SHARE
COPY LINK

COVID-19

What needs to happen before European countries lift coronavirus restrictions?

With signs in some European countries that the coronavirus pandemic may have reached a plateau, governments are looking at how to lift lockdown restrictions on their crippled businesses and restless populations.

What needs to happen before European countries lift coronavirus restrictions?
AFP

But what are the conditions that countries should meet before they can start safely easing these strict measures and return to some kind of normalcy?

Don't act too quickly

Experts fear that governments will bow to economic and social pressure to lift their lockdowns prematurely, and warn that such a move could allow COVID-19 to return.

“Lifting the restrictions too quickly could lead to a deadly resurgence,” World Health Organization chief Tedros Adhanom Ghebreyesus has said.

Christian Brechot, Institut Pasteur president and former head of French national medical research institute INSERM, said we must be “very humble and very careful” with a virus that many nations have already underestimated.

“It's not clear with a pandemic of this scale how everything can miraculously return to normal,” Brechot told France Info radio.

European nations begin lifting

Despite such advice, in the hardest-hit continent Europe — where more than 78,000 people have died from the virus — several countries have already started partially lifting confinement measures.

Germany, which has seen new cases drop and was already less affected than some of its neighbours, appeared Monday to be moving towards lifting restrictions in stages.

Austria will allow small businesses to reopen after the Easter break, believing it has sufficiently flattened its infection curve.

Denmark will reopen daycare nurseries, kindergartens and primary schools from April 15, while the Czech Republic has already begun to gradually ease restrictions, including opening some shops.

The countries are following in the footsteps of China, which has loosened its unprecedented lockdown on the city of Wuhan, where the coronavirus emerged in December, after the strict measures appeared to have paid off.

'Very high plateau'

Elsewhere in Europe, however, there are fewer signs that restrictions will soon ease.

Britain passed the grim milestone of 10,000 deaths on the weekend while France is expected to extend its lockdown for at least several weeks.

France's national health service director Jerome Salomon said a slight decrease in intensive care admissions was a “pale ray of sunshine,” adding that “a very high plateau” seemed to be setting in.

The continent's hardest-hit countries Italy and Spain also seem to have reached such a high plateau, with their daily death rates gradually falling.

But after such a devastating period, neither country is letting down its guard — Italy has extended its confinement measures until May 3, while Spain has done the same until April 25. Ireland, Portugal and Belgium have also extended their measures.

Gradual relaxation from mid-May?

“It's not when we have arrived at a plateau that we should lift confinement measures which have helped avoid massive congestion in hospitals,” said Antoine Flahault, a specialist in public health and epidemiology at the University of Geneva.

It must only happen “when we see a decline,” he told broadcaster France 2.

Researcher Brechot said he “hopes that from mid-May we will be in a situation of deceleration” which will allow a “gradual relaxation” of restrictions.

Jean-Francois Delfraissy, who leads the coronavirus science council advising the French government, said “we are not going to go from black to white, but from black to grey, with continued confinement”.

“We can start to discuss post-confinement, but the essential and principal factor is to pursue strict confinement for several weeks.”

Three conditions

Delfraissy said there were several prerequisites for lifting confinement measures.

First, there would need to be an established decline in the number of COVID-19 cases in intensive care.

This would give exhausted health workers a badly needed respite and allow hospitals to restock equipment and supplies.

The transmission rate of COVID-19 — the number of people an infected individual infects in turn — would need to have dropped below one, compared to 3.3 people at the start of the outbreak.

And finally there would need to be a sufficient number of masks to protect the populace and tests to closely monitor the virus's spread. 

For example in France, screening capacity would need to increase from the current 30,000 tests a day to 100,000 or even 150,000 a day by the end of April, Delfraissy said.

Unknowns

Of course, these conditions are subject to much uncertainty, including the possible development an app that uses smartphones to trace the contacts of infected people.

Mobile operators have already been providing location data to health researchers in France and Germany.

Another major unknown is the effect that summer has on slowing COVID-19's spread in the northern hemisphere. 

Respiratory viruses are generally less prevalent in warmer months — flu season is in winter — but will the coronavirus be the same?

“If there is no summer brake, then it will be more complicated” to lift confinement measures, said epidemiologist Flahault.

Member comments

Log in here to leave a comment.
Become a Member to leave a comment.
For members

HEALTH

Patients in Vienna face long waits for specialist health appointments

Waiting times to get appointments with health specialists in Vienna have increased significantly, a new study has revealed.

Patients in Vienna face long waits for specialist health appointments

Accessing essential healthcare within a reasonable timeframe is becoming increasingly difficult for Viennese residents.

The Vienna Medical Association presented their new study this week which shows that waiting times for appointments with health specialists have increased significantly in recent years.

The study, which involved contacting over 850 doctors’ practices via so-called “mystery calls,” revealed that child and adolescent psychiatry currently had the longest waiting times in the city.

Patients can expect to wait an average of 90 days for an appointment.

Other specialisations where patients have to wait long to receive help include radiology (57 days), neurology (45 days), ophthalmology (44 days), pulmonology (36 days), internal medicine (33 days), and dermatology (28 days).

The waiting time for seeing a gynaecologist has increased fourfold since 2012, with patients now waiting an average of 32 days.

READ MORE: Why are there fewer public sector doctors in Austria?

No new patients accepted

In certain specialist areas, there is no capacity to accommodate new patients. The situation where no new patients are accepted occurs particularly often in paediatric practices, where more than half of the public healthcare practices have put a freeze on admissions.

In child and adolescent psychiatry, 40 percent do not accept new patients, and among gynaecologists, it is almost a third (30 percent). Family doctors also struggle with welcoming new patients, and many of their practices have already reached full capacity.

The Medical Association calls for immediate action, urging the health insurance sector to become more attractive and receive better funding. This could involve measures to incentivise doctors to work within the public system, potentially reducing wait times and improving patient access to care.

During the study presentation, Johannes Steinhart, president of the association, described the increased waiting times as the result of neglect within the established health insurance sector. He said he believes that the public health system is massively endangered.

Naghme Kamaleyan-Schmied, chairwoman of the Curia of the resident doctors in the association, pointed out that while the population of the federal capital has grown by 16 percent since 2012, the number of public doctors has fallen by 12 percent in the same period.

The association now wants to make the public healthcare system more attractive to doctors, which could cut down waiting times and make it easier for patients to receive care. The association’s demands for this to happen include increasing flexibility in contract options, integrating health and social professions in individual practices, reducing bureaucracy, and improving fees.

ÖGK, Österreichische Gesundheitskasse, Austria’s largest public healthcare fund, is currently creating 100 additional public health positions, with almost two-thirds of the positions already having applicants, as well as planning for another 100 positions. They also aim to create a central telemedicine service and a platform for making appointments by phone and online, which is meant to reduce waiting times and improve access to care.

SHOW COMMENTS