[Rushtalk] Germany: Infectious Diseases Spreading as Migrants Settle In

Carl Spitzer cwsiv at juno.com
Thu Oct 5 09:27:12 MDT 2017


 
Germany: Infectious Diseases Spreading as Migrants Settle In

by Soeren Kern
July 14, 2017 at 5:00 am

https://www.gatestoneinstitute.org/10676/germany-migrants-infectious


A new report by the Robert Koch Institute (RKI), the federal
government's central institution for monitoring and preventing diseases,
confirms an across-the-board increase in disease since 2015, when
Germany took in an unprecedented number of migrants.


      * Some doctors say the actual number of cases of tuberculosis is
        far higher than the official figures suggest and have accused
        the RKI of downplaying the threat in an effort to avoid fueling
        anti-immigration sentiments.
      * "Around 700,000 to 800,000 applications for asylum were
        submitted and 300,000 refugees have disappeared. Have they been
        checked? Do they come from the high-risk countries?" — Carsten
        Boos, orthopedic surgeon, interview with Focus magazine.
A failed asylum seeker from Yemen who was given sanctuary at a church in
northern Germany to prevent him from being deported has potentially
infected more than 50 German children with a highly contagious strain of
tuberculosis.


The man, who was sheltered at a church in Bünsdorf between January and
May 2017, was in frequent contact with the children, some as young as
three, who were attending a day care center at the facility. He was
admitted to a hospital in Rendsburg in June and subsequently diagnosed
with tuberculosis — a disease which only recently has reentered the
German consciousness.


Local health authorities say that in addition to the children, parents
and teachers as well as parishioners are also being tested for the
disease, which can develop months or even years after exposure. It
remains unclear if the man received the required medical exams when he
first arrived in Germany, or if he is one of the hundreds of thousands
of migrants who have slipped through the cracks.


The tuberculosis scare has cast a renewed spotlight on the increased
risk of infectious diseases in Germany since Chancellor Angela Merkel
allowed in around two million migrants from Africa, Asia and the Middle
East.


A new report by the Robert Koch Institute (RKI), the federal
government's central institution for monitoring and preventing diseases,
confirms an across-the-board increase in disease since 2015, when
Germany took in an unprecedented number of migrants.


The Infectious Disease Epidemiology Annual Report — which was published
on July 12, 2017 and provides data on the status of more than 50
infectious diseases in Germany during 2016 — offers the first glimpse
into the public health consequences of the massive influx of migrants in
late 2015.


The report shows increased incidences in Germany of adenoviral
conjunctivitis, botulism, chicken pox, cholera, cryptosporidiosis,
dengue fever, echinococcosis, enterohemorrhagic E. coli, giardiasis,
haemophilus influenza, Hantavirus, hepatitis, hemorrhagic fever,
HIV/AIDS, leprosy, louse-borne relapsing fever, malaria, measles,
meningococcal disease, meningoencephalitis, mumps, paratyphoid, rubella,
shigellosis, syphilis, toxoplasmosis, trichinellosis, tuberculosis,
tularemia, typhus and whooping cough.


Germany has — so far at least — escaped the worst-case scenario: most of
the tropical and exotic diseases brought into the country by migrants
have been contained; there have no mass outbreaks among the general
population. More common diseases, however, many of which are directly or
indirectly linked to mass migration, are on the rise, according to the
report.


The incidence of Hepatitis B, for example, has increased by 300% during
the last three years, according to the RKI. The number of reported cases
in Germany was 3,006 in 2016, up from 755 cases in 2014. Most of the
cases are said to involve unvaccinated migrants from Afghanistan, Iraq
and Syria. The incidence of measles in Germany jumped by more than 450%
between 2014 and 2015, while the number of cases of chicken pox,
meningitis, mumps, rubella and whooping cough were also up. Migrants
also accounted for at least 40% of the new cases of HIV/AIDS identified
in Germany since 2015, according to a separate RKI report.


The RKI statistics may be just the tip of the iceberg. The number of
reported cases of tuberculosis, for example, was 5,915 in 2016, up from
4,488 cases in 2014, an increase of more than 30% during that period.
Some doctors, however, believe that the actual number of cases of
tuberculosis is far higher and have accused the RKI of downplaying the
threat in an effort to avoid fueling anti-immigration sentiments.


In an interview with Focus, Carsten Boos, an orthopedic surgeon, warned
that German authorities have lost track of hundreds of thousands of
migrants who may be infected. He added that 40% of all tuberculosis
pathogens are multidrug-resistant and therefore inherently dangerous to
the general population:


"When asylum seekers come from countries with a high risk for
tuberculosis infections, the RKI, as the highest German body for
infection protection, should not downplay the danger. Is a federal
institute using political correctness to conceal the unpleasant reality?


"The media reports that in 2015, the federal police registered about 1.1
million refugees. Around 700,000 to 800,000 applications for asylum were
submitted and 300,000 refugees have disappeared. Have they been checked?
Do they come from the high risk countries?


"One has the impression that in the RKI the left hand does not know what
the right one is doing."


     Description: https://www.gatestoneinstitute.org/pics/2634.jpg
                                    
                                    
   Joachim Gauck, then Germany's president, speaks to doctors in the
   infirmary of a reception center for migrants on August 26, 2015 in
Berlin-Wilmersdorf, Germany. (Photo by Jesco Denzel/Bundesregierung via
                             Getty Images)
                                    
                                    
                                    
German newspapers have published a flurry of articles about the public
health dimension of the migrant crisis. The articles often quote medical
professionals with first-hand experience of treating migrants. Many
admit that mass migration has increased the risk of infectious diseases
in Germany. Headlines include:


"Refugees Often Bring Unknown Diseases to the Host Country"; "Refugees
Bring Rare Diseases to Berlin"; Refugees in Hesse: Return of Rare
Diseases"; "Refugees Often Bring Unknown Diseases to Germany"; "Experts:
Refugees Bring 'Forgotten' Diseases"; "Three Times More Hepatitis-B
Cases in Bavaria"; "Cases of Tapeworm in Germany Increased by More than
30%"; "Infectious Disease: Refugees Bring Tuberculosis"; "Tuberculosis
in Germany is on the Rise Again, Especially in the Big Cities: Caused by
Migration and Poverty"; "Refugees Are Bringing Tuberculosis"; More
Diseases in Germany: Tuberculosis is Back"; "Medical Practitioner Fears
Tuberculosis Risk due to Refugee Wave"; "Significantly More Tuberculosis
in Baden-Württemberg: Migrants often Affected"; "Expert: Refugee Policy
to Blame for Measles Outbreak"; "Scabies on the Rise in North
Rhine-Westphalia"; "Almost Forgotten Diseases Like Scabies Return to
Bielefeld"; "Do You Come into Contact with Refugees? You Should Pay
Attention"; and "Refugees: A Wide Range of Disorders."


At the height of the migrant crisis in October 2015, Michael Melter, the
chief physician at the University Hospital Regensburg, reported that
migrants were arriving at his hospital with illnesses that are hardly
ever seen in Germany. "Some of the ailments I have not seen for 20 or 25
years," he said, "and many of my younger colleagues have actually never
seen them."


Marc Schreiner, director of international relations for the German
Hospital Federation (Deutschen Krankenhausgesellschaft), echoed Melter's
concerns:


"In the clinics, it is becoming increasingly common to see patients with
diseases that were considered to have been eradicated in Germany, such
as scabies. These diseases must reliably be diagnosed, which is a
challenge."


Christoph Lange, a tuberculosis expert at the Research Center Borstel,
said that German doctors were unfamiliar with many of the diseases
imported by migrants: "It would be useful if tropical diseases and other
diseases that are rare in our lives played a bigger role in the training
of physicians."


The German Society for Gastroenterology, Digestive and Metabolic
Diseases recently held a five-day symposium in Hamburg to help medical
practitioners diagnose diseases which are rarely seen in Germany. Those
include:


§  Louse-borne relapsing fever (LBRF): During the past two years, at
least 48 people in Germany were diagnosed with LBRF, a disease that was
unheard of in the country before the migration crisis in 2015, according
to the RKI report. The disease, which is transmitted by clothing lice,
has been prevalent among migrants from East Africa who have been
travelling for months to reach Germany on a single set of clothes. "We
had all forgotten about LBRF," said Hans Jäger, a Munich-based doctor.
"It has a mortality rate of up to 40% if it is not recognized and not
treated with antibiotics. The symptoms are like in malaria: fever,
headache, skin rash."


§  Lassa fever: In February 2016, a patient who had been infected in
Togo, West Africa, was treated and died in Germany. After his death, a
Lassa virus infection was confirmed in another person who had
professional contact with the corpse of the deceased. The person was
treated at an isolation facility and survived the disease. This was the
first documented transmission of the Lassa virus in Germany.


§  Dengue fever: Nearly a thousand people were diagnosed with dengue
fever, a mosquito-borne tropical disease, in Germany during 2016. This
is up 25% from 2014, when 755 people were diagnosed with the disease.


§  Malaria: The number of people diagnosed with malaria jumped sharply
in 2014 (1,007) and 2015 (1,063), but declined slightly in 2016 (970).
Most of those affected contracted the disease in Africa, particularly
from Cameroon, Ghana, Nigeria and Togo.


§  Echinococcosis: Between 2014 and 2016, more than 200 people in
Germany have been diagnosed with echinococcosis, a tapeworm infection.
This represents in an increase of around 30%. Those affected contracted
the disease in Afghanistan, Bulgaria, Greece, Kosovo, Iraq, Macedonia,
Morocco, Syria and Turkey.


§  Diphtheria: Between 2014 and 2016, more than 30 people in Germany
have been diagnosed with diphtheria. Those affected contracted the
disease in Ethiopia, Eritrea, Libya, Sri Lanka and Thailand.


§  Scabies: Between 2013 and 2016, the number of people diagnosed with
scabies in North Rhine-Westphalia jumped by nearly 3,000%.


Meanwhile, Germany currently is in the throes of a measles outbreak that
health authorities have linked to immigration from Romania. Around 700
people in Germany have been diagnosed with measles during the first six
months of 2017, compared with 323 cases in all of 2016, according to the
Robert Koch Institute. The measles outbreak has spread to all of
Germany's 16 federal states except one, Mecklenburg-Vorpommern, a state
with a very low migrant population.


The epicenter of the measles crisis is in North Rhine-Westphalia (NRW),
Germany's most populous state and also the state with the highest number
of migrants. Nearly 500 people have been diagnosed with measles in NRW
during the first six months of 2017; most of the cases have been
reported in Duisburg and Essen, where a 37-year-old mother of three
children died from the disease in May. Outbreaks of measles have also
been reported in Berlin, Cologne, Dresden, Hamburg, Leipzig, Munich and
Frankfurt, where a nine-month-old baby was diagnosed with the disease.


On June 1, 2017, the German Parliament approved a controversial new law
that requires kindergartens to inform German authorities if parents fail
to provide evidence that they have consulted a doctor about vaccinating
their children. Parents who refuse to comply face a fine of €2,500
($2,850). "We cannot be indifferent to the fact that people are still
dying of measles," said German Health Minister Hermann Gröhe. "That's
why we are tightening up regulations on vaccination."


Some say the new law does not go far enough; they are calling for
vaccinations to be made compulsory for everyone in Germany. Others say
the law goes too far and infringes on privacy protections guaranteed by
the German constitution; they add that parents, not the government,
should decide what is best for their children. The fallout from
Chancellor Merkel's open-door migration policy continues.


 

 

-- 
----CWSIV----

 ,= ,-_-. =. 
((_/)o o(\_))
 `-'(. .)`-' 
     \_/     

America works when American citizens work.
Freedom and open source the GNU paradigm.
____________________________________________________________
This Is Why Doctors No Longer Prescribe Metformin (Watch)
The Lifestyle Guru
http://thirdpartyoffers.juno.com/TGL3131/59d652255959b514328a4st04vuc
-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://kalos.csdco.com/pipermail/rushtalk/attachments/20171005/11f8993b/attachment-0001.html 
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.jpg
Type: image/jpeg
Size: 51443 bytes
Desc: not available
Url : http://kalos.csdco.com/pipermail/rushtalk/attachments/20171005/11f8993b/attachment-0001.jpg 


More information about the Rushtalk mailing list