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ANALYSIS

Will Spain have a sixth coronavirus wave?

While Covid infections are rising across Europe, Spain has managed to keep cases and hospitalisations low so far this autumn. But there are already signs things may be changing. 

people walk without masks on ramblas barcelona during covid times
Spain’s epidemiological situation is the most favourable in the EU and a sixth wave but will there be a sixth wave? Photo: Pau Barrena/AFP

Coronavirus cases have been rising quickly across Europe since October but not so in Spain, which has maintained one of the lowest infection, hospitalisation and death rates on the continent. 

According to prestigious medical publication The Lancet, Spain could well be on the verge of reaching herd immunity, a statement the country’s Health Minister tends to agree with.  

READ ALSO: Has Spain almost reached herd immunity?

Add the favourable epidemiological indicators to the almost 80 percent rate of full vaccination of Spain’s entire population and the immunity claim doesn’t seem so far-fetched. 

But if there’s one thing this pandemic has taught governments around the world – or should have – is to not assume Covid-19 can be eradicated after a few encouraging weeks. 

Not that Spain is letting down its guard, the general public continues to take mask wearing in indoor spaces seriously (outdoors as well even though not required in many situations) and there are still some regional restrictions in place. 

READ MORE: What Covid-19 restrictions are in place in Spain’s regions in November?

And yet, Covid infections are on the rise again, although not at the pace seen during previous waves of the virus. 

On Thursday November 4th Spain re-entered the Health Ministry’s “medium risk” category after the national fortnightly infection rate surpassed 50 cases per 100,000 people.

From Friday 5th to Monday 8th, it climbed five more points up to 58 cases per 100,000 inhabitants. 

It’s the biggest rise since last July but this shouldn’t be cause for alarm, especially as hospitalizations, ICU admissions and deaths all remain low and steady.

A closer look at the stats shows that 1.52 percent of hospital beds across the country are currently occupied by Covid patients, 4.41 percent in the case of ICU beds. 

Daily Covid deaths in October were under 20 a day, the lowest rate since August 2020. 

With all this in mind, is a sixth wave of the coronavirus in Spain at all likely?

According to a study by the Institute of Health Metrics and Evaluation (IHME) at the University of Washington, Spain will have a sixth wave.

The Seattle-based research group predicts an increase in infections in Spain from the second half of November, which will skyrocket in December reaching the highest peak towards the end of the year. 

The country would reportedly need about 24,000 beds for Covid patients (4,550 for critical ones) and there would be almost 2,000 deaths. 

Increased social interactions would mean that on December 30th alone, daily Covid infections in Spain could reach 92,000, the study claims. 

If restrictions were tightened ahead of the holiday period, including the use of face masks, the sixth wave’s peak wouldn’t be as great, IHME states

It’s worth noting that the IHME wrongly predicted that Spain wouldn’t be affected by a fifth wave whereas it ended up causing more than a million infections and 5,000 deaths. 

two elderly women in san sebastian during covid times
The vaccination rate among over 70s in Spain is almost 100 percent. Photo: Ander Guillenea/AFP
 

The latest message from Spain’s Health Minister Carolina Darias is that currently “the virus is cornered” in the country, whilst admitting that there was a slight rise in cases. 

“I do not know if there will be a sixth wave, but first we must remember that immunisation is not complete in all patients despite vaccinations,” Dr. José Polo , president of the Spanish Society of Primary Care Physicians (Semergen), told El Periódico de España

“That’s because 100 percent effectiveness doesn’t exist in any drug, or in any medicine”.

Despite having one of the highest vaccination rates in the world, Spain still has around 4.2 million eligible people who haven’t been vaccinated, mostly people aged 20 to 40. 

The majority of Covid hospitalisations across Spain are patients who have not been vaccinated: 90 percent in the Basque Country, 70 percent in Catalonia and 60 percent in Andalusia.

Among Covid ICU patients, 90 percent of people in critical condition across all regions are unvaccinated. 

“Although there are many people vaccinated in Spain, there will be an increase in cases because we know how the virus is transmitted and when the cold comes and the evenings are darker we will tend to go indoors, and the virus spreads there,” Cesar Carballo, Vice President of the Spanish Society of Emergency Medicine of Madrid, told La Sexta news.

The World Health Organisation (WHO) has already warned that Europe is at a  “critical point of regrowth”  and that it has once again become the “epicentre”  of the pandemic, due to the generalised spike in cases in recent weeks.

Does that mean that Spain’s daily infections won’t be in the thousands again as winter nears? Or that regional governments won’t reintroduce Covid measures ahead of Christmas to prevent this from happening?

Nothing is for certain, but as things stand Spain’s epidemiological situation is the most favourable in the EU and a sixth wave seems unlikely, but not impossible.

The Spanish government continues to push ahead with its vaccination campaign, reopening its vaccination centres, administering booster shots to its most vulnerable and considering vaccinating under 12s to meet an immunity target of 90 percent. 

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COVID-19

Covid deaths in Sweden ‘set to rise in coming weeks’

The Public Health Agency of Sweden has warned that the number of weekly Covid deaths is set to rise, after the number of people testing positive for the virus rose for the sixth week running.

Covid deaths in Sweden 'set to rise in coming weeks'

According to the agency, an average of 27 people have died with or from the virus a week over the past three weeks. 

“According to our analyses, the number who died in week 27 (July 4th-July 11th), is more than died in week 26 and we expect this to continue to grow,” the agency wrote in a report issued on Thursday. 

In the week ending July 17th (week 28), 4,700 new cases of Covid-19 were registered, a 22 percent rise on the previous week. 

“We are seeing rising infection levels of Covid-19 which means that there will be more people admitted to hospital, and even more who die with Covid-19,”  said Anneli Carlander, a unit chief at the agency. “The levels we are seeing now are higher than they were last summer, but we haven’t reached the same level we saw last winter when omicron was spreading for the first time.” 

While 27 deaths a week with for from Covid-19 is a rise on the low levels seen this spring, it is well below the peak death rate Sweden saw in April 2020, when more than 100 people were dying a day. 

The number of Covid deaths recorded each week this summer. Source. Public Health Agency of Sweden
A graph of Covid deaths per day since the start of the pandemic shows that the current death rate, while alarming, remains low. Photo: Public Health Agency of Sweden

Carlander said that cases were rising among those in sheltered accommodation for the elderly, and also elderly people given support in their own homes, groups which are recommended to get tested for the virus if they display symptoms. The infection rate among those given support in their homes has risen 40 percent on last week. 

This week there were also 12 new patients admitted to intensive care units with Covid-19 in Sweden’s hospitals.  

The increase has come due to the new BA.5 variant of omicron, which is better able to infect people who have been vaccinated or already fallen ill with Covid-19. Vaccination or a past infection does, however, give protection against serious illness and death. 

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