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HEALTH

Coronavirus: French PM warns ‘first 15 days of April will be even more difficult’ as death toll rises

French PM Edouard Philippe warned on Saturday that the first 15 days of April will be even more difficult for the country, which is battling a nationwide coronavirus epidemic that has now claimed over 2,300 victims.

Coronavirus: French PM warns 'first 15 days of April will be even more difficult' as death toll rises
Photo: AFP

In a press conference on Saturday evening Philippe told the French people the battle against the virus “was only just beginning.”

The death toll in France from coronavirus rose to 2,314 on Saturday after some 319 more fatalities in the previous 24 hours, though the death toll only includes those who have died in hospitals.

As of Saturday France counted 4,273 patients in intensive care, almost 500 more than on Friday. In total there are some 17,620 coronavirus patients in French hospitals, 1,888 more than on Friday.

The PM said the pandemic was “an unprecedented health crisis not seen in more than a century.”

Philippe warned however that the worst was still to come for France, which has seen over 2,300 deaths from the virus and has been in nationwide lockdown since March 17th.

“The first 15 days of April will be even more difficult, indeed more difficult than the 15 days which have just passed,” said Philippe.

Philippe said the number of positive coronavirus cases was doubling every three to four days.

He called on the public once again to respect the measures on confinement in order to protect themselves and health workers.

“It's our collective responsibility to reduce our contact, that's how will we flatten the curve” of the epidemic, said Philippe.

But the PM vowed: “We will get through this crisis”.

The PM was joined by Health Minister Olivier Veran who laid out the government's strategy for dealing with the accelerating epidemic.

France orders one billion masks from China

Veran said the government's aim was three-pronged: Increase the number of intensive care beds, get the necessary equipment and human reinforcements for hospitals and to transfer patients around the country to ease pressure on certain hospitals.

The number of intensive care beds in France was initially 5,000, which has since risen to around 10,000 but the government hopes to increase it to 14,500.

Veran said the government was exploring various avenues to get hold of enough masks for French health workers, notably via an increase in production within France to make 8 million a week and by ordering more than one billion from China.

Five million tests ordered

The French health minister also said the country had ordered 5 million coronavirus tests that will be able to show a positive or negative result within 15 minutes.

Between now and the end of April France will be able to carry out 30,000 more tests a day. That number will rise to 60,000 in May and 100,000 a day by June, said Olivier Veran.

France currently carries out around 12,000 tests a day.

Separately the health minister has asked elderly care homes known as Ehpad to keep residents in individual isolation. It comes after numerous deaths have occurred in care homes, especially in eastern France.

See impact of confinement 'end of next week'

Dr Arnaud Fontanet an epidemiologist from the Pasteur Institute in Paris and a member of France's scientific advisory board said the country should be able to see the impact of the confinement measures by the end of next week.

“To be able to estimate the impact of these confinement measures on the main indicator, which is the number of people in intensive care each day, we need to wait a little,” said the scientist.

France has been in lockdown since March 17 in a bid to slow the spread of the epidemic and officials have repeatedly warned it will take time for the measures to bear fruit.

The lockdown has been extended by another two weeks to April 15 given the gravity of the crisis.

 

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SCHOOLS

Are packed lunches really banned in French schools?

School children in France are entitled to a lunchtime meal of three, or even four courses – but what if you prefer to provide meals yourself? 

Are packed lunches really banned in French schools?

French school meals are, famously, pretty good – children get a three or even four-course meal of properly prepared dishes and the menu (including cheese course) is usually published in the local town newsletter so everyone can see the types of meals being served.

The concept of a proper meal at lunchtime is an important one. “The diet of a school-age child is essential for their growth, mental development and learning abilities,” the French Education Ministry says in a preamble about school meals on its website. “It must be balanced, varied and distributed throughout the day: for example 20 percent of total energy in the morning, 40 percent at midday, 10 percent at four o’clock and 30 percent in the evening.”

And it’s not all about nutrition, the social aspect of sitting together and eating a meal is also important – the ministry continues: “Mealtime is an opportunity for students to relax and communicate. It should also be a time for discovery and enjoyment.”

All schools provide meals in a canteen and most pupils take up the opportunity – however it’s also possible for pupils to go home at lunchtime so that they can eat lunch with their parents.

The idea of taking in a packed lunch (panier-repas) is much less common in France – but is it actually banned?

The rules on lunch

At écoles (up to age 11), the local authority or établissement public de coopération intercommunale (EPCI) is responsible for providing quality school meals. This generally involves meals being provided via a central kitchen, and then delivered to the school’s kitchen, where it can be kept warm, or reheated as necessary.

The system is slightly different in collèges and lycées (attended by children aged 11 and up). In those establishments, catering falls into the purview of the wider département or region – and is routinely managed directly by individual establishments, which will have catering staff on site to prepare meals. Often, meal services are outsourced to private businesses, which operate the kitchens.

There are various rules and regulations in place regarding what food is offered, and how long a child has to eat – which is, in part, why the school lunch period is so long. Children must be allowed a 30-minute period to eat their meal, from the moment they sit down with it at the table. 

Then, they’re given time to play and relax before afternoon classes start.

READ ALSO What you need to know if your child is starting school in France

At a minimum lunch must include a main course with a side dish, a dairy-based product, as well as a starter and/or a dessert. Meals must also, the government says, be composed of 50 percent sustainable quality products (including 20 percent organic).

Some local authorities go further and serve only or mostly food that is organic, locally sourced or both.

Water and bread must be freely available, but salt and condiments can only be added in preparation – no sauce bottles or salt and pepper on the tables. 

Daily menus are generally available to view on school websites and many town newspapers or newsletters also publish them.

Parents pay a fee for the school lunch, which is calculated according to income and can be free in the case of low-income families.

Packed lunch

But what if your child doesn’t like the school lunches and you don’t have time to pick them up, cook a full lunch and take them back in the afternoon everyday? The obvious solution would seem to be to send them in with a packed lunch, as is common in the UK and USA.

In theory this is possible, but only in certain circumstances and with very strict rules and caveats. 

The Ministry, in a written response to a Senator’s question in 2019, said: “The use of packed lunches [home-supplied meals] by primary school students can provide an alternative to school meals. This method of catering is authorised in particular for children with a medically established food allergy or intolerance, requiring an adapted diet.”

READ ALSO How to enrol a non-French speaking child in school in France

It added: “the preparation and use of packed lunches in schools must follow certain rules. First of all, it is important to respect the cold chain”.

The cold chain is a term applied to food handling and distribution – it’s usually used by food-preparation businesses, but in the context of a packed lunch it means that food prepared at home must be kept in appropriately cool conditions until it is ready to eat. It would be the responsibility of parents to ensure that the food is delivered to school in containers appropriate for the job (ie an insulated cool bag).

Once at the school, it is up to whoever manages the kitchen to ensure that food is properly reheated. This becomes the sticking point at which many parents’ requests to send their children to school with a packed lunch, rather than go to the canteen, or eat back at home, are refused.

The reheating concern suggests that schools are also expecting parents to prepare a proper meal – rather than just throwing some sandwiches and a cereal bar into a bag.

Unless there’s a genuine and proven health reason for your child to eat a home-prepared meal, most parents will probably find the school won’t budge on this – even in cases of a strike by kitchen staff or lunch monitors.

READ ALSO Just how much do private schools in France cost?

The Ministry’s written response explains: “[A]s this is an optional public service, the municipality can justify its refusal to admit the children concerned by objective material and financial constraints, such as the need to equip itself with additional refrigerators, or for additional supervisory staff to supervise them during lunch.”

As well as the practicalities, for some schools this is an equality issue – because of the varied fee structure for school lunches what happens in effect is that richer parents are subsidising a good quality lunchtime meal for poorer students in the class; if everyone brought in a packed lunch and therefore stopped paying the fee, the lower-income kids would miss out. 

What about allergies or other health issues?

Children with allergies or other health issues that require a particular diet must be accommodated. An individual meal plan – known as a projet d’accueil individualisé (PAI) can be set up. More details (in French) are available here, on the government’s website.

It also becomes easier for parents to provide home-produced meals in such instances. As ever, it is up to the parents to ensure any meals are appropriately packaged and transported to school.

Not all schools

Some individual schools in France do permit pupils to bring in meals from home. They must be taken to school in an appropriate cold-storage container, and they will be stored in the kitchen area until they are needed, when meals will – if necessary – be reheated.

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