On Tuesday, France lowered the age of eligibility for COVID-19 vaccines to 12, opening the door for millions of French children to receive a boost to their resilience to the coronavirus pandemic. Perceval Gete, a 12-year-old French boy from the suburb of Vitry-sur-Seine, was one of the youngest people in Europe to receive a COVID-19 vaccination, according to reports. To accommodate his young age, the nurse administering the jab had to use a special child-size needle. “I wanted it to be done as soon as possible,” his mother, Melanie Gete, said at the vaccination center in the suburb of Vitry-sur-Seine after Perceval had the jab. Prior to the rule change, people in France had to be at least 18 years old, or 16 if they had underlying conditions, to be eligible to receive a COVID-19 vaccination. Now, providing they have parental consent, children as young as 12 can be vaccinated. In wealthy countries worldwide, governments have been expanding their vaccination programs to include younger people, who, it is worth noting, are less likely than older individuals to get seriously ill from COVID-19. However, France’s limit of 12 years is one of the lowest of any major European Union state. Nurse Aurelie Job, who administered the vaccine to Perceval Gete on Tuesday, used a needle that is around half the length of the standard size used for adults. “Children have smaller arms so we need smaller needles to vaccinate children,” she said. “It prevents us from touching the bone while vaccinating children, and it’s less upsetting for them.”
Last year, makeshift terraces sprang up on many cafes across Paris, allowing COVID-wary patrons to be served outdoors. Now, city hall has announced these ‘Covid terraces’ will become a permanent fixture in the French capital this summer. In response to the impact of the pandemic on beleaguered restaurant and café owners who were no longer allowed to serve indoors, the city of Paris turned over thousands of parking spaces to enable establishments to continue serving drinks and food outdoors. Many establishment owners invested in high-quality structures in the spaces, which are still usable today. Terraces will have to remain without closed walls and plants and other greenery will be encouraged. "Roofs, tarps, reception tents, wooden pallets and advertising will be prohibited," the deputy mayor in charge of commerce, Olivia Polski, told AFP. There will also be a requirement for them to shut down by 10:00pm, so that local residents won’t be disturbed by any noise. The city will hold an annual contest for the most attractive designs, a move clearly aimed at encouraging aesthetically pleasing structures. Outdoor seating can also be extended on adjacent squares and sidewalks, and also in front of neighbouring businesses, providing they give approval. No heating or music systems will be allowed, and Polski said the city would step up deployments of specially developed "Meduse" microphones for pinpointing the sources of noise pollution across the city. Outdoor drinking and dining resumed across France last month as France emerged from its third wave of coronavirus cases, a huge relief for restaurants and bars closed since last October. On Wednesday, restaurants and cafés will be allowed to start serving indoors and the nationwide curfew will be pushed back to 11:00 pm, which is expected to further swell the summer sidewalk crowds. *Image: Lucas BARIOULET AFP/File
The American Academy of Sleep Medicine has published an update in the Journal of Clinical Sleep Medicine stating that, during the pandemic, telemedicine has been an effective tool for the diagnosis and management of sleep disorders. Since the academy’s last update in 2015, the use of telemedicine services has increased exponentially as a result of the COVID-19 pandemic. The academy’s latest update adds that the COVID-19 pandemic has highlighted telemedicine’s ‘importance in improving access to sleep care and advocating for sleep health.’ Furthermore, a growing body of published research has found telemedicine to be effective in the management of patients with sleep disorders, such as apnea, and for the delivery of cognitive behavioral therapy for the treatment of insomnia. The update authors also outlined how a shortage of trained behavioral sleep therapists has led to the development of online application-based CBT-I programs and a recent systematic review and meta-analysis found that internet-delivered CBT-I is effective in improving sleep. Telemedicine, the academy says, is also effective for helping to treat sleep disorders among children: ‘Telehealth follow-up visits, primarily via telephone, have been used for chronic management of obstructive sleep apnea and internet delivered CBT-I has been shown to be effective in adolescents with insomnia.’ *Image by Claudio_Scott from Pixabay
Nearly three years after it was cancelled, the night train service from Paris to Nice has returned, part of a broader push by the French Government to promote more environmentally friendly means of transportation. First introduced in the late 1800s, the Paris-Nice night train, colloquially known as ‘Le Train Bleu’, was a luxury sleeper service, internationally famed for its list of wealthy and famous passengers. However, during the 1980s, when high-speed TGV trains proliferated and cut the travel time from Paris to Nice from 20 hours down to just five, the era of luxury night trains to the French Riviera was effectively ended. While Le Train Bleu would continue its service for a few more decades, it ceased to exist under than name in 2003. Then, in Dece3mber 2017, it was discontinued completely due to the French Government withdrawing its funding. But now it’s back. Under the French Government’s pandemic plans to encourage more eco-friendly transport as part of its broader economic relaunch packages, the sleeper service from Paris to Nice is back. The first Paris-Nice night train departed Paris Austerlitz station at 20:52 on May 20 and arrived in Nice at 09:11 on May 21. To highlight just how much attention the sleeper service re-launch attracted, French Prime Minister Jean Castex was among the passengers, At a time when France is striving hard to bring down its carbon emissions, night trains are also more "virtuous" than cars or planes, as Castex's office told AFP. The night train will run daily between Paris and Nice in both directions. And while it takes twice as long as the TGV to complete the nearly 1,088-kilometre (675-mile) voyage, it’s a lot more affordable. Paris-Nice TGV tickets usually cost well over 100 euros one-way. Night train prices start from just 29 euros. *Image: Le Train Bleu in the Gare de Lyon, Paris, courtesy of Gryffindor and licensed under the Creative Commons Attribution-Share Alike 4.0 International license.
Prior to the Covid-10 pandemic, medical tourism was one of the fastest-growing industries in the world. Indeed, according to Grand View Research, the global medical tourism market size was valued at US$44.8 billion in 2019, with compound annual growth of 21.1% expected between 2020 and 2027. However, the global SARS-CoV-2 outbreak has significantly impacted travel abroad. Luckily, we are seeing signs that things are slowly returning to normal. [Related reading: France to offer free Covid-19 tests to tourists this summer] Now, something that has come into its own during the coronavirus pandemic is telehealth. In fact, data shows usage of telehealth services has increased by more than 2,000% since 2019. But what’s going to happen to telehealth services once “normal” travel resumes? We believe they’ll still play a pivotal role, particularly when it comes to complementing medical tourism. With telehealth, patients can have consultations with specialists on the other side of the world, negating the need to travel in the first instance. If the patient and clinician agree that travel for surgery or other healthcare is necessary, telehealth can continue to afford benefits, including: - Improve the quality and efficiency of customer service by helping to coordinate care between providers in the patient’s home country and the medical tourism destination - Enhance pre-operative and post-operative care - Optimize patient and family member travel. If you’d like to find out more about our telehealth services and/or how we can help you get any medical treatment you need in France, get in touch today. *Image courtesy of mohamed Hassan from Pixabay
Parisian catwalks will reopen from July as the French government looks to wind down Covid-19 restrictions, paving the way for live fashions show to resume, the country's fashion industry body announced on Tuesday (May 11). The annual Haute Couture Week — which sees a select club of designers display one-of-a-kind, handmade outfits — will take place from July 5 to July 8 and fashion houses will be allowed to organise live shows and presentations, according to a statement from the French fashion industry body Federation De La Haute Couture Et De La Mode Depending on how the pandemic progresses, physical fashion shows with live guests would be allowed, in line with government guidance on public events. No major live fashion shows have been held in Paris since September 2020. Back then, some brands, including Dior and Chanel, organised a few shows with live audiences, but with a strictly limited number of guests. In the past months, fashion brands have presented their new lines in online-only shows and have experimented with other ways to showcase their designs such as short films and one-on-one presentations. The federation said its Haute Couture online platform https://hautecouture.fhcm.paris/fr would remain available for digital-only shows going forward and would also retransmit the physical shows. Prior to the Covid-19 pandemic, Paris’ multiple fashion weeks generated some 1.2 billion euros for the local economy every year, the federation grouping couture houses estimates. *Image courtesy of Pexels from Pixabay
Telemedicine will save the healthcare industry a staggering $21 billion in costs by 2025, new research suggests. This represents an increase of over 80% in the next four years, rising from $11 billion in 2021. According to the study by Juniper Research, teleconsultations, a service that enables patients and physicians to interact remotely with patients, will play a key role in enabling these significant savings. However, Juniper cautioned that such savings would be restricted to developed countries where people have access to required devices and suitable Internet connectivity. Indeed, Juniper predicts that North America and Europe will realise over 80% of savings by 2025. The Jupiter report also reveals how telemedicine usage has soared as a result of the coronavirus pandemic, with remote consultations rising from over 280 million in 2019, to 348 million in 2020. By taking advantage of telehealth solutions, doctor’s offices have been able to significantly reduce the number of face-to-face appointments they’ve needed to accommodate, cutting the risk of waiting room Covid-19 infections. However, the report did warn that the significant investment required and obligation to abide by data protection laws, such as the US’s Health Insurance Portability and Accountability Act (HIPAA), could discourage telemedicine adoption among smaller healthcare providers. “Any deregulation must ensure that patient confidentiality is not undermined,” said research author Adam Wears. “Additionally, we recommend that innovative and emerging teleconsultation services are integrated into existing healthcare technologies, such as electronic health records, to maximise their benefits to healthcare providers.” Jupiter Research’s report, Telemedicine: Emerging Technologies, Regional Readiness & Market Forecasts 2021‑2025, is available here: https://www.juniperresearch.com/researchstore/key-vertical-markets/telemedicine-research-report *Image by Tumisu from Pixabay
France has granted citizenship to more than 2,000 foreign-born frontline workers as a reward to them for their services to the country throughout the ongoing coronavirus pandemic. Marlene Schiappa, junior interior minister in charge of citizenship, said that 2,009 people, including 665 children, had been fast-tracked for naturalisation for "showing their attachment to the nation". Back in September, Schiappa instructed citizenship authorities to speed up the applications of essential workers who had "actively contributed" in the fight against Covid-19. She ordered that they be allowed to apply for citizenship after just two years in France. Normally, under French Nationality Law, a person can apply for French citizenship by naturalization after five years' habitual and continuous residence in the country. Among the more than 2,000 individuals granted citizenship are health workers, security guards, checkout workers, garbage collectors, home-care providers and nannies. Schiappa's office said that over 8,000 people have applied for citizenship under the scheme, adding that all requests were being given "the greatest consideration". In 2020, 61,371 people were granted French citizenship, a decline of 20% compared with 2019. [Related reading: Covid -19 lockdown lifting in France: bars, restaurants, museums and cinemas to reopen May 19] *Image courtesy of mohamed Hassan from Pixabay
During the coronavirus pandemic, eligible Australians have been accessing Medicare-subsidised telehealth services. However, this arrangement is due to end on June 30. But it now looks like there will be an extension until at least the end of the year. Australian Health Minister, Greg Hunt, has said the government will extend Medicare-subsidised telehealth services until the end of the year, while the government works with peak bodies to design a post-pandemic telehealth system going forward “Over the last 12 months, telehealth services have been life-changing for many in need of support,” Mr Hunt said. “The extension will ensure that Australians can continue to see their GP, renew scripts and seek mental health support from the safety of their own home. This allows vulnerable Australians to feel protected and supported during these unprecedented times.” The Australian Government rapidly rolled out telehealth subsidies back in March 2020 when the coronavirus pandemic became apparent to enable citizens to continue to access GP, mental health and allied health services even during lockdowns. Over the course of the year to the end of March, more than 54 million Medicare-subsidised telehealth services were delivered to 13.5 million patients. The cost of the six-month extension will be detailed in the Australian federal budget on May 11, 2021. *Image: Sydney Opera House, courtesy of Patty Jansen from Pixabay
France has become the first European country to begin testing a digital Covid-19 travel certificate as part of a Europe-wide scheme which Brussels hopes will allow more freedom of travel within the bloc by the summer. The testing will be conducted through France’s TousAntiCovid app, part of the country’s contact tracing programme, which has been upgraded to allow it to store negative Covid-19 test results on travellers’ mobile phones. The app is being trialled on flights to Corsica and overseas départements from this week. According to a French official, at first, the certificates will only be used for travel, but they “could eventually be adopted for public events such as concerts, festivals and trade fairs,” although not for bars and restaurants. The app has so far been downloaded by nearly 15 million French citizens. The French trial will form one part of a “reinforced, consolidated and standardised” Europe-wide system, the minister for digital transition, Cédric O, said. Talks are already underway with several countries and airlines to ensure early recognition. The European commissioner for justice, Didier Reynders, said last week he expected the EU’s “digital green certificate” to be operational by 21st June. The certificate is an urgent priority for southern European member states whose economies have been hit hard by the coronavirus pandemic. *Image by Pexels from Pixabay
As we highlighted in a previous blog post, telehealth/telemedicine services have come into their own during the Covid-19 pandemic, allowing patients to connect with their clinicians in a way that’s fast, convenient and safe. However, remote consultations often have their limitations, including how to perform diagnostic tests and take medical measurements. But now researchers from the University of Washington have devised a way to measure patients' pulse and breathing rates via a smartphone's camera. The researchers say the advancement will make telehealth more accurate and useful. According to UW News, the system, called MetaPhys, can detect a patient’s pulse or respiration rate using in real-time using video of their face. "Machine learning is pretty good at classifying images. If you give it a series of photos of cats and then tell it to find cats in other images, it can do it," Xin Liu, the study's lead author and a student in the Paul G. Allen School of Computer Science & Engineering doctoral student, told UW News. "But for machine learning to be helpful in remote health sensing, we need a system that can identify the region of interest in a video that holds the strongest source of physiological information — pulse, for example — and then measure that over time." The team's original iteration of MetaPhys was presented last December at the Neural Information Processing Systems conference. However, the first iteration had some pitfalls, most notably that it struggled with certain lights, backgrounds and skin colors. The second version, the researchers say, improves upon the first and overcomes these limitations. *Image courtesy of tookapic from Pixabay
Prior to the Covid-19 pandemic, telehealth/telemedicine services were more of a convenience than a necessity for most patients. They offered (and still do offer) a way for a patient to consult with their clinician without having to make a trip to the doctor’s office. But it was when the Covid-19 pandemic struck that telehealth really came into its own, with more patients than ever taking advantage of such services to receive non-emergency healthcare from the safety of their own homes. Now, new research from Sykes reveals that most consumers – having experienced telehealth services during the pandemic -- want them to remain post-Covid. According to the Sykes survey, which polled 2,000 Americans in March on how their opinions on virtual care have changed within the past year, more than 61% had undergone a telehealth visit come March this year. In comparison, less than 20% had utilized telehealth by March 2020. Furthermore, in March 2020, around 65% of Americans felt hesitant or doubtful about the quality of telehealth services, while 56% did not believe they could afford the same level of care compared to in-person appointments. However, now, almost 88% want to continue using telehealth for non-urgent consultations after the COVID-19 pandemic has ended. Moreover, almost 80% agree it's possible to receive quality care via telehealth services. *Image by Tumisu from Pixabay
Telehealth services have really come into their own during the coronavirus pandemic, offering a way for patients and clinicians to have consultations without the need for a face-to-face meeting. Now, a group of inventors at the University of Cincinnati (UC) want to take telehealth consultations to another level by facilitating them to be performed via drone. The technology aims to fill the gap in telehealth delivery among those who do not own or have access to the devices, such as smartphones, computers and internet connectivity, that are required for telehealth consultations. Inventors Victoria Wangia-Anderson, Manish Kumar, Seung-Yeon Lee and Debi Sampsel from three colleges at UC collaborated to develop a semi-autonomous prototype that can be dispatched right to people’s homes. The drones are capable of carrying certain medical equipment and supplies, but remain agile enough to navigate the tight spaces found in homes. A variety of health assessments can be conducted using the telehealth drones, including taking temperatures and measuring oxygen levels. The drone kits also include patient-friendly devices, and the clinician will be able to instruct patients on how to use them. Patients who require assistance can also seek help from family or other caregivers during the drone sessions. Speaking about the telehealth drones, Debi Sampsel, director of telehealth at UC’s College of Nursing, said: “We can perform all kinds of functions: chronic disease management, post-operative care monitoring, health coaching and consultations,” she said. “And in the health care arena, there is no age limit. Telehealth services are useful from birth to death.” Find out more via the University of Cincinnati website. *Image courtesy of Joseph Fuqua II/UC Creative + Brand for the University of Cincinnati
France is gearing up for a possible easing of COVID-19 lockdown restrictions from mid-April, as vaccines, to date, are proving effective at lowering infection rates. French government spokesman Gabriel Attal said on Wednesday that while the nation is still facing hard times, “For the first time in months, the return to more normal living conditions is in sight.” Attal said vaccinated groups (mainly the elderly) are witnessing falling infection rates, which, he said, is a sign that the country’s vaccination program is working and should be sped up. "It is neither a distant nor uncertain horizon - it is an horizon that is getting closer and closer. We hope maybe from mid-April, and we are preparing for it. "The president (Emmanuel Macron) asked us to submit proposals that could allow for a cautious re-opening of the country soon,” he said. Attal added that the goal of vaccinating the most fragile was to reduce hospitalizations and safeguard the nation’s health care system, which is key to easing restrictions. Earlier this week, Health Minister Olivier Veran said France will retain its current measures aimed at limiting the spread of COVID-19, including a nighttime curfew, as a bare minimum for the next four to six weeks. Other measures now in force include the closure of bars, restaurants, museums, sports and music venues. COVID-19 is the disease caused by the coronavirus.
People in France aged over 65 with existing health problems will be allowed to be given the AstraZeneca COVID-19 vaccine, after the French Government reversed its policy. When the AstraZeneca vaccine was approved for use by European Union regulators, the French Government said it should only be given to eligible people under 65 because data from trials in older age groups was limited. The AstraZeneca vaccine will now be offered to people up to the age of 74. However, the shot has been hit by a slow rollout and a lack of trust. French Health Minister Olivier Veran said Monday: "Anybody aged 50 or over who is affected by co-morbidities can get the AstraZeneca vaccine, including those between 65 and 74." The announcement has the potential to affect more than two million people. British health authorities released new data on Monday that showed the AstraZeneca vaccine reduced hospitalization from COVID-19 by more than 80%. The vaccine is widely used in the UK but has missed delivery targets in the EU. People aged 75 and over would continue to get the Pfizer and Moderna vaccines only, Veran said. Meanwhile, Germany still hasn’t cleared the AstraZeneca vaccine for over 65s. This has led to fewer people stepping up for the shot and several doses being wasted. Image courtesy of Marco Verch on Flickr, licensed under the Creative Commons Attribution 2.0 Generic (CC BY 2.0)
The COVID-19 pandemic has caused telehealth to become a bigger economic development concern among local areas. That’s one of the key findings of new research by broadband industry analyst Craig Settles. According to Settles’ Broadband, Local Economies, & the Age of Covid survey -- which polled 200 professionals from economic development departments within local and state governments and economic development agencies across the United States – 40% of respondents indicated that telehealth can have a “measurable impact” on their local economy in terms of attracting medical professionals and reducing unnecessary ER visits. When the same survey was conducted two years ago (in 2019), only about 25% of respondents said the same about telehealth’s potential impact on the medical workforce and ER visits. Moreover, more respondents this year said telehealth can help more mental health services remain local, as well as keep senior citizens living at home longer. Settles says these findings suggest there is money to be made and saved by boosting telehealth capabilities. Specifically, he sees a lot of potential value in local telehealth radiology programs, citing the $1.8 million saved over 10 years by a radiology practice in Chattanooga, Tennessee. “There are serious dollars and cents to be had if you can do this locally, because people don’t have to go all the way to China to get their X-rays, all the various MRIs and so forth,” Settles said. “The forward-thinking communities, especially if they’re a rural area, I would look at starting a radiology practice because there’s money to be made there locally. Obviously, you can’t do this without broadband, but if you’re one of these cities building the network, that should be a main consideration for revenue.”
A single dose of Pfizer/BioNTech’s Covid-19 vaccine reduces a person’s risk of infection by 72%, a new study has revealed. According to Public Health England (PHE), the first dose of the Pfizer/BioNTech Covid-19 vaccine "provides high levels of protection against infection and symptomatic disease.” PHE's Siren Study, which involved healthcare workers aged under 65, found that one dose of the Pfizer/BioNTech Covid-19 vaccine reduced the risk of infection by 72% after three weeks. Two doses of the vaccine reduced the risk of infection by 85%. This high level of protection also includes the B.1.1.7 coronavirus variant first identified in the UK in December. For the study, health workers were tested for Covid-19 infection every two weeks using PCR tests and twice a week with lateral flow tests. As Dr. Susan Hopkins, strategic response director at PHE, explained, "there was a lot of asymptomatic testing.” "Overall we are seeing a really strong effect to reducing any infection: asymptomatic and symptomatic," Hopkins said during a press conference held by the UK's Science Media Centre on Monday. Promising early data has also shown that people who are vaccinated and subsequently catch Covid-19 are far less likely to die of, or be hospitalized with, the virus. For example, people over the age of 80 who were infected after being vaccinated were 41% less likely to be hospitalized with the virus and 57% less likely to die of it.
The World Health Organization (WHO) yesterday gave two versions of the AstraZeneca/Oxford COVID-19 vaccine the green light to be used for emergency use, listing them on its Emergency Use Listing (EUL), paving the way for them to be rolled out globally through COVAX. The vaccines are produced by AstraZeneca-SKBio (Republic of Korea) and the Serum Institute of India. WHO’s EUL assesses the quality, safety and efficacy of COVID-19 vaccines and is a prerequisite for COVAX Facility vaccine supply. It also allows countries to expedite their own regulatory approval to import and administer COVID-19 vaccines. “Countries with no access to vaccines to date will finally be able to start vaccinating their health workers and populations at risk, contributing to the COVAX Facility’s goal of equitable vaccine distribution,” said Dr Mariângela Simão, WHO Assistant-Director General for Access to Medicines and Health Products. ‘But we must keep up the pressure to meet the needs of priority populations everywhere and facilitate global access. To do that, we need two things – a scale-up of manufacturing capacity, and developers’ early submission of their vaccines for WHO review.” Pfizer/BioNTech’s vaccine was listed for emergency use by WHO on 31 December 2020.
Europe's oldest living person has survived COVID-19 after testing positive just weeks before her 117th birthday. Sister André, a French nun who was born in 1904, tested positive in the retirement home where she lives in Toulon, southern France, on January 16, according to the home’s communications director, David Tavella. André, who was born Lucille Randon, showed no symptoms from the virus and didn’t even know she was infected until she received her positive test. Despite no visitors being allowed because of strict COVID protocols, André is preparing to celebrate her 117th birthday today, Thursday 11th February. She will reportedly receive video messages from her family and the local mayor, as well as taking part in a video Mass, Tavella said. André's birthday meal will feature her favorites: foie gras, baked Alaska and a glass of red wine, Tavella added. Remarkably, André has lived through two world wars, as well as the 1918 Spanish Flu pandemic that infected around 500 million people. While Andre is the oldest living person in France today, she’s not the oldest in the world. That crown is held by Kane Tanaka, a Japanese woman who was born in 1903, according to the Gerontology Research Group (GRG). * Image credit Gérard Julien/AFP/Getty Images
Last Saturday, February 6, France reported both a fall in new COVID-19 infections and in the number of patients being treated in hospital. The country registered 20,586 new confirmed COVID-19 cases, down from 22,139 the previous day and marking the third straight daily fall. Meanwhile, hospitals across the country were treating 27,369 people for the disease, down 245 from the previous day, marking the fourth consecutive daily fall. The fall in numbers comes as France continues with its COVID-19 vaccination programme, with 1.86 million people now having received their first dose. Almost a quarter of a million people (247,260) have also received their second dose. At present, France has three vaccines approved for use: Pfizer/BioNTech, Moderna and AstraZeneca, the latest to be received. The country has taken delivery of 273,600 AstraZeneca, according to the health ministry, with a second batch of 304,800 doses scheduled to be delivered this week. The initial AstraZeneca shots were prioritized for health personnel under 65, with the first injections taking place over the weekend. While the arrival of the AstraZeneca shot will help France accelerate its vaccination programme, the quantities that are expected to be delivered are likely to be less than first thought. Nevertheless, with a third approved vaccine and COVID numbers falling, pressure on the French health system is easing day by day.
Texas Governor, Greg Abbott, has said he wants to permanently expand access to telemedicine services across the state, noting that they benefit both patients and doctors. Speaking during his State of the State address on Monday, Gov. Abbott said: “We should seize the opportunity this session to permanently expand telemedicine so that every Texan in every region of the state can benefit.” Telemedicine services in Texas have surged since the start of the ongoing Covid-19 pandemic. But if Gov. Abbott wants to maintain telemedicine access and coverage in Texas beyond the pandemic, he will need the help of the Texas Legislature, Congress, and private insurance providers. Last March, Gov. Abbott eased regulations regarding the types of health care services that can be offered over the phone or through video calls. He also issued an emergency rule so that the Texas Dept. of Insurance (TDI) could compensate healthcare providers for telemedicine consultations at the same rate as in-person visits. However, this equalized compensation only applied to patients covered by state-regulated insurance plans, like those purchased through HealthCare.gov, which make up only 15% of plans in Texas, according to TDI. Gov. Abbott also highlighted how critical telemedicine services have been in enabling Texans to get needed health services this past year.
Against expectations, France has resisted imposing a nationwide lockdown, choosing to introduce new Covid-19 border restrictions instead. Under the new restrictions, all non-essential travel from outside the EU has been banned and testing requirements for travellers from within the EU have been tightened. French Prime Minister Jean Castex said France's night curfew would also be more tightly enforced and large shopping centres would close. It had been expected that French President Emmanuel Macron would impose a third national lockdown to contain Covid-19. However, the French premiere opted to tighten existing restrictions on travel and shopping instead. The move sees France following a different path than its two biggest neighbours Britain and Germany, at a time when the more contagious UK variant of the disease is spreading rapidly across Europe. [Related reading: Moderna says its vaccine will work against new COVID variants] "Everything suggests that a new wave could occur because of the variant, but perhaps we can avoid it thanks to the measures that we decided early and that the French people are respecting," Health Minister Olivier Veran told the Journal du Dimanche (JDD) newspaper on Sunday. Despite the news of tighter border restrictions, France Surgery’s proprietary telehealth platforms remain open and accessible to all of our international clients, one of the main benefits of remote healthcare.
Changes to a person’s tongue, hands or the soles of their feet could provide an early indication that they are infected with Covid-19, Spanish researchers say. In a study presented on Tuesday, the researchers said that among 666 patients with Covid-19 at Madrid’s IFEMA field hospital set up during the first wave of the pandemic, one in four patients said they had noticed changes to their tongue. Four out of 10 also noticed unusual signs on the palms of their hands or soles of their feet. The study was carried out in April by healthcare professionals from Madrid’s La Paz hospital and primary care services. The findings were published in the British Journal of Dermatology in the form of a “research letter” in September. Some patients said they experienced swelling of their tongues and the appearance of patches – something which has now been dubbed ‘Covid tongue’. This was also associated with a loss of taste. Another symptom was a burning sensation and redness on the palms or soles of the feet, which in some cases was also followed by the appearance of small blemishes. “Almost half of patients with mild‐to‐moderate Covid‐19 admitted in a field‐hospital during a two‐week period showed mucocutaneous findings,” the researchers said. “The oral cavity was frequently involved and deserves specific examination under appropriate circumstances to avoid contagion risk.”
With reports emerging that several different COVID variants are now circulating around the world, Moderna has released a statement saying it believes its vaccine protects against at least two of the new strains. Moderna Inc said on Monday it believes its COVID-19 vaccine protects against both new variants found in Britain and South Africa. However, the American pharmaceutical and biotechnology company also said it will test a separate booster shot aimed at the South African variant after concluding the antibody response could be diminished. The company said in a press release that it found no reduction in the antibody response against the variant found in Britain. Against the South African variant, Moderna said it found a reduced response but still believed its two-dose regimen would provide protection. The emergence of new COVID variants in Britain, South Africa and Brazil has created some concern that mutations in the virus may make vaccines less effective. Moderna’s announcement will serve to alleviate some of that concern, but the proof will be in the infection numbers going forward. Moderna shares rose nearly 10% off the back of the news during Monday trading. Moderna said it plans to publish data from its tests against the variants on the website bioRxiv.
Despite Covid-19-related lockdowns continuing in many countries across the world, the Michelin Guide has awarded its coveted stars for 2021 — and France (including Monaco) now has more three-star establishments than any other country. Originally due to be announced at a lavish gala ceremony in Cognac, southwest France, the Michelin awards were broadcast via Facebook on Monday from the Jules Vernes restaurant (one star) on the second floor of the Eiffel Tower in Paris. Social distancing rules forced Michelin to call off the event in Cognac, which would have been the first time the awards were held outside Paris. Ahead of this year’s awards, Michelin had promised that no three-star restaurants would be demoted as the global pandemic continues, causing many establishments to remain closed or switch to take-aways and deliveries. One of the main talking points of this year’s awards was ONA, which stands for Origine Non Animale or Non-Animal Origin. The vegan restaurant in Ares near Bordeaux, which serves only plant-based foods, became the first of its kind in the country to be awarded a Michelin star. Vegan restaurants in the US, Germany and Spain have already received Michelin stars in recent years. ONA was also awarded a green star for its strong ethical and sustainable practices.
With Covid-19 vaccines now being rolled out in many countries across the world, a number of tech giants are teaming up to help facilitate the return to "normal". A coalition known as the Vaccine Credential Initiative — which boasts healthcare and tech leaders, including Microsoft, Salesforce, Oracle, Cerner, Cigna's Evernorth, and the Mayo Clinic (among others) in its ranks — wants to ensure that everyone has access to a secure, digital record of their Covid-19 vaccination. This kind of digital vaccine passport, which can be stored in people's smartphones, could be used for everything from airline travel to entering concert venues. The coalition has even considered those without smartphones. Such individuals will be given a printable QR code containing their record that can be scanned wherever they go. "Just as Covid-19 does not discriminate based on socio-economic status, we must ensure that convenient access to immunization records crosses the digital divide," Brian Anderson, chief digital health physician at non-profit research organization MITRE, a member of the coalition, said in a statement. With such vaccine passports in place, a healthy and safe return to work, school, travel and life in general can be accelerated.
Despite more than 40 countries recently closing their borders to travellers from the UK, cases of the new variant Covid-19 virus have been confirmed in several European countries, including Spain, Sweden and Switzerland. All of the confirmed cases were linked to people who had arrived from the UK. The revelations take the total number of new countries impacted by the new variant to 15, with South Korea the latest nation to announce a confirmed case. According to Reuters, the Korea Disease Control and Prevention Agency (KDCPA) found traces of the United Kingdom (UK) variant in three individuals from London who entered South Korea on December 22. Meanwhile, both Canada and Japan have also announced that they have found traces of the new Covid-19 strain in their countries. What is most alarming about Canada’s announcement is that the individual in which the new variant was discovered has no known travel history and exposure or high-risk contact. Scientists from the Independent Sage group have urged all regions of England to be placed under tier 4 restrictions, meaning that non-essential shops, hairdressers, and leisure and entertainment venues cannot operate. With evidence emerging that the new variant appears to be particularly infectious among children, teaching unions have urged for schools to remain closed. Speaking about the new variant, Paul Hunter, professor in medicine at the University of East Anglia, said: “If this new variant is behind the increase in this age group, then that is a big worry.”
More than 40 countries have banned individuals arriving from the United Kingdom due to concerns about a new variant of coronavirus. France shut its border with the UK for 48 hours, which meant no lorries or ferries could leave from Dover. Meanwhile, flights from the UK have either been suspended or are in the process of being suspended to countries across the world, including Belgium, Canada, Germany, Hong Kong, India, Ireland, Italy, Portugal, Romania, Russia, Spain and Switzerland. The UK’s postal service, Royal Mail, has also temporarily suspended all services to mainland Europe, due to the "current restrictions around air, road, ferry and train movements from the UK". UK Prime Minister Boris Johnson said he spoke with French President Emmanuel Macron about the situation, saying that both sides wanted to resolve "these problems as fast as possible". The ban on UK arrivals came about after a new strain of coronavirus – which is reportedly 70% more transmissible – has been spreading across London and south-east England. However, health officials have said there is no evidence that this new variant is more deadly or would react differently to vaccines. French Europe Minister Clément Beaune is expected to announce today what measures were being introduced "after this phase of emergency and harsh precaution that we had to take". Any measures, he said, would come into effect from Wednesday. [Related reading: France lifts lockdown, opens borders for Covid-safe countries]
After about a month and a half of complete lockdown, France’s Covid-19 restrictions are easing. While several types of venue will remain closed, the lockdown will be replaced with a nightly curfew, designed to avoid another spike of cases. French Prime Minister, Jean Castex, said that the health situation in France has improved considerably in recent weeks. However, he warned that the second wave of the pandemic had yet to end. “We have not yet reached the end of this 2nd wave, and we will not be, on December 15,” he said, explaining why a nightly curfew would be in place, and some venues prevented from reopening. In addition to the lockdown ending, France has also opened both international travel and travel to different regions of the country for non-essential reasons. This will allow tourists and second homeowners to once again visit France, as well as enabling people to travel to see relatives and friends in other parts of the country or other countries. In his speech announcing the new measures, PM Castex said that travel on the evening of December 24 will be allowed, but not for more than six adults at a time. He also reminded French citizens to respect the hygiene and social distancing guidelines. Under the new measures, travel between France and the following countries/territories is now permitted: - European Union - Andorra - Australia - The Holy See - Iceland - Japan - Liechtenstein - Monaco - New Zealand - Norway - Rwanda - San Marino - South Korea - Singapore - Switzerland - Thailand - United Kingdom
The United States (US) and the United Kingdom (UK) have started national Covid-19 vaccine rollouts, as the pandemic situation in each country continues to worsen. In the United States, the first batches of Pfizer/BioNTech’s Covid-19 vaccine left a Michigan manufacturing plant on Sunday bound for 150 locations across the country. The vaccine will now be given to the most vulnerable Americans, including frontline health workers and long-term care home residents. The United States is slowly approaching the once unthinkable threshold of 300,000 Covid-related deaths. Meanwhile, the UK witnessed its first Covid vaccination last week. It was given to 90-year-old Margaret Keenan, with up to four million more expected to follow by the end of December. The UK made history earlier this month when it became the first country in the world to approve the Pfizer/BioNTech Covid-19 vaccine for use. The Covid-19 vaccine rollout in the UK comes as the capital, London, witnesses a surge in cases. As a result, London and several other areas in the south-east will this week enter the toughest coronavirus restrictions (tier 3) in an attempt to curb the spread of the virus and reduce infection numbers. The UK has ordered 40 million doses of the Pfizer/BioNTech vaccine — enough to vaccinate 20 million people — with the first 800,000 doses coming from Pfizer's facilities in Belgium to the UK this week.
Telehealth solutions have come into their own during the ongoing Covid-19 pandemic. Indeed, adoption of telehealth services has increased by more than 2,000% since last year. With both physicians and patients alike reaping benefits from telehealth solutions, it’s inevitable that some ambulatory care and services will never return to being face-to-face. However, as solutions mature and become more readily adopted, healthcare providers need to realize that a one-size-fits-all approach to telehealth will not afford the best outcomes for patients. Before implementing any telehealth services at all, healthcare providers need to understand: - Who their consumers are? - Where do these consumers live? - What Internet access do they have? - And what is their level of technological literacy? These four considerations are key in helping healthcare providers develop telehealth solutions that are both intuitive and meet their patients’ varying needs. Failure to address these four considerations could lead to telehealth solutions simply not being utilized. Here at France Surgery, we pride ourselves on the transformational telehealth services we provide. It’s our goal to provide our patients with access to SMART healthcare wherever they are and whenever they need it. We understand that what works for one patient won’t necessarily work for another, which is why we never look to take a one-size-fits-all approach.
The Covid-19 pandemic is having a profound impact on many areas of our lives, some more obvious than others. To highlight just how wide-ranging the effects of pandemic have been, the World Economic Forum has compiled a list of five major trends that are being accelerated by the Covid-19. Here are the trends Covid has accelerated, according to the World Economic Forum: 1. Increased screen time We’re all spending more time in front of screens (TVs, computers, smartphones). In fact, our use of screens has risen considerably, with 44% of people under the age of 18 now reporting four hours or more of screen time per day (up from 21% prior to the pandemic). 2. A big consumer shake-up Physical buying is now as “frictionless” as possible and online shopping has become as nimble as possible. Cashierless checkouts and contactless payment means are fast becoming the norm in-store, while eCommerce companies (especially Amazon) have reported a surge in sales. 3. Peak globalization Globalization has plateaued since the financial crisis and the Covid pandemic seems to be the final nail in its coffin. 4. A broadening wealth gap Billionaires are now worth more than ever and inequality is growing. Those in the top 50% wealth bracket have witnessed their fortunes growing, while those in the bottom 50 have seen stagnation. 5. The rise of the flexible workplace In 2019, more than half of companies did not have flexible working arrangements or the capabilities to allow staff to work flexibly. Fast-forward to today and 82% of business leaders say they intend to permit remote working some of the time going forward.
A Singaporean woman who was infected with Covid-19 while pregnant has given birth to a baby which has antibodies against the disease. The mother, Celine Ng-Chan, became mildly ill after contracting Covid-19 and spent two-and-a-half weeks in hospital as a result. Ng-Chan gave birth last month and her baby was found not to have Covid-19. However, the fact it had antibodies offers new clues as to whether the disease can be passed from mother to child in utero. Speaking to the Straits Times newspaper, Ng-Chan said: “My doctor suspects I have transferred my COVID-19 antibodies to him during my pregnancy.” Ng-Chan and her baby’s experience has prompted doctors in Singapore’s public hospitals to investigate further the impact of Covid-19 on unborn babies. This will add to research already being conducted internationally on whether the infection can be transferred during pregnancy, how babies develop antibodies in the womb and whether they offer an effective shield against the virus. One of the hospitals involved in the studies is KK Women’s and Children’s Hospital. Tan Hak Koon, chairman of the Obstetrics and Gynaecology division at KK, said: "It is still unknown whether the presence of these antibodies in a newborn baby confers a degree of protection against Covid-19 infection, much less the duration of protection."
It is estimated that a child is born every 3 minutes with a cleft lip, cleft palate or both worldwide — about one in 500-750 births. Usually, with surgery, a child born with a cleft can have a new, beautiful smile and live a normal life. However, the ongoing Covid-19 pandemic has meant that affected babies are having even greater difficulty in getting their much-needed cleft treatment. Fortunately, cleft charities are continuing their work by taking advantage of telehealth solutions. One such charity is Smile Train, whose Philippine arm has continued providing ongoing comprehensive cleft care including nutrition, speech therapy and psychological support to patients, despite temporarily postponing surgeries. “This year was a different year because of the Covid pandemic. The last three or four months we saw a drop in the number of cases in many hospital nationwide. Some stopped doing operations. But Smile Train is not just about surgery. What we strive to do is to be able to provide cleft comprehensive care to those who need it whether be it counseling, guidance in terms of how do you breastfeed baby with a cleft or after surgery, what does the child still need, among others,” said Kimmy Coseteng-Flaviano, Country Director of Smile Train Philippines, during a virtual media conference. Flaviano said the charity is also providing psychosocial support to older patients via telehealth, to help boost their self-confidence. Since parents of cleft babies aren’t able to visit clinics resulting to unanswered questions, Smile Train is trying to support them through virtual consultations with their partner surgeons or doctors, or through Facebook Live discussions.
A researcher from the University of Southern California (USC) Medical Center in Los Angeles says telemedicine had a positive impact on inner city children with asthma at the start of the Covid-19 pandemic. According to Kenny Kwong, MD, making the switch to telemedicine for routine asthma visits early on in the pandemic resulted in positive disease control and an increase in appointment "show rates" among Los Angeles inner city children. Prior to taking advantage of telemedicine, in-person appointment show rates between March and June 2019 averaged 70%-80%. After the switch to telemedicine, this increased to 90%-95% between March and June 2020. Furthermore, delivering routine asthma care via telemedicine did not appear to negatively impact asthma control among the children in the study, Wong said in a presentation at the American College of Allergy, Asthma & Immunology virtual meeting. There was also a notable increase in the amount of time healthcare providers spent with patients after switching to telemedicine, with appointments conducted over the telephone lasting as much as 62% longer than pre-pandemic in-person visits. “This system has worked very well. We have been able to treat many asthmatic children until the debacle of COVID-19. All our face-to-face visits on the mobile asthma units came to a grinding halt, and we had to switch almost overnight to telephone visits,” Wong said.
Moderna Inc. says its experimental vaccine is 94.5% effective in protecting people from Covid-19. The claims are based on interim data from a late-stage clinical trial. Moderna is the second US company to announce a Covid-19 vaccine this week, following in the footsteps of Pfizer, whose own vaccine boasts a 90% efficacy rate. The Moderna announcement means that there could be at least two vaccines authorized for emergency use in the United States in December.As many as 60 million doses could be available by the end of 2020. Moderna and Pfizer’s vaccines are both built using new technology known as messenger RNA or mRNA. Both represent powerful new ways to combat the ongoing pandemic, which has to date infected 54 million people and killed 1.3 million. Both vaccines also come at a time when Covid-19 cases appear to be surging – especially in the US where new cases of the virus are now totaling more than one hundred thousand per day. Unlike Pfizer’s vaccine, Moderna’s does not need to be stored at ultra-cold temperatures, making it easier to distribute. This is particularly good news for countries like India with hot climates that would struggle to keep Pfizer’s vaccine at the required -70°C. Speaking about the firm's vaccine, Moderna President Stephen Hoge said: “Assuming we get an emergency use authorization, we'll be ready to ship through Warp Speed almost in hours. So it could start being distributed instantly.”
The impact of the global Covid-19 pandemic has been monumental. But for physicians, nurses and other healthcare practitioners, it’s been particularly difficult. In addition to carrying out their already demanding day jobs, these individuals have had the added stress of coping with social distancing and a surge in patient numbers. It is, therefore, no wonder that a significant proportion of NHS staff in England are concerned about burnout. While it’s not often considered when talking about the benefits of telehealth, such solutions can actually help reduce the risk of physician burnout. Here’s how: - Telehealth helps improve physician work-life balance - Telehealth makes for more optimized schedules - Telehealth reduces the need to commute - Telehealth can help improve physician-patient relationships - Telehealth helps address healthcare coverage gaps, meaning physicians don’t after to overstretch themselves - Telehealth solutions allow physicians more time to look after themselves Healthcare provider burnout is a serious issue. If the very people whose jobs it is to look after us fall ill themselves, how will it bode for the rest of us? You can find out more about the telehealth services provided by us here at France Surgery by contacting us today.
The wider adoption of telemedicine has been one of the most prominent changes to come out of the Covid-19 pandemic. Indeed, data shows that usage of telehealth services has increased by more than 2,000% since last year. Now, new research shows that the vast majority of gastroenterologists are planning to use telehealth more going forward. According to the survey presented at the annual American College of Gastroenterology (ACG) 2020 conference, up to 91% of gastroenterologist respondents say they plan to integrate telehealth into their practice following the COVID-19 pandemic. Furthermore, the survey revealed that gastroenterologists typically view telehealth in a positive light, with 75% of survey respondents reporting their experience of telehealth solutions has been positive. Only 6% reported a negative experience. As many as 63% of gastroenterologists also said they felt telehealth was more efficient than traditional visits, while 58% considered adding telehealth visits between endoscopic procedures. In terms of barriers to telehealth adoption, the biggest for gastroenterologists was the inability to conduct a physical exam, cited by 44.1%. For 27% of gastroenterologist respondents, this barrier was considered critical. Around two-thirds of respondents said their adoption of telehealth solutions would depend on whether the medium would be covered by appropriate insurance payments (equal to in-person consultations). You can find out more about the telehealth services provided by us here at France Surgery by contacting us today.
Since the onset of the Covid-19 pandemic, the number of patients utilizing telehealth solutions has increased significantly. But with telehealth set to remain a mainstay of healthcare going forward, it begs the questions of what are the pros and cons of telehealth? We’ve listed some of each below to help you make an informed decision. Advantages of telehealth for patients: - Patients can typically get an appointment sooner - Appointments are carried out in the safety of a patient’s home or workplace — saving time and money on gas and parking - Telehealth allows elderly patients and those with reduced mobility, as well as people in rural locations, continued access healthcare services - Telehealth services are designed to be easy to adopt - Recent Medicare rule changes in the United States mean that people in more states are covered and can take advantage of telehealth services as part of their health plans - Telehealth services can often be used via a smartphone - A great way to satisfy post-surgical follow-ups Advantages of telehealth for healthcare providers: - More free time to help the neediest patients - Less overcrowding in doctor’s practices - Easier to implement social distancing guidelines Disadvantages of telehealth: - Not suitable for emergency situations (although tele-ICUs are a thing) - Not suitable for when a clinician needs to physically interact with a patient - Unsuitable for routine vaccinations - Not as intimate as a traditional face-to-face appointment If you’d like to find out more about the telehealth services provided by France Surgery, please get in touch.
The United States Centers for Medicare and Medicaid Services has released new data that shows usage of telehealth services has jumped significantly over the past year. According to the figures, more than 34.5 million services were delivered via telehealth in Medicare and in the Children's Health Insurance Program from March through June. This represents an increase of a whopping 2,532% in services delivered via telehealth compared to March through June 2019. Furthermore, the agency also notes that there is always a "claims lag" between the time a service occurs and when the claim is reflected in its database. Taking this into account, the actual number of services delivered via telehealth is likely to be higher than reported. The CMS data reflects the relaxation of federal regulations around virtual care at the start of the pandemic, which caused usage of telehealth services to skyrocket. Speaking about the figures, CMS Administrator Seema Verma said in a statement: "This revolutionary method of improving access to care is transforming healthcare delivery in America." [Related reading: Telehealth in the ER affords better outcomes for both patients and healthcare providers – research]