It is a word that keeps coming up in the speeches of experts and the Head of State for two days.
Faced with the surge in Covid contagions in an increasingly red France, the government will have to make "decisions".
They will be "difficult", Jean-François Delfraissy, the president of the scientific council, had released on Wednesday, as if to prepare the ground and the French for new restrictions.
"Without giving in to panic" and "despite the scientific uncertainties", "decisions", confirmed this Thursday Emmanuel Macron, will be announced this Friday, at the end of the defense and national security council.
Among them, the duration of isolation of patients and contact cases should be reduced from fourteen to seven days, as recommended by the scientific council.
The other measures will be adapted “locally” according to the regions.
Contacted, infectious diseases and virologists give us their ideas to contain the epidemic.
Let's divide our contacts by two
"We must all say to each other: I planned to see 10 people today and well I reduce to 5", urges Yazdan Yazdanpanah, head of the infectious diseases department at Bichat hospital in Paris and member of the scientific council.
For this expert, it is by restricting our social circle that we will be able to curb contagions, the number of which fluctuates between 8,000 and 9,000 new cases per day.
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Should we generalize the early closure of bars and restaurants as in Marseille and now in the Alpes-Maritimes?
"I do not know whether to reduce the hours to 6 pm, 10 pm or midnight, rebounds the infectious disease specialist.
But what we see nowadays in cafes and restaurants, it does not go!
".
Can we allow ourselves an evening where there are people?
" I do not think so ".
What about a wedding?
" No more ".
Same answer for the gatherings, we need "a limit" on the model of the United Kingdom which reduces the gatherings to six from Monday.
"The English figure is logical," continues infectious disease specialist Benjamin Davido.
When you see fewer individuals, it is easier to reassemble the chains of transmission, but today the tracing is slipping ”.
Quick, a clear screening policy!
Gilles Pialoux, the head of infectious diseases at Tenon hospital in Paris, raises his voice: "We will not be able to test 65 million French people, we can see it is a mess in the labs".
So we have to focus on certain populations and regions that are most at risk.
“We can imagine a regular screening of health professionals in hospitals and nursing homes, teachers in Paca or Ile-de-France where the virus circulates a lot.
"According to virologist Christine Rouzioux, also a member of the Academy of Medicine," the number policy cannot be effective, symptomatic cases and contact cases must be tested as a priority.
So let's stop screening all the time at the risk of running out of reagents and exhausting the teams.
“Why not create a specific queue for travelers?
She says.
Another issue of testing: who should do it and when?
"Everyone is lost, even doctors spend their time asking us questions, let's be clearer", continues Gilles Pialoux.
As for the isolation of patients and contact cases, "according to the English, it allows the R0 to be reduced (
Editor's note: the reproduction rate of the coronavirus
) by a quarter in the population, it is one of the most barrier gestures. more efficient ”.
But where to take shelter when living together?
“Again, we need an answer.
In Taiwan, South Korea or Spain, there are isolation centers with dedicated transport.
However, in France, we no longer hear about Covid hotels.
"
Always more pedagogy
In his hospital in Garches, Benjamin Davido often hears this sentence: “Once in two, a patient tells me,
it is my son or my daughter who infected me
.
The source of contamination was made silently by healthy people.
"" Young people must be told to protect their elders and to be tested, insists Yazdan Yazdanpanah while the number of patients in intensive care has climbed to 600. Too bad they do not adhere to Stop Covid.
But according to Benjamin Davido, we have to do education differently, in the form of a game, on Tik Tok, Snapchat, the favorite social networks of young people.
“The key is there, I'm sure.
"
Another didactic effort to be made, companies, the first source of clusters in front of family reunions.
"We still see lots of pots in the offices with people without masks, perhaps the labor inspectorate should pass and remind, without being coercive, the importance of distance, it's an idea", Gilles Pialoux advances.
Finally, be careful when removing your mask to eat, drink ... "I keep telling nurses that they must open the windows and put themselves at a distance from each other when they take it off", says Yazdan Yazdanpanah , although, in general, “people play the game well”.
“Now that we've talked a lot about the mask, we really have to emphasize distances and reducing contact.
"