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HEALTH

Coronavirus in Switzerland: Why have the French and Italian-speaking regions been so hard hit?

The fatality and infection rates in French and Italian-speaking Switzerland is much higher than in the country’s German-speaking regions, however Swiss health officials have said this is due to situational factors.

Coronavirus in Switzerland: Why have the French and Italian-speaking regions been so hard hit?
A man reads a newspaper with his dog next to a playfield closed with red-and-white police warning tape in Plainpalais place in Geneva on April 16, 2020. AFP

From the beginning of the outbreak to the present day, the coronavirus has had an uneven impact on Switzerland and its 26 cantons. 

As at Thursday, April 16th, Switzerland's confirmed cases of Covid-19 stand at 26,275. The fatality toll stands at 1,242 on the basis of reporting from the cantons.

The impact of the virus has however been much higher in non-German-speaking Switzerland – however the government has said that this is due to situational factors rather than a failing of the cantonal governments themselves. 

READ ALSO: Why do Switzerland's French and German speakers disagree about easing of restrictions?

Latin Switzerland heavily affected

In just three cantons – Ticino, Vaud and Geneva – there have been just under half of the country’s confirmed cases, while the death toll from those three cantons is more than half of Switzerland’s total. 

Conversely Zurich, which is the largest canton in Switzerland with more than 1.5 million people – just under 20 percent of the country’s population – has ten percent of the country’s confirmed cases and seven percent of the fatalities. 

In total, more than two-thirds (68 percent) of the country’s total victims of Covid-19 live in Latin Switzerland, despite these areas accounting for less than a third of the country’s population. 

As reported by The Local Switzerland on Thursday, April 16th, the widespread testing in Zurich – compared with a lack of testing in other parts of the country – indicates that the figures are likely to be more accurate in Zurich but much higher in other Swiss cantons. 

What is the real count of coronavirus infections in Switzerland?

‘Nothing to do with the actions taken’

The Swiss government has however dismissed concerns that the divergence could be to do with a difference in measures taken between Switzerland’s linguistic regions. 

Talking to Swiss media outlet Le Temps on Thursday, the Federal Office of Public Health (FOPH) said the efforts to combat the virus were largely uniform across Switzerland – meaning other situational factors were at play. 

“The measures were decided at a federal level when the epidemic was already advanced in different ways in different regions,” a FOPH spokesperson said. 

“This has nothing to do with a difference in the extent to which different cantons have taken action.

“They (the cantons in their efforts to combat the virus) are all at the same level.”

There are some factors which may have made Latin Switzerland more vulnerable to the virus than German-speaking Switzerland. 

As reported by The Local Switzerland in March, a major reason for the country’s higher than average infection rate has been its reliance on cross-border workers and its proximity to heavily-hit regions, such as those in Italy and France. 

While Ticino borders northern Italy – arguably the area of Europe heaviest hit by the virus – Geneva and Vaud border eastern France, which has also been one of the heavier hit French areas outside of Paris and Lyon. 

Conversely, while Germany has been internationally lauded for its efforts in curbing the spread of the virus and has one of the lowest mortality rates in the world.  

Ticino heavily hit

The first case was discovered in Ticino on February 25th and the southern canton would go on to be the hardest hit by the virus. 

Ticino, which borders hard-hit northern Italy, has been heavily impacted by the outbreak, counting more than 2,900 cases. 

The number of deaths in the canton is now at 263. 

This means that Ticino has just under one quarter of the country's total death toll, despite having just four percent of the population.

Western Swiss cantons heavily impacted

The western cantons of Vaud and Geneva have the most infections of any Swiss canton, with 4,700 and 4,400 respectively – more than a third of the country's total cases as at April 16th. 

The death rate is also high in these two cantons. In total, 254 people have died in Vaud and 172 in Geneva due to the virus.

 

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HEALTH INSURANCE

Could glasses and contact lenses soon be covered by Swiss health insurance?

The Swiss health system is ranked among the best in the world, but some essentials, like glasses, aren't automatically covered by health insurance. That could soon change, however

Could glasses and contact lenses soon be covered by Swiss health insurance?

Green Party Federal Councillor Katharina Prelicz-Huber revealed in an interview with newspaper 20 Minuten this week that the Federal Parliament had tabled a motion to include prescription glasses and contact lenses in Switzerland’s mandatory health insurance scheme. 

Prelicz-Huber stated: “The purpose of compulsory health insurance is to provide the services you need to get or stay healthy,”

The motion forms part of the legislation that will be voted on during the 2024 summer session of the Federal Council. 

Proposed changes 

According to Switzerland’s peak optician body, 4 in 5 Swiss wear glasses or contact lenses at some point. 

It’s no surprise that statistics repository, Statista, projects the Swiss eyewear industry to be worth €1.37 billion by 2028. 

Currently, glasses and contact lenses are covered for up to 180 francs for children until age eighteen, if they are proscribed by a doctor.

Adults can also claim money back for glasses and contact lenses – however, they must be suffering from one of a short list of specific conditions such as keratoconus – where the cornea is distorted – or severe myopia, otherwise known as near-sightedness.

They must also have been specifically prescribed them by a doctor or optometrist. 

Otherwise, supplemental optical insurance must be purchased in Switzerland to ensure you can recoup the cost. 

Under the Green Party proposal, glasses, contact lenses, and other visual aids would be covered, regardless of age. 

Rising premiums prompt opposition 

Not everybody agrees with the proposal. 

The right-wing SVP has already spoken out against it, with Federal Councillor Diana Gutjahr arguing: “If we seriously want to slow down the burdensome and constantly rising health costs for the benefit of the population, we [must] show the political will not to constantly expand the benefits of compulsory health insurance.”

A spokesman for the the health insurance advocacy group Santesuisse, Matthias Müller, echoed Gutjahr, claiming that insurance constitutes “financing for extraordinary events such as illness.”

“If almost everyone benefits from a certain service, it is no longer an insurance benefit.”

A date for the vote has yet to be announced. 

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