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Corona debate in SH: who will be vaccinated first? | NDR.de – news

As of December 10, 2020, 7:38 p.m.

In Schleswig-Holstein there is a discussion about who will be vaccinated first when the corona vaccine is available. General practitioners hope that there are clear guidelines for this.

by Constantin Gill

Vaccination – this is a highly emotional topic. Dr. Thomas Maurer, Chairman of the General Practitioners Association, has been with us again and again lately. He reports that he is approached more often by patients in the practice – and outside of it: “At the moment, I can hardly go shopping without someone asking me how to get the vaccination,” says Maurer. “This is something that otherwise happens very rarely.”

It is already clear that medical staff and very old risk patients should have priority in vaccination. The draft recommendation of the Standing Vaccination Commission provides for this. But where do you draw the line? Is an age over 80 enough to be preferred? Or does there have to be a specific condition to be at the top of the list? And: who decides about it?

Clear announcement instead of discussions

In any case, this decision shouldn’t lie with the family doctors, says Thomas Maurer. Because that, he fears, would strain the relationship between doctor and patient. “What we need are very clear criteria,” he demands. An example: All patients over 80 with diabetes who are taking at least three prescription drugs – that would be a correct categorization, says Maurer, because: “You can’t discuss them.”

Prof. Dr. Henrik Hermann, President of the Medical Association: “So that it is clear in the vaccination centers who can be vaccinated and the general practitioners’ practices are not overrun beforehand, it is advisable to clearly define in advance which groups of people should be prioritized.” Hermann also believes that general practitioners’ practices should only be the point of contact if patients are unsure in individual cases.

The Ministry of Health emphasizes that family doctors “do not decide on prioritization – but on whether there is a medical indication.”

Some proof will be needed for those willing to vaccinate

Further information


A map shows the cities in Schleswig-Holstein in which corona vaccination centers are to be built. more




The recommendation of the Standing Vaccination Commission is still only a draft – countries and associations are still being consulted. The Ministry of Health wants to “orient itself closely to the STIKO’s prioritization recommendations, which are not yet conclusively available, since the vaccine has to be approved and the evaluation of the comments made.”

What is certain is that those willing to vaccinate will need proof. Either a professional – as a hospital employee, for example – or a medical one. “In order to attend a vaccination appointment, it must be guaranteed that there is a verifiable medical or occupational indication,” says the Ministry of Health.

Thomas Maurer from the General Practitioner Association already sees patients flocking to the practices with the request for medical certificates. In his opinion, the general practitioners do not have all the information they need for a certificate. Although some patients come to the family doctor with all their complaints – others go to the specialist doctor – and he then also has the patient information. “So we don’t even have the data,” says Maurer.

The exact procedure is still unclear

The ministry’s plans currently envisage that certain professional groups register for vaccination. For the actual proof that it is someone’s turn to have the vaccination, “however, we are dependent on close cooperation between employers in the healthcare system, the doctors who issue the certificates and the people working in the vaccination centers.”

The health insurance companies consider the doctors’ concerns to be premature. From the point of view of the AOK Nordwest, it is also conceivable that no certificates are needed for the time being. If the job in the hospital – the employees are vaccinated at their workplace – or simply the age is sufficient as proof. That is conceivable – because, according to the Ministry of Health, the Standing Vaccination Commission, because of the presumably limited amount of vaccine, “has the primary goal of preventing serious illnesses and deaths and thus also relieving the burden on the health system. Age is a very important factor here.”

Exactly how the procedure will work – that will only be revealed when the first vaccine is approved. To answer the many questions asked by those willing to be vaccinated, the health ministers are planning an information campaign together with the federal government, as Health Minister Garg last announced in the state parliament. Maybe Dr. Thomas Maurer will then have to answer a little fewer questions when shopping.

Further information

The building of a vaccination center.  © NDR

It is one of the future 29 vaccination centers in the country. On Thursday, volunteers tested a “vaccination route”. more





2,900 doctors are expected to work in the 29 vaccination centers in Schleswig-Holstein. Politicians thank them for it. more



View into a large hall in Husum with white tables, black chairs and a sign saying Vaccination Center.  © dpa-Bildfunk Photo: Christian Charisius

The Husum exhibition hall gives a first impression of how the 29 planned vaccination centers in the country could soon work. more




This topic in the program:

NDR 1 Welle Nord | Schleswig-Holstein Magazine | 12/10/2020 | 19:30 o’clock


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