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Wouter Beke: ‘We need to know how many vaccinated people end up in hospital’

‘We need to know every day how many vaccinated people end up in hospital. This gives us insight into the effectiveness of the vaccines against new variants and the speed of the pandemic’, says Flemish Minister of Welfare Wouter Beke. ‘The infection figures are no longer the right thermometer for the pandemic.’

In his desk hang portraits of Nelson Mandela, Barack Obama and John F. Kennedy. All by Wouter Beke (CD&V). During the second lockdown, the Flemish Minister of Welfare started painting, following his party colleague Mark Eyskens. To change his mind, after the nights he had been awake from the outbreak of the corona pandemic, which hit the Flemish rest homes hard.

The time of sleepless nights is over, now that the Flemish vaccination campaign is bearing fruit. More than 90 percent of adult Flemings have been vaccinated, so that social life opened almost completely on 1 September. As long as the vaccines remain equally effective, this will not change anytime soon, according to Beke. ‘If only the infection figures rise, we don’t have to tighten up immediately. The infection figures are no longer the right thermometer for the pandemic.’

How should we follow the evolution of the virus?

Wouter Beke: ‘Thanks to the vaccination campaign, we have built a dike against the virus. People do get infected, but get sick much less. The question now is: will the vaccinations in the coming period be resistant to possible new variants? And most importantly, will they keep us out of the hospital?’

‘This requires a more accurate measurement method than the number of infections. We need to know every day how many vaccinated people end up in hospital. This gives us insight into the effectiveness of the vaccines against new variants and the speed of the pandemic. I have asked my colleague Frank Vandenbroucke (Vooruit) to pay more attention to the number of vaccinees in hospitals in decision-making. I also requested that Sciensano publish those figures weekly. This way we can see whether there are any cracks in our dike.’

What if hospitals start filling up again this fall?

Peace: ‘The carrying capacity of the hospitals remains important, of course. But it is expected that, as is already the case, most of the admissions are unvaccinated people. That would mainly indicate that the vaccines are working. We have a limited number of breakthrough infections (people who still get infected despite vaccination, ed.) known in residential care centers. If this leads to a mild course of the disease but not to hospitalization, then that is no reason to suddenly become stricter. We should only tighten up if the number of vaccinated people in hospitals rises considerably, or the number of free beds falls considerably.’



We should only tighten up if the number of vaccinated people in hospitals rises significantly, or the number of free beds falls significantly.

Wouter Beke

Flemish Minister of Welfare



How has Flanders managed to achieve such a high vaccination rate?

Peace: ‘We have deliberately chosen to bring the vaccination centers close to the people. Logistics experts called putting down so many centers too crazy for words. It was the largest logistical operation since World War II: for every invitation there had to be a vaccine at the right time. But It worked.’

‘We also opted for an adherent invitation system: we immediately made a proposal to come for a vaccine on a certain day at a certain time. I have been accused of being an emperor-scister, but thanks to that policy we have a higher vaccination rate than Brussels and Wallonia, which worked with an open invitation system.’

Did the vaccination erase the drama of the early days, when the retirement homes were homes for the dead?

Peace: “We have been taken by surprise by the pandemic. The virologists first expected a few hundred deaths, a week later that prediction turned out to be completely outdated. I already locked the rest homes a week before the total lockdown.’

“We have also faced a lack of testing and a shortage of face masks because there was no federal stock. So we went to the major hospitals ourselves to buy mouth masks for residential care centers on the international market. They have experience in ordering them, but they did not cooperate, because they themselves feared shortages. They also said they didn’t have people on temporary unemployment who could help out in the residential care centers. But when I asked the then Minister of Work Nathalie Muylle that there were thousands of them. Many called out, but in the first weeks they mainly looked at themselves.’



The plan of freedom, that was our plan. The federal government has taken that literally.

Wouter Beke

Flemish Minister of Welfare



But you didn’t seem to know what to do, did you?

Peace: ‘Who knew that then? It’s true that it was difficult at first, but I soon realized that we had to take control of the vaccination campaign. For this we have made a plan of freedom. That was our plan, the federal government has literally adopted it.’

Do you think that the Flemish people link the strong vaccination campaign to Wouter Beke?

Peace: ‘I don’t think there has ever been a Flemish minister on CNN. CNN, but also German TV and other international channels have come to ask me: ‘What is your vaccination secret?’ An ambassador asked me: ‘How can Flanders become champion in a failed state like Belgium?’ I had to explain that. I was even recognized on holiday in France. Five men drinking coffee at the bakery shouted ‘monsieur le vaccinateur’ to me. And I think that the Flemish also appreciate that effort.’



CNN, but also German TV and other international channels have come to ask me: ‘What is your vaccination secret?’

Wouter Beke

Flemish Minister of Welfare



Brussels has the lowest vaccination rate in Europe. Is that the fault of the policy?

Peace: ‘The colleagues in Brussels are doing their best, but there is a different vision on healthcare. In Flanders we have drawn the map of the primary care zones. I believe in the power of closeness. Here in Leopoldsburg, my sister and father are family doctors and my sister-in-law are pharmacists. They help run the vaccination center and see their patients, even those who have doubts. They are our ambassadors for vaccination.’

Do we have to wait for Brussels?

Peace: ‘I was the first to say that we would relax more quickly in Flanders if the vaccination rate were higher here. I was accused of being a Community sharpener. But what has the Consultative Committee decided? That Flanders relaxes, and Brussels does not. That was always crystal clear to me, even though our hospitals show solidarity.’

Does it have to do with the diversity of the population, where vaccination is more difficult?

Peace: “That’s definitely a problem. Only 7 percent of Flemish municipalities do not yet have a vaccination coverage of 70 percent. This is mainly in the Flemish periphery around Brussels and other cities and municipalities with a larger population with a migration background, such as in Antwerp and Limburg. The distance with the government is greater for those people and radio pavement, with all the misunderstandings about the vaccines, is a lot more manifest. That is why we have also contacted the Inburgering Agency to take it up a notch.’

‘I will not save’

The Flemish budget for 2021 and the coming years is firmly in the red, but Minister of Welfare Wouter Beke (CD&V) does not intend to save on healthcare. ‘I’m not going to save on Welfare. That wouldn’t be wise. We are in Flanders with more than 250,000 people who are incapacitated for work. How did that happen? Because of cancer, cardio-vascular disorders or psychological problems such as burn-outs and depression’, says Beke. ‘The economic costs of this are enormous: those people live on benefits, while we are struggling with a shortage on the labor market. We come from the adage: for well-being you first need prosperity. But today we have to invest in well-being in order to create prosperity.’


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