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Date Published: 16/07/2020
ARCHIVED - Regional governments of Spain and Health Ministry agree plan of action against Covid outbreaks
The recent increase in cases and increased probability of a second wave of the virus has increased the need for better co-ordination and organisation
The Covid-19 pandemic has been seismic to say the least, catching governments worldwide off their guard and creating an unparalleled demand for equipment, medical supplies and resources never before witnessed in our own lifetimes, and continues to grow worldwide, breaking records on a daily basis.
Yesterday broke another record; 230,00 new cases in a single day, more than 13 million cases worldwide and the medical world is unanimous in its opinion that the worst is yet to come.
The virus struck early in Europe and has abated sufficiently for Europeans to be booking holidays and resuming life under a “new normality”, but the warning signs are flashing with increasing urgency in Spain as new case numbers increase, the level on Thursday of 580 the highest in nearly two months.
On Thursday the regional health authorities and national Ministry of Health held a videoconference meeting of the Interterritorial Council of the National Health System, approving a document that will serve as a guide to prevent and stop possible increases in the transmission of Covid-19, learning from the experiences gained during the pandemic so far, and with a little space for planning before the autumn.
The "Early response plan in a scenario of control of the pandemic by Covid-19",( Plan de respuesta temprana en un escenario de control de la pandemia por Covid-19) incorporates measures suggested by the regional governments and other Ministries, dealing with topics such as prisons and immigration, both of which have proven problematic in the first wave of the virus.
This document hopes to provide the National Health System with greater capacity to prevent and tackle possible increases in transmission, and co-ordinate a response.
Many of the measures already in place will be maintained; the CCAES Coordination Center for Alerts and Emergencies of the Ministry of Health will continue to co-ordinate information and act as a central filter, assessing the risk of localized outbreaks or increases in transmission, leading to the activation of a rapid response.
The Plan establishes specific measures for groups of special vulnerability to Covid, such as irregular migrants. The arrival of migrants in small boats (pateras), some of whom have been Covid positive, has caused outbreaks in some areas of the country and provisions have been agreed for the management of these situations in the future.
Penitentiary centres are another specific area covered by the Plan, which recommends establishing reinforced surveillance systems and contingency plans adapted to the specific characteristics of each centre. The detection of a case in a penitentiary centre must be notified to the health authorities immediately to ensure appropriate measures are taken, such as the isolation of the case and its contacts, as well as immediate quarantining.
The Plan also takes into consideration measures which enable the regional authorities to take rapid action and adopts the proposal of the Government of Castilla y León to create "a common legal instrument" for all the regions that "allows agile confinement" by cities or neighbourhoods and " very fast decision making " should there be a localised outbreak of cases.
The autonomous regions have the powers to act in the event of outbreaks, but to impose a deprivation or restriction of liberty or another fundamental right, they must seek ratification from the Administrative Litigation Courts.
The document establishes an agreement of co-ordination between the autonomous regions, an example being events such as the Noche de San Juan; should an event such as this be something that takes place in more than one region, or crosses into another region, the governments can agree to either unanimously suspend the event or agree on a set of rules which will apply to all to ensure a co-ordinated response nationwide (and stop revellers crossing borders).
The text also establishes that each region must be able to guarantee sufficient resources, human as well as material, guarantee the efficient management of information reporting and gathering, maintain laboratory capacity to cope with early testing in the eventuality that demand rise quickly, prepare the resources to track and trace potential cases in the eventuality of an outbreak, acquire sufficient materials to support an outbreak, maintain a capacity for intensive care beds, prepare emergency staffing plans, and logistical plans for all aspects of managing a significant rise in the number of cases and other similar measures.
All regions must be able to guarantee 8 weeks reserve of critical products associated with Covid and the national reserve will also be increased to give additional back-up for critical materials.
It is also deemed important this year to bring forward the annual flu campaign and ensure a wide coverage of vulnerable groups earlier than normal, particularly amongst the elderly and health personnel.
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