How France found itself in the middle of a coronavirus catastrophe
More than 14,000 deaths, equipment shortages and seniors' home disasters are common throughout the country
French President Emmanuel Macron opened his official visit to Italy on Feb. 26 with a big two-cheek kiss for Prime Minister Giuseppe Conte. Then he was off for a 20-minute round of handshaking in the streets of Naples, even though the Italian coronavirus outbreak was already big news there.
In Paris on March 9, the day neighbouring Italy was locked down, Macron went strolling with his wife on the Champs-Élysées, telling restaurant patrons he wanted to "send a message of confidence to the French economy."
In retrospect, it wasn't such a great idea. France is now among the worst-performing countries in handling the outbreak.
"In France, the French president is like a king. He's a republican king," says Mathieu Magnaudeix, one of France's top investigative journalists. "It's very clear they didn't grasp how important the situation was. It's a failure of the whole system. It's a failure of French executive power and especially the president."
Occasionally, the president was challenged. On a Feb. 28 visit to a French hospital, he was confronted by a doctor about how public hospitals were effectively on fire like the famous Notre Dame Cathedral and needed his immediate attention.
Macron pushed back, saying, "OK, so I can count on you?" The doctor quickly responded, "Oh yes, you can count on me, but the opposite still needs to be proven."
There is a lot of anger directed at the French government right now, Magnaudeix says.
"We basically lost two months or three months, three very important months, where we could have helped prevent this pandemic from getting bigger and bigger in France," he said. "After all of that is over, the government will have to be accountable for what they've done or not done."
It wasn't all the government's fault. On March 12, Macron finally went on TV to announce he was closing schools and calling for physical distancing because France was now at war with COVID-19.
The very next day, the public flooded into Parisian terraces and courtyards to enjoy the sunshine with their friends and relatives. Many people seemed to pay no attention to the possibility that France could share Italy's horrible fate.
"We had the example of Wuhan under our eyes and then we had the example of Italy under our eyes," says Dr. Catherine Hill, a leading French epidemiologist.
"Instead of thinking that those were examples, people just hoped for the best and they talked about the Italian scenario as if it was a Western movie made by Italians or something exotic. It's ridiculous! The same causes tend to have the same consequences."
Intensive care units overwhelmed
Sure enough, the consequences have arrived. A tidal wave of COVID-19 patients is overwhelming France's hospitals.
Intensive care doctor Eric Maury estimates there are 5,000 ICU beds in France.
"Actually there are more than 7,000 patients requiring ICU, so we have actually more patients than France can treat in ICU beds," he said.
On Sunday, the death toll topped 14,000.
France has responded to the shortage with an amazing mobilization of high-speed trains and aircraft to move patients from saturated hospitals in Paris and the eastern portion of the country to less busy hospitals in other regions, and even other countries.
"They sent patients to Germany, to Switzerland, to Luxembourg because [the system] was overwhelmed," Maury said. "There were too many patients to take care of and there were no more ICU beds, no ventilators."
The comparisons to other countries are astonishing. While France is reputed to have one of the best health care systems in the world, neighbouring Germany performed five times the per-capita number of COVID-19 tests. Now, France has six times the per-capita number of deaths from the disease than Germany.
France claims to have a suspiciously low number of confirmed cases, but epidemiologists like Hill don't believe it.
"My estimate is that you have to multiply the published figures by something like 50, so there's an enormous gap," she said.
WATCH | COVID-19 catastrophe in France:
There was a scandal in France when it turned out that a much-discussed stockpile of masks and other protective equipment was far smaller than promised. Macron toured a mask production line and promised more were on the way.
Intensive care physicians like Maury say there is no sign of relief yet.
"What I am telling the government is if there is no protection, we are not going to take care of patients," he said. "It's not possible to do that."
Return to normal?
Even as France is sending patients to other countries, the government is announcing plans to return to normal.
Experts like Hill doubt that's possible without a large increase in testing.
"Half of the contaminations are caused by individuals who do not know they are infectious," she said. "There are millions of people in France who are positive right now. How do you release the quarantine? You really have to start testing massively to sort out the people who are contagious and bring them aside."
And like Canada, France has a shockingly high proportion of deaths in nursing homes.
It's something Macron did not seem to see coming back on March 6, when he joined the dinner table at a Paris seniors' residence and didn't pay attention to physical distancing.
Today, the number of seniors who have died of COVID-19 in France is roughly 5,000. The deaths in seniors' homes are perhaps the most shocking element of France's lamentable coronavirus record.
With files from Alex Shprintsen, Matthew Pierce and Albert Leung