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Epidemics Jam French Hospitals
By John Lichfield
The Independent - UK
12-1-3


PARIS -- A triple epidemic of winter diseases among children has plunged French medical services into crisis again, four months after the world's most-praised health system failed to cope with the August heatwave.
 
The problems do not easily compare with the summer catastrophe in which about 15,000 people died, but casualty wards in Paris and other large cities were overwhelmed at the weekend, with some parents and children waiting 12 hours for treatment. Patients in Paris were transferred to Lille, 140 miles to the north, to free beds for critically ill children.
 
The government, criticised in the summer for reacting too slowly to the epidemic of heat-related stress among the old, called medical staff back from leave and plans to bring forward examination results of student nurses so they can be drafted to understaffed wards.
 
The Health Minister, Jean-Francois Mattei, said the crisis was caused by GPs who had closed their surgeries for the weekend, leaving casualty units to cope with simultaneous epidemics of influenza and gastro-enteritis among children and bronchiolitis (a viral infection of the lungs) among babies. The three illnesses commonly cause late autumn and winter epidemics in France but rarely appear together.
 
Hospital doctors also accused GPs in Paris and other cities of failing to organise a proper rota system for weekend care. GPs rejected the accusation as "outrageous" and "intolerable". They said the problem was caused by the coincidence of the epidemics and by the reduced, 35-hour working week for hospital staff.
 
The head of the Paris casualty service, Dr Virgine Weigel, said several wards were closed because of staff shortage. France has nine hospital beds for every 1,000 people, compared to 4.9 in the UK. The publicly funded health service in France costs £60bn a year, compared to £45bn in Britain, which has roughly the same number of people.
 
© 2003 Independent Digital (UK) Ltd
 
http://news.independent.co.uk/europe/story.jsp?story=469239
 

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