Éditeur(s) : HAL CCSD John Libbey Eurotext
Résumé : National audience
The most recent data on prevalence of chronic hepatitis B and C in the French Overseas Territories (FOT) show great variability among these territories with a prevalence rising from 0.46 to 3.4% for HBs Antigen and from 0.02 to 0.67%for anti HCV antibodies. The modes of transmission rely mainly for HBV on sexual or materno-fetal exposure, especially among people from non-French border endemic areas, and for HCV on blood or nosocomial route. Good adhesion of the treating physicians and pediatricians to vaccination has significantly reduced the prevalence of HBV in the ten past years, with an estimated coverage of 75 to 85%depending on the territories. Although there is still a high prevalence of HBV in some FOT, the screening policy and management are based on those carried out inmetropolitan France, which seems insufficient and inadequate to the situation of these territories. Regarding the therapeutic management of HCV, the means attributed to FOT have been identical to those of metropolitan France but the small number of specialist practitioners and remoteness contributed to provision of new molecules later in certain territories. Medical pluridisciplinary sessions have been implemented and based on the universitary or regional hospitals. Copyright © 2017 John Libbey Eurotext.
ISSN: 2115-3310

hal-01485859
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01485859
DOI : 10.1684/hpg.2016.1379

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
Background: End-Stage renal disease (ESRD) causes considerable morbidity and mortality, and significantly alterspatients’ quality of life. There are very few published data on this problem in the French Overseas territories. Thedevelopment of a registry on end stage renal disease in French Guiana in 2011 allowed to describe the magnitudeof this problem in the region for the first time.Methods: Using data from the French Renal Epidemiology and Information Network registry (R.E.I.N). Descriptivestatistics on quantitative and qualitative variables in the registry were performed on prevalent cases and incidentcases in 2011, 2012 and 2013.Results: French Guiana has one of the highest ESRD prevalence and incidence in France. The two main causes ofESRD were hypertensive and diabetic nephropathies. The French Guianese population had a different demographicprofile (younger, more women, more migrants) than in mainland France. Most patients had at least one comorbidity,predominantly (95.3%) hypertension. In French Guiana dialysis was initiated in emergency for 71.3% of patients versus33% in France (p < 0.001).Conclusion: These first results give important public health information: i) End stage renal disease has a very highprevalence relative to mainland France ii) Patients have a different demographic profile and enter care late in thecourse of their renal disease. These data are closer to what is observed in the Caribbean or in Latin America than inMainland France.
ISSN: 1471-2369

inserm-01567222
http://www.hal.inserm.fr/inserm-01567222
http://www.hal.inserm.fr/inserm-01567222/document
http://www.hal.inserm.fr/inserm-01567222/file/2017%2C%20Rochemont%20-%20End%20stage%20renal%20disease.pdf
DOI : 10.1186/s12882-017-0614-6

Résumé : L’outre-mer comprend des régions, des pays et des territoires aux statuts divers et au passé hérité en grande partie des grandes puissances européennes, ce qui les a placés dans une communauté d’intérêts avec les Etats auxquels ils sont rattachés mais aussi avec l’Union européenne (UE).Néanmoins, ces régions, pays et territoires n’ont eu cesse de reconstruire entre eux des liens historiques et culturels et de tisser des relations avec l’ensemble de l’outre-mer afin de présenter une cohérence d’ensemble dans leur négociation avec l’Union européenne.Les régions ultrapériphériques appliquent le droit communautaire tandis que les pays et territoires d’outre-mer, situés en dehors du territoire communautaire, connaissent un régime d’association avec l’Union européenne.Le Danemark, l’Espagne, la France, les Pays-Bas, le Portugal et le Royaume-Uni ont procédé aux réformes constitutionnelles autorisant de multiples évolutions statutaires dans le respect du droit à l’autodétermination des populations.Forts d’une évolution statutaire et d’un développement économique et social continu, les régions, pays et territoires d’outre-mer souhaitent maintenant faire valoir leurs droits et défendre leurs intérêts au niveau européen et sur la scène internationale.La globalisation des politiques les incite à se regrouper au sein d’institutions internationales. Le rattachement de ces territoires à des Etats de droit leur a ouvert la voie à des systèmes juridiques bien structurés mais aussi aux valeurs européennes. Leur ultrapériphérité les a placés dans une situation géopolitique qui les a fait accéder aux relations internationales.L’objet de cette thèse est de démontrer l’interdépendance entre ces différents ordres juridiques et l’influence du droit européen et du droit international sur l’évolution statutaire de l’outre-mer vers davantage d’autonomie, mais aussi de responsabilisation et de prise en charge de son développement au moyen d’une implication dans son environnement régional, d’une coopération inter-régionale ou transnationale et d’une participation aux travaux des organisations internationales.
The Overseas regions, countries and territories present various statuses inherited mainly from the major European Powers which placed them in a relationship of a common interest not only with their mother countries but also with the European Union (EU).However, these territories have continuously re-built between them historical and cultural links, and weaved relationship within the entire Overseas to appear as a constituted whole while negotiating with the EU.The outermost regions (OR) apply Community Law while the Overseas Countries and territories (OCT) situated outside the territory of the Community, have Association Arrangements with the EU.Denmark, France, Netherlands, Portugal, Spain and United Kingdom have proceeded to necessary constitutional reforms to allow numerous articles amendments in respect of right to self-determination of peoples.At the light of statutory amendments and of a continuous economic and social development, the Outermost regions (OR) and the Overseas Countries and Territories (OCT), now wish to assert their rights and to defend their interests at European and International level.Globalisation of policies encourages OR and OCT to gather within International bodies. The rule of law of the related countries opens them to well-structured legal systems and to European values. The outermost geopolitical localisation makes them to have access to international relations.The purpose of this thesis is to demonstrate the interdependence between these different legal systems and the impact of European and International Law on the statutory amendments of the Overseas towards more autonomy, but also liabilities and involvement on their own development by using their regional environment, inter-regional and transnational cooperation and taking part at the works of international organisations.

http://www.theses.fr/2014AGUY0812

Résumé : The goal of this study was to provide economic data to align Ifremer's research programme with the global socio-economic context, which is the crux of this work. Although the economies of the French Overseas Departments and Territories are poorly understood in mainland France, a brief macroeconomic analysis shows that they have the following main features: steady, but unbalanced growth, as indicated by high unemployment rates and low trade indices, and an overdeveloped services sector. This situation can be explained by an economic growth regime specific to the French overseas regions. It is based on, for the most part, public subsidies, a voluntary strategy promoted by the public authorities to raise the standards of living in the overseas regions.
L'objet de cette étude est de fournir des éléments économiques qui permettent de mettre en parallèle la démarche de programmation de recherche de l'IFREMER et le contexte socio-économique d'ensemble dans lequel cette recherche s'insère. Si l'économie des DOM-TOM reste méconnue en métropole, une analyse macroéconomique rapide montre bien quelles en sont les caractéristiques principales : une croissance soutenue mais très déséquilibrée comme l'attestent un taux de chômage élevé et un taux de couverture des importations dérisoire, l'existence d'un secteur tertiaire qualifié parfois d'"hypertrophié"... Cette situation s'explique par un mode de croissance spécifique à l'outre-mer français. Il repose pour une large part sur l'intervention financière publique, qui elle-même découle de la volonté exprimée par les pouvoirs publics de promouvoir un rattrapage rapide des niveaux de vie ultramarins. [OCR NON CONTRÔLE]

Droits : info:eu-repo/semantics/openAccess
http://archimer.ifremer.fr/doc/1991/rapport-4094.pdf
http://archimer.ifremer.fr/doc/00000/4094/

Éditeur(s) : HAL CCSD
Résumé : 07075 - Actes en ligne à l'adresse : http://www.congresintaref.org/index.php?cont_id=8&lang=fr
International audience
L'objectif de l'étude présentée ici est d'étudier quel peut être l'effet d'un bilinguisme familial sur le développement des acquisitions scolaires. Si certains travaux en psycholinguistique tendent à en révéler le rôle plutôt positif, la représentation commune qui prévaut dans le contexte particuliers des DOM français est plutôt défavorable. Un suivi longitudinal d'un échantillon d'élèves martiniquais de la GSM au CP a permis successivement d'évaluer les compétences langagières des élèves dans leurs deux langues et d'en déterminer l'effet sur leurs compétences en lecture. L'analyse des données tend à confirmer qu'en contexte martiniquais, le développement d'un bon niveau de maîtrise équilibré dans les deux langues facilite l'acquisition de la lecture, tant au niveau du décodage que de la compréhension.
Actes du congrès AREF 2007 (CD)
Strasbourg, France

Droits : info:eu-repo/semantics/OpenAccess
halshs-00205048
https://halshs.archives-ouvertes.fr/halshs-00205048
https://halshs.archives-ouvertes.fr/halshs-00205048/document
https://halshs.archives-ouvertes.fr/halshs-00205048/file/07075.pdf

Résumé : Le Brésil et la France partagent une frontière commune sur plus de 700 kilomètres, via la Guyane, région monodépartementale d’Outre-Mer française, et l’Amapá, Etat de la République fédérative du Brésil. Réalité socio-spatiale en marges à toutes les échelles malgré le différentiel socio-économique fort qu’elle marque, la frontière franco-brésilienne est devenue, depuis les années 1990, une interface politique, support de la relance des relations internationales franco-brésiliennes et des relations entre Guyane et Amapá.La thèse pose la question de cet écart en se concentrant sur la partie estuarienne de la frontière fluviale de l’Oyapock, autour des bourgs riverains de Saint-Georges (Guyane française) et d’Oiapoque (Brésil), entre lesquels un pont binational d’envergure est en construction, malgré leur rattachement routier à la marge aux polarités régionales de Cayenne et de Macapá.
Brazil and France share a common border of over 700 km via French Guiana, a French Overseas monodepartmental region, and Amapá, State of the Federal Republic of Brazil. Socio-spatial margin at all scales despite the strong socio-economic differential it marks, the Franco-Brazilian border has become since the 1990s a political interface, support for the revival of the Franco-Brazilian international relations and of the relations between French Guiana and Amapá. The thesis raises the question of this gap, focusing on the estuarine portion of the border river of the Oyapock, around the towns of Saint-Georges (French Guiana) and Oiapoque (Brazil) ; a significant bi-national bridge is under construction between these two towns, despite their road connection as margins to the regional polarities of Cayenne and Macapá.
Brasil e França compartilham uma fronteira comum com mais de 700 km através da Guiana Francesa, Região monodepartamental ultramarina francesa, e do Amapá, Estado da República Federativa do Brasil. Realidade sócio-espacial à margem a todas as escalas, apesar do forte diferencial sócio-econômico que a marca, a fronteira franco-brasileira tornou-se, desde os anos 90, uma interface política, suporte para a retomada das relações internacionais franco-brasileiras e das relações entre a Guiana Francesa e o Amapá. A tese expõe a questão deste desnível, centrando-se na porção estuarina da fronteira fluvial do Oiapoque, ao redor das pequenas cidades de Saint-Georges (Guiana Francesa) e de Oiapoque (Brasil), entre as quais uma ponte binacional de grande porte está em construção, apesar da ligação rodoviária delas como margens aos pólos regionais de Caiena e Macapá.

http://www.theses.fr/2012AGUY0504/document

Éditeur(s) : HAL CCSD BioMed Central
Résumé : 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.
ISSN: 1475-2875

hal-01346800
https://hal.archives-ouvertes.fr/hal-01346800
https://hal.archives-ouvertes.fr/hal-01346800/document
https://hal.archives-ouvertes.fr/hal-01346800/file/2016%2C%20Douine%20-%20Prevalence%20of%20Plasmodium%20spp.%20in%20illegal%20gold%20miners%20in%20French%20Guiana%20in%202015.pdf
DOI : 10.1186/s12936-016-1367-6