Big delay on the anti-flu vaccination in France, alert pharmacists' unions in mid-November. Just over 7 million doses were distributed, compared to 8.6 million last year at the same time.
[Updated November 22, 2022 at 3:14 p.m.] The flu started in Brittany. But the French do not rush on vaccination, deplore the unions of pharmacists . ' It's a bit of a mess this year ', confirmed Philippe Besset, president of the FSPF, the leading pharmacists' union with TF1 Info , whereas the epidemic is coming particularly intense ' this winter. As of November 18, 32 days after the launch of the flu vaccination campaign, just over 7 million doses have been distributed, compared to 8.6 million at the same time last year. i.e. 18.3% less. The flu vaccination is open to all French people until January 31, 2023 . If you are of age, you can buy your vaccine at the pharmacy without a prescription and get vaccinated by the healthcare professional of your choice: doctor, midwife, nurse, pharmacist. Four vaccines are available: the Fluarix Tetra ® , Vaxigrip Tetra ® , l' Influvac Tetra ® , and the Efluelda ® (for those over 65).
The 2022-2023 flu vaccination campaign started on October 18 in mainland France, Guadeloupe, Martinique and Guyana (in Mayotte it started on September 6). She runs until January 31, 2023.
The flu vaccine was developed in the 1930s by the American biologist Jonas Salk .
Fragile people, at risk of a serious form of influenza, must be vaccinated at the start of the campaign . It takes about fifteen days to be protected. As a reminder, the flu epidemic usually occurs between the months of November and April, with a start most often at the end of December - beginning of January .
The adults can get vaccinated by the doctors, nurses, midwives (for pregnant women and those around infants at risk) and pharmacists volunteers. 'Vaccination is one of the optional missions that can be exercised by community pharmacists throughout the territory since March 1, 2019', reminds the National Order of Pharmacists . The community pharmacist can vaccinate adults targeted by vaccination recommendations except for people with a history of severe allergic reaction to ovalbumin or previous vaccination and people not targeted by the vaccination recommendations . It can also vaccinate minors 16 years and older who do not have certain allergies and for whom this vaccination is recommended. Vaccination of minors is otherwise carried out by a doctor, a midwife and a nurse (on medical prescription). If you have received a health insurance voucher , you can obtain the vaccine directly from the pharmacy on simple presentation of the voucher and get vaccinated by the pharmacist if it is voluntary . A prescription is not necessary . In the event that a eligible person did not receive or misplaced the invitation mail Health Insurance, his doctor, midwife, nurse or pharmacist can issue him a form of coverage, after ensuring his eligibility. Vaccination in pharmacies for priority groups is fully covered.
Patients eligible for flu vaccination receive a health insurance vaccine voucher except for pregnant women, relatives of infants at risk of severe flu or immunocompromised people and obese people. They can collect their vaccine directly from the pharmacy , on simple presentation of their voucher. A prescription is not necessary . They can then get vaccinated free of charge by the professional of their choice . In the event that a eligible person did not receive or misplaced the invitation mail Health Insurance, his doctor, midwife, nurse or pharmacist can issue him a form of coverage, after ensuring his eligibility.
'The vaccine ensures a 30-60% protection , the rate of effectiveness varies depending on the year ', underlines the infectiologist. A fortnight is necessary for the protection of the vaccine to be effective. The duration of protection of the vaccine is about 6 months , indicates the Ministry of Health . 'This average estimate depends on many factors such as age, the existence of pathologies, history of influenza or even the type of vaccine.' Always according to Ministry of Health , flu vaccination would avert more than 2,000 deaths on average each year.
The vaccine is free (no advance fee because 100% covered by health insurance) only for people at risk of severe forms of influenza . It pays for othersIt's not a matter of age:
→ Eligible patients (with the exception of pregnant women, relatives of infants at risk of serious flu or immunocompromised people and obese people) receive their voucher for the receipt of the vaccine. of this coupon, and get vaccinated by the professional of your choice. Persons under the age of 18 must have a medical prescription prior to vaccination.
→ If you are eligible but could not be identified and invited by the Health Insurance, talk to your doctor, your midwife or your pharmacist, who will be able to issue you a voucher allowing you to obtain the vaccine free of charge. In contrast, the vaccine is not covered by health insurance for other insured persons .
The vaccine should not be used in case of allergy to active substances, to any of the other components of the vaccine, or to trace residues, such as egg or chicken protein. The vaccination should be postponed in case of acute illness with fever . You must then refer to the instructions for each vaccine to find out all the contraindications:
Do not hesitate to ask your doctor or pharmacist for advice.
It is necessary to distinguish the price of the purchase of the vaccine against the flu from that of the injection.
→ L' vaccine purchase against the flu is 100% covered for people considered at risk and therefore a priority (people aged 65 and over, people with certain long-term conditions, pregnant women, etc.).
→ For non-priority French people, the vaccine is chargeable . The price of the vaccine fluctuates between 6 and 10 euros in pharmacy.
→ L' injection is covered at 70% , as with any medical procedure. If a doctor does the injection, the price is included in the consultation price. If a pharmacist or nurse performs it, the price is 6.30 euros (in mainland France) with a remaining charge of 1.89 euros (moderator ticket).
For the people targeted by vaccination recommendations , the vaccine is 100% supported by health insurance. In practice, it is dispensed free of charge in pharmacies on presentation of the voucher. For the people not targeted by vaccination recommendations, the purchase can be made directly in the pharmacy without a prescription. It will not be refunded.
According to' Health Insurance , l injection is reimbursed:
From October 18 to November 15, 2022, the flu vaccination is reserved for:
The High Council of Public Health recommends since 2012 flu vaccination for pregnant women regardless of the trimester of pregnancy. For them, vaccination is free . Pregnant women do not always receive their voucher. In this case, they must consult a doctor, midwife, nurse or pharmacist who can, via the website Amelipro issue a blank voucher allowing them to withdraw the vaccine free of charge from pharmacies, without a prescription.
The delivery of the flu vaccine is done on prescription for minors (under 18).
→ If you are of legal age and have received a health insurance voucher , you can obtain the vaccine directly from the pharmacy on simple presentation of the voucher without prescription.
→ If you are a minor and you have received a registered health insurance voucher , you must go to your doctor with this voucher to receive a prescription prescription for the vaccine to be collected from the pharmacy.
→ If you are of legal age and you are not a priority for vaccination, vaccination can be done without a prescription in a pharmacy.
→ If you are of legal age and have not received a health insurance voucher but are eligible for free vaccine (pregnant women, obese people , family circle of infants at risk of severe influenza or immunocompromised people in particular), doctors, midwives, nurses and pharmacists have on Amelipro a blank receipt form allowing them to be prescribed the vaccine. Pharmacists and nurses can only issue this voucher for adults eligible for vaccination.
It is necessary that re-vaccinate every year due to the virus change from year to year. Indeed, this modification leads to a different composition of the vaccine. People who received a free flu vaccine the previous year can have the vaccine delivered by the pharmacy and go to a nurse without having to consult their doctor. To find a nurse, talk to your doctor or pharmacist.
The flu vaccine contains fragments of Influenza viruses (viruses responsible for the flu). Pour l'hiver 2022-2023, the composition of influenza vaccines was published by the WHO in February 2022. Experts relied on analysis of influenza activity from September 2021 to January 2022 and circulating viruses knowing that 'Influenza A has been predominant in most countries , while influenza B predominated in a few countries in the temperate zone of the hemisphere' WHO said. In France, it's the flu A(H1N1)pdm09 which has predominated during the last winter. Since flu viruses are constantly changing, they are not always the same from year to year. This is why it is advisable to get vaccinated every year .
' The effectiveness of the influenza vaccine is not absolute because the strains of virus responsible for epidemics are not all present in the vaccine. Also, the vaccine is less effective in some people due to a weaker immune system. It is therefore possible to be sick with the flu even if you have been vaccinated. explains the specialist. On the other hand, the vaccine, which is prepared from killed virus, cannot in any case cause influenza. A small feverish reaction accompanied by an influenza-like state can occur the following day, manifestations yielding in 2 days at most.
Vaccination against influenza is well tolerated. It can cause some mild reactions such as inflammation at the injection site, pain , a redness at the sting. A reaction febrile accompanied by muscle or joint pain can also occur the next day, manifestations yielding in 2 days at most. 'The risk of occurrence of serious side effects related to the vaccine such as Guillain Barre syndrome remains much lower than the risk of serious complications, directly linked to the occurrence of the flu itself, including Guillain Barré syndrome' specify the Ministry of Health . Still according to this source , them allergic reactions are very rare (1 case out of 450,000 vaccinated).
Thank you to Pr Vincent Dubée, doctor specializing in infectious and tropical diseases at the CHU d'Angers.
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