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RHÔNE-ALPES | Access to healthcare, exposure to pollution…. Health: territorial inequalities remain high


Specialists: the most expensive Rhône

The regional average density is 152 general practitioners per 100,000 inhabitants (in 2019), with differences ranging from 102/100 000 in Ain (-33% compared to the national average) to 199/100 000 inhabitants in Savoie (+ 32%).

In the Rhône, there are 179 general practitioners per 100,000 inhabitants – i.e. + 18% compared to the national average – and these doctors are on average younger than in the rest of the region: 29% are over the age of 60 years against 40% in Allier (regional average 30%).

But the Rhône is also the department where treatment in the city is the most expensive with only 55% of liberal specialists practicing controlled rates (-26% compared to the national average) versus 100% in Haute-Loire and 75% in average in Auvergne Rhône-Alpes.

Environmental health: worrying indicators

In Auvergne-Rhône-Alpes, the water quality is excellent or very good in all the departments, except Allier. Outdoor air quality has also improved since 2000, but black dots remain , especially on the A7 where the Sud Lyonnais sensor showed, in 2018, an average fine particle concentration of 43 µg / m3 and that of Nord-Isère of 14.6 µg / m3, to be compared with the rural South Drôme (5.6 µg / m3).

Exposure to endocrine disruptors is also worrying in the region where almost all departments have an incidence rate of precocious puberty above the national average. The Rhône is the most affected with a rate of 8.6 per 10,000 girls (+222% compared to the national average) and 0.6 per 10,000 boys (+ 142%). If explanations are still lacking, specialists also point out that screening for precocious puberty is more frequent in Lyon due to the presence of expert centers.

Launched by the Mutualité Française with the support of the Regional Health Agency and local authorities, the “1,000 days that count” project aims to make parents aware of the links between the environment and their child’s health, conception at 2 years old.

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