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HEALTH

Lyon latest to tighten restrictions as French cities increase local lockdown controls

Lyon has become the latest French city to announce local health restrictions - including banning the sale and consumption of alcohol in public spaces after 8pm - as Covid-19 cases rise.

Lyon latest to tighten restrictions as French cities increase local lockdown controls
Police in Lyon enforce the city's mask rules. Photo: AFP

France's strategy so far for the second wave of Covid-19 infections is to avoid a national lockdown and rather impose local restrictions where necessary.

With 55 départements now officially classed as 'red zones' several of France's biggest cities have been ordered by the government to come up with their own local restrictions.

MAP Where are France's 55 coronavirus 'red zones'?

So far none of these have been particularly far-reaching and no cities have reimposed lockdown, but here are the extra restrictions in place for different parts of France.

Lyon

The eastern French city was told on Thursday that it must tighten restrictions after a leap on the number of cases.

It has now announced several new measures, which will come into force on Tuesday, September 22nd.

They include:

  • A ban on gatherings of more than 1,000 people (the national limit is 5,000)
  • Certain types of gathering including vide-greniers (yard sales) or funfairs are banned completely
  • Private gatherings of more than 10 people are discouraged (but not actually banned)
  • The sale and consumption of alcohol in public spaces is banned between 8pm and 6am.

 

Marseille

The densely-populated southern city of Marseille is one of the worst-affected places in France with high numbers of cases and increasing pressure on hospitals.

The authorities of the Bouches-du-Rhône département have introduced new restrictions for the city and some surrounding areas. They are:

  • A ban on gatherings of more than 10 people on beaches and in parks
  • A ban on any gatherings of more than 1,000 people 
  • Alcohol consumption in public spaces after 8pm is banned
  • All bars and restaurants must close at 12.30am 
  • Cancellation of the annual Journée du Patrimonie heritage events

Bordeaux

Bordeaux and the surrounding Gironde area, relatively untouched during the first wave of the epidemic, is now a cause for concern for the French government.

Its restrictions now include

  • A ban on gatherings of more than 10 people on beaches and in parks
  • A ban on any gatherings of more than 1,000 people 
  • Alcohol consumption in public spaces after 8pm banned
  • Drinking while standing in bars or cafés is banned
  • Bars can be closed immediately if their customers are seen breaking the rules
  • Private gatherings of more than 10 people are discouraged
  • Gatherings including vide-greniers and funfairs are banned

 

Paris

Although case numbers in the capital and its surrounding region are high, authorities deem the situation to not yet be so serious as to require extra measures.

However Parisians have been warned to tone down their socialising to avoid a repeat of the situation during the first wave which saw hospitals reach breaking point and critically-ill patients having to be sent to other parts of France.

Health minister Olivier Véran said: “The figures no longer leave any doubt: Family and social gatherings are massive sources of infection.

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

Nice

The French Riviera city was also ordered on Thursday to come up with a plan for extra restrictions on a local level. These are;

  • A ban on any gatherings of more than 1,000 people 
  • Alcohol consumption in public spaces after 8pm banned
  • Bars and restaurants close at 12.30am
  • Nice football club is now playing its matches behind closed doors

Lille, Toulouse and Rennes

These cities have all reported high levels of new Covid-19 cases, but so far are not seeing the same pressure on hospitals that has lead to other cities being ordered to take extra measures. However, this could change if the number of new patients admitted into the cities' hospitals continues to rise.

Masks

In addition to the measures above, many local areas have brought in stricter rules on mask wearing.

The national rule says only that masks must be worn in indoor public spaces, but many local authorities – including virtually all of France's large towns and cities – have extended this to make masks compulsory on the street as well.

 

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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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