September 6, 2024
MPox: Doctors of the World International Network takes action against the virus’ resurgence
While at least 65 cases of cholera have been reported in Mayotte, Doctors of the World is particularly concerned about the health of populations most isolated from healthcare. In response to the situation, our teams on the ground have launched cholera prevention initiatives and adjusted their health mediation activities among residents of the Longoni and Dzoumogne slums.
A SOCIAL CONTEXT CATALYZING THE SPREAD OF CHOLERA
Cholera, a diarrheal infection caused by consuming contaminated water or food, proliferates in regions lacking adequate access to clean water and sanitation facilities.
In Mayotte, the ongoing water crisis and the fact that 40% of homes are constructed from sheet metal significantly heighten the risk of cholera transmission.
The health system on the island is also in crisis, with 3.5 times fewer doctors than mainland France, and health facilities are completely overwhelmed. The situation continues to worsen as 70% of health professionals are either not replaced or are only temporarily replaced by the health reserve or short-term caregivers.
INCREASED POLICE CONTROLS DETER MEDICAL CONSULTATIONS
The response plan developed by public health authorities is ineffective for those most isolated from care, relying on calls to emergency services and hospital treatment. However, increased police checks in and around medical facilities deter many individuals from seeking medical attention due to fear of arrest.
Moreover, financial barriers—such as the absence of the State Medical Aid (AME) in Mayotte—and difficulties in accessing preventive measures pose additional challenges for vulnerable populations trying to access healthcare.
THE RESPONSE OF DOCTORS OF THE WOLRD
For several years, Doctors of the World has been conducting outreach missions in Mayotte, visiting slum residents to inform them, raise awareness, and guide them in accessing their rights and healthcare.
In response to the cholera epidemic, our association prioritizes maintaining these mediation activities to ensure uninterrupted care for the people supported by our teams.
We have provided cholera training for our staff and adapted our operations, including installing additional handwashing stations, consistently raising disease awareness, and distributing soap to beneficiaries.
Finally, we have initiated weekly cholera prevention raids in the slums where Doctors of the World operates.
Photographs
© Olivier Borson