France signed the Convention of Oviedo and requires through various texts the preliminary consent of the individual (or his representatives, generally parents) to any medical act on that person. Nevertheless the French law makes mandatory for the general population, the frequentation of communities including nurseries, daycares and schools, vaccinations against Diphteria, Tetanus and Poliomyelitis (DTPolio), and against the Yellow fever in Guyana district. The trivalent DTPolio vaccine is no longer available, so to meet the requirements parents are forced to give their children the hexavalent (Infanrix Hexa) or pentavalent vaccines which include the legally-required vaccines along with other non-legally-required vaccines.
Law recognizes contraindication certificates, but they are generally overlooked or even ignored by the administrations. Other vaccinations are mandatory for the exercise of some medical professions. Many vaccinations are promoted in particular by a vaccine calendar without legal value, yet diffused by public services.
The health insurance system gives a premium on objectives to doctors for flu jabs of given range of patients. It fixes vaccines prices so that the industrialists can find it beneficial to present only new combining vaccines to increase their turnover. In 2007 vaccinations represented 12,6% of general practitioners’ turnover and 33% of paediatricians’. This gives place to conflicts between parents and physicians/administrations, sometimes between parents too. Refusal of mandatory vaccination gives place to lawsuits with heavy, but not easily applicable threats. Abuses of administrations give place to many disputes.
Unvaccinated children in France are NOT allowed at any preschool (mursery, daycare, kindergarten) and school grade.
Adverse event following immunisation public reporting system
The state compensates victims of damage ascribable to mandatory vaccinations. If they are conscious of the possible origin and know the procedure, victims themselves can report the adverse event. Physicians hesitate to declare such events and the general public is often unaware, so that the number and occurrence of Adverse Events Following Immunisation is strongly underestimated or even denied. The highly contestable loophole of fake certificates contributes to undervalue the occurrence of adverse events.