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Spain details new system of coronavirus restrictions to be applied until 70% of population is vaccinated

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The Spanish Health Ministry and regional authorities on Wednesday approved a traffic light system to determine coronavirus restrictions based on an area’s epidemiological situation. This set of common criteria is to be applied until 70% of the population and all over-50s are vaccinated against Covid-19.

The traffic light system categorizes risk as extreme, high, medium, low and new normality based on data points such as the seven-day and 14-day incidence rate, and the percentage of hospital and intensive care unit (ICU) beds occupied by Covid-19 patients. The system, which applies to areas with more than 10,000 inhabitants, then recommends different restrictions based on the level of risk. Up until now, this has been used just as a guide. But on Wednesday, the Inter-Territorial Council of the National Health System (CISNS), which brings together health chiefs from the central and regional governments, voted to make it legally binding.

The risk levels in Spain

The document “Coordinated response actions to control the transmission of Covid-19” establishes risk levels for territories of more than 10,000 inhabitants.

This means that the regions – which are in charge of controlling the pandemic as well as the Covid-19 vaccination drive – must follow the rules set out by the system. For example, even in a low-risk scenario, nighttime venues must close at 3am and only a maximum of 10 people are allowed to a table in sidewalk cafés. Catalonia, Madrid, Andalusia, Galicia, Murcia and the Basque Country have opposed the mandatory condition of the measures, which will come into force soon, once they are published in the Official State Gazette (BOE). These regions are home to 29.5 million people – more than half Spain’s population of 47.5 million. Castilla y León and the North African exclave city of Melilla also abstained from the vote.

According to the latest figures from the Health Ministry, 18,426,204 people in Spain have received their first dose of a Covid-19 vaccine – 38.8% of the population. Meanwhile, 9,679,187 people have got the full protection offered by the immunization – 20.4%. The government has set the target of vaccinating 70% of the population by the end of the summer, a target that is on track assuming there are no setbacks such as interruptions to supply. The Health Ministry on Wednesday reported 4,984 new coronavirus infections and added 66 fatalities to the overall death toll. The 14-day cumulative number of coronavirus cases per 100,000 inhabitants, meanwhile, fell a further two points to 118.

The new rules agreed on Wednesday, and which will be approved via a Declaration of Coordinated Action (DAC), may lead to legal conflicts between the Health Ministry and some regional governments. Madrid has already announced that it will follow its own measures – not those outlined by the traffic light system. In a message posted on Twitter, Madrid premier Isabel Díaz Ayuso said: “Hospitality establishments are safe spaces and our allies to overcoming this crisis. They cannot pay for the inefficiency of the Sánchez government,” in reference to Prime Minister Pedro Sánchez who leads a coalition government made up of the Socialist Party (PSOE) and junior partner Unidas Podemos.

Madrid has been at loggerheads with the central government over the reach of coronavirus restrictions since the health crisis began. When the CISNS agreed last October that areas at certain risk levels should be placed under perimetral lockdown – a decision that affected 10 municipalities in Madrid – the Ayuso government applied the restrictions, but challenged them in court. When a judge ruled in the region’s favor, the central government was forced to declare a state of alarm in the region to ensure the coronavirus restrictions were followed. Madrid also opposed the coronavirus restrictions approved by CISNS for the Christmas vacations and Easter break, such as limits on travel and social gatherings, but did eventually adhere to them.

At the end of the CISNS meeting on Wednesday, Health Minister Carolina Darias reiterated that it was mandatory for the regions to follow the measures approved by the council. “It is very important to be at a low [risk] level, not only so that we are safer and the virus is spread less, but also so that we can start entering the new normality,” she said. “We have to learn from the lessons learned. We know what happened last summer [when increased social activity led to a second wave of the virus]. What’s important is finishing off what we are achieving and reaching incidence rates below 50 [cases per 100,000 inhabitants, the threshold for low risk].”

The measures approved will affect Spain’s 17 regions differently, depending on what restrictions are already in place in each territory and their contagion rates. While some regions will be able to ease restrictions, others will have to toughen them. In Madrid, for example, the 14-day cumulative number of coronavirus cases per 100,000 inhabitants is 165, a data point, among others, that places it in the high-risk category. Despite this, the restrictions in the region correspond to those in the “new normality” category, i.e. regions where the incidence rate is 25 cases.

Andalusia allowed nighttime venues to reopen until 2am after the state of alarm came to an end on May 9. But these venues will have to close once the new rules are published in the BOE, given that the 14-day cumulative number of cases per 100,000 inhabitants in the region now stands at 177 and is continuing to rise. On the other hand, Valencia, which is in a low-risk scenario, could already allow nighttime venues to open until 3am. Hospitality establishments, however, will still need to shut by 10pm until next week.

One of the mandatory rules that must be applied regardless of the risk level is the ban on smoking when a two-meter distance from other people cannot be respected. This ban also applies to water pipes, hookahs and other ways of inhaling tobacco.

Here is an overview of the main coronavirus restrictions set down by the traffic-light system.

Nightlife

Low risk and new normality. Indoors, the maximum capacity is 50%. Outdoor areas will be allowed to operate at full capacity, provided that the seats between different tables are 1.5 meters apart. The consumption of food and drinks, both inside and outside, will have to take place while seated at tables, with the same safe distance. The tables will have a limit of six people inside and 10 outside. Closing time will be 3am at the latest, and registers will be introduced to ensure that patrons can be traced should a coronavirus case be detected.

Medium risk. If the progress of the health crisis is favorable, closing time will be at 2am and the same measures for the lower risk scenario will be adopted, apart from a limit of a third of capacity inside.

Bars and restaurants

New normality. The permitted capacity will be 50% inside with the option of an extra 10% if risk-control measures are introduced that guarantee high levels of ventilation and air-quality control. Tables in outdoor areas can be fully occupied provided that the distance between chairs at different tables is at least 1.5 meters. Service and consumption at the bar are allowed, provided the aforementioned distance is respected. Six people can share a table inside, and 10 outside. Closing time will be 1am and service will cease one hour previously.

Low risk. The same measures as in the new normality, but with a distance of two meters between tables.

Medium risk. Inside, the same measures as low risk, but with a limit of a third of capacity. Outside, a maximum of 75% and six people per table.

High risk. Indoor areas will be closed and the same measures will be applied outside as for medium risk.

Very high risk. Outdoor capacity limited to 50% and limits on opening times, with groups of patrons separated and a maximum of four people per table. If the trend is rising and exceeds 500 cases per 100,000 inhabitants over 14 days, establishments must close, only offering takeaway or delivery for consumption at home.

Open-air events

New normality. A maximum of 10,000 people. Independent sectors of no more than 1,000 people must be established, with safety measures being observed at all times. Transit areas between these sectors will be at least two meters wide. Smoking will not be permitted, nor the use of electronic cigarettes, in areas dedicated to the public. Maximum capacity of 50%, guaranteeing a useable area of 1.5 square meters per person, and eating and drinking will not be allowed in the public areas.

Low risk. The same measures as previously described, but with a maximum of 5,000 people and space of 2.25 square meters.

High risk. A maximum of 2,500 people. If possible, independent sectors of no more than 500 people will be established. Capacity will be limited to 30% and the area per person will be three square meters. Consumption of food and drink will be prohibited.

Very high risk. No events with large crowds will be allowed.

Education centers

Primary and secondary school, vocational training. These centers will remain open during the entire school year, “ensuring there are canteen services as well as out-of-hours study support for minors with special needs or who belong to socially vulnerable people,” according to the document, to which EL PAÍS had access on Tuesday. If there are outbreaks or the transmission of the virus runs out of control, “mixed in-person and remote education will be considered” before the center is closed, or “changes to the timetable that will allow for greater limits on contacts.”

Universities. The agreement only stipulates “distance learning as far as possible” for university teaching under alert level 4, and for the rest of the levels the same recommendations will be in place as for 2020 to 2021 – i.e. the use of masks, a Covid coordinator, contact tracing, quarantines for those with symptoms and ventilation of closed spaces, among other measures.

For all centers. All of the prevention measures set out by the ministry will be applied in all schools and universities. These include limiting contacts, maintaining social distancing, creating bubbles, handwashing and mask use, regular ventilation of indoor areas and students with symptoms staying at home.

 

Read from source: https://english.elpais.com/society/2021-06-03/spain-details-new-system-of-coronavirus-restrictions-to-be-applied-until-70-of-population-is-vaccinated.html

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NSW COVID-19 hospitalisations pass 1,000 as cases continue to balloon across Australia

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sbs– New South Wales has recorded another 18,278 COVID-19 cases and two deaths as the state’s outbreak continues to surge.

Sunday’s case numbers are slightly lower than Saturday’s 22,577.

The state recorded two deaths from the virus, while 1,066 people are hospitalised, up from 901 on Saturday. There are 83 in intensive care.

At the peak of the Delta outbreak, on 21 September, there were 1,266 people hospitalised with infections, and 244 in intensive care.

Testing numbers to 8pm on the first day of 2022 were down to 90,019, a drop from 119,278 on New Year’s Eve.

The high case numbers come as Premier Dominic Perrottet continues to focus on hospitalisation and intensive care numbers rather than the daily case total.

Despite comprising about six per cent of the population, unvaccinated people make up the majority of those in intensive care, Health Minister Brad Hazzard says.

To ensure hospital systems can cope, asymptomatic health workers who are in isolation due to being a close contact of a positive case will be permitted to leave isolation in “exceptional circumstances”, NSW Health announced on Friday night.

Victoria posts 7,172 cases, extreme heat closes testing sites

The first day of 2022 hasn’t been kind to 7,172 Victorians, the state’s latest residents to contract COVID-19.

A further three virus-related deaths have also been recorded for 1 January.

However the number of Victorian coronavirus patients in hospital care remains relatively stable at 472, up 19 on Saturday’s figure and 48 beyond the seven-day average.

Of them, 52 are classified as active ICU cases and 22 are in need of ventilation.

Chief Health Officer Brett Sutton’s daily update said on Sunday community sampling had revealed 76 per cent of all samples collected over the Christmas period were the Omicron variant. Further testing to confirm this is being undertaken over the next week.

In total, Victoria is managing 31,461 active COVID-19 cases.

Health authorities says virus testers managed to process 48,252 results in the 24 hours to Saturday evening.

The state is 93 per cent fully vaccinated for everyone aged 12 and over.

Some 7,442 infections were reported on Saturday, another pandemic record. There were 51 actively infectious patients in intensive care and 21 ventilated.

Extreme heat caused the closure of eight of the state’s testing sites on Saturday.

Queensland records 3,587 new cases

Queensland has added 3,587 infections to its COVID-19 caseload as a new indoor mask mandate comes into effect across the state.

Some 16,688 Queenslanders now have the virus. However, hospital numbers remain low with 112 patients in care, five of them in ICUs and none requiring ventilation.

Health authorities say testers processed almost 34,000 results in the 24 hours to 7pm on Saturday.

Queensland is 86.60 per cent fully vaccinated for everyone 16 and over.

Chief Health Officer John Gerrard says despite a jump of more than 1,300 cases in a day, he’s not surprised. In part, the increase is related to a change in reporting protocols which saw case figures taken from a 12-hour window on Friday.

“This number is probably a bit smaller than we had expected,” he said in Brisbane on Sunday of the latest figures.

“It probably (also) relates to testing over the holiday period and so it will not be a surprise at all that in the next couple of days we see a significant increase in cases as more samples are tested and more people come forward.”

Dr Gerrard said what experts were now seeing with the virus was that it was “a vastly different disease” to that which was spreading in the community last year and prior to vaccination.

“With a degree of contagiousness of this virus, we are going to be seeing very large numbers of cases, even though the severity is clearly going to be less,” he said.

“We are going to see very large numbers of cases and a small proportion of a very large number (who fall ill) is still a large number.”

Masks were declared compulsory in “virtually all indoor spaces” in Queensland from 1am on Sunday.

Previously masks were only required indoors at supermarkets, shops, on public transport and ride share as well as airports and planes, cinemas and theatres in Queensland.

They now need to be worn at workplaces unless unsafe to do so, pubs, clubs and cafes unless when seated, indoor stadiums and sport arenas, libraries, hair dressers and nail salons, and medical centre waiting areas.

Queenslanders were also urged to return to work-from-home arrangements where possible.

SA hospitalisations ‘very much within capacity’

South Australia, meanwhile, recorded 2,298 COVID-19 cases on New Years Day from 21,140 tests.

The newest caseload is up from 2,108, while hospitalisations have also risen by 11.

There are currently 82 people in hospital, Premier Steven Marshall said on Sunday, a number which he said was “still very much within our current capacity”.

Seven people are in ICU.

“We see a lot of admissions but also a lot of people are leaving hospital on a daily basis after their conditions have stabilised,” Mr Marshall told reporters on Sunday.

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Health

US follows UK’s lead and shortens isolation for healthcare workers who test positive for Covid-19

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independent– Healthcare workers who test positive for Covid-19 and are asymptomatic only need to isolate for seven days, the Centers for Disease Control and Prevention (CDC) has said.

The CDC reduced the recommended isolation time from 10 days in part due to concerns that the highly transmissible Omicron variant could cause even greater staffing shortages at hospitals.

In new guidance released on Thursday, the CDC said infected healthcare workers could return to work after a week as long as they were asymptomatic and produced a negative test.

The US recorded 261,339 new cases on Thursday, according to data from Johns Hopkins University.

Earlier this week, the UK Health Security Agency announced that essential workers would be allowed to return after a seven-day isolation period amid a worsening staffing crisis in hospitals.

In a statement, CDC Director Rochelle Walensky said it was updating guidelines in response to an “anticipated surge” in patients due to the Omicron variant.

“Our priority, remains prevention—and I strongly encourage all healthcare personnel to get vaccinated and boosted.”

Dr Walensky added that health care workers who were fully vaccinated, including with a booster shot, did not need to isolate after a high-risk exposure.

On Friday, New York Governor Kathy Hochul announced that essential workers who tested positive could return to their jobs after five days if they were fully vaccinated and asymptomatic, and had not had a fever within the past 72 hours.

“This is not Delta, or the first variant,” Ms Hochul said during a live address.

“This is Omicron, and thus far it has demonstrated it’s not as severe in its impact, and therefore we want to make sure that our critical workforce, who we’ve relied on from the beginning, can get back to work.”

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Health

Covid booster jab triggers immune response in days, not weeks, say scientists

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independent– Those who receive a Covid booster jab can expect to mount an immune response in a matter of days – not weeks, scientists say.

The boosters have been shown to restore the body’s immunological defences against Omicron, which appears capable of infecting those who are double-jabbed.

While it takes up to two weeks to prime the immune system against Covid after a first dose, the effects of a booster jab start to be felt within two to three days, experts believe.

“The immunity generated after a booster jab will rise much quicker than the first immune response,” said Gary McLean, a professor in molecular immunology at London Metropolitan University.

That’s because crucial memory cells activated after the first dose will still be present in the body, Prof McLean explained, and therefore “do not require the two-week activation and instruction phase they initially go through”.

These memory cells – T and B – are responsible for hunting down infected cells and producing antibodies that stop the virus from gaining entry in the first place.

Their continuing presence means the immune system is on high alert and ready to spring back into action at the earliest sight of the virus, or anything that mimics it.

“That can then translate into boosted antibody levels and other increases in active T cells within days of the booster,” said Prof McLean. “It is likely that maximal immune activity is reached seven days after the booster.”

Professor Charles Bangham, an immunologist and co-director of the institute of infection at Imperial College London, said that in a secondary or subsequent immune response, T cells and antibodies should start to be detectable within “two to three days” of a booster.

The boosters appear to be 70 per cent effective against omicron infection – and are thought to offer even higher protection from hospitalisation and death – but scientists are concerned that the UK rollout won’t be able to keep up with the spread of the variant.

Doubling at a rate of every two days, Omicron has fuelled a sudden lift in national cases. On Thursday, 88,376 new Covid cases were reported, setting a new pandemic record for the second day running.

However, infections are thought to be running at far higher levels. The UK Health Security Agency said it expects there to be more than one million infections a day by the end of the month.

The government, meanwhile, has set the ambitious target of rolling out one million boosters a day to counter Omicron, and intends to have offered all eligible adults one by the close of the year. Some 745,183 third doses were given on Thursday, bringing the national total to 25.4 million.

Recent research from Israel suggests that rates of infection, severe disease and death from Delta were reduced after three to seven days post-boost – but reduced more after 12 days post-boost – when using the Pfizer vaccine for all three jabs.

The UK’s Cov-Boost study, which investigated the benefits of a booster jab among people who had received doses of the Pfizer or AstraZeneca vaccine, also pointed to an increased immune response by day seven.

“This ‘secondary immune response’ is more rapid than observed following the ‘priming’ course of vaccination, when the body takes 14 days or longer to ‘prime’ the antibody-producing B cells to produce antibody against the virus,” said Penny Ward, a visiting professor in pharmaceutical medicine at King’s College London.

“However when virus antigens [an immune-triggering structure] are ‘re-encountered’ – either by a boosting shot of vaccine or by exposure to infection – these cells react very rapidly to produce antibody more quickly.”

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