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German choirs silenced as singing branded coronavirus risk

Hardly considered an extreme activity up to now, singing -- especially choral singing -- is quickly earning a reputation in the pandemic as about the most dangerous thing you can do.

German choirs silenced as singing branded coronavirus risk
Berlin choir members sing on the steps of the Berlin Cathedral on May 21st. Photo: DPA

When the Berlin Cathedral Choir gathered for a rehearsal on March 9th, the new coronavirus was still a distant concern, with fewer than 50 confirmed cases in the German capital.

But five days later, one of the ensemble's 80 singers contacted choir director Tobias Brommann to say she had tested positive for Covid-19.

Within two weeks, around 30 members had tested positive and a further 30 were showing symptoms — including Brommann himself, who was struck down with a headache, cough and fever.

“We also can't be sure if those without symptoms were not infected too, as we have not done antibody tests,” Brommann told AFP.

Similar horror stories have emerged from choirs around the world, including one in Amsterdam where 102 singers are reported to have fallen sick with Covid-19.

High-risk activity

Though much is not yet understood about how the new coronavirus spreads, anecdotal evidence has been enough to convince German authorities that singing is a particularly high-risk activity.

Under new freedoms being gradually introduced across the country's states, Germans can meet friends in the park, dine in a restaurant, play sports, go to church, browse the shops, watch football and even go swimming.

READ ALSO: Germany extends coronavirus distance rules to June 29th

But singing remains broadly off limits, and it looks likely to stay that way for the foreseeable future.

In recommendations for the resumption of church services published in April, the federal government stated that singing should be avoided “because of the increased production of potentially infectious droplets, which can be spread over greater distances”.

Several states have heeded the advice and banned singing from services.

Even Germany's revered Robert Koch Institute (RKI) disease control centre has warned against singing, with RKI head Lothar Wieler saying that “droplets fly particularly far when singing”.

Infectious particles

The fears are partly based on the fact that when singing, as Brommann points out, “you inhale and exhale very deeply, so if there are virus particles floating in the air then they can get into the lungs relatively quickly”.

But there is also evidence to suggest that singing produces especially high numbers of potentially infectious micro-particles. According to a study published in the Nature journal in 2019, saying “aah” for 30 seconds produces twice as many such particles as 30 seconds of continuous coughing.

Archive photo shows choir singers in Fulda, Hesse in September 2017. Photo: DPA

Indeed, many choirs fear their future looks bleak. Five German boys' choirs have written to the government saying their existence is under threat and demanding action to save them from ruin.

At the Church of the Twelve Apostles in Berlin's Schöneberg district, there have been no choir rehearsals since early March.

Soprano Heike Benda-Blanck, 59, has been singing there for 10 years.

“I do miss it,” she said. “You can still sing in the shower but it's not the same.”

Some research has given cause for optimism. The Bundeswehr University in Munich published a study in early May showing that singing only disturbs air flow up to half a metre in front of the person.

Freiburg University's Institute for Performing Arts Medicine has also published guidelines for singing partly based on a study it carried out in the southern city of Bamberg with similar results.

However, institute head Bernhard Richter warns: “Contrary to what was sometimes reported, we did not make any aerosol measurements” — tiny particles that have the potential to circulate much further in a room.

The institute published updated guidelines this week that include limiting the number of people in the room and the length of rehearsals, staying two metres apart, keeping rooms ventilated, screening choir members and wearing masks.

'Work in progess'

“This is a work in progress,” Richter said. “Of course singers want clear statements, black and white, but then you have to say, maybe we don't know yet.”

In proposals to the authorities, Germany's Catholic Church has endorsed “quiet singing” in services, as well as restricting numbers and requiring people to stand 1.5 metres apart, though the Protestant Church continues to advise a complete ban.

But the potential dangers of singing became clear once again this month after a virus outbreak at a church service in Frankfurt — where the congregation had been singing and not wearing masks. At least 40 people wereinfected at the service, with 112 affected overall.

READ ALSO: Dozens infected with coronavirus at Frankfurt mass

It remains to be seen whether singing can be controlled at other events in Germany, such as Bundesliga football matches, which are being played behind closed doors until further notice.

Singing could also potentially spread the virus at large events such as rock concerts and the Oktoberfest beer festival, where rowdy singing is an integral of the proceedings — undoubtedly one of the reasons it has been cancelled for 2020.

A spokesman for the interior ministry told AFP that since all major events are banned until at least August 31st in Germany anyway, this remains a “hypothetical question”.

“It depends on how the infection situation develops,” he said.

By Femke Colborne

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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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