Suchergebnisse

International audience ; Background: Suicide within the Amerindian community of Camopi (1741 inhabitants) in French Guiana has been an increasing problem widely reported in the media leading the French Government to mandate a parliamentary mission to investigate the matter. The purpose of the study was to describe this phenomenon and identify factors associated with suicide attempts.Methods:A retrospective observational study was conducted from the health centers' medical records. All suicideattempts and suicides committed between 2008 and 2015 by Amerindians living in Camopi and Trois Sauts werecompiled. Contextual factors and suicide representations were also analyzed.Results:During the study period, the annual attempted suicide rate and the suicide rate were higher in the last 3years. The overall annual rate was equal to 6.9/1741 or 396 per 100, 000 inhabitants for attempted suicide and 172per 100,000 inhabitants for suicide, which is more than 10 times higher than the suicide rate in mainland France.The mortality rate was 30.4% versus 8.2% in mainland France. The 10–20 year-old age group represented 70% ofsuicide deaths. There was no significant difference between genders. A recent death and interpersonal conflictwere the main stressful life events reported by respondents (55 and 52%, respectively). Alcohol addiction (30% ofthe respondents) was associated with suicide attempts under the influence of alcohol (p= 0.03). Repetition ofsuicide attempts was associated with cannabis consumption (p= 0.03). Depression was reported among 45% of therespondents. A third of respondents reported having been abused during their childhood. Over half of respondentsreported that their suicide attempt was motivated by a spirit (58%).Conclusions:Despite limitations due to the small population size and limited time frame, this is the first study todescribe the epidemiology of suicide among Amerindians living in Camopi. In contrast with other French territories,the suicide rate was very high, the sex ratio was balanced and ...

International audience ; Background: Suicide within the Amerindian community of Camopi (1741 inhabitants) in French Guiana has been an increasing problem widely reported in the media leading the French Government to mandate a parliamentary mission to investigate the matter. The purpose of the study was to describe this phenomenon and identify factors associated with suicide attempts.Methods:A retrospective observational study was conducted from the health centers' medical records. All suicideattempts and suicides committed between 2008 and 2015 by Amerindians living in Camopi and Trois Sauts werecompiled. Contextual factors and suicide representations were also analyzed.Results:During the study period, the annual attempted suicide rate and the suicide rate were higher in the last 3years. The overall annual rate was equal to 6.9/1741 or 396 per 100, 000 inhabitants for attempted suicide and 172per 100,000 inhabitants for suicide, which is more than 10 times higher than the suicide rate in mainland France.The mortality rate was 30.4% versus 8.2% in mainland France. The 10–20 year-old age group represented 70% ofsuicide deaths. There was no significant difference between genders. A recent death and interpersonal conflictwere the main stressful life events reported by respondents (55 and 52%, respectively). Alcohol addiction (30% ofthe respondents) was associated with suicide attempts under the influence of alcohol (p= 0.03). Repetition ofsuicide attempts was associated with cannabis consumption (p= 0.03). Depression was reported among 45% of therespondents. A third of respondents reported having been abused during their childhood. Over half of respondentsreported that their suicide attempt was motivated by a spirit (58%).Conclusions:Despite limitations due to the small population size and limited time frame, this is the first study todescribe the epidemiology of suicide among Amerindians living in Camopi. In contrast with other French territories,the suicide rate was very high, the sex ratio was balanced and younger age groups were most affected

International audience ; Background: Suicide within the Amerindian community of Camopi (1741 inhabitants) in French Guiana has been an increasing problem widely reported in the media leading the French Government to mandate a parliamentary mission to investigate the matter. The purpose of the study was to describe this phenomenon and identify factors associated with suicide attempts.Methods:A retrospective observational study was conducted from the health centers' medical records. All suicideattempts and suicides committed between 2008 and 2015 by Amerindians living in Camopi and Trois Sauts werecompiled. Contextual factors and suicide representations were also analyzed.Results:During the study period, the annual attempted suicide rate and the suicide rate were higher in the last 3years. The overall annual rate was equal to 6.9/1741 or 396 per 100, 000 inhabitants for attempted suicide and 172per 100,000 inhabitants for suicide, which is more than 10 times higher than the suicide rate in mainland France.The mortality rate was 30.4% versus 8.2% in mainland France. The 10–20 year-old age group represented 70% ofsuicide deaths. There was no significant difference between genders. A recent death and interpersonal conflictwere the main stressful life events reported by respondents (55 and 52%, respectively). Alcohol addiction (30% ofthe respondents) was associated with suicide attempts under the influence of alcohol (p= 0.03). Repetition ofsuicide attempts was associated with cannabis consumption (p= 0.03). Depression was reported among 45% of therespondents. A third of respondents reported having been abused during their childhood. Over half of respondentsreported that their suicide attempt was motivated by a spirit (58%).Conclusions:Despite limitations due to the small population size and limited time frame, this is the first study todescribe the epidemiology of suicide among Amerindians living in Camopi. In contrast with other French territories,the suicide rate was very high, the sex ratio was balanced and ...

International audience ; BackgroundMalaria is endemic in French Guiana, an overseas territory of France on the Guiana Shield. Since 2005, notified malaria cases are decreasing. However, new data show that malaria affects many Brazilian gold miners working illegally in French Guiana, the majority of whom are not counted in official data. In addition, one major concern is the usual practice of improper self-treatment in this mining population, raising fear of the development of antimalarial resistance. This prospective study, conducted in 2015, aimed to estimate the prevalence of Plasmodium spp. in illegal gold miners working in French Guiana. MethodsThe recruitment of gold miners was carried out in resting sites along the French Guiana-Suriname border, where they go for supplies, medical care or leisure. After recording agreement, three malaria diagnostic methods were performed: rapid diagnostic test, microscopy and PCR,ResultsAmong 421 persons recruited in the study, malaria prevalence, detected by nested-PCR, was 22.3% (CI=[18.3-26.3], n=94/421) of which 84% were asymptomatic. ConclusionThis significant malaria reservoir in a mobile and illegal population with difficult access to a health care system raises the threat of artemisinin resistance and puts the population of the Guiana Shield at risk of new transmission foci while countries of the region aim at malaria elimination. Even though French legislation may hamper dealing with this population, France must face the reality of malaria in illegal gold miners in order to meet its commitment to malaria elimination.

International audience ; BackgroundMalaria is endemic in French Guiana, an overseas territory of France on the Guiana Shield. Since 2005, notified malaria cases are decreasing. However, new data show that malaria affects many Brazilian gold miners working illegally in French Guiana, the majority of whom are not counted in official data. In addition, one major concern is the usual practice of improper self-treatment in this mining population, raising fear of the development of antimalarial resistance. This prospective study, conducted in 2015, aimed to estimate the prevalence of Plasmodium spp. in illegal gold miners working in French Guiana. MethodsThe recruitment of gold miners was carried out in resting sites along the French Guiana-Suriname border, where they go for supplies, medical care or leisure. After recording agreement, three malaria diagnostic methods were performed: rapid diagnostic test, microscopy and PCR,ResultsAmong 421 persons recruited in the study, malaria prevalence, detected by nested-PCR, was 22.3% (CI=[18.3-26.3], n=94/421) of which 84% were asymptomatic. ConclusionThis significant malaria reservoir in a mobile and illegal population with difficult access to a health care system raises the threat of artemisinin resistance and puts the population of the Guiana Shield at risk of new transmission foci while countries of the region aim at malaria elimination. Even though French legislation may hamper dealing with this population, France must face the reality of malaria in illegal gold miners in order to meet its commitment to malaria elimination.

International audience ; BackgroundMalaria is endemic in French Guiana, an overseas territory of France on the Guiana Shield. Since 2005, notified malaria cases are decreasing. However, new data show that malaria affects many Brazilian gold miners working illegally in French Guiana, the majority of whom are not counted in official data. In addition, one major concern is the usual practice of improper self-treatment in this mining population, raising fear of the development of antimalarial resistance. This prospective study, conducted in 2015, aimed to estimate the prevalence of Plasmodium spp. in illegal gold miners working in French Guiana. MethodsThe recruitment of gold miners was carried out in resting sites along the French Guiana-Suriname border, where they go for supplies, medical care or leisure. After recording agreement, three malaria diagnostic methods were performed: rapid diagnostic test, microscopy and PCR,ResultsAmong 421 persons recruited in the study, malaria prevalence, detected by nested-PCR, was 22.3% (CI=[18.3-26.3], n=94/421) of which 84% were asymptomatic. ConclusionThis significant malaria reservoir in a mobile and illegal population with difficult access to a health care system raises the threat of artemisinin resistance and puts the population of the Guiana Shield at risk of new transmission foci while countries of the region aim at malaria elimination. Even though French legislation may hamper dealing with this population, France must face the reality of malaria in illegal gold miners in order to meet its commitment to malaria elimination.

International audience ; BackgroundMalaria is endemic in French Guiana, an overseas territory of France on the Guiana Shield. Since 2005, notified malaria cases are decreasing. However, new data show that malaria affects many Brazilian gold miners working illegally in French Guiana, the majority of whom are not counted in official data. In addition, one major concern is the usual practice of improper self-treatment in this mining population, raising fear of the development of antimalarial resistance. This prospective study, conducted in 2015, aimed to estimate the prevalence of Plasmodium spp. in illegal gold miners working in French Guiana. MethodsThe recruitment of gold miners was carried out in resting sites along the French Guiana-Suriname border, where they go for supplies, medical care or leisure. After recording agreement, three malaria diagnostic methods were performed: rapid diagnostic test, microscopy and PCR,ResultsAmong 421 persons recruited in the study, malaria prevalence, detected by nested-PCR, was 22.3% (CI=[18.3-26.3], n=94/421) of which 84% were asymptomatic. ConclusionThis significant malaria reservoir in a mobile and illegal population with difficult access to a health care system raises the threat of artemisinin resistance and puts the population of the Guiana Shield at risk of new transmission foci while countries of the region aim at malaria elimination. Even though French legislation may hamper dealing with this population, France must face the reality of malaria in illegal gold miners in order to meet its commitment to malaria elimination.

International audience ; BackgroundMalaria is endemic in French Guiana, an overseas territory of France on the Guiana Shield. Since 2005, notified malaria cases are decreasing. However, new data show that malaria affects many Brazilian gold miners working illegally in French Guiana, the majority of whom are not counted in official data. In addition, one major concern is the usual practice of improper self-treatment in this mining population, raising fear of the development of antimalarial resistance. This prospective study, conducted in 2015, aimed to estimate the prevalence of Plasmodium spp. in illegal gold miners working in French Guiana. MethodsThe recruitment of gold miners was carried out in resting sites along the French Guiana-Suriname border, where they go for supplies, medical care or leisure. After recording agreement, three malaria diagnostic methods were performed: rapid diagnostic test, microscopy and PCR,ResultsAmong 421 persons recruited in the study, malaria prevalence, detected by nested-PCR, was 22.3% (CI=[18.3-26.3], n=94/421) of which 84% were asymptomatic. ConclusionThis significant malaria reservoir in a mobile and illegal population with difficult access to a health care system raises the threat of artemisinin resistance and puts the population of the Guiana Shield at risk of new transmission foci while countries of the region aim at malaria elimination. Even though French legislation may hamper dealing with this population, France must face the reality of malaria in illegal gold miners in order to meet its commitment to malaria elimination.

International audience ; BackgroundMalaria is endemic in French Guiana, an overseas territory of France on the Guiana Shield. Since 2005, notified malaria cases are decreasing. However, new data show that malaria affects many Brazilian gold miners working illegally in French Guiana, the majority of whom are not counted in official data. In addition, one major concern is the usual practice of improper self-treatment in this mining population, raising fear of the development of antimalarial resistance. This prospective study, conducted in 2015, aimed to estimate the prevalence of Plasmodium spp. in illegal gold miners working in French Guiana. MethodsThe recruitment of gold miners was carried out in resting sites along the French Guiana-Suriname border, where they go for supplies, medical care or leisure. After recording agreement, three malaria diagnostic methods were performed: rapid diagnostic test, microscopy and PCR,ResultsAmong 421 persons recruited in the study, malaria prevalence, detected by nested-PCR, was 22.3% (CI=[18.3-26.3], n=94/421) of which 84% were asymptomatic. ConclusionThis significant malaria reservoir in a mobile and illegal population with difficult access to a health care system raises the threat of artemisinin resistance and puts the population of the Guiana Shield at risk of new transmission foci while countries of the region aim at malaria elimination. Even though French legislation may hamper dealing with this population, France must face the reality of malaria in illegal gold miners in order to meet its commitment to malaria elimination.