Les difficultés d’un suivi épidémiologique longitudinal dans les services de santé au travail

INTRODUCTION: This study was designed to describe the difficulties of epidemiological follow-up of employees by occupational health services. METHODS: This study was based on two transverse studies conducted by the Pays de la Loire musculoskeletal disorders (MSD) surveillance network. Eighty-three occupational health physicians included 3,710 employees between 2002 and 2005 and had to review them between 2007 and 2009. Thirteen of these physicians changed jobs and 7 changed geographical sector in the same occupational health service. RESULTS: Another 94 physicians were contacted and 85 agreed to participate in the network. The follow-up rate was 43%: 1,044 employees were reviewed by the physician who saw them on inclusion and 567 employees were reviewed by another physician of the network. The other employees were distributed as follows: 25% were lost to follow-up and their occupational status remained unknown; 23% were still employed with an identified occupational health physician but had not attended a medical visit during the follow-up study; 5% had left the occupational health surveillance system. Only 23 employees refused to participate in the follow-up and 105 employees had a physician who refused to participate. DISCUSSION: There is therefore a considerable mobility of occupational health physicians, which interfered with follow-up despite their good mobilization and a high percentage of employee are lost to follow-up after having left their jobs. More appropriate systems must be set up to follow populations of employees, such as new collaborations with general practitioners

Assessing the contribution of diazotrophs to microbial Fe uptake using a group specific approach in the Western Tropical South Pacific Ocean

Diazotrophs are often limited by iron (Fe) availability in the oligotrophic ocean. The Western Tropical South Pacific (WTSP) ocean has been suggested as an intense N2 fixation area due to Fe fertilizations through shallow hydrothermal activity. Yet, the Fe demand of diazotrophs in their natural habitat, where they cohabit with other microbial organisms also requiring Fe, remains unknown. Here we develop and apply a method consisting of coupling 55Fe uptake experiments with cell-sorting by flow cytometry, and provide group-specific rates of in situ Fe uptake by the microbial community in the WTSP, in addition to bulk and size fractionation rates. We reveal that the diazotrophs Crocosphaera watsonii and Trichodesmium contribute substantially to the bulk in situ Fe uptake (~33% on average over the studied area), despite being numerically less abundant compared to the rest of the planktonic community. Trichodesmium had the highest cell-specific Fe uptake rates, followed by C. watsonii, picoeukaryotes, Prochlorococcus, Synechococcus and finally heterotrophic bacteria. Calculated Fe:C quotas were higher (by 2 to 52-fold) for both studied diazotrophs compared to those of the non-diazotrophic plankton, reflecting their high intrinsic Fe demand. This translates into a diazotroph biogeographical distribution that appears to be influenced by ambient dissolved Fe concentrations in the WTSP. Despite having low cell-specific uptake rates, Prochlorococcus and heterotrophic bacteria were largely the main contributors to the bulk Fe uptake (~23% and ~12%, respectively). Overall, this group-specific approach increases our ability to examine the ecophysiological role of functional groups, including those of less abundant and/or less active microbes

Dissolved Iron Patterns Impacted by Shallow Hydrothermal Sources Along a Transect Through the Tonga‐Kermadec Arc

International audienceIn the Western Tropical South Pacific, a hotspot of dinitrogen-fixing organisms has been identified. The survival of these species depends on the availability of dissolved iron (DFe); however, the source of this DFe is still unclear. DFe was measured along a transect from 175°E to 166°W near 19–21°S. The distribution of DFe showed high spatial variability: low concentrations (∼0.2 nmol kg−1) in the South Pacific gyre and high concentrations (up to 50 nmol kg−1) in the west of the Tonga arc, indicating that this arc is a clear boundary between iron-poor and iron-rich waters. An optimal multiparameter analysis was used to distinguish the relative importance of physical transport relative to non-conservative processes on the observed distribution. This analysis demonstrated that the shallow hydrothermal sources present along the Tonga-Kermadec arc are responsible for the high concentrations observed in the photic layer. Nevertheless, in contrast to what has been observed for deep hydrothermal plumes, our results highlighted the rapid decrease in DFe concentrations near shallow hydrothermal sources. This is likely due to a shorter residence time of surface water masses combined with several biogeochemical processes at play (precipitation, scavenging, biological uptake, and photoreduction). This study clearly highlights the role of shallow hydrothermal sources on the DFe cycle within the Tonga-Kermadec arc where a strong link to biological activity in surface waters can be assessed, despite the small but significant fraction of DFe ultimately stabilized. It also emphasizes the need to consider the impact of these sources for a better understanding of the global iron cycle