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Covid-19: the third vaccine dose, instructions for use
Announced in July by the President of the Republic,
the vaccination obligation
has now entered into force for caregivers. If most of them have this summer resolved to vaccination, 3000 refractory yesterday saw their contract suspended. Beyond health professionals, the 11% over 75 years of age who have still not taken the plunge have yet to be convinced. A
glass ceiling
that a country like Spain does not know. In France,
however, the
vaccine booster
campaign
has started for the elderly and for those who have received the Janssen single-dose vaccine, which is the cause of several cases of vaccine failure.
And elsewhere
, how is it going?
The United Kingdom is preparing for winter, the United States is imposing the vaccine and Switzerland is choosing the health pass.
The
Denmark
finally fell the mask and revives the "life back".
Good reading,
Camille Lestienne, journalist at
Le Figaro
1. The forced-march vaccine
The campaign for the third dose has started among the elderly.
THOMAS COEX / AFP
Vaccination obligation
. Since yesterday, health personnel, the medico-social sector or even firefighters must be able to justify at least one dose of vaccine against Covid-19 to work. Denouncing the "
stigmatization
" of which health personnel are victims, the CGT-Health called on Tuesday to demonstrate. The union regrets the use of "
threats and sanctions
Rather than pedagogy and information. Unvaccinated caregivers will have their contract suspended until they complete their vaccination schedule. Will they be able to work elsewhere in the meantime? In theory yes, but not vaccinated, their choices will be limited. Should we then fear a shortage of caregivers? Some hospitals have announced deprogramming but, overall, health establishments and nursing homes do not express disproportionate concerns.
“In the event of strong tension, we can call on liberal health professionals at no extra cost. It makes things easier ”
, indicates the general delegate of Synerpa.
As of September 7, more than 88% of healthcare workers in nursing homes and hospitals have received a first dose, as have 94% of liberal staff.
However, some professionals remain resistant even if it means losing their job.
While not receiving any more remuneration will not be "
tenable
" for some, others, worn out and tired, consider with relief to leave the hospital world behind them.
Thursday morning, the Minister of Health Olivier Véran announces “3000 suspensions” of unvaccinated personnel.
Read alsoThe day the threat of suspension became reality for unvaccinated caregivers
Third dose and glass ceiling.
The campaign for a booster dose or third dose has started for frail people who were vaccinated more than six months ago. And yet, there are still many French at risk unvaccinated. Unlike Spain, which has managed to vaccinate 100% of its seniors, France is lagging behind. In total, 10.9% of those over 75 have not received any injection, according to Medicare data, as have 14% of people with at least one comorbidity.
"It's complicated to know why there is this glass ceiling in France,
judge Alain Fisher, the president of the Steering Committee for the vaccine strategy.
It is possible that part of the answer is sociological.
In Mediterranean countries, the family unit is stronger.
There are fewer isolated very old people than in France. ”
Beyond the most resistant antivax, Professor Fischer estimates that there is still 5% of French people to seek and convince.
A crucial issue while the epidemic is not over.
Read alsoVaccination of children: the reluctant French
The numbers to remember
49.8 million
people received a first dose (73.9% of the population).
47 million
French people have a complete vaccination schedule (69.9% of the population).
Source: Directorate General of Health as of September 15
Janssen and Valneva in turmoil.
On Monday, the Medicines Agency (ANSM) indicated that a "
significant number
»Of cases of vaccine failure with Janssen serum had been noted. 32 cases of Covid-19 infection have been observed in people who have received this vaccine, including 29 severe cases and 4 deaths. We already knew its lower efficacy against messenger RNA vaccines, but the Delta variant would have amplified the phenomenon. The High Authority of Health (HAS) had also in August registered people vaccinated with the Janssen vaccine in the vaccination booster campaign. The latter are advised to receive a second Pfizer or Moderna vaccine four weeks after the initial injection. The tide is also turning for Valneva, a biotech developing an inactivated virus vaccine, now in phase III clinical trials. Britain has announced that it will terminate the order for 100 million doses for 1.4 billioneuros spent last year with the Franco-Austrian company. However, all is not lost for the company, which saw its title fall by 40% on the stock market on Monday: on the European side, contractual negotiations are continuing.
Read alsoCovid-19: hopes of the nasal vaccine blocking contagion
2. Where is the epidemic?
Weekly incidence rate by department of Covid-19 per 100,000 people.
7-day rolling average.
Fig Data
The epidemic continues to decline in France.
According to figures from Public Health France published last night, the number of patients in critical care fell below 2,000 patients on Wednesday for the first time since August 17. In total, 9,555 Covid-19 patients are hospitalized in France. Less than 10,000 cases have been detected compared to more than 12,000 last week. The incidence rate, finally, has fallen below 100 cases per 100,000 inhabitants at the national level. A first since July. The reassuring figures do not stop justice, however. Last Friday, the former Minister of Health, Agnès Buzyn, was indicted for "
endangering the lives of others
»At the end of his hearing by magistrates of the Court of Justice of the Republic (CJR). She is the first politician implicated in this investigation into the management of the pandemic. In addition, 14,500 complaints have reached the CJR against Jean Castex, and ministers Jean-Michel Blanquer, Olivier Véran and Jean-Baptiste Djebbari, for extortion, discrimination and deception in the implementation of the health pass. A mass action which will hardly succeed but which the lawyer Fabrice Di Vizio defends: "
Only legal action, in other words the use of institutional violence, makes it possible to respond to the strong tensions which cross French society and 'avoid more violent acts'.
To read also Guillaume Perrault: "
Agnès Buzyn indictment, the causes of a French quasi-exception
"
The numbers to remember
1959
patients in critical care (-41 since the day before)
9,555
hospitalized patients (-184 since the day before)
9,144
new cases detected in 24 hours
79
deaths in 24 hours (115,829 deaths since the start of the epidemic)
Source: Public Health France as of September 15
3. And elsewhere?
Denmark has turned the page on health restrictions.
RITZAU SCANPIX / REUTERS
In the UK, Boris Johnson's plan
. The winter could be "
bumpy
", warned the British Prime Minister on Tuesday, presenting his anti-Covid strategy for the months to come. To avoid any new confinement, the government is planning a vaccination booster campaign for the most vulnerable first, then for all, as well as a possible health pass if the situation deteriorates. With more than 80% of those over 16 vaccinated, the country has a high number of contaminations - 30,000 cases daily - but a number of serious cases and stable deaths.
Towards compulsory vaccination in the United States.
Joe Biden is at the end of "
patience
" and makes vaccination compulsory for 100 million workers: civil servants, private contract workers employed by the federal state or those of Medicare or Medicaid. Finally, all companies with more than 100 people must have their employees vaccinated, under penalty of a fine of $ 14,000 per violation. In Los Angeles, school district officials voted for compulsory school vaccination for those over 12.
Health pass in Switzerland.
With our Swiss neighbors, the extension of the health pass to restaurants, museums or concerts entered into force on Monday. A decision that should boost a lagging vaccine campaign. Only 60% of the population is first vaccinated with strong disparities according to the cantons. "
German citizens are suspicious of the state, more liberal, very attached to their individual freedoms
", comments Antoine Flahault, director of the Institute of Global Health at the University of Geneva.
The “life before” in Denmark.
Let's dream a little with our Danish friends who were the first to abandon all health restrictions last Friday.
Both outdoors and indoors, the mask is stored, the sanitary pass forgotten.
With 96% of people over 65 vaccinated, "
the epidemic is no longer worrying insofar as almost all vulnerable people are protected,"
says epidemiologist Viggo Andreasen in
Le Figaro.
In addition, nearly 500 new cases are detected per day, which is, in proportion, much less than the daily number in France.
Read also Health crisis: "The pandemic was managed in Europe in a technocratic way"
4. The quote
The virus can very well have passed from an animal reservoir to humans in a natural way (zoonosis hypothesis), just as this contamination could have taken place in a laboratory.
Étienne Decroly, virologist from the University of Aix-Marseille
Zoonosis or laboratory contamination?
The two hypotheses are still on the table and the origin of Sars-CoV-2 is still not known.
And this, for good reason.
“The problem is that China is blocking investigative work,”
says
Virginie Courtier, head of a team at the Jacques-Monod Institute in Paris
,
to
Figaro
.
She lit counter fires by first accusing the pangolins, then now the frozen meat. "
How long has the virus been circulating?
"
We cannot exclude, for example, that the virus circulated for a longer time and would have gained in pathogenicity with the mutations.
To be sure, it would be necessary to analyze biological samples from patients with symptoms similar to Covid-19 at this period, ”
explains virologist Etienne Decroly.
However, WHO investigators sent to China at the beginning of the year did not have access to the samples.
As time passes, hope of tracing the virus is fading.
5. Calendar, pass and masks
Health pass.
Since
July 21
, the health pass is required to go to places of culture and leisure welcoming more than 50 people (cinema, theater, concerts, festivals, etc.). The same goes for restaurants, bars, indoors and outdoors, in trains, coaches and planes, retirement homes and medical establishments since
August 9th.
.
Places of worship are not affected.
It is now mandatory to go to shopping centers of more than 20,000 m², if the incidence rate of the department is greater than 200. Young people aged 12 to 17 are exempt until September 30.
As a reminder, the health pass is not a vaccination certificate.
For it to be valid, you must either be fully vaccinated for a week, or present a negative PCR or antigen test of less than 72 hours or proof of cure (a positive test) of more than 11 days and less than 6 month.
It is in the form of a QR code stored in the TousAntiCovid application or in paper format.
Read also Health pass: instructions for use, people concerned, penalties ... What you need to know about the law definitively adopted
Wearing a mask
is always compulsory in enclosed spaces and outdoors when distancing is not possible (markets, queues, station platforms, etc.).
Some municipalities have this summer reimposed the mask outdoors in some very busy places.
In cultural places where the health pass is required, it is not compulsory unless the manager of the establishment or the prefect decides otherwise.
A certificate to travel.
Since July 1, Europeans can travel more easily within the continent thanks to certified evidence of vaccination or negative tests brought together in a single document.
In digital or paper format.
Please note, however, that each country can continue to apply specific rules.
Read alsoThe European health pass comes into force on July 1: all the answers to your questions
6. Reflexes to keep
The virus is transmitted by droplets and aerosols.
The barrier gestures detailed by the Ministry of Health must be observed to protect themselves and others:
Wash your hands regularly or use hydroalcoholic gel
Cough or sneeze into the crease of your elbow
Use disposable tissues
Wear a mask in public areas when the distance of two meters cannot be respected
Maintain a distance of at least two meters from others
Limit social contacts as much as possible (6 maximum)
Avoid touching your face
Air the rooms as often as possible, at least a few minutes every hour
Greet without shaking hands and stop hugging
7. What to do in case of symptoms?
The disease manifests itself with several symptoms, most often cough and fever.
The most important thing is to get tested.
According to the recommendations of the Ministry of Health, you should, in case of symptoms, stay at home and contact your doctor who will prescribe a test.
While waiting for the result, you must isolate yourself, wear a mask and prepare a list of people you could have infected.
In the event that the test is positive, the bill relating to the management of the health crisis currently under discussion in the National Assembly provides for compulsory isolation of 10 days in the place of its choice.
Checks will be "
provided by the police over a specific time range, from 8 am to 11 pm,
" the Minister of Health said Tuesday before the Law Commission.
Read alsoTest, isolation: the procedure to follow in case of suspicion of Covid-19
See you next week.