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HEALTH

Bars and restaurants bigger Covid-19 risks than transport and shops, French scientists find

Spending time in a bar or restaurant increases the risk of catching Covid-19, French researchers said Thursday, whereas using public transport and visiting shops did not.

Bars and restaurants bigger Covid-19 risks than transport and shops, French scientists find
Photo: AFP

The latest study adds to evidence that socialising and eating out are far more dangerous than other activities such as using public transport or shopping.

Having guests over for dinner also plays a key role in transmission, the study found.

It comes as Europe and the Unites States in particular are grappling with surging infection rates and the start of a holiday season normally characterised by parties and family get-togethers.

Researchers from France's Institut Pasteur sought to find out which factors – like professions, mode of transport, places visited – differentiated participants who had contracted the virus from people who had not.

“We saw an increased risk associated with frequenting bars and restaurants,” said the lead author, Arnaud Fontanet, an epidemiologist and member of the scientific council guiding the government.

The study, called ComCor, has not been peer reviewed but has informed France's virus response.

It was carried out in October and November, during an initial period of curfew and then even tighter restrictions that saw most establishments partially or completely closed.

Fontanet told AFP that because bars and restaurants are not functioning as normal, it was difficult to gauge their exact role in transmission, and acknowledged that closing these businesses was a “sensitive” move.

French cafes and restaurants have remained closed even after nationwide restrictions were eased earlier this week.

ComCor researchers interviewed 3,400 people infected with Covid-19 and 1,700 others who did not have the virus.

They found that frequenting restaurants, bars or gyms was associated with an increased risk of infection, whereas using public transport and visiting shops were not.

Restaurants in France reopened over the summer, although under strict health rules and mostly outdoor seating. Photo: AFP

'Friendly dinners'

Health authorities across the world have advised people to avoid crowded indoor spaces as scientists increasingly agree that the new coronavirus can travel in fine clouds of particles known as aerosols that can collect in poorly ventilated rooms.

A September survey by the US Centers for Disease Control and Prevention found that adults with positive coronavirus test results were about twice as likely to report having eaten at a restaurant in the previous two weeks than those with negative results.

In November, a study in the journal Nature found that restaurants, gyms and cafes account for most Covid-19 infections in the United States.

Using mobile phone data from 98 million people, researchers found about 10 percent of venues accounted for more than 80 percent of cases.

The ComCor research also tried to pinpoint different circumstances of infection, with surveys of 25,600 infected individuals using health insurance data.

It showed that “meals play a central role in these contaminations”, as people sat close to each other without masks.

“Private meetings – families, friends – are the main source of infection,” Fontanet said.

“If people have friendly dinners at their homes rather than going to a restaurant, it doesn't make a difference.”

The researchers stressed the importance of organising such gatherings in “the safest way possible” to protect vulnerable people over the holidays.

Member comments

  1. Yet another study that demonstrates its all about masks. Other studies have shown that mask wearing protesters did not spike Covid and mask-wearing public transit riders have not seen a spike in Covid, even though both involved a lot people in close proximity. Eating, drinking, and exercising – all activities when people remove their masks. All associated outings have seen a spike in Covid.

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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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