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HEALTH

Respiratory infections soar in Spain over Christmas as hospitals struggle

Cases of viral respiratory infections such as flu, Covid and bronchitis have shot up over the past few weeks in Spain, putting an enormous strain on hospitals across the country and causing a severe lack of beds.

Respiratory infections soar in Spain over Christmas as hospitals struggle
Respiratory viruses skyrocket in Spain as hospitals face collapse. Photo: Josep LAGO / AFP

Winter colds and flu are common, but this year Spain has seen a spike in cases of three different viruses – flu, Covid and bronchitis at the same time.

This comes after the festive and New Year period with lots of family gatherings and meetings with friends without much thought for social distancing days of the pandemic.

Rise in cases

According to health services, there are 35 percent more cases of these infections than a year ago, a percentage that is expected to continue rising until the third week of January when the epidemic peak will be reached after more gatherings for Three Kings’ Day on January 5th and 6th.

In a period of seven days, the rates of flu have gone from 532 to 908 cases per 100,000 inhabitants. The cases of Covid have also grown from 12.6 percent to 13.6 percent.

The Health Minister, Monica García has published a message on social media reminding the public of the importance of getting vaccinated and maintaining prevention measures, such as ventilating rooms, washing hands and wearing a mask.

The head of the Emergency Department at the Reina Sofía University Hospital in Murcia, explained that the profile of these patients ranges “from young people with flu pathologies who go to the emergency room because health centres have delayed their appointments and people over 80 years old with pneumonia due to the flu who end up being admitted”.

Lack of hospital beds

According to the first vice president of the Spanish Society of Emergency Medicine (SEMES), Pascual Piñera, 10 of patients with these infections end up admitted to hospital overnight and one of the biggest problems staff are facing is the severe lack of beds, “They have nowhere to put the sick”, he explained.

The situation is the same all over the country. Red Workers union of the La Paz University Hospital in Madrid has reported that there are 105 patients pending admission and beds in the hallways are in double rows, “which cannot be evacuated if the patient worsens or there is a fire”.

Delays in primary health care 

Acute respiratory infections not only put a strain on hospitals and emergency rooms, but also primary care centres, causing delays and long waiting times for appointments. 

The spokesperson for the Federation of Associations for the Defence of Public Health (FADSP), Marciano Sánchez Bayle, explains that it is generating a “major traffic jam” in the healthcare system “where appointments are made for very late dates”.

Sánchez Bayle cites the case of the Community of Madrid, where he knows that appointments requested in December were not given until the end of January “which further clogs an already saturated system”. 

The need for greater vaccination rates 

Besides the festive period, many health professionals believe that the situation could be improved if more people were getting vaccinated, specifically against the flu. 

Flu vaccination in Spain is far below the WHO recommendations, hovering around 50 percent of the population at risk, when the goal is 75 percent. And the percentage is even lower in the case of children under five.

According to the Ministry of Health, the objectives for vaccination against flu and Covid-19 for the 2023-2024 season are to achieve or exceed vaccination coverage of 75 percent in older people and health workers, as well as 60 percent for pregnant women and people with at-risk conditions.

Amós García Rojas from Spain’s Vaccinology Association believes that after a few years without flu during the Covid pandemic, society has relaxed.

The vaccination campaign has not yet ended, so there’s still time to get yours before the end of the season. The campaign began on October 15th and ends on January 31st. 

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HEALTH

How many hours do I have to work to get access to public healthcare in Spain?

A common question among those wanting to move to Spain is if they will have access to the Spanish public healthcare system even if they only work part time or a few hours a week.

How many hours do I have to work to get access to public healthcare in Spain?

In order to understand the answer to this question, you need to be aware of several rules on who has the right to public healthcare in Spain. 

In Spain, you have the right to access public healthcare under the following circumstances:

  • You are an employee or self-employed and are affiliated and registered with the social security system
  • You receive Spain’s state pension
  • You are the recipient of benefits, including unemployment benefits or subsidies.
  • You have exhausted your unemployment benefit or subsidy or other benefits of a similar nature and are unemployed and residing in Spain
  • Children under the age of 15
  • Students under the age of 26

You also have the right to healthcare if your spouse pays into the social security system or if you’re pregnant.

READ ALSO: Does permanent residency in Spain equal free public healthcare?

But what happens if you are an employee, but you only work part-time, does the number of hours you work affect whether you have the right to public healthcare coverage?

Even if you work part-time (or media jornada in Spanish), you will still be paying into the social security system automatically – part of it from your salary and part of it from your employer.

Therefore you will be affiliated in the social security system as in point one above. 

According to stats from Spain’s National Statistics Institute (INE), a total of 6.6 percent of men in Spain in 2022 worked part-time and 21.6 percent of women. In September 2023, there were 2.9 million part-time employees in the country.

As far as social security is concerned, those who work part-time benefit the same as those working full-time when it comes to national healthcare, regardless of the length of their day. Part-time contributions count as one full day when it comes to paying social security.

READ ALSO: What to be aware of before accepting a part-time job in Spain

This rule, equating part-time work to full-time work was brought into force on October 1st 2023 in order to try and help reduce the gender pay gap in Spain, but was designed with the pension system in mind rather than national health coverage.

The advantage is that it also benefits those who want to work part-time and still be able to access healthcare. Even before this was brought into force, however, those working part-time and paying social security were still covered. 

All this means that there isn’t a specific number of hours you must work in order to be able to be covered under the Spanish healthcare system, and as long as you’re paying social security or fall into one of the categories above, you will be able to benefit from it.

Remember that if you’re not employed or self-employed in Spain and don’t have a spouse who is either, then you may not be covered.

To get around this you can either join a programme such as the S1 scheme for British pensioners or pay the convenio especial in order to benefit from public healthcare. For this, you will pay a monthly fee of €60 if you are under 65 and €157 if you are over 65. 

If none of these options are available to you or the requirements of your visa say so, then it’s necessary to get private health insurance instead.

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