An Italian doctor at the epicenter of the coronavirus response shares his best advice for the US to avoid being overwhelmed by the pandemic

Dr. Maurizio Cecconi.
Dr. Maurizio Cecconi.

JAMA via YouTube

Italy has quickly become one of the epicenters of the coronavirus pandemic. 

In a conversation hosted by the Journal of the American Medical Association, Dr. Maurizio Cecconi, the head of the department of anesthesia and intensive care units at Humanitas Research Hospital in Milan, said Italy’s situation began on February 20, when a patient in his 30s tested positive for COVID-19.

As of Friday, Italy had more than 15,000 infections and more than 1,000 deaths related to COVID-19. The country has taken drastic steps, such as locking down the country. In the parts of the country hardest hit by the coronavirus, clinicians are facing a shortage of medical supplies and hospital beds. Doctors are being forced to make tough decisions about whom to treat.

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As the case count rises in the US, the country’s health system can stand to learn from Italy’s experience. Cecconi shared his recommendations for the country, as well as the rest of the world. 

Most importantly: “Don’t underestimate this,” he said. “This is not a normal flu. This is serious.”

Read more: ‘We’re gearing up for something extremely significant’: Top hospitals across the US told us how they’re preparing for the coronavirus outbreak

While he said the majority of people who get infected will recover on their own, he’s noticed that the percentage who need hospitalization is high — especially in the intensive care units. 

“Get ready,” he said. That includes making sure hospitals are ready for a surge in patients, finding spots in the hospital that can be devoted to those with the coronavirus, and adding ICU bed capacity.

Ideally, this should happen before the outbreak gets bad in your hospital’s area. 

“Make sure that if an outbreak comes, a cluster comes close to you, you don’t lose by putting the plan in action,” Cecconi said. 

Read more: Hospitals could be overwhelmed with patients and run out of beds and ventilators as the coronavirus pushes the US healthcare system to its limits

The hospital of Brescia, Italy, on March 10.
The hospital of Brescia, Italy, on March 10.

Claudio Furlan/LaPresse via AP

Hospitals can’t win with increased capacity alone

As important as it is for hospitals to prepare, containment and mitigation maneuvers to stop the spread of the virus are also crucial, he said. 

“Do not think that you can win this battle just by increasing your capacity,” Cecconi said. “Containment, mitigation maneuvers, slowing down maneuvers are equally important if not more important than anything we can do as doctors.”

To win, it’ll take government and citizens helping out as well. That includes drastic steps like canceling major events, having employees work from home, and other moves to limit the spread of the virus. 

Protective social-distancing measures like closing workplaces and canceling large gatherings such as sports games are key in mitigating the spread of the COVID-19 virus, as illustrated by a chart from the Centers for Disease Control and Prevention.

That, in turn, would help stop the virus from overwhelming the US healthcare system.

coronavirus covid 19 spread healthcare system protective measures 4x3
coronavirus covid 19 spread healthcare system protective measures 4×3

Samantha Lee/Business Insider

Read more: One chart explains why Disneyland, Broadway, and sports arenas are all going dark to stop the coronavirus epidemic

“If the moment comes where your government in the US or in any other country mandates self-isolation or any other maneuver, I think it is the personal responsibility of every citizen to do that,” Cecconi said. “Because if you don’t take down the transmission of the virus, then the capacity of your system will be overwhelmed.”

Read the original article on Business Insider

source: yahoo.com