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HEALTH

World No Tobacco Day: Is France really a smokers’ paradise?

Stereotyped as the 'chimney of Europe' - is France still a smokers' paradise? On World No Tobacco Day, we take a look at the stats on lighting up.

World No Tobacco Day: Is France really a smokers' paradise?
Packs of cigarettes on display in a tabac in south-west France. (Photo by Charly TRIBALLEAU / AFP)

More than three in 10 people in France aged between 18 and 75 admit to smoking ‘occasionally’ and a quarter smoke daily, government health body Santé Publique France said in a recent report.

France was home to more than 12 million daily smokers last year puffing their way through an average of 12 cigarettes every day, the report – published for World No Tobacco Day – revealed.

Smoking was linked to 75,000 avoidable deaths in France in 2015, or 13 percent of deaths that year.

According to the report, 59.3 percent said they planned to quit in the next six months, and 30.3 percent have tried to stop smoking in the past 12 months.

France comes in 19th on the list of countries with the most smokers, according to the World Health Organisation. The island of Nauru, in Micronesia, has the highest smoking rate, with 48.5 percent of the population lighting up. Burma and Kiribati, an Oceanian archipelago, are second and third with, respectively, 44.1 percent and 40.6 percent of the population smoking.

Meanwhile in Europe, Eurostat has revealed that 19.7 percent of the EU population smokes daily. In 2019, 5.9 percent smoked 20 or more cigarettes on a daily basis, and 12.6 percent smoked fewer than 20.

Its figures showed that 22.2 percent of French people aged 15 and over smoked daily – higher than the European average, but six percentage points lower than the ‘smokiest’ EU country – Bulgaria.

Longstanding EU candidate country Turkey, which is included in Eurostat’s study, was second on the list with 27.3 percent of the over-15 population smoking, ahead of Greece on 27.2 percent.

The countries with the fewest smokers are Sweden (9.3 percent), Iceland (11.2 percent), Finland (12.5 percent), Norway (12.9 percent) and Luxembourg (13.5 percent).

The number of smokers in France has remained steady since 2020, Santé Publique France’s report added, while those who vape is also static at 5.5 percent of the population.

Minister of Health François Braun announced a new national programme to fight against tobacco, which will be launched this year as part of a wider target of achieving a first “tobacco-free generation” by 2032.

This will include schemes “to better prevent the onset of smoking and to support smokers towards quitting, with particular attention to target populations, in particular young people, as well as to the reduction of social inequalities in health linked to tobacco”.

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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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