In order to determine the prevalence of antibodies to hepatitis A, C, and E viruses (HAV, HCV, and HEV) in the various ethnic groups and areas of French Guiana, sera (996 for HCV and HEV, 941 for HAV) were tested for antibodies to these viruses using ELISAs. Differences in HAV seroprevalence were found for different age groups, with a large increase in people aged 20-30 years in comparison with those under 20. After logistic analysis, significant differences were found between places of residence; the prevalence of anti-HAV was higher along the Maroni and Oyapock rivers than in the littoral area. The ethnic differences that were observed were generally due to differences in residence. Of all sera, 5.3% were positive for anti-HCV in preliminary tests, but only 1.5% remained positive after confirmation. Brazilians were significantly more frequently infected by HCV than other ethnic groups (4.7%). Sixty-four sera (6.4%) had antibodies to HEV, and differences were found between ethnic groups. Persons of ethnic groups who had emigrated recently to French Guiana had significantly higher seroprevalence rates: 14.6% for Chinese and Hmongs [odds ratio (OR), 4.4; 95% confidence interval (CI), 1.8-10.7], 13.5% for Brazilians (OR, 4.1; CI, 1.8-9.4), and 10.6% for Haitians (OR, 3.1; CI, 1.1-8.7).

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BackgroundCompassion is a key component of quality care. Encouraging Health Care Professionals (HCPs) to develop a patient-centered care relationship through mindfulness and compassion training may be beneficial for both patients and HCPs.MethodWe assessed the impact of a compassion-centered mindfulness program [i.e., the Mindfulness Based (MB) CARE program] on healthcare practice conducting 10 phone interviews with HCPs who experienced the program.ResultsThe training had an overall positive impact on the HCPs ability to feel compassion toward their patients and themselves, helped them develop kindness toward themselves and their patients, and enhanced their attention to their patient’s needs and theirs. Participants were better able to accept the difficult work experiences or those their patients experienced, with more perceived equanimity and less reactivity.ConclusionProfessional mindfulness and compassion training programs could be operational levers for institutions aiming at fostering more compassionate HCPs–patients relationships.

Dès sa création en mai 2016, Santé publique France a marqué un engagement significatif pour la promotion de la santé dans le champ de la périnatalité, de la petite enfance et de l’enfance. Notre approche se fonde sur l’état des connaissances sur les besoins fondamentaux des enfants qui met en exergue le méta-besoin d’établir des relations affectives stables avec un adulte qui lui portera attention. L’unité soutient actuellement deux expérimentations d’interventions pour accompagner la parentalité, en s’appuyant en particulier sur le développement des compétences psychosociales : panjo (Promotion de la santé et de l’Attachement des Nouveau-nés et de leurs Jeunes parents : un Outil de renforcement des services de pmi ) et psfp (Programme de Soutien aux Familles et à la Parentalité). En complément, l’agence s’engage également dans une démarche de valorisation et de capitalisation de ces interventions jugées prometteuses ou probantes. Il est en effet indispensable de faire dialoguer ces deux courants, notamment en interrogeant nos pratiques évaluatives, qu’il ne faudrait pas percevoir en opposition mais en synergie.

In December 2013, an emergence of chikungunya was observed in the French Caribbean region. The French syndromic surveillance system SurSaUD, based on the daily collection of attendances on emergency departments and calls to associations SOS Medecins, ensure a complementary surveillance with the specific system based on a sentinel general practitioners network. This study describes the temporal pattern of the chikungunya epidemic and the characteristics of patients in the French overseas territories of Americas using the syndromic surveillance system.