Suchergebnisse

International audience ; Background: Public health is a multidisciplinary activity whose fields of action are acquiring an increasingly broad. The Service de santé des armées (SSA) has always had a culture of public health problems thanks to doctors specialized in the treatment of major diseases. Often involved in public health activities, health professionals nevertheless have a fragmented vision. The objective was to describe the social representations of public health of military healthcare workers.Method: The responders were doctors, nurses, veterinarians and pharmacists practicing in different areas of SSA (caregivers, administrators, policy makers) and were interviewed by telephone. A question of spontaneous evocation on the representations of public health in the army was asked. The overall lexical analysis was performed according to the method of rank-frequency. Categorical analysis was conducted to better understand the whole lexical field use.Results: There were 90 responders. The most salient terms were "prevention, epidemiological surveillance and vaccination". The categorical analysis showed that doctors used a lexical field primarily focused on diseases and risk behaviors, nurses on the specifics of military surveillance and policy makers about the cross-discipline.Conclusion: Public health in the army is mainly represented by epidemiological surveillance and prevention. Given the non-mentioned fields, a strengthening of communication on the current challenges of public health would probably improve adherence of healthcare professionals since public health takes on more and more importance in the development of the national health policy and management of health crises. ; Position du problème: La santé publique est une activité multidisciplinaire dont les champs d'action sont de plus en plus nombreux. Le Service de santé des armées (SSA) a toujours eu une culture de la santé publique grâce notamment aux médecins des grandes endémies. Souvent impliqués dans des activités de santé publique les professionnels de santé en ont pourtant une vision parcellaire. L'objectif était de décrire les représentations sociales de la santé publique des professionnels de santé militaires.Méthode: Les répondants étaient des médecins, infirmiers, vétérinaires et pharmaciens exerçant dans les différents domaines du SSA (soignants, administratifs, décideurs) et ont été interrogés par téléphone. Une question d'évocations spontanées portant sur les représentations de la santé publique dans les armées leur a été posée. L'analyse lexicale globale a été effectuée selon la méthode des rang-fréquence. Une analyse catégorielle a été réalisée pour mieux appréhender l'ensemble du champ lexical utilisé.Résultats: Le nombre de répondants a été de 90. Les termes les plus saillants étaient « prévention, surveillance épidémiologique et vaccination ». L'analyse catégorielle a montré que les médecins des forces avaient un champ lexical principalement axé sur les maladies et les conduites à risque, les infirmiers sur les spécificités de la surveillance militaire et les décideurs sur la politique de santé et l'organisation des systèmes.Conclusion: L'image de la santé publique dans les armées est représentée essentiellement par la surveillance et la prévention. Compte tenu des champs d'activités non évoqués, un renforcement de la communication sur les défis actuels et la valorisation des activités de la santé publique permettrait sans doute d'améliorer l'adhésion des acteurs à leur mission de santé publique, au moment où elle revêt une importance majeure dans le développement des politiques de santé et dans la gestion des crises sanitaires.

International audience ; Background: Public health is a multidisciplinary activity whose fields of action are acquiring an increasingly broad. The Service de santé des armées (SSA) has always had a culture of public health problems thanks to doctors specialized in the treatment of major diseases. Often involved in public health activities, health professionals nevertheless have a fragmented vision. The objective was to describe the social representations of public health of military healthcare workers.Method: The responders were doctors, nurses, veterinarians and pharmacists practicing in different areas of SSA (caregivers, administrators, policy makers) and were interviewed by telephone. A question of spontaneous evocation on the representations of public health in the army was asked. The overall lexical analysis was performed according to the method of rank-frequency. Categorical analysis was conducted to better understand the whole lexical field use.Results: There were 90 responders. The most salient terms were "prevention, epidemiological surveillance and vaccination". The categorical analysis showed that doctors used a lexical field primarily focused on diseases and risk behaviors, nurses on the specifics of military surveillance and policy makers about the cross-discipline.Conclusion: Public health in the army is mainly represented by epidemiological surveillance and prevention. Given the non-mentioned fields, a strengthening of communication on the current challenges of public health would probably improve adherence of healthcare professionals since public health takes on more and more importance in the development of the national health policy and management of health crises. ; Position du problème: La santé publique est une activité multidisciplinaire dont les champs d'action sont de plus en plus nombreux. Le Service de santé des armées (SSA) a toujours eu une culture de la santé publique grâce notamment aux médecins des grandes endémies. Souvent impliqués dans des activités de santé publique les ...

International audience ; Background: Public health is a multidisciplinary activity whose fields of action are acquiring an increasingly broad. The Service de santé des armées (SSA) has always had a culture of public health problems thanks to doctors specialized in the treatment of major diseases. Often involved in public health activities, health professionals nevertheless have a fragmented vision. The objective was to describe the social representations of public health of military healthcare workers.Method: The responders were doctors, nurses, veterinarians and pharmacists practicing in different areas of SSA (caregivers, administrators, policy makers) and were interviewed by telephone. A question of spontaneous evocation on the representations of public health in the army was asked. The overall lexical analysis was performed according to the method of rank-frequency. Categorical analysis was conducted to better understand the whole lexical field use.Results: There were 90 responders. The most salient terms were "prevention, epidemiological surveillance and vaccination". The categorical analysis showed that doctors used a lexical field primarily focused on diseases and risk behaviors, nurses on the specifics of military surveillance and policy makers about the cross-discipline.Conclusion: Public health in the army is mainly represented by epidemiological surveillance and prevention. Given the non-mentioned fields, a strengthening of communication on the current challenges of public health would probably improve adherence of healthcare professionals since public health takes on more and more importance in the development of the national health policy and management of health crises. ; Position du problème: La santé publique est une activité multidisciplinaire dont les champs d'action sont de plus en plus nombreux. Le Service de santé des armées (SSA) a toujours eu une culture de la santé publique grâce notamment aux médecins des grandes endémies. Souvent impliqués dans des activités de santé publique les ...

International audience ; Since the start of 2010 there has been a flare-up of measles in France, following on the resurgence observed in 2008. The aim of this study was to present results of the epidemiological surveillance of measles in the French armed forces and to describe the increase in incidence. Measles was surveyed from 1992 to 2010. Criteria for report were those used for French national compulsory notification. The data, concerning active military personnel, were provided by the physicians in the armed forces using anonymous data collection forms. Between 1992 and July 2010, 689 cases of measles were notified. Since 2002, the mean incidence rate was 1 case per 100,000. A significant increase has been observed for 2010 (13.9 cases per 100,000 in 2010 versus 1.8 in 2009). The 28 cases reported in 2010 involved five clusters and three isolated cases. The mean age of affected subjects was 27 years. Only 30% of cases had been vaccinated. The epidemic resurgence of measles observed in 2010 in the French armed forces follows the same pattern as that observed nationally and at European level, and can be seen as the likely consequence of inadequate vaccination cover.

International audience ; Since the start of 2010 there has been a flare-up of measles in France, following on the resurgence observed in 2008. The aim of this study was to present results of the epidemiological surveillance of measles in the French armed forces and to describe the increase in incidence. Measles was surveyed from 1992 to 2010. Criteria for report were those used for French national compulsory notification. The data, concerning active military personnel, were provided by the physicians in the armed forces using anonymous data collection forms. Between 1992 and July 2010, 689 cases of measles were notified. Since 2002, the mean incidence rate was 1 case per 100,000. A significant increase has been observed for 2010 (13.9 cases per 100,000 in 2010 versus 1.8 in 2009). The 28 cases reported in 2010 involved five clusters and three isolated cases. The mean age of affected subjects was 27 years. Only 30% of cases had been vaccinated. The epidemic resurgence of measles observed in 2010 in the French armed forces follows the same pattern as that observed nationally and at European level, and can be seen as the likely consequence of inadequate vaccination cover.