BERLIN The University Hospital of Giessen, one of Germanys foremost clinics for pulmonary disease, is at capacity. The number of Covid-19 patients has tripled in recent weeks. Nearly half of them are on ventilators.
And every single one is unvaccinated.
I ask every patient: Why didnt you get vaccinated? said Dr. Susanne Herold, head of infectious diseases, after her daily round on the ward on Thursday. Its a mix of people who distrust the vaccine, distrust the state and are often difficult to reach by public information campaigns.
Patients like hers are the main drivers of a fourth wave of Covid-19 cases in Germany that has produced tens of thousands of new daily infections more than the country has had at any point in the pandemic.
For Germany it is a startling turnabout. At the onset of the pandemic, Germany had set an example for how to manage the virus and keep the death toll low. It was quick to put in place widespread testing and treatment, expand the number of intensive care beds and had a trusted leader in Chancellor Angela Merkel, a trained scientist, whose governments social distancing guidelines were widely observed.
But today, a combination of factors has propelled a new surge, among them wintry temperatures, a slow rollout of booster vaccines, and an even more pronounced spike in infections in neighboring eastern European nations like the Czech Republic. The fact that Germany is in a kind of political limbo as it transitions between governments has not helped.
But virologists and pandemic experts say there is little doubt that it is the unvaccinated who are contributing most to the wave of infections burdening in hospitals across the country.
Its our low rate of vaccination we havent done what was necessary, said Dr. Herold in Giessen. She was part of a team of scientists who modeled the impact of a fourth wave and warned in early summer that with the hyper contagious Delta variant at least 85 percent of the whole population would need to be vaccinated to avert a crisis in the health care system.
We are still below 70 percent, she said. I dont know how we can win this race against time with the fourth wave. I fear weve already lost.
Germanys vaccination rate is far better than that of many central and eastern European countries, where the death toll from coronavirus is soaring. In Romania, for example, only about four in 10 people have had two shots, and coronavirus deaths have hit record levels.
Still, with about one in three Germans not yet fully vaccinated, the German vaccination rate is among the lowest in Western Europe. In Belgium, Denmark and Italy three in four people are fully vaccinated. In Spain and Iceland, only about two in 10 have yet to get the second shot. Portugal has a vaccination rate of close to 90 percent.
The German rate lags because of pockets of vaccine resistance that are not limited to, but especially deep, in the former Communist east, where the far-right Alternative for Germany party is strong. Tino Chrupalla and Alice Weidel, leaders of the AfDs parliamentary group, are both proudly unvaccinated and both tested positive for the virus in recent weeks.
What we are experiencing is above all a pandemic of the unvaccinated, the minister of health, Jens Spahn, said earlier this month.
Infections have also spiked in parts of Bavaria and Baden-Wrttemberg, two wealthy southern states that are home to a noisy protest movement against measures to combat the virus, known as the Querdenker, or contrarians.
We have two viruses in the country, Markus Sder, the Bavarian governor, said in a television debate recently. We have coronavirus and we have this poison, which is being spread on a massive scale, he said referring to misinformation about vaccines.
Nov. 11, 2021, 4:16 p.m. ET
Klaus-Peter Hanke knows about that poisonous propaganda firsthand.
He is the mayor of Pirna, a town of less than 40,000 in the eastern state of Saxony, which experienced a wave of violent protests from anti-vaxxers in the final days of the lockdown last spring.
One in three voters in the voting district that includes Pirna cast their ballots for the AfD in Septembers national election. And just under half of inhabitants refuse to get vaccinated. They have helped to make Saxony the state with the lowest vaccination rate in Germany and with the highest per capita number of new infections.
The readiness to get vaccinated is low here, Mr. Hanke said in an interview. We tried to counter that with dialogue. But there is a point where you hit a wall, and you just cant get any further and one result is that it has escalated.
The Covid ward at the hospital is running out of beds. There, too, almost all patients are unvaccinated, Mr. Hanke said: Nine out 10.
And still, several restaurants in town have signs in the window, inviting everyone not just those vaccinated or recovered from an infection as per state rules to come inside.
There are now 10 control teams of three people each a police officer a health official and someone from the department of public order who roam the citys restaurants, bars and hairdressers and fine those disregarding the rules on the spot: Owners have to pay 500 euros, about $572, patrons 150 euros, $170.
Its pretty drastic, said Mr. Hanke, who has vaccine resisters in his own circle of friends. But we see no other way to get people to change their behavior.
Anecdotally at least, the tough approach might be paying off. Waiting times at mobile vaccination units increased to two hours this week, Mr. Hanke reported, suggesting that the threat of exclusion from much of indoor public life might be nudging more people to get a shot.
Several other German states are now working on similar regulations, introducing stricter mask mandates and instead of a negative test, making proof of vaccination or past infection mandatory for entry to many venues.
That may no longer be enough, said Sandra Ciesek, director of the Institute of Medical Virology at the University Hospital of Frankfurt and cosignatory of a paper by seven prominent scientists published last week, in which they urge politicians to speed up booster shots and consider a range of measures, including partial lockdowns for the unvaccinated or even a short-term national lockdown.
The absence of political leadership at the national level at a time when the number of new daily infections is soaring beyond 50,000 has added to the muddled approach to containing the virus.
Since her conservative party lost the national election in September, Ms. Merkel remains only as the head of a caretaker government while her likely successor, Olaf Scholz, has been absorbed by difficult coalition talks with two other parties.
Where is Angela Merkel? Der Spiegel asked in an article this week, before asking a few paragraphs lower: Where is Scholz?
It is a question many virologists across the country are asking, too, concerned that a lack of political leadership is wasting valuable time and potentially costing lives.
There is no real center of power and responsibility: The country is missing leadership, said Michael Meyer-Hermann, head of the department of Systems Immunology at the Helmholtz Centre for Infection Research and a member of the council of experts that has advised Ms. Merkel throughout the pandemic.
The outgoing government no longer really reacts, and the incoming government is playing everything down, he added.
After the number of daily new coronavirus infections hit a record high on Nov. 3, reaching 33,949, German virologists sounded the alarm. The response from Mr. Scholzs future coalition partners was a statement promising that there would not be another lockdown.
For me it was a key moment, Professor Meyer-Hermann said. They act like the pandemic is over at a time when the numbers are exploding.
Christopher F. Schuetze contributed reporting.
The rest is here:
Germanys Fourth Covid Wave: A Pandemic of the Unvaccinated - The New York Times
- 2024 CDC COVID-19 guidelines: Isolation, masks, what you should know - The Arizona Republic - February 29th, 2024 [February 29th, 2024]
- Long Covid and Impaired Cognition More Evidence and More Work to Do | NEJM - nejm.org - February 29th, 2024 [February 29th, 2024]
- Prospective Memory Assessment before and after Covid-19 | NEJM - nejm.org - February 29th, 2024 [February 29th, 2024]
- A pandemic that won't go away as COVID enters its 5th year, NZ needs a realistic strategy - The Conversation - February 29th, 2024 [February 29th, 2024]
- Older US adults should get another COVID-19 shot, advisers say - Detroit News - February 29th, 2024 [February 29th, 2024]
- Vaping increases susceptibility to COVID-19 infection, study finds - News-Medical.Net - February 29th, 2024 [February 29th, 2024]
- Older U.S. adults should get another covid-19 shot, advisers say - TribLIVE - February 29th, 2024 [February 29th, 2024]
- Vapers More Susceptible to COVID-19 Infection Than Tobacco Smokers, Reveals Study | Weather.com - The Weather Channel - February 29th, 2024 [February 29th, 2024]
- How we met: She was in the next hospital bed and I loved her accent - The Guardian - February 29th, 2024 [February 29th, 2024]
- Fleet To Hit Record Size In 2024 But Still Suffering Covid Hangover - Forbes - February 29th, 2024 [February 29th, 2024]
- How vaccine hesitancy is contributing to rising rates of measles and COVID - PBS NewsHour - February 29th, 2024 [February 29th, 2024]
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- CT-based Assessment at 6-Month Follow-up of COVID-19 Pneumonia patients in China | Scientific Reports - Nature.com - February 29th, 2024 [February 29th, 2024]
- Covid in 2024: What to Know About Guidelines, Symptoms and Vaccines - WSJ - The Wall Street Journal - February 29th, 2024 [February 29th, 2024]
- Unlocking coronavirus structure through M protein research - News-Medical.Net - February 29th, 2024 [February 29th, 2024]
- SARS-CoV-2 fragments may cause problems after infection - National Institutes of Health (NIH) (.gov) - February 29th, 2024 [February 29th, 2024]
- People 65 and up should now get another COVID-19 vaccine, CDC recommends - cleveland.com - February 29th, 2024 [February 29th, 2024]
- Welcome to the 2024 CFA Annual Report | Covid-19 | news-journal.com - Longview News-Journal - February 29th, 2024 [February 29th, 2024]
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- R.I. COVID-19 cases increased by 337 last week, with 2 deaths - Providence Business News - February 29th, 2024 [February 29th, 2024]
- Older US adults should get another COVID-19 shot, advisers say - NBC Bay Area - February 29th, 2024 [February 29th, 2024]
- Cognitive Deficits Seen in COVID-19 Patients Regardless of Symptom Duration - HealthDay - February 29th, 2024 [February 29th, 2024]
- CDC recommends seniors get another Covid-19 shot - Baltimore Sun - February 29th, 2024 [February 29th, 2024]
- Odds of Severe COVID-19 High for Hematologic Cancer Patients During Pandemic - HealthDay - February 29th, 2024 [February 29th, 2024]
- COVID-19 may have small but lasting effects on cognition and memory | Imperial News - Imperial College London - February 29th, 2024 [February 29th, 2024]
- More free home COVID-19 tests available from US government - WCVB Boston - November 20th, 2023 [November 20th, 2023]
- Seniors made up 63 percent of covid hospitalizations earlier this year - The Washington Post - November 20th, 2023 [November 20th, 2023]
- Fifth Covid-19 wave sees biggest bump in virus detection since ... - New Zealand Herald - November 20th, 2023 [November 20th, 2023]
- KFF COVID-19 Vaccine Monitor November 2023: With COVID ... - KFF - November 20th, 2023 [November 20th, 2023]
- What to Know About the New Dominant Covid Variant - The New York Times - August 12th, 2023 [August 12th, 2023]
- Should You Get Another Covid Booster Now, or Wait Until the Fall? - The New York Times - August 12th, 2023 [August 12th, 2023]
- A 'mini cyclone' helps detect coronavirus in the air - Science News Explores - August 12th, 2023 [August 12th, 2023]
- Infection prevention and control in the context of coronavirus ... - World Health Organization - August 12th, 2023 [August 12th, 2023]
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- Posts Exaggerate Significance of Swiss Study on Heart Risk and ... - FactCheck.org - August 12th, 2023 [August 12th, 2023]
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- Biden Administration Fails to Share Intel on COVID-19 Origins, but Independent Evidence Is Piling Up - Heritage.org - June 24th, 2023 [June 24th, 2023]
- Do I need a booster vaccine if I recently had COVID? What if I'm not sure what I had? - The Conversation - June 24th, 2023 [June 24th, 2023]
- Psychics, wrestlers and churches: How online shopping and Covid changed mall tenants - Buffalo News - June 24th, 2023 [June 24th, 2023]
- Report: Incarcerated populations up 4% post-COVID - CorrectionsOne - June 24th, 2023 [June 24th, 2023]
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- Mayor Kirk Watson tests positive for COVID-19 - KEYE TV CBS Austin - February 5th, 2023 [February 5th, 2023]
- Biden's plan for ending the emergency declaration for COVID-19 signals a pivotal point in the pandemic 4 questions answered - The Conversation... - February 5th, 2023 [February 5th, 2023]
- Study finds one habit can significantly lower your odds of getting sick from COVID-19 - KATU - February 5th, 2023 [February 5th, 2023]
- How will life change once the COVID-19 emergency ends? - KFOX El Paso - February 5th, 2023 [February 5th, 2023]
- Shipping Corporation of India and Seven Islands Shipping re-join membership of INSA - ETInfra.com - January 30th, 2023 [January 30th, 2023]
- COVID-19 Response | United Nations - December 28th, 2022 [December 28th, 2022]
- Top German virologist says COVID-19 pandemic is over - Hindustan Times - December 28th, 2022 [December 28th, 2022]
- China says impossible to track COVID spread as virus surges - Al Jazeera English - December 14th, 2022 [December 14th, 2022]
- What are the most common COVID symptoms now? Its no longer fever, loss of taste - AL.com - December 14th, 2022 [December 14th, 2022]
- Entropy and life - Wikipedia - November 27th, 2022 [November 27th, 2022]
- Negentropy - Wikipedia - November 27th, 2022 [November 27th, 2022]
- Coronavirus: OC reported 1,602 new cases and six more deaths over the past week, as of Nov. 17 - OCRegister - November 19th, 2022 [November 19th, 2022]
- How COVID-19 damages lungs: The virus attacks mitochondria, continuing an ancient battle that began in the primordial soup - The Conversation - October 30th, 2022 [October 30th, 2022]
- How to save this winter on heating costs - WKYC.com - October 23rd, 2022 [October 23rd, 2022]
- 'Fonseca' book review: The Goan artist's biography misses the art of the matter - The New Indian Express - October 23rd, 2022 [October 23rd, 2022]
- Researchers' tests of lab-made version of Covid virus draw scrutiny - STAT - October 21st, 2022 [October 21st, 2022]
- Coronavirus: Orange County reported 1,427 more cases and seven more deaths in the past week as of Oct. 20 - OCRegister - October 21st, 2022 [October 21st, 2022]
- 3 Illinois Counties at High Community Level for COVID-19 as 1 Million Bivalent Booster Shots Have Been Administered - NBC Chicago - October 21st, 2022 [October 21st, 2022]
- What Is Coronavirus? | Johns Hopkins Medicine - October 17th, 2022 [October 17th, 2022]
- Gaston County reported 177 additional COVID-19 cases this week - Gaston Gazette - October 17th, 2022 [October 17th, 2022]
- Coronavirus Roundup: The Biden Administration Renews the Public Health Emergency for COVID-19 - GovExec.com - October 17th, 2022 [October 17th, 2022]
- Circulation of Public Warning Alert on COVID-19 vaccines fraudulently using PAHO's name and logo - World - ReliefWeb - October 17th, 2022 [October 17th, 2022]
- Time to Get Your Flu Shot and Your COVID-19 Booster Too - Health.mil - October 17th, 2022 [October 17th, 2022]
- Evasive COVID-19 subvariants that you dont know about are spreading fast - Poynter - October 17th, 2022 [October 17th, 2022]
- Deer and mink can harbor Covid-19: Why animal virologists say we need to worry - Inverse - October 17th, 2022 [October 17th, 2022]
- Europe likely entering another COVID wave, says WHO and ECDC - Reuters - October 17th, 2022 [October 17th, 2022]
- Without a nasal vaccine, the U.S. edge in fighting Covid is on the line - POLITICO - October 17th, 2022 [October 17th, 2022]
- COVID-19 Daily Update 10-17-2022 - West Virginia Department of Health and Human Resources - October 17th, 2022 [October 17th, 2022]
- Coronavirus: Government seeking to extend powers behind COVID restrictions until 2025 - Newshub - October 17th, 2022 [October 17th, 2022]
- Shocking: EcoHealth Alliance receives another round of funding for coronavirus bat research in Asia - The Center Square - October 17th, 2022 [October 17th, 2022]
- Opportunities in Health Education in the Post-COVID-19 Era: Transforming Viral to Vital - Cureus - October 17th, 2022 [October 17th, 2022]
- Fauci says COVID-19 was politicized by triple whammy of outbreak, division and 2020 election - WJTV - October 17th, 2022 [October 17th, 2022]
- How long does immunity from the new COVID bivalent boosters last 'in the real world'? - San Francisco Chronicle - October 17th, 2022 [October 17th, 2022]
- Respiratory illnesses have spiked among children. Here's what parents need to know. - Yahoo News - October 17th, 2022 [October 17th, 2022]