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What we know so far about Spain’s new plan for Covid-19 high risk zones

Spain’s Health Ministry has agreed a new plan for municipalities where coronavirus new infection rates soar above an acceptable threshold.

What we know so far about Spain’s new plan for Covid-19 high risk zones
Photos: AFP

The proposal, which won the overall agreement of regional authorities, aims to place new restrictions on movement and limit social gatherings in those areas where coronavirus is spiralling out of control.

The new measures have been unveiled just days after Spain's government warned the Madrid authorities of drastic measures if the region failed to move decisively to slow the uncontrolled spread of coronavirus infections.

What are the criteria?

The document sent to the Inter-territorial Health Committee for discussion on Wednesday afternoon sets out the criteria for all cities in Spain that have a population of  at least 100,000 residents.

It states that a municipality must impose new restrictions if all of three conditions are met and these are: if the cumulative incidence of Covid-19 over 14 days rises above 500 cases per 100,000 inhabitants; if more than 10 percent of PCR tests conducted in the zone are confirmed positive and if a threshold of 35 percent of intensive care beds are occupied by coronavirus patients.

“This agreement has been approved by a broad majority,” said Health Minister Salvador Illa after consultations with Spain's 17 autonomous regions, who are responsible for public healthcare and managing the pandemic.

What then?

If a regional health authority detects that a municipality has met the criteria then it must impose selective confinement of the zone “within 48 hours”.

What are the restrictions?

The restrictions are broadly along the lines of those that have already been imposed in hard-hit areas of Spain, including 45 health zones in Madrid.

Basically, it requires residents to stay within the restricted zone unless they have to travel outside it for work, study, or take children to school.

Exceptions are also made for those who have to visit dependents, seek medical attention or attend a legal or administrative appointment.

Bars and restaurants will remain open but at half the capacity that they are normally allowed, 60 percent on terraces and no service at the counter and they must shut by 11pm. Home delivery is allowed.

Shops and commercial premises can continue to remain open but with 50 percent of occupancy and must close by 10pm.

All social groups must not exceed six people both within the home and in public places unless it is in a work or institutional environment.

Exceptions are made for household that contain more than 6 people.

The initial draft suggested that within restricted zones parks and public spaces such as playgrounds are closed but this appears to have revised and the measure is not included in the final notice published on the BOE (Offical State Gazette)

Cinemas, theatres, libraries and sports centres will remain open but limited to 50 percent of capacity.

While the capacity at religious sites will be cut to one-third and funeral attendees reduced to 15 people in outdoor spaces and 10 indoors.

The usual social distancing rules and compulsory mask wearing will remain in place.

Traffic will be permitted to pass through the restricted area as long as it is only in transit and its departure and destination points are outside of the restricted zone.

READ ALSO: Rules, permits, fines: What you need to know if you live within Madrid’s new confinement zones

Where in Spain are the new restrictions likely to be applied?

The city of Madrid and eight other municpalities within the Community of Madrid  are the only municpalities that currently meet the criteria for confinement.

These are Fuenlabrada, Parla, Alcobendas, Torrejón de Ardoz, Getafe, Leganés, Móstoles and Alcalá de Henares.

Data pubished by the Health Ministry on Tuesday September 29th shows that the capital has a 14-day cumulative incidence of Covid-19 currently averaging  789 cases per 100,000 inhabitants, more than double the national average of 294 across Spain.

The only other city in Spain currently at risk is Pamplona in Navarra, but although its cumulative incident rate of 685.71 cases per 100,000 is above the 500 threshold, the percentage of coronavirus patients currently treated in ICU in the city's hospitals falls below the 35 percent threshold at 22 percent.

48 hour deadline  

Madrid authorities have until Friday at 10.48pm to enforce the restrictions in the capital and other municpalities within the region that meet the criteria.

Madrid reluctant to comply

However, Madrid health authorities are at odds with the Spanish government over the new plan  but on Thursday morning said they would comply with the orders but still fight it through the courts. 

Madrid regional president Isabel Diaz Ayuso told the regional assembly on Thursday she had no choice but to follow the lockdown – even though she would mount a legal challenge.

“This region is not in rebellion and will strictly comply with all the orders,” she said. “But yes, we will go to the courts … to stand up for the rights of the Madrilenos.”

Over the past ten days, the Madrid authorities have placed around a million people under partial lockdown, but the measures have fallen well short of the central government's demands, triggering the current proposal.

READ MORE: Madrid authorities fight government orders to confine capital

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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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