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HEALTH

Coronavirus: France records 509 fatalities in one day as French PM warns over end of lockdown

France recorded its highest one-day death toll from coronavirus on Wednesday with 509 more fatalities, bringing the total number of deaths since the epidemic began to 4,032. The French PM said the lockdown, set to run until at least April 15th, will likely be eased in stages around the country.

Coronavirus: France records 509 fatalities in one day as French PM warns over end of lockdown
Austrian medics take care of two French patients infected with the novel coronavirus upon their arrival at Salzburg's airport to be treated at a hospital on April 1, 2020. AFP
The one-day death toll of 509 on April 1st was the highest so far recorded in France and was a slight rise on the 499 reported on Tuesday.
 
The death toll refers to patients who have died in hospitals since the epidemic began but the real figure is likely higher given those who died in care homes for the elderly have not been included in the data.
 
In his evening press conference France's Director General of Health Jérôme Salomon said the number of coronavirus patients in hospital had risen to 24,639, a rise of 1,882 on Tuesday's total.
 
 
Significantly, the number of patients in intensive care (réanimation) had risen sharply to 6,017, up from 5,565 on Tuesday. The initial capacity of intensive care units in France – around 5,500 beds – had now been surpassed, Salomon said.
 
Some 34 percent of those in intensive care were under 60 and 80 of those patients were under 30, the health chief said.
 
On a more positive note he reported that 10,935 patients had recovered from the virus, including 1,491 who had left hospitalin the past 24 hours.
 
Some 2,227 of those patients in intensive care were in hospitals in the greater Paris region of Île-de-France, the regional health authority said on Wednesday. That number reflected a rise of 11 percent on Tuesday. 
 
France's Health Minister Oliver Véran told a parliamentary committee on Wednesday that the epidemic in France was on a trajectory that was “extremely serious and worrying… the situation remains extremely tense.”
 
 
 
Véran also added that France has “never carried out as many medical evacuations in our country as in the past 15 days,” referring to the major operation to move critical patients out of overwhelmed hospitals in the Paris region and eastern France to other parts of the country.
 
Some 320 nurses and hospital workers were being reposted to the Paris region and the east from other parts of the country to help ease the pressure on their colleagues.
 
 
Lockdown likely to only end gradually
 
French PM Edouard Philippe told the parliamentary committee that the government was unlikely to end the lockdown – which he recently extended until April 15th, for the whole country at the same time.
 
“It is likely that we are not moving towards an end of confinement that would be in one move, everywhere and for everyone” he declared during his hearing with the National Assembly. He added that the end date could to subject to where people live, testing and their age.
 
“We are working and testing scenarios,” said Philippe before adding later in the hearing that “I don't know the time table yet. The method will be progressive.”
 
Health chief Salomon added: “The French people have understood that confinement will not be abruptly ended” with a return to how things were before.
 
“How will it be done? Progressively? By region? All these questions will be considered by experts. There is no miracle solution,” he added.
 
“We need to evaluate the impact of this confinement. In two to three days we will be able to see if fewer patients are admitted to intensive care.
 
“When will we see a decline in the number of patients in a serious condition?” said Salomon adding that the time will come when authorities will be able to reflect on the strategy of ending the confinement.
 
 
Philippe said that 359,000 fines had been haded out to those deemed to have flouted the strict lockdown rules which have confined French people to their homes and only permits them to leave for certain reasons such as shopping or urgent health visits.
 
Philippe told MPs that fines can go up to €1,500 for repeated offences, and “4 violations within 30 days constitute an offence that the judge can punish with a jail sentence of 6 months, a fine of €3,750 “and a suspension of the driving licence.”
 
France is currently carrying out 30,000 tests a day, far fewer than in neighbouring Germany, a weakness that has been repeatedly noted by the opposition.
 
But France is hoping to greatly ramp up testing in the coming days and weeks with the arrival of serology blood tests and then rapid tests that can provide results in minutes.
 
The government's strategy is aimed at limiting the peak of the epidemic so that the health system is not overwhelmed.

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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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