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HEALTH

France records at least 884 coronavirus deaths in care homes for elderly

At least 884 elderly people have died in nursing homes in France since the start of the coronavirus epidemic, French health chiefs reported on Thursday. It is the first time that figures for non-hospital deaths have been revealed.

France records at least 884 coronavirus deaths in care homes for elderly
Photo: AFP

France's Director General of Health Jérôme Salomon revealed on Thursday that at least 884 elderly people have died in the country's care homes for elderly, known as Ehpad (Établissement d'hébergement pour personnes âgées dépendantes) since the coronavirus epidemic began.

France's previous daily coronavirus death tolls had included only those who had died in hospitals, but it was known that the nursing homes, particularly in the east of the country, had been hard hit by the outbreak of the virus.

Salomon announced on Thursday night that at least 884 people had died in Ehpads around the country, while stressing that this is only an initial figure.

READ ALSO How and when will France's lockdown end?

France's Director general of Health Jérôme Salomon. Photo: AFP

Separately Salomon reported that in the last 24 hours 471 coronavirus patients have died in hospitals, taking France's total number of hospital deaths so far to 4,503.

But the health chief stressed that the most important number to look at for predicting the direction of the epidemic is the number of people currently in intensive care units, saying “this is the major indicator of the future course of the virus”.

Currently there are 6,399 people in intensive care, up from 6,017 on Wednesday and 5,565 on Tuesday.

The huge numbers of patients in critical conditions needing intensive care treatment has put massive strain on hospitals, particularly in the worst hit areas in eastern France and the greater Paris Île-de-France region.

At the beginning of the epidemic, France had just 5,000 intensive care beds in total. This has now been increased to 9,000 with a target to increase again to 14,000.

In total 26,246 people are in hospital while 12,428 are listed as having recovered.

The operation to evacuate patients from overwhelmed hospitals continued, with the French military airlifting patients to Germany, Luxembourg, Switzerland and Austria. In total 163 patients from France have been transferred to hospitals in neighbouring countries.

Specially adapted TGV trains are also being used to take patients out of overwhelmed Paris hospitals to Brittany, Occitanie and Centre-Val-de-Loire regions, which have fewer cases.

 Despite this, the Paris police chief on Thursday confirmed that police have requisitioned part of the Rungis food market on the outskirts of Paris to store bodies as local funeral homes also struggle to cope.

Around a third of all coronavirus deaths have happened in the greater Paris area, although this includes patients from other areas transferred to the specialist hospitals in the capital.

The death toll on Thursday was slightly lower than the 509 people who lost their lives on Wednesday, although Salomon cautioned that it was too early to say if this was a trend.

“I would be very careful, there is an incubation phase of a week and delay in severe cases appearing,” he said.

“The evaluation of the impact of the confinement can take place at the end of the week or over the weekend. We should start to have an impact on admissions to hospital and intensive care in particular.”

“When we have the good news from the ground so much the better. But let's be careful,” he said.

France's prime Minister Edouard Philippe has predicted that this week would be “extremely difficult” but after that the government hopes that the effects of France's struct lockdown measures, which began on March 17th, will begin to be felt.

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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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