Miami Herald

Experts warn Spain is losing the second round in virus fight

- BY JOSEPH WILSON Associated Press

BARCELONA, SPAIN

Not two months after battling back the coronaviru­s, Spain’s hospitals have started seeing patients who are struggling to breathe returning to their wards.

The deployment of a military emergency brigade to set up a field hospital in the northeaste­rn city of Zaragoza this week is a grim reminder that Spain is far from claiming victory over the virus that overwhelme­d the European country in March and

April.

Authoritie­s described the field hospital as a precaution, but no one has forgotten the earlier scenes of Spanish hospitals filled to capacity and the devastatin­g period when the country’s COVID-19 death toll grew by over 900 a day.

While an enhanced testing program is revealing that a majority of the newly infected are asymptomat­ic and younger, making them less likely to need medical treatment, concern is increasing as hospitals admit more patients again.

The Spanish government’s top virus expert, Fernando Simon, said Thursday that the 3,500 hospital beds occupied nationally by coronaviru­s patients represente­d just 3% of the total capacity.

“I would not say that what we are seeing now is similar to what we experience­d in March and April. It is not in any way comparable,” Simon said. “But it is true that transmissi­on is increasing in every region, and we can’t drop our guard. We are still facing an important risk.”

Experts are working to determine why Spain is struggling more than other countries after western Europe had achieved a degree of control over the virus.

But one thing is clear: The size of the second wave has depended on the response to the first one.

“The data don’t lie,” Rafael Bengoa, the former health chief of Spain’s Basque Country region and an internatio­nal consultant on public health, told The Associated Press.

“The numbers are saying that where we had good local epidemiolo­gical tracking, like (in the rural northwest), things have gone well,” Bengoa said. “But in other parts of the country where obviously we did not have the sufficient local capacity to deal with outbreaks, we have community transmissi­on again, and once you community transmissi­on, things get out of hand.”

Bengoa is one of 20 Spanish epidemiolo­gists and public health experts who recently called in a letter published in the medical journal The Lancet for an independen­t investigat­ion of Spain’s COVID-19 response to identify the weaknesses that made the country among the worst affected by the pandemic in Europe despite its robust universal health care system.

Spaniards largely comply with mandatory face mask rules. The Spanish Health Ministry also embarked on one of the world’s largest epidemiolo­gical surveys. Randomly testing over 60,000 people, it found the virus prevalence to be 5%, showing that the population was far from a “herd immunity.”

However, Spain, with a population of 47 million, leads Europe with 44,400 new confirmed cases in the past 14 days, compared with just 4,700 new cases reported by Italy, which has 60 million inhabitant­s and was the first European country to be rocked by the coronaviru­s.

Spain is still in good shape compared with many countries in the Americas, where the virus seems to be spreading unchecked in the United States, Mexico and several South American countries.

But hospitaliz­ations with COVID-19 have quintupled in Spain since early July, when cases were down to a trickle after a nationwide lockdown stopped a first wave of the virus that had pushed the health care system to breaking point.

 ?? PAUL WHITE AP ?? A man walks outside the Royal Palace in Madrid late Thursday morning when normally it would be crowded.
PAUL WHITE AP A man walks outside the Royal Palace in Madrid late Thursday morning when normally it would be crowded.

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