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EXPLAINED: Who is eligible for the monkeypox vaccine in France?

France has vaccinated more than 55,000 people against monkeypox - including many who have travelled from neighbouring countries. Here's who is eligible for the vaccine.

EXPLAINED: Who is eligible for the monkeypox vaccine in France?
A healthcare worker prepares to administer a vaccine (Photo: Joe Raedle / Getty Images via AFP)

There are 118 venues across France able to deliver the vaccine, including a large ‘vaccinedrome’ in the Paris regions. 

French health authorities recommend vaccination for people in high-risk groups;

  • Men who have sex with men who have multiple sexual partners
  • Transgender people with multiple sexual partners
  • Sex workers 
  • People who frequent locations where people go to find sex
  • Healthcare workers who have been in contact with monkeypox patients
  • People who have been in close contact with monkeypox patients eg family members or house-mates

As well as opening the vaccinedrome, the French government have also authorised medical students and retired doctors and nurses to administer the vaccine, as was the case during the Covid vaccination drive.

Health minister François Braun has called on patients who have lesions or other symptoms to self-isolate as soon as possible, and for people in high-risk groups to take up the offer of a vaccine.

READ ALSO French doctors reveal the ‘psychological harm’ to monkeypox patients

“The profile (of the patients) is that they are mainly men who have had sexual relations with other men, but one can also be infected by contact with a patient’s blisters,” Braun said.

“France was one of the first countries to recommend and authorise preventive vaccination,” he told Franceinfo.

France has one of the highest vaccination rates in Europe and dozens of people have travelled from Belgium, Switzerland, Italy and Spain to access vaccines – health centre staff in border areas say they are generally happy to provide access to non-residents, provided it does not impact on supplies for French residents.

First detected in humans in 1970, monkeypox is less dangerous and contagious than the eradicated smallpox virus, which it resembles, and an existing smallpox vaccine is being used against it.

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HEALTH

French health authorities warn of risk of ‘epidemic’ from mosquito-borne disease

French health authorities have sounded the alarm about the 'fairly high risk' of an epidemic of mosquito-borne illnesses in the next five years in France.

French health authorities warn of risk of 'epidemic' from mosquito-borne disease

ANSES (Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail), the French body for environment and health safety – published a report on Friday finding that France is at a ‘fairly high risk’ of epidemics linked to tiger mosquitoes.

Tiger mosquitoes (Aedes albopictus) are known for their ability to carry dangerous diseases such as dengue, chikungunya and Zika virus. These diseases can be dangerous, but deaths are rare in countries where people have access to good healthcare.

So far, the insect has been detected in 78 of France’s 95 mainland départements – gradually spreading north as global temperatures warm.

READ MORE: MAP: Tiger mosquitoes reach northern France

ANSES wrote in their report that “in the next five years, an epidemic of mosquito-borne illnesses has a probability between 6 and 7, on a scale of 0 to 9.”

In terms of when the ‘epidemic’ level is reached, one of the two coordinators of the study, Émeline Barrès, explained in the report: “We talk about an epidemic when it is not possible to link all the infected people to one single outbreak.

“This means that the transmissions are beyond the control system.”

ANSES also added that “the emergence of an epidemic depends on a number of factors.

“These include the presence of tiger mosquitoes in the country, climatic conditions favourable to their reproduction (in particular the accumulation of hot days over a given period and rainfall), the arrival of infections in people from areas where viruses are circulating, and the effectiveness of measures to combat tiger mosquitoes and the transmission of viruses.”

What would happen if there was an epidemic?

Experts expressed concerns in a number of areas.

“In the event of an epidemic, the current means to prevent and monitor mosquito-borne illnesses would become overwhelmed”, the researchers wrote.

They also referenced fears about the health system being under strain if a large number of cases were to occur over a wide area, as well as impacts on the tourism industry.

Anses also recommended that local authorities be vigilant in ensuring that under-served populations have access to information, prevention resources and care, out of concern that an epidemic could exacerbate social inequality in France.

What is the current risk?

In recent years, cases of dengue and chikungunya have increased in mainland France.

From May 1st to September 10th, France reported 1,372 imported cases (meaning they were contracted outside of mainland France) of dengue fever.

READ MORE: How serious is the threat from dengue fever in France?

Health authorities also reported 13 imported cases of chikungunya and three of (imported) Zika virus.

Imported mosquito-borne illnesses in France tend to involve people who recently visited the Caribbean islands of Martinique and Guadeloupe – where the such diseases are 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.

As for cases contracted in mainland France, local transmission remains rare.

In 2024, there have so far been 46 reported cases of locally transmitted (indigenous) dengue fever, according to Santé Publique France. There has been one case of ‘indigenous’ chikungunya so far in 2024.

In terms of location, the majority of these local infections have occurred in southern France.

Screenshot from Santé Publique France of a map of indigenous outbreaks of mosquito-borne illnesses in France.

In 2023, there were 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).

Until recently, researchers had been unable to identify contaminated mosquitoes, despite the presence of local transmission, but in 2023, researchers managed to trap tiger mosquitoes in the Drôme département who were carrying the virus. 

What steps can people take to stop the spread of tiger mosquitoes?

Anses noted that in addition to collective action and a response from health authorities, individuals can also take steps.

These include;

  • Regularly emptying outdoor bowls or receptacles filled with water in order to prevent them from becoming mosquito breeding areas
  • Covering rainwater collectors with mosquito netting
  • Protecting yourself by wearing long, loose-fitting, light-coloured clothing and by using insect repellent.

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

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