Sectoral Issues and Environmental Causes: The Mobilization of the French Basque Fishermen after the Sinking of the Prestige

This article analyses the mobilization of French Basque fishermen following the sinking of the oil tanker Prestige off the coast of Galicia (Spain) in 2002. This environmental disaster led to intense political action and bottom-up mobilization in the French Basque region, especially within a profession already undergoing structural changes since the 1990s, partly because of the implementation of the EU Common Fisheries Policy. The Basque fishermen's reactions clearly illustrate the specific stakes and power game at play within the trade. The Prestige disaster occurred at a time of deep changes, if not destabilization, of the sectoral modes of regulation, thus straining relationships between Europe, nations and infra-national bodies. It led to a reorganization of the local institutional order. The management of the crisis also shed light on the paradoxical dimension of a fishing community caught in between solidarity and competitive localism, sectoral interests and environmental issues, unity of the milieu and internal fragmentation. It reopened debate over EU regulations in so far as two competing perceptions of Europeanization were revealed by this crisis — general awareness among professionals of the European dimension in environmental issues vs specific awareness of the EU's extensive regulatory framework for the fishing industry

Use of the Mucorales qPCR on blood to screen high-risk hematology patients is associated with better survival

International audienceAbstract Our objective was to determine whether the twice-weekly screening of high-risk hematology patients by Mucorales qPCR on serum affects the prognosis of mucormycosis. Results from all serum Mucorales qPCR tests performed on patients from the hematology unit from January 2017 to December 2022 were analyzed. Patients with positive results were classified as having proven, probable or ‘PCR-only’ mucormycosis. One-month mortality for the local cohort was compared with that of a national cohort of cases of mucormycosis collected by the French surveillance network for invasive fungal disease (‘Réseau de surveillances des infections fongiques invasives en France’ (RESSIF)) from 2012 to 2018. From 2017 to 2022, 7825 serum Mucorales qPCR tests were performed for patients from the hematology unit; 107 patients with at least one positive Mucorales qPCR (164 positive samples) were identified. Sixty patients (70 positive samples, median Cq = 40) had no radiological criteria for mucormycosis and were considered not to have invasive fungal disease (70/7825, 0.9% false positives). It was not possible to classify disease status for six patients (12 positive samples, median Cq = 38). Forty-one patients (82 positive samples, median Cq = 35) had a final diagnosis of mucormycosis. In comparison with the RESSIF cohort, the local cohort was independently associated with a 48% lower one-month all-cause mortality rate (age-, sex- and primary disease-adjusted hazard ratio = 0.52; 95% confidence interval: 0.29-0.94; P 0.03). Proactive screening for invasive mold diseases in high-risk hematology patients, including twice-weekly Mucorales qPCR on serum, was associated with mucormycosis higher survival