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Survivors of the catastrophic nightclub blaze in the upmarket Swiss ski resort of Crans-Montana are being cared for in special burns units across Europe, while authorities report many of the dead were so badly burned that identification could take days or weeks.

A Tragedy of Terrifying Scale

Approximately 40 people were killed and 115 injured when the inferno engulfed a New Year’s Eve celebration in the packed Constellation bar and underground club.

“The first objective is to assign names to all the victims,” said Crans-Montana’s mayor Nicolas Féraud.

The Swiss president, Guy Parmelin, described the fire “a calamity of unparalleled, horrifying proportions” as he described the devastating toll. “Beyond these numbers are individuals, names, families, lives brutally cut short, completely interrupted or irrevocably damaged,” Parmelin said at a press briefing.

Gruelling Identification Process

So severe were the victims’ burns that Swiss officials said identification work was exceptionally difficult. Families of missing youths issued urgent appeals for news of their family members and foreign embassies scrambled to find out if their citizens were among those involved in one of the worst disasters to strike the country in recent memory.

Mathias Reynard, the head of government of the canton of Valais, said experts were using dental records and DNA samples for the task. “All this work needs to be done because the findings is so terrible and sensitive that no detail can be told to the families unless we are 100% sure,” he explained.

Overwhelmed Medical Systems

Even with one of the world’s most advanced medical systems, Switzerland’s local hospitals quickly reached capacity in the hours after the blaze. Over 30 people were taken to hospitals with dedicated burn centers in Zurich and Lausanne and six were transferred to Geneva, as reported by news agencies.

A significant number of the injured were flown 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.

A Multinational Tragedy

Italy and France are among the countries that have said some of their nationals are unaccounted for and Italy’s diplomatic representative 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 expressed surprise on Friday he was “taken aback” by the higher number. “This is not the same number that we have,” he told a media outlet.

The Italian ambassador said all but five of the injured had now been identified. A number of Italians are still missing and more than a dozen receiving treatment. Three Italians were repatriated on Thursday with more to follow.

The French foreign ministry said several nationals were among the injured and additional individuals remained missing. Australia has said one of its nationals was hurt.

Families in Anguish

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

Paulo Martins, a French citizen resident in the area for 24 years, said his son and his girlfriend narrowly missed being in the bar at the time of the fire. “When he came home he was deeply traumatized,” Martins said.

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

Eleonore, 17, started the year with a desperate hunt for friends who have been unheard from since the fire. Standing outside the bar, now shielded by white tarpaulins and a barrier of temporary barriers, 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, all possible platforms to try to find them,” she said. “But there’s no news. No response. We called the parents. Nothing. Even the parents don’t know.”

She and a friend later received 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 teaching hospital, Claire Charmet, said it was treating 22 badly burned patients, most ranging in age from 16 to 26.

“Patients are being medically stabilized and moved to the operating theatre or to specialised beds,” she told a local newspaper. “We need to be aware that the treatment will be long and intense, lasting many weeks or even many months.”