Conseil general des Hauts de Seine

Nanterre, France

Conseil general des Hauts de Seine

Nanterre, France

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Bois C.,Conseil general des Hauts de Seine | Servolin J.,Conseil general des Hauts de Seine | Guillemot G.,Conseil general des Hauts de Seine
Archives de Pediatrie | Year: 2010

The WHO curves published in 2006 reflect the exact growth of infants who are exclusively breast-fed for at least 4 months. These curves are universal but not widely used in France. At 2-3 months, they have a much higher level than the curves of the Personal Child Health Record. The aim of our study was to evaluate whether the choice of the type of curve influenced the interpretation of infant growth and the advice given, and whether WHO curves could be used for all infants. Initially, 22 physicians retrospectively interpreted the WHO and Personal Child Health Record weight gain curves of 20 infants who were exclusively breast-fed. All of the curves were interpreted twice. In a second step, we drew the WHO curves from 0 to 3 months for the 151 infants monitored by the consultation. At 2 months, there is a very clear discordance in the interpretations of the French and WHO curves (weighted κappa. =-0.26 CI 95% [-0.62; 0.18]), contrasting with the satisfactory concordance of the WHO interpretations (weighted κappa. =0.71 CI 95% [0.25; 0.89]) and Personal Child Health Record (weighted κappa. =0.58 CI 95% [0.09; 0.81]) curves. By overestimating the weight gain during the first weeks, in one-third of the infants use of the French curves leads to either inappropriate suggestions of restrictions or their insufficient weight not being taken into account. Moreover, the weight gain at 2-3 months for 151 infants of all categories is within the limits of the WHO curves, without going below the percentile lines for the non-breast-fed infants, except premature babies. Broader use of the WHO curves could be proposed in order to optimize the care of infants, regardless of how they are fed. © 2010 Elsevier Masson SAS.


Introduction: A mission of the department's State Maternal and Child Welfare Service is to organize the first checkups for children attending nursery schools. Here, we present the data of the Hauts-de-Seine department (France). Patients and method: All of the PMI physicians who carry out checkups of children aged 3 to 4 years in the nursery schools of the department, contributed in this study by random drawing a sample of 1914 children, born in 2001, who were in the 1st year of nursery school in 2004-2005. The data gathered concern the children's way of living, their personal and family antecedents, vaccinations, the results of the clinical examination, tests of hearing, vision, and language, the existence of special health or educational programs for children with handicaps or illnesses (PPS and PAI), as well as the types of health insurance coverage the children have. Results: The median age of the children at the time of the checkups was 3 years and 8 months. Half of the children had had some kind of childcare from before the age of 1 year. Two-thirds of the children spend more than 25 h a week at school. Twenty-seven percent of the children had already been hospitalized, due to accidents in 5 % of the cases. One child out of 20 lives in a nuclear family that has experienced a serious familial disease. Thirty percent of the children speak or understand a second language. Fifteen perccent of the children have poor health insurance coverage. 8.5 % of the children were overweight, 1.6 % were obese, 3.9 % were too thin. 2.5 % were in school with PAI programs,and 0.4 % with PPS programs. As a result of the checkups, 30.1 % of the children were referred (28.3 % for children who have both social security and mutual insurance), including 4.7 % for hearing tests, 13.7 % for vision, 4.4 % for dental checkups, 6.3 % for anomalies of the general examination, 2.7 % for psychological difficulties, 2.6 % for serious language difficulties. 28.9 % of the parents received advice (26.4 % for children who have both social security and mutual insurance) for psychological difficulties, language issues, DTCPH (diphtheria, tetanus, whooping cough, poliomyelitis and hemophilus) and Measles, Mumps, Rubella (MMR) vaccination boosters, and 56.1 % when we add the recommended hepatitis B vaccination. Children who are in schools in priority education zones represent 12.1 % of them. These 2 subgroups are distinguished for a large number of variables, which reflect the very early appearance of social inequalities in terms of health care. Children who went to the Child Welfare Service represented 35 % of the sample, children who are in schools in priority education zones represent 12.1 % of them. Conclusion: The complete and systematic medical exam for children in nursery school at the age of 3-4 years old, the key age for screening, give occasion to appreciate global children's health. There should be thinking on the national level about how to group the results of the departments. © 2009 Elsevier Masson SAS. All rights reserved.


Versini P.-A.,French Scientific and Technical Center for Building | Jouve P.,Conseil General des Hauts de Seine | Ramier D.,Center detudes et dexpertise sur les risques | Berthier E.,Center detudes et dexpertise sur les risques | de Gouvello B.,French Scientific and Technical Center for Building
Urban Water Journal | Year: 2016

At the building scale, green roof has demonstrated a positive impact on urban runoff (decrease in the peak discharge and runoff volume). This work aims to study if similar impacts can be observed at a basin scale. It is particularly focused on the possibility to solve some operational issues caused by storm water. For this purpose, a methodology has been proposed. It combines: a method to estimate the maximum roof area that can be covered by green roof, called green roofing potential, and an urban rainfall-runoff model able to simulate the hydrological behaviour of green roof. This methodology was applied to two urban catchments, one affected by flooding and the other one by combined sewage overflow. The results show that green roof can reduce the frequency and the magnitude of such problems depending on the covered roof surface. Combined with other infrastructures, they represent an interesting solution for urban water management. © 2015 Taylor & Francis.


Gissy M.,Conseil General des Hauts de Seine | Roux C.,Conseil General des Hauts de Seine | Allouch A.,University of Paris Descartes | Le Balier V.,Sevesc
Techniques - Sciences - Methodes | Year: 2013

The Hauts-de-Seine county has initiated a combined sewer overflow reduction program. A set of static CSOs have been automated and regulated according to local upstream water level conditions. At the beginning, for safety reasons regarding the flooding risks, the regulation rules were set at the same levels as the preceding fixed CSOs. Thanks to recent improvements of the monitoring system and of the sewer model reliability, the level of fixed CSOs and the regulation rules of automated CSOs have been reviewed in order to reduce wet weather overflows to the River Seine and limit flooding risks. In the particular case of the CSOs along the city of Boulogne-Billancourt, important CSO reductions are expected with no significant increased flooding risk. New fixed CSO settings and automated CSO regulation rules have been defined and implemented. The effective sewer network behaviour is now monitored in order to validate theoretically expected results, before evaluating additional overflow reduction possibilities.


Roux C.,Conseil General des Hauts de Seine | Guillon A.,Conseil General des Hauts de Seine | Jouve P.,Conseil General des Hauts de Seine | Belin M.-M.,Conseil General des Hauts de Seine | Allouch A.,University of Paris Descartes
Techniques - Sciences - Methodes | Year: 2013

In France, most sewer system operators regularly produce CSO monitoring data, at least for the Water authorities. The question today is to effectively use these data for enhancing the sewer system through a continuous diagnosis process. That means to identify possible lacks, to assess enhancement possibilities but also to be able to understand the system behaviour in any conditions. This one is submitted to the crossed effects of several factors that are themselves varying season after season, and year after year: hydrological and climatic factors, state of the system, unavailability and various incidents that could affect collectors, pumping stations, gates... For a better understanding, these numerous factors and their impacts on the system have to be identified. This paper relates a systematic comparison approach between monitoring data and modelling results for helping a better continuous diagnosis of the sewer system. This approach also helps to reinforce both tools for the benefit of this main goal.


Bois C.,Conseil general des Hauts de Seine | Guillemot G.,Conseil general des Hauts de Seine
Revue d'Epidemiologie et de Sante Publique | Year: 2013

The social effects on health described in France on newborn and 5- to 6-year-old children suggest the existence of a social gradient among the youngest children. The favoured, though unequal, social situation of the department of the Hauts-de-Seine (France), makes it particularly adapted to this study. A survey, conducted in 2010 by the departmental service of maternal and infantile protection (PMI) on a representative sample of 1227 children, who received check-ups in their first or second year of nursery school, reveals a significant increase of overweight (from 4.6 to 16.5%), of language disorders (from 8.3 to 25.3%), of the orientations to specialized consultations (from 20.6 to 36.6%), according to the socioprofessional category of the father or the social affiliation of the children in the following subgroups: children speaking or understanding a foreign language (36.6% of the sample), children schooled in priority educational zones (equivalent to education achievement zones in UK, 13.6%), children with limited social health coverage (13.4%). In contrast, the BCG and hepatitis B vaccinal coverage is systematically higher in these various groups. The multivariate analysis investigates for each health problem its links with these various subgroups, and with previous child care experiences, and PMI medical consultations. This study suggests therefore further prospects for different actions according to health problems or regarding vaccinal strategy. The development of such routine indicators of disadvantage should allow territorial health services to target their actions towards the decrease of social disparities in health and to check a posteriori the efficiency of the public systems, which have been implemented. © 2013 Elsevier Masson SAS.


Guillon A.,Conseil General des Hauts de Seine | Lemenager B.,Conseil General des Hauts de Seine | Kovacs Y.,SEPIA Conseils | Gros F.,SEPIA Conseils
Houille Blanche | Year: 2011

In the event of major flooding by the Seine in the Hauts-de-Seine county, the Specialised Flood Rescue Plan (PSSI-Plan de Secours Spécialisé sur les Inondations) provides for coordinated emergency assistance and encourages local stakeholders to be independent. The Council of the Hauts-de-Seine county (Conseil général) has therefore listed the sites belonging to the county located in the area liable to flooding, and has set up plans to reduce the vulnerability to flooding by the Seine of the 41 most sensible sites. The aim is to encourage the independence of those in charge of the sites in staunching the impact of a flood and enabling a satisfactory re-opening of services. Because of the absence of experience records in this field, the County Council initially devised an assessment method based on work on 12 pilot sites. This was subsequently improved while supporting the sites in drawing up their plans. A preparatory level led to the definition of the reference probability of occurrence and of the crisis context data (warning chain, vulnerability of networks, of transports). Each site received an assessment visit involving an analysis of the origins of flooding and the listing of vulnerable elements reached by a centennial flood. Organizational measures were then identified through a process which, based on collaboration with the director of each premises, went beyond the limits of a technical audit. Structural measures for the protection of vulnerable elements were also listed. This method favours the rooting of a risk management culture through dialogue, through the transmission of clear information and the production of simple action headings. This awareness-raising effort was conducted by initiating and leading work sessions and writing up the resulting documents. Experience on the ground revealed differences in culture and in operation between the various sites, calling for response strategies adapted to specific needs. The project also sought to provide solutions to the problems of resuming normal business at the sites and of ensuring the continuity of public services. These solutions are cross-disciplinary and require coordination between the various stakeholders. © 2011 Société Hydrotechnique de France.


Lehoucq C.,Conseil General des Hauts de Seine | Michaud A.-C.,Sevesc Assainissement des Hauts de Seine | Kovacs Y.,Sepia Conseils | Forestier S.,Sepia Conseils | And 3 more authors.
Techniques - Sciences - Methodes | Year: 2013

In 2005, the département council of Hauts-de-Seine approved its sewer system master-plan for the next 15 years. In a highly urbanised context, the département conducts a voluntary policy for stormwater control aimed at reducing combined sewer overflow and the flooding risks. To improve the efficiency of its policy in the Hauts-de-Seine county, urban managers and sewer system owners' commitment is needed. Therefore, the département has developed several tools to promote a consistent policy for sustainable stormwater management. After seven years, the département has wished to initiate a review of its policy through a series of interviews of its partners: local authorities and developers. These interviews have shown that stormwater regulation rules are now included in most municipalities' sewer system regulation documents and land use plans. Although many new buildings and developments were exemplary, it seems that some reticence sometime remains about stormwater source control and also access in private estates for checking the stormwater collecting system. Continuing a strong and long-lasting policy as well as improving stormwater source control will contribute to update our sewer system master-plan.


Rosier F.,Service des Eaux de Versailles et de Saint Cloud | Dupont H.,Service des Eaux de Versailles et de Saint Cloud | Roux C.,Conseil General des Hauts de Seine | Guillon A.,Conseil General des Hauts de Seine
Techniques - Sciences - Methodes | Year: 2010

The use of turbidity measurement plays a major role in the management of the dry weather flows upstream from the Grand open channel in the historical park of the city of Sceaux. This technology suits particularly well since it allows reconciling good representativeness of the water quality and simplicity of process.


PubMed | conseil general des Hauts de Seine
Type: Journal Article | Journal: Archives de pediatrie : organe officiel de la Societe francaise de pediatrie | Year: 2010

A mission of the departments State Maternal and Child Welfare Service is to organize the first checkups for children attending nursery schools. Here, we present the data of the Hauts-de-Seine department (France).All of the PMI physicians who carry out checkups of children aged 3 to 4 years in the nursery schools of the department, contributed in this study by random drawing a sample of 1914 children, born in 2001, who were in the 1st year of nursery school in 2004-2005. The data gathered concern the childrens way of living, their personal and family antecedents, vaccinations, the results of the clinical examination, tests of hearing, vision, and language, the existence of special health or educational programs for children with handicaps or illnesses (PPS and PAI), as well as the types of health insurance coverage the children have.The median age of the children at the time of the checkups was 3 years and 8 months. Half of the children had had some kind of childcare from before the age of 1 year. Two-thirds of the children spend more than 25h a week at school. Twenty-seven percent of the children had already been hospitalized, due to accidents in 5 % of the cases. One child out of 20 lives in a nuclear family that has experienced a serious familial disease. Thirty percent of the children speak or understand a second language. Fifteen percent of the children have poor health insurance coverage. 8.5 % of the children were overweight, 1.6 % were obese, 3.9 % were too thin. 2.5 % were in school with PAI programs,and 0.4 % with PPS programs. As a result of the checkups, 30.1 % of the children were referred (28.3 % for children who have both social security and mutual insurance), including 4.7 % for hearing tests, 13.7 % for vision, 4.4 % for dental checkups, 6.3 % for anomalies of the general examination, 2.7 % for psychological difficulties, 2.6 % for serious language difficulties. 28.9 % of the parents received advice (26.4 % for children who have both social security and mutual insurance) for psychological difficulties, language issues, DTCPH (diphtheria, tetanus, whooping cough, poliomyelitis and hemophilus) and Measles, Mumps, Rubella (MMR) vaccination boosters, and 56.1 % when we add the recommended hepatitis B vaccination. Children who are in schools in priority education zones represent 12.1 % of them. These 2 subgroups are distinguished for a large number of variables, which reflect the very early appearance of social inequalities in terms of health care. Children who went to the Child Welfare Service represented 35 % of the sample, children who are in schools in priority education zones represent 12.1 % of them.The complete and systematic medical exam for children in nursery school at the age of 3-4 years old, the key age for screening, give occasion to appreciate global childrens health. There should be thinking on the national level about how to group the results of the departments.

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