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Children under five eligible for Covid-19 vaccinations in France

French health authorities have launched a campaign to vaccinate children under the age of five in certain high-risk groups against the Covid-19 virus.

Children under five eligible for Covid-19 vaccinations in France
A child receives a dose of vaccine during a visit of France's Health Minister Olivier Veran in a vaccination centre against Covid-19 (Photo by Eliot BLONDET / POOL / AFP)

According to reporting by Le Parisien, France’s public health body (the DGS) sent a message out to health professionals on Thursday night informing them that they had launched the campaign for children under the age of five in certain risk categories to be vaccinated against the virus.

The French medical regulator (HAS) had previously recommended that certain groups of children in certain high-risk groups – such as those with serious illnesses or those living with an immunocompromised parent – be vaccinated from the age of six months.

Previously those children could be vaccinated in hospitals and specialised centres, but starting on Monday, January 23rd, children under the age of five who are eligible for vaccination against Covid-19 will be able to be vaccinated by a doctor, midwife or nurse.

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

The HAS released a list of conditions that would make children under the age of five eligible for vaccination, including;

  • Liver disease
  • Heart and respiratory diseases (including severe asthma requiring continuous treatment)
  • Neurological diseases
  • Primary or drug-induced immunodeficiency
  • Obesity
  • Diabetes
  • Hematologic malignancies
  • Sickle cell disease
  • Trisomy 2
  • Children who live in the same environment as an immunocompromised person

France’s decision to authorise vaccination for certain young children came after several other countries, such as the United States did so.

According to L’Obs, babies “under one year old accounted for 70 percent of hospitalisations for children aged 0-17 years old and 84 percent of critical care admissions.”

When authorising children under five for vaccinations, the HAS noted that so far “no deaths, cases of myocarditis or pericarditis have been reported in the various studies conducted.”

How to vaccinate your child 

First, you must verify whether your child under the age of five is eligible for the vaccine by checking the list of high-risk groups above.

Next, you should consult your child’s doctor, as a prescription will be necessary for them to be vaccinated. 

Both parents must agree to the child being vaccinated by filling out the authorisation form HERE, according to the DGS. 

The vaccination schedule will differ for children under the age of five. They will be given a lower dose of the vaccine – specifically the Pfizer-BioNTech shot – and it will be delivered in three total injections, rather than two. 

The interval between the first two will be three weeks, and the interval between the second and third jabs will be at least eight weeks.

Even if the child has had Covid, “all three doses should be given, to ensure optimal protection,” the DGS told medical professionals, according to Le Parisien. However, if the child becomes sick with Covid-19 during the vaccination schedule, it can be revised so that there is an interval of at least three months from infection and vaccination.

According to the HAS, citing data from a clinical trial conducted in the first half of 2022, three doses of the vaccine was 80.3 percent effective against symptomatic infections “in all age groups from 6 months to 4 years with no history of infection.”

What about kids over the age 5?

All children aged five to 11 have been eligible for Covid-19 vaccination since December 2021 in France (children aged 11 and over were already eligible). Despite this eligibility, only about five percent of children in this group have been vaccinated, giving France one of the lowest levels of vaccination for young children in Europe. 

While Covid-19 represents a greater risk for older children and adults, according to L’Obs, severe illness and death can also occur in children. 

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

As of January 20th, the French government still required that children aged five to 11 have both parents or guardians (if both have legal parental authority) provide authorisation prior to vaccination against Covid-19.

Prior to being vaccinated, there will be a pre-vaccination medical interview (on-site) where the medical professional will ensure that the child does not have any conditions, answer any questions the child or parents may have, and finally provide a prescription for the vaccination.

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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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