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HEALTH

Doctors fear worst of Covid-19 wave still to come in France

In the Covid-19 intensive care unit of the Antony Private Hospital south of Paris, no bed stays free for long and medics wonder when their workload will finally peak.

Doctors fear worst of Covid-19 wave still to come in France
Nurses tend to a Covid-19 patient under respiratory assistance lying unconscious in a room of the intensive care unit of the Hopital Prive hospital in Antony, a southern Paris suburb on April 2, 2021. (Photo by Christophe ARCHAMBAULT / AFP)

As one recovered elderly patient is being wheeled out of the ward, smiling weakly, boss Jean-Pierre Deyme is on the phone arranging the next arrival and calling out instructions to staff.

Louisa Pinto, a nurse of nearly 20 years’ experience, gestures to the vacated room where a cleaner is already at work, scrubbing down the mattress for the next arrival.

“The bed won’t even have time to cool down,” she says as the patient monitoring system beeps constantly in the background. 

For now, everything is stable in the 20-odd beds around her where Covid-19 victims lie inanimate, in a silent battle with the virus.

Paris is going through a third wave of the pandemic, which risks putting even more strain on saturated hospitals than the first wave in March and April last year.

“With what’s coming in April, it’s going to be very complicated,” says Pinto, a mother of three who hasn’t had a holiday since last summer and like other staff will be cancelling a planned break this month.

Even with a new round of restrictions coming into force this week, Health Minister Olivier Véran predicts that infections in France will peak only in mid-April, while hospital admissions will continue climbing until the end of the month.

READ ALSO: Why the average age of patients in France’s intensive care units is getting younger

Alarming forecasts leaked to the French media from the Paris public hospital authority AP-HP last week showed anywhere from 2,800-4,400 people in intensive care in the Paris region by the end of April even with a strict lockdown. In the first wave, the number peaked at 2,700.

Intensive care capacity is increased but staff shortages threaten healthcare

The director of the Antony hospital, Denis Chandesris, says intensive care capacity has already been increased by drastically reducing all surgery except for critical cancer, cardiological and emergency cases.

Hospitals everywhere in the region have taken similar measures, re-deploying beds and creating new wards, but they are reaching their limits.

“The difficulty is not so much beds or material, it’s a question of finding medical and paramedical staff to be able to take in patients,” Chandesris explained.

READ ALSO: REVEALED: Just how bad is the third Covid wave hitting France compared to previous spikes?

Last Sunday, a group of emergency care directors in Paris warned in an open letter that the situation was so bad that medics would soon have to start “triage” – selecting patients for care based on their chances of survival.

This prospect horrifies staff – and President Emmanuel Macron has always promised to shield hospitals and avoid the sort of scenes witnessed in Italy last March when patients piled up in corridors. 

In a televised speech to the nation on Wednesday night, he promised to increase intensive care capacity nationwide from 7,665 beds currently to 10,000 – a jump of 30 percent.

“I want to thank medical students, retired people, the army health service and medical reserve volunteers. All of them will be mobilised in a larger way,” he announced.

Opposition politicians and some experts reacted with scepticism while an Ifop poll for the Journal du Dimanche weekly found only 35 percent of French people had confidence in their government “to deal effectively with the coronavirus”.

Pinto, the nurse, underlined how working in intensive care is “very technical”, requiring specialised training and knowledge.

French President Emmanuel Macron hopes new lockdown measures will curb the wave of Covid-19 cases. (Photo by BENOIT TESSIER / POOL / AFP)

French PM pins hopes on new restrictions

Macron is banking on a limited lockdown over the next month turning the rising tide of cases, which have roughly doubled to 40,000 a day compared with their level a month ago.

The sharp acceleration is down to the spread of the more contagious so-called British variant which has become dominant in France.

New measures include nationwide travel restrictions, which limit people to 10 kilometres (six miles) from their homes, and the closure of schools and non-essential shops.

Only a significant increase in the vaccination campaign – which started sluggishly but is now picking up pace – fills any of the medics at Antony Private Hospital with any hope.

A medical worker prepares a dose of the Pfizer/BioNTech vaccine, in France. (Photo by JEAN-FRANCOIS MONIER / AFP)

After months of lacking doses, the government is promising a major rollout this month and an increase in the rate of jabbing.

Samir Taik, a taxi driver from Paris, walked out of the Antony hospital last week as the 1,000th Covid-19 patient to have benefited from oxygen therapy in the Covid-19 intensive care unit.

READ ALSO: UPDATED: When will you be eligible for the Covid vaccine in France?

The 43-year-old, who enjoys boxing and sport, is still short of breath and reeling from the trauma of seeing his health deteriorate so fast.

He says he knows three or four people with a similar profile to him who have been hospitalised recently.

“Young people need to know that we’re not talking about 80-year-olds, it’s people who are 30, 40, 45-year-olds and have no health problems. The British variant is not like the old one,” he told AFP.

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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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