Public health issues in the 21st century: National challenges and shared challenges for the Maghreb countries

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Published Nov 21, 2018
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Vol. 96 No. 10 (2018): Issue Oct 2018

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Joël Ladner
Ahmed Ben Abdelaziz

Abstract


In the 21st century, public health is not only about fighting infectious diseases, but also contributing to a "multidimensional" well-being of people (health promotion, non-communicable diseases, the role of citizens and people in the health system etc.). Six themes of public health, issues of the 21st century will be addressed.
•    Climate change is already aggravating already existing health risks, heat waves, natural disasters, recrudescence of infectious diseases.
•    Big data is the collection and management of databases characterized by a large volume, a wide variety of data types from various sources and a high speed of generation. Big data permits a better prevention and management of disease in patients, the development of diagnostic support systems and the personalization of treatments. Big data raises important ethical questions.
•    Health literacy includes the abilities of people to assess and critique and appropriate health information. Implementing actions to achieve higher levels of health literacy in populations remains a crucial issue.
•    Since the 2000s, migration flows of health professionals have increased mainly in the "south-north" direction. India is the country with the most doctors outside its borders. The USA and the UK receive 80% of foreign doctors worldwide. Ways have been identified to try to regulate the migratory phenomena of health professionals around the world.
•    The mobilization of citizen, health system users and patient associations is a strong societal characteristic over the last 30 years. In a near future, phenomena will combine to increase the need for accompaniment of patient or citizen to protect health, such increase of the prevalence of chronic diseases, reinforcement of care trajectories, medico-social care pathways, and importance of health determinants.
•    Interventional research in public health is very recent. It is based on experimentation and on the capitalization of field innovations and uses a wide range of scientific disciplines, methods and tools. It is an interesting tool in the arsenal of public health research. It is essential today to be able to identify the multiple challenges that health systems will face in the coming years, to anticipate changes, and to explore possible futures.

Keywords:

Public Health - Climate change - Electronic Health Records - Health literacy -Health personnel - Consumer Organization - Translational Medical Research - Africa, Northern

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References

  1. WHO. Gender, climate change and health. Geneva, Swizterland, 2016 

  2. WHO. Principaux repères sur le changement climatique et la santé. 2018
  3. Bittner MI, Matthies EF, Dalbokova D, Menne B. Are European countries prepared for the
next big heatâ€wave? Eur J Public Health. 2014;24(4):615â€9.

  4. Laaidi K, Zeghnoun A, Dousset B, Bretin P, Vandentorren S, Giraudet E, et al. The impact of heat islands on mortality in Paris during the August 2003 heat wave. Environ Health Perspect. 2012; 120: 254â€9.

  5. McMichael AJ, Woodruff R, Hales S. Climate change and human health: present and future. Lancet, 2006; 367: 859-69.
  6. Boelle PY, Rodolphe Thiébaut R, Costagliola D. Données massives, vous avez dit données massives ? Questions de santé publique. Institut de Recherche en Santé Publique, n°30, septembre 2015
  7. Trelles O, Prins P, Snir M, Jansen RC. Big data, but are we ready ? N at Rev G enet 2011; 12: 224.
  8. Thiébaut R, Hejblum B, Richert L. L'analyse des Big Data en santé publique. Rev Epidemiol Sante Publ 2014; 62: 1-4.
  9. Rappaport SM, Smith MT. Environment and disease risks. Science 2010;330:460-
  10. Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 2012 ; 12 : 8.
  11. Conférence Nationale en Santé. La littératie en santé - usagers et professionnels: tous concernés ! Pour un plan d'action à la hauteur des inégalités sociales de santé. Avis du 7 juillet 2017 ; 20p.
  12. Tay JL, Tay YF, Klainin-Yobas P. Effectiveness of information and communication technologies interventions to increase mental health literacy: A systematic review. Early Interv Psychiatry. 2018 ; doi: 10.1111/eip
  13. Sheridan SL, Halpern DJ, Viera AJ, Berkman ND, Donahue KE, Crotty K. Interventions for individuals with low health literacy: a systematic review. Journal of health communication, 2011 ; 16(sup) : 30-54.
  14. OCDE. L'importance des compétences: Nouveaux résultats de l'Évaluation des compétences des adultes, Études de l'OCDE sur les compétences, Éditions OCDE, 2016 Paris.
  15. Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. Low health literacy and health outcomes: an updated systematic review. Ann Int Med 2011; 155 :97-107.
  16. Cultures et santé. Littératie en santé: d'un concept à la pratique, guide d'animation. Editions Cultures et santé 2016 ; 86p.
  17. OMS. « Travailler ensemble pour la santé », Rapport sur la santé dans le monde 2006. 215p.
  18. Bhargava A, Docquier F. HIV Pandemic, Medical Brain Drain, and Economic Development in Sub-Saharan Africa. World Bank Economic Review 2008 ; 22, 345-66.
  19. OCDE. Les migrations internationales des personnels de santé. Synthèses OCDE 2010 ; 25p.
  20. Sweileh WM, Wickramage K, Pottie K, Hui C, Roberts B, Sawalha AF, Zyoud SH. Bibliometric analysis of global migration health research in peer-reviewed literature (2000-2016). BMC Public Health. 2018 ; 18:777.
  21. Yasser Moullan Y, Bourguei Y. Les migrations internationales de médecins : impacts et implications politiques. IRDES Questions d'économie de la santé n°203, novembre 2014, 8p.
  22. Lantz A, Holmer H, Finlayson S, Ricketts TC, Watters D, Gruen R, Hagander L. International migration of surgeons, anaesthesiologists, and obstetricians. Lancet Glob Health. 2015; 3 (Suppl 2):S11-2
  23. Brehat PH, Berard A, Magnin-Feysot C, Seguoin C, Bertrand D. Usagers et politique de santé : bilan et perspectives. Santé Publique 2006 ; 18 :245-62.
  24. Haut Conseil pour l'Avenir de l'Assurance Maladie. Innovation et système de santé. Rapport 2016 ; 155p.
  25. Alla F, Kivits J. La recherche interventionnelle en santé publique: partenariat chercheurs-acteurs, interdisciplinarité et rôle social. Santé Publique 2015 ; 27 :303-4.
  26. Hawe P, Potvin L. What is population health intervention research? Can J Public Health 2009 ; 100 (Suppl-14).
  27. Potvin L, Di Ruggiero E, Shoveller JA. Pour une science des solutions: la recherche interventionnelle en santé des populations. La santé en action. 2013; 425:13-6
  28. Cambon L, Alla F. Transfert et partage de connaissances en santé publique : réflexions sur les composantes d'un dispositif national en France. Santé publique. 2013; 25:757-62