DOCTORS OF THE WORLD ANNUAL REPORT 2010
healthcare in 22% of cases because of essentially administrative reasons (such as the complexity of '(%& !2"3%$12%*@& "2& 5"2& *-5%'L& 3"#3%2#*& A5%-2& "5& ?"+#?&"1'@/ Although the same critics like to argue that there +*&-&7-**+=%&)">&"5&7+?2-#'*&>("&!;-#&'"&7-.%& excessive use of the French healthcare system, the data show that in the vast majority of cases migration takes place for economic reasons. Medical reasons only apply in a very small minority of cases—less than 10% of people with chronic conditions such as HIV or hepatitis knew that they were infected when they arrived in Europe. The very day that the law was published, a joint report of the General Inspectorates on Finance and on Social Affairs backed up the case being made by MdM and the voluntary sector collectives who have mobilised against these decisions, highlighting once again how absurd these changes are. M3,( +%63&( &"( V,( 6+)#&,*( )( 2%')( G"+( 4,*%!)0( reasons is also threatened by the law on %44%6+)&%"#-(%#&,6+)&%"#()#*(#)&%"#)0%&>-()#*( &3,(*,V)&,(%'("#6"%#6(%#(CEBB:
MdM will continue to work with vulnerable popu4%.2#/()2/)9"%/*'):;<)=624')+$6.2/$)>#").6')"'(!'*.) of the essentials of public health and against the essentials of security. %#(N+)#!,:(At the beginning of 2010, these tests were still not permitted although some countries in Europe were using them and MdM was already 8#(+,'1"#',(&"(&3,(3,1)&%&%'(<()#*(789(,1%*,- using them in international programmes. 4%!'-(S*S(3)'(!"#&%#/,*(&"(%##"2)&,- and to turn policy into operational reality, particularly in MdM participated in various working groups to relation to harm reduction. A project for intrave- promote the use of these tests. To support this nous drug users has been started. This health advocacy work, the organisation decided to education project, aimed at limiting the risks start using the tests in French Guiana (a French associated with injection (transmission of hepati- $%!-2'7%#'&>+'(&(+?(&CMl&!2%=-;%#3%@&52"7&'(%& '+*&U<&CMl<&*%!'+3-%7+-@<&1*%*&-#&+#$+=+$1-;&'(%"- end of 2009. retical and practical approach developed during a pre-determined number of sessions where the Finally, favourable legislation was published on 17 user uses the product which he or she normally November 2010, more than a year after the High uses. Working with Gaia Paris and Sida Paroles, Authority on Health had recommended that rapid the objective is to demonstrate the relevance of diagnostic texts could be used beyond certain this approach for public health. A joint evaluation emergency situations or in a research context. with AIDES is underway, in partnership with the In 2011, therefore, we will extend the use of this French medical research institute (INSERM in its _2%#3(&-32"#L7@&-#$&>+'(&6#-#3+-;&*1!!"2'&52"7& the National Agency for Research on AIDS and l+2-;&C%!-'+'+*&AKbdJ&+#&+'*&_2%#3(&-32"#L7@/&
France who would otherwise be sent to their country of origin.
MdM is still working with other voluntary and public sector organisations to preserve these arrangements for access to healthcare, whose disappearance would effectively mean Q#"&3,+( %##"2)&%2,( )+,)( "G( R"+@-( "#( &3,( death for many seriously ill patients living in G+%#6,'("G(&3,(0)R-(%'(&3,(/',("G(+)1%*(789(&,'&'(
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