Living through a pandemic
in the south of France
601 days since
1st lockdown in March 2020
DAILY STATISTICS HERE
▫️ HOME NEWS DESK
HAPPY SINGLES DAY
✏️ 🇫🇷 Health situation update
Thanks to the figures published by Santé publique France, here follows the health situation in France and in the departments of Aude and Pyrénées-Orientales on Wednesday 10 November.
Little evolution in critical care in the Aude
In Aude, 40 people with Covid are hospitalised this Wednesday, one more than the day before. Among these patients, 5 are being treated in critical care services (resuscitation, intensive care or continuous monitoring), a figure that has remained stable over 24 hours and has fluctuated between 4 and 5 since 22 October.
The number of deaths has not changed since 5 November, at 413. The incidence rate, meanwhile, has remained below 50 per 100,000 at 47 in the rolling week from 1 to 7 November, a figure published on 10 November.
If Emmanuel Macron had not announced on Tuesday the return of masks for all primary school children from 15 November, the children of Aude could have taken theirs off that day, as the incidence remained below the alert threshold for five days in a row, between Saturday and Wednesday.
Since the beginning of the epidemic, 1,536 people have been able to leave hospital, including one in 24 hours.
Rea at its lowest since 14 July in the Pyrénées-Orientales
In the Pyrénées-Orientales, 60 Covid patients are being cared for in hospital (3 more in 24 hours). This figure has fluctuated between 55 and 63 since 25 October. Among them, 5 are in critical care services (intensive care, intensive care or continuous monitoring), stable since Tuesday. This indicator is thus at its lowest since 14 July. The department has not suffered any additional deaths due to Covid since 4 November, with the death toll remaining at 416.
The incidence rate is stable compared to the rate reported the day before. It is 67.8 per 100,000 inhabitants in the rolling week of 1 to 7 November, a figure published on 10 November. The incidence rate seems to have remained in the 60s and 70s since the end of October.
Since March 2020, 1,810 people hospitalised have returned home, including one within 24 hours.
Incidence still rising in France
At the national level, 33 people died from Covid in hospital on Wednesday 10 November, bringing the total number of hospital deaths to 91,130. Adding the 26,897 deaths in old people’s homes, since March 2020, 118,027 people have died from Covid, according to Santé publique France.
There were 6,906 people hospitalised (55 more than the previous day), including 1,154 in critical care, i.e. 14 more in 24 hours.
The incidence rate was 76 per 100,000 inhabitants in the rolling week from 1 to 7 November, and has continued to rise since the end of October. France recorded 11,883 new cases in 24 hours on 10 November, compared to 10,050 last Wednesday.
Since the beginning of the epidemic, 429,919 patients have been able to return home, cured, 301 of them within 24 hours.
✏️ 🇩🇪 Covid-19: Germany faces fourth wave of infection
After recording unprecedented numbers of infections in recent days, the country recorded for the first time since the beginning of the pandemic, on Thursday, more than 50,000 new cases daily.
From Monday, Berlin will ban unvaccinated people from restaurants without terraces, bars, gyms and hairdressers, among others. Here, a restaurant warns customers with the 2G sign that they will not be welcomed if they are not vaccinated (“geimpft”) or cured (“genesen”).
It’s coming, it’s here. A sign of the violence of the epidemic wave that is hitting Germany, 50,196 additional cases of Covid-19 were recorded in the space of 24 hours on Wednesday 10 November, according to the Robert Koch Institute, a federal health monitoring institution. This is unprecedented.
This is the first time that the threshold of 50,000 new daily cases has been crossed since the start of the pandemic; in recent days, Germany has recorded unprecedented numbers of infections. The number of deaths in a 24-hour period rose to 235 on Thursday.
On Wednesday, Angela Merkel, the outgoing chancellor, said that the resumption of infections in the country, particularly noticeable since October, was “dramatic”. “The pandemic is spreading again in a spectacular way,” her spokesman said, calling on the regional health authorities to take new measures to contain the epidemic. Hospital care units are also under increasing pressure.
This outbreak is attributed in particular to the relatively low vaccination rate of the German population, just over 67%.
Several particularly affected Länder, such as Saxony, Bavaria, and very recently Berlin, have introduced new restrictions aimed at unvaccinated people, who are the first to be affected by this rebound in the pandemic.
As of Monday, Berlin will ban unvaccinated people from restaurants without terraces, bars, gyms and hairdressers, among other places.
A negative test result will no longer allow access to these public places if people are not vaccinated or cannot prove that they have recovered from the disease.
A total of 4.894 million people have been infected with Covid-19 in Germany since the start of the pandemic and 97,198 have died.
✏️ 🇬🇧 England has highest death rates of older patients in western world, study finds
I do not often read the Guardian since I am living in France but this article caught my attention.
Exclusive: research body looks at over-65s hospitalised with hip fractures, heart failure or diabetes
England has the highest death rates of frail and older hospitalised patients in the western world, a landmark global study has found.
Harvard University, the London School of Economics (LSE) and the think-tank Health Foundation, all part of the International Collaborative on Costs, Outcomes and Needs in Care (Icconic), a global network of healthcare researchers, used thousands of official medical records to compare the cost and quality of care in 10 OECD (Organisation for Economic Co-operation and Development) countries.
Patient deaths are commonly used measures of performance in healthcare systems but until now there have been few sources of comparable death rates across countries.
In order to assess outcomes in frail and older patients, researchers focused on two groups that represent priority areas for the NHS and other healthcare systems: those in hospital with a hip fracture and those admitted with heart failure who have diabetes.
On both measures, England had higher mortality rates than all the other countries, which included the US, Germany, France, Sweden and Spain. The data was analysed for patients aged 65 and over between 2014 and 2018 to provide an enhanced assessment of patient outcomes in the 10 countries.
One year after hip fracture surgery, almost a third (31%) of patients in England had died of any cause compared with less than a quarter of patients in Canada (23%) and Australia (22%). A year after being admitted to hospital with heart failure, more than four in 10 (43%) of diabetes patients in England had died. The next highest mortality rate was in the US (38%), followed by New Zealand (36%). France had the lowest death rates on both measures: 20% and 23% respectively.
High mortality among hip fracture patients is happening despite England performing well on other care quality measures. For example, 82% of hip fracture patients in England received surgery within 48 hours of admission, second only to Sweden, with 85% of patients. This is recommended as a key component of high-quality care. However, one year after their initial admission, 31% of English patients had died, compared with 25% of Swedish patients.
Another striking finding where England stands out from other countries in the Icconic study, is the length of time that hip fracture patients spent in hospital. Patients in England spent an average of 21.7 days in hospital after their initial surgery, the highest of all the 10 countries evaluated.
However, when it comes to financial outlay, England has among the lowest spending in primary care and secondary care on these patients, compared with the other countries. Only the Netherlands has lower overall spending. The findings provide evidence that while the NHS remains a relatively low-cost healthcare system performing well in many areas, death rates for some patients are higher than in comparable countries.
Dr Jennifer Dixon, the chief executive of the Health Foundation, said: “The findings of the Icconic study warrant urgent further investigation, particularly the finding of higher mortality among patients with hip fracture in the year after their admission for emergency treatment.
“That patients in England with hip fracture spend far longer in hospital after surgery than they would in other countries also highlights an opportunity to improve efficiency by reducing the avoidable use of hospital care. Less avoidably long stays would mean existing capacity could be better used to address the backlogs in hospital care as a result of the pandemic. This could contribute to both better outcomes for patients and, as hip fracture is the most common reason for emergency surgery, significantly improved productivity for hospitals across the country.”
Dr Irene Papanicolas, associate professor of health economics at the LSE, added: “Further work is needed to understand what England can do to improve patient outcomes.”
An NHS source said there were many possible reasons for the differences in death rates seen between the 10 countries, including different local thresholds for hospital admission.
The source suggested that this is more likely to explain the variation in mortality for patients with heart failure and diabetes, where the extent to which patients are managed within the community versus hospital differs between countries.
I am beginning to understand why so many come and move to France & Spain
▫️ SEASONAL PIC
▫️ FOOD & DRINKS
In Limouxin, the 2021 olive harvest will be spread over two months, until December, and should reach 150 tons of pressed fruit at the end of the collection. At the Moulin du Sou we are confident. The quantity and quality are there.
In the land of bubbles, Limoux olive oil is making its way. The 2021 harvest began at the end of October. Washed, sorted, crushed, mixed, the 120 tons of olives already passed under the presses of the Moulin du Sou promise an exceptional vintage. “It’s an excellent surprise! The first tonnages are indicators of the harvest. 2021 should be a very good year. The fly has spared our producers and so-called family olive growers. Quantity and quality are on the agenda ” underlines Claire Salvat, in charge of local products for the La Cavale cooperative in Limoux. Every year it is a surprise. Not everyone is in the same boat. Good harvest, bad harvest or no harvest at all… the olive is as dependent on the weather as the grapes. It must resist many attacks to grow and ripen until it is picked in autumn. In Limouxin the 2021 harvest will be spread over two months, until December, and should reach 150 tons of pressed fruit at the end of the collection. At the Moulin du Sou we are confident. Here the mill receives both olives from individuals and professional producers. On Monday it was Louis Vié of the Rayssac estate who brought in a first batch of 330 kg of very round and fleshy olives. This producer owns 200 olive trees in Castelreng, which produce more or less depending on their age. This year Louis Vié is a satisfied producer. Pollination in the spring went well and the fly, which sometimes wreaks havoc in olive groves, did not affect him. At the Moulin du Sou, the volumes will be there and the crushed olives exhale a green oil smell that perfumes the place with a heavy perfume… Depending on their degree of ripeness, the olives are used for a specific oil, the Olisoli. It is sold by the La Cavale cooperative or made for the personal consumption of family olive growers. In order to find your own oil in your own cans, you have to bring more than 300 kg of olives at one time. The first oils will arrive at Christmas. These are the ones that will be enjoyed by the family for the end of the year celebrations. The Christmas oil gives a green net with an intense and powerful taste. It is said to be fiery with a pronounced bitterness. Lovers of Olisoli oils, which are more yellow and less bitter, will have to wait for the pressing of mature olives with a more subtle aroma and a milder taste. This year at the Moulin du Sou, there is another oil, known as “à l’ancienne”, made from fermented black olives. The three Olisoli oils from the Moulin du Sou are on sale at Gamm Vert, Place d’Aude in Limoux.
▫️ FUN / SATIRE
▫️ ADDITIONAL READS FOR TODAY
❒ The average professional spends half of their week in meetings.
❒ Mapping alcohol consumption by country.
❒ Watch SpaceX’s most recent crew reenter the atmosphere.
❒ Teen rescued after showing a domestic abuse hand signal learned from TikTok.
❒ Maine lobsterman captures a rare cotton candy lobster.
❒ The untold story of sushi in America. (paywall, NYT)
❒ Vintage cars are in again.
❒ … while this car that hasn’t moved in 47 years becomes an Italian monument.