It is not about the place,it is about how they decide it is covid ,when I talked about this ages ago I made the point that it won't be accurate without testing them pre or post mortum,at the beginning deaths would have been expected deaths esp in those with COPD etc and imo gone down as that at not the virus,it might be more accurate now but certainly not feb/march timeONS prove the fact of the matter 10 days later. The place of death is recorded.
The whole thing with care home is tragic,the DNR suggestions,the way we have let it in and spread like wild fire,they don't deserve to end their lives like this,breaks my heart it really does and reporting is not/cannot be accurateIt also makes you wonder if private care homes might be suppressing their numbers.
Also, from what I'm told, residents in some homes catering specifically for dimentia aren't be certified as Covid related.
I get that. If we're talking about figures then it's most likely the case. There's also the fact that badly performing care homes haven't just disappeared over night.The whole thing with care home is tragic,the DNR suggestions,the way we have let it in and spread like wild fire,they don't deserve to end their lives like this,breaks my heart it really does and reporting is not/cannot be accurate
I don't know,we will never know,i got it March first/second so it was around,why did you say Feb when I said March as well?How many covid deaths in care homes do you think there were in Feb?
It also makes you wonder if private care homes might be suppressing their numbers.
Also, from what I'm told, residents in some homes catering specifically for dimentia aren't be certified as Covid related.
Up until a few days ago, virtually all of the people we tested were in a hospital setting. Germany have been testing people outside of a hospital setting for a lot longer meaning positive cases aren't necessarily those who are at death's door which explains their far superior survival rate rather than needing to make any assumptions about the relative quality of their doctors or nurses.
I still haven't seen any evidence, despite it being mentioned countless times, that the Germans are recording COD differently to us
Can't see how ICU capacity has anything to do with it when compared to other countries who have not had ICU overload.
Whether you have 1 space ICU bed or 4,000 spare, should not make any difference, surely? Unless we have been holding back people who really ought to have been in ICU? Which would be a scandal not yet reported.
My daughter ("Care of the Elderdly" registrar) tells me the most common cause of death for dementia patients is stress from confusion. Not having regular visitors is very confussing for them. She isn't suprised by the dementia death figures at all.It also makes you wonder if private care homes might be suppressing their numbers.
Also, from what I'm told, residents in some homes catering specifically for dimentia aren't be certified as Covid related.
The RKI in Berlin counts any CV-related death, "died of" or "died with" CV.
"Died of CV" means: obvious and CV+
"Died with CV" means: tested CV+ and died and cause of death is unclear (so e.g. no car crash).
Some federal states publish only "died of" death numbers though,
but all of them are reporting the complete numbers to Berlin as required by the RKI standard, as stated above.
RKI already said German CV-death numbers are probably underestimating,
as we don't test post mortem for the reason of forensic staff safety,
which is being debated.
All care home deaths are included, IF tested CV+ or very obvious (like in a care home outbreak).
@BlueAnorak 40-50% would surprise me, but we just don't know exactly.
It does when the hostpital covers a massive population area.Size of hospital has nothing to do with deaths per 100,000 of population.
When it comes to ICU capacity, I'm not sure whether it will be the extra beds that made the difference but possibly the extra ICU equipment available, extra nurses/doctors who are specialised in ICU possibly? Either way, I don't think it will be the main reason for why they've had better results than us so far but it's something that needs to be looked at so we're better prepared in the future. I think the contact tracing and early travel ban are likely to have been more effective.
German public health services are provided not by one central authority but by approximately 400 public health offices, run by municipality and rural district administrations.
Such an environment allows for a variety of laboratories – some attached to universities or hospitals, others privately run, medium-sized businesses – which act largely autonomously of central control.
When it comes to ICU capacity, I'm not sure whether it will be the extra beds that made the difference but possibly the extra ICU equipment available, extra nurses/doctors who are specialised in ICU possibly? Either way, I don't think it will be the main reason for why they've had better results than us so far but it's something that needs to be looked at so we're better prepared in the future. I think the contact tracing and early travel ban are likely to have been more effective.
On reason for the 'success' Germany seems to have had is down to the way their health system is run...
I think it's a great way to do things but I can't see it being a popular way to do things over here.
The puzzling thing is that Germany have had more cases haven't they? Either they are better at treating it or they are counting the outcomes in a different way.
We’ve never been close to capacity in equipment or staff so can’ t see why ICU capacity has anything to do with any difference in results. Is there a difference in numbers testing positive and those ending up in icu or even hospital would be a better place to start.When it comes to ICU capacity, I'm not sure whether it will be the extra beds that made the difference but possibly the extra ICU equipment available, extra nurses/doctors who are specialised in ICU possibly? Either way, I don't think it will be the main reason for why they've had better results than us so far but it's something that needs to be looked at so we're better prepared in the future. I think the contact tracing and early travel ban are likely to have been more effective.
One reason for the 'success' Germany seems to have had is down to the way their health system is run...
I think it's a great way to do things but I can't see it being a popular way to do things over here.