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HEALTH

Lyon latest to tighten restrictions as French cities increase local lockdown controls

Lyon has become the latest French city to announce local health restrictions - including banning the sale and consumption of alcohol in public spaces after 8pm - as Covid-19 cases rise.

Lyon latest to tighten restrictions as French cities increase local lockdown controls
Police in Lyon enforce the city's mask rules. Photo: AFP

France's strategy so far for the second wave of Covid-19 infections is to avoid a national lockdown and rather impose local restrictions where necessary.

With 55 départements now officially classed as 'red zones' several of France's biggest cities have been ordered by the government to come up with their own local restrictions.

MAP Where are France's 55 coronavirus 'red zones'?

So far none of these have been particularly far-reaching and no cities have reimposed lockdown, but here are the extra restrictions in place for different parts of France.

Lyon

The eastern French city was told on Thursday that it must tighten restrictions after a leap on the number of cases.

It has now announced several new measures, which will come into force on Tuesday, September 22nd.

They include:

  • A ban on gatherings of more than 1,000 people (the national limit is 5,000)
  • Certain types of gathering including vide-greniers (yard sales) or funfairs are banned completely
  • Private gatherings of more than 10 people are discouraged (but not actually banned)
  • The sale and consumption of alcohol in public spaces is banned between 8pm and 6am.

 

Marseille

The densely-populated southern city of Marseille is one of the worst-affected places in France with high numbers of cases and increasing pressure on hospitals.

The authorities of the Bouches-du-Rhône département have introduced new restrictions for the city and some surrounding areas. They are:

  • A ban on gatherings of more than 10 people on beaches and in parks
  • A ban on any gatherings of more than 1,000 people 
  • Alcohol consumption in public spaces after 8pm is banned
  • All bars and restaurants must close at 12.30am 
  • Cancellation of the annual Journée du Patrimonie heritage events

Bordeaux

Bordeaux and the surrounding Gironde area, relatively untouched during the first wave of the epidemic, is now a cause for concern for the French government.

Its restrictions now include

  • A ban on gatherings of more than 10 people on beaches and in parks
  • A ban on any gatherings of more than 1,000 people 
  • Alcohol consumption in public spaces after 8pm banned
  • Drinking while standing in bars or cafés is banned
  • Bars can be closed immediately if their customers are seen breaking the rules
  • Private gatherings of more than 10 people are discouraged
  • Gatherings including vide-greniers and funfairs are banned

 

Paris

Although case numbers in the capital and its surrounding region are high, authorities deem the situation to not yet be so serious as to require extra measures.

However Parisians have been warned to tone down their socialising to avoid a repeat of the situation during the first wave which saw hospitals reach breaking point and critically-ill patients having to be sent to other parts of France.

Health minister Olivier Véran said: “The figures no longer leave any doubt: Family and social gatherings are massive sources of infection.

“Each and every one one of us plays a key role in the fight against the virus.”

Nice

The French Riviera city was also ordered on Thursday to come up with a plan for extra restrictions on a local level. These are;

  • A ban on any gatherings of more than 1,000 people 
  • Alcohol consumption in public spaces after 8pm banned
  • Bars and restaurants close at 12.30am
  • Nice football club is now playing its matches behind closed doors

Lille, Toulouse and Rennes

These cities have all reported high levels of new Covid-19 cases, but so far are not seeing the same pressure on hospitals that has lead to other cities being ordered to take extra measures. However, this could change if the number of new patients admitted into the cities' hospitals continues to rise.

Masks

In addition to the measures above, many local areas have brought in stricter rules on mask wearing.

The national rule says only that masks must be worn in indoor public spaces, but many local authorities – including virtually all of France's large towns and cities – have extended this to make masks compulsory on the street as well.

 

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HEALTH

The French government scheme that helps cover the cost of therapy

The French government launched 'Mon Soutien Psy' in 2020, in an effort to help people afford psychological care. In June, the scheme will be expanded.

The French government scheme that helps cover the cost of therapy

What is ‘Mon Soutien Psy’?

It is a scheme that allows anyone aged three and over who is suffering from anxiety, depression or mental distress to benefit from psychological support sessions, the cost of which is partially reimbursed by the state.

Currently, people can benefit from up to eight counselling sessions in a year with the assistance of Assurance Maladie, as long as the appointment is done with a psychologist registered to the scheme. 

Previously, it has been difficult for people to find an available psychologist due to high demand. However, with the changes coming into effect on June 15th (increasing the price per session and the number of sessions covered, as well as removing the requirement to visit a doctor for a referral beforehand), the government hopes it will be more accessible.

That being said, patients must use the psychologists who are registered with the scheme, and as a result, English-speakers may be limited.

READ MORE: Ask the expert: How to find an English-speaking therapist in France

Who can participate?

Anyone who is “anxious or depressed; feeling unwell; with a smoking, alcohol or cannabis problem; or struggling with an eating disorder” can participate.

It is not intended for patients in emergency situations – ie those risk of suicide or dealing serious psychiatric issues. They will be referred to a psychiatrist or specialised facility.

How does it work?

As things stand in May 2024, the patient must first visit a doctor. This normally would be your GP, but it can also be any other doctor ‘charged with your care’, including other local GPs, paediatricians, geriatricians, and more.

After evaluating you, the doctor can give you a referral (courrier d’adressage) to a psychologist. This step will change in June 2024, and patients will be able to consult registered psychologists directly.

You can find the list of participating psychologists (HERE) to make an appointment.

Your first session will be for evaluation purposes. The psychologist will then determine the number of follow-up sessions (up to seven, but soon to be increased to 11) based on your needs. 

How much is reimbursed?

As with other medical appointments in France, you pay the practitioner and later receive a reimbursement. 

The reimbursement rate is 60 percent, and the remaining 40 percent is either out-of-pocket or covered by your complementary healthcare plan (mutuelle).

The fist session costs €40, and the follow-up sessions currently cost €30. However, starting in June 2024, they will be increased to €50 in an attempt to attract more psychologists to participate in the scheme. They will remain reimbursed at the 60 percent rate.

READ MORE: Health insurance in France: What you need to know about a mutuelle

If you are in the following situations, then you do not have to pay anything up-front.

  • Beneficiaries of the Complémentaire santé solidaire scheme ;
  • Beneficiaries of state medical aid (AME);
  • People with disabilities or long-term illnesses (Affection de Longue Durée – ALD) 
  • Pregnant women (from the 6th month of pregnancy);
  • People under care in connection with an accident at work or occupational illness.
How can I get reimbursed?

In the coming years, the system will be incorporated into your Carte Vitale, so you will not need to mail in any reimbursement forms.

However, as things stand, you must request a feuille de soins at each session and mail it into Assurance Maladie to get your reimbursement. You would also send this to your mutuelle, depending on your situation.

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