COVID-19 pandemic in the Community of Madrid explained

COVID-19 pandemic in the Community of Madrid
Image Upright:1.1
Map1:Covid 19 España, confinamiento en Casa (49682099081).jpg
Disease:COVID-19
Virus Strain:SARS-CoV-2
Location:Community of Madrid
Confirmed Cases:40,469
Recovery Cases:18,410
Deaths:5,371

The COVID-19 pandemic in Spain had its first case in the Community of Madrid on 25 February 2020.

Timeline

The pandemic was first confirmed to have spread to the region on 25 February 2020 with the positive result of a 24-year-old male who had been in Italy.[1] [2] By the time the pandemic started the region had 540 available ICUs and roughly 14,000 hospital beds.[3]

On 9 March 2020, the Government of the Community of Madrid approved extraordinary measures, including the cancellation (to be enforced from 11 March onwards) of all in-person classes in the Autonomous community of Madrid at all educational levels for an initial period of 15 days, until 26 March, encouraging online lessons instead if possible.[4] [5]

On 13 March 2020 the Government of the Community of Madrid decreed the shutting down of bars, restaurants and "non-alimentary" shops (only allowing the opening of supermarkets and pharmacies).[6] On 14 March the country-wide state of alarm for an initial period of 15 days was declared in accordance with Article 116.2 of the Spanish constitution.[7] [8] [9]

On 12 March, the hiring of Antonio Burgueño as advisor was announced by the regional administration.[10] Burgueño had previously served as Director-General for Hospitals under Manuel Lamela, Juan José Güemes and Javier Fernández-Lasquetty, and had left office after Justice blocked the latter's attempt to further privatize the health system.[11]

During the height of the crisis (from mid March to mid April) the regional administration conducted a triage, denying the transfer to the public hospital network of old people in dire conditions from the nursing homes, yet it allowed the transfer of ill-people in possession of a private health insurance, despite the regional health minister Enrique Ruiz Escudero had assumed command over the private health care system on March 12.[12]

On 19 March the regional minister for Social Policies,, addressed a petition to the Government of Spain, asking for the intervention of the Military Emergencies Unit (UME) in the nursing homes. He was immediately disauthorized by Isabel Díaz Ayuso. Reyero was removed from the political management of the nursing homes on 26 March.[13] Then, the regional government entrusted to Encarnación Burgueño—the daughter of Antonio Burgueño and owner of Cardio Líder (a ghost company)—the managing of the nursing home's crisis, enforcing the so-called "Operación Bicho" from 26 March onwards, attempting to provide care to the nearly 50,000 old folks in the nursing homes. 12 days later, on 6 April (the same day the information about the hiring of Burgueño Jr. was made public), the Operación Bicho was abruptly aborted. More than 3,000 old people had died during that period. All was fine for Burgueño by 4 April, as she reportedly wrote to a close collaborator "we already have inspected 8,700 grandpas". Do you know what that means? The work you have performed? Just in a week?... No way! If we keep doing this, we are becoming kings and masters of the social-health management in Madrid autonomous community. You are going to realize my dream, working in the social-health sector. Having my own company."

On 31 March 2020, two weeks after the death of 19 elderly people in a care home Monte Hermoso became public, the regional administration decided to intervene 8 private retirement homes (including the former), overwhelmed by the deadly advance of the pandemic, sometimes hidden by the companies operating the old folks' homes.[14]

The regional legislature, the Assembly of Madrid, was kept closed for more than a month, until sessions were resumed on 14 April. The government coalition between PP and Ciudadanos showed discrepancies on the handling of the management of the retirement homes. From 8 March to 14 April, almost 5,000 older people died in nursing homes in the region (781 confirmed cases and 4,172 with compatible symptoms).[15]

On 7 May 2020, the director-general of public health Yolanda Fuentes resigned, apparently in protest at the regional government's decision to request a loosening of the lockdown restrictions.[16]

On 1 June 2020, (Ciudadanos), regional minister responsible for nursing homes at the height of the health crisis, declared he had asked for three times the regional ministry of Health (managed by Enrique Ruiz Escudero, PP) to allow the transfer of old people to hospitals (22 and 31 March, 11 April), to no success.[17]

On 18 September, following an increase in the number of cases in the Community, the Autonomous Government decided to apply movement restrictions in various areas of the territory, especially in the south.[18] [19] These measures were not welcomed by the citizens of the restricted areas, calling them unfair and even racist. Neighbourhood associations and other political personalities called for demonstrations denouncing the lack of investment and calling for the resignation of the community presidency[20] [21]

On 26 September, the spokesperson for the COVID-19 group of the Community of Madrid, former head of the Clinical Microbiology and Infectious Diseases Service of the Gregorio Marañón University General Hospital Emilio Bouza, announced his resignation two days after his appointment, claiming that "The circumstances that I have witnessed in the following two days, together with the contemplation of the simultaneous press conferences, force me to resign".[22] On the same day, Yolanda Fuentes, former director-general of public health of the region until her resignation on May due to disagreements with the regional government, published a social media post wishing "Good luck" followed by an extract from the film Titanic, where musicians kept playing while the boat was sinking.[23]

On 1 October, followed unsuccessful conversations between the central government and the autonomous government, the Minister of Health of Spain announced restrictions in the ten most populous cities of the region following the growing of COVID cases, which prompted a negative reaction from the Madrilenian president, that accused the national government of "usurpation of functions", but said her government would abide by the restrictions, although they would challenge them in court.[24] [25]

On 3 October, Alberto Reyero, the regional minister responsible for nursing homes announced his resignation, wishing "good luck and success in the task that she has ahead" to Díaz Ayuso. He also mentioned that "the unity of the institutions is the most successful way to defeat the virus", criticizing the confrontation between the regional and national administrations.[26]

On 9 October, following unsuccessful talks and confrontation between Díaz Ayuso and PM Pedro Sánchez, the Spanish government approved a State of Alarm for the Community of Madrid.[27]

On 20 October 2020, two health officials of the Ayuso administration (the manager of Primary Attention and the manager of Hospitals) handed in their resignation.[28]

Statistics

Patients currently in an ICU

Cumulative data

Data from Telemadrid and the Ministry of Health.[29]

COVID-19 cases in the Community of Madrid
DateConfirmed cases% changeDeaths% changeRecovered% change
25 February 2020
26 February 2020
27 February 2020
28 February 2020
29 February 2020
1 March 2020
2 March 2020
3 March 2020
4 March 2020
5 March 2020
6 March 2020
7 March 2020
8 March 2020
9 March 2020
10 March 2020
11 March 2020
12 March 2020
13 March 2020
14 March 2020
15 March 2020
16 March 2020
17 March 2020
18 March 2020
19 March 2020
20 March 2020
21 March 2020
22 March 2020
23 March 2020
24 March 2020
25 March 2020
26 March 2020
27 March 2020
28 March 2020
29 March 2020
30 March 2020
31 March 2020
1 April 2020
2 April 2020
3 April 2020
4 April 2020
5 April 2020
6 April 2020
7 April 2020
8 April 2020
9 April 2020
10 April 2020
11 April 2020
12 April 2020
13 April 2020
14 April 2020
15 April 2020
16 April 2020
17 April 2020
18 April 2020
19 April 2020
20 April 2020
21 April 2020
22 April 2020
23 April 2020
24 April 2020
25 April 2020
26 April 2020
27 April 2020
28 April 2020
29 April 2020
30 April 2020

Notes and References

  1. Web site: Confirmado el primer caso de coronavirus en Madrid. Telemadrid. 25 February 2020.
  2. Web site: Lo que debes saber sobre el coronavirus Covid-19 en Madrid. Telemadrid. 1 April 2020. 2 April 2020.
  3. Madrid calcula que 300.000 habitantes han sido afectados por el coronavirus. Juan José. Mateo. El País. 15 April 2020.
  4. Web site: La Comunidad de Madrid aprueba medidas extraordinarias por el coronavirus. Government of the Community of Madrid. 9 March 2020.
  5. Web site: Madrid cierra guarderías, colegios y universidades como mínimo 15 días. El Mundo. Marta. Belver . Isabel. Velloso . Marta. Ley . Carlos. Garcés . 11 March 2020.
  6. Web site: La Comunidad de Madrid decreta el cierre obligatorio de bares, restaurantes y tiendas. 13 March 2020. El Independiente.
  7. Web site: Pedro Sánchez decreta el estado de alarma en toda España para frenar la expansión del coronavirus. El Mundo. 13 March 2020. Marisol. Hernández.
  8. El País. El estado de alarma 'no podía esperar más'. Elsa. García de Blas. Fernando J.. Pérez . 13 March 2020.

  9. Real Decreto 463/2020, de 14 de marzo, por el que se declara el estado de alarma para la gestión de la situación de crisis sanitaria ocasionada por el COVID-19. 0212-033X. 14 March 2020. 67. 25390–25400 . Boletín Oficial del Estado.

  10. Web site: Los 12 días de la "operación Bicho": el fiasco del plan de la Comunidad de Madrid para salvar las residencias. El País. Fernando. Peinado. 21 June 2020.
  11. Web site: Los Burgueño: el apellido de la privatización sanitaria al que recurre Díaz Ayuso para la epidemia más grave en 100 años. eldiario.es. 6 April 2020. Raúl. Rejón.
  12. Web site: Los mayores con seguro privado sí fueron trasladados de residencias a hospitales en Madrid. El País. 11 June 2020. Fernando. Peinado. Juan José. Mateo.
  13. Web site: La muerte indigna: reconstrucción de la tragedia de las residencias de ancianos en Madrid. El País. 20 June 2020. Juan José. Mateo. Fernando. Peinado.
  14. Web site: La Comunidad de Madrid intervendrá ocho residencias privadas desbordadas por el coronavirus. El País. 31 March 2020. Fernando. Peinado. María. Sosa Troya.
  15. Covid-19: the precarious position of Spain's nursing homes. Asier. García Rada. BMJ. 2020. 369. 369. m1554. 10.1136/bmj.m1554. 32312710. 216028015. free.
  16. Web site: The director of public health for the Madrid region has resigned, apparently in protest at the regional government's decision to seek to loosen lockdown restrictions in the area of Spain hardest hit by the coronavirus.. Madrid public health director resigns as region seeks to lift lockdown. 7 May 2020. The Guardian. Sam. Jones.
  17. Web site: Reyero revela que pidió tres veces a la Consejería de Sanidad no frenar el traslado de ancianos a hospitales. El Mundo. 1 June 2020. Virginia. Gómez.
  18. Web site: (Press release 18/09/2020.
  19. Web site: 2020-09-16. Las "restricciones" a la movilidad que anunciará Madrid: en las zonas más afectadas y con "carácter inmediato". 2020-09-20. www.20minutos.es - Últimas Noticias. es.
  20. Web site: Telemadrid. Cientos de personas de la zona sur de Madrid se manifiestan en Sol contra las nuevas medidas. 18 September 2020 .
  21. Web site: 20minutos. Vecinos de municipios y barrios confinados del sur de Madrid toman la calle al grito de "Ayuso, dimisión". 20 September 2020 .
  22. Web site: 2020-09-26. Dimite el portavoz del grupo Covid-19 de la Comunidad de Madrid, Emilio Bouza, dos días después de su nombramiento. 2020-10-04. Europa Press.
  23. Web site: Rastreador. El. 2020-09-26. La exdirectora de Salud Pública de Ayuso compara la situación de Madrid con el hundimiento del Titanic. 2020-10-04. ElDiario.es. es.
  24. Web site: 2020-09-30. El Gobierno aprueba las restricciones en las grandes ciudades. 2020-10-04. La Vanguardia. es.
  25. Web site: Efe. 2020-10-01. Ayuso cumplirá la orden del Gobierno pero la llevará a los tribunales. 2020-10-04. elperiodico. es.
  26. Web site: 2020-10-02. Dimite Alberto Reyero como consejero de Políticas Sociales pidiendo la "unidad de las instituciones" frente al virus. 2020-10-04. Europa Press.
  27. Web site: Riveiro. Ignacio Escolar, Irene Castro, Fátima Caballero, Aitor. 2020-10-09. Las tres llamadas de Sánchez a Ayuso que desembocaron en un estado de alarma en la Comunidad de Madrid. 2020-10-10. ElDiario.es. es.
  28. Web site: Dimiten las responsables de atención primaria y hospitales del Ejecutivo de Díaz Ayuso. El País. 20 October 2020. Isabel. Valdés.
  29. Web site: Alertas en Salud Pública de actualidad Enfermedad por nuevo coronavirus, COVID-19. Ministerio de Sanidad. 2 April 2020. 18 May 2020. https://web.archive.org/web/20200518142647/https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/situacionActual.htm. dead.

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