76 in total: twenty-five infected were hospitalized in a single weekend. Acciaro, like all those facing the epidemic, goes hand in hand with the spread of infections, their location and severity. And he’s worried. For many reasons.

Until new structures are installed, the situation is as follows: “In Olbia, the epicenter of the summer epidemic, we have two hospitals, neither of which is Covid, so we must continuously transfer patients to the rest of Sardinia and no less of 100 kilometers, when there are not 256 for Cagliari “. With obvious repercussions on activity 118: ambulances are already on the streets of Sardinia.

Another important problem: “The infected are scattered throughout the territory, which makes it difficult to take control. The summer wave – carried by young people – is moving from the beaches to the interior, involving families and creating groups in covid-free countries. ”For this reason, according to Acciaro, all occasions for coexistence such as weddings, birthdays and various parties should be blocked. But also the funeral. Furthermore,“ the reopening of schools could become the impulse of a ”third wave, “which, at the moment, we are not in a position to support.” At least until the beds in the activation process are not available, because “the ones we have are already saturated.”

According to the head of the crisis unit “we should have had residential structures – hotels – where to place all the positives and with a handful of men keep them under surveillance. Immediate therapy can be decisive. This is what is now lacking: strict control. positives capable of stopping hospitalizations in infectious diseases. The fragmentation of positives, under the control of the Usca, with young doctors capable but in need of experience, tends to scotomize the problem. The Usca are part of the system, not the solution “.

For this, Acciaro has requested the reopening of closed structures in hospitals. The first organizational responses are coming. The reaction must be quick. To prevent the system from collapsing. Also because “contagions by contiguity are increasing. Mayors who do not understand what is happening and are scared by the possible evolution of the phenomenon are alarming. Then we will open schools. We are not prepared for a possible third wave.”


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