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The Oberlausitzer Bergland Clinic in Zittau, Saxony, is reviewing reports on possible triage in patients with a crown. At the moment, nothing can be said about the remarks the clinic’s medical director is said to have made in an online citizen forum Tuesday evening. This was told to the German press agency by a spokeswoman for the Görlitz district health center, to which the hospital belongs.
The hospital’s medical director, Mathias Mengel, had, according to a report from the news portal T-online He said the hospital did not have enough ventilation beds. Therefore, it has already had to be classified several times. For the first time in Germany, the director of a clinic has confirmed that doctors must decide which patient receives oxygen and who does not.
The technical term triage comes from the French verb “trier”, which means “to order” or “to choose”. In a medical context, it means that patients are classified according to the severity of their illness or other criteria and then a decision is made about who will be treated first.
According to Mengel, attempts are currently being made to transfer patients who cannot receive care to other clinics. However, the situation in Saxony hospitals is tense. According to Mengel, some hospitals would no longer accept patients. Deutschlandfunk also reported on the considerations of moving patients on a large scale to other federal states such as Schleswig-Holstein.
In the Görlitz district, to which Zittau belongs, the infection rate is currently very high. Here the seven-day incidence on Tuesday was 645 per 100,000 inhabitants. According to the district, as of Tuesday afternoon, 263 corona patients were treated as inpatients at clinics in Germany’s easternmost district, 25 of them in intensive care. So far, 262 corona patients have died in the district.
In Germany there is no law on triage that determines how doctors should make decisions in emergency situations, only recommendations. The German Council of Ethics and the German Medical Association emphasize that, for reasons of equality, age should not be a category according to which decisions about access to medical care are made in an emergency. Instead, it’s called the “brittleness” factor. In France, Great Britain, Belgium and Sweden there is a recommendation for action to give preference to younger patients.
Maximum value: RKI recorded more than 950 kills per crown
The number of registered deaths related to the coronavirus has skyrocketed to a new record. In one day, German health authorities sent 952 new deaths to the Robert Koch Institute (RKI), according to RKI figures from Wednesday morning. In addition, 27,728 new infections were recorded. However, Tuesday’s data did not contain figures for Saxony, so the new figures could also contain late records, as stated. Last Wednesday (December 9), 20,815 new infections and 590 deaths were reported. Previous highs of 29,875 reported cases and 598 deaths were reached on Friday.
The trend in the number of daily deaths had recently increased, which was also expected after the sharp increase in new infections. On Tuesday, the number of recently reported deaths was 500 and thus, even without the missing Saxon data, the third highest value since the start of the pandemic. The total number of people who died with or with a proven Sars-CoV-2 infection rose to 23,427 as of Wednesday.
The incidence of seven days, decisive to assess the situation, the new infections reported per 100,000 inhabitants in seven days, also reached a new maximum of 179.8. On Tuesday this value was 173.7. The missing data from Saxony only slightly influenced the value, according to the RKI.
The RKI has counted 1,379,238 infections detected with Sars-CoV-2 in Germany since the start of the pandemic (until December 16, 00:00). Around 1,025,000 people are estimated to have recovered.
The seven-day R-value nationwide was 1.06 based on Monday’s RKI management report (previous day: 1.12). This means that, in theory, 100 infected people infect 106 more people. On Tuesday night, the RKI gave a value of 0.98, but it can only be used in a limited way due to data that is still pending. The value represents the onset of the infection eight to 16 days ago. Only when it is below 1 for a longer period does it decrease.
Corona outbreak at Amazon’s distribution center
At Amazon’s distribution center in Garbsen, near Hannover, around 60 employees tested positive for Covid-19 in the middle of the Christmas business, the Hannover region announced. The health authority and the company are in contact. During an on-site inspection over the weekend, he got an idea of the situation. “The next steps are currently being coordinated between the Hannover region health department and the local administration,” the region said. In a statement from the company, he said that the health authorities had confirmed the effectiveness of the measures taken.
According to the company, more than 900 people work at the Garbsen location during the Christmas season. At first she had Hannoversche Allgemeine Zeitung reported on the outbreak.
Armin Laschet: Lockdown “hold on until the goal is reached”
According to the Prime Minister of North Rhine-Westphalia, Armin Laschet (CDU), the lockdown in Germany should last until the number of new infections is significantly reduced. “We have to hold out until the goal of significantly reducing incidence is achieved,” Laschet said. Publishing network Germany. The economic consequences of the restrictions are not in the foreground. “The protection of health and the protection of life have priority. It is about preventing a national health emergency.” Health authorities at the national level must again be able to trace the contacts of infected people.
The nationwide lockdown begins this Wednesday
The harsh blockade has started in Germany to curb the spread of the corona virus. As of this Wednesday, the corresponding regulations will apply in the federal states until January 10. Retail stores have to close, exceptions only apply to stores that meet daily needs. Schools remain closed or compulsory attendance is suspended. Hairdressers and other service providers in the personal care industry can no longer open.
With the tough restrictions, the federal and state governments want to break the wave of new infections in Germany. The goal is to bring the number of new infections per 100,000 inhabitants to a maximum of 50 in one week to make contact tracking possible again.
Starting this Wednesday, private gatherings will initially be limited to your own home and one other person. A maximum of five people can meet. Children up to 14 years old are not counted. A special rule applies only from December 24 to 26. “In the closest family circle, meetings with 4 people beyond their own home (plus children up to 14 years old) are possible, even if this means more than two households or 5 people over 14 years old,” writes the federal government on their website.
The exact design is a matter for the federal states, which regulate it accordingly in their respective Crown ordinances. General: Schools are closed or compulsory attendance is suspended. Emergency care is guaranteed and distance education is offered. Nurseries are also closed. Emergency care is possible. In retail, there are exceptions for grocery stores, pharmacies, and post offices.
Chancellor Angela Merkel (CDU) agreed on these drastic steps with the prime ministers of all 16 federal states on Sunday in light of the rapid increase in the number of infections. They are initially limited to January 10. On January 5, the federal and state governments want to take stock together and advise on the next route.
Spahn: vaccination starts before the turn of the year, normal in summer
Federal Health Minister Jens Spahn has announced that the measures will be withdrawn in summer. In an interview with television station RTL, he said Wednesday that the restrictions would remain necessary until then, even if vaccines could begin this year. “Starting in the summer we can return to normal step by step,” said the CDU politician. Then there would be enough vaccines available for everyone who wants to get vaccinated. To stop the spread of the virus, it would have to vaccinate 55 to 65 percent of the population, the health minister said.
On Tuesday, before the national blockade in Berlin went into effect, Spahn commented on the “Corona situation before Christmas.” Do your best to get a vaccine approved as soon as possible, Spahn said. “We are not doing an emergency approval, but a proper approval.” It’s also about gaining and maintaining confidence in the vaccine. Spahn announced that he wanted to continue down the European path, not the national one. The European Medicines Agency EMA is responsible for approval. “We want to start vaccinating before the turn of the year,” Spahn said. A vaccine will probably be approved in the EU before Christmas.
The EMA intends to present its report on the approval of the Biontech and Pfizer corona vaccine on December 21, eight days earlier than was last planned. The authority announced in Amsterdam on Tuesday after Spahn’s press conference. The approval of the EU Commission is considered secure. In fact, the vaccine could be approved for the EU before Christmas.
Corona tests for returning travelers are now paid
Corona tests for travelers returning from risk areas with a high number of infections abroad are no longer free from this Wednesday. This claim, which was filed in the summer, expired on Tuesday, according to an ordinance recently announced by the Federal Ministry of Health. So far, these vacationers have been able to take the free trial to shorten the mandatory quarantine when they return to Germany.
This will further toughen regulations. Anyone who makes an “avoidable trip” to risk areas will no longer receive compensation for lost income during the time of quarantine. The exceptions are “exceptional circumstances” such as the birth of one’s own children or the death of close relatives. A federally owned Robert Koch Institute (RKI) list indicates which countries are considered risk areas for German vacationers.
