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HEALTH

France says ‘coronavirus is under control’ as deaths fall

The COVID-19 pandemic is now "under control" in France, the head of the government's scientific advisory council said Friday, as the country cautiously emerges from a lockdown imposed in March.

France says 'coronavirus is under control' as deaths fall
A man cleans the cobblestones outside Versailles as it gets ready to reopen. Photo: STEPHANE DE SAKUTIN / AFP

“We can reasonably say the virus is currently under control,” Jean-Francois Delfraissy told France Inter radio. “The virus is still circulating, in certain regions in particular… but it is circulating slowly,” he added.

Delfraissy, an immunologist, and his colleagues were appointed to the coronavirus advisory panel as authorities sought to contain an outbreak that has killed over 29,000 people in France.

The number of daily deaths has fallen with just 46 reported by the health ministry on Friday and 1,094 patients in intensive care — well below the peak of more than 7,000 critical cases in early April.

Delfraissy said around 1,000 new cases were currently being reported in France per day, down from around 80,000 in early March, before the nationwide stay-at-home orders and business closures were issued.

READ: No return to lockdown in France, even if there is a second wave, says head of Scientific Council

In its latest summary of findings published Thursday, the Sante Publique France health agency estimated that the country had 151,325 confirmed COVID-19 cases as of June 2, when restaurants across France were allowed to reopen and more students able to return to class.

But it cautioned that at the height of the outbreak, patients with suspected coronavirus infections were not systematically tested, meaning the actual number of cases exceeds the official estimate.

Cautious optimism 

The advisory panel this week urged authorities to prepare for four potential scenarios of how the outbreak might unfold in coming weeks, ranging from continued but limited new cases to a “critical deterioration” of the situation.

“We think the first scenario, a controlled epidemic, is the most likely,” Delfraissy said, citing the success of confinement measures and the chance that coronavirus contagions would let up during the summer months.

READ: U-Turn: Spain to delay reopening up land border with France

He called for increased efforts to “test, trace and isolate” since only a small fraction of the French population has been exposed to it, meaning a second surge of cases remains a risk.

Currently around 75 percent of intensive care patients are grouped in four areas — the Paris region, two regions covering the country's hard-hit northeast, and the southeast near the city of Lyon.

Yet only the Paris region as the overseas territories of Guiana and Mayotte remain in the higher-risk “orange” category on the government's map of the coronavirus threat, with the rest of the country labelled “green.”

That led officials to reopen restaurants, bars and cafes on Tuesday, and lift the restriction limiting travel to within 100 kilometres (60 miles) of a person's home — except for “orange” regions like Paris, where only outdoor seating at cafes and restaurants is allowed.

But gatherings of more than 10 people remain prohibited, and while more students have started returning to class, high schools in “orange” zones remain closed and universities are not expected to reopen until September.

The annual Bastille Day military parade in Paris on July 14, has been replaced with a much smaller tribute to health workers.

However, the postponed French Cup final could still go ahead before a limited number of spectators in Paris, the football authorities said Friday.

Both domestic Cup finals, postponed in April, may now be staged in August just before the planned start of next season.

The government hopes to further ease restrictions from June 22, including the reopening of cinemas, and the second round of voting for the country's municipal elections, originally set for March, are planned for June 28.

“If everything goes well… we will be able to start doing things in orange zones that we've already started doing in green zones. That would already be major progress,” Prime Minister Edouard Philippe said this week.

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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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