Vaccination schedule: Who's it and when?
Who will get the long-awaited corona vaccination next? A new regulation and up-to-date figures on deliveries show who gets to work and when. But not everyone wants to wait any longer
All adults should have their turn for the corona vaccination in Germany in the next few months - just when? The first deliveries of the Astrazeneca vaccine arrived at the weekend. On this Monday, a changed corona vaccination ordinance comes into force, which became known on Sunday in Berlin. Central questions can now be answered more clearly:
By when should people over 80 be vaccinated?
Around the change to the second quarter at the end of March. This is what Health Minister Jens Spahn (CDU) promised. This also applies to others in the first group with the highest priority: Nursing home residents, nursing staff in homes, staff in intensive care units, emergency rooms, emergency services.
A "vaccination offer" is to be made to the 800,000 home residents by mid-February - 630,000 have been vaccinated so far. As the next in this group, the focus is now on outpatient care services.
What will change with the use of the Astrazeneca vaccine?
The third preparation after the substances from Biontech / Pfizer and Moderna is initially only given to people between the ages of 18 and 64 - there is a lack of data on the effect in older people. Therefore, the employees in nursing homes or intensive care units in this age group are now primarily vaccinated with the Astrazeneca substance.
The fact that the preparation is initially withheld from under-65s is actually a weakness. But that leaves more of the others for the very old. Spahn: "This means that older people can be vaccinated faster than planned."
What is the effect of the Astrazeneca vaccination start?
By February 19, 1.75 million Astrazeneca cans are to be delivered to the federal states - and inoculated directly. So no vaccine should be kept for the second vaccination, which is due after nine to twelve weeks. A further 1.47 million cans are expected to arrive on March 2nd.
While the vaccines from Moderna and Biontech have an effectiveness of 94 and 95 percent, according to a new study at Astrazeneca it is only 76 percent after the first vaccination - and up to 82 percent after the second. Some nurses are said to fear two-tier vaccinations if they get Astrazeneca.
When should people aged 70 and over be vaccinated?
From April onwards, in group two with high priority. Currently around 7.3 million people between 70 and 80 live in Germany and 5.7 million in the 80 plus age group. So far 4.2 million cans have been delivered by Biontech / Pfizer and Moderna. Around 3.2 million Astrazeneca cans will be added by the beginning of March. Biontech is expected to have more than 2.5 million more cans by the end of February, and Moderna is to have 182,400 cans by mid-February.
When should people with previous illnesses be vaccinated?
Some should be preferred in group two. In this group, people with cancer without stopped tumor growth, with severe chronic lung disease, with chronic liver or kidney disease, with diabetes with high blood sugar levels, with obesity with a body mass index over 40, with bipolar disorder, schizophrenia and severe depression.
So far, people with dementia, intellectual disabilities, trisomy 21 and after organ transplants have been planned here. New: Other high-risk patients should also come here with a doctor's certificate.
Who else should be vaccinated in group two?
Up to two close contact persons of people in need of care at home or pregnant women. Pregnant women themselves should only be vaccinated in exceptional cases due to a lack of study data.
Controversial: Doctors should also only have their turn in group two. Group two also includes police and law enforcement officers, especially for demonstrations, employees of health services and clinics, residents of homeless and asylum seekers' shelters and carers for the mentally handicapped. Astrazeneca priority for under-65s also applies to group two.
Who comes after group two?
People over 60, people with other illnesses such as asthma or heart failure - as well as, for example, teachers, educators, police officers, employees in supermarkets. Only then should all the others follow - by the end of the summer, according to Chancellor Angela Merkel.
Should children be vaccinated?
The Biontech vaccine is approved from the age of 16. The President of the Paul Ehrlich Institute, Klaus Cichutek, expects results on studies by Moderna and others on possible vaccinations for children and adolescents in the course of the first half of the year.
Which open questions are politics and science at work?
According to Cichutek, there is above all a possible risk of infection from people who have already been vaccinated."Can we find data that people who have been vaccinated do not transmit the virus further?" And the effectiveness of highly contagious virus variants.
According to the director of the institute, there are indications "that you can cope with the UK variant (ie the British one) quite well, with the South Africa and Brazil variant perhaps worse".
What criticism is there of the vaccination ordinance?
The teachers and medical practitioners don't want to wait that long. The head of the National Association of Statutory Health Insurance Physicians, Andreas Gassen, says: "Those who treat, medically care for and protect others every day must also be protected themselves."
Is the vaccination ordinance always strictly adhered to?
No. In Saxony-Anhalt, more than 300 police officers in the Stendal district have already been vaccinated - as well as the mayor and ten city councilors of Halle, allegedly with cans that were left over.
The vaccination of members of the geriatrics directorate of the Hannover Region Langenhagen Clinic and the case of a 79-year-old with serious previous illnesses near Munich who did not get an early vaccination appointment also made headlines. The new regulation expressly provides that vaccine can still be injected from opened vials beyond the priorities.