This article is from the source 'nytimes' and was first published or seen on . It last changed over 40 days ago and won't be checked again for changes.

You can find the current article at its original source at https://www.nytimes.com/2020/04/15/world/europe/coronavirus-germany-merkel.html

The article has changed 27 times. There is an RSS feed of changes available.

Version 6 Version 7
Relying on Science and Politics, Merkel Offers a Cautious Virus Re-entry Plan Relying on Science and Politics, Merkel Offers a Cautious Virus Re-entry Plan
(about 11 hours later)
BERLIN — Chancellor Angela Merkel on Wednesday set in motion a plan for Germany to begin lifting social and economic restrictions in place because of the coronavirus, even as she warned that the road ahead would look less like a return to normal than a way to live with a pandemic that has overturned ordinary life.BERLIN — Chancellor Angela Merkel on Wednesday set in motion a plan for Germany to begin lifting social and economic restrictions in place because of the coronavirus, even as she warned that the road ahead would look less like a return to normal than a way to live with a pandemic that has overturned ordinary life.
The chancellor, a physicist by training, was typically restrained and focused on the science as she announced the government’s cautious step-by-step plan, for which she had won the agreement of regional leaders in Germany’s diffuse federal system.The chancellor, a physicist by training, was typically restrained and focused on the science as she announced the government’s cautious step-by-step plan, for which she had won the agreement of regional leaders in Germany’s diffuse federal system.
Shorn of any bravado, her announcement seemed again to make Germany, Europe’s biggest economy, a de facto leader on the Continent and something of an example for Western nations looking to navigate the tricky course of rebooting economic activity and fighting the virus.Shorn of any bravado, her announcement seemed again to make Germany, Europe’s biggest economy, a de facto leader on the Continent and something of an example for Western nations looking to navigate the tricky course of rebooting economic activity and fighting the virus.
Her approach stood in stark contrast to the fraught political divisions in the United States, where state authorities have often been at odds with President Trump, who has made forceful but erratic predictions about the virus.Her approach stood in stark contrast to the fraught political divisions in the United States, where state authorities have often been at odds with President Trump, who has made forceful but erratic predictions about the virus.
“We have achieved something,” Ms. Merkel said at a news conference, “something that by no means was a given at the start — namely that our doctors and carers, all those in the medical field, in the hospitals, were not overwhelmed.”“We have achieved something,” Ms. Merkel said at a news conference, “something that by no means was a given at the start — namely that our doctors and carers, all those in the medical field, in the hospitals, were not overwhelmed.”
But she added: “What we’ve achieved is an interim success — no more, no less. And I stress that it is a fragile interim success.”But she added: “What we’ve achieved is an interim success — no more, no less. And I stress that it is a fragile interim success.”
An economic lockdown will remain largely in place for an additional 20 days, Ms. Merkel cautioned, and strict social distancing rules will remain in force.An economic lockdown will remain largely in place for an additional 20 days, Ms. Merkel cautioned, and strict social distancing rules will remain in force.
But some shops will be allowed to reopen beginning next week — although only those with the necessary protections in place to allow strict social distancing to continue, she said.But some shops will be allowed to reopen beginning next week — although only those with the necessary protections in place to allow strict social distancing to continue, she said.
Older students might be allowed back to school in May but that will be contingent on a radically changed setup involving small groups, face masks and social distancing rules for school buses.Older students might be allowed back to school in May but that will be contingent on a radically changed setup involving small groups, face masks and social distancing rules for school buses.
Every two weeks the government will take stock of infection numbers, Ms. Merkel said, to evaluate in real time the impact of each incremental measure that is lifted — and to avoid the danger of infections picking up pace again.Every two weeks the government will take stock of infection numbers, Ms. Merkel said, to evaluate in real time the impact of each incremental measure that is lifted — and to avoid the danger of infections picking up pace again.
“We can’t have a wrongheaded push forward, even when the best intentions are behind it,” Ms. Merkel said. “We need to understand that we need to live with this virus as long as there is no vaccine and no treatment.”“We can’t have a wrongheaded push forward, even when the best intentions are behind it,” Ms. Merkel said. “We need to understand that we need to live with this virus as long as there is no vaccine and no treatment.”
Germany was hit hard by the pandemic but reacted quickly and decisively in trying to slow the spread of the virus.Germany was hit hard by the pandemic but reacted quickly and decisively in trying to slow the spread of the virus.
A month ago, when the number of deaths stood at 90, Ms. Merkel’s government imposed strict social distancing rules that banned groups of more than two people of different households from gathering, and that shut down much of the economy.A month ago, when the number of deaths stood at 90, Ms. Merkel’s government imposed strict social distancing rules that banned groups of more than two people of different households from gathering, and that shut down much of the economy.
By Wednesday, the number of infections in Germany stood at 136,616, the third-highest toll in Europe, after Spain and Italy. But the number of new daily infections has tapered off and the number of deaths, now at 3,428, has remained low compared with other countries.By Wednesday, the number of infections in Germany stood at 136,616, the third-highest toll in Europe, after Spain and Italy. But the number of new daily infections has tapered off and the number of deaths, now at 3,428, has remained low compared with other countries.
Germany’s strategy of early and widespread testing and its large number of intensive care beds help explain the country’s relatively low mortality rate, but the trust in Ms. Merkel’s leadership and the resulting compliance with government measures has contributed too, virologists say.Germany’s strategy of early and widespread testing and its large number of intensive care beds help explain the country’s relatively low mortality rate, but the trust in Ms. Merkel’s leadership and the resulting compliance with government measures has contributed too, virologists say.
As in previous stages of the pandemic, Ms. Merkel consulted widely before she made her announcement Wednesday. She had studied the recommendations from a panel of 26 top academics from a range of fields including behavioral psychology and ethics, and then hammered out an agreement with the governors of Germany’s 16 states.As in previous stages of the pandemic, Ms. Merkel consulted widely before she made her announcement Wednesday. She had studied the recommendations from a panel of 26 top academics from a range of fields including behavioral psychology and ethics, and then hammered out an agreement with the governors of Germany’s 16 states.
Highlighting this broad consensus, the chancellor was flanked at her hourlong news conference not just by her finance minister, but also by the governor of Bavaria and the mayor of Hamburg.Highlighting this broad consensus, the chancellor was flanked at her hourlong news conference not just by her finance minister, but also by the governor of Bavaria and the mayor of Hamburg.
“Germany has a collective philosophy, and the debates of recent days have ended up in a good result,” said Markus Söder, the Bavarian governor, who has not been shy to criticize Ms. Merkel in the past. “All states are completely united with the federal government on the strategy and the strategy is caution.”“Germany has a collective philosophy, and the debates of recent days have ended up in a good result,” said Markus Söder, the Bavarian governor, who has not been shy to criticize Ms. Merkel in the past. “All states are completely united with the federal government on the strategy and the strategy is caution.”
In a week where several smaller countries in Europe have begun loosening restrictions, many had been eagerly waiting for Germany to come forward with a plan to emerge from the economic lockdown.In a week where several smaller countries in Europe have begun loosening restrictions, many had been eagerly waiting for Germany to come forward with a plan to emerge from the economic lockdown.
Ms. Merkel’s announcement came as the German government issued a bleak assessment of the impact of the coronavirus outbreak on the economy, saying the country was headed for a steep recession and a surge in joblessness.Ms. Merkel’s announcement came as the German government issued a bleak assessment of the impact of the coronavirus outbreak on the economy, saying the country was headed for a steep recession and a surge in joblessness.
Among the first shops allowed to reopen are bookstores, bike stores and car dealers. But they all have to ensure that the number of customers inside is limited while also avoiding long lines from forming outside.Among the first shops allowed to reopen are bookstores, bike stores and car dealers. But they all have to ensure that the number of customers inside is limited while also avoiding long lines from forming outside.
All schools will stay closed for another three weeks and primary schools and nurseries for longer, the chancellor said. Effective immediately, the German government is also “urgently” recommending the use of face masks in enclosed public spaces like shops and public transport, but stopped short of making masks mandatory as they are in neighboring Austria.All schools will stay closed for another three weeks and primary schools and nurseries for longer, the chancellor said. Effective immediately, the German government is also “urgently” recommending the use of face masks in enclosed public spaces like shops and public transport, but stopped short of making masks mandatory as they are in neighboring Austria.
Restaurants and bars will have to wait longer, and large events like soccer matches remain banned until Aug. 31. Religious services won’t resume until places of worship have put in place measures to ensure the required distance between worshipers.Restaurants and bars will have to wait longer, and large events like soccer matches remain banned until Aug. 31. Religious services won’t resume until places of worship have put in place measures to ensure the required distance between worshipers.
During Wednesday’s news conference, the chancellor thanked citizens for obeying strict social distancing rules and living with so many restrictions, stressing that Germany’s relative success in combating the virus was because of their cooperation.During Wednesday’s news conference, the chancellor thanked citizens for obeying strict social distancing rules and living with so many restrictions, stressing that Germany’s relative success in combating the virus was because of their cooperation.
“The curve has become flatter,” Ms Merkel said, referring to the number of new daily infections.“The curve has become flatter,” Ms Merkel said, referring to the number of new daily infections.
But she cautioned against a false sense of security, saying the achievements could quickly be reversed.But she cautioned against a false sense of security, saying the achievements could quickly be reversed.
Updated June 12, 2020 Updated June 16, 2020
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
“We don’t have much leeway,” she said.“We don’t have much leeway,” she said.
“If we now allow more public life, in small steps, then it is very important that we can trace infections chains even better,” she said. “That must be our aim: to trace every infection chain.”“If we now allow more public life, in small steps, then it is very important that we can trace infections chains even better,” she said. “That must be our aim: to trace every infection chain.”
To that end, she said, Germany’s testing capacities would be increased. The country is currently capable of testing 100,000 people a day, more than any other country in Europe.To that end, she said, Germany’s testing capacities would be increased. The country is currently capable of testing 100,000 people a day, more than any other country in Europe.
Earlier Wednesday, the European Commission presented a road map for countries in the 27-country bloc planning their own exit strategies. Chief among its recommendations is a German-style testing regime that allows for the tracing and quarantining of those who are sick while also slowly allowing those who are not to go back to some activities.Earlier Wednesday, the European Commission presented a road map for countries in the 27-country bloc planning their own exit strategies. Chief among its recommendations is a German-style testing regime that allows for the tracing and quarantining of those who are sick while also slowly allowing those who are not to go back to some activities.
The chancellor went into detailed explanations of the science behind her own plan.The chancellor went into detailed explanations of the science behind her own plan.
A key variable the government was looking at, she said, is the so-called reproduction factor of the virus — the number of people an infected person passes the virus on to.A key variable the government was looking at, she said, is the so-called reproduction factor of the virus — the number of people an infected person passes the virus on to.
That factor currently stands at about 1, she said, meaning that one person gets infected by every newly infected person. If that factor rose even to 1.1, the German health care system would reach capacity by October, she said.That factor currently stands at about 1, she said, meaning that one person gets infected by every newly infected person. If that factor rose even to 1.1, the German health care system would reach capacity by October, she said.
If it were allowed to rise to 1.2 — so out of five infected people one infects not one but two additional people — that limit is reached by July.If it were allowed to rise to 1.2 — so out of five infected people one infects not one but two additional people — that limit is reached by July.
“With 1.3,” Ms. Merkel continued, “we have reached the limit of our health care system by June.”“With 1.3,” Ms. Merkel continued, “we have reached the limit of our health care system by June.”
“So you can see how small our leeway is,” she said, “the entire development rests on having a number of infections that we can keep track of and trace.”“So you can see how small our leeway is,” she said, “the entire development rests on having a number of infections that we can keep track of and trace.”
Christopher F. Schuetze contributed reporting.Christopher F. Schuetze contributed reporting.