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Survivors of the devastating nightclub blaze in the luxury Swiss ski resort of Crans-Montana are receiving treatment in special burns units across Europe, while authorities report many of the deceased were so severely injured that identification could take days or weeks.

A Tragedy of Terrifying Scale

Approximately 40 people were killed and 115 injured when the blaze engulfed a New Year’s Eve celebration in the crowded Constellation bar and basement nightclub.

“The first objective is to assign names to all the victims,” said local official Nicolas Féraud.

The Swiss president, Guy Parmelin, described the fire “a disaster of unprecedented, horrifying proportions” as he described the devastating toll. “Behind these figures are faces, names, families, lives brutally cut short, forever altered or for ever changed,” Parmelin said at a press briefing.

Gruelling Identification Process

Such was the severity were the victims’ burns that Swiss officials said identification work was particularly gruelling. Families of missing youths issued urgent appeals for news of their loved ones and foreign embassies scrambled to find out if their nationals were among those involved in one of the worst tragedies 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 solemn duty. “All this work needs to be done because the information is so distressing and delicate that no detail can be told to the families unless we are completely certain,” he said.

Overwhelmed Medical Systems

Even with one of the world’s most sophisticated healthcare networks, Switzerland’s regional clinics quickly became overwhelmed in the hours after the fire. Over 30 people were taken to hospitals with dedicated burn centers in Zurich and Lausanne and six were transferred to Geneva, according to news agencies.

Many more 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 offering support.

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 unaccounted for and Italy’s ambassador 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 death toll 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 radio station.

The Italian ambassador said all but five of the injured had now been named. A number of Italians are still missing and more than a dozen receiving treatment. Some victims were returned home 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 a citizen was hurt.

Families in Anguish

Relatives and friends have been working desperately 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 really in shock,” 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 missing since the fire. Outside the bar, now covered 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 many pictures [and] we put them on Instagram, Facebook, all possible platforms to try to find them,” she said. “But there’s nothing. No response. We called the parents. No information. Even the parents don’t know.”

She and a friend later received news that one friend was in a coma in a hospital in Lausanne.

Long Road to Recovery

The director of the city’s university 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 transferred to the surgery 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 months.”