Wednesday, 19 January, 2022

Covid: Ile-de-France threatened with new measures to curb the epidemic


The incidence is high in Paris and the eastern suburbs, and more than 800 Covid-19 patients are in intensive care in the region. The hardening of health policy in Ile-de-France will give an indication of what could happen in the rest of the country in the coming weeks, as in the fall.

In Ile-de-France, hospitalizations for Covid-19 are on the rise again.

While the health situation is continuously deteriorating in Ile-de-France, the prefects, local elected officials and the government must decide together in the coming days on the implementation of possible new traffic restrictions throughout the region. , from the weekend of March 6. After the 6 p.m. curfew, there are few options left: confinement, possibly limited to weekends like in Dunkirk or Nice, or even the closure of schools or shops.

The incidence of Covid-19 has risen to 280 cases per 100,000 inhabitants, against 207 / 100,000 in the country. It is even higher than 300 / 100,000 in Paris, in Val-de-Marne and in Seine-Saint-Denis. The rise in the number of cases has been almost continuous in the region since the relaxation of the second lockdown in early December. The light best observed at Christmas time, throughout France, was erased at the beginning of January. Then from February, while the incidence declined a little at the national level, it continued its momentum in Ile-de-France.

Read also:

Castex places twenty departments under “enhanced surveillance”

Paris city hall wants to confine the capital for three weeks

“There are no surprises. This rise in cases is contemporary with the progression of variants of the virus, and fits perfectly with the projections made in January ”, sighs epidemiologist Renaud Piarroux, who would have preferred confinement at the start of the year to stop the rise in the curves of the Covid-19. In recent days, the British variant has indeed taken over the historic virus in Paris. And since it is reputed to be 50% more contagious, “The transmission will accelerate”, predicts this doctor at the Assistance publique-Hôpitaux de Paris (AP-HP).

More flexible deprogramming

Already, the threshold of 800 patients in intensive care in Ile-de-France was crossed on Tuesday. The last time was on October 27, just before the announcement of the second lockdown. Subsequently, and despite the health brake, the resuscitations were filled up to 1,100 simultaneous Covid-19 patients. However, the Ile-de-France health system seems to be able to withstand the stress of resuscitation better, which reaches 70%.

Deprogramming is now done at the last moment, at varying levels from one hospital to another. The Regional Health Agency (ARS) has asked establishments to prepare to go up to 1,127 resuscitation beds, which involves deprogramming 20 to 25% of routine care. “We are preparing for what it strikes, but we do not know if it is a question of hours or days”, explains the director general of the ARS, Aurélien Rousseau.

Read also:

DOSSIER> Covid: the vaccination campaign in France

DOSSIER> Health restrictions in France: what you need to know

Admissions are hampered by the many measures already in place, and make it possible to avoid acting in an emergency. “The rise in resuscitations has so far been slower and less impressive than it could have been, but that is causing a lot of deaths! “ retorts Renaud Piarroux. In addition, there is no need to rely on the vaccination of over 75 years to relieve these services: it plays on the margins, with a drop in the average age from 63 to 61 years at AP-HP. Previously, he points out, “Few Covid patients over 75 are admitted to intensive care. “

This epidemic dynamic, which diverged from the rest of France in early February, probably only anticipates what will happen elsewhere, when the variants will have become dominant. The measures that will be taken locally could also be replicated elsewhere – this is what happened in the fall, with the closing of bars, then the curfew at 9 p.m. “In a country where all train lines return to Paris and where population movements with the province remain strong despite the curfew, what happens in the capital has an impact on the rest of the country”, we recognize at the Ministry of Health, before adding that “It’s not automatic”.

Read also:

DOSSIER> France facing the Covid-19 epidemic

INFOGRAPHIC> The evolution of the coronavirus in France

The incidence is high in Paris and the eastern suburbs, and more than 800 Covid-19 patients are in intensive care in the region. The hardening of health policy in Ile-de-France will give an indication of what could happen in the rest of the country in the coming weeks, as in the fall.

In Ile-de-France, hospitalizations for Covid-19 are on the rise again.

While the health situation is continuously deteriorating in Ile-de-France, the prefects, local elected officials and the government must decide together in the coming days on the implementation of possible new traffic restrictions throughout the region. , from the weekend of March 6. After the 6 p.m. curfew, there are few options left: confinement, possibly limited to weekends like in Dunkirk or Nice, or even the closure of schools or shops.

The incidence of Covid-19 has risen to 280 cases per 100,000 inhabitants, against 207 / 100,000 in the country. It is even higher than 300 / 100,000 in Paris, in Val-de-Marne and in Seine-Saint-Denis. The rise in the number of cases has been almost continuous in the region since the relaxation of the second lockdown in early December. The light best observed at Christmas time, throughout France, was erased at the beginning of January. Then from February, while the incidence declined a little at the national level, it continued its momentum in Ile-de-France.

Read also:

Castex places twenty departments under “enhanced surveillance”

Paris city hall wants to confine the capital for three weeks

“There are no surprises. This rise in cases is contemporary with the progression of variants of the virus, and fits perfectly with the projections made in January ”, sighs epidemiologist Renaud Piarroux, who would have preferred confinement at the start of the year to stop the rise in the curves of the Covid-19. In recent days, the British variant has indeed taken over the historic virus in Paris. And since it is reputed to be 50% more contagious, “The transmission will accelerate”, predicts this doctor at the Assistance publique-Hôpitaux de Paris (AP-HP).

More flexible deprogramming

Already, the threshold of 800 patients in intensive care in Ile-de-France was crossed on Tuesday. The last time was on October 27, just before the announcement of the second lockdown. Subsequently, and despite the health brake, the resuscitations were filled up to 1,100 simultaneous Covid-19 patients. However, the Ile-de-France health system seems to be able to withstand the stress of resuscitation better, which reaches 70%.

Deprogramming is now done at the last moment, at varying levels from one hospital to another. The Regional Health Agency (ARS) has asked establishments to prepare to go up to 1,127 resuscitation beds, which involves deprogramming 20 to 25% of routine care. “We are preparing for what it strikes, but we do not know if it is a question of hours or days”, explains the director general of the ARS, Aurélien Rousseau.

Read also:

DOSSIER> Covid: the vaccination campaign in France

DOSSIER> Health restrictions in France: what you need to know

Admissions are hampered by the many measures already in place, and make it possible to avoid acting in an emergency. “The rise in resuscitations has so far been slower and less impressive than it could have been, but that is causing a lot of deaths! “ retorts Renaud Piarroux. In addition, there is no need to rely on the vaccination of over 75 years to relieve these services: it plays on the margins, with a drop in the average age from 63 to 61 years at AP-HP. Previously, he points out, “Few Covid patients over 75 are admitted to intensive care. “

This epidemic dynamic, which diverged from the rest of France in early February, probably only anticipates what will happen elsewhere, when the variants will have become dominant. The measures that will be taken locally could also be replicated elsewhere – this is what happened in the fall, with the closing of bars, then the curfew at 9 p.m. “In a country where all train lines return to Paris and where population movements with the province remain strong despite the curfew, what happens in the capital has an impact on the rest of the country”, we recognize at the Ministry of Health, before adding that “It’s not automatic”.

Read also:

DOSSIER> France facing the Covid-19 epidemic

INFOGRAPHIC> The evolution of the coronavirus in France