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HEALTH

EXPLAINED: How does France’s Covid-19 alert system work?

France is using a local alert system and map that sees the areas with the highest level of Covid-19 infections subject to strict new restrictions including the closure of bars.

EXPLAINED: How does France's Covid-19 alert system work?
Photo: AFP

As Covid-19 infection rates continue to soar in France and hospitals are coming under pressure, the government is determined to avoid another nationwide lockdown.

Instead it has decided on a localised 'alert' system that imposes strict restrictions on areas with the highest number of cases. Separate to the alert system, but linked to areas with high numbers of cases, are local curfews (see below).

Here's how the system works.

*Note that for both the heightened and maximum alert status are related to cities and surrounding area (metropoles) rather than the whole département (see more below).
 

Colours – there are four stages to the system, coloured pink, red, dark red and dark grey on the Health Ministry's map.

The levels are – alert, heightened alert (alerte renforcée) maximum alert (alerte maximale) and state of emergency.

Those areas coloured light grey on the map are where there is no alert in place.

Alert – there are 72 départements concerned by this, coloured pink on the map.

An area is classed on alert if there is an infection rate of 50 cases per 100,000 people.

Local authorities in these areas can take extra “pertinent” measures to curb the spread, but they are not obligated to do so.

However all these areas must limit weddings, parties and social events to 30 people maximum.

Heightened alert – There are eight metropoles on this alert level; Bordeaux, Rennes, Rouen, Nice, Toulouse, Montpellier, Dijon and Clermont-Ferrand.

Areas are classed as being on “heightened alert” if there is an infection rate above 150 cases per 100,000 inhabitants and a high level of spread among elderly (above 50 cases per 100,000 inhabitants), as well as a moderate pressure on the areas hospitals.

Local authorities must take a string of toughened measures in these areas.

These include: closing bars at 10pm at the latest, limiting the number of people allowed to gather in public spaces to 10 maximum, lower the threshold for big events from 5,000 to 1,000 and ban all large parties such as student parties. 

Restaurants are for the time being not affected by the early closing rule.

Gyms and sports halls will also close in most cases, along with community halls. Visits to Ehpad nursing homes will only be possible with appointments.

Maximum alert – In the first round of health briefings only two areas received this designation, the overseas département of Guadeloupe and Aix-Marseille – the southern port city and its surrounding areas. The initial designation is for 15 days, but local authorities have announced that Marseille's alert level has been extended until October 27th.

But on October 4th Paris and the petite couronne – the surrounding départements of Seine-Saint-Denis, Val-de-Marne and Hauts-de-Seine – were also moved up to maximum alert.

On October 6th four more areas joined the maximum alert list; Lille, Lyon, Grenoble and Saint-Etienne. The cities of Toulouse and Montpellier followed on October 11th.

This means there is an infection rate above 250 cases per 100,000 inhabitants and a very high level of spread among elderly (above 100 cases per 100,000 inhabitants), plus pressure on hospitals with intensive care units that have filled up over 30 percent of their beds with Covid-19 patients.

The highest level of alert means local authorities must close all bars for at least two weeks, although the period could be prolonged if the health situation required. Initially restaurants were included in the closure, but the government later announced a compromise that some could stay open under strict health conditions.

All other public spaces that do not already have strict hygiene rules in place must also close, although cinemas, museums and theatres will be exempt from this if they have sufficient hygiene protections. Cinemas and theatres already have strict rules on mask-wearing for the audience.

Metropoles not départements

It's important to note that for both the heightened and maximum alert status are related to cities and surrounding area (metropoles) rather than the whole département.

EXPLAINED: What is a French metropole

So for example in Bouches-du-Rhone – the département that includes Marseille – people who live in the Aix-Marseille metropole are on maximum alert level while people in the rest of the département are on alert level (pink).

State of Emergency – no areas received this designation and no measures were outlined for them. During the first wave of the virus the whole of France was placed in a State of Health Emergency, but this designation seems to open the way to declaring a State of Emergency in certain areas only.

Curfew – In addition to the restrictions brought about by the alert system is the curfew. As of Friday, October 23rd, 54 of France's 96 mainland départements are covered by a 9pm to 6am curfew. During those times everyone must stay at home unless they have an essential reason for being out, and any trip outside requires a permission form. Police are patrolling and breaking curfew means a €135 fine or €3,750 for repeat offenders. For full details on the curfew and which areas it covers – click here.

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HEALTH

How to donate blood in France

Donating blood can help save lives - and authorities often issue appeals for donors around holiday periods, including the public holidays in May. If you want to donate in France, here is what you need to know.

How to donate blood in France

Who can do it?

In order to donate blood (don du sang) in France, you must be aged between 18 and 71, and you must meet certain health and medical criteria, including being in good health and weighing at least 50kg. 

Most of the rules for donating blood are the same in France as they are in countries like the US and UK, but there are some specifics to be aware of. 

For example, you cannot donate blood if you lived in the UK for a cumulative total of at least 1 year between 1980 and 1996, which excludes many Brits from giving blood in France.

READ MORE: Is it true Brits are banned from giving blood in France?

Similarly, you cannot donate blood if you:

  • have undergone a transfusion or transplant
  • could transmit a disease (bacteria, virus or parasite) through your blood
  • could transmit a viral infection through sexual contact
  • had a piercing or tattoo in the last four months
  • are or were pregnant within the last six months
  • had sex with different or new partners in the last four months
  • or have taken intravenous drugs

If you are sick with the flu or a cold, you will likely be denied as well (those who had an infection or fever in the last two weeks). People who visited an area with high rates of malaria, who have survived cancer, or who had recent surgical and dental operations will be assessed on a case-by-case basis.

To figure out if you are eligible you can take this quiz (in French).

You cannot be excluded from donating blood based on your sexual orientation – in March 2022 France lifted exclusions on gay men giving blood, saying the rule was no longer necessary and was unfair.

However, you can be excluded based on the health concerns listed above.

How does the process work?

In France, there is a three-step procedure.

First, you will complete a questionnaire assessing your ability to give blood. You will have a short interview with a medical professional who will determine if you are eligible. You have 15 days following the interview to follow-up and inform the medical professionals if there was anything you forgot to share. 

You can find a blood donation centre on this interactive map. Click on a centre to make an appointment. Keep in mind you will need to bring ID along.

The amount of time it takes to give blood depends on whether you are donating whole blood, plasma, or platelets (more on this below). 

After the donation, you will rest briefly and be given a light snack. If there were any abnormalities with your blood, then you will be contacted once it is analysed.

Can you be paid?

No, you cannot be paid. All types of blood donation are considered to be voluntary, unpaid acts in France – your reward is that post-donation snack, plus the priceless knowledge that you may have saved someone’s life.

Blood vs. plasma vs. platelets

A whole blood donation (don de sang total) collects three essential components: red blood cells, platelets and plasma. However, you can also donate plasma or platelets individually. 

The procedures take different amounts of time, and there are also different intervals between donations you should keep in mind. 

Whole blood donations are used for blood transfusions and medical research, and the volume taken will depend on your weight and height. These take about eight to 10 minutes for the blood collection, though you should allow for 45 minutes to an hour for the medical interview beforehand, plus rest and snack time afterwards.

Men can give a whole blood donation a maximum of six times a year, while women can give four times a year. There should be at least eight weeks between donations.

Plasma donations (don de plasma) yield two to four more times the plasma taken during a normal whole blood donation – these are usually used for special transfusions. It will take a maximum of one hour for the donation, but you should allow closer to an hour and 30 minutes. 

For plasma, both men and women can give a plasma a maximum of 24 times in one year. The interval between donations should be at least two weeks.

Donating platelets (don de plaquettes) helps to treat certain cancers, including leukaemia. This process takes a bit longer – closer to an hour and 30 minutes for the collection, so allow two hours for the whole process.

For platelets, men and women can both give a maximum of 12 times per year. The interval should be four weeks between donations.

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