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HEALTH

Coughs, colds and flu: What to say and do if you fall sick in Spain

Falling ill sometimes is inevitable, so if you're feeling unwell in Spain you'll want to know how to explain your symptoms and situation correctly, whether it's to the pharmacist or your boss.

sickness vocab spanish
Familiarise yourself with the Spanish vocab you'll need when you fall ill. Photo: Photo by Andrea Piacquadio/Pexels

It’s the time of year when people start suffering from all sorts of autumn malaise, as children return to school and adults to the workplace.

That means that if you are feeling poorly and you live in Spain, you’ll need to be familiar with certain words that help you describe what you have and the symptoms, as just saying estoy malo/a (I’m sick) won’t cut it. 

La gripe : The flu. Some Spaniards may say gripe to describe a bad cold, but generally you’d call it gripe if you have a temperature. Bad flu can be described as un gripazo and you can also use the adjective engripado/a to describe yourself as having the flu.

Example: Tengo gripe, me encuentro fatal (I have the flu, I feel horrible)

Un resfriado: A cold. Un resfriado is how Spaniards refer to the common cold, with milder symptoms than the flu. Resfriado is both the noun and the adjective, so you can say tengo un resfriado (I have a cold) or estoy resfriado

Example: He pillado un resfriado, eso me pasa por no abrigarme (I’ve caught a cold, serves me right for not wrapping up)

Un constipado: Don’t be fooled by this false friend in Spanish, as it describes having a head cold (blocked nose) rather than constipation in the bowel area (which by the way is estreñimiento in Spanish). Again, constipado is both the adjective and the noun, so you can say estoy constipado or tengo un constipado.

Example: Estoy constipado, no paro de sonarme la nariz (I’ve got a head cold, I can’t stop blowing my nose)

Covid: Ah yes, the virus that dominated our lives for two years and is still around (minus the rules and restrictions). If you get tested (hacerse la prueba) and you test positive (dar positivo), you no longer have to self-isolate (hacer cuarentena) or wear a mask (llevar mascarilla) but you may want to do that anyway to prevent your loved ones and colleagues from getting el coronavirus

Example: Me he hecho la prueba de antígenos y he dado positivo por Covid (I got an antigen test and I tested positive for Covid)

Los síntomas (The symptoms)

You will need to describe your symptoms, either to a pharmacist if you want over the counter medicine or to the doctor if you require a day off sick.

La fiebre: to have a temperature or a fever. A slightly high temperature is referred to as febrícula.

Example: Tengo fiebre alta y escalofríos (I’ve got a high temperature and the shivers)

La tos: A cough. If you have one of these you will likely need one of the various jarabes (cough syrup) on offer.  There is a wide range of jarabes antitusivos, mucolíticos and expectorantes available over the counter depending on whether you are suffering from una tos seca (dry cough) or are bringing up flema (phlegm). You may also want pastillas para la garganta, throat lozenges or cough drops to help ease the symptoms.

Example: No paro de toser, es una tos seca (I can’t stop coughing, it’s a dry cough)

Dolores musculares/mialgiasA bout of the flu often brings muscle aches or joint pains. You may not have la gripe but be suffering una contractura (muscle cramp). If a paracetamol doesn’t fix the problem, you may need to get some analgésicos (painkillers). 

Example: Tengo dolores musculares en la espalda y en el cuello (I’ve got muscle aches in my back and neck)

Dolor de cabeza: A headache can be described as simply dolor de cabeza , whereas more constant or recurrent headaches can be referred to as cefalea or migraña (migraine). These can be treated with pastillas (pills) such as aspirina, ibuprofeno or naproxeno.

Example: Tengo un dolor de cabeza que no puedo ni pensar (I’ve got such a bad headache it won’t let me think)

Estornudos: Sneezing in Spain is met with the expression ¡Jesús! or ¡Salud! in place of “Bless you!” and is often accompanied by secreción nasal (a runny nose) otherwise known as mocos (snot). The verb to sneeze is estornudar.

Example: No puedo dejar de estornudar, ¿no tendrás un Kleenex? (I can’t stop sneezing. You don’t have a tissue, do you?)

Dolor de garganta: A sore throat often accompanies colds and flu or could be caused by inflamación de las amígdalas (inflammation of the tonsils) which may require antibióticos, available only with una receta médica (doctor’s prescription).

Example: Me duele mucho la garganta, por eso estoy ronco (Me throat hurts a lot, that’s why I’m horse)

La farmacia (chemist or pharmacy)

Your first point of call should always be the pharmacy where you will find a huge selection of medicines available over the counter. Pharmacists (farmacéuticos) in Spain do receive extensive medical training so are able to provide consultations and advice on a range of minor illnesses.

Pedir la baja (calling in sick)

If you are too sick to go into work then you may be required to go to a doctor to get a baja – a signed sick note – which must be provided to the employer within three days of the first day of sickness, delivered either in person, by a colleague or via email.

If it’s a short-term illness (such as the flu) then this may be accompanied by an alta (fit for work document) so as not to require a repeat visit to be given the all clear a few days later.

If a sick period lasts beyond seven days then a repeat visit to the doctor and a repeat baja must be signed.

It’s no longer compulsory in Spain to request sick leave if you have Covid-19, although depending on how serious your symptoms are you may want to reach a teletrabajo (work from home) agreement with your boss.

You must be back at work the day after the alta is signed which must be presented at work within 24 hours. 

Example: Voy a tener que pedir la baja porque me encuentro muy mal (I’m going to have to get a signed sick note because I feel very unwell)

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For members

HEALTH

How many hours do I have to work to get access to public healthcare in Spain?

A common question among those wanting to move to Spain is if they will have access to the Spanish public healthcare system even if they only work part time or a few hours a week.

How many hours do I have to work to get access to public healthcare in Spain?

In order to understand the answer to this question, you need to be aware of several rules on who has the right to public healthcare in Spain. 

In Spain, you have the right to access public healthcare under the following circumstances:

  • You are an employee or self-employed and are affiliated and registered with the social security system
  • You receive Spain’s state pension
  • You are the recipient of benefits, including unemployment benefits or subsidies.
  • You have exhausted your unemployment benefit or subsidy or other benefits of a similar nature and are unemployed and residing in Spain
  • Children under the age of 15
  • Students under the age of 26

You also have the right to healthcare if your spouse pays into the social security system or if you’re pregnant.

READ ALSO: Does permanent residency in Spain equal free public healthcare?

But what happens if you are an employee, but you only work part-time, does the number of hours you work affect whether you have the right to public healthcare coverage?

Even if you work part-time (or media jornada in Spanish), you will still be paying into the social security system automatically – part of it from your salary and part of it from your employer.

Therefore you will be affiliated in the social security system as in point one above. 

According to stats from Spain’s National Statistics Institute (INE), a total of 6.6 percent of men in Spain in 2022 worked part-time and 21.6 percent of women. In September 2023, there were 2.9 million part-time employees in the country.

As far as social security is concerned, those who work part-time benefit the same as those working full-time when it comes to national healthcare, regardless of the length of their day. Part-time contributions count as one full day when it comes to paying social security.

READ ALSO: What to be aware of before accepting a part-time job in Spain

This rule, equating part-time work to full-time work was brought into force on October 1st 2023 in order to try and help reduce the gender pay gap in Spain, but was designed with the pension system in mind rather than national health coverage.

The advantage is that it also benefits those who want to work part-time and still be able to access healthcare. Even before this was brought into force, however, those working part-time and paying social security were still covered. 

All this means that there isn’t a specific number of hours you must work in order to be able to be covered under the Spanish healthcare system, and as long as you’re paying social security or fall into one of the categories above, you will be able to benefit from it.

Remember that if you’re not employed or self-employed in Spain and don’t have a spouse who is either, then you may not be covered.

To get around this you can either join a programme such as the S1 scheme for British pensioners or pay the convenio especial in order to benefit from public healthcare. For this, you will pay a monthly fee of €60 if you are under 65 and €157 if you are over 65. 

If none of these options are available to you or the requirements of your visa say so, then it’s necessary to get private health insurance instead.

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