Every summer the Isola Tiberina, the island in the river Tiber where it passes through Romes historic centre, becomes a focal point of the citys seasonal arts and entertainment programme with the annual Isola del cinema open air cinema. Several makeshift bars, food stands and stalls have sprung up this year on both banks of the river facing the island, while two pubs have opened on the adjacent Piazza Trilussa. Noise, litter and extra traffic are just a few of the unfortunate consequences of the seasonal fun for the islands residents. Patients at the Ospedale Fatebenefratelli, a hospital on the island whose roots stretch back to ancient times, are suffering. The increased noise has left the hospital staff with little option but to close windows at night, raising temperatures and threatening patients recoveries. Accessibility for the emergency services is practically impossible because of the swarms of visitors.