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HEALTH

MAP: The parts of rural France where Covid rates are rising the fastest

Rural parts of France are seeing an unprecedented Covid-19 spike, with some départements recording case rate increases over 80 percent in one week.

MAP: The parts of rural France where Covid rates are rising the fastest
Photo: Philippe LOPEZ / AFP / Covid Tracker
 
French President Emmanuel Macron’s decision to extend the partial lockdown to the entire country, announced in a live broadcast on Wednesday, was prompted in part by a rapid rise of Covid-19 rates across the whole of France, not just in big cities like Paris.
 
Whilst the greater Paris region of Île-de-France and northern France remain the hardest hit areas with the highest pressure on hospitals, case rates are rising the fastest in less populated places (see map below) of rural France.
 
Largely spared during the first and second waves in 2020, départements such as Gers, Haute-Loire and Dordogne are now seeing a spike in Covid case rates.
 
In one week, their incidence rates – the number of daily cases per 100,000 inhabitants recorded on average over a seven day-period increased by between 63 and 87 percent, according to Covid Tracker.
 
In seven days the infection rate in the southern département of Gers shot up by 87percent, in Haute-Loire the increase was 81 percent and in Dordogne the infection rate rose by 63 percent.
 
 
In comparison, Paris’ incidence rates increased by 0.95 percent over the same period.
 
While hard-hit areas like the capital still have much higher incidence rates – Paris has 531 compared to Gers’ 163 – rural areas have low immunity levels because they were less hit last spring and autumn.
 
The départements where cases are rising the fastest:
 
The list below shows the name of the département and how much their Covid case numbers increased in the past week. The number in brackets is their overall incidence rate.
 
For example, in Gers, the first département on the list, the incidence rate is only 163, which is low compared the national average (379) and minimal when looking at the département of Seine-Saint-Denis, to the north and east of Paris, where the rate is 779.
 
However, Gers’ incidence rate skyrocketed by 87 percent in just one week, compared to a 9 percent increase in Seine-Saint-Denis.
 
Gers +87.36% (163) 
 
Haute-Loire +81.53% (285)
 
Pyrénées-Orientales +72.44% (269)
 
Hautes-Alpes +68.09% (432)
 
Dordogne +63.73% (316)
 
Côte d’Or +61.87% (225)
 
Vosges +61.83% (301)
 
Cher +54.59% (303)
 
Haute-Marne +51.71% (311)
 
Cantal +51.49% (153)
 
Doubs +47.65% (409)
 
Lot-et-Garonne +47.33% (193)
 
Loiret +44.28% (290)
 
Sarthe +42.13% (334)
 
Vendé +41.85% (261)
 
Alpes-de-Haute-Provence +41.69% (435)
 
Manche +40.85% (200)
 
Bouches-du-Rhône +40.76% (480)
 
Aveyron +40.41% (271)
 
Tarn +40.31% (275)
 
This map shows how case numbers changed in different parts of France in one week, from March 24th to 31st.
 
The darker the red, the higher the increase.
 
 
For an interactive version of this map you can visit Covid Tracker.
 
The map below, also from Covid Tracker shows a slightly different perspective. It reveals the overall incidence rates of départements around France, revealing how the Paris region, the north and the south east and the hardest hit.
 
 

Member comments

  1. We have a beautiful home in Normandie just 10 k north of Vire. We usually go every year for 6 mo. 01 May thru 01 Nov, we could not go this last year and think we may not be able to go this year. We are Americans and live in Calif., is there any hope for this year, as we see the Covid rates are rising again in France?

  2. Why are people surprised. All the people left the cities and headed to the countryside and surprise, surprise the numbers of covid case in the countryside went up. Why were they allowed to leave the cities?

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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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