Question 15926 — security of goods and people

Summary

Ms. Sabine Rubin alerts the Minister of Solidarity and Health to the serious territorial inequality affecting Seine-Saint-Denis with regard to the risk of death from heart attacks. A press article recently brought to his attention an additional inequality which hits his department hard: an inhabitant of Seine-Saint-Denis has on average twice the chance of dying following a heart attack than a Parisian or a resident of Hauts-de-Seine. This article is based on a study carried out by a group of doctors and health professionals published in the journal Circulation, making it possible to aggregate data and information on the mortality rate in the event of heart problems over a period from 2011 to 2016. Identifying nearly 17,476 victims of cardiac arrest in the departments of Seine-Saint-Denis, Val-de-Marne and Hauts-de-Seine, Only 9,000 will have were able to receive assistance before their deaths. While nearly 12% of victims survive in the very center of Paris, this figure drops dramatically to 6% for residents of Seine-Saint-Denis. This inequality in access to care seriously undermines the principle of republican fraternity and equality of citizens and constitutes a clear violation of the goals set by our public health policy. The lack of training for emergency assistance may be incriminated, as well as an insufficient provision and coverage of the territory in terms of debrifillers which nevertheless make it possible to considerably reduce the risk of death following a cardiac incident. But also and above all the lack of human and financial resources allocated to relief, both in terms of personnel and vehicles, represents a determining factor explaining this inequality in the face of death from which people suffer our fellow citizens of Seine-Saint-Denis. This situation is truly intolerable and scandalous, unworthy of the long tradition of excellence and republican equality that the public health service has within it, today greatly undermined by years of austerity policies. In this context, she wishes to know what means will be allocated by her services in order to compensate for this flagrant injustice, both in terms of public investment and prevention of relief actions.

Machine translation from French. The official text remains authoritative.

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