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ANALYSIS: Where (and how) are Germany’s Delta variant Covid-19 infections spreading?

The share of Delta variant Covid infections in Germany among new cases is going up. But where are they being detected and what do experts think about it?

ANALYSIS: Where (and how) are Germany's Delta variant Covid-19 infections spreading?
A sign for a vaccination station in Weimar. Photo: picture alliance/dpa/dpa-Zentralbild | Bodo Schackow

What’s the latest?

Although Covid rates in Germany have been going down, the proportion of the Delta variant first detected in India (B.1.617.2) is growing significantly.

Analysis by the Robert Koch Institute (RKI) found the share of the Delta variant almost doubled within a week – and it now accounts for about 15 percent of new Covid infections nationwide.

READ ALSO: Share of Delta variant Covid cases in Germany almost doubles in a week

Chancellor Angela Merkel on Thursday said Europe needed to remain “vigilant”. 

“In particular the newly arising variants, especially now the Delta variant, are a warning for us to continue to be careful,” said Merkel in the Bundestag.

Health Minister Jens Spahn (CDU) urged people to be cautious.

“I appeal to all travellers to inform themselves carefully about the incidence of infection, to accept test offers and to take the quarantine obligations seriously,” Spahn told the Handelsblatt newspaper.

Asked if people could book their vacations without worry despite the Delta variant, he said, “In principle, yes. However, it looks different for countries that are already heavily affected by the delta variant.” There, he said, the risk of contracting the virus and bringing it home is much higher. A vacation summer should not be followed by an “autumn of worry”, he said. 

The tweet below by German data journalist Olaf Gersemann shows how the proportion of the Delta variant has increased in Germany, particularly in the last three weeks. 

Where are Delta infections happening?

The Alpha variant (B.1.1.7), which was discovered in the UK, still dominates the incidence of infection in Germany, but its share of positive cases in the sample has now shrunk to 74 percent after weeks of hovering around 90 percent. As before, the proportions of Beta (discovered in South Africa) and Gamma (discovered in Brazil), which are also variants of concern, are very low.

Delta has been detected in all German states in the past four weeks, RKI data shows. Information from the reporting system was available for around 1,440 cases during this period. The absolute number of weekly Delta cases has increased since the 21st calendar week (May 24th), from about 270 to about 470 in the 23rd reporting week.

The map below by the RKI represents the number of reported Delta cases (suspected or detected) per district transmitted to the RKI from around the end of May to mid-June. 

As The Local has been reporting, some areas have detected a surge in Delta cases. In Hesse, it already accounts for more than 20 percent of new infections.

READ ALSO: ‘Vaccinate quickly’: German states see surge in Delta variant cases

According to the RKI, the majority of infections are taking place in Germany rather than connected to travel. Most transmissions have happened in private households, and there have also been larger outbreaks involving more than five people in workplaces and schools with up to 24 people.

The most frequently cited countries in connection with introductions from the Delta variant are Afghanistan (19 cases), Russia (16) and Italy (14).

About nine out of 10 people infected with Delta are under the age of 60, according to the report, and this age group accounts for 77 percent of hospitalisations.

Germany takes strict action against regions that are deemed ‘virus variant areas of concerns’, including the UK. Travel is banned from these countries except for residents and citizens. 

However, Chancellor Merkel has spoken out against the patchwork of travel rules across EU countries.

She called on all countries to quarantine arrivals from the UK. Some countries, such as Spain, have no restrictions on people coming from the UK.

READ ALSO: Merkel wants to see all European countries quarantine UK arrivals

Is this a critical time?

Dortmund immunologist Carsten Watzl said this development doesn’t mean people should panic, but called for vigilance.

“The case numbers of Alpha (the dominating variant in Germany) are quite well-behaved and clearly declining, but those of Delta are rising slightly,” he told DPA.

As Delta still accounts for the much smaller share of infection incidence, there has been no overall rebound in infection rates so far, he said.

“We’re still in the balance. But it could be that this is a tipping point now,” Watzl added.

READ ALSO: Nearly a quarter of new Covid infections in Munich area ’caused by Delta variant’

There are fears that Germany will see a steep rise in cases like the current wave in the UK. 

In the UK, Delta accounts for almost 90 percent of all new infections, even though about 60 percent of people there are already fully vaccinated, while 82.5 percent have had at least one initial dose.

Germany has fully jabbed about 33.5 percent of the population, and around 52.5 percent of people have been partially vaccinated. 

Research shows that full vaccination provides high protection against the variant, but preliminary data suggests that Delta can infect people that have received only one dose.

The Our World in Data chart below shows the increasing infections in the UK compared to Germany’s downward trend.

If there are further relaxations of rules or if Delta is imported from abroad through travel opening up, the situation could worsen again, said Watzl, who is secretary general of the German Society for Immunology.

“The good thing is we (Germany) have a buffer, we are at a very low 7-day incidence,” he said. 

EU health officials predicted on Wednesday that the Delta variant will make up 90 percent of all cases across the bloc by the end of August, and urged countries to fully vaccinate people as quickly as possible.

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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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