How healthy is Germany?

The number of new cancers is the estimate of Germany's cancer data centre, and leaves out common skin cancer. The deaths are counted from death certificates, and printed rounded to the hundred.

The cancer page gives the sources in full.

Sources: Zentrum für Krebsregisterdaten at the Robert Koch-Institut, with Deutsche Krebsregister e. V., Krebs in Deutschland für 2021 – 2023 (Cancer in Germany), 2025, pages 17 and 20 of the file. Statistisches Bundesamt (Destatis), the Federal Statistical Office, Pressemitteilung Nr. 363 (press release 363), read 11 October 2026.

A law requiring proof of measles vaccination came into force on 1 March 2020. The fine for breaking it can be up to 2,500 euros.

Who must show proof, and what follows without it, are not on this page yet: they have been read once, and Dooram reads everything twice.

Sources: Bundesministerium für Gesundheit (Federal Ministry of Health), Fragen und Antworten zum Masernschutzgesetz (questions and answers on the measles protection law), read 11 October 2026. Bundesministerium der Justiz (Federal Ministry of Justice), gesetze-im-internet.de, Infektionsschutzgesetz, § 73 (Infection Protection Act, section 73), read 11 October 2026.

Three ages and two groups of children: the first two bars are children born in 2022, the third is children born in 2018.

The share with a second dose by age two has not yet got back to its highest, 80 in 100 in 2021. Among the states it runs from 55 in 100 in Saxony to 84 in Schleswig-Holstein. No source Dooram read says why, so Dooram does not say why either.

At school entry in 2023, 97 in 100 children who showed a vaccination card had the second dose. Counting a child with no card as not vaccinated, it is 92 in 100.

The worldwide estimate matches Germany's figure at age six, not at age two. Dooram leads with the country's own; the worldwide estimate is the one its grade uses, because it is made the same way for every country.

Sources: Robert Koch-Institut, Germany's federal institute for public health, Epidemiologisches Bulletin 50/2025 (the institute's weekly report), pages 5, 7, 8 and 10 of the file, read 11 October 2026. World Health Organization and UNICEF, United Nations Statistics Division, SDG Global Database, read 11 October 2026.

HPV is the human papillomavirus, a cause of cancer of the cervix.

These are children born in 2009. The share of girls fully vaccinated has stood still since 2022; for boys it rose by 2 points in a year.

From district to district, between 26 and 75 in 100 girls aged 15 are vaccinated.

Source: Robert Koch-Institut, Germany's federal institute for public health, Epidemiologisches Bulletin 50/2025 (the institute's weekly report), pages 5, 7 and 10 of the file, read 11 October 2026.

The institute's weekly report prints 34 in 100 and says it fell by 4 points in a year. Its open file prints the same figure as 34.5; the bars are drawn from the file.

Two states are shown because they were read twice. The file has all 16.

Sources: Robert Koch-Institut, Germany's federal institute for public health, Epidemiologisches Bulletin 50/2025 (the institute's weekly report), pages 8 and 9 of the file, read 11 October 2026. Robert Koch-Institut, Gesundheitsberichterstattung: Daten zu nichtübertragbaren Erkrankungen (health reporting: data on illnesses that do not spread), measure 3010102, read 11 October 2026.

In 2023 women aged 50 to 69 were invited. Since 1 July 2024 the programme invites women aged 50 to 75, so this figure is for the earlier rule.

The count includes women who asked for an appointment themselves.

Taking part in one year is not the same as ever having been screened.

Source: Kooperationsgemeinschaft Mammographie (the body that runs the breast screening programme), Jahresbericht Evaluation 2023 (evaluation report for 2023), 2025, pages 6, 13 and 44 of the file.

The statutory count is the health ministry's yearly average for 2025, read again in its final accounts for 2025 and in the statutory insurers' association's key figures (74.51 million). The private count is the private insurers' association's own, about 8.7 million in 2024; the statutory insurers' association gives 8.74 million for the same year, from the private insurers' figures. Both associations put statutory insurance at about 9 in 10 people.

Sources: Bundesministerium für Gesundheit (Federal Ministry of Health), Gesetzliche Krankenversicherung. Mitglieder, mitversicherte Angehörige und Krankenstand, Jahresdurchschnitt 2025 (KM1/13) (statutory health insurance, members and insured family members, yearly average 2025), Versicherte gesamt, 12099, read 20 October 2026. Bundesministerium für Gesundheit (Federal Ministry of Health), Gesetzliche Krankenversicherung. Endgültige Rechnungsergebnisse 2025 (KJ1), Stand 29. Juli 2026 (statutory health insurance, final accounts for 2025), Versicherte gesamt, 09983, read 20 October 2026. GKV-Spitzenverband (the national association of statutory health insurers, a public body set up by law), Kennzahlen der gesetzlichen Krankenversicherung, September 2026 (key figures of statutory health insurance, September 2026), pages 23 and 24, read 20 October 2026. Verband der Privaten Krankenversicherung (the association of private health insurers, not a government body), So funktioniert die private Krankenversicherung (the private insurers' association's page on how private insurance works), read 20 October 2026.

Tests in 2022, and how many in every 100 passed, as the report prints them.

• E. coli, a germ from faeces40 of 118,344 tests failed99.97
• Enterococci, germs from faeces78 of 72,838 tests failed99.89
• Coliform bacteria1,273 of 118,066 tests failed98.92
• Nitrate6 of 18,843 tests failed99.97
• Lead61 of 14,573 tests failed99.58
• Arsenic26 of 10,813 tests failed99.76
• Uranium16 of 9,225 tests failed99.83

Source: Bundesministerium für Gesundheit (Federal Ministry of Health) and Umweltbundesamt (Federal Environment Agency), Bericht über die Qualität von Wasser für den menschlichen Gebrauch, 2020 bis 2022 (report on the quality of drinking water), 2025, Table 10, pages 42 and 43 of the file.

Water drawn by public suppliers in 2022, in every 100 litres

• Groundwater62.5
• Lakes and reservoirs12.3
• Springs8.1
• Wells beside a river8.0
• Groundwater topped up from rivers7.8
• Rivers1.2

99.5 in 100 people are on the public water supply. 448,805 are not (2022).

The shares are Dooram's own arithmetic from the statistical office's cubic metres and head counts.

Sources: Statistisches Bundesamt (Destatis), the Federal Statistical Office, Öffentliche Wasserversorgung (Erhebung 32211) (public water supply, survey 32211), 2022. Statistisches Bundesamt (Destatis), the Federal Statistical Office, Wassereigenversorgung und -entsorgung privater Haushalte (Erhebung 32251) (households and their water, survey 32251), 2022.

This is a share of tests, not of people. The report covers the 2,507 large supply areas, which serve 74.1 million people, 88.6 in 100 of the population.

For the two germs that come from faeces, E. coli and enterococci, over 99 in 100 tests passed. For coliform bacteria, a wider group of germs, 98.92 in 100 passed.

In 206 of the 2,507 areas, not every required test was done in 2022.

The two figures in the cross-check measure different things: one counts tests, the other people. Dooram leads with the country's own.

Sources: Bundesministerium für Gesundheit (Federal Ministry of Health) and Umweltbundesamt (Federal Environment Agency), Bericht über die Qualität von Wasser für den menschlichen Gebrauch, 2020 bis 2022 (report on the quality of drinking water), 2025, pages 9, 17, 22, 42 and 43 of the file. WHO and UNICEF Joint Monitoring Programme, United Nations Statistics Division, SDG Global Database, read 11 October 2026.

The EU nitrate network (EU-Nitratmessnetz) is 679 sites chosen to watch what farming does to groundwater. It is not all of Germany's groundwater, so this does not say that a quarter of it is over the limit.

In the round of measuring before this one, 26.6 in 100 of the network's sites were over the limit.

Groundwater is not tap water. The tap water figure is a share of the tests done on the water people are supplied with.

Dooram gives no cause of any illness here. It repeats what a named authority has said, in its words.

Sources: Bundesministerium für Umwelt and Bundesministerium für Landwirtschaft (the federal environment and agriculture ministries), Nitratbericht 2024 (Nitrate Report 2024), pages 8 and 16 of the file. Umweltbundesamt (Federal Environment Agency), FAQs zu Nitrat im Grund- und Trinkwasser (questions and answers on nitrate in groundwater and drinking water), read 11 October 2026. Bundesministerium für Gesundheit (Federal Ministry of Health) and Umweltbundesamt (Federal Environment Agency), Bericht über die Qualität von Wasser für den menschlichen Gebrauch, 2020 bis 2022 (report on the quality of drinking water), 2025, Table 10, page 43 of the file.

The measured figure is the agency's own indicator: the average over three years at chosen stations in cities, away from busy roads. It is not an average for the whole country, and the newest value is a first result that may change.

Of the European limit, which has stood at 25 since 2015, the agency says:

„In Deutschland wurde dieser Wert seitdem und auch 2025 nicht überschritten.“

In English, Dooram's translation: “In Germany this value has not been exceeded since then, nor in 2025.”

For another pollutant, nitrogen dioxide, no station was over the European limit in 2025 either, and 77 in 100 were over the World Health Organization guideline.

The guideline is advice on what is healthy; the limit is the law. The worldwide estimate comes from a model of the whole country, which is why it differs. Dooram leads with what was measured.

Sources: Umweltbundesamt (Federal Environment Agency), Luftqualität 2025. Vorläufige Auswertung (Air quality 2025, first results), 2026, Table 4, pages 13 to 16 and 31 of the file. World Health Organization, United Nations Statistics Division, SDG Global Database, read 11 October 2026.