Something I hadn’t considered at all when moving was that there might be different attitudes to health outside of the UK. A different language and culture I expected, or course, but as far as health goes I’d generally heard that the French have an excellent (albeit not free) healthcare system and as such had no concerns. We’re all Europeans, right? A rude awakening came my way just last Saturday when one of the women I’ve become friends with took me aside after an event to let me know that her children had been in contact with some other local children (the cousins of several boys living in our hameau) who had rougeole (measles) and were contagious the last time they all played together. Whaaaaattt!!?!?
For one, this event was one where babies were present. There were one-month-old babies there and a heavily pregnant mum-to-be, due any day, all of whom have fragile immune systems. And, of course, my unvaccinated baby. How could anyone be so foolish? Once back home and having let the news sink in, James and I started on some internet research, trying to understand the situation in France so we could decide how best to protect our children. DD had been given the MMR vaccine in the UK at 12 months, as per the schedule there, and could have a second does at any time – recommended for more thorough protection. DS, only 9 months, would usually have three months to wait before being given his routine jabs but in cases where younger babies were known to have been in contact with infected children GPs in the UK offer the vaccine earlier to babies from 9-months-old onwards.
But where to start in France? We are here on our EHIC cards and haven’t signed up to the Carte Vitale or any private medical insurance yet since until we’ve bought somewhere this whole trip may turn out to be temporary. Luckily, I remembered a conversation I’d had with someone we considered renting a house from. We’d had a nice chat on the phone and I remembered her mentioning the English-speaking doctor in Esperaza. I found the lady’s e-mail so sent her a quick message. She replied quickly with the details we needed, then it was easy enough to find the doctor’s address. James and I would be there with bells on first thing on Monday morning.
Of course, this being France there was no way to find out what time the doctor was open so we just had to turn up and see. We were met by a receptionist who was very friendly and helpful, taking us into an office and quickly booking us an appointment with the doctor, who would be in tomorrow morning. Job done. The next day we went along and explained the situation, taking along DS’s red book so we could refer to the British schedule. The doctor was very sympathetic but explained it would be best to wait two weeks to give the virus chance to come out in case he had already caught it because, if that were the case, giving a vaccine would be pointless. Hmmmm, not ideal (what if he hadn’t caught it but picked it up from someone else in the hameau during the next two weeks?) but that timing would fit with the French schedule, as they usually give the MMR at 10 months. Okay, well that would have to be okay. We handed over our EHIC cards and were given a facture (invoice) for 26 euros – the cost of a consultation – and a prescription for us to take to the chemist (and pay for) along with some really helpful advice on how to treat the symptoms of measles (primarily, high fever) if either DS or DD became ill with it. It wasn’t quite the outcome we were hoping for but we respected the doctor’s advice and that was all we could do.
A week on, the children we were originally told about still haven’t shown any symptoms. That’s 17 days after contact with the symptomatic children but we’re still on lockdown here – at least until I return from the UK in a few weeks; if anything causes me to have to cancel that trip I fear the consequences! – so why all the fuss?
I’d say that for most Brits it’s just not something we come into contact with any more, depending on the circles you move amongst, and most of the people are know are on the side of modern medicine when it comes to vaccination. Measles has all but been wiped out in countries where vaccination is the norm and, from a quick read of the data, outbreaks tend to occur within closed communities or as a result of an unvaccinated person travelling to another country where vaccination is not the norm. So why is it here in France? Well, it would seem that there are certain areas of France where the residents are particularly sceptical of vaccination to the point that even those attending the public schools will often only give the mandatory list vaccines. Since MMR is on the optional list, parents often opt not to have it administered; consequently, there are areas of France (just as in other countries) where anti-vac attitudes prevail. And it turns out we’re in one of those areas. Oh joy.
What has had me hopping madly about over this though is that I genuinely had no idea that we were living amidst this kind of mindset. The friend in question (who I know is into homeopathy) seemed to be fairly pleased at the prospect of her two children contracting measles. It beggars belief really that anyone could justify such an attitude given all we know now about immunisation and the dangers of this particular illness. The big issue for me is herd immunity: it’s fine for someone to make a decision about their own child informed by their own beliefs, that’s parenting, right? Who am I to tell you your way is wrong and mine is right? But decisions about health are bigger than that, in my mind. What about people who can’t be immunised? One of the kids in this village has a health issue that doctors are currently trying to get to the bottom of. What if he caught measles and it didn’t turn out so well for him? I’ve had a good rant and rave about this offline and really could fly into one here, so I’ll rein myself in and keep a lid on it. By coincidence, at this exact time an article on this very subject was bumped on one of the parenting groups I belong to, so I’ll share it here along with a bunch of other interesting links.
International Measles Outbreaks – https://www.verywell.com/international-measles-outbreaks-2633844
ECDC Vaccination Schedule Comparison Table – http://vaccine-schedule.ecdc.europa.eu/Pages/Scheduler.aspx
Info Rougeole – Sante publique France – http://www.info-rougeole.fr/rougeole.html
The Guardian (UK Newspaper) – https://www.theguardian.com/society/2013/apr/15/homeopathy-measles-mp
Quackometer (results of articles for the search term “measles”) – http://www.quackometer.net/blog/?s=measles
What do you think about this? Is it something you thought about when relocating or travelling to another country? Share your stories!