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COVID-19

Will Germany shorten Covid quarantine to handle the Omicron variant?

Concerns are growing that a wave of the highly infectious Omicron variant could bring public services in Germany to a standstill. Will the new government reduce the number of days people have to spend in quarantine to ensure people can return to work as soon as possible?

A window of a house in Lower Bavaria.
A window of a house in Lower Bavaria. Photo: picture alliance/dpa | Armin Weigel

What’s going on?

In the latest daily report, the Robert Koch Institute revealed that there had been 10,443 confirmed or suspected cases of Omicron in Germany since the variant emerged. Experts now believe it is a question of when, not if, the highly transmissible variant will become dominant in the country.

The lightning-fast spread of Omicron in other countries like the UK and USA suggests that Omicron is far more infectious than Delta, meaning that – at the height of an Omicron wave – countries could see hundreds of thousands of new cases everyday.

On Tuesday, the World Health Organisation (WHO) warned that, despite evidence of it being less harmful than previous variants, Omicron still posed a “high risk” to health services around the world.

“A rapid growth of Omicron… even if combined with a slightly milder disease, will still result in large numbers of hospitalisations, particularly amongst unvaccinated groups, and cause widespread disruption to health systems and other critical services,” said WHO Europe’s Covid Incident Manager Catherine Smallwood.

With Germany tightening restrictions ahead of the New Year and bracing for another wave of infections, politicians have started to debate whether the government may need to shorten the time of quarantine to minimise disruption to public services and critical infrastructure. One of the voices calling for this is the high-profile CSU politician and Bavarian state premier Markus Söder. 

“Of course we have to review the current quarantine rules,” Söder told Bild on Tuesday. “We can’t just paralyse the whole country from one day to the next in a rapidly growing epidemic. This applies not only to the critical infrastructure, but also to people’s normal lives.”

Bavaria’s Health Minister Klaus Holetschek has also spoken out in favour of shortening the quarantine period. “It’s important that we review the quarantine rules in that regard,” the CSU politician said on the ARD/ZDF morning talk show on Tuesday. 

Söder expects the RKI to make proposals on shortening the period of quarantine in the near future and is calling on the government to set out concrete plans for managing the social and economic impact of an Omicron wave. 

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Why is this important?

In other countries where Omicron infections are raging, businesses and public service operators are struggling to cope with limited staff. Among other things, a wave of illness is impacting airlines, fire brigades and public transport – and experts are increasingly concerned that the same thing could happen in Germany. 

The Federal Agency for Population Protection and Catastrophe Aid (BBK) has already recommended that all households keep candles, torches and enough food for ten days at home for emergencies during the pandemic. As a worst-case scenario, the pandemic could lead to disruptions such as short-term blackouts, though not to the total collapse of infrastructure, the BBK explained.

Supermarkets, the police, fire brigade, media, hospitals, authorities and transport companies are now being called upon to examine their contingency plans for the pandemic, including how to deal with skeletal staff. 

Train cancelled

A sign informs travellers of a cancelled train in Duisburg, North Rhine-Westphalia. Officials are concerned that Omicron-related quarantine could lead to disruptions in vital services. Photo: picture alliance/dpa | Federico Gambarini

At the moment, people who have contact with a Covid-infected person must quarantine for up to 10 days, but can be released with a negative PCR test on day five or a negative rapid test on day seven. If the contact was with someone infected with the Omicron, Beta or Gamma variants, however, they must spend a full two weeks in quarantine with no option to shorten it with a negative test. 

This could lead to a situation where tens of thousands of people are confined to the home for 14 days at a time, which could cause issues in sectors that aren’t suitable for home office – like the emergency services, education and essential shops.

Advocates of shortening quarantine say it could limit the impact on wider society to allow people to return to their daily lives sooner, though questions remain about whether this could be a risky move, given the high transmissibility of Omicron. 

READ ALSO: Omicron likely to become dominant in Germany ‘within three weeks’

What is the government saying?

According to reports in Tagesschau, the federal government currently has no plans to reduce the amount of time spent in quarantine – but they’re certainly not ruling it out.

“At the moment there is no reason to do so,” a spokesperson for the Federal Ministry of Health said on Monday. However, they added, the existing pandemic plans already “theoretically” offer the possibility to relax quarantine rules, especially when it comes to maintaining critical infrastructure.

A lot will likely depend on how prevalent Omicron becomes in Germany, and how well various states and businesses are able to cope with reduced staffing levels if infections reach a critical level. 

This could, of course, vary wildly from region to region. In Berlin, newly elected mayor Franziska Giffey told Tagesschau she believes that the city’s public services can keep running with up to 30 percent fewer staff. In more rural areas that already have a more limited provision of services, however, things could become more stretched. 

Franziska Giffey

Berlin Mayor Franziska Giffey speaks to the media after a visit to the Intensive Care Unit of Charité hospital on December 28th. Photo: picture alliance/dpa/dpa-Zentralbild | Monika Skolimowska

Who would this apply to? 

At this stage, it’s unclear whether a change in rules would affect people who are actually diagnosed with Covid, or just those who have been in contact with an infected person.

Currently, people who are fully vaccinated (which includes recovered people who have had one jab) don’t have to quarantine if they’ve had contact with someone who was infected, so a rule-change should primarily impact unvaccinated people. 

For travellers, meanwhile, the quarantine period is unlikely to change. Unvaccinated travellers have to quarantine for up to ten days when entering the country from a high-risk area, and all travellers must quarantine for 14 days if coming from a virus variant area, with no option to shorten the duration with a negative test.

READ ALSO: EXPLAINED: What are the rules for entering Germany this Christmas and New Year?

What do the health experts say? 

There are mixed opinions on whether shortening the quarantine period would be a help or a hindrance, but according to epidemiologists, the risk of passing on the virus is usually fairly low after five days.

“In view of the current package of measures with vaccination and booster, it has been seen that a long quarantine period does not help much epidemiologically and therefore in the risk-benefit assessment,” Swiss epidemiologist Marcel Tanner told news outlet 20 Minutes on Tuesday. 

Crowds in Frankfurt

People walk through Frankfurt city centre wearing Covid masks. Experts believe that Covid is most transmissible in the early stages of infection. Photo: picture alliance/dpa | Boris Roessler

Evidence cited by the American Centres for Disease Control (CDC) also suggests that most infections are transmitted in the one to two days prior to the onset of symptoms and in the two to three days afterwards. 

However, not everyone agrees that the benefits would definitely outweigh the costs.

“It’s a double-edged sword,” Frankfurt-based virologist Martin Stürmer told Tagesschau. “If you shorten the quarantine, you can be more productive – but you also risk infections that could be prevented by longer isolation. You have to weigh this risk carefully.”

Are other countries doing this?

Yes. In the USA, where Omicron is now the dominant variant, the mandatory period of quarantine has recently been slashed from 10 days to five – and many European countries are considering following suit.

In Spain and Italy, announcements on whether the quarantine period will be reduced are expected on Wednesday afternoon. Spain is currently mulling over reducing the length of quarantine for asymptomatic cases from 10 days to five, despite opposition from healthcare experts. In Italy, the government is discussing cutting the period of quarantine from seven days to four or five – but only for people who have had contact with an infected person, rather than those who have tested positive themselves. 

In France, meanwhile, the Health Minister recently said in a press conference that he was considering reducing quarantine time but wanted to review the available data and expert opinions first. An announcement is expected around December 31st. 

Switzerland is also considering a similar move. 

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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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