This Wednesday marks two weeks of restrictions implemented by the Junta de Castilla y León in the capitals of Valladolid and Salamanca, which have not managed to stop the expansion of the coronavirus, although the incidence has been reduced. Faced with this situation, Health is considering extending these capacity restrictions to reduce this trend as much as possible.
Currently, according to the data provided by the Board, there are 3,337 active cases in Valladolid and 1,549 in Salamanca, without taking into account those who have already overcome the disease or have died from COVID-19. The Minister of Health, Verónica Casado, recognized this Tuesday that in some basic health areas “we have to continue working” although the situation has “improved” in others. “There is a small improvement in the western area, but in the eastern area the data continues to be worrying,” the mayor of Valladolid, Óscar Puente, also assured Tuesday after her meeting with the Junta de Castilla y León.
“The situation continues to be worrying, it is not improving and it is not optimistic,” Ignacio Rosell summarizes to elDiario.es. He is a specialist in Public Health and secretary of the Committee of Experts that advises the Junta de Castilla y León, which recalls the situation that some neighborhoods in both capitals were experiencing a few days ago.
Barrio España and Rondilla II (Valladolid) have a cumulative incidence in the last 14 days of 91 and 84 cases per 10,000 inhabitants. In Garrido Norte and Sur (Salamanca), the figures are lower, but also alarming: 64 cases per 10,000 inhabitants. “If they were a Community, they would be above Madrid, which has a rate of 60 positives per 10,000 inhabitants,” explains Rosell.
In Valladolid, the areas with the best situation are Valladolid Sur (10 cases per 10,000 citizens in the last 7 days) and Casa El Barco (11 per 10,000), but this figure is quadrupled in Circunvalación, Barrio España and Rondilla II. In Salamanca, concern remains for Garrido Norte and Sur, which have an incidence of 31 and 36 per 10,000 people. In fact, the mayor of Salamanca believes that the conditions exist to lift the city’s restrictions.
It is true that the incidence has decreased in recent days, although community transmission continues. In the four previously mentioned neighborhoods, the incidence has dropped by half, although it is still well above what would be ideal. “Some effect will they have [las restricciones], because they have not raised the data “, reflects Rosell, that calls to the” individual responsibility “to avoid that the situation worsens.
On September 3, restrictive measures came into force in Valladolid and Salamanca that “practically” returned both cities to phase 1, which caused a new exchange of political reproaches and judicial requests between the mayor of Valladolid, Óscar Puente, and the vice president. of the Junta de Castilla y León, Francisco Igea.
In essence, these measures reduced the capacity to 25 people in closed spaces and 50 people outdoors, to try to stop community transmission and avoid crowds during these dates, in which a normal year would have celebrated the festivities. In addition, family gatherings of a maximum of ten people are still prohibited “both in public and private spaces” and at the tables of bars and restaurants – on the terrace and indoors – there can be no more than six people and with an interpersonal safety distance 1.5 meters.
Casado has regretted the relaxation that is observed taking a simple walk, with people who when reaching a terrace take off their masks even if they are not consuming. “He also urged” to do things right “to control the epidemic” and not meet in the situation in March “.” If this were not possible, we know that confinement allows the pandemic to be overcome, but no one wants to reach that situation.
This Tuesday the Junta de Castilla y León and the mayors of Valladolid, Salamanca and León met to discuss with each councilor the situation of their capital. After the tensions between the Valladolid socialist councilor and Francisco Igea, Óscar Puente hopes to “regain fluidity in the dialogue” so that all are “accomplices” against the pandemic.
The situation is not simple in hospitals, because in addition to COVID-19 patients, there are also admitted for other types of pathologies. About 4% of those who are infected arrive at the hospital, either to enter the ward or the ICU. “We are short on staff, we are going to more than 100% because there are still people on vacation,” explains to elDiario.es Carlos Dueñas, internist and COVID coordinator of the Hospital Clínico de Valladolid.
“At the moment they are compensating a little high with income but we have a few days to see results,” he says. “The results take at least two or three weeks to be seen in hospitals, because you have to calculate 15 days of incubation of the disease and about seven days to present a severe clinic. It is a little early to know if we are going to start to improve “, he insists.
According to Dueñas, this Tuesday [por la tarde] “a lower number of admissions” has begun to be noticed, since three admissions and 8 discharges have been registered in this hospital. “Last week they were more or less balanced income and high,” he asserts.
The three hospitals in Valladolid and Salamanca are those that experience a more complex situation. According to data from the Board, at the Río Hortega Hospital in Valladolid, the extended ICU is already 82% (27 of the 33 beds are already occupied), in the Salamanca Complex the ICU occupancy is already at 72% , with 39 of the 54 beds occupied. The critical care unit of the Hospital Clínico de Valladolid does not have as many patients: there are 24 occupied beds of the 45 enabled (53%).
However, the Valladolid Clinic has a floor occupancy of 90% (503 occupied out of 563 enabled). The Salamanca Complex is 86% occupied (517 beds out of 598 occupied) and in Río Hortega de Valladolid, 79% (395 patients hospitalized on the floor in a hospital where there are 499 enabled beds).
“Hospitals are full of other pathologies apart from COVID-19 and now we have a little more work than usual because there was no one who can be hired to replace on vacation, because there are no job boards,” continues the COVID coordinator of the Hospital Clínico, which does not rule out asking for volunteers from other specialties “if things get worse.”
“They have to be noticed [las medidas]. If I think exclusively as a health worker, the measures would have been tougher, but I am also a person and you have to think about the economy. If you limit the capacity, there is less chance of being infected and it has to be noticed. If you reduce the number of patients who can be infected … there will be fewer hospitalized, “he synthesizes.