Question· Question écrite2356open
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of Solidarity and Health to the situation of women who have suffered serious problems and injuries following the installation of Essure implants as part of definitive contraception. The German pharmaceutical laboratory Bayer Healthcare announced on September 18, 2017 that it was ending their marketing in France, following the suspension of its CE marking. However, he did not plan to removal protocol, which forces victims to individually undertake cumbersome administrative procedures to have these implants removed through a surgical operation. The lack of training of gynecological explant surgeons further complicates the procedures to be carried out. Also, he asks him to kindly inform him if it is envisaged on the one hand to establish a common national withdrawal protocol from the device to all gynecologists and also to entrust the centralized management of investigation files to the National Office for Compensation for Medical Accidents.
Question· Question écrite24080open
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of Solidarity and Health to the care and treatment of diabetes, a chronic and progressive disease which is a major public health issue. Its frequency has increased significantly over the past two decades with the disease expected to affect 592 million adults worldwide by 2035. Some medications are well known, effective and inexpensive. Metformin improves the sensitivity of cells to insulin but can cause digestive problems in certain patients. Its use is not recommended when the kidney is functioning poorly and must be discontinued in acute situations such as a vascular accident, infection or surgery. Sulfonamides and glinides, two classes of drugs with a very similar mode of action, stimulate the production insulin through the pancreas. But they can cause hypoglycemia, which means that the patient's blood sugar level must be checked very often. In addition, sulfonamides are contraindicated in cases of renal insufficiency. Acarbose, which slows down the intestinal absorption of glucose and helps avoid blood sugar peaks after meals, can cause digestive problems. Therapeutic treatments with newer drugs, such as DPP4 inhibitors and GLP-1 analogues, provide solutions to patients suffering from diabetes but remain very expensive and their duration of action is very short (particularly with regard to GLP-1 because it is destroyed by the DPP-4 enzyme). The advantage of these new treatments is based on the fact that they have benefited from cardiovascular safety studies as part of their development. Some of them also have a protective effect on the cardiovascular level, which is an additional argument for their use. A new therapeutic class, gliflozins, promote the elimination of sugar in the urine thus leading to weight loss, improve blood pressure and also have a protective effect on the heart. All these advantages mean that their availability in France is eagerly awaited. While some patients can already obtain them in European countries such as Luxembourg for example, he asks when their marketing and reimbursement for ALD and medical benefits rendered will be effective in France. He also questions him about the progress of possible other therapies that would be considered effective in the treatment of diabetes.
Question· Question écrite2290answered
France · National Assembly
Mr. Brahim Hammouche questions the Minister of the Economy and Finance about the discrepancies which sometimes exist between the rates voted by certain local authorities and those which appear on the notices of assessment of property taxes issued by public finances. Indeed, certain consumer associations have noted that this increase could represent more than 90% for taxpayers in certain municipalities. Also, he asks him to kindly indicate whether the tax services which are locally competent to issue tax notices are authorized to increase the voted rates to adapt the tax revenues to those which were adopted in a budget previously voted and remained unchanged. If this is the case, he asks him to inform him of the legal basis of this authorization by communicating to him the references of the general tax code, the general code of local authorities or those of other legislative or regulatory texts applicable in this area.
Question· Question écrite2230open
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of State, Minister of Ecological and Inclusive Transition, to the water pollution which results from the use of the contraceptive pill. Indeed, in an article in L'Observateur dated September 7, 2017 entitled "the pill is an endocrine disruptor", it is written that "the pill contains a synthetic hormone, ethinylestradiol (EE2) which women excrete in the urine". However, this molecule is only 60% eliminated by wastewater treatment plants and is therefore found in rivers and then in tap water. The feminization of fish with seriously impaired fertility is one of the disastrous consequences of this phenomenon which is regularly denounced by several ecologists. On the other hand, British academics Susan Jobling and Richard called for a public debate on EE2 in 2013 because they suspected it of having harmful effects on the male genital system and in particular on little boys, some of whom suffer from hypospadias (anomaly of the opening of the urethra) or cryptorchidism (testicles which do not descend). Consequently, he asks him to please clarify whether specific measures are planned to mitigate these health and environmental risks.
Question· Question écrite19679answered
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of Labor to the concerns of many directors of local missions who fear a potential deterioration in the financial capacities of their organizations. Several indicators such as the potential merger of local missions within Pôle emploi, the drop in CPO credits and the delays in payment of subsidies this year as well as the retroactive modifications to the rules of payment of support from the Youth Guarantee have raised fears of an inability of local missions to meet the support needs of hundreds of thousands of young people and to meet the objectives of the PIC and the Poverty Plan. Operators of professional development advice, they nevertheless implement the right to support young people within the framework of PACEA, of which the Youth Guarantee is the most common form of support. intensive. As an illustration, the local mission in North Moselle, since the launch of the Youth Guarantee in January 2017, has supported more than 461 young people from North Moselle, as part of the journey to access autonomy and employment. Every year, it supports more than 2,000 young people, particularly the most deprived. The quality of the mission's services was also recognized by a satisfaction survey carried out by a national level survey body, which demonstrated that more than 9 out of 10 young people are satisfied or very satisfied with the welcome and support provided by their advisor. Also, in view of the concerns which may seem legitimate from the directors of the local missions, he asks whether specific measures will be taken so that the local missions can carry out in an efficient and sustainable manner the missions which they require. are vested.
Question· Question écrite13488open
France · National Assembly
Mr. Brahim Hammouche questions the Minister of Agriculture and Food on French agriculture and particularly on the fruit and vegetable sector threatened by the announced end of the system for reducing charges for casual job seekers, known as TO-DE. The implementation on January 1, 2019 of a general system for expanded burden reduction does not compensate for the accumulation of CICE and TO-DE for labor employers seasonal. According to calculations by rural economy centers, the abolition of the CICE in 2018 and now that of the TO-DE have a direct impact with a brutal 15% increase in labor costs, jeopardizing the existence of a large number of agricultural operations: viticulture, fruit, vegetables, horticulture, seeds... The disappearance of the TO-DE thus condemns French apple and pear producers to bankruptcy, for whom the Labor represents 60 to 70% of the cost of fruit production, and some 40,000 full-time equivalents are unemployed. In anticipation of the application of this decision on January 1, 2019 and unable to cope with this sudden increase in costs, arborists have already uprooted an orchard in Hérault in Mudaison near Montpellier on Friday September 21, 2018. The despair of arborists is palpable and the sector confirms a vast movement to uproot orchards. The consequences of this decision promise to be dramatic not only for the sector but also for employment, regional activity and for consumption since our children and grandchildren will no longer be able to eat French fruit. This decision is incomprehensible to French producers and in complete contradiction with the conclusions of the Estates General of food in favor of quality food, respectful of the environment and local. The more the management method uses agroecological means (eco-responsible, organic orchards), the more working time it requires due to the increase in manual and mechanical interventions. Also, he asks him to kindly indicate on which impact study for the beneficiaries of the TO-DE the Government based itself to consider that the system for reducing charges on low salaries could compensate for the exemption from charges provided by the accumulation of TO-DE and CICE.
Question· Question écrite13560answered
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of National Education and Youth to the situation of AVS and AESH. The issue of disability is one of the major priorities for the 2017-2022 five-year term, which the MP welcomes, and the effort to promote the education of students with disabilities must continue. Parents, associations and professionals concerned continue to sound the alarm about the shortage of AVS and AESH at each school year, which influences the quality of care for children in difficulty who, in the most difficult cases, are dropped out of school and forced to stay at home. In 2018 again, at the start of the school year in September, 3,500 school life assistants (AVS) were missing! The precarious status and working conditions of these agents largely explain the demotivation and the discouragement experienced by a good number of them even though they are people who are very involved with the children they support. This precarious status also makes it difficult to recruit new agents who would compensate for the shortage of current staff. However, the Republic school is a promise of equal opportunities and must be able to provide the means necessary for everyone to succeed. Also, he asks if he can tell him how he plans to improve the working conditions of AVS and AESH to guarantee the development of all.
Question· Question écrite21442answered
France · National Assembly
Mr. Brahim Hammouche alerts the Minister of Solidarity and Health to the two decrees relating to the Hopsyweb file (file of people subject to a care measure without consent) of May 23, 2018 and May 7, 2019. The first intends to open consultation of the said file to a whole list of people such as prosecutors, investigating judges, prefects, mayors, people outside the medical or paramedical field who must go through the ARS and extends the data retention period from one to three years without the possibility of appealing against this entry in the file. The second operates an interconnection between this file and the file of reports for prevention and radicalization of a terrorist nature, otherwise called the S or FSRT file, for prefects on information of a non-medical nature and, in the event of a match, offers the possibility of both prefects and a significant number of non-medical personnel, national education, justice, the associative world, state services to obtain any additional and therefore medical information via the doubt removal procedure. Furthermore, no information for patients relating to their records is provided, contrary to common law on personal data. Finally, no provision allows the right to erasure information contained in Hopsyweb, even in the event of care without consent declared irregular. The MP considers it unacceptable to oppose the logic of security and that of protection of people suffering from mental illness for which there should be a point of balance. On the other hand, he considers that a dangerous tipping point has been reached, violating the rights of patients and medical confidentiality, fueling an unfounded and dangerous between terrorists and people suffering from mental disorders. Despite alerts from all mental health stakeholders and a sufficiently long time for contradictory debate, he has not noted any change from the Government on this subject. He therefore asks again that the Government reconsiders its position on these decrees.
Question· Question écrite21476open
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Keeper of the Seals, Minister of Justice, to the precarious status of technical teachers of the judicial protection of youth which has not changed for almost fifteen years. State civil servants, they are responsible, among other things, for the social, educational and professional integration of young people under mandate by ensuring teaching and educational activities and participating in the achievement of training and professional integration objectives. Since 2004, no improvement has been made to the situation of these agents who nevertheless cover a very broad field of action: no recruitment campaign, the advancement of agents has been blocked for three years, professional mobility is reduced and the possibilities for career development are at a standstill. However, a solution was provided to school teachers of the National Office for Veterans and War Victims by attaching them to the national education services, while they were in a situation equivalent to those of technical teachers of the judicial protection of youth. However, attachment to this ministry while remaining detached from the judicial protection of youth would be largely possible and even desirable, at least particularly with regard to the low number of people (less than 150) who would be affected by this measure. Also, he asks whether specific measures are planned to compensate for these differences in treatment and thus put an end to the precarious status of these agents.
Question· Question écrite22131open
France · National Assembly
Mr Brahim Hammouche draws the attention of the Minister for Europe and Foreign Affairs to the fate of the Rohingya in the refugee camps in Arakan State, in the west of Myanmar (formerly Burma). The MP questioned the Government in September 2017 about this ethnic group of Muslim religion which suffers persecution and abuses which push tens of thousands of them to flee to neighboring countries (Bangladesh, Malaysia, Thailand). Over the past two years, around 740,000 people, the majority of whom are children, have been forced to move. Non-governmental organizations have reported executions of civilians by the armed forces and acts of torture and denounced the presence of anti-personnel mines placed on the routes of this mass exodus. With regard to international law, these acts which constitute an offensive systematic and large-scale attacks against the Rohingyas constitute crimes against humanity, as does the system of discrimination and segregation put in place by the State which is akin to apartheid. Investigations are currently being carried out by the United Nations Human Rights Council. However, the lack of cooperation from the Burmese government renders the judicial process ineffective, even though senior officials are involved in these abominable acts. At the Security Council on February 28, 2019, as well as at the 40th session of the Human Rights Council in March 2019, France expressed strong recommendations, such as the immediate establishment of safe and unimpeded humanitarian access in Arakan State or the assurance that internally displaced Rohingya people can have full freedom of movement, which we can only greet. However, this remains insufficient given the scale of this tragedy. Consequently, he asks what diplomatic means France intends to implement in order to advance the fight against impunity and respect for the dignity of people in Myanmar.
Question· Question écrite1286answered
France · National Assembly
Mr. Brahim Hammouche questions the Minister of Labor on the system relating to subsidized contracts. Indeed, the sudden announcement of their drastic reduction caused numerous concerns on the part of the beneficiaries (320,000 people in 2017) of course but also from local authorities and the associative sector. Everyone points the finger at this measure which is detrimental to the possibilities of reintegration into active life of the most vulnerable people. far from employment, young people under 26 and people over 50 who until now benefited from these subsidized contracts. However, the latter are used by local authorities and in particular municipalities to carry out certain public service missions intended in particular for students in educational establishments (after-school reception, school transport, securing school outings) and to organize the operation of their technical and administrative services. This announcement is all the more poorly received as local authorities have already had to face significant budget cuts in terms of investment and operating credits. The Minister's recent announcements, such as those relating to the renewal of certain subsidized contracts in sectors deemed priority, are in fact going in the right direction. However, he asks whether other measures essential to the social and territorial cohesion of France and complementary to those linked to subsidized contracts will be implemented in the coming months.
Question· Question écrite15245answered
France · National Assembly
Mr. Brahim Hammouche questions the Minister of the Interior about the difficulties encountered by local elected officials in terms of welcoming Travelers and combating illegal installations. Law No. 2018-957, promulgated on November 7, 2018, brings a certain number of advances, including for example relating to the delimitation of powers between municipalities and EPCIs. In fact, it simplifies departmental plans of intermunicipal cooperation, by providing for the prior notification to the regional prefect of any parking of a group of more than one hundred and fifty mobile residences. However, it only partly responds to the difficulties encountered on the ground by local elected officials who, very often powerless, sometimes find themselves confronted with the arrival of hundreds of caravans which were not announced on sites which are not intended for their reception as well as the management of damage observed on the sites in question after their departure. The inhabitants of the municipalities concerned express their dissatisfaction with the absence of sanctions from which some of these incivilities seem to benefit. Also, he asks if measures are planned to overcome these difficulties and strengthen the system currently in force for the reception of Travelers.
Question· Question écrite15325open
France · National Assembly
Mr. Brahim Hammouche questions the Minister of Solidarity and Health on the situation of the 4,000 doctors with non-European Union qualifications (PADHUE) threatened with exclusion from French hospitals on January 1, 2019. Providing a significant part of the operation of French public hospitals, doctors with foreign qualifications - 75% of whom are French - have always faced non-recognition of their training and skills. In Indeed, the regulations concerning them, although modified several times, have not fundamentally changed the precariousness of their situation, which sometimes results in total exclusion. On several occasions, the Minister has spoken out about the need to reform the practice authorization procedure for these practitioners, which she considers to be one of the key elements of the continuity of care and the balance of the health system in France. However, the Constitutional Council recently contested the validity of the law which provided for an extension of authorization to practice until December 31, 2020. Certain practitioners could be prohibited from practicing in France from January 1, 2019. It is therefore asking for clarification on the Government's position on this issue and in particular whether an authorization to exercise and maintain these practitioners in France is considered, as is the case in other neighboring European countries.
Question· Question écrite15558answered
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of Solidarity and Health to the crisis in the visual sector, in which access to care is not always guaranteed or involves excessively long waiting times. To get out of this impasse, it would be desirable to open up the possibility for orthoptists to renew or adapt optical corrections under the same conditions as eyewear opticians. The orthoptists, already authorized to carry out screenings, assessments and to take charge of rehabilitation, have all the skills necessary for this purpose. In the current state of the regulations, orthoptists can carry out a visual assessment as part of the renewal or adaptation of optical corrections. However, the prescribing doctor remains solely competent to write the prescription corresponding to the orthoptic diagnosis. A such organization is not effective. It mobilizes several healthcare professionals, involves numerous return trips and generates unacceptable additional financial costs for the patient and health insurance. The reorganization of the sector mentioned here would make it possible to relieve congestion in ophthalmology practices, reduce the cost of orthoptist consultations and promote prevention in visual health. This solution would have the merit to be in line with the health system transformation plan announced by the President of the Republic and the latest recommendations from the Court of Auditors. In its latest report on the application of social security financing laws, the Court clearly called for a modification of the distribution of skills between the different actors in the visual sector and, more specifically, for the granting of authorization for orthoptists to carry out visual assessments and simple consultations and to prescribe optical equipment. Also, he asks him what the Government's position is on this subject.
Question· Question écrite15559open
France · National Assembly
Mr. Brahim Hammouche questions the Minister of Solidarity and Health about the lack of attractiveness of the orthoptist profession. This profession is accessible after university training attested by a certificate of ability as an orthoptist, the organization and content of which are set by a decree of October 20, 2014. This course provides for several weeks of internship during the six semesters of study. Internships can in principle be carried out in public or private hospital, medico-social, educational structures and in private practices. Several points of the training grid have, however, never been specified: the status of the private internship supervisor, the homogeneity of training throughout the territory, the means of controlling the authorizations of training places and the orientation of practical teaching. These regulatory uncertainties have seriously penalized orthoptists. With particular regard to practical teaching, it appeared that internships in private practice were essentially devoted to assistance during ophthalmological consultations. Rehabilitation and rehabilitation missions, which nevertheless constitute the heart of the profession, found themselves marginalized or even excluded from training. Orthoptics students now favor internships in ophthalmology practices, with better defined contours and accompanied by remuneration. During discussions on the social security financing bill for 2019, this difficulty was raised and was linked to the prohibition provided for in paragraph 3 of article L. 4381-1 of the public health code, according to which "The completion of these internships cannot have the aim or effect of increasing the paid activity of these practitioners. This provision was interpreted as prohibiting orthoptist students from carrying out internships with a privately practicing orthoptist. Several amendments were tabled to delete this paragraph. They were supported by the rapporteurs of the social affairs committee of each chamber. However, the Government opposed this deletion, considering that the provisions referred to did not have the effect of prohibiting internships with independent orthoptists but only the invoicing of their interventions with patients. Paragraph 3 of Article L. 4381-1 of the Public Health Code therefore remained unchanged. Also, he asks her to specify the measures she intends to adopt to improve the visibility of internships in private firms, closer to the specificities of the profession and, in any event, its axes to guarantee the sustainability and development of the orthoptist profession.
Question· Question écrite17876open
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of National Education and Youth to the technical advisor psychologists, forgotten in Decree No. 2017-120 of February 1, 2017 establishing statutory provisions relating to national education psychologists. Alongside doctors, school nurses or social workers and teaching teams, national education psychologists mobilize their professional skills serving children and adolescents for their psychological, cognitive and social development. They participate in the development of mental health prevention systems or prevention of the risks of dropping out of school, inclusion, help and remediation. In this regard, they work with students in difficulty, students with disabilities, students at risk of dropping out or students showing signs of psychological suffering. It therefore appears important that these professionals participate within the different administrative levels of national education, national, regional and departmental, in the reflections, development, implementation, monitoring and evaluation of national education policy in matters of mental health, prevention, inclusion or assistance with learning and guidance. He asks him what measures he intends to take to ensure a mission as technical advisor psychologist to the minister, the rector and the director of the departmental national education service.
Question· Question écrite13591open
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of Solidarity and Health to the question of the status of home helpers who carry out remarkable and essential work on a daily basis, to ensure that elderly people or those with disabilities are kept at home, in the best possible conditions. Everyone is aware that this need will continue to increase inexorably with the “grandpa-boom” generation over the next few years. years. Unfortunately, this profession is less and less attractive and these personnel must face the deterioration of their working conditions. According to the CRDLA report dated March 2016 on the state of the home help sector and its needs, their salary amounts to barely 932 euros while the monthly salary of the French is 2,250 euros for all genders and socio-professional categories combined. It has not been revalued since years and their purchasing power has fallen by 13% in 10 years. Added to this are their mileage expenses to travel to patients’ homes. They travel many kilometers during the day, particularly in rural areas, and their mileage allowance amounts to only 0.35 cents/km (including 0.13 euros for fuel). In addition, home helpers who take sick leave, very often due to working conditions, hard work and incompatible with family life, are difficult to replace. This problem is increasing in cross-border areas such as the constituency of the MP which experience a strong disparity in salaries between France and Luxembourg which remains more attractive. Also, he asks if concrete measures are planned by the Government to upgrade the status of these home helpers from both a point of view. salary view as well as in terms of mileage compensation for their travel.
Question· Question écrite20615open
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of Solidarity and Health to the notice of project for setting the transfer prices, tariffs and limit prices for sales to the public of medical devices which are used in the context of urinary and fecal incontinence (40 million euros of savings are envisaged in 2019), infusion (25 million euros) and medical beds (30 million euros). These change notices tariffs which aim to make a saving of 150 million euros this year and which were also proposed on the advice of the Economic Committee for Health Products (CEPS) were the subject of publication in the Official Journal on March 1, 2019. However, these measures seriously worry professionals in the home support sector about the harmful economic repercussions that this could have on their activities. In fact, they estimate that this price change endangers the sustainability of their businesses to the extent that they considerably reduce their margins and also deteriorate the quality of patient care. The risk of such a drop in pricing also has repercussions in terms of team management and agent recruitment while the needs of the population are increasingly evolving in this sector which is considered to be of this is a priority for the Government. Also, he asks if consultation measures will still be planned with representatives of companies in the sector in order to overcome these difficulties.
Question· Question écrite1383open
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister for Europe and Foreign Affairs to the dramatic situation experienced by the Rohingyas, a Muslim minority in western Burma and rightly considered by the UN to be “one of the most persecuted in the world”. Indeed, these people suffered the repressions of 1978 and 1991-1992 as well as the intercommunal violence of 2012 and 2015 which led them to several exoduses. in front of the helpless and sometimes even indifferent gaze of the international community! At the end of summer 2017, the situation of the Rohingyas further deteriorated considerably, following the riots which took place at border crossings in an attempt to take back, weapons in hand, their destiny in hand. The Burmese army, aided by local Buddhist militias, sounded the hallali which led to killings, rapes and fires against this population. Hundreds of thousands of poor people, including women, children and the elderly, without water or food, were forced to flee to Bangladesh to try to find asylum in already overcrowded poverty camps. The UN Secretary General also spoke of “ethnic cleansing” when referring to this human tragedy. A founding member of the United Nations in 1945, France, which plays a leading role in subjects as crucial as that of respect for human rights, cannot remain indifferent to this massacre. It is its duty to put an end to the abuse against this population with other UN member states. Also, he asks him if exceptional measures responding to the tragic situation of this Muslim minority, rejected from Burma for more than 40 years, will be taken in the coming weeks by the Government French on an international scale.
Question· Question écrite20546open
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of Solidarity and Health to the need to raise awareness among the general public about the early diagnosis of rare hemorrhagic diseases and entry into medical care. During the 29th World Hemophilia Day on April 17, 2019, the French Association of Hemophiliacs (AFH) clarified the issues related to this early detection and insisted on the importance of supporting initiatives aimed at improving the lives of all those suffering from a bleeding disorder in France. Hemophilia is a serious and rare genetic disease which affects nearly 6,000 people in France. Thus, taking into account the most severe forms of Willebrand disease, very similar to hemophilia, and other coagulation diseases, the number of people affected by a process of coagulation in France is estimated at 15,000. coagulation faulty. Although treatments have evolved considerably over the last decades, which has increased the expectancy and quality of life of patients, they still have many limitations. Today, new therapeutic strategies and in particular gene therapy make it possible to consider the treatment or even cure of the disease more favorably. Unfortunately, this research does not not progressing fast enough. In addition, the AFH clarified that for many rare constitutional hemorrhagic diseases, screening and early diagnosis were priority issues. Therefore, he asks him to please inform him of the government health policies put in place to fight against these diseases.
Question· Question écrite15146answered
France · National Assembly
M. Brahim Hammouche attire l'attention de M. le ministre de l'action et des comptes publics sur le budget déficitaire de l'École nationale d'administration, pourtant censée enseigner à ses étudiants, la bonne gestion des deniers publics. En effet, les comptes de l'École nationale d'administration affichaient un déficit de 2,8 millions d'euros en 2017 sur un budget total de 40,8 millions d'euros, notamment en raison de factures impayées par des « clients ». Il lui demande donc si des mesures spécifiques vont être mises en œuvre afin de permettre un redressement durable des comptes de l'école, gage de sa crédibilité.
Question· Question écrite19104open
France · National Assembly
Mr. Brahim Hammouche draws the attention of the Minister of the Interior to the concerns of professionals in car driving learning who are faced with competition from new online platforms which promise a cheaper license, thanks to dematerialized platforms connecting learner drivers with independent instructors. If the Government's stated objective of facilitating access for all, and in particular for the most disadvantaged, driving licenses must of course be supported and the multiplicity of service providers can contribute to achieving this, the fact remains that the regulations in force remain very vague in this area. People who operate as self-employed or micro-enterprises do not have any prefectural approval, whereas the person responsible for training is nevertheless required to ensure the proper educational development of the training. However, this condition is clearly not met in the case of platforms (highway code, art. R. 213-2). In addition, the independent instructors used by the platforms use their own vehicle to drive their students while the regulations for driving schools stipulate that approved establishments provide proof of ownership or rental of the vehicle. teaching vehicles (decree of January 8, 2001 relating to the operation of educational establishments, for consideration, in the driving of motor vehicles and road safety. art. 2). Also, he asks him if the Government plans to re-specify the regulatory framework for activities linked to learning to drive a car in order to limit abuses linked to this sector of activity.
Question· Question écrite15201answered
France · National Assembly
Mr. Brahim Hammouche alerts the Minister of Territorial Cohesion and Relations with Local Authorities to Law No. 2018-702 of August 3, 2018 relating to the transfer of “water” and “sanitation” skills to communities of municipalities. This law, the issues of which are multiple and in particular with regard to the "free choice" of municipalities in this area, makes the transfer of skills obligatory and exceptional the " blocking minority”. However, this system is considered by many municipalities to be too restrictive because it de facto excludes from its scope, municipalities which are members of urban communities. Furthermore, ministerial circular Nor INTB1822718J of August 28, 2018 specifies that this right of opposition is “exclusively reserved for municipalities that are members of communities of municipalities exercising, neither on an optional basis nor on an optional basis, the competence in question, including partially, with the notable exception of the non-collective public sanitation service”. As a result, municipalities that are members of a community of municipalities exercising “water production” competence will also not be able to oppose, if they wish, the full transfer of “water” competence from January 1, 2020. The transfer of the water network, which constitutes a fundamental service for those administered, cannot be done in haste. Also, he asks if specific measures will be taken by the Government to clarify the contours of this law and allow, for example, an audit of the infrastructure available in each municipality which would be carried out by the EPCI.
Question· Question écrite24081open
France · National Assembly
Mr. Brahim Hammouche alerts the Minister of Solidarity and Health to the treatment of malaria using a plant from traditional Chinese pharmacopoeia, Artemisia annua. While “natural” medicines are on the rise, the use of this plant is controversial in France. While La Maison de l'artemisia, a French association, claims that the plant, taken in the form of herbal tea, would treat and prevent disease even more effectively than conventional treatments, French doctors and researchers denounce this practice for which evidence of effectiveness is currently lacking. “Artemisia annua” is however well known to scientists and in particular artemisinin, a molecule capable of eliminating the parasite responsible for malaria, which is extracted from it. This discovery also earned the Nobel Prize for Chinese medicine Tu Youyou in 2015. Since then, artemisinin has been an essential compound in anti-malaria drugs, ACTs (therapeutic combinations based on artemisinin), so much so that 28,000 hectares are put into semi-industrial cultivation around the world to supply the pharmaceutical industry. This plant therefore seems to have antimalarial powers. But it is its use in the form of herbal tea which poses a problem for the medical community. Also, he asks him to inform him about the data acquired from science, the recommendations and the prospects for treatment by this galenic form.
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