Hunger in French Guiana, an endemic plague worsened by the health crisis

IF 0.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sante Publique Pub Date : 2023-12-11 DOI:10.3917/spub.234.0417
Florence Huber, Célia Basurko, Margot Oberlis, Leslie Alcouffe, Cyril Rousseau, Katell Le Poulain, Adriana Gonzalez, Lindsay Osei, Karl Kpossou, Nicolas Vignier, Claire Boceno, Solène Wiedner-Papin
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Abstract

In 2020, food shortages occurred at the beginning of the confinement period that was supposed to curb the COVID-19 pandemic. In French Guiana, where a major part of the population lives under the poverty line, health workers voiced major concerns. Alongside massive food aid distributions, a first transversal study was carried out in August 2020 targeting poor neighborhoods in Cayenne. The results were particularly worrying. More than 80% of households had been suffering from hunger during that month, with a median decrease of 46% in revenue. Two other investigations followed in February and then in August of 2021. With the relaxing of the health measures, the situation improved in the Cayenne region, but two out of three were still affected, showing signs of quantitative deficiencies and insufficient food diversity. The situation seemed particularly grave for children. In light of this situation, we propose to create an observatory of food insecurity in Guiana, while maintaining this topic as a health priority. In addition, the fight against food insecurity cannot be limited to multi-sectorial material and strategic aide. It must be thought about in a more global manner, including health and social questions, territorial management policies, access to land and water, access to rights and social inclusion. Targeted actions helping the most exposed and vulnerable people is also an important stake, independent of the administrative situation and residency rights of the concerned people.

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法属圭亚那的饥饿--因健康危机而恶化的地方性瘟疫
2020 年,在本应遏制 COVID-19 大流行病的隔离期开始时出现了粮食短缺。在法属圭亚那,大部分人口生活在贫困线以下,卫生工作者对此表示严重关切。在大规模分发食品援助的同时,2020 年 8 月还针对卡宴的贫困街区开展了首次横向研究。研究结果尤其令人担忧。当月,超过 80% 的家庭遭受饥饿,收入减少的中位数为 46%。随后在 2021 年 2 月和 8 月又进行了两次调查。随着卫生措施的放松,卡宴地区的情况有所改善,但三分之二的家庭仍然受到影响,出现了数量不足和食物多样性不足的迹象。儿童的情况似乎尤为严重。鉴于这种情况,我们建议在圭亚那建立一个粮食不安全观察站,同时继续将这一主题作为卫生方面的优先事项。此外,消除粮食不安全的斗争不能仅限于多部门的物质和战略援助。必须从更全面的角度来考虑这个问题,包括卫生和社会问题、领土管理政策、获得土地和水、获得权利和社会包容。采取有针对性的行动,帮助最易受影响和最脆弱的人群,这也是一项重要的利害关系,与相关人员的行政状况和居住权无关。
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来源期刊
Sante Publique
Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.40
自引率
33.30%
发文量
252
审稿时长
>12 weeks
期刊介绍: La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc
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