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HEALTH

Coronavirus: Doctors in Germany can now grant sick leave by phone

Doctors in Germany are now able to grant sick leave over the phone to some patients – rather than in person – in a bid to relieve the burden on health workers as coronavirus cases increase.

Coronavirus: Doctors in Germany can now grant sick leave by phone
An 'Arbeitsunfähigkeitsbescheinigung', or sick note, which until now the employee submits directly to their employer after receiving it from a doctor. Photo: DPA

For the next four weeks, patients with mild respiratory tract infections, such as a common cold, will no longer have to visit the doctor for a sick note (known as an AU-Bescheinigung or Arbeitsunfähigkeitsbescheinigung in German).

They can call their doctor and be granted up to seven days of sick leave after a telephone consultation.

Usually employees in Germany who become ill are required to visit the doctor in person and then submit a sick notification on paper directly to their employer.

READ ALSO: Follow the latest on the coronavirus situation in Germany here

Under current German law (Entgeltfortzahlungsgesetz, or the Continued Renumeration Act), an employee can stay home sick for up to three days without having to contact a doctor or presenting a note to their employer.

Health insurance organisations and doctors came to the agreement in a bid to ease the pressure on health workers in view of the spread of coronavirus in Germany.

“We are in an extraordinary situation – and this also requires extraordinary measures”, said the National Association of Statutory Health Insurance Physicians (KBV) and the Central Association of Statutory Health Insurance Companies (GKV-Spitzenverband) in a report in German daily Welt on Tuesday.

In response to an enquiry by Welt, the KBV said that in view of the current packed-out waiting rooms due to the coronavirus outbreak and the flu season, they were “interested in relieving the burden on the practices where possible”.

The new measures, which kicked on Monday March 10th, are initially only in place for four weeks.

However, it would still be up to the doctor to decide whether he or she wanted to see the patient personally – “for example, because the symptoms described indicate a more serious illness”.

There is a different protocol in place for those suspected of having coronavirus (COVID-19).

If someone is suspected of having the virus, sick leave can also be granted, and patients would likely be asked to self-isolate or given medical treatment.

According to the Robert Koch Institute, people who show respiratory symptoms or other general symptoms such as a high temperature or cough after being in touch with a confirmed coronavirus patient are suspected of having COVID-19.

READ ALSO: Coronavirus: How, where and when to get tested or self-quarantine in Germany

People with these symptoms who have recently returned from a high-risk area or have been in contact with someone who's been in a high-risk area are also suspected cases.

Anyone with concerns or if they suspect they have the virus is urged to call the national hotline on 116 117 or their doctor to be advised on the next steps. Some states have also set up their own coronavirus advice lines.

READ ALSO: The 10 rules you need to know if you get sick in Germany


 

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HEALTH

Could there be a new wave of Covid-19 in Germany this autumn?

It’s back again: amid sinking temperatures, the incidence of Covid-19 has been slowly rising in Germany. But is this enough to merit worrying about the virus?

Could there be a new wave of Covid-19 in Germany this autumn?

More people donning face masks in supermarkets, friends cancelling plans last minute due to getting sick with Covid-19. We might have seen some of those familiar reminders recently that the coronavirus is still around, but could there really be a resurgence of the virus like we experienced during the pandemic years?

According to virologists, the answer seems to be ‘maybe’: since July, the number of people newly infected with Covid-19 has been slowly rising from a very low level.

According to the Robert Koch Institute (RKI), nine people per 100,000 inhabitants became newly infected in Germany last week. A year ago, there were only around 270 reported cases.

Various Corona variants are currently on the loose in the country. According to the RKI,  the EG.5 (also called Eris) and XBB.1.16 lines were each detected in the week ending September 3rd with a share of just under 23 percent. 

The highly mutated variant BA.2.86 (Pirola), which is currently under observation by the World Health Organisation (WHO), also arrived in the country this week, according to RKI. 

High number of unreported case

The RKI epidemiologists also warned about a high number of unreported cases since hardly any testing is done. They pointed out that almost half of all registered sewage treatment plants report an increasing viral load in wastewater tests.

The number of hospital admissions has also increased slightly, but are still a far cry from the occupation rate amid the pandemic. Last week it was two per 100,000 inhabitants. In the intensive care units, only 1.2 percent of all beds are occupied by Covid-19 patients.

Still, a good three-quarters (76.4 percent) of people in Germany have been vaccinated at least twice and thus have basic immunity, reported RKI. 

Since Monday, doctors’ offices have been vaccinating with the adapted vaccine from Biontech/Pfizer, available to anyone over 12 years old, with a vaccine for small children set to be released the following week and one for those between 5 and 11 to come out October 2nd.

But Health Minister Karl Lauterbach has so far only recommended that people over 60 and those with pre-existing conditions get vaccinated.

READ ALSO: EXPLAINED: Who should get a Covid jab this autumn in Germany?

“The pandemic is over, the virus remains,” he said. “We cannot predict the course of coming waves of corona, but it is clear that older people and people with pre-existing conditions remain at higher risk of becoming severely ill from Covid-19”

The RKI also recommended that people with a cold voluntarily wear a mask. Anyone exhibiting cough, cold, sore throat or other symptoms of a respiratory illness should voluntarily stay at home for three to five days and take regular corona self-tests. 

However, further measures such as contact restrictions are not necessary, he said.

One of many diseases

As of this autumn, Covid-19 could be one of many respiratory diseases. As with influenza, there are no longer absolute infection figures for coronavirus.

Saarbrücken pharmacist Thorsten Lehr told German broadcaster ZDF that self-protection through vaccinations, wearing a mask and getting tested when symptoms appear are prerequisites for surviving the Covid autumn well. 

Only a new, more aggressive mutation could completely turn the game around, he added.

On April 7th of this year, Germany removed the last of its over two-year long coronavirus restrictions, including mask-wearing in some public places.

READ ALSO: German doctors recommend Covid-19 self-tests amid new variant

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