That's actually not as many cases as I thought? How many ICU beds do they have in Lombardy? That death rate is pretty bad though.
Please note, and share the info as necessary. You can find a variety of sources from within the worst hit regions such as northern Italy and within Iran that confirm a severe undercounting of cases for four primary reasons :
1- Incompetence/Lack of understanding. This is usually with countries too arrogant to believe they are at risk, and don't begin any response until it becomes obvious that they're seeing a hit. High chance to move through the stages towards group 4.
2- Political repression and dictatorship. These regimes do not want to appear weak to their citizens, and often have a total anathema to free exchange of ideas and information, or science and fact based reasoning in general. North Korea, Iran, etc, as well as China for similar reasons. This category can jump rapidly to group 4.
3- Western Democracy political and economic policy confusion and delay. This is US/UK in a nutshell. You have a wide variety of people pulling in different directions, and trying to mount an initial response to get accurate testing kits and policies together is like herding cats. Once all the engines are firing and legislative and executive bickering are replaced with a more unified or enforced single purpose, this should ease and become more accurate, but the delays may lead us to join group 4 :
4- The medical services personnel dealing with incoming severe cases simply become too overwhelmed with using every spare minute of time towards triage and treatment. Critical cases are self evident, and bothering with testing if they even have spare testing materials on hand becomes simply not worth even the smallest delay. This is the nightmare scenario. The best available medical staff is assaulted with far more than they can fully cover, and their levels of infection and exhaustion rapidly rise. This further deflates any accurate confirmed counting, as well as decimates the quality of care provided as human resources and supplies dissipate. This is the case with Iran and Italy now. It was the case in Wuhan, and that was only patched over somewhat by the biggest medical emergency response in world history, where masses of workers of all types were rushed in on military terms from across the continent.