He says that he has cried "in the corners" during the worst crisis imaginable for a health adviser and defends that, despite everything, the balance is not bad, although it is "improvable". Jesús Aguirre (Córdoba, 1955), has become this Sunday the Andalusian 'sole command' in the management of the health crisis after the deactivation of the state of alarm and although he declares himself "loyal" to the central government, he assures that there have been many differences . On what may happen from now on, he says that if he knew it he would be a "Nobel Prize", but he works with the worst hypothesis.

The Andalusian Superior Court of Justice has just filed the complaint that the Andalusian Council of Nursing Graduates had filed against you, blaming you for the contagion of health workers. You don't see crime in your management, but do you feel responsible? That complaint, once I saw it, I saw it totally out of place. We have all done what humanly could be done and this counseling was prepared, initially, taking into account the figures that came to us from China. Then, as in the rest of Spain and in the rest of the world, it was seen that the figures were higher and that made us not have enough PPE (Personal Protective Equipment), but the deficit has occurred, anyway, at very specific moments. I am responsible for anything that happens in counseling and everything in this life has room for improvement. From all this we will draw conclusions to improve, of course, and that is why we will have a stock of PPE for six months. What could have been done differently? It may be so. According to the Carlos III Institute, 30% of all infected in Andalusia are healthcare. Has nothing gone wrong? According to the Carlos III Health Institute, seroprevalence in Andalusia is 2.9 and that of Andalusian toilets is 3.3. Then there is a difference of 0.4. The fact that there are so many positives within the healthcare community is because 60% of all the PCRs we have done have been done, precisely, to the healthcare professionals. It is the group that we have protected the most. In that judgment, the TSJA shows that there are "structural insufficiencies" in the health system. Is the fault then of the previous governments? Structural deficiencies are here and everywhere. There is room for improvement, there is no doubt, and that is why I hope that the Covid funds that the central government and the European Union are going to send will arrive as soon as possible in order to reinforce the Andalusian public health system. It must be taken into account that the Andalusian health system was the one that received the least contribution in euros per inhabitant and year, it has always been in deficit and in this year and a half we have increased its budget by 1.4 billion, we have gone from 6.1 to 6.4% of Andalusian GDP. You have to go higher, of course. Once the peak has been overcome and the happy curve of contagions is bent, take stock of me, with self-criticism included. The curve went up exponentially until March 31 and I was crying out of the corners. It was very hard from day 13, on day 14, when the main supply of PPE and masks, which was the company of Alcalá la Real, was confiscated by the central government, which, as the sole command, was within its rights. That meant a huge stress and strain on our healthcare system. It was also a time when we all depended on China when buying material, we had become Chinese dependents, but currently 95% of our purchases are from Andalusian companies. It was very hard, then the curve has gradually fallen and the situation is better, although we are still worried, alert to what may come. What I am is a doctor and I spoke with them and I knew the effort they made, how they stretched the means of protection to the maximum, they doubled the guards and how they cried, we cried because I also cried, when they counted the extreme situations that were in the emergency and in ICUs. Do we have to get used to outbreaks, cluster as you call them, like the one in Algeciras? Right now we have a cluster in Algeciras and another in Granada. We are prepared for those who come, we have 800 nurses linked to health centers, a reinforced epidemiology service and we are following up on something that is normal. It must be taken into account that the rate of infections that we have right now in Andalusia is 0.30 cases per 100,000 inhabitants in the last seven days and Spain has ten times more. What do we have that dripping? We have the blasting every day, every day except. And the problem is not the blasting. We will have chorreo and we have to get used to it until we have the vaccine we will always have the occasional case, because the virus is here to stay. Live among us. This is not a normal cold, it is not a normal flu. I have been with patients and when they tell you how they suffocate, how the air does not reach their lungs, how their alveoli explode, how they cry out for intubation ... Can you foresee what is going to happen to the return of summer? There are those who take for granted a new wave of the virus in the autumn. If I had the ability to foresee it, I would be a Nobel Prize winner. We have to be prepared, we have to be alert, we have to put ourselves at the worst, but we cannot foresee it. It may be that we have a lax evolution or it may be that in the same summer period or in the epic of the flu we have a rebound that puts us all in danger. For this reason, a month ago we launched the Fall-Winter 2020-2021 High Frequency Plan and we are currently working on the hypothesis that we have a major outbreak coinciding with the flu, which is the most sinister of all. We have gone to the worst and we already have it planned. I always put myself in the worst, because that way what I can take are joys, if I put in the best I can take sadness and cry around the corners. The "new reality" that we premiered on Monday in Andalusia brings new rules that the Governing Council just approved. From the minister to the counselor as sole command? The Minister of Health will be guided by his Public Health technicians. I am a doctor and, also, a specialist in Public Health, I know the terrain perfectly. When we started the advisory group in January, I saw that something was coming, I did not know that it would be so bad, far from it. Hopefully. But something smelled of me. The president has always been very clear about it, no action will be taken in this autonomous community without the approval of Public Health and Public Health, which depends on my counseling. What will change as of Monday regarding the management of the crisis? I ask this because you have been quite critical of the central government. We have respected and accepted any decision of the Minister of Health, as sole command. Now, that I respect what the single command decides does not mean that I do not have a disparity of criteria with the single command. There have been differences in protocols, phase passes ... but always abiding by what the single command says. My relations with the minister and his team are quite good. What changes now is that we enter a phase in which the alarm disappears, we enter a recovery phase in which we have to be vigilant. Our work will be very focused, apart from care work, on controlling and avoiding some type of outbreak and following up, which will focus a lot on primary care. We are going to have an entertaining summer, we are not going to be idle. What has happened in the nursing homes, could it have been avoided? Can it happen again? In nursing homes, we have done in three months what we were going to do in three years. When we started the counseling structure, the first thing we did was create a General Directorate of Socio-Health Care, the first in all of Spain. Our idea was to approach residences from the health point of view, to link them directly to public health. Since March 3, we had already medicalized the 1,107 Andalusian residences that we linked to a health center. With this measure, the same protocols began to be applied and all this is here to stay. If we look at the statistics for Andalusia compared to other communities, perhaps the success of Andalusia, in quotes, has been the lowest incidence in the residences because our approach was positive, as early as possible, 20 days in advance. The volume of deceased behind us is only in the Canary Islands and of the 1,107 residences, right now there are only eight in positives and any residence, at the moment when it has only one positive, I isolate. I know that residences are the weakest link in the chain of epidemiology. In Madrid, the management of residences has confronted councilors and government partners. What happened? Has there been any friction in Andalusia? Here, the Governing Council is very united, we have gone hand in hand and any decision we have had about residences has been through joint work with the Department of Equality and Social Policies. Madrid will have had its circumstances, it will have had its problems, but I can speak what I know about the Andalusian Governing Council which, from day one, knew that the important thing is to add. What is happening with the statistical data of the pandemic? Will we ever find out the actual number of infected and deceased? Today [by Friday] the Ministry of Health has updated the data of deceased and they already declare only six less deceased than we declare. When we have a medical diagnosis of death from coronavirus, it is automatically counted as deceased by coronavirus, then the epidemiological surveillance system asks for the data and looks at it and there may be a difference of plus or minus one, two ... But the figures are the figures, the deceased are the deceased and we send them in time and form, daily, to the Ministry of Health. In what the Ministry does, I neither enter nor leave. I answer for my figures and each deceased has a name and surname, has a family and are Andalusian. It is such a serious subject that I do not admit anything, we publish absolute transparency, from the first day. The figures with figures, that they find out, they consider only the deceased who have CRP and for me, the deceased who has died of coronavirus, has died of coronavirus. You have to have dignity with the deceased, who are people, with names and surnames. Is the Andalusian healthcare bankrupt? Of course, the pandemic has involved a very large investment and we hope that the funds from the Ministry and the Europeans will arrive as soon as possible. I know where I have deficits, such as in contracting, which has skyrocketed, in purchases, especially at the PPE level. I have a very large financial gap in my counseling, which I hope will be corrected with the Covid funds that have not yet arrived. But you can not speak of bankruptcy, our budget is 11.060 million euros, we have suffered 1.6 billion in this year and a half that we have, which we do have in a lag due to unexpected expenses that were not scheduled that we will have to compensate. PP a salary increase for doctors and due to the pandemic there are many voices that demand an economic recognition for health workers. What is your government going to do? The Ministry has been working on this for a long time, it is not now. When we arrived, we met the lowest paid professionals in all the autonomous communities. They had 50-70% contracts Monday through Friday and there are no such contracts anymore. At the beginning of January we already approved, with the budget, the salary equalization and it will be effective on this payroll and what is missing we will do in the shortest possible time. Our line of work is aimed at equalizing the salary of all health professionals, at greater stability. What we want is to retain our health personnel and not to go to other communities where salaries and contracts are better. Are immigrants a danger to the spread of the coronavirus? They have asked to suspend Operation Crossing the Strait and quarantines for those arriving by boat. We have a large increase in boats these days and all the tests have come out negative, but we have to follow them up and that's why I spoke with the Ministry, together with Valencia and the Canary Islands, and we have achieved a protocol that isolates it preventive and analytical. This issue has been under control for two weeks, because we have had problems and it is the responsibility of the Ministry. Regarding Operation Crossing the Strait, it is unknown, but it is also a right. We are talking about three million Europeans, they are citizens who were born in the Maghreb, who have their family in the Maghreb, but who are Swiss, German, Belgian, French, Spanish ... and have the right to travel and see their families. What happens is that everything is concentrated in a short space of time and, after all, they come from European countries, but on the way back they come from countries that we do not know, in a reliable way, in what situation there is health and coronavirus infections. They can come from Senegal, The Gambia, Chad ..., not only from the Maghreb area. In any case, this is not a matter for Andalusia, it is a matter for the central government and Europe, we are here to what they tell us. The listeria crisis questioned his management and many pointed him out as substitutable. Are you now coming out of the crisis of the reinforced coronavirus? I am the same, reinforced or unreinforced. My father told me to always be myself. Those who come out reinforced are the doctors, I am a doctor, although circumstantially I am a counselor. I acted the same with the listeria as with the coronavirus and the listeria was a magnificent management and the data and the international support endorse us. What happened is that in politics, you are the same as you are above. For me, the important thing is health, which is reinforced and, above all, its workers. The important thing is not the counselor. What message should Andalusians have in mind in this new stage? We have a piece of country, which is Andalusia, we have a spectacular cultural wealth, a unique gastronomy, some beaches to enjoy, but in measure. We are in a pandemic, the virus is with us and we have to balance the economic development of Andalusia and enjoyment with security. Let us not let our guard down, we cannot let our guard down, the regulations are for compliance.

In accordance with the criteria of The Trust Project

Know more

  • Andalusia
  • Coronavirus
  • Covid 19
  • PP

CoronavirusThe Board will distribute 7.5 million free masks to the vulnerable population

Health crisis The Andalusian Parliament also goes to phase 2: two-day plenary sessions and more initiatives since June

SenateThe PP asks that the Government pay for the masks to vulnerable families

See links of interest

  • Last News
  • Programming
  • English translator
  • Andalucia Calendar
  • Work calendar
  • Daily horoscope
  • Santander League Ranking
  • TV Movies
  • Themes
  • Celta de Vigo - Alavés
  • Newcastle United - Sheffield United
  • Mirandés - Ponferradina
  • Racing de Santander - Tenerife
  • Real Sociedad - Real Madrid