Germany has thus managed to limit the number of virus-related deaths, without imposing too drastic confinement measures on its population – as was the case in other European states. By placing scientific rationality at the heart of its strategy, Germany has been able to opt for a middle way between the search for herd immunity and excessive control of its population. With a number of deaths per million inhabitants of 118.6 during the first wave of the epidemic - compared to 658.9 in the United Kingdom, 605.9 in Italy and 502 in France - Germany has a more favorable human toll than its main neighbors. But Germany's success during the first wave of Covid-19 does not shield it from a possible setback: on the contrary, this success could lead Germany to underestimate the urgency to act again.
An exponential growth
As explained by the German Chancellor, Angela Merkel, in a video gone viral due to its precision and pedagogy, the number of contaminations recorded in Germany is now increasing exponentially. On October 17, 2020, the Robert Koch National Institute of Public Health reported 7,830 new cases in 24 hours, a record since the beginning of the outbreak. While this result can be partly explained by the number of tests performed - Germany has been conducting an average of 1,160,000 tests per week since the middle of September, an average comparable to that of France - it also reflects a worrying health situation that could rapidly degenerate.
The epidemiological situation in Germany varies greatly from one region to another: while the rural region of Berchtesgaden, close to the Austrian border, was the first to reimpose total lockdown, Germany's urban centers currently represent the main sources of infection. With 100 new cases per 100,000 inhabitants as of October 20, Berlin holds the record for infections, far ahead the Länder of North Rhine (62.3), Baden-Württemberg (53.1), the city-state of Hamburg (52) and Bavaria (50.3). So far, the Eastern Länder, with their lower urbanization rate and population density, appear to be relatively unaffected.
Despite these disturbing new figures, the resources of the German healthcare system, especially its great number of intensive care beds, remain the main safeguard against an uncontrollable spread of the pandemic. As Reinhard Busse, Head of the Department of Health at the Technical University of Berlin explains: "We have to disrupt this current dynamic, not because it would overwhelm our hospitals’ capacity, but to avoid the pain of unnecessary infections and to minimize the long-term consequences of this crisis". As of October 15, Germany had a total of 655 patients in intensive care, while the number of intensive care beds at the federal level stood at 30,000.
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