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10.1016/j.eimc.2021.05.011

http://scihub22266oqcxt.onion/10.1016/j.eimc.2021.05.011
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34274154!ä!34274154

suck abstract from ncbi


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pmid34274154      Enferm+Infecc+Microbiol+Clin+(Engl+Ed) 2021 ; ä (ä): ä
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  • Lifting COVID-19 mitigation measures in Spain (May-June 2020) #MMPMID34274154
  • Monge S; Zamalloa PL; Moros MJS; Olaso OP; Miguel LGS; Varela C; Ariza SR; Torres MCV; Luceron MDCO; Yuste PG; Crespo PS; Pozo JSD; Gullon P; Carrasco JM; Sanchez EVM; Bravo LR; Castaneda MP; Hermida MJP; Vidal XH; Gonzalez IH; Margolles M; Luna HV; Gomara ER; Martin JJP; Lopez MDC; Fernandez MJL; Lorusso N; Ubago AC; Perez AR; Marin VR; Alvarez JJC; Perez DC; Anes AAG; Frontera M; Rodriguez PM; Leon EEA; Casanas MD; Perez MAL; Agreda JPAP; Gutierrez PN; Aguilar IR; Axpe JMA; Carril FG; Azcarraga PA; Soria FS; Rodriguez BS
  • Enferm Infecc Microbiol Clin (Engl Ed) 2021[Jun]; ä (ä): ä PMID34274154show ga
  • INTRODUCTION: The state of alarm was declared in Spain due to the COVID-19 epidemic on March 14, 2020, and established population confinement measures. The objective is to describe the process of lifting these mitigation measures. METHODS: The Plan for the Transition to a New Normality, approved on April 28, contained four sequential phases with progressive increase in socio-economic activities and population mobility. In parallel, a new strategy for early diagnosis, surveillance and control was implemented. A bilateral decision mechanism was established between the Spanish Government and the autonomous communities (AC), guided by a set of qualitative and quantitative indicators capturing the epidemiological situation and core capacities. The territorial units were established ad-hoc and could be from Basic Health Zones to entire AC. RESULTS: The process run from May 4 to June 21, 2020. AC implemented plans for reinforcement of core capacities. Incidence decreased from a median (50% of territories) of 7.4 per 100,000 in 7 days at the beginning to 2.5 at the end. Median PCR testing increased from 53% to 89% of suspected cases and PCR total capacity from 4.5 to 9.8 per 1000 inhabitants weekly; positivity rate decreased from 3.5% to 1.8%. Median proportion of cases with traced contacts increased from 82% to 100%. CONCLUSION: Systematic data collection, analysis, and interterritorial dialogue allowed adequate process control. The epidemiological situation improved but, mostly, the process entailed a great reinforcement of core response capacities nation-wide, under common criteria. Maintaining and further reinforcing capacities remained crucial for responding to future waves.
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