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HEALTH

‘After five days the coronavirus infectious period is over,’ says top German virologist

Top virologist Christian Drosten's coronavirus podcast is back. From suggesting a shorter quarantine period for people at risk of contracting the virus to discussions about immunity, here's what we learned.

'After five days the coronavirus infectious period is over,' says top German virologist
German virologist Christian Drosten. Photo: DPA

Drosten, of the Charité in Berlin, suggested shortening the quarantine period for people suspected of having Covid-19 on his NDR podcast, the Coronavirus Update, which has returned after a summer break.

Currently people have to isolate at home for 14 days if there's a risk they could have the infection. But Drosten said research shows that people are no longer infectious after five days.

“There's already, let's say, a steep thesis, that after five days we say the infectious period is actually over,” said Drosten.

He said authorities needed to consider how long quarantine periods should last so that they don't turn into lockdowns.

“What can you do in reality so that you don't have a de facto lockdown?” he said. “It's no use having all kinds of school classes, all kinds of workplaces under weeks of quarantine.”

Drosten also suggested that the five days should not be “wasted” on being tested. Instead, people should only be tested after the five days have elapsed to see whether they were infected, and are still infectious.

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

 

Drosten 'confident' coronavirus patients get immunity

The virologist also said he considered the confirmed cases of people getting secondary coronavirus infections to be a rarity. In his opinion, the vast majority of people who have survived Covid-19 are protected against getting it again.

“It's all just attention-grabbing,” Drosten said about a study published in Hong Kong with extensive publicity about the world's first proven re-infection of coronavirus.

At least for the duration of the current pandemic, immunity should continue, the virologist said. “I am very confident about this.”

In exceptional cases, renewed contact with the virus could possibly lead to a new surface infection, but this is unlikely to result in severe pneumonia. Due to the lower virus concentration in such cases, no more infection chains would likely develop.

READ ALSO: Quick intervention prevented 'up to 100,000' coronavirus deaths in Germany, says country's top virologist

The cases of people becoming infected again would probably be epidemiologically insignificant in terms of their spread and danger, he said.

Scientists would report such cases in their communication report, the media would pick up on it and ask numerous questions about it, for example regarding immunity or the effectiveness of vaccines. “This does not describe the medical reality and the standard case,” Drosten said.

Face masks are 'complex'

Meanwhile, Drosten described the wearing of masks as a “complex issue”.

While “the moist pronunciation”, i.e. droplets, is intercepted by so-called 'everyday community masks', the situation is different with aerosols spread through the air.

The aerosols that are considered crucial for infection spreading are so fine as droplets “that they do not get caught in the material of an ill-fitting mask”.

“This weakness of the masks clearly exists,” said Drosten.

Drosten nevertheless strongly promoted the wearing of the masks with two examples: if you meet an infected person in the supermarket, for example, you won't be hit directly by the aerosol if both wear a mask.

Another example could be a colleague with bad breath. “With bad breath, these are aerosols,” he said. If two colleagues meet without a mask, the other one notices the bad breath – but not with a mask, proving they are useful.

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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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