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ANALYSIS

ANALYSIS: Why are Germany’s coronavirus numbers coming down so sharply?

Since the end of April the number of cases of the coronavirus have been sinking continuously in Germany. So what has been the game changer - is it tougher restrictions or an improvement in the weather, or a combination of a few factors?

ANALYSIS: Why are Germany’s coronavirus numbers coming down so sharply?
A sign for the city of Hoffnung (Hope) on May 2nd in North Rhine-Westphalia, where numbers have also sunken recently. Photo: picture alliance/dpa | Oliver Berg

When exactly the third wave of coronavirus cases peaked in Germany is hard to tell. Delayed reporting over Easter muddied the picture considerably. 

What we know though is that the steep rise in cases reported to the Robert Koch Institute (RKI) came to an abrupt halt on April 15th when the 7-day incidence hit a level of 172 cases per 100,000 inhabitants.

After that it flatlined for 13 days, peaking at 177 on April 27th before falling back steadily to its current level of 133.

These numbers are considerably lower than the forecasts published by modellers. The RKI predicted a 7-day incidence of 350 by mid-April, while a team at the Technical University in Berlin predicted an alarmingly high incidence of 2,000 in May

So what has happened to make the third wave less severe than expected? 

Experts say that there are a few possible factors contributing to falling cases, such as people staying at home over Easter, greater caution among the general public, sharpened lockdown measures as part of the nationwide ’emergency brake’… and the weather.

READ ALSO: 

Easter break for schools lowers mobility

According to the Süddeutsche Zeitung (SZ), one major factor behind the initial slowdown in the level of infection was the Easter holiday, when children stopped going to school.

Infections have been particularly high among school aged children and their parents’ generation. As schools were closed children could not take the virus into school and inadvertently spread it.

Mobility data published by the RKI shows that movement declined sharply over the Easter break, indicating that lots of people stayed at home during the four-day weekend at the start of April. This could have had an important impact in pausing the spread of the virus.

But mobility increased again after Easter and case started to rise again… so there are likely to be other factors at play.

Tougher lockdowns taking effect?

Advocates of lockdowns say that these have been the most significant factor in breaking through the third wave.

Karl Lauterbach, SPD health spokesperson and a leading advocate of strict lockdown measures, said on Twitter that “without an emergency brake, there would have been openings [of shops, restaurants etc] during rising case numbers. That didn’t happen. Curfews also reduced contacts.”

Lauterbach also said that although vaccinations are helping to prevent severe courses of infections in the elderly population, the impact of vaccines on the general situation won’t be felt until more people get the jab.

He said: “The current corona numbers are so far due to the functioning emergency brake and not to the vaccinations.

“That will only change when the quota of those vaccinated with at least one injection is between 40 and 60 percent.” This is likely to happen in Germany by the third or fourth week of May.

Gernot Marx, head of the German Interdisciplinary Association for Intensive and Emergency Medicine (DIVI), said this week that a recent improvement in the situation on intensive care stations is “immediately connected to the national emergency brake” which came into force on April 24th.

These comments have caused some controversy as they contradict a statement he made in January when he said that it would take two to three weeks before the effects of a national lockdown would be seen on intensive care wards.

However, some German states began introducing emergency brake measures before the nationwide rule came into place.

According to the newspaper Bild, the number of new Covid cases being dealt with on Germany’s intensive care stations had already started to slow down by mid to late March, indicating that the worst of the third wave was already over by Easter.

This slow down could have had something to do with the local lockdowns that some states were implementing by late March.

Hamburg for instance introduced a strict curfew on March 19th.

Whether that really worked for the Hanseatic city isn’t so clear though. Its current 7-day incidence of 101 is not significantly lower though than that of Berlin (104) which largely resisted tougher measures until the national emergency brake came into force at the end of April.

However, Hamburg did get numbers down faster in the first place.

READ ALSO: Is Hamburg proof that an ’emergency brake’ can get Covid-19 cases down?

Greater caution among the public

Another likely explanation for the slowing of the spread of the virus is greater caution among the public, who heeded the message that the third wave was leading to strain on intensive care wards.

Hans-Georg Kräusslich, head of virology at Heidelberg University Hospital, told the SZ that “people’s personal reactions should not be underestimated”.

“Fortunately, the majority of people still believe that coronavirus is a threat,” he added.

Mobility data is a good indicator of how much personal contact people have had in recent weeks. Here though the data is also not completely clear.

In Hamburg mobility dropped significantly and the spread of the virus also dropped. But in Brandenburg, where there has been no significant drop in mobility, the level of infection has also dropped back. 

Better weather

Noticeable in the data is the fact that the steep decline in the third wave is happening more or less at the same time of year as when the first wave in the spring of 2020 also went into retreat.

The first wave in Germany peaked on April 2nd, before declining steadily throughout that month.

The peak of the third wave came at the end of April. So can we expect an improvement in the weather to play a role.

“We expect that seasonality will have an effect of about 20 percent on the R-value (reproductive number),” physicist Viola Priesemann told the SZ. “We should see this effect at the moment or soon.”

Jan Fuhrmann of Forschungszentrum Jülich agrees. he told RND newspapers: “The weather is likely to contribute in that, for example, private meetings can increasingly be moved outdoors and people are less likely to refrain from ventilating indoors because outside temperatures are too low.”

Other experts caution against putting too much emphasis on seasonality.

Epidemiologist Hajo Zeeb told broadcaster ZDF that there will be a “certain seasonality” before adding that “this could be made irrelevant by the high infectiousness of the virus variants”.

Criticism of the modelling

Another important aspect that needs to be considered is the simple fact that a lot of experts have not been terribly accurate in their past predictions of what will happen next.

Olaf Gersemann, who writes the daily coronavirus update for Die Welt newspaper, recently criticised many of the experts who are asked for answers to the question of why cases are currently rising or falling. 

Showing that the main forecast published by the RKI and other research centres failed to pick up the recent turn around, he asked: “who needs forecasts that only perform well if existing trends simply continue? Gut feelings or the wisdom of Uncle Egon are just as good.”

In other words, in a time of crisis it is understandable that the general public wants answers from scientists to the most pressing questions of the day – that doesn’t mean scientists are always capable of providing accurate answers.

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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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