Health extends 10 days plus level 2 in Castilla-La Mancha


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The Official Gazette of Castilla-La Mancha (DOCM) publishes this Thursday a resolution of the Ministry of Health by which maintains level 2 for the containment of the coronavirus throughout the region except in those municipalities that are at level 3, since although in the in the last two weeks there has been “some improvement”, is still in a community transmission scenario of covid-19.

Level II measures will be maintained, according to the aforementioned resolution, for a minimum of 10 days, extendable depending on the evolution of the epidemiological situation and it is noted that, if a noticeable improvement is not observed, measures may be strengthened both at the regional, provincial or municipal level.

During epidemiological weeks 47 and 48 (from November 16 to 29), Health explained, a total of 5,090 cases of covid-19 were declared in Castilla-La Mancha, which represents a cumulative incidence rate in the last 14 days of 250.4 cases / 100,000 inhabitants (95% CI: 243.1-257.3).

Thus, the incidence rate ratio between weeks 48 and 47 was 0.62 (95 CI: 0.59-0.66), which indicates a downward trend from one week to the next in a high incidence scenario.

Likewise, in week 47 the cases of covid patients aged 65 years or older amounted to 625, which represents 19.9% ​​of all cases, with a rate of 161.7 cases per 100,000 inhabitants over 64 years.

And in week 48, the number of cases aged 65 or over was 422, 21.6% of all cases, with a rate of 109.2 cases per 100,000 inhabitants over 64 years of age.

Between epidemiological weeks 47 and 48, a total of 1,047 cases of covid-19 were reported in Castilla-La Mancha in people aged 65 or over (20.6% of the total), which represents a cumulative incidence rate of 14 270.9 days per 100,000 inhabitants over 64 years of age.

With these data, the ratio of incidence rates in those older than 64 years between weeks 48 and 47 was 0.68, which indicates a slightly downward trend from one week to another in a scenario of high incidence in this age group.

Diagnostic tests

Health has also reported that the percentage of diagnostic tests for acute infection (PDIA) with a positive result at week 47 rises to 15.7% in the region as a whole, which represents a slight decrease compared to week 46 (17 , 8%).

As of the date of issuance of this report, the percentage of beds occupied by covid-19 patients in Castilla-La Mancha amounts to 13.2% and in critical units 34.5%.

The cumulative incidence rate in weeks 47 and 48 (154.3 and 96.1 cases per 100,000 inhabitants respectively), the cumulative incidence in the last 14 days (250 cases per 100,000 inhabitants), the high incidence rates in people with 65 years or more (over 250 cases per 100,000 inhabitants), the relative weight of those over 64 years of age over the total number of cases (20.6%), the high percentage of positive diagnostic tests (15.7%) and the situation of hospital occupancy indicators (especially ICU occupancy) are, according to Health, “clearly well above the alert thresholds established in Castilla-La Mancha and in Spain”.

These indicators show that, although some improvement has been observed in weeks 47 and 48 compared to weeks 45 and 46, Castilla-La Mancha is still in a community transmission scenario, This requires the adoption of specific measures complementary to the general measures applied by the Ministry of Health throughout the regional territory.

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