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HEALTH

IN MAPS: Here’s how the coronavirus epidemic is gradually receding across France

As people in France contemplate trips away and returning the cafés, the reopening of the country comes against the background of positive news about the circulation of coronavirus.

IN MAPS: Here's how the coronavirus epidemic is gradually receding across France
Photo: AFP

Since France lifted the first of its lockdown restrictions on May 11th, people have been anxiously eyeing coronavirus infection rates to see if the new freedoms would provoke a second wave of cases.

But latest data shows no sign of a second wave, and in fact that the picture is so positive that the government feels able to lift another tranche of rules from June 2nd.

The new rules for 'phase 2' of lockdown in June go further than many had anticipated to reopen the country – with bars and cafés reopening fully everywhere apart from the greater Paris Île-de-France region, school reopenings accelerated and all restrictions on travel within France scrapped.

As Prime Minister Edouard Philippe laid out the new restrictions, France's health minister Olivier Véran presented the data that lead the government to feel able to lift the restrictions.

Health minister Olivier Véran presents the health data. Photo: AFP

Both he and the Prime Minister were keen to point out that the virus has not gone, and that people should remain careful and keep observing social distancing and hygiene measures such as handwashing.

The R rate

Probably best explained by German chancellor Angela Merkel, the R rate is the number of people each coronavirus patient infects. If it is more than 1, the total number of patients will keep increasing, if fewer than 1 then the virus is under control and numbers will keep falling.

In France this is currently 0.77, so comfortably under 1 even after three weeks of slightly freer movement when shops and businesses reopened on May 11th.

However the government will be keeping a close eye on this once bars and cafés reopen and people start travelling more freely around the country.

Green départements

 

The green/red map for phase 1 – May 11th to June 2nd. All graphics: Ministère des Solidarités et de la Santé

Since May 11th France has been divided into two zones – red and green. The red zones covered around a fifth of the country and denoted areas where the virus was actively circulating and there was still pressure on hospitals.

However in the revised map presented on Thursday all the red zones had disappeared and the vast majority of the country is now green.

The only exceptions to this were the overseas départements of Mayotte and French Guiana and the greater Paris Île-de-France region, which were depicted in orange.

The green/orange zone map for phase 2, which runs between June 2nd and 22nd

Orange signifies an area that no longer qualifies as a red zone, but is still a cause for concern.

Detailing the differences between départements on the map, Health Minister Olivier Véran said Île-de-France was in a “particular” situation due to its “high circulation of the virus in certain départements” and continued pressure on hospitals.

“We have decided that decisions in Île-de-France should be taken on a regional level and not a départemental level,” Véran said, due to the high level of movement in the area, particularly of people commuting into Paris from the suburbs.

“I repeat, being green does not mean the virus is gone,” the health minister said, stressing that the situation would be closely observed in all départements.

Départements in orange will keep more lockdown restrictions than green ones with only a partial opening of cafés and a delayed opening of gyms, swimming pools, theatres and museums.

Hospital patients

Capacity of intensive care units by département

One of the key metrics in controlling in the virus is whether a country's health services are coping or risk being swamped. The number of patients in intensive care also provides one of the best indicators for the death rates over the coming days, so in France the situation in hospitals has been watched very closely.

At the peak of the epidemic there were 7,148 coronavirus patients in intensive care in France. At the beginning of the outbreak the country had just 5,000 intensive care beds, which was hastily increased to 9,000.

On Thursday there were 1,429 coronavirus patients in intensive care, and the number has been falling steadily since April 9th. 

In his presentation, Véran also included a regional breakdown of pressure on hospital intensive care units. In the vast majority of the country, ICU units were running at 40 percent of capacity or below.

In Paris and the surrounding départements capacity was between 40 and 60 percent, while only one place – the overseas département of Mayotte – ICU units were above 60 percent of capacity.

Clusters

Since May 11th more than 25 'clusters' of cases have been detected, but authorities say this is not necessarily a bad thing – it means that France's test and trace policy is working.

Départements where more than 6.14 people per 100,000 inhabitants tested positive last week. Photo: AFP

Testing has been a sore point in France, with limited testing capacity meaning that at the height of the outbreak only those with severe symptoms were tested.

However since May 11th the government has been running a 'test and trace' programme meaning that anyone who suspects they have the virus gets tested, if the test is positive they then provide a list of people they have been in contact with who also get tested and self-isolate.

EXPLAINED France's 'test and trace' process for coronavirus patients and their contacts

The tracing app, intended to supplement the programme by tracking more casual contacts such as people in the same carriage on the Metro, was not ready for phase 1 but will be available for use from June.

Among the people tested so far, 1.9 percent have tested positive for the virus, said Véran.

In much of mainland France the rate is 0.5 percent or lower, with the overseas département of La Réunion showing a particularly high rate of 10 percent. 

Nevertheless there were 13 départements, plus the Île-de-France region, where more than 6 per 100,000 inhabitants tested positive last week, which were identified as areas of concern.

Next stage

Of course we're not out of the woods yet, and the next three weeks will be crucial.

With the majority of restrictions lifted from June 2nd, daily life in France will start to look a lot more normal with people mingling in bars and restaurants and travelling to other parts of France.

The next revision of the lockdown is on June 22nd, and whether it is a further loosening of the rules or a reintroduction of restrictions depends entirely on how all these numbers look three weeks from now.

 

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COVID-19

Return of the health pass? How France plans to tackle new wave of Covid cases

With a sharp rise in reported cases in recent weeks, France appears to be in the middle of a new wave of Covid infections - so what measures are the government taking to control it?

Return of the health pass? How France plans to tackle new wave of Covid cases

Recorded case numbers in France are now over 50,000 a week, and have been since the beginning of June – this is a long way short of the 350,000 weekly cases recorded in January but still the highest since May and representing a steady an increase of 57 percent on the previous week.

Hospital admissions are also on the rise – standing at 707 admissions on Friday, June 24th compared to 400 daily admissions just two weeks earlier.

So what is the French government doing about it?

Since March, almost all Covid-related restrictions have been lifted in France – the health pass is no longer required for everyday activities such as visiting a bar or going to the gym and face masks are now merely advised in all indoor locations. Only hospitals and other health establishments such as nursing homes still have mandatory rules on face masks and health passes.

For international travel, fully vaccinated arrivals from most countries – including the UK, US and the whole of the EU – need only to show proof of vaccination, while unvaccinated travellers need to show proof of a recent negative Covid test – full details HERE.

Health pass

A proposed bill from the health ministry that was leaked to French media talks about re-imposing some form of pass sanitaire (health pass) to get numbers under control.

Some caveats to add here is that the document is only a proposal at this stage and the government has explicitly rules out – for the moment – reintroducing the vaccine pass. The health pass can be used to show either proof of vaccination or a recent negative Covid test, so it is less restrictive for the unvaccinated.

The document suggests re-introducing a health pass for travel – both to and from France – not for everyday activities like going to a café.

Testing and contact tracing

The bill also proposes extending the software involved in contact tracing and the Covid testing programme until March 2023, although this is described as a ‘precaution’.

Testing remains available on a walk-in basis at most French pharmacies and by appointment at health centres and medical labs. Tests are free for fully-vaccinated residents of France who have a carte vitale. Those are only visiting France, who are not registered in the French health system or who are not vaccinated have to pay – prices are capped at €22 for an antigen test and €54 for a PCR test.

READ ALSO How tourists in France can get a Covid test

Masks

The government’s Covid vaccine adviser Alain Fischer told France Info that he was in favour of making face masks compulsory on public transport again and said it is ‘being discussed” at government level.

At present masks are not required, but are recommended, especially on busy services where it is impossible to practice social distancing.

Epidemiologist Pascal Crépey said: “In crowded trains, the risk of being in the presence of infected people is high. It would be a good idea for the population to wear the mask, to protect especially the most fragile and avoid massive infection rates.”

Local measures

French local authorities also have the power to impose certain types of restrictions if their area has a particularly high rate of infections.

At present, none have done so, but Nice mayor Christian Estrosi has spoken in favour of possibly bringing back the vaccine pass over the summer.

Second booster shots

A second booster shot of the Covid vaccine is now available to all over 60s and anyone who has a long-term medical condition or who is otherwise at risk from Covid.

It is recommended that the government increase public messaging advising those in high risk groups to get the second booster shot. The medical regular HAS has advised combining second booster shots with the seasonal flu vaccine campaign in September and October.

France is not, at present, considering widening the campaign to the entire popular, but the EU’s vaccine commissioner Thierry Breton says that if necessary, there would be enough doses to cover the whole population.

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