• Vaccination This is how Health justifies postponing the second dose of anti-Covid booster for those over 80 years of age to autumn

  • Mortality The seventh wave of Covid causes an excess of 4,000 deaths in two months in Spain

Spain is facing its

third Covid summer

in a situation of stagnation, without the seventh wave finishing off or the hospitalizations it causes being reduced.

The number of patients admitted for coronavirus in our country, which has just suffered a new upswing, is surprisingly high for these dates: a year ago, with the vaccination campaign in full swing, the total number of people hospitalized for this cause did not reach 3,300.

Now, on the other hand, it exceeds 6,700, more than double.

The ICUs,

which are in a much clearer situation (342 beds occupied by Covid patients) than a year ago (899 on June 15, 2021), have resisted well.

The protection of the vaccines, the new antiviral treatments and the fact of coming from a much calmer course have kept the intensive care units from collapsing.

Even so,

the number of weekly deaths (157) is also double that of a year ago (82)

, always with the uncertainty inherent in this type of data (both then and now).

Compared to other large European countries, the hospital situation in Spain, one week into the summer, is striking.

With 120 Covid admissions per million inhabitants in seven days, our country far exceeds Italy's 31, Germany's 34 or France's 42

, according to

'Our World in Data'

.

Once again, these are data subject to great uncertainty, but they reflect a clear stagnation: while

the spring wave has dropped drastically in the countries around us

, here it remains close to the peak of income (142 weekly per million, on May 15) .

The seventh wave, without ever approaching a health collapse, is now prolonging itself in a kind of plateau, with

hospitalization and death data that are also higher than those of last fall

.

The school year, unlike a year ago, ends worse than it started.

"The fourth wave, in the spring of 2021, was very small, much smaller than the seventh wave now," recalls Antonio Guirao, a researcher at the University of Murcia and an expert in the evolution of the pandemic.

Seventh wave, reinfections and new cases of Covid

"In addition to the fact that this was a smaller wave, it

was even smaller if we look at those over 60 years of age

. At that time, more vulnerable people protected themselves. In fact, the incidence in those over 60 was almost negligible, unlike now ,

with an incidence in the elderly 10 times higher than what was then

", contrasts Guirao.

A year ago, the incidence for age groups over 60 years was less than 20 cases per 100,000 in seven days.

Now, on the other hand, that data exceeds 250 cases.

"In terms of infections,

the seventh wave has been similar to the sixth of winter: a massive infection

. Not only have there been reinfections, but also many people who have not been infected to date have finally become infected, because they have begun to protect themselves less and because of the enormous circulation that the virus has had," Guirao analyzes.

The seventh wave has been the first that has not put the system to the limit,

but it has left a constant trickle of serious cases.

In addition, it is costing him to descend.

It has not been high, but it is taking amplitude.

"

If we only see that total income does not grow too much, or is stagnant

, it gives the feeling that everything is going well; but it is a fallacy, because the number of people affected grows day by day. A silly example: we start from an empty hospital and, for a whole month, one person a day is admitted and another is discharged. The hospital is always empty, but, at the end of the month, 30 people have been affected," Guirao illustrates.

Spring 2021, a high rate of vaccination

There is another difference compared to last year: by the end of the spring of 2021,

vaccination had taken an enviable pace,

while now it is very possible that immunity is waning.

"There is a problem, surely, linked to the fact that immunity has decreased, especially in older people.

The number of people vaccinated with the third dose has also decreased

, which has not been as high as we had in the first two doses" , indicates Joan Carles March, professor at the Andalusian School of Public Health.

"To that we can add the fact that among people who talk about these issues, we are not clear about the fourth dose. We have not made it clear," admits this expert, who has closely followed - and with success in his predictions - the evolution of the vaccination campaign.

His proposal: people aged 80 or over, as well as those over 65 who are vulnerable -immunocompromised, chronic patients, transplant patients...-, would benefit from that fourth dose.

It is necessary to improve the vaccination situation that we have.

Above all, the third dose for a high percentage of the population

Joan Carles March

March's recommendation contrasts with the current situation in Spain

-

it has been approved for people over 80, but it has not begun to be administered

- and is halfway between that made by the European authorities -

for now, only for people over 80-

and the Americans, who already advise, since last May 20, a second booster -or fourth dose- for "people 50 years of age or older and people 12 years of age or older who are severely or moderately immunosuppressed."

Europe, for its part, is waiting for new evidence before moving forward in this direction.

But first, there is another challenge:

nine out of 10 people over 12 years of age have the full regimen in Spain, but only 53% of the total population has a booster dose

.

"It is true that there are people who, in recent months, will have generated a hybrid immunity with omicron; but, for the rest, it is very important to get vaccinated," March stresses.

"

The vaccine saves lives, the vaccine manages to control the situation of the most vulnerable people

. It is necessary to improve the vaccination situation that we have. Above all, the third dose for a high percentage of the population."

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