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HEALTH

‘We are on a war footing’ – Inside one of France’s coronavirus cluster zones

"Have you called your doctor? Have you been in contact with anyone? Are you taking antibiotics?" ask the phone operators at the Emile Muller hospital in the eastern French city of Mulhouse.

'We are on a war footing' - Inside one of France's coronavirus cluster zones
Photo: AFP

The phones are ringing incessantly at the hospital in a city that has emerged as one of the main hubs for infection in France, even if it insists that the situation is for now under control.

In one of the three rooms opened to deal with calls, thirteen doctors and assistants attempt to differentiate regular emergencies from calls related to the coronavirus. 

“We've rarely seen anything like it. Often, it's temporary. But here, the problem is that it's lasting,” said Doctor Laurence Maka.

Healthcare workers in Mulhouse, a city near the Swiss and German borders, are racing to contain a coronavirus outbreak that is one of the most severe in the country.

Many of the cases have their origin in a week-long church gathering organised by an evangelical church attended by some 2,000 people which has seen cases since travelling as far as South America.

“At the moment we probably have a dozen or so patients in intensive care in very serious condition,” said the head of accident and emergency in the hospital, Marc Boizet.

Head of accident and emergency in Mulhouse Marc Boizet. Photo: AFP

Jean-Luc Reitzer, the local MP for the Haut-Rhin department who was the first French lawmaker to test positive for the virus, is among those in intensive care.

Local authorities said late Monday that there were 193 cases of coronavirus in the Haut-Rhin region where Mulhouse is located, one of the highest concentrations in France.

Most of the cases in all of eastern France were linked to the meeting of the Christian Open Door Church in Mulhouse from February 17th to 24th, a statement by the local authorities said.

'Not managing to pick up' 

Jean-Marie Deflandre's mother-in-law attended the religious gathering at the Christian Open Door church.

“That's when (she) was infected. The problem is that she stayed with us for a week,” the 49-year-old said between coughs from behind his protective mask at the hospital.

He has since tested positive for the virus. Those who attended then spread the virus across France and even as far as the overseas department of French Guiana in South America.

Deflandre was waiting at the hospital entrance for his wife's results, who was sent for tests by the emergency medical hotline.

Phone calls to the hospital have exploded since the outbreak. “We registered 1,900 calls” on Monday, of which 1,200 were in relation to the coronavirus, said Noizet at the press conference.

There are still “a third of calls that we're not managing to pick up,” he said.

In normal circumstances, the emergency hotline line receives 450 to 500 calls.


People in the emergency dispatch room in Mulhouse. Photo: AFP

'War footing' 

The situation has forced the establishment to take drastic action to face the unprecedented crisis, said Corinne Krencker, who leads the region's hospital network.

The director activated the “white plan” on Saturday, a series of measures designed to deal with exceptional health situations.

“It is a huge challenge. We are on a war footing,” she said.

The “white plan” was also put into place at the Colmar hospital, another establishment in Mulhouse treating people infected with COVID-19.

The hospital has opened four units to deal with the virus, cancelled non-urgent operations and opened a structure to diagnose infections.

Retired doctors have been requisitioned. Guy Fuchs, a 72-year-old general practitioner, doesn't mind. “I think that anyone, if asked, would come,” he said.

“We can see everyone's solidarity every day, which happened immediately,” said the head of the Regional Agency for Health in the Haut-Rhin region, Pierre Lespinasse.

But the health system is reaching saturation point, warned Marc Boizet. The Emile Muller hospital is now only screening patients with severe symptoms.

For the moment, the hospital is managing to deal with the crisis, he said.

“But it's possible that at one point we won't be able to cope and will have to lean on satellite establishments,” he added.

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HEALTH

The different ways you can make a doctor’s appointment in France

Booking a medical appointment in France can be time-consuming – especially if you are new to the country and are looking for an English-speaking doctor.

The different ways you can make a doctor's appointment in France

You do not need a carte vitale to book a doctor’s appointment in France – anyone who needs medical help while in the country is entitled to it, but you may not be entitled to any reimbursement if you are not part of the social security system.

Booking a GP’s appointment can be as simple as phoning up your friendly neighbourhood GP, or using an online service such as Doctolib. 

It helps a lot, if you have a médecin traitant – an attending GP, who adds you (and your family, if they can) to their list of patients. 

READ ALSO Explained: How to register with a doctor in France

It is not always easy to find one. Some parts of the country are short of GPs, which means doctors’ lists can fill up very quickly. But it is important that anyone who lives in France is registered with a named GP, especially if they have a carte vitale.

As well as being the main point of contact between patients and the medical profession in all its guises, it is financially responsible to be registered with a GP in France.

Reimbursement on consultations is typically 70 percent through the French healthcare system, but just 30 percent for anyone without a declared doctor. Meanwhile, top-up mutuelle health insurance companies usually require you to declare a médecin traitant and if you don’t, you may not be able to receive reimbursements on certain treatments.

Bear in mind, it is your responsibility to register with a local médecin traitant. But, even after you have done so, you can still make an appointment with any doctor, anywhere in France, and arrange specialist treatment, if you need it. 

READ ALSO 5 things to know about visiting a doctor in France

How do you go about making a GP appointment in France?

There are several options.

Some health centres – more often in larger towns and cities – operate a walk-in policy. But expect waits to be lengthy. Do not, however, assume that your GP operates a system like this.

You can phone for an appointment. This is another very common method. Your GP will have their own system for making appointments – which may even include something that looks, to the uninitiated, very much like a casual walk-in policy. 

Some may have an assistant to deal with booking appointments and other administration. Others may deal with appointments themselves, and may – for example – operate some sort of triage system based on voice messages from patients. 

What about online booking systems?

And many practitioners are now attached to websites, such as Doctolib. As of 2023, about half of all GP appointments in France were made using Doctolib.

READ ALSO How to use: French medical website Doctolib

Be aware that other online booking systems are available. Doctolib is one of the best known, but your GP may be attached to another system, like the health ministry approved site ‘LeMedecin.Fr’.

This website also has a feature where you can take an immediate online consultation with whatever doctor is available at that moment. By clicking ‘Consultez en vidéo maintenant’ you will be connected to the next doctor who is free. This option may involve an additional charge between €5-10 on top of the price of the consultation, and you will be expected to pay when booking.

If you have any trouble with either of these websites, you can go through the list of registered generalists per département on the ‘Ameli’ website. If you use this option, you will need to call the doctor to see if they are open or available for appointments.

In terms of wait times, online systems have helped to significantly reduce the delay between booking and getting an appointment.

According to a 2023 study by Doctolib, about half of all GP appointments were available within three days from the time of booking on their platform.

Similarly, you can use online platforms to check the medical professional’s qualifications and languages spoken, as well as filter based on the doctor’s English abilities. However, this should be taken with a grain of salt because not every medical professional with English listed on their Doctolib page speaks fluent English. 

An increasing number of doctorsoffer video consultations, known as télémédecine in France. This allows professionals – particularly those in more rural areas – to diagnose less serious conditions remotely. This type of consultation is usually only available from those medical practices that are attached to online booking systems. 

Some pharmacies have also begun offering walk-in télémedicine consults, using ‘Medadom’ machines. More information here.

What about specialists?

In France, you book your own consultations with specialists, even if you are referred by a doctor (your GP may offer a recommendation, but won’t always). The good news is that many specialists do use online booking services. Those that do not usually have assistants to take care of the appointments.

READ ALSO: Urgent care: How to get non-emergency medical treatment in France

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