Pesticides: 40 children hospitalized? And? -


Pesticides: 40 children hospitalized? No big deal!

This Monday, November 6, in Belgium, 40 children were hospitalized, seized with faintness after the passage of a farmer who treated his field, on the edge of the school. The students were seized with vomiting and stomach pains. Quickly alerted, and taken care of by the emergency services, they were distributed to the nearest hospitals.

" Everything is fine "…

We tend, from our cities, to view these events from a distance, not that they do not move us. We are happy to take the place of the parents of these 40 children, for example. We also put ourselves in the shoes of the inhabitants close to the Bordeaux vineyards where demonstrations take place every year or in other areas all over France. This "affair" happened in Belgium, we can easily imagine that it could have happened in France or elsewhere, and no matter where else.

... They have all already left the hospital

It's reassuring, the children were quickly released from the hospital, but what about the future, what about their future? Have they been seriously poisoned? Will this pesticide poisoning have any consequences? Are there specific monitoring plans for their health, as closely as possible, to identify any problem that may arise in the future? Probably not, we'll see.

Pesticides, agricultural spraying and regulations?

In Belgium as in France, there are legal texts which regulate the spreading near dwellings: L253-1 to L253-7-1 of the rural code, but the texts, like the speed limits, are not always respected and of course infringements are regularly denounced. Nothing works. A certain number of unconscious, one might say criminals, do not hesitate to defy the prohibitions in front of the rule they have imposed on themselves, the rule of "I do what I want and let others die"

"Modern" agriculture and respect for the environment?

Foreword: personally, I take a nostalgic look at the farm and the countryside. I grew up there. I went to get my milk directly from the farm, every night, rain, wind, freezing ... And I loved it. I was greeted by the hens and their chicks, cats, ducks… I gave my pot to "my" farmer, then I joined her husband, a farmer of course. I went to see the cows (a dozen big max), I went to stroke the newborn calves, I fed the pigs… All these animals were perfectly treated, they had a name. The farmer was full of love for them and it was easy to see. During summer vacation periods, it was not uncommon to take a tractor ride, accompany the farmer for milking and get hold of the udders… I was very young, ecological awareness was rare . Environmentalists like Brice Lalonde were respected only by a small population and on one issue, that of nuclear power. The question of agriculture was almost absent from the debates, there was hardly any talk of "land consolidation" or the art of giving the best land to big farmers by "robbing" small ones.

Pesticide use: Are farmers interested in the environment?

Today, many questions question (this is the principle). Many of us have taken on ecological issues and changed the way we live, for example on issues of consumption, transport, sorting or food. Although it is not always obvious, or even natural, we keep making small decisions after bigger decisions. This is true in the city, it is true in villages with often different issues.

Pesticides: above all, do not change anything

A large majority of farmers, an "active" majority, a "militant" majority, have decided not to change their paradigm. They impose their point of view, for regulations that allow the use of pesticides. It doesn't matter if they poison children, people, rivers and groundwater, the sea, the air… They'd rather see us all dead, including themselves, than help find or test the solutions.

Farmers, their majority union and their minister (successive ministers) prefer to hide behind a slogan: "Reasoned agriculture".

Reasoned agriculture, pesticide agriculture!

Reasoned agriculture, or responsible agriculture, is quite simply a hoax, a hoax, it does not exist! Nobody knows how to define it. It's like the story of the good hunter and the bad hunter.

If proof was needed, France is the European champion in the use of pesticides with 5.4 kg sprayed per year and per cultivated hectare, while the European average is 3 kg. Contrary to all that can be said to us, the use of pesticides is increasing. This, while we know perfectly well the damage that pesticides cause to health, in the short term and in the long term. Reasoned agriculture is the lid of the pesticide bin!

Young people, the future of agriculture?

I was present a few weeks ago for a "form" of conference, in a large agricultural school, whose name or location I will not mention so as not to harm these students. And I was struck by the lack of knowledge, even interest, involvement in ecological issues. We heard, here and there, a few students whose ecological awareness, and even personal investment, were real.

But questions about the methods to reduce the use of phytosanitary products, organically grown: no. Or too much, too little, apart from old-fashioned platitudes such as "reasoned agriculture", commitment, enthusiasm, the desire to question things that one might have expected from a future generation of farmers. was not there. Pity.

Do institutions do this evangelization work?

But in reality, does not the responsibility lie with the school, therefore with national education, therefore with the state? Speeches, courses, programs, research, discussions with manufacturers and perhaps even funding with industrial producers of pesticides, are they meant to question them, do they push them to engage?


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Results of short femoral pivots with preservation of the femoral neck: systematic analysis

Neck sparing short femoral stems are supposed to ease restoration of the proximal femoral anatomy and physiological hip biomechanics. This stem design is of particular interest as they have the potential to generate prosthetic hips that have higher functional performance with an improved lifespan, and revise more easily. Unlike previously published meta-analysis, this meta-analysis was initiated to determine if neck sparing short femoral stems compared to conventional stems: 1) resulted in improved functional performance, 2) reduced risk of thigh pain, 3) reduced risk of reoperation / revision , and 4) reduced stress shielding related bone loss in the proximal femur.

Literature databases were searched between 1 st January 2005 and 30 th March 2019. The primary search was conducted using the electronic databases MEDLINE, EMBASE, PubMed, Open Gray, Trip Pro, Evidence Search, and Cochrane. Eligible studies were assessed for homogeneity, with continuous outcomes expressed as standardized mean difference with 95% confidence interval and dichotomous data as odds-ratio with 95% confidence interval.

Ten randomized clinical trials were eligible these trials included 1259 total hip arthroplasty procedures, inclusive of 616 neck sparing short stems and 643 conventional stems. We were not able to find a significant functional advantage of using neck sparing short stems based on Harris Hip scores (0.0850 95% CI: −0.03 to 0.20 [p = 0.40]) and WOMAC scores (−0.0605 95% CI: −0.03 to 0.15 [p = 0.87]). We found a trend in favor of neck sparing short stems to reduce the risk of thigh pain but this was non significant (odds ratio of 0.11 95% CI: 0.03 to 0.43 [p = 0.178]). Neck sparing short stems were associated with similar early- to mid-term dislocation and revision rates compared to conventional stems with odds ratio of 1.435 (95% CI: 0.545 to 3.780 [p = 0.968]) and of 0.581 (95% CI: 0.220 to 1.532 [p = 0.972]), respectively. Neck sparing short stems were found to have less bone loss in both Gruen zones 1 and 7 (3.324 95% CI: −7.683 to 1.036 [p Does educating patients with lipohypertrophies have an impact on glycemic control?

Patients treated with insulin do not always perform optimally. As a result of incorrect injection technique, lipohypertrophy (LH) leads to alteration of subcutaneous tissue and disturbance of blood sugar control. In France, a recent survey showed that LH is present in 49.6% of patients treated with insulin. New recommendations for optimizing insulin delivery have recently been published. The recommendations emphasize that the best way to preserve healthy subcutaneous tissue is to rotate the injection sites correctly. Two recent studies have shown that targeted LH education is associated with improved blood sugar control and reduced insulin consumption. The key elements of this procedure are mainly the correct rotation of the injection sites (using a 4mm needle) and the non-reuse of the needles.

Patients treated with insulin often use incorrect injection techniques. As a consequence lipohypertrophy (LH), an alteration of the subcutaneous tissue, can appear and may lead to deranged glycemic control. A recent survey showed that LH is present in 49.6% of insulin-treated patients in France. New recommendations for the delivery of insulin have been recently published. The recommendations state that the best way to preserve healthy subcutaneous tissue is to correctly rotate injection sites. Two recent studies have shown that education focused on LH is associated with an improvement in glycemic control, and a reduction in the consumption of insulin. The key elements in this intervention are correct rotation of the injection sites (using a 4 mm needle), and no reuse of needles.

Importance of undernutrition and associated pathologies in the management of Zenker's diverticulum

Study of the impact of undernutrition in a population treated with Zenker's diverticulum and search for the causes of persistent or recurrent dysphagia after endoscopic treatment.

Thirty patients treated with endoscopic Zenker's diverticulum were included in this retrospective study. The criteria for undernutrition and swallowing disorders were analyzed and the improvement or reappearance of swallowing disorders were sought after treatment.

Nutritional status could be assessed in 26 patients. Malnutrition affected 54% of our population, severely in 31% of cases. In the event of malnutrition, surgery was followed by complications in 28.6% of cases compared to 8.3% in the absence of malnutrition. Twenty-seven patients (90%) reported complete relief. Nine presented with a reappearance of swallowing disorders, linked in 6 of them to a recurrence, while inclusion myositis, esophageal dyskinesia or disorders of central origin were found in three patients.

Pre- and postoperative undernutrition should be quantified when managing Zenker's diverticulum in order to prevent complications and reduce mortality. The search for pathologies associated with Zenker's diverticulum should be systematic, particularly in the event of the reappearance of swallowing disorders in the absence of recurrence.

Controversies in the Diagnosis and Treatment of Sickle Cell Lung Disease

Stroke: still new recommendations?

Intergender differences in the medium term in peri-prosthetic femoral bone remodeling after implantation of a short post of a hip prosthesis of curved morphology with bone preservation

The implant-specific periprosthetic bone remodeling in the proximal femur is considered to be an important factor influencing the long-term survival of cementless hip stems. Particularly data of gender-specific differences regarding bone-preserving stems are very rare in literature and mainly limited to short-term investigations. Therefore, we investigated at mid-term one arm of a prospective randomized study to evaluate if there is an influence of gender on implant-specific stress shielding after implantation of a curved bone preserving hip stem (Fitmore) 5 years postoperatively?

We hypothesized there will be no gender-specific differences in periprosthetic bone remodeling.

A total of 20 female and 37 male patients underwent total hip arthroplasty using the Fitmore stem. Clinical, radiological as well as osteodensitometric examinations were performed preoperatively, 7 days and 3, 12 and 60 months postoperatively. Clinical data collection included the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the Harris Hip Score (HHS). Periprosthetic bone mineral density (BMD) was measured using Dual Energy X-ray Absorptiometry (DXA) and the periprosthetic bone was divided into 7 regions of interest (ROI) for analysis. The results at 3, 12 and 60 months were compared with the first postoperative measurement after 7 days to obtain a percentage change.

Periprosthetic BMD showed a decrease in all 7 ROIs for both groups 5 years postoperatively referred to the baseline value, except ROI 3 (0.8%, p = 0.761), representing the distal lateral part of the stem, and ROI 5 (0.3%, p = 0.688), representing the distal medial part of the stem, in the male cohort. Significant gender differences were found in ROI 1 (−16.0% vs. −3.5%, p = 0.016) and ROI 6 (−9.9% vs. −2.1%, p = 0.04) in favor of the male patients. Clinical results showed no significant gender differences 5 years postoperatively with regard to WOMAC (mean 0.4 (± 0.8, 0–3.3) in women vs. 0.3 (± 0.8, 0–4.2) in men, p = 0.76) and HHS (mean 93.0 (± 9.7, 66.0–100.0) in women vs. 93.9 (± 11.5, 53.0–100.0) in men, p = 0.36).

Proximal stress shielding was observed independent of gender 5 years postoperatively. However, there was a significantly lower bone loss proximal lateral and medial below the calcar in male patients, indicating a more physiological load transfer. [ClinicalTrials.gov Identifier: NCT03147131 (Study ID D.3067-244 / 10). Registered 10 May 2017 - Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT03147131?term=Bieger&draw=2&rank=1].

IV prospective study without control group.


Summary

The risks for the health of pesticides are the object of numerous debates. If the data remain controversial at the adult with the exception of lymphomas, associations are found more frequently in the cancers of the child, in particular brain tumors, leukaemia and nephroblatomes. In brain tumors, an association is frequently evoked during a professional exhibition (exposure) of the relatives (parents) at the time of the pregnancy. Various consequences of pesticides on the reproduction were evoked: infertility, fetal death, prematurity, hypotrophia, congenital malformations but the studies suffer certain ways. Pesticides can interfere with hormones (endocrine disruptors), growth factors or neurotransmitters. The study of the neurological appearances in connection with the use of pesticides seems to be established. In particular, the link between the use of pesticides and the arisen of a Parkinson's disease appears at present as likely, in view of the numerous realized works.

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"More than 100,000 children out of school", according to the children's advocate

The figure was put forward Tuesday, September 3 in Paris by Geneviève Avenard, during a press conference by the École pour tous collective.

This assessment, which includes children living in very different situations, is contested by the ministry.

At a time when education becomes compulsory from the age of three, there are children and adolescents who have to fight to demand, sometimes in vain, for schooling. The testimonies heard Tuesday, September 3, at a press conference in Paris, are edifying. Gathered in a collective that they themselves created less than a year ago, "School for all", young people thus evoke the difficulties of access to education.

There is Sow, who arrived from Guinea Conakry in 2016, at the age of 15, with a birth certificate whose validity has been contested. A big fellow who dreams of becoming an entrepreneur and who struggled for seven months before succeeding in having his status as a miner recognized and then being able to register for a CAP in boiler making and metallurgy. Now a graduate, he calls, with his collective, for a "presumption of minority" allowing young people to be educated while the checks are carried out.

"We made them draw pictures at the back of the class"

There is also Ritchy, 15, born in France and attending normal schooling but has seen other members of the Gypsy community on a regular basis. "Discriminated against, badly supported". "During the lessons, we made them draw pictures at the back of the class", he assures, pleading for "A mediation to make the link between the school and the families".

Then there is Sali, who arrived from Bulgaria at the age of six and was unable to attend school for a year. The town hall demanded to register a proof of residence, while his family lived in a slum. "It was ultimately the principal of the school who personally gave it to me", he says.

"A truce on expulsions during the school year"

Anina Ciuciu, lawyer and sponsor of the collective, greets the "Advanced" brought by the recent law for a school of confidence, with a simplification of the registration procedures. But many claims remain unsuccessful for the time being. "We must establish a school truce, a truce of expulsions during the school year, she pleads for example. Each eviction of a family from a squat or shantytown results in an average of six months of children dropping out of school. "

His collective evaluated the number of out-of-school children and adolescents by compiling various statistics: 80% of the 10,000 children living in a slum, 30% of the 10,000 families living in social hotels in Île-de-France alone. , 2/3 of unaccompanied foreign minors living in Paris, knowing that there are 25,000 across France, etc.

A growing number of referrals

Asked about the credibility of the figures put forward, children's advocate Geneviève Avenard agrees and even argues that "More than 100,000 children do not go to school in France", if we add to the above cases "Disabled or hospitalized children". Situations of a very varied nature which call for very different solutions, but which all contravene the right to education guaranteed by the International Convention on the Rights of the Child, whose 30th anniversary will be celebrated at the end of November.

"Education is the second reason for referral to our institution", continues the children's advocate. Referrals that "Increase by 10% per year". Should we see in this an increasing visibility of this authority, an increased pugnacity of families or an expanding phenomenon? Difficult to answer. "I think that the situations described by these children [members of the École pour tous collective] are more and more numerous", she advances nonetheless.

The skeptical ministry

This figure of 100,000 out-of-school children leaves Édouard Geffray, the director general of school education, more than skeptical. He tells him about 20,000 unaccompanied minors, 60% of whom are between 16 and 18 years old and will not be affected by an obligation of "training" (and not of instruction in a school setting) until 2020.

Ministry number 2 also explains that "The 5,000 to 6,000 children living in itinerant families are offered a temporary scheme, depending on their travels". Likewise, “Out of 63,700 allophone children, only 3,000 are awaiting schooling”. While "23,500 additional disabled students are welcomed this start of the school year", Édouard Geffray may add the figures in all directions, "We don't approach, he said, neither near nor far of the 100,000 out-of-school children. "


Three intoxicated and hospitalized children

Three children have been hospitalized at Pellegrin Hospital in Bordeaux since Monday morning, at least one of them infected with the bacterium Escherichia Coli (E. Coli).

This is an 8-year-old girl, in a stable but severe pediatric intensive care unit, who has been found to have been contaminated with the bacteria, according to research. E. Coli type O157. The other two cases are a 14-year-old boy and a two-and-a-half-year-old girl, whose results are expected today.

All three children are said to have consumed steacks in shops Intermarché and Netto, which launched a health alert on Saturday. It is fresh minced steaks, from the Société des meats elaborées d´Estillac (Saviel), sold under the brands Jean Rosé, Netto and Top Budget, packaged in trays under a protective atmosphere and bearing a use-by date of May 28 to June 15, 2012. Although the DLC is largely outdated, it is recommended that people who have frozen them to bring them back to the point of sale.

This reminder mainly concerns the southwest quarter of France, and more specifically the following departments:
12, 16, 17, 19, 24, 31, 32, 33, 40, 46, 47, 64, 65, 81, 82, 87 (Aveyron, Charente, Charente-Maritime, Corrèze, Dordogne, Haute-Garonne, Gers, Gironde, Landes, Lot, Lot-et-Garonne, Pyrénées-Atlantiques, Hautes-Pyrénées, Tarn, Tarn-et-Garonne, Haute-Vienne).

We remember exactly one year ago the wave of massive E. Coli where 1,733 people have been infected and 19 deaths have been recorded across Europe. Also in June 2011, 7 children were infected with E. Coli by eating contaminated beef patties sold by Lidl (article links with explanation of E. Coli can be found below under "Related Articles").

The Société des viandes elaborées d´Estillac has set up a toll-free number for consumers: 0 800 100 233.


Summary

Pesticides constitute a very heterogeneous group of chemical substances adapted to the wrestling against plants and unwanted animals: weed-killers, fungicides, insecticides, acaricides, nematicides and rodenticides mainly. These phytosanitary products possess all a toxicity, of variable intensity, for the human. The acute toxicity of pesticides results from a misuse, from an accidental use of pesticides (accidents in the home) or from an often very serious voluntary poisoning. Organophosphate pesticides and carbamates are at the origin of the cases of poisonings by the most frequent pesticides. The exposure is essentially made by cutaneo-mucous and respiratory way, oral exposure would concern more the general population by accidental or deliberate ingestion of pesticides. According to the World Health Organization (WHO), there is every year in the world one million grave poisonings by pesticides, at the origin of approximately 220,000 deaths a year.

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