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The saturation of health centers and the high rate of infections by omicron, with a cumulative incidence of 14 days never seen before (2,433.94 per 100,000 inhabitants, according to data from this Tuesday), is rethinking the protocols of some autonomous communities. Thus, to date,
Catalonia
,
Galicia
,
Navarra
,
the Basque Country
and
Aragon
have been counting positive cases reported by pharmacies for months in their daily statistics, as well as Murcia, Cantabria and La Rioja,
but the first five without the need for confirmation via PCR, due to recent modifications.
Some, like Galicia, asked until a week ago for a confirmation by PCR, like the Basque Country, a requirement that is no longer necessary in any, just as they have not confirmed it in Navarra since the December bridge, when the incidence began to rise. .
In other communities, such as La Rioja, pharmacies report positives from those who take the self-diagnosis test at home, but collegiate sources do not know if they are confirmed with PCR or in what way they are counted.
Other autonomies, such as the Valencian Community, are in talks with the Official Associations of Pharmacists
to enable a system of notification of cases from the pharmacies.
Of course, the pharmacies of Catalonia are the only ones that, as a result of the agreement signed yesterday between the
Department of Health of the Generalitat
and the
Council of Pharmaceutical Colleges of Catalonia
,
notify not only the antigen tests that they have been monitoring since July in pharmacies, but
now also the positive results obtained through rapid antigen tests carried out in the domicile
.
Criterion changes
This is not the case, however, in the other communities, where it is a requirement that the test be carried out in the pharmacy under the supervision of a pharmacist. Moreover
,
in Aragon the pharmacist uses professional tests to issue European Covid certificates for asymptomatic people and without contact with positives
(not self-test carried out by the patient or supervised by the pharmacist), being the only community where the pharmacies carry out these certificates to be able to travel . And it is only in these cases, if they register positives, when they notify the Aragon Health Department through a platform and it is incorporated into the patient's medical history. "Until recently they were considered positive suspects and Health had to confirm it, but no longer," he explains to this medium.
María José Villafranca, president of
the Official College of Pharmacists of Teruel
.
To date, 3,542 European Covid certificates of negative diagnostic tests have been issued and,
from December 27 to January 2, the 355 member pharmacies in Aragon have reported 954 positives
.
In parallel, Aragón has set up a
telephone so that the user of the self-diagnosis test himself can notify his positive and leave work can be managed
, as is also the case in Catalonia, the Basque Country, Madrid -where pharmacies do not report positives- and almost all the autonomous communities.
Public Health Decision
These modifications of the regional protocols respond to the indications of the last document approved by the Public Health Commission on December 30
,
Adaptation of the strategy for early detection, surveillance and control of Covid-19 in a period of high community transmission
. The text indicates that "in this situation of such high circulation of the virus it is necessary to review the handling of cases" and, therefore, establishes that
"the results of the self-tests, in situations in which autonomous communities cannot guarantee confirmation in time for active infection diagnostic test (PDIA)
, and that, therefore, are handled as Covid cases will
be considered confirmed
,
will be integrated into the surveillance system
and in the usual notification through SIVIES to the Ministry of Health as established in article 25 on communication of data from diagnostic tests of Law 2/2021, of March 29 ".
The document adds that in said article it is indicated that
"the Departments
with competences in health matters of the autonomous communities will collect the data of the Covid-19 diagnostic tests indicated in their territory, which allow epidemiological follow-up, and
will send them to the Ministry of Health through the information system that this establishes to the effect
".
On a more technical level,
Alba Soutelo, president of
the Official College of Pharmacists of Pontevedra
, explains to this medium that the Galician Ministry of Health reported on December 30 of
changes in the
Rexel
system for recording the results of the self-tests of antigens made by pharmacies. Said statement reported that "with this change it is intended that, in the event that the self-test result is positive, a confirmed positive case is directly generated in VIXIA. From now
on, the antigen Autotest
option will no longer be operational, and the pharmacy must record the result (Positive or Negative) and the dates (date and time of the test and Date of diagnosis) in the option
Antigen test
(the boxes will appear in blue) ", where the pharmacist must also indicate the manufacturer of the self-test.
In Galicia, on Monday the pharmacies carried out 535 tests, of which 63 were positive
.
Despite the current high incidence, Soutelo adds that in July and August Galician pharmacies carried out up to 2,000 tests in one day.
Test demand on the rise
Meanwhile, the sale of self-diagnostic antigen tests in pharmacies continues to rise.
According to data published this Tuesday by the consulting firm Iqvia on the
week of December 20 to 26, demand grew 69% compared to the previous week
, reaching a record during the holidays.
Catalonia continues to be the autonomous community with the highest sales
, concentrating 21.1% of sales in Spain, followed by
Madrid
, with 17.94%, and
Andalusia
, with 15.49%.
According to the criteria of The Trust Project
Know more
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Coronavirus
Covid 19
Infectious diseases
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Omicron variant
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