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COVID-19

German health agency expects number of Covid ICU patients to rise

The Covid pandemic is continuing to cause problems around Germany, with concerns that the number of patients needing treatment will rise in the coming weeks.

A man stands in front of a Covid test station in Stuttgart.
A man stands in front of a Covid test station in Stuttgart. Photo: picture alliance/dpa | Bernd Weißbrod

In its weekly Covid report, the Robert Koch Institute (RKI) said that confirmed infections appeared to be rising in some German states, and falling in others.

But experts warned that the situation remained tense, with many infections not reported. 

Therefore, in the coming weeks, “hospitalisations, an increase in intensive care treatment and deaths are to be expected, especially among the elderly”, said the RKI.

People over the age of 80 “continue to be most affected by severe courses of the disease”, the experts said in their report. 

The incidence of infections is continuing to rise for this age group, and the number of outbreaks of Covid-19 in medical treatment facilities as well as in old people’s and nursing homes is going up.

READ ALSO: Which Covid rules are likely to return to Germany in autumn?

The number of patients with Covid-19 being treated in intensive care units (ICUs) is also rising slightly. In the previous week, the number was reported to be around 1,330. And on Thursday July 28th, 1,550 people were in ICUs in Germany with 484 receiving ventilation treatment, according to the DIVI intensive care register. 

The number of deaths in connection with the virus is currently around just over 400 per week. The RKI says this trend is a plateau.

When it comes to the overall picture of Covid in Germany, the RKI said there was a “sideways movement rather than a decreasing trend”.

Last week, the nationwide 7-day incidence decreased slightly compared to the previous week. The overall picture shows falling incidences in most western German states and Berlin, with incidences still rising slightly in the other eastern German states and Bavaria.

The RKI estimates there’s been a total of 800,000 to 1.5 million people with Covid (who also have symptoms) in the past week alone in Germany.

Last week experts warned that they expected the Covid situation to get worse in the coming weeks as many schools in Germany return after the summer break.

READ ALSO: Germany’s summer Covid wave set to get worse

The Omicron sub-variant BA.5, which has dominated in Germany since mid-June, has almost completely displaced other variants. It accounts for 89 percent of samples in the past week, the RKI said.

Health Minister Karl Lauterbach warned people against underestimating getting Covid again.

The SPD politician pointed out that it was very easy to become infected with BA.5 – even for those who were infected with a previous type.

He warned that many could become seriously ill or die, plus there’s the risk of picking up Long Covid.

“Therefore, we have to solve the problem not by constant infection, but by better vaccines,” Lauterbach said.

‘Call things as they are’

Lauterbach, meanwhile, defended himself against his choice of words when describing the possibility of a new dangerous Covid variant emerging in autumn. 

In an interview with Bild newspaper in April he said: “It is quite possible that we will get a highly contagious Omicron variant that is as deadly as Delta – that would be an absolute killer variant.”

He was slammed for his dramatic choice of words. 

This week Lauterbach said: “I use few vocabulary that is apocalyptic. But sometimes you have to call things as they are.”

If there were a virus that linked the contagion of the BA.5 variant with the severe course of a Delta variant, “that would be a killer variant”, he maintained.

But he stressed that he had “not said that such a variant is definitely coming, but that we have to be prepared for such a variant”.

READ ALSO: German Health Minister calls on under 60s to get next Covid jab

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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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