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HEALTH

France imposes tighter Covid-19 restrictions and new ‘alert’ system

French health minister Olivier Véran on Wednesday evening presented a revised Covid-19 alert scheme and announced tougher measures in cities across the country, including the early closure of bars and restaurants in Paris.

France imposes tighter Covid-19 restrictions and new 'alert' system
France's health minister Olivier Véran. Photo: AFP

“Let’s be clear, the situation is continuing to deteriorate,” the health minister said during a live speech to the nation where he updated the population on the latest on the Covid-19 virus development in France.

“There is still time to act,” Véran said.

“If we don't take steps quickly, we risk to reach critical thresholds in certain regions.. and a huge stress on hospitals in several regions,” he said.

Veran announced that from next Monday all bars would close early in cities of Bordeaux, Lyon, Nice, Lille, Toulouse, Rennes, Sainte-Etienne Grenoble, Montpellier, Rouen and the capital Paris and the surrounding suburbs in the petite couronne.

Restaurants in these cities however were not affected by the restriction.

As part of France's new Covid-19 alert system these cities were all classed on heightened alert (alerte renforcée).

EXPLAINED: How does France's new Covid alert system work?

Marseille and its surrounding area was classed as maximum alert (alerte maximale) meaning all bars and restaurants would close completely from Saturday. The measure along with other restrictions are designed to stay in place for two weeks said the minister but may be extended if the spread has not been brought under control.

The announcement was met with anger by Marseille's mayor Michele Rubirola, who said she had not been consulted on the measure she described as “unjustified”.

“I can't accept that the people of Marseille are victims of political decisions that no one can understand,” she said.

Paris Mayor Anne Hidalgo called for “proportionate measures to protect the cultural, sporting and social life” and said talks would take place with Paris police chiefs.

The minister's announcements came as French public health authorities reported 13,072 new cases in 24 hours — a new record since lockdown ended — and 783 hospital admissions with coronavirus as well as 43 new deaths.

It follows weeks of spiralling Covid-19 rates across the country and increasing pressure on hospitals.

“The worsening of the situation is pushing me to give you a solemn message,” Véran said, urging the population to be “vigilant, stick to hygiene guidelines” such as rigorous handwashing and wearing face-masks, but also practice social distancing.

He also urged people to work from home where they could.

 

“Don't go out with different people several times a week. If everyone meets with fewer people we will all be a little better off,” he said.

The new system has four different alert levels: alerte, alerte renforcé (heightened alert), alerte maximale (maximal alert) and état d'urgence (state of emergency).

“The circulation of the virus is strongest in the most densely populated areas, that is to say the largest cities,” Véran said.

MAP: Where in France are Covid-19 cases rising and which areas are low risk?

The new classification will have direct impact on what kind of measures local authorities need to introduce, with those on higher levels of alert having to toughen restrictions “as of Saturday”.

Alert – The are 69 départements on ‘alert’ (see map in tweet). This means there is a high level of spread with an incidence rate of more than 50 positive cases per 100,000 inhabitants, however in these areas the virus has had little impact on intensive care units and on the elderly in the area.

 

Local authorities in these areas may take extra measures to curb the spread, but they are not obligated to do so.

However all these areas must limit weddings, parties and social events to 30 people maximum.

Veran said four cities currently on “alert” level are at risk of passing to the “heightened alert” level. They are Tours, Strasbourg, Dijon and Clermont-Ferrand.

Heightened alert

This implies an incidence rate above 150 cases per 100,000 inhabitants and a high level of spread among elderly (above 50 cases per 100,000 inhabitants), but a moderate pressure on hospitals.

The cities considered as on 'heightened alert' were: Bordeaux, Lyon, Nice, Lille, Toulouse, Rennes, Sainte-Etienne, Paris and the surrounding suburbs in the petite couronne, Grenoble, Montpellier and Rouen.

New measures for these cities include: closing bars at 10pm at the latest, but authorities may decide earlier closingtimes, limit the number of people allowed to gather in public spaces to 10 maximum, lower the threshold for big events from 5,000 to 1,000 and ban all large parties such as student parties. All community halls will be closed too.

Maximum alert

This implies an incidence rate above 250 cases per 100,000 inhabitants and a very high level of spread among elderly (above 100 cases per 100,000 inhabitants), plus a pressure hospitals implying that intensive care units have filled up over 30 percent of their beds with Covid-19 patients.

The southern port-city Marseille and overseas département of Guadeloupe were bumped up to this level.

Local authorities in these areas must close down bars and restaurants completely in addition to all public spaces that don't already have a strict health protocol in place.

The measure will be in place for at least two weeks but may be extended if the spread of the virus is not brought under control.

An even higher alert level where a “state of health emergency” can be declared is also part of the new system but no part of France had reached this point, the minister said.

Since easing the lockdown, the French government has repeated that their foremost goal is to avoid a second round of nationwide confinement, which had crippling impact on the economy.

Instead, the government's strategy has been to monitor the virus closely and urge local authorities to impose measures adapted to their area to curb the spread.

However, even with nationwide rules making face masks compulsory inside public spaces and on public transport, and with cities piling onto these rules with extra restrictions, cases have continued to rise.

 

 

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HEALTH

How serious is the threat from dengue fever in France?

As tiger mosquitoes are now present in over 80 percent of mainland France, health authorities are worried that local transmission of tropical diseases, like dengue fever, will increase.

How serious is the threat from dengue fever in France?

As of January 2024, tiger mosquitoes – known for their ability to carry diseases such as dengue, chikungunya and Zika virus – had been detected in 78 of France’s 96 mainland départements, including the Paris region.

This has left public health authorities concerned about the spread of dengue fever in France, particularly this summer as large crowds are expected amid the Olympic Games.

READ MORE: MAP: Tiger mosquitoes reach northern France

How common is dengue fever in France?

In the first four months of 2024, 1,679 cases of dengue fever were identified in mainland France, a number that is 13 times higher than the same period last year, Le Parisien reported.

Crucially, however, none of these are believed to have been contracted in mainland France – they were all reported among patients who had recently travelled from the tropical regions where dengue fever is common.

The majority of cases were from people who had visited the Caribbean islands of Martinique and Guadeloupe – where the disease is endemic.

These islands are for administrative purposes part of France – so often show up in French health data – but they are roughly 7,000km away from Paris.

So far, there have not been any indigenous cases (autochtone – or people infected on mainland French soil) yet this year.

Local transmission of the disease remains relatively rare. In 2023, nine separate outbreaks of indigenous dengue transmission were identified, one of which occurred in the Paris region. These led to 45 cases of local transmission (in mainland France).

Most were in southern France – in the Provence-Alpes-Côte d’Azur, Occitanie and Auvergne-Rhône-Alpes regions – though one outbreak occurred in the Paris region, according to French public health authorities.

This is less than 2022, which was a notable year with 66 total cases of indigenous dengue fever were recorded. In comparison, between 2010 and 2021, only 48 cases (total) were recorded.

What to expect for 2024

Experts believe that the number of cases in France, including indigenous ones, will grow this year, as tiger mosquitoes now occupy more territory in mainland France.

On top of that, the number of cases has increased significantly in Martinique and Guadeloupe.

“What we see in France is a mirror image of what is happening in the French Caribbean, and more widely in Latin America and the rest of the Caribbean, where dengue fever has been circulating since the start of the year at unprecedented levels”, the head of Santé Publique France, Dr Caroline Semaille, said during a press conference.

The Olympic Games will also bring an influx of tourists from all over the world, and weather conditions are expected to be conducive to mosquitoes – a year with a lot of rainfall, and potentially high temperatures. 

What is dengue fever?

The disease is spread to people from bites by infected mosquitoes.

The most common symptoms are high fever, chills, abdominal, joint and muscle pains, and vomiting. It can also cause a skin rash that resembles measles, according to France’s Institut Pasteur.

Symptoms usually begin three to 14 days (with an average of four to seven) after being bitten.

However people are asymptomatic in 50 to 90 percent of cases (depending on the epidemic), which can make monitoring difficult.

At-risk groups include the immunocompromised, children and the elderly, who are more likely to suffer from severe forms of the disease.

Deaths from the disease are very rare, occurring in around 0.01 percent of all cases, almost all in countries that have poor healthcare systems.

How can I avoid tiger mosquitoes?

Female tiger mosquitoes lay their eggs in water, and they can lay several hundred eggs at once. Therefore try to avoid having any standing water outside your home and be aware of the items that might collect rainwater.

This includes regularly emptying vases, flower pots, as well as watering cans and pots. If you want to collect rainwater, you could cover water butts with mosquito nets or fabric to keep the mosquitoes from getting inside.

READ ALSO 5 plants that (allegedly) repel mosquitoes

You can also keep your gutters clean – this helps to keep the water flowing when it rains, and it avoids any stagnant pools from building up.

To protect yourself, try to wear long, loose and light-coloured clothing, in addition to insect repellent. You might also consider wearing a mosquito net head gear.

The main difference between tiger mosquitoes and other species would be getting a bite during the day, and the fact that tiger mosquitoes are likely to bite several times. You can tell for sure if it was a tiger mosquito by seeing the insect itself. They are also silent.

There is no immediate cause for alarm if you are bitten, in almost all cases the bites are just itchy and annoying. In very rare cases, tropical diseases can be spread by the mosquitoes – seek medical help if you develop a high fever and rash.

READ MORE: How to prevent the spread of tiger mosquitoes in France

What do tiger mosquitoes look like?

They are very small, about 5 mm, and they have a highly contrasting colour, with black and white stripes on their body and legs.

If you believe you have spotted a tiger mosquito, you can report it to public health authorities online.

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