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No words.....
Just wow...
That quote from Italy is what I've been expecting to happen everywhere when they reach a certain amount of confirmed cases. We can see from Hubei and from Italy that the number of cases doesn't have to be anywhere near the worst case scenarios of millions infected at once in order to create too much stress on the health systems of even modern, up to date, well-funded health systems in highly developed nations.
I am concerned that too many people are thinking this is going to look more like a regular flu season and that the hospitals deal with that okay (to an extent) so it won't be a massive problem. But even with fewer confirmed Covid-19 cases than the average flu season sees, it's going to cause enormous problems. Problems that hospitals cannot completely solve. Problems that governments can help to mitigate by supporting hospitals and by implementing social distancing measures, but the best they're probably looking at is something that's about twice as bad as the average flu season (which the healthcare systems wouldn't be able to cope with) or something multiple times as bad in a reasonable case scenario...and God forbid any country have the worst case scenarios.
Even the middle case scenarios are likely to mean much higher death rates. If 20% of confirmed patients need hospitalisation and oxygen, and 5 percent of cases need ICU...if there aren't enough ICU beds, equipment, doctors and nurses, you've automatically got a 5% death rate instead of 1 or 2%. If the hospitals run low on oxygen, beds for patients needing oxygen, or staff to provide the oxygen, then the death rate will be higher than 5% and up nearer to 15% to 20%.
With fewer than 10,000 confirmed cases in Italy, they are already at the point where they are unable to treat patients effectively! Maybe there are a few countries with similar sized populations that could eke that out to 15,000 confirmed cases. There are far more that wouldn't be able to cope even with the 10,000 cases that Italy has today.
And the situation in Italian hospitals is mostly limited to an outbreak in only part of the country, so it's not even 10,000 confirmed cases for a country with a population size equivalent to Italy's. It's a country with a population size equivalent to the population within the most affected zone in Italy.
All it takes is for contact tracing to miss a handful of contacts who didn't call in because they didn't know they were in close contact with an infected person, and only felt like they had a cold or a mild flu....and in a few weeks time your country looks like Italy does today.
Excess panic won't help. Excess support and preparation will. It might not solve it entirely, but it will help *if* you start early.