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2019 ANNUAL REPORT Here 2019 at EVERY STAGE ANNUAL of LIFE REPORT P 2019 ANNUAL REPORT here 2019 AT EVERY STAGE ANNUAL OF LIFE REPORT p. 08 CONTENTS p. 10 The first 1,000 days p. 02 p. 12 Conversation between Children and youth Geneviève Chêne and Marie-Caroline Bonnet-Galzy p. 14 Adults p. 04 Santé publique France at a glance p. 16 Over-60s p. 06 Key events 01 2019 Annual Report here here AT THE HEART WITH OUR OF THE HEALTH EXPERTISE SYSTEM p. 34 p. 18 p. 36 Operationality, or the ability to execute p. 20 a public service mission Anticipate p. 38 p. 22 Scientific excellence, transparency Understand and independence p. 28 p. 40 Take Action International openness p. 42 Dialogue with society p. 44 Organisation p. 46 Operating budget p. 48 Our prevention websites Santé publique France 01 2019-2020 : APPRAISAL AND PRIORITIES FOR SANTÉ PUBLIQUE FRANCE As part of the appraisal of 2019, the Priority on prevention Chairwoman of the Board of Directors Marie-Caroline Bonnet-Galzy: Today, Santé publique and the Chief executive spoke about their France's position as a benchmark national public expert ambitions for Santé publique France in preventive healthcare and health promotion, and in (SpF, the French National Public Health health monitoring and surveillance is firmly established. The agency has proven itself in every area of its involvement. Institute). Following the pioneering stage I'm referring in particular to the surveillance implemented of construction, the agency is entering following the fire at the Lubrizol factory, or the excellent a phase of maturity as an independent results achieved from the anti-smoking measures, scientific expertise agency serving with 1.6 million fewer smokers in the space of two years*. This shows that a targeted prevention policy, along with both public policies and populations. the participation of all stakeholders, produces results. Geneviève Chêne: This success confirms how essential it is to target our prevention policies even more effectively. This is the very core of the approach undertaken, including analysing the burden of disease, to establish priorities in public health action. Assessing the benefit-risk ratio and the return on investment from possible interventions in the most severe diseases, in terms of affected population, severity and treatment, makes it possible to estimate the number of healthy life years lost and identify the 02 2019 Annual Report 2019-2020 : and scientific mediation to develop resilience, while As confidence in expert at the same time protecting our scientific capabilities APPRAISAL AND PRIORITIES opinions becomes in terms of taking action. increasingly fragile, FOR SANTÉ PUBLIQUE FRANCE information and The strength of the network transparency are Marie-Caroline Bonnet-Galzy: The strengths of Santé now essential. publique France, namely its talent pool, as well as its firmly established interministerial and local foundation, MARIE-CAROLINE BONNET-GALZY, are drivers that need to be consolidated and developed. CHAIRWOMAN OF THE BOARD Our operations in different areas of France with and for OF DIRECTORS. the regional health agencies (agences régionales de santé – ARS) gives us a powerful ability to mobilise resources in the event of a health alert and to carry determinants on which all of our efforts must be focused. out preventive actions. This proximity enables us to In addition to smoking, alcohol, certain dietary choices ascertain the diversity of different areas of France and a sedentary lifestyle, which are determinants and more effectively assess their needs, aligning them responsible for nearly half of early deaths and which as closely as possible with the needs of populations. require, as with smoking, collective efforts from the This also applies to the connections we maintain with the various actors, we are seeing new priority focuses national public health network and other health agencies – emerge. One of the biggest is mental health, which and of course, due to the fact that funding is now steered accounts for around 15% of the burden of disease by the Social Security Financing Act, with the health worldwide, as well as environmental health and the insurance authority, with which we have regular, impact of climate change. The preventive healthcare constructive and promising discussions. and health promotion actions led by Santé publique France will continue to be based on conclusive data, Geneviève Chêne: Santé publique France has a large which is something I will be very vigilant about. I would like number of in-house skills and now also needs to to make a contribution to accentuating the central role consolidate its connection with research bodies and that science plays in developing public health policies. universities. Indeed, the agency's scientific excellence needs to draw on external expertise in research and also on our European counterparts, in order to share best practices, experiences and mobilisation efforts. Education and dialogue As the Covid-19 epidemic has reminded us, international collaborations are essential and will become more robust Marie-Caroline Bonnet-Galzy: Interpreting scientific as Santé publique France's influence beyond its borders data requires the agency to work on communicating becomes solid and diversified. in an appropriate way so that it can be understood by everyone, irrespective of cultural and social contexts. *Latest data from the Weekly Epidemiological Bulletin of 31 May 2019. As society's confidence in expert opinions becomes increasingly fragile, information and transparency are now essential. The difficult dialogue seen in cases of transverse agenesis of the upper limbs (TAUL) has illustrated this. We need to prepare, conduct and display our expertise in dialogue and education. Geneviève Chêne: Translating our scientific results for The preventive healthcare a wide variety of audiences is part of our missions and and health promotion actions we need to learn to analyse both the expectations and interests of every individual in order to communicate led by Santé publique France more effectively. We cannot ignore the fact that the way will continue to be based in which scientists objectively describe a situation is not always how it is perceived at large. This difference in on conclusive data, which perception can sometimes result in strong reactions from those concerned and challenging situations is something I will be very for Santé publique France staff. This issue, which vigilant about. particularly affected Santé publique France in 2019, will have to be raised again and we need to gather GENEVIÈVE CHÊNE, the resources internally and train in attentiveness CHIEF EXECUTIVE. Santé publique France 03 WE ARE to improve and protect population health, from knowledge here to action. SERVING PUBLIC HEALTH VALUES The meaning of public interest. Social and territorial equity. Responsiveness to alert Our credibility requires strict, We factor the fight against territorial and intervene, and long-term shared and transparent rules and social health inequalities into involvement, as building good of ethics and professional conduct. our recommendations in order health is a lifelong endeavour. to promote good health in all communities. 04 2019 Annual Report Anticipate OUR MISSIONS Understand • Epidemiological observation and Take Action surveillance of the population's state of health by drawing on new data utilisation tools. • Monitor the health risks facing populations. • Launch health alerts. • Promote health and reduce health risks. • Develop preventive healthcare and health education by rolling out social marketing strategies. • Prepare for and respond to health threats, alerts and crises. OUR SERVICES Santé publique France oversees and supports remote assistance services and prevention websites, such as: vaccination-info-service.fr choisirsacontraception.fr mangerbouger.fr onsexprime.fr tabac-info-service.fr info-ist.fr alcool-info-service.fr sexosafe.fr drogues-info-service.fr pourbienvieillir.fr joueurs-info-service.fr prevention-maison.fr agir-pour-bebe.fr info-depression.fr Santé publique France 05 BY YOUR SIDE A PUBLIC HEALTH CHAIR Key AT THE COLLÈGE DE FRANCE Prof. Arnaud Fontanet, a specialist in the epidemiology of emerging diseases, was named events the new annual public health Chair by the Assembly of the Collège de France. 4TH EDITION OF This position, created in partnership with Santé publique France, is designed to encourage excellence THE SANTÉ PUBLIQUE in research and intellectual debate at the highest level FRANCE MEETINGS regarding public health subjects. In his teaching manual entitled "Epidemiology, or the science of More than 1,000 participants assessing public health risk", Prof. Arnaud Fontanet attended the fourth edition of the showed that epidemiology is still a demanding discipline Santé publique France Meetings on capable of evolving to further refine our understanding 4, 5 and 6 June 2019. These three days of the causes of disease, particularly new pandemics. of conferences, workshops and In 2020, the new Chairholder, Prof. Didier Fassin, will be interactive seminars provide the addressing the theme "Public health: a political and opportunity for discussion between moral anthropology". The lectures will be available peers and experience-sharing on on the Collège de France website. public health issues: health monitoring, preventive healthcare and health promotion actions, and interventions. One hundred and thirty participants, including around 20 international speakers, addressed topical subjects such as "Cognitive health and advancing age", "Early 272epidemiologists
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