Éditeur(s) : UNDP Guyana UNDP Guyana ( Guyana )
Résumé : (Funding) Support for the development of the technical infrastructure and partner training provided by the United States Department of Education TICFIA program.
While the global response to HIV and AIDS has realized several successes in achieving universal access to prevention, care and treatment to date, challenges persist in ensuring equal access to these services for most at risk populations. The epidemiology of HIV reflects a stark disparity in access to prevention and treatment services for neglected most-at risk populations, such as men who have sex with men (MSM). World-wide, MSM often experience higher rates of HIV relative to the total population. The reasons for this dynamic are multi-faceted and include high risk behaviors, and cultural as well as structural barriers. For MSM in developing countries, for example, basic services for prevention and treatment of HIV infection have yet to reach the large majority of men. Homophobia and discrimination limit access of MSM to prevention services and markedly increase vulnerability, as do criminalization of same-sex behavior. Decriminalization of same-sex behavior is a structural intervention for prevention of HIV infection and has recently been embraced by a nonbinding statement from the United Nations (Beyrer C,Clin Infect Dis. 2010 May 15;50 Suppl 3:S108-13) In the Caribbean, all of the above mentioned barriers exist. In fact, recent evidence demonstrates that there is a correlation between the decriminalization of homosexuality and lower rates of HIV (UNAIDS). This correlation is attributed to improved access to services. Therefore, The United Nations Development Program (UNDP) has recently launched an initiative to address the current situation regarding men who have sex with men in Guyana where the HIV prevalence in this population is 19.4% in contrast to 1.8% in the total population. This rapid assessment has been commissioned to supplement two previous studies that were conducted in Guyana in informing the design of upcoming activities to support local capacity building to enhance access to services and respect for the human rights protections for MSM. Unfortunately, in Guyana, like much of the Caribbean, MSM tend to be a hard to reach population, perhaps due to elevated levels of stigma and discrimination and difficulty in accessing men who might participate in high risk same sex behaviors yet do not self-identify as an MSM. As a result, there is a relative paucity of data concerning the knowledge, attitudes and behaviors of this total population in Guyana. (i.e. those who self –identify and those who do not) The baseline report is organized as follows: the methodology is explained followed by the study limitations, the review (literature and desk). The report then proceeds with describing the reality of work and working with sexual and gender minorities in Guyana, the status quo and entry points. The main findings of the capacity assessment and focus groups are then discussed. Issues relating to the uniformed forces and health services providers are then presented followed by discussions and conclusions.

Droits : All rights reserved by the source institution.

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
ABSTRACT: BACKGROUND: Climate change poses unprecedented challenges, ranging from global and local policy challenges to personal and social action. Heat-related deaths are largely preventable, but interventions for the most vulnerable populations need improvement. Therefore, the prior identification of high risk areas at the community level is required to better inform planning and prevention. We aimed to demonstrate a simple and flexible conceptual framework relying upon satellite thermal data and other digital data with the goal of easily reproducing this framework in a variety of urban configurations. RESULTS: The study area encompasses Rennes, a medium-sized French city. A Landsat ETM + image (60 m resolution) acquired during a localized heatwave (June 2001) was used to estimate land surface temperature (LST) and derive a hazard index. A land-use regression model was performed to predict the LST. Vulnerability was assessed through census data describing four dimensions (socio-economic status, extreme age, population density and building obsolescence). Then, hazard and vulnerability indices were combined to deliver a heatwave health risk index. The LST patterns were quite heterogeneous, reflecting the land cover mosaic inside the city boundary, with hotspots of elevated temperature mainly observed in the city center. A spatial error regression model was highly predictive of the spatial variation in the LST (R2 = 0.87) and was parsimonious. Three land cover descriptors (NDVI, vegetation and water fractions) were negatively linked with the LST. A sensitivity analysis (based on an image acquired on July 2000) yielded similar results. Southern areas exhibited the most vulnerability, although some pockets of higher vulnerability were observed northeast and west of the city. The heatwave health risk map showed evidence of infra-city spatial clustering, with the highest risks observed in a north--south central band. Another sensitivity analysis gave a very high correlation between 2000 and 2001 risk indices (r = 0.98, p < 10-12). CONCLUSIONS: Building on previous work, we developed a reproducible method that can provide guidance for local planners in developing more efficient climate impact adaptations. We recommend, however, using the health risk index together with hazard and vulnerability indices to implement tailored programs because exposure to heat and vulnerability do not require the same prevention strategies.
ISSN: 1476-072X

inserm-00762303
http://www.hal.inserm.fr/inserm-00762303
http://www.hal.inserm.fr/inserm-00762303/document
http://www.hal.inserm.fr/inserm-00762303/file/1476-072X-11-38.pdf
DOI : 10.1186/1476-072X-11-38

Éditeur(s) : HAL CCSD Wiley
Résumé : International audience
AimEcological connectivity is currently considered to be essential to enhance biodiversity conservation efforts and benefit adjacent areas. We evaluate the spatial structure of vulnerable marine benthic invertebrate populations based on connectivity to improve the placement of marine protected areas.LocationGulf of Lions, NW Mediterranean Sea.MethodsWe used a spatially explicit metapopulation model to explore how larval dispersal affects marine benthic invertebrate dynamics at local and regional scales. Minimum recruitment success (the proportion of larvae that settle in a site and survive between spawning and first reproduction, which is required to ensure species persistence) is proposed as a measure of vulnerability. Three contrasting simulations were constructed: closed versus connected populations, habitat loss versus recruitment failure disturbances and varying patterns of oceanographic connectivity. The rescue factor (the ratio of minimum recruitment success in connected and closed populations) quantified the decrease in vulnerability because of oceanographic connectivity.ResultsIn the Gulf of Lions, connectivity reduced population vulnerability by a rescue factor of 5.3. The minimum recruitment success for regional persistence decreased from 3% to 0.2% when species' life expectancies increased from 2 to 50 years. Connectivity enabled the spread of individuals over the entire region, but there were higher densities in sink sites, where low retention rates do not allow for local persistence (western tip of the gulf). Source sites, defined as those sites bringing metapopulation resistance to recruitment failure and stresses from habitat loss, were located in the centre of the gulf.Main conclusionsConnectivity drives the spatial structure of population density distribution and population vulnerability in the absence of any other structuring factor. In the Gulf of Lions, marine protected areas are located in population sinks; however; if protection measures were taken in the central part, populations would benefit throughout the region via the rescue effect.
ISSN: 1366-9516

hal-01341743
https://hal-univ-perp.archives-ouvertes.fr/hal-01341743
DOI : 10.1111/ddi.12254

Éditeur(s) : HAL CCSD
Résumé : il s'agit d'un type de produit dont les métadonnées ne correspondent pas aux métadonnées attendues dans les autres types de produit : ACTIVITY_REPORT
Understanding genomic evolution in wild populations is of particular importance because evolution is a central process in our understanding of populations’ history and their future response to global changes. In addition to fundamental knowledge, the study of populations’ evolution has wide applications such as conservation/restoration genetics or epidemiology. Indeed, genetic diversity is the ‘fuel’ for populations’ evolution and adaptation to new conditions, and estimating the extent and the geographic structure of genetic diversity, as well as identifying the evolutionary forces behind (demography, gene flow, and adaptation) are thus major challenges in the current context of global changes. [br/]A particular attention is currently devoted to the process of genetic divergence in wild populations, with emphases on gene flow, local adaptation, and their interactions. Indeed, adaptation in wild populations is supported in many species by many kinds of experiments based on both quantitative phenotypic traits and molecular data. However, the processes governing populations’ evolution are poorly understood in the tropical rainforest of Amazonia, and the relative influence of neutral and adaptive processes are continuously discussed. [br/]I am a young scientist interested in the process of genomic divergence in wild (tree) populations. I aimed at understanding how evolution structures the genetic diversity and governs molecular divergence in wild populations, with particular emphases on gene flow and local adaptation. During five years as a young scientist, I worked on answering the following questions, focusing on two tree species occupying vulnerable areas: mainly [i]Eperua falcata[/i] in Amazonia and, to a lesser extent, [i]Abies alba[/i] in the Mediterranean area.[br/][u]Scientific questions:[/u][br/]- Which evolutionary drivers are responsible of the structure of genetic diversity in wild populations occupying wide areas? This question was addressed at different geographical scales: from large (regional) to very local (microgeographic) scales. [br/]- What is the relative influence of neutral (gene flow, inbreeding) and adaptive drivers in the process of genetic divergence?[br/]- Is microgeographic adaptation possible in spite of extensive gene flow between populations occupying the extreme boundaries of an ecological gradient? [br/]- What is the extent of natural selection in the (whole) genome of wild populations? [br/][br/]My research work is at the interface between three promising disciplines: Evolutionary genomics (i.e. the study of populations evolution and the evolutionary drivers behind), Bioinformatics (i.e. the treatment of next-generation data), and Bayesian modelling (i.e. the empirical calibration of complex mechanistic model). I intend to take advantage of the recent advances in sequencing and informatic technologies to bring up to date the field of ecological genetics and evolutionary biology, by developing modern research strategies to study the process of genomic divergence in wild populations.
https://hal.archives-ouvertes.fr/hal-01204218

hal-01204218
https://hal.archives-ouvertes.fr/hal-01204218
PRODINRA : 286326

Éditeur(s) : HAL CCSD
Résumé : Climate change is one of the biggest public health threats in the 21th century. An increase in temperatures will lead to an increase in mortality attributable to temperature. In addition, some populations and territories are particularly vulnerable to the impact of increases in heat. It is thus necessary to identify these populations and territories as well as examine future heat-Related health impacts in order to recommend equity-Oriented policies today and in the future. The general objective of this thesis is to document current and future heat-Related vulnerability factors in the context of climate change. In order to address this general objective, the thesis involved four components: a) to conduct a systematic review and a meta-Analysis to assess the heterogeneity in the heat-Mortality associations with respect to individual and contextual population characteristics; b) to identify whether and how the magnitude of mean temperature effects on all-Cause mortality were modified by chronic air pollution exposure, social deprivation, and a combination of these two dimensions; c) to develop a method to quantify the climate change impacts on heat-Related mortality using climate modeling; d) to assess historical and future social disparities in years of life lost caused by ambient temperature in Montreal and Paris, and compare these estimates as well as the impact of climate change on social disparities between the two cities. This thesis highlights which populations are more vulnerable to heat and shows that several differences exist with regard to guidelines from international public health institutions for the identification of vulnerable populations. This thesis also identified chronic air pollution exposure as a new vulnerability factor in heat-Related mortality and that it has a double interaction with social deprivation. Furthermore, in this thesis a novel method to quantify future heat-Related mortality was developed which emphasized the strong evidence of an increase in heat-Related mortality under climate change. This method was then applied to estimate the increase in daily years of life lost social disparities in both Montreal and Paris under climate change which showed that this increase would be greater in Montreal compared to Paris in the future. Thus, this thesis which used a variety of epidemiologic methods has clarified which populations are particularly vulnerable to heat impacts and challenges guidelines for the identification of vulnerable populations from international public health institutions. It has also highlighted the climate change impacts on health inequalities and aims to reorient equity-Focused policies.
Les changements climatiques constituent l’un des enjeux les plus importants en santé publique du XXIème siècle. En effet, une hausse des températures provoquera une hausse de la mortalité attribuable à la chaleur. En outre, certaines populations et territoires sont particulièrement vulnérables aux effets de la chaleur. Il est donc nécessaire de les identifier clairement ainsi que les impacts futurs pour orienter avec équité les politiques publiques aujourd’hui et à l’avenir. L’objectif de cette thèse est de documenter les facteurs de vulnérabilité à la chaleur dans le présent et les éléments permettant leur prise en compte pour l’avenir dans le contexte des changements climatiques. Quatre étapes ont été menées pour répondre à cet objectif : a) Mener une revue systématique et une méta-Analyse des facteurs de vulnérabilité face aux risques de mortalité en lien avec la chaleur ; b) Analyser si l’exposition chronique à la pollution atmosphérique modifie la relation entre la chaleur et la mortalité dans un contexte urbain (Paris) et explorer la double interaction avec la défaveur sociale ; c) Développer une méthode de quantification des impacts liés à la chaleur en lien avec les changements climatiques en intégrant une grande diversité de simulations climatiques ; d) Estimer les inégalités d’années de vies perdues attribuables à la chaleur et leurs projections futures dans deux contextes distincts (Montréal et Paris) et comparer ces inégalités. Cette thèse a permis de mettre en évidence sur la base de la littérature épidémiologique les groupes de population qui sont les plus vulnérables face aux effets de la chaleur et de montrer qu’il y a plusieurs divergences par rapport aux recommandations émises par les institutions de santé publique vis-À-Vis de l’identification de populations vulnérables. Cette thèse a permis également d’identifier l’exposition chronique à la pollution atmosphérique comme nouveau facteur de vulnérabilité à la chaleur et que cette vulnérabilité était encore plus prononcée lorsqu’il s’agissait de populations défavorisées socialement. Puis, une méthode permettant de quantifier l’impact des changements climatiques sur les décès attribuables à la chaleur et ses sources d’incertitudes a été développée, et a permis de mettre en évidence que la probabilité que les changements climatiques conduisent à une augmentation de la mortalité en lien avec la chaleur est très forte. Cette méthode a ensuite été utilisée pour estimer que l’augmentation de la température conduira à une augmentation des inégalités sociales d’années de vie perdues à la fois à Montréal et à Paris, l’effet des changements climatiques sur l’accroissement de ces inégalités étant plus fort à Montréal qu’à Paris. Cette thèse, en se basant sur diverses méthodes épidémiologiques, a permis dans l’ensemble de clarifier quelles populations étaient particulièrement à risque face aux effets de la chaleur et de questionner les recommandations émises par les organismes tels que l’OMS. Elle a également permis de montrer l’effet des changements climatiques sur l’évolution de vulnérabilités face à la chaleur pour inciter dès aujourd’hui la mise en place de politiques publiques équitables et limiter l’impact des changements climatiques sur l’accroissement des inégalités de santé.
https://tel.archives-ouvertes.fr/tel-01456772

Droits : info:eu-repo/semantics/OpenAccess
NNT : 2015PA11T003
tel-01456772
https://tel.archives-ouvertes.fr/tel-01456772
https://tel.archives-ouvertes.fr/tel-01456772/document
https://tel.archives-ouvertes.fr/tel-01456772/file/VA_BENMARHNIA_TARIK_05022015.pdf

Éditeur(s) : CNEXO
Résumé : This book constitutes the first of a series of three volumes, the purpose of which is to cover the principal methods used in fish population dynamics. It is devoted to the definition of the main concepts, ami the presentation of the usual mathematical models. The second volume will deal with the fitting of the models, and the estimation of parameters. The third will be devoted to sampling problems. These volumes will be recollections of communications presented during ad hoc seminars, hold in Brest (GSG/COB) in 1980 and 1981. The first part deals with the basic concepts related to the two components whose relationship is being described by the population dynamics, namely the fish stock, to its relations with biological populations, and to the partition of catchabtiity into its components (vulnerability, availability...). The second chapter of this part is devoted to the quantification of exploitation. This leads to a discussion of nominal and effective fishing effort and fishing intensity. A brief review of the use of catch per unit of effort as an index of abundance is followed by a discussion of the concept of fishing power. The second part starts with some general remarks on mathematical modelling (chapter III), then comes to the two classical categories of models : global (surplus production) models (chapter IV), and structural models (chapter V). Chapter IV is mainly a review, based upon the SCHAEFER and PELLATOMLINSON models. Some less classical formulas from the recent literature are also introduced. Attention is paid to the underlying hypotheses and to the limitation of such models. The reader is finally referred to papers presenting the developments that could make it possible to overcome some of these limitations. Chapter V is based upon the classical BEVERTON and HOLT and RlCKER models, and the yield per recruit concepts. This field is however inlarged. Other commonly used variants of structural models are presented with an effort being made to clarify the real differences between all these variants. Special attention is also paid to so-called regenerative models and to the use of spawing-biomass or fecundity per recruit, which are likely to become commonly used in the coming years. In all cases, special attention is paid to the presentation of the basic formulas, that the reader might have to use if faced with a practical problem. Finally, a discussion of the underlying hypotheses takes place, before a brief review of the main developments, where the reader is referred to the appropriate literature.
Ce livre constitue le premier volet d'un tryptique destiné à effectuer une revue des méthodes essentielles en dynamique des populations marines exploitées. Il est consacré à la définition des concepts de base, à la présentation des modèles courants. Dans la discussion des concepts, ce volume s'attache à clarifier les notions relatives aux deux parties dont les relations font l'objet de la dynamique des populations exploitées : le stock et la flottille de pêche. Ceci amène notamment à préciser la définition d'un stock, sa relation avec la notion de population biologique, à analyser les problèmes de définition de la capturabilité. Les concepts d'intensité, d'effort, de puissance de pêche, une analyse des relations entre abondance et capture par unité d'effort sont ensuite présentés. Après une brève réflexion générale sur la modélisation, la deuxième partie de cet ouvrage présente les modèles eux-mêmes, en abordant successivement les modèles dits globaux et structuraux. Un effort est fait pour couvrir non seulement les versions les plus anciennes, mais aussi les variantes récentes, pour détailler les relations entre ces différentes variantes, offrir un formulaire de base, enfin, discuter les hypothèses majeures et les prolongements souhaitables ou en cours.
Publications du C.N.E.X.O. Série "Rapports scientifiques et techniques" (0339-2899) (CNEXO), 1981 , N. 45 , P. 1-120

Droits : Centre National pour l'Exploitation des Océans, 1981
http://archimer.ifremer.fr/doc/1981/rapport-1126.pdf
http://archimer.ifremer.fr/doc/00000/1126/

Éditeur(s) : HAL CCSD Ecological Society of America
Résumé : Line transect surveys are widely used in neotropical rainforests to estimate the population abundance of medium- and large-sized vertebrates. The use of indices such as Encounter Rate has been criticized because the probability of animal detection may fluctuate due to the heterogeneity of environmental conditions among sites. In addition, the morphological and behavioral characteristics (biological traits) of species affect their detectability. In this study, we compared the extent to which environmental conditions and species' biological traits bias abundance estimates in terra firme rainforests in French Guiana. The selected environmental conditions included both physical conditions and forest structure covariates, while the selected biological traits included the morphological and behavioral characteristics of species. We used the distance sampling method to model the detection probability as an explicit function of environmental conditions and biological traits and implemented a model selection process to determine the relative importance of each group of covariates. Biological traits contributed to the variability of animal detectability more than environmental conditions, which had only a marginal effect. Detectability was best for large animals with uniform or disruptive markings that live in groups in the canopy top. Detectability was worst for small, solitary, terrestrial animals with mottled markings. In the terra firme rainforests which represent ~80% of the Amazonia and Guianas regions, our findings support the use of relative indices such as the encounter rate to compare population abundance between sites in species-specific studies. Even though terra firme rainforests may appear similar between regions of Amazonia and the Guianas, comparability must be ensured, especially in forests disturbed by human activity. The detection probability can be used as an indicator of species' vulnerability to hunting and, thus, to the risk of local extinction. Only a few biological trait covariates are required to correctly estimate the detectability of the majority of medium- and large-sized vertebrates. Thus, a biological trait model could be useful in predicting the detection probabilities of rare, uncommon or localized species for which few data are available to fit the detection function.
ISSN: 1051-0761

hal-01555267
https://hal.archives-ouvertes.fr/hal-01555267
DOI : 10.1002/eap.1549
PRODINRA : 396614
PUBMED : 28419598

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
While the fire coral Millepora platyphylla is an important component of Indo-Pacific reefs,where it thrives in a wide range of environments, the ecological and biological processesdriving its distribution and population structure are not well understood. Here, we quantifiedthis species' population structure in five habitats with contrasting hydrodynamic regimes inMoorea, French Polynesia; two in the fore reef: mid and upper slopes, and three in thelagoon: back, fringing and patch reefs. A total of 3651 colonies of fire corals were mappedand measured over 45,000 m2 of surveyed reef. Due to the species' sensitivity to fragmentationin response to strong water movement, hydrodynamic conditions (e.g. waves, pass andlagoonal circulation) corresponded to marked differences in colony size distributions, morphologyand recruitment dynamics among habitats. The size structure varied among reefhabitats with higher proportions of larger colonies in calm nearshore reefs (fringing andpatch reefs), while populations were dominated by smaller colonies in the exposed forereefs. The highest densities of fire corals were recorded in fore reef habitats (0.12±0.20 n.m-2) where the proportion of recruits and juveniles was higher at mid slope populations(49.3%) than on the upper slope near where waves break (29.0%). In the latter habitat, mostcolonies grew as vertical sheets on encrusting bases making them more vulnerable to colonyfragmentation, whereas fire corals were encrusting or massive in all other habitats. Thelowest densities of M. platyphylla occurred in lagoonal habitats (0.02±0.04 n.m-2) characterizedby a combination of low water movement and other physical and biological stressors.This study reports the first evidence of population structure of fire corals
ISSN: 1932-6203

hal-01561659
https://hal-univ-perp.archives-ouvertes.fr/hal-01561659
https://hal-univ-perp.archives-ouvertes.fr/hal-01561659/document
https://hal-univ-perp.archives-ouvertes.fr/hal-01561659/file/millepora%20platyphylla.pdf
DOI : 10.1371/journal.pone.0173513

Éditeur(s) : HAL CCSD Taylor & Francis (Routledge)
Résumé : International audience
The French Antilles (Martinique, Saint Martin and Guadeloupe) and French Guiana are the French territories most affected by the HIV epidemic. Some population groups such as men who have sex with men (MSM), especially those involved in transactional sex, are thought to be particularly vulnerable to HIV but few data exist to help characterize their health-related needs and thus implement relevant prevention interventions. To fill this knowledge gap, we used data collected from an HIV/AIDS Knowledge, Attitudes, Behaviours and Practices survey conducted in 2012 among MSM living in the French Antilles and French Guiana and recruited through snowball sampling. Our objectives were to compare social and demographic characteristics and sexual behaviours between MSM engaging in transactional sex and MSM not engaging in transactional sex and to identify factors associated with transactional sex involvement using a logistic regression model. A total of 733 MSM were interviewed, 21% of whom reported to undergo transactional sex. Their behaviour and social and demographic characteristics were different from other MSMs’ and they were more exposed to factors that are recognized to potentiate HIVvulnerability, at the individual, community, network and structural levels. The variables positively associated with sex trade involvement were having ever consumed drug (OR = 2.84 [1.23–6.52]; p = .002), having a greater number of sex partners than the median (OR = 8.31 [4.84–14.30]; p < .001), having experienced intimate partner violence (OR = 1.72 [0.99–3.00]; p = .053) and having undergone physical aggression because of sexual orientation (OR = 2.84 [1.23–6.52];p = .014). Variables negatively associated with sex trade involvement were being older (OR = 0.93 [0.90–0.97] per year; p = .001), having a stable administrative situation (OR = 0.10 [0.06–0.19]; p < .001), having a stable housing (OR = 0.29 [0.15–0.55]; p < .001) and being employed full-time (OR = 0.29 [1.23–6.52]; p = .002).
ISSN: 0954-0121

inserm-01407263
http://www.hal.inserm.fr/inserm-01407263
http://www.hal.inserm.fr/inserm-01407263/document
http://www.hal.inserm.fr/inserm-01407263/file/AIDS%20Care%20final%20version.pdf
DOI : 10.1080/09540121.2016.1234680

Éditeur(s) : HAL CCSD
Résumé : International audience
This study aims at assessing the population vulnerability in the Pasig-Potrero River basin threatened by the recurrent lahars of Mt Pinatubo volcano (Philippines) subsequent to its 1991 eruption. A survey carried out between February and March 1998 enabled us to define and to map different levels of risk perception, the quality of the potential behaviors in the event of further lahars and of the demeanors in case of evacuation order. It was then possible to work out a typology and a cartography of human vulnerability in this study area.This study points out that, even though the risk perception is quite high, some problems remain, notably concerning warning and behaviors in case of evacuation.This work is part of a larger framework including population vulnerability assessment around Mt Pinatubo (social and institutional vulnerability). It also aims at estimating the effects, notably the territorial consequences, occurred as a result of a crisis linked to the volcano and its lahars, and that has been lasting for eight years. These results should allow to elaborate some risk and disaster scenarios. They are intended to be used as operational purposes in crises management such as relief arrangement, land use planning.
Cette étude a pour objectif d'évaluer la vulnérabilité des populations du bassin de la rivière Pasig-Potrero menacé par les lahars récurrents du volcan Pinatubo (Philippines) suite à l'éruption de 1991. A partir d'une campagne d'enquêtes sur le terrain, réalisée entre février et mars 1998, on a pu définir et cartographier différents niveaux de perception du risque, la qualité des comportements potentiels face aux lahars ainsi que des attitudes en cas d'ordre d'évacuation. Ces données ont ensuite permis de réaliser une typologie et une cartographie de la vulnérabilité dans le secteur d'étude.Il en ressort que si la perception du risque est assez élevée, des problèmes subsistent, notamment en matière d'alerte et de comportements en cas d'évacuation. La qualité de l'alerte a aussi montré, dans le passé, des carences qu'il convient aujourd'hui de combler.Ce travail s’inscrit dans un cadre plus large d'évaluation de la vulnérabilité des populations face au volcan Pinatubo (vulnérabilité sociale, institutionnelle...) el des conséquences, notamment territoriales, de huit années de crises liées à l'éruption, puis aux lahars.Ces conclusions peuvent guider l'élaboration de scénarios de risque et de catastrophe, utiles à des fins opérationnelles (planification des secours, aide à la gestion des crises, aménagement du territoire...).
Pangea

hal-01169313
https://hal.archives-ouvertes.fr/hal-01169313
https://hal.archives-ouvertes.fr/hal-01169313/document
https://hal.archives-ouvertes.fr/hal-01169313/file/Gaillard%20D%27Ercole%20Leone%201998%20-%20Cartographie%20de%20la%20vuln%C3%A9rabilit%C3%A9%20des%20populations%20Pinatubo%20Philippines.pdf

Éditeur(s) : HAL CCSD Lippincott, Williams & Wilkins
Résumé : International audience
BACKGROUND: Addressing vulnerability to heat-related mortality is a necessary step in the development of policies dictated by heat action plans. We aimed to provide a systematic assessment of the epidemiologic evidence regarding vulnerability to heat-related mortality. METHODS: Studies assessing the association between high ambient temperature or heat waves and mortality among different subgroups and published between January 1980 and August 2014 were selected. Estimates of association for all the included subgroups were extracted. We assessed the presence of heterogeneous effects between subgroups conducting Cochran Q tests. We conducted random effect meta-analyses of ratios of relative risks (RRR) for high ambient temperature studies. We performed random effects meta-regression analyses to investigate factors associated with the magnitude of the RRR. RESULTS: Sixty-one studies were included. Using the Cochran Q test, we consistently found evidence of vulnerability for the elderly ages extgreater85 years. We found a pooled RRR of 0.99 (95% confidence interval [CI] = 0.97, 1.01) for male sex, 1.02 (95% CI = 1.01, 1.03) for age extgreater65 years, 1.04 (95% CI = 1.02, 1.07) for age extgreater75 years, 1.03 (95% CI = 1.01, 1.05) for low individual socioeconomic status (SES), and 1.01 (95% CI = 0.99, 1.02) for low ecologic SES. CONCLUSIONS: We found strongest evidence of heat-related vulnerability for the elderly ages extgreater65 and extgreater75 years and low SES groups (at the individual level). Studies are needed to clarify if other subgroups (e.g., children, people living alone) are also vulnerable to heat to inform public health programs
ISSN: 1044-3983

hal-01197347
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01197347
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01197347/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01197347/file/Vulnerability%20to%20Heat-related%20Mortality%20A%20Systematic%20Review%2C%20Meta-analysis%2C%20and%20Meta-regression%20Analysis..pdf
DOI : 10.1097/EDE.0000000000000375

Éditeur(s) : HAL CCSD
Résumé : Molds are common contaminants in indoor environments. Health effects associated with these microscopic fungi are multiple, including irritations, allergic reactions, infections and toxicity. Depending on the exposure level and the vulnerability of the populations, fungi may represent different public health risks. For example, damp and moldy dwellings are associated with chronic, respiratory diseases such as asthma and allergic rhinitis. However, the lack of valid tools for accurately measuring the environmental fungal exposure is one of the main challenges to better understanding the role of fungal products and particles in human health. In this thesis, diverse sampling techniques and analytical methods were evaluated for measuring the fungal contamination in the air, on surfaces and in settled dust. A quantitative PCR-based index was notably tested and compared with other approaches to assess fungal exposure in dwellings. By collecting and analyzing settled floor dust, this index successfully distinguished between contaminated and non-contaminated homes in Brittany, France. Quantitative PCR and this index are promising techniques for fungal exposure assessment in indoor environments. Further validation of these methods may lead to disease prevention approaches, particularly for vulnerable populations.
Les moisissures sont des micro-organismes présents dans tous les environnements intérieurs. Les effets sur la santé associés à ces champignons microscopiques sont multiples : irritations, réactions immunoallergiques, infections et effets toxiques. Selon le niveau d'exposition et la vulnérabilité des populations, les moisissures peuvent représenter des risques plus ou moins importants pour la santé publique. Les logements humides et moisis ont par exemple été associés à des maladies chroniques respiratoires telles que l'asthme et les rhinites allergiques. Cependant, le manque d'outils valides permettant d'évaluer quantitativement l'exposition fongique environnementale constitue une des principales difficultés pour mieux appréhender le rôle des particules et des composés fongiques sur la santé humaine. Lors de ce travail de thèse, diverses techniques d'échantillonnage et méthodes d'analyses ont été évaluées afin de mesurer la contamination fongique de l'air, des surfaces et des poussières. Un indice moléculaire basé sur la technique de PCR quantitative a notamment été testé et comparé à d'autres approches pour mesurer l'exposition fongique dans des logements. Après analyse des poussières domestiques collectées au sol, cet indice a permis de discriminer les habitats avec ou sans moisissures visibles. La quantification de groupes fongiques par PCR quantitative s'avère une technique prometteuse pour la mesure de l'exposition aux moisissures dans les environnements intérieurs. Outre le développement et la validation d'outils de mesure, une démarche globale de prévention du risque fongique semble nécessaire, particulièrement chez les populations vulnérables.
https://tel.archives-ouvertes.fr/tel-00768444

Droits : info:eu-repo/semantics/OpenAccess
tel-00768444
https://tel.archives-ouvertes.fr/tel-00768444
https://tel.archives-ouvertes.fr/tel-00768444/document
https://tel.archives-ouvertes.fr/tel-00768444/file/MA_heust_Delphine.pdf

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BACKGROUND:In French Guiana, a French overseas territory in South America, 6 to 10 thousands undocumented persons work illegally in gold mining sites in the Amazonian forest. Precarious life conditions lead to poor health but few data exist on the health status of illegal gold miners in French Guiana. The objective of this article was to describe the sociodemographic and health status of this vulnerable population.METHOD:A prospective cross-sectional survey was conducted in 2015 on gold mine supply sites at the border between French Guiana and Suriname. Health status was assessed through medical examination, past medical history, haemoglobin concentration, and HIV and malaria testing. A questionnaire was used to collect data about the migration itinerary and life conditions on mining sites.RESULTS:Among the 421 adults included in the study, 93.8% (395/421) were Brazilian, mainly from Maranhão (55.7%, 220/395), the poorest Brazilian state. The sex ratio was 2.4. Overall, 48% of persons never went to school or beyond the primary level. The median time spent in gold mining was quite long (10 years), with a high turn-over. One third of the surveyed population (37.1%, 156/421) had high blood pressure, and only two had a medical follow-up. Most persons had experienced malaria (89.3%, 376/421). They declared frequent arboviroses and digestive disorders. Active leishmaniasis was observed in 8.3% of gold miners. Among women, 28.5% were anemic. Concerning HIV, 36.6% (154/421) of persons, mainly men, never got tested before and 6 were tested positive, which represented an HIV prevalence of 1.43% (95%CI =0.29-2.5).CONCLUSION:These findings support the hypothesis that mining in remote areas is linked to several specific illnesses. Theoretically, gold miners would be presumed to start their economical migration to French Guiana as a healthy group. However, their strenuous working and living conditions there lead to poor health caused by infectious and non infectious diseases. This description of their health status is precious for health policy planners in French Guiana given the importance of controlling communicable disease, and the severity and range of specific illnesses acquired by this neglected population.TRIAL REGISTRATION:Clinical trial registration PRS N° NCT02903706 . Retrospectively registered 09/13/2016.
ISSN: 1471-2458

inserm-01566314
http://www.hal.inserm.fr/inserm-01566314
http://www.hal.inserm.fr/inserm-01566314/document
http://www.hal.inserm.fr/inserm-01566314/file/2017%2C%20Douine%20-%20Illegal%20gold%20miners%20in%20French%20Guiana.pdf
DOI : 10.1016/S0140-6736(10)62169-1

Éditeur(s) : HAL CCSD EDP Sciences
Résumé : The physiological ageing, the chronic conditions and the psycho-social environment are source of vulnerability to the old subject. These factors impact on the oral pathologies while the oral affections can deteriorate them on the contrary and lead the patient in the spiral of the decompensation. The clinical examination has to consist of a global approach of the eldely person, what confers it a specific character. Within the framework of this article, we propose a methodology of diagnostic survey bringing to light the necessity of interdisciplinary collaboration between the medical participants
Le vieillissement physiologique, les pathologies chroniques et l’environnement psychosocial sont source de vulnérabilité chez le sujet âgé. Ces facteurs impactent les pathologies bucco-dentaires alors que les affections orales peuvent à l’inverse les aggraver et conduire le patient dans la spirale de la décompensation. L’examen clinique doit consister en une approche globale de la personne âgée, ce qui lui confère son caractère spécifique. Dans le cadre de cet article, nous proposons une méthodologie d’enquête diagnostique mettant en évidence la nécessité de collaboration interdisciplinaire entre les intervenants médicaux
ISSN: 1760-611X

hal-01136939
https://hal.archives-ouvertes.fr/hal-01136939
DOI : 10.1 0 5 1 / a o s / 2 0 1 2 1 0 9

Éditeur(s) : HAL CCSD
Résumé : International audience
An efficient management of natural hazards cannot be only a hazard assessment and the location of population in danger. It is necessary to take into account an estimation of the human vulnerability, communications, local infrastructure (individual and collective). Research work engaged in Ecuador on the Cotopaxi volcanic region and more recent projects illustrate this taking into account human factors and contribute to a hazard global approach.
La gestión completa de los riesgos naturales debe tener en cuenta la evaluación de probabilidades, la localización de la población, pero también el conjunto de factores humanos de vulnerabilidad. Las investigaciones llevadas a cabo en Ecuador, en la región del volcán Cotopaxi, constituyen un buen ejemplo.
Une gestion efficace des risques naturels ne peut se satisfaire de la seule évaluation des aléas et de la localisation des populations menacées. Elle doit également s'appuyer sur l'appréciation des facteurs humains de vulnérabilité, que ce soit sur le plan individuel ou collectif. Les travaux de recherche engagés en Equateur dans les régions exposées au volcan Cotopaxi el d'autres projets plus récents vont dans cette voie et concourent à une approche globale des risques. Leur caractère opérationnel ne peut que contribuer â la mitigation des effets des catastrophes naturelles.
Pangea

hal-01168555
https://hal.archives-ouvertes.fr/hal-01168555
https://hal.archives-ouvertes.fr/hal-01168555/document
https://hal.archives-ouvertes.fr/hal-01168555/file/D%27Ercole%201993%20Pangea%20Gestion%20risques%20r%C3%A9alit%C3%A9s%20sociales.pdf

Éditeur(s) : Université des Antilles Études caribéennes
Résumé : This document shows several of the main findings of the research work in the towns of San Juan de los Lagos and Santa Ana de Guadalupe, Jalostotitlán, Mexico, on the occasion of knowing the impact it has had the policy used by the Ministry of Tourism, regarding the promotion of religious tourism in both populations as a source for economic development.Among the findings are that the project whose intent is to develop a similar route to that of the "Camino de Santiago" in Spain, and include both populations is often unknown to visitors to these religious sites.Another important result concerns the data were limited marketing of products manufactured locally or regionally. This prevents the economic benefits of religious tourism that visits this population, have very little benefit to people nearby.
Cet article propose quelques-unes des principales conclusions de la recherche menée dans les villes de San Juan de los Lagos et Santa Ana de Guadalupe, Jalostotitlán, au Mexique, sur l'impact de la politique menée par le ministère du tourisme en matière de promotion du tourisme religieux comme source potentielle de développement économique.L’accent est mis sur le projet d’une route similaire à la "Camino de Santiago" en Espagne dont le but est d’impliquer les populations dans l’accueil des visiteurs et la mise en valeur des sites religieux. Un autre résultat important concerne la commercialisation des produits fabriqués localement ou régionalement. Cela permet d'éviter les retombées économiques du tourisme profitent davantage aux villes voisines qu’aux populations locales.
El presente documento, muestras varios de los principales hallazgos del trabajo de investigación realizado en las poblaciones de San Juan de los Lagos y Santa Ana de Guadalupe, Jalostotitlán, México, con motivo de conocer el impacto que ha tenido la política utilizada por la Secretaría de Turismo, referente a la promoción del turismo religioso en ambas poblaciones como fuente generadora para su desarrollo económico.Entre los hallazgos, se encuentran que el proyecto cuya intensión es desarrollar una ruta similar a la del "camino de Santiago" en España, y que incluiría ambas poblaciones, es desconcida para los visitantes a estos sitios religiosos.Otro resultado importante, se refiere a la escaza comercialización de productos manufacturados en de manera local o regional. Este hecho impide que los beneficios económicos del turismo religioso que visita esta poblaciones, tenga muy poco beneficio para las poblaciones vecinas.
San Juan de los Lagos
Jalostotitlán
Mexique

Droits : info:eu-repo/semantics/openAccess
urn:doi:10.4000/etudescaribeennes.5352
http://journals.openedition.org/etudescaribeennes/5352

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BACKGROUND: Heat and air pollution are both associated with increases in mortality. However, the interactive effect of temperature and air pollution on mortality remains unsettled. Similarly, the relationship between air pollution, air temperature, and social deprivation has never been explored. METHODS: We used daily mortality data from 2004 to 2009, daily mean temperature variables and relative humidity, for Paris, France. Estimates of chronic exposure to air pollution and social deprivation at a small spatial scale were calculated and split into three strata. We developed a stratified Poisson regression models to assess daily temperature and mortality associations, and tested the heterogeneity of the regression coefficients of the different strata. Deaths due to ambient temperature were calculated from attributable fractions and mortality rates were estimated. RESULTS: We found that chronic air pollution exposure and social deprivation are effect modifiers of the association between daily temperature and mortality. We found a potential interactive effect between social deprivation and chronic exposure with regards to air pollution in the mortality-temperature relationship. CONCLUSION: Our results may have implications in considering chronically polluted areas as vulnerable in heat action plans and in the long-term measures to reduce the burden of heat stress especially in the context of climate change.
ISSN: 1476-069X

hal-01070538
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01070538
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01070538/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01070538/file/1476-069X-13-53.pdf
DOI : 10.1186/1476-069X-13-53

Éditeur(s) : HAL CCSD Taylor & Francis (Routledge)
Résumé : International audience
Border areas are particular “hot spots” generating high levels of HIV vulnerability and facing great challenges to control epidemics. The objective of this study is to describe the sociodemographic, clinical and biological profiles of newly HIV diagnosed people at the French Guiana - Suriname border, to construct an HIV care cascade and compare it with the Surinamese one. HIV-patients aged over 15 years newly diagnosed in western French Guiana in 2011 and 2012 were included in a retrospective cohort study. Patients were identified using different sources (n=121). The male-to-female ratio was 0.8, 85% of the patients were of foreign origin, 72% were undocumented migrants, 21% were living in Suriname and 48% had baseline CD4 cell counts <200 cells/mm3. After one year, 34% were lost to follow-up, 54% received treatment, 34% had controlled viremia and 6% died. We observed a disappointing HIV cascade, like that of Suriname, requiring to develop a coordinated healthcare offer on both sides of the border. Targeted efforts through a bi-national collaboration are needed to address the specific issues of cross-border patients to reach the 90*3 UNAIDS’s diagnosis, link to care and treatment targets and better control the local epidemic
ISSN: 0954-0121

inserm-01476267
http://www.hal.inserm.fr/inserm-01476267
http://www.hal.inserm.fr/inserm-01476267/document
http://www.hal.inserm.fr/inserm-01476267/file/2017%20Jaries%20-%20Population%20movements%20and%20the%20HIV%20cascade-1.pdf
DOI : 10.1080/09540121.2017.1291899

Éditeur(s) : HAL CCSD Université des Antilles
Résumé : International audience
This study highlights the importance of tourism issues for the tropical islands. The singularity of the spaces is too often overlooked because of the strength of fantasized representations of the tropical island which is seen as a paradise, a place of accomplishment desires unlimited with an easy life, with its sunny shores, between coral reefs and white sandy beaches lined with coconut trees. These intangible wealth are based on real resources, abundant and vulnerable, like the emblematic image of coral reefs. Although the tropical island destinations are not supported the weight of the major touristic regions of the world but their flows should be reconsidered in the light of the characteristics of these territories (small size, load population, shortage of land, limits of resources) that require defining specific indicators. But the advent of mass tourism in these last frontiers, these "Pleasure Periphery" needs to question the sustainability of tourism development strategies.
Cette étude souligne l’importance des enjeux touristiques pour les îles tropicales. La singularité des espaces est trop souvent négligée en raison de la vigueur des représentations fantasmées de l’île tropicale qui est perçue tel un lieu paradisiaque, un lieu d’accomplissement de désirs illimités où s’écoule une vie facile, avec ses rivages ensoleillés, entre récifs coralliens et plages de sable blanc bordées de cocotiers. Ces richesses immatérielles reposent sur des ressources bien réelles, abondantes et vulnérables, à l’image des emblématiques récifs coralliens. Certes les destinations insulaires tropicales ne connaissent pas les niveaux de fréquentation des grandes régions du monde, mais leurs flux doivent être reconsidérés au regard des caractéristiques de ces territoires (faible superficie, charge de population, rareté de la terre, limites des ressources) qui nécessitent la définition d’indications spécifiques. Mais l’avènement d’un tourisme de masse dans ces ultimes frontières, ces « Pleasure Periphery » nécessite de s’interroger sur la viabilité des stratégies de développement mises en œuvre autour du tourisme.
ISSN: 1779-0980

hal-01624747
https://hal.archives-ouvertes.fr/hal-01624747
DOI : 10.4000/etudescaribeennes.852

Éditeur(s) : HAL CCSD Groupe français de géomorphologie (GFG)
Résumé : International audience
This study aims at assessing the vulnerability of populations in the Pasig-Potrero River basin, who are threatened by the recurrent lahars of Mt Pinatubo volcano (Philippines) in the aftermath of its 1991 eruption. A survey, carried out between February and March 1998, enabled us to define and to map different levels of risk perception, the quality of potential behavioural patterns in the event of further lahars, and attitudes in the event of an evacuation order. It was then possible to work out a classification and to map the patterns of human vulnerability in the study area. This study points out that, while risk perception is quite high, some problems remain, notably concerning the warning systems and the behaviour of the population in the case of an evacuation. Theses results should assist in elaborating risk and disaster scenarios. They are intended to be used for operational purposes in crisis management such as the organization of disaster relief, and in land use planning.
ISSN: 1266-5304

hal-01169334
https://hal.archives-ouvertes.fr/hal-01169334
https://hal.archives-ouvertes.fr/hal-01169334/document
https://hal.archives-ouvertes.fr/hal-01169334/file/article_morfo_1266-5304_2001numéro 7_3_1103.pdf
DOI : 10.3406/morfo.2001.1103