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COVID-19

Why does Catalonia have the highest Covid-19 infection rate in Spain and the EU?

Infection rates are shooting up in Spain more than in any other EU country, but in the region of Catalonia the incidence of Covid-19 is the highest in the bloc. Why is Catalonia’s infection rate spiralling out of control?

Why does Catalonia have the highest Covid-19 infection rate in Spain and the EU?
An e-scooter rider in Barcelona, where Covid cases have shot up the most in Catalonia. Photo: Lluis Gené/AFP

Spain’s fortnightly infection rate is climbing exponentially, with 438 cases per 100,000 people reported on Tuesday July 13th, the highest rate since last February.

As the latest map by the ECDC reflects, the prevalance of the virus in Spain clashes with the relatively low incidence across the continent at the moment (Spain’s infection is higher still since the map below was published).

Cyprus (493 per 100,000) and parts of Portugal have higher or similar infection rates to Spain’s current rate, as well as the UK (not featured on the map as not part of EU), where the 14-day infection rate is nearing 500 cases per 100,000 people.

 why catalonia has highest infection rate in eu

However, there is no region anywhere else in Europe with a higher infection rate than Catalonia, where the infection rate is now a worrying 1,031 cases per 100,000 inhabitants. 

That’s more than double the national average and three times or more that of 11 other autonomous communities. 

Even though Covid cases have spiked across much of the territory, Catalonia’s infection rate is effectively pushing Spain’s national infection rate up.

“We are on a vertical curve,” Clara Prats, a researcher at Catalonia’s Bioscom research centre, told Spanish daily El Independiente about the upward trajectory of cases and how it’s quickly snowballing.

The following map by Bioscom shows just how prevalent high infection rates are across the region (click here for interactive version), not just in the capital Barcelona. 

Why does Catalonia have the highest infection rate in all of the EU?

Why is Catalonia’s infection rate so high?

Spain’s fifth wave is believed to have started as a result of San Juan celebrations on June 23rd, when the country’s infection rate stood at around 92 cases per 100,000.

By that stage, the country’s state of alarm had been over for more than a month, resulting in a general easing of Covid restrictions which in cities such as Barcelona and Madrid was celebrated by thousands of people in packed squares as if it meant the pandemic had ended.

This sense of “false security”, as described by leading epidemiologist and former WHO directive Daniel Lopez Acuña, has prevailed among young people from May into June as their school years ended and the summer weather pushed them to spend time in the streets. 

In a city like Barcelona, which has a large young cosmopolitan population and attracts thousands of international tourists looking to party, footage of squares and beaches packed with maskless revellers have become commonplace every weekend.

The Spanish government’s decision to lift the outdoor mask rule on June 26th together with the reopening of the city’s nightlife establishments (now closed again) have both contributed to making the incidence of the virus among young people go off the charts: more than 2,000 cases per 100,000 20 to 29 year olds.

But it’s the consolidation of the more transmissible Delta variant as the dominant strain in Catalonia together with the fact that it’s mainly unvaccinated young people in Catalonia who are getting infected that have ensured that Covid cases have multiplied by more than ten in just two weeks in the region of 7.6 million people. 

Moreover, the decision to suspend Covid tests for asymptomatic cases has been criticised as an apparent lack of interest by health authorities to trace infections and ensure young people who have Covid-19 quarantine for ten days. This responsibility has since been relayed to Catalonia’s pharmacies. 

“If you asked me if we’d lift restrictions when we did again, the answer is no,” Catalan Health Councillor Jose María Argimon told Catalonia’s TV3 when asked if the regional government had lifted Covid restrictions too soon. 

All these factors have added up and turned into a perfect storm that’s made Catalonia the region with the highest Covid infection rate in the whole of the EU.

Now it remains to be seen whether the Catalan government’s closure of nightclubs, extra police presence at night to break up street drinking, limits on social gatherings/busines hours and the possible return of the curfew will slow the region’s vertical curve. 

Considering that Barcelona’s R number is 3,1 at present (meaning 100 infected people infect another 310) and that only around 14 percent of 20 to 39 year olds have received at least one dose in the region, infections look set to continue rising in Catalonia.

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COVID-19

Public Health Agency recommends two Covid doses next year for elderly

Sweden's Public Health Agency is recommending that those above the age of 80 should receive two doses of a Covid-19 vaccine a year, once in the spring and once in the autumn, as it shifts towards a longer-term strategy for the virus.

Public Health Agency recommends two Covid doses next year for elderly

In a new recommendation, the agency said that those living in elderly care centres, and those above the age of 80 should from March 1st receive two vaccinations a year, with a six month gap between doses. 

“Elderly people develop a somewhat worse immune defence after vaccination and immunity wanes faster than among young and healthy people,” the agency said. “That means that elderly people have a greater need of booster doses than younger ones. The Swedish Public Health Agency considers, based on the current knowledge, that it will be important even going into the future to have booster doses for the elderly and people in risk groups.” 

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People between the ages of 65 and 79 years old and young people with risk factors, such as obesity, diabetes, poor kidney function or high blood pressure, are recommended to take one additional dose per year.

The new vaccination recommendation, which will start to apply from March 1st next year, is only for 2023, Johanna Rubin, the investigator in the agency’s vaccination programme unit, explained. 

She said too much was still unclear about how long protection from vaccination lasted to institute a permanent programme.

“This recommendation applies to 2023. There is not really an abundance of data on how long protection lasts after a booster dose, of course, but this is what we can say for now,” she told the TT newswire. 

It was likely, however, that elderly people would end up being given an annual dose to protect them from any new variants, as has long been the case with influenza.

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