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HEALTH

France to begin Covid-19 vaccinations before end of December

French Prime Minister Jean Castex on Wednesday promised France would embark on its Covid-19 vaccination campaign as early as in the last week of December, "if the conditions were right".

France to begin Covid-19 vaccinations before end of December
Will France begin vaccine in the next two weeks already? Photo: AFP

Speaking to the lower house of French parliament, the prime minister said the vaccine “could be carried out from the last week of December,” if “all conditions are met”.

“We have favoured the most advanced vaccines, Moderna and Pfizer, others could arrive in the coming months despite the uncertainties,” he said.

The French government has ordered a total of around 200 million doses, which would be enough to inoculate 100 million people. The country has a population of just under 70 million.

France will receive around 1.16 million Covid-19 vaccine doses by year end, Castex said, adding another 2.3 million will arrive in the next two months.

Giving a breakdown, he said France will receive around 1.16 million doses by the end of the year, another 677,000 doses in early January, and around 1.6 million doses in February.

The prime minister also confirmed that vulnerable people would be the first ones to get the jab in France and that the general population would have to wait until a later phase of the vaccine programme.

“By targeting the most vulnerable groups, we are seeking to reduce mortality due to Covid-19 and prevent hospitalisations and, in particular, admissions into intensive care wards,” he said, adding:

“It is only at the end of spring that we will open the vaccination programme to the entire population.”

Castex said that the start of the vaccine campaign was conditional on approval from the European Medicines Agency, expected on December 21st.

France's Health Minister Olivier Véran previously laid out a detailed timetable for vaccinations, and the order they would be offered.

  • Phase 1 – previously set to begin in January, the first phase could now start December. It will target the most vulnerable groups – residents in the country's Ehpad nursing homes, as well as Ehpad staff. This represents around 1 million people.
  • Phase 2 – Beginning in February or March, this phase, which represents around 14 million people, and includes all those with risk factors for Covid-19. First will be people aged 74 or older, then the 65-74 age group, followed by healthcare workers and people aged 50 plus with risk factors for Covid-19 such as underlying health conditions.
  • Phase 3 – from late spring, this will be opened up to the rest of the population (around 52 million people). This would begin with people aged 50 plus and keyworkers including teachers and retail staff before moving to people in precarious living situations such as the homeless, people who lived in a communal setting and then the rest of the population.
France's health authority, Haute Autorité de Santé, would publish advice on the conditions for giving out the vaccine, Castex said.
 
 
Another problem for the French authorities is that according to an opinion poll, only 53 percent of people want to be vaccinated, among the lowest rates in the world.
 
 
“We must remember that if a vaccine is authorised, it is only at the end of a rigorous procedure of tests and evaluations, both at the European and national levels,” Castex said.
 
He assured that the government will “be much more transparent in this phase of the epidemic's management,” after authorities came under fire over the distribution of tests and masks earlier in the year.
 
France on Tuesday ended its second virus lockdown but that has been replaced by an overnight curfew from 8pm.
 
Over 59,000 people have died of coronavirus since the start of the pandemic, according to official figures.

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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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