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COVID-19

EXPLAINED: Why vaccinated people in Germany are still getting Covid

Around one in two people in Germany are fully inoculated against Covid, but infection rates are rising. Here's a look at why that's happening - and why it still pays to get vaccinated.

EXPLAINED: Why vaccinated people in Germany are still getting Covid
A man gets his Covid jab in Wuppertal. Photo: picture alliance/dpa/Malte Krudewig | Malte Krudewig

What’s happening?

At around 17.5 new weekly cases per 100,000 people, Germany’s incidence of Covid infections is still very much on the low side – but health experts are concerned at the pace at which the numbers are rising.

At a press conference recently, Health Minister Jens Spahn predicted that if the country continued along its current trajectory, the 7-day incidence of cases could soar over the coming months and end up at 800 cases per 100,000 people.

READ ALSO: Fact check: Will Germany’s Covid incidence really reach 800 by October?

On the other side of the coin, the number of people getting vaccinated in Germany is at a relatively high level, and creeping up bit by bit. As of Tuesday, the proportion of people who’d had both jabs was just shy of the 50 percent mark – meaning every one in two residents of the country is technically protected against Covid-19.

In its latest Covid-19 situation report, the Robert Koch Institute (RKI) revealed that small proportion of people who had been vaccinated had also been infected with Covid.

Does that mean that Covid vaccines aren’t working?

Far from it. In fact, experts have taken it as a positive sign that vaccinated people account for such a small percentage of the total number of infections over the past few months.

That said, it’s important to understand that not all vaccines are 100 percent effective, and that different vaccines can have different levels of effectiveness against different Covid variants. This is because some variants, such as Delta, are more infectious than others.

READ ALSO: European health authorities warn of surge in Delta variant infections

In general, inoculated people are between 66 and 95 percent protected against getting an infection in the first place – depending on the type of vaccine and the variant in question. Other factors such as age and existing illnesses can also come into play.

Here’s where it gets more complicated, though, since being infected does not necessarily mean getting severely ill, so if you get infected after being vaccinated, you could well escape with nothing more than a runny nose.

Immunology expert Carsten Watzl points out on Twitter that vaccinations seem to be offering good protection against the Delta variant in Italy.

So how many of the new cases in Germany were fully vaccinated?

Since February 1st, 2021, 1,425,729 new Covid infections have been recorded by the Robert Koch Institute. Of these, 6,125 were so-called “vaccination breakthroughs” (or Impfdurchbrüche, in German), meaning cases in which the individual had received a full course of doses but nonetheless become ill with Covid.

That means that only around 0.45 percent of the new cases in Germany have involved people who are fully vaccinated. The vast majority of people who became ill from Covid were people with no existing immunity, as well as a certain proportion of people who had also recovered from the virus in previous months. 

Can vaccinated people still get hopitalised from Covid?

It is possible, but once again, it largely depends on whether the individual is particularly vulnerable to what are known as ‘severe courses’ of Covid.

These high risk groups, such as the elderly or those with a weakened immune system, have a reduced risk of hospitalisation or death from Covid after getting vaccinated. However, in comparison with young and healthy people who have had a vaccine, the chance of getting very ill or being hospitalised is naturally higher.

Going back to the RKI’s stats, just under a third (29 percent) of the people who became ill with Covid after getting vaccinated were hospitalised. Of these, none were under the age of 18, two percent were between 18 and 59 years old, and 27 percent were over the age of 60.

According to science journalist Volkart Wildermuth, if people over the age of 80 have a 10 percent chance of dying from Covid, vaccination can reduce this to one percent. “That’s a big difference,” he told Deutschland Funk on Monday.

READ ALSO: Merkel urges Germans to get vaccinated amid ‘exponential growth’ of Covid infections

In addition, health experts believe that every jab does its bit to protect the populace as a whole. If Germany manages to put shots in the arms of at least 85 percent of its 12-59 year olds, the country could finally attain those two much sought-after words: herd immunity.

Member comments

  1. Stop pcr testing at 45 cycles and reports from the CDC have now stated that lateral flow and antigen tests are providing false positives by a very large percentage.

    1. What is “very large”? Please be more specific if you are going to post a quasi-scientific comment.
      Thanks!

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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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