The French health pass gives courses for compulsory vaccination against COVID-19

The health pass is limited in its effectiveness, because while it has been effective in enticing complacent people to make their vaccination appointments, it does not remove all barriers to vaccination. For many people, the health pass has had little effect, as the elderly, the poorest and the most marginalized participate little in the activities covered by the pass, such as eating out. For example, as of October 12, 2021, only 86% of those over 80 had been fully immunized2.

The health pass encouraged vaccination for many hesitant or reluctant people, but it did not reduce the reluctance itself. A September 2021 survey found that 42% of people vaccinated were still reluctant or had doubts about the vaccine at the time of their first doseseven. More importantly, the proportion of vaccinated people having doubts about the vaccine increased from 44% to 61% after the implementation of the health pass (Fig. 1).

Fig. 1: doubts about vaccination among the vaccinated.

French adults’ experience of COVID-19 vaccination, depending on the month in which they received their first dose. The health pass was announced on July 12, 2021 and implemented on August 9. m = 1,619 respondents who received at least one dose of the COVID-19 vaccine out of a representative sample of 2,015 people over the age of 18; data collection: from September 22, 2021 to October 1, 2021.

France remains a country very hesitant about vaccination, and this hesitation does not seem to have diminished much because of either the COVID-19 health pass, or the compulsory childhood vaccines, which were extended in 2017. One of the The rationale for expanding compulsory infant vaccination was that such a strong gesture would signal to the public the authorities’ complete confidence in these vaccines.13. Although this policy has not elicited a public reaction, confidence in vaccines does not appear to have improved significantly and France is still a very hesitant country when it comes to vaccines, as the early stages of the pandemic demonstrated. .4.5.14.

There is not much to suggest that the health pass has convinced many skeptics of the benefits of this vaccination.15 and there remains a small but considerable proportion (around 5-10% of the population) who have decided not to get vaccinated against COVID-19seven. Vaccinating hesitant or reluctant people has potentially negative consequences, which can reinforce mistrust of institutions and the health system3.8.16.

A sense of coercion during the vaccination can cause a nocebo effect, in which negative results occur due to the belief that the vaccine will harm them. The nocebo effect could explain why, in our survey, the share of vaccinated people who reported experiencing side effects from the vaccine rose from 34% among those who received their first dose in June to 57% of those who received. their first dose in August. , after the establishment of the health pass.

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