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Those who escaped of the catastrophic nightclub blaze in the upmarket Swiss ski resort of Crans-Montana are being cared for in specialized trauma centers in various European nations, while investigators say many of the dead were so badly burned that naming the victims could take days or weeks.

A Tragedy of Terrifying Scale

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

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

The Swiss president, Guy Parmelin, described the fire “a calamity of unprecedented, horrifying proportions” as he outlined the devastating toll. “Behind these figures are faces, names, families, lives brutally cut short, forever altered or irrevocably damaged,” Parmelin remarked at a news conference.

Gruelling Identification Process

Such was the severity were the victims’ burns that Swiss officials said identification work was particularly gruelling. Parents of missing youths issued urgent appeals for news of their family members and diplomatic missions worked urgently to determine if their citizens were among those involved in one of the worst disasters to strike the country in recent memory.

A regional leader, the head of government of the canton of Valais, said experts were using dental charts and DNA samples for the solemn duty. “All this work needs to be done because the findings is so distressing and delicate that no detail can be told to the families unless we are 100% sure,” he said.

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 fire. Over 30 people were taken to hospitals with specialised burns units in Zurich and Lausanne and six were transferred to Geneva, according to news agencies.

A significant number of the injured were transported to other countries including Belgium, France and Germany, while the EU said it had been in contact with Swiss authorities about offering support.

The French president, Emmanuel Macron, said he had offered his country’s help as clinics in Paris and Lyon took in patients, while Sweden and North Macedonia also said they had medical capacity available.

A Multinational Tragedy

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

Swiss officials have said approximately 40 people were killed but another nation has put the fatality count at 47, based on preliminary information.

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 eight others remained unaccounted for. Australia has said one of its nationals was injured.

Families in Anguish

Relatives and friends have been scrambling to find their loved ones, using online platforms to share images of those still missing.

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 deeply traumatized,” 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 added.

Eleonore, 17, started the year with a desperate hunt for friends who have been unheard from since the fire. Outside the bar, now covered by white tarpaulins and a wall 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 said. “But there’s nothing. 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 coma in a hospital in Lausanne.

Treatment Will Be Lengthy

The director of the city’s teaching 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 surgery 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 many months.”