Medecine tropicale : revue du Corps de sante colonial最新文献_第2页

[Lessons learned from the health crisis caused by the chikungunya epidemic on Reunion Island in 2005-2006]. [从2005-2006年留尼旺岛基孔肯雅流行病造成的健康危机中吸取的教训]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2012-03-01

Colom Jacques, Gaüzere Bernard-Alex, Simon Fabrice

引用次数: 0

[Chikungunya outbreak on Reunion Island in 2005/2006: role of hospital physicians in raising alert]. [2005/2006年留尼旺岛基孔肯雅热疫情:医院医生在提高警惕方面的作用]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2012-03-01

V Boisson, M P Cresta, L Thibault, E Antok, J Lemant, A Gradel, H André, F Tixier, A Winer

引用次数: 0

[Chikungunya crisis on Reunion Island. Media coverage and conflicting public information]. [留尼汪岛的基孔肯雅热危机。媒体报道和相互矛盾的公共信息]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2012-03-01

B Idelson

引用次数: 0

[Changes in the legally mandated distribution of competency for mosquito control based on experience on Reunion Island]. [根据留尼旺岛的经验，法律规定的蚊虫控制能力分配的变化]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2012-03-01

R Pinchon

引用次数: 0

An interdisciplinary approach to controlling chikungunya outbreaks on French islands in the south-west Indian ocean. 在西南印度洋法属岛屿上控制基孔肯雅热暴发的跨学科方法。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2012-03-01

A Flahault, G Aumont, V Boisson, X de Lamballerie, F Favier, D Fontenille, S Journeaux, V Lotteau, C Paupy, M A Sanquer, M Setbon, B A Gaüzere

引用次数: 0

[Perceived morbidity and community burden of chikungunya in La Reunion]. [留尼汪岛基孔肯雅热的感知发病率和社区负担]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2012-03-01

P Gérardin, A Fianu, D Malvy, C Mussard, K Boussaïd, O Rollot, A Michault, B A Gaüzere, G Bréart, F Favier

{"title":"[Perceived morbidity and community burden of chikungunya in La Reunion].","authors":"P Gérardin, A Fianu, D Malvy, C Mussard, K Boussaïd, O Rollot, A Michault, B A Gaüzere, G Bréart, F Favier","doi":"","DOIUrl":"","url":null,"abstract":"Background: Persistence of clinical manifestations, especially polyarthralgia and fatigue, is a characteristic feature of chikungunya virus (CHIK-v) infection. The purpose of this study was to measure the impact of prolonged or late-onset manifestations of CHIK-v infection on the self-perceived health of people on Reunion Island.Methods: This retrospective cohort survey, dubbed TELECHIK survey, was conducted eighteen months after the end of the chikungunya outbreak on a representative random sample from the SEROCHIK population-based survey conducted on Reunion Island. A total of 1094 subjects whose CHIK-v specific IgG antibody status had been documented were interviewed about current symptoms.Results: Analysis of data showed 45% of CHIK+ vs 14% of CHIK- subjects reporting musculoskeletal pain (P < 0.001), 56% vs. 44% reporting fatigue (P = 0.003), 77% vs. 53% reporting cerebral manifestations (P < 0.001), 51% vs. 34% reporting sensorineural impairments (P < 0.001), 18% vs. 13% reporting digestive complaints (P = 0.06), and 38% vs. 32% reporting skin involvement (P = 0.13). The mean delay between infection and interview was two years (range, 15-34 months). Analysis of data after correction for age, gender, body mass index and comorbidity indicated that rheumatic pain, fatigue, cerebral manifestations and sensorineural impairments were more likely in CHIK+ than CHIK- subjects but the likelihood of digestive and skin manifestations was the same.Conclusion: With a mean delay of two years after infection, 45% to 77% of CHIK+ subjects reported prolonged or late-onset symptoms attributable to CHIK-v. These results indicate that persistent manifestations of chikungunya infection have a heavy impact on rheumatologic, neurological and sensorineural health.","PeriodicalId":18423,"journal":{"name":"Medecine tropicale : revue du Corps de sante colonial","volume":"72 Spec No ","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30687798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Critical analysis of requirements for scientific assessment as a basis for good governance: case of the chikungunya epidemic on Reunion Island and Mayotte in 2005 and 2006]. [对作为善治基础的科学评估要求的批判性分析:2005年和2006年留尼旺岛和马约特岛基孔肯雅热流行的案例]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2012-03-01

J Colom

{"title":"[Critical analysis of requirements for scientific assessment as a basis for good governance: case of the chikungunya epidemic on Reunion Island and Mayotte in 2005 and 2006].","authors":"J Colom","doi":"","DOIUrl":"","url":null,"abstract":"The constitutional precautionary principle as applied in laws governing health care at the community level requires rigorous scientific assessment. The goal of this assessment is to provide authorities with sound evidence as a basis for implementing precautionary measures in function of degree of risk and other parameters such as the level of public health protection that is high in the EU. As the political authority, the government can act independently of conclusions issued by scientific commissions provided that the commission's level of expertise meets national and European standards and that research methodology and findings are consistent with scientific data published in the international literature. These requirements were not meet for the chikungunya pandemic that struck France on Reunion Island and Mayotte from 2004 to 2006. This epidemic that was preceded by many outbreaks in Indonesia between 2001 and 2003 began in Africa and then swept across the Indian Ocean to India and Asia. After an overview of the scientific assessment, this article raises arguments supporting possible allegations of gross misgovernance by the state and experts.","PeriodicalId":18423,"journal":{"name":"Medecine tropicale : revue du Corps de sante colonial","volume":"72 Spec No ","pages":"32-7"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30688394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Epidemiological surveillance du chikungunya on Reunion Island from 2005 to 2011]. [2005 - 2011年留尼汪岛基孔肯雅热流行病学监测]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2012-03-01

S Larrieu, E Balleydier, Ph Renault, M Baville, L Filleul

{"title":"[Epidemiological surveillance du chikungunya on Reunion Island from 2005 to 2011].","authors":"S Larrieu, E Balleydier, Ph Renault, M Baville, L Filleul","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The largest chikungunya epidemic in history hit Reunion Island in 2005/6. At that time, a specific monitoring system was set up. Since the end of the epidemic, this monitoring system has continued to operate and has been enhanced. The main objectives of the system are early detection of any case of chikungunya virus infection and epidemiological monitoring.Methods: During nonepidemic periods, surveillance is focused on active detection of all cases. During epidemic periods, weekly incidence is estimated using data collected via a sentinel physician network. Occurrence of severe and fatal forms is tracked during all epidemiologic situations.Results: In 2005-2006, the estimated number of symptomatic chikungunya-virus infections diagnosed on Reunion Island was 266 000, i.e., an attack rate of 34%. A total of 222 severe cases and 44 mother-to-child transmissions were recorded. Since the end of the outbreak, two clusters have been detected in the western region of the island in 2010 and 2011. The second cluster was non-negligible since it involved 164 cases including 112 that were biologically confirmed.Conclusion: Based on results recorded from 2005 to 2006, the chikungunya monitoring system appears to have good sensitivity and reactivity. Recent detection of two disease clusters confirms the system's efficacy.","PeriodicalId":18423,"journal":{"name":"Medecine tropicale : revue du Corps de sante colonial","volume":"72 Spec No ","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30688395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Chikungunya epidemic in 2005-2006: questions from occupational health professionals]. [2005-2006年基孔肯雅热流行:职业卫生专业人员提出的问题]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2012-03-01

I Stojcic

引用次数: 0

[Chikungunya and urban sprawl on Reunion Island]. [基孔肯雅热和留尼旺岛的城市扩张]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2012-03-01

T Aoustin

{"title":"[Chikungunya and urban sprawl on Reunion Island].","authors":"T Aoustin","doi":"","DOIUrl":"","url":null,"abstract":"The proportion of unsanitary housing in French overseas departments is much higher than in mainland France. Reunion Island is no exception to this fact. Between 80 and 90% of housing in Reunion Island was built by squatters with no legal claim or deed to the property. This has resulted in uncontrolled urban sprawl with living conditions reminiscent of those in developing countries. The absence of adequate drainage systems for sewage and rain water and the lack of properly organized garbage disposal that characterizes these sprawl areas constitutes a particularly favorable breeding ground for vector-borne diseases, especially chikungunya. Thus, implementing measures to control this type of settlement and to relocate of people out of existing sprawl areas constitutes a significant tool to control this epidemiological risk. Up to now, public officials have shown a clear reluctance to intervene in sprawl areas despite good knowledge of their location. On June 26th of this year, a law containing provisions relative to the control of urban sprawl and unsanitary housing in overseas departments and territories will come into effect. This law should provide public officials with the legal basis that has up until now been lacking to take action. Persistence in the \"wait-and-see\" attitude could lead to condemnation by French or European courts.","PeriodicalId":18423,"journal":{"name":"Medecine tropicale : revue du Corps de sante colonial","volume":"72 Spec No ","pages":"51-9"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30687793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0