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HEALTH

Has coronavirus really been found in the water in Paris?

Reports of coronavirus being found in the Paris water system have sparked concern, here's a look at exactly what happened.

Has coronavirus really been found in the water in Paris?
The Canal Ourcq, which runs through Paris. Photo: AFP

On Sunday, Paris City Hall announced that small traces of Covid19 had been found in the city's water.

While this sounds quite alarming, there are some things to be aware of.

1. It's not in the drinking water supply

The authorities were clear that the tests that found traces of the virus were in the city's eau non potable – non-drinking water.

The tests were done on water from the supply points for the city's street-cleaning trucks.

This water is taken from the river Seine or the Ourcq canal which runs through the city and is partially treated, but not to the same standard as drinking water. The water from these supply points is also used to supply ornamental fountains and ponds in the city's parks – although most of these are closed at present.

Paris authorities say they have stopped using this water for street cleaning while they run more tests.

Paris street cleaners are no longer using the non-drinking water network. Photo: AFP

2. The amounts detected are very small

Samples were taken from 27 water points and in four of them very small amounts of the virus were found.

“We are at the limit of detection points,” Laurent Moulin, microbiologist at the Eau de Paris research and development laboratory told BFMTV.

“We were able to find and confirm the faint trace of viral genome… We found 1,000 small pieces of virus genome per litre of non-drinking water, which is 3,000 to 5,000 times lower than the concentrations in raw sewage.”

It's actually not unusual to find traces like this in the water during an epidemic, as the virus enters the sewage system via the toilets of infected people.

Treatments plants remove most of it, but non-drinking water doesn't get the same level of treatment as tap water so some traces can remain.

“This is the case with every epidemic, which is why people say that you shouldn't bathe in rivers during major gastroenteritis epidemics, for example,” Paris deputy mayor Emmanuel Grégoire told France Info.

“There is no reason why coronavirus should escape the rule.”

3. There is extra testing 

The water in Paris is fairly regularly monitored, but testing has been stepped up in the context of the health situation.

The traces would not have been found under the normal testing regime, but were picked up by the extra level of testing.

“If we hadn't looked, we wouldn't have found it,' added Grégoire.

4. Use of the non drinking-water network was suspended

Despite saying that the amounts are tiny, Paris authorities have temporarily suspended the use of the non-drinking network for street cleaning, over fears that the fine spray of water thrown up by cleaning trucks could be inhaled.

The drinking water network is completely separate to the non-drinking water network, city authorities have stressed.

 

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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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