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Interview with German Ventilator Manufacturer

spiegel.de

131–140 of 182 posts

Re: Interview with German Ventilator Manufacturer

#131

Earlier quoted context omitted.

> Note that the UK spends a lot less (per capita) on healthcare than Germany: (£2,989 vs £4,432 in 2017) If Germany have provisioned 5 times more ICU beds than they generally need, I can see why their costs might be higher

I am not an expert here but it seems dangerous to assume as you do that the baseline of “correct number of ventilators” is the UK number. They could be... -Under provisioning for surges (not even Covid, even just a sudden emergency of another sort, a bad flu season, big accident, terror event, whatever) -Going longer between maintenance intervals than is recommended -Delaying ICU admission longer than is strictly rec…

At some point under-provisioning is no longer an efficiency miss but a national security issue of how clogged your infrastructure gets during stress.

Re: Interview with German Ventilator Manufacturer

#132
post #128

Earlier quoted context omitted.

The US has the most ICU beds per capita among all countries. Germany is a close second. https://www.forbes.com/sites/niallmccarthy/2020/03/12/the-co...

The number of beds per capita is one thing, how many are free or can be freed in the next few days/weeks is another. At least in Germany it was reported that a lot of them were in use and less than half were available for coronavirus patients.

> in Germany it was reported that a lot of them were in use

Why would this be unique to germany. Can we just assume this is more or less identical everywhere?

Re: Interview with German Ventilator Manufacturer

#133

Earlier quoted context omitted.

My concern is the rush to acquire PPE, rules be damned, a decent amount of counterfeit masks will make it into circulation, and will provide a false sense of security.

I bet someone could develop a simple mask test everyone could even do at home. (Let’s present solutions, HN. Don’t just tell people things won’t work.)

There are plenty of tutorials on how to make something like a surgery mask at home using basic sewing stuff or even oven paper.

These help with droplets and with reducing face touching.

Re: Interview with German Ventilator Manufacturer

#134

Some key statements: "Dräger: In Europe, the number of intensive-care beds per capita is very unequally distributed. In Italy, it is three times lower than here. In England, five times lower. The challenge in England will be greater than in Spain. And the situation in the U.S. is very alarming. The reporting system there is also underdeveloped."

The US has the most ICU beds per capita among all countries. Germany is a close second. https://www.forbes.com/sites/niallmccarthy/2020/03/12/the-co...

Just yesterday on German news they reported that Germany had most ICU beds per capita in the world. No idea if it's true. I guess no one ever knows the correct current numbers.

Re: Interview with German Ventilator Manufacturer

#135
post #2

It would be nice if we could at least provide everybody with simple surgical masks. It would surely help flatten the curve a lot if we could make masks in public mandatory. As far as I understand it those are basically just paper and a nose clip. They should be very simple to mass manufacture.

Wrong. Surgical masks use exactly the same material as N95 respirators - melt-blown non-woven polypropylene, only much thinner.

This material is extremely difficult to produce, which makes it hard to scale on short notice, so its price in China shot up 50 times.

Re: Interview with German Ventilator Manufacturer

#136
post #2

It would be nice if we could at least provide everybody with simple surgical masks. It would surely help flatten the curve a lot if we could make masks in public mandatory. As far as I understand it those are basically just paper and a nose clip. They should be very simple to mass manufacture.

If a sick person wears a masks and keeps coughing into it. Does that person go around during the day with a mask filled with phlegm and spit. sounds disgusting and stupid.

Re: Interview with German Ventilator Manufacturer

#137

Earlier quoted context omitted.

> why on earth is Germany running five times more beds that it generally needs? I feel like that question is asked the wrong way around because you are assuming England has "exactly enough", that's how you end up with Germany supposedly "running five times more beds than it needs". But there's good reason to believe England has not enough ICU beds, even outside of a pandemic, the result of years of austerity cuts to…

> he UK right now sits at 11 deaths per 1m population, Germany at 5, and that's with Germany having tens of thousands of more cases [3]. The UK has done around 110k tests, Germany more than 400k. Don't confuse positive test results with actual infections. If the UK tested more, it'd very likely have more "cases".

But the testing is somewhat part of the picture. Germany is now testing 400k a week (I think that is what your number is referring to). Again that is a reflection of the German healthcare system.

Another poster mentioned the decentralised nature of the German system, that has been mentioned as one of the reasons why Germany was able to test so much.

Re: Interview with German Ventilator Manufacturer

#138
post #76

Earlier quoted context omitted.

I'm not so sure. We have an ongoing toilet paper crisis that is in it's third week now and the government is unable or unwilling to do anything about it, despite ensuring everyone that there's plenty of toilet paper somewhere in some storage of some company. If a somewhat trivial problem like coordinating a few trucks is beyond their ability, I have no hope for coordinating planes and import/export. You might say "bu…

Where do you have a toilet paper crisis? In north Germany at least shelves are refilled all the time. I’m back from groceries, Edeka, Lidl, and Rewe had all their shelves full.

In America,I’m in Silicon Valley so people have money and space in their relatively large houses to store lots of stuff. Stores did not limit purchases early so there was panic buying early even here. Popular stores like Trader Joe’s and Costco have lines out the door for several hundred feet (they limit the number of people inside and everyone outside is six feet apart) but less popular grocery stores/green grocers do not based on my limited excursions on bike. Now purchases are limited but still some items run out because it takes more time for someone to stock items on shelves versus people just pulling it off.

Re: Interview with German Ventilator Manufacturer

#139
post #51

Earlier quoted context omitted.

I’ve wondered about this for a little while. Why does Germany have five times as many ICU beds than England? Until now, I’ve never heard a suggestion that England had fewer ICU beds than it needed generally, and assuming England and Germany use beds at the same general capacity, why on earth is Germany running five times more beds that it generally needs? (please don’t answer “for a case like this” unless you have so…

There's some definitional problems as well. Consider that in the last few weeks the NHS doubled its ICU capacity. The term "ICU bed" conjures up images of something surrounded by über-complex equipment but it can mean other things, which is why it seems able to flex so fast. As far as I can tell, so far in this pandemic, there haven't been any stats that can be totally trusted or compared between nations - on anythin…

> As far as I can tell, so far in this pandemic, there haven't been any stats that can be totally trusted or compared between nations - on anything at all.

this is correct in general. i don't think we'll have a clearer picture until at least autumn by which time some basic data has been collected and analyzed. then the multi-year governmental and private inquiries will surely follow, shedding even more light on the whole situation. i expect to keep hearing about this disease for years and years from now. but this too shall pass at some point.

Re: Interview with German Ventilator Manufacturer

#140
post #52

Earlier quoted context omitted.

That doesn't surprise me culturally. I lived in Germany for a couple of years, and the deference to "rules that matter" was completely different than my US experience. Even for trivial stuff like waiting in line/queues. The Germans were much more literal in following the rules, versus my US and UK peers.

Have you ever gotten oN Or off a airplane on Germany? It is gage ring how un-orderly they are - much worse then any other place I have every been.

Quite a lot, actually, Though, in the early 1990's. Perhaps something has changed.
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