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Those who escaped of the catastrophic nightclub blaze in the luxury Swiss ski resort of Crans-Montana are receiving treatment in specialized trauma centers across Europe, while investigators report many of the dead were so severely injured that identification could take an extended period.

A Tragedy of Terrifying Scale

About 40 people were lost their lives and 115 injured when the inferno ripped through a New Year’s Eve celebration in the packed Constellation bar and underground club.

“Our primary goal is to put names to all the victims,” said Crans-Montana’s mayor Nicolas Féraud.

The Swiss president, Guy Parmelin, described the fire “a disaster of unparalleled, horrifying proportions” as he described the heavy human cost. “Beyond these numbers are faces, names, families, lives tragically ended, completely interrupted or irrevocably damaged,” Parmelin remarked at a news conference.

Challenging Task of Naming Victims

Such was the severity were the victims’ burns that Swiss officials said the process of identification was exceptionally difficult. Families of missing youths issued urgent appeals for news of their loved ones and foreign embassies scrambled to determine if their nationals were among those caught up in one of the worst disasters to strike modern Switzerland.

Mathias Reynard, the head of government of the canton of Valais, said forensic specialists were using dental charts and DNA samples for the task. “All this work needs to be done because the findings is so distressing and sensitive that nothing can be told to the families unless we are 100% sure,” he explained.

Hospitals Reach Capacity

Despite having one of the world’s most sophisticated healthcare networks, Switzerland’s local hospitals quickly became overwhelmed in the hours after the blaze. More than 30 people were taken to hospitals with dedicated burn centers in Zurich and Lausanne and six were flown to Geneva, according to news agencies.

Many more of the injured were transported to other countries including Belgium, France and Germany, while the EU confirmed it had been in contact with Swiss authorities about providing medical assistance.

The French president, Emmanuel Macron, stated online he had offered his country’s assistance as clinics in Paris and Lyon took in patients, while Sweden and North Macedonia also said they had hospital beds available.

International Victims

Italy and France are among the countries that have said a number of their citizens are missing and Italy’s ambassador to Switzerland said the Italian foreign minister would travel to Crans-Montana.

Swiss officials have said approximately 40 people were killed but a foreign government has put the fatality count at 47, based on early data.

A regional health and safety official said on Friday he was “surprised” by the latter figure. “This is not the same number that we have,” he told a radio station.

The Italian ambassador said all but five of the injured had now been identified. Several Italians are still missing and more than a dozen hospitalised. Three Italians were returned home on Thursday with more to follow.

The French foreign ministry said nine French citizens were among the injured and additional individuals remained unaccounted for. Australia has said one of its nationals was hurt.

Desperate Search for Loved Ones

Relatives and friends have been working desperately to find their missing family members, using online platforms to circulate photos of those unaccounted for.

Paulo Martins, a French citizen living in the area for 24 years, said his son and his girlfriend just avoided being in the bar at the time of the fire. “When he came home he was really in shock,” Martins told reporters.

A friend of his 17-year-old son had been evacuated for treatment in Germany with his body 30% covered in burns, Martins stated.

Eleonore, 17, started the year with a desperate hunt for friends who have been missing since the fire. Standing outside the bar, now shielded by white tarpaulins and a barrier of temporary fencing, she said she had not had contact with them since New Year’s Eve.

“We took loads of photos [and] we put them on Instagram, Facebook, every social network possible to try to find them,” she explained. “But there’s no news. No response. We called the parents. Nothing. Even the parents don’t know.”

She and a friend managed to get news that one friend was in a medically induced unconsciousness in a hospital in Lausanne.

Long Road to Recovery

The director of the city’s university hospital, Claire Charmet, said it was treating 22 severely injured patients, most ranging in age from 16 to 26.

“Patients are being medically stabilized and moved to the operating theatre or to intensive care units,” she told a local newspaper. “We need to be aware that the treatment will be protracted and demanding, lasting many weeks or even months.”