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THE WORLD
BERGAMO, Italy — Ita-
ly’s historic mountain in-
fantry, the Alpini, got ahold
of pavilion B at the conven-
tion center in Bergamoin
late March under emergency
conditions brought by the
coronavirus.
At that time, pavilion B
amounted to nothing more
than 6,500 square meters of
empty hall space, pavement
and ceiling ducts.
By April, members of the
infantry wearing the Alpini’s
pointed green hat with black
feathers were on their hands
and knees, scrubbing the
new wooden floors of a
COVID-19 field hospital
complete with intensive-
care units, physician chang-
ing rooms, oxygen hookups
and test labs. The local
chapter of the National
Alpini Assn. — which in-
cludes current, former and
reserve infantry members —
had led a 300-volunteer ef-
fort to complete the 142-bed
hospital in nine days instead
of the usual 60 to 90, organ-
izers said.
“We are the people who
don’t give up,” they sang
while they worked.
Starting Monday, co-
ronavirus patients will ei-
ther be transported to the
field hospital from their ex-
isting hospital, admitted di-
rectly from their homes or
some combination of both,
depending on the health-
care needs at the time, hos-
pital officials said.
Italy has been among the
countries hardest hit by the
pandemic, with more than
128,000 confirmed co-
ronavirus cases and the
highest number of deaths —
about 15,900 people as of
Sunday. The country’s 60
million residents have been
on lockdown since early
March, when the govern-
ment ordered most busi-
nesses to close and said resi-
dents could leave their
homes only for such reasons
as work, medical issues and
grocery shopping.
Bergamo, nestled in the
foothills of the Alps in the
country’s Lombardy region,
has about 120,000 residents.
The city has seen more than
9,600 confirmed cases of the
coronavirus and more than
2,000 attributed deaths,
though officials worry the
actual number could be
much higher.
The military has been
transporting coffins to cities
as far away as Florence —
more than 150 miles to the
south — to be cremated, be-
cause the local funeral serv-
ices have been so over-
whelmed. Many patients are
dying alone, because visitors
are banned from co-
ronavirus wards to prevent
the disease from spreading.
“The atmosphere in Ber-
gamo has been one of sad-
ness at not being able to say
goodbye and not being able
to do anything to help,” said
Sergio Rizzini, an Alpini re-
servist who took over as gen-
eral manager of the National
Alpini Assn.’s field hospital
division in 2015. “There’s a
sense of powerlessness that
we’re slowly overcoming;
this project is helping.”
When the Alpini put out a
request for 12 additional
builders to join their group
of about 100 volunteers,
more than 200 responded to
donate their time and mate-
rials. When they started rais-
ing money in the third week
of March, local families and
businesses donated nearly
the entire project budget of 3
million eurosworth (about
$3.2 million) of funds and
equipment. When the region
of Lombardy delayed build-
ing authorization because of
personnel concerns, more
than 115,000 people signed a
petition demanding the
work begin.
Italy’s heathcare system
is managed at the regional
level, which means the re-
gional government needed
to approve the field hospital
project. In mid-March, offi-
cials from Lombardy hesi-
tated to grant permission
because they said they wer-
en’t sure they would have
enough doctors to staff the
facility once it was com-
pleted. The region appar-
ently wanted to divert all of
its resources to a new hospi-
tal under construction in
nearby Milan, even though
Milan had only half as many
cases.
After the petition was
launched, though, officials
soon agreed to let the work
begin. Over the next nine
days, volunteers wearing
leather bracelets engraved
with the words “Mola mia” —
“Never give up” in the local
dialect — worked a total of
16,000 hours to complete the
hospital.
“Work is at the heart of
this region’s culture,” Ber-
gamo Mayor Giorgio Gori
said Thursday as volunteers
were putting the finishing
touches on the field hospital.
“We roll up our sleeves and
get things done.”
The Alpini also have deep
ties to the city and the com-
munity that allowed them to
mobilize local contractors,
electricians and specialists
who could install equipment
such as medical gas lines for
free, Gori said.
The Alpini infantry was
formed in 1872 to secure the
northern border of the newly
unified Kingdom of Italy. It
is famous for its esprit de
corps forged in the harsh
mountainous environment,
Rizzini said. Today, eight
regiments carry out both
military and civilian aid mis-
sions around the world, in-
cluding setting up field hos-
pitals in response to natural
disasters such as earth-
quakes and tsunamis.
Rizzini said he had stud-
ied the Ebola crisis response
as part of his Alpini reserves
training. He drew on that
knowledge and worked with
Bergamo’s existing hospital,
Papa Giovanni XXIII, to de-
sign a field hospital specif-
ically engineered to prevent
the spread of the co-
ronavirus.
The convention center’s
cavernous halls have al-
lowed organizers to put
more space than usual be-
tween beds and to build hall-
ways that are extra wide. Air
will circulate more freely
than in a normal hospital
and will be purified with a
special system.
The entire space is di-
vided into red, yellow and
green zones, with physical
barriers and special sanita-
tion protocols in place for
each section. Radiology,
sanitation and analytical
labs are housed in classic
field hospital containers.
Amain goal was to pro-
tect not just patients but
also medical workers, who
account for 12% of co-
ronavirus cases in Italy,
Rizzini said. Doctors from
Papa Giovanni XXIII will
manage the facility, and the
staff will include medical
workers from Russia as well
as the medical nonprofit
organization Emergency,
which provides healthcare
in crisis zones.
Alpini volunteers will
continue to help with logis-
tics.
“The structure is very
complete from a technolog-
ical point of view,” said
Vanna Toninelli, spokes-
woman for Papa Giovanni
XXIII Hospital. “Its value is
very, very high.”
Toninelli said one of the
difficult aspects of COVID-
is that patients need inten-
sive care for prolonged peri-
ods of two to three weeks.
Before the coronavirus,
Papa Giovanni XXIII had
about 1,000 beds total, 80
of which were for intensive-
care patients. Now, any pro-
cedures deemed not urgent
have been suspended, and
all available space — such
as operating rooms — has
been converted into inten-
sive-care units. About 90
ICU beds have been dedi-
cated to coronavirus pa-
tients alone.
It will be quite some time
before there is a halt to new
coronavirus cases and
healthcare can get back to
normal, Toninelli said. Offi-
cials expect the field hospi-
tal to remain operational for
at least six months, or as
long as the coronavirus cri-
sis persists.
Brancolini is a special
correspondent.
In Italy, a field hospital built by volunteers
Led by the Alpini
infantry, locals in
hard-hit Bergamo help
construct facility for
COVID-19 patients.
By Janna Brancolini
BISHOPFrancesco Beschi performs a benediction at the new 142-bed field hospital in Bergamo, Italy, which
was built in nine days. He is flanked by project director Sergio Rizzini, left, and Bergamo Mayor Giorgio Gori.
Janna BrancoliniFor The Times
LONDON — British
Prime Minister Boris John-
son was admitted to a hospi-
tal Sunday for tests, his of-
fice said, because he is still
suffering symptoms 10 days
after he was diagnosed with
COVID-19.
Johnson’s office said the
admission to an undisclosed
London hospital came on
the advice of his doctor and
was not an emergency. The
prime minister’s Downing
Street office said it was a
“precautionary step” and
Johnson remains in charge
of the government.
Before his hospitaliza-
tion, Johnson, 55, had been
quarantinedin his Downing
Street residence since being
diagnosed on March 26.
Johnson has continued
to chair daily meetings on
Britain’s response to the
outbreak, and has released
several video messages
during his 10 days in isola-
tion.
In a message Friday, a
flushed and red-eyed John-
son said he was feeling bet-
ter but still had a fever.
The virus causes mild to
moderate symptoms in
most people, but for some,
especially older adults and
the infirm, it can cause
pneumonia and lead to
death.
President Trump offered
encouragement to Johnson
as he opened a White House
briefing on the pandemic
Sunday. “All Americans are
praying for him,” Trump
said.
Johnson has received
medical advice by phone
during his illness, but going
to a hospital means doctors
can see him in person.
Dr. Rupert Beale, a group
leader of the cell biology of
infection lab at the Francis
Crick Institute for biomedi-
cal studies, said doctors
would probably “be monitor-
ing important vital signs
such as oxygen saturations,”
as well as performing blood
tests, assessing Johnson’s
organ function and possibly
performing a CT scan on his
chest to assess his lungs.
Foreign Secretary Domi-
nic Raab, who has been des-
ignated to take over if John-
son becomes incapacitated,
is set to lead the govern-
ment’s coronavirus meeting
Monday.
Johnson’s fiancee, Carrie
Symonds, 32, revealed Sat-
urday that she had had co-
ronavirus symptoms for a
week, though she wasn’t
tested. Symonds, who is
pregnant, said she was now
“on the mend.” She has not
been staying with the prime
minister in Downing Street
since his diagnosis.
More than 48,000 people
have been confirmed to have
COVID-19 in the U.K., and
nearly 5,000 had died as of
early Monday.
Johnson’s government
was slower than those in
some European countries to
impose restrictions on daily
life in response to the pan-
demic, leading his critics to
accuse him of complacency.
He in effect imposed a
nationwide lockdown March
23, but his government re-
mains under huge pressure
to boost the country’s num-
ber of hospital beds and ven-
tilators and to expand test-
ing for the virus.
News of Johnson’s admis-
sion to the hospital came an
hour after Queen Elizabeth
II made a rare televised ad-
dress to the nation, in which
she urged Britons to remain
“united and resolute” in the
fight against the virus.
“We will succeed — and
that success will belong to
every one of us,” the 93-year-
old monarch said, drawing
parallels to the struggle of
World War II.
“We should take comfort
that while we may have
more still to endure, better
days will return: We will be
with our friends again; we
will be with our families
again; we will meet again,”
she said.
Boris Johnson hospitalized
as virus symptoms linger
associated press
BRITISHPrime Minister Boris Johnson, pictured
last month, had been quarantined since March 26.
Matt DunhamAssociated Press