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Master Thesis

État de santé des demandeurs d’asile pris en charge en Guyane française en 2017-2018

Abstract : Introduction. In French Guyana, between 2014 and 2017, the number of asylum seekers (AS) has increased by five times, amounting to 85% (n=5176) of all of the AS in all French overseas territories. Most of them were from Haiti (88.9%). Those migrants have led the French Red Cross to offer a medical consultation dedicated to the AS (CODA), in association with the FIIO and the prefecture since March 2017, systematically proposed to the AS when they arrive. The consultation includes a check-up by a nurse and a blood test and a medical consultation with screening for tuberculosis, diagnosis, vaccination, treatment proposal and the referral to other medical departments. The main aim of this study was to describe some chronic infections and non-communicable diseases and sexual related infections among the asylum seekers in French Guyana. Methods. The prevalence has been established by a transversal, retrospective, monocentric study that includes all the AS that have consulted at CODA between the beginning of July 2017 and the end of December 2018. Results. Overall, 2135 persons have been included representing 42 % (n=5088) of all the AS during the study. They mostly came from Haiti (76.7%, n=1589), Dominican Republic (10.6%, n=220) and from Syria (4.6%, n=97). The median age was 30 years old [IQR 25 – 37] and sexual ratio M/F was 1/1,1. The prevalence was 1.7 % (n=32) for the HIV, and even 2.0 % in the population from Haiti (29/1420), 5.3 % (n=99) for chlamydia, 0.8 % (n=15) for the syphilis, 0.5 % (n=9) for HBV and 0.7 % (n=13) for the gonococcus. The prevalence of chronic HBV (Ag HbS +) was 26 % (n=49), cured HBV: 24. % (n=460). Only 4.9 % of the AS was initially vaccinated against HBV (n=91). Two cases of tuberculosis has been identified. About the NCD, the prevalence of obesity was 17.6% (n=346), anemia : 16.8 % (n=309) with a significantly higher prevalence for women (OR=8.04, p=0.00). 10.6% (n=219) of the AS had a high blood pressure and 0.7% (n=9), a high glucose rate. Conclusion. This study points out the necessity of dealing with and taking care of this hardly studied group of people. The prevalence of HBV and HIV were high with a little vaccination rate against HBV.This study also highlights the importance of the tuberculosis screening among newly arrived migrants. Finally this study emphasizes the importance of NCD among AS. The access to health care seems essential not only for AS, but for every newly arrived migrants in order to ensure an early integration into the heath care system in order to avoid complications and the spread of infectious diseases. Recently, a modification of the law has made the acquisition of refugee status difficult and the reduction of AS’ rights has led to a substantial decrease in the number of AS in French Guyana. It seems important, in this context to propose this consultation for screening and orientation to all of the newly arrived migrants whether they are AS or not.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03122086
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Submitted on : Tuesday, January 26, 2021 - 6:44:37 PM
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Vincent Hassanaly. État de santé des demandeurs d’asile pris en charge en Guyane française en 2017-2018. Médecine humaine et pathologie. 2019. ⟨dumas-03122086⟩

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