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COVID-19

WHO warns of Europe virus spike as countries impose new curbs

The World Health Organization expressed concern Friday over a coronavirus resurgence in Europe as certain countries stepped up restrictions and rules to battle outbreaks.

WHO warns of Europe virus spike as countries impose new curbs
Testing at airports is increasing in European countries. AFP

The World Health Organization expressed concern Friday over a coronavirus resurgence in Europe as Britain joined France, Germany and Austria in announcing tighter mask requirements and greater testing.

Europe accounts for a fifth of the world's more than 15 million cases and remains the hardest hit in terms of deaths, with 207,118 out of more 630,000 globally since the pandemic emerged in China late last year.

The WHO's European chapter pointed to rising cases on the continent over the past two weeks, stressing that tighter measures may be needed to curb infections.

Europe like other regions is struggling to balance restrictions to halt the spread of COVID-19 against the need to revive economies as they emerge from some of the world's toughest lockdowns.

A three-year-old girl died in Belgium, becoming the country's youngest known coronavirus victim, in a further wake-up call for a continent which has only recently lifted shutdowns.

“The recent resurgence in COVID-19 cases in some countries following the easing of physical distancing measures is certainly cause for concern,” a WHO-Europe spokeswoman told AFP.

“If the situation demands, reintroduction of stricter, targeted measures with the full engagement of communities may be needed.”

In Spain, health authorities are already facing worrying outbreaks in Aragon and Catalonia, where officials have reintroduced local restrictions and urged residents in Barcelona and its suburbs to leave home only for essential trips for two weeks.

“We have to monitor what's going on, see where we need to take action and act early,” said health ministry official Maria Jose Sierra.

“If the important outbreaks are controlled quickly and if we manage to ensure that there are no (other) outbreaks of such magnitude, we will have a much more contained situation.”

On-the-spot tests

French President Emmanuel Macron on Friday met his top ministers to discuss contagion measures, and his prime minister Jean Castex later announced on-the-spot tests would be required for travellers visiting from 16 high-risk countries including the United States.

In this file photo taken on June 30, 2020 at the airport in Frankfurt am Main shows a view of the laboratory of German biotech company Centogene which opened a walk-in testing centre. AFP

France has yet to resume general travel to and from these countries so the tests will be for French citizens and residents.

Masks are now mandatory on public transport and in shops and enclosed spaces in France but there are fears that the summer holidays could see a spike in cases with people flocking to beaches and tourist spots. 

Britain on Friday made it compulsory to wear a face covering in shopping centres, banks, takeaway outlets, sandwich shops and supermarkets, following the lead of Scotland.

Exceptions have been made, for example, for children under 11 or people with respiratory problems, but anyone refusing to cover their nose and mouth risks a fine of up to Ł100.

Germany will offer free coronavirus tests to all returning travellers in new measures agreed Friday.

Austria also made face masks mandatory again in supermarkets, food stores, post offices, bank branches and health care facilities in addition to public transport and pharmacies.

“It was a mistake to lift mandatory mask use so soon,” said one shopper, Andreas Poschenreither.

Trump convention scrapped

The United States, the hardest-hit country by the virus, recorded more than 144,305 total fatalities. It has seen a coronavirus surge, particularly in southern and western states.

US President Donald Trump has scrapped next month's Republican convention in Florida at which he was due to be confirmed as the Republican candidate for November's election, saying “the timing for this event is not right.”

Bolivia meanwhile postponed its general elections for a second time because of the pandemic, putting it off until October 18, while South Africa said it was closing public schools for a month from July 27.

There was bad news in China and India — the two world's most populous nations — as new clusters emerged.

Chinese authorities said Friday they would introduce a wave of testing in the port city of Dalian, home to about six million people.

The Dalian health commission said the city had to “quickly enter wartime mode”. It announced strict new measures, including on-the-spot nucleic acid tests to detect the virus.

Kindergartens and nurseries have been closed, and some communities have been placed under lockdown, according to state-run newspaper Global Times.

India's death toll overtook France's on Friday with 30,601 fatalities. Officials said there were nearly 50,000 new cases overnight.

Prime Minister Narendra Modi's government imposed one of the world's strictest lockdowns in late March, but it has been steadily eased to lessen the devastating economic impact.

State governments have now brought in fresh restrictions as cases soar, including in IT hub Bangalore.

UN projections have warned the virus could kill 1.67 million people in 30 low-income countries.

Virus restrictions have been bolstered in several countries this week, including Australia and Belgium as well as in Hong Kong and the Japanese capital Tokyo.

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HEALTH

EXPLAINED: The new rules around getting a sick note over the phone in Germany

Due to high Covid infection numbers throughout the summer, it’s now possible to get a sick note from a doctor over the phone again for some illnesses. Here’s what you need to know.

EXPLAINED: The new rules around getting a sick note over the phone in Germany

What’s happened?

In spring 2020, German authorities changed the law so that people with a mild upper respiratory tract illness, such as the common cold, were able to get an incapacity to work certificate or AU-Bescheinigung by simply calling and speaking to their GP.

The rule was extended several times and finally reversed on June 1st this year due to falling infection figures. Since then people have had to go back to the practice – or do a video call if the doctor’s office has that system in place – to get a sick note.

Now, due to a decision by the Joint Federal Committee, the regulation has been reintroduced and patients can call their GP again for a sick note.

Can I get a sick note over the phone for any illness?

No. As before, the regulation only applies to patients suffering from a mild upper respiratory tract illness. Though Covid has not explicitly been named in the announcement, it seems that it is intended to be covered by the regulation.

If the doctor is convinced that the patient is unfit for work after a telephone consultation, then they can issue a sick note for up to seven days.

READ ALSO: EXPLAINED: The changes around doctor’s notes in Germany you should know

If the symptoms persist after seven days, the certificate can be extended once more for another week.

Why now?

According to the Chairman of the G-BA, Josef Hecken, the regulation has been introduced now as a response to rising Covid numbers and in anticipation of the cold and flu season in the coming months: “We want to avoid full waiting rooms in doctors’ offices and the emergence of new infection chains,” he said.

The telephone sick leave rule is a simple, proven and uniform nationwide solution for that, he said. The rule is also necessary because video consultation hours are not yet available everywhere.

What else should I know?

The health insurer DAK is calling for telephone sick leave in the case of light respiratory diseases to be made possible on a permanent basis in Germany. DAK’s CEO Andreas Storm said that this should “not always be up for debate, because it has proven itself.” 

READ ALSO: Everything you need to know about making a doctor’s appointment in Germany

The social association VdK also welcomed the reintroduction of the rule. The VdK’s President Verena Bentele said that the regulation would help to protect high-risk groups in particular from potential infections.

What are the rules to know about sick notes in Germany?

Germany has a strict system in place. If you are sick, you need to give your employer a Krankmeldung (notification of sickness) before the start of work on the first day (of your illness).

However, you also need to hand in a Krankschreibung (doctor’s note) on the fourth day of your illness. Some employments contracts, however, require you to submit a sick not earlier than the fourth day so check with your boss or HR on that point. 

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