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COVID-19

Paxlovid and vaccines: The latest Covid advice from the French government

The French health minister outlined on Friday the government recommendations amid the "tripledemic" of Covid-19, influenza, and bronchiolitis that has hit the country in recent weeks.

Paxlovid and vaccines: The latest Covid advice from the French government
French Health Minister Francois Braun wears a face mask as he attends a session on December 8th 2022. (Photo by Teresa SUAREZ / POOL / AFP)

French Health Minister François Braun held a press conference with other public health officials on Friday to provide the public with the government’s latest public health advice.

Earlier in the day, the French health minister said on BFMTV that fourth doses of the Covid-19 vaccine were available to all groups. Previously, only at-risk populations were eligible.

READ MORE: Can anybody in France now get the latest Covid booster vaccine?

Here is what the public health officials said:

The situation

Health Minister Braun began the press conference by reminding the public that France is facing a “triple epidemic,” as the nine Covid-19 wave occurs alongside seasonal illnesses of influenza and bronchiolitis. Specifically, the health minister said that hospital emergency room visits and hospitalisations for the flu had doubled in the last week.

Therefore Braun called for voluntary acts of “solidarity” to prevent a rise in cases and serious infections, particularly of Covid-19, during the end-of-year festivities. 

According to Braun, France counted more than 100,000 new Covid-19 contaminations in recent days, with more than 1,000 patients being treated in critical care services.

Wearing a mask

The public officials reminded the public that wearing a mask is an “act of solidarity.” While the mask is not required, it is highly recommended, particularly in “crowded and enclosed areas,” such as public transportation.

Minister Braun encouraged wearing a mask when travelling to Christmas holiday celebrations this year.

“You do not know if the person next to you is immune-compromised,” said COVARS head Brigitte Autran, recommending that people wear masks while travelling.

Braun also mentioned that in nursing homes and care centres, masks could become required, at the behest of the establishment’s management.

Getting vaccinated against both influenza and Covid-19

The minister of health noted that the level of vaccination in France against influenza was “five percent lower this year” when compared with 2021, making the population more vulnerable. Additionally, the minister expressed concern over the rate of vaccination against Covid-19 (second boosters) in nursing homes and care centres to be “too low,” with rates around “21 and 23 percent for the over 80s.”

Braun reiterated that all groups in France are now eligible for a second booster against Covid-19. The minister said he was “appealing to individual and collective responsibility” in encouraging people to get both the Covid-19 and flu vaccines prior to spending the Christmas holidays with family members.

The minister said that all groups in France should be eligible to receive both vaccines at the same time – one in each arm. 

READ MORE: Flu vaccine opens to all adults in France: What you need to know

Access to Paxlovid

Brigitte Autran said that the treatment drug, Paxlovid, is very effective against the BQ1.1 Covid-19 variant, which is circulating around France currently. She explained that groups at-risk of developping severe forms of Covid-19, or those whose immune systems did not generate responses to the vaccines, would be eligible for prescriptions from their primary care doctors for Paxlovid.

A prescription can be created for a three month period, without the patient needing to be sick with Covid-19 already. Once such a patient tests positive, they can use the existing prescription to access Paxlovid.

Protecting children and babies against bronchiolitis

Romain Basmaci, a pediatrician and professor of medicine, issued several recommendations. He advised that parents wipe down children’s toys and avoid sharing toys between two children. He also recommended that if a parent becomes sick, they should begin wearing a mask and decreasing physical contact with their young child to better protect them.

He added that keeping children’s noses clean and clear is a good practice to protect them while sick, even though there are no specific treatments for bronchiolitis. Additionally, he said that if your child is struggling to eat, smaller quantities rather than full meals may be a helpful way to ensure they remain well-nourished.

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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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