Since June 21, Spain started the so-called new normality and one of the most common phenomena is that of outbreaks. According to Health, there are 51 assets throughout the country, although they only turn out worrying little more than a dozen when remaining active, that is, they carry a certain risk.

Madrid, the province hardest hit by the pandemic, coincidentally has none. The key is that there is no fixed definition of how many people make up an outbreak. Some authorities consider it from three or four related cases, while for others, the number must be higher.

Importance of knowing the provenance

Ildefonso Hernández, spokesman for the Spanish Society of Public Health (SESPAS), stated in that “of the 40 cases in Madrid on Wednesday one wonders where they come from. And ideally they should be an outbreak. It is better that each one arise in a different place. If they can be traced well, it is known where they come from, who they have infected … no problem. The worrying thing is when they arise in a situation and have an unknown origin. The good thing about what happens in Aragon it is that they are all groups of identified cases and it is known where they come from “.

In the same line it was manifested Mario Fontán, president of the Ares Association: “The general population is experiencing an outbreak in a different way than it is seen from medicine. When there is a common source for a series of cases, often in a family or workplace, the situation is controlled as long as you know who they are. It will happen all the time and we must get used to it. It is due to the small volume of community transmission we have. I want to think that Madrid is surely having outbreaks, even if they are not declared. “

The Health protocol

The Ministry specified in its protocol for the communities that the outbreak must be notified from three cases, although with the exception of the family nucleus, since many fit there. In addition, he also pointed out that in the case of residences, it is so named directly from a single positive.

Despite these guidelines, regional governments report to the Ministry of the outbreaks, that only gives the daily report of infections. Thus, in some territories such as Andalusia, are called ‘clusters’, which as Fernando Simón stated it does not mean anything other than “grouping of cases”.

Tracking contacts, vital

One of the fundamental factors when it comes to detecting an outbreak early, it is traced. In Spain between two and six close contacts of each confirmed case are analyzed, although the autonomous communities they do not communicate to how many are investigating each one on average.