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France records at least 884 coronavirus deaths in care homes for elderly

At least 884 elderly people have died in nursing homes in France since the start of the coronavirus epidemic, French health chiefs reported on Thursday. It is the first time that figures for non-hospital deaths have been revealed.

France records at least 884 coronavirus deaths in care homes for elderly
Photo: AFP

France's Director General of Health Jérôme Salomon revealed on Thursday that at least 884 elderly people have died in the country's care homes for elderly, known as Ehpad (Établissement d'hébergement pour personnes âgées dépendantes) since the coronavirus epidemic began.

France's previous daily coronavirus death tolls had included only those who had died in hospitals, but it was known that the nursing homes, particularly in the east of the country, had been hard hit by the outbreak of the virus.

Salomon announced on Thursday night that at least 884 people had died in Ehpads around the country, while stressing that this is only an initial figure.

READ ALSO How and when will France's lockdown end?

France's Director general of Health Jérôme Salomon. Photo: AFP

Separately Salomon reported that in the last 24 hours 471 coronavirus patients have died in hospitals, taking France's total number of hospital deaths so far to 4,503.

But the health chief stressed that the most important number to look at for predicting the direction of the epidemic is the number of people currently in intensive care units, saying “this is the major indicator of the future course of the virus”.

Currently there are 6,399 people in intensive care, up from 6,017 on Wednesday and 5,565 on Tuesday.

The huge numbers of patients in critical conditions needing intensive care treatment has put massive strain on hospitals, particularly in the worst hit areas in eastern France and the greater Paris Île-de-France region.

At the beginning of the epidemic, France had just 5,000 intensive care beds in total. This has now been increased to 9,000 with a target to increase again to 14,000.

In total 26,246 people are in hospital while 12,428 are listed as having recovered.

The operation to evacuate patients from overwhelmed hospitals continued, with the French military airlifting patients to Germany, Luxembourg, Switzerland and Austria. In total 163 patients from France have been transferred to hospitals in neighbouring countries.

Specially adapted TGV trains are also being used to take patients out of overwhelmed Paris hospitals to Brittany, Occitanie and Centre-Val-de-Loire regions, which have fewer cases.

 Despite this, the Paris police chief on Thursday confirmed that police have requisitioned part of the Rungis food market on the outskirts of Paris to store bodies as local funeral homes also struggle to cope.

Around a third of all coronavirus deaths have happened in the greater Paris area, although this includes patients from other areas transferred to the specialist hospitals in the capital.

The death toll on Thursday was slightly lower than the 509 people who lost their lives on Wednesday, although Salomon cautioned that it was too early to say if this was a trend.

“I would be very careful, there is an incubation phase of a week and delay in severe cases appearing,” he said.

“The evaluation of the impact of the confinement can take place at the end of the week or over the weekend. We should start to have an impact on admissions to hospital and intensive care in particular.”

“When we have the good news from the ground so much the better. But let's be careful,” he said.

France's prime Minister Edouard Philippe has predicted that this week would be “extremely difficult” but after that the government hopes that the effects of France's struct lockdown measures, which began on March 17th, will begin to be felt.

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HEALTH

Do I need a prescription to get antibiotics in France?

A new law means that a prescription is not always required if you need antibiotics in France.

Do I need a prescription to get antibiotics in France?

In most cases, people in France requiring antibiotics will need a prescription (ordonnance) from a doctor.

However, there are two exceptions, according to a new decree published in France’s Journal Officiel on Tuesday.

The updated law allows French pharmacists to dispense antibiotics without a doctor’s prescription for two common infections; cystitis (UTIs) and tonsillitis/strep throat (angines in French), which can both be confirmed by a test at the pharmacy.

If you suspect you have either of these infections, you can go to the pharmacy to get a test, known as a Test Rapide d’Orientation Diagnostique or TROD.

If the test is positive, the pharmacist will be able to prescribe antibiotics without you having to visit a doctor. You can visit the pharmacy on a walk-in basis, with no need for an appointment, and at least one qualified pharmacist should be on the premises at all times.

The move comes after a relaxation on the rules around vaccines allowing pharmacists to give eight common vaccines without a doctor’s prescription – in addition to the Covid and seasonal flu vaccines which can already be accessed at a pharmacy without prescription. 

Pharmacists in France receive a minimum of six years of training and can offer medical advice for a range of conditions, as well as dispensing medication. 

READ MORE: More than prescriptions: 11 things you can do at a French pharmacy

What about prescriptions?

For all other types of conditions requiring antibiotics, a prescription will still be required.

In France, only doctors (both general practitioners and specialists), dental surgeons (chirurgiens-dentistes) and midwives (sages-femmes) are authorised to prescribe medicines.

As such, you would need an appointment with one of these professionals to get a prescription.

What if I’m just visiting France?

French residents would normally go to their registered doctor if they fall ill, but people who are either just visiting France or who are not registered in the French health system can access doctors too.

If you do have the carte vitale – the card confirming that you are registered in the French health system – you can still book an appointment with a doctor, although you won’t be entitled to any state reimbursement. You would have to either pay the costs yourself (€26 for a standard GP appointment, plus the cost of the prescription) or claim on your health or travel insurance if you have it.

Booking a GP appointment can be as simple as phoning a local doctor or using an online service such as Doctolib. You may also call up SOS Médecins if you want a home visit, but this costs more than a usual visit.

READ MORE: How to make a doctor’s appointment in France

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