Coronavirus: France detains critical patients with COVID-19 on trains to relieve hospitals – National

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The high-speed train passing in front of the historic battle zones of the First World War and crossing the chateau-speckled Loire Valley carried a delicate cargo: 20 seriously ill COVID-19 patients and the machines that help them stay alive.

The intensive care unit transformed into TGV is an element of the national mobilization of trains, helicopters, planes and even a warship in France, deployed to relieve congested hospitals and to mix hundreds of patients and hundreds of additional medical personnel in and out of coronavirus hotspots.

“We are at war,” President Emmanuel Macron repeatedly told his compatriots, posing as a warrior and harnessing the power of the armed forces to fight this invisible enemy.

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But while the extraordinary mobilization seems to be helping, critics accuse the 42-year-old leader of having waited far too long to act in the first place. France, one of the richest countries in the world with one of the best health systems, they say, should never have been in such a deep crisis.

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Macron had just emerged from weeks of damaging retirement strikes and a year of violent “yellow vest” protests against economic injustice when the pandemic hit. Now he’s struggling to run the home in one of the most affected countries in the world.

The Rungis food market south of Paris, the largest in Europe, turns into a morgue when the number of deaths in France exceeds 8,000. Nearly 7,000 patients are in intensive care, pushing French hospitals to their limits and beyond. Doctors ration painkillers and reuse masks.

The centralized state and the powerful presidency of France facilitate the coordination of efforts to relocate patients who have crisscrossed the country and even extended to overseas territories. And nearly three weeks of isolation are starting to pay off: France reported its lowest number of deaths on Sunday in a week, and a slowdown in the growth of infections.

A member of the medical staff observes from the platform a patient infected with the COVID-19 virus lying in a train at Austerlitz station, Paris, on April 1, 2020.

A member of the medical staff observes from the platform a patient infected with the COVID-19 virus lying in a train at Austerlitz station, Paris, on April 1, 2020.


Thomas Samson / The Associated Press


But the pandemic has exposed the weaknesses of the world-renowned state hospital system after decades of cost cutting. When the president visited a Paris hospital on the front line of the battle against the virus, an angry neurologist challenged him to reinvest heavily.

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“When it came to saving Notre-Dame, many were displaced,” said Dr. François Salachas, a reference to the cathedral in Paris which was badly damaged by fire a year ago, causing immediate promise. and massive public and private funds for reconstruction. “This time, it’s about saving public hospitals, which are going up in smoke at the same speed as Notre-Dame. “

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Many believe that Macron did not anticipate the severity with which the virus could strike and set a bad personal example. Similar criticism has been directed at other world leaders, including the presidents of Mexico, Brazil and the United States.

In February, Macron made a point of kissing the Italian Prime Minister several times during a visit to Naples to show that there was nothing to fear. At the time, the virus was already spreading quickly across France, but limited testing meant health officials didn’t know it yet.

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In early March, he visited a retirement home when he announced that families should no longer visit elderly relatives. The same day, he went with his wife to a Paris theater where the owner tweeted that the president wanted to show that “life goes on”. By then, the official number of virus infections in France would double every two days.

In mid-March, when COVID-19 ravaged neighboring Italy, France launched the first round of municipal elections nationwide. First Lady Brigitte Macron wandered the banks of the Seine, crowded with Parisians enjoying a sunny day despite recommendations for social distancing.

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Macron abruptly changed his tone on March 16, declaring war on the virus and announcing containment measures nationwide. A week later, he appeared wearing a face mask for the first time in a field hospital installed by troops outside of Mulhouse, the eastern city which saw an outbreak of cases from an evangelical gathering of five days.

The military has played a key role, as military and hospital authorities have developed the system to transport patients to less stressed hospitals and doctors to viral areas in need.

In this photo from April 1, 2020, medical personnel transfer a patient infected with the coronavirus to a train at Paris Austerlitz station.

In this photo from April 1, 2020, medical personnel transfer a patient infected with the coronavirus to a train at Austerlitz station in Paris.


Thomas Samson / The Associated Press


The first “medicalized” TGV made its maiden voyage on March 26. Doctors in protective gear pushed ramps along the almost empty platform of Strasbourg’s east train station as security warnings sounded from loudspeakers.

Inside the double-decker cars, patients and bundles of tubes and wires were trapped in front of luggage racks and rows of seats. Once secure, the train flew to the least affected hospitals in the west.

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While militarized mobilizations are popular, public debate has multiplied over the relatively small number of people tested for the virus in France and the shortage of medical equipment. Macron ordered all the facial masks requisitioned for medical personnel after it became clear that France had entered the crisis well below the supplies needed.

“The issue of masks is now the priority issue for the French,” said Jean-Daniel Levy of the Harris Interactive polling agency, adding that the public believes that the government “has not taken enough responsibility” for them. masks at the start.

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France had to send certain patients for treatment to neighboring Luxembourg, Switzerland and Germany, which carried out massive tests on a national scale and confirmed more cases than France while registering a number of deaths from about a fifth as high so far.

Macron, a centrist, caught fire at both ends of the political spectrum.

Far-right leader Marine Le Pen told France 2 that “the government had lied about the country’s readiness”, while far-left leader Jean-Luc Melenchon said Macron , a former investment banker, “used to think that the free market would meet the needs of the country, so his mental framework collapsed. “

Among the general public, Macron “is considered relatively authoritarian,” said Levy. It hurt him during the protest movements, but today contributes to his popularity because “we want to have a strong authority figure” to manage the crisis.

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A medical staff takes care of a Parisian patient infected with the COVID-19 virus, admitted to a hospital on April 5, 2020 in Rennes, in the west of France.

A medical staff cares for a Parisian patient infected with the COVID-19 virus, admitted to a hospital on April 5, 2020 in Rennes, in the west of France.


David Vincent / The Associated Press


In the National Assembly, the lower house of parliament, a fact-finding mission is looking closely at how the government is handling the emergency.

Macron said during a visit to a mask manufacturing company that it was not yet time to focus on what was wrong.

“When we fight a battle, we must all be united to win it,” said the president. “And I think those who seek to bring people to justice when we have not yet won the war are irresponsible.”

© 2020 The Canadian Press



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