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HEALTH

EXPLAINED: Who should get a top-up Covid jab in Germany?

The international health emergency due to Covid-19 has been over for months. However, with cases soaring again in Germany, and new virus variants emerging, health experts are recommending some people get a booster jab.

A Covid self-test.
A Covid self-test. Photo: picture alliance/dpa | Jens Kalaene

What’s going on?

Covid infection rates are on the rise in Germany. However, official figures are likely to be severely skewed due to the low number or people getting tested or reporting their home test results to the authorities.

Sentinel surveys in which a representative proportion of the population get tested each week, regardless of whether they are symptomatic, paint a very different picture. One such survey from SentiSurv carried out in Rhineland Palatinate suggested that this week’s incidence actually stood at 1,099, equating to 900,000 infections across the country.

While these figures aren’t confirmed, what we do know is that there are two main variants currently circulating. Firstly, there is Eris (EG.5), a descendant of the Omicron variant. 

Secondly, there is the new Pirola variant (BA.2.86), which is more mutated from the Omicron variant, and has already appeared in various countries and was first detected in Germany in mid-September.

Which vaccinations are now on offer?

The latest available vaccine produced by Pfizer/Biontech has been adapted to the Omicron sub-variant XBB.1.5, which is very similar to the new Eris variant EG.5. 

As of September, the vaccine for people aged twelve and above will first be available in doctors’ practices.

READ ALSO: German doctors urge Covid-19 self-tests amid new variant

According to the National Association of Statutory Health Insurance Physicians, the adapted vaccine for young children is expected to be delivered starting September 25th, and the vaccine for children between the ages of five and eleven will be available from October 2nd.

When is it advisable to get vaccinated?

According to the Standing Vaccination Committee (Stiko), those aged 60 and above, residents in care facilities, people with underlying health conditions, healthcare workers, and relatives of high-risk patients are recommended to get the new vaccination. Typically, twelve months should have elapsed since the last vaccination or infection.

Where can I get vaccinated?

The distribution of Covid vaccinations moved from pandemic crisis mode to regular care in medical practices about six months ago, which means that now, they are primarily available through your general practitioner or Hausarzt.

A local GP's practice in Baden-Württemberg.

A local GP’s practice in Baden-Württemberg. Photo: picture alliance/dpa | Silas Stein

The entitlement to free vaccinations is based on Stiko recommendations and, in federal states where compensation for Covid vaccination has not yet been regulated, patients will initially receive a private bill for their booster jabs.

They can then submit this bill to their health insurer for reimbursement. The amount that patients may need to pay upfront could be around €35.

Could there be another big wave of infections in autumn and winter?

It’s difficult to say whether there will be more waves of infections in the coming months, as it depends on whether a variant emerges that can evade the immune system.

The good news is that experts still see a very broad baseline immunity from vaccinations and infections in Germany, though people can still get infected. It is expected, though, that generally healthy people will not become as severely ill, requiring hospitalisation or intensive care.

READ ALSO: German Health Minister recommends new Covid jab as infections increase

However, Federal Health Minister Karl Lauterbach (SPD) also recently emphasised, “Covid-19 is not a common cold.” Infections carry the risk of Long Covid. Healthcare professionals anticipate stress in the healthcare system due to staff shortages and seasonal waves of other pathogens.”

Should we start wearing masks again?

While mask-wearing is not mandatory and is unlikely to be put in place again in public areas, wearing a FFP2 mask can be a sensible protective measure for people with weaker immune systems. However, experts do believe that a renewed mask mandate in hospitals and care facilities could be implemented if case numbers rise.

If you do get infected and want to protect yourself and others, it’s recommended to stay at home for three to five days, reduce contacts, cough or sneeze into your elbow, and wash your hands regularly.

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HEALTH

Germany sees spike in summer flu and Covid infections

According to official data released by the Robert Koch Institute, instances of respiratory infections like coronavirus are unusually high for this time of year.

Germany sees spike in summer flu and Covid infections

There’s a common joke in Germany, normally made during the winter flu season: “Husten (cough), we have a problem.” But this year the number of respiratory infections, causing coughs, fevers and aches, is rising in the middle of summer.

According to the Robert Koch Institute’s (RKI) most recent respiratory infection statistics (ARE), the number of Covid-19 infections in Germany has been rising steadily over the past weeks to reach 500 cases per 100,000 residents in the week beginning June 17th. This increase follows a drop-off at the turn of the season.

READ ALSO: Flu cases on the rise in Germany – When (and how) should you take sick leave?

In Berlin, meanwhile, the number of Covid infections recorded in the laboratories and by local authorities has doubled within a week, the RKI told regional newspaper Tagesspiegel.

This reflects a general trend of rising flu-like infections this summer, with viruses like rhinovirus and enterovirus among the most commonly recorded. 

The past week saw an increase in the incidence of this type of infection rom 1,200 to 1,300 per 100,000 people.

Meanwhile, the overall incidence of respiratory viruses hit 5,900 per 100,000 residents, which equates to around five million cases in the population as a whole.

READ ALSO: Who should get a top-up Covid jab in Germany?

In its weekly infection report, the RKI states that this type of virus is “currently at a comparatively high level for this time of year”, but adds that severe cases remain rare so far.

The health authority advises people with symptoms of an acute respiratory infection to stay home for three to five days or until their symptoms have improved significantly. 

Self-reported data

Since the end of the coronavirus pandemic, the public health authority has been relying heavily on data self-submitted through its GrippeWeb portal to monitor the prevalence of flu-type viruses in Germany.

This data is then extrapolated out to the general population to create estimated incidences for society as a whole.

Infections are also partially monitored through local health authorities and lab reports, as well as through samples from waste water plants that contain traces of the virus.

According to the RKI, water from around 100 waste plants was available for the latest report, covering around 19 percent of the population.

New viruses 

Though Covid has been far less prevalent since the pandemic became endemic, top Berlin virologist Christian Drosten has recently issued warnings that other new virus could potentially spark a new global health crisis.

Speaking to RND at the end of June, Drosten cited the MERS virus and the H5N1 bird flu virus – the first human case of which was recently recorded in the US – as possible triggers for a new pandemic. 

According to the Charité virologist, there have even been traces of H5N1 in wholesale milk from the US that has come from infected cows.

“There has never been anything like this before, such extremely large outbreaks in cows – all the experts are worried,” he said, adding that the outlook was still unclear.

“We don’t really know what will happen now because we don’t have very good insight into the data,” Drosten said. 

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