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HEALTH

Self-tests and masks: France’s official Covid advice for Christmas

The last two Christmases in France have been accompanied by restrictions on travel, entertainment and even the number of people around the dinner table. This year there are no Covid restrictions in place - but the government does have some advice.

Self-tests and masks: France's official Covid advice for Christmas
Photo by ALAIN JOCARD / AFP

Covid cases have again been on the rise in France, but there is no repeat of the ‘rule of six’ for Christmas dinners, while there are no travel restrictions or rules on vaccination.

However, Covars (the advisory body that has replaced the Scientific Council) has issued some advice on staying safe and well over the festive period – particularly for those who will be visiting high-risk people such as elderly family members.

Covars published its advice on Tuesday because of “a resumption of active circulation of Covid-19, the crossing of the epidemic threshold of influenza and an intense and early epidemic of bronchitis – as well as in anticipation of the upcoming holiday season, a source of significant inter-generational mixing”.

Mask wearing – Covars strongly recommends wearing a mask in crowded enclosed spaces, especially public transport, stating that “the generalised wearing of masks in enclosed spaces would slow the three epidemics in progress”.

The government earlier in the winter decided against making masks compulsory again on public transport, but the official advice remains to wear a mask, especially at rush hour or on crowded services.

Free masks – Covars has called for free masks to be distributed, in order to encourage mask wearing, saying: “In this period when the mask is really necessary (…) we asked the health minister to extend this free access to the whole population, the ministry is thinking about it.”

Vaccination – the committee strongly recommends Covid and flu vaccination, including second boosters which are now open to all age groups, and calls on the government to launch a new communications campaign encouraging people to get vaccinated or get a booster shot. Covars also suggested reopening vaccine centres which have now largely closed down – vaccines are now administered in pharmacies or health centres. 

EXPLAINED How to get a second Covid booster shot in France

Self-tests – if you’re planning on travelling to see friends or family – especially if you intend to see anyone in a high-risk group such as the elderly, the chronically ill or pregnant women – it is advised to take a Covid test before travelling. Pharmacy testing is still widely available, but people can also use self-test kits at home for convenience.

“In order to protect the most vulnerable during the holiday season, Covars also suggests reinforced communication on self-tests. These tests should be used as close as possible to the family event,” reads the advice.

Family gatherings – Covars did not suggest putting any kind of size limit on family gatherings, and there is no warning against travel over the holiday season. 

The above is advice only, and there are currently no Covid-related restrictions in place either in France or at the border. The mask remains compulsory in certain healthcare settings, but otherwise is merely advised. 

Paxlovid, tests and isolation: Essential Covid information for France

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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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