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HEALTH

How to stay safe while swimming outdoors in Germany this summer

Summer is a great time to enjoy the outdoors and cool off in Germany's lakes, rivers, seas and outdoor pools. But it's important to be aware of the potential dangers associated with swimming outside.

A sign at a lake in Bensheim, Hesse, warns swimmers about a steeply sloping bank
A sign at a lake in Bensheim, Hesse, warns swimmers about a steeply sloping bank. Photo: picture alliance/dpa | Fredrik von Erichsen

According to the German Life Saving Association (DLRG), the number of drowning incidents is on the rise in Germany, with at least 355 deaths recorded last year alone.

Of these, 308 deaths occurred in inland waters: 47 people drowned in lakes, 105 in rivers, 15 in streams, 22 in ponds, and 19 in canals, according to the DLRG. Swimming pools accounted for 13 fatalities, while 18 people lost their lives in the sea. Bavaria had the highest number of drowning deaths, with 69 reported cases.

These statistics highlight the importance of understanding water safety and taking necessary precautions to prevent accidents and tragedies. We’ve put together some tips to help you stay safe this summer.

Know your limits

If you haven’t been swimming for years and suddenly decide that you fancy trying to swim to the other side of the lake – think again.

According to the DLRG, one of the most common causes of drowning in Germany is overconfidence in the water, combined with poor swimming skills.

READ ALSO: Germany’s top 10 most beautiful summer swimming spots

So it’s really important to stay within your ability when embarking on an outdoor swim: if you can’t swim well, don’t venture out any further than where you are able to stand up.

Knowing your limits also means not drinking alcohol before going into the water, as this can impair your judgment, coordination, and reaction time and significantly increases the risk of accidents.

Follow the signs 

The DLRG strongly advises swimming only at designated and supervised bathing spots and to heed any warning signs. Designated swimming areas undergo regular inspections and have additional safety measures in place to ensure a secure swimming experience.

As a rule of thumb, it’s important to note that if a swimming location does not charge an entrance fee, it is highly likely that there won’t be a lifeguard present.

A sign on a beach in Ingelheim, Rhineland-Palatinate says: “Bathing at your own risk”. Photo: picture alliance / Fredrik Von Erichsen/dpa | Fredrik von Erichsen

Germany follows the Europe-wide beach flag system on its coasts and lakes. Under this system, a red flag indicates a bathing ban – due to dangers such as strong currents, high waves, or water pollution, while a red and yellow flag indicates a designated and supervised bathing area. There are often buoys in place in these areas as well.

An additional yellow flag warns bathers to take increased caution and marks a swimming ban for inexperienced swimmers, older people, and children.

READ ALSO: Travel in Germany: A guide to Berlin’s best lakes

A zone with black and white flags is reserved for water sports and is generally not suitable for swimmers.

As well as looking out for flags, it’s also important to pay attention to signs that warn of area-specific dangers, such as a sudden slope or shallow water. 

Swim with others

The DLRG recommends that, whenever possible, you should swim with a buddy or in groups, as having someone else nearby can provide assistance in case of an emergency.

Be aware of dangers

Jumping or diving into unfamiliar waters is a bad idea, as it’s often difficult to tell how deep a body of water is, which can lead to serious injuries. 

As well as assessing water depth, you should also be mindful of other water activities happening around you, such as boating or jet skiing. Try to avoid crowded areas and maintain a safe distance from boats and other swimmers.

Supervise children

Tragically, in 2022, 20 children between the ages of 0 and 10 died in water in Germany.

Small children and non-swimmers need to be constantly supervised in the water, even if they have flotation aids such as armbands or swim belts and if there are lifeguards around.

The DLRG advice is that children should always be supervised and be within arm’s reach of an adult.

Cool down before jumping in

Jumping into cold water when overheated can put a significant strain on the body – particularly the heart. The sudden temperature difference can potentially cause severe circulatory problems and can lead to drowning.

It’s therefore a good idea to follow cool down a bit first before taking the plunge.

Don’t go swimming with a full stomach

There is a good reason behind the old adage that you shouldn’t go swimming with a full stomach. In the best-case scenario, swimming with a full belly can cause discomfort and side stitches, but in the worst case, it can lead to vomiting and a circulatory collapse. In the water, losing consciousness without a nearby helper can result in drowning.

On the other hand, going swimming hungry also isn’t a good idea. You should make sure that you are suitably fuelled up with food and water so that you have the energy you need to keep afloat. 

Avoid rivers unless you’re a strong swimmer

Rivers are dangerous places to swim and were the sites of the most drownings in Germany last year.

A young man jumps head-first into the Stichkanal in Hannover-Linden, Lower Saxony. Photo: picture alliance/dpa | Julian Stratenschulte

Rivers can be full of unexpected dangers, such as tidal currents, debris like branches and underwater obstacles like discarded bicycles. Due to the constant exchange of water, rivers also never warm up as much as lakes, and it can be difficult for the body to adapt to the cold. 

Really, only those who are fit, healthy and experienced swimmers should even think about swimming in a river in Germany. 

Seek shelter during thunderstorms

Always keep a close eye on the weather conditions while swimming outdoors. If a thunderstorm approaches, it’s vital to leave the water immediately.

Swimming during a thunderstorm is extremely dangerous as water can conduct lightning currents, and strong gusts of wind can pose additional risks by propelling branches or other objects through the air. In the sea, storms can generate high waves and strong surf. So if you learn that a storm is approaching, you should leave the water immediately and seek shelter. 

Be careful with inflatables

Buoyancy aids such as inflatable water animals, tyres, water balls and the like are at best toys and not safe aids for bathing and open water swimming.

Three people float on inflatable toys in the sea in Heringsdorf, Mecklenburg-Western Pomerania. Photo: picture alliance/dpa/dpa-Zentralbild | Stefan Sauer

In fact, they can actually be very dangerous as they can easily get swept off into deep water. 

Children’s swimming seats are not a good idea for the sea, as they can be life-threatening if, for example, children topple over with them in a wave and are unable to stand up again on their own.

Check the water quality

Besides drowning, there are other dangers lurking in many of Germany’s watery areas. 

Dangers in lakes include the rapid growth of blue-green algae, which produce toxins that can cause various health issues such as nausea, vomiting, and respiratory diseases. In salt and fresh water, a bacteria called vibrios can cause severe wound infections when entering the body through skin injuries, resulting in symptoms like skin blistering, fever, and shock.

READ ALSO: Living in Germany: Making the most of culture and lake life

If you have a swimming spot in mind, you should look up its water quality online beforehand, by searching the name of the lake along with Wasserqualität (water quality). The water quality of open bodies of water is checked regularly from May to September in Germany and most German states will keep an up-to-date map of their local swimming spots and their water quality online.

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HEALTH

Klinik-Atlas: What to know about Germany’s new hospital comparison portal

The German government has launched a ‘Bundes-Klinik-Atlas’ which provides information on services and treatment quality at almost 1,700 hospitals throughout Germany. Here's what you need to know.

Klinik-Atlas: What to know about Germany's new hospital comparison portal

Whether you’re a foreign resident or a local, it can be tricky to navigate hospital care in Germany. 

Now the German government has launched a new nationwide ‘Klinik-Atlas’ aimed at making it easier for people to compare different services in hospitals. 

If a patient needs care at a hospital or clinic, such as a knee operation, cancer treatment or to get their tonsils out, they can look through the state-run comparison portal to compare the services offered and their quality. The portal is intended to help patients make a decision on where they want to access care. 

It was launched on Friday May 17th and so far includes details on 1,700 hospitals throughout the country. 

Why has the Klinik-Atlas been launched? 

The German government believed there was a need to get more information on hospitals out there to the public. 

Health Minister Karl Lauterbach, of the Social Democrats (SPD), said comprehensive information on how to find good care is now more accessible to everyone with the new portal. 

He said that transparency was needed in view of the 16 million hospital treatments that take place in Germany per year and the 500,000 new cancer patients per year alone. Most patients are unsure which clinic or hospital is best suited for their treatment, he added. 

Compared to existing information portals, the Klinik-Atlas is particularly unique in the way it prepares data for patients, Lauterbach said: “With just a few clicks, they can compare clinics and find the best clinic in their area for the treatment they need.”

READ ALSO: Which of Germany’s hospitals are among the ‘world’s best’?

Patients can see and assess hospitals side by side instead of having to “hop from clinic to clinic”, added Lauterbach. He called it “clear guide” to help people sift through the maze of health care. 

However, there’s been a mixed reception to the project, with hospitals raising some concerns.

How does it work exactly?

One thing to keep in mind is that the site, which is located at www.bundes-klinik-atlas.de, is only in German, but it is fairly simple to use. 

– On the site you can see a map with all the clinics in your area, as well as the number of beds they have and treatments they offer. Each clinic is scored on the quality of its care. The score is based on the number of patients per nurse, taking into account the severity of the cases. Lower values equate better scores in this case.

A sign at a Charité Campus points to the Central Emergency Department.

A sign at the Berlin Charité points to the Central Emergency Department. Photo: picture alliance/dpa | Sebastian Gollnow

– You can also enter your place of residence and an illness or a very specific treatment in the portal. The system offers search suggestions if you don’t know the specialised term. According to the ministry, 28,000 treatment and 13,000 disease definitions are stored.

– There is a kind of speedometer display to help patients categorise their cases. The ‘faster’ you go, so to speak, i.e. the further the needle moves to the right, the better. For the time being, there are two speedometers – for the number of annual cases of a treatment and for the number of nursing staff in the hospital. The speedometers have five coloured elements to which the needle can point – from ‘very few’ to ‘very many’ cases, for example. 

What else can you find out?

A comparison shows that there are “huge differences within a very small area”, said Lauterbach. For example, there are 48 hospitals in Berlin and the surrounding area that perform bowel cancer operations, but only 18 of them are certified as specialist centres.

In the case of severe bowel disease in children, there are clinics that perform more than 70 operations a year, while others only perform four.

It is not the case that large clinics are automatically always ‘the winners’. There are also small clinics that are extremely specialised.

The portal is to receive its first update in a few weeks’ time and will then include complication rates for treatments. Figures on the number of specialised doctors will follow.

The information will be updated regularly, according to the Institute for Quality and Transparency in Healthcare, which is coordinating the implementation. At the moment the data is lagging, featuring case numbers from 2022. The information comes from several sources, including clinics and health insurance company invoices.

READ ALSO: How could Germany solve its worsening GP crisis?

How’s the reaction so far? 

According to the ministry, there were more than five million hits in the first three hours of the comparison launching, with some page views also experiencing a brief hitch due to the volume of traffic. 

But not everyone is for it. The German Hospital Federation said the portal does not provide patients with any additional information and even adds more bureaucracy to hospitals’ workloads. The hospital sector recently expanded its own online overview portal. The Deutschen Krankenhaus Verzeichnis’ or ‘German Hospital Directory’, which has existed since 2002, was updated to include more search functions. 

The German Patient Protection Foundation said that people want to know about the range of services and quality. “But the ‘hospital atlas’ lacks crucial information,” said CEO Eugen Brysch. “The quality of patient management in the clinic is not recorded.”

The German Social Association welcomed the comparison site, but added: “It remains to be seen how great the added value for patients really is.”

READ ALSO: How Germany is planning to save its ailing hospitals 

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