Milwaukee Journal Sentinel

Eastern Europe braces for an omicron surge

- Stephen McGrath

SIBIU, Romania – As the fast-spreading coronaviru­s variant omicron rages through Western Europe, officials and experts in low-vaccinated Eastern Europe anticipate a post-holiday explosion of COVID-19 cases in much of the region.

Many countries in Eastern Europe only recently emerged from infection waves that put a catastroph­ic strain on health care systems, and at times have tallied some of the highest pandemic death rates globally.

Now, with omicron already confirmed across the region and the winter holidays bringing more community gatherings and internatio­nal travel, public health officials are predicting a sharp virus surge in the coming weeks.

Adriana Pistol, director of Romania’s National Center for Surveillan­ce and Control of Communicab­le Diseases, warned Wednesday that the country could see a peak of 25,000 new daily cases during the expected next wave. Romania is the European Union’s second-least vaccinated member nation.

Noting that roughly 60% of Romania’s people over age 65 or living with chronic diseases remain unvaccinat­ed, Pistol said: “Even if the omicron strain does not have the same level of severity (,) … the health system will be overloaded anyway and reach levels recorded this year in October.”

Only 40% of Romania’s population of around 19 million has been fully inoculated against COVID-19. Although booster doses are considered necessary to provide adequate protection against omicron, Pistol said three-quarters of the country’s fully jabbed residents have not received an additional shot.

Romania’s underfunde­d public health system teetered on the brink of collapse a few months ago, during the country’s last explosion of virus cases. Hospital morgues ran out of space for bodies, and some patients were transferre­d abroad for treatment because COVID-19 intensive care units were filled to capacity.

Exhausted medical personnel watched with dread as countries with high vaccinatio­n rates such as France, Italy and the U.K. reported record cases as omicron spread in recent days.

“It’s very clear that the fifth wave will probably hit us in January,” Dragos Zaharia, a primary care doctor at the Marius Nasta Institute of Pneumology in Bucharest, said. “We just hope that there will be fewer deaths, fewer severe cases, and fewer hospital admissions.”

Neighborin­g Bulgaria is the EU’s least-vaccinated member, with just 32% of adults having received a full vaccine. It, too, suffered a deadly fall outbreak, but its vaccine rollout has continued at a sluggish pace. Government data shows that only 255,000 booster jabs have been administer­ed in the country of 7 million people.

“Epidemiolo­gists predict that wave five will hit Bulgaria at the end of January and probably harder in February,” Mariya Sharkova, a public health law specialist based in Plovdiv, told The Associated Press.

In the Balkans region of Europe, Bosnia, Slovenia, Serbia, and Croatia have all confirmed omicron cases but so far not tightened restrictio­ns to control the variant’s spread.

The Czech Republic, which has a population of 10.7 million, is among the European countries hardest hit by the pandemic and is currently registerin­g around 6,000 new cases a day. The country’s Health Ministry on Wednesday estimated the omicron variant currently accounts for about 10% of all new cases and by Jan. 10 could be 25%.

Some experts are cautioning against taking comfort from preliminar­y studies that suggest the omicron variant causes milder cases of COVID-19.

Mircea Iliescu, a Romanian doctorat the University of Cambridge, says that even if that is the case, Romania still “has a lot of people susceptibl­e to hospitaliz­ation.”

“We can only assume that many cases being transmitte­d now are omicron, since it’s transmitti­ng so fast compared to delta,” he said. “If other countries are now getting towards it being the majority strain, we should be getting there in a couple of weeks.”

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