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Health: Covid cases in children increase, although hospitalizations do not exceed 1%
A report by the European Center for Disease Control and Prevention (ECDC, for its acronym in English) indicates Spain as one of the seven European countries (along with Romania, Bulgaria, Croatia, Hungary, Czech Republic and Malta) "with very strong trends. are worrying, that is, with high or increasing notification rates in older cases and, consequently, a higher proportion of hospitalized and seriously ill patients. In these countries,
high death notification rates are already observed or it is possible that watch soon
. "
The document of the European body indicates that in some local or regional areas of these countries, "
medical care is already under pressure, with high rates of bed occupancy in hospitals and ICUs
and high levels of fatigue among health workers. improvements that have been made in case management, supportive treatment and care are still not enough to prevent serious illness and death in a large proportion of vulnerable patients. "
Likewise, the report explains that the containment measures implemented have not been effective in limiting the significant increase in infection, "either because adherence to the measures may not be optimal or
the measures implemented may not be sufficient to reduce or control
the exposition".
In addition, according to seroprevalence studies, the level of immunity in the population is below 15% in most of the European Union and the United Kingdom, therefore, in the absence of a vaccine, the vulnerability of the population remains high.
According to WHO data, some of these countries do show high cumulative incidence rates, for example, Spain (283,26), Czech Republic (229) or Malta (135).
The Czech Republic has also seen this incidence increase in the last two weeks by 202% and Malta by 69% (Spain has experienced an increase of only 8% in the last two weeks, but our country has been showing high figures since August).
The ECDC places another group of countries with a worrying trend due to the increase in notifications, however transmission is reported
mainly in young people and they maintain a low proportion of serious cases and deaths
.
This group includes Austria, Denmark, Estonia, France, Ireland, Luxembourg, the Netherlands, Norway, Portugal, Slovakia, Slovenia, and the United Kingdom.
Although the impact of Covid is still considered low, the European body is concerned that transmission continues to increase, so that "protecting the most vulnerable is a challenge. In addition, the number of hospitalized patients and serious cases will inevitably increase as some patients under 65 will also need hospitalization and ICU care, with the consequent stress in the provision of healthcare. "
The report indicates that in order to avoid a rapid increase in the level of risk in the coming weeks, it is essential to "closely monitor the evolution of the epidemiological situation, including infections detected at the primary care level, the occupancy level of hospital beds. hospitals and ICUs and the spread of infections among vulnerable people, for whom the impact of Covid-19 is very high. "
The ECDC considers Belgium, Cyprus, Finland, Germany, Greece, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Poland and Sweden
countries with a stable trend and an overall low probability of infection
due to the low proportion of cases in the elderly , serious cases and death notifications.
"Several countries appear to be progressing now from limited local community transmission to sustained community transmission. This
requires a robust response, focused on both containment and mitigation measures
. Geographic areas that did not experience widespread transmission during the first wave may have a higher level of population susceptibility and being less prepared to address the growing demand for healthcare. Therefore, public health efforts should focus on strengthening healthcare capacity to handle potentially high numbers of Covid patients. " , indicates the European ECDC in its report.
Among the response options recommended by the agency are controlling transmission between older children and adults under 50 years of age, protecting medically vulnerable people and health workers, particularly those involved in primary care;
non-pharmaceutical interventions (social distance, hygiene, use of masks) guided by the local epidemiological situation;
more widespread testing in the community, rapid identification and containment of outbreaks, and identification of infectious cases to prevent further transmission.
"
Easy access to and timeliness of evidence is critical
to the effectiveness of measures such as contact tracing and case isolation."
Other recommended response options are contact tracing, 14-day quarantines (which can be shortened to 10 days after exposure if a PCR test on day 10 is negative), youth-specific communication campaigns, which are the least compliance do;
or strong messages to promote the monitoring of protective behaviors: "
They must emphasize that the pandemic is far from over and that the Sars-CoV-2 virus continues to circulate
within the community."
According to the criteria of The Trust Project
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