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COVID-19 VACCINES

Germany has ‘too little paper’ for vaccine mandate, health insurers claim

Germany's statutory health insurance companies have said that they wouldn't be able to enforce a future vaccine mandate due to a "lack of paper".

A large folder filled with documents.
A large folder filled with papers. Photo: picture alliance / dpa | Marijan Murat

Statutory health insurance companies consider proposals for a general vaccine mandate in Germany to be unworkable – partly because they’re worried about running out of paper. 

In a statement released on Monday, the German National Association of Statutory Health Insurance Funds (GKV) said there was an “acute paper shortage” in Europe, leaving little material “for the approximately 120 million letters” that would need to be sent to the insured as a result of the mandate.

German politicians are currently considering a number of competing bills on the vaccine mandate, with a vote on the matter scheduled for early April.

One of the bills, which sets out plans for an over-18s mandate, dictates that health insurers inform their customers of the new vaccination obligation by May 15th.

READ ALSO: ANALYSIS: Will Germany introduce a vaccine mandate this year?

But the health insurance firms say this deadline “cannot be met organisationally”. According to them, the necessary European call for tenders for the printing orders alone would “go beyond the timeframe”. 

In addition, the health insurance funds say they don’t always have the current address of their customers and would be unable to guarantee that they could reach them reliably.

A Twitter account for the German paper industry was quick to respond to claims that they would be unable to fill the requested orders.

“The umbrella organisation of the GKV has stated in a statement that the implementation of a vaccination obligation would not be possible due to the lack of paper for the necessary letters,” they wrote. “We cannot understand this. The German paper industry is able to deliver.”

On Thursday, the Bundestag debated the bills and motions on a general vaccination obligation for the first time.

The five bills cover a a full spectrum of opinions, from making vaccination compulsory for all adults to saying no to all vaccine mandates, including the existing mandate for health workers.

A vote will be held on the draft laws in early April. 

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COVID-19 VACCINES

What to know about getting a fourth Covid vaccination in Germany

With Covid cases rising, many people in Germany are wondering if they should get a fourth Covid jab - or second booster. Here's what you should keep in mind.

What to know about getting a fourth Covid vaccination in Germany

German states have started giving out new Covid vaccines that are specially adapted to the Omicron variant.

Though the Omicron variant is believed to cause milder courses of illness than earlier variants like Delta, it’s known for being highly transmissible and is often able to evade the body’s immune responses. 

In September, three Omicron vaccines received EU-wide approval: two vaccines from BioNTech and Moderna adapted to the BA.1 sub-variant, and another Omicron booster from BioNTech to protect against the dominant BA.4 and BA.5 sub-variants. 

Who should get the fourth Covid shot (second booster)?

People who belong to ‘at risk’ groups should think about getting a booster shot this autumn.

The official recommendation from the Standing Commission on Vaccination (STIKO) stipulates that people over the age of 60 should get a further booster vaccination.

In addition, people over the age of 12 who have an underlying condition that can lead to severe illness with Covid-19 should also get a shot.

Experts also recommend that residents and staff in nursing homes or long-term care facilities receive a fourth jab.

READ ALSO: When – and how – people can get the new Omicron vaccine in Germany

In STIKO’s latest guidance dated September 20th, experts also say that it may be appropriate for people at particular risk, for instance the very elderly or people with immunodeficiency, to get another shot (a fifth jab) after the fourth vaccination, although that would depend on several factors and a medical consultation. 

A Covid test centre in Rostock, northern Germany.

A Covid test centre in Rostock, northern Germany. Photo: picture alliance/dpa | Bernd Wüstneck

Should people under the age of 60 get a fourth jab?

If people don’t fall into a risk group and are under the age of 60, they can still receive a fourth vaccination, although it’s not officially recommended. You should have a consultation with your GP – or a doctor carrying out Covid vaccinations – if you are interested in getting the fourth jab. 

How do vaccination centres handle people under 60 who want to get another Covid shot?

There have been occasional reports in Germany that younger people who don’t belong to a risk group have been turned away from vaccination centres because they don’t qualify for a booster jab. 

However, The Local has anecdotally heard that people have been able to get a jab from a vaccination station or centre, regardless of their health condition or age.

A spokesperson at the health department of the city Munich told broadcaster BR24 that carrying out a fourth vaccination is decided on a case-by-case basis and is a decision taken by the medical expert giving out the jab “in each case”.

Where is the fourth vaccination available? 

There are still lots of walk-in vaccination centres across the country, while many doctors and pharmacies also carry out jabs. You should search online or contact your GP for more information. 

Many towns and cities are reporting a significant increase in demand since the new vaccines adapted for Omicron variants became available.

READ ALSO: Munich sees sharp rise in Covid cases after Oktoberfest

How many people in Germany have been vaccinated?

According to official figures, 76.3 percent of the German population has received two Covid jabs. Just over 62 percent have also received a booster jab, and 9.9 percent have been given a second booster vaccination.

Around 18.4 million people (22.2 percent) in Germany are not vaccinated. For four million of these people aged 0 to four years (4.8 percent), no licensed vaccine is available.

Does getting the flu vaccination help against Covid?

Coronaviruses and the flu are different viruses, so the flu jab cannot protect against Covid-19. However, those who have a weaker immune system can strengthen their body in fighting a virus by getting a flu shot, according to experts. The immune system can then better use resources it saves against a possible Covid infection.

The fourth Covid jab and the flu shot can be administered to patients at the same time, according to the STIKO – although they don’t have to be.

If this is the case, the injections are given in different arms. However, it could be the case that patients have a stronger reaction if both jabs are carried out at the same time, so keep that in mind. 

READ ALSO: Can anyone in Germany get a second Covid booster jab?

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