üIn the past few months, this incidence rate has been set in pace with Germany’s new crown policy. She asked for the lockdown first, and then relaxed.Number of confirmed infections coronavirus, Always shrink to 100,000 residents, and exempt the federal and state governments from allegations of arbitrary action during the pandemic within a week. In the form of morbidity, everyone from the Federal Chancellor to the mayor has an indicator at hand. If the value rises, it must be tightened. If it sinks, you can release it. Just need to clarify the threshold. But with the vaccination, everything is over.
On Tuesday, the federal and state governments hope to speak at their summit on whether the incidence rate can maintain its role as a crisis metronome. There are preliminary suggestions on how to proceed before the meeting. Because vaccination provides good protection against serious diseases, the vaccination rate has changed the old equation. The more people are vaccinated against the virus — by Monday, nearly 55% of people in Germany are fully immunized — the incidence may rise until the intensive care unit becomes strained again.
Federal Minister of Health Jens Spann (The CDU) recently told Bild that as the vaccination rate has increased, “morbidity rates have become less meaningful.” Essentially, the Prime Minister has two possible solutions to deal with changing circumstances. They either adjust the incidence value or rely on other key figures.
If the incidence is still the most important number, it must be adjusted to reflect the impact of the incidence. Vaccination considering. Spahn once calculated that 200 would be the new 50. But multiplying by 4 is just one of many options. Christian Karagiannidis, head of the Intensive Care Registry of the German Interdisciplinary Association of Intensive Care and Emergency Medicine (DIVI), says that basically you can do this. However, the factor that offsets the incidence must be constantly adjusted and is between factor 2 and factor 6. “This is strictly based on their respective vaccination quotas,” Karagiannidis told FAZ
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Rudolf Henke, the CDU health politician, is advocating a different approach. In principle, the morbidity limit should be respected from the beginning of winter, Henk told Le Monde, “but from now on, distinguish between vaccinated and recovered people and people who have not been vaccinated. In the other.” Henke estimates that the incidence in the unvaccinated population is likely to exceed 50.That Robert Koch Institute (RKI) will have a national incidence rate of 23.1 on Monday morning.
On the other hand, prime ministers can agree to use other measurements besides morbidity to derive political steps, such as restrictions on unvaccinated people. In the past, incidence was never the only value on which a decision was made. But this is by far the most important. The three models can be used as a blueprint for a new balance.
Since July, the clinic had to collect more data
Christian Karagiannidis from DIVI advocates triads. Incidence rates, hospitalization rates, and intensive care bed occupancy rates should all play a role, and should definitely be investigated at the national level to take into account regional differences. In addition to the number of infections, how many COVID-19 patients must go to clinics and intensive care units due to illness should also play a role. In addition to the overall occupancy rate, the proportion of COVID-19 patients should also be recorded. Doctors believe that it is fatal to give up observing the incidence rate altogether. “It’s like removing the speedometer from the car and only turning on the speeding camera.”
In the calculation of the model, Karagiannidis and his colleagues found that the incidence rate is still significantly correlated with the occupancy rate of intensive care beds—just not as immediately before the vaccination. “In England, 15% of hospitalized patients end up in the intensive care unit. This ratio also remains the same during the vaccination process,” Karagiannidis said. This is why we should pay attention to the number of hospitalizations. In July, the Minister of Health Spahn asked the clinic to keep detailed records from now on. Therefore, these numbers should be available, even broken down according to the patient’s vaccination status, including information about the vaccines used.
