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HEALTH

French pharmacies run out of flu vaccines as demand soars

The annual flu vaccination campaign in France was only launched last week, yet already pharmacies across the country have sold out of doses.

French pharmacies run out of flu vaccines as demand soars
High risk groups such as the elderly are now being prioritised. Photo: AFP

Desperate to avoid hospitals facing the combined pressure of flu patients and Covid-19 patients this winter, the French government launched a greatly expanded flu vaccination programme this year, urging anyone in a risk group to get vaccinated as soon as possible.

But demand has far outstripped what the government anticipated, and just a week after the campaign was launched on October 13th, pharmacies across the country are declaring rupture de stock (sold out) of vaccines. Around 60 percent of pharmacies are reporting shortages of flu vaccine.

Gilles Bonnefond, president of the pharmacists union l' Union des syndicats de pharmaciens d'officine (USPO) told France Info: “We have already vaccinated nearly five million people in less than five days.

“This is almost half of what was done all last year during the entire vaccination campaign.”

In 2019 the flu vaccine campaign was expanded and pharmacies were allowed to administer the vaccine for the first time – that year saw just over 10 million people vaccinated, roughly one sixth of the population.

This year, however, take-up has skyrocketed due to the Covid-19 threat.

“Last week, we sold 51 percent of the doses that we sold all last year”, Pascal Fontaine, purchasing director of the Pharmacie Lafayette group, added.

The government is now asking people who do not fall into priority groups to delay their vaccination so that the most high-risk groups can be protected first.

Anyone who is registered in the French health system and falls into a high risk group is usually contacted by their doctor or assurance maladie inviting them to be vaccinated, with a code to present for a free vaccine.

High risk groups are:

  • Over 65s
  • People with chronic or long-term health conditions
  • People with a BMI of 40 or over
  • Pregnant women
  • People who live with those who cannot be vaccinated, including babies and those who are immunocompromised

However anyone who wants to be vaccinated can be, either by making an appointment with their GP or visiting a pharmacy. For those people the vaccine is free but they will have to pay the standard medical appointment charge for it to be administered.

It is these people that the government is asking to delay getting their jab.

 

The government purchased 30 percent more doses than usual this year, but will now have to order more to cover the higher-than-expected demand.

A spokesman for the health ministry said: “We urge people who do not present a particular risk and who would like to be vaccinated, to postpone their vaccination until early December.”

For more details on high risk groups and the payment system, click here.

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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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