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‘These clusters will continue to occur’: Can Germany keep on top of new coronavirus outbreaks?

Germany is currently dealing with a number of localised outbreaks. We spoke to a top epidemiologist to find out why the disease is spreading in some locations and what the country is doing about it.

'These clusters will continue to occur': Can Germany keep on top of new coronavirus outbreaks?
Two grocery store employees deliver food to residents in quarantine in Verl, North Rhine-Westphalia. Photo: DPA

It may feel to many people like the coronavirus pandemic is over. But there’s a new battle in the fight against the virus in Germany: cluster outbreaks. 

There are fears that these large number of infections in regions will lead to the virus spreading to the wider population, creating a second coronavirus wave resulting in future major lockdowns.

The largest outbreak began at the Tönnies meat processing plant in the Gütersloh district in North Rhine-Westphalia. 

Authorities have ordered a lockdown in the districts of Gütersloh and neighbouring Warendorf in a bid to control the situation. 

READ ALSO: What you need to know about Germany's new local coronavirus lockdowns

Why is the outbreak at the meat factory so large?

More than 1,500 workers at Tönnies are confirmed to have contracted the virus. 

“It’s not the first time we’ve seen it in the meat processing industry but this time it’s particularly bad,” Tobias Kurth, professor of public health and epidemiology at the Charité in Berlin, told The Local.

Kurth said it's due to “combination of several factors”, such as people living and working in close proximity to each other which creates an environment where the virus can thrive.

The spread could have been made worse by the conditions in the meat processing plant, such as cool air and poor ventilation, added Kurth.

Germany has also seen new coronavirus clusters in residential buildings in Lower Saxony and in Berlin, where 370 families living in high-rise flats were placed under quarantine in one neighbourhood last week.

Kurth said the issue was linked to people living in close proximity to each other.

“That’s why we’ll have several of these clusters and I’m sure we’ll continue to see clusters like this, not only in Germany but the rest of the world,” he said.

Is testing and quarantining people the best way to control local outbreaks?

Around 7,000 meat factory workers have been ordered to self-isolate. Fencing has been put up around residential buildings where the Tönnies workers live and authorities are distributing food.

Virologists, contact tracing teams, the German army (Bundeswehr) and police have all been drafted in to help carry out widespread testing and to ensure people carry out the quarantine. 

“What we know from many regions in the world is if you quarantine, it’s the best way of controlling the spread of the virus,” said Kurth. 

However, authorities have now decided to impose lockdowns in two districts. 

“Officials are watching very closely to see who else is getting infected,” said Kurth. “Does it stay within the workforce of Tönnies or does it go outside?”

Members of the German army in Warendorf where a lockdown has been imposed. Photo: DPA

The latest numbers say 24 people not connected to the meat plant have contracted coronavirus. 

Kurth said the fear is that more people outside the factory circle could pick up the virus and tougher measures are being introduced to stop this from getting any worse.

Could Germany do more to stop these outbreaks?

Kurth said inequalities regarding living and working conditions would have to be addressed to get to the root of the problem. But this will take time.

The working and living conditions of meat processing plant workers in Germany, many of whom come from eastern European countries and are on short-term contracts, are under the spotlight.

“Now this is maybe a chance, as sad as it is right now, to change the situation,” Kurth said. “For the housing situation that is something we also have to change in the long run: to offer affordable housing in a different way.”

In the short term, the only way to control the spread is for people to take measures, such as wearing masks, keeping distance, avoiding closed rooms with a lack of air and ventilation and rooms with a lot of people in them. 

Plus widespread free testing should continue to be available as part of Germany's comprehensive 'test, track and trace' system.

Kurth added that special programmes providing information to communities, or giving out free masks could also be helpful.

READ ALSO: Fears grow of social conflict as virus spreads in immigrant housing

How difficult will it be to avoid a major lockdown?

No-one wants to see public life closed down across the holiday, like what happened in March. So can this be avoided?

The developments have pushed Germany's four-day reproduction number (R0) above the critical value of 1 to 2.02, meaning 1 person with Covid-19 infects on average more than two others. The 7 day R0 is slightly lower but still not ideal at 1.67.

Experts say the localised outbreaks have contributed to this high increase. However, the overall number of new cases in Germany, according to data from the Robert Koch Institute, is not going up dramatically.

A total of 190,862 people have contracted coronavirus in Germany so far, figures from June 23rd show – an increase of around 500 people from the previous 24 hours. At the peak of the pandemic, Germany was recording more than 6,000 new cases a day.

Around 8,800 people have died in Germany from coronavirus.

So for now it's about controlling these localised oubreaks – which is no easy task, according to scientists.

“These clusters will continue to occur,” said Kurth. “The question is: do we have a larger spread?

“I think if we are prepared for these clusters, going in and testing people, trying to trace people, trying to identify those who have been in contact and isolating them for a specific time, then we’ll be able to control it.

“That’s everything that we can do right now and we have to absolutely focus on this – there’s no medication or vaccine available. Identify these clusters as quickly as possible and isolate people to avoid a major lockdown. That I think is going to be very difficult to achieve.”

 

 

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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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