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COVID-19

France scraps compulsory self-isolation after positive Covid test

France's public health body outlined how Covid-19 rules changed starting on February 1st, including an end to compulsory self-isolation after a positive test result.

France scraps compulsory self-isolation after positive Covid test
A positive Covid-19 test. (Photo by DAMIEN MEYER / AFP)

Starting on February 1st, Covid rules relaxed in France as the country brought an end to compulsory isolation for those who test positive for the virus.

However, those travelling from China to France will still be required to agree to a random screening upon arrival and to isolate in the case of a positive Covid-19 test result. Travellers aged 11 and over coming from China must also provide a negative test result (less tan 48 hours) prior to boarding and those aged six and over must agree to wear a mask on board flights. These regulations – which was set to last until January 31st – is set to remain in place until February 15th.

The French public health body (The Direction générale de la santé or DGS)  announced the change on Saturday in a decree published in the “Journal Officiel” outlining the various ways the body will loosen previous coronavirus restrictions.

READ MORE: What Covid rules and recommendations remain for visiting France?

Those who were in contact with someone who tested positive – ie a contact cases – will also no longer be required to take a test, though the public health body stressed that both testing after contact and isolating after receiving a positive test remain recommended.

Previously, even asymptomatic people who had been in contact with someone who tested positive for Covid-19 were required to test on the second day after being notified that they were a “contact-case”.

These changes took effect on February 1st.

READ MORE: What changes in France in February 2023?

The DGS also said that website SI-DEP, which records test results, will remain in operation until June 30th, however starting in February it will only collect personal data with the express permission of the patient.

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Additionally, the French government announced that sick leave procedures for people with Covid-19 would return to normal starting February 1st – this means that those who test positive for Covid-19 now also have the three-day wait period before daily sick benefits are required to be paid, as is usually the case. Previously, people with Covid-19 could expect daily sick benefits to begin at the start of their sick leave period (arrêt maladie in French).  

READ MORE: How sick leave pay in France compares to other countries in Europe

Covid tests are still available on walk-in basis from most pharmacies are are free to people who are fully vaccinated and registered in the French health system. Unvaccinated people, or visitors to France, have to pay up to a maximum of €22 for an antigen test of €49 for a PCR test. 

If you recently tested positive for Covid-19 in France – or you suspect you may have contracted Covid-19 – you can find some information for how to proceed here.

In explaining the changes that began at the start of February, the French public health body also noted a drop in Covid-19 infections in the past month. As of January 30th, approximately 3,800 people in France had tested positive in the previous 24 hours for the coronavirus – which represents a decrease from the averages of 20,000 new cases per day about one month ago.

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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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