Through Gabriel Kenedi
General practitioner in Fronton (Haute-Garonne) and president of the UFML-S union (French Union for free medicine), the media doctor Jerome Marty is alarmed by the viral circulation of Covid-19 in schools. And according to him, the new protocol put in place by the Minister of Education, Jean-Michel Blanquer is “completely kidding”. Maintenance.
“An influx of patients” in the practices
News: How is the campaign for the vaccine booster in doctor’s offices going?
Doctor Jérôme Marty: “There are structural problems linked to the fact that we receive multidoses and not single doses as the Minister of Health had already committed to it two months ago. We did not see them coming and that poses a problem. reservation of time slots for vaccination when there is a strong demand for care related to seasonal epidemics, in addition to chronic diseases. arriving. And we have to block whole afternoons to do the vaccination since we only have multidoses. This poses a problem because we see ourselves in the obligation to postpone care for people who would nevertheless need it. who need it the most. vaccinated in January and February end up with 40-year-olds walking past them “.
Was the expansion of this third dose too fast in your opinion?
JM: “It was done in an anarchic way. We told people: ‘Get out of the way. Make an appointment but in any case do it quickly because otherwise your pass will no longer be valid’. This creates a movement that is not not very civic, because normally, we should step aside in front of people who are extremely in need.
“Fewer vaccination centers, that’s a problem”
But is this third dose a good choice, in your opinion?
JM: “Yes, it is a good choice! We should not also speak of a third dose but of a booster. It’s like other vaccines, where there are doses several weeks or months apart. . It will be necessary to see if in the long term, it will take an annual booster. This third dose is an immunity booster which acts after two days. It is a mechanism that we know well and the vaccine proves its effect every day. efficiency in terms of reducing serious forms. It must therefore obviously be done but undoubtedly with a little more order. Why not open vaccination centers which support medical practices? “.
Reopening the vaccinodrome or more vaccination centers is therefore a necessity?
JM: “Look in Haute-Garonne: we had up to 32 vaccination centers. We have closed quite a few and we still have the same number of people to be vaccinated, since we opened the third dose to everyone. on a more vaccinodrome and fewer vaccination centers. This can pose structural problems “.
“The Blanquer protocol is completely nuts”
Let’s tackle this fifth wave. Do you see more and more people infected in your practice?
JM: “Undoubtedly, we see a mess of contact cases, and in particular children. The virus is transmitted via schools and the Blanquer protocol being completely stupid, this will continue. Until now, as soon as there was a positive child, we closed the class. There, we test the students by discarding those who are positive. Except that we completely forget that we are contaminated two days before feeling the symptoms. kids, without necessarily having tested positive. It’s endless ! With this protocol, we promote the viral flow within schools while we try to stop it. Or, the biggest flow of viral contaminations, it is the schools! In some areas, we observe an incidence of more than 1400 among 6-10 year olds! “
What would be the solution, then?
JM: “The solution would be to go back and close classes for seven days from the first case. And test the children, but keeping them away from each other! If we do not want to have a significant viral flow circulating , that’s what you have to do. Afterwards, we can also say to ourselves that we are letting the virus circulate … But beware, there are still too many people who are not yet vaccinated, or too many people who had their last dose over six months ago. It’s dangerous. And we often forget it, but you always have 5% of people in whom the vaccine is not effective. The vaccine is effective up to 95%. This means that you have 5 to 6% of people for whom it is not effective. Out of 50 million eligible people, that’s a lot of people! ”
“You have to ventilate, ventilate, ventilate!” “
Should we be worried about the next few weeks?
JM: “I remain quite optimistic. I think that we can cope because we know this affection much better, whether it is among the population or among caregivers. We know better how we infect ourselves, we know that we have to ventilate , that we have to wear the mask, we have the capacity to test and the vaccine. We can therefore legitimately think that things are going better. had a first very hard confinement, a second very light confinement, two curfews and there we are sure of lighter means while we are on a virus which is however more contaminating “.
So the holidays are not threatened in your opinion?
JM: “I’m not at all for saying that he should limit gatherings to six people during the holidays. People are able to meet to ten, twelve or fifteen if they want to as long as they ventilate the rooms. . The main means of contamination, and the government does not communicate enough about it, is the aerosol. It is therefore necessary to aerate, aerate, aerate. In winter, it is more complicated but it is necessary, every half hour in Ideally, open the windows to ventilate for five minutes. The danger is everywhere where it is forbidden to smoke! ”
How do you see the emergence of the new variant, Omicron?
JM: “Omicron seems to be more contaminating. Does the vaccine act well on this variant? The whole question is there! This is what we will have to look at with a tight focus by doing a lot of sequencing, in order to be able to locate it”.
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