Intoxications au paraquat en Guyane française : utilisation persistante lors de comportements suicidaires en outre-mer

Objectif : Le paraquat, herbicide qui a été largement employé dans le monde, est très toxique en cas d’ingestion avec atteinte hépatorénale en phase aiguë et fibrose pulmonaire retardée. De ce fait, cet herbicide a été retiré du marché européen en juillet 2007. Cependant, malgré l’interdiction, les accidents surviennent toujours : les auteurs rapportent le cas d’une intoxication collective volontaire en Guyane française survenue en 2011. Méthode : Un adolescent de 14 ans et sa mère ont développé, après une prise volontaire de paraquat, des symptômes caractéristiques de l’intoxication avec une atteinte hépatorénale chez le garçon et une défaillance multiviscérale chez sa mère. Le jeune homme a reçu un protocole immunosuppresseur pour prévenir le risque de complication pulmonaire. Résultats : L’atteinte hépatorénale du fils a été d’évolution rapidement favorable. Après 16 jours d’hospitalisation et 2 mois de surveillance, aucune séquelle n’a été décelée. Sa mère ayant ingéré une plus grande quantité d’herbicide, celle-ci est décédée en 48 h. Conclusion : Le paraquat tue encore aujourd’hui en France d’outre-mer, malgré l’interdiction de la commercialisation datant de 5 ans

The relocation of a health care department's. Impact on staff: a Cross-Sectional Survey.

International audienceObjective: This survey compares certain quality of work-life factors between a relocated work group and a control group. Methods: A self-administered, cross-sectional survey was conducted 12 months after five departments (304 workers) had been relocated between two public health sites. The survey explored the workers' psychosocial job characteristics, their perceived health, and psycho-organizational constraints. The results compared both the relocated and control groups by using univariate and then multivariate statistical analyzes. Results: When compared with the control group (n = 272), the relocated group (n = 180) showed a higher prevalence of psychosocial job characteristic "isostrain." The relocated group showed greater psycho-organizational constraints regarding the organizations favoring communication and team relationships. Conclusions: It seems that staff relocation can provoke a sense of uncertainty and isolation. Perhaps better communication might have reduced this and deter possible negative health outcomes

The Relocation of a Health Care Department's Impact on Staff A ă Cross-Sectional Survey

International audienceObjective: This survey compares certain quality of work-life factors ă between a relocated work group and a control group. Methods: A ă self-administered, cross-sectional survey was conducted 12 months after ă five departments (304 workers) had been relocated between two public ă health sites. The survey explored the workers' psychosocial job ă characteristics, their perceived health, and psycho-organizational ă constraints. The results compared both the relocated and control groups ă by using univariate and then multivariate statistical analyzes. Results: ă When compared with the control group (n = 272), the relocated group (n = ă 180) showed a higher prevalence of psychosocial job characteristic ă ``isostrain.'' The relocated group showed greater ă psycho-organizational constraints regarding the organizations favoring ă communication and team relationships. Conclusions: It seems that staff ă relocation can provoke a sense of uncertainty and isolation. Perhaps ă better communication might have reduced this and deter possible negative ă health outcomes