Vaccination par le BCG : enquête auprès d'enfants de moins de 5 ans consultant dans un service d'urgences hospitalières

International audienceFrance is a country with a low incidence of tuberculosis. However, there are important local variations: some parts of the city of Marseilles (southern France) presented a yearly incidence greater than 30/100,000 in 2010. The main goal of this study was to evaluate the BCG vaccine coverage among at-risk children younger than 5 years consulting in one of the city's pediatric emergency departments. Material and methods. This descriptive study took place in February 2013 and used a semi-directive questionnaire distributed to parents. Results. One hundred and thirty-five children were included, 98 (72.6 %) were considered as being at risk of tuberculosis and among them 75 (76.5 %, 95 % CI [68.0–85.1]) were vaccinated with BCG. Parents' knowledge of tuberculosis was relevant in 48 % of the respondents. Only 19 % of the parents reported that BCG protects against tuberculosis, but 73 % were in favor of this vaccination. Two criteria significantly increased vaccine coverage among at-risk children: birth in Marseilles and age more than 6 months on the consultation day. The child living in a poor family and type of medical follow-up did not significantly influence BCG vaccine coverage. Conclusion. BCG coverage was high in at-risk children younger than 5 years born in Marseilles. Cooperation between private physicians , maternity hospitals and mothers, and children's public health services probably facilitates this high level of protection.Malgré une faible incidence de la tuberculose en France, il existe de grandes variations à l'échelle communale : certains quartiers de Marseille présentent ainsi une incidence annuelle supérieure à 30/ 100 000. Le but de notre étude etait d'évaluer la couverture vaccinale par le vaccin de Calmette et Guérin (BCG) des enfants à risque aâgés de moins de 5 ans consultant dans un service d'urgences pédiatriques. Matériel et méthodes : Cette étude descriptive a eété réalisée en février 2013 à l'aide d'un questionnaire semi-directif proposé aux parents. Résultats : Cent-trente-cinq enfants ont été inclus, 98 (72,6 %) étaient considérés àrisque de tuberculose et parmi ces derniers 75 (76,5 %, IC 95 % [68,0–85,1]) eétaient vaccinés par le BCG. Seuls 48 % des parents connaissaient la tuberculose et 19 % savaient que le BCG protégeait contre cette maladie, mais 73 % étaient favorables à ce vaccin. Deux paramètres étaient liés à la vaccination des enfants à risque : une naissance à Marseille et un âge supérieur à 6 mois le jour de la consultation. La précarité des conditions de vie et le type de suivi médical n' influençaient pas significativement la couverture vaccinale des enfants à risque. Conclusion : En 2013, la couverture vaccinale par le BCG des enfants de moins de 5 ans nés à Marseille et à risque de tuberculose était correcte mais perfectible. Une coopération entre médecins de ville, maternités et services de protection maternelle et infantile (PMI) permet probablement d'obtenir cette bonne couverture vaccinale

Families, work and social care in Europe. A qualitative study of care arrangements in Finland, France, Italy, Portugal and the UK

The SOCCARE Project studied social care arrangements of European families in five different socio-economic and cultural environments that represent the variety of European welfare states (Finland, France, Italy, Portugal and the UK). It focused on four key family types that all are heavily affected by the ongoing demographic, socio-economic and structural changes within European societies: 1) lone parent families, 2) dual-career families, 3) immigrant families and, 4) “double front carer” families (that have young children and, at the same time, elderly family members in need of care).European Commission, 5th Framework Programm

The Unknown Risk of Vertical Transmission in Sleeping Sickness—A Literature Review

Children with human African trypanosomiasis (HAT) present with a range of generally non-specific symptoms. Late diagnosis is frequent with often tragic outcomes. Trypanosomes can infect the foetus by crossing the placenta. Unequivocal cases of congenital infection that have been reported include newborn babies of infected mothers who were diagnosed with HAT in the first 5 days of life and children of infected mothers who had never entered an endemic country themselves

Modesty and modernity: photography, race, and representation on Mexico’s Costa Chica (Guerrero)

This article uses ethnographic techniques to examine photographic practices in and around San Nicolás Tolentino, Guerrero, a rural community in a historically black region of Mexico. At its core is a juxtaposed interpretation of a book of photographs entitled Tierra Negra (Black Earth), taken by a Mexican photographer in the early 1990s, and local people’s “home” photos, mostly portraits of family members displayed on the walls of sitting rooms. In 2001, I brought Tierra Negra to San Nicolás in order to elicit local people’s responses to the photographs, which turn out to be mostly of them. Through their comments on these photos, as well as discourses around their home photos, I elaborate on identity issues and local people’s formulations of progress and modernity. I situate my analysis in the historical and anthropological scholarship on race and photographic representation as I draw conclusions about the distinct yet overlapping meanings that “outsiders” and “insiders” give to blackness and the values that such blackness holds as commodity, as historical memory and as one of the roots of Mexican national identity