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EXPLAINED: What we know about Spain’s lockdown exit strategy

The government in Spain looks poised to extend lockdown beyond the current deadline of April 25th, possibly until May 10th. But is there a plan for lifting restrictions?

EXPLAINED: What we know about Spain’s lockdown exit strategy
Heathcare workers wearing face masks and protective suits acknowledge applause outside the Hospital de Barcelona. Photo: AFP

Prime Minister Pedro Sanchez will appear before Spain’s parliament on Wednesday April 22nd to present his arguments for extending the lockdown another fortnight.

Where are we now with lockdown?

Monday saw Spain lift the total ‘economy hibernation’ measures that had been imposed on March 30th and allow workers in in certain key sectors – such as construction and manufacturing – to return to work, as long as social distancing measures could be applied.

But people in Spain are still confined in what is one of the strictest lockdowns in Europe. Residents are confined to their home except for specific reasons that include shopping for essentials, visiting the pharmacy or seeking medical treatment.

But apart from dog owners who are permitted to take their pets on short walks outside, people in Spain are not even allowed to go outside in public places to take any exercise.

Could people be allowed to take a walk outside?

A committee headed by Theresa Ribera,  minister for environmental transition and one of Spain’s deputy prime ministers, has pulled together experts head of different government divisions and representatives from each of Spain’s 17 regions to explore various scenarios for lifting lockdown when the time comes.

But beyond a few key ministers, the identity of those involved in the task force has not been revealed nor have the specific scenarios under consideration.

Spanish media are widely reporting, including El Pais, a newspaper close to the socialist government, that authorities are considering loosening lockdown measures somewhat and may allow people to leave the house for exercise and to take children outside for short periods of time before the lockdown is lifted completely.

Region by region?

One of the issues being brought to the table however is whether lockdown restrictions can be lifted at different times in different places, depending on how affected and to what extent the outbreak is under control in each region.

For instance, the Canary Islands seems to have the outbreak under control and the archipelago could maintain strict controls on entry but allow more freedom of movement around each island, some of which are close to being entirely free of coronavirus cases.

But the lifting of restrictions per region has so far been ruled out before the next lockdown deadline (of April 25) by Interior Minister, Fernando Grande-Marlaska.

The data in the following tweet shows the huge disparity between regions when it comes to coronavirus cases and deaths. The final column shows the number of deaths per 100,000 people by region.

Gradual Normalization

One thing being discussed is a period of what has been dubbed ‘gradual normalization’ – or ‘normalización atenuada’ in Spanish- which involves staggering the relaxation of restrictions into two stages.

The first phase, according to Spanish media reports, which could last from the start of June until the end of July would see restrictions on travel within Spain itself and close monitoring of citizens.

It wouldn’t be until the second stage which would continue to the end of the year, that bars, restaurants and hotels could expect to open, according to a report in Spanish newspaper, 20 Minutos. 

Too early could provoke second wave of infections

Experts fear that governments will bow to economic and social pressure to lift their lockdowns prematurely, and warn that such a move could allow COVID-19 to return.

“Lifting the restrictions too quickly could lead to a deadly resurgence,” warned World Health Organization chief Tedros Adhanom Ghebreyesus last week.

It is widely agreed three conditions must be met before it is even sensible to consider loosening lockdown restrictions. 

First, there would need to be an established decline in the number of COVID-19 cases in intensive care. This would give exhausted health workers a badly needed respite and allow hospitals to restock equipment and supplies.

The transmission rate of COVID-19 — the number of people an infected individual infects in turn — would need to have dropped below one, compared to 3.3 people at the start of the outbreak.

And finally there would need to be a sufficient number of masks to protect the populace and tests to closely monitor the virus's spread. 

Although Spain seems to have seen the peak in the coronavirus outbreak which is thought to have come on April 2nd, the country is still far from meeting the three prerequisites and still isn't close to having the capability for widespread testing and monitoring. 

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HEALTH

Respiratory infections soar in Spain over Christmas as hospitals struggle

Cases of viral respiratory infections such as flu, Covid and bronchitis have shot up over the past few weeks in Spain, putting an enormous strain on hospitals across the country and causing a severe lack of beds.

Respiratory infections soar in Spain over Christmas as hospitals struggle

Winter colds and flu are common, but this year Spain has seen a spike in cases of three different viruses – flu, Covid and bronchitis at the same time.

This comes after the festive and New Year period with lots of family gatherings and meetings with friends without much thought for social distancing days of the pandemic.

Rise in cases

According to health services, there are 35 percent more cases of these infections than a year ago, a percentage that is expected to continue rising until the third week of January when the epidemic peak will be reached after more gatherings for Three Kings’ Day on January 5th and 6th.

In a period of seven days, the rates of flu have gone from 532 to 908 cases per 100,000 inhabitants. The cases of Covid have also grown from 12.6 percent to 13.6 percent.

The Health Minister, Monica García has published a message on social media reminding the public of the importance of getting vaccinated and maintaining prevention measures, such as ventilating rooms, washing hands and wearing a mask.

The head of the Emergency Department at the Reina Sofía University Hospital in Murcia, explained that the profile of these patients ranges “from young people with flu pathologies who go to the emergency room because health centres have delayed their appointments and people over 80 years old with pneumonia due to the flu who end up being admitted”.

Lack of hospital beds

According to the first vice president of the Spanish Society of Emergency Medicine (SEMES), Pascual Piñera, 10 of patients with these infections end up admitted to hospital overnight and one of the biggest problems staff are facing is the severe lack of beds, “They have nowhere to put the sick”, he explained.

The situation is the same all over the country. Red Workers union of the La Paz University Hospital in Madrid has reported that there are 105 patients pending admission and beds in the hallways are in double rows, “which cannot be evacuated if the patient worsens or there is a fire”.

Delays in primary health care 

Acute respiratory infections not only put a strain on hospitals and emergency rooms, but also primary care centres, causing delays and long waiting times for appointments. 

The spokesperson for the Federation of Associations for the Defence of Public Health (FADSP), Marciano Sánchez Bayle, explains that it is generating a “major traffic jam” in the healthcare system “where appointments are made for very late dates”.

Sánchez Bayle cites the case of the Community of Madrid, where he knows that appointments requested in December were not given until the end of January “which further clogs an already saturated system”. 

The need for greater vaccination rates 

Besides the festive period, many health professionals believe that the situation could be improved if more people were getting vaccinated, specifically against the flu. 

Flu vaccination in Spain is far below the WHO recommendations, hovering around 50 percent of the population at risk, when the goal is 75 percent. And the percentage is even lower in the case of children under five.

According to the Ministry of Health, the objectives for vaccination against flu and Covid-19 for the 2023-2024 season are to achieve or exceed vaccination coverage of 75 percent in older people and health workers, as well as 60 percent for pregnant women and people with at-risk conditions.

Amós García Rojas from Spain’s Vaccinology Association believes that after a few years without flu during the Covid pandemic, society has relaxed.

The vaccination campaign has not yet ended, so there’s still time to get yours before the end of the season. The campaign began on October 15th and ends on January 31st. 

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