As lições relevantes para outros países são a necessidade de 1 - evitar levar pacientes com suspeita de infecção por SARS-CoV-2 para o hospital, excepto quando eles claramente exigem cuidados hospitalares; 2 - manter procedimentos rigorosos de higiene no ambiente hospitalar; e 3 - agir rapidamente em caso de exposição do pessoal médico para evitar perda de capacidade do pessoal.
In the coronavirus disease 2019 (COVID-19) pandemic, Italy has been hit very hard,1 with 110 574 documented cases and 13 155 documented deaths related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection as of April 1, 2020. The number of cases and deaths cannot be explained simply because of the epidemic starting in Italy earlier compared with other countries besides China. It is important to understand why death rates were so high in Italy to learn how to best prepare and how to plan for optimal actions in other countries. Some contributing factors may be immutable (eg, age structure of the population), but even these need to be laid out carefully in preparedness assessments. Some other contributing factors are potentially modifiable.