1. Lifting COVID-19 mitigation measures in Spain (May-June 2020).
- Author
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Monge S, Zamalloa PL, Moros MJS, Olaso OP, Miguel LGS, Varela C, Ariza SR, Torres MCV, Lucerón MDCO, Yuste PG, Crespo PS, Pozo JSD, Gullón P, Carrasco JM, Sánchez EVM, Bravo LR, Castañeda MP, Hermida MJP, Vidal XH, Gonzalez IH, Margolles M, Luna HV, Gómara ER, Martín JJP, López MDC, Fernández MJL, Lorusso N, Ubago AC, Perez AR, Marin VR, Alvarez JJC, Pérez DC, Anés AAG, Frontera M, Rodriguez PM, León EEÁ, Casañas MD, Perez MAL, Ágreda JPAP, Gutierrez PN, Aguilar IR, Axpe JMA, Carril FG, Azcárraga PA, Soria FS, and Rodríguez BS
- Abstract
Introduction: The state of alarm was declared in Spain due to the COVID-19 epidemic on March 14, 2020, and established population confinement measures. The objective is to describe the process of lifting these mitigation measures., Methods: The Plan for the Transition to a New Normality, approved on April 28, contained four sequential phases with progressive increase in socio-economic activities and population mobility. In parallel, a new strategy for early diagnosis, surveillance and control was implemented. A bilateral decision mechanism was established between the Spanish Government and the autonomous communities (AC), guided by a set of qualitative and quantitative indicators capturing the epidemiological situation and core capacities. The territorial units were established ad-hoc and could be from Basic Health Zones to entire AC., Results: The process run from May 4 to June 21, 2020. AC implemented plans for reinforcement of core capacities. Incidence decreased from a median (50% of territories) of 7.4 per 100,000 in 7 days at the beginning to 2.5 at the end. Median PCR testing increased from 53% to 89% of suspected cases and PCR total capacity from 4.5 to 9.8 per 1000 inhabitants weekly; positivity rate decreased from 3.5% to 1.8%. Median proportion of cases with traced contacts increased from 82% to 100%., Conclusion: Systematic data collection, analysis, and interterritorial dialogue allowed adequate process control. The epidemiological situation improved but, mostly, the process entailed a great reinforcement of core response capacities nation-wide, under common criteria. Maintaining and further reinforcing capacities remained crucial for responding to future waves., (Copyright © 2021 Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2021
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