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‘These clusters will continue to occur’: Can Germany keep on top of new coronavirus outbreaks?

Germany is currently dealing with a number of localised outbreaks. We spoke to a top epidemiologist to find out why the disease is spreading in some locations and what the country is doing about it.

'These clusters will continue to occur': Can Germany keep on top of new coronavirus outbreaks?
Two grocery store employees deliver food to residents in quarantine in Verl, North Rhine-Westphalia. Photo: DPA

It may feel to many people like the coronavirus pandemic is over. But there’s a new battle in the fight against the virus in Germany: cluster outbreaks. 

There are fears that these large number of infections in regions will lead to the virus spreading to the wider population, creating a second coronavirus wave resulting in future major lockdowns.

The largest outbreak began at the Tönnies meat processing plant in the Gütersloh district in North Rhine-Westphalia. 

Authorities have ordered a lockdown in the districts of Gütersloh and neighbouring Warendorf in a bid to control the situation. 

READ ALSO: What you need to know about Germany's new local coronavirus lockdowns

Why is the outbreak at the meat factory so large?

More than 1,500 workers at Tönnies are confirmed to have contracted the virus. 

“It’s not the first time we’ve seen it in the meat processing industry but this time it’s particularly bad,” Tobias Kurth, professor of public health and epidemiology at the Charité in Berlin, told The Local.

Kurth said it's due to “combination of several factors”, such as people living and working in close proximity to each other which creates an environment where the virus can thrive.

The spread could have been made worse by the conditions in the meat processing plant, such as cool air and poor ventilation, added Kurth.

Germany has also seen new coronavirus clusters in residential buildings in Lower Saxony and in Berlin, where 370 families living in high-rise flats were placed under quarantine in one neighbourhood last week.

Kurth said the issue was linked to people living in close proximity to each other.

“That’s why we’ll have several of these clusters and I’m sure we’ll continue to see clusters like this, not only in Germany but the rest of the world,” he said.

Is testing and quarantining people the best way to control local outbreaks?

Around 7,000 meat factory workers have been ordered to self-isolate. Fencing has been put up around residential buildings where the Tönnies workers live and authorities are distributing food.

Virologists, contact tracing teams, the German army (Bundeswehr) and police have all been drafted in to help carry out widespread testing and to ensure people carry out the quarantine. 

“What we know from many regions in the world is if you quarantine, it’s the best way of controlling the spread of the virus,” said Kurth. 

However, authorities have now decided to impose lockdowns in two districts. 

“Officials are watching very closely to see who else is getting infected,” said Kurth. “Does it stay within the workforce of Tönnies or does it go outside?”

Members of the German army in Warendorf where a lockdown has been imposed. Photo: DPA

The latest numbers say 24 people not connected to the meat plant have contracted coronavirus. 

Kurth said the fear is that more people outside the factory circle could pick up the virus and tougher measures are being introduced to stop this from getting any worse.

Could Germany do more to stop these outbreaks?

Kurth said inequalities regarding living and working conditions would have to be addressed to get to the root of the problem. But this will take time.

The working and living conditions of meat processing plant workers in Germany, many of whom come from eastern European countries and are on short-term contracts, are under the spotlight.

“Now this is maybe a chance, as sad as it is right now, to change the situation,” Kurth said. “For the housing situation that is something we also have to change in the long run: to offer affordable housing in a different way.”

In the short term, the only way to control the spread is for people to take measures, such as wearing masks, keeping distance, avoiding closed rooms with a lack of air and ventilation and rooms with a lot of people in them. 

Plus widespread free testing should continue to be available as part of Germany's comprehensive 'test, track and trace' system.

Kurth added that special programmes providing information to communities, or giving out free masks could also be helpful.

READ ALSO: Fears grow of social conflict as virus spreads in immigrant housing

How difficult will it be to avoid a major lockdown?

No-one wants to see public life closed down across the holiday, like what happened in March. So can this be avoided?

The developments have pushed Germany's four-day reproduction number (R0) above the critical value of 1 to 2.02, meaning 1 person with Covid-19 infects on average more than two others. The 7 day R0 is slightly lower but still not ideal at 1.67.

Experts say the localised outbreaks have contributed to this high increase. However, the overall number of new cases in Germany, according to data from the Robert Koch Institute, is not going up dramatically.

A total of 190,862 people have contracted coronavirus in Germany so far, figures from June 23rd show – an increase of around 500 people from the previous 24 hours. At the peak of the pandemic, Germany was recording more than 6,000 new cases a day.

Around 8,800 people have died in Germany from coronavirus.

So for now it's about controlling these localised oubreaks – which is no easy task, according to scientists.

“These clusters will continue to occur,” said Kurth. “The question is: do we have a larger spread?

“I think if we are prepared for these clusters, going in and testing people, trying to trace people, trying to identify those who have been in contact and isolating them for a specific time, then we’ll be able to control it.

“That’s everything that we can do right now and we have to absolutely focus on this – there’s no medication or vaccine available. Identify these clusters as quickly as possible and isolate people to avoid a major lockdown. That I think is going to be very difficult to achieve.”

 

 

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COVID-19

Munich sees sharp rise in Covid cases after Oktoberfest

Since the start of Germany’s Oktoberfest, the incidence of Covid infections in Munich has risen sharply. Though a connection with the festival can’t yet be proven, it seems likely.

Munich sees sharp rise in Covid cases after Oktoberfest

Two weeks after the start of Oktoberfest, the Covid numbers in Munich have more than tripled.

On Sunday, the Robert Koch Institute (RKI) reported an incidence of 768.7 for the city of Munich, though updated figures for the end of the festival are not expected until later in the week. Usually, on weekends and public holidays, there is a delay in reports.

In the entire state of Bavaria, the incidence value on Sunday was 692.5.

According to Munich’s public health officer, Beatrix Zurek, bed occupancy in Munich hospitals has also increased. Two weeks ago, 200 beds in Munich were occupied by Covid patients, whereas there are now around 350.

Though a relationship between the sharp rise in infections with Oktoberfest, which ended on Monday, can’t be proven at the moment, it seems very likely, according to experts. A significant increase in Covid incidences has also been shown at other public festivals – about one and a half weeks after the start. 

READ ALSO: Germany’s famed Oktoberfest opens after two-year pandemic hiatus

After a two-year break due to the pandemic, around 5.7 million visitors came to this year’s Wiesn according to the festival management – around 600,000 fewer than at the last Oktoberfest before the pandemic in 2019, when there were 6.3 million.

Federal Health Minister Karl Lauterbach (SPD) took to Twitter to comment on the rise in incidence in Munich during the Oktoberfest. “This would not have been necessary if self-tests had been taken before admission,” he said.

“Compared to the price of a measure of beer, €2-3 (for tests) wouldn’t have mattered,” he said.

Even before the start of the Wiesn, he had spoken out in favour of people taking voluntary self-tests. Lauterbach stressed that now is the time for special measures against Covid.

“The development shows what will happen if the states wait too long with the mask obligation in indoor areas,” he added.

READ ALSO: KEY POINTS: Germany’s new Covid-19 rules from October

In neighbouring counties, where many Oktoberfest visitors came from, the number of Covid cases has also risen noticeably.  Beatrix Zurek said that it is unclear, however, how much of a role Oktoberfest played in these figures, as people are currently much more active socially overall, with concerts and other events also taking place throughout the state.

Christoph Spinner, an infections specialist at Munich’s Klinikum, has urged people not to be alarmed by the rising numbers.

“We had expected rising incidences here. We knew that there could be a doubling, tripling, even quadrupling,” he said.

He said that this is no cause for concern, as many people have been vaccinated or have also recovered from previous Covid infections, so any new infections are therefore usually mild.

The virologist advises people over 60 or with pre-existing conditions to get a second booster vaccination, but otherwise said people shouldn’t be alarmed by the rising incidences.

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