Wednesday, October 27

«I have done the best that I could»


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Almost a year after taking the reins of the Ministry of Health, Salvador Illa acknowledges that mistakes have been made by everyone and, despite the complicated moments that this “terrible” pandemic has also brought him, he would accept the job again . “I don’t regret it,” he says.

“I have done the best I could,” he acknowledges in an interview with Efe in which he takes stock of these almost twelve months of pandemic and comments on the projects he has planned for the department he has directed since last January 13, just the covid-19 nightmare “leave room.”

What you will not “waste a minute” on is battle with no autonomous community, even if there are some who try. “My belligerence is focused solely against the virus. The rest, not a minute », ditch.

“Everyone was late, also Spain”

Illa believes that the coronavirus “surprised everyone”, and that forced them to adopt measures based on the information that was being received, provisions that at that time were believed to be “correct and adequate”; Now reviewing decisions that were made in the first wave with current data, he believes, “is not very honest.”

“I have to admit that everyone was late, also Spain”, admits the minister to point out, however, that even “going late and making mistakes, we were also the first to react”, decreeing the first state of alarm and the confinement of the population just two days after the WHO declared the pandemic.

Illa considers it “obligatory” to make an independent evaluation, “of course, of the actions of the Ministry, the Government, the communities and the health systems”, but it must be “constructive” and carried out by experts from different disciplines.

To this end, a working group was set up in the Interterritorial Council of the National Health System, focused on developing the framework in which this evaluation will be carried out, which it wants “as soon as possible.”

“There are those who have been interested from day one, more than in fighting the virus, in fighting the Government; there they. We want to make a constructive, serene, leisurely evaluation that gives us guidelines for action for the future, “he adds.

Your most difficult moments

Illa recalls two of the most difficult moments she has faced: the first, she says without hesitation, is that of the late March peak and early April, when the daily deaths numbered in the hundreds to almost a thousand. Another “not easy” moment was restricting attendance at funerals: “If it is already very painful to lose a loved one, not being able to say goodbye to him, not being able to accompany him, multiplies that pain,” he laments.

Internally, on the day of May in which the then Secretary General of Health, Faustino Blanco, who from the first day asked to be relieved, had to be treated in the emergency room for a heart problem “due to the pressure suffered all these months ». “I was asking him to continue, so when this happened, I felt a bit responsible.” Fortunately, he remembers, “everything went well.”

The exemplarity of citizenship and health workers

Despite all the troubles, this year the minister remains with the behavior of the citizens, which “has been exemplary”, as has also been the response of health professionals. The pandemic has taken us «the best of ourselves, and sometimes also the worst. We all have images on our retina of examples of solidarity ”, such as the automobile sector dedicated to the manufacture of respirators or the textile manufacturing of masks.

“There have been things that give goose bumps, because there have been very spontaneous reactions at a time of great harshness, in which everyone has understood that it was necessary to rediscover that community dimension and that we do not live in isolation,” he concludes.

Illa received “as an honor” the offer of the President of the Government, Pedro Sánchez, to replace María Luisa Carcedo in Health, a position that he would assume again even knowing the one that was to come just a few days after being appointed. “I do not regret having accepted the offer of the president; I felt it at that moment as an honor and I have done things the best I could. Of course, if we had known that this was going to happen, the approaches would have been very different, but I do not regret having accepted the position and for me it is an honor, “he reiterates.

Fernando Simón, a tireless worker

The director of the Center for the Coordination of Health Alerts and Emergencies, Fernando Simón, has never asked him to throw in the towel despite the criticism, and he emphasizes that “from minute zero” he has performed his tasks “in a very exemplary way” and making decisions that “are very difficult to make.” “He is a tireless and very honest worker,” emphasizes the minister, who recalls that it was not he who appointed him and that everyone knows who did it.

For Illa, Simón «and the Fernando Simóns that exist in our country in the field of public health and in many other areas are exemplary and vocational public servants», and he considers that the petitions to remove him from office «have been a minority and not very representative ”.

The third wave

After the first and then a second, the third wave began to emerge a few days ago with a progressive increase in incidence, after the communities relaxed measures at the beginning of December, although he is convinced that all have acted “quickly” and the results will be seen soon.

However, he emphasizes the importance of minimizing mobility and social contacts during these Christmas holidays. «We never tire of repeating that Christmas, at home; let’s not move and we are with the closest family “, abounds before assessing the work of the autonomies to stop the increase in cases, since they are acting” correctly “.

He believes that Spain is prepared to face “what has to come”, but, he points out, what must be done above all, and where “you have to put the accent and effort”, is to prevent infections from increasing considerably.

The relationship with Madrid “is good”

The minister assures that the relationship with the Community of Madrid, which from almost the beginning has been one of the most combative with the decisions of the Ministry, “is good.” “In any case,” he warns, he will not “waste a minute in belligerence with any autonomous community.”

Regarding the request made by the Executive of Isabel Díaz Ayuso, to carry out rapid antigen tests in pharmacies, Illa reiterates that “these things must be done well.” “It can be studied, of course it can”, and in fact the Ministry is analyzing the Madrid proposal, but still “there are a whole series of details that have been clarified and we are going to see how we can solve them.” Still, he insists that “things safely, calmly and without rushing.”

Pandemic fatigue

To try to mitigate the effects of pandemic fatigue on health personnel and the rest of the public, remember that “we already have a horizon”, which are vaccines, which will begin to be administered in Spain next Sunday. “It is a horizon of five or six months,” encourages the minister, who considers it the beginning of the end, when there is already a sufficient immunized population to be able to begin to relax measures “significantly”.

According to the information you have about the new strains of coronavirus Detected in the UK and South Africa, it does not appear that they invalidate the vaccine or that there is “incontestable evidence” that they are much more lethal or that they are more transmissible.

At the moment, there is no evidence that there are cases in Spain with these variants, but this week Health has commissioned the Carlos III Health Institute and the General Directorate of Public Health to update the strain sequencing program “to be vigilant.”

Euthanasia, primary care and tobacco

Primary Care is being one of the healthcare services most affected by the pandemic, so the budgets contemplate one billion euros for its reinforcement, and Illa’s intention is, in addition, to continue with the plan approved during the management of her predecessor in office, María Luisa Carcedo.

«It is a strategic framework agreed with the communities and those involved, very operational, with a series of objectives and challenges and milestones; It seems to me that it is the starting point to invest this money, take this strategic framework ”, he asserts. In fact, Carcedo has been the rapporteur for the recently approved euthanasia law in Congress, with which Illa felt that she was responding to the “outcry” that existed in Spanish society.

“It is not forcing anyone to do anything, it is giving a right” to those people who suffer a “chronic incurable disease or have an unbearable and chronic suffering to be able, if they consider it and with the due guarantees of public health, put an end to this unshakable suffering that they have.

After this milestone, another of the challenges of Health is toughen the anti-smoking law as soon as possible, since around 68,000 deaths a year are associated with this substance. “We are going to do it as soon as possible to the extent that the covid leaves us space, which is going to leave us very soon, I hope,” he concludes.

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