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COVID-19

Countries across Europe impose curbs to slow new Covid-19 wave

Several European countries are reimposing restrictions in a bid to dampen down a worrying rise in Covid-19 cases. Governments are also taking more measures to encourage more people to get vaccinated against the virus.

Countries across Europe impose curbs to slow new Covid-19 wave
People queue up in front of a bar, in Eindhoven, The Netherlands as the country on Friday became the first country in Europe to impose a new partial lockdown. Photo: Rob Engelaar/ANP/AFP

What is the situation in Europe?

The weekly number of coronavirus cases across Europe has been on the rise since early October and now stands at levels unseen since the start of the pandemic.

Over the past seven days 2,125,775 cases have been registered, a daily average of 303,682, according to an AFP tally based on official figures.

That broke the previous European record of 1,988,507 cases logged in the week of November 2-8 2020.

The latest figures also represent a 13-percent rise on the previous week. Five countries — Britain, Germany, Russia, Turkey and Ukraine — logged rises of more than 50 percent.

It is worth noting that many more Covid tests are being carried out now than was the case when the pandemic first hit the continent in early 2020.

The above chart from Our World in Data shows the seven-day rolling average for daily new confirmed Covid-19 cases per million people in the countries covered by The Local.

Are all parts of Europe affected equally?

The overall figures hide national differences which are due in large part to differences in the speed of the vaccination roll-out and the social health measures imposed.

In Britain, for example, though Covid cases numbers are on the rise, high vaccination rates have kept additional hospitalisations down, said Yves Coppieters, epidemiologist at the ULB university in Brussels. The same is not true of Eastern European countries, he added.

In countries such as Spain and Portugal, which are very well vaccinated, or indeed Italy which has taken tough measures, the rebound is still not very visible, he added.

France is somewhere in between, with a rise in cases “but less strong”, Coppieters told AFP.

On Friday, the European Centre for Disease Prevention and Control (ECDC) said the situation was continuing to worsen in the EU.

Of the 27 member states the centre placed Belgium, Poland, the Netherlands, Bulgaria, Croatia, the Czech Republic, Estonia, Greece, Hungary and Slovenia in the category of highest concern.

How are countries responding to the surge? 

For most European nations the main goal is to get as many people vaccinated as possible. 

In France, where infection rates remain comparatively low, the requirement to show a Covid-19 health pass has never been lifted. But the country’s president, Emmanuel Macron, on Tuesday said that health passes would on December 15th cease to be valid for over-65 year-olds who are eligible to have a booster shot but who have not yet had one. 

Some countries are going further, starting to reinstate some of the restrictions on movement which populations had hoped were over.

The government of Russia said on Friday it had submitted to parliament two bills that will introduce mandatory health passes to access restaurants and public transport, amid a new wave of coronavirus cases. Health professionals there will also have to wear masks and be tested for Covid twice a week.

In Austria, the government said it wants a nationwide lockdown for those not vaccinated against or recovered from the coronavirus.

Only around 65 percent of the population is fully vaccinated in Austria, a rate described by Chancellor Alexander Schallenberg as “shamefully low”.

In The Netherlands, Prime Minister Mark Rutte announced Western Europe’s first partial lockdown of the winter, with at least three weeks of Covid curbs on restaurants, shops and sporting events.

A side-effect of the tougher measures could be more public discontent.

Several hundred protesters angered by Rutte’s announcement gathered in The Hague afterwards, with police firing water cannon at them.

Denmark on Friday brought back its coronapas, with evidence of a negative test result or vaccination required to enter bars, restaurants, cafés and nightclubs, as well as large events. 

In Norway, new prime minister Jonas Gahr Støre, has made a similar move, on Friday announcing that municipalities across the country would be able to bring back the Covid-19 app, with the worst-hit city, Tromsø, saying that a valid pass would be required from Tuesday.

Other countries remain in wait-and-see mode. 

In Germany the parties likely to form the next government are considering measures such as restricting access to certain facilities only to those who are vaccinated or have recovered from the disease within the last six months – a system known as “2G” in Germany. 

The parties also want to tighten testing requirements for employers, and reintroduce free rapid antigen tests – a measure that had been in place over the summer but was scrapped in mid-October to incentivise vaccination.

In Spain, where face masks are still required indoors, some regions are starting to warn that it might be necessary to bring in new measures, with the government of Navarre even floating requiring a Covid-19 pass to enter bars and cafés, a measure that was barely used in Spain during previous waves. 

Only one country, Sweden, is actually loosening measures to control the virus. 

Going, as ever, against the herd, Sweden this month stopped requiring those who are fully vaccinated to get tested if they experience Covid-19 symptoms, and stopped offering them free PCR tests. 

This World in Data chart shows the proportion of the population in each of the countries covered by The Local that is fully vaccinated against Covid-19, with Spain topping the list, almost twenty percentage points above vaccination laggard Austria.

Will we see the death rate rise?

Last week the WHO’s Europe chief warned that the current trajectory of Covid in Europe could mean “another half a million Covid-19 deaths” by February.

A daily average of 4,031 coronavirus related deaths have been recorded over the past week — a 10-percent rise on the previous week and an 18-percent rise on the week before that. A year ago the daily average was 3,785 fatalities.

“We are seeing a wave of infections due to the Delta variant and lower temperatures, but vaccination should prevent a correlation with hospitalisations,” said Coppieters. “There will inevitably be great heterogeneity between countries depending on vaccination coverage.”

These four Our World in Data charts demonstrate the impact of rising vaccination rates on ICU admissions and new deaths from the virus.

Will vaccinating more people be enough?

No, according to Coppieters. “The key is of course to vaccinate those most at risk to achieve herd immunity,” he told AFP. “For the rest of the population, we must above all maintain barrier measures, indoor ventilation and a testing policy,” he added.

Last week the WHO highlighted those methods, calling for continued vaccinations along with widespread use of masks and social distancing measures.

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HEALTH

‘Tripledemic’ in Spain: Which regions have made masks mandatory in hospitals?

With Covid, flu and bronchitis cases overwhelming hospital staff, Spain's health ministry is considering bringing back compulsory mask usage in medical facilities. However, some regions have already decided to make them mandatory.

'Tripledemic' in Spain: Which regions have made masks mandatory in hospitals?

It’s all felt a bit déjà vu in Spain in recent days. Respiratory infections on the up, worries about hospitals being overwhelmed, regional governments clashing with central government about the best way to approach things, and, of course, the return of face masks.

The Health Ministry, headed by Mónica García, called an extraordinary meeting of Spain’s Interterritorial Council of the National Health System (CISNS) in order to “unify the criteria” against the surge in respiratory illnesses over the winter, namely the ‘tripledemic’ threat of influenza, Covid-19 and bronchiolitis as it’s been dubbed in the Spanish and international press.

Although Spain’s Ministry of Health and regional governments failed to come to a nationwide agreement with regards to the mandatory use of masks in hospitals, health centres and pharmacies throughout the country, some regions have already made mascarillas mandatory.

Self-assessed health leave

The government is also considering the possibility of allowing three-day leave for people who have a mild illness that doesn’t require medical attention in order to ease pressure on the health system.

“We are studying self-justifying mild illnesses during the first three days,” García said in an interview with Onda Cero, indicating that this self-assessment process, referred to as ‘autobaja‘ in Spanish, would be for people that “do not need to go to the doctor.”

But what about masks? With no agreement between the government and regions yet, where do you need to wear one?

Mandatory masks

Valencia

The Valencian Ministry of Health has made masks mandatory in all health centres for symptomatic people when they are in shared spaces, including waiting rooms and consultations.

Catalonia

Masks are also mandatory in all health centres in Catalonia, though, as of Monday afternoon, it has not yet been confirmed if pharmacies are included.

Murcia

Murcia too has made face masks mandatory in hospitals and health centres and recommended their use in “in any space, when there are symptoms of respiratory disease.”

Health authorities in the southern region have been offering free masks since December 30th in hospitals.

Canary Islands

The mask mandate will enter into force tomorrow, Tuesday 9th, although like in Murcia their use has been recommended since December.

Aragón

In Aragón, masks are mandatory for all healthcare workers and personnel who work in health centres and hospitals, including social health centres. The mandate has also been extended to patients, but only those in waiting rooms.

Asturias

Face masks will be mandatory in Asturias from Tuesday 9th, in both hospitals and pharmacies.

Non-mandatory but recommended

The rest of the Spanish regions have yet to make masks mandatory in hospitals and health centres, but recommend their use, including:

Balearic Islands

The Balearic Government does however recommend using a mask if you have symptoms, as well as frequent hand washing and covering your mouth when sneezing.

Castilla and León

The Ministry of Health in Castilla y León has recommended masks for people who suspect that they may be ill or have a respiratory infection.

Basque Country

The Basque Department of Health also recommends masks for people with symptoms of respiratory illness, but has not made them obligatory.

Andalusia

The Andalusian Health Service (SAS) recommends masks for people with symptoms, previous health problems, when with vulnerable people or at hospitals or health centres, but has so far ruled out making them mandatory.

Madrid

The Madrid regional government has taken the most nakedly political approach and accused the Ministry of Health of a “lack of planning” and ruled out mask mandates.

Castilla-La Mancha

In Castilla La Mancha, mask use is recommended but not obligatory.

Cantabria

Similarly, in Cantabria masks are not mandatory but recommended.

Navarra

Navarra’s Ministry of Health claims that mask mandates in hospitals and health centres would require “a regulatory adjustment” that would have to be analysed “in depth.”

Masks are therefore recommended but not mandatory for now.

Galicia

In Galicia, masks are recommended in hospitals and other health centres but not mandatory.

La Rioja

Maks in hospitals are only recommended, not obligatory.

Extremadura 

Masks are recommended but not mandatory.

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