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Coronavirus: Five things to look out for in Germany this autumn

Life has been returning to the 'new normal' in Germany over the summer. But now with rising numbers and autumn ahead, the government faces a big dilemma: how do you stop a second coronavirus wave?

Coronavirus: Five things to look out for in Germany this autumn
Social distancing at a park in Düsseldorf in July. But are people in Germany remaining disciplined? Photo: DPA

A lot can happen in 10 weeks, especially during a worldwide pandemic. That's how long it's been since Chancellor Angela Merkel and German state leaders discussed coronavirus rules and the loosening of measures.

After that meeting on June 17th, the consensus was that Germany had successfully made it through the first part of the pandemic.

But over summer, new problems have emerged such as a spike in infections understood to be caused in part by travel and people ignoring distancing measures.

That means there could be some fresh rules discussed on Monday between health ministers, and on Thursday when Merkel plans to meet state premiers.

We looked at five major issues when it comes to the current Covid-19 situation in Germany and preventing a second wave.

READ ALSO: What can we expect from Germany's plans to tigthen coronavirus measures at social gatherings?

1. Testing and travel

Germany started providing free tests for all returning travellers from risk areas earlier in August, as well as increasing tests at airports and border crossing points for everyone coming back into the country.

It means the number of tests have “increased significantly compared to previous weeks,” the Robert Koch Institute (RKI) said. But this has created new difficulties.

A man being tested in Cologne on August 21st. Photo: DPA

Politicians in Germany went on their summer break without a stringent testing strategy, well aware that the longing for a vacation and visits home after months of restrictions creates new risks, wrote the German newspaper, Tagesspiegel.

In North Rhine-Westphalia, for example, more than 50 percent of the positive virus cases for returning travellers recently were attributable to people coming back from Kosovo and Turkey, often after family visits.

The main problem is that test capacity limits are being reached in some places, especially in Berlin. In Bavaria there have been serious breakdowns in implementation.

Leading virologist Christian Drosten recommends the Berlin Senate stop free coronavirus tests at airports because of the test volume. Berlin labs can reportedly no longer deal with the planned testing of nursing staff in old people's homes.

And on Monday Health Minister Jens Spahn proposed getting rid of mandatory tests, signalling a change of course.

How many tests can Germany manage? Well, Spahn says Germany has a test capacity of about one million per week. While 570,746 people were tested in a week a month ago, the figure has now risen to 875,524. To date there have already been around ten million tests in Germany.

“The problem of scarce corona tests will become enormous in the next week,” said the Social Democrat health expert Karl Lauterbach, spelling out the danger ahead.

“In autumn we will have to clearly prioritize who gets a test,” he said.

Health experts including Drosten and Lauterbach have been calling for authorities to focus on clusters of infections, following the example of Japan, instead of testing everywhere.

READ ALSO: 'Target clusters and superspreaders': Here's how Germany could prevent a second coronavirus wave

Mecklenburg-Western Pomerania's state premier Manuela Schwesig says a more focused approach is needed.

“We finally need a national testing strategy,” she said. “The federal government must assume more responsibility.”

There are also calls for rapid and cheaper tests to be introduced widely in Germany such as those being used in the UK.

2. Large events

Large events are banned in Germany until at least the end of October – that was decided by Merkel and the state leaders at their last meeting on June 17th.

But due to the initial drop in infection figures at the start of summer, many federal states decided to make exceptions, and there are big differences among them.

From September onward, up to 5,000 people will be allowed to gather in Berlin at open-air concerts. In Brandenburg, as in many other federal states, there will be an upper limit of 1,000, in Lower Saxony 500 and in Rhineland-Palatinate 350.

There are lots of experiments going on too, such as the “Restart19” project where scientists are analysing the risk of infection at concerts.

3. Smaller events and parties

There are also some concerns about the role of smaller events which more people are allowed to attend again in parts of Germany.

In Thuringia, publicly funded theatres and orchestras are allowed to perform again indoors.

In Bavaria, according to the state government, the following rule applies to events with “assigned, designated seats”: a total of 400 people are allowed at outdoor events and 200 inside. Otherwise there is an upper limit of 200 outside and 100 inside.

Recently, family parties and other social events have become cluster hotspots. There's also been large spontaneous raves without distance and face masks such as in the Berlin, which have caused headaches for authorities.

There were concerns over too many people gathering together at a boat demo in Berlin at the end of May. Photo: DPA

Germany's carnival season, which starts on November 11th, is also a big talking point. Can it go ahead in times of corona?

The government could look at introducing nationwide limits on social gatherings.

4. Masks and ventilation

Christian Democrat (CDU) party leader Annegret Kramp-Karrenbauer says she can envisage an increased obligation to wear face masks in Germany, such as in workplaces.

Currently they have to be worn while shopping and on public transport, as well in some schools.

Bavarian state premier Markus Söder says there should be a uniform line throughout Germany on the obligation to wear masks and on fines for those who flout rules.

The government will also discuss a federal-state program to use mobile filter systems in autumn and winter to reduce possible aerosol concentrations in Kitas, schools, community centres, businesses and restaurants.

They hope this will reduce the coronavirus spread when people have to spend more time indoors. But there are no guarantees it will be effective.

READ ALSO: Is Germany heading for a second lockdown amid rise in coronavirus cases?

5. Communication and coordination

After initial restraint, Chancellor Merkel made crisis management her top priority in March. For the first time ever she addressed the nation on TV, communicating how serious the situation was.

When Merkel told Germans to stick to lockdown rules, they obeyed.

This urgent and extreme action from Merkel and other high profile politicians as well as closely coordinated federal/state planning up until June, are regarded as success factors for the fact that so many people in Germany behaved in a disciplined way.


Angela Merkel during her TV address on March 18th. Photo: DPA

The number of cases, which is also the result of the increase in the number of tests, is still manageable, but the dynamics are a cause for concern as autumn approaches.

Now people are wondering if a plan with Merkel at the forefront needs to be put in place to get the population on board again.

“The federal and state governments must now finally pull together again and coordinate measures with each other,” said Katrin Göring-Eckardt, head of the Green parliamentary group.


This is the only way to secure the trust of the citizens and the support for the measures, said Göring-Eckardt.

There are also calls for an independent 'Pandemic Council', which would provide scientific support for the coronavirus measures.

Göring-Eckardt said there had been “no sensible cooperation since spring, when individual state premiers tried to outbid each other”.

“This has weakened the efforts to contain the virus and the preparation for a possible second wave,” she said.

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FAMILY

How to find mental health resources in Germany for children

As mental illnesses and behavioural disorders among children and teenagers continue to rise, it can be difficult for international parents in Germany to know where to find resources.

How to find mental health resources in Germany for children

Whether it’s school stress, adjusting to a move abroad, low self esteem, a personal crisis, hormonal changes or family issues, there are plenty of things that may make it hard for young people to cope with everyday life. 

A survey screening child anxiety disorders, found children in Germany ages 11 to 17 with symptoms of anxiety more than doubled over the course of the pandemic from under 15 percent before the pandemic to nearly a third of children surveyed exhibiting symptoms in January 2021. 

And social media has only added to the problem. According to a recent DAK study, media addiction among children and young people in Germany has nearly tripled from numbers before the pandemic. 

Girls and boys with heavy social media use reported more depressive symptoms, anxiety and a higher level of stress than children with less media usage. The parents of the affected children and young people also reported more dissatisfaction with communication within the families.

While Germany has a large capacity to care for mental healthcare patients, it can still be tough to find resources for children, especially if there’s a language barrier. Here’s a guide to finding mental healthcare for children and youth in Germany:

Is mental health care covered by insurance in Germany?

Yes, Germany’s state health care system covers mental healthcare. Statutory health insurance currently covers nearly 90 percent of the population. This insurance gives residents access to consultation with a psychiatrist, therapy, in- and outpatient care, emergency mental health services and medication

READ ALSO: How to receive help for a mental health issue in Germany 

Where should you start?

Parents should start by reaching out to their children’s paediatrician or family doctor. After explaining how your child is doing, they will likely refer you to a child psychiatrist to further evaluate treatment options. Treatment can include prescribing mediation, talking therapy, or a combination of both. You can also directly set up a consultation with a mental health professional for your child.

Insurance type, public or private, can also impact the type and availability of services. Public insurance covers fewer practitioners, meaning you may have to cover the cost of therapy for your child upfront and wait to be reimbursed.  

Whether you have public or private insurance can impact the type and availability of services. Public insurance covers outpatient psychotherapy, but patients must meet specific requirements for coverage. Doctors can also write a letter that parents can submit to their health insurance to access up to six therapy sessions, with the possibility of extension

Families using public insurance may also have longer wait times. Nearly half of all patients must wait three to nine months before receiving care, according to Germany’s Federal Chamber of Psychotherapy

A school girl at a Leipzig school. Photo: picture alliance/dpa | Hendrik Schmidt

This problem is worsened because public insurance does not cover all mental health professionals. Practitioners must have a ‘Kassensitz’ licence to bill public health insurance. These licences are regulated by the government and are limited. The cost of this licence, along with the waiting time for it, is often a deterrent to some practitioners. 

Another option could be to talk to your child’s school. Some schools employ social workers and psychologists who can screen and provide resources to children. These professionals can screen young people who exhibit symptoms of mental and emotional distress or hyperactivity in the classroom. They can also refer you to additional resources for more specialised treatment. 

What mental health resources are available?

As of 2022 there were more than 55,000 child and adolescent psychologists working across the country, according to data from the German society for psychiatry and psychotherapy, psychosomatics and neurology (DGPPN). The majority of these health professionals work in outpatient facilities, and the remaining 15 percent work in inpatient or day-care facilities. 

Germany has 274 mental health hospitals, 401 psychiatric units across general hospitals and 63 mental health outpatient facilities, according to the UN’s 2020 Mental Health Atlas. The country also started granting more specialist titles, including in child and adolescent psychiatry, in 2022.

Germany has also launched a helpline called “Nummer gegen Kummer” (number against grief) to support children facing mental health issues, whether it’s to do with getting bad grades or dealing with unrequited love.

READ ALSO: ‘Being honest helps’: How expats have overcome loneliness

The free help line – which is accessed by calling 116 111 – is active Monday to Saturday from 2pm to 8pm daily. Children can anonymously speak with volunteer consultants who range from the elderly to students ages 16 to 21. It is important to note that this resource is intended for children comfortable speaking German at an elementary level.

Other resources to consider include:

  • Online directory Therapy Route features English-speaking psychologists and social workers across Germany
  • It’s Complicated connects users to in-person or virtual therapeutic care based on your language and insurance type
  • Online directory Therapie.de lists around 600 English-speaking therapists currently working in Berlin, 150 in Frankfurt, around 230 in Hamburg, and 240 in Munich
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