A relevant issue is that the Italian health system, which experienced financial cuts in the past years, was poorly positioned and resourced to deal with the emergency imposed by the COVID-19 crisis. The lack of an appropriate number of intensive care units, managed care organization, and lifesaving devices such as ventilators may have compromised the care of patients. The paucity of personal protective equipment throughout the country caused a spread of the contagion among medical staff and consequently patients.4 Furthermore, the lack of renovation in health care facilities with inappropriate air ducts could have facilitated virus circulation in compromised patients.