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HEALTH

ANALYSIS: Are France’s anti-vaxxers the real reason the Covid-19 vaccination rollout is so slow?

Just over half of French people say that they will refuse to be vaccinated against Covid-19. The other half complain that the government vaccination programme is over-cautious and absurdly slow, writes John Lichfield.

ANALYSIS: Are France's anti-vaxxers the real reason the Covid-19 vaccination rollout is so slow?
Anti-vaccine sentiment is common in France. Photo: AFP

Part of the political opposition lambasts the government for its feeble vaccination roll-out (maybe 1,000 injections in the first week, compared to 240,000 in Germany in the same time). Another part of the political opposition continues to foment anti-vax feeling, including the repetition of fake news.

READ ALSO How France is changing its Covid-19 vaccine strategy after anger at slow start

 

Emmanuel Macron is said to be angry about his government's vaccine strategy. Photo: AFP

President Emmanuel Macron complains – in comments strategically leaked to the Journal du Dimanche – that the start of the government’s vax programme has all the urgency of a “family stroll”.

The government (ie his government) has failed to grasp the seriousness of the moment”, he says. All that must, and will, change “rapidly and comprehensively.”

Fine. But where was Emmanuel Macron when the scheme was approved? He can’t plead sickness. The broad strategy was agreed in November before he himself fell ill with Covid-19.

Some ministers and officials say that the original approach – starting with very old people in selected care homes, but only with their consent and only after consultation with a GP – was the correct one. Anything else would have been savaged by opposition and by anti-vaxxers as “arrogant, over-hasty, elitist” etc. There is some truth in this.

Other ministers and senior officials say that this is just a cover story. The glacial start to the vaccination programme was selected precisely because it would be glacial. The top-heavy, too-centralised French medical administration could not manage anything faster.

There is probably also some truth in that.

Even the deliberately slow programme got off to a poor start, other officials say, because it coincided with the Christmas and New Year holidays. “It’s difficult to see how it could have been done quicker during la trêve des confiseurs (the festive lull)” one medical official told Le Monde.

Ah, la Belle France. Even fighting the worst global pandemic for a century must take account of the holidays.

As of yesterday, the French strategy has changed. Any doctor, nurse or carer over the age of 50 (up to 1,500,000 people) can now volunteer to have a vaccination immediately. The leisurely two-week vaccination period allowed to care homes – covering a GP consultation-patient approval and injection – will be reduced to one week.

READ ALSO Why are the French so anti-vaccine?

 

The number of vaccinations each day should rise rapidly but how rapidly? The original aim was to treat 1,000,000 elderly and vulnerable people by the end of this month. That would mean 31,200 injections a day. The new strategy implies around 77,000 a day.

Does France have enough doses of the Pfizer-BioNtech vaccine, the only one so far approved for use in the EU and France? In theory, yes. But only just.

The French government has already received 560,000 does (and used just over 100 by end of yesterday). From Wednesday, it expects to get another 500,000.

The Moderna vaccine should also come on stream this month. The Oxford-Astra Zeneca vaccine – a potential game-changer because it is so much cheaper and easier to store and transport – is unlikely to receive EU approval before next month.

What to make of all this? I have been reluctant to criticise the French government for its handling of the pandemic so far. All governments have made mistakes in dealing with an unprecedented and constantly changing crisis. The French government has made less than some others.

As things stand (and they could change rapidly) the French statistics for new and acute Covid cases and deaths are among the best in Europe. New cases are running at around 13,000 a day on average and deaths at under 400 daily.

The number of patients in intensive care is broadly stable at 2,600 – compared to over 7,000 at the peak of the first wave in April.

And yet the vaccine roll-out has been culpably slow.

It is true that a faster programme would have been attacked by both left and right as an “arrogant, elitist etc” assault on the anti-vax sentiments of over half the French people.

It is true that this is not a sprint but a marathon (as the health minister Oliver Véran says).

But 332 vaccinations in the first four days and just over 1,000 in the first week – holidays or no holidays – is a lamentable performance.

The controversy will not reassure the anti-vax waverers. Au contraire, it is likely to confirm their largely baseless suspicions.

According to a new poll for Le Figaro yesterday, 58 percent of French people say that they will refuse all Covid-19 vaccines. Why a country so hypochondriac and pill-happy as France should be so anti-vaccine is a difficult question to answer.

READ ALSO Why do the French love medication so much?

Some reluctance to accept rapidly-created vaccines may be justified. Not all people who say they are anti-vax eventually refuse injections, as the very high take-up for innoculations of children proves.

All the same, France is now the most anti-vax – that is anti-all-types of vaccine – country in the world.

It is as if one national characteristic – hypochondria – has been overwhelmed by another – exaggerated, conspiracy-theorising suspicion of “the system” (in the same way that Covid-19 has overwhelmed the seasonal ‘flu).

In the medium term, the French allergy to vaccination is a more serious threat to the nation’s health than passing government incompetence.

To reach herd immunity to Covid-19 over 60 percent of the country needs to be vaccinated or have survived the virus.

As things stand, if the polls are to be believed, France will come nowhere near to this figure however efficient the vaccination programme becomes by late spring or summer.

The spectacle of a government stumbling apologetically to vaccinate the willing and eager is unlikely to change the minds of the unwilling and suspicious.

Member comments

  1. Great article, but what’s not mentioned is the role of the pharmacies. So many pharmacies sell homeopathic ‘remedies’ which market themselves by not being ‘chemical’ and being ‘natural’ and in addition the government, until very recently, reimbursed people for taking this ‘medicine’. I can’t help but think that this subtle rejection of ‘big pharma’ must also be part of why so many refuse to have the vaccine. Maybe it would be better to ask those who want it to apply, to organise them by priority and get on vaccinating the 50% (and being transparent with the data) to convince the other 50% that is safe. But in the long-term there needs to be a education-based strategy to tackle fake news and disinformation.

  2. Hi, thanks for this. My French doctor told me he is skeptical of the vaccine, so I am also wondering what education is happening within the French medical community. Have the trials and approvals been translated? What talking points/fact sheets are being provided for physicians to educate patients? (Or, are family doctors totally on their own to do their own research and create their own materials?)

  3. You say, in your article, that carers aged over 50, can volunteer to be vaccinated. I have multiple sclerosis and my husband, aged 52, is my carer. How does he go about volunteering to be vaccinated?

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HEALTH

Carte vitale: France to adopt a new ‘biometric’ health card

The French parliament has approved a €20 million project to launch a 'biometric' version of the carte vitale health insurance card.

Carte vitale: France to adopt a new 'biometric' health card

As part of the French government’s package of financial aid for the cost-of-living crisis, €20 million will be set set aside to launch a biometric health card, after an amendment proposed by senators was approved.

Right-wing senators made this measure a “condition” of their support for the financial aid package, according to French left-wing daily Libération, and on Thursday the measure was approved by the Assemblée nationale.

While it sounds quite high tech, the idea is relatively simple, according to centre-right MP Thibault Bazin: the carte vitale would be equipped with a chip that “contains physical characteristics of the insured, such as their fingerprints” which would allow healthcare providers to identify them.

The carte vitale is the card that allows anyone registered in the French health system to be reimbursed for medical costs such as doctor’s appointments, medical procedures and prescriptions. The card is linked to the patient’s bank account so that costs are reimbursed directly into the bank account, usually within a couple of days.

READ ALSO How a carte vitale works and how to get one

According to the centre-right Les Républicains group, the reason for having a ‘biometric’ carte vitale is to fight against welfare fraud.

They say this would have two functions; firstly the biometric data would ensure the card could only be used by the holder, and secondly the chip would allow for instant deactivation if the card was lost of stolen.

Support for the biometric carte vitale has mostly been concentrated with right-wing representatives, however, opponants say that the implementation of the tool would be costly and lengthy.

It would involve replacing at least 65 million cards across France and repurposing them with biometric chips, in addition to taking fingerprints for all people concerned.

Additionally, all healthcare professionals would have to join the new system and be equipped with devices capable of reading fingerprints. 

Left-leaning representatives have also voiced concerns regarding the protection of personal data and whether plans would comply with European regulations for protecting personal data, as the creation of ‘biometric’ carte vitales would inevitably lead to the creation of a centralised biometric database. Additionally, there are concerns regarding whether this sensitive personal information could be exposed to cybercrime, as the health insurance system in France has been targeted by hackers in the past.

Finally, there is concern that the amount of financial loss represented by carte vitale fraud has been overestimated. The true figures are difficult to establish, but fraud related to carte vitale use is only a small part of general welfare fraud, which also covers unemployment benefits and other government subsidy schemes.

The scheme is set to begin in the autumn, but there us no information on how this will be done, and whether the biometric chip will just be added to new cards, or whether existing cards will be replaced with new ones. 

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