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CLIMATE CRISIS

EXPLAINED: What is Spain’s newly activated health plan for extreme heatwaves?

Spain’s Ministry of Health has activated a plan to help combat heat-related illnesses in the case of extreme temperatures that the country could be facing this summer.

EXPLAINED: What is Spain's newly activated health plan for extreme heatwaves?
Spanish Ministry of Health to activate plan to combat affects of extreme heatwaves. Photo: JORGE GUERRERO / AFP

The National Preventive Action Plan for the Effects of Excess Temperatures on Health has been activated from Monday, May 15th and will stay in force until September 30th. 

Its main objective is to prevent and mitigate the negative effects that excessive heat can have on the health of Spanish citizens. It will particularly focus on the most vulnerable groups, such as the elderly, pregnant women, minors and people with chronic diseases, as well as those who work outdoors.  

READ ALSO: Mainland Spain breaks record temperature for April

It is the second consecutive year that a plan has been brought forward since it was launched in 2004. The plan was usually activated from June 1st, but because of the abnormally hot April, from now on, and in general, it will last from May 15th to September 30th, although with the possibility of delaying it by 15 days to October 15th, as the Spanish summer is starting earlier and each year and lasting longer too.  

Mainland Spain recorded its hottest-ever temperature for April recently, hitting 38.8C in Córdoba. 

One of the main priorities of the plan, according to the ministry, is to alert the health authorities and the public in advance of possible risk situations.

To do this, the Ministry of Health will provide each region with the maximum temperature predictions prepared by the State Meteorological Agency (AEMET) on a daily basis, as well as levels of health risk due to the heat.

READ ALSO: Spain to spend €2 billion to tackle drought

The plan will take into account the following meteorological variables: the maximum temperatures forecast for three days, the maximum and minimum temperatures recorded the day before the forecast date, and the maximum threshold temperatures based on epidemiological studies.

In addition, high temperatures that persist over a long period of time will also be considered a risk factor. 

The above factors will all decide on the risk level of each region which will be allocated level 0 (green), low-risk level 1 (yellow), medium-risk level 2 (orange) and high-risk level 3 (red).

To minimise the damage, the Ministry of Health has put together a list of recommendations for citizens. These include:

  • Drinking fluids frequently, even if you don’t feel thirsty and regardless of the physical activity you do.
  • Avoiding caffeinated, alcoholic or highly sugary drinks, as they can promote dehydration.
  • Anyone who is at risk of suffering from a heat-related problem should be paid special attention. This includes babies, children, pregnant or lactating women, as well as the elderly or those with illnesses that can be aggravated by heat (such as heart, kidney, diabetes, hypertension, obesity, cancer, pathologies that hinder mobility, dementia and other mental illnesses, as well as drug or alcohol abuse).
  • Staying as long as possible in cool, shaded places.

Various regions in Spain have also been putting their own measures in place, coinciding with the abnormally hot April. Catalonia started to put some measures in place on April 27th, while Andalusia, did the same during Seville’s annual Feria de Abril.

READ ALSO: The water restrictions you can expect in Spain this summer

Madrid has also been contemplating changing the opening hours of educational centers and specific monitoring of air conditioning controls in social and healthcare facilities. The city opened the first of its first outdoor swimming pools on Friday, May 12th. Extremadura has also implemented its own plan on May 15th.  

In addition to this plan, the Ministry of Social Rights is working on the implementation of a “climate shield” with measures for residences and other centres that protect the most vulnerable people from extreme heat situations, such as the elderly and those with certain illnesses.

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FOOD AND DRINK

How hard is it to eat gluten-free in Spain?

It can often be a challenge to move to another country or travel abroad when you have a gluten intolerance and it can be made even trickier if you don’t know the language. Here's what coeliacs need to know about living and travelling in Spain.

How hard is it to eat gluten-free in Spain?

Studies indicate that around 0.7 percent of the EU population suffers from coeliac disease, but many cases go unreported. Many more people are gluten or wheat-intolerant rather than being classed as coeliac.

Luckily Spain is becoming more and more aware of different dietary needs and many people here suffer from the disease or are intolerant too.

The Federation of Celiac Associations of Spain (FACE) estimates that there are between 600,000 and 900,000 people who suffer from coeliac disease in the country.

Eating out

According to the Spanish tourist office Madrid, Barcelona and Asturias are the regions in Spain with the most restaurants serving gluten-free food. Many establishments in these places will list whether a dish contains gluten or not, with a wheat symbol, the letters gf or sg (sin gluten).

In fact, the Asturian village of Cangas del Narcea has been named as Spain’s first ever gluten-free destination, which also celebrates National Coeliac Day every year on May 27th. You can find out more about it here

Extremadura is also becoming a coeliac-friendly destination thanks to the Gluten-Free Extremadura project, which raises awareness and promotes establishments that have gluten-free menus.

Naked & Sated is a chain of gluten-free restaurants that have establishments in Madrid, Valencia, Bilbao, Málaga and Pozuelo de Alarcón. They serve gluten-free pizzas, burger buns, toast, cakes, and French galettes, among others.

The Association Coeliacs of Catalonia has a list of some of the best gluten-free restaurants in the region and The Association of Coeliacs of Madrid has the same. 

READ ALSO: ‘I pay €15 for a few potatoes’ – What it’s like being a vegetarian in Spain

Supermarkets

If you’re cooking for yourself, it’s very easy nowadays to find gluten-free food in the major supermarkets. National chains with good free-from sections include Mercadona, Carrefour, Alcampo and El Corte Inglés.

All these places sell everyday items such as gluten-free pasta, bread, pizza bases, crackers, biscuits, pastry, alternative flours and more.

The bad news is that gluten-free options in supermarkets are a lot more expensive than their wheat-based counterparts. The Federation of Coeliac Associations of Spain (FACE) prepared a ‘Price Report’ on specific gluten-free products and estimated that the difference in spending is an extra €1,087.72 per year.

The investigation also noted a significant increase in the price of gluten-free products of €167.57 when compared with 2023.

Spanish gluten-free food

Spaniards eat a lot of bread, that’s true, but when it comes to main dishes you’ll find that lots of Spanish food is naturally gluten-free anyway.

Paellas, meat and seafood stews, grilled fish, pisto (similar to ratatouille), and tortilla (Spanish omelette) are all made without gluten and the good news is that dishes rarely contain pastry – it’s more about the rice and the potatoes here. The main thing you’ll need to make sure is that the sauces aren’t thickened with flour.

A lot of tapas can be gluten-free too, including patatas bravas (potatoes with spicy tomato sauce) or aioli (garlic mayonnaise), pimientos de Padrón (fried green peppers), anchovies, ham and cheeses.

You can even eat a lot of the desserts that are not baked such as flan (like creme caramel), arroz con leche (rice pudding), ice cream and turrón (almond nougat)

Some classic dishes you need to watch out for are gazpacho and salmorejo (cold tomato-based soups) which contain bread, and croquetas which have bechamel sauce and breadcrumbs.

Many beers are also gluten-free in Spain, simply ask for cerveza sin gluten when you order.

READ ALSO: The best vegan and vegetarian Spanish dishes

Vocabulary

While some people are intolerant to just wheat, others can’t eat anything containing any form of gluten, so it’s important to be aware of the vocab so you can ensure what you’re eating is safe for you.

The most important words and phrases to learn are sin gluten (gluten-free) Soy celiaco (I’m a ceoliac).

Wheat – Trigo
Barley – Cebada
Oats – Avena 
Rye – Centeno

Help for coeliacs who live in Spain

If you suffer from the disease and you live in Spain, there is actually financial aid that you can apply for in order to help with the extra cost of your shopping.

One option for aid is from the General Mutuality of State Civil Officials (MUFACE), which amounts to up to €400. Beneficiaries must be part of MUFACE and can apply for aid until December 31st, 2024. At the time of application, applicants must prove they suffer from the disease.  

There are also different regions that provide extra help for coeliacs. These include Ceuta, Melilla, Extremadura, the Basque Country, Navarra and the Canaries.

In Ceuta, depending on your family income, aid can go up to €400 per year. In Melilla, the maximum figure amounts to €780 per year per person and €1,500 per year per family unit.

The government of Extremadura and the Provincial Council of Cáceres, together with the Celiac Association of Extremadura (ACEX), provide food packages for low-income families.

The Basque Country, the Provincial Council of Vizcaya has allocated €100,000 annually in aid, which is €80 per applicant.

Navarra has allocated a total of €30,000 in aid, with a maximum of €90 per month.

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