Lombardy, which has one of the best-resourced regional health systems in Italy, has been facing a surge in acute cases. As of Tuesday the number of people infected in Italy’s industrial heart had risen to 5,791, including 446 in intensive care. “Frankly, I don’t know for how long the health system can cope, I don’t even want to think about how it could end,” Massimo Galli, head of the department for infectious diseases at the Sacco Hospital in Milan, told the Financial Times.
“We are holding up, but other hospitals are much worse off than us and it is a fact that we will come increasingly under pressure in the coming days.” Giorgio Gori, Bergamo mayor, tweeted: “It seems that the increase [in the number of cases] is slowing down, but it’s only because we have no longer beds in intensive care (few are added with great effort). Patients who cannot be treated are left to die” There are signs that the system is already near capacity. In Veneto, which has 3.6 beds per 1,000 people, 80 per cent of the region’s 450 intensive care beds were occupied as of Tuesday, with 67 of those taken by coronavirus patients.
The disparity between the number of available hospital beds in Italy’s wealthier north and its poorer south — the result of regional health services being centrally funded but regionally administered — is another source of concern for experts
: if the system in Lombardy is under intolerable strain, the consequences of a similar outbreak further south could be catastrophic.