Covid-19: have incidence values become obsolete as a decision criterion??

Covid-19: have incidence values become obsolete as a decision-making criterion?

Hospitals need to provide more accurate data on Covid-19 patients to better assess vaccine-altered situation

In light of rising vaccination rates against Covid-19, government circles are preparing to move away from incidence rates as a decision-making criterion in the Corona crisis. "Since at-risk groups are vaccinated, high incidence does not automatically mean equally high burden in ICU beds", tweeted German Health Minister Jens Spahn (CDU) this weekend. "The incidence is increasingly losing its significance, we now need even more detailed information about the situation in the clinics."

Kunftig had to report all Covid 19 patients treated in the hospital, as well as their age, the type of treatment and their vaccination status, Spahn announced. So dear "promptly estimate how high the burden on the health care system will be and how well the vaccinations will work". The so-called seven-day incidence, i.e., the number of registered new infections per 100.000 inhabitants within one week was most recently at 6.2 nationwide, a slight increase. A week earlier, the figure had been 5.0.

Freedoms, "When everyone has received a full course of vaccinations"

However, several politicians from the CDU/CSU and SPD parties have now spoken out in favor of withdrawing the Corona exemptions as soon as everyone has had the opportunity to receive the first and second vaccinations. "When everyone has received a full vaccination offer and the vaccination protects against severe cases of even newer variants, we will have to gradually withdraw our Corona withdrawals again", Saarland’s Minister President Tobias Hans (CDU) told the Welt am Sonntag.

CSU Secretary General Markus Blume argued similarly: "Once every citizen has received a complete vaccination package and the vaccine remains effective, the overall responsibility shifts from the state back to the individual citizen. That is: With the vaccination protection for all also the time of the restrictions for all ends. But we are not yet at this point."

Aubenminister Heiko Maas (SPD) had spoken out for a lifting of all Corona restrictions as soon as all people in Germany have received a vaccination offer. This is to be expected in the course of August.

According to the Robert Koch Institute, 42.1 percent of the population has been fully vaccinated so far. 58.2 percent have received at least one dose of vaccine.

Covid-19 with a "normal flu" has a different ring to it than it did at the beginning of the vaccination campaign, or even before it. The president of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (Divi), Gernot Marx, had told the Handelsblatt on Thursday that he was looking ahead with "with respect, but not with panic to the autumn and a possible fourth wave". It will be "It will be fundamentally different than the previous waves, because significantly more people will be vaccinated and there will therefore be fewer severe cases – and therefore also significantly fewer patients with Covid-19 in the intensive care units". There were currently slightly more than 500 Corona patients from the previous wave. The occupancy rate is normalizing. Corona is therefore "actually become a normal flu case from an intensive care perspective".

The chairman of the World Medical Association, Frank Ulrich Montgomery, believes that the point at which corona can be regarded as a normal disease will not come until 85 percent of the population has been immunized through vaccination and exposure to the disease. "But we will never get rid of Corona", emphasized Montgomery. In certain situations, masks probably always had to be worn, hands washed and distance maintained – "and we will have to revaccinate regularly, as we do with the flu".

Referring to the significant rise in infection rates in the U.K. and the planned lifting of Corona restrictions there, Montgomery said he believes such "Loosening up" for irresponsible. He wondered how many people were infected in the evening at the European Championship final at Wembley Stadium. "And I am a bit afraid of it."

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