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Kevin Dinh

on 25 April 2016

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Transcript of France

by Kevin, Jessie, Trisha, Lirian, Blair
Background: Geography
Health Status
1. Ischemic Heart Disease
2. Alzheimer's/Dementia
3. Stroke
4. Lung Cancer
5. Colon-rectum Cancer
Health Problems
Health System
Politics & Economy
Health Expenditure % in GDP
France vs. United States
National Health Insurance

Universal coverage

Public-private mix of hospital and ambulatory care

Higher volume of service provision

Pros and Cons of Health Care System
Easy to access
Treatment from specialty directly
Great preventive care
Higher taxes
Mostly for the elderly
National health insurance
Paleolithic times
6000 B.C. establishment of Greeks and Phoenicians
Royalty until 1328
Napoleon Bonaparte
Déclaration des droits de l’homme et du citoyen- 1789
Eiffel Tower 1889 (exposition universelle)
1899 Renault
Ruled according to the Constitution of the Fifth Republic
Executive Branch: the president and prime minister
3 Branches
Gross National Income: 38,530 PPP Dollars
Gross Domestic Product: 43,520
Industries: automobiles, chemicals, metals, aircraft, textile and cheese
Ischemic Heart Disease
Alzheimer's Disease
Stroke (CVA, Brain Attack)
Lung Cancer
Colon-Rectum Cancer
A progressive mental deterioration that destroys memories and other important mental functions
Slow thinking
Hard time remembering things

Risk Factors:
Family history
Head trauma

No cure
treatment options
Alzheimer's Disease in France
Prevalence: Rank 15th
Alzheimer Europe estimates the number of people with dementia in France in 2012 as being 1,174,956.
Majority is in the age group of 80-84
Women are more affected: 799,113
The European Prevention of Alzheimer’s dementia (EPAD) Initiative is a collaborative research initiative to improve the chance of successfully preventing Alzheimer’s dementia and to better understand early aspects of Alzheimer’s disease before dementia develops.

#1 Cause of cancer deaths for both male & female in the world
Smoking & second-hand smoke are risk factors
Diagnosed late because doctors tend to find the disease at the advance stage
Average age of diagnosis - M: 68 F: 67
Rectal cancer is a disease in which malignant cells form in the tissues of the rectum
Radiofrequency Ablation
Radiation Therapy
Targeted Therapy
bloody stools
change in shape and size
Damage or disease in the heart's major blood vessels. Also called Coronary Artery Disease.
Chest pains
Gastrointestinal problems
Heart Problems
Shortness of Breath
Lifestyle changes

High blood pressure
High cholesterol
Diabetes or insulin resistance
Sedentary lifestyle
Ischemic Heart Disease in France
Reached 10.86% of total deaths
#1 leading cause of death in 2012
Age Adjusted Death rate: 29.25
Rank: 191th
Majority affect ages 60+
Alzheimer Europe - Policy in Practice - National Dementia Plans - France. (2015, March 26). Retrieved April 18, 2015, from http://www.alzheimer-europe.org/Policy-in-Practice2/National-Dementia-Plans/France?#fragment-1

Lung Cancer. (n.d.). Retrieved April 29, 2015, from http://www.cancer.gov/cancertopics/types/lung

History. (n.d.). Retrieved April 20, 2015, from http://www.infoplease.com/country/france.html

Meyer-Kleinmann, J. (2015, January 15). 35 partners from industry and academia to join European research initiative for the prevention of Alzheimer's dementia. Retrieved April 29, 2015, from https://www.boehringer-ingelheim.com/news/news_releases/press_releases/2015/15_january_2015_epad.html

Faivre-Finn, C., Bouvier-Benhamiche, A.-M., Phelip, J. M., Manfredi, S., Dancourt, V., & Faivre, J. (2002). Colon cancer in France: evidence for improvement in management and survival. Gut, 51(1), 60–64.

Colon Cancer Treatment. (n.d.). Retrieved April 2, 2015, from http://www.cancer.gov/cancertopics/pdq/treatment/colon/Patient/page2#_119

Territories: French Guiana,
Guadeloupe, Martinique, Mayotte & Reunion
Capital: Paris
Size = four times Georgia or slightly less than Texas;
largest West European nation
Terrain: mostly flat plains or gently rolling hills, remainder is mountainous
Climate: generally cool winters & mild summers
Population: 62,814,233 (July, 2014 est.) rank #22 vs. United States pop. 318,892,103 rank #4
One of the most modern countries in the world

Influential globally; leader among EU nations

Median age: 40.9 years

79.3% urban population

Sex ratio is 0.96 male(s)/female

Improved drinking water source - 100% of population

Improved sanitation facility access - 100% of population
French is the official language

Religion: Christian (Roman Catholic) 63-66%

Preference for smaller families: population growth at 0.45% (rank #158), fertility rate at 2.08 children born/woman vs. US at 0.77% (rank #143), fertility rate at 2.01 children born/woman

Bread (baguette), cheese, & wine

Education is free and compulsory between 6 and 16

Gender divide; inequality between males and females
Total area: 643,801 sq km = 248,573 sq miles
Stroke is the syndrome of acute focal neurologic deficit resulting from a vascular induced disorder that injures brain tissue
"Cancer that forms in tissues of the lung, usually in the cells lining air passages. The two main types are small cell lung cancer and non-small cell lung cancer. These types are diagnosed based on how the cells look under a microscope" (National Cancer Institute, 2015)
2 Main Types: Ischemic and Hemorrhagic

Risk Factors: Hypertension, hyperlipidemia, smoking, diabetes, heart diseae, carotid artery disease, coagulation disorders, obesity/inactivity, heavy alcohol use, cocaine use

-Men have higher rates in younger age groups; African-Americans have almost twice the risk of first-ever strokes as whites

Thrombolytic therapy (tPA is gold standard)
Endovascular procedures (catheterization)
Surgical treatment
Second-hand smoking
Doctor Checkups
Lifestyle Changes
Lung Cancer in France
Colon Cancer in France
Third most common cancer in men
Second most common cancer in women
The most frequent cancer in both sexes
A population based cancer registry has, since 1976, recorded all digestive tract cancers occurring in the Côte-d'Or, Burgundy, France.
A cough that does not go away or gets worse.
Chest pain that is often worse with deep breathing, coughing, or laughing.
Weight loss and loss of appetite.
Coughing up blood or rust-colored sputum (spit or phlegm)
Shortness of breath.
Feeling tired or weak.
(American Cancer Society, 2015)
Main cause of death (roughly 70,000 deaths per year)
Highest rates of young adolescent smokers (and increasing)
Socially acceptable
While there are laws, not strictly enforced
Burden of Stroke in France:
Cause of death for 34.1 thousand people (2011)

More women (19.8 thousand) than men (14.3 thousand)

Reported incidence in 2008 is 113 per 100 000 inhabitants

The total healthcare cost of stroke patients in 2007 was €5.3 billion
Central Intelligence Agency. The World Factbook. Available at:
https://www.cia.gov/library/publications/the-world-factbook/geos/fr.html Accessed Apr 26, 2015.

Chevreul, K., Durand-Zaleski, I., Gouépo, A., Fery-Lemonnier, E., Hommel, M., & Woimant, F., (2013, Jul). Cost of stroke in France [Abstract]. European Journal of Neurology, 20(7):1094-100. Abstract retrieved from http://www.ncbi.nlm.nih.gov/pubmed/23560508

France. (n.d.). In Encyclopædia Britannica online. Retrieved from

Porth, C. M., (2015). Essentials of Pathophysiology: Concepts of Altered Health States (4th ed.) Philadelphia, PA: Wolters Kluwer Health.

Schnitzler, A., Woimant, F., Tuppin, P., & De Peretti, C. (December 18, 2014).
Prevalence of Self-Reported Stroke and Disability in the French Adult Population: A Transversal Study. PLoS ONE. Retrieved from

World Health Organization. (2008). Deaths estimates for 2008 by cause for WHO
Member States: By sex and age [Data file]. Retrieved from http://www.who.int/entity/gho/mortality_burden_disease/global_burden_disease_death_estimates_sex_age_2008.xls?ua=1

World Health Organization. (2015). France:WHO Statistical Profile. Retrieved from

International Health Profiles of Health Care System, 2013. (2013, January 1). Retrieved April 30, 2015, from http://www.commonwealthfund.org/~/media/Files/Publications/Fund Report/2013/Nov/1717_Thomson_intl_profiles_hlt_care_sys_2013_v2.pdf
HEALTH PROFILE FRANCE. (2010, January 1). Retrieved April 30, 2015, from http://www.worldlifeexpectancy.com/country-health-profile/france
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