Publications by authors named "Julien Emmanuelli"

Article Synopsis
  • The study focused on HCV infection among drug users, highlighting the need for randomized sampling methods that account for their use of multiple specialized services.
  • A significant cross-sectional survey was conducted, with a strong participation rate (75%) and a high HCV seroprevalence of 59.8%, particularly among those under 30, indicating many are unaware of their infection status.
  • Key factors linked to HCV positivity included older age, HIV status, drug injection history, use of opiate substitution treatments, crack cocaine use, and unstable housing conditions.
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Aims: To track the effect of the French harm reduction programme targeted at intravenous drug users (IDUs) and associated health outcomes.

Material: Since 1996, we have collected monthly sales of sterile syringes and substitution treatments (buprenorphine high dosage and methadone) sold to IDUs in the 23 000 pharmacies in France and collated these figures in a single data base (SIAMOIS). To this data base we have also added the number of syringes distributed through community associations, as well as methadone treatments prescribed in public drug dependence clinics.

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In several developed countries, needles exchange programs (NEPs) are a key preventive tool in harm reduction policy related to drug use. Many studies about NEP show it reduces HIV infections related to syringes sharing when part of others preventive actions. NEPs seem to have no impact on HCV transmission.

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We describe severe acute respiratory syndrome (SARS) in France. Patients meeting the World Health Organization definition of a suspected case underwent a clinical, radiologic, and biologic assessment at the closest university-affiliated infectious disease ward. Suspected cases were immediately reported to the Institut de Veille Sanitaire.

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Aim: The purpose of this study was to evaluate the efficacy of anti-hepatitis C virus (HCV) antibody detection in the saliva samples of 108 drug users in an inter-laboratory study.

Methods: Between January and June 2001, 108 subjects in Lille, Metz and Lens received a test to detect anti-HCV antibodies in their saliva. Two consecutive saliva samples were taken in each subject (Salivette system, Sarstedt).

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Background: Among the factors influencing travelers to seek preventive health advice before departure, the travel agent's recommendation plays an important role. The objective of our study was to document the practices and needs of travel agents in Québec (Canada) in relation to the prevention of health problems among travelers.

Methods: In June 2000, a cross-sectional descriptive survey was carried out among travel agents from all travel agencies in Québec.

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