Since Monday, the method of action against Kovid is taking a radical turn. After more than two years, in the face of any symptoms, you had to take a test and isolate yourself, in case of a positive result, the rules change: now mild or asymptomatic people will neither undergo testing nor , therefore, solitary surveillance is focused on people over the age of 60 who suffer from pathologies that make them more vulnerable or in health and social-health centres. Here are the new rules and recommendations:
What do I do if I have symptoms of covid?
Healthy people under 60 have to deal with it the same way they deal with a cold or flu. If they have mild symptoms, they can lead a normal life, although it is recommended that they reduce social contacts, especially with vulnerable people, and that they maintain the use of masks at all times. For people over the age of 60, who suffer from an immunodeficiency or any pathology that makes them particularly vulnerable, pregnant women and residents of social health centers, the recommendation is to see a doctor to obtain a diagnosis. Consult, even with mild symptoms.
What if the symptoms get worse?
Like any other disease, go to the doctor, who will decide how to proceed.
Can I go to work with symptoms? Do I have to communicate positively to the company?
If symptoms are mild, there will be no positive, as no testing will be necessary. The Ministry of Health recommends that teleworking should be done as far as possible in case of symptoms. But if you cannot do this and the doctor has not given you sick leave, then you will have to go to work. Once again wearing a mask, which is still mandatory indoors.
How do we know if the infection is progressing or down?
Since cases are no longer fully counted, there will be no accurate indicator of cumulative incidence, as it has been for nearly two years. Now health officials will be guided by indirect indicators, such as hospital occupation or cases in older people, which can give an idea of general transmission.
Will the monitoring of the new variants continue?
Yes, the order of percentage of positive cases will continue to be traced to new variants. If anyone appears to be at higher risk or more fatal, the health authorities will decide whether to go back into isolation and quarantine.
Are there other countries that have taken this step?
In our setting, the UK is the only major country to have completely abandoned the isolation of people with mild symptoms. Even Denmark, which has adopted more lax measures during the pandemic, maintains four days of isolation in case of symptoms.
Why has this been fixed now?
Health argues that the “acute phase of the pandemic” has passed. With more than 90% of the population over the age of 12 vaccinated and a much lower fatality than the first wave, technicians have decided to take this step, which makes coexistence with the coronavirus natural. All resources allocated for COVID are taken away from care for other diseases, so the decision serves to free primary care and public health systems from heavy burdens.
Is there a consensus among experts?
No. The decision is the result of an intense debate between health technicians and autonomous communities, some of whom maintain reservations regarding this new strategy. No one is sure how it will turn out. The measure has been agreed upon among administrations, but outside the scope of the decision, many public health experts see this relaxation of measures as premature, with the decline in cases in Spain having stopped and in several European countries. Increasing. ,
Is there any downside to this move?
Yes. A requirement for infection is that hospital indicators are at low risk (less than 5% in wards of Covid patients and less than 10% in ICUs), and have a downward trend after at least two. Weeks in autonomous communities that make up at least 80% of the Spanish population. If the indicators rise above these parameters, it will be possible to return to the isolates of the infected.
Will this be the surest way to measure covid?
No, we are now entering a transition process. It will go into effect for about a year, at a time when health and the community have agreed to move to a definitive system: a sentinel surveillance network that will act like one for the flu. In this, a selection of primary care physicians with patients who are statistically representative of the Spanish population are the only ones who report the diagnosis. These data are extrapolated and a calculation is made of how many transitions there actually are. And the same goes for hospitals to anticipate severe cases.
And masks, for when?
The health minister, Carolina Darius, told Congress this week that studies are being conducted on “how and when” to remove indoor masks. Technicians are already tweaking the formula, which probably won’t undergo a simultaneous withdrawal in all areas. Other countries have placed them in places such as public transport and health centres.