Concurrent Dengue and Malaria in Cayenne Hospital, French Guiana

Dengue–malaria co-infection reports are scarce. Of 1,723 consecutive febrile patients in Cayenne Hospital, 238 had dengue (174 early dengue fever cases) and 393 had malaria (371 acute malaria); 17 had both. Diagnosis of 1 of these 2 infections should not rule out testing for the other infection

Descriptive epidemiology of suicide attempts and suicide in the remote villages of French Guiana

International audienceOBJECTIVE:The overall rate of suicide in French Guiana is estimated at 6 per 100,000, a rate that is lower than in mainland France. Given the frequent reports of suicide in Amerindian communities, our hypothesis was that this figure fails to capture a more contrasted reality. Our objective was to refine estimates and determine suicide rates in remote villages of French Guiana.METHODS:We included patients for whom a suicide attempt or suicide was mentioned in medical records. The Health centers were grouped into two zones according to geographical remoteness.RESULTS:The highest suicide rates observed in the remote Amerindian villages of Camopi and Trois Sauts were, respectively, 118 and 78/100,000. The median age at the time of suicide was significantly younger in remote zones [23 years (95% CI 21.59-25.06)] than in non-remote zones-[27 years (95% CI 24.47-29.31)]. The most frequent methods were hanging (78%) and intoxication (22%).CONCLUSIONS:The suicide rate in remote areas in French Guiana was eight times higher than in France. The suicide of young people in remote areas in French Guiana and specifically in Amerindian villages must be better understood and prevented with contextualized and adapted care

Organisation et bilan de la filière de consultations de re-convocation au cours de l’épidémie de dengue en 2013 au CH de Cayenne

International audienc

Stratum specific incidence rates and adjusted hazard ratios for central nervous system signs for different clinical covariates.

Stratum specific incidence rates and adjusted hazard ratios for central nervous system signs for different clinical covariates.</p

Stratum specific incidence rates and adjusted hazard ratios for central nervous system signs for different significant clinical and biological covariates.

<p>Stratum specific incidence rates and adjusted hazard ratios for central nervous system signs for different significant clinical and biological covariates.</p

Stratum specific incidence rates and adjusted hazard ratios for central nervous system signs for different significant biological covariates.

<p>Stratum specific incidence rates and adjusted hazard ratios for central nervous system signs for different significant biological covariates.</p

“Kaplan Meier curve for neurological disorder during dengue fever by age group”.

<p>“Kaplan Meier curve for neurological disorder during dengue fever by age group”.</p