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HEALTH

Will France bring back mandatory mask-wearing?

France's public health watchdog is reportedly "studying" the possibility of bringing back compulsory face coverings on public transport - we look at what happens next and what Covid rules remain in place this autumn.

Will France bring back mandatory mask-wearing?
French Prime Minister Elisabeth Borne adjusts her face mask during a session of questions to the government at The National Assembly in Paris on July 19, 2022. (Photo by Christophe ARCHAMBAULT / AFP)

Amid its eighth wave of Covid-19, the return of mandatory masking in certain places is “under study” by French health watchdog, Covars. 

Face-coverings have remained compulsory in a few specific places – such as hospitals – but since May have only been “strongly recommended” on public transport.

Now experts disagree on whether a return would be possible. The question is legally complicated, as France is no longer in a state of emergency, and the law that allowed the government to make masking mandatory (le loi relative à la gestion de la sortie de crise sanitaire) expired on August 1st. 

Since May, masks have been ‘recommended‘ rather than ‘required’ on public transport and only remained compulsory in hospitals and other health centres.

In the airplanes, masking “remains nevertheless recommended”, as indicated on the Paris airport website.

Trains have similar messaging – as SNCF also says wearing masks are “strongly recommended in our stations and in our trains.” The Paris public transport service RATP also “strongly recommends” that passengers wear masks, although in reality few do.

Only hospital directors, doctors and pharmacies have retained the right to require masks to be worn.

According to RFI, obligatory masking “could be made compulsory again in the form of ministerial or prefectural decrees, depending on the evolution or degradation of the health situation; if a new problematic variant of the virus is identified.”

However, legal experts disagree on the methods France could use make masks obligatory again, as well as how likely such a measure would be.

Legal expert Guillaume de Durat told Le Parisien that he does not see any legislative avenue to reinforce compulsory masking, outside of care settings.

De Durat speculated that if Prime Minister Elisabeth Borne wanted to require face coverings on public transport, she might be able to do so by passing an order using “general police power with the risk that the Council of State may oppose it.” 

“There are many opponents to wearing the mask, so there would inevitably be appeals,” he said.

Another legal expert, Serge Slama said that up until now, compulsory face coverings have been required because a legal text authorised doing so (the law placing France in a public health emergency).

However, the legal framework that replaced the loi relative à la gestion de la sortie de crise sanitaire does not mention masking requirements. Additionally, passing a new law could be complicated with the current parliamentary layout, as President Macron’s coalition does not have an absolute majority. 

Lawyer Caroline Lantero told Le Parisien that “it would be necessary to really face a real public health threat for [compulsory masking] to be validated.” 

The Covid-19 situation in France

On Tuesday, the French health authority, Santé publique France, recorded 21 percent rise in positive coronavirus tests when compared to the previous week. 

Hopsitalisations are also on the rise – 49 percent higher on Tuesday, October 4th when compared to last week’s figures.

As a result, the Minister of Health, François Braun, said on Tuesday evening that the new public health watchdog, Covars (Comité de veille et d’anticipation des risques sanitaires), which replaced the Scientific Council, was studying the return of mandatory masking in certain places, such as public transport.

Brigitte Autran, the head of Covars, said that France should “take cues from Asian populations who have been wearing masks for a very long time” and that doing so “should become a kind of civic gesture.”

While she said there is “no obligation” currently, Covars of the mandatory mask in certain places was “under study” in the new scientific committee. 

What is the government recommending?

Several French government officials, including Prime Minister Elisabeth Borne, have recommended continued mask-wearing.

Borne said over the summer that people should wear masks “in closed spaces, where there are many people, particularly in [public] transport.”

In addition to masking, the French government is tackling rising Covid-19 rates by beginning its fall vaccination campaign for vulnerable populations.

READ MORE: France launches autumn Covid booster campaign with new dual-strain vaccine

As of October 3rd, dual-strain Omicron adapted vaccines became available for use amongst certain groups. You can read more if you qualify HERE.

What about France’s neighbours?

Germany decided to make it compulsory to wear a FFP2 mask in long-distance trains on October 1st.

In addition, each German state has the possibility to impose it in other types of public transport, such as the subway and the bus.

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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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