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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...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-10143289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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