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Those who escaped of the catastrophic bar fire in the upmarket Swiss ski resort of Crans-Montana are receiving treatment in special burns units in various European nations, while investigators report many of the dead were so severely injured that identification could take days or weeks.

A Tragedy of Terrifying Scale

Approximately 40 people were killed and 115 hurt when the blaze ripped through a New Year’s Eve celebration in the packed 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, terrifying proportions” as he outlined the devastating toll. “Beyond these numbers are faces, names, families, lives tragically ended, forever altered or for ever changed,” Parmelin remarked at a news conference.

Challenging Task of Naming Victims

So severe were the victims’ burns that Swiss officials said identification work was particularly gruelling. Parents of missing youths issued pleas for news of their family members and diplomatic missions worked urgently to find out if their citizens were among those caught up in one of the worst disasters to strike modern Switzerland.

A regional leader, 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 terrible and sensitive that no detail can be told to the families unless we are 100% sure,” he said.

Hospitals Reach Capacity

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

A significant number 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, said he had offered his country’s help as clinics in Paris and Lyon admitted victims, while Sweden and North Macedonia also said they had hospital beds available.

A Multinational Tragedy

Italy and France are among the countries that have said some of their nationals are unaccounted for and Italy’s diplomatic representative to Switzerland said the Italian foreign minister would travel to Crans-Montana.

Swiss officials have said about 40 people were killed but a foreign government has put the death toll at 47, based on early data.

A regional health and safety official said on Friday he was “surprised” by the latter figure. “This is not the same number that we have,” he told a media outlet.

The Italian ambassador said all but five of the injured had now been identified. Several Italians are still missing and more than a dozen receiving treatment. Some victims were repatriated 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 one of its nationals was hurt.

Families in Anguish

Relatives and friends have been working desperately to find their loved ones, using social media to circulate photos 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 stated.

Eleonore, 17, started the year with a frantic search for friends who have been missing since the fire. Standing outside the bar, now shielded by white tarpaulins and a wall of temporary fencing, she said she had not had contact with them since New Year’s Eve.

“We took loads of photos [and] we put them on Instagram, Facebook, all possible platforms to try to find them,” she explained. “But there’s no news. No response. We called the parents. Nothing. Even the parents haven't heard anything.”

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

Treatment Will Be Lengthy

The director of the city’s teaching 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 intensive care units,” she told a local newspaper. “We need to be aware that the medical care will be protracted and demanding, lasting many weeks or even many months.”