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FOOD AND DRINK

Fruit, chocolate and meals at the table: What French doctors say children should eat

France takes its food seriously, and that includes healthy eating guidelines for children. French kids get high-quality, nutritionally balanced school lunches and now the country's health watchdog has issued guidelines for parents on what to feed their kids.

Fruit, chocolate and meals at the table: What French doctors say children should eat
France's public health agency has released new guidelines on healthy diets for children. Photo by CLEMENT MAHOUDEAU / AFP

The public health agency Santé Publique France has issued a range of healthy eating recommendations for parents of children aged between four and 11.

“Dietary recommendations for children aged 4 to 11 may be subject to a certain lack of awareness or preconceived ideas,” Anne-Juliette Serry, head of the nutrition and physical activity unit at SPF said.

“While parents tend to raise the subject naturally with health professionals in the case of toddlers, this is less the case when children start to grow up.”

Overall, the guidelines are similar to those in place for school lunches. Schools provide a hot three-course meal for all pupils at lunchtime, with government guidelines in place to cover the nutritional content.

But SPF is also concerned about what children eat – and how they eat – at home. So here’s what French authorities say children should be eating;

Five-a-day – but don’t count fruit juice

Children need to get used to eating “fruit and vegetables at meals every day”, SPF said – regardless of whether they are, “fresh, frozen or canned, raw or cooked, plain or prepared”.

But it said that fruit juices, which contain sugars and are low in fibre, “do not count as a daily portion of fruit and vegetables”.

Fruit juice consumption should be limited to half a glass a day for children up to the age of 11, with a maximum of one glass for older children. Squeezed fruit is preferable in all cases.

Snacks

The goûter – the afternoon snack, typically eaten after school – is an institution for French kids (and plenty of adults) and SPF wisely does not try to suggest ditching it.

But SPF – citing the Agence nationale de sécurité sanitaire, de l’alimentation, de l’environnement et du travail (Anses) and the Haut Conseil de la santé publique – recommends limiting the daily intake of viennoiseries such as croissants and pains au chocolat (or chocolatines, per right-thinking people in southwest France).

Instead, it suggests giving children, “bread with a few squares of chocolate or a little butter or jam, fresh fruit or compote or a dairy product”.

READ ALSO Le goûter: The importance of the afternoon snack in France

If you buy in pre-packaged cookies or snacks, avoid ones with a Nutri-Score E.

Three dairy products a day

Children and adolescents should consume up to three dairy products a day, SPF said, for their calcium intake, compared with two for adults. Milk, yoghurt and cheese are all recommended.

READ ALSO Cheese in numbers: France’s obsession with fromage

But children under five years of age should not consume raw milk, or cheeses made from raw milk (except Emmental or Comté), due to the risk of infection, the agency warned.

Watch your portion sizes

Portion sizes should be adapted to those of adults. It’s recommended that children between the ages of four and six have portions that are half that of an adult, with quantities increasing progressively until children are eating adult portions from the age of 11.

READ ALSO Are packed lunches really banned in French schools?

Table manners

The agency doesn’t just concern itself with what children eat, but how they eat, saying that childhood is “the time when benchmarks and habits are set that will stay with us into adulthood”. 

It “encourages parent/child interaction as much as possible, by eating together at the table and avoiding screens at mealtimes.” 

Where possible, it recommends cooking together.

The aim of the campaign is to “facilitate the adoption of good practices in everyday household life, and ultimately reduce the incidence of illnesses and medical conditions that can be induced by inappropriate eating habits”.

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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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