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These are the Berlin GPs vaccinating non-registered patients with AstraZeneca

Lots of Berliners have been trying to get a Covid vaccine after the regional government lifted the priority list for AstraZeneca. Here's what doctors advise those who want a jab.

These are the Berlin GPs vaccinating non-registered patients with AstraZeneca
A patient getting their Covid vaccine in Berlin in March. Photo: DPA

After Berlin – along with three other German states – announced it was to lift the priority order for AstraZeneca, opening it up to all adults, many residents have been desperate to find an appointment at a doctor’s practice.

They are contacting their own GPs – but also calling and emailing other doctors across the city in the hope that they can find a spare appointment.

However, we’ve heard anecdotally – and Tagesspiegel reports – that most are facing lots of rejections.

“Due to the massive flood of messages with partly copy-paste vaccination requests, we are temporarily only able to filter out our patients’ requests for appointments, prescriptions, etc. to a limited extent,” said the automatic e-mail response of one Neukölln medical practice, reported the newspaper.

READ ALSO: Four German states offer AstraZeneca to all adults

Other doctors say that dozens of people who want to be vaccinated are standing in front of the practice in the morning without prior notice, which is hindering other procedures and regular appointments for patients.

The Association of Statutory Health Insurance Physicians (Kassenärztliche Vereinigung or KV), which represents the interests of doctors, is urgently advising people not to sign up for a vaccine at lots of practices at the same time – because it could result in them getting more than one appointment.

“This can lead to considerable organisational effort, for example if the people who had a vaccination appointment do not cancel it at other practices or do not allow themselves to be removed from the waiting list,” said a spokeswoman.

In order to help those willing to be vaccinated with AstraZeneca, especially people without their own family doctor, the KV Berlin has now published a list of practices which also delivers jabs to people who are not patients, and have agreed that their data will be published.

It can be found on the KV website in the “for patients” section. The list includes GPs, as well as other doctors including gynecologists, surgeons and ear, nose and throat specialists.

The KV states that it updates the list once a day from Monday to Friday. Only practices that have voluntarily asked to be included in the table are listed. The best way to try and get an appointment is to contact the practices by phone or email.

A KV spokeswoman warned against queuing outside the doctors’ offices to ask questions in person.

“Going by to inquire leads to considerable disruptions in the practice and is especially not advisable before an infection occurs,” said a KV spokeswoman.

As we’ve been reporting, Bavaria, Saxony and Mecklenburg-Western Pomerania also lifted the priority order for the AstraZeneca vaccine.

Germany does not recommend that under 60s get the vaccine due to links with very rare blood clot conditions. But people can get if they have a consultation with a doctor beforehand.

READ ALSO: Can I get the AstraZeneca vaccine in Germany if I’m not on the priority list?

Big vaccine delivery in the coming week

This week, the AstraZeneca vaccine has already been used up in many Berlin practices because and doctors are waiting on supplies.

From May 3rd a large delivery is expected to give doctors around 100 doses per week, more than half of them AstraZeneca.

The KV expects a sharp increase in injections for outpatient care in the coming weeks.

This boost in the rollout could also lead to around half of Berliners receiving the first dose of the vaccine in June.

Of the approximately 7,000 medical practices in Berlin, over 1,500 Covid jabs had been offered up until April 24th.

The KV has urged residents to be patient over the next few days – but this hasn’t stopped many people from reaching out anyway.

One doctor who runs his practice in Neukölln reports that around 200 e-mails from people asking to be vaccinated are arriving every day.

The capital will have received a total of 3.2 million Covid vaccine doses by the end of June. According to the Berlin Senate, 760,000 doses had been delivered by the end of March. From April to June, 2.4 million vaccine are set to be delivered to Berlin.

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HEALTH

Italy to step up test-and-trace and sequencing as concern grows about Delta virus variant

The Italian health ministry on Friday told local authorities to increase their coronavirus variant sequencing and tracing efforts, as new data confirmed that the Delta strain is spreading in Italy.

Italy to step up test-and-trace and sequencing as concern grows about Delta virus variant
Photo: Marco Bertorello/AFP

The ministry sent out the instruction in a circular after the Higher Health Institute (ISS) released new figures on Friday showing that the number of infections in Italy caused by the Delta and Kappa variants have increased by 16.8 percent in June.

“From our epidemiological surveillance, a rapidly evolving picture emerges that confirms that also in our country, as in the rest of Europe, the Delta variant of the virus is becoming prevalent,” said Anna Teresa Palamara, director of ISS’s infectious diseases department.

READ ALSO: Italian health experts warn about Delta variant as vaccine progress slows

According to ISS data published on Friday, the SARS-CoV-2 variant prevalent in Italy was found to be the Alpha variant (B.1.1.7), responsible for 74.9 of cases. This is now also the most prevalent globally.

Cases associated with Kappa and Delta variants (B.1.617.1/2) “are few overall in January to June”, the ISS report added. But it stated that the frequency and spread of these reports has “rapidly” increased across the country.

The new ISS figure  still lower than those from independent analysis of data from the virus-variant tracking database Gisaid, which estimated on Thursday that Delta now accounts for as much as 32 percent of recently confirmed new cases.

Several regions have already reported clusters of the Delta variant, though the amount of test result sequencing and analysis carried out by local health authorities in Italy varies and is often low.

Each region currently volunteers to do a certain number genetic sequencing of positive swabs, which means that Italy has less data available about the spread of variants than countries where sequencing is more widespread and systematic, such as the UK or Denmark.

The region of Puglia on Friday confirmed it would begin sending 60 test results per week for further analysis following the health ministry’s instruction.

Italian authorities had largely dismissed the risks posed by Delta in Italy until recently, describing its presence as “rare” in the country in the official data monitoring report released on June 11th.

Health officials had said at the end of May that they believed vaccinations would be enough to mitigate the risks.

But Italy’s government is now re-evaluating its approach following criticism of its response so far in a report published on Thursday by independent health watchdog GIMBE.

“A ‘wait-and-see’ strategy on managing the Delta variant is unacceptable,” wrote GIMBE head Dr. Nino Cartabellotta.

MAP: Where is the Delta variant spreading in Italy?

Photo: Marco Bertorello/AFP

The report described Italy’s current levels of full vaccination coverage as “worrying” considering “the lower effectiveness of a single dose against this variant “.

At the moment, just over a quarter of the Italian population is fully vaccinated against Covid-19, compared to 46% in the United Kingdom.

The report pointed out that some 2.5 million people aged over 60 in Italy have not yet received the first dose of a vaccine.

The foundation urged the government to “properly implement” measures recommended by the ECDC in its report published earlier this week: “enhance sequencing and contact tracing, implement screening strategies for those arriving from abroad, and accelerate the administration of the second dose in over 60s”.

Cartabellotta said: “You can’t control the Covid pandemic only with vaccines, masks and distancing. Today the Delta variant requires tracing and sequencing”.

Amid rising concern about the impact of the variant, which is thought to increase the risk of hospitalisation, Italian health authorities on Monday imposed new travel restrictions on arrivals from the UK – almost a month after other EU countries including France and Germany did the same.

Despite concerns about the spread of Delta, Italian health authorities on Friday also confirmed that all regions of Italy would be allowed to ease the health measures further from Monday, June 28th, as the number of infections recorded remained low this week.

READ ALSO: Italy to drop outdoor mask-wearing rule from June 28th

The last region still classed as a ‘yellow’ zone, Valle d’Aosta, will join the rest of the country in the low-risk ‘white’ tier, meaning most rules can be relaxed.

“With the decree I just signed, all of Italy will be ‘white’ starting from Monday. It is an encouraging result, but we still need caution and prudence,” Speranza
wrote on Facebook.

Referring to the spread of more transmissible variants of the coronavirus, the minister added: “the battle has not yet been won.”

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