The head of Infectious Diseases at the Ramón y Cajal Hospital in Madrid, Dr. Santiago Moreno, inaugurates this Monday the I National Congress COVID-19, in which more than 20,000 health professionals will share electronically the main scientific findings that have been produced in Spain on the pandemic. Rate the current situation as “extraordinary transmission” and he admits that he does not know how it was possible to get here but he senses that it is due to several reasons. In any case, it considers that the numbers of infections of the first wave of now cannot be compared since “if in March the same number of PCRs had been done to asymptomatic patients that are being done now, the number of positives would have been much more high”.
“Considering what has been seen”, Santiago Moreno believes that “it is more than probable” that Spain would go quickly in the de-escalation: “Again, lesson learned, just as we may start confinement a little late, but we have not been the fastest to de-escalate. There is not much difference from how we have done it, France, Italy or Germany have done it. In some ways they were even faster than us. So there must be other factors determining the increase in positivity that we may one day know but don’t know yet. “
Regarding the possibility of another confinement, Moreno encourages us to explore other options first: “Just as we could not question that in March this was the only measure that could be effective, I believe that now we have to play with more than one factor: the toilet continues being the decisive one, but we have to see what measures we have to adopt so that reducing transmission to the maximum does not have such a tremendous impact on social and economic life. I don’t know if a country could endure another confinement of the style we had “. He remembers that the hospital pressure and the number of patients with symptoms who go to Primary Care to undergo a CPA is significantly less, although that “is not a reason for relaxation but quite the opposite” but he believes that whoever is in charge of designing the policy now acting “You should try to make the omelette without breaking the egg.”
This expert considers that the exits after confinement may have had something to do with the outbreaks but believes “this does not explain everything”: “The point is that crowds are the great danger right now. I have the impression that large outbreaks and large transmissions happen in crowds, “he insists.
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