Emmanuelle Lüthi, Emmanuelle Garcia, Stéphanie Pin, Jacques Cornuz
{"title":"[Health promotion and prevention in municipalities : levers and actions].","authors":"Emmanuelle Lüthi, Emmanuelle Garcia, Stéphanie Pin, Jacques Cornuz","doi":"10.53738/REVMED.2025.21.925.47374","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.925.47374","url":null,"abstract":"<p><p>Health is determined by the quality of and access to the healthcare system, but more importantly by the characteristics of the social and physical environment in which individuals live. Actions to promote health can be integrated into public policies, especially at the local level. In Switzerland, local authorities do not always have their own competencies in the field of health, but they can act to improve living conditions and promote access to healthcare. In this sense, healthcare professionals have an important role to play in health promotion by initiating, supporting, and participating in collaborations with municipalities, as demonstrated by the creation of health centers. This article provides an overview of the general framework for health promotion at the municipality level and some examples of collaborations.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 925","pages":"1382-1386"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554347","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}
Karin Zürcher, Julie Martin, Joachim Marti, Ana Millot, Stéphanie Pin
{"title":"[Business shapes our health: addressing the commercial determinants].","authors":"Karin Zürcher, Julie Martin, Joachim Marti, Ana Millot, Stéphanie Pin","doi":"10.53738/REVMED.2025.21.925.47390","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.925.47390","url":null,"abstract":"<p><p>In 2021, noncommunicable diseases caused 43 million deaths worldwide, with one-third attributable to four major industries: tobacco, alcohol, ultraprocessed foods, and fossil fuels. In this context, can poor health still be explained solely by individual choices? The concept of commercial determinants of health, increasingly discussed in public health, examines the structural causes of these « industrial epidemics » and highlights the influence of economic actors on population health. It urges healthcare professionals, policymakers, and organizations to assess the impact of industrial strategies on consumption behaviors, while advocating for the implementation of appropriate regulations.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 925","pages":"1374-1378"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554345","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}
Luc Lebon, Pascal Diethelm, Jérémy Cros, Karin Zürcher
{"title":"[Tobacco control in Switzerland : 60 years of gradual progress (1964-2024)].","authors":"Luc Lebon, Pascal Diethelm, Jérémy Cros, Karin Zürcher","doi":"10.53738/REVMED.2025.21.925.47397","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.925.47397","url":null,"abstract":"<p><p>This article examines the development of tobacco control laws in Switzerland. Key milestones include the ban on television advertising in 1964, health warnings in 1980, and the Tobacco Ordinance in 1995. Since the 2000s, cantonal laws have played a pioneering role. The Federal Act on Protection against Passive Smoking came into force in 2010, followed by the Federal Act on Tobacco Products in 2024. Progress has been modest and slow, limited by a lack of political will and the influence of the tobacco industry. Success factors include scientific data, tobacco denormalization, public pressure, and coalitions. These lessons can help regulate the commercial determinants of health.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 925","pages":"1368-1373"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554348","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}
Isabelle Jacot Sadowski, Kevin Selby, Carole Clair, Jacques Cornuz
{"title":"[Treatment for smoking cessation : situation in 2025].","authors":"Isabelle Jacot Sadowski, Kevin Selby, Carole Clair, Jacques Cornuz","doi":"10.53738/REVMED.2025.21.925.47509","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.925.47509","url":null,"abstract":"<p><p>In Switzerland, smoking has slightly declined in recent years, while the use of new nicotine products such as electronic cigarettes and snus is increasing, especially among young people. All these products cause addiction, with some being potentially less harmful than conventional cigarettes, which remain the most widely used product. Nicotine replacement therapy and bupropion are currently the only approved medications for smoking cessation in Switzerland. Since varenicline was withdrawn, cytisine-an older drug with a similar mechanism of action-has seen renewed interest. Recent studies confirm its effectiveness and acceptability.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 925","pages":"1363-1367"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554349","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}
Luc Lebon, Karin Zürcher, Isabelle Jacot Sadowski, Carole Clair
{"title":"Davantage d’années en bonne santé et moins dépenser ? Le rôle de la prévention.","authors":"Luc Lebon, Karin Zürcher, Isabelle Jacot Sadowski, Carole Clair","doi":"10.53738/REVMED.2025.21.925.47387","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.925.47387","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 925","pages":"1355-1356"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554351","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}
{"title":"Mobile interventions with unaccompanied migrant minors.","authors":"Séverine Petit, Eleana Papagiannakopoulou, Fiona Fretz-Tongue, Dino Carnevale, Alejandro Rojas-Urrego","doi":"10.53738/REVMED.2025.21.925.46632","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.925.46632","url":null,"abstract":"<p><p>Unaccompanied asylum-seeking minors require adaptation of our therapeutic interventions so that they can benefit from mental health care. The establishment of mobile interventions (psychiatric intervention, nursing interventions, and supervision of educational teams) in the housing facilities these young people live in is presented in this article. The ability to provide them with care within the facility they live in brings balance to the therapeutic relationship. These measures have led to fewer emergency consultations and hospital admissions. This approach is illustrated with a case study.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 925","pages":"1388-1391"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554353","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}
Romain Freund, Jean-Luc Bulliard, Ekaterina Plys, Gautier Defossez, Kevin Selby
{"title":"[Cancer screening in Switzerland : challenges and perspectives].","authors":"Romain Freund, Jean-Luc Bulliard, Ekaterina Plys, Gautier Defossez, Kevin Selby","doi":"10.53738/REVMED.2025.21.925.47414","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.925.47414","url":null,"abstract":"<p><p>Cancer screening can have a significant public health impact when it is based on validated tests, accessible to the entire target population, and integrated into organized programs with quality assurance, as is the case for breast and colorectal cancer in most Swiss cantons. Cervical cancer screening, however, remains opportunistic in Switzerland and is not conducted as part of a structured program. A 4-year pilot project for lung cancer screening is underway in the canton of Vaud, with a national reimbursement request for low-dose CT scan under review. Discussions regarding skin and prostate cancer screenings are ongoing, though no reimbursement plans are in place yet. In the longer term, personalized, risk-based approaches, blood-based tests, and self-sampling methods could expand and refine cancer screening strategies.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 925","pages":"1358-1362"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554346","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}
{"title":"Après les médecins, les laboratoires aux mains des assureurs.","authors":"Michel Matter","doi":"10.53738/REVMED.2025.21.925.47694","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.925.47694","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 925","pages":"1393"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554350","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}