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COVID-19

Paxlovid and vaccines: The latest Covid advice from the French government

The French health minister outlined on Friday the government recommendations amid the "tripledemic" of Covid-19, influenza, and bronchiolitis that has hit the country in recent weeks.

Paxlovid and vaccines: The latest Covid advice from the French government
French Health Minister Francois Braun wears a face mask as he attends a session on December 8th 2022. (Photo by Teresa SUAREZ / POOL / AFP)

French Health Minister François Braun held a press conference with other public health officials on Friday to provide the public with the government’s latest public health advice.

Earlier in the day, the French health minister said on BFMTV that fourth doses of the Covid-19 vaccine were available to all groups. Previously, only at-risk populations were eligible.

READ MORE: Can anybody in France now get the latest Covid booster vaccine?

Here is what the public health officials said:

The situation

Health Minister Braun began the press conference by reminding the public that France is facing a “triple epidemic,” as the nine Covid-19 wave occurs alongside seasonal illnesses of influenza and bronchiolitis. Specifically, the health minister said that hospital emergency room visits and hospitalisations for the flu had doubled in the last week.

Therefore Braun called for voluntary acts of “solidarity” to prevent a rise in cases and serious infections, particularly of Covid-19, during the end-of-year festivities. 

According to Braun, France counted more than 100,000 new Covid-19 contaminations in recent days, with more than 1,000 patients being treated in critical care services.

Wearing a mask

The public officials reminded the public that wearing a mask is an “act of solidarity.” While the mask is not required, it is highly recommended, particularly in “crowded and enclosed areas,” such as public transportation.

Minister Braun encouraged wearing a mask when travelling to Christmas holiday celebrations this year.

“You do not know if the person next to you is immune-compromised,” said COVARS head Brigitte Autran, recommending that people wear masks while travelling.

Braun also mentioned that in nursing homes and care centres, masks could become required, at the behest of the establishment’s management.

Getting vaccinated against both influenza and Covid-19

The minister of health noted that the level of vaccination in France against influenza was “five percent lower this year” when compared with 2021, making the population more vulnerable. Additionally, the minister expressed concern over the rate of vaccination against Covid-19 (second boosters) in nursing homes and care centres to be “too low,” with rates around “21 and 23 percent for the over 80s.”

Braun reiterated that all groups in France are now eligible for a second booster against Covid-19. The minister said he was “appealing to individual and collective responsibility” in encouraging people to get both the Covid-19 and flu vaccines prior to spending the Christmas holidays with family members.

The minister said that all groups in France should be eligible to receive both vaccines at the same time – one in each arm. 

READ MORE: Flu vaccine opens to all adults in France: What you need to know

Access to Paxlovid

Brigitte Autran said that the treatment drug, Paxlovid, is very effective against the BQ1.1 Covid-19 variant, which is circulating around France currently. She explained that groups at-risk of developping severe forms of Covid-19, or those whose immune systems did not generate responses to the vaccines, would be eligible for prescriptions from their primary care doctors for Paxlovid.

A prescription can be created for a three month period, without the patient needing to be sick with Covid-19 already. Once such a patient tests positive, they can use the existing prescription to access Paxlovid.

Protecting children and babies against bronchiolitis

Romain Basmaci, a pediatrician and professor of medicine, issued several recommendations. He advised that parents wipe down children’s toys and avoid sharing toys between two children. He also recommended that if a parent becomes sick, they should begin wearing a mask and decreasing physical contact with their young child to better protect them.

He added that keeping children’s noses clean and clear is a good practice to protect them while sick, even though there are no specific treatments for bronchiolitis. Additionally, he said that if your child is struggling to eat, smaller quantities rather than full meals may be a helpful way to ensure they remain well-nourished.

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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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