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VACCINES

GPs in Germany call for vaccines to be given according to health not age

Health should be prioritised over age to determine the order in which vaccinations are given once Germany has sufficient vaccine supplies, Ulrich Weigeldt, head of the German Association of General Practitioners.

GPs in Germany call for vaccines to be given according to health not age
Photo: picture alliance/dpa | Peter Kneffel

“Prioritisation was and is a good guideline for doctors when only small supplies of vaccines are available,” Weigeldt told the Rheinische Post on Friday.

However, he felt that the focus should be more on an individual’s health status as soon as possible.

“A 69-year-old man with high blood pressure and diabetes should perhaps receive the vaccination sooner than a 72-year-old triathlete,” Weigeldt explained.

Currently, the order of vaccination is determined primarily by age, with the population split into three groups: over-80s, 70-80s and 60-70s.

As shown in the government chart below, group one has first priority and includes the over-80s, people in care homes, staff working in intensive care, emergency departments and emergency services.

Group 1: over-80s. Group 2: 70-80s. Group 3: 60-70s.

Once vaccine supplies exceeded a certain amount, the important thing was to vaccinate people as quickly as possible, said Weigeldt, explaining that this was why GP practices should also receive all the different vaccine types.

He said there was no reason for vaccination centres to be favoured over family doctors’ surgeries, adding that the important thing was that people got vaccinated.

“And we know that this happens more quickly if vaccinations take place where people want to get vaccinated,” Weigeldt added. 

GPs are set to start vaccinations in the week after Easter. By the end of April, family doctors’ surgeries should have more than three million doses of vaccine available each week, according to Germany’s health minister, Jens Spahn.

For the first two weeks, Germany plans to use only BioNtech/Pfizer vaccine, followed by AstraZeneca from April 19th and Johnson & Johnson the week after that. 

READ ALSO: Family doctors in Germany are to begin offering Covid-19 jabs as vaccine campaign speeds up

Despite Germany advising against using the AstraZeneca vaccine in the under-60s this week, Spahn said he still expected every adult to be offered a jab by September 21st.

He said the AstraZeneca vaccine could be used more quickly in older age groups.

As of March 31st, just 11.8 percent of the German population had received a first jab, while less than 5 percent had received both doses.

The chart shows the pace of the vaccination rollout in Germany, indicating the number of people vaccinated daily as a rolling seven-day average. Source: Our World in Data

READ ALSO: EXPLAINED: Why has Germany restricted the use of AstraZeneca in under 60s?

Meanwhile, Klaus Reinhardt, president of the German Medical Association, has called for vaccines reserved for second doses to be freed up for short-term use to help stem a third wave of infections.

According to the supplies promised by the government, there would be sufficient capacity for the second jabs from the end of April, he told the Rheinische Post. 

The number of new infections in Germany remains high.
 
 
The rolling seven-day average of daily confirmed new Covid-19 cases, clearly highlighting the current upwards trend. Source: Our World in Data.
 
In the last 24 hours, 18,129 new cases of Covid-19 were reported to the Robert Koch Institute, as well as 120 deaths following an infection with the virus.

Cases have increased slightly over the last seven days, according to the seven-day-incidence rate. According to RKI data, cases stood at 131 per 100,000 residents on Saturday, compared with 125 a week earlier. 

Case levels are also significantly higher than last month, when the figure briefly fell to below 60.

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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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