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Role backwards: Isolation obligation to remain in place after all

/Daniel, stock.adobe.com

Berlin — The voluntary isolation of people infected with corona, which was planned for May 1, will not take place after all. Federal Health Minister Karl Lauterbach (SPD) took responsibility for the back and forth at noon today. The quarantine rules would nevertheless be relaxed — explicitly not because the infection situation would improve, but to relieve the health authorities.

The minister had withdrawn the decision made the day before yesterday for voluntary isolation in the event of a Corona infection shortly after half past two in the night to today via Twitter. “The termination of the order of isolation after corona infection by the health authorities in favor of voluntariness would be wrong and will not come. This is where I made a mistake,†he wrote. He said the planned change would relieve the burden on health departments. But the signal is “wrong and harmful.â

Lauterbach stressed: “The mistake was mine and has nothing to do with the FDP or relaxation.†In the ZDF program “Markus Lanz†Lauterbach had already announced late yesterday evening that there will be the planned May 1 voluntary isolation of corona infected but not. However, a shortened isolation of five days should remain.

Today in Berlin, he explicitly took responsibility for the “communicative damage†he had caused: He commented in the middle of the night because he “wanted to repair the damage as quickly as possible,†Lauterbach said. It was a “mistake for which I am responsible myself.â

He had previously made the decision to end the isolation obligation himself, but the reactions he had received had made him change his mind. Lauterbach emphasized that these were mainly discussions with scientists; Chancellor Olaf Scholz (SPD) did not exert any influence.

The health authorities are currently heavily burdened with the prosecution of quarantine and isolation cases and have expressed the wish that relief be made possible. “We will do that by no longer mandating quarantine,†Lauterbach said.

Quarantine is about tracking those who have had contact with an infected person. “This will no longer be ordered,†Lauterbach announced. In the future, contact persons of infected persons will no longer have to isolate themselves. For them, only the “urgent recommendation†to isolate themselves will apply.

Only if someone is infected himself, there must be an isolation. “Such isolation must then be ordered by the health authorities, and it must also be monitored and sanctioned.â

After five days, infected persons could then test themselves. Lauterbach emphasized that the idea of introducing voluntary isolation is not a relaxation due to an improved infection situation. “At the present time, the scope for possible relaxation is exhausted,†LauterÂbach said. Instead, he said, it was a measure to relieve the pressure.stung acted.

After consultations of the health ministers of the federal government and the states, the minister had announced the day before yesterday that corona infected persons and contact persons from May 1, as a rule, only voluntarily and for a shorter time in isolation or quarantine.

Infected persons should therefore only be “urgently advised†to isolate themselves for five days and avoid contact — contact persons of infected persons should be advised accordingly. An order from the public health department should be omitted.

Lauterbach said on ZDF that this would have made sense in order to relieve the health authorities. However, the signal that an infected person decides on isolation himself is “so negative, so devastating†that there must be a change at this point. The “symbolic harm†of Corona not being dangerous is so devastating that you cannot make this isolation order that way.

“If someone is sick, i.e. he has become infected, then the health department will continue to order it. And if someone is only a contact person, and it is quarantine, then you do it yourself.†For the quarantine, you don’t need the health authorities.

For employees in health care and nursing, there should also be the five-day rule. However, in order to end isolation due to an infection, one has to be symptom-free for 48 hours beforehand. In addition, a negative test must be submitted, which can be taken on the fifth day at the earliest.

Criticism from the states

Baden-Württemberg’s health ministry reacted with annoyance. “We take note of the short-term volte-face of the federal health minister, which we learned about via talk show and Twitter,†said a spokeswoman.

The federal health minister must now present a practicable proposal for the conference of health ministers next Monday. This must above all take into account the findings of health officials and experts, the spokeswoman said. She called for a “fact-based, orderly debate.â

“Everyone has the right to change their mind — even the federal health minister,†Heiner Garg (FDP), the health minister of Schleswig-Holstein, stressed today. However, especially with this highly sensitive topic in this very difficult phase of the pandemic fight, the credibility of and trust in politics is massively damaged by such a chaotic and unprofessional back and forth.

If the health ministers of all states unanimously accept a substantive proposal by the federal health minister and the Robert Koch Institute (RKI), which has also been developed by the expert levels of all 16 states since the beginning of the year, and this proposal is withdrawn by Lauterbach himself 24 hours later in one of his numerous talk show appearances, then this raises the question of “the minister’s ability to assert himself and communicate.â

The CDU chairman Friedrich Merz has criticized Lauterbach for rowing back. Until Tuesday evening, it was assumed that the duty would be lifted, Merz said on Deutschlandfunk radio. “This has the federal minister of health retracted last night in a talk show.†This shows how “short-minded†government is. Resolutions would not even be valid for 48 hours.

The deputy chairman of the Union faction in the Bundestag, Sepp Müller, said Lauterbach’s panÂdeÂmia policy and the withdrawal of voluntary isolation confused people. The federal minister of health seemed “increasingly dazed and ticked off.â

Criticism also comes from the EU level. The Corona policy of the traffic light is Murks “, explained the CDU European delegate and health-political speaker of the largest parliamentary group in the European parliament (EVP Christian Democrats), Peter Liese. It cannot be that a health minister first announces to lift the quarantine obligation and to provide isolation only voluntarily, and discusses this with the state health ministers, to then cash it in in a talk show.

In other European countries, quarantine is indeed voluntary and all Corona measures are lifted. “This is not the policy I would advocate in Germany at this point in time, but at least it is consistent then,†Liese said.

The National Association of Statutory Health Insurance Physicians (KBV) expressed surprise. The turnaround was “accepted with surprise,†said KBV head Andreas Gassen. KBV vice president Stephan Hofmeister added that measures should be clear, understandable and transparent — and not change on a daily basis through announcements.

“The fact is that we as a society have to learn to live with Corona, because the virus will not simply disappear again,†Hofmeister said. Whether this approach contributes to the acceptance of measures by the citizens is a matter for politicians to judge.

The chairman of the German Foundation for Patient Protection, Eugen Brysch, however, said it was good that the federal health minister had realized his mistake and wanted to maintain the obligation to isolate infected people. The obligation to isolate an infected person is something different from the quaÂrantäne of a contact person. “Infected people are infecting other people with the virus and endangering the very immune systems that live in our midst. Corona is not a cold.â

The BAG Selbsthilfe also expressed relief. “However, it is only a brief respite for the many chronically ill, disabled and elderly people,†said Federal Managing Director Martin Danner. Even with a legally mandated, short quarantine of five days for people suffering from corona, the vulnerable patient group still faces “an increased risk of developing a severe course of infection, which for some will certainly be life-threatening.†© dpa/lau/may/aerzteblatt.de



Source

/Daniel, stock.adobe.com

Berlin — The voluntary isolation of people infected with corona, which was planned for May 1, will not take place after all. Federal Health Ministerster Karl Lauterbach (SPD) took responsibility for the back and forth at noon today. The quarantine rules would nevertheless be relaxed — explicitly not because the infection situation would improve, but to relieve the health authorities.

The minister had withdrawn the decision made the day before yesterday for voluntary isolation in the event of a Corona infection shortly after half past two in the night to today via Twitter again. “The termination of the order of isolation after corona infection by the health authorities in favor of voluntariness would be wrong and will not come. This is where I made a mistake,†he wrote. He said the planned change would relieve the burden on health departments. But the signal is “wrong and harmful.â

Lauterbach stressed: “The mistake was mine and has nothing to do with the FDP or relaxation.†In the ZDF program “Markus Lanz†Lauterbach had already announced late yesterday evening that there will be the planned May 1 voluntary isolation of corona infected but not. However, a shortened isolation of five days should remain.

Today in Berlin, he explicitly took responsibility for the “communicative damage†he had caused: He commented in the middle of the night because he “wanted to repair the damage as quickly as possible,†Lauterbach said. It was a “mistake for which I am responsible myself.â

He had previously made the decision to end the isolation obligation himself, but the reactions he had received had made him change his mind. Lauterbach emphasized that these were mainly discussions with scientists; Chancellor Olaf Scholz (SPD) did not exert any influence.

The health authorities are currently heavily burdened with the prosecution of quarantine and isolation cases and have expressed the wish that relief be made possible. “We will do that by no longer mandating quarantine,†Lauterbach said.

Quarantine is about tracking those who have had contact with an infected person. “This will no longer be ordered,†Lauterbach announced. In the future, contact persons of infected persons will no longer have to isolate themselves. For them, only the “urgent recommendation†to isolate themselves will apply.

Only if someone is infected himself, there must be an isolation. “Such isolation must then be ordered by the health authorities, and it must also be monitored and sanctioned.â

After five days, infected persons could then test themselves. Lauterbach emphasized that the idea of introducing voluntary isolation is not a relaxation due to an improved infection situation. “At the present time, the scope for possible relaxation is exhausted,†LauterÂbach said. Instead, he said, it was a measure to ease the burden.

After consultations of the health ministers of the federal government and the states, the minister had announced the day before yesterday that corona-infected and contact persons would be exempt from the vaccination.As a rule, infected persons should only be placed in isolation or quarantine voluntarily and for a shorter period of time after May 1.

Infected persons should only be “urgently advised†to isolate themselves for five days and to avoid contact — the same should apply to contact persons of infected persons. An order from the public health department should be omitted.

Lauterbach said on ZDF that this would have made sense in order to relieve the health authorities. However, the signal that an infected person decides on isolation himself is “so negative, so devastating†that there must be a change at this point. The “symbolic harm†of Corona not being dangerous is so devastating that you cannot make this isolation order that way.

“If someone is sick, i.e. he has become infected, then the health department will continue to order it. And if someone is only a contact person, and it is quarantine, then you do it yourself.†For the quarantine, you don’t need the health authorities.

For employees in health care and nursing, there should also be the five-day rule. However, in order to end isolation due to an infection, one has to be symptom-free for 48 hours beforehand. In addition, a negative test must be submitted, which can be taken on the fifth day at the earliest.

Criticism from the states

Baden-Württemberg’s health ministry reacted with annoyance. “We take note of the short-term volte-face of the federal health minister, which we learned about via talk show and Twitter,†said a spokeswoman.

The federal health minister must now present a practicable proposal for the conference of health ministers next Monday. This must above all take into account the findings of health officials and experts, the spokeswoman said. She called for a “fact-based, orderly debate.â

“Everyone has the right to change their mind — even the federal health minister,†Heiner Garg (FDP), the health minister of Schleswig-Holstein, stressed today. However, especially with this highly sensitive topic in this very difficult phase of the pandemic fight, the credibility of and trust in politics is massively damaged by such a chaotic and unprofessional back and forth.

If the health ministers of all states unanimously accept a substantive proposal by the federal health minister and the Robert Koch Institute (RKI), which has also been developed by the expert levels of all 16 states since the beginning of the year, and this proposal is withdrawn by Lauterbach himself 24 hours later in one of his numerous talk show appearances, then this raises the question of “the minister’s ability to assert himself and communicate.â

The CDU chairman Friedrich Merz has criticized Lauterbach for rowing back. Until Tuesday evening, it was assumed that the obligation would be lifted, Merz said on Deutschlandfunk radio. “The federal health minister retracted this last night in a talk show.†This shows how “short-tempered†government is. Resolutions would have

n not even 48 hours valid.

The deputy chairman of the Union faction in the Bundestag, Sepp Müller, said Lauterbach’s panÂdeÂmia policy and the withdrawal of voluntary isolation confused people. The federal minister of health seemed “increasingly dazed and ticked off.â

Criticism also comes from the EU level. The Corona policy of the traffic light is Murks “, explained the CDU European delegate and health-political speaker of the largest parliamentary group in the European parliament (EVP Christian Democrats), Peter Liese. It cannot be that a health minister first announces to lift the quarantine obligation and to provide isolation only voluntarily, and discusses this with the state health ministers, to then cash it in in a talk show.

In other European countries, quarantine is indeed voluntary and all corona measures are lifted. “This is not the policy I would advocate in Germany at this point in time, but at least it is consistent then,†Liese said.

The National Association of Statutory Health Insurance Physicians (KBV) expressed surprise. The turnaround was met with “surprise,†said KBV head Andreas Gassen. KBV vice president Stephan Hofmeister added that measures should be clear, understandable and transparent — and not change on a daily basis through announcements.

“The fact is that we as a society have to learn to live with Corona, because the virus will not simply disappear again,†Hofmeister said. Whether this approach contributes to the acceptance of measures by the citizens is a matter for politicians to judge.

The chairman of the German Foundation for Patient Protection, Eugen Brysch, however, said it was good that the federal health minister had realized his mistake and wanted to maintain the obligation to isolate infected people. The obligation to isolate an infected person is something different from the quaÂrantäne of a contact person. “Infected people are infecting other people with the virus and endangering the very immune systems that live in our midst. Corona is not a cold.â€

BAG Selbsthilfe also expressed relief. “It is, however, only a brief respite for the many chronically ill, disabled and elderly people,†said Federal Managing Director Martin Danner. Even with a legally mandated short quarantine of five days for people suffering from corona, the vulnerable group of patients still faces “an increased risk of developing a severe course of infection, which for some will certainly be life-threatening.†© dpa/lau/may/aerzteblatt.de



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