Le Conseil Habitat-Santé dans la prise en charge des maladies allergiques respiratoires

Charpin-Kadouch, C.; Mouche, Jean-Marie; Quéralt, J.; Ercoli, J.; Hugues, B.; Garon, Marie-Ève; Dumon, H.; Charpin, D.

doi:10.1016/s0761-8425(08)74347-x

Cited by 7 publications

(5 citation statements)

References 25 publications

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“…As an example, in 84% of dwellings inspected by the CHS service, several recommendations have been provided [13]. The same conclusion was drawn by the 2002 National French housing survey [19]: among the subgroup of dwellings with visible moulds, 23% had another structural defect, 13% had 2 other defects and 2% had 3 other defects.…”

Section: Current Achievementsmentioning

confidence: 71%

“…IFID and CRIPI concluded that 30% of families did not implement the recommendations. This percentage was 25% in the SAMI experience and 40% in the CHS service [13]. CMEI has led more detailed validation of the impact of home inspection on mite-allergen levels [18].…”

Section: Current Achievementsmentioning

confidence: 97%

“…(Table 2) In the IFID experience, bronchial symptoms are acknowledged by 63% of persons living in inspected dwellings, ear, nose, throat (ENT) symptoms by 58%, ''allergies'' by 49%, headaches by 46% and recurrent infections by 45%. In the CHS service, 69% of patients complain of rhinitis, 52% asthma, 18% conjunctivitis, 10% recurrent bronchitis and 8% chronic cough [13]. In the CRIPI statistics, the symptoms leading to a call are, in order of decreasing importance: asthma, nocturnal cough, recurrent respiratory infections, respiratory or ENT allergy, respiratory symptoms and hypersensitivity pneumonitis (http://www.sami.be).…”

Section: Logisticsmentioning

confidence: 99%

“…The CMEI service has also been implemented in Portugal (Housing & Health Quality, H 2 Q) [10] and in Marseille, France [11]. In southern France, a service (Conseil Habitat-Santé, CHS) was developed in 2001 after the green ambulance service to assess a large array of respiratory and non-respiratory indoor health hazards [12,13]. All these services are activated because of health complaints.…”

mentioning

confidence: 99%

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Environmental home inspection services in Western Europe

Charpin

Baden

Bex³

et al. 2010

Environ Health Prev Med

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This review deals with environmental home inspection services in Western Europe provided for patients at the request of attending physicians to improve patient management. Such requests are usually motivated by respiratory or general symptoms which occur or worsen at home. The visit includes a standardised questionnaire as well as environmental sampling such as mite-allergen measurement, mould identification and volatile organic compound (VOC) measurements. Besides, some nonrespiratory indoor risks are also taken into account. Following the visit, a report is sent to the family and the attending physician. These services have been developed since the early 1990s, but evaluation of their efficacy is still limited. Some studies have demonstrated a reduction in mite-allergen levels and clinical improvement following the visit and implementation of advice provided to the family. However, more studies are needed to further document efficacy and also perform cost-benefit analysis of these services.

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Section: Current Achievementsmentioning

confidence: 71%

Section: Current Achievementsmentioning

confidence: 97%

Section: Logisticsmentioning

confidence: 99%

mentioning

confidence: 99%

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Environmental home inspection services in Western Europe

Charpin

Baden

Bex³

et al. 2010

Environ Health Prev Med

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“…According to Gaudreau, “taking social attitudes into account in the preparation of educative interventions would favor the development of more highly integrated health (…)” ( 45 ). Our study could thus contribute to the elaboration of research strategies and a health education campaign ( 46 , 47 ). One remaining priority is the development of research in order to reduce uncertainties, and to implement regulations.…”

Section: Discussionmentioning

confidence: 90%

Views of General Practitioners on Indoor Environmental Health Risks in the Perinatal Period

et al. 2015

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BackgroundHome is generally perceived as a safety place, whereas the concentration of pollutants, influenced not only by external pollution but also by human activities, the presence of domestic animals, construction and furniture materials, are sometimes greater than outside.ObjectivesThe aim of this study is to determine the general practitioners’ (GPs) views on indoor environmental health risks in the perinatal period.MethodsFour semi-structured focus group with 31 GPs were conducted in two French departments in November 2009, February, March, and April 2010. The focus group meetings were analyzed using a general thematic analysis.ResultsPerinatal care is a special health issue and a time of privileged sensitization. The attitude of health risks are well known in the case of “traditionally” toxic substances. In the case of “emerging” environmental exposure, these attitudes depend on the knowledge, beliefs, and experience specific to each practitioner. GPs are acquiring a new role in the field of environmental health, while at the same time coming to grips with its own strengths and limitations. The implementation of prevention depends on factors, which are not only specific to the practitioner but also related to the parents and the organization of the medical practice.ConclusionThe sensitization of GPs to environmental medicine, promotion of eco-citizen education, development of research, and the distribution of information are some of the means which need to be implemented to prevent harmful exposure of the infant.

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