NEJM April 7, 2020
Pedro Berjano, MD, PhD & Edward Prewitt, MPP

An orthopedic surgeon from Italy’s hard-hit Lombardy region discusses how he and his community have been affected by the Covid-19 pandemic, and shares lessons learned.

Summary

A physician from Italy’s Lombardy region acknowledges that the country did not anticipate the profound impact that the Covid-19 virus would have, in part because of the wide transmission by asymptomatic carriers. He emphasizes the need to be proactive, rather than reactive. Despite the continuing devastation, he suggests an outcome from the shared experience will be a strengthening of a public health system that can cover all the population and that may well save our society from a bigger catastrophe.

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