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The manager of the Murcian Health Service (SMS), Asensio López, warned today that Totana will remain confined, in Phase 1 made more flexible, for at least 3 weeks as long as the epidemiological evolution is favorable in order to flatten the contagion curve and face the containment of the outbreak of COVID-19, whose accumulated incidence in this municipality yesterday exceeded 2,000 cases per 100,000 inhabitants.This was announced in a public appearance together with the mayor, Juan José Cánovas, the manager of Health Area III, Enrique Casado, and the medical coordinator of the pilot community intervention program to contain the spread of the virus in Totana, Abel Novoa.The event served to present this project to be developed by the team of experts from the Strategic Regional Coordination for Advanced Chronicity and Social Health Care (CORECAAS) of the Ministry of Health, together with the Observatory of Social Exclusion of the University of Murcia; and that contemplates preparing an infrastructure to isolate the positive and an information and education strategy to reach the most vulnerable social groups.The person in charge of the SMS justified the decision of the Ministry of the return of Totana to Phase 1 made more flexible as "the best proven scientific treatment" to prevent the spread of the virus and control the pandemic in the face of the progressive increase in infections since the last phase of confinement; and he advocated collective citizen awareness as a tool to assume that it is a shared task of all to contain the effect of the epidemic.He recognized that Totana is behaving differently due to its social and economic context, dragged by the demographic growth of recent years and the working conditions of seasonal agricultural workers, which forces the behavior of many people who are not easy to reach to change.

.For his part, the manager of Health Area III of Lorca explained that the impact of the pandemic in the Rafael Méndez hospital is still significant, with 28 admitted and 13 in the ICU until yesterday; and launched a message in favor of the professionals of both health centers in Totana, who said that “they have the feeling that, despite the enormous workload, the population does not recognize their effort and commitment that they have been showing since March"; so he asked for understanding in these complex circumstances.In addition, he reported that support groups with more human resources have been set up with the hope that, in the coming weeks, some normality can be perceived in healthcare activity, especially in care outside of COVID-19.For his part, Abel Novoa gave an account of the proposal for community intervention to be carried out by setting up a network of volunteers who will support the transfer of communication to the most vulnerable and socially fragile groups; as well as the fitting out next week of an alternative housing space, in this case in the “La Charca” Hemophilia Center, to isolate PCR + people without the capacity to guarantee compliance with quarantines.He advocated a change in the comprehensive social strategy and community intervention that completes the health service to overcome the pandemic in a context with peculiar social and economic conditions, as is the case of Totana.In this regard, he defended the implementation of the project, with the help of the social associative fabric of the municipality, through more accurate and close communication actions, and health promotion strategies that allow diagnostic tests to be brought closer to the neighborhoods in the case of citizens who are elusive to approach the assistance centers due to their personal, social and economic situation.The containment of the virus in Totana would now be approached from a new community approach: the infections are affecting more vulnerable social groups such as immigrants, people with precarious jobs and those who live in worse habitability conditions.

For this reason, the new strategy must be more face-to-face and focused on providing the necessary means and resources to these groups, explained Dr.

Novoa.Community intervention includes enabling the aforementioned center in the vicinity of Totana so that those positive and asymptomatic cases can keep quarantine; and appreciated the collaboration of the residents of the municipality so that they can act as health agents through a volunteer network and the support of NGOs to know exactly the real conditions in which these people live, with the help of the Exclusion Observatory Social of the University of Murcia to receive advice and document the project that could be extrapolated to other municipalities in the Region.Regarding the situation of the “La Purísima” nursing home, with whose family members of users the municipal officials and Dr.

Novoa himself met today as responsible for the SMS of nursing homes in the case of infections, he explained that the outbreak affects 28 residents and 4 professionals, of which 5 are hospitalized in Lorca.He also reported that interventions in residences are expensive and complex; but she pointed out that "La Purísima" has been sectorized by transferring the infected, most asymptomatic and in good health, to a COVID plant with the maximum security measures and separating close contacts in order to cut off internal transmission.In any case, he acknowledged that some death could occur in the next few days, because in two cases it has been agreed with his relatives not to transfer the patients - already very old and with previous pathologies - to the hospital, being assisted in the residence itself with care medicalized.

Source: Ayuntamiento de Totana / Totana.com