The Contentious-Administrative Chamber of the Superior Court of Justice of Navarra (TSJN) has authorized the extension until August 12 of the curfew requested by the Provincial Government between 1 and 6 hours for municipalities at extreme risk due to the COVID-19 during the weekend, on holidays and on the dates (including vespers) on which it would have been appropriate to celebrate the patron saint festivities.
As reported by the TSJN, in the order, the Contentious-Administrative Chamber considers that “at this moment, in which a few days have elapsed since the adoption of the measure by Foral Order 26/2021, and taking into account the lag that has been observed in the successive waves of the pandemic, although the contagion data seem to improve slightly, there is an increase in hospitalization in the ward and in FIA, and, therefore, it is considered an ideal measure “.
For the Chamber, it is an “effective measure to contain contagions by avoiding social interaction at times when prevention measures such as the use of a mask and social distance are relaxed” and “it is necessary given the severity of the situation with a rate of contagion that places the populations in which it is established at extreme risk and since the advance of the closure of hospitality establishments at 01:00 hours, a measure that also affects the nightlife agreed by Provincial Order 22/2021 and extended by Provincial Order 24/2021 and 26/2021 has not yet been sufficient to control the spread of the virus in the localities for which the limitation of nocturnal circulation is proposed “.
In this regard, the chnya recalls, as in the resolution prior to this extension, that the measure is considered “proportionate” because “it is adopted to the bare minimum” to reduce the chain of infections, since it does not absolutely impede mobility, since There are several exceptions to this limitation and it does not extend to the entire Autonomous Community, but it is applicable only in the municipalities at risk and it does not apply every day of the week.
Thus, the Government of Navarra –With the endorsement of Superior Court of Justice of Navarra– It has renewed by means of the Regional Order 27/2021, of August 3, the selective limitation of night mobility, while the rest of the specific measures, already in force, of prevention against the COVID-19.
The measure affects 121 localities that are currently at a very high risk level, with incidence values above 250 cases per 100,000 inhabitants in 14 days and 125 in the last 7. The new rule, that will be in force between Friday 6 (00.00 hours) and September 12 (00:00 hours) maintains the limitation of night mobility -between 01:00 and 06:00- on Saturdays and Sundays, holidays, and dates (including vespers) on which the patron saint festivities would have been celebrated (27 towns).
If the measure affects municipalities in whose territorial scope there are councils, with dates other than festivities, this measure will only be applied during those days to the councils in which the festivities have been celebrated and not in the rest of the municipality.
In these localities, it is only possible to circulate during those night hours for activities such as the acquisition of medicines and health products and other essential goods, assistance to health and veterinary services, compliance with labor or legal obligations, care of vulnerable people, refueling in gas stations to carry out the activities mentioned so far, and due to force majeure or situation of need.
The rest of the measures in force
Likewise, the limitation of a maximum of 10 people for meetings abroad is maintained, while it is not recommended that this number be exceeded in private spaces or that, in this area, the three living units be exceeded. On the other hand, the celebration of parades or kalejiras, that of the so-called popular meals and that of bullfighting shows of popular characteristics such as running of the bulls, running of the bulls, unleashing of wild cattle or the like will continue to be prohibited. The schedules and capacity of the different sectors remain as they have been until now.
On the other hand, the limitation of meetings to a maximum of 10 people abroad and the suspension of parades, popular meals and bullfighting shows of popular characteristics such as confinements, encierrillos, unleashing of wild cattle or the like.
There are no changes in other regulations and articles in force and the closing time for hotels and nightlife previously set at 1 am, as well as capacity and measures in different activities and areas already known previously, are maintained.
In the last ISPLN Epidemiological Report, corresponding to the week of July 26 to August 1, a total of 2,445 cases have been confirmed by PCR or by antigen (370 per 100,000 inhabitants), which represents a decrease of 19% compared to the previous week in which they were confirmed 3,013 cases by PCR or by antigen (457 per 100,000 inhabitants).
Differences in incidence between age groups continue to shrink. In the 15 to 34 age group, the weekly incidence has decreased by 33%, but it is still the most affected (821 cases per 100,000 inhabitants). In people aged 35 to 64 years, the incidence decreases to a lesser extent. On the contrary, the incidence increases in people over 65 years of age and, especially, from 75 years of age, in which the rise has been 66%. This can have serious consequences because in advanced ages the vaccine protection can be weaker and the probability of serious forms is greater.
The weekly incidence exceeds 180 cases per 100,000 in all age groups. The decrease in transmission cases in the social sphere is consolidated, which explains 24% of the cases, and the cases that do not know the origin of the infection, which account for 31%. Cases of transmission at home also begin to decline, accounting for 41% of the total for the week.
The Delta variant is responsible for 91% of cases and Alpha variant 7%. Both are associated with a greater probability of hospital admission, greater transmissibility in the young population and a certain degree of evasion from the effect of the vaccine, so it is extremely important to apply measures to stop its spread.
Compared to the previous week, the number of hospital admissions per COVID-19 has increased from 49 to 70, and income in the FIA from 8 to 9, and 4 deaths have occurred again due to COVID-19. The hospitalized cases this week are distributed by all ages and half were under 52 years old.
The effectiveness of vaccines in preventing all infections, including asymptomatic ones, is somewhat lower: 56% with partial vaccination and 70% with complete regimen. For this reason, the vaccinated must maintain complementary preventive measures so as not to become infected and not to infect.
The incidence of COVID-19 it is much lower in people with full vaccination. Complete vaccination prevents severe forms of the COVID-19 in most cases, but it does not reach 100%. This explains why 2,268 cases were confirmed in Navarra in 2021 (6.8% of the total cases confirmed since January 1), 87 hospitalizations (6.5%), 4 admissions to the ICU (1.9% ) and 16 deaths (6.9%) due to COVID-19 in people who had received the full vaccination. These figures are much lower than those of the unvaccinated.
After having passed the infection, the probability of presenting serious forms is much lower, but they are still possible, especially in elderly or immunosuppressed people, so it is important to continue to maintain all complementary preventive measures.
The Report concludes that, although the incidence of cases of COVID-19 it decreases as a whole, “it increases in those over 65 years of age, which may contribute to an increase in serious cases in the coming days.” Likewise, hospital admissions increased and in FIA. As long as there is circulation of COVID-19 vaccination must be complemented with other preventive measures, such as the use of a mask.
On the other hand, with regard to the health professionals of the Public Health SystemDespite the vaccination status of this group, the wide spread of the virus in society is causing multiple close social and family contacts also among health professionals. During the month of July, according to data from Navarre Health Service-Osasunbidea, the number of professionals affected by active infection was 122.
Currently, there are 77 active positives of health professionals affected by COVID-19, and in the last week there have been 31 new infections. In the vast majority of cases, the origin of the contagion was outside the workplace. The staff is made up of almost 13,000 professionals.
Having passed the infection provides a protective situation similar to that of full vaccination during the first 6 months. Thereafter, a booster dose should be given to provide longer-lasting protection.
In Navarra slightly more than 300 people have presented results compatible with a second episode of COVID-19. The classification of these cases poses more complex situations, which require individualized assessment and often do not allow a definitive classification.
Adverse Vaccination Reports
On the other hand, from the care point of view, in this fifth wave the patients admitted to hospital centers are, on the one hand, young unvaccinated patients, but with severe bilateral pneumonias, and vaccinated patients, with typical clinical pictures of the disease. COVID-19 or with mild symptoms, but that aggravate the pre-existing pathology, and the incidence is also observed in groups such as pregnant women.
Regarding ages, at the moment, the patients who are admitted to the ward are between 19 and 92 years old. There are patients of all age groups and there is a predominance of men. Regarding the FIA, the admitted patients range between 29 and 75 years (around 42% are under 50 years old), and there are also more men than women.
Adverse events due to COVID vaccines reported in Navarra account for 0.4% of the administered doses
From December 27 to July 25, the Navarra Pharmacovigilance Center has received a total of 3,374 notifications of adverse events due to vaccines Covid-19. In other words, of the total number of vaccines administered up to that date, the notifications of adverse effects accounted for 0.4%. 95% of them are mild (3,374) and 5% severe (185), that is, the serious cases reported account for 0.02% of the total vaccines administered.
The highest number of reported cases affects women (73.5%). This is reflected in the latest report of the Navarra Pharmacovigilance Center.
The most reported adverse events are, in this order, fever, headache, myalgia, malaise, pain in the vaccination area, chills, asthenia, nausea, fatigue, dizziness, diarrhea and vomiting.
By type of vaccine, 0.3% of notifications correspond to people vaccinated by Pfizer; 0.7% by AstraZeneca; 1% by Modern; and 2.1% by people vaccinated with Janssen.