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Coronavirus COVID-19: Step 01 Why so many people die in Italian hospitals
The Italian government has divided the action against the virus in some steps: Step 0: Wait
Step 1: Actions to contain the virus, as a social distance
Step 2: Try to start again with the economy by reducing restrictions
In this article we're talking about Step 1
For a many time no prevention has been done
The international epidemic alert was raised on 31 January 2020 when the very serious epidemic in China was known from a long time.
There was already a lot of data on how China was dealing with it: with massive use of masks, isolation of people, disinfection of objects and roads, etc. etc.
Only now is the Italian Government proposing the use of masks and considering recommending them for Step 2.
It seems that in the new governement decree there may even be a suggestion to use scarves or other home made devices, without any concern about their effectiveness.
In essence, the Italian government has been sleeping for several months, only worrying about belatedly and confusingly and chaoticly implementing isolation.
Or think, the Italian Government has closed schools without having put in place measures to allow parents to look after their children.
Nine million students sent to infect grandparents, uncles and babysitters, as well as neighbors met in parks.
And more, the Italian government banned tampons for asymptomatic people because it thought they were not infectious.
The Italian Government itself has always admitted that it has always taken progressive action on the basis of the worsening situation, essentially following the progress of the epidemic, therefore without any preventive action.
Considering the speed with which COVID-19 infections increase by doubling every three days, the Italian government's dormant inertia has allowed the virus to multiply infections by about a thousand times every 30 days of inertia.
Unfortunately, this situation affects not only Italy but also many other countries that have trusted the WHO's indications that it has always discouraged the use of masks,
perhaps to detract from the epidemic and safeguard China's image.
The WHO has also given other incorrect indications, such as an indication that the virus does not persist on objects and therefore there is no need to disinfect them.
It is not clear how the virus can not persist on objects but infect the hands of people.
These aspects are explored in other posts of ours that you find on our site.
Patients arrive too serious in hospitals
Many patients have stayed at home for a long time with inadequate therapies, generally only with Tachipirin, the classic drug that works for any small illness, but does not solve anything serious.
Thinking of saving places in hospitals only serious patients have been admitted.
But this has allowed the epidemic to spread into homes, infecting relatives and friends.
When the patient arrives at the hospital was too serious and requires a very long stay with intensive care and post-therapy treatments.
About 30% of patients in intensive care died.
Proper timely drug therapy would have prevented many hospitalizations and especially the degeneration in severe cases and death of many patients.
Patients need to be properly assisted at home before conditions worsen
Dr. Antonio Gobbi family doctor who fell ill with COVID-19 on the eve of retirement, to assist his patients.The large number of infected people made it impossible to hospitalize all people at the first symptoms of coughing or mild fever.
One of the best strategies, seems to us, the one mentioned in the article of Panorama (Link in the picture above) we give you a summary with our considerations, inviting you to read the article for further information.
Official indications suggested that family doctors should only give Tachypirine to patients, advising against other treatments.
This choice was also underlined by Professor Massimo Galli of the Sacco hospital in Milan.
A choice that, in our opinion, can only have results if the symptoms are very mild.
Many doctors and hospitals have experimented with different drug treatments due to the ineffectiveness of official treatments.
At the moment the therapy that appears most effective in the initial treatment of COVID-19 is that developed and tested by a group of about 100 family doctors.
They managed to have 100% healing of the patients treated, without resorting to hospitalization.
Clearly therapy must be started in the initial phase of symptoms.
Find more guidance in our article Coronavirus COVID-19: Found therapy to avoid hospitalization you can find the link in the tiles of our pages.
Field hospital and crowded intensive care
Field hospital: created for war needs, where patients mainly have gunshot wounds or explosions, and are not infectious (Photo from Veronasera)The field hospital is a great solution as it is quick to assemble and efficient.
But it has been studied for wartime use, where patients are mainly wounded by firearm and therefore are not infectious.
Large areas with many patients together are not the right solution for infectious problems.
Patients infect each other.
Even if we put two infected patients together, the two patients infect each other.
Both come into contact with viruses emitted by the other sufferer.
The result is that viral load in both patients increases with the risk of aggravating the clinical situation.
Intensive care: A room with several patients facilitates medical care, but can compromise viral isolation among patients.The same problem is with intensive therapies, often thought of for chronic non-infectious diseases, such as heart and vascular diseases.
Hospitalization or quarantine at home was chosen.
But in a home it is extremely difficult to live with an infected and ensuring complete viral isolation.
Often cohabiting relatives have been infected by the person assisted in the home, also because it is not easy to maintain viral isolation, and not everyone knows the procedures to be applied.
The high mortality in hospitals and the widespread spread of the virus among relatives has demonstrated the inadequacy of these choices.
During an infectious emergency such as Coronavirus COVID-19 it was better to use some of the many empty hotels that allowed patients to be housed in single rooms with bathrooms.
In the future, it would be appropriate to set up mobile units that are easily relocated in normal hotel rooms, with WiFi connections for easy monitoring of all rooms.
The situation in Lombardy
Multiple investigations are under way to try to understand why such a dramatic situation has arisen in Lombardy.
When the number of seriously ill people increases beyond a certain threshold it becomes difficult to maintain isolation.
Intensive therapies are crowded, hospitals run out of personal protective equipment.
In addition, health workers are forced to work quickly and with gruelling shifts at the risk of not being able to devote the necessary time and care to disinfection procedures.
In essence, a situation occurs such as the overcoming of the critical mass in an atomic explosion.
The more patients are too many, the more they infect other people.
At some point the number of new infections exceeds the healing capacity of the hospital unit and so the infections increase even more and you lose control of the epidemic that is growing hyperbolically. Like an explosion.
This was definitely one of the factors that aggravated the situation.
But this factor does not exclude other previous causes that have led to this uncontrollable situation, which must be investigated at all levels, including government and politics.
Read the other posts below on the subject
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