| Title: |
Malaria control in French Guiana: What are the challenges in this last endemic French territory in 2024? ; Prise en charge du paludisme en Guyane : quels enjeux dans ce dernier territoire endémique français en 2024 ? |
| Authors: |
Dahuron, Laureen; Musset, Lise; Tréhard, Hélène; Sanna, Alice; Dia, Aïssata; Lazrek, Yassamine; Naldjinan-Kodbaye, Richard; Cébrian, Virgine; Carvalho, Luisiane; Andro, Yannick; Bonot, Bérengère; Boutrou, Mathilde; Lesens, Olivier; Le Turnier, Paul; Abboud, Philippe; Daverton, Brice; Mubenga, Francky; Oberlis, Margot; Duchemin, Jean-Bernard; Djossou, Félix; Patarot, Delphine; Rwagitinywa, Joseph; Mosnier, Émilie; Douine, Maylis; Epelboin, Loïc |
| Contributors: |
Unité des Maladies Infectieuses et Tropicales (UMIT); Centre Hospitalier Andrée Rosemon Cayenne, Guyane Française; Laboratoire de Parasitologie Cayenne, Guyane française; Institut Pasteur de la Guyane; Pasteur Network (Réseau International des Instituts Pasteur)-Pasteur Network (Réseau International des Instituts Pasteur); Centre National de Référence du Paludisme Cayenne, Guyane française (CNR - laboratoire associé); Centre Collaborateur OMS pour la surveillance de la résistance aux antipaludiques - WHO Collaborating Center for Surveillance of Anti-malarial Drug Resistance Cayenne, Guyane française (CC-OMS / WHO-CC); Pasteur Network (Réseau International des Instituts Pasteur)-Pasteur Network (Réseau International des Instituts Pasteur)-Organisation Mondiale de la Santé / World Health Organization Office Genève, Suisse (OMS / WHO); Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD); Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM); Centre d'investigation clinique Antilles-Guyane (CIC - Antilles Guyane); Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pointe-à-Pitre / Abymes Guadeloupe -Centre Hospitalier Andrée Rosemon Cayenne, Guyane Française -Centre Hospitalier Universitaire de Martinique Fort-de-France, Martinique (CHU Martinique); Direction interarmées du service de santé de Guyane Cayenne, Guyane française (DIASS Guyane); Agence Régionale de Santé Guyane (ARS Guyane); Agence Régionale de la Santé (ARS); Santé publique France Guyane; Santé publique France - French National Public Health Agency Saint-Maurice, France; Centre d'Investigation Clinique Antilles-Guyane (CIC - Antilles Guyane); Université des Antilles et de la Guyane (UAG)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pointe-à-Pitre / Abymes Guadeloupe -CHU de Fort de France-Centre Hospitalier Andrée Rosemon Cayenne, Guyane Française; Croix-rouge française Cayenne, Guyane Fraçaise; Entomologie médicale Cayenne, Guyane française; Institut des sciences de la santé publique Marseille (ISSPAM); ANRS - Maladies infectieuses émergentes (ANRS - MIE); Institut National de la Santé et de la Recherche Médicale (INSERM); University of Health Sciences Phnom-Penh, Cambodia (UHS); Aucun |
| Source: |
ISSN: 2778-2034 ; Médecine Tropicale et Santé Internationale ; https://hal.science/hal-05076101 ; Médecine Tropicale et Santé Internationale, 2025, 5 (1), ⟨10.48327/mtsi.v5i1.2025.536⟩. |
| Publisher Information: |
CCSD; Société francophone de médecine tropicale et santé internationale |
| Publication Year: |
2025 |
| Collection: |
Inserm: HAL (Institut national de la santé et de la recherche médicale) |
| Subject Terms: |
South America; French Guiana; Radical treatment; Public health; Amérique du sud; Malaria; Guyane; Traitement radical; Santé publique; Plasmodium vivax; Paludisme; [SDV]Life Sciences [q-bio] |
| Description: |
International audience ; French Guiana, the last malaria-endemic region of France, is facing an epidemic resurgence of malaria since the end of 2023. This epidemic, primarily caused by Plasmodium vivax, mainly affects populations that are far from the healthcare system. It has highlighted the difficulties of providing a full course of treatment. This includes both curative treatment with artemisinin derivatives (following the withdrawal of chloroquine from the market) and eradicative treatment with primaquine, with the challenge of excluding G6PD deficiency.The aim of this paper is to describe the problems of malaria diagnosis and management in this unique territory, to highlight the adaptations made and to propose diagnostic, therapeutic and follow-up schemes adapted to the possibilities of access to the health system, with a view to homogenizing practices. This article also highlights the innovative strategies implemented in French Guiana to deal with this new epidemic: health mediation, mobile malaria team, rapid diagnostic tests and immediate out-of-hospital treatment Test and Treat, devel-opment of self-diagnosis and self-treatment. These proposals are part of a campaign to eliminate malaria in France in the short term. ; Malaria control in French Guiana: What are the challenges in this last endemic French territory in 2024? French Guiana, the last malaria-endemic region of France, is facing an epidemic resurgence of malaria since the end of 2023. This epidemic, primarily caused by Plasmodium vivax, mainly affects populations that are far from the healthcare system. It has highlighted the difficulties of providing a full course of treatment. This includes both curative treatment with artemisinin derivatives (following the withdrawal of chloroquine from the mar-ket) and eradicative treatment with primaquine, with the challenge of excluding G6PD deficiency. The aim of this paper is to describe the problems of malaria diagnosis and management in this unique territory, to highlight the adaptations made and to ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/40248577; PUBMED: 40248577; PUBMEDCENTRAL: PMC12001996 |
| DOI: |
10.48327/mtsi.v5i1.2025.536 |
| Availability: |
https://hal.science/hal-05076101; https://hal.science/hal-05076101v1/document; https://hal.science/hal-05076101v1/file/5628%2BDAHURON.pdf; https://doi.org/10.48327/mtsi.v5i1.2025.536 |
| Rights: |
https://about.hal.science/hal-authorisation-v1/ ; info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.488D8B3D |
| Database: |
BASE |