This is the rolling coronavirus story for Thursday 22 October 2020.




A guy from Almería 360 told me early this morning that the detailed data for Almería municipalities was not published by the health department yesterday due to "technical problems".



Latest proposal for risk levels and responses

Google translation:

Health proposes not leaving home and closing bars at 10 pm with extreme risk

Health advises limiting social contacts and meetings of six people to the maximum

The Ministry of Health is going to propose this Thursday to the Health Councilors, within the framework of the Interterritorial Council of the National Health System (CISNS), that in the areas with the highest incidence of coronavirus infections, establishments with non-essential services be closed, such as bars, at 10 pm and the population is recommended not to leave their homes.

This follows from the new draft of the plan for 'Coordinated response actions to control the transmission of COVID-19', to which Europa Press has had access and which is expected to be approved this morning by the Public Health Commission and, later, in the CISNS.

The document, which involves a "technical development" of the indicators included in the 'Early Response Plan', establishes the actions to be carried out by the regions according to their coronavirus transmission alert levels, adaptable to the situation and to the context of each healthcare and public health territory.

The European Center for Disease Control (ECDC) has established a threshold of cumulative incidence in 14 days of 25 cases per 100,000 inhabitants to consider that the risk begins to increase, and an upper limit of 150 to consider that the risk is very high.

However, for Spain an additional threshold has been established, an incidence greater than 250 per 100,000, to indicate extreme risk situations in which additional actions are required if those implemented when there are incidents of more than 150 fail to control transmission.

To assess risk, Health provides eight main indicators and four risk levels, divided into two blocks. In the first, the level of virus transmission is evaluated through the accumulated incidence in 14 and 7 days accumulated per 100,000 inhabitants; the cumulative incidence in 14 and 7 days of people over 65 per 100,000 inhabitants; the percentage of positivity of the diagnostic tests; and the percentage of cases with traceability. In the second block, the occupation of beds in hospitals and Intensive Care Units (ICU) is measured.

Four levels of risk are assigned to each of them, considering the highest risk, or extreme situation, the one with incidences greater than 250 cases per 100,000 inhabitants in 14 days, or 125 cases in a week. However, this threshold is reduced to 75 cases per 100,000 inhabitants in a week (and 150 in 14 days) when patients are older than 65 years.

In this extreme scenario, the positivity rate for diagnostic tests would have to be 15 percent and the percentage of cases with traceability 30 percent. In addition, it is established that the occupancy of hospital beds stands at 15 percent and ICUs at 25 percent.

Currently, and according to the latest report published by the Ministry of Health on the cases of Covid-19 in Spain, this Wednesday, October 21, the communities that are in an extreme situation Navarra (543.71 cases per 100,000 inhabitants in 14 days ); Aragon (265.29), La Rioja (301.77), Melilla (412.78) and Ceuta (221.76).

On the other hand, Health places in the high level the regions that have a cumulative incidence of cases in 14 days of between 150 and 250 per 100,000 inhabitants (between 75 and 125 in seven days). Murcia (172.57 in two weeks), Castilla y León (157.78) are currently at this level.

The average risk is when there are between 50 and 150 cases in 14 days (between 25 and 75 in a week). At this time, the communities that would be at this level would be: Madrid (145.23 in two weeks), Extremadura (75.96), Valencian Community (61.17), Castilla-La Mancha (138.33), Balearic Islands (80.30) and Andalusia (55.33).

Finally, the risk is low when in two weeks there is an incidence of between 25 and 50 cases per 100,000 inhabitants (between 10 and 25 in one week); and of 'new normal' when fewer than 25 cases per 100,000 inhabitants are registered in two weeks or less than 10 in a week.

In those situations in which territorial units of less than 10,000 inhabitants have to be assessed, groupings may be made in territories such as health areas, integrated care management or regions, for the evaluation and taking of joint measures.

In small territories, the number, trend and rate of change of the cases diagnosed in the last 7 and 14 days will also be taken into account; the proportion of new cases associated with outbreaks; the secondary attack rate; and the existence of hot spots (due to the number of outbreaks, their characteristics and their control situation; the impact on socio-sanitary residences or especially vulnerable populations).
The autonomous communities, in coordination with the Ministry, will periodically review the evolution of the indicators to assess maintaining or modifying the alert level. In general, it will be recommended to increase the alert level when, after considering that the information is sufficiently consolidated, the conditions defined above are met. In order to consider reducing the level of alert, it will be necessary for the indicators to remain at a lower risk level for a minimum period of 14 days.

Limit social contacts as much as possible

In this sense, for the areas with the highest incidence, that is, those that are at a high alert level, since the document does not reflect actions for the extreme level, Health advises limiting social contacts as much as possible, social gatherings of up to six people, recommend staying at home and limiting opening hours to the public until 10 pm in establishments with non-essential service.

However, in the specific case of catering and hotel establishments, it is stated that it will be the health authority who must assess the closure of the interior areas of the establishments, and failing that, reduce the capacity to the maximum possible. The establishments may provide a local pick-up service, home delivery or vehicle pick-up at all alert levels.

In these high-risk areas, the need is also established for the population to be advised to avoid closed spaces where activities incompatible with the use of masks are carried out and many people attend (such as gyms); and assess the limitation of entrances and exits from the evaluated territorial area, except for essential activities; go only to work for specific meetings.

It is also proposed to limit the capacity of wakes, burials and funeral ceremonies to a maximum of 10 people in closed spaces and 20 in open spaces; postpone, if possible, weddings, baptisms or communions and, if not, comply with the capacity set at the wakes; and suspend activities in day, disabled or recreational centers for the elderly and young; among many other measures.
More serious measures in the province at Los Gallardos?
Google translation:
Los Gallardos

Now yes: there will be screening tests and more restrictive measures in Los Gallardos

Capacity limitations in stores and hotels, which must close at 10 p.m., including

The president of the Junta de Andalucía, Juanma Moreno, met this Thursday at the Palacio de San Telmo in Seville with the Advisory Council for High Impact Public Health Alerts to address the situation of the Covid-19 pandemic in the community. A meeting in which a series of measures have been put on the table that have later been transferred to the meeting of the Governing Council.

The Minister of the Presidency, Public Administration and the Interior, Elías Bendodo, and the Minister of Health and Families, Jesús Aguirre, participated in that meeting, who later communicated during a press conference in which Carmen Crespo, from Almeria, was also present, Minister of Agriculture, Livestock, Fisheries and Sustainable Development, the measures taken.

Aguirre stressed that the growth of positive coronavirus in Andalusia is being "constant" in all Andalusian provinces, "except in Almería", where the development of the curve is slower.

Therefore, the Board has decided to extend the restrictions that Granada capital and other towns in its metropolitan area already suffer to the cities of Seville, Córdoba and Jaén. Likewise, it is proposed that in Granada there is a curfew from 11 pm to 6 am, once it is published in the BOJA and they have the endorsement of the TSJA so that it can be carried out with all the legal guarantees.

Likewise, the Andalusian Government has decided to take more restrictive measures with regard to the practice of sport and hospitality customers.

In this sense, those who practice sports outdoors in places where there are people should always wear a mask. And the customers of bars and restaurants will have to always have it on, "and only take it off to eat," Aguirre said, both at the table and at the bar.

More restrictive measures for Los Gallardos

Regarding the measures that affect the province of Almería, the Minister of Health has announced that there will be a screening of rapid antigen tests in Los Gallardos, a town that must also comply with the same restrictions in terms of capacity that are already present in Granada since the publication of the BOJA on October 14.

That is: visits and exits of users of social health centers are prohibited, attendance at wakes is reduced to a maximum of 15 people outdoors (10 indoors), the capacity of commercial premises is limited to 50% and it is marked as closing time is 22 hours (except essential services) and the occupation of tables in bars and restaurants is reduced to a maximum of six people, which must close at 22 hours and whose capacity may not exceed 50%.

In addition, the clubs and cultural and recreational associations must remain closed, the markets are closed, the limit of 30 people is put in weddings and other civil and religious ceremonies, the occupation of sports facilities is reduced to 50 percent, and not in groups of more than 6 people, and activity in parks and gardens is suspended, in addition to reinforcing preventive measures in public buildings.

For Elías Bendodo, Andalusia is at a "decisive moment" in the Covid-19 crisis. so he asks "responsibility for everyone, especially for the youngest", since "difficult times are coming." "We know that they are tough measures but necessary to stop the advance of the pandemic," he said.

The advisory council

The Advisory Council for High Impact Public Health Alerts is made up of the Deputy Minister of Health and Families, Catalina García; the general director of Public Health and Pharmaceutical Management, José María de Torres; the managing director of the Andalusian Health Service, Miguel Ángel Guzmán, and the territorial delegates of the Ministry of Health and Families.

In addition, the managing director of the Public Health Emergencies Company (EPES), José Luis Pastrana; the general director of Occupational Health and Surveillance, Nicola Lorusso; the Deputy Director of Health Assistance, Inmaculada Vázquez, and the Deputy Director of Health Protection, Ulises Ameyugo.

In the same way, there are several representatives of the different societies that compose it, among which the Andalusian Society of Preventive Medicine and Public Health, the Andalusian Society of Epidemiology, the Andalusian Society of Infectious Diseases and the Andalusian Society of Microbiology and Clinical Analysis stand out. , to which the professor of Animal Health, Antonio Arenas, is added.
Stats for the last 24 hours - 162 more cases, 4 more deaths - plus a typo in the article: where it says 1000 it means 10000
Google translation:
Almería already exceeds a thousand cases of coronavirus on a black Thursday with 4 deaths

In the last 24 hours there have been 162 positives, 6 hospitalizations and 226 cured

Almería now has a thousand cases of coronavirus since the outbreak of the pandemic after the latest data provided this Thursday by the Ministry of Health and Families of the Junta de Andalucía: the 162 infected in the last 24 hours determined through PDIA (Diagnostic Tests of Active Infection, which include cases with active infection confirmed by PCR technique or rapid antigen tests) leave the accumulated in 10,116 people who have contracted Covid-19.

The day has also been black in terms of deaths, with 4 more deaths, so there are already 136 deaths since last March due to the virus. Likewise, 6 people have been admitted to hospital centers, none in Intensive Care. On the positive side, we must add 226 cured.

It is the balance that the daily part of the Junta de Andalucía throws up, although more specific information cannot be extracted (such as age of the deceased and cases by municipalities), since the Institute of Statistics and Cartography of Andalusia has not updated its data since the last Tuesday, October 20, according to Jesús Aguirre, Minister of Health, because of "technical problems" that last for more than 48 hours.
7 and 14 day figures from Almería 360 - note that we missed data yesterday
See the tables in the Spanish article.
Cumulative stats based on information on Almería 360 - they have changed from cured back to deaths so the graphs have changed