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HEALTH

‘Think of elderly relatives’: Merkel appeals to young people and warns of tougher Covid restrictions in Germany

German Chancellor Angela Merkel issued an emotional appeal Friday and warned that coronavirus hotspots in Germany will be given 10 days to tackle their rising numbers before tougher action is taken.

'Think of elderly relatives': Merkel appeals to young people and warns of tougher Covid restrictions in Germany
Angela Merkel on Friday. Photo: DPA

As coronavirus numbers continue to rise, Merkel held an emergency conference call with the mayors of 11 of Germany's largest cities: Berlin, Bremen, Cologne, Dortmund, Düsseldorf, Essen, Frankfurt, Hamburg, Leipzig, Munich and Stuttgart.

“We all sense that the big cities, the urban areas, are now the arena where we will see if we can keep the pandemic under control in Germany as we have  done for months, or if we lose control,” Merkel said after the talks.

“The coming days and weeks will decide how Germany gets through the pandemic this winter.”

READ ALSO: Coronavirus second wave: Why the party is over in Germany's cities

'Think about what is important to you'

Merkel urged Germans to stick to the well-known rules of mask wearing, hand washing and social distancing.

She also asked the population to use the country's coronavirus warning app and regularly air out rooms as colder weather approaches and people spend more time indoors.

The veteran chancellor said she understood that measures such as earlier closing hours and curbs on alcohol sales would hit the struggling food and hospitality sector hard.

But she said her goal was to avoid the kind of harsh lockdowns that brought Europe's top economy to a standstill in the spring and kept millions of children home from school and daycare.

She also issued a direct appeal to young people, who have been seen as driving the current spike in infections, urging them to think of the health of elderly relatives and also of their own job and education prospects.

“Think about what is most important to you,” she said. “Isn't it the health of your family, your grandparents? Isn't it, also in the next few years, to have good training and work opportunities,” the chancellor asked the young population.

“It will all come back: partying, having fun,” she said. “But what matters now is something else.

“We have proven that we can stick together against all this. And we must continue to do so.”

READ ALSO: What you need to know about Germany's Covid-19 internal travel restrictions

Tougher measures to curb the spread

Capital Berlin and financial hub Frankfurt both joined a growing list of high-risk zones on Germany's map this week, after crossing the threshold of 50 new cases per 100,000 people over the past seven days.

Among the new measures that kick in once that level is reached are wider mask requirements, including outdoors in busy areas, as well as earlier closing hours for bars and restaurants and limits on alcohol sales and group sizes, Merkel and the mayors agreed.

READ ALSO: These are Berlin's new coronavirus restrictions

Merkel said past experience had shown it takes “about 10 days” to see if such efforts succeed in slowing the outbreak.

If the infection rate does not stabilise in that time, “further targeted restrictions are unavoidable in order to further reduce public contacts”, according to the text agreed at the talks.

The goal is to keep the number of infections within a range where it is possible to trace the infection chains.

To help do that, it was also agreed that from an incidence rate of 35 new infections per 100,000 inhabitants in a week, the Robert Koch Institute (RKI) would send experts to crisis teams to help affected large cities. At the request of cities, the Bundeswehr (German army) will also be drafted in to advise and coordinate the support services required.

Germany, long seen as having managed the pandemic better than most European countries, is on heightened alert after the number of new daily cases spiked from 2,828 on Wednesday to just over 4,000 cases on Thursday – the highest daily figure since early April.

The country's RKI for disease control warned that the virus could “spread uncontrollably” if people let their guard down. On Friday, the RKI reported 4,516 new cases.

 

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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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