Health care

Health care

Last update: 16/11/2020

Flu season is approaching, while the COVID-19 virus continues to circulate.

The health authorities are keen to do everything possible to avoid the potential compounding effects of the two viruses, which may be circulating at the same time.

For this reason, the Prince’s Government recommends that people are vaccinated against flu.

For further information about the flu vaccine, please contact your doctor.

What are the symptoms of COVID-19?

The main symptoms are:

  • Sore throat
  • Dry cough
  • High temperature
  • Shivering
  • Feeling faint
  • Muscle aches
  • Breathing difficulties

One of these symptoms is sufficient to prompt a diagnosis.

The elderly and those with existing health conditions (diabetes, immune deficiency, chronic respiratory disease, cancer, etc.) are more likely to develop a severe form of the disease.

Yes. Some doctors have already introduced a teleconsultation system.

Such a system has been rolled out at Princess Grace Hospital to enable specialist doctors to continue monitoring their patients via a secure application.

Useful links

If you have COVID-19 symptoms (fever, tiredness, headache, cough and sore throat, aches, difficulty breathing) :

  • Stay at home – the people who live with you should stay at home too
  • Implement barrier measures
  • Contact your doctor by phone or seek a teleconsultation

If your symptoms get worse and you have difficulty breathing or feel breathless, contact the emergency services on 18 or 112.

No, unless you are under chronic medication. The treatment for a poorly tolerated fever or aches and pains caused by COVID-19 or any other respiratory virus is paracetamol, up to a maximum dose of 60 mg/kg/day and 3 g/day. NSAIDs should not be taken.

On the other hand, if you are on steroids or other immunosuppressants for a chronic illness, do not stop taking them unless advised otherwise by the doctor treating you for this illness.

If you have been diagnosed with COVID-19, but the doctor who examined you did not identify any criteria requiring you to be hospitalised, you will be able to remain at home.

In this case, you will be taken care of remotely for a period of 14 days following the onset of your symptoms, or, if you have no symptoms, for a period of 7 days from the date of your test.

Your doctor will be contacted and informed of the treatment that has been offered to you.

As part of your care, you will be contacted once or twice a day by a doctor who will monitor your medical condition, either by telephone or via teleconsultation.

If you wish, a social worker can ensure that you are put in touch with the logistical support teams who will bring shopping to your home or deliver meals in conjunction with Monaco Town Hall.

If you need help, the social and emergency services are of course available to you.

The website dfm.mc has all the information and useful contacts you need regarding violence against women.
You can contact the freephone number 0800 91 90 10  seven days a week for information.

Do you need to discuss your situation and find out what your options are in complete confidentiality?
You can contact the Victims of Criminal Offences Help Association (AVIP) by email avip@monaco.mc or by phone 93 25 00 07.

You can also contact the Department of Social Welfare and Social Services by emailing daso@gouv.mc or by calling 98 98 41 00.

In an emergency, whether you are a victim or a witness, please contact the Police Department on 17 or on 93 15 30 15.
If you cannot use the telephone, you can email sos-violences@gouv.mc

It is also possible to report violence at pharmacies in Monaco, who will offer guidance or raise the alarm in emergency situations.

You can call 92 05 55 00 (open all week from 8 am to 8 pm) with all your questions relating to COVID-19.

Finally, questions can also be emailed to covid19@gouv.mc .

Princess Grace Hospital continues to operate and receive patients as usual, both for emergencies and for outpatient consultations.

If you have a chronic illness that requires regular monitoring, continue to consult your doctor.

In some cases, the medical secretary may offer you a teleconsultation. Consult the list of doctors offering tele-consultation.

If you experience unusual symptoms or have any concerns at all about the seriousness of your condition, call or visit the Accident and Emergency Unit immediately; the Unit can be accessed via a dedicated route.

Yes, all departments are returning to normal activity.

The Principality’s shops and chemists are able to sell hand sanitiser and chemists are also authorised to make it.

It should be noted that prices for hand sanitiser are regulated. For example:

  • A 50 ml bottle cannot be sold for more than €1.76
  • A 500 ml bottle cannot be sold for more than €7.50

These prices may be slightly higher where:

  • The hand sanitiser has been produced by local chemists
  • The products are packaged in special containers larger than 300 ml (with elbow-operated dispensing mechanism, cartridges or refills for dispensers, etc.)
  • The products are packaged in single-use sachets with a volume of less than 5 ml

Full details of the maximum sales prices are included in the Ministerial Decision of 4 May 2020.

The Minister has confirmed that several avenues are being explored to provide the Monegasque people with access to a vaccine as soon as one is approved by the health authorities. On 10 July, the Principality officially expressed its interest in a joint project led by WHO and Gavi, the Vaccine Alliance, and the Minister of State has written to the French Minister of Health, under the bilateral agreement on health assistance, to ensure that Monaco is included in the Astra Zeneca vaccine project supported by France, Italy, Germany and the UK. Finally, the Principality is also taking an interest in the American vaccine being developed by Moderna, whose president recently paid a visit to Monaco.

Yes. Flu vaccination is advised for absolutely everyone, from the age of 6 months.

Flu vaccination is advised for absolutely everyone, from the age of 6 months.

All healthcare staff and social workers who have contact with vulnerable people, particularly in care homes, institutions, hospitals and crèches have a fundamental duty to get a flu vaccine. Vaccination is also essential for staff who are critical to the functioning of the State.

Doctors, nurses, midwives, medical biologists and chemists can administer the flu vaccine. The cost of the flu vaccine is reimbursed for everyone who is covered by the Monegasque social security funds.

No, you can get the vaccine with or without a medical prescription.

Flu vaccination offers many advantages:

  • Flu vaccination makes it easier to treat patients presenting with a flu-like illness:
    Although they are caused by very different viruses, seasonal flu and COVID-19 produce identical symptoms: fever, cough, fatigue and muscle aches. Illness will be easier to diagnose if an infected person shows these symptoms but has been vaccinated against flu: healthcare staff will be able to identify potential COVID-19 more quickly and offer appropriate treatment, whether at home or in hospital

 

  • Flu vaccination eases the pressure on hospitals:
    Every year, patients suffering from flu visit the accident and emergency department, and some experience complications which require hospitalisation. Given the ongoing COVID-19 epidemic, hospital resources must remain available to deal with serious cases of the disease
    Flu vaccination reduces the number of wasted PCR tests:
    Vaccination can also reduce the number of PCR tests carried out to identify whether someone has COVID-19 when they are in fact infected with flu

 

  • Flu vaccination reduces the number of school and workplace absences:
    When a person shows symptoms consistent with COVID-19, they must stay off school or work while waiting for the result of their PCR test in order to reduce the risk of spreading the SARS-CoV-2 virus. Without a PCR test, it is clinically impossible to distinguish between flu and COVID-19.
    By eliminating flu, we can therefore reduce the number of school and work days lost.

 

  • Flu vaccination is safe:
    Contraindications are rare: a genuine allergy to egg or chicken proteins and other ingredients mentioned on the label, or a serious allergic reaction to a previous flu vaccine.

The flu vaccine will be available from Wednesday 14 October 2020.

The cost of the vaccine is reimbursed in full for everyone covered by the Monegasque social security funds.

For further information about the vaccine, please contact your doctor.

Yes.

Anyone aged over five years old must wear a mask in all public spaces and in shared areas of private spaces in the Principality (e.g. on buses, in shopping malls, public lifts, etc).

Please note: Those engaging in sport outdoors, such as joggers, do not have to wear a mask, but they must carry one in their pocket in case they stop jogging, etc.

 

 

No. I can go to the hospital for imperative care and emergency reasons without any proof of need to travel form.

Since more than half of infections occur in private settings, you are advised to wear a mask when people from outside your household visit you or if a vulnerable person lives with you.

Yes, you can provide assistance to a member of your family without proof of need to travel.

Yes, you can visit your normal doctor, a private nurse or a chemist.

All of these health professionals have received prior training to enable them to carry out these tests.

 

Prior to any stay in hospital, a multidisciplinary discussion will be held to assess the risk/benefit ratio on a case-by-case basis; consequently, patients are invited to continue their treatment in the normal way and will only be contacted by the CHPG if it is appropriate to reschedule their hospitalisation.

Do not take the initiative yourself to postpone your care. Let the medical staff inform you of what is best for you.

An antigen test detects the proteins produced by the Sars CoV-2 virus, known as "antigens."

It is used to find out if a person is infected with the virus at the time of the test.

The test is intended for diagnostic purposes.

 

The antigen test is carried out by taking a nasopharyngeal (nasal) swab.

It is quicker than the PCR test and gives a result in 15-30 minutes.

NO, it can be analysed outside a medical analysis laboratory.

It does not require the use of an automated system.

The sample is mixed with a reagent directly on a strip that changes colour on contact with the virus.

A few drops of the reagent are mixed with the sample and placed on a strip that changes colour depending on whether the patient is positive or negative for CoV-2-SARS (as with a pregnancy tests).

 

The result is interpreted as follows:

  • One bar is negative
  • Two bars are positive

If you have no symptoms and the test is positive or if you have symptoms but the test is negative, the result will need to be confirmed by PCR.

Asymptomatic people who are not contact persons

or

People with symptoms who meet all the following conditions:

  • Are under 65 years of age
  • Do not present any risk of serious forms of COVID-19
  • The antigen test is carried out within four days of the onset of symptoms

Doctors, nurses, medical biology laboratories and pharmacists will be able to offer antigen tests.

If you have symptoms, contact your doctor or call the COVID call centre (92 05 55 00), which will inform you of the procedure for obtaining a PCR test if necessary.

If you don't have any apparent symptoms, observe the barrier measures strictly (wear a mask, wash your hands and respect social distancing), including with your family and friends.  If, after 5 days, no symptoms have appeared, the risk that you have been contaminated is then low.

No, it is not possible to go to the National Screening Centre by on your own.

The aim of the Léo Ferré National Screening Centre is to regulate and co-ordinate PCR testing, in particular to optimise the waiting time for results.

The centre is intended for Monegasques, residents, employees and children who attend school in the Principality, whether they are symptomatic or contact cases, who are affiliated to the Monegasque social security organisations.

It is essential to have a medical prescription issued either by a local GP, a doctor from the Department of Health Affairs (DASA), a doctor from the Home Patient Follow-up Centre, a doctor from the Office of Occupational Medicine or a school doctor.

The doctor will request an appointment at the National Screening Centre, and the person to be tested will then be directly informed of the day and time of the screening.

The National Screening Centre will therefore not receive anyone without an appointment.

In all other cases, people are invited to make an appointment at a private laboratory in town for a test to be carried out. The Monaco medical analysis laboratory will carry out tests for patients with or without prescriptions who are required to undergo a PCR test or who wish to be tested for personal reasons.

 

If you have any questions, please call the COVID-19 call centre on 92 05 55 00.

PCR test

This test enables you to find out whether you are infected at the time of testing. A nasal sample will be taken.

TROD test

This is a Rapid Diagnostic Test (TROD).

There are 2 types:

  • TROD serological: the aim is to find out if you have been in contact with the virus
  • Nasopharyngeal antigenic TROD test:  the aim of this test is to find out if you are infected by the virus at the time of the test

 

Blood test

A blood sample can be taken in a medical analysis laboratory. It is undertaken to find out if you have been in contact with the virus. In the event of a positive test, it may be necessary to carry out a PCR test to find out if you are still infected with the virus.

Yes.

Any question about coronavirus?
  92 05 55 00
The Covid19 call centre is available 7 days a week from 8am to 8pm
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