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FLU VACCINE

Getting the flu vaccine in Spain in 2021: What you need to know

Spain’s Health Ministry will officially kick off this year’s flu vaccine campaign on October 25th, with health experts stressing the risks of contracting influenza and Covid-19. Here’s who should get the flu vaccine, how it ties in with a third Covid vaccine and more.

A man received the flu vaccine in Spain. Most regional health authorities will administer a third Covid-19 booster vaccine along with the flu vaccine.
Most Spanish regional health authorities will administer a third Covid-19 booster vaccine along with the flu vaccine. Photo: Pau Barrena/AFP

When will Spain’s flu jab campaign be launched?

Spain’s Health Minister Carolina Darias announced in late September that people across the country would be soon able to get their flu jab, a nationwide start date which has now been officially confirmed as Monday October 25th.  

However, regions such as Galicia, the Basque Country and Andalusia have kicked off their campaigns early as they’ve already seen an increase in flu cases this autumn.

In the Balearic Islands on the other hand, the flu vaccine campaign is likely to start in early November.

Who can get the flu vaccine?

Spanish health authorities recommend the flu vaccine for four main groups:

  • people over 65, especially those in care homes 
  • People under 65 with pre-existing conditions (diabetes, obesity, cancer…), premature babies between the age of 6 months and two years, pregnant women at all stages of pregnancy
  • Those who spend time regularly with people in these high-risk groups
  • Essential workers such as health personnel, police, firemen

“Now more than ever, it’s important to get the flu vaccine,” Darias said with regards to high risk groups in particular, as the compounded effect of contracting the Covid-19 virus and the flu virus poses a serious threat to them.

Spain’s Health Ministry also warns that the “synergistic effect” of influenza and Covid-19 in the body multiplies the risk of death in case of coinfection by the two viruses. 

What about the third Covid-19 dose?

Most regional health authorities will administer a third Covid-19 booster vaccine along with the flu vaccine. 

So far those approved for a third jab of the inoculation against the coronavirus are over 70s and immunosuppressed people

Almost 7 million people in Spain fall into the over 70s category and their booster vaccines will be either Pfizer or Moderna.

The scheduled launch of third vaccines for people aged 70 and over is October 25th, the same date as for the flu vaccine in many parts of the country.

Whether those eligible for the vaccines can get the flu and the Covid-19 vaccine during the same visit to the health centre or vaccination point will depend on availability and resources, as each of Spain’s 17 regions is responsible for organising its own health plan. 

What do the experts say?

Experts believe this year’s flu season will have more cases and associated deaths than in 2020-2021 when numbers were particularly low, but no more than other years. 

According to Spain’s National Epidemiology Centre, in 2019-2020 the common flu affected a total of 652,400 people in Spain, of which 1,800 ended up in ICU and 3,900 died from the disease. The previous season (2018-2019) the flu caused 6,300 reported deaths in Spain.

“Although the use of face masks has declined outdoors, it’s still mandatory in stores, schools and other indoor spaces, which is an effective way of reducing infections,” Juan Antonio Sanz of the Spanish Association of Preventive Medicine told news agency EFE.

However, as Jose María Molero of the Spanish Society of Family and Community Medicine points out, social mobility has been practically restored and fewer people will have natural immunity to the common flu as there were far fewer cases last year: “That’s going to mean there’s more likelihood of higher virus transmissibility”.

How do I book a flu vaccine?

You’ll have to either ask at your local health centre “¿como puedo pedir cita para la vacuna de la gripe?” (How can I book an appointment for the flu vaccine?) or Google it along with the name of your province or region. 

Every regional health authority in Spain has its own system in place, although scheduling a vaccination online is usually possible.

Unlike with the Covid-19 vaccine, private health centres in Spain do have the right to administer flu vaccines to patients, meaning that getting the vacuna antigripal is possible outside of the Spanish public health system. 

It’s also possible to buy a flu vaccine dose at pharmacies in Spain and either administer it yourself or ask someone at a private health centre to do it for you at a small cost, but you may be asked for a doctor’s prescription.

The price of the flu vaccine at chemists is usually €10 to €15. 

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COVID-19 VACCINES

Italy’s constitutional court upholds Covid vaccine mandate as fines kick in

Judges on Thursday dismissed legal challenges to Italy's vaccine mandate as "inadmissible” and “unfounded”, as 1.9 million people face fines for refusing the jab.

Italy's constitutional court upholds Covid vaccine mandate as fines kick in

Judges were asked this week to determine whether or not vaccine mandates introduced by the previous government during the pandemic – which applied to healthcare and school staff as well as over-50s – breached the fundamental rights set out by Italy’s constitution.

Italy became the first country in Europe to make it obligatory for healthcare workers to be vaccinated, ruling in 2021 that they must have the jab or be transferred to other roles or suspended without pay.

The Constitutional Court upheld the law in a ruling published on Thursday, saying it considered the government’s requirement for healthcare personnel to be vaccinated during the pandemic period neither unreasonable nor disproportionate.

Judges ruled other questions around the issue as inadmissible “for procedural reasons”, according to a court statement published on Thursday.

This was the first time the Italian Constitutional Court had ruled on the issue, after several regional courts previously dismissed challenges to the vaccine obligation on constitutional grounds.

A patient being administered a Covid jab.

Photo by Pascal GUYOT / AFP

One Lazio regional administrative court ruled in March 2022 that the question of constitutional compatibility was “manifestly unfounded”.

Such appeals usually centre on the question of whether the vaccine requirement can be justified in order to protect the ‘right to health’ as enshrined in the Italian Constitution.

READ ALSO: Italy allows suspended anti-vax doctors to return to work

Meanwhile, fines kicked in from Thursday, December 1st, for almost two million people in Italy who were required to get vaccinated under the mandate but refused.

This includes teachers, law enforcement and healthcare workers, and the over 50s, who face fines of 100 euros each under rules introduced in 2021.

Thursday was the deadline to justify non-compliance with the vaccination mandate due to health reasons, such as having contracted Covid during that period.

Italy’s health minister on Friday however appeared to suggest that the new government may choose not to enforce the fines.

“It could cost more for the state to collect the fines” than the resulting income, Health Minister Orazio Schillaci told Radio Rai 1.

He went on to say that it was a matter for the Economy and Finance Ministry, but suggested that the government was drawing up an amendment to the existing law.

READ ALSO: Covid vaccines halved Italy’s death toll, study finds

The League, one of the parties which comprises the new hard-right government, is pushing for fines for over-50s to be postponed until June 30th 2023.

Prime Minister Giorgia Meloni had promised a clear break with her predecessor’s health policies, after her Brothers of Italy party railed against the way Mario Draghi’s government handled the pandemic in 2021 when it was in opposition.

At the end of October, shortly after taking office, the new government allowed doctors, nurses and other healthcare professionals to return to work earlier than planned after being suspended for refusing the Covid vaccine.

There has been uncertainty about the new government’s stance after the deputy health minister in November cast doubt on the efficacy of Covid-19 vaccines, saying he was “not for or against” vaccination.

Italy’s health ministry continues to advise people in at-risk groups to get a booster jab this winter, and this week stressed in social media posts that vaccination against Covid-19 and seasonal flu remained “the most effective way to protect ourselves and our loved ones, especially the elderly and frail”.

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