EU meds agency says AstraZeneca is effective and safe to use - but there MAY be a very rare connection with deep vein blood clots which should be examined further. French PM Castex is giving a presser in 30mins. Will he annnounce a a resumption of AZ jabs?
theguardian.com/world/2021/mar…
Le Figaro seems to have the answer on how soon AZ jabs will restart in France. PM Jean Castex will publicly have an AZ shot (even though he doesn't qualify by age or illness) tomorrow afternoon.
lefigaro.fr/politique/astr…
But what else will Castex announce at the top of the hour? It seemed certain yesterday that the greater Paris area and much of N.France would be placed in a weekend only lockdown (at least). Now rumours suggest that Pres Macron has opted for something much more complicated.
The Paris area has an incidence rate of over 400 cases per 100,000 pop in 7 days. Intensive care is full. Nationwide there were 35,000 cases today. Something must be done but Macron is said to believe another lockdown - even for weekends - in Paris area wd be counter-productive
Rumour suggests a lockdown of up to 4 weeks but with bigger windows - longer permitted periods in which people can leave home to exercise/relax. Not clear whether this would be weekends only. More likely it would also mean a closure of shops/offices on weekdays. We'll know soon.
Castex says France now clearly facing somethinf like a "3rd wave" of Covid, largely thanks to UK variant now 75% of all cases in France. Cases have increased 23% in last week. Acute patients are younger and stay in IC longer.
But not all France effected. Only 23 out of 90 plus departements are on high alert. Stronger measures are needed in some areas though - especially Paris area and the north. Now 1,200 IC patients in Ile de France, more than at height of 2nd wave in Nov.
Other areas in trouble include Pas de Calais and Lille area in north west and northern Normandy. In Nice area, Alpes maritimes, situation is improving.
So a new lockdown for 4 weeks for 16 departements covering whole of the NW quarter of France from Paris to Channel and nothern Normandy.
Not yet clear what form this lockdown will take.. Castex is still justifying the decision in early Feb not to put France in lockdown protectively. Approach will continue to be pragmatic and proportioal.
So lockdown in the 16 NW departemnets including Paris will ...
NOT include schools and school sports, which will continue.
Only essential shops will remain open but they will include book and music shops.
Some places of work will close too.
But rules on exercise and leaving home will be much less severe this time. Anyone can exercise at any time (within curfews) up to 10k from their home ( with an attestation). Curfew will be pushed back from 6pm to 7pm. Big gatherings banned.
So a lockdown lite for 16 departements for 4 weeks. Biggest difference will be closure of non-essential shops and some offices to force more home-working.
Plan says Castex is to "check the virus" without "locking people up".
Now vaxes....France, he says, has now reached a higher vaxxing speed than most EU countries (true for last 2 weeks not earlier). But vaxxing of over 75's must go faster.
(Important thing I missed earlier ....travel between confined region and rest of France banned from Friday midnight. Stand by for a great exit from Paris tomorrow.)
Back to vaccines. Unless I missed it while writing, he has said nothing about AstraZeneca yet. He maintains target of 10m first vaccinations by mid April and 20m by end of May.
So on AZ jabs.....Castex said they could resume in France tomorrow afternoon after the Haute Autorites Sante has rubberstamped EU meds agency decision to declare AZ safe. To pause was "prudent", he said, but the French vax programme could now return to its recent higher speed.
Castex confirms he will be jabbed with AZ tomorrow to show a good example and "show we can all use it with confidence." Leading with his left shoulder.
To be precise.
The 16 departements which go into lockdown lite from tomorrow midnight include Alpes Maritimes ( Nice-Cannes) area and Seine Maritime and Eure in Normandy.
Other 14 are
All 8 in Ile de France (Paris area).
Five in Hauts-de-France, from Paris area to Belgian border
Other 13 I should have said...

So lockdown lite applies to NW quadrant of France, including Paris, Rouen, Le Havre, Amiens, Lille, Calais etc and the Nice-Cannes area at diagonal opposite end of the country. Travel from those places to rest of Fr banned from tomorrow midnight.
Is it enough? Too much? I think the flexibility ,especially the all day exercise window, is sensible and will be appreciated. But a quarter of France (more by population) will be in semi-lockdown until mid April. Grim.

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More from @john_lichfield

20 Mar
Weekly French vaccination thread.
What a confusing week. Confusion is bad, especially in France where anti-vax feeling is rife. And yet I’m going (for once) to defend France's vax effort from the more hysterical criticism (especially in the UK). 1/12
Despite a 3 day emergency pause in AstraZeneca shots, France kept up a respectable pace of jabbing this week – an average 168,407 first jabs a day, enough to hit is target of 10m by mid-April. The use of doses received from the EU, 50% at the end of Jan, is now around 80%.
2/12
Despite the howling mockery, France's decision on Friday to limit AZ shots to over-55s (for now) makes sense. Incidence of v. v. rare but grave types of blood clots (ie not all clots) has increased between 5 and 8 times amongst under-55’s in Europe who have taken AZ. 3/12
Read 12 tweets
17 Mar
Weekly French Covid thread.
Big decisions are expected at a health defence council chaired by Pres Macron this morning. A weekend lockdown in the greater Paris area, Ile-de-France? Probably. Maybe even a complete lockdown of the capital/ surrounding area for 2 to 3 weeks. 1/12
Macron has been postponing the decision on Paris (for political reasons mostly) since late Feb but can no longer delay. Ile de France now has the highest incidence rate in the country – 418.9 cases per 100,000 people in 7 days to 13 March. 2/12
.
Intensive care in the Paris area is overwhelmed – 1,117 beds occupied by C19 patients last night, despite transfers elsewhere. Normal total IC beds for ALL cases is 1,000.
The betting is on a weekend lockdown (like those in force in the Nice area and the north). 3/12
Read 12 tweets
13 Mar
Weekly French vaccination thread.
Good news/bad news.
The good news includes the fact that France administered 1,500,000 shots in 7 days to Thursday, including 1,170,000 1st doses. This is +200,000 shots a day on average, after an av. 76,000 in 1st 10 weeks of the roll-out
1/12
Other good news (for me anyway), I received a 1st AstraZeneca jab at my doc's surgery in Calvados yesterday. Slight fever today but no real sickness. The process took 40 minutes: a thorough Q and A with a locum doctor, a jab by a nurse and 15 mins wait before I could leave.
2/12
Other good news (for everyone), the EU and France have approved a fourth type of vaccine – Janssen or Johnson and Johnson – which will be available from next month. This is a one-shot only vaccine and easy to store. It should be offered through GP’s and pharmacies. 3/12
Read 13 tweets
27 Feb
UPDATE thread on France’s anti-Covid vax programme.
Overall, it’s still frustratingly slow. The AstraZeneca roll-out has been very poor – largely because of rejection of the AZ jab by health workers. BUT that may soon change… 1/10
The government is planning belatedly an “AZ-is-wonderful” P.R. campaign based on Scots findings that the vax is 90% effective and fine for old people. As a result, the Fr. health supervisory board may soon recommend that Fr. lifts its ban on AZ for the over 65’s. 2/10
That would be a game-changer, with 6m AstraZeneca doses due to arrive in France in the coming month and over 9m in April. But Macron and his government must carry a large part of the blame for what they now call primly AZ’s “image deficit” in France. 3/10
Read 10 tweets
25 Feb
The French PM Jean Castex will give a press conference in a few mins on what he plans to do about the dozen or so départements (counties) where Covid variants are surging. Weekend lockdowns have already been imposed in the Nice area and Dunkirk. Paris area next? Not yet it seems
It seems the French PM will probably announce “consultations” with local governments in the départements concerned – a broad stripe to Paris from the Pas de Calais, plus Moselle in Lorraine. Weekend lockdowns and other new restrictions may follow
Health situation is deteriorating, Castex says. Over 30,000 cases nationwide yesterday for the first time since November. British variant is now half the cases in France - creating a new epidemic because more contagious than the original.
Read 14 tweets
24 Feb
French Covid thread.
It’s getting complicated. Parts of France are doing fairly well. A dozen départements – in the north, the Paris area, Lorraine and the Nice area – are suffering sharp spikes in cases. Dunkirk has been placed under weekend lockdown today, following Nice 1/11
Covid variants (mostly the UK one) are responsible for this surge. To know which 13 départements are worst affected - a daily average of more than 250 cases per 100,000 – look at this map from the wonderful Covidtracker site @GuillaumeRozier. 2/11
Image
The most stricken areas are Dunkirk with 900 cases per 100,000, four times the national average, and the Alpes Maritime department around Nice. Both are going into weekend lockdown for at least 2 weekends from Friday. The PM Jean Castex will announce other measures tomorrow. 3/11
Read 12 tweets

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