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The Epidemiologic Transition in French Guiana: Secular Trends and Setbacks, and Comparisons with Continental France and South American Countries

There are great variations between population subgroups, notably in poorer countries, leading to substantial inconsistencies with those predicted by the classical epidemiologic transition theory. In this context, using public data, we aimed to determine how the singular case of French Guiana fit and...

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Autores principales: Nacher, Mathieu, Basurko, Célia, Douine, Maylis, Lambert, Yann, Hcini, Najeh, Elenga, Narcisse, Le Turnier, Paul, Epelboin, Loïc, Djossou, Félix, Couppié, Pierre, de Toffol, Bertrand, Drak Alsibai, Kinan, Sabbah, Nadia, Adenis, Antoine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10143289/
https://www.ncbi.nlm.nih.gov/pubmed/37104345
http://dx.doi.org/10.3390/tropicalmed8040219
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author Nacher, Mathieu
Basurko, Célia
Douine, Maylis
Lambert, Yann
Hcini, Najeh
Elenga, Narcisse
Le Turnier, Paul
Epelboin, Loïc
Djossou, Félix
Couppié, Pierre
de Toffol, Bertrand
Drak Alsibai, Kinan
Sabbah, Nadia
Adenis, Antoine
author_facet Nacher, Mathieu
Basurko, Célia
Douine, Maylis
Lambert, Yann
Hcini, Najeh
Elenga, Narcisse
Le Turnier, Paul
Epelboin, Loïc
Djossou, Félix
Couppié, Pierre
de Toffol, Bertrand
Drak Alsibai, Kinan
Sabbah, Nadia
Adenis, Antoine
author_sort Nacher, Mathieu
collection PubMed
description There are great variations between population subgroups, notably in poorer countries, leading to substantial inconsistencies with those predicted by the classical epidemiologic transition theory. In this context, using public data, we aimed to determine how the singular case of French Guiana fit and transitioned in the epidemiologic transition framework. The data show a gradual decline in infant mortality to values above 8 per 1000 live births. Premature mortality rates were greater but declined more rapidly in French Guiana than in mainland France until 2017 when they reascended in a context of political turmoil followed by the COVID-19 pandemic and strong reluctance to get vaccinated. Although infections were a more frequent cause of death in French Guiana, there is a marked decline and circulatory and metabolic causes are major causes of premature death. Fertility rates remain high (>3 live births per woman), and the age structure of the population is still pyramid-shaped. The singularities of French Guiana (rich country, universal health system, widespread poverty) explain why its transition does not fit neatly within the usual stages of transition. Beyond gradual improvements in secular trends, the data also suggest that political turmoil and fake news may have detrimentally affected mortality in French Guiana and reversed improving trends.
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spelling pubmed-101432892023-04-29 The Epidemiologic Transition in French Guiana: Secular Trends and Setbacks, and Comparisons with Continental France and South American Countries Nacher, Mathieu Basurko, Célia Douine, Maylis Lambert, Yann Hcini, Najeh Elenga, Narcisse Le Turnier, Paul Epelboin, Loïc Djossou, Félix Couppié, Pierre de Toffol, Bertrand Drak Alsibai, Kinan Sabbah, Nadia Adenis, Antoine Trop Med Infect Dis Article There are great variations between population subgroups, notably in poorer countries, leading to substantial inconsistencies with those predicted by the classical epidemiologic transition theory. In this context, using public data, we aimed to determine how the singular case of French Guiana fit and transitioned in the epidemiologic transition framework. The data show a gradual decline in infant mortality to values above 8 per 1000 live births. Premature mortality rates were greater but declined more rapidly in French Guiana than in mainland France until 2017 when they reascended in a context of political turmoil followed by the COVID-19 pandemic and strong reluctance to get vaccinated. Although infections were a more frequent cause of death in French Guiana, there is a marked decline and circulatory and metabolic causes are major causes of premature death. Fertility rates remain high (>3 live births per woman), and the age structure of the population is still pyramid-shaped. The singularities of French Guiana (rich country, universal health system, widespread poverty) explain why its transition does not fit neatly within the usual stages of transition. Beyond gradual improvements in secular trends, the data also suggest that political turmoil and fake news may have detrimentally affected mortality in French Guiana and reversed improving trends. MDPI 2023-04-08 /pmc/articles/PMC10143289/ /pubmed/37104345 http://dx.doi.org/10.3390/tropicalmed8040219 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nacher, Mathieu
Basurko, Célia
Douine, Maylis
Lambert, Yann
Hcini, Najeh
Elenga, Narcisse
Le Turnier, Paul
Epelboin, Loïc
Djossou, Félix
Couppié, Pierre
de Toffol, Bertrand
Drak Alsibai, Kinan
Sabbah, Nadia
Adenis, Antoine
The Epidemiologic Transition in French Guiana: Secular Trends and Setbacks, and Comparisons with Continental France and South American Countries
title The Epidemiologic Transition in French Guiana: Secular Trends and Setbacks, and Comparisons with Continental France and South American Countries
title_full The Epidemiologic Transition in French Guiana: Secular Trends and Setbacks, and Comparisons with Continental France and South American Countries
title_fullStr The Epidemiologic Transition in French Guiana: Secular Trends and Setbacks, and Comparisons with Continental France and South American Countries
title_full_unstemmed The Epidemiologic Transition in French Guiana: Secular Trends and Setbacks, and Comparisons with Continental France and South American Countries
title_short The Epidemiologic Transition in French Guiana: Secular Trends and Setbacks, and Comparisons with Continental France and South American Countries
title_sort epidemiologic transition in french guiana: secular trends and setbacks, and comparisons with continental france and south american countries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10143289/
https://www.ncbi.nlm.nih.gov/pubmed/37104345
http://dx.doi.org/10.3390/tropicalmed8040219
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