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HEALTH

Lyon and Nice set for tighter restrictions as French warned about family gatherings

Local authorities in Nice and Lyon must toughen rules in their cities to limit the spread of Covid-19, France's health minister said on Thursday as he warned that "the epidemic was once again very active across the country".

Lyon and Nice set for tighter restrictions as French warned about family gatherings
French Health Minister Olivier Véran on Thursday laid out the government's strategy to fight the spread of Covid-19 in a televised speech to the nation. Photo: AFP

Olivier Véran said the government had asked local authorities in Nice (Alpes-Maritimes) and Lyon (Rhône) to “take steps” to halt the spiralling Covid-19 rates in the two cities.

“For several weeks, we have seen the virus accelerate its circulation,” Véran said during the first of what was to be a weekly press conference by the health minister to update the country on the latest situation.

“The epidemic is once again very active in France,” he said.

The government last week asked the same of local authorities in Marseille and Bordeaux, where local authorities soon announced measures to restrict bar opening hours and limit the number of people allowed to gather in public. 

Local authorities in charge of the départements around Nice and Lyon will announce similar measures “by Saturday,” the health minister said.

“If the situation doesn't improve (in Marseille).. even stricter measures will without doubt need to be taken,” Véran said.

READ ALSO: Where are Covid-19 rates rising in France?

Authorities in Marseille have been concerned about the rapidly rising hospital numbers, with hospitals this week reporting that their intensive care units were filling up. This is the first time this has happened in France since the first wave of infections in March and April.

Unless swift action was taken, Véran said Lyon and Nice soon could find themselves in the same precarious situation.

In both cities, Covid-19 had reached a level of spread above the government's set threshold of alert.

Lyon on Thursday had an infection rate of 200, meaning that the city over the past seven days had registered 200 new coronavirus cases per 100,000 inhabitants. Any area registering an infection rate of above 50 cases is considered an area of “elevated” concern  by health authorities.

In Nice, the number was was 150.

Véran said authorities were especially worried about the incidence rate among the elderly in the two cities.

“Protecting the elderly and vulnerable remains a pillar in our strategy to fight the virus,” the health minister said.

“In Lille, Toulouse, Rennes and Paris, the (incidence number).. has passed the alert threshold,” Véran said.

However Véran said these areas were not seeing the same pressure on hospitals and level of spread among the elderly. 

“We will be extremely attentive to the development in these cities,” he said, stressing that the situation could quickly deteriorate and that the government might have to ask local authorities in these areas as well to take similar measures to stem the spread.
 

Véran said local authorities had to strike a balance between acting “neither too early.. nor to late” when it came to taking extra measures to limit daily life.

If taken too early, the rules “would not necessarily be accepted by the French,” he said.

But taken them to late could have fatal consequences “due to the 15 days of delay of impact on hospitalisations.”

He asked French to be cautious and keep complying with health rules such as face-masks, rigorous handwashing and limit social gatherings.

“The figures no longer leave any doubt: Family gatherings, friendly, are massive sources of contamination,” he said.

“Each and every one one of us, plays a key role in the fight against the virus.”

“But we have to learn to live with the virus. We must preserve our social, economic, cultural and civic life. Every day, we are becoming more effective against Covid 19.”
 
The minister also encouraged parents to send their children to school even when they had a cold but no fever.
 
Classes would not be closed if there was just one infected case, but children would be forced to stay hole if there was a “chain of infection” in the class, he said.
 
He declared a shift in the country's testing strategy and said “priority groups would get priority.”

He added that there was “no point in getting tested too often.”

“The test is not a health measure, it must be done if you have any doubts or if you have been confirmed as a contact case,” he said.

A person was a contact case if they had spent time with a Covid-19 positive case and were alerted either by that person or by regional health authorities.

Anyone further out in the contact chain did not need to get tested, he said.

“Contact cases of contact cases are not contact cases,” he said.

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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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