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{{ANEEtiqueta|palabrasclave=pandemic, covid19, downward phase, COVID-19 cases, hospital admissions due to COVID-19, admissions to intensive care units due to COVID-19, deaths from COVID-19|descripcion=Analysis of the downward phase of the pandemic through statistical maps and graphs from the National Atlas of Spain|url=valor}}{{ANEObra|Serie=Monographs from the National Atlas of Spain|Logo=[[File:Logo Monografía.jpg|left|50x50px|link=]]|Título=The COVID-19 pandemic in Spain|Subtítulo=First wave: from the first cases to the end of June 2020|Año=2021|Contenido=New content}}
{{ANENavegacionCapitulo (monografía COVID-19)|estructura=Estructura temática|seccion=[[The COVID-19 pandemic in Spain|The COVID-19 pandemic in Spain]]|capitulo=Downward phase of the pandemic}}
{{ANENavegacionHermanos |anterior=[[The rising Rising phase of the pandemic]] |siguiente=[[Overview]] }}
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[[File:Spain_Evolution-of-COVID--19-cases-during-the-downward-phase-of-the-pandemic_2020_statisticalgraph_17735_eng.jpg|left|thumb|300px|Statistical graph: Evolution of COVID-19 cases during the downward phase of the pandemic. 2020. Spain.]]
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[[File:Spain_COVID--19-cases-during-the-downward-phase-of-the-pandemic_2020_map_17736_eng.jpg|left|thumb|300px|Map: COVID-19 cases during the downward phase of the pandemic. 2020. Spain. [//centrodedescargas.cnig.es/CentroDescargas/busquedaRedirigida.do?ruta=PUBLICACION_CNIG_DATOS_VARIOS/aneTematico/Spain_COVID--19-cases-during-the-downward-phase-of-the-pandemic_2020_map_17736_eng.pdf PDF]. [//centrodedescargas.cnig.es/CentroDescargas/busquedaRedirigida.do?ruta=PUBLICACION_CNIG_DATOS_VARIOS/aneTematico/Spain_COVID--19-cases-during-the-downward-phase-of-the-pandemic_2020_map_17736_eng.zip Data]. [//interactivo-atlasnacional.ign.es/index.php#c=indicator&i=r_116_t.r_116_t&i2=c12484.c12484&s=21%20marzo%20-%207%20abril%202020&t=A02&t2=A02&view=map9 Interactive version].]]
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</ul></div>The downward phase of the COVID-19 pandemic lasted longer than the rising phase, i.e. from 21 March to 30 June 2020. The evolution of the main variables was brought under control after several weeks of strict lockdown, during which only professionals of essential activities were allowed to work and travel. It shall be borne in mind that Spain ranked second in the international context in terms of the amount of COVID-19 cases and the number of deaths from COVID-19 from the end of March to mid-April 2020.
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[[File:Spain_Evolution-of-hospital-admissions-due-to-Covid--19--during-the-downward-phase-of-the-pandemic_2020_statisticalgraph_18033_eng.jpg|left|thumb|300px|Statistical graph: Evolution of hospital admissions due to Covid-19 during the downward phase of the pandemic. 2020. Spain.]]
The cumulative regional incidence of COVID-19 cases per 100,000 inhabitants was consistent with the spatial patterns observed during the rising phase of the pandemic. The provinces of Castile and León (Castilla y León), e.g. over 1,500 cases per 100,000 inhabitants in Segovia and Soria, Castile-La Mancha (Castilla-La Mancha), e.g. over 1,000 cases per 100,000 inhabitants in Ciudad Real, Extremadura, Madrid, La Rioja, Biscay (Bizkaia), Navarre (Navarra), Huesca, Lleida and Barcelona showed figures well above the national average (362.5 cases per 100,000 inhabitants). In absolute terms, there was a significant rise in the amount of daily COVID-19 cases in the provinces of Madrid and Barcelona, where nearly 17,000 and 12,000 cumulative cases had been recorded by 31 March. By the end of June 2020, these figures had risen to 37,000 in Madrid and 32,000 in Barcelona. Biscay (Bizkaia), Navarre (Navarra), Valencia and Ciudad Real registered figures of around 5,000 cumulative cases during the first half of 2020.
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[[File:Spain_Evolution-in-the-number-of-admissions-to-Intensive-Care-Units-due-to-COVID--19-during-the-downward-phase-of-the-pandemic_2020_statisticalgraph_18035_eng.jpg|left|thumb|300px|Statistical graph: Evolution in the number of admissions to Intensive Care Units due to COVID-19 during the downward phase of the pandemic. 2020. Spain.]]
Daily hospital admissions due to COVID-19 reached the highest levels from 21 to 31 March 2020, when over 5,000 admissions were registered every day. From 1 to 3 April 2020, figures stood around 3,000 hospital admissions per day. By 11 April 2020, these figures had been reduced to 1,000 hospital admissions/day, and by the last week of April they stood by 500. From then until late June, daily hospital admissions were below 200/100,000 inhabitants. A very high hospital admission rate due to COVID-19 was observed in the province of Barcelona and in the Spanish hinterland, with figures well above the national average (185.2 hospital admissions per 100,000 inhabitants). The provinces of Segovia, Cuenca and Ciudad Real stood out with over 500 hospital admissions per 100,000 inhabitants. In absolute terms, the provinces of Madrid and Barcelona registered 28,000 and 14,000 hospital admissions in total.
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[[File:Spain_Evolution-in-the-number-of-deaths-from-Covid--19-during-the-downward-phase-of-the-pandemic_2020_statisticalgraph_18032_eng.jpg|left|thumb|300px|Statistical graph: Evolution in the number of deaths from Covid-19 during the downward phase of the pandemic. 2020. Spain.]]
[[File:Spain_Deaths-from-COVID--19-during-the-downward-phase-pf-the-pandemic_2020_map_18038_eng.jpg|left|thumb|300px|Map: Deaths from COVID-19 during the downward phase pf the pandemic. 2020. Spain. [//centrodedescargas.cnig.es/CentroDescargas/busquedaRedirigida.do?ruta=PUBLICACION_CNIG_DATOS_VARIOS/aneTematico/Spain_Deaths-from-COVID--19-during-the-downward-phase-pf-the-pandemic_2020_map_18038_eng.pdf PDF]. [//centrodedescargas.cnig.es/CentroDescargas/busquedaRedirigida.do?ruta=PUBLICACION_CNIG_DATOS_VARIOS/aneTematico/Spain_Deaths-from-COVID--19-during-the-downward-phase-pf-the-pandemic_2020_map_18038_eng.zip Data]. [//interactivo-atlasnacional.ign.es/index.php#c=indicator&i=r_173_t.r_173_t&i2=c12464.c12464&s=2020-06-30&t=A02&t2=A02&view=map9 Interactive version].]]
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</ul></div>The evolution in the amount of admissions to Intensive Care Units (ICUs) due to COVID-19 peaked on 24 March, when 547 new patients were admitted to ICUs. From this date onwards, figures gradually decreased. On 9 April 2020, nearly 100 admissions were recorded every day. After 9 May, there were less than 10 admissions. The spatial patterns registered in the amount of patients admitted to ICUs is opposite to the spatial distribution observed in the total amount of hospital admissions due to COVID-19. The Northwest, the South and Aragón registered from 10 to 15%, whilst the national average stood by 7.6%. The high percentage registered in the province of Las Palmas shall be pointed out, where 23.0-26.9% of the total amount of patients in hospital due to COVID-19 were admitted to ICUs.
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[[File:Spain_Age--sex-pyramid-of-the-deceased-from-COVID--19-during-the-downward-phase-of-the-pandemic_2020_statisticalgraph_18071_eng.jpg|left|thumb|300px|Statistical graph: Age-sex pyramid of the deceased from COVID-19 during the downward phase of the pandemic. 2020. Spain.]]
