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Pandemia de COVID-19 en Bulgaria

La pandemia de COVID-19 en Bulgaria fue parte de la pandemia mundial de la enfermedad por coronavirus 2019 ( COVID-19 ) causada por el coronavirus 2 del síndrome respiratorio agudo severo ( SARS-CoV-2 ). Se confirmó que el virus se había propagado a Bulgaria cuando se confirmaron los primeros casos del país, un hombre de 27 años de Pleven y una mujer de 75 años de Gabrovo , el 8 de marzo de 2020. Ninguno de los dos había viajado a áreas con casos conocidos de coronavirus, lo que tal vez se deba a que la prueba de PCR que se utilizó es defectuosa. El hombre dio positivo al virus después de ser hospitalizado por una infección respiratoria, y las autoridades anunciaron planes para realizar pruebas a varias personas que estuvieron en contacto con los dos individuos. [1] Otras dos muestras en Pleven y Gabrovo dieron positivo el 8 de marzo. [2] El paciente cero sigue siendo desconocido. [3]

Después de que el número de pacientes en el país alcanzó los 23, el Parlamento búlgaro votó por unanimidad declarar el estado de emergencia desde el 13 de marzo hasta el 13 de abril. [4] Se introdujo una cuarentena domiciliaria preventiva de 14 días para los ciudadanos que hayan estado en contacto con un paciente de COVID-19 o hayan regresado de una región en el extranjero con un alto número de casos. Para los pacientes que dieron positivo en la prueba del virus, se introdujo una cuarentena domiciliaria de 21 días. Este período de tiempo se cuenta a partir del día en que una prueba posterior da negativo después de haber sido tratados en un hospital o en el hogar. Después de que la Organización Mundial de la Salud (OMS) haya establecido que el COVID-19 es más resistente de lo que mostraban los datos iniciales, el personal nacional de gestión de crisis aumentó la cuarentena domiciliaria de recuperación en una semana a 28 días. [5] Ante el continuo aumento de casos de COVID-19 a diario, el gobierno búlgaro solicitó el 1 de abril que el Parlamento extendiera el estado de emergencia por un mes hasta el 13 de mayo. [6]

Hasta el 5 de febrero de 2023, se habían administrado un total de 4.612.386 dosis de vacunas. [7]

Fondo

El 5 de marzo, el gobierno búlgaro creó un Estado Mayor de Gestión de Crisis Nacional para hacer frente a la pandemia de coronavirus. [8] El gobierno ha nombrado al profesor general mayor , doctor Vencislav Mutafchiyski , como presidente del Estado Mayor. El profesor general mayor Dr. Mutafchiyski es el director de la Academia Médica Militar y el oficial médico de mayor rango de las Fuerzas Armadas de Bulgaria . Es cirujano de abdomen (estómago) y la epidemiología no está entre sus especialidades. La Academia Médica Militar combina los servicios médicos militares del país en su totalidad con varios hospitales en la capital, Sofía, y en todo el país. Al mismo tiempo, es una de las principales instituciones médicas del país y posee una gran capacidad y conocimientos técnicos en materia de tratamiento médico. El Estado Mayor cumple un papel operativo directo en la gestión de la crisis y sus decisiones se implementan mediante órdenes ejecutivas del Primer Ministro de Bulgaria y del Ministro de Salud del país. [ cita requerida ]

El 23 de marzo, el Primer Ministro nombró un Consejo Médico independiente para hacer frente a la pandemia de coronavirus. El Consejo estaba presidido por el profesor Kosta Kostov, un destacado experto en enfermedades pulmonares. La misión del Consejo era proporcionar al gobierno análisis complementarios y propuestas de acción y al público en general orientación e información profesional. A diferencia del Estado Mayor Nacional de Gestión de Crisis, que es una institución nacional formal con poderes y tareas ejecutivas, el Consejo tenía principalmente un papel consultivo basado en el conocimiento. [9] El 4 de abril, el Consejo Médico se disolvió, habiendo logrado su propósito, según su presidente. [10]

Cronología

Febrero

En febrero de 2020 se introdujo un control sanitario fronterizo limitado. [11]

Marzo

8 de marzo

El 8 de marzo de 2020, Bulgaria confirmó sus dos primeros casos, un hombre de 27 años de Pleven y una mujer de 75 años de Gabrovo . Ninguno de los dos informó haber viajado a zonas con casos conocidos de coronavirus. El hombre dio positivo en la prueba del virus después de ser hospitalizado por una infección respiratoria, y las autoridades anunciaron planes para realizar pruebas a varias personas que estuvieron en contacto con los dos individuos. [1] Otras dos muestras en Pleven y Gabrovo dieron positivo el 8 de marzo. [2] El paciente cero sigue siendo desconocido. [3]

Ese mismo día, el hospital de Gabrovo solicitó personal adicional a otros hospitales del país, ya que sólo contaba con tres especialistas en enfermedades transmisibles . Todos sus especialistas en medicina interna han sido puestos en cuarentena después de que se confirmara que uno de los cuatro casos iniciales era una enfermera del hospital. [12] El gobierno emitió una prohibición nacional de eventos públicos a puerta cerrada. [13] El origen del brote sigue siendo desconocido, y el Ministerio del Interior está rastreando a todas las personas que han estado en contacto con los pacientes. [14] Al 8 de marzo, 254 casos sospechosos estaban en cuarentena en todo el país. [15]

10 de marzo

Casos activos detectados (azul), pacientes hospitalizados, incluida la UCI (rojo), pacientes en UCI (amarillo) y casos de muerte diaria (negro). Las líneas discontinuas horizontales rojas y amarillas son las camas reservadas para pacientes con CoViD-19 en octubre de 2020. [16] Los gráficos están suavizados por la media móvil central y trazados en escala semilogarítmica .

El 10 de marzo de 2020 se confirmaron dos casos más en Sofía: un hombre de 74 años y su esposa de 66. Ambos habían llegado de Lom dos semanas antes de su ingreso. [17] [18] La mujer murió al día siguiente, convirtiéndose en la primera muerte por COVID-19 en el país. [19]

11 de marzo

El 11 de marzo, el Hospital Saint George de Plovdiv notificó un caso sospechoso de un hombre de 33 años . [20] El mismo día, una mujer de 40 años de Varna mostró síntomas de COVID-19 en una tomografía computarizada , aunque las autoridades sanitarias regionales aún no han confirmado el caso. [21]

12 de marzo

Para el 12 de marzo, el número de casos había aumentado a 23, la mayoría de ellos en Sofía. Muchos de ellos habían estado en contacto con la pareja de ancianos ingresada en el Hospital Pirogov el 10 de marzo. [22]

13 de marzo

El 13 de marzo, tras 16 casos notificados en un día, Bulgaria declaró el estado de emergencia durante un mes, hasta el 13 de abril. Se cerraron escuelas, centros comerciales, cines, restaurantes y otros lugares de negocios. Se suspendieron todos los eventos deportivos. Solo los supermercados, los mercados de alimentos, las farmacias, los bancos y las gasolineras permanecieron abiertos. [23] Además, todos los que llegaron de Italia, Irán, España, China y Corea del Sur fueron puestos bajo una cuarentena obligatoria de 14 días. [24] Hubo 13 infracciones de la cuarentena; los pacientes involucrados fueron devueltos a centros de tratamiento y se les advirtió de las repercusiones, incluidas multas y penas de prisión. [25]

14 de marzo

El 14 de marzo se informó de una segunda muerte y un tercer caso en Pleven. La segunda muerte por el virus fue el marido de 74 años de la primera muerte. [26] [27] A última hora de la tarde del 31 de marzo, un miembro del parlamento dio positivo al virus. Todos los parlamentarios fueron sometidos a pruebas urgentes al día siguiente. Si algunos de ellos también dan positivo, el Parlamento se suspenderá. Se están explorando opciones para que los parlamentarios continúen su trabajo legislativo (incluida la votación) en línea desde casa bajo aislamiento. [28]

15 de marzo

El número de casos confirmados en Bulgaria ascendió a 51 el 15 de marzo. Se realizaron un total de 83 pruebas en la Academia Médica Militar, de las cuales seis dieron positivo, y 51 se procesaron en el Laboratorio Nacional de Referencia, de las cuales dos dieron positivo. En Varna, una prueba de 12 muestras dio positivo. [29]

16 de marzo

El Ministerio de Salud anunció que a partir de las 00:00 horas del 18 de marzo se prohibirá la entrada a Bulgaria a los ciudadanos de varios países: China, Irán, Bangladesh, India, Maldivas, Nepal, Sri Lanka, España, Italia, Corea del Sur, Francia, Alemania, Países Bajos, Suiza y Reino Unido. Además, se establecerán unidades de control sanitario en algunos pasos fronterizos con Rumanía, Grecia, Serbia y Macedonia del Norte. El número total de casos aumentó a 62, incluidos dos ciudadanos británicos que estaban de vacaciones en Bansko . [30]

17 de marzo

Se notificaron 81 casos, varios de ellos relacionados con un brote en Bansko. Ninguno de los pacientes se encontraba en estado crítico. [31]

18 de marzo

El número total de casos aumentó a 94 el 18 de marzo, con nuevos casos en Smolyan , Veliko Tarnovo y Pernik entre los recién llegados del exterior. El día anterior, Bansko se convirtió en la primera ciudad del país en ser puesta en cuarentena. [32] [33]

19 de marzo

El 19 de marzo, los casos aumentaron a 105 y una mujer de 80 años, que había sufrido recientemente un derrame cerebral, murió a causa de COVID-19 el mismo día, lo que la convirtió en la tercera muerte por la enfermedad en Bulgaria. Por otra parte, una ciudadana búlgara de 78 años murió a causa de COVID-19 mientras visitaba a su familia en Pittsburgh , Pensilvania. La mujer, directora de coro en Sofía, no tenía seguro médico y se negó a buscar atención médica. [34]

20 de marzo

El número total de casos aumentó a 127 y se produjo la primera recuperación. [35]

21 de marzo

Al mediodía, el número de casos aumentó a 142 y tres pacientes se habían recuperado. Dos ciudades, Dobrich y Shumen , confirmaron sus primeros casos, este último relacionado con el grupo de Bansko. Hay 84 pacientes masculinos y 58 femeninos, el más joven tiene 4 años y el mayor 81. Se han realizado más de 5.000 pruebas y se pondrán a disposición otras 10.000 pruebas en breve. [36]

24 de marzo

El número de casos aumentó a 218 y se confirmó el primer caso en la provincia de Stara Zagora. Un hombre de la ciudad de Kazanlak fue ingresado en la unidad de enfermedades infecciosas del hospital de Stara Zagora . Se cree que tiene 60 años y regresó de Francia el 14 de marzo. [37]

25 de marzo

El número de casos aumentó a 242 al final del día, y la ciudad de Sliven informó su primer caso confirmado. Se registraron 16 nuevos casos sin relación entre ellos en Sofía, algunos de ellos pertenecientes al personal médico de un hospital local. Se confirmaron dos nuevos casos en Blagoevgrad , dos en Plovdiv y uno en Pleven. Dos de los pacientes que se encontraban en estado crítico se estabilizaron, pero permanecen "en estado estable pero grave". Uno se recuperó por completo, lo que elevó el número total de recuperaciones a 5. [ cita requerida ]

26 de marzo

En total, se notificaron 22 casos nuevos, lo que elevó el número total a 264. El coronavirus se registró por primera vez en Kardzhali y Haskovo . 15 de los nuevos casos confirmados se produjeron en Sofía, 2 en Smolyan, uno en Pleven, uno en Veliko Tarnovo y uno en Varna. Dos personas fueron ingresadas en el hospital en estado crítico, mientras que tres nuevos pacientes se recuperaron, lo que elevó el número de recuperados a 8. Se confirmó que tres soldados estaban infectados: dos estaban destinados en Kosovo y fueron llevados de inmediato de vuelta a Sofía, y el otro contrajo el virus en Rumanía, donde fue hospitalizado. [38]

27 de marzo

Se registraron 29 nuevos casos, con lo que el número total llegó a 293. De ellos, 17 se dieron en Sofía, 5 en Plovdiv, 3 en Burgas y uno en Varna, Kyustendil , Sliven y Pazardzhik . Al menos 93 personas permanecieron hospitalizadas, 53 de ellas solo en Sofía. [39]

28 de marzo

El número total de casos llegó a 331, un aumento de 38 con respecto al día anterior. Entre los nuevos casos se encuentran 19 en Sofía, 5 en Blagoevgrad, 4 en Burgas, 3 en Varna, 2 en Kardzhali, Plovdiv y Shumen, y 1 en Smolyan. También se notificaron cuatro nuevas muertes, dos en Blagoevgrad y una en Kyustendil y Sofía. [40] A los casos de Blagoevgrad, una madre y su hija, se les negó inicialmente la admisión en el hospital local a pesar de los síntomas visibles y tuvieron que solicitar pruebas en un laboratorio privado; cuando los resultados fueron positivos, la condición de las pacientes se había deteriorado significativamente. Finalmente fueron admitidas y enviadas a cuidados intensivos, pero ambas murieron poco después. [41]

29 de marzo

En total, se registraron 15 nuevos casos, 8 en Sofía, 3 en Plovdiv y uno en Kardzhali, Sliven, Smolyan y Varna. También se anunciaron tres nuevas recuperaciones, mientras que el número de muertes aumentó a 8 después de que una mujer de 51 años muriera en el hospital de Blagoevgrad, un día después de que su madre falleciera a causa del virus. El Ministerio de Salud anunció que 125 de los 324 casos activos permanecen hospitalizados, y 13 de ellos se encuentran en estado grave. El número total de pruebas realizadas superó las 7.000, de las cuales 276 se realizaron solo el 29 de marzo. [42]

30 de marzo

Se notificaron trece nuevos casos, siete en Sofía y uno en Blagoevgrad, Kardzhali, Montana, Pleven, Plovdiv y Sliven, lo que suma un total de 359 casos. 113 pacientes permanecieron hospitalizados, 13 de ellos en estado grave. Alrededor del 56% de todos los infectados hasta ahora eran hombres frente al 44% de mujeres, con una edad media de 45 años. El número total de recuperaciones aumentó a 17. [43]

31 de marzo

El número total de infecciones confirmadas aumentó en 40 a 399, y los dos primeros casos se notificaron en la provincia de Silistra . 20 de los nuevos casos se registraron en Sofía, cuatro en Burgas y Kyustendil, tres en Plovdiv y Varna, dos en Silistra y uno en Kardzhali, Pernik, Shumen y Stara Zagora. El número de pacientes hospitalizados aumentó a 146, con 14 en estado grave, mientras que se anunció que 20 trabajadores médicos habían contraído la enfermedad hasta el momento. No se anunciaron nuevas muertes o recuperaciones. Del total de 399 casos confirmados, poco menos del 57% (227) eran hombres, frente al 43% (172) que eran mujeres. [44]

Abril

1 de abril

La provincia de Ruse informó de su primer caso como parte de 23 nuevas infecciones en todo el país, lo que eleva el total a 422. Además de Ruse, se notificaron 10 nuevos casos en Sofía, dos en Blagoevgrad, Burgas, Dobrich y Plovdiv, y uno en Haskovo, Kardzhali, Sliven y Stara Zagora. Se registraron dos muertes: un hombre de 57 años en Kyustendil y un hombre de 40 años en Sofía. [45] Hassan Ademov, del Movimiento por los Derechos y las Libertades, se convirtió en el primer miembro del parlamento búlgaro en contraer el virus, lo que obligó al anuncio de una prueba masiva el 2 de abril que cubriría al personal del gobierno y a los 240 parlamentarios. [46]

2 de abril

El número total de infecciones aumentó en 35 hasta 457, y el primer caso se registró en la provincia de Vidin . Entre los nuevos casos se encuentran 20 en Sofía, cuatro en Smolyan, tres en Varna, dos en Dobrich y uno en Blagoevgrad, Montana, Pazardzhik, Plovdiv, Veliko Tarnovo y Vidin. No se registraron nuevas muertes, mientras que el número de recuperaciones llegó a 25. En la actualidad, 179 pacientes se encuentran hospitalizados, 18 de ellos en cuidados intensivos. [47] Entre los nuevos casos se encuentran otros dos diputados, ambos del partido gobernante GERB , incluida la presidenta de su grupo parlamentario, Daniela Daritkova. [48]

3 de abril

La Asamblea Nacional aprobó la propuesta del gobierno de extender el estado de emergencia por un mes hasta el 13 de mayo. [49] El recuento de casos confirmados llegó a 487, después de que se registraran 28 nuevas infecciones: 18 en Sofía, dos en Plovdiv y Smolyan, y una en Blagoevgrad, Burgas, Kardzhali, Kyustendil, Veliko Tarnovo y Vidin. También se anunciaron cuatro muertes, una de ellas ocurrida a última hora de la noche anterior en Stara Zagora. [50] Los pacientes masculinos siguieron representando poco menos del 57% de todos los casos (frente al 43% de mujeres), con una edad media de 47 años. [51]

5 de abril

El Ministerio de Salud anunció que el número total de pruebas de COVID-19 había llegado a 15.899, y que 8 laboratorios realizaban el procedimiento en todo el país. [52]

14 de abril

La aldea de Panicherovo, en la provincia de Stara Zagora, fue puesta en cuarentena después de que un hombre positivo a COVID-19 escapara de un hospital donde estaba siendo tratado y regresara a la aldea. [53]

15 de abril

El Ministerio del Interior estableció puestos de control que limitan el movimiento dentro y fuera de los barrios de Filipovtsi y Fakulteta, de Sofía, con población predominantemente romaní. [54] El Centro Nacional de Gestión de Crisis clasificó los barrios como focos de COVID-19. [55]

16 de abril

En una conferencia de prensa conjunta de emergencia a altas horas de la noche del Ministro del Interior, el Ministro de Salud y el Presidente del Centro Nacional de Gestión de Crisis, se anunció que la entrada y salida de Sofía estaría severamente limitada hasta nuevo aviso debido al aumento del tráfico fuera de la ciudad antes de las vacaciones de Semana Santa. [56] Después de numerosos casos importados de Gran Bretaña (por ejemplo, un británico de 78 años cuya hermana se sabía que había sido infectada por el coronavirus [57] [58] y un repatriado búlgaro de Varna [59] ), la Autoridad de Aviación Civil prohibió todos los vuelos entre Gran Bretaña y Bulgaria. [60] El decreto se refiere al fuerte aumento de casos de COVID-19 en ese país durante las últimas semanas, superando el nivel en otros países afectados. Tres días antes de que se implementara la medida, el Gobernador de la Óblast de Varna había expresado su aprensión con respecto a los vuelos entre Varna y Londres. [61]

20 de abril

El Ministerio de Salud anunció la reanudación de las cirugías y hospitalizaciones programadas, las inmunizaciones y la atención infantil y prenatal, que se realizarán según un cronograma estricto los martes y jueves de cada semana. [62]

21 de abril

Se levantaron las limitaciones horarias para entrar y salir de Sofía. [63]

27 de abril

La prohibición del tráfico aéreo de pasajeros entre Bulgaria y Gran Bretaña fue revocada después de 11 días. [64]

Puede

1 de mayo

El uso obligatorio de mascarillas en espacios públicos abiertos fue derogado mediante un nuevo decreto del Ministro de Salud. [65] Los parques nacionales fuera de los límites municipales, cerrados al público el 20 de marzo, fueron reabiertos y las autoridades locales encargadas de organizar la visita. [66] [67]

2 de mayo

En la provincia de Razgrad se confirmó el primer caso, lo que significa que ya son 27 de las 28 provincias donde se han detectado casos de COVID-19. Ese mismo día también se registró la primera muerte de un médico. Una médica de 43 años de Sliven falleció tras contraer la enfermedad. Trabajaba en el Departamento de Enfermedades Infecciosas de la ciudad de Sliven. [68]

4 de mayo

El Dr. Andrea Ammon , Director del ECDC , mencionó a Bulgaria como el único país monitoreado por el Centro que aún registra un aumento en los casos nuevos. [69]

6 de mayo

Se eliminaron los puestos de control fuera de los centros provinciales y se levantaron las restricciones que limitaban los viajes entre ciudades. [70]

9 de mayo

Targovishte , la última provincia búlgara sin casos registrados hasta el momento, tuvo su primer caso de COVID-19 confirmado. [71]

14 de mayo

El 14 de mayo a las 00:00 horas se levantó el estado de emergencia nacional y en su lugar se declaró el estado de emergencia por epidemia. Se permiten nuevamente los trasplantes de órganos después de una prohibición de dos meses. Los parques están abiertos para el uso de todos. La mayoría de las medidas antiepidémicas siguen vigentes. Se mantiene la cuarentena de 14 días para todos los que ingresan al país. Las escuelas y las guarderías permanecen cerradas, así como los centros comerciales y los restaurantes cerrados. [72]

Junio

21 de junio

El tenista búlgaro Grigor Dimitrov anunció en su cuenta de Instagram que dio positivo por COVID-19, lo que provocó la cancelación del Adria Tour , en el que había participado las semanas anteriores. Varios otros tenistas dieron positivo los días siguientes. [73] [ Se necesita una fuente no primaria ]

Agosto

1 de agosto

Se anunció que la tenista búlgara Viktoriya Tomova dio positivo por COVID-19 en el sitio de un torneo en Palermo, Italia, que resultó ser el primer evento oficial de tenis profesional después de que comenzara la pandemia. [ cita requerida ]

23 de agosto

El Ministro de Juventud y Deportes de Bulgaria, Krasen Kralev, dio positivo. [74]

Octubre

25 de octubre

El primer ministro búlgaro , Boyko Borisov , dio positivo y dijo en Facebook que tenía un "malestar general". [75]

Noviembre

El 10 de noviembre, Boyko Borisov se había recuperado de la COVID-19. [76]

El 28 de noviembre de 2020, Bulgaria entró en un segundo confinamiento, que se calificó de "parcial" por ser menos estricto que el primero, y que se preveía que durara hasta Navidad. [77] [78] Muchos expertos consideraron que esta decisión era muy esperada debido a la enorme presión sobre el sistema de salud del país, que provocó que muchas personas no pudieran recibir acceso a una atención médica adecuada, [79] [80] y el Primer Ministro enfrentó fuertes críticas de otros políticos. [81]

Diciembre

El 18 de diciembre de 2020, el Gobierno confirmó que el confinamiento se extenderá hasta el 31 de enero de 2021. [82]

Marzo de 2021

Desde el 22 de marzo hasta el 31 de marzo de 2021, el país estuvo bajo otro confinamiento, el tercero desde el inicio de la pandemia. [83]

Mayo de 2021

Durante la segunda mitad del mes, la tasa de positividad semanal cayó por debajo del 4%, y el número de personas que dieron positivo fue el más bajo desde principios de octubre de 2020. [84]

Junio ​​2021

En junio de 2021, la secuenciación genómica confirmó la presencia de las variantes Beta y Delta en Bulgaria. [85] [86]

Julio de 2021

En la segunda mitad de julio de 2021, Delta había surgido como la variante dominante (aparecía en más del 50% de las muestras de secuenciación genómica), comenzando a desplazar a Alpha . [87]

Agosto de 2021

A mediados de agosto, cerca del 99% de las muestras dieron positivo para Delta. [88]

Octubre de 2021

Debido al empeoramiento de la situación epidemiológica, a partir del 21 de octubre se introdujo como requisito para muchas actividades públicas un "certificado verde" , que se podía obtener mostrando un comprobante de vacunación, recuperación de una infección o una prueba negativa de COVID-19. También se consideró que era una forma de evitar otro confinamiento. [89]

Noviembre 2021

La presencia de la subvariante 'Delta Plus' se confirmó en noviembre de 2021. [90] [91]

Diciembre de 2021

El 22 de diciembre de 2021, los laboratorios privados Cibalab señalaron que se había descubierto la variante Ómicron en seis muestras del virus. [92] Iva Hristova, directora del Centro de Enfermedades Infecciosas y Parasitarias, insistió en que la presencia de Ómicron deberá confirmarse mediante secuenciación genómica, para lo cual los laboratorios privados no poseen la tecnología, y se espera que los resultados precisos estén disponibles después del año nuevo. [92] El matemático Ognyan Kunchev ha declarado que el proceso de secuenciación en Bulgaria tarda unos 10 días y debe acelerarse, además de cubrir más muestras. [93] El 29 de diciembre de 2021, la viróloga Radka Argirova, que se desempeña como asesora del primer ministro Kiril Petkov, declaró que existen fuertes indicios de que Ómicron ya está en Bulgaria, refiriéndose a una serie de casos sospechosos, todos ellos entre personas que habían viajado al extranjero. [94]

Enero de 2022

Cambios de variantes

El 2 de enero de 2022, las autoridades sanitarias confirmaron oficialmente los primeros 12 casos de la variante Ómicron. [95] [96] 11 de ellos se encontraban en la provincia de la ciudad de Sofía , mientras que 1 estaba en la provincia de Sofía , y 7 de los casos se dieron entre personas no vacunadas, 5 entre vacunadas y ninguno entre personas con una dosis de refuerzo. [95] Solo una de las personas infectadas con Ómicron había estado recientemente en el extranjero. [96] Se encontró Ómicron en el 4,4% de las 275 muestras secuenciadas, siendo Delta el resto. [95] [96] Ninguno de los infectados requirió hospitalización. [95] Hasta el 10 de enero de 2022, se habían descubierto 52 nuevos casos de Ómicron, según 505 muestras secuenciadas para el período hasta el 3 de enero, y Ómicron representaba el 10,3% de los hisopos, siendo el resto Delta. [97] Hasta el 19 de enero de 2022, se habían identificado 227 nuevos casos de Ómicron, según 522 muestras secuenciadas para el período hasta el 10 de enero, con una proporción de Ómicron a Delta del 43,5% al ​​56,75%. [98] A mediados o finales de enero de 2022, Ómicron había surgido como la variante principal, [99] representando el 74,5% de los casos hasta el 20 de enero, [100] encontrándose en 249 de 334 muestras. [101]

Aumento de casos

El 12 de enero de 2022, se registraron 7062 casos nuevos, la mayor cantidad desde el inicio de la pandemia, [102] superando el récord anterior de 6816 pruebas positivas diarias notificadas el 27 de octubre de 2021. [103] Después de que las autoridades sanitarias informaran de 9996 pruebas positivas el 18 de enero de 2022, [104] al día siguiente el número de casos diarios registrados superó los 10 000 por primera vez, con 11 181 nuevas infecciones anunciadas durante las 24 horas anteriores. [105] El 26 de enero de 2022, el Ministerio de Salud notificó un nuevo máximo de 12 399 casos oficiales. [106]

Reinfecciones y coinfecciones

Hasta el 14 de enero de 2022, se han registrado oficialmente 4692 reinfecciones en Bulgaria. [107] Según un artículo académico que analiza el período comprendido entre marzo de 2020 y diciembre de 2021, se han producido 31 casos de personas infectadas tres veces y un caso de un individuo que contrajo COVID-19 por cuarta vez. [108] A finales de enero de 2022, se confirmó el primer caso de coinfección por COVID-19 e influenza A (cepa H3N2). [109]

Normas sobre personas positivas a COVID-19

A partir del 11 de enero de 2022, el requisito de aislamiento obligatorio para las personas con una prueba de COVID-19 positiva se redujo de 14 a 10 días. [110]

Febrero de 2022

El 4 de febrero de 2022, las autoridades sanitarias confirmaron la presencia de la subvariante BA.2 de Omicron, que se había detectado en 7 muestras de Sofía, Burgas y Targovishte. [100] También se detectó el sublinaje BA.3. [111] Según las evaluaciones, la quinta ola del virus, que había comenzado sin que la cuarta hubiera remitido por completo, alcanzó su punto máximo a fines de enero y principios de febrero. [112]

Abril de 2022

El 1 de abril de 2022, el Consejo de Ministros levantó la situación epidemiológica de emergencia en Bulgaria, lo que dio lugar a la abolición de prácticamente todas las intervenciones no farmacéuticas, como los límites de capacidad de los locales y los mandatos de uso de mascarillas, [113] y se siguió recomendando el uso de mascarillas protectoras en espacios interiores y en cualquier entorno de alto riesgo. [114] En general, se ha considerado que la decisión de levantar las restricciones está en consonancia con la mejora de la situación epidemiológica, [115] [116] siguiendo las tendencias de otros países europeos, [117] aunque algunos expertos la han caracterizado como apresurada debido a la baja cobertura de vacunación de la población [118] y han advertido de que podría dar lugar a una falsa sensación de calma de que la pandemia ha terminado. [116] También se han expresado preocupaciones por la reducción de las pruebas para detectar el virus. [119] Los miembros del sector empresarial han criticado la declaración del fin de la situación epidemiológica como excusa para que el gobierno deje de ofrecer compensaciones económicas. [116] Según una ley aprobada por el Parlamento Nacional el 13 de abril de 2022, la carga de la introducción de nuevas medidas pasará en cierta medida del Ministro de Salud a las autoridades sanitarias regionales, por lo que se prevé que las restricciones sean regionales en lugar de nacionales. [120] Sin embargo, el Ministro de Salud conserva la prerrogativa de introducir medidas de control de la pandemia. [121] A finales de abril de 2022, el matemático Nikolay Vitanov declaró que el número de reproducción del virus en Bulgaria es de 0,82, caracterizando la situación en el país como carente de la propagación difusa de Europa occidental, [122] lo que, en su opinión, había sido un factor detrás de la decisión de eliminar las restricciones. [123]

Mayo de 2022

A partir del 1 de mayo de 2022, se eliminaron los requisitos relacionados con la pandemia para la entrada de ciudadanos extranjeros, como el comprobante de vacunación. [124]

Junio ​​de 2022

El 29 de junio de 2022, el Ministerio de Salud anunció que se había confirmado la presencia de la subvariante BA.5 de Ómicron después de la secuenciación genómica de 88 muestras de todo el país tomadas en el período del 5 de mayo al 3 de junio. [125] BA.2 fue, con diferencia, la subvariante dominante, representando más del 75% de los casos. [125]

Julio de 2022

En julio de 2022, la subvariante BA.5 Omicron comenzó a emerger como dominante sobre las demás, siendo la detectada con mayor frecuencia en las muestras. Se había extendido más en la capital, Sofía . [126]

El 25 de julio de 2022, el uso de mascarillas volvió a ser obligatorio para todos los ciudadanos que utilizan el transporte público en Sofía . [127]

Agosto de 2022

A partir del 4 de agosto de 2022 se endurecieron aún más las medidas de control epidemiológico en la capital, y se empezó a exigir el uso de mascarillas en la mayoría de los espacios interiores, además de otros requisitos relacionados con el distanciamiento social, la desinfección y la limitación de la capacidad. [128] Tras el nombramiento de Asen Medzhidiev como ministro de Sanidad interino, a partir del 11 de agosto de 2022 se volvieron a relajar las medidas relacionadas con la pandemia en Sofía, especialmente las relativas a las mascarillas, y se proporcionó una gran cantidad de pruebas rápidas de antígenos gratuitas. [129] A partir del 25 de agosto de 2022 se eliminó el requisito de llevar mascarilla en el transporte público. Las cubiertas faciales siguieron siendo obligatorias en los entornos médicos. [130]

Octubre de 2022

En octubre de 2022, se confirmó la presencia de dos subvariantes ómicron adicionales (BQ.1.1 y BM.1.1) en el país. [131] BA.5x siguió siendo la subvariante dominante, y se encontró en alrededor del 71 % de las muestras de secuenciación genómica durante el período comprendido entre el 11 de septiembre y el 12 de octubre. [131]

Noviembre de 2022

A mediados de noviembre de 2022 se confirmó que a partir del 17 de noviembre se levantarán todas las medidas de salud pública relacionadas con la COVID-19. [132]

Enero de 2023

En enero de 2023 se detectó por primera vez la cepa XBB.1.5, descubierta en un individuo de Sofía. [133]

Estadística

Casos y pruebas

Casos de coronavirus en Bulgaria
Número de casos confirmados en escala logarítmica

Cases by age

New confirmed cases by age group (04.08.2020–19.02.2022)

New cases

New cases per day

New cases per week

Cases by month

Medical Staff Cases

Growth factor per day


Growth factor is defined as today's new cases / total cases on the previous day. It is indicative of the epidemic's evolution.

Active cases per day

Active cases in hospital per day (incl. ICU)

Tests performed

Tests per day (PCR + Antigen tests)

0 = No data

Tests per week (PCR + Antigen tests)

Tests per month (PCR + Antigen tests)

Positive cases per number of tests performed

Percentage of tests that turned positive

Percentage of new cases from all tested (PCR + Antigen tests)

0 = No data

Percentage of tests that turned positive per week (PCR + Antigen tests)

Percentage of tests that turned positive per month (PCR + Antigen tests)


By province


  1. ^ The total number of tests reached 6,454.
  2. ^ The total number of tests exceeded 7,000.
  3. ^ The total number of tests reached 15,899.
  4. ^ Day-to-day data as released by the Ministry of Health. Cumulative data as per Government-run portal coronavirus.bg. Discrepancies after 5 June 2020.
  5. ^ As of 31 January 2022
  6. ^ As of 28 February 2022
  7. ^ As of 31 March 2022
  8. ^ As of 31 March 2022
  9. ^ Number of cases for Sofia City Province and Sofia Province were reported as a summary until June 2020.



Deaths

Total number of deaths

Number of deaths per day

Number of deaths per week

Number of deaths per month

Weekly deaths in Bulgaria (2018–2022)


Data Source[177]

Recoveries

Total number of recoveries

Number of recoveries per day

Number of recoveries per week

Number of recoveries per month

Vaccinations

Total number of vaccinations (Pfizer-BioNTech + Moderna + AstraZeneca)

Number of vaccinations per day (Pfizer-BioNTech + Moderna + AstraZeneca)

Number of vaccinations per week (Pfizer-BioNTech + Moderna + AstraZeneca)

Number of vaccinations per month (Pfizer-BioNTech + Moderna + AstraZeneca)

Number of vaccinations per month (Pfizer-BioNTech + Moderna + AstraZeneca + Janssen)

The numbers only include first doses.[178]

Response

At the time of the announcement, schools had already been closed until 11 March due to an influenza B epidemic.[179] A massive increase in influenza B cases prompted suspensions of routine medical examinations, and a recommendation by the government for suspension of lectures at universities.[180] According to the latest Ministry of Health data, there were 2063 intensive care and 740 infectious disease hospital beds in the country, with a total of 1605 ventilators across the health system.[181] However, Chief Health Inspector Angel Kunchev stated on 5 March that there is a shortage of medical personnel.[182]

Following the announcement of positive SARS-CoV-2 test results, the Bulgarian government immediately banned the exports of protective equipment and placed orders for masks and protective suits to local manufacturers. In addition, 30,000 masks and 50,000 protective suits will be delivered by Turkey.[183] Some 111,000 suits and masks are required every month and the government plans to distribute them to health workers, social assistants, law enforcement personnel and border guards.[184] Sofia Municipality has increased disinfections to four times daily at public institutions and in public transport.[185] Personnel in all hospitals was reportedly being screened for the disease,[186] but in April a nurse in Vidin reported that she was refused a test after caring for a positive patient, as the hospital in the city had no testing kits.[187]

By mid-March, large-scale imports of protective equipment from China, India and Vietnam had begun. Many volunteers were also signing up to join the handling of the crisis, including Nikola Vaptsarov Naval Academy cadets.[188]

On 30 March, the Minister of Health Kiril Ananiev decreed wearing masks in public mandatory, both outdoors and indoors, despite nationwide protective equipment shortages and soaring prices.[189][190][191] The policy seemed to contradict Ananiev's earlier statement from 9 March that producing the needed gear "will take months".[192] Under article 209a of the Health Law, which was passed on 13 March and does not discriminate between offenses, failing to wear a mask in public would result in a fine of BGN 5,000 (EUR 2,555).[193] On 31 March Ananiev rescinded the decree, citing "a lack of public consensus" on the measure.[194] On 6 April 2020 the National Assembly passed amendments to the State of Emergency law from 13 March.[195] The fines for breaking the measures against the pandemic were reduced. As of 6 April, there were 1340 fines worth approximately EUR 3,500,000 imposed, mostly for walking in the park.[196] On 11 April, the Minister of Health reinstated the mask-wearing measure for the period 12–26 April 2020. The new decree included "towels, scarves, et al," despite reports that "[t]here is only limited indirect evidence that non-medical face masks are effective as a means of source control."[197][198] On 24 April 2020, compulsory mask-wearing in public was extended to 13 May 2020, excluding open public spaces after 1 May 2020.[199][200]

Nearly BGN 14,000,000 (EUR 7,160,000) had been donated by 3 April, with 48% coming from private companies, 26% from public campaigns, 19% from individual donors and 7% from foundations.[50]

The Mall (Sofia) during the COVID-19 pandemic in Bulgaria
A closed restaurant in Sofia (number for home delivery of food provided) during the COVID-19 pandemic in Bulgaria

On 10 April, Sofia City Prosecutor's Office indicted Prof. Asena Stoimenova, chairwoman of the Bulgarian Pharmaceutical Union, under article 326 of the Penal Code following "a series of statements inciting fear in the population during the state of emergency."[201] In an interview for Bulgarian National Television, Stoimenova had stated that the market for protective gear appears to be normalizing following the shortages the country experienced at the outbreak of the pandemic, but disruptions in the international pharmaceutical trade might lead to shortages of other medical supplies in Bulgaria.[202]

When interviewed in December 2021, Ventsislav Mutafchiyski stated that Bulgaria had followed a COVID-Zero rather than a "living with COVID" strategy until 13 May 2020.[203]

Testing

As of 24 March, there are 5 laboratories testing for COVID-19 in the country with a capacity of 300 tests per day. The total number of tests done by 26 March was 6,454, with 264 confirmed cases and a rate of infection around 4.1%.[204]

On 27 March, the Ministry of Health announced that the country now has the capacity to process between 1,000 and 1,200 tests per day, at an estimated cost of BGN 930,000 (EUR 475,000) per month. Two additional methods of testing would be introduced at later stages of the pandemic – fluorescence immunochromatographic tests (up to 20,000 per day) and the so-called 'quick' tests (up to 40,000 per day). Major General Ventsislav Mutafchiyski called all three types "equally important", as the PCR ones provided reliable data, while the fluorescence tests could speed up the process before quick ones are applied to establish how many people have acquired immunity.[205] However, Mutafchiyski later added that rapid tests are considered "unreliable" and therefore mass screening would be "meaningless".[206]

Conversely, Prof. Radka Argirova, chairman of the National Expert Board in Virology at the Bulgarian Doctors' Union, urged increased rapid testing to discover asymptomatic cases, avoiding the chance of a future second peak and terminating the epidemic progression.[207] "Aggressive, complete screening" of the population was also advocated by Dr. Rumen Hichev, a Bulgarian medical professional based in the United States and part of a medical advisor team to the White House. According to Hichev, the Bulgarian government had reacted quickly, but without mass screening to establish asymptomatic spreaders, any effort would be behind the course of events.[208][209]

On 5 April, the Ministry of Health announced a total of 15,599 tests had been performed to date in eight laboratories across the country.[52] The government announced that by 18 April, 26 417 tests had been performed.[210]

As of October 2020, there were 65 laboratories offering PCR testing, the results of which were recognized for travel abroad.[211]

On 22 October 2021, it was announced that the record number of 47,370 tests (both PCR and rapid antigen) had been performed over the last 24 hours, which was attributed to the introduction of the "green certificate" (obtained courtesy of a vaccination, proof of recovery from COVID-19 or a negative test) requirement for many public activities.[212]

A COVID-19 testing laboratory near Iuzhen Park in Sofia.

Medication

After testing positive for COVID-19, business magnate Kiril Domuschiev announced that his company will procure chloroquine from foreign sources and donate it to the national coronavirus task force. However, chloroquine, a quinine drug, has been proven to provide no benefit for COVID-19 patients.[213] The Bulgarian government is looking into import opportunities from China and domestic production by local pharmaceutical companies.[214] Exports of all quinine-based drugs were prohibited until further notice, and 35,000 doses of quinine-based Metamizole for export have been diverted for domestic consumption. Another 250,000 doses of the drug can reportedly be produced on a short notice by local pharmaceutical companies.[215] On 3 April, the government negotiated the delivery of 171,429 packs of Hydroxychloroquine sulfate and 30,000 packs of azithromycin from the China National Pharmaceutical Group.[216] The shipment was delivered using a NATO Boeing C-17 Globemaster III piloted by a Bulgarian Air Force captain; the cargo also included more than 1,600,000 masks and 50 ventilators.[217]

Bulgarian biotechnology company Micar21 has been developing a general coronavirus vaccine in the past four years, and announced that it will begin clinical trials of a SARS-CoV-2 vaccine based on this research in mid-2020.[218] The company announced that with government support in funding and shorter clinical trial protocols, the drug could be synthesised in two months.[219]

Colchicine has been offered to patients since April 2020 with some promising results, but the degree of effectiveness as well as the precise dosage remains under evaluation.[220]

Some medical practitioners have controversially prescribed ivermectin in an off-label fashion, contrary to international medical guidelines.[221]

Projections

According to a research conducted by the Institute for Health Metrics and Evaluation at the University of Washington, the pandemic was expected to reach its peak in Bulgaria in the end of April. The projections were assuming full social distancing through May 2020. The research listed 856 ICU beds in the country and projected no shortage of medical resources.[222]

Criticism

Georgi Todorov, a Bulgarian doctor with experience in viral breakouts in Ghana, criticised the handling of the COVID-19 threat. In particular, Todorov stated that Bulgaria's health administration is so rife with nepotism that it cannot come up with any coherent response; as a result, infectious disease specialists were not taken into account when formulating response policies, and no specific locations were designated for potential COVID-19 cases. Todorov further assumed that infected individuals may have not been identified because of improper application of testing procedures.[223] Following the end of the first lockdown in Bulgaria, there has been criticism due to the lack of sufficiently strict non-pharmaceutical interventions implemented by the governments.[224]

Discrimination

Some Roma communities, like the one in Burgas, were surveilled with thermal drone cameras. Other communities, from places like Yambol or Kyustendil, were sprayed with disinfectants from helicopters and crop dusters. Ognyan Isaev, a Roma activist, expressed concerns that if the pandemic worsened, discriminatory measures could be reinstated.[225]

Economy

The Bulgarian government has enacted a series of measures aimed at reducing the economic impact of the COVID-19 pandemic to businesses and individuals.[226]

60/40 measure

The so-called "60/40 measure" is a short-term instrument to help businesses retain their employees during the COVID-19 crisis. The state will cover 60% of employees' insurable earnings, as well as the social insurance contributions owed by the employer. The measure is in effect for the duration of the State of Emergency announced on 13 March 2020, but for no longer than 3 months.[citation needed]

State-backed interest-free loans program for individuals

The program provides state-backed, interest-free, zero-fee loans to individuals, deprived of the opportunity to work as an effect of the COVID-19 pandemic. The program is implemented by the Bulgarian Development Bank in partnership with a number of banks from the private sector.[citation needed]

Self-employed individuals and individuals under an employment contract are eligible for an interest-free loan of up to 4,500 BGN (2,300 EUR), with a grace period between six and twenty-four months, paid out in three monthly installments of 1,500 BGN.[citation needed]

Working capital loans for SMEs

The program, financed by the Bulgarian Development Bank, provides working capital loans of up to 300,000 BGN, aiming to provide liquidity to SMEs affected by the COVID-19 pandemic.[citation needed]

Grants for small and micro-enterprises

Small and micro-enterprises are eligible for state grants between 3,000 and 10,000 BGN, provided they have reported at least 20% drop in monthly revenue compared to the same month in 2019. [citation needed]

Moratorium on loan repayments

The board of directors of the Bulgarian National Bank established a private moratorium on loans repayments, as presented by The Association of Banks in Bulgaria, which allows for payments deferral of up to six months.[citation needed]

Impact

Bulgaria recorded 31,643 newly registered unemployed for the period between 13 March to 1 April. From these, 17,793 claimants stated that job losses were a direct consequence of the pandemic, and 12,661 registered in the week 23–27 March alone, compared to 4,561 for the same period in 2019.[227] The number of unemployed continued to rise throughout April. According to a statistic released by the Agency of Employment, as of 28 April 2020, there were 291,426 registered unemployed, a rise of 90,405 since the introduction of the national emergency.[228] A survey conducted by the Bulgarian Industrial Association showed that initially only 8% of the companies were willing to use the government stimulus package, which quickly became colloquially known as 'the 60/40 measure'.[229] The proposal envisions the government paying 60% of the impacted businesses' employee wages for up to three months, as long as the companies refrain from lay-offs.[230]

Views of the general public

A Gallup opinion poll from April 2020 revealed that 77% of the citizens expressed support for the lockdown-related pandemic control measures taken by the authorities in the country.[231] А "Trend" survey between 1 and 5 April 2020 saw 35% demand stronger measures against COVID-19, 39% rating the government policies as sufficiently strict and 23% expressing the opinion that the pandemic controls need to be relaxed.[232] А nation-wide opinion sampling of 1151 adult Bulgarian citizens conducted by the Bulgarian Academy of Sciences, the University of National and World Economy, Bulgarian Sociological Association and the Union of Economists of Bulgaria in mid 2021 showed that the support for a "stay-at-home" order was 60%, with 75% approving of mask mandates and 74% agreeing with bans on public gatherings.[233] According to a Eurobarometer poll conducted between March and April 2021 82% of Bulgarians expressed a wish that the European Union acquires enhanced prerogatives in handling crises such as the COVID-19 pandemic.[234]

Assessments

An April 2022 academic paper characterized Bulgaria as "perhaps the most heavily affected" Eastern European country in terms of excess mortality data, with the late imposition of restrictions on social mobility and the insufficient government control deemed likely to be the major factors behind this statistic.[235] The authors also highlight the generally better health outcomes in major population centers as opposed to more peripheral regions of the country.[235] The high degree of income inequality in Bulgaria has been associated with corruption and lack of institutional trust, contributing to many issues with the country's response to the pandemic.[236]

See also

References

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