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ANALYSIS

Is it the beginning of the end for Spain’s fifth wave?

Spain’s Covid infection rate continues its downward trend but hospitalisations and deaths remain high in a country where 60 percent of people are fully vaccinated. 

Is it the beginning of the end for Spain's fifth wave?
Photo: Medical personnel of Barcelona's Hospital del Mar take a COVID-19 patient back to his ward after getting some fresh air by the sea. Photo: Lluis Gené/AFP

The fifth wave of the coronavirus in Spain appears to have reached its peak. 

On Monday August 8th, Spain’s Health Ministry reported the national fortnightly infection rate had dropped from 591 on Friday down to 549 cases per 100,000 people. 

This means the incidence of the virus in the country has dropped by 100 points over the past week, with 39,638 new cases reported on Monday compared with 55,939 seven days earlier.

Over the past two weeks, Spain’s Covid-19 infection rate has decreased by 22 percent, and the drop in cases is even more pronounced in Catalonia (-52 percent), Asturias (-48 percent), Castilla y León (-38 percent) and Navarre (-37 percent). 

The Balearic Islands have now replaced Catalonia as the region with the highest infection rate in all of Spain – 726 cases per 100,000 people over the past 14 days. 

Despite the overall promising trend, hospitalisations and Covid deaths remain high, especially in light of the fact that 70 percent of the country’s 47 million inhabitants have received at least one dose of the Covid-19 vaccine, and 60 percent have completed their vaccination. 

A total of 119 Covid deaths have been recorded over the past seven days compared to 157 the previous week. The total number of people who have died from Covid-19 in Spain since the pandemic began now stands at 82,125.

There were 1,047 new hospitalisations over the weekend, taking the total number of people currently in hospital in Spain with Covid-19 up to 10,441. 

Bed occupancy at intensive care units has also risen slightly to 22 percent, but in Catalonia (49.7 percent occupancy rate) and Madrid ( 31.3 percent) the pressure on hospitals is greater.

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The truth remains that all of Spain’s 50 provinces have infection rates above 250 cases per 100,000 people – the highest risk classification (extreme) by Spanish health authorities – and falling infection rates are not resulting in dramatic drops in hospitalisations or deaths. 

In the case of Malaga province, the incidence of the virus has fallen by 141 points in the past week, but on Monday the southern territory recorded 14 Covid deaths in a 24-hour period, the worst daily figures of the fifth wave. 

So although the peak of the wave may have been surpassed, the evidence suggests that Spain is still not in the final lap of its quinta ola (the fifth wave).

A constantly evolving epidemiological situation and virus means regional authorities may think twice before rushing to ease restrictions once the incidence drops, especially given the fact that young people are the main group who still haven’t been vaccinated and they’re expected to return to the classrooms in September.

Future mutations and the fact that under 12s (11 percent of Spain’s population) are not yet approved to have the vaccine has led some experts to state that the prospect of a sixth wave in autumn is high.

According to virologist and former WHO director Rafael Bengoa, the de-escalation of Covid restrictions will be key to ending the fifth wave and prevent future ones.

“With the fourth wave we did not do it properly and then we had the fifth wave,” Bengoa told El País. 

“This could happen again. And with the Delta variant we must have much more patience because it’s far more contagious. We should ensure two or three weeks with very low incidence and in that case we will have a good autumn”.

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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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