Different numbers at RKI and Barme
The disease can be serious. Encephalitis can occur as a life-threatening complication.
According to the Robert Koch Institute, the number of nationwide measles cases fell from 929 cases in 2017 to 543 cases in the previous year. But in Europe the number of measles cases multiplied from 5,273 in 2016 to 23,927 in the following year.
How many children are not vaccinated in Germany? Barmer Krankenkasse assumes that the gaps are larger than indicated in the official statistics. Is that true?
According to an analysis by the Barmer health insurance company, there are large vaccine picks in Germany. Among other things, the fund has checked billing data for around 45,700 school beginners who were insured with it in 2017.
According to the Barmer, children were not sufficiently immunized for any major infectious disease such as measles, mumps or rubella. According to the fund, the vaccination rates were consistently below 90 percent. That is alarming, said Barmer CEO Christoph Straub. Because immunization rates of at least 95 percent are necessary for a protective effect in society.
Lower measles vaccination coverage
„” The vaccination gaps among small children in Germany are greater than previously known, „summed up Daniel Grandt, co-author of the drug report and chief physician at the Saarbrücken Clinic. Among the Barmer insured persons, more than every fifth child born in 2015 was not vaccinated or was only partially vaccinated against measles in the first two years of life.
The vaccination coverage – the proportion of children who had received the two intended measles vaccinations – was only 78.9 percent. In six-year-old children who were born in 2011, the measles vaccination rate among Barmer insured persons was 88.8 percent.
Nine percent of those starting school do not have a vaccination certificate
According to the official data from the school entrance examinations at the Robert Koch Institute (RKI), the vaccination rate for the first measles vaccination in 2017 was around 97 percent. With the second measles vaccination, it was almost 93 percent. However, around nine percent of those starting school did not have a vaccination card.
The RKI has therefore already described in its methodology that the vaccination rates it specified may be a bit too high, the federal authority said. If one were to consider all children without a vaccination certificate as unvaccinated, the vaccination rate at the beginning of school would only be 81.4 percent with regard to measles protection. The Barmer data with 88.8 percent would be between this worst assumption and the cheapest of almost 93 percent.
Different numbers at RKI and Barmer
The RKI had already pointed out deficits in vaccination protection, it said. The evaluation of the Barmer is thorough. „” However, only around eleven percent of those with statutory health insurance in Germany are shown with the data and it remains to be seen how representative this group of insured persons is for Germany, „” announced the RKI.
The Barmer analysis shows the picture of the actual vaccination rates, emphasized the authors of the study. In addition to measles, there are other vaccine pickings. In 2017, only 88.7 percent of six-year-olds among those insured against Barmer were vaccinated against mumps and rubella. This is extremely worrying because children and adolescents keep their vaccination gaps even in adulthood, said Straub.
The health insurances AOK or TK have not yet carried out such extensive surveys for their insured persons. However, there is vaccination surveillance by the Association of Statutory Health Insurance Physicians, which also works with billing data from those with statutory health insurance. The latest data for 2014 indicate a nationwide vaccination rate of 73.9 percent for measles among two-year-olds – albeit with large regional differences from 68.9 percent in Baden-Württemberg to 80.5 percent in Hamburg.https://123helpme.me/to-kill-a-mockingbird-essay/
Many small children without vaccination protection
Barmer also checked with its policyholders how many children had not received any of the 13 recommended vaccinations in the first two years of life: That was 1,855 children who were born in 2015 – around three percent.
However, the Barmer statistics also show a positive trend: The vaccination rates for measles rose – from 73.8 percent in 2010 to 78.9 percent in 2015. The vaccination surveillance of the Association of Statutory Health Insurance Physicians also observed an increase. The most recent data for 2014 determine a nationwide rate of 73.9 percent, around three percentage points more than in 2010.
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In mid-July, the federal cabinet passed a law making measles vaccination compulsory. From March 2020, parents must prove that their children are vaccinated before they are admitted to a daycare center or school. The Bundestag still has to agree.
Sources used: dpa news agency
Everyone has pain at times. Most of the time they go away. For example because the fever has subsided with the flu or the broken leg has healed. When pain persists even though the trigger has long since disappeared, experts speak of a chronic pain disorder. It is estimated that around 12 million people are affected in Germany. These pain sufferers often wander from doctor to doctor looking for help as their symptoms keep getting worse. It often takes a long time to find the right help.
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Specialized pain therapists can help
Around 1.8 million of the patients with chronic pain need specialized pain therapists. Your complaints can often not be brought under control with the knowledge of a specialist. As Gerhard Müller-Schwefe, President of the German Society for Pain Therapy explains, pain medicine is not a separate subject in Germany, but merely an additional qualification for doctors. And experts from various disciplines who have come together in pain centers have so far been the exception.
The pain has a massive impact on the quality of life
Neurologist Michael Überall from Nuremberg speaks of pain as a „” perfidious life partner „” who interferes in all areas: the psyche can suffer from it, the job, the relationship. „” It is a disease that limits the quality of life, „says the President of the German Pain League, which recently published a” Black Book of Pain „” with patient fates. One affected person describes her symptoms as follows: „” … the pain constantly travels through all muscles and tendons, through all nerve endings every day. „” Sometimes she feels vertigo, sometimes „” Toothache that is not „” .
Where the pain comes from
The reason for the persistent symptoms are learning processes in the nerve cells: At the beginning there may have been acute pain, for example from a broken bone or a stone in the bile duct. But because the pain control systems of those affected are disturbed or changed, the nerve cells simply continue to signal that it hurts somewhere – even though there is no physical reason for it (anymore). Psychological and social components also play a role and contribute to a downward spiral: The patient may have been abused before and therefore tends to withdraw, Müller-Schwefe gives an example. As a result, he loses touch with other people, his pain intensifies and he withdraws even more.
Pain patients are often helpless and hopeless
Chronic pain sufferers are not hypochondriacs, although they are often accused of that. „The patients don’t want to be sick, they don’t want to be in pain, they want to get well again”, explains the doctor and psychologist Prof. Thomas Tölle from the Technical University of Munich. However, those affected often felt helpless because they did not know how to change their condition. And hopeless because they fear that their condition will remain that way in the long term. But the later you get into the right hands with your complaints, the more difficult the treatment will be, says Tölle, who is President of the German Pain Society.
Complete freedom from pain is usually an illusion
According to the Pain League President Everywhere, it usually takes between seven and ten years for the diagnosis to be „” chronically painful „”. Over time, those affected often made various attempts at therapy with different specialists who all treated different possible causes, adds Müller-Schwefe. This is not only inefficient, but also contributes to the pain becoming a permanent problem. But: „” Chronic pain is not fate, „emphasizes Überall. Because when those affected finally get the right therapy, „” they notice that something is still working, „says Tölle. This positive experience is an elementary step on the way to improvement, even if complete freedom from pain is usually an illusion.
Movement helps relieve pain
According to Müller-Schwefe, drugs only play a minor role in treatment. Above all, they serve to make the patient physically active again. Because pain usually leads to the fact that the patient avoids movement and spares himself, although strong muscles are the best remedy for pain. In addition to physiotherapy, psychotherapy also plays a role in treatment. In the process, those affected learn, among other things, how to better deal with conflicts and focus on things other than their pain. According to Müller-Schwefe, people are also asked how the complaints would have to be in order to live with them. For many people, it doesn’t need to be zero.
Pain sufferers have to be persistent with the doctor
To prevent pain from becoming chronic in the first place, he advises patients to insist on being thoroughly questioned and examined by the doctor. X-rays or magnetic resonance imaging are usually not required for an efficient diagnosis – time for a detailed discussion is much more important. This, however, is often scarce in the local health system, which, according to the experts, is constantly producing new people with chronic pain.
Still, doctors could do a lot. Ideally, says Tölle, the doctor should calm down and explain to a back pain patient, for example, that the symptoms are completely normal. Something that goes well 90 percent of the time. The doctor should say, „” I’m giving you painkillers and rules of conduct and have ruled out the possibility of an acute cause. I see that you can manage to be one of the 90 percent who will do well. „”
Hamburg (dpa / tmn) – Smartphone users should better not register the fingers of their dominant hand with the fingerprint sensor. Because these are basically more prone to dirt or injuries.
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„” Computerbild „” reports two circumstances that can easily irritate the scanner and prevent it from being unlocked quickly. The fingers of the other hand promise better recognition accuracy, i.e. those of the left hand for right-handers and those of the right hand for left-handers.
In order to ensure that the phone is unlocked quickly, it can also make sense, according to the information, to scan one and the same finger in different states and then save it in a separate profile – for example when it is cold, warm, very dry or rather damp .
According to the experts, you should also register another finger according to this pattern. It is also helpful to keep the sensor area on the smartphone clean and free of scratches and to clean it regularly with a soft cloth (issue 10/19).
Heidelberg (dpa) – According to an expert, around 40 percent of cancer cases in Germany are due to an unhealthy lifestyle. In addition to smoking and excessive alcohol consumption, diet plays a key role in the development of tumors.
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„” Not so many people have that on their radar, and the wrong diet is responsible for five to eight percent of new cases, „said Susanne Weg-Remers, who heads the cancer information service at the German Cancer Research Center (DKFZ), the German Press Agency in Heidelberg .
A healthy, balanced diet can reduce the likelihood of developing one of the most common types of cancer such as breast cancer or colon cancer.
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Obesity risk factor
Obesity, in particular, triggers cell growth due to inflammation in the body. There is a risk that cells will degenerate, said the expert on the occasion of the „National Cancer Prevention Week” from September 14th to 18th. This is intended to draw attention to the great potential of cancer prevention.
Diet is a risk factor, especially for diseases of the breast and intestines, explained Weg-Remers. Breast cancer is the most common cancer among women in Germany. Every year about 69,000 women get this diagnosis. Colon cancer is one of the most common cancers, with around 58,000 cases per year.
Meat can be dangerous
In addition to a calorie intake that exceeds the calories consumed, the consumption of meat and its preparation, which is harmful to health, also promote cancer. Eating red meat such as beef, pork, lamb and goat increases the risk of cancer, especially if it is cured or smoked.