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Survivors of the devastating bar fire in the upmarket Swiss ski resort of Crans-Montana are receiving treatment in specialized trauma centers across Europe, while investigators say many of the deceased were so severely injured that naming the victims could take an extended period.

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 basement nightclub.

“Our primary goal is to assign names to all the victims,” stated local official Nicolas Féraud.

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

Challenging Task of Naming Victims

Such was the severity were the victims’ burns that Swiss officials said identification work was exceptionally difficult. Parents of missing youths issued urgent appeals for news of their loved ones and diplomatic missions worked urgently 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 forensic specialists were using dental charts and DNA samples for the solemn duty. “All this work needs to be done because the information is so distressing and delicate that nothing can be told to the families unless we are 100% sure,” he explained.

Overwhelmed Medical Systems

Despite having one of the world’s most sophisticated healthcare networks, Switzerland’s regional clinics quickly became overwhelmed in the hours after the fire. More than 30 people were taken to hospitals with specialised burns units in Zurich and Lausanne and six were flown to Geneva, as reported by 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, stated online 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 about 40 people were killed but another nation has put the fatality count at 47, based on preliminary information.

A regional health and safety official said 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 the majority of the injured had now been identified. Several Italians are still missing and more than a dozen receiving treatment. Three Italians were returned home on Thursday with more to follow.

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

Families in Anguish

Relatives and friends have been scrambling to find their loved ones, using social media 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 severe burns covering a third of his body, Martins added.

Eleonore, 17, started the year with a frantic search for friends who have been unheard from since the fire. Standing outside the bar, now shielded by white tarpaulins and a wall of temporary barriers, she said she had not heard from 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 nothing. No response. We called the parents. Nothing. Even the parents haven't heard anything.”

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 university hospital, Claire Charmet, said it was treating 22 badly burned patients, most between 16 to 26.

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