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Lack of communication to blame for French heat wave crisis: official report 

From AFP, Yahoonews, September 8, 2003

Photo PARIS (AFP) - A breakdown in communication in France's health care s ystem was mainly to blame for the crisis sparked by last month's heat wave, which killed more than 11,000, according to an official report.

"An adequate alert, watch and information system would have allowed those involved to act more quickly in implementing measures to adapt the health care system" to help those at risk, said the team of experts who drafted the report and published it on Monday, on what went wrong during the heat wave.

The experts said the "compartmentalization of services between the (health) ministry, other ministries and workers on the ground prevented a pooling of available information" about the scope of the health emergency.

More than 11,000 mainly elderly people succumbed to the blistering heat that blanketed France during the first two weeks of August, a toll that shocked the nation and sparked public fury over the government's handling of the crisis.

The report qualified the heat wave as a "catastrophe", saying it had revealed "a noticeable gap between the perception of health authorities and the reality of the crisis on the ground."

The experts also criticized the lack of available doctors and hospital beds during the heat wave, noting the "departure en masse by general practitioners taking holiday" had had a "serious effect on the functioning of emergency services".

According to the report, the implementation of the 35-hour work week -- especially during the traditional August holiday period -- also made it difficult to ensure the adequate staffing of medical facilities.

France's center-right government, especially Health Minister Jean-Francois Mattei, has come under intense criticism in the past month for failing to anticipate the crisis, but Mattei has rejected calls for his resignation.

The country's surgeon general, Lucien Abenhaim, stepped down amidst the controversy, but later said he had alerted authorities to the looming disaster and felt he was a scapegoat.


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