Amós García: «We must control that it does not fire, the more covid the more hospitalized»

Image of the audience attending a recent concert held at the Alfredo Kraus Auditorium in the capital of Gran Canaria. / C7

The epidemiologist affirms that the high incidence suffered by the archipelago has not caused an impact on the number of ICU admissions and deaths

Carmen Delia Aranda

The Canary Islands are experiencing these days a
noticeable increase in infections of coronavirus that could be compared to that suffered in previous waves. However, this rebound, for the moment, has not translated into an alarming increase in hospital admissions and deaths, says the head of the Epidemiology section of the General Directorate of Public Health of the Government of the Canary Islands, Amós García Rojas. However, the expert recognizes "the need to
control that the incidence does not trigger absolutely».

“The greater the number of infections, the greater the possibility of serious cases. Living with 10,000 mild cases, which give rise to more serious cases, is not the same as living with 1,000, ”explains the epidemiologist who recognizes that the islands may be experiencing a seventh wave of the pandemic that is very different from the previous ones. «
We have a significant accumulated incidence but that impact is not staged in the most terrible context; in ICUs and deaths.
We have reasonably positive figures -although when there is a deceased, it is always terrible- compared to other times in which we have had the same cumulative incidence but a much higher impact. This time
that impact is buffered by vaccines and because the new variants are less virulent», says the also president of the Spanish Society of Vaccinology.

This increase in community transmission is, by his own admission, very obvious. "Right now
it is rare not to meet someone with covid, but it is rare to meet someone hospitalized or seriously ill», points out García, who recalls that the virus «is not going to disappear, it is going to continue living with us, but we have to make it one more and that means removing its most dramatic face; control the worst face of it, the one linked to admissions and deaths », insists the specialist in Preventive Medicine and Public Health.

Festive and worrying horizon

García acknowledges that carnivals and summer festivities encourage the confluence of many people and, therefore, can favor the spread of the virus, which is why
recommends the use of the FFP2 mask to the most vulnerable. “It is true that covid can reach these people through a family member, but
if they get into a soiree with 10,000 people without a mask they have a high chance of becoming infected», says García about the elderly or those with risk factors for the disease.

In García's opinion, the increase in incidence is due to two reasons; the relaxation of control measures against the virus and the appearance of new subvariants characterized by a greater transmission capacity and less virulence.

The cumulative incidence in people older than 60 years is currently
Medium risk in the Canary Islands, with 1,001 cases per 100,000 inhabitants in fourteen days. To climb a step and place yourself in
high risk would have to exceed 1,500 cases per 100,000 inhabitants, a level of transmission that, according to García,
it would not be a critical situation as long as it does not impact the assistance pressureiahe.

Regarding the use of the mask indoors, the epidemiologist recalls that it is only mandatory in areas where vulnerable people are treated. However, he recommends its use to those who have not completed the vaccination schedule.

Regarding the profile of hospitalized people, García indicated that
many of the patients with coronavirus have been admitted for other pathologies. “According to a study by the Carlos III Institute, half of the income is from people with covid and the other half from covid.” As for the deaths, he affirms that they correspond to people with very poor health who die from or with covid.

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