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German ICU doctors call for ‘immediate return’ to lockdown as Covid-19 numbers rise

Intensive care doctors in Germany warned Monday that the country would need to make an "immediate return" to partial lockdown if it is to avoid stumbling into a dangerous third wave of the coronavirus pandemic.

German ICU doctors call for 'immediate return' to lockdown as Covid-19 numbers rise
Intensive care in the Universitätsklinikum Schleswig-Holstein. Photo: Frank Molter/DPA

“From the data we currently have and with the spread of the British mutation, we would argue strongly for returning immediately to a lockdown to avoid a strong third wave,” Christian Karagiannidis, director of Germany’s intensive care register, told broadcaster RBB.

Germany has seen a rise in cases since before it began a gradual easing of coronavirus measures in late February, allowing schools, hairdressers and other businesses to partially reopen.

A dramatic prognosis released by the Robert Koch Institute on Friday predicted that there would be more new cases by Easter than at the peak of the second wave in late December.

Karagiannidis said he very much hoped that the federal states would enforce the agreed emergency lockdown (Notbremse) when an incidence level of 100 new infections per 100,000 residents in seven days was reached.

“Otherwise we are once again going to see 5,000 or 6,000 patients in intensive care,” Karagiannidis said. “You can see very clearly that we will very quickly get back into rising ICU numbers, if we give the virus the opportunity to grow.”

The federal and state governments agreed on a return to the lockdown at their last summit in early March.

READ ALSO: Germany extends shutdown until March 28th – but loosens some measures

There are currently about 2,800 patients in intensive care in Germany with the Covid-19 disease.

“We won’t gain much by loosening restrictions for the next week or two because we will get to a high level very quickly and it will be twice as difficult at that high level to bring the numbers back down,” Karagiannidis said.

He added that it was important to vaccinate the over-50s and over-60s quickly so that fewer people would become seriously ill with Covid-19.

Last week, the head of Germany’s disease control agency Lothar Wieler warned that the third wave had already begun.

“We must avoid the same situation we were in before Christmas, with many infections, many serious cases and many deaths,” said Wieler, head of the Robert Koch Institute (RKI) for public health.

On Monday, official figures showed that the 7-day incidence rate rose again to 83 cases per 100,000 people, significantly above the 50 cases mark set by the government as a threshold for any easing in restrictions.

SEE ALSO: German coronavirus cases ‘will be higher at Easter than before Christmas’ 

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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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