Expanding Cancer Screenings to Remote Communities: The Mobile Unit Project in Brittany

2023-10-28 17:30:02

A 27-ton truck, equipped with a mammograph, an ultrasound machine and an examination table. This is the project on which the regional cancer screening coordination center (CRCDC) in Brittany is working. Ambition? Get as close as possible to populations far from centers to offer screenings for breast, uterine and colorectal cancers. “We see that beyond fifteen minutes of travel, the screening rate decreases,” analyzes Bettina Olivo, public health project manager. In Brittany, the eleven inhabited islands represent, in this sense, a challenge.

42 parking points imagined

The CRCDC has identified the municipalities affected by this remoteness. 179 have been identified in the four departments of administrative Brittany. In these, the average breast cancer screening rate is 40%, when the regional average is 51.1%. So, to serve these “fragile, precarious and far from health systems” populations, the CRCDC has designed 42 parking points located at a good distance. Eleven were designed in Morbihan, including Arradon and Quiberon. The mobile unit would not be able to embark for the islands. “In Quiberon, we might stay two weeks,” says Bettina Olivo.

On board the unit, a GP, gynecologist or midwife would be needed, as would a secretary and a radiologist. 174 of these specialists were contacted. “We questioned them,” explains the project manager. The feedback is very positive. If they are willing to commit to what they are telling us, we might cover the days we had envisioned.” The mobile unit would be deployed 232 days a year, Monday to Friday. Similar models already exist in Orne and Hérault.

The equipment still needs to be financed. Its cost is estimated at €950,000. The semi-trailer represents two thirds of this investment and the mobile mammograph is estimated at €260,000. Under associative status, the CRCDC counts in particular on the assistance of its usual partners (regional health agency, health insurance and MSA) to bring the project to fruition. “The Agency is carefully following the development of the file,” specifies the ARS, which prefers to wait for the project to stabilize before deciding on financing.

The Palais rose race, initially scheduled for this Sunday, October 29 in Palais, was to donate the funds collected to future equipment. “We wanted to participate in a local project,” emphasizes Jean-Claude Loriot, municipal councilor in Palais and member of the race organization. Here, in Belle-Ile, women have more difficulty getting tested than on the continent.” Despite the cancellation of the race, the will remains the same. “It was agreed that we would keep the money collected to pay it back once the legal structure was ready,” explains Claude Le Borgne, director of the association which coordinates the race. The equipment might see the light of day from 2025.

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