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HEALTH

French study warns of pesticide traces in water

France's public health watchdog says that mass testing of drinking water revealed traces from a banned pesticide in half the samples, showing how potentially harmful chemicals persist in the environment.

French study warns of pesticide traces in water
Photo by LOIC VENANCE / AFP

The National Agency for Food, Environment and Workplace Security (ANSES) began a testing regime in 2019 to identify around 200 complex chemical compounds originating from pesticides or explosives which are not normally sought in its routine checks.

The agency said “one case in particular stood out”: traces left behind from a fungicide known as chlorothalonil, sold widely by Swiss chemicals group Syngenta in Europe from the 1970s until it was banned by the EU in 2020.

A chemical produced when the fungicide breaks down, known as metabolite R417888, was found in “more than one in two samples. Furthermore, it was found in higher-than-authorised quantities in more than one sample in three,” ANSES said.

The results are likely to raise questions about the presence of other undetected chemicals in drinking water and pose potentially major operational and financial challenges for water companies.

French authorities were alerted to the possible presence of chlorothalonil metabolites by studies carried out in Switzerland.

In February, ANSES ordered a halt to some uses of one of the most widely used weedkillers in France, S-metolachlor, which is also produced by Syngenta, after finding excessive levels in groundwater.

Chlorothalonil, sold under the brand name Bravo by Syngenta, was a best-selling product to prevent mildew and mould on crops such as barley and wheat, as well as potatoes, peas and beans.

It was banned in the European Union after a review by the European Food Safety Authority concluded it was potentially carcinogenic amid concerns about the contamination of groundwater.

ANSES said in a report last year that laboratory studies on chlorothalonil had linked it to kidney tumours in rats and mice, while other studies have suggested it has played a role in the vast decline in bumblebee populations.

Syngenta, which was bought by ChemChina for $43 billion in 2017, lobbied against a ban on its product, pointing to other studies that disputed any carcinogenic effect.

The multinational sued Switzerland’s Federal Food Safety and Veterinary Office (FSVO) after it warned that chlorothalonil was a probable carcinogen.

It says on its Swiss website that reports about water contamination had “needlessly undermined citizen’s confidence in our drinking water.”

It also sought to stress how authorised levels of chlorothalonil in Switzerland – and the EU – were extremely low at 0.1 micrograms per litre of water, which was the equivalent concentration of “dissolving a grain of sugar in 200,000 bathtubs of water.”

Farming groups criticised the EU at the time over the ban, calling it overly precautionary.

ANSES said its testing had involved taking 136,000 samples across France from groundwater sources or treated water, but said they represented only about 20 percent of all water distributed in the country.

AFP reached out to France’s main water federation, as well as the environment and agriculture ministries for comment on Thursday.

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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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