Multifaceted Responsibility in the Measles Outbreak in France

Résumé du document

In recent years and in many countries of the world, particularly in Europe and including France, a resurgence of the well characterized outbreak-prone and potentially deadly disease measles developed. We can speak about it as an outbreak due to the fact that we see a highly increasing number of cases. An outbreak is characterized by the occurrence in a community or region of cases on an illness with a frequency clearly in excess of normal expectancy. For France it was the case that since early of 2008 a preliminary number of 579 notified measles cases contrasted sharply with the low number of notified cases in 2006 (44 cases )and 2007(40 cases). Overall as of April 2011, there have been around 10600 notified cases including three measles-related deaths. There are many different factors that come into play while addressing the root causes and consequences for the measles recurrence.

For the purpose of this work I would like to analyze the health perspectives, as well as the political aspects and factors that led to the resurgence of measles in France and the multi-actor responses to it. I will further analyze whether the focus on the outbreak by officials, authorities and the media has been adequate or not. I will conclude with recommendations of what needs to be done about it and what proactive mechanisms are required. Why did measles resurface again even though it had been seen exceedingly eradicated? Who are the main groups that refuse vaccination and why do people refuse to vaccinate? There are many tangible, medical reasons and non-tangible, underlying reasons socioeconomic and political reasons that generated the incidence.

Extraits

[...] Measles resurgence in France in 2008, a preliminary report. Euro Surveill. 2009;14(6):pii=19118. Available online: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19118 -"Site Web Institut Pasteur - Institut Pasteur." Site Web Institut Pasteur - FR. [...]

[...] European Centre for Disease Prevention and Control. Web Mar http:/en.oboulo.com Due to statistical evidence, namely that of cases in 2010 were causes caused due failure to vaccinate of cases had only gotten one dose of cases had gotten 2 doses and for the information remained unknown and due to having analyzed the actors responsible for the decrease of the communication gap and outbreak response that the health authorities have initiated I would like to make some recommendations.10 I want to point out due to individual and collective responsibility in a nation-state setting, a top down initiative to create a consensus among religious actors and other risk groups to get their children vaccinated. [...]

[...] European Centre for Disease Prevention and Control. Web Mar -"Face à La Recrudescence De La Rougeole, Le Vaccin Reste La Meilleure Prévention." Conférence De Presse DGS/InVS L'épidémie De Rougeole Explose, Entraînant Une Augmentation Des Hospitalisations" Du 23 Mars Mar Web Mar (Video) -Houssin, Didier. "Bulletin épidémiologique Hebdomadaire: Numéro Thématique - Rougeole : Données Sur Une épidémie En France Et En Europe En 2008." Http://www.invs.sante.fr/beh/2009/39_40/beh_39_40_2009.pdf Oct Web Mar -"Mobilisation Nationale Autour De La Vaccination." Semaine Européenne De La Vaccination. Web Mar -Noury, U. [...]

[...] The multifaceted approach is needed, but also it is important to mention that there is always a lack of funding and high bureaucracy. Putting the fact of France being a prosperous country aside, still there is shortage of financial support. Money is not rightly distributed among sectors and due to a lack of resources and chronic understaffing the employers of the health sector have to multitask. The WHO can for example deploy experts, money and staff. This was pointed out by two health professionals Dr. [...]

[...] Ministere De La Sante Et Des Sports Nov Web Mar http:/en.oboulo.com information are television, newspapers, radio and the internet which means the government has an immense toolbox to work with. Due to the steadily growing importance of the internet, people use forums and forms of new social media as a source of information and to communicate with their peers, friends and look for advice. It has become a common fact that with whatever questions at stake people direct themselves towards the internet as a source of information. [...]