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HEALTH

What’s the vaccine situation in Germany’s two most populous states?

The process of getting a Covid vaccination differs across Germany. We spoke to Bavaria and North Rhine-Westphalia's health offices to find out how they're getting on.

What's the vaccine situation in Germany's two most populous states?
Over 60s being vaccinated with AstraZeneca in Cologne over the Easter weekend. Photo: DPA

What’s the profile of these states?

The western state of North Rhine-Westphalia (NRW), with around 17.95 million residents, is Germany’s most populous. It is home to large cities including Cologne and Düsseldorf, which is the state capital, as well as the large industrial Ruhr region.

The southern state of Bavaria has around 13.12 million people. Bavaria’s main cities are Munich (its capital and largest city which is also the third largest city in Germany), Nuremberg, and Augsburg. The state is particularly known for its auto industry and culture.

Germany in total has around 83.2 million residents.

How many people have been vaccinated in Bavaria and North Rhine-Westphalia?

As of April 12th, around 5.8 percent of people had been fully vaccinated in NRW, and 16.1 percent had received one dose.

In Bavaria, 6.5 percent had received both doses and 16 percent have had one shot.

Overall nearly 16 percent of people in Germany have received one dose of a Covid vaccine, and just over 6 percent are fully vaccinated.

The map by German government vaccination dashboard shows the percentage of first doses in states.

Can residents choose which vaccine they get?

Last week, we wrote about how people in Berlin receiving letters being invited for a vaccine are able to choose which vaccine they get. We contacted the Berlin health office for more information but they didn’t respond.

READ ALSO: ‘I finally might be able to go home’: What it’s like to be offered a Covid jab in Germany

We asked if this was the case in Bavaria and NRW, and if it was a federal or state decision. Here’s what they said.

“The state of North Rhine-Westphalia is responsible for vaccinations in the 53 vaccination centres of the districts and independent cities of North Rhine-Westphalia,” said a spokeswoman for the health office in North Rhine-Westphalia.

“Due to the still limited availability of vaccine, citizens are basically not free to choose which vaccine they are supplied with in the 53 vaccination centres.”

The NRW spokeswoman pointed out that the federal government is responsible for the rollout in doctor’s practices, rather than the state so the process could differ there.

Meanwhile, the AstraZeneca vaccine will no longer be administered in the vaccination centres in NRW in future, and will instead just be used by family doctors.  However, those over the age of 60 who have already received a first dose with AstraZeneca at the centres will receive their second injection with it.

A spokeswoman for the health office in Bavaria said: “Currently, citizens in Bavaria cannot choose the vaccine yet. As soon as vaccine is available in sufficient quantities, residents should be able to choose. This is done nationwide.”

READ ALSO: Germany to continue restricting use of AstraZeneca in under 60s despite EMA ruling

A police officer being vaccinated in Munich in March. Photo: DPA

Which priority group is being vaccinated in NRW?

NRW has completed the highest priority group (that includes people over the age of 80 and health care workers at risk of getting Covid) and have now started on the second priority group, which includes the age group of 70 to 79-year-olds.

“The 70- to 79-year-old age group in North Rhine-Westphalia consists of about 1.6 million people and their partners,” said the spokeswoman.

“In order to ensure a smooth allocation of appointments, the invitations for the vaccination offers will be made on a year-by-year basis and the booking options of the group will also be activated on a year-by-year basis.

“In addition to this age group, the priority two occupational groups are entitled to vaccinations; these are, for example, staff in hospitals, doctors’ surgeries, employees in day-care centres or teachers at primary or special schools. In addition, people with pre-existing conditions are entitled to vaccinations.”

Which priority group is being vaccinated in Bavaria?

In Bavaria it depends on the local area.

“The question of which priority group is getting vaccinated depends regionally on the scope of the respective priority groups, which can vary,” said the Bavaria health spokeswoman. “Overall, primarily the second priority group is currently being vaccinated.

“Depending on the availability of vaccine, the third priority group is also being vaccinated. This may be particularly the case if all people over 70 in the respective district have already received a vaccination and doses are available from AstraZeneca.”

READ ALSO: How do I prove I belong to one of Germany’s priority groups?

Are people invited for a vaccination in NRW or do they book it themselves?

To help people understand the appointment system, NRW said people who are due for a jab will receive a letter explaining the procedure from the state health minister Karl-Josef Laumann.

“The citizens book the vaccination appointment themselves,” said the spokeswoman. “Initially, appointments can only be booked for those born after 1941 via the appointment booking systems of the Associations of Statutory Health Insurance Physicians.

“Appointments can be booked online via www.116117.de and by phone via the central number: 116 117 or the additional number for each part of the state (0800) 116 117 02 for Westphalia-Lippe and (0800) 116 117 01 for the Rhineland).

Bookings for couples is also possible, said NRW.

“The age of the respective partner is irrelevant. The first vaccinations in the vaccination centres are possible for this group of people from April 8th 2021. Appointment bookings for 80-year-olds and older will continue to be possible in parallel.”

If you have any questions in general wherever you live in Germany, you can contact the health department or your own health insurance organisation or doctor for more information.

What’s the procedure in Bavaria?

If you want to be vaccinated in Bavaria, you can register for an appointment.

There are currently three ways to arrange a vaccination appointment according to the health office:

  • Online registration at www.impfzentren.bayern. Those wishing to be inoculated against Covid can register with the online registration system. They can then enter the data they need for prioritisation, such as age and occupational group. Depending on your personal situation and the availability of vaccination appointments, you will be invited by a vaccination centre to book a personal appointment via SMS and email. The allocation of vaccination appointments is based on belonging to the priority group. “This ensures that the most vulnerable people are always vaccinated first,” said the spokeswoman
  • The individual appointment can be made by telephone via the vaccination centre responsible for the district
  • Or you can call the central hotline number 116 117. The hotline connects those willing to be vaccinated directly to the vaccination centre responsible for them. The federal hotline is currently available from 8:00am to 10pm seven days a week
  • When registering by phone, the data necessary for prioritisation is requested on the call. So if you belong to a priority group be ready to prove it

Do you feel the vaccination rollout in NRW is going well?

“From the point of view of the Ministry of Labour, Health and Social Affairs, the vaccination campaign is going well overall,” said said a NRW spokeswoman.

“Our primary interest is that as many citizens as possible are vaccinated against the virus as quickly as possible.”

After realising they had around 450,000 leftover AstraZeneca doses after Germany restricted the use of it in under 60s, NRW recently launched a campaign to use the doses, calling up over 60s at short notice to get vaccinated.

The spokeswoman said this was another example of NRW’s accelerating the campaign.

Do you feel that the vaccination programme in Bavaria is going well?

A health ministry spokeswoman in Bavaria said the state is “working every day to solve the challenges of the vaccination requirements and to improve the vaccination strategy”.

“Considering the major logistical challenges and the still prevailing shortage of vaccine, a lot has already been achieved,” she added.

“With the involvement of the medical practices as the second pillar of the strategy, and due to the expected deliveries from the federal government, we are confident that we will get more speed into vaccination very soon.

“An improvement in the supply of vaccine doses will also open up more possibilities – company doctors will then also be able to vaccinate the workforces of companies quickly.”

Member comments

  1. This information about the vaccine roll out is very helpful.
    Thank you for putting all this together.

  2. Agrred on the above comment, thank you for this. I live in the NRW close to Dortmund & some of the info they post is actually wrong – for example, their German info sheet says over-60’s can now get an appointment (Incorrect) & then the link takes you to the Nordrhein/Rheinland appointment site, whereas Dortmund is in Westfalen-Lippe. You discover this quickly if you try & put a Dortmund Zip code in 🙂
    And, again, this is from Stadt Dortmund! (Face-palm)

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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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