How Germany Contained the Coronavirus

3 comments, 655 views, posted 11:52 am 23/05/2020 in Health by tricpe
tricpe has 16353 posts, 7398 threads, 73 points, location: In a pair of Speedo
Mad Mod

Compared to many other countries, Germany has managed the COVID-19 crisis well, owing to its properly funded health system, technological edge, and decisive leadership. But beyond any unique feature of the German system is something that all countries can replicate: a strong commitment to building public trust.

BERLIN – Germany is often referred to as a positive example of how to manage the COVID-19 pandemic. We were successful in preventing the overburdening of our health system. The curve of infections is clearly flattening. And the proportion of severe cases and fatalities is lower in Germany than in many other countries. But this makes us humble, rather than overconfident.

I see three reasons why Germany is coming through this crisis relatively well, for now. First, the German health-care system was in good shape going into the crisis; everyone has had full access to medical care. This is a merit not just of the current government but of a system that was built over the course of many governments. With an excellent network of general practitioners available to deal with milder COVID-19 cases, hospitals have been able to focus on the more severely ill.

Second, Germany was not the first country to be hit by the virus, and thus had time to prepare. While we have always kept a relatively large number of hospital beds available, particularly in intensive-care units, we also took the COVID-19 threat seriously from the beginning. Accordingly, the country’s ICU capacity was increased by 12,000 beds to 40,000 very quickly.

Third, Germany is home to many laboratories that can test for the virus, and to many distinguished researchers in the field, which helps to explain why the first rapid COVID-19 test was developed here. With a population of around 83 million people, we are able to perform up to one million diagnostic tests per day, and will soon have the capacity to perform around five million antibody tests per month. Extensive testing is like pointing a flashlight in the dark: without it, you can see only shades of grey; but with it, you can see details clearly and immediately. And when it comes to a disease outbreak, you can’t control what you can’t see.

To be sure, as Germany’s federal minister of health, I recognize we are seeing only momentary snapshots. No one can predict with confidence how the pandemic will develop in a few weeks or months. We have not imposed national curfews, but we have asked citizens to stay at home voluntarily. Like many other countries, we have been living under severe restrictions on public and private life for two months. From what we know, this response has been necessary and effective.

Yet the consequences of the lockdown cannot be ignored, which is why we are gradually trying to return to normal. The challenge is that reducing protective measures is potentially as fraught an issue as introducing them in the first place. Though we are operating under conditions of deep uncertainty, we can be certain about the danger a second epidemic wave poses. Thus, we remain vigilant.

First, it is critical that governments inform the public not just about what they know, but also about what they do not know. That is the only way to build the trust needed to fight a lethal virus in a democratic society. No democracy can force its citizens to change their behavior – at least not without incurring high costs. In pursuing a coordinated, collective response, transparency and accurate information is far more effective than coercion.

In Germany, we have succeeded in slowing the spread of the virus because the vast majority of citizens want to cooperate, out of a sense of responsibility for themselves and others. But to maintain this success, the government must complement timely information about the virus with open public debate and a roadmap for recovery.

Second, in addition to informing the public, governments should show that they are relying on citizens to understand the situation and what it demands. Because they are informed, German citizens know that a return to normality is not possible without a vaccine. In thinking about our new, daily routines, our formula is to pursue as much normality as possible with as much protection as necessary.

As long as our decisions about where and how we loosen restrictions accord with clear and sensible criteria, we trust that German citizens will support them. Our decisions should be driven by evidence and emphasize reducing the risk of infection. We know that social distancing is the most effective protection. When people remain at least five feet (1.5 meters) apart, the risk of infection is reduced substantially. And if we can ensure compliance with basic rules of hygiene, the risk drops even further. The remaining residual risks can be handled in various ways, depending on the situation.

Third, the pandemic has shown why an interconnected world needs global-level crisis management. Sadly, multilateral cooperation has become more difficult in recent years, even among close allies. Now that we see how much we need one another, the current crisis should be a wake-up call. No single country can manage a pandemic alone. We need international coordination, and if the institutions that exist for this purpose are not functioning well enough, we must work together to improve them.

Fourth, we Europeans must reconsider how we approach globalization, recognizing that it is critical to produce necessary essential goods like medical equipment within the European Union. We will need to diversify our supply chains to avoid being wholly dependent on any one country or region. But rethinking globalization does not mean reducing international cooperation. On the contrary, joint efforts among EU member states are already driving progress toward a vaccine. Once discovered, it will be only prudent to ensure that the vaccine is produced in Europe, even as it is made available worldwide.

Like most crises, this one offers opportunities. In many areas, it has brought out the best in us: a new sense of community, a greater willingness to help others, and renewed flexibility and creativity. There can be no doubt that the medium-term consequences of the pandemic will be tough. But despite all the difficulties and uncertainties that lie ahead, I remain optimistic. In Germany and elsewhere, we are witnessing what our liberal democracies and citizens are capable of.

Jens Spahn is Germany’s Federal Minister of Health.

Extra Points Given by:

Eavesy (5)


4:17 pm 23/05/2020


I'd suggest closing borders to 5 countries early on (after 12 deaths) helped somewhat, though it doesn't seem to mention this. Funny that.

2:51 pm 25/05/2020



The methodology behind Germany’s data gathering could also play into the discrepancy between Italian and German figures.

If a patient is tested positive for Covid-19 in Germany, the doctor will notify the local health authority, which will then digitally transfer the data to the Robert Koch Institute. The lag in this process explains why the RKI’s daily figures have been consistently lower than those from Johns Hopkins University, which updates its data tables more frequently. By 10am on Sunday morning, for example, the RKI only notes 55 fatalities in Germany.

Unlike in Italy, there is currently no widespread postmortem testing for the novel coronavirus in Germany. The RKI says those who were not tested for Covid-19 in their lifetime but are suspected to have been infected with the virus “can” be tested after death, but in Germany’s decentralised health system this is not yet a routine practice.
10:53 pm 25/05/2020


so like everyone else they beat it by manipulating numbers. The US is doing the opposite and inflating them. Canada is doing the same. Every covid death means the hospital gets $$$ to account for cleanup/sanitizing where a none covid death doesn't get that

Add Comment

via teoti, or register to add a comment!