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MAPS: Which cities in Spain have the highest rates of infection?

There are at least 34 cities in Spain where the infection rate is described as "alarming" by health authorities.

MAPS: Which cities in Spain have the highest rates of infection?
Coronavirus hotspots in Spain right now.

Spanish Health Minister Salvador Illa said on Tuesday that the state of alarm declared in the Madrid region last Friday will remain in place until there is a significant drop in coronavirus transmission rates.

The criteria to introduce restrictions included a cumulative incidence rate of above 500 cases per 100,000 people over a 14 day period and would be applied to those cities with a population above 100,000.

But despite Madrid’s rate falling to below 500 cases per 100,000 from a peak of 750 according to data reported by the Madrid health authorities, Spain's Health Minister insisted that wasn’t enough.

“The cumulative incidence has to drop a lot more, not just below 500 cases, but to below at least 200, and ideally below 100,” he said.

Looking at the figures across Spain reveals that at least 34 cities have an incidence rate above the 200 threshold.

Of the 63 cities that have above 100,000 residents in Spain there was no up-to-date information for nne of them because of regional authorities in  Aragón, Baleares, Cantabria, Castilla y León, Extremadura and Galicia had not reported the data. 

But of those that did post data, 34 cities reported a cumulative incidence rate of at least 200 cases per 100,000 people. 

Click on the interactive map below to see the data for each city with dots ranging from yellow to red to illustrate the infection rate from lowest to highest. Green dots show those cities for which there was no recent data to compare.  


 

 

 

Under existing Health Ministry’s rules,  a municipality with a population above 100,000 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.

So far only Madrid and nine satelite towns around it have been confined under the state of alarm but authorities in Castilla y León introduced confinement measures in the municipalities of León, Palencia and San Andrés del Rabanedo under the orders approved by a majority of regional communities two weeks ago. 

Navarra has introduced new restrictions limiting  gatherings to six people, and closing bars and restaurants by 10 pm as well as limiting their capacity to 30 percent, but they have stopped short of a perimetre lockdown in Pamplona, the city with the highest infection rate in the whole of Spain.

Catalonia is preparing to announce new restrictions after a spike in infections in Barcelona and across the northeastern region while in Andalusia, health authorities imposed restrictions on university students in Granada after a surge of infections were blamed on students flouting social distancing rules during weekend parties. 

The Andalusian government has also increased restrictions on movement in the municipality of Écija in Seville due to an outbreak and will close bars and restaurants in Sierra de Yeguas in Málaga. 

To find out the cumulative incidence rate (IA in Spanish) in any municipality in Spain consult this interactive map produced by Maldita.es below.

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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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