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Survivors of the catastrophic bar fire in the luxury Swiss ski resort of Crans-Montana are receiving treatment in special burns units in various European nations, while authorities report many of the dead were so badly burned that identification could take days or weeks.

A Tragedy of Terrifying Scale

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

“Our primary goal is to assign names to all the victims,” said Crans-Montana’s mayor 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 brutally cut short, completely interrupted or for ever changed,” Parmelin said at a news conference.

Gruelling Identification Process

Such was the severity were the victims’ burns that Swiss officials said the process of identification was particularly gruelling. Families of unaccounted-for young people 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 tragedies to strike modern Switzerland.

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 completely certain,” 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. 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.

Many more of the injured were flown to other countries including Belgium, France and Germany, while the EU said 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 help as clinics in Paris and Lyon admitted victims, 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 ambassador 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 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 the majority of the injured had now been identified. Several Italians are still missing and more than a dozen hospitalised. 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 missing. Australia has said a citizen was injured.

Families in Anguish

Loved ones have been scrambling to find their loved ones, 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 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 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 barrier of temporary barriers, she said she had not heard from them since New Year’s Eve.

“We took many pictures [and] we put them on Instagram, Facebook, every social network possible to try to find them,” she said. “But there’s no news. 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 medically induced unconsciousness in a hospital in Lausanne.

Treatment Will Be Lengthy

The director of the city’s university hospital, Claire Charmet, said it was treating 22 severely injured patients, most between 16 to 26.

“Patients are being medically stabilized and transferred to the surgery or to intensive care units,” she told a local newspaper. “We need to be aware that the medical care will be long and intense, lasting several weeks or even many months.”