A5081916161- Mosquito-borne diseases and control
- Malaria Research and Control
- Zoonotic diseases and public health
- Global Maternal and Child Health
- Disaster Response and Management
- Viral Infections and Outbreaks Research
- Health disparities and outcomes
- Air Quality and Health Impacts
- Heavy Metal Exposure and Toxicity
- Viral Infections and Vectors
- COVID-19 Pandemic Impacts
- Air Quality Monitoring and Forecasting
- Travel-related health issues
- Employment and Welfare Studies
- Herpesvirus Infections and Treatments
- Global Health Care Issues
- Leptospirosis research and findings
- Health and Conflict Studies
- SARS-CoV-2 and COVID-19 Research
- COVID-19 epidemiological studies
- Data-Driven Disease Surveillance
- Parasites and Host Interactions
- Blood donation and transfusion practices
- Yersinia bacterium, plague, ectoparasites research
- Adolescent Sexual and Reproductive Health
Inserm
2022-2025
Centre Hospitalier Andrée Rosemon
2020-2025
University of French Guiana
2018-2024
Centre d'Investigation Clinique Antilles Guyane
2022-2024
Agence Régionale de Santé Nouvelle-Aquitaine
2020-2024
University of Siena
2023-2024
Santé Publique France
2018-2023
Institut thématique Santé Publique
2018
Institut de Veille Sanitaire
2015-2016
Université Paris-Est Créteil
2016
Abstract Purpose of Review Following Paraguay and Argentina, several countries from the Amazon region aim to eliminate malaria. To achieve this, all key affected vulnerable populations by malaria, including people working on gold mining sites, must be considered. What is situation malaria in these particular settings what are challenges? This literature review aims compile knowledge answer questions. Recent Findings The contexts which miners operate very heterogeneous: size localization...
Illegal gold miners in French Guiana, a overseas territory ('département') located Amazonia, often carry malaria parasites (up to 46.8%). While the Guiana Shield Region aims at elimination, high prevalence of Plasmodium this hard-to-reach population conjunction with frequent incorrect use artemisinin-based anti-malarials could favour emergence resistant parasites. Due geographical and regulatory issues usual control strategies cannot be implemented particular context. Therefore, new...
Illegal gold miners are currently key hosts for malaria in French Guiana (FG), with a risk of emergence resistance linked to improper use artemisinin-based combination therapy (ACT). The remoteness the mines and regulatory issues hinder their access health care. A quasi-experimental researched project (Malakit) implemented FG borders Brazil Suriname aimed at determining effectiveness distributed kits self-diagnosis self-treatment illegal miners, after training, strategic border staging...
An innovative and community-based intervention is implemented in the Guiana Shield to eliminate malaria among people involved artisanal small-scale gold mining. The consists of distribution self-management kits goldminers presumptive treatment for individuals at risk carrying
The Guiana Shield, a small region of South America, is currently one the main hotspots malaria transmission on continent. This Amazonian area characterised by remarkable socioeconomic, cultural, health, and political heterogeneity high degree regional cross-border population mobility, which has contributed to increase in past few years. In this context, cooperation control represents both challenge an indispensable initiative. Viewpoint advocates for creation cooperative mechanism...
French Guiana, the last malaria-endemic region of France, is facing an epidemic resurgence malaria since end 2023. This epidemic, primarily caused by Plasmodium vivax, mainly affects populations that are far from healthcare system. It has highlighted difficulties providing a full course treatment. includes both curative treatment with artemisinin derivatives (following withdrawal chloroquine market) and eradicative primaquine, challenge excluding G6PD deficiency. The aim this paper to...
Background Terrorist attacks occurred in Paris January 2015. Aims To assess the mental health impact and access to psychomedical care of people exposed attacks. Method We implemented an open-cohort design 6 18 months after Exposed civilians rescue workers were included according exposure criteria A for post-traumatic stress disorder (PTSD) DSM-5. face-to-face questionnaire conducted by trained psychologists was used collect sociodemographic characteristics, level, scores on psychometric...
Abstract While general lockdowns have proven effective to control SARS-CoV-2 epidemics, they come with enormous costs for society. It is therefore essential identify strategies lower social and economic impact. Here, we report evaluate the strategy implemented during a large epidemic in June–July 2020 French Guiana that relied on curfews, targeted lockdowns, other measures. We find combination of these interventions coincided reduction basic reproduction number from 1.7 1.1, which was...
In November 2014, French public health authorities renewed the recommendation to target for vaccination against invasive meningococcal disease men who have sex with (MSM) and all individuals ≥25 years attending social venues associated gay community. This policy was extended beyond Paris region as a reaction continuing spread of serogroup C isolates belonging new lineage within clonal complex cc11 since first issued in July 2013.
Cross-border malaria is a significant obstacle to achieving control and elimination worldwide.This study aimed build cross-border surveillance system that can make comparable qualified data available all parties involved in between French Guiana Brazil.Data reconciliation rules based on expert knowledge were defined applied the heterogeneous provided by existing systems of both countries. Visualization dashboards designed facilitate progressive exploration, analysis, interpretation....
Abstract Background In 2017, inhabitants along the border between French Guiana and Brazil were affected by a malaria outbreak primarily due to Plasmodium vivax ( Pv ). While cases have steadily declined 2005 2016 in this Amazonian region, resurgence was observed 2017. Methods Two investigations performed according different spatial scales information details: (1) local study on border, which enabled thorough investigation of treated at village health center entomological circumstances most...
In April 2017, Suriname's Ministry of Health alerted French Guiana's Regional Agency (RHA) about an increase imported malaria cases among people coming from illegal gold mining site called Sophie, in Guiana, a overseas territory located the Amazonian forest.Due to safety issues and remoteness RHA requested collaboration Armed Forces for epidemiological investigation. A medical unit, six soldiers ensure security mission, were transported by helicopter.During investigation, two episodes...
An interventional study named Malakit was implemented between April 2018 and March 2020 to address malaria in gold mining areas French Guiana, collaboration with Suriname Brazil. This innovative intervention relied on the distribution of kits for self-diagnosis self-treatment miners after training by health mediators, referred project as facilitators.
Most emerging pathogens are zoonoses and have a wildlife origin. Anthropization disruption of ecosystems favor the crossing inter-species barriers. We hypothesize that marginalized population undocumented goldminers in Amazon is at risk acquiring zoonoses.
Scaling-up an experimental intervention is always a challenge. On the border between French Guiana, Brazil and Suriname, interventional study demonstrated effectiveness of distributing self-diagnosis self-treatment kits (Malakits) to control malaria in mobile hard-to-reach populations. Its integration into Suriname's National Malaria Elimination Plan after 2-year experiment faced numerous challenges, including human resources cope with additional workload coordinators maintain motivation...
Objectives Lead poisoning is a major public health problem worldwide. In French Guiana, overseas territory in South America, several studies have highlighted the massive lead impregnation of local population, but risk factors not yet been fully elucidated. People working informal gold mining share part their lifestyle with Guianese communities. The aim this was therefore to estimate level population and associated it. Methods This cross-sectional descriptive study based on data collected by...
Objectives Informal gold mining represents a major source of mercury pollution worldwide. People involved in informal French Guiana are mainly migrants from Brazil and represent an exposed, mobile hard-to-reach population. This study assessed poisoning this particular Design multicentre, cross-sectional survey, conducted 2022, included participants using snowball sampling. Setting Inclusions took place the logistical rare bases at border between Suriname. Participants Between September...
Abstract Background The final challenge for malaria elimination in many countries is to interrupt the circulation of Plasmodium vivax . Given unique biology this parasite, innovative approaches are imperative, with a focus on identifying asymptomatic carriers dormant parasite forms. This article delineates recent epidemiological patterns P. within highly mobile and hard-to-reach population Guiana Shield. It further proposes an assessment potential reservoir carriers. Methods analysis was...
Abstract Background In French Guiana, gold miners working illegally represents a major reservoir of malaria. This mobile population, mainly Brazilian descent, enters the Guianese forest from neighbouring countries, Suriname and Brazil. A complex innovative intervention was piloted as cooperation with three involved countries to control malaria in this specific population. The principle that health workers called “facilitators” provide participants self-diagnosis self-treatment kit along...
<title>Abstract</title> <bold>Background</bold>: In most countries engaged on the last mile towards malaria elimination, residual transmission mainly persists among vulnerable populations represented by isolated and mobile (often cross-border) communities. These are sometimes involved in informal or even illegal activities. regions with <italic>P. vivax</italic> specific biology of this parasite poses additional difficulties related to need for a radical treatment against hypnozoites prevent...
Several countries of the Guiana Shield are aiming at control and elimination malaria in areas where Artisanal Small-scale Gold Mining (ASGM) activities predominate, raising questions about how to strengthen community engagement improve effectiveness health programs. The Curema project focuses its intervention on mobile hard-to-reach ASGM population, complementing efforts national programs Shield. combines targeted drug administration for suspected