2023-06-10 06:00:00
In the heart of the city of Aygalades, this June 9, prevention rhymed with conviviality. On the plateau of this city of the 15e district, nine information stands were set up under the aegis of the AP-HM Health Center. Between a free raffle and a coffee served by the local merchant, associations, doctors and caregivers were hard at work to raise awareness among a population often far from the health system. Among the topics discussed, vaccination, screening and prevention of cancer and chronic diseases, but also food, emotional life and sexual health, including psychological support.
« This day has meaning because it helps to forge the link with the population ” underlines Olivier Gauché, coordinator of the health center established since 2021. “ In the 15e as in the rest of the northern districts, the medical density is very low, which leads to a higher incidence of cancers and chronic diseases such as asthma, respiratory diseases or diabetes “, he observes. This great unprecedented day of “going to” is therefore intended to make this extension of the hospital in underprivileged neighborhoods ever more visible. ” It is make us better known, and make it known that there is a multidisciplinary care offer available. We are trying to encourage people to get screened, knowing that the screening rates for colorectal, breast and uterine cancers are much lower than in the rest of the City. », notes Olivier Gauché.
Significant excess mortality
The initiative is already bearing fruit. Fifteen HIV and hepatitis C screenings were carried out from mid-morning. ” We also scheduled twenty consultations for respiratory assessments “, rejoices Marion Gouitaa, pulmonologist at the North Hospital. A specialist in severe asthma, she consults twice a month at the Aygalades health centre. ” Respiratory health is a real problem in the northern districts. Asthma, for example, is a disease that is not detected, not treated, not monitored », Laments the practitioner. And this lack of recourse to care has concrete consequences. In the northern districts, the excess mortality indices are breaking records: nearly 60% for asthma, 80% for AIDS, and more than 20% for diabetes and lung cancer over the period 2012-2016, according to the ‘Inserm.
Territorial inequalities, medical desertification, precariousness, food insecurity, language barrier or low health literacy: such a day reflects the obstacles that oppose access to care for the most vulnerable populations. ” Many in my neighborhood no longer consult confirms Kris, a resident of Canet (14e) come accompanied by the social center of his district. Faced with these difficulties, we do as we can “, she confides. “ The Jean-Jaurès medical center closed in 2021. When we call a doctor, very often, we are told that he can no longer take on new patients. And going to the North Hospital is complicated by transport. That’s why we now come to Les Aygalades, because we have everything here. “The young woman will not have wasted her day. Thanks to the help of Ahmed from the association Arborescence, she was able to create her shared medical file on her phone, an electronic health record that stores health information. An essential service in the all-digital age, because ” many people are isolated and are helpless in the face of these issues “, testifies the digital mediator, who completes a promising device. ” Acting together in the neighborhoods, creating links, is essential. This coordinated exercise of health approaches is the future concluded Olivier Gauché.
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